HomeMy WebLinkAbout07-03-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF 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 /nn<
Name: _ a~renr ~' I1QG
a/k/a: ~~
a/k/a:
a/Wa:
Date of Death:
Decedent was domiciled at dea in ~ County,
principal residence at I SO I r.`.d n ia. 171/ ~
Decedent died at/
address, PgSt Omce and ZIp Code
File No~~~ , ~~~~
(Assigned by Register)
Social Security No: ~ ~a -
Age at death:
(Stare) with
or Borough
Street//s~~dd a r, P sl t and Zip Code Z.ity, T~wnshlp or Borough
Estimate of value of ~ecedi<nt'tt ddath:
/jdomiciled in Pennsylvania ........................... All personal property
If not domiciled in Pennsy!vania ........................ Personal property in Pennsylvania
Ijnat domiciled in Pennsymania ........................ Personal property in County
Value of tea( estate in Pennsylvania ........................................................ .
TOTAL ESTIMATED VALUN....
Real estate in Pennsylvania situated at:
(Atmch nddirionaf sheets, i(necessary.J
Iy~,OD'
s -
s / C®ar7
Street address, Poet Omce and Zip Code Clty, Township or Borough County
[t~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 Decedent, dated ~ and Codicil(s)
thereto dated
State relevant dremmtancea (eg. renunciation, death ofexecuroq etc)
Except as follows: after the execution ofthe instmment(s)offeredfor probate Decedent did notmarry, was notdivorced, was notaparry to spending
di~ 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 d; 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.La., d.b.a, d.b.n.c.r.a., pendenre cite, durante absentia, durante minorirure
If Administration, c.t.a. or d.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 to a pending divorce proceeding wherein the grounds for divorce had been established as defined
iit 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
^NO EXCEPTIONS ^ EXCEPTIONS
r.>
Petitioner(s), afters proper search has/have ascertained that Decedent left no Willard was survivedby the following se (ifany)ani~eirs (attach,
additional sheets, iJ'necessary): v ~
L i n~ c"~
r
Name Relationshi Address ~' r '=~`~'
-_
=
8~
rW
_ '
Form RW-01 rev. l0/ff/20l1
n..~e. ,.e n_____ _.
Page 1 of 2
3, r...,,-,.. _~I~
~sE~~)rs~rt.~ ~'; t,E
nr,~ircTn ~ ~klll 1 ~
a~aau ~. r eraunaa representative
COMMONWEALTH OF PENNSYLVANIA )
} SS:
COUNTY OF ) oft;el~tsai v: ~ ~-
2~i2 JUL -Z PM 12~
F
Petitioner(s) Printed Name Per loner(s) Printed Address
Q
~EGC~r1D'e~i ~~~~~;E OF
..~,~,.~~, ~uutn
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
}
) SS:
}
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the fog,
of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the
Sworn to or affirmed d subscribed before
met ' day f ~-
sy:
e Register _
t~i2 JUL -2 PM 12~ ~7
Petition are true and correct to the best of the knowledge and belief
ier(s) dl well an truly administer the estate according to law.
BOND Required: ~YES~NO
FEES:
Letters ...................... S~_
( 1 )Short Certificate(s)...... fl ~
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commis 'an ..................
Other l~\ ,,,,,,,, ~~
Automation Fee ............... ~
1CS Fee .................... .
TOTAL ..................... $ ICS '$lT
Ta the Register of Wiits:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name•
Supreme Court
[D Number:
Firm Name:
Address:
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate of ~ I l~~ry„`(\~ ~- `~ ~' File No: ~I - 1~
a/k/a: ~ -
AND NOW,
satisfactory proo
the instrument(s) dated _
described in the Petition
Form RW-01 rrev. l0/l1/101/
J , ~O , in cons'der lion of the foregoin
presented before me, I S DECREED t Letters
_ are hereby granted to~ ~C, ~ e ~'
_ in the above estate and (if applicable) that
to probate and filed of r~iord aslthe last }'Vill (and
V`
Fage 2 of 2
Hiu~ans uev imnl _ _. - - - - - _ _ - -
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It i ~tQ du~1 his copy by photostat or photograph.
Fee for this certificate, $6D0 This is to certify that the information here given i ~~~ ~ ~~~ _~ correraly copiui from an original Certificate of Death
d I flat 'I
P_ 18614728
Certification Number
pe/Pr
'wl
fi
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V
a
n Y ~ ~~ ~+'(~ 7 me es Local Registrar. The ongmal
certificate will he forwarded to the State Vital
{ ;., . Records Offices for permanent filing.
