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12-30-08
PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Josephine L. Collitt t=ile Number 21-- C ~ - ~2~ also known as ,Deceased Social Security Number Jessica IL. Gardner Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE A' or B' BELOW) aX A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executrix named in the last Wili of the Decedent, dated 10/26/2007 and codicil(s) dated State 2levant 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 far probate, was not the victim of a killing and was never adjudicated an incapacitated person: B. Grant of Letters of Administration app rca e, en en c..a.; ..n.c..a.; en e r e; uran e a sentra; uran a minon a e 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: (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.) r ~-., 4833 East Trindle Road, Mechanicsburg, Hampden Township, Cumberland County, Pennsylvania ;List sL~eet add~ss, to.vn/ ;;, tcwrship, couch;, state, zip code) Holy Spirit Hospital, Camp Hill, East Pennsboro Township, Cumberland Decedent:, then. $7 years of age, died on 12/21/200$ at County, Pennsylvania Decedent: at death owned property with estimated values as follows: (If diomiciled in PA) $ 80,000.00 (If not domiciled in PA) (If riot domiciled in PA) Value of real estate in Pennsylvania situated las follows: NfA All personal property Personal property in Pennsylvania Personal property in County 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 under;>igned: C Signature Typed or printed name and residence ,~ Jessica L. Gardner 1220 Rossmoyne Road 1, ~ t..~ ^ ~~ _, Mechanicsburg, PA 17055 Form -02 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 (COMPLETE IN ALL CASES.) Attach additional sheets if necessary. ,r, Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at ~=''' Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland 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 o; affirmed and subscribed ~ -'~-~~-~z/ 1 ~(-/-L'~"<-~`-2--/ Signat of Personal Representative Jessica L. Gardner _? before me the ~ day of _ .:a _ _ ~~ 'Z~~ Signature of Personal Representative _~ ~ ~ ~- ~:ti i or the Register Signature of Personal Representative -_ --- _ ~j c. C ~~ - ~~ C31 File Number: 21-- ~ `~ ' ~ ~`~ Estate of Josephine L. Collitt ,Deceased Social Security Number: 1\7'4-2_0-75255 Date of Death: 12/21/2008 AND NOW, . ~~ C~rr ~ .~ ~ ~~`r; die r' 1~~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Jessica L. Gardner in the above estate and that the instrument(s) dated 10/26/2007 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent FEES ` L ~ ,,~ ~ ` ` Letters ............... ~.1~..,~?~...... ... $ ~ \©. D~J , ~~ ~ ~l-4'1..~,L. Short Certificate(s) ................~.... .. $ 2~(S :C7~ ,,r Register of Wills ~ ' ,,' Renunciation(s) ........................... .. $ Attorne Si nature: Y 9 o ,. „~ '~ ' - '`_--- - /~ ~. i,~ ~1, $ 1 ~ . ~ Attorney Name: James D. Boga ~~~, ~ $ -O .CO . Supreme Court I.D. No.: 19475 ~-~~' $ 5 - rl ~ Bogar ~ Hipp Law Offices $ Address: One West Main Street g Shiremanstown, PA 17011 $ Teiephone: 717-737-8761 TOTAL ................................... . $ c~ ~p~ . (~~ Form RW-OZ Rev. 1Q-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 GAL. ~EGISTR~F~~ ~~~1~~~~~~~1~~ ~F ~~ °JUARNl1V(.