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Home My WebLink About02-22-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF C-v-.m \:xc \a.n ~ COUNTY,PENNSYLV~A Estate of _ 'b <!.- -tt '-J \) ene..1 also known as C~", be \ File Number .)\ o b O\C1U , Deceased Social Security Number ; Petitioner(s), who is/are 18 years ofage or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) ~ A. 11robate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the ~o-e..;o;...~c,^-\,:;> r-':> last Will of the Decedent dated S40*' 2>, \Cj~d. andcodicil(s) dated N A 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 instrurnent(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.h.n.c.t.a., enter date afWill in Section A above and complete list of heirs.) c= Name ""- """~~. :: ..~ ' 'i , :-'...."'; I t. ~O~j~rnmAU~~~A~mod~nw~mif~~~ Decedent was domiciled at death in <.::.- ,-^-<Y'\ be -;- \ an ~ v:.... -T,.,,'" \ q M . \no...n.C' < \::.v. I'- (List street address, town/city. t hip, county, state, zip code) .:~) 1(&.3 -j C~~. Declxlent, then &0 years of age, died on \::)~c..e.n-\oL'"'';>1 ~a:il at '-\ 'i?~'l -t:n.e.. (' \.., (}./\. <..,') b '-'''-.5) '( F\ \ .., 0 S 0 Dect:dent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) Personal property in Pennsylvania (lfnot domiciled in PA) Personal property in County Value of real estate in Pennsylvania t:: . \" ,; ,....d \e. '\Z.~. / ;2;;:).0 000 ) $ $ $ $ situated as follows: '&0 ~ 01 a..-.... a.5 \.....A<"H"..j c'o-. "'7C:>~ 1\ \7 ~ \\.0 \ \ Wherefi.re, 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 und€,rsigned: c:= ~1 {.'J ---; G(,t.\ No.-..,s 5<.\5 W~~orQ \.:\.\\ --u. ~\ Form RW-02 rev. 10.13.06 Page 10f2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA : S8 COUNn{ OF The P'etitioner(s) above-named swear(s) or affinn(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 administl:r the estate according to law. d~ day of Sworn to or affirmed and subscribed before me the 'J ~.." . N Signature of Personal Representative <::1 (~ File Number: d \ C'> R 0\c'l0 Estate of -h ~ '-{ ) Social Security Number: J ':5 0 - u... 0 - l() % ~ ~ AND NOW, ie ~ru..o--"-{ dd , ;;lcD8 having been presented before me IT IS DECREED that Letters are hen:by granted to '-'C \:> ,\.. ~ ".J I!. <:" e-e,,'"\ G~~~~\ , Deceased Date of Death: --:De c ~ "Y\ h.:?r ;] '-\ I ;?OOt in the above estate and that the instrument(s) dated '\=e bn..,,-c-<..-,,'1 ~ \. ~~~ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil( s)) of Decedent. FEES ~~'j~la '~'L ",' 8 =v, oDD .-::l ...... Register of Wills Letters. ... Ql.~I""'" $ i.Jl C, Short Certificate( s) . .l!? . . . . $ d Y Renunciation(s) .......... $ 0\\1 ... $ IS ~f ...$ 10 I-=\L~ b) . ., $ '" $ .., $ ... $ ... $ .,. $ .., $ TOTAL .............. $ 3b~OO~ tp Attorney Signature: Attorney Name: Supreme Court I.D. No.: s Address: Telephone: Form RW-02 rev. 10.13.06 Page 2 of2 -{jO."SIJ5 REV d)l/(J-:' LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 13991286 Certificati()!l Number ITEWt /f~ .... ........ ..~.. ,. ~"....~."~, SHOULDREAlD AS FQlJ.QWS. ') ,/ 13e-~:;flU>Ic;.;.--' .~""". r~~c(..- "/.y, -'Y' 77) ,~~ ..~ .' '~:'-!R _4~ 4/ / .. /,., <. ~AA,'" ..,r' /i f ,..' This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for ,}ermanent filing. /J 1y) r;J" DEe Z 9 Z007 UWn- /~ /~. / / Local Registrar Date Issued c. ,--.') ~,) i'V c.:) 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 .0) \ 0 2''> O'Cl () 4, Date of Dealh (Month, day, year) 1, Name 01 Decedent (First, middle, last, suHix) Bett Geibel 5,Age{Last Birthday) 80 Country Meadows Retirement Comm. 6. Date of Birth (Month, day, year) February 7, 1927 Myrtle Beach, S.C. YIS. 8b, County of Death Bd, Facility Name (II not institution, give street and number) Cumberland 1 t. Decedent's Usual Occu lion Kind 01 work done durin most 01 work' life, Do no! slate refired KindofWorll. Kind 01 Business I Industry Secretary Military Base 12. Was Decedent ever in the U.S. Armed Forces? Dyes ~o 13. Decedent's Education {Specify only highest grade completed) Elementary j seco1iTY (0-12) College (1-4 or 5+) . 