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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF L,U./y1�,Y�lLh� 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: ��. , f nr�.n File No: ��
a/k/a: (Assigned by Register)
a/k/a: �
Date of Death: r � . Age at death: �
Decedent was domiciled at death in County, � �� (scaee) w' is/ er last
principal residence at � �
Street addre Post Office and Zip Code City, ownship or Borough County
Decedentdiedat �;3(�Uj2'jpl,,(17;i�' .�fl�"�IL�L�fG � lB,� U�/aJ''I7�Cf1 �[)fZ�'lyld ,U/YIY,Y'�7Jf2'�. /"�
Street addres, ost Office and ip Code City,Township or Borough County tate
Estimate of value of decedent's property at death: p �j
If domici[ed in Pennsylvania.. . .......... . .. ..... ....... All personal property $�'��p7 /•�
7f not donriciled in Pennsylvania. ........ . .. .. ... .. ..... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ......... . . ............ Personal property in County $
Value of real estate in Pennsylvuniu........ . ........ .............. .. ...... . . .. .. .... ... . .. .. $
TOTAL ESTIMATED VALUE. ... $ 0.00
Real estate in Pennsylvania situated at
(Attach additionn!sheets,ifnecessnry.) Street address,Post Office and Zip Code City,Township or Borough County
� A. Petition for Probate and Grant of Letters Testamentary +
Peti[ioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated �! and Codicil(s)
thereto dated
State relevant circumstances(e.g.renunciatinn,death nf�recutor,etc.)
Except as fol lows: 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 detined 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 (Ifapplicable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente dite, durante absentia,durante minoi•itate
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 deYined
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. �
�NO EXCEPTIONS �EXCEPTIONS � � � Crt
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the follo��louse(if�and�irS�ttnch
additiona!slzeets, if neeessary): � � � � � �
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Name Relationshi Addxwss`�' -r�.
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Form RW-02 rev. 10/I l/2011 Page 1 Of Z
Oath of Personal Representative orf��a�vse oniy
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF �,(./YL�tQ�� ;
Petitioner(s)Printed Name Petitioner(s)Printed Address
..5. ' r 19� �
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are h-ue 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 �d�� 7_ Dacc �.�� � �'" l�
me this /� day of I Ct'V)'1d � , � 0/� Date
By: ' ' � '��v�— Date
For the Register / Date
BOND Required: Q YES � NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ ����. � L Attorney Signature:
( � )Short Certificate(s). . . . . . t�. �j,%
( )Renunciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . . . . . . ,.�,
Affidavit s �'
( ) ( ).. . . . . . . . . . . � ..."'c � �
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: � p � t-r� n
Commission. . . . . . . . . . . . . . . . . . Supreme Court � � � G? O
Other . . . . . . . . ID Number: [Tl � C� � �n �
�f-� 1 S•�'2.� ;- x�-' r�`,., � �._f���i
1' Y�I, . �`"�.�'(.! Firm Name: ;'.`' .T- ''�1 C:7
"'_ ' . . . . . . . I'').�� Address: "�, ` ^' ' �>
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. . . . . . . Phone: `� p � a
Automation Fee. . . . . . . . . . . . . . . _��,5�'.� Fax: �
JCS Fee. . . . . . . . . . . . . . . . . . . . . �.L�� Email:
TOTAL. . . . . . . . . . . . . . . . . . . . . $ / C'-`��(�c66�
DECREE OF THE REGiSTER
Estate of �I'►e I�- ��O(.� )►� File No:
a/k/a:
AND NOW, r��' ��m� , �/y , in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters �r—'�fiC�-�;�{�L'�
are hereby granted to �O�I� L. �j�(�(1�l irl
in the above estate and(if applicable)that
the instrument(s)dated �; 1 C�,�.��- ��. ��� �
described in the Petition be adm� ed to proba e and filed of rec rd as the last Will (and Codicil(s)? of Decedet�t.
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, � �C'L x���,L, � U Y
Register of Wills ' ! ��/� � �
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Form RW-0? rev. l0/l1/2011 P3gC 2 Of 2
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T.AST WILL AND TESTAMENT � ...'�'� � �
O � � 0
OF � -i7 c�`� t./� �
r�t � c'� .� �
;;`I �.,s ("" f—'� q F� �
LESLIE L. BLOUIN ���` "�" � ""'� -�� `�
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I, LESLIE L. BLOUIN, of the Commonwealth of Pennsylv�nia;���ie�i�e
that this is my LAST WILL AND TESTAMENT and I revoke al� othe�i�sn
and codicils previously made by me.
