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HomeMy WebLinkAbout05-10-12PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF C kMBE~LI~ND 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 ,~_~~ _ VI i,r7~ Name: G71 ~ ~ A!N r' File No: `1 I a/k/a• f ~ 1LaIM1 Seardl-,~" (Assigned by Register) a/k/a: a/k/a: Social Security No: /6i~3L-3ok3 Date of Death: ri~ ~~ ZD~Z Agennat death: 9~ Decedent was domiciled at death in cY.+n hpr~ County, 1'u+nsYlrs« ~• (Stare) with hisiker last principal residence at SZLS ~v%/ssa LA.ie Lalr-N^ ~~~ Cw't' Street address, Poat Offi~e and Zip Code City owmbi r Borough County Decedent died at ~G~rYnv VI~~w~. S22S iFi%f~oe !q L /~irGM Cutrs~~ 1~~ Streetmoat Office and Zip Code ~ City, ownship o Borough County Stute Estimate of value of decedent's property at death: /f domiciled in Pennsylvania ............................ All personal property $ ~i7ds ~~' ~ If not domiciled en Pennsylvania ........................ Personal property in Pennsylvania $ ~^' Ijnot domrcrled in Pennsylvania ........................ Personal property in County $ ~' Value of real estate in Pennsylvanla ......................................................... $ ""' TOTAL ESTIMATED VALUE.... $ /Ql7i~• Rear estate in Pennsylvania situated at: N~NF (Attach additions! sheets, ifnecesrary.) Street address, Poat Office and Zip Code City, Township or Borough County A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) ia/sheMher is/ve the Executor( named in the last Will o -dated- 1~ n.a...l al~t,~rix was de~elte>i Stste relevant circumstances (ag. renunciation, death ajezecator, etc.) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a ~yto a pendin divorce proceeding wherein the grounds for divorce had been established as defines in 23 Pa. C.S. § 3323(g), did not hav~y child 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 life, data ~gen~a, du/ddre mtnorTtat n ~ . -+ I If Administration, c.ta or db.n.c.ta., enter date of Will in Section A above and comple'~~t of heitsp ~. rT`+ "~ ~~ OO Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce 1~ been estabfifaibd 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 W ill and was survived by the following spouse (if any) and heirs (attach additional sheets, ifneeessary): Address Form RW-02 rev. !0/11/2011 PagO 1 Of 2 `~ ~,~~y Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } n } SS: CO(:NTY OF L' I,tM~lE7~2tAND ~y!{e•paiy ~ Iv , r ,;;~ i ~ ZOI2MAY 10 F~`I 2t 53 Pe:iticr,erisi ?ri.^.!e~ ~iaire Petitioneas) Prine.:d address ^.'! S~.ndntt lta Kcn~i!/ 9f Mesh: fn- ,+v+e. Gnru- at NY /~~v'~ i;0~ . ~~ The Petitioner(s) above-named swear(s) or affirm(s) the statements i the foregoing Petition ar true and ct to t e best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Dece nt, the etitione s) w' ell rely administer t estate according to law. Sworn to or affirmed and subscribed before G~ Date ~-o2D -~02 me this .70H1 y~of i/ , ~/L _ Date BY~ .CIP.ic'~e.i" Date .