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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, 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 t:he appropriate form:
Decedent's InformaHo» II /~,~l
Name: Israel G. Wertz File No: ~, ~- I ~ ^ W C~
a/lc%a: Israel George Weitz (Assigned by Register) ( J
a/k/a: _
a/k/a: _ Social Security No: 191-24-0329
Date of Death: December 1.2011 Age at death: t37
Decedent was domiciled at death in Cumberland County, pennsylvania (Stare) with his/her last
principal residence at 17 W Highland Avenue Lemovne PA 17025 East Pennsboro Twn Cumberland
Street,address, Post Office and Zip Code City, Township or Borough County
Decedent died at 17 W. Highland Avenue Lemovne PA 17025
Street address, Post Office and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania ............................ All personal property $ 5,000.00
If not domiciled in Pennsylvania ........................Personal property in Pennsylvania $
If not domiciled in Pennsylvania ........................ Personal property in County $
Value of real estate in Pennsylvania ......................................................... $_ 80,000 00
TOTAL ESTIMATED VALUE.... $_ 95,000.00
Real estate in Pennsylvania situated at: 17 W. Highland Avenue Enola East Pennsboro Township Cumberland
(Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough County
A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) he/she/Chey is/are the Executor(s) named in the last Will of the Decedent, dated and Codicil(s)
thereto darted wife. Julia Ann Wien Wertz died June 7 2010 Renumciation executed by Co-Executor Malcolm Douglas Wertz
State relevant circumstances (eg. renunciation, death of executor, 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(8), 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 Hte, durante absentia, durante minoritate
If Administration, c.t.a. or db.n.c.t.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 was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS ~ EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spous'~i~y)
additional sheets, if necessary): ~ :ln
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Name
Relationshi l
Address ~=~`
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Form RW-O2 rev. /0/l //10// Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Official 1J~se Qtly
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Petitioner(s) Print d Name Petitioner(s) Printed ss„ ,-.,
Holl Ann Sebastian 123 Westmoreland Avenue Enola PA 1702 (;~'~ ~~ v ~'
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 Persdnal Representative(s) of the Decedent, the Petitioner(s) will well and truly administer the estate according to law.
Sworn to ox,.f~ffirmed an shtbscribed before Date ~ - f 7 ~a 01 2
me this f7! day of ~~ /~- Date
BY~ Date
For the Register Date
BOND Required: ®YES' ®NO
FEES:
Letters ...................... $ (~ -,.
( ~) Short Certificate(s).'..... .
( ~ )Renunciation(s)......... '~
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission . ............... .
Other ~/~t ~~ .......
Automation Fee .............. .
JCS Fee .....................
TOTAL ..................... 0.00
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
~~ / f ,.,
Printed Nam ohnna J K Becky Esquire
Supreme Court
ID Number: 53147
Firm Name: The Shagin Law Group LLC
Address: 120 Co rth 4 r .
Harrishurg, PA 17101
717-221-1111
717-221-1110
~ Pn Yf~chaginlaw rnm
a~~. s
DECREE OF THE REGISTER
Estate of
a/k/a: ~~
AND NOW, ~~
satisfactory proof having
the instrttment(s) dated J
described in the Petition be
Form RW-02 rer. 10/11/10!!
Form RW-06 rev. /0.13.06
File No: ~l ~ ~ I ~ -~
iedObefore me, IT
hereby granted to
probate and filed
~ a-- , in consider tion of the foregoing Petition,
SEED that Letters ~P ~~ ~n~v, . ~ ~-r~..~-r~l
~.vxt~ n ti ~ ~--~
in the above estate and (if applicable) that
,,.b.._ ...... ...... ....... ...........~ ...,..........,.... y,,.,...,,,,, ...
administer oaths. Show date of'expiration of Notary's Commission.)
COMMONWEAL#„ ~'~ PENN Y VANIA
NOTARIAL SEAL
CHERYL R. GARMAN, Notary Public
My Comm sgionE pti es~May 20, 2012
Z
LOCAL. REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 ', This is to certify that the information here given is
P 179'.7189 ~~~
Certification Number ~'
correctly copied from an original Certificate of Death
duly f:)led with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
~~.1'? !~ 9~c o ,~ 20~~
Local Registrar _ Date Issued
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~ ~' ++~ ' COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
E I PRINT AI
u ' CERTIFICATE OF DEATH
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STATE FlLE NUMBER
1. Nona d OerdwR (FYY, nadde, reL euMa) 2 Sr 3. Socbl SadallY NunMr 4. Dee d DeaM IMamh, d•Y, Yrr)
Israel G
Wertz
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Dbpritlr Parma No. C)I.~IUJto
LAST WILL AND TESTAMENT
OF
ISRAEL GEORGE WERTZ
I, Israel G orge Wertz, of Enola, Cumberland County, Pennsylvania, being of sound and
disposing mind an memory, do make, publish and declare this to be my Last Will and
Testament, hereby evoking all Wills and Codicils by me at any time previously made.
