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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA
Petitioner(s) named below, who is/are 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 Z-� - 13 ► aSo
Name: Jeannette A.Holtzman File No:
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: September 29,2013 Age at death: 94
Decedent was domiciled at death in Cumberland County, Pennsylvania (State)with his/her last
principal residence at 100 Mt.Allen Drive,Mechanicsburg,PA 17055 Mechanicsburg Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 100 Mt.Allen Drive,Mechanicsburg,PA 17055 Mechanicsburg Cumberland 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 Pennsyl vania............................ All personal property $ 15,000.00
If not domiciled in Pennsy lvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsy lvania. ....................... Personal property in County $
Value of real estate in Pennsyl vania......................................................... $
TOTAL ESTIMATED VALUE. ... $ 15,000.00
Real estate in Pennsylvania situated at: None
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County
Vi 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 November 10, 199 �lyddicil(s)
thereto dated None C) 1_-"° 1"11 C->
CJ 6D C5
State relevant circumstances(e.g.renunciation,death of executor,etc.) a --a C CJY
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was n Div`-&ceA�vas t W parWotgending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §332 g)�P(MId not have a6ilti--born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. .Z-- " 7� __J -n -n
C, C7 C, 73 _
E)NO EXCEPTIONS 0 EXCEPTIONS - C) '-r,
B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite, 69ante absentigr-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.
0 NO EXCEPTIONS 0 EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(attach
additional sheets,if necessary):
Name Relationship Address
Form RW-02 rev.10111/2011 Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
James A.Holtzman 219 North Paxtang Avenue Harrisburg,PA 17111
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are a and orrect to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the Decedent he Petitioner )will I n ruly administer the estate according to law.
Sworn t o affirmed and subscribed before .� Date //I22113
me this ' day of X Date
By: Date
For the Register Date
BOND Required: 0 YES Q NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ Attorney Signature:
( 5) Short Certificate(s). . . . . .
( )Renunciation(s).. . . . . . .
( )Codicil(s). . . . . . . . . . .. .
( )Affidavit(s).. . . . . . . . . . . n w C11
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Vicky Ann Trir=gx-, y �;
Commission. . . . . . . . . . . . . . . . . . Supreme Court __� ro
Otheru . . . . . . . . 5 ID Number: 49679 rn
15 ��
Firm Name: Persun&Heim,
. . . . . . Address: PO Box 659
. . . . . . . . 1700 Bent Creekayd)3uite 161f' -5
. . . . . . . . Mechanicsburg,Pa 1y1055-065 f7 t
. . . . . . . . Phone: 717-620-2440 —rt
Automation Fee. . . . . . . . . . . . . . . rJ. Fax: 717-620-2442
JCS Fee. . . . . . . . . . . . . . . . . . . . . 23 Email: vatrimmer0persunheim.rnm
TOTAL. . . .. . . . . . . . . . . . . . . . . $ 159W 1
DECREE OF THE REGISTER
Estate of Jeannette A.Holtzman File No: 3- I�
a/k/a:
AND NOW, t V V ern►CJU C�`� C/v ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters Testamentary
are hereby granted to James A.Holtzman
in the above estate and(if applicable)that
the instrument(s)dated November 10 1995
described in the Petition be admitted to probate and filed of record as the last Will (and dicil(s))of Decedent.
Register of Wills /h ,
Form RW-02 rev.10/11/2011 (J(/�(, Page 2 of 2
RECORDER OFFICE OF Last Will
REGISTER OF WILLS of
LO i3 N 0 U 2 2 PFD TTE A.HOLTZMAN
CLERK OF
ORPHANS' COURT
CUMBERLAND CO., PA
I, JEANNETTE A. HOLTZMAN, of Paxtang, Dauphin County, Pennsylvania, make this
Will and revoke all of my prior wills and codicils.
Article One
My Family
I am married and my spouse's name is THOMAS W. HOLTZMAN.
All references to "my spouse" in my Will are to him.
The names and birth dates of my children are:
THOMAS W. HOLTZMAN, JR., born February 7, 1945
EMILY J. RUCKLE, born August 27, 1948
JAMES A. HOLTZMAN, born April 17, 1954
All references to my children in my will are to these children, as well as any children
subsequently born to me, or legally adopted by me.
