HomeMy WebLinkAbout01.06.05 Register of Wills of ('~Jou.~o County, Pennsylvania
PETITION FOR GRANT OF LETTERS
also known as
, Deceased Social Security No.
(COMPLETE "A" OR "B" BELOW:)
[~ A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut~/[ named in the Last Will of
the
Decedent, dated .]~,~E ~_~, 2~ and codicil(s) dated
State reteva~t circumsta~ces, e.g., renunciation, death of executor, etc. ~--~ ~ ~
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after e~n of th~cuJ~ered
for probate; was not the victim of e killing and was never adjudicated incompetent: ~f~ ~ .... ~>;~ 7~
B. Grant of Letters of Administration :7~00 ~ :~ --.-~
Petitioner(s) after a proper search has/have asceetained that Decedent left no Will and was sur~ by the (~llowi~se
(if any) and heirs: ;' --
Name Relationship Residence ]
I
(COMPLETE IN ALL CASES:) Attach additional ~ heats if necessary.
Decedent was domiciled at dearth in C~v/~e~ ~ ~ b County. Pennsylvania, with
his/her
last
family
or
principal
residence at /~ ~/,~ CL~ ~~ ~tN~7~~ ~ )~0~
Decedent, then ~Z years of age, died ~C~,~ ~S , 200~, at /~r~ ~ ~/~lr~/~
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property .............................. $ / ~, ~ ~
(If not domiciled in PA) Personal property in Pennsylvania ...................... $
(If not domiciled in PA) Personal property in County .......................... $
Value of real estate in Pennsylvania ............................................... $
Total .............................................................. $ / ~O/~
Real Estate situated as follows: .
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the
appropriate form to the undersigned:
~-~~ ~O~Typed°rprintednameandresidencec. y~~ )
Oath of Personal Representative
Commonwealth of Pennsylvania
County of ~
The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and
correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent,
Petitioner(s) will well and truly administer the estate according to law.
Sworn to and affirmed and subscribed
before me this day of
DECREE OF REGISTER
also known as
Social Security No: ~-~-~/O Date of Death:
AND NOW, ~~~ ~ ~ , 20 05 , in consideration of the Petition
on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters ~ Testamentary ~ of Administration
are
hereby granted to ~ 0~ '/ ~, ~ ~ ~ ( .......
/
in the above estate and that the instrument(s), if any, dated ~u~
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
~.~.l.~Sh°rt Certificate(s)...~ ..... ....*0 i~',OO~'O0
Affidavit ( ) .................
Extra Pages ( ) ............
Codicil ..........................
JCP Fee ........................ 8 I~: 00 Attorney: ~~/ J, ~X~J
Inventory & Tax Forms... $ I.D. No: ~1 ~
~.. ~~,. ~.5 .... ~ ~-00 Address: 5~ Z/ ~LI~L~
TOTAL ................ ~~ Telephone: niT' ~7' /gOD
DATE FILED: ~IJ~V
105.805 REV 9/86
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanen~t filing.
WARNING: It is illegal to duplicate this ¢op¥ by photostat or photograph.
Fee for this certificate, $2.00 ~~ Qf'~ '~ ' ~-'~-Local Registrar
No. ~ Date
H105 143 Rev, 2/87 COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
IN NAME OF DECEDENT (F~t, ~, Lilt) SEX I SOCIAL SECURITY NUMBER ~ DATE OF DEATH {MmY4% Day. Yem'}
PF~HEN'BLACKiNK ''}(~ LO' C. Armentrout 2male. 13. 232--26 --'2010 I(Dec. 25, 2004
AGE ([8~ ~y) DATE OF mRTH BIRTHPLACE (Cay ~
S~F~C~)
82 (2line, WY ,,,.,n ~,.~FI
COUNTY OF OEAT" C~TY, BORO. T~ OF D~AT" FA~UTY NAME (If ~ ~t~u~cn. ~ ~ and ra~
~land Lower Allen Twp. Health South Rehabilitation
Auto v~ ~rl ~3.12.,~ .-4,,~*~ never married
DECEDENTS tT~ S~ PA
103 W. Keller St. RESIDENCE
~ m~ ~mberland ~? .d. [] ~o. ~ ~ Mechanicsbur~j
Mechanicsburg, PA 17055 ~ ,~.c.,~ ~~
,,. Charles Armentrout I ~,. Janie
I~. 103 W. Keller Street Mechanci
I PLACE OF DISPOSITION- Nime M ~, ~ aC. om,
~ ~"~D ~, ~c~ E~,.~s-- O ' I~°~''~'
§ o~s,,.~ [] ,,,.Dec. 29~ 2004 2~F~echanicsbur~
i L~ENSE NUMBER NAME A.O,~O~SS DE F,ouw 8 Way
-~ =,,,. 011667 L Funeral Home
~ Iteff~ 24-28 ~ be C~ by WAS CA~E
~'~ .~ ~ ) LAST .
