HomeMy WebLinkAbout10-22-14 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF --�J•"^��R�"'� 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 J
Name: '��o Tt�� O �f A� �FMA� File No: '2-� � �� - I(�. �j
a/k/a: (Assigned by Register)
a/k/a:
��a: Social Security No:
Date of Death: $�o � a7 a�l y Age at death: lop
Decedent was domiciled at death in ""^"' "'-•T l c�° "� County, /.A (stare)with his/her last
�uM ��.�" Q.MI� �il�(% �.fL�,r�,.,.. va.�{ MEUODr-i�ti�'��CG C..,r�/�fic(,p,.L
principal residence at �
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 110 0 [,�RAr'��"� `n'A7 N!'E���,q°''�c.S�j1�G G`'_"�jI�12G`�^'� PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death: c�
If domiciled in Pennsylvania............................ All personal property $ )o� v c�G.
If not damici[ed in Pennsylvania. ....................... Personal property in Pemisylvania $
If not domiciled in Pennsylvania. ....................... Personal properry in County $
Value of real estate in Pennsy[vania......................................................... $
TOTAL ESTIMATED VALUE. ... $ 1�G o0.
Real estate in Pennsylvania situated at:
(Attnch ndditional sheets,ijnecessary.) Street address,Post Office and Zip Code City,Township or Borough County
[QrA. Petition for Probate and Grant of Letters Testamentarv
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last W�ll of the Decedent,dated 3�o���d+`�1 0 and Codicil(s)
thereto dated
State relevant circumstances(e.g.renuncintion,death of executar,etc.)
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced,was not a pariy 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 Uave a child born or
ado ted;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.u.,d.b.n.,d.b.n.c.t.u.,pendente lite,durunte absentiu,durmzte mino�-itute
If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Will in Section A above and eomplete 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
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person.
❑NO EXCEPTIONS �EXCEPTIONS `'''
_ �
Petitioner(s),after a proper search has/have ascertained that Decedent left no W ill and was survived by the follo�ungospouse(if aw¢)and�ir�Eqttach
udditionul sheets,i�'necessury): � �� ��
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Addr�s�:- �'> . :, t-:;
Name Relationshi � ;
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Oath of Personal Representative Officia]Usc Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
Petitioner(s)Printed Name Petitioner(s)Printed Address
O. f /vl No DC.� �V E C/�W 2N Ir !"',q �/Y k��AP" �,l.r j �pr'l u
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 Petitiouer(s)and that,as Personal Representative(s)of the Decedent,tl�e Petitioner(s)will well an truly administer the estate according to law.
Sworu to or af irmed and subscribed before � � ���-� �" Date 1� a� y
me i . `��day of � �'��� Date
$y. , _ -� ���1� � -�� Date
For the Register Date
BOND Required:�YES � 'O To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . $ '�-'.` " Attorney Signature:
. . . . . . . . . . . . . . `
( [� ) Short Certificate(s). . . . . . �i' �� �-��
�-_� �y
( ) Renunciation(s).. . . . . . . . n � ,�:� �
�._l �
� ) � ) . . . . . . . . . . . . Printed Name: � �� `���
Codicil s .
( )Affidavit(s).. . . . . . �,� ��
B ond.. . . . . . . . . . . . . . . . . . . . . . . � t --� c-a �
Commission. . . . . . . . . . . . . . . . . . Supreme Court '' � N " ' ��
"' ,��; � 4.vi
Other . . . . . . . . ID Number: �`,
�� . . . . . . �''7��.�1.' :7 � '� --c
� �` Firm Name: � �-� � -� �
1 G� . . . . . . . L� ' , , - - �
/ +�-• . . . . . . �'�,(r�; Address: --=
, � �
. . . . . . .s -n
. .. . . . Phone:
Automation Fee. . . . . . . . . . . . . . . --�: ) )• lti-= Fax:
JCS Fee. . . . . . . . . . . . . . . . . . . . . �(��� FinaiL•
TOTAL. . . . . . . . . . . . . . . . . . . . . $ �l nF i � 5�^
DECREE OF THE REGISTER
� �► --- I c.� — / C �`�c`��
Estate o ��r(�?��� � ��.L � File No:
a/k/a:
2n c� � � �
AND NOW, �/) �����-'�� , �' � l , in considerati n of the foregoing Petition,
satisfactory proof having been present before me,IT IS,�DECREED that Letters �' ��M ��L,
are hereby granted to 1���� �'�• � � _
in the above estate and(if applicable)that
the instrument(s) dated n C�.!'�' '1 S� � '��
described in the Petition be admitted to probate aiid filed of rec d as the last Will (and Codicil(s))of Decedent.
