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Home My WebLink About06-09-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Esther 1. Fogtman File Number 21--Q~ b ~~~ also known as Patricia E. Fogtman Deceased Social Security Number 216-46-9161 Petitioner(s), who is/are 18 years of age or older, apply(ies) for. (COMPLETE Ft' or Y3' BELOW) ~X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executrix named in the last Will of the Decedent, dated 04/19/2007 and codicil(s) dated State relevant circumstances, e. g., renunciation, death o/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 of Letters of Administration app rca e, en er c .a.; ..n.c. a.; pe en e r e; uran e a sen ra; uran a mrnon a e 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 ,~.,, CQ ~ ._'~ ` -- L ~: '~ ~ ~ t r"~ t t -' i - ~ _ ?-~ (COMPLETE IN ALL CASES.) Attach additional sheets if necessary. --g "-'t .. • _ i. ~~ Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal reS~i'dence at 27 Wetherburn Rd., Enola, East Pennsboro, Cumberland, PA 17025 , (List street address, town/city, township, county, state, zip code) Decedent, then 91 years of age, died on 05/13/2008 Decedent at death owned property with estimated values as follows: (If domiciled in PA) (If not domiciled in PA) (If not domiciled in PA) VaWue of real estate in Pennsylvania situated as follows: at 27 Wetherburn Rd., Enola, PA 17025 All personal property $ 179,350.00 Personal property in Pennsylvania $ Personal property in County $ 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: Signature Typed or printed name and residence ,-~ ~ '" r ~(~`~~~ ~t j i~ ~, v Patricia E. Fogtman 27 Wetherburn Rd. Enola, PA 17025 Form RW-O2 Rev. f0-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 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 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 affirmed and subscribed before rte this _~ day a~8~ Forihe Register Signature of Personal Representative Patricia E. Fogtman N Signature of Personal Representative o ` ~ O ___ , °' ~ •, ~ - ~ ~-- . 'x -D ~ ~.i Signature of Personal Representative -a ~ ~-~-; `?`t _ J)^ ~ r'~ ~ l _-' F ~ __ ` ;~/~ : 'i ~ ' . ,t ~ ~.. J +~ . ~ r File Number. 21-- ~j~ 6(9~ 01 '~ ~. CAD Estate of Esther I. Fogtman ,Deceased A/K/A Social Security Number: 216-46-9161 ))))~~D to of Death: 05/13/2008 AND NOW, L~~~d~ , in consideration of the foregoing Petition, satisfactory proof having been presented before e, IT IS DECREED that Letters Testamentary are hereby granted to Patricia E. Fogtman in the above estate and that the instrument(s) dated 04/19/2007 described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent. FE ao Letters............~..~q .............. . $ 260.00 ~ .......... Short Certificate(s)........ . $ 32.00 Renunciation(s) ............................ . $ Automation fee $ 5.00 JCP fee $ 10.00 .,~-~trRstarn $ -190 ~_ $ --1aJ:98- iA>I-1 $ ism $ $ $ $ TOTAL ................................... . $ -'~'~~ Supreme Court I.D. No.: 68003 Hazen Elder Law Address: 2000 Linglestown Rd. Suite 202 Harrisburg, PA 17110 Telephone: 717-540-4332 Form RW-02 Rev. f0-13-2006 Copyright (c) 2006 form software only The Lackner Group. Inc. Page 2 of 2 Attorney Signature: (~ ° ~_ Attorney Name: Marielle F Nazen IrL Rili KLV iUl/U_t LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. X6.00 - P 1~~3~~~~~ Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with one as Local Registrar. The original certificate will he forwarded to the State Vital Rea>~fir~)r permanent filing. MAY 1 5 2008 / / _ _ _-- Local Registrar Date Issued __ n ~ C ~, _. _` ~ c~ a. , - ~ '+ _I {r r~ ~ e aEV 1vzt70G COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS PRINT IN ANENT CERTIFICATE OF DEATH :K INK (See instructions and examples on reverse) STATE FILE NUMBER p1 i ~~ 1'y ~ ~ 1. Name of Decedent ( first middle, last waix) 2. Sex 3. Social Security Number 4. Date of Death (MonfR day. year) I Fenale 216 - 46 - 9161 Ma 13, 2008 5. Age (Last Birthtlay) Under 1 year r 1 day 6. Date of Birth (Month, day, year) 7. &nhplace (City and stale or lor aign country) 6a. Place of Death (Check only one) uonma Days Hors Minutes Hospital: Other'. 