HomeMy WebLinkAbout04-22-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYL VANIA
Estate of DOROTHY C. SHOTSBERGER
also known as
File Number
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, Deceased
Social Security Number 183-12-2897
Petitioner(sy, who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
(2] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the EXECUTRIX
last Will of the Decedent dated MAY 2, 2006 and codicil(s) dated
named in the
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of, ~ ~trum~(s) offere~'~
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:,) c: :r, ,.,':
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(State relevant circumstances, e.g., renunciation, death of executor, etc.)
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o B. Grant of Letters of Administration
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(If applicable, enter: c.t.a.; d.b.n.c,t.a.; pendente lite; durante absentia; durante minoritate
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.)
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal residence at
54 GREYSTONE ROAD. CARLISLE. NORTH MIDDLETON TOWNSHIP. CUMBERLAND COUNTY. PENNSYLVANIA 17013
(List street address, town/city, township, county, state, zip code)
Decede:nt, then 87 years of age, died on APRIL IS, 2008
CARLSLE, CUMBERLAND COUNTY. PENNSYLVANIA
at CARLISLE REGIONAL MEDICAL CENTER,
Decedent 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 P A) Personal property in County
Value of real estate in Pennsylvania
24,000.00
$
$
$
$
75,000.00
situated as follows: 54 GREYSTONE ROAD, CARLISLE, NORTH MIDDLETON TOWNSHIP, CUMBERLAND COUNTY, PENNSYL VANIA
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate fonn to
the undersigned:
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DONNA M. RICE, 352 BRIDGEPORT ROAD, LANDISBURG P A 17040
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
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 ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
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Signature of Personal Representative
Sworn to or affirmed and subscribed
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before me the rJI, day of
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Fo the RegIster
Signature of Personal Representative
File Number:
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Signature of Personal Representative
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Estate of DOROTHY C. SHOTSBERGER
, Deceased
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AND NOW,
having been presented before me, I S
are hereby granted to DONNA M. RICE
Date of Death: APRIL 15, 2008
i ,;)t() ~ , in consideration of the foregoing Petition, satisfactory proof
CREED that Letters TESTAMENTARY
in the above estate
and that the instrument(s) dated MAY 2, 2006
d,"cribed in the Petition be admitted to probate and flied of reoord '" the last Will (and Codicil(s)) o!Dirt.. .
FEES Pfndt< -' (~10/tJ7 #/0 ~h/) LIrA.. '
Letters ... ........... $ 210.00 ~e ister of Wills (JP(; 9J Ix,-
Short Certificate(s) . . . . . . .. $ 12.00 Attorney Signature: )f. ~
RJCepnunciatiOn(S) .......... $ Attorney Name: DOUGL S G. M~LLER, ESQUIRE
. . . $ 10.00
AUTOMATION FEE . . . $ 5.00
WILL . .. $ 15.00
... $
. .. $
... $
... $
... $
$
TOTAL .............. $
Supreme Court LD. No.: 83776
Address:
60 WEST POMFRET STREET
CARLISLE, P A 17013
Telephone:
(717) 249-2353
252.00
Form RW-02 rev, 10.13.06
Page 2 of2
H105.112 REV. 1105
(FEE FOR THIS
CERtiFICATE $6.00'1
J./-oF' D45b
WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR
TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH VITAL RECORDS
LOCAL.REGISTRAR'S CERTIFICATION OF DEATH
CEAr. NO. T 6183515
Date of Issue of This Certification
April 18 2008
Name of Decedent
Female
Dorothy
M.
Shotsberger
Rrst
Last
Date of Death April 15 2008
Middle
183
Social Security No.
12
2897
Sex
Date of Birth July 9
1920
l'1t. Union
PA
Place of Death
Birthplace
Carlisle Reg. Med. Center
S.Middleton Twp.
Cumberland
Facility Name
County
Cit'j, Borough or Tcwnship
Race
White
Armed Forces? (Yes or No)
Homemaker
Occupation
. Decedent's
Marrled 54 Gre'.LTstone Road
Marital Status Mailing Address
Informant. Clyde E. Shotsberger
Name and Address of
Funeral Establishment
Carlisle
Pennsylvania
No
PA 17013
Number
City or Town
State
Street
Funeral Director
James F. Nickel
Nickel Funeral Home. P.O. Box 910
Loysville
PA 17047
Part I: Immediate Cause
Intra Cranial Hemotrhage
(a)
(b)
(c)
(d)
Part II: Other Significant Conditions
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Describe how injury occurred:
Manner of Death
Natural ~ Homicide 0
Accident Pending Investigation 0
Suicide 0 Could not be Determined 0
Interval Between
Onset and Death
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H.D.
(M.D.4D.O., Coroner, M.E.)
Carlisle Regional Medical Center, Carlisle. PA 170.1.3
Name and Title of Certifier
~Toseph Acri
Address
This is to certify that the information here given is correctly copied from an original certificate
of death duly HIed with me as Local Registrar. The original certificate will be forwarded to the
State Vital Records Office for permanent filing. ~ 50 455
April 18 2008
City Borough. Township
101 Barnett St. New Bloomfield PA 17068
Olstrict N,)
Street Address
Date Received by Local Registrar
LAST WILL AND TESTAMENT
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I, DOROTHY C. SHOTSBERGER, of North Middleton Township~ j~mberl~
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County, Pennsylvania, being of sound mind, disposing memory and full legal age, do hertey
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make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and
Codicils heretofore made by me.
ONE.
I direct my Executor or Executrix, as the case may be, to pay all of my
debts, funeral and administrative expenses as soon as convenient after my decease. Furthermore,
I direct that all state, inheritance, succession and other death taxes imposed or payable by reason
of my death and interest and penalties thereon with respect to all property composing of my gross
estate for death tax purposes, whether or not such property passes under this Will, shall be paid
by the Executor or Executrix of my estate.
