HomeMy WebLinkAbout10-02-12PETITION FOR GRAN~,fT OF LETTERS
REGISTER OF WILLS OF _~ U fYl ~,f (Q n fit. COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/arc 18 years of age or older, apply(ies) for Letters as specified below. and in
support thereof aver(,) the following and respectfully request(s) the grvlt of Letters in the appropriate form:
Decedent's Information
Name: {Zobr!Xt L~esl l e LPPS
a/kJa: RobCrt L. ~_2?S
a/k/a:
a/k/a:
Date or Death: (~°I~ 2D12.
File No: f~" (- )~ ~~ ~ 1
(Assigned by Register)
Social Security No
Age at death: , /off
Decedent was domiciled at death in
principal residence at 33 Diller
(Score) with his/her last
Street address, Post Office end Zip Code ' ' " Cily, Township or Borough ' ~ County
Decedent diedat(pa8 P1~t' ~f~.a ~Dhns~rxvn,PA ISgDR ~QG(.S~nTwQ, ('ofphr;~ Q/}
Street address, Poet Omce and Zip Code Cily, Township or Borough County State
Estimate of value of decedent's property at death:
Ijdomiciled in Pennsy[vans ............................ All personal property $ (-IoZ('la, 00
lJnot domiciled in Pennsy[vonia ........................ Personal properly in Pennsylvania $
/jnof domiciled in Pennsylvania ........................ Personal property in County $
Value of real estate in Pennsylvania ......................................................... $
,`` TOTAL ESTIMATED VALUE..... $ a~ O(~
Real estate in Pennsylvania situated at: 1~ OhIP_
(Anach additional sheets, i(neressary.J Street address, Post Office and Zip Code City, Township or Borough Caunly
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 _ a Gfl and Codicil(s)
thereto dated
State relevant circumstances leg. renunciation, death of executor, en:.)
Except as follows: afterthe execution offhe instrument(s)offeredforprobate Decedent didnot marry, was 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
tttt~,a~~~,~~dopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
~O EXCEPTIONS ^EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (If applicable)
c.t.a., d.b.a., d. b.n.c. t.a., pendente life, durance absentia, durance mirtoritate
If Administration, c.t.ff. 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 parson.
^NO EXCEPTIONS ^ EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no W it l and was survived by the following spouse (if any) and his (attach
additional sheets, ifnecessary): ('~ --~
CO r•~ 74
Name Relationshi Address ~~Z' ~
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Fonn RW-02 .¢~. lniluznn Page 1 of 2
RECD°',,~L :,=riCF OF
Oath of Personal Re t ' ~~~ "'
presentative f . ~;~'~~._:.,,.~~,T-
••,,,t,~ u¢ statements in the foregoing Petition are true end correct to the best ofthe knowledge and belief
o etmm~er(s) and that, as Personal Representative(s) of the Decedent, the Peti 'a er(s) will wel I and imly administer the estate according to law.
Sworn to or affirmed a subscribed before
me this day f >~L~- ~[~Date Z
By' L/~_ ~ Date J / ~ 3-.
For ¢ Regirler Date
----~_
Date
BOND Required: Q yES
FEES:
Letters ...................... $
( ~ )Short Certificate(s)......
( )Renunciation(s)........ .
( )Codicil(s) ............. ~---
( )Affidavit(s)........... .
Bond..... .
Commissions. ,_ ~ ~ --~--
Other ~/f~
........
To rbe Register of Wills:
Please enter my appearance by my signature below:
---~_
Attorney Signature:
Printed Name:
Supreme Court
ID Number:
Firm Name:
Address:
......
Automation Fee. .
.............
JCS Fee .............. .
......
TOTAL .....................
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate of
a/k/a: File No:
I~~
A\ 1
AND NOW, ~~ \lf X1.1 ~,rw,~7j K ~1 ~ )
satisfactory proof having been presented ore me, IT S DECREED t L m
ar hereby granted t r
the instrument(s) dated in i
described in the Petition be admitted to probate and filec~ecord ash the st ill
(and
of the
Petition,
that
va•°-•..... .. w~ ~ y ~JwCet (~~~~ Y
Form RW-01 rev. 10/(!/20/1 //~,~`~~ t
U age 2 of 2
COM VfONWEALTH OF PENNSYLVANIA } I ~~~...<., ~.. ~- ~_-
coLVrr of ~Urn~1°.r~Gn d I ss: i€!i2 i~DV -2 AM 10t 03 ~
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LOCAL REGIST~~"~~;Q]~R'`'~S CERTIFICATION OF DEATH
WARNING: It is illegal''{R a,'i~licat~~5 ~~PY by photostat or photograph.
rrr_t~~;~~ ~,
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Fec for this certificate, $6.00
iQ ~~ ~~~ _z
OF ~~~
" This is to ccrtif ~ that the information here iven is
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r correctlly copied from an original Certificate of Death
~F _ '
r; duly tiled with me as Local Registrar. The original
tg}
~ y certificate will he torwarded to the State Vital
nNUNdn
'~4 .~,'~~ a~ ,Records Otfice fill pe(manent filing.
P 18752084
Certification Number
pe/PNn<1n
Local Registrar Date Issued
COMMONWEALTH OF PENNEYLVI<MIH • OEPwPTMENT OG HE.\LTH _ VITAE PECOROE
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/1011
LAST WILL AND TESTAMENT
KNOW ALL MEN BY THESE PRESENTS, that I, ROBERT ILESLIE LEES, of
16 Irvin Drive, Shippensburg, Pennsylvania being of sound anti disposing mind,
memory and understanding, do make, publish and declare this my Last Will and
Testament, hereby revoking all prior wills and codicils by me at any time
heretofore made.
