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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 the appropriate form:
Decedent's Information 1
Name: Graves, Gordon I. File No: _ c1'" 1 <•~ - Ll ~ ='~
a/k/a: Graves, Gordon Ivan (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 168-26-3923
Date of Death: 02/06/2012 Age at death: 79
Decedent was domiciled at death in Cumberland County, pennsyly nia (State) with his/her last
principal residence at 308 Glenn Avenue. Boiline Sprines PA 17007 South Middleton Township Cumberland
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at 308 Glenn Avenue Boiline Springs Cumberland PA
Street address, Post Office and 7rp Cade City, Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania ............................ All personal property $_ 25,000.00
If not domiciled in Pennsylvania ........................Personal property in Pennsylvania $
If not domiciled in Pennsylvania ........................ Personal property in County $
l~alue of real estate in Pennsylvania ......................................................... $ 175,000 00
TOTAL ESTIMATED VALUE.... $ 200.000 00
Real estate in Pennsylvania situated at: 308 Glenn Avenue Boiling Springs Cumberland
(Attach additional sheets, Ifnecessary.) 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/they is/are the Executor(s) named in the last Will of the Decedent, dated
thereto dated
09/28/2010
and Codicil(s)
State relevant circumstances (eg. renunciation, death of executor, etc.)
Except as follows: after the execution ofthe 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(g), 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 lite, durante absentia, durante minoritate
If Administration, c.t.a. or d.b.n.c.>~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(g) 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
additional sheets, if necessary):
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Form RW-02 rev. !0/11/201/ Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
}
} SS:
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Official Use Only
Petitioner(s) Printed Name Petitioner(s) Printed Address
Jennifer L. Bandura 4 Meadowood Place Boilin S rin s PA 17007
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 Personal Representative(s) of the D dent, th Petitioner(s) will well and truly administer the estate according to law.
Sworr, to or affirmed and subscribed before Date o (Z
met is 7F`` d~ of , '- t, °~C`
~• Y ~ ~ ~- Date
Date
For the Register ~
/ Date
BOND Required: ®YES ®NO
FEES:
Letters ..................... .
( 5) Short Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other Will , , , ... , ,
$ 260.00
20.00
To the Register of Wills:
Please enter my appearance by my signatu
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l--
Attorney Signature: ~ ~: ~~
~-~ ~
r.a 7~~
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Printed Name: Robert C. Saidis, Esquire hs
Supreme Court
15.00 ID Number: 21458
Firm Name: Saidis, Sullivan & Rogers
Address: 26 W. High Street
Carlisle, PA 1701'i
•••••••• Phone: (717)243-6222
Automation Fee ............... 5.00 Fax: _(7271243-6486
JCS Fee . .................... 23.50 Email: rcaidis ccr-attnrne~c cnm
TOTAL ..................... $ 323.50
DECREE OF THE REGISTER
Estate of Graves. Gordon I. File No: :~ ~ - / ~~ - C-~ ,Z ~~
a/k/a: Graves Gordon Ivan
AND NOW, ~ ~~~~ ~ ~"~ ~ ~; ~~ ~,_= , ~-~~ in consideration of the foregoing Petition,
satisfactory proof having be 'presented before e, IT IS DECREED that Letters T_estamentarv
are hereby granted to Jennifer L. Bandura
in the above estate and (if applicable) that
the instrument(s) dated 09/28/2010
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
1. .1 , 1,
Register of Wills ~ , ~ ,,- ~
Form RW-01 rev. ioi~iizo» ~`~ Page 2 of 2
LOS L~~rr~~~~REGISTRAR'S ~ER~I°IATI+~~I ~' ~~~
~iN~i~ It~i~f~t to du~alicatx~ !hip c~~Y i~~ ;:ahcstost~t o~ ~~, )t;.
~~~
Five t~ i this (t~. ~;t~il~t)t,•- ;(.O!?1~~~ ~ ~ ' ~ r -,
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/, Type/Print In COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS
Pe nt
L
O
F
- - ~ ~ Sfa[e File Number:
1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (MO/Day/Yr) (Spell Mo)
Gordon =van Gravers M 168 - 26 - 3923 Feb. 6, 2012
Sa. Age-Las[ Birthday (Yrs) 56- Under 1 Vear Sc. Vnder 1 Da 6. Date of Birth (MO/Day/Year) (Spell Month) 2a. Birthplace (City and State or Foreign Country)
Months Days Hours Minutes Bennington , VeZZTlon't
79 July 1 1 932 26. Birthplace (county)
Sa. Residence (State or Foreign Country) Sb. Residence (Street and Number- Include Ap[ No.) Sc- Did Decedent Liye in a Township.
