HomeMy WebLinkAbout10-03-08PETITION FOR PROBATE and GRANT F ET
Estare of Diane Sheets ~ ~ ~~~~
also k~~own as No.
To:
Register of Wills for the
Deceased. County of Cumberland in the
Social Security No. Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the execut rix
in the last will of-the above decedent, dated June 8 2003 named
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland
her last family or principal residence at 44 Bellaire Ave. Carlisle Pa 1 013 ty> Pennsylvania, with
(list street, number and municipality)
Decedent, then 68 years of age, died 9/24/2008
at Carlisle PA
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted '
after execution of the will offered for probate; was not the victitn of a killing and was never adjudicated
incompetent:
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 g
(If not domiciled in Pa.) Personal properly in County $
Value of real estate in Pennsylvania $ ~~feJQ4
situated as follows:
44 Bellaire Ave. Carlisle PA 17013
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters Testamentary
thereon. ~ (testamentary, admmistrat~on c.t.a.; administration d.b.n.c.t.a.)
n
U
N
~ .--.
'~
O
~, .y
N Q.
7 W
.. O
R
C
bD
C`:)
-~ ~
~ ' 1:7
"~
OATH OF PERSONAL REPRESENTATIVE
COM"/IONVV~;AI,TH OF PENNSYLVANIA 1
COUNTY Oi+ Cumberland J SS
~~
;~
~'y --~
The pettioner(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 represen-
tative(s) of the above decedent petitioner(s) will well and truly dminister the estate according to law.
Sworn to ear affirm d subscribed
befare me this y of„ /~
Ori;~beh 2008 ~ / /~
~~
t
a
s~
N
OCAL ~~~ ~ ~~`~
REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.OO
phis is to rertii~y that the i~~~for,mation here given i~
orrectly copied from gut original Certificate of Death
July filed with Ina as Local Registrar. The original
ertificaie will he fortyarded to the State Vital
:ecord~ Oifire I~or }ie.rmanent filing.
P 148065.5
Certification Number
A. Fe~..~.~~,~ s~ 2
Loral Regi.~U'ar ~ ~~sued
- -__ --._ _ Yt)
_. ~7 q.'h
I_~ -=;
;~-~ -a
'-r (
' , , C>.7
_ f_i ~ ,
_ ~,
~~ ---
i~ -~ :-
~~.
TYPE !PRIM IN
Hlos tq3 REV nrzoofi COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~
PERMANENT ""~
BLACrcINlc CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
t. Name d Decetlenl IRrst, middle, teal, suffix) STATE FILE NUMBER
2. ~x 3. Social Sacuriry Number 4. Dale of Death (Month, tlay, year)
Diane Sheets Female 201 - 34 - 8887 Sept. 24, 2008
6. Age (Last BiMday) Under 1 year Under 1 tlay fi. Dale of BiM (MOnm, day, year
uonnw Sys Iroars M:,ues ) 7. BiMldap (City and slate or loreign country) Ba. Place of Deam (Check only one)
68 April 16, 1940 Altoona, PA HPePilac Omer:
Yrs.
%. Counry of Death Bc. Ciry, Bern, Twp. of Deem ^ Irpadent ^ ER / Ompatiem ^ DOA ^ Nursing Hame [~gesitlenp ^Other. Spedy:
Bd. Fedlily Name (a rlol inslilulpn, gNe street entl number)
Cumberland S. Was Dacetlent of Hlspenk Origin? ~ No ^Yes 10. Race: American Indian, Black, White, etc.
