HomeMy WebLinkAbout06-28-12PETITION FOR GRANT OF LETTERS
REG[STER OF WILLS OF ~ tiPrr~X,t ®Or e° COUNTY, PENNSYLVANIA
Peti~iot.°rys Hamad ba',rc. w~.o isare IS se:~rs of a~~e cr o~~e:. apnlv(,es: tas L~t[er; as speciticd belo~,v, any i~~
scpport titar~of avar(s) t7a `ellowing and respec:Ta!!y re ,natl; ~ :he ~>rant oY Le[;er; is ;he appropriate fofn:
Dece'de~n`~'s hn-fo-r~mat~ion
Name: _St2J1.J1 L.CkI/.lD/i~ ~/t4'
a/k/~
a/Ic[a:
a'k/a:
Date of Death: ~f- !/~ -
Decedent was domiciled at Beat in
principal residence at
Decedent died at
Street address, Post Office and
S[ree[ address, Post O(Bce and
Estimate of value of decedent's property at death
County,
File No: dlI- IeY ~ ~~~
(Assigned by Register)
Age at death: 8~/
City, Township ar Borough County
jjdomiciled in Pennsy(vania ............................ All personal property
if no! domiciled in Pennsy!vania ........................ Personal property in Pennsylvania
ljnot domiciled in Pennsy!vania ........................ Personal property in County
Vrtlue of red! estate in Pertnsylvania ........................................................ .
TOTALjtiSTIMATED VALUE....
Real estate in Pennsylvania situated at J~ d/J~ ~ ~ ('~Qa ,~
(A[[nch additional sheets, i(necessary.) Street address, Pwl Office sad Zip Code Clty
A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver) he/she/they is/are the Executor(s) named p the lest WiII of the Decedent, dated
Borough County
and Codicil(s)
State relevant circumstances (eg. renuncirrtion, death of exenaor, <fc.)
Except as follows: after the execution of[he instmmen[(s)offered forprobate Deceden[did notmarry, was notdivorced, was notaparty to spending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did not have a child bortr or
adop[ed; and Decedetrt was neither the victim of a killing nor ever adjudicated an incapacitated person.
~NO EXCEPTIONS ^EXCEPTIONS
C B. Petition for Grant of Letters of Administration (If applicable)
c.t.a., d.6.n., d.b.n.c. t.a., pendente lire, durunte absentia, durrtnte mirtoritute
If Administration, c.t.a ord.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 toapending 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.
^IYfs EXCEPTIONS ^ EXCEPTIONS
Petnoner(s), after a proper search has/have ascertained that Decedent left no W'il l and
additional sheets, i/'necessary):
Name Relationshi
L
'O r. ,
tV
D tv ~ _
W
__ r~s
as uirvived by the following ~~
(ifa ny) att~ei rs (at~ir c~
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Fmm RW-02 rev. to/11/1011 Page 1 of 2
RfCC~CEG C;~F~CE ~F
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF t
r0l2 JUN 28 PM 12t 34
Petitioner(s) Printed Name Petitioner(s) Prirt
r /1 rec. I c~l~ ~~s ~ G. ~ ~~zs
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are we and correct to the best of the knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) of the Dec ent, the Petition7e~r/(s) will e I and tmly administer the estate according to law.
Sworn to or affirmed a d su 'bed before ~lfi7iY~2.C._ /' (, Date ~ - ~ % - /vim
me thi a ~ of `
By. )/ U '~ Date
Date
o the Regis er
Date
BOND Required:QYES ~O
FEES:
Letters ......................
(1 )Short Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other N)'r)) ........
$~_
N
lj
Automation Fee ...............
1CS 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
Estate of ~ ~ ~p ~~ ~ gam-- File No: ~ f - ~ a ~ ~ aCS
a/k/a:
AND NOW, \
satisfactory proof having
the instrument(s) dated
described in the Petition be
For„,ew.nz rr,..Jniurzai
9 , ~Q~a-' , in co iderption of the fpregoing Petition,
presented before me, IT IS DECREED that Le[te~ ~` h A
_ are hereby granted to ~~~~, ~ f ~,
tot a above estate and (if applicable) that
,r
to probate and filed of record ast the last WWII (and
Page 2 of 2
IP~I~~(~6TRAR'S CERTIFICATION OF DEATH
Rc'~I't~~Q~lleg~l to duplicate this copy by photostat or photograph.
Fee for this certificate, $a~.Q JUN 28 PP1 i2~ 34
ORPhiAN'~ ~UUR?
