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HomeMy WebLinkAbout08-22-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERS-AND COUNTY, PENNSYLVANIA Estate of Clarence H. Sleeman File Number 21 08 ~ ~ t 9 1 also known as ,Deceased Social Security Number Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLE'TE 'A' OR 'B' BELOW.) ^X 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 4/8/2008 and codicil(s) dated lnonel (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; ~?ante minoritas Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following~~pg-(3f any~pd 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.) _~ lr;-i ~ ,_, tom: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last principal residence at 1331 Enola Road Carlisle PA 17013 North Middleton Twp. (List street address, town/city, township, county, state, zip code) Decedent, then 86 years of age, died on 8/12/2008 at Claremont Nursine & Rehabilitation Center 1000 Claremont Road, Carlisle Middlesex Township PA 17013 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (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 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 C'-\ n 1 ig p Typed or printed name and residence Robert J. Sleeman (717) 249-7165 t Qn,.r---~ i2zi F,,.,l~u.,~.t f~arl;~lP ne i~ni2 Form RW-0l, rev. 10.13.06 Page 1 of 2 (COMPLE:TE IN ALL CASES:) Attach additional sheets if necessary. Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND The 1etitioner(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 administer the estate according to law. / representative(s) of the Petitioner(s) will well and truly Sworn to or affirmed and subscribed before me; the day of Signature of Robert J. Sleeman - ~ Signature of Personal Representative I r , or the R-egister Signature of Personal Representative ~~y0 a ~ _- .-X~ i~ c. 7 ~= ~~ _ ., ,-z ~ _ r.> File Number: 21 ~ o ~ ~ j~~ -~_ , :- l _ , ~'`~. _ya Estate of Clarence H. Sleeman , Decea_s_e3i •• U; Social Securi ~ Number: AND NOW, having been presented before e, IT IS ERE are hereby granted to and that the instrument(s) dated 4/4/2008 described in the Petition be admitted to probate an Date of Death: 8/12/2008 2008 , in consideration of the foregoing Petition, satisfactory proof ~~ Let e Testamentary in the above estate d filed of record as the last Will f and Codicil(s)) of Decedent. FEES ~ rr~~ ~ R 'ster of ~ *~ Letters •••v~~ypQ••••••••• $ Short Certificate(s) ....~•••• $ Attorney Signature: Renunciation(s) •••••••••••••••• $ T ~ $ ~5 Attorney Name: No V. Otto III •••• $ ~U Supreme Court LD. No.: 27763 .... $ •••• $ Address: 10 East Hieh Street "" $ Carlisle .... $ ,.,, $ PA 17013 .... $ $ Telephone: 717-243-3341 TOTAI. ............................. $ Form RW-02 rev. 10.13.06 Page 2 of 2 IUS-805 REV 101/07) 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 1464'960 Certification Number This is to certify that the information here given i correctly copied from an original Certificate of Deatl duly filed with me as Local Registrar. The origina certificate will be forwarded to the State Vita Records Office for permanent filing. A. ~e.,V..c~'~t~.~AUq' ~ 3~2oos Local Registrar Date Issued -__, `_~ __ _ ~. , C~ ~= =. -~~ ,_ l _~_ ~ _~ ~3 _ , -~~., N -. "--'+ tV - -, ~ , ~, _ .. ~ .. _~ .~ cl': COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH ~, ~ ~ O~ j_ (See Instructions and examples on reverse) STATE FILE NUMBER 1/~ H105-143 REV 11 /20W TYPE I PRIM IN PERMANEM BIACK INK d d el { d ti J 0 0 1. Name d Decedent (First, mitldle, Msl, suFix) 2. Sex 3. Sodal Security Number 4. Data d Daatn (MOMh, day. year) Clarence H. Sleeman male 381 - 20 -8398 August 12, 2008 5. Age (Last Birtlmtlay) Under 1 Under 1 day 6. Dak of Bill (Month, day, ear) 7. BidlWlaw (Clry aril state a loreigl cuxnry) Ba. Place of Death (Check only one) 8fi yrs. "'°~'• an m,Wrs .awm., Apri 12, 1922 literal Hi11s, "°~°"~' °'"eC Yrs. ^ Inpadent ^ ER /Outpatient ^ DOANursing Home ^ Resitlerxe ^OHrer - Speciry: 6b. Galnry d Death Bc. Giry, Boro, Twp. of Death 6tl. Fecairy Name (II not IminWbn, glue street and number) e. Was Decedent d Hiepanb Ongm? ®No ^Ves 10. Race: American Milian, 61eck, WMte, etc. Cumberland Middlesex Twp. (spedm white Claremont Nursing and Rehab A ~ n ~ enPue oa K a ux k t ,etc.) 11. Deceekxx's Usual 1gr1 Knxl d wWx done mom d ~ Fe. Do rrol slate 12. Was Decedent ever in Ire 13. Dewtlem's Education (Speciry only highest grade completed) 14. Madbl Setus: Martled, Never Married. 