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HomeMy WebLinkAbout12-07-12PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF C ~. M I3~~~Np COUNTY, PENNS~'LV:~NIA Petitioner(s) named below. whc is: are 18 years of age or older, anpiy(iasj for Letters as specitied below, and in support thereof aver(s) the following and respectfully request(s) the Brant of Letters in the appropriate form: Decedent's Information Name: J"gNE' /j1AR/E PR/CE a/k/a:,jkNE /IdLLIfrVp StwcGtAe/%tr7i2E ~°RiCE a/k/a: a/k/a: Date of Death: ~Od, a8 20/R Decedent was domiciled at death in L'ttrn bu-/ttnd County, principal residence at ,j O6 ~//i//%Q//7S ~JrDI~- /JF Street address, Post Office and Z~~ip77Code Decedent died at SD(v Gf/i~~4'/lIS ~sllrae Vl'e~ /ylechan~esbs Street address, Post Office and Zip Code City, Town: Estimate of value of decedent's property at death File No: ~'/z - ~~~~ (Assigned by Register) Social Security No: ~/7- /2- Do/b Age at death: 9(c (Scare) with his/her last City, Township or~pu h County rn County State /f domiciled in Pennsytvania ............................ All personal property $ <` / Dt 000 • °D /jnot domiciled in Pennsy!vania ........................ Personal property in Pennsylvania $ Ijrrot domiciled in Pennsy!vania ........................ Personal property in County $ Value ojreat estate in Pennsylvania ......................................................... $_~S AOO.OD TOTALEST[MATEDVALUE.... $ R~~ o0D,0D . r Real estate in Pennsylvania situated at: S~~ W/~l/a.OtS ~p~ ~Qi/t ~'J~~jOf1/~S~NY+9 Ct~~tn~er~t~ t~ (Artnch ndditionn! sheets, i(necessary.J Street address, Post Ofttce and Zip Code City sh' r orough County A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s)-he/she/ilrey is/are the Executorfa}named in the last Will of the Decedent, dated ~Qry, .Z~p, 1998 {~ thereto dated Slate relevant circumstances (eg. remmcinrion, death ojexecator, eta) Except as follows: after the execution of the instrument(s) offered for probate Decedent did trot 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 bom or adopted; 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) e.t.a., d.b.rr., d. b.n.c.t.u., pendente life, durunte absentia, durunte minoritute If Administration, e.t.a. ar d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs. Except as follows: Decedent was no[ a party to a pending divorce proceeding wherein the grounds for divorce had bee_n.established as defined in 23 Pa. C.S. 3323 and was neither the victim of a killin nor ever ad udicated an Inca acitated :-' ~ ^ NO EXCEPTIONS ^ EXCEPTIONS _ _ ~ O r.-r m n ... r-.-t Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the~jlln~ng•~pousE("tf any~~d t~irs (attach ndclitionul sheets, iJnecessury): ~ ' Rt _, rTt cy Name Relationshi '~-eldt'es~ O ~ _~ i r.. .~ ~ r~J Form RW-n2 ~~~~. tnifuzntt Page 1 of 2 Oath of Personal Representative Official Usc Only COMMONWEALTH OF PENNSYLVANIA } } SS: C O ~ N T Y O F C. (d,h•+ 13 t'IZLA--~I~ } EC0~3D~D C~ i,,,~ 0~ Petitioner(; j Printed Name Petitiouer(sj Printeu address Ga; l ryl, ~1aak~or>! ~lanit.~e~+ t o t o G cue P ~l .