HomeMy WebLinkAbout10-20-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of MARL-ENE A. SHEALER ~ I - ~~ - I lJ ~r-~~,
File Number
also known as MARI-ENE A. SHEALER ~-) '~ry
Deceased Social Security Number
Petitioner(s), who is/aze 18 years of age or older, apply(ies) for: - - CJ
(COMPLETE 'A' or 'B' BELOW.) ~ - ~
0 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the EXECUTOR ._,~-' named in'tlie
last Will of the Decedent dated 9/27/05 and codicil(s) dated -~`
-r, -
(State relevant circumstances, e.g., renunciation, death ojexecutor, etc,1
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
(ljapplicable, enter: c.t.a.; d. b.n.c.t.a.; pendente life; durante absentia; durante minorltate)
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. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name Relationshi Residence
BARRY L. SHEALER SPOUSE 4247 CARLISLE RD. GARDNERS, PA 17324
(COMPLETE INALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in CUMEBRLAND County, Pennsylvania with his /her last principal residence at
4_247 CARLISLE RD. GARDNERS, PA 17324
(List street address, town/city, township, county, state, zip code)
Decedent, then 60 years of age, died on 9/14/08 at CLAREMONT NURSING and REHABILIATION
CENTER
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ ~~ ~~? 4
(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 follows:
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:
BARRY L. SHEALER
ti_
name and residence
Form RW-OZ rev. 10.13.06 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 ~ ~,3 day of
~i ~ `~~
L~~ ~~~~~~t~ ~-/~
P e Register
f
of Personal
Signature of Personal Representative ~
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Signature of Personal Representative ' ~
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File Number: ,~I ~ V ~ ~ ~ ~/ ~ ~ - J _~ ,.
Estate of MARL-ENE A. SHEALER ,Deceased
Social Security Number: 080-38-6170 Date of Death:9/14/08
AND NOW, 7 ~ ~ U lM ~C~ ~lr , ~~k , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Te C-i~l
are hereby granted to
in the above estate
and that the instrument(s) dated ~ ' 0~-7
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES ~~~ (~ " ~-~"~
_~,~~~~' Reg' ter of ill ~yV(',~
Letters ............... $ ~ ~ ~ T ''"~. ``~u
Short Certificate(s) ........ $ Attorney Signature:
Renunciation(s) .......... $ T STEPHANIE E. CHERTOK, R.N., ESQ.
$ Attorney Name:
... $ •l.'
~U~~YY f1 ~ ... $ ~
$
...
$
...
... $
$
...
... $
... $
TOTAL .............. $ L<.~
Supreme Court I.D. No.: 52651
Address: fil WEST LOUTER ST.
CARLISLE, PA 17013
Telephone: 717-249-1177
Form RW-Ol rev. 10.13.06 Page 2 of 2
~~~o~-~~~i
LOCAL REGISTRAR'S CERTIFICATION OF pEATH
WARNING: It is illegal to duplicate this copy by photostat oir photograph.
~ 1=ee for this certificate, X6.00
P 1480335
Certification Number
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This i:; to certify, that the information here given is
correcuay a~pied fro,n an original Certificate of Death
duly- failed with IYtc pus Local Registrar. The original
certificate ~ ili be forwarded to the State Vital
Recurcis Uffice or permanent filing.
A. ~~~t~~ • i s ~ooe
Local Re~~istrar Date Issued
M705-143 REV 112006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TVPE / PRIM IN
eu"cK"NK CERTIFICATE OF DEATH
(See Instructions and examples on reversal
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f. Nema d Decedent (Flrsl, midtlle, msl, sulflx) 2. Sax 3. Sodal Scanty Number 4. D019 01 Death (MOnlh, day, year)
Marlene A. Sheeler
` Female 080 - 38 - '0170 Se t. 14 2008
5. Age ILasl Bidhday) Under 1 year nder I day
6~ale o ernh~ lh, day, year) 7. BiMplace (Cdy antl stale ar laeign count j Ba. Place d Death (Check onl onej
Mom1• DeYS Hours MkWn H°Spna: Other:
60
Yrs. March 17 1948 Silver Inpatient ^ER/odpalienl ^DDA ~]NUreingHOma ^Realdence ^omer-a,epiN:
fib. Canty d Death Bc. City, Bor , ~ol Death ed. Fedliry Name pl «I insllNnon, gNe street and number) 9. Was Decetlenl of Hispenk Odgin? [~ No ^Ves 10. Race: AnredCen Irblan, Black, White, etc.
