HomeMy WebLinkAbout11-05-08PETITIOti FOR PROBATE ADD GRANT OF LETTER
REGISTEZ OF WILLS OF ~~~ ,~ ~ COUNTY, PEN~tiSYLtiANIA
~~ - t I~,~ 1 Ftie 2~iumbe, Ol ~ ~~~ ~ ~'~"
Estate of
also kno~,vtt as ~`
,Deceased Social Security Number ~ - ~ ~ - ~~~~
Pe'.itione; (s), who is(are 18 years of age or older, apply(ies) for:
(CO;LIPLETE'A'or B`BELOW:)
~~ A. Probafe and Grant of Letter sta a and aver that Petitioner(s) is /are the ~1c~ U~~ `~ ~ named in the
(( ~ ~~ and codicil(s) dated
last Wiii of the Decedent dated ~b
(State relevnru circumstances, e.g., renausciafion, death of executor, ete.l
Except as follows, Decedent did not marry, was not divorced, and did aot have a child born or adopted after execution of the insti ~tment(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated persan:
^ B. Grant of Letters of Administration
(Ijapplicable, enter: c.t.n.; d.5.n.c.t.a.; pendente lire; durante cbsentin;
Petitioner(s) after a proper search has f have ascertained that Decedent left no Will and was survived by the following
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 Relationship Resi~t5 "' _
~ ~a
~ .
(CG4t'LPLETE LV ALL CASES:) Attach additional sheets if
,,De~cedanr;was domiciled at death in ~~~
i
ennsylv~u,~ ~vit~~,his /her last principal residence at__~1.~
-~.- - -
(Liststreet address. sown/city, township, coiut9~, state, zip code] (1,('~
Decedent, then _ ~~_ years of age, died on~~ ~d~ ~ I ~+`t~ at ~~ ~ ~1~ ~ ~~ ~ ~~ l~~ ~ ~~~ ~ ~~
Decedent at death owned property with estimated vahtes 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 of real estate in Pennsylvania~(~ (~
situated as follows: ~~~~ ~G~ll~~, ~ ~ ~V~ ~ `~~~+~ ~ ~ ~~ r ~~' ~~ ~~
Forur R%V-01 rein. 10.13.06 pa°oe 1 Of 2
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Wherefore, Petitioner(s) respectfully request(s) the pivbate of the fast Wil! and Codicil(s) presented with this Petition and the grant of Letters in the ppropriate form to
die uridersi,gned:
Oath of Personal Representative
COIvfMON~VEALTH OF PENNSYLVANIA
~1 SS
COUNTY OF l.~i,~-y~~~/~c~
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and con~ect 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 tndy
adrniniste; the estate according to law.
Sworn to or affir:~;;,d a1:d subscribed
uefore me the ~da~/y of
~~ t!
For the Register
Representative
ojPzrsonnl Representative
Signnteu'e ojPersona! Representative
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File Number: ~~ ~ L C> ~ ~~~ ~ ~
Estate of ~~~ ZG~ ~ 2~~ 1 ~ ~ ~ ~C~l_YS~~'~h ,, 1 ,Deceased
Social Security Number: / U c~ ~ a C~3db Date of Death: /v~~l>Cf'rl,~ _ / ~ ~Gt~
AND NOW, / yJ~~~i'Yl ~~.r (t~ c~~ , in consideration oft e foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters ~~~ G ` "
are hereby granted to l~)~rrei~y ~- Lf~'ldei//YIGt_/t~2
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate
FEES
Le,xers ... 1. U.D.Q. ~??D... $ ~1 D
Short Certificate(s) .. w.... $ `~U
Renunciation(s) .......... $
_~JC ~' ... $ JU
-~~ ... $ S
... $
... $
... $
... $
... $
... $
TOTAL .............. $ ~~
filed of record as the last Will (a d Codicil(s)) f Decedent.
~ ,• r
Register ojWillr
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Te]ephone:
Form RW-0-' rev. 10.13.0( page 2, Of 2
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~O+CAL ~EtalaT~A~'~ CERT~FI~ATIO'~ OF ®E:ATl~
WARNING; It is illegal to duplicate thss co~1y by p4~otostat or photograph:
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TYPE. PWNT IN
PEH1.fANENt
BlAC iNx
1 Nema oI Decedent (Fast. matlle IasL sudixl
Elizabeth
(Lass
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIF{CATE OF DEATH
(See instructions and examples on reverse) ~ ~ C~D
STATE FILE Nl1MBER
2 Sex 3 Sonar Security Number a Dale of Death (MOnV~, day. Yearj
J. Lindermann Female 102 - 12 - 8300 11/3/08
Untlel t day 6 Dale of &nh (Month, eay. year] 1. Binnplace (City and slate or lorelgn country) fie Place of Death (Coed Dory one)
rvuun Mrwea HospilaY. Other.
