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HomeMy WebLinkAbout10-15-08- .~, PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Mavis A. ROSSkopf _ File Number 21- Q$ ~ (Q~ also known as ,Deceased Social Security Number Steven H. Rosskopf Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE ;4' or B' BELOW ) QX A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the EX@CUtOr named in the last Will of the Decedent, dated 6/13/ 07 and codicil(s) dated State relevant circumstances, e.g., n3nundation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child bom 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 a rc e, en r. c..a.; ..n.c..a.; a urdn e a sen a; uran a mrno a f.,,~ Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following s~se (ff any) af~eirs: (H Administration, c.t.a. or d.b.n.c.t.a., enter date of ill in Section A above and complete list ofheirs.) rte- ~ cp d ,- - l7~i--r t~ 4~ , Name Relationship Residence -a.:; x,. r -_ -~ ~ _ -. ; c~ ~ - rte: ~ `: ~ _ s- cJ1 LT7 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 824 Lisburn Road, Camp Hill, Lower Allen, Cumberland, PA 17011 (List street address, town/city, township, county, state, zip code) Decedent, then $$ years of age, died on 09/23/2008 at Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 195,000.00 (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: MIA 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: Signature Typed or printed name and residence Steven H. Rosskopf 25 Central Boulevard ~( ~ n ~. ~',n„~„ J~ Camp Hill, PA 17011 Copyright (c) 2006 form software ony The Lackner group, Inc. Pape 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 before me this ~~ day of C~a / ~-.1LS.L.t For the Register Signature of Personal Representative Signatu2 of Personal Representative H. Rosskopf File Number: 21- ~g - ((~~ Estate of Mavis A. Rosskopf ,Deceased A/K/A Soc(ia~l S~ecu~rity\N~umber: 470-18-2010 Date of Death: 09/2312008 AND NOW, LJI.~.-G;eL7~. ~J~ , a~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Steven H. ROSSkopf in the above estate and that the instrument(s) dated 06/13/2007 described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent FEES c~ Letters ............................................ $ p`~(pO , ~~ ' Register rr ~~ Short Certificate(s) ........................ $ 302 -C~C~ . Renunciation(s) ............................. $ Attomey Signature: ' l ~ $ ~ S ~ O(~ Attomey Name: Jenn er B. Hipp n ~ ~u~~+' t"'~ $ 5 ~ ~ Supreme Court I.D. No.: 86556 Bogar and Hipp Law Offices $ Address: 1 West Main Street $ $ Shiremanstown, PA 17011 $ Telephone: 717-737-8761 $ $ TOTAL .................................... $ 010'1. y(~ Form RW-02 Rev. f0-~3-2006 Copyright (c) 2006 form software only The Ladmer GrauP, Inc. Page 2 of 2 1ns.¢ns n5y m~;n,; 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 14807267 Certification Number This is to certify 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 RecordysyOffice for permanent filing. LG~n- ~ C ~ SEP 2 ~ 2008 Local Registrar Date Issued C7 rv °c.~ ~ ~ Q f +__.~ ~ _ (.r . {` CJl U ~ s' - ~. , ~-~ x,. - - ~ ; ~~' v ~~ x © ~ ~ ;. , ,-_ , ~' . ~ cn :v nrzlwB DINT IN NENT :INK COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE NUMBER 1. Nrro d Oepdenl (Fast nadde, lest, aulAZ) Mavis A. Rosskopf 2. Sex female 3. SOdd Security Number 470_ 18 -'2010 1. Date d Dam Mmm, da , 1 Sept.tl3,2v~08 5. Age (Lag BiMdey) Under 1 year Untler 1 day 6. Date of BiM Monet, de , ear) 7. B (Gry end stale a caxdry) Be. Pkp d Dsam (Check are) $$ "~"~~" ~" ~' "`~~ arch 16,1920 watonna, Minn. Yre 1ial ^ERl Oulpdienl ^DOA ^Nuraing Home ^Raioence ^Olher~Speldly: Bb. Canty of Deem Bc. CNy, Boro, Twp. d Deem Bd. FasiWy Name fN not ammu8on, gNe greet and rxxn6er) 9. Wes Decedent d kkapanc Orpin? [~ No ^ Yea 10. Rep: Anmrkan ln6n. Black, WhNe, ek:. Cumberland E. Pennsboro oly Spirit Hosp. ;~''~~,' ~"~,,,~) (' Whi 11. Oeadanya Uewl Kind d woM d one du' nK1et d vqA' MN. Do rot slab reM 12. Wa Dapded ewr In me 13. Decedents Educenon (Spedry mry nighat grade oanpl dedl Id. MruMal Sena: Marnad, Never Memed, ' 15. Surv'rvirp Spa ce (ll wNe, 9M maids name) Nird d Wok Kkd d 8uskmsc I Irdwtry U.S. Artrod Forces? Elementary /Secondary 1x121 Cdk9e (1 d a Sa) Widowed, Divorced (S pesYly1 Home Maker ^Y~ ~~ 12 widowed 18. DopdarA's Maemg Addma (Strad, coy I town, elate, zip code) Decedents Did DeCBdem Adel Recidgx® 17e. sate PA Live ins 17c7[J Yes, Depdad Lived inLOWAr Allen Twp. 824 Lisburn Rd. Townehip4 ,Tb.Canry Cumberland ,Td.