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Home My WebLink About12-14-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYL VANIA Estate of Betty A. Bretz also known as File Number /). 1-07- / J.~/tl . Deceased Social Security Number 201-18-3153 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE ~, or 'B' BELOW:) l2J A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the executrix last Will of the Decedent dated July 6, 2005 and codicil(s) dated none 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: o B. Grant of Letters of Administration (If applicable, enter: c.t.a.; db.n.c.t.a.; pendente lite; durante absentia; durante minoritate) r-...> Q 25 .:1:J Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following ~~ (if any) ~ heir~{lp~ Administration, c.t.a or db.n.c.t.a, enter date ofWilUn Section A above and complete list of heirs.)) :q,-., rt'i C:i:.J ",,:. '. .:: c-.> '" ':. F~ Name ':::'i':J :x: Relationshi . . ---;:.. ~ ! I Residenee:: =0 ...-' " ,,"~.', (--..., --', _.0 (COMPLETE IN ALL CASES.~ Attach additional sheets ifnecessary. i> .. .. Decedent, then 81 years of age, died on December 5, 2007 at 8:30 p.m. Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (Ifnot domiciled in PA) Personal property in Pennsylvania (If not domiciled in P A) Personal property in County Value of real estate in Pennsylvania $ $ $ $ 53,569.14 situated as follows: None 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 Donna F. Smith, 440 Sample Bridge Road, Enola, Pennsylvania 17025 Page 1 of2 Form RW-02 rev. 10.13.06 - Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF Cumberland The Petitioner(s) above-named swear(s) or affrrm(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 /4 rl1 day of 1)IflO1~ ]v . M() 7 ~Q~ Foe Register before me the ~ Q.~(}~ Signature of Personal Representative Don n a F. I) m i t h Signature of Personal Representative Signature of Personal Representative C) ''?O .~ :0 ..ilj ~;P '>rn .,.._~ ::: . -'-.~ f',.) = ::; o ITI (""') +" File Number: Estate of Betty A. Bretz ... ... ~I ~ D7 ~ / /:3{;; , r~~ (~~ ~, ) r. ,-,..} -i'~ c5 . ,"n -0 ::I: -;"1 , Deceasa :.:':::t :- :- Date of Death: December 5, 2007 2007 , in consideration of the foregoing Petition, satisfactory proof DECREED that Letters Testamentary AND NOW, having been presented before , I are hereby granted to Donna F. Smith in the above estate and that the instrument(s) dated 6th of July 2005. described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES JJ~1l/JJl cjMflfIU 0tM!J~Jd/L -- Letters............... $ Register of Wills pt./l ~ ~ Short Certificate(s) . . . . . . . . $ Attorney Signature: Renunciation(s) .......... $ .. . $ .. . $ .., $ .. . $ .. . $ .., $ .. . $ . .. $ ... $ TOTAL .. . . . . . . . . . . . . $ Form RW-02 rev. 10.13.06 Attorney Name: James M. Bach, Esquire Supreme Court LD. No.: 18727 Address: 352 S. Sporting Hill Rd. Mechanicsburg, P A 17050 Telephone: 717-737-2033 Page 2 of2 H;()'.~~()." R'=:V (n;/n-;' , ", "1- U ?.I.t; ()l/ I - f..; . I J LOCAL REGISTRAR'S CERTIFICATION OF DEATI-I WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 13990237 Certification Number This is to certify that th( information hen given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. Th<~ original certificate will be forwarded 10 the State Vital Records Office for permanent filIng. /? h1 v7. iDEe 0 6 Z007 ~ / '< /~~~~'L / Local Registrar Date Issued ......, = = _..J () c:;~. ~~ [Tl :_~.J ;< ':.1 :--,"\ ...' c; (....) ::e:) '~~;:'?l ,~-----j CJ P1 t""") c~.) y\ "n (,"c) ,''''''1 ~ :--) -"~I -u :l:: - .. .: ~") '-r.J > .s:- .s:- REV 1112006 I PRINT IN MANENT ICK INK COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) STATE FILE NUMBER Mar C. Beers 2Ob. lnformanrs Mailing Adltess (Street, cily Ilown, stale, zip code) 440 Sample Bridge Rd. Enola, PA 17025 1. Name 01 DecedenllFirst. midde, Iasl. SUffiK) 5. Age (Last Birthday) Betty A. Bretz 6. Date of Birth (Month, day, year) 81 10/11/26 Harrisburg, PA Vrn Bb. County 01 Death Cumberland ad. Facility Name (II rlot insthulion, give slrget and number) Camp Hill West Shore Health & Rehab 11. Oecedenrs Usual lion Kind of wor1I done duri most of worki Mfe. Do no! slate relired Kind 01 Woric Kind 01 Business IlnduSlry Nurse PA State Hosp. . 