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Home My WebLink About03-20-08 PETITION FOR PROBATE AND GRi\NT OF LETTERS REGISTER OF WILLS OF f V/V\ f-, 2- S2-- \... A....J ~ COUNTY, PENNSYLVANIA 00\(.. Y\ (' h"'-l"', \-;c" '^ <;h,,-, ~ File Number f\ I I'~ ,\ I) 110' }.. - L' ~ U .o'l-.- . Estate of also known as , Deceased Social Security Number zc ~ - 2 ~l - L L ~7 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) ~ A. Probate and Crant of Letters Testamentary and aver that Petitioner(s) is / are the last Will of the Decedent dated 3/ l;r Ie L I and codicil(s) dated E)I. -< C ___ r~_~ ~;;' named in the (Store relevanl 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.l.a., pendente lite,' durante absentia, durante IIlll1Orilale) 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) r-- Relationship J--=--~~ Residence Name (COMPLETE IN ALL CASFS:) Attach additional shN!ts if necessary. Decedent was domiciled at death in (!. ...1M (I, c /Z /.. t+ IV}) ~-<) j:i /Yl c .-e Ii' .... ...J (c,., r-" .. (Lisl street address, to wI/Icily, township, county, stale, zip code) , County, Pennsylvania with his / her last principal residence at ;Y} r:! d""" n. C S i, ....j , I'A I 7c :;-~- Decedent, then 7'"1 years of age, died on 3/ , 5-1 o&' at 1-I~/y ':;PI n f . Hr;~ J)' 1< I Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (lfnot domiciled in PAl Personal property in Pennsylvania (l f not domiciled in P A) Personal property in County Value of real estate in Pennsylvania B ,(:'(-0 $ $ $ $ situated as follows: Wheret'ore, Petitioller(s) respectfully request(s) the probate ot'the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Ty ed or rinted name and reSIdence , city! I!~ n N \ 's-j3 E L,;.f-., d+c 151v d.. /:J),q- n . y A~ .:5<:;<"; Y For", RW-U2 rev. 10. /3.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF C Lu,LlxrJf1 nrt SS The Petitioner(s) above-named swear(s) or affim1(s) that the statements in the foregoing Petition are true and coneet to the best of the knowledge and bellef ofPetltlOner(s) and that, as personal replesentative(s) of the Decedent, PetltlOner(S) will well and truly admlIllste! the estate accordmg to law ;/"\ / / I G/ S\Voln to or affirmed and subscnbed I I) /11"/, Slgnalllre af P rsajal Represelltallve before me the #,v' :J.. I -(16 - 03:10 Estate of ~\O.n C h (\<,?{i OJ) SJa Ll b Social Security Number: dl/~ - ;). Lj - ;),).. ~/ 7 Date of Death: ~.:s / 15 ,10 <;S' AND NOW, -: " {., _ __, c),Q)g ,m consideration of the foregomg PetJtlOn, sal1sfactory plOof having been presented before 1; ,r S DECREED that LetteIs~O ~ J-h ____ ______ ___ are hereby granted to ,J() hn KL-nt1~1 d ",d t1"t tho '""mm,nl(') ''',d ?;!tc;r IU-/ described in the Petition be admitted to probate and filed of reeord"a the last Will (and Codieil(s)) of Dec~dent. I / , Signature af Persanal Representative Signature of Personal Representative File Number: , Deceased FEES ......... $ /lh,CO Letters ...... --.::1 J Short Certifieate(s) . . . . . . . . $ i.J.