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HomeMy WebLinkAbout01-07-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of JAMES N. FRITZ also known as Petitioner(s), who is/are l8 years of age or older, apply(ies) tor: (COMPLETE 'A' OR 'B' BELOW:) Deceased File Number _ ~ ~ ~ , ~~~~ Social Security Number 172-18-9629 ^X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the CO-EXECUTORS named in the last Will of the Decedent dated 11/13/2008 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 fur probate, was not the victim of a killing and was never adjudicated an incapacitated person: B. Grant of Letters of Administration (If applicable, enter: c. t. a.: d. b. n. c. t. a.; pendente lrte; durance absentia; durance 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:(If Adrninisn•ation, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) Decedent, then 93 years of age, died on 12/7/2008 at Holy Spirit Hosp~tal 503 North 21st Street Camg Hill PA 17011 Decedent at death owned property with estimated values as follows: 135,000.00 (If domiciled in PA) All personal property ~ ([f not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Value of real estate in Pennsylvania Personal property in County 1104 MARKET STREET, NEW CUMBERLAND, PA 17070 situated as follows: $ 165,000.00 Wherefore, Peti[ionertsl 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: „ Sig a i Typed or printed name and residence ROY W. FRITZ 107 OLD YORK ROAD, LOT 319 ` 7 NEW CUMBERLAND PA 17070 --_ _-__? DANNY L. FRITZ 745 GLEN ARDEN DRIVE Page 1 of 2 Fnrnr Rib'-tl2 rer'. 10.13.06 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~' Q ~ •~ Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his /her last principal residence at 1104 MARKET STREET NEW CUMBERLAN PA 17070 ~Li.ct .~~n-eet uddre.~~s, cox°rt/citr, tolanship, county, state, zrp code) 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~4e Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or af~irme/d~.~a-n{~d subscribed tore me the ~_- day of ,~ Fort Register ~~~ Signature of Personal Repre.tientati`ve ~- ~~ ~_ Signature of Personal Signature of Personal Representative File Number: ~ ~ ~ V ~ _ ~~) I ~ ~~ 'v Estate of JAMES N. FRITZ , Deceased :. J \~ .. t r - t.. zs -; -, ~ `;` `+. ( t .~" Social Security Numb r:172-18-9629 ~ ~~` Date of Death: 12/7/2008 AND NOW, ,s7~~1~-, in consideration of the foregoing Petition, satisfactory proof having been presented before e, IS DECR that LettersTESTAMENTARY are hereby granted to ROY W. FRITZ and DANNY L. FRITZ in the above estate and that the instrumentO riatPrl 1 1 ~~~~ ~--- described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of D cedent. ~~~~ ~ ~~~ FEES ~ !~ (/' ~ Wily ~ ~/`! ~/~, Letters ............................. $ ~1L (( Short Certificate(s) ••~~••••~••• $~ Attorney Signature: ~ - Renunciation(s) •••~~~•••~~••••~ $ {~ STONE ESQUIRE - $ {~ O~j , Attorney Name: DAVID H~ - ~ - •~~• $ ---~~=-~L Supreme Court I.D. No.: 39785 ~) - .. $ ~' L Address: 414 BRIDGE STREET _ .... $ - •~~~ $ NEW CUMBERLAND _ .... $ - .... $ PA 17070 "~~ $ 717-774-7435 Telephone: .... _~~~ TOTAL ............................. $ Farm RW'-02 re~~ l0. 13.06 Page 2 Of 2, J LOCAL REGISTRAR'S CERTIFICATION IOF DE1~'~'H WARNING: It is illegal to duplicate this copy ey photostat or photograph. ~ Fee t~>r this certificate, $6.00 I P 148108~~ Certification Number iEV ttrmofi RIM IN 4NENT K INK Jk~l -Lr1Q 1 This is to certity that the ird~lrmation rler~ given is c,r7ectly copied from ui orif~in~ll Certificab° of Death duly filed y'.~ith me ~s Loco Rhgistru~. TEe ori~~inal certificate will he forwarded to the State Vital Records Glficc i~or pe nr<Ine~t filing. ~~a~ ~~ ~~. , DES 0 7 8 Local Registrar ;~ Datc Issued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECOR',OS CORONER'S CERTIFICATE OF DEATH (See instructions and examples on reversal ..7~ tiv O O - 1, x„p ~-v a ~~ ~ ! ~~~ F~ ~•.1 ~ ~ : _~ r~ ~3g° ~ _ _~~ ~ ~ 1. Name of Decedent (First, middle, last, sNfix) James N Fritz 2. Sex Mal 3. Social Security Number - y 4, Dale of Death (Month, day, year) e 172 -18 ~ 9629 December 7, 2008 5. Age (Last Birthtlay) Under 1 year Untler 7 tlay 6. Dale of Birth (Month, day, year) 7. Birmplace (City and state