HomeMy WebLinkAbout02-20-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYL VANIA
d- \ ()", Dt ~
Estate of PAUL WILFORD SCOTT
also known as
File Number
. Deceased
Social Security Number 405-22-6175
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IZl A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is I are the EXECUTOR
last Will of the Decedent dated 12-22-2005 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:
D 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 I have ascertained that Decedent left no Will and was survived by the following sp~e (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
. ::f'~
;~=
Relationship
Residence
i '- )
1"::.\
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
---I
f".)
Decedent was domiciled at death in CUMBERLAND
BETHANY VILLAGE. MECHANICSBURG. PA
(List street address, tawn/city, tawnship, county, state, zip code)
County, Pennsylvania with his I her last principal residence at ~
Decedent, then 85
years of age, died on FEBRUARY 12,2008
at BETHANY VILLAGE, MECHANICSBURG, PA
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
(Ifnot domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
80,000.00
$
$
$
$
situated as follows:
Wherefore, Petitioner( s) respectfully request( s) the probate of the last W ill and Codicil( s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
T d or rinted name and residence
RONNIE L. SCOTT, 345 MT. ZION RD., DILLSBURG, PA 17019
FormRW-02 rev. 10./3.06
Page I 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
b C' d:;;
0~ure of Personal Representative
administer the estate according to law.
Swom to or affirmed and subscribed
before me the ~ D day of
~e\Y~~
c; ,
* the Register
Signature of Personal Representative
Signature of Personal Representative
File Number:
~t 0 \ ()\0)
Estate of PAUL WILFORD SCOTT
, Deceased
Social Security Number: 405-22-6175 Date of Death: FEBRUARY 12,2008
AND NOW, ~\.{ ~ ::2dJ?{, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters TESTAMENTARY
are hereby granted to RONNIE L. SCOTT
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of recor~n t~e ~~t W~16~d C~di~il( s) ~ .." '. .,'
FEES ~\ c-;bJ1J~ I(;! fri..1Jt4U
~6 006")\~ \:gis~erofWills, ~ I
Letters ........../..... $ =oe,\"') '.
/'" LI..l"'-.. ' "
Short Certificate(s) . . .1.,./.. .. $ \ \.j Attomey Signature:
Renunciation(s) .....,.... $
L0ll\ ... $
~.)(,.\) . . . $
i~~ ...$
... $
... $
... $
.. . $
...$
... $
TOTAL.. ..... ....... $ ..JSO ~
.~
\s
to
S
Attomey Name:
WILLIAM A. DUNCAN
Supreme Court LD. No.: 22080
Address:
1 IRVINE ROW
CARLISLE, PA 17013
Telephone:
717-249-7780
Form RW-02 rev. 10.13.06
Page 2 of2
Hl:,'';;' RL\
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fce for this certificate, S6,OO
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P 14122074
Certification '\lumber
This is to certify that the information here gi\t~n IS
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The onginal
certificate will be forwarded to the State Vital
Records Office tor permanent filing,
~fi;~ F5B 18/Z008
Local Registrar ~ate Issued
I REV 11/2006
I PRINT IN
MANENT
\CK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
STATE FILE NUMBER
) I 0-1. ()\~O
1. Name o! Decedent (First, middle, last, suffix)
Paul Wilford
Scott
6. Date 01 Birth (Month, day, year)
5. Age (last Birthday)
12. Was Decedenl ever in the
U.S. Armed Forces?
[XV" 0 No
Decedent's
ActualResidence 17a. Slate
Pennsylvania
Cumberland
May 19, 1922
Kevil, Kentucky
85 Vcs.
ab. County of Death
Bd. Facilfty Name (If nol institulion, give street and number)
Cumberland
Twp.
Bethany Village
13. Decedent's Education (Specify only highest grade completed)
Elementary I Secondal)' (0-12) College (1-4 or 5+)
12
11. Decedenfs Usual Occ ticn Kind of work done durin most of worn Iile. Do not stale retired
Kind of Wo", Kind of Business I Industry
Vice President Publishin
. 15. Decedenrs Mailing Address (Street, city /Iown, state, zip code)
325 Wesley Drive
Mechanicsburg, PA 17055
17b. County
19. Mother's Naml!lRrst, middle, maiden surname)
Una Beatrice Wilford
City/Boro
1 B. Father's Name (First, middle, last, suffix)
Richard M. Scott
3. Social Securtty Number
405 - 22- 6175
4. Date of Death (Month, day, year)
February 12, 2008
Other'
o Inpatienl 0 ER I Outpatient D DCA Kl Nursing Home D Residence DOther. Specify:
9. Was Decedent of Hispanic Origin? IKl No 0 Yes 10. Race: American Indian, Black, White, atc
(If yes, specify Cuban, (Specify)
Mexican, Puerto Rican, etc,) whi te
14. Marital Status: Married, Never Married,
Widowed, Divorced (Spec;fy)
Widowed
17c. ~ Yes, Decedent Uved in
17d. D No, Decedent Uved within
Actual Umilsof
Upper Allen
Twp.