^Na, Dapomt Lhed wNNn Adpl Umib d Gry / Boo ~.. FaOmr's Name (Fast, middle, lest sdl'd) Gilbert E. Russell 19. Homer's Name (First, nMdde, , ~ n aurrmrrm) attic F. Vi wock 20e. Inlarronye Nero (Type / PnnO 206. Informem's MaiNq Address (Street, ary / tovm, smN, zip mde) Steven H. Rosskopf 5 Central Blvd. Camp Hill, PA 17011 21a. Hamotl d aevagnm i ~Cremenm ^ DmaNm 216. Dale d Dispca¢bn (Monet, day, rear) 21 c. Plxe d aapoailion (Noma d wrtigery, crematory a Omer Place( ltd. IACNndI (City I kwm, gate. zip cadalp A ^ Burial ^ Rxnweinomsale Cl.rouon ~13amnu malnd 2008 Sept 26 ollinger Crematory Mt. Holly Springs ~ ~Ya^~ ^ M7tlrer ~ wear.. . , 22x. Sipnalae d Sesz'rs JpJpr et such) - (/ J [ 22n. Lipnas Number 11248 L 22c. Name and Address d FadlOy Musselman FH&CS Inc. 324 Hummel Ave.Lemoyne,PA ~ /. - ~ CmpMe Norm 23et onry wfmn ceNlyng alda„ b nd aveMede d ~ro d aam m Pn 23x. To em d nD' knowkdpe, deem q am tlp, dew e~~d, ~~gabd. (Sgnawra and title) ~ " 23b. License Number l ~ 23c. Date Sgned (Mmm, day, year) y - ~ ,~~-,... '~ I ~ R a~ 5 5 5 5 ~al~rn be( Z3 , 2CC;.~, prnly pane d aem. , ttams 2428 mW Os prtgbted try person Daam 24. Tma of- 25. Data Prornurked OsW (MOdn, deY, year) ~- p 26. Wes Caen Refer~naa(d~~M McMpl Ezvniner / Comnar for a Beeson Oltwr tn°n Cramelbn or Oonatbn? who praaunca seem. f ~, ~ ZQ Pr M. 1 S .M ~~~ 2 ~ ( L~ t~~0 ^ Yes ~~+^' CAUSE OF DEATH (Sea Mafrueltona and axampNa) r Approximate idarvq: Pan II: Eller dher 28. Db idxsaro Use CmHhule m Deem? Nam 27. Part I: Edd tM tllen d awns - dwaes. krhxiea, a pmpacalione - met drecmy roused me deem. DO NOT solar temwnei ewnU such as cardiac anesL r r)rmd M Deem bd not resdfing kt tlm undedyktg puss given in Pen I. ^ Yes ^ Probedy resWraNry ameet, a venlncdar IihrNlalian witlrout staxkp 8m eNOlogy. Uq ody aro ppe m acfi Nna. r ^ No Unknown NWEDIATE CAUSE Feel Nave a ~ \ ~ i ( ` pndnbn rrlerMling n deem) _~. a. C'1 C C~x.~ a~7~0 C ~S ~ 29. If Frxnele: ~jQ p ua b r (a as a mmequen oq: Nd IxdJmM wdfen Peal year ~• \ l V \ Sepmn~Ny MI condtions, tl a^y b. 1 ' ~C SS 'y-~ ~ .Q (i ~~~Q _U C 3~'1 ~J~11~7 ~ ~Cl 1~ /LJ Pragnad q m,e d deem Ieadrq b tlm ppe Mateo m Noe e. Due to (a a a d): ' EnM 8m UNDERLYEID CAUSE ; (draw °' and ~'atlned t1'e c. '~ ' ~ C 4 \ T r ^ Nd pegmnL bd aegneM wahin 42 days d deem suede reeuM n dedh Ul9 uarce oq: i Due la (or ore e Not Pre9ront. bn pregnant 43 pys to 1 year q ~ ` ~ Q ' ~ babre deem .l ~ ~ J r d. ^ Unknown N pregnant wNNn me peg year 30e. Wa en Aulopy 306. Were Aubpey Fmdirga 31. Manner d Dam 32n. d Irqury (MOmh, oay, yev) 32b. 13ascribe Nov Injuy Ocarrted 32c. Plep d Injury: Hans, Farm. Sheet Factory. PMOrrtmtl? Avallade Prbr m Con9klbn a c.w a Deem? ~l Netaq ^ Haricide Olfice Buildng, dc. (Spedryl ^ Yac 110 ^ Yec ^ No ^ Aaaaem ^ PendrS mvasgatlm 92d. Time d mMY 32e. Injuy el Waal 321. II Tranapdteti0n kyiuy (SpecyyJ 32g. Lacatlon d Inury (Strad, dry / kxm, dale) ^ Suidde ^ Codd Nd Da Determkmd ^ Yes ^ No ^ Otivar / Opretor ^ Pesawger ^Patlealan H Omar ~ Speay: 33e. CenlLmr (dmdc ally ap) 33b arA d ' CerSykrg physician (PM/eicien pNryeg pose d deem wtmn aroUmr phyeiden has prawurx:ed dam and mmplaled gam 231 , ~ ~~ To dm but d my krawAedge, dam occurred duo to tlm cause(s) and menror a elaNd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ __ _ ' pronouneYrg end cerlNyMrg phyalNWi (Physician bom pronaundng death and ceMfying to cause d tleam) ^ M d l tl 33c. License Number 330. Dale I • oaY. yeerl manror a sla _ „ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ uuee(p en s To 1M bat d my knowNdpe, deem ocarrcd d the time, dale, all plop, and due to f • k l l E i 1 C _. ~ ~ - (') •- -- a zam ner ame Nd pleq, and due fo the dose(s) end manror a eletaL ^ On tlm bale oM exammetlon all / or InvMtlgation, In my opldm, loth acurred d tM lets, rkM, end ~, ~~ ~,sd[ a S of Por°m Wta Gaup d Deem (Item 2T1 Typ (PaN ,~ ~ l Regislr Sigrotae and Nggiar/ I 'r71 ~' ,y I / I ~ I C~ `mil ! 