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HomeMy WebLinkAbout11-18-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Elizabeth A. Wolfe File Number ~~~~~ ~ ~ 1~~ also known a;; Betty A. Wolfe Deceased Social Security Number 187-16-6653 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE A' OR 'B' BELOW.) Q A. Probate and Grant of Letters Testamentary and aver that Petitioners} is /are the EXeCUtrlx named in the last Will of tine Decedent dated 4/9/1980 and codicil(s) dated Suzanne M. Leavelle was a secretary to the firm of Stone LaFaver & Shekletski. She has since retired and moved out of state. Continued on a Separate Page (State relevant circumstances, e.g., renunciation, deaf{i 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 (If applicable, enter: c.t.a.; d. b. n. c. t. a.; pendente life; rlurunte absentia; durante nzinoritate) Petitioner(sj 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.) t.._y Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last principal residence at 10 Amerst Drive Camp Hill PA 17011 Lower Allen Township I'List scree! address, town/city, township, county, state, zip code) Decedent, then 87 years of age, died on 10/31/2008 at Bethany Assisted Living Decedent at death owned property with estimated values as follows (If domiciled in PA} All personal property $ 150.000.00 (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: Signature Typed or printed name and residence t. ~ .---"' ~ _~~" Patricia D. Tepsic 10 Amherst Drive Cam Hill PA 17011 F„r,n R w-~z rw. i o. ~ 3.06 Page 1 of 2 (COMPLEiTE INALL CASES:) Attach additional sheets if necessary. ~ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF Cumberland The Fetitioner(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 affirrred anti subscribed ~±G~zt-'I~_.cl.-c~c_~ ~ , ~~%',~iZ~.(~. ~ Signature of Personal Representative before n;~. the _~ day of a h~ ~yti~~~ ~ ~ ~ Signature of Personal Representative f"- Q ~b ~ ~ , ~. , T7 O /' _i ~ «C 7 - ~- --, FOr th~° Register Signature of Personal Representative ?-, C3~ } '~ >> ' ~-! ~ r, ~~ .. _ ~ File Number: N Estate of Elizabeth A. Wolfe ,Deceased Social Secur'ty Number:187-16-66~y53 /y~~,~/ Date of Death: 10/31 /2008 AND NOW, ~~U~~~r ~l~ ~~, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that LettersTestamentarv are hereby granted to Patricia D. Tepsic in the above estate and that the instrument(s) dated ~~ ~~~ l~'ICYC~ described ~in the Petition be admitted to probate and filed of record as the last Wi1,~ (and Codici FEES Letters ...•..~.~~~G~.~... Short Certificate(s) ••••~• Renunciatiion(s) ••••••••••••• l~ jl . $ a~( $ _ $ ~5 S ~C Attorney Signature: Attorney Name: of of Wills Supreme Court I.D. No.: 39785 Address: 414 Bridae Street New Cumberland PA 17070 Telephone: 717-774-7435 Form Rw-oz Y~ti~. 1u.~3.o6 Page 2 of 2 ilf„aas It[~ ~o,~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 ~ ~ ~i~nl is rel ~~I~if~ that rlr~ I{}ti;rln.Ltinn hcl~ i~Lri i t~' ~N DF /t'~ti - -~ry~,\ co}rectl} t+1pf.'tf ilt~r:~ an o ~ )nal (,=rti(~~ Lt~ of [)gar ~ s =_ ~,Pp~/ ~ ~~ duly filed ~~.ti~ ^t iti l..t~~a! Reta) trar. the ctrl-u~a / ~,~Q~, ,~ ~ x ( certificate ~~ (" t~ fior;~ rL{ed t T ih~v Stine Vita v '' x~~j ~cwrnrd~ OtfL~ ° .t,) ;~cT)~ uieni fi ui<_. P 14 8 0 9 0 2 3 ~~~~ ©~~~9r -=~~a`~~ r~ ~~ ~ v o 4 ~~aoe __ ~-__ n, aE t ___-- _________ --_._--~ ---_1__-- .~.,~ENTr ,,,rltr% Certification ~;umbe~r ' -=~ Lf1cal Re~i~trar `~ llalc i~-s(jc~Ll r~.