HomeMy WebLinkAbout06-26-08Estate of George C. Goodhart
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of George C. Goodhart No, ~~ ` d ~ ~ ®(l~~i,~
also known as
,Deceased Social Security No.201189267
Carla M. Goodhart, now by marriage, Carla M. Miller and Carol A Rosenberry now by marriage Carol A Walk
Petitioner(s), who is/are 18 years of age or older, apply(ies) for
(COMPLETE "A" OR "B" BELOW:)
I-l A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut ors named in the Last Will of the
L~.I Decedent, dated 8/16/1989 and codicil(s) dated
the decedent's wife, Frances L. Goodhart, predeceased the decedent on 11/22/2006
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 documents offered
for probate; was not the victim of a killing and was never adjudicated incapacitated:
B. Grant of Letters of Administration
(c.t.a., d.b.n.c.t.a.: pendente late, durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse
(if any) and heirs:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal
residence at 401 Walnut Bottom Road, (Southampton Township), Shippensbura, Pennsvlvania
(list street, number and municipality)
Decedent, then 83 years of age, died June 4 , 2008 , at Carlisle Regional Medical Center, Carlisle PA
(Location)
Decedent at death owned property with estimated values as follows:
(if domiciled in PA) All personal property ......................................... $ 100,000.00
(if not domiciled in PA)
(If not domiciled in PA)
Personal property in Pennsylvania ....................
Personal property in County ..............................
Value of real estate in Pennsylvania ........................................................................................ $ 125,000.00
Total ..................................................................................................................... $ _ 225.000.00
Real Estate situated as follows:
1.1 acres situate in Southampton Township, Cumberland County, Pennsylvania, being known and numbered as 401
Walnut Bottom Road, Shippensburg, PA
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
Carla M. Miller 7813 McCla s Mill Rd. Newbur PA 17240
Carol A. Walk 298 Hi h Mountain Rd Shi ensbur PA17257
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~
Oath of Personal Representative
Commonwealth of Pennsylvania
COUnty Of Cumberland
The Petitioner(s) above-named swear(s) and 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 esta
Sworn to and affirmed and subscribed
before me this ~~ ~ ~ day of
June 2 OFD
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CECRa=E OF REGISTER CUMBERLAND COUNTY ~ ~.^
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Estate of George C. Goodhart Deceased No, a~ ~> U~ "[~~
also known as
Social Security No: 201189267 Date of Death: 6/4/2008
AND NOW, June e~~~'~/ 2008 , in consideration of the Petition
on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters ~Xl Testamentary ^ of Administration
(c.t.a., d.b.n.c.t.; pendente life; durance absentia; durante minoritate)
are hereby granted to Carla M. Miller and Carol A. Walk
in the above estate and that the instrument(s), if any, dated August 16, 1989 _
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
,~,/ ~ ~
Letters .................................... $ 310.00 . n d~-~C~ ~ rlA10J`/
Will 15.00 Register of Wills (~
3 2.00 % ~ `~
Short Certificate(s) ............... $
Renunciation .......................... $
Affidavit ( ) ....................... $
Extra Pages ( ) .............. $ Attorney
Codicil ................................. $
JCP Fee ................................. $ 10.00 Attorney: Joel R. Zullinger, Esq.
Inventory & Tax Forms ............. $ I.D. No: 17516
Other .Automat,ion„ ............. $ 5.00 Address: 14 North Main Street, Suite 200
Chambersburg PA 17201
TOTAL .............................$ 372.00 Telephone: 717-264-6029
DATE FILED:
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. S~i.00
Certification Number
Thiti is to certify that the information hire given is
correctl~~ copied from an original Certificate of Death
duly' filed with me as Local Regis'~rar. The original
t certificate will be forwarded to the State Vital
Records Office for perm' ant filing*_.
