HomeMy WebLinkAbout05-21-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYLVANIA
Estate of George R. Stahl
also known as
File Number
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, Deceased
Social Security Number 203-10-5237
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE j4' or 'B' BELOW:)
IZI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executrix
last Will of the Decedent dated April 15, 2008 and codicil(s) dated
named in the
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(State relevant circumstances, e.g., renunciation, death of executor, etc.) " "'. :U ::r. -,
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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 q(tlji r~trum~s) otfered.~;
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for probate, was not the victim of a killing and was never adjudicated an incapacitated person: - :.'") ;;.>( - '. j
o B. G,,", ofL",,,, of Adm;o;""';" af app"mbl,. ,n'". ,. '.n., d b.n,.,.a,,' ",,,,den" "'" ""ro"" a"""'ia, ~ ~:i'''''~ :.~ ,;,~
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Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if anyWnd 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 if necessary.
Decedent was domiciled at death in Cumberland
County, Pennsylvania with his / her last principal residence at
(List street address, town/city, township, county, state, zip code)
Decedent, then 87
years of age, died on May 3, 2008
at 1075-13 Lancaster Boulevard, Mechanicsburg
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
10,000.00
$
$
$
$
situated as follows:
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 form to
the undersigned:
Si ature
T ed or rinted name and residence
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Marcia Draisey
601 Whitetail Drive, Lewisberry, PAl 7339
FormRW-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 weU and truly
administer the estate according to law.
before me the
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Signature of ~onal Representative
Sworn to or affirmed and subscribed
Signature of Personal Representative
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Signature of Personal Representative
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File Number:
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Estate of George R. Stahl
, Deceased
Social Security Number: 203-10-5237 Date of Death: May 7, 2008
AND NOW, , ~ . in c nsideration fthe foregoing Petition, satisfactory proof
having been presented befor~}E.,e, IT I ~REED that Letters It::SrLl'l1P/J r.t/JL/
are hereby granted to /I11..r;;lo...--.ll.{QAs -e. <-(
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and that the instrument(s) dated I-Janl I S; .2OVr
described in the Petition be admitted to prtbate and filed ofreco d as the last \y'U (and Codic
in the above estate
FEES
Letters ..... .I.({oM>. . . . $
Short Certificate(s) . . J.. . . . $
Renunciation(s) .......... $
iJ ,II .. . $
Jef .. . $
~-Io . .. $
.. . $
...$
. .. $
. .. $
...$
...$
TOTAL . . . . . . . . . . . . .. $
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Attorney Signature:
Re?p<'er of Wills
If!lt{,
John M. Eakin
IS-
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Attorney Name:
Supreme Court 1.0. No.: 6351
Address:
Market Square Building
Mechanicsburg, P A 17055
Telephone:
717-766-3172
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Form RW-02 rev. 10.13.06
Page 2 of2
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Certification Number
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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 origi?al
certificate will be forwarded to the State Vital
Records Office for permanent filing.
t2wn-/J!~ MAY/OolY08
Local Registrar Date Issued
Fee for this certificate. $6.00
P 14330282
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COMMONWEALTH OF PENNSYLVANIA. D.EPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
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STATE FILE NUMBER
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7. 1920 llersburg. PA
8d. FlICiIIy Name (If noI-, give _ and runbeIj
1075-13 Lancaster Boulevard
~237
... Dall of Death (Month, day, year)
May 3. 2008
1. Name of Doc:ederI (Flrol, middo. last, IIlffixI
George R. Stahl
5. Age (lAsl Birthday)
87 Vrs.
8b. Counly of Death
Cumberland
6. 0"0 of Blr1h (Mon1h, day. yeaJj
~ 17e.SblIo P..,nnRylvania
17b. Counly Cumber land
8e. Place of Death (Check only one)
HaeplIat Other:
o Inpatie.. 0 ER I Dulpallenl 0 DOA 0 Nursing Home IJ R_
9. Was Decode.. 01 HIspanic 0ligIn? ill No 0 Vo.
(n yes, specify CUben.
Mexican, Puerto RIcan, etc.)
13. Decedenl'1 E<ilcatton (SpecIly onJy Iighest grade compIet9d) 14. MerIlaI SIalus: MonIed. NeY8, Me_.
Elementary I Secondary (0-12) Cofl. (1-4 0< 5+) -. DIvorced (Specif)j
4 I Divorced
Did DecodenI
Uvo~.
Townet;p1
Dati,., . Specify:
1 D. Rate:Americln 1ncIan. Black. While, o~,
(Specif)j
White
of__ _of .0.Donol_
Ki1dof~lncpby .
PA Dept ot agr1c.
\2. W.. Decedent ever ~ the
u.s. Armod _1
IJYes oNo
17C.K] V",_UvodIn UDDer Allen
17d. 0 No, Decadenl Uvod within
AcIuelUlnllsof
Twp.
City I Bolo
Pennsylvania 17339
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I ApproxinB18 Interval:
I Onset 10 Death
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Part, n: Enter OCher !dmIf'1CAnt condlioM e:ontribulinn to dMIh
bUnolrasulllnvlnlhe_rlylngClllS8gMlnInPartt.
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29. n :
o NoI_wtttinpaslyaar
o Pregnanl el tlrro of dealh
o Not",egnanI.bulpregnentwill1in.2days
ofdeelh
o Not __ but Pregwl' 43 days to 1 year
before death
o Un~Kpregnsnlw\1hlnlhepaslyear
32c. PI8c8 of Inpy. Home. Farm. Street. Facl.ory,
Dllicelluiding.8Il:. (SpscIIy)
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~ UNDERLVING CAUSE
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Due to (or II a consequence 01):
c.
