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HomeMy WebLinkAbout01-11-08~~fate of Dana M. Friedman ~ fro. q° ~-0260` _(Jd~ also knoujn as __._ ~`o: -- -_ _ ~eg±ster of ~~ills for the .~ecFasec'. `oar~ty of Cwnberland in the Social Security I~Io. ~~ ' __, Commonwealth of Pennsylvania The petition of the undersigned respectfuly represents t[?at: Four petitioner(s), who is/are 18 years of age or older an t~~ eg cut ~~ ~or named in the last will of the above decedent, dated 21 D~ce~,r ~~_. , : "20.07 and codicil(s) dated ~1/~ _-_ __ (state relevant circiuns aa~ccee a renunciation death af.executor, etc.) Decendent was domiciled at death ir_ i1_L, C:1 nFlfiPl'1~.d._.~ County, Pennsylvania, with hi.&, last family or principal residence at19.62 (,~~'~ ~~~~~~; ~-~~®~,lsh ~~ ('arm, Hi 11, (Iist street, numbei and m~tncr~aity) iecendert, then years gf aae,_di,~cl _~7 ~Dec~'Ill~e~ ~~, 2007 at 1962 Chestnut St"rest , ~orou~~i oz Cam~ti ill , t_urnL~er~ aZ,aEmt_~, ~1~77CIJ~T' Except as foIlows, decedent did not r_arry, v,~as not c'Lvoree~s : ^;1 <dzd rsot have a child horn or adopted after execution of the will offered for probate, was not the victit~; G~i' a killing and was never adjudicated incompetent: _-_ Decerdent at death owned property with est33rtated Values as follows: (If domiciled in Pa.) ~ personal property $ ~ ~~ ~ ~ 4 (If not domiciled in Pa.) Personal property iin Pennsylvania $ `~' (If not domiciled in Pa.) Personal property in County $ `' :: Value of real estate in Pennsylvania $ ,~w= ~° situated as follows: __- _ - ~- :~-r, _ - _~ ~ -- _ _. ,_._ , ~:Wi ~;anu., pe~.iuv::..:l~j Tespe..uutt}' rec{siwt~~j lii~ prCft5lte of the last V1,113 ~I1Q CO i S presented herewith and the grant of letters "' .y - ~a~~rt-~1~------ (testacr. nrrr~; a~?miri,stratior, c.t.a.; administration d.)7.fr~2.t.a,} theron. ~ H ~~ ' `~ ~ ~ "~ t 4, Gam.. .~ ~ J V //ff (-// a ~ ~~~~~ P1= ~' ~`E1S't-g~' -ro .o c '~ ca •~, a~ - a. a~yc: ,~ -~.46.~ C~~tAllt ~tTF'F't ~a~ll, ~n7 ~ _ .l$~l~~,rkPt S'txeet Camp Mill , ~'A 1~7Q11' - ~(IiTNTV ~~' CUMBERLAND ~ ~~ _- J The petitioner(s) above-named swear(s) or af~Frm(s) that the statements in the foregoing petition are true and correct to the best of the k owledge and [3e?.~ef or retitione=(s) and that as personal represen- tative(s) of the above decedent petitioner(s) v-rill Drell and truly administer ti?e estate according to Iaw. ~.. . Sworn to affi _ and~ubscribec' r -/ ~ILL~ rr~ !' ~ ,~ ~ ~ , _-before- Fns rl~.i - ---- ~ ~ _._ day or l~` tlPl~ 2 ~8 =arga t-~'-r--~as~er ~~ `,william E...NM,i11ex,_ , --- --._- . No. v~- ~~ Estate of na1Ja M ~zr~aN ,Deceased DECREE Off' PR®~ATE AND GRANT 0-F FETTERS --, ~ y~ ~( AND NOW l 4-~~ ", in consideration of the petition on the reverse side hereof, s ~sfactory prof aving been presented before me, IT IS DECREED that the instrument(s) dated 71 T1Ps-Pmhar 7(1(17 described therein be admitted to probate and filed of record as the last will of DAr1A r~. FFU~r~arr and Letters Testamentary are hereby granted to Margaret T. Foster and j^lilliam E. D?iller, Jr. r r,r,~ ~ C~ Probate, Letters, Etc. ......... $ / Short Certificates( ) .....~.~,_... $ ~ ~ Denunciation ~---a~r .~ .. ~ ~5 ~'' $ tau TOTAL Filed ......................... ~ ~~ .'. / William E. Miller, Jr., Esquire #07220 ATTORNEY (Sup. CL I.D. No.) 1822 Market Street, Camp Hill, PA 1701,1 ADDRESS (717 737-9211 PHONE r~ 3 ~, _ <,_ LAST WILL AND TESTAMENT OF - ~,._ DANA M. FRIEDMAN - -~- I, DANA M. FRIEDMAN, of the Borough of Camp Hill, Cumberland Courifg~ ~`~' -, c.•~ Pennsylvania, do hereby make this my Last Will and Testament, revoking any ~ormer.~ c~ Wills and Codicils made by me. FIRST: I am married to MARGARET T. FOSTER, a/k/a MARGARET T. FRIED- MAN, who has agreed to renounce any interest she might have in my estate. Accord- ingly, Ihave purposely not provided for her in this Last Will and Testament. I have three adult children from a prior marriage, JENNIFER L. FRIEDMAN BAILEY (born: 6 September 1963); DANA H. FRIEDMAN (born: 11 May 1965) and SARAH M. BRENNAN (born: 2 November 1967). These children are described in this Witl as "my children," or as "a child of mine." Any person born to or adopted by a child of mine is described in this Will as "my issue." 