HomeMy WebLinkAbout08-16-13 _ _ i .
III
PETITION FOR GRANT OF LETTERS II
REGISTEROFWILLSOF CUm�JFr"I4� COUNTY,PENNSYLVANIA �i
Petitioner(s) named below, who is/are 18 yeazs of age or older, apply(ies) for Letters as specified below, and in I
support thereof aver(s)the following and respectfully request(s)the grant of Letters in the appropriate fortn:
DecedenYs Information (� r ��_12_��7�7f ►
Name: C I,�u� � � 1�+-�� File No: I J � �`��
a/k/a• � �2a t L (Assigned by Register)
a/k/a: `,
a/k/a; Social Security No: 6 3 ' Z'�7�
Date of Death: (o � l 3 Age at deya�th:
Decedent was domiciled at de in U rv� Gr 4n County, /'f (Srare)with his/her last
principal residence at ��(�� �.�1 � 'e � �.Oe�t� � tn f � rUm�iPr�4 �
Slrtet addre Poa O e and p Code City,Town�hip or Borough I� Coynty �/
Decedent died at �0 �g W����� e '� �� 4 8! i- ���2� � �U/✓1 y{/!k K�1
Street addreae,Pori Oftice and Zip Code City,Towmhip or BorougA County State
Estimate of value of decedenPs property at death: . \
lf domici(ed in Pmnsy/vunia............................ AII personal property $ �y V N}�
Ijnot domici[ed in Pennsylvonia. ....................... Personal property in Pennsylvania $
IjnofdomicGed in Pennsylvania. ....................... Personai property in County............ S
Vrtlue ajrea!estate in Pennsy(vania...................... ... ...... $�
Real estate in Pennsylvania situated at:
N �A TOTAL ESTIMATED VALUE. ... $���L 1 —
(Attoch odditiona!sheets,if neressory.) Street addrcu,Post ORce and Zip Code City,Towmhip or Boroug6 Counly
[�] A. Petition for Probate and Grant of Letters Testamentarv r3/2S /�t�
Petitiocer(s)aver(s)he/shdthey is/are the Executor(s)nemed in the last Will of the Decedent,dated and Codicil(s)
thereto de ed
yd��nr i - ��c r-vno�.,nc,r �r� �:n �
Stah ro vant circumstanen(e.g.renunciafion, eath of aecuror,eh.) �
Except as fol�ows:after the execution ofthe instrument(s)offerod for probate Decedrnt did nat marty,was not divorced,was not a party to apending
divorce pmeceding wherein the grounds fot 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 adjudicaced an incapacitated person.
�NOEXCEPTIONS ❑EXCEPTIONS
❑ B. Petition For Grant of Letters of Administratian (If applicable)
atu.,d.b.n., d.b.n.c.t.a.,pendente lite,durunte absentia,durante minorimte
If Administration,c.ta. or d.b.n.c.ta.,enter date ot Will in Section A above and complet�est ot�e�.
w
Except as follows: Decedent was not a party to a pending divorce proceeding wherein tfie ground��Orud'vorce ha�been�b�ed as defined
in 23 Pa.C.S. §3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitate�pe�n. e- �n O
00
❑NO EXCEPTIONS �EXCEPTIONS m � n � tT� �
n
Petitioner(s),afterapropersearchhas/haveascertainedthatDecedentleftnoWillandwassurvivedbyAf�Ro�gsp�e(ifa�i'y')�o fieirs(atmch
udditional sheets,ijnecessury): y � 7c � -rl
� �
Name Relstionehi nA rei� -- n
�' ° r o
� � O � T
a
Form RW-02 rev.lOql/201/ Page 1 of 2
. . Ofi'xialUseOn �
Oath af Persanal RegresentaHve �'
COMMONWEALTHOFPENNSYLVANIA } F �Cr� (}F
� ss: �EG4ftDED 0, F, , _
couNTYOF �U✓�'i�/�4�� ) REGIST� qF t'i'swl.S
Petitioner(s)Frintnd Name ..�� P 'on Pri es
J40 Qn -
ND GO.. PA
Tha Peritioner{s}abave-nanred swear{s)or affi[m(s)thc statements in the foregoing Perition are we and cortect to the best of the knawtedge and belief
of Petitiqner(s)and that,as Personal Raprosentative(s)of the Decedent,tUe Petitioner(s will well and tmly adminisrer the estate according to law.
