HomeMy WebLinkAbout04-27-15 r—.:a
�
�—...a ✓�
PETITION FOR GRANT OF LETTERS � � � � �
REGISTER OF WILLS OF �C./1�'�P.�' /1� COUNTY,PEN�6�-.�NI�' � �
�:.� y. r- tv ��,-7 r��t
�_ ,,w y-�� ..,,� -r� �
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters � ��ecified belo�a a�ad in
su ort thereof aver s the followin and res ectfull re uest s the ant of Lctters in the a �'o �ats fo �Try -',-�,
PP � ) g p Y q � ) � Pl�_ �, ...� � .�,y _._.
- �. c->
Decedent's Information ! � �-, [ Q -� �' ,�`.-.�- �
Name• ' � C i/P O File No:a�'N���J-� 1.. � .� ,� cn -a�—
��a. � � ;/ p (Assigned�iy Registerf
a/k/a: - �_"/
�a; Social Security No: 2� �� �
Date of Death: �-`7- 7_C���7 Age at death: �
Decedent was domiciled at death in Cv P� County, E����9n"" !•' i' (stare) with his/her last
principal residence at � �l^ri.� d �...5 ' c r� CT�C>
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at �q(7� �:�'ri ni,l��P �c�c�a� IYGP�I',� i '��2r ,'��Y' �/� P�' �� l—,�
Street address,Post Office and Zip Code City,Township or 13orough County State
Estimate of value of decedent's property at death: /
If domiciled in Pennsylvania.. .. ........... ............. All personal property $�(��� ���
If not domiciled in Pennsylvania. . . ... ........ .. . . . .. . .. Personal property in Pennsylvania $
If not domiciled in Pennsylvania. . . . . . ... . . . ... . .. . . . . . . Personal property in County $
Va[ue of rea[estate in Pennsylvania.. . . .. . . . . .. ... . . . . . . . . . ..... .. . .. . . . . . . . .. . . . .. ......... $
TOTAL ESTIMATED VALUE. ... $��O, �a.�
Real estate in Pennsylvania situated at: ���"�-"�I
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,'1'ownship or Borough County
Q' A. Petition for Probate and Grant of Letters Testamentary / G
Petitioner(s}aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedeut,dated �(/�2 (D, �!� and Codicil(s)
thereto dated
State relevant circumstances(e.g.renunciateon,death of execretor,etc.J
Exceptas follows: after the execution of the 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 in 23 Pa.C.S. § 3323(g),and did not have a child bom 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.,tl.b.n.,d.b.n.c.t.a.,penc�'ente lite,durante absentia,durante minoritate
If Administration,c.t.a. or c�b.n.c.za.,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 swvived by the following spouse(if any)and heirs(attach
additional sheets,if neeessary):
Name Relationshi Address
'f IC'S �.�lJ� �� p� �p � �-. �'�'�l
/
,��( �er �Z '�~� o l r2,'v
,- � �
�_;i�c;'.�n cf 7�'i f� 1i'SZ S
Form RW-02 rev.10/11/2011 Page 1 of 2
.,,,n i,�i..,,i un.,n � . ,
Oath of Personal Representative ot���at use oniy
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF C..c./UYI��2i^���� }
Petirioner(s)Printed Name Petitioner(s)Printed Address
� / �
�� p 3�7�7 C e �'� ��' %�,', P��s c
� �7�
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 P-etitioner(s)will well and t�v administer the estate according to law.
,�•9
Sworn to or affirmed s cribed before (��/,�����i� l��JG<-�'�G Date y�Z�'"�Jr
me thi C�ay o� �/�"j� Date
By: Date
the gister Date
BOND Required: ❑ YES ❑ NO To the Register of Wills:
FEES' Please enter my appearance by my signature below:
Letters•. . . . . . . . . . . . . . . . . . . . . . $ �� .� Attorney Signature: ,_,,
( ��) Short Certificate(s). . . . . . ' � �
G'� � � �
( � )Renunciation(s).. . . . . . . . •a p � � � � a
( )Codicil(s). . . . . . . . . . . . . �� — � �, �
( )Affidavit(s).. . . . . . . . . . . �7 ='- � -�-� �
� T_" G„a .,.y t'ri
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: ,�„ �'.t ._� ..�_��,
Commission. . . . . . . . . . . . . . . . . . Supreme Court . ' �' , ���,
Other . . . . . . . . ID Number: <= r•� -- -� �''7 T�
y ��7 -^r�1 :� --
. . . . . . . . , `s' _._ C7
Firm Name: �;"} � �""��
G� � !1V . . . . . . 3G1•cc Address: ,---, {» c�
f73 �
Phone:
Automation Fee. . . . . . . . . . . . . . . '�� Fax:
JCS Fee. ' • � Email:
TOTAL. . . . . . . . . . . . . . . . . . . . . � L�
DECREE OF THE REGISTER
' ��'��'�
Estate 1 /n ' " Q File No• � �O�
a/k/a: � 0 a/l�a � �
AND NOW, � ,��f , in consideration of the foregoing Petition,
satisfactory proof hav g been presented before me, IT I DE�"C�REFD that L s �?f"C`�l/�'1en�ta�V'
are hereby granted to � vV� ��i`If� �%'�� —
in the above estate and(if applicable)that
the instrument(s)dated 2.
