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Home My WebLink About07-02-08PETITION FOR PROBATE AND GRANT Ole LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Donald L. Dellinger also known as File Number COUNTY, PENNSYLVANIA ~.,~GC~ ~ - C;'7<?S Deceased Social Security Number 200-28-6874 Petitioner(s), who is/are 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 Executor named in the last Will of the Decedent dated October 6, 2006 and codicil(s) dated NONE tv v ::~ ad -_ ~ (State relevant circumstances, e.g., renunciation, death of executor, etc.) ~ -~ C7 t~~' c_. _ '- Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after a;xecution ~ menus) offer~~ r for probate, was not the victim of a killing and was never adjudicated an incapacitated person: NONE rui N _~'t `-:;` C'yC7 .~_> g~i ~ -_,~ B. Grant of Letters of Administration ~~ ~ ==~~'~ t~~ ~f (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente life; durante absentia; dam oritate) .. i` ; N '-.: Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) abA~heirs: (lf 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 Re{ationshi Residence (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 1269 Hillside Drive, Mechanicsburg, Monroe Township, Cumberland County, PA 17055 (List street address, town city, township, county, state, zip code) Decedent, then 71 years of age, died on June 17, 2008 at Holy Spirit Decedent at death owned property with estimated values as follows: (lf 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 follows: 1269 Hillside Drive, Mechanicsburg, PA 17055 $ 340,000.00 R 350,000.00 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: ~, ~ \ ,' ;~.~ ; " ~%` ~ ~ Robert Lichliter, 3641 Chestnut Street, Camp Hill, PA 1 ; Ol 1 ~. Form RW-02 rev. 10.13.06 Page I of 2 f ,.. .~-F ~~-ri i~ i`(1 ~,, Oath of Personal Representative ~,;:~ ; ~~-~ ;~~ ~~ -~ "~ COMMONWEALTH OF PENNSYLVANIA t~~a ~~~ ~2 ~~ ~; 25 SS COUNTY OF CUMBERLAND The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoin~~;~~~~ ~~} dpc~orrect to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the D~~'(~ F'~~et~'wvtlT~vell and truly administer the estate according to law. /; / ~ i" Sworn to or affirmed and subscribed of the d~ of ,~ ~~ ~ ~ or the Register Signature of Personal Representative Signature of Personal Representative File Number: ~/~ ~ `~ /~C J--~ Estate of Donald L. Dellinger ,Deceased Social Sec ity Number: 200-28-6874 Date of Death: June 17, 2008 / ^~~ AND NOW, ~/ , ~~- ~~~ , in consideration of the foregoing Petition, satisfactory proof having been presented b fore , [T IS DECREED that Letters Testamentary are hereby granted to Robert Lichliter in the above estate and that the instrument(s) dated October 6, 2006 described in the Petition be admitted to probate and filed of record as the t Will and Cod cil(s)) of Dece e ~. ~~~ ~1 ' ~~ Q ~~---- , FEES , /~ , ~CU Register of Wills n ~~ q ~ ~ ~~ ~/~/ Letters ............... $ ~/ l~ •n~ ~ t ~~ Short Certificate(s) ........ $ ~ . ~ Attorney Signature: i~A~.• ~ • t~/~-.t~A.I~ Renunciation(s) $ Debra K. Wallet, Esq. ~`(j ,~ ~ ~ ~ C ~~ Attorney Name: ~G ' ~ ~ Supreme Court I.D. No.: 23989 ~,~ L`~~' $ `~ 24 North 32nd Street $ Address: $ Camp Hill, PA ] 7011 ... $ ... $ • • • $ Telephone: (717) 737-1300 TOTAL .............. $ - ~""° Form RW-02 rev. 10.13.06 Page 2 Of 2' l~--J T N OF DEATH C~ LOCAL REGISTRAR S CERTIFICA 10 WARNING: It is illegal to duplicate this copy by photostat or photograph. 