HomeMy WebLinkAbout12-27-13 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF C��rn Q 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
Name: File No: C
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No: /
Date of Death: j(-6 4 — a1 o I Age at death:
Decedent was domiciled at death in �,�� V'k-,� l ,A County,� (State)with his/her last
principal residence at A l(z ;,; �'„ ; n a �,al o u>v r f�,P_ 24
Street address,Post O ace add Zip Co City,Township or Boroudh County
Decedent died at ,I In 21C4 %:%: ,P r�/24 ed A1"1')v- )1,e ��2�f 111��� k.v,AS10QCt)To5.n
Street address,,Post Office and ip Code 1 City,Township or Borough County State
Estimate of value of decedents property at death:
If domiciled in Pennsylvania............................ All personal property $
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $—�
If not domiciled in Pennsy lvania. ....................... Personal property in County $ G
Value of real estate in Pennsylvania......................................................... $ O
A , / TOTAL ESTIMATED VALUE. ... $ 9,00o , o o
Real estate in Pennsylvania situated at: !V/
(Attach additional sheets,ffnecessary.) Strddress,Post Office and Zip Code City,Township or Borough County
dA. 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 and Codicil(s)
thereto dated
State relevant circumstances(e.g.renunciation,death of executor,etc. w fit t fill
Except as follows:after the execution of the instrument(s)offered for probate Decedent did not marry,was ttt5t e reed,wait t a p9&taa-pcnding
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §3qpf a tl d did not have.a.,plfild born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. D 2_' M
[r�NO EXCEPTIONS ❑EXCEPTIONS c:) c5
❑ B. Petition for Grant of Letters of Administration (If applicable) J 71: T
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente li�e,dlrante absehlia,du;wite,minoritate
—1 rr"
If Administration,ca.a. or d.b.n.ca.a.,enter date of Will in Section A above and i�6plete listWheik
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 following spouse(if any)and heirs(attach
additional sheets,f necessary):
Name Relationship Address
Forn,Rw-02 rev. 1011112011 Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
�rn�� } SS:
COUNTY OF e }
Petitioner(s)Printed Name Petitioner(s)Printed Address
The Petitioner(s)above-named swear(s)or affirm(s)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,the Petitioner(s)will_we]I and truly administer the estate according to law.
Sworn t or ffirmed and subscribed before 7���`u�_. ,. �. J�*�,� _ Date 3
me this 54 ff"day of�C'CDYI�I'�.,a0}3 Date
Q By: �U O_VR_ Date
For the Register Date
BOND Required:Q YES M NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
�
Letters . . . . . . . . . . . . . . . . . . . . . . $ O Attorney Signature:
( �—) Short Certificate(s). .. . . . O do
( ) Renunciation(s).. . . . . . . . rn
( ) Codicil(s). . . . . . . . . . . . . C__
( ) Affidavit(s).. . . . . . . . . . . :10 r�
Bond.. . . . .. . . . . . . . . . . . . . . . . . Printed Name: rn
ry Cr1
Commission. . . . . . .. . . . . . . . . . . Supreme Court
Otheryvll� . . . . . .. . ��au ID Number: Q C')
Inyi. Firm Name:
. . . . . . . . Address: C ry t"" rrt
. . . .. . . . - t 1110
C?
U _
,. m
Phone:
Automation Fee. . . . . . . . . . . . . . . Fax:
JCS Fee. . . . . . . . . . . . . . . . . . . . . Email:
TOTAL. . . . . . . . . . . . . . . . . . . . . $
` DECREE OF THE REGISTER
Estate of_._yNb_n �). c-A J File No: 0A— t-J-'" [Z
a/k/a:
AND NOW, Oeofy)— aer o 1 :LOB , in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS YIF CREED that Letters ,
are hereby granted to FB�U 0. 1%. 1A&V ww)
in the above estate and(if applicable)that
the instrument(s)dated e0Ir; ( "34
described in the Petition be admitted to lirobate and filed of record as the last Will(and Codicil(s))of Decedent.
egister of Wills per
FormRw-n2 rev. 10/111201t Page cf2
H105.805 REV(9/11)
RIrCOR 'FO OFFICE: OF'
REOiS ER OF W!LI.4_S WILL OF
L013 ��� '� 6-`('� VIVIAN J. PETERS
I, VIVIAN J. PETERS, of Shippensbur Cumberland Count
(� ��K OF 9� Y,
G R , �fl I ania, declare this to be my last Will and hereby revoke
'ri � wills and codicils.