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: I give my tangible personal property and all casualty insurance that I am carrying on said tangible personal property to such of my children who are living at my death to be divided equitably among or between them as they may determine, or, if they are unable to agree, as my Executor shall determine, after considering the wishes of such children. Any such property not so distributed shall be otherwise disposed of or sold, and the proceeds added to my residuary estate to pass as hereafter described. I have complete confidence that my wife, my children or my Executor will honor any written instructions that I may leave with regard to said tangible personal property. THIRD: I give, devise and bequeath all of the rest and remainder of my estate, real and personal, in equal shares to my children, or their issue, per stirpes. In the event any child of mine predeceases me without issue, her/his share shall be distrib- uted in equal shares to my surviving children, or their issue, per stirpes. In the event all of my children predecease me and die without issue, I give, devise and bequeath all of the rest and remainder of my estate, real and personal, to the School of Medicine of ~. `, DMF Last Will and Testament of Dana M. Friedman Page 1 of 5 Tufts University of Medford, Massachusetts, to provide scholarship funds for medical students, in memory of my father, Sumner H. Friedman, M. D. FOURTH: (1) I name my wife, Margaret T. Foster, and William E. Miller, Jr., or the survivor of them, to be my Co-Executors and Co-Trustees, if applicable, herein referred to as my Executor or Trustee, regardless of number or gender. I direct that my Executor or Trustee, and their successors, regardless of number or gender, serve without bond in any jurisdiction in which they are called upon to act. (2) For services as Executor and Trustee, my Executor and Trustee shall receive reasonable compensation. I recognize that my Executor and Trustee will need to use the services of an attorney and accountant as necessary to assist in the adminis- tration, termination and distribution of my estate. It is my desire that my Executor and Trustee use the services of these professionals who will charge for their services only on the basis of a fee for services actually rendered and not be compensated for such professional services on the basis of a percentage of the value of my estate. FIFTH: 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 provision herein, my Trustee, hereinabove named, 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 medical care, education, support and maintenance in reasonable comfort of such beneficiary, taking into consideration to the 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 benefi- ciary 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 of the powers and discretions had with respect to the trusts created herein generally. ~~ ~, - ~ ,' J ~, ~ l DMF Last Will and Testament of Dana M. Friedman Page 2 of 5 SIXTH: I give to any Executor and Trustee named in this Will or any Codicil hereto or to any successor or substitute Executor or Trustee all of the powers enumer- ated in this Will and all of the powers applicable by law to fiduciaries in the Common- wealth of Pennsylvania and in particular through the Pennsylvania Probate, Estates and Fiduciaries Code, as effective and as in effect on the date of my death, during the administration and until the completion of the distribution of my estate. I direct that all such powers shall be construed in the broadest possible manner and shall be exer- cisable without court authorization. SEVENTH: No interest of any beneficiary under this Will, any Codicil hereto, or any trust created herein, shall be subject to anticipation or to voluntary or involuntary alienation. EIGHTH: No person shall benefit hereunder unless such beneficiary shall survive me by thirty (30) days. NINTH: All estate, inheritance, succession, and other death taxes imposed or payable by reason of my death and interest and 