HomeMy WebLinkAbout12-10-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of• DENTON S. SHATTO
also known as
COUNTY, PENNSYLVANIA
File Number ~~ U~j ~~~
Deceased Social Security Number 201-18-4557
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 Executors named in the
last Will of the Decedent dated April 28, ]966 and codicil(s) dated none
Dorothy L. Shatto died 03/26/2005
(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:
^ I3. Grant of Letters of Administration
(lfapplicable, enter: c.t.a.; d. b. n. c. t. a.; pendente Iite; durante absentia; durante minoritate)
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: (lf
Adnainistrntion, c. t.a. ord. b.n.c_t.a., enter date of Will in Section A above and complete list of heirs.)
Name
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Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last pnnc.~~a~,rtes~idenc~ t '
1422 Bra.dley Drive, Carlisle, North Middleton Township, PA 170] 3 - ~ ~'~ -~~c ~~-
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f ~sl szr-eet address, ton-nicit ton~nshi coup state, ai code ~-t'--
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Decedent, then 83 years of age, died on November 12, 2008 at Carlisle Regional Medicateenter C~
Decedent ai death owned property with estimated values as ~lla.vs:
(Itdomiciied in PA) All personal property $ 7,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(lf 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 Codicils} presented with this Petition and the grant of Letters in the appropriate form to
the undersigned.
Signature Tv ed or rinted name and residence
"' ~C Mary Jane Shatto; 1416 Bradley Dr HI 13, Carlisle, PA 17013
f Dora L. Thomas; 61 Meade Dr., Carlisle, PA ] 7013
Forrrv RN'-02 re r, 10.13.06 Pa~O ] O 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 the ~~_ day
Estate of DENTON S. SHATTO ,Deceased ~
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For the Register Signature of Personal Representative .L ~ r`rl - _`
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Social Security Number: 201-18-4557~~~~,, ~~ ~~~~ Date of Death: 1 1/12/2008
AND NOW, f~ OtCf CfU~ ~~r!~~1~ULl~, ~~ , in consideration of the foregoing Petition, satisfactory proof
having; been presented before me, IT IS DECREED that Letters Testamentary
are heireby granted to Mary Jane Shatto and Dora L. Shatto n/k/a Dora L. Thomas
and that the instruments} dated April 28, 1966
described in the Petition be admitted to probate and filed of record~~ tpe last Will
FEES
Letters ............. .. $
45.00
Short Certificate(s)f ~~. .... $ 12.00
Renunciation(s) ...... .... $
Will ... $ 15.00
JCP Fee $ 10.00
Autornation Fee $ 5.00
... $
... $
... $
... $
... $
_ ... $
TOTAL .......... .... $ 87.00
Attorney Signat
Attorney Name:
Supreme Court
Address:
Telephone:
.q~odicil(s)) of]
.Y/
Register of
J~rr~e~ ughes,
in the above estate
No.: 5
SALZMANN HUGHES, P.C.
354 Alexander Spring Road, Suite 1
Carlisle, PA 17015
717-249-6333
Form Rug nz rev. 10.13.06 Page 2 of 2
UC~I. REGIS~'RAR°S ~~Ft~'1~'1~ATIO~I ~~ ,~~'
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H105-id3 REV 1112006
TYPE / PRINT IN
PERMANENT
BLACK INK
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse) STATE FILE NUMBER
1. Name of Decedent (Frst, midtlle, last, suffix) 2. Sex 3. Social Security Number 4. Dale of Death (Monts, day, year)
Denton S. Shatto Male 201 - 18 - 4557 Nov. 12, 2008
5. Age (Last Birthday) UMer 1 year UrMer 1 day 6. Date of Binh (Month, day, year) 7. Birthplace (City antl state or foreign country) 6a. Place of DeaN (Check only one)
83 Mrot~° °~Y6 "rors Minw~ June 27, 1925 Boiling Springs.PA Hpapual: omen
Yrs. Qlnpatient ^ER/ONpatient ^DOA ^Nursing Home ^Resitlence ^ONer-Specity:
Bb. County of Death &. Ciry, Bom, Twp. of Death 13d. Facility Name (If ml institNion, give sireel and number) 9. Was Decetlem of Hispanic Origin? Ne ^ Yes 10. Race: American IMUn, Black, White, etc.
Cumberland S. Middleton Twp. nr yea, opacity abort, (specir>7 Whit e
Carlisle Regional Medical Center Mexican, Puerto Rkan, etc.)
