HomeMy WebLinkAbout11-17-14 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF Co m bM an 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:
Datcnedent's Information l �)'
Qr File No:
a/k/a: 01
(Assigned by Register)
a/k/a: U.S diA
a/k/a: Social Security No:
Date of Death: Age at death: It
Decedent was domiciled at death in b ?-I&IA County A (state)with his/her last
principal residence at 2 �,LC. i 17 0 2$11� ,r f I e 4i- r76
Street address,Post Office Zip Coders City,Township or Bo o g County
Decedent died at-5-/Ru*4er �' !Y�' �-7V 3 ; 4
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 $ 3, 000
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania......................................................... ® _.. ci
TOTAL ESTIMATED VALUE. ... y M
Real estate in Pennsylvania situated at: [� o
(Attach additional sheets,rfnecessary.) Street address,Post Office and Zip Code City,Township or$orggli7 C V) 4unty
zrn mm
0 A. Petition for Probate and Grant of Letters Testamentary --a r-:11ti Cn ��'
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated/ "t/�C �ly .'/ and Cgicil(s)
thereto dated 7 Q �, Z3
State relevant circumstances(e.g.renunciation,death of executor,etc.) _ --1 C=) r M
Cf7 Cn O
Except as follows:after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced,wasobi party to Npending
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.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.
❑NO EXCEPTIONS ❑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,ffnecessury):
Name Relationship Address
Form RW-02 rev.1011112011 Page 1 of 2
Oath of Personal Representative Official Use Only �—
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
Petitioner(s)Printed Name Petitioner(s)Printed Address
/7o ya
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 Petitioner(s)and that,as Personal Representative(s)of the Decedent,the Petitioner(s)will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed before � ' el�w Date /7/
me this 11111 day of ,21219 v Date
By: t Date
For the Register Date
BOND Required:❑YES ®NO To the Register of Wills:
FEES: Please enter my appearance by my signature below
Letters . . . . . . . . . .. . . . . . . .. . . . $ Attorney Signature: CO - rn
( 5 )Short Certificate(s).... . . � X G> a
( )Renunciation(s).. . . . . . . . rn C-) cn M
( )Codicil(s). .. . . . . . .. . . . A 4—► _ Pq
Pq
{ }Affidavit(s).. . . . .. . .. ..
Bond.. . . . .. . . . . . . . . . . . . . . . . . Printed Name: — - Cl
Commission. . . . . ... .. .. .. .. . . Supreme Court Q C� Z:3 "t l!
Other} . . . . . . ID Number:
1 Q171�!': . .. . . . . . ��j --4-4 {� r— rn
irXY) Y }. V-.N. . . . .. Firm Name: Ca .11? Cl
. . . Address: C> "ri
.. . .. Phone:
Automation Fee. . . . . . . . . . . . . . . Fax:
JCS Fee. .. . .. . .. .. . .. .. ... .. vr-•S� Email:
TOTAL. . . . . . . . . . . . . . . . .. . . . $
DECREE OF THE REGISTER
Estate off L � �. i'�� J� File No: u
a/k/a: ,�JU`�Y"1 Y-t L- fy"a 7` ,, `� lar' E�Y'"'
AND NOW, �1/t�'I�'tibP� �� �-k , in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that LettersOfy)C'y)i_0_ j
are hereby granted to V41 kr
in the above estate and(if applicable)that
the instrument(s)dated r�t�1 .I � --�£�
described in the Petition be admitted to probate and filed of record
as the last Will(and Codicil(s))of Decedent.
Wo '� y4m'(�
Wster of Vlf ills C111�
Form RW-02 rev.10/1112011 age 2 Of 2
RECORDED OFFICE OF
REGISTEIR OF WIi_L.S
201y NOV 17 HCl 10 50
CLEF,,. OF LAST WILL AND TESTAMENT
ORP11A,k4S' COURT OF
0UfABEIal..A 'D CC- P SUSAN L. ANDERSON
KNOW ALL MEN BY THESE PRESENTS, That I, SUSAN L. ANDERSON, of
The Township of Upper Allen, County of Cumberland, and Commonwealth of
Pennsylvania, do make, publish, and declare the instrument to be my Last Will and
Testament, hereby revoking and making void any and all former Wills by me at any time
heretofore made.
FIRST:, I direct the Executor hereof to pay all my just debts, funeral expenses
and costs of administration as soon as conveniently may be done after my death.
further direct the Executor hereof to pay all inheritance, estate, transfer and succession
taxes which may be levied or assessed upon any property which is included as part of
my gross estate for the purpose of any such tax.
SECOND: I give, devise and bequeath unto my Husband, HOWARD L.
ANDERSON, JR., the rest, remainder, and residue of my estate provided that he
survives me by a period of thirty (30) days.
