HomeMy WebLinkAbout01-11-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
E"""f -:J 0 In 11 1'1- f?". -"'>0-
also known as _L _q, 0-1 e v-'
COUNTY, PENNSYLVANIA
File Number a \
lJ \ DI0~S
, Deceased
Social Security Number
/ 77','.2 D-7(.cf 1
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the A II:, c v f t~ A"n e 'It^
last Will of the Decedent dated /....!-';"J:.." I~ 8'(, and codicil(s) dated /'j/C);,'t!___
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 bom 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: .... )
Q ~
o B. Grant of Letters of Administration'~ \5 ;-'
(If applicable, enter: c,t.a.; d.b,n.c,t,a,; pendente lite; durante absentia; dur~~te?~itate)::~ ' ,J
-~ ("";-;
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spo~~Xif any).aod heirs: (If'
Administration, c.t.a. or d.b.n.c,t.a" enter date of Will in Section A above and complete list afheirs.) , , " ,', -
Relationship
~.,
Resid~
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~
Name
:-:1
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~
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Decedent, then
c:~
7 years of age, died on
2 ;7 '-f-~, 2tJ O'at
,/
7h v V Y7 (/,\.,/(1/ c/ #ot-n e'_
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 of real estate in Pennsylvania
$ 4f1, 9' sc;~ 7'7
-
$
$
$ /l/J "? L--
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:
:::.....,.-oI'--,.-::._-::-..~
AI-6i..,A I u/
T ed or rinted name and residence
~ h-1e i/ /6r C-Vefl tev/llCV a
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P"tJ
i )0 )y
Form RW-02 rev, 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
~6u-'~
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 of Petitioner( s) and that, as personal representative( s) ofthe Decedent, Petitioner( s) will well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
before me the l \ day of
~~ .~~\
~~uk~
FortheRe~M
~ /~~~-
,V~
zgnature of Personal Representative ___
Signature of Personal Representative
Signature of Personal Representative
.Q \ D''"\ DD~~<S
'~6"(\ P\\ ~A ~c.-me.\
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AND NOW, \ \ G...r\ , ~DD I , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT I~ DECR ED that LetterS\eo~"\()e.f'\-\()"""-1
are hereby granted to A \ b...r-\- \.,0,\\ \ ~ ~~
File Number:
Estate of
, Deceased
Social Security Number:
Date of Death:
L:aQeJ\'\b:u- ,;)1 d.ctJ~
in the above estate
and that the instrument(s) dated -\n.nv.a.su l S . \~~
,
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
,rlo"~~\.\"~iV~
FEES
Letters ............... $
Short Certificate(s) . ~ . . . . $
Renunciation(s) .......... $
lo,l\. ... $
~Cr .. . $
~tD ... $
... $
... $
.. . $
.. . $
...$
.. . $
TOTAL ............ . . $
~ \D " 00
\lo.c:{)
Attorney Signature:
t OS' . e:O
to .00
$.00
Attorney Name:
Supreme Court J.D. No.:
Address:
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Telephone:1:-:'i, :'~,,) \1
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Form RW-02 rev. 10.13.06
Page 2 of2
H]():\SI1:" REV' llil.:"
This is to certify that the information here given is correctly copied from an original certificatc 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.
No.
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Fee for this certificate. S6.00
Local Registrar
P 12843102
DEe 28 2006
Date
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3 REv. 0212006
::/PRINTIN
lMANENT
ACK INK
1, Name of Decedent (First middle, last, suffix)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
5 Age (Last B.rt!1day)
John Albert Ramer
6 Date 01 Birth Month, da ,
7. Birth ace Ci Mdstateorfor
- 20
9687
Y"
Other
94
8b. County of Death
5-8-1912
Altoona, PA
Dlnpalief1t DER/Outpatient DooA ~NurslngHome
9. Was Decedent 01 Hispanic Origin? ria No 0 Yes
(lfyes,speafyCuban.
