HomeMy WebLinkAbout01-30-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Violet R. Basehore
also known as Violet E. Basehore
. Deceased
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
File Number `7~~ ~ %~ ~v~r~ -
Social Security Number 182-22-8815
/~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Executrix
last Will of the Decedent dated March 31, 2005 and codicil(s) dated
named in the
(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 (f PP endente life; durance absentia; durb~n~e mmontate) ~•
1 a licable, enter: c. t. a.; d. b. n. c.t.a.; p ~ w ~;
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spv~ ~ any) ~ heirs:' {If _
i T t) ~i::
,,~ r._
Administration, c. t. a. or d. b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~ rn ~
Relanonshm Resrdep~ ~ ~
(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
Count Meadows 4905 Trindle Road Mechanicsbur Ham den Townshi Cumberland Coun ~ Penns lvania
(List street address, town/ciry, township, county, state, zip code)
79 ears of a e died on December 3, 2008 at Country Meadows, 4905 Trindle Road,
Decedent, then Y g
Mechanicsbur Penns lvania 17050
Decedent at death owned property with estimated values as follows: $ `~0;, ~_ ~ ~ C ~
(If domiciled in PA) Al] personal property ----r
Personal property in Pennsylvania $
(If not domiciled in PA) $
(If not domiciled in PA) Personal property in County 0.00
Value of real estate in Pennsylvania
situated as follows: N/A
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 appropnate form ro
the undersigned: .
f`~
Teresa L. Pennington, 29 Forest Drive, Mechanicsburg, PA 17050
(formerly known as Teresa Hunt)
Page i of 2
Form RW-02 rev. 10.13.06
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 or affirmed and subscribed
before me the ,_~~ day of
t~
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For the Register
`-~! 11~. ~.~ i~t.~,~
Signature of Personal Representative
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Signature of Personal Representative .i] ~j
if ~:;
,` ~
Signature of Personal Representative _~ ~
D ._-
File Number: ~~ ~~~ Q~'" '
Estate of Violet R. Basehore a/k/a Violet E. Basehore
Social Security Number: 182-22-8815
AND NOW, "
having been presented before m , IS CREED t Letters _~
are hereby granted to
Deceased
Date of Death: December 3 2008
~•.,
~L ~
of the foregoing Petition, satisfactory proof
in the above estate
and that the instrument(s) dated ~~~~f ~ til L~
described in the Petition be admitted to probate and filed of
FEES
Letters .. j~~l.vZ>b... $ °<(~~
Short Certificate(s) ...~ • • • $ 3 °~
Renunciation(s) .......... $
(,~ i (~ ... $ l
r'1.~ ~~ ... $ s
... $
... $
... $
... $
... $
... $
TOTAL .............. $ ..3c~
(717)724-9821
Telephone: ------
Page 2 of 2
Attorney Signature:
as the last Wj~l (and Codicil(s)) of Decedent.
Register of Wills ~~,~ 1 J
~`~~t- ~ / ~" J/
Attorney Name: Steven P. Miner, Esquire
Supreme Court I.D. No.: 38901
Address: Daley Zucker Meilton Miner & Gingrich, LLC
1035 Mumma Road, Suite 101
Wormleysburg, PA 17043
Form RW-02 rev. 10.13.06
105.905M5 REV. 9108
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in actor ante
with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Frank Yeropoli
State Registrar
Military Q~~ Q 9 ~~,
status ~.6~83~~ '
C ate .ice
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~~ O~ ~~
Ntos.tuREY"n0°6 CORONER'S CERTIFICATE OF DEATH
TYPE I PRINt IN STATE FILE NUMBER
PERMANENT ($BB IOSLfUCtI003 eOd 0X8PITP1@S OA fEVBfSC~
BLACK INK ~~ 31-407 4. Date d DaaN 1• day. Year)
z.saa s.so°slseaady"areber December 3, 2008
t. Named Decedertl lFiret. mdde, last. sulhx) Basehore Female 182 - 22 - 8815
Violet E. Ba.PlecedDeam ~` °~) oNer:
IkW« 7 du Under 1 O 8. Date d BIM (MenN, da , ar) 7. Bidhplece (~ and date « ~ mart( ~~
6. Aqa (last BlrNaavl ~„, tanM.
"1pe° °"' June 2 , 19 29 New Cumberland , PA ^,npatied ^ ER / ouNatient ^ DDA ^ Nwstng t,«ne Residence ^omer ~ ~+'
7 9 ,o. Race: Amencm Indian, Bred( wnaa, do.
