HomeMy WebLinkAbout02-07-12PETIT ON FOR GRANT OF LETTERS
REGISTER OF WILLS OF COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/are 18 years of aje 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• f--
a!kla: ~}
a/kla:
a(IJa:
Date olDeath: ~n f ~---
Decedent was domiciled at death in I
principal residence at [~ n,~1~~ru ~~ r v..,, f Q~t'nn
and Zip
Decedent died at / 'r`*~Y l.SL3u~f -t-~3 fiD, ~•~• ~.,'.r .,, r ~~ 1
Street address, Poet Office a Zip Code Clty, Township or rough
Estimate of value of decedent's property at death:
Ijdomicrled in Pennay/vania ..................... ....... All personal property
Ijnot damkiled i» Prn»sylvania ................. ....... Personal property in Pennsylvania
ljnot domkited in Pennsylvanra ................. ....... Persoual property in Coutay
Vattte ojrea/estatein Penxsylvaxia ............... ..........................................
TOTAL ESTIMATED VALUE... ,
File No • ~~ ~'~ ~ 0~ `~
(Assigned by Register)
Social Security No: 1'1- . 3~ ~~D~ ~ •
Age at death: `7_'C
~~~"' (Score with his/her last ~~' ~
City, Townrhlp or Borough
County
State
s~~*4~
S
r+ ! _
Real estate in Pennsylvania situated at:
(Arrxh additional sheen, ijnecessary.) Street address, Post Office and Zip Code Clty, Township or Boroua~ ffi ~'
T7 ~
Q~A. Petition for Probate and Grant of Letters Testamentary ~ ~'~
Petitioner(s) aver(s) helshe(they islaze the Executor(s) named in the last Will of the Decedent, dated - e1-- a
thereto dated ~
State relevant circumstances (eg. renuncintion, death of executor, ere.)
~ C~~.
t7p `..,
--, ...
V Coua~},~,t
3 -* ~ ~,.,
tuLCodic
dY-• -~
Exeeptasfollows: after theexeeutionoftheinsttvment(s)offeredforprobateDecedetttdidnotmatry,wasnotdivorced,wasnotapartytoapending
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.incapacitatedpersan.
NO EXCEPTIONS [EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (if applicable)
c.t.a., d.b.n., db.n.c.ta., pendentelite, durunteubsentia, duranteminoritate
If Administration, c.t.a. or db.n.c.ta., 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), afters proper search haslhave ascertained that Decedent left no Will and was survivedbythe following spouse(ifany) andheirs (attach
additions! sheets, ijnecessary):
Relation
Form RW-n1 ,-w, lnntimrt Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
~t~)tJ~.~ ~J~F~
,.,.
T~.
'~ ,~' :~.~;t~S
~ti .~ .. otr,~~ai v
x.012 F 8 -~ Pt1 ~' S2
The Petitioner(s) above named swear(s) or affum(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 Decedent, the Petitioner(s) `~ well and truly administer the estate acco~rd~in_g toy law.
Sworn tt~gr,~#'fitmed d subscribed before ~~ {~ [ r a~'`~~ Date ~ 7
me his • r" , ) , ~ ~- ~ Date
By: Date
. or he ea Date
BOND Required: ]YES ~10 To the Register ojWi(ts:
FEES: J ~ Please enter my appearance 6y my signature below:
Letters ...................... S ! ~ .Attorney Signature:
(~ ~ )Short Certificate(s)......
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................ Printed Name:
Commission . .............. . . Supreme Court
Other ~d~ ........ ~ ID Number:
.... , . Firm Name:
........ Address:
....,. Phone:
Automation Fee ............... ~ Fax:
JCS Fee ..................... Email:
TOTAL ..................... S ,
DECREE OF THE REGISTER
Estate of
alk/a:
File No: O~/ ` ~°~ Gj ~ /
AND NOW, ~~~ , °~ ~ ~ , in consideratyon of the foregoing Petition,
satisfactory proof having been p e ented before me, IT IS ECREED that ttQ~~ ~ ~~~rR~G~ZLt..I
are hereby granted to ~ilYl ~, ~R,'r~-t~~l
n in the above estate and (if applicable) that
the instrument(s) dated - o~•
described in the Petition be admitted o probate and
record as the last
of Wills
(and Codicil(s)) of
Form RW-02 rev. rrunnnri Page Z of
H1U5.805 REV (9!1 U /~ _ /~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH 1
WARNING: It is illegal to duplicate thls copy by photostat or photograph.