~ a Re 'ster ~~~ Date BOND Required: ~ YES ~O FEES: /~ Lepers ...................... S 'v •~ ( 14n' )Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission.. ........ Other ...... ........ Automation Fee .............. . JCS Fee ..................... TOTAL ..................... 5 To the Register ojWi!!s: Please enter my appearance by my signature below: Attorney Signature: Printed Name: ~^~iGf ~. SAI~~S. Supreme Court 77 ID Number: J~S~3 Firm Name: Address: p Mtrl~.~eCS kIM b Phone: ~/7=rL~- C~9 Fax: 7/9- 7M1s- 77 7 Email: La~~~s 3~~~i-i~aai~ DECREE OF THE REGISTER Estate of /~~~M /d. a/k/a: Lv.Artrr File No• _ 1,~/-/~ -. [)(..~?(„' AND NOW, ~~(~~ ~/) , ~~, in consideration of the foregoing Petition, satisfactory proof having resented before me, IT IS DECREED that Letters TS~tA1LA~-ty are hereby granted to cSLw~Ae ~ /f(~1,~// in the above estate and (if applicable) that the instrument(s) dated ri 5 /9 described in the Petition be admitted to probate and filed of r ord as the last ill (and Cod' ' (s)) of Decedent, R gister of Wills Form RW-02 rev. 10/11/20/1 Page 2 of 2 __ _ _ ~. H105.805 REV f9llq ~ ~ ~~/ 1.~~ R~~TRAR'S CERTIFICATION OF DEATH ~1AG:°i~~l~~J~egal to duplicate this copy ey photostat or photograph. i Fee for this certificate, $6.a6! 2 ~4AY ! 0 Pt1 ~ • 4~ This is to certify that the information here given is correctly copied from an original Certificate of Death ,Ir h~ I duly filed with me as Local Registrar-. The original !~_~ , Q~P~viS COU~t certificate will be forwarded to the State Vital R~~ ~i~ ~ Records Office for permanent filing. P 18 4 7 5 216 ,CcQ~~.U? ~c.u y/ r 3 !D~_r Z Certification Number Local R gistrar Date Issued Type/PrIM In COMMONWlALTN Op PENNSYLVANIA ~ O!-MTMENT OF HEALTN • VITAL RECORDS P'""'"f"t CERTIFICATE OF DEATH ,,, N .~ t_ a 1, fnt F Le{e Neme FIM. Mht h, Last, ) . Sew 6. $OCI• fetY"•r umber 4. DeK Ma D•Y r) Sp• Me William Alfred 8n der Hala 166-32-3043 Aril 6 2012 e. y«w[ r s. Dao n Me wv r ( >a. ore ep ena sr .ell.. Mry Ment Gw Neura nutea Sowr Cle PA 99 .luly 22. 1912 >b. alttltMfq ICan,ntY) ch Ilcill q. w IN u ry . RNhence (Street antl Hum t -Ind • pt P.) k Did D•cadeM L In . TeWM IP Panne 1Vanla $22$ Wilson Leila QYN, Gfpdfnt Ih,ed In twp. . w I,p Cttmbexland N. Rpldenw (Sip cPdfl 17055 mNe, deeftlms uwd whhb IImM PF MachanicaburK cny/boro. 9. !wr US eftae> . MfHp StftYa K Tlme M•rr(ed 31. SurHHra • •Nfmf ( , {M Mmf Prbr TO n[ marth6f) Q yw m No O Unkrbwn D pyorW O Nfwr Marrtad Q unknown SZ. F e/a Wme ri4 !, taf4 14. M er'a Nemf Plbr to Nnt hNmiye (Flest, M WGh, LfK A fr d 8. Sn r av 1M. 1 all •Nfmf . Rf IonfhlP t0 D•cf fnt 14C. In fK's n6 Atldffu • Number, CRy, Stfef, LP Dau tax 31 Wuhin ton Avs 0rean ort 3iY 11944 Sandra Laa Kendall • .... ..... ............. .. ..-.-...... ......................... ..... ~l. w!..........