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HomeMy WebLinkAbout09-16-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of GEORGE V. SHOEMAKER File Number ~ ~ _ UC l~lJ U ~ v ' also known as (PREVIOUSLY KNOWN AS GEORGE V. PAPOUTSIS) Deceased Social Security Number 195-28-0197 Petitioner(s), who is/are 18 years 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 JAMES G. SHOEMAKER named in the last Will of the Decedent dated JUNE 07, 2008 and codicil(s) dated N/A r.a CJ o (State relevant circumstances, e.g., renunciation, death of executor, etc.) =~, ~ '-'' ` ~ C/3 Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution of the~t~yment(ls~.offere~h { ~ , '~ for probate, was not the victim of a killing and was never adjudicated an incapacitated person: - .~ ~ ~ -' ' ~-~-1 ,--.-, r-~ t7 y. - =a B. Grant of Letters of Administration ~ ~ -r-; ~ - _ ~-j I a hcable, enter: c.t.a.; d.b.n.c.t.a.; endente liter durante absentia; durante ritate) (f PP ~ p ,, D W ,.. Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and-Iakirs: (If Administration, c. t. a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationshi Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at 229 WOOD STREET CAMP HILL PA 17011 (List street address, town/city, township, county, state, zip code) Decedent, then 71 years of age, died on AUGUST 25, 2008 at 01:45 AM Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 6,000.00 (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 $ 1,500,000.00 situated as follows: DAUPHIN, CUMBERLAND, YORK, PERRY & JUNIATA COUNTIES 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: or printed name and `.~ ~, ~ ^ I JAMES G. SHOEMAKER 3352 CASTLE ROCK CIRCLE LAND O' LAKES, FL 34639 Form RW-02 rev. 10.13.06 Page 1 of 2 ~~- 1~ :. ~, f • .~ Oath of Personal Representative ~:~, ~ ~.. _~ cr -_ . COMMONWEAL H OF PENNSYLVANIA ~ -~~ ~,. J~ SS < ~ °i~ ~ -- COUNTY OF l~,l~ ~~ ~~i ~ ~_ W 'The Petitioner(s) above-named swear(s) or affirn~(s) that the statements in the foregoing Petition are UUe and con~ect t6~re 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. ` ~ (~ Swor?~ to or affirmed ~ subscribed b ore t ,e the __ I~-day of l - ,~~~w~ 'or the t egister Representative Signature of Persona! Representative Signature of Persons! Representative File Number: ~/ ~~ ~(~(~ ' ~~~ i Estate of ~ ~(~~ t-, S. , D ceased Social Sec rity N tuber: I~ ~ "~ ~ ~ ~ I / Date of Death: ~~ ~~~ AND NOW, '-~/~-f Vu in c nsiderati n of/the foregoing Petition, satisfactory proof having been presented before n, e, IT IS DECREED that Letters _,_~~,(Y(~~'Lf are hereby granted to n _ in the above estate and that the instrument(s) dated ~ (~ ? ~ o,~li~j described iu the Petition be admitted to probate and filed of recor the la t Will (an Codicil(s)) of edent. FEES ~ /~ ~y-~ Y / $ QI N 1 w Register of Wi! s ~ ' Letters ....... UN Short Certificate(s) ........ $ ~~ Attorney Signature: Renunciation(s), .......... $ ~ ... $_~~ ... $ ~4~ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ ~ .~~. ~ Attorney Name: Supreme Court I.D. No.: Address: Telephone: F~,„, Rw-o~ rev. 10.13.0( Page 2 of 2 ALID ONLY WITH IllIPRESSED SEAL DATE ISSUED: I HEREBY CERTIFY THAT THE ATTACHED IS A TRUE COPY OF A RECORD ON FILE IN THE DIVISION OF VITAL RECORDS ~ _ ~q35 r~ b Septe~er 2, 2008 °c.~ ."- GE VA PARKS :~~'D rn _ ,=_; t _r STATE REGISTRAR F VITAL B;~'r~rfi;<'S~ ', ==_~~ .-,~.; ~ Please Type or Print in Black Indelible Ink. Ensure All Copies Are i~§Ible. ~ _ " - For State of Maryland /Department of Health and Mental Hygiene] 1- S,_ata .___ Certificate of Death Rag. f~tr" `-~' M - 1 .,.y...,.. : Decedent's Name (First, Middle, Last) 2. Date of Death Month Day Year 3. Time of Death ~^ R,r,.