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HomeMy WebLinkAbout08-07-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Charlton M. Prowant also known as File Number :AI -07 - 07.tj 7 , Deceased Social Security Number 071-14-7647 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 Executor last Will of the Decedent dated June 3, 1994 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 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") ~ R~~Q ~ .~~ (-) '::-j") Name Relationship .J . '! -0 (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. :r; w Decedent was domiciled at death in Cumberland 1685 Revere Drive. Mechanicsburg, PA 17050 (List street address, town/city, township, county, state, zip code) :-, County, Pennsylvania with his / her last principal resiilince at w U1 Decedent, then 86 years of age, died on July 30, 2007; 2: 15 PM at home 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 300,000.00 $ $ $ $ 0.00 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: nald Lee Prowant, 1685 Revere Drive, Mechanicsburg, P A 17050 FormRW-02 rev. 10.13.06 Page 1 of2 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 correc:t 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 before me the ,t1l i 1t2-~-LW~~~ Signature of Personal Representative Signature of Personal Representative Signature of Personal Representative C-) '::::0 ::0 '--n _~~'~~ ~n f~"""-' .::::' = --.I ....... '- ! I T' ) <.oJ I -.J ! 1 File Number: d I-07-()7</ 7 -) ---, C~) --::;-1 -u ~ =::j W <.'" U1 I ) Estate of Charlton M. Prowant , Deceased Social Security Number: 07/- ILl - It.PLj 7 .DateofDeath: , ('l/)n 7 ~~onsideration of the foregoing Petition, satisfal:tory proof that Letters j-30-0/ having been presented before me, IT I are hereby granted to in th(~ above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Register of Wills Letters $ Short Certificate(s) . . . . . . . . $ Renunciation(s) .......... $ ... $ $ $ .. . $ ... $ ... $ . .. $ ... $ .. . $ TOTAL .. . . . . . . . . . . . . $ Attorney Signature: Attorney Name: Supreme Court J.D. No.: Address: Telephone: 0.00 Form RW-02 rev. /0./3.06 Page 2 of2 /).1-07-[;71/7 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. h.'c for thi" ccni ficatc. ')6.()(I Ccrtificatiol1 ;\Julllhcl . 1'1;'i....,~.I'~IiOE!lt:~-'" ;.(\I'~/ ""/fI"",- ^,\ ~ ~ "u~" Il$j'/ _~\~;. !~ ~/ . ,'<~ .."\"p ~ I~=.!-., I~% \\ <;;"'~'. ~. ...... ;~f}) \\~, ,~. . i~/ \~' ..' /~/ -~__:?IMENf\\' ~~",!!\' "~t!.1!-~ Thi, i, to certify that thc in 'crnLlt!On h'r,' ,: 'ell I' corrl'ctly copied from an ori~l1a] ('l'1'Lficlk (I )L':lth duly filed "ith me ;b Loca! RegiStrar 'ill' 'I ~i!l;t! cl'nificate will hl' fon\ankd t\l tl!l' S ;rt.' V!i;t1 Rccor(b Office tor pcnnal1cl't filil1!! P 13770957 ~ ft) ~~~~._.~G_~J'~og~. Local Registrar j C;rkl"wd C") '=;0 ~ ~.~ r........,) ':'-:-:~ .:r -..J :P"- c::: G:.' I -l "LJ :::0 --j u w .. w (fl REV 1112006 PRINT IN 'IIANENT CK INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) STATE FILE NUMBER 86 ~ Residence 0 Other. Specify DYes 10. Aace:American Indian. Black. While, ate ISpecityj White Bb. County o! Death Cumberland 11. Decedenrs Usual Occu hon Kind of wOfk done durin most of WOfkin file. Do not slate retired Kind of Work Kind 01 Business I Industry Service Technician Office . 16, Decedent's Mailing Address (Street, city I town, slale, zip code) 1685 Revere Drive Mechanicsburg, PA 17050 . :KJVe, DNo Decedent's Ac!uaIAesidence 17a. State 14. Marital Status: Married, Never Married, Widowed, Divorced (Specify) 1 Pennsylvania 17b. County f:t1mhprlRnn 17C.l9 Yes, Decedent Lived in 17d. 0 No, Decedent Lived within Actual Umitsof Hampden Twp 18. Father's Name (First, mlddle, last, suffix) 19. Mother's Name (First, middle, maiden sumame) Donald Prowant Pauline Mutchler 20a. Informant's Name (Type I Print) 2Ob. Informanfs Mailing Address (Street, city I town, slate, zip code) City/Bola DVe, DNo o Accident 0 Pending Investigation o Suicide 0 Could Not be Determined Approximale interval: Part 11: Enter other sian~icant conditions conlribulino to death, 28. Did Totlacco Use Contribute to Dea!tl? Onset to Death but not resulting in the underiying cause given in Pari I D YE!S 0 Probabty o No 0 Unknown 29.lfFem~Je o Nol pregnant wilhin past year D Pregnant at time of death D Not pregnant, bul pregnant wilhin 42 days of death o Not pregnant bul pregnant 43 days 10 1 year before death o Unknown If pregnant Within the past year PA 19053 o Cremation D Donation Sunset Memorial Park 22c. Name and Address of Facility FH & CS Inc. " ''I ~d~~A~~nf'~~~ ~~I) dise~ R~a..