HomeMy WebLinkAbout01-30-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of DORIS S BOWMAN File Number "2 ~ !r~ ~ - ~ U ~`
also known as
,Deceased Social Security Number 192-30-4910
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 Executor named in the
last Will of the Decedent dated 12!16/2003 and codicil(s) dated none
Son Gerald S Bowman died September 1 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:
B. Grant of Letters of Administration
(If applicable, enter: c. t. a.; d. b. n. c. t. a.; pendente lice; durante absentia; durance minori#atf)
+-~
C7
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followir~~.ise (if ar`y') and beirs:(ff
.-tdministration, e.t.a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) =~ ~ ~
Decedent was domiciled at death in CUMBERLAND County. Pennsylvania, with his /her last principal residence at
801 N HANOVER ST CARLISLE PA 17013 N. MIDDLETON TOWNSHIP
(List street address, town/city, township, county, state. yip code)
Decedent, then 80 years of age, died on 11112009 at CARLISLE REGIONAL MEDICAL CENTER
CARLISLE PA 17013
Decedent at death owned property with estimated values as follows:
([f domiciled in PA) All personal property $ 75.000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 124.000.00
107 E. LOCUST STREET, MECHANICSBURG, PA 17055
situated as follows:
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 undersigned:
Signature Typed or printed name and residence
~'
' LARRY BOWMAN
47 7 C I E WAY FLOWE Y B N GA 30542
Form Rlf-OZ rev. 10.13.06 Pa~T'e 1 Of 2
(COMPLETE W ALL CASES:) Attnch additional sheets if necessary.
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA ;
SS
COUNTY OF Ct1~11BERLAND '
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.
Signature of Personal Representative
Signature of Personal Representative
<_,;~
__,,j
=f:~
' ~:_~~
c ~a
ca
~a
t,.._
::4
GJ
4,1, - ~ 1 ~V ~ ~ ~~ Cr?
File Number: _'~-~
r> w
Estate of DORIS S BOWMAN ,Deceased
ity Number:192-30-4910
ur
Social Sec Date of Death: 11112009
f
~
AND NOW, v' ~ , 2009 , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, I IS DECREED hat Letters Testamentary
are hereby granted to Larry Bowman
in the above estate
and that the instrument(s) dated December 16. 2003 ~r-.~
described in the Petition be admitted to probate and filed icil(s)) of D
edent.
d
C
od
e
c
of record as the last Will (an
)
~
~
~
~
J
t
l
C
`
CV U L~~ ~ ~ ' i
FEES ~
,
-
~LX) z O
~~
$ ~
~
L
tt isteryf Wi/ls
Re
~
."...i..
.....
..
ers .......
e 9
Short Certificate(s) •••••~•••• $ `~ Attorney Signature: -` `~~~
Renunciation(s) •••••••••••••••• $ ` ,/~
~
~
~1 ~1 •••• $ i 5 L
TE II
Attorney Name: M
Q
(
$ ~~
_
•••• Supreme Court LD. No.: 24849
.••• $ Address: 54 EAST MAIN STREET
"" $ MECHANICSBURG. PA 17055
.... $
.... $
.... $
$ Telephone: 717-697-4650
TOTAL ............................. $ ~~dV~X
Form RW-02 rev. 10.13.06 Page 2 Of 2
Sworn to or affirmed and subscribed "
~~,~ Signature of Personal Represe tative LARRY BOWMAN
/
I ~ ~..
LOCAL REGISTRAR'S CERTIFICATION C)F C)E~-~'R
WARNING: It is illegal to duplicate this copy by photostat or photaurapf• .
Fee for [hi, cerlilic~ue. y~fi.0O
~.~~~~~~
Certitiration number
This is to ceri_ir~ tl;, t the iri~orrlation here gi~Y°en is
correctly copied ]i~l~n Yn (>ri~ In~(1 Certificate o~ Death
duly filled with me r~~ Loco! Rel_i~-trot. The original
rertiiica.te will ht Il~n~~aracd to the State Vital
Record. Offfre fin- p: mane~t filing.
~'
~L ~ ~~ ~~ ~~ ~ ~~~
_ocul h.egistrar ~~~~~~Date Issued
~-~ na
c-:~r
e.~
J~ C_
(__~ w~
'
_ ~
J ~ - ?y
}.,
H106 1 i3 HEV 11: ZU16
11'PE ~ PRINT IN
PEFIkDWEN
BLAGN INK
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse) ;;TgTE FILE NUMBER
1 Named aenl (Frtsi midde IasL wXix) 2. Sex 3. Scrial Security NunlDer 4 Date of DeaU (McnID, day. year)
9 a - -- 49 t o I I I l09
~l
5 Age (Last BiMdayl Under 1 year Under 1 day 6. Dale of &M IMonU day, year) 7. Birthplace (City an0 stela a laagn couroryJ Ba Place d Death (Check aiy m0)
Mwww oar, How: tonal.. PA Ywwnar aner:
G
(JD Yrs OpZI PTp I walgnl ^ER/Ou1DeUrrm ^DOA ^Nursin ome ^Rncldmrca ^OIIwr~Speuly.
