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09-05-08
PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Elizabeth M. Potteiper File Number r~/ -CK-~f~ ~~~ also known as Mary Elizabeth Potteiger Deceased Social Security Number 168-26-4467 Petitioner(s).. who islare 18 years of age or older, apply(ies) for: (COMPLET'E 'A' OR 'B' BELOW.) [X 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 3/7/1995 and codicil(s) dated N/A (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 sp~se (if any) ateheirs: (If _ Administration, c. t. a. or d. b. n. c.t.a., enter date of Will in SectionA above and complete list of heirs.) C~ w _- _~~~; i r;--[ C17 ~ ~ ~,. :_. y C.Jt (COMPLETE' INALL CASES:) Attach additional sheets if necessary. Decedent was domicil d at death in Cumberland County, Pennsylvania, with his I her last principal residence at 1111 Country Club B l1u Cam~Hill PA 17011 East Pennsboro Twp (List street address, town city, township, county, state, zip code) Decedent, then 93 years of age, died on 8/27/2008 at Holy Spirit Hospital Camp Hill PA 17011 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 8.500.00 (If not domiciled in PA) Personal properly in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ ~TAL ~ 8 ~ ~ . ~ 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 `~ v~~ /1 t ~-~/-'~-~ ~ Linda K. Maronic n/k/a Linda M. Wagner 1111 Count Club • Cam Hill PA 17011 Form RW-02 rE?v. 10.!3.06 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 ithe estate according to law. ~~ ~ ~ ~'I?~.,~ ,rJ~k .~ ~~ fit- ~~+~ Sworn to or affirmed and subscribed t ~ , ~, Signature of Personal Representative Linda K. Maronic n/k/a Linda M. Wagner before me the ~ day of N r"t r--, aie~ ber ~~~g Signature of Personal Representative ~ © c°~ _ _ ' `~T~'~-E ~ d F the Register Signature of Personal Representative ~ ~ I ~ :;~,' ;_7 !°j ~ ~ -r; D C.It File Number: ~ Estate of Elizabeth M Potteiaer a/k/a Marv Elizabeth Potteiaer ,Deceased Social Security Numb-eyr~:1~68-26-4467 Date of Death: 8/27/2008 AND NOW, ~~+ ~ ,2008 , in consideration of the foregoing Petition, satisfactory proof having been. presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Linda K Maronic n/k/a Linda M Wagner in the above estate and that the instrument(s) dated March 7 1995 described in the Petition be admitted to probate and filed of record as the last Will (rand Codicil(s)~o~ Decedent. ~ FEES ' ' ~• Regist r of Wrlls ~5 ~° ~ , Letters ............................. $ Short Certificate(s) ••••~'••• $ '~ Attorney Signature: Renuncia ion(s) •••••••••••••••• $ ~ $ ,~ Attorney Name: Jil . Wineka. Esauire •••• $ ~ Supreme Court LD. No.: 58802 .... $ ~ W $ Address: 1719 North Front Street _ _r •••• $ Harrisburg .... $ ..•• $ PA 17102 "' • $ 7171234-4178 $ Telephone: ( TOTAL ............................. $ , Form RW-02 rev. 10.13.06 Page 2 of 2 IOS.805 REV (01/071 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 14827823 Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly tiled with me as Local Registrar. The original certificate will he forwarded to the State Vital Record; Office fur permanent filing. Loco egistrar Date issued n C ~ _' ~CJ "Q ~~~ __: E17 r~-~ p 'T"1 L.~ fV q C] toe c/S I'*7 'Z7 i CJi Z~ r ~~ _~ c-1 J _~_ ,_j ~_ .~ f "tl ~. (~ a _.