HomeMy WebLinkAbout02-26-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
J:slate of
William W.
Blessing
File Number
a\
D\
D\~3
also known as
. Deceased
Social Security Number I RX-125620
Petitioner(s), who is/arc 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /_ the Executor
last Will of the Dccedcnt dated August 17,2005 and codicil(s) dated
nalllcd in the
--'
(State relevant circumstances, e,g, renunciation, death of executor, etc)
-'
!:xcept as follows, Dccedent did not marry. was not divorced, and did not have a child horn or adopted aIleI' exccuti()I'l:t)~4e ins~lient(s) olfc;cd
for probate, was not the victim ora killing and was ncver adjudicatcd an incapacitated person: 0-'
D B. Grant of Letters of Administration
(If applicahle, enter: c.t,a.: dh.I1.c.t.a., pendente lite: dl/rante absenlia .c!/dd(lIe mllwriViJel
1')
Petitioner(s) aIleI' a proper search has / have ascertained that Deeedentleft no Will and was survived by the following spouse (if\lfi)) and heirs: t/j
Administration, c.I.a. or d h.n.C.l.a., enter date of Will in Section A ahove and complete list of heirs.}
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheet,~ i/nece,\',mry.
Decedent was domiciled at death in Cumberland
~Q--I J jshurn Road. Lower Allen TOIvnsbiD
(Usl streel address. tOlI'IVC1!Y, !Oll'nshIP' cIIl/nt)'. state. ::ip code)
County. Pennsylvania with his /~ last principal residcnce at
Decedent then X2
years of age, died on February 21, 2007
at R2--1 Lisburn Road. I,ower Allen Township
I keedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(I I' not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
I K 000 00
$
$
$
$
situated as follows:
Wheret(lfC, Pclllioner(s) respectfully rcquest(s) the prohate of the last Will and Codicil(s) presented with this Petition and the grant or l.cHers in the appropriate 1(>!1ll to
the undersigned:
T ' ed or rinted name and residcncc
George T. Blessing, 10717 Calston Way, San Diego, C:A l)2126
Form JlJI-02 reI'. f() /3.0(,
Page J 01'2
■
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA •
: 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 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 or affirmed and subscribed
_ Signa re of Personal Re entative
before me the �f/ day of
13 _ Signature of Personal Representative
Fo he Register Signature of Personal Representative
File Number:
Estate of William W. Blessing
, Deceased
Social Security Number:188-12-562- ^�� Date of Death:Fehruary 21,2007
AND NOW, a(o Fe brt,(a , 6-7 ,in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to George T. Blessing
in the above estate
and that the instrument(s)dated August 17,2005
described in the Petition be admitted to probate and filed ofrecor+ as the last Will(� d Codicil(s))of ecedent.
FEES ...
�tCAAi1 �% r A! ./L! . _ /L 1 _ ,
Letters $ / -()O Register of Wills - a, /0
ShortCertificate(s) .e6 $ o9`f•Da ��
Attorney Signature: �� •' ��
Renunciation(s) $
tad/ . . . $ /5--do Attorney Name: Andrew C. Sheely,Esquire
J
t P . . . $ lovo
7� $ S v0c) Supreme Court I.D.No.: 62469
-�1 Address: 127 South Market Street
PO.Box 95
$ Mechanicsburg,PA 17055
Telephone: 717-697-7050
. . . $
TOTAL $ //Zf•CI .11---
Form RW-02 rev. 10.13.06
'W., Page 2 of 2
B105.Ha5 REV 1/05
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.
No.
~;;;;;r"
4...(~\1!iMJll-----_
i"'#-/ .... "'~~~
~~_!~. ~.. \~~
~:ae/' -_.,'-' ,,' \?~
~~t~'- ... - 1'!:~
~c..,.)!j _l{~_- J:b.~
~ \" . 'iA.. '. . / ~
L:t . _ '."
',- *-\ '.. /...~/
....~~ /~I\
......._~-?});--/(~\.~III\\
"'''/,, ENl ~\ ""to'
"""'I'/UNIII11J'
am-~~,
Local Registrar
Fee for this certificate. $6.00
P 13107165
FEB Z 4 Z007
Date
--C"'l
p".)
o.......~
REV 11/2006
I PRINT IN
MANENT
\CK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
",,,
~ "J
I..D
8<1. Facility Name (11 not institution, give street and number)
188 - 12
0\%3
1. Name of Decedent (Rrs!. middle, lasl. suflix)
William
5. Age (Last Birthday)
Wright
Blessing
6. Dale of Birth (Month, day, year)
5620
2007
82 v"
Bb. County of Dealh
February 23, 1924
Harrisburg, PA
Other
o Nursing Home E(1 Residence D Other. Specify
9. Was Decedent of Hispanic Origin? Ij] No DYes 10. Race: American Indian, Black, White, elc
(If yes, specify Cuban, (Specify)
Mexican, Puerto Rican, etc.) whi t e
Cumberland
Twp.
