HomeMy WebLinkAbout12-28-11PETITION FOR GRANT OF LETTERS
REGISI~ER OF WILLS OF C ~ cy~ fCt,c~ L ~~ ~ ,
COUNTS. ,PENNSYLVANIA
Petitioner(s) named blow, 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: 5~,.
a/k/a: 5 g~
a/k/a: S
a/k/a:
Date of Death:
Decedent was domic
principal residence at
Decedent died at Sa
Street
Estitnate of value of decede
Ijdomiciled in Penns
Ifnot domiciled in Pe
If not domiciled in Pe
Value of real estate in
Real estate in Pennsylvania
(Attach additional sheets, ifne
A. Petition for
Petitioner(s) aver(s)
thereto dated t-~-t-~
5~
~,~t
File No:~' ~ I I ~j -~
(Assigned by Register)
Social Security No: ~ c1 7 - a0 - 17 d2 ~
l ~ l a o t t Age at death • ~~
at death in Cu rn b~,.l a hd County, f ~ •
e~a5 ~` °' !_n Mc~han~cs bu (state) with his/her last
a address, Post Office and Zip Code ~~ -! ~ O ~ C u ~ ~~ ~~`
rty, Township or Borough County
t tl~? ~ Q 1'l L 4 r CL~ ~ c~a~ Lct vt d + ~L
~ess, Post Office and Zip Code City, Towns or Borough Count
property at death: Y State
nia ............................ All personal property
tlvania ........................ Personal ro er $ /~ O ~
~lvania ........................ Personal grope ry to Pennsylvania $ ~
p p rty in County $ p
~nsylvania ................................
........
.$ ~
N ~ ~ TOTAL ESTIMATED VALUE;.. , . $ /, ~
tted at:
ry.) Street address, Post Office and Zip Code City, Township or Borough Count
Y
is/are the Executor(s) named in the last Will of the Decedent, dated ~ j 0 Ot
nlOrr r (~,QR,o,-~ and Codicil(s)
state relevant circumstances (eg. renunciation, death ojexecutor, etc.)
Except as follows: after tit execution ofthe instrument(s) offered for probate Decedent did rtotmany, was not divorced, was not a partyto apending
divorce proceeding where n the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), and did not have a child born or
adopted; and Decedent w s neither the victim of a killing nor ever adjudicated an incapacitated person.
~~NO EXCEPTIONS ~ EXCEPTIONS
^ B.
If Administration, c.
Except as follows: Deced~
in 23 Pa. C.S. § 3323(8) ar
^NO EXCEPTIONS [
Petitioner(s), after a proper
additional sheets, iJ'necess
Na
Fa•m RW-02 rev. !t)/11/10!!
~_ ~.c«c~ a vt Humtmsiratlon (If applicable)
c. t. a., d. b. n., d.b.n.c.t.a., pendente lire, durunte absentia, durante minaritate
a. or d.b.n.c.t.a., enter date of Will in Section A above and com lete list of heirs.
t was not a party to a pending divorce proceeding wherein the grounds for ~9ivorce had been established as defined
was neither the victim of a killing nor ever adjudicated an incapacitated person.
EXCEPTIONS
arch has/have ascertained that Decedent lefr no Will and was survived by the fallowing spouse (ifany) and hears (attach
l')~
~:7
t~ __^.
Relationsh
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Page 1 of 2
Lath of Personal Representative
COMMONWEALTH ~F PENNSYLVANIA }
} SS:
COliNTY OF }
Petitioner(s) Sprinted Natne
S/~ ~
llfl CT• _ v~tneA~-
The Petitioner(s) above-nat
of Petitioner(s) and that, as
Sworn to or affirmed
me thisa? da o _
By:
For the Register
Official Usc Only
Printed Address
~~, l~
swear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the best of the knowledge and belief
sonal Representative(s) of the Decedent, the Peti 'over )will well and truly administer the estate accord/ing to law.
subscribed before Date ~~/ x 8"~~ IJ
:P`r1 ~.•~ ,0.x'1_ ~ Date ~ -~~ ~G 1 (
.~
Date
Date
BOND Required: Q YES ~ NO
FEES: '~
Letters ...... ~I $
( Off- )Short Certificate (s)... ...
( ) Reuunciation(s).II L .... .. .
( )Codicil(s).....',..... ... ~-
( ) Affidavit(s).... ~L .... ... ~-
Bond ................'..... ...
Commission .......... .... .. .
Other (~ ~ 11 ....
{....
~....
1 ... I
...
...
....
.....
Automation Fee. ...
...
