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HomeMy WebLinkAbout02-28-13PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Petitioner(s) named below, who is/are I8 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: ARTHUR 6LENWOOD MARTIN File No: ~I ~ ~ ~ y a~~ a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 2/14/2013 Age at death• 90 Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State) with his/her last principal residence at 1100 GRANDON WAY 17050 HAMPDEN TOWNSHIP CUMBERLAND __ Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 1205 S • 28TH STREET 17111 HARRISBURG DAUPHIN PA Street address, Post Office and Zip Code City, Township or Borough County Slate Estimate of value of decedent's property at death: /f domiciled in Pennsylvania ................................All personal property If not domiciled in Pennsylvania .............................Personal property in Pennsylvania Ifnot domiciled in Pennsylvania .............................Personal property in County Value of real estate in Pennsylvania .................... . ......................................... Real estate in Pennsylvania situated at: (Attach additional sheets, if necessary.) $ 4,522.00 TOTAL ESTIMATED VALUE.... $ 4 , 522.00 ~[ree[ aaaress, Yost Oftce and Zip Code Ci[y, 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 5 / 1. ~/_~p g___ _ and Codicil(s) thereto dated _ _ ~ta[e relevant circumstances (e.g. renunciation, death ojexecutor, 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(8), and did not have a child bom 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) e.t.a., d.b.n., d.b.n.c.t.a., pendente life, durante absentia, durnnte minoritate If Administration, c. t. a. or d.b.n.c.t.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(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ^ NO EXCEPTIONS ^ 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 Relationship Address ~° ~ rnm n - w cr, cn as rn~~ - ....jc .a ~ n, r-- rv r,~ -- "~ ~ O O -- ~ ~-- --y` C7 'J ~. iflr~ Form R{1~-01 rev. 10/11/10/! ~ -1 f • • D N ~ ~ u>i Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } Official Use Only Petitioner(s) Printed Name t; ~u~~4 urr~~;~ ur ' Petitioner(s) P t+e55 '~ l'+l ~ ~S 43^ HOGESTOWN ROAD WILLIAM I• REYNOLDS MECHANICSBURG A 050 430 HOGESTOWN ROAD "~° MARJORIE A• REYNOLDS MECHANICSBURG ^ PA 17050 ORPHANS' CJURT CL'MB ., 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 truly adm is er the estate according to law. Sworn to affirmed a ~ubscrib before me thi^ da of ~ ~~- , ~~~ Date 'L ~) 3 gy. ~ Date e2013 Fir the Register Date Date BOND Required: ^ YES ^ NO FEES: Letters ....................... $ - 3 0.0 0 (1 )Short Certificates(s) ...... _ 5 •00 ( )Renunciation(s) .......... - ( )Codicil(s) .............. ( ) Affidavits} ............. _ Bond _ ......................... Commission .................... _ Other _ ......... 5 ~ Automation Fee ................. 5 • D D JCS Fee ....................... 2 3.5 0 TOTAL ......................$ ~~~- To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Fax: -- Email: DECREE OF THE REGISTER Estate of ARTHUR GLENWOOD MARTIN FileNo• ~~-~ '"~~{~ a/k/a: AND NOW, Cl~- b 2013 , in consideration of the foregoing Petition, satisfactory proof having been pres d before me, IT IS DECREED that Letters T E S T A M E N T A R Y - are hereby granted to WILLIAM I • REYNOLDS AND MARJORIE A • REYNOLDS, C 0 -EXECUTORS in the above estate and (if applicable) that the instrument(s) dated MAY 13, 2008 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent Register of Wills FormRW-02 rev. 10//!/ZOI/ ~r Page o 2 LOCAL REGISTRAR'S CERTIFICATION OF DEATIH 'WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate" $6.00 RECORDED OFFICE OF REGISTER OF t'~iL~S ?G13 FEB 28 Ffl 1 2 P 1917 9 ~ 5 2 CLERK or Certification Number ORPHANS. ~~~~~. rlentn I~ I I `I ~ E R I A I1I ~ IN L~1r14NV~I~OF PENNSVLVNNIA • DEPgRTMENt OF HEALTH • VITAL RECORDS ''^k v V m LH" "`~I CERTIFICATE OF DEATH _..-_. _...