16. Decedent's Mailing Addres!~ (Street, city I town, state, zip code) 4837 E. Trindle Rd. Mechanicsburg, PA 17050 Decedent's Actual Aesidem;e 17a, Slale PA Cumbf>rland 17b. County 18, Father's Name (First, middle, last, suffix) Ben'amin F. Bereen 208. Informant's Name (Type! Prim) 250 - 40 - 6846 December 24 2007 Other: o Inpatient 0 ER I Outpatient 0 DOA ~ Nursing Home 0 Residence 0 Other - Specify: 9. ~~~~es:~~t ~~~~~anic Origin? ~ No 0 Yes Mexican, Puerto Rican, ete.) 14. Marital Status: Married, Never Married, Widowed, Divorced (Sprofy) Widowed 17C.KJ Yes, Decedent lived in 17d. 0 No, Decedent Lived within ActIJal limits 01 Hampden Twp 19, Mother's Name (First, middle, maiden surname) Ada Willard 2Ob. Informant's Mailing Address (Street, city I town, state, zip code) City/Boro 809 Mand Hill PA 17011 2td. Location (City ftown, state, zip code) 24, 2008 Arlington National Cemetery 22c,NameandAddressofFa<:mty Myers-Harn~r Funeral Horne 26, Was Case Referred to Medical Examiner ( Coroner for a Reason Other than Cremation or Donation? Dyes [lNo Approximate inleNa!: Part II: Enler other sianificant conditions contributina to death, 28. Did Tobacco Use Contribute to Death? Onset 10 Death but not resulting in the underlying cause given in Part I 0 Yes 0 Probably o No 0 Unknown 29, ffFern Not pregnant within past year o Pregnant at time of dealll o Not pregnant, but pregnant within 42 days o/death o Not pregnant, but pregnant 43 days to 1 year befoll! death o Unknown il pregnant within the past year 32c. Place 01 I.njury Home, Farm, Street, Faclory, Office Bullding, etc, (Specify) ~~d~~~J:sattn~~~ ~rm\ rnse~ a, -.:;;J.J ^ r-' \. ~ ( C/ N Due to (or as a consequence on: Sequentially list conditions, ij any, ~~;\~O J~~~Y1:'G~~~I~~ a. (disease or injury thai initiated the events resulting In death) LA$T. Due to (or as a consequence on: Due to (or as a consequence on: d. 3Oa. Was an Autopsy Performed? 3Qh. Were Autopsy Findings ,....Mailable Prior to Completion 01 Cause 01 Death?/' DYes ~o 32d. Tlmeollnjury 31.Ma~eath ElNalural 0 Homicide o Accident 0 Pending lnvestigation o Suicide 0 Coold Not be Determined Dyes No M, 33a. Certifier (cneck only one) Certifying physIcian (Physician certifying cause of death when another physician has pronouncec death and completed Item 23; To the best 01 my knowledge, death occurred due to the cause(s) and manner as stated- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .. _ _ .. .. _ _ .. _ _ _ _ .. _ ~~~~~u:~~~fa~~ :~:r~~:,hJ~~~a~(:~:r~~~~ :hll~~~:~~n;n~;::c:~:~I:1ot~~:~~~~~~~~ manner as stated_.. _ _ '" _ .. _ _ _ _ '" _ .. _ _.. _ 0 ~~~~:~;:~sm~;:~~~;f~= and I or investigation, in my opinion, death occurred at the time, date, end place, and due to the eause{s) end manner as stated_ 0 Arlington, VA 23c. Date Signed (Month, day, year) J)ec..e'<Y1\::x:., 2.4 'J..co7 33d. Date Signed (Month, day, year) I 'J,1d-L{/o 7 35. Registrar's Signatu"'~ District Num ~ U~<-- I ;"1 II :f1 I I I I 34, Name and Address 01 Person Who ComPletediause 01 Death (item 27,1 Type (Prin! e.,~'Wj' .tn1"l1f~111 ~A-!) ~ f ('....c...M- L . (yo.."