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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/aze 18 yeazs 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: Clazence A. Bricker
a/k/a:
a/k/a:
a/k/a:
Date of Death: 08/12/2010
File No: ~~ I '" I~ J I ~
(Assigned by Register)
Social Security No:
Age at death: 78
Decedent was domiciled at death in Cumberland County, pA (Scare) with his/her last
principal residence at 231 Pine Road Mt Holly Snrines PA 17065 S Middleton Cumberland
Street address, Poet Orflce and ZIp Code City, Township or Borough County
Decedent died at 231 Pine Road Mt Holly Sorines PA 17065 S Middleton Cumberland PA
Sheet eddreee, Post Otflce end Zip Code City, Towoahtp or Borough County State
Estimate of value of decedenPs properly at death:
7jdomicaed in Pennsy[vania ............................ All personal property $ 100,000.00
If not domicAed in Pennsylvania ........................ Personal properly in Pennsylvania $
If not domic8ed in Pennsylvania ........................ Personal property in County $
Value of real estate in Pennsyvania ...................... .................. $ 15(1.000.00
TOTAL ESTIMATED VALUE.... $ 250.000.00
Real estate in Pennsylvania situated at: 10199 Buffalo Trace. Tuscarora TwD Pem
(Attach additional sheets, if necessary.) Street address, Poet Orflce and Ztp Code City, Towna6lp or Borough Connty
® A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated February 25, 2010 and Codicil(s)
thereto dated
State relevant dreumatmces (eg. renuncioaoq death of executor, etc)
Except as follows: after the execution ofthe insWmeat(s)offBred for probate Decedent did notmarry,wtts not divorced, was not aparty 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 born or
adapted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS Q EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (lf applicable)
c.t.a., d.bn., d.b.n.c. t.a., penderste life, durante absentia, durante minoritate
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 defimed
in 23 Pa. C.S. § 3323(8) and was neither the victm of a killing nor ever adjudicated an incapacitated person.
Q NO EXCEPTIONS Q EXCEPTIONS
Petitioner(s), after aproper searoh has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs (a[tach
additional sheets, ijnecessary):
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Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
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PFC~1P'~`r';FFICE OF
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Petitioner(s) Printed Name Petitioner(s) Printed Address
Janet K. Bricker 4 Abbe Co Carlisle PA 17015 r,' ~ ~ c ~i
-ae"'ir RI PND CO., PA
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition ate tme and coaec[ to the best of the knowledge and belief
of Petifioner(s) and that, as Personal Representative(s) ofthe Decedent, the Petitioner(~jvnllT,w~ell and tr/uly administer the estate according tc law.
Sworn to or affirmed an subscnbed before < ' • ~ .rycx.ri o~C fT.Z~LtE+F.C~:J Date // - / - / ~--
me this da of ~~~Y Date
]3y. Date
r fhe Register `L/~r Date
BOND Required: Q YES J~ NO To the Register of Wills:
FEES' I/ Please enter my appearance by my signature below:
Lette s
( ~ ....................
) Short Certificate(s).... .. $-<~~
.. ~_
( )Renunciation(s)....... . .
( )Codicil(s) ........... . .
( )Affidavit(s).......... . .
Bond .. .................... ..
Comm is sia n ................ . .
Other 1~...... .. IS
Automation Fee ........ ...... .
~'
JCS Fee .............. .......
a2
TOTAL .............. 0.00
....... $
Att e~ure:
~~
Printed Name: Mazk A. Ma[e'ya _
Supreme Court
ID Number: 78931
Firm Name: Mateyo Law Firm
Address: 5 W .h +r h Avem+e
Carlisle., PA 17(114
717-241-6500
717-241-3099
~am(~ ate,~law rpm
DEC EER OF THE REGISTER
Estate of Clarence A. Bricker File No:~ l~ / I I
a/k/a:
AND NOW,
satisfactory proof
the instrument(s) dated _
described in the Petition be
to probate and filed
~_, in consideration of the for1eg~Petition,
that Letters-~'~T Mn,-~'~"~
~ ~~c Ic
in the above estate
as the
(if gppltcable) that
Porm ew-oz rev. roilrizm~ //~~~ I'J "~v I ~~ ~/ Page 2 oft
presented before me, IT IS
_ aze hereby granted to~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Pec for this certificate, $6.00
_ P 16535644
Certification Number
This is [o certify that [he information here given is
corrutly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
s,~Record~a Office fbr permanent filing.
