HomeMy WebLinkAbout11-16-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
Cumberland
COUNTY, PENNSYLVANIA
Estate of
also known as
Geraldine A. Wise
File Number
d.. \ \) \. \. ()~
, Deceased
Social Security Number 184-12-3376
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
rzl A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Audrey Ann DIsh
last Will of the Decedent dated August 6,1992 and codicil(s) dated N/A.
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: N/ A.
o B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
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.) ~
<=:)
c;::)
Name
Relationshi
::.2:cn;;:;r;;:
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
CJ2 -n ~
~.=> :rl -
:::p :-t ..
County, Pennsylvania with his / her last princiPlltresidence at=?
(Township of South Middleton) CO
-,...,
I'
<:""5
r-- n.
(/)C..)
'-'I
Decedent was domiciled at death in Cumberland
Manor Care. 940 Walnut Bottom Road. Carlisle. PA 17015
(List street address, townlcity, township, county, state, zip code)
Decedent, then 87
years of age, died on
October 30, 2007
at
Manor Care, Carlisle, P A
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
(Ifnot domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
100,000.00
$
$
$
$
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 form to
the undersigned:
~ Audrey Ann U1sh, 1004 Allen Street, New Cumberland, P A 17070
Form RW-02 rev. 10.13.06 Page 1 of 2
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 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 llo day of
~~~ ;~
~r
~{i.~
Cature of Personal Representative
~ \ ()'\- \ ()~\
\..)
~o
'7):0
.!] :E ("')
(~~ ,PO Fn
1> :z; ::0
~;~: U) ^
CJOQ
(.)~"
~:J
:g-i
f'-.)
:;;
--.I
::z:
<=>
<:
-.,-,
f:}~:; ::3
f;~ >~
:-::'0
s:> (.,J
- ' i"'1
_.11
:~~~
I
,/) ,-:;)
)1
Signature of Personal Representative
Signature of Personal Representative
C7'l
-0
:x
-
File Number:
C)
CD
Estate of Geraldine A. Wise
, Deceased
Social Security Number: 184-12-3376 Date of Death:
AND NOW, ~\S\)'t'f\\~\ \\~ , ~ \
having been presented before me, IT IS DECREED that Letters
are hereby granted to Audrey Ann DIsh
October 30, 2007
, in consideration of the foregoing Petition, satisfactory proof
Testamentary
in the above estate
and that the instrument(s) dated August 6, 1992
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES $ 210.00 ~ ~~~~ ~~~-
~:::,;;.~~;;:(;; : : : : : : . . $ 24.00 Attorn,y Sign'lure I/1A 13 ~
Renunciation(s) .......... $
LDt\ \ . . . $
~<-~ . . . $
~~ ... $
...$
.. . $
. .. $
.. . $
.. . $
. .. $
TOTAL . . .. . .. .. . .. . . $
\s
lD
S'
Attorney Name:
Marvin Beshore
Supreme Court LD. No.: 31979
Address:
P.O. Box 946, 130 State Street
Harrisburg, PA 17108-0946
Telephone:
717-236-0781
234.00 ~ 3G
d \.0~.:P
Form RW-02 rev. 10.13.06
Page 2 of2
H105.805 REV I01107}
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 13988577
Certification Number
This is to certify that the information here given i:
correctly copied from an original Certificate of Dead
duly filed with me as Local Registrar. The origina
certificate will be forwarded to the State Vita
Records Otfice for permanent filing.
!2wn- /1J ~~, OCTJ 3 1 7fJ07
Local Registrar Date Issued
8
,<0
,.,-:0
'}~ -0 0
.'.I
:"J ---,
"'---m
c.,> ::z; :0
Z(f)~
c=='OO
';011
p~
:o-f
')>
l'-.)
c:::.
c::::t
-.I
:z:
<::)
-<
XJ
:1,1 r"I' '}
iTl (,)
C) C)
C/"; ::0
....j C:J
[' i n'l
:.;':J l:::J
c)C)
- :--r1
Ii
c=s
''"n
r--
C'~' C')
"'7"1
0"
""'0
:x
-
..
o
(X)
AEV 1112006
PAINT IN
4ANENT
:K INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
STATE FILE NUMBER
~ \ L>'l \DSl
1. Name 01 Decedent (Fir$l., micldje, lasl. suffix)
Geraldine A.
