HomeMy WebLinkAbout10-19-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of EL VENA B. SNYDER
File Number
6\ \ (Yl ()9~
also known as
, Deceased
Social Security Number 207 -03-5165
Petitioner(s), who is/arc 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW:)
[g] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the EXECUTRIX
last Will of the Decedent dated 4/26/1993 and codicil(s) dated
named in the
(Slale relevanl circumstal/ces, e.g., rel/ul/ciatiol/, dealh of execulor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after exewtion of the instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: NONE
o B. Grant of Letters of Administration
(/fapplicable, enler: c.t.a.; d.b.n.c.l.a.; pendenle lite; duranle absentia; dural/te mil/orit(/(e)
Petitioner(s) at1er a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs:(ff'
Admillistratioll. c.I.a. or d.b.lI.c.I.a., enter dale of Will in Seclioll A above and complete list of heirs.)
F",_:"i
Name
Relationshi
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(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. 0
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his / her last principal residence at
100 MT. ALLEN DRIVE MECHANICSBURG PA 17055 UPPER ALLEN TWP CUMBERLAND
(List stn:et address, townlcily, towl/ship, counly, state, zip code)
Decedent, then
100 MT. ALLEN DRIVE
years of age, died on 10/14/2007 at MESSIAH VILLAGE
MECHANICSBURG
PA 17055
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(I f not domiciled in P A) Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
$
$
$
$
50.000.00
0.00
0.00
0.00
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 fomJ to
the undersigned:
Signature
Typed or printed name and residence
\j")
DIANE L. WOLFE
113 CONESTOGA DRIVE SINKIN
PA 19608
Form RW-1I2 rev.ltJ.13.tJ6
Page 1 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 know ledge 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
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before me the
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Signature of Personal Representative
day of
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Signature of Personal Representative
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Signature of Personal Representative
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File Number:
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Estate of EL VENA B. SNYDER
, Deceased
Social Security Number: Date of Death: 10/14/2007
AND NOW, ~~~ \ q , ~ I , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters TESTAMENTARY
are hereby granted to DIANE L. WOLFE
in the above estate
and that the instrument(s) dated 04/26/1993
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
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Attorney Signature:
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FEES
Letters ...........5t>I.CQQ. $
Short Certificate(s) ...~..,... $
Renunciation(s) ................ $
W \\ \ $
~Cr $
A----\o $
$
$
$
$
$
$
$
rs
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Attorney Name:
DAVID H. STONE. ESQUIRE
Supreme Court I.D. No.: #39785
Address:
414 BRIDGE STREET
NEW CUMBERLAND
PA
17070
Telephone:
717-774-7435
TOTAL
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Form RW-02 rev. 10.13.06
Page 2 of2
~
HIO.'i.XO.'i REV 101/071
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.
Fee for this certificate. $6.00
P 13859754
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Loca RegIstrar r...... ~~~2 ate ssued
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PRINT IN
o1ANENT
:K INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
STATE FILE NUMBER
9-. \ () '1 (Jq
94
November 28, 1912 Lack Township,
4. Dale of Dealh (Month, day, year)
5165 October 14, 2007
Yrs.
6. Date of Birth (Month, day, year)
1, Name of Decedent (First, middle, last. suffix)
Elvena B.
5. Age (Lasl Birthday)
11. Decedent's Usual Occu lion Kind 01 work clone durin mosl of worti I~e. Do nol state retir
Kind or WOflt Kind 01 Business {Industry
Clerk State Government
. 16. Decedenl's MaUing Address (Street, city f town, slale, zip code)
100 Mt. Allen Drive
Mechanicsburg, PA 17055
18. Father's Name (First. middle, last, suf1ix)
James Kelly Snyder
12. Was Decedent ever in !he
U.S. Anned Forces?
Dves 5ilNo
Decedenl's
Actual Residence 17a. Stale
Other
6a Nursing Home 0 Residence DOther. Specify
9. Was Decedent of Hispanic Origin? ~ No 0 Yes 10. Race:American Indian, Black, While, ele
(If yes, specify Cuban, (Specify')
Mexican, Puerto Rican, ele.) whi t e
14. Marital Status: Married, Never Married,
Widowed, Divorced (Specify)
Cumberland
Upper Allen Twp. ~
17b. County
Pennsylvania
Cumberland
Never Married
Did Decedent
live in a
Township?