or for eign country) ea. Place of Death (Check only oneJ MmMS Days Iburs Minutes HOSpllal: Other: 93 April 2, 1915 Donegal, PA Yrs. Inpatient ^ ER / Outpalienl ^ DOA ^ Nursing Home ^ Residence ^Other -Specify: eb. County of Death &. City, Bo Twp. I Death Sd. FacilN Name (If net instNutbn, give street aM number) 9. Was Decedem of Hispa,ic Origin? ~] No ^ Yes 10. Race: American Intlian. Black While etc , , . Cumberland East Pennsboro Holp Spirit Hospital pr yea, apecily caban, (spacdN Mexican, Pueno Rican, etc.) Whit e 11. Decedent's Usual Occ lion Kind of work done Olin most of workin tile. Do not state retired 12. Was Decedent aver in the 13. Decedent's Educalkn (Speciy only highest grade completed) td. Marital Status. Married, Never Marrieq t6. Surviving Spouse (If wile give maiden name) , Kintl of Wqk Kind of Business t Industry U.S. Armed Forces? Elementary I Secondary (0-12) College (1 ~4 or 5+) WldoweQ Divorced (Specify) Heater Bethl h St e em ee ®Yes ^NO 12 idowed 16. Decedent's MaNing Address (Street, city /town, state, zip case) Decedent's Ditl Decedent PA 1104 Market Street Adi,alResidence t7a.Slate ish ,7c^vas,Decedentlivedin Twp Tw n New Cumberland PA 17070 17h ceeny Cumberland ro t7a.~ No,DecedenlLivedwnhin New Cumberland Aqual Limits of Clry I Boro 19. Father's Name (Fxst, middle. last, suRix) 19. Momer's Name (First, middle, maitlen surname) N/A N A 20a. Informant's Name (Type / Pnnq Danny L. Fritz 20b. Informant's MaNing Adtlress (Street, city !town, stale, zip code ) 745 Glen Arden Drive;, Lewisberry, PA 17339 21 a. Method of Disposition ^ Crematkm ^ Donaton 21 b. Date of DISpO3N0r1(Month, day, year) 27 c. Place of Disposition (Name of cemetery, crematory or other place) 21 tl, Laalion (City /town slate zip code) ® Burial ^ RemovallromStale WasCrematbnorponetionAu'hodzed ^ Other ~ Spedry: '~, by Medical Examiner /Coroner. ^ Yes ^ No Dec. 11 2008 ~ Tri-County Memorial Gardens , , 22a. elate of Funeral e Lrcense~orpe ecarxg as :such) 22b. License Number 22c. Name and Adtlress of Facility - ~oxu ~j/~s~°^_"'' FO 012342-L Stone & Murray F.H.,408 3rd. St.,New Cumberland,PA17O70 to Items 23at ony when certirying 23a. ~ th sl of krrowledge, death occurred at me time, date and place stated. (Signature antl title) 236 License Number 2 n is not availade at hme of deem to . 3c. Date Si netl M g ( onth, day. yeaq certify cause of death. Items 24-26 must be complatetl Dy person 24. Tme of Death prX . 25. Date Pronounced DeaO (Month, day, year) 26. Was Case Referred to Medical Examiner /Coroner for a Reason Other Than Cremation or Donation? who Pmnwrrces deem. 9:40 A. M. December 7, 2008 '~ves ^No CAUSE OF DEA7N (See Inatructlone end examples) roximata interval: Item 27. Pan C Enter me Mein of events - tliseases, in uses, or corn r ~ j pNOtrons -that tlirecNy roused the deem. DO NO7 enter terminal events such as cardiac arrest Pan II: Enter other ni qlo Ik:anl condAions conlributinq to tlealh, 2B. Did Tobacco Use Contribute to Death? . Onset to Deam respiratory anesL or ventricular fibrillation without showing the etiobgy. List only one cause on eaM line. but not resudi in Iho rig' undetlying cause given In Pan I. ^ Yes ^ Probably r IMMEgATE CAUSE (Foal disease or r ^ No ^ Unknown contlilion reSplAngmdeam) _~ a Pending Investigation ; 29.nFemale: Due to (or as a consequence ofJ: ~ ^ Not pregnant wahln past year Sequentially 6sl condtions, if any, b kadnq to the ease listed on tine a. r ^ Pr nant al lime of tlealh e9 Enter the UNDERLYING CAUSE Due to (or as a consequence ot): r (disease or injury mat initiated me ~ c ^ Nat pregnarn, hm pragnanl within 42 days events resuaing in death) LAST ' of death t Due to (or as a consequence off: d r ^ Not pregnant, bet pregnam 43 tlays m t year f _ r 30a. Was an Autopsy 30b. Were Autopsy Findings 37. Manner of Death 32a. Date of Injury (Month, tlay, year) 326. Describe How Injury Occurred be ore deals ^ Unknown it pragnanl within the past year Performed? Available Prior to Completion ^ Natural ^ Homkide 32c. Place of Injury Home, Farts, Slreel, Factory, Office Bulking, etc. (Specity) of Cause o1 DeatM Yes ^ No ^ Yes ~No ^ Accitlenl Pending Investigation 32d. Tme of Injury 32e. Injury at Wwk? 32f. N Transponallon Injury (SPecrtyJ 