HomeMy WebLinkAbout02-17-12PETIT/IjON F/OR//GRANT OF LETTERS
REGISTER OF WILLS OF [~u~l~c/IlGC~ COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is; are I8 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:
Deceden 's Information
Name: evr, e.e ~ LJ,~ I~r
a/k/a:
a/k/a:
a/Wa:
Date of Death:
Decedent was domiciled at death in
principal residence at S/ S L` a s
Decedent died at
Street address, Post Office and Zip Code
Street address, Post Office and Zip Code
Estimate of value of decedent's property at death
FileNo• ~/ ~ ~~' t~l~
(Assigned by Register)
Social Security No: ~~y~~,
Age at death: QD (/ y'S
County, mod. (Scare) with his/her last
r .. t
City, Township
City, Township
Ijdomiciled in Pennsylvanla ............................ All personal property
Ijnot domiciled in Pennsylvania ........................ Personal property in Pennsylvania
Ijnot domiciled in Pennsylvania ........................ Personal property in County
Valae ojrealestatein Pennsylvania .........................................................
TOTAL ESTIMATED VALUE... .
Real estate in Pennsylvania situated at:
(Attach additional cheers, ijneceuary.)
County
County State
S_~ Da O
a
S
a .~-o,ooa
Street addrcaa, Poet Offce and Zip Code Clty, Township or Borough
~`.J A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated
thereto dated
State relevant circumstance leg. renunciation, death ojerecntor, etc)
Exceptasfollows: after theexecutionoftheinstrument(s)offercdforprobateDecedetttdidnotmarry,wasnotdivorcei
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), and
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS ^ EXCEPTIONS
Counly
and~'sdicil(s)
N
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arri
rrytealpendidg t r7
a clyj~ born or-~ ,~
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B. Petition for Grant of Letters of Administration (If applicable)
c.t.u., d.b.n., d.b.n.c.t.a., pendente life, durunte abeentia, durante minoritute
If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and comalete list of heirs.
Except as follows: Decedent was not a parry to a pending divorce proceeding wherein the grounds for divorce had been established es defined
in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated pttson.
^NO EXCEPTIONS ^ EXCEPTIONS
Petitioner(s), aftera proper search hasihave ascertained that Decedent left na Will and was survivedby the following spouse (ifany) and heirs (attach
additional sheets, iJ'necessury):
Name
Fornt RWg2 rev. roiunoii Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
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61 DEB 17 PM 12= 49
Petitioner(s) Printed Name Petitioner(s) Prin
~ ~ q ~
/, O Leo ~ O L - .
~asT er1,'n ~i4 /73Ila
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are we and correct to the best of the knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) ofthe Decedent, th Petitioner(s) will well and truly administer the estate accor//di~~ng~~toJJlaw. __
Sworn to or a firmed an subscribed before ~ e ~.~,,._ Date ~~«~a
met 's ay f /~ Date
BY~ ~ Date
or egise ~ Date
BONDRequired:~YES [t~N0
FEES:
Letters .................. .... S
( / )Short Certificate(s)..
... .
---/-'_
( )Renunciation(s)..... ... .
( )Codicil(s) ......... ... .
( )Affidavit(s)........ ... .
Bond .................... ....
Commission .............. ... .
Other ( .... .... 15_ ~'`'
Automation Fee .............. .
JCS Fee .....................
TOTAL ..................... $
To the Register ojWi!!s:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name-
Supreme Court
ID Number:
Firm Name:
Address:
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate of ~~, -t-Y1 ~(~[)~P17 File No: _ n~~- ~i~ - ~ ~~
a/k/a:
AND NOW, 1-~C~VI"U
satisfactory proof having been
the instrument(s) dated _
described in the Petition be
Form RW-02 rev. !0/1 f/2011
owl _, °~~I~ , in consideraf n of the foregoing Petition,
:s red before me, IT IS DECREED that Letters
are hereby granted to
in. the above estate and (if app icable) that
to probate and
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 17748312
Certification Number
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This is o 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
Records Office for peztllanent filing.
