HomeMy WebLinkAbout08-09-12PETITI N FOR GRAN 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
Name: RAC K (,1rUESa4.~
a/Wa:
a/k/a:
a/k/a:
Date of Death: .Scaly Zit 1 Z~l i
Decedent was domiciled at death in
principal residence at `Z13 N.
Street address, Post 0f1ke and Zlp Code
Decedent died at 77o pooltar Ghr„rrh Rd
Street address, ost Ofnce and Zip Code
Estimate of value of decedent's property at death:
Ijdomielled in Pennsylvania ........................ .
Ijnot domiciled in Pennsylvania .................... .
IjnotdaaaleUedin Pennsylvania . ....................
Va/ae ojrea/ estate in Pennsylvania .................. .
File No:~~ ~`~~-V(Jl~d
(Assigned by Register)
Social Security No: .I `~ - 3 ~' - $ 9 Z ~
Age at death: bb
County, t'~A . (Scare) with his/her last
u.,y..,;~~1,~~ r.;_., b.,. ~,., d
City, Towmhlp or Borough
County
CAvti.n N~ ll Gtnmb~eC (nrvci, Qfa.
--~ City, Township or Boroagh County State
.. All personal property S tlo , c'v°
.. Personal property in Pennsylvania S
.. Personal property in County S
..................................... S 3 G .ovo
TOTAL ESTIMATEDVALUE.... S 76,~00~
Real estate in Pennsylvania situated at: 213 N • M AtLkEt 5-F. (uteL~.-~st~t,17V.+q QA 1?oSS Gwwbtelnw~ Gd
(AttacA additional sheers, iJnecesrary.) Street address, Post ORtte sad Zip Code CIty, Towrotdp or Borough Coaaty
A. Petition for Probate aad Grant of Letters Testamentary
Petitioner(s) aver(s) hdshe/they is/arc the Executor(s) named in the last Will of the Decedent, dated rtArcb, 29~`' 'LOOS and Codicil(s)
thereto dated
State relevant drenwtaaea (aa. nnunclarlon, deaW ojes:tcatar, att.)
Except as follows: after the execution of the insWtnent(s) offered for probate Decedent did sot marry, was not divorced, was not a party to 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
ado red; and Dccedmt was neither the victim of a killing nor ever adjudicated an incapacitated person.
~O EXCEPTIONS ^ EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (lf applicable)
c.t.a., d.b.n., d.b.n.c.t.a., pendente life, durance absentia, durance minoritate
If AdmlBlstration, ct.a or db.n.c.ta, eater 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
in 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 apropersearch has/ltave ascertained that Decedent left no W ill and was survived by the following spouse (ifany) and hein
udditionalsheets, ijnecessary):
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Farm ew_na rev. truilnntt Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
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Petitioner(s) Printed Name Petitioner(s) Printed Address
THOw. IYI• LEUES[~,wE /lU/~I.OW6tt, QR' /G{fM~N,p ZdL7J;
The Petitioner(s) above-[tamed swear(s) or affirm(s) the statements in the foregoing~lition ue true and correct to the best of the knowledge and belief
of Petitioner(s).and'Nat, a* Personal Representative(s) ofthe Decedent, the Pe ' ' )will well and truly minister the estate according to law.
Sworn too affirmed attd subscribe before Date a+ es~ 2 20/L
me thi ~ day of- ~~ Date
]3y: - Date
for the R~egi'ster Date
BOND Requieed: Q YES O To ehe Register ojWills:
FEES: Please enter my appearance by m y signature below:
Letters ...................... j~
S ~ ~ (J" Attorney Signature:
( ~) Short Certificate(s)..... .
( ) Renunciation(s)........ .
( )Codicil(s) .............
( )Affidavit(s)............ `~
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Bond ........................ Printed Name: C r E~
Commission.... Supreme Court W ~ ~ ~ ~
Other ...... ID Number. ~ u,..^. C
w'j
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...... _
~ ~ ~~'
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...... Firm Name: !? x ~ w ¢ ~
...... Address: ~~.77 `~
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...... ~ v
Automation Fee .............!-!'
