Loading...
HomeMy WebLinkAbout11-21-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF ~ ` t ~ m ~ r- ~M~i COUNTY, PENNSYLVANIA ~ ~ _ V 0 ' ~ ~~ k ` { / File Number 7 h P S hd C Estate of ~i,Yt P T ~ ~%~ Pr i"Q._ also known as ar~g ~ y - L / 9 53 Deceased Social Security Number Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) C7 ~ _ C © cap _ rr A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is~az the ~' x,F ~' i )`t O i ~ `:~ ~ -~~---- ni~d ~ ~j , last Will of the Decedent dated ~ / /uC) V, ~ ~~; and codicil(s) dated ' ' -r C7 "~ ~ " -~ ~ " , stern _ N k i -- 7 (State relevant circumstances, e.g., renunciation, death of executor, etc.) {' ; ~=; i ~ ~j Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the ins~tment( s) bred ' ~~ ?~' for probate, was not the victim of a killing and was never adjudicated an incapacitated person: C!1 -~ ~ ` °' B. Grant of Letters of Administration (Ifapplicable, emer: c.t.a.; d.b.n.c.t.a.; pendente liter durante absentia; durante minoritate) Pedtioner(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.) Name Relationshi Residence (COMPLETE INALL CASES:) Attach additional sheers if necessary. ~s /her last principal residence at Decedent was domiciled at death in ~ lYl r<?2 r'~LI.Yt~ Co~ty, Pennsylvania wi ~ I /-t J ~Cir~ ~ /n "Z/1 /I `in I ... !-~ "~ .~ nn / '.•, r 1 i :C ~P (List street address, tawn/city, township, cou»ty, state, zip code) Decedent, then ~' years of age, died on , ~ / V ~? 1~ ~ ~~ It at (_~,c.r ~r ;S ~~ 9C ,o~ ~Yl /la ~ ///L°~ l'('~ _~ ~~7i?'i"' Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ ~~ ~~r ~ ~ L~ (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $_~ Value of real estate in Pennsylvania $ 1 -~ situated as follows: Form RW-02 rev. /0.13.06 Page 1 of 2 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: Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA f~ ~M 1,~~~/J SS COUNTY OF ~U,1 1 i (JC I I The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition aze 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 ~ ~ [x. n ~~~ ignature of ersonal Representative r.,~ day of before me the ~ ~ ~ ~° -t~ ~ ~{ Signature of Personal Representative ~ _?J ~.? CJ :) '^ ~~ ~ '~ ~ `~ N .i, 3 FOr a Register Signature of Personal Representative ) 7 `~ ~,. ~ ,, j ''J =n ~ ~ t.D r t ' "" a~-o~- i~~o . ~ `~ ~ File Number Estate of ~~~ 1'1 ~ ~ ~ . ~~. h n e s to c k ,Deceased Social Security Number: 7~~ ~ ~ ~ ~' ~ ~ ~ Date of Death: ~ (- ~- , AND NOW, . ~:5~ ~, (7 ~ ~V • Cy~vvt~ . in consideration of the foregoing Petition, satisfactory proof having been presented bef re me, IS SCREED that Letters -~ aze hereby granted to ~ ~ n ( 1'1 ~ ' ~~ h i-~Vcfin~ ~' ~ in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of ecedent. n FEES J ~ ~~j l _O/ ~ Register of [Fills ~,{~ n~ ~E'~~ Letters ............... $ T Short Certificate(s) ........ $ ~ ~• ~ Attorney Signature: Renunciation(s) .......... $ ... $ ; ~. CAD $ ... $ ... $ ... $ ... ... $ ... $ TOTAL .............. $ ~~~~~- Attorney Name: Supreme Court I.D. No.: Address: Telephone: Form RW-02 rev. 10.13.06 Page 2 of 2 ~ i -~~~ - /i f~~ LOCAL REGISTRAR'S CERTIFICATI(JN OF DEA1"H. VUARNING: It is illegal to duplicate this copy by photoa~tat or photograp~~. Fch for ihi, certificate- ~6-QO _P 14999617 Certification Number V H105.113 REY 112006 TYPE / PRIM IN PERMANENT BLACK INK ~_ z TH Of ~, ,v C , ~!I~ ~, ~ 3 s ~F~ ~ ~~, \~9rMENT OF~~P'1 This is to certify th r_ tie n'urma(ior? here given is correctly copied from ~~_n <~ri~~inal Ccrtil' cafe of Death duly filed with me .I; Loci; Regi;:rar. The o~~iginal certificate will he tor~w u~ded lc the Stute Vital Records Office for pt~u-ranent filin;~. ~~~~.,;K'~.