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HomeMy WebLinkAbout06-06-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA Estate of EMMALINE C. BRENNEMAN also known as File Number :2/ - 0 '7 - 0 5 5~ , Deceased Social Security Number 179-12-4690 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) IZI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the CO-EXECUTORS last Will of the Decedent dated DECEMBER 15, 2003 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 oftheillStrurnerrt(-s) offered . I 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-Iti,inoritate) "::: Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any),an.d 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 Residence (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal residence at 300 CORNMAN ROAD. CARLISLE. NORTH MIDDLETON TOWNSHIP. CUMBERLAND COUNTY. PENNSYLVANIA 17013 (List street address, town/city, township, county, state, zip code) Decedent, then 88 years of age, died on MAY 9, 2007 at CARLISLE REGIONAL MEDICAL CENTER Decedent at death owned property with estimated values as follows: (If domiciled in P A) 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 $ $ $ $ 41,000.00 260,000.00 situated as follows: 300 CORNMAN ROAD AND 331 CORNMAN ROAD, CARLISLE, N. MIDDLETON TWP, CUMBERLAND COUNTY PA 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: Si ature T d or rinted name and residence C. LEROY BRENNEMAN, JR. 430 CRANES GAP RD CARLISLE PA 17013 VICKEY L. BABNER, 311 CORNMAN ROAD, CARLISLE, PA 17013 BETTY A. RUTTER, 501 WAGNER DRIVE, CARLISLE, PA 17013 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 t~:..the best of the knowledge and belief ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and1,ruly administer the estate according to law. Sworn to or affirmed and subscribed before me the (~ ~ day of ~jJ1J . ~7 L~tlflQ Cl~ FO;#-R~~i~; '-" c File Number: 2/ - D7- 05Sl(J Estate of EMMALINE C. BRENNEMAN . Deceased Social Security Number: 179-12-4690 Date ofDeath:MA Y 9, 2007 AND NOW, Co K DalA~.a'~U7 (...' ,r:Y-DD7 . in considemtion of the foregoing Petition, satisfactory proof having been presented before me, IS C ED that Letters TESTAMENTARY are hereby gmnted to C. LEROY BRENNEMAN. JR., VICKEY L. BABNER, BETTY A. RUTTER AND SANDRA E. PRICE in the above estate and that the instrument(s) dated DECEMBER 15, 2003 described in the Petition be admitted to probate and filed ofrec rd as the last Will (and Codicil(s) \ f-tL '[ FEES " ~.d~< ~ Letters $ 360.00 8.00 L5lO 10.00 5.00 Attorney Signature: Short Certificate(s) . . . . . . . . $ Renunciation(s) .......... $ JCP ... $ AUTOMATION FEE . . . $ ...$ .. . $ .. . $ .. . $ .. . $ .. . $ . .. $ TOTAL . . . . . . . . . . . . . . $ Attorney Name: , ESQUIRE Supreme Court I.D. No.: 6282 Address: 60 WEST POMFRET STREET CARLISLE, PA 17013 Telephone: (717) 249.2353 ~ .3<1&.00 Form RW.02 rev. 10.13.06 Page 2 of2 Name and Residence Sandra E. Price, 1450 Newville Rd., Carlisle, PA 17015 C~ , _J "'-,'~: c\ UI".C;;.~/l~ >Z-C::V 1//l:, H - ----:-fl ~ 1\7- f\ 5i;T, Thi~ is to certify that the information here given is correctly copied from an original certifica~-;lfjeath d~iy'jt:d with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanen: filing WARNING: It is illegal to duplicate this copy by photostat or photogralph. No. ~ Fee for this certificate, $6.00 p 13446084 MAY 112007 Date .rtt' jV\ ~~ 5~~\L\d.