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HomeMy WebLinkAbout01-28-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cry irr B e~ ~~ ~; ;~ // COUNTY, PENNSYLVANI:? Estate of ~~ z"C.r N /~ .~ t C h ~~ N Q;n ,Q (~ .~ R p,2~ -o.~~ W " ~U(~ also la~own as File Number -7 // ,Deceased Social Security Number f / ~ ~~ y . ~~ rtSf Petitioner(s), who isiare t S years of age or older, apply(ies) for: (COMPLETE '.a' or 'B' BELOW:) ^ A. Probate and Grant of Letters Testa entary and aver that Petitioner(s) is /are the f'y P r• ; c f ~,E, L ~ last Will of the Decedent dated ^ O i and codicil(s) dated `-" named in the _z7 - -~ c___ (State relevant circumstances, e.g., renunciation, deatk of executor, etc.) , T wv l :3 Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution dfU'ha~nsttum'~iht(s) offered ~~ for probate, was not the victim of a killing and was never adjudicated an incapacitated person: - '_ .. C.P1 ^ B. Grant of Letters of Administration G,.,, (Ifapplicabte, enter: c.t.a.; d. b. n. c.t.a.,-pendentetite; duranteabsentia; duraateminoritateJ Petitionet(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.) (COtY1PLETE IN ALL CASES:) Attac/: utlditiot:al s/:eets if necessary. Decedent was domiciled at death in ~~ /~'! ~ n County, Pennsylvania with his /her last principal residence at ~~ street nddrers, torwr/city, t~ kip, county, state, zip code) ~~ ,S ~ / ~O ~ S Decedent, then ~_ years of age, died on 6/ ~/ Oar' at Decedent at death owned property with estimated values as follows (If domiciled in PA) All personal property $ ~ ~ Q Q U b O O (If not domiciled in PA) Personal property in Pennsylvania $ ' (tf not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: Wherefore, Petitioner(s) respecttiilly 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: Si~nahire _ or printed name and residence ~ ~1~ ~.5~ /'~t,q ~~rv~ ' /~di~~~ ..3'~ ~' ~~ivs fiv~t~.~f '~ i ~ fa ~~ ~ s ~ iw~s~ Form RYV-0? rei~. ]0.13.06 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA V~ ~~~'~~ ~ ~ ~ Psi ,l ~ ' ~ SS COUNTY OF ~.~LP~~%6'CL~ ~ ~,C ~ ~.~ „ r,_ ~,~ ~~ ' The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are-tlriie and cort~ct to the ~est of the kuowledge 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 ur affirmed ~~:d subscribed Prore me the ~~~ _ day of `~~ r n _ i 1 ~~ ,! - or the Register c. Signature of ~sonal Representntive ,,. - ~ U~ ~ /` ,~ Signature of Persona! Representative Signntur-e of Persatal Representntive File Number. t~~i ~~~/U ~ ~<~~~ Estate of ~,~~~~~ ~ ~ ~ ~e~f~~3£~~~ Deceased Social Secur' Number: ~/ t~~dY / 4° /~ Date of Death: ~ ~-~~ AND NOW, G~ , ~, inn consi ration o the foregoing Petition, satisfactory proof having been presented efor me, IT I SCREED tha Letters ~+S ~ are hereby granted to ~t 2~~. ~ ~ ~~~ ~ ~'~'~`~~ in the above estate and that the instrument(s) dated ~ described in the Petition be admitted to probate and FEES ~ _„ Letters ............... $~~~ Short Certificate(s) ........ $~ Renunciation(s) ....... $ Gam' . ~ $ ~:~~ $~ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ of reco~,d,~s the la~gt Will (ap'd Codicil(s)) Wi Attorney Signature: Attonley Name: Supreme Court I.D. No.: Address: Telephone: Pornt Rw-o~ rev. lo.r3.oe Page 2 of 2 IIK. A(,? NLV !01/fi''. LOCAL REGISTRAR'S CERTIFICA ~~' /~C~ TION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 This is to certify that the information here given correctly copied from an original Certificate of Dea duly filed with me as Local Registrar. The origi certificate will be forwarded to the State Vita [2ecords Office for permanent filing. P x.3889129 Certification Number ~- ~~..