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HomeMy WebLinkAbout04-27-12PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF ~ /,L rh ~~L'T~ ~ 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 Qrant of Letters in the appropriate form: Decedent's Information Name: r'Y'tZ C f~ ~~~ r? a/k/a: a/k/a: a/k/a: Date of Death: Decedent was domiciled at death principal residence at GD Street address, Post,Ofyfice and Zip Code Decedent died at 7d ~ ~,(f!z /A u / ~jh~/,y Street address, Post Office and Zip Code File No: ~ ~ ~- ~ ~~ " ~> ; ~~-~ (Assigned by Register) Social Security No: ~~ 5 ' ~[o -,'j(,5 7~ . Age at death: County, (Stare) with his/her last / tty, Township or Borough / / Couni City, Township or Borough County State Estimate of value of decedent's property at death: `~ If domiciled in Pennsy[vania ............................ All personal property $ ~ 3,3~~ , If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................ Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ ~ ,~/ / E' ~ Real estate in Pennsylvania situated at: (Attach additional sheets, iJ'necessary.) 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 and Codicil(s) thereto dated State relevant circumstances (e.g. renunciation, death of executor, etc.) /v~ Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divot_Cgd, was not a p~.tiy to a pendi~gt divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), ai3dQi~d not have a'child htFtn~ adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. -p -~ ~" '_~t '- ~-fIn -~ , ~NO EXCEPTIONS ^ EXCEPTIONS u, ~ ~ ~a ;~; ^ B. Petition for Grant of Letters of Administration (If applicable) _~ - x, - c.t.a., d. b. n., d.b.n.c.t.a., pendente life, duran't~6libe74aiu, durtmte minorittr _3 ; -- _ ;_ ,--, If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and compl e~t of hen's? -- ~~ ~- ~-`~ O Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been establ~lted as define 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 spouse (ifany) and heirs (attach additional sheets, iJ necessary): Name Relationshi Address Form RW-n2 rw. ~nilliznll Page 1 of 2 Oath of Personal Representative CO~1~[ONWE:aLTF{ OF PENNSY'LV, NL-1 } } SS: ~~n ~'T~' OF CG(G%'2 E~t~~~ i-: -~~~ I Pedr.c::~n ~. ?nme~ ~.:;::~ Petitioner :, Pri~;:ed .~d ~ .•~ i e-- Gt ~ ~~~? The Petitioner(s) above-named swear(s) or affirm(s) the statements in the fore ing Petitio re tnie and correc to the best ofthe Imowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Dece ent, th titioner(s) ' I w an truly minister the estate accordi g to 1 Sworn to or trmed a subscrib d befor Date meI thi ay f ~ , ~~~ Date BOND Required: Q YES ~O FEES: Letter ...................... $ O' L~ ( ~) Short Certificate(s)...... , `" ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Conunissi fin...... !' Other ~'~ ~ .......... To the Register of Wi!!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 - ~ r(? L~? ~ . / ~ L7L ~~ ~ ~~_ ~ ~'~~ File No: L a/k/a: ~i ~ AND NOW, ~ ~. / ~~ ,~~'~~/ , in consideration of the foregoing Petition, s 's roof havin been presented before me, IT IS DECREED th t Letters - ~~ '' 'L~ are hereby granted to ~ ~~ ~ i the above estate and (if applicable) that the instrument(s) dated ,/Cc'>2 ' - described in the Petition be a milted to probate F~,~,,, aw-na ,~w. tniuiznr~ of r~ee~rd as the laill (and~L`pdi il(s)) of ster of Wills Page 2 of 2 ,~ _S_~ 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 1772~6~~ Certification Number This is to certify that the information here ~iven is correctly copied from an original Certificate of Death duly filed with me a'; Local Registrar. The original certificate will he forwarded to the State Vital Records Office for permanent filing. L~axve. ~~ AU 2 2 2011 Local Registrar Date ]slued E~~ ~ m rv , < ; -;-, _ , c--.. ~ c~ _,-) -- -~ ~, > ~_ -- -- ~ .