HomeMy WebLinkAbout04-10-08
PETITION FOR PROBATE AND GRANT OF LETTERS
Qu~bwW
COUNTY, PENNSYLVANIA
REGISTER OF WILLS OF
Estate of -.E M IN\ e,...
also known as
K,
M -t 't -tAr
File Number
:L \ OD Cy-\C)q
, Deceased
Social Security Number I q 0 - 2 b - 6 1 Y 2.
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 Te tamentary and aver that Petitioner(s) is / are the (: XEt. ufy ~X
last Will of the Decedent dated /4 'D6 and codicil(s) dated
named in the
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
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Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution o~ instlUment~ffered:,
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: :"; ~ :::; iOt,
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o B. Grant of Letters of Administration-:~ ~ c::>
(Ifapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante abselllia, durantemi'f:()J:YF!!'1 :P'"
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Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spot)~~ g;any) and ears: (Ii:: :-
Administratioll, c.t.a. or d.b.n.c.l.a., enter date of Will in Section A above and complete list of heirs.) --I..
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C Name Relationship Residen:e" \.0
iciled at death in
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(List street address, tow/l!city, township, county, state, zip code)
Ooe,d,"t, theo 9 2. y'= of 'g', di,d 0" ~"4
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) 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
Sp.v,+- It-~\U
$ /~ 000. -
$
$
$
situated as follows:
Wheret"ore, Petitioner(s) respectfully request(s) the probate ot"the last Will and Codicil(s) presented with this Petition and the grant of Lelters in the appropriate form to
the undersigned:
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Form RW-02 reI'. /0./3.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
COUNTY OF
Cu ~ ~ llA--t'J
S8
The Petitioner(s) above-named swear(s) or affim1(s) that the statements in the foregoing Petition are true and con'ect to the best of
the knowledge and belief ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
D't ~'-\Dq
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Social Security Number: \ q () - '2 (., - ~ 't 9' 2... Date of Death: 4 - '3 - 2. () C) J-
AND NOW, ~v\\ \ D , 2f:b't , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters T~ C; ~o.,") ,
are hereby granted to 1=[; ~ \0-<. n 'r< . Va V\ e.. k..
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C~ !fl'/I , f}4- 1701'
Sworn to or affirmed and subscribed
before me the ~__ day of
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Signature of Personal Represemative
For the Register
Signature of Personal Representative
File Number:
2\
K.
Estate of
EMrJ\.~
, Deceased
and that the instrument(s) dated )./01/ eW'l W /'1. 'ZtJ() =?
,
described in the Petition be admitted to probate and filed of record a the last Wi I
FEES
Letters .....lDtW... $~
Short Certificate(s) . . lo. . . . $~
Renunciation(s) .......,.. $
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: .. . $
;to ...$
. .. $
.. . $
. .. $
. .. $
... $
.. . $
TOTAL .............. $
Attorney Signature:
Attomey Name:
IS
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S'
Supreme Court LD. No.:
Address:
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ill the above estate
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Forlll R W-IJ] rev, I IJ,13.06
Page 2 0[2
Hl0:\XO:'\ Rf:,' 10)/n71
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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14394918
7/ 2008
Fee for this certificate, $6,()()
Certification Number
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H105-143 REV 11flOO6
TYPE I PRINT IN
PERMANENT
BlACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
~f .
5.f.q>(lasIB'<1hday)
6. Dale of Birth (Month, day, year)
190 - 26 - 6982
Sa. Place of Death (Check only one)
Hospital: Other.
O'l'opailent 0 ER I~" 0 DOA 0 N,,,'" Home 0 R_", 0Q1he,. Specify
9. Was Decedent of Hispanic Origin? l:a No 0 Ves 10. Race: American Irdan, Black, While, etc.
(lIyaa, _~ C_. 1_
Me><ican, """" Rican. otc.) White
o <g' O~DC;
92
v".
6b. County of Death
Cumberland
_.
ActuaIResidence 17a.StaIe
'7b.C,"""
PA
Cumberland
14. Marital S1atus: Married, Never Mamed,
W_. DMmed(_
Divorced
I>dllacadant
Uveina
Township?
17c. aI: Ves, Decedent Lived in
17d.O No._",",,_
Actuarlinitsof
Lower Allen
Twp.
Ciiy/Boro
19. MoIher's Name (First, rriddIe, maiden surname)
Eva - Welsh
2lX>. .llllllllll1f. Maklg Addraaa (SIraa, clIy ,_, _. zip codal
1920 Walnut Bottan Rd., Carlisle, PA 17015
21c. Place or Disposition (Name of cemetery, crematoIy or other place) 21d. Location (City I town, stale, zip code)
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Evans Cremation Services
Leola, PA
Hare, Inc., Carlisle, PA 17013
23b. License Nuntler 23c. Date Signed (Month, day, year)
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a.