~: 8t is iilega! to ~lspi;cafe this c~a~y by photostat or photo~r~~n. tc~' islr ll,,~ ~:tt~,,l. l~ ~~ r1? ~' ~~-(~3 r~E~~ t °'li~I~ U~.t!f ;~ I".'. .,~SC.~ '~~ I JP~"- t:tl. ~ifF .'t)~°`~'.I. is _. +:1.. { ~.'I: aft .°I i7 °~•~~~ ~'l~-c !r tl ~i7l~ Il I:`ti ,.'.?~ _.3 ! 1,. I { ~i ~_ r .; ~/ 3>ti~ }~~til'yi~lS,4 f~l .u. ~-. 'l .?1 u. 1. Iii ,kir z+,. -- _;~,r ~ ,~I C,~ /~ ~'iii~i7_- ~.!) -lj iZ~`TI~I; _ ._ I _..i, ~tl'.:ri . ~..- i•-.~ ~-' L..~. ~ ' _,..P• _~.t tim~ - ~~ ~i~e Ntos.lu REV n/zoofi nPE ~ PRINT IN PERMANENT 13lacK wK ~ 31-416 3 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CORONER'S CERTIFICATE OF DEATH ( ~f ` c77.+,~y (See Instructions and examples on reverse) STATE FILE NUMBER (~ \ v U l ~ V ~+ I. Name d Decadac IFusl, itdOM, mar. wlaal 2. Sea 3. Social Secwty NwNer 4. Dam d Deem IMOmn, day, year) Josephine L Collitt Female 174 - 20 - 7255 December 21, 2008 5. Age (feel BiNWay) Under 1 Under 1 day 6. Dale d BiM lMaah, daY, 1 7. BkdlPlace (~ BrN orals a - counhy) ea. Pmu d beam (Check ab) 87 was an ~+ ""^~ July 31, 1921 Harrisburg, Pa. ~ Yrs. ^ IrpaWd ER / O14Patieru ^ DOA ^ Nurseg Nome ^ Respenca ^OIMr - Specey: • 6E. County d Deem Bc. City, Bor d Death Bd. FadNy Noma Ip nd naeu9w4 V+a grad and darmr) 9. Was Receded d Nispercc Orgn7 C71 No ^ Yea f 0. Rau: Anwrign kdan. Bled, Wttle. at. ^C • Cumberland East Pennsboro Holy Spirit Hospital l~ ~wrm~,ex~ 1 White 11. Decedent's Usud aeon KuM d wok dau moq d We. Do not amm retired 12. Woe Decedent ever m mw 13. Oerodrd't Edratian (Speedy wiry hf~ep grade mrnPmted) 11. Model Smog: Married, Nwr Maned. 16. Swvnvq Spouse IM woe, 9e'e mai0an rwnel WitlowW Dkaud (SPoctlyvj NuW d Waa Kind d Bueuwca I mduauy , U.S. Artnetl Faue7 Elementary / SecaMary (o-121 College 14-1 a 5.1 Widowed Teacher Education pYee - 16. Oecedad's Mairp Address Greet, dH / twm, amts, zq toes) ' rde PA tam mD ae~a Hampden Yea, Dxadad lived n Twp. Seta 17c Adual Residrme 17a rindle Road 4833 East T ~ . Tewiuhip7 Mechanicsburg, PA 17050 ,m ceumy Cumberland nd. rm,t3xwdaN Uved wilNn Aawl liNb d coy / eao 1B. Fame's Name IFUr nadde, lest, adful Robert W. Fish 1B. Motlwls Name (First ndd0e, maiden awrwrw) Alice Catharine Trostle 20a. InhxmaN's Name (Tips / Pmq Jessica L. Gardner 20D. Idommnt's MeiYnp Addaea (greet. coy / Iwm, aam, dD mdel 1220 Rossmoyne Road Mechanicsburg, PA 17055 21 a. Memod d Dispositiar ^ Cremation eon 21b. Date d Disposition (MOdh, day, curl 21c. Plan a Dispositiarl (Nacre a cwrlewy, wenumy a alher place) 21e. l.cutial (city /man, atom, zp nodal ^ Burial ^ Fiemovalfran5ule WaCraredonaDOnatbnAUtlwrbw ' ~ December 23, 2008 Hershey Medical Center Hershey PA, 1 7033 ^ odl,r ~ A': M Esamkw! Caorw7 I Yea ^ No d Furersl " la eakg as such) 22b. Lirenae Nunmr ~ 22a 22c. Name aM AeNesa d FadMy . FD-012662-L Myers Funeral Home, Inc. 37 East Main Street Mechanicsburg, PA 17055 - ~ , `. gems c ody when arWyinq 2 . To the bed krewledge, Beam aaurred at the time.. dam one plau smled. (Sgreaue and tltle) 23b. liunce NurMr 23c. Dam Signed IMaun, day, Yea) ptrysatian a ml evocable at time d deem m camY taus d Beam. - gems 2426 roust De aunpmted by person 24. Tune d oeam 25. Date Prawurrced Deed (MOdh, daY• earl 1008 2B. Was Casa Referted m Medical Eaamirbr / Carew mr a Reason Omer than Cremption a Damdm7 wnapalaacesdeam 6:10 A. M. December 21, ®Yes ^Fic CAUSE OF DEATH (See InatruMbru end sxempNe) 1 