1 t°~• (1>r [leis cr:~rtificatc, `56.00 _ _P ~t45~36~~ Certific.Uio^ Number I H106.IN REV 11!1006 'a• TYPE / PRWT IN PERMANENT & ACK INK 13 i5 This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will he forwarded to the State Vial Records Office for permanent filing. Deal Registrar ate Issued o b en t~ ~ ~ ^ ,, C r. - i '..r ~ r. F; y i"I ~ :~.,~ t ~-1 _.~~ N ~: ~ -~ ~ ~ ~=t ~ ~ rz ~ ~~ t N ~ .a U7 fi COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CORONER'S CERTIFICATE OF DEATH (See Instructlona and examples on reverse) ,,„ram ~„ ~,,,,,,o~a t. Name d Decetlua (Potl, naaf4 4tl, sul6x) 2. Ssa 3. Soda! Seaany NuMar e. Dab d Decal 1Mam, MY. Yar) Donald L Delli nger Male 200 - 28 --6874 June 17, 2008 5. Aqe Intl RamaaY) Ulldar I Under 1 M 8. Dab d &M (Monts, M ,year) 7. Bi sna tltls a ga. PMCS a Dean Chen are 71 ""'~" °i" "°"' "`""" Sep. 17, 1936 Mt. Jackson, VA '~`~ °tli°` Yrs. ^ IrpaMd R / GApeYerM ^ OOA ^ Nursag Hans ^ Resitlence ^I)epr - SWOaY ' eE. Coasy d Deam &. Ciy, Ba Deem 8a. Fadlay Narre IN rid vletWAion, pve etrda W nurllbdr 9. Was Deoedda d FNSFarib Oripn7 ~ Yb ^ Yea 10. Rw: Anrdgn Vldan, aedc, lrltsa, eb. Cumberland East Pennsboro Hol S irit Hos ital 1°wa.awdticuD.n' (SV~1 Y P P Mddcan, Poem wrr, dc.) White t I Decadwa's UvW tim NiN d work done ~ most d ~ Ne. Do n a a b stir V 12. Was Dacedanl wu h 1M /3. Dea,dup's EducaNOn I~ odY Npneu prove mripMled) 11. MuNtl $bmd: MarMd, Never MuMd, 15. Sumwq $gwas (M cats, pica nsaiaan runwl U AmsdFamaT S O DF a S Wtl ~ d ~a l ry Citroei~pscialist d$uoEomo l . . , arp ( °wa pepM Ebnwllery/ (tr12) Cdbgs(1-IOrS.) 1" Widowed lbw ^No . 16 s AONess greet. dry / gsvn, stale, zip coos) 1 9 Hi~ side drive Decedent's Di0 DereMrp Monroe Aa ~P PA u s l a T~ ~a „a tl. na „~.~lraa,oa~lk;,a,b Mechanicsburg, PA 17055 „b ~„„ry Cumberland T°'"w'"PT YTa. Cl No,oereadauwawdw, Aaud liilps d Dry / Bem ,e Fetlrra Name !teat. mlma'md.aWa) Noah F Dellin er g 1g. Momu's Ndre lrae(wme, nlyderl awrlenw) . Della Ctick 20a. keantwC: Nam. (lype/Pawl Robert Lichliter 206. MamuK'e MUgW Mdresa lSUed'rAY(bvm'dab'apcab) 3641 Chestnut; Street Camp Hill, PA 17011 zla. Memos d uspoaltm ^ Gametan Daudori 2tt Dab a DisposAbn (Mom, My, year( 21c. Pun a oropocilion (Nurw d c«relwy, ne'rolay a otlwr Pawl z1a tocanm Icry / cam, cab, zip Waal ^ p &"a' ^ RemwtllromSble DaCb~AU mothaw ~ e ~ ~ n June 20, 2ooe Humanity Gifts M.S Hershey Medical ~ r r ~^~ M l tlE rr atl . Hershe Pa 1 7033 ~ 22a. Furertl K seal 22b. lkuss Number 22c, Nuts sna Addms d Fedny . ~ ~ FD-012662-L Myers Funeral Home, Inc. 37 East ~Aaln Street Mechanicsburg, PA 17055 Nwre <oNy wtwn owaWq o me wtl a Nlodadge, Mam occarea tl Nn time, atle ud I>lara ablw. (siryware and tine! z3b. lkwre caaro~x zx. Date Sigrw IMomn. say. year) pnyaran s oa waaada al 11nw a seam b ~rw ause d dean. hams ~~za mad a wnR44d M wrwn za, TYne a D•sNl zs. Oab Praaaraa Dew IMam, MY. wad 26. Wu Cass Rdenw to Medctl Eaaniwr / Coraw for s Reason OVur man G a DantlaanT cam a~a.Iree Mda. , 7:50 P. M. June 17, 2008 ~vea []No CAUSE OF DEATH (Sea lnstruNlona and eaamPbs) , Appraanue kaend: Item 27. Pan I: Enter me pain d evwna -diseases, VWvies, a canpiraaons - mat dranly caused me loam. DO NDT enter brmnal events auto u coda anew, s Onsd to Deam ' Pan N: Eraer a0br ~~ ~ bd na resaNl° b me urMrtY:y reuse pivwt b Pan 1. 