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Home My WebLink About01-07-14 PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF__ �j// IgjaZ,4&1) 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: r-1 AIAJ,4 /� �/�/ � File No: � ' a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: Age at death: n29 Decedent was domiciled at death in County, �� Y(S ot� th his/her last principal residence at a2 ,�/ /�,G, /��// � /�U5'!� itii Street address,Post Office and ip Code City,Township or Borough County Decedent died at p treet a46ress,P st Office and Zip Coke City,To nship or Borough County State Estimate of value of decedent's property at death: pt7 If domiciled in Pennsyl vania............................ All personal property , SA If not domiciled in Pennsy lvania. ....................... Personal property in Pennsylvania If not domiciled in Pennsylvania. ....................... Personal property in County , _ Value of real estate in Pennsylvania...................................................... TOTAL ESTIMATED VALUE.!/0 t Real estate in Pennsylvania situated at: �oS"� , '.�C:fY�/l�X��''LA/'�� 4P�l / l/; — 4/ (Attach additional sheets,if necessary.) Street address,Post Office and Zip Clode City,Town ip or Borough County V/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 and Codicil(s) thereto dated 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.u.,d.b.n.,d.b.n.c.t.a.,pendentelite,clurante absentia,duranteminoritate 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 C _r M Cam) Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the fabo4g spouse R�ny)a6;hcirs(attach additional sheets,ifnecessary): M C> ._..l to :J r" M M Name Relationship dKas tC> co CF" m --i rte' co Form R W-02 rev.1011112011 Page 1 of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } COUNTY OF C.//�J SS:1yyV Z4WA } 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 well and truly administer the estate according to law. Sworn tp%affirmed and subscribed before _ dC. �a-� Date me this lP day of Q11 ,�O 3 Date By: Date For the Register Date BOND Required:Q YES ®NO To the Register of Wills: FEES: Please enter my appearance by my signature below: , nn oD Letters . . . . . . . . . . . . . . . . . . . . .. $ Attorney Signature: ( (o )Short Certificate(s).. .. . . ( )Renunciation(s).. . . . .. . . c m M ( )Codicil(s). . . . . . . . . . . . . C_ _� p 4'> ( )Affidavit(s).. . . . . . . .. . . 'ti - C/) Bond.. . . . . . . . . . . . . . . . . . . .. . . Printed Name: ::a� P— Cq r tY1 Commission. . . . . . . . . . . . .. .. . . Supreme Court A r— M M -J 7.0 O Other . . . . .. . . �rj,00 ID Number: O O �hh.TO.X r'�.. . . t5.00 Firm Name: c-- . . . . .. . . Address: 70 CO f ` M . .. . .. . . er1 Q Phone: Automation Fee. . . . . . . . . . . .. . . 2-3.5u Fax: JCS Fee. . . . . . . . . . . . . . . . . .. . . 'S.oD Email: TOTAL. . .. . . . . . . . . . . . . . . . . . $ �&.50 DECREE OF THE REGISTER l 1 • Estate of ��pi(/�/fJ � ��/�� F:le No: a/k/a: AND NOW, an�Q I , �v-� F , in consideration of the foregoing Petition, satisfactory proo av' g been presented before me,IT IS DECREED that Letters 1 `J `n'1[Y� 121 are hereby granted to Oon r)r L-.-\(qccd in the above estate and(if applicable)that the instrutnent(s) dated AplFl� 23, ?113 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s))of Decedent. Ck-, P - egister of Wi is Ofy ON Foro,Rw-n2 rev. 1011112011 / _ Page 2 of 2 RECORDED OFFICE OF REGISTER OF WILLS ,64 AN 7 PM 8 49 LAST WILL AND TESTAMENT CLERK OF ORPHANS' COURT CUMBERLAND CO., PA BE IT REMEMBERED THAT I, DONNA B. AMIG, a resident of Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my LAST WILL AND TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. I I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. II 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 the administration of my estate. III I give and bequeath the sum of ONE THOUSAND DOLLARS ($1,000.00) to BRENDA LUTZ, per capita and the sum of ONE THOUSAND DOLLARS ($1,000.00) to DONNA L. WOOD, per capita. IV All the rest, residue and remainder of my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment I give, devise and bequeath to my grandson, MICHAEL C. STONER, per stirpes. V I nominate, constitute and appoint DONNA L. WOOD, as Executrix of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, DONNA B. AMIG, have set my hand to this LAST WILL this oe".;rg day of 2013. DONNA B. AMIG Signed, sealed, published and declared by the above-named DONNA B. AMIG, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA : ss. COUNTY OF CUMBERLAND I, DONNA B. AMIG, 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; that I signed it as my free and voluntary act for the purposes therein expressed. y ONNA B. AMIG Sworn or affirmed to and acknowledged before me by DONNA B. AMIG, Testatrix, this day of ��j , 2013. COMMONWEALTH OF PENNSYLVANIA Notarial Seal bL Susan L.Houck,Notary Public Notary Public Mechanicsburg Boro,Cumberland County My Commission Expires Dec.3,2016 MEMBER,PENNSYLVANIA ASSOCIATION OF NOTARIES AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We, ✓ and 6�the witness whose names are si ed to the attached or foregoing instrument, . being duly qualified according to la , do depose and say that we were present and saw Testatrix sign and execute the instrument as her LAST WILL, that DONNA B. AMIG 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 years of age or more, of sound mind and under no constraint or undue influence. Sworn or Affirmed to and acknowledged before me this )31 day of Fin , 2013. COMMONWEALTH OF.PENNSYLVANIA Notarial Seal Susan L.Houck,Notary Public Mechanicsburg Boro,Cumberland county My commission Expires Dec.3,22L6 Notary Public MEMBER,PENNSYLVANIA ASSOCIATION OF NOTARIES