HomeMy WebLinkAbout10-10-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Robert L. Eichelberger
also known as
,Deceased
COUNTY, PENNSYLVANIA
File Number 21-- ~~ ~ l ~/ 3
Social Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) tor:
(COMPLETE `A' or `8' BELOW.)
Q A. Probate and Grant of Letters Testamentary and aver that Petitioner(s)
last Will of the Decedent, dated 04/10/2008 and codicil(s) dated
State relevant circumstances, e.g., renunciatio4 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
app Ica e, en er: c..a.; ..n.c..a.; pe en e i e; uran e a sen ia; uran a moron a e
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (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 Relationship Residence
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~ "- ~"
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Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence a~~
_~~ ._._
2 Grant Street, Enola, East Pennsboro, Cumberland, PA 17025 '~~ -.i
(List street address, town/city, township, county, state, zip code)
Decedent, then $1 years of age, died on 09/30/2008 at
Decedent at death owned property with estimated values as follows
(If domiciled in PA) All personal property $ 75,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 110,000.00
situated as follows: 2 Grant Street, Enola, PA
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant or Letters in the appropriate form to
the undersigned:
Signature Typed or printed name and residence
Joyce E. Brady 12 Firehouse Road
X ~:!~~~~~ ~~ ~ /~~ Duncannon, PA 17020
islare the
named in the
Form KW-UL Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. 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 the estate according to law.
Sworn to or affirmed and subscribed
tti1
before me this day of
Joyce E. Brady
Signature of Personal Representative
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Fort egister Signature of Personal Representative ' O v
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File iJumber: 21--DD ~ I (~I ~3 ' _ - -~
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Estate of Robert L. Eichelberger , Deceased ~ .,
A!K!A ``t
Social Security Number: 195-16-3491 Date of Death: 09/30/2008
AND NOW, ~~~ ~ ~C`C~ 8 , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, I IS DECREED that Letters Testamentary
are hereby granted to Joyce E. Brady
in the above estate
and that the instrument(s) dated 04/10/2008
described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............................................
Short Certificate(s) ........................
Renunciation(s) .............................
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TOTAL ..................................
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Attorney Signature:
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$ ~ Vj • Attorney Name: Michael L. Bangs
$ ~d,~
$ ~. UU Supreme Court I.D. No.: 41263
$ Address: 429 South 18th Street
$ Camp Hill, PA 17011
$ Telephone: 717/730-7310
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Form RW-O2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.0O
P 14807751.
Certification Number
'Chic is to certify that the inhlrmation 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 Mate Vital
Records Office fur i~urnanent filin~~.
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Local Registrar __ ;_~; Date Issued
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I REV 11noo6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
PRINT IN
IANENT CERTIFICATE OF DEATH
:KINK (See instructions and examples on reverse) STATE FILE NUMBER
,.Noma of Decedem (Firs,, middle, last. sudix) Robert L . E 1 C h e 1 be r e r
g 2. sax 3. social Saari Number
16
_3491
1 9~ d. Dale of Death (Monet, day, roar
Se
tember 30
2008
Male _
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,
5. Age (Last Binhtlay) Under 7 year Under I day 6. Date of Binh (Month, tlay, year) 7. &nhplace (City and stale or for eign coumry) Sa. Place of Death (Check only one)
81 "'°""° °ays "°"" M"~185 3/20/27 Harrisburg, PA "osPital: other:
Yrs. ^ Inpatient ^ ER /Outpatient ^ DOA ^ Nursing Home ~] Residence ^Other - Spealy.
Bb. County of Death Rc. City, Roro, Twp. of Death Btl. FaciFty Name (tt not inslAUlion, give street and number) 9, Was Decedent of Hispanic Origin? ~ No ^ Yes 10. Race. American Indian, Black, WhAe, etc
Cumberland East Pennsboro 2 Grant Street nlyea.apeciycuba^, (sp~<iM White
Mexican, Pueno Rican. etc.)
11. Decedent's Usual Oca Iron (N'md of work d one Burin most of workin tile. D° not stile retired 12. Was Decedent ever In the 13. Decedent's Education (Specify only highest grade comp leted) 14. Marital Stalus~. Monied, Never Married, 16. Surviving Spo use Ilf wile, give maiden name)
KiM oLWOrk of Rosiness IMuslry
Mechanic Sel~"'Em
~o
ed U.S. Artnetl Forces?
