HomeMy WebLinkAbout10-15-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CwrJl3-en.1 ArtAJ
COUNTY, PENNSYLVANIA
Estate of F ~ L 5 WR Yl?€ Il
also known as
File Number
2.J -01- OqJ..~
, Deceased
Social Security Number j 72.<2 ({ - ') (?0 ()
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
~. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the s-T'E'f ~e ~ \). ~A
(' ~t';"illoftheDecedentdated Jj-/5c'- ~O2.. andcodicil(s) dated {o-8-(j7
named in the
:" ]
(State relevant circumstances, e.g., renunciation, death of executor, etc)
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o B. Grant of Letters of Administration
\l
(If applicable, enter: c.t.a.; d.b.n.c.t.a.: pendente lite; durante absentia; durd)lt~Jijinoritate)
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Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following'spouse (if any)11Nfrl 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.) 0
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets ifl1ecessary.
Decedent was domiciled at death 111 {; i4/YJ/3 e ~ LI/ .-v 01_ County, Pennsylvania with his / her last principal residence at J r; 1\J \
W I"J L;z.e..rr ~ m eO.u=j (), j C S e l.A I? ~ ~ t\. I 'J 0.1" s-'
(List street address, townleity, towns/lip, counly, state, zip code)
Decedent, then
7'8
years of age, died on
I (}-'~~(j 7
at /-'0 Lbl Spj~it-' f-Io<(pftliL
~
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 P A) Personal property in County
Value of real estate in Pennsylvania
$ Zx:J(J 0
~~
$ ~
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:
T ed or rinted name and residence
Form RW-02 rev. /0./3.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
SS
COUNTY OFCl4mt5~R L f\(Ve~
The Petitioner(s) above-named swear(s) or affim1(s) that the statements in the foregoing Petition are true and con-ect 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 \ 6 day of
Signature of Personal Representative
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Signature of Personal Representative
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File Number: :2/- () 1- 0 CJ 1-7
Estate of r-o.~ L S\.)..)o....."'Jt. y- , Deceased
Social Security Number: /, L - 24 - q~{ 0 D Date of Death: \D -~ - Dl
AND NOW, C:t.~br- \5 ,,;2.001 ,in consideration of the foregoing Petition, satisfactolY proof
h"'og b"o p",,"'ed bd"" m,. IT IS DECREED.Jhal, L~illA Q.14
are hereby granted to .s~...l-....-I J) ~ ~ ..J
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in the above estate
and that the instrument(s) dated II-Lv . (:>.;l.
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent
Letters ....... _ . . . . . . . $ 20. 00
$ d4 .ffi
$
$IS-.OO
$ID.OO
$ -5 _ ('0
$
$
$
$
$
$
TOTAL .... . . . . . . . . . . $ r"].,.. OD
Attomey Signature:
FEES
Short Certificate( s) . . . . . . . .
Renunciation(s) ..........
iA.)"~
-X'P
~"NX\..:bU'i'-
Attomey Name:
Supreme Court I.D. No.:
Address:
Telephone:
FOr/n RW-02 rev. /0./3.06
Page 2 0[2
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fcc for this certificate. $6.00
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 origi?al
certificate will be forwarded to the State Vital
Records Office for permanent filing.
P 13823304
-/..........:._7(~~ '''LId /if7
'tocal Registrar Date Issued
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Hl05.143 REV 11/2006
TYPE I PRINT IN
PERMANENT
BlACK INK
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1. Name of Doctdenl (FilII. midde, last. soItixl
COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
STATE FilE NUMBER
v"
Fay L. Swanger
5 Ag& ILasl Blfthday)
6. Dale 01 Birth (Month, da, ear)
3,SocialSecurily~
172 -24 .8860
78
I onel
Mlllerstown, Pa.
