HomeMy WebLinkAbout06-12-15 �'l)
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PETITION FOR �R.-��1T OF LET'7'E1�S "�' ��
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REGISTER OF`l'ILLS OF _ C(1i`�1+,1�?PL ,��_COC;;�fTY, PEN�i�L�.��I.-� � ;:_;; �
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Petitioner(s) i�amed be!ow, who is/ar� 18 years of age or older. applyfies) for Letters as sp��ifi�e� b�v, aiul ���xa
suppori thereof ave.(sj th:, follo�v�in�and respectfi�ll}�reqtiest(sj thz ��;ai.t ot i_et-e�-s ;n the appr��r��e'form:� ' ;���
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Decedent's Information j � ' �� '�' —� '� <<�
Name: _�h,/�'� ��CJ��N� File�o: :�/�� �-Ali',c.o -- rs-i
a/lda: 1.ssibne�l b��• egiste��) �a +�'� �
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a/k/a: Social Security No: �
Date of Death: p,� Z.� '2 C7 i� Abe at death: �'� _
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Decedent was domiciled at death in c✓✓K(a.Ql� � County, �;��` (srare) wi his/ er last
principal residence at /�-/ li.jC7`t-t"/Z��',2 y2t R'��,4 , -' ,�;'l �f" l�'NS���t� �J�'i1��'�A�-'0'�
Street address,Post Office and Zip Code ity,Township or Borough County
Decedent died at �� �'t'����l�GJ�3'�� �� �N����A- ( �A-���;r''�:�N.'�S�✓�'2 G'� ('U�r�t���%fi�/f_) f�
Street address,Post Office and Zip Code City,Township or I3orough County Statc
Estimate of value of decedent's property at death:
Ifda�:iciled in Pennsy[vnnia.......... .................. All personal property $ Zs�C7�U
If n�t domiciled in Pennsylvania. ....................... Personal property in Pcnnsylva�iia $
I/'not don�iciled in Pennsyhuufia. ......... ........... ... Personal property in Cour,ty $
Vnlue of real estate i�:Pennsylvania.... ................ ................... ......... ......... $ GT} Oe� O
TO AL ESTINIATGD VALtiE. ... $ "7.S . G��� Q ( �
Real estate in Pennsylvania situated at: I y �(yj.,(Ft' �1��� - �ilVi��',,�• ��A-Sr-��rNJ�a'/eL') ��'.'�'l`u�'�'/h"'�
(,�ttoch nddi�ionnl sheets,if necessary.) Street address,Post Office and Zip Code t-���S— City,Township or Barough County
� A. Petition for Probate and Grant of Letters Testamentarv
Petitiouer(s)aver(s)he/she/th/e�.y is/are the Executor(s)named in the iast Will of the Decedent,dated ��•����� �F �'���9nd Codicil(s)
thereto dated �`�� �LI/)/C! ��
State relevant circumstances(e.g.reni�nciation,deuth ofexecrrtor,etc.)
Except as follows: after the execution of the instniment(s)offered for proUate Decedent did not man y,was not divorced,was not a party to a pending
divorce proceedivg wlierein the grotmds for divorce had been established as defined in 23 Pa.C.S. §3323(g),and did not have a child born or
adopted;aud Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
(��VO GXC�PTIONS ❑EXCEPTIONS
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❑ B. Petition for Grant of Letters of Administration (If applicable)
c.t.u.,d.b.n.,d.b.�z.c.ta.,yendentelite,ck�rmiteabseiitiu,dt�rm7ten�i�2oritcite
If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Will in Sectio�i 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 estab(ished as defined
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever�tdjudicated an incapacitated person.
[�NO�XCEPTIONS �EXCEPTIONS
�: i'etition:z(;),after a proper search has/have ascertained that Decedent left no W ill and wa. �+rrvived by the following spouse(if any)and heirs(uttach
udclitionctl sheets,i/necessuryJ:
Name Relationshi� Address
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F�,��,arv-nz ,•���.iniiiizn�� Page 1 of 2
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Oath of Personal Representative orf�;���s�o�iy
C0�1��tC;N�VEALTH OF PEVNSYLVA�IIA }
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coc�Tti� oF C✓i�t�K I� } c �;, � �
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Pe:itioner(s)Printed Vame Peti.:onerisl Pr��.n�ed.�ddre�'s'7 „� "
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The Petitiouer(s)above-named swear(s)or affirm(s)the sta[eme�ts in tlle fore�oing Petition are�rua anc correct to tl�e best ofthe knoavledge and belief
of Petitiouer(s)and t]iaC,as Personal Representative(s)of d�e Decedent,the P nt�oner - ��� well..��i��i truly administer the estate according to law.
