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HomeMy WebLinkAbout12-03-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of also known as Isabelle H Sweikert COUNTY, PENNSYLVANIA File Number 21-08- ~~(~(~ ,Deceased Social Security Number William R Sweikert III 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 EXeCUtOr named in the last Will of the Decedent, dated 01/16/1974 and codicil(s) dated State relevant 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 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 Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (/f Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) s„-, c~ ~-= Name m Relationship Racirlcnrc __~ ~T-~~!' l--~ _~ ~-3 ~ ~ c, , _ < _, ~ ~ _- _+ .°_-> (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 8 Sharon Rd, Enola, Cumberland, PA 17025 (List street address, town/city, township, county, state, zip code) Decedent, then $g years of age, died on 10/11/2008 at Holy Spirit Hospital, Camp Hill, PA Decedent at death owned property with estimated values 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 s:'uated as follows: 8 Sharon Rd., Enola, PA 10 Sharon Rd., Enola, PA $ 150,000.00 $ 150,000.00 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: -'~"""" ~ I yped or printed name and residence William R Sweikert III B Sharon Rd VVI~Y~i~ ~ ~l_ ~, ~ ~ T7'7"' Enola, PA 17025 Porm RW-02 Rev fo-rs-loos Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 ~f 2 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 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 I 1 ~~ ~ For the gister File Number: 21-08- ~a ~~ Estate of Isabelle H Sweikert C~ eV o c~ C ~ esa _ ~ ~ ~ } ` ~ ~n 3 t T~ ~ ..' G.j, 1 r- CA _ .... ~ C a ~ Tom, ~ i - Ti ~.. - Deceased ~ Social Security Number: 204-03-0018 Date of Death: 1 0/1 1 /2 0 018 f (,~ AND NOW, e-~~ I _ , in consideration of the foregoing Petition, satisfactory proof having been presented before e, I IS DECREED that Letters Testamentary are hereby granted to William R Sweikert III and that the instruments dated in the above estate (> 01/16/1974 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES 310. ~ ~- Letters ............................................ $ ..~e-o~o- ~~ ~ Regi ev o1 Wills / ~ ~ - Short Certificate(s) ........................ $ 20.00 (\ ~~'~- Renunciation(s) ............................. $ Attorney Signature: V -~- Attorney Name: Marielle F Hazen Automation Fee $ 5.00 JCP Fee $ Supreme Court I.D. No.: 68003 10.00 ~''~, I $ I ~ ~ Hazen Elder• Law ~'-l Address: 2000 Linglestown Rd. $ Suite 202 $ Harrisburg, PA 17110 $ _. Telephone: 717-540-4332 $ ~ p~p TOTAL .................................... $ Form RW-02 Rey. fo-is-zoos Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 Signature of Personal Representative rrnndlll IC IawelKert III .1".. - 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 14808~.3~ Certification Number V 11/2006 PINT IN NENT INK t. Name of Decedam rFircr ,rywe. i,., .,,M_, L_ Lsaoalle H Sw>i't>r 5 Aqe (Last B rthdavl Urea 1 r p Mmms J.7 Yrs. 6b. Couny of Death Cumberland 11. Decedem's Usual tan (Kind of w Kind of Wqk t6. Decedent's Mailirg Address (Street, city /town, stale, zip coda)' 8 Sharon Rd. Eno1a, PA 17025 76. Father's