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HomeMy WebLinkAbout08-06-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of BETTY J. ZACHERLE also known a.'. Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW.) File Number 21 08 ~ a ~ 3 Deceased Social Security Number 0 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 11/2/2007 and codicil(s) dated none (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 liter durante 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.) --,- ~ T.7 3~ _-~~C7 ~ - "> r- c~ . - ~~ J ~ (COMPLETE INALL CASES:) Attach additional sheets if necessary. ~_; _-~ .. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last principal residence at~l Shatto Drive Carlisle PA 17013 North Middleton Twp (List street address, town/city, township, county, state, zip code) Decedent, then 87 years of age, died on 6/25/2008 at Carlisle Regional Medical Center 361 Alexander Syrine Road Carlisle Cumberland Countv PA 17015 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ g"t? p, Q(~ (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 200,000.00 321 Shatto Drive, Carlisle, North Middleton Township, Cumberland County 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 Bonnie D. Zacherle 540-349-3981 555 Tiffan Court Warrenton VA 20186 c Page 1 of 2 Form RW-Ol rev. 10.13.06 Oath of Personal Representative COMMON~JVEALTH 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 Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Swon3 to or affirmed and subscribed before me the ~ day of of Personal Representative Signature of Personal Representative r-? ~- _, <7 ~~; t ~ ` ~~ ~=, ~ the Register Signature of Personal Representative -~! `-~ GG s __ i -1 i . _ ~~ ~ ,,~-. _.., _ ~ Y,,b ~x~ r File Number: 21 O ~ 08) 3 `__ _~..~ ~' cn Estate of BETTY J. ZACHERLE ,Deceased ~ Social Securkty Number: 334-14-5283 Date of Death: 6/25/2008 AND NOW, ' JL, lU , 2008 , in consideration of the foregoing Petition, satisfactory proof having been presented before m , IT IS DECREED that Letters Testamentary are hereby granted to Bonnie D. Zacherle Executrix in the above estate and that the instrument(s) dated November 2. 2007 described in the Petition be admitted to probate and filed of record as the last Wild (and Codicil()) of Decedent. FEES Letters •••.~0~•Y~,••~•••• $ ~~1b Short Cerl:ificate(s) .••.~•.••• $ l lp Renunciatio--n``(s) •••••••••• W\~` J~Q '~.~~ ...... $ .... $ 1S ..., $ 10 .... $ .... $ .... $ .... $ .... $ .... $ .... 0 TOTAL: ............................. $ Slc~ Attorney Signature: Attorney Name: Bonnie D. Zacherle of Wills Supreme Court I.D. No.: 29943 Address: 10 East High Street Carlisle PA 17013 Telephone: 717 -243 -3 3 41 Form RW-O2 rev. 10.13.06 Page 2 of 2 105.A05 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 1.4648944 Certification Number rrrxr"'°"°----_ This is to certify that the information here given is ^'''~ ~~H OF p ' ttlta~~~P ~yys~ correctly copied from an original Certificate of Death dal filed with me as Local Re istrar. The original ~~~ _ ~- l ° Y g ' `_ ~ certificate will be forwarded to the State Vital ~ ~~= a~ Records Office for permanent filing. v~3 ? * ~ ~ `~'~ _ ~ .~- JUN 6 _ 9TMENT OE """""" 'Local Registrar Date Issued r-~a c~ ._..... .. _._.. _._.__ ___.-_ ._._._. ~7 s:T? .... .~ Q W ~ ~_ _. C~ G°7 " ' ~ (~ - , -V ,v ~ ~H1o5-t43 AEV 11P2006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ TYPE / PRINT tt4 PERMANENT CERTIFICATE OF DEATH ~ , O ~ ~ ~ ' ~ IlIACK INK (See instructions and examples on reverse) STATE FILE NUMBER w ~_ 0 U 0 0 t. Name d Decedent (F~q, inidda, rest sulfixl ` h ~ '~ 2. Se 3. Sold Secunry Number 3 s ~ ! 