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HomeMy WebLinkAbout02-21-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Helen M. Brymesser a/k/a Helen M. Shulenberger Brymesser also known as Helen M. Shulenberger Brymesser File Number c~. \ Des (~\~'l , Deceased Social Security Number 174-05-1429 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) ~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the executor last Will of the Decedent dated November 20,2001 and codicil(s) dated none 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 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 County, Pennsylvania with his / her last principal residence at Church Of God Home, 801 North Hanover Street. Carlisle, Cumberland County. Pennsvlvania 17013 (List street address, town/city, township, county, state, zip code) Decedent, then 92 years of age, died on February 19,2008 Road, Carlisle, Cumberland County, Pennsylvania 17013 at Carlisle Regional Medical Center, 361 Alexander Spring Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property (If not domiciled in P A) Personal property in Pennsylvania (If not domiciled in P A) Personal property in County Value of real estate in Pennsylvania $ '1"r:J,.!) 0'). 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 John R. Albright, 26 Greystone Road, Carlisle, Pennsylvania 17013 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 of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. day of \....- before me the Sworn to or affirmed and subscribed ;), ':\Q~Y\..~ I~\ , ;.)c...tJS C~\:~~-- F the Register Signature of Personal Representative Signature of Personal Representative File Number: .d, \ C' Y:;, 0\ '6 C l Estate of Helen M. Brymesser a/kJa Helen M. Shulenberger Brymesser , Deceased Social Security Number: 174-05-1429 AND NOW, ie..bi\...\.D--i\_-\ ;;;J\ , (;!;:j)O \ having been presented before me, IT IS DECREED that Letters are hereby granted to John R. Albright Date of Death: February 19,2008 , in consideration of the foregoing Petition, satisfactory proof testamentary in the above estate and that the instrument(s) dated November 20, 2001 descrIbed III the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES ~U\(lh '~\.f~}-- ~V\::{DtJ:t;.tJ.-1l) . , ~ \ fL'- \L Letters .. .'7.08 .99.0. . $ -31.06 Reglste;;1?/>. ~ J ~ 1;;) l\ Short Certificate(s) . .0 . . . . $ I d, Attorney Signature: /lfL/1/fi f L/ Renunciation(s) .......... $ G..-l II( $ ~.)lV $ l~'\-C) $ $ $ $ $ $ $ TOT AL . . . . . . . . . . . . . . $ '-lad. 6C' ~ IS \0 c- '-" Attorney Name: Michael A. Scherer, Esquire Supreme Court I.D. No.: 61974 Address: O'Brien, Baric & Scherer 19 West South Street Carlisle, Pennsylvania 17013 Telephone: (717) 249-6873 Form RW-02 rev. 10.13.06 Page 2 of 2 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ll'l' [tll\ \_'CJl1!L'~UC ~h.O{j (\)rtifi,.-:~dl()r "1Jlnbcr d;,""G..GfQt~;;;~ /~/' ~'u"2~ ?~ _ "'Q.-'\ ulll) 11kJ \\ tll. ,'fli:f-iit,~\\ Ll'ltllk',lll' 1'1i] ~;) ~ :::1 I~<-, ~t;~1 i:~} Rl'L'UldS (1'tJ\..( , 'l.'l, l.~nl'l1t tIll ,,_ '\~'-"~ .~~ ~ ' ~11MEN1 ~\~~'tjl _~__.~"1L ~~flJ.tl!1gQQB. ~~/''2!.!!!-J!.!!J:'' LOCtd H.,.~gl\!!al -......;; r)dl,-~ !"""li,_'d ThI' 1\ t) u:rt,,\ i.,[ [11': l'l(,\II'.d)I!',] h.::. corrcctiv (I l' ! 11 ~ln l)d\~JlldJ ( 2,t.lh ~lt.. oj f\..'Ji! II.' " I IKld Rl.