HomeMy WebLinkAbout08-16-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND 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 requests the grant of Letters in the appropriate form:
Decedent's Information
Name: Rachel M. Dailey ~
a/Wa: File No: 27-12 9C~~
a/Wa: (Assigned by Register)
a/Wa:
Date of Death: 07/19/2012 Soeial Security No: 174-20-8201
Age at Death: Mj,Q 5
Deceden[was domiciled at death in Cumberland County
,
principal residence at 4905 E. Trindle Road, Mechanicsbu 17050 PA
(State) with his/her last
Street atldress, POal ice entl Zip COtle Hampden Cumberland
Decedent died at City, Township or Borough County
Street atltlrese, Poet GKCa and Zip Cotla
City, Township or BOmugh County S
late
Estimate of value of decedent's property at death:
If domiciled In Pennsylvania ...................... All personal property $
I/not domiciled in Pennsylvania ................ Personal property in Pennsylvania $ 20 000.00
If not domleiled in Pennsylvania ................ Personal property in County $
Value of real estate in Pennsyfvanla ...
........................................................... ..... $
Reel estate in Pennsylvania situatetl et TOTAL ESTIMATED VALUE $ 20,000.00
(Attach atldrbnal sheets, I/necessary)
Street atltlresa, Post Oeice entl Zip Cotla City, Township or Boredgh
County
® A. Petition for Probate and rant of attars Te r~
Petitioner(s) aver(s) that he/she/they is/are the Executor(s) named in the Last Will of the Deced
t
d
07/1
thereto dated en
,
ated
9/2006
and Codicil(s)
State relevant circumstances (e.g., renunaefion, death oiexecuroq etc J
Except as follows: after the execution of the instrument(s) offered for probate, Decedent did not marry 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. § 9323(8), and did not have a child born or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
® NO EXCEPTIONS Q EXCEPTIONS
^ B. Petition for Grant of Leners of Adminl tretion (If applicable)
c.t.a., d.b.n., tl.b.n.c.t.a., petlente life, durance absentia. durance minoritate
If Administration, c.ta or db.n.c.t.a., enter date of WIII In ¢ectlon A above and eomolete li t of h
Except as follows: Decedent was not a party to pending divorce proceedingg wherein the rounds for divorce had been established as defined
in 23 Pa. C.S. § 3323 (g) and was neither the victim of a killing nor ever adudicated an ine apacitated person.
NO EXCEPTIONS ~ EXCEPTIONS c
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the followin se (if any~nd he~i(t~~tlAch
additional sheets, if necessary): ~T ~C CDC
T~~- ~
Name ~' - r-~~; r`ro
Relationship Address
"
~ -
~
r~~
~O' f ••
n ~~
Form RW-02 ree tart-zmf
Copyright (c) 2017 form software only The Lackner Group, Inc.
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Cumberland } SS:
}
Petitioner(s) Printed Name
Gail T. Gillis
Petitioner(s) Printed Address
1114 Coeklin Street
Mechanicsburg, PA 17055
The Petitioner(s) above-named swear(s) or affirm(s) the statements in
belief of Petitioner(s) and that, as Personal Representative(s) of the D~
Sworn to or affirmed and subscribed before ,~
me this '7
BY~ D /I > ~- n
BOND Required?^ YES ~NO
FEES:
Letters .......................................... $--
( ~ )Short Certificate(s).........
( )Renunciation(s) ..............
( )Codicil(s) ........................
( )Affidavit(s) ......................
Bond .............................................
Commission..... ~..}. ( ..................
Other ~ I ~-
Automation Fee............
JCS Fee .......................
TOTAL .........................
r
~ are true and correct to the best of the knowledge and
will well and truly administer the estate accordi g law.
