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HomeMy WebLinkAbout07-30-12PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF ~l~ ~~~ 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: _ (~ ~N~ a;, •, PTT/ G File No• ~ ~ -1 ~~ - ~ a5 a/k/a: (Assigned by Register) a/k/a: ~~a' Social Security No: _ / ~ 3 ° a~•~ 3~ Date of Death: U 7 ' 2 ~ ~ I Z Age at death: '~ ~ Decedent was domiciled at death in Gv~tB~Q..R ~ County, ~~ (Stare) wit is er last principal residence at ~ v g S t~t//¢ j~ _0-r' i.t t 4 r ,h A ~ t ; , ~ ~ , . Street address, Post Office and Zip Code Decedent died at 1'~ ~i/D ~ ~t~ ~~~ Street address, Post Office and Zip Code Estimate of value of decedent's property at death: S City, Township or City, Township or Borough Ijdomiciled in Pennsy!vania ............................ All personal property tf not domiciled in Pennsy!vania ........................ Personal property in Pemtsylvania Ijnot domiciled in Pennsy!vania ........................ Personal property in County Value of real estate in Pennsy!vania ........................................................ . ~ ~ ~ TOTAL ESTIMATED VALUE... . Real estate in Pennsylvania situated at: (Attach additional slteeu, ijnecessary.) Street County GuM ~ • P~ ty State $ O .6 C9(U $ '? C ~ ros[ utttce and Zip Code City, Township or Borough County [~] A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated ~ C~r ~, ~~©~ and Codicil(s) thereto dated State relevant circumstances (eg. renunciation, death ojezecutor, etc.) n.,:. Except as follows: after the execution of the instrument(s) offered for probate Decedent did not many, was not divorce of a partyRes pend~ divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), and t have a ~ born'an G'`; adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ~ _ C_ !-.. `~.,.~ C7 rr O EXCEPTIONS ^ EXCEPTIONS ~ W b. ~ ® t-~ ' E i-i _.Z°7 r,._..~ _.. ^ B. Petition for Grant of Letters of Administration (Ifapplicable) n~-j ~ ~ ` ' °'-~ c.t.u., d.b.n., d.b.n.c•.t.a., pendentelite, durunt tia, durariteminoritateC-~~-' If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complet~ist of he_ ir~~~ ~~ ~ Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined "r•t in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ^ NO EXCEPTIONS ^ EXCEPTIONS Farm RW-01 ,•ev. lnilliznll Page 1 of 2 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 eheets, i(necessary): ~,~~_,~ ,r~~~lE QF Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } COUNTY OF t J}~..L~J 212 JUl. 30 P!~ ~~ 50 Petitioner(s) Printed Name Std/~~/ G~ /~'I-- 16 .,, ,. - Petitioner(s) Pri " ~(~ ~'~~SiD~.v,s p2.. MtC~hetifcSG~l~(~ r°~1 .~ 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 th~He~i~rt P ' lone ill a and truly administer the estate according to law. Sworn to~o,~r~af~firmed an su scribed be ore Date i`'-S(~ •-~ Z.