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HomeMy WebLinkAbout08-02-12PETITIO'~I FOR GRANT OF LETTERS REGISTER OF WILLS OF ~~1 COUNTY, PENNSYLVANIA Petitioner(sj 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 respecttitlly request(s) the grant of Letters in the appropriate form: Decedent's Information Name: TIC riS C . Q -~ t!`- . ~~ ~ I ` ~ o'/ /-~ a/k/a. f File No. `~-( J a/k/a: (Assigned by Register) a/Wa: Date of Death: ~ ~t y t 3 Z~ t p Social Security No: _ 1 ~c{ ZC c{ ~, ~ 3 Age at death: ~y Decedent was domiciled at death in C~~l~r•~~~~ County, ~ ~ principal residence at `:s ~ i u~~t-t., p ii (Scare) with his/her last K r+`~uV~t~ S'F ~..G/`iiS'~2. r ~ ~rvl~J ~yvv~.. Street address, Post Office and Zip Code (4y City, Township or Borough ~"~~ `' ~ County Decedent died at _ ~~~y S~pt'r•>• I.{osp,~~.l Cc~~~ ~`~ ( P4 Street address Post Office and Zrp Code City, Townshtp or Borough Count Estimate of value of decedent's roe Y StateL~~ p p rty at death: If domiciled in Pennsylvania ............... .All personal property $ , ~ _7 ............ If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ....................... . Personal property in County $ Value ojreal estate in Pennsylvania........... . ................. TOTAL ESTIMATED VALUE.... $,~. ~ pOC'~ Real estate in Pennsylvania situated at: (Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough Count Y A. Petition for Probate and Grant of Letters Testamentar _ Petitioner(s) aver(s) he/she/they is/are the Executor(s) Warned in the last Will of the Decedent, dated ~viy 2 4 ~~! 7 thereto dated and Codicil(s) State relevant circumstances (eg. renunciation, death of execrrtor, etc.) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not many, was not divorced, was not a party to a pending 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 born or adopt ;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.t.a., d.b.n., d.b.n.c.t.a., pendente lire, durante absentia, durmrte minoritute If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and com lete 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 in 23 Pa. C.S. § 3323(g) 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 !efr no Will and was survived by the following spouse (ifany) and heirs (attach additional sheets, ifnecessatpJ: Farm RW-02 rev. l0/f 1/10/l Page 1 of 2 Oath of Personal Representative COMivfONWE.4LTH OF PENNSYLVANIA } } SS: COUNTY OF Official Use Only Petitioner(s) P inted Name r ) Printed Address Petitioner( ( ~ 1~ 1 (G'~e~tL~ ~{,~~ ~(~ (' ~ ~ n 1 • , jl J`~~. 'V ~ W L '~ ~~I%t ii..l ~~ Z~-'C.1 C~2 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 truly administer the estate according to law. Sworn to or ffirmed ar~d s~tbscr#bed bef~o~~ ~~~ ~~^~ Date ~ - Z --'Z~ i Z met ' ~ ay of By: For the Register BOND Required: YES Q'NO FEES: Letters ...................... $ ~ ~,~ ( ~~ )Short Certificate(s)...... L ( ( )Renunciation(s)......... ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ........ ........ Automation Fee ............... JCS Fee ..................... TOTAL ..................... $ Estate of a/k/a: Date Date Date To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: r-a c~ ~ N ~i Printed Name: 7°" :-~ ; Supreme Court ~. ~ c/~ s ID Number: ~~`- I f""' 't Firm Name: ~C^' ~ "~ Address: C- tV Phone: Fax: Email: DECREE OF THE REGISTER File No• ~ ~ ` ~ ~ - ~ ~~(~' AND NOW, i~r ~~ , in consideration of the foregoing Petition, satisfactory proof having been pr s nted before me, IT IS DECREED t at Letters ~~S~tQ (Y) {' f re hereby granted to ^ e ~ i r _ in the ove estate and (if applicable) that the instrument(s) dated _ described in the Petition be Form RW-t72 rev. 10/1 !/101 / and filed of record as the last Will (and Codi ail(s)) of Decedent. I. } egister of Wills ~ ~ ,~~~ ~ ~ Page 2 of 2 LOCAL RE~ ~~ ; ; ERTIFICATION OF DEATH WARNING: Ittr+ I F-~o`~ti k ~' I e this copy by photostat or photograph. ~4 U ~4 2 1r~ ± /4."+ r ~ ~.LIJ Fee for this certificate- ~F, nn (~1~,~ ~U~i -~ This is to certify that the information here given correctly copied from an original Certificate of Den ,.. duly filed with me as Local Registrar. The oiigin~ =`~"~~~• certificate will be forwarded to the State Vita Records Office t~or permanent filing. P 1657435 ~ ~u~ ~ 20~ Certification Number ~~ oca Reg sitar Date Issued 3 REV 112099 / PRINT IN COMMONWEALTH OF PENNSYLVANIA a DEPARTMENT OF HEALTH a VRAL RECORDS ~'"" CERTIFICATE OF DEATH (See Instructions and examples on reverse) 1. Noma d Depded (Fya, nldde, yet, auAb) _ STATE FILE NUMBER Doris C , ~ 2. Sr 9. Socyl saoalq Number Bier 4. oea d 19eaM (MOmh, my, ,,,,) - s. AO.(t,uermml,) unar, ~~ s ~rd~M Female 174 - 20 - 4663 Jul '13, 2010 83 ~"" a++ Nan Deer 7. d and ayy a ee. Pyp d 19tH one vre. Aug. 27, 1926 ~p"°I OMer. eb. ca.ay a Dam Harrisburg, PA ®I,~.twl ^ ER / umm°md ^ DDA ^ Nudrip Noma ^ Rraerke ^ qh,r - aP•o~f^ &. Clry, Boo, Twp. d Derr Bd Ftlyy Nor (" riot ergputlon, gNe e6ea and nurteq Cumberland E. Pennsboro 'wr DBOed""d""~0i1~^? No ^vr 1o. Rap: ArrwrNen lrMyn Twp. Holy Spirit Hospital ("r«, apeoryt~,,,, Isv~ht aed~, WNy, em. • 11. Depdenre ualQWM IOnddwork dale mod~gdq Ne. Do na ayy 12 Wr Depdrq srrmar 18. Decedrd'a Edaxaon M•dcar!'Fverm Rken, em.l White Teac[lerWOf k L' duce lo~Tlty u.s. Amrtd Fon:e°? / Semr~da (~"Y onh h~ ~° COAL) 14. Meryl ~tue: Melded, Never Mertyd. 15. Su ^ rr No y [ ry (O12) Co"B9° ()-4 or Sr) ~OM~~ ~0r01d (SPadY1 ~9 SPOUae (" w"s, 9Ne maiden rome) ?B.DecederrYeMdFgAddre(StreeLc"y/mrm,ayy,zlpoodel •+ Widowed 801 North Hanover Street AMeI *ReaNdame ne sae__ Pennsylvania DbDep~^t Carlisle, PA 17013 L"°'"° "° ^vr,DeeedamLivedin ,?e.cd,my Cumberland T01M~'? ,Td.1~1~ dL,vee,ann;,, Carlisle '"P 18. FeMefa Nana (fba, rdtNe, ya4 euf9x) Ro Al rich lament i9.Mdhefe Nap (RaL nldde, memarrmenw) ctty/Som zm. Idamuuda Nat (type / Pdd) e Frederick Paul Biery ~bI'w'*~+'•M.eaAmrr(sa.edy/m°nayy,rpom.t z,a.MarbddDyppNa, 11 Fourth Street NE, Washington D.C. 20002 • ^ ~ IYayl ^ Barque bom smy i wr^paaeUOn ar Daralmlt AWmde,d 21b. Dey d Dypagtlon (hbnM, my, year) 214 Pyp d DyppNon (Name d eeme,erp uarmry a oMa place) 27d. Laptlan (CEylmwn, slay. ND pde) ~. ~ 'by1idki1~n"w/caana~ ^rr^No July 20, 2010 Rollin Green Cemeter ~ t« p"'a' 8Cd"° Be'UN') ~e 220. Name and Addrer d FecDly Lower Allen PA 17 01 Conpley Ilwr oertlhArp 23t Yn 6ae1 d my ~ tlrYi oca a Ma tlr, ley PlNaldr y nd a d dr9i m ayyd. (S4aare end My) 236. u[pere Nuro~w( ~( y praly earadarM. ~' " /1 ~~O U (/ U ~. ~ /1 ~tMaidr.