HomeMy WebLinkAbout05-30-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of TERRY K. LEPLEY
also known as
COUNTY, PENNSYLVANIA
File Number
,Deceased Social Security Number 178-36-0632
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 Testamentary and aver that Petitioner(s) is /are the EXECUTRIX
last Will of the Decedent dated JAN. 25, 2007 and codicil(s) dated
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
Except as follows, Decedent did not many, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered
for probate, was not the victim of a killiug and was never adjudicated an incapacitated person: NONE
B. Grant of Letters of Administration
(If applicable, enter: ct.a.; d. b. n. c.t.a.;pendentelite; duranteabsentia; duranteminoritate)
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spous~~f any) and h~: (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 Relationshi Residence : ~- ` ~ '~`
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~ ~+ a ~ '- ;~
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Decedent was domiciled at :ieath in CUMBERLAND County, Pennsylvania with his /her last principal residence at L'~
936 BELLE VIST?~ DRIVE. EAST PENNSBORO TOWNSHIP. CUMBERLAND COUNTY. PENNSYLVANIA 17025
(List street address, towrJciiv, township, county, state, zip code)
Decedent, then 62 yeas of age, died on MAY 16, 2008 at HOME
Decedent at death owned propem,~ with estimated values as follows:
(If domiciled in PA) All personal property $ 10,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Persona] property in County $
Value of real estate in Pennsylvania $
situated as follows:
Wherefore, Petitioner(s) respectfu]ly 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:
~`
or printed name and residence
~/ ~ /l' F. LORETTA COMP 936 BELLE VISTA DRIVE, ENOLA, PA 17025
Form RN! 02 rev. /0.]3.06 Page 1 of 2
named in tYie
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS
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) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or zftirmed and subscribed
before me the _~+~ day of
i
`~I~
For the Register
-~
Signature ofP r~al Representative J
Signature of Persona/Representative
Signature of Personal Representative
File Number: 2 ~ ' Q U ` 05~~
Estate of TERRY K. LEPLEY
Social Security Number: 178-36-0632
Deceased
Date of Death: MAY 16, 2008
AND NOW, , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters TESTAMENTARY
are hereby granted to F. LORETTA COMP
and that the instrument(s) dated JANUARY 25, 2007
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ... r~-~~ $ -{5 ~C~
Short Certificate(s) ... ~ ... $ 7~ . OD
Renunciation(s) .......... $
,JGP ... $ lam. d~
~u,-t~ ... $ 5. ~o
... $
... $
... $
... $
... $
... $
TOTAL .............. $ .00
in the above estate
v Register of i~'ills ~~ ~,/.~}?'
Attorney Signature: -~E~~!~°~ ~-~~a¢
Attorney Name: SA MARIE COYNE
Supreme Court I.D. No.: 53788
Address: 3901 MARKET STREET
CAMP HILL, PA 17011-4227
Telephone: 717-737-0464
Form RW-02 rev. 10.13.06 Page 2 of 2
I\
LGCAL REGISTRAR'S CERTIFICATION ~~F DEATH
1NARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee fix this certificate. `;b.OU
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Certifiic anon Nu(~ r
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APE I PRINT IN
EPMANENT
BLACK INK
This is to certify that the information here given is
roi-rcctly copier) from an original Certificate of Death
duly filed ~~~i1h me as LocaV Registrar. The original
ccrtiticate ~~•il1 1?e forwarded to the State Vital
Rccorris Office for pernrtnent filing.
LG~ ~__~ MAY ~/ 9109
Local Registrar Date Issued
COMMONWCALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH ^~ ( ,~^~ (,
(See instructions and examples on reverse) STATE FaE NunneER / { ' L) ('~ ~~
1. Name of Decedent (First, middle, last, suM'ul 2. Sex 3. Social Security Number 4. Dale ul Death (MOnlh, day, eaq
X1008
1
6,
Terry K. Lepley Male i78 - 36 _ 0632 May
5. Age (Last Blnhday) Untler 1 year UMer I day 6. Dale of Blnh (MUnlh, day, year) 7. Birthplace (City and stale or loreign counlryl Ba. PWCe of Death (ChecN only one)
MmrM Daya ~wws Minulaa Hospital. Other'.