17c, []I:. Yes, Decedenl Lived in
17d. 0 No, Decedenllived wtthln
Actual Limits of
Upper Allen
Twp.
City/Boro
19. Mottler's Name (First, middle, maideo sumame)
Annie Blanche Smith
209. Informant's Name (Type I Print)
Diane L. Wolfe
21a. Method of Disposition ! OCremation 0 Donation 21b. Dale 01 Disposition (Month, day, year)
~ Burial D Aemovallrom Slale i Was Cromatlon or Donation Authorized D D
D Other. Specify: i by Medk:al Examiner I coroner? Ves No
(or person acting as such) 22b. License Number
..---_ FD 012 848 L
2Qb. Inlormanrs MaRing Address (Street, city I town, slate, zip code)
113 Conestoga Drive, Sinking Spring, PA 19608
21c. Place of Disposition (Name 01 cemetery, crematory or other place)
21d. Location (City I town, state, zip code)
Rolling Green Cemetery
Lower Allen Twp., PA 1701
22c. Name and Address 01 Facility
arthemore FH & CS, Inc., P.O. Box 431, New Cumberland, PA 17070
23b. Ucense Number
23<. Date Signed (Month, day, yeer)
24. Time of Death
4-: 00 p. M.
25, Oato Pronounced Dead (Month, day. year)
~1Lj-
'~Ol
26. Was Case Referred to Medical Examiner I Coroner for a Reason Other than Cremation or Donation?
D Ves IXI No
Dves DNo
31. Manner of Death
.er;;;lurel D-
D Acddenl D Pending InvestigeIion
D Su<tde D Could Not be Delemined
Approximate inlefVal: Part II: Enter olher sionificanl conciIions contribuIino 10 death, 28. Did T<i)acco Use ConlrbJle 10 Death?
Onset 10 Oeath but not resuIIIng in the underlying cause ~en in Part t. 0 Yes 0 Probably
D No D Unknown
29. II Female:
o Notpregnanlwilhinpasiyear
o Pregnanl allime of death
o Not pregnanl, but pregnant wilhin 42 days
otdeath
o Not pregnant, but pregnant 43 days 10 1 year
belolll death
o Unknown if pregnanl within the past year
32c. Place 01 Injury: Home, Farm. Street, Factory,
Dffice Suilding. etc. (Specify)
CAUSE OF DEATH (See lnatrucllon. and .xampl.a)
Ilem 27. Part I: Enter llle ~ - diseases, injuries, or oomplicalions - thaI directly caused the death. 00 NOT enter lemlinal events such as cardiac arrest,
respiratory arrest, or ventricular Hbrilation without showing !he etiology. list only one cause on &aett fine.
=~nt~S:~1\(fi~
a.
:.:A- C-t. ~~oLt:A---
Due 10 (or ')1' ~1l&J"" 0/):. '" _
b. ~..~ L-&~
Due to (or as a consequence of):
~:t~ca:::'~~: a.
Ente<1:: UNDERLVING CAUSE
=-':"~m~\m'"'~e
Due to (or as a consequence of).
3Oa. Was an Autopsy
Periom1ed1
d.
3Ob. Were Autopsy FIndIngs
Available Prior to CompIe1ion
of Cause of Dealh?
M.
32f."TrenspOOlltlonlnju~(Sper:IIyI
D Driver' Operator D P....nger DPedeslrien
Other, Specify:
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32g. Location oIlni"V (_. cfty, town, ..lei
D Ves .0' No
32d. Trme of Injury
:Regsl~~
1;2.1 II ~ / II" 1
33c. License Number
tL,b 0 pD &'!f ~
34. N"ld Address of Person WhO. Completed Causa _o)i>e~th (It am 27) Type I Print
I~" Ir-I"V.-t.,<:.'~}
/?i. :J (J C, I
..A. ,..J.\. (- 2.. 3
33d. Dala Signed (Month, day, year)
c4-a-h- f-I,LflO '7
338. Certifier (check only one)
Ce<1IfyIng phy.lc~n (Physicisn cerlllying cause 01 death wilen another pIIysicisn has pronounced dealh end ~eled nem 23)
Tolhe _of my knowledge. dostll ocourred due to the ceuse(.) end manner.. steted.. - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - --
~~~ =t=::=~ ::u:=~::=c~~:::~ol~ca:~~: manneru stated.. _ _ _ _ _ _ _ _ _ _ _ _ - - - - - D
==Im~n:~~n:= and I or Investigation, In my opinion, death occurred althe time, date, and place, and due to the cause(l) and manner IS stated.. 0
o.oosition Permit No. L) /J 7 tJ "/'_~ 2-
ep\wills\Snyder-E.chs
LAST WILL AND TESTAMENT
OF
ELVERA B. SRYDER
I, ELVENA B. SNYDER, of Messiah Village, Mechanicsburg,
Cumberland County, Pennsylvania, declare this to be my last will and
revoke any will previously made by me.