described in the Petition be admitted to p obate and filed of rec rd as the last Wil.l(and o 'cil(s)) of Decedent.
� �
ist o Wills �.
Form RW-O2 rev.10/11/2011 {�� page 2 Of 2
�.�.-ri���ia..:,�r.mn:��e,..,. N
,'�
--
��',���1
15
,�
� �
� � � �
e a rn �
� � ,-'��,.� � o
� -v � r,� �
RENUNCIATION *�; =-� � ---a �
r� � rv __,.., rn
.�.t ,,,�7 -;,.� r=-3
�� .�,, � �;�?
REGISTER OF WILLS {-� �F � Y, T;�
CUMBERLAND COUNTY,PENNSYLVANIA ;`y `�1 � ��
;,w, c.c� r- rr�
:._.,a �- �
;J � � �
. ..�
Estate of William C.Roth ,Deceased
I, Linda R.Dugan ,in my capacity/relationship as
(Print Name)
dauQhter of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
C.William Roth
I� �April 15,2015 �'�� "`„ / �� , � �
(Date) (Si re)
3872 Brigadoon Drive
�stree:Aaaress>
Cincinnati,OH 45255
(City,State,Zip)
Eacecuted in Register's Of,�'ice F�ecuted out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me thi, �y party executing this renunciation and certified
of �� _, � 1 . that he or she executed the renunciation for the
purposes stated within on this day
of
`��._— �7�`_'e
Deputy for Register of Wills Notary Public �
My Commission F,xpires:
(Signawre and Seal af Notary or other official quatified to
administer oaths. Show date of expiration of Notary's Commission.)
'�PRY���!B
Form RW-06 rev.10.13.06 t1�\������`���
_��� �: DENISEJ. FRALEY
'*' ,,,,�:* No4ary Pudic,State of Ohio
': r�'"� �Commission F�cpires
s► Ma�h 2,2020
�O
�qT�•OF q�
�'� ���' �'�� II�TiI_ ,
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
� ,
RT
No. 2015- 00469 PA No. 21- 15- 0469
Es ta te Of: WILLIAM CHARLES ROTH
(Fi�st,Middle,Lasi1
a/k/a: B/LL ROTH WILLIAM C ROTH
La te Of: HAMPDEN TOWNSHIP
CUMBERLAN� COUNTY
Deceased
Social Security No:
WHEREAS, on the 27th day of April 2015 an insf�rument dated
June 6th 1994 was admitted to probate as the last will of
WILLIAM CHARLES ROTH
(Firs�,Middle,Last)
a/k/a BILL ROTH WILLIAM C ROTH
late of HAMPDEN TOWNSH/P, CUMBERLAND County,
who died on the 2nd day of April 2015 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
certi fy tha t I have thi s day gran ted Let ters TESTAMENTARY to:
C WILLIAM ROTH
who has duly qualified as EXECUTOR(R/X)
and has agreed to administer the estate accordin� 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
of my office on the 27th day of April 2015.
cv
� �, c`.' � � �`�, �
_.s s..... , ���
w ,.,.r Gp c::
�,� _- - egiste�of �s
- � t�,_ � .
ta_ " r-' C .
L.G_ ' .. �' . �
� r .: t.: ' ,.
[;•, �;: � �a.� _.a `. Deputy
L:.J [_�', „ �
� � � � ��-- � f,�
� � � � � �!
� �
„�r � � C.7
c...�
**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
���,�,���,.,,����rm����� >
..._ i
. � - ._� �
� � rn I
c-� �,-�
c_� � � � �'
i :�� � -t3 `�
C:;3 "FJ '�7 t':`7 �J
,."''1 - C'> _..� c�
� ���� �III �n� ��e�x�a 1���.� ��
, � . _ � .,� --�-s
� '' ` <:--' � ^S�I
j �T..� �
��i � ti l r�
I, WYLLIAI�I C. ROTH of the Townshi of- �e�rr C�
p y, ,-�ou�t� of
rn
Dauphin ancl Commonwealth of Pennsylvania, being of sound mind, do
hereby make th�s to be my Last Will and Testament, hereby revoking
all Wills or Codicils by me at any time her�tofore made.
