Loading...
HomeMy WebLinkAbout07-27-12Reset PETITION FORJGRANT OF LETTERS REGISTER OF WILLS OF Ct~ be>'I~d 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 1 Name: Or.~ j j~ mQ f'1 ~e ~/ a/k/a: a/k/a: a/k/a: Date of Death: ;S~t I t.' S , ~~ I Decedent was domiciled at death in principal residence at Street ~d``dr~ess, Post Office and Decedent died at /-~ ~U Snail r ~ , Street eddresa/Post Orrice end Zip Estimate of value of decedent's property at death File No: (Assigned by Register) Social Security No: Age at death: 7 U with his/her last City, City, Township or Borough /jdomiciled in Pennsylvania ............................ All personal property Ijnot domrci[ed in Pennsy/vania ........................ Personal property in Pennsylvania Ijnot domiciled !n Pennsy/vania ........................ Personal property in County Value of real estate In Pennsylvania ........................................................ . TOTAL ESTIMATED VALUE.... Real estate in Pennsylvania situated at: (Attoch additional sheets, ifnecessory.) County County Stste $ 2`~rD~OrGd $ ~~~_ d rYl 0.00 Street address, Poat Omce end Zip Code City, Township or Borough County A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) be/s a/they is/are the Executor(s) named in the last Will of the Decedent, dated Md~• /~a ~~~ and Codicil(s) thereto dated ('/1/ jt I State relevant dreumstancea (eg. renunciation, death ojexecutor, era) Except as follows: after the execution ofthe instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending divorce proceeding wherein the gromds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), and did not have a child bom or ]ad(oy~fed; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. (i,~ n0 EXCEPTIONS ©EXCEPTIONS "' © B. Petition for Grant of Letters of Administration (If applicable) ~ ~- ~ c c. t.a., d.b.n., d.b.n.c. t.a., pendants lire, durant .irfayq; durarRE mina- _ t2 It Administration, c.t.a. or db.n.c.t.a., Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds fi)r divorce in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. © NO EXCEPTIONS ©EXCEPTIONS ~!establislYR) as defdie~ ~ ,: - 'TI ri = n _y N }~ ('T't Petitioner(s), after a proper search hasrhave ascertained that Decedent left no Will and was survived by the following spouse (if any) emirs additional sheets, ifneeessaryJ: Name Relationahi Address Gf o l n~r~ /'iPn~ Kbll /~ ~/a/eqr~ 14~c~uc lac ~~ (Zry'~ Porm RW-oz rev. roiuizon Page 1 of t Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } ry ~,,.,~y/~ } SS: COUNTY OF \.~ 1 1~~~~.>ls lX } AE{~C~RUED ikF1(~ OF f?Fti~~ i c L ~: ~,~fll I Petitioner(s) Printed Name Petitioner(s) Printed Address V ~ b'n ~. pmt (pl ~ A0~ ~~ (r~55 The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner(s) will well and tm mister the estate according to law. Sworn to or affirmed a d subscribed b~yfore ~ ~ic,~n7 ~.