HomeMy WebLinkAbout07-01-08
Estate of
also known as
PETITION FOR PROBATE AND GRANT ~OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
File Number
Samuel C. Tusing
Deceased Social Security Number 165-26-57,9
Petitioner(s), who islare 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.•)
®/ 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 May 27, 2005 and codicil(s) dated None
rs
~~
_ ~ C:i
_~_ -~-,
(State relevant circumstances, e.g., renunciation, death of executor, etc.J ~-
C7 r""
r-
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted a;Fter execution of tGei+~rume~s) offered. _
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: None
.-t
B. Grant of Letters of Administration "^ ~ ~ ,
(If applicable, enter: c. t. a.; d. b. n. c. t. a.; pendente liter durante absentia; durtr~e minoritateJ N
N
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: (!f
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
(COMPLETE INALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
327 State Street Enola East Pennsboro Township Cumberland County PA 17025
(List sn~eet address, town/ciry, township, county, state, rip code)
Decedent, then 77 years of age, died on
June 26, 2008
at Harrisburg Hospital, Harrisburg, Dauphin County PA
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
Vatue of real estate in Pennsylvania
situated as follows: 327 State Street, Enola, East Pennsboro Township, Cumberland County, PA 17025
$ 16,000.00
80,000.00
Form RW-Ol rev. 10.13.06 Page 1 of 2
Wherefore, Petitioner(s) respectfully request(s) the probate of the fast Will and Codicil(s) presented with this Petition rind the grant of Letters in the appropriate form to
the undersigned:
~ .
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 cotrect 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 e the l~ day of
~- ~~
J
r the Register
Signature of Personal Representative
Signature of Personal Representative
File Number: C n/ ' y ~ ~~ ~~ `~~ r-- ,
~., ,--
_ _~, ~
Estate of Samuel C. Tusing , D'~~~sed
~ -
Social Securi Number: 165-26-5739 Date of Death: June 26, 2008' `,, ~ ;
_ ---a ..
i}
AND NOW, ~'~, in consideration of the :foregoing Petition, safactory proof
having been presented ~ fore , IT IS DECREED that Letters Testamentary
are hereby granted to Janet M. Snyder, Executrix
in the above estate
and that the instrument(s) dated May 27, 2005
described in the Petition be admitted to probate and filed of record as
FEES
Letters ............... $ ~ ~
Short Certificate(s) ........ $ Gv
Renunciation(s) ... ; _~ /... $ ~
~.. $
$
...
. $
.
.
. $
.
.
$
...
... $
... $
TOTAL .............. $ 6,.1h~~ ~--6,99--'
Supreme Court I.D. No.: 31979
Address:
Telephone:
130 State Street, P.O. Box 946
Harrisburg, PA 17108-0946
MBeshore@beshorelaw.com
717-236-0781
t~
;~
Form RW-02 rev. /0./3.06 Page 2 of 2
Attorney Name: Marvin Beshore, Esquire
I(15.R05 R['V iU)m~,
v~-~ ~~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
~ Fee for this certificate, $6.00
P "14540709
Certification Number
This is to certify that the information here given is
correct]y copied from an original Certificate of Death
duly ailed with me as Local Registrar. The original
certificate will be forwarded Co the State Vital
Records Office for permanent filing.
r~ ~u~ ~ o oos
Local Registrar Date Issued
I REV n2oos COMMONWEALTH OF PENNSYLVANfA • DEPARTMENT OF HEALTH • VITAL RECOFIDS
(ANENT
PRINT IN CERTIFICATE OF DEATH
.K INK
(See instructions and examples on reverse) $l'ATE FILE NUMBER
~-~ ,_-~;
-->
~~ ~
C ~:i ~.^ ,
7
~ <__
~~
_
~C7 _._
rU
N
1. Name of Decedent (First, middle, last. suffix) 2. Sex 3. Social Secunry Numoer 4. D t of Death (Month, tl y. year)
Samuel C. Tusin ' ~~
Male 165 - 26 - 5739 ~
5. Age (Last Birthday) Under 7 year Under 1 day 6. Date of Binh (Moron, day, year) 7. Birthplace (City and state or foreign Wunlry) Ba. Place of Death (Chet only one)
Moelns bays Hours Minutes HOSpllal' Dther'
77 Yrs. Jan. 14, 1931 Fairview Twp., PA ,y.yllnpaliem ^ER/om atiem ^DOA
p ^ Nursing Home ^ Residence ^Other ~ Specify:
Bb. County of Death 6c. Ciry, Boro. Trop. of Death Bd. Faciltiy Name {If not institution, give street afro rwmher) 9. Was Decadent of Hispanic Origin? ~ No ^ Yes 10. Race: Artrencan Indian, Black. While, etc.
