HomeMy WebLinkAbout03-30-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
COUNTY, PENNSYLVANIA
Estateof jolbJ 1"'~ f)vulIf.~ ?~
also known as
File Number
~) - eJOO7- 3/0
. Deceased
Social SecwityNwnber 2.3,- U- Ij5"
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' 01' 'B' BELOW:)
o A. Probate and Grant of Letten Testamentary and aver that Petitioner( s) is / are the & ~ ()'7?IIt-
last Will of the Decedent dated 'J ,. I V'i) -, and codicil( s) dated
named in the
r jJ
c::::>
1') :::::
(StafIJ relevant circum8tance8, e.g., renunciation, death of executor, etc.) ';:: ~ -i.
, - -, ',:::>"
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of thei~t(s) dif6red
'''';,'In W
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:,,; =-2 CJ
(If applicable, enter: c.t.o.; db.n.c.t.o.; pendente lite; durante absentia; durante minorirliie) \D
--~ ..
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse:{if any) and he~ (1f
Atlnbdstration, c.t.a. or db.n.c.t.a., enter date ofWilJ in Section A above and complete list ofheirs.)
~..~"~? Q,
'-:.':=:: ,;
?
o B. Gnnt of Letters of Administration
Name
ReIatiClllSbip
Reaidcnoe
(COMPLETE IN ALL CASES:) AtIiIch dtlitional.heets i/lleeeJl6tU'y.
County, Pennsylvania with his / her last principal residence at G.."'Z-.I
Decedent, then
qo
years of age, died on
~
"2.3 MA~ -z.007
at
CA~ ",U J flf-
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in P A) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
situated as follows: 22--'; 5\ lq1t.. Ssf eAMf ~tU-1 fA l/Oll
S ~SJOOO
S
S
S '1tJ I ()V iJ
Wherefore, Petitioncr(s) respectfully request(s) the probate of the last Will and Codicil(l) presented with this Petition and the grant ofLetten in the appropriate form to
the undcnisncd:
D81De and relidenoe
b^"\1> f!,. 0
'31~ ~ PAUI'~o,t,"" iJluv[
CHe,SA PEA ~ VA 2. "J 1.1
~
FormRW-02 rev. 10.13.06
Page 1 of2
D f' 3/0
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
: SS
COUNTY OF W~~~~NJ)
The Petitioner(s) above-named swear(s) or affum(s) that the statements in the foregoUlg 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 avQ.)truly
() c:,:,
administer the estate according to law. L::: 0 ::
'-. ~.: ;TJ...::,
) :~:;)
)}.: ~=J. ~o
" j
Sworn to or affmned and subscribed
before me the d day of
. ,0001
, - ~:!i:f
(j)PAdJ (tl.L..--:
'...~ ""
. u r~" y- ')
I" ,
o
.~--)
Signature of Personal Representative
~ ..:.: _..'...J
'.J) .-:;":.
:.- ---.~ ~;~)
~ .' ._n:
Signature of Personal Representative
=:;
~
\..D
N
W
=--=1
Signature of Personal Representative
File Number: c? I, o?6tJ1, 310
Estate of ~aJ ~~fts. ()\It,~~) J.r
. Deceased
Social Security Numbe.r: 23\- 22-- 1'3~{P Date of Death: 2,3 MAt., "U)trl
'-{n~ -:00
AND NOW, ,j;),,~ e L O~lb.'l....-~~ . 0)001. in consideration of the foregoing Petition, satisfactory proof
having been presented ~' IT IS DECREED IJIl!t ~s _ -restcvrJe~
are hereby granted to i:l C narl OJ (..JI et ')e,,"Y)
FEES
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to proba
').~/ A. co
Letters ............... $ o(~
Short Certificate(s) . . . . . . . . $ d () ,(Y
Renunciation(s) ........,.. $
IAJ1'//,. $ 15 (J&
){'"l (. ... $ J 0, '0
~- 7L.1t. s,c~
I-flI: '. . $
.. . $
.. . $
.. . $
.. . $
. .. $
... $
TarAL .............. $ '310.\P ~
Attorney Signature:
Attorney Name:
Supreme Court LD. No.:
Address:
Telephone:
Form RW-02 rev. 10.13.06
Page 2 of2
o 1- 3/0
Will of John Thomas Overheim, Jr.
