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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:
Decedent's Information
Name: Roy C.Seibert,Jr. File No:
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 03/03/2013 Age at death: 68
Decedent was domiciled at death in Cumberland County,Pennsylvania (state)with his/her last
principal residence at_175 Hair Road Newville 17241 Penn Township Cumberland County
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 175 Hair Road Newville 17241 Penn Township Cumberland County 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 Pennsyl vania............................ All personal property $ 5,000.00
If not domiciled in Pennsy lvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsy lvania. ....................... Personal property in County $
Value of real estate in Pennsyl vania......................................................... $ 2(1,000.00
TOTAL ESTIMATED VALUE. ... $ 25.000.00
Real estate in Pennsylvania situated at: 175 Hair Road Newville PA 17241 Penn Township Cumberland County Pennsvlvania
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County
13 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 February 26,2013 and Codicil(s)
thereto dated n/a
State relevant circumstances(e.g.renunciation,death of executor,etc)
Except as follows:after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced,was norm 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 0 EXCEPTIONS
Q 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 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(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person.
0 NO EXCEPTIONS 0 EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the fo wing spouse aDny)Mtl 1 Ws(attach
additional sheets,if necessary): :a C>
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Name Relationship A n —{
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Form RW-02 rev. 10111/2011 Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA } f° �p M
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SS: C p Cat
COUNTY OF Cumberland
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Petitioner(s)Printed Name Petitioner(s)Printed Adtti`ew rn W
Linda L.Hosfelt 101 North Prince Street Apartment 317 Shipeenar 172V_
C-> c -mac Cl)
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 Petiti er(s)will well and truly administer the estate according to law.
Sworn to o affirmed a ubscribed before Date
me th' �d�iay of , Z Date
By: Date
o t e Register Date
BOND Required: 0 YES Q NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . .. . . . . . $ 60.00 Attorney Signature:
( 6 ) Short Certificate(s).. . . . . 30.00
( )Renunciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . . . . . .
( )AfEdavit(s).. . .. . . . . . . .
Bond.. . . . . . . . . . .. . . . . . . . . . . . Printed Name: an C.Wolf,Esquire
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other Will . . . . . . . . 15.00 ID Number: 87380
Inventory fee 6 . . . . . . . 15.00
Inheritance Tax Return . . . . . . . . 15.00 Firm Name: Wolf&Wolf,Attorneys at Law
. . . . . . . Address: 10 West High Street
• • • • • • • lisle,PA 17013-2922
. . . . . . Phone: 717-241-4436 - - - -
Automation Fee. .. . . . . .. . . . . . . 5.00 Fax: 717-2414437
JCS Fee. 23.50 Email: nathancwr.lf4emharamail_cnm
TOTAL. . . . . . . . . . . . . . . . . . . . . $ 163.50
DECREE OF THE REGISTER
Estate of Roy C.Seibert,Jr. File No: 21- /,3 W2
a/k/a:
AND NOW, ,in consideration of the foregoing Petition,
satisfactory proof havinj been presented before me,IT IS DECREED that Letters Testamentary
are hereby granted to Linda L.Hosfelt
in the above estate and(if applicable)that
the instrument(s)dated February 26,2013
described in the Petition be admitted to probate and filed of recor as a last Will(and Codicil(s))of Decedent.
Register of Wills �GL/
Form RW-02 rev.10/11/2011 g Of
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LAST WILL AND TESTAMENT
OF
ROY C. SEIBERT
I, ROY C. SEIBERT, of Cumberland County, Pennsylvania, declare this to be my
Last Will and Testament and hereby revoke all prior Wills and Codicils.
1. I direct that all my just debts, funeral expenses and administrative
expenses shall be paid from my estate as soon as practicable after my death. It is my
wish that upon my death, my body shall be buried in one of my three (3) lots, and the
choice of lot shall be made by my friend, Linda L. Hosfelt.
2. I direct that all real property and all personal property that I own at the
time of my death shall be given, devised, and bequeathed to my friend, Linda L. Hosfelt.
Any items that Linda does not want shall be sold, and the proceeds shall be given to my
friend, Linda L. Hosfelt, my son, William"Billy"E. Seibert,my daughter, Leonarda
"Nina" Stryker, and my son, Jeffrey A. Seibert, in equal shares.
3. I appoint my friend, Linda L. Hosfelt, as Executrix of this my Last Will
and Testament.
4. The Executor or Executrix of this Will shall have the power to distribute
my estate in cash or in kind, or partly in either.
5. I direct that no Executor or Executrix acting under this Will shall be
required to enter bond in any jurisdiction.
6. I recommend that my Personal Representative retain the law firm of Allied
Attorneys of Central Pennsylvania to probate my estate.
VL
IN WITNESS WHEREOF, I have hereunto set my hand this day
of , 2013.
ROY C. S IBERT
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Page 1 of 4
The preceding instrument consisting of this and three other pages was on the day and date
hereof signed,published and declared by ROY C. SEIBERT, as and for his Last Will and
Testament in the presence of us, who at his request, in his presence and in the presence of
each other have subscribed our names as witnesses hereto.
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Page 2 of 4
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ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
: SS
COUNTY OF CUMBERLAND
I,ROY C. SEIBERT,the TESTATOR,whose name is signed to the attached or
foregoing 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.
RM . S ERT
Sworn or affirmed and acknowledged before me by ROY C. SEIBERT,the
TESTATOR,this ro day of ,' , 2013.
otary Public A orney
COMMONWEALTH OF PENNSYLVANIA
t^ Notarial Seal
Adam Deluca,Notary Public
Carlisle Boro,Cumberland County
My Commission Expires Jan.26,2016
Page 3 of 4
J �
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
WE o oq A and 9
the witnesses whose names are attached to the foregoing document, being du y qualified
according to law, do depose and say that we were present and saw 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 subscribing
witness in the hearing and sight of the testator signed the Last Will and Testament as
witnesses and that to the best of our knowledge the testator was at the time 18 or more
years of age, of sound mind and under no constraint or undue influence.
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Sworn or affirmed and subscribed before me by
and this
�W day of Pie , 20
Notary Public/Attorney
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Adam Deluca,Notary Public
Cariisie soro,Cumberland County
My Commission Expires)an.26,2016
Page 4 of 4