~ Elementary I Secondary (0-12) College (1-4 or 5+) Widowed. Divorced (Specil»
Widowed
p
y y ^N°
es U NK
16. Decedent's Maikng Address (Street city /sown state. zip code)
nt Street
2 G Decedent's Did Decodent r~ E a S Penns O T O
Slale Pennsylvania Liveina „<
Yea
DecederitLivetlin Tw
A<tualResitlerxa 17a
ra
Enola PA 17025 .Ly
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,>b cpanty Cumberland Township? 17tl.^No, Decedent Uved within
Aaual Limos of Clty I Boro
18.Father's Name (First middle, last suMix) Robert W. Eichelberger ,9. Mpmars Name (Frst middle, maden surname) Caroline M. Morthland
zoo. InlornanYs Name (Typal PnnQ Abby Bond 20b. InlarmenYS Mailing address (Street sty !town, state, zip wee)
351 Reig12 Rd. Marysville, PA 17053
21 a. Met
hod of Disposition ^ Cremation ^ Donation 21 b. Date of Disposition (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory or other place) 21 d. Lwalion (City /town, state, zip code)
y
[7-Ronal ^ Removal from Stale iWas Cremation or Donetlon Aulhonzetl 10/4/08 Rolling Green Memorial Pk. Camp Hill, PA
^ Omer ~ Speciy: i by Medical Examiner /Coroner? ^ Yes ^ No
22a. Signature d Fynera Sernce Licen (or rson acting s sucn_
i ~ 22b. License Numher
14
9 22c. Name aM Address of Facility
51 N
Enola Dr
Enola
PA 17025
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Complete ttem Doty when cerarying 23a. To a best of my wledge, death occur at me time, dale and place staled. (Signature and lillej 23b License Number 23c. to Signed (Month, day, year)
physician is riot aiWble at time of death to r` G ~ A ~ j"~/ )//
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Items 24-26 must be completed by person 24. cure of Death
' 25. Da Pronouricetl Deatl (Monet, day, year)
~ ~ 26. Wes Case Referred tl Examiner / C°roner for a anon Other the remalion or Donation?
who pronounces death. ~O,
ff M, ~ r ~ ~
~ ^ Yes
CAUSE OF DEATH (Sea Inetrucllona a exa plea) I Approximate interval. Part II: Enter other 5pn ficant cond'lions conlti6u(n° to death, 28 Did Tobacco Use Contribute to Dea1M
Item 27. Pan I. Enter the chain of events - tliseases, Injuries, or complications - that directty causetl the dear . W NOT emer terminal events such as certliac arest. I Onset to Death but not resulting in the undedying cause given in Pan I. ^ Yes ^ Probably
respiratory arrest, or ventricular tibrillatbn without showing the etiology. Usl Doty one cause on each line. I
I
~fGO ^ Unknown
IMMEDIATE CAUSE IFinal disease or ~} I - i
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cwdeion resulargm athl ~ a,
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GV~ GI/C I nOM A '
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Due to (or as a co se en op: ~
Sequenliafry list wrxklbns, if any, o. n( U~U/L (~ /• (_ 1 I~ G M A i Not pregnant within past year
^ Pregnant at lime vl death
leadrg to the cause listed w line a. Due to (or as a <o se uer>ce o
Enter fhe UNDENLYING CAUSE ^ Q ~~ I
^ Not pregnant. but pregnant within 42 days
(tliseese or injury That initialed the <
events resulting ~n tlealh) LAST of tlealh
. pue to
(or as a wnsequenw of):
^ Not pregnant, but pregnant 43 days l0 1 year
d' ~ belore death
^ Unknown it pregnant within the past year
30a. Was an Autopsy 306. Were Autopsy Flndirgs 31. Maurer of Death 32a, Date of Injury (Month, tlay, year) 32b. Describe How Injury Occurtetl 32c. Place vl Injury: Home, Farm, Slreel, Factory,
Pedom~etl? Available Prior to Completion r~.~
^alural ^ Homicide Ofllce Building, etc. (SpearyJ
of Cause of Deam? L:~
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^ Ves L~°
^ Yes ^ No ^ Awident ^ Pentlng Investigation 32d. Time of Injury 32e. Injury at Work? 321. II Trensponation Injury (SpadM 32g. Location of Injury (Street, dry /town, stale)
^ Suicide ^ Could Nrn be Delerminetl ^ Yes ^ No ^ Driver /Operator ^ Passenger ^Pedeslrian
M Olher~ Spectly:
33a. Genifler (check wry one)
• CenNying physician (Physician certifying cause of death when arwlher physician has pronounced tlealh and completed Item 23) 33b. Signature and Title of Certilier
~~
To the best of my knowledge, death occurred tlue to the cause(s) and manner as stereo_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ,
• Pronouncing and cenlfying physician (Physician born pronouncing deem antl cenirying la rouse of death)
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^ 33c. License Number 33d. Dale Signed (Month, day, year) '.