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 reimburse- ment, except as otherwise might be determined by my Executor in its sole discretion. I authorize my Executor and Trustee 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 on this 21St day of December, 2007. l'~ M ~~-k-~f DANA M. FRIEDMAN, Testator (SEAL) DMF Last Will and Testament of Dana M. Friedman Page 3 of 5 SELF-PROVING AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA . SS. COUNTY OF CUMBERLAND I, DANA M. FRIEDMAN, the Testator, whose name is signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that I signed and executed the instrument as my Last Will and Testament and that I signed willingly, and that I signed it as my free and voluntary act for the purposes therein expressed on this 21St day of December, 2007. ~~~ ~t~~ II~-~t ~.~1;~,. ,~/f--- DANA M. FRIEDMAN, Testator Subscribed, sworn to, and acknowledged before me by DANA M. FRIEDMAN, the Testator, on this 21St day of December, 2007. ~ , Notary Pub coM~tr+ of rrrv~uww NOTARIAL SEAL MARJORIE L. JOHNSON, Notary PubNC Camp Hill Boro.. Cumberland Co~M~t 'ommission Expires A ril 15, 2011 Last Will and Testament of Dana M. Friedman Page 4 of 5 SELF-PRWING AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS. We, the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present, at his request, and saw DANA M. FRIEDMAN sign and execute the instrument as his Last Will and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed, that each of us in the hearing and sight of DANA M. FRIEDMAN signed the Last Will and Testament as witnesses; and that, to the best of our knowledge DANA M. FRIEDMAN was at the time eighteen (18) years of age, of sound mind, an, under no constrain or undue influence. ,. ,~ ~ ~ . ~`_ Witness 'G2~~ ~IVi ess Witness Subscribed, sworn to, and acknowledged before me by ~ ~ ~1-~-~ l~ ~ t ~(Qi(^' and S ~~ -~~~~-the witnesses, on this 21St day of December, 2007. o~~`LSc, ~ ~ CU ~~.~--sY~.~ Notary Public COMMONWEALTH OF PENN8Yl.VAN1A NOTARIAL SEAL MARJORIE L JOHNSON, Nary Public Camp Hill Boro., Cumberlafld COUtIry 'sv Commisswn Expires 15, 20 1 Last Will and Testament of Dana M. Friedman Page 5 of 5 705.805 REV (01/07) 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 139912?4 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. DE~ 2 9 Z~O~ Local Registrar Date Issued REV t1/zoo6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS PRINT IN CERTIFICATE OF DEATH AANENT CK INK (See instructions and examples on reverse) CTATF FII F NIIMRFR =~~ ~ ,~.~ ~ r =_.. - -~ - _, _ =s _ -- ~ ~ -.... '~- ~ - ~ =~.~ ~ _ _> - ~ _ 1. Name d Decedent (Flrsl, middle, last, sufix) 2. Sex 3. Social Secudry Number 4. Dale d DeaM (Monts, tlay, year) Dana M. Friedman male 161 - 32 - 4 Age (Lest Birthday) UMer 1 year Under 1 day 6. Date of Bidh (Monts, day, r) 7. arthplece (City and state or forego country) 6a. Place of DeaM (Check only one) 5 . ~~ Days Han tkwxee Hospital: OMer. 69 Yra. June 22,1938 Bennie ton Ut ^Inpatienl ^ER/Outpatient ^DOA ^Nursing Home ®Residence ^Other-Specify: • County of Death 8c. Ciry, Born, Twp. of DaeM 6b lM. Fecdby Name (II nd Inslitulion, 9Na street aM mxnber) 9. Wes Decedent d Hisloank Origin? No ^ Vas 10. Race: Amerken Indian, Black Wmte, etc. ecif ) (S . Cumberland Camp Hill y p (If Yes, spaciry Cuban, 1962 Chestnut Street Mexican,PwrtoRican,etc.) White 11. DecedenYS Usual don K'xld of work time du' mast d Nk. Do not state retired 12. Was Decedent ewer in the 13. DecedenYS Education (Specify ony highest grade completed) 14. Herbal SIGNS: Mametl, Never Married, 15. SuruMng Spouse (If wife, give maiden name) Widowed, Ohrorced (SpeciM KeM d Work KKW d Business I Industry l U.S. Awned Feances? Elementary /Secondary (0-12) College l1-0 or St) 5+ Married Mar aret Trace N ^ coa Attorney A O Yea p-I 16. Address (Street, ci /town, state, zip code) t ~t ~ ~ DecedenCS Did Decedent Actual Residence ,7a. Slate Pa ~ma ,7c.