HomeMy WebLinkAbout11-16-12 (2)PETI ION FOR GRANT OF LETTERS
REGISTER OF WILLS OF COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/ark 18 years of age or older, apply(ies) for Letters as specified below. and in
support thereof aver(s) the following and respectfully request(sj the grant of Letters in the appropriate form:
Decedent's Information ` /
Name: ~OVY~LCS U YUS~~
a/k/a:
a/k/a:
a/k/a:
Date of Death: I1 (t-~-) (7i' _ __
Decedent was domiciled
principal residence at
/~ S[ree[
Decedent died at `I ~~
death
Post Office and Zip Code
File No: ~ ~ ~ ~ " ~~~ /
(Assigned by Register)
Social Security No: ~`~ "'~ ~ ~ ZB l
Age at death:
County, (State) wtt~ his/her last
Street address, Pos[ Office and Zip Code Cily, Township or
or Borough County
County Slate
Estimate of value of decedent's property at death: ,
Ijdomiciled in Pennsylvania ............................ All personal property $~~~~t'/
I/'ttot domiciled in Pennsylvania ........................ Personal property in Pennsylvania $
If not domiciled in Pennsy!vania ........................ Personal property in County $
Value of real estate in Pennsylvania ......................................................... $ V
~l '~,t ~ `~TO~TAfL~pST~I-fMnATEDq VfALUE/^..1. $
Real estate in Pennsylvania situated at: ~~~ r1'e~r I lt~Cu l/1' !"lt.(_ t' 1~ ~'l~l~ Y~C~~~,1T,*~~~ ~V~~ (/II
(Attnch ndditional sheets, ijnecessary.) Street address, Post Office and Zip Code City, Township or r ug0 n County
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 it r and Codicil(s)
thereto dated
F'7 - ~
State relevant circumstances (e.g. renunciation, death ojexeurtor, etc.) C ~-~ ^~ --p ~ T'~
•~" r-rt < 7
Except as follows: afrer the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced i~asIIot a party Ftx2pendiitg ~=
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), and did tips 71ave a child born or. ~ ~=i
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. `` ~ tT ~ ~ ' -
NO EXCEPTIONS ^ EXCEPTIONS ~
-rt
^ B. Petition for Grant of Letters of Administration (If applicable) ~` "; N - rn
c.t.u., d. b. n., d. b. n.c.t.u., pendente life, durunte aB3entia, duranteminoritu[e
xC
If Administration, e.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), afrer a proper search has/have ascertained that Decedent left no W ill and was survived by the following spouse (if any) and heirs (attach
additional sheets, i/necessary):
Name Relationshi Address
FormRW-02 r~.~.lnill~zntl
A
1
~~
Page 1 of ~
(~
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
~~~M~p~/~ _ } SS:
CO[_ QTY OF ~W 16' [JAM s l~
r~iFn( ~; ~ ~ ;: EL^C F
~ ~ I I nJL
iC;';ji dfli¢ial'L~~:~Pf¢'
_ ~,J
P n e~ ~'
'~1~7frlJV fb D.+" ~~
'ztiaoi:cr ul Printed fume i Per„,onerisl Pr' if ~ess+ J
~~ //ll l
vj Y ~' {~~`~ ~it
To the Register ajWi!!s:
Please enter my appearance 6y my signature below:
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 Petitioners and that, as Personal Re resentative s of the Dece nt the Pehttoner wt wel
Sworn to or)a firmed a " bscr b d before) %'~ •~~ ~ ~); ~ I and tmly administer the estate according to law.
_/
Date ~ -~~ (~
me [hi ~ da of ~'/ ' ~~ ~ ~ Date
y; Date
rt !f@"eister~ Date
BONDRequired:QYES []NO
FEES:
~~
Letters ...................... $
(1C7)' )Short Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission. ~;
..
Other i ........ .l•
Automation Fee ............... LLB
ICS Fee . ....................
TOTAL ..................... $
Attorney Signature:
Printed Name:
Supreme Court
ID Number:
Firm Name:
Address:
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate of ~ ~ (j ~(~ ~~_`.:;~ File No: ~ / - ~~ - /,x~0 `~
a!k/a: ~~ "
AND NOW, I~~verr)~e.~ ~(p ,o2U/ , in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT ISRECREED that Letters ` .~l~me~
are hereby granted to ,n iQ~>7 oJ- o
~ in the above estate and (if applicable) that
the instrument(s) dated _
described in the Petition be
to probate and filed of record as the~last Will (and Codicil(s)) of Decedent.
R.d. Cf < ~ ,~ .
R gister of Wills ',~,~
Fo,„, nw-na rev. !n/11/dDl t Page 2 of 2
(~ _ h-'O
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
I~r~ (na Ohl; eertilicalc. ~Fr.il(%
(~lrUficulion tiumh~r
nn n
IIIMI
This in in certil~ thal the :rti/nnatiln hire ~~iven i5
rorrc.llc ropi~rd Irom an original Crr.iflcate of l~cath
duly filed with me as Loali Registrar The original
~ertihedc will be forwarded ti> !hr $lale Vital
Record, (il~ficc i:9+~ ~~ern~l:uu:nt filing.
c~.~.~-R---~~5 ~rL~-~-
Lucal I~e~_istrar Jate Issued
COMMONWfPITM OF PENNSYIVANIA•OtPARFMtNI OF HFALIH•VIIAI RFCOROS
CERTIFICATE OF DEATH ._.., .. _..
