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HomeMy WebLinkAbout10-17-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Paul G. Zendt also known as COUNTY, PENNSYLVANIA File Number '~~ ( ` ~U / ~ ~y V Deceased Social Security Number Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) 0/ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the last Will of the Decedent dated 07/13/1994 and codicil(s) dated Testator named in the (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: B. Grant of Letters of Administration (/f applicable, enter.• c. t. a.; d.b.n.c.t.a.; pendente life; 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.) ^' r- Decedent, then 84 years of age, died on 07/09/2008 at 114 November Drive, Camp Hill, PA, ] 7011 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 9,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 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: i nature T ed or rioted name and residence Paul G. Zendt, Jr., 200 Gwen Drive, York, PA, 17404 Farm aw oz rev. !0./3.06 Page I of 2 (COMPLETE INALL CASES:) Attach additional sheets if necessary. _~ va Decedent was domicile n Cumberland County, Pennsylvania with his /her last principal residence at r~_ I l4 November Drive, Camn Hill PA 17011 (List street address, town/city, township, county, state, =ip code) ~ ~ 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. Swom to or affirmed and subscribed before me the ~ day of ~~~~~~ _~ 2 ~ ~ F Register File Number: Estate of Paul G. Zendt Signature of Personal Representative Signature of Personal Representative ,. -~~ -..-y Dec~sed ~~^ c.1t Social Security Number: 18~4r-16-7981 Date of Death:07/09/2008 AND NOW, ~~1 uL D~ , in consideration of the foregoing Petition, satisfactory proof having been presented before ne, IS DECREED that Letters Testamentary are hereby granted to Paul G. Zendt, Jr. in the above estate and that the instrument(s) dated July 13, 1994 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.. _ FEES Letters ............... $~ ~ D.L._ Short Certificate(s) ........ $ C~. (>j~ Renunciation(s) .......... $ ~ ... $-I~L:~~ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ .A.gg- _ v Register of Wills" v ~ ~ ~ Attorney Signature: Attorney Name: Craig A. iehl, Esquire Supreme Court I.D. No.: 52801 Address: 3464 Trindle Road Camp Hill, PA 17011 Telephone: 717-763-7613 Form RW-02 rev. 10./3.06 Page 2 Of 2 "- _ LOCAL RE~TRAR'S CERTIFICATID~OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. t`~ i ~~,~~~~~~ ~ Fee for this certificate, X6.00 .P 14~~12~1 Certification Number This is to cerCify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. ~,-~ JUL (s Date Issued v C ~ `~' ~,-. «~, .~ -,~ c-~ - - , C-~ _;_, y --.t __ 'r,. I REV II12WE PRINT IN 1ANENT CK INK COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) srATF Fn P runxnaco r~ , ~. r Irimr mwore inst. sunixl 2 Sex 3. Social Security IJumher a Dare of Deatn IMOrllh, tlay. year) Paul G. Zendt Male 184 _ 16 .7981 July 9, 2008 5. Age (Last Birthday) Untler I year Under 1 tlay 6. Date of 8iM (Month, tlay, year) 7. Birthplace (City aM stale or foreign country) 8a. Place of Death (ChecN only one) Nornm Days Hours uinvres Hospital. Other 84 Yra. 9/ 1 I / 1923 McCoysville PA , ^Inpaeenl w ^DOA ^ ER I Out tlem ^ Nursing Home ®Resldence ^Other ~ Specify BD County al Death . . Bc Ciry, Bore Twp el Death 8tl. FacilTy Name (ll not Instdution. give street and number) 9. Was Decedent of Hispanic Origin? ®No ^ Yes t0 R A i . ace. mer can Indian. BIaCN, White, etc Ct~tberland Camp Hill 114 November Drive (Ilyea.apepirycuba"' (spec1ty) Mezican, Puado Rican, etc.) ('~-l1tE ' 11. DecetleM s Uswl Oa Ibn KiM of work done dun most el world life. Do not stele retired 12. Wes Decedent ever in the 13. Decedent's Educelbn (Specify only highest grade completed) 14 Marital SYalus Ma d d N M . r e , ever ame4 15. Surviving Spouse (II wile, gWe maiden name) Kind o1 Wod KiM of Business /Industry U.S~. +A~,rmed Forces? Elemenla /Secondary (P12) College (1-d or 5+) Widowed, Divorced (Specify) Machinist Amer>can Can Cun an ~0 p y C~jYea ^Np Widowed 16. Decedent's Maikrg Atldress (Street, Ciry r town, stale, zip code) Decedent's Did Decedent 114 November Dr1Ve Actual Resitlence 17a. Smla PA Llve Ina t7c. ^ Yes, Decedent Lived in r Hill, PA 17011 t7b.County Ct~berland T°w'"~"p? 17d.