HomeMy WebLinkAbout09-21-07
Estate of
PETITIO~ FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~-tY' larJ
L, 2..2 I e /-1.;;; UTfJ
COUNTY, PENNSYLVANIA
File Number
(f c::-
~\- 0\" '6lo~
also known as
, Deceased
Social Security Number
, 7)- 2(). 0301
l'dltH)!lc:r(S), \\ ho is/arc I S years of age or older, apply(ies) for:
(COJ/PrETE 'A' or 'B' BELOW:)
c:{:.\. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
!.Lil \Vill of the Decedent dated 0 c--f" ~71 Wc.J and codicil(s) dated
~)I e cv{ _bv
I. )
named in the
...f
- "'1
"'1";
(l.)~t(/t(! reln:ant circumstances, e.g. renunciation, death of executor, etc.)
f'<.:'
Except as follows. Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the jnstIlJ~~t(s) offered
tor pr,)iJatc, was not the' victim of a killing and was never adjudicated an incapacitated person:
o l3. Grant of Letters of Administration
o
(Ifapplicable, enter: c.t.a., d.b.n.c.t.a.: pendente lite; durante absentia; durante minoritate;-J
Petitioner(s) after a proper scardl has! have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Administre/ilOlI. C.UI. or dAn C.i.a., ellt"r duie of Will ill Seetioll A above alld complete lisi of heirs.)
Name
Relationship
Residence
Decedent, then ~O
S q.':;- ))O,-n,
-, l1;)Y/
/J1/JV n Ita,j f2) ..Jtltu. Jill/Ie.-
JJA- ) /d'/J
D'ccedcnt at dcath o\vned property with estimated values as follows:
(Ifdomicilcdin PA) All personal property $ 1000-8
(I f nol domiciled in P A) Personal property in Pennsylvania $
(If not domiciled in PAl Personal property in County $ j ,
Valneofreal estate in Pennsylvania tOu.tt.e.ijtl1t1-f/'1 Wiff.., htLfht1"d) $ -ol~/O~ -;/)17". f(
MJ R 1Z [J cQC' .
situated as follows: I' ''I, tf- .. /it. , )
Wherelore, Pe1ltioller(s) respectfully request(s) the probate of the last Will and Coclicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Typed or printed name clnd residence
fY/(Io/flj I) L, {l,Q-" _f)t1)' A..br1h !YI0lYlku;U/ld AJMAI Ie. r7~1/ I
FIJm' RW-02 rev 10130r, Page I of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF
The Petitioner(s) above-named swear(s) or affim1(s) that the statements in the foregoing Petition are true and conect 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 aud..1;ubscribed
_,}6\
before me the \.Y- f day of
(1
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Signature of Personal Representative
...., ~.,
Signature of Personal Representative
()p.<t'j "go"",, 'J Pm",,1 R'pm,o,",,,'
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4~('/. RJI(
File Number: 2 \ - (), - Sloes-
l\L-L'~ \~ K~~
Estate of
, Deceased
Social Security Number: \ \ \ -L.J) - ()~C)l
Date of Death: Z - d.. C\ - 0"1
AND NOW, ~~{")~,--~,----L \ , 2US, , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters\e S:\:"'~.....~~, ~~~
are hereby granted to '\'{\o..'C '() ,--r--... '--- ~~~'\-.- '
in the above estate
and that the instrument(s) dated \ 0 - d- '\ - oS-
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
I -~<'-"'0C\v-.~ tL'v,~ __ J::sti\V>Q 'yX:
::V- " L.
Letters ............... $ Z 10 <:.:C::;
Short Certificate(s) . . . . . . . . $ L\ .00
Renunciation(s) .......... $
G..~\ \\. . .. $ \S- _CC;
0Ce ., . $ \'0. U0
(:.......~J\\)~,,~, C"", $ S. J\)
$
$
$
$
$
$
TOTAL .............. $
Register of Wills
FEES
Attomey Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Furm RW-02 rev 10.1306
Page 2 of2
LOCAL REGISTRAR~S CERTIFICATION OF DEATH
WAHNING It i:; illegal to duplicate this copy by photostat or photograph.
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13745522
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30
2007
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H105-143 REV 11/2006
TYPE / PANT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
80
Yffi.
11/6/1926
Telford
STATE FilE NUMBER
1. Name of Decedent (Rrsl, middle, last, suffix)
Lizzie
H.
Ruth
3. Social Security Number
171 - 20 -0307
4. Dale 01 Death (Monlh, day, year)
August 29, 2007
5. Age (Last Birthday)
6. Date 01 Birth (Month, day, year)
"'s'9'g Nan 6 ~ ith""M~ -;rna"t"~ich R 0 ad
DOlhac' Specify:
10. Race: American Indian, Black, White,elc.
{Specify)
White
\ .
11. Dec:edenrsusuaJ lion Kind of WOfk done dorin meslof life. Do not stale retired
Kind 01 Work Kind~Businessllndustry
Housewife
12. Was Decedent everin the
U.8- Armed Forces?
