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Home My WebLink About01-16-08 PETITION FOR PROBATE and GRANT OF LETTERS Estate of CARSON M. STEFFEN. SR. No. ;; 1- ()~ - DoS 2- also known as To: Register of Wills for the , Deceased. County of CUMBERLAND in the Social Security No. Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner( s), who is/are 18 years of age or older and the execut or named in the last will of the above decedent, dated AUGUST 15. 2000 and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with h is last family or principal residence at 132 MARKET STREET. NEW CUMBERLAND. PENNSYLVANIA 17070. (list street, number and municipality) Decedent, then 82 years of age, died 1/2/2008 at HOLY SPIRIT HOSPITAL. CAMP Hill. PA 17011 Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not dcmiciled in Pa.) Personal property in Pennsylvania (Ifnot domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: 132 MARKET STREET, NEW CU,BERlAND, PA 17070 $ $ $ $ 1.000.00 0.00 0.00 50.000.00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary ~iliereon ~S~N M~FEAR. (t~-'"~~~~E~~~~~~~;ti'"::":::70 ;;; :s! "'~ ~~ '0 c: a .g ~.- ~~ B~ '" c: OJ) Vi o (=n '. ..-1.7 .1 -CJ 7~ f~? r-0 r:~ C:.":) c;o C.- :r:~ ::.:J.: ./--; , ~ . -,-- --""1-: 0-. i:3c;'~ ~ --y ..L.. ~IJ '-0 N C) .U J-~> OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYL VANIA } 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 represen- tative(s) of the above decedent petitioner(s) will well and truly administer e te ccording to law. Sworn to or affinnedaE subscribed { '1JL before me this III day of ~ARY. 2008 0<1' . "'-,- V \\ \,~ (>~ Register \J C/) ciQ' ~ g. ::; '" ~ No. d.1-Or;-005~ Estate of CARSON M. STEFFEN. SR. , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW JANUARY Ito .2008 , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated 8/15/2000 described therein be admitted to probate and filed of record as the last will of CARSON M. STEFFEN and Letters TESTAMENTARY are hereby granted to CARSON M. STEFFEN, JR. ~,\ \ FEES 15.(.ID Probate, Letters, Etc.. . . . . . .. $ I:SS .oJ 24 .(X) Short Certificates (6 )....... $ Renunciation. . . . . . . . . . .. $ 5. o:J ,jc.P 10. 0D Au...t~o.t, &)"$ e. \ oD TOTAL _ $ Iqti.QU Filed. i ! LfI f ~ ~. . . . . . . . . . . . . . . . #29920 . No.) 64 SOUTH PITT CARLISLE PA 17013 ADDRESS 717 -243-6090 PHONE REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA RENUNCIATION Estate of CARSON M. STEFFEN, SR. No. 21 08 005 :L also known as , Deceased The undersigned, KITTY J. MICHAELS (daughter) (Relationship) of (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters Testamentary be issued to CARSON M. STEFFEN, JR. .?h Witness my hand this I> PA 17074 (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed --. before me this / ~ day of ~~~ ---- Notary Public . My Commission Expires: CJ-c; / f o -~o C'! r.',....) t:;:::'J G"O c_ J:~ ~~ 01 :p- ~ I: \.D N CJ (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. RW-3 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. P 13991996 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. ~ /Jl ~ 'JAM 1 J 2GO~ Local Registrar Date Issued Fee for this certificate, $6.00 Certification Number 0') :r:,.... REVi1/2000 PAINT IN MNENT CK INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) -.~-) I.D N Yes July 21,1925 STATE FilE NUMBER- ,. Name of Decedent (First, micidle. last, suffix) Carson M. Steffen, Sr. 6. Dale 01 Birth (Month, day, year) 3, Social Security Number '206 - 16 4775 .2 /)/ ,"-0(;" 5. Age (Last Birthday) 11. Decedent's Usual Occ lion Kind of worle: dol'\E! dunn most of worki life. Do not stale retired Kind of Wor'K. Kind oj Business I Industry Laborer Manufacturing . 