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PETITION FOR GRANT OF LETTERS
REGISTER jOF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Petitioners} named Belo ,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:
Name: John A.
a/k/a: Jahn
a/k/a:
a/k/a:
Date of Death:
Decedent was domiciled ;
principal residence at 45 A
street
Decedent died at Forest P.
Street add
Estimate of value of decedent's
If domiciled in Pennsylva
If not domiciled in Penns
If not domiciled in Penns
Value of real estate in Pei
Real estate in Pennsylvania
(Attach additional sheets, ifne
A. Petition for
Petitioner(s) aver(s)
thereto dated
File No: ~~ -' ~ ( - ~3 ~~
(Assigned by Register)
Social Security No: 206-22-7488
Age at death: 98
death in Cumberland County, pA (Stare) with his/her last
Post Office and Zip Code City, Township or Borough County
Post Office and Zip Code City, Township or Borough Couuty State
ierty at death:
..........................All personal ProPertY $ 2.950.00
nia• • • • • • • • • • .............. Personal property in Pennsylvania $ n nn
ria ........................Personal property in County $ ~.~~
lvania ......................................................... $ n nn
TOTAL ESTIMATED VALUE.... $ 2,950 00
at:
Street address, Post Office and Zip Code City, Township ar Borough
is/are the Executor(s) named in the last Will of the Decedent, dated 10/05/1989
County
and Codicil(s)
State relevant circumstances (e.g. renunciation, death ojexeeutor, eta)
Except as follows: after the a ecution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending
divorce proceeding wherein a grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), and did not have a child bom or
adopted; and Decedent was either 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, durante minoritate
If Administration, c.t.. or d.b.n.c.z±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(8) and as neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS ~ EXCEPTIONS
Petitioner(s), after a proper se ch has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs (attach
additional sheets, ifneeessa ):
Name Relationshi " ~-•
Address- Q --
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.:' C: ~ f V
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Parnt xw-oz rev. ioiili2oif Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
Official Use Only
Petitioner(s) Prin Name Petitioner(s) Printed Address
Jean S. Do tis 802 Coan Haven Road Lottsbur VA 225 1 1-2653
Lei E. Do tis 802 Coan Haven Road, Lottsbur , VA 22511-2653
~,
The Petitioner(s) above-named s ear(s) or affirm(s) the
of Petitioner(s) and that, as Perso al Representatives
Sworn to trmed s bs ribed before
met '~
sy:
For the ReQiste
to the best of the lrnowledge and belief
sinister the estate according to law.
Date
Date iZ-ZZ- tdi/
Date
Date
BOND Required: Q YES Q NO
FEES:
Letters ... $
(~ )Short Certificate(s). } ... .
( ) Renunciation(s).... 1 ... .
( )Codicil(s)........ ... .
( )Affidavit(s)....... ... .
Bond .................. j ...
Commission ............. j ..
. .
Other ~~~ : ~\ .. ...
. ...
. ...
)
.. ...
. ...
.. I ...
. ~ ...
.. ...
'I'
Automation Fee...........l~ ... .
JCS Fee . ................'~~... .
TOTAL ..... ............I.... $ 0.00
To the Register of Wills:
Please enter my appearance by my signature below:
I Attorney Signature:
Printed Name:
Supreme Court
ID Number:
Firm Name:
Address:
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate of
a/k/a: Johc
AND NOW, _
satisfactory proof
the instrttmenl:(s) dated 10,
described in the Petition be
File No• o~ ~ - ~ ~ _ ~ ~ ~ `~-~
"~~ ~ , ~ ~ ~ , in consideration of the foregoing Petition,
presented before me, IT IS DECREED that Letters Testamentary
_ are hereby granted to Jean S. Dontis & Leigh E. Dontis
in the above estate and (if applicable) that
1989
pitted to probate and filed of record as the last W'll (and Codicil(s) o Deced nt. D / '~
~Q..~- -(~l_.~
Register of W is ~ r _.
Form RW-02 rev. ioiiiizo~~ G' 1~~ " "`' ~v - ~ - - ~~ Page 2 of 2
RENUNCIATION
Estate of
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
ti"ti:
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I-IN A. ORD, aka John
I, Sarah L. Ord
(t
rix of the Estate,
Name)
renn~
Ord
Deceased
in my capacity/relationship as
ill of the above Decedent, hereby renounce the right to
administer the Estate o the
Jean S. Doptis & Leigh E.