11. Decedent's Usual lion Kind of work tlone tlurin crest of workln Itle. Do rat slate retiretll 12. Was Decedent ever in the 13. Decedent's Etlucation (Specify only highest grade rompleted) 1d. Marital Status: Marred, Never Married, 15. Surviving Spouse (II wife, give maiden name)
Kintl of Work Nintl of Business I IMUStry U.S. Armed Forces? Elementary /Secondary (0-72) College (1 d or 5+) W~'ed, Dlvorcetl (Speci/~j
Sales Clerk Dept. Store ®Yaa ^Np 11 Widowed
16. Decedw,l's Mailing Adtlress (Street, dry /town, smle, Tip code) Decetlenl's PA Did Decedent ~ N . Mid d l e t o n
147.2 Bradley Dr. Live in e
Actual Resitlerae t7a. Stale Township? 17c. Yes, Decedent Lived in Twp.
Carlisle
PA 17013
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nmherland 17d.^~I
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CitylBom
16. FaNM'e. Name (Flrsl, midtlle, last, suRx) 19. Mother's Name (First, middle, marten surname)
Herman Shatto Mary Ocker
20a. Informant's Name (Type / Prnl) 20b. InfortnanYS Meiling Adtlress (Street, cal' /town, stale, zip cede)
Mary Jane Shatto 1416 Bradley Dr., H113, Carlisle, PA 17013
21 a. Method of Disposition ^ Cremation ^ Donation 21 b. Date of Disposition (Month, day, year) 21c. Place of Oisposdion (Name of cemetery, crematory or other place) 21 tl. Lowtion (Ciry I town, state, zip code)
[]~ 13unel ^ Removal from Stale ! Wea Cremation or DOraUOn AUth«IZed p Waggoners Unit~~
e~~}~$dist Churc Carlisle, PA 17013
^ Other ~ Spealy: by Matlicel Examiner /Coroner? ^ yes ^ No NO V 17 , 2008 m
22a.5' ureofFuneralServ ticerlyee rperson ~ as such) 22h.LkenseNumber zzd.NameandAdNeaaprFaciliry Hoffman-Roth Funeral Home & Crematory, Inc.
. ~ / 13144E 219 N. Hanover St. Carlisle PA 17013
to kiwris 23ac Doty when cerilyirg 23e. To Ne best of my knowledge, deem aaurte0 at Ne ame, date and place statetl. (Signature arts title) 23b. License Number 23c. Date Sigrred (Month, day, year)
pmyakian is trot available et lima of tleeN id AMUSA NZ ATIN MD MD~+34-84y- NweTM~ber, t2t ~.vo$
ceNty cauwa of death. ,
hems 24-26 must be completed by person 2<. Tinef 1of Death 25. Date PlaaunceLd Dead (Month, day, year) C
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2 26. Was Case Refe,~rtwetl to Medical Examiner /Coroner for a Reason Olhar than Cremation or Donation?
.' who pronounces tleath. Q'a : .1 3 P M. NflVQM
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A Z~ O ^ Ves p No
CAUSE OP DEATH (See instructions antl examples) , Approximate interval: Pan 11: Enter other sian'icant roranions conMhulmc to deem, 28. DW Tobaao Use ConMWte to Death?
Item 27. Pen I: Enter me chtin of events -diseases, injures, a romplications - Nat eirecdy musetl the death. W NOT enter terminal events such as ceNiec artest, Onset to Death but not resuairiq in Ne undedying cause given in Pan L ^ Yes ^ Pr y
respiratory artest, or venlrwular fibrtlation wiNoN showirg the efiokgy. List oNy one cause on each line.
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~ ^ Na Unknown
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IMMEDIATE DAUSE Flnal tlisease or //
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~ 29. n Female.
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ath) _' a / \ /v wL(~
wntlilion resultng In ^ N
tlhi
Due to (or as~a consequ/~r~~ce op: P L fin.. n pazl year
ot pregnant w
^ Pregnant at Gme of death
SequenGaMl Nsi condkats, it anY, b. // / Q SJ9 /~'1 1 ~C%r { a.'v 1
kadi to the cause Nsled on ire a.
Due to (or
gi a consequence Dry: ^ Nol pregnant. but pregnant wtlhin 42 tlays
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Enter Ne UNDERLYING CAUSE
- (tlisease orinjury that initialed ttre c /27e1.Zl~f`"1r~ of deaN
vents resulting in death) LAST. pug to (or Sequerxa (j'
as
p~dA
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• Not rant bui 143 tla s to 1
^ Dreg pregnan y year
before tlealh
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d.
/ "S ^ Unkrawn II pregnant wilhln Ne pest year
30a. Was en Autopsy 30b. Were Autopsy Findings 1
.AAA~~~eee rwr of Death
3
n 32a. Date of Injury (MOnN, day, year) 32b. Describe How Injury Occurtetl 32c. Place of Inryry: Home, Fenn, SIreeL Factory,
Pedarned? Available Poor to Completion
of Cause of Death? ~~~
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Naturel ^ Hamkide
x
~ ONce BuiMing, etc. (Specity)
^ Yes ~ Mo
^ Yes ^ No .
