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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CiAl"brd'onx 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 Information1 1
Name: C1�tte 1.r6?I (3oa
11tp� File No: �l' I ��JI
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: f► Z3/2oty Age at death: 91
Decedent was domiciled at death in eamberlsnd County, OSA (State)with his/her last
principal residence at 1760 tfAekef a • Camp Nill , ►ynll ea*tnpill 001-syq� Cuntho/,t t
Street address,Post Office and Zip Code City,Towns tip or Borough County
Decedent died at 1766 Howled 0 L4Amu #dI �I7o►► rAps pPill 0,f"vti 1
1oj,4bolwa,f 17A
Street address,Post Office and Zip Code City,Township or Iforough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania.... . ............. . .. ....... All personal property $ q_5aa 60
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. ... $ '1_5f70.00
Real estate in Pennsylvania situated at: ;_ 70
(Attach additional sheets,if necessary) Street address,Post Office and Zip Code City,Township oicHormigh `_r' M'- Monty
�, CC77 � C-) O
A. Petition for Probate and Grant of Letters Testamentary r-1 c z uy
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated 5//i-hj.j> r an—
thereto dated
State relevant circumstances(e.g.renunciation,death of executor,etc.) ` C7 p
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not diw Sd,was ngt1"artM:r9 agnding
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §3323(g),and did not have a Mild8orn or
Cn
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
0 NO EXCEPTIONS 0 EXCEPTIONS
B. Petition for Grant of Letters of Administration (If applicable)
al.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durance absentia,durante minor•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 parry 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 Q EXCEPTIONS
Petitioner(s),after a proper search hasihave ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(attach
additional sheets,if necessary):
Name Relationship Address
Form RFV!02 rev. 1011112011 Page 1 of 2
Oath of Personal Representative Official Use only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF cur>rb�Wl40'1 }
9q1�
Petitioner(s)Printed Name Petitioner(s)Printed Address
V /a
eberA M ne 01N ry /211D junrnd riery 6-IL 11 Alew CNmhrda./ PA 0?0?b
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 PIAn rX lf) aAj -Ff Date /�/✓s
me thislrn day of j5 Date
By: Date
For the Register Date
BOND Required: Q YES )� NO To the Register of Wills:
FEES: � Please enter my appearance by my signature below:
l
Letters . . . . . . . . . . . . . . . . . . . . . . $ 5 Attorney Signature:
( )Short Certificate(s). . . . . . 5
( )Renunciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . . . . . . .v
( ) Affidavit(s).. . . . . . . . . . . a
uw+ MBond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name:
Commission . . . . . . . . . . . . . . . . . Supreme Court s�
Other") . . . . . . . . TD Number: nl C7 G)
r nvprrh� r � M r M
11r11�1• �� 1�P11 � � r�J Firm Name: i n
. . . . . . Address:
. . . . . Phone:
Automation Fee. . . . . . . . . . . . . . . J Fax:
JCS Fee. . . . . . . . . . . . . . . . . . . . . 56 L-S0 Email:
TOTAL. . . . . . . . . . . . . . . . . . . . . $ 36
DECREE OF THE REGISTER
Estate of Cr QLy-
n Zo I I i 02Cr File No: 15'"�l
a/k/a: I 1j
AND NOW, -'san —7 ,in consideration of the foregoing Petition,
satisfactory proof having been presented Ofore me,IT IS DECREED that Letters � z�YY1C7�►'U
are hereby granted to ��j_Q,.h ��
J I I t ry-
in the above estate and(if applicable)that
zi
the instrument(s)dated 1'Y1Q L�
described in the Petition be admitted t robate and filed of record as the last Will(and Codicil(s))of Decedent.
r
g'ster of ills
Fornr RW-01 rev. l0/l1/loll �C� II e 2 of 2
R�w"T'STEL: UF €tg,wqkt
n
nis JAN 7 RM 9 19 _... ._
OF
C R,K OF
QRRHAN S' G"'OU T CLAIR L. BOLLINGER
I , CLAIR L. BOLLINGER, of Manchester Township , York County,
Pennsylvania, declare this to be my last Will and revoke any Wills
previously made by me.
I :r
I direct that all my just debts, funeral and burial expenses,
and expenses of my last illness shall .be paid from the assets of my
estate as soon as possible after my decease.
II .
I give and bequeath the residue of my estate of every nature
and wherever situate unto my daughter , Deborah Bollinger .
III .
Should my said daughter , Deborah Bollinger , predecease me I
give and bequeath the residue of my estate unto Terry Lee Myers, now
residing at 714 West Philadelphia Street , York , Pennsylvania.
IV.
I appoint my daughter , Deborah Bollinger , as my Executrix .
Should my said daughter predecease me, cease or be unable to act as
my Executrix , I appoint Terry Lee Myers, as Executor .
IV.
I direct that my Executrix or Executor shall not be required to
give bond for the faithful performance of her or his duties in any
jurisdiction.
C kn-'�-
A
' • rt s
V.
I direct that all taxes that may be assessed in consequence of
my death, of whatever nature and by whatever jurisdiction imposed ,
shall be paid from my residuary estate as a part of the expense of
the administration of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand this
day of __MA/ ------------
, 1988.
The preceding instrument, consisting of this and one ( 1 ) other
typewritten page, each identified by the signature of the Testator ,
was on the day and date thereof signed , published and declared by
CLAIR L. BOLLINGER, the Testator therein named , as and for his last
Will , in the presence of us, who at his request , in his presence,
and in the presence of each other , have subscribed our names as
witnesses hereto .
1 p --
Name___ - �.' Address_S�1_`-�__�_''Ph'l
��
Name Address
-------------------- ------------------------------
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
clink-4,go't COUNTY, PENNSYLVANIA
Estate of Clair torrj 13illonj r , Deceased
'V,e,kr2k Jplcrrtr f3dlengw and j;_""1j!! tNr+►1 WAInc✓
(each) being duly qualified according to law, depose(s) and say(s)that she/he/they was/were well-
acquainted with and am/are familiar
with the handwriting and signature of the decedent, and that the signature of Oagi- term 13zltonlw
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
is in his/her own proper handwriting.
74
(Signature) (Signa r)
/2 y Z dts mm,>' �aN Gi /
(Street Address) (Street Address)
1-70
(City,State,Zip) (City,State,Zip)
Executed in Register's Office
ry
Sworn to or affirmed and subscribed M
rrl
before me this days,
� C C,..
rn
_ cn CD c
Deputy for R ist r of Wills
t-A U
s
Form RW-04 rev. 10.13.06
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
I�
y OF C QM
No. 2015- 00012 PA No. 21- 15- 0012
C� Z Estate Of: CLAIR LEROY BOLLINGER
(First,Middle,Last)
v
Late Of: CAMP HILL BOROUGH
CUMBERLAND COUNTY
N II II
Deceased
Social Security No:
1750
WHEREAS, on the 7th day of January 2015 an instrument dated
May 1st 1988 was admitted to probate as the last will fes, "' m.
CLAIR LEROY BOLLINGER ' in ;Xj
(First,Middle,Last) `—
late of CAMP HILL BOROUGH, CUMBERLAND County, cn c
who died on the 23rd day of November 2014 and
WHEREAS, a true copy of the will as probated is annemed heDetp--: rn
THEREFORE, I, LISA M. GRAYSON, ESQ. Register of P811PA and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
DEBORAH J BOLLINGER
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, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 7th day of January 2095.
lJl,
Re is ter of Will
KA e �
epu f,
**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)