ITEM I:
I devise and bequeath all of my estate of every nature
and wherever situate to my nephew and nieces, LAWRENCE E. SNYDER,
DIANE SNYDER SETLEY and PATRICIA SNYDER BROUSE. If any of these
persons fails to survive me I devise and bequeath the share of the
deceased nephew or niece to his or her issue per stirpes; if there are
no such issue then living, the share of the deceased niece or nephew
shall be added to the other shares created in this residuary gift.
ITEM II: I appoint my Executrix and her successors, guardian of
any property which passes either under this will or otherwise to a
minor and with respect to which I am authorized to appoint a guardian
[ X).&
and have not otherwise specifically done so, provided that this
appointment of a guardian shall not supersede the right of any fidu-
ciary in its discretion to distribute a share where possible to the
minor or to another for the minor's benefit. Such guardian shall have
the power to use principal as well as income from time to time for the
('\,-"'1
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minor's sUPP9rt~ndn~4bation (including college education, both
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graduate and undergraduate) without regard to his or her parent's
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Page 1 of 2
ability to provide for such support and education, or to make paYment
for these purposes, without further responsibility, to the minor or to
the minor's parent or to any person taking care of the minor.
ITEM IV: I appoint my niece, DIANE SNYDER SETLEY, Executrix of
this my last will. Should my niece, DIANE SNYDER SETLEY, fail to
qualify or cease to act as Executrix, I appoint my niece, PATRICIA
SNYDER BROUSE, Executrix in her place.
ITEM V:
I direct that my Executrix and Guardian and her
successors shall not be required to give bond for the faithful perfor-
mance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I, ELVENA B.
hand and seal this ;?;(~day of
SNYDER, have hereunto set my
arJ~
f'
C~A- r3 ,
ELVENA B. SNYDER
, 1993.
~oL.Aj
SIGNED, SEALED, PUBLISHED and DECLARED by ELVENA B. SNYDER, the
Testatrix above named, as and for his Last Will and Testament, and in
the presence of us, who at her request, in her presence and in the
presence of each other, have subscribed our names as witnesses.
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Address
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A dress
Page 2 of 2
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OATH OF SUBSCRIBING WITNESS(ES) c:2
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYL VANIA
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Estate of EL VENA B. SNYDER
, Deceased
CHARLES H. STONE
DAVID H. STONE
, (each a subscribing witness to
(Print Namels)
thelZl Will 0 Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
signed the same and that
she / he / they
Testator / Testatrix sign the same
signed as a witness at the request of
say(s) that she / he / they
and that she / he / they
the Testator / Tes atrix
was / were present and saw the above
III her / his presence and in the presence of each other.
/)
G~tw("vg ~
(Signature)
414 BRIDGE STREET
(Street Address)
414 BRIDGE STREET
(Street Address)
NEW CUMBERLAND
(City, State, Zip)
PA 17070
NEW CUMBERLAND
(City, State, Zip)
PA 17070
before me this
of
day
Executed out of Register's Office
Sworn to or affirmed and subscribed
\~~
Executed in Register's Office
Sworn to or affirmed and subscribed
of
Deputy for Register of Wills
Nota
My Comm ExpIres:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-03 rev. 10.13.06
To be taken by Officer authorized to administer oaths. Please have present the original or copy ofinstrument(s) at time of notarization.
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
KATHLEEN KEIM, Notary Public
New Cumberland Bora., Cumberland Co.
My Commission Expires Dec. 5, 2010
NOTE: