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HomeMy WebLinkAbout07-14-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Lois M. LantZv also known as Petitioner(s), who isJare 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW:) File Number ~~ ' ~ ~ ~ ~ ` ~ ,Deceased Social Security Number 161-34-2046 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the EX2CUtrIX named in the last Will of the Decedent dated 24/2004 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 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: B. Grant of Letters of Administration (Ifapplic¢ble, enter: c. t. a.; d. b. n. c. t. u.; pendente Tile; duran[e 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. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Decedent, then 66 years of age, died on 7!312008 at 203 Lantzv Road Mechanicsburg PA 17055 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) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 120.000.00 203 Lantzy Road, Mechanicsburg, PA 17055 situated as follows: 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 ~' ~~ ~ Janet M. Peters 135 Amity Road Duncannon PA 17020 ~.___. Page 1 of 2 Fornt RW-02 rev. !0.!3.06 l.V/YrlLL: ~ G l/ ~ HLL I,HJGJ:J Huucn uuuu[onu[ snee[s [J necessary. - •, ; --; i ~ --t-, t^ --~ Decedent was domiciled at death in CUmberland County Pennsylvania, with his /her last princi~l- asidence nom- ~- ~~ 203 Lantzv Road Mechanicsburg PA 17055 Borouah ~ Mecharormsburg ' ` •` (List street address, town/city, Township, county, state, zip code) CT 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 correct to the best of the knowledge and belief of Petitioners} and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Swo;1? to or affirmed at~d subscribed ~~~rl before ~~e the _ day of ~ ~ ~.l~,t 2~' ~ ~ ~T1 /= ~- ~ ~ - ~ ~-, :C~~'- For the Register Signature of Pe on Representative =-~'~ ~~ ~ _';~ ' ' Signature of Personal Representative m ;1 ~ -:- ,~- _ i -s -~ .._~ 1 -~ _<.. ~_~_~ Signature of Personal Representative ' ~ ~ - y :~C7 --i ~, ~ -- , C31 File Number: L-, ~~~ Estate of Lois M. Lantzy ,Deceased Social Security Number:161-34-2046 Date of Death: 7!3!2008 AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that LettersTestamentarv are hereby granted to Janet M. Peters in the above estate and that the instrument(s) dated 02/04/2004 _ _ _ _ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ....................... Short Certificate(s) ..• Renunciation(s) •••...•••• ~rJ,, \ 1 J ~~^ ~.'~ ~ .... S Z • ~ .... $ .... Q$~ t /S~ . y'~'U .... $ J ~' .... $ .... $ .... $ .... $ .... $ .... $ TOTAL ............................. g _~ ~ .l~ Register of Wills ~~' `~`` / ~. j1 Attorney Signature: ~. Attorney Name: David H. Stone. E:;4uire Supreme Court I.D. No.: 39785 Address: 414 Bridge Street New Cumberland PA 17070 Telephone: 717-774-7435 Fir», Rw oz rev. !0.13.06 Page 2 of 2 clan au~ K[n (lirini LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee tar Chic certificate, `~h.00 P 145~~~~~ J Certification Number lf~ _ C7 ~: ~ Q ~ ~` ~ ` ~ Wit- -: C.