2g. Dies Tdseao Use CwwBde b Deam7 ^ Yes ^ Prabebyy us, s Iy~~ respr~a~bary~anew, a vergriaear ihrilatim wmod dawag are etiobgy. lot anry ore cause on eadr I a r g ^ No ^ Urikrown rnstim ~~g n dsam) i a, Hypertrophic Cardiomyopathy ~ CHF, Remote MI, CABG 2N.NFemaN: Due b la as a casegdrke al: ~ ^ Nd neQlda rMan pad year 5grrwat~ act mtdsicrs, a wry. p. s b tfw rase licbamkrr a. ^ Preprwa tl tans d dean Duebla ass INYOERLrIND CAUSE consea+alre o0: ^ Na preNrea, aA prequa weNn Az aaYa (disease a ayay mu waneedd me c. i weds raueerq w deaml UST. r a scam D,,, b la as e casequerw;s dl~ I ^ Nd PeVwY• UA WePuN a3 Mya b 1 Y•u s d. s beWe deem ^ Unkrlowvl it prsVwm welan oar Past War 30a Was an Aaassy PabnredT 30b. Were Aubpq Pralage Avasab4 Poo b Gar tebon 31. MaMd d Dean Sta. Date d IMaY IModn, MY. Year) 320. Demvba lbw aMaY Oeaared 32<. Plpu d Y~ay~. Hare. Fame Soeat, Faolory. D k p Nawru ^ HariiaM O a &MdiW Mc. ~/ a Cause d Oeem7 ^ Yes ~Ib ^ Yes ^ No ^ Acadanl ^ PeWinp Nweatipaliai 32d. Trre d Iryury 32e. MQuy al WakT 321. N Trasporlaeon Iryury (SPecryl 32N. toaaon a InN+Y (sad. dty / bwn, opal ^ Suicide ^ CauU Not M Detsrmawd ^ Yea ^ No ^ Dover f Operalar ^ Pasedgw ^Pedacaien M Otlwr ~ 6P•rA': 33a Catsrr lama oNy are) 33b. sgrwwre and TNw a ~ • c.,wyarg PMakbn lmyUaaa arayng cause a de.m wren emdwt pnywden tra laaraaced seam and mrnpebd nom z3) Corona r To tld 4ddary knowya°s.dNtlloaarw MablM reuaslq enO lrwaw as sbbd-________________________________^ • Prarorwrcaq aw c«Wyap plryaklen IPhyskien ban prawaldn° seam ant ararynp to dose d loam) r<rwadam tagwba . awnou .ddm n a b a M d ^ 33c.lcense Nantes 33d. Dw SpnM 1~. daY. YxO y ° , wo . ma, s ..n p w..n awbm.c.u,yq.mmannaru.mw------------------ • tl.aarEadawr/c«aw O eaa W W d YWb tl b June 17, 2008 n sum n and / a ws °tllon, M my opWOn, Mom Decamp d tM mna. Mb, uW phca. and dw la IM uwys) nd nrraw r ahMd_ pl ~. Name utl MNw d Perem Who Con~pletw Caur d Dsuh (pem 27) Tyg7 Pmt ' s Michael L. Norris, Coroner a awa•dw ~ ar f 36°abFiedlM"~'•M'''y~ 6375 Basehore Road Suite #1 Lb an u PA ~ 050 . `.. V r Disposipon Pertdt No. y r~~.I ~ H O '• 2D08 JUl -2 PN 3~ 25 LAST' WILL AND TESTAMENT OF CORK 0~ DONALD L DELLINGER ~ ~ ~?~PA CU4~EFRU'~~D I, Donald L Dellinger, of Mechanicsburg, Pennsylvania, revoke my former Wills and Codicils and declare this to be my Last Will and Testament. ARTICLE I IDENTIFICATION OF FAMILY I am married to Maureen Dorothy Dellinger and all references in this Will to "my spouse" are references to Maureen Dorothy Dellinger. The names of my children are Cathleen A Olinick, Shirley G Theofiles, and Donna Leigh Spoonhour. All references in this Will to "my children" are references to the above-named children. ARTICLE II PAYMENTS OF DEBTS AND EXPENSES I direct that my just debts, funeral expenses, and expenses of last illness be first paid from my estate. ARTICLE III DISPOSITION OF PROPERTY A. Specific Bequests. I direct that the following specific bequests be made from my estate. 1. $100.00 shall be distributed to Cathleen A Olinick. If this beneficiary does not survive me, this bequest shall be distributed with my residuary estate. 2. $100.00 shall be distributed to Shirley G Theofiles. If this beneficiary does not survive me, this beque~all be distributed with my residuary estate. 