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Sworn to r ff rmed an bscribed be re � � - ,�„�� - Dare�I��',��
me t �s �ay of OJ� _____ Dace
By• ____ Dace �
�lie Re ister Date
BOND Required:�YES �NO To the Register of{!'ills:
FEES: Please enter my appc,irance by my signature below:
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Letters . . . . . . . . . . . . . . . . . . . . . . $ I�� Attorney Signature:
( � ) SliortCertificate(s). . . . . . 'oo
( ) Reiiunciation(s).. . . . . . . .
( ) Codicil(s). . . . . . . . . . . . .
( ) Affidavit(s). . . . . . . . . . . .
Qond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name:
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Uther . . . . . . . . [D tiumber:
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. . . . . . . Firm Name:
;�h T�r � �✓. . . . . . . . �.00 Address:
. . . . . . . Phoue:
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Automation Fee. . . . . . . . . . . . . . . . Uc Fax:
JCS Fcc. . . . . . . . . . . . . . . . . . . . . ,S-�'b Email: --
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DECRE� OF THE R�GIS'TI�:R
Estate of .L/Gll/����� File�o: __ �1 � ���
a/k/a:
AND NO�V, �jJ,J2� �� ,���.7 , in consideration of the foregoing Petition,
satisfaclory proof havi�l presei:ted beforc me, IT IS DECREED that L�ttc=rs _ TC��!°i/nen��rry'
are hereby granted to �dl!/C�IL� '`J �'����,r�
_ ii1 t1-��above estate and (if applicable) that
dle instrument(s) dated ✓7 �!� _ _
described in the Petition be admitted to Urobate and filed of ree rd as the last 4V�ll(and Codicil(s)) of Deccdcnt.
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Register of Wills ,,/_�
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F'nrrnR6V-02 rev. 10/11;�20/l ��'"""�✓ P1F�0 2 0�2, �
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REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
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`� �� CuMe�` No. 2015- 00657 PA No. 21- 15- 0657
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Estate Of: DAVID ROSEN
� � v (Fiist,Middle,Lastl
� La te Of: EAST PENNSBORO TOWNSHIP
CUMBERLAND COUNTY
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Deceased
Social Securi ty No:
1750
WHEREAS, on the 12th day of June 2015 an instrument dated
UNDA TED
DA VlD ROSEN
(First,Middle,Last1
late of EAST PENNSBORO TOWNSH/P, CUMBERLAND County,
who died on the 24th day of May 2015 and,
WHEREAS, a true copy of the will as probat�d is annexed hereto.
THEREFORE, I, L/SA M. GRAYSON, ESQ. , Register of Wills in and
for CUMBERLAND County, in the Commonweal th of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
HOWARD S ROSEN
who has duly qualified as EXECUTOR(R/X)
and has agreed to administer the estate according to law, all of which
fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYL VANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 12th day of June 2015.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
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LAST WILL AND TESTAMENT trt� ., � �
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I, David Rosen, of 14 Wetherburn Road, Enola, Pennsylvania, do hereby
pubiish and declare this to be my Last Will and Testarnent, hereby revoking and
annulling each and every Will heretofore made by me.
i. PAYMENT OF DEBTS AND FUNERAL EXPENSES. I direct that all my
just debts and funerai expenses be paid. This direction is not a reaffirmation of any
debt, and shall not prevent my Co-Executors from contesting any and all claims
made against my Estate on any factual or legal basis as he or she may see fit.
II. APPOINTMENT OF PERSONAL REPRESENTATIVE. I name,
constitute and appoint my wife, Libby Rosen, Executrix of this my last Wili. in the
event my said wife predeceases me or dies before my estate is settled, or if for
any reason she is unable or unwilling to serve in that capacity, I then appoint my
son, Howard S. Rosen, Executor, in her place and stead. 1n the event my son
predeceases me or dies before my estate is settled, or if for any reason he is
unable or unwilling to serve in that capacity, I then appoint my daughter, Paula A.
Devore, Executrix, in his place and stead.
Page 1 of 5
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III. DISPOSITION IF SPOUSE SURVIVES. I give, devise and bequesth
all my estate, both real and personal, unto my wife, Libby Rosen, absolutely, if she
survives me for a period of thirty (30) days.
IV. DISPOSITION IF SPOUSE FAILS TO SURVIVE. In the event my said
wife predeceases me or dies within thirty (30) days of the date of my death, after
expenses are paid, both real and personal, I give, devise and bequeath all the
rest, residue, and remainder of my Estate, both reai and personal, I give, devise
and bequeath to my children, Paula Devore and Howard Rosen, to be divided
equally between them.
V. POWERS OF PERSONAL REPRESENTATIVE. I confer upon my Co-
Executors, the following powers:
A. To retain in kind any property constituting a parf of
my Estate at the time of rny death.
B. To sell, convey, lease or mortgage, any or all real
properfy which I may die seized.
