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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/are 18 years of age or older, apply(ics) 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: HENRY LINE File No:
a/k& (Assigned by Register)
a/k/a:
a/c/a: Social Security No:
Date of Death: 02/25/2014 Age at death: 99
Decedent was domiciled at death in Cumberland County, Pennsylvania (state)with his/her last
principal residence at 283 Old Stone House Road S Monroe Township Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 283 Old Stone House Road S Monroe Township Cumberland PA
Street address,Post Office and 7ip Code City,Township or Borough County
State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania... .. . .. ... .. .. ... . .. . .. ... . All personal property s 31.697.10
If not domiciled in Pe nnsy lvania. ... ... .. . .. .. ... ... ... . Personal property in Pennsylvania $
If not domiciled in Pennsy lvania. .. ... .. ... . .. ... ... ... . Personal property in County s
Value of real estate in Pe nnsylvania... ... ... .. . .. ... . .. ... ... . .... ... ... ... ... ..... .... ..... S
TOTAL ESTIMATED VALUE. . .. S 31.697 10
Real estate in Pennsylvania situated at:
(Attach additional sheets,ifnecessary.) Street address,Post Office and 7ip Code City,Township or Borough . - County
® A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s)aver(s)helshe/they is/are the Executor(s)named in the last Will of the Decedent,dated 8/712013 and Codicil(s)
thereto dated
State relevant circumstances(e.g.renunciation,death of executor,etc)
Exceptasfollows: 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
Ml B. Petition for Grant of Letters of Administration Of applicable)
c.l.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durance absentia,durame minoritate
If Administration,eta or db.n.cta.,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(if any)and heirs(attach
additional sheets, ifnecersory): ry
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Form RW-02 rev. 1011112011 Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Peggy Sue Soutner 283 Old Stone House Road S Mechanicsburg,PA 17055 ti
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The Petitioner(s)above-named swear(s)or affrnn(s)the statements in the foregoing Petition are true and correct to the$esrpf6e knMOedg�atigelief
of Petitioner(s)and that,as Personal Representative(s)of the Decedent trt ie iHOnet s)will well and truly adminisOtglestafe ac;4dingW 10.
Sworn to or affirmed and subscribed before e ate
me jl�s)t{ day of�Cl�_ � °— r /Cn
By. D .� Date =_
BY�Tl�1 CP >��'{,1/LQ/L�CC-.t1 Date
For the Register Date
BOND Required: ® YES Q"N'O To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ 90.00 Attorney Signature:
( 1 ) Short Certifieate(s).. . . . . 5.00
( )Renunciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . . . . . .
( ) Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . riot d Name: James Lewis Proctor, .
Commission. . . . . . . . . . . . . . . . . . S me Court
Other . . . . . . . . ID Number: 312202
Inheritance Tax . . . . . . . . 15.00
Inventory . . . . . . . . 15.00 Firm Name: James Proctor Law Office,LLC
Will . . . . . . . . 15.00 Address: 35_East high Street Suite 202
• . . . Carlisle PA 17013
. . . . . Phone: 717-559-0123
Automation Fee. . . . . . . . . . . . . . . 5.00 Fax: 717-831-1579
JCS Fee. . . . . . . . . . . . . . . . . . . . . 23.50 Email: le°al(a��amrGprnetnrlaw rnm
TOTAL. . . . . . . . . . . . . . . . . . . . . $ 168.50
DECREE OF THE REGISTER 2 r�
Estate of HENRY LINE File No: 2 ( (LI 1 _ 7 ` q
a/k/a: (�
AND NOW, T J<I fin in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters T_7e&-(o rn
are hereby granted to J au ' t;LA SCI I+r\O f
in the above estate and(if applicable)that
the instrument(s) dated - 7 _ 20t4
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent.
egister of Wills
/ Page 2 of 2
CeLM
Form RW-01 rev.10/1//10/1
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LAST WILL AND TESTAMENT
OF
HENRY LINE
I, Henry Line,a resident of Cumberland County, Pennsylvania, make this my Will. I hereby revoke
any other Wills or Codicils made by me.
ARTICLE I. DISTRIBUTION OF MY ESTATE
A. I give such items of my tangible personal property as are designated in a separate writing
signed by me which refers to this will to the individual[s] named therein who survive me.
B. I give the balance of my tangible personal property to my spouse, Constance Bentley
Line, if my spouse survives me. If my spouse does not survive me, 1 give my tangible personal property to
my daughter, Peggy Sue Soutner.
C. I give the residue of my estate to my spouse, Constance Bentley Line, if my spouse
survives me, and if not to my daughter, Peggy Sue Soutner.
ARTICLE II. PAYMENT OF EXPENSES AND OTHER CHARGES
The estate, inheritance, and similar taxes attributable to my death on assets passing under this
Will shall be paid from the residue of my estate.
ARTICLE 111. APPOINTMENT OF FIDUCIARIES AND POWERS
A. I name Peggy Sue Soutner as my Executrix. Should Peggy Sue Soutner fail or cease to
act, I name Linda Ann Goetz as Executrix in Peggy Sue Soutner's place. I request that no security be
required of any Executor or Executrix.
Executed on -7 . 2013. t
A
Henry Line
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SELF-PROVING WILL AFFIDAVIT FORM
IN WITNESS WHEREOF, I have hereunto subscribed my name.
2� � 5�- 7 - 2013
Henry Line Date
In our presence, Henry Line signed this instrument and declared it to be his will, and we, at his
request, in his presence, and in the presence of each other, have signed it as witnesses.
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Signature / ---- Date
Print Name Address
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Signat /e // / / �> Date
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Print Name Address 7o.:0,
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ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND:
I, Henry Line, 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 willingly; and that I signed it as my free and voluntary act for the purposes
therein expressed.
Hen it e
Swom or affirmed to and acknowledged before me by Henry Line, Testator, on
r"U9<1P 17 2013.
�\ COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Notary Public Denise L.Beecher,Notary Public
Carlisle Boro,Cumberland county
MY Commission Expires Jan.27,2015
MEMBER,FENNSYLVANIA ASSOCIATION OF NOTARIES
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND:
We, 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 he 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 and sight of Testator signed the will as
witnesses; and that to the best of our knowledge Testator was at the time 18 or more years of age, of
sound mind,�and under no constraint or undue influence.
Signature V Print Name
r leer a ! cJu,rti� c�r
Sir9drb Print'Name
Sworn or affirmed to and subscribed to before me by the witnesses on�, 2013.
Notaky Public
L91i OP PENNSYLVANIA
Notanal Seal
Denise L.Beecher,Nota
Cadkk eoro,Cumberland Public
MV Commission Ezplrea)an.2u p 5
MEMBER,FENHSYLVANLI ASSOQA7IO14 OF NOTARIES