2Ob. Informant's Mailing Address (Street, city { town, state, zip code)
345 Mt. Zion Road, Dillsburg, PA 17019
21d. location (City I town, state, zip code)
20a. Informant's Neme [Type I Print)
Ron L. Scott
22c. Name and Address of Facility
21c. Place of Disposition (Name of cemeteIY, crematory or other place)
17003
I~;\/
Parthemore FH & CS, Inc., P.O. Box 431, New
Approximate interval: Part II: Enter other sinnificant conditions contributina to death, 2B. Did ToOacco Use Contribute 10 Death?
Onset to Death but nol resulting in the underlying cause given in Part L 0 Yas 0 Probably
o No E1 Unknown
'<~Y'>j,1rV'\. S:[ r--.: III U{ \"tl')( I"'; 1/\ 29. 11 Female:
o Not pregnant within past year
o Pregnantaltimeofdeath
o Not pregnant, but pregnant within 42 days
of death
o Not pregnant, but pregnant 43 days to 1 year
before death
o Unknown if pregnant within the past year
32c. Place 01 Injury: Home, Farm, Street, Faclory,
OffICe BUilding, etc. (Specify)
CAUSE OF DEATH (See Instructions and examples)
Item 27. Part I: Enter Ihe l<~ - diseases, injuries, or complications -that directly caused !he death. 00 NOT enter terminal events such as cardiac arrest,
respiratory arrest, Of ventricular fibrillation without showing the etiology. Ust only one cause on each line.
=~JeEJtn~~~ ~~Idise:;
I I\l' 1\' , " I ~i f':
Due to (or as a consequence on:
=n\~I:h:~~~~',~ ~~~ a
Enter ~e UNDERLYING CAUSE
(disease or i~;Ury that initiated the
events resulting Indealh) LAST.
b.
Due to (or as a consequence on:
Due to {or as a consequence on
d.
308. Was an Autopsy
Performed?
3Ob. Were Autopsy Findings
Available Prior 10 Completion
of Cause of Death?
31. Manner of Death
Ifl Natural 0 Homicide
o Accidenl D Pending Investigation
o Suicide 0 Could Not be Determined
M
321.11 Transportation Injury (Specify)
o Driver f Operator 0 Passenger DPedestrian
Other- Specify:
33b. Signature and Tille 01 Certifier
!Le'. <,_, ~_ rJ, H,.
DV" El No
o V" 0 No
320. TlI'Tle otlnjury
33a. Certifier (check only one)
;::~z::~r:~:==:nd~~~~~~~~: :~~t~h:n~nU=~~~~rh:: ~::..~_ d~a~ _~ ~~~ ~e~ ~~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ L3 ..
~:::u::~,a~~ =~~hJ:~~~a~~~:i:~ :hti~~:~~in::~:~~~:~~~ot~~=~:(~)a~~~ manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
~::::~~~sm~~:~~~fn~= and I or investigation, in my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner as stated_ 0
I~ II I ~I ,/ 1/
nc,q 4 /" ,) CI
32g. location or Injury (Street, city ftown, siate)
hi!)
33c. Ucense Number
33d. Date Signed (Month, day, year)
:<I'~'ll^':'
III D "I?' ':1 s:.C'
34. Name and Address of Person Who Completed Cause of Death (Item 27) Type I Print
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LAST WILL
&
TESTAMENT OF
I, PAUL W. SCOTT, of Bethany Village, 226 West, Mechanicsburg, Lower Allen
Township, Commonwealth of Pennsylvania, being of sound and disposing mind.._p:1emouy-and
understanding, do hereby make, publish and declare this as and for my Last Will and Testament,
hereby revoking any and all other wills and codicils heretofore made by me.
FIRST. I direct that all my just debts and funeral expenses be paid from my estate as
soon after my death as practically and conveniently may be done.
SECOND. I direct that my remains be buried with a military funeral at Fort Indiantown
Gap in accord with my expressed wishes.
