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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:
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Decedent's Information 2
Name: Earl F.Brou nan File No: �� _ J - ��
alida: (Assigned by Register)
alkla:
aWa: Social Security No:
Date of Death: April 15,2012 Age at death:67
Decedent was domiciled at death in Cumberland County,Pennsylvania (state)with his/her last
principal residence at 1132 Mountain Road.Upper Mifflin Township,Newburg.Cumberland
Street address,Post Orrice and Zip Code City,Township or Borough County
Decedent died at 1132 Mountain Road.Newburg.PA 17240 Cumberland PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedents property at death:
Ifdomiciled tit PennsyHania............................ All personal property $ Al da t GYJ
If not domieAed in Pernsytven{a. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsy1misla. ..... ............ ...... Personal property in County $
Maine Of rear estate in Peaaayivania...................... ......,........,.. $
TOTAL ESTIMATED VALUE.... $ x,00.00
Real estate in Pennsylvania situated at:
{Attach additional sheets,if necessary.} Street sddress,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 and Codicil(s)
thereto dated Jean L.BroMman died July 18,2012
State relevant circumstances icg.renu+rcleaon,death oferecume;eta)
Exceptas follows:after the execution ofthe instruments)offered forpmbate Decedent did not marry,was not divorced,was notaparty to upending
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.
0 NO EXCEPTIONS (_)EXCEPTIONS
(� B. Petition for Grant of Letters of Administration (If applicable)
c.l.a.,d.b.n.,db.n.c.ta.,pendente Cite,durance absentia,durante minoritate
If Administration,ata.or dbn.cta.,enter date of Will In Section A above and complete fist 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 0 EXCEPTIONS aB�-r«d7
Petitioner(s),aftera proper search hasNave ascertained that Decedent left no Will and was survived bythe foil owing o yani )a�reux�
additional sheets,if necessary): B,t
oc7 ens
Name Relationship Addresat— 2' m W
Tara Faulkner Daughter 2279 Benders Drive Cn o o
Bath.PA 18014 -n
o C=
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Farm RW-02 rev.1011112011 Page I of
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Oath of Personal Representative Official Use Only —
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND ) '
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Petitioners)Printed Name Petitioner(s)Printed Address
Tara Faulkner 2279 Benders Drive Bath PA 18014
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The Petitioners)above-named swear(s)or affirm(&)the a em is in the foregoi Petition are true and correct to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the dent,the Pen ner(s)wi `�it and truly administer the estate aac trig t( law.
Sworn to or affirmed subscri d e re _ ' - lX` Date ,
me ay o£ bate
$y: Date
21111tle Register Date
BOND Required: 0 YES � NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters— $�--� Attorney Signature:
( )Short Certificate(s).. . . . .
( )Renunciation(s).. ... . ... —
( )
Codicil(s). . . . .. . .. . ...
( }Affidavit(s)..... .......
Bond.. . . . . . . . . . .. . . . . . . .. .. . Printed Name: David H.Radcliff
Commissi n. I .. . . .. . Supreme Court
Other V . .. .. .. . ID Number: 25483
_f_� Firm Name: Cipriani&Werner,PC
Address: 1011 Mumma Road
.- Site 10l
Lemoyne,PA 17043
. . . . . . . Phone: (717)975-9600
Automation Fee. .. Fax: (717)975-3846 c.
JCS Fee. Email: dradrlif4cf aaav enm
TOTAL. ... . .. ... ...... .
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Form R W-02 rev.1011112011 Page 2 of 2
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Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANJ
} SS:
COUNTY OF }
Petitioner(s)Printed Name Petitioner(s)Printed Address
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the of t
tative{s) Forgoing Petition are true and correct to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Represenhe Decedent,tbE Petitioner(s)will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed before Date
me this_day of i Date
By: Date
For the Register Date
BOND Required: 0 YES Q NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . .. . . . ... .. . . S Attorney Signature:
{ )Short Certificate(s), .. . .
{ )Rermnciation(s).. . . . .. . .
( )Codicil(s). . . . . .. .... . .
{ )Affidavit(s)... . .. . .. . . .
Bond,. . . . . .. . . . . .. . ... ... . . Printed Name:
Commission. . . . . . . . .. . . . .. .. Supreme Court
Other . . . . . . . ID Number:
, ,.. . . Firm Name:
... . . . . . Address:
. . .. . . Phone:
Automation Fee. .. . . . . .. . . .. . . Fax:
JCS Fee. .. ... .. . . . . . ... . .. .. it.
TOTAL . . .. . .. . . . . . .. . . $ 0,00.
