HomeMy WebLinkAbout02-09-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of Peter E. Goldstrom
also known as
File Number
,^'-Ol- OJ 30
, Deceased
Social Security Number 210-24-4498
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~' or 'B' BELOW:)
IZI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executrix
last Wil1 of the Decedent dated March 13,1992 and codicil(s) dated
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 kil1ing and was never adjudicated an incapacitated person:
o B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search has / have ascertained that Decedent left no Wil1 and was survived by the following spouse (if any) and heirs: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
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(COMPLETE IN ALL CASES:) AUach additional sheets ifnecessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last princilt<111esidence at
2905 Glenwood Road. Lower Allen Townshio. Cumberland County. Pennsvlvania. 17011- ~
(List street address, town/city, township, county, state, zip code) ..;J
Decedent, then 74 years of age, died on January 23,2007 at
2905 Glenwood Road, Lower Allen Townshio. Cumberland County. Pennsvlvania, 17011
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
6,000.00
$
$
$
$
90,000.00
situated as follows: 2905 Glenwood Road, Lower Allen Township, Cumberland County, Pennsylvania, 17011
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:
Dale L. Ridinger, 3771 Colonial Road, Dover, PA 17315
Form RW-02 rev. 10.13.06
Page 1 of2
2
Last Will and Testament
Husband
GCJ / d s t,.t/?YI.
.,d Ca,~p H,'J/) fa ,
do hereby make, publish and declare this to be my Last Will and Testament and do hereby revoke any and
all other Wills and Codicils heretofore made by me.
First. I am married to (11\ '1'\ e G c) / J tj L r o1'Yl .
I, Fe '"t'e Yo b '
;). CJO 'C) GJ e "Vv'Dod
presently residing at
Second. I order and direct that my just debts and funeral expenses, expenses for administration of my
estate and any inheritance and succession taxes, state or federal, upon my estate shall be paid as soon after my
death as may be practical.
Third. I give all my estate to my wife. In the event that my said wife shall predecease me or fails to
survive me for sixty (60) days, I give all my estate to my children, if any, who survive me in equal shares, per
stirpes. If I am survived by neither my wife, nor children, then I give my estate to: t"'-)
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to be his! hers! theirs in equal shares or their survivor.
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Fourth. I nominate and appoint my wife as Executrix of this Will. In the eventl~lTIrt my wif€ shall-
predecease me or fails to survive me or fails to serve as such Executrix then in such everlt, I nomirlafe and
appoint
U-a,}e
Go Jd ~-C.,-tym (dovgh tel)
, Executor! Executrix of this my Last Will and Testament.
I further direct that no appointee hereunder shall be required to give any bond for the faithful performance of
his! her duties.
Fifth. I hereby authorize my Executor! Executrix to exercise all the powers, rights, discretions, duties
and immunities conferred upon fiduciaries to the extent permitted by law with full power to sell, lease,
mortgage, invest, reinvest, or otherwise dispose of the assets of my estate.
I subscribe my name to this Will this
\0 th Day of ('\A\'C.t\ , lA~
, (' ~\'Y\P\)\\ \ I ~. f16\ \
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at C..J:~_Ub ~'f'\t'\K W R.
(\~0-(0. Q. i. ~ (Yl'Q\ \
(Sign here)
@ 1983 by AFBP. All rights reserved.
Signed, sealed, published and declared to be his Last Will and Testament by the within named Testator
in the presence of us, who in his presence and at his request, and in the presence of each other, have hereunto
subscribed our names as witnesses:
of LE /'? IJ 'IN Il' 4t.
(City) I (State)
of CN'rtP HILL, PI)
(City) (State)
of Lo.-\,~v\' \ \'e.. ~.
(City) (State)
(1) -:J)DYt sE" J. ~eK-
(2) AIIls"u S. CdL~()A~
(3) -, 0\....1 ~ p \.)...::>'1 \ \\ (I '(Y\ ~
Affidavit
State of Oe< :\1 [VeL
County of C' \UY\ 'GAl \(\f'\ d
Personally appeared (1) _PE-\-'ER
City
or
) Town
E.
r (\ 'fY\~'n~ \ \ \ p~. \IC)\ \
C'"::)O \ d 6to,fY'\ .
