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PETITION FOR GRANT OF LETTERS
REGISTER OF WII,LS OF CUMBERLAND COUNTY,PENNSYLVANIA
Petitioner(s) named below, who is/are ]8 yeazs 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: Robert Allen Poole File No:
�wa: (Assigned by Register)
a/k/a:
y/k/a: Social Security No:
Date of Death: Age at death: 57
Decedent was domiciled at death in Cumberland County, Penn.sy�va„ia (Srare)wi[h his/her last
principal residence at 3815 Vine Street Camo Hill PA 17011
Street�ddren,Poet 011lce�nd Zip Code C1ty,Tow�oehip or Boroug6 Coonty
Decedent died a[ Holv Soirit Hosoital
Street�AAreu,Port Oflice and Zip CoAe City,Torvo�hip or BorougA Coanty Shte
8stimete of value of decedenPs property at deatL:
/jdanicUed in Pennaytvnnia....... . . . . . ............... . Atl ptreonel properry $
ljnot do/nictkd in Pennsylvonia. ............ ........... Personal properly in Pennrylvenia S
/f nat domkikd u�Pennsylvanio. .......... .. ........... Personal property in County S
Va/ue ojrea!esfate in Pennsylvonlo..... ................................................... . $
TOTAL ESTIMATED VALUE. ... $ 0.00
Real estete in Pennsylvanie siNeted at:
(Arcach additional shrecs,ijnecessary.) Street addre�0.port O(fice md Z1p Code City,Towm6ip or eomogh Coonty
� A. Petitioo for Probate and Grant of Letters Testamentarv
Pe4tioncr(s)aver(s)he/she/they is/are t6e F�eecuror(s)named in the last Will of tfie Decedent,dated February 22,2013 md Codicil(s)
thereto dated
n ened f j�j�yt;n_� -
State relev�nt circamrt�nm(ag.renrnc/allon,deofh oj�ecufor,efa)
Except as follows: after the execurion of the instrument(s)ofhred for probate Dxedent did not marty,was not divorced,was not e party to e prnding
divorce proceeding wherein the grouods for divorce had been established as defined in 23 Pa.C.S. §3323(g),and did not have a child bom m
adopted;end Decedent wes neit6tt tLe vicfim of a killing nor ever adjudicated en incapaciteted person.
Q NO EXCEPTIONS Q EXCEPTIONS
� B. Petition for Grant oT Letters of Administration (tf applicable)
c.t.a.,d.6.n.,d.b.n.c.t.a.,pendentelite,durwte absentla,dumnte minorlta�e
If Administration,c.t.a. or d.b.n.c.Ga.,enter date of Will in SecHon A above and complete Ifst of 6eirs.
Except as follows: Docedent wes not a party to a pending divorce pmceeding wherein the grounds for divorce had bern established as defined
in 23 Pa.C.S.§3323(g)end wes neither tLe victim of a killing nor ever edjudicated an incepacitated persou.
Q NO EXCEPTIONS Q EXCEPTIONS
Pedtioner(s),efter e proper search has/have ascerteined that Decedent left no W ill andwas survived by the following spouse(if eny)end 6eirs(at7acA
additionolsheets,ifnecessory):
Name Relatiane6i Addroes
FormRW-0I .�. roi�uzoi� Page 1 of2
�
Oath of Personal Representative orr��ei u:�o��y
COMMONWEALTHOFPENNSYLVANIA }
I } $S:
COUNTY OF L�AWI�Qf I QJl (� } �
Petitioner(s)Printed Name Petitioner(s)Pnnted Address
1..0. �r 1N 5 I vl 1 �`I 0�l
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the forogoing Petition are we and correct to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representetive(s)of the D dent,the Petitione )-will pw_ell and truly administer the estate accordipng to law.
Sworn to r affirmed and subscribed be£ore ��� � ��II-'�X Date 1 ' 1 ���
me t �� ay of � Dace
By: Date
For tke Register Date
BOND Required:�YES �l'QO Ta tAe Register ojWi([s:
FEES: Please enter my appearance by my aignature below:
Lertt1ers . . . . . . . . . . . . . . . . . . . . . . $ �V•�V Atromey Signature:
(oc. )Short Certificate(s).. . . . . �
( )Renunciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . . . .. .
� ( ) Affidavit(s).. . . . . . . .. . . .
