HomeMy WebLinkAbout09-14-07
PETITION FOR PROHA TE AND GRANT OF LETTERS
REGISTER OF WILLS OF (],lvnloe{"1 and.
l\)()lYY\O-- .). ~)-ler
COUNTY, PENNSYLVANIA
Estate of
File Number
-
a \ C)'l. C8L\~
also known as
, Deceased
Social Security Number d() q - ~ 0 - 0 5 ~ 0
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:) ./ '" _ S'I...J'> V
~ --Be - L?elo Dr a..h L, f\{? v "-^-
. A, Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the . -r ~ named in the
last lfill of the Decedent dated ~ \ t \).1 J...oo(" and codicil(s) dated ll~l -0- \ ~
(State relevant circulnstances, 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 lIlinoritate)
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Petitioner(s) after a proper sean;h has / have ascertained that Decedent left no Will and was survived by the followi~pouse (if an~nd heirs: (If
Administration, C.I.a. or d.b.ll.c.l.a., elller date of Will in Section A above and complete list of heirs.} . :-=C~ 0 -.J_
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Name
Relationship
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(COMPLETE IN ALL CASES:) Attach additio/lal sheets ifnecessary.
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Decedent, then W
years of age, died on q - 7 -f) 7 at
.t:'"'
, Pennsylvania with his / her ast prine 'pal residence ate:::,
Qn
}~/O '~no...' Sf--
N-Q.uJ 0_UV\~(I~ p,q
l/O~O-d1
$~ltJ]J,.....6l1J.w ~ 000
$
$dI
$ \ YO, 000
~:O<J ft'Y\ a.t
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
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:
h S h-ene.-K
Silver Crow .""\ Dr
ho..n )'csbLAfC YA
)70S0
Form RW-02 rev. 10./3.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
Cu..rn'a1r\cu-d
ss
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 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 \ L\ day of
c~:~
or the Register
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Signature of Personal Representative
Signature of Personal Representative
Signature of Personal Representative
File Number: ~ \ D'\ 0 % ij S;
Estate of I\j (:) ( m CL 3 0 S h <2..r
Social Security Number: . ~ 0 q aC':l 0 s 8C:>
, Deceased
Date of Death:
AND NOW, " in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters \~ "'~
are hereby granted to ~ h.., 'f'r.....h L. S~
in the above estate
and that the instrument(s) dated ~n \ \tl, d.tt:l.. 0
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters .... .1~.Q:O $
ShortCertificate(s) . .~.... $
Renunciation(s) .......... $
W'\ \\ $
~p $
~~ $
$
$
$
$
$
$
TOTAL .... . . . . . . . . . . $
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Register of Wills
Attomey Signature:
Supreme Court LD. No.:
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Attomey Name:
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Address:
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Form RW-02 rev 10,13.06
Page 2 of2
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Certification Number
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.
2wn, ./1l ~"SEP } 1 ZOp7
Local Registrar Date Issued
Fee for this certificate, $6.00
P 13858142
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1.Nomeof_tFiBl._,IB!l,sulfix)
Norma Jean Osner
5. f9J llasl Birthday) Undor 1
......
COMMONWE4LTH OF PENNSYLVANIA. DEpARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See InstructIons and examples on reverse) STATE FILE NUMBER ct \ 0 \ 0 cg l..\S""
4. Date of Oaalh (Month, day, year)
Se tember 7 2007
REV 1112006
'PRI/ITIN
>!ANENT
.CKINI<
_'s
Aduat ResIdenc:e 178. State
13. Ilecadanfs EllJcalion (5!>dY 0I1Iy higl1est g!O<la <:ompiated)
Elamantery 1 Secoodary 10-'2) Collage (1-4 or 5+)
12
PA
Cumberland
10. Race: Arnet1can lodan, Black, WMe, etc.
~te
6. Date 01 Bil1tl (Month, ,
7. Bir1hplaco(Cllyand_"
80 Vrs.
8b, CoonIy of 0ea1h
Cumberland
Aug. 22, 1927 Harrisbur
ed, Fa<IIIIy Name (~not_, ojie _and nunila<)
1810 Anna Street
11.Decedenl'sUsual
KindofWolk
Secretary
. 16.~sMaIlng_I_clly/toWn,_,zip_1
ltl10 Anna Street
. New Cumberland, PA 17070
most of 1IIe. 00 not state 12, Was Decedent ever in the
KiQd \!!JsilllSs Ilndos!lY U.s. Arrnad F"'*?
