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HomeMy WebLinkAbout07-24-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of HOWARD PERSHING STEAGER also known as HOWARD P. STEAGER Deceased COUNTY, PENNSYLVANIA File Number (7~, ~~ ~~~~ Social Security Number 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 J are the EXECUTOR last Will of the Decedent dated JUNE 27, 2007 and codicil(s) dated N/A (State relevant circumstances, e.g., renunciation, death of executor, etc.) named in the 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 (If applicable, enter: e.t.a.; d.b.n.c.t.a.; pendente liter durante absentia; duratrt~minoritate) e c:~ Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spo}x (if any) a~heirs:,~lf :. Administration, e.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) .'i ~ ~ -"' ' _o ~-- c r Name Relationshi Resident;¢j -^~ r_- __ .,~^ .. `.....,, 1 '' 1~~ ~~ -T-. --'~ l~ - W _" (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. C~7 Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at 801 N. HANOVER STREET CARLISLE NORTH MIDDLETON TOWNSHIP CUMBERLAND COUNTY PA 17013 (List street address, town/city, township, county, state, zap code) Decedent, then 89 years of age, died on JUNE 29, 2008 at CHURCH OF GOD HOME, 801 N. HANOVER STREET NORTH MIDDLETON TOWNSHIP CUMBERLAND COUNTY PENNSYLVANIA Dea:dent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 12,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: Form RN? 01 rev. 10.13.06 Page I of 2 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: ~~~ ~ 6~tlr of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND 1'he 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 Petitioner(s) and that, as personal representative(s)~of the- Decedent, Petitioner(s) will well and truly ~ 7 -_\, administer the estate according to law. ~ ~,. Sworn to or affirrled~a./nd subscribed before me the o/ r day of J 1~ F ~~~ or the Register J Sign ure afPersonal Representative n c._._ Signature of Personal Representative -~ _ ~~ f rt N s~ ~ .~ _ .. _,j ~~ _ _ Signature of Personal Representative _ >r' -,, : ~ `-; ; -- _; :: ~ ~ y ~ ~~ - - N , W File Number: d~ b~ b~1~ D Estate of HOWARD PERSHING STEAGER Deceased Social Security Number: 207-07-6591 Date of Death: JiJNE 29, 2008 AND NOW, ~ , ~~~ , in consideration of the foregoing Petition, satisfactory proof having been presented be re me, I IS DECREED that Letters TESTAMENTARY are hereby granted to KEVIN STEAGER and that the instrument(s) dated JUNE 27, 2007 described in the Petition be admitted to probate and filed of FEES Letters ..... I o~ , ~~.. $ Short. Certificate(s) .. ~.... $ Renunciation(s) .......... $ 1~~11 ... $ lS Q.u ~ ... $ .~--- ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ ~ 0 -6'6tI Attorney Signature: in the above estate Supreme Court I.D. No.: 83993 Address: 2109 MARKET STREET CAMP HILL, PA 17011 Telephone: 717-737-3405 Form RW-02 rev. 10.[3.06 Page 2 of 2 Attorney Name: THOMAS E. FLOWER 105.805 REV (01/07) 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 14540790 Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Deati duly filed with me as Local Registrar. The origins certificate will be forwarded to the State Vita Records Office for permanent filing. ~ ~ ,u~: o Local Registrar Date Issued t7 rv ``~ C r~.»~ '~ ~ - ',~ T_ : 7 ~ ~~, - t-" r~ IU , - ~ ~ ~ -, , 'i7 :7 ii ;c- _ _. ~~ . ~ --~ ~ - _ c~ - REV 17/2006 RINT IN ANENT K INK dk'ii-79R COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CORONER'S CERTIFICATE OF DEATH (See instructions and examples on reverse) __.__ _.. _ ......___ 1 1 h Q' !~ "'t ~ I .. 1. Name of Decedent (First, middle, last suffix) 2. Sex _._._..__..,,,. 