HomeMy WebLinkAbout04-04-2005
Estate of Theo B. Bolan
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
No. J.. I\. - I\:) S - "3 \S
To:_
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
J...~~ - ~~. <0 S~ \ , Deceased.
Social Security No. 204-03-6591
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and that
executor named in the last will of the above decedent, dated April 30,
2003 and codicils(s) dated N/A
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland County, Pennsylvania,
with ~(last family or principal residence at 824 Lisburn Road, Camp
Hill, PA, Lower Allen Township.
(list street, number, township or borough)
Decedent, then 90 years of age, died March 19, 2005, at Lower Allen
Township, Cumberland County, PA.
Except as follows, decedent did not marry, was not divorce and did
not have a child born or adopted after execution of the will offered for
probate; was not the victim of a killing and was never adj udicated
incompetent:
Decedent at death owned property with estimated values as follows:
(If domiciled in PA.) All personal property
(If not domiciled in PA.) Personal property in PA
(If not domiciled in PA.) Personal Property in County
Value of real estate in Pennsylvania
si tuated as follows: _NONE
$130,000.00
$
$
Wherefore, petitioner(s) respectfully request(s) the probate of the
last will and codicil(s) presented herewith and the grant of letters
testamentary thereon. )( ~ e ~
RECORDED - OFFICE OF Lee C. Bolan
REGISTER OF WILLS 1A Schoolhouse Road
2005 APRIL 4 Duncannon, PA 17020
~s'<-
Cumberland County P A
ence(s) of petitioner(s)
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND ss
The petitioner(s) above-named swear(s) or affir~(s) that 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 above
decedent petitioner(s) will well and truly administer the estate according to
law.
Sworn to or affirmed and subscribed
before me this '-\ H, day of ~~Q',-
2005.
~~i~~ ~~~~\
~~. \(~) ~~ \)~
'X ~ L? &-?---
Lee C. Bolan
(Signatures)
No. J... \ -~ S - ~\S
Estate of
\~~'=> ~, ~~\'.:~N
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~ ~'(.\\ '-\ "":l.... ~~ S ....~ _. in consideration of the petition on
.. \ ~.
t..J.:ie reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated ~'~\L:.~ ~~~ 3
described therein be admitted to probate and filed of record as the last will of
\~<<~ ~. ~~I...~~
and Letters .......;;:~~ ~ Y\ ~~ ~ .~ '\
are hereby granted to . \.. '"-<Co ~. ~ ~ \... f:o. ~
FEES
Probate, Letters, Etc. ......... $ j..<a~
Short Certificates( s) . . . . . . . . .. $ ",)..~
RfntIR~iath~a . .~>~~. . . . . . . " $ \ S
-:s~~ ~ ~~~ ~"t~ $ \ S
TOTAL _ $ 3.\~
Filed ....':\. :-~.-:~~....................
~~ ~~ ~4)
Register of Willi ......t\'*.~
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ATTORNEY (Sup. Ct. 1.D. No.)
c..J...~ ~ ."3.~ ~Q ~,. ~~"'\ ~\\.(
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ADDRESS
~\'\- ~"" S - "'J....~\J,~
PHONE
RECORDED - OFFICE OF
REGISTER OF WILLS
2005 APRIL 4
';,,).:...S "-
Cumberland County P A
~
HI05.805 REV 1105 "l \ - () S _ ~ \ S
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.
Fee for this certificate, $6.00
No.
~ J?; ~44l7-
Local Registrar
p
11335962
MAR :2:2 2005
Date
RECORDED - OFFICE OF
REGISTER OF WILLS
2005 APRIL 4
q...S '<-.
Cumberland County P A
; 43 Rev. 2/87
COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS
CERTIFICATE OF DEATH
SEX
STAI'EFllE~
SOCiAl seCuRITY NUMBER
DATE OF DEATH ,Mcnh. 0..,. ....,}
90 VIO.
COUNTY OF DERH
DATE OF IIIRTH
',MonIh. o.v, '...
December 3,
.. 1914
aTY. BOAO. TWP OF DEATH
z. FEMALE .. 204 - 03 6591
PlACE '" DEATH 1CN!ck Of"tyQl'le - 'iN If'lSllucl.OnS an ""- __
HOSl'llAL;
Harrisburg, PA _0
~ k
FACl.nv NAME (If noc .....1Uhon. gwe SCteet and number.