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Local gistrar _~ ~ Date Issued
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H10S743 REV 11k006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ',
TYPE / PRIM IN
PERMANENT - ~ ••
BLACK INK CERTIFICATE OF DEATH ~ -
(See inSTrurtinne anc4 a.a ..Ie~ .....e..e.~.,t ~ C.F1
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7. Name of Decetlent (First, meddle, last, sugb) - JlHlt f•ILt NUM BER C
George C. Goodhart 2. Sex
Male 3. Social Scarily Number
201 _ 18 _ 9267 4. Dale of Death (Month, tlay, year)
June 4, 2008
5. Age (Last Birthday) Under i year Urger 7 day 6. Dale of Binh (Mexnh, day, year) 7. Birthplace (Coy entl stele «foreign country) !>a. Place of Death (Check only one)
NoMM bays Hours Mvwles Hospital: Other:
83 ym
7/27/24 Shippensburg, PA
,
^Inpelient rER/Oulpatienl ^DOA ^Nureing Home ^Residence ^Other-Specity:
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ounty of Death Bc. City, e«o, Twp. of Death Btl. Fadfly Neme (II not Nslgution, pNe street and number) 9. Wes Decedent 01 Hispank Origin? ^ No ^ Yes 10. Race American Indian
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White
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Cumberland S. Middleton Twp. Ol yes. sp¢ciry Cuban, (
Puerto Rican
ITStL Mexkan
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11. D¢cetlenl's Usual Occ lion Nind d work done du' moll d world life. Do rot skle rethetl 12. Was Decetlent ever in the 13. Decetlent's Education (Specily ony highest gretle completed) 14. Marital Slatus~ Married Never Married, 16. Surviving Spouse (g wile, give maitlen name)
Kintl of Work Kind d Bad
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Armed Forces?
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Elementary / Secontl¢ry (0.12) College (1-0 or 5+) Witlowed, Divorced (Specil~
Truck Driver' etterkenny Army
I~Yea ^Na 12 Widowed
• 16. Decedent's Mailing Atldress (SVeel, city! Wwn, slate, zip codel Decetlem's Did Decedem
401 Walnut Bottom Road AduelReaiderrce na.swl¢ Pennsylvania LNema ~ Southampton
17c. Ves, Decedent Lived in Twp.
Shippensburg, PA 17257 rib. county Cumberland Township? t7tl ^ No Decoded Lived whhin
Actual Limos of Ciry / eoro
10. Father's Name (First, mitltlle, lest, sugix) iB. Mdher's Name (Firs(, middle nlabe s arce)
Carl Goodhart Georgia AigiTl~ands
20a. Inlormenl's Name (Type / Pnnl) 20b. IMOrmenl's Mailing Adtlress (Street, dry! kwn, slate, zip code)
Carla M. Miller 7813 Mcclays Mill Road, Newburg, PA 17240
21 a. M~eyth ~dsDisposillon ~ ^ Cremation ^ ponabon 276. Date of Disposgion (Month, tlay, year) 21c. Place of Disposition (Name of cemetery, crematory or other place) 2ldaosgypG(Cnv I lo~_state~r' code)
~] ^ Remmalirom Slate Wu Cremation or DOnalbn A
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^ ONer~ ily: ' byAbdicelE minerlCoronen ^yas^,.~¢ 6/9/08 Spring Hill Cemetery Cumberland Ct. , PA 17257
zz F relSe p 1 2zb.ucenseNamber zzc.NameandAddreseaFadtiq Fogelsanger-Bricker Funeral Home
Inc.
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P . 0. Box 3 36 Shi ensbUrg , PA 17 2 57
Complete teems 23ec any when cengyiltg 23a. io the best d my krtowdetlge, death rred M lne a ,date and
physician a not eveaable et seta d tleath to place slated (=gnatu~ thkJ 23b. License Numbe
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23c. Date Signetl (Month, day, year)
c ry
certgy ceuseddeath. - .,
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Who pronaxes death. 24. Time of Death _
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26. Was Casa.ReleO to Medkal Examiner /Coroner for a Reason Other Ihan Cremation or Donation?
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CAUSE OF DEATH (See (netructtona end examples) r Approximate interval: Pen IL Eder dher sipngipd mntl n ons mm bsx, qp to h, 28. Ditl Tobacco Use Conldbule to Death?
