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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(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 j� l.�
Name: ANNA MAY BERG File No: b��' �`"I ` V I�
a/k/a: ANNA MAE BERG (Assigned by Register)
a/k/a:
a/k/a; Social Security No:
Date of Death: SEPTEMBER 14,2014 Age at death: 83
Decedent was domiciled at death in CUMBERLAND County, PRNNSYL.VAMA (srare)with his/her last
principal residence at 915 COCKLIN STREET MECHAIVICSBURG 17055 MECHArTICSBURG CUMBERLAND
Street address,Post Office and Zip Code City,TownshIp or Borough County
Decedent died at 915 COCKLIN STREET MECHArTICSBURG 17055 MECHAIVICSBURG CUMBERLAND PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
If domici[ed in Pennsylvania...................... ...... All personal property $ 10,000.00
If not domiciled in Pennsy/vania. ................ ....... Personal property in Pennsylvania $
If not do�niciled in Pennsylvania. ............. .......... Personal property in County $
Value of real estate in Pennsy/vania.......... . . .......... ......... $ 1 RO,noo.no
TOTAL ESTIMATED VALUE. ... $ 190.000.00
Real estate in Pennsylvania situated at: 915 COCKLIN STREET MECHATTICSBURG 17055 MECHAI�TICSBURG CUMBERLAND
(Attach additional sheets,if neressury.) Street addresx,Fust Office and Zip Code City,Townshi}►or Borough County
� A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated SEPTEMBER 29,2010 and Codicil(s)
thereto dated
RFl�n11�T('TATinN FnR 4i1SAl`T ANN TnHN4nN ATTA('HFI�HFRFT(� � o ^�•� � L��
State relevant circurostances(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.
Q NO EXCEPTIONS Q EXCEPTIONS
❑ B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritate
If Administration,c.t.a. or d.b.n.c.t.a.,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 establishVd as defined
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. n �
�NO EXCEPTIONS �EXCEPTIONS � � � � �
����
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following pou�(�f�ny)a�jheirs�-�it�h
additional sheets,if necessary): ":j �a �" --d a
� LL'�.t 7
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Name Relationshi AddresS.:: `
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Form RW-02 .ev. ioii�iao�� Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petirioner(s)Printed Name Petitioner(s)Printed Address
KAREN ANN GROVES 14144 FLAGSTONE TRAIL APPLE VALLEY MN 55124
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 Peritioner(s)and that,as Personal Representative(s)of the Decedent,the Petirioner(s)will well and truly administer the estate according to law.
Sworn to or affirmed d subscribed befor ���.V�Y�- l�-/lr-,.. Date �
me this�day of , 1 ' Date
�
B : � Date
r the gister Date
BOND Required: Q YES Q NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters. . . . . . . . . . . . . . . . . . . . . . $ 260.00 Attorney Signature:
( 3 ) Short Certificate(s). . . . . . 15.Q0 . �,'�
% , ..._--__
( 1 )Renunciation(s).. . . . . . . . 5.00 �' ' ;
( )Codicil(s). . . . . . . . . . . . . � '
( )Affidavit(s).. . . . . . . . . . . `�
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: �7"T A.McKNIGHT
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number: 93010 �"
WILL . . . . . . 15.00 � � � �
INVENTORY . . . . . . . . 15.00 Firm Name: IRWIN&McKMGI-I�P . �-r� rn
INH TAX RETURN . . . . . . . . 15.00 Address: T�ET � �
. • . • • • • • CARi.iSLF.,PA 1701��`� �o
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. . . . . . =: z�; -= `
717 249-2353 ' y' ``�
. . . . . . . . � �-3 "O r7 �"1
Automation Fee. . . . . . . . . . . . . . . 5.00 Fax: 717)249-6354 � -- ��
Phone: �
:�:.'z.., ��
JCS Fee. 35.50 Emaii: ..._. 1- �-.. �
. . . . . . . . . . . . . . . . . . . .
TOTAL. . . . . . . . . . . . . . . . . . . .
. $ 365.50 � --". s"' �
..- � 'rl
DECREE OF THE REGISTER
Estate of ANNA MAY BERG File No: ��" � 1 —V%��
a/k/a: �
AND NOW, ��� �C,7(�� �!� , ���� ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters TESTA1VfENTARY
' are hereby granted to KAREN ANN GROVES
in the above estate and(if applicable)that
the instrument(s)dated SEPTEMBER 29,2010
described in the Petition be admitted to probate and filed of re d as the last Will(and Codicil(s))of Decedent.
