HomeMy WebLinkAbout04-05-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYL VANIA
Estate of LILLIAN H. FORNW ALD
also known as N/ A
File Number
a\
\:) '1 0 ~~q
, Deceased
Social Security Number 177-16-0984
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IZJ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will of the Decedent dated December 28, 2004, and codicil(s) dated N/A
Co-Executors
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: N/ A
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.)
Name
Relationship
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(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
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Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at
CountrY Meadows Retirement Community. 4905 E. Trindle Road. Mechanicsburg. Hamoden Townshio. PA 17050. . ~ C)
(List street address, town/city, township, county, state, zip code) co
.. "
Decedent, then 84 years of age, died on March 31, 2007,
Hampden Township. Cumberland County. PA 17050.
at Country Meadows Retirement Community,
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) 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
10,000.00
$
$
$
$
situated as follows: N/ A
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
C!-
~.~
David C. Fornwald, 747 State Street, Lemoyne, PA 17043
Paul R. Fomwald, 6095 Sixth Street, Surf City, NC 28445
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
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.
~tiJYI k/W
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r1 (7 a.uJl f?.-rn
ignature of Personal Representative
Jl au-l (:" n
Sworn to or affirmed and subscribed
l nature of Personal Representative
Signature of Personal Representative
File Number:
;}, \ () 'l 03 ~ 9
l,\\, fu~ \\ ~{(\~d
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Social Security Number:
Date of Death:
, Deceased
'-~ \2:>\\C:Sl
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Estate of
AND NOW, \\ ~'( \ 5
having been presented before e, IT IS D~C~ED that Le\1ers .
are hereby granted to Y\ \-l){ (\\,00-...\ 0'--
in the above estate
\
and that the instrument(s) dated \ d.. \ ~ <6\ 6l\
described in the Petition be admitted to probate and filed of record as th~ last Will (and Co
Letters
.............. .
$
Lts -00
,~.OO
FEES
Short Certificate(s) . . . . . . . . $
Renunciation(s) .......... $
W III .., $
--.JCP ...$
.0.:1..A-:R:> . . . $
.. . $
.. . $
. .. $
.. . $
.. . $
.., $
TOTAL .............. $
Attorney Signature:
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Supreme Court LD. No.:
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Attomey Name:
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Address:
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Telephone:
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Page 2 of2
Form RW-02 rev. 10.13.06
H 105.805 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.
Ihn- /J;~~.
Local Registrar
Fee for this certificate, $6.00
p
13352822
APR 0 1 2007
Date
84
VIS.
30. 1922
7.~(Cilyand""'or
Reading. PA
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REV 11/2006
PRINT IN
lANENT
~INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
(j ,5~ <:1
1.Namoal~(F1rst._,Iasl.sulfixl
Lillian H. Fornwald
5.!vJa IlJIsI _y) Undor 1
-
6.o.toofBilttl(Monll1. .
Bb. County of De81h
Cumberland
8d.FadIlyNamoIK"",-'gIw_andlUltlell
Country Meadows Retirement
OOlher. Spocil\<
10. Race:Americanlndlan. Black, _,fllc.
I~ Wh'
1te
12. Was Decedent ever in the
U.S. Armed Forces?
mOl ONe
00c:ed0n\'S
A<Ui -... 17.._
17b. County
PA
Cumberland
14. Marital S1atua: MaITiad. _ MaITiad.
_. DNon:ocII5paciIyl
Widowed
Oklllecedant
Uveina
Township?
17c. ~, Decedent Lived in
17d.O No._llYad_
AduoI Lm1a aI
Hamoden
Twp.
CilyIBoro
19. MoItlar'. Namo (FIrst. _, maIdan_)
Elizabeth G. Fasi
2ltl. _.MaIlng-.(-.dlyf_.......ZI>-)
6095 Sixth St.. Surf Cit
21c. Placeofllbposidon (Nama",_._or-placel
ate of Heaven Cemetery
Myers-Ha~er Funeral Home
21d.locaIIon(Cilyf_.""'.ZI>_)
Mechanicsburg. PA
28445
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29. K FamaIa:
u;!.HtI(' _,- paol yaar
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o NoI-"butpllgllllllwllhin42days
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o NoI-"bol pIIgIlIIlI43 days 10 1 yaar
balonodealh
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Oftlca B<*Ing. llIc. (Spsdy)
CAUSE OF DEATH (_1_ end ......pIeII)
Item V. Pili I: Entllr Iha ~_ _, "iUrlas. or~ -Ihal<h:lly causad Iha _. DO NOT ......__1s such os CIIdac anast.
rospiratory...... or__lion_-.glla atioklgy. UalorlyoneCOOOOflaach ilia.