Dy" KJNo
13. Decedent's Ewcation (Specify only highest grade completed)
Elementary f Secondary (0-12) College (1-4 01" 5+)
9
14. Marital Stalus: t.4arried, Never Married,
Wro'owed. Dfvorced (Specify',
Married
- 16. Decedent's Mailing Address (Street, dty I town. state, zip code}
595 North Mountain Rd
Newville, PA 17241
Decedanrs
Actual Residence 17a,Slate
17b. Coon!)'
PlI
Cumberland
Did Oecedent
Live;na
Township?
17c. Dr Yes, Decedent Uved in
17d. 0 No. Deoedent Lived within
ActllaiUmitsof
Frankford
Twp.
1B. Falher's Name (First, middle, Iast,sullix)
City/Boro
208. Intonnanl's Name (Type I Print}
Henry S. Halteman
Marvin L. Ruth
19. Mother's!i (~~ T~' maid13earegy
59f5"","~~~g~t"'sf,'j'o\1''f{'tasrfi1"p'1r6. Newvi lle, PA 17241
21a. Method of Disposition
ve
23b, License Number
23c. Date Signed (Month, day, year)
Ilems 24.26 must be completed by person 24. Time of Death 25, Dale Pronounced Dead (Month, day, yea~
who P''''''''ces dea. S.' p M. A v ',~;r .) q J or: -7
CAUSE OF DEATH (See Instructions and examples)
Item 27. Part I: Enterthe~ diseases, Injuries, orcompfications-lhat diredly caused the death. 00 NOT enter terminaJ events such as catdacarrest,
respiraloryarresl, or ventricular rlOOllalion without showing the ellology. List only one cause on eachHne.
26. Was Case Referred to Medical Examiner I Coroner for a Reason Other than Cremation or Donation?
DYes [3'No
=~~A;~a~~~ J~~~I) disea~
Il1rtJ'C4rz.D(/,{
Due 10 (or as a consequence on: . ()
b tL'5CV
Due to (or as a consequence on:
It/Piner 1M)
Approximate interval: Part II: Enter other sianificant cooditions contributino to death, 28. Did Tobacco Use Contribute to Death?
Onset 10 Death but nol reSlIlling in the underlyillQ cause given in Part I 0 Yes 0 Probably
o No 0 Unknown
Sequential~listconditlonS,jfa,ny,
~:~~o uNe~~~Tu~~ a.
(disease or injury thaI iniliated lhe
events resultil'lg In deathl LAST.
fl /It'd f (f:. S fI1 (u..{ tvc;
r/1/<, { 4l (/8{1J~[;),n6{J
29. tfFemale:
o Notpregnanl within past year
o Pregnant at lime of death
o Not pregnant, butpregnanl within 42 days
oldealh
o Notpregnanl,bulpregnant43dayst01year
beforedealh
o Unknown if pregr\8nt wilhln the past year
32c. Place of Injury: Home, Farm, Street, Factory,
Office Building, elc. (Specify)
Due 10 (or as a consequence of)'
IctlllOllllOI
M.
JOa. Was anAlJlopsy
Performed?
DYes ~NO
3Ob. WereAulopsy Findings
Available Prior to Completion
01 Cause of Death?
DVes DNo
31. MarrofDeath
~Natural 0 Homicide
o Accident 0 Pending Investigalioo 32d. Time of Injury
o Suicide 0 Could Not be Determined
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33a. Certif"ler (chedlonly one)
CertifyIng physician (Physician certilyif1g cause of death wtl8l1 another physician has prooounced death and completed Item 23)
To Ihe besl 01 my knowledge, dealh occurred due lathe cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
~=~n~f: ~~~:~~~(::;:i:~ I~~~~~:n~::~~~rt~iol~h~~:~e(~: manner as slaled.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
~~:~;:~:~~;:= and I 01" investigation, In my opinion, death occurred at the lime, dste, and place, and due 10 the cause(s) and manner as staled.. 0
17 A 1(/
Disposition Permit No.
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LAST WILL AND TEST AMENT
OF
LIZZIE H. RUTH
I, Lizzie H. Ruth, of Newville, Cumberland County, 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 all other Wills and Codicils heretofore made by
me.
FIRST
I direct the payment of my just debts and expenses of my last illness and funeral from my
estate as soon after my death as conveniently may be done.
I direct that my remains be buried at Diller Mennonite Church, 345 Creek Road,
Newville, Pennsylvania. Ifth, re be no cemetery lot available for my interment owned by me at
the time of my death, I authorize my personal representative to purchase such cemetery lot with a
contract for perpetual care, using therefore funds from my estate in such amount as he/she shall
consider necessary and desirable, and I authorize my personal representative to cause title to or
ownership of such lot so purchased to be vested in such person as my personal representative
shall designate.
Further, I authorize my personal representative to expend funds from my estate, in such
amount as my personal representative shall consider necessary and desirable for the purchase,
erection and inscription of a suitable marker for my grave.
