HomeMy WebLinkAbout07-28-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of ROBERT M. BECKER
also known as
Deceased
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
COUNTY, PENNSYLVANIA
File Number 2 1 ' ~ ~ • ~ l~
Social Security Number
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the CO-EXECUTORS
last WiII of the Decedent dated JULY 16, 2007 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
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente iite; 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.)
Name Relationshi n esidence ~~-?
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(COMPLETE tN ALL CASES:) Attach additional sheets if necessary. ~:-! ~.'j
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Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last prince al reside at
214 BRIGHTON DRIVE SOUTH MIDDLETON TOWNSHIP CUMBERLAND COUNTY PENNSYLVAI~A 17015
(List street address, town/city, township, county, state, zip code) ~
Decedent, then 84 years of age, died on NLY 15, 2008 at CARLISLE REGIONAL MEDICAL CENTER,
CARLISLE CUMBERLATJD COUNTY PENNSYLVANIA 17013
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 90,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 150,000.00
situated as
Form RW-O2 rev. 10.13.06 Page 1 Of 2
named
efore, 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:
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS
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 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 me the ~ day of
Z~~
Fo the Register
Signature of Personal Representative
File Number: ZI' OO' ~ OS '`'
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Estate of ROBERT M. BECKER ~ ' ~eceasec~-
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Social Security` Number: 189-18-7381 Date of Death: 07/15/2008 - T
AND NOW, oJ~,~.~-1 ~ Z~ ~ , in consideration of the foregomg~~x~tion,~tisfactory proof
having been presented before me, IT IS DECREED that Letters TESTAMENTARY -"` `::~ :.a
are hereby granted to CHERYL B. CORY AND ROBERT T. BECKER ;i-? E_
min the above estate
and that the instrument(s) dated JULY 16, 2007
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............. .. $
310.00
Short Certificate(s) .... .... $ 8.00
Renunciation(s) ...... .... $
JCP $ 10.00
AUTOMATION FEE $ 5.00
WILL $ 15.00
... $
... $
... $
... $
... $
... $
TOTAL .......... .... $ 348.00
Supreme Court LD. No.: 6282
Address: 60 WEST POMFRET STREET
CARLISLE, PA 17013
Telephone: (717)249-2353
Form RW-01 rev. 10.13.06 Page 2 of 2
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Attorney Signature: ~~'" ~ C~:~~-.
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Attorney Name: ROGER B. RW ,ESQUIRE
IOS.HOS REV (01(0'1
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 14649212
Certification I~Iumber
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This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed ~/ith me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
~. `iGa.~~~~~.o.o.~JUi~ 1 6~ 2008
Loco] Registrar Date Issued
Hens-tai REV tf2oos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
a a~EKriN CERTIFICATE OF DEATH 1
BLACK INK See instructions and exam fes on reverse Z f . ~ ~.'~
P ~ 57ATE FILE Nl1MBER
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1. Name of Decetlem (Rrst middle, Iasi, sunix) 2. Sex 3. Social Sacunry Number 4. Date of Death (Month, tlay, year)
189 -18 - 7381 Jul 15 2008
5. Age (Last BirtlMayJ lMdar t Year Under y ale o i onth, day, year) 7. Bidhplaze (CAy erM state a t toms) Ha. Place of Daath (Check only one)
Mmalvs pars Han Minuin Hospital: Other:
8 4 yr:. Ju 1 1 0 1 9 2 4 M t . J O Pd C~ Inpenem ^ ER / oatpaeem ^ DoA ^ Nursing Home ^ RaaiderKe ^oiner ~ spe~lry:
- Hb. County of Death 8c. Ciy, Boro, Twe. of Deam Bd. Facility Name (It na instamion, gve street ant number) 9. Was Decedent pf Hispenk Origin? g] No ^ Yes 10. Race: American Intlian, Black, Whde. etc.
