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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cu Yb ~l( (2. \PI ~ 0 COUNTY, PENNSYL VANIA
Estateof.....S/rYY\ q ~L f, me f\~\~ sQ .
also known as ~~ V~
File Number
~\
0'1
()l)()~
, Deceased
Social Security Number,;( 0 9 - Q S- - 9 "2S-5
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COM:;;:TE 'A' or 'B' BELOW:)
'[J'A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the f;;. 'C- C~ tz
last Will of the Decedent dated and codicil(s) dated:)V I ~ - \.t _ t U
named in the
(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 instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ill ()
o B. Grant of Letters of Administration
(If applicable. enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durant?..,minoritate) ~
() =
C- c:.::>
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following sPOl1~if any) an1Hleirs: {Ifj
Administration, c.t.a. or d.b.n.c.t.a.. enter date of Will in Section A above and complete list of heirs.) ~ 5'2 (' i. ."~!
. .': ",2 ;;;;:-! J
Name
Relationshi
~
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ri
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, "j
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in 1<...J~unty, Pennsylvania with his / her last principal residence at
~-()- .
w
w
Decedent, then Ie)
years of age, died on '0'2..Q. ;9.'.:::..- OLat
10
IS PfY\
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value ofreal estate in Pennsylvania
$
$
$ to. c)OO, dO
$ ~ J ; ()O (), Db
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:
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
COUNTY OF
~fad/L
SS
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 ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or affirnled and subscribed
before me the 3 day of
\~~I--
FO~
~lJ,~k l,- ff m ( Y\cG.1}.
Sl ature of Personal Representa . '
Signature of Personal Representative
Signature of Personal Representative
File Number:
a \ C:>l D~aL\
Estateof ~U(!j C /YJWatr S'y-.
Social Security Number: d/)9 ~ 51 9853
,dco7
, Deceased
Date of Death:
&0 dB ofa) &
AND NOW, 3
having been presented before me, IT IS DE REED that. Lrtters
are hereby granted to ~~ .J /rI qu(A.,J r
and that the instrument(s) dated Jl.J_Jy d('-f /0;90
described in the Petition be admitted to probate and filed ofrecor
, in consideration of the fpregoing Petition, satisfactory proof
1-e,s~~tLj .
in the above estate
FEES
$
Short Certificate( s) . . . . . . . . $
Renunciation(s) .......... $
liJtll $
~t :
$
$
$
$
$
$
$
qD.($)
~O.CO
Letters
18.(50
)0.00
S.OO
fl-f!) d)
TOTAL
Form RW,02 rev. 10./306
Attorney Signature:
Attorney Name:
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Supreme Court I.D. No.:
Address:
Telephone:
Page 2 of2
H [OO.80S REV 11m
This is to certify that the information here given is correctly copied from an original certificate of death duly filed 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
13215212
No.
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- Local Registrar
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CO....ONWEALTH Of PENNSYLVANIA" DEPARTMENT OF HEALTH" VITAL RECORDS
CERTIFICATE OF DEATH
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PERIlANENT
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1. _a_(FnI._,laoI.soAol
Samuel E.
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McNair, Sr.
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May 8, 1936
Mechanicsburg
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Cumberland
Silver Spring
23 Pine Hill Avenue
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Mechanicsburg PA 17050
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William McNair
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Deanna J. McNa i r
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23 Pine Hill Avenue Mechanicsburg PA 17050
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LAST WILL AND TESTAMENT OF SAMUEL E. McNAIR
I, SAMUEL E. McNAIR, of the Township of Silver Spring, Co~Pty
of Cumberland and State of pennsy1vania,(being of sound and disposing
mind, memory and understanding, do make, publish and declare this my
Last Will and Testament.
1.
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I direct the payment of all my just debts and funeral~penE#es
, ...',' .'. C)
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as soon after my decease as the same can be conveniently done.~l
2.
I give, devise and bequeath all the rest, residue and remainder
of my estate, real, personal and mixed, whatsoever and wheresoever the
same may be situate, to my wife, DEANNA J. McNAIR, absolutely and uncon-
ditionally.
3.
In the event that my wife, DEANNA J. McNAIR, should predecease
me, or should she die at about the same time as I do, such as in an acci-
dent common to both of us, or should she die within thirty (30) days from
the date of my death, then upon the occurrence of any of such events, I
give, devise and bequeath my entire estate, of whatsoever nature and
wheresoever the same may be situate, to my children, share and share alike,
per stirpes.
-1-
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c,)
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LASTLY, I nominate, constitute and appoint my wife, DEANNA J.
McNAIR, Executrix of this, my Last Will and Testament, and in the event
that my said wife should predecease me, or should she be unable or un-
willing to serve in such capacity for any reason, then in such event,
I nominate, constitute and appoint my brother, STEVEN McNAIR, and my
step-daughter, TINA DONNELLY, Co-Executors of this, my Last Will and
Testament, and in either event, I direct that my said personal repre-
sentative or representatives, whichever the case may be, be excused
from posting bond or other security for the faithful performance of
their duties.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this 24th day of July, A. D. 1990.
7 \
)o_-(rri/..L( e /7/'rt ~..~
"
Samuel E. McNair
(SEAL)
, \' ...r" Cl-JJL'~;}C.tilb..'
_~O //.I..~,-. C /,
~ .
Samuel E. McNair, Sr.
(SEAL)
-2-
Signed, sealed, published and declared by the above-named
SAMUEL E. McNAIR, as and for his Last Will and Testament, in the
presence of us, who, at his request and in his presence, and in the
presence of each other, have hereunto subscribed our names as wit-
nesses.
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COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND
)
I, SAMUEL E. McNAIR , 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 volun-
tary act and deed, for the purposes therein contained.
Sworn and affirmed to and acknowledged before me by
SAMUEL E. McNAIR , the testator , this 24th
day of July , A. D. 1990.
$7 r ~'_~b~H
NOTARII'-l SEAL
MARY S. ROBINSON. NOTARY PUiLIC
MECHANICSBU~G BORa. CUMiERLAND co.
My Commission Ex,ires Sept. 21. 1991
COMMONWEALTH OF PENNSYLVANIA
)
SS.
COUNTY OF CUMBERLAND
)
We, the undersigned, J. ROBERT STAUFFER
and MARILYN KAY EAKIN , the witnesses whose names are
signed to the attached or foregoing instrument, being duly qualified
according to law, depose and say that we were present and saw the
testat or, SAMUEL E. McNAIR' , sign and exe-
cute the instrument as his/~r Last Will and Testament; that the
said testat or , SAMUEL E. McNAIR , executed it as
his/~ free and voluntary act for the purposes therein expressed;
that each of us, in the hearing and sight of the testat~, signed
the Will as witnesses; and that to the best of our knowledge, the
testator was, at the time, eighteen (18) or more years of age,
of sound mind, and under no constraint, duress or undue influence.
Sworn and
me this
subscribed to before ,/'///1
24th day of .
1990.
J1I1y
NOTARIAL SEAL
MARY S. ~OBINSON. NOTARY PU8LIC
MECHANICSBURG BORO. CUMBERLAND co.
Cemmission Expires Sept. 21, 1991