:
Local Registrar a=y i / Date Issued
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Natebsxr S. Stoner, Chief Da t Coroxas 12
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WWWM MM[er. /1^ ' / ~ ~~{ y IIxO}1U
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LAST WILL AND TESTAMENT OF BERMCE K. WALTER
I, BERMCE K. WALTER, of the Borough of Mechanicsburg, County of Cumberland,
Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and
declare this my Last Will and Testament, hereby revoking and making void any and all prior Wills by me
at any time heretofore made.
1.
I direct the payment of all my just debts and funeral expenses as soon after my decease as the
same can conveniently be done.
2.
I give, devise, and bequeath all the rest, residue and remainder of my Estate, real, personal, and
mixed, whatsoever and wheresoever situate, to my trusted care giver, CATHY ANN DEHAVEN. It is
my intention that so far as circumstances, existing at the time of my death make it reasonable and feasible,
she maintain my house and the contents in as nearly the same condition as they now exist for and during
the lifetime of my cat, "Timmy". I also give and bequeath the possession and ownership of "Timmy" to
the said CATHY ANN DEHAVEN.
In the event the said CATHY ANN DEHAVEN predeceases me, then all, with the same
intentions, to her son SHANE DEHAVEN, per stirpes.
3.
I nominate constitute and appoint the said CATHY ANN DEHAVEN as Executrix of this my
last will and testament. In the event that she is unable or unwilling to so serve for any reason, then I
appoint the said SHANE DEHAVEN to serve in her place and stead. In the event he is also unable or
unwilling to so serve for any reason, then I appoint PNC BANK NATIONAL ASSOCIATION to serve
in his place and stead. I further direct that they not be required to file a bond or other security for any
reason.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of
~~~IGti , A.D. 2006.
Qq~,(1~c ca L ~~- r ~ (SEAL)
BERMCE K. WALTER
Signed, sealed, published and declared by the above-named BERMCE K. WALTER as and for
her Last Will and Testament, in the presence of us, who at her request and in her presence, and in the
presence of each other, have hereunto subscribed our names as witnesses.
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OATH OF SUBSCRIBING WITNESS(ES)
~~~~CUURr
REGISTER OF WILLS CI1MRr}~I ANt~ ~~ pA
C a ht 13D?!.?,vD COUNTY, PENNSYLVANIA
Estate of BEQNIC~ k~ l-tJA~.TE~ ,Deceased
Ch~iS~CES ~. ~y/EZ,DS '11 , (each) a subscribing witness to
(Print Names)
the J$1 Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same
and that she / he /they signed the same and that she / he /they signed as a witness at the request of
the Testator /Testatrix in her /his presence and in the presence of each other.
(Signature)
~¢ C/oyser ~d
(Street Address)
1~lee~ia.~;cs6u~-a, `J~ /~dss~
(City, Sate, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before e this ~ day
lleputy
(Signature)
(Street Address)
(City, State, ZiP)
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this
day
of
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date ofexpiration ofNotary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) a[ time of notarization.
Form RW-03 rev. !0. /3.06
/~-~~9
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
m~G(' ~_ COUNTY, PENNSYLVANIA
Estate of
Deceased
~~ ~ I S/!'1 ~ f~ It/~' N'S and
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with ~ •2 V' h It C P ~~ ci / T ~~ _ and am/are familiar
with the handwriting and signature of the decedent, and that the signature of t~~° Y' h i C P ~~ ct Ted' _
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of L-'ey'h It C t_ I~t ~/o( ~ Jar'
is in his/her own proper handwriting.
~_._
(Signature) -"-
l .2 -S ~,,.. ~ ~'ti~
t ~
~~
~treet Address) ~
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Y7'/ ~ //~
-/ .. ~s w0 ~~.
fury, Stare, ztp)
Executed in Register's Office
Swom to or affirm`ed~/and subscribed
before~'e this / "/ ~ day
for
(SgnatureJ ,
(Street Address)
(Gry, State, ZipJ
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Farm RW-04 rev. 10.13.06