HomeMy WebLinkAbout01-23-13PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND __ __ _ .- 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
Name: DENNIS A. BURKHOLDER_ _ __
aikia: __ _- - - --
a/k/a: _ _ _ _ - - _ -_-
Date of Death: 1110/I3 _ ____ _ _
_- -_ - __ _ File No: 21-- ~__-~~? _.
(Assigned by Register)
Social Security No:
Age at death: 65 __ _ _ __
Decedent was domiciled at death in CUMBERLAND_ County, PA _ _ _ - (Stare) with his/her last
principal residence at ?03 W,PINE_ST. - _ 17069_. __ - $O. MIDDLETON TWP. - _ CUMBERLAND ___
Street address, Post Omtt and ZIp Code CIty, Towmh~p or Borough County
Decedent died at 302 W. PINE 3T__ _ ___ _ ___I706_5______SO_ MIDDLETON TWP,- _ _ __ _ CUMBERLAND_PA_
SlrttNddress, Poat OIBce and ZIp Cade City, Township or Borough County Stale
Estimate of value of decedent's property at death:
lJdomieUed in Pennsylvania ................................All personal property $ _..___ _.. _ 50,000.00
If not dorrdclJed 7n Pennsylvania .............................Personal property in Pennsylvania $ _ _ 5 000.00
lJnor domict[ed In Pennsylvanla ............................ .Personal property in County $ _ . -_- ._ _ __
Value ajrealeslare in Pennsylvania .............................................................. S -_ ___.__. ___ .__..
TOTAL ESTIMATED VALUE.... $ _ ___.-_ __. _59 OOU.00
Reel estate in Pennsylvania situated at: 302 W PINE ST. -___ _.1706$_. __ _ CUMBERLAND_ __ C_ OUNTY _ __
(Anach addiriana! sheets, iJnecescary./ Streetvddros, Post Office and ZIp Cade City, Towmhlp or Borough Counry
® 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 W ill of the Decedent. dated 3L15Lll. _- _- _... _- _ _..- and Codicil(s)
thereto dated NONE....______. _.-.-------._------.._.___ -._ __- _-__--.-- _.-.. -- -_.. _ -... _.
Sate relevant circnmstaocee /ag. renuntWdon, death o/erecamq ertJ
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 establisfied as defined in 23 Pe. C.5. § 3323(8), 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 Of applicable) _-_____ ____. _._ __ __ .__ _
c. t.a., db.n., d. b.n. c.Ra„ pendertte lire, durance absentia, durance minoritate
If Administration, c.Ga. or dh.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 i!~ been establisfietl as de~ted:y
in 23 Pa. C.S. § 3323(8) and was neither the victim ofa killing nor ever adjudicated an incapacitated person. C ~ "'' rrt C>
~ _ v~
^ NO EXCEPTIONS OEXCEPTIONS - -_ _. _ - _- w. ~_ - y _ w e,`~~ ____
Petitioner(s), after a proper search has/have ascertained [hat Decedent left no Will and was survived by the follo7Rn~pdBSe (ifttgp) andll~ir~~(tach
additranal shee(s, fneeessaryJ: ,tom,. ^'` ~~ W -~~ "-''
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~ Name RelationshrP ~~ Aifdf43s"' "~ - . `, i
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form NW-aa .re. (o (ram( Page 1 oft
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Oath of Personal Representative orrmal use oaly
COMMONWEALTH OF PENNSYLVANIA }
} SS:
The PetitioneKs) above-mm~ed swear(s) or arm(s) the statements in the foregoing Petition are we and coved to the best of the knowledge and belief
of Petitioner(s) etW that, as Personal Representative(s) of the Decedent, the Petitioner(s) will well and truly administer the estate according to law.
