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Home My WebLink About02-01-13Reset PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF C- U ~ t~ ~ ~ L ~~ ~ 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: ~ l`l ~l t~ (-(~.~/ a/k/a: a/k/a: a/k/a: Date of Death: <~ ~ ~ y,~ r2 `I '7 , ~ L~ 13 File No: ~ ~ _ ~~ ~ ~~ (Assigned by Register) Social Security No: O ~ U - ~ ~ - ~ ~% ~ ~ Age at death• ~ 3 Decedent was domiciled at death in ~" U i-~ i3~ ~(. ~-rl iU County, ~~ (state) with his/her last principal residence at ~ ~ r Cou~-T~-~ t'? ~ u~ ~ ~_t~ ~-°~' t-~- I i~(,- ~} ~'. V i--t C5 t ~'-(./~ -~1 !~ Street address, Post Office and Zip Code City, Township or Borough County Decedent died at t-~ ~ (.~ . ~-~ u S ~ i i r't !/.- ~ A ~ ~ t5 3 u u lU 1> (~ l~ ° i-1 ! l~ ~ ~~1 Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania ............................ All personal property $ ;~ `Z~ , C' L 0 ,. ~_.~.. If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania i $ $ , ~ If not domiciled in Pennsylvania ........................ i n County Personal property $ ~ ~ ~ a ...................... value of real estate in Pennsylvan ................................. .. _ ~' ~` ,~ ~0 ~ ~ ~~ TOTAL ESTIMATED VALUE.. .. $ ~~d x:90 ~ ~ Real estate in Pennsylvania situated at: ~ `~ ~ (~.l1l,%~~ i ~ `I ( .~.,t, U ,~ ~!~ ~. ~-\ N~ N ~ (t.~~- , }~: ~ 1~7 ~ (I ~ U ~1~'1 ~, C 1? L ~-1 !~ 1~ (Attach additional sheets, if'necessary.) Street address, Post Office and Zip Code City, Township 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 > ~_ ~ l t.tvl 1~ ~~ `.j , ~~nd 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. ~NO EXCEPTIONS Q 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 db.n.c.~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. NO EXCEPTIONS Q EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs (attach additional sheets, if necessary): Name Relationshi Address c...a ~ 1"t"1 C ~ ~ ~ ~ '~ CTS Ct'~ 'S 1~'1 ~ C3 ,~ x°rv `..~..~ Cn C~ ~ ~ ~ 'Y°D ._y.t Form RW-02 rev. 10/II/2011 q ~. ~- c, a ~ CJ 6"` t~'1 'T7 _"$ ~ ~ t~7 ~ Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Um bar /«n<~ } Official Use Only Petitioner(s) Printed Name Petitioner(s) Printed Address L ~E . ~ L 1 k_ ~~`-'1. ~j U i.~+~ r~1 ~-~I t'--4 ~ L~'-~ l.~.K Lt=k 1 ~ l-~ L- i~ ~ ~ ~ ~ ~~ t L 1. ~~ ,A 1 ~ CO 11 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 Pe itioner(s) will ell and truly administer the estate according to law. ~_ ' Sworn to or affirmed an bscribed before b~~_.,d~C ' U lft " e.~-- ~- ~-- Date ,~ ~ / " ~ me thi ~ ~ `~ day, of ~? ~~- ~ Date $y; (~,~ ~ Date F tf~' Register Date _~ BOND Required: Q YES Q NO FEES: Letters ...................... $ ~l L~ , CL' ( ~ )Short Certificate(s)...... ZS ~ ~ ~' ( j )Renunciation(s)......... ~ ' ~' ~' ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ....... Automation Fee .............. . JCS Fee . ................... . TOTAL ..................... ^°'`' ~~ ~ $ •$."8~' ,~ ~ v To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Supreme Court n ~==J ;~Ct ID Number: G ,,.., ~~~ a~ ~ Firm Name: m -~ c-Z ~ t..+"~ ~"~ -r ~`~ Address: ~ ~ ~ ....$ . °w" t""r'1 ~ ,fin ~ ,~ ;~ c~ c:. ~~ ~ ~ ~ ~ ~ -r' Phone: '~ ~~~ C~ Fax: -1 f"" _ Email: $x. ~ _n DECREE OF THE REGISTER Estate of ~ ~7 /~ ~ File No: Z~ _~~v U ~.3/ a/k/a: r,-_`~ ' , AND NOW, /'- ~ , ZCj.~._, in cons' ration of the foregoing Petition, satisfactory proof having been esented before me, IT IS DECREED that Letters /I'7C' are hereby granted to L e 5 /~ ~ /~ ~fJ ~lI /~ ,.,, _ _ in the above estate and (if applicable) that the instrument(s) dated ~ described in the Petition be Form RW-O2 rev. 10/11/20/1 to probate and filed of recor as the last Will (and Codicil(s)) of Decedent. Register of Wills ~~ ~~~'~ Te of 2 , ~, ;.; : ~ .. .~~ ~ E"r'1 C1 `-"' ~ ~ C --'r1 ~ ~ _. '~"cl ~ "t`C ' , LAST WILL AND TESTAMENT ;~. U, ~ c~~ ~~:i'.~~.~ ~ 4..I py ~r~ ~ /+~ _ ~ e, O F . ~;~7 ' ~.~ ANN H . FRY "~;~ ~a r I, Ann H. Fry, of Camp Hill, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking any and all prior Wills and all Codicils made by me at any time heretofore. ITEM 1. I direct that all my legally valid debts, funeral and administration expenses, and inheritance and estate taxes incurred on account of my death shall be paid by my personal representatives out of my residuary estate as soon after my death as practicable. ITEM 2. I give, devise and bequeath all the rest, residue and remainder of my estate, of every nature and wherever situated to my children, Cynthia H. Rife, Leslie M. Dolan, Christopher M. Fry, and Kimberly A. Fry, in equal shares per stirpes and not per capita. ITEM 3. No interest of any beneficiary under this Will or any Codicil hereto shall be subject to anticipation or voluntary or involuntary alienation. ITEM 4. My Executrices acting hereunder shall have the following powers in addition to those vested in them by law and by other provisions of this Will, applicable ~~~ ._~ Page One of Two Pages ~'~''~--~ ~ ~-~,..