5. '"'" (LasIIMhday)
Wise
6. Date of Birth (Month, day, ear)
87
December 16,1919
Harrisburg, PA
Vrs.
Middleton Twp.
BO. Fadhy Name {If not institution, give street and number)
Manor Care
most of life. 00 not scate reli
Kind 01 Business IlnOOsl1y
Domestic
. 16. Decedenfs Mailing Address (Street, city Ilown, stale, zip code)
1004 Allen Street
New Cumberland, PA 17070
12. Was Decedent ever In the
U.S. Armed Forces?
o Vas lJtNo
Decedenfs
ActualAe~ 17a,Stale
13. Decedenfs Eduoatioo (Speofy on~ h~hesl grade oomp~led)
Elementary I Secondary (0-12) College (1-4 or 5+1
12
Pennsylvania
Cumberland
'7b. County
18. Father's Name (First, middle, last. suffix)
Orville Kohler
4. Date 01 Death (Month, day, year)
October 30, 2007
14. Marital Status; Married, Never Married,
Widowed, Divorced ISpec;/Yi
widowed
Old Decedent
live ins
Township?
17c. 0 Yes, Decedenllived in
17d. ~ No, Decode<1tl1vedwi1hin
Actuallinitsol
TW}>.
New Cumberland
City I Bore
19. Mother's Name (First. middle. maiden sumamel
Hazel Snyder
201>. Inlom1ant's MaRing Address IS/reel, city 1 town, ...te, zIp-l
1004 Allen Street, New Cumberland, PA 17070
21c. Place of DIspositlon (Name 01 cemetery, crematory or other place)
21d. Locallon (City f town, state, lip code)
Paddle town Cemetery
Newberry Twp., PA 17319
22c. Name and Address of F:aciHty
Parthemore FH & CS, Inc., P.O. Box 431, New Cumberland, PA 17070
Approximate interval: Part II: Enter other sianlfir:anl r.nnrllliorl!l contrIbutlno In death 28. Did Tobacco Use Conlrtlute 10 Death?
Onset to Death but not resulting in \he underfyilg calM ~ in Part I. 0 Yes 0 Probably
o No 0 Unknown
29. If Female:
o No1_nlwilhinpa~y"r
o P/9gIlaIllel time 01 death
o Nol pregnant, but p<eg<1anl with" 42 days
oIde8lh
o Not pregnant, but pregnant 43 days to 1 year
-. death
o UnkOOMl if pregnant within the past year
32c 1;= ~u\=: ~,:,r;;) Street, Faetory.
25. Date Prooounced Deed (Month. day. y"'l
D c..+""b(1.~ 3 0 ~ ~'O-7
CAUSE OF DEAtH (See Instructions and examptes)
Item 27. Part I: Enter the ~ - dseases. injul1eS, or complications -that direelly caused the death. DO NOT enter terminal events such as cardiac arrest,
respiratory arrest, or ventr\cular fibrIIatIon without showing the eIIoIogy. Ust only one cause on each fine.
~=s:~\~
~1. " /,-.~
a.
( - f..."
~""",,-
Due 10 (or as a 01):
~1-,-f
SeauentiaJIv list conditions, it any,
Ied1a 10 the cause listed on Ine a.
Eoler!he tINOfR!.VING CAUSE
=-~n~~:rJ.e
b.
Due 10 {or as a COllS8QIJenc& of):
c.
Due 10 (or as a consequence of):
300. w.. en AUlopsy
Performed?
d.
3Ob. Were Autopsy Fmdngs
AVa~8bIe Prior to Completion
of Cause of Death?
31. Mamer 01 Death
0_,.1 O_e
o _t 0 Pen~ng InV9Sllgetioo
o Suidde 0 Cou~ Not be Determined
M.
DYes ONo
Dves ONo
32d. Time 01 Injury
33a. Certifier (check only one)
=::r:r:,~I~:~fy= :ue~~u:~=:,h: =~.. ~~~~ _~~ ~e:' ~~.................................. 0 ..
