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HomeMy WebLinkAbout08-22-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of CHARLES ALBERT JOHNSON File Number ~, ~~ 0~1 also known as ,Deceased Social Security Number Petitioner(s), who is/are 18 yeazs 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 8/23/2007 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 life; durante absentia; durante minoritate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spQii~e~f any) and-~teirs:(/f Administration, c. t. a. or d. b. n. c.t.a., enter date of Will in Section A above and complete list of heirs.) -- • _ , --~ ~., a , ~~,mo RPlat;nneM;n Ra~;,~P.,,,P -, c,~ _. -, c. _ ,~~ _ --, -+ (COMPLETE INALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his /her last principal residence at 1146 NEWVILLE ROAD CARLISLE PA 17013 NORTH MIDDLETON TOWNSHIP (List street address, town city, township, county, state, zip code) Decedent, then 81 years of age, died on 8/11/2008 at 1146 NEWVILLE ROAD. CARLISLE PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 200.000.00 (If not domiciled in PA) Personal property in Pennsylvania $ 0.00 (If not domiciled in PA) Personal property in County $ 0.00 Value of real estate in Pennsylvania $ 100.000.00 situated as follows: 1146 NEWVILLE ROAD CARLISLE, PA 17013 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 " ~"~~~~ ~ ~~ ~,-~~ ROGER M. MORGENTHAL 3341 NORTH FRONT ST. 3RD FLOOR HARRI BUR PA 17110 Form RW-07 rev. 10.13.06 Page 1 of 2 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 Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Swcrn, to or affirmed ai7d subscribed " ~ i~ Signature of before ~~,e the ~..,~__ day of M. MORGENTHAL ,r ~~Q$ Signature of Personal Representative ` r-., N~ For the Register Signature of Personal Representative ~~ ~_ ~~ _ - ` - z, - ;`~ _• . -_ ,~ ._ . . ,, ., File Number: ~ \ 6~ ~~~ I -~ " -' Estate of CHARLES ALBERT JOHNSON , Deceasecri `.', r, , " Social Security Date of Death: 8/11/2008 -T' AND NOW, AUGUST ~ , 2008 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that LettersTESTAMENTARY are hereby granted to ROGER M. MORGENTHAL in the above estate and that the instrument(s) dated 08/23/2007 described in the Petition be admitted to probate and filed of record as the last Wi~l (and Codici~(s)) of Decedent. FEES ~~"-~ Register of Wills Letters .... ~, ~ fib..... $ ~ l - Short Certificate(s) ••• ~••••• $ oZ~ Attorney Signature: ~ ~ ~~ ~~ -~ Renunciation(s) •••••••••••••••• $ ~1 $ ~5 Attorney Name: ROGER M. MORGEN•THAL. ESQ. ~' • • • • $ ~ © Supreme Court I.D. No.: 17143 $ Address: 4431 NORTH FRONT ST.. 3RD FLOOR •••• $ HARRISBURG .... $ •• $ PA 17110 "" $ 717-234-2401 $ Telephone: TOTAL . ............................. $ Form RW-02 rev. 10.13.06 PagB 2 Of 2 IU5.805 REV l0I/0~) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certifir_ate, $6.00 P 1.4649675 Certification Number This is to certify that the information here given is correctly copied from an origiual Certificate of Death iuly filed with me as Local Registrar. The original :ertificate will be forwarded to the State Vital Zecords Office for permanent filing. A. ~e.. c~'~~,~n,e.,,~e,,..AU~ 1 3~ 2008 Local Registrar Date lssued --, _.. -, -~ - >? --. -1 t..