HomeMy WebLinkAbout06-09-08PETITION FOR PROBATE AND GRANT OF LETTERS
;E
REGISTER OF WILLS OF ~ COUNTY, PENNSYLVANIA
Estate of File Number ~ 1 6~ ~ y d
also known as v
Decea ed Social Security Number , "l ~"l ~ ' ~ ` ~ 1.~'
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Petitione (s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
A. Probate and Grant ofMLe~tters Testamentary and aver that Petitioner(s) is /are the named in the
last Will of the Decedent dated \' Y1,~,1 ti , a.(~~i ~9 and codicil(s) dated
(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 bom 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
(If applicable, eater: c.t.a.; d. b. n. c.t.a.; pendente lire; durante absentia; d:,~,te minorilate) ~
C 3 ca
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following~se (if any~rd heirs: (!~',
Administration, c. t. a. ord. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) `~ T -~-
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Name Relationship RtSid~c~ t ..__ ,~~
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(COMPLETE IN ALL CASES:) Attacl additional sheets if necessary. ~ ,~,,~ ~''
Decedent was domic' at death in - GOt~ ty, P Sylvania with his /her last principal residence at ~~~~% ' ~~
(List street address, town/city, townskip, coung,, state, zip code) \ -/~
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Decedent, then ~_ years of age, died on at ~ r 3 ~ n.,l~
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) 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
situated as Poll
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented
the undersigned:
Foam R6V-02 ren. !0.13.06
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this Petition and the grant of Letters in the appropriate form to
Page 1 of 2
P({
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS 1~~ -~, "lY 1 ~~
COUNTY OF 1.1~ii `~,( ~~d~.:,~1
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 me the ~ day o~
For the Register Signature ojPersonal Representative
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File Number: o~ 1 b ~ ~ (Qc~3 -~~ `~ _ , `
Estate of ~... \-.2\,: _~_ ~~ ~ ,Deceased
Social Security Number:~Pl~ ' `"\ ' ~ ~Q ,Q ` Date of Death: ~ 1~ a.L" ~~
AND NOW, , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters
are hereby granted to
and that the instrument(s) dated
described iu the Petition be admitted to
FEES
Letters .... OUD~y
.~d.5~ ...... $ oC (~
Short Certificate(s) ../.U.... $ ~~
Renunciati n(s) .......... $
(.~~ > ... $ I ~
... $ ~(~
`, - ... $ S
... $
... $
... $
... $
... $
... $
TOTAL .............. $
in the above estate
and filed of rec rd as the last Will and Codicil(s)) of Decedent.
Register of Wi!!s
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
r-~r~r~r RYV-oa rev. !U.13.0( Page 2 of 2
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Signature ojPersonal Representative <7 m _
105905MS REV. 6/Oi6
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance
with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953.
Military
Status
WARNING: It is illegal to duplicate this copy by photostat or photograph.
~~~,~,<~ ~ .a~o~o~
Calvin B. Johnson, M.D., M.P.H. Frank Yeropoli
Secretary of Health State Registrar
1426217
No.
MAY 2 8 2008
Date
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Hms-r3 REV r2oog COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTtd • VITAL RECORDS
'PPAMA~IE~=" CERTIFICATE OF DEATH f~
BLACK aK S
xam les on reverse
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STATE FILE NUMBER
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~ Name M Decedent (FrsL middle. last. sumx) 2- Sex 7. Social Secunry Number a. Date of Dealn (Hoorn, day, year)
age Cast B,nM1day Untler t year Under t day Dela of Birth (Hoorn. day, year) ]. giMpiace (C'M and ~tala w reign wuntry( 8a- Place of Dea~.n (Coed only one?
Dave Hdspilat. 0!ner,
anin Roars Inure
r ~ / ~~ ~ i ryt 7 m Inwtient ^ ER I Outpabenl ^ DOA ^ Nwsng H e ^ Resitlence ^Om.er ~ Scecity.
