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Home My WebLink About02-24-14 PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF ��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: � File No: �� '�� al�a� (Assigned by Register) ^ alk/a: � �a� Social security No: �� '�� Date of Death: Q��}�=,�L Age at death: __��',Q,�� Decedent was domiciled at death in /1�.� County,�¢�'��i(�1.�itll/�`(Srare)with his/her last principal residence at _ 1.,�� /U', /��q-7" � � C�l SG� /�/I2-�S Street address,Post Office and Zip Code City,Township or Borough County Decedent died at l�Z- /�� .' ��i� �.�—. Street address,Post Oftice and Zip Code City,Township or Borough County State Estimate of value of decedent's property at death: If domiclled in Pennsylvania............................ All personal property • $ If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $ If not domiciled in Pennsylvania. ....................... Personal propetty in County $ Value of real estate in Pennsylvania........................................................ $ TOTAL ESTIMATED VALUE. ... $ ,/'O� D'a'a Real estate in Pennsylvania situated at: l3�- /�► �!`�T sT, ��y�i�.Ll�'� (Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County �J A. Petition for Probate and Grant of Letters Testamentarv Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Wiil of the Decedent,dated ��-�%-/U 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 (lf applicable) c.t.u.,d.b.n.,d.b.n.c.t.u.,pendente lite,durunte absentia,durante minoritute If Administration,c.t.a.or d.b.n.c.�a.,enter date of'v�Vill 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),a�er a proper search has/have ascertained that Decedent left no Will and was survit��L by the following spouse(if any)�,d heirs(att�ch C� � udditionu!sheets,if'necessary): _.,... � -,c`" �� Name �Relationshi Addres�� .__. � �..-' ?� �� N �;� r--�' ' �. y� ` - �_,. -} ��- ..� --,�;� � _ , fJ� � �;r> ._.� � � Form RW-02 rev.1�/I1/2011 PSge 1 Of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF C3+��/g } Petitioner(s)Printed Name Petitioner(s)Printed Address �� . C�zc.B�T `�3 0 ��,d�t-�2, � �Ud ,Po� .�- !� � 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 Dece ent,the Petitioner(s)will well and truly administer the estate according to law. Sworn to o irmed a ubscribed before � Date ��'�� me th' ��a of Q , l - Date �� By: Date F e Register � Date BOND Required:Q YES Q NO To the Register of Wills: FEES: Please enter my appearance by my signature below: 0 Lett s.. ..... . . .. . . .. .. ... .. $ �� Attorney Signature: ( �i)Short Certificate(s).... . . '�O "°°-' � �a ( )Renunciation(s)......... �"' ( )Codicil(s). . . . . . . . ..... �� T rn � )Affidavit(s).. ... .. ... .. '��'�;.: � c;? .� Bond... . . .. . . . . .. . .. . . . . . .. . Printed Name: ��i t''� `-� Commission. . .. . . . . . . . . .... . . Supreme Court ��'% '' � O h r, . . . .. .. O ID Number: �� `� ` � .. ... .. Q�T ', .:�,.:� . . ... .. 0 Firm Name: ' � � ��=` � t . . ... .. ` Address: 3> p �n C3 .. .. . .. Phone: Automation Fee. . . .. . . . . .. ... . � Fax: JCS Fee. ... .. .. ... . .. .. ... . . ' Email: TOTAL. . ... . . . . . . . . .. ...... $ � DECREE OF THE REGISTER Estate o �• I � File No: I�� -�L,o _� a/k/a: - � AND NOW, , �� ,in consideration of the forego'ng Petition, satisfactory proof having been presente b ore me,IT IS CREED th Lette s . are hereby granted to in the above estate and(if appli�ablej that the instrurnent(s)dated described in the Petition be ad tted to probate and filed of re ord as the last Will( n Codicil(s))of Decedent. � � /, e ister of Wills Forn:RW-O2 rev.loir�izn�i Page 2 0 2 �, : ._. __ _______ ___ ___ __ _ _ _._ _ _ _____ ____ __ ___.__ __ ,_ , . � . . .,... . ��P�II ____- ` . � , � . � . , ` , . ' �C/� � 'v_ � � r- - .� �.�c�t �tYr �cncb �e�tacmc��ct �.��f _, ,� �.� '� , � ':�r.�.,-, , ' �..�s' _' � "_�C..� " �..�',,::.'�� -' . , ,��-7�- �. �r� � of �� _ �_ w � :..,� �;..:i _ �.t _ � _.. cv _ ._..� _ _�.:. � _z��.. �:�� , �:=� ..��-; � �.n C�� R�,.� �� , � �'-::� � �� .tn��erYp ��.�e �.e�t�er � . �� f:.�- ; ��-� _.�.; I, KIMBERLY ANNE MENTZER, of the County of Cumberland and Commonwealth of Pennsylvania,being of sound mind and memory, do make,publish and declare this to be my Last Will and Testament, hereby revoking and declaring null and void any and all Wills or Codicils by me at any time heretofore made. FIRST: I direct my Executrix to pay the expenses of my last illness and funeral from the residue of my Estate. SECOND: I direct that all Esta.te,Inheritance and other death taxes that may be assessed with respect to property or interest passing under my Will by whatever jurisdiction imposed, sha11 be paid from my residuary Estate as a part of the expense of the administration of my Estate. THIRD: I give all tangible personal property owned by me at my death and a11 insurance polieies on such property as follows: A. To my stepmother, SUE ELLEN GILBERT, if he survives me by