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11-06-08
PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of WINIFRED M. TANNF,R also known as COUNTY, PENNSYLVANIA File Number ~' - 00 r V-t ly Deceased Social Security Number Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.•) ^/ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the EXECUTOR_ last Will of the Decedent dated 12-OS-1995 and codicil(s) dated named in the (State relevam 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 for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ^ B. Grant of Letters of Administration ffere~ j t -; C ~„ O'~ (/f applicable, enter: c. t. a.; d. b. n. c. t. a.; pendente lire; durante absentia; dura 7~~oritate) Z ~ ;_ ...r"~ - ~ N ~`= Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following sp~se (if any) ar'~heirs: r(/f 5.~-~_, Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) ~ _ (CO~YIPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at CLAREMONT NURSING HOME, CARLISLE, PA 17013 (List street address, town/ciry, township, county, state, =ip code) Decedent, then 81 years of age, died on OCTOBER 3Q 2008 at CLAREMONT NLfRSING HOME, CARLISLE, PA Decedent at death owned property with estimated values as follows (If domiciled in PA) All personal property $ 30,000.00 (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 fo Form RW-02 rev. 10.13.06 P1ge I Of 2. Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant o the appropriate form to the undersigned: 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 administer the estate according to law. Swom to or affirmed and subscribed before me the ~~i day of ~~ / / ~J F the Register Signature of Personal Representative Signature of Personal Representative File Number: ~~~~ - ~~"' ~~1~ Estate of WINIFRED M. TANNER ~ner(s) will well and truly 7~ +.s m ~ f~ d 'C '~~,i ' ~ e C ~ ~~ 01 F~ '! ~© ~ ' ' ..a ~~ ^, r.-.~} _ . 1 ) 0~ ~ _ i-, ;..'r Deceased Social Security Number: 11~-6~2~-22-6852 Date of Death: 10-30-2008 AND NOW, ~~~ ~U~ ~~l;l~/ , ~~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to JAMES N. TANNER, JR. in the above estate and that the instrument(s) dated 12-OS-1995 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(~~)) of Letters FEES $ ~~ Short Certificate(s) ........ $~~_ Renunciation(s) .. ~•~ C ~ ........ $ ... $ L ~ ~~ - ... $ ~U. ~ ~,, $ , ~• ... $ ... $ ... $ ... $ ... $ ... $ TOTAL ....... ....... $ ` ~-69-- representative(s) of the ~ ~ ~~ of Personal Representative Registerojl~Vills ~~'~ ~ ~'~~~/)' Attorney Signature: ~~ ~~ ~ g' Attorney Name: WILLIAM A. DUNCAN Supreme Court I.D. No.: 22080 Address: 1 IRVINE F:OW CARLISLE, PA 17013 Telephone: 717-249-7780 Form RW-02 rev. 10.13.06 Page 2 of 2 ~ ..~, _ ~~'"' "t ' s '%C ~~1 Cv LOCAL REGISTRAR'S CERTIFICATION IJF DEAT~i WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ 1-~ee for this cejrtificate. $6.OU P 149J~540 Certification Number This is to rertif~ that Ih~ inflrmation Here ~i~~en is correctly copied ti~om an .yri ~in<a Ccr[ili: ale of Death duly filed with me as Luctsl '~:e~is~r~.r. "Che original certificate ~~~ill he for~~r'ardccl to ;he State Vital Rerflyds Office for ~~ICnnanent filing. --., - ~~~~~-~ ~~°~ NO'~ 2008 Local Registrar E~a'~e ]slued m ~ iii cta~ ~~~ ~~ H105-1d3 REY 11/200fi TYPE /PRINT IN PERMANENT BLACK INN 0 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH ~$2C If1SSYUCtIOY1S 8flf) 8%emple3 OA YBVE,S@) STATE FILE NLIMRER rs coo Z O t t 2 N ~" i .._ c ~ a rri ~. / C~ ,~<, d .1.., r-: c.~ C, -. 