HomeMy WebLinkAbout09-01-05
PETITION FOR PROBATE and GRANT OF LETTERS
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Estate of Larrv Nickel
also known as r."rry R Ni "kp 1
No.
To:
Register of Wills for the
Deceased. County of Cumberland in the
Social Security No. 21 0 - 4 0 - 2 624 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut ri x
in the last will of the above decedent, dated II 11 9"" r 1 R
and codicil(s) dated nf a
named
,~ ?005
(state relevant circumstances. e.g. renunciation, death of executor. etc.)
Decendent was domiciled at death in Cumberland
hi" last family or principal residence at 17 R pi n~ sr
Rnrnngh, PII 170/;<;
County, Pennsylvania, with
. Mt Holly Spri~ry~
(list street, number and muncipality)
Decendent, then 52 years of age, died A ugus t 23 ,~ 2005,
at
Except as follows, decedent did not marry, was not 'vorced and did not have a child born or adopted
after execution of the will offered for probate; was not th.e victim of a killing and was never adjudicated
incompetent: no exc~ptions
Decendent at death. owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows: 17 E Pine Street, Mt. Holly
$ 10.000.00
$
$
$ 85,000 00
Sprinqs
WHEREFORE, petitioner(s) respectfully request(s) th.e probate of the last will and codicil(s)
presented h.erewith and the grant of letters testamentary
(testamentary; administration c.t.a.; administration d.b.D.c.t.a.)
theron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA 1- ss
COUNTY OF CUMBERLAND J
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The petitioner(s) above-named swear(s) or affirm(s) that 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 represen-
tative(s) of the above deoedent petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed { ~~~eww ~
before me this " ~ day of er ~
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Estate of Larry Nickel a/k/a Larry R. Nickel ,Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW September '._.____XX-2Jl.Q5in consideration c" -,'0 petitio" on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated August 18. 2005
described therein be admitted to probate and filed of record as the last will of
Larry Nickel a/k/a Larry R. Nickel
and Letters Testamentary
are hereby granted to Rhonda Brewer
FEES
Probate, Letters, Etc. ......... $
Short Certificates( ).......... $
Renunciation ................ $
$
TOTAL _ $
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~~~~gister of Wills ,
<:;;;<.,.'<-~, "d.."'''
AITORNE
onald E. J, nson, Esquire 16453
78 West Po fret Street
ADDRESS
Carlisle, PA 17013
(717) 243-0123
PHONE
Filed
HI05.805 REV 1105 -::;.... \ ~ S ~l b. 'I
This is to certify that the information here given is correctly copied from an original certificate of death duiy fii'i?d with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
p
11851321
No.
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AUG 2 4 2005
Date
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Hl05.143 Rev. 2187
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
SOCIAL SECURITY NUMBER
. 210-40-26:.4
DATE Of DEATH (MonIh, DIy. v...)
,8/23/05
l1LSlaIII t)ann....yl'T="n;~ ~enl t7c.OV..,cIlIcedenIlMdln
1ve1011 No,~IivDd
17b. CW'1lvr.nmberland townstip? l1d. 'MIllnlldUllllmllaof
MOTl'lER'S NAME (Flm. MIddle. Mto1denSum_)
iI.Minnie M~ Clair
"'-'"'"".''''''''''~-~,-,'''''''''
N9.U~ ~anaoanK Mt. qollY Springs,PA17065
PlACe OF DISPOSITION- Ne"", afCeme!ery, C....1lolY LOCATION -Clly{Town. StnI. ZIp Code
OfOll'o8rPlacol
~~.flollySpring5 Cem. 2~~.~olly Springs,PA170 5
Eoll ~~~~~8ryMt.Eollysprings.P~17065
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PI!RMANENT
9l.ACKIMK
NAME OF OECEOE~ (First. Middlol. laeI)
..
,&.GE(LntBlrthd8y)
52 'frs.
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2.Ma1e
BIRTHPlACE (CIIy Bnd F
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CITY. BORO. TWPOF DEATH FACILITY NAME (IInor itlatilullon,JlIve sInMt and n<JJnb8r)
t~Holly Springs 17 E~ Pine st.
k. 1Sd.
AS DECEDENT EVER IN
U.S. AFlMED FORCES?
Yesl]l NoD
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COUNTY OF DEATH
Cumberland
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OECEDeNT'S USUAL OCCUPATION KIIrlO OF BUSINESS I INDUSTRY
~~::..~~ .
