HomeMy WebLinkAbout10-20-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA
Estate of M Harvev Taylor I I File Number "'~ ~ ~~ ° ~~ y
also known as
,Deceased Social Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW:)
^X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Executor named in the
last Will of the Decedent dated 10/27/1999 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 instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: NONE
B. Grant of Letters of Administration
(If applicable, enter.• e.t.a.; d.b.n.c.t.a.; pendente liter 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:(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.)
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last principal residence ~,,
200 Otterbein Drive Mechanicsburg PA 17055 Borough of Mechanicsburg
(List street address, town/city, township, county, state, zip code)
Decedent, then 80 years of age, died on 10/6/2008 at Holy Spirit Hospital
503 N 21st Street Camn Hill PA 17011
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
(If not domiciled in PA) Personal property in County
Value o1'real estate in Pennsylvania
situated as follows:
$ 1.025.000.00
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Leners in the appropriate form to
the undersigned:
Signature Typed or printed name and residence
-~--
~ Maris H. Taylor, III 345 East Meadow Drive
M h ni PA 17
Page 1 of 2
Form RN'-OZ rev. 10.13.06
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. _ -~-~ l~~
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 affirm~e(d and subscribed
before me the ~L.J ' `day of
~~ ~ -~
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f'F r the Register
Signature of Personal Representative
Signature of Personal Representative
File Number: ~' U (J
Estate of M Harvev Taylor II ,Deceased
Social Security Number:186-24-8831 Date of Death: 10/f12008
AND NOW, }{~ ~- ~3~,~, in consideration of the foregoing Petition, satisfactory proof
having been presented before e, IS DECREED that LettersTESTAMENTARY
are hereby granted to Maris H Taylor III
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............................. S ~ 7 IIJ,
Short Certificate(s) ••••~••~•~•• $ may. o~
Renunciation(s) •••••••••••••••• g
i~,lil I _ .... s I ~.QD
J ~ .... ~
.... $ e~.,_j~ b
TOTAL ~~~~~~~
.... $
.... $
.... $
.... $
.... $
.... $
.... $
Register bf Wills ~~~ ~ ~~
Attorney Signature:
Attorney Name: David H Stone Esquire
Supreme Court I.D. No.: 39785
Address: 414 Bridq~ Street
New Cumberland
PA 17070
Telephone: 717-774-7435
Form RW-o2 rev. io.13.06 Page 2 of 2
3 IIIS_KII~ K~\ I(11 /Il')
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 1480800$_
Certification Number
This is to certify that the inti~rmatio~ hire given is
correctly copied fmm an original G~rtificate of Death
duly filed with me ~:~, Lul,al ~2egistrar. The original
certificate will he flyrwarded to the State Vital
Records Office for prrlnancnt filin;.
~~ ann. ~'? % -- _ ~C r/o 9 2 0~
Local F:egistrar ~~ ~ Date Issued
~~
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iEV 112006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
PRINT IN
ANENT CERTIFICATE OF DEATH
:K INK See Instructions and exam les on reverse
P STATE FILE NUMBER
1. Name of Decedent (First, middle, last. suffix) 2. Sex 3. Social Security Number 4. Date of Death (Month, day, year)
M. Harve Ta for II Male 186 - 24 ~ 8831 October 6 2008
5. Aga (Last Birthday) Under 1 year Under 1 day 6. Date of B'mh (Mpnlh, day, year) 7. Binhplap (City and stale a bregn country) 6a. Place of Death (Check only one)
Months Deys Hours Minutes Hospital'. Other'
80 Yrs. October 20 1927 Harrisbur Pa (~lnpatienl ^ER/oulpadent ^DOA ^Norsag Hpme ^Resitlenp ^Other. specry
8b. County of Death &. City, Boro. Twp. of Death 6d. Facility Name (Ii not instituNOn, give street and number) 9. Was Decedent of Hispanic Origin? No ^Ves 10. Race. American Indian, Black, White, etc.