1. Name of Decodent (Full, midtlle, last wflix) 2. Sex 3. Social Seta riry Number 4. Dale of Death (Month, day, year) Winifred M. Tanner F 162 - 22 -- 6852 October 30, 2008 5. Age (Last &rmday) UM« 1 year UM« 1 day 6. Dale d BiMI (MOnm, day, year) 7. &rmpl9ce (City ant slate «lo reign inanity) Se. PMce d Death (Check only ore) skame Dm Hwn Nkwbe Hospital: Olhec 81 Yrs. 4/ 12/ 1927 Mechanicsburg, PA ^ Inpatient ^ ER /Outpatient ^ DOA Nursing Home ^ Resirerca ^Omer ~ Speclry: Bb. County of Deam Bc. City, Bare, Twp. of Death Bd. Fadiry Name (II rtd ktstiMion, give street retl number) 9. Was Decedent of Hisaarlb Origin? ~NC ^Ves 10. Race: Ameacan IMian, Black, While, ek. Ot ~. apedly caban, IspedM C(unberland Middlesex Claranont Nursin & Rehabilitation n,PUerloRkrel,elc.t White 11. Decedent's Usual Oau lion KiW of work d one dunn moll d wakin IBe. De not stale rdl 12. Was Decetlenl ever in the 13. Decedent's Etlumtisn (Speciy only highest grade comp leted) 14. MarRal Status: Mame4 Never Married, 15. Surviving Spo use (tf wile, give maitlen name) Kind d WorN Kkd d Business /Industry U.S. Ansretl Forms? Elementary /Secondary (012) College (1 ~ or 5.) WidoweQ D^'oro~ lspeaM H H r own hone ^vea ~Np Wida~ed 16. Decedent's Maifrg Address (greet dry I sown, state, zip cotle) Dacedenra pia peceaem ~y Middlesex Actual Reaidenm 17a State P`~ Live in a 17 ~ - D N i d 1000 C1araTfont Rd. Carlisle, PA 17013 . c. ~ res, ece ent L etl n Twp. Township? 17d. [] No, Decedent Lived rMhgl 1n. count' Cumberland Adaal umflad ciry/13oro 18. Fatrer'S Name (FIBI, midde, 1881, sumx) 19. Mother's Name (First, midde, maiden aumame) Charles E. Sadler Ma E. Baum 20a. Inlormanl's Name (Type /Print) 20h. Inkrmanrs Meiling Address (Street, city /town, slate, zip aide) James N. Tanner Jr. 15 Your Drive Carlis:~e PA 17015 2/a. Method d Disposition ^ Cremetbn ^ Dorefion 21 h. Dale of Disposition (MOnm, day, year) 21 c. Place of Disposllicn (Name of cenldery, crelmt or Wier «Y ~) 21 d. Wmlion (Cfly /town, slate, zip mde) ® Burial ^ Removal tram Slate !Wee Cremetbn err Dorsetlan Autladud ^ Diner seedy: ; byMedkalEaeminer/CoronerT ^Yea^Nn 11 4 2008 Cumberland Valle Mgn. Grds. Carlisle, PA 22a. Sigmlure d F I Licensee (« such) 22h. License N«nrer 22c. Name ant Address d Fecifry - ~ FD 012633 L Ekain Brothers Funeral Herne, Inc;., Carlisle, PA 17013 Complete Items 23ec ody when mnthd^g 23e. To the bell of my knowledge, oared at the Ilene, date and place stated (Sigral«e eM title) 23b. License Num xr 23c. Date Signed (Month, day, year) a attirreddaamla ~ ~ I J ~- (~ N a40 ~C '~~ ~oC~ 8' C ~ ~ ~an 2 r -- k~cn .~c~, ~c Ilartis 2428 muN re c«npletetl by person 24. Time d Dea!t'h~ ne (Mmlh, day, year) 25. Dale Praremmd D{a p 26. Was Casa Rerertatl to Medical Examiner I Coroner for a Reason Omer man CremaBon or Donation? who pr«twiKes seam. t'71Q 4~ ~M. ~ ~ \ ~ '{-d U.a_y~ ~ G7Yi CrO ^Vaa ^No CAUSE OF DEATH (See Instrucelona and examples) 1 Approximate interval: Pen II' Enter dher sjg0~{anlcenditi«w cenbibuHw to deem, 28. Did Tahacco Use Contdbute to Deam? Item 27. Pen I: Enter ttw dlebt d evens -diseases, iryunes, «cenpfmtbns -mat dreary reused ma seam. W NOT enter lemtind evens such as mNiac arrest Onset m Deem but not reaulfng b ma uMerying cause gWen In Pan L ^Ves ^ Probably respkamry ertesl, or ventricular fibrillation wahoW showing me eliabgy. Let anry one muse on each fine. ^ No ^ Unkn MMEDUTE CAUSE (F l d own ina seese a cprtd11i0n resultirq in Beam) ~ r •~ 29 II Female: -~ a. . Due to (« as a mwequence on: ~ ^ Nol pregnant within past year SequanUeMy fat conditlorts, B arty, b. ,..