(II yes, ap«iy Cuban, (Specify)
Cumberland Middlesex Tw Clar m n Mabcen,PaenaRi°an,ak) White
'
•
11. Decedent
s Usual Ion Kirb of work done tlu moll of We. Do rwt slate reri
12. Was Decedent ever in the 13. DecetlenYS Etluntion (~eciry Dory Nghesl grade completed) 11. Mental Staltu Marred, Never Marred, 15. Surviving Spouse (If wile
gNe maiden name)
,
Kind d Wok Kird d Business I IMU6 U.S. Amgitl Fomes? Wldowetl, Divorced (Sp«i!y)
M Elementary 1 Sewndery (072) College (1 i or Sa)
Laborer Social Service ^rea QI,° 12 rs• Married Barr L. Sheeler
'
- 16. Decedent
s Maihng Address Islreet, dry /town, stale, dP Dodo) DecetlenYS Ditl Decadent
4247 Carlisle Road "'ualReaieence 17a.Slale Pae LNeI"° '7°.~1Yee. DecedentUvetli^-9ickix~ser}-TAT
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•
Towrehip?
,m.cpanN Cumberland ,7d.^ fb.Demededlivadwtlhm
Gardners Pa
17
.
Adaalumiad ciy/cam
'
1fi. Fallter
s Name IFirsl, middle, M6, su6ix) 19. Mother's Name (First, midtlla, maiden surname)
Warren Crowell
20a. Informenl's Name (Type / Pnnt) 20b. Informant's Mailing Address (Slmel, city / town, s ,zip code)
Barry L. Sheeler
~ rdner Pa 17324
z,a.MemoedDispositkn crematlon Donalkn 2,b.Damd
~ ~] ^ Disposition (Monet, day, year)
^ Budal ^ Rem
alo-
sl
m 21c. Place of Disposition (Name of cemetery, crematory or Deter place) 21 d. Location (City /town, slate, xip adaj
w
om
a
^ otrler ~ spedry:
~Wa ICr`"rllEeminer/CoronerT'~'~^Yes^NO Sept.19,2008 Hollinger FH/Crematory Inc. Mt.Holly Spgs,Pa. 1706!
a d Fwmral s, m pa a ~ ouch) 22b. lkanse Nmnber 22c. Name and Adtlress of FadliN 5 01 N . Ba 1 t i m or a Ave
.
- - FD-011932-L ollin er FH/Crematory Inc. Mt.HOlly Springs, Pa. 17065
-
e Hama 23at ody wl»n
z3a. r dre my Mrwxbdge, deem acamed et meJJJ~~~999, dale orb place amlee. Isgnawre one lAM) 23b. Lkense Number z3c. Data s' ee rye
rgn (MOnm, da , ar)
' b nd avenehle of time ddeem ra
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~
/
^ , ~ ~~ ~ ~ ~
reaseddeem ~.{„J[,fiyLJ 2~ l y~ s ~~ ~ a q ~ y /008
24
Ti
Hems 2426 rtxat be wmpMted by parson
~ woo praqunces tleelh .
rtre °f/Deem
I ~ 26. Date P aced Oeatl (MOnm, day, year) 26. Was Case Referred to Metlkal Examiner /Coroner for a Reasa Other man Cmmatlon or Danation7
. M.
O 10 C U' ~, •~ ~ Ves ~ No
CAUSE OF DEATH (See Instruetlons and a mplea) r Approximate interval: Pen II: Enter abet aion firent crosilr.+= .,m beet' m ~m 26. Did Tobacco Use Contnbde b Death?
Hem 27. Pan 1: Emer me chain d events -diseases, injuries, or canpnralbns -met directly caused the tlealh. DO NOT enter terminal events such as cardiac arrest
, Onset to Deam but not meaning in me undedying Cause given in Pan I. ^ Ve& ^ Probady
respiratory areM, or ventrkular frOnitalkn without shaMrg the elbbgy. List Doty one reuse on each Ime.
^ No []'~Inknavn
IMMEDIATE CAUSE IFinal deaesa ar r
cmtlnkn resdenq in tleam)
Q le N e L F A 1 l
,tw h ~ i
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_~ e
.
HYP y
YtTEt.15 LoJ ~~ If~~~
Due to (or as a consequence op: ~ LJ
Not pregtant witMn past year
sequml IIy aw emdtkne, n ary, T't P E
b. a O l cap t3T'la5 ME L.k-1"n $ i ^ Pregnant al lime of death
l
i
m
estl
ng m
coca (sled m line a.
1 Enter me UNDERLy1NG CAUSE Due to (w as a consequence °U:
^ Not pregnad, M pregnant within /2 tlays
'
(d
IB¢aee a injury mat nitielaedd ale
C
v e resultbg rn tleaM) LAST. of death
Due to (or as a consequence oQ.