6 2 3/ 2 4/ 1 9 4 6 Baltimore, Maryland
Yrs. ^ Inpatient ^ ER I Outpatient ^ DOA ^ Nursing Home ~ Residence ^Other - Specie.
Bh. Gounry of Death Bc. City. Boro, Twp. of Death 8d. Facday Name (II not institution, give street and numbeQ 9. Was Decedent of Hispanic Origin? ^ No ®Ves 10. Race. American lndan, Elack Whne, etc
Cumberland
East Pennsboro Twp. hf yes, speclty Cuban,
936 Belle Vista Drive Merican,PuedoRican,elc) (Spetilh
White
71. Decedent's Usual Occu Iwo 1Gntl of work d one duri moss of rrorkin tile. Do not slate rehred 12. Was Decetlenl ever in the 13. Decedent's Etlucation (Specify only hghesl grade compleletl) 14. Marital Slalus. Married, Never Married. I5. Survwing Spo use (II mode, gwv maiden naive)
Kind of Work Kind ol8 mess I IMustry
r
C
~ U.S. Armed Fomes' Elementary / Secontlary (0-12) College (L4 or S+) Witlowed. Dmorcetl lSpecrtyl
orced
Di
Breakman on
a3 ^Yes ®NO 12 v
I6. Decedents Mailing Address (Street, city I Ipwn, slate. ziF model Decetlenl's PA DVtl Decetlenl
live in a 17
n East Pennsboro T
[~ yes
D
dent L
ed
l R
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I7
St
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A
9 3 6 B e 11 e Vista D r . c.
,
iv
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wp
dence
a
ece
ctua
es
a
e
Cumber 1 and Township? 17d ^ No
Decetlenl Lived within
Enola, PA 17025 ,
17b. Gounry Actual Dmils of CirylBoro
I9 Father's Name (First, middle, last, sudixj 19. Molher's,Nama ~Vr}t, pilddle, maiden sunlame)
Charles Lepley Annie (J1Q
20a. Inlamant's Name (Type I Pnnq
F. Loretta Comp 2W Inlormanl's Mailing Address (Sireel, oily I sown, state. zip rode)
936 Belle Vista Dr. Enola, PA 17025
21a. Melhotl of Disposition ®Cremation ^ Donation 21 b, Dete of Disposition (MOnlh, day. year) 21 c. Place of Disposition (Name pl cemetery, crematory or other place) 21tl. Laalion ICiry /town, stale, zip code)
^ Burial ^ Removalhpn9ale !WasCr•mationorDOnetionqulhorizedry~
• 2008
Ma 20
~' Hollinger Crematory Mt. Holly Springs,PA 17065
^ Other ~ Speciy: ~ by Medical Esaminer I Coroner? L' I Ves ^ No ,
22a. Sgnature of Funeral rv icensee (or gersoo acting as suU) 22b. LaznsO Number
FD 012774-L 22c. Name and Address of FaciGry
Richardson Funeral Home Inc. 29 S. Enola Dr. Enola, PA 17025
~ ~,
Gonigete Items 23a<only when cenilying 23a. To the no ledge, tlealh enrs¢d at the time, date a d place staled (Signature and title) 23b. License Number 23c. Dale Signed (Month, day, year)
physician Is not avaaahle al lime of death to J ~
~ l
caniry mouse m deem. L~:J~, - ~ ~
Items 2a-26 muss tR completetl by person 2d Time of Death
` 25. Dale Pronounced Dead (Month, tlay, ear) 26. Was Case Referred la iral Examiner I Coroner for a Reason 0 ter Than C ematiun a Donaton?