(H yes, specity Cuban, (SpeaM
Cumberland So. Middleton Carlisle Re Tonal Med. Center Mexlcan,PHe"q Rican,e".) White
tt. DecedenYS Usual ixcu Lion Kira of wont d one dun most of wodu tile. Do not slate retired 12. Was Decedent ever m Ma t 3. Decedem's Education (Speciy onry highest grade canp leted) 14. Mantel statue. Married, Never Maenad, ts. Surviving Spo
' use (II wile, give maiden name)
KiM a Work Kind of Business! IMUSby U.s. Armetl Farces? Elementary 1 Secondary (D-12) College (1-4 or 5+) Wltlowad, Divorced (Specy
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Self-Em to ed ]Yea ^"° 1 9lidowed
16. Decedent's Maikrg Address IsYreet dry /town, slate, zip codal DacedenYS Dd Decedent II~~ff
Actual Resitlence t7a. slate P a . live in a 17c. IlA vas, Decedem LNad in S~ M l r1 ~ 1 o f nn Twp_
214 Brighton Drive Torvnehlp? 77°^"',D°`~""'~d"~"'
CArliSle, Pa. 17015 „p,Dgq~ ~„mhl=,-lanY~
Acual Lbniis of clryl Bom
18. Fa1Ner's Name (First. contrite, last, 5~x) 19. Mahars Name (Fuel, mitldle, maiden surname)
Charles R Bertha V. Bou er
zoo. miomwm's Name (type / Prim) 2W. Inrom,anrs Maikna Address (steel city /town, stale, zip coee)
Robert T. 57 Derb shire Drive Carlisle, Pa. 17015
21 a. Methotl oI Disp05iYan ~Crematbn ^ Donation 21b, Date of Disposikm (Month, day, year) 21 c. Place of Disposition (Name of cemetery, crematory a aner pWce) 210. Location (City /town, state, Zip code)
^ Burial ^ Penwval from Slate ;Was Cremation or Donation Aulhorhetl
• ^Other-Specvty: bytbtliealExaminerlCoronerT ~lvaa^No
July 16, 2008
Hollis er FH/Crematory Inc.
t.Holly Spgs.Pa.17065
z2a. tare nl Farrerel se se nr adkg a n) 2ro. L~panaa NumOar 22c. Name are Atldraae a Faciltyy 5 01 N . B a 1 t i coo r e Ave .
- FD-011932-L Hollinger FH/Crematory Inc, Mt.Holl S rings, Pa. 17065
Hams 23ac Dray wtren c Nrying 238. best of my knowletlge, deem occuned at me time, date and place stated. (Signature erd fAle) 230. LNxinse Number 23c. Date Signed (Month, day, year)
ph ~ a not available al lima a deem l0
cemty cause a tleath.
Hens 24-26 must ba cortpleled q' person 24. Tma of Deam 26. Date Pfonounced Dead (Month, day, year) 26. Was Casa Referred to Medical Examiner /Cosier for a Reason Olhar man Cremation a Donaton?
who p~omnres death. ; (~ M. ~' ~ ^ Yes [}I~
CAUSE OF DEATH (See inetructlona and examples) r yypmximata Interval: Pan II: Enter other gpti&ast can?uons caAdbunne to death, 28. Did ToOarzro Use hole io Death?
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Item 27. Pan I: Enter mechain a events - cheeses. inrynes, or comPtkalions - Ihat drealy caused the deem. DO NDT solar terminal events such as wmiac avast. Onset re Deam but not resuairg in the undenyirrg cause given in Pad 1. ^ Yes p
ty
respiratory arrest, a vamnww f~bnNatkm wanoN showing me etiology. List Doty one cause on each line. ^ No ^ Unkrrown
IMMEDIATE CAUSE Finai daease or ( ( r
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2s,HFamale:
contlnion reaubingm
eaml _~ a (
a,i
taYC To
N.ytr/C~ w~ S ~So~hri.~Kl` Cal yu P/ dhl
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Due to (a as a consequence op: year
o
pregnam w
n pas
^ Pregnant al Hme of Oealh
Sequentially list condlens, if any, p rf ,t ~ ..1.r,yL0,1, ~ Ct
leadenq to the cause listed on litre a. pug to to as a ante of):
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^ Na pregranl, but pregnant within 42 tlays
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Enter the UNDERlY1NG CAl15E a doom
(asease ar injury mat irMiated me
vents resuNinq m Beam) L0.ST.