- re~~ ~~1\ -:1 ! '--, -c:J 2 c--", H1CJ5..143 REV 1112006 TYPE I PRINT IN PERMAIENT BLACK INK COMMONWEALTH OF PENNSYLVANIA 0 DEPARTMENT OF HEALTH 0 VITAL RECORDS CERTIFICATE OF DEATH (See InslNctlons and examples on reverse) (-". ; STATE FILE NUMBER Yrs.. Brenneman 6" 0... of Ill"" (Month. da . year) 4" 0aIll of 0eaIll (Mon'h. day. year) 4690 May 9, 2007 ,. Name of _IR.... m_.Iast, suftix) Err.maline C. 5. Ago (Last BlI1hday) Other. 88 4/13/1919 11.Decedent'sUsual KindofWolk HanEmaker mostotwo. NIe.Oonolstalll'8lired Ki'ld of Busi'1ess {Industry Her own heme Carlisle Regional MediCal Center 12. Waa __;n 1110 13. Decedent. Educ:aIion (Specify only high'" grade COlI11ple18d) U$. A/mId Forcaa? EJemonlaJy I Secoodary (0-12) College (1.4 Of 5+) Dv.. KINo 8 :=dence 17L Slate PA 1?b.Counly Cumberland Doltlar.Specify: 10. Race: American IncIan, Black, Whitt, etc. (Specifll White 14, Marital Slaws: Married, Never Married, 15. Surviving Spouse (If wife, give maiden name) W_. Oivon:ed (SpecifIl WidcMed Bb. County of Death Cumberland ~ ~ Did_' Uveina Townsh;p? 17c. [3. Yes, Decedent l.Ned in 17d"D No,_Livedwilllin AduaI umos of North Middleton Twp. CilyIBaro 19. Ma1hor's Name lFilSl. _.'- sumama) Velva Finke 2llb. 'nIoI1nanr. MalIng Addrasa (SIraa1, cily 1_. _. zip coda) 430 Cranes Gap Rd., Carlisle, PA 17013 21c.PlacaofDispoallion(Nameof__ororharplaca) 21~l.ocaIionICilyI-'_,zIpcoda) estminster Marorial Gardens Carlisle, PA 17013 ~ <;t ~ ~ ~ .\..) :c- ~ ~ 22a. S9taturI 01 F . ~ CompIoIe lt8ms 23a-c "'" when corlllying phyIIcianiBnotavailableatlinecid8attllo CI!1lIy causa of_. Items 24.26 musl ba ~ by parson 24" TIma of eeath ..-; 4 .r 25. Oata Pronounc:od Oaod (Mon~. day. year) _pIlll1llllIlCl5daalh. \\i~O">'" 7 (lA. It' .,.;- If) ,... ~O. CAUSE OF DEATH ISH lnolnlcllona ond oxo_l Item 27. Part I: Enter !he ~ -liseases, injuries, or compIica1ions - that dr8dIy caused h death. 00 NOT enter tetminaI events such as cardiac atr8St, respifalory arresl, or venbicular fibriIIaIion wiIllout showing !he etidogy. list onty one cause on each line. ~~=~ Hare, Inc., Carlisle, PA 17013 23b. Ucense Number 23c. 0010 Signed It.tonlh. day. year) 26. Was Case Referred to MedIcal ExamNr I Coroner for a Reason Other than Cremation or 00n8Ii0n? Dvas ~ Approximaleinterval: Onset to Oaath Part II: EnSer oIher sianiti:anllXlnlition& coolribulina 10 deadt but not resullllg in the underlying cause given in Part I. 28. Did Tobacco Use Conlribute to Death? D Vas DP- ~No 0 Unknown 29. If Female: )iirNolpragnan,withlnpaslyaar Dpregnan'attlmaofdaalh D Not prll!Jl'll1\"'_ wilNn 42 days ~daalh D Notpragnant. but prll!Jl'lIl'43 days to 1 '18M beloradaalh D Unknown;,_wlIIiin1l1opaslyaar 32c~=,:n(~jSlreel.FscIory. -"'-.'sny. leading to hcaull& liated on linea. En,", 1110 UNDI!lILYING CAUSE =:a~n~rm:1ha Due 10 JOf ItS aa.sequence o!}j b. ~f"-VfV~(L7 Due to (or as a consequence 01): [,.0r''-8-0 v( rrtlktl.'f r (In' '-....Il~ ~(l.ftYfL-7 II ,) efl<( ,{' , .\.1 ~ -I -..