HomeMy WebLinkAbout02-15-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
d. \ 0 15 \)\\..0'0
Estate of CLARENCE E. DITZEL
also known as
File Number
, Deceased
Social Security Number 203-10-3163
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IZI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the EXECUTOR
last Will of the Decedent dated JUNE 28, 2007 and codicil(s) dated
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 instrument(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
(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 SIR)use (if any) arid 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) . '" ~~ ~
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Name
Relationship
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal residence at
22 MOUNTAIN STREET. MT. HOLLY SPRINGS BOROUGH. CUMBERLAND COUNTY. PENNSYL VANIA 17065
(List street address, town/city, township, county, state, zip code)
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Decedent, then 92 years of age, died on FEBRUARY 8, 2008
CUMBERLAND COUNTY. PENNSYLVANIA
at CHAPEL POINTE OF CARLISLE, CARLISLE,
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
76,000.00
$
$
$
$
75,000.00
situated as follows: 22 MOUNTAIN STREET, MT. HOLLY SPRINGS, PENNSYLVANIA 17065
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
ADAM LARRY BREAM, 877 BALTIMORE PIKE, GARDNERS, PA 17324
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
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 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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ignature of Pers' nal Repre~ative ~:; ,::-)
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Signature of Personal Representative
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Signature of Personal Representative
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File Number:
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Estate of CLARENCE E. DITZEL
, Deceased
Social Security Number: 203-10-3163 Date of Death: FEBRUARY 8, 2008
AND NOW, '1f? hu. aA t /, ') , ~in 'on~d"atinn nfth, fnmgoing Petition, "ti,factory "mof
having been presented before me, IT IS ECREED that Letters TESTAMENTARY
are hereby granted to ADAM LARRY BREAM
in the above estate
and that the instrument(s) dated JUNE 28,2007
described in the Petition be admitted to probate and filed of reco
Letters
$
260.00
8.00
FEES
Short Certificate(s) . . . . . . . . $
Renunciation(s) .......... $
JCP
AUTOMA nON FEE
Attorney Signature:
WILL
.. . $
$
$
.. . $
.. . $
. .. $
. .. $
.. . $
$
.............. $
10.00
5.00
15.00
Attorney Name:
ROGER B. IRWIN, ESQUIRE
Supreme Court LD. No.: 6282
Address:
60 WEST POMFRET STREET
CARLISLE, PA 17013
Telephone:
(717) 249-2353
TOTAL
298.00
Form RW-02 rev, lO.13.06
Page 2 of2
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
P 14125407
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Fee for thi" cerlificak. 56.00
Certificdtio!1 '\iumber
This is to certify that the information here given
correctly copied from an original Certificate of Deal
duly filed with me as Local Registrar. The origin.
cel1ificate will be forwarded l" the State Vit:
Records Office for permanent filing.
~. ~~ll.,"&.~\.t~,FEfi 9/2008
Local Regi.strar ~ Date ls"ued
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H105-143 REV 11/2006
TYPE f PR\N11N
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
STATE FILE NUMBER
d.\
D<'6 D\\o~
1. Name of Decedent (First, middle, last, suffix!
Clarence
E,
D:iJtzei
S.Age (Last Birthdayl
6. Date 01 Birth (Month, Oa'f, 'fear)
7. Birthplace (Cily and slate Of 10
92
Yrs.
Nov. 6, 1915
I .
Bb. County 01 Death
Cumberland
ad. Facility Name (II flOl institution, give street and number)
Chapel Pointe of Carlisle
Mech,a'i1Wc.
Se~'t'C!~I'~t~a tio
13. Decedenl's Education (Specify only highest grade completed)
Elemel'lta~~(o-12) College (1-4 or 5+1
o
u
o
. 16. Oecedenfs Mailing Address (Street, city I town, stale, zip code!
22 Mountain St.
Mt.Holly Springs,Pa. 17065
Pa.