Appraxarem Wervd: Parr It: Eder otlw ~ 28. Did Tdracu Use CowEiM m Desm7 inMaies, a canpM<auone - tlrar dkedty causes tla deem, DO NOT eder mmdiW evade such ae urd'uc arrer, 1 Oreet m Deem Pert l: Enmr me tlain d everts - dseasea dam 27 EU nd resuairq n me q uuM dmm m PN I. ^ Yee ^ Pmbedy , . msptiatory enesl, a veddculer libritlalion whlwut ShdWMlg me atialdgY. liSl oftly aw reuse al eadl crN. ~ ^ No ^ lharwwn r yLMEOIATE CAUSE SF~w~,d Ouease or 1 Cardiomyopathy ~ wrdtim rewNrKlm'r°~'v e 29. N FemNe. ea ^ Nd dkn ear a ++d -y, . Dtr m (w a9 a consequence o¢. ~ 6 any p d~Yy est mndeiorac ~ w p r n v ^ PrepwN ar mru d deem , , _ i ga prq b die cause asmd an tiu a. ^ Na pregrwa, bM Pregnant wMY112 days Dw to la ea a consWUnce ol): Elver fs IINDERLYWG CAUSE ~ tteLSedae a MIIaY met k1Ai 1 C d deem . 1 bvems ferMg m loam) LAST. i Rut gegiwu 13 mys b I year ^ pp m la ea a corlaequerlce oil: 1 1 d ukxe OeeN ^ tkYUawri a Prwnaa wimm me Past year . - 3Da Wm an Autopsy 30D. Ware Adapay Fndngs 31. Mamer d beam 32a. Uare d Irdury (Manor, day, Y~1 ~. aaaEe ~' kyury Ocarced 32c. Place d Irdury: Ilarru, Farm, Suer, Fxbry, Odice Bui6y. ~~ (SPadYI Perpamed7 Avadanm Prior W Carylelion d D m7 C IIqaat ysl Ndwd ^ Ftomicide ea d ause ^ Accident ^ PenOirig Imeslgatim 32d. Tore d IrMlry 326. Inlay W Waal 321. q Tnnspamtlm tigwY (Spealyl 32g. LoceOOn d Wury (Street, caY' / Corm, aWel ^ Yes ~ No ^ Yes ^ No for ^ Passenger ^Pedeslnan ^ Yea ^ No ^~ a ^ Suiriim ^ Could Not u Delenarud M ~ ~ 3:m c«tirw (d»d wdY aa,l 33e signelw. and rr a c. Co r one r • CertY1WN pnyalcmn (Plrys'vaen cerulyinp case d seam when ananer pnysrian nee proraunced deem end unWleled Imm 23l ________________________ ^ d due mtM cwee(el+rb manrera ettlea r W - _________ l xca e To drs bpldmy tinowMdpe, de • Pralowwkq old oMKykq phyekmrl (PhYSiden bdh Dror~mg deem avl uditYYp a cause d deem) ^ 330 Ucenee Numhr 33d. Dam Spwd (Mmm, deY. Yerl Ta dr Datdmy luawNega,awneawred Mlle Wre.are, arq plxw~anddwmlM Cwaepl rill manor namrd__________________ December 22, 2008 • Medical Eaanikw I Caonr On tlr heals d eaamkutlon erq! a mreWpMlon, m my oWrdorl, deem occurred N tM tlrrd, d.a, erW plan, end duo m tlr nause(a) erd mamr a etaled_ annpe~u 3~~e Tl'an 1 oL~~eC'8~.~~1 TYW / Pha 1 Ill rmwr.erdDlsldclNunAar r'aSi 3 38.DemFdedlMafi,dayYea) te 6375 Basehore Road g 700 PA 1 r i b M h p 6. e I o21 I I al ~ I~ 1 3 ~ poi . u g, an cs ec ~ \ ` V V Dispoalllon Permit No. ~ ~ 5I ! !~ 1 .. LAST WILL AND TESTAMENT OF - JOSEPHINE L. COLLITT ~3 I.~ ,':~..~ 43 ~~J 'ri my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. I, JOSEPHINE L. COLLITT, of Mechanicsburg, Cumberland.,_:~ -. County, Pennsylvania, make, publish and declare this as and forr~~ FIRST: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, in equal shares, to my children, J. BRADFORD LANGDON, JESSICA L. GARDNER, and PETER D. LANGDON, provided that should any of my children predecease me=_, I give and bequeath such child's share unto his or her issue pc=_r stirpes by representation, and if there be a failure of same, then I give and bequeath such deceased child's share to my surviving children as provided herein. SECOND: Should any of my grandchildren not have attained the age of twenty-one (21) years at the time for dis- t=ribution to him or her, I give, devise and bequeath the share of each such grandchild