~ ~, r'~`-. M705-143 REV 11/2006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TPERMANE"TNyI" CERTIFICATE OF DEATH BLACK INK (See IfISffUCflOr15 eRd EX8fY1PIB3 On f@V@-S@~ STATE FILE NUMBER 1. Name d Decedent (Pint, niidde, last, sutla) 2. Sex 7. Sodal Security Nurtder 1. Dale d beam (Harm, day, Yazr) Elizabeth Mary Potteiger female 168 - 26 ~r467 August 27, 2008 5. Age (last &rmtlay) Under 1 year Under 1 day 6. Date of &M (Mach, day, year) 7. Birthplace (City aM slate a faeign ceaary) 8a. Place of Dean ICtceck Doty ace) Mannw Days ltowa kraan HosPW: Omer. 93 vre. August 1, 1915 Shamokin, PA try trpatlent ^ER/Oulpalierd ^DOA ^Nursing nonce ^Residence ^Wcer-~Y: 6b. Couny d Death fic. City, Sono, Twp. d Death !b. Factlky Narrce (II rot nsnukat, gNe street and naMer) 9. Was Dxredant d Hispanb gign7 ~] No ^ Yes 10. Rae: Arrleriran trldien, Black White, etc. Cumberland East Pennsboro Holy Spirit Hospital ~~,,,pu,,,oCpi~py;,aq.) Isv~ white 1/. DeceOera's Usual Oca Bon Kind d work dace most d Itle. Do not slate retired 12. Was Decedent ever in the 13. Decederll's Edupkon (Specify Doty t~cesi gads canpereal 14. Marital Status: Hared, Neva Married, 15. Surviving Spouse (d wife, give nceitlen name) Kkd d Wak Kkd d &siness / mtluslry U.S. Armed Faces? WdoweO, DrvacM IspeaN) Elementary / Secadary (o-12) College (1 d a 5+) id 12 cook CD School Dist. w ow ^Yea Arlo 16. Decedern's MatliM Address (SUeel, city /town. stale, zip cotle) DecetleriYs Did oeceded ryr t7c. Py Yea, Deceded L"edn East Pennsboro Trop. Adual Re,idence t7a. Sere PA 1111 Country Club Dr. ? 17d.^No, Decedent Lived wtlfwl Camp Hill, PA 17011 t7D. County (:tlmherlanrl Aaan l:dtcd city/Bao I6. Famefa Norm IFkn, rtWde, last, sutla) Franklin Shipp 19. Homer's Name (Fuel, nkddle, nwdan sumance) Dora Hummel 20a. intamarll's Name (type / Prinq 20D. Mamanl's Matlklg Addesa IStren, ckY /town, slate. zp ads) Linda M. Wagner 1111 Country Club Rd., Camp Hill, PA 17011 21a. Method a Dispontlrn ^ CremaSOn ^ Dorceatronn 21b. Date a Disposilbn (Mach. day, rear) 21c. Place d Dspositbn (Name a cenalery. aematay a omar place) 21d. lacalion (Cq /town, slate, zp cetla) C~ ~~ ~ ~ August 29, 2008 Blue Ridge Memorial Gardens Harrisburg, PA 17112 ^ E/~~^Yaz^~ r2a. ~ aangazauch) 220. license Nl,rlbar 22a. Narre and Addressa Fadpy Hoover Funeral Homes & Crematory Inc. ~ (~_ FD 011921 L 6011 Linglesto Rd., Harrisburg, PA 17112 flans 23ao ody when cedAykg 23a. To Yce ben d my krowledge, dean axuoed n me tince, date and place staled. (Sycewre and 49e ///~ 23b. license Nurrmer 230. Dab Sigrced (MOnm, day, year) physiwn le not evetlable el kola d deem b ~ n ~ L1 ~ , \\ cenity cause d 0pm. L tlerrs 24-26 mtW Ce canpleted W person 24. Tune of Deem 25. Dale Prmoaced Dead ( m. daY~ Y~1 26. Waz Case Referred b Medcel Examiner / Canner br a Reason Other than Cremation a Donation? wlce pralwlces deem. 7:55 AM. August 27, 2008 ^Yaz ~~ CAUSE OF DEATH (See Instructions arW exampNS) r Approximate ncerva: Part IL Ertler oma ~ 26. Did Tdcecce Use CatlrihlAe b Deam? hem 2T. Part l: EMar tlce drain al evens -diseases, kMurias, a axrgkatras -mat directly caused tlce deem. W NOT enter tamtrW evade such as prdsc arrest, r Onset b Deem bd nd resulting n me adatyirg cause given n Pad I. ^ Yes ^ Prabady respidby artesl, a ventrkvdar libriratlon wtlhout showkg me eadogy. l'sl atly ace cause on each Ina. r ^ No ^ Unkrawn c L~Q YNEDUTE CAUSE IFnat d ~ µ ,~ d ,..~P / ~{-•-U [ JV. 1 o fps corldtlian resaarg n Ih) a !-(.~ 29. Q r~k ~ imn r sequerce of): //~ ,., L ` I Due to (a/a~a 1 C (JFYL{) f ~i~ ~ S ~ fc. r ~~f l w ~~a ~ ~ ^ Pragrlanl al tlme d deem ~ yN ist caldtlms, g aq• b !