mono prdlounces tlealh. ~ \ 3~ CAM. ~ 1 ~) ~ ~ ^ Vas
CAUSE OP DEATH (See inatructtons and eaamples) r Approxlmale interval: Pad IC Enter other sipmflcanl condo ohs conrnbulino m tlealh, 2A. DW Tobacco Use Connibute lu Dealh~
Item 21. Pan I: Enter the cha n of events -diseases, Injuries, or compiicatbns - Ihai directly caused the death. DO NOT enter terminal events such as Cardiac arrest, Onset to Death but rid resulting In the undedying cause given in Part I. ^Yes ^ PrWalNy
resgralory arrest, or ventrkular 1ibnlWhon without snowing the elidogy. List Dory one cause on each line.
^ No [~JJn~own
IMMEDIATE CAUSE IFnal disease or i
i
h
d
iYl
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// 29.IIFemale.
condition result
ng in
eat
er
fh
) _' a ,
L Lti•7c1/
SCx_l ~,ac7 c ` ^
Due ro (or as a consequence oq. Not pregnant wdnin pall year
^ P
Sequentially Iisi condrtans, it any, 0
- Bgnanl al lime 01 tlealh
leafingg to the Cause listed on hoe a. Due to (or a5 a cons a ce oil'.
Enter ITe UNDERLYING CAUSE ¢qu n _ ^ Nol a ant, but t
pr gn p egnanV wnhrn 62 days
(disease or injury Ual inil'uted ma
events resulurg in death) LAST. of Oealh
Due t0 (or as a consequence oil. ^ Not pregnant, bN Gregnanl d3 nays to I year
d' Delon death
^ Unknown it pregnant w~IMn Ilse past year
30a. Was an Arnopsy 30b. Were Autopsy Fintlings 71. Manner e t 32a. Dale of Injury (Month, day, year) 320. Describe How Injury Occurred 72c Place of Inlury Hunre Farm, Slreel. Factory,
Pedormed? Available Prior Ie Complelan Onlce BuAding, etc /Specfy)
of Cause of Death? atural ^ Hommiae
^ Ves o ^Yes ^ No ^ Accidem ^ Pending Investgation 32tl. Time of Injury 32e. Iryury al Work? 321. II TransDOnalien Injury (Specify) 32g. Location of Injury (Sneer, cry I sown, slate)
^ Suwlde ^ Coultl Not De Determined ^Ves [] No ^ Dmer! Operator ^ Passenger ^Pedeslnan
M ^Olher~ Speciy
33a. Certilier (coed only oriel 33b Si nature and Tllle of Cavalier
• Cenllying physkian (Physlaan ceNrying value of tlealh when arptper physican vas pronounced death and rompleletl Item 23) _ .
,
To the best of my Nnowkdge, death acurted due to the rauu(s) end manner as slaled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ , `"~v'r-?
~' r/'I
• Pronouncing and cenitying physician (Physician bolo prorrouncing tlealh and cedirying to Cause of death)
Ta the best of my Nrawktlge, death occurred at the lime, dale, and place, and due to the cause(s) and manner as stated_ _ „ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .License Number 37d. Dale Signed (Month, dey, yea t
r~2
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• Medical Eaaminer I Coroner )
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,: /~ .,) L 7 7 / L
On the basis of eaaminetion and I or investigation, in my oplnlon, tlealh occurred al the time, date, aM place, and due to the censers) and manner as slated_ ^
34. Name and Admess
ot Parson Who Completetl C use of D¢aln pteni 271 type ~ Print
/
35. Re r s Signature I 36 Date F'etl (Mont ay, year) /I
VI
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Disposmon Permit No. 0 1 9 6 0 6 1
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I, TERRY K. LEPLEY, of the Township of East Pennsboro, County of Cumberland,
Commonwealth of Pennsylvania, declare this to be my Last Will and revoke any Will or Codicil
~ previously made by me.
