HomeMy WebLinkAbout04-06-15 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF_�` i.t V►�tn�.V'I�N. 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 ��_ h -��
Name: To►\in u–A–tr�C File No:
a/k/a: —� (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: Age at death: 92,
Decedent was domiciled at death in CUmb .Nd/ Co/unty, (State)with his/her last
principal residence at 1'7 [0 r d _ -1/(Cl f�/7C� f j 114 1 / Lv
Street address,Post Office and Zip Code City,Township or Borough n/� // / County
Decedent died at 1710 0 -r9 6rt A(ic �c' 6-1014 ,6. 1 AUS– 6Y10 le e-6L ft 4Pt �d A -
Street address,Post Office and lip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
If do►►ticiled in Pennsylvania............................ All personal property $
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. ... $;O CM,QQ
Real estate in Pennsylvania situated at: ( 1��pD�{SV f 11, S+. 0 teen n-ne flit 1-70f7 ,[7c��0�u�t 6& 1,17
(Attach additional sheets,tfnecessary) 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 g— 70anOCodicil(s)
thereto dated C
= +
State relevant circumstances(e.g.renunciation,death of executor,et C 1 r
�- r�y r9
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,wasrnotdMo"7d,wi�i of a pa`Ay t?o a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §33 3(gi ajrd did'not haves 4d born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. t:j n CD -T, q_ —rt
XNO EXCEPTIONS ❑EXCEPTIONS '
r'
❑ 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 abse ta,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,if necessary):
Name Relationship Address
Form RW-02 rev.10/11/2011 Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cl 0A b eAa yi_J }
Petitioner(s)Printed Name Petitioner(s)Printed Address
U—)ct-V) - Rao 5 V_o el la Pc. .
N
The Petitioner(s)above-named swear(s)�r 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.r , firmed and-subscr:ibed'before 4 rk A � . �7� Date 3—/ Q—/5
me thisay of f)-qr_ 'Dols Date
By: �� Date
For the Register Date
BOND Required:Q YES NO To the Register of Wills:
FEES: ll Please enter my appearance by my signature below:
r Q
Letters . . . . . . . . . . . . . . . . . . . . . . $ —I O Attorney Signature:
( �2 ) Short Certificate(s). . . . . . 10
( )Rentmciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . . . . . .
( ) Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name:
Commissign. . . . . . . . . . . . . . . . . . Supreme Court
Other WI U . . . . . . . . VP� ID Number:
{nhj�-yam, . 1_�_ Firm Name:
. . . . . . . . Address:
. . . . . . . . Phone:
Automation Fee. . . . . . . . . . . . . . . C25 Fax:
JCS Fee. 6 '(So Email:
TOTAL. . . . . . . . . . . . . . . . . .. . . $ 1 5.
�,.� 1_\ ( DECREE OF THE REGISTER
`�
Estate of � J )r) 4A. r '� �� File No:
a/k/a: 1� ' ^
AND NOW, �n �l 4' , in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS I)E1 CIIX D that Letters
are hereby granted to h_n f
in the ove estate and(if applicable) that
the instrument(s) dated r �Q
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
(-�C( kA MJJM'K� -
ister of Wills/ por��
Form RW-OZ rev. !0/1112011 Page 2 of 2
LAST WILL AND TESTAMENT
OF
JOHN H. AUTRY, SR.
T
C) c,ry C
a
I; HN H.AUTRY,SR.,currently of the County of Dauphin and Commonwealth of
G Prnsylvagaeing of sound mind,memory and understanding,do make and publish this,my
La Will and`'T�estament,hereby revoking and making void all former Wills by me at any time
heretofore made.
FIRST: I direct my hereinafter named Executrix to pay all my legally enforceable
debts,funeral expenses, administration expenses, and inheritance, estate, succession or excise
taxes, which I owe or may become due on account of my death, as soon as may be convenient
after my decease.
SECOND: I give, devise and bequeath all of my property, be it real, personal and
mixed,whatsoever or wheresoever the same may be situate at the time of my death to my wife,
CARRIE E. AUTRY, if she survives me.
THIRD: In the event my wife, CARRIE E. AUTRY,predeceases me or fails to
survive me, I give, devise and bequeath all of my property, be it real, personal and mixed,
whatsoever or wheresoever the same may be situate at the time of my death in equal shares as
follows:
GREGORY M. KERWIN
TERRENCE J. KERWIN
JOSEPH D. KERWIN
HOLLY MCCLURE KERWIN Page 1 of 3 Pages AIIJNH.