~ JA 1 3 2~8 ~J Local Registrar Date Issued ..._...._ ....................... _ _ __ _ .~ . .~, __ r~ ~-~ .~. _ ,~ `V - -ra ~ _ ' :_~ _ ~, -. I _ _. __1 - ~ ,~ . t.L7 H10Sia3 REV 11/1008 TYPE/PflINiIN COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS BLACK INK PERMANENT CERTIFICATE OF DEATH (See instructions and examples on reverse) 1. Nrra a Deawaent (Rrd. nad0e, lad, sufia) STATE FILE NUMBER 2. Sex 3. Sood Secairy Number 4.Oats W Death (Manor, day, Year) s. Ana (Lad anrdry) llmar, under 1 dry e. Data a ann Mash, as , 1,78$. -..~ :.2 4 - ( Y~ 7. BiMPrew (CHy all ante « wlaq ... ~ _.__ _ _.9;6,12.5 sAam D.y. Hsuo nawau ry) Ba. Place of Deem (Check ~~ aneJ 77 Ym. dug, 21 , 1 930 York Count Pa. Hwpn~. °tlir eb. ca«,1y a Deem ~' r ^ lnpnere ^ ER / aaptrem ^ Doa ^ Nursing Home ~Residerrce 8c. CXy, Boo, TwT. of Deem Bd. FaciWy Name IN naf natlhalon, Give sweet and mnanr) ^Dttar - Spedry: Cumber 1 a nd 9. Wes Deraaent of HIePaNC Orlpn7 7l No ^ Yea ,o. Rea: AmaAca, Ind«,. elect,, w>M,, ax. ` , Mt. Holly Spring 324 Chestnut St. A t, y ("ra'~~°p')'u'~^~ lY ,1. Dowd-WS ward p T 8 Medwn, Plano Rican, em.) (Vh i t e d work eaa ~ mop d ~ lAa. Do M dale retied 12. Wes Dewaere ever in as 13. Deaxrent's Edrwtun (Seedy a,y hishast grade canpleted) 1d. Marirel Sretw: Martred, Never Martied, 1s. SunNOq Spouse (II wire, slue maiden name) Katl d WorN Krd d &~esa / Mdustry U.S. Arrwa Faces? Elementary / Secmdery (0-12) CoXe Laborer Cr stet Plant ^raa I;~No ~("°'s') "'~Netl~°"°"ad( N - 18. Dewtlerc's Manng Address (sbw, dty /man. dare, tip wee) Decetlenfs Widow ..Oi 324 Chestnut St. Apt. #$ P1ie1 ,T..$eb Pa. D10 Live in a ,7°. ^ res. Deceawa Lhaa in p' M t H 1 Township? rwy o ,~.~«+I+n_r„m1~p,^i,„,~ ,Ta.C~Na,Dewawl.HeawiltiMt.Holly Springs () ,e. Fames Name fFna4 mtlda, lad, auX4) Acaw L,mes d ,s. Homer's Nerve (FnL made, mdtlen aumwm) ~r /8010 ~ zoe. Im«naaa'e Noma (Tye / Para) He 1 e n R 1 i ne 200. Iniormenl'e MaXYg Aadeae (Street. cnY /town. elate, a4 catle) Barbara H z,aMdnadalxapwinw 328 Chestnut St. Mt.Holly Springs, Pa. 17065 ° ^ said ^ Remwd hen slate ^ D«rlmn 2,b. Date d Dlspoailion (Matlh, dr Ybr) 210. Plea d DiapwXial (Name d cranemry «onar prew) 21d. lawlion ICXY / mrm, alare,>M coda) M taww Ea.minr/ ceraran ra ^ No - ^Om°r-~a~` w.. a001tlp"A""'°~° Jan, 13 2008 Hollinger FH/Crematory Inc, t. Holly Springs, Pa. ~ d rvnerd Senior ~ = - altg ouch) 22b. Ilcerme N«Mar 22c. Name and Aa«esa a FaEry NN BB F - _ Hollinger FH/Cremator Inc.SMt.H'lla im re e. la""'a Y~"Xaela~d e~ma a a~aam z3a ro t~l a mY bowla,ya.loam o«,araa al m. an.. aaw.~d p.~a dated. tsignan,,, and XX,) ~r O y Pz' Q n~Js , ~a . 1 7 0 6 5 2~. I.kenee Number Slg (Mmm, say, year) wetly wore a awn. )1 ~, t ~ ~1 LJ zx. Dare nee - Meow 2a28 mad he oanprered M Parson 24. TXna of Deem 25. Date l'larwlavwd Deal ( ,dry, Year) T l / / ~, ~ ~ t ` ' 2 e p Cry who pmnarwa awn. M 28. Was case Rererrea ro Medwl FxeMrrer / Calanar M a Reason OOar man Cremetlon a Dorldion? CAUSE OF DEATt~ O p ~ la (~ , ^Yea ~NO Item 27. Pas I: Erlrer ma ~e10 d w-aa _ (See lnstrcwalona and -xanylea) diaaas«.:dal.s,aoanpXwn«r-m,lawy.caw.amemam.DDNOr.,rertemMmeva,esumaawraac `'~°10101rere ~alcPmaom« reepiramry areal. a varaiaYr AOriXOn /ared. r Ons« m Deem but Mal rewding F me unaayNg was 23. Dk Tobecw llse CantriOaa ro Daam? dnxirR der elmrogy. Lint asy ow cause w each Xw. , ghan M Part L ^ Yet ^ PrabaOFj ~oo~n~m~)dawwa ~ 1O{No ^UrXopwn ->. a. ~ ~A In L ~2°G~. l ~ CGf ~GL V' r IOI .