~ ~ Mai Sat z4.3e mud bo caroyyd M pemn 21. Tyne d DrM 25. Dead (Momm, aey, year) V z 0 / Q • who Pmnaeawa dash. o ~ M. 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Wero Aumpsy FFidnpe 31. Memer d DsaM ^ UNomaw 9 prepyd wylxn Me peel year Pedanwd? Avayby Prior m Cartpyaon Sae. Dee d y}ay (Month. MY~ Y•a) 3Zb. Desalts Now Inpay Oaurred 1 d Car d OrM? ~Nrua ^ 1lolddda 32c. Rep d Ir"ury: Nana, Fenn, Shell. Fedory, ^ yr JLI No ^ Vr ^ aalaan ^ 3zd. rep d ~• &+ldn9, em. /sPadY) ^ No P•^dn9lnrrtlpe3on WaY 32e. InlNy al Worley 321."Tra Iryury (a'P~Y) 32g. Lacetlon d Nqury (Street, MY/form. ayy) ^ Builds ^ Cold Nd be Dayrrrimed M ^ Yr ^ No ^ Ddra/Opsremr ^ Perenpa ^ Padrldan 33a. CMllyr (Made oNy ale) Ddrar- • PMMaWIIPhyalden 9prneddeeM when eriorw Phyetlerihr pmrmniead lasts rid ~'~1~°C~ ~h~Tt'~ • To-~rirp eel oatlry"q phyNdr (Phyalden 6oM~ ~Na) •nd mean r setts- - _ _ --- C01myf°d here 23) /71d --- __ ^ ~ Iaonoumhp assts ad m pre d death • TY°M~eal~Eaadm"w/ dash oxwnaadn ena,dra, rats pyer, and drber earyp anumwwralWd------------------ ^ a34 Cleaves Nterrbar Sad. Day ~""'/d-,Y Yrr) on dr brydeaemhradan endlamwatlPtlar,mmy ap6dar, rlwhopuned attM ------ . /y/J - Q ~ y 8 8 ~ - c ~ //3/'D tlnM dM rrd pMr, aid r"a m dw err(s) std mrxla r awed. ^ 3+. Name and Addrra d Paap Who 35. ile9h0'M rrdry Canpbyd Cause d Deatlr (Man T1)Tyge / Pnd ~~CI /I~~ ~ I ~ ~ 3S dY~yMr) f/cL '/ J.t7/itiT FiVG i.Oi7A c f :S'o~o/D c X37 a /.~ ~ c c ~ Dlepoal3on Pemlt No. 049 2 7 84 LAST WILL AND. TESTAMENT OF DORIS C. BIERY also known as DORLS CLEMENTS BIERY I, DORIS C. BIERY also known as DORIS CLEMENTS BIERY of New Cumberland, Cumberland Count p Y, ennsylvania, being of sound mind, memory and understandin g, do hereby make, publish and declare this as and for my Last Will and Testament hereby revoki Waking void any and all other wills b ng and y me at any time heretofore lade . I. ~ I direct that m y Executor hereinafter named shall pay v 11 my just debts and funeral expenses as soon as co enie may be done after my decease. ~ n ~ _ A ~"t'i All the rest, residue and remainder of my ate <`' ~ '-~ whether real ~ ~`= personal or mixed, and wheresoever situ~e, I eb ~n give, devise and bequeath unto m Y y husband, F. PAUL BIERY, if he survives me by a period of thirty days. If rnv Ga; a ~,,,,.t___ , , not survive me b -- "`"""""" uc~es Y a period of thirty days, then this gift to him shall be divested, and I then give, devise and bequeath m e estate as follows : Y mire ; A• One-half (1/2) unto my son, FREDERICK PAUL BIERY 'III. B, One-half (1/2) unto my son, THOMAS ROY BIERY. III. LAW OFFICES N F. LAFgVER 7 THIRD STREET CUMBERLAND, Pq, I hereby nominate,' constitute and appoint my husband, F- PAUL BIERY, as Executor of this, my Last Will and Testamen If