Bond.. . . . . . . . . . . . . .. . . . . . . . . Printed Name:
Commission. . . . . . . . . . . . . . . . . . Suprcme Court
Other . . . . . . . . ID Number:
� � ��
Y . . . . . . --�iG� Firm Name:
�A�1 �� . . . .. . . . Address:
. . . . . . Phone:
Automation Fee. . . . . . . . . . . . . . . Fax:
]CS Fee. .. . . . .. . . . . .. . . . . . . . Email:
_ TOTAL. . . . . . . . . . . . . . . . . . . . . $�
DECREE OF THE REGISTER
Estate of ���1�� f-F ' I'�� ��� 1� File No: a� " (3' d�5�
a/k/a:
AND NOW, `'1 ''' � (t �(,Q.f L� ,�, in consideration of the foregoing Petitian,
satisfactory proof having been presented be ore me,IT IS DECREED that Letters
are hereby granted to L.Q.LLVQ �. �On f.
in the above estate and(if applicable)that
[he instrument(s)dated ebruaru 02� . .�/�.
described in the Petition be admitted t robate an filed of record as the last Will(and Codicil s))of Decedent.
egist�� l�Q{'
�_ � ,
Form R W-02 �ev. ioiniznn � Page of 2
Y`•�
_._....
��
�(
r ,
LAST WILL AND TESTAMENT OF
ROBERT ALLEN POOLE
I ROBERT ALLEN POOLE of 3815 Vine Street, Camp Hill, PA 17011, Pennsylvania,
being of sound and disposing mind, memory and understanding, do hereby make and declaze this as
my Last Will and Testament and revoke all wills and codicils heretofore made by me.
FIRST
I direct the payment of my debts and expenses of my last illness and funeral from my estate
as soon after my death as conveniently may be done. If there is no cemetery lot available for my
interment, owned by me at the time of my death, I authorize my personal representative to purchase
such cemetery lot with a contract for perpetual care (including grave marker), using therefore funds
from my estate in such amount as my personal representative shall consider necessary and
desirable.
SECOND
I give and bequeath to my son, Chance, my football cazd collection and all footba(1
memorabilia own by me at the time of my death.
THIRD
I give, devise and bequeath all the rest residue and remainder of my estate, real personal or
otherwise to my wife, Laura Marie Poole.
FOURTH
Finally, I nominate, constitute and appoint my wife, Laura Mazie Poole, to be Executrix of
fnis my Last Will and Testament.
FIFTH
I hereby relieve my personal representative from the necessity of posting security in
connection with her duties as such in any jurisdiction in which she may be called upon to act
insofaz as I am able by law to do so.
IN WITNES�HEREOF, I have hereunto set my hand and seal to this, my Last Will and
Testament, this� ay of �2-Ql� , 2012.
ROBERT ALLEN POOLE
�\
. . _
s ;
3ignad, sealad,published and declared by the above-named Testator, Robert Allen Poole, as
and for his Last Will and Testarnent, in the presence of us, who, at his request, in his sight and
presence, an ' sight and presence of each other, have hereunto subscribed our names as
witnes, .
� Address: ��� 11.�� /' �'l�ly1 � .
rtne <����/ c5/p(/� /�t��� 1
�����-{-� Address: 3�`i 1S Vlh� �`#' .
Witnass
Camplti 11 , PA 4�b� 1
COMMONWEALTH OF PENNSI'LVANIA .
. SS
COUNTY OF CUMBERLAND .
We, Robert.�111en Poo1e , �a�� �� ���4 , and
f�i( 1� � CZYeI l0 , the Testator and the Witnesses, respectively whase
names are signed to the attached or foregaing instniment, being first duly sworn,do hereby declaze
to the undersigned authority that the Testatar signed and executed the inshumant as his last will,
and that he signed willingly, and that he executed as his free and voluntary act for the purposes
therein expressed, and that eaoh of the waitnesses zn the presenoe and hearing of the Testator, signed
the Will as witnesses, and that to the best of their knowledge,the Testator was at the time eightaen
(18) years of age or older, of sound mind and under no canstraint ar undue influenoe.
�-'`".:�',� �.�.��-..--�
TESTAT �
WI
`�'�Q.,Q-�
wz+t�vESs
Sworn or affirrned to and acknawledged befora me,this ��y of � ,2012.
��t �1 .�tLtl
Notazy Public
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��s.���m Caunty
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M¢mpar,PennsMania ASSOd
2