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HomeMy WebLinkAbout12-15-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Meredith E. Schuibbeo also known as ,Deceased Petitioner, who is 18 years of age or older, apply(ies) for: (COMPLETE `A' OR `B' BELOW:) File Number ~ ~ ~ o ~ ~J~~ Social Security Number 205-38-8490 ® A. Probate and Grant of Letters Testamentary and aver that Petitioner is the Executor named in the last Will of the Decedent dated 9/20/07 and codicil(s) dated N/A (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: app Ica e, en er. e.t.a, .n.c.t.a., pen ente rte, wante absenna, durante mmontate) ~ o ea rn i Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse any) and~rs. (I£ _` _` Administration, e.t.a or d.b.n.c.t.a., enter date of Wil( in Section A above and complete list of heirs.) _~ ~ cam') _ ~ t._._ ^ B. Grant of Letters of Administration (If I' bl t~ d b d i' ~ d -- ~ -: (COMPLETE IN ALL CASES:) Attach addifional sheets if necessary. Y ~~ ` CJt `' `i. .t Decedent was domiciled at death in Cumberland County, Pennsylvania with his last principal residence at 353 N. 215` Street Borough of Camp Hill, PA 17011 (List street address, town/city, township, county, state, zip code) Name Relationship Resid~rr~e. J\ - J ~ Decedent, then 61 years of age, died on November 23, 2008 at 353 N. Z 15` Street, Borough of Camp Hiil PA 17011 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All persona] Property $ 125,000 (If not domiciled in PA) Personal property in Pennsylvania $ 0.00 (If not domiciled in PA) Personal property in County $ 0.00 Value of real estate in Pennsylvania $ 150,000 TOTAL $ 275,000 situated as follows: 353 N. 215` Street, Borough of Camp Hill PA 17011 Wherefore, Petitioner respectively requests the probate of the last Will presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Signature Typed or printed name and residence Jan P. Paden, 80 Tow ath Road, Duncannon, PA 17020 724716.1 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF ~~.,~y-v~ ~~/~(,~~'',~ 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 affirm and subscribed B;,fore rr:e the _ ~5 day of ~t `~ ( ~ For the Register ©. Qp,~,~ i ure of Personal Representatives ~°.,~, ~ O ~ ~~ ~ ~~ i~T" ~ i ~~ Signature of Personal Representative ,-~ _.._, .A-' ~ i . ._, Signature of Personal Representative-: ~ _~=' - .__ A~ ~? .~ c17 ~` ' File Number: Ci p 1~~~ Estate of ~? (ed;`~- ~G1-,.,._~ bt-~e_c Deceased Social Security Number a20S 3 $ ~ ~{~ C7 Date of Death: LC ' C~ ~ AND NOW, ~5~,~,,; v C~~m~r , Zdd~ in consideration o the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters -~r~-~-C~~s~ ~ ~ 1 are hereby granted to ~c,~-rte ~ Per in the above estate and that the instrument(s) dated ~ _ ~~ ~ ~ ® ~(~p'~ described in the Petition be admitted to probate and filed of record as the last Wii: (anct Codicil(s)) of Decedent. ~i FEES ~ 2.~~ ~ '~ x~ I~~~"~ `'/n Register of JVills ~~ l Letters..... ~~~.~ ~....$ 3- 0`" Short Certificate... i.S..... $ jp b`'^ Attorney Signature: Renunciation(s)............ $ .. L~' 1( .... $~ Attorney Name: J. Bn;ce Waiter ...... $ 1 O cr ~u ...... $ 5 "`' Supreme Court LD. No.: 19628 .... $ .... $ Address: c/o Rhoads & Sinon LLP •••• $ P.O. Box 1146 •••• $ Harrisburg, PA 17108-1146 .... $ .. .... $ Telephone: 717-233-5731 TOTAL ................ $ ADD"~ IIUi .~, i:~ Rt'v ut',ir.-, LOCAL REGISTRAR'S CER`~I~ICATION OF DE',~TH WARNING: It is illegal to duplicate this copy by photostat or photog-ug~ra. Fee fir this certificate, ~f?.00 -P 148~.~~5~.-- CerlltiCartOtl ~U;?1(lr'i' ITEM # i S sxo~.D xEa~ as Fo~.ows: This t~ it `~rt3f, ;r,+t i.`?c~ ~nfc~rn-r(liun hcrc •_i~:-:? is c;~rrectl~ .Tpic~(!f~e.ttrf :in r f~~)(r/i i':~rtiCi~ fte tyf Isk°atlf dulti ;ilea ~.kiti/ m~ -,> I.~~,rfl iZe;_i>-~r~u. -ll x, i~ri~=)I/al Cf'.It!tIC2'~~C -.llli hi' It?I"~raitt`tl '(/ Tile ~(ttir' •~~ItaC Rc ..._', (,,nice 't',f ;rrrlirfllL•1V` fiLn,~. ;...~„m~ ~ ~ N~V ?~ ~ 10(18 Lv~al -~C' ut-ar I)ult ,~tifl~'d IEV tt/2oos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS nNlt"nTiiN CERTIFICATE OF DEATH KINK , (See instructions and examples on reverse) STATE FILE NUMBER ~ _ F._ ~ G.J - { 7 ~ i (-q•~ - I - - -t l ~ _ a ..