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Home My WebLink About08-07-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Ruth I. Adler also known as File Number ;) J -D7 - 07LJ (p , Deceased Social Security Number] 98-30-2635 Petitioner(s), who is/are ]8 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 Executors last Will of the Decedent dated November 29, 2006 and codicil(s) dated rnonel named in the (State relevant circumstances, e.g., renunciation, death oJexecutor, 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 (Ifapplicable, enter: c.t.a.; db.n.c.t.a.; pendente lite; durante absentia; durante minoritate) .......> ,..-) C.:~ Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spo~:iJ any) an~irs: (If Administration, c.t.a. or db.n.c.t.a" enter date of Will in Section A above and complete list of heirs) ;:::9,::=.0- R"id'",:~~ ~ l)--J " Name Relationship I -~) ~::~ c::> 1..0 (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at ] 10 Hollenbaugh Road. Carlisle (South Middleton Township). Cumberland County. Pennsylvania] 70 15 (List street address, town/city, township, county, state, zip code) Decedent. then 91 years of age, died on July 3], 2007 at 110 Hollenbaugh Road, South Middleton Township, PA 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 ofreal estate in Pennsylvania $ $ $- $ 9,000.00 situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codlcil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: S i nature T ed or rinted name and residence Donna M. Stine, 110 Hollenbaugh Road, Carlisle, PAl 7015 Richard E, Adler, 187 McAllister Church Road, Carlisle, PA 17015 Doris Jane Adams. 57 Bears School Road, Carlisle, P A 170] 5 Form RW-02 rev. 10. /3.06 Page 1 of2 Oath of Personal Representative COMMONWEAL TH 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 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. Register Sworn to or affirmed and subscribed before me the '7 day of .f?t Of) '7 r--.J '-:'::.-' L::..:::J --..J :too CJ I -.J ) .' --~" I ~:" t!J ::-'::! .r...'" 'I -0 File Number: dl-07--7tJ{P Estate of Ruth I. Adler , Deceased N o \.0 Social Security Number: 198-30-2635 Date of Death: July 31 , 2007 AND NOW, 7M , /)bO 7 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT I DECR D that Letters Testamentary are hereby granted to Donna M. Stine, Richard E. Adler and Doris Jane Adams in the above estate and that the instrument(s) dated November 29,2006 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Jj~lnda__ \30Jlnuv ~ L'tt'" ............... $ 4-500 . R.g"""f;.,n~I,~~ Short Certificate(s) . . . . . . .. $Jo. DO Attorney Signature: .;:-..:>- ~ ~ \R"e?unfilatiOn(S) .......... $J 00 Attorney Name: Stephen L. Bloom, Esq. YY.U . . . $ V). CIC.P ~ $ /Q,OD ~ $.5.m $ $ $ $ $ $ TOTAL ... . . . . . . . . . . . $ /15. ~ Supreme Court J.D. No.: 49811 Address: 2100 Longs Gap Road Carlisle, P A 17013 Telephone; 717-249-7717 Form RW-02 rev. /0./3.06 Page 2 of2 9/ ~C1- 7q0 LOCAL REGISTRAR'S CERTIFICATION OF DEA,oH WARNING: It is illegal to duplicate this copy by photostat or photograpt h:~ 1,)1" !h,-, ,(,I"tilie-ale. 'j,h (!() /,iliiii7l;'i;;-;~;0 .,,;i~'''. \.'\\\ OF pi';);.>.. ;(,",,;.'\.-I' ---.t:,f"f,:cO;, ,,, ...~/ ~"J'/"-\ /.,,1 ~/ .. "\ r:. ~\ /l~~/ 9~"~~\ II~~I," ~~" "'!~\ '~W', '1~1I .,'~~ I~ * ',":': ,___~c ",' ;, * ~ --... \\~"~/ "'. '%' '. .' "'~I\' '~~~-___~lMEN--l \\';; ~~'!'~\ ~;,;" C N 1 U ~'I/I / ~!./' P 13745058 Certificalllln l\lIll\bcr ~ Thi:, i, 10 certify th~ [ [he !!1ol"malu! here given i, correctly copied fwn ,1 ( rig:nal el' ':iLcak of Death dlllv filed with me ,1).'~:1 Reg!~"['l!', The original certificate will l'll: tllW l!(1~d tll thL State Vital Record, Office for p: lila/wIt fililE. ~O ~b)...~~~~utt 2/2007 I,ocal Regi:,trar Date \:':'lIed ;(2 '''''..:;C' " _.i...J r-...:> c=l .:.:::::) :;:::0. '] '- c.-; I -.J ~ " N o \.D H105.143 REV 11/2006 TYPE I PAINT IN PERMANENT BLACK INK COMMONWEALTH OF PENNSYLVANIA 0 DEPARTMENT OF HEALTH 0 VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) STATE FILE NUMBER 91 t. Name 01 Oecedsnl (First, middle, last, suffiX) Ruth I. Adler 5. Age (Last BirthdaV) 6. Dale of Birth (Month, day, ar) y" Sept. 12, 1915 \ . 