Fee far this certificate, $6.00
P 18242211
Certification Number
TYPe/MM In
-\Iln•MM
This is to certify that the information here given
correctly copied from an original Certificate of Dear
duly filed with me as Local Registrar. The origin:
certificate will be forwarded to the State Vita
Records Office for permanent filing.
~~'1.GV`~DYL ~ FEB 0 '5 201
Local Registr m ~ 'sued
~ ~r-:~.r
~~~ ~~_ ~:
~I •J+~
COMMONW(ALTN O/ /fNNtYf,V-.NIA r D\-I.h'IM/NY D/ NYITM ^ VRI.L RfCORDi
t)Oan PmP Stuw Calvert F
\• Y 7 b p •177-30-8036 •
.75
eun ,
(nuw !M r O
•Sept ember 15. 193 n.. fllN1 (coY
. IMP el' r• Mry MN • r- Y • Ne.
162 {. o.gan Road ~Y.w ap.r.M lnXiR In Carroll twq.
o r k f.. 11e•1MM• e•r.l o Ne, Me.dP11t lw.a ydP11n nlnlb e1 NaY/se.P.
n R ^~ M • .n• M.nP b m• ep
YN NY O UnIN1eMII Q DNM•r Q NMr MrITI•tl ~ URhMMII .
-
-~' Nom•r S'C U111
-
,us
Nar Shol1• Der •r
,e .
•M s<. Kim• Patterson KO Pt0 n s r ,
Da bt r '1 Lo sn oa D i sburP PA 770'1
e.1 P 1iwPliii"""«""'tT•iieiyle~'R«(tier ••«•••••••••'CS'Siu~a~ni~i'7+m7:i~••••••••••
air s ur os to n •. parr s ur PA 17111 ~au in
Q 11•RIOV•1 RON114f• Q DpMtlPn A • Pn M eT• wIRPtIrY• Mm•bry, Or
Fab_ 6 201 67ue R1d • M•w(ori a7 Bard•ns
an w n, v
Xarrlsbur PA 17109 Y
n or n rp I1bM1Pm Ir•11•• m Pr
-012975-1
1 a N•T• Pnr t-eM Ptr NdrPN •unPw by A
•
j • -
hlfhPR Npp M IW1 K •MPeI pTNet•d P<MP a1m• K d••eh.
een Rr•d• •f IP••
Ne DIPbIn•, {N -1•jgf Md•
NI/n Nnwl R/•dYeN Pf Ol{D p/npl•tPr
wINN mPdli OVt M tlp(.•
PMNMb rpb. (•.f. 44. wi)
MNNY• r rYrN (P.f• f14 M, M)
efrp (•.{. Md^ Mf. MRnR. MRr. Mf W. M\w)
MM[• (P.4 /h0. RrD) Pr Prs1••rbnN r•Rr•r naN b n ePtP w n
bw tRN bws rPrtllbe• wIMMPr the YPPPr•M Y1• de•WI1t WM(MIPd hImNN M MNPN N b•.
b s•enYN1/NNe•n1•/tagrro. CIM•b aM ^Ne^ Ydtllte
N D•pr•IN 4 nfh fP•HIPh,/Nly.nlf/VfIM. {le4[ w AINNn Mn•rWn VINnPIn•N
N0. rbt RP•nIMI/NNMnIC/LRInP AII1Pr{wn IMMn W JYNk• N\HYP OM•r N•1•n
YY, M•R••n. MPNNn AIRPrI•Pry g11wM Nl•n InGIM
Yet. -Yeet• tu•Pn O NP[hM N•1•NMn
Olln•P• Q OY•T•nNn NGh\TPeN
YN, QINn O /IlvPlns p 1Pmpn
~ YP•, PMrr 1gp41yN1•q\n1yNgM Q ,1•pPn••e O OsR•r ••eNM INpd.r
(f/•Nry) CI other (fPP•Ny)
• r en- b
1•••^•••
flwt a A(yl.rn IYn•rwn Ibtlt~ r••
MNrINn InrNn Pr IUN14 NNM VI
1~ Nlp InrlPn OtMr 4M•n I1t ~• 1P•
b ». .. • IY• n. n
p^~n dPM dYRM Inwt M woA1M INP• DO NOY VN RITR{D.