~
Sworn to r affvmed an subscribed beforeZ ~_ /
Dace ~~~ ~8~~3
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- ____-_ __ _ Date
Y - -- --- __ -----
_. _-.- _._.-._ ____ Date
For he Register
_._-- _ __-__-..._ . - Date
- __
BOND Required: ^ YES ~O TorheRegisrerojW!!!s:
FEES: (((((( Please enter my appearance by my signature below:
Letters ........ ........ . ... $ __. _ Attorney Signature:
( ~) Short Certificates(s) . ..... _ -_ .~ "-~ ~y
( )Renunciation(s) .. .. ~ _
.... -_ ___ X/( J
( )Codicil(s) ....... .... __. ---- ---- ~.
i
Bond .... .. t Printed Name. SETH T M__BEY __
_- --
Commission ......... Supreme Court
.... '
Other ~//~~ ~~
....
_ __ _
_ _ I ID Number: 203046 _ _ n _ _ _
.... '
/C/" Firm Name; Matlson,Law Of~'es~°___ ~ ~
Address: l0_East High
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_ _ __ . _ .... ..... _ ____ --_- _ 'Phone: (717 243-3341 '~ -:
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TOTAL
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DECREE OF THE REGISTER
Estate of DENNIS A. BURKH_OLDER___ __ __ _ _ __ _- File No: 21 _ _ ~ ~ _
a/k/a: _- -- - --- --- - -_ _-------- -
AND NOW ~( _
_ - _.~-/ ._ _._ _-_ , ~_ ~ ._ , in consideration of the foregoing Petition,
satisfactory proof having bee presence before me, IT IS DECREED that Letters Testamentary_ _ __ _ -
_ _ _ ereby granted to Troy M._Burkholder___
__ _
- ___
_ _ _. _ __ _.. __ in the above estate and (if applicable) that
the instrument(s)dated 3/i5ft-1,__ ___
described in the Petition be admitted to probate and filed of
I~inm RW-01 rev. 10 /1 1071
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
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Certification Number
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,'~~~'~;~;;;,~ JF'~}vv ~~ This is to certify that the information here given
r -- ~ n cottectly copied from an original Certificate of Deat
duly filed with me as Local Registrar. The origins
i „Fps ,~~ ~li 1L ceriifiwte will be forwarded to the State Vitr
~.l 3 i i Records Office fur permanent filing.
c~~~x ~~ ~Sk~.'R~,~~~a~4 i i12o~3
ORPNANSxG':~IIR~i.r!(•Lr Local Registrar Date]ssued
CUMBERLAkDEALT~•DF E1INEVLVANIA•OEPARTMENTOGHEALTH•VITALpEC0H05
CERTIFICATE OF DEATH
Oec¢tl LeB+I Name (Glob Midtlle. Lest, 5uMr1 3. seas ei Sec [y Number 4. Oats °f O+et IMO/OaY/Vt) (Spell Mv)
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Dennis A_ Burkholder Male
200-36-937
9 Januar l
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Penns lvania 203 W. Pine St_ W '=. ae¢eaent goedm t
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Cumber 1 and ea. Rezwen=e Izly case) 7 O 6 5 a «o, a«eaent uvm whom umlta vi aN/core.
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tl 13. Mother's Name P[1et [o F1vaC Marriage IFIVaG Mltltlle, LasU
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F9FILES\CIi~n6\9991 BwkHOIdmU3991.LxdIL2011
LAST WILL AND TESTAMENT
I, DENNIS A. BURKHOLDER, of Mt. Holly Springs, Cumberland County, Pennsylvania,
being of sound and disposing mind and memory, do hereby make, publish and declare this to be my
Last Will and Testament, hereby revoking any and all former Wills or Codicils made by me.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all death taxes (whether such taxes may be payable by my estate or by any recipient of any property)
shall be paid from my residuary estate as soon as practicable after my decease and as part of the
administration of my estate. My Executor shall have no duty or obligation to obtain reimbursement
for any such tax so paid, even though on proceeds of insurance or other property not passing under
this Will.
2.
I give such items of personalty as are itemized in a certain list attached hereto (if any) to the
persons named thereon, which list is signed and dated by me at the end thereof.
3.