~"tl"l \ :]..' c' t,': .,,))(kd [. tk "I;tlt' \'I[ P 14125749 Q1050143 REV 11/2006 TYPE J PRINT IN PERMANENT BLACK INK COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) Yes 6. Daleo/Birth (Month, day, year) STATE FJLE NUMBER d.. \. ce \ Q.c-) 1, Name of Dec&dent (First, middle, las\, suffix) Helen 5. AIJ€ (Lasl Binhday) 92 9/7/1915 o NurSing Home 0 Residence DOther. Specify 9. Was Decedent 01 Hispanic Origin? IXl No 0 Yes 10. Race: American Indian, Black, While, etc (II yes, specify Cuban, (Spec!'''' Carlisle REgional Medical M''',""P"'rtoR'"o,",,) White 12. Was Decedem ever in lhe 13. Decedent's Education (Specify only highest grade completed) 14, Marital Status: Married, Never Married, U,S, Anned Forces? Elementary I Secondary (0-12) College (1-4 or 5+) Widowed, Divorced (Specify) 12 PA nb.CoonlY Cumberland DYes CXoa 17cfiYes, Decedent lived in 17d. 0 No, Decedent Lived within Actual limits of North Middleton Twp 6b. County 01 Death I . Cumberland 11. Decedent's Usual Occu lion Kiod of work dOl1e durin mosl of wortin lite. Do liOl slate reli(ed Kind 01 Work Kind 01 Business I InduSlry Hanemaker Her aNn hcxrE Widcwed . 16. Decedent's Mailing Address (Street, city / town, state, zip code) 26 Greystone Rd. , Carlisle, PA 17013 lB. Father's Name (First, middle,last,suffix) J. Paul Shulenberger 20a. Informant's Name (Type f Print) John R. Albright Decedent's AcluaJ~sidella! l7a.Slate City/Born 19, Mother's Name (First, middle, maiden surname) Edith Fleck 2Qb, Informant's Mailing Address (Street, city flown, slate, zip code) 26 Gre stone Rd., Carlisle, PA 21c. Place of Disposition {Name of cemetery, crematory or other place} ~ "' < 'I Spring Hill Cerretery Hane, Inc., '200 Ii' d. Approximate interval: Part IJ: E!lIB1 other siMilicanl c:onrilinn!l oontributina to death 28. Old Tobacco Use Contribute to Death? Onselto Death but not resulting in the underlying cause givan in Part L 0 Yes 0 Probably o No 0 UnknoWl1 29. 11 Female: o Nol pregnant within pas.l year o Pregnant at lime 01 death o Nofpreqnant, but pregn8fll witilin 42 days 01 death o Nm (Kegflan!, but pTegnanl 43 days to 1 year beforedeeth o Unknown if pregnant within the past year 32c. Pla.ceol Injury: Home, Farrn, Streel. Factory, OffiCE! Building, etc. (Specify) Sequef'llial~lislconditions,ilany, ~t~~ UNDci~l~b~~u~rr a. (disease or I!)jury lhat in~ialed the events resuflmgm dealhj LAST. b. Due 10 (or as a consequence of): 3Oa. Was an Autopsy Perlormed? OYes~ 3Ob. Were Avtopsy Andings 31. Manner 01 Death Available Prior 10 Comptetioo ~ of Cause 01 Death? ? Natural 0 Homicide o Accident 0 Pending Investigation o Suicide 0 Could Not be DetenTlined DYes ONo 32d. TlfTle 01 Injury 32g. Localion 01 Iniury (Stroot, cily I town, state) 321, If Transportation Injury (Specify) o Driver I Operator 0 Passel'1ger OPedestn:en M. Other-Specify: 338. Cel1mer (check ooly one) 33b. Signature and TlI} Certifying physician (f3hyslcian certifying cause of death when another physiCian has pronounced death and compleled Item 23) j: To the best of my knOWledge, death occurred due to the CBUse(S) and manner as staWcL _ _ _ _ _ _.. _ _.. _ _ _ _ _ _ _ _ _ _.. _ _ _ _ _ _ _ _ _ _ ~/EJ ;~=~~ ~dy ::r:gge~:~~Ia~~=:~ l:~::~e;~~:~~~ol~::,~~~~a: manner as slatltd.. _ _ _ _ _ __ _ _ _ _ _ _ _ _:_ 0 33c.llilnse Number 33d. Date Signed (~th, ~year) ~ 2-1 Zc( ff ~~~c:~:~~sm~:,:~~;::::~ and I or investigation, in my opinion, death occurred at the time, dale, and pIB~, and dlH! 10 lhe cause(s) and mllnner as stated_ 0 34. Name and Address of Person Who Completed Cause of Dealt1 (Item 27) Type / Print z o g I~III&.I\ 101 ~ D'sposil'", P"mil No. 0 \ q ?:>4-d,+ t: ) 0>/1 /<c.