December 12, 2011
(Date)
Decedent and respectfully request that Letters be issued to
,,
~'
(Signature)
30 Delfae Drive, #39
(Street Address)
Warsaw, VA 22572
(City, State, Zip)
Executed in Register's
Sworn to or affirmed an
before me this
of
subscribed
day
lleputy for Register of V~ills
Form RW-06 rev. /0./3.06
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purpos s stated within on this ~~~ day
of c.~?.ei~ ~ p ~ /
Notary Public
My C~nniggio~,~Expires: ~p/3.f/ap/,3
(s~~+ ap ~4y other official qualified to
a~{t~~~`_~_Sihs. Sh piration of Notary's Commission.)
a 7237743 A ~ =
o :, COMMI56ION ~ •~
.i+y''• ~~ •'v
H105.905 REV.(3/091 ,.~ -_ - - - - -- - _. - _
This is to certify that this is a true copy of the record which is on file in the Pennsylvania L>epartment of Health, in accordance with
the Vital Statistics Law of 1953, as amended.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
55b~278
>~. ~~~
Linda A. Caniglia
State Registrar
APR 2 7 ZU10
H105-1d3 REV 112006
TYPE I FRINT IN
PERMANENT
BUCK INK
1. Name d Dec-ed~x.IFnl, nwde, last, sulfa)
aa/ C~ ~.~
s. Ago (Lass Birmmv) trndr t
Harw
' 98 vr.
~I
Date
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
STATE FILE NUMBER
2. Sex 3. Social Secray NurMer d. Oele d D
Ike John Allvn Ord ?.rxxte one _.,., _.,,,...
tlaY. Year)
March 9, 1912 West Elizabeth, PA ^Inpaiem ^ER/oagrtlenl ^DOA ®NUrealg NOrre ^Resltlence ^omar-sp,dry:
!k. Glry, !3o Twp. d Deem Btl. Fadety Name IH not ppnueon, gNe preel and rwabN/ B. Was Oaradent d lipparsc On in7
g ®No ^ v.s 10.17BOa: Amarign mean. Biwa. venire. ma.
Carl ale (0~'8p'a"''°uOBq (saeeYM
Forest Park Health Facilit Mexken,PuenPRksn,dc.) White
,,ns moat weld 18e. Dc nd stale reYred lz was Decades aver in me l3. Drredsnrs Edcadon (8peciy Dray ngnml grove compdea) la. Memel aaiW: Hennes, Never Meaiee, ls. surral;rp Spouse gi wire. give maw•n name)
~rma iV L~ K d Bmirea / Irprrsby U.S. Armed Forces? Elemeraary / Secaldary (D12) Cdege (7.a or &) w bxetl. Dlvareed (SPanTYI
j~ car U.S. Arm ®ve. ^ra 5+ Married Sarah L. Islet
18. Deptlenl's Maiirp Addrem (Street, City /loan, 9rere, dp J Decedent's Ditl Oscetlent
45 Alters Road APIUpRepd•nca Haslet. Pennsylvania Tornnp 1Ta®wm,Detemnowam W ar P nnaboro Twp.
Carlisle, PA 17015 nb. carry Cumberland l''tl.^No, pecederliLMd wiwn
Adwl lYrps a nary / Bono
1& Fa1Mrb Name (FlRI, mGrN, ~1, sumr0 19. Homer's Name (Fep, rttltlde, nritlen aurrmel
Edward Y. Ord Ethel D. Thom son
toe. Intomrnra Name (rr<r / PHI) zoe. Imomrnre HeN~ Adaeee Sl'ml.
rp ( dly/tam, srte, dP mde)
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' not avp4bN • ~ d de.m m
a.mly cr.e d amen ~G
Irems 2428 Hari De conlpbb,d Dy Parson 24. tens d Deal
wlr prrrp,cm deem. ~ ' rxr U Larson 21 D. Data d Diepoeltion (Month, day. yet) 21c. %aCe d - - _ __ . __ ---„ .
a DorWOn Audrnzad ~ (Name d c•rrlpery, crematory or omen Wewl 21 d. Loeaaon (City! town. slab. Zip code)
Ee.mmryCOrrwt ®ree^NO Aril 9 2010 Cremation Societ of 1xA Harrisbur PA 17109
) zm. ucenm Number zza. Name arw Addrem a Fadliy
~~~~f Cremation ggar ices op pennsylyant Inc.