JCS Fee . ............ '! ?. 5-~
TOTAL ...............,,.... ... $~`
To the Register ojWi!!s:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name:
Supreme Court
ID Number:
Firm Name: t7
Address: . a
i =~3
,
-,-,
-' ~ ;
-
Phone: C~J~\ ~
Fax: ~ C ~ --,
~_
Email: ~ -- -~
~,
--z
__
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_. .~, ~ .. _. ~
1"i".t
DECREE OF THE REGISTER
Estate of
a/k/a:
AND NOW,
satisfactory proof
the instrume~rt~s) dated
described in the Petition
For,n Rw-n~ ,•w, tniu~znn
1.;:
File No: ~! ^ ~ I - I ~~3
( ~ I , in cons'deration of the foregoing Petition,
presented before me, IT IS DECREED that L tters
_ are hereby granted to Y-, ~ ~
` ~ in the above tate and (if applicable) that
n
to probate and filed of record as the last
(and Codicil( ~ of Decedent. ,
Page 2 of 2
HI05.805 REV 101/07) - - .. _ _
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARINING: It is illegal to duplicate this copy by photostat or photograph.
Fee for,this certificare_ .~F nn
This is to~certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Reco~~ Office for ermanent filing.
P 17864846 '~I ~ ~-_
Certification ]Number ~ /~ ~a l y ap/
Locals egistrar Date Issued
C7 ~^, s
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COMMONWEALTH OFPEHNSYLVANIA.DEPARTMENTOFHEALTH.VITALRECORD8 C.J ~'~ C
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A:UAN-01.#61WRIGHT. SS
~ ~.~~~~x~~e~ ~~
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~-
I, SARA~FI S. WRIGHT, Widow, of the Borough of Pine Grove, Count~/ of~ ~ -
L __
~~7 ..
Schuylkill and State of Pennsylvania, being of sound mind, memory and understanding, do
hereby make this any Last Will and Testament, hereby revoking all Wills by me at any time
heretofore made. I~~
FIR T
_~_
I direct tha~ all my legally enforceable debts and the expenses of my last illness and
,~ funeral shall be pad from my residuary estate as soon as may be convenient after my death, as a
part of the expens~s of the administration of my estate.
`~
i E ND
~\ If, and onl if, the net value of my distributable estate including non-probate assets is in
~\, excess of Two Hundred Thousand ($200,000.00) Dollars, I give and bequeath to each of m
y
~~ I
`J grandchildren who are living at the time of my death the sum of Ten Thousand ($10,000.00)
t
Dollars, which sum s shall be held by my executors in interest bearing accounts until the
beneficiary reaches the age of 35 years, at which time the entire balance in such account shall be
distributed to the b~neficiarv.
THIRD
All the rest, ~Iresidue and remainder of my estate, real, personal, or mixed of whatsoev r
e
kind and wheresoever the same may be situate at the time of my death, I give, devise and
~I
I 1
bequeath as follows:
O1~1E-HALF (%2) to my daughter, KATHRYN G. BENN:ETT, and
01~E-HALF (%Z) to my daughter, SUSAN S. BERGER,
their heirs and assigns forever
F RTH
I direct tha# all estate, inheritance and succession taxes on property passing under this my
Will shall be paid ~ut of the principal of my general estate to the same effect as if said taxes were
expenses of administration, and all legacies, devises and other gifts of principal and income made
by this my Will, or by any Codicil hereto, shall be free and clear thereof.
FIFTH
I nominate, constitute and appoint my daughters, KATHRYN G. BENNETT and SUSAN
S. BERGER, or tho survivor of them, as Executrices of this my Last Will and Testament. I
direct that my personal representative shall not be required to post bond or enter security in any
jurisdic;tion.
IN WITNE,~'S WHEREOF, I, SARAH S. WRIGHT, have hereunto set my hand and seal
to this my Last Will and Testament, which consists of two (2) pages, to each of which I have
affixed my signatur~, this ~}~day of anu , A. D., 2001.
COMMONWEA$,TH OF PENNSYLVANIA
COUNTY OF SdHUYLKTr.r.
We,
KRAFT, the testa
instrument, being
undersigned authc
as her Will, and tl
act for the purposc
of the testatrix, si€
was at the time ei~
influence; and I, tr
instrument as my I
voluntary act for tr
SWORN and SU,
to before me this
of January, 2001.
NOTARY PUBLIC
!i s wXl (iHT JAMES G ARAYAN E4 UIRF, and ROSEMARY O
ix and the witnesses respectively, whose names are signed to the foregoing
rst duly sworn and qualified according to law, do hereby declare to the
ity that we were present and saw the testatrix sign and execute the instrument
t she had signed willingly and that she executed it as her free and voluntary
therein expressed, and that each of the witnesses, in the presence and hearing
~d the Will as witnesses and that to the best of their knowledge the testatrix
teen years of age or older, of sound mind and under no constraint or undue
said testatrix, do hereby acknowledge that I signed and executed the
st Will, that I signed it willingly, and that I signed it as my free and
purposes therein expressed.
NObAR{AI SERI
tenet M. Geist, tary Public
hlnroylkiN leaven 8oro SChuypcill Co. PA
My Commission Expi Sept 2, 2002
it
II 4
- - -- - _ i
Signed, s~'aled, published and declared by the said SARAHS. WRIGHT, as and for her
Last Will and Testament, in the presence of us, who at her request, and in her resence and in
P ,
the presence of each other, all being present at the same time have subscribed our names as
witnesses thereof. ~'
3
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