PNt;V('(lON \ ^
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28. Did Tobao:o Use Conlribute to Death?
OVes 0-
~No 0 Unknown
29." Female:
IS?:NoIpragnar<_pastyear
OP19gllanlsl,",,~_
o NoI,....",,",pragnar<_42doys
~-
o NoIpragnar<,,,",pragnar<<3doysl<>'yes'
beIcMa_
O_IIpragnar<-...pastyesr
32c. Place 01 Injury: HorrI6. Fann, 9reeI, F&ctofy,
OfticaBlJidlog,ek:.(SpoclIy)
Approxinata_:
QI1saIIoDealh
SaatlootiaIllislC<lf'dtions,W"'I,
Ieldnglothecauseisledonli1ea.
Enter !he UNDERLYWG CAUSE
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b.
Due to (or as a consequence of):
Due 10 (or as a consequence of):
DVM ~No
OVes ONo
31. Mamar ~ Daa~
r;iJ""'''' 0-
OAccldanl OPandltglrwestigalion
0- OCoUdNolbollelemW>od
32d.llmeollnjury
320. ,,,,,lion oIl",,~ (SIraet, 0Iy 1_._1
3Oa. Was an AuIopsy
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d.
3CIl. w..._ FnIngs
AY8IabIePriorto~
of Cause ol Oeeth?
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321. Ilr_lionlcjwy(SpoclIy)
0"""'/_ 0_ OP-
Olher.SpoclIy:
33a. Certifief(check only one) 33b.6q1alureancl1llleolCertlfier
C_~(__.....oI__""""'physlOonhes",""""",,,,"'~,,",,_"""231 ~ lI..A~h ' (f-y
TQ the best of my knowIIdgI, dMth occurred duetoUle ClIUM(I).xI menner 1I1t8IecL......... -... - - -... - -... - - -........................... -...... -........ ~
Pronouncing snd cdfytng physid8n (PhysIclBn both ~ deeJh and certifying 10 cause of deaIh) 33c. License Number
r...._oImy_,--"...Ume,-,aodplaca,aod....lolhacaooe(.)""''''''''''''aaslalad..----------------- 0 """"' Ll . "",-"
_I_Ie...... ,".,./ -. '2-. 'C"~
On the basis of examtnaDon and I or investigation, In my opinion, death 0CC008d It the time, dale, and place, and due to the caose(s) and manner 81 stated... 0
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33d. Date 5ql9d (Month, day. year)
A >1" yKI 'U>U ~
Disposition Permit No.
34. Name and Address of P8I8OO Who Completed Cau8e 01 Dealh (Item 27) Type I Prinf
!N''''''......../-z l!-z1.lcL; \?'VY
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LAST WILL AND TESTAMENT /'.)
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OF 'j ;;g ~~'3
0r~ ~;g ~:~~
EMMA K. MEYER ~n:x: C> c;;
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I, EMMA K. MEYER, of the Township of Upper Allen, County of CumbMhnd, and 1
Commonwealth of Pennsylvania, declare this to be my Last Will and revoke any will or codicil
previously made by me.
ITEM 1:
Upon by demise, I direct there be no viewing of my body; a Burial Mass be
recited in S1. Patrick Church, Carlisle; my funeral and burial be administered by Ewing Brothers Funeral
Home, 630 S. Hanover Street, Carlisle, Pennsylvania; and my body be buried in a plot, which I presently
own in S1. Patrick Cemetery, Carlisle, Pennsylvania.
ITEM 2:
I direct that all my just debts and funeral expenses be paid as soon as practical
after my death.
ITEM 3:
I direct that all taxes and interest and penalties thereon that may be assessed in
consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from
my residuary estate as a part of the expense of the administration of my Estate.
ITEM 4
I give, devise and bequeath, in equal shares, to my nieces, PATRICIA ROSS, of
659 Hamilton Street, Carlisle, Pennsylvania; ELIZABETH ANN VANEK, of Carlisle, Pennsylvania; and
KATHLEEN RUSSELL, of 243 North Ridge Street, Carlisle, Pennsylvania, any interest which I may
have in the Viola Lode Claim, located in Black Hornet Mining District, Ada County, Idaho. This interest
is traced through my late Father, ROBERT T. MEYER.
ITEM 5:
I bequeath one-quarter (1/4) of my estate to each of the following beneficiaries:
Page 1 of5
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A. To St. Patrick Roman Catholic Church, Carlisle, Pennsylvania. I further direct
that this portion of my estate be divided equally between cost of upkeep of the Shrine Church on
Pomfret Street, as well as the cost of upkeep of the Parish Cemetery.
