HomeMy WebLinkAbout01-14-08
PETITION FOR PROB.L\ TE AND GRANT OF IIETTERS
REGISTER OF 'vVILLS OF
COUNTY, PENNSYLVANI.\
Estate of
.J. p,. \-r.~\l,. i)Q ."1'\ lA .
File Number
-.? 1- oS." 00 L...\'1
also known as
, Deceased
Social Security Number
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Petitioner(s), i\ ho lSi,l[~ 18 years of age or older, apply(ies) for:
(CO/I..fPLETE 'A' or 'B' BELOW:)
~~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is I are the
last Will of the Decedent dated Jo J t l J Ci I and codicil(s) dated
.
.~':,)-(~ PI n~ ,d
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 instl1lment(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
(Ifapplicable. enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
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Petitioner(s) after a proper search has I have ascertained that Decedent left no Will and was survived by the following s~ue~if any) amLheirs:
Administration. c.t.a. or d.bn.c.t.a.. enter date of Will in Section A above and complete list of heirs) ,. ~l;') CO) 07
R";d,n"~>,
(If
Name
Relationship
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(COIVlPLETE IN ALL CASES:) Attach additional sheets if/lecessalY.
Decedent was domiciled at death in ... -vv \.J.../ County, Pennsylvania with his I her last principal residence at
. S~~ Si ..... ~ \1.nO
(List streel address. lowl/lcity. township. cO!lllty. state, zip code)
Decedent, then
(.~
years of age, died on
}l~}o's
at
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~ ~ ,,'\NY. ~'T
tV ' (, , fA
) )1) 7,)
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in P A) Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
.v
$ I 1 (), r'JO:J U I)
$
$
$
situated as follows:
'1d
S.h~ sf
IJ. C. fA
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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:
I
Signature
Typed or printed name and residence
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Form RW-O] rev. 10./3.06
Page 1 0[2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF C,l) N\\)2( \Cl n d
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and conect 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
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before me the J . day of
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Signature of Personal Representative
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Signature of Personal Representative
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Signature of Personal Representative
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File Number: !) \ 0 3 . 00 L( 1
Estate of [' 'J. rJoJn 'cr 00 () {\.e r
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Social Security Number:
AND NOW, /41 It cA.ULI J{llll jQ ('I ' ,jO{) 6' , in ~onsideration of the foregoing Petition, satisfactory proof
having been presented before n;e, IT IS DECREED that Letters {-P,) tnJ'vcR \/1-\--0 r'i
are hereby granted to LI t>bet~ ft ban ft1. (
en
c-,
, Deceased
Date of Death:
J / 3/ 6 0
.
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of
FEES
Attomey Signature:
Letters ..............' $:} {JJ {j. (j U
Short Certificate(s) . . . . . . . . $ ~ (~() .00
Renunciation(s) ..'.','... $
LU " II .. . $
') '1)
,_L ...$
110 iOfYlo.J10 (l . . . $
.. . $
. .. $
...$
.. . $
.. . $
. . . $
TOT AL .............. $ () 10 . (f{)
11)U0
to !%
f) ,
Attomey Name:
Supreme Court I.D. No.:
Address:
Telephone:
Form RW.U2 rev IO.13U6
Page 2 of2
11-,0" REV IOlll"'
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
ee for this certificate. $6.00
P 13991634
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. JAN 0 5 2008
tkn., /7l ~ I ,
Local Registrar Date Issued
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
lEV 1112006
PRINT IN
:ANENT
.:K INK
,. Name of Decedent (First, middle, last, suffix)
5. Age (Last Birthday)
-.
:j 68
6. Date of Birth (Month, day, year)
November 26, 1939
Altoona, PA
8d. Facility Name (II not Institution, give street and number)
701 Sharon Street
13. Decedent's Education (Specify only highest grade completed)
Elementary! Secondary (0-12) College (1-4 or 5+)
12
12. Was Decedent ever in the
U.S. Armed Forces?
~Ves ONo
Decedent's
Actual Residence 17a. Stale
Pennsylvania
Cumberland
1 lb. County
STATE FILE NUMBER
204 - 30
5283
3, 2008
Other'
o Nursing Home IKl ReSidence 0 Other. Specify:
9. Was Decedent of Hispenic Origin? ~ No 0 Ves 10 Race:.American Indian. Black. While, etc
(II yes, specify Cuben, (Specify)
Mexican, Puerto Rican, elc.) whi t e
14. Marital Status' Married, Never Married,
Widowed, Divorced (Speci/YI
Married
Lisbeth Ann McClure
17c. 0 Ves, Decedent Lived in
17 d. 00 No, Decedent Lived wrthin
Acluat Limits of
Twp
New Cumberland
City! Boro
18. Father's Name (First, middle, last, suffix)
Joseph Michael Bonner
2Qa. Informant's Name (Type I Printl
Lisbeth A. Bonner
19. Mother's Name (Firsf, middle, maiden sumeme)
Marie Cherpak
20b. Informant's Maiing Address (Street, city f town, state, zip code)
701 Sharon Street, New Cumberland, PA 17070
~ 21 a Melllod of DIspoSItion , 0 Cremation 0 Donation 21 b. Date of Disposition (Month, day, year) 21 c. Place of Disposrtion (Name of cemetery, crematory or other placel 21d. location (City f town, state, zip code)
:::ii 0 Bunal 0 Removal from Stale ! Was Cremation or Donation Authorized January Evans Crematory Schaef ferstown, PA 17088
~. 0 OtI1er - Specify i by Medical Examfner! Coroner? D?J Ves 0 No
~ 22a. Sig!l! of~al Service licensee (or person acting as such) 22b. License Number 22c. Name and Address of Facility
~~' ~t~. FD 012 848 Parthemore FH & CS, Inc., P.O. Box 431, New Cumberland, PA 17070
Complete s -c only when certifying 23a. To the best 01 my kn<M1edge, death aceuned at the lime, date and place stated. (Signafure and @e) 23b, License Number 230. Date Signed (Month, day, year)
physician is not available at time of death 10
certify cause of death
Items 24-26 must be completed by person
who pronoonces dealh.
24. Time of Death
Approximate interval'
Onset to Death
~d~~T';~~n~~ J~~~) dise~
Sequen~::t:~~st':'~ ~: a.
= UNDERLVING CAUSE
(disease or injury that initiated the
events resulting In death) LAST_
b.
Due to (or as a consequence on
d.
308. Was an Autopsy
Perlormed?
3Ob. Were Autopsy Findings
Avanable Prior to Completion
01 Cause of Death?
31. Manner of Dealh
f.XI Natural D Homicide
D Accident 0 Pending Investigation
o SuiCIde 0 Coutd Not be Del.rm,ned
32d. Time of Injury
321. II TranspMation Injury (Specify)
o Driver I Operator 0 Passenger 0 Pedestrian
o Other - Specify.
33lL Signalur. and Title of Certifier
32g. location of Injury (Street, city flown, slate)
o Ves 00 No
DVes ONo
33a Certifier (check only one)
=.:r:r~~=':,n:~fyi;'~~;: ~~:t~h:hc':.::~:~h~~~:h:: ~::.::~~ d~a~h ~~d ~~~~ ~e~ ~~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D ~
Pronouncing and certffylng physlcfan (Physician both pronouncing death and certifying 10 cause of death)
To the best of my knowledge, death occurred at the lime, date, end pl..e, and due 10 the ceu..(s) end manner aa stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
Medicaf Euminer ! Coroner
On the basis of examinallon and! or Invesllgation, in my opinion, daath occurred at the time, date, and place, end due 10 the cause(s) and manner as staled_ 0
I ~I/I ~ II II
35. Registrar's Signature
~
Disposilion Permit No.
26. Was Case Relerred to Medical Examiner! Coroner for a Reason Other than Cremation or Donation?
o Ves rxJ No
Part II: Enter other s10niflcant conditions contributino 10 dealh,
but not resulling in the underlying cause given in Part I.
28. Did Tobacco Use Contribute to Death?
o Ves "lJ Probably
~o 0 Unknown
29. If Female
o Not pregnant wrthin pest year
o Pregnant at time 01 death
o Not pregnant. but pregnant within 42 days
of death
o Not pregnant, but pregnant 43 days to 1 year
belore death
o Unknown if pregnant wilhin the pest year
32c. Place of Injury: Home, Farm, Street, Factory,
Office Building, ete (Specify)
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LAST WILL AND TESTAMENT OF
J. PATRICK BONNER
I, J. PATRICK BONNER, of 701 Sharon Street, New cumberlan1~
Cumberland County, Pennsylvania, do hereby make this my Last will
and Testament, revoking any former wills and Codicils made by me.
FIRST:
I am married to Lisbeth A. Bonner, and we have two
(2) children, Patrick Michael Bonner (born: September 21, 1972)
and Robert Joseph Bonner (born: October 14, 1975). These chil-
dren and. any children born to or adopted by them are described ln
this will as limy issue. 11 Provided, however, no adopted person
shall benefit hereunder unless the order or decree of adoption is
entered before such adopted person attains the age of twenty-one
(21) years.
SECOND:
If my wife, Lisbeth A. Bonner, survives me, I give
to her my entire estate, real, personal and mixed.
If my wife,
Lisbeth A. Bonner, does not survive me, I give my entire estate,
real, personal and mixed, to my sons, Patrick Michael Bonner and
Robert Joseph Bonner, share and share alike, with the issue of a
deceased son to take his share, per stirpes.