FD-013376-L onestown Roa~ Harrisbur PA 1/109
^ry anowledge, deem occurred el me Dme, date antl Place sreretl. (SipnaNre rltl duel 23b. LiceMe ^IUmOer 23c. Dpe
SIgnW (Mash, day, Year)
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28. Date Pronouncetl peW (MOnm, My, yMr) 28. Wm Case Relemetl b MW W Examiner /Corona lore N9eeon Corr man Crematbn or DoneDOrl?
[~ xq M / ~~/~
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Item Z?. Pad I'. Error me (flahl>L@Y/ag -tlpaas•s, Njura ar E OF DEATH (Se• Inetruaslons erM exempbe) r ApprammN interval: Pad IL EnW other
pliWBrr - tlrt directly ceuew ih dmm. DO NOT solar iemmal evMr such m ardac ertep
2S. Dtl Tabxcn U9a CanddM b Dalh7
mpaaay arrm(a ventrkdar IBr1YtM Witlrul ,
wing ar piolopy. lip Dory oro suss on each Itra. Omp to Daem bW not mdDng in dr urtlerpsng wuw givM in Pen I. ^ Yen ^ Probady
ceWn ,~D1A IgISE FlI re' diwue a ~, Q
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[~'!m Pregrrd wimhl pmt yNr
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RLYING CAUBE Due to (or as a
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of); ^ Pregnant et time of dmm
A
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ry~
rermng m d~eaM M
c ^ Nol Pra9rM. dI pragleM wimin a2 dap
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Due to (or es a m
d' Death
uence oN: ^ Nd preprN, W pregnant d3 days re i year
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30e. 1Ves an Aulopey 30b. Ware Adopay Findings 31.
Penormed4 A
s
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Mr of Deem r ^ llnknown d prprrrq wimh me Pmt veer
32a. Dais d Injury (MOnln, day, year) 520. DescnM How Injury Occurred
va
e
e
rior to Competlon
d cause a Deem? 32c. %aca d Injury: Ham, Farm, SDeaL Fadary,
~Nrel ^ Namidde g8ce Bdkenp, em. (SpenYy)
^ Yen Q'~ ^ Ym ^ No ^ Acatlent ^ Per7rg Invappe6on 32tl. Tarr d Injury Sta. Injury a1 WoM? 32f. K Trensponeam Injury (Speady/ 32g. Locoman a Injury (SU•et, coy /lawn, pare)
^ Sracpe ^ Could Nd M Oetemanee ^ ye, ^ ~ ^ DMx /Operator ^ Paseerpsr ^Petlepnen
M
33e. Csn~ r Iclr k only me)
' Omer Specify:
' Cartlrying phyeld•n
(Pnypdr, cerlilysp cause of tlmih
Ta tlm Mldmy armwladg.,emm u<umtldw tat 33b. Spnature T N r
n arwlMr Physidan frs pawuncetl tleeih antl completed Item 231
ewee(•)erp ma
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F Pronwndng and aNrying phypdan (Pllysidw bdh p merm peDSd_________________________________ [~ ~
uncap deem aM cMilying Io Huse d tleath)
i
o To 8r bent d my Mowledps, dMh oeeum•d p iM 8 ^ 33c. Lkeme NlxrAer 33d. Dale R,wnm, daY per)
, IYIa, erld pace, wd due to iM eaum(•) •M mentor m •t•rer~ -
w McBCalExmnMryDoraner
On tlr Dgla d sxemlrWbn and / or Invapiget _ - - _ _ -
--"-"--"-- ;win _J44~±j1a •.~ 4 `(((~
opinren, death •ccurrod p IM tlme, 419, wtl place, end tlue b the nWNa) and manner m •reled_ ^
%. Nema aM Atldrese d ParsM VAq Can etetl Cau
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35. ReglsDa' S- irxa m
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2.
r
I 'give and bequeath all of my jewelry, automobiles,
clothin~, and other personal effects, as well as all household
goods ~nd equipment which I may own, including any insurance
thereon} to my wife, SARAH L. ORD. In the event my said wife
predeceases me, I give and bequeath the aforesaid items to my
then li~ing children, to be distributed among them as they shall
mutuall~ agree within a period of ninety (90) days from the
probateiof my Will, or in the absence of such an agreement, as my
personal representatives, in their sole discretion, shall deem
advisable, making such distribution in as nearly equal shares as
possibl~.
