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HomeMy WebLinkAbout03-11-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA Estate of PHILIP FREDRICK MCCLELLAND also known as File Number ;). \ C ''5 (2::~) \.t; '1 , Deceased Social Security Number 197-42-5431 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 JANUARY 27,1991 and codicil(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 instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: N/ A 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 '~ ~~~~ ." .-""- I"'~ : ~ ::v 1 (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal :restaence at 1059 TRINDLE ROAD. N. MIDDLETON TOWNSHIP (CARLISLE MAILING) PA 17013 (List street address, townlcity, township, county, state, zip code) ;:::;r-.. -.r-.... co C~ CO Decedent, then 56 COUNTY, PA years of age, died on DECEMBER 29. 2007 at HARRISBURG HOSPITAL, HARRISBURG, DAUPHIN 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 ofreal estate in Pennsylvania $ $ $ $ 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 PAMELA L. McCLELLAND, 1059 TRINDLE RD., CARLISLE, P A 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. J Sworn to or affirmed and subscribed before me the i I ,...,. ._~'; f~~,.J Signature of Personal Representative -~o ::-J] - ,) -Tf...J :j;: r-T"" ,~-', t;":::;) .;.:: ~) -""~ .~.;;.., Signature of Personal Representative . #~", :t::~.. File Number: .J. \ {::.. ~ Od\.o'"l ':1 C"'::l (=; CO Estate of PHILIP FREDRICK MCCLELLAND , Deceased Social Security Number: 197-42-5431 Date of Death: DECEMBER 29, 2007 AND NOW, having been presented before me, IT IS DECREED that Letters are hereby granted to PAMELA L. McCLELLAND ('(\rtf- (Jt \ i , d..Otj~ , in consideration of the foregoing Petition, satisfactory proof TESTAMENTARY in the above estate and that the instrument(s) dated JANUARY 27,1991 described in the Petition be admitted to probate and filed of record as the last Wil~ cqnd Codicil( s)) of Decedent. FEES ~(\cl,-- ..:h,lJ\.Q....... M'\dYIII (31:) , (" p ,;)() ~R isterofWills .._, 'f-V'f-VL "" Letters ............... $ ~ _ C 'fi ( ) I $ 'i A S' \j.~" '\,.-4 Short ertl lcate s ........ ttorney Ignature:, _ v---- Renunciation(s) .......... $ u--\ /1 . . . $ _ltPh ,~ IS ;0 t- J Attorney Name: THOMAS E. FLOWER TOTAL $ $ $ $ $ $ $ $ $ !:>""Io.)~ Supreme Court J.D. No.: 83993 Address: SAIDIS, FLOWER & LIND SA Y 2109 MARKET STREET CAMP HILL, PA 17011 Telephone: (717) 737-3405 Form RW-02 rev. 10.13.06 Page 2 of2 HI05.805 REV 1011(7) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 14014073 Certification Number .J. \. O'B' 6 cl Ul'l This is to certify that the information here given i~ correctly copied from an original Certificate of Dead duly filed with me as Local Registrar. The origina certificate will be forwarded to the State Vita Re ords Off\ce ~ p~r~ani;1nt ~~ing'l UJv-V' {/ ~ d .f(J JI Local R gistrar Date Issued r..... ~. o ~ 'T) ~;~~ c:=: .....x~) ::1': :~:."":~ ;;;0 J' ,'/:';' ::"^':"~ :0' Hl()5..14,J REV l1f2006 TYPE I PRINT IN PERMANENT BlACK INK COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) Co') - -'-l '=-"':1 STATE FILE N~BER I 6. Dale 01 Birth (Month, day, year) April 13, 1951 7. BUthpIace (City and Stal8 ()(10l New Castle, Sa. Place 01 Death (Check only one) Hospital: Other: ....