- me ~~,~;~='~~lay of ~02- r,,.e Bv. for the Register BOND Required:~YES ~NO FEES: Letters ...................... ( (~ )Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other (li j~~ ...... s Date Date To the Register ojWilis: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: Automation Fee ............... U JCS Fee . .................... "d TOTAL ..................... S U Phone: Fax: Email: DECREE OF THE REGISTER a/k/ate of ~-~ Yl G' ~~ File No• ~ , -~ a - ~ AND NOW, ~ ~ ~u ; ~ , ~, in consideration of the foregoing Petition, satisfactory proof having en presented before tae, IT IS_ DECREED that Letters are hereby granted to ; ~ ' in th bove estate and (if appltcable) that the instrument(s) dated I (~ - r - ~C><'~ C , described to the Petttton be admitted to probat and filed of record as the last Will (and Codicil(s)) of Decedent. 1 egister of ills r ~~~`~~~ ~,~ . Forne R W-02 rev. 1 ~/1 !/2011 Page 2 of 2 it /[ f)['+,' r.. -. _ -_ _ _ _ LOCAL R,1~-#r~CERTIFICATION OF DEATH .WARNING: It}~~t~~l ~cWpl' ate this copy by photostat or photograph, .. o aI t>1' , ,~ Fee for this certificate, $6.00 ~~~Z JU~ 3~ P~ ~; ~ I,,,;~~~ UFp ~ T~~11 i~r to L.~rtil~y th r: ifle inYonnation here given is L,EE ~,P, ~fiy /\ c.>uecil}~ ~I,piecl fz~Ti,1 ,In original Ccitificate of Death Yk ~ ' ~ ~'V <~~ L /TJ°~~`~ ~ ~ ~ 1.luly f~lled u,~ith i i~ a~~. Lociii Re *i~t~ ar. The original ~`' ~' ` ~~~ c~ltiFi~~ate ~i~il] "1e aon~arded to the State Vital ~~ii :vl v'3' ia` ~ZLCt1rC~> t)l~k~c [111' r>C'11T9 ilftE'lll tlhilg. P 1 ~ 6 ~ 4 ~ 1 ~ ~~~° ~.. ' o~ ~~ .~ fir;, Certification Number G FL - ~ /~- I ,,,,,,,H,r//F11- L ~enl EZe~1 trc Date Issued lYpe/Blot In [OMMONWEAITX Of pENNSTLVANM • DEIARTMFNT Of HFALTX • VITAL RECORDS reonurnre n 1. Decedent's Lat,l Name Ifirtt, MiOtlle, la+L camel - - _ . _ _- .... stale FIN Numwr: 1. Set 3. Soual fa[urNy Numwr t. Data of Deatn IMO/DaY/rrl Spell Mol Gene E. Attig ale 193-24-1310 July 21, 2012 S,. A{e~USI BinM,Y IYIH fb.DMIf1Yav x. Undert Da 6. Data ol6'nkn lMO/p+y/YearI ISDkY MOnNj )a. NnlWau lDly+M SMlkwfaaVnfounnrl 78 Mw,W+ Dan Npw+ Mlm,u+ Auqust 17, 1933 16.91nltpyolDmwryl m erland ta. Re,idence IsnM w foreyn [ounlrvl M. MzWrNa Ixnn,M Number ~ IMNMa Apt No.l k. DII DacWant llw h aTOwnNRpl PA 208 Senate Avenue .+,aa[.d.ntuYedM East Pannsboro to MuwMa lCOUmyl Iwp. Cumberland M. bndvNa ltlD Cbd.l pko, damwm uY.d wnnid aura or [I,r/°,,,, 9. Fwr N U54med forcaa> 10. MsrkN xatu+at Tlme b waM MarNad 11, fuMnry fpoYY'{ Nima III Wla, tM name cab to Rrrt manlanl ^M QUnknown ^pwwced ^NrnrMrrNd' ^VnWwn ll fatner'+Nama lfktLMkdk, USt.wmQ 13.MgMlaM IrW Wikzt M~~rn~aa IDII+t. Mydla. unl Paul R. Attig Dess~e E. Krlcyc IM Mlwmanf+Nam+ ]ab. MNwnWiP to Oecadmt 1 Inl Ixnn and MU [ HanL [ j Steven G. Attig Son ~`6 ~resten~s Dr ~ec~{'anic~s~ ~ ., u i1 IW 11wmn OawraC~N ~~MOapIt4:~ y~InwMm .. II(W+WD[wrra0 fontawRMra pMrTnana NO+pRN: C1~NOapk~faWlry (wJ Decedents Nome i y Finer eery MOm/anpawnt DeRd on AIrNN Ibna/ fafm Cara facWY OtMrl 1 I i '~ ISb. f+dliry Nadal IH nm Mutltwyn, pNe+trot aM nurllbar; anor Care Health Services lx. City w Town, Hera w LP Coda lSd. 1 to Camp Hill, PA 17011 Cum~eriand 3 ]M. hMnad o1 D'npwl[bn tw1M Cnmanon I W. Dna of azpoW ion 1 INn of a Harz INa I c nN Mr Dycel t " t ° ' Y ~ ^R.mer,INDmstaN ^owWtkn ~rema~on $ oc~e f~l o ~ l~ 7/24/12 OIMr Ispe[Myl ' ~ 16tl.Lx+MnolayozlMnlOtYwT kat<, ark llp) Harrisburg, PA~7109 3)a. syotura of furMral ke Lkmn wlarlon In q+rtr of lnnrment ilb.lWnW Numwr 5 , 011825-L ? ,§ 113~laYon~nFH,n ~~~Ew i•{arple Ave., Marysvi e, PA 17053 b ~ It. o«etlent'+[duotlpn ~ [M[Y Uw bin, Nat wu wfaW« tM 19. M[edent W Ni+pMW Orltln -CnM tM ]0, o.c.dant'+MU ~ CM4ONE OII MORF nu+to Wk,ta what M M+t w I l W l [ are trn w u gd <ompMted w me time m Oaun. bin IMt cart deunbe+wMtMr lIN duaaant [M w[edant umuwr.d NnrwH w MrMH low. i, SpaNNVNiapaNUl+tNO. <MCI tM •NO' ®WMte p Rwaan p N Oglwna, 9 n ~ 11th traw bwgdacewnt i, ro[SpaN+n/Wapann/la[Mro. ptlulw Alrkan Amarlun pVNtrumeu p Hiph unoW traduate or GFD <ompknd ~ M, not Spani+NHlMank/lawa p American IMyn w Ay+ka MtM p poet A+ian p Some cdNta aedlt, but M deuce p Ye M,akan Amerkan, gkano p A.W IMlan XatM NawaiNn a ^ 4aocian wtrx let. M, Afl ^ Yet, pue no Akan ^ CNruu 0 Guam,nnn w Cnamwrp ' ® Runabr +wtraa le.t. [A M,151 p r.a, Cuwn p iNiplno p Samwn ^Ma+txfwtraa le.t. MA, MS, MFnt, MFd. MSW.MMI ^ri+. otMrSpanlsNHitwnic/latino plapane+e paver n<I/iC lHander ^aNtw,la la.t~pnD, EtlDlwlroleszlwlwyu ISpe<Ihl ^aMrlSpe<Iryj [.. MD DOS DVM 1U, 10 ll DecNent'+Siryle Race Sall-azipnahon ~ Cne<l ONIY ONE n iMkata what tM decedent conndend Mmzell w MrWll tow. il+. Da[ewnt'I Vfual acup+wn ~ IMkate type m work ~WRltp ^laDwvn ps+mun donedurlnt mo+t olwwkMp Ne. DO XOi USE RETIRED. p tlxk or Alrkan Amerkan ptw,an p h a ar p,cili<1[IaMar Materials Handler Amerkan lndyn w Mazka XatM ^ Vletnameze ^ wht know/Nw Sure ^A+NnIMNn ^otMY A+ian ^Rewnd lzb. qrb of wabn+krlndXnry p mine[[ ^ Xnire Mw.n+n p Diner IsDe<arl CDnE3trUCti On ^fulpiM pGuamanlwwCMmorn R[Mf ]1,~13{MUSTMCOMIlRFO 33a. Data M1Onauncetl wad lMO Day r) ]30. synatur Dlerwn PronoVMlry Daatnl wMnaDWkaaa lac limnMNUmber . RY I[RYON WIIO IRONWMUf W CFRTIiI[f DfATN [~ 'LpIZ 3d. Dan Wn.d lMO r/Y.1 l+.nme of RNSfoy9 TO ~' a LOI G lf. Wa+MedkN FMmmlw [wooer COnlactedi p Y ,H N a+ CAUSE Of DEATH ADDrp 36. pen 1. Four tna [naln of erenu~-0lua»+, InryM,, w [omplka[bn+-tMl dkectry cw+W IM warn. DD MOT enter terminal avant[ taco a[ urdlM,ne+t InteaNnwe n+Nr,tory,rre[C wrantrl[War llbrNMbn wl[Igot +lwwlrytM NMI q ~NOTAN RFVIR '. T F. [ nler oNy oM[+uM On+llru. Add atldlwnn RM+Il ruce+Mry ~ Onutlp Death ~ ' . . ~ / / ~/ / ........_.._> a. IMMEDMTF CAUSF C~~f~r~~[ •~ Vy~'•~~G~ i Ifinn dinaM wcorwhion Wato la+,+<omayuen[e ml: nwnint in dennl b. swROMNr nu [awnions. ow to Ica x, mnMRwme op: N ant. kadlrMRo the cause nee on cane,. Enter tM u NO[MnNG uusE DXe Ip Iw,s a [aaMRXen[e oB: lain winjwy tMl and me rnm+rnwunE e. in watnl IAST. Due to for a a conuywrXe oH; 3 36. pan ll. Inter mho sknif antmMitipns <ontrib d nbut rotrewltwl In lnauMerlylnp nuu than In lartl ll.Wnan aunpY Denormedl i Ye+ No it.Wan wtopW firMirya av,INme E ]9. 