<6'. it) RenunclatlOn(s) ... ...... $ ~ ... $---JQ.OO -1luJ1)nw nUl L $ 5.0n -.hLl1 $ j L) DD $ $ $ $ $ $ $ 1,1,3.0D Register af Wills Atlomey Signature: Attomey Name: Supreme Court LD. No.: Address: Telephone: TOTAL...... . ('orm RW-02 rev /O/3.Uo in the aGove estate biLL. 1 {/)' & tL_ ltJ5tff Page2of2 ; / - i:;P - (132:; LOC,AL REGISTRAR'S CERTIFICATION OF DEA'fH WAIRNING: It is illegal to duplicaw this copy nhotostat or photograptl '/ Ii,. ii" II I ' ,'II nr p, , ' ,,<!,< ;,. r, ... r.~ {~~~.:;~ , *,.,' " ,fi::k;" ',," , ,,' .""- 'l..;(' '';''-',,.'.'"j ."" i\ ' '1 ~ 1 : li il 1-:[ , ~l \'l'lt I> ill !, (Ii " I,d ( ,'1'1 {,' :2,1 ri [1\ t1:. , 'I ,/ d 112,11'(,1 Death 'Ill' "ri~illal Slall Viral 'I ltif ~("" j \. I ( ~ '/ 1111 '" ... f t -l n ,-) .1 i~ ('5 I'T I _1. , " : :!! \1 ~Utc.iiL(}Ii~L)~~ ,_..~JlJ.!~[L~ '" ,,' ," I ,} I ),!H' 1'~lIl'd Hlu:'>l..J RE'J 11 2l()o llPE" PRINT Itl PERMANENT Bl ACI\ INK COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) SIAl t flL.E NUMlllH Kind of Worl\ Installer Feb. 1, 1934 Ian 5A9i'llaslBlrtMavl Christian Staub 6 Dale 01 Birth (Month. day, yearl 3 SOCial Secunty NumbtJr 208 - 24 2287 I Ndme ut D..>tec!<!f1II,FIISl mlddliO Jd~l sultlxf 17b, County 12 Pennsylvania Cwnberland Olher o NUI$lng Home 9 Was Decedeol 01 HispanIC Origin? !Xl No DYes (Uyes specityCuban, Mel.lCan, Puerto Rican, ale) 14 Marilal Status Married, Ne~er Marrl€d Widowed, Divorced (Specilyl Married Diane C. Downes 74 y" 8tJ COLJnty01 Dealh 8d Facility Name (II not inslilutioo. Qlve Slreel and number) Cwnber land \ I, Oecedt:n\'5 Usual Dew J<ihon (Kind 01 woo done dunn mosl L)j worklll llle Do nol stale rallred Kind 01 BUSiness ,I Industry Flooring DVes KlNo . 16 Oecedenl's Mailing Al1dress (SllCet 'Ily i town. slate liP code) 5538 Moreland Court Mechanicsbur PA 17055 Decedent's AcluaI Residence 17a Slale Did Decedent livaina Township? 17e ~ Ves, Otie..delll LM:d In 17d D No, Docadenllived wllhin Adual limits 01 Tcywpr Allen T.p City/BolO 18 Faltle(s Name (Fusl, middle last. SUltll.) Nolan C Staub 19 Mother's Name (First mlddle, matdlm surname) Thelma R. Nunemacher 20a Ir./ormar.t's Name (Type.. Pnr,ll Diane C. Staub 20ll, Informant's Mailing Address (S1reel. city flown, state, lip code) 5538 Moreland Court Mechanicsbur PA 17055 21d Localloo (City Ilown. stale, ZiP COde) 21c Place 01 Olsposltioo (Name 01 cemetery, cremalory Of oltlm place) Hollinger Crematory 8 Market Plaza zzi Funeral Home Mechanicsburg, Mt. Holly Way PA 17055 Springs, PA 23b, license Number 23c, Dale Signed (MOolh, day, yeal) -,55pm M IkIT\S 24-26 mu~l to!: compil;ltiJ Dy p,"r~(}n wr,opr0nourlCEs aeillh 24 Time 01 Oealh C> o [] SUI~IUt o CoulJ N..Jl Ole" OE1.,rllllflOO 26 Was Case Referred 10 Medical Examiner I CJroner lor a Rei<son Other than CremallOO or DonallO(l? DYes No ApplOxirllcltemterval Pilrtll Enlerolhelliwfk.IDl~~.1Ut!_.lQ..z.iID 28DidToWccoUseContllooleloQ)ealh? Onsellv Deillh Dut nol resulllrl9 in the u~rtyjng Ciluse given in Part I 0 '1'es 0 f'robably o No []Unknown 29 II Female [J Nutp!l:9rl<lr,tWllillflpd~IYll:ar [J Pregnanl illllrHtl 01 dei:lth [OJ Nc,t pregllapt, lJul J.lfllyni:lHI WiUllfl 42 da(~ 01 de.lh U Nl.!t plegnafll. bu\ pl'lIgndnl43 diy~ 10 I ~e.r I.Iektflldeatt, D Ullknown if fJl~anl ~llI'ln the past year J2c Pldc{: 01 Injury Borne Falm, Slreel, Factory, OlhceBUliding I,tc (Spt.'Cilyl USE OF DEATH (See Instructions and examples) 111,11121 Pilrt I Enler U.., iliillil.Q.[ Ii.