~ --+ ~ ,-= %~ (~ D ~ Lr= ~ .~ M705-743 flEV 712006 COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH • VRAL RECORDS TYPE / PRIVY IN eLRAO'Aic"irr« CERTIFICATE OF DEATH (See Instructions end examelea on tmvnranl 3 'J I c~ ainio rl.e rvumnen t. Name d Decedent (Rrst, mMAa, bat, aMnxl Grace B . YOhe 2. Bax 3. Serial Senntty Num6a 4. Date of Dean (March. day, Yaar) Female 165_ 265078 A ust 21, 2011 s. Age (teal elrMNey) antler t lAx7x 7 M. Dare a BFth T. el ace G endseb a ee. Pbce d Dann, check as r 94 kbmhe Days rlaas keniers Hoapttal: paler: June 20, 1917 Carlisle, PA Ym' ^ IrpaMm ^ ER / Wgalfem ^ DOA g] Nuresq lions ^ Re6lderlce ^ Omer - Speciry: - W. Cwnry d Deem ec. CM. Boro, Twp. d Daalh Bd. Fadsy Name (M nal iatlMbn, gM sired erM numMr) 9. Wes Dacedem of tlaPemc Orgin? ®No ^ Vn 70. Race: Amedcan IMien, Black, Whib, etc. Cumberland Carlisle Forest Park Health Center °I'"`''P°`~CuOan' ( IAexiran, Pueda Riran, ek.) White ' 1 i. DaceMm s Usual eon IGrd d work tlarw moM d Me. Do rid slab m 12. Wae Decedem ever N Iha 13. Decedem's EMOanon (Spedry anry higMSt grade completed) 14. Merttal Sblus: Martbq Never Married. 75. Survixing Spouse (n woe give maiden name) , ICxM d Wak Klntld Buslnnsl md4etry U.S. Armed Forcea7 Elemenrery / Sewrdary (612) Cdlege (t-1 a 5.) Wxlowed, Diverted (Speay/ Homemaker Own Herne ^ vee (~ Na 12 Widowed 76. DacedenYS Meinrlg Address (Street, dry /lows, slate, ap coda) DecedanYs Ditl Decedent PA 700 Walnut Bottom Road A dual Reaidencw na. State LNe in a t?c. ^ vas, Decedent axes m T wp rownshipT Carlisle, PA 17013 ,,,.ppuny C_t,mt,arland nd.~Np,DecedentLNedwm,in AI;pW Umilanl cart ; cl p ~,,~m 18. Fathers Nana (Fat, nidtlb, last, suffix) 19. Momers Neme (First, midde, meUan amerce) Charles H. B sser Laura Brehm 20e. IniormvtYS Name (Type / Pdnt) Laurel Yohe 20b. Imomlant's Alailig Addren (Street, cnY' /tam, slab, by code) 14 Hamilton Road, Boiling Springs, PA 17007 21 e. Memod d D'upoeltbn ^ ~~~ ^ ~~ ~ &nel ^ Removdlramstme ~ wrc tl D 270. Date d Diapoeabn (Manor, day, year) 21c. Place d DleposMOn (Name of cemetery, crematory a arcs pba) 21tl. Locetlon (City/tam, meb, Lp mde) rerm ona alrlatAuMlaUed ^ oMbr~ MMpI Exalmner/corarla'1 ^ vas^ No Aug. 24, 2011 Westminster Memorial Gardens Carlisle, PA 17013 ~ semce acing ere ax:hj zzb. Lx ~s~ zzc. Name ant adaess a Fadliry Hof fman-Roth Funeral Home & Crematory Complete hems 23as n cednying phyakbn h not evaae M lime d deem to z3a. To ma Msl d my krwwiedge, deem ocwrretl at m. arcs, dare and place stated. (Signature end Mlel 230. license Number 23c. Dale Signed (MOnm, day year) teary uu~ d deem. ^.~~ ~`1 ` ~--' ` ~.---- - ,. --wV~- t J~ , , Q -~ i b f (-t l~ ~ t^. ~ ~ ! r Ioxn 24.28 muss M campbtee by person ~ who pronaxrres deem. 24. lime of Deem ~ 25. re P / mrrouncetl Dead (MOmh, day, year) ~v 26. Was Case Relertetl b Metlical Examiner 1 Coroner fore assert Omer man Cremation a Donation? a ,~. ~ ( Ir ^ Y65 ^ No CAUSE OF DEATH (Sae Imttruclbna a exampNe) 1 Approximate bbrval: ttarl 27. Pad C Erder ma dakl d enms - Meares, injurlse, a cenlPlkwtlons ~ mat 6racnY ceased me tleMM. W NOT enbr bmlinal events Such n terdBC arrest O t Pen II: Enter Omer 28. Did Tobacco Use Camdaea to Deem? , nse b Onm reepir a rory ores, or wxmicubr ihmbtlorl wiMIM slxMrg Mrs etiology. Lbl anry aw ease on each Noe. , but not reslsbg n Ma untledyirg cause gwen m Pan I. ^ Yes ^~~PmbMadMy~ r F disease a ~ e ~m g n , ^ No L'1"Gnhmwn m) de l a. 1 -~ .'