HomeMy WebLinkAbout03-21-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of
also known as
victor H. Losch
File Number
d-.\ b't
O~\.o<:1
, Deceased
Social Security Number ]9~16-2082
Petitioner(s), who is/are 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 / are the Executrix
last Will of the Decedent dated January 21,2003 and codicil(s) dated
named in thc
(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 oft.he 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
(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 Will 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.) ~
c;)
Name
Relationshi
,"'-)...-.
-j"j
_i'",
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
: 'i
Decedent was domiciled at death in Cumberland
4411 Rewal Oak Road. Camo Hill Hamoden Townshio PA 17011
(Ust street address, town/city, township, county, state, zip code)
County, Pennsylvania with his / her last principal residence a~
Decedent. then 83
years of age, died on February 23, 2007
at Hampden Township, PA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(lfnot domiciled in PA) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
$ t '\0. ODD .00
$
$
$
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codieil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Eleanor ,I, Losch, 4411 Royal Oak Road, Camp Hill, PA 17011
Form RW-IJ2 rev./IJ.13.IJ6
Page 1 of2
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) ofthe Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or affinned and subscribed
before me the ~ day of
~ 74 1'-'-#/ a ~
. nature of Personal Representcpt:e
Signature of Personal Representative
Signature of Personal Representative
File Number:
~ \ () t oa\.n'1
Estate of
Victor H. Losch
, Deceased
Social Security Number: 190-16-2082
Date of Death:Februarv 23, 2007
AND NOW, '\'"\)O--S c~ a. \ , d.{)Dl , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Eleanor.l. Losch
in the above estate
and that the instrument(s) dated .Ianuary 21, 2003
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
"d~~~~~ . -~
Register of Wills fA- '&U='
~M/ (!?JJQ
~
FEES
Letters
.............. .
$
;) lW . (j:)
dB.cD
Attorney Signature:
Short Certificate(s) . . . . . . . . $
Renunciation(s) .......... $
will ...$
~-6 ...$
.~l~ ...$
.. . $
$
.. . $
...$
...$
...$
cuD
TOTAL .... . . . . . . . . . . b \ ~
tS,cD
5.00
,o.ao
Attorney Name:
Andrew C. Sheely, Esquire
Supreme Court I.D. No.: 62469
Address:
127 S. Market Street
P.O. Box 95
Mechanicsburg, PA 17055
Telephone:
717-697-7050
4
Page 20f2
Form R W-02 rev. 10.13.06
HI05.805 REV 1105
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.
-(~~~~"" ~t1f
Local Registrar
Fee for this certificate, $6.00
p
13378294
t}1~ J,l1doo2
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ate
No.
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H105.a3 REV 11<2006
T'l"PE I PRINT IN
PERMANENT
BlACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
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Items 24-26 must be compIet&d by pelSOO
~ who prooouoces deaIh
itJ"SSAM
CAUSE OF DEATH (See Inatructlona and example.)
l!em 27 Pari I: ElUer the ~ - dt6eases, Ifljuries, Of complications - !hat dil'ectly caused the deadt 00 NOT enter lerminal events such as caraac arrest,
respiratory arrest or venlricl.4allibl1llaliDn without showing the eliology. list only one cause on each line.
6-..t"j-, CO. I- (J" ~~ rt , o't1~
Due 10 (or as a~nce oflr\ . . , I ----:::J
b. ~ ~ J .1VV\ N ..vr~.~ n
Due to (Of as a cooseqoence of):
Approximate interYaI:
Onset to Death
PaftA: Eturother~cooditionsconlrilulinolodQath.
bulnotresullltgintheundef1yingcause~inParlI
~Y~ur:=lose:;
3 Yl, <S
/) u.-ks
t'lfl. "Ii!=ti G.,_
, .
~~~'~~a
Enter lie UNDERLYING CAUSE
ltiSeaseoril:liurtlhatiniliatedlhe
evenIs re$lillihg 10 death) lAST.
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Due to (or as a consequence 01):
d.
JOb. WefeAukJpSyFindings
A~aiIabIe Prior to CompIeIlon
01 Cause of 0eaItl?
3Oa,. Was III AuIopsy
Per1ormed?
31. Maooer of Death
~lural OHornM;ide
_ 0 Accidenl 0 Peneling Investigation
o Suicide 0 Could Not be Determined
M.
