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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 ~L named ,1.9~ (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. ~ / Ii rr ' Is ~~/O/j 4~ v... ~.~ Io~'i L.~WI?Aefl.~'j l~O. ~.ti beLt) c;:. i\\B6R.L..AnJO . PIl I? (>1 0 ~O-. v,- ;:; 0 G\ 3<2- f)....cl'1..1l "" <:: O!J Vi , ,.-"') C~'::;' f. ....-.) f'0 --. -r; i",-:. OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA l s~ COUNTY OF CI<Me.E~Lat\JO J ~ (...:, 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 ~ I ~ ..... :::: ..... ~ egist~ /i B: I 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> --- ~I! L 5ev -~$- 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 ~,<~~/ / Local Registrar Date Issued ~-'-" 1 C~) -., ] ) C..;"_, --0 r--.) --.J .,., 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 /0 f/Jl T A-ue,.v b/ZIVc/ ..-= /7''''.,-.... . c~ c SOB U/2 C- - -r~' ""''-''..::> LAST WILL AND TESTAMENT OF c.;' EDNA HAZEL SHAFFER :.-0 r<' -.-1 -, -,"') '-..-" 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~~ ~,~ Name residing at l!)~~ ~ J_ 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