B. To my niece, KATHLEEN RUSSELL, of 243 North Ridge Street, Carlisle,
Pennsylvania, or if she predeceases me, then I bequeath the sum of One Thousand Dollars
($1,000.00) of said bequest to her son, WILLIAM RUSSELL, and the balance of the said
bequest, in equal shares, to my surviving nieces, PATRICIA ROSS and ELIZABETH ANN
V ANEK, or to the survivor of them.
C. To my niece, PATRICIA ROSS, of 659 Hamilton Street, Carlisle, Pennsylvania,
or if she predeceases me, then I bequeath the sum of One Thousand Dollars ($1,000.00) of said
bequest to her daughter, VICKI ROSS, and the balance of said bequest, in equal shares, to my
surviving nieces, KATHLEEN RUSSELL and ELIZABETH ANN VANEK or the survivor of
them.
D. To my niece, ELIZABETH ANN VANEK and KENT VANEK, her husband of
Carlisle, Pennsylvania, or to the survivor of them. In the event, ELIZABETH ANN VANEK
and/or KENT V ANEK, predecease me or die on or before the date of my death, I direct their
share shall be placed in Trust for the benefit of their children, including hereafter born.
ITEM 6:
I give, devise and bequeath all the rest, residue and remainder of my estate of
every nature and wheresoever situate, together with insurance thereon, to my aforementioned niece,
ELIZABETH ANN V ANEK and/or KENT V ANEK, her husband, or the survivor of them. In the event
neither of them survive me, I direct that the residue of my estate is devised and bequeath to LISA MARIE
Page 2 0[5
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COYNE, ESQUIRE, of 3901 Market Street, Camp Hill, Pennsylvania, to be held in Trust for the Vanek
children, including after born, under the terms and conditions set forth hereafter in Item 7.
ITEM 7:
Should any beneficiary entitled to a share of my estate not have attained the age
of twenty-five (25) years at the time of distribution to him or her, I devise and bequeath the share of such
beneficiary to LISA MARIE COYNE, ESQUIRE of 3901 Market Street, Camp Hill, Pennsylvania, as
Trustee, to be held in separate trusts, to hold, manage, invest and reinvest the share so received, in
accumulation of income thereon, and to use and apply the income and principal, or so much thereof as, in
Trustee discretion, may be necessary or appropriate for such beneficiary's maintenance, support, and
education (including college education, both graduate and undergraduate) without regard to his or her
parents' ability to provide for such maintenance, support or education, or to make payment for these
purposes, without further responsibility, to such beneficiary's parents or to any person taking care of
such beneficiary. Any principal or income not so applied shall be distributed to such beneficiary
absolutely when he or she attains the age of twenty-five (25) years. If he or she dies before attaining the
age twenty-five (25), the Trust shall terminate and such share shall be distributed to his or her personal
representative.
ITEM 8:
I direct that in lieu of flowers, my Executor request donations be made to the
Care Assurance Endowment Fund at Bethany Village.
ITEM 9:
Until distributed, no gift or beneficial interest shall be subject to anticipation or
voluntary or involuntary alienation.
ITEM 10:
I appoint my niece, ELIZABETH ANN V ANEK of Carlisle, Pennsylvania,
Executrix of this my Last Will. Should my niece, ELIZABETH ANN V ANEK, predecease me, fail to
Page 3 of5
qualify or cease to act for any reason as my Executrix, I appoint LISA MARIE COYNE, alternate
Executrix of this my Last Will.
ITEM 11:
I direct that my personal representatives, trustees or their successors shall not be
required to give bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and
tlt7 .... .
Testament, this ~ day of J,/ ~}(/C) Ii. {i{,,,j , 2003.
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EMMA K. MEYER ' (
Signed, sealed, published and declared by the above-named Testatrix as and for her Last Will
and Testament in our presence, who, at her request, in her presence and in the presence of each other,
have hereunto subscribed our names as attesting witnesses.
(J-.~--/r1. ~^nJ-_
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residing at
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residing at
Page 4 of5
COMMONWEALTH OF PENNSYLVANIA )
) ss:
COUNTY OF CUMBERLAND )
We, EMMA K.
/l
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MEYER,
A /V1L. M. LJ{) ,L M.~rC-
and
, the Testatrix and the witnesses respectively, whose names are
signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the
undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she
had signed willingly, and that she executed it as her free and voluntary act for the purpose therein
expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the will as
witness and that to the best of his or her knowledge, the Testatrix was at the time eighteen (18) years or
older, of sound mind and under no constraint or undue influence.
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E~. MEYER /
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Witness J C
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Witness ./ ,
Subscribed, sworn and acknowledged before me
MEYE~, the Testatrix, and subscribed and sworn to before me by ,/1 ./) C
and If v ~\-h ~ (: 6 r'\l 7 feW , the witnesses, this I Lj h- day of
2003.
NOTARIAl SEAL
HENRY F. COYNE, Notary PubIc
Page 5 of 5 Hampden Twp., Cumberland County
My ComIJ1IssIon expires June 7, 2004