8b. Counlyol Death ad. Facility Name (If I'lOI insOlution, gN9 slreel and number) 110 Hollenbaugh Rd. Cumberland 11.Decedant'sUsua1Occu 1;00 Kind 01 work done dum moslof IiI&.Donotslaluelir Kind of Wor1c:: Klnd 01 Business I Industry Homemaker own home . 16. Decedent's Mamng Address (Street. city flown, slate, rip code) 110 Hollenbaugh Rd. Carlisle, PA 17013 12. Was Decedent ever in the U.S. Armed Forces? Dyes D~o Oecedenrs Actual Residence 17a. Slate 170. County 13. Oecedenfs Education (Specify only highest grade completed) Elementary I sec~ry (0-12) College (1-4 or 5+) PA Cumberland 17c. [J. Yes, Decedent Lived In 17d. 0 No, 0ec8den1 Lived wtfuin Actual Umltsol 19.Molher'sName(Firsl,middle.maidensumame) Rose Wert City/Boro lB. Felhef'sName{FIfSI, middle, last, suffix) C. Carroll Leidigh 2ObliOan"h~jr~~b~'ITgt'm'is~':,j~:tlisle, PA 17013 203. Informant's Name (Type I Print) Donna Stine . ~ /tams 24-26 mlJ6l be completed byp&fSon who pronounces death 24. Time of Dealh 25. Date Pronounced Dead (Month, day, year) July 31, 2007 CAUSE OF DEATH (See InsbucUone and examples) Item 27. Partt Entllrlhe~-disell985, injulies, or COOlJIlcatioos-that drectfy caused the death. 00 NOTenlerlerminal evenlssuch as cardiac alTes~ respiratory8ITesl,Orl/eolrlcularfibnllationwlthoutshowinglheetiology.ListonlyonecauseoneachMne. I Approximaleinterval: : Onset to Deatt1 , , i 3 YUl.~ , , , , . , , , =~r;~::~~1~d~ ~tJ-h",,- IkA,..+ \Z,.J"",r-e Due 10 (or as a COMequ8rd of): ~~~~::='~~~a E~~'fu; UNDERLYING CAUSE =r:~I~~~I\~e'at~~crsre b, Dua to (or as a consequence o~: Due 10 (or as a consequence o~: a. 3Oa.WasanALIIopsy Performed? 3Qb. Were Autopsy Rndings Available Prior 10 Compk31ioo of Cause of Death? DYes~ 31. Manner of Dealh ~rat 0 Homicide DA.ccidenl DPeodinglnl/esliga.lion o Suicide 0 Could No! be Determined 32a. Dale 01 Irljtny (Month,day,year) Dyes ruC' 32d.TlITI801l~'Y M. 4. Del9 of Death (Month, day, year) July 31, 2007 o Nursing Home DlA9sid9nce DOther - Specify: 9. Was Decedenl 01 Hispanic Origin? ~ No [] Yes 10. Race; American Indian, 8lack, While, ele. III YO', _~ C"boo, l""WMi te MBKican, Puerlo Rican, ele.) 14. Marital Status: Married, Never Married, i d~deDr~ed ISp6c;/y) Did Decedent U\I6ina TownShip? S. Middleton TWI>. 23c. Date Signed (Month, day, year) Perfil: EnterolhersionilicantCOl'lllllorul contributlnato dealh, , tlul not resulting In the underiying cause given in Pari I. 28. Did Tobacco Use ContrI>uI:e to Dee.lh? DY" D"""""" [if'No 0 lJoknown 29.lfF~; M"" Not pregnant within past year o Pregn811tattlmeofdeath o Not pregnant, bul pregnant wlthin 42 days afdeath o Nolpregnanl,butpn~9nant43daysto1 year belOl'8death o Unknown if pregnant within the past year 32c, P\ace 01 Injury: Harne, Farm, Street, Factety, 00. Bu"'''!l, ,.,. (""",Fyi Ah-I.J p/l....!l.wt, 32g, Location 01 Injury ($I'r&et, city/lown, state) 33a. CBrtill8f (check only one) =~I:::~==n =~= ~~ ~t~W:u:~rn~h~:~~t: ~:o~~_ ~a~h_~ _C:~~ ~~ ~~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ I ... ~~~:u~~~~a~~ :~=~~:a~~7:i~~ ::ti~~:n~:::~~:ri:t;iol~=~~~~~ manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 33c. Ucens N Mod''''' ',om'"" I Co".., iY<'t'> I"'~E i On the basis of eKBmlnatJon and I or invesllgation, In my opinion, death occurred at tt'K! lime, date, and place, and due to the cauae(s) and manner as stated_ 0 ~~e ~Aj1flresso! Person Who<l'fp~pauseol~alh (lIam 27} Type/Prin! ~~~~ N,ro~I.D fn VillI"'+- (J.m-"... (U L C4-rft.J){ I ftr z w o 'J o o ~. I~ II 1d.1 [ lD I Sign~WffialS;:ri~~~ 3S" ~ DiSposition Permit No ()7 }7uJ.J LAST WILL AND TEST AMENT I, RUTH I. ADLER, of South Middleton Township, Cumberland COUl1~, Pennsyt.~ania, ,.--- --.J being of sound and disposing mind and memory, do hereby make, publish and deti~~ this to~ my' ="-'___ (-) GJ ' Last Will and Testament, hereby revoking any and all former Wills or Codicils byrii~LIDade., : - -, --.J .. / -,- 1. -) ) tJ I direct that all my legally enforceable debts, funeral expenses, testament~fxpenses EWd al~ inheritance taxes (whether such taxes may be payable by my estate or by any -;ecipient ~ any property) shall be paid from my residuary estate as soon as practicable after my decease and as part of the administration of my estate. My personal representative shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. 2. I give, devise and bequeath all of my estate, whether real, personal or mixed property, whether tangible or intangible, and wherever situated, in three equal shares, unto my children, DONNA M. STINE, RICHARD E. ADLER and DORIS JANE ADAMS, absolutely. 3. I nominate, constitute and appoint my said children, DONNA M. STINE, RICHARD E. ADLER and DORIS JANE ADAMS, or the survivors of them, as Executors of my estate. 4. I direct that my personal representatives shall not be required to file a bond to secure the faithful performance of their duties in any jurisdiction. 5. I authorize and empower my personal representatives, in their sole and absolute discretion, to purchase or otherwise acquire and retain any investments or any property of any nature which I own at my death; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in regard Page 1 of 3 Pages l~ ~ a. R.I.A. to any or all property of any kind forming a part of my estate for such terms and such prices as they may deem advisable; to borrow money for any purposes connected with the protection and preservation of my estate; to mortgage or pledge any real or personal property forming a part of my estate or to join in or secure the partition of same; to compromise any claims or demands of my estate against others or of others against my estate; to make distribution in kind and to cause any share to be composed of cash, property or undivided fractional shares in property different in kind from any other share; to employ agents, attorneys and proxies and to delegate to them such power as my personal representatives consider desirable and to pay reasonable compensation for such services as may be rendered by such agents, attorneys and proxies; and to execute and deliver such instruments as may be necessary to carry out any of these powers. In addition, I direct that my personal representatives shall have the power to conduct an inventory of any safe deposit box necessary to the administration of my estate. IN WITNESS WHEREOF I have hereunto set my hand and seal this 29th day of November, 2006. ~ ~ ~ (SEAL) Ruth I. Adler SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed our names as witnesses thereto, in the presence of the said Testatrix and of each other. / - )~]! "/'^- ~/ U ~ Page 2 of 3 Pages COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) I, RUTH I. ADLER, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~~~ Ruth I. Adler Sworn or affirmed to and acknowledged before me b UTH I. ADLER, the Testatrix, this 29th day of November, 2006. Notary Pu ~ COMMONWEALTH OF PENNSYLVANIA Notarial Seal Sharon E. Bloom, Notary Public North Middleton Twp., Cumberland County My Commission Expires Aug. 5, 2010 Member, Pennsylvania Association of Notaries ) : SS. COUNTY OF CUMBERLAND ) We, Nfl. QDDrn and ,5L/.-<an L. W- the witnesses whos names are signed to the attached or foregoing instrument, bei g duly qualified according to law, do depose and say that we were present and saw RUTH I. ADLER, the Testatrix, sign and execute the instrument as her Last Will; that the Testatrix signed willingly and that the Testatrix executed it as her free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of the Testatrix, signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. COMMONWEALTH OF PENNSYLVANIA /~ / / ..~ 6ress . /15Q tnni. AX ~~/3 Address ;;;2/00 L",.~5 ;;'c, v:J l2oc..J &,-I.",,{e- PA 1'7013 , Sworn or affirmed to and subscribed before me J Page 3 of 3 Pages COMMONWEALTH OF PENNSYLVANIA NotarIal Seal Sharon E. Bloom, Notary Public North Middleton Twp., Cumberland County My Commission Expires Aug. 5, 2010 Member, Pennsylvania Association of Notaries C:\Office - Estate Planning\10597.! will.doc