pl yes. sDeary Cuban, (SpeciM w
Cumberland
East Pennsboro Twp
Holy Spirit Hospital
Mexipn,PuenpRaan,etpa
Wrl
1 t 2
11. Decedent's Usual Occu tan Katl of work done tlunn moss of world life. Do not state retired 12. Was Decedent ever In the 13. Decedent's Etlucalan (Specify only highest grade completed) t4. Marital $taNS: Married, Never Married 15. Surviving Spouse Uf wife, give maiden name)
Kind of Work Kind of Business I Industry U.S. Armed Forces? Elementary /Secondary (012) College (1-4 or 5.) Wltlowed, Divorced (SpeciM
Owner Harve Ta for In g]Yea ^Np 4 Married Suzanne Cuthbert
16. Decedents Mailing Address (SYreet, city I town, slate, zip cadet Decedent's Did Decedent Lower Allen
Pa Live a a „p ^Yes
Decedent Lmed in Twp
S
200 Ot terbein Drive .
,
Amnal Residence ,?a.
tate
Cumberland Township? , 7d. ^ Nn, Decedent Lived within
Mechanicsbur Pa 17055 "b °o°°" Arlaai Limns a Di"' Bpro
16. Fattwr's Name (First, made, 1a56 suffix) 19. Mother's Name (First, middle, maiden surname)
6d.Stewart Taylor Marion Harter
20a. Informant's Name (Type I Pnnq 20b. Informant's Mailing Address (Street. city I lawn, stele, zq coda)
Suzanne C. Taylor 200 Otterbein Drive Mechanicsburg,Pa 17055
27 a. Mytp°d of Dispos¢ion ^ Crematim ^ Donaton 21 b. Date of Disposition (Month, day, year) 21c. Place of DaposAan (Name of cemetery, crematory or other place) 21 d. Location (City !town, stale, zip cede)
rL-J~`Burial ^ Removal tram State !
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' 2008
~tober 10 Rolling Green Cemetery Camp Hill
Pa
aone
by
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l Exam net C
^Yes^Np
^ oMer ~ speaty , ,
ra of I Service Licari ctlng as such) 226. License Number 22c. Name and Address d Facility
011654-L Pa 17011
Myers-Horner Funeral Home Inc 1903 Market St.Camp Hill
~ ,
Co plate Hems 23ac Dory when pnifyirg 23a. io the best of my knowledge, tleam occurred al Me lime, dale and place staled. (Sgnature and tAle) 23b. License Number 23c. Date Signed (Month, day, year)
physidan Is not available at time of death to
praty pu5e d death.
• Items 24-26 must be comdated by person ~
24. Time of Death
v 25. Date Pronounced Dead (Month, day, year) 26. Was Case Referred to Medical Examiner I Coroner for a Reason Other roan Cremation or Donation?
wla promurrces death. ~ "
y
^ ~ M. C1 ~ Q []Yes ~No
CAUSE Of DEATH (See Instrucdona end examples) r Apprpximate interval: Pan 11: Enter other significant conditions contdbNing m tleam, 26. Did Tobacco Use Contribute to Death?
Item 27. Pan I: Enter the chain of events -diseases, Injutles, a pmplaalions -Mal dlreslly caused the death. DO NOT enter terminal events such as cardiac arrest, r Onset to Death but not resulting in Ina untlatlying cause gNen in Pan I. ~ Yes ^ Probabty
respiratory arrest, or ventricular fibnXation wiMOUI showing the etiology. List only one pose on each Ilse. ~ ^ No ^ Unknown
IMMEDIATE CAUSE'Fkpral disease or
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N R D N 1 C ~ 8
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condition rasunmg in deem) _~ a
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Due to (or as a consequenp oQ: - n past year
°i Dregnanl wk
^ Pregnant al time of death
SequennaYy Nst coraeans, A any, b,
leedirp fo the pose listed on line a.
Due to (or as a consequence op' ^ N°I Dragnenl, but pregnant within 42 days
.