;:.::=~ =~;'=:~~~:::~':.1::'~=_ner ..staled_ __ 0_ __ __ _, _ _ _ _ _ _ _ 0
= ~~~= and J or investigation, In my oplnk)n, death occurred at the Ume, date, and place, Ind due 10 the cause(t) and manner 88 atatecL 0
23b. license Number
23c. Dale Signed (Month, day, year)
Oc.. i-ob e.~ :)" OJ <::N 7
I- f\ I 70 .i- 1 7 - L
26. Was Case Referred to MedIcal Examiner I Coroner for a Reason Other than Cremation or Donation?
OVes DNa
329. Location at Injury (Street, city ( town, stale)
/),0
33<1. D'le Signed (Month, day, "..,)
f~1 ~C(O T-
:~",,'~~~
I d(
/( <1 ./ I " I
36. Da'e F~ed (Month, day, "..~
/"" /J//:;?co '7
00(0 f(5' - (..
34. Name and Address 9lPerS90 'Mlo Completed Cause of Death (Item 27) Type I Print
Dc\lY'(l l....lLtlS~whiR:,PO
522 S''V,H 5rr€Ct, Cc~(\'sk--P,t>... 11()t3
DIspos~on Pe"";1 No. tJtJ 7/15 7 d
(") :;:;
~o C:.')
r1 ~ (") ii ,-;;-i :~
,.:,:; ~ r- cc:: Fj ~?5
.-:- --. gj ; ;:' t":::J
- 05 X O"l .. 'Ii
~") - - ' .:::::1
I, GERALDINE A WISE, of Newberry Township, York County, pe~~a, ~ing.:!_:: ~
3:J --f - ;o?, D
)5: .. r --. II.
of sound and disposing mind, memory and understanding, do make, publish and @lar&') ':;;~?
LASf WIlL AND TESTAMENT
of
GERALDINE A WISE
this as and for my Last Will and Testament, hereby revoking and making void all former
wills and codicils by me at any time heretofore made.
1. I order and direct that all my debts and funeral expenses be paid by my
Executor or Executrix, hereinafter named, as soon as conveniently may be done after my
demise.
2. I nominate, constitute and appoint my husband, JOSEPH E. WISE, to be the
Executor of this, my Last Will and Testament, if he survives me for a period of sixty (60)
days. If my husband, JOSEPH E. WISE, does not survive me by sixty (60) days, I
nominate, constitute and appoint AUDREY ANN ULSH, as Executrix hereof. In the event
that she is unable or unwilling to serve, I appoint MICHAEL J. ULSH, as Executor hereof.
3. If my husband, JOSEPH E. WISE, survives me, then I give all my property,
real, personal, and mixed to him.
4. If my husband, JOSEPH E. WISE, does not survive me, then I give all my
property, real personal and mixed to my daughter, AUDREY ANN ULSH.
5. If I am not survived by either my husband, JOSEPH E. WISE, or my daughter,
AUDREY ANN ULSH, I give all my property, real, personal and mixed in equal shares to
MICHAEL J. ULSH and MEAGAN S. ULSH. If MEAGAN S. ULSH is still a minor at that
/~ L/)'
time, I hereby appoint MICHAEL J. ULSH, as Trustee for Meagan's interest, until she
reaches the age of 21, at which time the trust shall be terminated and distributed to her.
6. I give to my Executor, Executrix, and Trustee the following powers which are
to be construed in the broadest manner consistent with validity and their duties as
fiduciaries. I give the powers stated herein, in addition to those granted by law, and I give
them to Administrators and Trustees who succeed the fiduciaries I have appointed.
a. To retain any or all of the assets of my estate, real or personal, without
regard to any principle of diversification or risk.
b. To invest in all forms of property, including stocks, common trust funds
and mortgage investment funds, as they deem proper without regard to any principle of
diversification or risk.
c. To sell at public or private sale, to exchange or to lease, for any period
of time, any real or personal property and to give options for sale, exchanges or leases, for
such prices and upon such terms or conditions as they deem proper.