~.d -.. F } y .i~" .~ 1 (~ ~ i ;.1 cl `Z t. Name of Decedent (First, middle, last suttlx) 2. Sex 3. Serial Security Number 4. Dale of Death (Month. day, year) Schuibbeo male 205 -38 y 8490 Nov. 23, 2008 M r dith E . 5. Age (Last Birthday) Under t year Under 1 day 6. Data of Binh (Month, day, year) 7. Binhplace (City and state or foreign country) 6a. Place of Death (Check only one) tuomhs Days Novrs MInNn Hospital: Other: 61 pr. 30,1947 ilmington,DE Yrs ^ Inpatient ^ ER I Outpatient ^ DOA ^ Nursing Home esidence ^Other ~ Specty 86. County of Death Bc. City, Born, Twp. of Death Stl. Facility Name pf not institution, give street and number) 9. Was Decedent of Hispanic Origin? o ^ Yes 10. Race: American Indian, Black, White, etc. Cumberland Camp Hill (11 yes, Specity Cuban, (Specd)1 353 N. 21st Street Mexican,PUenpRkan.etc.) white 11. Decedent's Usual Oceu lion (Klrrd of wane d one Burin most of workin tile. Do not sate retired 12. Was Decedent ever in the 13. Decedent's Education (Specify only highest grade completed) 14. Marital Status. Married, Never Married, 76. Survwing Spouse (n.wAe. give maiden name) Divorced (S ecity) Widowed Kind of Work Kind of Business I Industry U.S. Armed Forces? Elementary /Secondary (0-12) 12 College (1-4 or 5+) 4 . p married Angelo Roberts art, anti ues art ^Vea ~p 16. Decedent's Mailing Address (Slr9et dty I town. state, zip code) Decedent's Dld Decadam Actual Residence 17a. Slate Pennsylvania Crve in a 17c. ^ Yes, Decedent Lived In Twp 3 5 3 N . 21st S t . Township? 17d ~xlo. Decedent Lived within Cumberland ,7b t c Hi 11 Cam Cam Hill, PA 17011 . ppn y p Adualumitap, cryrBprp 76. Fathei s Name (Flrsl, mbdle lest, sunix) Ralph Schuibbeo 19. Mother's Name (Flrsl, middle, maiden surname) Dorothy Sharp 20a. Informant's Name (Type I Print) Angela Schuibbeo 20h. Inlortnant's Mailirg Address (BlreeL city /town. state. zip code) 353 N. 21st St., camp Hi 11, PA 17011 21 a. Method of Disposition Cremation ^ Donation 27 b. Date of Disposition (Month, day, year) 21 c. Place of Disposition (Name of cemetery, crematory or other place) 21 d. Lowlion (City /sown, state, zip cadet P A 17 0 9 5 ^ Burial ^ Removal Irom State !Was Cremation or Donation AWhorized ~ ^ N O V. 2 5, 2 0 0 8 H o 11 fi n g e r Crematory t. H o 11 y S~ r i n g s ^ 0 - p¢ yty. by Medical Examiner /Coroner? Yes No 22a. ~ ra~ol Funeral Se is icensee (or person ad as such) 22b. License Number 22c. Name arM Address of Facility FD-013163 Musselman FH&CS,324 Humm21 Ave.,L2mo na,PA 17043 C le ms 23a-c onty wh cenitying d (SI nature and lilk) te ta 23a, To the heal o knowledge, death occurt the time, date and place s 230. License Number year) 23c. Date Signed (Mon th , da y physidan h not available at time of death to ] // ` ~ ( L ~(7 ~~(7 ~y.~ o ~ n ~ d ~ ~/,~ /f riV Q cenity cause of deem. a ~ I` / VI hems 24-26 must be wmpleted by person 24. Time of Death 25. Date Pronounced Dead (Month, day, year) w.~ 26. Was Case Referred Medical Examiner /Coroner for a Reason Other than Cremation or Donation ^ Yes who pronounces death. Q i S ~-M. E v y 8 CAUSE OF DEATH (See instructions and examples) r Approximate imerval~. Pan IL Enter other syniAcant c ditions coot -hNina to death 28. Old Tobacco Use Contribute to Death? Item 27. Part I: Enter the than of events -diseases, Injuries, or complications - That direclty caused the deem. DO NOT enter terminal events such as cardiac arrest, r Onset to Death r but not resulting In the untledying cause given In Part I. ^Ves ^ Probably respiratory artesl, or ventricular Ilbnllation without showing the etiology. List onty one cause on each line. ^ No ^ Unknown IMMEDIATE CAUSE (Final disease or CC\~ G \^ 1,,,, r? r condnion resuhing in death) a ~ ~ V ~ ~ ~'~ Y , 1 U ~ ~~ `n` ~ ~~ ^'~ h~ r ~J ~ ~ -1 Q 29. II Female: ^ N t t ithi t ~ . . Due to (or as a sequence of): r , pregnan w n pas year a ^ Pregnam al time of death Sequentially list conditions tl anY. b , . leafing to the cause listed on