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07-08-08
PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Evelvn B. Stevens File Number 21-08- ~~(~ also known as ,Deceased Social Security 120-10-2007 Petitioner(s) who is/are 18 years of age or older, apply(ies) for: [X] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor named in the last Will of the Decedent dated August 24, 2000 and codicil(s) dated N/A (state relevenat 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: COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her last principal residence at 388 Heiser's Lane Carlisle, PA 17013 South Middleton Township (List street address, town/city, township, county, state, zip code) Decedent then 88 years of age died on 30-Jun-08 Decedent at death owned property with estimated values as follows: '~ (If domiciled in Pa.) ~~~~~ (If not domiciled in Pa.) ' (If not domiciled in Pa.) Value o~ e~te in Pennsylvania .- F~ ~--- situated as follows: / C7 CD r _~~ ~ ~ _ -' .2 rte- r.°" ~~ -~ C ~ - 3% :3t ~ ~ + ~s--t ,~" v , Page 1 of 2 [ ] B. Grant of letters of Administration (If applicable enter: c.t.a,; d.b.n.c.t.a.; endente liter durance absentia; durante minoritate) 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.) Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters OATH OF PERSONAL REPRESENTATIVE COMMONWEATLH OF PENNSYLVANIA COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition are true and correc to the best of the knowledge and belief of petitioner(s) and that as personal representatives} of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed befor me this For the Register File Number: ~~ U`6 y~~- ~ , _ ~~`~' _._, .. ~ ~ Estate of Evelyn B. Stevens ,Deceased Social Security Number: 120-10-2007 Date of Death AND NOW , 20~in consideration of the Petition, satisfactory proof having been presented befo e me, I IS DECREED that Letters Testamentary are hereby granted to Dorothy E. Sileo in the above estate and that the instrument(s) dated August 24, 2000 described in thte Petition to be admitted to probate and filed of record as the las Will (and Codicil(s) of Decedent) FEES Letters ~ J~ DiLY) (~ Short Certificates 3 1a Signature ~ 1 ~ ~ ~ ~.~ Attorney Name Stephen D. Tiley 32318 Sup. Ct. I.D. No Renunciation 1.JI ~ ~ f S Address: ~~,~v ~ Telephone TOTAL... f C~° 5 South Hanover Street Carlisle, Pennsylvania 17013 (717) 243-5838 ~- _-; ;.. ._.~ _, Y =~ . ~, Page 2 of 2 _" 105.805 REV (Ol/071 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 t,,,u~~"""""~--.. This is to certify that the information here given is ft a~TH OF pE'' correctl co ied from an on final Certificate of Death ~,•~`'tlo~~~ ~~`~l _ duly filed with me as Local Registrar. The original °~ _ =~ z certificate will be forwarded to the State Vital ~ " ,,~" ~a~ Records Office for permanent filing. ;* ~ *: P 1.649069 ~oF~g9lM= Q~~~P~?kk ~ A.F ~ J L 1 211(18 „ ENT / Certificatiion Number """""""tln Local Registrar Date Issued -- CV CCC~~ "-~-- "tea.- 0 4:SC.1 _ __ __ ,- ; ~ ~y~ c r- < j ?m ) r l Tom?'} : L.-~' ..~ ~ ~ I l~~ ~ l' _.~ -•-i ~ - _ ~ { i r ~ -. ~ +.