HomeMy WebLinkAbout03-27-08
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of t-DfJl\ HA7:fl- ,5MArf&1< No. a \ 0"6 O~-)CC> I
also known as ~ 0 ~A H> 6'14 AF n~ I( To:
, Deceased.
)
Register of Wills (nr the
County of Cu.I"'-eE:r<.J..f\nll) in the
Commonwealth of Pennsylvania
Social Security No.
The petition of the undersigned respectfully represents that:
Your petitioner(~, who is/aTe 18 years of age or older an the executoR,
in the last will of the above decedent, dated <X-'Qf>t: 1(
BRa eeaieil(s) Gat@G
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named
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(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Oecendent was d?miciled. at.death i? ~~~~f:~A #{) .. .C()Unty,pennS~ania, with
h~"r' last famIly or pnnclpal resIdence at VI L\ AG~ - I Dn fA.lllr
AI er.J /012.H/& I Mf.cj.~Rj\JlC-, fb({ ~ <; ,pfJ . lL/JtrJ{
(list street, number and muncipality)
Oecendent, then 101 years of age, died
at I"'\E:.S5JA~ ')ll1P\6~
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
M f.R.q]
19
.'~ 015
Oecendent 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: b 'J.'2..
~, 560 ~
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters
(testamentary; administration c.La.; administration d.b.n.c.La.)
theron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA l s~
COUNTY OF CI<Me.E~Lat\JO J ~
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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 represen-
tat;ve(,j of the above decedeot pe,;,;on,,('j wHl well :-t;l admini1t';: the estate accoed;ng to law.
Sworn to or affi~ d subscribed {ii /p -1' 11k'~ ~
before me. s da i ~
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egist~ /i B:
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No. ,J/r:2}% ~ !15/
Estate of Ion H AZf:1 S Ii A t:::/::s(J...
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~t1Acl; 0/"7 ~, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated OCj{jf3e:Jlt -11. 9.l1Dt
described therein be admitted to probate and filed of f{rord as the last will of
IE OlllA H A.~E ~ EHl\ff6~ . A It<: /.fj r: nN.A H. SrlAffe.'fZ
and Letters --r1< 5 T /l. ~r..;':1.
are hereby granted to L.a D fflLl.L Sri ltt:'ft3~
FEES () q)
Probate, Letters, Etc. ......... $J6 .-
Short Certificates( )........ 'y. $ Clef)
R . '.N) $ /5'0
enuno.atJ.on ..,...... '~p $ ({)"tj:1>
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Filed ........................ ft.W
Register of W' s ?-~'
J2.w~~. 6'1])~
ATTO EY (Sup, Ct. l.D. No.)
If) {j l/ofZK {CnRO I llJewc;f.ffALAiVP. ~D~
/ ADDRESS } 7'V
7''f-~}b3
PHONE
1I10:'\S05 REV (01/07)
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 14123796
Certification Number
a \ 6 ~ 665 \
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 permanent filing.
/) 1YJ ~ MAR 2 0 2008
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Local Registrar Date Issued
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REV 1112006
PAINT IN
'ANENT
::K INK
COMMONWEALTH OF PENNSYLVANIA. ,DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
STATE FILE NUMBER
"",,, ..,
j --'
1, Name 01 Decedent (First, middle, last, suffix)
Edna H. Shaffer
5, Age (LastIMhday)
6. Date 01 Birth (Month, day, year)
101 Vo;
Sept.18,1906
Sd. Facility Name (If not institution, give street and number)
TWp ;r;CS5//T;/ ///L Lc;W e-
most 01 lije. 00 nol state re'
Kind 01 Business Ilnduslry
Home
12. Was Decedenl ever in the
U.S. Armed Forces?
Dves ~No
Decedenfs
Actual Residence 17a. State
17b. County
13. Decedenfs Education {Specify
Elementary I Secondary (0-12)
8
.. 16. Decedenl's Mailing Address (Slreel, city Ilown, state, zip code)
Road
PA 17070
PA
Cumberland
Ba. Place of Death (Check only one)
Hospital: Other.
D Inpatient D ER I Outpatient D DCA ~ Nursing Home D Residence
9. Was Decedent 01 Hispanic Origin? .KJ No DYes
(If yes, specify Cuban,
Mexican, Puerto Rican, ete.)