Swom to or affirLned d snbscribed b f re —_��a'�k,.� Dace %//e•�:/�
me 's �day ,�� Date
$y Date
Forlhe Regisrer Bate
84NDRequired:QYES �NO TntkeRegisterojWil&:
FEES: Pleaee enter my sppearance by my atgnakure 6elow:
�
Letters . . . .. . . . . . . . . . . . . .� . . S^„�� Atrorney 3ignature:
(1� }Short Certificate{s},.._.. ��
( ) )Renunciation(s).. . . . . . . . S 1
( }COdtCti(B}. .... .. . . .... �� 1 "
( )Affldavit(s).. . . . . . . . . . . �"
Bond.. .. . ... . . . . .. .. .. ...... —"' Pri»tedName: li r' "��
Commission. . . . .. . . . . . . . . ... . �"~-- Supreme Court U �U�,..� /
�her �r�1 (��r ........ __„���_ ID Number: t k>
�LCS.�–.�_........ l�y r { �
i1'1VGr1C'i�it2A . . .. . . 1� Firm Name: 3 � ,.��
r— . ..... Addross: _ G` `✓;+' �
. . � �,,._,�,_,
.. '� Z
.... .. Phona: ( �'`� JSO y�tCb/+v
AutomationFee. . . . . . . . . . . . . . . 5 ^^ Fex: ^l 7�i `e2 I�,�� T
lCS Fee. . .. . . ..... . ......... =I 1 .h� Emait: T.����ia._ ���' ./i�
TOTAL. . .. . . . . . . . . . . . . . . . . . $ �
DECREE OF THE REGISTER
E�m�tir ,���a..bc�Th K1�e1 ����r�8; _ �ti-t3-�1�`-�
� a
�wa: �i 1�.�-c-r, � _ ,K��
AND NOW, ,�,in con�jderatian of the foregoing Petition,
satisfactory proo ving bce presented befora me,IT I DECREED that Letters��-�,l_`St'Q'f�
�" are hereby granted to-�! �1 Pn^' �.,y.Y�..�.Y'�._����
in the above estate and(if applicable}that
, the inszntment(s}dated � { 3 I
' dascribed in the Petidqn be admitted t probate and filed of ecord as tha last Will(and Codi il{s)x of I7eceden
� ��� ��
ltegister of Will� ��
Fonn RW01 .�. minnnti � Page 2 af 2
I
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LOCAL REGISTRAR'$ CERTIFICATION OF DEATH �I
WARNING: it is iilegai to dupiicate this copy by photostat or photograph. i
RECORDEp 0�'fICE OF
F'ee for this certificate. $6.00 �'e�I�.LL' „n����� This is to certif that the informaCion here iven is
RE�1$���� 0� �„'�tiP1tK 0E Pfy"�4 carrectly copied tiom aa ariginal Certificate �Death
�� �Q a'�r,p°'�� �'Pr''; duly fited with me as Local Registraz. Th original
(��3 ���. 1� ry� � i� certificate will be forwarded to tha St te Vital
° a$ Records Office far ermanent filin
� 29780568 cLE�� Q� `; ���r � g
' fl�PHANS� C013RT F"'99rMfNTOF��''�1� D ?.O/
Cenification Number ERLANR C4• �� '
CUMB ' ,,,,°,,,
Loc egistrar ate Is ued
TVP�/P�i�f in COMMONWEAI,TH OF VEIiNSYWANII�•OEOI.pTMENTOf MEALTN�VITAL R8CA1�05
°r'";;�w` GERTlFICATE CfF DEATH �,�P
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• ' I�
RECORDED OFfICE OF I
LAST WILL AND TESTA��'T�� OF bYILLS �'
oF '�ii3 J�l_ 16 P(� 10 03
CLERK 0�
ELIZABETH L. KLEFFE�RPNANS' COURT
GUMBERLAND CO., PA
I, ELIZABETH L. KLEFFEL, of Cumberland County and Commonwealth of Pennsylvania,
declaze this to be my last Will and Testament and hereby revoke all former Wills and Codicils.
ITEM I. I direct the payment out of my estate of the my legally collectible debts and expenses
of my last illness, funeral, and burial.
ITEM II. I give, devise, and bequeath all the rest, residue and remainder of my estate of
whatever nature and wherever located to my daughters, YVONNE L. HAZEN and JODY LEE K.
DIXON, in equal shares, per stirpes. That is, if a daughter does not survive me, I direct that her
shaze be given to her children, in equal shares.
ITEM III. In the event any of my grandchildren beneficiaries have not attained the age of
eighteen (18) years, I give such beneficiary's share to his or her father, In Trust, for his or her use
and benefit until he or she attains the age of eighteen (18).
ITEM N. I nominate, constitute and appoint my daughters, YVONNE L. HAZEN, and JODY
LEE K. DIXON, or the survivor of them, as my Co-Executrices. I further direct that no bond be
required by my Executrices.
IN WITN SS WHEREOF, I have hereunto put my hand and seal this oC � day of
2 , 2004.
��M p� �''��,.��
ELIZA TH L. KLEFFEL Q
Signed, sealed, published and declared by the above Testatrix, ELIZABETH L. KLEFFEL, as
and for her last Will and Testament, in the presence of us, who, at her request, in her presence, and
e presence of ea h other, have ereunto subscribed our names as witnesses thereto.
� 2��. � (�G�Mi(�Lti ���t,l, '�
_ . _. . . ._ ... .. . ..._ .. _ __ .. . ._ i ..