to my hereinafter named Trustee or Trustees: IIU SEPARATE TRUSTS, to hold, manage, invest and reinvest the _slzares so received, and to use and apply from time to time such portion of income and principal for the said grandchild`s .. education (including college, trade school or other similar graining or education), as my Trustee or Trustees, in their sole discretion, deem advisable. Any income or principal not so applied shall be dis- t=ributed to each grandchild when he or she attains the age of twenty-one (21) years. In the event any of my grandchildren predeceases me or dies prio.r_ to the termination of this Trust, ~..._ . «.: ; ..a . ~;, the interest of said grandchild in said Trust shall cease with any income and principal being divided evenly between or among that deceased grandchild's natural brothers or sisters or the separate trusts established hereunder for their benefit and, in the absence of any natural brothers or sisters, to my other grandchildren in equal shares. THIRD: In addition to all powers granted to them by law and by other provisions of this Will, I give the fiduciaries acting hereunder the foilowir~g Rowers, applicable to all proper- t~r, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give lE=gaily sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. (B) To partition, subdivide, or improve real estate axed to enter into agreements concerning the partition, subdivi- sion, improvement, zoning or management of real estate and to irnpose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all forms of property, including .shocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted irl insurance policies or in other investments. (F) To exercise any election or privilege given by the 2 Federal and other tax laws, including, but not necessarily being 1_imited to, personal income, gift and estate or inheritance tax laws. (G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will, and for i?vestment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee st=ock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever m<~nner they consider advisable. FOURTH: I nominate and appoint my daughter, JESSICA L. GARDNER, as Trustee of the hereinabove described trusts. In the event of the death, resignation or inability to serve for any reason whatsoever of the said JESSICA L. GARDNER, I nominate and appoint my son, J. BRADFORD LANGDON, as Trustee of the hereinabove described trusts. In further the event of the death, ~~ resignation or inability to serve for any reason whatsoever of ~~ :'_ ti the said JESSICA L. GARDNER and J. BRADFORD LANGDON, I nominate and appoint my son, PETER D. LANGDON, as Trustee of the ', hereinabove described trusts. I direct that my Trustee or Trustees shall serve without bond and shall receive fair and ^reasonable compensation. ~ FIFTH: I direct that all inheritance, estate, trans- fE=_r, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the principal of my residuary estate. 