HomeMy WebLinkAbout02-26-14 PETITION FOR GRANT OF LETTERS .
REGISTER OF WILLS OF 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 �,�,,/ ✓f
Name:
_,,� A��i � 1���1,°1�..�' File No: ��^ � /—� / g
��a� (Assigned by Register)
a/k/a:
�a� Social Security No: �� ��
Date of Death: �e 6. l g, �1 Age at death:
Decedent was domiciled at death in �. b � � County, �� ' (Srare)with his/her last
principal residence at 7�� d I�'��/ b �1.., J�12G`!rq►�!i GS b t/��', �170.�'S Cr b,�e�c�l/�� G�un��prt
Street address,Post Office and Zip Code City,Townsh�p or Borough County
Decedent died at �. � `(L`�'' �1�YYl �r��-Z- 1p/� �D/l � � ,bQ/Z/�¢-/I� •
Street sddress,Post ffice and Zip Code City,Township or Borough County St�tg
C
Estimate of valwe of decedent's property at death:
If domiciled in Pennsylvania............................ All personal property $
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania......................................................... $
TOTAL ESTIMATED VALUE. ... $ �D�, D-O,t9• U'd
—�
Real estate in Pennsylvania situated at:
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code C[ty,Township or Borough County
�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 Wili 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.
(�10 EXCEPTIONS ❑EXCEPTIONS
❑ B. Petition for Grant of Letters of Administration (If applicable)
c.t.c.,d.b.n.,d.b.n.c.t.a.,pendente lite,durunte absentia,durante minoritute
If Administration,c.t.a.or c�b.n.c.za.,enter date of Will in�ection A a6ove and complete list of heirs.
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divo�ce 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
=_y�
�r�: � Petitioner(s),after a�:�.^F�er search has/have ascertained that Decedent left no Will and was survived'�}•' ��<*ollowing�quse(if any)a�ieirs(attac� ,���
additionul sFreets,if necessary): �� �" �C:+�
�_�.._ -,� r-.�.��
_t._ �.,�
Name Relationshi Address ��=_s�-- � ��' ��'
,�
�:
���` � /�`'
M .. t,...'1
�` �l�
.� � •. � t.,,�
�:r
��_' �
�rT--i � `,�
Form RW-02 rev.10/I1/2011 P1ge 1 Of 2
�Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
Petitioner(s)Printed Name Petitioner(s)Printed Address
��e� s �` �� 1����,� �c�. /1�eGh�x�,�sb��e P� ��as�
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 to ffi ed ubscribed bef re f�1��a��/I ��?�ll��� Date �—o`l� '��
me thi ��y Of ��� ' Date
�
BY� Date
F e Register Date
`,,.3
� �",-:_t
.......�,.
BOND Required:�YES �NO To the Register of Wills: ��� � ��
FEES: Please enter my appearance 6y my signsl�r�:below: ��1 ��C�
�--
Lette . . . . . . .... .. .. .. .... . $ �� ��� Attorney Signature: �?� � �'"i�� �
( �liort Certificate(s)...... �� �i�`"_, ""� '
( )Renunciation(s)... . .... . C��- -.� ti�; `�.� .
� )Codicil(s). . ... . . . . . .. . �.`,`=_ --�-R _ �
C
( )Affidavit(s)... . . .. ... . . � `� •� ��
Bond.. . . . .. . . . .. . . .. .. . . . .. . Printed Name: "�'
r a�er
Commission. . . . . . . . . . .. .. ... . Supreme Court
h i . ..... . ID Number:
.. ..... � v Firm Name:
. ..... Address:
. . ..... `��
.. .. . . . Phone:
Automation Fee. .. .. . . .. . .. .. . Fax:
JCS Fee. . .. .. . . . . . . . . .. ..... Email:
TOTAL. . ... . .. . .... .. .. ... . $
DECREE OF THE REGISTER
Estate of .S File No: �/ � ^/ !
allc/a:
AND NOW, l' /� a��/ , ��� ,in co ' ration of the far going Petition,
satisfactory proof having been prese ed before me,IT IS REED that Letters
are hereby granted to �
in the above esta�e and(if applicable)that
the instrument(s)dated
described in the Petition be adm ted to probate and filed f record as e last Will(and Co 'cil(s))of Decedent.