Part 1. Penonal Information
I, John Thomas Overheim, Jr., a resident of the State of Pennsylvania, Cumberland
County, declare that this is my will. My Social Security number is 231-25-1346.
o
;;0
Part 2. Revocation of Previous WiDs ~ 5:~
I revoke all wills and codicils that I have previously made.
"'-,
':::::::Jt
,;;;;;;,
--.l
Part 3. Children - ;:
-ri
I have the following children now living: David Charles Overheim, John Lee ~erlieim 1_0
N
and Mary Zoellen Overheim. C.J
i~~;
:;:0
c..)
o
Part 4. Grandchildren
I have the following grandchildren now living: Alicia, Allison Mercer Lesher, Anthony
David Overheim, Christopher Todd McClure, Cynthia, James Robert McClure IV,
Jennifer Robin Mathias, John Lee Overheim ll, Katie Ann Overheim, Lydia Ann
Overheim, Thayer and Willis Fox Daniels.
Part 5. Failure to Leave Property
If I do not leave property in this will to one or more of my children or grandchildren
named above, my failure to do so is intentional.
Part 6. Disposition of Property
All beneficiaries must survive me for 45 days to receive property under this will. As used
in this will, the phrase "survive me" means to be alive or in existence as an organization on
the 45th day after my death.
All personal and real property that I leave in this will shall pass subject to any
encumbrances or liens placed on the property as security for the repayment of a loan or
debt.
If I leave property to be shared by two or more beneficiaries, it shall be shared equally by
them unless this will provides otherwise.
If I leave property to be shared by two or more beneficiaries, and any of them does not
survive me, I leave his or her share to the others equally unless this will provides
otherwise for that share.
"Entire estate" means all property I own at my death that is subject to this will.
Pagelof4Initia1s: $11f# JJjf Date:3/J/07
Will of John Thomas Overheim, Jr.
I leave my entire estate to my children David Charles Overheim, John Lee Overheim and
Mary Zoellen Overheim in equal shares.
Part 7. Executor
I name David Charles Overheim to serve as my executor.
No executor shall be required to post bond.
Part 8. Executor's Powers
I direct my executor to take all actions legally permissible to have the probate of my will
done as simply and as free of court supervision as possible under the laws of the state
having jurisdiction over this will, including filing a petition in the appropriate court for the
independent administration of my estate.
I grant to my executor the following powers, to be exercised as he or she deems to be in
the best interests of my estate:
1) To retain property without liability for loss or depreciation.
2) To dispose of property by public or private sale, or exchange, or otherwise, and
receive and administer the proceeds as a part of my estate.
3) To vote stock, to exercise any option or privilege to convert bonds, notes, stocks
or other securities belonging to my estate into other bonds, notes, stocks or other
securities, and to exercise all other rights and privileges of a person owning similar
property.
4) To lease any real property in my estate.
5) To abandon, adjust, arbitrate, compromise, sue on or defend and otherwise deal
with and settle claims in favor of or against my estate.
6) To continue or participate in any business which is a part of my estate, and to
incorporate, dissolve or otherwise change the form of organization of the business.
The powers, authority and discretion I grant to my executor are intended to be in addition
to the powers, authority and discretion vested in him or her by operation of law by virtue
of his or her office, and may be exercised as often as is deemed necessary or advisable,
without application to or approval by any court.
'#c*
/. ../1 r...3
Page 2 of 4 Jnitiak:?J:11f} 11 L Date: :./ C
Will of John Thomas Overheim, Jr.
Part 9. Payment of Debts
Except for liens and encumbrances placed on property as security for the repayment of a
loan or debt, I want all debts and expenses owed by my estate to be paid in the manner
provided for by the laws of Pennsylvania.
Part 10. Payment of Taxes
I want all estate and inheritance taxes assessed against property in my estate or against my
beneficiaries to be paid out of all the property in my taxable estate, on a pro-rata basis.
Part 11. No Contest Provision
If any beneficiary under this will contests this will or any of its provisions, any share or
interest in my estate given to the contesting beneficiary under this will is revoked and shall
be disposed of as if that contesting beneficiary had not survived me.
Part 12. SeverabHity
If any provision of this will is held invalid, that shall not affect other provisions that can be
given effect without the invalid provision.
Signature
I, John Thomas Overheim~.~~LJ.- t~e testator, sign my name to this instrument, this
7 ~ day of /~, -;)a,1 ' at
2- ~3 S; f f Sf. (Y~ /1:(( fi: I ty,~ . I declare that I sign and execute this
instrument as my'last will, at I sign it willingly, and that I execute it as my free and
voluntary act. I declare that I am of the age of majority or otherwise legally empowered to
make a will, and under no constraint or undue influence.