Dana /
Date
Camp HIII, PA 17011
Phone: 717/730.7310
Fax: 717/730-7374
$ E-mail: mikebangs~verizon.net
DECREE OF THE REGISTER
Date of Death: 07/19/2012
Social Security No: 774-20-8201
Estate of Rachel M Dailev /~
a/k/a: File No: 21-12 - -/~i(~
AND NOW, 2-
satisfadoryproof having been presented before me, IT IS DECREED that letters ~ . in consideration of the foregoing Petition,
TesWmentarv
are hereby granted to Gail T. Gillis
in the above estate and (if applicable) that the instrument(s) dated
described in the Petition be admitted to probate and filed of record
t forth
To the Register of Wills:
Please enter my amrea
Dade
Date
below:
Attorney Signature: J
~~ L/1~
Printed Name: Michael L. Bangs
Supreme Court
ID Number: 41263
Firm Name: Banes Law Office LLC
Address: 429 South 18th Street
of Decedent..
RE~~iS! %i ~, ~n
X105.605 REV 19/1 b
~~W~,p; ,,,, TRAR'S CERTIFICATION OF DEATH
nCti~'~~e' Itil^~~ilegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $~~ AU~ ~ ~ ~~ 8~ ~ ~.
his is to certily that the information here given is
~rrectlycopied from an original Certificate of Death
,L-.: ply filed with me as Local Registrar. The original
Q~}-~/~y'~ ;~Vl~~l -, ~rtificate will be forwarded to the State Vita]
C(~B R~p ~,l ~A ecords O' ~i ~ermanen( filing.
P 1865130. - 3
Certification Number
ujcal Registrar ate Issued
p••mprlnntn COMMON WEItLTN OF plNN3YLVItNIq • DEpgRTMfNT OF ryMLTN • yITgL RCCOROs
Bi~ik CERTIFICATE OF DEATH
n Me D•y •r (sP.ll pnen) T•. BI npliw
30 /92 7
Te. nnnm•t•
. qK Ne.) •.. Dle D.=.e•nt uy. m . Townapl
L L. /Or... tl.ca.n< ny.e m _
Q NO. tlBC•tlBn<Ilwo wl<M1ln Ilmlta
!y(E~
5_
Y
d/2 /is t
u[r••arl•V•I Of aenoolwmPl•ua •t tn. tlm•o(tl•Kn,
n {uG•arl.(• bode [nK bK<G•arb•a1wnOKn ~:~
No
almom•, Btn - rnn {r.e•
L s
Pi nlan/Nlap•nlc/4tlne. Chwktn
NIBn •cnoel {r•tluK. or OEO wmPl.t•tl by+ItlK.tl•n(I•nK SP•nbn/Nbp•
some wn•{. creme bue nt. ee{r•• rvo, nK sP•mm/Nbpm Wt•nne
M• b tl•lr•• 1..{. qq
q51 V.•, M•.lun, M•al[•n gm•rl<•n
,
B•cn~ aY• y{.•• 1•~{. M. qB, Bsj ,
~ V•(, Puerto Rlc•n
MKUr'a Oyr•• (•{, Mq, Ms, MEnB, MEtl, M3W,.MBq)
OoRe.•a U.{. PnO
Ea01 or Prolotl ~ V••' Cuban
O Vo. KnK sP•n4n/NIaP•nl4uun
.
onn a•vo
. MO Dos
: vM ua )p (swclNl
e
wa•n<alnN• us•Ibpol{nKlen-[neck ontr NB to lnmab wnK en•a
awnlu
D
p KeP=~•a•
BI•ck or 41NC•n Mm•rlc•n •eymteon.m•r.el
O z.mo•n
Inman o(hlKk•N•tlve ~ VIKn•m•u
~.~ ma Y
l
•
•
qa
l•n O om
rgal.n ~ Oen
K a
w/NK
EU
i
cnmK. Q N
Fuwln°
u.m
nb~ ~ O n•ru.•e
D otn.r (s
•cIM
P
D D
.
cn.merro
•
+ ~
n---•.... _......o.r.o nlmavorn .a lr orb.
•
m4t
nno. ~
^
O Lek o. n,/rlungm•rlun
p
vlKn•m•a.