SECOND
A. I hereby give and bequeath the sum of One Thousand Dollars ($1,000.00) to the
Diller Mennonite Church Cemetery Fund to be used towards the upkeep of my cemetery lot.
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B. I give, devise and bequeath all the rest, residue and remainder of my estate to my
beloved husband, Marvin L. Ruth, absolutely and in fee simple ifhe survives me by thirty (30)
days.
THIRD
In the event that my husband, Marvin L. Ruth, fails to survive me by thirty (30) days,
then I give, devise and bequeath all the rest, residue and remainder of my estate as follows:
A. Ten percent (10%) of my estate shall be invested into an annuity with Eastern
Mennonite Missions of Salunga, Pennsylvania, for the following beneficiaries payable on at least
a yearly basis in equal shares in appreciation for their years of service in teaching the Christian
Message of Faith:
(i) Marilyn F. Ruth, of Shippensburg, Pennsylvania; and
(ii) Nancy L. Ruth, of Shippensburg, Pennsylvania.
B. The remaining ninety percent (90%) shall be split equally among my surviving
children:
(i) Dennis H. Ruth, of Newville, Pennsylvania;
(ii) Sharon K. Kuhns, of Chambersburg, Pennsylvania;
(iii) Joan L. Ruth, of Corydon, Australia;
(iv) Marilyn F. Ruth, of Shippensburg, Pennsylvania; and
(v) Nancy L. Ruth, of Shippensburg, Pennsylvania.
In the event any of my children predeceases me, their share shall be distributed to their
then living issue in equal shares. Should any predeceased child fail to have living issue, their
share shall be split equally among the other surviving siblings.
FOURTH
I direct that any and all inheritance, estate, and transfer taxes imposed upon my estate
passing under this Will or otherwise shall be paid out of the principal of my residuary estate.
2
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to
FIFTH
In addition to the powers conferred by law, I authorize any personal representative acting
under this instrument, in his or her absolute discretion:
A. To retain in the form received, or to sell either at public or private sale any
real or personal property;
B. To exercise any options to subscribe for stocks, bonds, or other investments;
C. To join in any plan oflease, mortgage, consolidation, exchange,
reorganization or foreclosure of any corporation in which my estate or any trust may hold
stocks, bonds or other securities;
D. To sell, transfer, convey, mortgage, pledge, lease or exchange any property,
real or personal, which at any time may form part of my estate, for the payment of debts
or taxes, or for any purpose of administration or distribution, for such prices and upon
such terms as my personal representative, in his or her sole discretion, may deem wise,
and to execute and deliver deeds of conveyance or transfer thereof;
E. To make settlements and compromises on such terms as my personal
representative in his or her sole discretion may deem wise without the necessity of
obtaining any court approval thereof;
F. To make distribution hereunder either in cash or kind, as my personal
representative in his or her discretion may deem wise.
SIXTH
I do hereby nominate, constitute and appoint my husband, Marvin L. Ruth, to act as
Executor of this my Last Will and Testament. Provided, however, that ifhe is unwilling or
3
~
unable to act as Executor, I direct the duties of Alternate Executor to be performed by Dennis H.
Ruth.
SEVENTH
I direct that no personal representative, guardian, trustee or other fiduciary appointed
under this instrument shall be required to give bond for the faithful performance of their duties in
any jurisdiction.
IN WITNESS WHEREOF, I, Lizzie H. Ruth, have hereunto set my hand and seal to
this my Last Will and Testament, consisting of five (5) typewritten pages, the first three (3) of
which bear my signature in the margin for identification, this :Jr;4L day of O(+{)t:x~ ,2005.
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. '.e./fi. ( '<!'~
Lizzie. . Ruth
Signed, sealed, published and declared by the above-named Lizzie H. Ruth, 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 thereto, in the presence of said Testatrix and of each other.
~~a.~ ADDRESS
--t~/&JIA). ~~ ADDRESS
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S~e~8-U--)PtL 1101.D
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51'-f~(j)a1v t4 /7090
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COMMONWEAL TH OF PENNSYL VANIA
COUNTY OF PERRY
We, Lizzie H. Ruth8a-~~. ~~ and nr~l(}, ~i~~ , the Testatrix and
witnesses, respectively whose names are signed to the foregoing or attached 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 and that she signed willingly and that
executed as her free and voluntary act for the purposes therein expressed, and 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 the time eighteen (18) or more years of age, of
sound mind and under no constraint or undue influence.
L~.Ar~thN~~~/
.~IO-~
.<laLIA. t1 ; Rd~,.v;Witness
~
Subscribed, sworn to and acknowledged before me 1;>;, Lizzie H. Ruth, the Testatrix, and
subsc:i~:d !9W,d sworn ~r affirmed ~o before me bY~, _ 'Y> f!; ;}/Is/)f)//se and
"StaClulI ./lfr, WItnesses, thIS :LL day of 't:v~ 2005.
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-' '0 ary Public
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Sallie Allshouse, Notary Public
Carroll Twp., Perry County
My Commission Expires Mar. 29', 2008
5