~
329. location of Injury (Streel. city / 1owrI, stale)
32d. Time 01 Injury
Oves~
OV"2r
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33a. Certifier lcheck only onel
CertifyVlg phwsk:W1 (PhYSICian certifying cause 01 death when ano1hel physIcian has plOIlOl.IflCed death and completed llem 23)
To 1M bulot mw knowIedgt,dNthoccurreddutlolhecause(s)and manner.. statecL _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - 0
~;=~ ': ::W~J.-::C~~ir~~ :hti:e~::~e:,~ ~:rt::~~~:~~:S manner as slated.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
::a1 ~:.~":'~:.o:: and I Of investigation, In mW opinton, death occurred Illhe time, date, and JWace, and due 10 lhe cau&e(s) and manner a. staled.. 0
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DispoSition p""", No 0 I 9 I '?' t. ''I If
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C-:J
C:::.)
.......
N
~
=i:
tJ
Twp
CityiBoro
28. Did Tobacco Use Con1ribIAe lo Dealt?
0..... OP-
~ No 0........
29. If FemeIe:
o Nol,,_.""'...._
o "'_""""oldoalh
o Nol,,_but,,__42"',.
oldo""
DNotprelJ'lilOl,biJlpr~43daysIo1year
betoredealh
o lJninown il pt~ wiflin lhe pas! year
32<:. Place oIlnjury: Helme, Fatm. Slf8ll1, Factory,
~&dding. 0lC. I_I
, 7.:.'
LAST WILL AND TESTAMENT
OF
VICTOR H. LOSCH
I, VICTOR H. LOSCH, a resident of the Commonwealth of Pennsylvania, make, publish and
declare this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me. I
am retired from the military service of the United States.
FIRST: I direct that the expenses of my last illness and funeral, the expenses of the
administration of my estate, and all estate, inheritance and similar taxes payable with respect to property included in
my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my
residuary estate, without apportionment and with no right of reimbursement from any recipient of any such property
(including reimbursement under Section 2207B of the Internal Revenue Code).
SECOND: I give all real estate owned by me at the time of my death, and all rights that I have
under any related insurance policies, to my wife ELEANOR J. LOSCH, if she survives me.
(-) f~
THIRD: I give all tangible personal property owned by me at the time of fIiy(~ath, inC:ti$ding
without limitation personal effects, clothing, jewelry, furniture, furnishings, household goods, autorIiobiles ar@"NheF":
vehicles, together with all insurance policies relating thereto, to my wife ELEANOR J. LOSCH, iqh8>urvi~ me,';
or if she does not survive me, to those of my children (DARRYL V. LOSCH, KAREN L. FEGLE'l}1VICTOR H,
LOSCH II and CHERYL A. BYERS) who survive me, in substantially equal shares, to be divided~affiong iIiem as l.;
they shall agree, or if they cannot agree, as my Executor shall determine. ., ,,,) .,;
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FOURTH: I give all the rest, residue and remainder of my property and estate, both iiral and
personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled atC'ffie time<
V"C, ; i
of my death (collectively referred to as my "residuary estate"), as follows: .
(a) If my wife ELEANOR J. LOSCH survives me, to my wife outright.
(b) If my wife does not survive me, then to those of my children who survive me and to the issue
who survive me of those of my children who shall not survive me, per stirpes.
(c) If my wife does not survive me and there shall be no issue of mine then living, I give my
residuary estate to those who would take from me as if I were then to die without a will, unmarried
and the absolute owner of my residuary estate, and a resident of the Commonwealth of
Pennsylvania.
FIFTH: If any property of my estate vests in absolute ownership in a minor or incompetent, my
Executor, at any time and without court authorization, may: distribute the whole or any part of such property to the
beneficiary; or use the whole or any part for the health, education, maintenance and support of the beneficiary; or
distribute the whole or any part to a guardian, committee or other legal representative of the beneficiary, or to a
custodian for the beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with
whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed by the person to
whom the distribution is made shall be a full discharge of my Executor from any liability with respect thereto, even
though my Executor may be such person. If such beneficiary is a minor, my Executor may defer the distribution of
the whole or any part of such property until the beneficiary attains the age of eighteen (18) years, and may hold the
same as a separate fund for the beneficiary with all of the powers described in Article SEVENTH hereof. If the
beneficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary.