3. $100.00 shall be distributed to Donna Leigh Spoonhour. If this benefiCia~djaes not survive me, this bequest shall be distributed with my residuary estate. B. Residuar~Estate. I direct that my residuary estate be distributed to .ALS Assn Phila Chapter, of 321 Norristown Rd suite 260 Ambler Pa, Pennsylvania. If such beneficiary does not survive me, my residuary estate shall be distributed to American Heart assosiation, of Harrisburg, Pennsylvania. If such beneficiary does not survive me, my residuary estate shall be distributed to the following beneficiaries in the percentages as shown: 100.00 % to my heirs-at-law, their identities and respective shazes to be determined under the laws of the State of Pennsylvania, then in effect, as if I had died intestate at the time fixed for distribution under this provision. 0.00 % to my spouse's heirs-at-law, their identities and respective slhazes to be determined under the laws of the State of Pennsylvania then in effect, as if my spouse had died intestate at the time fixed for distribution under this provision. 100.00 % -Percent Total ARTICLE IV NOMINATION OF EXECUTOR I nominate Robert Lichliter, of 3641 Chestnut st Camp Hill, Pennsylvania, as the Executor, without bond or security. If such person or entity does not serve for any reason, I nominate Timothy Hoffman, of Lewisberrry, Pennsylvania, to be the Executor, without bond or security. ARTICLE V EXECUTOR POWERS My Executor, in addition to other powers and authority granted by law or necessary or appropriate for proper administration, shall have the right and power to ].ease, sell, mortgage, or otherwise encumber any real or personal property that may be included in my estate, without order of court and without notice to anyone. My Executor shall have the right to administer my estate using "informaa", "unsupervised", or "independent" probate or equivalent legislation designed to operate without unnecessary intervention by the probate court. ARTICLE VI MISCELLANEOUS PROVISIONS A. Paragraph Titles and Gender. The titles given to the paragraphs of this Will are inserted for reference purposes only and are not to be considered as forming a part of'this Will in interpreting its provisions. All words used in this Will in any gender shall extend to ;end include all genders, -2- and any singular words shall include the plural expression, and vice versa, specifically including "child" and "children", when the context or facts so require, and any pronouns shall be taken to refer to the person or persons intended regardless of gender or number. B. Thirty Day Survival Requirement. For the purposes of determining the appropriate distributions under this Will, no person or organization shall be deemed to have survived me unless such person or entity is also surviving on the thirtieth day after the date of my death. C. Common Disaster. If my spouse and I die under circumstances such that there is no clear or convincing evidence as to the order of our deaths, or if it is difficult or impractical to determine which person survived the death of the other person, it shall, for the purpose of distribution of my life insurance, property passing under any Trust or other contracts, if an;y, and property passing under this Will, be conclusively presumed that I predeceased my spouse, and notwithstanding any other provision of this Will, my spouse (or my spouse's estate as the; case may be) shall