HomeMy WebLinkAbout02-19-13PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF C ~ f~g a COUNTY, PENNSYLVANIA
Petitioner(s) named below. who isiare 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: --.Yi ("~~
a/Wa: ~ ~^ •axz
a/k/a:
a/k/a:
Date of Death: {~j p,, ,,,,, o rte? j> ~ 2
Decedent was domiciled at death in
principal residence at yam,",
County,
with his/her last
Street address, Post Ofilce and Zip bade I City, Townihip err Borough ~ Coanty
Decedent died at Ste`, ~• . ~ N~ ,,, ~ ~-~„1 ('~,~~~ ti \ \ C,,, ~„o ~~r ~~
Street addrc ,Post tlce and Zip Code -~- Ci~y,-Townshi or Borong6 County Shte
Estimate of value of decedent's property at death:
/jdomiclled in Pennsy!vania ............................ All personal property S ~ ~ t O O["1
Ijnot damfciled in Pennsy!vania ........................ Personal property in Pennsylvania S
If not domiciled in Pennsy!vania ........................ Personal property in County S
Value ojreal mate in Pennsy!vania ......................................................... S
TQTAL ESTIMATED VALUE.... S / e=~ r~3
a , \ .,. .
Real estate in Pennsylvania situated at: >`
(Attach additional sheen, ijneassary) Street address, Post O ce and
a~-~3 -ate
File No:
(Assigned by Register)
Social Security No: ~~19,- ~(e -~ 7 a 1
Age at death: („ '~
Clty, Towashlp
A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) he/she/they isiare the Executor(s) named in the last W ill of the Decedrnt, dated and Codicil(s)
thereto dated
Slate relevant circumstances (eg. renunciation, death of exactor, etc)
Except as follows: aftertheexecutionoftheinswment(s)offeredforprobateDecedentdidnotmany, wasnotdivorced,wasnotapartytoapending
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 boot or
adopted; and Decedrnt 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.a., d.b.n., d.b.n.c.ta., pendenteli
If Administration, c.t.a. ordb.n.c.ta., enter date of Will in Section Aabove and
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for
in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated pa
^NO EXCEPTIONS ^ EXCEPTIONS
~edlst o~irs.~ c
~a~en tttAblishe~prnts~fined
7C q G
n ~ ~ 's7 "rT
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survivedbythe follaivi~spouse (ifispy) and~'iir~ttuch
additional sheets, ifnecesaury): -n -{ t--
Relationah
... -
a
a
Farm Rw-oz rev. /a/t 1/zoll Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
\\ } ss: ~a-3L ~ X3,5"
COUNTY OF ~ w.4~~v-~ar~Cl., }
Official Use Only
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 Petitioner(s) will well and truly administer the estate acco ing t law.
Sworn to or affirmed subscribed before On ~ ~~g„~- Date `oZ
day o ~ d ~ ~ Date
y; Date
or the Register Date
BOND Required: Q YES (,~NO
FEES:
Letters .................... .. $ D~
(~) Short Certificate(s).... .. 1
( )Renunciation(s)....... . .
( )Codicil(s) ........... . .
( )Affidavit(s).......... . .
Bond ...................... ..
Commissio ................
Other ....
.. ..
..
n.. .. 1
Automation Fee .............. .
JCS Fee . .................... /~y~,~ a
TOTAL ..................... $~6Y+b-'~~'
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature: r.ti
n
co c.,
w
mm
~ ~ ~ O
at r
rrn
r
Printed Name: Ri rrt tri
Supreme Court ?_ R
~
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ID Number: n T7
acs =~='
Firm Name: ~t7 1"V r-- n
-
Address: "b r"' ~
o '*i
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate of 1 ~l t (l0. ~ , ~SS File No• ~, ~ - ~ ~ - Cla/ ~Q
a/k/a: /
AND NOW, / , ~~~`3 , in considera 'on of th foregoing Petition,
~-
satisfactory proof having been present fore me, IT IS DECREE that Letters / t°
are he y granted to ~.f,~'~ ~ . S
/~ , , in the above estate and (tf applicable) that
the instrument(s) dated
described in the Petition be admitted to probate d filed of record as the last 13/ill (and Co ' yl'(s)) of
Wills ~ `tom,/~ /~
Form RW-01 rev. /0/11/20/1 " Page 2 of 2
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 18861811
Certification Number
-~v
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Lcx:al Registrar. The original
certificate will be forwazded to the State Vital
Records Office for permanent filing.
r
csf,~,~_~ 1~~~i~~
Local Registrar Date Issued
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LAST IA~ILL AND T~ST~M~NT
O~
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NIN~c fi. ~H~SS ~ m
o
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I, NINA G. HESS, of Mechanicsburg, Cumberland County, Penns~~~ bem,~g ~'°
oS o
~
c>~,
"~
sound and disposing mind, memory, and understanding, do hereby make, ~l~sh, aty~decr~ `~
~ r
if
this to be my Last Will and Testament and hereby revoke all other Wills a$r9 Codicils-+ any,
that I have made.
FIRST: It is my wish, and I direct, that after my death, any part of my body may
be used to replace diseased or worn out parts of other humans or to rehabilitate human parts or
organs. Any part of my body which can be preserved for subsequent restorative purposes in
living humans may be stored for this purpose. I further direct that the remainder of my body be
cremated and that a suitable disposition of my ashes be made.