~ n ~ r , ~, ., ~ -, ~~ ~ , ,~~ ~~ _ -, _ T . ` ye -~ r _a ~ ~ t~, D ~ ;--? :REV n;zoos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OP HEALTH • VITAL RECORDS !PRINT IN MANENT CERTfF1CATE OF DEATH IcK INK t ~,`` bc ~ ` (See instructions and examples on reverse) STATE FILE NUMBER ` ~ '1 t. Name of Decedent (First, middle, last, sutlix) 2. Sex 3. Social Security Number 4. Date o1 Death (Mnnlh, day, year] Female 187 - 1 6 ~-6653 October 31 2008 5. Age (Last Binh ay) Under 1 year Under 1 day fi_ Date of BiAh (MOnM, day, year) 7. Birthplace (City end stale or lor eign country] 8a. Place of Death (Check only one) g7 Months Deys Hours srrwtu 1921 August 13 Aspers, PA Hospital: Other- Y~ , ^ Inpatient ^ ER /Outpatient ^ DOA [~ Nursrnq Home ^ Resdence ^Other - Scealy. 8b. County of peach 8c. City, Boro, Twp, of Death ed. Facility Name (If not institution, gwe street and number) 9. Was Decedent of Hispanic OAgin? ~f No ^ Yes 10. Race: American Indian, Black, White. etc. Cumberland Lower A11en Twp. Bethany Assisted Living nl yes, specify Cuban, (Sppc,tyj Mexican, Pueno Rican, etc.) Whit e 11. Decedent's Usual Ckc lion 'Kind of wofx tl orre B urin most of worki tile. De not sate retired 12. Was Dxedem ever in the 13. Decedent's Education (Specity only highest grade compl eted) 14. Mental Status: Marled. Never Married, 15. Surviving Spo use (II wile, give maiden name) Kith o(WOrk K Kirttl of Business /Industry Home U.S. Armed Forces? Elementsy /Secondary (042) 2 College (7-4 or 5+) Widowed, Divorced {Specify) Wid d 2r Homema []Yes ®No 1 owe 16. Decedent's Mailing Address (Street, ckY !town, state, zip code) Decedent's P A Did Decadent Actual Residence 17a. Stale Live in a pe ®yes Decedent lived m Lower A 11 en T c/o Patricia D. Tepsic , . wc Cumberland TDwnship? rid ^ND, Decedem Lrvea wkmn ,7d D t 10 Amherst Drive, Camp Hi l1,PA Dw y ActuanimitS Dl Gry, BDrp 78. Father's Name (First, middle, last, suKxj 18_ Mother's Name (First. midde. maiden surname) Luther A. Miller Ida Sheeley 205. Inlortnanfs Name (Type /Print) 20b. Informant's Mailing Address (Street city /sown, state, zip code) Patricia .D. Tepsic 10 Amherst Drive, Camp Hill, PA 17011 21a. Method of Disposition ^ Cremation ^ Donafron 21 b. Date of Disposition (Month, day, year] 21c. Place of Disposition {Name of cemetery, crematory or other place) 27 tl. location (City f town. state, zip ccde) ~] Banal ^ Removal horn State ,Was Cremation or Donation Authorized 2008 5 Nov Rolling Green Memorial Par Cam Hill PA 17011 ^ Other - pecily~ i by Medical Exemircer Droner? ^ Yes ^ No . , p , 22a. na)dre of Funeral licensee (o Ing as such) 22b. License Number L 012342 22c. Name and Address DI Fadkly 3 d ~~; ` - FO Stone & Murray F.H., 408 r . St. ,New Cumberland,PA17070 Co ate Items 23ac only when certying 23a. To of Y , death occ e, date all place stated. (SgnaNre and title) 23D. Liceree Number 23c. Dale Signed (Monty, day, year) n is not available al time DI [learn to /f~ ~ _ j ~~~~ [/ ~ J ~~x~ ~~ /T~ / ! /n ~~ j/n~ CeA cause of death. ', t C / ~ Ci "" Items 24-26 must be completed by person 24. Time of each '/ 25. Dale Pronouns Deatl Month, da ( y, year) 26. Was Gase Reterted Io Medical Examiner /Coroner for a Reason Other than Crematien or Donation? who pronounces death. ,S; ~ to ~J M. /~~ ,3i O ~ ^ Yes ~No CAUSE OF DEATH (See instructions and e><amples) r Approximate interval: Pan IC Enter other significant conditbns contlhutirl»o death, 28. Dld Tobacco Use Comribule to Death? Clem 27. Pan k Eller the f vep)5 -diseases, mjunes, or complkalions -Oat direclty caused the death. DO NOT enter temmnal events such as cardiac arrest, Onset to Death but not resulting in the underlying cause given'm Pan I. ^ Yes ^ Probably respiratory