receive the distribution to which my spouse would otherwise be entitled. to receive without regard to a survivorship requirement, if any. D. Liability of Fiduciary. No fiduciary who is a natural person shall, in the absence of fraudulent conduct or bad faith, be liable individually to any beneficiary of my estate, and my estate shall indemnify such natural person from any and all claims or expenses in connection with or arising out of that fiduciary's good faith actions or nonactions as the fiduciary, except for such actions or nonactions which constitute fraudulent conduct or bad faith. E. Beneficiary Disputes. If any bequest requires that the bequest be dis~kributed between or among two or more beneficiaries, the specific items of property comprising the respective shares shall be determined by such beneficiaries if they can agree, and if not, bw my Executor. IN WITNESS WHEREOF, I have subscribed my name below, this ~._ day of (9 Gfir~~e ~ , ,?„0 0 6. r Testator Si afore: ~ - Donald L Dellinger -3- We, the undersigned, hereby certify that the above instrument, which consists of pages, including the page(s) which contain the witness signatures, was signed in our sight and presence by Donald L Dellinger (the "Testator"), who declazed this instrument to be hishier Last Will and Testament and we, at the Testator's request and in the Testator's sight and presence, and in the sight and presence of each other, do hereby subscribe our names as witxiesses on the date shown above. Witness Signature: Name: City: State: Witness Signature: ,t Name: / ~~ City: r // State: Witness Signature: Name: City: State: -4- PENNSYLVANIA Self-Proving Clause COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I, Donald L Dellinger, the 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 the instrument as my Last Will; that I signed it willingly artd as my free and voluntary act for the purposes expressed in the instrument. Sworn to or affirmed and acknowledged before me by Donald L Dellinger, the Testator, this ~~ day of (~ (i171~- _, ~~.~ ~ l Testator Signature ' Donald L Dellinger //f -~ ," ~~ Signature of officer ~ Official capacity of officer COMMONWEALTH OF PENNSYLVANIA (Sea) OliviaA Reeder, Notary Public South Middleton Twp., Cumberland County My Commission Expires Mar. 7, 2008 Member, Pennsylvania Association of Notaries AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, Q Q~~~ ~ ~i~2c.A ~N and /UII d1~ ! ~. Jo r~~ and ,the witnesses wl~iose 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 the Testator's Last Will; that the Testator signed willingly and executed it as the Testator's free artd voluntary act for the purposes expressed in it; that each of us in the hearing and sight of the Testator signed the Will as a witness; and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to or affi and subscribed to before me by G?-~~ and and _~- witnesses, t 's ay of ~~ ~ . Witness Signature: Name: Q Rita ~.a., S G ~,A~~l _ City: C-AiQrus f State: P/k Witness Signature: ,~~ ~, Name: /r/ /1~1 _ _ City: S State: /~- Witness Signature: ~~~,~~/ ~~~ , ~,~ .~ - _ Name: 'c 1 . ,~~~ ~- - State: /r/9 COMMONWEALTH OF PENNSYLVANIA ' ~. Nota-lal seal ~< <..LC l ~._.. ~ "Jlivia A. Rserler, Notary Public ~~ Middleton TWp., Cumberlarxi Couniy / Nly Commission Ergrir~ Mar. 7, 2009 / ~ _ ~ ! GI !~ Msrruha>. ?9rsnsYlvania 4ssociati~n of Notaries