4. Date a Oeet (MOnm, y, year) ~ e~ { ~c Ue . , f 3 i r 3y - H - ,S 0(0 .l~ aoop- 5. Age (last BirlMa)i) r 1 year Under 1 day 6. Date d Birth (Month, day, year) 7. BiMprece (City and stale a ror egn camtry) Se. Place of Deam (Check Doty more) Nwws stays Ruxs waxes 8I 17I 1920 II, Moline HospMal: Other: Yrs , npetlenl ^ ER /Outpatient ^ DOA ^ Nursing Haste ^ Residence ^Other ~ Spetlry: Bb. fautry a Deam &. Ciy, Boro, Twp Pe u h c~leton ed, fadliry Name (N not inslitutim, gNe street ant number) 9. Was Decedent d Hispank Ongin7 No ^ Yes (n yea, Speciy ctnart, i0. Race: Ameriwrt Irn/en~ &ack White, ek. (~M ~ Mexican Puerto Riwn do) ~ , Y // , , 11. Decedent's Usual Occ ibn Kind of work d one most of ~ Yle. !lo not stele re' 72. Was I>ecetlenl ever ro the 13. Decedent's Eduwlkn (Specify Doty highest grate canp reted) 14. Marital Status: Mazrkd, Never Marred. 15. Survivltg Spo use (II wile, give maiden name) Itind d Work Kind d Basins I rodusay b U.S. Armed Faces? Elemenrery I Secondary (0.12) CoNege (t-4 or Sr) Widowed, ~'~l~vexYh9 ane Hananaker Her own ^Ve3 ®No 1 Widowed - 16. Decedents Mailing Adtlresc (Sired, city /loan, stale, zip cotle) Decedent's pA Did Decedent Actual Resitlexe 17a. SWe Live in a t7c. ~ yes DewtleM Lived n North Middleton Trop 321 Shatto Dr. PA 17013 C rlisle , . TO1N15"'~? rid. ^ No, Decedent uyed wtllm i7b. county C~unberland , a Aaual Lltataa city/Boo 1& Fema's Name IFast tnidde, inst. suffix) 19. Mothers Nsme (First, inidde, maiden summ~te) Alfred Boo Marianne - Adams 20a mrormaa's Nsune (Type I Pdnl) 20b. Inlwmant's Mailing Address (Street, dry / Nwn, skre, zip coda) Bonnie D. Zacherle 555 Tiffany Ct., Warrenton, UA 20186 21e. Mellptl a Dkpostlion ~Cremalkn ^ Dortafion 210. Date a Disposilbn IMOm0. day, rear) 21c. Place d D'rywsidm (Name d wmelery, cremabry a aloe place) 21tl. Location (Cary I town, state, rip code) ^ Burin ^ Removal ban Smote ;Was Gemation w tYOnallon Aullior¢e0 ^ Other' Spemly; by Medkel Eaaawrrer/Caonert ®Yes ^ No 6/27/2008 Evans CrgTdation Services Leola, PA 22a Spwture d F Lkenaee (ape such) 22b. license Nurnher 22c. Name end Adtlreas d Fednry ~ FD 012633 L Ewing Brothers Funeral Home, Inc., Carlisle, PA 17013 Cooplde tbms 23tsa only what wdXl'ro9 29a. To the best d my krowletlge, oaume0 al the drtte, date ant Place slated. (SlyMmre arM ode) 23b. License Number 23c. Date Signed (Monet, tlay, Year) lthyskian's rid available d knta a daatlt tc modify rouse d deem. 24 pl, ~~ 21. Time of DeaMy,t ~ 25. Date Praqurced D~ (Month daY~/v ~ ) 26 se Referred to Mescal Examner / Cwmaz la a Reasm Other ben Crernation or DonaMOn? r , / ~as G ^ Ye l d ^ o CAUSE OF DEATH (see instructions and scempbe) r gppmxknale hdervel: Item 27. Pen I: Fnda die chain aevents- dcsesses, htjuries, awepNCetiats-Thal dremy reused the deal. DO NOT solar tennnel events such as wrdac arrest. r Onset ro Death n Pen II: Fnler other Sionirrn t cor,dn ims conlrhufnn tod~ath, but rat rasdkn n the u i cause 9' ranAy rg given n Pad I. 28. pid TdNCCO Use CadriWta m Dealh7 ^ Vas ^ Probably ratptralay artest w veMrkdar Ibwaaon wimottl slmwing Ilia etiology. Ud aYy one woes an each fine. /~ /J /' /J ~ ^ No ^ Unknown ~ / NIMEDIATE CAUSE Final disease or { kYYt ~/.f (GLj ~R Vt7 'tsar ~t-f.~ condtfien iasuMe h ~eem) ~1 AW 29. II Female: a r . g _~ a. / ^ Due to,~! as a ~sequertce on: r Nd pregrmra motion past year ksl antlpions, fi any, b, /r"GN e. %Z~ft.ar'~ !