~( Dw m (a ea a wraeOlarKe oq. 29. II Femur: SePxntiaMy Ibt wn98ais~ X airy, b. ~ Nd pragnaN wiXlirl Pw Mar kadrq ro the cause Gsrea w is a. Eller 9w UNDERLYMG CAreUdSE Due m (a m a mneglarlca of): ! ^ Pmgranl d arw d deem - ^n «aIM^9~n dream) LASTga c. r ^ N« preglarN, der pregrwa wiaXn 42 nays Due b (w u a wmesuenw oq: a deem d. ~ - 30a. Wm en Auropey 30b. Were F I ^ More ~' ~ Pregrara 43 days m 1 year A~pY v'dn9e 31. Memer a Deem ^ IhIM«m it ~ Year (Y Per(amea? AveXede Prig b CwMaion r7~ 92a. Dale a IN«y (M«ah, dry, Mar) 320. DesdiM lbw INury Dccarea AeTera waXn me d cww a Dorm? Iba ~~ ^ Hww.itls 32c. Raw d IMurf Hans. Farm. 9lreel. FxtaY~ 91 ^ Ya NO Yes Na ^ '~°nl ^ P-~G Yweaagelmn 32tl. Time a I Ofllw sY~' arc. (SpdN1 ^ ^ ^ SuwxN Nun Sze. Iryay u was? szl. n rrewp«teaon )Nary (spar) szg. tawnon d m ^ Casa Nd ba Delenniwd ^ Yes ^ Na ^ DMaI opereta ^ P+aenser ^Peeeaman MrY (BIreeL aXr /town, dare) 33a. Certifier (tlredc ady are) M. ~-sPa+n' ' Tome ~ ~ akkll (PlrypGen gdryNnc ceuHe a dwh wnan roomer wmplalea Xwn z3) r a9b. sigremre Tore a cuter I~n mY Imowreasa, awn oaelrrea dA, m err pnreiddl nee lvarlotalced deem and 6~ ~ ~ /'/,1/j PertluhaHn-gMtklnlPnYddenDdh au'Ngrldmrwlwaataree__________________________ ~ / `-~°'~. ~jt' • To tla bw of pron«av>rq deem and wdtyinp m wore d deem) _ _ _ _ _ _ _ ~. Licerea Number ~ mY Ippwreaga, awh oceunea n th tune, dare. arq Plsce, and tlw m tlla wuae(al artl mnner ss staled- _ -- _ _ --- ^ .~ 33a. Date Signed (Hamm. dry, Marl ,`b', HeelwESemewlCOr°"x --------- ~D 034 K5 ~ ~ l - ll -- ZP)'ZJ~ ~sS On tM 0pb d aumNNbn arc) / a im'aalkalbn~ In mr opimon~ awn oearmd at m. ams~ dab, tine IN.w~,na dw m ere ewes(a).nd mamwr n wtea_ ^ ~ ~ «e 3a. Name and Addess d Pasty wno cangeled caws a Deem tlrem 2n Type /Prep ~ - ~ ~ e~ ~ i ~ ~, ~ ~ I O ~ 3e. Fpw~d (wn'sm~r,m~Y. Mao 303 Pi' gA~.-i t mpc ~ (.~u >L 'M:~ the L.~.V $PrZ.cN C~ (~a l-YO~ DlsPOdtlon Permit No. 1 l l 1 ' 1 ' / ~'7~ G ~-/C~~ LAST WILL AND TESTAMENT ~~` --3 ~~ ' ,. ~c~ c_ OF ~ ~ .~ •°~- . r - t~~ ~~ GJ EUZANE R. LICHTENBERGER ~_;- '~''--' ~~ I, EUZANE R. LICHTENBERGER, of Cumberland County, Pennsylvania, declare this to be my Last Will and Testament. I revoke all other Wills and Codicils that I may have previously made. Article I My just debts and expenses of my last illness, funeral, and administration of my estate shall be paid by my Executor from the principal of my residuary estate as soon as practicable after my death. Article II All inheritance, estate, and succession taxes (including interest and penalties thereon, but not including any generation skipping tax) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursement from any person. This provision is not a waiver of any right which my Executor has to claim reimbursement for any such taxes which become payable as the result of any property over which I have the power of appointment. Article III I give, devise and bequeath in accordance with any memorandum which I have either handwritten or signed, located with my Will or with my valuable papers and found within 30 days of the probate of my Will. Gifts may only be to persons who survive me or to