^ Nm pregnant, bd Pregnant 43 days to 1 year
d
~ before death
^ Unknown it pregnant wimin the past year
30e. Wes an ANopsy 306. Were Autopsy Flndngs 31. Manner d Daelh 32a. Dale d Injury (Month, day, year) 32b, Describe How Injury Oaurtetl 32c. Place al Injury: Home, Farm, Street, Fadary
Perlomwd? Aveilede Prior Ic Campletlan
,
OMCe euitding, ek. (Spsahl
d cause d Deem? L'J rvBNml ^ Hamidda
^ Ves ~NO ^Yes ^ No ^ Aartlanl ^ Pendirg Invesdgelbn 32e. Tnw of Injury 32e. Injury at WoM7 321. n Tranapodalkn Irryury (SpeclN) 32g. L«atkn o1 Inryry (Street, coy /lane, slate)
^ Sukioe ^ CaH Nd be Ddemkned ^Yes ^ No ^ Dnvar / Operetor ^ Passenger ^ Pedeslnen
M. Omer ~ spedN:
33e. Comfier (check only onej
330. signawre orb rme d barmier J
• Certnying pfrysklen (Physiden cermying reuse of deem when a«ther physician has pronounced dean and mmplered Item 23)
To ate beat of my k«wbdga, dnm «eurxee cue io ine ceuse(ej ens msmar o etetea_ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• Prorraeteing end eedeying ptryal°lan (Pnyskian bah
rmwunor
death
d
di
d
_ - - -
p
g
an
ce
ry
rrg to Cause of deans)
To IM best of my knoMetlgs, death oauned et tM Unw, date, and place, end due to the Cau
sa(.)anemannereaaratetl__________________ ^ 33c. Liceme Number 33tl. Dale Sgnatl (Monet, day, year)
• Madkel Examined Coroner
On its b
k
f
i
k
/ h~'OafZ.L94~L `'A~'~
as
o
enm
na
n end
or Invefllgetlon, In my opinion, deah «eurretl at the lime, tlale, and place, end due to the cause(s) arM manner es aNmd_ ^
34. Noma ant Address of Person Who Compkled Cause of Death Ille
m 2]j Type / Pnni
36. R IgnaNre ant stncl nn
~~ I ~
~
`~
- ~ Dere Rletl (Hoorn, day, year) ~'1 N~ T N'1 • c:~Q$C{~ A. y~
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~
• Jam' Qd /83a Goon 1d6o6" ~O . 6NO~6 P•e y~2s
Disposition Permit No. Q ~~ ) l0 ~ TI
LAST WILL AND TESTAMENT ~p .,
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MARLENE ADDA SHEALER ~ -:,
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Marlene Adda Shealer, of 4247 Carlisle Road, Gardners, of Cumberlan~County
I ••
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Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish
and declare this to be my Last Will and Testament, hereby revoking and making void all previous
Wills and Codicils heretofore made by me.
The expenses of my last illness and funeral shall be paid from the; property of my estate.
2
I give, devise and bequeath my full estate, together with all insurance proceeds thereon of
whatever nature and wheresoever situate to my beloved spouse Barry Lee Shealer, providing that
he survives me by sixty (60) days.
3
Should my spouse, Barry Lee Shealer, predecease me or die on or before the sixtieth
(60th) day following my death, then I give, devise and bequeath the rest, residue and remainder
of my estate together with all insurance proceeds thereon of whatsoever :nature and wheresoever
situate in equal shares to my brothers and sisters Marcus C. Crowell, Dolliena Brink, Diane Slisz,
Robert Crowell and Fred Crowell who survive me by sixty (60) days per stirpes. All tangible
personal property is to be sold, either publicly or privately, by my personal representative, adding
the proceeds of such sale or sales to my residuary estate and to be disposed of in equal shares
Page 1 of 7
Name
Last Will & Testament of MARLENE ADDA SHEALER
among my surviving heirs after payment of my estate debts, taking into account the tangible
personal property otherwise provided to them.
4
I grant my personal representative the following powers in additi~~n to and not in
limitation of such powers as my personal representative shall hold by law:
(a) To retain all property received including the stock of any corporate fiduciary
acting hereunder, provided such property remains produc~:ive.
(b) To join in any corporation, partnership, recapitalization, merger, reorganization or
voting trust plan; to delegate authority with respect thereto; to deposit investments
under agreements and pay assessments; and generally to esxercise all rights of
investors, including but not limited to, the voting of shares.
(c) To manage, operate, repair, improve, mortgage or lease o:n any terms any real
estate held or owned by my estate.
(d) To operate any business that I may own at my death.