Name (First, mitldle, last sullixl Charles E. 20a. InlormanYs Name (Type! Burial (J Removal from Stale Service Days Hours MinNes "This Ls to certify that the information here ~*iven is correctly copied fro11~ an original Certificate of Death duly filed with me as Local Registrar. The original certificate roil! be forwarded to the State Vital Records Office for E~ermanent filing. ~ OC 1 3 008 Local Reglsh-ar , Date Issued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORD:i CERTIFICATE OF DEATH (See instructions and examples on reverse) CJ x~j `~ ' ~, ~ p -?. :-ry ~ r~ ~ = , ~ t - t ~ i~ W r ~ --~ cr _ , _ ~ -.- ~- ~ ' STATE: FILE NUMBER 2. Sex 3. Social Securiy Number 4. Dale of Death (Month, day, year) t E m31 204 -03 0019 Oct. 11, 2008 6 Dale of Blnh (Month tley year) 7 &nhplace fC H nn t r r -_. Oct.15,1921 MiddletoWn,P~ &. Ciy, Boro, Twp. of Death Bd. Facdny Name (If riot inseNtion. gNe street end number) East Pennsboro Holy Spirit Hoe~ital !dun rtgsl of workin life. Do net stale retired 12. Wes Decetlent ever in the 13. Decedent's Education (Specify aa~ Kad of Business /Industry U.S. Armed F1o~lqrc~)eI~s~? Elementary /Secondary (042) D t ^ Ves IdrxO T ') atient ~ ER /Outpatient ^ DOA ^ Nursing Home ^ Residence ^Other ~ Speciry: 9. Was Decetlent of Hispanic Cngin? o Yes (II yes, speciry Cuban, ^ 10. R'cace: American Intlian, Bla<N, While, etc. Mexican, Puerto Rican. etc.) W [ 1~~ e mpletetl) 14. Marital Slalus'. Married, Never Marred, 15. Surviving Spouse (If wile, give maiden name) or 5+) Widowed. Divorced (Specify Decedent's W 1 n O W e (y Amual Residence 17a. Slate _ P ? n n G V j V ~ h 1 ~ Did Decetlent ~~~1I Townsha v 17<'/~-'•yes, )a<edenl Uvetl in _F > ~ 1- D r~ 77b. County Cumber 1 a n ~ p , 7d. ^ No, Decedem Lwed wunln Twp. AeWe I limits of City /Born P t'11 11 1 ~O S t 9 Mother's Name (First middle, maiden surname) Mar Shireman ,5 3 n ~ r 3 ~ r 1 ~ ~ t 20b. Informant's Mailing Atldress (Street, city I town, state, zip cotle) 8 Sharon B9.,Enola, P?. 17025 ^ Cremation ^ Donation 21 b. Date of DLSpoaAion Month, da , ear 21c. Place of Di Was Crematbn or DonMlon Arrthorized ( Y Y ) sposilbn (Name of cemetery, crematory or other place) 27tl. location (City /town, state, zip code) by Metllcal Examiner I Coroner? ^ Yee ^ ND O e t. 1 5, 2 0 0 R R o 11 i n 3 G r a o a C e m e t e r moo aa~ such) 22b. Lcense Number Y' C ,3 m J H i 1 1 , P ~? 17 O1 1 Y. ln`L , /. /)..~~i F 22c. Name and Address of Fadliry /' ~L v'Dp~~ 0-013163-L Muss~lman FHSCS 324 Humm ele Items 23at Doty when cerdtying 23a. To Ina Ixst of my death atoned at ma, da rtd ' '- 1 ~'V e , L e m O P 1 7 0 3 physidan 6 rpt available at fime of tleath to y Waco slated. (Signatum and title) n' x ~ ~ ~.~r ~C~~/ _ 23b. License Number 23c. Dale Signed (Month, day, year) caniy cause a deem. 1:/V' rrr~~~ '' ~ J , I.PiL.LS ..t c._ , n Items 24-26 must ce complete0 by person 24. lime of Deam ~ 25. Dale Pronounced peed (Month, day, Year) ~`J ~'~ ~~") ~ ~"D ~, t -L LJ<=1 (, &.f~ /" ~ Z y vdp prmounces deem. ; C.. Gf: j. /~ M OC ~©~ 26. Was Cass Referred to IAetlical Examiner /Coroner for a Reason Other than Cremation or Donation? 