87 yr~ 9/8/19 21 OhnSOn Clt NY ~Inpahen l [~ER/Outpalrnt ^DOA ^Nulsmy HUmu ^R~~bence ^Otnei-Spe.ny
bb Caumy of DeaN & Gty euro Twp V, Dae,h Bd Facil'ny Name Id not instiwlion, give shed antl number( 9. Was Decetlenl of Hrpanic O~Igin? [~ No ^Yes 10 Rare Amancan tnaan Biad. YIona el
Ul yes. specify Cuoan, (Spanr»
Cumberland East Pennsboro Hol S irit Hos ital Mex.can.Paa"pRjea°,°"( White
Il Decenem's lls_,J Occu ana'. IK~I.d cf work done dulln moll of wnMin ale Do not state relrtud 12. Was Decedpnl ever In Ilse 13 Decedents Etluealwn (SpecJY only hlyhesl grade completed) 14. Manlal Slclus Manned Never Marn~Q IS Survwing Spouse (If woe yrve maden rwmel
Kea cl Wvh Kmd o1 Baaness/ Irauslry U S. Armed F
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s? Elementary /Secondary (0-12) College (I-J or 5+( Waowed, Drvurcetl iSyecAy)
Teacher Music p
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^ree p~NO 12 Widowed
16 Cecadent 5 Mailing Atltlleas ISIr6e1 city! lawn slate, np cadet Decedents Dld Decedent
Oeceaenl Llvetl in Hamndl..n Twp
Pennsvlvanla
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130 Conodoguinet Ave. ,
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vb coanty Cumberland
"°aanlm.ISd c'".sun`
Cam Hill PA 17011
16 tamer's Nema (f ¢st mWAte last. suflU} 19 Mother's Name (Fnsl, madk, maiden surname)
Edwin J. Hartmann Florence Ma Finch
20a Informant s Name (Typo 1 Pnnl( 20b Informant's Malting Address (Street, city /town, 51x14, ip code)
Warren R. Lindennarut II 20 South Main ST. Dover, PA 17315
21a Melh d '1 D p loon ! ^ Cremal on ^ Dona, on 21 b. Data of Dsposllion (Month, day. year) 21c. Plat I Dsposnlon (Name of ceme crematory or other place)
d Va~~e
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Cumbe 21d LOCaI'on (Coy r lawn, stale, np code)
^ B I ^ Ra ~ oval t om 5 eta ~ Was CremaCmn or Donation Autlrorlxed
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PA 17013
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z+r, ni ~~~o r. zu Name andAdN4ssaFxNity Nei11 Funeral Home[ Inc
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comweta nem,~+at Dory woe wnlMnq zoa m m besq d my ynowleoge seam oecanee al me ume, aata era v>ace sl~aa lsignawre and Inlet Number
2sb. Licens
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3 24 Ime of De 25 Dale PI ed Dead (Monet, dey. year) 26 Was Gale Referred to Medical Examnrer /Coroner for a Reason Other roan L'remalanl or Dunalwn7
6 must oe colnpleled 0y per ,n
Items 2i
woo pronounces deem ~ ~ ~ U A tar ~ O ~ ~ M bQ ~O ^Yes Vivo
vnra al ~nmWn`.auons ~ pal ar4nly 4aasea ma deem w NoT amen Nrmmal ev4m5 sacs as oam~aa armal, onaet In Deatn
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respiialory ante 1, or venlncular a0dllallon without showing the aadogy. Ust only one reuse m oath Nne ^ No ~.U~hrulwn
WMEDIATE CAUSE IIfinal Jneese ul -
rondlron resulling u1 daalhl
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EINeI Rs UNDERI.V g1G CAUSE
(mseese or Inlary mat mmdeu Ina
^ Not pregnaa. but pieyn;fnl wnliui i2 Jays
d deem
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vents resun~ng ul de„ml LAST.
^ Not playnam, Gut vmyrv3nl a3 nays tc I year
Due to for as a consequence oq. palate deem
^ Unkrrown it preynanl wnhm me pest year
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30x. Was an Aulq~sy 300 Were Autopsy Fmtlinys 31 M' net of Death 32a. Date of Iryury IMonln, day, year) 32b. Describe Fbw Injury Occurred 32c. Place of Iryury Home Farm Street. factory,
Onke Buibag. etc. (Spx'ily)
Pedunned? Availaple Prior to Cumplellon Natural ^ Humintle
~ of cause d cemn?