THIRD: In the event that my Husband, HOWARD L. ANDERSON, JR., does
not survive me by a period of thirty (30) days, then in that event, I give, devise and
bequeath the rest, remainder, and residue of my estate unto my Daughter, GERRY
LYNN ADAMS, per stirpes.
FOURTH: I appoint my Husband, HOWARD L. ANDERSON, JR., to be
Executor of this my Last Will and Testament. I do hereby give to the Executor hereof
full power, discretion and authority at any time or times to sell, at private or public sale,
- 1 -
mortgage, lease, pledge, exchange or otherwise deal with or dispose of the property
comprising my estate as deemed best, to settle and compound any and all claims in
favor of or against my estate as deemed best and, for any of the foregoing purposes,
to make, execute and deliver any and all deeds, mortgages, contracts, leases, bills of
sale or other instruments necessary or desirable therefor.
FIFTH: In the event my Husband, HOWARD L. ANDERSON, JR., fails or
refuses for any reason to serve as Executrix of this my Last Will and Testament, then in that
event I appoint my Daughter, GERRY LYNN ADAMS as Executrix of this my Last Will
and Testament.
LASTLY: I direct that no fiduciary appointed by this, my Last Will and Testament,
shall be required to give bond and that if, notwithstanding this direction, any bond is
required by any law, statute or rule of court, no surety shall be required thereon.
IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and
Testament, consisting of three (3) typewritten pages on the margin of which (except this
page) I have affixed my initials this 6th day of May, A.D. 2005.
SUSAN L. ANDERSON
Signed, sealed, published and declared by SUSAN L. ANDERSON, the above-
named Testatrix, as and for her Last Will and Testament, in the presence of us and
each of us, who at her request, and in her presence, and in the presence of each other,
have hereunto subscribed our names as attesting witnesses.
f
ZV 0
- 2 -
County of Cumberland
ss.
Commonwealth of Pennsylvania
ACKNOWLEDGMENT AND AFFIDAVIT
We, SUSAN L. ANDERSON, the testatrix, and the undersigned witnesses to the
Will, the attached or foregoing instrument, having been qualified according to law do
depose and say:
(a)that I, the testatrix, do hereby acknowledge that I signed the instrument as my
Will, that I signed it willingly and as my free and voluntary act for the
purposes therein expressed; and
(b)that we, the witnesses, were present and saw the testatrix sign the instrument
as her last Will, that she signed it willingly and as her free and voluntary
act for purposes therein expressed; that each of us in the hearing and
sight of the testatrix signed the Will as a witness and that to the best of
our knowledge the testatrix was at that time 18 or more years of age, of
sound mind and under no constraint or undue influence.
Sworn to or affirmed before me by SUSAN L. ANDERSON, testatrix, and Amy
Knauer and Beth Myers, witnesses, the 6th day of May, 2005.
SUSAN L. ANDERSON
David W. Kn er (Witness) �j
ATTORNEY I.D. No.21582
itness)
- 3 -
ACKNOWLEDGMENT
On this, the 6th day of May, 2005, before me the undersigned officer, personally
appeared SUSAN L. ANDERSON, known to me, (or satisfactorily proven) to be the
person whose name subscribed to the within instrument and acknowledged that she
executed the same for the purpose herein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
NOTARY PUB C
My commission expires:
NOTARIAL SEAT.
AMY KNAUER
N010fY PublicGKCUVHK*D��
dRO. es Jon 25,2009
My commission Expk
- 4 -
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
y CF Clue
�•� f ��` No. 2014- 01088 PA No. 21- 14- 1088
J 9 Estate Of: SUSAN L ANDERSON
0 D (First Middle,Last)
V Q
alk/a: SUSAN L ADAMS SUSAN L MOHARTER
Late Of: UPPER ALLEN TOWNSHIP
CUMBERLAND COUNTY
Deceased
1750 Social Security No:
WHEREAS, on the 17th day of November 2014 an instrument dated
~-" -;0 m
May 6th 2005 was admitted to probate as the last will o c7
c? o
SUSAN L ANDERSON z o c
(First,Middle,Last)
a/k/a SUSAN L ADAMS SUSAN L MOHARTER y. o 0
late of UPPER ALLEN TOWNSHIP, CUMBERLAND County, ' ' n o _
who died on the 4th day of November 2014 and, 7 o r m
WHEREAS, a true copy of the will as probated is annexed hero."' n
THEREFORE, I, LISA 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:
GERR Y L WHITE
who has duly qualified as EXECUTOR(RIX)
and has agreed to administer the estate according to law, all of which
fully appears of record in my office at CUMBERLAND COUNTY COURTHOUSE,
CARLISLE, PENNSYL VA NIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 17th day of November 2014.
a
gister o ii
DerutV
**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)