ARTICLE I
Y order and direct the payment of �l�. iny just debts and
funeral expenses as soon as may be conveni�z�t �fter my decease.
ARTICLE II
I give, clevise and bequeath all the rest, residue and
remainder of my estate, real, personal or mixed, and wheresoever
situate, unto my beloved wife, GLORIA M. ROTH, to be hers absolute-
ly.
ARTICLE III
In the event my beloved wife predeceases me, or in the
event that she and � die in a common disaster, t�ien I give, devise
and bequeath all the rest, residue and remainder of my estate, in
equal shares, share and share alike, unto my children, LINDA R.
DLBGAl�i and C. WILLIAM ItOTH, or unto their is�ue, per stirpes. In
the event that any of my said children has predeceased me leaving
i�sue� that child' s share shall be received �y his issue, in equa.l
..,�i,���,i,.;.u..orm i�, . �
_ .__.
�
shares, but in the event that he leaves no issu�� that share shall
� be received by the surviving residuary beneficiaries of th�s, my
Last Will and Testament.
1�RTICLE IV
I direct that my Executrix shall not be required to enter
security in any jurisdiction in which she may act.
ARTICLE V
I nominate, constitute and appoin.t GLORIA M. ROTH to be
Executrix of this, my Last Will and Testament. In the event that
she is unable or unwilling to serve in that capacity, then I
nominate, constitute and appoint LINDA R. DUGAN and C. WILLIAM
ROTH, or the survivor of them, as Alternate Co-Executors of this,
my Last Will and Testament.
��i iim-�n..�rn,Ri�. . �
__ __
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this � day of � ���--y,y,�z � A o D. 1994 s
,`�----- .�
�`` ��'�,�'-�...��:'� C,. � �'.,,�--�i.-�,�''.� cS�L� I'',
William C. Roth
SIGNED, SEALED, PUBLISHED and PECLARFD by William C. Roth
the above named Testator, as and for his Last Will and Testament, '
in the presence of us, who, at his request �nd �n his presence and
in the presence of each other, all being present at the same time,
have subscribed our names as witnesses.
�-___..`(.,,�
�.N ���� Address: Palmyra, PA ,
,;�i` ?
e� ,�`��,�
��~ Address: Palm ra PA
.
(
I
i
I
�
i
I
i
;
I
I
,
i
�
I
��.11-n�i.,,,i...v�n,T��.,�, � i
' . ... ... .. ..
�
II
II
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF LEBANON )
WILLIAM C. ROTH whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law,
' do hereby acknowledge that I signed the instrument as my Last Will; �
that I signed it will�.ngiy, and thar a signed it as my free and
lvoluntary act for the purposes therein expressed.
Sworn and acknowledged before me lay William C. Roth, the
Testator on this the �� day of � _ � _ ,. 1994
' � ,f' _. �/ �,
� '� � �, -�,
N��� William C. Roth
, Ch�rl�ne R.hiu�i,Natary Public
� P��myra 9oro�L.e�anon County �
, My Cammisslai E�.�s Sept.23,1996 C���'t ' �'�
7�'
' Notary Public
'� My Comm. Expi�es:9/23/96
' COMMONWEALTH OF PENNSYLVANIA )
' ) SS:
COLTDI'Y°Y OF LEBANON )
We, William M. Brandt and Daryl J� Gerber, the witnesses
whose names are signed to the attached instrument, being duly
, qualified according to law, do depose and say that we were px-esent
and saw William C. roth sign and execute the instrument as his Last
Willa that he signed it as his free and voluntary act for �he
purposzs t:�arei^ expre�SP�t ��:at fl�ch �f �?� :.n th� r�arinc; ar.d
I sight of the Testator signed the Will as wi.tnesses and that to the
best of our knowledge a the Testator was at that time 18 or 7nore
� years of age, of sound mind and under no constraint or undue
influence.
Sworn and subscribed before me by Will ' m M. Brandt and
Daryl J. Gerber, witnesses, the f,� day of `., c,f` , 1994 .
'� �� �
I ' �..., �_c
xi:,�es�
' �_..�
�l"/` (� �C�t-e: IU � ��-L420~ f" ' /' l.�' "�'� l./
Notary Public � � �
My Comm. Exp. : 9/23/96 Witness
� �
' �`�r?�1 Seal
Chaiiene R.Hurst�Notary Publi�
Pa{my,�a 3oro,Let�enor,Cpun(y '
My�,nr'r'!s�r���res Seot.23,i c,�g6