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egis er of Will� �� � �,� �'� ��,�"dl�
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Form RW-02 ,-ev. toi�iiaou Page 2 of 2
LA,�ST WILL AND TESTAMENT
of ;
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AnM � ° �a rn c�
na ay Berg � � �, �; �' �
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I ANNA MAY BERG, of Mechanicsburg, Cumberland County; Per�syl�ia, �ee�are
,, �� �
this instrument to be my Last Will and Testament, hereby expressly revQking a� W,�Il�'r�nd'
o tr, o
. c:� -n
Codicils heretofore made by me.
ONE. I direct my Executor/Executrix to pay all of my debts, funeral and
administrative expenses as soon as convenient after my decease. Furthermore, I direct that all
state, inheritance, succession and other death taxes imposed or payable by reason of my death
and interest and penalties thereon with respect to all property composing of my gross estate for
death tax purposes, whether or not such property passes under this Will, shall be paid by the
Executor/Executrix of my estate.
TWO. My Executor/Executrix may, at his/her discretion, compromise claims,
borrow money, retain property for such length of time as he/she may deem proper; lease and sell
property for such prices, on such terms, at public or private sales, as he/she may deem proper;
and invest estate property and income without restriction to legal investments unless otherwise
provided hereunder. I authorize and empower my Executor/Executrix to sell any realty and/or
personalty owned by me at my death and not specifically devised or bequeathed herein, at public
or private sale or sales and to give good and sufficient deeds and/or bills of sale therefor, in fee
simple, as I could do if living. My Executor/Executrix is authorized and empowered to engage in
��'�
any business in which I may be engaged at my death, for such period of time after my death as
seems expedient to said Executor/Executrix.
THREE. I give, devise and bequeath all of my estate of whatever nature and
wherever situate to my spouse, WILLIAM CARL BERG; providing he shall survive me by sixty
(60) days.
FOUR. Should the gift in Paragraph Three not take effect, I devise and bequeath
all of my estate of every nature and wherever situate, in equal shares, to my children, KAREN
ANN GROVES; SUSAN ANN JOHNSON; LORI ANN CROCKER and WILLIAM ALLEN
BERG, per stirpes, the child or children of any deceased child taking the share their parent would
have taken if living.
FIVE. In the event of a common disaster causing the death of myself, my spouse
and all of my children, all within a period of sixty (60) days, then I give, devise and bequeath the
rest, residue and remainder of my estate to all of my grandchildren, in equal shares, per stirpes.
SIX. I nominate and appoint my spouse, WILLIAM CARL BERG, to be the
Executor of this my Last Will and Testament. In the event he has predeceased me, failed to
qualify or is not able or does not serve for whatever reason, I then appoint my daughter, SUSAN
ANN JOHNSON, to be the Executrix of this my Last Will and Testament. In the event she has
predeceased me, failed to qualify or is not able or does not serve for whatever reason, I then
appoint my daughter, KAREN ANN GROVES to be the Executrix of this my Last Will and
Testament. In the event she has predeceased me, failed to qualify or is not ale or does not serve
for whatever reason, I then appoint my son, WILLIAM ALLEN BERG to be the Substitute
Executor of this my Last Will and Testament whereby the said Substitute Executrices and
Substitute Executor shall have the same powers as are given to the original Executrix hereunder.
2
. . __ _ _ _ . _
SEVEN. No Executor/Executrix acting hereunder shall be required to post bond or
enter security in this or any other jurisdiction.
EIGHT. No beneficiary may assign, anticipate or pledge his or her interest in any
income or principal held or distributable hereunder, and no beneficiary's creditors may levy,
attach or otherwise reach any such interest.
NINE. If any person or institution entitled to share in any distribution under the
terms of this my Last Will and Testament becomes an adverse party in any proceeding to contest
the probate of this Last Will and Testament, such person or institution shall forfeit his, her or its
entire interest inherited hereunder and all provisions in favor of such person or institution shall
be declared void and of no effect. The share of such person or institution so forfeited shall be
distributed as part of the residue pursuant to the paragraphs above except that if such person or
institution is entitled to share in the said residue, that interest shall be distributed proportionately
to the other residuary distributees.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this � day of
September, 2010.
�
(,�'/ �C� (SEAL)
ANNA MAY B G
Signed, sealed, published and declared by ANNA MAY BERG, the above-named
Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her request, in
her presence and in the presence of each other have subscribed our names as witnesses hereto.