d. To allocate receipts and expenses to principal or income or partly to each
as they from time to time think proper.
e. To borrow money from any person or institution, and to mortgage or
pledge any or all real or personal property as my Executors or Trustees, in their sole
discretion shall choose, without regard for the dispositive provisions of this instrument.
f. To register securities in street name or in the name of a nominee or in
- 2 -
,;f-ic/ -
such manner that title shall pass by delivery and to vote, in person or by proxy, securitites
held hereunder and in such connection to delegate discretionary powers.
g. To compromise any claim or controversy.
h. To choose the optional valuation date for federal estate tax purposes.
i. To exercise any law-given option to treat administrative expenses either
as income or as estate tax deductions, without regard to whether the expenses were paid
from principal or income.
j. To exercise any law-given option to pay death taxes in installments, the
payment of interest due on such installments to be a charge against principal.
k. To make distribution in cash or in kind, or partly in cash and in kind, and
in such manner as they may determine, and at valuation finally to be fixed by them.
7. To the extent that such requirements can be legally waived, I direct that my
Executor or Executrix shall not be required to post bond or give any security in connection
with their duties hereunder, whether in the State of Pennsylvania or any other jurisdiction.
, j t I .
V /vv - 3 -
-J..) .
IN WITNESS WHEREOF, I, GERAIDINE A. WISE, have hereunto set my hand and
seal to this, my Last Will and Testament which consists of !f:. typewritten pages, this _
6 ~day of /} fltft~-1 f- . 1992.
j
~1/2h-k"1~ //!Z~~~
GERAIDINE A. WISE
Signed, sealed, published and declared by the above-named, GERAlDINE A. WISE,
as her Last Will and Testament in the presence of us, who at her request, in her presence
and in the presence of each other have hereunto subscribed our names as witnesses.
)jfr;~ I~
It ess
~
Witness
of if/I ~
It~,w ~ "M 11~7{J
of 4/ I C;;;c~f<d
(V t1AAJ ~!ctAcI, P4-
- 4 -
ACKNOWLEDGMENT
COMMONWEALlH OF PENNSYLVANIA
COUNIY OF 'I n/C
)
) ss.
)
I, GERALDINE A WISE, Testatrix, whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby acknowledge
that I signed and executed this instrument as my Last Will; that I signed it willingly; and
that I signed it as my free and voluntary act for the purposes therein expressed.
_ ~ /f /2'.(}~--r~e- /('C-C;/ ~A"~. .
GERALDINE A WISE
Sworn or affirmed to and a~owledged before me, by GERALDINE A WISE, the
Testatrix, this t, #1 day of (JJ~ ' 1992.
--
Notary Public
AFFIDAVIT
COMMONWEALTII OF PENNSYLVANIA )
I fi )ss.
COUNIYOF y~ )
We, _ft)aI"\J;., "&\.l>re., and ,. Of the witnesses whose
names are signed to the attached and foregoing instrument, being duly qualified according
to law, do depose and say that we were present and saw the Testatrix sign and execute the
instrument as her Last Will; that she signed willingly and that she executed it as her free
and voluntary act for the purpose 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 that time 18 or more years of age, of sound mind and under no
constraint or undue influence.
Sworn or affirmed to and subscribed to before me by these witnesses, this
day of , 1992.
~11uL--
, . .ltJv~~~
Notary Public
- 5 -
COMMONWEALTII OF PENNSYLVANIA
ss.
COUNIY OF DAUPIDN
On this, the '7% day of Jt118U ~-r
, 1992, before me KATIILEEN C.
WRIGHr, the undersigned officer, personally appeared MARVIN BESHORE, ESQUIRE,
know to me or satisfactorily proven to be a member of the bar of the highest court of
Pennsylvania, and certified that he was personally present when the foregoing
acknowledgment and affidavit(s) were signed by the Testatrix and witnesses.
In witness whereof, I hereunto set my hand and official seals.
J~HK( ('.~
Notary Public
NoIaJiaJ Seal
KaIhIeen c. WrIght, Nolary NllIc
Harrisburg. Dauphin Q6ur]Iy
MyCom~ ElIpires May2. 1994
- 6 -