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^ Acudonl ^ Pendlny Investiyaaon
32tl. lime of Injury
32e. Inlury at Ww1c7
321. It Tmnsponaaon Inury (SpeatyJ
32g Locaaen o
f Inlury ($Ireel. coy ~ town. state)
^ Yes ~/ L~ Yes 1.•/ "o
^ Swatle ^ Could Nol be Delerrnuletl ^ V46 ^ No ^ Dover f Operator ^ Passenger ^Pedeslnan
M ]Omer - 3pec0y
37x. Gendler (cn4:x only orwl 7 Slgneture and in I it
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is me bast of yk ledge ae IN dtl Im ll d nea lar
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33c L¢anse Nunbe
33n Dale Slgnud fMunln auy yeah
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• Pronow,cing and d'ty' g phy4 (Pty n p Ih p - ' 'r y d tn' a n fy ,g t
Ta me best of my knowlaage, aealb a,currea al the bete a le, and place and Due to IM teasels) and manner as staled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~~ 1~
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0 1h 1 sra or ¢ ' - lion and 1 or'nyeslryalion in my opinion deem occurred al Ine time, dale, end place ana due to Iha causes) d oar a> aWletl_ (] dress of Person Who Cam led Cause of U- I I plem [7) type I Pnnl
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LAST WILL AND TESTAMENT
~;
of
a
~~
~- ~, _ ~.~
~~;~
ELIZABETH J . `''
L INDERMANN ~-,~° _
~ - _,
'`=~~
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I, Elizabeth J. Lindermann, of Cumberland County, Pennsylvania, being of sound and
disposing mind, memory and understanding, do make, publish and declare the following as and for
my Last Will and Testament, hereby revoking and making void any and all Wills and Testaments or
writings in the nature thereof by me at any time heretofore made.
ITEM I. I direct that all my just debts and funeral expenses shall be paid from my residuary
estate, as soon as practicable after my decease as an expense of the administration of my estate.
ITEM II. I give and bequeath all the rest, residue and remainder of my estate, real, personal
or mixed, and wherever situated, which I may own or have the right to dispose of at the time of my
death, to my three children, Warren R. Lindermann, II, Suzanne B. Lindermann, and Gail M. Daley,
in equal shares, per stirpes.
ITEM III. I direct that all state and federal estate, succession, legacy, inheritance or other
transfer taxes, however designated, that shall become payable by reason of my death with respect to
any property which is included in my estate for purposes of computing any such taxes, shall be paid
from my residuary estate as an expense of administration and without apportionment. My
1?xecutors shall have no duty or obligation to obtain reimbursement for any such tax paid by them
e;ven though on proceeds of insurance or other property not passing under this Will.
ITEM IV. I appoint my son, Warren R. Lindermann, II, Executor of this my Last Will and
"Cestament. In the event that he cannot or does not desire to act as such Executor, then I appoint my
daughter, Suzanne B. Lindermann, to serve in his place and stead. I direct that my
executor/executrix(s) enlist the services of the law firm of Blakey, Yost, Bupp & Rausch, LLP to
serve as counsel for my estate. All shall serve without bond.
IN WITNESS WHEREOF, I have hereunto set my signature to this my Will this ~ t~ day
of ~ ~ 200.
^..~ ~'~~
El' eth J. Lindermann
Signed, sealed, published and declared by the above-named Testatrix, Elizabeth J.
Lindermann, as and for her Last Will and Testament, in the presence of us, who, at her request, in
lher presence and in the presence of each other, all being present at thje same tim¢, have hereunto
subscribed our names aswitnesses. - j
i I
2
Commonwealth of Pennsylvania
County of York
ss.
I, Elizabeth J. Lindermann, the Testatrix whose name is signed to the attached or foregoing
Last Will and Testament, having been duly qualified according to law, do hereby acknowledge that
I signed and executed 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.
Elizabet~Y .Lin ermann
Sworn and subscribed to '
before me this ~ (,~ day
/~ of .~uX; 200.
Notary Public
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Jaimee L, Wallerius, Notary Public
City Of York, York County
My Commission Expires Jan. 27, 2010
Member, Pennsylvania Association of Notaries
Commonwealth of Pennsylvania
County of York
ss.
We the undersigned witnesses whose names are signed to the attached or foregoing Last
Will and Testament, being duly qualified according to law, do depose and say that we were present
and saw the Testatrix sign and execute her Last Will and Testament, that the said Testatrix signed
willingly and that she executed it as her free and voluntary act for the purposes therein expressed;
that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the
best of our knowledge the Testatrix was at that time eighteen or more years or age, of sound mind
and under no constraint or undue influence. ~\ ~ ~~ ,
,.. ~ f ~ ~~
Sworn and subscribed to
before me this L(~~''day
of ~~ 200'?.
'1 7
~' No ary Public
r'
C~M~Vi'~i~V\~~Ai_ T ; i O= ?E,yNSYLVANIA
Notarial Seat
Jaimee I_. 4^Jallerius, Notary Public
City Of York, York County
My Commission Expires Jan. 27, 2010
Member, Pen«~4,. ~„ ~~ ~~- ~~iation of Notaries