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HomeMy WebLinkAbout07-19-12PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF ~~ /.ttysHo/~~/Y.vv~ 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 Name: 161P_ho sqI Vn rPL a/k/a: a/Wa: a/k/a: Date of Death: Co~a~ ann~ Decedent was domiciled at death in principal residence at ,q D I cS ct. County, with his/her Sheet address, Poat Office and Zip Code ~ City, Township or Borough County Decedent died at oZal ~u.-~.52_'~" ~f-tuP ('Q~1~sIe ~I~m~„r~l~,t,d( Pfd Street address, Past Omce and 2tp Code City, Township or Borough County State Estimate of value of decedent's property at death: /jdamiciled in Pennsylvania ............................ All personal property $ SOI000 /jnot domiciled in Pennsy/vania ........................ Personal property in Pennsylvania $ ljnat domiciled in Pennsymania ........................ Personal property in County $ Value ojreal estate in Pennsylvania ......................................................... $ TT~TOTAL ESTIMATED VALUE.... $ pl~- Real estate in Pennsylvania situated aC _ a oZ I Su.nse~- t/ /t lrt? ~~,.~~~ 5~ t~ b.~mb~l~ (Altach odditiona[sheets, i(necessary.J Streel address, Posl Ofnce snd Zip Cade City, Township or Borough Caunly [~ A Petition for Probate and Grant of Letters Testamentary r~yy Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated t't'/ 17 / 200 b and Codicil(s) [hereto dated State relevant dreumslances (eg. renunciation, death ojuecumq etc.J Except as follows: after the execution of the instmment(s) offered forprobate Decedent did not many, was not divorced, was not a parryto 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 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.LU., d.b. n., d.b.n.c.t.a., pendente lire, durante absentia, durante minoritate 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 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 sheep, ijnecessuryJ: no Q ~ N Name Relationshi Address ~•'~ i is OC ~7 ~ is y ~ ~ t.J File No:~/~ /o`~ - ~~ (Assigned by Register) SacialSecurityNo: a~-3-'~0 - 130t{ Age at death: S O .~~,~ 7 C> ~Cl .i r C'% ~Tt-1 _ n o~ Form RW-02 ree. lnillianif Page 1 oft Oath of Personal Representative COMMONWEALTH OF PENNSYLV ANIA } /~ } SS: COUNTY OF l (.I.VY\~pR~t'~( } Date Date Petitioner(s) Printed Name Petitioner(s) Pr ~ia;re R ~It.Q-rez Sin ~ ~tse cu-t~,s(e 1-~0)~ The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are tme and correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) ofthe Decedent, dte Petitioner(s) will well and tmly administer the estate according to law. Sworn to or affirmed an~ su~cnbed befor 2i ~,U,,, ~ ~ ~~Air/r~i Dace me this d~~ ~/,T.txtY/ ,p~/ Dare - iY/~~ BOND Required: YES FEES: Letters ...................... S Vv) Short Certificate(s)...... ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commissio t ................. . Other i I1 .. , ..... Automation Fee .............. . JCS Fee ................ ..... TOTAL ..................... $~~~ To the Register of Wi!!s: Please enter my appearance by my signature below: Attorney Signature: AECO~C~L` C~F'~~E QF Official Use Only 20t2 JUL 19 AM IOt 43 /C/- Prinfed Name: ~-~ f i, (~j . (,tJO Supreme Court ~ ~ I~ ID Number: '' 11 Ic Firm Name: (/gyp (r ~~ I,y~p I Address: J_p W, }i ,a ~ CQrIt.SlO ~ft 1013 Phone: ~ 1 ~ - ar-I' I - ~ 43 Fax: I Email: ( ~,i~9 r~1 t~-y. ~ . DECREE OF THE REGISTER Estate of~~~' 1 ) `,~ ~eiy- File No: (X I - I o~, a/k/a: AND NOW, ~ satisfactory proof the instrument(s) dated _ described in the Petition be L-1 ~ rn con~der~tion of the f egoing Petition, rented before me, IT~I-tS DECRat Letters A r~~ are hereby granted to( I~q', t,~ -~ ..fa (t ~r,, r- ~~ ^ in the above estate and (if applicable) that to probate and filed of,~ord a~ the I s ill (and Fonn R W-q2 r~ry. !oa vza! ~ r Page 2 of 2 LOCAL REp~J~~'~ERTIFICATION OF DEATH WARNING: It isnpt~~d~ this copy by photostat or photograph. v Fee for this certificate, $6.00 P 18488107 Certification Number rope/P,m<In _J 6 1Q-2 JUL -9 aM-Q: -- This is to certify Iha[ [he information here given is °1~ iTH OF pEyy correctly copied from an original Certificate of Death ',,{ ~ ~AOgl' _ 'rte; duly feted wtth me as Local Registrar. The origins] 1.~e~,' 3~ _ a certificate well be forwarded to the State Vitxil ~' ~V ~ G(~I~ e1L° „~ a; Records Office for permanent filing. `g9TMFN10F~``P 3 = 201 mnnn'lp Local Registrar Dale Issued COMMONWEALTX OF pENNSYLVgNIA • DEPARTMENT OF HEALTH VITML RECOPOS rverF CLe-.L~ S ~ e a y 5 . Oeceee Le al Name IFirxt, Mltltlle, use surflx) •~ x z z Flle NumDb <,C'. ' 3. 5°cial SecurlN Numbe,3< of OeatM1 (MO/Oay r) (Spell M°) 1Reg aOdsAlvarez vMale M263-30-1304 a<e q~ Suns 2, 2012 say Ival s~. D ear a y o. pr vlrtn tMp/Da /ye <) .. Ri < a state or Forclen coun[rvl ,.<nr .,I t pen e- aaBS p avr Hpp, mpt Nov 213, 1926 nn ~°°t' ~StY. a. Resmence Istata nc Forel{n coum Tb. Birthplace (County) PA M eb. Reamence Isnea ana rvpmbe.- mapee qpt rvn.l om oewam<u°e m. mwnsm v 221 Sunset Drive t§vez, aeceaem IMea In N°. Midolaton ga.`gexlu e~na~cpa~~ two. exmene. IZlp eme) ONO. aeaaent u.,m wlml^ Il aq/ep.p. mad FO,ceri 30 Marital status et Tlme of Death Merrlee ~ Wltlowetl 11.s In{spouse's Name of to first mar,lage) m vez In tip rvn OVnknnwn ODI pNey., ma,rlea OD E1a`ine Arganbrfigkit ..e ham. prlo, 12. ne,'S Nama ( Mltlale, Lait, suMx)uo M1a/a Name P Antonio Alvarez a Lily Mara ap F,re M.,,Iage tFl,rt, Mlame, Lam) m,manr. e. Remnnnrnlp to De=ment 34c. amn{Aear.aa s 3 e n cn `Elaine Alvarez 4 wi £e 221m Sweat Drive ` Npmee,, op, s ee ._ ................._._........._..................... ..._............_.................................•.~.._a=6~_....i... ec aD y one Carl sal F. p17~13 lro.am oc=p..ea m a Xospnal. Inpatient w Deam ............. ..... . Ema,gen ......._e. .. _. .@.~... ... ....... ...._ ... ~.... occurred sd;:;ewn.rc ome, roan a lio:aiia:i:" Ropm ope ... • ... .. / peV.n< .., ty ""Yt1"nbeenrx'Anm:" e s< Ot De°tl an gr,H°I 1 Nu,xln Homa/LOn{.Te,m Cara Facility osplce Facllr F qp X R ana numner: er lspecih) ls°2jY Sun~e't`lY3trY'v~g' s`~at"rifale;°'ts4~Z1plc9l`513 '`° r~6"n"d amps nr DisposRmn om 3 a' M ur a] ,emetlon 166. D°te pF OI°parltlon Opyu own-pklt pr( alpn el cQeY ya p~ n~ 6Q R vat e,( StcIN) O g DIOOnaHOn .TUn® rJ. 2(J12 ~` SL iOIaPKOILlI1N C1Vl $in'~iYonie°ry~r, C:L•@RIaL01']a 16tl. Lacs[ oOn tot Olzpoiltl°n (Oty °,T° n, 5<et¢, ana Zlpl 1>a. Sign °f Funeral nc person In Cna,ge el lnte,ment 1Tn. Lice mbar Carlisle, PA 17013w 1 " 38504 mplae Aeereaa nr F°ne.al F c a l ~ ig Oecea¢n<' E uca<I°n Check Me nax enatb x e tlescnber the 9. Oeca ant or Mlapenlc0 gin Eneck [ne ceeen['a Race-check NE OR MORE roar to rntllc°te whet blenest aeg.ee o. m...I of r=npm =nmpletee a<me time nr eeam m ~m zO . . a<ben a.r=,Iees wn e, me eeaaent ceeen<cpnaeerca mmrm ¢, nerSeXm be ~ g h ss ~ s ~w < . pemrn/w ldLano. check m. ^rvn. m<e p g