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PETITION FOR GRANT OF LETTERS
COUNTY, PENNSYLVANIA
REGISTER OF WILLS OF CUMBERLAND
ears of a e or older, apply(ies) for Letters as specified below, and in
Petitioner(s) named beldot following and respectfully request(s) the grant of Letters in the appropriate form:
support thereof aver(s)
Decedent's Information File No: ~ I - ~ ~O ~ ~ ~ -
Name: RAYMOND G. MARTIN (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
a/k/a: Age at death: 69
Date of Death: 06/26/2012 County w tcy peNiA (State) with his/her last
Decedent was domiciled at death in CUMBERLAND CARLISLE CUMBERLAND -
Coaoty
principal residence at 940 WALNUT BOTTOM ROAD CARLISLE 1701 city Township or Borough
Street address, Post Ot[ice and Zip Code
CARLISLE CUMBERLAND PA state
County
Decedent died at MANOR CARE HEALTH SERVICES CARLISLC ty70ownship or Borough
Street address, Post Otflce and Zip Code
Estimate of value of decedent's property at death: All personPal pro ~erty y
If domiciled in Pennsylvania ............ .
Ijnot domicAed in Pennsylvania .................... ~ ' ' ' Peersonal property in County vama ~
If not domiciled inPennsylvania . ....................... ......... $
Value of real estate in Pennsylvania ................... ~ ~ ~ ' ' ~ ~ TOTAL ESTIMATED VALUE.... $_~--
Counry
Clty, Township or Borough
Real estate in Pennsylvania situated at Street address, Post Office and Zip Code
(Attach additional sheets, if necessary.)
® A. Petthon for Probate and Grant of Letters Testamentary
he/she/the is/are the Executor(s) named m the last Will of the Decedent, dated MARCH 19, 2008 and Codicils
Petitioner(s) aver(s) Y
thereto dated
State relevant circumstances (e.g. renuncfafion, death of executor, etc.)
was not divorced, was not a party to spending
and did not have a child bom or
Except as follows: after the execution of the instrument(s) offered for probate Decedent di not marry,
adoptedpand Decedenh was netithe~ beau ctim of a ki la gbnor ever adjudcated antincapac to ed persop 3323(8),
O NO EXCEPTIONS Q EXCEPTIONS
c.t.a., d.b.n., d.b.n.c.t.a., pendente lire, durante absertia, durante minoritate
B, Petition for Grant of Letters of Administration (If applica e
If Administration, c.t.a or d.6.n.c.t. °'a Bending actor a proceeding wthOnrAls geouend ndr di mrce had bee neshbl shed as defined
Except as follows: Decedent was not a party P
in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
O NO EXCEPTIONS 0 EXCEPTIONS
__~ ,..,~n.~.,P ascertained that Decedent left no W ill and was survived by the following spouse (if any) and heirs (artac i
Farm RW-U2 rev. ~ m. v-~•• •
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF CUMBERLAND } SS:
}
f ~~, ~_:; ~-FtCE OF
- : ; _ .,
ru!~ seP r a an
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 tmly administer the estate according to law.
Sworn to or affirmed and subscribed before /
me this ~ of ~ . ~•
By. Date 1 /Y ~y,
Date _
For he Register Date _
Date
BOND Required: Q YES ~. NO
FEES:
Letters ......... $
( I) Short Certificate(s)......
( 1) Renunciation(s)......... X4.00
( )Codicil(s) .........:... ~ ~'BB
( )Affidavit(s)........... , ~
Bond ........................ ~
Commission. ~----
Other ~~~~~~~~ ~_
WILL-~........ ~
To tke Register of Wills:
Please enter my appearance b m
Y y signature below:
Attorney Signature:
.;~ . C~
Printed Name: ROG=~ ESQUIRE
Supreme Court
ID Number: 6282
Firm Name: [RWI_ i~] & M~KNIGHT, P.C.
Address: fi0 WFCT POA~
---~--~is.FT CTR FFT
CA R i 1~ pi1 17017
....
Automation Fee. .. ~--- Phone: 717249-2353
............