3 SIXTH: All interests hereunder, whether principal or income, which are undistributed and in the possession of the fiduciaries acting hereunder, even though vested or distribut- able, shall not be subject to attachment, execution or sequestra- tion for any debt, contract, obligation or liability of any beneficiary, and furthermore, shall not be subject to pledge, assignment, conveyance or anticipation. SEVENTH: I nominate and appoint JESSICA L. GARDNER, E:~ecutrix of this, my Last Will and Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the said JESSICA L. GARDNER, I nominate and appoint J. BRADFORD LANGDON, Executor of this, my Last Will and Testa- ment. In the further event of the death, resignation or inabil- ii~y to serve for any reason whatsoever of the said JESSICA L. GARDNER and J. BRADFORD LANGDON, I nominate and appoint PETER D. LANGDON, Executor of this, my Last Will and Testament. I direct that my Executrix or Executor, Trustee or Trustees, as the case may be, and their successors, shall not be required to post sE=curity or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and _~. seal to this, my Last Will and Testament, this ,,~d- day of t.{ ~.¢.ti;r, 2007. ~_ ~ ~~ ,_ ;, ~ ? ~~~~ ~ ~'~~~~_~ ( SEAL ) J6SEP'INE L. COLLITT 4 Signed, sealed, published and declared by the above- named Testatrix as and for her Last Will and Testament in our presence, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as airtesting witnesses. Address Address 5 MEMORANDUM In conjunction with my Last Will and Testament, dated j{ ~t„~ ,,,,. 1 F: 2007, the following information may be of some hE=_lp to my personal representatives in the administration of my e:~tate. This information is in no way intended to be a part of m_y Will nor to alter in any way anything contained in my said Will . 1. I wish it to be known that my son, PETER D. LAI~TGDON, is indebted to me in the amount of $9,000.00. This obligation arose as a result of my loan to Peter of this amount. To date, there have been no repayments on account of these loan obligations either of principal or interest. My records will rf=flect payments, if any, made by Peter subsequent to the date of this Memorandum. 2. It is my desire and request that any monies due and owing from my son, PETER D. LANGDON, to me, as a result of this loan obligation, be either repaid in full by Peter or credited against any inheritance that he might receive as a result of my p<~ssing and under the terms and conditions of my Last Will and Testament. I make this request in fairness to the rest of my children and grandchildren. . ;, _ Date : o ~~ ,~ _,~~2 ~~ ( SEAL ) ~~~?~~~~ JOS)~- HIT~`E L. COLLITT 6 <.> t~) -- ,- _ OATH OF SUBSCRIBING WITNESS(ES) 1 REGISTER OF WILLS --. CUMBERLAND COUNTY, PENNSYLVANIA -r_ ': e . ~~ e~, Estate of Josephine L. Collitt Deceased James D. Bogar and Beth B. Lengel , (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 she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /they signed the same and that she / he /they signed as a witness at the request of the Testator /Testatrix in her /his presence and in the presence of each other. (Street Address) Shiremanstown, PA 17011 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills (Signature) 1 West Main Street (Street Address) Shiremanstown, PA 17011 (City, State, Zip) z ~ o Executed out of Register's Office O N ~ o mZ~ 4 ~ m N Sworn to or affirmed and subscribed >„OCp w V ¢ o?9~'h day a before me this ~ o o wi -g ~ Z ~ W ~~_"' ~ S _ ¢ a ~n-~G J of Pc~-Mhc r a2OO ~' W Q 2 O ~~.._', m_ o . _ m Z - ~ ~ ~ ~. Z ° ~~~~, `F-- ~ ~<~ s ~ Zz~ °v ~g° W U Notary P blic My Com fission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Form R Gi! 03 rev. 10.13.06