HomeMy WebLinkAbout12-16-11PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF e ~m ~i1~2Li4N~ CO~~y~ pENNSYLVANIA
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in
support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form:
Decedent's Information
Name: a.r'~C M r File No• _ a2/^ //
tea: ~Ar I P na V ~ ~ r • (Assigned by Register)
a/k/a.
a/k/a. Social Security No: _~l0-3.? - D 8( 7
Date of Death• Age at death: _ 7p
Decedent was domiciled at death in C Li.rn bCr~on e~ Count},, ~l.Yl h v a~
principal residence at ~+~f S3 Ceaa_ n..l ..~ c___ss ~tt__ ~ _ _ • _ ~ _ _ ,. _ ,. (Stare) with his/her last
Decedent died at
Street address, Post Office and Zip Code
Borough
17
County
Street address, Post Office and Zip Code r ty, ownship or Borough
Estimate of value of decedent's property at death:
Ijdomiciled in Penns~vlvania ............................ All personal property
If not domiciled in Pennsylvania,,,,, , , , ,,,, , , , , , , , , , , ,personal property in Pennsylvania
Ifnot domiciled in Pennsy/vania ..................... ..Personal property in County
Value of real estate in Pennsylvania,... , . , , , _
.........................................
n- TOTAL ESTI/MATED VALUE... .
Real estate in Pennsylvania situated at: ~ X8,3 Co/11C't~.,"i/L ,~pp/~j /,~A ~CS~7NI'+{' ~(,~I~~t/~//
(Attach additional sheets, ijnecessary.) Street address, Post Office and Zi Code
p ~~Citv_.~n'wn~i~.
County
1i~ A. Petition for Probate and Grant of Letters Testaments ~~
Petitioner(s) aver(s) he/she/they is/aze the Executor(s) named in the last Will of the Decedent, dated 1~1 ~l.t/ f'y
thereto dated _~~ ZOQ ~ ~)
State relevant circumstances (eg. renunciation, death ojezecutor, etc.)
Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did not have a child born or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS ^ EXCEPTIONS
^ B, Petition for Grant of Letters of Administration (If applicable)
c.t.a., d.b.n., d.b.n.c.t.a., pendente life, durante absentia, durance minoritate
If Administration, c.t.t~ or d b.n.c.~a., enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined
in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
^ NO EXCEPTIONS ^ EXCEPTIONS
FormRW-02 rev. /0/11/20!/
Page 1 of 2
$ /D,00Q.ao
State
$ -
$ O•
$ _ aco.•o
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by tl-e following spouse (if any) and heirs (attach
additional sheets, ifnecessary):
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the best of the knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner(s) will well and holy administer the estate according to law.
Sworn to or affirmed d subscribed before h ~a ~ ~ ~ l- Date ~ i~/ ro ~Z ~ / i
me this da of
~ Date
By:
Date
Fos the Register
Date
Letters ...................... $ / V
( ~-) Short Certificate(s)......
( )Renunciation(s)........ .
( )Codicil(s).......... .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Others ~', ~\ 1
........
Automation Fee ............... ~• Uv
JCS Fee . .................... _ ~~.-
TOTAL ..................... $
Attorney Signature:
~A~~ ~~
Printed Name: (,,/jp~-/~ ~; s~j~G~4/S T
Supreme Court
ID Number: 38.s/~3 / ,- /,
Firm Name: ~t~•l/CS E; S/jj~(a.~
Address: / n/......~ ~. _ e
/14 SS
Phone: _ 7/7- i7G~p _D?,Dg
Fax: 7 7'pS- 7//73 _
Email: C iPJ~c.~~~dS1; 7
DECREE OF THE REGISTER
Estate of
a/k/a: 1~
rn er
File No• __ ~- // _ ~~ ~ ~~
AND NOW, ~~~,,,~ ~,o ~ l ~j ~ ~ ~ in consideration of the foregoing Petition,
satisfactory proof havmg been presented before me, IT IS DECREED that Letters
are hereby granted to ~ p[ _ /)j, ~d')elflSewN
Yoln
the instrument(s) dated _~I' 1[tu ~. ~ nn ~ in the above estate and (if applicable) that
described in the Petition be
Form RW-02 rev. 10/11/20/1
BOND Required: ^ YES ^ NO To the Register of Wills:
FEES: Please enter my appearance by my sisnature below:
to probate and filed of
as the last Will (~~d~) of
Register of Wills
l/" ` ~~~
Page 2 of 2
Oath of Personal Representative ~, official Use Only
nF E ~ ,' ~_
,~,~ ~
COMMONWEALTH OF PENNSYLVANIA } '-~ ,.
COUNTY OF C G[ /y (3~[/}-/1/,y }
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OATI3 OF SUBSCRIBING WITNESS(ES) ~° ~ :-~ -~ '
,
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REGISTER OF WILLS c ' cn -,-~• ~' --_
C!.(i!?~~h~f~~COLJNTY, PENNSYLVANIA ~ ~ ;.7
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Estate of ~r~~fi2 M ~ 1~~t~' nfmGY ~~ Pub+''~U?C V ~~,rlhelY]er" ,Deceased
(~17Q't"~BS ~ c~~ji8s/4~S ~ -{~}~ subscribing witness to
(Print Name/sJ
the Will LI.~Fs) presented herewith,{~sl~eing duly qualified according to law, depose(s) and
say(s) that -sl~a / heltl~ey was /iv~er~ present and saw the above TAT Testatrix sign the same
and that sloe-f•he >r signed the same and that sloe./ hel#1~3~ signed as a witness at the request of
the ~~s#~tor~ Testatrix in her Hers-~ presence and in the presence of each other.
