Loading...
HomeMy WebLinkAbout05-01-15 PETITION FOR GR-kNT OF LETTERS REGISTER OF WILLS OF _ b m�erhnd 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 f / 2 File No: (�' — � iC) -�9J 12/1 a: (Assigned by Register) a/k/a: a/k/a: ZSocial Security No: / Date of Death: Age at death: / 02. Decedent was domiciled at death in �_County, (state)with his/her las principal residence at Street address,Post Office and Zip ode City,Tolffnship or Borough County Decedent died ateu Vt� � Street address,Post O fico and ilp Code City,Towns ip or Borough 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 $ Ifnotdomiciled in Pennsylvania. ..................... .. Personal property in County $ Valite of real estate in Pennsylvania.................... ..... .. .............................. S TOTAL ESTIMATED VALUE. ... $ 672 /jt b Real estate in Pennsylvania situated at: (Attach additional sheets,.,/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 ,g j and Codicil(s) 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 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 born or ad pted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. O EXCEPTIONS F-1EXCEPTIONS B. Petition for Grant of Letters of Administration (If applicable) c•.t.a.,d.b.n.,d.b.n.c•.ta.,pendente lite,tlurante absentia,durante niinoritate 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 established as defined in 2 a.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS F�EXCEPTIONS c.rt Petition.,. (s),after a proper search has/have ascertained that Decedent left no Will and wa. wavived by the followim seise(if any4ld heif3l W!(,h additional sheets,ifnecessary): pG? Q T"1 � � Name Relationship Addrds-S � r�rl tfi] (TI C? 'h•„ r_fJ (f) Q Fara,RW-02 rein.1011112011 Page I of 2 Oath of Personal Representative Official Usc Only COMMONWEALTH OF PENNSYLVANIA } ��oabnd } ss: COUNTY OF b� � } Petitioner(s)Printed Name Petitioncr(s)Printed Address jV--'e4p The Petitioners)above-narrtcd swear(s)or affirm(s)the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioners)and that,as Pdrsonal Representative(s)of the Decedent,the Petitioner s)will well ano truly administer the estate accordin to 1 Sworr'to o`'affirined an`d subscribed before Date •S me this- �i--da f` a Date By: 1 YOU Date For the Register Date BOND Required:❑YES 21 O To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters . . . . . . . . . . . . . . . . . . . . . . S POO Attorney Signature: O a ) Short Certificate(s). . .. . . ( ) Renunciation(s).. . . . .. . . C'C> r*I n ( )Codicil(s). . . . . . . . . . . . . K :10 n o Affidavits --C Cn ( ) O.. . . . . . . . . . . � n Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: y r— Commission. . . . . . . . . . . . . . . . . . Supreme Court k+ T d Other . . . . . . . . ID Number: = C� 0 i O ::3 . . . . .. . . Firm Name: . , i � . . . . . . . . J'S Address: L O � M . . . . . . . . Phone: Automation Fee. . . . . . . . . . . . . . . Fax: !CS Fee. . . . . . . . . . . . . . . . . . . . . 60 Email: TOTAL. . . . . . . . . . . . . . . . . .. . . $ DECREE OF THE REGISTER Estate of 1 File No: a/k/a: AND NOW, ( , in consideration of the foregoing Petition, satisfactory proof having be presenticd beforc me,IT IS DECREED that LettersTa n' are hereby granted to { g C� C ) _ Q S r- in the abov tate and(if applicable) that the instrument(s) dated — �j - lG 4� . ' ' described in the Petition be admitted to probate and filed of record as the last Will and Codicil(s))of Decedent. q1ACA Kn1 Register of Wills i Form RIY-02 rev.101112011 'wPage 2 of 2 LAST WILL AND TESTAMENT OF ELEANOR WITHERIDGE I, ELEANOR WITHERIDGE, of the Borough of Wyoming, County of Luzerne and State of Pennsylvania, do hereby make , publish and declare this to be my Last Will and Testament , hereby revoking all former wills and codicils heretofore made by me . ITEM 1: I direct that all my just debts and funeral expenses be paid as soon as convenient after my death. ITEM 2: I give and bequeath to my grandchildren, WILLIAM PAUL BERGSTRASSER, VALERIE BERGSTRASSER, and ELLY JANE BERGSTRASSER, the sum of Five Thousand ( $5 , 000. 00 ) Dollars apiece. ITEM 3: All the rest and residue of my estate , real and personal, I give , devise and bequeath to my daughter, ELEANOR PAULA BERGSTRASSER. ITEM 4 : I hereby nominate , constitute and appoint my daughter, ELEANOR PAULA BERGSTRASSER, Executrix of this my Last Will and Testament . No bond shall be required of my Executrix in this or any other. jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal L- thi& day of — 1991 . U-) r ( SEAL) ELEANOR WITHE DGE !4,j Uj `'� LQ � rr>3 -� P Signed, sealed , published and declared by the Testatrix above named, as and for her Last Will and Testament , in the presence of us , who have hereunto, at her request , subscribed our names in her presence , and in the presence of each other, as witnesses hereto. residing at� \'JN\W� c� residing at -2- AFFIDAVIT WE, ELEANOR WITHERIDGE, the Testatrix and the witnesses , respectively, whose names are signed to the attached or foregoing instrument , being first duly sworn , do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Will, and that she had signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses , in the presence and hearing of the Testatrix, signed the Will as witnesses and that to the best of their knowledge , the Testatrix was at that time eighteen ( 18 ) years of age or older, of sound mind, and under no constraint or undue influence . ELEANOR WITHERIDG W S WITNESS Subscribed, sworn to, and acknowledged before me by ELEANOR WITHE/R�IDGE, the Testatrix, and subscribed and sworn to before me byY- -. ��. .�,h andLC witnesses , 1991 . NLID PUBLIC t U AM HOUSEWICK,�OTA,RY PUBLIC KE8 RE,LUZER%E CO