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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 (I
Name: EDNA M.BARRICK File No: -L, — Lq
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: November 10,2014 Age at death: 83
Decedent was domiciled at death in Cumberland County,Pennsylvania (state) with his/her last
principal residence at 105 Susan Lane,Carlisle 17013 North Middleton Twsn Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at Church of God Home,801 N.Hanover St.,Carlisle 17013 Carlisle Boroueh Cumberland PA
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 $ 165,000.00
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. ... $ 165.000.00
Real estate in Pennsylvania situated at: n/a
(Attach additional sheets,ifnecessary.) 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 23,2014 and Codicil(s)
thereto dated n/a
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.
G)NO EXCEPTIONS 0 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,e.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.
0 NO EXCEPTIONS C)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, ifnecessary):
Name Relationship Addre 457 C'�
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Form RW-02 rev.10/1112011 Page 1 of 2
Oath of Personal Representative Official Use only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
TERRI L.BLOSSER 105 Susan Lane Carlisle PA 17013
co 14 c'4n
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and co f�Ihe best
tate knlee and belief
of Petitioner(s)and that,as Personal Representative(s)of the Dece en,the Petitioner(s will el nd trulyRn?stgr�the a e accord to lavv.
SwornAto1rffirmed and subscribed before rn DGSmeday of rQ0( '. ' Datet
B :
For the Register 4 Date
"3
J Fa C!7 n
BOND Required: Q YES (E) NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ V Attorney Signature:
( I� ) Short Certificate(s).. . . . . (Il
( )Renunciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . .. Printed Name: Adam R.Deluca,Esquire
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number: 311738
. . . . . . .
[) . . . . . . . 1,5 Firm Name: Allied Attorneys of Central Pennsylvania,LLC
(Q . . . . . . . 1 S Address: 61 West Louther Street
• • • • • • • • Carlisle,PA 17013
. . . . . Phone: 717-249-1177
Automation Fee. . . . . . . . . . . . . . . '7 Fax: 717-249-4514
JCS Fee. . . . . . . . . . . . . . . . . . . . . U Email: adelucankeystonehearingscnm
TOTAL. . . . . . . . . . . . . . . . . . . . . $ 6UAc4A
DECREE OF THE REGISTER nn
Estate of EDNA M.BARRICK File No:
a/k/a:
AND NOW, , �Q ((�b-c r �3 ,�,in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters Testementary
are hereby granted to Terri L.Blosser
in the above estate and(if applicable)that
the instrument(s)dated April 23,2014
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent.
�1� . aA AQZAb�ln --
Register of Wills pro . on
Foran RW-02 rev.10/11/2011 1 Page 2 of 2
r ,
LAST WILL AND TESTAMENT
OF
EDNA M. BARRICK
I, EDNA M. BARRICK, of Cumberland County, Pennsylvania, declare this to be
my Last Will and Testament and hereby revoke all prior Wills and Codicils.
1. I direct that all my just debts, funeral expenses and administrative
expenses shall be paid from my estate as soon as practicable after my death. It is my
wish that upon my death, my body shall be cremated, and my ashes shall be buried next
to my husband at Mount Zion Cemetery, Boiling Springs, Pennsylvania.
2. I direct that all real property and all personal property that I own at the
time of my death shall be given, devised, and bequeathed to my daughter, Terri L.
Blosser, and m son, Kenneth A. Barrick, in equal shares, per sti es.
Y q p �
3. I appoint my daughter, Terri L. Blosser, as Executrix of this my Last Will
and Testament. In the event that Terri is deceased, unable or unwilling to serve or shall
cease to serve for any reason whatsoever, then I nominate, constitute and appoint my son,
Kenneth A. Barrick, as alternate Executor of this my Last Will and Testament.
4. The Executor or Executrix of this Will shall have the power to distribute
my estate in cash or in kind, or partly in either.
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Page 1 of 5 ► r1l ren
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5. I direct that no Executor or Executrix acting under this Will shall be
required to enter bond in any jurisdiction.
6. I recommend that my Personal Representative retain the law firm of Allied
Attorneys of Central Pennsylvania, L.L.C. to probate my estate.
IN WI ESS WHEREOF, I have hereunto set my hand this �3 day
of , 2014.
EDNA M. BARRICK
CL
Page 2 of 5
The preceding instrument consisting of this and four other pages was on the day and date
hereof signed,published and declared by EDNA M. BARRICK, as and for her Last Will
and Testament in the presence of us, who at her request, in her presence and in the
presence of each other have subscribed our names as witnesses hereto.
A� Ci7 , .rte► %13E)
Witness Witness
Page 3 of 5
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA :
: SS
COUNTY OF CUMBERLAND
I,EDNA M. BARRICK,the TESTATRIX,whose name is signed to the attached
or foregoing instrument,having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my Last Will and Testament;that
I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein
expressed.
EDNA M. BARRICK
COMMONWEALTH OF PENNSYLVANIA
S.S.
COUNTY OF CUMBERLAND
On this�3CA day of �C"� ( , 2014, before me personally
appeared EDNA M. BARRICK, the TESTATRIX, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within instrument, and she
acknowledged that she was the declarant who executed the same for the purposes therein
contained.
IN WITNESS WHEREOF I hereto set my hand and official seal.
Notary Public
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Adam Deluca,Notary Public
Carlisle Boro,cumberiand County
My Commission Expires)an.26,2016
Page 4 of 5
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
: SS
COUNTY OF CUMBERLAND
WE, Alice L.. Zi//mer and
the witnesses whose names are attached to the foregoing document, being duly qualified
according to law, do depose and say that we were present and saw testatrix sign and
execute the instrument as her Last Will; that she signed willingly and that she executed it
as her free and voluntary act for the purposes therein expressed; that each subscribing
witness in the hearing and sight of the testatrix signed the Last Will and Testament as
witnesses and that to the best of our knowledge the testatrix was at the time 18 or more
years of age, of sound mind and under no constraint or undue influence.
Sworn or affirmed and subscribed before me by
�I C� ( Z4yrv✓lt _ and r-e,( R SM ITL this
day of C't , 2014.
Notary Public/Attorney
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Adam Deluca,Notary Public
Carlisle Boro,Cumberland County
My commission Expires Jan.26,2016
Page 5 of 5