~' Ann H. Fry to all property, real, personal and mixed and wheresoever situated, including property held for minors, whether principal or income, exercisable without court approval and effective with respect to each item of said property, until actual distribution: A. To retain as investments of my estate, any or all of my estate, real or personal or mixed, without regard to any principal of diversification, and to hold any or all of such real and personal property retained or acquired without making the same productive of income; B. To pay all taxes, charges and expenses of maintenance, upkeep, improvement, development, protection, preservation and investment of any retained or acquired real or personal property, such payments to be made from either principal or income as my said Executrices shall determine; C. To retain or invest any and all funds, whether principal or income, in any real or personal property, without restrictions to legal investments; D. To purchase investments at premiums; to exercise all rights of a security holder or shareholder in any corporation; and to lease, mortgage, pledge, give options upon or sell at public or private sale and without approval of any court and without any responsibility to the buyer or buyers to see to the application of the purchase price, any real or personal property, or portion or portions thereof, irrespective of the manner or the means by which the same was acquire by my said Executrices; Page Two of Three Pages '~'~t~A ~ ~ ~~ Ann H. Fry E. To make any payment or distribution herein provided for in cash or in kind, or partly in cash and partly in kind, at valuations fixed by my Executrices at the time of distribution. ITEM 5. No fiduciary acting hereunder shall be required to post bond or enter security in any jurisdiction. ITEM 6. I nominate, constitute and appoint my daughters, Leslie M. Dolan and Kimberley A. Fry, as Co-Executrices of this, my Last Will and Testament. IN WITNESS WHEREOF, I set my hand and seal to this, my Last Will and ,. ,; ;, , Testament, this ~ ,~. `- "~ day of ~ ~z~,; f~~ ,~~ ~ ~ ~~._P= 1998. Pa e Three of Three Pa es ~ ~~ ~ ~` . 9 g Ann H. Fry The preceding instrument, consisting of this and Three (3) other typewritten pages, signed at the bottom of each page for security purposes, was on the date thereof signed, published and declared by Ann H. Fry, the Testatrix herein named, as and for her Last Will and Testament in our presence, who, at her request, in her presence and in the presence of each other, have subscribed our names as witnesses whereof. '` W NESS ~~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN I, Ann H. Fry, the Testatrix 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 affirmed and acknowledged before me by Ann H. Fry, the Testatrix, ~.; ,, r this day of ~ x `' ~~ ~-~~..,~~'?~. t ' ~ ~~ _, 1998. --~.,,~ ~ Ann H. Fry NOTA Y PU LIC =~ ~~ + 0 tf'~'f ~ r a :^1' `a ~+l~d~ F. ~C~. r,_,`.1:5 i ~i~tJ'~~f COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN - ~ i ~~' W~;.. ;,` ~.. ~~. ~, _:; ,, nd. ~~ '- ;',~..-,. 1 f' ' ; ~; < ,the witnesses whose names are signed to ` he attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will; that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness 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. Sworn to or affirmed and subscribed to before me by r; + ~r r ! ~ '~ ~~r ~ ~,, ~ ; ' `~ and `.~ fr ~ ~` ~" ;~ -, witnesses, this ~~ day of ;~'' -~' ~ ~., ~~ 1998. -.. ~~.~ --~ ti _. '~ Witness ~~' ~'~ ~' ~ ~`~ ti~ j `~ ~~ ~ ~ I l,~ i' .~ ~j ~ ~ ' .~ ~ ~ 1..~' ~ '~.-~ ;~ _ Witnes - r ,J i l ~I ~~ ~~ , f. f NOTARY PUBIC ., 99 gg ~{ee Rkf~ i K ~F~?iF~L.. 0.~~_~~ {t~~ Estate of I, RENUNCIATION ~ C Q 3: ~ C7D 'S7 REGISTER OF WILLS ~•rn~•~}+~ ~ pr~'~ ~' /t'~~1:~~~~,~ COUNTY, PENNSYLVAN~ ~~., . ; c~a~ ,. :~ ,r~ -_,1 Deceased in my capacity/relationship as n ~ (Print Narn~) 1/~~~-~ '~/1-- ~ of the above Decedent, hereb renounce the right to Y administer the Estate of the Decedent and respectfully request that Letters be issued to ~~S L //~ ,~ rl . Q~C.~ 2 ~ ~~ (Date) Executed in Register's Office Sworn to or affirme and subscribed before me this ~ da y of ~ r c/C ~~ ~ C~ r.~• ty for Register of Wills (Street Address) (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the tarty 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.) ~, ~-~ ~, ~ ~ r~*~ '~ '~ C3~ f~ :~ ..,,,y ~ P.~,; M 3 ..~r i,w ~ ~~ ~ i1J ~ Form RW-06 rev. 10.13.06