O gm•rlc•n Inel•n or 41Kk• N•tl
cblunn w Q O<nK AFNn
Q gFl•n Intll•n
~ Natlu• N•w.ll•n
Q
In•u
;
Q 6u•m•nl•n er Cn•morro
o F Iwnp
° o~mp.n
I M•. DO NOT V3E gETIgEO.
BB. p.n I. En4rtb..n. ma••a•a, m u CAUSE OF DEATI
r•aPlr•tery•rr.st,oru.ntrlcul•rgerlll•tlen wltnout tnowl .llu•I Klolon•1 DO NOT pBB to
IMMFO.gT
G V
E . •
®~
~
Q~ ~ /
i-~
N
I
,
a
>
fFl .Im .• nnmon ~
L
Kmn { m e..ml Du. o (er K • cem•Rwn.
s•RU•nN•MR ontlrtlom, b.
=
1' •n V. IutllnB Le
[n• c•u•. Ou• o (er u • cona•qu•n~
to on un•.. Cnt.r m•
VNO[RIYINO GVa!
tlN•K. pr Inlury tn•t Ou• to (ar K • cona.O U.m
nn r•aultly
l
(
,
In
e •[nl
Lw3T.
00 NOT.ntK grmin•I.e,•n4 Fuen K u.Gl•c Krut 1 wPnyrvl: K•
•_'~°^~^•a.••on.un~n waa .amnon•I Un.. vn:c.aF•rv ~ n.K to o:.m
I
a<yr
O vr•{n•nt K nm• or a.•cn ui roe•ee [rlbut• to putb)
O p w~ cwb.eN sy t p Y O -
or o••tn
,
p No<Pryn{ne, cue pr•m•nt wmm~u a•va or ea.m ~-MO- O unknown ~
FK
ur o ry
O n•<Pr.{nwe bee Pr.m•nt e3 e•n to z v.r [.for. e••m
~ Unknown I/ P.yn•nt wl<M1l
n
81. pK. o11n1u
(M d
zm~m. < ~ p..el~^{~ne...n{{von
C
ltl
CI
n t
. P•R nK ry
O/p•Y/Yr) (zp•II Mentnl 0
nu
b• tlKKminy
I•c• a Inlury (•;. nom•, wnRruttlon al[•~ /arm, acno
°') 93.'Flm. oI lnlu
as. Loaven o/ b.lvry tso-•K.ne Ne,mb•., nN IP co
tl•1
Nurv •e Wark 3T. 1/Tr•naport•tlon lNurv. spec
~ y O .I •r^o eo p p•tl•K
~ n 38. puerlb• Now INurv p¢un•d:
o •• o otn.r lepKlN)
•
C.rel .r (<n•ek only enK.
-7.:2~o In
ny.lel•n -TO en• beat e1 m
k
C ^
Y
newNOp, tl.•en oauruC tlu. [o tn• e•uaB(a
I B6GrtIMryPlryFld•n-TO M•b.at o/mv knowbd 1•ntl m•nnK aubtl ~R. 5•TE YNFN PROPHET
M•mc•1 Ey.m1nK/COm
B•. tluM oauruG •t [n• tlm
G
M
~
•,
b•alsla p~ n. •
•t•. •nG Pl•u, •ntl Gu• to tn• uuaBVl •ntl manner at•<•G
-
np<lon, In m oPlnlon, G••tn oeeurr•tl •t LM1. [Im•
GK
,
•, •n0 PI•u, •ntl tlu. ep tn. uua•lal •n0 m•nn.r•
Tltl.KwKIR•.~ /7fr)
t70//
/ Y ~~
//~~ It
DLPpntlon p.rmR ~~~~ Q, R
~~- ev Ds-i•a
DT/]D11
ep\willsA~A?LEY, RACHEL,
LAST WILL AND TESTAMENT
OF
RACHEL M. DAILEY
I, RACHEL M. DAILEY, of Hampden Township, Cumberland County,
Pennsylvania, declare this to be my last will and revoke any will
prey.>iously made by me.
ITEM I: I direct that my Executrix hereinafter named shall pay
all my just debts and funeral expenses as soon a:; conveniently may be
done after my decease from the residue of my estate.