~ -e - r t ca e 6stetl tin l ^ Pregnant at time d death e o txc m e a. Duero (a a con e ~ 6Yer UNDERLYRIG CAUSE _ da se9uar>c on: ^ Nd pregreni, but pregnant wkhin 42 days (dsease a Injury IoW lnaialetl Ilia C. , ~ 1 wMnis resoling n tleam) IAST. r d deatlt Oue b (w a): r ~ ^ Nol pregnant bd pregnant 43 days to 1 year d ~ d ~[ T'."' .t r bebre tlealh . ^ Unknown it pregtanl mwn ilia past year 30a. Was an Auroruy 30b. Were Autopsy Findrgs 31. ManreW Death 32a. Date d Iryury lMm4t. daY. YeaQ 32b. Oesciibe flow Injury Ocgered 32c. Place d Uyury: Flame, Farm. Street. Faday. Perlwmedl Avalreble Prior to Cortglalm ~Na/I oral ^ Flpnirdde Olfpe Building, ek. (Speafy) d Cause a Dealhi ^ Yes ~ ^ Yas ^ Nb ^ AatideM ^ Pendrg Investigation 32d. Time d Iryury 32e. Injury a Wak7 321. fi Transpatatren Injury (Spedfy) 32g. Location d Iryury (Street, dry I town, stale) ^ Suicide ^ CoiW Nd he Determined ^ Yes ^ No ^ Drirerl0permw ^ Passerger ^Pedesblan M Omer ~ Specity: 33a. Cerkfier (dtsdc only oral • Cerlilyhtg phYskin IPhysidan cenilying rouse a death when aztdher physician has prmcunced tleatlt ant completed Item 23) ; . SkyMfwe and Ceddktt ~ ~ D fff To the beat a knowled deaM occirrretl dw to Uu - my ge, CW49(3)alld memsr d3 Srered..----------------------------~.--- ~ • Pronoundng erM adgyln9 Dhyekien (Physigan bdh pronouricng wean ant wnirying to cause d tlwlhl . L Number 33d. Date 5' goad (Month, day, year) To dm heat of m know y redge,deanaamdaldhetime,dare,erMpMCgandtluelodhecause(slasidmannerasemred------------------ • k E tr C ~007i ~~ ~- L ,~" L~%/~ Med al xam rery aotmr On the buts a eaamAMibn PoW 1 w InvesdgalioM In my opinron, death oceurted at the time, dale, end platy, ant due to the cauw(s) and mammy es staterL ^ . 34. Name and Adaasso f erson Who Competed Cause Deam (Item 7) T,pmLWint ~'{ 35. Ae ' s S~ D' t t Number ~ xZ I I .S / ~ V ~ Ou / p~ 38. Dew filed (Month, tlaY, Year) '/ P ~.~/ ( ~ ,//7/ p/"~+ e' / C ~ ,/ - r / Dispositkn Permit No. VoC a~ ~l ~ 7 ~ \ cry X13 c~ ~~ :~~ J i ~'>n ~..» - ` .. L i '- , __ _ - ~ a z ~--, ',t-~ LAST WILL AND TESTAMENT :'-' . ~, ._ , e-3 OF BETTY J. ZACHERLE I, BETTY J. ZACHERLE, of North Middletown Township, C;umberland County, Pennsylvania, declare this to be my Last Will and Testament, revoking all prior Wills and Codicils. FIRST: (a) I give all tangible personal property owned by me at my death, and all insurance policies thereon, to my daughter, Bonnie D. Zacherle, if she survives me by thirty days; if not, to my grandchildren, John K. Zacherle, II.; Matthew E. .Zacherle; and Emily W. Zacherle in as nearly equal shares as is :practicable to such of my grandchildren as survive me by thirty days. (b) With respect to any item passing under subparagraph (a) to a minor, my Executor (i) may hold and deliver it to the minor at majority or earlier or deliver it to any person to hold for the minor; or (ii} may sell it, hold and invest the proceeds, and, at any time, pay the proceeds to the minor, or to the custodian or guardian of the person or estate of the minor to hold for the minor, or apply the proceeds for the minor's benefit for any reason without considering other funds available to the minor. --~ w4 ~ ~ "~ ~- ~ Page 1 of 4 (c) The receipt of any person who receives an item or payment under subparagraph (b) shall be a complete discharge to my Executor. SECOND: I give the rest, remainder estate, including any realty or personalty the daughter, Bonnie D. Zacherle, if she survives me not, to my grandchildren, John K. Zacherle, Zacherle; and Emily W. Zacherle; in as nearly as and residue of my t I may own to my by thirty days; if II.; Matthew E. equal shares as is practicable to such of my grandchildren as survive me by thirty days. THIRD: All death taxes (and interest and penalties thereon) imposed upon any property passing under my Will and upon proceeds of insurance on my life, but not otherwise, shall be paid out of my residuary