~ Z ~ 4 ~,~ I M• 1^o h f c :c ct ~ /loss' . , n- ERLAND C4., f'~9 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 D c dent, the etitioner(s) ll well and truly a minister the estate according to law. Sworn to or affirmed nd subscribed bye-fyo~ryey ~ ~ I _Date /,~ met 1S ~ d ( 2(~.~ , ptis~0 ~ t Date o~-- By: ~- Date or the Reeisr c ' J Date BONDRequired:QYES NO FEES: Letts ...................... $ ( ~L/• )Short Certificate(s)..... . ( )Renunciation(s)......... ( )Codicil(s) ............. _ ( )Affidavit(s)........... . Bond ........................ Commission .................. Other ........ Automation Fee ............... ~1 7CS Fee . .................... ' TO"CAL ..................... $ To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: C~/CrIES L... ~ite/t~S TLL Supreme Court 3~5~3 ID Number: Firm Name: Address: 1L)'/ ~" q~. ~ ~chtsntes u-.P . /~ /7DS_~ ~,. Phone: 7/7 7~p~ ~ZD~ Fax: 7/7-795- T~3 Email: 2.S .e/ s3,~C'~~C~s . ne DECREE OF THE REGISTER Estate of Su,nr male. ~IC~ File No: ~ ~-/ a/k/a: ~?'rlr,0_ Nnlln,.,.•I f_31~t~.~m-orP_ r~Ge. .4'.~'D NO~V, vl~ (:(t1C.~2C! l t~L ~c/ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters T S~T/Yk?.n,~"Qru are hereby granted to 6re,; I M . f31 er~kntore -DQ,n ir~~on u4 4-f' ~ Gaa I Ilrl . ~~ 4t} in the above estate and (if applicable) that the instrument(s) dated 'yt , Z(o~)ggfs described in the Petition 6e admitted to probate and filed of record as the last Wiil Form R44'-03 rev_ IO/l 1/201 t Rills of Decedent. -~.~ ~ ~t ~~ , Page 2 of 2 (~ -~:~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to ciuplireate this copy by photostat or photograph. I_cl. Inr'ihr, crrtilical~. Sri-(111 ~ 18~~~~ ~~~. l cltlficauon Number Bolo 1~hi~ti i> rt3 cerllf~ that tiie fnf~un~atior burr[ ~*IVen is rtxrerlle a~piell f~~fynl an ori;~inul Certificate of Death duly filed ~~ith me .u Local hegi,trul' l'h~ original rcrlificatr ~tiil be (onxunletl to the State Vital Records Of (ice ti,r Iu:rrrHanenl filing. L,ucal Keei~uiu~ h)atc L~wetl COMMONWFALrN OF PfNNSYLVdNIA • DEPAMMENI OF Nfgllyl • Vligl RECORpS [ERTIFI[ATE OF DEATH -. - ...... .. 1.De[edtnt's Llgil NamllN[St Mltlek, fart, SYHle1 l.5ax 3. SOCIaI Security Number <.Oate olCntM1 IMO/DaY/vr l5pel1 MO1 VT e, arle_ Pri '~ d -Ia-UOI Sa.Nelan Birtndn lYn) Sb. Undlrl Year 5[. UntlerlD fi.0an of BlrtM1 Ma/OaY/Yea. lSpell MOnln )a. 01nh Iaa IO[y antl 5tafe or F^rNen Cwrrtry) ' Mantras Wys Nours Minutes g A ~ ~ I q I I~I(p PII )b. eirtnpla[.ICmmy r 0>. ResidercelSrNe orFdelgn COUrrtry1 Bb. ResldeIXelStrcll Ene NYTEtr-In<IYtle Apl H0.1 &. Ole Oec<eent lWe lnaiwnsnlp) Grove.4el, pre,,ae¢dmllNMm 6Yp. 5otp W~~IG~as M R M e . ea nYnry, mnl Ip r«, e!. Re3ldmrw InP raeel (~ [~e, eeceeeM INM wBMn umm 03 r [I rmatl FOrtn) Stl Marital StaWSat Tlme of CeatM1 ~MarrlM ~WltlowM )1. SUnIVIng Spwaia Namell wlfe,gM name prlorwflrs[marrl N 9. EVer In V3 A . / ^Yea mNa ^Wknewn R>ONertM ^Hnvn Manled ^Unknoxn 11. FslMr's Neme IFirrt Mlddl<, yst 3YHIR) 13. Motlllr's Ndme PrlOrte First Mirrkg! IFlrst Mllkle, laat ~1^IS earl Y~ixov~ taa.l rormantt Name tae. Raatwnanlpm Dmmmt lac mro^^a^e>Ma+unp Add.eaa lsveet a^a x^mbw, Oq, state nPCMN d M-r~r-' 50l