Loading...
HomeMy WebLinkAbout05-02-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF COlJNTY, PENNSYLVAI\[A EstJte lJl'J22a7-0rL'd. Le-ll'~} /'CA also kno" n :.b , Deceased File Number 7- \ 0 5 O%q Social Security Number Petitioner(sl. \\ 110 is/ar.: I ~ years of age or older, apply(ies) for: (COMPLETE 'A' OJ' '/J' BELOW:) .~ ..\. l'ro/)ak :llld Clant of Letters Testamentary and aver that Petltioner(s@/ are the t-:xee:...L.c!or bt \~ dloi the Dcc~J"nt dated :l.i." TUL .2/)017 and codicil(s) dated named in the (State relevant circuli/stances, e.g.. renullciation, death of executor, etc) Except as follows, Decedent did not marry, was not divorced, and did not hale a child born or adopted after execution of the instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: o B. Grant of Letters of Administration c Name Relationship R'~ ~ "J (~-,\ (-~ :~~~.l ;.- :;. ':;.~ AdlllLlllstratLOll, c.t.a. or d.b.ll.ct.a., ellter date of Wdl III SectLOn A above and complete ilst of hell'S) County, Pennsylvania with his / her last principal residence at ~ ':3 Decedent, then f? r years of age, died on t2.!l.PR- C),? at !!of 5j:;;;-; t 4:.p. ea1"h/J /7)// P A / . Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (If not domiciled in P A) Personal property in Pennsylvania (If not domiciled in P A) Personal property in County Value of real estate in Pennsylvania $ 50,oocJ / $ $ $ . C' CO .c.--- situated as follows: Wherefore, Petit;oner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and tbe grant at' Letters in the appropriate formt" the undersigned: c ~' ~ Typed or printed name and residence Fa,.", RW,02 rel' 1013.06 Page l of2 Oath of Personal Representative COMMONWEALTH (if PENl\fSYLVANIA COUNT'\' 017 __.fu.flJkr/O-:!L. SS Tlw Pei.i:.I<::\1CI"I.:1 "h'j\'c'-!u:'\;:d ;'\C::q;;) e.r ~:'Tinn(s) that the statements in the foregoing Petition are true and COlTect to the best ot" tile k';-'l':, k'l~:(: Clild bdie!" of Petiti\ln~r(,; i :Inu tbt, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Estate of 1. \ oS 6L\-S~ fYla~oYie P ~wlch Sigl1t/ture o( Pe/"si.JIlUi Rc:presentative Swom to or affirmed and subscribed before me the DL day of z Signature oj PurSOIJ,,1 Representative - - .. File Number: N ~ , Deceased Social Security Number: AND NOW, ~ 6'2- , 1.(J/6 , haVing been pzesented before me, T \S DPfREED tlAL~tter~ l~--:-~ /fl~ are hereby granted to <..Je-H-r..e.Lf -P, ;nen Date of Death: A pr I I /~- 2fXJ8 . in the above estate and that the instrument(s) dated. J..-L/Lf c20J c1 DO 7 . descrIbed 111 the PetItIon be admrtted to probote and filed of record s the last Wlll (and FEES Letters.. ,~/,~,.,. $ Short Certificate(s) , ) 0, . . . :5 Renunciation(s) 5) - ~! I{ $ I:) - 'J( Jv $ 10 ___t1A- $~-- $ $ $ $ qD 4D odrcrl(s)) ofDec d nt wlmf/2~ Attomey Signature: $ Telephone: Attomey Name: Supreme Court LD. No.: Address: $ $ t~O TOTAL,.,."", . n 11/11"7 ,."" if}} ~ /)(; Page 2 0[2 Hl(J\S(),~ RE\ (01/I~:1 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, 56.00 Certification Number 111"Off""//""'",...... . \\I,\,"~~\.1H OF PE,f----.... I\I~~~~ r~_! a_!I'_" ~\ I~~I ,. \.".~ (~~f :~:< - :~~ tU\. _ :'.-~'i'. "_::r:.~ l * ~.~~: '/ *~ "- a-\ '..' .~~ \. ~,' /$;S "" -- -(J9;:c.....~\.'r,I\\ ""-"'" 'MENT \)\" ""' """""////1I1111111,j, 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, P 14329593 co m :0 r-m '1> -:0 ZCJ)=^ 000 08"'" 5=':0 ~-l > ::I': ~~:~sued ~.~ t?~3 G'l ;1'1 :~:.J r:=J C'O ..," "I 'Tl i.=) r-- ['1'1 ,'.') C) "'f'l . N .(..) REV 1111006 PRINT IN AANENT CK INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on ro;verse) STATE FILE NUMBER most of wort. lite. Do not slate retired Kind otBusioessl Industry Her Own Home . 16. Decedent's Mailing Addtesli (Street, city I town, state, zip code) III South Second Street Wormleysburg. PA 17043 tioll 024 34 4011 ,;2 Cd.! I- 1. Name 01 Decedent (Rrst, middle. last, suffix) Mar'orie 5 Age (Last Birthday) 6. Date of Birth (Month, clay, year) 8a. Place of Death (Check only on&) Hospital: 0ltJer: panem 0 ER 1 Outpatient 0 DoA 0 NU<s'ng Home 0 ResOience OOthe,. Spec'~, 9. Was Decedent of Hispanic Origin? 1]1 No 0 Yes 10. Race: American Indian, Black, White, elc (If yos. specf~ Cuban, (Spe<ify) Mexican, Puerto Rican. etc.) White 69 V<s. Cumberlan.i =~nce 17a.Sfale Pennsylvania 17b.Counly Cumberland 17c. 0 Yes. Decedem Li>ed ill 17d. txl No, Oeced&nt Uved within rml Actuaf limits 01 Wo evsbur2 Twp. DYes IXlNo 13. Oec&Oenf's edt.<alion ( 'fy only tiig/lesl g_ completed) Elementary I Secondary (0-12) COllege (1-4 or 5+) 12 1 14. Marital Status: Married. Never Married, _. Oivon:ed (Specify) Widowed 18. Father's Name (Rrsl. middle. last. suffix) Gustav Weiss 208. Infom1ant's Name {Type / Prim} Mr. Jeffrey A. City f Bote 19. Mother's Name (Rrst, mid(h. maiden surname) Margaret Chance 2Ob. Inlormanrs Mailing Address (Street, city I town, stale, zip code) 111 South Second Street. Wormleysburg. PA 17043 21c. Place of Oisposition (Name ofoemetery, crematoo'y or other place) 2M. locatiofllCily I town. state. tip code> Cremation Society of PA Auer Memorial HOllIe and 4100 Jonestown Road Harrisbur 23b. Ucense Number Harrisburg. PA 17109 24. Time 01 Death :J i r7I fJ ..) l.I M. 01 213. Was Case Referred to MedIcal Examiner f Coroner lor a Reason Other than Cremation or Donation? DYes ~ 231:. Date Signed (Month. day. year) CAUSE OF DEATH (See Instructions an xamples) Hem 27, Part I: Enler the gw~ - diseases, injuries, or complications -thaI direclly caused the death. DO NOT enter terminal ev90ts such as cardiac arrest, respiratory anest, or ventricular fibrillation without S:howing the etiology. Ust only one cause 00 each Una. ==~~~,\~'~~.. AI. 'nM1fl7 i-r~r i:-rI/'O"/ Due to (or as a ~nce on: .oI!!l Seql.onliaflyfisfCOO<itions,ff,my, b. ff7/'''/<',,..., ~o~~~~~a. Duelo(orasa~of): f) J. =':",,'M'n":a~It'X1rr~ c. C/l-tt4,.,/( a!r; .l...,,(;,ve. 11((~I!l, .n./W-c Due to (or as a consequence of): Approximate interval: Onset to Death Part 11: E;nter other sionificant conditions conlribulino 10 d@ath but no! rtlSufling in the underlying cause given in Part I. 6L",,~' ~~r b .,f7 "thf't ';;J,( fC '''Iii''''' 28. Did Tobacco Use Contribute to Dea1h? OVes OP,01IalJ1y o No 0 Unknown 29. II Female: o Not pregnant within past year o Pregnant at time 01 death o No! ",_m, but ",&gnam '""" 42 days ~de3fh o Not pregnarn, OW pregnant 43 days to 1 year before death o Unknown if pregnant wilhirlthe past year 32c. Place of Injury: Home, Fann, Street, FaClOfy, Off..BuiI~ng,efc. (Spec;Iy) M. 308. Was an Autopsy P- o Ves ;zrr: 3Ob. Were Autopl!lY Finliogs Available Prior to CornpIetion 01 Cause of Dealh? OVes ONo 31. Mame< ~ Oeatll d-~ D- O Accident 0 Pend;ng fnves';gaoon o Suicide 0 Coold No< be Oelennined 32a. Dale of Injury (Month, day, year) 32.. T""olfn/.ny 33.. Certifie< (check only one) Certlfytng physic~m (Physiciao certifying cause 01 death when another physician has pronounced death and completed Item 23) To the best of my knowledge, death occurred dill! to the Cluse(S) and manner.s stated-................................................................... 0 ==-= ,=h::~~= ::u::~~dea~~:rt:1:~::.~~al~ manner as stated_................................... 0 ~ ~:;::~=: and I or Investigation, In my opinion, death occurred at the ttme, date, and place. and due to the cause(s) and manner as slated- 0 35. Registrar's ~ I.-x II I ~ I I II n;.~.H","P"""IN" 0195968 LAST WILL AND TESTAMENT OF MARJORIE LEFTWICH (') Co ?:::o ffi""'O("') ::n$. 'r::z;Sj Z(I)^ 000 nO.,. 0<::: ~ :0 :n-i J> ~ c::::> = ex> ::I: > -< I N :J:!:o :x - .. N .. I, MARJORIE LEFTWICH, of 111 South Second Street, Wormleysburg, Pennsylvania 17043, being of sound and disposing mind, memory and understanding, do hereby make, publish, and declare this as and for my last will and testament, hereby revoking any and all prior wills, and any and all codicils thereto, by me at any time heretofore made. FIRST: I direct the payment of the just and lawful expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. SECOND: Except as I may have otherwise provided in a memorandum signed by me and accompanying this will I give my tangible personal property (including but not limited to furniture, china, silverware, jewelry, works of art, but excluding cash on hand and tangible evidence of intangible personal property to JEFF AND CARRIE PIMENTEL, as they may agree. THIRD: I hereby bequeath all the rest, residue and remainder of my estate as follows: (a) To my daughter, MARGARET MADDOX of Maretta, California, $1.00; (b) To my daughter, CARRIE PIMENTEL of Arnold, MO, 35% of the remainder of my estate per stirpes; July ~, 2007 , ..