~ ~ ~On ~. r leedrlo W me terse I&ed an lirre a ^ Pregnant at time d tlmth pus ro (w as a Enter Ere UNDElILYMG CAUSE consequence oft: ^ Nd pregnant, bd pregnant within 42 days la a «mµxy mm iMrieted me ~ events resunn9 m Beam) LAST. d dmm Due to tar es a con sequeruxs op: ^ Nd pregnant. but pregrent d3 days l0 1 year d bd«e deem . ^ unknown 0 pregronl wflnin me past year 30a Was an Aulopry 30b. were Autopsy Rndngs 31. Memer of Deam 328. Date of Injury (Month, day, ymrf 32h. Describe Fmw Inryry Occurted 32c. Plain d Injury: Home, Farm, Street Factory, Perl«med? available Poor to Completion y YJ detwal ^ Homidde Omm Builtling, dc. (Speciy) d Cause d Deem? ^ Ves ~'~ ^Ves ^ No ^ AaMent ^ Pendirg Invesligetion 32d. Tine d Injury 32e. IrNUry at Work? 321. II Transpoaason Injury (Spedty) 32g. l.ocalbn of Injury (Street, dty I town, stale) ^ BINCitle ^ Coultl Not re Determined ^Ves ^ No ^ Dnv« I Operator ^ Passenger ^Pedestdnn M Omer - Specv'y: 339. CertlOar (check ony are) 33b. Signature erM Tale d Caroler • Cedlrying phyalclsn (Physidan cenirying muse d deem when aremer physiden Has proreurtced deem antl mmpldetl Item 23) ~ To die beat of mykmwledge, Deem otturted due MtM muse(s)antl mannerGetetad_________________________________ - ' ./!!Y/v• /// • Pronouncing eM artllying physklen (Physidan bah pranoundng death antl cealrying to muse of deem) To the baald m krwwlstl e tlxm oeeurred dth tl d l W l nt d th nt ^ 33c. Lben se Number 33tl. Date Sign ed ( onm, day, arj y g , e me, e ., er p ain,a ue to e puae(ata memwr es staled------------------ • Aledicel Exsminsr / Coronsr /~ ~ J /`'~ dn~ G"' ~ /V ~ 1 {J on me beet. of ex.mtwenen .ea / or lmeangello^, In my ognion, eadn o«erred s1 use nine, ease, ens pieta, end sae to Ilse muse(s) aria manrer ee atelea.. ^ 34. Name ant Address d Person WM Com9Nled Caus ol Deam Item 27) Type / Pdnl e ~t vY 35. Regishals re D u bar ` Oele Ftletl (Month tle mr) ~ ~ / ,~ ~ e J ~ ~ fl~G C 1 rUe~ v~v oK ) S D/'N1 - ~. ~ ~ I I I i^Z I ~ I C~ I , y, y I Disposdion Pennil NO. 11-~`7~iI. ).2J ~~ en ~~~,~~ i11 ttn.d ~~e,~f~m~en~ ~~ ~~ ~ ~ ~ ~ I, WINIFRED M. TANNER, of 1404 Viewmore Dr:Lve, C sle,~ Cumberland County, Pennsylvania, being of sound and d'` singN mind, memory and understanding, do hereby make, publi and ~ declare this as and for my Last Will and TestamE:nt, hereby -' revoking any and all other wills and codicils heretofore made by me. FIRST. I direct that all my just debts anti funeral expenses be paid from my estate as soon after m~~ death as practically and conveniently may be done. SECOND. I direct that my remains be interred within my family's burial plot at Cumberland Valley Memorial Gardens. THIRD. I authorize my personal representative to expend funds from my estate, in such amounts as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable: marker for my grave. FOURTH. I give, devise and bequeath any and all tangible personal property owned by me at the time of my death unto my husband, JAMES N. TANNER, provided he survives me by thirty (30) days. In the event he fails to survive me by tYiirty (30) days, I give, devise and bequeath all said tangible personal property unto my children, JAMES N. TANNER, JR., BARBARA ANN SIMMONS and STEVEN A. TANNER, in equal shares per stirpes. FIFTH. I give, devise and bequeath any anti all real estate owned by me at the time of my death, unto my husband, JAMES N. TANNER, provided he survives me by thirty days. In the event he fails to survive me by thirty (30) days, I give, devise and bequeath all said real estate unto my children, JAMES N. TANNER, JR., BARBARA ANN SIMMONS and STEVEN A. TANNER, i.n equal shares per stirpes. SIXTH. I give, devise and bequeath all the. rest, residue and remainder of my estate unto my husband, JAMES N. TANNER, provided he survives me by thirty (30) days. In. the event he fails to survive me by thirty (30) days, I give, devise and bequeath all the rest, residue and remainder of my estate unto my children, JAMES N. TANNER, JR., BARBARA ANN SIMMONS and STEVEN A. TANNER, in equal shares per stirpes subject to the provisions of paragraph Ninth. SEVENTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my estate passing under my will or otherwise, shall be paid out of the principal of my residuary estate. ,: ; f-~.- - ) _X":> ~;J c:~ C..", _"i ~) ___ F- r, F_.