illiawl A 1~4~ rJ...pat lia~in orr~riee in iHa.ciiSif.......... i~....l.m . ea ., .rap pn m. ............................. nwatn oaYrrM xmewnlre aver m>^, HOSwi>r if~sp<e Fawn o«:e~~i4'iiom~""""" (~ ~ r ^Em«gen[y Rppm/WWMmI ^D.aam Armal ~ ^NYning Neme/Lone-TermanFedury rnners dl ue Famlrv xame OrtwunnBYtlm pNl street aiq numbeq ls[ory u. Tewn, stn., mdap cede t <oumvol Denn 5 ' 1' v YVlecllanlebbl.l,y-ct 1~LS'.i v 16a. MetlrM Ol giposltbn ~ Buaal Cremation I6h. 0au of Obpasnlon t&.P e1 M5009tb0Neme olcemetery. uemel0ry, er Other pk[e p Remolaifwm Sort pDen.nm Dtlxrlspmih 11 a~ a~Ia m X,-sL~,r;r ~.t„~_Y,:.l How.R_,..MdI G-eNY~j 16d Location Of Oipasi[bn lCih ar iewn. 5lale end llpl 1]a. Slg tort of Funeral $eMw Ll<2ns! Penen In Ch eol lntnmenl l]b. Lkenu Number Sh•I ~YtnSb / PA 17ar57 ~,~;pa, `~ -pD1d'748L f ]<. name and comelete Address Of Funeral Facility 'a 3iln ' 17 b3 1B. [leenf3 EEYnMOn- he[Y lhl bOxlMtOest dluNbls tot 19.0![ Nlwanl[OnpIn~C11KFt P rO. DeceOent'[Ran kOHE OR MORE n[as Nlndkate what IIIgMSltlryree or fluff of unoOl computed al the nme Ol death. boa tort best tles<dbes vnether the aecedenl F e d ecMenl wnnaerctl hlmull or Fenell to be. ^Rrn paae nrfen Is sOanlsh/HlsOank/Labne CM[ktne'NO' , ~ ( ' Rl none ^ROrean ^NO drOlOmi. 91h 13th pntle boxJl tle[Menl is raw 5panrih/Nlipani[/latino. ^Bla[k or Aln[an Amerl<an ~Vlatnameu ~r16h f<hmlgraduate or GFOCamPleted ~Ila,rat SpanifM1Mlspank/Lltlna pNnerl[anlMlan pr AlaaYa Natlve ^Other Alan Qi'SOme <OIIIg[[rMlt but noeegree ^Yes, Mexcan, Mexican gmen[an, Cm[am ^ASian lndlan ^Natlve Nawlian ^A[w[late tlnreell.g. M, AS ^Yes, puert^Rlcan ~[M1lnme ~GUemenien Or Cnamorr0 ~ Bachelor's tleyee leg. BA. A0, B51 ^ Ye;Cuban ^ Flllpro ^ Samoan O MirttYt tllgree 1. g. MA, MS, MEng~MEtl~MSW, MBA ^Yn, olnerSW^ISh/Nispank/letino ~IaOmese ^Other Pa<ifle lxlanaer ^ OOCmrate lt.p. Pn0. Ed01 ar P.Oressronal aeeree ISOMIy ^ Other l5pecih .. MO DDS 0VM llB IO 33. De[atlmk[ Singu Ran SeI1.Clsi{nation .Check ONLYONf ur indi(au what the decMenl mmlaerea himself or Mnell to he. 33a. OecMmt'a Vaual C<cupetien ~ Indiate type el week ~VlFite ^IaOanese ^Samean aonP tluring most Ol worklnp file. Cp NOT USE RfTIRfO. ^Bk<Y Or AMCan Amerkan ^NOnan ^Other paclfc lslantler T ~ ~dmerlnnlntlunor Alaska Natlve ^Vletrumeu ^Wn't Nnaw/NOI Sure Q(_ nIU 4~ ^Aaian lndlsn ^Olney Arlan ^RelusM 33b. Nlntl of guslness/Intlustry Cnineu ^ NaW.e Nawallvn ^ Other (Sped " v.#-' ral GwernaYw Fed ^FnlPlm ^GYamanianwEnamnrre . e REM533a-33d MUBF gF COMPLETED 33a. Date Prpneun[M Oeae lMe/Day r 336. Synatun of Plrwn Pmnouncing Dea[M1 lOnly wnen>ppll[abll 33c Lklnu Number BY pFRSOX WNO PRONOUNCES OR CERTIFIES DFAIN ~ M ~. ~ DI ~•~ 33d Oatt SMnM IMO/Oay/Yr) 3l. TmenOeatM1 0 .