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=~="'="=;=~and~=IOIO~=_..IIII8d.._________________ 0
. :::' =..= and f or InvoatIgatIon.In my........ _ _ at tho _. date and pIICt,.nd due to the caull('l and mannsr ISIIII8d.. 0
DisposItion Panni! No.
SAlOIS
SHUFF, FLOWER
& LINDSAY
ATTORNEYS'AT'LAW
2109 Market Street
Camp Hill, PA
~ \ C/ I ().3'~ 1
LAST WILL AND TESTAMENT
OF
LILLIAN H. FORNWALD
I,
of Mechanicsburg,
Cumberland
LILLIAN H.
FORNWALD,
County, Pennsylvania, being of sound and disposing 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 just debts and expenses of my
last illness and funeral from my estate as soon after my death
as conveniently may be done.
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SECOND
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.
,
C"j
I bequeath certain items of tangible persqn;a~ pJ::;9perty. in
-'.'-~;
accordance with a written list made by me dur.'irtg my::-lifetime.
':::J
Co
In the absence of a list or designation on said list, then I
direct my Executor hereinafter named to distribute my '::angible
personal property among my children as he,
in his sole
discretion, determines to be appropriate.
THIRD
I give, devise and bequeath all the rest, residue and
remainder of my estate of whatever nature and wherever situate
in three equal shares to be distributed as follows:
1
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A. One said share shall be distributed to Paul R.
Fornwald, or his issue, per stirpes.
B. One said share shall be distributed to David C.
Fornwald, or his issue, per stirpes.
C. One said share shall be paid unto the Trustee
hereinafter named IN TRUST, nevertheless, for the benefit
of my son, Thomas J. Fornwald, and under and subject to the
provisions hereinafter stated.
1. My Trustee shall invest and reinvest the
principal of the trust and after the payment of all
necessary costs and expenses, including the reasonable
compensation of the Trustee, shall pay monthly the net
income, or the sum of Eight Hundred Dollars ($800.00),
whichever is greater, to my son, Thomas J. Fornwald. In
making the paYments to my son, my Trustee is directed to
take into account all other available sources for his
support, including entitlement to federal and state public
assistance payments. In the event my Trustee determines
that it is not advisable to make the monthly paYments as
directed for his support, my Trustee shall have the
discretion, but not the duty, to pay the net income only to
or for the benefit of my said son's children. Upon the
death of my son, Thomas J. Fornwald, or should he
predecease me, the Trust shall terminate and the balance
then remaining, including principal and undistributed
income, shall be divided among his issue, per stirpes.
A lTORNEYS' A T'LA W
2109 Market Street
Camp Hill, PA
2. If any income or principal of the trust
created herein is payable to a person under the age of 21,
it shall be retained by my Trustee in a separate trust for
that beneficiary and thereafter as much of the income and
principal of that trust as my Trustee may from time to time
think desirable for the beneficiary either shall be paid to
him or her or shall be applied for his or her benefit.
SAlOIS
SHUFF, FLOWER
& LINDSAY
3. Any income not so distributed shall be added
to principal.
4. When the minor attains 21 years
then remaining principal shall be paid to him
2
of age,
or" her,
::t JY c1;,
the
or,
if the beneficiary dies before that time, the then
remaining principal shall be paid to his or her estate.