~.~~ N0~ 5/ ~ooe Local F;e~aistrirn e~ Date issued ~ ~ c~ _; ": -~7 ~ ~ • ~ .:a~ ~.; )_. °'3 4 `,~~~` ~ L.~ t - - ~ ~-.~ . - ~ ~ ~ _~ - l W COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE NIIMRFR t. Name d Decedent (First, midde, last, suffix) 2. Sex 3. Saiel Sewny Nanbar 4. Date d Death (Month, say, year) `l~`v~e-{- E. {-CC.~/~estp~k-- (• 208 - 24 - 4953 /1- -aov8 5. Aga (teal Birthday) Under 1 year under 1 tley 6. Dale of Binh (Month, da ,year) 7. antlpMce (Cny and spte «rore ceunby) Ba. Plata of Deam (crack ady one) kknnw oan Hour M'swka Hospipl: Omer. 79 79 Yrs. 9/22/1929 Harrisburg. PA LR1lnpetied ^ER/Ddpatiant ^DOA ^Narsirg Hare ^Reaidence ^Oger Specify: sn. coany d Deam & Ciry, Born, TwP. of Deam 6d. Faceily Name III not xpetunon, give street entl number) 9. Was Decedent of Hispank Origin? ~ No ^Ves 1 D. Race: American Indian, Black, While, ek. Cumberland South Middleton ~vp (lf yes, spedfy Cuban, (Spedry9 Carlisle Regional Medical Center Medcen,PuenoRican,ek.) White 11. Decedents llsual lion Kind d rod done Nr' most d de. Do f sbp red 12. Was Decedent ever in me 13. Decedents Educeean (Seedy onty highest grade aenpl«e0) 7d. Mental Satus: Marred, Never Martied. 15. SurNving Spouse (II wne, give maiden name) Knd d Wak Kind dBusiness / IMUStry U.B. Ampd Forces? Elementary / Secordery (0.12) College (1-4 a Sa) Widoweq Diwmad (Specify) H H ^Yea "~ Widowed 18. Decedenrs Mailing Adtlress (Sheet, dq /town, stela, +IP todej DecadenYe Did Decadent PA Penn 2630 Walnut BottQii Rd AtNel Reapence na sat. ~ronP? ITC. ®Ves, 13eceded urea m Twp. . C l PA 17015 li I70.caumr Clmiberland na.^~D~t~IvedweNn ar s e, cM Boo 18. Fampr's Name (First, midde, lad, wmx) 19. Mom«'s Name (First, made, melden wmame) Charles F. Stahl Esther E. Cain 20e. InlorrtpnYS Namo (Type / Prid) 20b. InlownanYs Mailing Atldrees (Strad, Clay / hrxn, stela, tip cotlej Dennis R. Fahnestock 2630 Walnut Bottan Rd., Carlisle, PA 17015 21 a. Mdhotl d Disposition j ^ Cranation ^ Donation 21b. Dale d Disposfion (Month, day, year) 21 c. Place of Oisposilkn (Name of tamale , aemalo dh« ry ry or place) 21 d. Lowlwn (City /town, slate, liD code) ® Burid ^ Removal hen Sate ~ Waa Cremdbn a DoneUOn AWwrlxetl ^ OBpr-Spedry: byMedkdExemlrerlCoroneYl ^Yea^Nt 11/6/2008 Ciunberland Valle McTmrial Garde Carlisle, PA 22a. SgrOxa d F Licensee (ape s s 220. License Numbm 22c. Nerve ell Adtlress d FedNy - FD 012633 L Rain Brothers Funeral Home, Inc., Carlisle, PA 17013 llama 23a<orey when certifying 23a Ta tlp best d my kmMetlga am ax•.urred at me time, tlate all place shtetl. (Sgnelure and title) 23b. License Number 23c. Date Sgnetl jMath, day, year) phyxan is na aveiebk at time d loam ro ®rwy cure d deem. g~ Y4-~ ~ ~ ~~~ by ~a« wtp rmwwes deem 24. Time of Deam _ ' 25. Date Pmreurrced Dead (Moan, tlay, year) ~ ` 26. Was Case Refenetl to Medical Examiner /Coroner for a Reason Omer than Cremation or Donation? p . 