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HomeMy WebLinkAbout01-13-14 PETITION FOR GRANT OF LETTERS REGISTER OF WII.,LS 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 Inform�tion Name: BRIAN R. POTTEIGER File No: 21-14- � �a: (Assigned by Register) a/k/a: �a; Social Security No: Date of Death: 1/3/2014 Age at death: 47 Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State)with his/her last principal residence at �7 FAIRFIELD STREET�CARLISLE 17013 SO. MIDD�ETON TWP CUMBERLANO Street address,Post Office and Zip Code City,Townahip or Borough County Decedent died at CARLISLE REG.MEDICAL CTR 17015 SO. MIDDLETON TWP CUMBERLAND PA Street address,Post Oftice aad Zip Code City,Township or Borough County State Estimate of value of decedent's property at death: If donelciled in Pennsylvania................................All personal property $ 9•���.�� If not domiciled in Pennsylvania.............................Personal property in Pennsylvania $ If not domictled in Pennsylvania.............................Personal property in County $ Value of real estate in Pennsylvania.............................................................. $ TOTAL ESTIMATED VALUE.... $ 9.000.00 Real estate in Pennsylvania situated at: N O N E (Attade additiona!slieets,if necessc�ry.) Street address,Post Office and Zip Code City,Townshlp or Borough County � A. Petition for Probate and Grant of Letters Testamentarv Petitioner(s)aver(s)he/sheJthey is/are the Executor(s)named in the last Will of the Decedent,dated 11/6/2008 and Codicil(s) thereto dated N O N E State retevant circumstances(e.g.renunci4tion,death of�recutor,etc.) Except as follows:after the execution of the instn�ment(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 bom or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated peison. � N4 EXCEPTIONS ❑EXCEPTIONS ❑ B. Petition for Grant of Letters of Administration(�f applicabte) c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritate If Administration,c.�a.or d b.n.c.xa.,enter date of Will in Section A above and comalete list of heirs. Except as follows: Decedent was not a party to a pending divorce proceeding wherein the gmunds 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. s•�a � O NO EXCEPTIONS O EXCEPTIONS 4� � � Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the foll�n�ouse(if�and��tach additional sheets,if necessary): �3 "t3 rt"'� � � � � � � Name Relationship r�'i�s C� � . --+�� -�rit � � � .� ,� .�. � � s � �� �' � � � �;. �,"' Form RW-Ol r�.�oi�lizolr Page 1 of 2 Oath of Personal Representative ot���a�use oni� ,�,: r�-� `� '� 1"�"� ��, �; � COMMONWEALTH OF PENNSYLVAI�TIA } �;, � �,,,, t,`�'"�,,,'a► � i } SS: � � � ,� c,� COUNTY OF CUMBERLAND } �� � � r,,, �n � �.. � � Petitioner(s)Printed Name Petitioner(s)Print: y''K ..� "�'1 ,..� 1524 W.TRINDLE ROAD � � � '„,,, �'s KEITH A. POTTEIGER CARLISLE � c.� P 15 �� � � � � � The Petitione�{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. Swom to o ed sc 'bed be e —�� nate / /3 � me this a�t,of ��� � Date By: Date the Register Date BOND Required: ❑ YES � NO To the Register of Wi!!s: FEES: Please enter my appearance b m ign e below: Lett ...................... �� $ Attorney Signature•, ( �)Short Certificates(s) ...... •DO ( )Renunciation(s).......... ( )Codicil(s) .............. ( )Affidavit(s)............. MURREL R.WALTERS. III Bond ......................... Printed Name: Commission .................... Supreme Court � , ID Number: 24849 ''''''''' ��b Firm Name: WATERS&GALLOWAY. PLLC ''''''''� Address: 54 E. MAIN STREET """"' MECHANICBURG PA 17055 ••••••••• Phone: 7176974650 ••••�•••• � Fa,c: 7176979395 Automation Fee ................. ` murrel _waltersgailoway.com Email: JCS Fee ....................... TOTAL ......................$ C/ DECREE OF THE REGISTER Estate of BRIAN R. POTTEIGER File No: 21-14- a/k/a: AND NOW, , � , ,in consideration of the foregoing Petition, satisfactory proof ha ' g been presented ef re me,IT IS DECREED that Letters TESTAMENTARY are here y granted to KEITH A. POTTEIGER in the above estate and(if applicable)that the instrument(s)dated 11/6/2008 described in the Petition be admitted to probate and filed of record s the last Will(and Cod' il(s))of Decedent. . Q is er of Wills Form RW-02 rev.10/11/2011 • Pa 2 ___ H105. . � . LAST WILL AND TESTAMENT BE IT REMEMBERED THAT I, BRIAN R. POTTEIGER, 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 revokix�g 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. �II I give, devise and bequeath all my property, whether real or personal, wherever situate, including a.ny property over which I may have a power of appointment, to my brother, KEITH A. POTTEIGER. IV I nominate, constitute and appoint my brother, I�EITH A. POTTEIGER, as Executor of this LAST WILL, to serve vcrithout bond. IN V�jITNESS WHEREOF, I, BRIAN �. P01'TEIGER, have set my hand to this i,AST WIi,I, this � day of /��� �j , 2008. � � .� ��" �� � � a �"` : . ,�� � M ,,,�,. ,� � BRIAN R. POTTE GER � � � � � � � :� �- a" � ` � �, � c� w ,� � � J �. �! � � U � ts�; p� � � QG � � � � d �. C� ►;W � w oc �; . �.;� r._� � e � s Signed, sealed, published and declared by the above-named �RIAN R. POTTEIGER, as and for his Last Will and Testament, in the presen �of us, who, at his request and in his presence, and in the presence of e ' other, have hereunto subscribed our names as witnesses. - . , ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA . ss. COUNTY OF CUMBERLAND . I, BRIAN R. POTTEIGER, Testator, 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. ��� �� . BRIAN R. POTTEIGER Sworn or affirmed to and acknowledged bef re me by BRIAN R. POTTEIGER, Testator, this �� day of �DU r , 2008. �"d i ' GQil�.-c- �'� � Notary Public NOTARUIL SEAt CtANE M SMItH Notary Pubifc MECHANICS6URG 80R0,CUMBERW�DCMY MY Commisaion Expiros Jun 22. 2p12 AFFIDAVIT COAIIIV�QNWEAL,TH OF PE1�IIVSYLVANIA� , ss. COUNTY OF CUMBERLAND : we, ��2f`C �. �'�/����2 �u< and CI�IQ�� ��D�UI�/Q � � 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 Testator sign and execute the instrument as his LAST WILL, that BRIAN R. POTTEIGER signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing an sight of the Testator signed the Will as witnesses; and that to the best of our owledge, the Testator was at the time 18 years of age or more, o sou d mi and under no constraint or undue influence. ? , 7 r -��� t Q� Sworn or affirme to and ac owledged before me this �� day of ��UQ.h� � , 2008. G��.- 0� � Notary Public NOTARIAI SEAL DI/WE M 8MlTH Notory PubliC AAECWWICSBURC�SC�ItO.CtJ[IA9ERtJ1t�CNiY My Commission Expirsa Jun 22. Z01