~~ ~ll'-Ue>~ ~ -1- ~. ;. - -'}(~~) 'r! (c) To my son, MICHAEL PIMENTEL of Kennesaw, GA, 20% of the remainder of my estate per stirpes; and (d) To my son, JEFF A. PIMENTEL, of Wormleysburg, PA, 45% of the remainder of my estate per stirpes. FOURTH: If beneficiary hereunder challenges any provision hereof or institutes any proceeding to contest the probate of this will, such beneficiary shall forfeit his or her entire interest hereunder and all provisions in favor of such beneficiary shall be void and of no effect. The share of such beneficiary so forfeited shall be distributed as a part of the residue under paragraph THIRD hereof except that if such beneficiary is entitled to share in the residue that interest shall be distributed proportionately to the other residuary distributees under paragraph THIRD. FIFTH: If any person otherwise entitled to take hereunder (or their legal representative) files a written disclaimer, in whole or in part, with respect to any provision of this will with my Executor or Trustee within the period allowed by the Internal Revenue Code, such person (1) shall be treated as having predeceased me for purposes of holding or distributing the disclaimed share; and (2) shall not participate in any decision to payor apply the income or principal of the disclaimed share to or for the benefit of any person hereunder, but such person shall not be treated as having predeceased me for purposes July ~, 2007 -2- ~jq~d of holding, distributing or participating in any such decision under provisions which the disclaimer does not extend. SIXTH: I direct that neither any Executor/Executrix, or other fiduciary named, nominated, or appointed in this, my last will and testament, shall be required to post any bond or give any security of any type for any purpose whatsoever, any law or rule of court of the Commonwealth of Pennsylvania or any other jurisdiction to the contrary notwithstanding. SEVENTH: My Executor/Executrix shall have the following powers (if applicable) in addition to those vested in them by law or by other provisions of this will, to be exercised by them in their absolute discretion, which powers shall be applicable to all property held by them, effective without the order of any court and until the actual distribution of all such property: A. To retain, as investments of my estate or trust, any or all assets of my estate, real, personal, or mixed, without regard to any principal of diversification, and to purchase and acquire real or personal property, and to hold any or all of such real and personal property retained or acquired without making the same productive of income; B. To permit any beneficiary to occupy any real estate retained or acquired upon such terms and conditions as my Executrix/Fiduciary shall deem proper; July $, 2007 -3- ~jI~~'~~ C. To invest and reinvest at discretion without restriction to so called "legal investments," with the specific right to invest in common and preferred stocks, and in such common trust, diversified, money market and mutual funds as they deem appropriate; D. To sell, to grant options for the sale of, or otherwise convert any real or personal property or interest therein, at public or private sale, for such prices, at such time, in such manner and upon such terms as they may think proper, and to execute and deliver good and sufficient conveyances, assignments and transfers thereof without liability of any purchaser to see to the application of the purchase money; E. To borrow money and to secure its repayment by mortgage of real or personal property, pledge of investments or otherwise, without liability on the part of the lenders to see to the application thereof; F . To compromise and arbitrate claims by or against my estate or any trust created hereunder; G. To make distributions in cash or kind or partly in each at valuations fixed by my Executrix/Fiduciary at the time of distribution; H. To join in any recapitalization, merger, reorganization or voting trust plan affecting investments; to deposit securities under agreement; to JUIY;;jz, 2007 -4- ~~L-).i!:fr~~ subscribe for stock and bond privileges; and generally to exercise all rights of security holders; I. To manage, operate, repair, alter or improve real estate or other property, and to lease real estate and other property upon such terms and for such period as my Executor/Executrix and Trustee deem advisable even for more than five years and beyond the duration of any trust; J. To deduct administration expenses upon either the federal estate tax return or fiduciary income tax return, with or without adjustment between principal and income, as my Executor/Executrix shall determine; K. In the absence of a corporate fiduciary to associate with them, an accountant, custodian and investment advisor, and their agents and to compensate such accountant, custodian and their investment