I
RECORDED OFFICE OF �i
RE6IST�R OF �dILLS
;Oi3 JUl_d��id��SCRIBING WITNESS(ES)
CLERK OF
ORPHANS' COURT REGISTEROFWILLS
GUMBERLAN� COUNTY, PENNSYLVANIA
a k� ��i ��°�"� � . /�Il�/
Estate of IISZABETH K .L��• Deceased
Dennis M Hartranft, Jr. , (each)a subscribing witness to
(Prirt(Nome/a)
the�Will �Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s)and
say(s)that she/he/they was/were present and saw the above Testator/Testatrix sigtl 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/Testatrix in her/his presence and in the presence of each other.
�'�1 •
l��a��wel (srs��l Dennis M anf Jr
120 Rover Road
(SaeetAddreuJ (S(reelAddress)
Ephrata, PA 17522
(City,Sfafe,ZiP) (CrN,State,ZiP)
Executed in Register's Office Executed out of Register's O�ce
Swom to or aftirmed and subscribed Sworn to or affirmed and subscribed
before me this ���day before me this day
o , D� . of ,
�
Deputy for Regis er of ills Notary Public
My Commission Expires:
(Signature and Seal of Notary or other officiel qufllifi W to
adminishr oaths. Show dflk of ezpira[ion of Notery's Commission.)
NOTE: To be taken by O�cer authoriud[o administer oaths. Please have present[he originel or copy of instmment(s)at time of notarizfltion.
FarmRW-03 rev./0.13.06
__ _ _ _ �_
�'
I
RECORGEa U�P�iCE OF I
REGlS1�ER Of !°tlL.l..S
OATH OF SUBSCRIBING WITNESS(T�� JUI. 16 A�l 10 03
REGISTEROF WILLS CLERK Oi�
C[�IAPID COUNTY, PENNSYLVANIA pRPHANS' COURT
6UMB�RLAND CO., PA
� ks �J�2,��►, c. K�i�l
Estate of ELIZABE'i'H T���• , Deceased
Tamar y�� , (each) a subscribing witness to
(Prini NamdsJ
the 0 Will �Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s)and
say(s)that she/he/they was/were present and saw the above Testator/Testatrix 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/Testatrix in her/his presence and in the presence of each other.
�(�/�A/�� Ul/ ,�,�`�v
(Srgtta(ure) (Signaturel jallHr FJEdVpx �
36 Weaver Ave.
(Stnef AddreasJ (Streef Address)
Ephrata, PA 17522
(Ciry.Smte.ZiPI (Gry,Sfam,Zip)
Executed in Register's Offtce Executed out of Register's O�ce �� �
Sworn to or affirmed and subscribed Sworn to or affirmed and subscribed � �x
before me this day before me this �7 � day �� � �
I / �
of , of �.J�y ,oZV13 • � �'. � �
� ��� � �
�� � �
Deputy for Register of Wills Notary Public �� � �y
My Commission Expires:
(Signemro end Seei ofNomry or other o�ciel qualified to
edministeroaths. ShowdateofezpiretionofNotery'sCommission.)
NOTE: To be taken by Officer authorized to edminishr oaths. Pleese have present the originel or� V
Demia M.Hartranft,Notary Public
Form RW-03 rev. /0.13.06 EPbTef8 BOtOUgh,LAIlCB8tt1'COUnty
commirion ex ires March 04,201$
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REGORDFD �FF1C� QF
�I
REGiST�h OF �'di�LS 'i
RENUNC���'��1V1� �� 10 D3
GLERK ��
RBGISTER OF W(�.{i�lANS� �Q���p
c�mIDmrauvn CQUICCh1►��E'�N�.�A'IVIA
Estate aP �,I�,� �, a ICQ � ����� �,1< i�-f� �
Deceased
I> Y��onne L• Hazen , in my capacity(relationship as
(Print Name)
_ FscerR�tr;X of the above Decedent, hereby renounce the right to
administer the Estate of the Aecedant and respectful►y request that LeTters be issued ta
K
JodY Lee Dixon
7-I/-�c�/3 u�../ -
(DareJ (Sigra7ure) . ..,. � az@
225 Srcrwwood Road
(Street Address)
Reistertc�wn, MD z713s
(c�y,srare.z;aJ
Executed In Register's O�ce Exeauted aut of Regfster's Office
Sworn to or affirmed and subsoribad Before the undersigned personally appeared#he
before me this day party executing this renunciatian and certified
of' , that he or she executed the renuncia ion for the
pu sj ted ithin an this � day
of f
JMIE8 J BYVEE7
NOTAr�'CY PEJBItC
Deputy for Register of Wilis Not Pubiic ` MA�p
My ommission Er.pires: ����� y�013
(Signature and Seat of Natary ar other official quatified to
administeroaths. Shnw date cfezpiration of Ndtary's Commission.)
FormRW-Od rev. l0.l3.06
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