~ - llls(:dS,"S Ifl)U11.:S, {If comiJllciJ\rOOS - thai dlrecllf caused Ihe de,i1tl DO NOT enter Itlrnl~lall!vents such as cardlilc arrest resplidtorl' arrest or venlfl;,;ular Iibr~l"liofl WIUwut stloViinglhe etiology list Qnly on" cause 00 each line =~I~A;eE55t~~S; ~~lh\ ellS'"::; /h 1/'/'/> "1;(, /"f17tt ~ EF /5- :~o .1', Due to (or as a consequenc I) (')oR]) Due 10 (or as a consequence 01) Seq""'l1hctlly hstl'OI,dlhuns if ally ~~~:t~ ~t;tOEAly,~~~rU~Ee" ldlseas.aorlnJUf),tt-,dllr;)lialedlhll ..ven~ Il:Sl>ltrng 1[, de..ltl) lAST. Due 10 (or as a consequence 01) "l -t ) V 30a Was an Autopsl' Pt:rfuml,o,d? 10tl Wele AUlop~1' FlnOif)g~ A~dlL,t;I., Plior Ie C0fTI\-I<-rl<Jfl 01 C-lu~12 vi D8,,1t(! 31 Mann8r01 Oealtl 0\" KINe [] ,,, [] "e OClnJhJlell DHGfIllulk [J AC~ld~nl 0 Pl:lfld~I(J Irlv.:~liYdhun 32d. Tlmeo/lnJury M 321 II Traosporldhon In)ury (SpecIfy) [J Dn~<lr I O~ralor 0 Pas~e()yel OPllOOSlCldl1 Oltler- S,x-'Cily 33b Sll1l1,dure arid Title ofCertiher 32g locahon ollnlul)' ~Slrutlt. cily flown. Sidle) 33a Cel1ifl€l(chec~ ool~ one) Certifying physician (Ptl)':'ludn ~erlllylllSl (dU~" u! J,,<iHl....lidl ,,1001111Of iJrlp,-.I~11 hJS 1J101l0UIIC,"J OCJIh dl1d l'lllllj)j{:leJ limn 23l To the best of my knowfed~, death OCCUlted due to the cause(s) and manner al slated- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ lKJ ~~o~ou~c~~~t;~ :~:~r~~~:.h::~~~a~c~~~lf~~':~ 1~:hli:r,I~~r;~:r~n~'";::c:~~~~I~t~\~ol~:~;':::{~~~~ manner a& s!.lled- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ CJ ~~~a~~~~sm~~:::;~~::: and I or IIWllf>tlgdtior, in m~ opimun. d<!<Ith rxcurreu <It the time, dale. and place. and due to the callse(s) IInd manner as staled_ [J z " o " " ~ ~.: i,;2J / I;;n / 15( I DblJv~lliu[] Poll rl1l1 No 0193262 ,') i - 1]0_ i/) ::\11 D ''j / C. S ,I 0./ Jl,," Will of Nolan C. Staub Part 1. Penonal Information I, Nolan C. Staub, a resident of the State of Pennsylvania, Cumberland County, declare that this is my will. My Social Security number is 208-24-2287. Part 2. Revocation of Previous Wills I revoke all wills and codicils that I have previously made. Part 3. Marital Status I am married to Diane C. Staub. Part 4. Children I have the following children now living: Bonnie L. Staub and Christine Gloucher. Part 5. Grandchildren I have the following grandchild now living: Angela Black. Part 6. Failure to Leave Property If I do not leave property in this will to one or more of my children or my grandchild named above, my failure to do so is intentional. Part 7. Disposition of Property All beneficiaries must survive me for 45 days to receive property under this will. As used in this will, the phrase "survive me" means to be alive or in existence as an organization on the 45th day after my death. All personal and real property that I leave in this will shall pass subject to any encumbrances or liens placed on the property as security for the repayment of a loan or debt. If I leave property to be shared by two or more beneficiaries, it shall be shared equally by them unless this will provides otherwise. If I leave property to be shared by two or more beneficiaries, and any of them does not survive me, I leave his or her share to the others equally unless this will provides