FOURTH
I authorize my Executor and my Trustee:
A. To retain and to invest in all forms of real and
personal property, without being confined to investments
authorized by a statutory list, without being required to
diversify and regardless of any principle of law limiting
delegation of investment responsibility by executors or
trustees;
B. To compromise claims and to abandon any property
which, in my Executor 1 s or my Trustee I s opinion, is of
little or no value;
c.
to lease
property,
To sell at public or private sale, to exchange or
for any period of time, any real or personal
and to give options for sales or leases;
D. To join in any merger, reorganization, voting-
trust plan or other concerted action of security holders,
and to delegate discretionary duties with respect thereto;
E.
executor
security
To borrow from anyone, even if the lender is
or trustee hereunder, and to pledge property
for repaYffient of the funds borrowed;
an
as
F. To make loans to, and to buy property from, my
Executor or administrator;
SAlOIS
SHUFF, FLOWER
& LINDSAY
G. To employ and to rely upon advice given by
investment counsel, to delegate discretionary authority to
make changes in investments to investment counsel, and to
pay investment counsel reasonable compensation in addition
to any fees otherwise payable to my Executor and my
Trustee;
ATIORNEYSoAToLAW
2109 Market Street
Camp Hill, PA
H. To employ a custodian, to hold property
unregistered or in the name of a nominee (including the
nominee of any institution employed as custodian), and to
pay reasonable compensation to the custodian in addition to
any fees otherwise payable to my Executor and my Trustee;
1.
combined
To hold two or
fund (allocating
3
more trusts
ratably to
hereunder as a
such ~1ust~. all
~YII '~I
SAlOIS
SHUFF, FLOWER
& LINDSAY
ATIORNEYS'AT'LAW
2109 Market Street
Camp Hill, PA
receipts from, and expenses of, the combined fund) for
convenience in investment and administration; provided that
any combination of trusts for this purpose shall not alter
their status as separate trusts; and
J. To distribute in cash or in kind.
These authorities shall extend to all property at any time
held by my Executor or my Trustee and shall continue in full
force until the actual distribution of all such property, except
as otherwise specifically stated. All powers, authorities, and
discretion granted by this will shall be in addition to those
granted by law and shall be exercisable without court
authorization.
FIFTH
I direct that Paul R. Fornwald shall be Trustee of any
trusts created herein; provided that my son, Paul R. Fornwald
shall have the right during the continuance of the trust to
select Orrstown Bank or another institution or person as Trustee
or Co-Trustee, if, in his sole opinion, it is advisable to do
so.
SIXTH
I do hereby nominate, constitute and appoint my sons, Paul
R. Fornwald and David C. Fornwald, to act as Executors of my
estate.
SEVENTH
I direct that no personal representative, guardian, trustee
or other fiduciary appointed under this instrument shall be
4
Sl!~
SAlOIS
SHUFF, FLOWER
& LINDSAY
ATTORNEYS' A T'LA W
2109 Market Street
Camp Hill, PA
required to give bond for the faithful performance of their
duties in any jurisdiction.
IN WITNESS WHEREOF, I, LILLIAN H. FORNWALD, have hereunto
set my hand and seal to this my Last Will and Testament,
consisting of six (6) typewritten pages, the first four (4) of
which bear my initials in the margin for identification, this
;(~ day of December, 2004.
~~/ ,~
LILLIAN H. FORNWALD
Signed, sealed, published and declared by the above-named
LILLIAN H. FORNWALD, Testatrix, as and for her Last Will and
Testament in the presence of us, who have hereunto subscribed
our names at her request as witnesses thereto, in the presence
of said Testatrix and of each other.
ADDRESS
ADDRESS
c~~
~~ d~~
5
SAIDIS
SHUFF, FLOWER
& LINDSAY
ATIORNEYS'AT'LAW
2109 Market Street
Camp Hill, PA
COMMONWEALTH OF PENNSYLVANIA
COUNTY
OF
CUMBERLAND
We, LILLIAN H. FORNWALD, and
J dlt J1 f < S/'k-o, the Testatrix and witnesses, respectively
whose names are signed to the foregoing or attached instrument,
being first duly sworn, do hereby declare to the undersigned
authority that the Testatrix signed and executed the instrument
as her Last will and Testament and that she signed willingly and
that 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) or more years of age, of sound
mind and under no constraint or und~ue i f~uence.
~/t~
/1
LI LI H. FO ,WALD
/
itness
/~i~S~
//
t"
Subscribed, sworn to and acknowledged before LILLIAN
H. FORNWALD, the Testatrix, and subscribed to or
affirmed to before me by the witness , this of
i
December, 2004.
COMMONWEALTH OF PENN~YLVANlA
. Notarial Seal
Sallie AlJshouse, Notary Pub/'
MCacP Hi~1 ':Ioro, Cumberland ~~ty
Y ODlmlSSlon Expires Mar. 29, 2008
6