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Bo County dl edam Bc. Crty, Boro, Twp. of Oeatn Bd. F ihty Neme pf ndt inslnunon, give street antl numb r( 9. Was Decedent of Hlspan¢ Ongin? ~ No ^ Ves 10. Race. American Inman. 9leck Wnce, e!
~ f/ ~~/1 /, (Il yes, specity Cuban. ISp¢cryi
Pdeno Rican
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Deceden!'s'Jsual Occu anon Klnd of work done dun t of woMin tile. De not stale rellretl
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11
os 12. Was Oedadem eve in Ina 13. Dec !'s Education (Speoly only highest gtatle completatl) 14. Marital status. Harried, Never Married. 16. survwirq spouse (II wile. give maiden narrel
.
Kbrtl dl Business I Indus±ry
Kind of Work V.S. Armed Forces? Elementary I Secondary (F12) C Ile 1 ~6 or 5+) Widowed. Divorcee (Speciry)
F I ~% er;
v, ~ , ~vea ^Nd ~ dY Drat' N
t6. oen¢d¢m'a Manmq a eaa (Sheet Ky ~ tp .rate. av model L
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°~' Decedents - Did Deceeem
swt¢ ?P nos I, l y®n . G L:•a in a nc. ^ vas. Dacad¢m Lwea In Twp.
acn,al Raslaenc¢ na
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pre Cla ry Ivn Nv ~ .
TdwnaniD7
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C aly; edrd
Actual Limns al r
18 Famer's Name IFir 1, middle last, slAixj 19 Mother's Name (First, middle. maiden sumamf,{ r y p y
2Da-'~nldrmarx's Newle (Tyne / Pnnq ~ 20b. Inform I's MaTmg Address (51 1, oily /sown, stele. zip code
a. Memoo oI isposibon ^ Cremaeon ^ Donation 21 b. Gale d Dlspostim (Month, deY Yearl 2tc. Place o1 Olsposnion (Nam oI eamelery, crematory r omen place; 21o. Location IGiN l :om. sea. code
~( aerial ^ aemo~al hom stare ! ws erem.hmn or Donaion Amname n
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Q Omer. Sp crfy. OY Metlical Eaaminer I Cproner? ^ V¢s ^ ND .'•(~T/ Y~~
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.2a. signs Funer rvlce Lice a (or a acting as such) 22b li se N umber 22c. Name and Address of Facility
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• Danilying physician (Physician cer'irying cause of aealh when ermtner G'IYSlrian nos pronounces death and completed Item 23)
To me best pr my knoWeege, seam occurred euam>M CalnNsl ano manner as semd________________________________ -
• Pronouncing and cenitying physician Pnysipian bpm Dronouncing deem and cenitying b cause of tleaM) 33c. Liven
Tome xst of my knowledge dean occurree M me nme date, and place, and sue ro me nuaetal and manner as smed_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^
• Meelcal Eaaminer I Gardner
On the basis M eaaminatlm and I or invealigation, in my dplnlon, death occurred M the nme, date, eM plau, end due to IM cause(s) and manner as sbled_ ^ 74 Name
s,
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- 'IS Re I signature and Dislntl Number 3fi. Del? Fled MOnIh, tley yeah ..L
Disposiliw Pem,It Np. OGo ; I l~
Gomplelenfems 23a<onty when cemryinq
pnyaK~nwndlavakadleat:imed,deamld Ip me des Y amwiaoye. ueavi ucvurrnu a, Ina u., a„u v,^~= ~~,_~. r+y„~,~~_ _"~ ,^~_~
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candy ca ¢ of loam. 2-/ r
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Time of Deam
2/ 2g. a Prondu Dead (Mmth, day, year) 26. Was Case Retened to Medical Examiner ~ Coroner tar a Reason Ober roan Cremation or DonadonP
Items 2a-26 must be completatl by person
mood pmnounces tlealn. .
S ~ 3o A• M. m~Y 2~r 20~g ^y¢s Nd
CAUSE OF DEATH (Ses inatru etiana and eaamples) r Approximate mlervaC Par I r. Enter umer Sl9 i t dnaf yb ono m dean, 2B DId Tobacco Use Gdnlributa lu Deam~
Item 2i Pan I. Enter me rhain dl events - diseases. injuries. o omplicadons-mat directly caused 1be deaN. DO NOT enter tem,mal events such as caNrac attest, Onset to D¢atn but not reselling in the undenying cause given in Pan i ^ Yes ^ Prnhabiy
gy. List aYy on¢ Cause on each line.
