HomeMy WebLinkAbout11-05-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYLVANIA
Estate of
Scott Rowen Ball
File Number
6) \ lY, I coO
also known as
, Deceased
Social Security Number 263 - 4 7 - 3222
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or'8' BELOW:)
Ii] 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
T .es 1 j e R
Rail
named in the
(State relevant circumstances, e.g., renunciation, death o( executor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted atter execution of the instrument(s) otlered
for probate, was not the victim ofa killing and was never adjudicated an incapacitated person:
o B. Grant of Letters of Administration
(I(applicable, enter: c.I.a.; d.b.n.c.t.a.; pendente lite; durante absentia: durante minoritate)
Petitioner(s) after a proper search has I have ascertained that Decedent left no Will and was survived by the tollowing spouse (if any) and heirs: (ff
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name
Relationship
Res idence
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in
21 Valley Street, Carlisle,
(List street address, townlcity, township, county, state, zip code)
County, Pennsylvania with his I her last principal residence at
PQnnsylviilnia 17013-31111
Decedent, then
years of age, died on
at
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(If not domiciled in P A) Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
$ It>, 000
$
$
$
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate ofthe last Will and Codici](s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Si nature
T ed or rinted name and residence
4~
cJ../ Va /Ie . jJ Gr/I5 It:
jJ/l 17tJ/3
Form RW-02 rev. 10.13.06
RECORDED OFFICE OF
REGISTER OF WILLS
2007 NOV 5 PM 3:31
CLERK OF
ORPHANS' COURT
CmvffiERLAND CO" PA
Page 1 of2
Oath of Personal Representative
COMMONWEAL TH 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 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
- ;dd(
before me the.5 day of
c~bu din,
~,
Signature of Personal Representative
Signature of Personal Representative
File Number:
cJ 1 6., I 000
Estate of Scott Rowen Ball
, Deceased
Social Security Number: ? h 1- 4 7 -1??? Date of Death:
AND NOW, A.Jo ()-(Jfl fuA 6- , ,;r'(fl_, in consi
having been presented before me, IT IS DECREED that Letters
are hereby granted to Les lie R Ball
in the above estate
FEES
Letters ....1 ~I 9P.P . . . . . $
Short Certificate(s) . . .s. .. $
Renunciation(s) .......... $
(pill ... $
jet> ... $
Pu.t0 ... $
. .. $
. . . $
. .. $
... $
. . . $
. . . $
TOTAL ............ . . $
%
~6
Attorney Signature:
IS
/0
S""
Attorney Name:
Lip:ht:man, F.!=;qll;re
Supreme Court I.D. No.:
Address:
10082
2705 North Front Street
Harrisbur~r PA 17110
Telephone:
717 23/1 0111
9SC'O ~
RECORDED OFFICE OF
REGISTER OF WILLS
2007 NOV 5 PM 3:31
CLERK OF
ORPHANS' COURT
CUMBERLAND CO., PA
Page 2 of2
FormRW-02 rev. 10.13.06
dlOilOoO
NAME OF DECEASED (Last, First, Middla)
Nom du decede (Nom et prenoms)
CERTIFICATE OF DEATH (OVERSEAS)
Acte de deces (D'Outre-Mer)
GRADE
Grade
BRANCH OF SERVICE
Arme
SOCIAL SECURITY NUMBER
Numero de I'Assurance Social
Ball, Scott,Rowen
E08
Army NG
263-4 7 ~3222
ORGANIZATION
Organisation
NATION (e.g, United States)
Pays
United States
DATE OF BIRTH SEX Saxe
Date de naissance
~5 February 1969 [K] MALE
HHC, 55th Brigade, Forward 2, Scranton, PA
o FEMALE
RACE Race
MARITAL STATUS
EtatCivil
RELIGION
Culte
X CAUCASOID
Caucasique
SINGLE
Celibataire
DIVORCED
Divorce
PROTESTANT
Protestant
OTHER (Specify)
Autre (Specifier)
NEGROID
Negriode
X MARRIED Marie
SEPARATED
Separe
CATHOLIC
Catholique
x Methodist
Churches
OTHER (Specify)
Autre (Specifier)
NAME OF NEXT OF KIN
WIDOWED Veuf
JEWISH Juif
Nom du plus proche parent
RELATIONSHIP TO DECEASED
Wife
CITY OR TOWN OR STATE (Include ZIP Code)
Carlisle, PA17013-3141
Parente du decilde avec Ie sus
Mrs. Leslie R. Ball
STREET ADDRESS Domicile a (Rue)
21 Valley Street
Ville (Code postal compris)
MEDICAL STATEMENT
Declaration medlcale
CAUSE OF DEATH (Enter only one cause per line)
Causedu deces (N'indiquer qu'une cause par Iigne)
INTERVAL BETWEEN
ONSET AND DEATH
Intervalle entre
l'attaque et Ie deces
1
DISEASE OR CONDITON DIRECTLY LEADING TO DEATH
1
Maladie ou condition directement responsable de la mort.
