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02-21-13
PETITION 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: Betty J. Belmont File No: -~ , - ~ ~ -- ~ ` l a~/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: ,January 13, 2013 Age at death: 91 Decedent was domiciled at death in Cumberland County, Pennsylvania (State) with his/her last principal residence at 325 Wesley Drive Mechanicsburg Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at Bethany Village Mechanicsburg Cumberland Pennsylvania 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 $ 10,000.00 If not domiciled in Pennsylvania ........................Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ 10.000 00 Real estate in Pennsylvania situated at: None (Attach additional sheets, ifnecessary.) 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 August 20, 2001 and Codicil(s) thereto dated State relevant circumstances (eg. renunctation, death of executor, etG) 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. Q NO EXCEPTIONS O 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. 0 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,(ifany) and heirs (attach additional sheets, if necessary): ~ ~, "~' :G ,~. ~ ~ rn -. Name Relationshi ~ • ess m Z`f=~c pca a ~ -n ~ w r --~ ~ a ~ ~ Form RW-02 rev. 10/11/2011 PagB 1 Of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } } SS: } Use Only Petitioner(s) Printed Name Petitioner(s) Printed ress Thomas W. Belmont 287 U er Baile Road, New ort, PA 170~~i~ Gt1MBERLAND GO., PA The Petitioner(s) above-named swear(s) or affirm(s) the statements ' the foregoing Petit' n ar true and t to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of nt, the Petitioner() ell and ly a 'nister the estate according to law. Sworn- to ox affirmed d subscribed before Date a ~ ~ l met day of , ~3 Date By' Date For the Regisder , Date BOND Required: Q YES Q NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters ...................... $ `~ (~ )Short Certificate(s)...... Q . (Sp ( ~ )Renunciation(s)......... ,~j . ~S(`' ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other .,.,,,, ~1.~J ....... 1 ~ Cab _l.L~ ~ ~G~k y~ ~~........ l ~ .c>~~ ....... Automation Fee .............. . JCS Fee . ................... . TOTAL ..................... $-~~G.~~7GZ Attorney Signature: Printed Name: Scott W. Morrison Supreme Court ID Number: 83943 Firm Name: Scott W. Morrison Address: _6 W . Main Str .Pr P_ n_ Rnx 2.32. New Bloomfield, PA 17068 Phone: (717)582-2300 Fax: (717) 582-4220 Email: smnrritnnlawC~cPnturylink nPt DECREE OF THE REGISTER Estate of Bettv _i. Belmont File No: r~ ~ ~- <<3 -- ~ ~ ~ a/k/a: AND NOW, U , in consideration of the foregoing Petition, satisfactory proof having been p ented before me, IT IS DECREED at Letters Testamentary are hereby granted to Thomas W. Belmont in the above estate and (if applicable) that the instrument(s) dated August 20, 2001 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of t3ecedent. Register Form RW-02 rev. 10/11/2011 Page 2 of 2 -~,,, ;, ~ ~: WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR FEE ~,, + TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH . COMMONWEALTH OF PENNSYLVANIA DEPARl'M£NT qF HEALTH VIT11L RECORDS `~~. ~~~~-. ~GISTRAR''S CERTIFICATIO~i;QF QEATh~ `,~ `~. ~~ ' ~aL~ H OF p~~ ~ ~ ) ~ ~~ ~ ~y/~ ~ ~~' ~ .: A i ~~`~~ .. v~:sy~*~ 6434444 f January 17, 2013 ~ti~~ --- ~I F oV . 1 , ra s~ -.~ ~~ ~~~~`~NT OF ~~~-~' IVam~ r:1ti :~~ - Betty J . ~~-~ Belmont Female _ Sex _ ____ _ . Middle ..: ;:~[ ~ ~~c~. _ _ 165. -, 38 - 1292 ; `_ , . _ - !Dafie of 11~_~~rt Januar y 13, 2013 [~~te ,t -'~;~M.,- Dec. 27, 1921 i~irtn~lace__ T~elleville PA FiacF~ rb,~ ~ ° : ;., Be than Villa e Y g Curnber3and Mechanicsburg- --- --- White Face county c ay a~»c 4h , ~ .. Nurse _ _ ,~ ._;; Armed For-ees7 f`~:~. ; ;, No i•~arii~ ° :.,~:. Wid - r ~~t's owed ~~ ~~ r~:daress-_ 325 Wesley Drive Mechanicsburg PA 17055 ----- - Nixzri~pr '_ 5t,eet Thomas Belmont Infarrt~~jr.~~ _ _. _______ Funeral Director Sa ly A. Myers dame Ott ; ; :.°, Funer.E::l David M. Myers ..Funeral Home Inc. , ~>4 N. 2nd St. ,Newport, PA 17074 Fart I ^ mow. ~,~ ~' ~ ''~: Ininition ^~ rn ...~ ,~ Advanced Dementia ~ X,~, ~ -mot __. _. _..____ N m M ~ __ _.._---- Q ©C~ C7~ ~ ` _ __ _ _____ Ej ~ rn ft sarino + Describe how injury rcr; ~r ~-~,. _ C~iatur<~' ~~ __ _ .._ . ; ~ --- ___ __ Narr~e .a~~ ,~ ' ~ _ Harnidevi- ~Crishnan _ _ ._ _--- M . D . ,` pt~dres. 3456 Tri;ndle Road, Camp Hill,' PA 17011 . ;- ~'~ '~ ~ ` ~ ' }+,~r.~?