11 famaN: 30 ad i w t omWMtMu uol denni Dc Tef N . a cco UM [anlrlpuN to Daatnl 31. Maurer of Dann ^ na Drepn,m wnnln u.t rut r Y p a ^ rowMr p rntnant at~m.mwn° pno 8'unknown pNwnkiw ~ A<cMem p paMlry Imattyawn N p a pntnanl, bw pratMnt witnw al daY+ol Oe,th p Suicide p Court nm w Oetarmined N p O[wetnant. OlN prepunt+3 den iol Year wlpre death 31.anol iNUnlMp/OaV/Yrl (SpeN Mpntnj ^ Unkrgwn if wetnwl wltMn tM pan Yaw 33. TMn of Injury .pine. im~n I. t. Mina. romvl,nlm cart, r.rm, shoal 3s. lmnlpn of injury (sven and Numwr, can, xae, nD codel 3 6.In nWOrk 3l. ll iran+patalian lnlury. Spttlry: 39. Deacriw NOw lryury OC[wred: ^ re ^ ono./oponw p Dewwn,n ^ N ^ p,aae~Mer ^ aver Isp«iryj 3 9a. Conifer I[necY wRy Onal K1$CenilrNrt pnWck rowledte, Death w<urnd due to the cauaelslaM manse and l O p mint t CenllMnp p ne4n Te IM but a mY knpwbdte, won wcurred n me lime. au'arq place ,M du. to tM cauwl+l arq manrNr 0 ud , , a ^ M.d~ rtumin.r/torpor ~ on tM b+Na of e[,mwnon, aM/w Nreuynlon. m mr oWnlon, dour rr a n u. [we. sae, and Dlue, cad dw Ml+l rod m,nn er uao[ u (( ..yy iq~ /~ ,~ f~tnature pl nnHlpr. iltle ol[ertlwr: ~rC/ Liwn+. NUmbNt /f 0~~~yA ~e~'~ 3 90 d ZID [ode a Nr+on [wnpktlry Caun a path Uum 161 ; ~" ~e 3W W /D N. :,r ~lq+r~ no ~4a~i12e.,~v~-sTl T~/ Pa >oi i"o''~z ~ ~~° + o n N. a .r Xemwr +1. R n sync a. Rryytor iw one ,Y 50' 4~ , ~ ~/aa i.~- 3 . modmem+ a t... ; wappaiupn pe.mil Np. n 7~~ ~ 70 H1DS.1.3 RfVOI/]011 .AST WILL and TESTAMENT of ~e~e ~. ~tti ~~~? g ~~. ~~::- ~~>;._ c7 Ca' . o _~ ti ~' I, GENE E. ATTIG, currently of 208 Senate Avenue, Apartment 418, Camp Hilla Cumberland County, Pennsylvania, being of sound and disposing mind, do make, publish and declare this as and for my last Will and Testament, hereby revoking any and all Wills and Codicils by me at any time heretofore made. FIRST: I direct that all my just debts and inheritance taxes be paid by my hereinafter named Executor or Executrix as soon after my decease as may conveniently be~c tr~. SECOND: I give, devise and bequeath all of the rest, residue and remainder of my estate to my son, STEVEN G. ATTIG. THIRD: In the event that my son predeceases me, I give, devise and bequeath all of the rest, residue and remainder of my estate to my grandson, JASON ATTIG. Fo V ~~t'+t .: ~~ . ~: I'nominate, constitute and appoint my son, STEVEN G. ATTIG, the ,~ Executor of this my last Will and Testament, and direct that he shall not be required to enter security in any jurisdiction in which he may act. In the event that he refuses or is unable to act, I nominate, constitute and appoint my daughter-in-law, SHARON ATTIG, the Executrix of this my last Will and Testament, and direct that she shall not be required to enter security in any jurisdiction in which she may act. ~~-a ~_t, _.~. ~~. ~. ~- :.rn --i-s -n ~.,~ ~.