Ballistic fragmemtation injuries
Seconds
ANTECEDENT
CAUSES
MORBID CONDITION, IF ANY, LEADING TO
PRIMARY CAUSE
Condition morbide, s'i1 y a lieu. menant a la
cause prima ire
MODE OF DEATH
Condition de deces
AUTOPSY PERFORMED
MAJOR FINDINGS OF AUTOPSY
Autopsie effectuee
[iJ YES
Oui
o NO Non
RECORDED OFFICE OF
REGISTER OF WILLS
2007 NOV 5 PM 3:31
CLERK OF
ORPHANS' COURT
CU},ffiERLAND CO., PA
I
CIRCUMSTANCES SURROUNDING
DEATH DUE TO EXTERNAL CAUSES
Circonstances de la mort suscitees par des
causes exterieures
-
Symptomes
precurseurs de
la mort.
UNDERLYING CAUSE, IF ANY, GIVING RiSE
TO PRIMARY CAUSE
Condition mOrbide, s'il y a lieu. men ant a la
cause primaire
2
OTHER SIGNIFICANT CONDITIONS
2
Autres conditions significatives
-
Conclusions principales de I'autopsie
NATURAL
Mort naturelle
ACCIDENT
Mort accidenteUe
x
NAME OF PATHOLOGIST Nom dupathologiste
TimottJy. . " COR, MC, USN
SIGN~srnature l..---
~ / b(---]
DATE OF DEATH (riay, month, year) '''-l PLACE OF DEATH Lieu de deces
Date de deces (Ie jour, Ie mois, I'ann,{e)
27 August 2007 1255
I HAVE VIEWED THE REMAINS OF THE DECEASED AND DEATH OCCURRED AT THE TIME INDICATED AND FROM THE CAUSES AS STATED ABOVE.
J'ai examine les restes mortels du de funtet je co.,clus que Ie decDs est survenu a I'heure inriiquee at a, la suite des causes enumerees ci-dessus.
NAME OF MEDICAL OFFICER Nom du rnedlc:!n mililaire ou du rrllldlcin sanitaire I TITLE OR DEGR. EE Titre au diplome
Timothy D. Monaghan Deputy Medical Examiner
GRADE Grade INSTALLATION OR ADDRESS Installation ou adresse
HOMICIDE
Homicide
I DATE Date
29 August 2007
~VIATION ACCIDENT Accident a Avion
DYES Oui [ilNO Non
SUICIDE
Suicide
FOB Naray Afghanistan
COR
Dover AFB, Dover DE
SIGNATURE .-::;:>\) ~
- I '}7
2 ~::: ~se:~~~~~:;O:::'Ih~:: ::':" '::~'t~~:J:'::: :~:..cn .;~.:';~.::~.re, oct.
~ Pr8cl18r Ie noture de Ie moledle, de ~ ~o..ure au de,le compUceUcn qui 0 con!rlbuo 010 molt mels non 10 manlilre de maurir, _ qu 'un 011l!1 du cosur, ole
'II
DATE Date
10/10/2007
DD1~~~~7 2064
REPLACES DA FORM 3565, 1 JAN 72 AND DA FDRM 3565-R(PAS), 26 SEP 75. WHICH ARE OBSOLETE.
(REMOVE, REVERSE AND RE-INSERT CARBONS BEFORE COMPLETING THIS SIDE)
DISPOSITON OF REMAINS
l;KAUI= ulnr::t<
Christooher Schulze GS11 K10000539 1 DE
INSTALLATION OR ADDRESS DATE 'G~,"~ CD Y
436 SVC/SVD 116 26th Street, Dover AFB
DE 19902 10/10/2007
NAME OF CEMETERY OR CREMATORY LOCATION OF CEMETERY OR CREMATORY
TYPE OF DISPOSTION DATE OF DISPOSTION
REGISTRATION OF VITAL STATISTICS
REGISTRY (Town and Country) DATE REGISTERED FILE NUMBER
STATE OTHER
NAME OF FUNERAL DIRECTOR ADDRESS
SIGNATURE OF AUTHORIZED INDIVIDUAL
DD FORM 2064, APR 1977 (BACK)
USAPA V1.00
LAST WILL AND TEST AMENT
OF
SCOTT ROWEN BALL
Dated: August 30, 2006
Prepared by:
JFHQ Office of the Staff Judge Advocate
LTC Robert C. Spinelli, Esq.