thirty(30) days. B. If SUE ELLEN fails to so survive me, then to my brother, EDWARD ALAN GILBERT,if EDWARD survives me by thirty(30)days. C. SUE ELLEN or EDWARD,whoever sha11 receive my tangible items pursuant Page 1 of 5 ' ' . � , , , , to this Paragraph THIRD,may,but is in no way required, to distribute any such items to my siblings as he or she sees fit in his or her sole discretion. D. Any items not so disposed of shall be sold and the proceeds distributed as part of the residue of my Estate as provided for herein. FOURTH: I give the residue of my Estate as follows: A. To my stepmother, SUE ELLEN GILBERT, if she survives me by thirty (30)days. B. If SUE ELLEN fails to so survive me,then I give the residue of my Estate to my brother,EDWARD ALAN GILBERT,if EDWARD survives me by thirty(30)days. C. SUE ELLEN or EDWARD, whoever sha11 receive the residue of my Estate pursuant to this Paragraph FOURTH, may, but is in no way required, to distribute any portion of the residue to my siblings as he or she sees fit in his or her sole discretion. FIFTH: All principal and income shall be free from anticipation, assignment,pledge or obligation of beneficiaries or remaindermen and, while in the hands of my Executrix the same shall not be liable to any levy,atta.chment or execution. SIXTH: I name and appoint STJE ELLEN GILBERT to serve as Executrix of this, my Last Will and Testament, to serve without bond in any jurisdiction in which she may act. In the event that SUE ELLEN is unable or unwilling to act as Executrix, then I name and appoint EDWARD ALAN GILBERT to serve as Alternate Executor, also to serve without bond in any jurisdiction in which he may act. Page 2 of 5 ' ' . , , . • ` SEVENTH: My Executrix and her successors shall have the following powers with regard to the assets and liabilities of my Estate: to retain my investments, invest and reinvest in legal investments, sell,grant options for sale or otherwise convert any real or personal property or interest therein and to deliver good conveyances for the same,borrow money and secure its repayment by mortgage,pledge or otherwise, compromise claims, make distributions in cash or kind or partly in each, lease real esta.te and other property,file any tax or gift tax returns that may be due on my behalf,retain such agents,accountants, or other advisors and compensate the same from estate assets, associate with them a corporate fiduciary with fiduciary powers in the Commonwealth of Pennsylvania, delegate to said corporate fiduciary the exercise of any powers, exercise all other acts and �hings necessary or appropriate in the management, administration and distribution of my Esta.te and exercise any other powers granted to personal representatives pursuant to the applicable laws of the Commonwealth of Pennsylvania, including but not limited to those enumerated in Chapter 33 B and C of the Pennsylvania Probate, Estates and Fiduciaries Code,20 P.S. §§3311-3360. EIGHTH: Words used in the singular may be read to include the plural or the plural may be read as the singular. Similarly,the masculine form may be read to include the feminine and neuter; the feminine may be read to include the masculine and neuter; and the neuter may be read to include the Page 3 of 5 � � . . , , , masculine and feminine. . IN WI'TNESS WHEREOF, I have hereunto set my hand and seal this day of ,20�• (Signature) RLY ENTZ Signed, sealed and published and declared by KIMBERLY ANNE MENTZER, the Testatrix above-named, as and for her Will, in the presence of us, who, at her request, in her presence and in the presence of each other,have hereunto subscribed our names as witnesses hereto. WITNESSES: Signature: . Signature: � Print Name: • Q,,y� Print Name: �� /1� '7 �-. - Address: s V O V �� Address: �S� ^ . � r I�' , r �--1�s(o G /�0/3 Page4of5 ' ', . , � , ACKNOWLEDGEMENT COMMONWE TH OF PENNSYLV IA COUNTY OF I, KIMBERLY ANNE MENTZER, the Testatrix, whose name is signed to the atta.ched 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 that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Swom to or aff'irmed d acknowledged before me by KIMBERLY ANNE NTZER, the Testa.trix,this��day of of 20�. 1' F P N Y V A Y E�' R(Signature) NOTARIAl.3EAL � DARCIE A.NEIL,Nate►ry Publb Boro of Cartiels,Cumbur��ntl County MY C�'w'''Exp�'N°v u��01� (Signature of Notary Public) (Sea1 of Notary Public) AFFIDAVIT COMMONWE TH OF ENN YLVAN COUNTY OF We, L d e witnesses whose names are signed to the attac ed or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testa.trix 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 Testa.trix 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 un no constraint or undue influence. S orn to r affirmed and subscribed to before me by �� ► ��'j�ZQf�ind 'tnesses,this �L day of ,20 (} . 0 . � wltlleSS ignature) . W1tT1eSS ' ture `� NGl"ARIAL��AL OARCl�A.N�IL,Ntro�ry puWic �r�0 tli��1'li�,GutTttt�erl�lnd Courtty ��'�""�•�� (Si o o Public) (Sea1 of Notary Public) � Page 5 of 5