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HomeMy WebLinkAbout06-08-12PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF __ COWT`C, PENNSYLVANIA Petitioner(s) nomad be'.ow. who is%are 18 years of age or older, apply(iesi fer Letters as specified below. and in st~.ppor[ thereof aver, s) the followins and respectfully renuest(s) the grant of Letters in the appropriate form: Decedent's Information_ Name: ~i CAL/w L- C>l~jjc /Z ~ ~/Z -r alkta: a/k/a: a/k/a: Date of Death: ~ ZZ Zo/Z Decedent was domiciled at death in ~. UCS t ~!-/f.~-~ County, principal residence a[ ..2 $~~> L---i~ w ~~~i/) /_i~~~', c~ File N'o: ~> I _ I ~ ~< <-f (.assigned by Register) / // Social Security No: ~~ --zT `~37 ~~ Age at death: (Scare) with his/her last ~2 /7~/~~ Street address, Post Office and Zip Code ~ City, Township or Borough County Decedent died at ~~c-'c-iy ~1~~~ c-" ~/L 1 i¢ 6 ~= ~'l/~ lt> li/L LE` ~~°«//3c~~~~.19 ~/~ Street address, Post Office and Zip Cade Clty, Township or Borough County Slate Estimate of value of decedent's property at death: Ijdomici/ed in Pennsy(vania ............................ All personal property $ ~ ~ If not domici/ed in Pennsy!vania ........................ Personal property in Pennsylvania $ Ijrrot domiciled in Pennsy!vania ........................ Personal property in County $ Vrtlue ojreal estate in Pennsy/vania ............................................ ............. $ TOTAL ESTIMATED VALIJE.... $~ GO Real estate in Pennsylvania situated at: 1`~/ U /'CJ ~. (Attach additional sheets, i(necessary.) Street address, Post Office and Zip Code Clty, Township or Borough County ~A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) heJshe/they is/are the Executor(s) named in the last Will of the Decedrnt, dated. / ~60 ~ and Codicil(s) thereto dated State relevant circmMlances (eg. renunciation, death afrxecuror, etcJ Except as follows: after the execution of the instrument(s) offered for probate Decedent did not many, was not divorced, was not a party to spending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), and did not have a child bom or ado ed; end 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) e t.a., d.b.n., d.b.n.aLU., penden!e life, durunte absentia, durunte minoritate If Administration, c.ta or d.b.n.c.t.o., Except as follows: Decedent was not a parry to a pending divorce proceeding wherein the grounds for dive in 23 Pa. C.S. § 3323(8) 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 WiII and was survived by the follo~ additional sheed~, iJ'necessury): establ"iS`Red as G r Z N Forrn RW-01 rev. 10// 1/1011 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COU~7TY OF } } SS: } 201;?JUN-8 AMiI~ 25 Petitioner(s) Printed Name Petitioner(s) Prin cL~ ~ 9 + I S I,h' S T V ~E P- A ~ss`37 The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are we and co:rreci to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Dec Petit will well and truly aJminister the estate according to law. Sworn to r affirmed and subscribed before e,~~i ij-~.~,~~,.~.~ Date/ ~~~~j m i da of JvVt_ ,~2 ~' -"'~ ' ~~- Da[e y: ,_~ Date a the Register Date BOND Required: Q YES ~NO FEES: ^O (' ~ Letters ................. ..... $ ' ( ~~ )Short Certificate(s). ..... hf ("~ ( )Renunciation(s).... .... . ( )Codicil(s) ........ .... . ( )Affidavit(s)....... .... . Bond ................... ..... Cominissio ........... . . .. Other ~_,,, ,,,,, I~ Automation Fee.. . JCS Fee . ............... ..... ~ L TOTAL ................ ..... $ To the Register of Wills: Please enter my appearance b;y my signature below: Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Fax: Email: DECREE OF THE REGISTER Estate of 1 (~U\',~~,~~,r Gyt~ File No: ~ I IO( - (7 ~~ a/k/a: AND NOW, 4 satisfactory proof having been presented before me, IT are hereby granted to the instrument(s) dated It CJN described in the Petition be admitted to probate and filed of ForuiRW-Ol ree !0/11/207/ O in co tiler tion of the foregoing Petition, that Letters °~ ~I C/L: J ~. in the above estate and if applicable) that as t e last Wi (and Codicil ) ecede L 'o ils ~ ~ Page 2 of 2 WARNING: IT IS ILLEGAL TO ALTER 1fHIS COPY OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAIPH. (}[(~( ~Rtl/~,(~[! ~ .)rrr'~ Vr i, 3f~anp~iVb tr fit =.. JJ~ r n ~„ ,JI'tlJl.V Q Df F,1ItTNEP; HFA '~ ~ , ~ r }{. J1,~ rir. 1~~(~(~+J C -~ (~C~~- ~ `~ 1..17fiA1_ REGIS'YFtQ,If w L Ei;~11f=1r; ~ ~13:,~ OF [lE,a7t~f 2012 JUN -8 AH ~ ~ ~ 25 ...., ~~~ ~ _ _- `~I~ a 9 0,~„ nis ce r roe tln.. ~'&.. .i. _.