HomeMy WebLinkAbout06-10-13 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF 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 thzreof nver(s)the following and respectfully reques[(s) the grant of Letters ip the appropciate form:
Decede�nt's Information
Name: �r ('yT�P � . 1�OSS FileNo: l� ��.'�,
a/k�a: (Assigned by Register)
a7k/a: '
a/k/a: Social Security No: „�
Date of Death: _ rr�CV.�, � V c`3,C71� Age at death:_ � �
Decedent was domiciled at deatt�in �>L'�rY��r�0.r�c� County, �A (si�re�with his/her last
pri�cipal residence at `'�'i� I�. 1�G��ovr� 5�ree� �,LZ.r���5��'b��h tYl��n �.nm�ar�ClinC��
Slreet address,Post Office and Zip Code City, own�ar Borough � County
Decedent died at ":5U1 I� v . Ai0.r� t�1o�r�'r� t�in�nlber� nl� F'A
Street addrese,Post O(fice and Zip Code City, o ns i r BoroughYY�����Q `y� Coun�y Slate
Es[imate of value of decedenYs property a[dea[h:
IJdomici[ed in Pennsylvrtniq....... .. . ......... ...... ... AII personal property S
If no(daniciled in Pennsy(vania. .. .. ................ ... Personal properry in Pemisylvania $
/jnot Anmici(ed in Pennsy[vania. .... .......... ......... Personal properry in County $ ,,p�,,�
Va/ue of reaf estafe in Pennsyhnnia..................... . .. ....... ......... $ I�"'"
TOTAL ESTIMATED VALUE. ... $�OYID
Real esta[e in Penns}dvania simared at
(AUnch ndditionnl rheett,i('necessary) Streel address,Po:t Office and Zip Code City,Township or Borough Counly
� A. Petition for Probate and Grant of I.etters Testamentarv
Petivoner(s)ever(s)he/she/[hey is/a�e the Executor(s)named in tlie lest Will of[6e Deeedent,da[ed 1 ��FYV��Y 3C' , �C�odicil(s)
ihercro daced
i Stxte relevant circum:lances(eg.renuncintia4 death of exec�rtor,efe.)
Except as follows:aftec the execution of the instntmen[(s)ollered for probate Decedeut did not maRy,was noc divorced,was�ot n pariy to a pending
divorce pruceeding wherein[he grounds foY divorce had been es[ablished es defined in 23 Pa.C.S.§3327(g),and did not have a child born or
adop[ed;and Deceden[was nei[her the victim of a killing nor ever adjudica�ed an incapaci[a[ed person.
JghOF.XCEPTIOnS ❑EXCEPTIONS
❑ B. Petition for Grant of Letters of Administration pf applicable)
c.t.u.,d.b.n., d.b.n.c.t.a.,penden(e lite,durunte absentiu,durante minoritale
If Administration,c.t.a. or d.b.n.c.[.a.,enter date of R'itl in Section A above and complete list oS heirs.
Excep[as follovrs: Deceden[was not a parry to a pending divorce proceeding wherein Ihe grounds for dinorce had been established as defined
in 23 Pa.C.S. §3323(g)and was nei[her[he victim of a killing nor ever adjudicated an incapacita[ed person.
�NO EXCEPI'[OrS �EXCEPTIONS
Petitioner(s),after a proper scarch has/have ascertained tha[Decedent left no W i II and was siwived by the f�gv,�spouse(fF3fiy)a�et�i(ottach
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udditfonaf efieels, tjneressqry): �i -�-� C ='? ��,y
Name Relationshi ' s� t--+ �' `"'
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Oath of Personal Representative r^ �_ '°'a��'0�
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COM�tONWEALTH OF PENNSY[.VANIA ) a _ � Q �_
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COUNTY OF —y
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Pefitioner(s)Prinred Name Pe[itioner(s)RF� ted Address ' –.�
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The Petitioner(s)above-named swear(s)or affirm(s)[he s[atements in the foregoing Pe[i[ion are true and wrrect ro Ihe best of the Imowtedge and belief
of Petitioner(s)aod that,as Persoaal Rep[esentative(s)of the De edent,the,�7Petitioner(s)will well and tndy administer the estate according to law.