•p~ryation here given is,correct(y copied from a~ `~' 7° ~~ ~.acal Registrar. The'. original certificate viii , . ~7~G:-; _ t .. t>k,- I~ermanent; filing. . - 50-455 January -- Cal. Registrar. of /Ral Re<:prri: 17, 2013_ '101 Barnett St'., New Bloomfield, PA 17068 Street Address RENUNCIATION Estate of Betty J. Belmont No. also known as ,Deceased The undersigned, Richard C. Belmont son executor of (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters Testamentary be issued to Thomas W. Belmont Witness my hand this day of , 2013 . ~~ ~~ ~ yr ~~ ~~4 w~yna~u~ e~ RICHARD C. BELMONT 2436 Lane Fort Lauderdale FL 33312 -"~l~ NaSSa uL (Address) ~-~ Sworn to or affirmed and subscribed ~~ before me this day of /'i/ Not~P~b~ `' My Commission pires: ~ Z, 3 o~r b (Signature and seal of Notary or other ofriaal qualified to administer oaths. Show date of expiration of Notary's commission.) (Signature) (Address) (Signature) (Address) ~rn o rn -n ~ ~ °~ ~ m ~ rn ~ ~, cn ~a NICOLE MARIE SCIACCA ~ ~'' rn a ^~ ~ COMMISSION N EE861425 ~ c n ~ t-- o ~ D(PIRES DEC 30 2016 a ~„~ ~ ~ ~ „~,~ ,-~ fLd~A St7NDE0 TMQ01l6M ~ Q ~~ ~ "Y'1 RU N~UIWrKE OOMNANY Q C ~ : ~ ..~ --~ c,r~ r .. rn r- z,. O to ,~ co NOTE: Renunciations executed outside the OfFce of Register of Wills are required in some counties to be notarized. RW-3 C ~' ~ r.,_,~ ~;; "r :x7 ~ i'y1 C'~ m ~ t r'~1 G~ ~ ~ ~ t.., ~ ""'~ ~~~ ~~~ c~ '~ LAST WILL AND TESTAMENT OF ~ ~; '~ ;~ o ~ , . ~ BETTY J BELMONT ~ ~~ ~ -~ ~ ~; ~; . ~, IurNV A. Mowtow Attorney at law 217 S. Carlisle Street P.0. Box 250 New Bloomfield, PA 17068 I, Betty J. Belmont, of Bloomfield Borough, Perry County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as my Last Will and Testament, revoking all prior Wills, as follows: 1. I direct my hereinafter named Executors to pay my just debts, funeral expenses and costs of administration of my estate as soon as possible and convenient after my death. 2. I direct my hereafter named Executors to pay out of the corpus of my estate, all state inheritance taxes and federal estate taxes, if any be due, which may be assessed by reason of my death on property passing under this my Last Will and Testament, or on property passing to any person or persons by reason of joint ownership thereof, such as certificates of deposit, savings bonds, etc. to the intent and effect that no person shall be required to personally pay any Pennsylvania inheritance tax or federal tax thereon. 3. 1 give, devise and bequ~;ath all the rest, residue and remainder of my property, both personal and real, of whatever nature and wheresoever situate, to my husband, Frank A. Belmont, provided he survives me by thirty (30) days. 4. In the event my husband, Frank A. Belmont, should predecease me or die on or before the thirtieth (3 0th) day following my death, I give, devise and bequeath all the rest, residue and remainder of my ~~, ~ , estate, both real and personal, and of whatever nature and wheresoever situate, to my children, in equal shares. 5. I hereby nominate and appoint my sons, Thomas W. Belmont and Richard C. Belmont, or the survivor thereof, as Co-Executors of this my Last Will and Testament. 6. I direct that my Executors or their successors shall not be required to give bond or other security in any jurisdiction wherein proceedings may be held in connection with my estate. Nor shall any guardian of property or persons be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS HEREOF, I hereunto set my hand and seal this ~'Q ''~''t day of ( , 2001. (SEAL) Q~ itne }_ ~. v°: Witness KATHY A. MORROW Attorney at Law 217 S. Carlisls Street P.0. Box ?50 New Bloomfield, PA 17064 COMMOr1WEALTH OF PENNSYLVANIA COUNTY OF PERRY * * ss: * We, Betty J. Belmont, the testatrix in, and /~1-~-~y ,~}. /~o~P~Pvc,~ and /,,~c~Jt s 1~_ ~to~o~~ the witnesses to the Last Will and Testament, the attached or foregoing instrument, who have signed the instrument, having been duly qualified according to law do depose and say: (a) that I, the testatrix, do hereby acknowledge that I signed and executed the instrument as my last Will, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and (b) that we, the witnesses, were present and saw the testatrix sign and execute the instrument as her last will, that she willingly signed and 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 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. a KATHY A. MORROW Attorney at Law 217 S. Carlisle Street P.0. Box 250 New Bloomfield, PA 17068 itn s .~_- Witness Notary Publi My Commissi expires: ~TARlAL SEAL SJtPlpf#A KAY C/~PBEU, Notary public &san~leld Boro, Perry Coun Corrnnission Expires October Z6, 20p2