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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
Name: Elizabeth Bulota File No:
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: July 3,2014 Age at death: 90
Decedent was domiciled at death in Cumberland County, Pennsylvania (State)with his/her last
principal residence at 325 Wesley Drive,Suite 3105 Mechanicsburg,Pennsylvania 17055 Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 325 Wesley Drive,Suite 3105 Mechanicsburg,Pennsylvania 17055 Cumberland Pennsylvania
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania.............. .............. All personal property $ 800,000.00
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania.................................................... ..... $
TOTAL ESTIMATED VALUE. ... $ 800,000.00
Real estate in Pennsylvania situated at:
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township 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 April 14,2003 and Codicil(s)
thereto dated JanuM 16,2007,August 17,2010 and August 17,2012.
State relevant circumstances(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.
NO EXCEPTIONS ®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.ta.,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 1
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. �y
0 NO EXCEPTIONS 0 EXCEPTIONS n '-'' — �:b
rr
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the followin& uo se(if any d heirs aOtich a
additional sheets, if necessary):
Name Relationship Address•
? rV
r
C7 C!7
Form RW-02 rev.1011112011 Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA } RECORDED OFFIC OF SS: REGISTER (}F WILLS
}
COUNTY OF Cumberland }
OCTOy
Petitioner(s)Printed Name Petitioner(s)Printed Address
Stephen N.Walden 2230 High Point Land Slatin ton Penn lvania 1.8080 C L h t`i'\ OF
N 1 UT7,! /
G 11 $ r>LAI
LB. r+ v. r,f l
�t r+i+a1{„' Ln 1^
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the fore-going Petition are true and correct to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the Decede=— -
me
w nd truly administer the estate according to law.
Sw*Register
ed s bscri ed before Date ZZ
Date
ByDate
Date
BOND Required: Q YES E) NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Lett
). . . . . $
ShortCertificate(sAttorney Signature:
.
( )Renunciation(s).. . . . . . . . A —y—
( )Codicil(s). . . . . . . . . . . . . —
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Robert Van Horn,Esquire
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number: 20254
. . . . . i
. . . . . . J Firm Name: Robert Van Horn,PC
Address: 123 North 5th Street
. . . . . . . . Allentown,PA 19102
. . . . . . Phone: 610-740-0320
Automation Fee. . . . . . . . . . . . . . . Fax: 610-740-0339
JCS Fee. . . . . . . . . . . . . . . . . . . . . Email: rohertyanhorn4verizon net
TOTAL. . . . . . . . . . . . . . . . . . . . . $ t e.•
DECREE OF THE REGISTER J /�
Estate of Elizabeth Bulota File No: �4- I q _ 1�QV g
a/k/a:
AND NOW, CJ C,A02 r 12 , l ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS D CREED that Letters 2',r1jnM0n4C1Q
are hereby granted to
in the:aboYe est to nd(if applicable)that
the instrument(s) dated / 00
described in the Petition be admitted to probate and fileh of record as the last ill(and Codicil(s))of Decedent.
Register of Wills
C'ItJ .
Form RW-02 rev. 10/1112011 Page 2 of 2
RECORDED OFFICE OF
REGISTER OF WJLL$
1914 OCT 17 PM 2 04
C L E RX OF
ORPHANS' COURT
RENUNCIATION4BERLA,0 CIO— PA
REGISTER OF WILLS
Cumberland COUNTY,PENNSYLVANIA
Estate of Elizabeth Bulota Deceased
1, Mark D. Walden in my capacity/relationship as
(Print Name)
.son and designated executor of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
my brother, Stephen N. Walden
October 2014
(Date) (Signature)
Mark D. Walden
1260 Averill Drive
(Street Address)
Batavaia,IL 60513
(City,State,Zip)
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of that he or she executed the remm r the
purpoAs stated within on this 1�! day
Deputy for Register of Wills otaryP blic
My Co mission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
OFFICIAL SEAL
Form RW-06 rev.10.13.06 H C
DAISY J BHARLICHA
40 Illinois t4otary Public-state of Illinois
Oct30,2016
0
my Commission Expires t 30,2016
IN THE OFFICE OF THE REGISTER OF WILLS FOR CUMBERLAND COUNTY,
PENNSYLVANIA
IN,RE: ESTATE OF ELIZABETH BULOTA,
DECEASED NO. 2014
LATE OF LOWER ALLEN TOWNSHIP
AFFIDAVIT
The undersigned, Stephen N. Walden, being duly sworn according to law, does hereby
declare:
1 The Decedent, Elizabeth Bulota, utilized PNC bank for all her ordinary and day to
day banking matters and maintained investment accounts with Merrill Lynch.
