HomeMy WebLinkAbout09-14-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF r~ ~~'~~ n~ 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: RO~Ir_~Na,i ~dY
a/k/a:
a/k/a:
a/k/a:
Date of Death: 9TH „217/
Decedent was domiciled at death in County,
principal residence at /1dt' ~av/js/G nail. A/Pwv;!/P_
Decedent died at
Street address, Post Omce and Zlp
and Zlp Code
Estimate of value of decedent's property at death
~' ~ d~ ! ~~
File No:
(Assigned by Register)
Social Secm•ity No: ,~/ - ~~- ~~~ f~
Age at death: 5j Q
(Stare) with his/her last
Clly, Towmhlp nor Borough
y, Townthlp or Borough ~~T
County
/f domiciled in Pennsylvania ............................ All personal property $ ,~. AdQ , ~
/f not domiciled in Pennsy/vania ........................ Personal property in Pennsylvania S
Ijnot domiciled in Pennsylvania ........................ Personal property in County $
Value ojrca( estate is Pennsylvania ......................................................... $
TOTAL ESTIMATED VALIUE.... $
Real estate in Prnnsylvania situated at: N4yte
(Attach odditional sheets, ijnecesraryJ Street address, Post Office and Zip Code Clly, Township or Borough Coanty
A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) hdshdthey is/are the Executor(s) named in the last Will of the Decedent, dated Nil V . d~ / aQ ~ and Codicil(s)
thereto dated
State relevant clrcumstancq (eg. renunciation, death ajesmuror, etc)
Except as follows: afterthe execution ofthe instmment(s)offered forprobate Decedent did not many, ryas not divorced, was notaparty 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
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated peru~n.
NO EXCEPTIONS ^ EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (If applicable)
c.t.u., d.b.n., d. b.n.c.r.a., pendente lire, dururste absentiu, dururtte minaritute
If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent 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(8) 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 left no W it l and was survived by the
additional sheets, i('necessury):
d{ieirs (art ch
~ ~~ ~~
m ~,
Neme
Relationshi L __
Address ~ ''
Wit- ~
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_
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i
Farm Rw-nz rev, llUl1/1n1/ Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
presented before me, IT
are hereby granted to
F±f:uOR :FG `~F~CE 0~
) "4C 12 SEP { 4
} SS:
}
Petitioner(s) Printed Name resx
/ ~E
s C-~CJr~ ,~.
~3
-~.-..
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true anti correct to the best of the knowledge and belieF
of Petitioner(s) and that, as Personal Representative(s) ofthe D~dent, the Petitioner(s) I well an ryly administer the estate according to law.
Sworn to or (firmed an ubscribed before N „w !/i Date ~~~~~~~
me thi ay of ~'t •-Dace
B Date
For the gister
Date
BOND Required: AYES
FEES:
Letters ...................... S~
( ~'-)Short Certificate(s)...... /
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission. ~..........
Other ~..,,,...
Automation Fee . :....:....:::: P~ JV
JCS Fee.. .
TOTAL ..................... $~
To the Register of Wiffs:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name:
Supreme Court
ID Number:
Firm Name:
Address:
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate of ~~'~ ~ ~\U~ File No:1~({ ~ ~ ~ ~ ~ l~C./~
a/k/a:
AND NOW,
satisfactory pro`o
the instrume
described in
{2~ { ~
in
in tht: above
[o probate and filed
as yhe last WJi~I (and
of the foregoing Petition,
that
Form RW-01 rev. 1M(l/101( ~ _ _ Pa~O 2 Of 2
i np
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
Rf CrIF,; ;,-~~', , ~: ~~F~NG: It is illegal to duplicate this copy by photostat or photograph.
F' ' 1 C
ree ror m(s cemtlcate~, yo.uu This is to certify that the information here given i S~~ ~ 4 ~~ ~~; ~ ~ correctly copied from an original Certificate of Death
P ~~'~
Certification Number
a~
TYPe/vrm<In
duly tiled with me as Local Registrar. The ongmal
certificate will be forw~urded to the State Vital
Recoirds Office for per,nanent filing.
Local Registrar llate Issued
cOMMONWEALTN Of PENNSVLVANIq • DEPARTMENT OF NEALTH VITgL RECORDS
Decedent's Legal Nema (Fire[, Mldala. Lax<, SuM.I 3 S stab Flla Number:
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"012 SEP 14 Ph 12~ ! 2
oRt~HAN°S t;OURrL.~LS~~1NILl .~L.N'D ~~'S?.~L~1~l~;~YT
ClNuI6ERLAND CO., PA
I, ROBERT NAILOR, of West Pennsboro Township, Cumberland County,
Pennsylvania, declaze this instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Codicils heretofore made by me.
ONE: I duect my Executrix to pay all of my debts, funeral and administrative expenses as
soon as may be done conveniently after my decease.
TWO: I give, devise and bequeath all of my property of every natwe and wherever
situate to my wife, DOROTHY I. NAILOR, provided she survives me by thirty (30) days or
more.
THREE: If my wife, DOROTHY I. NAILOR, has predeceased me or failed to survive
me by thirty (30) days or more, I give, devise and bequeath all of my property of every natwe and
wherever situate to my daughters, CONNIE L. DRAWBAU(iH and TAMMY S.
HENNEMAN, in equal shazes, per stirpes. If one of my daughters has predeceased me, then the
share of said deceased daughter will be equally divided by the issue of said deceased daughter. If
one of my daughters has deceased me without living issue, then said share will be distributed to
my daughter who survives me.
FOUR:: I appoint my wife, DOROTHY L NAII,OR, to be 'the Executrix of this my
Last Will. If she should predecease me, fail to qualify or cease to serve as Executrix, I then
appoint my daughters, CONNIE L. DRAWBAUGH and TAMMY S. HENNEMAN, to serve
as Co-Executors of this my Last Will.
FIVE: My Executrix may, at her discretion, compromise claims, borrow money, retain
property for such length of time as she may deem proper; lease and sell property for such prices,
on such terms, at public or private sales, as she may deem proper; and invest estate property and
income without restriction to legal investments.
SIX: No Executrix or Co-Executor acting hereunder shall be required to post bond or
enter security in this or any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this'~~ day of
November, 1993.
~~ (SEAL)
ROBERT NAILOR
Signed, sealed, published and declared by ROBERT NAD:OR, the above named
Testator, as and for his Last Will and Testament, in the presence of us, who, at his request and in
his presence and in the presence of each other have subscribed our names as witnesses hereto.
~~~~0 ~
2
ACKNOWLEDGMENT AND AFFIDA ti7T
WE, ROBERT NAILOR, SHARON L. SCHWALM, and CHERYL L.
CLELAND, 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 vdll 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.
ROBERT NAII.OR
1 /Y /f//~J7r /~ ~~i"i~J,,~.a.
ARON L. SCHWAL1Vl
CHE L.CLELAND
COMMONWEALTH OF PENNSYLVANIA
:SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by, ROBERT NAILOR, the
testator, and subscribed and sworn to before me by SHARON L. SCHWALM and CHERYL
L. CLELAND, witnesses, this~~ day of November, 1993.
.~~; ~..~Ylns,s,i,~r,
Nota ub6
r~a~ seal
Betzi A. Morrison, Notary Pubfrc;
Carlisle f3oro, Cumberland Canty
My Commission E~iros Dec. 15, 199E'i
Member, PennsylvaniaASSOdation of D Caries