arrest, or ventricular fbdllalon witlwut stwvnng the etiology. list only one cause on each line. i ^ No ^ Unknown IMMEDIATE CAUSE (Final disease er w 1 '^, i d 29. II Female. ~ ~ N ~ ~ ~ ~ condition resulttng n eath) ~~ a , V r y ^ t Due to (or as a cyon~sequence ol(: /1 y~ sx~ ' /~ ~j ~ Sequenfially Iisl condAions, if any, b, ~ ~~ /7,~ (~/-7"1 y (/`J ICS, r Not pregnant within oast year ^ Pregnant at time of death leadingg to Ne cause listed on line a. Due to o as a cons uer>ce of Enter Ihz UNDERLYUIG CAUSE l r eQ ): r Not ham, but y ^ Pre9 pregnanl within 42 da s eOieaUSefea IGng iIn delath) ~A$ T c' 1 of Beam Due ID (or as a consequence ol): r ^ Nol pregnanl, but pregnanl 43 da s t y o 7 year d r befom death ^ Unkrwwn it pregnant within the pass year 30a. Was an Autopsy 30b. Were Autopsy Fintlirgs 31. Manner of Death 32a. Date of Injury (Month, day, year) 32b. Describe How Irryury Occurred 32c. Place of Injury: Home Farm, SlreeL Factory. Pedormed7 Available Prior to Completion Ogice Building. etc. (SOecity) of Cause of Death? atural ^ Homroide ^ Yes Jo ^ "es ^ No ^ ~cident ^ Pending Imesligalbn 32d. Time of Injury 32e. Injury at WoAc? 321. II Transponation Injury (Specify) 32g. Location of Injury (SlreeL city /town, state) i ^ Suicide ^ Could Nol De Delennined ^ Yes ^ No ^ Driver / Operator ^ Passenger ^Petleslrian M ^ Other - Spealy: 33a. Ceniker (check only one) 33b- Slg tyre and Title of Allier • Cenifying physician (Physician certifying cause o1 death when 2rwlher physician has prortourtced death and completed Item 23) 1l A A i. ~ To the best of my knowledge, death occurred due to the causes}and manner es slated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .. _ _ _ _ _ _ _ 1 ~/V•J • Pronouncing and cenffying physician (Physician both Pronouncing tlea!h and ceniTying to cause of death) To the best of my knowledge, death occurred at the Ilme, date, and plate, and due to the cause(s) arM manner as slated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c. Lic e Number 33d. Date Sig tl (Mo. th, day, year( h A ~ ~p ~ Q 2 I - • Medical Examiner) Coroner ~ ') I CJ .J a~~ ,-1 Gn the basis of examination and 1 or investigation, in my opinion, death occurred at the time, date, and place, and due to tfie cause(s) and manner as stateA_ ^ 34. Name end Address of Person Who Corr99~~leled Cause of Ge th Ile~2-)/Typ~e~/~P~nl ~ p.~ ~ 3``_ Registrar's Lure and Dish V~ / / l-~ I / I r~l ~ I I 3G Dat tNtl, (h M, day, year7, / :~~ ~ _'- 3 c x--10 TR.1 N 0 VE ~0 ~fi0 ~f~YY) i~ f-}) I~I j' )4 1 ~'0) ~ . , , ~ ~ ~ J 3 V Disposition Permit No. ~ ~ J / ~•"~!~_ IV. No fiduciary acting under this Will shall be required to post bond in this jurisdiction or in any jurisdiction in which he may act. IN WITNESS WHEREOF, I, ELIZABETH A. WOLFE, also known as BETTY A. WOLFE, the Testatrix, have unto this, my Last Will and Testament, set my hand ~d`" _ r'% and seal thi s ~""~ day of ' 1;~~--c=~ A. D. , 1980. / Y'~ :::"~~,~ ~ =f' rf~ `~ ~ ~ ~ ( SEAL ) Elizabet A. Wolfe, als known as Betty A. Wolfe ` SIGNED, SEALED, PUBLISHED and DECLARED by ELIZABETH A. WOLFE, also known as BETTY A. WOLFE, the above-named Testatrix, as and for her Last tdi11 and Testament, in the presence of us who have hereunto subscribed our names as witnesses at her request, in the presence of the said Testatrix and of each other. r~ ~ ~ -~.