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HomeMy WebLinkAbout11-6-12PETITION FOR GRANT OF LETTERS r~l ~' ~~' i,c REGISTER OF WILLS OF ~/~~~~ r 11,.n ,'~ COUNTY, PENNST~'~~IA 6 `r^~ ~~~b' Pi i ~ Z 7 Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specitled below, and in support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropr a,t ,fgrm:_ Decedent's Information ~ , CUb9BERL~ND L0 , PA Name: ~ ~~ 1 ~/ / File No: C~ I I Z ~ / ~'7 / a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: -~ Date of Death: _T ~ ~~~~ Age atpdeath: Decedent was domiciled at death in County, 1 (State) with his/her last principal residence at ~ R~ ~ S[ree[ address, Post Of tce and ip Code City, Township or Borough County ~+nclo.J Decedent died at ~) ~~~ ~ LjSL4- ~ ¢M,,~_~ ~~~ Street ad ress, Post O fic at ~ p Co a City, Township or Borough ountY Sate Estimate of value of decedent's property at death /f domiciled in Pennsylvania ............................ A!1 personal property Ijnot domiciled in Pennsylvania ........................ Personal property in Pennsylvania /f not damiciled in Pennsylvania ........................ Personal property in County Value ojreal estate in Pennsylvania ........................................ ~ ............... . TOTAL ESTIMATED VALliE... . Real estate in Pennsylvania situated at: (Attach n ilionnl sheets, if necessary.) $ - - $ <S ©t-'l_J Street address, Post Office and Zlp Code City, Township or Borough County S 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, datea.ti (i/ L-j~ ~~ ~p ~j! and Codicil(s) thereto dated Stale relevant circumstances (e.g. renunciation, death ajexecutar, etc.) 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 apending 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 ado ed; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS ^EXCEPTIONS ^ B. Petition for Grant of Letters of Administration (If applicable) c.t.u., d. b. n., d. b. n. c.t.a, pendente fife, durunte absentia, durante minoritute 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 itt 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 ill and was survived by the following spouse (if any) and heirs (attach udtlitionulsheets, if necessary): Name Relationshi Address Fo,~,r, aw-nz ,~~~. roirtizon Page I of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA co~~~T~: of } y ss~ ,~r~ - ' •: '~ i"'- ,ise Only, , ,l~ ;~,:. _ "~i~ ~~~V -6 Pi'? 1:21 ",'it~.cnerlslPrtntcd~ame I P_ruenansiPrin[ed.\ddress ~ i:, ', ~,, ~ ~6ERi ~~ND C ., 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 titioner(s) will ell and truly admi ter the estate according to law. Sworn to or affirmed a subs ibed before _~/~ Date me his ~ ('' da o ~° Date By: ~ Date 1,. , . For rNe Rrtri< r ~ Date BOND Required:QYES ~NO FEES: Letters .................... Q ~ .. $ ( ~ )Short Certificate(s).... . . ( )Renunciation(s)...... .. . ( )Codicil(s) .......... .. . ( )Affidavit(s)......... .. . Bond ..................... ... Commission... ............ .. . 7 Other (~; ~/ ..... ... ~~_ Automation Fee .............. . JCS Fee . .................... ~. TOTAL ..................... $ To the Register ojWills: 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 a/k/a: File No• r~~ ~ ~~ ~~ ~~ AND NOW, ~~~ VC ~ ~ ~ ~ ~y~3 , in consider tion of the foregoing Petition, satisfactory proof having been presented before me, IT IS ECREED that L tters'~^ are hereby granted to ~ Cc./1iS •..~~(~i' z in the above estate and (if applicable) that the instntment(s) dated (~ p2 described in the Petition be admitted t probate and filed of record as the last Will (an~~odicil(s)) of Decedent. ~, . ~ /' of Wills ro,~,,, aw-nz rev, roil uznu ~e 2 of 2 WARNING: IT IS ILLEGAL TO ALTER THIS COPYr.