~ .. ;~,~ H10S143 REY 112006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS PER/MANIFMN CERTIFICATE OF DEATH /~'~ 4 '~I BLACK INK (See instructions and examples on reverse) STATE FILE NUMBER ~ 1 ( ) ( ) ~ ~ ` I w 1. Noma d Dawaad (Flrst, middle, rom, sulfa) 2~male 3. Sadal Sxvdty Wmmr s. Date of Deem (Mwm, day. year) Charles Albert Johnson 387 - 22 - 5967 August 11, 2008 5. Aga (Lass Dlnhday) UMer t r UMer 1 day 6. Dale a Binh Monm, day, year) 7. Birmplaze (Cny antl aaro or benign canhy) 69. Plaza d Death (Chxk ony one) 81 yrs. '"~° °i~ "a°° ~- one 1927 St Paul Minnesota "°'D"'I` D"~` ram . Yn. ^bpetlent ^ER/Oulpedenl ^DOA ^Nurseg ltorn0 ISI Resderww ^qMr-Spmdly 6D. Counry of Dean Bc City, Born, Twp. of Dsth 8d FazAly Name (II nd Yw1lWisn, ghre street and number) 17013 9. Was DsYdenl d F9epsnk OngbT ®No ^ Vs 10. Rocs: Pmerlwn egron, Brock While, x:. Cumberland N. Middleton Twp. 1146 Newville Rd. Carlisle, PA ("p°'°p°dry~"' M.aiwn, Paano R'lwn, etc.) ( white 11. Decedents UsW can d wok d one moat d INe. Do nd sroro rW 12 Was Oawmm scar In ma 19. Dewmd's Eduwllon (Specny only N~ea grede conpl eled) 14. Mental Smtua MemroQ Never Mermd, 15. Surviving Spo ux (II wile, Siva maitlen name) Ked d Wark qM d BueNSSe / hdatry soldier U. S. Army U.B. AmNd Foroa97 ®4e. ^Na Eromenmry / Secadary (0-12) 12yrs. Collage (1d or 5t) Wldared, Dbarced (SpedM widowed - 16. Dewderlfs McOmg Adtlress IS.red, WY /lam, state. n ode) 1146 Newville Rd. Car isle, PA 17013 Decedent's Did Deceamt AawNneaidace na5ete Pannevlvania uvamz na.®Yx,DazedmdlJVedln N. Middleton T„p_ Townddp7 176. County Cumberland 'Ta~"°'Dacetlent L1ved "*"b Aclu91 Limits a DM / aao 19. Femefc Name (Flrsl middle, roc, suns) ~ 19. Momer's Noma (Peal, mktlro, made sumamej Harry W. Johnson Esther A. Domrus 20e. Inlorrwnt's Name (Type / Pma) 20b. Inlamen's Melling Adtlrsa (SreeI,WY /tam, sate, zp code) Charles W. Johnson 1146 Newville Rd. Carlisle, PA 17013 21a Memoo d Dlsposnbn ^ CremeOon ^ Daa,dan 21 h. Data d Dropwflion (Manor, day. real 21c Prow d DlepwXbn (Name d cwnalmy, aematay u sorer prow) 21d Lawton (cry / bwst star.. z9 adel ~ Bialal ^ RerimvdlmmSale IWSCranre0onartlorutbnAaltmrizrd- • August 15, 2008 Indiantown Gap National Cemetery Annville, PA ^ Ollwr - SpeaM: ~ by Exunlraw / CaanerT ^ Vm ^ No ~ 22a aC4rg u sac") 220. lkawe Number 138504 22c Name erd Address d Featly Hoffman-Roth Funeral Home and Crematory Inc. 219 N. Hanover St. _ ~ canplde Hama ady Mwn z3.. To me mat d my IawMetlge, seam aawrrea d m. saw, dale and platy roe. (sgnawre ens z3b. uwma Nunaer z3~ Data Signed (Ma,m, sex rear) ptryaldan 4 na avw3ede at ' m b --~ ^ ' Wray wsedeaadl j' Y ' i1 /LJ ~ / L ~ i i O Hems 2426 mrl m mniplated by persw 24. Time of Dxm 25. Deb Pmrpia ed Dead (Month, day, year) 26. W%x Cox Refened b Medical Esminer / Coroner la a Reason Other man Cremation a Daotion7 • who pmwawea deem. 7 p Al. - Q Q ~ ^ Yx ,>~ fro CAUSE OF DEATH (See InatrucUOne ant ampka) , Appmzawte aderval: Pad II: Enter Wier 26. Db Tdwcco Use Canbmula b DsmT Item Z7. Pen I: Enter Nw dwtin d scams -dosses. n{urws, or Egnpnceliore-met ®reWy caused me dam. DO NOT amen lemanel event such s aNac arrest, r Omet b Deem ad ncl readnng m me underMrg ease given k Part L ^ Yx ^ Probehry rspirebry ertesL ar vandadv hLritla6on wNau! stawkg the elblogy. usl wy aye cause on sW Ilw. i ^ No ^ UNlnovm IMSIEDUITE CAUSE Fbel ®sxse or i ~`w,Cl{ J, mN9on rewdlap ro ~aml ~ e. L-.~ fJ ~: CI~NI C.