-~~ess uperator 1~anufactur1ng
DEe SMAILi ADDRES$(SlnWI,ClIyITOI"I1.Sl8ht, "Code) DECEDENT'S
17 E. Pine St. ~ElfCE
leMt.Holly Springs,PA17065 ~~
FJ,'ffiER'SNMAE\I"nl.~,\.MI)
11. David H. Nickel
Il*'ORMAHT'S HAUE )
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ME1'HOD OF DISPQSmON
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2;'.. oe...\Spedly) 0 2iJJ27/2005
SIGNAr~R.J ~ ElM UCENSEE OR PERSON ACTING,o,sSUCH
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CGmpIe\eltarnls23ll-conlylOttlWlClNlllyl To IhfI *1 oIrrry ~,d
p/lysIcianll""t........BI~meofdHI!lIo (Slgllllluntand
eerlIfy.,.,MofdMll' 23L
TIME OF 09i
wer
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WM, "'" MlTOPSV WEl'IE MliOPSY F>>IOlIfl>S
PERFORMED? AVAl~E PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
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SURVIVING SPOUSE
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11ME OF INJUA'f
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
\otl\NNEROFDEAlH
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OATEOFINJURY
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o PLACE OF INJLlRV.AI hOme, farm. s-' fIteloly. oftic:8
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NAME AND ADDRESS
'MELMCAJ,.EXAJUtERlC.~ \llllm27)TY\lOlorPrinl
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REGI&'tRAR'$stGKA.1\lRE.LKD~ _. (:\ DATE FILED (Monlh.
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LAST WILL AND TESTAMENT
OF
LARRY NICKEL
I, LARRY NICKEL, of Mt.. Holly Springs, Cumberland County, Pennsylvania, being of
sound and disposing mind, memory and understanding, do hereby make, publish and declare this as
and for my Last Will and Testament, hereby revoking all other wills and codicils heretofore made by
me.
FIRST: I direct that all my just debts and funeral expenses, including my
grave marker, shall be paid from the assets of my estate as soon as practicable after my decease.
SECOND: I give and bequeath certain of my miscellaneous household goods,
personal effects, furniture and jewelry to the persons designated in accordance with my last-dated
memorandum prepared by me prior to my death and enclosed with this my Last Will and Testament
THIRD: I give, devise and bequeath the residue of my estate, of every nature
and wherever situate, of my estate, of every and wherever situate, to my children Equally, namely
Matthew L. Nickel and Heather Keller, provided that the share of my child who predeceases me or
dies on or before the thirtieth day following my death, shall be distributed to her issue, per stirpes,
living on the thirty-first day following my death, and in default of such then living issue.
FOURTH: I direct that all taxes that may be assessed in consequence of my death,
of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a
part of the expense of the administration of my estate.
FIFTH: I nominate, constitute and appoint, my Sister Rhonda Brewer,
Executrix of this my Last Will and
SIXTH: I direct my Executrix and her successors shall not be required to give
bond for the faithful performance of their duties in this or any other jurisdiction.
....,
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IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last WilIjkd
Testament, consisting of two (2) typewritten pages, each identified by my signature, this ~
day of August, 2005.
~~ ~EAL)
Larry Nickel
Signed, sealed, published and declared by the above-named Testator, LARRY NICKEL, as
and for his Last Will and Testament, in the presence of us, who, at his request, in his sight and
presence, and in the sight and presence of each other, have hereunto subscribed our names as
witnesses.
G~C1\tt&u s. 8Aeu J.12A J
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COMMONWEALTH OF PENNSYLVANIA
)
: SS.
)
COUNTY OF CUMBERLAND
I, LARRY NICKEL, Testator, whose name is signed to the attached or foregoing
instrument, having been duIy qualified according to law, do hereby acknowledge that I signed and
executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it
as my free and voluntary act for the purposes therein expressed.
Sworn or affirmed to and ljl;knowledged before me by LARRY NICKEL, the Testator,
thi, IRHtdayof /(~q;- ,2005, oE?~ ~ (SEAL)
Larry Nickel
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
-
We, ~e/Lt1J'( t. Al/cko/ and A'A~4 ~ .6!-/:I{)tt' , 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 Testator sign and execute the
instrument as his Last Will and Testament; that LARRY NICKEL, signed willingly and that he
executed it as his free and voluntary act for the purpose therein expressed; that each of us in the
hearing and sight of the Testator signed the Will as witnesses; 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.
Sworn or affirms:d to and
and s:Ad/pr t:. ,:;VJo!:el
subscribed to before ~ by A::AIPtM s: ~t:p'
, witnesses, this If day of August, 2005.
, Witness
:rtf 01' ....14I'fLVANlA
NOTARIAL HAL
RONALD E. JOHNSON, NOTARY PUBLIC
C,,"BUSLE BORO, CUMBERLAND CO., PA
o .~".~'~~!~~~ION EXPIRES MARCH 11,2008
(SEAL)
(SEAL)