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DECREE OF THE REGISTER
Estate of File No:4:22 1 „
a/k/a:
AND NOW, Y _, OI ,in co sid ration of the foregoing Petition,
satisfactory proof had g been presented before me, IT IS DECREE that Letters to _�
are hereby granted J k..� r'— �
in the above estate and(if applicable)that
the instrument(s)dated
described in the Petition be admitted to probate and filed cord as he I st Will(and Co i il(s)}of Peredent.
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Faun RW-02 rev. !011112011 r^(��I Page 2 of 2
H105.
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LAST WILL AND TESTAMENT
1, Earl F. Brotzman, presently residing at 1132 Mountain Road, Newburg, Upper
Mifflin Township, Cumberland County, Pennsylvania 17240, being of sound mind, memory and
disposition, do hereby make, publish and declare this my Last Will and Testament, hereby
revoking and making void all Wills by me at any time heretofore made.
FIRST. I order and direct the payment of all my legally enforceable debts and
funeral expenses as soon as may be convenient after my decease.
SECOND. I give, devise and bequeath all my estate, real, personal and mixed,
whatsoever and wheresoever situate, to my beloved wife, Jean L. Brotzman, provided that she
survive me by a period of sixty (60)days.
THIRD. In the event that the said Jean L. Brotzman should predecease me or is not
living on the 60th day following my death, I then give, devise and bequeath all my estate, real,
personal and mixed,whatsoever and wheresoever situate as follows:
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A. I give and bequeath the full sum of Two Thousand ($2,000.00) Dollars to
Tammy Bower; and
B. I give, devise and bequeath all of the rest, residue, and remainder of my estate,
real, personal and mixed, whatsoever and wheresoever situate, to my daughter,
Tara Faulkner,absolutely.
In the further event that Tara Faulkner should predecease me or is not living on the
60th day following my death, I then give, devise and bequeath all my estate, real,
personal and mixed,whatsoever and wheresoever situate to Timothy Galloway.
FOURTH. I nominate, constitute and appoint my wife, Jean L. Brotzman, to be the
Executrix of this my Last Will and Testament. In the event that she be unable to fulfill the duties
of Executrix, I then nominate, constitute and appoint Tara Faulkner to be the Executrix of this
Lakf.JVill and Testament.
LLF _
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'LIETJI, I direct that my personal representative(s) shall not be required to give bond
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}f the-faithf ll per grmance of their duties in any jurisdiction.
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a `C _ (SEAL)
WEIGLE G ASSOCIATES, F.C. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG. PA 17257-1394
SIXTH. I hereby direct that all federal, state and other death taxes payable because
of my death, with respect to the property forming my gross estate for tax purposes, whether or not
passing under this Will, including any interest or penalty imposed in connection with such taxes,
shall be considered a part of the expense of administration of my estate and that such be paid out
of the rest and residue of my estate.
IN WITNESS WHEREOF, I, Earl F. Brotzman, have hereunto set my hand and seal to this
my Last Wild Testament, tt n two (2)pages,the first page signed for identification only,
this 4o day of , 2005.
(SEAL)
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WEIGLE & ASSOCIATES, P.C. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397
This instrument was by the Testator, on the date hereof, signed, published and declared by him to
be his Last Will and Testament, in our presence, who at his request and in the presence of each
other, we believing him to be of sound and disposing mind and memory, have hereunto subscribed
our names as witnesses.
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
I, Earl F. Brotzman, the person whose name is signed to the foregoing instrument, having been
duly qualified according to law, do hereby acknowledge that I signed and executed the instrument
as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the
purposes therein expressed.
Sworn or affirmed to and acknowledged before
me by Earl F. Brotzman, the Testator,
this ( day of G -f e 2005.
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WNW L,~JA,IWTARYR9W
nUMOMCC CUMOMMDOWR
MIS$i0h EXPIRES JULY 16 200@
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WEIGLE S ASSOCIATES, P.C. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397
II 1
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND 1 -�
We' l 4(cl�
and, C� (Z LC Liu the witnesses whose names are signed to the
foregoing instrument, being duly qualified according to law, do depose and say that we were
present and saw Earl F. Brotzman, the Testator, sign and execute the instrument as his Last Will;
that he signed willingly and that he executed it as his free and voluntary act for the purposes
therein expressed; that each of us in the hearing and sight of the Testator, signed the Will as
witnesses; and that to the best of our knowledge the Testator was at the time eighteen (18) or more
years of age and of sound mind and under no constraint or undue influence.
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Sworn or affirmed to and subscribed before me
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and �tnne
witnesses, this day of 2005.
AL
fACW1ADl,WILWR A,NVARYPUBLIO
�ryppg�pK1�'nC d4'b1EEA1M0)COUIIIY
WCWMIS&ON€P s@!}JULY 10 2000
WEIGLE & ASSOCIATES. P.C. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17251-1397