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HomeMy WebLinkAbout02-15-13Reset PETITION FOR GRANT OF L{E}TTERS REGISTER OF WILLS OF C l t~rh bl° (~ 0.,Y~c4 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 - 1t Name: ~ ~ c ~ a r ~ ~ ~ ~,c o t1 File No: ~~ ' 1 ~ - I ~ ~" a(k1a: (Assigned by Register) a/k/a: afkJa: Soci$1 Security No: Date of Death: V \ - 'a, \s, - ~ p 4 .`3 Age at death: ~ U , r s Decedent was domiciled at death in c,t, o ounty~ ~ ~1 r, tare) with his/her last principal residence at \ `~F O ~ r o 5 ~ ~ (`~.~1do,,w_~ S to v._ro, ~c~t~e r R(l1~ r\ Street address, Post Office aed Zip Code Decedent died at ~of ec~Pa r ~ ~~~\t- Stree[ address, Post Office and ZJp Code r~ City, T aship gnBoreug6 ..t o O va wL v~ ~-ac ~.JJ-t'~~} tin o~ Estimate of value of decedenPS property at death: Ijdomicikd in Pennsylvania ............................ All personal property If not domiciled in Pennsylvatria ........................ Personal property in Pennsylvania If not domiciled in Pe»asy/vania ........................ Personal property in County VWat ojreal estate in Pennsylvaxia ........................................................ . TOTAL ESTIMATED VALUE... . City, Townshfp or Horoagh V ~ ~ Couaty 4'1 Q S S Lw w~rr County Stag, ~. w •w ID C. f \o~..~ $~ D0.00' Rea! estate in Pennsylvania situated at: (Attach addrrioaal sheets, ijaecessory) 5hreet addrew, Peat OPBee aed 7Jp Code Chy, Township or Boroegh (d A. Petition for Probate and Grant of Letters Testamentsrv Petitioner(s) aver(s) helsheithey is/are the Executor(s) named in the last Will of the Ikcedent, dated thereto dated _ _ __ _ _ State relevant circunnhecee leg. renanciaaee, daeth ojerreewr, etc) Except as follows: aftertheexecutionoftheinsirument(s)ofTeredforprobateDecedentdidnotmatry,was C~ divorce proceeding wherein the grounds for divorce had been established as defned in 23 Pa. C.S. § 33~g adopt ;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. n p O EXCEPTIONS Q EXCEPTTONS O G 'rt County ~, -i a ~stbOtapa~t~pending not havegc il~j 1 bom or 3 T -esq. ~ -{ rV 7r" r7r B. Petition for Grant of Letters of Administration (lf applicable) b o c.t.a., d.b.n., d.b.n.c.t.a., pendente litg dwante abs a durant inori[ate If Administration, c.r:a or db.ncta, enter date of Will is Section A above and comulete Ilst of heirs. Except as follows: Decedem 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(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. © NO EXCEPTIONS ©EXCEPTIONS Petitioner(s), after aproper search has/have ascertained that Decedent left no Will andwas survivedby the following spouse (ifany) and heirs (attach additiond sheets, ijnecessary): Name RelationsYi Address ca, l ~ - ,, . ~~ t W,1~~~~ .1.~ ~~6 ice.}V~U~ \'l - - ~(~. v1~ ~ C` 1 5 e~ ~~ Forn,xw-oa .er. toiunoit Page 1 of 2 Oath of Personal Representative orreial use ady COMMONWEALTH OF PENNSYLVANIA } n} ss:~t~-`ot~-~a..03- COUNTY OF ~~yv~ ~y~ r' ~ o. v-.rY } Petiti oven(s) Printed Name Petitonet(s) Printed Address / To tke Register of Wi[Ja: Please enter my appearance by my signature below: The Petitioner(s) above-named sweat(s) or afftrm(s) the statements in the foregoing Petition are tme and correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Repcesentativa(s) ofthe t, thpe P`etiti~on~s)w_il~l wren and~troiy administerthe estate a~eording to law. Sworn to or affirmed subscribed bg, re ~1~1Ltt~1 ~-~a-~/~A fi~,z-~ Date z -/S -ZOj~' me this day //? Date By: Date For he egister Date BOND Regntred: ©YES ~ NO FEES: ///''///~~~ Let s ...................... $--~~ (~) ShoR Certificate(s)...... /~ ( ) Revunciatiov(s)........ . ( )Codicil(s) ............. ( )Affidavit(s)........... . Bond ........................ Commission... ..... -- ... .. Other ~ 1........ n ~ z~~ ........ 15 Au[omation Fee .............. . JCS Fee ..................... TOTAL ..................... $ 0.(b 7DS c Attorney Signature: Printed Name- Supreme Court ID Number: ~ C d ~' Firm Name: 2 0 • , --rtl- S- Address: ~ -n ~ r r ~ ~ ~'h_ ~~~ - T S n ~r ' 4o Gt ~'1 m I r z rrl [....~ TO rn rn - ~, y c~ Su _ dr :Yr c7 Phone: ,~ C7 n ~ ~ Fax: C c 'tt t.., Ematl: ~p F"'' ~' b ~ r rn F-.~ TI OF THE REGISTER Estate of a!kla: AND NOW, satisfactory proo presented before me, IT _ are hereby granted to the instrument(s) dated _ described in the Petition Ft1e No: ~ I -" ~ .~ f ~ q~ in con{iderption of the fptt:going Petition, in the above estate and and filed oftdc,6rfi as the/last yViil,Elfind CodiciS(s)) Form RW-02 rev. !n/11/2011 `~/J ~ ~/ ~~~ ~ ~~ ~~K2 Of 2 OATH Olt, NON-SUBSCRIBING WITNESS(ES) / REGISTER OF WILLS G'~m 6er la ti~ COUNTY, PENNSYLVANIA Estate of W V LSD ~~ Deceased ~0.~. a ~ , c 7u~~ e Y l c ~. and / D 1 ~ h ~~I ~ ~c~~~/G Y ~~ ,~., (each) being duly qu~-ahified according)to law, depose(s) and say(s) that she / he /they was /were well- acquainted with !~-! - a v~ ~l ~t~ t ~SO >u and am(are familiar with the handwriting and signature of the decedent, and that the signature of ~lC,n "u~-~ ~ ~ l S ~~ to the foregoing instrument plurporting to be the Last Will and TestamentJCodicil of i~-tr\ 3rd. ~~ ``~' D.y is in hislher own proper handwriting. ~~~~~~ ~~ (Sigri¢tureJ (Street Address) (C<ry. State, Zip) Executed in Register's Offtce Sworn to or affirmed and subscribed before }ne this ~ day for ~rn ~.-~~ ~ >, 0 0 ~. (Signature) (Street Address) a . ,. (. ~, o ~ ~ (City, Stnte, ,ip) ~ O t,,, `~ ~ _ a mx~ ~' a° ~zrn c'fii ~~ zV' x °° • O C'~O ~ ~ T~TI ~ n ~ ~ n O ~ ~ N t- TT1 r n ~ "'~ of Wills Fora, Rw-Oa rev r~.13.06 ~~~~ ~Z~ ~~~ C`~.e~~~~~x~~ I, RICHARD F. WILSON, a citizen of the United States of America and a resident of Greencastle, County of Putnam, in the State of Indiana, being over the age of twenty-one (21) years, of sound mind and disposing memory and in no way acting under duress or undue influence do hereby make, publish, and declare this instrument to be my Last Wi11 and Testament, hereby re- voking and annulling all other former Wills, Testaments, and Codicils thereto made by me heretofore at any time. ITEM I Personal Representative I hereby nominate and appoint Donald L. Sutherlen as exe- cutor of this my Last Will and Testament. If Donald L. Sutherl shall predecease me or for any reason shall fail to qualify as executor hereunder, then in such event, I nominate and appoint Martha D. Sutherlen as executor of this my Last will and Tes- tament. ITEM TI Settlement Costs A. I direct my executor to pay all of my just debts and funeral expenses, as well as the cost and expense of the ad- ministration of my estate, as soon after my death as shall be practicable and hereby give to my executor full power and authority to settle and pay all such claims. B. I direct my executor to pay all inheritance, transfer, succession, estate and other such taxes or assessments levied or assessed against my estate, against the beneficiaries under this Will or against any beneficiaries or surviving joint ten- ants of any property or interest which passes because ~.f my death out of my residuary estate. Said