~. S~ta£MkKE.iZ D O1y A M J 4a. Facility Name (1/not institution, give street and number) 4b. City, Town, or Location of Death 4c. County of Death The Johns Hopkins Hospital Baltimore City n/a 5. Social Security Number 6. Sex 7. Age (In yrs. last birthday) I Under 1 Year Untler 24 Hrs. 8. Date of Birth 9. Birthplace (State or Foreign Months Days Hours Min. (Month, Day, Year) Counfry) 195-28-0197 1 M z^F 71 Yrs. Nov 14 1936 Greece Usual Residence of Decedent 10a. State tOb. County 10c. City, Town or Location tOd. Inside City Limits 1^Yes 2KJNo ~ PA Cumberland C Hill ~ 10e. Street and Number 10F, Zip-Code 10g. Citizen of What Country? ° W USA 229 Wood Street 1701} m C 12. Was Decedent Ever in U.S. 13. Was Decedent of Hispanic Origin? (Specify Yes or No- / 4. Race -American Indian, 11. Marital Status Armed Forces? If Yes, spedfy Cuban, Mexican, Puerto Rican, etc.) Black, White, etc. ti 1 ^ Never Married 2 Married 1 ^Yes 2gl No 1 ^ yes 2 ~ No Specify: If Yes, Give Speciy: A ~ 3 ^ Widowed 4 ^ Divorced Year or Dates: White m 15. Decedent's Education 16a. Decedent's Usual Occupation (Give kind o/work done during most of working t6b. Kind of Business/Industry m (Specl/y ony highest grade completed) DO NOT use retired) Ii/e ~- Elementary/Secondary (0-12) College (1-4 or 5+) . er l D Real Estate c 12 n/a eve o V 17. Father's Name (First, Middle, Last) 18. Mother's Name (First, Middle, Maiden Surname) a1 o Vasilious Pa ou sis Demetra Rarandrikas f _ 19a. Informant's Name/Relationship (Type. Print) 19b. Mailing Address (Street and Number or Rure! Route Number, City or Town, State, Zip Code) Karen D. Shoemaker/Wife 229 Wood Street,. Camp Hill, PA 17011 Method of Disposttion 20a ~ Date 20b. ~ ao h o ( e c et ry p 20c. Location -City or Town, State . 1 ^ Burial 2 ^ Cremation 3 [$Removal from Slate place) e or f remat ry ur c c Green Hill Cemeter t 8/29/08 Waynesboro PA 4^Donation 5^orne.(spe~ry) y , 21. Signet unerel Se i Li ns 2 . Name and Address of Facility ~,emmon Funeral Home of Dulaney Vall ey, Inc. ~ ~~~[ Timonium Ma l and 21093 23a. Pa 1, Enter the ease, or corn dons that caused the death. Do not enter the mode of dying, such as cardiac or respiratory arrest, Approximate Interval Between shock, or heart ure. List only cause on each line. Onset and Death Immediate Cause (Final disease or condition a ~(,AJ1~ ~~ L£ U ~~'~)ti ~ resulting in death) Due to (or as a consequen of): y - ~ _ b • ^- C . Sequentially list condftions, if any, leadmg to immediate Due to (or as a consequence oQ: cause. Enter Underlying E Cause (Disease or injury that initiated events c• resulting in death) Last Due to (or as a consequence of): V d : . p Q) ~ C IF FEMALE: t 23c. If es, outcome of r nan y p ~ ~ 23d. Date of delivery N , 23b. Was decedent pregnan in the past 12 months? 1 ~ Uve birth 2 ^ Fetal death 3 ~ Ectopic pregnancy Month Day Year v • 1 ^Yes 2 ^ No 4 ^ Pregnant at time of death 5 ~ Other (specify) ~ >. 9 ^ Unknown 9 ^ Unknown ,C a Part II.Other signMlcant condldons contributing to death but not resulting in the underlying cause given in Part I. 23e. Did tobacco use contribute to the cause of death? a 'O 1 ^Yes 2 ^ No 3 0 Probably 4~nknown I `` Qf d 24a. Was an 24b. Were autopsy findings available a autopsy pdor to completion of cause of E perform ? death9 1 ^ Yea 2~Jo 1 ^Yes 2 ^ No U y 25. Was case referred to medical 26. Place of Death Check onl one m p examiner't 1 ^Yes o Hospital: 1 patient 2 ^ ER/Outpatient 3 ^ DOA Other: 4 ~ Nursing Home 5 ^ Residence 6 ^ Other (Speciy) t- 27. Manner of Death 28a. Date of Injury 28b. Time of 28c. In ury at 28d. Describe how injury occurred ~ p ork7 (Month, Day Year) Injury ~ Natural 5 ^ Pending ~' , 2 ^ Accident irnesGgatton M 1 ^Yes 2 ^ No w 3 ^ Suicide 6 ^ Could not be PBe. place of injury - At home, farm, street, factory, office 28f. Location (Street and Number or Rurel Route Number, ~ 4 ^ Homicide determined building, etc. (Speclly) CJry or Town, State) d V 29a. Cert~er ertlfying Physletan; To the best of my knowledge, death occurred at the time, date and place, and due to the cause(s) and manner as stated. r; (check ony 2 ^ Medical Examiner: On the basis of examination andlor investigation, in my opinion, death occurred at the time, date and place, and due fo the cause(s) 9 one) and manner stated. m ~ 29b. Sig re and t' of certifier 