�/m'
��
R i er of Wills
,
Form RW-02 rev.10/I1/201/
, • . . . ,
.....�y
. �� 'ua.e ��.
WILL �T� � ;���.-�
�n �' ��� �,%•; �
�. � -�� _ � c:�
F--��,_ � �...,_,;.;��
OF �`, � -.��� �
�.,�
C=?� . �_ ��':,:._
(:- � ...�.:;;, �r�.,.,�
� r-
J<. -�-.; .T..�
ANNE HARRIS `�' � �,I ���
� �� �
� -� � �.n c�
�
-,n
I, ANNE HARRIS, a!k/a ANNE A. HARRIS, currently of Upper Allen
Township, Cumberland County, Pennsylvania, declare this to be my Last Will and
Testament, hereby revoking any and all prior Wills and Codicils made by me.
I. I direct that all my just debts and funeral expenses be paid from the assets of my
estate as soon as practicable after my demise.
II. I direct that all estate and inheritance taxes that may be assessed in consequence
of my death, shall be paid out of the principal of my general estate to the same effect as if
said taxes were expenses of administration and all property includable in my taxable
estate whether or not passing under this Will shall be free and clear thereof.
III. I bequeath the sum of One Thousand Dollars ($1000) unto each of the following
individuals who survives me, namely, Julie Maconeghey, Anne Moser, Colleen Carrol,
Anne Marie Humphrey, John Coggins, William Coggins, Michael Coggins and Patricia
Letnaunchyn.
IV. All the rest, residue and remainder of my estate, of whatever nature and wherever
situate, including property over which I hold a power of appointment, I devise and
bequeath equally unto the following individuals who survive, namely, Irene Koester,
Maureen Smith, Kathie Steel, Jack Lahey and Robert Williams.
V. I appoint my niece, Maureen Smith, Executrix of this my Will. In the event that
she fails to qualify or ceaszs to act as Executrix, I appoint my niece, Patricia
Letnaunchyn, Executrix of this my Will.
VI. I direct that no bond be required of my fiduciaries for the faithful performance of
their duties in any jurisdiction.
,
_1_ _
� � � � � �
IN WITNESS WHEREOF, I, ANNE HARRIS, herewith set my hand to this my
Last Will, typewritten on two 2) sheets of paper including the attestation clause and
signatures of witnesses, this day of ��,�,lo�, 2009.
(SEAL)
AN1�TE HARRIS
Signed by ANNE HARRIS, by her declared to be her Will in our presence, who
have e eunto subscribed our names as witnesses in her presence and at her request,
this day of �t , 2009.
� residing at ` , ,
.�— .
residing at - -
�
_2_
� � r ! .
f ' �
CONiMONWEALTH OF PENNSYLVANIA :
COUNTY OF LEBANON :
� /'�S'
WE ANNE H[ARRIS GERALD J. BRINSER and �� �� ��
> > �
�
the testatrix and the witnesses, respectively, whose names ar igned to the attached or
foregoing instrument, being first duly affirmed, do hereby declare to the undersigned
authority that the testatrix signed and executed the instrument as her Last Will and that
she signed willingly (or willingly directed another to sign for her), and that she executed
it as her free and voluntary act for the purposes therein expressed, and that each of the
witnesses, in the presence and hearing of the testatrix, signed the Will as witnesses and
that to the best of our knowledge the testatrix was at that time eighteen years of age or
older, of sound mind and under no constraint or undue influence.
ANNE HARRIS
�
WITNESS
SS
Subscribed, sworn or affirmed and acknowledged before me by ANNE HARRIS,
the testatrix, GERALD J. BRINSER and f�Gt� �� '�-fc�'s ,
witnesses this � da of 2009. �
� Y �
AL)
otary Public
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
VYENDY L,CRAWFORD,Notary Public
Palmyra Boro.,Lebanon County
M Commission E 'res Se tember 10,2�9
-3-