;
�
3
ACKNOWLEDGMENT AND AFFIDA VIT
WE, ANNA MAY BERG, CHERYL L. CLELAND and MATTHEW A.
McKNIGHT, the Testatrix and witnesses respectively, whose names are signed to the 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 Testament, that she had signed
willingly, that she executed it as her free and voluntary act for the purpose herein expressed, and
that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a
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.
� �
ANNA MAY BE � , ,�
C ERY . CLELAND
�
MAT H . McKNIGHT
COMMONWEALTH OF PENNSYLVANIA :
. SS:
COUNTY OF CUMBERLAND .
Subscribed, sworn to and acknowledged before me by ANNA MAY BERG, the
Testatrix herein, and subscribed and sworn to befop�e me by CHERYL L. CLELAND and
MATTHEW A. McKNIGHT,witnesses,this a��'�day of September, 2010.
,
- �
�OMM(�NWEALTH OF PENNSYLVANIA o ary P blic
Notaria�Seal
Martha l.Noel,Notary Public
Carlisf�Boro,Cumbertand Counry
My Commission Expires Sept.18,2011
Member.Pennsylvania Association of Notaries
4
- REC���E� �FF��� 4F
09-26-2014 13�����F?&�I-1�I�t`-,�1.l�,I�IGHT LAW OFFICES +7172496354 T-946 P.002/002 F-853
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. ,, RE�TLTNCIATIU�T
RECxISTER�F WILLS
CUMBERLAND �Qi.lNTY,PENNSYLVANIA
Estaie of ANN14 M�Y BERCY,AL�O �CNOWN AS ANNA MAE BERG _ , Deceased
], SLJSAN ANN JOH�ISON , in my capaeity/relatianship as
(Pr(n1 NmneJ
EXECUTR.[X of the abave Decedent,herehy renounce tlle right to
administer the Estate of the Decedent and respectfully request that Letters be issued ta
fCAREN ANN iJR�'VES
v9 Z6 Zo � �
(vore} � (Srgrruturel
101 EAST M1�PLEWOQD AVENUE
{Slreel Address)
MECHANiCSBURG,PA 17055
(('fry,S1Qle,ZrpJ
Executed in Re�;ister's O�'fice Executed out uf Re�isfer's Df�ce
Sw�rn to or af=Firmed and subscribed Befare the undersi�ned personally appeared the
befare me this_ day parCy executin�this renur�cia.tion�rtd certified
of �„�, tha1:he or ,he executed Chc renunciflti�n for the
purposes sta ed wit in on this o( � day
of ,
Deputy for Register of Wi11s Nota lic
My Commission Expires:
(Sig�u��urc and Sc�l of Nuwry or o[her ofricial quolificd[o
administer oa[hs. 5how elote of expirution of Notary's Commission.}
coMMONw�r�oF P�sY�vau
roomnat sea�
Fonrr RN�06 rcv, 1 A,T3.�6 Keren S.Noel,Nobry Publk
Carlisk eoro,Cumbertand CountY
My Commisslon 6cpires Det.8 2015
MEMBER, NSYLVAt11A .
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRAi�T OF LETTERS
PENNSYLVANIA
;
y �F ��M _
� r.�� e�,p No. 2014- 00943 PA No. 21- 14- 0943
J� � Es ta te Of: ANNA MA Y BERG
O D �_ (First,Middle,Last1
V � a/k/a: ANNA MAE BERG r.,,
� � �
La te Of: CUMBERLAND COUNT��� � '�'� �
� m � �� � a
� �- c� -'� r.rj �
1750 nSocealeSecuri ty No: �46-24-803� '' �., � �
N ._r c.�
, ' :> �J
�' , � � �.�
WHEREAS, on the 2nd day of October 2014 an instrument d�ed-^rM r!'�
r-� -�= c�
September 29th 2010 was admitted to probate as the last .will�f � �
. w c,� o
ANNA MA Y BERG rv `�
(Fi�st,Middle,LasU
a/k/a ANNA MAE BERG
late of MECHAN/CSBURG BOROUGH, CUMBERLAND County,
who died on the 14th day of September 2014 an
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, L/SA M. GRAYSON, ESQ. , Register of Wills in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
KAREN ANN GROVES
who has duly qualified as EXECUTOR(R/X)
and has agreed to administer the estate according to law, all of which
fully appears of record in my offi ce a t CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYL VANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 2nd day of October 2014.
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� Register of�Wills
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**NOTE** ALL NAMES ABOVE APPEAR (FIR5T, MIDDLE, LAST)