PA Yes, decedent Ifyed in South Middleton
8tl. Ry~ider~ (Co
iv) 308 Glenn Avo_ iwp_
IJLIIT10er1aIZd Se. Residence (Zip Code) 1 7007 ONO, decedent lived within limits of city/boro-
9. Ever in US Armed Forces? 30. Marital Status at Time of Death ® Marrietl 0 Widowed 11- Surviving Spouse's Name (IF wife, give name prior to first marriage)
Ves ~ No Q Unknown Q pivorced O Never Married Q Unknown Carol L _ Sl-leaf£er
12. Father's Name (First, Middle, Last, Suffix) 13- Mother's Name Prior to First Marriage (First, Middle, last)
Frederick Orison Graves Jr. Marian E11a Towsle
14a_ Informant's Name 14 b
Relati
hi
'
0
G .
ons
p to Decedent
Carol L_ Graves Wife ~ 14c. Informant
s Mailing Address (Street and Number, City, State, Zip Code)
308 Glenn Ave_ Bonin S rin s, PA 17007
.
m
° ...................---.........'----......._'------0'i~'--"'°`"""---"""°"'---'..°
If Death Occurred '
rn a Hospital: patient
Q Emergency Room/OUt pane nT 0 Deatl on Arrival
156. Facility Name (If not Institution, give street and number; .
308 Glenn Ava_
16a. Method of Disposi [ion 0 Burial ~ Cremation
~ Rerngval from State L] uo n
o ""--- lsa. Plape q Dear cne~ qn y one
.................... .................................
If Death Occurred Somewhere Other Than Hos [al: --'-" """""""' -~~~-
Pi e] Hos Facilit ~~-~~-~~~ "'
pice y ~ Decedent's Home
~ Nursing Home/Long-Term Gare Facility Q Other (Specify)
16 c. City or Town, Stale, and Zip Code 16 tl. County of Death
Boilin S rin s, PA 17007 Cumberland
16b- Date of Disposition 16c. Place of Disposition (Name of cemetery, creme Dry, or other place)
a ~Other(Specify) F.l'1'FCXTIY9TIPl'lt
16d. LOCa[iOn of Disposition (City or Town, State, and Zip)
Bennington, Vermont 2 13 2012 Bennln On P rlc La t
17a. Signature of I Service Licensee or
of Interment 126. License Number
FD 012633 L
o 17c. Name and Complete Atl dress of Funeral Facility
m
~ Ewin Brothers Funeral Home, =nc_ 630 S_ Hanover St. Carlisl PA 17013
18. Decedent's Education -Check the box that best describes the 19. Decede ni of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE races o indicate what
highest degree or level of school completed at the time of death. box that best describes whether the decedent the tleredent considered himself or herself to be. t
Q 8th grade or less is Spanish/Hispanic/Latino. Check the "NO" Q'OYhiie ~ Korean
0 No diploma, 9th - 12th grade box 'f decedent is not Spanish/Hispanic/Latino. 0 Black or African American 0 Vietnamese
0 High school graduate or GED completed ~~ ,not Spanish/Hispanic/Latino ~ American Indian or Alaska Native ~ Other Asian
~ Some college credit, but no degree ~ Ves, Mexican, Mexican American, Chicano ~ Asian Indian 0 Native Hawaiian
~0"ASSOCiate degree (e.g. AA, AS) Q Ves, Puerto Rican ~ Chinese Q Guamanian or Cha mono
p Ba<nelgrs degree (e.g. BA, AB, BS) 0 Ves, Cuban Q Filipino ~ Samoan
Q Master's degree (e.g. MA, M5, MEng, MEd, M6W, MBA) 0 Ves, other 5
panish/Hispanic/Latino Q Japanese ~ Other Pacific Islander
~ Doctorate (e.g. PhD, Ed D) or Professional degree (Specify) ~ Other (Specify)
. MD, DDS, DVM, LLB, JD
21. Decedent's Single Race Self-Designation -Check ONLV ONE to indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation -Indicate type of work
,gOf/hi[e Q Japanese Q Samoan d d5t ing mos f,workinq Ilfe- DO NOT USE RETiRED-
0 Black or African American ~ Korean 0 Other Pacific Islander olnLOrmatl0n HSSe'C
~ American Indian or Alaska Native ~ Vietnamese ~ LJOn't Know/Not Sure
Q Asian Indian Q Other Asian ~ Refused 22b. Kind of Business/Industry
~ Chinese 0 Native Hawaiian ~ Other (Specify)