[~NO,DecedentLivedwithin Camp Hill ~ Actual Umils of Ciry I Bore 16. Father's Name (First, middle, last. suRix) 19. MoNer's Name (First, mitltlle, maiden sumeme) Edward Zendt Elsie Woodward 20e. Inlonnent's Name (Type r Pnnl) Paul G. Zendt Jr. 20b Informant's Mailing Address (Strut, city I town, slate zip coda) 200 Qaen Drive York, PA 1404 21 a. Mettgd of Disposdon ^ Cremalron ^ Donalron 21b. Dale of Disposition (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory or other place) 21 tl. Location (Ciry .town stale zip rode) ® Burial ^ Re o l f St t ~ ' , , m va rom a e ; Was Cramatfon or Donation Authorized ^ Other-Speciy byMetlicelExaminer/Coroner? ^vea^No July 16, 2008 Indiantown Gap National Ceretety Annville, PA 17003 22a. Sgnature d Funeral Servxx see (or person acting as such) 22b. Ucense Number 22c. Name antl Address of Facility ~ ~ FD 012774-L Richardson Funeral Home Inc. 29 S. Enola Dr. Enola, PA 17025 Complete Items 23at only when cedityirg 2~3ex Tp the heal of m ledge, deaM occurtetl at the Time, date and place stated. (Signature and title) _ physician s not avaaable al time of death to cenity cause of deem. 1~Ytc\'IT_~ I ~ 23b. License Number 23c. D to Signed (Month y, yeap / L., /~/§ /1 ~ ~ , 2a Ti f h ~ ~. y ~~~ ~ ,(/ ~`/~},p Items 24-?6 must De completed by cerson who prorxwrxxis death. . me o 25. Dale P rrouncatl Dead (M day, year) /' / ,~ •. M. C I I ( ~ 26. Was Case Relene0lo edical Examiner / Coron eason ar than Cremation or Donation? /N1 ^ Yes [~.10'O CAUSE OF DEATH (See Instruction example r Approximate interval. Pad II: Enter other r sianilicanl conditions cant' 1 o to tleath, 28. Did Tobacco Use ConlnWle m Death? Item 27 Pan P. Enter the chain of events -diseases, injuries, or comphwtions - That mrecty caused the alh. DO NOT enter terminal events such as cardiac arrest , respralory anesl. or venlncular lidnllalron wghoN snowing me etiology Lisl only one cause on each lire. Onset to Death bW not resuning In the underlying cause given m Pad I. ^ Yes ^ Probahly IMMEDIATE CAUSE (Final disease or i ^ No ^ Unknown corbition resuning m death) ~ ~ ~ _ ~,~~~ : / ~ ,.~~ ( ~: _~ a. ~) '~ ~ 29. II Female. ~ ~~ M F' ~ ~ n ~~ y ~ - i ' Due to (or a cnnsequence o a ~ ^ Not pregnant wflhm past year Sequentially list conditions it any , lea to IM cause lisletl an line a. , b ~ ^ Pregnant at time of death Enter t UNDERLYING CAUSE Due to (or as a consequence of). r t a c ~ ^ Not pregnant but pregnant within 42 days e en s rewi nw ry t tl t ~j aLA v t g n e al S of death Due to (or as a consequence off. r ^ Nor pregnant but pregnam 43 days to 1 year d. r before tlealn r ^ Unkrwwn II pregnant within Ne past year 30a. Was an Autopsy 30h. Were Autopsy Findings 31. Manner of Death 32a. Date of Inlury (Month, tlay, year) 32h. Describe Haw Injury Occurred Pedo do mre Available Prior to Completion 32c. Place of Injury: Home, Farm Slrsel, Factory, N ^ alural el Cause d Death? ~ Hgnk;ide Onlce Builtling, etc. (Specify) ^ Yes No Ves No ^ Accident ^ Pending Investigellon 32tl. Tine of Injury 32e. Injury at Work? 321. n Trans elation In u ~, ^ ^ W j ry (Spedhl 32g. Localbn of Injury (Street, city! town, stale) ^ Suicrtle ^ Could Not be Delertninetl ^ Yes ^ No ^ Diner! Operator ^ Passenger ^Petleslrian M ^Other ~ Spew/y: 33a. Certifier (checN only one) 33D. Signature antl Title of Certifier • Cenilying physician (Physician certifying cause of death when another physician has pronounced death and compleletl Item 23) ! , To the best of my knowledge, tleaM occurred due to the cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 1 w.«r,_„-. /.-:_. ® ~ ~ _ _ _ _ _ _ _ _ _ _ _ r.e ..r • Pronouncing end eMilying physician (Phys~ien both pronouncing death and cedltying Ie cause of death) 33c. License N r to Ina best 01 my knowledge, death occured at the time, date, and place, and due to the cause(s) antl manner as smtetl_ _ _ _ _ _ _ _ ^ 33tl. Dale Signetl (Month, day, year) _ _ _ _ _ _ _ _ _ _ • Metllcal Examiner! Coroner ~y U ~ ~ ~ ~ ~ 6 _,_L ~ / !Y /l, On the bests o} i ti exam na on and! or investigation, in my opinion, death occurred el the time, date, end place, and due ro the cause(s) and manner as statetl_ ^ 34 N . a me and Adtlress of Person Who ComplelP.tl Cause of Death (Item 271 Type ~ Print m 36. Re 1r s Signature a t her I ~I / I Y ~ I / I 36. Dale Fil tl (Month, day, Yearl ' l~•-/MC'~7 [z. ~ri; in.