32g. Location of Injury t51ree1, dty /town, state) [] Suicide ^ Could Not ce Determined ^ Yes ^ No ^ Driver /Operator ^ Passenger ^ Petlestnan M ^Omer ~ SPeciry: 33a. Certifier (Neck Doty one) 336. Sgnatwe antl Ce ' i • Certirying phyak4n (Physidan certNying cause of death when andher physician has pronancetl death and canpkled Item 23) To tM best of my knoMatlge, deem occurred due to the cause(s) antl manner as atatetl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _____ ^ • Pronquncing and eeNhylrtg physklan (Ph sidan both ronouncin l m d rtN i f - _ '"~ y p g oa an ce y ng to cause o deem) T 33c. License Number 33d Date Si d M th d o tM best of my knowledge, death octumed at tM time, date, aM place, and due to the auae(e) and manner as ahted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ . gne ( on , ay, year) • MedlulExeminer/coroner December 8, 2008 On lM heels of eaemfnadon end I a inveslgstion, in my opinion, death otturretl at the time, date, end place, and due b me ceuae{s) and manner as stated. ~ 34 Name dd ss of P rso ho plated Cause of De Item 27 T pe /Print ~4i ~ l `t"~ ~ ° egi ignatpreantl N 3s.R st 3s. DateFil (Monm,tlar.Yean- c iae . o+_ris, ~ bro~3~r 6375 Basehore Road Suit 111 - lot I ~ I ~I / I' I ~„{ r~/~fGU ~ , e Mechanicsburg, PA 17050 Disposition PermM No. ~-5~•_/ / / r~ F: ~DCCS\EP\WILLS \Fritz. James.wpd LAST WILL AND TESTAMENT OF JAMES N. FRITZ I, JAMES N. FRITZ, of Borough of New Cumberl~~nd, Cumberland County, Pennsylvania, declare this to be my last will ar~d revoke any will previously made by me. ITEM I: I devise my house located at 1104 Market Street, Borough of New Cumberland, Cumberland County, Pennsyl~rania, subject to any inheritance taxes thereon, to my son, ROY W. FRITZ, my son DANNY L. FRITZ, and my step-son, RICHARD FRITZ, or to the survivor of them. ITEM II: I devise and bequeath all of the .remainder of my estate of every nature and wherever situate to my sons, ROY W. FRITZ and DANNY L. FRITZ, or to the survivor of them. ITEM III: I appoint my sons, ROY W. FRITZ arzd DANNY L. FRITZ, Co-Execut=ors of this my last will. ITEM IV: No fiduciary acting hereunder shal_1 be required to post bond or enter security for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, JAMES N. FRITZ, have hereunto set my hand and seal this !3 day of /~ ~~„ a 2008 . /~7j 1,~n ,~ ~7 ~rj! J,~i`MES N. FRITZ ~ ~ ~ ~~ ~ , a ~~ ' ~1 _ I r _ .-_.. Page 1 of 3 ~ ~~Q A ~ _. ~ ~, t--~ °` _ : rte. ; . ~-_ o SIGNED, SEALED, PUBLISHED and DECLARED by TAMES N. FRITZ, the Testator above named, as and for his Last Will and Testament, and in the presence of us, who at his request, in his presence and in the presence of each other, have subscribed our namE~s as witnesses. Hess Witness COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND SS: Address `lt,V ~.J~ ~t ~.2~.~ t ~ ~~ ~1~ 21,J Address ~,~,~~ ~.~ I, JAMES N. FRITZ, the Testator whose name is signed to the attached or foregoing instrument, having been du=_y qualified according to law do hereby acknowledge that I signed and exE~cuted this instrument as my la_~t will; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein contained. ;? 1 t ,J _/ ~ C' ..~' d'AMES N. FRITZ Sworn to or affirmed to and acknowledged before me by JAMES N. FRITZ, the Testator, this /_~ day of ~~ .~^ 2008. COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL DAVID H. STONE, Notary Public New Cumberland Boro.,Cumberland Co. - c My Commission Expires Nov. 9, 2010 Page 2 of 3 COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND We, FEZ f~~ 1'<et(~, and ~~, c~„ ~ _ <<e / (5- the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw Testator sign and executE~ the instrument as his last will; that Testator signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as witnesses; that to the best of our knowledge, thE~ Testator was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. ness Witness Sworn to or affirmed to and acknowledged before me by -f,~Ia. r~,, ~t'4 and ~•~lf'on ~_- ke r 1 ~ , witnesses, this ~3 day of /~~~,,, ~~ _, 2008. COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL No t ~~ y ub l i c DAVID y . STONE, Notary public New Cumberland 8oro., Cumberland Co. My Commission Expires Nov. 9, 2010 page 3 of 3