FIRST: I appoint my Wife, DORIS I. BLOUIN, as my Personal
Representative concerning this Will. If she is unable or fails to
serve, I then appoint my daughter, CORINNE P. REBINSRI to serve as my
Personal Representative.
a. I request that my Personal Representative be permitted to
serve without bond or surety thereon and without the intervention of
any court, except as required by law. I direct that my Personal
Representative act in unsupervised administration so as to administer
my estate with a minimum of court supervision. If it becomes necessary
to have ancillary administration of my estate in any jurisdiction where
my Personal Representative is unable or does not desire to qualify as
ancillary legal representative, I appoint as such ancillary legal
representative such individual or corporation as my Personal
Representative shall designate, in writing.
b. I direct my Personal Representative to pay the expenses
of my last illness, the expenses of a funeral appropriate to my station
in life and custom of living (including a suitable monument or marker
for my grave) , and written charitable pledges which I have made. I
grant my Personal Representative the power to extend or renew any debt
for such time as my Personal Representative shall deem appropriate.
c . All estate, inheritance, succession and other death taxes
with respect to all property passing under this my Will shall be paid
from and borne by the principal of my residuary estate, without regard
to reimbursement, as if such taxes were administration expenses . My
Personal Representative may pay such taxes at any time deemed
advisable, whether or not then due and payable.
d. My Personal Representative is requested to settle my
estate as soon after my death as may be practicable, and to pay or
deliver every legacy or bequest to my beneficiaries without waiting any
time that may be believed to be customary in probate matters .
• ' PAGE 1 �Q � �
�� -��OF 5 PAGES C���
e. I have served in the Armed Forces of the United States .
Therefore, I direct my Personal Representative to consult with a Legal
Assistance Attorney at the nearest military installation and with the
Department of Veterans Affairs and the Social Security Administration
to ascertain if there are any benefits to which my family members are
entitled by virtue of my military service.
f . I may leave a letter of intent with the executed copy of
this Will for the purpose of giving guidance to my Personal
Representative concerning the distribution or sale of certain items of
my property. I request, but do not require, that my Personal
Representative honor my wishes therein expressed.
SECOND: I give, devise and bequeath, absolutely and forever, all
of my estate and property of which I may be seized or possessed, or to
which I may be entitled, at the time of my death, wherever situated or
of whatever nature, be it real, personal, or mixed, to my Wife, DORIS
I. BLOUIN, as her sole and absolute property if she shall survive me.
THIRD: In the event that my Wife, DORIS I . BLOUIN shall not
survive me, I give, devise and bequeath, absolutely and forever, all of
my estate and property of which I may be seized or possessed, or to
which I may be entitled, at the time of my death, wherever situated or
of whatever nature, be it real, personal, or mixed, as follows:
Twenty-five ( 25� ) percent of my net estate to my son, LESLIE E. "PETE"
BLOUIN and Seventy-five (75�) percent of my net estate to my daughter,
CORINNE P. REBINSKI. �
a. If any of my children shall not survive me, then the
share of that deceased child shall go to the descendants of that child,
who are to take per stirpes and not per capita. If any of my children
shall not survive me and shall not be survived by any descendants, then
the share of that deceased child shall be distributed to my surviving
children and the descendants of any of my other children who fail to
survive me, in the manner set forth above.
b. If they are unable to agree, the division among my
children and the descendants of any of my children who fail to survive
me shall be made by my Personal Representative, in that person' s sole
and absolute discretion. I empower my Personal Representative to sell
any or all of such property, if such property is not distributed in
kind hereunder, and to distribute the proceeds among my said children
in substantially equal shares . Any determination of my Personal
Representative as to what should pass or be sold under this paragraph
and to whom it should pass or be delivered or at what price it should
be sold shall be conclusive.
- PAGE 2
'` ��F 5 PAGES _�_ �
�
, 7
FOURTH: If there is a complete failure of takers under the
preceding paragraphs, the property undisposed of shall go to my heirs
determined at the time of my death, pursuant to the Statutes of Descent
and Distribution in effect, in the state of my domicile, at the time of
my death.
FIFTH: Except as otherwise provided in this Will, I have
intentionally failed to provide for any other relatives or other
persons, whether claiming to be an heir of mine or not. Insofar as I
have failed to provide in this Will for any of my issue now living or
later born or adopted, such failure is intentional and not occasioned
by accident or mistake.
SI%TH: Any beneficiary who fails to survive until one hundred
twenty ( 120 ) hours after my death shall be deemed to have predeceased
me, and the gift to that beneficiary shall be disposed of accordingly.
SEVENTH: Definitions:
a. The term "children" as used in this Will includes adopted
and afterborn persons . The term "children" as used in this Will shall
also include step-children, the natural born or adopted children of a
person' s spouse who are not the natural born or adopted children of the
person. A relationship by or through legal adoption shall be treated
the same as a relationship by or through blood for purpose of
succession to property under this Will .
b. The term "descendants" as used in this Will means the
immediate and remote lawful, lineal descendants by blood or adoption of
the person referred to who are in being at the time they must be
ascertained in order to give effect to the reference to them.
c. The term "Personal Representative" as used in this Will
means Executor, Executrix, Independent Executor, or any other title of
like import which is used to describe such a fiduciary.
d. The term "per stirpes" as used in this Will means that
whenever a distribution is to be made to the descendants of any person,
the property to be distributed shall be divided into as many shares as
there are ( 1 ) living children of the person, and ( 2 ) deceased children,
who left descendants who are then living, of the person. Each living
child (if any) shall take one share and the share of each deceased
child shall be divided among his then living descendants in the same
manner.
