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10-02-08
Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of VERA N. PUTT Deceased Social Security No. 188-32-4265 Petitioner, who is 18 years of age or older, applies for: (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioner is the executor named in the Last Will of ^X the Decedent, dated MARCH 9. 2005 and codicil(s) dated 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 documents offered for probate; was not to victim of a killing and was never adjudicated incompetent: B. Grant of Letters of Administration (d.b.n.c.t.a.: pendente lire; durante absentia; durante minoritate) 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: . Name Relationshi Residence COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 6001 Michaele Drive, Hampden Township, Cumberland County (List street, number and municipality) Decedent, then 69 years of age, died September 9, 2008 at Forest Park Nursing Hoi Walnut Bottom Road Carlisle PA (Location) Decedent at death owned property with estimated values as follows: Oa ~ w a x v k" ~ C If domiciled in PA All ersonal roe ( ) P P P rry .................................. ...................................$ 7,000.00 cv w o o ~.. O v (If not domiciled in PA) Personal property in Pennsylvania .. ...................................$ r.:, u., ~., C ,~ Q (If not domiciled in PA) Personal property in County ....................................................$ O O U ,~ ~ Value of real estate in Pennsylvania ................................................................................... ...................................$ None Q c4 O W ~ .*; 0o a , ~ ~ oCJxC.a ~ Total ....................................................................... .................................. $ 7,000.00 O C7 ~' ~ ~ U :r.] O p t' r~ Real Estate situated as follows: c Wherefore, Petitioner respectfully requests the probate of the last Will and codicil presented herewith and the grant of letters Testamentary thereon. Si nature T ed or rinted name and residence ~- DANIEL F. PUTT ri 6001 MICHAELE DR., ENOLA, PA 17025 . ~ w Oath of Personal Representative ~ ~ N ~ ~= ww°C;-'O OQ C O V ~ ~ COMMONWEALTH OF PENNSYLVANIA Q w ~ 00 ' T :SS. Oc~`~VaS~ COUNTY OF CUMBERLAND w~ o x The Petitioner above-named swears and affirms that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner and that, as personal representative of the Decedent, Petitioner will well and truly administer the estate according to law. Sworn to and affirmed and subscribed ?~~,/ cen~2~~ ~-~ Before me this ~ ~ day of ~_ , 2008. n 7 C~~~~_ No. ~ I - ~~~ " ~~ CD Estate of VERA N. PUTT ,Deceased. Social Security No: 188-32-4265 Date of Death: SEPTEMBER 9, 2008 AND NOW, ~;~~C~ ~'~~~~~~~~~x" , 2008, in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated MARCH 9, 2005 described therein be admitted to probate and filed of record as the last Will of VERA N. PUTT and Letters Testamentary are hereby granted to DANIEL F. PUTT in the above estate. FEES f~ Letters ........................... $ ~ ~. Short Certificate(s) $ ~ ~ L°~ Renunciation .............. $ Affidavit ( ) .................. $ Extra Pages ( )....... $ Codicil ............................ $ 1,~.~$~-1all~ $ ~ ~!..I'.~ .............. $ . TOTAL......... $ ~7 ~~ ~ ~~ ~~ rtc ~.. ~ ~~ ~ c Register of Wills r~r. ~ ~(~~, ,•~i~~ ~ ~ "I/ Attorney: Edmund G. Myers I.D. No: 20558 Address: Johnson, Duffle. Stewart 8~ Weidner 301 Market St., P. O. Box 109, Lemoyne, PA 17043 Telephone: (717) 761-4540 :. a ,.oneA<: !:.I'V'. n;hn r`. ; ~ , ^ /lr This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of ~~ital :ecold; )n accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. Military Status WARNING: It is illegal to duplicate this copy by photostat or photogra1ph. ~~ Calvin B. Johnson, M.D., M.P.H. Frank Yeropoli Secretary of Health State Registrar 1~~ ~ ~t~5~ SEP ~ 4 Date No. i1 iDS~t43 REV n2oos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TPEar~nnBr+lEnTiT" CERTIFICATE OF DEATH BLACK INK (See instructions and examples on reverse) sTATE FILE NUMBER ~/ 1. Name of Decedent (First, midtlle, last, suffix) 2. Sax 3. Social 6ecuny Number 4. Dale of Death (Month, tlay, yaar) Vera N. Putt Female 1 - 32 - 4265 Se t. 9 .2008 5. Age (Last 13irthtlay) Untler 1 year Untler 1 tlay 6. Dale Of Birth (MOnIh, tlay, year) ]. Birthplace (City and slate or loregn muntry) 9a. Place of Death (Check only one) rBr: Ob Imes pays Hours Minutes HOapila: vv r 69 Yra May 16, 1939 Alinda, PA ^,,,pa,;enl ^ER IOulpatienl ^DOA Ip Nursng HOme ^Resitlence ^Other-SpecNy: 6b. Gounry of Death ec. City, Boro, Twp. of Death 8d. FatiIIN Name (If not insliluli0n, giv¢ street and number) 9. Was Decedent of Hispanic Origin? ~ No ^Yes 1 ~). Race: American In6an, Black, WhAe, ek. (n yes, apeciry cuben. IspanM Clmlberland Car131e Forest Park D?ursinq Hone M¢.wan,PpanpRitan.et=) Ti•7tiite 1 t. Dacetlant's Usual Oca tion KiM of work tl one Burin most of worhi IHa. Do rot stale retired 12. Wes Decatlanl ever in me 13. DecetleM's Etlucatbn (S~ecity only hignesl grade comp klatl) 1d. MaMal Status: Mametl, Never Marred, 15. Surviving Spo use (if wile, give maiden name) Kind M Work Kintl o1 Business / Irbuslry U. S. Armetl Forces? Elementary / Secontlary (P12) College (1-4 or 5.) Wkbw'etl. Divometl (Speciy) H er Home ^Yea [$Np 12 Pdarried ie1 F. Putt t s. Decatlent's Mailing Adtlress ISIr¢¢t, ciN r lawn, state, zip code) pacatlanl's l Did Oecetlenl i i H d 6001 Miehaele Drive Aplual Reamence t]a. solo P~nnGy a D•e amn van Pn rwp n v nq. ~ vaa, Decetlem ^vetl b r m~i ,]b cganey Cumber f ]tl. ^ Nq, Dec¢tleM Lmetl ~mb land Enola PA 17025 anaat L:maaa city/Boro I6. falners Name (Firs[, mbtlb, last, sufllx) 19. Mdlr¢rs Name (First, mitl7e, maiden surname) Robert Nesbit Ruth F3eichler 2Da. Informant's Name (Type /Print) 20b. Inmmlanl's Mailing Address (Street, city /lawn, slate, zip code) iel F Putt 6001 Michaele Drive Ehola, PA 17025 21 a. Melhatl Of Drsposilion ^ Cremation ^ Donation 210. Dale of DispOSMIOn (Month, tlay, year) 21 c. Place of Dl~osilion (Name of cemetery, crematory or Omer place) 21 d. Locatbn (Ciy I lows, stale, zip cotle) ~ Banal ^ Removal from Stale wa. cremmm~ pr Dpnaban Awholi:ed Stone Church Cemete F'nola PA ^ Other - Speciy: i by MetYCal Examlrer I Crooner? ^Yes ^ No Se t . 1 3 200 ~ ~ ¢ 22a. Sig rat ee (or person acting as such) 22b. LKense NurMer 22t. Name andArkress of Facillry g Market Plaza Way - FD- 14889 Mal zzi Funeral Home Mechanicsbur PA 17055 It y wnen cedgyin 23a. To the best of my kno.Metlge, deem ooaur¢tl al 1M time, Oalgpnd place staled. (Sgrelure antl title) 23b. License NumOer 23c. Dat¢ Sig:letl (Month, tlay, year) ph sic n is rata fable at time of tleam N c ~~/ ` ~] ~ J ~ ~~ j / 1 `-O ~ ~ t/ i~~~' ` ~ -l caniry auae of Beam. CL' ,~y„/ /« ~L~C' e-.J ,. J ld>,S S L.. p e~ ~~ .r Items 24-26 must be completetl by person 24. Trre of Deatn , day, year) 25. Dale roetl De d (M o th +'n 26. Was Case Refarretl ip Medical Examiner /Coroner for a Reason Other than Cremation or Donation? wM promrnces death. ' // ,~? ~/~~/- M. a ]~ ) ~ p' ~ / ,/ , ~l1L.L//.LC~ ~ r~•-~'~O ^Yes ^No CAUSE OF DEATH (See krstructton9 en a amplee) r Appmx male Interval. Pert II: Enter dher son firant cOMiliOns conlnbut no to tleath, 26. Ditl Tobacco U CanlnbNe to Deelh4 Item 2]. Pan I: Enter the chin of events - tllseeses, inlunes, or cortplicafpns - Ihat tlireclly caused the Oeath. DO NOT enter terminal events such as caNiac arrest, Onset l0 Deatn WI not resu4rrg in the underrying rouse grren in Part l ^Yes ^ Probably respralory arrest, or vamricular fibnNaOOn wMhoM shoring ma edobgy. List only one cause on eecn Ilne. ^ ~ m w L7O~ n IMMEDIATE CAUSE Flnal dsease or r cOMition resulfing rn Death) ~ a (~ 29. II Fe ,-, m/y¢ Due o ce Dry; r ~'I NoI Imgnant within peal yea Sequemialty list contlillats. it any. b, r~T ~ ' • ^ Pregnant at tirre al death leatl Irq b me cause listed on line a. pue I n q Dry. s a ce Enter Bee UNDEPLVING CAUSE ~nL~ J) l•_ - ^ NOI pngnaM, but pregnant wimin 42 tlays f tl lh ~ (disease or injury mat initiatetl the = ~J~ % l/J N.'] v Is resultin n tlealn) LAST ea o g ~n~., ronp ~ . pue to ( I)' - ^ Pnlgmn ,but M 43 da s l0 1 Not t pregna y year ~ ~ ~~~ (~.