HomeMy WebLinkAbout03-12-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYL VANIA
Estate of Eugene P. Rider
also known as
File Number :J J- 0-' - 27 q
. Deceased
Social Security Number 207-09-0456
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 I are the Executrix
last Will of the Decedent dated December 12,2000 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 killing and was never adjudicated an incapacitated person:
o B. Grant of Letters of Administration
(Ifapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
Petitioner( s) after a proper search has I have ascertained that Decedent left no Will and was survived by the following spouse (if any )~!!9d heirs: (If
Administralion, C.I.a. or d::,a, enter dale a/Will in SecIion A a::i~mplele lisl a/heirs.) Re1 H ~ ' " , I
:. :c::?Tl So:
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. . ~5
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Decedent was domiciled at death in Cumberland
940 Walnut Bottom Road. Carlisle. P A 17013
(List street address, town/city, township, county, state, zip code)
County, Pennsylvania with his / her last princip~f~esidence at a
.,t;
Decedent, then 93
PA
years of age, died on February 2, 2007
at 940 Walnut Bottom Road, Carlisle, Cumberland County,
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(lfnot domiciled in PA) Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
56,000.00
$
$
$
$
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:
T ed or rinted name and residence
Gladys R. Myers, 11 Valley View Drive, Mechanicsburg, P A 17050
Form RW-02 rev. /0.13.06
Page 1 of2
~y-
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 ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
(;1 12 )
~~ nr
Sworn to or affirmed and subscribed
before inethe I~ day of
1De: 1(."---' C2CJ01
~l~ .l1P1
For the Register
Signature of Personal Representative
Signature of Personal Representative
File Number: c::21 -0\ - ~~
Estate of Eugene P. Rider
, Deceased
Social Security Number: 207-09-0456
Date of Death: February 2,2007
AND NOW, JYO...v-CY\ 1 d- ,~oa-' . in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Gladys R. Myers
in the above estate
and that the instrument(s) dated December 12, 2000
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil( s)) of Decedent.
~s - ~
Letters ............... $ (.?,S;, OD
Short Certificate(s) . . . . . . .. $ i ~. 00
Renunciation(s) .......... $
W~\\ ... $ IS-~<.ro
..J c.r=> ... $ \ 0 . (J()
('~-t~*' 6Y' . . . $ S-.. <ft)
...$
...$
...$
...$
... $
... $
TOT AL ...... .. . . . ... $ \.,..,. ro 811M:)
Attorney Signature:
Attorney Name:
William C. Dissinger
Supreme Court I.D. No.: 27737 '1
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Address: 400 South State Road -:~
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Marysville, P A 17053 ---~; C!1
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Telephone:
(717) 957-3474
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Form RW-02 rev. 10.13.06
Page 2 of2
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105.805 REV 1/05
This is to certify that the information here given is correctly copied fro~ 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 fihng.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
am..1'l~
Local Registrar
Fee for this certificate, $6.00
p
13106046
FEB 0 5 2007
Date
3 REV llf2006
: I PRfIT IN
tMANENT
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COMMONWEALTH Of PENNSYLVANIA' DEPARTMENT Of HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See InstructIons and examples on reverse)
1. Name 01 0eaId8nI (FIrst, middle, last, sutIIx)
5. ,. (Last BIr1hday)
93
VIS.
Home
12. Was Oec8dent 8Y8f in tile
U.S. AImed Fon:es?
o Ves [XNo
Oecedent's
Actu8I ResidenoIl 17a. Slate
13. Dec8denl's Education (Speci1y Grtf hips! grade completed)
Elementary I Secondary (0-12) CoItege (1-4 or 5+)
U NK
Pennsvlvania
17e. 0 VIIS, 0eaId8nI lived In
17d.1Kl No,llIcedent LIYed within
ActuaII.inIts 01
Twp.
Jacob H. Rider
17b.CounIy ("l1mh~rl ~nr1
19. MotI1er's Name (Flnl. middle, maiden sumame)
Carlisle
CIty I 80m
208. Inbm8n\'s Name (Type I Print)
Annie E. Cupp
2Ob. Informanrs MaIlIng Addnl8s (Sl18el, ~ 1IOWn, _, ~ code)
11 Valle View Dr. Mechanicsbur PA 17050
21e. Place of DispoIition (Name of cemetery, Qtl'Il8tOry or olher place) 21d. l.Dcation (Ciy I town, state, ~ code)
Evans Eagle Cremation Leola, PA
Sullivan Funeral
51 N. Enola Dr Enola PA
231>.
218. Mtlhod of Disposllion
o Burial 0 Removal from Slate
o CllhIr. Spec//y:
. 22a. SIpture of FII88I ~ (
. /1;, 1
__ 2H8 IIUIl be c:ompIllled IFf person
who pIOIIlUI1C8I de8Itl.
M.
CAUSE OF DEATH (See Instructions snd exernplM)
Item 27. Pert I: Enter !he lOIIIiD..9I..II- dIse8ses, ir;Iries, or ccmplications - th8I direcIIy csusedllle de8Itl. 00 NOT enter ttnni1al _ such as csIliac arrest,
respinIIory IIlWSl, or ventr1cUar ftbIation withoot showing the lllioIogy. List only 0l'18 cause on each Mne.