9 I yfe 12 / 7 / 19 16 Nbrgantown West Virginia ^ Inpatient ^ ER / Outpatient ^ DOA ~r-;33 ^ Nursing Home <_}Residence ^Other - Speci ty Bb. County of Deam 6c. City, Bom, Twp. of Death Btl. Facility Name pt not institution, give street end number) 9. Was Decedent of Hispanic Origin? ~ No ^Yes 10. Race: American Indian, Blatk, WMIe, etc. • (It yes, speciy Cuban, (Specn Qmlberland East Pennsboro 27 Wetherburn Road Mexican, Pueno Rkan, etc.) bktlte 11. Decedem's Usual Oce tan Kind of work d one tl un most of world INe. Do not state retired 12. Was Decedent ever In the 13. Decedent's Education (Specify onty highest grade crompl eted) 14. Mental Sletus: Marred, Never Marred, 15. Surviving Spo use (II wife, give maitlen name) Kind of Work Kind of Business I Intluslry U.S. Armed Farces? Elementary / Secontlary (0-12) College (1-4 ¢r 5+) Widowed, Divorced (Specil» Teacher Public Schools T~l ^Yes 4L1N¢ 12 2 Widaaed 16. Decedent's Mailing Address (Street, city /sown, state, zip cotle) Decedent's PA Did Decedent rryy Fast Pennsboro 17 V A t l R id 17 St t D d t Li d I ` 27 Wetherburn Rd. c ua es ence a a es, ece en ve n c L ~ Twp e ownsti po coanry Gartlberland 17d. ^ No, Decedent Lived within 17b Enola, PA 17025 . Actual Llmie of City I Boro B. Father's Name (Firs!, midrNe, last, suaix) 19. Mother's Name (First, middle, maiden wmame) Lewis F. hbrrison Lillie Hare 20a. InlortnaM's Nam¢ Qype / Prnt) 20b. Infommnt's Mailing Address (Street, cry /town, state, zip code) Patricia Fog~nan 27 Wetherburn Rd. Enola, PA 17025 21a. Method of Deposition ^ Cremation ^ Donation 216. Date of Disposaion (Month, day, year) 21c. Place of Dispositbn (Name of cemetery, crematory ar other place) 21 tl. Lateran (Ciy I lows, state, zip code) ® Burial ^ Removal from State ~ Was Dremadon or Donation Authorized ^ ^ ~, 15 2008 SS Peter and Paul Caneter Ctanberland Mar land No ^ Other - Speciry: by Medkel Faamirler I Coroner? Yes a y , y ~ 22a. Sgnature of Funerel Service l,iaensee (or person acing es such) 22b. License Number 22c. Name aM Address of Fadliry ~ ;~y~ FD 012774-L Richardson Funeral Hone Inc. 29 S. ET3ola Dr. Enola, PA 17025 Complete Items 23ac onty when certitying • 2 oast § knowledge, deaM occurred at the time, tlate rid place staled. (Signature and lisle) 23b. license Numher 23c. Date Signed (Month, day, year) physidan a not available at time of death Im - y a /~ ~ cerlry cause of death. `4„J ~ ~ /.1,~ Items 24-2fi must be completed by person a of Death 25. Date Pronounced Deed (Month, day, year) 26. Was Case Referred t Medical Examiner /Coroner for a Reason Other roan Cremator or Donator? ' who prolrounces death. "'~" 'Z5 M. V ~ ./.~i z' ^Yes - o CAUSE OP DEATH (See Instructions and examples) ~ Approximate interval: Pan II: Enter other si¢nificanl contlitons contributin¢ to deaM, 26. Do lobeao Use Conlnbme to Death? Item 27. Pan I: Enter the 131 n ofgha6ln ofd enSF -diseases, injures, or canplications -that dtredty ceusetl the death. DO NOT enter terminal events such as cardiac anest Onset to DeaM but not resuttug m the underlying cause given In Pan L ^Yes ^ Probably respiratory arrest, or ventricular fibrillalon wAhoul showing the etobgy Lisl only are cause on each line. ~ t No ^ Unknown IMMEDIATE CAUSE (Final dieeaw or f r S ~ O~ 29.11 Female: - de condbion resulting o am) _~ a r ® Due to (or as a consequence oft: Not pregnant within past year ^ Pregnant at time of death SequentiaNy list coMitions, if any, b leading to the cause fisted on line a. Due to (or as a consequence oQ: ' ^ Not pregnant but pregnam valMn 42 days Enter file UNDERLYING CAUSE r of tleath (disease or injury that inkialed the c l LAST events rewl0ng in death) . ~ Due to (or as a consegvemx off' No1 nanl, but ^ pre9 pregnant 43 days 101 year 1 d. t belie death ^ Unknown II pregnant within the past year 30a. Was an ANOpsy 30b. Were Autopsy Findings 31. Manlrer of Death 32a. Date of Injury )Month, day, year) 32b. Describe How Injury