JCS Fee .....................
TOTAL ..................... S
Phone:
Fax:
Email:
Official Use Only
DECREE OF THE REGISTER
Estate of ~~ I~~1/.[_ (~ File No: CiG/ ~ f!~- ~t~cp0
a/k/a: L (~
AND NOW, ~~(, Sl `7 ~ in consi f n of the fo egoing Petitton,
satisfactory proof having presented before me, IT IS DE ED that Letters
are hereby granted to dY
in the a estate and (if a licable) that
the instrument(s) dated
described in the Petition be admitted to probate and filed of r~ord as the last~VJ/ill (and C il(s)) ofpecedent. ~
of Wills
Fern Rw.n2 rc,,. fartuzorr ~ Page 2 of 2 __
v+nS,Fnv qcy /q/~.~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly tiled with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
P 18597594
Certification Number
w/%Inl In LOMMONWEAL]N Of PFNNSYIVANY • MPIRTMEN] Of NfAI]N. VI]Al RECOR05
Ib[Y IIIYI CERTIFICATE OF DEATH
Local Registrar Date Issued
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REVD]/x013
LAST WILL AND TESTAMENT
OF
RAY K. LEVESOUE
I, RAY K. LEVESQUE, of the Borough of Mechanicsburg, Cumberland County,
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Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish
and declare this as and for my Last Will and Testament, hereby revoking and making void any
and all wills by me at any time heretofore made.
1. I direct that all my debts and funeral expenses be paid as soon as practical after my
death by my Executor hereinafter named.
I direct that all taxes that may be assessed as a consequence of my death shall be paid
from my residuary estate as part of the expenses of the administration of my estate.
2. All the rest, residue and remainder of my estate, real, personal and mixed, and
wheresoever the same may be situate, I give, devise and bequeath to my son, THOR M.
LEVESQUE.
3. In the event my said son, THOR M. LEVESQUE, should predecease me, I hereby give
all the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the
same may be situate, to my granddaughter, CHELSEA M. LEVESQUE.
4. I hereby nominate, constitute and appoint my son, THOR M. LEVESQUE, as Executor
of this my Last Will and Testament. I further direct that my said son as Executor shall not be
required to post bond to secure the performance of his duties in the Commonwealth of
LAW OFFICES
SNELBAK ER Fc
BRENNEMAN, P. C.
~ a I I t . , ~
Pennsylvania or any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and
Testament written on two (2) pages this 29~' day of March, 2007.
~~
esque
Signed, sealed, published and declazed by RAY K. LEVESQUE, the Testator above named, as
and for his Last Will and Testament, in our presence, who, at his request, in his presence and in
the presence of each other, have subscribed our names as attesting witnesses.
i~~
~-b
-2-
LAW OFFICES
SNELBAKER EC
BRENNEMAN, P.C.
l
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF CUMBERLAND )
. SS.
We, RAY K. LEVESQUE, KEITH O. BRENNEMAN, ESQUIRE and JANE J.
GOONEY, the Testator and the witnesses, respectively, whose names are signed to the attached
or foregoing instrument, being first duly sworn, 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 a witness and that to the best of his or her knowledge the Testator was at that time
eighteen years of age or older, of sound mind and under no constraint or undue influence.
Witness
`L
Witness
Subscribed, sworn to and acknowledged before me by RAY K. LEVESQUE, the Testator, and
subscribed and sworn to before me by KEITH O. BRENNEMAN, ESQUIRE and JANE J.
GOONEY, witnesses, this 29~' day of March, 2007.
Notary Public
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
ONWEALTIi OF PENN3XLVANU
Shen L ~p~
A ~~h~ S~~QfI E7~(I!~ N4V. 84, Z~~
Msmbsr, Pennsylvenle Aswd~tlp~ oT WotarlM
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