G;U�BE :LAND GO., PA
1 . I direct that all my just debts, funeral expenses, grave-
marker and administrative expenses shall be paid from my residuary
estate as soon as.practicable after my death.
2. I direct that .'all inheritance, estate, transfer, success-
ion and death taxes of any kind whatsoever which may be payable by
reason of my death shall be paid out of my residuary estate.
3. I direct that my entire estate be distributed as follows:
A. I leave my entire estate of whatever nature and wherever
situate to ,be divided equally among my three children,
Patricia A. Haywood, Suzanne J. Hoch and Jeffrey L. Peters.
B. Should any of my children predecease me, then that share
shall pass equally to his or her children.
4. I appoint my daughter, Patricia A. Haywood, as Executrix
of this my last Will. If she should predecease me or cease to act
in such capacity, I name Suzanne J. Hoch to so serve.
5. The Executrix of this Will shall have the power to distri-
bute my estate in kind or in cash, or partly in either.
6. I direct that no Executrix acting under this Will shall be
required to enter bond in any jurisdiction.
IN ITNESS WHEREOF, I have hereunto set my hand this /-0-41--day
of 1992.
VIVIAN J. PETERS
LAW OFFICES OF
STEPHEN J. HOGG
401 E. LOUTHER STREET
CARLISLE,PA 17013
i
• r f c
The preceding instrument consisting of this and one other page
was on the day and date hereof signed, published and declared by
VIVIAN J. PETERS, as and for her last Will in the presence of us,
who at her request, in her presence and in the presence of each
other have subscribed our names as witnesses hereto.
LAW OFFICES OF
STEPHEN J. HOGG
401 E. LOUTMER STREET
CARLISLE, PA 17013
ACKNOWLEDGEMENT
Commonwealth of Pennsylvania
ss
County of Cumberland
I, VIVIAN J. PETERS, the testatrix whose name is signed to the
attached or foregoing instrument, having been duly qualified accord-
ing to law, do hereby acknowledge that I signed and executed the in-
strument as my last Will; that, I signed it willingly and as my free
and voluntary act for the purposes therein expressed.
VIVIAN J. TERS
Sworn to or affirmed and acknowledged before me by VIVIAN J.
PETERS, the testatrix, this day of 1C , 1992.
sia(Ca7
Stephen J Hc+JB,Natery / �'
.. � ,,;,e,a�rar��ti93 N' ary lic/ orney
Caxl�S; E3a o, ices Jlan 't>3,
� �.fi?Commissti„i E:xp ^__�,�..•,_..em-----
` AFFIDAVIT
Commonwealth of Pennsylvania
ss
County of Cumberland /;)
We, FP-ED_rFj&), J, LE/SS and \SUSfli ”) T "u.
the witnesses whose names are signed to the attached or foregoing in-
strument, being duly qualified according to law, do depose and say that
we were present and saw the testatrix sign and execute the instrument
as her last Will; that the testatrix signed willingly and executed it
as her free and voluntary act for the purposes therein expressed; that
each subscribing. witness in the hearing and sight of the testatrix
signed the Will as, a witness; and that to the best of our knowledge the
testatrix was at that time 18 or more years of age, of sound mind and -
under no constraint or undue influence.
Sworn to or affirmed and subscribed to before me by witnesses,
this day of A y 1992. ;
i
� f
NotaAd seal --- ;
Stephen J.Hogg,Notan,PLIW t NO ar Pl. '1 iC/�me
LAND OFFICES OF Cati;�l�x'0:0,Cl7(i'� i83KI F✓O 1(1tJ 1 y
��ik ommission Expire✓June 1 s,i:,53
STEPHEN J. HOGG ;_ r _.._ _.-.�-
401 E. LOUTHER STREET
CARLISLE, PA 17013