2 /~ ~ ~ r~DQ ~ ^ Yes ~,No CAUSE OF DEATH (Sea Instruetlons and examples) Item 27. Pan I: Enter the Chain Wevents -diseases, injuries, a comWaatans -mat tiredly caused the deem. DO NOT enter terminal everns such as caNiac arrest, r Approximate interval: Pan II: Eller other resWralory arrest ar ventricular fibrAlatan wAhoul showin the eli Onset to Death dons mntn~'r'"" today. g obgy. List only one cause on each line. r but not resuNing in the untleitying cause given in Pan 1. IMMEDIATE CAUSE (Final tlisaase orE _ ~ corr6tan resuaing m death) ~ r a Due to (or as a ronseguence o}): r SeprantiaNy N51 mMitans, if any, b. _ S<, r leading to the pose listed on line a. '~ ~v ~- -`~ ~~ ~%' C~ ~ Enter the UNDERLYING CAUSE D e t (o as a uence of 7 ev~erei resit g ~thdaain~aiasie <. /e~~~r~~s-~ ~!'? f'[e. e/I C'Y! ~e.~ Due 1 (o s a con ea en oft. -~---~~_ d. 30e. Was an AMOpsy 305. Were qulopsy Findings 31 Manner of Deam r Pedom d? Available Pita to Completion 32a. Date of Injury (Month, day, year) 32b. Describe How Injury Oc<unad d Cause of Death? Natural ^ Homaae I ^ Yes ~NO ^ yes ^ No ^ Accitlent ^ Pending Imesligation 32d. Tine of Injury 32e. Injury et Work? 32f. If Transponalion In u S j ry l ~1 32g. teaation of Injury (Street GI' ^ Suicitle ^ Could Nol be Determined f1,,.. n .. 11 nn„~, r rw._~_. n ..-_ _ _ 26. Did Tohacco Use ConmWle to Death? ^ Yes ^ probaby ^ No ~Unkrwwn 29. If Female: ^ Not pregnant within pall year ^ Pregnant al time of tlealh ^ Nol pregnant, but pregnant within 42 days of death ^ Not pregnant, bur pregnant 43 days to t year before death ^ Unknown II pregnant within the past year 32c. Place of Injury: Home, Farm, Slreel, Factory, Office Builtling, etc (Speciy) 33a. Gentler (Neck ony one) Olhar. Spenly. • CertNy4ng phYsmWn (Physician certiying cause of tleam when another pr 33b. Sigrteturtlvti•Till Hier 7o the oast of my knowledge, deeM occurred due to the cause(s) and manlner es stated ~~ tleam and completed Item 23) ~ (//• , Pronoundrrg and candying physldan (Phygctian bolo pronouncing death antl candying to rouse of death) , '~ ~ `~ a/ 4~'~~~ ....-~'- 6 I To the best of my knowledge, death oceurrad at the lime, date, and place, and due to the cause(s) and manner es stated_ _ _ _ _ a License Number • Metllcal Ezamlrkr /Coroner _ _ _ _ _ _ _ _ ~~ ~ - ~ 33tl. Dale Signed (Month, tley, year) On 1M basis of examination and I or investigation, in my opinion, tleath oecmred at the time, date, and place, end due to the tau C L' .~ L ~ CC ~T.~c.I E~ C ! Z x ZC.` C. sets) and manner as sated_ ^ j 34. Name antl Adtlress of Person Who Completed Cau y of Deam (Item 27) type /Print 36. Regislr ignaNre and - N ~) /I L /~ i C.7C 1 ~ I ~ I / I ~ I 3fi. Dale Fil (MOnJh. day, Year) ('U ci ( ~ fJ, A -`"4 ~'',L^!;. I;i .. ,1-.-~.(.; /~ /!i / C ~-~-~) ~E ~t f. ~ d~a~ ~ v Disposition Permit Na. (.,1 ~ ~i ~ `i ~ ~ , na c~ /:~ _k_1 C7~ - - -- Q I ~ ~~ ~,~ LAST WILL AND TESTAMEPfT ~ ~ °r-~; _~' ~ ISABELLE H. SWEIKERT - ~~ ~ -~; < ~ _ ~-^~ ~~~ ~ .1 ~~M1. i -~ 1 I, ISABELLE H. SWEIKERT of East Pennsboro Township, CumY.ser- land County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any will previously made by me. I - I direct the payment of all my just debts and funeral expenses out of my estate as soon as may be practicable after my death. II - I devise and bequeath all of my estate of every nature