~ C'rz ), /'~ . /?. ~ 7JVl I <tP~ 3i 6- ~ r ~• d ~ r ,3t.x Ndrrt,5-hv~-C' I- f~ /9y0! Disposition Permit Na. _ (~~ ~ ~ ~~~~ ~~cst ~i11 ~n~ (7~ P~t~zm~nt BE IT REMEMBERED THAT I, PAUL G. ZENDT, of the County of Cumberland and Commonwealth of Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my LAST WILL AND TESTAMENT, hereby revoking and making null and void any and all Wills and Codicils, or writings in the nature thereof, at anytime heretofore made by me. FIRST: I hereby nominate and appoint my son, PAUL G. ZENDT, JR. , Executor of this, my Last Will and Testament. In the event my son is unable or ceases to act for any reason as Executor, then I nominate my daughter, PATTIE ANN SMITH, to succeeci as Executrix. SECOND: I direct that all my just debts and funeral expenses be paid from my estate as soon as conveniently may be done after my decease. THIRD: All the rest, residue and remainder of my estate, whether real, personal or mixed, and wheresoever situate, I hereby give, devise and bequeath as follows: A. A one-half share to my son, PAUL G. ZENDT, JR., if he survives me, but if he fails to survive me then his share to my grandchildren, STEPHEN D. SMITH and CLAYTON L. SMITH, ~~ equa~~ ;- ~~ shares if they survive me, but if either fails to survive'-~~ theme; w al l to the survivor. '; ~ -- - -. -, ,_: C .~ c, i B. A one-half share to my daughter, PATTIE ANN SMITH, if she survives me, but if she fails to survive me then her share to my grandchildren, STEPHEN D. SMITH and CLAYTON L. SMITH, in equal shares if they survive me, but if either fails to survive me then all to the survivor. ' FOURTH: In the event none of my children or grandchildren survive me, then all to my descendants, per stirpes. FIFTH: if any legatee, beneficiary or devisee, shall fail to i survive me by thirty (30) days, I direct that I shall be deemed to have survived such legatee, beneficiary or devisee and that this Last Will and all its provisions, except where specifically stated ' I ~' otherwise, shall be construed on this assumption notwithstanding ', the provisions of any laws establishing a contrary presumption. SIXTH: If any part of my estate shall vest in a person under twenty-one (21) years of age, the Executor may, with absolute discretion, deliver such part, or any portion thereof, without bond, to the parent or guardian of such person to be held for such person until he reaches twenty-one 21 ( ) years of age. The receipt of such parent or guardian shall be a complete discharge and acquittance of the Executor and shall be final and. binding on all persons in interest. SEVENTH: I direct that no Executor or Guardian appointed by this Last Will shall be required to give any bond, notwithstanding any provision of law to the contrary; but if any bond shall be necessary no sureties shall be required. -2- EIGHTH: Whenever any personal representative or fiduciary nominated and appointed by the provisions of this Last Will need legal counsel or advice concerning the administration of my estate or the provisions of this Last Will, it is my preference that Albert Z. Bogert, Esquire be consulted, if he survives me, he having intimate knowledge of my affairs, views and wishes in matters concerning my estate. IN WITNESS WHEREOF, I, PAUL G. ZENDT, the Testator, have subscribed my name and affixed my seal this 13 day of ,1994. PAUL G. ZENDT -3- .. ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. I , PAUL G. ZENDT, Testator, 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. M/,...~~ ~ L:~~C.K~ Sworn or affirmed to and acknowl dged before me y PAUL G. ZENDT, Testator, this /,~ ~ day of 1 1994. 1 ~ .~ c~Y. ~-.e~,2~ J Notary Public Notarial Seal Sheila H. Kagar, Notary Public Hampden Twp., Cumberland County AFF I DAV I T My Commission Expires June 17,1996 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. We, .~4/1rV ~ ~~ and ~i~3E,~PT ~~ ~/J6fi%~% the 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 the Testator sign and execute the instrument as his LAST WILL, that PAUL G. ZENDT signed 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 the tame 18 years or more of age, of sound mind and der no ronstraint or undue influence. Sworn or affirmed to and acknowledg ,d before me this /~~~ ~~ day of '~ , 1994. ~ ~ Notalry Notarial Seal Sheila H. Kager, Notary Public Hampden Twp., Cumberland County My Commissbn Expires June 17, 1996