-.., ~ ~.. ~ u. ream lJ MarHed ^ No ^Unknown ^ pivorcetl ^ Never Marrietl ^ Unknown ^ Removal Iron Slate .. ^ Oonatbn decatlent INed within Ihnks Ighest degree or level of school completed at Me Hme o/death b r~ l g M t . r de or less ^ h ox that best de c bes whet her ecetlent ~ Ng Ul ^ poma,9th-13th grade Spanish/Nispinic/Latino. Check the "NO" ,.,3 Iy Hlgh schod graduate or GED COmpletetl bazydecedent li rrot Spanish/Hkpanl4latirw. (~N rwt B h ^ Some collele cretllt, but rm degree pinl /Hispank/Latino ^ Y ^ Assotlate degree (eg. AA, ASI es, Mevlcan, Mexkan American, Chkano ^ Bapnalw's degree (a.g. BA, AB Bsl ^ yes, Werto Rican , ^ Mas[eYS degree (e.g. MA, MS, MEry, MEd, MSW, MBA) ^ vaa, cgwn ^ Yes oth ^ Doctorate (e.g. PhD, EHDI w Professional tlHree , er Spansh/Hispank/Lannp .. MD DDS OVM LLB 1D ISpecllvl cot's 9ngk Rare Self-Designation -Check ONtY ONE to Indicate what the tlecedent consMered hi Whl[ l e ^IaDanese ^ Black or gt k A mse l ^r ^Samoan r an markan ^ Korean ^ Am d I ^ Other Pacific Islander e can ndian or Alaska Native ^ Metnamese ^ Asian Indian ^ Other Allan ^ Don't Krww/Not Sure ^ CM1lneu ^ Natve Hawaikn ^Flli ^ Re(uue ^ Ocher 5 IPecif ) plno ^Gua anion or Chamor y ra :MS 23a ~ t3d MUST gE COMPLETED 33a. Date Pronounced Dead (MO Day/Yr) 33b. Signature of Person Pro OERSON WNO PRONOUNCES OR working life. Il0 NOT USE RETIRED. CAUSE OF DEATH ~~ ~ ~~ " r`a No 36. Part I. Enter the Sha_ In of _y.--0iseases, Inlurks, or comPlkatlons--that directl Approximate res i p ratory arrest, or ventricukr Rbnllat O anC rterminal events such as cartllacartest Interval: bn without showing Me etiology, DO NOT ABBREVIA ' D o IMMEDIATE CAUSE ----.-..--_.-a a p TE Enk i n F~hILUKE T~ TNRIV~ ty na ease one Ina. Aad aaeHmnal nnatdnacassa,y DnsatmDaaM ; _ (Final diseau or conditlo^ resulting In death) Due [p (o as a consequence of): b. _ Sepuentialty list conditions , it env, leading to the cause as a co Due tp for nuquence ofi: listed on line a. Enter the _ UNDFRIyING UUSE Itlisease or Injury that _ Due to (pr asatonseggenre of): -- .___ Inltk[ed the events resulting e_ m death) LAST. Due to for u a consequence oR. - 3B nFamaie. ^ Not we 3D. Db Tobacco we ConlHbute [o DeaMP gmm wtenb put rear ,o was ma reuse or dean] 33 Manner o/ D h ^ ye$ ^ N^ ^ Pregnant at time of OeaM ^ Yes ^ Probably . eat Natural ^ Nomi b ^ Not pregnant, but pregnant within /3 days of deaM ^ N° ~ Unknown c e ^ Accident ^ Pendlr Inv ti O Un4~Wg n' n tfe utpregnant a3 days tolyearbetore death 32 Oate of l p es gation ^SUiclde ^Cwbnot be determl d r f P . njury(MO/Day/Yr7 (Spell MOnthl gnam wrtbn the wilt year rw la Plare of Injury (erg, home; consiroctlon site; farm; schoo8 33. Time p(Inlury 35. Location of Injury (Street and Number, City, State, Zlp Codel 6. ~nlury at Work 3]. II iransportatbn Injury, Specify: 38. Describe How Injury Occurrctl: O Nos ^ Driver/Operator ^ Pedestrian ^ Pa anger ^ Other (BPecIN1 9a. CerUNer )Check only one): f$ Certifying phVSklan - io the best of mY knawletlge, deaM occorrM due to the cauu(sl aM ^Pro manner stated rroumingBCertdying ph Ian-TO the best of my knowledge, deaM occurred at the time ^ Metliral E dat b , zam e, antl er/Coroner JO ~ t asl In m I ' Wace, and due to the cauu(sl and manner stated aminatbn, and/or InvestkaHOn y o mo d h ~ , p o, eat occurred at Me Hme, da Signature of rertlfie.. te, and pace, and due to the cauu(s) tlmanner stated Title o/ certifier:~~ Ib Name, Adtlre grid 21p Code of Person Com liceme Number:a+1L (/ ~e_{~ ~ j~~ NI i R S T ~l ~~E~Rar S' e 3~ J N l~r/ RO/~ i. Registrar's Dishkt Number "Y R S ;pi C ! 13 °ayn.l U ~ } air geglatraY Sgnature " - `(( A I + h ~ ~ ~' a3. Reg1 n Ile Date IMO Day rl s Amenemems 7 ^ I1~ ~a13 This is to rertifv that time informatio)~ hea'e given is correctly copied from an original Certificate of Death duly filed with me a~. Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. -_~~~~z ~~1,_s~~_ I,acal Registrar Date Issued adant ponsbercd bmaau o nertdf trn y~. to enemata wnat r(da~[ ~, """` ^ Korean BIacY Or AMcan Amercan ^Vletnamese American Indkn or Alaska Native ^ Other Allan Allan Indkn ^ Native Mawallan Chinese ^ Guamanian or Chamgrra Filipino ^ Samoan Japanese ^ Other Pacific ldantler Other (5P<ciNl Disoosrtign Permit Nn. l ITl I ~'~.