ITEM 1: Upon my demise, my demise, I direct. my body be cremated.
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 that may be assessed in consequence of my death, of
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(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 all the rest, remainder and residue of my estate of
every nature and wherever situate, together with all insurance thereon, to F. LORETTA COMP of 936
I~Bella Vista Drive, Enola, PA, provided she survives my death by thirty (30) days.
ITEM 5: Should F. LORETTA COMP, predecease me or both fail to survive my death by
thirty (30) days, then I give, devise and bequeath all the rest, residue and remainder of my estate,
wherever situate, together with insurance thereon, to my daughter, CHRISTINE DONOVAN of 209 Log
Cabin Road, Newville, Pennsylvania.
ITEM 6: My Executrix, or her successors shall have the following powers in addition to
those given by law to be exercised by her in her absolute discretion, which powers shall be applicable to
Page 1 of 6
all property held by her, effective without the order of any court and until the actual distribution of all
h property:
a. To retain any investments at discretion including stock of any corporate fiduciary
er or of a holding company controlling it;
b. To invest and reinvest in the executrix's discretion as permitted under Act 28 of 1999, as
~, the "Prudent Investor Act," with the specific right t:o invest in stocks, bonds and real estate,
including non-income producing residential real estate for the occupancy of any present income
iciary or beneficiaries, and in such diversified, proprietary money market and mutual funds,
(including such mutual funds of any corporate fiduciary hereunder or those of any successor or affiliated
or a holding company controlling it, as my executor or trustee deem appropriate;
c. To sell, to grant options for the sale of, or otherwise convert any real or personal property
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interest therein, at public or private sale, for such prices, at such time, in such manner and upon such
1s as she may think proper, and to execute and deliver good and sufficient conveyances, assignments
transfers thereof without liability of any purchaser to see to the application of the purchase money;
d. To borrow money and to secure the repayment thereof by mortgage of real or personal
~erty, pledge of investments or otherwise, without liability on the part of the lenders to see to the
lication thereof;
e. To compromise claims by or against my estate or any trust created hereunder;
f. To allocate and distribute different kinds or disproportionate shares of property or
ivided interests in property among beneficiaries or trusts, in cash or in kind, or partly in each;
g. To register investments in the name of a nominee or to hold the same unregistered in such
form that he will pass by delivery;
Page 2 of 6
h. To join in any recapitalization, merger, reorganization or voting trust plan affecting
vestments; to deposit securities under agreement; to subscribe for stock and bond privileges; and
to exercise all rights of security holders;
To manage, operate, repair, alter or improve real estate or other property, and to lease real
gestate and other property upon such terms and for such period as my executrix deem advisable even for
more than five (5) years and beyond the duration of any trust;
j. To deduct administration expenses upon either the federal estate tax return or fiduciary
lincome tax return with or without adjustment as between principal and income, as my corporate or
disinterested executrix shall determine;
k. To associate with them in the absence of a corporate fiduciary, an accountant, custodian
land investment advisor, and other agents and. to compensate them from principal or income or both, as my
executrix or trustee shall determine, such compensation to be a reduction of the compensation of my
executrix or trustee;
To associate with them at any time, in their absolute discretion and of their choice, a
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(corporate fiduciary which shall have the same powers as my executrix or trustee, such designation by my
'executrix or trustee and acceptance by a corporate fiduciary to be in writing;
m. To combine, without prior court approval, any trust herein with any other trust with
substantially similar provisions, although such other trust may have been created by separate instruments
and by different persons, and, if necessary to protect different future interests, to value the assets at the
time of such combination and to record the proportionate interest of each separate trust in the combined
fund; provided however, that no such combination shall be permitted if the effect of such combination
would be (1) to violate the applicable rule against perpetuities; (2) to disqualify any interest in one or
snore of such trusts for a deduction for federal estate tax purposes which would otherwise be allowable; or
Page 3 of 6
(3) to cause the loss of the exempt status of one or more of such trusts from the imposition of the
on-skipping tax;
n. To exercise any stock options which he may receive; to borrow such funds from any
source as my executrix or trustee may deem necessary for the exercise of such options; and to pledge
as my executrix or trustee deems appropriate for this purpose;
o. No trustee shall be required to qualify before, be appointed by, or, in the absence of a
breach of trust, account to any court (and failure to account alone shall not be considered such a breach);
nor shall trustee be required to obtain the order or approval of any court in the exercise of any power or
decision granted hereunder;
p. To allocate any generation-skipping transfer tax exemption from the federal generation-
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skipping transfer tax to any property to which I am deemed the transferor under the provisions of Section
2(a) of the Internal Revenue Code of 1986 and its successors, including any property transferred under
I-ny will and any properly not in my probate estate and any property transferred by me during life as to
ich no allocation was made prior to my death, to the extent necessary to cause the inclusion ratios
licable to such transfers to be zero;
q. To disclaim any interest in property without court approval; and
r. To do all other acts and things necessary or appropriate in the management,
inistration and distribution of my estate or trust.