~ r f_ :- ~, ~ s t ~-- ... L ~_ 3 L.tJ , ! -~:_ :- ;tea ~~ t ~ ex_ ; ~ . ac, a ~-- r~-a U n~ This is to certify that the information here given is correctly copied from an original Certificate of Death duly tiled with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent fi]ing. b ~~ Kcal Registrar ate Issued HIJ6 Iy3 REV 11.2000 TYPE PRINT IN PFHMANENi BLACK INN ~I COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH /~ ` /~ (1 J~,~ (See instructions and examples on reverse) STATE FIIE NUMBER / I ' i / fir- ~- 1 7 Name of Decedent (Post. mitltlle. IaA syKxl 2 Sex 0 Social Security Number 4 Dale of Deam (Mon16, day. year) Lois M. Lantzy Female 161 - 34 -2046 July 3, 2008 5 Age (Lass fllnlxlayl Under 1 Year llnMr I day 6 Dale of Brdh iMonlh, daY. Yearl T &dhplace (Cny ar10 stale or local eabryr Sa. Place of Daalh (Check only one) t Mwaia Oays Hwia Miwias FbsVIW: 01118/: December 14, 1941 Hastings, Pennsylvania 66 Yrs ^ Inpalrenl ^ ER! Oulpaeenl ^ DOA ^ Nursing Home ~Fios~knce ^Olnar - SpEnly. Ao Counry of Deeal 6c Clry. Borg iwp. of Dealrt &1 Faclaly Name (II nW msllluUat, glue slrcel and nwMeU 9 Was Decedent of Ffispana Ongln? No ^Yes 10 Pace: Anwncan Indian. Black. WNce. etc Cumberland Mechanicsburg 203 Lantzy Road r.,ae~a~ P~'e, ;aw,~ 'SpeC1yj White l _ekl l t De.e~.~~.lt s usual Occ~ ahon Ilona of worA tl une dunn moll cl wurkin hie. U.; not swla reload 12. Wan Decedent ever m lne 13. Decedent's Etluca6on ispec~ry onry highest glees compi eledl 14 Menlaf Straus Manmd, Naval Married 75. Survwin9 Spo use iN w,le. gne ma~tlen name) Kind W Worn KInO of Bu.nass: O~tlustry U.S Armed ForcesP Elementary 1 Secontlary (0-i2) College (t-4 or 5.l Wldowa0, Divorced (Specdyl Secretary IBM ^vee ~Np 2 Never Married 16 Dec2dErn s Maaing Atltlre'.., (Street, cAy /loin stale zip cmel Decedent's Did Decedent PA 203 Lantr Road y n„¢ina Ile ^ vEa DEraxrnLr~¢dro Txp AcwaiaES,de„ce ,la `yal¢ 1owoshi ? ITd jaf N° Decedenui.edwanm Mechanicsburg p Cumberland v c Mechanicsburg, PA 17055 b pnnly AEIwILamsw anieoie 16 FaNers Nanx IFusl mitWle last. cutlet 19. Mother's Name (Frsl midtlle, maiden SwnamEJ Miller Marie C Howard L. Lantzy . 2ga Inlornanl's Name (Type 1 PnnU 206 Inlormant's Maarg address {greet my % lawn, stale. zp ca>el Janet M. Peters 135 Amity Road Duncannon, PA 17020 21a Mzlr,ad d Dispos0~a1 ^ Clernalmn ^ Dawlron 210. Dale of Disposllron (Month. daY, yeah 21c PIacC of DISWs'llon (Nanw of cemetery, ciemalory or piper Wacaj 214 Loe-aoa~ Ieny lo'+.n slate. xlp wdEl }~t~{ b~lra, ^ Reniaval tram sl„le waa aEmabPn Pr oa,aNOn aameri=¢a ~ Jul 7 2008 Mechanicsburg Cemetery Mechanicsburg, Pa. 17055 ' -~q '; by Nedkai E.aminer / Coro R ^Yes ^ No ^ plr,ei , y ~ 22a Si re ul knernl S¢r per aiing as suchl 226 Lcense Number TGC ~Neme alto AaMess of FacIAYy ~ ,, FD-012662-L Myers Funeral Home, inc. 37 East Main Street Mechanicsburg, PA 11055 Cun4aale 112 Sat oMy n cendyug IXryaKien i t arailaUle al bnrc ul dndl6 b Tp the bell lirwxledye deaN occurred' Uw INnO dale arb place/sJ/pled (Sgnalure and late) /r ~ 23b nse NurtWei / ~~ ~s ~ 23c. Gale SiyraO (fdonln day. yeari ceNly ca 52 of deem p~ ~ 6 ,(~ ~ -~-0 hams 2J zfi Irwal De canpkletl DY person 21. 71me of Death 2 ate Pronou ed Oead (Moats, Oay, year) 26. Was Case Relerted Io Metlaal Eaaminer I Cww,ei lot a Reason Omer an Crelnelwn or DDnatron? xhu Denounces death /~ J,. `f/ and '~ aDV ~ ^Yes ~/IIT~ CAUSE OF DEATH (Sae Instruction and a plea) i App/oximale auervar. Pad N. Emel other ~ °n- nrcanl ~ODr13S~3[~WIOSt1u.9.PaN. 2B. Dla To6auo Uw Cmklbule w DeaN? item 27 Pen 1. Enter Ina GLd10-{I(E}p,DLti - dseases ~nlunes, w compYCellons - Inal dueclly causal Uk deaUi DO N0T enkl lerrtnnel uvenis sucn as caraac nnesl, Onset t° Deagi but trot rt~uN'vly In Itle undnnyrng cause gven ul Pan I. ^Yes ^ Pr06ady r¢spaatay anesi a venlncWar libnAunpn wlllaul stowing IIrE eholoy{. List only one cause pn each line. I~ ^ Unknown MiNEgATE CAUSE fnlal arseass ur n/~ ` calaroon resxningn~eatni ,i a. / ~ ^~' ~. An / ~^t ( 1'N ~~ 1 rNa1~"~' z9 uFe Ip a Consequence op'. Y ras / ~~ ~ ~ seaaEnealq AS C«wiu~au aanv o ~ ~ O ~(ZODI~ l G (~LCS WeL_ ~~~. [ t 2 V ~ ~ 5 ° I pregnant wnnln pas veer ^ Pregnant al lima of OeaN Iea0ingg to Nye cause Asl¢d on Iule a. ue to Ipr as c sequence of -~ - - _ ^ NJI Pregrranr 6u1 DtegrtMN w~Uws 62 days EMEI g~x UNDERLYING CAUSE Idseuse ~r mjufy Nal inrt~at¢d the S c W OeaN events rtsuning rn dealnl U T Due Ip (or as a coneeyuence oft- Nol a pant. but 143 da s to 1 ^ pr 9 Pre9nal Y Year n d. Unkn°~~I Min lne 1 [] prEglanl x pea year 30a was an Autopsy DOb Were Autopsy FlMings 3T Manner ~I Death 32a. Dale of lnryry (MOntn, day. Year) 32b. Deunpe Huw Iryury (hcurred 32c. Place t lryury: Monre Farm. 9ree1, Facrory, PEduimed? AvalANe Pmt Ip Cpmplelwn _ / ONK¢ Buadrng, Ek. ($pecrtyl °I Cause of Dealn? ~ •R local ^ Hommide ~ ^ A,:crdeni ^ Pending Inveaugallon 32d. Time of In)ury 32e. kyury al Work? 321 Ii Iralisponaixm Inlury ISPecdyl 32g Laallon of Inlury tSlreel, nty: lawn. slalel ~] Y¢s ^ Yos ^ No ^ Swude ^ Cuultl Nol be Dek marea ^Yes ^ N° ^ Dnver I Operator ^ Passenyer ^Pudeslnan M. ,ORiel - SpeciN. 33a CrlAier !thick only awl 3 Signa and tle of Cenaler ~ pNyslcun iPhyscian ceNtylrg cpuve of deaRi wlwri eaNlrtr pnysaian has prun°aced deNn and eurnplpled Ileln 13) _ Certil ~_ _ Desl el my knowledge, deaN occurred due to the causes) and marner as atale4 _ _' _' _' _ _ _ _ _ _ _ _ _ _' _ _ _ _ _ _ _ _ _ "' _' i To Ne • Pronouncing aM ceNlyin9 Physician (PhYV.un tole. pronouircmq d.~a•.h antl ceNfyulg Ip cause ui dealli) ~~ 33c License Number 33d Dale Srgrred iMpnln. day year) To the best of my krwwledge, death occurred at the limo. date, and place, and due le the taus ys) a1W marble/ es saled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Medical Eaamineri Coroner ~~y/~-~Ly ~ - ~ W ~ ~~ and place. and due to the aause(sl and msnrwl es staled- ~.~ On the Wsis of examinNion and i a investigation In my opinion. death occurred al the lime dale T Pmi I D N Ile 7 C C W . , , auca ° ea ( ompleted 1 N 34 Nan~.crd Address °I Persm B L ~~~~ Ra rs S~gr.m„re aad DRhla Nuinpei 36. Dale Fletl (Monm_ day, yea) .CRT t C ¢~ •~-~ ~ L D CAr•,~Q . ~ ~ n /•~ Oo$ - ~ O l z ~ 4 ~ Uupmnlai Penwt No. [~d1~L1..5 ,~ ep\wills\~A[cTZYlois , 1 ...4 LAST WILL AND TESTAMENT `~ ~~ c~ ~~~~ .a LOIS M. LANTZY _~ t-~ ' -sl , Cf~ I, LOIS M. LANTZY, of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I direct that my Executrix hereinafter named shall pay all my just debts and funeral expenses as soon as conveniently may be done after my decease from the residue of my estate. ITEM II: I hereby give to my brothers and sisters, JIM LANTZY, BILL LANTZY, JANET M. PETERS, PAULINE SHELLEY, and HELEN MADIGAN- SEDOR, the option to purchase my real estate at 203 Lantzy Road, Mechanicsburg, Pennsylvania, for $120,000.00. This option shall be exercised in writing within three months after the date of my death after which the option shall expire. Settlement shall occur within forty-five days after the exercise of the option. In the event that the option is not exercised by any of my brothers or sisters, the option shall pass to my then living nieces and nephews, ROBERT PETERS, CHERI PETERS, RANDALL PETERS, MARIANN SNOW, ANDREW LANTZY, MICHAEL MADIGAN, DOUGLAS LANTZY, SCOTT LANTZY, DAWN M. BROWN, BRENT SHELLEY, and LORA SHELLEY. This option shall be exercised in writing within Page 1 of 3 six months after the date of my death after which the option shall expire. Settlement shall occur within forty-five days after the exercise of the option. In the event of a dispute arising out of the exercise of the option by more than one party, a private sale may be conducted by my Executrix. ITEM III: I devise