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HomeMy WebLinkAbout10-23-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF COUNTY, PENNSYLVANIA Estate of <;:\. S C:::- fY) Cc> L ~ ~ '\ also known as File Number 62 ( -0\ - ~ ~ S- , Deceased Social Security Number Sb~ - ( <\ -:3 ?.8~ ,~""",.~. c) ~O .-::.J =;~\l ::.~-.. Ii; I'.......) ("~:"."'I ,,~::::) __I (:J ~::?namedin the. 1'0 W Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) ff"A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the last Will of the Decedent dated and codicil(s) dated 'I} --0 (State releval/t circumstances, e.g., renunciation, death of executor, etc.) .-n N Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution ofjlrdnstrument(s) offered ,_-" for probate, waj.not.the victim of a killing and was never adjudicated an incapacitated person: ,,) ~: of Letters of Administration (If applicable, enter: c.t.a.; d:b.n.c.l.a.; pel/dente lite; durante absentia; durante minoritate) Petitioner(s) aftcr a proper search has I have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If Administration, C.I.a. or d.b.ll.c.l.a., enler date of Will ill Section A above and complete list of heirs.) Name Relationship Residence (COMPLETE IN ALL CASES:) Attach adtlitiollal sheets ifllecessary. ollnty, Pennsylvania with his / her last principal residence at 2-S (List street address, tOWl/lcity, township. cOl/nly, state, zip code) Decedent, then <i? q.. years of age, died on 2/ .d.L2?P at Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (If not domiciled in P A) Personal property in Pennsylvania (If not domiciled in P A) Personal property in County Value ofreal estate in Pennsylvania situated as follows: lYl tJl--' Bt1 N k """"" 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 2:3 (b UNTtZ ~ auef::D C? ((:L( 5'l..C:: pJ=\ Form RW-02 rev. 10./3.06 Page 10f2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF('Um B~(h\\SD 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 ~ -r:n day of ~el For the Register \ IJ r---.,) Signature of Personal Representative () .=0 ,~;:::::~ CJ. --' C) C") __.1 N W '0 Signature of Personal Representative ;. --) ":~';'I --:Tl N" -1 -,-1 "'-'1 JI -07- oggS Estate of b L-~e. fY\ CO\ be.rt- Social Security Number: 5 (03 - 1 q - ~dg fr; Date of Death: q - :< I - 0 7 AND NOW, ~ rd.{)(ilJ /ilft./{)bPY . ::200 J in consideration of the foregoing Petition, satisfactory proof having been presented before ~RElW that Letters 1.est-r</t'I"lI f1fnJLu-. are hereby granted to M-.....01~<. .D . ( 1) l neV-'t- -0- File Number: , Deceased in the above estate and that the instrument(s) dated----L.t::J~ ' d..-Cf);)... d",orib,d in th, p,ddon b, "'mitt,d to pmb," ",d fiJ,d of reco~ f, th, I'" WfiI (",d CodioU(,)) ofDooodont FEES aULda.- (}rvtm h J J1hC JrvJ,lcJ~ ~O (j) ReglsterofWUls ~DJ)' Cc- fvo Letters ............... $ . F . (/ J::?(J---" Short Certificate(s) . . . . . . . . $ t}O Attorney Signature: Renun iation(s) .......... $ i .., $_l5.CO ... $~O,1Pv ...$ l~). $ $ $ $ $ $ TOTAL .............. $ ,S?>. f:5D Attomey Name: Supreme Court I.D. No.: Address: Telephone: Form RW.OJ rev iO./3.06 Page 2 of2 HIIl5.XOo REV (0111)71 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. Ihm- /1p ~ 2 4/2001 Local Registrar Date Issued Fee for this certificate, $6.00 P 13858723 ~) :;-::.:; ~'3 .:::J ("') _wi N w -rJ ~ N l._~llocedenI(FIl1t,_,1asI.1Ufflx1 E1se H. Colbert 5. Age (LuIBlrthdByI 84 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH /)/ () .Ctt (See Instructions and examples on reverse) STATE FILE NUMBER ^-' 7 (}.:) 4. Dolo ~ DellIh (Month, day, year) -3286 Sept~er 21. 2007 REV 11/2006 'PRINT IN .!ANENT CKINK 11. Dec:edenr'sUsual Boa~:- 12. Was Decedent ever In lhe U,S.AnnedFon:os? Ov.. ~No --, Adu8I_ 17.. SlaIa '7b. County oOlher. Specily: 10. Raca:_'ndlan,8Jad<, _"Ie (~ite VIS. 6. Dale oI_IMonIh, da , jOll~ April 16.1923 81>. COunty of DaaIh . Cuaberland Bd. FIICIily Namo I" IlOl -,!tR..... and number) ClarellODt Ru.rsing Home _~ ".00IlOl_ Own~=11nW&t>y 13, DecadenI'. EdIlcallon (Specily only hI{toael gmda compIellld) 14. Marital SIll"': Mallled, Nevar_, ~1 ISecondaJy(ll-121 Colloge(l-4 Of 5+) _,0lv0Itad(5pocII)? lZ Married orge D. Colbert ~ ~ 17e. ~ Vas, Decedenl Uvod m Middlesex Two. Townehlp? 