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HomeMy WebLinkAbout12-05-12 Reset PETITION FOR GRANT OF LETTERS t 1 REGISTER OF WILLS OF 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 r~ r~ 7!!~~ Name: i 11.1 lr7>°)c~ Y~K~r File No: a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: J e/ - JL/ - 2~/3( Date of Death: /c 41i z Age at death: y4'7 Decedent was domiciled at death in 1r r( o r/. County, (state) w}th his/her last principal residence at I. /1 /c ,'r , ✓ e t9 C ,vl -t 7 t, 1/ Street address, Post Office and Zip Code City, T nsh' or Bo ugh Count Decedent died at S. 6 1 ~11tee"c I~ y~ y1 (r~ iy l 1101,4 '4-)'-w o" ,-Iblw~c,ll~~ Street address, Post Office and Zip Code City, Township or B ough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania All personal property $ t t If not domiciled in Pennsylvania . Personal property in Pennsylvania $ If not domiciled in Pennsylvania Personal property in County $ !Value of real estate in Pennsylvania . $ TOTAL ESTIMATED VALUE.... $ ( 5 G7t!, •"~~0. Real estate in Pennsylvania situated at: ~1</IrV t,c (Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, To nship or Borough 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 3 L and Codicil(s) thereto dated State relevant circumstances (e.g. renunciation, death of executor, 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 a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did not have a child born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. DINO EXCEPTIONS EXCEPTIONS B. Petition for Grant of Letters of Administration (If applicable) c.t.a., d.b.n., d.b.n.c.t.a., pendente lite, 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 defined in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS 0 EXCEPTIONS r tv Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by t14e'~obwing spo~ q (if Q 63 heirs (attach additional sheets, if necessary): X :~u `-.•1 C-D Name Relationship e-ri Form RW-02 rev. 10/l 112011 Page I of 2 it Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } r, } SS: COUNTY OF Petitioner(s) Printed Name Petitioner(s) Printed Address 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 Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before "~'y ; ' Date met s day O/ Date By: (1 lr ~4 LJ Date For the Register Date BOND Required: Q YES NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters $ Attorney Signature: C> :1 M ( JC) ) Short Certificate(s)...... L © M rn Ca ( )Renunciation(s)......... w -0 r--i - - ( ) Codicil(s) C-) Cyr i i ( ) Affidavit(s)............ r-- , cJl l `1 Bond Printed Name: ~ t:3 r'ro Commission Supreme Court C) -Yl Other ID Number: C7 C) - `yy Firm Name: Address: ]m en Phone: Automation Fee Fax: JCS Fee Email: TOTAL $ DECREE OF THE REGISTER Estate of 1 l`~ ~j~l l' t~ File No: CO LLV_ - AQ70 a/k/a: AND NOW, 1 of T_')ccc C Yl oc Y- in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Lett rs -tC'SfC~ 1" 6ti 10 r t.~ are hereby granted to Michr10s L~. L GI. P in the above estate and (if applicable) that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. r n d "J"o a i h h ct d/~ Register of Will. n.~ ~y( ~C Z 1 Form RW-02 rev. 10/1112011 Page 2 of 2 r,LV. IioF WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR rUR THIS TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. E $6.001.... COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS LOCAL REGISTRAR'S CERTIFICATION OF DEATH ELF OFFICE OF R OF WILLS CERT. NO. T 6429930 PM 1 25 October 22, 2012 l{ FA AZ Date of Issue of This Certification LE R K , OF ORPHANS''COURT GMERLAND `CO., PA .rziroe of Decedent Amy Anna Le'Bard F.r Uccle Last Female Social Security No. 196 - 14 - 2436 Date of Death October 17 , 2012 Nate of Birth Jan. 18, 1925 Birthplace Enhaut, PA :lace of Death_ Decedent's Home Cumberland _ Mt. Holly Springs Pennsylvania Facility Name County City. Pr {r or Township Race White Occupation Mother ~ Armed Forces? (Yes or No) No Decedent's 'larital Status Widowed Mailing Address 438 Baltimore St. Mt. Holly Springs PA Number Street State r;tormant Kitti Summerscales Funeral Director Douglas T._ Boyer "same and Address of neral Establishment Boyer Funeral Home, 101 W. Main St., New Bloomfield, PA 17068 Interval Between i'a>l i; Immediate Cause Onset and Death i (a) Acute MI (b) Coronary Artery Disease (c) I I (d) Part If: Other Significant Conditions Diabetes "Manner of Death Describe how injury occurred: ?natural )~X Homicide Accident Pending Investigation _j Suicide ❑ Could not be Determined ❑ Name and Title of Certifier David A. Dell M.D. (M.D., D,O., Coroner, M.E ) Address _ 303 N. Baltimore Ave., Mt. Holly Springs, PA 17065 This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. 50-455 vital Rec,rds Ur. I.J October 21, 2012 101 Barnett St, New Bloomfield, PA 17068 Date-He jived by Local Registrar - St- Address City. Borough, Town ;h p ro C, C> ~ r~'i c> ai C.1 c-7 cr.7 -':a f" LAST WILL AND TESTAMENT OF AMY ANNA LEBARD Dated: July 13, 2008 Prepared by: PETER VON GETZIE 22 ASHBURN DRIVE ROOM 105 CARLISLE, PA 17013 (717)245-4940 LAST WILL AND TESTAMENT OF AMY ANNA LEBARD I, Amy Anna LeBard, a resident of the Commonwealth of Pennsylvania, make, publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me. I am a dependent of a person who is retired from the military service of the United States. FIRST: I direct that the expenses of my last illness and funeral, the expenses of the administration of my estate, and all estate, inheritance and similar taxes payable with respect to property included in my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my residuary estate, without apportionment and with no right of reimbursement from any recipient of any such property. SECOND: I give all tangible personal property owned by me at the time of my death, including without limitation personal