HomeMy WebLinkAbout03-13-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF ('.l~,wtbnr~ COUNTY, PENNSYLVANIA
Petitioner(sj 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 respecttltlly request(s) the grant of Letters in the appropriate form:
Decedent's Information
Name• C 5 e r /r+a, e. A >+ ~e r s v n
a/k/a:
a/k/a:
a/k/a:
Date of Death: ~ 2 5 Z o ~ 2-
Decedent was domiciled at death in
principal residence at 70 ~ .r
Street address, Post Office and Zip
Decedent died at NoM+c~ L.~ n~ CC~7Y"
Street address, Past Office and Zip Code
FileNo:~~ ____ 1~ .
(Assigned by Register)
Social Security No: / Z~ G~ ~ ~ ~ 2
Age at death: 8 S"
,County, ~- (Stare with his er st
City, Township or Borough County
a r'~'S~N~ otwd~+ri ~0..
City, Township or orough County State
Estimate of value of decedent's property at death: $ ~ pr p b o . v
Ijdomiciled in Pennsylvania ............................ All personal property
/f not domiciled in Pennsy!vania ........................ Personal property in Pennsylvania $ ~ A ~
If not domiciled in Pennsylvania ........................ Personal roe in Coun $ 0 0
..p,p~' ty
Value ojreal estate in Pennsylvania ............................ D
TOTAL ESTIMATEDD VALUE.... $~ G ~ ~aCr+ ~
S+ (.~J2,5'7' F~ r~ V V 1~ W l N.A 6 2 r'~ r1
Real estate in Pennsylvania situated at: X68 Frort
(Attach additional sheets, ijnecessary.) Street address, Post Office and Zip Code Cfty, Township or Borough County
A. Petition for Probate and Grant of Letters Testamentary f
Petitioner(s) aver(s) he/she/they is/are the Executor(s) Warned ttt the last Wtll of the Decedent, dated ~T ~ ~3 ~ Q L and Codicil(s)
thereto dated
State relevant circwnstances (e.g. renanciation, death ojexecutor, etc.)
Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, vras not divorced, was not a party to a pending
divorce proceeding wherein the grounds for divorce had been established as defined itt 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.t:., d.b.n.c.t.a., pendentelite, durunteaba•entiu, duranteminoritute
If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent was not a parry 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
Petitioners}, after a proper search has/ltave ascertained that Decedent left no Will and was survivedby the
additional sheets, i/'necessary):
r,.~
(if any) an~heirs
Name
Relationshi rye ~.;}
Ad~~ ~"y
O ~ ~
'-i ~ ~--.
.~
Fnrm RW-nd r-w. tniltiznll Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
//~~ // } SS:
COUNTY OF CJiY-1i~ l'lll,Yt }
Petitioner(s) Printed Name
MSS ~ /ind~r s~ n
Official Use Only
s) Printed Address
„,~~s~iKr, PN ~~a3o
5 655 er~e1('viGcJ Q~~
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and convect to the best of the knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner( ill well and truly administer the estate according to Iaw.Z O )Z
Sworn to or ffirmed a d subscribed before dam/ Date //E'Ia s~6+ ~3
met ' day of Date
' Date
BY Date
he Regi
BOND Required: AYES [~NO To the Register ojWil[s:
n~_~oe e...e~ ..,., aone9rance by my signature below:
FEES:
Letters ...................... $
( )Short Certificate(s)...... Ia ^'
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................ ----
Commission ................. .
Other _~ ); 1_x__1 • • • • • • • .~~-=-
Automation Fee ............... ~-~
JCS Fee . ................... .
TOTAL ..................... $
Attorney Signature:
r..
O
~ ^'
~
Printed Name: ~
Supreme Court ~7y=.~ ~t7 '-';rte--~--~;
ID Number: '~ ' "
•~ 7,~•~ ~
t-j
-~ '-,;
`,a_,
Firm Name: ^1
Address:
"~ C _
3
-i ~-
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate of
a/k/a: _
AND NOW, _
satisfactory proof
File No:G
~~ ) I ~ ,~~, in consider tion of the foregoing Petition,
been presented before tne, IT S DECREED thagt Lette
are hereby granted t~~ ~ ~ ~^~ ~S
to the above estate and (if applicable) that
the instrument(s) dated
described in the Petition be
~a
to probate and filed r ord a the 1 st tll (and Codicil( )) of De edent. ~ N
V
R g's of Wil
Page 2 of 2
Form RW-02 rev. !0/11/2011
1105.605 REV (UII07~
~.OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 17991183
Certification Number
This is to certify that the information here given 1s
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 permanent filing.
r:~uka ~~ /~-
Local Reg' trar Date Issued
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CERTIFICATE OF DEATH , 'ao..a lMaaMrl ~~
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LAST WILL AND TESTAMENT ~ O `.
~~rn- ~
OF
~~ cr5 c~
ESTHER M . ANDERSON ~ -~ x
~~`~- °
~lJ
~ ' ~'.1
D ~
I, ESTHER M. ANDERSON, being of sound and dispos~g
mind, memory and understanding, do make, publish and declare this
to be my Last Will and Testament, hereby revoking and making null
and void any and all former Wills made by me at any time before
this Will.