(2) and (3)
who being duly sworned, depose and say that they attested the said Will and they subscribed the same at the
request and in the presence of the said Testator and in the presence of each other, and the said Testator, signed
said Will in their presence and acknowledged that he had signed said Will and declared the same to be his Last
W ill and Testament, and deponents further state that at the time of the execution of said W ill the said Testator
appeared to be oflawful age and sound mind and memory and there was no evidence of undue influence. The
deponents make this Affidavit at the request of the Testator.
(I) G~~~y1QJ>L
(2) O~"" ~~
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(3) ~ ~ l ~ rYY'l'i:'J
1-3 'G-:aYOf~I(,~-'I~
Subscribed and sworn to before me this
(N otary Seal)
~~ \(~~tli~~
Notarial Seal
- -- --- . .- Will""'. """'~"""
Sav~1e Twp" Pel-'f" Cow;;y
My CommISSIon EXPilT<; f~GV 20, 1993
, Pennsylvania Association of Notaries
This !s ~o certify t;lat the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The oliginal 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 tl)[ this certificate, $6.00
No.
~I'l~
Local Registrar
JAN 29 2007
Date
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See InstructIons and examples on reverse)
fll- 07-0/30
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~EV 1112006
PRINT IN
IANENT
:K INK #30-441
1. Name aI Oocedont (ArII, _, last, sulIixl
Peter
S.IvJO(LosIBlrtt'doy)
74
N
l1._.Usuol lloll
Kind aI_
_aI ".Donol,,""
KincfO/B_I.......,
Nov. 28, 1932 Berlin, Germany
Bd. FacIlyNomo(lfnol_, give-lIIdrunbor)
2905 Glenwood Road
STATE FILE NUMBER
E
Goldstrom
VII.
6. Oat, of Bi1h
7.
hI_"
4. Olle alllsalh (Month,lIIy, yesr)
January 25, 2007
Bb, County 01 Dsa1h
Cumberland
Pann!:!ylu~n;;=t
17b.Counly Cumber land
Goldstrom
19. Molhsr"Nsms(F/llt,_, rnsids"'"'"""")
Maria Berta Steinbeiss
2lI>.1_.MsIIng_(SOssI,dly/_,_,zlpoode}
3771 Colonial Rd.,Dover,PA 17315
17C.)(VIS,OocedontUvedin Lnwpr A 11 en
.7d. 0 No, Oocedont Uved within
Ad,.;liIlitsol
Top.
CHy I 8oro
21~ Plscs 0/ IlIspooIlloll (Name aI CIIIIoltfy, ""["lory" _ pIscs)
Evans Cremation Service
21d. Locslloll(CHy/_, _, ""code)
Leola,PA 17540
- 24-26 must bs ~ by '*"'" 24.llme 01 DseIh Aprx. 25. Date f'moou!1csd Dssd (Month, day, yosr)
who"""""",_ 8:00 P. M. January 25, 2007
CAUSE OF DEATH (SM lnotruclion. _ examples)
1lam27, Part I: EnlsrIllo~-dIoessos, _, orcomplca--llistdtscllyCllUSSdIllo_ DC NOTsmlflonnlllOl__ UCOl1lis<:lrresl,
mpitstory ....., ",or,,,,,,,,,, _lloll wIIhoti sIIOWlrlg IlIo -.gy. UsI 0Illy one couse on _'"".
=~~~)~ a. Gunshot to Head
Due to (or as I COf1S8QUence 01):
ne PA17043
230. O'1s Signed (Month, lily, yaar)
o VIS ~o
30h Wore Autcpsy FIIYfngs
A\lalablePnorlo~
aI Cause 0/ Dsslh1
OVIS ONo
31._alDoslh
ONsIunII D-
O AccIdent 0 P8nling InYesIIgdon
JIlSuicids 0 Could No! be lleteti1Wd
320. Dale 01 "*"" (Month, cloy, yest) 32b. _ How kju<y O<:coo.d
Jan.23,2007 Self-inflicted
:!In TIme allr;.y
aprx.