Sworn to or affirmed an subscribed befo e �' �/ �'1 ��t� Dace �, S / �
ine this t�'day of ,� ��— Da�e
BY Date
F Re�iste. Da[e
BONDRequired:❑YES �NO TolHeRegis�erojWills:
FEE$: Please en[er my appearance 6y my signa[ure helow:
1
Lettey.y.. . . . . .. $ ,� t � Atromey Signamre:
( (��) ShortCertificate(s). . . . . . '�'r`-�
( ) Ren�naiation(s).. . . .. . . . ��
( )Codicil(s). . . . . . . . . . . . .
( ) Affidavit(s). . . . . . . .. . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Prin[ed Name:
Commission. . . . . . . . . . . . . . . .. . Supreme Cour[
[h r ID Number:
,�. . . . . . . . t.c'(�
Firm Name:
� . . . . . . �" Address:
. . . . . . Phone:
Automation FeP. . . . . . . . . . . . . . . .cvT`� Fax:
1CS Fee. . . . . . . . . . . . . . . . .. . . . �a��y���iL� Email:
TO"CAL. . . .. . . . . . . . . . . . . . . . . $
DECREE OF THE REGISTER
Estate of_ File No: '����3 n�'7 ,
a/k/a:
/
AND NOW, � �[��, �Q ,�, in consid�.tatio of[he fore$oing Peti[ion,
satisfactory proof havi g been presented before me,IT IS Cl2EED�at Lette s , .� � q/7Jf'/7[(.�/"
are hereby granted to '
in the above estate and(if applicable) that
the instrument(s)dated /17 �
described in the Petition be admitted to probate and fi�led of record as the last Will (and Codici](s))of Deccdent.
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Register of Wills ' ' /
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LAST WILL AND TESTAMENT
I, BETTlE 1 ROSS, of West Branch Township, Potter County, Pennsylvania, being of a
sound and disposing mind and memory, do hereby declare this to be my Last Will and
Testament, hereby revoking all Wills by me heretofore made.
l.
lt is my will that all my just debts and funeral expenses be fully paid as soon after my
death as my executor deems advisable.
Il.
I �ive, devise, and bequeath all the rest, residue and remainder of my property, real and
personal or mixed and wheresoever located and all properly to which 1 may be entitled or which
I may have any power of disposition or appointment and whether acquired during or after my
lifetime to F[arold C. Ross, my husba�d, provided he survives me for a period of three (3)
calendar months atter my death.
Ill.
ln the event my husband predeceases me or dies within three (3) calendar months after
my death, then all the rest, residue and remainder of�my property sMall go aquably, one-half said�
residue shall go to Peggy Lou Ross Miller, my daughter, and one-half to J��anne K. Ross
Croumer, my daughter, and in the event either is not living, then her share shall go to her
children then living. Peggy Miller, my daughter, is to receive my blue willow dishes.
IV.
I hereby nominate, constitute and appoint my husband, Harold C. Ross, as the sole
executor of this my Last Will and Testament. In the event the said Harold C. Ross refuses or is
unable to act f'or any reason, I then hereby nominate, constitute and appoint Peggy Lou Ross
Miller as the sole executrix ofthis my Last Will and Testament.
IN WITNESS WHEREOF, I have hereunto affixed my hand and s�Yal this day of
����� _, 2003
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Bettie J. oss � .� � c� a
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��The fore oing instrument consisYing of two (2) pag,es was on thisa��� day of
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___ �' �'�, ��__ _ __ _ , 2003, subscribed to on Page 1 and at the end thereof by Bettie
J Ross, the above named 'I'estatrix, and by her signed, sealed and published and declared to be
her Last Will and Testament, in the presence ofus and each ofus who thereupon at her request,
in her presence and in the presence of each other, have hereunto subscribed our names as
attesting witnesses thereto. `
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Name Address
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Li,�lii 11 �,i.C� L '���1���I�C _____--
Name �� Address
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OATH OF SUBSCRIBING WITNESS� � `� ~ ; ..