organizations which exist at my death, and if there is a conflict, the memorandum having the latest date shall govern. Article IV All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, I give, devise and bequeath IN EQUAL SHARES, to my son, HARRY E. LICHTENBERGER, of Cumberland County, Pennsylvania, my son, DONALD P. LICHTENBERGER, of Cumberland County, Pennsylvania, my daughter, BARBARA H. MAURICE, of Cumberland County, Pennsylvania, and my daughter, BEVERLY E. MOUNTZ, of Franklin County, Pennsylvania should they survive me by thirty (30) days. If any of my beneficiaries predecease me or fail to survive me by thirty (30) days, I give, devise and bequeath his or her share to his or her issue who survive me, per stirpes, or if he or she have no issue, the share(s) are to be added equally to the other shares. Article V If a beneficiary under this Will has not attained the age of twenty-two (22) years, the share of the beneficiary shall be placed in a separate trust, for the benefit of that beneficiary according to the terms in Article VI 2 Article VI In the event that a Trust is created by or as a result of any part of this Will, the terms and conditions of the Trust shall be as follows: A. To expend and apply so much of the net income and so much of the principal of the Trust as the Trustee shall consider advisable for the support, health, care and education of the child until the child attains the age of twenty-two (22) years. B. Upon attaining the age of twenty-two (22), the remaining principal and accumulated income of the child's share shall be distributed outright to the child. C. No beneficiary or remainderman of this Trust shall have any right to alienate, encumber, or hypothecate his or her interest in the principal or income of the Trust in any manner, nor shall any interest be subject to claims of his or her creditors or liable to attachment, execution, or other processes of law. Article VII In order to carry out the purposes of the Trust established by this Will, the Trustee, in addition to all other powers granted by this Will or by law, shall have the following powers over the Trust estate, subject to any limitations specified elsewhere in this Will: (a) to retain in the form received and to sell either at public or private sale, any real estate or personal property except that which I specifically bequeath herein, (b) to manage real estate, (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification, 3 (d) to exercise any option or right arising from the ownership of investments, (e) to compromise claims without court approval and without consent of any beneficiary, (fl to file any federal income tax return for any year for which I have not filed such return prior to my death, (g) to make distributions in cash or in kind, or in both, and to determine the value of any such property, (h) to employ any attorney, investment advisor, or other agent deemed necessary by my Executor; and to pay from my estate reasonable compensation for all their services, (i) to conduct along with or with others, any business in which I am engaged in or have an interest in at the time of my death, and (j) to receive reasonable compensation in accordance with their standard schedule of fees in effect while their services are performed. Article VIII I hereby appoint my son, HARRY E. LICHTENBERGER, as Trustee of any Trust(s) created in this Will. In the event of the