(SEAL)
ATTORNEYS AT LAW AUTRY,
a
t r .
A. One-fourth (1/4) of my estate shall pass to my son,JOHN H.AUTRY,JR.,if
he survives me. In the event my son,JOHN H.AUTRY,JR.,predeceases me
or fails to survive me, I direct that his share of my estate shall pass to his
children in equal shares.
B. One-fourth (1/4) of my estate shall pass to my son, WILLIAM M. AUTRY,
SR., if he survives me. In the event my son, WILLIAM M. AUTRY, SR.,
predeceases me or fails to survive me, I direct that his share of my estate shall
pass to his children in equal shares.
C. One-fourth (1/4) of my estate shall pass to my daughter, HEIDI J.
SWANGER, if she survives me. In the event my daughter, HEIDI J.
SWANGER,predeceases me or fails to survive me,I direct that her share of my
estate shall pass to her children in equal shares.
D. One-fourth (1/4) of my estate shall pass to my daughter,HOLLY L.AUTRY,
if she survives me. In the event my daughter,HOLLY L.AUTRY,predeceases
me or fails to survive me, I direct that her share of my estate shall pass to her
children in equal shares.
FOURTH I nominate, constitute and appoint my wife, CARRIE E. AUTRY, as
Executrix of this, my Last Will and Testament, authorizing and empowering her to sell and
convey any and all real estate which I own at the time of my death. In the event my wife,
CARRIE E.AUTRY,predeceases me or fails to survive me,or is unable or unwilling to serve
as Executrix, then I nominate,constitute and appoint my daughter,HEIDI J. SWANGER,as
GREGORY M. KERWIN Executrix of this, my Last Will and Testament.
TERRENCE J. KERWIN
JOSEPH D. KERWIN
HOLLY MCCLURE KERWIN
ATTORNEYS AT LAW
Page 2 of 3 Pages (SEAL)
HN H. A TRY R.
t
I further direct that my Executrix or personal representative shall not be required to post
bond to act in said capacity.
IN WITNESS WHEREOF,I,JOHN H.AUTRY,SR.,have hereunto set my hand and
seal, to this, my Last Will and Testament, this R&day of , 2010.
SIGNED, SEALED, PUBLISHED
and DECLARED by the above-
named Testator, JOHN H.
AUTRY, SR., as and for his
Last Will and Testament, in
the presence of us, who at
his request and in the
presence of each other, have
hereunto set our names as
witnesses:
(SEAL)
Residing a 0 H. AUTVd, SR.
Residing
Page 3 of 3 Pages
GREGORY M. KERWIN
TERRENCE J. KERWIN
JOSEPH D. KERWIN
HOLLY MCCLURE KERWIN
ATTORNEYS AT LAW
Y:\LAK\WILLS\autry-john-h-sr.wpd
OATH OF SUBSCRIBING WITNESSES)
a c
0"'F"
REGISTER OF WILLS OF DAUPHIN 'EGiS3E R Q¢4 0 , PENNSYLVANIA
His ''PRR 6 891133
G L-ERK 0,F'
0`RN S. o4uRT
Estate of John H.Autry.Sr. �i�fi F4 R E Q' fir�l °I?. Deceased
Terrence J. Kerwin
Holly M. Kerwin (each) a subscribing witness to
(Print Names)
the 0 Will ❑ Codicil(s) presented herewith, (each)being duly qualified according to law, depose(s)and
say(s)that she/ he/they was/were present and saw the above Testator/Testatrix sign the same
and that she/he/they signed the same and that she/he/they signed as a witness at the request of
the Testator/Testatrix in his/ her presence and in the presence of each other.
(Signature) Terre J. erwin (Signature) H--"v M. Kerwin
4245 State Route 209 4245 State Route 209
(Street Address) (Street Address)
Elizabethville, PA 17023 Elizabethville, PA 17023
(City,State,zip) (City,state,Zip)
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Sworn to or affirmed and subscribed
before me this day before me this 26th day
of of March 2415
Deputy for Register of Wills Notary Public
? My Commission Expires:,.
(Signature and seal of Notary or other ofricial qualified to
administer oaths. Show date of expiration of Notarys commission.)
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL.SEAL
Beatrice Marie Kerwin,Notary Public
Washington Twp„Dauphin County
My Commission Expires July 25,2018
MEMBER,PE NSYLVANIA ASSOCIATION Of NOTARIES
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s)at time of notarization.
Foran RW-03 Rev.10-13.2006 Copyright(c)2006 form software only The Lackner Group,Inc.
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