~(I.i d '~l~7=~• before death ^ Unknown it pregnant wthin the pass year 30a. Was an Autopsy 30b. Were Autopsy Rntlrngs 31. Manner of Dealn 32a. Dale of Injury IMbnm. day, year) 32b. Descnba How Injury Occurred 32c. Place of Injury'. Home. Farm, Street, Fenory, Performed? Available Prbr b Gompletbn Oflrce Building, etc. (Specify/ d Cause of Deattr^ ~ ^ Natural ^ Homicitle ^ Yes ^Yes (-~'N/ ^ A~benl ^ Pentling Irnesligatbn 32tl. Time oI Injury 32e Injury a1 Work? 321. b Transpodalipn Injury (Spentyl 32g. Locafwn al Injury (Street, city Ilorrr state) ^ Suicitle ^ CabNOI be Determinetl ^Yes ^ No ^ Dnver r Operator ^ Passenger ^ Petleslflan M ^Omer - Spenty 39a. Certifier (ch¢ck only ono) 330. SI tl Tale Ot Cedilrer • Certifying physlcWn (Physkan ceniying cause of Beam when arwlhar physican has pronounced Beam antl completetl Item 231 ~ ~ Te the bee; of my knowledge, tlealh occurretl tlue to [he cause(s) and manner as siated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ , - -\/ • Pronouncing antl certilying phyakian (Physician both pronouncing death and cAnitying to cause of Beam) To the best of my knowledge, deem occurred et the time, date, and place, en~ due l0 the cause(s) end manner as etatatl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • Medical Examiner/Cmonx 33c. Lken Nuppplllbar (` oo /' O ~ J J 33tl. Dale Si9natl (M nM. day, year) n /O O r ' `7 Y On the bases of examination antl / or investigation, in my opinion, death oecujretl at the time, dale, antl place, antl due to the cause(s) ant manner as staled_ ^ ~ Na a of P }yY~Gyn~lelep C~se~l~ih (flan 2]) Type i Prin /T7 ! LM C 35. Regi gnalure antl DLSIricl Number ' 36. pale Fped (Month, tlay, year) . U U Diaposdmn Permit Nn. n251043 RECORDED OFFICE OF REGISTER OF ~X'ILLS 2008 ©CT 02 ~ CLERK OF ORP}-LENS' COURT CI;~IBERL.1tiD CO., P.1~ ~.~c~t ~tYY ~r~~ ~e~t~n~e~t OF VERA N. PUTT I, VERA N. PUTT, of Hampden Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all Wills or Codicils at any time heretofore made by me. ARTICLE I DEBTS I direct the payment of all my legal debts and the expenses of my last illness and funeral from my Estate as soon after my death as conveniently maybe done. ARTICLE II TANGIBLE PERSONAL PROPERTY 1 give and bequeath my motor vehicles(s), household and personal effects and other tangible personalty of like nature (not including cash or securities), together with any existing insurance thereon, unto my husband, DANIEL F. PUTT, if he survives me by thirty (30) days. Should my husband, DANIEL F. PUTT, not be living on the thirty-first (31~`) day after my death, I bequeath such tangible personalty and insurance thereon to those of my children who are living on the thirty- fiist (31'r) day after my death, to be divided between them by my Personal Representative with due regard for their personal preferences in as nearly equal shares as practical. RECORDED OFFICE OF REUISTER OF ~~'ILLS 2008 OCT 02 CLERK OF ORPHAtiS' COLRT ~' CU\IBERL:~ND CO., P_~ ARTICLE III OPTION TO PURCHASE REAL ESTATE If I survive my husband by more than thirty (30) days, and if I own the real estate known as 6001 Michaele Drive, Enola, Pennsylvania, and if at such time, my son, TIMOTHY E. PUTT, still resides at 6001 Michaele Drive, Enola, Pennsylvania, I give and devise unto TIMOTHY E. PUTT an option to purchase the real estate at a price equal to the value of the real estate as determined for Pennsylvania inheritance tax purposes. If my son, TIMOTHY E. PUTT, elects to exercise the option to purchase the real estate, he shall give written notice of his election to purchase at the price set forth above no later than one hundred eighty (180) days after the date of my death to my Personal Representative(s). If he so elects, he shall complete the purchase of the real estate from my Personal Representative(s) within sixty (60) days of the date of his exercise of the option to purchase. In such case, my Personal Representative(s) shall make, acknowledge and deliver a fiduciary warranty deed conveying good and marketable fee simple title to the real estate, and at settlement the real estate taxes, municipal liens and charges shall be prorated. T direct that this option shall be personal to my son, TIMOTHY E. PUTT, and shall not be assignable by him. ARTICLE IV REST, RESIDUE AND REMAINDER I give, devise and bequeath all the rest, residue and remainder of my Estate, of whatever nature and wherever situate, unto my husband, DANIEL F. PUTT, provided he survives me by thirty (30) days. If my husband is not living on the thirty-first (31~t) day following my death, I give, devise and bequeath the same unto my then-living issue, per stirpes. 