renunciation, death, resignation, or inability to act, for any reason whatsoever of HARRY E. LICHTENBERGER, I nominate and appoint my daughter, BARBARA H. MAURICE as Successor Trustee of any Trust(s) created in this Will. Article IX I nominate, constitute, and appoint HARRY E. LICHTENBERGER and BARBARA H. MAURICE as Executors under this paragraph of my Last Will and Testament on the condition that 4 they agree to serve with no compensation as Executors. If they will not so agree, then I nominate and appoint all of my children as Executors. Article X In addition to the powers conferred by law, I authorize my Executors, in his/her absolute discretion: (a) to retain in the form received and to sell either at public or private sale, any real estate or personal property except that which I specifically bequeath herein, (b) to manage real estate, (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification, (d) to exercise any option or right arising from the ownership of investments, (e) to compromise claims without court approval and without consent of any beneficiary, (fl to file any federal income tax return for any year for which I have not filed such return prior to my death, (g) to make distributions in cash or in kind, or in both, and to determine the value of any such property, (h) to employ any attorney, investment advisor, or other agent deemed necessary by my Executor; and to pay from my estate reasonable compensation for all their services, (i) to conduct alone or with others, any business in which I am engaged in, or have an interest in at time of my death and 5 (j) to receive reasonable compensation in accordance with their standard schedule of fees in effect while their services are performed. IN WITNESS WHEREOF, I, EUZANE R. LICHTENBERGER, hereby set my hand to this my Last Will and Testament, on this ~~ day of ~~uc0 , 1999, at Harrisburg, Pennsylvania. ~J. EUZ R. LICHTENBERGER In our presence, the above-named EUZANE R. LICHTENBERGER signed this and declared this to be her Last Will and Testament, and now at her request, in her presence, and in the presence of each other, we sign as witnesses. e Address ~ 8y~ ~'~ r7ie ~' 1~z~~. ~i,r~J'~mm~.v ~ .4 /x/09 I, EUZANE R LICHTENBERGER, Testatrix, who signed the foregoing instrument, having been duly qualified according to law, acknowledge that I signed and executed this instrument as my Will, and that I signed it willingly as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by EUZANE R LICHTENBERGER, the Testatrix, this - 9 ~ day of 199 . o Public Jan L Brown aNSeal 6 Lower Paxton TwP•, ~hin bCounry My Commission Expires Mar. 20, 2000 ~ .~ ~~-~ - EUZ R LICHTENBERGER ~~~~ We, the undersigned witnesses who signed the foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the Testatrix sign and execute this instrument as her Will; that she signed and executed it willingly as her free and voluntary act for the purposes therein expressed; that each of us in her sight and hearing signed the Will as witnesses, and that to the best of our knowledge, that she was at that time eighteen (18) years or more of age, of sound mind, and under no constraint or undue influence. Sworn to or affirmed and subscribed to before me and 15 R/STiN W f3ur,~~n1.4N witnesses, this 9 ~ day 1999. Public Wi ess fitness Notarial Seal Jan L. Brown, Notary Public Lower Paxton Twp., Dauphin County My Commission Expires Mar. 20, 2000 7