3. Social Securky Number .,_.. ~ v v ~+ L 1 VJ 4. Date of Death (Monln, day, year) Howard P Steager Male 2 - - June 29, 2008 5. Age (Last Birthday) Under 1 year Untler 1 day 6. Date W Birth (Monts, day, year) 7. Birthplace (City orb stela or forego aunt) Ba. Place of Death (Check Doty one) 89 NonW Days Hars Minulea Nov. 26 1918 Hospital: Other: Yrs , West Enola PA In lien, ^ pa ^ ER! Outpatient ^ DOA Nursing Home ^ Residence ^OMer ~ $pecity: 6b. Counry of Death ea City, Bo Twp. f Death Bd. Facility Name (If rwl inslitufion, give street and number) 9. Was Decedent of Hispanic Origin? ~] No ^ Yes 10. Race: American Indian, Black, White etc Cumberland North Middleton . . (If yes, specify Cuban, (SpecilN Church f G d H o o ome Mexican, Puerto Rican, etc.) 11. Decedents Usual lion Kintl of work tlone Burin most of woAin IHe. Do at state refiretl 12. Was Decedent ever in the 13. Decedents Etlucatien (Specify Doty highest grade completed) 14. Marital Shatus: Married, Never Marcied, 15. Surviving Spouse Qf wlfe, give maiden name) Kind of Work Kind of Buskress / IMUSiry U.S. Armed Fomes? Elementary /Secondary (0-12) Cdlege (1-4 or 6+) 'Mdowed, Divorced (Spedr}~ Crane O erator Bethlehem Stee ^va5 ~No g Married Ida Cutman 16. Decedent's Maifing Address (Street, city /town, sUte, zip code) Decedent's Did Decedent PA 411 Reno Avenue Actual Resdence 17a. State Live in a 17c. ^ Yes, Decedent Lived in rwp New Cumberland PA 17070 . r°w,~,„p? t7b.cnunty Cumberland ntl.~l Nq,DecedemLivedwimm Carlisle Actual Umits d City / Bom X78. Famer's Name (First middle, last, suffix) 19. Mother's Name (Frst, middle, maiden surname) 20a. Infortnent's Name (Type /Print) Marlin I) Steager 20b. Iniorman 5 fling Address (Street, clry /town, stele, zip code) . 619 Mountain Street, Enola, PA 17025 21 a. Method of Disposdbn ^ Cremation ^ Donation • 21 h. Dale of Disposition (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory or other place) 21 d. Laetion (City /town, state zip code) Burial ^ Removal from State ;Was Cremation or Donation Authodzcd ^ -Speary.~ IbyMedlulExa IneNCoraner'1 ^Yes^Nq ~ July 3, 2008 Crossroads Cemetery , Lewisberry,PA 17339 22a. gn ure of Funerel _ e Licensee or person acting ass ~ -~ 22h. License Number FO 01234 22c. Name arts Atltlress of FacilAy errw, 2- Stone & Murray F.H., 408 3rd St New Cumberland, PA 17070 • C ate IlemS 23ac Doty when ceditying ' 23a. To t my knowledge, deaM oaurced at Me time. date and place stated (Sgnalure and title) 23b. License Number 23c Date Si rretl (Month da ph den is not avaiWble at time of deaM to . g , y, year) certgy cause of death. Items 2426 must be completed by person 2<. Time of Death 26. Date Prpipmced Dead (Month, day, year) 26. Was Case Referred to Metlical Examiner I Coroner for a Reason Other than Cremation or Donation? • who pronounces deaM. 11:40 A M. June 29, 2008 ~g(Yes ^No CAUSE OF DEATH (See Instrudlons and examples) ~ Approximate (marvel: Item 27. Pan I: Enter the Y~gjp of evenLS -diseases, inryries, or complicatbns -that directly caused the death. DO NOi enter terminal events such as cardiac arrest, Onset to DeaM Pad IC Enter other .ianN¢ant condiaon=_ cwnrib~ti M deaM hul not resultlng in Me untledyirg cause given in Pan I 2B. Ditl Tobeao Use Coninbule to Death? ^ Yes ^ Probahty respiratory arest, or venMCUlar fibrillatan wiMOUt showing the etidogy. Usi Doty one cause on each fine. IMMEDIATE CAUSE (Final disease or . ^ No ^ Unknown anditi°n rewPong in ath) _~ a. Probable Pulmonarv Embolism 29. If Female: Due to (or as a consequence oQ: i ^ Not pregnant within past year segaentaay fiat pondkiens,aang b. Fractured Right Hiv w/ Surgical Repair ; ^ Pre nant at time of tleath 9 feedingg 1o Me cause listed m line a. Enter the UNDERLYING CAUSE Dua to (or as a consequence oq: Not r ^ p egnant but pregnant wahin 42 days (disease or injury Mat initialed Me p. Fall evens resuking m deaM) LAST. ~ of death Due to (or as a consequence of): , ^ Not prer,Y~ant, hul pregnant d3 tlays to 1 year d. 1 belae death ^ Unknown d pregnant vaMin Iha past year 30a. Wes an Auopsy Penomred? 