gem 27. Pan I: Enter the dlein of evens - dkeasea, Injuries, «oortrpications -Net dredty caused the tlealh. DO NOT enter terminal events such as ardac arrest
, Orsel b D¢elh but rid resugl k the untle n ease
respirerory artesl, or ventnexear gbriaation wglaut sMwinp the etkrbgy. Lill only one cause on each aria. i nB rtyt 9 given in Pan I. ^ Yes ^ Probably
^ No ^ udawam
IMMEDIATE CAUSE IFinal tlisease or ~•^ - ~'
cendlion resulting N ath) Y1Y-d~ r
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Due to (« es a con quence olj: __ ^ Nol pregnant wahk pest year
Sequ¢dislN tisl wntlitkns, N any, b. ~ Ps• /~T= /~: l ~~ ^ Prepnanl al time d deMh
leadingg to the cause Ikted on lice a. i
Enter the UNDERLYING CAUSE Due to (or es a consequence otf:
(tlisease or' 'ury that Ndiated the /a 6 1 ~~ a, r ^ Nol pregnam, but pregnant within 42 days
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coeds resdh~lg m tleaN) LAST
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Due to (or as a consequence olj, ~ ~ ^ Na pregnad, bW pregnant 43 days l0 7 year
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^ Unknown H pregnam wdNn the pall year
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30e. Was an ANOpsy 306, Were Amopsy Fnd
mgs 37 Manner d Death 32a. Dale d Injuy (Month, tlay, year) 326. Describe How Injury Occurretl 32c. Place of Injury: Home, Fann, Slreel, Factory,
Pedonned? Aveaable Prior 1¢ Completwn ,~,(
of Cause d Death? L Natural ^ Homkitle Ogice BuilOing, etc. (Spedty)
^ Yes ~o ^ Yes ^ No ^ Acaded ^ Pendng Imeslgatkan 32d, Tine d Injury 32e. Injury el Work? 321. II Trarspodalion Inryry (SpecilYl 32g. Location d Injury (Street, dly /town, :aalej
^ Sdcitle ^ Codtl Nol be Determirletl ^ Yes ^ No ^ Driver/Operator ^ Passenger ^Pedeslnan
M' ^DIMr ~ Specify:
33a. Cenilier (dreck only one)
33b. Signature ant Re 1 Canif r
• Cengylrg physlcian (Physk3an cerlgying rouse d tlealh when endher physktien has pronourxatl death entl completed Item 23)
To the best
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etlge, death occurred due to the ceune(s) and manner as statetl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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• Pronourrcing end cenitying physician (Physician both prono«Idrg demh and cenitying to cause d death) 33c. License Number 33d. Oslo Sigrmd (MOnN, day, year)
To the best o1 my knowledge, death occurred al the rink, date, arm place, arm due to the ceuce(s) end manner as abted
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On the basis d eaaminatbn and / or Imealigalion
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me, date, end place, entl due to the cause(s) entl manrrer es slaletl_ ^
34. Name end Atltlress al Person WYm Completetl Cause of Death Qtem 7/) Type /Print
35. Registrar's Signature entl eslrict Nu 36. Dale Filed (Mo h, day, year) .L > C~ ~ '
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Disposition Permit No. _UV ~~ /(YV ~ L //
average cf three separate appraisals. The choice ^nd costs of
said appraisals are to be the responsibility of ~.~ (~dephew.
I*~cluded with this option is an ^ption to purchase all of my farm
equipment and machinery for a price of One Thousand Dollars
C~1000.00J.
THIRD
I hereby grant to eac}-; of my
CDDDHA=; ' and DARO.. A .. ROSEPJBERR`~' , an
acre building lot to be subdivided Pram
u;itl-;in two years of?per my death aid prix
of my nephew's option to purchase.
sub iect to the discretion ^f mu E:.ecutri,:
FCJURTH
tw^ daughters, ~ARt.A !'1.
option to aurchase a two
my farm land at any time
c to the final settlement
Said lots to be divided
or her successors.
I give, devise cnd bequeath my two antique Sam Colt
Re~.:olvers, dated in the year 1B6z, one to my nephew Ate? EE~ i...
GDOD{ART , cnd one to my nephew ; R I CHA°D ~°IETZLER .
FIFTH
? give, devise and bequeath tree sum of One T}-?ousar3u Dollars
C:~1000.00J to Georgann Roser:berry, my daughter from a previous
marriage.
SIXTH
I give, de~~ise and bequeath ail the rest, residue and
Tema is ~C}er of my estate unto my wife, FRAPJC!~5 L . U303}[AR: ,
provided she shall survive me by thirty C30J days. In the event
my wife fails to survive me by thirty C30J days, I then give,
PAGE TWD
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devise and bequeath all the rest, residue and remainder of my
estate, in as nearly equal shares as possible, unto my twc
daughters, CARLA ('1. GDODHART and CAROL A. RQSENBERR`~', such as
shall survive me by thirty C30J days, per stirpes.