~~ ~ Ntas-tai RECORpc"D OF~'IC1' OF LAST WILL AND TESTAMENT RE6~STtR OF E;~1LLS BE IT REMEMBERED THAT ~ ~'13 ~E$ 2$ ~~'~ 1 ~S I, ARTHUR G. MARTIN, a resident of Cumberland County©~~C~~v,ia~ being of cud~ 0~lRT sound and disposing mind, memory and understanding do make, pubs"shg~r~ti~C~ax~~tl~i~'~ be my LAST WILL and TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. I I declare that I am not married, my beloved wife, KATHERINE MARTIN, having predeceased me, and that I have no children. II I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. III I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the expense of the administration of my estate. IV All the rest, residue and remainder of my property, whether real or personal, wherever situate, including any property over which I may have power of appointment, is to be distributed as follows: A. To my church, CHRISTIAN LIFE ASSEMBLY, 2645 Lisburn Road, Camp Hill, Pennsylvania, I leave Fifteen Percent (15%) of my residual estate to be placed in the general fund and used as the board determines is in the best interest of the church; B. To LOYALTON RETIREMENT HOME, 1100 Grandon Way, Mechanicsburg, Pennsylvania, I leave Fifteen Percent (15%) of my residual estate to be used as they deem most appropriate for the benefit of the Home; and C. The balance of my residual estate, I leave to my nephew, WILLIAM I. REYNOLDS. D. In the event that my nephew, WILLIAM I. REYNOLDS, predeceases me, I leave the balance of my residual estate to his wife, MARJORIE A. REYNOLDS. V I nominate, constitute and appoint my nephew, WILLIAM I. REYNOLDS, and his wife, MARJORIE A. REYNOLDS, as co-Executors of this LAST WILL, to serve without bond. If either of them is unable or unwilling to serve in this capacity, then the other may act alone, to serve without bond. IN WITNESS WHEREOF, I, ARTHUR G. MARTIN, have set my hand and seal to this LAST WILL AND TESTAMENT this ~ ?J~hday of I - tG 2008. ~~rz~~ ARTHUR G. MARTIN On this ~3~day of 2008, Arthur G. Martin declared to us, the undersigned, that the foregoing ins ment was his Last Will, and he requested us to act as witnesses to the same and to his signature thereon. He thereupon signed said Will in our presence, we being present at the same time. We now, at his request, in his presence, and in the presence of each of us, hereby subscribe our names as witnesses thereto and have placed our initials at the bottom of each of the preceding pages. By so doing, each of us declares that he or she believes this testator to be of sound mind and memory. ~<<% ~~> c ~rt r ~, ,i residing at r~~a~ ,~t'-~-~ ~ma- ,. ~% _ residing at ~0~1 /7~., ~PCI?<<:z <<.5~~~ .~ ~l.~I /moo s z~ ~.5/ /~t~~°tc-i Fr-l.eil ~1, ~Q r ~ ~ Y~- o nD ~ I %c~ i/ ~~~ 2 ~~~ R~~,~ AGM COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND I, Arthur G. Martin, testator, whose name is subscribed to the attached foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed such instrument as my Last Will, and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me, by Arthur G. Martin, the testator, this /~ day of 2008. ~~~,,,1`'.' i ~~ ~ Arthur G. Martin ~' ~ ~~ ~a-R-~ COMMONWEALTH OF PENNSYLVANIA tary Public Notarial seal KeNy L. TrotAman, Notary pudic Camp HMI f3oro, Cumberland Cotrrty My Commission Expires June 14, 2008 COMMONWEALTH OF PENNSYLV~ Pennsylvania Association of Notaries SS. COUNTY OF CUMBERLAND We, ~t~(~ ~ • C.~>1 y~r),/ ~~sc~r ~ ~ ~1' ash rn« r, the witnesses whose names are signed to the attached foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Arthur G. Martin, the testator, sign and execute such instrument as his Last Will; that such testator signed such instrument willingly and executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of such testator signed such Last Will as witnesses thereto; and that to the best of our knowledge, such testator was at that time 18 or more years of age, of sound mind and under no constraints or undue influence. Sworn or affi ed to and subscribed before me by ~rG~ (,p C~ In /~ U ~ and ~'~`K-~' ~~ ish•~=~ri _, witnesses, this/3~`day of , 2008. WITNESSES: i ~~ ~ ~ ~ ~~ i ~~~ /~ ( Notary Public COMMONWEALTH OF PENNSYLVANIA Notarial Seal KeAy L. Troutrnan, NWary Pt~Yc ~~,f // Camp HiA Boro, Cumberland r'~ My Commission Expires June 14~2~06 ~ '~ `' -~~~~' Member, Pennsylvania Association Of Notaries AGM