-.......... ... .. ............................ ............. ....... ............................... '''' L~ ............. .... I~p~H1~pCCYrredln.r....p,ar7.-•••.•-.•••rc(, .Inp.lNne MDeKri OCCUrrW EOIn•Wt1fn i~Nn.NmpMl: ~- y~Nefplu F~cHlty y~Dlcedent'a NOmf Sm Room/O M W.tl en AMw! NYtM HOmflb -T.rm Care F•cP Other it .Fed try Nem• nK en, 6M Keel • numtbr; SSc. or Town. 6Np, end Sip 35d. COi1rrRY OfaM SaC a Ville a Machania6 BA 1 053 bar nd ~, 1 M an 6udf matlan 366. Dots D n 16c: o epos bn Noma cemepry, erfm•tory, or oeher P ) Q RfmOYel fl'Oln Sefef Q DPne[bn t3[Mr Apti112. 2012 Cremation Soclaty of Panne lvania lurHlen DMpq w Tpwn, , • LIP 1 P. S16nF[Y M NMCf U[•nFff Or frK1t In ryf of IntermfM . LIYmf HVmbK Harrisbur PA 17109 FD-013376-L 1>e. Nfmf fM Gmphq AddrfN of FYMnI FfdlRy Awr Cremation Servicsa of Panne lvania Inc. 4100 dona6tDwtl Road ElarrUbur PA 17109 ~ 1 - C elk [ < t eKH [ 1 M of Hlapenb OH61n - 30. nt • Rep • • tMll OR MOR! rotes tP In cote t r hyhfK Gfpp K leyfl M Khool pmplfbtl K tl,f tlmf of loth. bw Mfr bert Ggcrllba whKher <M dfefdfnt ell d•cedeM pMMfnG hImNN a MrafK <P N. (7 6t1, O•Gf er hw It Spanlih/IlbpaniylatlM. Chfdl tM °NO• m whip O korefn p Np dipk,ma. ben -ISM sndf bow n deradeM b I,K swnlsMHbp•nic/utino. p 61•ek er Amon wmfnpn p VlfMemfK Q N161, aehe016reduep or O!O comphtetl NO. oat SpnhhM4panl4latln0 ~ Amenpn IMhn w Nealu NKFre Q Other Aden Q Semi plhp credR, but ne W6re• YK, Mewlpn, Mfwlpn American, CMUne Q Ashn IrWhn Q Nf[hb Hawalhn Q Aa.oclap Gf6rfe 1f.6. AA, AS) Q Yft, PWRO Rican Q CIrIMN Q aYamfnlan w CMmorre ~ 6eCMbr'a de6ree (f.a aA. A6, ai) Q Yes, Cuban O Filipino Samoan Masbr'a decree If.6. MA. MS, MEn6, MEd, MSW, M6A) O Vaa, KMr Spanlih/it4panlUlatlnP Q Japsr»ae (>eMr PfeKlc Iahnder ~ DYCIOr•b (•.!. PI,D, EGO) or Profaaabnel de6rN (SpfcKy) Q O[Mr l5Pfe1N) MD ODS L1. ell's In! Ride pefl6nKlen _ Chick fNVLY ONE to ,Mlute wM[ Mf dap nt tens free ImK er Mrw to W. 33a. 'a Uwe Oaupatlon - IrMlup type of wpfk WhM [] JepMeN [] Samwn tone durlry meat ~ WOr111M IIM1. DO NOT USE RLTIRED. Q black orAmcan Amfrbfn ~KOUen Qlllhfr Padflc Islander ~ Amfrlpn Inehn or Alaskw N•dw Q VIKMmtle ~ DPn•t Know/Not SuM C1aT an Q Ylfn Indian ~ OMer Aahn ~ Rffuaftl 3 . K nd of 6ufln nduatry CMMN o NKIw NfWalhn ^ OMK (5P•cMV) Q F111plr,e [] OwmenlenwUfinerro Vnltad Ma thodllt ('f. tureri rM r I:.tYre fm011 IOnOY n! fn ep • nY Ym I w P6R60N wNO PRONOLINW Ow O - 8 , } 'L ' "' a . oae. s M D.y r) a. nm. o. .t_. /J . !~/J SI E 6 o) ~ ? SS C.\./T) . 34. wn Mfdbel lwemhfr or I GnYCtedi Yfa No CAUSE OF DEATH Apprvwimap 36. PM L Eller [h• Phfin d fyeMa.