-~ j 1Z ( J f'-"- ILl cw-t.dt l' A /?OIJ ~. ~I LAST WILL AND TESTAMENT OF HELEN S. BRYMESSER I, Helen S. Brymesser of Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other wills and codicils heretofore made by me. FIRST I direct the payment of my debts and the expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. SECOND I give, devise and bequeath my entire estate of whatever nature and wherever situate to my husband, John F. Brymesser, if he shall survive me by thirty (30) days. THIRD In the event my husband predeceases me or fails to survive me by thirty (30) days, then I make the following specific bequests: A. To my nephew, John Albright, the sum of $50,000.00; B. To my "granddaughter," Karen Turner, the sum of $10,000.00; C. To my "daughter," Margaret Butts, the sum of $5,000.00; D. To Zion Reformed Church, Newburg, PA, the sum of $15,000.00; E. To the American Heart Association, the sum of $2,500.00; I F. To the American Cancer Society, the sum of $2,500.00; G. To the Multiple Sclerosis Society, the sum of $2,500.00; and, H. To John Albright, my grandmother's clock. FOURTH In the event my husband predeceases me or fails to survive me by thirty (30) days, after distribution of the specific bequests in paragraph THIRD above, I give the rest, residue and remainder of my estate to the United Church of Christ, Carlisle, Pennsylvania, to be placed in a separate fund and used for the maintenance and general upkeep of the church. FIFTH 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 II I I my residuary estate. SIXTH I direct that no executrix or other fiduciary named, nominated, or appointed by this my Last Will and Testament shall be required to post any bond or give any security of any type for any purpose whatsoever, any law or rule of the court of the Commonwealth of Pennsylvania or any other jurisdiction to the contrary notwithstanding. I direct that the law of the Commonwealth of Pennsylvania shall apply to any interpretation or application of the validity of this instrument. SEVENTH Any and all payment or payments of any sum or sums, whether in cash or in kind and whether for principal or income, payable to an heir, or any of them, shall be made upon the sole receipt of the respective individual to whom the payment is made, and free from anticipation, alienation, assignment, attachment, and pledge, and free from control by the creditors of any such beneficiary. EIGHTH I appoint my husband, John F. Brymesser, Executor of this my Last Will and Testament. Should my said Executor fail to survive me or for any reason fail to qualify as Executor, then I appoint John Albright, of 26 Greystone Road, Carlisle, Executor of this my Last 'vViIi and Testament. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of three (3) typewritten pages, the first one of which of which bears my signature in the margin for the purpose of identification, this 20th day of November, 2001. I I I II I I II I' II 1\ II I I ~U-/J ~4A4M/ Helen S. messer (SEAL) Signed, sealed, published and declared by the above named testatrix, Helen S. Brymesser, as and for her Last VVill and Testament, in the presence of us, who, at her request, in her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. ~.s:k ADDRESS 2'1.0 fi.,'rv i..w Sf... Ctv-I\'~ L.. )'1'1 n<> I J alryJUJi.tL y) Q;e.rJ\.C,lADDRESSSil N V'Jcd nd~ S-~: l\/H HLi "1 ::,p (I! F~ 17elI"; J ,,\ COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND We, Helen S. Brymesser ;rJ/" ht1<- fA. >{~ h ~ e r and (t1}1 and Cc L. H~ he (' , the testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument of her Last Will and Testament, and that she signed willingly and that she executed as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as witnesses, and that to the best of their knowledge, the testatrix was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. Sworn to and subscribed before me this 20th day of November, 2001. II II I; II I tt~~ T......",.~:~'....~~..-:-..--'...""".,...;:-~.,."<' i t"J+':"I"'''-'\ .-,l~.-;' I . '~1" H.,il......' ".' .......... ;.' ~\E~:;';';:, ."