en ~oma sa bart lr aecetlentalx not Spanish/Hispanic/Latino. ~ Black °, grrl g l t ¢ can mer I n zcnanl ~ H cen 0 Ve<nameae E gretlu°te a GED Cnmpletetl I° O ~ spa /X I ~ q erlc n °I ^ M en n n °r Alaska Na<IVe 0 OMe, gslan O sq college c,etlit, but no eeE,re en gma tun, Cnlcana o q lnelan dr a e¢ ( N N a `a E,.e at e Xawan.n e. qs~ o y .an o g.q: • e 0 ~ c~e: ° gI ..,ee E o M r , qq gE~ g o y . : o Fli~ol:,e °o s",C,oa,a.n n, <n.mn,rn ~: eeerc r ete.3~w,~MS, M n Mea. Msw. MgA) O v ,ome, spanlan/Xlzp.n14Launn ` ~ /•panes. O o<ner Patine Irlana¢, [] o . le.g. nD, Ee DI o .nfexxlonm aegree (speclq,) Mo Dos o M ua ro O ome, Ispeahl v 21.0 seen Single Hate seta-Dell{oafish-Check ONLY ONFta lnelca[e wM1a[me tlecetlen[conzlee,etl nlmzellor nerselfm be. 23a. Deceeent'sV ueI OCCU W wnI<ets °tlo I tll ° ° p n cate type or wnrM .pane mp.n eap,m O Blsck nr gM1ican American O Ko,ean56 O Ome, pact/IC Ialantler ^ 8 moat of wo,king Ilte. 00 NOT USE RETIgEO. n pq Inalan p,Amxka NatNe Ov pD w/Np<sare Ganeral Manager < n er o A n p o ee toss. o Reru. e zzn. Klna nr g„rlnegx/Ina„r<rv D rv. .wanan p Dane, ~sPeahl n O Fr PInP oG mp American Can Company a TEMS a -3 tl M zT BE COMPLETED O a Oay 23 s snatu,e of pe,rnn pronnuncing Oeatn O app Its 1 e Num e YPERSON WXO PRONOVNCE50R tin MH an c. U O ~ ~ ~ ~ ~~ CERTIOFIES OEgeTX ~ 33a IMa/Day ) .Tim .m a E tea/ p xamme. Pr cn,nne. cpnmc T°° N a CAUSE OF DEAT i gp^rnxlm.<. 36.P Ent¢. mecne not even<o--elzeasez, Injwlez, orrompuealons-ma<mme<H cause <ne seam. Do NOT en<er <e.mma w u en m .n res w . arms arrest i ,.<nrv arrerp nr ~en<nepmr nnmmenn wltnppvnowmg me e<mmev. Do NoT AggRE Ar En<e, only pne cease nn ab yI E qea rtm ~ a ao o L ae. aaa nal ones If n cesrary on. .am IMMEDIgre cADgE - ~p 1 , ~ - ~ ~ ----- r - --- ~ a. ,.~_ s v ~ c, ~- N ltl , a m..x.nrepnelao^ to. ~ - n°e en: //e rcs.,mmg In aeaml /( NA b - , i n w. i~Iaamg <neme ~.lpa Dp. m Ina as . cnnse°pena m.: j n. tea nn ll r<ne =. no w DERIYI c vse n (nr pq; tmsese or mmry mac D,.e< saennsev°.na - tea me ey¢n<x rcruming a. i m eeaanl uzT. ou¢ m for es. cnnzea¢ma oq: 3 36. e.n u. En<er pm., I s bp<nnt ,erw Ing In me pna.,IVme =a°xe given m wrt I i towv penp,meaa p "o y ~ ea Np - l 2g w $ m mui.<: m~ ~. .joie ma N . V Femal[ pre man<wltnin er< , DIe Tobacco Vs° C trl bu[e to DeatM1> e6 ~ N g p 31. Manna, °r Oeatn P yeB o T rc d( b o o P snant a<time ps aea<n eery p ry o X m.aa. ~ Nn ~ Vnknown n Pregnant, bu<Pregnent wltM1ln 93 tlaYS Ol tleatn 0 p [] Pentlrng lnveStlPtlan ~ s lclee p cnu a not be aetermin.a <0 1 ac beb.e tleatn Date °i In)uy IMn/De /Y s ll g °n< p`°gn y r y ,I l pa Month) O V nknaw n e n nln tM1e p ep, g en<wn . <v s .ome nnnjnrv . Pence o m)prv ro_g. neme: ron.o-palon um; ra,m; senooll Locann pf mj¢ry Isveee .na Npmb.., oey, s<.ee, np cheat ln)u,y at work 3>. If Trensport°[lon Injury, speclN: Desc,lbe How In1u,Y Occurrctl: `~ <~ O rvn p p sse ¢ r O Dena, tsp aryl 3 j' m l ~ c rt N g pbyslol.n ~Tp <ne bar or my n wleev. ee n ° arena sue eo me c.use(sl .ne m.nnv st.va m i ` M.oannnnc a s DeniN n^ ph oe n me LD.vyTEag., eeam o«urme a me e, m<., ene pmt., ana ape to me oust:)ana m.nne. rveee o e mat eaammer/cn n ar - n l g m pwnlp ~~ /or n.•..al atipn m n, seam pawrm . pence, ana ape ep me carzelvl ene m <<ne am.. Bate. ene n „ ~ a ~ name pi eerenle, Mn ! T n Nam., Aamesr {,.e zip c . nr pe,r mvl. In .<n me zsl f-~ / c e . n tMn/ /vq R.els 5 ` ¢r m.xDr. m ReElrt ~ ~ L ato az. R e Date o ~1 a,F , ~ Amentlment. - s- ao - - Dmpnxltinn Pe.mR p. Cl /i ~O~ tLl- g-343 REV OT/3013 ri.