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respiratory arrest, m v¢Mrlcular enralauon wMON shnwmg ^ Nc Unknown
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IMMEDIATE CAUSE'Fina; disease or
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a / ~~ // 1/
/ 2R. II Female
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cnMibon resulting in
ea l ~
a ^ Not oreonanl w~Inln oast veor
Due to for as a consequence oq.
^ Pr¢gnam al time dl uesm
Sequentially list condemns. it any,
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but pregnant wM
ir ~: days
ng to
e cause
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Enter me UNDERLYING CAUSE Due m (or s a conseque ce off:
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dl deatn
(disees¢ or fury Ihat Intlieled Ina
vents resulting in dash) LA9T. - ^ Nol pregnant. but prednanl a3 deYS tc r year
Due to [or as a consequence op-
bemre edam
d- ^ Vnkndwn it omgnam rwinin lne earl Vear
3Va. Was an Autopsy 30b Were Autopsy Rndings 31-Manner of Death 32a. Oale of mlury (Hoorn. day. year) 32b. Descrihe How Inlury Occurred 32c. Place of nlury. Home. Farm. S\reel. Fadury.
Pedormed^ Avertable Pr
dl Gauss 01 ror to Compalgn
Deem? r'~~
~ "aural ^ Rdmicap Odice Building. etc. !Spec~ly)
..----~~rr~~yy ( ^ Acneem ^ Pending mvealiyahod std. nme oI Inleiy see. n,lury at work? a21. a Trensponation inj ury 1Opedry) 92g. Ldcadon m tn)ary (street. crty r lawn. stare)
^Ves /~lo
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^I Yes ^ No ^Driver/Opnalor ^Passenger ^Pedestnan
eterm
ne
^ suiade ^ GouM Nnt b¢ M ^Othe SpecAy'
77a Cannier Icheck only on I 93h. Signslure and in~e of Cemfler ~ „ ~ ~
b 73d Dat¢ sign¢e lardmn. day. vean
i~c(7 b Z ~~ ° ~ iz~~'~
dress 1 P son Wnn Completed Cause of Death nlem 2]) Type I Pr,nl ~~~
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LAST WILL AND TESTAMENT
OF
SAMUEL C. TSCHOP
I, SAMUEL C. TSCHOP, of Cumberland County, Pennsylvania, being of sound and
disposing mind, memory and understanding, do hereby make, publish and declare this as my last
will and testament, hereby revoking any and all wills by me at any time heretofore made.
FIRST: I direct payment out of my estate of the expenses of my illness and funeral.
SECOND: All the rest, residue and remainder of my estate, real and personal, I give,
devise and bequeath in equal shares to my children SANDRA T. RICKARDS-WYCKOFF and
DAVID B. TSCHOP. Provided further that if either child predeceases me, their share shall pass to
their issue per stirpes.
I intentionally mare no provision for DOROTHY WILLIAMS TSCHOP as we are separated
and in the process of a divorce.
THIRD: I direct that the legacy or share of real or personal property falling to any person
under the age of twenty five years under the provisions of this my will, shall be paid to and retained
by my trustee hereinafter named, in Trust, to invest and reinvest the same, to collect the income
and after paying all expenses incident to the management of the trust, to use and apply as much of
the net income and principal as may be necessary in the sole discretion of my trustee for such
person's support, well-being and education, and that the balance of principal and any
accumulation of income remaining in the hands of the trustee be paid to such person upon
attaining the age of twenty five years. I direct that such payments shall be made without the
intervention of a guardian and the receipt of such person as may be selected by my trustee to
disburse the same shall be a sufficient acquittance. I further direct that any property, including but
not limited to insurance, which passes to a minor otherwise than under the provisions of this will
and with respect to which I am authorized by law to appoint a guardian trustee aid have not
done so, shall likewise be paid to and retained by my said Trustee who sl~ald~lso b~uardia~ of
such non-testamentary assets with the same rights and powers as set forth `{~ ~~ par~rap~.