JCS Fee......... ~5~00 Fax: 717249 635q-
............ 23.50
TOTAL ..................... $~ Email: --
DECREE OF THE REGISTER
Estate of RAYMOND G. MARTIN ? _
a/k/a: File No: q" I - 1 a I~~'
AND NOW, I~ ~~~
satisfactory proof having en presented before me, IT IS DECREED t(tat Letters TESITAMENTARye foregoing Petition,
are hereby granted to ROGER B. IRWIN. ESDi rtRP
the instrument(s) dated
described in the Petition
Form RW-02 rev. /D/I]/ID]/
__ ,.. i.,..,, WARNING: IT IS ILLEGAL TO ALTER i'HIS COPY OR
~~i ., -:, _ TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAI>H.
_.'I ~,np COMMONwEAI_rH Gf P[N4~iYi A+~dA
pEPAflTMENT QF NEP:rH PITkL ti`£~ lvg9;
LOCALREGISTRAFi'S CERT'IFICA'~lC~PV OF DE/~TH1
~ Bunn\Sy,1
%a/~~°,t 1417 p~~y~tt
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P ~r(1~~
%~ ~t s%`.
vi"1~ l Nit ~%
'~°'f'ut ,nkr o yl
cERT. No. T 6414908 °~,;~q ~~`~~ ,'~~ June 2',_,2012--
Name of Decedent __-. Raymond. G. Martin
cim vin a.v
~• Male 298 - 36 - 7115 ~ June 26,'.2012.'
.sex -___ ___ __ Social SeeurityNo. ____ ___ _______ Date of Death
Oct. 5, 1942 Hibbetts, Ohio
Date of Birth - -__--_- ---Birthplace __ - _-- _____ - - _-_ .-__- ----
Manor Care Health Services Cumberland Carlisle Penns Ivania
F lace of Death - _-__ _ ___ _- -_ __- ______. __.__.._ __.-- --Y
~v~~, ~:~m., ~„~~~~ ~, ~.v,:,..., ,.,,,~~~,~
Race White Occupation Shipper _ Armed Forces? (Yes or No) _ Unknpwn
Decedent's
Divorced 940 Walnut Bottom Road Carlisle PA 17015
Marital Status ___.. ___ Mailing Address ___ _ _ _.__-__-___-_- _.__-
ti,~~~„~ ~ ~, ,,,~~~ s~a,a
Denise E_Wlson Funeral Director James F. Nickel
Informant _____ __ _ _
Name and Address of
Funeral Establishment__Nickel Funeral .Home, P.O. Box 910, Loysville, PA 17047
Interval Between
Fart F Immediate Cause Onset and"Death
Congestive Heart failure
(b)_____ _ .__ _.
Ic)
(d)
Fart II: Other Significant Conditions.
Manner of Death
Natural ~L'R Homicide
Accident Pending Investigation
Suicide ] Could not be Determined
Name and Title of
L
J
n
tz'1 ~~::i s:
~;. C
'-
e -'~_
T
T4'
-
~- T
~
1
_.~-i
~ ~i
~rn
N
_ ~~
r _
Describe. how injury occurred
Dr. Darryl Guistwite
Address __- 56 Ashton St: , Carlisle, PA 17013
M.D.
IM.D., D.O., Coroner, M.E.)
This is to certify that the information here given is correctly copied from an original certificate
of death duly filed with me as Local Registrar. The original certificate will be torwarded to the
State Vital Records O~fice for permanent filin /~ ® -
Q,_~I~C~-~-rw 50-455.
,H ,.n.. ~~.~.~~
June 27, 2012 101 Barnett St., New Bloomfield, `PA 17068
---
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{tit S P 14 p,~1 9~ 25
RENUNCIATION
REGISTER OF WILLS (~iMBER~ J ~,~UI.Rr
U;NO C0.• PA
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of RAYMOND G. MARTIN
Deceased
I, DENISE E. WILSON , in my capacity/relationship as
(Pant Name)
EXECUTRIX of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
ROGER B. IRWIN
L> 9~u, ~Lesz 1 a aD l ~
~oare~
Executed in Register's Offtce
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
r
(Slgrw[ure)
2528 SHERMANS VALLEY
(Street Address)
ELLIOTTSBURG., PA 17024
(City, Srare. Zip)
Executed out of Register's Offtce
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes sta~d within on this ~o?-~ day
of ~~--
N tart' ublic
My Commission Expires:
(Signature and Seal of Notary or other official quaGtied to
administer oaths- Show date ofezpira[ion of Notary's Commission.)
tort-rwrtvuenutt of aewt~mv
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1:.
