HomeMy WebLinkAbout09-18-15 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: BETTY J. KOZIER File No: — 1,5
a/k/a: ELIZABETH J. KOZIER (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: AUGUST 9, 2015 Age at death: 85
Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State)with his/her last
principal residence at 300 GLENN AVE, BOILING SPRINGS 17007 SOUTH MIDDLETON CUMBERLAIJI
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at CRMC, CARLISLE, 17013 SOUTH MIDDLETON TWP CUMBERLAND PA
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 $ 20,000
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania......................................................... $ 140,000
TOTAL ESTIMATED VALUE. ... $ 160,000
Real estate in Pennsylvania situated at: 300 GLENN AVE BOILING SPRINGS 17007 S. MIDDLETON TOWNSHIB CUMBERLAND
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County
Q 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 MAY 18,2004 and Codicil(s)
thereto dated
LEO H. KOZIER DIED ON FEBRUARY 27, 2008
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 apending
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
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
0 NO 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,at.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 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 survived by the following spouse(if any)and heirs(attach
additional sheets,if necessary):
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Name Relationship Address
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IM
CD
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Form RW-02 rev.10/11/3011 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
CINDY A. KOZIER 300 GLENN AVE., BOILING SPRINGS, PA 1700 CDd
NANETTE M. TOMLINSON 3400 FORTIS LANE, MATTHEWS, NC 28105
Q` 71
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The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and correct to thebgst(o€tlie knowQge and beef
of Petitioner(s)and that,as Personal Representative(s)of the Decedent,the Petitioner(s)will well and truly administer the estate accoh4fing toslzvr
C7
Sworn to or affirmed and subscribed before Date - �o
met4i,�j r day of _2_ '" Date Q
By:L bK d. I�J �{ UFF Date
For the Register Date
BOND Required:E]YES g]NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters. . . . . . . . . . . . . . . . . . . . . . $ 260.00 Attorney Signature:
( 3 )Short Certificate(s).. . .. . 15.00
( )Renunciation(s).. . . . . . . .
( )Codicil(s). .. . ... .. . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . .. . . .. . . . . . . . . . . . . Printed Na e: DOUGLAS G. MILLER
Commission. . .. .. .. . . . . .. .. . . Supreme Court
Other . . .. . . . . ID Number: 83776
WILL . . . . . . . . 15.00
INVENTORY . . . .. . . . 15.00 Firm Name: IRWIN&McKNIGHT, P.C.
INH TAX RETURN . .. . . . . . 15.00 Address: 60 WEST POMFRET STREET
. . . . . . . . CARLISLE, PA 17013
. . . . . Phone: (717)249-2353
Automation Fee. .. .. . . . . . . . . . . 5.00 Fax: (717)249-6354
JCS Fee. . . . . . . . . . . . . . . . .. . .. 35.50 Email:
TOTAL. . . . .. . . . . . . . . . . . .. . . $ 360.50
DECREE OF THE REGISTER
Estate of &4QJ. Lozlpr File No: / — 15 " q S,Q.
a/k/a: 0 Le C
AND NOW, � Q r� Y ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters TESTAMENTARY
are hereby granted to CINDY A. KOZIER AND NANETTE M.TOMLINSON
in the above estate and(if applicable)that
the instrument(s)dated MAY 18, 2004
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent.
a) An O&M
Register of Wills
Form �.RW-02 rev. ioiiiiaoii dO "Page 2 of 2
LAST WILL AND TESTAMENT
I, BETTY J. KOZIER, of South Middleton Township, Cumberland County,
Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Codicils heretofore made by me.
1. I direct my Executor to pay all of my debts, funeral and administrative expenses as
soon as may be done conveniently after my decease.
2. I authorize and empower my Executor to sell any realty owned by me at my death, and
not specifically devised herein, at either public or private sale, and to give good and sufficient
deeds therefor, in fee simple, as I could do if living.
3. I devise and bequeath all of my estate of every nature and wherever situate to my
husband, LEO H. KOZIER; providing he shall survive me by sixty(60) days.
4. Should the gift in Paragraph No. 3 not take effect, I devise and bequeath all of my
estate of every nature and wherever situate as follows:
(a) the sum of$5,000.00 to each of my grandchildren; and
(b) all the rest, residue and remainder of my estate of every nature and
wherever situate to my two (2) daughters, share and share alike, the child or
children of any deceased daughter taking the share their parent would have , '
taken if living.
4- .,_,
3 cz) r
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5. I nominate and appoint LEO H. KOZIER to be the Executor of this my Last Will and
Testament; he is to serve as such without bond. Should he die before my death, renounce or
refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and
appoint CINDY A. KOZIER and NANETTE M. TOMLINSON as substitute Executrices, also
to serve as such without bond,with the same powers as are given herein to my Executor.
6. I hereby suggest that my personal representative retain the services of Irwin &
McKnight as attorneys in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this i ,a day of
May, 2004.
(SEAL)
T Y J. KOZIE
Signed, sealed, published and declared by BETTY J. KOZIER, the above-named
Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her request, in
her presence and in the presence of each other have subscribed our names as witnesses hereto.
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ACKNOWLEDGMENT AND AFFIDA VIT
WE, BETTY J. KOZIER, MARTHA L. NOEL and SHARON L. SCHWALM, the
Testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being
first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and
executed the instrument as her Last Will and Testament, that she had signed willingly, that she
executed it as her free and voluntary act for the purpose herein expressed, and that each of the
witnesses, in the presence and hearing of the Testatrix, signed the Will as a witness and that to
the best of their knowledge the Testatrix was, at that time, eighteen years of age or older, of
sound mind and under no constraint or undue influence.
BET J.-KOZIEk
MAktNOEL
SHARON L. SCHWALM
COMMONWEALTH OF PENNSYLVANIA :
: SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by BETTY J. KOZIER, the
Testatrix herein, and subscribed and sworn to before me by MARTHA L. NOEL and
SHARON L. SCHWALM,witnesses,this f*R day of May, 2004.
I.
tary Public
V
Notarial Seal
Roger B. Irwin, Notary Public
Carlisle Boro, Cumberland County
My Commission Expires Oct. 3, 2004
Member,Pennsylvania AssociationotNotaries
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