Mexican, Puerio Rican, etc.)
o Residence 0 Other. - Specify
10 Race: Amelicart Indian. Black, White, etc
(Specify)
ad. Facinty Name (If not institution, give street and number)
Cumberland Carlisle
11 Decedenfs Usual Occu lion Kind 01 woOl done dun most of worki Qfe. Do not slale retired
Kind of Work KII'ld of Business I Industry
Professor Education
. 16. Decedenrs Mailing Address {Street, city I town, slale. zip code)
442 Walnut Bottom Road
Ca~lisle, PA 17013
Thornwald Home
12. Was Decedent ever in \he 13. Decedenrs Education (Spedlyonly highesl grade completed)
U.S. Armed Forces? Elementary I Secondary (0-12) College (1-4 or 5+)
~~ 0- 12 5+
Oecedenl's
Actu" Residence 17 a. Slate
14. MClital Slatus: Married, Never Married,
Widowed, DivOfced (Specify)
Widowed
White
17b. County
Cumberland
Did Decedent
Uvelr13
TOWflShip?
17c. 0 Yes, Decedent Uved in
17d. Ga ~=;~~ved withn
Twp
Pennsylvania
Carlisle
City/Bora
,B. Father's Name (First, middle, last, suffix) ~';y. 19. Mothers Name (First, middle. maiden sumame)
Robert David Ramer Anna McLaughlin
2Oa. Informant's Name (Type {Print) 2Ob. lnfonnanfs Mai~ng Address (Street. city flown, state, zip code)
. ~
21a. MelhodofDisposilion
o Burial 0 Removal from Stale
o 0lheI . Speedy.
22a. SignalureofFun
21b. Dale 01 Disposition (Monlh, day. year)
17074
21d. Location (City !town, stale, zip code)
12-29-2006 Cremati~Society of, PA Cremator Harrisburg, PA 17109
22c. NameandAdd'essolFadti~ Auer Menforial Home and Cremation Services, rnc.
4100 Jonestown Road, H~isburg, PA 17109
23b. lice~!(e Number
j<..tJ 55 'i? to 3l,
23c. Dale Signed (Month. day. year)
p/~-:f/t7;
25 Dale p/d.7 ;~~day, yoal)
CAUSE OF DEATH (See instructions and examples)
Item 27. PART I: Enler the dli!iIl2l~' diseases, injuries. or complications - that directly caused the death. DO NOT enter terminal events such as cardiac arrest.
respiralory arrest, or ventricular fibrillation without showilg the etiology. lisl only one cause on each line
26. Was Case Referred to Medical Examiner {Coroner for a Reason Other th8fl Cremation or Donation?
o Yes 0 No
: Approximate interval:
: Onset to Death
Parlll: Enter other sionificant conditions r.onbibutioo 10 death
but not resulting in the undeflying cause given in Part I
28. Did Tobacco Use Contribute to Death?
o Ves 0 P<oba~y
o No'iel Unknown
29. ffFemale
o Not pregnant within past year
o Pregnant allime of death
o Not pregnant but pregnant within 42 days
of death
o Not pregnant, but pregnant 43 days 10 1 year
of death
o Unknown if pregoanl within the past yeSl
321::. Place of Injury: Home, Farm, Street Factory.
Office Building, etc. (Specify)
=~~~~u9~~;~~\ dise~
\\"'~i)
Due 10 (Of as a consequence of)
: v... '" "'"
~uentially list conditions.. ij any,
~nl~=~~,ro ~AUSE
(disease or i~lUry that initialed the
events resulting In death) LAST.
Due to (or as a consequence of)
Due to (or as a consequence of)
o Ye;--.g No
OVes ONo
31. MannerofDealh
""'9 NalUlal 0 Hom_
O AOOdent 0 Pend"9t~
o Suicide 0 Coo~ Not be Delemtioed
32d. Time of Injury
JOa. Was an Autopsy
Performed?
JOb. Were Autopsy Findings
Available Prior to Complelioo
of Cause of Death?
M
321. lfT'_'n~oyISpeedy)
o Driver I Operatol 0 Passerrger 0 Pedestrian
OOlhe<. Speoify
33b. Signature and Tille of Certifier
.. (;.G.~"1'" f', '6 f' ~'" '" <..., ~
33c. License Number
~t) I:) l~ '2."(1.("
32g:, Location of Injury (Street city I town, stale)
~
33a. C.rtifler (check only one)
~:r:.r:~~rak::=-~ =:~;:c~= ~Iu~et~th=~~~:~~.~:=~ ~e~~ ~~ ~~~~I:n_ 2~)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ J]
~::U:~~I= ~::::::~an~::=~ :thl~~,;:::I:iZ~t~Ot:::~:~~~ manner IS ttatid. _ _ _ _ _ _ _ _ _ _ . _ _ _ _ _ _ J]
~~:~:"::~~;f~~': Ind I or investigation, in my opinion, death occurrtcl at the time, ct.te, and place, Ind due to the cause(s) and manner'I Itattd. _ .0
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34. Name and Address of Person Who Completed Cause of Death (Ilem 27) Type { Print
"'1Oc;:)~... ~. ~f'~l"\~c..~(\o-.