1.0 dent's Lryal NamelFlrs Iddle, Lasr. SUM. t 3.Saialsecurlh Number to er Oe tM1 IMO/Dry/Yr Spell MOl
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LAST WILL AAID TESTAME@TP ~= ~ ~' G,
r.J ,-
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I, THOMAS G. YOST, of the Township of Upper Allen, bounty of-
l~^
Cumberland and State of Pennsylvania, being of sound mind, memory and
understanding, do make, publish and declare this to be my Last Will and
Testament, hereby revoking and making void all former wills, codicils and
other testamentary dispositions by me at any time heretofore made.
1.
I direct my Executrix, hereinafter named, to pay as soon as
practicable after my decease all my legally enforceable debts and the
expenses of my last illness and burial.
2.
I give, devise and bequeath all of my estate, real, personal and
mixed, whatsoever and wheresoever situate, unto my beloved wife, Jean S.
Yost, providing she survives me by sixty (60) days.
3.
Should my said wife, Jean S. Yost, predecease me, or die on or
before the sixtieth (60th) day following my death, then and in that event,
I give, devise and bequeath all of my said estate unto my children,
Benjamin J. Yost and Jennifer Yost Lee, equally, share and share alike.
4.
I hereby nominate, constitute and appoint my said wife, Jean S.
Yost, Executrix of this my Last Will and Testament. Should my wife, Jean
S. Yost, fail to qualify or cease to act as Executrix, I appoint my
children, Benjamin J. Yost and Jennifer Yost Lee, and the survivor of them,
Executors of this my Last Will.
~,
T1~T1
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5.
I appoint my son, Benjamin J. Yost, Guardian of any property
which passes, either under this Will or otherwise, to a minor and with
respect to which I am authorized to appoint a Guardian and have not
otherwise specifically done so. Such Guardian shall have the power to use
principal as well as income from time to time for the minor's education
(including post high school education), support and welfare or to make
payment for these purposes, without further responsibility, to the minor,
to the minor's parent or to any person taking care of the minor.
6.
I direct that my Executors and Guardian shall not be required to
give bond for the faithful performance of their duties in any jurisdiction.
IN WITt~SS WH~OF, I, THOMAS G. YOST, the Testator, have
hereunto set my hand and seal to this my Last Will and Testament this
// '..= day of APJ$J L , 1997 .
~ T S G. YOST
Signed, sealed, published and declared by the above named THOMAS
G. Y06T, 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
hereunto subscribed our names as witnesse~s4 thereto. q~ n(~
f~- ~,~ /
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss.
I, THOr9A.S G. Y06T, the Testator whose name is signed to the
attached or foregoing instrument, having been duly qualified according to
law, do hereby acknowledge that I signed and executed the instrument as my
Last Will; and that I signed it willingly and as my free and voluntary act
for the purposes therein expressed.
Sworn to or affirm'e/d /and
YObT, the Testator, this /~w~ day
me by TAOMAS G_
1997.
G. YOST
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
~;,
r~~y ccr~~ ~ r~~ ~ ~.~ ia, i9ss
:Memcri:r,
SS.
We, F~,e1~Z G. ~,,rzow~..c, and Wl~.[,iq.7 ~. • ~v.v.9.~Y ~
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and say that
we were present and saw the Testator sign and execute the instrument as his
Last Will; that the Testator signed willingly and executed it as his free
and voluntary act for the purposes therein expressed; that each subscribing
witness in the hearing and sight of the Testator signed the Will as a
witness; and that to the best of our knowledge the Testator was at the time
18 or more years of age, of sound mind and under no constraint or undue
influence.
Sworn to or affirmed and subscribed to before me by ~~..~A,vd,$ 6,
/~,~~;~ ~, nd -/iatiisrM ,l- .Su.~/rs4X , witnesses this ^//~.t/ day
of ~,~~_,~,,~ , 1997. ~(~
witness
~~L~~
'r ~I
Ch~ity ~
Mecf ~~ c ~~ ~,,' Pubic
nr;, ~,, ~ , ' ~~~''~ ~ ~~~~ c;oc,,;
_. ~'~~ ,- ~_ ~. ,.. _, ~ ~. ~ae3y
Mem;xr Penny yfvaruu,1s: oca6on cr No~tar,~
~jr Or
REtiti'vCI~TIO~
Estate of
RE ISTER OF ~~,"ILLS
L r ~ CO[JNTY, PEti~;SYLVANLa
C~ ,,~
Deceased
I ~~~,{~,~ ~ Y ~b S~ ~~~-- , in my capacity/relationship as
,,.pp~~ ~~(Pr llJame)
(P/,~ t~ ~ ~ of the above Decedent, hereby renounce the right to
V
administer the Estate of the Decedent and respectfully request that Letters be issued to
C)
1( I lZ-
(Date)
Executed in Register's Office
Sworn to or affirmed anfl~subscribed
be me this ~ ~ ~~' _ day
o ~~d~'~I)/ /~ ~ -~_ ~Ic~
L;„i~eputy fo4~eg~s o,~Wills
~i nature) ,
2 ~C(/ S~~
(Street Address)
GLI SV~~ ~q . ~~ _ 1 ~ gZ
(city, stare. Zp)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this day
of ,
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06