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The trust shall terminate upon the twenty fifth birthday or the death of the child for whom it
is held, whichever event shall first occur. Upon termination because such child has attained the
age of 25 years, the principal and any accrued or undistributed income shall be paid over to such
child, absolutely and free of further trust. Upon termination as a result of the death of such child
before attaining the age of 25 years, the principal any accrued or undistributed income shall be
distributed to his or her estate.
FOURTH: The interests of the beneficiaries hereunder shall not be subject to anticipation
or to voluntary or involuntary alienation until distribution is actually made.
FIFTH: In addition to the powers granted by law, my Executors and Trustees shall have the
following powers, exercisable at their discretion from time to time without court approval, with
respect to both principal and accumulated income, and such powers shall continue until
distribution is actually made.
(a) To sell at public or private sale, exchange or lease for any period of time any
real or personal property and to give options for sales or leases.
(b) To compromise claims, and to disclaim any interest which I may have in an
estate or trust.
(c) To accept in kind, retain and invest in any form of property without regard to any
principle of diversification as to any property owned by me at my death.
(d) To make distribution in cash or in kind.
SIXTH: I appoint SANDRA T. RICKARDS-WYCKOFF as Trustee of any trust created
herein for the benefit of DAVID B. TSCHOP'S children. Should SANDRA predecease me or be
unable or unwilling to act as Trustee, then I appoint KATHLEEN TSCHOP as successor Trustee.
I appoint DAVID B. TSCHOP as Trustee of any trust created herein for the benefit of
SANDRA T. RICKARDS-WYCKOFF'S children. Should DAVID predecease me or be unable or
unwilling to act as Trustee, then I appoint CHARLES WYCKOFF as successor Trustee.
2
LASTLY: I appoint my daughter, SANDRA T. RICKARDS-WYCKOFF of this my last will
and testament. I direct that she shall not be required to file any bond to qualify or serve as
Executor in any jurisdiction. In the event my said daughter shall predecease me, or should fail or
be unable to qualify or having qualified should resign or die, then I appoint my son, DAVID B.
TSCHOP as alternate Executor in her place and stead, with all of the rights and powers as though
originally named herein.
IN WITNESS WHEREOF, I have hereunto set my hand and seal at the end hereof this
day of ~-~A.D. 2006.
(SEAL)
SIGNED, SEALED, PUBLISHED and DECLARED by the above named Testator as and for
his Last Will and Testament in the presence of us, who in his presence and in the presence of
each other, all being present at the same time and at his request have subscribed our names as
witnesses thereto.
3
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF ~~~C~n~r~~l>'~~
I, SAMUEL C. TSCHOP, Testator, whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I have
signed and executed the instrument as my last Will; that I signed it willingly; and that I signed
it as my free and voluntary act for the purposes therein expressed.
SWORN TO AND SUBSCRIBED
Befor e this ~ ~ day of `~ ~~~~2006.
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No ry Public
COMMORIWEALTf~I OF ~MNS1'LVANU
JANEttE ~WTCMER~, p~
~~~ ~ ~ County
st 5,2009
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AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF ~d'`'~ J d~'(e~
We, ,~~%C-C f ~~,~ and ~~~'~~ ~ ~~"~-' ,the witnesses whose names
are signed to the attached or foregoing instrument, being duly qualified according to law, do
depose and say that we were present and saw the Testator sign and execute the instrument
as his last will; that the said Testator, SAMUEL C. TSCHOP, signed willingly and that the
Testator executed it as his free and voluntary act for the purposes therein expressed; that
each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to
the best of our knowledge the Testator was at that time eighteen or more years of age, of
sound mind and under no constraint or undue in Brice.
. '.~
SWORN TO AND SUBSCRIBED
Before~me this 1 ~'r day of ~l~l~ 2006.
Nq!tary Public
JAMEIIE 1. PtTCMER Notp7 Ft~bNc
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