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PETITI,,OppN FOR GRANT OF LETTERS
REGISTER OF WILLS OF (GfD1 /' ~ COUNTY, PENNSYLVANIA
named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in
Petitioner(s)
support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form:
Decedent's Information
Name:
a/k/a:
a/k/a:
a1k/a:
Date of Death: ~t°G• -%~ ~ X01 ~
t ,
Decedent was domiciled at death in '
principal residence at
Street address, Post Office and
Decedent died at /~l lN~
Street address, Post
File No: t ~l ~ ~ / Oy~ `+'
(Ass-gned by Register)
Social Security No: ?G9 ° ~- /623
Age at death: 8~'/
or
or
Couuty
State
Estimate of value of decedent's property at death: All personal property $ ~~~+ ~ I/
If domiciled in Pennsylvania ............ .
If not domiciled in Pennsylvania ........................Personal property in Pennsylvania $
If not domiciled in Pennsylvania ........................Personal property in County $
" " ~~~~ 0.00
Value of real estate in Pennsylvania ............... • • • • • ' ' ' ' ~ ~ TOTAL ESTIMATED VALUE.... $
Real estate in Pennsylvania situated at: C; Townslti or Borou 6 County
P B
(Attach additional sheets, if necessary.) Street address, Post Office and Zip Code ty+
®, A. Petition for Probate and Grant of Letters Testamenta~r
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named m the last Will of the Decedent, dated
thereto dated
and Codicil(s)
State relevant circumstances (eg. renunciation, death of executor, etc.) `.j ~,~
was not divorcd~,~s not a panty to a ptYCdin_g
Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, ~' have"~ child bbrn qE
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), an~~
.`[
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ~
r^'1
Q NO EXCEPTIONS Q EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (c ~ aPP~ b nled.b.n.c.t.a., pendente lite, durante~ sentia, du>~i
' t t'on ~t a or db.n.c.t:a, enter date of Will in Section A above and complete list of heii~:fi:
:""~
If Adm-ms ra i
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.
Page 1 of 2
(ware) with his/her last
., ~
Form RW-02 rev. /0/1l/2011
Q NO EXCEPTIONS Q EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no W ill and was survived by the following spouse (if any) and heirs (attach
_~~:._,.«,.1 ..heats ifnorec.carv):
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
j } SS: ~~ ~~ - ~~,~
COUNTY OF ~ ` }
Printed Name
Official Use Only
Printed Address
_,~>
~ ~:,:.
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the best the
of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner(s) will well and truly administer the estatE
~~~ ~_ ~' Date
Sworn to or affirmed subscri d ef~or~e~ Date
m ~s y of -=-+•=f ~ Date
Date
the
BOND Required;. ~ YES ~ NO
FEES:
Letters ...................... $
( )Short Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ••••••••
Automation Fee .............. .
JCS Fee . ....................
TOTAL ..................... $ 0.00
To the Register of Rills:
Please enter my appearance by my signature
Attorney Signature:
Printed Name:
Supreme Court
ID Number:
Firm Name:
Address:
Phone:
Fax:
Email:
DECREE OF THE REGISTER
V
,,c
~~„
cnowtetge and belief
acco>~tg to law. ~.,~_.
Estate of ~/7~S ~ / t ~ ~~"N~ File No: ~ ~-
a/k/a:
AND NOW, , in consideration of the foregoing Petition,
satisfactory proof having been presented before me I~ IS DECREED that Letters ~ Q
are hereby granted to QX1
in the above estate andl, (if app icable) that
the ,nctrument(s) dated l v ( ~ ~
described in the Petition be admitted to probate and filed of~ ecord as the last Wtll (and Codtctl ~)/ of ~,Dec~ dent. n
Register of Wi11sL„/jpr ~
Jam'' Page 2 of 2
Form RW-02 rev. 10/I1/2011
THE LAW OFFICE
of:
JAMES M. BACH
Attorney-At-Law
352 S. Sporting Hill Road
Mechanicsburg, PA 17050
737-2033
LAST WILL AND TESTAMENT
FOR
R OSIE M. BARIVER
Last Will And Testament Of
ROSIE M. BAR1yER
I, ROSIE M. BARNER, of the TOWNSHIP OF EAST PENNSBORO~
COUNTY OF CUMBERLANDa COMMONWEALTH of PENNSYLVANIA.
being in good bodily health and of sound and disposing mind and memory, and not
acting under duress, menace, fraud, or undue influence of any person whomsoever,
merely calling to mind the frailty of human life, and being desirous of disposing my
worldly goods while I have the strength and capacity so to do, I do make, publish and
declare this my LAST WILL AND TESTAMENT. I hereby revoke, cancel and annul
all my former Wills and Testaments, including codicils thereto, by me at any time made,
and declare this alone to be my LAST WILL AND TESTAMENT.
AS TO SUCH ESTATE IT HAS PLEASED GOD TO ENTRUST ME WITH IN
THIS LIFETIME, I DISPOSE OF THE SAME AS FOLLOWS, VIZ:
ITEM 1. I direct that my Executrix hereinafter named, pay and discharge all of my
just debts, funeral and testamentary expenses.