Cumberland
17b. County
18. Father's Name (First. middle, lest, suffix)
George Ditzel
2Oa'10~ane~r~o//PrinBream
3. Social Security Number
203 _ 10
4. Dale of Death (Month, day, year)
3163 February 8, 2008
8a. Place 01 Death (Check only onel
Hospital:
o Inpatient 0 ER I Outpatient 0 DOA ~Nuf5ing Home 0 Residence DOlher. Specify:
9, Was DecOOef'.\'3l HisparncOrigin'1 Kl No 0 Yes 10. Race: American Indian, Black, White, etc.
(If yes, specify Cuban, (Specify)
Mexican, Puerto Rican, etc.) Whi te
14. Marital Status: Married, Never Married,
Widowed, Divorced (Specify)
Never Married
Did Oecedem
Liveina
Township?
17c. 0 Yes, Decedent lived in Twp,
17d.CX~i=o\,,'d_oMt. Holly Springs c;~
19. Mother's Name (Firs!, middle. maiden sumame)
Rosie Leeper
2Ob. InlOfTTlant's Mailing Ali:1t'ess (Street, dty I lowtl, stale, lip tOOe)
877 Baltimore Pike Gardners,Pa. 17324
21c Place of Disposition (Name of cemetery crematory Of other pjace) 21c(. location (CitY /.,J.own, sta.le:, zip code) P
Mt. Holly Springs Cemetery Mt.Hoiiy ~pr1ngs, a.
lli
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12, 2008
22c, Name and Address of Facility
L Hollinger FH/Crematory Inc.
17065
Items 24-26 must be ~ by person
. whopronouocescleeth.
springs,Pa.
23b, Ucense Number
~N 'S" G:Z-I
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Approximate int9lVa1: Part II: Enter other sianificanl conditioos COl'lttibuliM to death, 28, Did Tobacco Use Contribute to Dealtl?
Onsalto Death but not resulting in the underlying cause gNen in Part l. 0 'fas 0 ?rOOably
o No 0 "0"""""
{:J.'::ll~~
Due to (Of as a conSeQU911ce of);
J
+-
/5
:rn~~~~=.~~~ a.
Ente~e UNDERLYING CAUSE
(dsease or injury lhatiniliated ihe
events rasulting m death/LAST,
Due to (or as a consequence 01):
b.
Due to (or as a consequence of):
d.
3Qb. Were Autopsy Findings
Availa.bIePliorklComple\loo
of Cause of Death?
31. Manner of OQath
~""'""' 0 Hom."
0- OP"'<iI1g_,igalion
o Suicide 0 Could Not be Detennined
M.
.~
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,.:J
3I)a,WasanAutopsy
Perion:ned?
O'fes ~NO
Ov" ONo
32d.T\ffie'3l\njury
:.J
33<1:. Cer1ifier (checlc: only one!
certifying physklan (Physician certifying cause 0( death wilen ano\hef physician has prontI\lrICEld tiea\h and completed Item 2J)
To the best of my knowledge, death occurred due 10 the cause(s) and manner as slatetL _ _ _ _ _ _ _... _ _ _ _.. _ _.. _ _.. _ _ _.. _ _ _ _ _ _ _ __
~~~~~a~ :=h::~a~=~ :htl::O=:'":n~;:~~8:n~:i~~:::e(~a~~ manner as stated_ _ _ _.. _ _ _ _ _ _ _ _ _ _ _ _ _ 0
~:::~~m~n:~~;= and I or Inve.ligation, In my opinion, deatt\ oecuned at the time, date, and place, and due to the cause(s) and manner as stated.. 0
~
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o
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1.:;l,111~IIIO
~'R~ IJd~~Y'l{
()()11Stlt
Disposition Permit No.