8b County 01 Death
Cumberland
II. Decedent's Usual ten Kind 01 work dooe dutifl most 01 life Do f10l stale ,ewed
MaJ~t;~~e Ed~~Uatr~~try
. 16 Decedent's Mailing Addres.s (Street, city I to.n, state, lip code)
15 N.Walnut Street
. Mechanicsburg, PA 17055
14. Marit81 Status: Married, Never Married,
W""",..._CSpeciI>>
Widowed
17,1. Stale
PA
Cumberland
17c. 0 Yes, Decedent lIVed in
tfo.D No,Oe<edeml...._
Actual LmIs 01
Mechanicsburg
Top
17b.County
18 fathef"s Name (First. midlle, lasl. sutlixl
Charles Grubb
19, Molher's Name (First. midde, maiden swname)
CJIy 1 Bon>
20a lnlormanl's Name (Type I Print)
Eva Meloy
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Kenneth Baughman
20b kllormanl'5 Mailing Addreu (Street, city I klwn, slaJe. Z4l code)
15 N. Walnut Street Mechanicsburg, PA 17055
21c. Place of Oisposilioo (Name oj ce~ery, cremalofy or other place)
Rolling Green Memorial Park
21d. location (City I town, stale, zip rodel
Camp Hill, Pa. 17011
22c. Name and Address of FaciIily
Myers Funeral Home, Inc. 37 East Main Street Mechanlcsburg, PA 17055
23b. license Number
230 """ "'good CMonth. day, yeN)
hems 24-26 must be compleled by person
Who prooounces death I.
24. Time of Death
~
25, Dale P""","""" ,"' (MonIh, day, ,eat)
300 AM /' eJ I Y ( Luu 7
CAUSE OF DEATH (:SH tnetrucUone enet. examplee)
hem 27 Part I. Enter the ~ - c1iS&aS6S, irpies, Of compIicalioos ~ Ihat directly caused the death. 00 NOT enter terminal events sucn as cardiac arrest,
respiralOly arrest, or ventricular titlrillfllion without showing the eliology. l~ only one cause 00 each line
=~J=~d::ldise::.
. C1'l"tt.'op~lLu.eWl \U.j 1n~Qt<;J-
Doe 10 (or as a consequence 01): ~
C~
Due to (or as a consequence ofl. r;;
fbl~~~J:!",tC '1\)12D
26. Was Case Referred 10 MedtcaI Examiner I CorOfllr lor a Reason Other than Ctemabon or Donation?
o V., ~
. Approximate ifllervat: Part U: EI\Ie( other sianificant coodiIiM.<: COOIlibI:ainn 10 dBaI:I 28. Did TClbacco Use ContribuIe 10 Death?
Oosel 10 Dealh butflOtresullioginlheundtrtyingca\J$8~inPartl 0 Yes OProbabIy
o No 0 Unl<nown
;tC; I
") ~ )<<l<Jr
,):;1yHi >e
29. "Female
o NoIpregnantWltllinpastyear
o PrE9\8fllallimeoldealh
o NoI pregnant, bot pregnanl wiIhll1 42 days
.......
o NoIpreW\iOl,buIpregnant43dayslO I year
o ~~pritgl'WltWiVllnrn.P"IYW
J2c. Place of Injury: Home, Farm, SCrael. Factory.
O'''"llu<<lng,el<.(SpeafyJ
Sequenlialtv IaiI condibons, i any,
IeadinQtohcauS6lstedonkne a.
Enter.... UHDERlYWG CAUSE
~=~e~~~r~re
d.
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o 'os I)LNo
D'es DNo
31. MannetolDealh
~NalUral OtiomJcide
o AcCldenl 0 Pending IrwesligaUon
D SUICide 0 CQI.Md Nol be Oolonnined
32d Time of tn;ury
32li1localion of ~ (Street. city I town, state)
3OMWuanAutopey
Pel1ormea?
JOb ..... "'-' '''''''os
Available Prior 10 COmplellon
olCauseofDeaIh?
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O"po'''''' p"", No (J () /, ..{ y :? '7
LAST WILL AND TESTAMENT
OF
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FA)(L~ S\\fAN6t!R
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I, FAY L. SWANGER, of Mechanicsburg, Cumberland County,
Pennsylvania, being of sound 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 debts and expenses of my last illness and funeral
from my estate as soon after my death as conveniently may be done. I direct my
personal representative to have my remains interred in Rolling Green Cemetery, Camp
Hill, Pennsylvania.
Further in this connection, 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.
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SECOND
If at the time of my death I own my residence, located at 15 W. Walnut Street,
Mechancisburg, PA, I devise this real estate to my nephew, Stephen D. Baughman. If
my nephew predeceases me, then the real estate shall be distributed as part of my
residuary estate in the provisions of the next Item THIRD, second paragraph therein.
THIRD
I give, devise and bequeath the rest of my estate whether the same be real,
personal or mixed and wheresoever situate, as follows: One-half (1/2) to my nephew,
Stephen D. Baughman and one-half (1/2) to my nephew, Thomas E. Baughman.
