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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 ! '5 15 0
Name: Lenin G.ROSS File No: 1
a/k/a: Leota H.ROSS (Assigned by Register)
a/k/a:
atk/a:
Date of Death: May 23,2013 Age at death: 89
Decedent was domiciled at death in Cumberland County, Pennsylvania (State)with his/her last
principal residence at 222 Messiah Circle 6-D:Mechanicsburg,PA 17055 `Upper Allen Township) Cumberland County
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at same as principal residence(the nursing Wing of Messiah village)
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedents property at death:
If domiciled in Pennsyl vania............................ All personal property $ 340,000.00
/f not domiciled in Pennsylvania. . ... Personal property in Pennsylvania $
7f not domiciled in Pennsylvania. ... Personal property in County $
Value of real estate in Pennsylvania......................................................... $
TOTAL ESTIMATED VALUE. ... $ 340.000 00
Real estate in Pennsylvania situated at: not applicable
(Attach additional sheets,if necessary) 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)helshehhey is/are the Executors)named in the last Will of the Decedent,dated March 16,2010 and Codicil(s)
thereto dated no Codicil;however, I st Executor(1.Ronald Ross)Tenunciates to 2nd Executor RicWrd A.Ross r"
State relevant circumstances(e.g.renunciation,death ofesecutor,era) X M n
co O
Except as follows:after the execution of the instrument(s)offered forprobateDecedentiid not marry,was notgce spas no'l5partfr nding
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g), d�dul nofhdvc a ciiil ; om or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS Q EXCEPTIONS
C� _G
B. Petition for Grant of Letters of Administration (if applicable)
c.t.a.,d.8.n.,d.fi.n.c.t.a.,pendente lire-durdtlte absen `6,durgMe/mhorimte
If Administration,c.t&or d.b.n.c ta.,enter date of Will in Section A above and complete list"eirsol
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.
Q NO EXCEPTIONS 0 EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survivedby the following spouse(ifany)and heirs(attach
additional sheets,iifnocessary):
Name Relationship Address
Form xw-02 rev.10111120)) Page 1 of 2
Oath of Personal Representative Official Use only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Richard A.Ross 2532 Arcona Road, PA 17055-6743
The Pedtioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and correct to the best ofthe knowledge and belief
of Potitioner(s)and that,as Personal Representative(s)of the Decedent,the Petitioner(s)will well and truly administer the estate according to law.
Sworn to r runed nd s scribed before— � j Q, ��� Date S—,2
me thi d o Date
Dam
n er Date
BOND Required: 0 YES Q NO To the Register of Wilts:
FEES: ® Please enter my appearance by my signature below:
Letters.. ..... ...... .... ..... $ Attorney Signature:
{ )Short.Certificate(s)....
..
( )Renunciation(s).. . .. . . . .
( )Codicil(s). . . . . . . .. . —
( )Affidavit(s)... .. ._.... .
Bond.... . ... . . . . ... . . . ..... . Printed Name:
Cummissi n. . .` . . . . . Supreme Court
Other _ ID Number: w
. . . ... . I Firm Name: _
. . . .. .. . Address: rei ?s=.
. . . . . . . . - Phone:
Automation Fee. .... .. . ....... Fax: r7T
ICS Fee. - Email:
.. .. .... . . . .. .... . ..
TOTAL. . . . . . . . . . . . . . . . . . . . $
DECREE OF THE REGISTER
Estate of Leota G.ROSS File No:
atkla:Leota H.ROSS
AND NOW,pW, ��� in consider t of the foregoing Petition,
satisfactory roof Navin been r ented before me IT IS CRE that tiers
are hereby granted to 5
in the above estate and(if applicable)that
the instruments)dated �
described in the Petition be admitted to probate nd filed of record as the ast Will(an dicil(s))of De c ede .
egister of Wills j
roan RW-02 rm 1011112011 11Page 2 of 2
WILL l3Q
OF
LEOTA G. ROSS C,
m o
c co 7
I, LEOTA G. ROSS, a/k/a LEOTA H. ROSS, currently i pp. r 'n T�o�ti ship,
Cumberland County, Pennsylvania, being of sound mind and dis
sin�meuorycLrea'lizing
the uncertainty of this life, but with confidence in God and trustcin iFSoff;�14 ty o d and
Savior, Jesus Christ, who died for my sins upon the cross ands°o e agairl�_t'o r&Mem me
and give me eternal life, do hereby make, publish and declare this to be mum as lI and
Testament, hereby revoking any and all prior Wills and Codicils made by e.