-.}
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"G i
} is ~ -}
LAST WILL AND TESTAMENT ->~T ~}
-- t-,~ ~ , , __
I, JOHN A. ORD, of Cumberland Count , Penns l f~ a, t~~in
Y Y ~3 ,~ g~..~.g_.f>
.~
sound nd disposing mind and memory, do hereby make, pub~;sh arid'
deFc~re this to be my Last Will and Testament, hereby revoking
rr -
~_.
an~;~nd all former Wills or Codicils by me made.
c:? ~~ ~,
_ L.S
f<" f'^~
LLt ~ '}_ ~~ l .
C, n u_
~I direct that all my just debts, funeral expenses, and
adm~iisl~trative expenses be paid from my estate, as soon as is
practicable after my death.
I
Therefo
office
are any
3.
ave served in the Armed Forces of the United States.
~, I direct my Executor to consult the legal assistance
the nearest military installation to ascertain if there
>enefits to which my dependents are entitled by virtue of
Page One
LAW OFFICES - MARTSON, DEARDORFF, WILLIAM3 & OTTO
my mil~tary affiliation at the time of my death. Regardless of
my military status at the time of my death, I direct my Executor
to con ult with the nearest Veterans Administration and Social
Securit Administration office to ascertain if there are any
benefits to which my dependents may be entitled.
4.
I i,give, devise and bequeath all the rest, residue and
remaind~r of my estate to my Trustee under a certain inter vivos
Trust Agreement heretofore created this date naming myself as
Trustee and my daughter, JEAN S. DOPTIS, as alternate Trustee,
to have and to hold, in trust, for the uses and purposes and
subject~to the terms and provisions thereof.
I 5.
I hereby direct that all estate, inheritance, succession and
other t~xes imposed or payable by reason of my death, together
with ini~erest and penalties thereon, if any, with respect to all
propert~ comprising my gross estate for death tax purposes, shall
be paid~~as provided in the inter vivos Trust referred to above.
6.
If my said wife, SARAH L. ORD, and I shall die under
circums~lances that it cannot be determined which has survived the
other, then it shall be deemed that my said wife, SARAH L. ORD,
survived) me.
7.
II I nominate, constitute and appoint my wife, SARAH L. ORD, as
Executrix of my estate. In the event my said wife shall be
unable r unwilling to serve as Executrix, then I appoint my
~~~, Page Two
i, LAW OFFICES - MARTSON, DEARDORFF, WILLIAMS R OTTO
daughter, JEAN S. DOPTIS, and my son-in-law, LEIGH E. DOPTIS, or
the survivor, to act in such capacity.
I 8.
~,
h
Inladdition to the powers conferred by case law, by statute,
and by other provisions hereof, my personal representatives and
.Trustee, shall have the following discretionary powers
applicable to all property held by them, which powers shall be
effecti a without order of any court and shall exist until final
distrib tion:
A. To retain any property of any nature received for
whatevez~ period they shall deem advisable;
B. II To invest and reinvest all or any part of said property
in such stocks, bonds, securities or other property, real or
personal, as they shall deem proper, without regard to statutes
limitinglthe property which a fiduciary may purchase;
C. I To sell, transfer, exchange or otherwise dispose of,
any part of said property, for cash or on terms, publicly or
privatel~, or to .lease, even for a term exceeding five (5} years
or the ~3uration of any trust herein, without liabilit on the
Y
purchase>~s or lessees to see to the application of the proceeds,
and to g~.ve options for these purchases without the obligation to
repudiat~ them in favor of a higher offer;
D. I', To execute and deliver any deeds, leases, assignments
~r othe instruments as may be necessary to carry out the
~rovisio s of any trust hereunder;
Page Three
LAW OFFICES - MARTSON, DEARDORFF, WILLIAMS ~ OTTO
E-' To borrow. money, including the right to borrow money
from achy bank and to mortgage or pledge any asset of the estate
as secujrity;
F.I To assume continuance of the status of any beneficiary
with rejgard to death, marriage, divorce, illness, incapacity and
the life in the absence of information deemed reliable without
liabili~y for disbursements made on such assumption;
G.', To pay from the corpus of any trust hereunder, or the
income ~herefrom, all debts, claims, taxes or similar charges;
H. ', To make any distribution hereunder either in kind or in
money, ~r partially in kind and partially in money. Distribution
in kind shall be made at the market value of the property
distrib>~ted, and the Trustee, in his absolute discretion, may
cause the share distributed to any distributee to be composed of
property similar to or different from that distributed to any
other distributee;
I. ', To exercise any subscription right in connection with
any security held hereunder, to consent to or participate in any
recapita~.ization, reorganization, consolidation or merger of any
corporation, company or association, the securities of which ma
Y
be held hereunder, to delegate authority with respect thereto, to
deposit investments under agreements, to pay assessments, and
generall~ to exercise all rights of investors;
J. To invest in endowment, insurance or annuity policies
~n the lives of beneficiaries of any trust hereunder;
Page Four
~', LAW OFFICES - MARTSON, DEARDORFF, WILLIAMS c~ OTTO
~~ ~ `.