1 make the following specific bequests: ~ ~~;; :n m
a
~- '.3
a. Unto my son, TROY M. BURKHOLDER, the following items: -,. I" ca
~-v? c~)
(1) any and all guns that I may own at the time ofmy dea~'i .';, ~-~c w
T ~ ~r U
(2) any interest that I may have in Woodhouse, LLC, and ,
,." '~ 1, ~ ~ '
~ :_t
(3) such ofmy personality as he shall choose. : '~ .-.
~ c~ ry
' T T n11 .*+nn ita ~
+
b. Unto my fnend, ?E9N*.E BE.4. ,the £,__a::,.,, ___ms: ~ ~ ,.
n ;,> c~
vy
ui
(1) my Chevrolet Silverado Pickup Truck;
(2) my Toy Hauler Enclosed Trailer;
(3) my ATV Rhino; and
(4) the sum of Fifty Thousand Dollars ($50,000.00).
4.
I give, devise and bequeath all the rest, residue and remainder ofmy estate, both real and
personal property, unto my son, TROY M. BURKHOLDER, absolutely.
~~
[Initials]
Page 1 of 3
5.
I nominate, constitute and appoint my son, TROY M. BURKHOLDER, as Executor of my
estate. In the event my said son shall be unable or unwilling to serve in such capacity, then I appoint
my brother, RONALD E. BURKHOLDER, to act in such capacity.
b.
I direct that all fiduciaries acting under this Will, whether or not named herein, shall not be
required to give bond for the faithful performance of their duties in any jurisdiction.
7.
I authorize and empower my Executor, or his successor, in their sole and absolute discretion,
to purchase or otherwise acquire and retain any investments of which I die seized or any real or
personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or
grant options in regazd to any or all property of any kind forming a part of my estate for such terms
and such prices as they may deem advisable; to borrow money for any purposes connected with the
protection andpreservation ofmy estate; to mortgage or pledge anyreal or personal property forming
a part of my estate or to join in or secure the partition of same; to compromise any claims or
demands of my estate against others or of others against my estate; to make distribution in kind and
to cause any share to be composed of cash, property or undivided fractional shares in property
different in kind from any other share; to employ agents, attorneys and proxies and to delegate to
them such power as my Executor, or his successor, considers desirable and to pay reasonable
compensation for such services as may be rendered by such agents, attorneys and proxies; and to
execute and deliver such instruments as may be necessary to carry out any of these powers. In
addition, I direct that my Executor, or his successor, shall have the power to conduct an inventory
of any safe deposit box necessary to the administration ofmy estate.
IN WITNESS WHEREOF I have hereunto set my hand and seal this ~S ~ day of
~~~ , 2011.
~~~~ (SEAL)
Dennis A. Burkholder
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator, as and
for his Last Will and Testament, in the presence of us, who at his request, have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testator and of each other.
Page 2 of 3
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS.
We, Dennis A. Burkholder, Seth T. Mosebey and }~~ ~ ~(. ~,;~ ,the
Testator and the witnesses, respectively, whose names are signed two the foregoing instrument, being
first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed
the instrument as her last Will and that the Testator has signed willingly, and that the Testator
executed it as her free and voluntary act for the purposes therein expressed, and that each of the
witnesses, in the presence and hearing of the Testator, signed the Will as a witness and that to the
best ofhis/her knowledge the Testator was at that time eighteen years of age or older, of sound mind
and under no constraint or undue influence.
Subscribed, sworn to and acknowledged before me by Dennis A. Burkholder, Testator, and
subscribed and s orn to before me by ~-~-Y"i~ /, /~or~e~ie~/ and
' ce ,the witnesses, this lS~a~ ~a-t-~-, 2011.
` /1
Public
~otmtor~wPaLlx oe ~sxtvnr~tn
li(YfARSAI. SFAL
Victoria L. C2to, Notary Public
Carlisle Soto, Cumberland County
M commisaione veaDecambu202914
Page 3 of 3
~~/~,,,~
Dennis A. Burkholder, Testator