p Fnipinq p Guamanian or chamorro = _ B _M _ Corp _
ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounced Dead (MO/Day/Vr) 236. Signature of Person Pronouncing Death (Only when applicable) 23 c. License Number
BV PERSON WHO PRONOUNCES OR ~~~b Z,~ ~` ~ ~/ a-
CERTIFIES DEATH I ~Q~ ~ M' ~ ~~ T~
23tl. Uate ~rgned (IV O/Day%Yr) 24. time of Death ~ ,V D
a.< ~ .-a,~ D ` 25. Was Medical Exam r Coroner Contacted? ~ Yes No
CAUSE OF DEATH
Approximate
26. Part 1. Enter the chain of events-diseases, Injuries, or complications--that directly caused the death. DO NOT enter terminal events such as cardiac arrest Interval:
re spi ra [orY arrest, or ve tricular (ib rillation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines if necessary Onset to Death
IMMEDIATE CAUSE --------n--- -> a. I~G AL ] 1 L, UT/ ~ JS/$ '
(Final disease or condition Due to (or as a consequence oF):
resulting in death)
b. -
6equentially list conditions, Due to (or as a consequence of):
if any, leading to the c
e
listed On line a. Enter the
UNDERLYING CAUSE Due to (or as a consequence of):
(dis njury that
_ Willa red the events resulting d.
_
rn death) LAST. Due [o (or as a onsequence of):
S
~ 26. Part II. Enter other sl¢nif(ica nt conditions c iribu['n¢ to death but not resulting in the underlying cause given in Part I
5•
~
~~ f
I
, n 27. Was a autopsy perfo med2
C•] Yes No
~.
~
RS~6
'~i 4
~ 28. Were autopsy findings available
m to complete the c of death?
a
O ves
O No
-
o
m 29. If Female:
~ Not pregnant within past year
0 Pregnant at time of death
~ Not pregnant, but pregnant within 42 days of death 30. Did Tobacco Use Contribute [o Death?
~ Yeos Q Probably
~1 Unknown
S•'~" ~ 31. Manner of Death
~CNatu ral ~ Homicide
[] Accide ni 0 Pendi ^golnyestigation
Q Suicide Q Could < be determined
r- ~ Not pregnant, but pregnant 43 days to 1 year before tleatf
'-
U
k
•
if 32. Date of Injury (MO/Da Yr 5
y/ ) ( Pell Month)
L
j
r.
n o
.vn
pregnant within [he Pas[ Year 33. Time of Injury
34. Place of Injury (e.g. home; construction site; farm; school) 35. Location of Injury (Street and Number, City, State, Zip Code)
36. Injury a[ Work 37. If Transportation Injury, Specify: 38. Describe How Injury Occurred:
0 Ves 0 Dri er/Operator ~ Pede trian
~ No ~ Passenger ~ Other (Specify)
39a. ertifier (Check only one):
Certifying physician - To the best Of my Icnowled ge, death occurred due to the use(s) and manner stated
Pronouncing ffi Certifying physician To the best f my knowledge, death occurred at the time, date, and place, and due to the c se(s) and manner stated
~ Medical Examiner/Coroner - O b is /Jibanon, and/or investigation, in my opinion, deer cu red at the time, date, and place, and due to the cau^se(s) a~d/~ manner stated
Signature of c rtifier: `y~~~~/ Title of c rtlfic ~O<S'IGIG•~ Lic a Number. M :.,) C7 -/ Z ~ ~Z--
ns
e
39 N e, Atl s a d Zlp C de of Person C m letin Caus f Death (Ite 26)
•~ ~ ~~ ~ hQ 3 {~.~~..~. ~- ~'$'~~r ~., f~ L~
~
~e •'•'.- P.~9- ~ -7o°f 3 39c. Signed (MO/Day/Yr)
~i~..,.. 7,, 2 ~ f 2_
40. Registrar's Distri c[ N tuber 41- Regl tra is Signature / `' vy' `-f
~//
~/ ~/~ 42. Registrar File Date (Mo/Day/V r)
43. Amendments r
Q /_ ~ ~ / ~ ~ EV O?-143
Disposition Permit No. (C/ CO R /~ni i
LAST WILL AND TESTAMENT
OF
GORDON I. GRAVES
I, GORDON I. GRAVES, of
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South Middleton Township,
Cumberland County, Pennsylvania, being of sound and disposing
mind, memory and understanding, do hereby make, publish and
declare this as and for my Last Will and Testament, hereby
revoking all other Wills and Codicils heretofore made by me.
