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02-11-15
PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF ( JCOUNTY,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 Inform do Name: 2 Q File No: a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: Age at death: Decedent was domiciled at death in.rJunikLM& County, C (state) ith his/her last principal residence at d� f Street address,Post Office and Zip Code City,Township or Borough County Decedent died at 30191 py&-ShT (�rlislr 066 9grAMldd[e�n "berbii M 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 $ 5 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. ... $ Real estate in Pennsylvania situated at: (Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County v A. Petition for Probate and Grant of Letters Testamentary c�) Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated _— `2fai Cod��G.l(fi')� thereto dated State relevant circumstances(e.g.renunciation,death of executor,etc.) r,-f Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced,Vis not a party to apendng divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g),and did not have-ayhild bortpfr adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person: c- _t `4"f NO EXCEPTIONS F-1 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,clurante absentia,durante minoritate 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 defined in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS ❑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 Address Form RW-02 rev.10/11/20/1 Page 1 of 2 X416 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF } Petitioner(s)Printed Name Petitioner(s)Printed Address r 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 a firmed and subscribed before i�/,., �/.��� Date 2 1/ ! me this J�May of&L)O „-415 Date By: etf Date For the Regrst t Date BOND Required:❑YES ©NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters . . . . . . . . . . . . . . . . . . . . . . $ Do Attorney Signature: ( � ) Short Certificate(s).. . . . . W ( ) Renunciation(s).. . . . . . . . ( )Codicil(s). . . . . . . . . . . . . ( )Affidavit(s).. . . . . . . . . . . Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Commission. . . . . . . . . . . . . . . . . . Supreme Court OtherK( ( . . . . . .. . IS ID Number: cl, M . . . . . . . . 1� —r� x t C7 11�h.fi[iX1� �Y.�?. . « Firm Name: �-a 21 b . . . . . . . . Address: f .r 7 Phone: ; Automation Fee. . . . . . . . . . . . . . . Fax: JCS Fee. . . . . . . . . . . . . . . . . . . 5�]�'L Email: TOTAL. . . . . . . . . . . . . . . . . . . . . $ DECREE OF THE REGISTER � Estate of (�� L�ad\fS V3ohnS6 I File No: a/k/a: AND NOW,_ 11.1C111L1 l , in consideration of the foregoing Petition, satisfactory proof having been presentedore me,IT IS DECREED that Letters are hereby granted to in the above estate and(if applicable) that the instrument(s) dated Jana described in the Petition be admitted to pr bate and filed of record as the last Will(and Codicil(s))of Decedent. o 46iister of Wills (Yf4 For/,RW-02 rev. 1011112011 ge 2 of 2 RGOi'.� E 0�= 7015 FEB 11 PM 12 13 GLr . 0 � `„71 PR P K t�a S, U"LAST WILL AND TESTAMENT OF GLADYS V. JOHNSON I, GLADYS V. JOHNSON, of the Borough of Mechanicsburg, County of Cumberland and State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all prior Wills by me at any time heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can be conveniently done. 2. I give, devise and bequeath all the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever the same may be situate, to my four (4) .children, to wit, my son, GEORGE W. HULL, my daughter, SHARON K. MYERS, my daughter, WENDY L. BOWER and to my daughter, SANDY K. REED, share and share alike, per stirpes. - 1 - I r;• of January, A. D., 2003. (SEAL) 011adyYV. Johnson - 2 - i � K.Vamcumwat�� Ot rata Mammo•Pew' COMMONWEALTH OF PENNSYLVANIA ) : SS COUNTY OF CUMBERLAND ) We, the undersigned, J. ROBERT STAUFFER and MARY E. FRANKLIN , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the within testatrix, GLADYS V. JOHNSON, sign and execute the instrument as her Last Will and Testament; that the said testatrix, GLADYS V. JOHNSON, executed it as her voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of the testatrix, signed the Will as witnesses; and that, to the best of our knowledge, the testatrix was, at the time, eighteen (18) or more years of age, of sound mind, and under no constraint, duress or undue influence. Sworn and subscribed to before me this 20thday of January, 2003. "I- I 6ULV-0 Notary Ajbhc NotadW Seal - 4 - Angola K.Varner,Notary PL4* Medwricsburg Bora,Cumberland County My Commission Expires Mar.27,2006 Member.PmwA a*Association Of Notaries