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HomeMy WebLinkAbout03-06-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Estate of Cletus F. Ebersole also known as CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-- 0) - ff15 ( , Deceased Social Security Number Marie E. Sheaffer 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 Executrix last Will of the Decedent, dated 0111512008 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 vidim of a killing and was never adjudicated an incapacitated person: D B. Grant of Letters of Administration (IT appllCaOle, enter: C.t.a.; a.D.n.c.t.a.; pecJente lite; aurante aDsent/a; aurante mmontate) Petitioner(s) after a proper search haslhave 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 if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with 109 N. 34th St., Camp Hill, Camp Hill, Cumberland, PA 17011 (List street address, townlcity, township, county, state, zip code) his / her last principal reSi~~ --' :.0 --I _OJ: ~ "J ~ :x ~.~ -. N c--. Decedent, then 86 years of age, died on 02101/2008 at Lebanon VA Hospital, Lebanon, PA Decedent 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 (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania situated as follows: 142,575.00 $ $ $ $ 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: Signature Typed or printed name and residence Marie E. Sheaffer 3405 Bedford Dr. Camp Hill, PA 17011 ~ Form Rev. 10-13-2006 Copyright (c) 2006 fonn software only The Lacl<ner Group, Inc. Page 1 of 2 Oath of Personal Representative } SS } COMMONWEALTH OF PENNSYLVANIA 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. Sworn to or affirmed and subscribed ~ before me this Signature of Personal Representative File Number: 21- (\ ~ .. d 5 ) <.. ) ~:o :~c:: :IJ ';~$ ;:~)C) ';d-ll 35 , Dece~~ r"_' tiii'( C:::--l C~) ::E: ~ :::0 I 0"\ - ) Signature of Personal Representative --,- ; -'-~.-l :1 } l. ~ ~ Estate of Cletus F. Ebersole NKlA N G...., Social Security Number: Date of Death: 02/01/2008 AND NOW, I in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Marie E. Sheaffer in the above estate and that the instrument(s) dated 01/15/2008 described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent. Renunciation(s)............ ......... ........ $ Attorney Signature: J!Jl'{l~ chrvux ~....~$A cD-j) [f!l~~ FEES Letters............................................ $ Short Certificate(s)........................ $ 260.00 20.00 JCP fee $ Automation fee $ ~ll $ $ $ $ $ $ 10.00 5.00 16.UO Attorney Name: Supreme Court 1.0. No.: 68003 Hazen Elder Law Address: 2000 Linglestown Rd. Suite 202 Harrisburg, PA 17110 Telephone: 717 -540-4332 $ TOTAL.................................. $ <::]1 (j 'dO 155.00 Form RW-02 Rev. 10.13.2006 Copyright (c) 2006 fORn software only The Lackner Group, Inc. Page 2 of 2 HJO~.SO~ REV (0]/07) 81-o~ --J0i LOCAL REGISTRAR'S CERTIFICATION OF DEA,TH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 Certification Number This is to certify that the information here given i: correctly copied from an original Certificate of Deatl duly filed with me as Local Registrar. The origina certificate will be forwarded to the State Vita Records Office for permanent filing. P 14121422 ~ /JJ ~~~ FJ:R rf~.2OI'& Local Registrar ~ ~ Date . Is~~~d l-:> ~;C) ~7..... ::0 '"} =r J ~~~~ .=.~g] . ~~/) ";.-'~ ::J! :;:';.tt ;;:0 I en --) ~ ; (-) ,.... ''33 .--1 N ,.-<\'.... '-..