and bequeath all the rest, residue and remainder of my estate, of every nature and wherever situate, in equal shares to the following named nieces and nephews as survive me: ROBERT PETERS, CHERI PETERS, RANDALL PETERS, MARIANN SNOW, ANDREW LANTZY, MICHAEL MADIGAN, DOUGLAS LANTZY, SCOTT LANTZY, DAWN M. BROWN, BRENT SHELLEY, and LORA SHELLEY. ITEM IV: I appoint my sister, JANET M. PETERS, Executrix of this my last will. ITEM V: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of her duties in any jurisdiction. IN WITNESS WHEREOF, I, LOIS M. LANTZY, have hereunto set my hand 1 and seal this ~~ day of ~--~ ~~'L' 1,~t---~_, 2004 . Page 2 of 3 SIGNED, SEALED, PUBLISHED and DECLARED by LOIS M. LANTZY, the Testatrix above named, as and for her Last Will and Testament, and in the presence of us, who at her request, in her presence and in the presence of each other, have subscribed our names as witnesses. ~~ ~~ ~~ ,_ _ Witness Address fitness Address r Page 3 of 3 ra C'1 OATH OF SUBSCRIBING WITNESS(ES) C=O <' ~ : ~ ; -. _. C y t--. .- ; -, , _ __, . REGISTER OF WILLS ~ -~ --' . , _., Cumberland ~ __ ~ -v ~F COUNTY, PENNSYLVANIA ` 1 -, _ ~... _ ~J' r r~ V , Estate of Lois M. Lantzy _ _ _ ,Deceased David H. Stone (each) a subscribing witness to (Print Name/s/ the [~ Will ©Codicil(s) presented herewith, (each) being duly qualified according to Iaw, depose(s) and say(s) that he was present and saw the above and that the she signed the same and that he Testatrix in her Testatrix sign the same signed as a witness at the request of presence and in the presence of eac othe , (Sign e (Signature) (Street Address) (City, Suue, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills VOTE: To be taken by Officer authorized to administer oaths Dorm Rl{'-Il? re~~. i0.1 ~.Ofi y~! cr C 2., ~~~ s ~ (Street Address) ~~~c~( cXn-•~,-tom. ~'~ ~ Z:~..~ (City, State, Zip) Executed out of Register's Office Sworn to or affirmed and subscribed . ~ before me this _ ~ t day 1 Z(S17IC.e ~~- v C__--- ary Public My Commission Expires: (Signature and Seal of-tiotary or other official qualified to administer oaths. Show date of expiration of Votary's Commission-) Please have present thr original or copy of in ~ t~~b~~'~~~NSYLVANiA N ~ f3F?001(E E. FELEPPA, Notary Public New Cumberland Bono. Cumberland Co. M Commission Tres June 6 Zo12 n N ~ OATH OF SUBSCRIBING WITNESS{ES) _ _r ~ 1 - ~-, REGISTER OF WILLS _ ~ " Cumberland COUNTY PENNSYLVANIA - '~ 'f ~ } , t ..1 V V ' Estate of Lois M. Lantzy ,Deceased Carol Troxell (each) a subscribing witness to (Print Name/sJ the ~ Will ^ Codicil(s) presented herewith, (each} being duly qualified according to law, depose(s) and say(s) that she was present and saw the above Testatrix sign the same and that she signed the same and that she signed as a witness at the request of the Testatrix in her presence and in the presence of each other. iSignanae) tStreet.-0ddress) 1CiN. Stare. Zip) E.recuted in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills ~~> 1Signuture) (Street .9Jdress) `r (City, State, Z1p) E.recuted out of Register's Office Sworn to or affirmed and subscribed before me this ~ ~~~ day o f t.,~ l ,~~~ g . Notary Public qty Commission Expires: r Jigr.aaire anJ Stal of tiotary or other iittii~ai yualttitJ to admmurer n~ths. tihow late of ttpiraaon o(Y~uary'c t'nmrni,sion.l \t i. F ~ ~ `<' .u;r. ti~ i VtT~~rr ~. F on.:~1 .~•lm_., .tr ~•.~ihs I _. i !'~~. .. ~.`..t f. ~r'..!n.rl ~r ~,, ~;t _ ,, , ; ; „~~ ,, ~,,tr,r N E CL~ PENNSYLVANIA BROOKE E. FEIEPPA, Notary Public Nsw (erland Sao. Cumbetiand Co. MY Commission E~ires June 5, 2012