I. I direct that all my just debts and funeral expenses be paid from the assets of my
estate as soon as practicable after my demise.
IL I direct that all estate and inheritance taxes that may be assessed in consequence of
my death, shall be paid out of the principal of my general estate to the same effect as if said
taxes were expenses of administration and all property includable in my taxable estate
whether or not passing under this Will shall be free and clear thereof.
III. I intend to keep with this my Will a separate memorandum concerning disposition
of certain items of tangible personal property. I bequeath the items on said memorandum to
the persons designated.
IV. I bequeath the remainder of my tangible personal property unto my children, to be
divided among themselves as they agree upon.
V. All the rest, residue and remainder of my estate, of whatever nature and wherever
situate, including property over which I hold a power of appointment, I devise and bequeath
as follows:
A. Ten percent (10%) unto the Brethren in Christ Foundation,
Grantham, Pennsylvania, to be used for the charitable purposes I intend to
outline to it by way of separate instructions.
B. Ninety percent (90%) to be divided equally among my children,
namely, J. Ronald Ross, Richard Ross, William Ross, Catherine Rahter and
Timothy Ross, or their issue per stirpes.
Provided, however, the share of my daughter, Catherine, shall be
held in trust for her benefit by my hereinafter-named Trustee pursuant to the
terms and conditions set forth in Paragraph VI below.
VI. In the event that any assets of my estate pass into a trust fund for the benefit of my
daughter, Catherine, as set forth above, said assets shall be held pursuant to the following
specific terms and conditions:
A. The primary purpose of this Trust is to provide for the support,
maintenance, welfare and comfort of my daughter, Catherine, beyond what she
may receive from Governmental agencies. However, my Trustee may, in his
sole discretion, also make expenditures from it for the benefit of my other
children as he deems necessary and proper.
B. My Trustee may make a one-time distribution to my daughter,
Catherine, in the amount of One Thousand Dollars ($1,000). This provision is
to be exercised in his sole discretion and is not mandatory.
C. Any amounts distributed at the sole discretion of my Trustee to
or for Catherine's benefit may be used only to supplement but not supplant
any governmental benefits to which Catherine may be otherwise entitled. In
the event that any governmental agency, federal, state or local, would require
distribution of either income or principal on her behalf, or in the event that
government funds to which she would otherwise be entitled would be
terminated because of this Trust, or in the event this fund would preclude her
from receiving said government funds, this Trust shall immediately terminate
and be distributed pursuant to Subparagraph D below. The Federal
Government, Commonwealth of Pennsylvania and State of Ohio, and any
subdivision thereof, or their agencies and departments, are specifically
prohibited from taking any income or principal of this Trust.
D. Upon Catherine's death, any funds then remaining, both
principal and income, shall pass unto her issue per stirpes. If she is not
survived by any issue, the balance shall pass as though she had predeceased
me.
VII. In addition to such other powers and duties as may have been granted elsewhere
herein, my fiduciaries hereunder shall have the following powers and duties:
-2- L�
A. To invest any funds at any time held in trust, in any stocks,
bonds, notes, mutual fund shares, or other securities or properties, real or
personal, or in one or more common trust funds, or collective trust funds
established by the Trustee, or in securities issued by the Trustee,
notwithstanding that such investments may not be of the character allowed to
fiduciaries by statute or general rules of law, it being my intention to give him
the broadest investment powers possible, including the power to retain any
property which is placed in trust hereunder.
B. To retain or to lease, sell, exchange or otherwise dispose of any
property, real or personal, at any time held by him, for cash or upon credit, in
such manner and on such terms and conditions as he may deem best, and no
person dealing with him shall be bound to see to the application of any moneys
paid.
C. To borrow or loan money for any purpose in connection with
the administration of the property held by him upon such terms and with such
security as he may determine necessary.
D. To make any distribution hereunder in cash, in kind or partly in
cash and partly in kind.