1 3 ~~ M. (1 \ ~ J~ ^Ves CAUSE OF DEATH (See Inatrucllone entl examples) l Appmximale a1lBlyd: Pan II: Edd dher sianiAcem cadtlons centrmutind b deem, 26. Ditl Tobacco Use Contnhute b Deam? nom 27. Part I: Enpr the den d events - eiseaaes, injuries, or oompkatiorp - met tiredly cauaetl the death. DO NOT enl« tertnirpl weds wch as cemiat arrest Orlsat ro Deam hul not rewltng k are ltntlemy6rg cause gNen in Pan I. ^ Y Protredy respirelay crest, a vednaMr fibneation winxpt slaving me elblogy. Lill only ate cause on each line. ~ ~ E fF l d AU ~ ~ C ^ Unknown . i ina sesse a S mndibo n r esu II gp deem) -~ a `Jr f.'.-.u-.~~. I •~ ` ,/~ ~ ~ L I~hE..JV..a.(v •.-(1"•'1CM ~ ~ F ~.., e/rna~. Due to (a a5 a mnsepterxa dj: ~ Nat pregnad within past year ; Sequattiaey fist carldaoru, n any, b, r Iaa~o ro me rauae liabd a kre a _ 1_~"~\ - I r '~ ^ Pregnant at tlma d death . pre to (a as a tat l Eller me UNDEIILYLNG CAUSE ~n~ d): ^ Not Dmgnanl, bw pregnant within dz days (daease a'ry«y mat astide0 me events resulting in deetnl LABt t d tleem pre to (or as a consequence oQ: ^ Not pregnant, but pregnen143 days to t year d. betas tleem ^ Unknown n pre<Ranl wimin ma peat year 30a. Was an Aulapay 3]b. Were Auropey Findings 31. Meapr d Deam 32a. Date d Irgluy (Mall, tley, year) 32b. Destdbe Flew Injury Occurtetl 32c. Plea of l ury: hare, Farm, Sheet, Feeley, Penormed? Avaiable Prior ro Carlpleldn Nrel ^ fionicitle Off B tc. 5 a (PecM'1 d Case d Omm? ,,,+++...---,,,~~~ ^Yes I,a~rva ' ^ Yes ^ No Aaident ^ Penang Investlgadon 32d. Time d Injury 32e. Injury et WoA? 321. H Trempaplion Irptry (Spea7yf 32g. Lacatron d I^h"Y jStrad, my /town, slate) V ^ Suide ^ Coukl Not be Delamlmetl ^ Yes ^ No ^ Driver /Operator ^ Peaaen{pr ^Pedestnan M Ogler - Spedty: 33a. Gartner Idpdr tnly apt 33h. S' re entl Tllk d Certifier • cerufybq pnydd.rt jPhysidan temlying cause of loam wean anan« pnysldan has pmntarced deem and axnplded ham 23j ~~- Tothebeetofmyknow'tadga. deem oeeurratl due to tlp uuse(e)ard msnlar es etehhlL________________________________ ^ - `"'~ Pronouncing end cdtlrying phyalchn (Ptrysiden both Ipmllourkng deem and cerdyng to cause d death) • .Licen Number se 33e. Date 5'~gned (Marv, day, year) To the hest of my knowNdge, Oath occumed d tM time, date, end place, Mb due to me cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • 1ledcel Examlrpr / Corapr ~ ! _ ` , I m W ~ ~~ ~ ~ JL \ On the baste d examinatbn one / or Invesdgalbn, In my Oplnbn, deem occurred et me Ume, date, end place, all tlua to tip cause(s) end manner es ebtett ^ (' l ~ Name and Address of Person Wfp Qxnpleletl Cause d Death (11em 27) Type / Prxd ' 35. Registrar's S ego Disl .Date Fled (Mmm, day, Year) L L~:tl l 1-,-•,+.•.p.l re~ Diaposltion Parma No. ~ ~~J 3 LAST WILL AND TESTAMENT OF JANET E. FAHNESTOCK I, JANET E. FAHNESTOCK, widow, of Penn Township (mailing address: 2630 Walnut Bottom Road, Carlisle, PA 17013), Cumberland County, Pennsylvania, being of sound and disposing 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 Wills by me at any time heretofore made. 1. I direct my hereinafter named Executor to pay all just debts and funeral expenses, as soon after my death as may be found convenient to do so. 2. I direct that my body be interred beside that of my mother, l_:sther Stahl, on my burial lot in Cumberland Valley Memorial Gardens on which the bodies of both of my parents, Charles Stahl and Esther Stahl are already interred. Cumberland Valley Memorial Gardens is located at 1921 Ritner Highway, Carlisle. 