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02-05-13
PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF _ ~U//,Q~~ii1/jj COUNTY, PENNSYLVANIA Petitioner(s) named below, who is/are 1S years of age or older, apply(ies) for Letters as specified belo~t. and in support thereof aver(s) the tbllowing and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information Name: ,Dofo7~5/Y rvJ~itl ~lF'y a/k/a: ,007 F~.t!LEy a/k/a: Date of Death: ~Ji9iV 3 0. 1 t7/3 -~ Decedent was domiciled at death in principal residence at /7 /V077 Decedent died at Street address, Post Office and Zip Code _~~ (Assigned by Register) Social Security No: 2 01.24 - !0 8d 2 Age at death: ~S (Stare) with his/her last City, Township or Borough ar Borough Coonry State Estimate of value of decedent's property at death: If domiciled in Pennsyivania ............................ All personal property $ ~e SO Ui ~© Ijnot domiclled in Pennsy!vania ........................ Personal property in Pemtsylvania $ IJnot domiciled in Pennsylvania .......... . ............. Personal property in County $ Vnlue oJreai estate in Pennsy!vania ................................ ... ..... .... .... .... ..... $ TOTAL ESTIMATED VALUE. ... $ 1SU~ 0,%16 Real estate in Pennsylvania siNated at: (Attach additional shears. ifnecessary.) Street address, Post OPBce end Zip Code City, Township ar 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 /NL~TE~ and Codicil(s) thereto Bated Slate relevant dremnstances (e.g. renunciaeion, death ofezecufor, etc.) Except az follows: after the execution ofthe instrument(s) offered for probate Decedent did not marry, was not divorced, was not a partyto a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), 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 ^ EXCEPTIONS [] B. Petition for Grant of Letters of Administration (If applicable) c.t.u., d.b. n., u If Administration, c.t.a. or d.h.n.c.t.a., Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated ENO EXCEPTIONS EXCEPTIONS duranfe a6sel~ durance ~i oritare .-. ~ m~lete list oT'heiM9a ~ hea„da beetptabli~p r- ~ m crt ~ County Fann rsw.nz ray, rniuiln)r Page 1 oft Petitioner(s), after a proper search hes/have ascertained that Decedent left no W ill and was survivedby the ~or~iyg~ouse (tiny) attar hltl`! (uuuch _.. .1: .___, r__.. __._ 11 T Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF } Offsial Use Only Petitioner(s) Printed Name Petitioner(s) Printed Address ~iI4BFf7 ` f.$E-'~Ey n7~, a' .BF~fY/,~.zstz .~LrA>E-/~~ ~ tzrt£~- i~o~s c ~ c 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, tl a Petiti~on(e'r(s) ill 11 truly administer the estate according to law. Sworn to or affirmed a ubscribed b~efnor(e~ ` ~~~ Date-l --r.-3 met Gh da /' , ~ a r ~ Date -~f ~ - I ;~ By: Date or a Register Date BOND Required: ©YES ~NO FEES: Letters ...................... $ ( ~ )Short Certificate(s)...... ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ,~ v, ~- Ir~ J I Automation Fee .............. . JCS Fee . .................... TOTAL ..................... $ -~A% To ike Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Supreme Court ~ O `" m m ID Number: A7 '*7 O ~ x C> m C/7 7tY ' Firm Name: a r ^-d C7 Address: ~_y T Gr't -~ C . ~ nno -~ 'n -n o - .~ - ~r Phone: ~ ~ -1 t--. - n T frr Fax: D C,f~ [n O Email: ~ ~3.~ CDECR1E~E OF THE REGISTER (+' y Estate ^o~~(„r~~ ~lS~^ `'!., r IY_'!~ File No: ~/_ ' ~ ' T~'I a/k/a: l~+! P ti x~,~~ V~o-t f'.d..tec.t AND NOW, v t ~ ` °~ satisfactory pro f ha been pre nted b fore me, IT I D ~ CREED that e hereby granted to~> ,1~-~. n U',` J r the instrument(s)dated ~J~pe-~r~~cr~-~ described in the Petition be admitted to probate and filed of~cord as th0da in consideration of the foregoing Petition, in the abate estate and that (and FormRW-02 rev. l0/l[/20l1 I~ Page2Of'2 RECORDED OFflCE OF RE6lSTER OF WILLS O_~TH OF SC~BSCRi£,~G~I~\~~S~E~$ CLERK OF REGISTER OF~~'ANS' COURT CrU~ aea ~aruD couv~l~B~b.