C. To make such investments in real estate and in
stocks, bonds and other securities as they may deem prudent and advisable
without being restricted to securities designated by law as legal investments.
Page 2 of 5
�°1 If.l1...11 1I■-' p
D. To make division among the legatees and
remaindermen wholly or partly in kind and for that purpose, to determine the
values of any property so distributed and divided.
E. To take over in kind and retain as trust investments
any stocks, bonds or other investments which I may own at the time of my death.
VI. WAIVER OF BOND. I hereby direct that none of the fiduciaries
appointed under this instrument be required to give bond.
VII. CONTEST CLAUSE. If, for any reason, one or more of my
children taking under the wili should file anything in Court to contest the
distribution as determined by the Co-executors, or if a petition is filed on their
behalf, that child, grandchildren, or great grand child shail then lose whatever
share they would have been entitled to and their share shall be given to a charity
to be named by the Co-executors.
IN WITNESS WHEREOF, i have hereunto set my hand and seal this day
of , Two Thousand and Five.
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�, �✓�
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David Rosen, Testator
Page 3 of 5
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Signed, sealed, published and declared by Davi� Rosen, the above-
named Testator, as and for his Last Will and Testament, in the presence of us, who,
at his request, in his presence and in the presence of each other, have hereunto
subscribed our names as attesting witnesses.
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Witness �� Address �� l"101 C7
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Witness Address Sc�,�l�,.�,.�� �c�111�0 �
Page 4 of 5
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ACKNOWLEDGMENT
Commonwealth of Pennsylvania
On this, the ���L day of �c��O��, 2006, We, David Rosen, the
te tator in this Last Wi I and Testament, and fi�;r����' � � ..>rt::��=�r��,�.r , and
�r^, �' , the witnesses to this Last Will and Testa ent, the
attach or foregoing instrument, who have signed the instrument, having been
duly qualified according to law do depose and say:
(a) That I, the Testator, do hereby acknowiedge that I signed and executed
the instrument as my last Will, that I signed it willingly and as my free and
voluntary act for the purposes therein expressed; and
(b) That we, the witnesses, were present and saw the testator sign and
execute the instrument as his last will, that he willingly signed and
executed it as his last will, that he willingly signed and executed it as his
free and voluntary act for the purposes therein expressed; that each of
us in the hearing and sight of the testator signed the will as a witness
and that to the best of our knowledge the testator was at that time 18 or
more years of age, of sound mind and under no constraint or undue
influence.
In witness thereof, I hereunto set my hand and official seal.
COMMONWEALTH OF PENNSYLVANIA � � n,,,
Notarial Seal � ,f�,;�; � `` �������>
Rona L.Magaro,Notary Public
East Pennsboro'Twp•,Cumberland County Notary 'r
My Gommission Expires Feb.10,2008
,���,ae�, p�nnsylvania Association Of Notaries
Page 5 of 5
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OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
� �n�l,�/C(/�i�-' COUNTY, PENNSYLVANIA
2 J - 1,�� �'y
Estate of 1� �"'`� l ,� �� � S'�� , Deceased
� .P/]— � �7 v S�� and_�,l'f'��F� (�-C��P dt-� 1'lJP.ST�'�f!/�
(each)being duly qualified according to law, depose(s) and say(s) that skie/he/ ey was/ ere well-
acquainted with � l I� � -��' �.�/�—" and am/� familiar
with the handwriting and signature of the decedent, and that the signature af L��✓1�(„� %7�� ��'.t�
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of��l + D � �//�-�
is in is her own proper handwriting.
cy�.(.� � � �L— `.m-.,_.__
(Signature) (Signature)
l5t� GtJ�s7�Pom�vr.t S t" 2t� l� Cu,,�,��az�����c��c� S�ve�,�--
(Street Address) (Street Address)
C��1�'sfe �� �� 70 �3 �{��V�, :>�����,,� �� �-� i��-
(Ciry,State,Zip) (Ciry,State,Zip) �
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Executed in Register's Office `��, ��` ���, � '��� ��
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Sworn to or affirmed and subscribed .�� �� ��
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before me this ��' day :_7 � .`v: �,
of �(�/)� , ���` . ' , . � ��.� �o
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epu for Register of Wills
Form RW-04 rev. 10.13.06
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IN THE COURT OF COMMON PLEAS OF THE NINTH JUDICIAL DISTRICT
CUMBERLAND COUNTY, PENNSYLV'ANIA
I ORPHANS' COURT DIVISION
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IN RE: �� � (�% � EA� , I
DECEASED �
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I swear or affirm that � vwU-� ��vi" ��.,oGt,�l`�'/�,D �r���
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Sworn to or affi;med and subscribed
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Signature ��°
Before me this�th day �!/" I
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of ��e �.�. Name
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