16. Decedenfs Mailing Address (Slreel, city f town. slate, zip code) 670 Lash Rd. Shermansdale, PA 17090 12. Was Decadenl ever in the U.S. Armed Forces? OVa, UlNo Decedent's Actual Residence 17a. Stale 13. Decedenl's Education (SpecIfy only highest grade completed) Elementary I Secondary (Q-12) College (1.4 or 5+) U NK Pennsylvania PArry 17b.County 18. Father's NamelArst, middle, Iasl, sufflx) Jacob H. Shutt 19. Mother's Name (ArsI, middle, malden surname) 208. Informant's Name (Type I Print) Donna Smith 218. Method of Disposiliorl 4. Date 01 Death (Month, day, year) December 5, 2007 Qlher: XJ Nursing Home 0 Residence DOther. Specify: 9. Was Decedent 01 Hispanic Origin? 5a No 0 Yes 10, Race: American Indian, Black, White, etc. ;'::~.~~~~:.atc) {SpecifY! White 14. Marital Stilus: Married, Never Married. W_ad. DiY<lfCad (SpecifY! Widowed Twp Did Oecedenl Uveina Township? 17c. 0 Yes, Decedent Lived in 17d.:l(] No, Decadenl Lived within Actual Limilsof Shermansdale Cil'!IBoro Evans 21c. Place of Dispositkm (Name of cemetery, crematory or other place) 22c. Name and Address of Facility 51 21d, Location (City I town, state, zip code) Leola, PA orne Enola, PA 17025 =~~~~~~~dise::; Approximate inl&I'YaI: Parl II: Enter olher . Onset 10 Death but not resulting in the oodertyirlg cause gven in PM I ~::he~='~j~a. ~e UNDERLYING CAUSE ~~ ~W~~n":aigra~re b. Due to (or as a consequence of): d. Dyes 3Ob. Were Autopsy Findings Available Prior to Completion of Cause of Death/- o Yes l2fNo o Homicide 0-1 0 _09 ''''estigation o SlJicida 0 Cot;d Not ba Detarmined 32d. Trne of Injury M 33a. Certifier (check only one) Certifying physician (Physician certilying cause 01 death when anottler phvsician has pronounced death and completed Ilem 23) To Ihe best 01 my knowledge, death occurred due to the cauM(l) and manner al stlfeeL.... _ _ _ _.. _...... _........ _...... _ _ _.. _.... _........ ~~~U:~~,.~ =~h=a:e~u=:~ ~I::=:n~~~~~:rl:;~ot~:=~~a:~ manner 81 silted.... .... .. _.. .. .... .. _.. _ ........ 0 Medal Examiner! Coroner On the basil of eKamlnallon 8nd / or investigation. In my opinion, death occumMl 8t lhe time, date, and place, and due 10 the cause(s) and manner as ltated.. 0 I~/I~/II Disposition Permit No. 29. ~ Fe Not pregnant within past year o Pregnant at lime of death o No! preg'lBnt, but pregnant wilhin 42 c1aVs ofdeatll o Not pregnant, but pregnant 43 days to 1 veer before death o Unknown il pregnant within the past year 32c. Place of Injury: Home, Farm, Street. Factory. Office Buikfing, elc. (Specify) 32g. Location 01 Injury (Streel. cily I tOWrl, state) ~~ A- I?--'):) <. '.... aI \-"''V . ... THE LAW OFFICE of: JAMES M. BACH Attorney-At-Law 352 S. Sporting Hill Road ~echanicsbuxg,P1\17050 737-2033 LAST WILL AND TESTAMENT FOR Betty A. Bretz "" = = --J ""-~'.\,,,- '.t- ~, ~"I -. :,--;j ~-) :"J rq n .. :Sj "1'1 ....- :~l -0 :':~ ~T; :JI:: , ," C) j--Tl - .. ~- .s:- ,."...-~-.... -v '"-....-......... ..J Last Will And Testament Of Betty A. Bretz I, BETTY A. BRETZ, of the TOWNSHIP OF SILVER SPRING, COUNTY OF CUMBEBLAND. COMMONWEALTH of PENNSYLV~ being in good bodily health and of sound and disposing mind and memory, and not acting under duress, menace, fraud, or undue influence of any person whomsoever, merely calling to mind the frailty of human life, and being desirous of disposing my worldly goods while I have the strength and capacity so to do, I do make, publish and declare this my LAST WILL AND TESTAMENT. I hereby revoke, cancel and annul all my former Wills and Testaments, including codicils thereto, by me at any time made, and declare this alone to be my LAST WILL AND TESTAMENT. AS TO SUCH ESTATE IT HAS PLEASED GOD TO ENTRUST ME WITH IN THIS LIFETIME, I DISPOSE OF THE SAME AS FOLLOWS, VIZ: ITEM 1. ITEM 2. ITEM 3. ITEM 4. ITEM 5. ITEM 6. I direct that my Executrix hereinafter named, pay and discharge all of my just debts, funeral and testamentary expenses. I order and direct that my