~>~~~ -Date ~~/a me th' y Q 12 Date By: Date For the gi ter Dale BOND Required: ~ YES ~ NO FEES: Letters ...................... $ -~ ( )Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commi~i~ ................ Other n' " ~! ........ l~ Automation Fee ............... JCS Fee . .................... TOTAL ..................... $~--- /y9 6zT- To the Register of Wi!!s: Please enter my appearance by my signature below: Attor Signature: Printed Name• ~~ C- Sk~~ Supreme Court ~~'/~ ID Number: 7 ~ / 'Q/ Firm Name: rCW ~~ vr"•~ Address: o. . e 6~~ 4T" e ~~a car rcSL,. 1?U Phone: X17 ~~~7- 7dsV Fax: X17 '6 7~70G _ Email: GD!/i'in/f. 5 u V F)1N'livt. a~ DECREE OF THE REGISTER Estate of a/k/a: AND NOW, ~ , ~U )r; in coq ide anon of th foregoing Petition, satisfactory proof having b r presented before me, IT {DECREED that etters are hereby granted to ~~ ~~ lv~ Slv. , ~ in the above estate and (if appl cable) that the instrument(s) dated ll ~ / h / ~ `~ described in the Petition be admitted to probate and filed of reFprd as the last Will (and ril r-~-~p~ , ~/U V 15-~ ~ File No: ~~ ~ ~ i~~ , Form RW-OZ rev. ioirnzou Page of 2 u il:\'. LOCAL R i~(A~~FCERTIFICATION OF DEATH WARNING: - ~~rt~rtly+gl(~te this copy by photostat ar photograph. 1,/,,,, Fee for this certificate, $6.00 ~~~Z ~UL ~~ ~~ ~~ ~ This is to certify [hat the information here given is ~~~p~1H DF pE~y correctly copied Irom an original Certificate of Death ado 'rte, duly ifded with me as Local Registrar. The original npD - Iz3 certificate will be fonvarded to the State Vital Viu ~ 5 ~ ?~ a; Records Office (ot permanent filing. CUMBERLAND C > -- P 18 615 3 9 4 - ~ o~~q9 M ~,~z°,x T ~~ C /u/uFcuu~- c~U~/j A 717 ~` g~ _. , fNT 0 0l Certification Number ,,,,,.11^ ""' L l R i / TPa Rrin[ ^ oca eg strar llate Issued ~ t C0MM0NWE4LTX OF FENN3YLVANIq . O gRTMENT OG HEPLTN. VITTL RG.CORDE I"C OTV tsf-AT! a"a 7/ tvt¢ I<N b <x' 1. Vacsaent'a L•gsl Nam¢ IFrrat, Mltltll•, La,[, SuMx) - - - a 3 m D y g 3. 5 uNN Number 4 a e of Oea M1 (Mn/Day/Yr) (Epell Mo) Louise T Martlew e < . Femal 186- 30-6966 Jul 5 2012 sv •-L t glrtba . g ., .v tvrq se. u <.x a ve.. sK. unaa s 0. s. o.<e m glrcn IMn/Day/Yawn Rpell Mnntni It<npl.c< . co°ntryl ¢ign M°~ na D.va N°°r. mu<e. T•.phil aB~a nr P ~eN A a l 74 November 4 1937 h. el Tnpr.c<( °unw) 1 hia a.Penns (lvana gn Coun<ry) eb. Renaen.. (s[rmc.na Npmb.r- Innme qp<Np.. P. pia p cede n a Ip> o ° L ea. la .cpunNl ,, de=m.n[ II„m m _ wer Allen <w. P_ - Flo ante Ave R . Cumberland . q<ame l c a . nca a ° P q pNO, a¢c.dant Ilv.a wlmm Rmnx of 9. Ever In U3 grmea Gar'caa> Ma Ne n =IN/born. 3 ll[al E<a[us vt Tlme ai VeatM1 plea 0 Wltlowe 1. SurvNing Ep°use'a. Name I1 wisp i 0 oN ( a / a O , g me pr O O nkn or <° rrx<marrlegel ~ cetl ~N lea OUnkn° vO 12. FatM1er's Name (Flat MIEOI•, Lva<, 6uMx) 3. Moller i Name PNOr to Fbst Marriage (Firs[, Mlaale, Las<I t n L Tozer - gg . 14 a. Informant's Name 14h. Pelatl°naM1ip t° Decetlen< 14c. rngf nmrmaa;^ Malltln[ gdtlress (Street antl Number, Clty « ZI Vernon E. Smith Executor 4611 t A Fl Ci orence Ave hicsdfi .. e urg ..................._... ............