29. II Female:
o Notpregnantwithirlpastyear
o Pregnanlallimeolclealh
o Notpregnanl, but pregnant within 42 days
01 death
o NoI pregnent, but pregnant 43 days to 1 year
beforedealh
o Unknown if pregnant within the past year
32c. Place olln~: Home, Farm. Street, Factory.
Offica Building, etc. (Specify)
32g.locatioooflnjury{Street.city/town.stale)
........
33d. Date Signed (Month, day, year)
7d::l ~ _ ~OO~
34 Name and Addr9$S 01 Person Who Com~ted Cause of Dealt1 (Item 27) Type f Pnnl J
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LAST WILL AND TESTAMENT
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of
Clarence E. Ditzel
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I, CLARENCE E. DITZEL, of the Borough of Mount Holly Springs, :Cttmberl~d
County, Pennsylvania, being of sound mind, disposing memory and full legal age, do hereby
make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and
Codicils heretofore made by me.
1. I direct my Executor to pay all of my debts, funeral and administrative expenses as
soon as convenient after my decease. Furthermore, I direct that all state, inheritance, succession
and other death taxes imposed or payable by reason of my death and interest and penalties
thereon with respect to all property composing of my gross estate for death tax purposes, whether
or not such property passes under this Will, shall be paid by the Executor from my estate, and
that none of the aforesaid taxes shall be prorated among those persons or entities named herein or
otherwise beneficiaries hereunder.
2. My Executor may, at his discretion, compromise claims, borrow money, retain
property for such length of time as he may deem proper; lease and sell property for such prices,
on such terms, at public or private sales, as he may deem proper; and invest estate property and
income without restriction to legal investments unless otherwise provided hereunder.
3. I authorize and empower my Executor 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 Executor 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
Executor.
4. I give, devise and bequeath my house at 22 Mountain Street, Mount Holly Springs,
Pennsylvania, and the contents therein in three (3) shares as follows:
(a) 1/3 to my brother, GEORGE H. DITZEL;
(b) 1/3 to my sister, DELLA I. LINGLE; and
(c) 1/3 to my friend, ADAM LARRY BREAM.
5. I give all the rest, residue and remainder of my estate including my vehicles and
checking account at M&T Bank to ADAM LARRY BREAM.
6. I nominate and appoint ADAM LARRY BREAM to be the Executor of this my Last
Will and Testament.
7. No person(s) shall benefit hereunder unless such beneficiary shall survive me by sixty
(60) days.
8. No Executor acting hereunder shall be required to post bond or enter security in this or
any other jurisdiction.
9. No beneficiary may assign, anticipate or pledge his or her interest in any income or
principal held or distributable hereunder, and no beneficiary's creditors may levy, attach or
otherwise reach any such interest.
10. I hereby suggest that my personal representatives retain the services of Irwin &
McKnight as attorneys in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this __L~___ day of
June, 2007.
(SEAL)
Signed, sealed, published and declared by the above-named Testator as and for his Last
Will and Testament, in our presence, who, at his request, in his presence and in the presence of
e~h oilier have hereunto set our nmnes as SUbSCe~L e&~C~
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ACKNOWLEDGMENT AND AFFIDAVIT
WE, CLARENCE E. DITZEL, CHERYL L. CLELAND and TRACI D. SMITH, 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.
ely'. F.. (/ .' . "
'/~L~L~N~~f~~j,
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f. ERYL L. Ct:LAND
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j/~[t(lf.Ll /"In~ "-
TRACI D. SMITH
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COMMONWEALTH OF PENNSYLVANIA
ss:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by CLARENCE E. DITZEL, the
Testator herein, and subscribed and sworn to before me by CHERYL L. CLELAND and
TRACI D. SMITH, witnesses, this l.t/' day of June, 2007.
2/'li-il /). c:'Cti-
N o1ary Public
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COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Roger S, Irwin, Notary Public
Carlisle Boro. Cumberland County
My Commission Expires Oct 3, 2008
Member. Pennsylvania Association Of Notaries