bodily remains be cremated. I give, devise and bequeath the sum of $3000.00, free from tax to my dearly beloved sister Shirley Kidman, provided she survives my death. If she should not survive my death then this bequest will lapse. All the rest, residue and remainder of my entire estate, wheresoever situate, and whatsoever it may consist of, I give devise and bequeath, absolutely, and in fee, to My Dearly Beloved Daughter, Donna F. Smith, per stirpe: I nominate and appoint Donna F. Smith as Executrix of this my Last Will. Should the Executor named herein fail to qualify or cease to act as Executor, then I appoint Diane R. Miller and Sylvia K. Morrow, as C- executrix. I order and direct that my Personal Representative(s) named herein use the legal services of JAMES M. BACH, as Attorney for my Estate. ~(L,J3mJ BETTY BRETZ -----,.,~ ,,' -,II &...... ,J- ~<, ~ l " ITEM 7. I direct that my personal representatives, as well as their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITEM 8. I direct that all estate, succession, legacy, inheritance or other transfer taxes, however designated that shall become payable by reason of my death in respect of all property comprising my gross estate for tax purposes, whether or not such property passes under this LAST WILL, shall be paid by my Executor out of my residuary estate. ITEM 9. I grant to my personal representatives herein named, in addition to, but not in litnitation of those powers vested by law, to be exercised without prior application to or approval of any court, the power and authority to retain indefinitely any property, to invest and reinvest any assets or the proceeds derived from the sale of assets, although said investments may not be of the character prescribed by law, to sell, convey, assign, transfer and encumber any property, to pay, settle or compromise all claitns, to make distribution or divisions in cash or in kind, and in general to exercise all powers in the management of any property hereunder which any individual could exercise in the management of sitnilar property owned in her own right, and to execute and deliver any and all instruments and to do all acts, which may be deemed necessary and proper. ;s~ (1- '!fm;!j BETn . BRETZ --------------------------------------------------~~][)---------------------------------------------------- 2 ._itl"" '" ... (.. .... " , . .. ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA ) ) ) ss COUNTY OF CUMBERLAND I, BETTY A. BRETZ the 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 the instrument as my LAST WILL; that I signed it willingly; and that I signed it as my free and voluntary act for the purpose therein expressed. Sworn to or afftnned and acknowledged before me, by: the TESTATRIX this 6th day of~, 2005. 23~ ~ \~~ BETTY BRETZ NOTARIAL SEAL . JAMES M. BACH, Notary Public Hampden Twp.. Cumberland County My Commission Expires May 13, 2007) The preceding instrument consisting of this and two (2) other typewritten pages, identified by the signature of the TESTATRIX, was on the date thereof signed, published and declared by BETTY A. BRETZ the TESTATRIX therein named as and for her LAST WIll ~A D STAMP T. . /,__~/(J Residing at 352 S. Sporting Hill Road LEZLI . Mechanicsburg. P A 17050 Residing at 352 S. Sporting Hill Road Mechanicsburg. P A 17050 AFFIDA VIT COMMONWEALTH OF PENNSYLVANIA ) ) ) ss COUNTY OF CUMBERLAND We, LEZLI ]. LEAR and MARY CLAYCOMB, the witnesses whose names are signed to the attached or 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 his LAST WILL; that the TESTATRIX signed it willingly and that he executed it as his free and voluntary act for the purpose therein expressed; that each witness 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, 18 or more years of age, of sound mind and under no constraint or undue influence. and acknowledged before me, by: LEZLI ]. LEAR and MARY 6th day of~, 2QQ.1. S M. BACH, ESQUIRE TARYPUBLIC echanicsburg, PA 17050 My Commission Expires: 05/13/07 NOTARIAL SEAL JAMES M. BACH, Notary Public Hampden T~p., Cumber/and County My Comrruss,on EXpires May 13, 2007 3