Building 7-1
Annville, P A 17003-5002
717-861-8635
ORDED OFFICE OF
REC TEROFWlLLS
REGIS 1
NOV 5 pM. 3:3
2007 nvoF
CLE~'"
RPl-L.;\NS' COURT
o . D CO PA
CUMBERLAN "
LAST WILL AND TESTAMENT
OF
SCOTT ROWEN BALL
I, Scott Rowen Ball, a resident of the Commonwealth of Pennsylvania, make,
publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any
time heretofore made by me. I am in the military service of the United States.
FIRST: I direct that the expenses of my last illness and funeral, the expenses of
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: I give all of my right, title and interest in the real property which I
occupy as my primary residence, namely the property known as 21 Valley Street, Carlisle,
Pennsylvania 17013, or if I sell said property then all of my right, title and interest in the real
property which I occupy as my primary residence at the time of my death, and all rights that I
have under any related insurance policies, to my wife Leslie R. Ball, if she survives me.
THIRD: 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) Ifmy wife Leslie R. Ball survives me, to my wife outright.
(b) If my wife does not survive me, then to those of my children (Tyler R. Ball
and Allie R. Ball and any other children which I hereafter may have) who survive
me and to the issue who survive me of those of my children who shall not survive
me, per stirpes. If, however, any such child then shall be under the age of
eighteen (18) years (each such child being hereinafter referred to as a
"Beneficiary"), the share of such Beneficiary shall not be paid or distributed to
such Beneficiary but instead shall be given to my Trustee and held by my Trustee,
IN TRUST, pursuant to the following provisions:
(i) My Trustee shall hold, manage, invest and reinvest each share
set aside for each Beneficiary in a separate trust for the benefit of
such Beneficiary and may pay all or any part of the net income
from each such trust to or for the benefit of the Beneficiary thereof,
for the health, education, maintenance and support of the
.~~
~
Beneficiary, to such extent arid at such time or times and in such
manner as may be determined in the absolute discretion of my
Trustee. Any net income not so paid shall be accumulated and
added to principal at least annually and thereafter shall be held,
administered and disposed of as a part thereof.
(ii) In addition, my Trustee may pay to or for the benefit of each
Beneficiary, for the health, education, maintenance and support of
each Beneficiary, from the principal of each Beneficiary's trust,
such amounts, including the whole thereof, as determined in the
absolute discretion of my Trustee.
(iii) When any Beneficiary shall attain the age of eighteen (18)
years, the trust for such Beneficiary shall terminate and any re-
maining principal and income shall be paid and distributed to such
Beneficiary, discharged of trust. If such Beneficiary dies before
said age, such principal and income shall be paid and distributed to
any then living issue of such Beneficiary, per stirpes, or if such
Beneficiary has no issue to my then living issue, per stirpes. If any
such issue is a beneficiary of a trust under this will, the same may
be held in accordance with such trust. If there are no then living
issue, the same shall be paid and distributed to the beneficiaries of
my residuary estate then in being as provided in this will, or if
there are none, to those who would take from me as if I were then
to die without a will, unmarried and the absolute owner of the
same, and a resident of the Commonwealth of Pennsylvania.
(c) If my wife does not survive me and there shall be no issue of mine then
living, 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.
FOURTH: If any principal or income of my estate or any trust hereunder vests in
absolute ownership (free of trust hereunder) in a minor or incompetent, my Executor or Trustee,
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 (including a
custodian appointed by my Executor or Trustee without court order) 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 and Trustee from any liability with respect thereto,
even though my Executor or Trustee may be such person. If such beneficiary is a minor, my
Executor or Trustee may defer the distribution of the whole or any part of such property until the
beneficiary attains the age of eighteen (18) years, and may hold the same as a separate fund for
the beneficiary with all of the powers described in Article SIXTH hereof. If the beneficiary dies
~
2
before attaining said age, any balance shall be paid and distributed to the estate of the
beneficiary.
FIFTH: I appoint my wife Leslie R. Ball to be my Executor. If my wife does not
survive me, or shall fail to qualify for any reason as my Executor, or having qualified shall die,
resign or cease to act for any reason as my Executor, I appoint Pauline McAlister as my
Executor. I appoint Pauline McAlister to be my Trustee. If Pauline McAlister shall fail to
qualify for any reason as my Trustee, or having qualified shall die, resign or cease to act for any
reason as my Trustee, I appoint Lisa McAlister as my Trustee. I direct that no Executor or
Trustee shall be required to file or furnish any bond, surety or other security in any jurisdiction.