^P ~.l,..t\ I'll 17. f f n"~<;,,oo Paond No, 0093758 LAST WILL AND TESTAMENT OF BETTY V. GEIBEL I, BETTY V. GEIBEL, of 805 Mandy Lane, Camp Hill, CumberlaRd County, Pennsylvania, do hereby make this my Last will and Testament, revoking any former wills and Codicils made by me. FIRST: I give my tangible personal property and all in sur- ances thereon to my daughter, Gail, and to my son, Gregory, or the survivor of them. I have complete confidence that they, or the survivor of them, will honor any written instructions that I may leave with regard to said tangible personal property. SECOND: I give the rest and remainder of my estate, real, personal and mixed, to my issue, per stirpes. I understand clearly that if my daughter, Gail, and my son, Gregory, survive me, they will divide this gift equally. Should one of them predecease me without issue, the other will receive the totality. Should either or both predecease me leaving issue, the issue will receive the parent's share. Should no issue survive me, I give my entire estate, real, personal and mixed, to my heirs-at-Iaw under the intestate laws of the Commonwealth of Pennsylvania. THIRD: If any individual beneficiary who would otherwise receive an interest in my probate estate through Item SECOND is under forty (40) years of age, I direct that his (the masculine to include the feminine) interest be held in trust by CCNB Bank, N.A., 331 Bridge Street, New Cumberland, Cumberland County, Pennsylvania, hereinafter called Trustee, until such beneficiary reaches forty (40) years of age. ~") , ',. ~/):;(~. '. 'L~/I //~LLk , " ,/ r/ ',.->~< / e. My Trustee shall apply such amounts of income and principal as it, in its sole discretion, deems proper for the support, education and welfare of such beneficiary, and may accumulate any unexpended balance of income to the extent permitted by law. without the intervention of a guardian, such amounts may be applied directly or may be paid to the beneficiary or to the person with whom such beneficiary resides or to the person who has the care and control of such beneficiary. My Trustee shall not be obliged to supervise or inquire into the application of such amounts by such person, and the receipt of such person shall be a complete release of my Trustee. Should the share of a beneficiary, in the sole opinion of my Trustee, be or become too small to warrant continuing such fund in trust, or should its administration be or become impractical for any other reason, my Trustee, in its sole discretion, may pay such share, absolutely, without the intervention of a guardian, to the beneficiary, to the person with whom such beneficiary resides, to the person who has the care and control of such beneficiary, or may deposit such share in the beneficiary's name in a savings account in a savings institution of its choosing, payable to the beneficiary at majority, which I define as twenty-one (21) years. It is my recommendation that my Trustee consider the possibility of distributing one-third (1/3) of the trust assets when the benefi- ciary reaches the age of thirty (30), and one-half (1/2) of the remaining trust assets when the beneficiary reaches the age of thirty-five (35). Should a beneficiary die prior to reaching the age of forty (40) years leaving issue, his interest shall be allocated among said issue by my Trustee and held in trust for said issue, ~/...~.~ /// ,. .r~/ /~L. <~.c-~? '" --,/ -2- subject to the same trust provisions of this Will, but subject to the additional qualification that final distribution be made to each said issue upon his reaching the age of twenty-one (21) years, or to his estate in the event of his death. Should a beneficiary die after reaching the age of twenty- one (21) years, but prior to reaching the age of forty (40) years, leaving no issue, his interest shall be distributed as he may specifically direct in a valid Last Will and Testament. Unless such specific direction is made, the interest of a bene- ficiary who dies at any age prior to reaching the age of forty (40) years leaving no issue shall be divided among his brothers and sisters