HomeMy WebLinkAbout04-09-08
PETITION FOR PROBATE and GRANT OF I,ETTERS
L. Lf:trlL No. .2; -JJ1::___Ql.ioZ~______
To:
. Register of Wills for the
, Deceased. County of ~_ in the
Social Security No. 3 I'D - Y. Q..FZ~ 7 tf Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execuLo..R______~___~__ named
in the last will of the above decedent, dated _ fJ 0 VIS f';... e, e. p.... ~~ __, ~l
and codicil(s) dated . .
~ 6 I\J loA rJ C. \ f\ ,.. b lJ rJ b F L I r~LQ~~L.zf,l'i.:r"L- I \-\ \ S laLl.od..W
QA"T""6n lt~'f-oi ~.n10 ~eQ-1.I..~~ LJ,,~--- ffTll>fl,Je1"-_Xo-__
U- IE. ~f.~IAI~ ~ lb. F'P.o 146~(l /;J wa~L
(state relevant circnmstances, e.g. renunciation, death of execnfor, elc.)
-
Estate of ] 6RR~
also known as
Decendent was domiciled at death in C u.. M.~ E" R-LAI\J 0_ County, pennsYlvj}jia, With.
h J ~ last family or principal residence at :lh G{{ltJl\J ~ DRw!---t- CfJ.f',),f 11....1~1
F,l.- 17{)1I .
(list street, number and muncipality)
Decendent, Gen bb years of a~ died ~ f\~'+1 I~ ____, ~__,
at ';tD ~NrvbLL Op(l~~ttl( t ._=-L].1UL~_~__~____.
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: MrJc.
Decendent 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:
_ o~
$ !~} 000 /
--~-~----
$
$.
$
WHEREFORE, petitioner(.i) respectfully request(s) the probate of the last will a' II ~:~
presented herewith and the grant of letters:::re:s:r"'M.EI0-rA~~_______________~___
(testamentary; administration c.I.a.; ndministralion d.h.n.c.La.)
theron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL Tn OF PENNSYLVANIA } ss
COUNTY OF eLl. M a.. ER LAru 0
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) a d that as personal represen-
tative(s) of the above decedent petitioner(s) will well a
Sworn to or ~ffirmed and subscribed ~
be?;r; me this $1) ~.
1rFt~;~':hll{ u (/J(;ltU);dl:;
if Register L
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No. :2 I -of - ()LID}
Estate of
-re::~ ~!j L. -Z IS:N r'7--
I
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW R P~\ L ~ ~ 7 , in consideration of the petition on
the reverse side hereof, satisfactory :proof having been presented before me, .
IT IS DECREED that the instrumert<f, dated "-1 () II ~M.BEI<. tJ...b- 'J.dD?"
described therein be admitted to probate and filed of record as the last will of -re1\t<l.) l. LEf\J-r2-
and Letters
are hereby granted to
~:~r~"-,fl~.-r;:~H
J iZ .
Will Book #
Page
- ('V
lJ)'i U FEES I ~ J:.
P b L E $. LO[)" uO
ro ate, etters, tc.......... --
Sh t C tlf ate ( ) $ i lQ, ()D
or er' ic s . . . . . . . . . . ~--
R .. $ 1 5.DD
~jCn~b0'1(ifi-;~""" $ I'~.cn
TOTAL _ $1 to-7 Ov
Filed ..........................'.........
ATTORNEY (Sup. Ct. I.D. No.)
) M Y /Y9.~ R.^t..O, oJ; ,,) ~ et<l< L /IN i), fl,.
ADDRESS / 7D 7'0
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PHONE
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LOCAL REGISTRAR'S CERTIFICATION OF DEAl.1
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee 1',,1 rhl' ,'erllii..ak, ',(1i \11
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th;!t !I lill flnj'(, 1 I ere given is
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1 ~ State Vital
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REV 11/2006
/ PRINT IN
'v1ANENT
,CK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
STATE FILE NUMBER
"C.
5. Age (Last Birthday)
6. Date of Birth (Month, day, year)
66
Oct. 30, 1941
Plymouth, IN
v"
8b. County of Death
Cumberland
Bd. Facility Name (If not inslitution, give street and number)
Twp.
20 Grinnell Drive
11. Decedent's Usual Occu tion Kind of work done durin most of workin life. Do nol slale retired
Softwa~'l1OI~I\gineer
confpllfleirSS I~~rtwa r
. 16. Decedent's Mai~ng Address (Street, city flown, state, Zip code)
20 Grinnell Drive
Camp Hill, PA 17011
17a, Stale
Pennsylvania
Cumberland
17b. County
18. Father's Name (First, middle,last, suffi~l
Donald Henry Zentz
20a. Informant's Name (Type! Prinl)
Gerald E. Smith, Jr.
