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PETITION FOR PROBATE and GRANT OF LETTERS
Estate o/""IdD-- ~, ~~;'Ct; No. a. / - () S- ~ CX:YI;).
also known as -t' tin h.", ' 11. V"'cr To:
Deceased.
SociaISecurityNo.I~~-~ -4'-JS.'?1
Register of Wills for the
County of in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut ~, y
in the last will of the above decedent, dated u..-.. d,; "'\-" '"
and codicil(s) dated
named
,19_
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in C l~ n""l kJeri 0' n1'
h ~y- last family or principal residence at .
L.:.
County, Pennsylvania, with
,6 ?
(list street, number and muncipality)
Decendent, then 7 L, years of age, died N <D II -e "^ 1.e.r- 15 ,A4:',{lO D 'I.-
at ell v- I,,; I. K:" ~.. 0'1 '^ \ MR rio' C'r_\ C--p./\-\-... r / .
Except as foliows, deceden did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjud,icated
incompetent: .. . () 2'5
/ c:o C.T.
Decendent at death owned property with estimated values as follows: --~ ~
(If domiciled in Pa.) All personal property $ I <D ~. ",,"-"
(If not domiciled in Pa.) Personal property in Pennsylvania $'" ":; ':J
(If not domiciled in Pa.) Personal property in County $' (J) :;<
Value of real estate in Pennsylvania $ : '3 ~;
sItuated as follows: .-
+
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-,";..
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and
presented herewith and the grant of letters
(J1
en
codicil(s)
theron.
(testamentary; administration c.t.a.; administration d.h.D.c.t.a.)
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1135 J~Iro-fU>:~V'~PIt 11<::./.:7
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } s-
COUNTY OF ..
The petit.ioner(s) above-named swear(s) or 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 represen-
tative(s) of the above decedent petitioner(s) will well a d truly adminis r the estate according to law.
Sworn to or
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This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Luca] Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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COMMONWEALTH Of PENNSYLVANIA" OEPARTMENT Of HEALTH. VITAL RECOROS
CERTIFICATE OF DEATH
I. Ida Louise Care
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1. Female
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SOC'Al SECURITY NUl>48ER
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OATH OF NON-SUBSCRIBING WITNESS
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(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
~ familiar with the signature of ::r- J 0- L. Co-Y'e:.---.. , testat~ of
(one-J the subscribing witnesses to) the codicil/will presented herewith and Gat1h believes
the signature on the codicil/will is in the handwriting of L '
to the best of () l.l'l V lmowledge and belief.
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(AddreSS)~~ Pp. 110)3
Sworn to or affirmed and subscribed
Before me this day of
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(Name)
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(Address) / / d. / P /
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For the Register
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WILL
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of
Ida Louise Carey
I, Ida 1. Carey, of Dauphin County, Pennsylvania, declare this to be my Will and revoke
all other Wills.
ARTICLE I
I authorize my Personal Representative to pay such sums as my Personal Re~sentativ~
deems proper for my cremation or burial and interment, including the disposffi6R ofthe:.':
ashes or the acquisition of any burial site and the erection and engraving of mdiilhrlllnts?::':
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and markers, regardless of any limitation fixed by statute or rule of court and ~t ...-
order of court.");"
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ARTICLE II
(A) My Personal Representative shall make the following distributions to the
following institutions, and to the following persons who survive me:
All property shared equally among my three children: Ruth M.
McCord, Maureen 1.M. Holt, and Lloyd A McCord, Ir.
(B) My Personal Representative shall distribute the rest of my tangible
personal property not disposed of in Paragraph (A) of this Article II, or all of my tangible
personal property if there are no specific bequests of tangible personal property, as a part
ofthe rest of my estate.
ARTICLE III
I give the rest of my property to the following beneficiaries in the following
proportions:
Ruth M. McCord, Maureen 1. M. Holt, and Lloyd A. McCord in
equal shares.
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ARTICLE IV
The provisions in this Will for the distribution of my estate shall be supplemented
by the following:
(A) My Personal Representative shall pay all taxes (including inheritance
taxes) owed because of my death (including any interest and penalties) out of my estate.
The payment of the taxes shall be made regardless of whether the taxes are owed on
property passing under this Will or outside of this Will and regardless of whether the
taxes are owed by my estate or by any beneficiary; provided, however, that my Personal
Representative shall be entitled to reimbursement from each beneficiary for the payment
of the taxes in proportion to the amount of tax generated by the property received by each
beneficiary.
(B) Each beneficiary shall be deemed not to have survived me unless the
beneficiary is living on the thirtieth day after the date of my death.