line a. Due to (or as a consequence ofj~ r ^ Nol pregnant, but pregnant within 42 days Enter the UNDERLYING CAUSE ~ of death (disease or injury that initialed the t events resulting m death) LAST. r ^ Not Oregnanl, out pregnant 43 days l0 7 year Due to (or as a consequence op: r before death d t ^ Unknown II pregnant within the past year 30a. Was an Autopsy 300. Were Autopsy Findings 31. Manner of Death 32a. Date of Injury (Month, day, year) 32b. Describe How Injury Occurred 32c. Place of Injury: Home, Farm Street Factory, Ottke Building, eta (Specity) Pedormetl? Available Prior to Completlon se of Death? f C '~tJalural ^ Homicide o au ^ Accident ^ Pending Investigation 32d. Time of Injury 32e. Injury at Work? 321. If Transportation Injury (Specsryi 32g. Location of Injury Street city /town. state) ^ Ves [~ANO ^Ves ^ No ^ Yes ^ Na ^ Dover /Operator ^ Passenger ^ Pedestrian ^ Sucbe ^ Could Nof ce Determined M ^Other-Specify: 33a. Certifier (check only one) 330. SignaNre and Ttle of Certifier n ~ ,~-LV (J / ' ~?/ L! / f • Cenitying physician (Physician ceniying cause of death when arxrther physkian has pronounced Beam and completed Item 23) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ath occurred due to the cause(s) and manner as stated d l d f K ~ , ,~, , C ~ ^ / Cu i~l N/t' lil.l L,C (! _ _ _ _ _ _ _ _ _ e now e ge, To the best o my • Pronouncing and certltying physician (Physican bolo pronouncing death and cenitying to cause of death) ^ anner as stated th d d d 33c. License Number ^ 'J / . G L z+l 33d. Date 3lgnetl (Mpnlh, day, year) j _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m e cause(s) an ue to To the best of my knowMtlge, death occurred at the time, date, and place, an C _ ~ l.J -1 'Y O ~ ~ z , Z v ~ 7- • Medical Examinerl Coroner On the basis al examination and I or investigation, in my opinion, d¢ath occurred et the time, date, and place, and due to the cause(s) and manner as stated_ ^ 3q Name d Address of Person Who ComDletetl Cause of Death (I 27) Type /Prim ~ ~~ ~ L ~ ~ , 1 ~ ~ ~, N f 35. Registrar's,eerr~~ature and Dist Z I i l d l i I~ I / I 36. Date Fled (Month, day, year) ~; " ~ Y / ` 3 9/ 2 Tl~ I N~ L ~ ~ ~ C;~ M !' /~ 1 ~~ ~'/,~ 1 '7 0 1 1 „ (1~~Y~L s r Disposition Permit No. ~ 3 D~ I -I J n N LAST WILL AND TESTAMENT ' ~ a -; ~ z; ~ - `> _ c. ~ t--~ , ~ _ , rr __ _ MEREDITH E SCHUIBBEO ~ LL ; . ~ -a ' - , =' . _; _ _,; -=, - ; , - ~. ; ~ , .. - ~ - .~- I, Meredith E. Schuibbeo, of Camp Hill, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time previously made. TTF.M T~ All inheritance, estate and similar taxes becoming due by reason of my death ("Death Taxes"), whether such Death Taxes shall be payable by my estate or by any recipient of any property, together with my debts, estate administration costs and expenses, shall be paid by my Executor out of the property or proceeds passing under ITEM VIII of this Will as an expense and cost of administration of my estate. My Executor shall have no duty or obligation to obtain reimbursement for any Death Taxes paid by my Executor, even though paid with respect to proceeds of insurance or other property not passing under this Will. ITEM II: I hereby exercise all powers of appointment which I may have at the time of my death in favor of my Executor, and all property subject to all such powers of appointment shall be included in my estate and be governed by the provisions of this Will. Page 1 of 7 ITEM VIII: I hereby direct that all of the rest and remainder of my personal property of whatsoever nature, be sold at public sale by an auctioneer to be jointly selected by my wife and my Executor, upon such terms as they shall negotiate and that the net available proceeds of such sale or sales be divided between my wife and my daughter in the following proportions: (a) Forty percent (40%) of such net available proceeds to my wife, Angela Dee Roberts, a/k/a Angela Roberts Schuibbeo; and (b) Sixty percent (60%) of such net available proceeds to my daughter, Sarah Ann Schuibbeo, should both my wife and my daughter survive me. Should either