2 ARTICLE V UNIFORM TRANSFERS TO MINORS ACT In the event any beneficiary of my Will has not reached the age oi~~ twenty-five (25) years at the time for distribution of his or her share, distribution of said share maybe made in the discretion of my Personal Representative after considering the age and needs of the beneficiary, either directly to the beneficiary or to a Custodian for such beneficiary until age twenty-five (25) under the Pennsylvania Uniform Transfers to Minors Act, 20 Pa. C.S.A~~' 5301 et seq., or the applicable Uniform Gifts to Minors Act or Uniform Transfers to Minors Act in the state of residence of such beneficiary as the case may be. My Personal Representative may designate as such Custodian any institution or person, including my Personal Representative, qualified to act as a Custodian for such beneficiary under such Act in effect at the time such distribution is made. A receipt for any payment or distribution so made shall be a full discharge therefor to my Personal Representative, who shall not be responsible to see to, or be liable for, the application of such proceeds thereafter. ARTICLE VI POWERS OF PERSONAL REPRESENTATIVE My Personal Representative(s) shall have the following powers in addition to those vested in them by law and by other provisions of my Will applicable to all property, whether principal or income, including property held for minors, exercisable without court approval and effective until actual distribution of all property: A. To make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as they may determine. B. To retain any or all of the assets of my estate, real or personal, without restriction to investments authorized for Peruisylvania fiduciaries, as they deem proper, without regard to any principle of diversification or risk. C. To invest in all forms of property without restriction to investments authorized for 3 Pennsylvania fiduciaries, as they deem proper, without regard to any principle of diversification or risk. D. 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 they deem proper. E. To allocate receipts and expenses to principal or income or partly to each as they from time to time think proper. F. To compromise any claim or controversy. G. To make such elections, decisions, concessions and settlements in connection with all income, estate, inheritance, gift, generation skipping or other tax refunds and the payment of such taxes as my Personal Representative and/or Trustee shall deem appropriate, without obligation to adjust the distributive share of any person thereby affected. ARTICLE VII PERSONAL REPRESENTATIVE 1 name, constitute and appoint my husband, DANIEL F. PUTT, Executor of this my Last Will and Testament. Should my husband, DANIEL F. PUTT, fail to qualify or cease to so act, I name, constitute and appoint my son, TIMOTHY E. PUTT, alternate Executor to complete the administration of my Estate. I direct that no fiduciary appointed herein shall be required to post bond for the faithful administration of the duties required in any jurisdiction. 4 [N WITNESS WHEREOF, I have hereunto set my hand and sea] to tlus, my Last Will and Testament, this ~~lay of 2005. ~,~~~~ ,. ~~~~~ (SEAL) VERA N. PUTT Signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses. a~~~~a AFFIDAVIT AND ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND We, VERA N. PUTT, ~~~.~5/-r f ~ (~7~-,~~~nd _ Lc~- rev ,~ ~ Ck . c-r-`~Q et c, the Testatrix and the witnesses, respectively, whose Haines are signed to the attached or foregoing instrwnent, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix si~~ned 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 witness and that to the best of his/her knowledge the Testatrix was at that tune eighteen years of age or older, of sound mind and under no constraint or undue influence. ~~.t-~. VERA N. P ~~ ~~ Witn N Witness Subscribed, sworn to and aclnlowledged before me by VERA N. PUTT, Testatrix, and subscribed and sworn to before me by ~ ~ and ~.> r•c~v ,, ~ <*- f~`ye~ S, witnesses, this~,~iay of , 2005. Notary Public 4 Nt~TAiliR'L SEAL i11ANNE LEND, Notary Public ~emov~re Oorou®h Cumberland Co. Cry £;amroissio~ Expires Dec. 2i, 2005 h