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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF C k ~ g ~rZ ~ ~~,~
COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as s ec'
support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form'
p Ified below, and in
Decedent's Information
Name.
Al"~F1tC~r~= .2.2fin1~' c•
a/k/a: ' "``~~ File No:
a/k/a: (Assigned by Register)
a/k/a:
Date of Death: ~" n; ~ ~z ~ I ~ ~ ~ ~ Social Security No:
Decedent was domiciled at death in ~` Age at death:
principal residence at ~ ~{ p ~ f` ~ k r''1 R t r'C 1. Ark ~ County, (~q -~-
~' ~ ~ rv p~~ ~ (State) with his/her last
Street address, Post Office and Zip Code (~ rOEC µa ~~' ~ C
Decedent died at ~ p r cif, Township o Borough ~ ~ u ~ ~~ ~ ~' ~~
~ A~yi 7-(i~ t tU 1; l,C ~~ 0 3 County
Street address, Post Office and Zip Code ~ ~f c ~ ~ty'C $ $ u ~C~ , i fl ~' I c'~ ~' s~
Estimate of value of decedent's property at death: City, Township or Borough C ~` f+~$t t •~ ~• ~~,~,,
County State
If domiciled in Pennsylvania.. .
If not domiciled in Pennsylvania ........................ Personal propert in Pennsylvania $ r
$ • _~ G 3 0
If not domiciled in Pennsylvania............ ~ • J C}
Value of real estate in Pennsylvania ............. . • . _ .:::: Personal property in County ~
$ c~.oo
TOTAL ESTIMATED VALUE.... $ ~ ~ J°
Real estate in Pennsylvania situated at: ~~ ~ 0.00
(Attach additional sheets, if necessary.) Street address, Post Office and Zip Code
City, Township or Borough
A. Petition for Probate and Grant of Letters Testamentar county
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated ~ a~j
thereto dated
`~ and Codicil(s)
State relevant circumstances (e.g, renunciation, death of executor, etc.)
Except as follows: after the execution ofthe instrument(s) offered for probate Decedent did not m
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. 3323
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated P o as not divorced, was not a party to a pending
§ (g), and did not have a child bom or
• NO EXCEPTIONS ~ EXCEPTIONS
B. Petition for Grant of Letters of Administration (lf applicable)
If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section Atabove andlcom rlete absentia, daranre minorirare
Except as follows: Deccdent was not a party to a pending divorce proceeding wherein the C list Of h 'rS,
in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incaparcoitated personorce~d ~~ ~
- ~een estabed as~Qf~l
NO EXCEPTIONS Q EXCEPTIONS =i =~ ~':; T '•:.
~_ _~
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the followtn "~ ~ ~ ~ ' ZT
additional sheets, if necessa ~ 4 rn ~.
+7')• g.Sll~e~anvltt~?i 1, P,r~ ~...e~ _~:
Form RW-02 rev. 10~ 11/2011
Page I of 2 ~~,
`~
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA } SS:
~nrtriTV nF J
Official Use Only
Date
For the Register
BOND Required: ~ YES ®NO
FEES:
Letters ..................... .
( )Short Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other •••••"'
L
~~'ij` ........
;L1
f , ~l,
Automation Fee .............. .
JCS Fee .....................
TOTAL ..................... $ ,.
To the Register of Wills:
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
` ~,~ ~~`~ ~, File No: ~ ~ ~'~ - ~' ~~
Estate of ~ 1
a/k/a:
~(~ ~~ /~-- , in consideration oft e foregoing Petition,
AND NOW,
satisfactory proof having ' en p esented before me, IT IS DECREED that Letters 1 ~'St~.i + ~ X41 ~ ~' ~
are hereby granted to ~'l~Q' ~ ~-' wl ' ~ ~
in the above estate and (if applicable) that
the instrument(s) dated _
described in the Petition be
Form RW-02 rev. 10/ll/2011
to probate and filed of record as the last Will (and Codtcti(s)) or t~eceuc~i 1
~ ~
Register of Wills~~i ~,I~_;~'~~'~a.i~ h ~'' ~-- ~-~
J
Page 2 of 2
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correcr ro ine ucsi ~~ •._~ •-••~ •• •---D- ----
of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitio~ r(s) will well and truly administer the Datee acco~~ ~t 1 ~~'
t~ ~' Uy ~
Sworn to or ~ffirtned a d subs ribed before ~ Date
r~ ' ~.