effects, clothing, jewelry, furniture, furnishings, household goods, automobiles and other vehicles, and all rights that I have under any related insurance policies, to those of my children (Dr. Waverly J. LeBard, Amy Lou Swett and Kitti Jo Summerscales) who survive me, in substantially equal shares, to be divided among them as they shall agree, or if they cannot agree, as my Executor shall determine. THIRD: I give all the rest, residue and remainder of my property and estate, both real and personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled at the time of my death (collectively referred to as my "residuary estate"), as follows: (a) To those of my children who survive me and to the issue who survive me of those of my children who shall not survive me, per stirpes. (b) If no issue of mine survives me, I give my residuary estate to those who would take from me as if I were then to die without a will, unmarried and the absolute owner of my residuary estate, and a resident of the Commonwealth of Pennsylvania. FOURTH: If any property of my estate vests in absolute ownership in a minor or incompetent, my Executor, at any time and without court authorization, may: distribute the whole or any part of such property to the beneficiary; or use the whole or any part for the health, education, maintenance and support of the beneficiary; or distribute the whole or any part to a guardian, committee or other legal representative of the beneficiary, or to a custodian for the beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed by the person to whom the distribution is made shall be a full discharge of my Executor from any liability with respect thereto, even though my Executor may be such person. If such beneficiary is a minor, my Executor may defer the distribution of the whole or any part of such property until the beneficiary attains the age of eighteen (18) years, and may hold the same as a separate fund for the beneficiary with all of the powers described in Article SIXTH hereof. If the beneficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary. FIFTH: I appoint Nicholas Swett to be my Executor. If Nicholas Swett shall fail to qualify for any reason as my Executor, or having qualified shall die, resign or cease to act for any reason as my Executor, I appoint Kitti Jo Summerscales as my Executor. I direct that no Executor shall be required to file or furnish any bond, surety or other security in any jurisdiction. SIXTH: I grant to my Executor all powers conferred on executors under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon executors wherever my Executor may act. I also grant to my Executor power to retain, sell at public or private sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for cash or on credit; to borrow money and encumber or pledge any property to secure loans; to pay any legacy or distribute, divide or partition property in cash or in kind, or partly in kind, and to allocate different kinds of property, disproportionate amounts of property and undivided interests in property among any parts, funds or shares; to determine the fair valuation of property, with or without regard to tax basis; to exercise all powers of an absolute owner of property; to compromise and release claims with or without consideration; and to employ attorneys, accountants and other persons for services or advice. The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office from time to time. SEVENTH: I direct that for purposes of this will a beneficiary shall be deemed to predecease me unless such beneficiary survives me by more than thirty days. IN WITNESS WHEREOF, I, Amy Anna LeBard, sign my name and publish and declare this instrument as my last will and testament this 13th day of July, 2008. ~Imy Anna LeBard The foregoing instrument was signed, published and declared by Amy Anna LeBard, the above-named Testatrix, to be her last will and testament in our presence, all being 2 present at the same time, and we, at her request and in her presence and in the presence of each other, have subscribed our names as witnesses on the date above written. having an address at r having an address at 3 ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss. We, the Testatrix and the witnesses, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix, Amy Anna LeBard, signed and executed said instrument as her last will and testament in the presence and hearing of the witnesses, and that she stated that said instrument was her last will and testament, and that she had signed willingly, and that she executed it as her free and voluntary act and deed for the purposes therein expressed, and that each of the witnesses at the request of the Testatrix, in the presence and hearing of the Testatrix and each other, signed the will as witness, and that to the best of his or her knowledge the Testatrix was at the time at least eighteen years of age or emancipated, of sound mind and under no constraint, duress, fraud or undue influence. /Kry Anna LeBard Testatrix Witness r nt: c~d__rF Witness Subscribed, sworn to and acknowledged before me by the said Amy Anna LeBard, Testatrix, and subscribed and sworn to before me by the above-named witnesses, this 13th day of July, 2008. I, the undersigned officer, do hereby certify that I am, on the date of this certificate, a person with the power described in Title 10 U.S.C. 1044a of the grade, branch of service, and organization stated below in the active service of the United States Armed Forces, or an authorized civilian attorney under Title 10 U.S.C. 1044a, and that by statute no seal is required on this certificate, under authority granted to me by Title 10 U.S.C. 1044a. Name of Officer and Position: Peter Von Getzie, Legal Services Attorney Grade and Branch of Service: CPT, JA USAR Command or Organization: 153rd LSO