29c. License number 29d. Date signed (Month. Day, Year) /~ ~~ 1 b~~3~ ~ o$ ~-~' ~0° ~ 30. Name and address of person who completed cause of death (Item 23a) (Type, Print) IL ~rR1~/T' 600 North Wolfe St, Baltimore, MD, 21287 31. Date filed (Month,,Day, Year) 32. egistrar's Signature O~ - q 3s Will of George V. Shoemaker Part 1. Personal Information I, George V. Shoemaker, a resident of the State of Pennsylvania, Dauphin County, declare that this is my will. n ~ ~- ~ ~, ., " Part 2. Revocation of Previous Wills - ~; `~' - ~ ' °~ ; : ~ , , , I revoke all wills and codicils that I have previously made. , ~ rn ~ ~'; _ ~ ~ _> " Part 3. Marital Status ~ ~~=~`~ ~ _ :.°"~ I am married to Karen Bruner. ~_~,~ ° ~ = r w Part 4. Children I have the following children now living: James George Shoemaker and William George Shoemaker. Part 5. Grandchildren I have the following grandchildren now living: Sophia Rhea Shoemaker and Evelyn Rhea Shoemaker. Part 6. Failure to Leave Properly If I do not leave property in this will to any of my children or grandchildren named above, my failure to do so is intentional. Part 7. Disposition of Property A beneficiary must survive me for at least 45 days to receive property under this will. As used in this will, the phrase "survive me" means to be alive or in existence as an organization on the 45th day after my death. If I leave property to be shared by two or more beneficiaries, and any of them does not survive me, I leave his or her share to the others equally unless this will provides otherwise. My entire estate is all property I own at my death that is subject to this will. I leave my entire estate to James George Shoemaker. All personal and real property that I leave in this will shall pass subject to any encumbrances or liens placed on the property as security for the repayment of a loan or debt. Page 1 of 4 Initials: __ /~ `. Date: _ 1 "'~ ~~- Will of George V. Shoemaker Part S. Executor I name James George Shoemaker to serve as my executor. No executor shall be required to post bond. Part 9. Executor's Powers I direct my executor to take all actions legally permissible to have the probate of my will done as simply and as free of court supervision as possible under the laws of the state having jurisdiction over this will, including filing a petition in the appropriate court for the independent administration of my estate. I grant to my executor the following powers, to be exercised as he deems to be in the best interests of my estate: 1. To retain property without liability for loss or depreciation. 2. To dispose of property by public or private sale, or exchange, or otherwise, and receive and administer the proceeds as a part of my estate. 3. To vote stock; to exercise any option or privilege to convert bonds, notes, stocks or other securities belonging to my estate into other bonds, notes, stocks or other securities; and to exercise all other rights and privileges of a person owning similar property. 4. To lease any real property in my estate. 5. To abandon, adjust, arbitrate, compromise, sue on or defend and otherwise deal with and settle claims in favor of or against my estate. 6. To continue or participate in any business which is a part of my estate, and to incorporate, dissolve or otherwise change the form of organization of the business. These powers, authority and discretion are intended to be in addition to the powers, authority and discretion vested in him by operation of law by virtue of his office, and may be exercised as often as is deemed necessary or advisable, without application to or approval by any court. Part 10, Payment of Debts Except for liens and encumbrances placed on property as security for the repayment of a loan or debt, I direct that all debts and expenses owed by my estate be paid in the manner Page 2 of 4 Initials: ~_ Date: .. Will of George V. Shoemaker provided for by the laws of Pennsylvania. Part 11. Payment of Taaes I direct that all estate and inheritance taxes assessed against property in my