824 Lisburn Road
. 16. Decedent's Mailing Address (Street, city I town, state, zip code)
824 Lisburn Road
Camp Hill, PA 17011
1B. Father's Name (Flrsl. middle,last, suffix)
David Edwin Blessing
20a. Intormant's Name (Type I Print)
17b. County
Pennsvlvania
Cumberland
Did Decedent
Live- in a
Township?
17c. ~ Yes, Decedent Lived in
17d,D No, Decedent Lived within
Actual Limits of
Lower Allen
Twp
11. Decedent's Usual Occ tion Kind of work done duri most 01 worki life, Do nol slate retired
lSind 01 WorJ, Kind of Business I Industry
Comm'n~catlons PA Toll Roads
12. Was Decedent ever in the
U,S. Armed Forces?
I;ilJves [lNo
Decedent's
Actual Aesidenca 17a. State
13. Oecedenrs Education (Specify only highest grade completed)
Elementary! Secondary (0-12) College (1-4 or 5+)
11
14, Marital Status: Married, Never Married,
Widowed, Divorced (Specify)
Widowed
City/Boro
19. Mother's Name (First, middle, maiden surname)
Helen Ruth Wright
20b. Informant's Mailing Address (Street, city f town, state, zip code)
10717 Calston Way, San Diego, CA 92126
21c, Place of Disposition (Name 01 cemetel)', crematory or other place} 21d. Location (City f lawn, stale. zip code)
27,2007 Indiantown' Gap National Cemetery anover Twp., PA 17003
22c. Name and Address of Facility
Parthemore FH & CS, Inc., P.O. Box 431, New Cumberland, PA 17070
2t\Y\~3S' 8"~ L
26, Was Case Referred to Medical Examiner I Coroner for a Reason Other than Cremation or Donation?
Dyes ~
CAUSE OF DEATH (See Instructions and examples)
lIem 27. Part I: Enter the ~ - diseases, injuries, or complications - that directly caused the death. DO NOT enter terminal events such as cardiac arrest,
respiratOl)' 81T&St, or ventricular fibrillation without showing the etiology, UsI only one cause on each line.
Lu <::- <2Ar<:t.\ w o.<<.A .
Approximate interval:
Onset to Death
Part II: Enter other sionificant conditions contnbutina to death,
but not resulting in the under1ylng cause given in Part I.
28. Did Tobacco Use Contribute to Death?
III V" 0 P<ebably
D No 0 Unknown
29.11 Female'
o NOlpregnantwithinpaslyear
o Pregnant at time of death
o Not pregnant, buI pregnant wilhin 42 days
of death
o Not pregnant, but pregnant 43 days 10 1 year
beloredealh
o Unknown rl pr69"snt within the past year
32c. Place of Injury: Home, Fa~, Street, Factory,
OIficeBuilding, etc. (Specify)
=~Jis~~n~~~ t~)dise~
a.
Due to (or as a coosequence of)'
Sequentially ast conditions, rl any,
leading 10 the cause listed 00 line a.
Enter !he UNDERLYING CAUSE
(disease or inju'Y thai initialed the
events resulting m death) LAST.
b.
Due to (or as a consequence oij:
c.
Due to (or as a consequence on:
DY" ~NO
Dves DNo
31. Manner of Death
~atural 0 Homicide
o Accident 0 Pending Investigation
D Suicide 0 Could Not be Determined
32d. Time of Injury
32g. Location of Injury (Street, city I town, state)
3Oa. Was an Autopsy
Performed?
3Qb. Were Autopsy Findings
Available Prior to Completion
of Cause of Death?
321. If Transportation Injury (Specify)
D Driver I Operator 0 Passenger DPedestrian
M. D Other - Specify:
338. Certifier (check only one) 33b, Signature and TlI~.l' Certn'
o Certlfytng phYsfcian (Physician certifying cause of death when another physician has pronounced death and completed Item 23) -L ....
To the best of my knowledge, death occurred ctue to the ClUse(S) and manner as stated_ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - /LX
~~~:u:~:,a~~ :~:r:~J=~~~u=: ::;l~~~n:n~e;:~~~~rt~':iot~::~~~a~~ manner as stated.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 33c, Lfcense N ber
. ~ed:~;:~m~":~~~~o;: and I or investigation, In my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner as stated_ 0
34, Name and Address of Person Who Compieled Cause of Death (Item 27) Type I Print
33d. Date Signed (Month, day, year)
"2. Z. ~ oj
:,Re~strar'ss~:cl1't ~
I 021 /1 O?I / I / I
o;sposilion Pe,mil No. <!J 1.3 " t g 1-
HOWARD R COHEN.M!)