FIRST
I direct the payment of my just debts and the expenses of
SAIDIS
SULLIVAN
LAW
26 West High Stree~
Carlisle, PA
my last illness and funeral from my estate as soon after my
death as conveniently may be done. I direct that my body shall
be interred at the F. 0. Graves Mausoleum in the Park Lawn
Cemetery, Bennington, VT. I authorize my personal
representatives to expend funds from my estate, in such amount
as my personal representatives shall consider necessary and
desirable for the purchase, erection and inscription of a
suitable marker for my grave.
SECOND
I bequeath the following specific items to the persons
hereinafter set forth:
A. To my daughter, Victoria L. Graves-Bailey, my mother's
antique secretary;
B. To my daughter, Jennifer L. Bandura, my grandmother's
antique secretary; and
C. To my wife, Carolyn L. Graves, and to each of my
daughters, Victoria L. Graves-Bailey and Jennifer L.
Bandura, the sum of ten thousand ($10,000.00) dollars.
I direct my personal representatives to pay the foregoing
specific bequests as soon after my death as conveniently may be
done.
THIRD
I give, devise and bequeath all the rest, residue and
remainder of my estate in three (3) equal shares as follows:
A. One share to my daughter, Victoria L. Graves-Bailey,
per stirpes;
B. One share to my daughter, Jennifer L. Bandura, per
stirpes; and
C. One share to my Trustee hereinafter named, IN TRUST,
under the following terms and conditions:
(1) My Trustee steal l hold, manage, i n~,rest and
reinvest the principal so received and the
SAIDIS
SULLIVAN
LAW
26 West High Street
Carlisle, PA
•~~~~
accumulation of income thereon; and
(2) In each taxable year of the Trust, the Trustee shall
pay to my wife, Carolyn L. Graves, a unitrust amount
equal to twenty (20%) percent of the fair market
value of the assets of the Trust valued as of the
first day of each taxable year of the Trust. The
2
unitrust amount shall be paid in equal quarterly
amounts, by distributing to my wife all income of
the Trust, plus so much of the principal as may be
needed to make up the unitrust amount. In
determining the unitrust amount, the Trustee shall
prorate the same on a daily basis for the year of my
death and for the year ending with the beneficiary's
death or other termination of this 'T'rust.
(3) Payments authorized by this Trust may be made by my
Trustee directly to the beneficiary or directly to
any person or institution entitled to such payment
by reason of services rendered or to be rendered to
the beneficiary.
(4) All payments of principal and income hereby given
shall be free from anticipation, assignment, pledge
or obligation of the beneficiary, and shall not be
subject to any execution or attachment by her
creditors.
SAIDIS
SULLIVAN
LAW
26 Wes[ High Sveet
Carlisle, PA
(5) Upon the beneficiary's remarriage or cohabitation
with an unrelated male for a period of three (3)
consecutive months, this Trust shall terminate.
(6) Upon the death of the beneficiary, or other
termination of this Trust, the balance of principal
and undistributed income shall be paid to my
3
daughters, Victoria L. Graves-Bailey and Jennifer L.
Bandura, in equal shares, per stirpes.
FOURTH
I direct that any and all inheritance, estate, and transfer
taxes imposed upon my estate passing under this Will or
otherwise shall be paid out of the principal of my residuary
estate.