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REGISTEROF WILLS " �. �� �, ��
Cumberland CO[INTY, PENNSYLVANf�d ° — "
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Estate of Bettie J Ross , Deceased
Linda A Koeppel , (each) a subscribing wifiess to
(Pnnt N¢me/sJ
the�Will ❑G�dicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that ��"he/they as were present and saw the above Testator estatr� sign the same
and that she he/they signed the same and that he he/they signed as a witness at the request of
the Testator/ estatr� in er his presence and in the presence of each other.
�� �-1�1�l` �! � �l� �r\�_ ^
(.Sfgna[urel ��� (SignatureJ
90-92 Main Street
(Street Address) (.Sneet AddressJ
Wellsboro, PA 16901
(C'iry.S�a�e Zipl (City,Smte.ZiP)
Executed in Register's Office Executed ou1 of Register's Office
Sworn to ar afficmed and subscribed Sworn to or affirmed and subscribed
before me this_ day before me this �� �� �` day
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of of , ,!�� i : _ :7;..��. -�
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�� � ��t� ` . ` f�i�'%t �'C ,La*�`a
Deputy for Register of Wills Notary Public} L'
My Commission Expires: ��1 � ' �-, "�C�'�5�
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(SignaWre and Seal ofNOtary or othor offf ial qualif�cd to
adminfstcruaths_ Showdetcofexpirationol'Notary'sCommissionJ
NOTIs' 'I�o be laken by Officer au[horfzed to administer oachs. Please have peesent the original or copy of ins[rumen[(s at time ofnotarization
COMMONWF�ITH OF PENNSYLVANIA
rvotarla�5ea�
ro.�nw-n3 .e,. m.�?.oe Unda 5.Maeensky,Notery Public
WHlsboro 8pro,Tloga Counry
My Commisslwi 6qihes Aprll 16,2015
MEMBER,PENNSYL ANiA ASSOQATION OF NOTARIES
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OATH OF SUBSCRIBING WITNESS(E��, -� � _,
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REGISTEROF WILLS �� ,.�; �—^ - �
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Cumberland COUNTY, PENNSYLVANIA,� �' o rn o
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Estate of �ettie J. Roff , Deceased
Susan M. Hunsberger , (each) a subscribing witness to
(Print Name/sJ
the�W ill �Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that shey he/they was were present and saw the above Testator/ estatri sign the same
and that she /he/they signed the same and that she' he/they signed as a witness at the request of
the Testator/ Testatr�' in her/his presence and in the presence of each other.
�(5'iyna(u� (SignalureJ
362 DeCoursey Road
(.Sfreet AdVres.v/ (.Street Address/
Liberty, PA 16930
((7N,Smfe.Zipl (City.Sm(e.ZiP)
Execuled in Register's Office )f"Executed out of Register's Offace
Swom to or aftinned and subscribed Sworn to or affirmed and subscribed
before me this_ day before me this_L9 day
of , of �I..ut1� _, �013 .
� d�ni oF reNNSV�ww�n K�-��xY� u.�u-Z)r�..r�l��.,
Deputy for Register of ills �Gnai seai Notary Pubhc
Kathryn Wes�eski.Notary Miblic
utenyeo.o,noqaeoumy My Commission F,xpires:
My eommission Expres)u1y 1x,2016 (Signuture a�d Seal of Notery or other offmful qualified to
MEMBER,PENNSYI,VAlIIA ASSOOATION OF NOTIAIES adminis[e[oaths. Show date nfezpiration uf Nolary's Commission.)
NO'I'F.�. To be rnken by O(ficer euthorized to admfnfster oaiha Please have present the onginal or copy of inshumenqs)at tfine of notarizatiort
l'ormRW-03 rev. l0]3Ah