HomeMy WebLinkAbout09-16-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of DALE C. BAKER
also known as
Deceased
COUNTY, PENNSYLVANIA
File Number d~ , ~ ~ ~~3~
Social Security Number 207-22-0840
Petitioners}, 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 CO-EXECUTORS
last Will of'the Decedent dated JULY 31, 2003 and codicil(s) dated
named in the
EVELYN M BAKER DIED ON AUGUST 25 2005
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
Except as fi~llows, 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.; pendentelite; duran[eabsentia; duranteminoritate)
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if an}~nd heirs: (/f
Administration, c. t. a. ord. b.n.c.t.a., enter date of Will in Section ,4 above and complete list of heirs.) t--~
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C Name Relationshi Rectal ~
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. p
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Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence a~t"~
425 KERRSVILLE ROAD WEST PENNSBORO TOWNSHIP CARLISLE CUMBERLAND COUNTY PENNSYLVANIA 17015
(List street address, town/city, township, county, state, zip code)
Decedent, then 88 years of age, died on SEPTEMBER I, 2008 at ELMCROFT ASSISTED LIVING,
CARROLL TOWNSHIP YORK COUNTY PENNSYLVANIA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 79,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
situated as
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 undek5igned:
~_ Si nature T ed or nntea name ana resiaence
p /~ ~i ROGER L. BAKER, 425 KERRSVILLE ROAD, CARLISLE, PA 17015
n o..... AA ~Z / ~
JOHN R. BAKER, 675 MOUNTAIN ROAD, BOILING SPRINGS, PA 17007
JULIA A. STOVER, 175 ARMY HERITAGE DRIVE, CARLISLE, PA 17013
Farm RW-O2 rev. 10.!3.06 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS
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.
Sworn to or affirmed and subscribed
before mE; the ~'~ day of
_"1_ ~ GL ~' ~ ~-
For the Register
~~~
Representative
Representative
of Personal Representative = ~: j-r-t
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File Number: -='
Estate of DALE C. BAKER
Deceased
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Social Security Number: 207-22-0840 ry~ Date of Death: SEPTEMBER 1, 2008
AND iVOW, ~ ~ aw d , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters TESTAMENTARY
are hereby granted to ROGER L. BAKER, JOHN R. BAKER AND 3ULIA A. STOVER
in the above estate
and that th.e instrument(s) dated JULY 31, 2003
described in the Peti tion be admitted to probate and filed of record as the last Will and Codicil(s)) f Decedent.
FEES
Letters .......... ..... $ 210.00 Register o Wills
8
00 ~'~/L-u 3 .
Short Certificate(s) . ....... $ . Attorney Signature: -
Renunciation(s) ... ....... $
JCP $ 10.00 Attorney Name: ROGE . IR IN, ESQUIRE
AUTOMATION FEE $ 5.00 Supreme Court LD. No.: 6282
WILL $ 15.00
Address: 60 WEST POMFRET STREET
... $
... $ CARLISLE, PA 17013
... $
... $
• • • $ Telephone: (717) 249-2353
... $
TOTAL ...... ........ $ 248.00
Form RW-02 rev. 10.13.06 Page 2 of 2
N 105-R05 REV (UI/f171
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 „l~yxx""""~~--- This is to certify that the information here given i
n° p~ZH Of pf ~~ correct) co ied from an on final Certificate of Death
,1j1'' ~. Ny' Y P g
~ttt'o~~ `rl`_ duly filed with me as Loea1 Registrar. The original
~~~ °~ ~za certificate will be forwarded to the State Vital
~; y ~ iA~ Records Office :ur permanent tiling.
