HomeMy WebLinkAbout07-13-06
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of Paul S. Bolles
also known as
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, Deceased
Social Security No. 041225858
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE "A" OR "B" BELOW:)
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A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut tix _ named in the Last Will of the
Decedent, dated 9/28/2001 and codicil(s) dated
State relevant circumstances, e.g., renunciation, death of executor, etc
Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered
for probate; was not the victim of a killing and was never adjudicated incapacitated:
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B. Grant of Letters of Administration
(c.I.a., d.b.n.c.l.a.: pendente lite, durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse
(if any) and heirs:
I Name Relationship Residence I
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland
residence at 201 Todd Circle, Carlisle, PA 17013
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County, Pennsylvania, with his/her last familY,13f principal ')
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Decedent, then 76
years of age, died April 16
(list street, number and municipality)
, 2006 ,at 4111 Nursery Rd., York, PA
(Location)
Decedent at death owned property with estimated values as follows:
(if domiciled in PAl All personal property......................................... $
(if not domiciled in PAl Personal property in Pennsylvania .................... $
(If not domiciled in PAl Personal property in County............................,. $
Value of real estate in Pennsylvania ........................................................................................ $
Total ,..,.,..,.,..,.,.,.,....,.,.,.".,.,...,...,......................,.............,.'.,..................,.,.,.,....... $
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Real Estate situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in
the appropriate form to the undersigned:
Typed or printed name and residence
~
RW-7
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and 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 representative(s) of the Decedent,
Petitioner(s) will well and truly administer the estate according to law.
Sworn to and affirmed and subscribed
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before me this l '.J day of
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Estate of Paul S. Bolles
DECREE OF REGISTER
Deceased
No.;) I - (,le /j.97
also known as
Date of Death: 4/16/2006
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Social Secu rity No: 041225858
2006 , in consideration of the PetiUQ/l
IT IS DECREED that Letters ~ Testamentary 0 of Administration
(_~'I~~ \~. "QC<)
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(c.I.a., d.b.n.c.l.; pendente liite; durante absentia; durante rninoritate)
are hereby granted to J.J. Kerr
. ..,
Continued on a Separate Paqe
..d
in the above estate and that the instrument(s), if any, dated
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters ....................................
Short Certificate(s) ...............
Renunciation ..........................
Affidavit ( ) .......................
~xtra ra~c5 ( )~.I.h+,...
Codicil.................................
JCP Fee .................................
Inventory & Tax Forms.............
Othe r:.A.:-r;.,.,.,.'-.~'l~.'
~~'.............,,j-'....'.........,.. ...........
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Register of Wills
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Attorney: WilliamP. DouQlas
I.D. No: 37926
Address: 27 W. HiQh St.
Carlisle
PA 17013
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TOTAL .............................$ '-
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Telephone: 717-243-1790
DATE FILED:
7-\~-06
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Hl05143Rev.Ol106
TYPEJPRINT IN
PERMANENT
BLACK INK
1 Name ofOecel:lenl (Firsl, middle,las\)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH STATE nLE NUMBER --J
)
76
March 27,
3. SocialSeculityNurrtJer 4 Dale 01 Dealh (Monll1,day,year)
Paul S. Bolles
041 _ 22 _ 5858
AprJ:l 16, 2006
en e
y"
7. DaleolBirlh Manlh,da , ear
5 Age (Last birthday)
York
Dover T1Jp.
o ERlOul atienl 0 DOA. ~h~urSin Home 0 Residenc~~~ Othe~.~ CIS
9. ~sN~ec~~en~~~ ~1~;:S~~~t~uban 10, (~~~;~ocan Ind~n. Black. WMe. elc
Mexican. Pue!'\o Rican. etc.) Wh i te
Btl. County 01 Dealh
11 Decedent's Usual Qccu alian Kind 01 work done durin froslofworkin lile; do nol stale retired
Kind of Work Kind 01 Businessllnduslry
Sales Che~ical
Hi Decedent's Mailing Address (Slreel, cityllown, stale, zip cude)
201 Todd Circle
Carlisle, PA 17013
13. Decedent'sEducation Sed
ElemenLar~+ndary (0-12)
Pennsylvania
Cumberland
hihe:sl radeco leled
Co~ge(1-4or5+)
14 Ma!~al Status: Married. Never married, IS. Surviving Spouse (If wife. give maiden name)
Wldowelj, Divorced (S~diyj
divorced
Did Decedenl
Liveina 17c.D '(as, Decedent Lived in
Townsh~7
T",
17b. County
17d.D NO,DecedentLivedwilhin
,~lua!Umitsof
CityfBoro
1B Father's Name (First. middle. tast)
19. Mother's Name (First. middle, maiden surname)
Clar nce Bolles
20a. Informant's Name (Typelprinl)
Mar aret S ence
2Gb. Informanl's Mailing Address (Slreet, cityllown, slale, zip code)
J.J. Kerr
21 Dannah Drive, Carlisle, PA 17013
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. 11ems 24-26 musl be comp~led by person
wtlopronouncesdeath
21c. Place of Disposilicm (Name olcemetery, l;Iemaloryor olher place) 21d, localion (Cityllown, slate, lip code)