advisor, and agents out of principal or income or both as my Executor/Executrix shall determine; L. To carry out the terms of any agreement I may have entered into to sell all or any part of any property or any interest I may own in any business at the time of my death; M. To execute and deliver any written instruments that they may deem advisable to carry out any power, duty, or discretion granted to them, and all persons shall be fully protected in relying upon their power to execute July ~, 2007 -5- mr~iJ, ~~/V every such instrument and no one shall be obligated to see to the application by them of any money or property received by them pursuant to the execution and delivery of any such instrument; N. Any Executor/Executrix may, delegate any or all of her powers, duties and discretions to any other Executor/Executrix by an instrument in writing and may revoke such delegation at will in the same manner; O. To do all other acts and things necessary or appropriate in the management, administration and distribution of my estate; and P. To make any election provided for in the Internal Revenue Code with respect to all or any part of my estate qualifying for any such election. EIGHTH: My Executor/Executrix shall pay all estate, inheritance and other death taxes, together with interest and penalties out of the residuary of my estate, which shall be payable with respect to property or interests subject to taxation by reason of my death and whether passing under my will or any codicil, or otherwise, including jointly held and other non-testamentary property. Notwithstanding the foregoing, I authorize my Executor/Executrix to exercise any options available in determining, minimizing and paying taxes of my estate as my Executor/Executrix may at his/her sole discretion deem appropriate. ,July J1!e.., 2007 -6- 1JJ7~J1r~ NINTH: Any and all payment or payments of any sum or sums, whether in cash or in kind and whether of principal or income, payable to any beneficiary, shall be free from anticipation, alienation, assignment, attachment, and pledge, and free from control by the creditors of any such beneficiary. TENTH: I appoint my son, JEFF A. PIMENTEL, Executor of this, my last will and testament, but should he for any reason fail to qualify as such Executor, or having qualified, fail to serve as such Executor, then I nominate, constitute, and appoint my daughter, CARRIE PIMENTEL, Executrix of this, my last will and testament. ELEVENTH: Until distributed, no gift or beneficial interest shall be subject to anticipation or to voluntary or involuntary alienation. TWELFTH: Words used in the singular may be read to include the plural or the plural may be read as the singular. Similarly, the masculine form may be read to include the feminine and neuter; the feminine may be read to include the masculine and neuter; and the neuter may be read to include the masculine and feminine. July ~6, 2007 -7- Mrj,j~~ IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my last will and testament, consisting of eight (8) typewritten pages, the first seven (7) of which bear my signature in the margin for the purpose of identification, the ;; 6 day of July, 2007. /m7M/).~;~ Signed, sealed, published, and declared by the above named Testatrix, MARJORIE LEFTWICH as and for her last will and testament, in the sight and presence of us, who, at her request, in her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. F:\CLlENTS\MISC\M. LeftwichlM. Leftwich Will.wpd Address 35/2- M~ St--nd:- UrLfJ Jtu:--L f PAl 7d J( Address .35/2. MM.Ju.t: $fA.Ld:- ~ J1tL1... J 1'/\ I Tvl J -8- COMMONWEALTH OF PENNSYLVANIA COUNTY OF LltfYIht.1luz A... We, MARJORIE LEFTWICH the Testatrix and the witnesses, respectively, whose names are signed to the Last Will and Testament, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament 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 the will as witness and that to the best of his or her knowledge the Testatrix was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. / Subscribed, sworn to and acknowledged before me by MARJORIE LEFTWICH, Testatrix, and subscribed and sworn to before me by L...Au /21iii:AJ 0 I Ai /=--I L- and o ,,'tV 16 v--'" ttl &'3. ~ ,this 2b day of July, 2007. ~Wl ~10-)sfu Notary Public COMMONWEALTH OF PENNSYLVANIA NotarlaI Seal Susan Kirby Rostis. Notary Public Hampden Twp.. Cumber1and C<u1ty My Commission Expires June 21, 2011 My Commission Expir~-sn"" Pennsylvania Association of Notaries ..:r AJ-A...J. 2-/, LIJ II