Yrs. 9. Was Decedent d tgspadc Origin? ~] "° ^Yes (SPeodY)
fit. City, T DeaN fid. FacaiN Name ld not indnutim, 9t+^ tired end raar0er) (It yes. epedF/ GWan~ White
• ~. CamN d OeaN Meaicen, Puerto Rkan, etc.)
Hampden Country Meadows nwifa, gNe makren mme)
Cumber land d ode conroretad) u. kwdd Sawa: Herded, Never Horded, ts. sam+klg svauaa
Ne. Do not tide red 12. was pecedent ever n Ne 13. pecedents Education IsvedN oNY ~~a (td or s.) '"U0M'ed• Oivaced (Spea'M
11. pecedenfs used ~ ~ d rark done rtwd d U.S. Wmad Faces? Elementary / SecondaN (O12) Wldawed
Kurd d Work Kintl d Business I IrdudN 12
Halle ^Yes ®No
Hanemaker Did Decedent AamDClen -Tr,P
Dacederd's pennsylVanla Live Ina ,7c. ~ res. Decedem Ured In
16. Decedents Menng Address (SUeeL cn1' I totm, date, zip coda) Finial Reddence 17a. Side TovmsNp? 17d. ^ No. Decoded tired rdNn CAy I Boo
_ 4905 Trindle Road ,7e.cwnN ~""berland ~n,dl;maea
McCI]arli sb PA 19. Mdh«'s Name lFlyd, rrcddle. nwidan suname)
18. FeNer's Nama (Rm, middle, lad, suNa) ~3eatrice Irene V leson
20b. IMrnmad's Meing Address (Sired. cn1' I1«m, arere, np code) PA 17
20a. Intomrmts Name QYPa / Pdnp 24 Fortis D ' v MeC i
21d. Localron IGnv I rear. ~re• ~ ~)
Teresa L . Penni a Cremedm ^ Gelation 21b. Dare d olap^~n (MOnN. day. Ya«) 21c. Race d Diaposlhon (Name d cemeteN. «emelory a oNer Precel PA
z, a. McNaaa D'avoeaion ~ Aechanicsburg Cemetery Mechanicsburg,
gl Badd ^ Removal lrpn sate . I ~ :~~D~^i ac a~1xe0 ^ Yea ^ No ~ • 6 f 2008 ~ e aza aY
• ^ OUter ~ 22D. License Numb« 22c. Name erM ~'~ d FedhY McChaIllCSbUrg f PA 1 7055
228 Sgadu6• anaral service s°^ ~ ~') Mal zzi .1~7neral HClne
< (L FD-014889 Pe z3c. Dde signed tM«dn. der, year)
~ , 236. license Number
e h only,d,e„ card ~ 23a. To the bad d my pioeredge, deaN aaafned at dre time, dare aM pace dared. (sgnenae end Glre)
ce^dY cause d deeN. 26. W Gale Rererted to Medkel Exemirrer I Coroner la a Reason ONer Nan Cremation « Donation.
PhY~nsnd available attimeade hro
24. Time d DeaN Ap rx . 25. Date Pronounced Dead (Horeb, day.2008 Yee ^ "^
nemeza-2s new benmwldedbypereon 4:00 A. M. December 3, ze.aerem«ouseca«daderoDeaN?
