The URL can be used to link to this page

Home My WebLink About02-07-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of JAMES A. GROSSMAN also known as File Number 2\ - 01s - \ 3~ , Deceased Social Security Number 199-07-1344 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) o r-,_.1 s= 0 ~med in th~. r'::: :8 -,. -J. ; _) -'7.i: ,0 ~ : 2;; .?? ,. (State relevant circumstances, e.g., renunciation, death of executor, etc.)c .:-'_. .~>.;; -..J , ~ ) .'::.-:! C) :no " r~ Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after executionlQ.t ~ i~~trum~S) offered'~' ! for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~..-; ---i 0 ) IZJ A. Probate and Grant of Letters .Testamen~ta and aver that Petitioner(s) is / are the EXECUTRIX last Will of the Decedent dated {ha. r,..iA I g ).(2_ and codicil(s) dated N/A . o B. Grant of Letters of Administration (Jl f'\) (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) Petitioner(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.) Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in CUMBERLAND 5225 Wilson Lane. #3103. Mechanicsburg. PA 17055 (List street address, town/city, township, county, state, zip code) County, Pennsylvania with his / her last principal residence at Decedent, then 93 years of age, died on December 3,2007 at Harrisbur~ Hospital, Front Street, Harrisbur~, P A Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (If not domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania $ $ $ $ 332,100.00 332,100.00 situated as follows: 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 Jeanne M. Thomas 100 Walnut Street Lemoyne, P A 17043 Form RW-02 rev. 10.13.06 Page 1 of2 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 beliefofPetitioner(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 7 fh before me the day of ~bUClr:Y ' ~OO OQrWW F~~ Signature of Personal Representative Q :::;;;0 ..'-; ::u -:~: ?~ G .< u3 :~.~ ~~. 2;2 ~;:? : -':0 R--; Signature of Personal Representative File Number: dl-o'6 -133 Estate of JAMES A. GROSSMAN , Deceased Social Security Number: 199-07-1344 Date of Death: December 3.2007 /"-' <c..::> c::::,;;. co -,..., fl; CO , -...J ~ -) , C'---j h --~ - )::~'J ( j ._~I.__l :',-) ~ r'l '2 CJ1 N ') .....,'..., AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Jeanne M. Thomas. 100 Walnut Street. Lemovne. PA 17043 in the above estate and that the instrument(s) dated rYla rriA I 'i I 2004 described in the Petition be admitted to probate and filed of record as the last Will (and Codici1(s)) of Decedent. ~cA(lA rfOnA-L'f Jwwt;au~ ,; Register of Wills ~ r c{ cLlp . Attorney Signature: ~~ FEES Letters ............... $ 3LP a . 00 Short Certificate( s) . . . . . . .. $ d (J. Glj Renunciation(s) .......... $ ~\l\ ...$/f).(i) l \/ ... $ l 0 - UG -'\-CWhCA h CS\) ... $ ':5. (f(J .. . $ '" $ .. . $ . .. $ .. . $ ... $ TOTAL . . . . . . . . . . . . . . $ Attorney Name: D. Mark Thomas Supreme Court J.D. No.: 15611 Address: 212 Locust Street, Suite 500 Harrisburg, P A 17101 Telephone: 717-255-7600 Form RW-02 rev. 10.13.06 Page 2 of2 H105.905MS REV. 6/06 ;; l - u ;r - I ?i;> This is to cenify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. /2.J1, .... d C4(5 ~ C!MJ>-~ tr~oL No. Frank Yeropoli State Registrar Calvin B. Johnson, M.D., M.P.H. Secretary of Health 1295468 DEe 1 9 2007 Date J, COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) Hl05-143 REV 1112006 TYPE I PRINT IN PERMANENT BlACK INK 1. Name of lJecodenl (Firol, mid<Je, Iasl, suffix) &I. Facility Nome (If not institution, give street and number) Harrisburg Hospital . 