SIXTH: I appoint my wife ELEANOR J. LOSCH to be my Executor. If my wife does not
survive me, or shall fail to qualify for any reason as my Executor, or having qualified shall die, resign or cease to act
~A Ii ~cL
for any reason as my Executor, I appoint KAREN L. FEGLEY and DARRYL V. LOSCH as Co-Executors. If either
Co-Executor shall fail to qualify for any reason as Co-Executor, or having qualified shall die, resign or cease to act
for any reason as Co-Executor, I appoint VICTOR H. LOSCH II as Co-Executor. If VICTOR H. LOSCH II shall
fail to qualify for any reason as Co-Executor, or having qualified shall die, resign or cease to act for any reason as
Co-Executor, I appoint CHERYL A. BYERS as Co-Executor. I direct that no Executor shall be required to file or
furnish any bond, surety or other security in any jurisdiction.
SEVENTH: I grant to my Executor all powers conferred on executors under the Pennsylvania
Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon
executors wherever my Executor may act. I also grant to my Executor power to retain, sell at public or private sale,
exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for
cash or on credit; to borrow money and encumber or pledge any property to secure loans; to divide and distribute
property in cash or in kind; to exercise all powers of an absolute owner of property; to compromise and release
claims with or without consideration; and to employ attorneys, accountants and other persons for services or advice.
The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office
from time to time.
EIGHTH: I direct that for purposes of this will a beneficiary shall be deemed to predecease me
unless such beneficiary survives me by more than thirty days.
NINTH: I have served in the Armed Forces of the United States. I therefore request that my
Executor make appropriate inquiries to ascertain whether there are any benefits to which I, my dependents or my
heirs may be entitled by virtue of any military affiliation. I specifically request that my Executor consult with a
retired affairs officer at the nearest military installation, the Department of Veterans Affairs, and the Social Security
Administration.
TENTH: I may leave a letter of intent with the executed copy of this will for the purpose of
giving guidance to my Executor concerning the distribution or sale of certain items of my property. I request, but do
not require that my Executor honor my wishes therein expressed.
This document was prepared under the authority of 10 U.S.C. ~ 1044 and implementing military
regulations and instructions, by Captain Robert E. Samuelsen II, U.S. Army, who is licensed to practice law in the
State of Minnesota.
IN WITNESS WHEREOF, I, VIcrO~'ign my name and publish and declare this
instrument as my last will and testament this uif" day of ,2003. I also have affixed my signature on
the bottom of each of the preceding pages hereof.
dd 11- ;t3~
VICTOR H. LOSCH
The foregoing instrument was signed, published and declared by VICTOR H. LOSCH, the above-
named Testator, to be his last will and testament in our presence, all being present at the same time, and we, at his
2
request and in his presence and in the presence of each other, have subscribed our names as witnesses on the date
above written.
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having an address at
(! rvJ . s-6
I ,
,
fJ~
~ o.~-
/7015
haTIng..;;~ /f
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3
ACKNOWLEDGMENT AND AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss.
/'] We, VICTORH. LOSCH andJ;,~75~_~~_~___~_____________
_ _^ ~ ~l:l. _ A :... () .#...7l L _ _ _ _ _ _ _ _ _ _, the Testator and the witnesses respectively, whose names are
signed to the attached or foregoing instrument, being fIrst duly sworn, do hereby declare to the undersigned
authority that the Testator, VICTOR H. LOSCH, signed and executed said instrument as his last will and testament
in the presence and hearing of the witnesses, and that he had signed willingly, and that he executed it as his free and
voluntary act and deed for the purposes therein expressed, and that each of the witnesses at the request of the
Testator, in the presence and hearing of the Testator and each other, signed the will as witness, and that to the best of
his or her knowledge the Testator was at the time at least eighteen years of age, of sound mind and under no
oonsuaint, dille"" fraud 0' undoe influence. ~ ~ )'ff!~
VICTOR H. LOSCH
Testator
-(!;d-~
Z;;'
" Witness
~~
0- Pi4--
Subscribed, sworn to and acknowledged before me by the said VICTOR H. LOSCH, Testator, and
subscribed and sworn to before me by the above-named witnesses, this ~day of ,2003.
Notarial Seal
Betty S. Kistler, Notary Public
Carlisle Boro, Cumberland County
My Commission Expires May 14, 2005
Member, Pennsylvania Association of Notaries