Occurted 32c. Place of Injury: Home, Farts, Street, Factory, Penormetl? Available Pror to Completion of Cause of Oeath? ~ Natural ^ Homicide Odae Building, etc. (Speuty) ^ Aaoenl ^ Pendlrg Investigation mod. Time of Injury 32e, Inlury at Work? 32f. If Transponation Injury /Spedty) 32q, Location of Injury (Street city /town, state) ^ Yes [~ No ^Yes ^ No ^ Suicide ^ Could Not be Determined ^Yes ^ No ^ DMer /Operator ^ Passenger ^Pedestnen M ^ Other - Specify: 33e. CenAier (check only anal 33h. SignaNre antl Title of CenNiar • Cerlitying phyaician (Physician certirying cause of death when enamor physician has pronounced tleath and completed Item 23) To the best of my knowledge, death occurred due to the rausals) and manner as efatetl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ l.,[y - • Pronouncing and rrertdying physician (Physician both pronouncing death antl cenitying Io cause of deem) ^ 33c. License Number ~ 330. Date Signed (MOnm, day, year) To the best of my knowledge, tleath occurred et the lime, date, and glare, and due to the cause(s) and manner as staled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ pal Q - G 4 y b S 4 ~ '- S 13 - Gy' • Medical Examiner! Coroner On the bests of examination and / or Investigetlon, in my opinion, tleath occurred at the time, tlat¢, antl place, end due to the cause(s) and manner as stated_ ^ 34 Name and Address of Person Who Compleletl Cause of Death (Item 27) Type I Prim 35. Registrar's Signature 1 - I bar ~ / ~ / ~ 36. Date F' etl (Mons day, year) -' ~O1y~T ~ "-~o~'~. ~ -~ I I I I I I S /_5 v?pC~~i G~a- P.a ~?o z; i8~o t,rNO ravoc no c n--_.,,,- 0196060 LAST WILL AND TESTAMENT OF n ESTHER I. FOGTMAN c o ~ _ - - ~~-, ~ -'tTC7 `' ~. ~ ` ,, t~ ~ t`- jaw ._... _ _ ~ ~_ .Y-. I, ESTHER I. FOGTMAN, now domiciled in Cumberland County, Pennsylva~a, declare this to be my Last Will and Testament. I revoke all other wills and codicils that I may have previously made. Article I My just debts and expenses of my last illness, funeral, and administration of my estate shall be paid by my Executor from the principal of my residuary estate as soon as practicable after my death. Article II All inheritance, estate, and succession taxes (including interest and penalties thereon, but not including any generation skipping tax) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursement from any person. This provision is not a waiver of any right which my Executor has to claim reimbursement for any such taxes which become payable as the result of any property over which I have the power of appointment. Article III I give, devise and bequeath my tangible personal property in accordance with any memorandum I have handwritten or signed, located with my will or with my valuable papers and found within 30 days of the probate of my will. Gifts may only be to persons who survive me or to organizations which exist at my death, and if there is a conflict, the memorandum having the latest date shall govern. To the extent no such memorandum is found, or all of my tangible personal property is not disposed of pursuant thereto, my tangible personal property shall be added to my residuary estate and pass under Article V hereof. Article IV I give, devise, and bequeath the sum of TWO THOUSAND DOLLARS ($2,000.00) to CENTRE STREET UNITED METHODIST CHURCH, or its successor(s), of Cumberland, Maryland, for its general charitable uses and purposes. Article V All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, I give, devise and bequeath as follows: A. ONE HALF (1/2) to my daughter, PATRICIA E. FOGTMAN, of Cumberland County, Pennsylvania. If she fails to survive my death, I give, devise and bequeath her share to my daughter-in-law, BEVERLY D. FOGTMAN, per stirpes, provided BEVERLY D. FOGTMAN has not remarried as of the time of my death. If she has remarried, I give, devise and bequeath this share to her children, MATTHEW E. FOGTMAN, of Hagerstown, Maryland, per stirpes, and JENNIFER A. FOGTMAN, of Greencastle, Pennsylvania, per stirpes; and B. ONE HALF (1/2) to my daughter-in-law, BEVERLY D. FOGTMAN, of Greencastle, Pennsylvania, per stirpes, provided she has not remarried as of the time of my death. If she has remarried, I give, devise and bequeath her share to her children, MATTHEW E. FOGTMAN and JENNIFER A. FOGTMAN, per stirpes. 