L~rt~~fa~.ct~ 1ne,r„~ AIyG 1 2/201D
Local Fegistrar Date Issued
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rtAar""mu^Y CERTIFlCATE OF DEATH
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Clarence A'. Aricker Male 177-2A - 7069 August 12,2010
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LAST WILL AND TESTAMENT
OF
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I, CLARENCE A. BRICKER, of South Middleton Townshi Cuniad Coun `~
P> ty, c .~
O c ~~,
Pennsylvania, being of sound and disposing mind, memory and understan~g; do hetA~y ~
ra c~ <_
publish and declare this as and for my Last Will and Testament, hereby revoking and making
CLARENCE A. BRICKER
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 Executrix or Executrixes, whichever the case may be, hereinafter named.
I direct that all taxes that maybe 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 wife, JANET K.
BRICKER, provided she shall survive me by a period of sixty 1;60) days.
3. In the event my said wife, JANET K. BRICKER, should predecease me or fail to
survive me by the aforesaid period of sixty (60) days, then in such event I give, devise and
bequeath all the rest, residue and remainder of my estate, real, personal and mixed, and
wheresoever the same may be situate, in equal shazes, to my daughters, MELANIE ANN
WERTZ and TAMMY LEE KARSTETTER.
In the event any daughter above named shall predecease me, I direct that the shaze of my
estate that such deceased daughter would have received hereunder shall be given to her issue
surviving me per stirpes.
4. I hereby nominate, constitute and appoint my wife, JANET K. BRICKER, as
uw o~icEs
SN ELBAKER 8t
BRENNEMAN. P.C.
Executrix under this my Last Will and Testament. In the event she should predecease me, fail
to qualify or fail to serve in such capacity, I nominate, constitute and appoint my daughters,
MELANIE ANN WERTZ and TAMMY LEE KARSTETTER, as Co-Executrixes (or the
survivor of them as sole Executrix) under this my Last Will and Testament.
I further direct that no person serving as Executrix or (',o-Executrix hereunder shall be
required to post bond to secure the faithful performance of her or their duties in the
Commonwealth of Pennsylvania or in 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 25`h day of February, 2010.
~Xn.a _,` ~. ~~'~'^ (SEAL)
Clarence A. Bricker
Signed, sealed, published and declared by CLARENCE, A. BRICKER, the Testator
above named, as and for his Last Will and Testament, in our presence, who, in his presence, at
his request, and in the presence of each other, have hereunto subscribed our names as attesting
witnesses.
l~~/V ~ (SEAL)
~~ (SEAL)
-2-
LAW OFFICES
SNELBAKER &
BR ENN EM AN, P.C.
COMMONWEALTH OF PENNSYLVANIA)
COUNTY OF CUMBERLAND
We, CLARENCE A. BRICKER, KEITH O. BRENNE'sMAN, ESQUIRE and SUSAN L.
MATRAZI, 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 instrurent 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 heazing of the
Testator, signed the Will as 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.
SS.
"Testator
i~
Witness
Witness
Subscribed, sworn to and acknowledged before me by CLARENCE A. BRICKER, Testator,
and subscribed and sworn to before me by KEITH O. BRENNEMAN, ESQUIRE and SUSAN
L. MATRAZI, witnesses, this 25a' day of February, 2010.
Notary Public
LAW OFFICES
SNELBAKER &
BRENNEMAN. P.C.
cotiln+oNwFna_TN OF F'ENNSriVgNU~
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