- 3 `~ ~ ...JT _~ - . ... EIGHTH. I hereby nominate, constitute and appoint my husband, JAMES N. TANNER as Executor of this my Last Will and Testament. In the event of renunciation, death, resignation or inability to act for any reason whatsoever of J:~NlES N. TANNER, I nominate, constitute and appoint my son, JAMES ]V. TANNER, JR., as Executor of this my Last Will and Testament. I hereby relieve my Executor from the necessity of posti~zg security in connection with his duties, as such, in any jurisdiction in which he may be called upon to act insofar as I am able by law to do so. In addition to the powers conferred ley law, I authorize my Executor, in his absolute discretion, to retain in the form received, and to sell either at public or private sale any real or personal property owned by me at thES time of my death. NINTH. Any portion of my Estate which passes to my son Steven Tanner shall be paid over to James N. Taizner, as Trustee for Steven Tanner. As Trustee, James N. Tanner is authorized to expend amounts of principal and/or interest in ~~mounts he in his sole discretion deems appropriate for the maintE~nance of Steven Tanner. Steven shall have no right to pledge this Trust fund in any manner or to any party whatsoever. If any of the other beneficiaries of this, my Last will and Testament, shall be under the age of 23 years at the time of my death, then any portion of my estate in which they share shall k>e held in trust for then with James N. Tanner as Trustee. The trusteeship shall end when the child attains the age of twenty-thz-ee (23) years. As Trustee, James N. Tanner, Jr. shall provide f:or the care and maintenance and education of said children and ;>hall from time to time use either principal or income from the inheritance in Trust to provide for these needs. In the event that James N. Tanner is unavailable to serve as Trustee for tree above beneficiaries or resigns same or becomes unable to perform such duties, the Orrstown Bank shall succeed him. TENTH. I have made, or may from time to time make, a written memorandum expressing my desire to give certain items of personal property to specific persons. I urge my Executor and beneficiaries to respect these wishes. Such a memorandum, if made, shall be stored in conjunction with this hill. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last j,^~ill and Testament, consisting of two typewritten pages this ~-~(day of December, 1995. ~~ WI IFRED M. TANNER Signed, sealed, published and declared by 1~he above named Testatrix WINIFRED M. TANNER as and for her Las1~ Will and Testament, in the presence of us, who, at her rEsquest, in her sight and presence and in the sight and presencE~ of each other, have hereunto subscribed our names as witnesses. AL ~iZc ~~ ~ ~ G r ~ COMMONWEALTH OF PENNSYLVANIA: ss. COUNTY OF CUMBERLAND I, WINIFRED M. TANNER, 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; that I signed it willingly; and that I signed it as my free and troluntary act for the purposes therein expressed. ,_-~---, WI IFRED M. TANNER Sworn or affirmed to and acknowledged before me, by WINIFRED M. TANNER this ski day of December, 1995. a,: F s ~ ;. Notary Public (SEAL) ~~ COMMONWEALTH OF PENNSYLVANIA: ss. COUNTY OF CUMB~BERLAND We, iz~LUc, ~-~~~ and JAMES N. TANNER the witnesses whose nam~s are signed to the attached or fore oin instrument g g , being duly qualified according to law, do deposes and say that we were present and saw WINIFRED M. TANNER sign an<i execute the instrument as her Last Will; that WINIFRED M. T~~NNER signed willingly and that WINIFRED M. TANNER executed ~~s 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 (18) or more years of age, of sound mind and under no constraint or and e influence, Sworn or affirmed to and s~scr ' ed be,~Ore me by ~~ ,(' /~~~ y' ua-~ L ~-'~. and JAMES N. TANNER, witnesses, this stG, day of December, 1995 . `" ~ .. :.,~ Notary Public (SEAL) ~ n ,,< P~ o X, .,