the said F. Paul Biery should predecease me, or otherwi t to ualif se fails q y, or ceases to act as such, then I nominate, constitute end appoint my two sons, FREDERICK PAUL BIERY III and THOMAS R 3IERY, as Coexecutors. If either of my said sons should OY pre- Page one of two Pages decease me, or otherwise fails to qualify, or ceases to act as such, then the other son shall serve alone. IV. No fiduciary acting under this Will shall be required Tito post bond in this jurisdiction or in any jurisdiction in which the may act. IN WITNESS WHEREOF, I, Doris C. Biery also known as Doris Clements Biery, the Testatrix, have unto this, my Last Will and. Testament, set my hand and seal this ~~~ day of 4July, A. D., .1977. f yy , '. ( SEAL also known as r~ / ~- S SIGNED, SEALED, PUBLISHED and DECLARED by Doris C. Biery also known as Doris Clements Biery, the above-named Testatrix, as and for her Last Will and Testament in the presence of us, who have hereunto subscribed our names as witnesses at her request, in the presence of the said -~ tatrix and of each other. .- _._.. ~' i ., ~ .~`f ~- ~~~ LAW OFFICES Page two: of two Pages JON F. LAFAVER 3~7 TNIRD STREET NEW DUM~ERLAND. PA. OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS COUNTY, PENNSYLVANIA Estate of ~~ ~ ! ~ ~ ~' ~,r , Deceased _ E'~P c R t~(y and ~~~~ S - `~~ ~ c7 P C each bein dul ( ) g y qualified according to law, depose(s) and say(s) that she / he the was were well- acquainted with ~~~ ~s Q ~f ~ and am/are familiar with the handwriting and signature of the decedent, and that the signature of _ .17d r is B i e~ ~j to the foregoing instrument purporting to be the Last Will and Testament/Codicil of ~O ~ ~ s ~ c Q ~ y is in his/her own proper handwriting. ,-- 2 _ 3 ~ ~~'t2., (Signature) l l L (' {-'Ll S F- u +C (Stre~e/t Af ddress) (Cuy, State, Zip) (Sign P~ (Street Address) CSC lk s (,~,_ ~.--. -~ -U ~ Z o atn (City, State, Zip) Executed in Register's Office Sworn to or affirmed aid subscribed n c ~ ~ dom. before me this ~ da ~ o ~~' ~ ~. ~ , ,= ~ --.. =;~ ~~~ y Cr. _ f V f i-F 1 ~ _ ~G, C C. ~,;-, n c-. ~ -c? -~,-~ om, w uty for Register of ~ s ~,,~ l~ ,,,,1 Form RW-04 rev. l0.l3.Oh ~,/j, r lJ~ t 1`~.L~ x~i~?~tlG _Z Phi ~~ 28 RENUNCIATION REGISTER OF WILLS OR~'H~V'V'S ~~u~ r Ct1~ABERI.At~p CO., Plq COUNTY, PENNSYLVANIA Estate of loo ~ ~ s ~ i ~? ~ y ,Deceased I, 't Ali MISS ~ , ~ l L-ICY , in my capacity/relationshi as (Print Name) h of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Rio f 1 ~. (Date) ., (Signature) ~ (,~-6Mr~ ~ ~3 f L~/~v to©a C~-KR o C L ~} v ~ (Street Addreu) (city, state. ~aJ Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Form RW-06 rev. 10.13.06 Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes tated within on this _ day of 'a01 ~, . Notary Public My Commission Expires: ~j~n ~ t i ~-aa~}~, (Signature and Seal of Notary or other official qualified to I administer oaths. Show date of expiration of Notary's Commission.) p GU c~`~ . ~y GINA GUZMAN NOT Notary Punic, State of Maryland PUBLIC County of Howard ~ ~ MY Conur~ioa 6y>ires februtry 17,2014