~ C"') In addition to powers given them by law, my Executor or Executrix, and any successor Executors shall have the following powers, applicable to all property held by them, effective without court order and until actual distribution: (a) To exercise any corporate stock options; (b) To retain any property received by them, including the stock of any corporate fiduciary acting hereunder; (c) To sell real estate for any purpose, publicly or privately, for such prices and on such terms as they deem proper, without liability to the purchasers to see to application of the purchase monies; (d) To compromise controversies; (e) To distribute in cash or kind or both at such valuations as they may fix; (f) To distribute property passing to a minor under this will either to the minor or to any person to hold for a minor; (g) To sell articles passing to a minor under this Will if the Executor or Executrix in his or her sole discretion considers such articles unsuitable for a minor. Ft U=Tft The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office from time to time. I direct that for purposes of this will a beneficiary shall be deemed to predecease me unless such beneficiary survives me by more than thirty days. The terms "child" and "children," as used in this will, include not only the child and children (whether now or hereafter born) of the person designated, but also the legally adopted child and children of such person. The term "issue" includes not only the children and other issue (whether now or hereafter born) of the person designated, but also the legally adopted children and issue of such person. LASTLY: Words used in the singular may be read to include the plural or the plural may be read as the singular. Similarly, the masculine form may be read to include the masculine and neuter; and the neuter may be read to include the masculine and feminine. IN WITNESS WHEREOF, I, GENE E. ATTIG, have to this, my last Will and Testament, contained on this page and the foregoing two (2) pages, set my hand and seal, this 8th day of October, 2004. ~ «~~ GENE E. ATTIG ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND I, GENE E. ATTIG, the testator 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 as my free and voluntary act for the purposes therein expressed. .z~ ~ _ , GENE E. ATTIG Sworn to or affirmed and acknowledged before me by GENE E. ATTIG, the testator, this 8th day of October, 2004. NOTAiZIAL SEAL ~ ~~ G. Patrick O'Connor, Notary Public NOTARY Lower Allen Twp., Cumberland County My commission expires October 28, 2007 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS WE, ~0 ~LGPH GH-A-f2~~ and ~ >V~R L i~.4~T'T , the witnesses whose names are attached to the foregoing instrument, being duly qualified according to law, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his last Will and Testament and that he had signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witnesses and that to the best of their knowledge, the Testator was at the time eighteen (18) years of age or older, of sound mind and under no constraint of undue influence. WITNESS W ESS Sworn to or affirmed and acknowledged before me by J o ~~r~o+ ~°~/~'f+-l2~Tr~~ and ~f+-iu ~ tF L ~~~% y ,the witnesses, this 8th day of October, 2004. NOTARIAL SEAL G. Patrick O'Connor, Notary Public ~~~d~~^~~f~fds'~r`~^'' Lower Allen Twp., Cumberland County - NOTARY My commission expires October 28, 2007