~~ r ~(~ TO DUPLICATE BY PHOTOSTAT OR PHrOTOGRAP-+ 'ill ' ~7 I R"'~~~F`~ t -IL,~ QF ~4 ~ y-,rJ-r~, ~ '.911.0 ~ ~~ ;?ft~Z N~~ -6 Pi-t I : ~7 1 ~ ~.: 6 4 3 ~ 0 ~ 1 ~~ C~RPf-i:,~; I;,'~'~%', ~r":r November 2, 20.12 CUP~1F.~ERtHfdC CO., PA ,., Mary. E. Swartz. Female ^, 188 - 16 - 4476 October_30, 3012 February 5, 19211 .,, _ Greenleaf, Kansas. Claremont Nursing-Rehab Center Cumberland Carlisle.. 'c: :' _~~<: White Ticket Cashier No_ Widowed , ;~ 1000 Claremont Road Carlisle___ PA 17.013 Charles E. Swartz James F. Nickel __ Nicke_1 Funera_1 Home, P.O. Box 910, Loysville, PA 1704.7 ,! F3:,t~.•.~c.~ . ~sr~t and C~ea'~I Aortic Stenosis XX Dr. Wellman Baxtor M.D. __ ~ ~ .~.~~ {.OYO^E '~~ F 1 1000 Claremont Road., Carlisle, PA 170t3 ~. -,, ~ '~, f; ~.-~' ,. ~~~~ Q ~~~ 5 0- 4 5 5 October 30, 2012 101 Barnett St., New Bloomfield~_ PA_17068 r la ~,~l l l~ LAST WILL AND TESTAMENT OF u._ O v> u.: __ ~ -~ =-' ,. , . .~:, u.~ ;1' ~~ KATHY A. MORROW Attorney at Law 217 S. Carlisle Sireet P.O. Bax 250 New Bloomfield,. PA 17068 MARY ELIZABETH SWARTZ 4 °- ~~ ~-~ ,~ >rI, Mary Elizabeth Swartz, of Bloomfield Borough, Perry County, r Pe~ti~lvania, being of sound and disposing mind, memory and un~`i~s?tanding, do hereby make, publish and declare this as my Last Will and Te~a~ent as follows: _ ~ 1. I direct my hereinafter named Executor to pay my just debts, funeral expenses and costs of administration of my estate as soon as possible and convenient after my death. 2. I direct my hereafter named Executor to pay out of the corpus of my estate, all state inheritance taxes and federal estate taxes, if any be due, which may be assessed by reason of my death on property passing under this my Last Will and Testament, or on property passing to any person or persons by reason of joint ownership thereof, such as certificates of deposit, savings bonds, etc. to the intent and effect that no person shall be required to personally pay any Pennsylvania inheritance tax or federal tax thereon. 3. I give, devise and bequeath all the rest, residue and remainder of my property, both personal and real, of whatever nature and wheresoever situate, to my son, Charles W. Swartz. 4. I hereby nominate and appoint my son, Charles W. Swartz, as Executor of this my Last Will and Testament. 5. I direct that my Executor or his successors shall not be required to give bond or other security in any jurisdiction wherein proceedings may be held in connection with my estate. Nor shall any r' Z~ KATHY A. MORROW Attorney at Law 211 S. Carlisle Street R 0. Box 250 New Bloomfield, PA 17068 guardian of property or persons be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS~WH"EREOF, I hereunto set my hand and seal this ~.< <~l day o~_.__ __ J~._:~.~~ , 2004. Witness COMMONWEALTH OF PENNSYLVANIA * ss: COUNTY OF PERRY We, Mary Elizabeth Swartz, the testatrix in, and ~,y ~. ~~%"'~`' and Charf~~ ~ C_'~unoz?, ~~ the witnesses to the Last Will and Testament, the attached or foregoing instrument, who have signed the instrument, having been duly qualified according to law do depose and say: (a) that I, the testatrix, do hereby acknowledge that I signed and executed the instrument as my last Will, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and (b) that we, the witnesses, were present and saw the testatrix sign and execute the instrument as her last will, that she willingly signed and executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as a witness and that to the best of our knowledge the testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ~--~ , ~~~ ~ w-~~ KATHYA. MORROW Attorney at Law 217 5. Carlisle Street P.O. Box 250 New Bloomfield. PA~7068 ~~ ~.~~.~ Witne y' '~~, Witness ~~~ --- Notary Publi My Commissio xpires: NOTARIAL SEAL SANDRA 1UIY CAMPBELL, NOTARY PUBLIC BLOOMTIELD BORO., PERRY COUNTY MY MMISSION EXPIRES T. 2 2