30b. Were Autopsy Findings Available Pna to Completion 31, Manner of Death 32a. Date of Injury (Month, day, year) 32b. Describe How Injury Occurced 32c. Place of Injury: Home, Farm, Street, Factory, of Cause of Death? ^Natural ^Homidde June 24 2008 Fall from commode in nursing home Office Buildi k ng,e.(spedy) . Nur s in Home ^ Yes ~ No ^ Yes ^ No Accident ~ Pending Invastlgaiion 32d. Time of Injury A rX . P 32e. !njury at WorK? 32f. Ii 7ransportakon Injury (Speciy) 32 Location of In u Street, 9~ I ry ( cat /town, stale) ^ Suicitle ^ Coultl Nol he Determined 9:00 AM ^ Ves No ~' ^ Dmrer /Operator ^ Passenger ^Pedesinan N rth Han St C l . omer-spa;y over . , ar ise, PA 33a. CaNfier (check only orre) 33b. Signature T • Certiylig phyalelan (Physidan cenlying cause of tleath when aralher physician has pronouaed death aM completed Item 23) C O T O ne r To the best of my knowledge, death occurred due to Nte ceuae(a) end manner ea stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ - • Pronouncing arts ad!Mn9 phyaklan (Physidan boM prawuncing death end cerlitying to cause of death) 33c. License Number 33d Dale Signed (Monts da ear) To treat of my knowledge, death oaurted m the time, date, end ce, and due to the au pM ee(s)andmennerasatated__________________ ^ ~ . , y, y ~~Mealal Exemhler /Coroner ~ June 30 2008 " On the bash of exeminedon and / ar investlgNbn In my oDlnlan death occurred an the 6me date end lace and du to th ts d , - , , , , p , e e cause(s) ar manner as atete _ 34. of rsan y~Q~ C~mole~p c use a{ p~~M f'tam 7~ T I Print P11C Rael L 1V OLI'1S~ 1 0I ~ ' ~ _95rRegkhar' aNre and O' - ~~ ~ I al ~ I~ I ~ I ~ I 36. Data Fi ( ,day, Year) . . 0I1 I 6375 Basehore Road, Suite lit ~ d Mechanicsburg, PA 17050 Dislwskion Permit No. ~ / / ~.y`r~© LAST WILL AND TESTAMENT OF HOWARD PERSHING STEAGER A/K/A/ HOWARD P. STEAGER I, Howard Pershing Steager, make this my Last Will and Testament, hereby revoking any wills or codicils heretofore made by me. 1. My grandson, Kevin Steager, shall be my executor. 2. I direct my executor to distribute my coins, in approximately equal shares, among my grandchildren, great-grandchildren and any great, great-grandchildren who survive me. 3. Pay the inheritance tax from the residue of my estate. 4. I give, devise and bequeath the rest and residue of my estate in equal shares to my descendants living at my death, with the exclusion of my sons, who shall not inherit anything from me. 5. My executor shall serve without bond. In witness whereof I have hereunto set my hand and seal on this twenty-seventh day of June, 2007. Howard Pershing Steager ~ ~~ ~=: o _; ~, ~~ - ~--- <<, t,-, __ ~ _ ~ t_,,; C..J C71 Signed, sealed, published and declared by the above-named Howard Pershing Steager, Testator, as and for his Last Will and Testament in the presence of us, who have hereunto subscribed our names at his request as witnesses thereto, in the presence of said Testator and of each other. E ~ ;' ADDRESS Z ~ o ~ _~ C ~ ~~. ~,, n E ~~~- ~ ~` ~ ADDRESS I ~'' ~'~l 1~-iC I'i ~~ , COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, _ ward Pershing Steager, ~ioyna~ ~ ~1~~~-rand ,the Testator and witnesses, respectively whose names are signed to the foregoing or attached instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and Testament and that he signed willingly and that executed as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator signed the Will as witnesses and that to the best of their knowledge the Testator was at the time eighteen (18} or more years of age, of sound mind and under no constraint or undue inf{uence. Howard Pershing Steager ~~ ,Witness ,Witn Subscribed, sworn to and acknowledged before me by Howard Pershing Stea er, the Testator, and subscribed to and sworn r affirmed to before me by ' lU 1"l ~ eY and ~~, witnesses, this day of U~P_ , 20~. f '~___ Notar~i ublic COMMONWEALTH OF PENNSYLVANIA Notarial Seal Jo Ann Seker, Notary Public City Ot Harristwrg, Dauphin County My Commission Expires June 30, 2007 Member. Pennsylvania Association of Notaries