~CIYL C~ ,n Y 29. A Female: ^ N Duo b la s a amserMrmra oQ: 6aqumAaM ht midlkro. n any, b. i ~a' n/E YU. i /9 d prequN wimb past par ^ PraPienl a11Fne d dsth ~aaq b me muse 61ed on tint a. Due m (a s e cpoequaM6 0l): t FsMr me UNDERLYING CAUSE r ^ Nd pragoM, aA pn¢onl Man 42 days ~w.ex « tort blroled me c. r I ST % d dxtll A e rexaag m deem) • p~ b or x e am ( sequmlw oA: ^ Na pregrenl, da pregnem 43 sap k t yar Irefara m.m d. ^ Unloown n pregum wnlwt me pest year 30a. Wag an Autopsy 306. WereAMOpey FMrgs 31. Maurer d Dam 32e. Gate d miay (Noah. day, year) 32b. Oxcrme How Ir9atl' Ocarred 32c. ~ dd ~ Sreel Factory. ~~ Padomied7 AvaRe64 Pdorb Canpletlon dcew.doxm7 ~Nebrd ^Ftanuidn W , y) ^YS ~NO ^YS ^No ^ Acdtlen ^ PaaArg Inreaiga0on 32tl. Time d In)ury 32e. Irryury el Woa7 371. H Trerepalatlan Injury (Spetlyf 32g. Location d Injury (SreeL City /loan. sere) ^ Sdcke ^ Codtl Nd oe Detemwted ^ Vs ^ No ^ Dmierl Operator ^ Passmgar ^Pedsbs M ~-~~ 33e. CeNAer (ched only one) 336. S'gobre an0 d mf ~ ' CMNymg phyekron (Physkron ceNly'rp rase d mem when andher phyaMmn has pramuwed dxm and mmplded Item 23) rte- To th baMdmy blwal.dga,d.m oenand due to the wu•Nsl and mmrmr ee abbd_________________________________ yv. . • Pronamcbg end cerlNydaB plfyfldar (Plryskron boor prmamdng deem ant cennylrg b roux d dxm) ^ 3TC. arenas 33d Dek B9nW (Noah, day. year) To the bstdmY kmwledge, deem occurred Mthe Ume,tlaro,aM place, enddxblM nux(a)and menwrs slated__________________ • McQCM Ea.miner I Cower ~A~ rI I'tA {7•- Q l 4 ~~~ _~-- g i 11 Il)'tYj _ de,m aacurred h me ume, mro, end prow, am due m se wusa(.).nd mennar ae stebe_ ^ b my opnbn on tM lanro d axemins6w and / ar lnvstlgetlan ~ tyro c m r e / PrIM a Aam f P d D , , ~. 1B an aws ee p am typ ex o eraan Y1~1 b w Ll 1 h ^'\ K~' ~ i~1 F~'k~ 35. s Sgnasaa ~ ~~ ~ I ~ I ~ I ~ I \ I (~ I .Date Flbd (Monet, der, yeml ~ , ( - 1Y ~ I ~ 2( S't°~i n.~G yLOayD C ~k-2u S~z 1~/1 t 7 01 3 Disposilbn Permit Na. ~ d1~ ~ ly( ~/.7 __ ,~ ~.~~t ~tYY ~nb ~e~t~m.ent _ .; OF CHARLES ALBERT JOHNSON " I, CHARLES ALBERT JOHNSON, of 1146 Newville Road, Carlisle, (North Middleton Township), Cumberland County, Pennsylvania, declare this as and for my Last Will and Testament, in manner and form following: FIRST: I hereby expressly revoke all Wills and Codicils heretofore made by me. SECOND: I hereby direct my Executor to pay all my just debts, funeral and administrative expenses out of my estate, as soon as practicable after my death. THIRD: I direct that all taxes which may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid out of my estate as a part of the administration of my estate. FQURTH: I give arfd bequeath the follo`vinb itex:s to <~ny so°, ~:'H~RLF_S ~'~. J~I7°IS~\T, provided that he survives my death: my Grand Father Clock; my Mother's Clown Picture; my Mother's Flag and Medal Display; my stamp collection; and my Medal Display. Said items are listed in instructions given to my Executor, with their locations within my home. FIFTH: I give, devise and bequeath my residence at 1146 Newville Road, Carlisle, PA 17013 (including all furnishings and other contents not already bequeathed to him or to another person in this Will) to my son, CHARLES W. JOHNSON, provided he survives my death. Should my son CHARLES W. JOHNSON fail to survive my death, my Executor shall sell said real and personal property at public or private sale in his sole discretion, with the proceeds thereof being added to and distributed as part of the remainder of my estate. SIXTH: I give and bequeath the sum of One Hundred Thousand Dollars ($100,000.00) to my son, JAMES A. JOHNSON, provided that he survives my death. SEVENTH: I give and bequeath the following items to my son, JAMES A. JOHNSON, provided that he survives my death: my Grand Mother Clock and any automobile(s) or other motor vehicle(s) owned by me at the time of my death. Said items are listed in instructions given to my Executor, with their locations at my home. EIGHTH: In recognition of her kindness and assistance to me and my late wife, I give and bequeath the sum of Thirty Thousand Dollars ($30,000.00) to my daughter-in-law, JUDITH