CUMBERLAND CO.. PA
P 18388757
Certification Number
TYVe/PHne In
2~
I~
v
O~
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This is; to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as C,ocal Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
~~~ APR~1 9 2012
Local Registrar Date Issued
COMMONWEALTH OF PENNSV LVANIA • DEPARTMENT OF HEALTH VITAL RECOROs
f`C OTS CSI"IET a"a
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John Albert Price Male
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plipoal[IOn Permlt Ne. d7 yl)~/TJ qEV DT/2011
OATH OF NON-SUBSCRIBING WITNESS(ES)
U I ~ REG,ISTER OF WILLS
C d~ COUNTY, PENNSYLVANIA
Estate of
Deceased
i'~~~`~(~ Yl. ~r(.l,l~l~ and ~~~~'~~ ~- ~IT I ~~ ,
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with i~ ~ h n ~ "~ . 1'(' I C `L~ and am/are familiar
with the handwriting and signature of the decedent, and that the signature of Sohn ~. P(• I C-e ,
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of T~hn I~ • ~rlc_~
is in his/her own proper handwriting.
l"V~l(.4'i1 ~ p~r~r~
(Sig ufure)
~9~ I~FS~~n~,1'r ~
(Street Address)
\p (~-I{~Ir~ '~~, fit( I~b~~
rfy. e. Z~4~C ~r ~
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this ~~ day
of;~(,~ ,aVl~
eputy for Register of Wills
!L.Ci;~ai-~ C(. CSC--C ~,C,
(Sig/nature) _.
Cc C ,,..-~ <~ PSS c~./n~~brti ~~~c~
(Street Addr
City, Sfnfe, Zip)
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Farm RW-04 rev. !0.13.06
z
Last Will and Testament
Husband
1, .JO/~N H'/Dart t Y~c
n T- / /~ presently residing at
~'y 1'Q~I ~oa0 FN,~a- ~ ~.`iVAJS~i~io~vtR-
do hereby make, publish and declare this to be my Last Will and Testament and o hereby revoke any and
all other Wills and Codicils heretofo/r~e~made by me.. / /
First I am married to / >•dy~a. /ypo~ ~ ~+.Ap~R,~ ~KL
Second. 1 order and direct that myjust debts and funeral expenses, expenses for adtpigistrat~on Qf my
... ,.
estate and any inheritance andsticcesslon taxes; sta"te or federal, upon my estate shall be paid as soon after my
death as may be practical.
Third. 1 give all my estate to my wife. In the event that my said wife shall predecease me or fails to
survive me for sixty (60) days, 1 give all my estate to my children, if any, who survive me in equal shares,. per
stirpes. If I am survived by neither my wife, nor children, [hen 1 give my estate to.
VIP /s Y7 rr~~Y /Y%cC Yw.'~'rtt~t r7Y7V IfvrGt~... l~~as~rJV ~~~-I7i1AW lrsct- Qiv~.-
((~~ /I ~j /
JAA.Y~A/ ~wU rYtC ~.,
to be his/ hers/ theirs in equal shares or their survivor.
Fourth. 1 nominate and appoint my wife as Executrix of this Will. In the event that my wife shall
predecease me or fails to survive me or fails to serve as such Executrix then in such event, I nominate and
appoint[/
~bti ~~!) w~ec~, :' ~ kecutor~Ex~cutrix of thisatty L~st,~1Wlil and Testament.
I further di?act tight n`b appointt~fi~eunr s)+all b¢'#equiredRo give anylSondfor th¢'faitfi~ul~ierformance of
his/ her duties.
Fitth. I hereby authorize my Executor/ Executrix Eo exercise all the powers, rights, discretions, duties
and immunities conferred upon fiduciaries to the extent permitted by law with full power to sell, lease,
mortgage, invest, reinvest, or otherwise dispose of the assets of my estate. ~ ~ ~
1 subscribe my name to [his Will this ~s ~ Daffy of ~wttsa~ar 19
at ~'y .~,/T ~iQ d _ ,yi/c~~ (o,v/~y/uie~.it
. ~ ~ , ~; . , ,.. ,d!
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®_196} by AFnP, MI tights rcservcd ° ,^.'.. .. ~ `ti .. .._ ..- _. r
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_ r i ~ •..~.~.:.
Signed, sealed, published and declared to be his Last W ill and Testament by the within named Testator
in the presence of us, who in his presence and at his request, and in the presence of each other, have hereunto
subscribed our names as witnesses:
(~)
(3)
(City) State)
r1f _ _ e/,~ /",r~ ,
(City'' '~` '(State)
(City) (State)
of
Affidavit
State of
County of
~ clty
or
Town
Personally appeared (l)
(~) ,: ~ and (3)~ nom, ``
who beitig''duly sworned oseand gay that they attested•the said WiH and they subscribed t~ta same.at the
request and in the presence of the said Testator and in the presence of each other, and the said;~estator, signed
said W ill in their presence and acknowledged that he had signed said Will and declared the sat}te tob'~"his Last
Will and Testament, and deponents further state that at the time of the execution of said W ill the said Testator
appeared to be of lawful age and sound mind and memory and there was no evidence of undue influence. The
deponents make this Affidavit at the request of the Testator.
Subscribed a1,nd sworn to before me this
(~)
(3)
day of
y.
(Notary Public)
19-.
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(Notary Seal)
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