Signature: ~'7~:l
Witnesses
We, the witnesses, sign our names to this instrument, and declare that the testator
willingly signed and executed this instrument as the testator's last will.
In the presence of the testator, and in the presence of each other, we sign this will as
witnesses to the testator's signing.
Page 3 of4 Initiab:9_flJ..f Date: 3}/-?
Will of John Thomas Overheim, Jr.
To the best of our knowledge, the testator is of the age of majority or otherwise legally
empowered to make a will, is mentally competent and under no constraint or undue
influence.
Residing at: ;' 7 2 9 ~.. / '6 '1
Witness #2: ~r1J1 rk 'J7~
Residing at: ; J? \S / 9 ~ JZ
Grh"/;O lill- L ,1'1f I 7G I(
r2vrr~ 1JJJ let I1tJ J /
,
Page 4 of 4 Initials: ~Lf Date: 3))1
Affidavit
ACKNOWLEDGMENT
Commonwealth of Pennsylvania
County of: C~.1"be1~(ll'"}(\1
I, the testator whose name is signed to the
attach r foregoing instrume ,having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my Last Will; and that I signed
it willingly and as my free and voluntary act for the purposes therein expressed.
Testator: ~ TrfJ~r
Officer\oP~_(1~t, J
, ()
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Wendy A. Witmyer, Notary Public
OIiverTwp., Perry County
My Commission Expires Jan. 4, 2009
Member, Pennsylvania Association Of Notaries
Affidavit - Page 1 of 2
Affidavit
AFFIDA VIT
Commonwealth of Pennsylvania
County of: C~~h,t\a J~
.I
We,fJ<t?,1/C~s fFAf'lZ and (f/ar1j t'C-e n1!r ,the
witnesses whose names are signed to the attached or foregoing instrument, having been
duly qualified according to law, do depose and say that we were present and saw the
testator sign and execute the instrument as hislher Last Will; that the testator signed
willingly and executed it as hislher free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight of the testator signed the
will as a witness; and that to the best of our knowledge the testator was at that time 18 or
more years of age, of sound mind and under no constraint or undue influence.
Sworn to or affirmed and subscribed to before me by
h-a.rr,e.5 Po ~' f and ff)rxlY Lee); ;c.
this 16t- day of ~7
~ witnesses,
LJ ~,
Witnes : /J?J {i/1/t-1 ~. (fiavV
/
Officer~OO 0 \Q&2jr~
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Wendy A. Witmyer, Notary Public
Oliver Twp., Perry County
My Commission Expires Jan. 4, 2009
Member, Pennsylvania Association Of Notaries
Affidavit - Page 2 of 2
iO'.R05 REV }/05
Thi s 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.
t) ~ ~ 1jl b
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
.~ftl~-
Fee for this certificate, $6.00
Local Registrar
p
13352529
MAR 2 6 2007
Date
Q
.::--:-:;C)
.--. :.0
"'"CJ
. -'1-
........,
g
-..J
c...)
o
2:
EV 11/2006
flINT IN
INENT
< INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and example. on reverse)
'B
N
(...,)
Cumber lanai
11. DadIrh \lIuII IIlCIIt 01 .... Do nal.....
Ki1d 01 Work Ki1d 0/ IIl*-/InlUby
Salesman Lift-All Corp
18. DececWta MIIng Mlrwa (Sreel, city IloWn, slate, lip code)
223 South 19th Street
Hill. Pa 17011
STATE FILE NUMBEA
4. lla\8 01 Deelh (Mon1h. day, yur)
March 23.2007
1. MIme of DadInt tFlrll. ~.IIIl. ...)
John T. Overheim Jr
5. All' (last BithdIy) lM1dIr 1
-
90 VIS.
etl. CwI\y of 0eaIh
Parkerslanding.Pa
8d. FacIIy NIme (n I1Cll naIIuIIOn, ~ Itr8el and rmW)
223 South 19th Street
12. W.. Dec:8dInIlMIr In !he
U.S. Armed Forl:Ia?
atVas ONo
~rs
Actual Resld8nce 171. Slate
17b. Coonty
Pa
Cumber land
17c. 0 Vas, Dec:edenI LIY8d In
17d. O<No, Dec:edenlLiYId wtIhIn
Actual UlIIts 01
Camp Hill
Twp.