\ fu\ \V('~ Due to (or as a consequence of)' Sequentially ijst conditions, if any, ~I~~~o J:~~~lm~ru~ a (disease or injury ltIal initiated the events resulting In death) LAST. Due to (or as a consequence of): Due to (or as a consequence o~: l-\..~pu~IOI\ 3Oa. Was an Autopsy Performed? DYes ~ 3Ob. Were Autopsy Findings 31. M~Of Death :~~~:s: :~~~:h~omPlelK)n ~ Natural 0 Homicide 32c. Place:>! Injury: Home, Farm, Streel, Factory, Office Buik:ling, etc, (Specify) 32d. Time 01 In;ury M, 321. If Transportation Injury (Specify) D Driver IOperator D Passenger DPeOestrian DOIh",specify.' 33b. Signature and Tille of Certifier 32g. Location of Injury (Streel. city/town, stalE!) 33a. Certffier (check ontyone} ~~~~g9~r:~I:~~~~:~:~~~~~e :~~t~hC:::~~:n~~~~:,h:: ~;~e<Lur:~ ~a~h ::d _co_m~I~~ ~~ ~~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 ... ~~~~ou~~~fa~~ ~~~:r~~::~~~a~c~~~~~ t~~,:~~nin~e;::c~~~~~rt~~~ot~cea~:~~i~~~ manner as stated.- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 Medical Examiner I Coroner On the basis of examination and I or investigation, In my opinion, death OCCU"ed at the time, date, and place, and due to the causa(s) and manner as slated_ 0 33clicenseNumber 2001 tv\o 0 \3 35 Regislrar'S~jlfln,.ture an.d D. istri~I'~. ~~-'-'.'; ".' ,..-,"", -,,'; "". ~..L/J?/Y;_' '/ /"""~' .~O:_. I~ 110111/1 II 34, Name and Address 01 Person Who Completed Cause of Death (Item 27) Type I Print Stanley R. Goldman M.D. 4700 Union Deposit Rd. #120, Harrisburg, PA 17111 .~ Disposition Permit No. t"J /1 . '1' /i 7 3 REV-346 EX (8-92) FOR REGISTER'S OFFICE USE ONLY PA DEPARTMENT OF REVENUE Coun9' Code It, Year FUe Number -7Lf 7 ESTATE INFORMATION SHEET 07 DECEDENT INFORMATION: Enter data as it wiD appear on aU documents submitted to the department. Name (Last) (First) 10/13/1920 ~;ddl,) ~ Prowant Charlton M Decedent's Social Security Number 071-14-764 7 Date of Death 07/30/2007 Date of Birth TYPE FILING: Enter check mark to indicate the nature ofthe return to be fIled with the d artment. o Probate Return 0 Joint Assets Only 0 Estate Tax Only 0 Litigation Purposes (No Other Assets~ LETTERS GRANTED: Enter check (.I) mark to indicate the nature of the proceedings at the Register of Wills Office. Attach additional sheets if ex lanation is necessar . o Testamentary o Administration o No Letters o Other (Please Explain) ~ ATTORNEY/CORRESPONDENT: Enter aU data concerning the attorney or other individual to receive all tax information and d correspon ence. Name (Last) (First) (Middle) Supreme Court 1.0. No. Street Address City State Zip Code Telephone Number PERSONAL REPRESENTATIVE INFORMATION: Executor/Administrator Enter aD data concerning the personal representative(s) of the estate authorized by the Register of Wills Name (Last) (First) (Middle) Social Security Number Prowant Donald Lee 177-48-7330 Street Address 1685 Revere Drive ,,~..... '\ City Stat,; Zip Code Telephone Nu@1l:r ~ 7174585890-: '~ --.J Mechanicsburg, PA 17050 ~ ' I r- .,".C) en Co-Executor/ AdmlDlstrator Name (Last) (First) (Middle) r .1 Social Security NumbJ":.; -0 City State Zip Code Telephone Number L') Street Address Co-Executorl Administrator Name (Last) (First) (Middle) Social Security Number Street Address City State Zip Code Telephone Number Prepared By ~~ rev. J O. I3. 06 LAST WILL AND TESTAMENT !"'-o-J ;;:."':".'-) _...; ~;;:-:~". r-) I, CHARLTON M. PROWANT, of Bucks County, Pennsylvani~~ h~~by ......_, .~ r'-.", declare this to be my Last Will and Testament and revoke.alJ -,", '._' wills and other testamentary writings by me at any tima! C'] (.) UI heretofore made. ARTICLE I. I direct my executor to pay, as soon as convenient after my death, all of my legally enforceable debts, the expenses of my last illness, my funeral and related expenses and the expenses of administering my estate. ARTICLE II. I give all my automobiles, and all other articles of personal or household use, together with all insurance relating thereto, to my wife, JOSEPHINE M. PROWANT, if she survives me by thirty days. If she does not so survive me, I give all such property and insurance to my son, DONALD LEE PROWANT. ARTICLE III. I give all the rest, residue and remainder of my estate, real, personal and mixed, of whatsoever nature and wheresoever situate, including any property in which I may have an interest: A. To my wife, JOSEPHINE M. PROWANT, if she survives me by thirty days; or if she does not so survive me, B. To my son, DONALD LEE PROWANT. In the