.. March 19, 2005
IIIRTHP\.ACE lCOIy"'"
Slate Of fct8ql Country)
~o
Lower Allen Twp.
~. k
IONOOF IlUSlNESS/lHDUSTRV
The Woods at Cedar Run
RACE.____.....
~
NUl DECEDENT EVER IN
U.S. ARMED FORCES?
...0 No~
~
... 12 (1)12)
Pennsylvania
white
_SI'OUSE
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Cumberland
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DECEDENT'S
ACTWlL
RESIDENCE
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17088
IC.
D.MIIT': e_...._injutIoo..__
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c. md-('...~it~- .
DUE 10 " OUENCE OF):
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DUE 10 lOA AS" CONSEllUENCE OF):
DUE 10 lOA AS" CONSEQUENCE OF):
_ AU10PSY FINOINGS
-....u: ...-10
CClY'LETlOH OF CAUSE
Of' 0ERH1
_ROf DEATH
DATE OF INJURV
_.Ocy.-l
TIME OF WJURY
INJURV Itr WORK?
IlESCIlIIlE HOWINJURY~D.
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.CEIIT~ PHYSICIAIlI (PhysoanC8flltv'ng cauM~ dnIh Illlt'8I" anor.. physc:oan has pronounced dealh ana complellld Item 23)
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To......... of.., knowledge. duIft occurred.. the.... .... and piece. and due. the CIIuM(e) and mann.r.. .".eeI.. . . . . . . . . . . . . . . . . . . . . . . . .
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LAST WILL AND TESTAMENT
RECORDED - OFFICE OF
REGISTER OF WILLS
q..S~ 2005 APRIL 4
Cumberland County P A
OF
THEa B. BOLAN
I, Theo B. Bolan, of 824 Lisburn Road, Apt. 612, Camp Hill,
Cumberland County, Pennsylvania, being of sound and disposing
mind, memory and understanding, do make, publish and declare this
to be my Last Will and Testament, hereby revoking all Wills and
codicils heretofore made by me.
ITEM I.
I direct that all my debts and funeral expenses, including my
cemetery lot and gravemarker and all expenses of my last illness,
shall be paid from my residuary estate as soon as practicable
after my death as part of the expense of the administration of my
estate.
ITEM II. I make the following specific bequest:
A. To Lisa Bolan, Staci Bolan and Amy Gustafson,
$2,000.00 each.
B. To Amy Gustafson, IN TRUST for, Alexis Snyder,
I give the sum of $2,000.00 payable to Alexis at
majority.
ITEM III. I devise and bequeath all rest, residue and
remainder of my estate of every nature and wherever situate to my
sons, Vance C. Bolan and Lee C. Bolan, or the survivor of them.
ITEM IV. I direct that any and all Inheritance, Estate and
Transfer taxes imposed upon my estate passing under my will or
1
otherwise, shall be paid out of the principal of my residual
estate.
ITEM V. I appoint my son, Lee C. Bolan, Executor of this my
Last Will and Testament. In the event of his renunciation, death,
resignation or inability to act for any reason whatsoever, I
appoint my son, Vance C. Bolan, Executor of this my Last Will and
Testament. I relieve my Executor from the necessity of posting
security in connection with his duties as such in any jurisdiction
in which he may be called upon to act.
IN WITNESS WHEREOF, I have hereunto set my hand to this my
Last Will and Testament, which consists of two pages, to each of
which I have affixed my signature this ~~ay of April, two
thousand and three (2003).
~D ~ ' YJJCtNL
Theo B. Bolan
2
We, Theo B. Bolan, and
Mary A. f;i'fu O/S5,'I\<v'
(J
respectively, whose names are signed to the attached or foregoing
instrument, being first duly sworn, do hereby declare to the
undersigned authority that the testatrix signed and executed the
instrument as her Last will and that she had signed willingly, 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 witness
and that to the best of their knowledge the testatrix was at that
time eighteen years of age or older, of sound mind and under no
constraint or undue influence.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss
the
kClrell L. }CD e./l'jS be-r-J-' and
testatrix and the witnesses
Subscribed and sworn to and acknowledged
before me by Theo B. Bolan, Testatrix
and subscribed and sworn to and acknowledged
before me by Kclr-e,t'l L. K ot:J1.A~ be~ ' and
f}'I~y A. Gi1;([ Q"':6tItW,,( , wi tn sse this
30 day of Apri , 2~03.
~O.~~
Nota Public
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