SIXTH: I grant to my Executor and Trustee all powers conferred on executors
and trustees under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any
successor thereto, and all powers conferred upon executors and trustees wherever my Executor
or Trustee may act. I also grant to my Executor and Trustee 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 hold property in bearer form or in the name of a nominee; to render
liquid my estate or any trust in whole or in part, at any time and from time to time, and to hold
cash or readily marketable securities of little or no yield for such periods as my Executor or
Trustee shall deem advisable; to exercise all powers of an absolute owner of property; to
incorporate any business and form limited liability companies and hold any interests in
corporations and limited liability companies; to vote stock or securities, in person or by proxy; to
exercise subscription and conversion rights, and to participate or refuse to participate in any
reorganization, recapitalization, merger, consolidation, liquidation, dissolution or other action
with respect to any corporation; to transfer any business or property to a partnership and to be a
general or limited partner; to compromise and release claims with or without consideration; to
execute and deliver deeds and other instruments, including releases; to change the situs or
governing law of any trust hereunder to any state my Executor or Trustee from time to time may
deem desirable; 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. The term "Trustee" wherever used herein
shall mean the trustees or trustee in office from time to time. Each Executor and Trustee shall
have the same rights, powers, duties, authority and privileges, whether or not discretionary, as if
originally appointed hereunder.
The determination of my Trustee as to the amount or advisability of any
discretionary payment of income or principal from any trust hereunder shall be final and
conclusive on all persons, whether or not then in being, having or claiming any interest in such
trust. Upon making any such payment, my Trustee shall be released fully from all further
liability therefor.
SEVENTH: I direct that for purposes of this will a beneficiary shall be deemed
to predecease me (or any other person upon whose death the interest of such beneficiary
depends) unless such beneficiary survives me (or such other person) by more than thirty days.
,~~
3
The terms "child," "children" and "issue" as used in this will include children and issue hereafter
born.
EIGHTH: No disposition, charge or encumbrance on any income or principal of
any trust hereunder or my estate by any beneficiary thereof shall be valid or binding upon my
Executor or Trustee. No beneficiary shall have the right to assign, transfer, pledge, encumber,
anticipate or otherwise dispose of any such income or principal until the same shall be paid to
such beneficiary by my Executor or Trustee. No such income or principal shall be subject in any
manner to any claim of any voluntary or involuntary creditor of any beneficiary or liable to
attachment, execution or other legal or equitable process prior to its actual receipt by the
beneficiary.
NINTH: If my wife shall not survive me or is adjudged to be incapacitated, I
appoint Pauline McAlister to be the Guardian of the person and property of any children of mine
who have not attained the age of majority. If Pauline McAlister shall fail or cease to act as
Guardian of the person, I appoint Lisa McAlister as Guardian of the person. No Guardian of the
person shall be required to file or furnish any bond, surety or other security in any jurisdiction. If
my Trustee or any trust hereunder is the beneficiary of any life insurance policy, my Trustee
shall be entitled to the insurance proceeds rather than the Guardian of the person.
TENTH: I have served in the Armed Forces of the United States. I therefore
request that my Executor make appropriate inquiries to ascertain whether there are any benefits
to which I, my dependents or my heirs may be entitled by virtue of any military affiliation. I
specifically request that my Executor consult with a retired affairs officer at the nearest military
installation, the Department of Veterans Affairs, and the Social Security Administration.
IN WITNESS WHEREOF, I, S tt Rowen Ball, sign my name and publish and
declare this instrument as my last will and test Jnt this 30th day of August, 2006.
4
The foregoing instrument was signed, published and declared by Scott Rowen
Ball, the above-named Testator, to be his last will and testament in our presence, all being
present at the same time, and we, at his request and in his presence and in the presence of each
other, have subscribed our names as witnesses on the date above written.
-J1fv YC having an address at
M fi-'I/I1NJ C >.~v.€.l- ? /I
j
~
having an address at
Wm~Al1'ttljJrl . (>A
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5
ACKNOWLEDGMENT AND AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA, COUNTY OF LEBANON, ss.
We, the Testator and the witnesses, whose names are signed to the attached or
foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that
the Testator, Scott Rowen Ball, signed and executed said instrument as his last will and
testament in the presence and hearing of the witnesses, and that he had signed willingly, and that
he executed it as his free and voluntary act and deed for the purposes therein expressed, and that
each of the witnesses at the request of the Testator, in the presence and hearing of the Testator
and each other, signed the will as witness, and that to the best of his or her knowledge the
Testator was at the time at least eighteen years of age or emancipated, of sound mind and under
no constraint, duress, fraud or undue influenc,;;? . .
4I/~~
.. Scott Rowen Ball -.--
Testator
p~ 4J &~~~
Witness
Subscribed, sworn to and acknowledged before me by the said Scott Rowen Ball,
Testator, and subscribed and sworn to before me by the above-named witnesses, this 30th day of
August, 2006. tilL /I .4~vw4
Notary Public
My commission expires on
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Pamela A. Arnold, Notary Public
Union Twp., Lebanon County
My Commission Expires Aug. 3D, 2008
Member, Penn!l\dvNl;,~ Association Of Notaries
,...i