16. Decedent's Mailing Address (Street, city ( lown, slate, zip code) 132 Market Street New Cumberland, PA 17070 myes DNa Decedent's Actual Residence 17a. Slale 8a. Place of Death (CheCk only one) Hospital: Other o Inpatient ~R I Outpatient 0 DOA 0 Nursing Home 0 Residence DOther. Specify 9. Was Decedent of Hispanic Origin? ~ No 0 Yes 10. Race: American Indian, Black, White, ele (II yes, specify Cuban, (Specify) Mexican, Puerto Rican, etc.) whi te 14. Marital Status: Married, Never Married, Widowed, Divorced (Specify) Widowed 82 8b. County 0' Death Cumberland E. Pennsboro Twp. 17b. County Pennsylvania Cumberland Did Decedenl Liveina Township? He. 0 Yes, Decadent Lived in 17d. 1&1 No, Decedent Lived within ActuafLimilsof Twp New Cumberland City/Boro 18. Father's Name (First, middle, last, suffix) Harvey Steffen 20a. Informant's Name (Type I Print) Kitty Jo Michaels 19. MottIer's Name (First, miclcle, maiden surname) SUSan Maurer 2Ob. lnlonnanfs MaUing Address (Street, city / Iown, stale, zip code) 586 Old Limekiln Lane, 21e. Place of Disposition (Name of cemetery, crematory or other place) Rolling Green Memorial Park PA 17011 22c. Name aod Address 01 Facility Parthemore FH & CS, Inc., P.O. Box 431, and, PA 17070 e<Jg~daY, yea,) 24. Time of Death t.'L CAUSE OF DEATH (See Instructions and examples) lIem 27. Part I: Enter the ~ - diseases, Injuries, or complications - that directly caused lhe dealtl. DO NOT enter terminal events such as cardiac arrest, respiralory arrest, or ventricular fibrillation without showing the etiology. List only one cause on each line. Approximate interval: Part II: Enter other sianilicanl conditions contribulinn to death, 28. Did Tobacco Use Contribute to Death? Onset to Death bul not resulting in !he underlying cause given in Part I 0 Yes 0 Probably DNa OU'know' =~Te~n~~~~ ~~~\ disea~ 1.(1 ~,""" ~ Due to (or as a c?~uence of): iJ b, (...It....;l.-,-1.,I..... i L...i-n...,/ Due to (or as a consequence of): Z-")J~ ...:1 'J1->< ,_ )1t...(.~ tJ; .1.,.- 13-.,<. ll"'hk. J~;...J.;'1.L7 C c j'7.JJ 29,liFemale o Not pregnant within past year D Pregnant at time 01 dealh o Not pregnant. but pregnant within 42 days at death o Not pregnant, bUl pregnanl 43 days 10 1 year belore death o Unknown if pregnant within the past year 32c. Place 0' InjUlY: Home, Farm, Street. Factory, Office Building, ate, (Specify) SeQuentiallv list coodilions, il any, leading to the cause listed 00 iine a. Enter !he UNDERLYING CAUSE (disease or it:ljufY thai initialed the events resulting In death) LAST. In., /J.. 'J ~vW Due 10 (or as a consequence of)' d, o Yes ~ No Dyes DNa 31. Manner 01 Death !jJ Natural 0 Homicide o Accident 0 Pending Investigation o Suicide 0 Could Not be Determined 32d. TIme 01 Injury 32g. Location of Injury (Street, dty I town, state) 308. Was an Autopsy Pet1ormed? 3Ob. Were Autopsy Findings Available Pnor loCOfTll!etion at Cause of Death? M 33a. Cef'lilier {check only one} 33b, Signature ~ Certifying physician (PhYSICian certifying cause of death when another physician has pronounced death and completed Item 23) ..... . To the be.lof my knowledge, death occurred due to the CBUse(S) and manner 88 sla1e<L _ _ _................... _ _................... _......................... _... ~ ",. ~~~:u:~~~ 8~ ~:'~:~hJ:~~~a~~~:i: I:~j~~~~~~n~;::c:~~~~~iot~h~~~:;~:aa~~ manner as slaled_ .. .. .. .. _ _ .. _ .. _ .. _ _ _ _ .... 