my
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• Metlical Examiner/Coroner D~ CVO ~ r~ I 1 I L O C ~~~
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On tM oasts of examination and I or investigation, in my opinion, tlealh occurretl at the time, sate, and platy, and due to the cause(s) antl manner as slaled_ ^ ~
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34. Name and Address of Person Who Cvmpleled Qause~~th
~¢n 27) Type rintG
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35. Re aver nature and Di m
9 36. Dale Filed M Ih
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I, ROBERT L. EICHELBERGER, of Enola, Cumberland County, Pennsylvart~.~, ~ -
declare this to be my last will and revoke any will previously made by me. r `~'
ITEM L I direct that all my just debts and funeral expenses, including my gravemarker
and all expenses of my last illness, and any and all taxes and assessments imposed by any
governmental body as a result of my death, whether on property passing under this will or
otherwise, shall be paid from my residuary estate as soon as practicable after my death as a part
of the expense of the administration of my estate.
ITEM II. I give and bequeath all of my household goods, automobiles, jewelry, and all
other articles of household and personal use, equipment and ornament, together with all
insurance thereon and relating thereto, in equal shares, to those of my issue, per stirpes, as
survive my death by thirty (30) days.
ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my
possessions and estate of every nature and wherever situate, in equal shares, to those of my issue,
per stirpes, as survive my death by thirty (30) days.
ITEM IV. All of the interests of the beneficiaries hereunder shall not be subject to
anticipation or to voluntary or involuntary alienation nor shall they be subject to any execution or
attachment.
1
ITEM V. I appoint my daughter JOYCE E. BRADY executrix of this my last will.
Should Joyce E. Brady predecease me or otherwise fail to qualify or cease to serve as executrix
of this my last will, I appoint my daughter ABBY I. BOND executrix of this my last will.
ITEM VI. In addition to the other powers and authorities granted to my personal
representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby
give to my personal representatives the following powers and authorities effective without court
approval and until actual distribution of all property: to compromise any claim or controversy;
to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as
my personal representatives may determine and at valuations finally to be fixed by them; to
invest in all forms of property, including any stock or other securities in any corporate fiduciary
or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my
personal representatives deem proper, without regard to any principle of risk or diversification;
to retain any or all assets of my estate, real or personal, without regard to any principle of risk or
diversification; to sell at public or private sale, to exchange, or to lease for any period of time,
any real or personal property and to give options for sales, exchanges, or leases, for such prices
and upon such terms or conditions as my personal representatives deem proper; and to allocate
receipts and expenses to principal or income or partly to each as my personal representatives
deem proper in their sole discretion.
ITEM VII. I direct that my personal representatives and fiduciaries shall not be required
to give bond for the faithful performance of their duties in any jurisdiction.
2
IN WITNESS WHEREOF, I have hereunto set my hand this `~ day of
~~~,~~ l ~ , 2008.
ROBERT L. EICHELBERGER
The preceding instrument, consisting of this and THREE other typewritten pages, each
identified by the signature of the testator was on the date thereof signed, published, and declared
by ROBERT L. EICHELBERGER, the testator therein named, as and for his last will, 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.
4
COMMONWEALTH OF PENNSYLVANIA )
( SS:
COUNTY OF CUMBERLAND )
The undersigned, being the testator whose name is signed to the attached or foregoing instrument,
having been duly qualified according to law, does hereby acknowledge that I signed and executed the
foregoing 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.
ROBERT L. EICHELBERGER
Sworn or affirmed to and acknowledged
before, me by the t ~a~t,,p~rj n ed above
this 11 ~ day of ~=^'K/ ~~~ , 2008.
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otaty Publ~C~ ~3:~~,itVV'~f'._~LTh OF ~'ENNSYLV~IIA
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COMMONWEALTH OF PENNSYLVANIA )
( SS:
COUNTY OF CUMBERLAND )
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witnesses whose names are signed tot e a~ tt~ached or foregoing instrument, being duly qualified accor mg
to law, do depose and say that we were present and saw the testator sign and execute the instrument as his
last will; that he signed it 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 that time 18 or more years of age, of sound mind,
and under no constraint or undue influence.
Sworn or affirmed to and acknowledged
before m i ~ day of
2008.
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