Heffner Funeral Chaoel
~ Crematory, ~nc. York, PA 17404
120 N''''''''''''''''''''''''"'' Heffner Funeral Chapel & Crema tory, lnc.
1551 Kenneth Road, York, PA 17404
23b, License Nurroer 23c.DaleSigned(Month,day,year)
O~ t'"O (;, L 11-f71/L 1& 2c)
T~C Case Referred Ie a Medical ExarnnerlCmone(J
~ Yes 0 No
l1em 27. Part I: Enler Ihe chain of events -diseases, mjuries. or cOl1lllica!ions - !hal dilect~ caused Ihe death. DO NOT enler terminal evenls such as cardiac arrest,
respiratory anes!, or ventrICular fdJri"ation .....~houl showing Ihe etiology. DO NOT abbreviate. Enle! only one cause on a line
: ~proximate interval Part II: Enter other sionincanl condnons contributino to death, 28 Did Cl;O Use CofllriJu1e 10 Death?
: onset to deall1 butnolresuRingif1thel/lldellyingcBuseg""enmPartl Yes 0 Probably
o No 0 Unknown
IMMEDIATE CAUSE (Final disease or
cond~ion resuRing in dealh) ----?- a
C<:7 p 0
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29 II FemaJe
o Nolpregnantwrtl1inpastyear
o Pregnanlallimeo'death
o Nolpregnanl.bl!lpregnanlwilhln42days
otdealh
o Notplegnanl. but pregnant 43 days 10 1 year
beloredealh
o Unltnown iI pregMnl 'wilhin the past year
32c. Place of Injury: Home,FanT\ Streel. Factory, Office
Building,elc.(Specifyj
Sequentially lisl condnions, ~ any,
I€adingto the cause lisled on Line a
. Enler lhe UNDEAl YING CAUSE
. (disease or iniury Ihal in~iated Ihe
events resu"ing in dealh) LAST
Due 10 (or as a consequence oij:
DueIO(OIasaCUrlSI!Quenceoij:
d
WereAulopsyFlndmgs
Availab!ePriorloCofllllelion
of Cause 01 Deal117
OYas'.~
31 Mann~ealh
~alural o Homicide
o Accident 0 Pendinlllnvesligation
o Suicide 0 Could Nol&! Delertnined
32a.Dateollnlury(Month.day,year)
32b. Describe how Iniury OccUfTed'
35
32d. Time 01 Injury
32e.lnfuryaIWork?
o Ye.s 0 No
321.
32g. Localion(Slreetcily"own,sLatel
33a, Certiller (check onlyonel
Certltylnll physician (Physician cl!!'\itying cause 01 dealh when anolher physician has pronourced death and cofT'4)leled "em 23)
To the best 01 my knowledge, dealh occurred due 10 the cause(s) and manllef as stated._...____..... .. .......... ..................._...._........
Pronouncing andcertitying physician (Physician both pronourcingdealh andcertitying to cause otdealh)
To lhe best of my knowledge, dealh occum!d at the lime, dale, and pQce, and due 10 the c.iluse(s) and m,lnf\et as staled
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MedicalexamlnerJcoroner
Dn the basis of e~aminalion and/or invesUgaUon, in my opinion, death occurred ilt lhe time, dale, and place, and due to the cause(s) and manner as staled ._...0
1:0 J
LAST WILL AND TESTAMENT
OF
PAUL S. BOLLES
I, PAUL S. BOLLES, of 46 Mt. Rock Road, Newville, West Pennsboro Townslijp,
--.J
Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding,
do make, publish and declare this to be my Last Will and Testament, hereby revoking and making
void all previous Wills and Codicils heretofore made by me.
1.
I hereby direct my Personal Representative to pay all my just debts, funeral and
administrative expenses out of my estate, as soon as practicable after my death.
2.
I direct that all taxes which may be assessed in consequence of my death, of whatever nature
and by whatever jurisdiction imposed, shall be paid out of my estate as a part of the administration
of my estate.
3.
I direct that my remains be cremated.
4.
I hereby give, devise and bequeath my entire estate to my beloved children, SUSAN
BOLLES-MARTENS, JANE GRESS, and JENINE J. KERR, on a per stirpes distribution basis.
1
LAST WILL AND TESTAMENT OF PAUL S. BOLLES
5.