Dauphin Harrisburg (II yes, specify Cuban (Specs 1
Harrisburg Hospital
ty White
Ma,;<an,aaaRpRlpan,,,<.)
17 Decedents Usual Occu tbn Kintl of work done dun most of workin tile. Oo not state retired 12. Was Dacetlenl ever in the 7 3. Decedent's Education (Specify only highest grade completed) 14. Marital Status: Married, Never Married, 75. Surviving Spouse (II wife, give maiden name)
Kintl of Work Kind of Business ~ Induslry•
Owner/Operator Machine Repair U.S Armetl Forcas~
~iyps ^Np Elementary condary (0-12) College (td or 5+) Witlowed, Crvorcetl (Specify)
~~l Widowed
16. Decedents Mailing Atltliess (Street. cny. town. state, z+p code) Decedent's Did Decedent
Penns
lvania
327 State St. A<walResidence na Slate y
Lrv@Ma ,7< ves DecedamLivedm East Pennsboro
® Twn
Eno la PA 17025
t7b county Township?
t"rrmharl anti t7d ^ Vo.DecedentLivedwmhm
s
4<lual Lmils of
Ciry;Boro
76. Father's Name (First, midtlle last, suXlx)
Dolie A
Fusing 19 hat's Na (Fi t, mi e, maiden surname)
~ar
a~i G~on~e
. -
y
20a. Into~mam's Name (Type! Pnn17 20b. Informants Mailing Address (Street, city! town, slate, zip codes
Janet M. Snyder 327 State St., Enola, PA 17025-3118
- 21 a. McMatl of Disposeion ^ Cremalbn ^ Donation 27b. Date of Disposition (Month, day, year) 27c. Place of Disposition (Name of cemetery, crematory or other glare) ltd Location ICIty /town, slate, np code)
[~ e@nal ^ RemovallromState i WasCremetlonorDOnationAulhorized July 1, 2008 Shoops Cemetery ower Paxton Twp PA
^ Dt er ~ Specity. by Medical Examiner! Coroner? ^ Yes ^ Na
• ~ ~
22a. SgnatuteQ F rte ce Licensee (a person ac~as sucn)
~ 22b. License Number 22c. Name antl Address of Facility
. ~
~.~•-~ FD 012 848 L Parthemore FH&CS, Inc., PO Box 431, New Cumberland, PA 17070-0431
Complete lams -c only when certifying 23a. Te the best of my knowlatlge, tleam occurred al the lime, dale and plac¢ stated. (Signat ure and title) 23b. License Number 23c. Dale Sk}ned (Month, day, year)
prysKxan rs trot available at time @I death to
cenHy cause of death.
- Items 24$fi muss be c eled son
amp by per 24. lime of Death 25. Da ronqunced Deatl (Month, y, r) ^
~ 26. Wes Case Referred to Medical Examiner 1
.Coroner for a Reason Other than Cremation or Donation?
wlq pronounces tleath. ~ ~~
M. /
av ~
^ Yes No
CAUSE OF DEATH (See instructions ntl examples) , Approximate interval:
(tam 27. Pan I: Enter the chain of events -diseases, in,unes, or rnmplications -Mat tlirecdy caused Ina Ih. DO NOT enter terminal events sucn as cardiac arrest Part II: Enter other significant ,wnditions <pntribut na to a h, 28. Ditl Tobacco Use Conlribule to Death?
respmlpry artesl, or ventricular libnllation whhoul showing the etiology. Lill only one cau on each Nne. , Onset m DeaM
r nut Iwl restating m the underlying cause even in Pan I. ^ Ves ^ Probably
/ S
IMMEDIATE CAU$E
inal disease or
r
I ~ ^ Na ^ Unknown
~
\ e
coMtiion resulting in ath)
a t 29. II Female.