TWO.
My Executor or Executrix may, at his or her discretion, compromise
claims, borrow money, retain property for such length of time as he or she may deem proper;
lease and sell property for such prices, on such terms, at public or private sales, as he or she may
deem proper; and invest estate property and income without restriction to legal investments
unless otherwise provided hereunder. I authorize and empower my Executor or Executrix to sell
any realty and/or personalty owned by me at my death and not specifically devised or bequeathed
herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale
therefor, in fee simple, as I could do if living. My Executor or Executrix is authorized and
empowered to engage in any business in which I may be engaged at my death, for such period of
time after my death as seems expedient to said Executor or Executrix.
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THREE. I gIve, devise and bequeath all of my estate of whatever nature and
wherever situate as follows:
A. I give and devise my real estate and all improvements located at 54
Greystone Road, Carlisle, Cumberland County, Pennsylvania in equal shares to my
children, WILLIAM C. MORROW and DONNA M. RICE, per stirpes, which provides
that the child or children of any deceased beneficiary shall take the share their parent
would have taken if living, free of any mortgages liens, real estate taxes or other monetary
assessments, which encumbrances shall be discharged from my residuary estate by my
Executor or Executrix, as the case my be; and
B. I give and bequeath all of the rest, residue and remainder of my estate to
my spouse, CLYDE E. SHOTS BERGER. If he fails to survive me by at least sixty (60)
days, then I give and bequeath all of the rest, residue and remainder of my estate in equal
shares to my children and my spouse's children, WILLIAM C. MORROW, DONNA M.
RICE, DOROTHY TURNER, and KATHLEEN LYNCH, per capita.
FOUR. If, under any of the provisions of this Will, any principal becomes vested
in a minor, my Executor or Executrix, as the case may be, including any administrator c.t.a., shall
have the discretion either to pay over such principal or any part thereof to any parent of such
minor, any guardian of the person or estate of such minor, or any person with whom such minor
resides, or to retain the same as trustee of a power in trust for the benefit of such minor during his
or her minority. Any of the principal thus retained, and any of the income therefrom, including
the whole thereof, may be paid to or applied for the benefit of such minor from time to time in
the discretion of the trustee of such power. When such minor reaches majority, the funds so held
shall be paid over to such person, or, if he or she shall sooner pass away, to his or her legal
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representatives. In so holding any principal or income for any minor, the trustee of such power
shall have all the rights, powers, duties and discretions conferred or imposed upon my fiduciaries
acting under this Will. I further direct that no bond shall be required from any person receiving a
payment hereunder and receipt from such person shall be a full discharge to the trustee of such
power who shall not be bound to see to the application or use of such payment. The trustee of
such power shall be entitled to commissions at the rates and in the manner payable to a
testamentary trustee.
FIVE. I nominate and appoint my daughter, DONNA M. RICE, to be the
Executrix of this my Last Will and Testament. In the event she has predeceased me, failed to
qualify or is not able or does not serve for whatever reason, I then appoint my son, WILLIAM C.
MORROW, to be the Substitute Executor of this my Last Will and Testament. In the event he
has predeceased me, failed to qualify, or is not or does not serve for whatever reason, I then
appoint my grandson, ERIC V. MORROW, to be the Substitute Executor of this my Last Will
and Testament, whereby the said substitute personal representatives shall have the same powers
as are given to the original Executrix hereunder.
SIX. No person(s) shall benefit hereunder unless such beneficiary shall survive
me by sixty (60) days.
SEVEN. No Executrix or Executor acting hereunder shall be required to post bond
or enter security in this or any other jurisdiction.
EIGHT. No beneficiary may assign, anticipate or pledge his or her interest in any
income or principal held or distributable hereunder, and no beneficiary's creditors may levy,
attach or otherwise reach any such interest.
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NINE. If any person or institution entitled to share in any distribution under the
terms of this my Last Will and Testament becomes an adverse party in any proceeding to contest
the probate of this Last Will and Testament, such person or institution shall forfeit his, her or its
entire interest inherited hereunder and all provisions in favor of such person or institution shall
be declared void and of no effect. The share of such person or institution so forfeited shall be
distributed as part of the residue pursuant to Paragraph Three hereof except that if such person or
institution is entitled to share in the said residue, that interest shall be distributed proportionately
to the other residuary distributees.
[THE REMAINDER OF THIS PAGE HAS BEEN INTENTIONALLY LEFT BLANK]
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IN WITNESS WHEREOF, I have hereunto set my hand and seal this
cJ.,..J. day of
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,2006.
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DORO HY C. 'SHOTSBE GER
Signed, sealed, published and declared by the above-named person as and for a Last Will
and Testament, in our presence, who at said person's request, in said person's presence and in the
presence of each other have hereunto set our names as subscribing witnesses.
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ACKNOWLEDGMENT AND AFFIDAVIT
WE, DOROTHY C. SHOTSBERGER, TRACI D. SMITH and CHERYL L.
CLELAND, the testatrix and witnesses respectively, whose names are signed to the 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 herein expressed, and that each
of the witnesses, in the presence and hearing of the testatrix, signed the will as a witness 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.
COMMONWEAL TH OF PENNSYL VANIA
SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by DOROTHY C.
SHOTSBERGER, the testatrix herein, and subscribed and sworn to before me by TRACI D.
SMITH and CHERYL L. CLELAND, witnesses, thisnJf\d day of ?Qy
2006. '.,
COMMONWEALIH OF PENNS VANJA
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I !'''!otarial Seal
I Karen S. Noel, Notary Public
I C<!ldi~le Bora, Cum~erland County
,.~lI,~o~!2.::.:::)I:.5.:i:l:es Dec, 8,2007
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