K.' To continue in any partnership, joint venture, joint
ownersh~.p or other business enterprise of which I am a part at
the tim~ of my death;
L.li To compromise claims;
M.IIi To continue for whatever period of time as they shall
deem necessary any ownership as a tenant in common or as a
partner,) in real estate or other property and to act as I could
have ached while living;
N.Ii To do all other acts in their judgment necessary or
desirable for the proper management, investment and distribution
of my estate.
9.
I ~3irect that neither my Executrix or Executor nor my
Trustee hall be required to file any bond in any jurisdiction to
secure he faithful performance of their duties, nor shall they
be required to obtain any order or approval of any court for the
exercise of any power or discretion set forth in this Will.
IN (WITNESS WHEREOF, I have hereunto set my hand and seal
this 5~~' day of , 1989.
(SEAL)
'~ o A . Ord ---~-
SIG ED, SEALED, PUBLISHED AND DECLARED by the above-named
Testator as and for his Last Will and Testament, in the presence
~f us, w o at his request, have hereunto subscribed our names as
witnesse thereto, in the presence of said Testator and of each
ether .
~/' ~, rr n
Page Five
LAW OFFICES - MARTSON, DEARDORFF, WILLIAMS & OTTO
COMMONWEALTH OF PENNSYLVANIA )
. SS.
COUNTY ~F CUMBERLAND )
I,'' John A. Ord, Testator, whose name is signed to the
attache or foregoing instrument, having been duly qualified
accordi g to law, do hereby acknowledge that I signed and
execute the instrument as my Last Will; that I signed it
willing y; and that I signed it as my free and voluntary act for
the pur oses therein expressed.
A. Ord .~
Sw~rn or affirmed to and acknowledged before me by John A.
Ord, the Testator, this 5'Lh day of ~~-c~r~~e.~.J , 1989.
~.
Notary Publi
COMMONW ALTH OF PENNSYLVANIA ) Notarial Seal
Kimberly E. Wiser, Notary Public
S S . CarGste Borough, Cumberland County
COUNTY F CUMBERLAND ) MyCcmm'sssionExpires~l
/1 ,~ ~ ~ ~ ,...,, . _ . _ .
the wit esses whose names are si~~ied to th
g e attached or foregoing
instrum nt, being duly qualified according to law, do depose and
say tha~ we were present and saw the Testator sign and execute
the in trument as his Last Will; that the Testator signed
willing y and that the Testator executed it as his free and
volunta y act for the purposes therein expressed; that each of
us, in he hearing and sight of the Testator, signed the Will as
witness s; and that to the best of our knowledge the Testator was
at that time 18 or more years of ge, of sound mind and under no
constra'nt or undue influence. ~ f
V
Address /O
,.
f,, ,, ..
Ac7 e s s { yid -~ t_' '~~
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of
ffirmed to and subscribed before me this ~h day
1989.
C~•
Notary Publ c -'"
Notarial Seal
Kimberly E. Wiser, Notary Public
Carlisle Borough, Cumberland County
My Commission Expires Dec. 23, t981
LAW OFFICES - MARTSON, DEARDORFF, WILLIAMS & OTTO