_....... .............._......_...._:.... ..... •~....~.° ,~.<... S. RS pay°ns .. ........ _... n nd:<n oaarr•a m .'Fos •..... . . ....... f prca: ~' 1~PVnant ...ivo<atn oa~,;rr~a s°.::awe~r. o:n<r rn.naiio:piEai:.... ... ........._c a t~ H l n F ""Dec "" y 3 °ap atl tt [v eden<'s Fame Em¢r an gooMOU< atlen< Devtl on grNVal Nuning Nnme/ Lon r<GV Cillty Ot'ner I6PecIN1 136. Facility Nama (11 not Ina[I<uPOn gNa rtree<antl numb rs I r 3W c, , e tl Z <atle Hot S irit Hos ital E`"team^~HYS"G °PA 17011 'Qirn~er`~and vb..Man°a nl olapoaeo^ o gums u.m.<Inn tsb. a. nl Di,p°e[ rs= Pl. t. nl rnf na °^IN.me s pn <ry, ..e at°ry. nr nm.. pieta oDnnaaan o t ~ ' 07/10/2012 otn< 15PedN) Hollinger Crematory cam a6a.L or Draposrnon (cltY Or TUwn. s<•<e..na ziPl I[n o/FUn<r rP¢r,°n n o m<rmem 1 b. ucanxe NUme<r Mt. Holly Springs PA , 014819 arse c°m <gaare.a of G.,n.ra F m mars-F~ar F l N f ner unera I I-ome Inc. 1903 Market St.F Csmp Hi 11F PA 17011 ~ ve o.n.aenra Emoaan cn.nk tb. h°. ma b.,<e.xf,le., th• sE omea.nt k oNE oR MpaE roc meM1<ata.gr.eori...a nntb°oi enm la <o lnema< as a <m : a. ~ianea = n.m< n. e~aa zn p w . a e <nm. nl d<an. eo m.<beu x „ . t ¢m s a«<a...~.~o~.m<<e mmaal n, n.r,altP b. o etn emae uae,s . is spamsn/mapamULadnn. cn.°k [ne ° '. p No mPlom., stn-umgrm• hox vaet.aem la rants N° W wnq° O K pamzn/Nlspemx/Lati 1 etn m no. 09 .ck or grNCan gmvican p Vr O Hlgn annaoi gr.auae o. GED COmpL[.a ~Y <xe sp n /LV ino /Hi O elvn °rglaska Na[iv¢ pOtnelgxla sn collage creak bu[no tl a c i l q l . n ¢gree Mexi o ll "x =an m.r can, emcan. pvlen lntllen ) ~ ; [ a n m N l .gr.. Ie.g. a, qs) ; R°<ao ica, , n nee. p e. He lo ',: ~ ° H •, a. l.~ o, c . ( q o v l ° , , „ a, , •. namo„° g s. gs) z, c[ b.n p mp O Meat•!a ae re ( Mq o s a em g v .g. , M MEnQ, MEd, M3W, Mggl ~ yv,, o ner 3panlsM1/HNpenlUletl Q J ~ O n a 0 nO < t ex Pacigc islanaer poctor.ea ( nq Eeo) o Pr xsiona aegr.. 1< lsp¢urNl ' l O Om<r ( sp¢clN) )D . Mp DOE DVM L g L 31. csa•nt'a Eingi¢ puce Ee11 Deslgnstlon -[Hack ONLY ONE to Inalcate wnet tn¢ tlaceaen<c°nxltlered nimseli or M1erself [o be. 2 a. Decedent's Usual Occu N'M1I« a[ I al n p n cafe Npe ork O lvpanese 0 3amnan ~ 6 ac4 or gldcan gmerlcan Q K roan 0 Otner Pvcillc Islvntler tlone tludng m°xt of working Ilfe. Dp NOT USE RETIRED. O q .n Inm.n nr ql.,k. N.n... o ~ an.m.a• o D°n. kn w/Nn Hom ak o <s°r. e tl p q.... nal.n O Om.r gslan O Re<uxm zm . . na m °xlneaf/ n pxtry o eM1me e o N.[Ne H.w.n+n < ° D <r c pe¢IN) o Filml^^ o bp.m.ni,n pr pn.mnrra Own Home TEM323a-2! MVET gE COMPLET[p 33 a. pab Pronounce p¢aa pay r 2 .Elgne[ure of Perann Pmnnunclnf Dea'[n Onry wnen appllca el 23c. Llcenae Number fY P[1sS0N WN0 PR0N0UNCEE 0q of ~ 20 tZ C[MTIFIES DfgTX 33 UDa\[a Eig~•a (MO/pvy/Vr) 39. Time of ,Pall ,`(` ~~aNsl~ <-. ~ J 5 . . M aE M.alcal Ex. rcP °1In•.o ronar co^e tae vex Nv ° CA SE OF DEATH U 36. P•rtL Enter Mecnain nl evnntx-alaass j rcnmpllcv<Inns-tna[ Irectly caused the aea<n. DO minel e Lln ud ntz su .