THIRD. I authorize my personal representative to expend funds from my estate, in such
amounts as my personal representative shall consider necessary and desirable for the purchase,
erection and inscription of a suitable marker for my grave.
FOURTH. I give, devise and bequeath the sum of Five Thousand ($5,000) Dollars to
each of my grandchildren who survive me: ANTHONY SCOTT, AJ. SCHLENKERT,
JENNIFER BRANCH, MICHAEL SCOTT and COREY KEESEE.
FIFTH. I give, devise and bequeath all the rest, residue and remainder of my estate of
whatever nature, be it real, personal or mixed, and wherever situate as follows: One fourth (1/4)
unto my son, RONNIE L. SCOTT, per stirpes; one-fourth (114) unto my son, RICHARD A.
SCOTT, per stirpes; one-fourth (1/4) unto my daughter, PAULA D. SCHLENKERT, per stirpes;
one eighth (1/8) unto the child of my deceased daughter Gail Clark, COREY KEESEE, per
stirpes; and one eighth (118) unto the child of my deceased daughter Gail Clark, JENNIFER
BRANCH, per stirpes.
SIXTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my
estate Passing under my will or otherwise, shall be paid out of the principal of my residuary
estate.
SEVENTH I hereby nominate, constitute and appoint my son, RONNIE L. SCOTT, as
Executor of this my Last Will and Testament. In the event of renunciation, death, resignation or
inability to act for any reason whatsoever of RONNIE L. SCOTT, I nominate, constitute and
appoint my son, RICHARD A. SCOTT, as Executor of this my Last Will and Testament. I
hereby relieve my Executor from the necessity of posting security in connection with his duties,
as such, in any jurisdiction in which he may be called upon to act insofar as I am able by law to
do so. In addition to the powers conferred by law, I authorize my Executor, in his absolute
discretion, to retain in the form received, and to sell either at public or private sale any real or
personal property owned by me at the time of my death.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my La~t Will and
Testament, consisting of two typewritten pages this ~ '211 cI day of Of:- tern /J er
,2005.
l4(~.
,
PAUL W. SCOTT
Signed, sealed published and declared by the above named Testator PAUL W. SCOTT as and for
his Last Will and Testament, in the presence of us, who, at his request, in his sight and presence
and in the sight and presence of each other, have hereunto subscribed our names as witnesses.
~ I), ~
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~r~
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
I, PAUL W. SCOTT, Testator whose name is signed to the attached or foregoing instrument,
having been duly qualified according to law, do hereby acknowledge that I signed and executed
the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and
voluntary act for the purposes therein expressed.
~ltftt-
....
PAUL W~SCOTT
~
Sworn or affirmed to and
acknowledged before me, by
PAUL W. SCOTT this ,3-d.-
of\:)(:,( eJ'{'(l'-0 eA.-
day
,2005.
/<ifL~ d /YVAiYMl'PJ;
Notary lie
NOTARIAL SEAL
r,:l:hy L. Mummert, Notc;ry Public
of Carlisle, Cumberland Co., PA
.'. ""Y'"",;,,!] r;:,,,;,.,,." "'J'1 11 20D7 I
,'d. "c".,...'....i, "_J'\:""'ftJ~) j....... .:1" '.""" I
.._-_.._.__._-_._-_.._..._'".._.__._-_.."~
COMMONWEALTH OF PENNSYLVANIA
:SS.
COUNTY OF CUMBERLAND
We, :s- C) Q 1(\1) ItJllJW.}. and W; J( I a W\ A 1~)u II (0 (1 the witnesses
whose names are signed to the attached or foregoing instrument, being duly qualified according
to law, do depose and say that we were present and saw PAUL W. SCOTT sign and execute the
instrument as his Last Will; that he signed willingly and that he executed as his free and
voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the
Testator signed the will as witnesses; and that to the best of our knowledge, the Testator was at
that time eighteen (18) or more years of age, of sound mind and under no constraint or undue
influence.
~()~
{I
\)^,~C-~
Sworn or affirmed to and
su..bscribed before me by
,JOOJY\ 1) Adcuvl'1 S
uJ i { (u)JrYl fl 0 lJi1. Co ()
this (j:). day of "L)CU' OIb e,\
and
, witnesses,
,2005.
/-10t~.ct r'flJ !~/YltJ7/11
Notary Pu he
r-------No:f;',ji:iL SEAL -1
I !<.athy L Mummert, N'Jtary Public I
G'l:;roUf~h of Carlisle, Cumberland Co., PA'
My Commission Expires Aug. 11, 2007