P~T ~ ~~ s~ry ~ R w g i s t a r• d e N u r x a
Rrhlyrr ~
~
n r w nNI n w ry
O GIneN NPpYP NP^Y•IIPn
O[R•r (fp•GIIY)
lOJ q{uPln• aw.M^M^ •r cR•In.r.e N a a 7 t h c a r e- N u r s 7 n g
n. P{yDN ~0 ~ • r m r• •rwn ry n en PPP N . e. wn • Ym
• r m•
f.WN MNIW rPr CermrMr Gant-abrt YN NP
CAUSE[ or oEAI'N AMIPYIT\i1
1{. PNT 1, Rr1br t11e fOR1Offi~1e~rYM•N•. IMuN••. Pf NMO11wdP11P~th•t rlrrnly NYPPr M• e••M. DO NOT •I1t•r tP/1n11nP1 •V•1d• •uN1 N YrrIP• Pere•t lnl•rwh
rrNirPtrry •RNt, Pr NIIMwI•r 11bM~1
~f
e•'wM~P/~y.hewlnR Y.• DO MMNIr~Tl. {near onM Pn• wYN erI • Iln•. IWA wdbRiPnN IInN M n•pM•ry OnNt w D•atT
~
n
1MMRDIATf Ci.Yff --.~«• •..aS~G! I~ IY
S rIC
INnel /IfNN Or wndhbn //~ ~~
r•/uMMln tlNlhl
./
V
A Y
-
Du•eb (M N • nw
~/ /1~
b./{
Qe
I
Rpu•11tINIV I1K wMhgM,
-717 /'~ (~
N •rIY, 1•rrtM b M1• wYN
~ rP~.
~.
r ~~//fIJ~I
r OY• b lw N • wnNVw.M• ef11 (RY~r ~ Yl t .
iq
~
~
11•tW en IIM •. fllwr M• ILCJ~~ _ _
c
6F
- \ / OA r C
YNDMlY1N~ CAYRI
Irww er In/1Iry Y1ee Pu• b IrrN • MnNVYenN Oni ~~
InMMNer the •V•ny r•whlnf d.
In Meth) WT. OYe b er P• • reMpYPnw MI
• nwf Y[ nbt M•Y M n Y • n1 NYN n n 1
rn •Yb-pM rmP
,. •I•\YtOpq nf•PVe
b prrlPNde the wuN N d••thY
Y
.Y Q NPL Pr•fI1\nt Whh{n peel yf
PrefMM N Mm• 9I d•\!h
Net -Irfn•M, but PMneM whhln ei dPy M dpth
Nst PrPfn•IM1 Pw gnlM•M 1l NY• w 1 Y•Pr b•ntI• /.pth
UnMeWn NtNPfn•nt Whl11n 111r ww yP•e YY ~ N Pqb• w ~~Q^^'PRMr P•
~ Nu ~ UnfMtPn o ANNPnt ~ NamlP19•
~ /•nrlM n1YP•afPtlen
YrY >wMN ~ C,eYld nOt W d•s•rIRInPd
mP ury
M ury r.R. on.•{ N.YtN b!I • 3 ITI OO , Yry P YT Y. r P
uN I. n ury.