Due to (or es a consequence a): ^ Not pregnant, but pregnant 43 days b 7 rear
befae death
d. ^ unknown if gegnanl wAhM the past year
30s. Was an Autopsy 30b. Were Autopsy Fndngs 37. Manner a Deals 32a. Dale of Iryury (Month, day, year) 320. Describe Mow Irpury Octuned 32o Place of Injury: Home, Farts, Slmel, Faaay,
Pedomrem Available Pryx to Compieflon
a caaaa a Deam? ~ ~ I ^ I~
LT~aro2 OHice Buckling. etc (SpeclNf
Y
t ^ Ye
~ ^ ~~i ^ PerMmg Irrvestigslion 3Yd. Tme of Injury ffie. Injury et WorkT 321. II Trensporlation Injury (Specify) 32g. Laation oI Injury (Street city /town, slate)
es
o s ^ suicide ^ Could Not be Delertninad ^ Yes ^ No ^ Orwer / Opemta ^ Passenger ^Pedultian
M Omer ~ Slwrcily:
33a. Gasifier (dieck Doty oriel 336. S' ra and TAIe of Cernf t
• CertHymg physiNan (Physician cerlilying cause of death when aroma physician has prawmced deem arM completed Been 23)
To tna best of my lerorvkdge, deem occurred due to the nuw(sl and memreruatated_________________________________ ^ r
• Pronouncing arM crxtitying physkim (Physician Oath pronouncing death and cenilying to cause of a!aN) .License Number 33d. Date Si jMonm, day, year)
To the hest of my ksrowledge, death occurred at me time, dale, and place, and due to th cause(s) and manner as steled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• Metlical Ezaminer (Coroner
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Dn the basis of examination and / or investigation, in my oplMOn, Beam occurred rt Hie nitre, sate, and place, and due m the cause(s) and manner as stated_ ^ 3a. Na tl Atldres5 of Pers Wtw Cqm~ ed C~se of Deam (Item 2]) T /Prim
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35. Re wre and irks
g r~ igna D le FNetl (Monet, day, year 5
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Disposilicn Permit No. O
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ST WILL AND TESTAMENT
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Becker
Robert M -~~ ~;,
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I, ROBERT M. BECKER, of South Middleton Township, Cumberland County,
Pennsylvania, being of sound mind, disposing memory and full legal age, do hereby make,
publish and declare this to be my Last Will and Testatment, hereby revoking all Wills and
Codicils heretofore made by me.
1. I direct my Executors to pay all of my debts, funeral and administrative expenses as
soon as convenient after my decease. Furthermore, I direct that all state, inheritance, succession
and other death taxes imposed or payable by reason of my death and interest and penalties
thereon with respect to all property composing of my gross estate for death tax purposes, whether
or not such property passes under this Will, shall be paid by the Executors from my estate, and
that none of the aforesaid taxes shall be prorated among those persons or entities named herein or
otherwise beneficiaries hereunder.
2. My Executors may, at their discretion, compromise claims, borrow money, retain
property for such length of time as they may deem proper; lease and sell property for such prices,
on such terms, at public or private sales, as they may deem proper; and invest estate property and
income without restriction to legal investments unless otherwise provided hereunder.
3. I authorize and empower my Executors to sell any realty and/or personalty owned by
me at my death and not specifically devised or bequeathed herein, at public or private sale or
sales and to give good and sufficient deeds and/or bills of sale therefore, in fee simple, as I could
do if living. My Executors are authorized and empowered to engage in any business in which I
may be engaged at my death, for such period of time after my death as seems expedient to said
Executors.
4. I give, devise and bequeath all of my estate of every nature and wherever situate to my
two (2) children, CHERYL B. CORY and ROBERT T. BECKER, share and share alike, the child
or children of any deceased child taking the share their parent would have taken if living:
5. I nominate and appoint CHERYL B. CORY and ROBERT T. BECKER to be the
Executors of this my Last Will and Testament.
6. No person(s) shall benefit hereunder unless such beneficiary shall survive me by sixty
(60) days.
7. No Executor acting hereunder shall be required to post bond or enter security in this or
any other jurisdiction.
8. No beneficiary may assign, anticipate or pledge his or her interest in any income or
principal held or distributable hereunder, and no beneficiary's creditors may levy, attach or
otherwise reach any such interest.
9. I hereby suggest that my personal representatives retain the services of Irwin &
McKnight as attorneys in the settlement of my estate.
...~
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of
July, 2007.
..~" , (SEAL)
ROB RT .B CKER
Signed, sealed, published and declared by the above-named Testator as and for his Last
Will and Testament, in our presence, who, at his request, in his presence and in the presence of
each other have hereunto set our names as subscribing witnesses.
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ACKNOWLEDGMENT AND AFFIDAVIT
WE, ROBERT M. BECKER, CHERYL L. CLELAND and TRACI D. SMITH, the
Testator and witnesses respectively, whose names are signed to the foregoing 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 that he had signed willingly, and that he executed it
as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in
the presence and hearing of the Testator, signed the Will as a witness and that to the best of their
knowledge the Testator was, at that time, eighteen years of age or older, of sound mind and under
no constraint or undue influence.
TRACI
COMMONWEALTH OF PENNSYLVANIA
. SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by ROBERT M. BECKER, the
Testator herein, and subscribed and sworn to before me by CHERYL L. CLELAND and
TRACI D. SMITH, witnesses, this ib~ day of July, 2007.
No~ary Public
~. N CiF PENNSYLVAI
ill del
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County
E~lrl~s drat. ~„ 2U()8
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OBERT M. BECKER ~ ,~