_'
Due to (or as a consequence of): ^ Not pregnant within past year
Sequentially list CMdIIbILS, ti any, b
lea6 Ip Ina rouse listed on line a. ^ Pregnant al time o! tleatn
Due lq 0
Enter UNDERLYING CAUSE I r as a consequence oQ:
^ Not pregnant out pregnant within 42 days
(tli$eaae or injIury' mat inlllatad me q 01 death
events resultihg m death) LAST
Due to ;or as a consequence of). ^ Not pregnant. but pregnant 43 days to 1 year
d. i celore d@aM
^ Unknown ti pregnant wrthln the past year
30a. Was an Autopsy 30d. Were Autopsy Findings 31. Manner of Death 32a. Dale of Injury (Month, day, year) 32b. Describe How Injury Occurred 32c. %ace of Injury: Home Farm, Street
Fa<lory
Pedormetl?
Availede Pnor to Completion
^ t'iatural ^ Homicide ,
,
Office Building, etc- (SpecdyJ
of Cause of D@alh?
^ Yes H No ^ Yes ~ No ^ Accidem ^ Pentling Investigation 32d. Time of Injury 32e. I%ury at Work? 32f. It Transponetion Injury (SpecityJ ;~2g. Location of Injury (Street, city! town. stale;
SWCde
^ ^ Could Na tre Delarminatl ^ ^ No
Yes ^ Dnver! Operamr ^ Passenger ^Pedestnan
M ^Olher ~ Specity'
33a. Certifier (check only one) 33b Si nature antl Tltk of Cenilier
• Cenitying physcian (Physcian cedilyi~ cause of death when another physioan has pronounced death aM completed Item 23) (_~ ~ t,~
To the best of my knowledge, death occurretl tlue to the cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ~ C-
• pronouncing and cenitying physician (Physician Oath pronouncing tlea:h and cenirying to cause of death)
To the best of m
knowled
th oc
e
de
rred
t th
ti
d
t
d
l
d tl
h
^ 33c. License Number 33d. D Signed (Month, day, year
'
-
y
g
,
a
cu
e
a
me,
a
e, an
p
ace, en
ue to t
e cause(s) antl manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• Medical Examiner 1 Crooner \,1 L~ L y 1- ,1
~ V ~~
p~ O
IY 1 I/ -( 9
/{
A
On the basis of examination antl I or investigation, in my opinion. tleatn occurred m the Ibne, date, and plec¢, and due to t
_~,-- he cause(s) and manner as stated_ ^ O
V
Cause of a (Ilpm T t
~ Na ~a55,61~pr ~C•rppe~
j
j
2/J,~) j~
\ ~ ydl / /I n ~
GL
35. Registrar' i attire and Drst~l~n /
/
J i ~
/
/' 36. Dafa•Fil¢d (MOgln, tlay, year)
/
/
^ ~
~
K
(
_~
,
//.~/
~(/
/
T
/
/
/
I
C
® m. '
~".-__ Lc~ ~ ~ ~ ~ { G
vf
J/
~7~ p~,g /
~
R
~
-_
j
/ ~p
~ ~JPmc~ NE
~O
~--
/ G` ~
GG
ic~d
~
Disposition Permit No. /~ ~ 7 ~ `+ `•' `-r
-_,
--~
L J
LAST WILL AND TESTAMENT ~ ~ cy~
s __
4___
OF _ _ _ _~
-r°:~~
SAMUEL C. TUBING
1, SAMUEL C. TUBING, of the Borough of West Fairview, Cumberland County,
Pennsylvania, being of sound mind, do make, publish and declare this to be my Last Will and
Testament, hereby revoking and making void any and all former Will~~ made by me at any time
heretofore.
1. I direct that the expenses of my burial and all my debts be paid as soon after my
death as may be convenient to my Executrix hereinafter named.
2. Death taxes: All federal, state and other death ta~:es payable on the property
forming my gross estate for those purposes, whether or not it passes under this Will, shall be paid out
of the principal of my probate estate just as if they were my debts, and none of those taxes shall be
charged against any beneficiary. This provision shall not apply to any prcperty over which I have a
general power of appointment fox federal estate tax purposes.
