HomeMy WebLinkAbout01-07-15 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
sLipport thereof aver(s) the following and respectfiiliy request(s) the grant of Letters in the appropriate form:
Decedent's Information /-�
Name: /'�/LElz��' /t//����';'1 s�T/�`•t File No: �����j'�V) �
a/k/a: /i�L;��'f /S� �-�'�i� ✓ (Assigned by Register)
a/k/a:
a/k/a: Social Security No: /`,�, /'� /;
Date of Death: ,/��l9/�,G��;;f Age at death: �/
Decedent was domiciled at death in Gli'�]�F��.���' County, �� (Sruae)witb his/her last
principal residence at 1��� l4Ur�'���MY ",:,._�. fl�o M /��t, �-,�,p G./ ;�1.� F1J�'�'�._<;'�` T�,lf� Cv'���/'��-iC��O
Street address,Post Offlce and Zip Code J��/� City,Township or Borough County
Decedent died at /'��7 �r,�..A��N'��1`/Y�� ;�.�.�' ��i ,'''��j .. -�/.'_f_>7'�-�' /'%='l�) l'^jG,�,;T.;��,)' r✓���' /`,ZJ'�1/,��11-��""' �('�
Street address,Post ftice and Zip C�ode City,Township or Borough County Stat�
Estimate of value of decedent's property at death: q„
If domici[ed in Pennsylvania................ ........ .... All personal property $ �r '����) � .
I�'not domiciled in Pe�:nsylvania. ......... .............. Personal property in Pennsylvania $
I/'not domici[ed in Pennsyh�ania. ....................... Personal property in County $
Value of rea[estate in Pennsy[vania.... ................. ................. . .................. $
TOTAL ESTIMATED VALUE. ... $ f!3 r7;�� —
Real estate in Pennsylvania situated at:
(,4�tnch ndditionnl sheets,i(necessary.) Street address,Post Office and Zip Code City,Township ar Borough County
� A. Petition for Probate and Grant of Letters Testamentary
Petitiouer(s)aver(s)he/sbe/they is/are the Executor(s)named in tl�e last Will of tl�e Decedent,dated oi� J��^� ���� and Codicil(s)
thereto dated
State relevant circumstances(e.g.renuncintia�,rteadi of executor,etc.)
Except as follows: afrer the execution ofthe 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 i��23 Pa.C.S. §3323(g),and did not have a child born or
ad pted;ai�d 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.u.,d.b.n.,cl.b.ri.c.t.u.,pendente lite,cl�iunte absentirL�runt�i�itute
ri"I
If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Will in Section A above and cor►�l�a list of�' 'rs.�? ��..
-z.� �n �
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divarrc��d�en established-�s$'�e�ined
�;,.
. ,.. :»'i= �� �..�� �
§ �g) � J � P � P --,] -_;-; t�
�ii 23 Pa.C.S. 3323 and was neit�er t e victim o a t in nor ever ad udicated an inca acttated erson.E-- �-�
❑NO EXCEPTIONS �EXCEPTIONS � � �� ��., �
Petitioner � ' , 4�
;),after a proper search has/have ascertained that Decedent lefr no Will and was sn,,�ived by the following spp��(if a�and}ie�rs�,Fil`tach
c�dditiona�s;�eets, ifnecessary): � t�-�,� � � �
Name Relationshi Addr.e;$s . � � �
Form RW-0? ����.�ni[iizni� Page 1 of 2
��
Oath of Personal Representative Official Usc Only
COMvIONWEALTH OF PEiVNSYLVANIA }
} SS:
COUNTY OF }
Petitioner(s)Printed Name Petitiouer(s)Printed Address
z,✓;;��t�� Fi• ,-/.� F�;� �j�� jS�l�r��,/qh1' j�i:,a,.✓� r✓FslLvr'l'r",C�dN� �'A i�p�o
The Petitioner�s;abo�e-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 tha1,as Persoaal Representative(s)of the Deceden tl�e Petitioner(s)will well and tnily administer the estate according to law.
Cwcrn to�r affirmed and s�ahscribed before/� � �-✓ %�J �"�" Date :��I�i �-
me tr�s � day of�,�,�r�_`�"`'_,�(�L�1 Date
By:, � n Q'� 1 .��`�/.�'��(���. Date
For the Re�i.ster Date
BOND Required:�YES NO To the Register of Wi!!s:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ �� Attorney Signature:
( !� ) Short Certificate(s). . . . . .
( ) Renunciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . . . . . . ;...v� �
( )Affidavit(s).. . . . . . . . . . . � c�n � �
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Q
Commission. . . . . . . . . . . . . . . . . . Supreme Court � -� r.• tn �
Other ID Number: �''� � �' � �� �;�
� �S`(� � t�� --.] ,.� �)
1/' . . . . . . . 6•� Firm Name: .�>
. . . . . . . /� Address: _ � ,� _.�� -
. . . . . . . �,� .�.Y,.� .,s,: �
. . . . . . " � 3,� (�
. . . . . . . .. .",� �� � 0
`i �
. . . . . . . . Phone: �. s
Automation Fee. . . . . . . . . . . . . . . � Fax:
JCS Fee. . . . . . . . . . . . . . . . . . . . . �-rj�� Email:
TOTAL. . . . . . . . . . . . . . . . . . . . . $ /S^6��
DECREE OI+ THE REGISTER
Estate of IUl i ldred ��m� G-r�.� File \To: ��> /�—�/e�_
a/k/a: IU(i I�.I"PG� �I. �-�
AND NOW, ���� �TQ,�� r(iI ,���, in consideration of the foregoing Petition,
satisfactoiy proof having been presented be�ine,IT IS DE REED that Lett s "�°��
are hereby granted to _�
in the ove estate and(if applicabl�) that
the instrument(s) dated � 1 t� ` 2.,
described in the Petition be admitt to proba e and filed of reco as.the last Will(and odicii(s))of Decedent.