~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS 5143 REV 112006 IN CERTIFICATE OF DEATH ` " ~ PERMANENi BLACK INK (See instructions and examples on reverse) STATE FILE NUMBER ~,\ G 6 b 1~1 1. Name d Decedent (FlrM, mkldb, last, auAd) 2. Sex 3. SodM Seanry Number 4. Date d Deam (Month, day, year) del B. Stevens F 120 - 10 - 2007 June 0 2 5. Age (Lest BldMey) Under 1 Undw 1 day 6. Dale d Birth (Month, tlay, year) 7. Binhplace (City and Mate w roreign country) Be. Place d Death (Check any ono) kennw Osys Haxs ~~ Hospital: Omer. 88 Yrs 2/21/1920 Bronx, ~ ^Inpatlent ^ER/OUIpeMM ^DOA [Nursing Home ^Residenm ^Omer~Spedty: _ Counry d Deam Bc. City, Born. Twp. of Death eb ed. Fadlity Name (lf not ireklutlon, give sheet end cumber) 9. Wes Decetlant d Hispanic Orlgln? ~, CNO ^ Vas 10. Race: American Indan, Black, Wnite, etc. (spea~M t d ont . Orland Middlesex Twp. o, yea. epe y p Claremont Nursing & Rehab. Center Mexkan, Puerto Rican, etc.) White 11. Demdeds Usual tlan Kind d work done N' moll d waki Itle. 0o riot Mate retl 12. Was Decedent ever in Vre 13. Decetlent's Education (Spedry Doty highest 9mde completed) id. ~ n~~~ ~ M ~~r Menied. 15, Survivirg SIB (II xdfe, gWe maiden nemel Kind d Wark Kind d Business I Mduaby U.S. Armed Forces? Elementary / Sewrxfary (0-12) College (1d or Sr) W w d - d BOO PA rt. of A icult i o e re ^vea [}}Na 12 • 18. pemtlam's Maghg Atldrass (SIreM, dry I town, slate. np coda) OecedenCs Did Decedent Decedent Lives in SO11tY1 Mi d131 Pt(?Tl Twp. PA LNe m a 77c ®Yes 388 Heisers Lane . . Adml Residence 17a. Sete TowrWYp7 17tl.^ A ~~wXNn ~/& Cumberland i • Carlisle, PA 17015 m 1ro.caa,ty ue lmals c 18. Fatlafs Name (FlrsL mitlde, last, eu8a) 19. Mather s Name (Flrs4 miJda, maiden surname) n - Birbeck Evel Geor William Crosby y 20h. Inlortnant's MMling Address IStreel, dty / rown, stele, zip code) 20a. IntonnenCS Name (Type I Print) 6390 DeMarco Trail Verona WI 53593 roth Sileo l i d Ci /t M F 21 a. Memod d Dispoeilbn ®Cremetim ^ Donation 21 b. Date d Disposition (Madh, day, Year) p co e) ty own, a e, z m ( 21 c. Place of Dispmitbn (Name d mmdery, crematory a dher place) 21d. Lam ^ Burial ^ Remmel howl Slate I Wee Cremsllon a Donellon AutllorlxM ^ w ® 0 P C S Yes No 7 2 20 ^ Omer, sv~7 I M ANdkal Examiner 1 Caonar7 ~ 22a. SlgmNre d For ~ Licensee (w es 22b. License Number 22c. Name and Atltlress d FaMliry FD 012633 L Davin Brothers Funeral Hone, Inc., Carlisle, PA 17013 ~ Conplste Items 23et qtly when mnirying 23a. Tc tlw bent d my , dmm acaxred at the dme, dMe and place slated. (Signature ant line) 23b. License Number 23c. Dale Signed (Marth, day, year) pwyMdan b rot avaikde at Fme d dmm ro , mrdry reuse d tleem. Time d Deem 26. Date Pmrauxad Dead (Mmm, day Year) 26. Wee Caen Referretl W Metlkal Exemirrer /Coroner for a Reason Omer then Cremation a oaneaon? 24 . Items 2428 nxm M axtlpleted by Dersort ^ Ves ~ No who prenaewrea dram. M. CAUSE OF DEATH (See IneWCUona and axempNe) r Approximate mtervM: Pan II: EMw Omer ~,~x:..m axd'diaw mMdee~ van in Pan I ri i se i N tl 28. Ditl Tobacco Use Caddbule Ia Deem? ^ Yes ^ Prebably Item 27. Pan I: Eller the chin d ewxas - diseases, mjuMs, a compkallau-met directly caused ma deem. DO NOT enter terminal events such es mmAac arreM, Onset ro Deem . ng mu E n e un e y ON rid reeuking U k reapiretory artaM, or veMricdar Abrilletian showing me ebabgy. list only aw muse an each Foe. ~ riovm n ^ No ^ ~~nM /~ WMEOIATE CAUSEdeetll)a~~ or /J) N ~ rn. ),1" ~ ~ ~A iY ~uM/IA. r ~ li " r' ` [! ( / [ /V ~ (~. { in death Ni diti 29. tt Female: ^ Not mm within past year re ; / m resu rq ax _~ e. Due to a as a cansequenm o0: l H p g ^ pregnant al time d deem any. b. ~ $epMMieXy tlst cond8aa, to IFa rime RMed m Foe a ked n ^ Nd pregnant, but pregnant wthin 42 days ~ g . Due to (a ab a consaguer~ce oQ: r Eller tlx UNDERLYRM. CAUSE mat mitleted me d ' d death xyury ( eeesa a events resultirq in deem) LAST' o ^ Nm Dregnem, bd pregnant 43 tleys to 1 year Dm to (or as a mnsequwim oq: ~ r betas deem ^ Unknown tl pregnant wlmin me pest year d e 30e. Wu an Auropmy 30b. Were Aulopay Fkidnga 31. Harmer d Dmm 32a. Data d Injury (MOnm, day, year) 32b. 0escdba How Irqury Occurred 32c. Pkm d InKxy: Horne. Felm, Sheet, Fedory, OAk;a BWMmg, ace. (S'pemty) PManmd? Avaiehle Prior ro Canpledon ~171p,,eNrel ^ Homidde °"" / ~ d Cewad Deem? (r' ^ Acddenl ^ Penang Imeetlpetlon 32d. Time d Injury 32e. Injuy at Wok? 321. N Trenspdtetion Injury (Spedly) 32g. t.amtron d Injury ($IreM, dry I town. Male) ~/ ~ [~ ^Yes ~iw ^Yes ~ d ^ Yes ^ ~ ^Dr'xrer/OparaM ^Pessen9ar ^Pedeelnan ^ Sddde ^ Cwkl Nd M Detemtlne M Omer ~ Spedy: 33b. SlgneNre end T41e d ~ ~~ ( mty ~) • CenKyAtg DAYa~ lP~1y~n mniMn9 muse of dmm when another physician has premunced deem antl completed tlem 23) To 1M Mat of my knowNdga, barn occumddue Mthe ausa(al~~rvrr as sated,.________________________________ License Number 33d Date (MOnm, day, ymr) 33c • Pronouncing ant canilyin9 physklen (Physician both prmarxwtg seam ell ceMtyin9 ro muse d emm) end Place, antl due to tM muegs) ant manner ae ahled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ deN deem oaunatl H tM tlme Nd a d N . q 1R~-~~ f 1 ~ .~ 7 , , now g , my To IM best ~ ~ ~ - ~ ©/ U 4 1 Metlkel Eamnimr /Coroner s s • On IM Mela d examination antl / w invemigetlon, In my opinion, death oauned at the time, dak, end phm, end due to tM cwae(e) arM manner ee MatxL ^ 34^Nam~e and Ad~d~ms)s of P1e~rson Who Conglaled Cause of Death (Item 27) Tyyle~/\Pri~nt ~v.,,,r~ ~~/) ~ J ~ Z ~ V " ~ ~~~ / ~ ~ I J 1 ' I , ~ 35. R Signature arp DistrµtNwlnMr Dale Filetl (MOntn, tlay, ye r) R"~r ~~ ~ "' - ~ ' o a~ ~~~ Dlsooslbon Pwmil No. ~~ LAST WILL AND TESTAMENT ~~? :`=' -~. ca ~~ OF ~~~ ~ ~/i l EVELYN B. STEVENS ` -' c c - ` ; ? ~ / . ~, ~ - ; _ , . c ~-, ~ _- ~~ Evelyn B. Stevens of South Middleton Township I (388 Heiser's Lane ~ ~~ , , , , Carlisle), Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all Wills and Codicils heretofore made. FIRST I direct the payment of my just debts and funeral expenses as soon after my death as may be convenient. I direct that all federal and Pennsylvania estate taxes, Pennsylvania inheritance taxes, and generation-skipping transfer tax payable as a result of my death, not limited to taxes attributable to property passing under this Will, shall be paid by my Executor from my residuary estate, including any part of my residuary estate that otherwise qualifies for a deduction for federal estate tax purposes, however, no federal or Pennsylvania estate tax, Pennsylvania inheritance tax, or generation-skipping transfer tax shall be payable from or chargeable to any property that passes to my surviving spouse, whether under this Will or otherwise, and that qualifies for the federal estate tax marital deduction. I direct my Executor not to seek reimbursement for any tax so paid from any beneficiary under this Will, heir of mine, or other transferee of property included in my gross estate. SECOND I declare that I am now the widow of Marshall C. Stevens, Jr., who died June 12, 2000 and that we had three (3) children, to wit: Dorothy E. Sileo, of 6390 DeMarco Trail, Verona, Wisconsin; Richard W. Stevens, of 1804 Green Street, Harrisburg, Pennsylvania 17102; and Douglas C. Stevens, of 37543 Amrhein, Livonia, Michigan 48150. I have no deceased children nor any other children. THIRD All the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath, in equal shares, per stirpes and not per capita, unto such of my children as shalt survive me by ninety (90) days, but should any of them fail