~~ ()O 15.Was Metli[al Examinerw COronerfonta[tldr ^ Yea NO CAUSE OF DEATH Rpp > to 36.PMI. Enty tnechaln of erentr-0IUasm, InlWe; armrvplkallona-loot tllrMFy uuuatnedeeth. CO NOTen<erteymintl events su[nn[srele[arrut I~'. ne cauu On aline. Add MElnOnal lines if ne<euary ~ Onseyee n. WHOT A BB R V IA TE. En ter enry respirateryamsl.Orventrkular Rballatbn wl MW t shpwl ry th e e[IO O E O ~ 11 ^^ //~~ //~~ /1 1 ( ' ' ` r, ~ ~J (~ . y L y ~ IMMEDIATE CAUSE _._..._.....a •. ~ 1 V ~/'1'CUIIV L-. I IV Flsrz~ I I~IV i i Illnal elseax Or conenlon Due to for as a conuwmce oil: rn esultln In tleatM1l b. sevuemklry oat [Ynamona, Due to l^•as aconuvue ce ^~. r d anv. ll.elnp tO lne ca0se y~ IbtM On line a. Enter [Ile J" UNDERLYING GUSE Oue [O lOr ei a conx0utrke oil: e~ Idiseax or Inlury teal ram>otl ro. w.nv r.aYlnng a. m aenM tAn. DYe w lee as a censeauence on: ~ 30. Part n. Enter other sienmon roMlUOm wnmbunrw co Jeatn ben n^t.eminng In the unaetlyin nme [IVen In Patll n.wnmemeWV Olrlor Y.a Np re. wmeaYmpay nrdlrrga nkme t0 wmpkt<the uuu Nvi Mr ^ rea ^ z9. nFemlle: 3D. Dld mbacm ux co^nmrnemoeav 3t. Ma^rur of Denn ~ xw weg^,m wnel^Pan x.r ^ vet ^ PmeabN ~ Namrel ^ Nomlplee ^ Pngnmutnme of tlealn J~ No ^ D^mow^ ^ AaMem ^ re.m^g 1^.eatpuo. ^ Nw Prnn,m, bw prnn.m wmm~ 11 earn el ann ^ mwx p [Brae ~ ti<ane.mmee ~ Not pregnant bw prnnsm e3 ent [01 you OelOn tlntl 3E. Date of lnryry IMO/Day/Yr (Soil MontFl Unknwn it pregnant wlth'm the Wn Year 33. Time OI InIVry 31 Plate of Inlury (e B. home <ons[ru<tlan site. farm: [[M1OOI 35 La[atlon OI Inlury Slrttl and Numbe; Clh. Slate. 31p Coeel l6.Inluryn WOM 3]. Il TnnsportatlOn Inlury. SpMh. 38. DescN6e NOw Inlury O[wrnd. ^ r!a ^ Dmer/overnm ^ PMm t ^ No ^ Pefunger ^ OMer Spe[Ih ]9 a Certlntf ChecF Only Ontl: ~ l. p CeNlying physltlan - TO the ben of my knovlMge, death occurred due w the cauuls and manner int<d ^ Proneun[Ing 6 CertllYing pllyl(lan - l0 the btn OI my Ynnwkdgl, d!a[h wcufred aI the Ilme. tla[t, and pb(e. one tlUP 10 tM1t ounN Intl manMr StatM ^ Medl[al Examiner/Cw ~ On Me ah of na~mrn~a'° , aM/or ves[IgiLian, In my oplnbn, dean f Mal [he Ilme, dale, antl plxe and drx to the [auulsl and manner sta1M ' ~ n CYJ ~~P/~ . ' one of <emm. a-a'_ ^x «rrmxr. (~S a signature Pr nrtlne.: % 35b. wme, Aetlress one zi eer perm COmvletMg cauu nF D.am pum al 39<musy^ IMO aYT'rl .f' a z' 1 U_T~ ~ 01~L RD.RM ra:t DlDNn xYmWr tl. Rnl rtes a3 Rrylnnr D IM Dn q IYf '.f; ~,~ ~ if ~,4 `f~. l3. Amenemenl5 r-~Y C^ N m m ^ a p ~.~ V / V r Y r,~- y~ p- ~/ d ~ c.> _ -~ ~ _ ~I n '`'1 I a ;7 c..% - rst p ~~ .... ~ ~ F-~ Dlaoonnen ve.mrz Ne. ~C1I ITa~~J REV w/zoo LAST WILL AND TESTAMENT OF JUNE HOLLAND BLACKMORE PRICE I, JUNE HOLLAND BLACKMORE PRICE, of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all prior Wills by me at any time heretofore made. I. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can conveniently be done. 2. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath to my beloved daughter, Gail M. Blackmore Danielson Fought, per stirpes, of the Borough of Mechanicsburg, Cumberland County, Pennsylvania. 