2 Article VI I nominate, constitute and appoint my daughter, PATRICIA E. FOGTMAN, as Executrix of my Last Will and Testament. In the event of the renunciation, death, or inability to act, for any reason whatsoever of my Executrix, I nominate, constitute and appoint my daughter- in-law, BEVERLY D. FOGTMAN, as successor Executrix of my Last Will and Testament. I direct that my Executrix or successor Executrix be permitted to serve without bond. In addition to those powers granted by law, I grant them power to distribute in cash or in kind, in like or in unlike shares, and to file any qualified disclaimer I could have filed if living. My Executrix or successor Executrix shall receive reasonable compensation for services rendered to my estate. Article VII In addition to the powers conferred by law, I authorize my Executrix or successor Executrix, in her absolute discretion: (a) to retain in the form received and to sell either at public or private sale, any real estate or personal property except that which I specifically bequeath herein, (b) to manage real estate, (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification, (d) to exercise any option or right arising from the ownership of investments, (e) to compromise claims without court approval and without consent of any beneficiary, (f) to file any federal income tax return for any year for which I have not filed such return prior to my death, 3 (g) to make distributions in cash or in kind, or in both, and to determine the value of any such property, (h) to employ any attorney, investment advisor, or other agent deemed necessary by my Executrix or successor Executrix; and to pay from my estate reasonable compensation for all their services, (i) to conduct alone or with others, any business in which I am engaged in, or have an interest in at time of my death, and (j) to receive reasonable compensation in accordance with their standard schedule of fees in effect while their services are performed. IN WITNESS WHEREOF, I, ESTHER I. FOGTMAN, hereby set my hand to this my Last Will and Testament, on ~ - ~ 9 - v 7 , 2007, at Harrisburg, Pennsylvania. ~L ~ ~ ~~ ESTHER I. FOGTM~1 In our presence, the above-named ESTHER I. FOGTMAN signed this and declared this to be her Last Will and Testament and now at her request, in her presence, and in the presence of each other, we sign as witnesses. Name Address 2000 Linglestown Rd Suite 202 Harrisburg PA 17110 _ 2000 Linglestown Rd Suite 202 Harrisburg, PA 17110 4 I, ESTHER I. FOGTMAN, Testatrix, who signed the foregoing instrument, having been duly qualified according to law, acknowledge that I signed and executed this instrument as my Will, and that I signed it willingly as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and Acknowledged before me by ESTHER I. FOGTMAN, the Testatrix on ~~~~ , 2007. ~ ~' /_~~ Notary Public ~~~ ESTHER I. FOGTMA COMMONWEALTH OF PENNSYLVANIA Notarial Seal Melissa M. Kain, Notary Public Susquehanna Twp., Dauphin Courriy My Commission Expires Aug.11, 2010 We, the undersigned witnesses who signed the foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the Testatrix sign and execute this instrument as her Will; that she signed and executed it willingly as her free and voluntary act for the purposes therein expressed; that each of us in her sight and hearing signed the Will as witnesses, and that to the best of our knowledge, that she was at that time eighteen (18) years or more of age, of sound mind, and under no constraint or undue influence. Sworn to or affirmed and Subsc i ed to efor~, me by ~ ~ ~~ and M . ~! ~_ witness s, on ~,Q~/ /9 , 2007. Notar Public COMMONWEALTH OF PENNSYLVANIA fitness ~Pc.~r~rti"~'--~ Wi e s Notarial Seal Melissa M. Kain, Notary Public Susquehanna Twp., Dauphin County My Commission Expires Aug.11, 2010