17d, 0 No, DecedenlliYed within AciJal~~ Pennsvlvania Cuaberland r"". . 16. DecadenI'. MaIng_ ISlrael, clIyl_, _, zip-I 23 Country Club Road . Carlisle. Pe lvania 17015-8887 18. F...... Name (fi!'f. _1asI. suIIIx) August K. Wiegerdt CIlyIBoro 24. Tine of 08IIh 5:2-0 Am M 18,McIhar'sNamoIF1lll.._,__1 gna v. 50DDe 20>, _f. MalIngAddlOss 1Slrael. clIy 1_, _, zip_I 23 Country Club Road. Carlisle. 21~ Placa~Dlspoelllon(Nsme~_._Of_placa) CreJUtion Society of PA Pennsylvania 17015-8887 21d. Loce1Ion(CIly/_,_, zip_) rrisburg. PA 17109 20<.1"-' -(Type I Pml) George D. Colbert 210. MaIhod ~ DisplollIon []Cramatioo 0 Donallon o Burial 0 Ramoval_SIlIte i Wao~Of-~Xl 0 Sept~er 25.200 o 0Ih<<. SpacI/y. I>f __ E.-I Coranar'1 Yoo No F_JI"'2~)f_llCtIng"_L ~,"'t( ~.N"c..L _23I-<orly_0Ill1Ifyilg 23a. T.~mykroWdga,daall ::"'Cl.:,':~at&ne~daall 10 C O?<../}~ 4toonJ=~~~.t;-ti~lsf~..e~~SiHMes. Inc. 23b, Uconsa Numb<< 230. Oala Slgnad (Month, day, year) /2.N 5/8 I J.I L/ L temt:er 2/ ,21:;67 1_ 24-26 _ be complalad by pelSOf . who pronounces death. 26. Wu Case Relerrt to Medical Examiner 'Coroner forI Reason Other Ihan Cremation or Donation? o Yes III No CAUSE OF DEATH (See loatruct1on. nd ...mpIH) hem 27, Part I: Enlarlha~ -dlseaaes,~, ",compIIcaticns-lhal~raclycsusedlha_.1lO NOT eotOfIOllllin8Jevanls st.<h IS CS_arI8I1, raspirsloly._ "ventrtcular _lion wllho<Jt III-.g lha alk*lgy. Uat on~ one csusa on _ Ine. De \'t\ e n -\. \tA. Due 10 (or as a consequenQ8 01): Apptoxinate ~laIvsI: Onset " DaaIh Part It; Enler -oIher JiMlicRnt oordtIon9; oontrtrutha to d8IIh, bulnol rasullInginlha undeitylngcsusejjvenin P.rt I. _IlslCOldUls, "SIl\', I18dinatohcausellstedonlln&a. Enter !he UNOEIlLYI<<l CAUSE =-~~~ b. I!IPfrt€N\srvc. ~'i()-VAscWil( W~ 28. Ofd Tobecco Use Contrb.Ite 10 Death? o V.. oP~ !;3'110 0 U_ 29. II Femele: B' Not preglQnl within pasl year o Prsgnanl" lima of dellh o NoIpregnanl,bulpregnan'wilhin42days oIdeall o Not_,bul_43dayslolyoe' belont_ oU""""",,lIp18g118n'wflNnlhapestyear ~ 1::~: :.'i~i SIrsel, Fsctory, ~=~~J~ a. Due to (or as I. consequence of): e. Due 10 (or as a oonsequenoe of): 301. Was an~ P- d. 3lll. w... Autopsy Flrdnge '_P""IoCornplotion of Cause of Death? oVas ~No oVes ONe 31._~Dellh ~NahJrsl D- O _I 0 Pendng IrMlsllgallon o SUc;de 0 Cook! Not be Detem1lned 32d. 11me oIlnju<y M. 321. II rllnsportdon kiu<Y (Spscify) oOrliOf/~ OP_ oPadeetrtsn Olhar . Spsc;Iy: 331>. 5il/1Ihn and 1llle ~ 32g.Loca1Ion~lnjuly(Slrael,clIyl_,'laIel I...LI/~/I /1 f'{p 33a.~(_orlyoneJ . CarlIIylng~IPhysiclsnCSl1ltylnvcsuseol_when"""""pIlyslclanhasplO!lllUllCed_ncompleladllem23) To lha _01 my kMWcIga. _ __ ""0 lha OlIII8I(a) and _.. aIaIed,. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ . ==:'~=~'===:'=:"=tolo=~=_"slllad.._________________ 0 . ::::: =n:= and I Of IlWOSIigaIIon.1n my opinion, _ occurrad ellha lime, -. and pIaco, and... to lhaOllll8l(.) and _...-.. 0 Disposition Permll No. LAST WILL AND TESTAMENT OF l') ~~~o -, ---rr .,- 1 ......., ELSE MARY COLBERT - ~'~;=2 (':-) C~') "'--'''. f'...) L.) I, Else Mary Colbert, a resident of the Commonwealth of Pennsylvania, m~';Jl.ublis~land declare this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore'maBe bynie. I live with my husband who retired from the military service of the United States. .. f''':' FIRST: I direct that the expenses of my last illness and funeral, the expenses m the administration of my estate, and all estate, inheritance and similar taxes payable with respect to property included in my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my residuary estate, without apportionment and with no right of reimbursement from any recipient of any such property. SECOND: It is my desire that, upon my death, my body be cremated. THIRD: I give all real estate owned by me at the time of my death, and all rights that I have under any related insurance policies, to my husband George Donald Colbert, if he survives me. FOURTH: I give all tangible personal property owned by me at the time of my death, including without limitation personal effects, clothing, jewelry, furniture, furnishings, household goods, automobiles and other vehicles, together with all insurance policies relating thereto, to my husband George Donald Colbert, if he survives me, or if he does not survive me, to my son Preben Arne Nielsen, if he