38 lied ( . day, Yaer) ~- ~ [r~ Y _ T ~ ~ ~~'t \'~ ~SZ ~ o / a - ~ , ~ U Disposition Permit No. V ~ ~ 1 ~ ~ O r' ~~ LAST WILL AND TESTAMENT N C'1 Q ~a ~ OF ~ ~ `~' `~ 1 T n -^~ y':i"' MAVIS A. ROSSKOPF _ ~ ~'-~~--~ cJt ': G'} T; `>..~`~i I, MAVIS A. ROSSKOPF, of Camp Hill, Cumberland C~~ty,c~ Pennsylvania, make, publish and declare this as and for my'"Last ~ cr Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, to my son, STEVEN H. ROSSKOPF. SECOND: Should my son, STEVEN H. ROSSKOPF, predecease me, I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of attorney and together with ' any insurance policies thereon, to CHRIST PRESBYTERIAN CHURCH, of ~ 421 Deerfield Road, Camp Hill, Pennsylvania 17011, to be used for general purposes, as the governing body of said church deems appropriate. THIRD: In addition to all powers granted to them by r law and by other provisions of this Will, I give the fiduciaries acting hereunder the following powers, applicable to all proper- ty, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, 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 (including credit, with or without security) or conditions as are deemed proper. This includes the power to give fI c' ~ ~~~ } t . .-._i ,:._ r ~ legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivi- sion, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. (G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate cr trust auxrtinistration expenses, to protect or improve any property held under my will, and for investment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. 2 I FOURTH: I direct that all inheritance, estate, trans- fer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the principal of my residuary estate. FIFTH: I nominate and appoint my son, STEVEN H. ROSSKOPF, Executor of this, my Last Will and Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the said STEVEN H. ROSSKOPF, I nominate and appoint my friend, JOYCE A. BROWN, of 27 Central Boulevard, Camp Hill, Pennsylvania 17011, Executrix of this, my Last Will and Testament. I direct that my Executor or Executrix, as the case may be, and their successors, shall not be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this ~ 3 ~ay of 2007. I S AL) VIS A. ROSSKOPF 3 . J t Signed, sealed, published and declared by the above- named Testatrix as and for her Last Will and Testament in our presence, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Address Address 4 OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA c~ ~o m r ~ © ~:r:.~ i <..~ .3 (,7 ~ i.i . ~ mot- ~ ~ V ! 1 - . . A - ~_., _~ c. ~ --1 O ~ ' ~~ U7 G.l1 ' Estate of Mavis A. Rosskopf , Deceased James D. Bogar and Beth B. Lengel , (each) a subscribing witness to (Print Name/s) the ®Will ~ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /they signed the same and that she / he /they signed as a witness at the request of the Testator /Testatrix in her /his presence and in the presence of each other. L (Si ure) (Signature) 1 West Main Stree 1 West Main Street (Street Address) Shiremanstown, PA 17011 (City, Srate, ZiP) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills (StreetAddress) Shiremanstown, PA 17011 (City, Srate, Zip) 2• s= ~ c Z V~c °j ~ a Executed out of Register's Office h ?~" W r , ;,. ' ", d 4r 'v Sworn to or affirmed and subscribed ; ~ 2 -_> r ~ ~~: ~¢ax,.: day before me this ~ ~m m ~. g ~~ ~f f V G~-d~l''r" ~ . o ~~ Notary lic My Comm Sion Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please'have present the original or copy of instrument(s) at time of notarization. Form RW-03 rev. 10.13.06