/ \Y . X7.1 s j~ l ~ t . ka0rp q die cause Natal an line a. I Due b (a as a consequence oQ: r ^ Nd pregrenl. WI prtgnaM wimin 42 days Erder me UNDERIYNG CAUSE (disease a kWrY mat nNaled me r c' d deem ~ events resulting n Beam) UST. ^ Nd pregenl, Dd pegced 43 days b 1 year Due to la as a consequence oD. before deem r d ^ Wdzlawn tl paged witlan tlce pan year , 308. Was az AdapsY 30b. Were Adopsy Fudings 31. Hamer d Dean 32a. Date d tryury (Month, day. Year) 32b. DescrCe Haw Injury Oawred 32c. Place d Injury: Horrce, Farm. Sreel, Factory. Otlce SuYdrlg. ek. (SpeaN1 Pedanced7 Availaae Pdor b Carpletkn d Cause of Deam7 ~ Nabrd ~ ~~ ^ AttNeM ^ Pendng Investigation 32tl. Tune d Injury 32e. Injury n Work? 321.11 Trarsponation Iryay lSpedN) 32g. Lowest d Injury (Strad, cky' /town. stale) ^ Yes [~NO ^ Yes ^ No ^ Yes ^ No ^ Onver l Operala ^ Passenger ^ ^ Saccee ^ Caad Nd be D,lermirw.'d M Omar ~~. 33a. CeNlier Idcedc Day anal 33b. Syalae and Title d C n ~~ `, • GrOrykg MWdclen (PhyskYan aendl'k5 cause d deem when aromer physkian rtes paxxalcetl deem and canpleted Gem 23) ______________________________ ^ dWh acunM duebihecwaelslaM mamler as,tate4 e n kmwkd m b td T ~ __ , y g e .s l O • Pronouncing sM pnllymg pnysaden (Physxtian bom paceaic,g death aM ceniNn9 b rouse of deem) ® s) and manner as saled se d d t th 33c. licerse N , ^y "1 ZO 3 ~ 33tl. Date Signed ( ,day, ar) g _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ e po ( ue o To Me Mst d my knowledge, death occumd n the lime, date, antl place, an L~ O ~ I_ f 7 1 C.~ ~ ~.~ Q • Medkal Examknerl Coroner and plop, and due to the pose(s) and manner n staled_ ^ data deem occurred al tM rhos in m opiram tlon aM I a mwsti atbn i f i O W Deam (Item 27) T e / Prku l d Ca se d Add I P W M C a , , , y g , a o a am p n the , yt Name and e e u yp re erson ~~ary ~tt I~I C I ~ ~KIG kJQly 35. Registr s lure an Dist - v ~ 36. Date Filed (MOnm, day, Year) ~~ 7 ~~/a/ ~ ~~ ~~ t ~ W ~ - d7 - Uswsuo~Fe~mlrlo 0215278 LAST WILL AND TESTAMENT OF ELIZABETH M. POTTEIGER I, ELIZABETH M. POTTEIGER, cf Harrisburg, Dauphin County, Pennsylvania, declare this to be my Last Will and Testament, and revoke any and all Wills and Codicils heretofore made by me. ITEM I: I direct that all my dust debts and funeral expenses, including my grave marker and all :expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease, as part of the expense of the administration of my estate. ITEM II: All federal, state, and other death taxes payable because of my death with respect to the property forming my gross estate for tax purposes, whether or not passing under this Will, including any interest or penalty imposed in connection with such tax, shall be considered as a part of the expense of the administration of my estate, and shall be paid out of the principal of my estate without apportior;nvrt ^r ri.c~rt of reimbursement . ITEM III: I give and bequeath my bedroom set and family bible to my daughter, GERALDINE HODAPP, of Jackson County, Missouri. ~ ITEM IV: I give and bequeath my rolltop desk ~ my ~on, ~~c~ ~ SAMUEL E. POTTEIGER, JR, of Dauphin County, Pennsy~.~ia.~ ; csa ~ u~ _ ; ~ c:w~i 1'•~~Tj ~"~ •~) t f r.:. -C7 ~ .~` ~~ t 1't '^ { _~ -./ ~7 ~ IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~/`' day of ~'~1 tirr"".~~,., 1995 . ~~' " '.) ELI ETH M. POTTEIG The preceding instrument, consisting of t'ris and 3 other typewritten pages, was on the date thereof s:~gned, published and declared by ELIZABETH M. POTTEIGER, the Testatrix therein named, as and for her Last Will, in the presence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. ~f 1'.