HomeMy WebLinkAbout10-15-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
Estate of Russell E. McCartney
also known as
CUMBERLAND
COUNTY, PENNSYLVANIA
File Number 21- 01 - OCt cll..o
, Deceased
Social Security Number
198-32-9409
Mary L. Tletbohl
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
l!I A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the executrix
last Will of the Decedent, dated 10/28/2005 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.; pedente lIIe; durante absentIa; durante mmori/ate)
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.)
I Name Relationship Residence I
.- ,
(--) ,co"
(COMPLETE /N ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residen:clist--
863 HIII.lde Drive, Camp Hili, Wormley.burg, Cumberland, PA 17011 C "
(List street address, town/city, township, county, state, zip code)
Decedent, then
66
years of age, died on
09/1412007
-} ,I
at Holy Spirit Hospital, East Pennsboro Townshlp,CUmberlana'County, PA
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Decedent at death owned property with estimated values as follows:
(If domiciled in PA) 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
.-
<'$,000.00
$
$
$
$
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:
Signature
Mary L. Tletbohl
Typed or printed name and residence
863 Hillside Drive
Camp Hili, PA 17011
717-763-1737
Form
Rev. 10-13-2006
Copyright (c) 2006 fonn software only The Lackner Group, Inc.
Page 1 of2
Oath of Personal Representative
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COMMONWEALTH OF PENNSYLVANIA
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
. est~
before me this _\ day of
~
f Ir~ '}~
Mary L. Tletbohl
Signature of Personal Representative
Fo'th. R.""., ~ SI,"'/we of""""'''__
File Number: 21- 0'1- a 2..Lo
Estate of Russell E. McCartney
, Deceased
Social Security Number:
198-32-9409
Date of Death: 09/1412007
AND NOW, ~'-' \ '6: , (Q()()"1 , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Mary L. Tletbohl
in the above estate
and that the instrument(s) dated 10/28/2005
described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters............................................ $
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Short Certificate(s)........................ $
Renunciation(s)............................. $
Attorney Signature:
\'D\\\
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~in-s-v
Attorney Name: Edward P. Seeber
Supreme Court I.D. No.: 76084
James, Smith, Dletterlck & Connelly, LLP
Address: Suite 204, 5020 Ritter Road
Mechanlcsburg, PA 17055
Telephone:
E-Mail:
717/533-3280
eps@Jsdc.com
Form RW-02 Rev. 10-13-2006
Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 2 of 2
Hill" <..:/1" r~I.:\, /11' i"'"
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 13858368
Certification Number
"'
REV 1112006
, PAINT IN
.4ANENT
CK INK
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.
!hn- ft; ~.sEP 11 ZOO~
Local Registrar Date Issued
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COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS
CERTIFICATE OF DEATH
(See Instructions and exemples on reverse)
.r-
1. Name of 0ecedenI (Firsl, nlddle,las1, sufIIx)
Russell
5. Age (Last BirthdaYI
66
.r:-
STATE FILE NUMBER
Yr>.
6. Dale 01 BIr1h (Monlh, day,
7. IIlrthplace (Cilyer<lstete or
York CO., PA
Sept. 17, 1940
ad. FadlI1y Name (II nol nslllu1ion, give _ and numbe<)
~I-+C:,-\
Cumberland
E. Pennsboro Twp.
\-\-0)
sprY-I-\"
13. Decedenrs Eduoallon (Specily on~ higheSI gIllde compleled)
Elementary I Secondary (0-12) College (1-4 Of 5+)
12
11. Oeoedenrs Usual
KindofWorl<
Auto Instructor
. 16. Decedenfs Mailing Addf88S (Street, City flown, stal., zip code)
863 Hillside Dr.
Hill PA 17011
12. Was Decedent ever in the
U.S. Armed Forces?
KK.. DNa
Decedent's
ActulU Residence 17a. Slate
17b. County
PA
Cumberland
19, Mother's Name (First, middla, maiden surname)
Anna Lehr
-4. Date of Death (Monlh, day, Year)
--: -t-el\A-bE'v IY I 2-GCl"i
10. Race: American Indian, Black, WMe, etc.
(SP<<ifJ1
Whi te
14. Marital Status: Married, Never Marrted,
WIdowed, DiYon:ed (8pe<if)1
Divorced
Did Decedent
Live in a
Township?
l7c. 0 Yes, Decedent Lived in
l7d. IXI No, Decedenl Uvod .....
Actual Llmlls of
Twp.
Wormlysburg
City Born
2007 Hollin er Funeral Home & Cremato
22c.NameandAddressofFedlly Myers-Harner Funeral Home
1903 Market St. Hill PA 17011
24. Time 01 Death
25. Date Pmnounced Dead (Monlh, day. year)
9.{Xj;:<M", t-ev\.\.Pe.r ILjJ2...0ui
CAUSE OF DEATH (See Instruction. and exampfee)
Item 27. Pari I: Enter the ~ - diseases, injuries. or complications -thai c:trectty caused the death. 00 NOT enter tannina! events such as cardiac arrast,
respiratory arrest, or ventricular f1bntlatlon without showing !he etiology. Ust only one cause on each .119.