3. Social Security Number
4. Dale of Death (Month, day, year)
March 15, 2008
310
- 40
8874
Other"
o Inpatient 0 ER I Outpatient 0 DOA 0 Nursing Home }QiResidence
9. Was Decedent of HispaniC Origin? 10 No DYes
(II yes, specilyCuban,
Mexican, Pueno Rican, etc,)
14. Marital Status: Married, Never Married
Widowed, Divorced (Specify)
Married
tvl A D ,/ '" cds
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)ak I sslled
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DOther.Specify
10. Race: Amencan Indian, Black, White, ete
(Specify) White
17c, ~ Yes, Decedent Lived in Lowe r Allen
17d. D No, Decedefltlived within
ActualUmitsof
19, Mother's Name (First, middle, maiden surname)
Mar"orie Emma Wei and
20b, Informant's Mailing Address (Streel, city I town, state, zip code)
18 Kensington Drive, Camp Hill, PA 17011
21a, Method of Disposition
Evans Cremator
21b. Date oJ Disposition (Month, day, year) 21c. Place of Disposilion (Name of cemetery, crematory or other plaCB)
21d. Location (City/town, slaj{,. Zip code)
22c Name and Address of Facility
Parthem re FH
lIems 24-26 must be completed by person
~ who pronounces death
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c0L-'(:' &-
LL
CAUSE OF DEATH (See Instructions and examples)
Hem 27, Part I: Enter the ~ - diseases, injuries, or compiications - that directly caused lhe death, DO NOT enter terminal events such as cardiac arrest,
respiratory arrest. or ventncular fibrillatioo without showing the etiology. List only one cause on each line.
Approximate inteNal
Onset 10 Death
::Tt~A~~a~~~; J~~~\ dise:;.
/'/y'l',:', c 1/
Due to (or as a consequence of). ,
(<.'r<(~Lv...::- .:
Due 10 :or as a consequence of)'
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h/(../l:'
{)35TK'~(Ti V';
j)",
Sequentially list con<litioos, if any,
~~t~~~~o J~D~R~I~b~~U~E a
(disease or injury that initiated the
events resulting In death) LAST.
Y[;-I'!f~'S
Due to {or as a consequence of)
3Oa. Was an Autopsy
Performed?
3Ob. Were Autopsy Rndings
Available Prior to Completion
of Cause 0' Death?
31, Mannerot Death
~atural D Homicide
D Accident D Pending Investigation 32d. Time of Injury
D Suicide [J Could Nol be Determined
Ov" !!(iNo
Ov" ONe
33a. Certilier (check only one)
Certifying physician (PhysiCian certifying cause at death when another physician has pronounced death and completed Item 23)
To the best of mv knowledge, death occurred due to the cause(s) and manner as staled.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ [lg
Pronouncing and certifying physician (Physician both pronouncing death and cerlifying to cause ot death)
To the best of my knowledge, death occurred at the time, dale, and place, and due 10 the cause(s) and manner as 513ted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
Medical Examiner' Coroner
On the basis 01 examInation and I or investigation, in my opinion, death occurred at the lime, date, and place, and due to Ihe c8use(s) and manner as stated_ 0
Twp
City/Bora
Schaefferstown PA 17088
n'lf:')3K:")i:-\
26. Was Case Referred 10 Medical Examiner I
D Yes r;t~o
Par1ll: Enter oIher sianilicant cooditions contributino to~,
but nol resuiling in lhe underlying cause given In Par11
7J IV;
(il) t)
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32g, Localion of Injury (Street, city ,I lown, state)
{7 (.~) >-- r_:-fCF}
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3~.';;;~~~~~s O~~O/J:h: ~~~~;~ ~u~:~ ~p~a~~;~ 27)
(. ~. II y~ Ie /c'" 7Z :....!. . //"c(. _. ~. " (
L.<"UJ..f 8e."-'/<? Y //i I /.:1 7 /
Disposition Permit No.
L
28. Did Tobacco Lse Contribute to Death?
o Yes IE. Probably
D No D Unknown
29,lfFemale
D Nol pregnant within past year
o Pregnant allime of death
o Not pregnant, bul pregnanl within 42 days
a/dealh
o Not pregnant, bul pregnant 43 days 10 1 year
beforedealh
o Unknown i/pregnantwilhin the past year
32c, Place 01 Inlurr Home, Farm, Slreel. Factory,
OffIce Building, etc. (Specify)
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LAST WILL AND TESTAMENT
--CI
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OF
TERRY L. ZENTZ
I, TERRY L. ZENTZ of 20 Grinnel Drive, Lower Allen Township,
Cumberland County, Pennsylvania, being of sound and disposing
mind, memory and understanding, do hereby make, publish and
declare this to be my Last Will and Testament, hereby revoking all
other Wills and Codicils previously made by me.