Mecnol::;cnoo.l Dis . OVas ~No
lib. County
17e. 0 Vas, 0_ LNed h1
17d.ID~~~within New Cumberland
Top.
Cltyl Boro
'8. Falllef's Name IF"', _, 1as1, dx)
Norman S. Shade
2Oa. InfO!lMl1l's Name (Typo / Prthll
Deborah L. Shenck
19. Mothe(s Name (FiBt, _, _surname)
Leah May Yocum
201>. I_s Mallng _I_I, cIIy 1 toWn, _, zip coda)
85 Silver Crown Drive, Mechanicsburg, PA 17050
21e. PIaca oll);sposilion (Nama 01 cematary, """"'lory" _ placa)
Mt. Olivet Cemetery
21d. Localion (CIIy lIown, stale, zip coda)
New Cumberland,PA1707
408 Third
llama 24-26 _ be C<Ilftpielod by parson
. who pronounces death.
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App<oxknate interval:
Onaal to Oaath
26. Old T<lI:lao::o U.. Conhibllte to Oaalt\?
o Vas OProbabIy
($ No 0-
29.~F_:
riI Not ptagnsnl wI1hh1pas1yoer
o Pregnant.. llme 01 death
o Notptagnsnl,bUlpregnant_42days
ofdeath
o Not_I, bUl pregnanl43 days 10 1 yos,
-.daaItl
o _W_IwI1hinthepaslyosr
32c. Pteca of hjuIy: Homo, Farm, _, F~,
OlllCe8<Jilding,etc.(Sp<<:iIy)
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a.
~is1",-", ish/,
to cauae IistId on Itne 8.
Er8r UMllEIlI.'IlIIG ClUSE
='~t'Y~~~~
b.
m1
e.
Due to (OT as 8 consequence of):
300. Waa an Aldopsy
-
d.
:n" Were Aldopsy Fondlngs
A_ Prior to CompIalion
of Cause 01 Doath?
oVos DNa
3Ulannar of Dasth
~- D-
O - 0 Pending InvastigalIon
o Sulclda 0 Could Not be 0atem1inad
32<1. Toma of Injury
oVas f5/.No
u.
321. ~TranoporIallonlnjury(SpocIIyI
OOrNer/Opa..", oPaaaonger oP-
Othe< . Spadty:
33b. Slgnatu,. and rllla of
32g. Locallon of Injury 1_, city 11own,_1
Idl/l~1 /1"
330. Ucansa Humber
330. CeI1ltIar I-onty one)
CorIIIyIng p/IyslOIIlll~ CO<li\ying cause 01 death"""" anothar p/1ySldan has ~ dealt\ and COIl1lllOte<1 ""'" 23) IJ! ~
Tolhabostof my -..' -- cluelolhacauae(s)andl1ll/lllO/ aslllted.._ - -- - --- - - - -- - -- - - - - - - -.- - - - - - - - r
==::t'~=~ =:::fl::::':"~':'::~IoIo':~=...nMras stetod_ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
. ='~.= wi or _Igation.ln my oplnlon, _ OCC_ allha Ilma, dale, and pIace,.nd dualo Iha cause(.) and manner IS slated.. 0
'2OQ ?
DIspoaltion Parmil No.
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LAST WILL AND TESTAMENT
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OF
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NORMA J. OSNER
C)
I, NORMA J. OSNER, declare this to be my Last Will and
Testament and hereby revoke all prior wills and codicils made by
me.