Yp ~ ~ ONY•y/DPeRHer ~ •Pr••OfPn OW 1 Yry I
Ne PNNIyP1 O OgIPr (fNCNy)
M •I
4rtMyIM PRyM4n . Ta Mr brat of n1y W1e.e1•tlf•. dPPeII se
arrPr Iw b 1111 Nu•e(N •.1d m•nlMr Pwaer
M1PnP..MIM ~ f.•1tItY1M ghyN1Pn - T• Mr belt K my knewMdfP, teeth erWrhd K Me tl1n•. e•b, rM p1eN, •M dw w NP N~YNI•) Pnr menn•r •tPbd
~Merlwl fNIn11Mr/CPwnr - tM tM en, • 1 In nN eplnNm, C•rth PwurYwl \t llM Ym•, deb, Pe W P4Pr. Pn0 dw w1bP wu•P(! rM m.nn
p•tN
f W1•tYrt N /
Thlr M prtM• UwnN NY.nNt/}•7/ !~,
~I~~^
e. ~
M
•
T
J
~
ss~
N
• e/~r.V
T•n MPntr
._ ~
3
PuM•hNn MTIh NO. 2 f' / I ~/O~ RRV Pf/]OSS
__
..
LAST WILL AND TESTAMENT
OF
JOAN CALVERT LAMBERT
f~f_Ct3R!'~~ ~,?r~l~E ~
~~`i~i~^ (c ~~,~ 1 c
2alZ FEB -7 PM f ~ S2
CLERK OF
ORPHAt+!'S C4URj
Ci~~~t~~~ ~~.. ~
I, Joan Calvert Lambert, a resident of the Commonwealth of Pennsylvania, make, publish and
declare this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me. I
live with my husband who retired from the military service of the United States.
FIRST: I duect that the expenses of my last illness and funeral, the expenses of the
administration of my estate, and all estate, inheritance and siaulaz taxes payable with respect to property included in
my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my
residuary estate, without apportionment and with no right of reimbursement from any recipient of any such property
(including reimbursement under Section 2207B of the Internal Revenue Code).
SECOND: It is my desire that, ugon my death, I be buried at Blue Ridge Memorial Gazdens,
Harrisburg, Pennsylvania.
TIiIRD: I authorize my Executor, in addition to any rights conferred by law and in the absolute
discretion of my Executor, and without the consent of any court having jurisdiction over my estate, to disclaim or
renounce, in whole or in part or with respect to specific amounts, parts, fractional shares or assets, any legacy,
devise, or interest in or privilege or power over any trust or other disposition provided for my benefit under the will
or other instrument of any person at any time within nine months after the date of the transfer (whether by reason of
such person's death or otherwise) which created an interest in me.
I authorize any person, in addition to any rights conferred by law, at any time within nine months
after my death, to disclaim or renounce, in whole or in part or with respect to specific amounts, parts, fractional
shares or assets, any devise, legacy, interest, right, privilege, or power granted to that person by this will. Any such
disclaimer or renunciation shall be made by a duly acknowledged, irrevocable, written instrument executed by that
person or by his or her conservator, guardian, committee, executor, or administrator, delivered to my Executor and
filed in accordance with any requirements of applicable law.
FOURTH: I give all the rest, residue and remainder of my property and estate, both real and
personal, of whatever kind and wherever ]orated, that I own or to which I shall be in any manner entitled at the time
of my death (collectively referred to as my "residuary estate"), as follows, pursuant to and consistent with the terms
and conditions of aPre-Nuptial Agreement (hereinafter "Agreement") entered into on September 18, 2001 between
my husband, Jerry Lambert, and myself
(a) If my children (Kim Patterson, Kelly Calvert Gustafson, and Robert Calvert or any of them)
shall survive me, to those of my children who survive me, and to the issue who survive me of
those of my children who shall not survive me, per stiroes.
(b) If none of the beneficiaries under clause (a) above shall survive me, my residuary estate shall
be paid and distributed to Jerry V. Lambert if he shall survive me.
(c) If none of the beneficiaries described in clauses (a) and (b) above shall survive me, then I give
my residuary estate to those who would take from me as if I were then to die without a will,
unmarried and the absolute owner of my residuary estate, and a resident of the Commonwealth of
Pennsylvania.