# ~ REV 11/2006 I PRINT IN ~ENT .CKINK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) STATE FILE NUMBER , WM.. elc 14. ~=~~r Married, 15. Surviving Spouse (" wif., !t;e maiden name) Married H. Marie Hooey Did Decadent Live in a 17c. D Ves. Decedent l.ived in TownahIp? 17d.K1 ~~ofl.ivedwilllin Cmm Hill 19. Mofher'I Name (Fk1l, middle, rneldIn lIUITIIJ'IIt) Catherine Mohr 2011. InIormInfl MaIing Address (Slreet, city I town, llale, zip coda) 3405 Bedford Drive~ Caap Hill~ PA 17011 21c. PIece 01 DispoIIIion (Name of cemelery, CIIIIllIlory or Dlher placs) 21d. location (CiIy I town, llel., zip coda) Cremation Society of PA Harrisburg~ PA 17109 22c.NameandAddressofFacIIty Auer Heaorial Hoae and Cremation Services~ Inc. 4100 Jonestown Road Barrisbur PA 17109 23b. license Number 230. Date Signed (Month. day, YlBrl Twp. City I Boro Ajlpoxina1. inItlvlll: 0nIt11ll 0tI1h 26. Was Case AefelTld 10 MedIcal Examiner I Coronet' for a Reuon Other than Crwmation or Donation? OVes ONo Ptrt II: Enter otI1ef IimIficanI torllItionI _10 dolllh, 28. Did Tobacco UIt Concribul. III Dealh? but noll8SUlllng In thelllde!tylng cause gIYtn In PlIIIl. 0 Yes 0 P ONo 29. "FIITItlI: D Not pregnant withln past yael D Pregnant at IinI of daatI1 D Not pregnanl, but pregl8Ilt wiIhin 42 days of daath D Not pregnant, but pregnanl43 days 10 1 }'IlIr belort de8\h D Unknown ~ pIIgn&IlI within the past VIII 320. = =: :';s=i Sreet, Ftclory, ==~US:=)-= a. ..lAf..k~.J..a.+'\ c, Co Ion Due 10 (or as a lXlIlI8qU8nC8 01): CiA n c..e.,- EIst concIIIons. w any, lD CBUIt IiIItd on line .. Enltr lIIlEALYIKl CAUSE . =-~Il-:"'~ b. Due 10 (or as a consequence 01): Due III (or as a consequence 01): d. o Ves f.j.Ho 3011, Wtnt Aulopsy FIlldngs AvtIIble Prior III ~ of Causa of 0tIIh? DYes ONe 31. ,.... of 0tIIh ~ Natural 0 Horricide o Accidenl 0 Pendng "-llgtlion o SuIcide D Could Nol be OIteminad 32d. line oflnjuly 32g. location oflnjuly (St_ city I town, Ifate> _ :lit. ~AlilIllIY M. 338. CtlUIiIr (CIlllcll only ont) . Ctr1IfyIng p/lyIlclM (Physicitn ctrIlfyIng cs_ of de8\h wf1en tnoIhtr phyIician has pnltIOUIlCId dolllh and compItltd "am 23) To the Iltt1 01 my Imwltdgt, dttlh ClCCtIINd dut \0 the CBUtt(1) and __ It ataIId.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 . =:=",,::".!::=~~~~olll~=mlI1MrUltated.._______________ __ !il . IlIdIcal ExamIntr , ear- On the batls 01 tumIntIIon and I or 1IWttIIg8llon, In my oplnlon, dttlh 0CCUI'I'8d .1 the tImt, datt, and ~, and dut to the ctU8I(1) tnd _ as sla1tcL D I ~8 I ~I/I ~ / II Leb~f)O /) c., Disposilion Pannil No. OOQ4047 LAST WILL AND TESTAMENT OF C) f~~~ , 'lJ : 'l~i', p >:~3~ ,i~) '._) n :::R: :.:.~ A:J I 0"') CLETUS F. EBERSOLE ~~ "'-,17'" i"'..) C', I, CLETUS F. EBERSOLE, 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 to my wife, HELEN MARIE EBERSOLE. In the event HELEN MARIE EBERSOLE predeceases me or fails to survive me by thirty (30) days, then I give, devise and bequeath my tangible personal property in accordance with any memorandum I have 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 to my wife, HELEN MARIE EBERSOLE, of Cumberland County, Pennsylvania. In the event that HELEN MARIE EBERSOLE predeceases me or fails to survive me by thirty (30) days, I give, devise, and bequeath as follows: A. TWENTY THOUSAND ($20,000.00) DOLLARS to my friend, CANDACE A. SVETZ, of Clairton, Pennsylvania. In the event that CANDACE A. SVETZ fails to survive my death by thirty (30) days, then her share shall be distributed to her daughter, KAREN L. TRUAX, per stirpes; B. TWENTY