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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA
Petitioner(s) named below, who is/axe 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: S bil V.Gaus File No: � /� � �
a/k/a: (Assigned by Register)
alk/a:
a/k/a: Social Security No:
Date of Death: Februarv 23,2013 Age at death: 90
Decedent was domiciled at death in Cumberland County,pennsylvania (Srate)with his/her last
principal residence at 2100 Bent Creek Blvd. 17050 Silver Sprin�Twn. Cumberland Co.
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at The Brid�es At Bent Creek 17050 Silver Snrin�Twn. Cumberland Co. PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania............................ All personal property $ 5,500.00
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania......................................................... $
TOTAL ESTIMATED VALUE. ... $ 5,500.00
Real estate in Pennsylvania situated at:
(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)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated Sept. 18, 1995 and Codicil(s)
thereto dated
�xTl�orol�v 1?inl�or�('' (T�nc�nr�TtatH�E+an 0 Rart�h hPrehv ren�unce as Fxecnt�rc
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 born 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 (If applicable)
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 complete 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 follov��S�use(if ar��nd�s�tach
additional sheets,if necessary): rn � � ..� c�
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Name Relationshi Add E!3 �
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Form RW-02 rev.10/11/2011 Page 1 of 2
1
' t Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
� �7
Jonelle M.Usselman 5903 Carters Oak Court Burke VA 22015 � c� �
� � � � a
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A
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C7' � � �.D �rt "�"1
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and correct to thet6�st�f t�et know�dge�,Cl b�ef
of Petitioner(s)and that,as Personal Representative(s)of the Decede , e Petitioner(s) 'll well and truly administ�h�,state acc�ing t�'a�
.
Sworn to or.affirmed a ubscribed before �' Date l .�►.
me thi � day of �D1� Date
$y; � �-Ijl.., Date
F y�e Register Date
BOND Required: Q YES � NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters. . . ..... ... . . . . . . .. . . . $ 45.00 Attorney Signature:
( 2)Short Certificate(s).. ... . 10.00
( 2)Renunciation(s).. . .. . . . . 10.00
( )Codicil(s). .. . . . . . . . . . .
( )Affidavit(s).. . . .. . .. . . .
Bond.. . . .... . .. .. . . . . .. . . . . . Printed Name: John F.Markel,Esquire
Commission. . . .... . . . . . . . .. . . Supreme Court
Other Will .. . . . . . . 15.00 ID Number: 34742
Inh.Tax Return . . .. .. . 15.00
Inventorv . . . . .. . . 15.00 Firm Name: Nikolaus&Hohenadel,LLP
. .. .. . . Address: �27 T.ncnct�t
. . . ... . C.'olumhia,pA 17512
. . . .. . . Phone: 684-4422
Automation Fee. . .. . . . . . .. . . . . 5.00 Fax: 684-6099
JCS Fee. .... .... .. . . . . . . .. . . 23.50 Email:
TOTAL. .. . . .. .. .. . . .. . . .. . . $ 138.50
DECREE OF THE REGISTER
Estate of Svbil V.Gaus File No: �� � �� () ��
a/k/a:
v �'7�� in consideration of the fore oin Petition,
AND NOW, , , g g
satisfactory proof having en presented before me,IT IS DECREED that Letters Testamentarv
are hereby granted to Jonelle M.Usselman
in the above estate and(if applicable)that
the instrument(s)dated Se tember 18 1995
described in the Petition be admitted to probate and filed of r r as the last ill(and Codicil ))of Decedent.
Register of Wills
Fo�Rw oz rev.10/11/2011 ge 2 0
�
Register of Wills of Cumberland County,Pennsylvania
RENUNCIATION
il . Gaus No. 2 r r'� ��31
Estate of Svb V
also known as �
, deceased
The undersigned, Kathleen A. Bartch Dau�hter , of the
(Relationship) (Capacity)
above Decedent, hereby renounce(s)the right to administer the estate and respectfully
request(s)that Letters Testamentarv be issued to Jonelle M. Usselman
� � 2013.