survives me. FIFTH: I give all the rest, residue and remainder of my property and estate, both real and personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled at the time of my death (collectively referred to as my "residuary estate"), as follows: (a) If my husband George Donald Colbert survives me, to my husband outright. (b) If my husband does not survive me, then to my son if he survives me. (c) If my husband does not survive me and my son is not living, my residuary estate shall be paid and distributed to Ashley M. Nielsen if she shall survive me. (d) If none of the beneficiaries described above shall survive me, then I give my residuary estate to those who would take from me as if I were then to die without a will, unmarried and the absolute owner of my residuary estate, and a resident of the Commonwealth of Pennsylvania. SIXTH: If any property of my estate vests in absolute ownership in a minor or incompetent, my Executor, at any time and without court authorization, may: distribute the whole or any part of such property to the beneficiary; or use the whole or any part for the health, education, maintenance and support of the beneficiary; or distribute the whole or any part to a guardian, committee or other legal representative of the beneficiary, or to a custodian for the beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed by the person to whom the distribution is made shall be a full discharge of my Executor from any liability with respect thereto, even though my Executor may be such person. If such beneficiary is a minor, my Executor may defer the distribution of the whole or any part of such property until the beneficiary attains the age of twenty-one (21) years, and may hold the same as a separate fund for the beneficiary with all of the powers described in Article EIGHTH hereof. If the beneficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary. 'lc< 0~ ({;0 '& cJv{k Wt SEVENTH: I appoint my husband George Donald Colbert to be my Executor. I direct that no Executor shall be required to file or furnish any bond, surety or other security in any jurisdiction. EIGHTH: I grant to my Executor all powers conferred on executors under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon executors wherever my Executor may act. I also grant to my Executor power to retain, sell at public or private sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for cash or on credit; to borrow money and encumber or pledge any property to secure loans; to divide and distribute property in cash or in kind; to exercise all powers of an absolute owner of property; to compromise and release claims with or without consideration; and to employ attorneys, accountants and other persons for services or advice. The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office from time to time. NINTH: I direct that for purposes of this will a beneficiary shall be deemed to predecease me unless such beneficiary survives me by more than thirty days. The terms "child" and "children", as used in this will, include only the child and children of the person designated, but not any adopted child and children of such person. The term "issue" includes only the children and other issue of the person designated, but not any adopted children or issue of such person. The terms "child", "children" and "issue" of the Testatrix shall not include any stepchild of the Testatrix. TENTH: Except as otherwise provided in this will, I have intentionally failed to provide for any other relatives or other persons, whether claiming to be an heir of mine or not. Insofar as I have failed to provide in the will for any of my issue now living or later born or adopted, such failure is intentional and not occasioned by accident or mistake. If any person named as a beneficiary under this will institutes a will contest, acts as a party to a will contest initiated by someone else, or aids and abets anyone instituting a will contest, I direct that any bequest, devise, or share of my residuary estate that would otherwise go to that person shall lapse, as if he had predeceased me. ELEVENTH: I may leave a letter of intent with the executed copy of this Will for the purpose of giving guidance to my Executor concerning the distribution or sale of certain items of my property. I request, but do not require that my Executor honor my wishes therein expressed. IN WITNESS WHEREOF/A Else Ma~bert, sign my name and publish and declare this instrument as my last will and testament this & day of _ ,2002. I also have affixed my signature on the bottom of each of the preceding pages hereof. This document was prepared under the authority of 10 US.c. ~ 1044 and implementing military regulations and instructions, by Robert E. Samuelsen II, who is licensed to practice law in the State of Minnesota. 