- 0 EA 1000palienl 0 DOA 0 Nu","l Home 0 Reside"", OOthe,. Speo~ 9, Was 0ecedenI of Hispanic Origin? XJ No 0 Yes 10. Race: American Indian, BIack.. Whrte, ale 1'",,_Cuban. (SpeoIj1 Harrisburg Hospital ....xican. Puerto Rican. .~.) CaUC. 12. Wu Decedent ever in the 13. Oecedenl's Education (Specify oNy highest grade COfl'I9IetedI 14. Marital Status: Married, Never Married. 15. Surviving Spouse (If wife, give maiden name) U.S.AnnedF.....? Eiemenlar/l_oy(<J.12) CoOegoI1-4o<$+) WKlowed.O_ISpedlj1 oYII ~ 12 5+ Married Pamela L. Conle OecedIInt's Did 0ecedenC AduOAosidence 110._ Pennsylvania U\oe~o 17c.rnY"._LNed~ N. Middleton 17b.CoooIy Cumberland T_7 17dO Ne,_tlNedwrthin Actual Limits 01 1. Name 01 0ecedenI (Firs!. 1l'iddIt. last, su/fill Yo>. Bb. Coon~ 01 Ooalh &d. Facility Name (II not institution. give stree! and number) Dauphin Harrisburg 11.Oecedent'sUsual lion Ki'ld 01 W()f'(done Knd 01 Walt . lo._r.llaiW>g_I_OIyI_._.~_) 1059 Trindle Rd. Carlisle, PA 17013 10. F....,.. .....If.... _.1uI, suffix) . Harris Au tus McClelland 2Oa. IntormInfI Nivnt (Type I PrinI) 5431 1/1 Twp City I Boto Ig. MoIher'.NamtIFll1l._.maidonsumamo) Elva A. Hohmann 2Ob. InIorm8nl'I Maiing AddNu ISlrNt, c<<y /1own, stall. zip code) 1059 Trindle Rd. Carlisle PA 17013 21c. Place 01 0lsp0Mi0n (Name of ctmItety, crematory Cf oct'IIf place) 21d. location (City IlOWn, Slal', Zip code) " "' '" => ~ ~ East Harrisburg Crematory 22c.Namtand-"'oIFdy Jesse H. Geigle Funeral Hane, in lestown Rd Harris PA 171 09 23b. Uconst_ Harrisburg, PA Inc. 1tem124-26 I7l.ISt be ccmpIIted by pnon 24. Trne 01 Dea~ wnoprol"lCll.tQ&tINIt\. I CAU OF DEATH (Sae instruction. and ex.mp~..) 11Im 27. Part I: EntIt lht~ -Ostases, irjlries, excomplicalionl-lhatditedlycaosed!he cINlh. DO NOT entetttfminallYtl'lts such as cardiac arrest, tespita&otyarres&, Of YIflttiQJlarfibrilllionwilholAshowing ItIe etiology. List onIyooec:auseonNCh into :"JJ:~~=)~ 0 Duo~~~~~. CAYOt\OlNL I Approxmalt interval: : Onset to 0uIh I I , I I I I , , , I , , I I -"-.'",!, INlina 10 dw cause IiMId on .". a. em. he UNDERlYING CAUSE: =-~n':.",'t~ b. Oue 10 (or...c::onsequence 01): OurIIo(Ol'Uac:onMqU8l"lCeot): d. n. WasanAUlopsy P- Xtl.W."AuIOpIyFindingI AvailabllPriolto~ 01 Cause 01 OeIlh? 31. Manne, 01 ONU'l ONatu... D- O- OPenang~ o Suicide 0 Could "" be 0......- M. OY" O{Ne OY" ONe 32d. Tme 01 Injury z "' 53 g o ~ 330. Ce<ti!e<1"*'*"" "",,) CertIfying physiciM (Physician ctI'litying cause of dNlh when another physician has prorlOlMlCed dealh and compIeled Item 23) To hbat 01 my knowledge, dtI4tl occumd due to the caUM(')lnd """"'" a. s'-Ied.. _ _..................... _... _............................................................ 0 ~:=~=~=I~~dea~~,:~~toto.::~~: maMtfU ItIIed.. _ ____ _ __ _ _ _ _ _ _ _ _ _ 0 ::: ~~ lnell or lnvuUption,ln my opinion, duth occurred ac the time, dale, and pIKe,lnd due 10 lhe ClUM(I) and InIn....r.. ltated.. 0 ,5,0 14 tb-Il", b t>...,..,<>nP,,,,,,.. 0043915 23e. Dale Signed (MonIh. day, year) 26. Was Case Aelerred to Medical Examiner I Coroner lor a Rea$O('l Other than Cremation Of 00na1lOn" OY" j:!!lNe Part 11: Enter Olher similicant conditinM c:ontributinn to death 2B. Did Tobacco Use Contrib.Jte 10 Death" bulnotre.sultioginUleundertyingcaus.eg;v8l'linParll. 