3. I appoint as my Executrix of this Will, my daughter, JANET M. SNYDER,
provided she survives me by more than thirty (30} days. If my daughter does not so survive me or is
unable to serve as Executrix, I hereby appoint my sister, MARY F. WEAVI~R as Alternate Executrix.
~..._
,~ ~~ o
4. I give all my property, real, personal and mixed, as i:ollows: Seventy-five Percent
(75%) to my daughter JANET M. SNYDER; and Twenty-five Percent (25%} to my grandchildren
living at the time of my death, share and share alike. Should any of my grandchildren be under the age
of twenty-one (21) at the time of my death I give such grandchild's share in trust to my daughter
JANET M. SNYDER to beheld for such grandchild or grandchildren's benefit until each reaches the
age of twenty-one (21).
5. In the event that my daughter, JANET M. SNYI)ER does not survive me, I
give all of my property, real, personal and mixed as follows: Twenty-five Percent (25%) to my sister,
MARY F. WEAVER; and Seventy-five Percent (75%) to my grandchildre~i then living, share and share
alike. If any of my grandchildren are under the age of twenty-one (21) at the time they would take
hereunder, I give such grandchild's share in trust to MARY F. WEAVER to be held far each
grandchild's benefit until such grandchild or grandchildren reach the age of twenty-one (21) at which
time it should be distributed to each.
6. I give to my Executrix and Trustees all those powc;rs granted by law pursuant
to the Pennsylvania Probate, Estates, and Fiduciaries Code. I direct that their authority be construed
in the broadest manner consistent with validity and with their duties as fiduciaries hereunder in carrying
out and executing my Will.
- 2 -
7. To the extent that such requirements can be legally waived, I direct that my
Executrix and Trustees shall not be required to post any bond or give any security in connection with
their duties hereunder.
IN WITNESS WHEREOF, I, SAMUEL C. TUBING, have he:reunto set my hand and seal
to thi , my Last Will and Testament, which consists of five (5) typewritte~i pages, this ~ day of _
2005.
`~
SAMUEL C. TUBING
Signed, sealed, published and declared by the above-named, SAMUEL C. TUBING, as his Last
Will and Testament in the presence of us, who at his request, in his presence and in the presence of each
other have hereunto subscrib our names as witnesses.
1 of ~l ~ V'w''~
Witn s ~, /~ /` / 7~,v
'~~,~-ct~ ~y,.tv'
Witness s
i
~~
of ~~~ ~~. ~ Y .~~y~t,~
~~.
,,
- 3 -
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA )
ss.
COUNTY OF ~R~..~1~ ~'' )
I, SAMUEL C. TUBING, Testator, whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed and
executed this 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.
SAMUEL C. TUBING
Sworn or affirmed to and acknowledged before me, by SAMUEL C. TUBING, the
Testator, this ~ 7~~"day of ~ ~- ~- , 2005.
f ,
Notary Public
COMMONWEALTH OF PENNSYLVANIA
Notarial Se~sl
Anne Marie Beshore, Notary Public
City of Harrisburg, Dauphin County
My Commission Expues Apr. 5, 2008
Memb3r, Pennsylvania Association of Notaries
- 4 -
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
h~~y~ > gs.
COUNTY OF ,l-~rtiz )
~J ~ ~ y~
We and L LJI'~ C~E+~.L>! J~j,/Y`•, the witnesses whose names
are signed to the attached and foregoing instrument, being duly qualified according to law, do depose
and say that we were present and saw the Testator sign and execute the insttvment as his Last Will; that
he signed willingly and that he executed it as his free and voluntary act for the purpose 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 18 or more year~~ of age, of sound mind and
under no constraint or undue influence.
Sworn or affirmed to and subscribed to before me by these witnesses, this / ~tt day of _
~ ~ , 2005.
- --~ - --
C MM NWEALTH OIF PENNSYLVANIA
Notarial Seal
Anne Marie Beshore, Notary Public
City of Harrisburg, Dauphin Courtly
My Commission Expires Apr. 5, 2008
Member, Pennsylvania Association of Notaries
- 5 -