14. Marital Status: Married, Never Married,
-.d, Divorced (Spedlyj
Widowed
DOther. Specify,
1 Q. Race: American Indian. Black, While, ele.
(Specilyj
White
Did Decedent
Liveina
Township?
17e. Xl Yes, Decedent Uved in TT r [' Q r
17d. 0 No, Decedent Uved within
Aclual Umits 01
lIll",n
Twp.
City/Bom
19. Mother's Name (First, rnidde, maiden surname)
Elizabeth N A
2Ob. lnfonnanfs MaMing Address (Street, eity I town. state, zip code)
628 Lewisberry Road, New Cumberland, FA 17070
21e. Place 01 Disposition (Name of cemetery, cremetOf)' or other place) 21d. location (City !town. sIBle, rip code)
Fairview Bethel Church Cern. New Cumberland,PA1707
& Murray F.H., 408 3rd. St.,New Cumberland PA17070
25. ,0.. ,t8 Pronounced Dead (f.Aonth,:~y. year)
M. 3 /' 0 L)
CAUSE OF DEATH (See Instructions Bnd examples)
Item 27. Part I: Enter the ~ - diseases, injuries, or complications - that drectly caused the death. 00 NOT enler teoninal events such as cardiac arrest,
respiratory arrest, or ventricular fibrillation without showing the etiology. Ust only one ~ on each line.
24 lime 01/..'2 / ;/
I Approximate interval:
: Onset to Death
I
I
: /uee k.
I
I
.
I
I
I
I
I
I
I
,
='=~J:~~msea=
.. ((fJ/f~JCLtL-
Oue'"fa" as a consequence of):
=t~='~~i~a.
Enter !he UNDERLVING CAUSE
~=se~l~n~~T~r
b.
Due to (or as a consequence of):
Due to (or as a consequence on:
d.
308. Was an Autopsy
Performed?
n. Were Autopsy Findings
Available Prior to Completion
01 Cause of Death?
DVes ~
31.~ofDeath
ErN....., D-
O _t D P'r<fmg In'llSttgation
D SuiOd, D Coo. Not be Delerminad
M
23b. License Number
23c. Date Signed (Month, day, year)
26. Was Case Referred to Medical Examiner I Coroner for a Reason Other Ihan Cremation or Donation?
DVes DNo
Part II: Enter other sionIfIcant conditions contributino to death,
but not resulting in the underlying cause {;Wen in Part I.
28. Did Tobacco Use Contribute to Death?
D Ves DProOabfy
~ D Unknown
29.tlF~:
t::r Not pregnanl within past yaar
D Pregnant at time 01 cleath
D Not pregnant, but p<egnant within 42 days
otdealh
o Not pregnant, but preg'laflt43 clays to 1 year
before death
o Unknown if pregnant within the past year
32c. Place ollnjury: Home, Farm, Street, Factory,
OfficeBUllding,ete. (Specify)
!let i/tu1UZ::1 Ilfeuce'I1<<!/S
h;~ c1eptt.e,{.J7 /I
32g. Location of Injury (Street. city I town, slale)
321. If Transportation Injury (Specify)
D Driver I ()pe<ato< D P'ssenge< DPedestn,n
Other - Specify
33b. Sil}lature and Tille 01 Certilier
~ o!-ttafO~L-
33c. License Number
m[}I;J-!){1 ?6
32d. Time of Injury
Dves ~
33a. Certifier (check only one)
Certifying physician (Physician certifying cause of death whefl another physician has prooounced death and completed Item 23)
To the best of my koowledge, death occurred due to the cause(s) and manner as statecL _ _ _ _ _ - - - - - - - - - - - - - - - - - - - - - - - - - --
~~o;:=~:':t a:~ ~~=a~~=; :~i~~~::~~a~rt::~ol~~~~~~~ manner as stated.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
~::~:sm~~;= and I or InV9sttgation, In my opinion, death occurred at the time, date, and place, and due to the cause{s) and manner as stated- 0
35. Registrar's Signature
~
33d. Date Signed (Month, day, year)
/)3 -ltJ -;J-cJO t"
34. Nama and Address of Person Who Completed Cause 01 Death (Item 27) TMlPpnt,
S A7Z-m-l 1l.,)O~ H r FJV
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LAST WILL AND TESTAMENT
OF
c.;'
EDNA HAZEL SHAFFER
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I, EDNA HAZEL SHAFFER, now of Messiah Village, Upper Allen
.~J
Township, Cumberland County, pennsyl vania, being of sound Cand
disposing mind, memory and understanding, do hereby make, publish
and declare th5s to be my Last will and Testament, hereby revoking
all other wills and Codicils previously made by me.
