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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): � �� �� r��� � c� . _ C� Addr�s�:- �'> . :, t-:; Name Relationshi � ; :._ 1' N � ..-� ` �.,. �. - _, ..,' ,,� ,.,,.� " _.;'1 - : � ..,-_ , , _ .�. . - ►`�' — PT1 �:� Y__ � N `�1 Fo,-,,,aw na ����.�nii�izoii Page 1 of 2 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. � � �C' � ��`� � � ���-�' Register Will � �� � � �;� � �'/��'�� �;���� y Fo,�,,,aw-n� ,��v. ini�uzn�� � Page o 2 l N c.w� � � �C +� (Y'� � p f'rt C-j C.:� � �.r:;� � C':) .:.'i? LAST WILL AND TESTAM�td'F�' c� � :�'', :�i � , • N � �.�.� .__ N , �eJ O F . '., ` : �.:> ,� �� . - ._,'.1 .�i ..�� DOROTHY O. KAUFFMAN � , � = -Y-� � .�: � , }--• �4N- r�� ; _� � � � -�n 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) . ' f i Q.�� � �� r r, � U � � Dorothy 0. auffman,�� Tes��'��� � a �C.� , , ! j p Witnes s 9 � � �, /� f � ! �� Witness � � � i � Subscribed and sworn to and acknowledged � � � 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 . 3 i � � V 1 � Nota y Public 3 � i 1 i ; s � NOTARIAL SEAL s � DANIELLE R VAN HORN � Notary Public f MARYSVILLE BOROUGH,PERRY COUNTY � My Commission Expires M�r 31,2013 j d i j i � I s . � � � I 3 ,�n...,..�.o... _.. . ... ...._ ..�.. . � ..�.�_ ... . . . .. .. � . , y COMMONWEALTH OF PENNSYLVANIA . � . ss . . � d � COUNTY OF • � � � 3 i t (� i We, Dorothy 0. Kauffman, and ��iYl �� �i' v ��tJsf►'1C�t�✓, and ? R 1�I��iQt� C� �i55ll��i-f,✓ , the testatrix and the witnesses ! respectively, whose names are signed to the attached or foregoing � r 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. - �� , ' � �`� <<> �� � s Dorothy 0. K ffman, 1es a�`ix'�� ` ' � � �� I � Q � ' � Witn s ' e i � � � � i aj Witness ° �� i 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 . � j � \ { otary bl NOTARIAI SEAI � DANIELLE R VAN HORN � Notuy Public MARYSVILLE BOROUGH,PERRY COUNTY � My Commission Expires Mat 31,2013 � D � � �.�....,� � �.,.. . . ., . , ..,_�...__. . � ; � .. � �.,.�..,,,.�.�,.r......:..�,.�,,,..d.,.,..,�.,».:,.._w.