FIRST
I direct the ayment of my just debts and expenses of my last illness and funeral from my
estate as soon after~my death as conveniently maybe done.
SECOND
I give, devi a and bequeath all of the rest, residue and remainder of my estate to by wife,
Julia Ann Wien V~ertz, provided she survives me by thirty (30) days.
THIRD
In the event she fails to survive me, I hereby give, devise and bequeath the rest and
residue of my estat~ as follows:
a. All of th contents of the residence at 17 W. Highland Avenue shall be divided in
equal shares amon~my children, Holly Ann Sebastian and Malcolm Douglas Wertz, or their
survivor;
b. My residence at 17 W. Highland Avenue to Holly Ann Sebastian, per stirpes;
c. All oft:
event his share of
above, then Holly
equalize their shay
brother, or longer
rest, residue and remainder to Malcolm Douglas Wertz, per stirpes. In the
ie estate is not sufficient to represent the value of the residence as listed
inn Sebastian shall pay to Malcolm Douglas Wertz the amount necessary to
s of the estate. She may use up to two years in order to secure payment to her
'the parties both agree.
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FOURTH
All shares f principal and income hereby given shall be free from anticipation,
assignment, pledg or obligation of the beneficiaries and any of them, and shall not be subject to
any execution, atta hment, levy or sequestration or other claims of the creditors of said
beneficiaries or an of them.
FIFTH
Any perso 'who shall have died at the same time as I or under such circumstances that it
is difficult or impossible to determine who shall have died first, shall be deemed to have
predeceased me. ',
SIXTH
All death t es (and interest and penalties thereon) imposed as a result of my death upon
the property passin under my Will, and upon assets held in any qualified or non-qualified
deferred compensa ion plan or IRA, and proceeds of insurance on my life, but not otherwise,
shall be paid out o my residuary estate, each share thereof, to bear a pro rata portion of such
taxes.
I authorize any Executor, in my Executor's sole discretion, to make an election, in whole
or in part, to cause a Pennsylvania Inheritance Tax to be payable by my estate on property
passing to or for th benefit of my spouse or to defer the Pennsylvania Inheritance Tax on such
property. My Exe utor shall be without liability to anyone for making or failing to make such
electian.
SEVENTH
My Execut r shall have the following powers in addition to those conferred bylaw until
all property is distributed:
(a) To retain any real or personal property in the form in which it is received.
(b) To ell at public or private sales for cash and/or credit, to exchange, and to lease
for any period of tide, any real or personal property and to give options for such sales,
exchanges, or lease.
(c) To ~urchase all forms of property, including but not limited to stocks, bonds,
notes and other se unities, common trust funds, life insurance policies and real estate, or any
variety of real or p sonal property, without being confined to so-called legal investments and
without regard for he principle of diversification.
(d) To~urchase securities at a premium or discount and to charge such premium or
credit such discou t to principal or income.
(e) To xercise any option arising from the ownership of any investment; to join in
any recapitalization, merger, reorganization, liquidation, dissolution, consolidation or votin trust
g
plan affecting any nvestment; to delegate powers with respect thereto; to deposit securities under
agreements and pa assessments; to subscribe for stock and bond privileges; and generally to
exercise all rights f security holders.
(f) To bold property unregistered or in the name of a nominee.
(g) To ~ortgage, divide, alter, repair and improve real property and generally to
exercise all rights f real estate ownership.
(h) To istribute in cash, in kind, or partly in each, and to cause any share to be
composed of cash, roperty, or undivided fractional shares in property different in kind from any
other share.
(i) To ompromise claims by or against my estate including but not limited to tax
issues and disputes without order of court or consent of any party in interest and without regard
for the effect of su h compromise on any interest hereunder.
(j) To borrow money and to pledge any real or personal property as security for the
repayment thereof. i
(k) To pply income for the benefit of any incapacitated individual to whom income
may or. must be dis 'buted for any reason during the period of incapacity. Income not so applied
maybe distributed o a custodian or accumulated, invested and if not sooner applied, paid to such
individual upon gai ing capacity.
(1) To j in with my spouse or my said spouse's personal representative in filing any
joint income tax re ,and to join in any gifts made by my said spouse for gift tax purposes
even if this may re It in additional liabilities for my estate. Any income or gift taxes due on
such returns and an deficiencies, interest, penalties or refunds thereon shall be allocated
between my estate d my said spouse or my said spouse's estate, or all to any of them, in such
manner as my Exe utor and my said spouse or my said spouse's personal representative may
agree.
(m) To a'~ply expenses of my estate permitted as income tax or real estate tax
III
~,
deductions and to value my estate for estate tax purposes by any method permitted
(n) To employ accountants, agents, attorneys, investment counsel, brokers, bank or
trust company to pejrrform services for and at the expense of my estate and to carry or register
investments in the ame of the nominee of such agent, broker, bank or trust company. The
expenses and charg s for such services shall be charged against principal or income. My
Executor is express y relieved of any liability or responsibility whatsoever for any act or failure
to act by, or for foil wing the advice of, such accountants, agents, attorneys, investment counsel,
brokers, bank or tru t company, so long as my Executor exercises due care in their selection. The
fact that an Execut r may be a member, shareholder or employee of any accounting, investment,
legal or. brokerage f$rm, agent or bank or trust company so employed shall not be deemed a
conflict of interest. Any compensation paid pursuant to this subparagraph shall not affect in any
manner the amount of or the right of my Executor to receive commissions as a fiduciary.
(o) To i vest any part of my residuary estate in, or lend money to, any closely-held
business in which I ay have an interest at my death for any purposes incident thereto, including
but not limited toe pansion and entry into new fields of business provided that only assets
actually invested in uch business shall be liable for the debts incurred in its operation.
(p) To d~sclaim any interest in property without court approva
EIGHTH
(a) I apps int Julia Ann Wien Wertz as Executrix. In the event that she is unable or
unwilling to act, the~i Holly Ann Sebastian and Malcolm Douglas Wertz shall be Co-executors of
this, my Last Will a~4d Testament. If either fails to qualify or ceases to act for any reason, the
surviving named C -executor shall act alone.
(b) My l~xecutor(s) shall not be required to post security in any jurisdiction.
IN WITNE~S WHEREOF, I have set my hand and seal to this, my Last Will and
Testament, this ~~ day of n~-~-~ , 2008
,~1.G
(SEAL)
Israel George Wertz
Signed, seal d, published and declared by the above-named Testator, as and for his Last
Will and Testament in the presence of us, who have hereunto subscribed our names at his request
I
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as witnesses theretp, in the presence of said Testator and of each other.
WITNESSED BY:
1
~' .
~~
I, Israel George W~rtz, testator whose name is signed to the attached or foregoing instrument,
having been duly qualified according to law, do hereby acknowledge that I signed and executed
the instrument as y Last Will and Testament; and that I signed it willingly and as my free and
voluntary act fort e purposes therein expressed.
Israel George Wertz
COMMONWEAL'~H OF PENNSYLVANIA
COUNTY OF T~~ P~-} 1 !J :
On this 13 day of ~h--uo~n.~, ,2008, before me, the undersigned officer,
personally appeared Israel George Wertz, known to me (or satisfactorily proven) to be the person
whose name is subscribed to the foregoing Last Will and Testament, who acknowledged that he
executed the same) as his Last Will and Testament. 1
nn ~,f ~ ~? ~~N~~J
~ Notary P blic vj
t MM1
CMK OAM~1 OOM~II
and ~~r.,,., (. , C~ I o.l~'^~ ,the
witnesses whose n es are signed to the attached or foregoing instrument, being duly qualified
according to law, d depose and say that we were present and saw the testator sign and execute
the instrument as h s Last Will and Testament; that the testator signed willingly and executed it
as his free and vol ntary act for the purposes therein expressed; that each subscribing witness in
the hearing and si t of the testator signed the will as a witness; and that to the best of our
knowledge the test for was at that time 18 or more years of age, of sound. mind and under no
constraint or undu .influence.
___ _ 7
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c~ (SEAL) Residing at: 1.2U _
(SEAL) Residing at: 1~C7~oi,l~'h c~~fp((~~
~4X ri Sb~,ar~,~~`i7 ~b
Subscribed and sworn to before me by both witnesses,
this I~ day of ..- ~e.~,n~a.~ ,~, , 2008.
Notwir~ apt
~~ t ^-
~~
s an, ooiMnr
M- Men ~n !7, lOiO
Notary Public