HomeMy WebLinkAbout06-09-15 (2) PETITION 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
Name: File No: 1--16 —52U
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: '�t�{p r2 Age at death: $Z
Decedent was domiciled at death in urn County, (state)with-4Wher last
principal residence at Pq Cu- r,G
Street address,Post Office and Zip Code j&45S Tew"Mri"r Borough County
Decedent died at mkt paCK Ny''�"e .0 •
Street address,Post Office and Zip Code 1! �fily �Brough County State �G
Estimate of value of decedent's property at death: K1,61 ^
If donticiled in Pennsylvania............................ All personal property $ 0100.
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not donticiled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania............................................ ............. $ '^
TOTAL ESTIMATED VALUE. ... $ 04>0.
Real estate in Pennsylvania situated at:
(Attach additional sheets,ifnecessany) Street address,Post Office and Zip Code City,Township or Borough County
J 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 ,end Codicil(s)
thereto dated utl:4 rn elr' , _In4A
State relevant circumstances(e.g.renunciation,death of executor,ete.)
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
VNO
ed;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
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 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.
[:]NOEXCEPTIONS ❑EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived y the following spouse(iy)and hepm(attach t•:
additional sheets,ifnecessary): C m
C_ n
Name Relationship Ad'dgess9) ct>
(_ ` 1 C0
r rn M
C7
Ti
Form RIV-02 rev.10/1//2011 Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Petitioner(s)Printed Name Petitioner(s)Printed Address
e� jin - 1 Cen�L.Arn6us kknae,
,v
71Q
M
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and correct ko.?th@beiF1of the knowledge,aAd belief
of Petitioner(s)and that,as Personal Representative(s)of the Decedent,the Petitioner(S))/Will well and truly administ tbeiestatE±pcording�ojlaw.
Sworn to or affirmed and subscribed before /�ccrDa _ �W�i»c« - rDate - 9
me Y
's day of ft—
Dateh_•
By:
CD
For the Register Date
BOND Required:AYES D]NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ Attorn Signature:
( ) Short Certificate(s). . . . . .
( )Renunciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . . . �+
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Dingel/
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number: �J�J3�73
IA
it I 1 . . . . . . .
n vs n U24 . . . . . . I Firm Name: Scis t V. -0 tv p A-
1 Address: .341'l� L1�S�
. . . . . Phone:
Automation Fee. . . . . . . . . . . . . . . Fax: ._-74,1I��CJ
JCS Fee. . . . . . . . . . . . . . . . . . . . . Email: t_
TOTAL. . . . . . . . . . . . . . . . . . . . . $
DECREE OF THE REGISTER
Estate of M .rr� c � File No:
a/k/a: -
AND NOW, p�( 1 consideration of the foregoing Petition,
satisfactory proof having een presented before me,IT IS DECREED that Letters
are hereby granted to '
in the above estate and(if applicable)that
the instrument(s) dated Z �ffl 0�( 4 1 a-3
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
MAffit" ___1%
Register of Wills ' r
Form RW-02 rev. 10/11/2011 Page 2 of 2
----------------.......
ry
riv
M C->
laot 1ViU a0 9tsUment
M CO
o
C7)t
-T') "Y1
CD r-
CO C)
I, MARY C. LEWIS, of 611 Park Avenue, New Cumberland, County Of
Cumberland, Commonwealth of Pennsylvania, do hereby publish and declare this to be
my Last Will and Testament and hereby revoke and annul all prior Wills and codicils
heretofore made by me.
first: I direct that all my just debts and funeral expenses be paid. This direction is not a
reaffirmation of any debt and shall not prevent my Executor from contesting any and all
claims made against my estate on any factual and legal basis as my Executor xray see fit.
iket"b: I give, devise, and bequeath all the rest, residue, and remainder of my
Estate of whatever kind and description and wherever situated, in equal shares, to my
children, DOUGLAS B. LEWIS and ROBERT D.LEWIS,per stupes.
9birb: All death, taxes and interest and penalties thereon imposed upon any property
passing under my Last Will and Testament,but not otherwise, shall be considered a part
of the expense of the administration of my Estate prior to distribution and shall be paid
out of my residuary estate without apportionment or right of reimbursement;
Jfaurtb: My Executor shall have the following powers,in addition to those vested in
them by law and by other provisions of my Last Will and Testament, applicable to all
property held by them, including property held.for minors, principal and income, and
effective without the order of any court and until actual distribution of all such property.