SEVENTH
I hereby direct that all inheritance, estate or transfer
taxes imposed upon my estate, whether passing under this, my Last
bill and Testament or otherwise, be paid out of my estate.
EIGHTH
Any and all sum or sums, whether in cash or in kind and
whether from principal or income, payabl to the beneficiaries, or
any of them, shall be made upon the sole receiat of the
respective individual t^ whom the payment is made and Free From
anticiaatiori, alienation, assignment, attachment or pledge and
Free From control by the creditors of such beneficiary. All
shares of principal and income herein given shall be free From
anticipation, assignment, pledge or obligaticn ^F any beneFiciary
and shall not be subject to any execution or attachment.
NINTH
I nominate, constitute and appoint my wiFe, FRANCES L. GOODHART,
Executrix of this, my Last Will ^nd Testament. In the event of
the death, resignation, renunciation ^r inability to act For any
reason whatsoever of my said wiFe, I nominate, constitute and
appoint my daughters, CARLA ("1 . GDODHART and CAROL A . F.OSENB~"RR`s',
as Co-Executrices of this my last Will and
PAGE THREE
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Testament. I hereby relieve my E::ecutrix or her successors from
the necessity of posting security in connection with her duties
ns such in nny ,~urisdictian ir, which she may be called upon to
act, insofar ns I am able by law to do sa.
IN WITNE55 WHERE[]F, ~ have hereunto set my hand and seal
to this my Last Will and Testament, consisting of four C~tJ
typewritten pages, the first three C37 of which bear mu
signature in the margin far the purpose of identification this
--~~~"'day of r~~~~ , 1985 .
~~ ~~, ~..
GEORGE C. GDDDHART, Testator
SIGNED, SEALED, PUBLISHED AND DECLARED by the above named
Testator, GEDRuE C. GDDDHART, as and far ;pis i_ast Wili and
Testament, in the presence of us, who nt his request and in his
sight and presence and in the sight and presence of each other
have hereunto subscribed our names as witnesses.
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PAGE FDUR
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CDMMDNIJEALTH OF PENNSYLVANIA
55
C~LINTY DF FRANKL I N
I, GEORGE C. GDDDHAF,T, the Testator, whose name is signed
to the foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed and
executed the instrument as my Lnst Will and Testament; that I
signed it willingly; and that I signed it as my free and
voluntary act for the purposes therein expressed.
C~ '~/~
GEORGE ~GDDDHART, Testator
Sworn ^r affirmed to and
acknowledged before me by
GEORGE C. GDDDHART, Testator
the __L~~ day of ~u~u.~~ ,
19BS.
Q,kk.2_ _ _ _ _ _
P~atary Public
___-.---
NOTF?Fi'v1i SE6~,'L
Jeanie Ma~i~ ~~~f: ~~~, 6~P~"'. ° r~l_!E~_IC
MY CAMMISS~N EkPIRfcS ,+'rRiL i i, 1892
PAGE FIVE
COMMONWEALTH ^F PENNSYLVANIA -
SS
COUNTY OF FRANKLIN
We, --~~~1_~L~~~=~~j and ~4~-~ ~ ~-- ~~~
witnesses, ~.~hose names are signed to the fGregoinc instrument,
being duig qualified according t^ law, d^ depose and sag that we
~x~ere present and saw GEORGE C. GO~DHART; Testator, execute the
instrument as his Last Will and Testament, that he signed it
willinglg and that he executed it as his free and ~ai~.:ntarg act
far the purposes therein expressed; that each of us in the
hearing and sight of the Testator signed the l.~ill as witnesses;
and that to the best ^f our knowledge, the Testator was at the
time eighteen or more years of age and under no constraint or
undue influence.
~~~
___~~~
~usorn to and ub cri e before
witnesses, this _~~dag of
~v,.c~v,~ ~ 1S8S .
Pdotaz-g Public,.
~OTARI.IL S~i~
>dSBURG, ~~~! d C! +, ~ ;
~W . ?!ON EXPIRES AP}~3~. ~ ;, i
PAGE SI;~