to so survive me then the share such deceased child of mine would have received shall pass to such of his or her issue as shall survive me by a period of ninety (90) days, per stirpes, and if there be no such issue the same shall lapse and be added to the remaining share or shares. i have three children, as aforementioned. FOURTH I hereby nominate, constitute and appoint my daughter Dorothy E. Sileo as ` Executrix of this my Last Will and Testament. In the event of the renunciation, death, (' ~ resignation or inability to act for any reason whatsoever of my said daughter, I nominate, constitute and appoint my son Richard W. Stevens, as Executor of this my Last WII and Testament. In the event of the renunciation, death, resignation or inability to act for any reason whatsoever of my said son Richard W. Stevens, I nominate, constitute and appoint my son Douglas C. Stevens, as Executor of this my Last Will and Testament. I further direct that no bond or other security shall be required of any Executor or Executrix appointed in this Will for the performance of his, her or its duties in any jurisdiction in which he, she or it may be called upon to act. The terms Executor or Executrix may be used interchangeably in this Will and shall refer to any Executor or Executrix appointed in this will, or any other Administrator appointed by a court of competent jurisdiction. FIFTH In addition to, and not in limitation af, the powers conferred by law or by other provisions of this Will, my Executrix shall have the following powers, each of which may be exercised from time to time by my Executrix in her sole discretion: (a) To retain in the form received, and to sell either at public or private sale, or to distribute in kind, any real or personal property. (b) To manage both real and personal property. (c) To invest and reinvest in a(I forms of property, notwithstanding the fact that any or all of the investments made are of a character or size which but for this expressed authority would not be considered proper for an Executrix. (d) To exercise any option or rights arising from the ownership of investments. (e) To compromise claims without court approval and without the consent of any beneficiary. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament, written on three (3) pages (including notary page), this 24th day of August, 2000. -, rt ~ ~ lJ ~ ~~-c~~~~ (SEAL) Evelyn~B. Stev ns Signed, sealed, published, and declared by Evelyn B. Stevens, the Testatrix above named, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. COMMONWEALTH OF PENNSYLVANIA ) SS: COUNTY OF CUMBERLAND ) We, Evelyn B. Stevens, the Testatrix in, and Stephen . Miley and Mary C. Wert ,the witnesses, to the Last Will and Testament, the attached or foregoing instrument, who have signed the instrument, having been duly qualified according to law do depose and say: a. that f, the Testatrix, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and b. that we, the witnesses, were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament, that she signed it willingly and executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Last Will and Testament as a witness and that to the best of our knowledge the Testatrix was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. Al-LV~In.` Ll ~ i L Subscribed, sworn to and acknowledged before me by the Testatrix and the witnesses above-named, this 24th day of August, 2000. ~~ ..~J. Notary Public NOTARW. SEAL. ROBERT d. FREY, NOTARY PUBUC caaus~, cut,~s~Rw+o COUNi1f, PA MY COMMIS810N EXPRIRES.WNE ~ 2002