ITEM I:
I direct that payment of all my just debts,
expenses of my last illness, funeral expenses, and cremation
expenses and the costs of administering my estate from my estate
as soon after my death as conveniently may be done.
ITEM II:
It is my will that my body be cremated.
ITEM III:
I glve, devise and bequeath all of the rest,
residue and remainder of my estate, of every nature and wherever
si tuate, together with all insurance policies thereon, unto my
spouse, Linda L. Zentz, providing my said spouse shall survive me
by ninety (90) calendar days.
ITEM IV:
Should my said spouse predecease me or die on
or before the ninetieth (90th) day following my death, I give,
devise and bequeath all of the rest, residue and remainder of my
estate of every nature and wherever situate, together with all
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insurance
policies
thereon,
to my
three
children,
namely,
Elizabeth A. Chilton, Gerald E. Smith, Jr., and Tamara L. Zentz
absolutely, share and share alike; in the event any of my children
predeceases me or dies within ninety (90) days of my death, then
his or her share to go equally to his or her children then living,
and if not survived by any child then his or her share to go
equally to my surviving said children.
ITEM V:
I nominate, constitute and appoint Linda L.
Zentz, my spouse, as the sole 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 Linda L. Zentz, I nominate,
constitute and appoint
Gerald E. Smith, Jr. my son to be sole
Executor
of this my Last Will and Testament, to serve without
bond and if he refuses or is unable to act for any reason then
Tamara L. Zentz, my daughter to sole Executrix.
IN WITNESS WHEREOF,
I, Terry L.
Zentz, have,
Will
and Testament,
set my
hand
this
to this my Last
./ "..,71.
,'''' - day of
:-'L ,'.;,.,>/11))",+ ,"I
2007.
/
, /c>;;) tt./ /1 ~:/i;;:)?/ ( SEAL)
,"Y'8rry/'L. . Zent z
Signed, sealed, published and declared by Terry L. Zentz, the
above named Testator on the 'LtifH day of
/1/ .>lH~;\'" ")C~ , 2007, as for his Last Will an Testament, in
the presence of us, who, in his presence, and in the presence of
each other, have, at his request, subscribed our names as
witnesses hereto.
2
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\. Name
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Name .
J
Ii
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF YORK
"-
residing at :lI
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WE, the undersigned, the Testator 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 Testator sign and execute the instrument as his Will, and that
he had signed willingly and that he executed it as his free and
voluntary act for the purposes therein expressed, and that each of
the witnesses, in the presence and hearing of the Testator, signed
the Will as witnesses and that to the best of their knowledge, the
Testator was at that time eighteen years of age or older, of
sound mind and under no constrain or undue influence, and I, the
said Testator, 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.
Sworn to and subscribed before
me this ~gay of NPLL"ii1.f1.i-R., 2007 .
-
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NotarYP~b'li"cl { / ~AJ'9
My Commission Expires: 1-\1~1
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600Z '6 ~ 'uer S8,11d:~3 I..IOiSSIWWOO ~
~no8 )jJo,~ "dMlMSINIli::l
o!lqnd NBION 'SIe^"", '3 lJ9Q01::l
rees leIJEJON
VINV^lASNN3d::iO HI1V3MNOWWOO
residing at
ss
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Witness
i
COMMONWEALTH OF PENNSYLVANIA
Notarial Se
Robert E My aI
r:: ",' ers, Notary Public
. . . allvI0WTwD Yorke
f Mv",r,l"" ~ " . ounty
l_ J"". "-'>" !rnJSSKM1 '~'>qJiI'';'Y'' I 1 .
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R.W Form 9
Renunciation
(Rev. 10/04)
Cy.~e,GR L^tI{O
Before the Register of Wills oT 5I!t County, Pennsylvania
Estate of --ret<\ft~ L. ~-e~
also known as
, deceased
No.
Renunciation
The undersigned, L IN P F\ ~. 2eNTz... I W.Oow , of the above
decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
letters be issued to 6 E''' "L 0 e. 5l'\f\~ d~ If ~
fit~ R J;1r
/ 0) . // 1--tCy~
Si ature 0
Typed Name: LIND f:\ L. 1-eflrrt-.
Address: ~b G~I ~Nri u... D Po Ilia J
CAf4..(I (..j II...~ I PAt t7{)~ \
Sworn to or affirmed and subscribed
before me this qr It day of
i\ fill \..., ~oe>?
Ci'
(Deputy) Register
Notary Public .
1\.--"
Signature
Typed Name:
Address:
Signature
Typed Name:
Address:
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