N. Middleton Twp. 44 Bellaire Ave, ntyea,epedrycwan.
IspedM
11. Deptlent's Usual Oc tlon KkM of work done ari most of wwki IRe. Do rid state redred 12. Was Decedent ever in me 13. I7ecedenl's Etluptbn Mexkan, Pueno Riven, etc,) Whl t e
Hind of Work NiM ol8usiness I Industry U.S. Armetl Forces? (Slxsdty pnh hghest gretle Cnmplatetl) 1q. Margal Status: Mameq Never Mardetl, 15. Surviving Spouse (It wife, give maiden name)
Registered Nurse ElementarylSecontlery(612) cenege 1.4 ors«) wlaoweaDhrorpd(spedr»
Nursing home ^Yes ®NC ~ Widowed
• 76. D epepY9 'fi reas Street, /Town, state, zip cotle)
eC4~k °~lergl~.da>.~e eve. DeceOant'a PA Dia pe¢edent
Carlisle, PA 17013 ""ud Rea"tance 17a seta LNema
Cumberland Townsh'ry? t]`'®ves,DepdemLivedm N- MiddlPt n Twp
17b. County 1]e. ^ No, Decedem Wed within
18. Earner's Name (PIBI, mkltlle, last, sumx) Actual Limits of
19. Momei s Name (First, midtlk, maiden surname) Ciry I Born
Walton Williamson
zoo. mmanem'a Name (Type! Prim) Kathryn Houser
Julie Spanos 206. In1ormanYS Mailing Addess (arae6 cdl'/town state rip cotle)
8 Grandview Ct., Mechanicsburg, PA 17055
21 a. Methotl of DieposRion -
ow ^ Burial ~ []~Crernetion ^ Donation 216. Date of Disposilun (Month, tlay, Year) 21c. flats of Dlspodlgn (Noma of pmetery, aemalory or Omer ace
^ Removal Irom Slate ! Wae Cremstlpn a Donetlon AulMrhad of 1 21tl. Locetlon (City! town, slate, rip code)
^ Other-spedry: ! byMralMlcuminerYCProner. ~y¢s^Np Sept. 25, 2008 Hoffman-Roth ~uneral Home &
_ ' 22a.SigneNreolFunera 'eLirareee(orpersonacdngessuch) rematory Carlisle, PA 17013
. / - ~ 726. License Number 22c. Name and Atldess d Facility O man- Ot
~ 138425 unera Dine rematory, nc.
Conglele lama z3ac on wnenp 19 N. Hanover St. , Carlisle, PA 17013
M Nrying 23e,.s me bast of my knowledge, Beam accPrred at me lima, date and place stelae. (Sgnatum and t81e)
I>tryaicien a rid evaYebp al lime of deem to / 236. License Number
prlity cause d Beam. / -~~ ~ 1'1 L~ /f ~ 23c. Date Signed IMpnth, daY, year)
Items 24-2fi must Ee competed by persm 2 Jfpe .Death 25, DeW Pronouncetl peed (Month, tlay, year) T )y~,~2/ ~T z
who prorwunces deem' Y 26. Wee Casa Raferted to Medical Examiner /Coroner fora easdn Other than Cremation or nation?
CAUSE OF DEATH (See Inatructlone end exemplea) ^Ves ^Ne
Item T7. Ped I: Enter the c n of ev N ~ conrokce8ons -that dredly pueetl me deem. DD NO7 enter terminal events such as pdiac arrest, r Approximate Interval: Pad II: Enter ¢Iher '
~¢ 4 _ diseases, m' nes, or 28. Did Tobacco Use Cantdbula to DeaIM
respiratory enact, or vemdplar libnllalpn wimwa showing dre eliodgy. List Doty one pose on eaM Fne. Onset tc Death but rot resWlirg m the unded i p se
yrg u given in Pan 1. ^^~Yas//^probabty
NAMEDIATE CAUSE lRne; disease or a n' I Lxk'h~ ^Unkrwwn
prldtligan readlilp in deeath I sR t `1 ~ I r
-~ 7rl f t4' L ~~Oit n C~Q~Cr i
Duet 1 as segue e d1 ~ t ~ ~ ~n S 29. If F e:
Sequerq Iry f 1 rxxdleone. g any, b Not pregnant wi1M.n past year
leadrq b the cause listed on kris a.