>Lair..• zs. n Female: Due to (a m e ~°~° J~/°~ i , pregnant wimb sl ~a ~ ~r g tat calMOrla, d sry. ..7.~11+~1lh.~C V ~~ ~~ ,IC b. r ~ ."'~""„ ^ Pregrrem at line d deem b alas NeleO on ins a. UNOEIILYRIO CAUSE Due 1o ja as a consequence oq: ^ Na pregnem, but Weg,wll wsnn 42 days (Mane a iMaY that inseted tlw 9.wnre rewiring n deem) UST. ` Due to (a ere a mrmequmtw oq: d deem ^ Na pregwnl, der pregnan143 tleys to 1 year ~ d. ~ Mlare Mom ^ ummown n pregnem wimb aw past year 30e. Wes an ArAOpey 300. Were Autopsy FMlrgs 31. Manner d Dwm 32a. Dare d Injury (Mmm, deY. Year) 32h. Descri0e How Injury Ocanatl PodanrretlT Aveaade Poor la Complelbn t-j~ 32c. Pbce d mryry: Home. Farm, Street Fecitxy I ^ Ibmkide d Ceuee of DeemT IO NBhxe , , Ofice Building, ek. /SpwN(y1 r,-,/ ^ Yes L`_f No ^ Yn L7 Na ^ ~~nt ^ Pendirp hrvsslpanon ~' Tk^a a Injury 32a. Injury et WakT 321. II Tmmpodatlon INu7 (SPaoiN) 32g, Carrion d'mryry (Street, d ty / rown, state) ^ SukMe ^ riWld Nd M DebmwaE M ^ Yes ^ No ^ Drhar/Operator ^ Pasaerga ^ Pabsaian Otller-Spatiyy 33a. CemHa (tlle It ally one) 33b. Sipnalure a AN Grillbr • LeMlylrq phyaklan (PhysiNen rareMn9 reuse d mom when eaear physipen has prarouaatl tlaea ant completed Item 23) T th M d ~ .•~f o n my knswtedps, deem oaumstldw to Ma eauee(a]arq manna as aUbo_______________ ~ Pronoualrr and lM b h k P ~f~~ti1 /~~ g cp y g p ya bn ( hywdar bM prmwrxalg Omm arrtl adnyiry) ro cease d seem) To Mrs Mat d ny lotawlsdgs, deem occurred at me IMa, rite, end plea, arld due b Ma nwe(a)aM manrcrn ebbd ^ 33c. lJOSnw Number 33d. Data Signed (Month, deY.Yea) __________________ • Medal Examina/COraw D ~ ~ l > ~ Z- On tla MW of sxemlrMlon and! a InveatlgMlon, In my opinion, IbeM occurred n tla tkra, date, and pbce, acrd due to the c•uWe) ant manrar n eMerL ^ 34 N d Atld P . ame. an re§gaf eraorl WM Compk~ Crease of Deem (ttem 2T) Type / Pdnt ~ 35. Registrars re arM DiSlrid N ~~ I_~. I I I ~ I I I (5 I Deer glad jManh. mv, vnr), J / ~ C ~' (J ~ ~ o S ~ / /c ,ti f . i ~c L / Z ~~ Disptsitlon Parton Nc. , O L~_J I -t ~~r ~-~ -- s~ 3 LAST WILL AND TESTAMENT OF GRACE B. YOHE I, GRACE B. YOHE, a resident of 552 Gutshall Road, Boiling Springs, Cumberland County, Pennsylvania being of sound mind, memory and understanding, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils heretofore made by me. ITEM 1: I direct that all my just debts, the expenses of my last illness and funeral expenses be paid as soon after my decease as the same can conveniently be done. ITEM 2: I direct that there shall be paid out of my residuary estate all estate, inheritance and like taxes together with any interest or penalty thereon imposed by the government of the United States, or any state or territory thereof, or by any foreign government or political subdivision thereof, in respect to all property required to be included in my gross estate for estate, inheritance or like tax purposes by any of such governments, whether the property passes under this Will or otherwise. excluding, however, any property over which I have a taxable power of appointment, provided, however, that no residuary beneficiary shall by reason of this provision be denied the benefit of any deduction, credit, favorable rate of tax or other benefit which by law enures to such beneficiary. :_:-~ ~..- s --'' u` C, !~ _ _- _. ~ r. ---C _ ' i _ u_ ~ `~ ~_: _ ~ - ~ , _ ~, ,; ' ~ ~ N W ~ __' ._ L.i.J i' '...