and the issue of deceased brothers and sisters, per stirpes, or, if none exists, among my issue, per stirpes, provided that, any portion of such interest payable to a person who is the beneficiary of a subsisting trust under this Will shall be added to said trust, and be paid over to said beneficiary in accordance with the provisions of said trust. FOURTH: I name as my Co-Executors my daughter, Gail, and my son, Gregory. Should either be unable or unwilling to serve, I name as her or his replacement L. W. Brick, 802 Mandy Lane, Camp Hill, Pennsylvania. Should he be unable or unwilling to serve, I name such member of the firm of Keefer, Wood, Allen & Rahal, or its successor firm, as that firm may designate. It is my inten- tion to have two individuals serving as Co-Executors at all times, and if two of the individuals designated above do not qualify and serve, I name as my Executor CCNB Bank, N.A. I direct that my Co-Executors or Executor serve without bond in any jurisdiction in which called upon to act. ~ J .._? _ /, -- .- ... . / . ' \.? / ... :Je-/Z'/ ..</~-/,e:c4 -/ -/ .r .c; /' -3- FIFTH: I give to any Executor, Executrix or Executors and to any Trustee or Trustees named in this will or any Codicil hereto all of the powers now applicable by law to fiduciaries in the Commonwealth of Pennsylvania and in particular, through the Probate, Estates and Fiduciaries Code, as effective and as in effect on the date hereof, during the administration and until the completion of the distribution of my estate, and until the termination of all trusts created hereunder and until the com- pletion of the distribution of the assets of such trusts. IN WITNESS WHEREOF, I have set ~2 Last Will and Testament this ~ my hand an~ seal on this my day of~c/0f/"-~~t:-'; 1982. ,/ // / \ --/' --;' - , /,"~ /',,/~/. --J'.." .'/f. ,-/ //;;-/ / . /> . - ;-t:-c..?c.J // . ...-:. ~" '-c:. t:. BETTY Y/ GtIB,EL // (SEAL) -7 '('I/l () . ,.Q .( }.,,-- j, j . . AI /2/ 1 ~ v._. '/d(. L~ SIGNED, SEALED, PUBLISHED, and) DECLARED by Betty V. Geibel, ) as and for her Last Will and ) Testament, on the day and year) last above written, in the ) presence of us, who, at her ) request, in her presence, and) in the presence of each other,) all being present at the same ) time, have hereunto subscribed) our names as witnesses: ) ) ) ) ) ) ) ) ) ) ) ) --.--. 1 ; ,~, -4- ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA SSe COUNTY OF DAUPHIN I, BETTY V. GEIBEL, the Testatrix, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instru- ment as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. L.," u/"'- /)/z2~~- ;? / ~/.d,-j~t gETTY 'ji{ GE IBm. Sworn or affirmed to and acknowledged before me by Betty V. Geibel, the Testatrix, this 3rd day of September , 1982. I \/' (i \ i ,'r ' "'. a. Ll 'll~\''' .' . N-~M: '--G~,- "'\... Notaryublic ~ My Commission Expires: Kathryn C. Hul!!rJryer, Nota;,,! Plltlic My Commission Expires flt;;:h }~t 1933 Harrilbur~, PA OuUilhin Coullty AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SSe COUNTY OF DAUPHIN WE, GWYNNE C. KRATZER and MARCIA A. BUBAK , the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testa- trix sign and execute the instrument as her Last will and Testa- ment; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge the Testatrix was at that time eighteen (18) or more years of age, of sound mind, and under no constraint or undue influence. . \ 7r)G1..">c/ a (14.< DeLK, Sworn or affirmed to and subscribed to before me by Gwynne C. Kratzer and Marcia A. Bubak t:his 3rd day of September 1982. / \ l,! f.: i' \":1J.Lt\ A A ~/\i'- l . )\l-tk Ll/V~~l~ Notary ub1ic i My Commission Expires: Kathryn C. Hollinger, NI)~c;-" PuHi, My Commission Ex~ires r.~2:;-:f. i ~, :?;J Harrisburg. PA Viw;ni,1 Ccu;;t,