�
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Register Will � �� � � �;� � �'/��'��
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Fo,�,,,aw-n� ,��v. ini�uzn�� � Page o 2
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LAST WILL AND TESTAM�td'F�' c� � :�'', :�i �
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DOROTHY O. KAUFFMAN � , � = -Y-� �
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I, Dorothy 0. Kauffman, of 201 Maple Avenue;vApartment 1-G,
Marysville, Perry 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 grave marker and all expenses of my �
9 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.
_T - - � � �
� �
� ITEM II . I devise and bequeath all of my estate of every d
� � nature and wherever unto Robert M. Knoble of Shermans Dale, _
;
I '•
' � � Pennsylvania if he survives me by thirty (30) days . If Robert M. �
Knoble predeceases me or dies on or before the thirtieth (30th) �
�
. _ L� day following my death I devise and bequeath all the rest, residue �
` and remainder of my estate unto Larry Stephens . ;
, � �
� ¢ I
� ITEM III . I direct that any and all Inheritance, Estate and �
; � Transfer taxes imposed upon my estate passing under my Will or �
_ , � �
/ �therwise, shall be �aid ou� o� th� Nrincipal of r.^�y res��ual ;
' �
, � - estate. i
,�
Robert M. Knoble, Executor of this my �
ITEM IV. I appoint �
Last Will and Testament. In the event of his renunciation, death,
resignation or inability to act for any reason whatsoever, I
appoint Larry Stephens, Executor of this my Last Will and �
Testament. I relieve my Executor from the necessity of posting j
"� �
1
, . �
. � �
�
I security in connection with his duties as such in any jurisdiction
� in which he may be called upon to act . i
IN WITNESS WHEREOF, I have hereunto set my hand to this my
#
Last Will and Testament, which consists of � pages, to each of �
� which I have affixed my signature this o�'�`�`day of �V�YC � �
�� two thousand and ten (2010) . '
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� Dorothy 0. auffman,�� Tes��'���
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�� Witness �
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� Subscribed and sworn to and acknowledged
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� � before me by Dorothy 0. Kauffman, Testatrix ?
land subscribed and sworn to and acknowledged �
jbefore me by �, �� 1�_�.�'�►�c��✓ , and
� , � (`, - ;� , witne�es this !
�_ day of , 2010 .
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� Nota y Public 3
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� NOTARIAL SEAL s
� DANIELLE R VAN HORN �
Notary Public f
MARYSVILLE BOROUGH,PERRY COUNTY �
My Commission Expires M�r 31,2013 j
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COMMONWEALTH OF PENNSYLVANIA .
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We, Dorothy 0. Kauffman, and ��iYl �� �i' v ��tJsf►'1C�t�✓, and ?
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1�I��iQt� C� �i55ll��i-f,✓ , the testatrix and the witnesses !
respectively, whose names are signed to the attached or foregoing �
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instrument, being first duly sworn, do hereby declare to the j
;
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. - �� , '
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Dorothy 0. K ffman, 1es a�`ix'�� ` '
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� Witn s '
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aj Witness °
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Subscribed and sworn to and ackno�a�edge� �
before me by Dorothy 0. Kauffman, Testatrix i
and subscribed and sworn to and acknowledged i
' before me by �.. - `�';s ' �. � , and �
��,�`�y..� �. �:����,-���;- , witne es this i
� day of �(V�,�:r4-. _ , 2010 . �
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otary bl NOTARIAI SEAI �
DANIELLE R VAN HORN �
Notuy Public
MARYSVILLE BOROUGH,PERRY COUNTY �
My Commission Expires Mat 31,2013 �
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