-tllYeffs, Injurha, or pmpllutlona-thK directly uYNtl Ma dafth. DO NOT enter brminel wells ouch as prtllec erreK. Inpryel: O NaT webREY1ATl. [nt.r only oM pills on a hoe. Add addrcbnfl unK M nfpaselY OmK p DfKh out l,e <M e tl D uapl/ftory erreat. or vene"euhl RbrRlfnon w lM a wl r,E oio6y. ~ 7 t ~ ' ` ~ y ~ ~ ~,r ~ ~ i ` / V t-- • ~I { V IMMEDIATE GVS[ --•--> a. w m (er K pnaeg n o T): /Foal dlifaw or cendRlon D w o ` /' j~/ ~ / + ~ rYU1tIN In tlff[h) b y ~ ~ ~IU ~ ~• -~ L Jt/ F~ ~ ~r • 1 / Li. t/~ 1 . SfgwMlNly let pndkbna. Duf to for as • conN9uerlo eD; If fnY. Ipoln6 to tM pose IIKed en Ilm e. [Mfr ell c. UM0611LYINe tJLYN Dw to (or as . pnaegwnp M; (GINNe W ln)YIy tM[ Innhtetl tM Walla rawhlM d. In tl•Kh) I.AlT. Due p (Pr ea • cenafewnce of): bu[ not rfsuhln6ln thf YntlfHyln{ pu» Liwn In part 1 2 . Was an aYtepry w rmfdT t ~ ~ ~ Y N ~ Ls. wfr. eYtoPaV n .,p wuhsl. ~ f to wmplfb ell oval d d•aMi "~•'1 N Y Ne fma e: b T p UN Gnt"btRf to Deet !1. M•nner paY Q NO[ PrtlneM within wK wa1 (] Yea PreWbly j~ NaturN Q MomICIM ' Q -u6nantNHmf Nde•eh ~ Q No Unknown 'Q AGCklfnt Q Pantlln6lrlYfttlAtlon ~{ Net pra{Mnt, but prefTan[ within tl deya o1 duth Q Suicltla Q Could not W dKfrrrllMtl r°- ~ Not pre6nent, but prf6rbM 43 days W 1 yfff OfMre dfath 33. Oftf pf In)Yry Mo DPY t lSpfll Month p UnknOWn Hpreinent wRRin thf Pin wo SS. TInb Inlury . Plfp of Inlury (•.6. home; ConKrYCtlen dte; farm; athool 5. lgcKlen Of In)Yry (Street end Numbff, GRY, StaN, Ip fl N. IMury at Wo 3>. Traluportatlon INYry, Spec S6. DeKHbe New Inlury OPCYMad: Q Yfs Q Dr1Yar/Operator Q Pedpman [] No Q PafNnPr Q t3thfr (SIHCMYI 6N. fr (Chftk On one GrtKY1n6 phyddan • To TM MK K my knowled6a, tlaath eeeumtl due to Me towels) entl m•nner Kated Q Proneunein6 a GrtRNn6 phwk:hn • TP Me bfK of my knowledSa, tlaath epurrfG at the time, dote, entl Plfaf, and dw to Me uuff(f) all mentor atKed (] McGNYII Ewaminer/CO - On M1 tbN W e:bminetbn, all/N Imv+thatlon, in my PPlnlon, tlfKh occurretl K She linlf, GKf, end plop, end dui to Mf uuae(s) and rr:ennfr spied ` Sip,eturf pf ceKlRer: Tlth of certlflfr: M ~ Lluree Number: M fY~•Z~ "1 3 +ti 6fb. amf. reN e P Poison Cwnplet 36) DSc. Dfp Shoed k R C ip ~ i a ~ , .._ +R ~fl ~.v1 it ~-r.fntN, am t t 1 - r ~.ni~ r• a atr Vm ftf\ E itVl. Hf Kf f ~a~ ~~- ~~ awz. aS.Amentlm•Ma a DaposKlen P.rmR Ne. ~ ~ YS SSH Rcv o%zo11 ia- y~y I, WILLIAM A. SNYDER, of the Township of Lower Allen, CumberlandCounty, 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. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath to my beloved wife, DOROTHY G. SNYDER, to her own use and benefit absolutely. 3. In the event, however, that my said wife should predecease me, or should die at about the same time as I die, such as in a disaster common to both of us, I give, devise and bequeath my said estate to my issue in the following manner, ~ Wig: one-fourth (1/4) to SANDRA LEA KENDALL; one-half (1/2) to JUDITH SNYDER KING; one-fourth (1/4) to WENDY LYNN BISER. 