HomeMy WebLinkAbout04-01-05
Register of Wills of ~ County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estateof Kenneth A. Bushey No.ell -()S;-c'iC:/{
also known as
,Deceased Social Security No.1 95 - 0 7 - 4 9 0 6
Peutioner(s) who is/are 18 years of age or older, apply(ies) for:
(COMPLETE "A" OR "B" BELOW)
(it A Probate and Grant of Letters Testamentary and aver that Petitioner(s) islare the execul!lx-named in the last Will of the
decedent, dated March 7. 2003 and codicil(s) dated N / A
( State relevant circumstances, e.g. renunciation, death of executor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution of the
documents offered for probate; was not the victim of a killing and was never adjudicated incompetent:
o B. Grant of Letters of Administration
(d.b.n.c.t.a.; pendente lite; durante absentia; durante mlnontate)
Petitioner(s) after a proper search haslhave ascertained that Decedent left no Will and was survived by the foll,owing spouse
(if any) and heirs:
I Name Relationship ') Reside/1~ .. I
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(COMPLETE IN ALL CASES:) Attach addftional sheets if necessary
Decedent was domiciled at death in
or principal residence at 1 0 0 M t .
Cllmh<>rl ann County, Pennsylvania, with hislher last family
Allen Dr.. Mechanicshur~. Cumberland County.
(list street, number, and municIpality) Upper Allen Twp.
years of age, died March 24 ,20.QL..,at Messiah Villaqe
(Location)
Decedent, then
89
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of Real Estate in Pennsylvania
situated as follows:
$800.000.00
$
$
$
'Nherefore, Petitioner(s) respectfully request(s) the probate of the last Will and CodiciI(s) presented with this Petition and the grant
of letters in the appropriate form to the undersigned:
5i lure
Typed or printed name and residence
Ste hen R Eberl 2176 Merrimac Ave.
Mechanicsburg, PA 17055
snaceNJillsPetGrantLtI2001
Oath of Personal Representative
Commonwealth of Pennsylvania
County of )(lDm
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true
and correct to the best of the knowledge and belief or Petitioner(s) and that. as personal representative(s) of the
Decedent, Petition(s) will well and truly administer he estate acc rd' to law.
Sworn to or affirmed and subscribed X
before me this 3 I &T' day of T
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~, ~ffr t~e Regi,;;:;-vvi
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o No. 01 \ - 05- 30Y
Estate of
Kenneth A. Bushey
Deceased
Social Security No.: 1 q",
AND NOW, 1i1o.JLc..'n 3\
07
4Q06
Date of Death: M;lrch ?4, 200"'
. 20 05 . in consideration
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters lOlTestamentary 0 Of Administration
are hereby granted to StAphAn R RhArJy
d,b.n.c.ta.; pendente lite; durante absentia; durante minoritate
in the above estate and that the instrument(s) dated March 7. 2003
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters.. .. .. .. .. .. $ 51.0 () . rIJ
Short Certificate(s) . ..$ .;< Lj.. , 00
Affidavits ( )....... $
Extra Pages ( ).....$
eeeiei+-. \.;S.. ,\.. .. . $ \ 5. <:J:::>
JCP Fee. . . . . . .. . ..$ i D 0 D
Renunciation. . . . . . . $
Address: 110 W C'hllrl'h st . s,,; to' 100
Dillsburg, PA 17019
Telephone: (717) 432-9666
Inventory. . . . . . . . . . .$
Automation Fee..... $ S. 00
Other.. .. .. .. . .. . . .$
i..fl14. 0-0
TOTAL. ., . . .. . $
snaceIWIllsPetGrantLV2001
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This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
P 11454'; 20
No.
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Fee for this certificate. $6.00
MAR 26 2005
Date
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COMMONWEALTH OF PENNSYLVANIA' OEPARTMENT OF HEALTH. 'IlTAl RECORDS
CERTIFICATE OF OEATH
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Wast Ifill ann ID.eslttm.ent
OF
KENNETH A. BUSHEY
BE IT REMEMBERED, that I, KENNETH A. BUSHEY, of 153
Logan Road, Dillsburg, Carroll Township, York Couhty,
Dillsburg, York County, Pennsylvania, being of sound mind,.
(
memory and understanding, do make, publish and declare this
as and for my Last Will and Testament, hereby revoking and
making null and void any and all Wills and Testaments and
writings in the nature thereof made by me at any time
heretofore.
ITEM 1:
I direct that all my just debts and funeral
expenses be paid as soon after my demise as may be
convenient.
ITEM 2:
In the event that any beneficiary shall
contest this, my Last Will and Testament, I direct that their
share shall immediately lapse.
ITEM 3:
All the rest, residue and remainder of my
estate, of whatsoever nature and wheresoever situate, whether
it be real, personal or mixed, including property over which
I have a power of appointment, I give, devise and bequeath as
follows:
(A) I give thirty percent (30%) thereof to my son,
KENNETH R. BUSHEY.
(B) I give forty percent (40%) thereof to STEPHEN R.
EBERLY and GORDON EBERLY, in equal shares, per stirpes.
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WITNESS:
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~fi~
KENNETH A. BUSHEY
(SEAL)
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,
.,
(e) I give the remaining thirty percent (30%) to KEVIN
BUSHEY, KEITH BUSHEY, KENT BUSHEY, MARGARET EBERLY and
STEPHEN R. EBERLY, JR., in queal shares, per stirpes.
ITEM 4: I direct my hereinafter named Executor to pay
all inheritance, estate, succession and legacy taxes of
whatsoever nature and kind, to which my estate or the
transfer of any property passing hereunder or otherwise
passing by reason of my demise, may be subject and to charge
such taxes against my residuary estate, it being my intention
that none of the aforesaid taxes, either federal or state, on
any property required to be included in my gross estate,
under the provisions of any state or federal law now in force
or hereafter enacted, shall be prorated among the persons
interested in my estate to whom such property is or may be
transferred or to whom any benefit accrues.
ITEM 5:
I appoint my grandson, STEPHEN R. EBERLY, as
Executor of this my Last Will and Testament.
Should my
grandson predecease me, fail to qualify, cease to act or
renounce probate, I then appoint my daughter-in-law, MARGARET
L. EBERLY, as Executrix of this my Last Will and Testament.
ITEM 6:
I direct that my Executor or his successor
shall not be required to give bond for the faithful
performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this 1-/d1 day of 1\J\.aAL.-l_ ,2003.
W~Vvt_W~
)th~ ()71H,cA-
(J(-.A;/f~,"AL
KENNETH A. BUSHEY
-2-
. . .... l
COMMONWEALTH OF PENNSYLVANIA
: SS
COUNTY OF YORK
We, KENNETH A. BUSHEY, JAN M. WILEY, ESQUIRE and
SHERIE A. MINICH,
the Testator and the witnesses
respectively, whose names are signed to the attached or
foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the Testator
signed and executed the instrument as his Last Will and
Testament and that he had signed willingly (or willingly
directed another to sign for him), and that he executed
it as his free and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the
presence and hearing of the Testator, signed this Last
will and Testament as witness and that to the best of
their knowledge the Testator was at the time eighteen
(18) years of age or older, of sound mind and under no
constraint or undue influence.
Vh,
,7'JESS
JjCL~ (jJj~~L~
pI'TNESS
Sworn to and subscribed
before me this ,-/dJ day of
.~~ ~jh
NOTARY PUBLIC
No\llrial Seal Public
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My ~ ExPuas tolay 1 ,2005
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