estate or against my beneficiaries be paid out of all the property in my taxable estate, on a pro-rata basis. Part 12. No-Contest Provision If any beneficiary under this will contests this will or any of its provisions, any share or interest in my estate given to the contesting beneficiary under this will is revoked and shall be disposed of as if that contesting beneficiary had not survived me. Part 13. Severability If a court invalidates any provision of this will, that shall not affect other provisions that can be given effect without the invalid provision. Signature I, George V. Shoemaker, the testator, sign my name to this document, this day of `~' i,J rl e- , ~ ~, at ~Tdhni ~~~~iNS ~~oS/~I '~ I declare that I sign and execute this document as my last will, that I sign it willingly and that I execute it as my free and voluntary act. I declare that I am of the age of majority or otherwise legally empowered to make a will, and under no constraint or undue influence. Signature: Witnesses We, the witnesses, sign our names to this document, and declare that the testator willingly signed and executed this document as the testator's last will. In the presence of the testator, and in the presence of each other, we sign. this will as witnesses to the testator's signing. //// //// //// //// //// //// //// //// //// //// Page 3 of 4 Initials: ~~ ~ (-~ Date• ~ ~ / ~ 0 s-. Will of George V. Shoemaker To the best of our knowledge, the testator is of the age of majority or otherwise legally empowered to make a will, is of sound mind and is under no constraint or undue influence. We declare under penalty of perjury that the foregoing is true and correct, this 1 {~ ~ day of ~~ n e ,Zoe ' , at First Witness Sign your name: `/ Print your name: ~~Q ~~- {~/~ Address: J~ `i ~~~ ~TD ~~ City, State: ~~ l5~ 1v ~~~ Second Witness Sign your name: Print your name: V ~/V 1 1 ~ , ~~I ~~~ (,_! V Address: City, State: `r(,(.'~ ;~(_ ,{,~ ~ ~~(~ n~i~ ~ 1' Page 4 of 4 Initials: Date: ~~~ STATE OF MARYLAND COUNTY OF CSG'+'~ ~~~~ SS AFFIDAVIT OF SUBSCRIBING WITNESSES OF WILL DATED JUNE 7, 2008 OF GEORGE V. SHOEMAKER o~-- ~ ~ s ~,.~ ~~ ~.,, . ~ _-~~~, ~ , ~~ ,~; ,~, - . «~-, ,w ~ , --1 ~ c~ We, Barbara J. Smith of 524 Stratford Road, Fallston, MD 21047 and Vernetta D. Lomax of 4 Mercury Court, Parkville, MD 21234, the witnesses whose names are signed to the Will of George V. Shoemaker dated June 7, 2008, being duly qualified according to law, depose and say that we were present and saw the aforesaid Testator sign and execute the instrument as his Last Will and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge, the Testator was at the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me, this ~ ~ ~~ day of S z. P ~ ~ >..,t b e ~ , 2008. ~~~ V~iLr^+R~,~~ ~~i i~ o ~ So •?G , ~aOT~n), ~~ _ - __..: -~u.~..-. - G'i`' ~ ~~ ~///1 n n ~ n H u~~~~ ~> _ -._ _ r- ,~ ___.,...-------____-.. • _ ~ „_~ Notary Public Z©'d ~d101 C~8'-~JS ~ r~-.a ~p m ;, ~ ~ r + '~ DENUNCIATION ~_.'-'~ -- = ' L j < ~~ ~ REGISTER OF WILLS ' - `- ~ - _ Clanberland COUNTX, PENNSXLVAMA ~ ?'--'• --~t _ -_ Q ` - ca tx~ ' Estate of Geor e V _ Shognaker Deceased I, n $ Shoanaker in my capacity/relationship as /Prcn! NamrJ the wifE of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to James George Shoemaker ~C~O ~ (Dare) (Sig'natut+rJ B G~ Karen tuner Shoemaker ~Tdood S _ -r fSvett AddrrlaJ ` Camp Hili, PA 17011 (City, 5mte, ZIP) Executed itt Register's Office Sworn to or affirmed and subscribed before me this day of Executed out ojRegrster's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes fated ithin on this ~ day of ~ n Deputy for Register of Wills Form RW-06 rev !0 /3.06 Nota y Public 1 My Commission Expires' ~ ~ j ~ -~C} (Signature and Sral of Notary or other official qunhFicd co administer oaths. Show dart of czyinuon of Notary's Commcssion,) ~a~taNWEALTH OF PENNSYLVANIA NOTARIAL SEAL SlJSAN J. MILLER, Notary public Camp Hill Bono, Cumberland County My Commission Expires Sept. 19, 2004 20i20'd Sb:bt 8002-80-d3S