=~~=)~ ba-.lA.c./ a.o.-} ~'- (~('~
Due to (ol as a consequence 0/):
d-.dObl
Appmxin8Ia iltoIvtl:
Onset to Death
Pert II: Enter ofher oimihnl _ ..-diM In_
but not rasuIting In !he lI1derIying cauee given in Pert I.
35.~. Siglatu..~~r
.Un~""'~, ",~ /.:vf.....
29. K Female:
o Net pregnant within pest year
o Preglant at time of daatll
o Not pregnanl. but pregnanf within 42 days
ofdeatl1
o Not pregnant, but pregnant 43 days to 1 year
before daath
o Unknown K pregnant withillile past year
32c. Place of Injury: Home. Farm, Street. Factory,
Office BuildIng, ale. (Specjfy)
SIQutnliIIy 1st conditions, I any,
ttd1a 10 the cue tisI8d on line a.
Enlar lie lIIlllEALYlNG CAUSE
. =-..::.wI1~~~
b.
Due to (or as a consequence of):
e.
Due to (or as a consequence of):
d.
OVes ~
3(1). Wn~ FindIngs 31. ~ Death
~= ~~~ [R'Natural 0 Homk>da
o Accidenl 0 PendIng InV88tigttion
D Suicide D Could Not be Determinad
o Ves 0 No
32d. line 01 Injury
32g. Location of Injury (Street. city I town. stale)
:Kle. Was tn AiItopay
Ptrtormed?
M.
33a. Certifiar (check cnIy ont)
. c.tIIyIng ~ (~ certityIng cause of daath whan another physician has' pronounced daalh and completed Item 23)
To tilt btet 01 my IaIDwledgt, dttlh ClCCUI'I8d due to tilt ceute{s) ond maI1IW .. IIIIH.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
. =:~~~::~dea~~.:::'to~=:-:....... stMl.._ __ ____ ___ ____ ___ 0
. = ~ ~eo.:::. ond I Of lnvMlIption, In my opinion, dtsIh occUMd II tilt timt, dele, end pItee, and due to !he ctuee(s) and ........ .. silled.. 0
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Disposition PelTT1it No.
0/75&1 (p
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LAST WILL AND TESTAMENT
OF
EUGENE PAUL RIDER
I, Eugene Paul Rider of 19 South Enola Drive, Enola,
Cumberland County , Pennsylvania, being of sound and disposing
mind, memory and understanding, do make, publish and decla~this
o C:;)
to be my Last Will and Testament, hereby revoking'~ Wil~ anq
- .1 -=-0 :-:-...
Codicils heretofore made by me. ;~p ~~
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ITEM I. I direct that all my debts and fune:x;'~:~c.,~~xp~ses '.-
including my cemetery lot and grave marker and all e~p&nses7Df ~y
last illness, shall be paid from my residuary esta2~ as s~n as
practicable after my death as part of the expense of the
administration of my estate.
ITEM II. I devise and bequeath all of my estate of every
nature and wherever situate in equal shares to my son, Paul C.
Rider and my daughter, Gladys R. Myers. In the event my son, Paul
C. Rider predeceases me or dies on or before the thirtieth (30th)
day following my death, then to Gladys R. Myers and her issue per
stirpes. In the event my daughter, Gladys R. Myers predeceases me
or dies on or before the thirtieth (30th) day following my death,
then the share that would have gone to Gladys R. Myers shall go to
her issue per stirpes.
ITEM III. I direct that any and all Inheritance, Estate and
Transfer taxes imposed upon my estate passing under my Will or
otherwise, shall be paid out of the principal of my residual
estate.
ITEM IV. I appoint my daughter, Gladys R. Myers, Executrix
of this my Last will and Testament. In the event of her
renunciation, death, resignation or inability to act for any
. .
. ..
reason whatsoever, I appoint John W. Myers, Executor of this my
Last Will and Testament. I relieve my Executrix or Executor from
the necessity of posting security in connection with her or his
duties as such in any jurisdiction in which she or he may be
called upon to act.
IN WITNESS WHEREOF, I have hereunto set my hand to this my
Last Will and Testament, which consists of~ pages, to each of
which I have affixed my signature this 1;( day of December, two
thousand (2000).
4;~:~(;~!tth
. '-'.
,
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
Puy
ss
We, Eugene Paul Rider, and
a-Jadlj>l fl. fn/-J.e.r.s , the
respectively, who~ names are s1gned to the attached or 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 witness and that
to the best of their knowledge the testator was at that time
eighteen years of age or older, of sound mind and under no
constraint or undue influence.
(Y} Dry A,-,;:; Wi' J)/ S5/I1f!Pr: and
testator and the witnesses
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'Witness d~
Subscribed and sworn to and acknowledged
before me by EUGENE PAUL RIDER, Testator and
subscribed and sworn to and acknowledged
b~ore, me by ~1;d A:, Et+ev t>/S5m<("" and
IClot :35 1<, fYl ' , wi tnesse this
i;1~ day of ecember, 2000.
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