ITEM 2. I order and direct that I be buried in a lot , which I own situate at the
Barners Lutheran Church Cemetery, Liverpool, Pennsylvania.
ITEM 3. All the rest, residue and remainder of my entire estate, wheresoever
situate, and whatsoever it may consist of, I give, devise and bequeath,
absolutely, and in fee, to my dearly beloved nephew, HERMAN W.
BARNER., JR., per stirpes. In the event HERMAN W. BARNER.,
JR., predeceases me, then I give, devise and bequeath my entire estate,
wheresoever it is situate, and whatsoever it may consist of, to my niece,
ROXANNE B. LAKE, per stirpes
ITEM 4. I nominate and appoint my dearly beloved nephew, HERMAN W.
~7) I~~ ~,6jAJV~e~
~~
ROSIE M. BARNER
6/19/2007
1
BARNER, JR. as Executor of this my Last Will. Should the Executrix
named herein fail to qualify or cease to act as Executor, then I appoint
RONALD E. BARNER, as Executrix.
ITEM 5. I order and direct that my Personal Reperesentative(s) named herein use
the legal services of JAMES M. BACH, as Attorney for my Estate.
ITEM 6. I direct that my personal representatives, as well as their successors shall
not be required to give bond for the faithful performance of their duties
in any jurisdiction.
ITEM 7. I direct that all estate, succession, legacy, inheritance or other transfer
taxes, however designated that shall become payable by reason of my
death in respect of all property comprising my gross estate for tax
purposes, whether or not such property passes under this LAST WILL,
shall be paid by my Executrix out of my residuary estate.
ITEM 8. I grant to my personal representatives herein named, in addition to, but
not in limitation of those powers vested by law, to be exercised without
prior application to or approval of any court, the power and authority to
retain indefinitely any property, to invest and reinvest any assets or the
proceeds derived from the sale of assets, although said investments may
not be of the character prescribed by law, to sell, convey, assign, transfer
and encumber any property, to pay, settle or compromise all claims, to
make distribution or divisions in cash or in kind, and in general to exercise
all powers in the management of any property hereunder which any
individual could exercise I the management of similar property owned in
her own right, and to execute and deliver any and all instruments and to
do all acts, which maybe deemed necessary and proper.
G~ti~ytt.ll./
RO IE M. BARNER
6/19/2007
--------------------------------------------------END ----------------------------------------------------
2
i
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF CUMBERLAND
ss
I, ROSIE M BARKER, the TESTATRIX, 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 my LAST WILL; that I signed it willingly; and that I
signed it as my free and voluntary act for the purpose therein expressed.
Sworn to or affirmed and acknowledged before me, by: the TESTATRIX this 19th day of une
2, 007.
ROSIE M. BARKER
ES M. BACH, ESQUIRE
OTARY PUBLIC
Mechanicsburg, PA 17050
My Commission Expires: 05/13/11
The preceding instrument consisting of this and three (3) other typewritten pages,
identified by the signature of the TESTATRIX, was on the date thereof signed, published and
declared by ROSIE M BARKER, the TESTATRIX therein named as and fox her T..AST
WILL AND TESTAMENT.
Residing at 352 S STrang Hill Road
Mechanicsburg, PA 17050
Residing at ~ 2 S. S~or~' ig Hill Road
Mechanicsbure. PA 17050
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF CUMBERLAND
ss
We, Christina L. Jensen and, Thomas W. Fleckenstein the witnesses whose names
are signed to the attached or foregoing instrument, being duly qualified according to law, do
depose and say that we were present and saw the TESTATRIX sign and execute the instrument
as hex LAST WILL; that the TESTATRIX signed it willingly and .that he executed it as her free
and voluntary act for the purpose therein expressed; that each witness 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 the time, 18 or more years of age, of sound mind and under no constraint
ox undue influence.
Sworn to or affirmed and acknowledged before me, by: Christina L. Jensen and Thomas W.
Fleckenstein, witnesses, this 19th day of June, 2007
NOTARIAL SEAL
JAMES M. BACH, Notary Public
fiampden Twp., Cumberland County
Commiabn E rrs Ma ~ 3, 201 ~
M. BACH; ESQUIRE
tY PUBLIC
ucsburg, PA 17050
emission Expires: 05/13/11
__ __
_ __
__ __._
, JAMES M. BACH
ATTORNEY AT LAW
352 S. SPORTING HILL RD.
MECHANICSBURG, PA 17050
G-~~`G~
-~- J
Flo ~ ~ Ner -~ 1, Del
~~~a ~~1~~ -- ~~ao, ~ ~~ ~
~~
'" *~.t~ RiAI SEAL
JAMES M. BACH, Notary Publio
Mam~den Tv~p~, Cumberland County
M Commission Ex InMa M 1~, X011
.t, ~ ~_
~- ~~
c-~9-~~
^~w
NO"rAR1AL REAL
JAMES ~!. gACH, Notary Publio
Hampden! 1Vup., Cumberland Cou
M Commission Ex Tres 1~ QO 1