4713 EAST TRI .
HECHJlJlICS8URG Pt~ 17055
LAST WILL AND TESTAMENT
OF
WILLIAM W. BLESSING
~ \ 0 l 0\ ~
'. ./
-T-'
f':,
C',
-,:,~'.1
ing any property over which I hold power of appointment and together with
any insurance policies thereon to my grandson, DANIEL NAM MOON
BLESSING.
FOURTH: In addition to all powers granted to them by law
and by other provisions of this Will, I give the fiduciaries acting hereunder
the following powers, applicable to all property, exercisable without court
approval and effective until actual distribution of all property:
(A) To sell at public or private sale, or to lease, for any period of
time, any real or personal property and to give options for sales, exchanges
or leases, for such prices and upon such terms (including credit, with or
without security) or conditions as are deemed proper. This includes the
power to give legally sufficient instruments for transfer of the property and
to receive the proceeds of any disposition.
(B) To partition, subdivide, or improve real estate and to enter
into agreements concerning the partition, subdivision, improvement, zoning
or management of real estate and to impose or extinguish restrictions on real
estate.
(C) To compromise any claim or controversy and to abandon
any property which is of little or no value.
(D) To invest in all forms of property, including stocks, com-
mon trust funds and mortgage investment funds, without restriction to
investments authorized for Pennsylvania fiduciaries, as are deemed proper,
~ without regard to any principle of diversification, risk or productivity.
~ (E) To exercise any option, right or privilege granted in in sur-
.~
2
ance policies or in other investments.
(F) To exercise any election or privilege given by the Federal and
other tax laws, including, but not necessarily being limited to, personal
income, gift and estate or inheritance tax laws.
(G) To make distributions to my herein named beneficiaries in
cash or in kind or partly in each.
(H) To borrow money from themselves or others in order to pay
debts, taxes, or estate or trust adlninistration expenses, to protect or iln-
prove any property held under my will, and for investment purposes.
(I) To select a mode of payment under any qualified retirement
plan (pension plan, profit sharing plan, employee stock ownership plan, or
any other type of qualified plan) to the extent provided for by the plan or
the law.
FIFTH: I nominate and appoint GEORGE T. BLESSING,
Executor, of this, my Last Will and Testament. In the event of the death,
resignation or inability to serve for any reason whatsoever of GEORGE T.
BLESSING, I nominate and appoint CAROL A. BLESSING Executrix of
this, illY Last Will and Testament. I direct that my Executor or Executrix, as
the case may be, shall not be required to post security or a bond for the
performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to
this, my Last Will and Testament, this / 7day of August, 2005.
( SEAL)
3
Signed, sealed, published and declared by the above-named Testator
as and for his Last Will and Testament in our presence, who, at his request,
in his presence and in the presence of each other, have hereunto subscribed
our names as attesting witnesses.
7N,h,"'4Ct.,4'U,J,~12S>-/f ~ ~(2.~
Address /7.?~ Name
. . . ~
cJ;L7t' {~rr! 'Jlkd7'.)f)loflCf<, ~'llYl (/YUMP;
Address .!. I (<Ii. 1(0 ') J Name, ) .i
4
t?\ \ 0 l D I ~3
OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of William W. Blessing
, Deceased
Andrew C. Sheely and Becky M. Knisely
, (each) a subscribing witness to
(Print Name!.v)
the 0 Will D Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he / they was / were present and saw the above Testator / Testatrix sign the same
and that she / he / they signed the same and that she / he / they signed as a witness at the request of
the Testator / Testatrix m her / his presence and in the presence of each other.
~c. B~
f\/pllullirC)
--..
~"" bvr'1~
--'
70 I .Ienna Court
-' /"
.-:-:;,
(Streo /lddl'css)
927 Knepper Dri ve
(Street Addres.\)
r..)
t_J .
-.
u
Mechanicsburg, PA 17055
(City. Slale. /C/I')
Mechanicsburg, PA 17055
(Cit}'. State. /C/p)
1')
\..!':'
Executed in Register's Office
Sworn to or affirmed and subscribed
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this ;) 1.0
te bruo..fL-!
day
:?oJ;
before me this
day
of
Notary Public
My Commission Expires:
(Signaturc and Scal of Notary or other orlicial qualilicd In
administcr naths. Show dalc of expiration nf Not;lIY" ('nll1ll1;ssinll.1
NOli:: fo hc takcn hy Offlccr authorizcd to administer oaths. Pleasc have present thc original or copy of instrumcnt(s) at timc of notaritati\)I1.
/.'ol'm /m'.03 rev. /iU3.06