otherwise for that share. "Entire estate" means all property I own at my death that is subject to this will. I leave my entire estate to my wife Diane C. Staub. If my wife Diane C. Staub does not Page 1 of 4 Initials:---:~ c- ,c-';J- Date: J) ('"8/ eLl Will of Nolan C. Staub survive me, I leave my entire estate to Bonnie 1.. Staub, Frank D. Kenny, Sharon L. Kenny and John R. Kenny in equal shares. Part 8. Executor I name John R. Kenny to serve as my executor. If John R. Kenny is unwilling or unable to serve as executor, I name Frank D. Kenny to serve instead. No executor shall be required to post bond. Part 9. Executor's Powen I direct my executor to take all actions legally permissible to have the probate of my will done as simply and as free of court supervision as possible under the laws of the state having jurisdiction over this will, including filing a petition in the appropriate court for the independent administration of my estate. I grant to my executor the following powers, to be exercised as he or she deems to be in the best interests of my estate: 1) To retain property without liability for loss or depreciation. 2) To dispose of property by public or private sale, or exchange, or otherwise, and receive and administer the proceeds as a part of my estate. 3) To vote stock, to exercise any option or privilege to convert bonds, notes, stocks or other securities belonging to my estate into other bonds, notes, stocks or other securities, and to exercise all other rights and privileges of a person owning similar property. 4) To lease any real property in my estate. 5) To abandon, adjust, arbitrate, compromise, sue on or defend and otherwise deal with and settle claims in favor of or against my estate. 6) To continue or participate in any business which is a part of my estate, and to incorporate, dissolve or otherwise change the form of organization of the business. The powers, authority and discretion I grant to my executor are intended to be in addition to the powers, authority and discretion vested in him or her by operation of law by virtue of his or her office, and may be exercised as often as is deemed necessary or advisable, without application to or approval by any court. Page 2 of 4 Initial~;?- ~ ~-; Date: -s) / ~ /e !-l Will of Nolan C. Staub Part 10. Payment of Debts Except for liens and encumbrances placed on property as security for the repayment of a loan or debt, I want all debts and expenses owed by my estate to be paid in the manner provided for by the laws of Pennsylvania. Part 11. Payment of Taxes I want all estate and inheritance taxes assessed against property in my estate or against my beneficiaries to be paid in the manner provided for by the laws of Pennsylvania. Part 12. No Contest Provision If any beneficiary under this will contests this will or any of its provisions, any share or interest in my estate given to the contesting beneficiary under this will is revoked and shall be disposed of as if that contesting beneficiary had not survived me. Part 13. Severability If any provision of this will is held invalid, that shall not affect other provisions that can be given effect without the invalid provision. Signature I, Nolan C. Staub, the testator, sign my name to this instrument, this t sU-j day , \ ----;; of H{l~/ch , ZC.c.:.