Witness my hand and seal this 0 day of ,
Kathleen A. Bartch
201 Beaston Rd., Blain, PA 17006
(Address)
Sworn to or affirmed and subscribed
before me this��' day of
I o2v; �
ary Pu � NOTE: Renunciations executed outside the Office
of the Register of Wills are required in some
My Co on Expires: counties to be notarized. +�
�
� � � � �
COMMONWEALTN pp pENN Y.V 1y�1 ,�q�i ,�.,� � '�? p
1�Otarlal SeAI tfi � �j c`.� �jy .,�
Carol A.Zeidcrs.Notary PubNc
Tu�'bett Twp„]unlata County � � � F..,,, �� �'�
MY Commf� �► ;:� �r
bcpres�une 25,2014 ;� '� � � �
Member,p@nnswvania Associatbn of Notarles
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C"� �7 -ry � 4� ?i
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Register of Wills of Cumberland County,Pennsylvania
RENUNCIATION
Estate of Sybil V. Gaus
No. � f �13-�3/
also known as
, deceased
The undersigned, Richard C. Gaus Son , of the
(Relationship) (Capacity)
above Decedent,hereby renounce(s)the right to administer the estate and respectfully ,
request(s)that Letters Testamentarv be issued to Jonelle M. Usselman
Witness my hand and seal this s� day of , 2013.
Richard C. Gaus j �'�,
15 Woodside Dr., Burnt Hills,NY 12027
(Address)
Sworn to or affirmed and subscribed �
before me this�_day f
,�o ..�
NOt Public NOTE: Renunciations executed outside the Office
-��...
/` of the Register of Wills ac�q required in�me � �
My Commission Expires: ����r�`� counties to be notarized.-,�� Q � � c•a
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Nv,ZiK:�i`! Y."'.::tiCi � p�r. f"'
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No�orp Pub�i;e €�+ tna S�st9 of Ne� Yo+� �,,,r, � �, �'' �'7 C7
Q�wi�fi�d ia Sarato�a CountY No. �!`'C�t�2 � :� � ;,a� ,p C�
Ai1y Goa�+Fadoa Expire�b�. 18,20..,.�� � C� � � "`� �
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REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF SUBSCRIB WITNESS
-�
��-l.� �
Donald H Nikolaus and Marcia Mutzabau�h
(each) a subscribing witness to the Will presented herewith, (each being duly qualified
according to law) depose(s) and say(s)that thev were present and saw Svbil V. Gaus, the
testat rix , sign the same and that they__signed as a witness at the request of the testatrix in
h er presence and(in the presence of each other) (in the presence of the other subscribing
witness(es)).
Sworn to or affirmed and subscribed -
before me this��'`day of
0�„�-�. , _�� Donald H. Nikolaus
.
., c/o 327 ocust St. Columbia PA 17512
Notary Public �
COMMCINWEALTH OF pENNS'Y�.VAN1A MaTC' Mutzab
Nt7TARIAL 3EAL
Deborah 5, LaVenice-Notary Publi� c/o 327 Locust St., Columbia, PA 17512
Columbia Boro.,Lancaster County �,
MY COMMiSSfON EXPIRES DEC.22,2014 � i� � �
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LAST WILL AND TESTAMENT '`� �� �,� =-� � �
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SYBIL V. GAUS �
I, SYBTL V. GAUS, of the Borough of Columbia, Lancaster
County, Pennsylvania, hereby revoke all Wills and Codicils, as
well as all other instruments of a testamentary nature heretofore
made by me, and do hereby make, publish and declare this to be my
Last Will and Testament.
FIRST: I direct that my hereinafter named Executors
pay all my just debts and funeral expenses as soon after my
decease as may be practicable.
SECOND: I give, devise and bequeath all of my estate,
both real and personal property, to which I may be entitled, or
over which I may have any disposing power at the time of my death,
in equal shares, to my children, JONELLE M. USSELMAN, RICHARD C.
GAUS and KATHLEEN A. BARTCH, or to their issue -per stirpes.
THIRD: I nominate, constitute and appoint my children,
JONELLE M. USSELMAN, RICHARD C. GAUS and KATHLEEN A. BARTCH to be
� the Executors of this my Last Will and Testament. ���cutors not
reQUired. to �ost bond,
IN �aITNESS WHEREOFr I, SYBIL V. GAUS, the Testatrix,
have to this my Last Will and Testament set my hand and seal this
� � of , 1995.
��� � � �
.�� � ''�°V�c:..>C.G� (S EAL)
ybi V. Gaus
� .
Signed, sealed, published and declared by the within
named SYBIL V. GAUS as and for her Last Will and Testament in our
presence and we, at her request and in her presenee, and in the
presence of each other, have hereunto subscribed our names as
wi tne s s e s. _ . _ ._...._.�..,_.w._.._....
--�-_.
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