my wife or my daughter not survive me, the share that would have otherwise have gone to that person shall be distributed to the survivor of them. ITEM IX: No interest in income or principal of my estate shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary of my estate prior to the beneficiary's actual receipt thereof. My Executor or Trustee shall pay over the net income and the principal to the beneficiaries herein designated, as their interests may appear, without regard to any attempted anticipation (except as maybe specifically provided herein), pledging or assignment by any beneficiary of my estate and without regard to any claim thereto or attempted levy, attachment, seizure or other process against said beneficiary. ITEM X: Any person, who shall have died at the same time as I or under such circumstances that it is difficult or impossible to determine who shall have died first, shall be deemed to have predeceased me. Page 3 of 7 ITEM XI: In the settlement of my estate, my Executor shall possess, among others, the following powers to be exercised for the best interests of the beneficiaries: (a) To retain any investments I may have at my death so long as my Executor may deem it advisable to my estate so to do. (b) To vary investments, when deemed desirable by my Executor, and to invest in such bonds, stocks, notes, real estate mortgages or other securities or in such other real or personal property as my Executor shall deem wise, without being restricted to so-called "legal investments". (c) In order to effect a division of the principal of my estate or for any other purpose, including any final distribution of my estate, my Executor is authorized to make said divisions or distributions partly or wholly in kind. If such division or distribution is made in kind, said assets shall be divided or distributed at their respective values on the date or dates of their division or distribution. In making any division or distribution in kind, my Executor shall divide or distribute said assets in a manner which will fairly allocate any unrealized appreciation among the beneficiaries. (d) To sell either at public or private sale and upon such terms and conditions as my Executor may deem advantageous to my estate, any or all real or personal estate or interest therein owned by my estate severally or in conjunction with other persons or acquired after my death by my Executor, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which maybe necessary or desirable in carrying out any of the powers conferred upon my Executor in this paragraph or elsewhere in this Will. (e) To mortgage real estate and to make leases of real estate for any term. (f) To borrow money from any party, including my Executor, to pay indebtedness of mine or of my estate, expenses of administration, Death Taxes or other taxes. Page 4 of 7 (g) To pay all costs, Death Taxes or other taxes, expenses and charges in connection with the administration of my estate, and my Executor shall pay the expenses of my last illness and funeral expenses. (h} To vote any shares of stock which form a part of my estate or trust and to otherwise exercise all the powers incident to the ownership of such stock and to actively manage and operate any incorporated or unincorporated business, including any joint ventures and partnerships, and to incorporate any such unincorporated business, with all the rights and powers of any owner thereof. (i) In the discretion of my Executor to unite with any other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of my estate. (j) To assign to and hold in my estate an undivided portion of any asset. (k) To hold investments in the name of a nominee. (1) To compromise controversies. ITEM XIL• I hereby appoint my trusted friend, Jan P. Paden, as Executor of this Will. If for any reason he should fail or cease to act, I appoint my Wife, Angela Dee Roberts, a/k/a Angela Roberts Schuibbeo, as Executrix. All references in this Will to my "Executor" shall also refer to my Executrix or to my successor Executor or Executrix, as the case maybe. Page 5 of 7 ITEM XIII: Any Guardian, Executor or Trustee shall qualify and serve without the duty or obligation of filing any bond or other security. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding five (5) pages, this ~~~ day of ~e ~~. , 2007. eredith E. Schui eo We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testator as and for his Last Will and Testament, in the presence of us, who, at his request and in his presence and in the presence of each other, have hereunto set our hands and seals the day and year above written, and we certify that at the time of the execution thereof, the said Testator was of sound and disposing mind and memory. ~~ (SEAL) (SEAL) ~.S~ o'~ (SEAL) ~ z 3 S~ ~~ Residing at: ~~~is~c~~ ~G~l Residing at: - ~~ ~/,~ Residing at: ~y`~ 4~ x1C/)Od~ y~DQG~ ,Qoue2 ~°,9 i 73 i~ Page 6 of 7 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA) SS: COUNTY OF G ) mow. I~es~~ t~:t, ? We, Meredith E. Schuibbeo, the Testator, and and the witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned officer that we were present and saw Testator sign and execute the instrument as his Last Will and Testament and that the Testator signed the instrument as his Last Will and Testament and that he signed voluntarily and that each of the witnesses in the presence of the Testator at his request, and in the presence of each other, signed the Will as a witness and that to the best of the knowledge of each witness the Testator was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. ~< ~i ~ec_ ACKNOWLEDGMENT On this, the :Zt ~ day of S.e.p•~.e.,~,-z~t.. 2007, before me, a notary public, they undersigned officer, personally appeared M~.~i-~:~ ~ S~h~.:;.bb£~ J~ ~'~°° ~"'~~~~'~ E~`ti"z ~5~ _ ~ , and ~ ~ > xz ~~~ ~>< a ~ known to me (or satisfactorily proven) to be the persons whose names are subscribed to th ithin instrument, and acknowledged that they executed the same as their free and voluntary act for the purposes therein contained. Subscribed, sworn to and acknowledged before me by Meredith E. Schuibbeo, the Testator, and subscribed and sworn to before me by J • ~rk~ Z ~.%:~ Mfr, ~~~is<< l-~~ ss and ~ ~.ct s~z La~~ "i-,>`aci witnesses, this ?,o~'day of , 2007. `, S~~-~.~.b ~~ ~~~.~-~ tart' Public ` My Commission Expires: SEAL) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Judith L. Knape, Notary Public City Of Harrisburg, Dauphin County My Commission? Expires Oct.14, 2Q0~ Member. PennsWv~^~=. Assoc+ation Of Notaries vt.lZli~-0,(,L. d~ Witness Items I dive and bequeath to Angela Roberts upon m,, d 1. 19th c. long school desk with center stretcher . Feet are 20th c. "build-ups". 2. I8th c. Mid-Atlantic states 2-part corner cupboard with arched glass panes on the top row. Repainted by Meredith Schuibbeo blue and white trim around lower raised panel and interior. All new door and "old" glass. 3. Reproduction by Schuibbeo, oval-top small tavern table with turned legs and box stretcher. 4. Early 19th c. New England one-piece step-back cupboard painted old in weathered light blue/grey. One complete shelf-height was removed. One side also shows paint restoration. 5. 18th c. Trifed-footed, two-drawer Pennsylvania walnut farm table. The top is a 20th c. replacement, as is the hardware. 6. 18th c. Pennsylvania walnut three-drawer farm table with center stretcher, and turned-legs. Traces of old red paint on the bottom. The top is a replacement. 7. 19`h c. two-part Pa. Dutch cupboard, repainted red, blue/green, and white by Schuibbeo. The base is all new with the exception of the three drawers. 8. 18th c. hardwood Chippendale four-drawer chest of drawers. Replaced ogee feet and alterations to the top. 36-inch body width. New hardware. 9. 19th c. Sheraton four-drawer chest of drawers in old muddy red brown finish. New feet and top molding. New yellow and green trim paint. 10. 20th c reproduction Chippendale sofa covered in 20`h c. crewel fabric. 11. 18th c. 3-quarter size bed ,painted and "destressed" by Schuibbeo. 12. 19th c. two-drawer, tapered-leg 69"work table repainted red by Schuibbeo. Exh ~~~ ~ ~ C'