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