Page 1
Article Four
Payment of Expenses and Taxes
and Tax Elections
Section 1. Cooperating with the Trustee of My Living Trust
I direct my personal representative to consult with the Trustee of my revocable living
trust to determine whether any expense or tax shall be paid from my trust or from my
probate estate.
Section 2. Tax Elections
My personal representative,in its sole and absolute discretion,may exercise any available
elections with regard to any state or federal tax laws.
My personal representative,in its sole and absolute discretion,may elect to have all,none,
or part of the property comprising my estate for federal estate tax purposes qualify for
the federal estate tax marital deduction as qualified terminable interest property under
Section 2056(B)(7) of the Internal Revenue Code.
My personal representative shall not be liable to any person for decisions made in good
faith under this Section.
Section 3. Apportionment
All expenses and claims and all estate, inheritance, and death taxes, excluding any
generation-skipping transfer tax, resulting from my death and which are incurred as a
result of property passing under the terms of my revocable living trust or through my
probate estate shall be paid without apportionment and without reimbursement from any
person. However, expenses and claims, and all estate, inheritance, and death taxes
assessed with regard to property passing outside of my revocable living trust or outside
of my probate estate,but included in my gross estate for federal estate tax purposes,shall
be chargeable against the persons receiving such property.
�-1 KUY Page 3
Article Five
Appointment of My Personal Representative
I appoint THOMAS W. HOLTZMAN to be my personal representative.
If THOMAS W. HOLTZMAN cannot act, or is unwilling to act, I appoint, in the order
named, the following successor personal representatives:
First, THOMAS W. HOLTZMAN, JR. and JAMES A. HOLTZMAN, or the
survivor of them; then
Second, EMILY J. RUCKLE; then
Third, MERRILL LYNCH TRUST CO. OF AMERICA
I direct that my personal representatives not be required to furnish bond,surety,or other
security.
I have initialed all of the pages of this Will, and have signed it on November 10, 1995.
le ,,'v,z I A4a'-'r�-
ANNETTE A. HOLTZMAN
The foregoing Will was, on the day and year written above, published and declared by
JEANNETTE A. HOLTZMAN in our presence to be her Will. We, in her presence and
at her request,and in the presence of each other,have attested the same and have signed
our names as attesting witnesses and have initialed each page.
We declare that at the time of our attestation of this Will,JEANNETTE A.HOLTZMAN
was, according to our best knowledge and belief, of sound mind and memory and under
no undue duress or constraint.
���GL lec l
QI•
WITNESS WIT S
J/9 K04 Page 4
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
I,JEANNETTE A.HOLTZMAN,Testatrix whose name is signed to the attached or foregoing instrument,
having been duly qualified according to law, do hereby acknowledge that I signed and executed the
instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and
voluntary act for the purposes therein expressed.
64iANkETTE A. HOLTZ
Sworn and subscribed to before me by JEANNETTE A.HOLTZMAN, Testatrix, this
10th day of November, 1995.
(SEAL)
W.
Notary Public
My Commission Expires:
Notarial Seal
COMMONWEALTH OF PENNSYLVANIA Roberta L.Raddiff,Notary Public
Susquehanna Twp.,Dauphin County
SS My Commission Expires Jan.20,1997
COUNTY OF CUMBERLAND Member,Pennsyivani&w—ociation of Notaries
We, David H. Radcliff and Kelly J.Hargis,the witnesses whose names are signed to the attached or
foregoing instrument, being duly qualified according to law, do depose and say that we were present and
saw JEANNETTE A. HOLTZMAN, Testatrix sign and execute the instrument as her Last Will and
Testament; that JEANNETTE A. HOLTZMAN, signed willingly and that she executed it as her free and
voluntary act for the purposes therein expressed;that each of us in the hearing and sight of the Testatrix
signed the Will as witnesses, and that to the best of our knowledge the Testatrix was at the time 18 or
more years of age, of sound mind and under no constraint or undue influence.
Sworn to and subscribed before me
this 10th day of November, 1995.
.&L-Ll y
Notary Public
My Commission Expires:
(SEAL)
Notarial Seal
Roberta L.Raddiff,Notary Public
$ta.quehanna Twp.,Dauphin County
My 06mmission gxores Jan:20;1 9$7
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