HomeMy WebLinkAbout04-14-14 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF C u����'I1rD COilNTY,PENr;SYLVANIA
Petitioner(s) named below, ��ho is,'are 18 yea:s of a�e or older, appIy(ies) for Letters as specitied below, and in
support thereof aver(s) the :�11ow;nQ and respect:ully reqi:est(s)the grant of Letters in the appropriate form:
Decedent's Information
Name: Charl�� E: ��r/15 File No: 02 �` �5�� ���1
a/k/a: (Assigned by Register)
a/k/a:
�a� Social Security No: /
Date of Death: /�p�i , 20/�{ Age at death: 8�{
Decedent was domiciled at death in knrbu-/�md County, C.+�ns �✓�u.a rate)with hisl�e�-last
principal residence at ODD �J $ iSfG Gf�rl �
Street address, t Office and Zip Code • City, owns ' or Boroug ounty
Decedent died at L�p'iG �rt /�df �fQ� /l�CG`jMt.,ics�i�.yr„s G'�y».��� �
7
Street address,Post O[fice and Zip Code City,Township or Borough County State
Estimate of value of decedenPs property at death:
Ijdomici[ed in Pennsylvania............................ All personat property $ ,S�000�1D
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
!f irot domicifed in Pennsy[vania. ....................... Personal property in County $
Value ojrea[estate ix Pennsy[vania......................................................... $ �S dGi�-�
TOTAL ESTIMATED VALUE. ... $ �,000-eo
Real estate in Pennsylvania situated at it��0 �lC�/4/�1G/7 (�d�t�� �irl S�G�Nd�'�t ��u4�Givh r�tl�i ��[.l'N'f�Gf'7Qa'1� Yi�
(Attnch additiona!skeets,i/'necessary.) Street address, st Office and Zip Code City,Township or Borough County
�A. Petition for Probate and Grant of Letters Testamentarv
Petitioner(s)aver(s)heGskek�ey isLzr•a.ihe Executor(s)named in the last Will of the Decedent,dated ��'�,��7, �O�3 ���
thereto dated
State relevant circumstances(e.g.renunciation,dealh ojexecutor,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 estabiished 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 kilting nor ever adjudicated an incapacitated person.
�NO EXCEPTIOA'S ❑EXCEPTIONS
❑ B. Petition for Grant of Letters of Administration (If applicable)
c.t.u.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoriture
If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Will in Section A above and complete list of�rs.
�-+ �
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divS�se�1 been esta�l'ifishe��ined
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person� �o � u'a �
❑NO EXCEPTIONS �EXCEPTIONS �'*7 S c'� � � �
Petitioner(s),afrer a proper search has/have ascertained that Decedent left no Will and was survived by the follo�n�io�(if awJCjand�qjrs�tach
udditionu!sheets, iJ necessury): 4 Ch �
�' �O � �'t
!�ame Retationshi Ad sQ � '� --
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t
Form RW-01 ,-��.roi��izn�� Page 1 of 2
Oath of Personal Representative Official Use On1y
COM�[ONWEALTH OF PENNSYLVAVIA }
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COliNTY OF Cu�rn�L3Ent.,4a�p } Q
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Perriunerjs}Printed�iame � Petitioner(sj Printed Add s�7 Z1 �
o�' �• I�orn �fyD r� /2d. �' r��S/c Pi9� /?d� = r-�'- � r'�' v�
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The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are we and correct�the best of the�owle�e aq�belief
of Pecitioner(s)and that,as Personal Representative(s)of the Decedent, Petitioner(s)will we and truly administer the estate according to taw.
Sworn to or affirmed and subscribed before 1��� .iy��'' Date
me t ' / day of ri/ , ld/�( Date
By' Date
For ti�e Register Date
BOND Required:Q YES �,NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Le[ters. . ... . . .. . .. . ... ...... $ qo� Attorney Signature:
( �Q ) Short Certificate(s).... .. �
( ) Renunciation(s).. . . . .... �
( )Codicil(s). .. . ... . . . ... � �
( )Affidavit(s)... .. . . .... . / c ,
Bond.. . . . .. . . .. . .. . ... . . . .. . PrintedName: l./ll[I"fBS C. J�1Q��t$ �
Commission. . . . . . .. . . .. . .... . Supreme Court �
Other I��„ ID Number: 385/3
�h 1�Px (7'2.riP 0 .1C1 l 1..
• • . .. . . . Firm Name:
• • • ..• .. Address: Q .
. ... . . K P t?o�,s'
��
. . . .. . ..
. . . .... . Phone: ��7— �?�o—'Oi�.�9
Automation Fee. . . .. . . .. . .... . � Fax: / — _
JCS Fee. . . . . . .. . ... .. . . .. ... __��� Email: �
TOTAL. . . . . . .. . .. . . .. .. .... $ �
DECREE OF THE REGISTER
Estate of (�h�r)�g �• fl�g FileNo: 21—/�—.
a/k/a: -!