> ~'... LAST WILL AND TESTAMENT ~~(_, ~~- Gz~, ~~ ~ I, RENE ALVAREZ, of North Middleton Township, Cumberland County, P~rsylvania° do hereby make, publish and declare this to be my last will and testament, hereby revoking all wills« heretofore made by me. 1. I direct my personal representative to pay all of my debts, funeral and administrative expenses as soon as convenient after my demise. I direct that my bodily remains be cremated and that there be no viewing. I direct that all inheritance taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all properly, whether or not such properly passes under this Will, shall be paid by my personal representative out of my estate. 2. I authorize and empower my personal representative to sell any realty and/or ~~ `~~ personally owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bitls of sale therefore, in fee simple, as I could do if living. My representative is authorized and empowered to engage in any business in which I may be engaged at my death, for such period of time after my death as seems expedient to said representative. 3. I give, devise and bequeath all of my estate of whatever nature and wherever situate to mywife, Elaine Argenbright Alvarez. 4. If Elaine Argenbright Alvarez does not survive me by a period of at least sixty (60) days, then I give, devise and bequeath all of my estate of whatever nature and wherever situate to John Lightner, Christina Marie Lightner, Rodney Wayne Lightner, Stacy Renee Lightner and Michael Rene Warmelink. 5. I herebynominate and appoint my wife, ELAINE ARGENBRIGHT ALVAREZ, individually, to be mypersonal representative of my estate, to serve without bond. If ELAINE m n <„ ° - C,.; ~`i ~.~ -'7 `I ~. .~ a: ~ 'n '= C 7 F- m c~ ~ ARGENBRIGHT ALVAREZ cannot or does not serve, then I appoint JOHN LIGHTNER to be my substitute personal representative also to serve without bond. 6. I suggest that my personal representative retain the services of Wolf & Wolf, Attorneys at Law of Carlisle, Pennsylvania in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set myhand and seal this ~ dayof ,~ w , 2008. ~c~ (SEAL) Signed, sealed, published and declared by the above-named person as and for a last will and testament, in our presence, who at said person's request, in said person's presence and in the presence of each other have hereunto set our names as subscribing witnesses. ._ ~. G WE, RENE ALVAREZ, NICOLE H. MAU and STACY B. WOLF, the testator and witnesses respectively, whose names are signed to the foregoing instrument, being fast dulyswom, do hereby declare to the undersigned authoritythat the testator signed and executed the instrument as his last will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the will as a witness and that to the best of their knowledge the testator was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. ~ !/`ly NE ALVAREZ NTICOLEnnH. MAU ~/ ~I I/ I ~n ` / n /I STACY B. W(~.F COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss: Subscribed, sworn to and acknowledged before me byRENE ALVAREZ, the testator herein, and subscribed and sworn to before me by NICOLE H. MAU, and STACY B. WOLF, witnesses, this fZ_ day of Apri12008. COMMONWEALTH OF PENNSYLVANIA Nofadal Seel NaThan C. WoH, Notary PubAc Ca~sie Bono. Cumberland Canty MY Cornmisabn Expires Apr.19, 2006 Member, PennaNvanfa a~sociatian OI Naarlea