HomeMy WebLinkAbout05-30-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
Estate of Donald Frederick Shaw
also known as
Deceased
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
COUNTY, PENNSYLVANIA
File Number ~ 1 ~ L ~U ~ ~ 1
Social Security Number 077-]8-4163
/^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /.eFe the
last Will of the Decedent dated June 28, 2001 and codicil(s) dated
Renunciations siened by the three children listed in Will
(State relevant circumstances, e. g., renunciation, death of executor, etc.)
Except as follows, Decedent did not marry, 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 killing and was never adjudicated an incapacitated person:
^ B. Grant~f .etters of Administration
_ ~ F- 4_ (lfappltcable, enter: c. t. a.; d.b.n.c.t.a.; pendente life; durante absentia; durante minoritate)
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Petitioner(s) after a proper-sei#rch has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs:
Administratiotf=k.t.a. and b.in.c.t.a., enter date of Will in Section A above and complete list of heirs.)
(If
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(COMPLETE lNALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
71 Oak Circle, Newville, PA 17241
(List street address, town/city. township, county, state, :ip code)
Decedent, then 84 years of age, died on March 31, 2008 at Carlisle Hospital
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 40,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
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
[he undersigned:
Frances Campbell Shaw
Executrix
named in the
Form RW-02 rev. 10.13.06 Pagel Of 2
GCAL REGISTRAR'S CERTIFICATION GF DEATH
'JVARNING: It is illegal to duplicate this copy by photostat or photograph.
1=cc !LYr this certificate. S6.OU
C,eI-tification itRunher
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REV 112006
/ PRINT IN
MANENT
I CK INK
'Phis is to certify that the information here given is
correctly copied-from an original Certificate of Death
duly filed ~a'ith me as Local Registrar. The original
certificate wild he forwarded to the State Vita]
Rerorcls Office for )~ernulnent filing.
~~~' /d`` AP(~ 0 2106
Local Rcgislr2tr Date Issued
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH ~ ' _ ~ p, ~~
(See instructions and examples on reverse) RTATF FILE NUMBER [~ k
1. Name o1 Decedent IFesL middle, last, suffix) 2. Sex 3. Social Security Number 4. Dale of Death (Month, tlay, year)
Donald Frederick Shaw Male 077 - 18 - 4163 March 31, 2008
5. Age (Last Birthday) Under t year Untlar 1 day 6. Date of Binh (Monet, day, year) 7. Birthplace (Cey and stale or foreign country) Ba. Place of Death (CMCk only aria)
xanUa Days Hour M~rsxes H«pifaf. Other'.
84 yrs. January 19, 1924 Follansbee, WV ®Inpatiem ^ERr Outpatient ^DDA ^Naramg Home ^Reaitlence ^omer-spetiy
County of Death &. Clry, Boro, Twp. of Death
6b 8d. Fadlity Neme QI rot inslilulion, give street entl number) 9. Wes Decedent of Hispanic Origin? ®No ^Ves 10. Race, American Indian, Black. White, etc.
. lit yes, speciry Cuban, (Bpecilyl
Cumberland Carlisle Mexican, Puerto Rican, etc.)
Carlisle Hospital White
71. Decetlenl's Usual p«v lion Kmd of work done dun most of work) life. Do not stale retired 12. Wes Decedent ever in the 13. Decedent's Education (Specity only highest grade completed) 14. Manta) Status', Mart'Ied, Navar Married, l5. Surviving Spouse Ill wile, give maiden name)
Divorced (Specity)
Widowed
Kind of Work Kind of Business I Ilkuslry ,
U.S. Armed Forces? Elementary /Secondary (0-12) College (1-4 or 5+)
5+ Married Frances Campbell
Ordained Cler an Presb terian Chur h ^Yes ~]No
tfi. Decedent's Mailing Adtlress (Street, city /sown, state. zip code) Decedent's Dld D«edenl
Pennsylvania Liva Trio t7c
Decedent Lived in Twp.
^Yes
71 Oak Circle ,
,
Actual Residence 17a. Stale
Township? 17d ®No,DecetlanlLlvedwithln C
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Newville, PA 17241 ar
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,7b. toe^ry Cumberland Adua, Limns al ciry/Boro
18. Famer's Name (Frsl, middle, last, suffix) 19. Mother's Name (Flrst, middle, maiden surname)
John An us Shaw Ethel Amelia Williams
20a. Informant's Name (Type !Print) 20b. Informant's Meiling Adtlreas (Street, city !town, state, ziD code)
Frances Shaw 71 Oak Circle Newville PA 17241
21 a. Melhotl of Disposition ®Cremeeon ^ Donation 21b. Dale of Disposition (Month, day, year) 21c. Place a Disposition (Name of cemetery, cmm~atory m other place} 21d. L«albn (Cary f town, smta, zip cotle)
^ Burial ^ RemovelfromSlate i WeaCremationorponetionAuthodzed~
• 2008
il 2
A Cremation Societ of PA PA ].7109
arrisburg
^No
^ Omer , SpecYy: ~ by Medkel Examiner I Coroner? Yes ,
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z2a.3 a Fune rvke naeewrpersonaailgaseatn) 22b.ucenseNamber 22c Name andAdtlreeaoiFaaliryAuer Memorial Home and Cremation Services, Inc.