(XM CBE RN~t ~~~,~„~~~ JUN
s ~ ~z
Loco] Regtetrar Date Issued
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REVD izoi.
LAST WILL AND TESTAMEN']C
OF
-
~ ~~
MARGARET A. BOCK `~~'~~ _ r ~~~
C
-' ~
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n
s
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D . C
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AD
. C
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Pennsylvania
bei~f sounc~nd
of Cumberland County
I
MARGARET A
BOCK ,
-`~ _ t
,
,
,
.
, 'T
rg mind, memory and understanding, do hereby make, publish and declare this ~ d I
~~
Last Will and Testament, hereby revoking and making void any and all wills by me at any
heretofore made.
1. I direct that all my debts and funeral expenses be paid as soon as practical after my
by my Executor or Executrix, whichever the case may be, hereinafter named.
I direct that all taxes that may be assessed as a consequence of my death shall be paid
my residuary estate as part of the expenses of the administration of my estate.
2. I give and bequeath my antique cherry drop-leaf table unto my nephew, namely,
PHILIP L. BOCK, III, absolutely, said bequest being made in keeping with the intent and request
of Philip L. Bock, (Sr.), the beneficiary's grandfather.
3. I give and bequeath my Order of Eastern Star Past Matron's Jewel and other Order of
Eastern Star jewelry, collections and memorabilia unto STEADFAST CHAPTER N0.479 of the
ORDER OF EASTERN STAR at Camp Hill, Pennsylvania, absolutely.
4. I give, devise and bequeath all the rest, residue and rerainder of my estate, real,
personal and mixed, and wheresoever the same may be situate, to my grand-nephew and God-
son, namely, DAVID EARL BOCK.
In the event my said grand-nephew, DAVID EARL BOCK, should predecease me, I give,
LAW OFFICES
SNELBAKER &
BRENNEMAN. F.C.
se and bequeath all the rest, residue and remainder of my estate, real, personal and mixed,
wheresoever the same may be situate, to my grand-nephew's wife, namely, JESSICA BOCK.
5. I hereby nominate, constitute and appoint DAVID EARL BOCK as Executor under
my Last Will and Testament, but in the event he should predecease me, fail to qualify or fail
serve in such capacity, I nominate, constitute and appoint JESSICA BOCK as Executrix under
my Last Will and Testament.
I hereby direct that no person serving as Executor or Executrix hereunder shall be
to post any bond to secure the faithful performance of his or her duties in the
of Pennsylvania or in any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and
written on Two (2) pages this 21 S` day of Mazch, 2011.
.Q'~~ (SEAL)
Mar •et A. Bock
Signed, sealed, published and declared by MARGARET A. BOCK, the Testatrix above named,
and for her Last Will and Testament, in our presence, who, in :her presence, at her request, and
in the presence of each other, have hereunto subscribed our names as attesting witnesses.
d.rncC,ra, KdhoA~uu~
Id/~~
-2-
LAW OFFICES
$NELBAKER at
BRENNEMAN, P.C.
COMMONWEALTH OF PENNSYLVANIA)
OF CUMBERLAND
SS.
We, MARGARET A. BOCK, KEITH O. BRENNEMAN, ESQUIRE and SANDRA K.
the Testatrix and the witnesses, respectively, whose names are signed to the
or foregoing instrument, being first duly sworn, do hereby declaze to the undersigned
that the Testatrix signed and executed the instrument as her Last Will and Testament
that she had signed willingly, and that she executed it as her :Free and voluntary act for the
therein expressed, and that each of the witnesses, in the presence and hearing of the
signed the Will as witness and that to the best of his or her knowledge the Testatrix
at that time eighteen years of age or older, of sound mind and under no constraint or undue
influence.
Q, ir~i
Testatrix
~~~,~. kd~Q.pb
Witness
~~~~-_
Witness
sworn to and acknowledged before me by MARGARET A. BOCK, Testatrix, and
and sworn to before me by KEITH O. BRENNEMAN, ESQUIRE and SANDRA K.
this 21 S` day of Mazch, 2011.
uw oRRices
SN ELB AKER at
BRENNEMAN. P.C.
G
rn Notary Public
Nolrld Seel
9ueen L ~ Neyyp~gp
E~YeeI~bv 747D~N
"'k'mBnr. PennevlyenM naeodaeon