- Name of Decedent__.- _Pauline Umberger ;; ~ ,. Sex -F~e __.___ Social Security No. _____ -174 - 24 -348$ _ __ _ Date of Death __05-22-2012 Date of E'~irth __QZ-~=1919-. - _-- Birthplace__-. Windber,__Pa. -____ __ - __ _._ _ _ F'tace of .Death _~EetLRidQP V; llaoa __ ~~rlg~ N ' 1 e Pennsylvarna _, ~,;,~ ,;;,; ~ ~,~Un. , .~,~ Race i~h1Le_ _- __ Occupation Hmm~maker_ __ - Arrned Forces? (Yes or No) No _ Decedent's Marital Status _ Wi dowed _ _____ Mailing Address__ 2$~._Re~S~?4od .LBriQ~-Sdr11S1~~_~ 1701_ ~,~~~~ <~,.~,~ ,_~~ r,rv., sa _... Informant -..-Pdu1.._.P141!1311__.------ __ Funeral Uirecfa-_ 0•_-$~Lll1_~C€rS_.___.-__- _._. .-. Name and Address of Funeral E[stablishment_ _Akers._Funeral I-brtte 294_.$3y_3Y4I4[1-I~ad.~.F.1?~L2tta_.P~._1~$~7 ____ ____ Interval Between Part I: Immediate Cause Onset and Death. (a~ (b) _- Cnngec ,v Heart-_Eailure-_ (d) -- - - - - _-- _ Part II: Other Significant Conditions Manner of Death Natural X; Homicide i I Accident Pending Investigation ,_, Suicide Could not be Determined f I Name and Title of Certifier. _ - _ Tlarr ' (M.D.. p.CL; Coroner, M.E.) Address ___ -- _ -- -.,_ f0 Ri$ S~rigg Rnad _PIESZSSZlllfl.~__P3~. ~~_- - -- This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as local Registrar. The original certificate wi'J be torwarded to the ata're Vitai Record> Oftice tor' permanent filing._~ /~ / ~, ~~.,~ ,,,w~~~,,- Describe how injury occurred: Be it remembered that I, Pauline Umberger, of 286 Redwood Lane, Cazlisle, Pennsylvania 17013, being of sound mind, memory and understanding, do make, publish and declaze this as and for my last Will and Testament, hereby revoking and making null and void any and all wills and testaments or writings in the nature thereof by me at any time heretofore made. First: I order and direct the payment of all my just debts and funeral expenses as soon as conveniently may be done after my decease. Second: All the rest, residue and remainder of my estate, of whatcsoever nature and wheresoever situate, be the same real, personal or mixed, I give., devise and bequeath to my four children, Paul Plovish, Barry C. Umberger, Sandi K. Sherba and Allen J. Umberger, share and share alike. Third: In the event that any of my children shall fail to survive me, I direct that his or her shaze shall go to those of my children who shall survive me, share and share alike. Fourth: I name, constitute and appoint my son, Paul Plovish, as the Executor of this, my Will. In the event that my said son should, for any reason, fail to qualify as Executor, I then name, constitute and appoint my daughter, Sandi K. Sherba, as the Executrix of my Will and direct that neither of the above-named fiduciaries shall be required to post bond. IN WITNESS WHEREOF, I, Pauline Umberger, the Testatrix, have to this, my Will, written on one sheet of paper, set my hand and seal this_ 24`" day of November, 2004. Pauline U g --~-. Signed, sealed, published and declared by the above-named Pauline Umberger as and for her last Will and Testament in the presence of us who have hereunto subscribed our names in the presence of the said Testatrix an~f each o~r. ~ r c z r' Cli j::_ i Ca C7n,._. ~4 ' _ ~~ ro =i`i Commonwealth of Pennsylvania County of Bedford, ss: I, Pauline Umberger, 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; 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 before me by Pauline Umberger, the Testatrix, this 24"' day of November, 2004. Commonwealth of Pennsylvania County of Bedford, ss: LORI R. PRflCE, NOTARY PUBLIC BEDFORD BOROUGH., BEDFG~RD CO. IAY COMMISSION EXPIRES JAN.24, 2006. We, John B. Koontz, Esquire, and Debra J. Brough, the witnesses whose names aze signed to the attached or foregoing instrument, being dul qualified according to law, do depose and say that we were present and saw Testatrix sign andyexecute the instrument 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 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed before me by John B. Koontz, Esquire, and Debra J. Brough, witnesses, this 24"' day of November, 2004 LORI R. Pn R OAE, INOTggY PUBLIC BEDFORD 80ROUGH., BEDFORD ~ MY COMWIISSIDN EXPIRES JAN. 24, 2006,