<sPlra<°ryarr¢at nrve^t rr< r l llbNll r cu ar a< °ut in/~e<ne~y D~NOT }BPE~.Enter /~~ atll l°i ltNP r n¢cexa ~ ns<[to 0ea[ ~ ry , ` M ' " ~~ ° ° n J ~ a al.., e: ( pp rdnn r : _j~G~ fL e --~-~~ ulting In aea[n) n ue ° (n 4 ) ~ 1 ~T b. x4 n ally u, omin v, la+amg ~ o°<m (nr ax a =°naee°ena 011: w e nx a on lme v. E .me a OfgLnNC UVM1e dtnr xeauan=e p1): w~ njery Duet of a cnn a.xa <n m . arenea •.amtm[ a. Inldeanl LAET. ou<t axat°n..4p•n¢. ° mr n11: .~ zE. P.rt u. Emer ome.a. an °t < w a nn r<x <rng m me .na<nvmg roof[ gwe^ In Part I v. wax pav p<nn m ca o ~ ° e a Inainga vallable 28 < : to c° [n cvu,e ny n d•a[n> N 29-I1 Femelep O u[e to D a<n> 1_ Mvnner o4 Dea<M1 e$ as< r e C < mrllgf-rcgnvn<wl<M1ln p D. Oltl Tobe beb .1 Y<a Ua OOO a ~ Pn bly ~ (}ay(pral ~ Homlc ~ P <8nan[a[tlme at dee[M1 ~ ° 0 Unknown l C ~ Q q en ~ p aln ~ N pr•gnan<. bu<Pragnvnt wltM1ln 93 tlaV of aaatM1 g mestlP<r°n t x 0 Caula na[ be d«ermrn°tl 0 N t Pr¢[nant Out pregnant 93 daVa to 3 W+r before aevtM1 Oate of Injury (M°/Day/Yri (Spell Mnn[n) ~ 3 Iciae ~ Unknown 11 pregnen<wltnln Me past yaar l3. Time of lnlury . Place of lnlury (e. g. M1oma, construc<Inn sl<¢, farm, zcnenl) 33. Location of Injury 13treet antl Numbe CI St t a r e, Zlp c°tle) N, 36- Injury a[ Wark 3T. Il TransportaH°n Injury c1N: 38. Deacribe Xnw Injury Occurred: O No o P .r O otna( peclN) 3sa. e.rtlner (cn.nx only onel: O c<mrym nva ¢Ln-r°m. bee r y xnowl.ag., a¢an a ,.ca, =u• w t n n S T O P n n aT artlo m Pn - b• c. my ^nna. °° < m na eu t a< , a ...r O Mmlol Ex ner/e - tam b :. . e/o ~ . ~ i e i~a ~ o m •a < ~ e a a P a < a t e a e ..n nve c t an. , g pr nn, a vme n,t r~~a.~ ~ oa 1 t, e a~a o n<oufal pe p~ r: r a x S~y / (-' of cvrtlller: c4 C ~~ 1gn T _ se mbe~Q •17 \ 33b tl21p C° mpl [ c P1 D¢ u<e z) n c u o 39 r ~ , D a Elg etl M ) . <e strv a Dlstr ° a l / / g u Flly a M° Day r / - 93. gmenam.n<x Z ~a t ~ Dn.T /f~ SFiO[1LD / /G ~lJ-- i 5/J S ~ l70S5- 4~ °~ Dlxp°„(inn Pe,ml<N 0740609 3OS-,a3 REV °>no.z LAST WILL AND TESTAMENT OF I+OUISE T. MARTLEW I, LOUISE T. MARTLEW of Cumberland County, Pennsylvania, do hereby declare this to be my Last Will and Testament, revoking all other Wills and Codicils heretofore made by me. 1. I direct that all my just debts and the expenses of my last illness and funeral be paid from my Estate as soon as practicable after my death. 2. All the estate, inheritance, succession and other death taxes, imposed or payable by reason of my death, ~ind interest and penalties thereon, with respect to all property comprising my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid out of the principal of my general estate, as if such taxes were administration expenses, without apportionment or right of reimbursement. 