FIRST: My Executrix shall pay from the residue of my estate
all my debts, funeral and administration expenses and all estate,
inheritance, succession and transfer taxes imposed by the United
States or any state, territory or possession which shall become
payable by reason of my death. It shall not be necessary to file
any claims therefor, nor to have them allowed by any court.
SECOND: I give and bequeath the sum of Five Thousand
($5,000.00) Dollars to my grandson, COLBY A. SHENCK, if he survives
me.
THIRD: I give and bequeath the sum of Five Thousand
($5,000.00) Dollars to my grandson, RYAN A. SHENCK, if he survives
me.
FOURTH: I give and bequeath the sum of Five Thousand
($5,000.00) Dollars to my granddaughter, LEAH B. SHBNCK, if she
survives me.
LAST WILL AND TESTAMENT
OF
NORMA J. OSNER
FIFTH: I give all tangible personal property which I own and
insurance thereon, to my daughter, DEBORAH L. SHENCK, if she
survives me. I direct my Executrix to sell, or otherwise dispose
of in her discretion, any such property not selected and to add the
net proceeds from their sale to the residue of my estate.
SIXTH: I give and devise the residue of my estate, real,
personal and mixed, of whatever kind and nature, and wherever
situate at the time of my death, including any property over which
I now have or hereafter acquire a power of appointment, to my
daughter, DEBORAH L. SHENCK, her heirs and assigns forever, per
stirpes.
SEVENTH:
I nominate, constitute and appoint my daughter,
DEBORAH L. SHENCK, Executrix of this my Last Will and Testament, to
serve without bond or security, and to make distribution of my
estate in cash or in kind, or partly in cash and partly in kind,
and in such manner as she may determine. I authorize, empower and
direct her to sell and convey, by good and sufficient deed, in fee
simple estate, any and all of my real estate, at public or private
sale, for such price or prices, upon such terms and conditions, as
in her judgment is best for my estate, and to that end to sign,
2
LAST WILL AND TESTAMENT
OF
NORMA J. OSNER
seal, execute, acknowledge and deliver all deeds or other
instruments necessary therefor, as effectively as I could do if I
were personally present.
In the event such person does not survive me, or refuses to
act as Executrix, or does not complete the duties of Executrix,
then I nominate, constitute and appoint my grandson,
COLBY A.
SBENCK, as the alternate Executor, to serve without bond or
security.
My alternate Executor shall have all of the powers,
privileges, duties and immunities granted to my Executrix as
provided herein.
IN WITNESS WHEREOF, I, NORMA J. OSNER, the Testatrix, have to
this my Last Will and Testament, set my hand and seal this
~,
J?- day of April, 2006.
- i~O-.~ O>~
NORMA J. OSNER
(SEAL)
3
LAST WILL AND TESTAMENT
OF
NORMA J. OSNER
Signed, sealed, published and declared by the above named
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 hereto, in the presence of the said Testatrix, and of
each other. The preceding document consists of this and two (2)
other consecutively numbered typewritten pages.
(\
~!~~ residing at
J . J
~_~ IJroO_esiding at
~~5 t~
S~'1G0'15 /)~ fJ}-
/
4
ACKNOWLEDGMENT AND AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
:ss.:
COUNTY OF DAUPHIN
The Testatrix and the witnesses whose names are subscribed to
the foregoing instrument, being first duly sworn and qualified
according to law, do hereby acknowledge and declare to the
undersigned authority that the Testatrix signed and executed the
instrument as her last will in the presence of the witnesses, that
she signed willingly or willingly directed another to sign for her,
that she executed it as her free and voluntary act for the purposes
therein expressed, 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 that time eighteen
years of age or older, of sound mind and under no constraint or
undue influence.
.~%:~
Testatrl.x
..., ~
(A~4rbJ10J1~
Witnes
Sworn to, subscribed and acknowleqged before me by the above
named Testatrix and witnesses this \~ day of April, 2006.
COMMONWEALTH or PENNSYLVANIA
Notarial Seal
Rhonda L. Lang. Notary Public
City of Harrisburg. Dauphin County
My Commission Expires Aug. 9. 2008
~ ><~
Notary Public ~
(SEAL)