2. At the time of her passing she transacted her banking at a PNC bank branch
located in Bethany Village-her residential community at the time of her passing.
3. Decedent had maintained a safe deposit box at the Bethany Village branch which
was closed in August of 2013. Nonetheless, a PNC safe deposit box key was
found in the decedent's residence. The key was used for the box in question but
the box was empty.
4. The decedent had not used Merrill Lynch for any day to day banking services
since the passing of her late husband, Stanley Bulota, more than eight (8) years
prior. Merrill Lynch was aware of the lost Will, but did not offer safe deposit box
services, and had no knowledge as to the disposition of the decedent's original
Will.
5. The decedent, along with her son, Stephen Walden, and daughter, Gail
Coleman, opened a safe deposit box with Metro Bank in Mechanicsburg,
Pennsylvania approximately six (6) years ago but the box was closed
approximately six (6) months thereafter.
6. The undersigned performed a thorough search of the decedent's residential unit
and all her records and paperwork, as did the decedent's daughter, Gail
Coleman.
7. During the last year of decedent's life, her daughter, Gail A.Coleman, assisted
her with her bills, paperwork and record keeping. The decedent never mentioned
to her daughter any changes to her Will or related planning and documentation.
8. No family member of decedent ever heard decedent discuss any further changes
to her dispositive scheme or documentation.
9. The decedent conferred with her estate planning counsel, Thomas E. Flower,
Esquire in May of 2013 and at that time confirmed her intended disposition
consistent with her Will of April 14, 2003, but discussed a possible TOD
designation for an account at Merrill Lynch containing proceeds of an inheritance
she received from her deceased sister which were deemed separate from the
assets which were the subject of the Marital Agreement for Mutual Wills which is
referenced in the undersigned's Petition and attached thereto.
IN WITNESS WHEREOF, I have hereinto set my hand and seal this
�y4'ill day of 4A 12014.
f`
Stephen"'N. Walden, Executor
COMMONWEALTH OF PENNSYLVANIA )
ss:
COUNTY OF LEHIGH )
On this H441 day of DcWMA , 2014, before me, a notary public,
personally appeared Stephen N, Walden, known to me (or satisfactorily proven) to be
the person whose name is subscribed to the foregoing instrument and who, being duly
sworn by me, did depose and say that the statements contained therein are true and
correct.
Uka
Notary Public
My ommission Expires:
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Yvonne K.Howard,Notary Public
South Whitehall Twp.,Lehigh County
My Commission Expires Aug. 18,2017
MEMBER PENNSYLVANIA ASsO TION of NOTARIES
IN THE OFFICE OF THE REGISTER OF WILLS FOR CUMBERLAND COUNTY,
PENNSYLVANIA
IN RE: ESTATE OF ELIZABETH BULOTA,
DECEASED NO.
LATE OF LOWER ALLEN TOWNSHIP
VERIFICATION
I, Stephen N. Walden, hereby verify that the statements made in the foregoing
Affidavit are true and correct, to the best of my knowledge, information and belief.
understand that false statement herein are made subject to the penalties of 18 Pa.
C.S.A. ? 4904, relating to unsworn falsification to authorities.
Dated: (o / , 2014
Stephen N. alden, Executor