_ ~ FD 013376 - L 4100 Jonestown Road, Harrisburg, PA 17109
x 23et Doty when ten' ' g 23a. To ire best a my knowledge, deem attuned al the time, date and place stated. (Signature ell ihle) 23b. IJcense Number 23c. Date Signed (Month, day, year)
phys' ' u avaitatae at rime a m to
temry cause a seam.
Time of Death
24 25. Date Pronounced Geed (Month, day, ) 26. Wes Case Refened to Medical Examiner /Coroner for a Reason Other than Cremation or Donation?
Items 2x26 must be completed ay person ~
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who Co^«rtps deem. Z : / 5
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CAUSE OF DEATH (See instruetlona and exempks) I Approximate interval: Part II: Ente~ other Slgnif~ t condition= con7dbUino to deem, 26. Did Tobago Use Coninbute to Death?
Item 27. Pan I: Enter the chain of events -diseases, injures, or complications -that directly caused the tleeth. DO NOT enter tertanal events such as cardiac arrest, r Omar to Daam hui not rasutting to ma untlenying cause given In Pen I. ^Yes ~ Probably
respirelory arrest, or ventnwlar gbnllatiat wttlaN snowing dte etiology. List only one pose on each line. ~ ^ No ^ Unknown
INMEgATE CAUSE dam disease or /n[ J ~D w .'C
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LIXldlilgl reauallg In alh)
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Due to for as a m equ rip o0:
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^ Pregnant al lime of death
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Sequendall kst conditions
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I~drg ro the pose aaletl on lire a ^ Not pregnaa, but pregnant wAhin 42 days
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Eller me UNDERLYING CAUSE Due to (or as a conseguence oQ: of death
(disease or nryry mat inflated the I
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events resulting in death) LASST. ^ Na pragnam, but pregnant 43 days to 1 year
Due to (or as a consequence oq: I before dean
d ^ Unknown II pregnant within the past year
.
30a. Was an Autopsy 30b. Were Autopsy Rntlmgs 31. Manner of Deam 32a. Date of Injury (Month, day, year) 32b. Oescdbe How Inryry Occuned 32c. Plop of Injury: Home, Farm, Street. Faaory,
Office BuilCing, etc. (Specity)
PeRonnetl? Available Prior It Completion
a Cause a Death? aN21 ^ fkomkitle
I--~~ ^ Accident ^ Pending Invesigation 32tl. Time of Injury 32e. Injury al Work? 321. If Tramporlelion Injury (Specify) 32g. L«alion of Injury ISlreel, my I town, slate)
^ Yes ^Yes LJ 1O
^ Sukida ^ Cab Na ce Determinetl
^Yes ^ No ^ Driver I Operator ^ Passenger ^Pedestnen
M ^Omer - Specity~
33a. Cereher Itheck arty one) 33b. Signature d Tide of Ceitel r
• CMitying phyakian (Pnyaaan pnitying pose of death when erwtfwr physkian has Drorrou«ed deem and compleletl Item 23)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^
death occurted due to /he cause(s) arltl manner ae alaled_
xno,Aedge
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• Pronouncing and certitying phyakian (Physxian both pronouncing tleath and prtgying to puss of death) . Lipnse Number 33d. Dale Signed (Month, day, year)
To the hest of my knowledge, death occurred at Me time, date, end Rlap, end due to the eauaelal end manner as steied_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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• Medipl Examiner ! Coroner
On the basis of examination and / or Investigation, In my opinion, death occurred at the time. date, and place, and duo to Uw cause(s) and manner ae etated_ ^ 27) Type I Print
~ Nam ntl Atltlress of Person o mpleted Cause of Death (Item
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U Disl>cettion permit No. 0195 8 6 7
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LAST WILL AND TESTAMENT r~,,
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DONALD FREDERICK SHAW ' '
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I, DONALD FREDERICK SHAW, of West Pennsboro Township, Cumb~l~and Coi~ty,
Pennsylvania, declare this to be my Last Will and Testament and revoke any and all wills and
codicils heretofore made by me.