3. I nominate, constitute and appoint my said daughter, Gail M. Blackmore Danielson Fought, to be the Executrix of this my Last Will and Testament. In the event that she should predecease me or for any reason be unwilling or unable to act as such Executrix, I nominate, constitute and appoint my son-in-law, Donald E. Fought, to be Executor in her place and stead. In the event that he should predecease me or for any reason be unwilling or unable to act as such Executor, I nominate, constitute and appoint my granddaughter, Briana G. Danielson, currently of Columbia, Maryland, to be Executrix in his place and stead. I further direct that they shall not be required to file bond or other security in the Office of the Register of Wills for the purpose of administering my Estate. ,,gy~pp IN WITNESS WHEREOF, I have hereunto set my hand and seal this u~~o/'1day of A.D. 1498. Signed, sealed, published and declared by the above-named NNE HOLLAND BLACKMORE PRICE as and for her Last Will and Testament, in the presence of us, who at her request and in her presence, and in the presence of each other, have hereunto subscribed our names `~ witnesrse~s. a.. A,aJ '_.! ~-~ ~ tL <.7 -~ ~ G9 4,a, It =1--. CJ C.1 C'} O ~ _ ~ la.„ !11 UJ Z J c_1 F-•- -..1 Q ~ a:'cn ~~ VzW c7, ~, ~_~ °- m ~-, ~u C; cr ~ crw ~ ~_•_•. ° ~ -_ v `J RECOR~3Et Gr°°=~"iCE OF OATH OF SUBSCRIBING WITNESS(E~GiSrL~Z or `~,~~~'_~ cal? CEC 7 ~-(~ 3 i REGISTER OF WILLS G~mriErLc~Ny COUNTY, PENNSYLVANIA CLERK C= ORPHANS' CC~,(~~f CUMBERLAND CO., PA. Estate of f~~e maYi e (~r~Le LtXp T~.ne ~to~la,nd J3~ack-xoFe ~i~tc e ,Deceased _(~Il~r~es ~• ~~/ e~~%s ~ , ~ subscribing witness to (Print Name/5) the ~ Wil] $£adi~it(s) presented herewith,{eneizj being duly qualified according to law, depose(s) and say(s) that -ske-/ he /--~key- was ~-rue~e- present and saw the above eF,LTestatrix sign the same and that skel he /-tEgy-- signed the same and that -~s~e-l he signed as a witness at the request of X (Signature) C~ar~~s t: sh,• GLs U1 the -~estxter/ Testatrix in her /-his- presence and in the presence of each other. (Signature) ~ C~O/.rs~' (/~QO. (StreetAddress) l~l~ch~~ ~ es l~ti~, ~~ / 7o s.f -~ (City, Store, Zip) (Street Address) (City, State, ZipJ Executed in Register's Office Sworn to or affirmed and subscribed f7-w' bef e me this day /> ~.. ~-eputy ~ r g~ er of Wills Executed out of Register's Office Sworn to or affirmed and subscribed before me this of day 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.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Form RN'-03 rev. 10.13.0( RECOROEC Or~iCc OF OATI~ OF NON-SUBSCR~BING'~~~~E~~~S REGISTER OF WILLSCf"~~ CEC ~ ~~~ ~ ~1 CuMiQE72l~4,U~ COUNTY, PENNSYLV~( (I i= ORPHANS' COURT vv~ ocRl AAitl t`.lZ,~ PA Estate of lit ht ~r/e ~!^ice aKq ~ ne Ho//grJA/ /,~~,[c/lnrp~ r~r.~ e Crt~ 1 ~ m. ~ k q ~t and (each) being duly qualified accordin1~g to law, depose(s) ane/d saly(s) that she / he /they acquainted with ~lihe ~l)')ttr-~e.i~rice,~,~ Jkntrto~/~f1~ ,~~onc ~le Deceased was /were well- and am/are familiar with the handwriting and signature of the decedent, and that the signature of Turf ry14.hi ~ W/'/G~ to the foregoing instrument.purporting to be the Last Will and Testamen~of T~(.~ /1?Q,I~/G ~I'/G~ is in his/her own proper handwriting. J X i ,' (Sign ~e) ~„^h ~7 w~%/,amS Genre ~d (Street Address) ~~~/CS~uN., _ r~A- /7v SS (City. State, ZipJ Executed in Register's Office Sworn to or affirmed and subscribed ,r~~.h be ore me this ~ day !,f ~`y Deputy~f6r I~egist~er~ Wills t (Street Address) (City, State, Zip) Form RN'-Od iev. /0. l3.06