If my nephew, Stephen D. Baughman is not living at the time of my death, then
I give, devise and bequeath the rest of my estate as follows: One-half (1/2) to my nephew,
Thomas E. Baughman; and one-half (1/2) to my sister, Sandra Baughman.
If my nephew, Thomas E. Baughman, is not living at the time of my death, then
I give, devise and bequeath the rest of my estate to my nephew, Stephen D. Baughman.
If both my nephews, Stephen D. Baughman and Thomas E. Baughman,
predecease me, then I give, devise and bequeath the rest of my estate to my sister,
Sandra Baughman.
FOURTH
In addition to the powers conferred by law, I authorize my personal
representative, in his or her absolute discretion:
A. To retain in the form received and to sell either at public or private sale, any
real or personal property; and
B. To manage real estate; and
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C. To invest and reinvest in all forms of property without being confined to legal
investments and without regard to the principal of diversification; and
D. To exercise any option or rights arising from ownership of investments; and
E. To compromise claims without court approval and without the consent of any
beneficiary, but not limited to claims by the Commonwealth of Pennsylvania with respect
to inheritance taxes on any future interest passing under this will.
F. To continue the operation of any business that I may own at the time of my
death for the period of time and in the manner that he, she or it considers advisable and to
be in the best interest of my estate, or to sell, or to liquidate the business at the time and
on the terms and conditions that he, she, or it considers advisable and in the best interests
of my estate.
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 nominate, constitute and appoint my nephew, Stephen D. Baughman, as
executor of this my Last Will and Testament. In the event of the renunciation, death,
resignation or inability to act for any reason whatsoever of my nephew, I nominate,
constitute and appoint my nephew, Kevin C. Baughman, as personal representative of
this my Last Will and Testament. I hereby relieve my personal representative from the
necessity of posting security in connection with duties as such in any jurisdiction in which
3
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my personal representative shall be called upon to act insofar as I am able by law to do
so.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last
Will and Testament, consisting of 5 type-written pages, the first 3 of which bear my
signature in the margin for the purpose of identification this
~
day
of Ii/ /'J t / ~/17 f3 e R..
,2002.
'4~ 'j \5~~
FA Y L. SWANGER
SIGNED, SEALED, PUBLISHED AND DECLARED by FA Y L. SWANGER, the
above named Testatrix as and for her Last Will and Testament, in the presence of us, who
at her request, in her presence and in the sight and presence of each other, have
hereunto subscribed our names as witnesses.
.~o
of Y6RV- S-PlL'(rS' P.ri (737,<-
of ~d/./-/lhlt/ J1 /?,1JJ-
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF '1urL
SS:
I, FAY L. SWANGER, whose name is signed to the foregoing instrument, having
been duly qualified according to law, do hereby acknowledge that I signed and executed
4
. . .
this instrument as my Last Will and Testament; that I signed it willingly and that I signed it
as my free and voluntary act for the purposes therein expressed. /~
Sworn or affirmed to and acknowledged before me by the Testatrix, this tQ day
Of,/I/rJI/8/116 e.A\ ' 2002.
Notarial Seal
Ronnella S. Rider, Notary Public
Dillsburg Boro, York County
My Commission Expires Feb. 12, 2005
Member, Pennsylvania Association ot Notanes
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Testatrix, FAY L. SWANGER
~~~
Notary Public
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF 'I c ,.- k
We, ~ken k. ~ and JJt{J/771/ jfa4c- ,the
witnesses whose names are signed to the foregoing instrument, being duly qualified
according to law, depose and say that we were present and saw the aforesaid Testatrix
sign and execute the instrument as her Last Will and Testament; that she signed willingly
and that she 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 the time eighteen (18) or more
years of age, of sound mind and under no constraint or undue influence. I -rt,
Sworn or affirmed to and subscribed to before me, this ~ day of
\\J 00tl'" b -"/ , 2002.
Notarial Seal public
Ronnetta S. Rider, Notary unty
Dills~ur\J BOEr)(op'I~~kF~g. 12,2005
M CommiSSIon
Y , A ociatiOO 01 Notaries
Member, PennsylvaOla 5S
SS:
Witness
~~~
Notary Public
Notarial Seal
Ron~ell<" ".Jotary Public
D',I$t'd" i i .C ty
My C" .oun
omm,s " "ab. 12 200
"" , 5
Memba Un ..
r. ,-"nn"yIVa"'G "~:ioclallon ot Notanes
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