City IIloro
Ill. FlIlhIr'a NIme (Flral, mldlII, .....1IAIIx)
John T. Overheim
20L Infomwll'I NIme (Type I Prinl)
DaVid Overheim
21.. MeIttod of ~
o IIuriIl 0 Remowl from Slate
o 01her. Sp<<#y:
SeMce I..icIMM (cr
19. MolMr's Nama (fIrst,~, maiden 1\lII'lIIIIll)
Ora Buzzard
2Ob. InIorman1'a Mdng .w.... (SIreeI. city I \owrl, stale, zip code)
3736 Farnsworth Drive O1eas
21c. PlIce of 0lsp0sllI0n (Name of C8IIllII8ry, CIWllIklry M lllher plaell)
Hollinger Crematory
~
221:. NIme IIldAddrlsa 01 FadIIty
ers-Harner Funeral Home Inc
23a. To fie boll 01 my knowledge, daatI1 ~ II fie time, dale IIld pIoca slallld. (Slpllre and tItlIl 23b. Ucenae Number
IlIms 24-28 must be completed by pnon
who pIOlIOUIlC8I daIIII.
M.
CAUSE OF DEATH (Seit InstrucllOll. and .........)
118m 27. Part ~ Enler fie ~ - dINUII, injuries, or ~ -.... cIrdy CIIllIId fie dIaII. 00 NOT en\elllllminalMIDlUCI1aa c:IIIiIc 1mlI\,
IlIlIplralory ImlII. or 'IlIlIlrIcl8 lIlrIIalion wIIIlcU showk1g !he etiology. Usl only one cause on ead11ne.
~~=)~ a. ~lMkh r ~~~~
Due to (M IS I CllIlNqUIf1Cl8 01):
b.
Due to (or IS I consaquence 01):
28. Was Caa8 RlIIlmd to MedIcal Examiner I Coronel lor . Reason 0Ihef \lIan CIIlmlIIion cr Donation?
o VII ONo
OVII ONo
31. Manner 01 Dad1
D Natural 0 Homicldo
o AccidInl 0 Pending '"-lIgation
o SuicIcM 0 Could Not be Detarmin<<l
I ApproxImate IntervII:
I OnIIIto 0eI1h
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
Part U: EnIIr a4l1er okriIcanl_ _Ill daatI1,
but ncll8dng In the IJlderIyIng CIUIIl ~ In Pill I.
28. Did Tobecco Usa ConIrtJute 10 Death?
o VII AJ PIObably
Q'No 0 lIr*nnwn
29. " fImIlI:
o Not Pf9QI1lI1l wIIhin PISl year
o Pl9gnInI It lima of death
ONolPfW9lllll\,buI~anlwilhin~dIy$
0/ dleth
o Not preg1anI, buI pregnant 43 days to 1 year
belora daatI1
o UnIcnown" Il'IlJ1II1I within the PISl year
32c. Ii:: =: :.ne~j Slrgel. Flldory,
=lsIwdlona. K any,
to _1sIad on Ine I.
Enler UIIlERlYlNG CAUSE
=-..:..\tt~~~
Due 10 lor IS I CllllSIQUeIlC8 01):
301. _111 ~
Partormed'1
d.
3ll1. WII8 ~ FondngS
AvaIIIlle Prior \0 ~
01 CIulIe 0/ Dealh?
o VII all No
32d. l1ma 0/ Ir1urY
32g. LocatIon 0I1njUly (Sbwl, City 1IOWII, stslI)
M.
33L CefliIar (dladt only one)
. c..1llylng phyIldan (PhyIlciII1 08f1ityIng CIUIe 01 daatI1 when Inalher physIaII1 has plllI1CU1CId clIdllllll ~ed Item 23)
To llW.... 01 my IIncIWIIdge, daIlh ClCCIIftd dulIID!he ClUll(a' and __.. aIIlICl. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.. _ - _ - 0
. =:~~OC::::::"~and~~~~~=_"afIIad.._________________ 0
. lIedlcII E-*"" I ~
On llW bMla 0I1llIIIllnIIIon IIld I or I~ In my Il!IlnlOn. dIaIh 0CCUfNCI at llWlIma, data, and.-..Illd ... to \he ClUll(a) IIld _.1lIhrI.. 0
Dlsposl1Ioo PlnnJt No.4 A Y'L" 7' AQ