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~ 'pR~U~ANDCER~NG~Y~N(~y~~~i~M~) ... ~ ~1c. ~
~T[ RLED (M~, ~, Y~
LAST WILL AND TESTAMENT
LOY C. ARMENTROUT
I, LOY C. ARMENTROUT, of Cumberland County, Pennsylvania,
be my Last Will, hereby revoking all prior wills and codicils.
FUNERAL EXPENSES
FIRST: I direct the payment of my funeral expenses, including my gravemarker,
as soon as may be convenient after my death.
PAYMENT OF DEATH TAXES
SECOND: I direct that all taxes that may be assessed in consequence of my
death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my
residuary estate as a part of the expense of administration of my estate.
PERSONAL PROPERTY
THIRD: I bequeath those items of my household furnishings, personal effects,
and personal property as I may set forth in a separate signed memorandum to the persons
named in that memorandum.
DISTRIBUTION OF RESIDUE
FOURTH: I give $2,500 to my sister, Shirley Ours, providing she shall survive
me for a period of thirty (30) days. I give $1,000 to each of my brothers, Harmon
Armentrout and Clyde Armentrout, providing they shall survive me for a period of thirty
(30) days. The share of any sibling who predeceases me or dies on or before the thirtieth
day following my death shall be distributed to his or her issue, per stirpes, living on the
thirty-first day following my death, and in default of any such then-living issue, such
share shall be added to the share of shares for my other siblings. I give the balance of the
residue of my estate to Timothy C. Yeager, providing he shall survive me for a period of
thirty (30) days. If Timothy C. Yeager shall not survive me for a period of thirty (30)
days, the balance of the residue shall be distributed to Elenita B. Yeager. If Elenita B.
Yeager shall not survive me for a period of thirty (30) days, the balance of the residue
shall be distributed to Yeagers Personal Care Home.
PROTECTION OF BENEFICIARIES
(Spendthrift Provision)
FIFTH: No interest in income or principal shall be assignable by a beneficiary or
available to anyone having a claim against a beneficiary before actual payment to the
beneficiary.
TRUSTEE OF ESTATE OF
MINORS AND INCAPACITATED BENEFICIARIES
SIXTH: If any income or principal shall be payable to any person who shall be a
minor or who shall be incapacitated for any reason, my executor, as trustee shall hold
such income and principal during minority or incapacity and shall be entitled to apply
such income and principal to the health, maintenance, support and education of such
person during minority or incapacity without the appointment of any guardian or
committee or any authority of court. My trustee shall be entitled to make direct
application hereunder or to make application by payment of income and principal to the
parent or other person in charge of such minor or incapacitated person, or to his or her
guardian or to a custodian under the Uniform Transfers to Minors Act. Trustee may, in
discharge of all the Trustee's duties, pay any minor's share deemed impractical of
administration to the parent or other person in charge of the minor or to his or her
guardian or to a custodian for the minor under the Uniform Transfers to Minors Act. Any
remaining income and principal to which such person shall be entitled shall be distributed
to such person upon such person reaching the age of 18. My Trustee shall have the same
powers as my executor and shall serve without bond.
POWERS OF EXECUTOR
SEVENTH: I confer upon my executor the right to sell or otherwise convert any
real or personal property at public or private sale, at such time or times, in such manner,
and for such price or prices, and upon such terms and conditions as my executor shall
determine, and to execute and deliver good and sufficient conveyances, assignments and
transfers thereof, without liability of any purchaser for the application of any
consideration; to borrow money and to secure its payment by mortgage of real or
personal property, pledge of investments or otherwise, without liability on the part of the
lenders to see to the application thereof; to retain any investments at discretion; to invest
and reinvest at discretion, without restriction to so-called "legal investments;" to make
distribution in cash or in kind; and to do all other acts and things necessary or appropriate
in the management, administration and distribution of my estate.
ACKNOWLEDGEMENT and AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA:
: SS.
COUNTY OF CUMBERLAND :
I, Loy C. Armentrout, the testator in, and /-/p~ ~xJ~ ~orx, and
-'~o, ~s la, I<~ , the witnesses to the last will, the attached or
foregoing instrument, who have signed the instrument, having been duly qualified
according to law do depose and say:
(a) that I, the testator, do hereby acknowledge that I signed and executed the
instrument as my last will, that I signed it willingly and as my free and
voluntary act for the purposes therein expressed; and
(b) that we, the witnesses, were present and saw the testator sign and execute the
instrument as his last will, that he signed it willingly and executed it as his free
and voluntary act for the purposes therein expressed; that each of us in the
hearing and sight of the testator signed the will as a witness and that to the best
of our knowledge the testator was at that time 18 or more years of age, of
sound mind and under no constraint or undue influence.
C. Armentrout
Witness
I~'~-tary Public