3. I direct that all inheritance, transfer, estate and death taxes which may be payable on account of my death shall be paid from the residue of my estate regardless of whether the assets upon which such taxes are based are included in my probate estate. 4. I give and bequeath all of my household goods and furnishings, including all furniture, appliances, linens and bedding, pots and pans, china and glassware, and cooking and eating utensils, etc. together with all tools and equipment and whatever automobile I may own at the time of my death, to my son, Dennis R. Fahnestock, his heirs and assigns, provided he shall survive me by a period of ninety (90) days, but should he fail to so survive me, then the same shall lapse and be added to the residue of my estate. 5. All the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise, and bequeath in equal shares to my five children, their heirs and assigns, provided each of them shall survive me by a period of ninety (90) days, but should any of them fail to so survive me then the share such deceased child of mine would have received shall pass to such of his or her issue who shall survive me by a period of ninety (90) days, their heirs and assigns, per stirpes, and if there be: no such issue the same shall lapse and be added to the share or shares of my other children, per stirpes. My five children are Dennis R. Fahnestock, Lynn I. Fahnestock, Kathy A. Beam, Joel E. Fahnestock, and Judith K. Klingensmith. 6. I hereby nominate, constitute, and appoint my son, Dennis R. Fahnestock and my daughter Judith K. Klingensmith, or either of them, as co-executors of this my Last Will and Testament, and I further direct that neither of them shall be required to post any bond to secure the faithful performance of his, her, or its duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on one (1) page this 21st day of November, 1996. ~~~t~ (SEAL) net E. Fahnestock Signed, sealed, published and declared, by JANET E. FAHNESTOCK, the Testatrix cu above named, as and for her Last Will and Testament, in our presence, who, in her presence, at -==' - ' ~' her rec~est, and in the presence of each other, have hereunto subscribed our names as attesting r 1 i - N lj.~ C `...- .-~ ~ ~ ~r 1 .. ~- cnQI c~ Page 1 of 1 pages OATH OF NON-SUBSCRIBING WITNESS(ES) ~} REGISTER OF WILLS L" y >`Y1 ,~"j~.Pf`1Ct~i'~C~ COUNTY, PENNSYLVANIA (:?~ _D~- /ll~o Estate of ~CJe..i~ ~ `~ ~ . ~~- ~1n ,P S~~OC K ,Deceased l.. (' U S ti ~ - Gc- ~'1 I!1 2 ~~t~ C' ~ and ~i'1 i ~~A ~ct h YI t°~S~--oC ~~ , (each) being duly qualified according to law, depose(s) and say(s) that she he /they was /were well- _ /~---- ~_- acquainted with ~ ~ ~ + ~ - !-Gc r1 n 'P ~" r k and ai~re~ familiar ._.. ~~ l with the handwriting and signature of the decedent, and that the signature of _~~. ~-, ~~ ~ t r'ti ~t Y~PS`~c K to the foregoing instrument purporting to be the Last Will and Testament/Codicil of -~ ~ E -~e~- h n~ ~~C ~~. is in his/her own proper handwriting. ~ ~f ~ (Si~nc cu'e) ~ -- ~~~ '~C~Y i /~ ~~ (Street Address ~~ (Ciq,"State, Zip) Executed in Register's Offece - ~ ~ ,~ (Signntw'e) (Street Address) (Cit}~, Stnte, Zi ) Sworn to or affirmerd~ and subscribed before me this o~ ~`St day ofa~ov~z b~-- __, _s:2~~- ~~'~ ~ '~d i t~ ~._. Deputy for Register of ~ s hJ n ° - -~} - ~ } "' ~ i T7 - C~ i, 7 C . s , ~, ~ , , -~ - ~ ,. _.~ . . ) ~ ~ ~_ _., `~ _, _ i' N Form RW-04 rev. 10.13.0(