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Home My WebLink About10-22-14 PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF 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 �1 I� , q Name: I L e--r+ � �Yyi('� File No: l TK a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: . Date of Death: ii Age at death: �J/ Decedent was domiciled at death in Cunlber�6,yt,c1 County, (state)with his/her last "( principal residence at212&? Me-SS k1y Cly=•Cle, �J eC:kaY�iLS AnLA�'Q NA 17a5--H CGW11�r`ICzyl Street address,Post Office and Zip Code City,Township or Bqr ughf{ Couunty Decedent died at _40111 SPI;e .i„r CtLmA W a P/4 C AMItE ►6AJ Street ads •ess, ost Office and Zip C er City,Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania............................ All personal property $ If not domiciled in Pennsy!vania. ....................... Personal property in Pennsylvania $ If not domiciled in Pennsylvania. ....................... Personal property in County $ Value of real estate in Pennsylvania......................................................... $ TOTAL ESTIMATED VALUE. ... $ 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/th�e} /are the Executor(s)named in the last Will of the Decedent,dated Cbnd Codicil(s) thereto dated 1IMM 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. ,Q<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,duranteminoritate 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 established as defined in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. [:]NOEXCEPTIONS ❑EXCEPTIONS Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(attach additional sheets,('necessary): Name Relationship Address ry C M p � G--) Q M --i crt rrlM CD . C:! O }-a f t'I W Cf) O Form RW-01 rev.1011112011 `� e a Page Pbf 2 Oath of Personal Representative Official Use Only r COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Petitioner(s)Printed Name Petitioner(s)Printed Address !l. N �►-t =�'� Ss" m e r D.-.v e 1xty, r A r--7 6 a l The:Petitioner(sy 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 Petitioner(p)and thdt,-as Personal Representative(s)of the Decedent,the Petitioner(s)will well and truly administer the estate according to law. SWon to or"affirmed and sub cribed before Date A&lv -fne _l ~day of Date e x Yom) BY _ Date rhe Register -� Date rf _ BOND Required:Q YES F_J NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters . . . . . . . . . .. . . . . . . . . . . . $ Attorney Signature: Short Certificate(s). . . . . . 35 ( 1 ) Renunciation(s).. . . . . . . . _ ( ) Codicil(s). . . . . . . . . . . . . ( )Affidavit(s).. . .. . . . . . . . ry Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: c? ' Commission. . . . . . . . . . . . . . . . . . Supreme Court p fr1 Other ID Number: G7 . . . . . . . . Firm Name: 1 M . . . ... . . Address: a t cJ . . . . . . . . Phone: Automation Fee. . . . . . . . . . . . . . . Fax: W C> JCS Fee. . . . . . . . . . . . .. . . . . . . . Email: TOTAL. . . . . . . . . . . . .. . . . ... . $ DECREE OF THE REGISTER Estate of M\. File No: 02 I 1 ' 99% a/k/a: AND NOW, �'� (� p?-7 in considers 'on of the foregoing Petition, satisfactory proof having been presented before tne,IT I DECREED that Letters are hereby granted to c in the above state and f applicable)that the instrument(s)dated described in the Petition be adinittell to probate and filed of record as the last Will (and Codicil(s))of Decedent. d'(-�u M A2� Register of Wills Fore,nw-n? rev. 10/1112011 P4 Page 2 of 2 RENUNCIATION REGISTER OF WILLS COUNTY, PENNSYLVANIA Cl� 4D rn -0 — e0 = C-.> --4 co zt Z! Estate of �I v`� I ,eased W Cn 0 CA> P--0-+- Y-1<Z-NQk , k-jY\c -I in my capacity/.relationship as (Print Na---) je GST: Uf:by- of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to \z, (Date) (Signature) (Street Address) -2 /9 (City,Stam,Z4W 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 c;2a —day party executing this renunciation and certified of ) f=r that he or she executed the renunciation for the purposes stated within on this day of HIP /4)VAX&IO 4epouty for Register of Wills Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev,10.13.06 WILL OF N ELBERT N. SMITH a „ I, ELBERT N. SMITH, currently of Upper Allen Townships -Cumberland { County, Pennsylvania, declare this to be my Last Will and Testament, hereby-revodii g - c, any and all prior Wills and Codicils made by me. = s "� 'r- C> I. I direct that all my just debts and funeral expenses be paid from the assets of my estate as soon as practicable after my demise. II. I direct that all estate and inheritance taxes that may be assessed in consequence of my death, shall be paid out of the principal of my general estate to the same effect as if said taxes were expenses of administration and all property includable in my taxable estate whether or not passing under this Will shall be free and clear thereof. III. I bequeath unto my wife, Arlene J. Smith, all tangible personal property which I own at my death. IV. All the rest, residue and remainder of my estate, of whatever nature and wherever situate, including property over which I hold a power of appointment, I devise and bequeath unto my wife, Arlene. V. In the event that my wife, Arlene, does not survive me, I devise and bequeath my entire estate that would have otherwise passed under Paragraphs III and IV above as follows: A. I intend to keep with this my Will a separate memorandum concerning disposition of certain items of tangible personal property. I bequeath the items on said memorandum to the persons designated. B. The remainder of my estate I devise and bequeath as follows: (1) Five percent (5%) unto Messiah College, Grantham, Pennsylvania, to be used in its Endowment Fund; (2) Five percent (5%) unto Messiah Village, Mechanicsburg, Pennsylvania, to be used in its Endowment Fund; (3) Ninety percent (90%) to be , divided equally among my children who survive me. VI. I appoint my wife, Arlene J. Smith, Executrix of this my Will. In the event that she fails to qualify or ceases to act as Executrix, I appoint my daughter, Patricia A. Jungkeit, Executrix in her place. In the event that she fails to qualify or ceases to act as Executrix, I appoint my son, Phillip N. Smith, Executor of this my Will. VII. I direct that no bond be required of my fiduciary for the faithful performance,of his or her duties in any jurisdiction. IN WITNESS WHEREOF, I, ELBERT N. SMITH, herewith set my hand to this my Last Will, typewritten on two (2) sheets of paper including the attestation clause and signatures of witnesses, this -3,>4�day of ' 2005. (SEAL) ELBERT N. SMI Signed by ELBERT N. SMITH, by him declared to be his Will in our presence, who have hereunto subscribed our names as witnesses in his presence and at his request, this a-h-, day of2005. residing atP 74 residing at -2- r I COMMONWEALTH OF PENNSYLVANIA COUNTY OF LejbR N pN WE, ELBERT N. SMITH, GERALD J. BRINSER and +<F�-THV A the testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly affirmed, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his Last Will and that he signed willingly (or willingly directed another to sign for him), and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the Will as witnesses and that to the best of our knowledge the testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ELBE N. SMITH TNESS ' ' - �G Subscribed, sworn or affirmed and acknowledged before me by ELBERT N. SMITH, the testator, GERALD J. BRINSER and1�"i-N y 1� • T1Q� , witnesses, this day of 2005. ]A=)q"Ad ' AL) otary Public NOTARIAL SEAL WENDY L.CRAWFORD,NoPubtb Palmyra Boro.,Lebanon Coun Commission Expires Sept 10,2005 -3-