HomeMy WebLinkAbout07-02-15 Reset
PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND 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: Kristy A.Chubb File No:
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: U t y - 15 Age at death: 39
Decedent was domiciled at death in Cumberland County, Pennsylvania (state)with his/her last
principal residence at 6033 Wertzville Road,Enola 17025 Hampden Township Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 6033 Wertzville Road,Enola 17025 Hampden Township Cumberland Pennsylvania
Street address,Post Office and Zip Code City,Township 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 $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania......................................................... $
TOTAL ESTIMATED VALUE. ... $ • 'DUI
Real estate in Pennsylvania situated at: 6033 Wertzville Road,Enola 17025 Hampden Township Cumberland
(Attach additional sheets,if 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 November 21,2014 and Codicil(s)
thereto dated Not applicable
State relevant circumstances(eg.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 bom or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS 0 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 db.n.c.t:a.,enter date of Will in Section A above and complete list of heirs.
C
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divgrce had bee�abliOzd=M defined
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person ,� M C->
0 NO EXCEPTIONS ®EXCEPTIONS_ CD
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the follo`�L' igg.sliouse(if any)add hef(attach
additional sheets,ifnecessary): ' �— rn f� =
j' U3 p CD
Name Relationship Addres ' .1
r-- rn
Form RW-02 rev.10111/2011 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
Dale E.Smith Jr. 6033 Wertzville Road Enola PA 17025
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 D e aon will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed before Date 02"
me this day of 20J5, 1 Date
By: �� Date
For the Register 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).. . . . .
( )Renunciation(s).. . . . . . . .
( )Codicil(s). . . . .. . . . . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . .. . . . . . . . . . . . . .. . . Printed Name: Mark T.Silliker,Esquire
Commission. . . . .. . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number: 33671
. .. . . Firm Name: Silliker and Reinhold
. . . . .. . . Address: 5922 Linglestown Road
• • •• • • • Harrisburg,PA 17112
. . . . . Phone: (717)671-1500
Automation Fee. . . . . . . . . . . . . . . Fax: (717)671-8968
JCS Fee. . . . . . . . . . . . . . . . . . . . . Email: cillikerlawncnmcact_net
0
TOTAL. . . .. . . . . . . . . . . . . . . . . $ 0.00
ry
cQ rn �,
rte-
M
rn
N C7
C7 CD
r- m
r
u, ca
Form RW-02 rev.10/11/2011 Page 2 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COU TY OF Cumberland }
etitioner(s)Printed Name Petitioner(s)Printed Address
The Petitioner(s)above-named swea\ntative(s)
statements in the foregoing Petition are true d correct to the best of the knowledge and belief
of Petitioner(s)and that,as Personalf the Decedent,the Petitioner(s)willwe and truly administer the estate according to law.
Sworn to or affirmed and subDate
me this day of Date
By: Date
For the Register Date
BOND Required:Q YES F]NO KAttor
e Register of Wills:
FEES: e enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ y Signature:
( ) Short Certificate(s).. . . . .
( )Renunciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . .. . . . . . . . . . . . . . . . . Printed Name:
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number:
. . Firm Name:
. . . Address:
. . . . . . Phone:
Automation F e. I . . . . . . . Fax:
JCS Fee. . . . . . . . . . . . . . . . . . . . Email:
TOT . . . . . . . . . . . . . . . . . . . . . $
DECREE OF THE REGISTER
Estate of Mobb File No: C� -7f
a/k/a:
AND NOW, 1 ��_>in consideration of the f,reRoing Petition,
satisfactory proof having been pro-
ented before me,IT IS DECREED that Letters ��/(�
are hereby granted to
in the above estate and(if a icable)that
the instrument(s)dated
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s))of Decedent.
Register of Wills `Do �Vge
FormRW-02 rev. 1011112011 P 2 of 2
LAST WILL AND TESTAMENT OF
IMSTY A. CHUBB
I, Kristy A. Chubb, a resident of Cumberland County, Pennsylvania, being
of sound and disposing mind and memory, and over the age of 18 years, do make,
publish, and declare this to be my Last Will and Testament.
****ONE****
I revoke all prior Wills and Codicils by me,heretofore made.
****TWO****
I declare that I am currently single.
C=
****THREE****
3.. M ci .
r1l
.. - t:i
rj n7 ni
1. I have one (1) child whose name is: V =� a C>
Kylee Smith,born January 26, 2007
M a
- r
C-:) Cn C'
2. The above-mentioned child is living. I have no deceased children.
3. The terms"child"and"children" as used in this Will include the
children mentioned herein, any children hereafter born to me, deceased children, and any
children I may hereafter adopt.
****FOUR****
I have intentionally omitted to make provision in this Will for any future
spouse which I might have.
dam+
I give, devise, and bequeath all of the property of my estate, both real
property and personal property,unto my beloved daughter, Kylee Smith.
****SIX****
In the event that Kylee Smith should predecease me or fail to survive me,
then I give, devise, and bequeath my estate unto Dale E. Smith, Jr.