~SN`d'; PA Estate of J U~o~' r- L Deceased RCl f~~t27_ L . F- is R CE W d fJp K ~A 21R .ll , e~ "`~ ~ _, (each) a subscribing witness to (Prirtl Name/sJ the'~Will O Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he they was / .ere present and saw the above Testator / estatrix sign the same and that she ! he the signed the same and that she / h /the signed as a witness at the request of the Testato /Testatrix in he /his presence and in the presence of each other. (S<gnature) (Street Address) Ci92C,tS L r ~~ 17o t~ (City, Stale, Zip) Executed in Register's Office Swom to or affirmed and subscribed t/, beface.me this _ day of~~ _, eputy fo: Register of ~~rills 1 L~. l~J (Sigrza(ureJ ~~ `~(~U~~nc1~NAK-1 ~Rry~ (Street Address) M~CNA2lrCS3clnc , ~A l~os`Z) (City, Stote, Zip) Executed out of Register's Office Sworn to or affirmed and subscribed b°foremethis day of , ''~0:-~'~' P1b11C ?`fy l,Gt*.tiY1SS1pP Expires: (5 igna[ure and Sea'. of;Jo;ary or ether e[7~,Cr.: : uaii f e:: ;o adminisk: oaths. Sho,vda[e oCespi:a[wn e: IJO:aq`s Commission.) tiGTE'. 7o be txl¢n by OE&cu authorized [o administer oaths. Please have present the original or copy of instrument(s) nt time oC notarization. Form RW-03 rev. lOJ J.O6 I, Dorothy J. Earley, of Mechanicsburg, Pennsylvania, declare that this is my Last Will and Testament and revoke all prior Wills and codicils. ARTICLE ONE DECLARATIONS CONCERNING FAMILY AND PROPERTY 1.1 Family. I have five living children. They are Connie J. Evert, Vickie R. Dunn, Gilbert E. Earley, Jr., Rodger L. Earley and Keith D. Eazley. 1.2 Personal Wishes. It is my desire that my co-executors follow any written directions leR with this Will regarding my memorial service. I would like to be cremated and my children know what my wishes are in regards to my remains. ARTICLE TWO GIFTS OF PROPERTY 2.1 TANGIBLE Personal Property. I give and bequeath unto my living children the articles of funriture, furnishings and other tangible personal property and all my real property which I have previously expressed in oral declarations to them. I direct my co- executors to distribute the above property. I may also leave anon-testamentary letter addressed to my co-executors requesting that certain of my personal possessions be delivered to named individuals. Although such letter shall not be interpreted as a testamentary writing, I request that my co-executors carry out the requests made in the letter. All remaining personal property shall be sold by my co-executors and the proceeds added to my residuary estate. 2.2 Residue of Estate. I leave the residue of my estate to my living children by right of representation. I direct my co-executors to sell at either public or private sale all of my real property and to add the proceeds thereof to my residuary estate. ARTICLE THREE APPOINTMENT OF FIDUCIARIES 3.1 Co-executors. I nominate my daughter, Vickie R. Dunn, and son, Gilbert E. Earley, Ir., to serve as co-executors of this Will. No bond shall be required of any executors f ~ sunder this Will. "}~~2,rExeo Oors's Aut~rity. In addition to any powers and elective rights conferred by state off-federal ~aw nr by other provisions of this Will, I grant my co-executors the ~tBtarit}~-to admimsb~ar my estate under any procedure for informal or unsupervised ist~tionio other available procedure for avoidance of administration or l~faetioltlgf its. G ~, J ~ ~ QQ ~IT1~SS`$JOF, I have hereunto set my hand and seal this day of (SEAL) D J. Eazley This document (consisting of two pages including this one) was signed and declared to be her Last Will and Testament by Dorothy J. Earley in our joint presence. At her request, in her presence, and in the presence of each other, we hereby sign as witness to the execution of this Will, believing that she is of sound mind and under no undue influence. Each of us observed the signing of this Will by Dorothy J. Earley and each other subscribing witness and ]mows that each signature is the true signature of the person whose name was signed. Each of us is now more than eighteen years of age and a competent witness. We declare under penalty of perjury that the foregoing is true and correct and that this declaration was executed on ~~~ C~ d _, (witness signet re) 8 - l7fzoo ~} (date) ~GZ/ ~~ (witness signature) (date)