I TEM I:
I direct that payment of all my just debts,
expenses of my last illness, funeral expenses, and the costs of
administering LV estate from my estate as soon after my death as
conveniently may be done.
ITEM II:
I give, devise and bequeath my house with all
contents of house and lot situate and known as 622 Lewisberry Road,
Fairview Township, York County, Pennsylvania and one half (1/2) of
the residue of my estate to FLOYD PAUL SHAFFER, my son, and if he
is not then living then to RUTH SHAFFER, his wife; if both are not
then living the,:J. to JOHN W. F. YOHE, my friend, now of Lemoyne,
Pennsylvania.
ITEM III:
In the event that I do not own the house
situate and known as 622 Lewisberry Road, Fairview Township, York
County, Penns)! 1 vania at the time of my death then FLOYD PAUL
1
SHAFFER, my son, to receive a three-quarter (3/4) share of my
estate and if he is not then living then to RUTH SHAFFER, his wife,
and if both are not then living then to JOHN W. F. YOHE, my friend.
ITEM IV: In the event that I own the said house and lot
situate and known as 622 Lewisberry Road, Fairview Township, York
County, Pennsylvania, which goes to my son FLOYD PAUL SHAFFER, the
remaining one half (1/2) of the residue of my estate to go to FLOYD
PAUL SHAFFER, my son, in trust for the following purpose:
A. The corpus and accrued interest of the said trust to go to
LUTHER LEROY SHAFFER, my son, if a single person or upon him
becoming a single person and if he should then be dead or die
before becoming a single person then the said corpus of Trust and
accrued interest to go to FLOYD PAUL SHAFFER, my son, and if he is
not then living then to RUTH SHAFFER, his wife and if both are not
then living then to JOHN W. F. YOHE, my friend.
ITEM V: In the event I do not own the said house and
lot situate and known as 622 Lewisberry Road, Fairview Township,
York County, pennsyl vania at the time of my death then the
remaining one-fourth share in the residue of my estate to go to
FLOYD PAUL SHAFFER in trust for the following purpose:
A. The corpus and accrued interest of the said trust to go to
LUTHER LEROY SHAFFER, my son, if a single person or upon him
becoming a single person and if he should then be dead or die
before becoming a single person then the said one-fourth of the
residue to go to FLOYD PAUL SHAFFER, my son, and if he is not then
2
living then to RUTH SHAFFER, his wife and if both are not then
living then to JOHN W. F. YOHE, my friend.
ITEM VI: In the event that FLOYD PAUL SHAFFER dies or
resigns or refuses to act as Trustee in the foregoing two
situations then RUTH SHAFFER, his wife, to be Trustee and if both
die or resign or refuse to act as Trustee then JOHN W. F. YOHE, my
friend, to be Trustee. My Trustee to invest the corpus of either
trust in Certificates of Deposit or mutual funds in the sole
discretion of Trustee and not as otherwise provided by law.
ITEM VII: I direct that any and all taxes that may be
assessed in consequence of my death, including all inheritance,
estate and transfer taxes imposed upon my estate passing under my
Will or otherwise, shall be paid out of the principal of my
residuary estate as a part of the expense of the administration of
my estate.