FIRST: I direct the payment of all my legal debts, funeral expenses
including my grave marker and all expenses of my last illness, state, federal
estate and inheritance taxes and administration costs shall be paid from my
residuary estate and shall not be charged or apportioned to any other legatee,
donee, beneficiary or joining tenant as soon as may be conveniently done
following my decease leaving all specific bequests free of tax to the legatee.
SECOND: I give and bequeath my 30:06 Springfield rife to Tucker
Clayton Kirby. If Tucker Clayton Kirby is under the age of 18 years at the time of
my death, I direct that Terry Kirby keep and maintain the said rifle for Tucker
Clayton Kirby and to deliver it to Tucker Clayton Kirby when hE~ attains the age of
18 years.
THIRD: I give and bequeath any vehicle that I own ait the time of my
death to my friend Stephen Shaffer, of Toms River, New Jersey.
_,,
FOURTH: I give and bequeath my tools (whether they are hand ~~s, v 2,
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shop tools or power tools) in kind
equally according to value
to Jeffrey~~ ~' C7
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,
,
Hemperly
Brian Hemperly and Terry Kirby
share and share alike. °~; :; -- `~ i `-
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FIFTH: The rest and residue of my estate, I give, devise and bequeath to
Harriet Lees and Joyce Hemperly, in equal shares, share and share alike, per
stirpes.
SIXTH: I nominate and appoint Joyce Kemperly and Aclele Kirby, as the
Executrices of this my Last Will and Testament. No bond shall be required of
any nature or kind.
IN WITNESS WHEREOF, I, ROBERT LESLIE LEES, to this my Last Will and
Testament set my hand and official seal this~~ day of Na~A~-~,~ 2002.
(SEAL)
Robert Leslie Lees
Sworn to and subscribed, declared and
Published by Robert Leslie Lees, as
His Last Will and Testament, and so
Done in the presence of we the
Witnesses, who sign at his request,
And in his presence, and in the presence
Of each other.
~ `r /~
~=
OMMONWEALTH OF PENNSYLVANIA:
:SS
COUNTY OF CUMBERLAND
I, Robert Leslie Lees, whose name is signed to the foregoing instrument,
having been duly qualified according to law, do hereby acknowledge that I
signed it willingly; and that I signed it as my free and voluntary act for the
purpose therein expressed.
Robert L slie Lees Notarial seal
H. Anthony Adams, Notary Public
Shippensburg Borc, Cumberland County
MY Commission F'acpires May I5, 7A06
Member, PentroyNanieAS~tlandNdaries
Sworn to and acknowledged, before me,
By Robert Leslie Lees, he Testator,
This ~_ day of U• 2002.
Nota Public Notarial Seal
ry H. Anthony Adams, Notary Public
Shippensburg Boro, Cumberland County
My Commission Expires May I5, 2006
AAertlbBr, P6nnSylVame As50ciation 0! Notatlos
COMMONWEALTH OF PENNSYLVANIA:
:SS
COUNTY OF CUMBERLAND
WE, Darlene M. Bigler and Sharon Coleman Adams, the witnesses whose
names are signed to the foregoing instrument, being duly qualified according to
law, do depose and say that we saw the Testator sign. and execute the
instrument as his Last Will and Testament; that he signed willingly and that he
executed it as his free and voluntary act for the purposes therein expressed; that
each of us in the hearing and sight of the Testator signed the Will as witnesses,
and that to the best of our knowledge the Testator was at the time at least
eighteen (18) or more years of age and of sound mind and under no constraint
or undue influence.
~. ~~
~,' ; ~% ,
Sworn to and subscribed before me by,
Darlene M. Bigler and Sharon Colem n Adams,
The 'tnesses, this d day of ~ 2002
Notary Public
Notarlel Seal
H. Anthony Adams. Notary Public
Shippensburg Boro, Cumberland County
My Commiasron Expires May I5, 2006
Memher, PBnnByNenla Avsoclatlan IN Nofarlea
T0: Whom it may concern
Estate of Robert Leslie Lees
AFFIDAVIT
I, H. Anthony Adams, being duly sworn according to law, do depose and state that I
made a typographical error in drafting the "SIXTH" paragraph of the Last Will and
Testament of Robert Leslie Lees in that I incorrectly spelled Joyce Hemperly's last name
as "Kemperly".
H. Anthony Adams, Esquire
Sworn to qnd subscribed
This Z day of September, 2012.
lam/ ~~
Notary Publi
My Commission Expires:
NOTMUIL 8EK
ClIRI88Y A 21M{AIICKAt
No1M~ /Mlk
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My ComwlsNO~ EgNu M1rl0. l01i
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T0: Whom it may concern
Estate of Robert Leslie Lees
AFFIDAVIT
I, Joyce Hemperly, being duly sworn according to law, do depose and state that I am
the sister of the decedent, Robert Leslie Lees, and that I am the same individual whose
last name was misspelled as "Kemperly" in the "SIXTH" paragraph of the Last Will and
Testament of Robert Leslie Lees.
J ce emperly
Sworn to and subscribed
This 3 day of (7~~ ~g~.~C , 2012.
Notary Publid~
My Commission
COMMONWEALTH OF (PENNSYLVANIA
Notarial cal
Thomas J. Coyne, N~olary Public
Penn Township, Ya~rk County
M Commission Ex fires January 27, 20.1 J
Member, Pennsylvania Associat~~m of Nota+~ s