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HomeMy WebLinkAbout08-29-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA also known as FileNumber~ I-Ol-O~O;L Estate of BONNIE H. ROSE , Deceased Social Security Number 206-32-0747 Petitioner(s), who is/arc 18 years of age or older. apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) [{] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / arc the CO-EXECUTORS last Will of the Decedent dated AUGUST 16,2007 and eodieil(s) dated '... ) c .; named in the; "II (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 ofthe:;i~sirumellt(s) offered for probate, \vas not the victim of a kiJling and was never adjudicated an incapacitated person: _oj '_-':J o B. Grant of Letters of Administration C', (lfapplicable, enter: c.I.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 db.n.c.t.a., enter date of Will in Section A above and complete list ofheirs.) Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in CUMBERLAND 27 FAIRFIELD STREET, CARLISLE, PA 17013 (List street address, townleity, township, county, state, ~ip code) County, Pennsylvania with his / her last principal residence at Decedent, then 65 years of age, died on AUGUST 22, 2007 at CARLISLE REGIONAL MEDICAL CENTER Decedent at death owned property with estimated values as fiJllows: (I I' domiciled in P A) All personal property (lfnot domiciled in PA) Personal property in Pennsylvania (lfnot domiciled in PAl Personal property in County Value of real estate in Pennsylvania $ $ $ $ 25,000.00 125,000.00 situated as follows: 27 FAIRFIELD STREET, CARLISLE, PA 17013 Wheret(lre, Petltioner(s) respectfully request(s) the prohate of the last Will and Codlcil(s) presented with this Petition and the grant of letters in the appropnate form to the undersigned T ed or rinted name and residence CYNTHIA L. DARR 7 HAMILTON ROAD, CARLISLE, PA 17013 JODI L. WHISTLER 134 HASSINGER ROAD, NEWBURG, PA 17240 Form RW-02 rev. 10.13.06 Page I 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 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. Sworn to or affirmed, and subscribed /) Cyf U before me the (;1\ day of a~* . (}..C01 , ,-,0' L~ ~ QA..~ ~J CJcPXt-(j I For the Register Signature of Personal Representative r.- "'\ File Number: c:l\-C;l-O\50a. 1 _C~) (.\ Estate of BONNIE H. ROSE , Deceased Social Security Number: 206-32-0747 Date of Death: 08-22-2007 AN D NO W, Cl~ 8c'1 ,CJci:) 7 , ; ",o",;d"at;oo of Ihdo"go;og P"tltoo, "'t,,,oto'1' pmof having been presented fore me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to CYNTHIA L. DARR and JODI L. WHISTLER in the above estate and that the instrument(s) dated AUGUST 16,2007 described in the Petition be admitted to probate and filed ofre~or& ~s the la,;;t Will ~lind Codicil(s)) ofpecede?t. ~!.. J , '\ IJ.\ ,.' . FEES i ".{ ~nOlo- lL{, Register 0 Letters ............... $t9LQO .CD [fO ()) Attorney Signature: Short Certificate(s) . . . . . . . . $ Renunciation(s) .......... $ W\\\ $ IS-.~ , \CP $ \0 LV C' ~A~ -t ~L'CJ(()'f'..-; $ C:-~ <-50 $ $ $ $ $ $ TOTAL ........ . . . . . . $ Attorney Name: WILLIAM A. DUNCAN Supreme Court J.D. No.: 22080 Address: 1 IRVINE ROW CARLISLE, PA 17013 Telephone: 717-249-7780 -2:,'::' ~.()() Form RW-II] rev. 111.13.116 Page 2 of2 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this coPy bV photostat or photograph.. "\ f ~ r;":':"+"~>/':-> , . ", , . \ \\ lJ~ iJ. " ".;I~\-"'\. ^f'I;/:, ""l' 11\ ",\1'1\.'<1'1 \I, dill 11.i1 (l'lliI.,. ", ,:;j ~.'~'" .1..1\ i;il.J Ilil 'Ih .' I "".i1 J(,'!-I'(I,II "1\" ~~..... ?~~ ,,'lllihilL \dl 1)1.. lIQ\\dltlll.! tl\ lJh \t 2t:::) ..,., z~ ~(.; i;~ h~ I.!,', 'II1,,! )11" ~ I,), f),,'li!L1J1L'11! 111111P : .) ~ "~J,f~~ . 10 ,~" \% ~~,"~.-." AU~' 24 o 41), ~~ '" fJ q' '---"'IIi1[I-(\\~" " ~~_ _ _~ ___ '-(--,~ .,..~( ~ ,\ II\) J' d ----...-. I - ,)", ,d \.l ~ ' 1 l'I'iI' , !\I i..L"!:I\ It"l,L! Jill" Illi'\lnlLl!!I,;!i I)" p 13745438 2007 -~.~.1 ~~-'~~. (~ j , ~ ..- !~,) . -'",\ '"'...J \ () r ~ \'1.