E. In general, to exercise all powers in the management of property
hereunder which an individual could exercise in the management of similar
property owned in his own right upon such terms and conditions as he may
deem best, and to execute and deliver all instruments and to do all acts which
he may deem necessary or proper to carry out the purposes of the trust.
VIII. No interest of any beneficiary of my estate, either in income or principal, shall be
subject to anticipation or to pledge, assignment, sale or transfer in any manner, nor shall any
beneficiary have power in any manner to charge or encumber his interest, either in income or
principal, nor shall the interest of any beneficiary be liable or subject in any manner while in
the possession of my fiduciaries hereunder for the liability of such beneficiary, whether such
liability arises from his debts, contracts, torts or other engagements of any type.
IX. Any amounts which are payable to a beneficiary under this Will may, at the
discretion of my fiduciaries hereunder, be paid to the guardian of the person and/or property
of such beneficiary, to the person who has custody of such beneficiary, or directly to such
beneficiary, or may be applied for the use or benefit of such beneficiary. The receipt of such
guardian, custodian, or beneficiary or evidence of the application of such amounts, shall be a
full and complete discharge of my fiduciaries hereunder to the extent of such payment or
appli tion. This paragraph shall be applicable to payments of income as well as principal.
�-
-3-
X. I appoint my son, J. Ronald Ross, Executor of this my Will. In the event that he fails
to qualify or ceases to act as Executor, I appoint my son, Richard A. Ross, Executor of this
my Will.
XI. I appoint my son, J. Ronald Ross, as Trustee of any trusts created by this my Will. In
the event that he fails to qualify or ceases to act as Trustee, I appoint my son, Richard A.
Ross, as Trustee in his place.
XIL I direct that no bond be required of my fiduciary for the faithful performance of his
duties in any jurisdiction.
IN WITNESS WHEREOF, 1, LEOTA G. ROSS, herewith set my hand to this my
Last Will, typewritten on four (4) sheets of paper including the attestation clause and
signatures of witnesses, this I l" h day of '-tn0jX , 2010.E�v
XY *AL)
LEOTA G. ROSS
Signed by LEOTA G. ROSS, by her declared to be her Will in our presence, who
have hereunto subscribed our names as witnesses in her presence and at her request, this
of 1fbJr,,h 2010.
' • residing at o
residing at
-4-
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
WE, LEOTA G. ROSS, GERALD J. BRINSER and P)l C,+P',D /-1 , 603S
the testatrix and the witnesses, respectively, whose names are signed to the attached or
foregoing instrument, being first duly affirmed, do hereby declare to the undersigned
authority that the testatrix signed and executed the instrument as her Last Will and that she
signed willingly (or willingly directed another to sign for her), and that she executed it as her
free and voluntary act for the purposes therein expressed, and that each of the witnesses, in
the presence and hearing of the testatrix, signed the Will as witnesses and that to the best of
our knowledge the testatrix was at that time eighteen years of age or older, of sound mind
and under no constraint or undue influence.
L OTA G. ROSS
_
WITNE S�S� "
WITNESS
Subscribed, sworn or affirmed and acknowledged before me by LEOTA G. ROSS
the testatrix, GERALD J. BRINSER and P)l G-I"f) )} . BOSS witnesses, this l Cvci`�'
day of YnMC, t 2010.
SEAL)
Notary Public
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
LWE!NDY L.CRAWFORD,Notary Public
Palmyra Boro..Lebanon County
ExpbQsSgDtemher11,20131
-5-
RECORDED OFFICE OF
REGISTER OF WILLS
RENUNCIATIQ�T�rIflY 29 A(1 li '17
REGISTER OF WILLS CLERK OF
Cumberland COUNTY,PEW&%jQ&C RT
CUMBERLAND CO., PA
Estate of Leota G. ROSS, a/k/a Leota H. ROSS Deceased
1, J. Ronald ROSS in my capacity/relationship as
(Print Name)
(first named) EXECUTOR for the estate of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Richard A. ROSS (2nd named Executor)for the estate of L.G.Ross
9614 `?
(Dare) n,gntte)
7ur
� ls
(Street Address)
(Cary.state,zip)
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before e this day party executing this renunciation and certified
of that he or she executed the renunciation for the
purposes stated within on this day
of
epu o g' r of Wills Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev.10.13.06