FIFTH: If any property of my estate vests in absolute ownership in a minor or incompetent, my
Executor, at any time and without court authorization, may: distn~bute the whole or any part of such property to the
y
>~ -iG"
~~
beneficiary; or use the whole or any part for the health, education, maintenance and support of the beneficiary; or
distribute the whole or any part to a guardian, committee or other legal representative of the beneficiary, or to a
custodian for the beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with
whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed by the person to
whom the distribution is made shall be a full dischazge of my Executor from any liability with respect thereto, even
though my Executor may be such person. If such beneficiary is a minor, my Executor may defer the distribution of
the whole or any part of such property until the beneficiary attains the age of eighteen (18) yeazs, and may hold tbe
same as a separate fund for the beneficiary with all of the powers described in Article SEVENTH hereof. If the
beneficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary.
SIXTH: I appoint my daughter, Kim Patterson to be my Executor. If my daughter, Kim Patterson
shall fail to qualify for any reason as my Executor, or having qualified shall die, resign or cease to act for any reason
as my Executor, I appoint my daughter, Kelly Calvert Gustafson as my Executor. I direct that no Executor shall be
required to file or furnish any bond, surety or other security in any jurisdiction.
SEVENTH: I grant to my Executor all powers conferred on executors under the Pennsylvania
Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon
executors wherever my Executor may act. I also grant to my Executor power to retain, sell at public or private sale,
exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for
cash or on credit; to borrow money and encumber or pledge any property to secure loans; to divide and distribute
property in cash or in kind; to exercise all powers of an absolute owner of property; to compromise and release
claims with or without consideration; and to erxq~loy attorneys, accountants and other persons for services or advice.
The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office
from time to time.
EIGHTH: I direct that for purposes of this will a beneficiary shall be deemed to predecease me
unless such beneficiary survives me by more than thirty days. The terms "child" and "children", as used in this will,
include not only the child and children of the person designated, but also the legally adopted child and children of
such person. The term "issue" includes not only the children and other issue of the person designated, but also the
legally adopted children and issue of such person.
NINTH: I may leave a letter of intent with the executed copy of this will for the purpose of
giving guidance to my Executor concerning the distribution or sale of certain items of my property. I request, but do
not require that my Executor honor my wishes therein expressed.
This document was prepared under the authority of 10 U.S.C. § 1044 and implementing military
regulations and instructions, by Robert E. SamueLsen II, who is licensed to practice law in the State of Minnesota.
IN WITNESS WHEREOF, I, Joan Calvert La rt, sign my name and publish and declare this
instrument as my last will and testament this,2l day of s2u~~~, 2002. I also have affixed my signature on
the bottom of each of the preceding pages hereof.
Joan Calvert Lambert
The foregoing instrument was signed, published and declazed by Joan Calvert Lambert, the above-
named Testatrix, to be her last will and testament in our presence, all being present at the same time, and we, at her
. }
Y
request in her presence and in the presence of each other, have subscribed our names as witnesses on the date
above en.
having an address at
j ~~~
having an address at
/~ ~3
3
ACKNOWLEDGMENT AND AFFIDAVIT
COMMONWEALTH OF PENNSYLVA)VIA, COUNTY QiF CUMBERLAND, ss. ~~ ll~
We, Joan Calvert Lambert and _~f~ ~1 ~f'N~ _ _ _
_ _~ GTt~lL_ ~G~,c S OOI±~_ _ _ _ _ _ _ _ _ _> the Testatrix and the witnesses respectively, whose names are
signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned
authority that the Testatrix, Joan Calvert Lambert, signed and executed said instrument as her last will and testament
in the presence and hearing of the witnesses, and that she had signed willingly, and that she executed it as her free
and voluntary act and deed for the purposes therein expressed, and that each of the witnesses at the request of the
Testatrix, in the presence and hearing of the Testatrix and each other, signed the will as witness, and that to the best
of his or her knowledge the Testatrix was at the time at least eighteen years of age, of sound mind and under no
constraint, duress, fraud or undue influence.
Subscribed, sworn to and acknowledged before me by the said Joan lvert bert, Testatrix,
and subscribed and sworn to before me by the above-named witnesse/s,~this ~ day of , 2002.
[e-'
Rotary Public
My commission expires on
Rosa A. OrMZ, Notay Publk
MCaAisle Boro c,,,,,b~,~ ~ounry
E~~ Nov. 8.2W5
aN