HomeMy WebLinkAbout01-16-14 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF__0 it OA o,,Jam I 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 respectfiilly request(s)the grant of Letters in the appropriate form:
Decedent's Information
Name: -J o S S 1e. File No:
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: cy,�tc-a�v H °! , 7U 1 Age at death: Q s
Decedent was domiciled at death in County, C Urn v tot.O d- (State)with his/her last
principal residence at D
Street address,Post Office and Zip Code IrV0V City ownshi or t Count 7 Q(3
Decedent died at aaltdis.412 KeAivlill MCA42 P/v tv� '
Street address,Post Off a and Zip Code City,Towns kip or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania............................ All personal property $ 2—6, 0 00, 0 O
ff not domiciled in Pennsy lvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsy lvania. ....................... Personal property in County $
Value of real estate in Pennsylvania......................................................... $
TOTAL ESTIMATED VALUE. ... $,l/ 7hl, 0170 - 100
A —T
Real estate in Pennsylvania situated at: N 4
(Attach additional sheets,ifnecessary) Street address,Post Office and Zip Code City,Township or Borough County
2 A. Petition for Probate and Grant of Letters Testamentary 1
tTI n
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated M2a t ( Cl-ig S u'>anCCodicil(s)
thereto dated ' U>
State relevant circumstances(e.g.renunciation,death of executor,et
C3
Except as follows: after the execution of the instruments)offered for probate Decedent-did not marry,was dgor��,wasa�t a partry to ending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g)'jand)did rt�tave hi} OM or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. T �, >rn( ENO EXCEPTIONS ❑EXCEPTIONS C:) r_ Q
^t7
❑ B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,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.
❑NO EXCEPTIONS ❑EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(ifany)and heirs(attach
additional sheets, if necessary):
Name Relationship Address
Fora,Rw-n2 rev.In/1112011 Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
Petitioner(s)Printed Name 1 Petitioner(s)Printed Address
'I t ,(/t A- 12--
1
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)ofpial ece it,the Petitioner(s)will well and truly administer the estate according to law.
Sworn to or affirmed nd subscribed befor _ �,,, J Date / — / ——2.o i L/
me this (��day of "o Date
BY: Date
For the Register Date
BOND Required:Q YES ENO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ M Attorney Signature:
( '3 ) Short Certificate(s).. . . . . 1 55, 00 G'?
( ) Renunciation(s).. . . . . . . . p c_ M n
( )Codicil(s). . . . . . . . . . . . . _ -- Q
( ) Affidavit(s).. . . . . . . . . . . l�1 =r n
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: m �
Commission. . . . . . . . . . . . . . . . . . Supreme Court (n
Other WiI . . . . . . . . Acc oo ID Number: =D
tnyeyw� . . . . . . . . is, co
r)V1 tn"t rtlxx r'1r1• • 15.oO Firm Name: M'
. . . . . . . . Address: —I ►"
3,.
. . . . . . . . Phone:
Automation Fee. . . . . . . . . . . . . . . 5,d0 Fax:
JCS Fee. . . . . . . . . .. . . . . . . . . . . 23.50 Email:
TOTAL. . . . . . . . . . . . . . . . . . . . . $ I'l g•50
DECREE OF THE REGISTER
Estate of �► e JCL l I File No:-3i 14
a/k/a:
AND NOW, VI ria c au 4 , in consideration of the foregoing Petition,
satisfactory proof v' g been pr se6led before me,IT IS DECREED that LettersjYy1t�►,(r2.�
are hereby granted to &-)n Yl -. .W p►' f Y�
in the above estate and(if applicable)that
the instrument(s)dated p1�.�t�"t' 0O0, VQ�
described in the Petition be ad itted to probate and filed of record as the last Will(and Codicil(s))of Decedent.
CL" &a)�
R ter of W is ky
Form RW-02 rev. 1011112011 Page 2 of 2
LAST WILL AND TESTAMENT OF JESSIE G. CARROLL _ � r
rn c->
M �� z
_ G•
I, JESSIE G. CARROLL, of the Township o=PaPPviS4,
County of York and State of Pennsylvania, being of Q)cs&nd and ==
disposing mind, memory and understanding, do make, 'ublishcr ndn o
declare this my Last Will and Testament, hereby revoking and
making void all former Wills by me at any time heretofore
made.
1.
I direct the payment of all my just debts and funeral
expenses as soon as conveniently may be after my .decease.
2.
All the rest, residue and remainder of my estate,
real, personal and mixed, of whatsoever nature and wheresoever
situate, I give, devise and bequeath to my husband, JOSEPH
CARROLL, absolutely and in fee simple.
3.
In the event my husband should predecease me or die
within thirty (30) days of my death, then I give, devise and
bequeath my entire estate, in. equal shares, to my children.
4.
LASTLY, I nominate, constitute and appoint my husband,
JOSEPH CARROLL, to be the Executor of this, my Last Will and
Testament, and in the event he should predecease me or for any
other reason be unwilling or unable to act as such Executor, I
nominate, constitute and appoint my daughter, JOAN E. WONDERS,
to be the Executrix in his place and stead; and if she should
also predecease me or for any other reason is unable or
unwilling to serve as such, I nominate, .constitute and ap-
point my son, STEPHEN J. CARROLL, to be the Executor in
her place and stead.
IN WITNESS WHEREOF, I. have hereunto set my hand
and seal this �� %� day of August, A. D. 1985.
/
(SEAL)
i Jessie � "Oarro
Signed, sealed, published and declared, by the
i
ablve-named JESSIE G, CARROLL, 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.
t
�j
� f
t
i
i
-2-
OATH OF NON-SUBSCRIBING WITNESSES)
(�� RE ISTER OF WILLS
w �M COUNTY, PENNSYLVANIA
Estate of oz g's i e- G. c._,r-v C 1. , Deceased
v o a V) 1,� cryd e-v 5 and L o.��Q tens
(each) being duly qualified according to law, depose(s) and say(s)that 0/he'/they was/were well-
acquainted with --j C9 s S 1 C-�;, C C;k�vv and am/are familiar
with the handwriting and signature of the decedent, and that the signature of I- ,2,fsr'e- Cj .
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
is in his/her own proper handwriting.
(Signat e) (Signature)
(Street Address) (Street Address)
1-200-1 -
(City,State,Zip) (City,State,Zi
Executed in Register's Office C= rn
c_ M �
Sworn to or affirmed and subscribed rn ' cry
before me this I(Dm day r_ M ; C rn
3, (nX
of -1
� -TJ
CD F
C,3 u)
Deputy for R gist r of Wills
Form RW-04 rev. 10.13.06