~ ~ > ~ C_.i Lia r[1 L n- 1 GRACE B. Y E LAST WILL AND TESTAMENT OF GRACE B. YOHE ITEM 3: I give, devise and bequeath all of the rest, residue and remainder of my estate, real, personal and mixed, of whatsoever kind and nature, and wheresoever situate at the time of my death, unto my daughter-in-law, LAUREL I. YOHE. ITEM 4: I hereby nominate, constitute and appoint my daughter-in-law, LAUREL I. YOHE, Executrix, of this my Last Will and Testament, with full power to do any and all things necessary for the complete administration of my estate, and direct that no bond or other surety is required of her in this or any other jurisdiction for her performance of this office. ITEM 5: If any provision of this Will or of any Codicil hereto is held to be inoperative, invalid or illegal, it is my intention that all the remaining provisions thereof shall continue to be fully operative and effective, so far as is possible and reasonable. IN WITNESS WHEREOF, I, GRACE B. YOHE, the Testatrix, have to this my Last Will and Testament, typewritten on three (3) consecutively numbered pages, subscribed my name and affixed my seal this ~ ~ day of December, 1995. -..Q 13 !'f~ (SEAL) 2 LAST WILL AND TESTAMENT OF GRACE B. YOHE Signed, sealed, published and declared by the above named GRACE B. YORE, as and for her Last Will and Testament, in the presence of us, who have hereunto subscribed our names at her request, as witnesses hereto, in the presence of the said Testatrix, and of each other. R ~ ~. esiding at ~ ~~~ residing at ~ f~~z - ,~, /~~~~ i v ~.- v 3 -, ( ? rL] l ~/ ~ `--- > ~ ~ (r _._r ~ it yC ~~ ~ s t ~f'ft 2 ~ ~~ i ~(~~ ~,.~ O NTH OF SUBSCRIBING `VI'I'~TESS(ES) CLERK r~r QRPHA~!'S COJ,r REGISTER OF WILLS Cl1MRF'~'l ~~'''~~ i";(1 PA ~" n tr ~c ~ ~ ~ I.~. ~~ COUNTY, PENNSYLVANL~ Estate of ~~~~~ .~'- Deceased ~>> d'~~ ~' /s° ~~ ~P L v ~ a , (each) a subscribing witness to (Print Nan:e/s) the O 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) (Street Address') (City, State, Zip) Executed in Register's Offzce Swom to or affirmed and subscribed before me this day of Deputy for Register of Wills (Signature) /~ ~ ~ E~/~~L~ ~t-~E-~ (Street Add ess) r G L t ~2 ~/ ~J ~?~ /T / / ~ G~ (City, State, Zi Executed oast of Register's Office .~ ~ ~+ ~ Sworn to or affirmed and subscribed = ~ 3 before me this 13~ day ~ ~ '_, 3 s of~c~1 1 ~bt`z- ~~~~ z 33~~ .. ~ /,/~' ' ,,, ,,' o ~ ~ • Ol M~ ~ . otary Public ~ ~,~ My Com.~nission Expires: ~3 22 - u,~,f- ~ (Sierra;~rre and Seal of Notary or other effcial cualified to administer oaths. Show date of expiration. of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notar,zation. Forrrr RW-03 rev. !0.13.06 ~~> ~',~~~ ~'r~ 27 €, f0~ 4~, Estate of O~TI-IOFStiBSCRIBhiG~VIT~TESS(ESj ~~~~?~,:~~ 4RPNAN'S ~ O~,iRr REGISTER OF WILLS t" ~, u ac ~ ~ ~ 1.~.~.! COUNTY, PENNSYLVANLA Deceased G~~ ~"F'~t G ti~V ~C, ' ~~ 6~ UCH? G~~~ ~~' ~" <' , (each) a subscribing witness to (Print Name/sJ the O 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. C' r s (Signature) (Signature) G I~3 ~o .~.~ ~ s7-,~ ~ ,~ t (Street Address) (Street Address) ©~ ~i~cs" ~~ i~ GG--fj ~~ /~d a~ (City, State, Zip) (City, State, Zip) ~~ _ n m4 ~~ ~ 3 Executed in Register's Office Executed oast of Register s Office 3 '° ~ ~1' Sworn to or affirmed and subscribed Sworn to or affirmed and subscribed Z, ~ ~ x} - _ ? ~ before me this day before me this I 'y day s ~ ~ 3' ~ ~ . ~• m o of of l~'rr l , d b /~ ~ ~' ~ ~~ ~ ~~ a -~ti g~' ~ Deputy for Register of ~ti ills otarv Pubic ~'~ S ?~1~~ Com.'nission Expires: D,3 - a z - zo i~ aa~re zn~ Sea; of Notary or other e`.~cl::! c :aiinec to adr:;ir..;:er oz:hs. Show date of expi:atior. of No:arv's Com mission.) NOTE: To be tai<en bq Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of nutaiization. Form RW-03 rev. !0.!3.06 G~~~ y~~ cs~-- ~ -~"fi~"~~ i~ .~~ l