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Certification Number Local Registrar Date Issued
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H705-143 REV 112006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~
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TYPE I PSNm45 iN
PERHANENi CERTIFICATE OF DEATH W -
BUCK INK (See instructions and exam les on reverse
P ~ STATE FILE NUMBER
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1. Name d Decetlenl (Rrs6 mUda, last, suNw) 2. Sex 3. Social SeMNy Number 4. Date d Deem (Month, day, year}
Dale C. Baker Male 207 -22 - 0840 Sept. 1, 2008
5. Age (lest Birthaayl Under 1 yazr lMOer 1 day 6. Gale of &M (Month, day, err) 7. BiMgace CNy art slate a foreign aunlryl Ba. Plea d Deem (CIIeGk any «K)
8t3 Nwans °°" "°'""' NNwNx Hospital: omen
Sept. 3, 1919 Shippensburg, PA ^I
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• orb. Caedy d Deem &. City, Fbro, Twp. d Dedh Bd. FecilNy Name (If not inslAutlon, gwe sheet end number) 9. Wes DecetleM a Mapenc Origin? ~ No ^ Yes 1D. Rea: American ktdar, Black, WId1e, ek.
York Carroll Twp. Elmcroft Assited Living nryea,spedlYCwa°' (sP~rl White
Mexican, Puerto Rican, etc.)
11. Decedent's Usuz7 Oxu 'Rn Klnd a wok dare moll of Nle. W not sbm maretl 12. Was Decedent ever in IM 13. Decedent's Etlrcaeon (Spacity any Nghesl grade comgetadl 14. Marital SteNS; Married, Never Memetl, 15. S«vMrq Spouse (It wife, give maitlen name)
Divorced (Spedry)
Wb°"'~
Kind d WaN Kintl d Business / Indusry •
U.S. Amred Farces? Ebmentary / SecoMary (0-t2) College (1-4 err Sa)
Farmer own farm ^Yea ~Na 5 Widowed
tfi.Decedent's Magkg Arldrazs(Sreet ciy/rown, sale, zip axis! Deceden's pA Db Decedent ,g{ W• Pennsboro
Live Ina 17c
Decedent Livad'n TaP
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425 Kerrsville Rd. .
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Aaud Rastlence 17a.
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Carlisle, PA 17015 nor.^Na, DecedaN Lned wNdn
,7b. county Cumberland
aaadunNaa city/eaa
16. Famsr's Name (RRI, made, last. Sullw)
Brian Baker 19. Homer's Harm (Rrs, rnidde, meitlen aumam)
Martha Galbraith
20a. Inbrtmni's Name (Type /Print)
Roger Baker 206. Informant's MaAing Adtlreaz (Brest, atY /town, sate, ziP cotle)
425 Kerrsville Rd,Carlisle, PA 17015
21a, M«wd d DhposNion ! ^Cremetkn ^ Doneeon 210. Date a DisPOaNfon (Harm, day, year) 21c. Ptace a aspceilbn Warts a cemetery, aematorY or amer pace) 21tl. lacetlm (city /town. stale, zip cede)
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S Cumberland Val~ey Memorial Carlisle, PA 17013
^ ps,r,.~yy; byMetlksEVminxlCormM ^Yes^No .
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Nam 24-:!B mes M corngaed M parsarr
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who pmxuarces deem. M.
CAUSE O DEATH (SSe instrucHOne a exampke) , Approxinete interval: Pert 11: Enter ama 28.OS Tabacw Use Contdorae b Deam7
Iprn 27. Fbrt I: Eder ma Ham d eveMS - tlweaees, 9Mullaz, a awpAratlom -met areaNy caused me dazm. W NOT enter comsat events such az wrtliec artes6 r Onset b Deem but nd resrdkg h me rsrdedykrg reuse given in Pad I. ^ Yes ^ Prabedy
reagretaY ertesl,«venlric lerflMWe6on wimoW atawir9 me a0do9Y.lis aNy one ama on each Ara. ~
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UNOERLYmiG CAUSE Duo to (or az a consequence oQ: ;
EM a ~~
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30a. Was az AMapsy 300. Were Adapsy FiMkps 31. Manner d Deem 326. Oaw d IrSury (MOMh, tlay, Year) 32b. Describe How Iryury Occurte0 32c. %ace d ktiaY'. F1ome, Form, Sreet, FaMry,
ONice BuNdrg, etc. (Spea7yl
Pedomwd7 AvaNede Pna to Car¢tee«,
d Cause d Doom? [)],Ifelwal ^ Ilorriiide
^ Acdtlall ^ Pendng m+ml'gation 32tl. Tune d klPu'/ 32e. mWry a Wo«4 32I. N Trensponatlon Ilqury (Spedly) 32g. Location of Inprcy (Shea, dry /lawn, state)
^Ym No ^ Yes ^ No
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• INetlicel Examiner/Coroner
On the hats a exeminetion ana! «inveali~tlon, in my opinion, deem occulted at the thee, dale, and place, stye tlue tothe teasels) art manner az swterL ^ and Adtlress d Person Who Comgeletl Cause of Deam Illem 27) Type / Pnnl
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DlsposNOn Pemdl No. UJ ~V1o "G Y
LAST WILL AND TESTAMENT
I, DALE C. BAKER, of South Middleton Township, Cumberland County, Pennsylvania,
declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills
and Codicils heretofore made by me.