ITEM VIII: I authorize and empower my personal
representative to compromise, adjust, release and discharge in such
manner as my personal representative may deem proper, all debts and
claims owed by or to me or my Estate; to sell, lease or exchange at
public or private sale or in such manner, at such prices, and upon
such terms of ~redit or otherwise, as my personal representative
may deem proper, all or any part of my property, real or personal;
to exec ute, acknowledge and deliver instruments of conveyance,
including deeds in fee simple; to borrow money for the purpose of
paying estate, inheritance or other taxes which are required to be
3
paid and to secure any such loans by pledge or mortgage of all or
any part of my property and to execute the necessary instruments to
carry out such powers; to distribute my estate in kind or partly in
money or partly in kind, and to determine the fair value at which
any property so distributed in kind shall be received by the
distributees; to conduct any business in which I have an interest
at the time of my death, for such period as my personal
representative may deem proper, power to borrow money and pledge
assets of the business and the power to do all other acts that I,
in my lifetime, could have done, to delegate such power to any
partner, manager or employee without liability for any loss
occurring therein and to organize a corporation to carryon said
business as capital to such corporation and accept stock in the
corporation in lieu thereof and hold such stock for the uses of
this my Will, and to vote said stock or sell the same as to my
personal representative may seem best; to retain all stocks,
assets, bonds and investments owned by me without being confined to
what is known as legal investments; to execute any options to
purchase, to apply for stocks, bonds or other investments, to
purchase or otherwise acquire real estate and to execute the same
powers thereover as hereinbefore provided, to retain indefinitely
any part of my assets, real or personal, which is or may become
unproductive or to make sale thereof; to pay carrying charges and
expenses of the property out of other principal or income of my
estate; to invest and reinvest in all forms of property without
4
restriction to investments authorized for Pennsylvania fiduciaries,
as my personal representative deems proper, without regard to the
principle of diversification or risk; to exercise any law-given
option to treat administrative expenses either as income tax or as
estate deductions, without regard to whether the expenses were paid
from principal 0r income. The powers herein conferred shall be to
my named personal representative and all successors thereto and
shall be in addition and not in limitation of other powers
conferred on said fiduciary.
Any and all payment or payments of any sum or sums, whether in
cash or in kind and whether for principal or income payable to any
beneficiary shall be made upon the sole receipt of the respective
beneficiary to whom the payment is made and free from anticipation,
alienation, assignment, attachment, and pledge and free from
control by the creditors of any such beneficiary.
ITEM IX: All shares of principal and income hereby given
shall be free from anticipation, assignment, pledge or obligation
of the beneficiaries and any of them and shall not be subject to
any execution or. attachment, levy or sequestration or other claims
of the creditors of said beneficiaries or any of them.
ITEM X: I nominate, constitute and appoint my son,
FLOYD PAUL SHAFFER, as the sole Executor of this my Last will and
Testament, to serve without bond. In the event of the
renunciation, death, resignation, refusal or inability to act for
any reason whatsoever of the said FLOYD PAUL SHAFFER, I nominate,
5
constitute and appoint RUTH SHAFFER, his wife,
as the Executrix
of this my Last will and Testament, to serve without bond. In the
event of the renunciation, death, resignation, refusal or inability
to act for any reason whatsoever of the said RUTH SHAFFER, I
nominate, constitute and appoint JOHN W. F. YOHE, my friend, as
the Executrix of this my Last will and Testament, to serve without
bond.
IN WITNESS WHEREOF, I, EDNA HAZEL SHAFFER, have, to this my
Last Will and Testament, set my hand this
,3/~day of
~~.AA_
, 20 eo> /. #-
'!J~ M ~
EDNA HAZEL~HAFFER
(SEAL)
Signed, se~led, published and declared by EDNA HAZEL SHAFFER,
the above nC"I":1ed Testatrix on the < =) / ~ day of
rtJ(V~ , 20 CJ J , as for her Last Will and Testament,
in the presence of us, who, in her presence, and in the presence
of each other, have, at her request, subscribed our names as
witnesses hereto.
N~~
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Name
residing
at l!)~~
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at ?&Jt?~ rf?od
~~ >- 0.. /70/>0
residing
COMMONWEALTrjP~ P~NNSYLVANIA
COUNTY OF ~~ SS
WE, the undersigned, the Testatrix and the witnesses,
respectively, whose names are signed to the foregoing instrument,
being first duly sworn and qualified according to law, do hereby
declare to the undersigned authority that we were present and saw
the Testatrix sign and execute the instrument as her Will, and that
she had signed willingly and that she executed it as her free and
voluntary act for the purposes therein expressed, and that each of
the witnesses, in the presence and hearing of the Testatrix, signed
6
the will as witnesses and that to the best of their knowledge, the
Testatrix was at that time eighteen years of age or older, of
sound mind and under no constraint or undue influence, and I, the
said Testatrix, do hereby acknowledge that I signed and executed
the instrument 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. ~~
1:2 k 2fa-eJ!
~statri - EDNA HAZ L SHAFFER
~~
~.~~~
1 ness
Sworn to and subscribed be~re
me this q J to/I- day of {(;ee~UL
20 {;I I
,
~~~~
Notary P lic eJ-..
My Commission Expires:
MARY NOTARIAL SEAL
D. VER HAGE N
Fairview Twp y' k Olary Publi~
My Commis. E'" or County
'-- SIOl'\ -xplres May 7, 2062
7