^ves. Dewdenl LNed In Twp. ree estnut j J() Cumber land T°""""P? nd. ~I No, Decetlenl uVed wbhM Camp Hill Camp Hill, Pa 17011 city, Borc fro ~nry Actual Limtis of 16. FaMers Name (First, midde, last, suffix) 19. ModleCS Name (FlreL mKktle, meitlen surname) Sumner H. Friedman Ruth Faitsch Infamanfa Name (Type I Pdnt) 2fla 2W. InformenCS MaMg Adtlress (Street. cbY /town, state. zip code) . Margaret Friedman 1962 Chestnut Street Hill Pa 17011 - 21 a. Method d Disposition Cremation ^ Doredon 21b. Date d Disposition (Monts, tlay, Year) 21c. Place d Dispcetlkn (Name d cemetery, crematory or oMer platy) 21d. Lootion (Ciry /town, slate, zip cede) ^ Burial ^ RemovaltromSlate ~ WasCremadonaDenadonAudlorized ~ ^ • Hollin er Cremator Mt Holl S rin s Pa No ^ ~ by Medial Examiner /Coroner? Ves ~ I Servke a acting as such) 22b. License Number 22c. Name and Address d Facility ~ 2a. Signature 011654-L M ers-Hamer Funeral Home Inc.1903 Market Street Cam Hill Pa1701 w ~ Canplele 23a<ady wfterl arfirying 23a. To tl1e best cl rtry knowledge, deaM acaxred al die time, tlale aM plea slated. (Signature and title) 23b. Ucanse Number 23c. Date Sgned (Month, day, year) physkiert a mt avetlade at time d deaM ro cerury ease d deaM. 24 TI I DesM 25. Date Pralaxtced Dead (Hants, day. Year) 26. Was Cese Referred to Medal Examiner /Coroner for a Reason Other than Cremation a Donation? / .-.j ~ 7 Items 24-28 mum be completed by parson ~ ~ O ^ Vas o 7 M. wlw praaurtces deaM. O~ pC, CAUSE OF DEATH See Instruetlona anA examples) t Approximate interval: es complkitrons -Mal d'necdY cased db deaM. W NOT enter lertdnal events such as cardiac arrest, i Onset M DeaM kryuries d events -diseases h d i E Part II: Enter other ~ ~ ~ ~ bd nd resudklg M die Ixtdedying cause given m Pad I. 2S Did To6acce Use Contrihlde to Death? ^ Yes ^ Probebry , , e w n nter t Item 27. Pert l: on eadl IMe. I we respirelory artesl, a ventricular fihSa' robbed showing Me etiology. ldst only one a o ^ Urdcnown / ~ IMMEgATE CAUSE IFxW disease or ~p ,w r 1~ 17~~ ~ f~v, /1/f JJ n death) tlm 6li ry 29. II Female: ^ Not nant wdhin est ear re r g on resu can /~ _' a. fi Due to (a conseq ap: 0 p y p g ^ Pregnant al time of tlealn r ~~ r rI '~ N / SequendatlY Nst can6tiow, arty, b. r Ieadkq to die rouse KNetl on tine a r Emer the UNDERLYING CAUSE ue to (or s a e oQ: a ~ C ~ ~ r Met kltliated the in i ~ ^ Not pregnant, Md pregnant wilMn 42 days of deaM jury sease a r (d c. events resulting m deaM) LAST. ^ Not pregnant, Mx pregnant 43 tlays l0 1 year Due to or as a e off: ~ r before deaM ^ Unknown it pregnant within the past year d 30a. Was an Autopsy 30b. Were Autopsy Findmgs 31. Mannar d DeaM 32a. Date of Inryry (Month, tlay, year) 326. Describe How Injury Occuned 32c. Place of Injury: Home, Farm, Street, Factory, Odke Builtling, etc. (Specrtyi Pedomled? Avatlahle Pdor to Corrpidion r(~/„_Nal ^ Horrikide yg " ^ of Cause of DeaM? 1 ~ Acddenl ^ Pending Investlgadon L- -J, 32d. Tine of Injury 32e. Injury at Wahl 32f. If Trereponation Injury (Specify) 32g. Loolim of Injury (Street, ceY /town, stale) .w! ^ Ves I ENO ^ Yes ^ No Yes ^ ^ No ^ DrNar I Operates ^ Passenger ^Pedesldan ^ Suidde ^ DOUM Nd a Ddermined M ^OMer- sPadM 336. Signature acid T41e d Certifier 33a. CMlfier (check Doty one) • Certbylrg phyelclen (Physidan cenihying cause d deaM when endher physktian has pronounced death aM compdee Item 23) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ) and manner as s1Med h i C ~ y~kQ -. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ e ease(s To the best of my knwwledge, dmth occurred due to t • Pronouncing and certifying phyaklan (Physidan both P<onouncKt9 Beth antl certifying to cause of death) To Ilw bast of my Knowledge, death oaurred at the tlme, date, and plea, and due to the cause(s) and manner as slated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c. LKense Number 33d. Da~ (MOnlg, day, year) / ~ ~ //i_J"Vy^l • Medical Examiner/Coroner On dte basis of examinatiat and I or investigation, in my opinion, deaM occurred et the time, date, and place, and due to the ousels) and manner as ateted_ 3q N nd Add'Jre~ss of Person Who Canpleted Caused ath jltem 27f Type / PriIlt N,~ ~ ,N~Y~y~/-~ / E ~ ~ ' 36. Date Fd (Hants y, year) J ~ C y A•/ ~ 35. Registrar's Signature a nd Number I ~I / I ~ ~ I ~ I 2G~ ~ O` __ - ~~ a~' aD~ 7 O ~- ~ n Disposition Pennb No. r