(e) To invest any funds of my estate in any stocks, bonds, notes or other securities or
property, real or personal, without regard to the principle of diversification or any
other statute or general rule of law in his, her or its absolute discretion, it being
my intention to give my personal representative the broadest investment powers
possible, providing such investments do not unnecessarily prevent the prompt
settlement of my estate.
Page 2 of 7
c ~-~
.~
Name
Last Will & Testament of MARLENE ADDA SHEALER
(f) To sell or otherwise dispose of any property, real or personal, tangible or
intangible, at any time forming a part of my estate in any manner and on such
terms and conditions as my personal representative shall see fit in his, her its
absolute discretion.
(g) To borrow money for the payment of taxes of for any othf;r proper purposes in the
administration of my estate, and to mortgage or pledge estate assets as security.
(h) To compromise claims without court approval including, but not limited to, any
controversies with the United States of America or the Cc-mmonwealth of
Pennsylvania concerning estate and inheritance taxes on any interests that may
pass under this my Last Will and Testament.
(i) To distribute in cash or in kind upon any division or distribution of my estate.
(j) To undertake any and all acts deemed necessary and proper by my personal
representative for the proper, advantageous and prompt rr-anagement of the
settlement of my estate.
(k) In general, to exercise all powers in the management of rr~y estate which any
individual could exercise in the management of similar property owned in his own
right, upon such terms and conditions as to him, her or it may seem best and to
execute and deliver all instruments and to do all acts which he, she or it deems
necessary or proper to carry out the purposes of this, my Fast Will and Testament.
Page 3 of 7
U ~ \ ~..t~ --,
Name
Last Will & Testament of MARLENE ADDA SHEALER
No interest of any beneficiary of my estate, either in income or in principal, shall be
subject to anticipation or pledge, assignment, sale or transfer in any marvler, nor shall any
beneficiary have the power in any manner to charge or encumber his interest either in income or
principal, nor shall the interest of any beneficiary be liable or subject in any manner while in the
possession of my personal representative for the liability of such beneficiary.
6
I nominate, constitute and appoint my spouse, Barry Lee Shealer, as Executor of this my
Last Will and Testament. In the event my spouse is deceased, unable or unwilling to serve or
shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint my
brother, Fred Crowell of 3421 Wies Road, Chesapeake, Virginia, as personal representative of
this my Last Will and Testament. I direct that my personal representative shall not be required to
give or post bond for the faithful performance of his, her or its duties in 1;his or any other
jurisdiction.
7
I hereby declare it to be my expressed desire that my personal representative employ the
law firm of Stephanie E. Chertok, Esquire, of Cumberland County, Pennsylvania, for legal advice
and assistance regarding this my Last Will and Testament, they having considerable knowledge
of my affairs, views and wishes respecting any matters that may arise at the probate of this
instrument, the administration of my estate, and the execution of the powers herein mentioned.
Page 4 of 7
Name
Last Will & Testament of MARLENE ADDA SHEALER
IN WITNESS WHEREOF, I have hereunto set my hand to this rriy Last Will and
Testament this day of~2005.
WITNES
Marlene Adlda Shealer
Page 5 of 7
Name
Last Will & Testament of MARLENE ADDA SHEALER
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
I, Marlene Adda Shealer, the testatrix 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 and Testament; that I signed it willingly, and that I
signed it as my free and voluntary act for the purposes therein expressed,.
Marlene Adcia Shealer
Sworn or affirmed and acknowledged before me by Marlene Addla Shealer the testatrix
this o~~ day of ~~ ~-/ , 2005.
Notary
~r
MY Boro,
--_.__,..,,,.,_.__. -fit 24, i
Page 6 of 7
Name
Last Will & Testament of MARLENE ADDA SHEALER
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBEF:L,AND
~~ ~ L~ and ~ ~• ~<'v~D~he witnesses
whose names are attached to the foregoing document, being duly qualifif;d according to law, do
depose and say that we were present and saw Marlene Adda Shealer, test;atrix, sign and execute
the instrument as her Last Will and Testament; that she signed willingly and that she executed it
as her free and voluntary act for the purposes therein expressed; that each subscribing witness in
the hearing and sight of the testatrix signed the Last Will and Testament as witnesses and that to
the best of our knowledge the testatrix was at the time 18 or more years ~~f age, of sound mind
and under no constraint or undue influence.
Sworn or affirmed and subscribed before me by P~tr,ct
ands ~v~•~ ~ • lln.crk'~ this ~1 day of ~ti. ~~- , 2005.
Public
~~
NOTAR{!!L X111.
STEPHANIE E. {:FiER'T~016, h6ot~ry P
Carlin , (i:~rb~ .,
Page 7 of 7 ~~ ~ ~`
Name /