and wherever situate unto my husband, William R. Sweikert, Jr., providing he survives me by sixty (60) days. III - Should my said husband fail to be living on the sixty-first (61st) day following my death, then I devise and bequeath alI of my estate of every nature and wherever situate unto my children, William R. Sweikert, III and Sandra K. Wright, share and share alike, or to the survivor thereof. IV - In the event I am survived bey neither husband nor children, I devise and bequeath my entire estate to my husband's mother, Helen L. Sweikert. V - All taxes that may be assessed in consequence of my death of whatever nature and by whatever jurisdiction imposed shall be considered a part of the expense o:E the administration of my estate, and my personal representativE: or representatives shall have the absolute power in his or her discretion to pay the same at once whether or not the law under which they are imposed permits the postponement of all or part of them to a later time. ARNOLD, SLIKE & BAYLEY ~ n ATTORNRYS AT LAW vv' ~ / _. ,. ~tARl:l_T S1RF["f' y,. 1 t C:n n~i~ I ii~~., Piv n~i i.vn.~i.~ I 'i', 17 Page 1 VI - I appoint my husband, William R. Sweikert, Jr., as Executor of this, my Last Will and Testament. Should my said husband fail to qualify or cease to act as such, then I appoint my son., Willaim R. Sweikert, III, to act in this capacity. Neither of my personal representatives shall be required to post bond in this or any jurisdiction. IN WITNES((~S/~ WHEREOF, I have hereunto set my hand and seal on this, the ~ ~,'t~~ day of ("~.~"~~~.~ Ct:.• , 1974. ,~ ., ~~ 1 J` :~ -. ~., -=~C~( , ~ ~ ~. `,, - ~ .?, ~C ~" (SEAL) Isa elle H. Sweikert ARNOLD, SLIKE & BAYLF,Y ATIORNHYS Ai LAW .~ioo ain ar: eT sre ci*r C ~~1 [' ~11LI.. I'r~N~l"t ~'A ~iIA I-(111 Signed, sealed, published and declared by ISABELLE H. SWEIKERT, Testatrix therein named, on this and one (1) other sheet of paper as and for her Last Will and Testament in our presence, who, in her presence, at her request and in the presence of each other, have hereunto subscribed our names as attesting witnesses. f; `" ,) Name Address ./`~ t.~ /~ ,:C -`~',~,~~~ ~~~ :+~jy~~~Ci' try, y'/~ a ~ '9..> ~~-~Cs ~ / ~4!z' c Name Address Page 2 OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA __ -_ Estate of Isabelle H Sweikert Deceased Sandra Wright and William R. Sweikert, III (Print Name) (Print Name) (each) being duly qualified according to law, depose(s) and say(s) that she / hie /they was /were well- acquainted with Isabelle H Sweikert and am/are familiar with the handwriting and signature of the decedent, and that the signature of Isabelle H sweikert to the foregoing instrument purporting to be the Last Will and Testament/Codicil of Isabelle H Sweikert is in his/her own proper handwriting. i ~) Sandra Wright (Signatu2) William R. Sweikert, III 8 Sharon Rd. (Suet Address) Enola, PA 17025 (City, State, Zip) Executed in Register's Office Sworn to or affir d an)d subscribed before me thi ~ c( day ~~ of 8 Sharon Rd. (Street Address) Enola, PA 17025 (City, State, Zip) ~ ° :: ~ - ~ ~~ ~ n n t ,--~~ ,~ `, '~' cr` ~ w _r __ - C7 ~ ~ 1 :. C r. ~ ~ - ~` ' Form RW-O4 Rev. f0-13-2006 Copyright (c) 2006 farm software only The Lackner Group, Inc.