-- H105-H3 REV 11/2006 TYPE I PRINT IN PERMANENT BLACK INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) (.'1 C'l 8b COUfllyol Death 80. Fac:ililyName (II not ins!i1u!ion, give slreet and number) STATE FILE NUMBER 1. Name 01 Decedent (First. middle, lasl, suffix I v" BONNIE H. ROSE 6. Date of Birth (Month, day, year) 32-0747 2007 5. Age {lasl Birthday) 65 Augu s t 29, 1941 Carlisle, Pa o Nursing Home 0 Residence OOthe!. Specify 9 Was Deceden! 01 Hispanic Origin? KJ No 0 Yes 10. Race: American Indian, Black, White, elc. (ll yes. specifyCubarl, (Specify) Mexican, Puerto Ricarl, elc.) Wh i t e Cumberland Carilsle Regional Medical Center 11. Decedent's Usual Occu alinn Kind ot work done duri mosl 01 worki life. Do i'lOt slate refired Kind 01 Work Kind of Business I Irrdustry Secretar Manufacturin - 16. Decedent's Maiting Address (Street, city Itowrr, state, zip code) 27 Fairfield Street Carlisle, Pa 17013 12. Was Decedent ever H'I the 13. Decedent's Education (Specify only highest grade completed) 14. Marital Status: Married. Never Married, U.S. Armed Forces? Elementary I Secondary (0-12) Coilege (H or 5+) Widowed, Divorced lSpecify) Dv" IK]No ------12----- ------------- Widowed Decedent's Actual Residence 17a. State t7b. Counly Pennsylvania Cumberland Did Decedent li....eina Township? 17c.89 Yes, Decedent lived in South Middleton t 70. 0 No, Decedent Lived within ActualUmitsof Twp 18. Father's NamelFirsl, middle, last, suHI~) Vnaldra D. Hockenberry Cily/Boro 20a. Informanl'sName (Type/Prinl) Cynthia Darr 19. Mother's Name (First, middle, maiden surname) Dorothy Penner . ~ { 20b. Informant's Mailing Address (Streel, city I town, state, zip code) 7 Hamilton Road, Boiling Springs, Pa 17007 o ~ ~ ~ < 't 21c. Place o~ Disposition (Name of cemetery, crematory Of other place) 21d.localion ICity/town, state, zip code) Hollinger Fnneral HarE & Crematory Inc. 22c. Name and Address of Facility Mt. Holly Springs, Pa 17065 Ronan Funeral HarE 255 York Road, Carlisle, Pa 17013 I-I./>O 7Cr3 Z L L U1J 23b. License Number Items 24-26 must be completed by persOfl whoprollOUncesdeath. 26. Was Case Referred to Medical Examiner I Coroner for a Reason Other than Cremation or Donation? CAUSE OF OEATH (See instructions and examp es) Item 27. Part I: Entel the ~ - diseases, injuries, or comp/ications- that directly caused the death, DO NOT enter terminal events sl.lGh as cardiac arrest, respiratory arresl,orventricularlibrillation wilhoul showing the et iology. List ooly Of18 cause on each line ~~~~~:;e~&t~n~~~ ~~~\ dise~ Appro~imale inlerval: Onset to Death DYes ~o Part II: Enter other sionificant conditions r.ontrltxJtino to death, 28. ~ Jibacco Use C01ltribule \0 Death? but nol resultirlg in the underiying cause given in Part 1. GIVes OPrOOably o No 0 Unknown 29. If Female o Not pregMntwithin past year o Pregnanl at time of death o Not pregMn!,but pregnant within 42 days 01 death o Not pregnant, but pregnanl 43 days to 1 year beloredeath D Unknown ilpregnant within the pasl year 32c. Placeo/lnjury: Home, Farm, Street, Factory, Office Building, etc. (Specify) Dv" Q(No DYes [;}'No 31. MannerotDeath [U.1faiural o Homicide o Accident DPendinglnvestigalion o Suicide D Cooid Not be Determined 32d. Tlmeo!lrrjury oJ Sequentiallh list condhioos, d any, ~~1~~~~0 JNeD~~r~I~~e~~U~Ee a (diseaseorinjurythatimtiatedlhe evenls resuNlngIn deatlJ) LAST. '1 o c:L .J 30a.WasanAutapsy Perfol'lTllld'J JOb. Were Autapsy Findings A....ailable Prior to Completioo o!Causeof Deatt1? M. (i::) 33a Certilier(check onlyonej Certifying physician IPt1yslcian certifying cause of death when another ph ysician has pronounced death and completed Item 23) To Ihe besl or my knowledge, death occurred due tathe cause(s) and manner as stated.- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D ~~~~u:~~~la~~ ~~~=~hJ:~~~a~c~;:r:~~ t~:~,~~:~:n~n~e;'~C~~~~~~nio!