HomeMy WebLinkAbout02-06-15 PETIT ON 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
support thereof aver(s)the following and respectfully request(s)the grant of Letters in the appropriate form:
Decedent's Information 21 — 15 U
_
Name: .��`��+Q fit. C-'et'dl File No: I
a/k/a: A r k4 ty -13. C4--gP-J) (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: Age at death: qq
Decedent was domiciled at death in C County, Pa (State)with his/her last /
principal residence at 19 1 1 IAL4 Xcokk-m- ` t/KAVM r,4 J7,96-7M ar�y1
Street address,Post Office and Zip Code Q City,Towns ip or Borough County
Decedent died at 1,71 kua1 ,�I &44y& ,sh;P1�!! A 4sbam T 17,53-7 t9n/1,6d&j T tyA
Street address,Post Office and Zip Code �T O y,Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania.. ...... ..... All personal property $ May Soo
If hot 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. ... Agm p}
Real estate in Pennsylvania situated at:
(Attach additional sheets,if necessary) 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 and Codicils)
thereto dated
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 patty 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.
&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 db.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 esta Nhed as de4ped
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. n
iii
E]NO EXCEPTIONS ❑EXCEPTIONS r
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the followtng sp fanyand he s(attach
additional sheets, if necessary): 1� " r
M C77 J t 7
Name Relationship Addresi
o Cf)
For„f nw-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
k Gtie t�� n � hi �A 1-79s7
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 9pe
yd he Petitioner(s)will It and truly administer the estate accordi g to law.
Sworn to%alffirmed a subscribed before Date
me this-�~V 1���xday of Bate
�
By: \ tg ,yr— – Date
For the Reggister ✓ t Date
BOND Required:Q YES Z NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ c=;"- Attorney Signature:
{ )Short Certificatc(s).. ... .
( }Renunciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . . . . . .
{ )Affidavit(s)... . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name:
Corot iss'on. . . rn. . .. . . . .. .. . .. . Supreme Court r, c
Other . . . . . . . . ���` ID Number: c i
Firm Name:
Address: :,:-t CJ
A ,..11 F
Phone:
Automation Fee. . . . . . . . . . . . . . . X�_� Fax: Ui)
JCS Fee. . . .. . .. . . . Email: N
TOTAL. . . . . . . . . . .. . . . . . .. . . $ 120r F�
DECREE OF THE REGISTER
Estate of i"lY ker)el File No: ,—15 -014c
a/k/a: yl Y�1e
AND NOW, l Com[ �l �o � in con§jderation of the foregoing Petition,
satisfactory proof having been presented bhore me,IT IS DECREED that Letters
are hereby granted to ,�(�� )ex e�
in the above estate and(if applicable)that
the instrument(s) dated Il 6
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent.
a .4 Mmq V�-,
g'ster of Wills W
Form RW-02 rev. 1011112011 J i 023--page 2 of 2
n,
RECORT3EC C���FICE OF
� Pit I an� qltotararnt
?015 FEB 6 611 1 2
CLEL t;
so paid shall be collected from or paid by any other person, persons, or
corporations by way of reimbursement, proration, apportionment or otherwise.
FOURTH: I name and appoint my grandson, Matthew K. Gesell,
Executor of this, my Last Will and Testament.
I direct that my Executor shall not be required to post bond
for the faithful performance of his duties in this or in any other jurisdiction.
N WITNESS VVHEREOF, I have-hereunto set my hand and seal this
O� day of , 2006.
A4E
Arlene M. Gesell
WIT ESS: I
G
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
: SS.
COUNTY OF FRANKLIN
I, ARLENE M. GESELL, 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
Page 2 of a Three-Page Will
and Testament; and that I signed it willingly, and as my free and voluntary act for
the purposes therein expressed.
WITNESS my hand and official seal, the day and year aforesaid.
'Arlene M. Gesell, estaYrix
Notary Public
COMMONWEALTH OF PENNSYLVANIA,
Notarial Seal
Linda N.Dickinson,Notary Public
Chambersburg Boro,Franklin County
My Commission Expires Mar.22,2008
Member,Pennsylvania Association of Notaries
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF FRANKLIN
We, 1 4 ara K 4ae, Kso n and
the Witnesses whose names are signed to the attached ro foregoing instrument,
being first duly sworn and qualified according to law, do depose and say to the
undersigned authority that we were present and saw the Testatrix sign and
execute the instrument as her Will; that the Testatrix had signed willingly (or
willingly directed another to sign for her) and executed it as her free and
voluntary act for the purposes therein expressed; that each of the subscribing
Witnesses, in the presence and hearing of the Testatrix, signed the Will as a
Witness; and that to the best of our know�edge Arlene M. Gesell, the Testatrix,
was at the time 16 years of age or older, of Sound miN and under no constraint:
Z
ZiS
e.
VIfNE8S
Sworn and subscribed to before me this
Z;?j NA day of , 2006.
Notary Public
COMMONWEALTH OF PENNS LVANIA
Notarial Seal
Linda N.Dickinson,Notary Public
Chambersburg Boro,Franklin County
My Commission Expires Mar.22,2008 Page 3 of a Three-Page Will
Member,Pennsylvania Association of Notaries