4. I nominate, constitute and appoint my wife, DOROTHY G. SNYDER, to be the Executrix of this my Last Will and Testament. In the event that she should predecease me or for any reason be unwilling or unable to act as such Executrix, I nominate, constitute and appoint my daughter, SANDRA LEA KENDALL, to be executrix in her place and stead. I further direct that they shall not be required to file bond or other security in the Office of the Register of Wills for the purpose of administering my Estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of A.D. 1994. ~~ J // W ) G~i (SEAL) WILLIAM A. SNYDE Signed, sealed, published and declared by the above-named WILLIAM A. SNYDER as and for his Last Will and Testament, in the presence of us, who at his request and in his presence, and in the presence of each other, have hereunto subscribed our names as witnesses. ~~ ., ;. llam~.. V G~ l!7 l ~.- _J _ '.1... ~ . (~\ .~. .. _.. ~ /L l': ~ V./ `... ~? Q :1 : .. -~ t.~ ~ ~ ~¢ i , Q- f~ M Q V y~/ OATH OF SUBSCRIBING WITNESS(ES) r--5 .~ REGISTER OF WILLS ~o ~ rn T (~ U YY1 dE?2U!-N~ COUNTY, PENNSYLVANIA ~~° c: -'~ ~:. c:.~ ~. U. ~- ~Zf'~ © ~ - i ~~ N S_~ Estate of fi1~ ~LL1iFw1 /~. SNY,D~i ,~ ~ , D~*eased ~' subscribing witness to they Wi11 say(s) that C r!~ ~, ~ / y/ f (Print Names) presented herewith, being duly qualified according to law, depose{s) and tshe-! he /-Ehe}r- was { vieFe. present and saw the above Testatoi~bstatfiX sign the same and that eka,~ he , the Testator~estatrix (Signature) (Slreel Address) signed the same and that ~sl3e-6 helikeg~, signed as a witness at the request of in drerf his (City, Stale, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills presence and in the presence of each other X _ (Signature) (1 ~A!'~K G r t.7~! (',trLlS _ ~P C~b Gser ~d (Street Address) (City, State, Zip) R d ' O ~ ~ ~ ~ ffice Execute out of egister s Sworn to or affirmed and subscribed ~~// before me this ~81n day ~ ~ of ~r// ~olZ: ~ ~ ~~ Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Comm ission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notariza[ion. Farm RW-03 rev. !0.!3.06 la'y~c~ OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS C k m 13E~'1Apfl COUNTY, PENNSYLVANIA Estate of l~:l/ite~ /~. .Snyder ~'w ~Ni~lii~~r ~/~ Deceased .Tkd, tti S~yd tr k~n~ and , (eazhj being duly qualified according to law, depose(s) and say(s) that she Lhe,~~ waste well- acquaintedwith W /~~~ ~+N ~• .S/~'dG" .~.i(~t ~1'/~~t.N ~~d/ S~y'a~ and amlare familiar with the handwriting and signature of the decedent, and that the signature of /~~~/~~tA>r /~• S~u" to the foregoing instrum~e+nt.purporting to be the Last Will and Testamentfeodici~of ~~~~+~ ~• Q~ ~~~INAN Id~~r~II .Snydu•- is in his~aer own proper handwriting. (Signature) (Street Address) (City, Stale, Zip) Executed in Register's Office d subscribed d an Sworn to or affizme ~O ~_ N ~ LL ~~ \\,,f V~" d f hi "`~ ~~' a ay s . ore me t be , ~• ~~`~ U '^: r`r ' r n C7Q ~~ -a~; -- "n -1 N ~ ~ A `!J d -r, eputy for eg' er ills ~ Form RN'-04 rev. 10.13.06 No,~i~_sh.~r• CA g5o~ (City, State, ZipJ