HomeMy WebLinkAbout03-27-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYLVANIA
Estate of Ellen M. Neusbaum
also known as
File Number
~\
()1
()~~\
, Deceased
Social Security Number 200-36-9113
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 executrix and executor
last Will of the Decedent dated June 26, 2001 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
(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 sp~e (if any) ana-ieirs: (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.) .': 0 ~
<t
Name
Relationshi
:;:0
N
v
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at
Church of God Nursing Home. 80 I North Hanover Street. Carlisle. Pennsvlvania. 17013-1598
(List street address, townlcity, township, county, state, zip code)
U'l
Decedent, then 86
years of age, died on March 22, 2007
at 5:00 a.m.
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) 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
500, ,,:n.J
$
$
$
$
, 2.5.000. -
6z" Q ,-
~,:? C.
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
Linda R. Nopson, 1906 George Avenue, Carlisle, Pennsylvania, 17013-1126
John W. Neusbaum, 123 Limekiln Road, Carlisle, Pennsylvania, 17015-9487
Form RW-02 rev. 10.13.06
Page 10f2
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.
Sworn to or affirmed and subscribed
@ l<;/G-,;-/~ /J ?;::?~-~
Signature of Personal Representative
n
'~,'~
,"'~-..:.~~_:
r:::;
~
..-J
-t,~
before me the
day of
:;;::)
{')
-1
",
-0
Signature of Personal Representative
--(;3Q,
---"')3
-':3.
...,.;..,....,.
-
..
c.n
-
File Number:
~ \ D 1 (j ~C) I
Estate of Ellen M. Neusbaurn
, Deceased
Social Security Number: 200-36-9113
Date of Death: March 22, 2007
AND NOW, ~h d-"( , ~l ' in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Linda R. Nopson and John W. Neusbaum
in the above estate
and that the instrument(s) dated June 26, 2001
described in the Petition be admitted to probate and filed of recor
Short Certificate(s) . . . . . . .. $
Renunciation(s) .......... $
1..0\\\ ... $
~C ? ... $
AL"to ... $
.. . $
.. . $
.. . $
...$
$
... $
TOTAL ... . . . . . . . . . . . $
as the last W~)) 0 DeCede~t.
RegistAo;1~s, ',11 .
Attorney Signature: ~
~
FEES
Letters
$ SlD.()O
;;)..0.00
t'S.oo
\OOb
~ aD
Attorney Name:
Michael A. Scherer, Esquire
Supreme Court I.D. No.: 61974
Address:
O'Brien, Baric & Scherer
19 West South Street
Carlisle, Pennsylvania, 17013
Telephone:
7/'7. Z,'1i. ~'l373
$.o'Cl. 00 (r.6tl'
Form RW-02 rev. 10.13.06
Page 2 of2
H105.805 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 OffiC4~ for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
~~.~~..~~
Local Registrar
p
13311531
MAR 2 3 2007
No.
Date
o
CO
::. ::J:J
'-c:J
'--cQ
~)~
(")C)
(2 -r1
t-:>
=
=
'--1
:1t
~
N
-l
if't!:..'43 P12oI1112OO6
TYPE I PAINT IN
P€AllANENr
BlACK INK
-0
-"".
~-
:0
-.-\
U1
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
86
STATE FilE NUMBER
l.Nameof_lFkll.-.....8Uftlx)
Ellen M. Neusbaum
5.fogJ(Ial_
so. County of ......
3. Soclal SecurltyNurnbe<
200 - 36 - 9113
Sa. PIace.of 0ealtI Chock one)
_ 0lI-.r.
0,.",..... OER/OuIpatIenI OOOA KlNursingHome 0_ 00lher.Speclfy.
'.__o/H_~? Il!:INo DYes 10._:_'--.__.",.
IU,..,_Cublv>. I~
Church of God Hare Ueldcan. PueI10 _."'.1 White
12.__over"'" 13.Oecedent'sE<lucaIionISpeclfyonlyhigheslgrado~ 14._SOIIuo:_.__. 15. SuMmgSpouooIU.. QNe_nomel
u.s. AImed Forces? Elemenlllly / Sec:ondaIy 10-121 ColJege 11-4 or 5+) WIdowed."""""" I~
OVes ~No 12 Wid:Med
Decedent's Did Decedent
.....- "'.Slal_ PA Uvelna 170.131 Yes._UYod" North Middleton
T_' 17d.ONo._UYod_
AcluIIlinIIIoI
.. Dale of Blr1h (MonIh. <ley.