LAST WILL AND TESTAMENT
..r~ „~ OF
F±F.CO'~~'~D . ~~~
F_,, ~,;1;_i c
lllr2 ScP f 4 Af' 9~ 2b
ORh'rinN'S ~vuRT
I, RAYMOND G. MARTIN, of Carlisle, Cumberland County, Pennsylvania~~R~e~syPA
make, publish and declare this to be my last will and testament, hereby revoking all wills
heretofore made by me.
1. I direct my personal representative to pay all of my debts, funeral and administrative
expenses as soon as convenient after my decease. I direct that all inheritance taxes imposed
or payable by reason of my death and interest and penalties thereon with respect to all property,
whether or not such property passes under this Will, shall be paid by my personal
representative out of my estate.
2. I authorize and empower my personal representative to sell any realty and/or personalty
owned by me at my death and not specifically devised or bequeathed herein, at public or private
sale or sales and to give good and sufficient deeds and/or bills of sale therefore, in fee simple,
as I could do if living. My representative is authorized and empowered to engage in any
business in which I may be engaged at my death, for such period of time after my death as
seems expedient to said representative.
3. I give, devise and bequeath all of my estate of whatever nature sand wherever situate to
DENISE E. WILSON, or if she is deceased, then to her children, Brittany J. Wilson and Tyler C.
Wilson, share and share alike.
4. If any of my beneficiaries is under the age of twenty-one (21) years, then my estate I
give, devise and bequeath to be held in trust by the hereinafter mentioned trustee according to
the following terms and conditions:
The trustee, as well as my representative, is hereby authorized to retain,. unconverted, any
property, real or personal, that I may own at my death and shall be under no duty to convert it
into legal investments. The trustee shall have the power and authority to sell, transfer, convey,
invest and reinvest and to pay over the net income of the trust property, to or for the use of such
beneficiaries or to accumulate it in the sole discretion of the trustee. The: trustee is also
authorized and empowered to pay over to, or for the use and benefit of such beneficiaries such
~.
portion of or all of the principal of the trust estate, as in the trustee's sole discretion seems
proper for their support, maintenance, education, or medical care. My primary object is to
insure the support, maintenance, education and medical care of such beneficiaries until the
youngest beneficiary reaches the age of twenty-one (21) years. When the youngest beneficiary
reaches the age of twenty-one (21) years, then whatever remains of income or principal of the
trust estate shall be distributed to such beneficiaries, share and share alike, the child or children
of any deceased beneficiary taking the share their parent would have taken if living and subject
to the same trust provisions as are provided herein.
5. I nominate and appoint Denise Wilson to be the personal representative of my estate, to
serve without bond.
6. I appoint Orrstown Bank, its successors or assigns, to be the tn~stee of any trust
established pursuant to this will.
7. I suggest that my personal representative retain the services of Harold S. Irvin, III,
Carlisle, Pennsylvania in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~~ day of March, 2008.
(SEAL
YMON G. MARTIN
Signed, sealed, published and declared by the above-named person as and for a last will and
testament, in our presence, who at said person's request, in said person's presence and in the
presence of each other have hereunto set our names as subscribing witnesses.
~+ ~~ ~-
ACKNOWLEDGMENT AND AFFIDAVIT
WE, RAYMOND G. MARTIN,-SARAH A. HARDESTY and KATHRYN M. MULLEN, the
testator and witnesses respectively, whose names are signed to the 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 that he had signed willingly, and that he executed it
as his free and voluntary act for the purpose herein 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
their knowledge the testator was, at that time, eighteen years of age or older, of sound mind and
under no constraint or undue influence.
~ ~ ~~
RAYM NOD G. AAgRTIN
SA .HARDE
/ _
KA H M. MULLEN
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND :ss:
Subscribed, sworn to and acknowledged before me by RAYMOND G. MARTIN, the testator
herein, and subscribed and sworn to before me by SARAH A. HARDESTY and KATHRYN M,
MULLEN, witnesses, this _~''>day of Marcf
t'pi~4MONIVEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Garold S. Irvin lii, Esq, Notary Public
6ertielo, Cumberland Coumy
oommllaion a 'res Feb 06, ZUl l