0 '18$ DProbably ONe 0- 29. II Female: o """,~,,,,",,,,,,, o Pf9l1lanl ~ lime 01 oeath o NoIpr&g\alll.bul~withln42days 01.... D Not pregnant. bUl Pfeg\Jnl 43 days 10 1 yeal --.... D UnknOwn if Pf89'\iflI within the pas! yeat 32c. Place oIl~: Home, Farm, Sl:/'Ml, FaClory, OfficoBuio>og..c (Specify) 32g. localion of Injury {Sreet, ciry I town, slal'l 330 Oi" Sq> r,.rICo q. ~~k~~(It:;:ml ~1t PA \ =to 1} ~ \ 0 ~~ ('~0-1 LAST WILL AND TESTAMENT OF PHILIP FREDRICK MCCLE~AND (;0 ':: -'=(J 'f'""j --;~p ,- l"f"1 ~~,r=; .~::.. ::',0 Township, Cumberland County, Pennsylvania, I, Philip Fredrick McClelland, of North ~i~~etcin -~j C:) being d:i:f sou~ CJ mind, memory and understanding declare this to be my Last Will and Testament, hereby revoking all wills and writings previously made by me. FIRST: I bequeath and devise my entire estate to my beloved wife, Pamela L. McClelland, if she shall survive me by thirty (30) days. SECOND: If my wife shall fail to survive me by thirty <30> days, I bequeath and devise my entire estate to my descendants who shall survive me, such descendants to take per stirpes. THIRD: If my wife shall survive me, I hereby appoint her the executor of my estate. My wife shall serve as my executor without bond. If my wife shall fail ::::~-~-- ---j~----- Test. (ir- e / --- ----~--------- __J~?~/________ Wit. Date Page 1 of 4 to survive me, decline to serve or cease to serve as my executor: I hereby appoint Kathy Lindman, presently 0% 1177 Marie Ave., Ephrata, Pennsylvania to serve as my executor without bond. FOURTH: 1% my wi%e shall %ail to survive me, I hereby appoint Mrs. Lindman to act as both the guardian 0% the person and the guardian 0% the estate %or my children. Mrs. Lindman shall serve without bond. FIFTH: As it is my intention that the person appointed guardian 0% the estate %or my minor children shall maintain and manage the property 0% my children until they shall reach the age 0% twenty-one (21), I hereby provide that the person appointed guardian 0% the estate %or my minor children in Section FOURTH shall continue to hold, manage and maintain in seperate trusts my children's property which they have received %rom my estate until each child shall reach the age 0% twenty-one (21). Upon the termination 0% the trust, the corpus and any accumulated income shall be distributed to the bene%iciary. Wit. se------ ---u0t--- Test. ~~~------------ I /1 / ~ ---/~---t-~~------- Wit. Wit. Date Page 2 0% 4 SIXTH: This Section is written in accordance with my intention which I have stated in the first sentence of Section FIFTH of this will. If any of my children shall be at least eighteen (18) but not yet twenty-one (21) years of age at the time of my death and shall take from my estate. their equal shares shall be held in seperate trusts for their benefit. I hereby direct that the person appointed guardian of the estate shall also hold. manage and maintain as trustee all such inherited property. This trust shall terminate for each child whenever that child shall reach the age of twenty-one (21). Upon the termination of the trust the corpus and any accumulated income shall be distributed to the beneficiary. The trustee under this Section shall hold. manage and maintain the property in this trust subJect to the same powers, duties, rights and limitations as are imposed upon a guardian of the estate of a minor child. Wit. ~------ _~L0---- Test. /;- ----~-~--------- -_!~~?;::?