~hc:~~:;~(~~a~~~ manner as statecL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 Medical E~amlner/Coroner On the basis of examinalion and I or invesligalion, in my opinion, death occurred at the time, date, and place, and due 10 lhe cause(s) and manner as steted_ 0 1j,llldlllOI DispOSition Permit No LAST WILL & TESTAMENT I, BONNIE H. ROSE, of 27 Fairview Street, Carlisle, Cumberland County, Commonwealth of 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 any and all other wills and codicils heretofore made by me. C_~) ~:;=J -..J FIRST. I direct that all my just debts and funeral expenses be paid from my~l<tstate ~~ soon after my death as practically and conveniently may be done. . , r) \. .~: SECOND. I direct that my remains be cremated and disposed of by my familyin a~~Drd with my expressed wishes. !.') rF! THIRD. I authorize my personal representative to expend funds from my estate, inc~uch amounts as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. FOURTH. I give, devise and bequeath all of my estate of whatever nature, be it real, personal or mixed, and wherever situate unto my children: JODI L. WHISTLER, CYNTHIA L. DARR, BRENDA L. ROSE and ROBERT L. ROSE, JR., in equal shares, per stirpes. FIFTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my estate passing under my will or otherwise, shall be paid out of the principal of my residuary estate. SIXTH I hereby nominate, constitute and appoint JODI L. WHISTLER and CYNTHIA L. DARR as Co-Executors of this my Last Will and Testament I hereby relieve my Co- Executors from the necessity of posting security in connection with their duties, as such, in any jurisdiction in which they may be called upon to act insofar as I am able by law to do so. In addition to the powers conferred by law, I authorize my Co-Executors, in their absolute discretion, to retain in the form received, and to sell either at public or private sale any real or personal property owned by me at the time of my death. SEVENTH. If any of the beneficiaries of this, my Last Will and Testament, shall be under the age of Twenty-Five (25) at the time of my death, then any portion of my estate in which they share shall be held in trust for them with ROBERT L. ROSE, JR. as Trustee. The trusteeship shall end when the child attains the age of twenty-five (25) years. As Trustee, ROBERT L. ROSE, JR. shall provide for the care, maintenance and education of said children and shall from time to time use either principal or income from the inheritance to provide for these needs. EIGHTH. I have made, or may from time to time make, a written memorandum expressing my desire to give certain items of personal property to specific persons. I urge my Executor and beneficiaries to respect these wishes. Such a memorandum, if made, shall be stored in conjunction with this Will. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Wi Testament, consisting of two typewritten pages this ,It? day of ,2007. /~ ,~/l1J BONNIE H. ROSE t:\ {(i/P-- I Signed, sealed published and declared by the above named Testatrix BONNIE H. ROSE as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence and in the sight and presence of each other, have hereunto subscribed our names as witnesses. V\}-t'Y ' . Ii', I : 'i (IA. 1 /\. . / / \, / \ .,/ '/ -- ~p~ f/ '--"-'-- COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND I, BONNIE H. ROSE, 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. p~ fI f(~ BONNIE H. ROSE Sworn or affirmed to and acknowledged before me, by BONNIE H. ROSE this J (g day of {\." . j ,2007. llU~ U~)I ci~~iC d Jt)t\i'm,moJ No'nul SnI Kathy L. Mwnmert, Notary Public Carlisle Borough, Cumberland County, PA My Commission Expires August I I, 201 I COMMONWEALTH OF PENNSYLVANIA :SS. COUNTY OF CUMBERLAND We, \V;tlt~m. f\' D0~\(Qll and -SOOC\ 1) f\-dums the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw BONNIE H. ROSE sign and execute the instrument as her Last Will; that she signed willingly and that she executed 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 eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. ~ ~\ '\ () \ ) I / ' / "---- ~-,,,..,_. ~/)/~ (J Sworn or affirmed to and subscribed before me by Lv (' I ! (' OJ"(\ A DuV\. (oJ\. and -S dO (\D f-\1CA IA:9 , witnesses, this 16 day of P\U5 i)") (' ,2007. <~ c} rY\~. Notary ~ NofariaI Seal Kathy L. M1IDmert, Noeary Public: Carlisle Borough, Cumberllnd County, PA My Commission Expires August 11,2011