HomeMy WebLinkAbout05-30-13 _ _ _ __ _ �q mr
PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF C u m b e r 1 a n d COLJNTY, 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: Dorothv P •__ Douglas FileNo: �° 1Q�7
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 5/8/2 013 Age at death• 9 2
Decedent was domiciled at death in C u m b e r 1 a n d County, P A _ (State) with his/her lastl'
principalresidenceat 1184 Letchworth Rd 17011 Lower All n Townshio Cumberland '
Street address,Post Office and Zip Code City,Township or Borough County
Decedentdiedat 945 Duke Street 17042 Lebanon Lebanon PA
Street address,Post Office and Zip Code City,Township or Borough Caunty State
Estimate of value of decedent's property at death:
!f domici[ed in Pennsylvania................................All personal property $ 6�i��0 • ��
/fnot domiciled in Pennsy[vania.............................Personal property in Pennsylvania $
/jnot domici[ed in Pennsylvania.............................Personal property in County $ '
Value of rea!estate in Pennsy[vania.............................................................. $ 1+3 9 ��+0� • 0�
TOTAL ESTIMATED VALUE.... $ 19 9 i 1 O O . O O
RealestateinPennsylvaniasituatedat: 1184 Letchworth Rd 17011 ouer All n 'rownshia Cumberland
(Attach addiiional.rheers,i(nece.csary.) Street address,Post Offiee and Zip Code City,Township or Borough County
� A. Petition for Probate and Grant of Letters Testamentarv
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated 5/17/19 9 4 and Codicil(s)
thereto dated __
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 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 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([fapplicab�e)
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 comnlete 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.
❑ NO EXCEPTIONS ❑ EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the followi�spouse(if an}cj�d heirs(n�+ch
additionalsheets, ifnecessary): � � �, � �
-- —��-g7 � ,..
Name Relationship AtMdr r., --� �� -��
. � � `� O ,N"' Y
_ ,,� ,_.:
� ~ � _ � �
�� t-ti °•" ..,.,.
, _.Y�..i .
. __ `�"� ...r!
--- �� �. � �� r•�
—�
C� '%3
Form RW-02 rev. IO�I L'201! Page 1 Of'2
_ - — - _ __ _ _ �y.��._
_ . _
. _ _ .��.
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTYOF Cumberland }
Petitioner(s)Printed Name Petitioner(s)Prin[ed Address
945 E • Maple Street
John S • Dou las, Jr • Annville � 17 3
� ° —�-. y�� c;
C� ='� �"' Cy
Rl � �'j —c= i�y ::��
� � � tt1 �.T �'
� 1�-a . .., .._
— �,� . . ^� �..,
. r�� � . .._� -,..t ..
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition az ru and correct to thebesto�the know�te�d�e an�I�be6Eef
of Petitioner(s)and that,as Personal Representative(s)of the Decedent, e etit' er(s) ill ell nd truly dmini .t�estate according to law- ''`�
Sworn to aff,�rmed and ubscribed be�{ire/ ;� D�����C/��'�,J��
me thi u'd — ,� Date
By' Date _ '
t e Register Date '
BOND Required: ❑ YES � NO To the Register of Wills:
FEES: Please enter my appearance by my si ure elow: '
e0
Lett . . . . . . . . . . . . . . . . . . . . . . . $ __�� Attorney Signature:
( �hort Certificates(s) . . . . . . _� �O ��
( )Renunciation(s) . . . . . . . . . . ,
( )Codicil(s) . . . . . . . . . . . . . . ��
( )Affidavit(s). . . . . . . . . . . . .
Bond Printed Name: D d V 1 d H • S t e, E s q u i r e
Commission . . . . . . . . . . . . . . . . . . . . Supreme Court
Othe ID Number: 3 9 7 8 5 '
� _. . . . . . . . . �6
FirmName: StOn2 LaFaver & Shekletski
� Address: 414 Bridge Street '
�. . . . . . o P . 0 • Box E
-� � � � � � � ' New Cumberland PA 17D70
-' � � � � • • � � Phone: 717-774-7435 '
. . . . . . . . . F�: 717-774-3869
AutomationFee . . . . . . . . . . . . . . . . . '�a Ema;t: dstoneastonelaw• net
JCS Fee . . . . . . . . . . . . . . . . . . . . . . . � ,�
TOTAL . . . . . . . . . . . . . . . . . . . . . .$ . O
DECREE OF THE REGISTER
EstateofDorothv P • Douglas FileNo: ��-�'(�r /
a/k/a:
ti
AND NOW, ,�� , in consideration of the foregoing Petition,
satisfactory proof having been pres ed before me,IT IS DECREED that Letters T e s t a m e n t a r v
—_ are hereby granted to J o h n S • D o u g 1 a s, J r •
in the above estate and(if applicable)that
the instrument(s)dated 5/17/19 9 4
described in the Petition be admitted to probate and filed of record as the last Will(and odicil(s))of Decede .