X ~ .~
(Signature) nf„i MJ~ ~ S~ ~ e%~5
(Q Clouser OPd .
(Street Address)
n1er.J~~.~~sbu-~t, P~ »~ ss
(aq~, smte, zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this ~~~ ~ day
of ~~-'~ ~ , ~.
,~,
Deputy for Register of ills
(Signature)
(Street Address)
(city, state, zpJ
Executed occt of Rcgister~'s Office
Sworn to or affirmed and subscribed
before me this
of
day
Notary Public
My Commission Expires:
(Signature and Seal of Notar}~ or other off cial qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
Form RN'-03 rer. 10.13.OG
OATH OF SUBSCRIBII~IG'~~VITNESS(ES) ~
a
REGISTER OF WILLS ~~ z ~ r-, -
~ n'1 ~~i 44~f/~ COUNTY, PENNSYLVt~.NIA ~ ~ t'a ~-; -.
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Estate of ~E~~ ~ P~tQ TyF/l!
~ aX¢ i~~~r !!~ ~/,~~F/Il rE`~', Deceased
/~1 ~CrHEll~ T. J~(Q/CC , {~e~) a subscribing witness to
(Prig! Names)
the ~-Will ^ Codicil(s) presented herewith, (a~slij~being duly qualified according to law, depose(s) and
say(s) that she~y wastes- present and saw the above .~est~tor~/ Testatrix sign the same
and that she ~e-f~lre~- signed the. same and that sh° /' signed as a witness at the request of
the ~ /Testatrix in her.~.d~i~ presence and in the presence of f;ach other. •
r
(Sigaature) (Sig atureJ ~/C'y~ , /L(2~Ck
w C/oas.~r Gfd-
(Street Address) (Street Address)
(Cite, State, Zip)
E~:ecuted in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register Of Wills
~i4 /70~~'
/Ylec~i~ies~ar9
,
(City, State, Zip) ~l°---
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E~:ecuted oact ofl2egister's Office a! ~ z ~ ~ _; ~,
Sworn to or affirmed and subscribed u~, r., ~: ^ . ,
o' ~ " ` ~i'-a
before me this
s! y day J~~'.C ~.?CC~i'
Q ~ ~' 3 v`.~ ro
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Notary Public
My Conunission I?xpires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show dale of e~:piration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
Fa•mRN'-03 rev. l0.l3.OG
H105.805 REV 101/071
1. rYnw a Deretlra (Fiq needs, rr, sal
Darlene p
+ AP her Brnry) IArer
70 Yrs.
8h CaWr a Dean
Fee for this certificate, $6.00
LOCAL REGISTRAR'S CERTIFICATIONI OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
P 18037469
Certification Number
HIBS1~3 REV It/dpS
7VPE / PRRR rJ
PERMANFIIT
aACI( ri(
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Bc Ciry Ba°, Taq.
T'~$~ "r°"t I wi~aaB
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1H Oacedenl'a MsitB Addra (Street, dY/ban, rar. npoorl
2483 Cope Drive South
Mechanicsbu_m PA 17055
1fl Farrre Noma (r,rU nrds, yt, tuaq
Wilbur Lloyd Morrow
z0~ woan.r: Naa» (Typo / prt~ll
Lanette M. Yohn
21a Mrba d DroPaaean ^ cwmron
^ %] err ^ Ramorrnaasrr ~ w„ r
This is to certify that the information here given is
correctly copied from an original Certificate of Deati
duly filed with me as Local Registrar. The origins
certi]Ficate will be forwarded to the State Vita
Records Office for permanent filing.
~r~t~~~ ~~/~f
Local Registrar Date Issued
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COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF HEALTH .VITAL RECORDS
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CERTIFICATE OF DEATH -',
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(See instructions and examples on roverse) ~
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LAST WILL AND TESTAMENT OF DARLENE M. PARTHEMER
I, DARLENE M. PARTHEMER, an unremarried widow, currently of 2483 Cope Drive,
Mechanicsburg, Upper Allen Township, Cumberland County, Pennsylvania, being of sound and
disposing mind, memory and understanding, do make, publish and declare; this my Last Will and
Testament, hereby revoking and making void any and all prior Wills by me at any time heretofore
made. -
1.
I direct the payment of all my legally enforceable debts and funeral expenses as soon after my
decease as the same can conveniently be done.
2.
All the rest, residue and remainder of my Estate, after payment of all death taxes, real,
personal and mixed, whatsoever and wheresoever situate, I give, devise, and bequeath to be
distributed as follows:
A) Forty (40%) percent to my sister, DOROTHY MILLER, ~~er stirpes.
B) Forty (40%) percent to my sister, LANETTE M. YOHN, ~t~er sties.
C) Ten (10%) percent to my step-daughter, SUZANNE SHEL~EMAN, per stirpes.
D) Ten (10%) percent to my step-son, MARK PARTHEMER, per stirpes.
3.
I nominate, constitute and appoint my sister, LANETTE M. YOH:IV, to be the Executrix of
this my Last Will and Testament. In the event that she is unable or unwilling to act as Executrix, I
appoint my niece, MARY E. WETZEL, to be Executrix in her place and stead. I further direct that
they shall not be required to file bond or other security in the Office of the Register of Wills for the
purpose of administering my Estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this i ~~~ day of
A.D. 2007.
I ~'~
(SEAL)
ARLENE M. PARTHEMER
Signed, sealed, published and declared by the above-named DARLENE M.
PARTHEMER, as and for her Last Will and Testament, in the. presence o:P us, who at her request
and in her presence, and in the presence of each other, have hereunto subscribed our names as
witnesses.
1~10~ S,t~.JHd~O
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