event that DONALD LEE does not survive me, I direct that my estate shall pass to his issue. ARTICLE IV. No interest in income or principal shall be assignable by, or available to anyone having a claim against, a beneficiary before actual payment to the beneficiary. ARTICLE V. All federal, state, and other death taxes payable because of my death on the property forming my gross estate for tax purposes shall be paid out of the principal of my probate estate just as if they were my debts, and none of those taxes shall be charged against any beneficiary. ARTICLE VI. I appoint my son, DONALD LEE PROWANT, executor of this will, but if he for any reason fails to qualify or ceases to act, I appoint KAREN OLEJARZ, ESQUIRE, executrix in his place. I direct that no executor shall be required to give bond in this or any jurisdiction. ARTICLE VII. I authorize my executor to exercise the following powers, in addition to those given by law, to be exercised in his sole discretion: A. To retain any property which may at any time form part of my estate as long as may be deemed advisable; B. To sell at public or private sale, for cash or credit, with or without security, any real or personal property; C. To exchange, lease or partition prperty and give options for sales or exchanges; D. To make distributions in cash or kind, or partly in each; E. To borrow from anyone, even if the lender is a fiduciary 2 hereunder, and to mortgage or pledge real or personal property as security therefor for repayment of the funds borrowed; F. To compromise claims and to abandon any property which is of little or no value; G. To invest and reinvest at discretion without restriction as to so-called "legal investments," with the specific right to invest in common and preferred stocks; H. To register securities in the name of a nominee, or to hold the same unregistered and in such form that they will pass by delivery; I. To retain and pay agents, accountants and counsel (including but not limited to legal and investment counsel) for advice and other professional services; and J. To exercise any election or privilege given by the federal and other tax laws including, without limiting the foregoing, the election of the alternate valuation for federal estate tax purposes and the election to claim deductions for death tax or for income tax purposes, and to make or not make equitable adjustment for the exercise or nonexercise of any such election or privilege. ARTICLE VIII. If any provision of this Will shall be invalid or ineffective either wholly or in part, then to the extent of such invalidtty or ineffectiveness, this Will shall be inoperative without in any manner impairing its valid or effective provisions, or the valid or effective remainder of any provision which is partially invalid or ineffective. 3 ARTICLE IX. The term "fiduciary" shall refer to all those from time to time acting as Executor. The term "Executor" shall include the plural and/or feminine thereof if such are the facts when the terms of this will are put into effect. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament the day of One thousand nine hundred and ninety-four. (SEAL) CHARLTON M. PROWANT Signed, sealed, published and declared by Charlton M. Prowant the above-named testator, as and for his Last Will and Testament, in the presence of us, who, at his request, in his presence and in the presence of each other, all being present at the same time, have hereunto subscribed our names as witnesses. of of of 4 Acknowledgment by Testator and Affidavit of Witnesses COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF A?Juff he witnesses, respectively, whose ames are duly signed to the t ached or foregoing will, being first duly sworn, do hereby swear to the undersigned authority that the Testator signed and executed the instrument as his last will in the presence of the witnesses named and that he signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the will as witnesses and that to the best of their knowledge the Testator was at the time eighteen years of age or older, of sound mind and under no constraint or undue influence.- /' and Testator ~y- Witness Witness Witness Subscribed, sworn to and acknowledged before me by , the Testator, and subscribed and sworn to me before me by , and JUN ;"'3 1994 day of One thousand nine hundred and the witnesses, this NOt, My NOTt,RiAL SEAL :J" LARRY PLATOWSK'l. NOlary' Public Le'Jitt~\~~. ;~.~l~~f~~i~ ~(.~.~';!:r/., 7 M Commi~r.~:~.:2_E:.:~f-'~'~'L.-.::~:.:,:,~_::..!.:. 199 ..