Emer ma UNDERLriNG CAUSE Due w (or es a consaquerwe op: I ^ Pregnant at dine of death
(disease or injury met irYliated the ~ ^ Nm Pr
eswnm resukilg in death) LAST C Due to or e i egnenl, but lxegnanl within 42 days
( as consequence op: r of death
~ d. ~ ^ Not pregnant, but pregnan143 tleys to 1 year
J 30a. Was an AUt r before deem
oPSY 30b. Were Autopsy Fintlings 31. Manner of Deam ^ Unknown II pregnant within me past year
Penomred? Available Plior to Completion may/ 32a. Date el Iryury !MOmh, tlay, year) 32b. Describe How Injury Occurred
of Cause of DesalA? LN NaNral ^ Homicvda 32c. Place of Injury: Hpn6, Feim, Street, Factory,
Odip Building, etc. (SpecltyJ
^ vas ~ ^ vas ^ No ^ Amdent ^ Pentling Investlgatpn 82tl. Time d InN7 32e. In 321. If Tmnsporlation I u
y Suicide jury at WPdc? rq ry ISPaGN1 32g. Luca( of Inju --
^ ^ Cwld Not be Delemkned Driver / ~, ^ N ISIreeL dry I Town, slate)
M ^Yes ^ No ^ Operator ^ Passen Pedestnen
~ d3e. tamest (mock Dory oriel aner - sPedly:
x~'" Cartllying physlelen (Physcian pnifying cause of deem when another physician Ilan proneuncetl death entl Completed Item 23) 33b. 3ignam and me of ' -er
. 1 i To the heel of mY kmwkEga, death otturtetl due la the cauas(aJ and mender ae aM ~ p
~~~llll Pronourwln one ten e~ _ _ _ _ _ _ _ ,. ,-a'~->.~._ Lrk-^-L `.._ ~,.L'(n~
9 NNn9 pnyeiegn lPhysidan non proraundrg deem and pmrying to cause dtleam) _"""-"""--"-"'-'""
To the poet of my knowledge, deem occurred et the time, date, and plop, and due tome pose(s) and manner ae slered_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c. License Number
o Medlpl Ezeminer /Coroner 33tl. Dale Sgned (Month, day, year)
o On the beak of exammadin and / or Inveatlgatlin, In my opinion, death incurred at me time, date, end plop, and due to the pu a manner as cleterL ^ ~~ 0 3 0 5~ l ~ ~ `I - r3 `~~ - d o U TI'
~ 35. R - Ir 's Signatum and Dial' .All~mber ss(eJ an 31. Name aM Atltlress of Person Wlro Compyletl Dauga d De9th (!tern 2]) Type / ~m
~ ~ ~ ~- ~ I y I ^ I _ .Date Filed (Month day, Year) / 2)r ~` ^ r(l~~ r o rc -E /< • /i c r
1 c I n_
Disposition Permit No. ~ "a,~~`~ ~ rl(~
LAST WILL AND TESTAMENT C~~ `~~~
I, Diane L. Sheets, of 44 Bellaire Avenue, Carlisle, North Middleton
Township, Cumberland County, Pennsylvania, being of sound and disposing
mind, memory, and understanding, declare the following to be my last will and
testament, hereby revoking any and all wills and codicils by me at any time
heretofore made.
Item I. I direct that my Executor pay all my just debts and funeral
expenses. I direct that I be cremated.
Item II. I devise and bequeath all my estate, both real and personal,
to my children, Julie R. Spanos, Christine S. Lay, and Michael H. Sheets, Jr., in
equal shares. If any of my named children should predecease me, that child's
share shall go to their issue, per stirpes. If there is no issue, then that child's
share is to go to the surviving children.
Item III. I nominate, constitute, and appoint my daughter, Julie R.
Spanos, as my Executor. If she is unable to serve, I appoint my children,
Christine S. Lay and/or Michael H. Sheets, Jr., as my Executors, and direct that
all shall serve without bond.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~
day of _h , . ~,: 2003.
i~ '?
~ ' " ~' ,~ '~ '~.~G'd
Diane L. Sheets
Signed, sealed, published and declared by the above-named testatrix, as and for
her last will and testament, who at her request, in her presence, in our presence,
and in the presence of each other, have hereunto subscribed our names as
attesting witnesses:
~ ~ " ` J lam? - .~~,/~ %~>-'~ _ ~ ~
_.,
~ ~ - _~
_, .. ~ '
C.:~
`- i
,~ ~=~ --
n~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND ~ SS.
We,_ I_u~,i(l~ J. ~u~hrisi~.~-(.~„ls~ and U'~;~fl,`~,,~n~:~.:~oh~r~r~,~-~~~:,f~~~
witnesses whose names are signed to the attached or foregoing instrument, being
duly qualified according to law, do depose and say that we were present and
saw testatrix sign and execute the instrument as her last will, and that she signed
willingly and that she executed it as her free and voluntary act for the purposes
therein contained, that each of us in the hearing and sight of the testatrix signed
the will as witnesses; and that to the best of our knowledge, the testatrix was at
that time 18 or more years of age, of sound mind and under no constraint or
undue influence.
~'
r r
~~» ~/ `~~
Sworn to and subscribed before me
this ~ ¢~
of 2003.
G~~Y2.Q,~
Notary
Notarial Seaf
Janet M. L ~, Notary Public
Carlisle Boro, ~, ~~mberland County
My Commissicr ~ =~lres June 26, 2003
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND ~ SS.
I, Diane L. Sheets, whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my last will, that I
signed it willingly, and that I signed it as my free and voluntary act for the
purposes therein expressed.
v
Diane L. Sheets ~,
Sworn to and subscribed before me
this --~ da of
y 2003.
Notary
Notarial Seal
Janet N!. Layy, Notary Public
Carlisle Born, Cr_irnberland County
ivty Commission F:°pires June 26, 2003