___~ LAW OFFIC E$ JON F. LAFA,V ER 317 TNIRD STREET Page two of two Pages NEW CUMEERLAND. PA. LAST WILL AND TESTAP~IENT O F ' <";p o ~-~ ~ ~" ' ~:f , ~-> - ELIZABETH A. WOLFE _, `~-~~- ~~ `_ also known as : ;--% coo BETTY A. WOLFE ` 1- '-`. - -n ~. ,,~_ - ,_ .t7 ~ I, ELIZABETH A. WOLFE, also known as BETTY A. WO~E~', of t~je B©ro<ci:gh of New Cumberland, Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament hereby revoking and making void any and all other wills by me at any time heretofore made. ` "~~~ I . f' I direct that my Executor hereinafter named shall pay all my just `~= debts and funeral expenses as soon as conveniently may be done after my decease. ;~ II. }ti,~ All the rest, residue and remainder of my estate, whether real, tv ,;, personal or mixed, and wheresoever situate, I hereby give, devise and bequeath r"~ ~~ °'~-~ unto my husband, EARL J. WOLFE, if he survives me by a period of thirty (30) days. If my said husband does not survive me by a period of thirty {30) days, 'ti~then this gift to him shall be divested and I then give, devise and bequeath my %~ entire estate as follows: -~'' A. One-half (1 J2) unto my daughter, PATRICIA DAWN TEPSIC. ,,.) -~ B. One-half (1/2) unto my daughter, DEBORAH SUE WOLFE. ~ III. .au I hereby nominate, constitute and appoint my husband, EARL J. WOLFE, ;~~~s Executor of this, my Last Will and Testament. If the said Earl J, Wolfe '~~`'", should predecease me, fail to qualify or cease to act as such, then I hereby ,. '; nominate, constitute and appoint my daughter, PATRICIA DAWN TEPSIC, as Executrix. LAW OFFICES 10N F. LAF AVER 317 THIRD STREET NEW CUMEERLAND~PA• Page one of two Pages ~~, ~ u ~ ~ 1'~I11 OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS Cumberland COUNTY, PENNSYLVANIA Estate of Elizabeth A. Wolfe a/k/a B Jon F. LaFaver A. Wolfe c-~ r- ~ ~"i. J -1_' ~~ -z, 1~_.: - '._~ ~ , ~) ~ -~ ~T ~~ ti~ <:.~ -~ _~ ~~ ~ -- _.__ '; ao .. ~_ t- , ~7 ,, i "9,. 1~ ,ceased (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 he ~ was present and saw the above and that the he signed the same and that ' he Testatrix in her rs;gnan,re) (Sheet Address) Testatrix sign the same signed as a witness at the request of presence and in the pres of ea ~ er. ~\ ~ ~ ~.~~ '.~ - r j' (srg, ,-e) (Sh•eet Address) (City, b7ate, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills h/ E'er Gc.~+vtb~r'1~;r~ ~~ 1-7C,~ G (City, Stute, Zip) Executed out of'Register's Office Sworn to or affirmed and subscribed before me this ~g~ day of N~~e,i'- , ~~ ~ ,l..c, Nota Public My Commission Expires: (Signature and Seal of Notary or other official quali["ied to administer oaths. Show date of expiration of Notary's Commission.) NOTE: l"o be taken by Officer authorized to administer oaths. Please have present the original or copy o F YLVANIA ARIAL JENNIFER A. MEARKLE, Notary PubIIC r~„~„ kw-r~~ re,~. ~o ~;.or, New Cumberland Eoro. Cumberland Co. My Commission ices July 7, 2012 ~o ~~ ,~~; --~~- r, OATH OF NON-SUBSCRIBING WITNESS(ES) -> ; REGISTER OF WILLS `~- Cumberland COUNTY, PENNSYLVANIA I' Estate of Elizabeth A. Wolfe a/k/a Betty A. Wolfe Pal:ricia D. Tepsic and (each) being duly qualified according to law, depose(s) and say(s) that she was acquainted with Elizabeth A. Wolfe a/k/a Betty A. Wolfe and arr,, with the handwriting and signature of the decedent, and that the signature of Elizabeth A. Wolfe .~ =. . -.- ~ ..-, ~ =-. -.~ _ rv r' ~~ Deceased well- familiar to t:he foregoing instrument purporting to be the Last Will and Testaments of Elizabeth A . Wo 1 f e a/k/a Betty A. Wolfe is in his/her own proper handwriting. ,r r- ~- (Si~nuture) (Sh'eet Address) (cui~. Sale, ip) Executed in Register's Offece Sworn to or affirmed and ubscribed before e this ~~ d ~, o f 1 ~`l i ~ ~.._., Deputy of Wills (Signature) (Slree! Address) (Cib~, Slate, "Lip) h~orrn RW-Od rev. IOJ?.O(