FIFTH
In the event that my wife, Carolyn L. Graves, fails to
survive me by thirty (30) days, then I give, devise and bequeath
all the rest residue and remainder of my estate unto my
daughters, Victoria L. Graves-Bailey and Jennifer L. Bandura, in
equal shares, per stirpes.
SIXTH
I appoint my daughter, Jennifer L. Bandura, as Trustee of
any Trust created hereunder.
SEVENTH
In addition to the powers conferred by law, I authorize any
SAIDIS
SULLIVAN
LAW
26 West High Scree
Carlisle, PA
personal representative, trustee or guardian acting under this
instrument, in their absolute discretion:
A. To retain in the form received, or to sell either at
public or private sale any real or personal property;
B. To exercise any options to subscribe for stocks,
bonds, or other investments;
4
C. To join in any plan of lease, mortgage,
consolidation, exchange, reorganization or foreclosure of
any corporation in which my estate or any trust may hold
stocks, bonds or other securities;
D. To sell, transfer, convey, mortgage, pledge, lease
or exchange any property, real or personal, which at any
time may form part of my estate, for the payment of debts
or taxes, or for any purpose of administration or
distribution, for such prices and upon such terms as my
personal representative, in their sole discretion, may deem
wise, and to execute and deliver deeds of conveyance or
transfer thereof;
E. To make settlements and compromises on such terms as
my personal representative in their sole discretion may
deem wise without the necessity of obtaining any court
approval thereof;
F. To make distribution hereunder either in cash or
kind, as my personal representative in their discretion may
deem wise.
SAIDIS
SULLIVAN
LAW
26 West High Srreer
Carlisle, PA
~~
EIGHTH
I do hereby nominate, constitute and appoint my daughter,
Jennifer L. Bandura, to act as Executrix of this my Last Will
and Testament. Provided, however, that if Jennifer L. Bandura
is unwilling or unable to act as Executrix, I direct the duties
of Executrix to be performed by my wife, Carolyn L. Graves.
5
NINTH
I direct that no personal representative, guardian, trustee
or other fiduciary appointed under this instrument shall be
required to give bond for the faithful performance of their
duties in any jurisdiction.
IN WITNESS WHEREOF, I, Gordon I. Graves, have hereunto set
my hand and seal to this my Last Will and Testament, consisting
of six typewritten pages, the first five of whici~ bear my
initials in the margin for identification, this 28th day of
September, 2010.
(~;
Gordon I. Graves
Signed, sealed, published and declared by the above-named
Gordon I. Graves, Testator, as and for his Last will and
Testament in the presence of us, who have hereunto subscribed
our names at his request as witnesses thereto, in the presence
each other.
SAIDIS
SULLIVAN
LAW
26 West High Srreec
Carlisle, PA
ADDRESS 26 West High StreE~t
Carlisle, PA 17013
ADDRESS 26 West High Street
Carlisle, PA 17013
6
COMMONWEALTH OF PENNSYLVANIA ,
COUN'T'Y OF CUMBERLAND ,
We, Gordon I. Graves, Tanya L. Ware and Phyllis McCoy, the
Testator and witnesses, respectively whose names are signed to
the foregoing or attached instrument, being first duly sworn, do
hereby declare to the undersigned authority that the Testator
signed and executed the instrument as his Last Will and
Testament and that he signed willingly and that executed as his
free and voluntary act for the purposes therein expressed, and
that each of the witnesses, in the presence and hearing of the
Testator signed the Will as witnesses and that to the best of
their knowledge the Testator was at the time eighteen (18) or
more years of age, of sound mind and under no constraint or
undue influence.
God on I. Graves
~.- ~
Tanya Ware, Witness
/Z~r ~
Phy~.3is McCo ' tness
Subscribed, sworn to and acknowledged before me by Gordon
I. Graves, the Testator, and subscribed to and sworn or affirmed
to before me by Tanya L. Ware and Phyllis McCoy, witnesses, this
28tH day of September, 2010.
Notary Publ
SAIDIS
SULLIVAN
LAW
26 West High Streer
Carlisle, PA
NOTgRIAL SEgL
RENEE L. HURRAY, Notary public
Carlisle Boro, Cumberland County, pq
MY Commission Expires Dec. 73, 2013
7