8:00 PM.
26. Was Case Aefen'ed 10 MediclI Examl"'t f Coroner for I Reason Other !tIan Cremation or Donation?
~VIS ONe
Approximate 1nttrvaI: Part II: Enler other skr1IficanI! cnnrftInn. emrfhllflnn ID dMlh, 28. Old Tobacco Use Conlrtluttlo Death?
Onset 10 Dsslh but nol "'0tiIg in IlIo ~ couse g\YM ~ Pa. I. 0 Vas 0 Probably
ONo 0-
29. II Ferns.:
o NoIP/IgIlSntwflhinpaslyosr
o """"",,II/llmaofde"'"
o NoI prsgrIOll\ butlllSl/18nl_ 42 days
o/doslh
o NotP/lgllSnt,buI'-43daYSlolyesr
befonJ_
o Wnk-.n_wIII1",lhapaslyosr.
32<:. Plscs of I,*,ry: Homo, Film, SI1eaI, FacIory,
gunshot - handgun OIIicalluidroO;aIc(Spaci/y) . Home
32g.l-.., 0/1njtHy 1_, dly/_, "'''1
=1sI_,nsrry,
10 CUlIlllecl on Ins a.
EnIsr IlNDEIIt.VWO CAUSE
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b.
Due to (or as a consequence of):
c.
'; --..
Due 10 (or IS I COIIISQUO.... 01):
d.
i XM. =~opsy
~
330. CSl1IIIot (chsck only one)
. Csotlfy\ftg"",.....,(PhysIcIonC8f1llyll1gcouseofdos"__"-....__IIId~IIam231
Totlls boot 01 my 1InilwIodgs, - - duo 10 tIIs_l/and __ __ _ _ _ h_ __ ____ ___ ___ __ __ __ __ _ _ _ ___ 0
. =:=.~..::'::~"'::.:=:.':t..~':':__IIoIod.._________________ 0
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Ontlls_ 01_ and/"lIlYeolIgotIon, ~ myopinlon,--l/lhotlmt,doIs, sod~ andduslotlls_./sod__1IoIod..
Hill, Pa.
Coroner
33d. Date Signed (Monlh, cloy, yosr)
January 26, 2007
34,lttt!l'1mo/t':"~o~c:usee81'd'ft"e~ T)1>O I p....
6375 Basehore Roadl Suite #1
Mechan1csDurg, PA 70)0
DispositIon Permit No.
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
: SS
COUNTY OF CUMBERLAND
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.
day of
{~,;Ib~_
Signature of Personal Representative
Sworn to or affIrmed and subscribed
Signature of Personal Representative
Signature of Personal Representative
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File Number:
c9-1-OI- 0/30
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Estate of Peter E. Goldstrom
AND NOW,
having been presented before me, IT IS DECREED
are hereby granted to Dale L. Ridinl!;er
Date of Death: January 23,2007
-;. D~ceased ::-
, N
N
, ;:)007 ' in consideration ofthe foregoing Petition, satisfactory proof
at Letters Testamentary
and that the instrument(s) dated March 13, 1992
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES JjLnaA ll/d1111Ji ltw.-~:r~
Letters........... $ J,/O 00 (;)Ji: /) \. ( !n
Short Certificate(s) . .. . . . " $ /0, DO Attorney Signature: A --:-- ~ ~"-~ .::;...
Renunciation(s) .......... $
Wi\ \ . .. $
jP '" $
~~\1l(l-t1()Y) ... $
... $
...$
...$
...$
...$
'" $
TOTAL... ......... .. $rlr::;/Op~
in the above estate
15pv
IO.CD
,~. fX)
Attorney Name:
William L. Grubb, Esq.
Supreme Court LD. No.: 72661
Address:
3803 Gettysburg Road
Camp Hill, PA 17011
Telephone:
717763-5580
Form RW-02 rev. 10.13.06
Page 2 of2