me jhis ~ day 7" ~ ~~~~='-L~ ~ Date
~, ,n „,n n~nn ..~
]LAS'7[' IILL ~lrnadl '7C']ES'7['AM~N'A' aoo~
"yo
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I, KATHARINE I. SALE, currently of Cumberland County, Pennsylvanibe~ing
of sound and disposing mind, do make, publish and declare this as and for my last Will
and Testament, hereby revoking any and all Wills and Codicils by me at any time
heretofore made.
FIRST: I direct that all my just debts and inheritance taxes be paid by my
hereinafter named Executor or Executrix as soon after my decease as may conveniently
be done.
SECOND: I give, devise and bequeath all of the rest, residue and remainder of
my estate to my niece, CHERYL WINKLER, of Joppa, Maryland.
THIRD: I nominate, constitute and appoint my niece, CHERYL WINKLER, the
Executor of this my last Will and Testament, and direct that she shall not be required to
enter security in any jurisdiction in which she may act.
In addition to powers given them by law, my Executor or Executrix, and any
successor Executors shall have the following powers, applicable to all property held by
m, effective without court order and until actual distribution:
(a) To exercise any corporate stock options;
(b) To retain any property received by them, including the stock of any
~a
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~;
.~~
~~
:~~
-,~~ ,~n
_,
a
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~~, `~~ corporate fiduciary acting hereunder;
(c) To sell real estate for any purpose, publicly or privately, for such prices
end on such terms as they deem proper, without liability to the purchasers to see to
application of the purchase monies;
(d) To compromise controversies;
(e) To distribute in cash or kind or both at such valuations as they may fix;
(f~ To distribute property passing to a minor under this will either to the
minor or to any person to hold for a minor;
(g) To sell articles passing to a minor under this Will if the Executor or
Executrix in his or her sole discretion considers such articles unsuitable for a minor.
FOURTH: The term "Executor" wherever used herein shall mean the executors,
executor, executrix or administrator in office from time to time. 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.
LASTLY: Words used in the singular may be read to include the plural or the
plural may be read as the singular. Similarly, the masculine form may be read to include
the masculine and neuter; and the neuter may be read to include the masculine and
feminine.
IN WITNESS WHEREOF, I, KATHARINE L SALE, have to this, my last
Will and Testament, contained on this page and the foregoing one (1) pages, set my hand
and seal, this 23rd day of February, 2011.
r ~
I \~ - -
KATHARINE I. SALE
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
I, KATHARINE I. SALE, the testator whose name is signed to the attached or
foregoing instrument, having been dLily qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my Last Will; that I signed it
willingly and as my free and voluntary act for the purposes therein expressed.
~ /,
~~ ~~~~
---1~__-
A INE L SALE
Sworn to or affirmed and acknowledged before me by KATHARINE L SALE, the
testator, this 23rd day of February, 201 1.
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NOTARY
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS
WE, SUZANNE S. O'CONNOR and ASHLEY M. HERBERT, the witnesses
~ whose names are attached to the foregoing instrument, being duly qualified according to
law, do hereby declare to the undersigned authority that the Testator signed and executed
the instrument as his last Will and Testament and that he had signed willingly and that he
executed it 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) years of
age or older, of sound mind and under no constraint of undue influence.
U~ _
UZ NE S. O'CONNOR, WITNESS
ASHL Y . H RBERT, WITNESS
Sworn to or affirmed and acknowledged before me by SUZANNE S.
O'CONNOR and ASHLEY M. HERBERT, the witnesses, this 23rd day of February, 2011.
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NOTARY