15. Surviving Spouse Nf wife, give maiden name) Kind d Work KimM d Business / Industry U.S. Armetl Forces? Elementary /Secondary (0-12) College (1-d or St) Widowed, Divorced (Speay~j Miming executiv Iron Mine ~Ve6 ^Np 4 Yrs.• widowed 16. Decafent's Ma in9 ass , cdy /town, stale, zip coda) De ©tlen!'s Did Decedent ~y aura Pennsylvania Live ~ a 17ar~•Ye6 Dacetlenl Lived in N : Middleton Twp Apt°m Resxiemr ,7a 13 31 E n o l a R d . Carlisle , P A , . . Cumberland T°w"~"'D? nil. ^ rra, Da~eaant lived within 1 7 f)1 3 nb. Counry Arum umit6 0l city / earo 16. Fathers Names F t middle, last, sunixl Haro1~ Sleeman 19. Mother's Nerve (First, middle, maiden surname) Violet James 20a. Intamant's Name (T / PDm) Robert ,)"p• Sleeman 200. InIMTaM's Maemg Adtlress 15tmaG d /town, slate, z~ codal 1331 Enola Rd~. Carlisle, PA 17013 21 a. Medwtl of DLSpoanbn ! 7QGremeean ^ Dalatian 2W uDate of Dispcyrilgn'Month,Aay. Y64•L 1 4 L l1 V O A 21<. Place d Dlaposnion LName d comma , crematory a oNa plac~el f 1 h F~ 21tl. Gocalbn (G / rown, slate, zip wtle) ~ i 1 P A d C ^ Bunal ^ Rertgval horn State ~ W CremaWn a DoneNon AuMorimd $ ri o m e a u n e r a f m a n- K o t o Crematory Inc . ?, , a r s ^ aMr . sv~r. lal Ezemlrw / CoroneR rah ^ Np 22a Sigrus ~ d eral Service ' d ' g a6 s 22b. lJwnse Number 138504 22 . Na Address d F ~io~~man-~oth Fun ra H me and Cr ry Inc. 219 N. Hano ~ Complete Hems 23ac Dory I 23a. To the Dell al my krawledga, death oaurted at the lima, sate and place stated. (Spnalure and Olle) 230. License NumOer 23c. Date Syied (Month, day, year) ro physidan I6 rid aveaaOM 01 fime d tl cemry waae d deem. w Hems 24.26 mull ba carpmed W person 24, Tenn of Death 25. Date Pmmwunced Dead (Month, day, year) 2fi. Was Case Refarted to Metlical Examiner I Coroner for a Reason OIMr than Cremation or Denetron? ,- wrro pawanpe6 eeetn. 5 : 4 5 M. August 12 , 2 0 0 8 ^ Yea rx1 "° CAUSE OF DEATH (Sae InstruMiona antl examples) , Approximate mterval: Pan II: Eller oMer ~~wifiwnl cmdeons c°nmlwfrm ro deem, 26. Ditl Tobacco Use Cwinbda to Death? Item 27. Pen I: Eller dre dmein d eveMS - dlsease6, intones, a wmplicanomu -Mm drec0y roused dme death. DO NOT enter terminal evemds such as cardiac artesL Onset m Deets bd nil resma0m5ln dme underlying cause given In Pan I. [] Yes ^ Prdhably re~aretory ertem, or vermicular NbdlatAn without slowing the etkWgy. list ony one cause on each line. ' ^ No [;,Unknown ~~\) IMMEDIATE CAUSE IRnal tliwaw a / ~ 29. n Female: candnan resularg m deem) -~ e / ^ N Mhk m . Due to (a as a consequence r r pregmnl r n pe year ^ Pregwnt at Mre d daeN SequenlmlFFyy lest mwndtlomu, n arty, b G) . Imo to the wuce Amed on line a. ^ Nd pregnant, Mil Dregwnl wi111in 42 days Eller 9me UNDERLYING CAUSE Due to (or as a amsequence o0: d M~ (dsease a itNaY iMl initialed tlma c . e+aas readurmg in dearo) LAST. ^ Not pmegnan4 dd pragnarm143 days t° 7 year Due M (a as a consegwnce o0: hetae death d. ^ llnkmwwn d pregnant widkn th past year 30a. Was tm AMOpsy 300. Were Adapsy FlMings 31. Maurer d Death 32e. Date d Injury (Month, day, year) 32D. Describe How Injury Occurred 32c. Plow at Inpmr(. 41ame, Farm, Stmal Factor/, Olf a BuNtlpg, e¢. (Specltyl Perlamatl? AreaaMe Pda b Comrgletun of Cause M Dealh7 ~ Natural ^ HOmkide ^ Aoadenl ^ PenaM.g Inrestigalicn 32d. Tme of mjury 32e. Input' m Womk? 321.11 Tmnsponalion Inryry (Sp6ctty) 32g. Laation of Injury (Srael, city /town, elate) ^ Yes (~} No ^ Vas ^ No ^Ves ^ No ^ Dmiver / Opemta ^ Pesserger ^Pedastdan ^ Sukrde ^ CauM NM M Delemanetl M Od1a - Spediy 33a. CeniFer (check only owl 33D, Signature all Ttlle of 'ter , - ~ / / / / { - _ - • Certilyln9 Phyeklan {Physidan cer0lyimg rouse of death wMn andMr physiden has pmonounced deaM arA competed Item 23) death mrocurtfld due to tM cauae(a)snd mammer as stated______________________________ ^ knowbdge the ~~atdm T /~~~ % / { ' / , y o • Prorroundng and cedhyiry Physiden (Physidan lxdh promarirg tlea!h and certHyirg ro rouse d deaM) all phw, arts due tD tM cause(a) amt manner ea slated, _ _ _ .. _ _ _ _ _ _ _ _ _ _ ~ _ _ ~ date deaden aunxred at the riome To the beat of my krwMmxlge 33c. License Number r C' ~ 33d. Date Signed M, day, ear) ' Q , , , (~ • Metliwl Examiner / Coramer -n tM basR d examination all I a inveatigadon, in my opMbn, deaM otturrad at the 1{RA, date, all pue, end due to the cause(s) and manner as sated_ ^ 34 Name ell Atltlress d Person Who leled Ceuw of Death (Item 27) Type I PDM Ken Harm MD 35. R a Sgnature e ro ~ >~ I ( I ~ I f 101 r~ Date Filed (Monde, day, year) , 10 0 0 C l a r e m o n t R d, Carl i s l e , P A 1 7 013 ~ , ~ 3 Disposition Permit No. O ~ nOYJ F.