• aAa prano«ices deaN. r gpproxkrale Nlerval: Pan II: Eder dher ~ ~ N Pad I. ^ Ym ^ Prabady
CAUSE OP DEATH (See Inatruetl°ne and exemplee) r band resulting n tiie undertyeig'~ ~^
noru -Nd M1recuY reusd the deaN. W NOT eraer lermnd events sack as wrdac arrest, 1 Onset b DeaN ^ No ^ llrkno'an
Item 27. Pan I: Enter Ua dWn d eveds -diseases, kQudes, or camplica ~ L~ ~ ore cause on each Ina. t
respiratory ones(, «ventdcdar hbinatlm wnhod sMein9 eadogY. 1 29. II Female:
^ Na Regnant rdhn Pad Year
IMMEDUTE CAUSE Final disease rn r ^ PregndM d Grie d daaN
o,,,aadtk,gn~eaN) -~ a. H ertensive Cardiovascular Disease r
Due to (« as a c«sequerKe op: r ^ Nd I,egnmL dd pregnant vdMn 42 days
~ d deaN
aNy kd conditions, it any, b. r I put nI 43 days b 1 Ymr
pare o die ceudr kded on tine a. Duero (« as a consequence d): r. ^ Nd pegnan, pregfu
Eder Ne UNDERLYING CAUBE r Ed«e death
(~ rewPo q ~deeN) LA~~ c. pus w (« as a consequence o0: r ^ Uduawn if pregnant withn Ne pad Y~r
t Fiane. Farm, Sired, Faddy.
tl. ~~ ~ ~, ek. f5yedb'1
32a. Dde of Njury (ManN, day. year) 320. Describe Mow Imury a°1rred
30b. Were Adapsy mdngs 31. Hamer d Death
30a. Was an Adopsy F
Ped«nred? Availade Prior w Completion Ipl Ndurd ^ N«rucNe I . 32g. Lagtion d IrryuN (Street, dly I bwn. slate)
d Ceuw d Death? •~L 320. TimB d nryry 328. InjuN at Wok? 321. If Trensponallm m«Y (Sootily)
^ paid«il ^ Pende9lnvestigeTan ^ Ddrerl DPe21« ^ Passenger ^PeOestnan
^Yes ~No ^Yes ^ N0 ^ Suidde ^ Could Nd be Get«rtined M. ^Yes ^ ~ Odi« ~ sPeaYY:
1YY~''''' 33b. slgnawre aM r Corona r
~% ~'« (~ °nh me) ~ an has R«winced deaN end c«nplded Item 231 ~ ~ r
• comb~reWm~ntPMdd•n~g~~'°sadaeaNwnenandn«I --------------------^ 33a.Daresyredl.dar,r~d 2008
To tiro boat d my knowMdP• dYN opcutred due w Na caueNa) and c«dY^g to cause d deaN) _ - - _ _ - 33c. License Numb«
reMn P ~~ ^ December 3,
Pronourking and tenlN'lM MY* (hYd^an - _ _ -
TothebeddmYknowredge. ttedh oaurreddNa dme,dare,eM place, YM due to the auselq erd mermeruwted--------- --_- Gaussyf Death (Irem2 Typal Prld
~ MMlcsl EaemNxlC«orr« erd due to Ne cauee(e)entl mennerq eMted_~ 34.NBreaCaed gc atpersm lyboOTr1S, L~OroneY
On 1M Mela d eaaminatlon and I «Nvaedgsd«,, N my optnlon, datll acurred N the time, date, end plea, P'll Cl 1 L . Y
38. Dale Fdea (Morab~yer. Y•a~ Mechanicsburg>RFAd~7050te 111
$ 36. Regjyl~r's slgnewre and Oiswd Number ~/ a ~ .. T I ~ I ~ I ~ I ~ I ~ I
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;,re„ pemg Ne. 0251140
LAST WILL AND TESTAMENT
BE IT REMEMBERED THAT
I, VIOLET R. BASEHORE, a resident of Cumberland County,
Pennsylvania, being of sound mind, memory and understanding, do make,
publish and declare this to be my LAST WILL AND TESTAMENT, hereby
revoking any and all Wills and Codicils previously made by me.