Due to (0< as 0 consequence 01):
3Oe. Was en Autopsy
Perfoon8d'/
d.
301. W... Autopsy Fi1dngs
Available Prior to CompIellon
of Cauoe of 1leeII11
OV.. oNo
31. Menne, 01 Death
Nalursl 0 HonIdde
o Acddent 0 Pendng IIMlIligeIIon
o SUclde 0 Coukl No! be Detaminod
32d.l'rna of Irjury
oy.. r,t(No
M.
321. KT_In;.ry(SpscIIy)
oDrivotI~oP_'oP-
Dlher . SpscIIy:
3311. SIgns'" end TlUe 01
331. CaItlllar (d1eck only one)
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. =~ ~ and I 0< 11Mrigatlon, In my opinion, daath _ ol1he -. _ and pIoca, and d.. to 1he causa(1) snd mennat.. ~ 0
35. Registrar's
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,02..1 II a.., / II I
D1sposlUon Pormlt No. 0 196040
LAST WILL AND TESTAMENT
OF
GEORGE R. STAHL
I, GEORGE R. STAHL, of the Township of Upper Allen, County of Cumberland
and State of Pennsylvania, being of sound and disposing mind, memory and understanding,
do make, publish and declare this my Last Will and Testament, hereby revoking and making
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void any and all former Wills by me at any time heretofore made.
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Upon my death, I direct that my body be cremated by the CremationS@~ty o~
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Harrisburg and my ashes be interred on my daughter's grave Lot 22, Row E, Section H',
in the Mechanicsburg Cemetery. I want cremation without embalming or display of the
body; I want no funeral or memorial service. If the Cremation Society is non-existent,
then Neill Funeral Home, Harrisburg, Pennsylvania, can perform the service. I am a
member of the Memorial Society of Harrisburg, Pennsylvania.
2.
I direct the payment of all my just debts and funeral expenses as soon after my
death as the same can be conveniently done, including the payment out of the principal of
my general estate of all inheritance, estate and succession taxes which may be assessed in
consequence of my death.
3.
I give, devise and bequeath all the rest, residue and remainder of my estate, real,
personal and mixed, whatsoever and wheresoever the same may be situate, to my
- 1 -
daughter, CHRISTINE D. STAHL, absolutely and unconditionally.
In the event that my daughter, CHRISTINE D. STAHL, should predecease me,
or should she die within thirty (30) days from the date of my death, then in either such
event, I give, devise and bequeath all the rest, residue and remainder of my estate, real,
personal and mixed, whatsoever and wheresoever the same may be situate to my good
friend, MARCIA DRAISEY, absolutely and unconditionally.
LASTL Y, I nominate, constitute and appoint my good friend, MARCIA
DRAISEY, to be Executrix of this my Last Will and Testament and direct that she be
excused from posting bond or other security for the faithful performance of her duties, in
any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this IrlL
day of April, 2008.
~~ A3 S~(SEAL)
George R. Stahl
- 2 -
COMMONWEAL TH OF PENNSYL VANIA)
: SS
COUNTY OF CUMBERLAND)
I, GEORGE R. STAHL, the testator, whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the same instrument as my Last Will and
Testament; that I signed it willingly, and that I signed it as my free and voluntary act and
deed, for the purposes therein expressed.
~~d 07~EAL)
Geor R. Stahl
Sworn and subscribed to before
me this IS1/. day of April, 2008.
Yk4t( YJl. L/1~n
Notary Public
NOTARIAL SEAL
HEIDI M NELSON
Notary Public
M:OW<<:Sl.AGIODGH,C1MBIJNX:a.Nv
My Commission Expires Jun 27,2011
COMMONWEAL TH OF PENNSYL VANIA)
: SS
COUNTY OF CUMBERLAND)
I, the undersigned, JOHN M. EAKIN, the witness whose name is signed to the
attached or foregoing instrument, being duly qualified according to law, depose and say
that I was present and saw the testator, GEORGE R. STAHL, sign and execute the
instrument as his Last Will and Testament; that the said testator executed it as his free
and voluntary act for the purposes therein expressed; that I, in the hearing and sight of the
testator, signed the Will as witness; and that, to the best of my knowledge, the testator
was, at the time, eighteen (18) or more years of age, of sound mind, and under no
constraint, duress or undue influence.
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Sworn and subscribed to before
me this J\ft7 day of April, 2008.
I
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Notary Public
NOTARIAL SEAL
HEIDI M NELSON
Notary Public
MDW<<:3lIG/lCJDGf,~
My Commission Expires Jun 27, 2011
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OATH OF NON-SUBSCRIBING WITNESS(ES)
Cumberland
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Estate of George R. Stahl
Marcia Draisey
and
, Deceased
(each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were well-
acquainted with George R. Stahl and amlare familiar
with the handwriting and signature ofthe decedent, and that the signature of George R. Stahl
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
George R. Stahl
is in his/her own proper handwriting.
0-v1~~-~ '
(Signature'J-..-. 7
601 Whitetail Drive
(Street Address)
(Signature)
(Street Address)
Lewisberry, PA 17339
(City, State, Zip)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
of
_d(,22fl.
Farm R W-04 rev. 10.13.06
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