ITEM II: I devise and bequeath all the rest, residue and
remainder of my estate of every nature and wherever situate in equal
shares to my sisters, THERESA LUCISANA and SANDRA SECOR, or survivor
of them.
ITEM III: Should my sisters, THERESA LUCISANA and SANDRA SECOR,
fail to survive me, I devise and bequeath all the rest, residue and
remainder of my estate, of every nature and wherever situate, in equal
shares to my nieces and nephews, GAIL GiLLiS, SHAF;OP1 L'JCISANO, GABRIEL
LUCISANO, and BRENDA TUSING, who survive me.
ITEM IV: I appoint my niece, GAIL GILLIS, Executrix of this my
last will. Should my niece, GAIL GILLIS, fail to qualify or cease to
act as Executrix, I appoint my niece, SHARON LUCIS,~NO, Executrix of
this my last will.
..>
:,
rv
s-f
.~7
- `
~ ~ C
.
1
.
Page 1 of 4
~~ ,
'G
- ,_.
c~;;'t
__,
-
.
~C
.
C7~_,.. 01 ~r~-:
r'
-`~ r;
x
i .
,n
_
A ~ ~ C
t-~r~
<~ O
•-- '~
ITEM V
bond or enter security for the faithful performance of his or her
duties in any jurisdiction.
IN WITNESS WHEREOF, I, RACHEL M~D'AILEY, have hereunto set my
hand and seal this ~ day of J~/~
_, 2006.
r
L ~
CHEL M. DAILEY
No fiduciary acting hereunder shaill be required to post
Page 2 of 4
SIGNED, SEALED, PUBLISHED and DECLARED by RACHEL M. DAILEY, the
Testatrix above named, as and for her Last Will and Testament, and in
the presence of us, who at her request, in her presence and in the
presence of each other, ~ subscribed our names as witnesses.
~~~~ ,--.
Witness ~ .'_...414 Bridge St., New Cumberland PA
Address
Witness 414 Bridae St., New Cumberland PA
Address
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND SS:
I, RACHEL M. DAILEY, the Testatrix whose name is signed to the
attached or foregoing instrument,
to law do hereby acknowledge that I signed and executed this instru-
ment as my last will; that I signed it willingly and that I signed it
as my free and voluntary act for the purposes the~:ein contained.
~~
RACHEL M. DAILEY
Sworn to or affirmed to and acknowledged before me by F;ACHEL M.
DAILEY, the Testatrix, this
j `O~-+4'~ 2006.
COMMONWEALTH OF PENNSYLVANIA ,J
NOTARIAL SEAL \
CAROL L. TROXELL, Notary Public
New CumberlandBoro.CumberlandCo. Notary Public
My Commission Expires Dec. 27, 2009
Page 3 of 4
having been duly qualified according
COMMONWEALTH OF PENNSYLVANIA :
COUNTY OF CUMBERLAND ~ SS:
/'' / _/ <
We, ~~rGlaC,/ ~~~{~~~~ ands-~V1 I^~Pi~VI
the witnesses whose names are signed to the attached or foregoing '
instrument, being duly qualified according to law, depose and say that
we were present and saw Testatrix sign and execute the instrument as
her last will; that Testatrix signed willingly and that she executed
it as her free and voluntary act for the purpose:; therein expressed;
that each of us in the hearing and sight of the 'T'estatrix signed the
will as witnesses; that to the best of our knowledge, the Testatrix
was at that time eighteen or more years of age, of sound mind and
under no constraint or undue influence.
_,
// _:
Witnes ~y'`- "
Witness
S/wo/rn to o~rj affirmed /,t-o ,and acknowledged be` fore me by_
l rFlu ~( ~~ U/~P~~C ~~ r and 1~~.
witnesses, this~~ day of ~1 ,~/- '
_ ,. 2006.
COMMONWEALTH OF PENNSYLVANIA Notax'y Pub 1c1C
NOTARIAL SEAL
CAROL L. TRDXELL, Notary Public
MyCommfssaonExp~es Deb 27n2009 Page 4 of 4