:=;nl:~~~=~
I Approximate interval:
I Onselto Death
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
~M~/~
Due 10 (Of as a oQ:
b. __"":""'h.{'c'AA-
Due to (Of as a oij:
a.
:rnlito't~,~a~s.
Enter ~ UNDERLYING CAUSE
~~~~lhe
c.
Due 10 (or as a consequence of):
308. Was an Autopsy
Per1ormed?
d.
3Ob. Were Aulopay FIM<ings
Available Prior 10 Completion
of Cause of Death?
DYes 0<"
32d. TIme of Injury
31.~Dealh
~raJ D-
O Accidenl 0 P_ng Invostigation
o Suicide 0 Could Not be Determined
OVes l8i No
M.
330. Cortifler (checJ< ~ one)
Certifying phy- (Phys_ C8ftifying cause 01 death when anolher physician has pmnounced dealh snd comp_ Item 23)
To the bHtof my knowtedoe, death occurreddtle to tht cauH(l) and manner 81 ataled.. _...... _ __ _.. __ _.......... _ __ _....... _.. _..............
=,~,:=~Ion~=":~H=~~...~':.~I';",,~= manner as ateted.. __ _ _ _ _ _ _ _ _ _ __ _ _ _ _ 0
~~ ~x:"::~~= and f Of investlgetlon, In my opinion, de.lh occurred at the time, date, and place, and due to IhI caUH(I) and menner 81 stated... 0
35. Regislrar's
~
I~ Ifo{j/I/I
Disposition Permit No.
s PA
23b. License Number
23c. Dale SIgned (Month, day, year)
26. Was Case Referred to Medical Examiner f Coroner lor a Reason Other ItIan Cremation or Donation?
DYes ~o
Pari It: Enter other sianIficanl condtlnnR CMlriblllina to du1h,
but not resulting in the underlying caus&gfYen in Pari L
28. ~ T~se Contribute to Death?
~ OProbeIlly
o No 0 Unknown
29. II Female:
o Not pregnant wilhin pa~ year
o Pregnant at time or death
o Not pregnant, but pregnanl within -42 days
oIdealh
D Not pregnant, but pregnant 43 days 10 1 year
beforedelth
o Unknown if pregnant within !he past year
32<:. =:u=:~~jSlreet, Factory,
32g. locelion or Injury (Street, cily ftown, state)
Pl4-
Last Will
of
RUSSELL E. MCCARTNEY
I, RUSSELL E. MCCARTNEY, the Testator, a resident of Cumberland County, Pennsylvania,
declare that this is my Last Will. I hereby revoke all my previous wills and codicils.
Article One
Introductory Provisions
Section 1. Marital Status
I am presently unmarried.
Section 2. Children
I have one child whose name and birth date is as follows:
Names
Birth Dates
LISA MCCARTNEY
November 13, 1963
I have intentionally and with full knowledge chosen to exclude LISA
MCCARTNEY from any distribution under this Will.
The name of my deceased child is:
MARK EUGENE MCCARTNEY
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Article Two
Appointment of My Personal Representatives
Section 1. Nomination of My Personal Representatives
I appoint the following to be my Personal Representative( s) in the order of priority in which their
names appear:
MARY LOUISE TIETBOHL; THEN
GLENDA HEIGES
If, for any reason, the Personal Representative(s) named above are unable or unwilling to serve,
the next successor Personal Representative(s) shall serve in the order of priority listed until the
list has been exhausted. Unless otherwise specified, if Co-Personal Representatives are serving,
the next named successor Personal Representative shall serve only after all of the Co-Personal
Representatives cease to act as Personal Representatives.
Section 2. Waiver of Bond
No bond or undertaking shall be required of any Personal Representative nominated in this Last
Will.
Section 3. General Powers
My Personal Representative shall have full authority to administer my estate under the laws of
the Commonwealth of Pennsylvania relating to the powers of fiduciaries. My Personal
Representative shall have the power to administer my estate under the Pennsylvania Probate,
Estates and Fiduciaries Code.
Article Three
Disposition of My Property
Section 1. Estate Planning Letter or Memorandum
To the extent permitted by state law and not necessary to fully utilize my Unused Applicable
Credit Equivalent, my Personal Representative shall distribute such of my personal or household
items to such persons as I may direct by a written instrument signed by me and delivered to my
Personal Representative.