ITEM I: My personal representative shall pay from the residue of my estate
the expenses of my last illness, funeral and burial debts duly allowed against my estate, and all
death taxes (Pennsylvania inheritance tax and federal estate tax) occasioned by my death and
incurred with respect to all property taxed to my estate regardless of whether such property
passes by this Will or passes outside of this Will.
ITEM II: I bequeath those articles of my automobiles, personal effects,
household goods, and other tangible personalty of like nature (not including cash or securities),
together with any existing insurance thereon, if any, as may be my individual property and not
the property of my Wife or owned jointly by me with her, as set forth in a separate memorandum
which I shall place with my Will to the persons therein designated. If I shall leave no separate
memorandum, or with regard to my automobiles, personal effects, household goods, and other
tangible personalty of like nature (not including cash or securities) not referenced by such
memorandum, I bequeath such property to my Wife, FRANCES CAMPBELL SHAW, if she
survives me by thirty (30) days. Should my Wife, FRANCES CAMPBELL SHAW, not be
living on the thirty-first day after my death, I bequeath such tangible personalty and insurance
thereon to my children, DOUGLAS IAN SHAW, FREDERICK W. SHAW, and
ELIZABETH JANE SHAW to be divided among them by my Executor with due regard for
their personal preferences in as nearly equal shares as practical.
ITEM III: On the occasion of my death I forgive all amounts due me by any of my
children. This direction is to apply whether or not there is evidence of the indebtedness. The
amount forgiven is not to be considered in the calculation of the shares of my children.
ITEM IV: Provided that my Wife, FRANCES CAMPBELL SHAW shall
survive me by 30 days, I devise and bequeath the residue of my estate, of every nature and
wherever situate, to F&M Trust of Chambersburg, PA, IN SEPARATE TRUST, to hold,
manage, invest, and reinvest the share so received in accordance with the following instructions:
A. My Trustee shall pay the net income of this Trust to my Wife, FRANCES
CAMPBELL SHAW, in periodic installments that shall be at least as
frequently as quarterly.
B. Upon the death of my Wife, FRANCES CAMPBELL SHAW, the accrued
income to the date of my wife's death shall be paid to my wife's estate, and
the balance shall be distributed in equal shares to my children, DOUGLAS
IAN SHAW, FREDERICK W. SHAW, and ELIZABETH JANE SHAW,
per stirpes.
C. There shall be no right to invade principal during my wife's life.
ITEM V. Should my Wife, FRANCES CAMPBELL SHAW, predecease
me or die on or before the thirtieth day following my death, I devise and bequeath the residue of
my estate, of every nature and wherever situate, in equal shares, to my children, DOUGLAS
IAN SHAW, FREDERICK W. SHAW, and ELIZABETH JANE SHAW, per stirpes.
ITEM VI: No interest of any beneficiary under this Will, any codicil hereto,
or any Trust created herein, shall be subject to anticipation or voluntary or involuntary alienation.
ITEM VII: My Executrix and Trustee, and their successors, shall have the
following powers in addition to those vested in them by law, and by other provisions of my Will,
applicable to all property, whether income or principal, including property held for minors,
exercisable without court approval, and effective until actual distribution of all property:
A. To borrow money from any person or institution, including my Executrix or
Trustee, and to mortgage or pledge any or all real or personal property as my Executrix or
Trustee in its sole discretion shall choose.
B. To compromise any claim or controversy.
C. To invest in all forms of property (including stock, cotnmon trust funds and
mortgage investment funds, whether maintained by my corporate fiduciary or others)
without restriction to investments authorized for Pennsylvania fiduciaries, as they deem
proper, without regard to any principal of diversification or risk.
D. To retain any or all of the assets of my estate, real or personal, without regard
to any principal of diversification or risk.
E. To sell at public or private sale, to exchange, or to lease for any period of time,
any real or personal property and to give options for sales, exchanges, or leases, for such
prices and upon such terms or conditions as they deem proper.
ITEM VIII: I appoint my son, DOUGLAS IAN SHAW, as Executor of my
estate. Should DOUGLAS IAN SHAW fail to qualify or cease to act as Executor, I appoint my
daughter, ELIZABETH JANE SHAW, as Executrix of my estate.
ITEM IX: I appoint F & M Trust of Chambersburg, Pennsylvania, as Trustee
~~
of each and every Trust created by this Will. I hereby empower my wife to replace my
~_,~ designated Trustee by delivering a written direction to my Trustee with copies to my children,
provided that she shall simultaneously appoint a replacement corporate trustee, and the
~`~~ replacement cor orate trustee shall si n a written consent to serve. In such event the re lacement
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Trustee shall have the same powers as I have given to the Trustee named herein.