****SEVEN****
In the event that my death occurs before my child has attained the age of
18 years,then it is my desire, and I hereby direct that Dale E. Smith, Jr. be appointed as
guardian of said child and that my child live in his home as though she were his own
child.
****EIGHT****
In the event that at the time of my death any beneficiary of mine has not
reached the age of 25,then any property bequeathed to a minor child or minor children
from my estate shall be held in a separate trust for such child under the following terms:
Until such child reaches the age of 25, the Trustee shall invest the
principal of such trust and pay to or for the benefit of the child any part of all of the net
income or principal thereof as the Trustee, in his or her sole discretion, considers
advisable for the child's health, education, support or maintenance. Any undistributed
income shall be added to the principal at the end of each year. When the child reaches
the age of 25, any remaining principal of the trust shall be paid or transferred to such
child to be his or hers absolutely. In the event of such child's death before reaching the
age of 25, any remaining principal of the trust shall be paid to the child's estate.
I hereby appoint Dale E. Smith, Jr. to serve as Trustee. In the event that
the said Trustee is unable or unwilling to serve for any reason, then I appoint Laurie
Taylor as Trustee.
At any time,the Trustee of any trust may designate an individual,bank, or
trust company to serve as an additional Trustee or as a successor Trustee in case of his or
her inability to act and may revoke any designation of a successor and make others
instead. Any designation, revocation, and qualification of a Co-Trustee or successor shall
be made by an acknowledged writing filed with the trust records. Any successor Trustee
shall have all powers and duties granted to my named Trustee. Any trustee shall be
entitled to reasonable compensation.
The Trustee shall not be required to post bond or other security for the
performance of his or her duties of file accounts in any jurisdiction, and may otherwise
administer my estate without court supervision to the maximum extent permitted by law.
While held by the trustee,the principal and income of any trust hereunder
shall be free from the control, debts, liabilities, and assignments of the beneficiary of the
trust and shall not be subject to process for the enforcement of judgments of claims
against the beneficiary.
****NINE****
If any provision of this Will or any Codicil thereto is held inoperative,
invalid, or illegal, it is my intention that all remaining provisions,thereof, shall continue
to be fully operative and effective so far as possible and reasonable.
****TEN****
I direct my executor,hereinafter named,to pay all of my funeral expenses,
administration and expenses of my estate, including inheritance and succession taxes,
state or federal, which may be due by the passage of or succession to any interest in my
estate under the terms of this instrument, and all my just debts.
****ELEVEN****
I appoint Dale E. Smith, Jr. Executor of this Will, and direct that no bond
or other form of security be required by reason of his acting in such capacity.
****TWELVE****
Should Dale E. Smith,Jr. be unable or unwilling to act in the capacity of
Executor, I appoint Laurie Taylor as Executrix and direct that no bond or other form of
security be required by reason of her acting in such capacity.
IN WITNESS WHEREOF,I,Kristy A. Chubb, hereby set my hand to
this my Last Will and Testament, each page of which has been signed by me, on this
day of Jit ,p 2014, at +6rrdan ,
Pennsylvania.
KtsX A. C bb
Signed, sealed, published and declared by Kristy A. Chubb,the above-
named testatrix, as and for her Last Will and Testament, in the presence of us,who, on
her request, in her presence, and in the presence of each other, all being present at the t
same time, subscribed our names as witnesses.
Address 5122 [es{xxwdl QIDqvt
Wi ess
[�qr;��a;;�f �.� 1 -71 (2
Address r r <
Witness
COMMONWEALTH OF PENNSYLVANIA
. SS.
COUNTY OF DAUPHIN
I, Kristy A. Chubb, testatrix,whose name is to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I
signed and executed the instrument as my Last Will,that I signed it willingly; and that I
signed it as my free and voluntary act for the purposes therein contained.
Sworn or affirmed to and acknowledged before me,by Kristy A. Chubb,
testatrix, thi$-,�l day of 12014.
Kris6i< aubb
Notary Public
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
RENEE DREISBACH,Notary Public
Lower Paxton Twp.,Dauphin County
My Commission Expires November 30,2018
{
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF DAUPHIN
We, 1/. 11--' and 51tfJ11 �ItC� , the
witnesses whose names are signed to the attached or foregoing instrument, being duly
qualified according to law, do depose and say that we were present and saw testatrix sign
and execute the instrument as her Last Will; that she signed willingly and that she
executed it as her free and voluntary act for the purposes therein expressed; that each of
us in the hearing and sight of the testatrix signed the Will as witnesses; and that to the
best of our knowledge the testatrix was at that time 18 or more years of age, of sound
mind and under no constraint or undue influence.
Sworn or affirmed to and subscribed to before me by
cc r� '���t"`�'� andc�hc�l� �r�(� ,witnesses,
this day of �' 'U �''� , 2014.
Witness
Witness
r"�;Lz
Notary Public
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
RENEE DREISBACH,Notary Public
Lower Paxton Twp.,Dauphin County
My Commission Expires November 30,2018