I nominate and appoint my daughter, JENINE KERR, as Executrix of this my Last Will and
Testament. In the event Jenine Kerr is deceased, unable or unwilling to serve in said capacity, then
I nominate, constitute and appoint JANE GRESS of 4111 Nursery Road, Dover, Pennsylvania.
6.
I direct that my Executrixes shall not be required to give bond or security for the performance
of their duties in any jurisdiction.
7.
In addition to the powers conferred by case law, by statute and by other provisions of this
Last Will and Testament. my Executrices, and any successors in that capacity shall have the
following discretionary powers applicable to all real estate and personal property held by them.
which powers shall be effective without Order of Court and which shall exist and continue until the
time of actual distribution:
(a) To retain any property of any nature received by them for whatever period it shall be
deemed advisable;
(b) To invest and reinvest all or any part of the assets of my Estate without regard to
statutes limiting the property which a fiduciary may purchase;
(c) To sell, transfer, exchange or otherwise dispose of, any part of the assets of my
Estate. for cash or on terms publicly or privately, or to lease, without liability on the
purchasers to see to the application of the proceeds. and to give options for these
purchases without the obligation to repudiate them in favor of a higher offer;
2
LAST WILL AND TESTAMENT OF PAUL S. BOLLES
(d) To execute and deliver any deeds. leases. assignments or other instruments as may
be necessary to carry out the provisions of this WilL
(e) To borrow money, if necessary to facilitate the administration and closing of my
Estate, including the right to borrow money from any bank, and to mortgage or
pledge any asset oftlle estate as security;
(f) To loan to, and to purchase assets from, my Estate, even if also acting as Executrix
thereof;
(g) To assume continuance of the status of any beneficiary with regard to death,
marriage, divorce, illness. incapacity and similar incidents or matters in the absence
of information deemed reliable without liability for disbursements made on such
assumption.
(h) To make any distribution hereunder either in kind or in money, or partially in kind
or partially in money, considering of course the reasonable wishes of the beneficiary.
Distribution in kind shall be made at the appraised value of the property distributed.
as it is set forth in the Inheritance Tax return filed in my Estate;
(i) To exercise any subscription right in connection with any security held hereunder. to
consent to or participate in any recapitalization. reorganization, consolidation or
merger of any corporation. company or association, the securities of which may be
held hereunder; and to delegate authority with respect thereto, to deposit investments
under agreements, to pay assessments. and generally to exercise all rights of
investors;
U) To continue in any pminership. joint venture, joint ownership or other business
enterprise of which I am a part at the time of my death;
(k) To compromise claims;
3
LAST WILL AND TESTAMENT OF PAUL S. BOLLES
(1) To continue for whatever period of time my personal representative shall deem
necessary any ownership as a tenant in common or as a partner, in real estate or other
property and to act as I would have done had I been living.
(m) To do all other acts in their judgment necessary or desirable for the proper
management, investment and distribution of the assets of my Estate;
(n) I direct that my personal representative shall be compensated for the services they
render as Executrix under this my Last Will and Testament.
(0) Should any changes occur in the Internal Revenue Code or Pennsylvania statues after
the date of the execution of this Will which affect the tax liability of my estate, then
to the extent possible and as may be permitted by law, my personal representative
shall have the power and discretion to interpret this Will and to administer my Estate
in a manner which results in the lowest tax liability possible.
IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and Testament
this )-$t'-' day of S;fJ -/-;..., ~( r , 2001.
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WITNESS:
4
LAST WILL AND TESTAMENT OF PAUL S. BOLLES
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS.
L Paul S. Bolles, the Testator whose name is signed 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 and Testament; that I signed it willingly, and that I signed it as my free
and voluntary act for the purposes therein expressed.
paUI~. 'ii~1i:J ') 0 LY~fD"_
Sworn or affirmed and acknowledged before me by Paul S. Bolles, the Testator ,this :)5'~
5~:/J k."b~ r ,2001.
,
day of
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5
LAST WILL AND TESTAMENT OF PAUL S. BOLLES
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS.
WE, /lc:ko/ L lA/Cht.x.r.;J--. andJ11,cllo1fl tL K((I;cl/f
, the
witnesses whose names are attached to the foregoing document, being duly qualified according to
law, do depose and say that we were present and saw Paul S. Bolles sign and execute the instrument
as his Last Will and Testament; that he signed willingly and that he executed it as his free and
voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and
sight of the Testator signed the Last Will and Testament as witnesses and that to the best of our
knowledge the Testator was at the time 18 or more years of age, of sound mind and under no
constraint or undue influence.
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Sworn or aHinned and subscribed before me by t~ IdlOI d / L (.it Hlf'
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I Y\ \ C)j(t d K f~, ~t t) ci Ie this ,)St/l.. day of )c l)t e ffl b (i
11.' and
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,2001.
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