� �
ister of ill
Form R6i�-O2 rev. 10/11/2011 PagO Of 2
A235-1° LAST WILL AND TESTAMENT
R235-04
BE IT KNOWN that I, Mi ld�ed Naomi Gray
New Cumberland > a resident of
Pennsylvania , County of Cumberland ,in the State of
, being of sound mind, do make and declare this to be my Last Will and
Testament expressly revoking all my prior Wills and Codicils at any time made.
I• PERSONAL REPRESENTATIVE:
Iappoint William H. Gray of
Pennsylvania New Cumberland,
vide if this Personal Representative is unable or unw 1lingRo serve then I ppoint�Last Will and Testament and pro-
Kay Frances Gray Wray
pA >as alternate Personal Representative.My Personal Re presentatee h a l l b e a u t h n'z d�t o c a r r y ou t a l l pro-
visions of this Will and pay my just debts, obligations and funeral expenses. I further provide my Personal
Representative shall not be required to post surety bond in this or any other jurisdiction, and direct that no expert
appraisal be made of my estate unless required by law.
IL GUARDIAN:
In the event I shall die as the sole parent of minor children, then I appoint d o e s n o t a pp 1 y
as Guardian of said minor children. If this named Guardian is
unable or unwilling to serve, then I appoint
as alternate Guardian.
III. BEQUESTS:
I direct that after payment of all my just debts, my property be bequeathed in the manner following:
The children are to take whatever items they want and then the car
and remaining items are to be sold and the money divided equally
among all five (5) children.
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Testator's Initials
Page 1 of 1
Execute and attest before a notary. Caution: Louisiana residents should
consult an attorney before pa-eparing a will.
0 53926 20028 3 (Rev. 12/98)
AFHH
w� � �p�
�j � day of � �
IN WITNESS WHEREOF,I have hereunto set my hand this �L�l/
(year),to this my Last Will and Testament.
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Testa r Signature
N. WITNESSED:
The testator has signed this wiland testament and n be presence of the gestatorhand each other we ha e
m our presence that it is his/her last w da of , (year).
hereunto subscribed our names this Y
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Address
Witness S ature �A
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Address
Witness Signature
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Address
itness Signature
ACKNOWLEDGMENT
State of }
County of � � �'� �'�'(„�I�/" ,
We, s � �
/ / ��tC 1�e1JnI�� ,and '
the testator and the witnesses,respectively, whose names are signed to the attached and foregoing instrument,were
sworn and declared to the undersigned that the testator signed the instrument as his/her Last Will and that each of
the witnesses, in the presence of the testator and each other, signed the will as a witness.
Witness �� � ��`�----
Testator:
�� Witness •
� Witness
�,� o�u:����v (� / �'.�'�'/�r- �
On �� � ore me, �,5�� h'�`�
appeared m/���e u � V-
personally known to me (or proved to m an ack owledged to me that he she/they ebecut d the a(me�in b s/her/their
is/are su bsc ri b e d t o t h e w i t h i n i n s t r u m e n t
authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon
behalf of which the person(s)acted,executed the instrument.
WITNESS y nd and offic' 1
Signatur ` Affiant Known Produced ID
Signature of Notary Type of ID
^1t�T,h�'iAL SEAL (Seal)
Christie L.Underkoffier, Notary Pun!ic 1
Gam,�Hi11 Bora,Cum�aeriand Couniy Page 2__of
My Commission Expires June 24,20�2
O_�TH OF �O�-SLBSCRIBItiG ti��IT�ESStES)
REGISTER OF ��'ILLS
COUIvTY,PE�I?�iSYLVANIA
Estate of ���_'G���-fi /'1,�;���� �r�'�'f,
,Deceased
� 5 S�"�,�,
,- � and �A �/-,A �
(;v.��-, -1H^� � .�-.�� �
(each)being duly qualified according to law,depose(s) and say(s)that she /he/they was/were well-
�/1 G�n.6�D ./J. 'vr �1�
and am/are familiar
acquainted with �,��, �f, �-���,��
with the handwriting and signature of the decedent, and that the signature of �1�h� `�" �' �� �JA��i `��;'
to the foregoing instrument purporting to be the Last Will and Testamcnt/Codicil of /�1/=1,'�-- ' �� �
is in his/her own proper handwriting.
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Sworn to or affirme�i and subscribed .� �
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before me this �� � _day :
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Dep�ity tor Register of«'ills
Fo,-»�Rw-oa ��v. �o.i3.nr>
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
�� �U�� ,I J- 00013 6 PA No. 21- 15- 0013
�y f� �`� No. 2015
�� � �� , � Estate Of: MILDRED NAOMI GRAY
O �\ � (FiisL Middle,LasU
V �' r��1 � a/k/a: MILDRED N GRAY
� �� y� Late Of: M/DDLESEX TOWNSHIP
�� CUMBERLAND COUNTY
M II II /
Beceased
1750 Social Security No: 196-14-1509
WHEREAS, on the 7th day of January 2015 an instrument dated
�Tuly 22nd 2000 was admitted to probate as the last will of
MILDRED NAOMI GRAY
(Fiist,Middle,Lasil
a/k/a M/LDRED N GRAY
late of M/DDLESEX TOWNSH/P, CUMBERLAND County,
who died on the 19th day of December 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 Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
WILLIAM H GRAY
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, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
��y �'ffice on the 7th day of January 2015.
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