-t------- Wit.. Wit. Date Page 3 of 4 Signed, sealed, published and declared by the above-named Philip Fredrick McClelland as and for his Last Will and Testament, in the presence ox us three who, at his request, in his presence and in the presence of one another, hereto subscribe our names as witnesses thereo~, all on the date indicated below, and each of us hereby declares that in his or her opinion the said Philip Fredrick McClelland is ox sound and disposing mind and memory. rame h ~-~~~----- Jj~---- _2_tiLQI&t ~::::J:lf-'~~~_~_~J fJfi _:.!!~tzfh~!'L2)..j~J!drg-<d1 /7// () seal this IN WITNE~S WHEREOF, I __J2~~ day of hereunto set my hand and 19_crf. For identixication I have signed each ox the xoregoing four (4) pages ox this will, which consists of xour (4) page. d#~gg~ Philip Fredrick McClelland Page 4 of 4, a \ o~ 08.tll ~._ "'I OATH OF SUBSCRIBING WITNESS(ES) (~2 P) J::- .. REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYL VANIA ~~:-) ( -'~., co Estate of PHILIP FREDRICK McCLELLAND , Deceased KA THRYN YORKIEVITZ , (each) a subscribing witness to (Print Namels) the ~Will 0 Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she I he I they was I were present and saw the above Testator I Testatrix sign the same and that she I he I they signed the same and that she I he I they signed as a witness at the request of the Testator I Testatrix III her I his presence and in the presence of each other. (Si~ y~ (Signature) 251 N. 27th STREET (Street Address) (Street Address) (City, State, Zip) CAMP HILL, PA 17011 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day Executed out of Register's Office Sworn to or affirmed and subscribed before me this C::<9 of h~~,; /- c:,: of Deputy for Register of Wills Notary Pub' My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths, Show datc of expiration of Notary's CommIssion.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. NOTARIAL SEAL 1<ANDI L. LENKER. NOTARY PUBLIC CARLISLE BORO. CUMBERLAND COUNTY MY COMMISSION EXPIRES MARCH 10, 20n.~. Form RW-03 rev. 10.13.06 d \. 0'6 ()~~LD7 OATH OF SUBSCRIBING WITNESS(ES) ( ) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA .. ..:J J::'" ..-,..." '~.J ~. .J co Estate of PHILIP FREDRICK McCLELLAND , Deceased JOHN DERNBACH , (each) a subscribing witness to (Print Name/s) the fZIWill 0 Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were present and saw the above Testator / Testatrix sign the same and that she / he / they signed the same and that she / he / they signed as a witness at the request of the Testator / Testatrix III her / his presence and in the presence of each other. (Signature) 27th STREET (Street Address) (Street Address) (Citl'. State. Zip) CAMP HILL, PA 17011 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day Executed out of Register's Office Sworn to or affirmed and subscribed before me this !J? -tic d~ of )/rltlALl__ , ;?/J{) 0 , g~4tuu N o13'ry>Pub lic My"Commission Expires: U - .JtJ- &2~ II (Signature and Seal of Notary or other official qualified to administer oaths, Show date of expiration of Notary's Commission.) of Deputy for Register of Wills NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy ofinstrument(s) at time of notarization. COMMONWEALTH OF PENNSYLVANIA Notarial Seal Jo Ann Seker, Notary Public Camp Hill BOlO, Cumbertand County My Commission Expires June 30, 2011 Member, Pennsylvania Association of Notaries Form RW-03 rev. 10./3.06