16.lJecodenfs MaiingAddr... (Streot. city I town. state, zip code) 5225 Wilson Lane,Apt.3103 Mechanicsbur PA 17055 18. Father's Name (RIOt, midde, ~t, suffix) t 2. Was Decedent ever in the U.S. Armed Forces? lOve. ONo Decedent'. Actual Residence 17a. State P Q n n Q: Y 1 'IT ~ n ; ::::Ii 17b.County Cumberland 14. Marital Slotua: Married, Never M8ITied, Widowed, Divorced (Specif)j widowed 8~e ~edent t7c.Jgj Yes, Decedent lived in T (n.r",,. Township? 17d. 0 No, Decedent lived wi1t1in Actual UmiIs of ~"on Twp. City/Boro Moses Grossman 19. Mother'. Name (First, _, meiden sumome, Rosa Heidenreich 1:'&aanl'~~'~"t-s'l!/.to:"tta~Moyne, PAl 7043 2lla. Infonnonfs Nome (Type I Prinl) Jeanne Thomas W ::J ~ ~ 21 c. PIoce of DisposilJon (Nome at cemetery, cremalory or other place) Rolling Green Cemetery 2td. Location (City / town, state. zip code) amp Hill,PA17011 221:. Nome end Address of Facility Musselman FH&CS,324 Hummel Ave.,Lemoyne,PA17043 23b. Weense Number 23<. Dalo Signed (Month, day, year) ~ ~ ~ ~ ~ 26. Was Case AetelT8d to Medical Examiner I Coroner for a Reason Ott1er tniln CremaUon or Donation? OVes JliI1No Approximate interval' Onset to Death Part II: Enl'r other si:Jnffic&n1 cmditlnml. conlribuliM In dAJIIh, but nol resulting in the underlying cause givll'l in Part I. ~~~~~\d~ u R 0 S e-p s. I ? ;)W~1 HORFY"iI..1COKTl cPt L IN'>u~;:: I Cl EN l'f 28. Did Tobacco Use Contribute to D..th? o Yes 0 Probably 8J No D Unknown 29. II Female: o Not pregnanl within past yea, o Pregnant at tine of aeoth o Not pregnanl, but pregnant _in 42 days of death D Not pregnant, but pregnant 43 days to t year before death D Unknown II pregnant within the past yoar 32c. ~ ~J~~: :~~j Street. Faciory, =listconditions, II any, . to cause listed on Moo a En1er . UNDERLYING CAUSE =:e~~nu:.~~roo{'" Due to (or as a coneequence 01): Due to (or as a consequence of): S ()13 () lJfit.A L Hero MTOvnA (k"'Ti;;" r<~A'" FAiL.-lJpI.~ Due 10 (or as a consequence of): n. Was an Autopsy Performed? d. :lOb. Were Autopsy FlI1dings Availab.. PMor to Comp..oon of Cause of Death? DYes DNa 31. Manner of Death !81 Now,", 0 Homicide D ACddent 0 Pending Investigation o Suicide 0 Could Not be Determined 32d. TIme a/Injury o Yes !)l No M. 321. If Transportat,m InjUry (Specify) 32g. Location of Injury (Street, city Ilown, slate) o Dnvor/ Dperetor 0 Po....,ger 0 Pedestrian OOfher . Specify: ~ ~ ~ 338. Cerfifier (check only one) Cor1ffylng phyoiclon (Physician certilying cause of deeth wIl.., another physioan h.. pronounced death and completed Item 23) To the beat of my knowted9l, delth occurred due to the CIUH(I) end m.nner .. .18tH.. _ ... ... ... ... ... _ ... _ ... ... ... ... _ ... ... ... ... ... ... _ ... ... ... ... ... _ _ _ _ _ _ KI Pronouncing and certifying phyalcfan (Physician bolh pronouncing deeth and certifying to cause of death) To the boat 01 my knowledll", deeth occurred at the lime, da,., and place, Ind due to the CBUse{I) and manner aa .lated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 IIedlcel Exomlnlr I Cora"", On the basis of ulmlnation and I or investigation. in my opinion, death occurred .t the tim., date, and place, and due to the (;8Use{S) end manner as ItdtL 0 33b. Signature and Tille 01 Certifier ~ A Po. Wlry..... Ie... l+v' 1'00 33c. License Number ,,., I;) 4 ::1' j e, i1.:> 33d. Dale SIgned (Month, day, year) !)~cen...be,. 41-h '200, 35. Registrar's Si ~ I ~ /1 ~ / I / 34. Name and Address of Person Who Completed Cause of Death (Item 27) Type I Print lVarn~l-q H=idr\p"'.... .r!? 'OS .......'" ,. ~'r->d Lt If./::.,., c CI......., 'il ?A 1""101\ Disposition Permit No. C) ~O :n . "0 ;~'O .: .'::;~ r;; :"'5 ;-iz) [;3 ~I~; '-- ~J ....0 ---; f'-,.) t.:::;:) c:::;:;, .::0 -,..... r-rj CO 1 -....,J :b.., ~ S? c...n f'\) .... OF o c- .;=:.;;0 :....