If neither my wife
nor any issue survive me, I give my entire estate, real, personal
and mixed, to my wife's nephew, Christopher Todd McClure, or to
his issue.
Should that gift to my wife's nephew fail, I give my
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entire estate, real, personal and mixed, to the issue of my
wife's brother, James R. McClure III, per stirpes.
THIRD:
( 1)
I name as my Executrix my wife, Lisbeth A.
Bonner.
If she is unable or unwilling to serve, I name as my
Co-Executors my sons, Patrick Michael Bonner and Robert Joseph
Bonner. If either is unable or unwilling to serve, the other
shall serve alone.
If neither is able or willing to serve, I
name as my Executor Allfirst Trust Company of Pennsylvania, N.A.,
213 Market Street, Harrisburg, Dauphin County, PA.
(2) I name as my Trustee Allfirst Trust Company of
Pennsylvania, N.A.
I direct that my Trustee, herein referred to
as my Trustee regardless of number or gender, serve without bond
in any jurisdiction in which called upon to act.
FOURTH: If any share hereunder becomes distributable to
a beneficiary who has not attained the age of twenty-one
(21) years, then such share shall immediately vest in such
beneficiary, but notwithstanding the provisions herein, my
Trustee shall retain possession of such share in trust for such
beneficiary until such beneficiary attains the age of twenty-one
(21) years, using so much of the net income and principal of such
share as my Trustee deems necessary to provide for the proper
health care, education, support and maintenance in reasonable
comfort of such beneficiary, taking into consideration to the
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extent my Trustee deems advisable any other income or resources
of such beneficiary or his or her parents known to my Trustee.
Any income not so paid or applied shall be accumulated and added
to principal. Such beneficiary's share shall be paid over and
distributed to such beneficiary upon attaining the age of twenty-
one (21) years, or if he or she shall sooner die, to his or her
executors or administrators. My Trustee shall have with respect
to each share so retained all the powers and discretions de-
scribed herein.
FIFTH:
I give to any Executor or Executors and to any
Trustee or Trustees named in this Will or any Codicil hereto all
of the powers now applicable by law to fiduciaries in the Common-
wealth of Pennsylvania and in particular, through the Probate,
Estates and Fiduciaries Code, as effective and as in effect on
the date hereof, during the administration and until the comple-
tion of the distribution of my estate, and until the termination
of all trusts created hereunder and until the completion of the
distribution of the assets of such trusts, including the power to
hold and to invest in any corporate fiduciary's stock, notes,
certificates of deposit, and common funds, and the power to
register securities in the name of a nominee.
SIXTH: All estate, inheritance, succession and other death
taxes imposed or payable by reason of my death and interest and
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.
.
penalties thereon with respect to all property comprising my
gross estate for death tax purposes, whether or not such property
passes under this Will, shall be paid out of the residue of my
estate, as if such taxes were expenses of administration, without
apportionment or right of reimbursement.
I authorize my Executor
to pay all such taxes at such time or times as deemed advisable.
IN WITNESS WHEREOF, I have set my hand and seal on this my
Last Will and Testament this ~}rd day of O~+ob~
, 2001.
( SEAL)
SIGNED, SEALED, PUBLISHED, and
DECLARED by J. PATRICK BONNER,
as and for his Last will and
Testament, on the day and year
last above written, in the
presence of us, who, at his
request, in his presence, and
in the presence of each other,
all being present at the same
time, have hereunto subscribed
our names as witnesses:
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SELF-PROVING AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF !')J\ Ll ()H' tJ
SS.
WE, J. PATRICK BONNER and ~~
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Testator andFthe/wit*e~ses, respectively, whose names are signed
to the attadhed or foregoing instrument, being first duly sworn,
do hereby declare to the undersigned authority that the Testator
signed and executed the instrument as his Last Will and that he
had signed willingly (willingly directed another to sign for
him), and that he executed it as his free and voluntary act for
the purposes therein expressed, and that each of the witnesses,
in the presence and hearing of the Testator, signed the Will as
witness and to the best of his or her knowledge the Testator was
at that time eighteen (18) years of age or older, of sound mind,
and under no constraint or undue influence.
Z/:::! &~jL
. PATRICK BONNER, Testator
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Witness
Subscribed, sworn to, and acknowledged before me by J. PATRICK
of
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subscrj5ed an~ swoin to before me
I ~J11') Ii 0 z,'l{11 fI. , and
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, wi tnesy/es, this '..:~e8 rd day
by
I 2001.
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Notary Publ ic' J
NOTARIAL SEAL
SANDRA ELIZABETH MORITZ, Notary Public
Harrisburg: Cauphin County
Wry Commission EApires ~,~::.~q02 __
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