IN WITNESS WHEREOF, I, DONALD FREDERICK SHAW, have hereunto set my
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hand and seal to this my Last Will and Testament, consisting of six (6) printed pages, each of
I
which bears my signature, this 2 8~z day of ~~LnP/ , 2001.
DONALD FREDERICK SHAW, Testator
Signed, sealed, published and declared by the above-named Testator, DONALD
FREDERICK SHAW, as and for his Last Will and Testament, in the presence of us, who, at his
request, in his sight and presence, and in the sight and presence of each other, have hereunto
subscribed o es 't sses
[>~~
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND
WE, DONALD FREDERICK SHAW, TAYLOR P. ANDREWS, and
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~f C~rl~t' S ~.-~r--, ~x( ,the Testator and witnesses, respectively, whose names are signed to the
foregoing or attached instrument, being first duly sworn, do hereby declare to the undersigned
authority that the Testator signed and executed the instrument as and for his Last Will and
Testament and that he signed willingly and that he executed as his free and voluntary act for the
purposes therein expressed, and that each of the witnesses, in the presence and hearing of the
Testator, signed the Will as witnesses and that to the best of their knowledge the Testator was at
the time eighteen (18) or more years of age, of sound mind and under no constraint or undue
influence.
Subscribed, sworn to and acknowledged before me by DONALD FREDERICK
SHAW, the Testa,~ rand subscribed to and sworn or affirmed to before me by TAYLOR P.
AN REWS and TY2~6~CFS Lr~bv~~~o II ~ ~~w ,witnesses, this ~ day of
C,~1~{'. , 2001. 7~ ~ .
Wit. ~~ S{,~AL)
Notary Public
NOTARIAL SEAL~~
SHELLY SEXTOfv, NOTARY PUBLIC
CARLISLE BOR~;~, C'!f~"9ERLAND COIINTY
MY COMMISSPO'd EX~',RES A~RlL 26, 2003
Memh~;r, Penr i~r of Notaries
RENUNCIATION e-, ~"
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In Re Estate of Donald Frederick Shaw, deceased. '~ c4ti
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To the Register of Wills of Cumberland County, Pennsylvania. ~ __'
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I, the undersigned, Frederick W. Shaw, son of the above decedent, hereby renounce the
right to administer the estate and respectfully ask that Letters Testamentary be issued to decedent's
surviving spouse, Frances Campbell Shaw.
Date:
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Frederick haw
8 Packer Rd.
Edgewood, NM 87015
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
. SS.
ON THIS, the ~~~ day of April,
2008, before me, the undersigned officer, personally appeared Frederick W. Shaw, known to me
(or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and
acknowledged that he executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunt< ~ ~ ~~- ~ ~ - _ _t
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
SHELLY SEXTON, Notary PubNc
CarHaie Boro, CumbNlBr~d County
Cornrniasion ' 28, 2011
RENUNCIATION
In Re Estate of Donald Frederick Shaw, deceased.
To the Register of Wills of Cumberland County, Pennsylvania.
I, the undersigned, Elizabeth Jane Shaw, daughter and named Alternate Executrix of the
above decedent, hereby renounce the right to administer the estate and respectfully ask that Letters
Testamentary be issued to decedent's surviving spouse, Frances Campbell Shaw.
Date: ~ S ~-C~G~'"
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COMMONWF~,TH OF MASSACHUSITS
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liz eth Jan haw
65 ~Partrid~ Lane
Belmont, MA 02478
` : SS.
COUNTY OF ) C I'`~
ON THIS, the ~/ day of May,
2008, before me, the undersigned officer, personally appeared Eliz Beth Jane Shaw, known to
me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument,
and acknowledged that he executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set~nd and official seal.
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RENUNCIATION
In Re Estate of Donald Frederick Shaw, deceased.
To the Register of Wills of Cumberland County, Pennsylvania.
I, the undersigned, Douglas Ian Shaw, son and named Executor of the above decedent,
hereby renounce the right to administer the estate and respectfully ask that Letters Testamentary be
issued to decedent's surviving spouse, Frances Campbell Shaw.
Date: S~ 'f ~ /~
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Douglas Ian Shaw
16 Kennedy Dr.
Southampton, NY 11968
STATE OF NEW YORK
COUNTY OF ~~~~~-~~1
SS.
ON THIS, the ~ ~ ~ day of May,
2008, before me, the undersigned officer, personally appeared Douglas Ian Shaw, known to me
(or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and
acknowledged that he executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
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~ _~ KATHLEEN MARIE ALAIMO
c~ _~_ Notary Public, State of New York
"~ ~`"~ Qualifed5n Suff Ik County
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