A
� � ' PAGE 3 L��
��` 5 PAGES iU �
EIGHTH: In addition to any powers granted by the laws of the
state in which this Will is probated, I hereby authorize and empower
the fiduciaries named in this Will, to the extent of the discretion
herein granted, to sell, exchange, convey, transfer, assign, mortgage,
pledge, lease or rent the whole or any part of my real or personal
estate, to invest, reinvest, or retain investments of my estate, to
perform all acts and to execute all documents which my fiduciaries may
deem necessary or proper in regard to my property. If any of my
fiduciaries elect to receive compensation for services, such
compensation will be that allowed by law.
NINTH: If any part of this Will shall be invalid, illegal, or
inoperative for any reason, it is my intention that the remaining
parts, so far as possible and reasonable, shall be effective and fully
operative. My Personal Representative may seek and obtain court
instructions for the purpose of carrying out as nearly as may be
possible the intention of this Will as shown by the terms hereof,
including any terms held invalid, illegal, or inoperative.
IN WITNESS WHEREOF, I have at Carlisle Barracks, Pennsylvania,
this llth day of August, 1993, set my hand and seal to this my
LAST WILL AND TESTAMENT, consisting of 5 typewritten pages, each page
bearing my handwritten signature.
This document was prepared under the authority of 10 U.S .C,
section 1044, and implementing military regulations and instructions,
by JOHN F. MILLER, who is licensed to practice law in the State of
Ohio.
, �
(SEAL)
LESLIE L. BLOUI
�- a PAGE 4 _��.L_
OF 5 PAGES ���..
� �
The foregoing instrument was, at Carlisle Barracks, Pennsylvania,
this llth day of August, 1993, signed, sealed, published and declared
by LESLIE L. BLOUIN, the testator, to be his LAST WILL AND TESTAMENT in
the presence of all of us at one time, and at the same time we, at his
request and in his presence and in the presence of each other, have
hereunto subscribed our names as attesting witnesses, and we do so
verily believe that the said testator is of sound and disposing mind
and memory at the date hereof .
�� �-��-'�
OF OF �'�P.t ��- OF � G�KS
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•� � , AGE 5 ��
� 5 PAGES �
, �
COMMONWEALTH OF PENNSYLVANIA
CUMBERLAND COUNTY
ACRNOWLEDGMENT
I, LESLIE L. BLOUIN, testator, 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; that I signed it willingly; and that I signed it as my
free and voluntary act for the purposes therein expressed.
� _ f7
' (SEAr.,)
S . B UIN
AFFIDAVIT
We,^__;��V�-�\�1�U�-S � f' S f'�� �EZ��c= , and
J ��lh �• M <<IQr , the witnesses, sign our names to this
instrument, being duly qualified according to law, do depose and say --
that we were present and saw the testator sign and execute the
instrument as his Last Will; that the testator signed willingly and
executed it as his free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight of
the testator signed the will as a witness; and that to the best of our
knowledge the testator was at that time 18 or more years of age, of
sound mind and under no constraint or undue influence.
.,`)l.9�-�-� �'� /v��Q
Witness Witness Wit ss
Subscribed, sworn to and acknowledged before me by LESLIE L.
BLOUIN, the testator, and subscribed and sworn to before me by
�----,,�y n ^ V� � ��--� , ���C ��Z��-6C , and
,� �x.
� n � . Mt1�Pf , the witnesses, this llth day of August, 1993 .
NOT Y IC My COmmis io °�
����GmbedMd
M��am�on�,..oa.,e,,
�"�►��,c����
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
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�t AF ��M� 1'� ,
�.� �.'.1\ �� No. 2014- 0� 184 PA No. 21- �4- � 184
J - � Estate Of: LESLIEL BLOUIN
O � � (Fi�st,Middle,Lastl
� I �
��',� �� La te Of: UPPER ALLEN TOWNSHIP
CUMBERLAND COUNTY
N 1 N
Deceased
Social Security No:
1750
WHEREAS, on the 17th day of December 2014 an instrument dated
August llth 1993 was admitted to probate as the last wi11 of
LESLIE L BLOUIN
(First,Middle,Last)
late of UPPERALLEN TOWNSH/P, CUMBERLAND County,
who died on the 19th day of November 2014 and
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, L/SA M. GRAYSON, ESQ. , Register of Wills in and
for CUMBERLAND County, in the Commonweal th of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
DORIS l BLOUIN
who has duly qualified as EXECUTOR(R/X)
and has agreed to administer the estate according to law, all of which
fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYL VANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 17th day of December 2014.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)