AND NOVV, ,��; in consideration of the foregoing Petition,
satisfactory proof having been esented before me,IT IS DECREED that Letters ��Cl/� n f7��.0
are hereby granted to sCp� /¢. �-/,9r✓1
� in the above estate and(if applicable) that
the instrument(s j dated__�r:/ /7, ,�O/3
described in the Petition be ad:nitted to probate and filed af recor as the la t Will(z d odicil(sj;of Decedent.
gister of VVi ls
Foi m R 44'-0? rev. f 0/I I.i201! Page 2 of 2
�
,Q1 O�� ' H105-143
Dispositlon Permii No. J REV 07/2012
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LAST WILL AND TESTAMENT OF CHARLES E. K�l'�`�' --c `� � +
C7 0 .�,-'� 3 <:.a O
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E� C �
I, CHARLES E. KING, single man, currently of 2000 Waggoner's Gap l��oa�Carlis�a„�No�i�
Middleton Township, Cumberland County, Pennsylvania, being of sound and dis�sing mind� � �
memory and understanding, do make, publish and declare this my Last Will and Testament, hereby
revoking and making void any and all prior Wills and Codicils by me at any time heretofore made.
1.
I direct the payment of all my just debts and funeral expenses as soon after my decease as the
same can conveniently be done.
2.
All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and
wheresoever situate, I give, devise, and bequeath to my nephew, SCOTT A.HORN, to his own
use and benefit absolutely.
3.
In the event, however, that my said nephew, SCOTT A.HORN, should predecease me or
die at about the same time as I die, such as from an accident or disaster common to both of us, I
give, devise and bequeath my said Estate to be distributed amongst my following named nieces
and nephews: FLOYD HORN, CONNIE HORN,MICHELLE ELLIS and LI5A HORN, who
survive me, in equal shares,per capita.
4.
It is my intention that beneficiaries named before or after the date of this Will on my life
insurance, annuities, individual retirement accounts (IRAs), in Trust for or joint bank accounts and
any other assets for which I may designate beneficiaries will receive such investments and that my
Will provisions shall not control such investments.
5.
I nominate, constitute and appoint my nephew, SCOTT A. HORN,to be the Executor of
this my Last Will and Testament. In the event that he is unable or unwilling to act as Executor, I
appoint my niece, LISA M. HORN,to be Executrix in his place and stead. I further direct that
they shall not be required to file bond or other security in the Office of the Register of Wills for
the purpose of administering my Estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this �7 day of
�Z� , A.D. 2013.
—T.
��� �° .����`�` � (SEAL)
� � CHARLES E. KING
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Page 1
Signed, sealed, published and declared by the above-named CHARLES E. KING, as and
for his Last Will and Testament, in the presence of us, who at his request and in his presence, and
in the presence of each other, have hereunto subscribed our names as witnesses.
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Page 2
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OATH OF SUBSCR�BII�G WITNESS(aES)� �° � � �; °
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REGISTER OF WILLS � � � � �,
CU m f3�N,D COUNTY, PENNSYLVANIA ; � '� � ��
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Estate of CNH���� �: k/�� , Deceased
adC.� �6ar.�.�i �•c�h�e�/a�S
�Ar'��S F �1���5 �a� ��� � ��u"' , (each) a subscribing witness to
(Prinr Name/sJ
the�Will ❑ Codicil(s)presented herewith, (each)being duly qualified according to law, depose(s) and
say(s)that she/he�.tl�e� was�e present and saw the above Testator 'T°�.�a� sign the same
- and that she/he�+� signed the same and that she/he,L�e}� signed as a witness at the request of
the Testator,L�;#a� in -�er-�his presence and in the presence of each other.
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(Signature)Ch�j'IGS C Shl�qs� (Signalure) Q�/a
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� Clo u S¢r l�c�. �
(Slreet Address) (Street Address) � C fV(���� /Q�.
lY1�E�/�icsbctr� , ��' 17o,s-� �1?tc�i4�.n;�sbHr�g, P� l7�SS°
(City.State.ZiP1 (Ciry.State,ZrP)
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Executed in Register's Office Execicted otct of Register's Office <n �.�ry o
Sworn to or affirmed and subscribed Sworn to or affirmed and subscribed a �����
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befo e me this � day before me this /��i day � � c3�
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of , �� of CL�tu�,� ,� z W���
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�������� $ �
eputy for Regis of Wi s Notary Public �
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show da[e of expiration of Notary's Commission.)
NOTE: To be talcen by Officer authorized to administer oaths. Please have present ihe orioinal or copy of instrument(s)at time of notarization.
Foi�nt R N'-03 rev. l 0.l 3.OG