^ Acdtlent ^ Paraing Imeskgation 32tl, 1rtie of Injury 32e. Injury al Work? 321. If Tmnsportaaon Injury (Specify) 32g. Location of Injury (Steal, oily /town, state)
^
^ Suicide ^ Court Not be Determined ^ Ves ^ No Petleslnan
^ Dover /Operates ^ Passenger
M Other ~ Spedry:
33a. Certifier (check Doty one) 33h. Signature Itle of Cerifier
• C:erUying physician (Physkian cerktykg calve of death when another physician has prwwunced death art completed Item 23)
To the beat of my knowledge, death occunetl tlue to lire ceusets) art manrer as sUled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ,
• Pronouncing and cendying physician (Physcian boN praauraing dee!h and cerfitying to cause of deaN)
To the best m my krawletlge, death occurred>h the time, tle1e, and place, antl due to the wusets) end manner as statetl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^
r/Coroner
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~ '1 33d. Dale Signed ( nN. , yea~1,
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(In the basis at examination and / IN Invesdgaton, in my opinion, tleafh occuretl at the time, date, and place, and due t0 the W use(s) and mender as statetl_ ^ 34. Name and Address of Parson Who Compe Ca 1 De Item 27) Type /IPrint /
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35. Regisiar's S' arld District Nu~harl
.Date Filed (Afonlh, tlay, year) -
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Disposition Pertnii No. ~ ~ v ~ ~ ~`~ Y-~
LAST WILL AND TESTAMENT OF DENTON S. SHATTO
I, DENTON S. SHATTO, of North Middleton Township, Cumberland
County, Pennsylvania, declare this instrument to be my Last Will
,And Testament, in manner and form following:
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'~ 1. I hereby expressly revoke all Wills and Cod~'ils &~reto~ ~~
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fore made by me. ~' ~ ~
2. I hereby direct my Executrix to pay all my ,~~~~-`t duets,
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,funeral and administrative expenses out of my estates, a as soon ,as
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practicable after my death. ~
3. Should my wife, Dorothy L. Shatto, survive me for a perioc
of thirty days following my death, I devise and bequeath the re -
mainder of my estate to Dorothy L. Shatto.
4p Should my wife, Dorothy L. Shatto, predecease me or die
on or before the thirtieth day following my death, I devise and
bequeath the remainder of my estate to my issue living on the
thirty first day following my death, per stirpes.
5. Shauld my wife, Dorothy L, Shatto, predecease me or die
on or before the thirtieth day following my death, and should I
have no issue then living, I devise and bequeath the remainder of
my estate to the First Church Of God Of North America, Carlisle,
Pennsylvania.
6. I nominate and appoint Farmers Trust Company, Carlisle,
Pennsylvania, guardian of any property which passes to a minor
and with respect to which I am authorized to appoint a guardian
and have not otherwise specifically done soe
7. I nominate and appoint my wife, Dorothy L. Shatto, as
Executrix of this my Last Will And Testament; and as substitute
Executors I nominate and appoint, in order of preference : First,
my daughters, Mary Jane Shatto and Dora L. Shatto, providing they
Ilor either of them is twenty one years of age; and Secondly, my
M,
brother-in-law and his wife, Richard H. Swartz and/ Lucille Swartz.
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8. I direct that my personal representatives and gu ardian,
as well as their successors shall not be required to give bond for
the performance of their duties in any jurisdiction.
IN GJITNESS WHEREOF, I have hereunto set my hand and seal this]
~ ' ~ day of April, 1966.
;~ ~ ~ ~, ~~ _ . - C SEAL)
Denton S atto
Signed, sealed, published and declared by the above named
Testator, Denton S. Shatto, as and fo r his Last Will And Testament,
in our presence, who, in his presence, at his request, and in the
presence of each other, have hereunto subscribed our names as
attesting witnesses.
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OATH OF NON-SUBSCRIBING WITNESS(ES)
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REGISTER OF WILLS '--`-= --
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CUMBERLAND COUNTY, PENNSYLVANIA ~ `=
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Estate of DENTON S. SHATTO
James D. Hughes
and Susan Bluett
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Deceased
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with Denton S. Shatto
and am/are familiar
with tlhe handwriting and signature of the decedent, and that the signature of Denton S. Shatto
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
Denton S. Shatto
is in his/her own proper handwriting.
,~
n ure)
354 Alexander Spring Road, Suite 1
(Street Address)
Carlisle, PA 17015
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this ~ y day
of~ l/ ~,
Deputy for Regi
Form R'W-04 rev. 10.13.06
Wills
(City, Si'ate, Zip)