~ / / /~ ~~- v',l,~r~ ,~ Residing at /~ ;~ 1/I''1 ~/ ~ /! ~ /, f-~--- .j ~~~~\ ~~ '%...~ ~'~. ~~C~. ~ ~ ~ Residing a t ~J_I,~~ ~~0.,~1~ \'`_~.a.\ y ~ ~, ~ {- ~~.~ r COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF DAUPHIN We, ELIZABETH M. ~ •. POTTEIGER, j(1/Pf'. ~r ~(,~i.-'.'~ the testatrix and the and witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her last will, and that she had signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the will as witnesses and that to the best of their knowledge the testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ' Testatrix ~7 rai ii";a~ ~-~'~t;~;7r Witness t fitness Subscribed, sworn to and acknowledged before me by ELIZABETH M. POTTEIGER, the testatrix, and subscribed and sworn to before me by f 1,l/Er"i 11~i~~~!~~`~-4"~ and ,r~~~?~_ ai~`~~,: r witnesses, this ~" ~r~ - day of ~, ~,/`.Y~ 1995. '~ ,~ 7 ~~ ~~~Gt~ Notary Public F~D7F-3'~~L SEd~,I 64'FS~t9iSdvl~~TZ l:+.t':.A'J <+~.~r t.. trs 7` ITEM V: I give and bequeath my grandfather clock, my dining room set and cemetery lots to my daughter, LINDA K. MARONIC of Dauphin County, Pennsylvania. ITEM VI: I give and bequeath my grandmother's chest and choice of salt and pepper shakers to my daughter, BETSY L. IBAUGH of Franklin County, Ohio. ITEM VII: It is my desire that my daughters, GERALDINE HODAPP, LINDA K. MARONIC AND BETSY L. IBAUGH, have their choice of any of my jewelry which they desires to keep in remembrance of me. ITEM VIII: It is my desire that my son, MARLIN E. POTTEIGER, select whatever item of personalty he desires in remembrance of me. ITEM IX: I give, devise and bequeath to my children, MARLIN E. POTTEIGER, GERALDINE HODAPP, SAMUEL E. POTTEIGER, JR., LINDA K. MARONIC, AND BETSY L. IBAUGH, or their issue, per stirpes, all the rest residue and remainder of my estate of every nature and wheresoever situate in equal shares. ITEM X: I nominate, constitute and appoint LINDA K. MARONIC as the Executrix of this my Last Will and Testament. In the event of renunciation, death, resignation or inability to act for any reason whatsoever of the said LINDA K. MARONIC, I nominate, constitute and appoint SAMUEL E. POTTEIGER, Executor of this my Last Will and Testament. ITEM XI: In addition to the powers confirmed by law, I authorize my Executrix or her successor of any property, appointed hereunder, in their absolute discretion without court order: (a) To retain property in the form received, and to sell either at public or private sale any real or personal property; (b) To manage real estate; (~) To invest or reinvest all forms of property without being confined to legal investments, and without regard to the principal of diversification; (d) To exercise any options or rights arising from ownership of investments; (e) To compromise claims without court approval, without contest of any beneficiaries; (f) To lease any real or personal property, however, not for a time beyond the date when the minor would obtain age eighteen; (g) The right to distribute in cash or kind, or both, at such evaluations that they may fix. ITEM XII: I hereby relieve my Executor/trix, or his/her successors, of the necessity of posting bond in connection with their duties in any jurisdiction in which he/she may be called upon to act insofar as I am able to do so by law.