Section 2. Distribution to My Revocable Living Trust
I give all the rest, residue and remainder of my property of whatever nature and kind and
wherever located to the then acting Trustee(s) of my revocable living trust of which I am a
Trustor known as the:
RUSSELL E. MCCARTNEY LIVING TRUST,
dated October 8, 2001, and any amendments thereto
I executed said revocable living trust prior to the execution of this Last Will.
Section 3. Alternate Disposition
If my revocable living trust is not in effect for any reason, I give all of my property to my
Personal Representative under this will as Trustee who shall hold, administer and distribute my
property as a testamentary trust the provisions of which are identical to those of my revocable
living trust on the date of execution of this Last Will, or as thereafter amended.
Article Four
Death Taxes
Section 1. Definition of Death Taxes
The term "death taxes," as used in this will, shall mean all inheritance, estate, succession, and
other similar taxes that are payable by any person on account of that person's interest in the estate
of the decedent or by reason of the decedent's death, including penalties and interest, but
excluding the following:
a. Any additional to the federal estate tax for any "excess retirement accumulation"
under Internal Revenue Code Section 4980A.
b. Any additional tax that may be assessed under Internal Revenue Code Section
2032A or 2057; and
c. Any federal or state tax imposed on a Generation Skipping Transfer, as that term
is defined in the federal tax laws, unless the applicable tax statutes provide that
the Generation Skipping Transfer Tax is payable directly out of the assets of my
gross estate.
Section 2. Payment of Death Taxes
Pursuant to the terms of my revocable living trust, all death taxes whether or not attributable to
property inventoried in my probate estate shall be paid by the Trustee from my Trust. However,
if my Trust does not exist at the time of my death or if the assets of my Trust are insufficient to
pay the death taxes in full, I direct my Personal Representative to pay any death taxes that cannot
be paid by my Trustee from the assets of my probate estate by equitably prorating and
apportioning those taxes among the beneficiaries of this will.
Unless specifically provided otherwise in my Trust, all death taxes incurred by reason of assets
being transferred outside of my Trust or probate estate shall be assessed against those persons
receiving such property.
Article Five
General Provisions
Section 1. No Contest Clause
If any person or entity singularly or in conjunction with any other person or entity, directly or
indirectly, contests in any court the validity of this Last Will including any codicils thereto, then
the right of that person or entity to take any interest in my estate shall cease and the demise of
that person (and his or her descendants) or entity shall be deemed to have occurred prior to mine.
Section 2. Captions
The captions of Articles, Sections and Paragraphs used in this Last Will are for convenience of
reference only and shall have no significance in the construction or interpretation of this Last
Will.
Section 3. Severability
Should any of the provisions of this Last Will be for any reason declared invalid, such invalidity
shall not affect any of the other provisions of this will and all invalid provisions shall be wholly
disregarded in interpreting this Last Will.
Section 4. Governing Law
This Last Will shall be construed, regulated and governed by and in accordance with the laws of
the Commonwealth of Pennsylvania.
c.....~ 2 :'I
I signed"is, my Last Will, on _ J", j u Z':~3
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R SSELL E. MCCARTNEY /
ATTESTATION CLAUSE
On this
C""-;- 2 'J "'~-,-
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, RUSSELL E. MCCARTNEY, Testator, personally Published and
Declared the foregoing instrument, as and for his Last Will and Testament, in the presence of
each of us and all of us together, who, at his request, in his presence, and in the presence of each
other, also signed the said instrument as witnesses. We further state that each of us believes that
at the time he executed the foregoing instrument he was of sound mind and memory, of lawful
age, and did so execute it as his own free act and deed and not under the constraint or undue
influence of any person.
~Uil1/t1 flU} j ILl IfJljt&
WItness
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Street Address
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WItness
Cfd-."-t (~~IJI<:".. ~
Street Address
<\\~.A l J03~
City, Stat , Zip
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
We, RUSSELL E. MCCARTNEY, 6HSl1V1 (y), c.lClL\,\>OO\e. and
E[)~.I..J~'?-I-~~ , the Testator and the witnesses, respectively, whose
names are signed to the attached or foregoing instrument, being duly first sworn, do hereby
declare to the undersigned authority that we were present and saw the Testator sign and execute
the foregoing instrument as his Last Will; that the Testator signed it willingly, or directed another
to sign it for the Testator, that it was executed as his free and voluntary act for the purposes
therein expressed; that each subscribing witness in the presence and hearing of the Testator
signed the Last Will as a witness; and that to the best of our knowledge the Testator was at the
time ~f~mnd mind and memory, oflawful age, and under no constraint or undue influence.
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RUSSELL E. MCCARTNEY
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Witness
SUBSCRIBED, SWORN TO and ACKNOWLEDGED before me, a notary public, by
RUSSELL E. MCCARTNEY, the Testator, and '6J..k5aY) /'t1. Q.kU1~c:cJ~ and
'..\iD~/~. LJo.*l-"d~- \1c:",-" , the witnesses, on this GeT 2 S 2::3
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N tary Public