ITEM 7: Until distributed, no gift or beneficial interest shall be subject to anticipation or
untary or involuntary alienation.
ITEM 8: I appoint F. LORETTA COMP of 9;6 Bella Vista Drive, Enola, PA 17025,
Executrix, of this my Last Will. In the event F. Loretta Comp, predeceases me, fails to qualify or ceases
Page 4 of 6
to act as Executrix, I appoint my daughter, CHRISTINE DONOVAN of 209 Log Cabin Road, Newville,
Pennsylvania, alternate Executrix of this my Last Will.
ITEM 9: I direct that my personal representative, or her successor, shall not be required to
give bond for the faithful performance of her duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and
Testament, this ~ day of ~ , 2007.
RR .LEPL
Signed, sealed, published and declared by the above-named Testator as and for his Last Will and
Testament in our presence, who, at his request, in his presence and in the presence of each other, have
hereunto subscribed our names as attesting witnesses.
~~r-.-~. ~ ,~;~"'t'w.~..-.. residing at ~ltiy,,t; ~ ~~~ ~~ / ~o~
" j . ~--~-" ./~.Gc~ ~~-, c,~-~.~siding at ,~c.c.c,Lt~~<~. ~ ~.~.~- (,;,o r 7 u s 5 c., ~.~
I. 3
Page 5 of 6
COMMONWEALTH OF PENNSYLVANIA
iCOUNTY OF CUMBERLAND
We, TERRY K. LEPLEY,
,1~ f`t. f\6~
ss:
.~~ M ~+ ~~:~ ~ ~ ~ ~ ~
and
the Testator 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 Testator signed and executed the instrument as his Last Will and that
he had signed willingly, and that he executed it as his free and voluntary act for the purpose therein
expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the will as
witness and that to the best of his or her knowledge, the Testator was at the time eighteen (18) years of
older, of sound mind and under no constraint or undue influence.
TERM .LEP
~- ~ I~'t-~a~
Witness
Witness
Subscribed, sworn and acknowledged before me _ ~< ~ •C +~ l ~ ~ y,~ c by
TERRY K. LEPLEY, the Testator, and subscribed and sworn to before me by
`~n.~~. j~'1. l~~-i,tiw-ti. and J ~ ~ ~~~ ~-~ Sf ~1k~c.rl` ,the witnesses, this
~ S~ day of ~ ~ ~ .~+ z • , 2007.
i
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Notary Public (SE L)
COMMONWEALTH OF PENNSYlVAN1A
NOTARIAL SEAL
Pa e 6 of 6 HENRY F. COYNE, NOTARY PUBLIC
g HAMPDEN TWP., CUMBERLAND COUNTY
MY COMMISSION EXPIRES JUNE 17, 2008