I
I declare that I am not married, my beloved husband having predeceased
me and that I have six (6) children, CYNTHIA NEGLEY, SANDRA BASEHORE,
TITO A. BASOREZ, MARCELLA HUBBARD, JUDY LEVY-STUTSKY and TERESA
HUNT.
II
I direct that all my just debts and funeral expenses shall be paid from my
residuary estate as soon as practicable after my decease.
III
I direct that all taxes that may be assessed in consequence of my death,
of whatever nature and by whatever jurisdiction imposed, shall be paid from
my residuary estate as a part of the expense of the administration of my estate.
c o t=7
.._,
I give and bequeath ONE THOUSAND DOLLARS ($1,OOO.OO~j't~~y eat
_.J ~, - ~d
. = c,.:
Grandson, BOAZ BLOUGH, per stirpes. = ,~,__,
-_~~_3`-~ _~
J ` _ ~.
V v =~i c~
Ti.
I have made loans to my daughter, SANDRA BASEHORE and my dau~3ter,
MARCELLA HUBBARD. Any bequest to SANDRA BASEHORE or MARCELLA
HUBBARD, shall be of~set against the balance of the debt that each still owes to
me.
VI
I give, devise and bequeath all of the rest, residue and remainder of my
property, whether real or personal, wherever situate, including any property over
which I may have a power of appointment to my children, CYNTHIA NEGLEY,
SANDRA BASEHORE, TITO A. BASOREZ, MARCELLA HUBBARD, JUDY LEVY-
STUTSKY and TERESA HUNT, in equal shares, per stirpes.
VII
I nominate, constitute and appoint my daughter, TERESA HUNT, as
Executrix of this LAST WILL, to serve without bond. If my daughter is unable or
unwilling to act in that capacity, then I nominate, constitute and appoint my son,
TITO A. BASOREZ, as Executor of this LAST WILL, to serve without bond.
IN WITNESS WHEREOF, I, VIOLET R. BASEHORE set my hand to this
LAST WILL this ,3IS~ day of ~~.,c-~..L.. 2005.
VIOLET R. BASEHORE
Signed, sealed, published and declared by the above-named VIOLET R.
BASEHORE, as and for her Last Will and Testament, in the presence of us, who,
at her request and in her presence, and in the presence of each other, have
hereunto subscribed our names as witnesses. r"
i,:
/~ 6
~~,
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss.
I, VIOLET R. BASEHORE, Testatrix, whose name is signed to the attached
or foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my LAST WILL; that I
signed it as my free and voluntary act for the purposes therein expressed.
VIOLET R. BASEHORE
Sworn or affirmed to and acknowledged before me by VIOLET R. BASEHORE,
Testatrix, this 3/5-x- day of GE.c~~ , 2005.
Notary Public
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AFFIDAVIT
COMMONzJ~'EALTH OF PEItiTNSYL`JAiV'IA
COUNTY OF CUMBERLAND
ss.
We, ~~1 L ~~~ ~. ~~ ~.~' /d~-J`~~~ 1" ~f ~ and ~~cz~k /l? . -_~ir~ -'`~- ,
the witnesses whose names are signed to the attached or foregoing instrument,
being duly qualified according to law, do depose and say that we were present
and saw Testatrix sign and execute the instrument as her LAST WILL, that
VIOLET R. BASEHORE signed willingly and that she executed it as her free and
voluntary act for the purposes therein expressed; that each of us in the hearing
and sight of the Testatrix signed the Will as witnesses; and that to the best of pair
knowledge, the Testatrix was at the time 18 years of ge or more, of soundind
and under no constraint or undue influence. i~ %~
~e
~~ ,~ " G i~---
1 ~.
,i'~iut-yam /yl . --~ru--~.)
Sworn or affirmed to and acknowledged before me
this ~JSt~ day of ~~~`lr~,-c..c..~~ , 2005.
Notary Public