FIRST: I direct my Executor, hereinafter named, to pay
all my legal debts and funeral expenses as soon after my decease
as conveniently may be done; however, my Executor may, in my
Executor's discretion, negotiate for the' continuation of
financing arrangements existing at the date of my death.
SECOND: I hereby give and bequeath to my husband, JOHN
ANDERSON, the total amount of One Dollar ($1.00) from my estate.
This is the total amount that my husband shall. receive from my
estate and said amount shall not be exceeded in any monetary
amount or in kind.
THIRD: I hereby give, devise, and bequeath, all the
rest, residue and remainder of my estate, of whatsoever nature
and wheresoever situate, including tangible personal property and
real property, including all insurance policies thereon, to my
son, JAMES A. ANDERSON. I further specifically give and devise
my one half interest in any and all property, real and personal,
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Page 1 of 3 Pages
which is held jointly with my husband, JOHN ANDERSON, to my son,
JAMES A. ANDERSON. I hereby direct that the title to said
jointly held real property be transferred into the name of JOHN
ANDERSON, my husband, and JAMES A. ANDERSON, my son, to be held
as tenants in common.
FOURTH: I direct my Executor to pay all inheritance,
estate, succession and other death taxes, imposed or payable by
reason of my death, and interest and/or penalties, if any, to
which my estate on the transfer of any property passing
hereunder, or otherwise passing by reason of my death, may be
subject, from the principal of my general estate, as if such
taxes were administration expenses, without apportionment or the
right of reimbursement. I authorize my Executor to pay all such
taxes at such time as he may deem advisable.
FIFTH: I hereby nominate, constitute and appoint my son,
JAMES A. ANDERSON, Executor of this Last Will and Testament, and
direct that he be permitted to serve without bond and without any
intervention of any .court, except as required by law. I
authorize my Executor to sell, encumber, mortgage, invest,
distribute in kind, or retain any items of propezty of my estate
in such manner as he shall deem proper, limited only by her own
discretion; and to compromise claims against or. in favor of my
estate, with or without court approval on such terms and
conditions as he deems appropriate in his sole discretion. If
Page 2 of 3 Pages
for any reason, my Executor appointed under this Last Will and
Testament should be unwilling or unable to serve in that
capacity, I hereby nominate and appoint my husband, JOHN
ANDERSON, to be my Executor under this my Last Will and
Testament, with the same powers and privileges set forth above.
IN WITNESS WHEREOF, I, ESTHER M. ANDERSON, the Testatrix,
to this my Last Will and Testament, typewritten on three (3,)
sheets of paper, have hereunto set my hand and seal this ~_.
day of . 1992•
~~ ~ •
Signed, sealed, published and declared by the said
Testatrix, as and for her Last Will and Testament, in our
presence at his request and in the presence of each other, have
hereunto set our hands and seals as attesting witnesses.
U residing at 3D1 .~.-~ - ~~
residing at r~ 0~~~•~ r"` ' •~ ~S- ~" I
Page 3 of 3 Pages
COMMONWEALTH OF PENNSYLVANIA:
' SS:
COUNTY OF G2~-~%~~ .
I, ESTHER M.. ANDERSON, 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 and 'T'estament; that I
signed it willingly; and that I signed it as my free and
voluntary act for the purposes therein expressed.
Sworn or affirmed to and acknowledged_bef`ore me, by
ESTHER M. ANDIERSON, the Testatrix, this ~~ (~~J~11nday of
1992.
~' ~
ESTHER M. ANDERSON
NZSTARY PUBLIC ~/ (J //
NOTARIAL SEAL
MY COMMISSION EXPIRES' MARTHA L. SZCZYPTA,NOTARY PUBLIC
DILLSBURG BOROUGH, YORK C~Nt993
MY COMMISSION EXPIRES APRIL 12,
Member, Pennsylvania Association of Notaries
COMMONWEALTH OF PENNSYLVANIA:
SS:
COUNTY OF DAUPHIN
f'
We , .~-/ iU ~ 1~ ~ ~~~ . ~ and ~~~ ~` fir'
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 Testatrix sign and
execute the instrument as her Last Will and Testament; that
Testatrix signed willingly and that Testatrix 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 the time eighteen (18) or more years of age, of
sound mind and under no constraint or undue influence.
Sworn or affirmed to and s/ubscribe/d' to /~be/f or/e me by
~l and l Q G(~9~ ~Li. O~T~r--C~u-?e Zvi.
the witnesses, this ~ day of J~~y , 1992.
~~~
~ 1
NOTARY PUBLIC
MY COMMISSION EXPIRES:
NOTARIAL SEAL
MARTHA L. SZCZYPTA, NOTARY PUBLIC
DILLSBURG BOROUGH, YORK COUNTY
MY COMMISSION EXPIRES APRIL 12, 1993
I~Aember, Pennsylvania Association of Notaries