~~C) ~.~:: ~~ ~ ~.;:. ..~~ '--...1 J ,^, r--.:> c:::> c;:;;, c.:o -.-, 1'1 O:J I -.J LAST WILL AND TESTAMENT JAMES A. GROSSMAN c:~C) : 2 ~'-f1 _J:.J I ~!~ ~ ."'-.';i~ -...... o U1 f') I, JAMES A. GROSSMAN, now domiciled in 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 my tangible personal property 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. To the extent no such memorandum is found, or all of my tangible personal property is not disposed of pursuant thereto, my tangible personal property shall be added to my residuary estate and pass under Article IV hereof. 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 daughters: BARBARA G. COLBERT, of Manhattan Beach, California; and JEANNE M. THOMAS, of Camp Hill, Pennsylvania. However, if a beneficiary does not survive me by thirty (30) days, but leaves descendants who survive me by thirty (30) days, those descendants shall receive, per stirpes, the share the beneficiary would have received had she survived me by thirty (30) days. Article V I nominate, constitute and appoint my daughter, JEANNE M. THOMAS, of Camp Hill, Pennsylvania, as Executrix of my Last Will and Testament. In the event of the renunciation, death, or inability to act, for any reason whatsoever of my Executrix, I nominate, constitute and 2 appoint my son-in-law, D. MARK THOMAS, of Camp Hill, Pennsylvania, as successor Executor of my Last Will and Testament. I direct that my Executrix or successor Executor be PeImitted to serve without bond and in addition to those powers granted by law, I grant them power to distribute in cash or in kind, in like or in unlike shares, and to file any qualified disclaimer I could have filed if living. My Executrix or successor Executor shall receive reasonable compensation for services rendered to my estate. Article VI In addition to the powers conferred by law, I authorize my Executrix and successor Executor, 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, (f) 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, 3 I, JAMES A. GROSSMAN, Testator, 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 JAMES A. GROSSMAN, the Testator on (;41#/1/4 I! ,2004. ~~#Jf:J?r 3~a,h~ AMES A. GROSSMAN Notarial S~al Marlene F. Hazen, Notary Public City of Harrisburg, Dauphin County My Commission Expires Sept. 23. 2006 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 Testator sign and execute this instrument as his Will; that he signed and executed it willingly as his free and voluntary act for the purposes therein expressed; that each of us in his sight and hearing signed the Will as witnesses, and that to the best of our knowledge, that he was at that time eighteen (18) years or more of age, of sound mind, and under no constraint or Wldue influence. , 2004. '.~ ../ 0 Pri Ie Notarial Seal .Mariel~e F. Hazen, Notary Public City of f:Ia~risburg. Dauphin COUnty My ComnusslOn Expires Sept. 23, 2006 ~ (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 G) to receive reasonable compensation in accordance with their standard schedule of fees in effect while their services are performed. IN WITNESS WHEREOF, I, JAMES A. GROSSMAN, hereby set my hand to this my Last Will and Testament, on !.~ / ! ' 2004, at Harrisburg, Pennsylvania. (j~a A~(MV {7JAMES A. GROSSMAN In our presence, the above-named JAMES A. GROSSMAN signed this and declared this to be his Last Will and Testament and now at his request, in his presence, and in the presence of each other, we sign as witnesses. Name Address =~t:::;P1>':;~)~;;~/~ 4