SECOND: I give and bequeath the sum of Five Hundred ($500) Dollars to the
HUMANE SOCIETY OF THE WEST SHORE, Mechanicsburg, Pennsylvania.
THIRD: I give and bequeath the sum of One Thousand Five Hundred ($1,500)
Dollars to ST. PETER LUTHERAN CHURCH, Mechanicsburg, Pennsylvania.
FOURTH: I give and bequeath all of my jewelry to my daughter, JANNA LEIGH
RICE, of Baltimore, Maryland, so long as she shall survive me by thirty (30) days.
FIFTH: I give, devise, and bequeath all the rest, residue, and remainder of my
Estate, of whatever nature and wherever situate, to my beloved husband, MERL C. HESS, so
' ~~~///~~` long as he shall survive me by thirty (30) days.
SIXTH: In the event my husband fails to survive me by thirty (30) days, or
should he for any reason fail to take under this, my Last Will and Testament, I give, devise,
and bequeath all the rest, residue, and remainder of my Estate, of whatever nature and
wherever situate, to my daughter, JANNA LEIGH RICE, so long as she shall survive me by
thirty (30) days. If my daughter fails to survive me by thirty (30) days, but is represented by
children then living, these children shall take, der stirpes, the share to which my daughter
would have been entitled if then living.
SEVENTH: In the event that neither my daughter nor any of my grandchildren
survive me by thirty (30) days, then I give, devise, and bequeath all the rest, residue, and
remainder of my Estate, of whatever nature and wherever situate, in equal shares to: my
sister, DANA FURST, of Camp Hill, Pennsylvania; and my husband's sister, VIRGINIA
FLESHMAN of Mechanicsburg, Pennsylvania.
EIGHTH: All interests of any beneficiary in the income or principal of this Estate,
while undistributed and in the possession of my Executor/Executrix, even though vested and
distributable, shall not be subject to attachment, execution or sequestration for any debt,
contract, obligation or liability of any beneficiary and, furthermore, shall not be subject to
pledge, assignment, conveyance, or anticipation.
NINTH: All inheritance, estate, and succession taxes (including interest and any
penalties thereon) payable by reason of my death shall be paid out of and be charged generally
against the principal of my residuary estate without reimbursement from any person.
TENTH: I nominate, constitute, and appoint my husband, MERL C. HESS, as
Executor of this, my Last Will and Testament. In the event of the renunciation, death,
,
resignation, or inability of my husband to act for whatever reason in this capacity, then I
nominate, constitute, and appoint my daughter, JANNA LEIGH RICE, as Executrix of this,
my Last Will and Testament. I direct that no representative named above shall be required to
post security for the faithful performance of his/her duties in any jurisdiction insofar as I am
able by law to relieve himlher of such obligation. Any of my representatives shall be entitled
to reasonable compensation for the performance of the duties set forth here.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this Ste'` day of
OC#o b ~e-r , 1998, on this, the third of three typewritten pages. I have also signed the
left-hand margin of the first two of these pages for purposes of identification only.
NINA ESS
SIGNED, PUBLISHED, and DECLARED by the Testatrix, NINA G. HESS, as her
Last Will and Testament, in the presence of us, who at her request, in her presence, and in the
presence of each other, have hereunto subscribed our names as witnesses.
1,Qtaru~wlC- ~a~-
X14 Qu ewi J. ~.J t~R..
Vticc~~ c r-ure ~~- !?crS~'
d' 30~awn t"~~cla2 hlnr-~h
N~rrtSbura . ~~. 1 ~ r ~ ~
ACKNOWLEDGMENT
Commonwealth of Pennsylvania
County of Cumberland
I, NINA G. HESS, Testatrix, whose name is signed to the attached instrument, having
been duly qualified according to law, do hereby acknowledge that I signed and executed the
instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my
free and voluntary act for the purposes therein expressed.
NINA .HESS
Sworn or affirmed to and subscribed before me by NINA G. HESS, the Testatrix, this
h
day of ~ C~(''~ ~ , 1998.
tary Pu >c
Notarial Seal
Jennifer L. Garner, Notary Public
Camp Hill eoro, Cumberland County
My Commission Expires Aug. 27 2001
I ,
I ~ • ,
AFFIDAVIT
Commonwealth of Pennsylvania
County of Cumberland
We, Debra K. Wallet and (YV~.f~ ~.('){~" the witnesses whose names
are signed to the attached instrument, being duly qualified according to law, depose and say
that we were present and saw the Testatrix sign and execute the instrument as her Last Will
and Testament; that she executed it as her free and voluntary act for the purposes therein
expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses;
and that, to the best of our knowledge, the Testatrix was at that time 18 years of age or older,
of sound mind, and under no constraint or undue influence.
_~
Sworn or affirmed to and subscribed to before me by ~ o /~~,,"~^~~,l,~J(~) I C.-~ and
,witnesses, this ~ day of l '.C' ~Ci~ ~ , 1998.
tary Publi
W~fwrial Seal
Jennifet k. 3Met, Notary Public
Camp Hill edfi3, CUfnberland County
My Commission Eiip4t4S Aug. 27 2001