taxes s~dll noeao m charged against any particular beneficiary, inc3CU~ng i~su~ e beneficiaries, surviving co-owners and owners o~ ~~ pipe A s included in my estate for tax purposes. ~ n r r-~ m az~ cn ~,o ITEM I I I ~ u' " o ° Property ~ o ~ ~ ,~ ~° 4 C ,__, _` CDC A. If my wife survives me, I give, bequea~yh~ and'~evd~-sE~ to her all the rest, residue and remainder of mfg prope~y f4f whatsoever kind or character, whensoever acquired and w ere- soever located, in fee simple, outright and without condition. B. If my said wife does not survive me, I hereby give, bequeath and devise all my property, real, personal and mixed howsoever acquired and wheresoever situated, of which I may die seized or possessed, or to which I may be entitled, to Martha D. Sutherlen and Donald L. Sutherlen in equal shares. If Martha D. Sutherlen or Donald L. Sutherlen do not survive me, then I direct that all of my property pass to the survivor of the two. If Martha D. Sutherlen and Donald L. Sutherlen, both, do not survive me, but are survived by living issue, I give, devise and bequeath all my property to their living issue, per stirpes. ITEM IV Simultaneous Death If my wife and I die simultaneously or in such circumstance as to render it difficult or impossible to determine which of us predeceased the other, or in the event, my wife does not survive me by at least ninety (90) days, I direct that she shall be deemed not to have survived me and that this L9i11 shall take effect as though she had not survived me. ITEM V Definitions A. I am married to Lema Wilson, any references to my "wife", are to her and her alone. B. I have one daughter by my marriage to my wife; Martha D. (Wilson) Sutherlen Said daughter is married to Donald L. Sutherlen. As of this date, they have living issue, as follows: Lesley Lee Sutherlen, daughter; Nathan Ray Sutherlen, son; Aaron D. Sutherlen, son. IN WITNESS WHEREOF, I have suscribed my name to this my Last Will and Testament, consisting of two (2) typewritten pages, including this page, affixing my initials to each page for better i~d~e~nktification, and do hereunto set my hand and seal this ~ n" day of July, 1978. IFic ~ a~':~ilson This instrument, consisting of two (2) typewritten pages, was signed, published, and declared by the above-named Richard F. Wilson to be his Last Will and Testament, in our presence, who at his request and in our presence, and in the presence of each other have hereunto suscribed our names as witnesses on the date above written. 1V I T N E S S E S ~AIA!/S /~ /~O/1~~25 ~~"' of r.~L-~=kI~L~S~-/jc"~ .~~./~~lAn(c7 C /ST~c~- ~k.OfY~f~~ OF ~-~~c~~I/'Ni.Si-~= l rF ~lA~ t?- UNDER P~v ALTIES OF P RJURY, We, ~,,,~,~ .~~(:,,w~J , ~,~:~, ~~`" ~'l~-ixQS. ~. and ~1Gre©~~t - ~J~ ~t~,~ , t-he Testator an t e ides, respective, w ose names are signed to the attached or foregoing instrument declare: (1) That the Testator executed the instrument as his Last iVill and Testament; (2) That, in the presence of witnesses, he signed his signature; (3) That he executed the Will as his free and voluntary act for the purpose expressed in it; (4} That each of the witnesses, in the presence of the Testator and of each other, signed the 1Ni11 as Witnesses; (S) That the Testator was of sound mind; and (6) That to the best at the time eighteen (18) of the Armed Forces or of States, or its Allies. --_ 1 ~ f , ~ `~ ~ ~ Date L- '~--- of our knowledge the Testator was or more years of age, or was a member the Merchant Marines of the United ~/ ~~l'°'t,1,r,'