A. To purchase a suitable grave marker;
Page 1 of 4
B. To retain any real or personal property in the form received and to
sell it at public or private sale, to exchange,or to lease for any period of time, any real or
personal property, and to grant options for sales, exchanges, or leases;
C. To manage real estate;
D. To purchase all forms of property without being confined to so-
called legal investments and without regard for the principle of diversification; and to
hold investments unregistered or in the name of a nominee;
E. To exercise any option or rights arising from ownership of
investments;
F. To compromise claims without Order of Court or consent of any
beneficiary;
G. To distribute, wholly or in part, in cash or in kind at such
valuations as they deem advisable;
H. To make such elections under the tax laws applicable to my Estate
as may be deemed expedient and desirable; and
1. To employ accountants, agents, investment counsel,brokers,banks
or trust companies to perform services for and at the expense of my Estate and to carry or
register investments in the name of the nominee of such agent, broker, bank or trust
company. My Executor is expressly relived of any liability or responsibility whatsoever
for any act or failure to act by, or for the following advice of, such accountants, agents,
investment counsel, brokers,bank or trust company, so long as my Executor exercise due
care in their selection. Any compensation paid pursuant to this subparagraph shall not
Page 2 of 4
•
affect in any manner the amount of or the right of my Executor to receive commissions as
a fiduciary.
I'nominate, constitute and appoint my friend,,SHIRLEY G. HERMAN, Executor
of this my Last Will and Testament. In the event my friend, SHIRLEY G. HERMAN,
fails to qualify or ceases to act for any reason, or is unable or unwilling to serve as
Executor, I then nominate, constitute and appoint my niece,DONNA MICHAK,to serve
as Executor in her place and stead.
bix*: I hereby direct that my Executor shaU not be required to post security or bond in
any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 4"'
day of February,2008.
Le
s
SIGNED by Mary C. Lewis, Testator, as her Last Will and Testament, in our presence,
who at her request, in his/her presence, and in the presence of each other have signed as
witnesses:
Address 2000 Linglestown Road, Suite 100
Harrisburg PA 17110
Address 2000 Linplestown Road, Suite 100,
Harrisburg, PA 17110
Pop 3 44
COMMONWEALTH OF PENNSYLVANIA
ss
t COUNTY OF DAUPHIN
WE, the undersigned, the Testator and the witnesses, whose names are signed to
the foregoing instrument, being first duty sworn, do hereby declare to the undersigned
authority that the Testator signed and executed the instrument as her Last Will and
Testament 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 Testator, signed the Last Will and Testament as witnesses
and that to the best of his or her knowledge the Testator was at that time eighteen years of
age or older,of sound mind and under not constraint or undue influence.
Jr
SEAL)
Mary t. Le
(SEAL)
Megan C.H
(SEAL)
Claude J. Lewis
f�
Subscribed, sworn to, and acknowledged before me by Mary,C. Lewis, the
Testator, and subscribed and sworn to before me by Megan C. Huff and Claude J. Lewis,
witnesses,this day of February,2408.
L(; t (SEAL) .
OTARY PUBLIC
'6
Nov►�rw. aEAc
IUTANN a REICHERT
Notary Pub{te
it/I"K4NNA W,, DAUMN COUNTY
Myr Comrraawn Expirw Oct 23, 2010
Page 4 of 4
M-ARTC LEWIS
AOD1;9V V9W TO Lt ST WILL
,W0 qT 5T
., gME9VT
QA2E0 47V TEBRV,9 ,2; 2008
I, Mary C. Lewis, do solemnly swear, this day, Tuesday,
December 3rd, 2013 bequeath my one third share of my home to
Robert Darrell Lewis for payment of all expenses -- this includes all house
hold expenses, charges, car, etc.
My car is to go to Robert Darrell Lewis.
All household items can be divided.
M ry C ewis, Principal Date
Witness: /
Shirlej G. Herman " M rn
r . cry �� U
CD
r rn
cert cn
�WV � 1 '
COMMONWEALTH OF PENNSYLVANIA
Notarial Seat
William D.Wierman,Notary Public
New Cumberland eoro,Cumberland County
My Commission Expires Sept.15,2016
MEMBER,PENNSYIVANIA ASSOCIATION OF NOTARIES
OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS OF -CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Mary C. Lewis Deceased
ry
C-3
C) M
;:0
F
Wendie L.Wierman —1
Shirley G. Herman 1 ' 1771 CO
(each) a subkfibi_witness to-
(Print Name/s)
"T1
the n Will Codicil(*) presented herewith, (each) being duly qualified according to law,depose(a) And
cf)
say(a)that they was/were present and saw the above T-96tat-&F/Testatrix sign the sdmrb
and that sbe,44ie/they signed the same and that she/4te4they signed as a witness at the request of
the Testator/Testatrix in -bis/her presence and in the presence of each other.
(Signature) Wendie L.Wierman {Signature} 191hirley G. Herman
23 Columbia Drive 1117-1 Columbus Avenue
(Street Address) (Street Address)
Camp Hill, PA 17011 Lemoyne,PA 17043
(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 bef e me this day
n,, 21 St
of
A ril 2015
of
Pu I
Deputy for Register of Wills otary"Publi �
My Commission Expires:
(Signature and seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notarys commission.)
'NOTARIAL SEAL
SCOTT 111111 D"We
NOWY P#Aft
CAMP HILL BORO.CUMBERLAND COUNTY
My Commin1wi Exok"JW 19,2.010
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instru..
Form RW-03 Re,,,io•Y3-2oof; Copyright(c)2006 form software only The Lackner Group,Inc.