1. I direct my Executrix ±o pay all of my debts, funeral and administrative expenses as
soon as maybe done conveniently after my decease.
2. I authorize and empower my Executrix to sell any realty owned by me at my death,
and not specifically devised herein, at either public or private sale, and to give good and
sufficient deeds therefor, in fee simple, as I could do if living.
3. I devise and bequeath all of my estate of every nature and wherever situate to my wife,
EVELYN M. BAKER; providing she shall survive me by sixty (60) days.
4. Should the gift in Paragraph No. 3 not take effect, I give my Grandfather clock to my
s;on, ROGER L. BAKER, with the direct that it be kept in the Baker family and I give my old
watch to my son, JOHN R. BAKER.
5. I give, devise and bequeath all the rest, residue and remainder of my estate to ROGER
i,. BAKER, JOHN R. BAKER and JULIA A. STOVER, share and share alike, the child or
children of any deceased child or stepchild'~aiki~~ tie ~hate'ir parent would have taken if
lei i~.~: ; ~~'C~-lcbUv
living. ~~' ~`~ ~~~
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6. I nominate and appoint EVELYN M. BAKER to be the Executrix of this my Last Will
and Testament; she is to serve as such without bond. Should she die before my death, renounce
or refuse to serve for any reason, or die leaving any of my estate unadministered, Inominate and
appoint ROGER L. BAKER, JOHN R. BAKER and JULIA A. STOVER as substitute Co-
Executors, also to serve as such without bond, with the same powers as are given herein to my
Executrix.
7. I hereby suggest that my personal representative retain the services of Irwin,
McKnight & Hughes as attorneys in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this %j'x day of
,July, 2003.
~'~ ~ ~~ f~-~ ~~,~~1~--' (SEAL)
DALE C. BAKER
Signed, sealed, published and declared by DALE C. BAKER, the above-named Testator,
as and for his Last Will and Testament, in the presence of us, who, at his request, in his presence
and in the presence of each other have subscribed our names as witnesses hereto.
~% }
2
ACKNOWLEDGEMENT AND AFFIDA VIT
WE, DALE C. BAKER, SHARON L. SCHWALM and KAMELA S. CORNMAN,
the testator and 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 he had signed willingly, and that he executed it
as his free and voluntary act for the purpose herein 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 of their
knowledge the testator was, at that time, eighteen years of age or older, of sound mind and under
no constraint or undue influence.
~G~ ~
DALE C. BAKER
.~~ ~x ~ ~ ~~~ ~~~
HARON L. SCH LM
~'
KAMELA S. C RNMAN
COMMONWEALTH OF PENNSYLVANIA
. SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by DALE C. BAKER, the testator,
and subscribed and sworn to before me by SHARON L. SCHWALM and KAMELA S.
CORNMAN, witnesses, this ~~'-'~ day of July, 2003.
.,
~'
-~To ary Public
Notarial Seal
Roger B. Irwin, Notary Public
Carlisle Boro, Cumberland County
My Commiasian irxpirea (jct. 3, 2004
Member, PennByNerliaA~oGCfadpA Of 1V41tf9Ci
3