9/2&d/1.6J4t1/ / Else Mary Colbert The foregoing instrument was signed, published and declared by Else Mary Colbert, the above- named Testatrix, to be her last will and testament in our presence, all being present at the same time, and we, at her 2 her presence and in the presence of each other, have subscribed our names as witnesses on the date having an add",,, "dj~ f-v1, /7o( J , ...- /~UL having an address at '31' ~/A/N .,I)/l./1I4 CI91€G./,J l ~ /'/1 /")1>13 3 ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA, C~ OF CUMBERLAND, " We, Else Mary Colbert and _ _ _ _ ~ _ fi?:.1I--(}. _ _ _ L ~[~~ _ _ ~__4:'-N~ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, the Testatrix ~~d:"'~ witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix, Else Mary Colbert, signed and executed said instrument as her last will and testament in the presence and hearing of the witnesses, and that she had signed willingly, and that she executed it as her free and voluntary act and deed for the purposes therein expressed, and that each of the witnesses at the request of the Testatrix, in the presence and hearing of the Testatrix and each other, signed the will as witness, and that to the best of his or her knowledge the Testatrix was at the time at least eighteen years of age, of sound mind and under no constraint, duress, fraud or undue influence. w Witness /~~ Witness Subscribed, sworn to aud ackuowlodgod befo,. me by 1!w soid E~ M;:;;t!bert, Testatrix, aud sub"ribed aud sworn to bef",. me by the above-named k~~ 2002. N tar PublIc My co mission expiW~1 Seal Betty R. Standridge, Notary Public Carlisle Boro, Cumberland County My Commission Expires May 14, 2005 Memller, pennsytvaniaAssociation of Notaries Marjorie A. Wevodau First Deputy One Courthouse Square Carlisle, Pa. 17013 Glenda Farner Strasbaugh Register of Wills & Clerk of the Orphans' Court (717) 240-6345 FAX (717) 240-7797 Kirk S. Sohonage, Esquire Sol icitor OFFICES OF i\.egister of Wills anb <!Clerk of tbe C!&rpbans' <!Court ({ount!, of ({umberlanlJ September 28,2007 Mr. George D. Colbert 23 Country Club Road Carlisle PA 17013 Dear Mr. Colbert, We have borrowed an excerpt from a Register's webpage in another PA County to attempt to assist you with your questions. (See attached) Also, enclosed please find a copy of the two forms we had discussed on the phone in addition to "new" forms for you to provide the necessary information in order for this office to be able to prepare your letters of testamentary. In this envelope you will also find a copy of our Solicitors Probate and Estate Administration information, a brochure and instruction booklet on completing the REV 1500, which is also enclosed. Lastly, we are required to supply everyone who opens an estate with the Supreme Court Rules Docket No 1 of 1992, which explains Rule 5.6 and 6.12. Kindly complete and return the Estate Information sheet and Petition for Probate in the enclosed self addressed envelope. If you have additional questions, kindly contact me personally at 717/240-5411 or your legal counsel. Thank you, lenda Farner Str Register of Wills .-.-..' ""..." ..Jitrn'l\l'ic~.},:.,~~~.,',,-,~or;:,~y~~~~~f.,~-{~"'r?rg~,'~'7''fifFr-;:Y':'W?~::r'';- '\'~~I~!~1~f?'~f;'f,~-,~""1i~;;F'::Y":';~:-T?'i~~~'5?J7f, ''':::3cj;:;;. 23 Country Club Road Carlisle, P A 17015 11 October 2007 Dear Ms Strasbaugh, After consulting with my JAG lawyer, I have, to best of my knowledge, completed these forms. I trust there will be no further impedance to my access to my late wife's bank account. Thank you for your assistance in this matter. Bes~t'./ '..' ../ . ' . / / '" -,/ ~orge D. Colbert ps: I would appreciate the necessary documents ASAP, including a Letter of Administration and the "Short Form" Thanks again.