3. All the rest, residue and remainder of my estate and property of whatsoever nature and wheresoever situate, I devise and bequeath to my friend VERNON E. SMITH, provided only that he survive me by thirty (30) days. If he fails to survive me then I devise and bequeath the estate as aforesaid IN TRUST to my daughters ELIZABETH AYRE BOYER and JULIANNE AYRE BISHARD as CO-TRUSTEES; my Trustees shall invest the proceeds of my Estate and pay the' net income at least quarterly to or for the benefit of my brother MARTIN L. TOZER, JR. Of Cumberland County, PA during his lifetime and at his death shall distribute the principal and any accumulaited income to themselves in equal shares. If one of my daughters is not living at that time of distribution, her share shall be distributed to the survivor. If one of the Trustees is unable for any reason to act as Trustee, then the other shall act alone. 4. I appoint my friend VERNON E. SMITH Executor of this my Last Will and Testament and direct that my personal representative be permitted to serve without bond and without any :intervention of the court except as required by law. If he is unable to serve as my Executor for any reason I appoint my daughters ELIZABETH AYRE BOYER and JULIANNE AYRE BISHARD as substitute Co-Executrices>, or if one of them is unable to act in this capacity for any reasorr, the other of them under the same terms. IN WITNESS WHEREOF, I have hereunto set my hand and semis ~ ~ n day of ~n~,nb 1998. ~~r-. +" r , N ~ ++~, c v .z3 C. Louise T. Martlew + N ". +.nr~ IV -~i r ti Signed, sealed, published and declared by the above Testatrix, as and for her Last 97111, in the presence of us, the subscribing witnesses, who a,t her instance and request, and in her presence and the presence of each other have hereunto set our hands the day and year aforesaid. ~ / ~ /ud COIMlONWEALTH OF PENNSYLVANIA . COUNTY OF DAUPHIN I, Louise T. Martlew, having been duly qualified according to law, do hereby acknowledge that I signed and executed the foregoing instrument as :a!y Last Will; that 2 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 this ~G ~~' day o£ ~, 1998. Lbuiae T. Martlew n /.' ~ ~ - My commission expires: Notarial Seal Arlene A. Carricato, Notary Public Harrisburg. Dauphin County COAAlONWEALTH OF PENNSYLVANIA My Commissior. Expires July 24, 2000 COUNTY OF DAUPHIN ,q...~ .}- M¢m^ha/r PpnnsVivania Association O} NOlarle: the witnesses whose names are signed to the attached instrument dated /UM• ~~ , 1998, being duly qua11£ied according to law, do depose and say thait we were present and saw Louise T. I4srtlew sign and execute the instrument as her bast Will; that it was signed willingly and executed as a 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 beat of our knowledge the Testatrix was at that time 18 years or more of age, of sound mind and under no constraint or undue influence. Affirmed to and subsc ibed//y'to /b/efore me by ~q ~fe ~/`~-f'~'- , witnes~, t~Hisrv~~a ~of ~Qy~-~s~r/; 1998. Notarial Seal Arlene A. Carricato, Natary Public Harrisburg, Dauphin County My Commission Expires July 24, 2000 A wnbar Pa~:nstdvanid 45SOCiabOn Of otaries Notary Public My coa¢nisaion expires: