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Home My WebLink About01-19-12PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF 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 the appropriate form: Decedent's Information Name• a ~, e a.5 t a/k/a: a/k/a: a/k/a: Date of Death: ~ 3 ~/ 1 Decedent was domiciled at death in e w vn.~,eY fQ ~- ~ County, principal residence at ~ 1 p e~i a , /~ ~.o sot /U~° w~ Street addreas,tEbst Office and ZIp~Code City, Towbahlp or Borough County Decedent died at °Z~~ ~i~ ~,plri:,.~• ~o~.~~lyt////~ ~~ /'Tc`;'~( ~urn~e~^~a~~ ~tns Street address, st ce an p Code Cit ,Township or Borough County State ' Estimate of value of decedent's property at death: IjdomicUed in Pennsylvania ............................ All personal property $ ?d0 d If not domiciled in Pennsylvania ........................Personal property in Pennsylvania $ Ijnot domiciled in Pennsylvania ........................ Personal property in County $ Value ojreal estate in Pennsylvania ......................................................... $_ _'7 d60 TOTAL ESTIMATED VALUE.... $ `xy p a o 7 Real estate in Pennsylvania situated at: (Attach additional sheen, tjneceuary.) Street address, Poat Office and Zip Code City, Township or Borongh County File No: ~?~ 7 (Assigned by Registe ) Social Security No: ~ b~ -- 20 _ 3~ ,j o Age at death• ~ /e- with his`/her last ~t~ A't-~be..r~G/c ~.A. Petition for Probate and Grant of Letters Testaments Petitioner(s) avers h shdthey is/aie the Executor(s) named in the last Will of the Decedent, dated ~~~_ and Codicil(s) thereto dated State relevant circumstances (eg. renunciation, death ojextcator, etc.) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not many, 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 bom or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ~NO EXCEPTIONS ^ EXCEPTIONS u~c~ 1 ~ ^ B. Petition for Grant of Letters of Administration (If applicable) c.t.a., d.b.n., d.b.n.c.t.a., pendente life, durance absentia, durante minorltate If Administration, c.t.a. or d.b.n.c.~a., enter date of Will in Section A above and comalete list of heirs. Except as follows: Decedent was not a patty 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 spouse (ifany) and)lejl (attach additional sheets, if necessary): C"2 •=~' ~ ;a? _~... t - _ .,, Name Relationshi Address ~-C ~ ~'~» . i~ ~ - ~ C ^'~ ~ ~ ~ ~ ~:.~ ~ , -r~ ~ „ Form RW-02 rev. 10/ll/1011 J ;~: ~ :... f3 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COliNTY OF To the Register of Wills: Please enter my appearance by my signature below: Official Use Only:;'.:,; .~~~~ ~: _ -~ ~;, ~.r:`y .. ,^^v .--„ Petitioner(s) Printed Name Petitioner(s) Printed Address :"`='-~. -T-~ = m The Petitioner(s) Sbove-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 Deceden the Petitio s) will well and truly administer the estate according to law. Sworn to affirmed subscribed b ore ~. _ Date 1 me - _ dad o /'I ~l ,1 Date ~y: ~ Date he ~Pgistec ~ .. Date BONIT-Regtrircd:~YES ~NO FEES: Letters ...................... S ~ t~ ( ~) Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . O~ ...... Automation Fee ............... v !CS Fee ..................... ~ TOTAL ..................... $ Estate a/k/a: ttiy ~ Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Fax: Email: DECREE OF THE REGISTER } } SS: } File No: ~ ~ ~ ~ ~ ~ a 7 r~ / l AND NOW, ~Ql~l ~ ~" , _~~, in considera ion of the foregoing Petition, satisfactory proof having been presente before me, IT IS DECREED at ers are hereby granted to _ i ~ ~~ _ ,, in the ove estate and~i~appIicable) tla~ the instrument(s) dated _, described in the Petition be and filed of Register Form RW-Q2 rev. !0/ll/10/l last Will (mod Codicils '/f'j. t: ~~L~ Page 2 of 2 ~` ~~ . ., ~. ~ ' rn --- LAST WILL AND TESTAMENT ~_~ ~ '~ ~C*~ I, DOROTHY E. ARBEGAST, of West Pennsboro Township, Cum~land Uerunty, :: t T"', Pennsylvania, declare this to be my last will and testament end revok,a any~r ~. will or codicil previously made by me. ITEM I: I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM II: I devise and bequeath all. of my estate of every nature and. wherever situate in equal shares to such of my children Carol Jo Ziegler, of Rockville, Maryland, and Jan R. Arbegast, of Anchorage, Alaska, as survive me by thirty days. ITEM III: .Should my son, Jan R. Arbegast, or my daughter, Carol Jo Ziegler, predecease me or die on or before the thirtieth day following my death, I devise and bequeath the share of such child to his or her issue per stirpes.living on the thirty-first day following my death; and should either my said son, Jan R. Arbegast, or my daughter, Carol Jo Ziegler, leave no such issue living on the thirty-first day following my death, I devise and bequeath. the share of such child to my other child or to his or her issue per stirpes living on the thirty-first day following my death. ITEM IV: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of .the expenses of the administration of my estate. ITEM V: I appoint my son, Jan R. Arbegast, and my daughter, Carol Jo Ziegler, executors of this my last will. TTEM ~1Iz::.i direct..that my executors or their successors shall not be required to give bond for the faithful performance of their duties in ~( any jurisdiction. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my last MCCREA 6 MCCREA ATroRMEY!< Ar uw NEwVI«E i SNIPPENf90R6 PENNA: will and testament, written on two (2) sheets of paper, dated this _~day of June, 1977. ~ /~i '~~~ ~ c~C1~~, ~ ~.. C~~7iG~. (SEAL) DOROTHY E ARBEGAST . _ . ~. r' The preceding instrument, consisting of this and two other typewritten pages, each identified by the signature of the testatrix, DOROTHY E. ARBEGAST, was on the day and date thereof signed, published and declared by DOROTHY E. ARBEGAST, the testatrix therein named, as and for her .last will, in the presence of us, who, at her request, in her presence, and in the presence of each other have subscribed our names as witnesses hereto. residing at >°~/r/~ t ~ ' 1- L~ esiding at ~~~~,~7~-~-- COMMONWEALTH OF PENNSYLVANIA: ss COUNTY OF CUMBERLAND I, DOROTHY E. ARBEGAST, the testatrix whose name is signed to the attached instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; .and that I signed it as my free and voluntary act for the purposes therein expressed. ~`",•~ •~~~lC (SEAL ) Shorn or affirmed to and acknowledged before me by DOROTHY E. ARBEGAST, the testatrix, this day of June, 1977. NOTARY P ~ LIC DONNA L. WAOEL, NOTARY PUBLIC S9UtHAMPTON TWP., FRANKLIN COUNTY M~M COMMISSION EXPIRES MAY 29, 1978 Member,PannsyNaniaAsa~lationof Notefiet COMMONWEALTH OF PENNSYLVANIA: ss COUNTY OF C RLAND /Q We " and ~ ~ l" ~~ the wit a ses w o names re signed to the attached instrument, b ing duly qualified according to law, do depose and say that we were present and saw'the testatrix sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed.; that each of us in the hearing and sight of the .testatrix signed the Will as witnesses;-and that to the best of our knowledge the testatrix was at that time eighteen (18) or more years of age and of sound nd and u er n n traint ar undue influence. " '_.~, Swokn or affi ed to and subscribed before me by ~} y.vini~'~ +~ C, ILvi 5 _ and. Dk.~ Wv~C~,- ~ , witnesses, this f _ _ _ day of June, 1977. NOTARY PUBLIC MCCREA i McCREA DONNA L.WADEL, NOTARY PUBLIC ArroaMErs Ar LAw SOUTHAMPTON TWP., FRANKLIN COUNTY NtwvlLlE i SxiPrEN~euae MY COMMISSION EXPIRES MAY 29, 1978 PENNA. Member, Pennsyh-aniaAssoctationof Noterles