THOUSAND ($20,000.00) DOLLARS to my friend, KAREN L. TRUAX, of Pittsburgh, Pennsylvania, per stirpes; C. FIVE THOUSAND ($5,000.00) DOLLARS to my friend, R. LAMAR GILCHRIST, of Camp Hill, Pennsylvania, per capita; D. TWENTY THOUSAND ($20,000.00) DOLLARS to my friend, VICKI ROUDABUSH, of Martinsburg, Pennsylvania. In the event that VICKI ROUDABUSH fails to 2 survive my death by thirty (30) days, then her share shall be distributed to her parents, HARRY and GENEVIEVE ROUDABUSH, of Martinsburg, Pennsylvania, per capita; E. TWENTY THOUSAND ($20,000.00) DOLLARS to my sister-in-law, CHARLOTTE STONE, of Horseheads, New York. In the event that CHARLOTTE STONE fails to survive my death by thirty (30) days, then her share shall be distributed to her husband, RICHARD STONE, per capita; F. TEN THOUSAND ($10,000.00) DOLLARS to my friend, H. DAN STURM, of Enola, Pennsylvania, per stirpes; G. SIXTY THOUSAND ($60,000.00) DOLLARS to my friend, MARIE E. SHEAFFER, of Camp Hill, Pennsylvania, per capita; H. TEN THOUSAND ($10,000.00) DOLLARS to my friend, CARLA FRISCH, of Joppa, Maryland, per stirpes; and I. THIRTY THOUSAND ($30,000.00) DOLLARS to my friend, KATHY BROCK, of Dillsburg, Pennsylvania. In the event that KATHY BROCK fails to survive my death by thirty (30) days, then her share shall be distributed to her husband, RUSSELL BROCK, per stirpes. All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, I give, devise and bequeath in three equal shares to the NATIONAL VETERANS LEGAL SERVICES PROGRAM, of P.O. Box 65762, Washington, DC 20035, the DISABLED AMERICAN VETERANS, of P.O. Box 14301, Cincinnati, Ohio 45250-0301 and the SALVATION ARMY, of 1122 Green Street, Harrisburg, Pennsylvania 17105. 3 Article V I nominate, constitute and appoint my friend, MARIE E. SHEAFFER, of Cumberland County, 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 appoint my friend, H. DAN STURM, as successor Executor of my Last Will and Testament. I direct that my Executrix or successor Executor be permitted to serve without bond. 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, 4 (g) to make distributions in cash or in kind, or in both, and to determine the value of any such property, (h) to employ any attorney, investment advisor, or other agent deemed necessary by my Executrix or successor 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, CLETUS F. EBERSOLE, hereby set my hand to this my Last Will and Testament, on ),/ )~... JJ ( , 2008, at Harrisburg, Pennsylvania. d::&4:,. ~ &,~ ETUS R EBERSOLE In our presence, the above-named CLETUS F. EBERSOLE 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 ~- tQ1~ 4~ tJou~ Address J.oc;D /;11J1A.rhI}.tJ1 /{d, .{./t- 2aj IIvI.J I A4 I ~ I/O dOOo L"'i'pJtJW>1 f.,fl. r~ dDJ iii! M {I}tto J . I 5 I, CLETUS F. EBERSOLE, 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 CLETUS F. EBERSOLE, the Testator on TA-nvfl(j J.) ,2008. rffJ::~~ ~r~~~- CLETUS F. EBERS LE COMMONWEALTH OF P SYLVANIA Notarial Seal MarleJIe F. Hazen, Notary Public Susquehanna Twp., Dauphin County My Commission B"xpires Sept. 23, 2010 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 undue influence. Sworn to or affirmed and Subscribed to before me by In A-HA -C, I"YI JLLE?:~ ~d(1Il;".1' ~f~r<; ~~~ WItnesses, on . ~S'YJ{f~ WItness ,2008. ~ Not Public ~ j~ 0o~Jj"",,-( Witness ~ COMMONWEALTH OF PENNSYLVANIA Notarial Seal Maielle F. Hazen, Notary Public Susquehanna 1\vp., Dauphin County My Commission Expires sept. 23, 2010 6