-+ , at LL:cu-I(t'/nf J::-cUl L . I declare that I sign and execute this instrument as my last will, that I sign it willingly, and that I execute it as my free and voluntary act. I declare that I am of the age of majority or otherwise legally empowered to make a will, and under no constraint or undue influence. Signature: ._/:;;;~ c~4~~~~ ~ ~.-. -' " '----.. ..., ~. .2...._._ <;.',.'--'- \\,'_' Witnesses We, the witnesses, sign our names to this instrument, and declare that the testator willingly signed and executed this instrument as the testator's last will. In the presence of the testator, and in the presence of each other, we sign this will as witnesses to the testator's signing. 1//1 //II IIII IIII IIII Page 3 of 4 Initials: -; r? ~ ~.:> Date: ? / I r;/ c L( I Will of Nolan C. Staub To the best of our knowledge, the testator is of the age of majority or otherwise legally empowered to make a will, is mentally competent and under no constraint or undue influence. We declare under penalty of perjury that the foregoing is true and correct, this i '5-) .h'~:, day of HCll,th , cJ:.cll-, at -Ll_JQ~rt, u~&ull, VVJed1(7t/11C:-J~)/LJ PV-j Witness # 1 : "[/' . " /;1, ;~. f / ! .. ".' ~{ I I '-. . / /) /' / I ) [.I L ILll / () Residing at: /1) 1-/ C: IV tJ I) II{ /j!; PIt; /( dl 'It ~/ {c 1/ f~!, II Z /: ;>';; .?: Witness #2 C,h,~tL\ (I~jru J Residing at: -[ (t ~ [(1 S'\ S', IIV\ p.~)(\ ~~ fttrC h \ \14 1-7C'3~)- Page 4 of 4 Initials: /S'~ Z' ~ _/ j/~ / t/ Date: 'S/ v) {' Affidavit ACKNOWLEDGMENT Commonwealth of Pennsylvania .1) I I , County of: C~)/nj'X/IOncL I, VlCllq ~ I ~ 0l?LDh , the testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. '-- . ~----= \', ~ Testator: -----~7>c-,,-.c:~>- , ~"';,;;, ~ ~-:;:j'''''' ., U-'L_JL,;:-,0~-) ,. <.'Y') / Officer: i ",..>; "'< ':P"~!'; ~~J:i:} ~;~20G~/ j 'Member. Pen~-:;-viV'~7~q Association Of Notanes Affidavit - Page 1 of 2 Affidavit AFFIDA VIT Commonwealth of Pennsylvania (I. ., County of: "-~U 1} l;;e,l/ lwei. -, ~l\ Go-' .. , 9: .. . We, I bne C IJ1 and l:Jl~il/7Yti/! '\/(-\/L , the witnesses whos~ames are signe1 to the attached or foregoi~g instrument, having been duly qualified according to law, do depose and say that we were present and saw the testator sign and execute the instrument as his/her Last Will; that the testator signed willingly and executed it as his/her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testator signed the will as a witness; and that to the best of our knowledge the testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ,~~on: to o~ afryrmed.and subscribed to ~,~for~ m1 by_) '. ! I{lr/lL C-l 'jllL- and l:J1fl:')I'L/ ['-Li/K( this day of r / fu/c/1 , L.DCif j , , witnesses, I ' Witness: , / d 1/ t i 1 C. /{lltltc./ (" ~ / 1ft Witness:lt\0~) L \ C~~ ~ { C~ , -' 'j." ,'17-)' .. . ~! ". '. f' '.. '. . Officer:~. ~Uftw~ 'V~fL / . -..--- ,J- l ...._._,_..~_. . 1'--- . ""- I ~ ','-,' ~-,-: .,-,0, K ""'een T' ;,:,"~'r::'~. ~I~tar". Public . 2Ufl II ,l-'~!~--'-"""" 1 " ... Mechanicsburg Bora. Cumberland \;O,U' ltv My Commission Expires June 26, <'OO~ Member, Pennsylvania Assooation Of Nolane5 Affidavit - Page 2 of 2