(C) Whenever any beneficiary of my estate is under a legal disability or, in the
judgment of my Personal Representative, is for any reason unable to apply any
distribution to the beneficiary's own best advantage, my Personal Representative may
nevertheless make the distribution directly to the beneficiary or to the conservator of the
beneficiary's property or to a person with whom the beneficiary resides at the time of the
distribution in whatever manner my Personal Representative shall deem best. In the
alternative and if the beneficiary is under twenty-one years of age, my Personal
Representative may, in the discretion of my Personal Representative, distribute the
property to a custodian for the beneficiary under a Uniform Transfer or Gift to Minors
Act. The receipt by the beneficiary, conservator, custodian or other person of any
distribution so made shall be a complete discharge to my Personal Representative
regarding the distribution.
ARTICLE V
In addition to the existing authority of my Personal Representative, my Personal
Representative may:
(A) Sell or grant options with respect to any real or personal property in such
manner, for such purposes, for such prices, and upon such terms, credits and conditions as
may be deemed advisable.
(B) Make any division or distribution of my residuary estate in money or in
other property or partly in both upon the basis of fair market value and cause any share to
be composed of money, property or undivided fractional share in property, different in
kind from any other share.
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(C) Permit any beneficiaries of my estate to use any tangible personal property
or real property, without paying any rent, without giving any bond or security and without
liability for any loss or damage. My Personal Representative shall not be liable or
responsible for any injury to, consumption of or loss of any such property so used.
(D) Take charge of any real property as part of the probate administration of
my estate for such period as my Personal Representative shall determine; collect any
income therefrom; and pay the taxes and expenses thereof, including the cost of keeping
such property in adequate condition and repair, in the manner and to the extent that my
Personal Representative shall deem advisable.
ARTICLE VI
(A) I appoint Maureen L. M. Holt, as Personal Representative of my estate. If
such Personal Representative shall fail to qualiry or cease to act as Personal
Representative, I appoint the following persons or bank or trust company as alternate or
successor Personal Representative to serve in the order specified below, and if the first
alternate Personal Representative shall fail to qualiry or cease to act as Personal
Representative, the second alternate Personal Representative shall serve as Personal
Representative.
Ruth M. McCord - First alternate
Lloyd A. McCord, Jr. - Second alternate
To the extent permitted by law, my Personal Representative shall be authorized, in
the discretion of my Personal Representative, to have my estate administered without
adjudication, order or direction of the court having jurisdiction over my estate.
(B) No bond or surety shall be required of any Personal Representative serving
hereunder.
(C) Throughout this Will the use of any gender shall be deemed to include all
genders, and the use of the singular the plural, and vice versa. The terms "child" and
"descendant" shall include an adopted person and such adopted person's descendants, if,
but only if, the adopted person is not more than twelve years of age on the date of the
court order granting such adoption.
(D) At the date of execution hereof, I have the following children who are now
living: Ruth M. McCord, Maureen L. M. Holt, and Lloyd A. McCord, Jr.
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I, Ida L. Carey, the Testator, sign my name to this instrument this _ day of
, and being first duly sworn, do hereby declare to the undersigned
authority that I sign and execute this instrument as my will and that I sign it willingly (or
willingly direct another to sign for me), that I execute it as my free and voluntary act for
the purposes expressed in the will, and that I am eighteen years of age or older, of sound
mind, and under no constraint or undue influence. ~
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We, the witnesses, at the Testator's request, sign our names to this instrument,
being first duly sworn, and do hereby declare to the undersigned authority that the
Testator signs and executes this instrument as the Testator's will and that the Testator
signs it willingly (or willingly directs another to sign for the Testator), and that each of us,
in the presence and hearing of the Testator, hereby signs this will as witness to the
Testator's signing, and that to the best of our knowledge the Testator is eighteen years of
age or older, of sound mind, and under no constraint or undue influence.
of
Witness
of
Witness
of
Witness
State of
County
We, the Testator and the witnesses, respectively, whose names are signed to the
attached or foregoing instrument, being first duIy sworn, do hereby declare to the
undersigned authority that the Testator signed and executed the instrument as the
Testator's will and that the Testator had signed willingly (or willingly directed another to
sign for the Testator), and that the Testator executed it as the Testator's free and voluntary
act for the purposes expressed in the will, and that each of the witnesses, in the presence
and hearing of the Testator, and at the request of the Testator, signed the will as witness
and that to the best of the witnesses' knowledge the Testator was at that time eighteen
years of age or older, of sound mind, and under no constraint or undue influence.
D",.....t>. A of',
Ida L. Carey
Witness
Witness
Witness
Subscribed, sworn to and acknowledged before me by, Ida L. Carey, the Testator,
and subscribed and sworn to before me by
and , witnesses, this _ day of
(Seal)
(Signed)
(Official capacity of officer)
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