{ it Doe to (I)( as a consequence 01): d. IdZ II 102.1' 10 32d. TIfI'I8 of In;..y ~ :::.. DVaa Q/:"" n. Were Aulops., Firldngs 31. Manner of Death ~=;;rO:th~ ~tural DH_ 0-1 0 P.rt<W1gI"",.tigation o &Jidda D Couto Not ba De<em;nod Ov.. ONo 301. Was an Autopsy Parlormed? lot 321. UT....portlIlionIfIjwy (Specify) D Driv.,1 Operator D Paesengo< OPedes . QIhw- Specify: 33b. Signature and Title or t.I ~ fa ~ i 33ll. Celtilie< (check only one) Certtty1ng phyak:ian (Physician certifying cause of death when another physician has prollClUJ"lC8d death and completed Item 23) To Iht best of myknow*'9t. dMth occurrecI due 10 the cauee(1)and mIMfN' II lilted.. _ _ _ _ _ __ _ ___ _ _ __ _ _ _ __ _ __ _.. _ _ _ _ _ _ _ 0 Pronounclng.net cert1fyIng phytk:1an (PhyslQan both pronouncing death and certifyilg 10 cause of dHIt1) To the best of my knowledge, deIIh occumtd It the time, dIIe, and ptace, and due 10 the ClUse(I) and mIMIt' II slIlecL _ _ _ _ .. _ _ _ _ _ _ _ _ _ _ _ _ Medlcat Exam_I CoIoner On the bull of examination and I or investigation, In my opinion, death OCCUlTed at the lime, dI., and piece, Il'Id due to ttIt ClUll(II and mann..... ItItId... 0 33d Oa~;~da';~ 34. Name end ~ ~ Po"1l ~ ~p.Jld C.... olOaath (Uem 211..1,pe 1 Prinl p~:(~4 ~~,~.aev~r ~v '1.--'2.--0 (It'J' LS':> /'V;T' Cfr/,U.-.. 'S if ('I" \ ? ~ f j Disposition Permit No. LAST WILL AND TESTAMENT I, EMMALINE C. BRENNEMAN, of North Middleton Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. 1. I direct my Executors to pay all uf my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 2. I authorize and empower my Executors to sell any realty owned by me at my death and not specifically devised herein at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do if living. 3. I give, devise and bequeath all of my estate of every nature and wherever situate as follows: (a) The sum of $1,000.00 to my sister, VIRGINIA I. BUTCHTER, and if she is not living that the time of my death, the gift shall lapse; (b) The sum to $400.00 to each of my grandchildren living at the time of my death, except $1,000.00 to my grandson, C. LEROY BRENNEMAN, III; (c) My property located at 331 Cornman Road, Carlisle (North (M!4dleton:_.; j J ( Township) to my grandson, C. LEROY BRENNEMAN, III; and . C'J C-, <- (c) All the rest, residue and remainder to my four (4) children, share and share alike, the child or children of any deceased child taking the share their parent would have taken if living. 4. I nominate and appoint BETTY A. RUTTER, SANDRA E. PRICE, VICKEY L. BABNER and C. LEROY BRENNEMAN, II to be the Executors of this my Last Will and Testament; they are to serve as such without bond. 5. I hereby suggest that my personal representatives retain the services of Irwin, McKnight & Hughes as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this I" .. day of December, 2003. ~~ c-~~,- (SEAL) EMMALINE C. BRENNEMAN Signed, sealed, published and declared by EMMALINE C. BRENNEMAN, the Testatrix above-named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. 2 ACKNOWLEDGMENT AND AFFIDA VIT WE, EMMALINE C. BRENNEMAN, JACQUELINE L. DRAWBAUGH and MARTHA L. NOEL, the Testatrix and witnesses respectively, whose names are signed to the foregoing 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, that she had signed willingly, that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a witness and that to the best of their knowledge the Testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. COMMONWEALTH OF PENNSYLVANIA : SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by EMMALINE C. BRENNEMAN, the Testatrix herein, and subscribed and sworn to before me by JACQUELINE L. " DRAWBAUGH and MARTHA L. NOEL, witnesses, this l'f' day of December, 2003. Public Notarial Seal Ropt' B. Irwin. Notary Public CvUllt BOlO, CUmberland County My Commlaaton Expires Oct. 3. 2004 ~.,~yt4IIl1a~",otNolarie8 3