L. JOHNSON, provided that she survives my death. NINTH: I give, devise and bequeath the remainder of my estate, of whatever nature and wherever located, as follows: A. One-half (I/2) of said remainder to my son, CHARLES W. JOHNSON, provided that he survives my death. Should my son, CHARLES W. JOHNSON, fail to survive my death, distribution of his share shall be to those of his children then living, share and share alike. B. One-half (1/2} of said remainder to my son, JAMES A. JOHNSON, provided that he survives my death. Should my son, JAMES A. JOHNSON, fail to survive my death, distribution of his share shall be made to my son, CHARLES W. JOHNSON; and if CHARLES W. JOHNSON is not then living, to those of the children of CHARLES W. JOHNSON then living, share and share alike. TENTH: I nominate and appoint my attorney, ROGER IVI. MORGENTHAL, ESQUIRE, as Executor of this my Last Will and Testament, but should he fail to qualify or cease to serve in that capacity for any reason, I nominate and appoint as substitute Executrix, my daughter-in-law, JUDITH L. JOHNSON. I direct that my personal representative shall not be required to give bond or security for the performance of his or her duties in any jurisdiction. I request that my Executor retain the services of my attorney, ROGER M. MORGENTHAL, ESQUIRE, as the legal representative of my estate. ELEVENTH: All income or principal held for the use and benefit of the beneficiaries of this Estate shall not be in any way or manner subject to anticipation, assignment, pledge, sale or transfer, nor shall any such interest, while in the possession of my Executor, be liable for or subject to the debts, contracts, obligations, liabilities or torts of any beneficiary, or to attachments, executions or sequestrations under process of law. TWELFTH: If any beneficiary of the Estate shall, in the sole opinion of my Executor, be or become mentally or physically incapacitated, by reason of illness, accident, minority or other circumstance, my Executor may apply either income or principal for the support and welfare of such beneficiary directly or to the person who has the care and control of such beneficiary, without the intervention of any Guardian and without obligation to supervise application of said amounts in any way.. THIRTEENTH: In addition to the powers conferred by law, I authorize my Executor, in his absolute discretion: A. To retain in the form received, and to sell either at public or private sale any real or personal property. B. To manage real estate. C. To invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification. D. To exercise any option or rights arising from ownership of investments. E. To compromise claims without court approval, and without the consent of any beneficiary. .r"~~7 IN WITNESS WHEREOF, I hereunto set my hand and seal this r, - day of July, 2007. r ,, ~1 < r . ..; .~- ~. ~ CHARLES ALB OHNSON 4 SIGNED, SEALED PUBLISHED and DECLARED in the presence of: COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CUMBERLAND We, CHARLES ALBERT JOHNSON, ROGER M. MORGENTHAL, and DEBRA R. MEHAFFIE, the Testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn or affirmed, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will, and that he signed willingly and that he 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) years of age ar older, of sound mind and under no constraint or undue influence. Sworn to and subscribed before me this ~ a~t~ay of August, 2007 c'+ NOTAR{AL BEAI =1r..~-, ;:, c~v~°~~. ~. ,_~ l`#-i_~.._,~._.~" ROSEMARY A NUM ~ ~ CouHn Notary Public My CoernkNon Expires Oci 6, 2010