�
Register of Wills ��
Form RW-01 rev.!(17G7011 �,'�
_ __ —_ _ I N
�
— _ —_ �y�,—__
._ __ _ _ _ _ .��.
.��\��
�'�
���� REV O�/2012
.. _. . _.. _.. __..
II ��� i
j ep\wille\douglas.dp\5-94 �
• + .
i
• i - '
I I'�3 � G': --�- �i� �s
i � ti� t_� �. ..
�� � r- C�.
LAST WILL AND TESTAMENT �'= '�� ��`� � `�
��. �-,, - "__ .
i OF , ... _, 'i�
.. r��.� ;��
DOROTHY P. DOUGLAS . r'`' `"" �"'
:.� `�t
I, DOROTHY P. DOUGLAS, of Lower Allen Township, Cumberland
County, Pennsylvania, declare this to be my last will and revoke any '
will previously made by me.
ITEM I: I devise and bequeath all of my estate of every nature
and wherever situate to my son, JOHN S. DOUGLAS, JR. Should my son,
JOHN S. DOUGLAS, JR. , fail to survive me, I devise and bequeath all O�
my estate, of every nature and wherever situate, in equal shares to
his issue, per stirpes.
ITEM II: I appoint my son, JOHN S. DOUGLAS, JR. , Executor of
this my last will.
� ITEM III: No fiduciary acting hereunder shall be required to po�t
.
bond or enter security for the faithful performance of his duties in
any jurisdiction.
IN WITNESS WBEREOF, I, DOROTHY P. DOUGLAS, have hereunto set my
hand and seal this ('�F� day of _ �� , 1994 .
/
>•_ . 't � �
, . .:
,.:
- '�-- DOROTH P. DOUGLAS
_ :�.�
>
. . — ; c.,
'.•_ :_�� `•_: _ c��
._ � ,y
� ; � J � �
�y �; �_ c� � ,,� Page 1 of 3
�
� �, � rm
� � � ° �
ca°. - c�
_
_ - - ;�... .
II ��� ,
;
�
, • ' ' - �
�
�
! SIC;NED, SEALED, PUSLISHED and DECLAR�D by DOROTHY P. DOUGLAS, the
I Testatrix above named, as and for her Last Will and Testament, and in
the presence of us, who at her request, in her presence and in the
presence of each other, have subscribed our names as witnesses.
, '
� Q � �
Wi ess Address
� � �
-�- C�r,2,Gu.,�.���7�
W t ss Address
%��
COMMONWEALTH OF PENNSYLVANIA:
:SS:
COUNTY OF CUMBERLAND .
I, DOROTHY P. DOUGLAS, the Testatrix whose name is signed to the'
attached or foregoing instrument, having been duly qualified accordir#g
to law do hereby acknowledge that I signed and executed this instru-
ment as my last will; that I signed it willingly and that I signed it
as my free and voluntary act for the purposes therein contained.
,�- �;,�' �
DORO Y P. DOUG S
Sworn to or affirmed to and acknowledged before me by DOROTHY P.
DOUGLAS, the Testatrix, this 1'�-�` day of �'l , 1994. '
Notary Public
Page 2 of 3 —
��J?�RSt�L SFriL
AC1O'�N1JPT�A!N(�CE !_. �;;.;i r, ::: '?="! p±19�I/�C
iVtt9 LV!'�l�Cf��Kiiv� i.'• ,,. ':;C�C'Lr11ii� �Ve
MY COMhiFSSi�� Ek�TftcS�li('�;�:il 13, 19�5
II .._ _..—. ._— _. ..
. . .. _. . . .. _ ._ .. ._ .. . . .nA�A ..' .
I � r �
�� �'.,.'�I • .
�
COMMONWEALTH OF PENNSYLVANIA :
:S5:
! COUNTY OF CUMBERLAND :
i
i
We, �„ ti,� �'�csrQ and r
I
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, depose and say th�'t
we were present and saw Testatrix sign and execute the instrument as '
her last will; that Testatrix signed willingly and that she 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 witnesses; that to the best of our knowledge, the Testatrix
was at that time eighteen or more years of age, of sound mind and
under no canstraint or undue influence.
Wi ness
��..��, _ �'. ���-�-�:j
Witness
Sworn to or affirmed to and acknowledged before me by
\ )r�r� s'iT�,�,� and ,
witnesses, this � day of , 1994 .
Notary Public
NOTARiAL Sf_AL
CQNST�kNCE i. YAt<LF. t;OiA�Y PUSR.TC
PJEW CU�4E��tLry�d1�, �'1A CL'�11?EP,1.Ai�1D C0.
Page 3 Of 3 MY COh1"�i�SI�JN EXPIRES A?RiL 13. 19�95