Enter hs UNDERLYING CAUSE
~
of death
(dsease or injury Mat Initiated Me c
events resultlnq m death) LASL Due to (or as a consequence o0. ~ ^ Not pregnant. but Dragnant 43 days Io 1 year
before death
d. ^ Unknown A pregnant within the past year
30a. Was an Autopsy 30b. Were Autopsy Findings 31. Manner of Death 32a. Data of Injury (Month, day, year) 32b. Describe How Injury Occurred 32c. Place of Injury. Home, Farts, Slreel, Factory,
Penomed? AvaiWble Prbr to Completan
of Cause of Death
~ Nawrel ^ Homaitle Office Buikfing, etc. (Speciy)
^ Aaident ^ Pending Investigation 32d, Time of Injury 32e. Injury at Wark? 32f. II Trensponatipn Injury (Specity) 32g. Location of Injury (Street, city I town, state)
^ Ves ~ No ^ Yes ^ No
^ Suidde ^ Could Not be Determined
^Yes ^ No
^ Dmer! Operator ^ Passenger ^Pedesldan
M ^Dlnar - Speaty:
33a. Cerlilier (check any one) 33h. Sgnature and Ttle of cenifler
• Certifying phyeaien (Physatian certirying cause of death when another physkian has pronounced death end pmpleled Item 23) lol
Ta iM bell of my knowledge, death oceurted due to the cause(s) end manner as atated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ K'~ ' ~L~w...vL ~ ~ I{~ m D
• Pronaundng and certdying physlclan (Physaian both omnouncing death and cenilying to pose of death)
^ 33c Uprise Numher ned (Month, day, year)
33tl. Date Sig
To the Dsst of my knowledge, Oealh occurred at the time, date, and place, and due to tfre cause(s) and manner ea elated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _,
• Medical Ezaminer/Coroner ~ ~ ¢~ ~ ~ f
QCFO ~~ r 1 ~ ~LC`C Q
On the basis of examination and I or Investigation, in my opinion, death occurred al the lime, dale, and place, and due to the cause(s) end manner u etated_ ^ d Cause of Death (llem 27) 7yce r Print
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34 Name and Address of Person W1h~o C
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(M ih, day, year
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ep\wills\taylor.hrv\10-99
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LAST WILL AND TESTAMENT ' - ~ ~ -~+
OF ' ,'
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M. HARVEY TAYLOR, II ''
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I, M. HARVEY TAYLOR, II, of the Borough of :Mechanicsburg, County
of Cumberland, and Commonwealth of Pennsylvania, declare this to be my
last will and revoke any will previously made by me.
ITEIv1 I: I bequeath my automobiles, household and personal
effects and other tangible personalty of like nature (not including
cash or securities) together with any existing insurance thereon, to
my wife, SUZANNE C. TAYLOR, if she survives me b~y thirty (30) days.
ITEM II: Should my wife, SUZANNE C. TAYLOR, fail to survive me,
I make the following specific devises:
A. My real estate known as 24 West Maplewood Avenue,
Mechanicsburg, Cumberland County, Pennsylvania, to my son, STEWART
TAYLOR.
B. My real estate known as 118 Club C~~urse Drive, Sea Pines
Plantation, Hilton Head Island, South Carolina, ~~o my son, MARIS H.
TAYLOR, III.
ITEM III: I devise and bequeath the residue of my estate, of
every nature and wherever situate, including any property over which I
shall have any power of appointment, to the then acting Trustee under
that certain trust created by me on December 3, :1996, in which I am
Page 1 of 7
the Settlor and my son, MARIS H. TAYLOR, III, is the Trustee, to have
and to hold, IN TRUST, for the uses and purposes and subject to the
terms and provisions thereof, including any alte:rations or amendments
thereto, or any other trust which may hereafter lie substituted
therefor.
ITEM IV: I appoint my Executor and his suc~~essors guardian of
any property which passes either under this will or otherwise, to a
minor and with respect to which I am authorized 1~o appoint a guardian
and have not otherwise specifically done so, pro~Tided that this
appointment of a guardian shall not supersede thE~ right of any
fiduciary in their discretion to distribute a sh~~re where possible to
the minor or to another for the minor's benefit. Such guardian shall
have the power to use principal as well as incomE~ from time to time
for the minor's support and education (including college education,
both graduate and undergraduate) without regard too his or her parent's
ability to provide for such support and education, or to make payment
for these purposes, without further responsibility, to the minor or to
the minor's parent or to any person taking care of the minor.
ITEM V: All federal, state and other death taxes payable because
of my death, with respect to the property forming my gross estate for
tax purposes, whether or not passing under this will, together with
any interest or penalty imposed in connection with such tax, shall be
Page 2 of 7
considered a part of the expense of the administ:ration of my estate
and shall be paid from my residuary estate without apportionment or
right of reimbursement, provided that any taxes on the trust created
by me on December 3, 1996, may be paid from the ~~ssets of that trust
as provided therein.
ITEM VI: My Executor, Trustee and Guardian shall have the
following powers in addition to those vested in i=hem 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 actua:L distribution of all
property:
A. To retain any or all of the assets of my estate, real or
personal, including stock of a corporate fiduciary or of its parent
holding company, without regard to any principle of diversification.