\FILES\Clieuts\12948 C SleemanU 2948_].will LAST WILL AND TESTAMENT I, CLARENCE H. SLEEMAN, of North Middleton Township, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils made by me. 1. I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and all death taxes (whether such taxes may be payable by my estate or by any recipient of any property) shall be paid from my residuary estate as soon as practicable after my decease and as part of the administration of my estate. My Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing und!e~? r~ ~» _ _~, this Will. c_ ~ - .. __~_;__3 C~= 2. - I ; ~ Tv - 1`u I give, devise and bequeath all of my estate, both real and personal property, in the';f 1)dwing~ ~: -, ..~ manner: 'T' ~_; .. a. Fifty percent (50%) thereof unto my son and his wife, ROBERT J. SLEEMAN anc~~ JACQUELINE A. SLEEMAN, or the survivor of them, with substitution of issue; and; b. Fifty-percent (50%) there of unto my daughter and her husband, CAROL A. LOVEJOY and ROBERT LOVEJOY, or the survivor of them, with substitution of issue. 3. I nominate, constitute and appoint my son, ROBERT J. SLEEMAN, as Executor of my estate. In the event he is unwilling or unable to so act, then I appoint MARTSON LAW OFFICES, of Carlisle, Pennsylvania, as Executor of my estate. In such latter event, the basis for compensation shall be the hourly rate(s) of such firm in effect as such services are rendered. 4. I direct that all fiduciaries acting under this Will, whether or not named herein, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ~lmtials~ Page 1 of 3 Pages ~~ 5. I authorize and empower my Executor, or his successor, in their sole and absolute discretion, to purchase or otherwise acquire and retain any investments of which I die seized or any real or personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in regard to any or all property of any kind forming a part of my estate for such terms and such prices as they may deem advisable; to borrow money for any purposes connected with. the protection and preservation ofmy estate; to mortgage orpledge anyreal or personal property forming a part of my estate or to join in ox secure the partition of same; to compromise any claims or demands of my estate against others or of others against my estate; to make distribution in kind and to cause any share to be composed of cash, property or undivided fractional shares in property different in kind from any other share; to employ agents, attorneys and proxies and to delegate to them such power as my Executor, or his successor, considers desirable and to pay reasonable compensation for such services as may be rendered by such agents, attorneys and proxies; and to execute and deliver such instruments as may be necessary to carry out any of these powers. In addition, I direct that my Executor, or his successor, shall have the power to conduct an inventory of any safe deposit box necessary to the administration ofmy estate. ,,~,-~~ IN WITNESS WHEREOF I have hereunto set my hand and seal this ~ ~ day of _~___..~ ~s~~ (sEAL> Clarence H. Sleeman SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator, as and for his Last Will and Testament, in the presence of us, who at his request, have hereunto subscribed our names as witnesses thereto, in the presence of the said Testator and of each other. Page 2 of 3 Pages COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) We, Clarence H. Sleeman, No V. Otto III, and /~2.~'c i ~- Y ~~ ~~~~~~~~ ~-~ ,the Testator and the 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 the Testator has signed willingly, and that the Testator executed it 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 a witness and that to the best ofhis/her knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Cla nce H. Sleeman, Testator Witness ~;, ~ , Wit ess ~ Subscribed, sworn to and acknowledged before me by Clarence H. Sleeman, the Testator, and subscribed and sworn to before me by No V. Otto III and .~'~~ ~ v ~- ~'~ ~_ ~r a ~ cr---- , the witnesses, this ~'`~'day of ~r c G ,o~UO $ . :~~~~ ~~~ Notary Public ~1MMONWFALTH OF PENNSYLVANIA NOTARIAL SEAL Victoria L. Otto, Notary Public Carlisle Borotig'l Cumberland County My commission expires December 20, 2010 Page 3 of 3 Pages