estate. FOURTH: My Executor shall have the following powers in addition to those conferred by law until all property is distributed: (a) To retain any real or personal property in the form received and to sell it at public or private sale. (b) To manage real estate. ., s- ;~ > ~- Page 2 of 4 (c) To purchase all forms of property without being confined to so-called legal investments and without regard for the principle of diversification. (d) To exercise any option or rights arising from ownership of investments. (e) To compromise claims without order of court or consent of any legatee. (f) To distribute in cash or in kind. (g) To file any necessary income, state income or gift tax return. Any income or gift taxes due on such returns and any deficiencies, interest, penalties or refunds thereon shall be paid by my estate. (h) To employ accountants, investment counsel, or any bank or trust company to perform the services of agent or custodian at the expense of my estate and to carry or register investments in the name of the nominee of such agent or custodian. FIFTH: The word "Executor" when used herein shall include all genders and the singular and plural as the context may require. SIXTH: I appoint my daughter, Bonnie D. Zacherle, Executor. If my daughter fails to qualify or ceases to act for any reason, I appoint John K. Zacherle, II., Executor in her place. My ~--y , _~7 ..'~/ Page 3 of 4 i executor shall not be required to post security in any jurisdiction. I direct my executor to arrange for the care of my animals after my death. I direct that in no event shall my executor permit any of my animals to be put to sleep while the animal is still in good health. The animals may be given to any .shelter that does not euthanize. Executed: 20y~. ~_ EAL) SIGNED by Betty J. Zacherle as rrer Will, in our presence, who at her request, in her presence and in the presence of each other have signed as witnesses: Address ~.~i~C.~ W ~ .i~~ . ~5/~~, ~~ i~~~o~ ,~ ~ ~ ,~ f ~~ ! ~' ~ GTrf'1 Address r5~,~~(GIt'_ '~l~'~ ~~1~~!!%1/,.5~'l ~ ~°.'~ ~7~JJC~ L_- J l :r;~ ~ '' ~ Address ~ ~ (~ rGY ~/I "t~ .~I.:1;'~~', t ~,i~'`t~7~1 ~~ /7(J/~ `--- ~~ t:: Page 4 of 4 ACKNOWLEDGMENT Commonwealth of Pennsylvania ) County of Cumberland ) I, Betty J. Zacherle, 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 and Testament dated _ ,~/~) J`e 1.^~ ~~z.' ~ 20 U 7 that I signed it willingly; that I signed it as my free and voluntary act for the purposes therein expressed. ~l _--~ ~, .,- ,~~ >. ,: ," Sworn or affirmed to and a knowledged before me, by the testator, this ~ ~~ day of =~~-G~~-~-/ 20fJ~. f otary Public COMMONWFAt'C~t C.` ~N6~5YL'VANIA Nptarial Se~P " JaArm E. Nan F~arnpder-'~vyp„ My Commission Explr~ ,~~ ~ Member. PRnnxylvan:,^ ~:sscsc€ation Qf Notaries ~. ~... AFFIDAVIT Commonwealth of Pennsylvania ) County of Cumberland ) W e , ~'"~ and ~ s C 1~ t the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present <~nd saw Betty J. Zacherle sign and execute the instrument as her oast Will and Testament dated ~~~`~~" ~ 20 G> ~, and that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of Betty J. Zacherle signed the said last Will and Testament as witnesses; and that to the best of our knowledge Betty J. Zacherle was at that time 18 or more years of age, o~,sound mind and under no constraint or undue i uence. (.~ . Sworn- r affirmed to and subscribed to before me by witnesses, this -`?~/~i• day of coMn~rvvsr~..a~~~i-~ s~'` p~Nl~S~IwvANIA !Notarial Seal Jcr+4ra~- ~. i~lcison, l~lotary pubic Flampder- Twp., Qxr Courrly My Comrrerssion E~Ires ,lone 19,2008 otary Public ~ _____ Member, P~nr,~~~4uar;i:;mY~ rix;t~ation f)f Motarle~