~ ~~ V. ~I."'-' ~'Q'\jl,.. "1)
33c1. Date Signed (Month, day. year)
'1)~<... Zl, '.l.lt;:)\::)"
JI) ('<-.10
L~"'''I~,,"
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TIMOTHY S. SPONSELLER
ATTORNEY AT LAW
215CHAMBERSBURGTRUSTBLDG.
CHAMBERSBURG. PA 17201
717 2133-3939
LAST WILL AND TESTAMENT
I, JOHN ALBERT RAMER, of Greene Township, Franklin County, Pennsylvania,
being of sound mind, memory and understanding, do make publish and declare
this as and for my Last Will and Testament, hereby revoking and making void
any and all wills by me at any time heretofore made.
FIRST. I direct that all my just debts, expenses and inheritance taxes
shall be paid by my Executrix or Executor hereinafter named, as soon as may
be convenient after my death.
SECOND. I give, devise and bequeath all of my property, real, personal
and mixed, whatsoever and wheresoever situate, to my wife, Bonnie B. Ramer,
if she shall survive me.
THIRD. If my said wife, Bonnie B. Ramer, predeceases me, then and
in that event I give, devise and bequeath all of my property, real, personal
and mixed, whatsoever and wheresoever situate, in the following manner:
(a) I give and bequeath the Mary Chilton silver service to my daughter,
Bonnie Anne Casebeer.
(b) I give and bequeath the Gorham silver service to my son, Albert
William Ramer.
(c) I give and bequeath the Franklin Porcelain collector plates with
bird designs to my granddaughter, Amanda Elizabeth Ramer.
(d) I give and bequeath all of the rest, residue and remainder of my
estate, whatsoever and wheresoever situate, to my son, Albert William Ramer,
and my daughter, Bonnie Anne Casebeer, share and share alike. However, if
either of my said children shall be dead leaving lawful issue survlvlng me,
the lawful issue of each such deceased child shall take the share of such
deceased child, per stirpes.
FOURTH. I nominate, constitute and appoint my son, Albert William Ramer,
as Executor of this, my Last Will and Testament, and if he predeceases
me or is unable or unwilling to so act, I nominate, constitute and appoint
my daughter, Bonnie Anne Casebeer, as Alternate Executrix of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this //j""'day
of J)J I//.i)t? /2 '1" , 1986.
"
JCi
~~~~4~/(SEAL)
(// JOHN ALBERT ER
6 -!'"\ <""'l~
, c., :u:
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7
'..
TIMOTHY S. SPONSELLER
ATTORNEY AT LAW
.215 CHAM BERSBURG TRUST BLDG.
CHAMBERSBURG. PA 17201
717 263-3939
Signed, sealed, published and declared by the Testator, John Albert
Ramer, as and for his Last Will and Testament, in the presence of us, who
have at his request signed this will as witnesses, in the presence of the
Testator, John Albert Ramer, and of each other.
WITNESS:
') /
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WITNESS:
We, John Albert Ramer, Testator, and the witnesses whose names are
signed to the foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the Testator signed and executed
the instrument as his Last Will and that he had signed willingly, and that
he executed it as his free and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the presence and hearing of
the Testator, signed the will as witnesses and that to the best of the
knowledge of each witness the Testator was at the time eighteen (18)
years of age or older, of sound mind, and under no constraint or undue
influence.
Sworn and subscribed and
acknowledged before me this
/slfi day of . '- jAnuA~- , 1986.
~~t1{b~
BE: i Y H. ILE. HOTARY PUBlIC
CtlAMSERSBURG BORD, FRANKliN CO!lNTY
MY COi~irl1IS.s!O;'1 txPIRES SEPT. 17, 1388
Mcmbei, Fe:1n~j~V3nia ,1\ssociztio:1 of f~cLri~s