0 33c. License Num r Me<JIc,' E"m'..., I Coran" MD 02 12 2 6 - L On lhe basis 01 examination and! or investigaUon, in my opinion, death occurred at lhe I1me, date, and place, and due to the cause(s) and manner as stated.. D ,; ----. c ,:t.--,,- ~ 33d. Date Signed (Month, day, year) 1/7 /08 I,~ /IA/I/I D;spos;tlc' P,em;! No. ()(')C) ?l~ '~'L. 34. Name and Address 01 Person INho Completed Cause 01 Dealh ()fern 271 Type / Prinr Raymond C. Grandon, M.D. 131 State St., Harrisburg, PA 17101 , LAST WILL AND TESTAMENT I, CARSON M. STEFFEN, of 132 Market Street, New Cumberland, Cumberland County, Pennsylvania 17070, do hereby make, publish and declare this to be my last will and testament, hereby revoking all wills heretofore made by me. 1. I direct my personal representative to pay all of my debts, funeral and administrative expenses as soon as convenient after my decease. I direct that all inheritance taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property, whether or not such property passes under this Will, shall be paid by my personal representative out of my estate. 2. I authorize and empower my personal representative to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefore, in fee simple, as I could do if living. My representative is authorized and empowered to engage in any business in which I may be engaged at my death, for such period of time after my death as seems expedient to said representative. 3. give, devise and bequeath all of my estate of whatever nature and wherever situate as follows: j'.,....) A. My real estate at 132 Market Street, New Cumberland, Cumberland (~) co . ':;" ( County, Pennsylvania, to my son, Carson M. Steffen, Jr., or if he is ,d~ceasEid, ,', <1-- -,- I"" then to my daughter Kitty J. Michaels; and all the -) Oi ~ ill N CJ ,- B. Rest, residue and remainder of my estate of whatever nature and wherever situate to my son, Carson M. Steffen, Jr. and Kitty J. Michaels, share and share alike. 4. I nominate and appoint Kitty J. Michaels to be the personal representative of my estate, to serve without bond. If she cannot or does not serve, then I appoint Carson M. Steffen, Jr. to be the substitute personal representative, also without bond. 5. I suggest that my personal representative retain the services of Harold S. Irwin, III, Carlisle, Pennsylvania in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 15th day of August, 2000. (SEAL) Signed, sealed, published and declared by the above-named person as and for a last will and testament, in our presence, who at said person's request, in said person's presence and in the presence of each other have hereunto set our names as subscribing witnesses. (h X <rJ-S (!~~k'<r' ~tdiu rd. g~?ou , . ." ACKNOWLEDGMENT AND AFFIDA VIT WE, CARSON M. STEFFEN, AMY S. CASEY and HEATHER A. BARBOUR, the testator and witnesses respectively, whose names are signed to the 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, and that he executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the will as a witness and that to the best of their knowledge the testator was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. ~7 ~)a tF'tikV;" f Wit' '4ltLllfcp7~ HEATHE A. BARBOUR COMMONWEALTH OF PENNSYLVANIA :ss: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by CARSON M. STEFFEN, the testator herein, and subscribed and sworn to before me by AMY S. CASEY and HEATHER A. BARBOUR, witnesses, this 15TH day of August, 2000. -~.,.._--,~.~--- \ ~Jotari:tI Seal .' Harold S_ Irwin \\1, Noli;ry [~Ur)IIC ~"'''-llr''Y Carlisle so.ra CU.cr',llle(!~H,\i] ..OU, .. J ' ' '_" C' ,"II ?'] 2002 My comm!s~,\on EXG~~~.~:!::t..:.'__~,,: - ~~:,~~~~' c~ Notaries rv~Embci f-lE'nfIS\.' )1',;,. .-~