B. To invest in all forms of property,, including stocks,
common trust funds and mortgage investment funds whether operated by
my corporate fiduciary or others, without restriction to in•,restmer~ts
authorized for Pennsylvania fiduciaries, as they deem proper, and
without regard to any principle of diversification.
C. To sell at public or private sale, to exchange or to
lease for any period of time, any real or person~~l property and to
Page 3 of 7
give options for sales, exchanges or leases, for such prices and upon
such terms or conditions as they deem proper.
D. To allocate receipts and expenses 1~o principal or
income, or partly to each, as they, from time to time, think proper in
their sole discretion.
E. To borrow from, or to sell to, my 'trustee even though a
Trustee may be my Executor.
F. To compromise any claim or controvE=rsy.
G. To join with my wife, SUZANNE C. T~~YLOR, or her personal
representative, in filing a joint income tax return without requiring
her to indemnify my estate against liability for the tax attributable
to her income and to consent to any gift made by my wife during my
lifetime being treated as having been made one-h~~lf by me for purposes
of the federal gift tax law.
ITEM VII: I appoint my son, MARIS H. TAYLOFZ, III, Executor of
this my last will. If he fails to qualify or ce~~ses to act for any
reason, I appoint FINANCIAL TRUST COMPArdY, of Caz-lisle, Pennsylvania,
Executor in his place.
ITEM VIII: I direct that my Executor, Guardian, Trustee and
their successors shall not be required to give bond for the faithful
performance of their duties in any jurisdiction.
Page 4 of 7
ITEM IX: No provision is made in this will, or in the trust to
which it pours the residuary estate, for my son, STEWART TAYLOR, since
he has already been well provided for and for other reasons well known
to him and to the other members of the family.
IN WITNESS WHEREOF, I, M. HARVEY TAYLOR, II, have hereunto set my
hand and seal this .27~` day of
G~,~~~~~~~~_
1999.
M. HARVEY TA7~'LOR, II
SIGNED, SEALED, PUBLISHED and DECLARED by M. HARVEY TAYLOR, II,
the Testator above named, as and for his Last Wi_Ll and Testament, and
in the presence of us, who at his request, in hi:~ presence and in the
res ce of ea/ch other, have subscribed our name: as witnesses.
_ - ~ ~'
Witness Address
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Witness
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Address
Page 5 of 7
COMMONWEALTH OF PENNSYLVANIA)
SS.
COUNTY OF CUMBERLAND )
I, M. HARVEY TAYLOR, II, the Testator whose name is signed to the
attached or foregoing instrument, having been du=Ly qualified according
to law do hereby acknowledge that I signed and e~cecuted this instru-
ment as my last will; that I signed it willingly and that I signed it
as my free and voluntary act for the purposes thE~rein contained.
M. HARVEY `TAYLOR, II
Sworn to or affirmed to and acknowledged before me by M. HARVEY
TAYLOR, II, the Testator, this ~~ day of C7~.,{y1o,e.` 1999.
Notary Pub is
NOTARIAL SEAL
CONSTAiJCE L. 64,~Ri_!, P~otsry Public
3~ew CumberEan~, Pry CumJeriard Co.
My Commission Expires April 13, 2(~3
Page 6 of 7
COMMONWEALTH OF PENNSYLVANIA)
SS.
COUNTY OF CUMBERLAND )
- --_.
We , U~ ~ r Q an ~~,,._- ( a~``~J ~JV~1._- ,
the witnesses whose names are signed to the attac:hed or foregoing
instrument, being duly qualified according to law, depose and say that
we were present and saw Testator sign and executE~ the instrument as
his last will; that Testator signed willingly anc~ that he executed it
as his free and voluntary act for the purposes tYierein expressed; that
each of us in the hearing and sight of the Testator signed the will as
witnesses; that to the best of our knowledge, thE~ Testator was at that
time eighteen or more years of age, of sound minci and under no
constraint or undue influence.
--
Wit
Witness (~~
(~ Sworn to or affirmed to and acknowledged before me by
'iJ~-~U~in ~-', ~T~Q and ~--~~-~:v 1~-~ ~!~~2 _, witnesses,
this ~ day of a ~~ 1999.
/,~
N®TARfAL SEAL v ~ , ~` ~~~ .
CONSTAl~GE L. KAPLi, Natary Public
News Cumberland, PA Gumberland Ca. Notary Pu.b 1 i c
My Commissian Expires April 13, 2403
Page 7 of 7