.. 0... of 0ealtI (MonIh. <ley. YM'l
March 22, 2007
VIS.
5/10/1920
~\ .
11.Decedenr'aUaulll mosI'" 1Ie.00nolslatl
Kild of Work KiId of BusIneII/lncbtry
Hananaker Her own l:Jare
. ,._.UeIIr9_ISlJeeI,clIy/_._...._1
Cumberland
~
~
801 N. Hanover St.
Carlisle PA 17013
,. F_.....(FhI._.....8Uftlx1
Albert - Whitcanb
2Oa.1_'''''(Type/PIilt)
Linda N. Nopson
21a MeIhod of DIsposIIon
~- O__Sla..
o Olhat. Speclfy.
22a Sip1ln '" IJcanaee (or
. ~
CoqIIale....23a-<only__
pt'f8k:I8nllnollWllllbleatlm8of~to
certlfyClUloldlBll.
23c. Dele SIgned I""""'. <ley, YM'l
a/~~/()'7
26. Was Cue Refemld 10 MedIcal Examner / Coroner kif a Rtuon Other than Ctemallon or Donation?
DYes ~No
Top.
Cumberland
17b. Caun~
CIty/Bon>
19. Mo4ha(a Name (first. -. _ """""'I
Estella Smith
2lIl.~_.MaIIng_l_cly/_._..._1
1906 George Ave., Carlisle, PA
21<PIllceoflllapoailion(Nemeofcamataly,_"_placal
17013
Oc_ 0- 21b. Oeleoflllapoailion_. day.YM'l
::-..:=...~- o Yes ONo
22b. Ucense NlmlIr
2td."""""ICIty/_._...._1
New Kingstown, PA
Home, Inc., Carlisle, PA 17013
2llb.L/cenae_
/6..J 011/0( 75 L.
z
IhwRa 24-28 rrui: bI ~ by pnon 24. Tine d Oea!!
. ...--- ..~r.5,r /J M. ..:!.
CAUSE OF DEATH lSM____) . __
1lem27.PartI: EnlerIte~-dllelses,i$JiIS.orcomplcalims-hd:clrlCdycausedlhedellh.DONOTen18rtemlinaleventssuchascardacarrest, I OnaetIoDeath
_.....--......""""'ulhaatlolagy. UoIonly""'''''''''' aadt.... .
~~=~ .. (?""d... 5~ c... uz.-l-Lrl'i/A~(, u.ltloA k,....t~
Due.'91""''l''''J'1''''''~ L . ,
b. /'-r -z-rey/'v sc.. L P(t<; e.-, :
OueIo(orasaCOOlllQU8l1C8ot): :
.
.
.
.
.
11/;r~
.
Part II: Enter oIhIr BimIk:ant mndIIknI tmIrtJuInD kI daIh
liutnol....,.,;,gillha """"Y"lIcauaaghen" PerIL
28.OIdTobIKX:ollleContrtlut8IoDeath?
o Ves 0"-
JXNo 0-
29.U_
RNoI__paatyaer
0"-"...."'_
o NoI_Iiut__42daya
"'des~
o NoI_Iiut"....,...43dayak>1yaer
-- .
O_W__"'"",yaer
32c. PIllce"'Il;o.ry:....... Fann._Fo.y.
OlIIceI!ull<lng,"'.(SpedfyI
_1aI_..any.
IlethtolheCIIUIIIlllledOOInea.
Enl8r lie UNDERLYIIG CAUSE
=-~":..."'Tml"
Out 10 (or as a CXIr'II8qUenC8 of):
d.
;)-(7()1
"'.....
.2-_
301. Was an~
-
30>. _~ Findnga
_Priork>~
d Cause d DedI?
OVes ONo
31..........ofOellh
~- 0-
0-01'1ndng"""'"oa1ion
Os.a. OCculdNolbe_
M.
4:
lJ
-J
\1J
DYes ~
32d._oflfitay
320."""""""fitayl_cly/_._1
33&. CdIo< (..... only ""'I
. ____I"'-c:eoIIl)<ngcauaaof--__haa_des~and_Item23)
To"''''of..., knowIIdgI, dIIIh occurI"Id ciullo ....-..(.) and..... alltaled... _ _ _.. _.... _ _.......... _................ _ _ _ _.......... B'J
. =:=.'"="~::.:::..~.::tk>~=-_.........._________________ 0
==--=lIId/orlnndglHorl,ln myoplnion.delthoccun'lClllllhttimt,dl&e.Mdpllce, and due to the ceuse(s) and 1MI'II1eI'1Sstated.. D
~
@
o
l';
~
35.
~
~PennitNo.
LAST WILL AND TESTAMENT
OF
ELLEN M. NEUSBAUM
I, Ellen M. Neusbaum, of Cumberland County, Pennsylvania, being of
sound mind, memory and understanding, do hereby make, publish and declare this as
and for my Last Will and Testament, hereby revoking all other wills and codicils
heretofore made by me.
FIRST
I direct the payment of my legally enforceable debts and the expenses of
my last illness and funeral from my estate as soon after my death as conveniently may
be done.
SECOND
I give, devise and bequeath my entire estate of whatever nat~ and
(,--0
--- ~J.
wherever situate to my six children, James L. Neusbaum, Linda R. Nopson, ~ry'E. ;~
_ :,:;'-.',) -J
Reneker, John W. Neusbaum, Barbara A. Neusbaum and Richard G. Neusbadn'b-;in -0
(-) -T-\
equal shares, per stripes.
..A)
---I
()1
THIRD
I direct that no trustees, executors, guardians or other fiduciary named,
nominated, or appointed by this my Last Will and Testament shall be required to post
any bond or give any security of any type for any purpose whatsoever, any law or rule
'\j of the court of the Commonwealth of Pennsylvania or any other jurisdiction to the
contrary notwithstanding.
FOURTH
Any and all payment or payments of any sum or sums, whether in cash or
in kind and whether for principal or income, payable to an heir, or any of them, shall be
made upon the sole receipt of the respective individual to whom the payment is made,
and free from anticipation, alienation, assignment, attachment, and pledge, and free
from control by the creditors of any such beneficiary.
FIFTH
I appoint my daughter, Linda R. Nopson, and my son, John W.
Neusbaum, Co-executors of this my Last Will and Testament. Should either of my said
Executors fail to survive me or for any reason fail to qualify as Executor, then the other
Executor appointed by me herein shall serve alone as Executor.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this,
my Last Will and Testament, consisting of three (3) typewritten pages, the first page of
which bears my signature in the margin for the purpose of identification, this 26th day of
June, 2001.
~ '7n.'7~(SEAL)
Ellen M. eusbaum
Signed, sealed, published and declared by the above named testatrix,
Ellen M. Neusbaum, as and for her Last Will and Testament, in the presence of us,
who, at her request, in her sight and presence, and in the sight and presence of each
other, have hereunto subscribed our names as witnesses.
~~S;~~ ADDRESS 2~ F4/('V,'wJ 5~. ~r I,'s/~ fA , '70'?
af""t....L~M ~.9~..adADDRESSSI7 N. wa.lf/().+ Sf'1 /Uf. Holly SP..Js.~PA- 170~.5J
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
We, Ellen M. Neusbaum, M/c,~<..1 A. 5.~eYc/and !tmt1nf){/A-/ L. fjIh~(
the testatrix 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 testatrix signed and executed the instrument of her Last Will and
Testament, and that she signed willingly and that she executed as her free and
voluntary act for the purposes therein expressed, and that each of the witnesses, in the
presence and hearing of the testatrix, signed the Will as witnesses, and that to the best
of their knowledge, the testatrix was at the time eighteen (18) years of age or older, of
sound mind and under no constraint or undue influence.
Sworn to and subscribed before me this 26th day of June, 2001.
Notarial Seal
Jennifer S. Lindsay, Notary Public
Carlisle Boro, Cumberland County
My Commission Expires Nov. 29, 2003
, Member, Pennsylvania Associalion of Notaries