Bt Comfy d Deafn Cay, 6oro. Twp. of Deam ilgy Nara, (If not insululiar,
Bd
.
F
x gne slrea and nurtlDar) 9. Was Decedent d Histank Orgin7 0 [] Yes t0. Race: American Indwn, Blxk, Wnae, ek.
Cumberland P
~ p
.
,
-
l
~
"
Q
` ofY¢a,spedrycWan I 'M Wfiite
~~
, 1ha~QAQi.a~t f it
~vtaQ
Y1l.l.~
cu
l.•G,,.~- Mexican, Puerto Rkan. etc.) t~•
~
t I a:¢tleds Uwal Occ tan (Kind of work d one darn moss of workvl IJa. Du r»t stale retnedl 12. Was DecedOnl ever in Ue t 3 Decedent's Eeucetan (SDenry agy toghest grade compl etodJ 14. Mental Suous. Mart d, Never Marrred. t5. Sunnlrry Spo .
uw (II woe, gve maiden name)
Kurdd Wak KmddHrs'rres~~rrdusby
~E~
~ US. Anrwd Forces? Elementary/Secondary (0-12) Gdlege (7-Oyr SrJ Wowed, Divorced (Spenly)
Widowed
Nurse care
F
ea ^Yes ~~, .S
16 Decedents Mailing Adders ($Ireel. oily, town aa16, zW cadet Decedent's Did DBCetleM 0 t eon
Wa
PA w
801 North Hanover Street MuaR¢sidenea t/a y°'¢ e
IIc~]Yes.D¢c¢d¢n"'ea,,n T""
T
"
,
n.n,a
ry
,7d ^ No, Decedea LNed wllran
Cumberland
Carlisle, PA 17013 vh cnnnlr AdaalDmitsa cltYreaa
ttl FeUrrlNamelFrsErrvdie.last,suUlx(
Lawrence Schuchman 19 MoVla'sNamelFirsl,mltltlla,mai0ensurname) Goldie Brau ht
9
?Oa Idormarns Name (Type! Pdnt)
B
T 200. Inlamdnl's Malkng Adtlress (SVeel cgy / bvm, SIAM, xp code
GA 30542
Flowery Branch
e a
4704 Carna
owman
Larry
. ,
y
g
21a M¢nwtl d Dtsposown i [] Cremalron ^ Dunauorr 270. Data d Pspusitlon (MOah, daY, Year) 21c. Pla,~e of Disposition INama W cemetery, cremawry a oUer platy) 21 d. Eocalan (City !town, stale, zp code)
~SauAl ^ Rarnova ban Slete ~ waa crerwia,a Dauann Aauwelaea
w 2009
January 3 Rolling Green Memorial Park Camp Hill, Pa. 17011
[~ OUer - S ' y: Dy Yedca Examinm / Caoner7 ^ Yes [] No ,
as such)
~ 22a Srg Funeral 220. license Number
662
0
L 22c. Name ant Addeee d FaciGry
Inc. 37 East Main Street Mechanicsburg, PA 17055
Myers Funeral Home
. -
' V ~ -
FD-
12 ,
Compete Items 2 when tying
p'gskwn a nd avvlade al tune of deaU to 2 o best d ledge. deaU occwretl al dw um dale and pl wted. a arM uueJ 230 Lkense Number (p
.
~a~ 9%
~ 23c. Date Signed (MOdO. day. Year)
n ~
ceniry cause d dean. ~~
- C.Z,titil/E ~
(/~
/ .~~/ • ~ ~ Z'0
l
d b
2126
W
l 24 Time a 25. Dale Prataulced D d (Moron, da y Year) 26. Was Case Reforre0 W Medea Examner / Canner Ia a Reason Olner Uan Cremation or Dorwlan?
must
canp
e
y person
Item.,
e
U 2 ~ ~ / [~ Yes l~'°
who praro„nc¢s dea M. D
CAUSE OF DEATH (See Insbrueblona arM anemDlea) , Approximnle inlenal. Part II'. ErUa oUaz agnjlBalCL 2B fMd ToDacCO Use Calvoule b UeaU?
,.. _r Pert 4. Enttl ttm ,I.wl j>t ~SdBj rYSeas,.s. xh~NieS, ur wmVU[alrais - Ual dotlClly Caused dr¢ dedlh. DO NDT 6rr1¢r ten 1 r el events wch as Cdrdal: arrest, Onset to DeeU
Ill but na re:atop N gle ax1¢nying cause gven ur Pan I. ^ Y s ^ ProbaaY
raspnalay arr¢sl of vemrroaar IlbNlallon whn WI stwwarg Ine uuoloyY. Lrsl only onB cause on each Yrw ~ ~ ~p)p L] Unhegwn
WMEIMATE C-USE IFIIwl dseaso ur >
~
~
~ 1 ~
/ 29. II Female.
t'Orrdllal r05dYoy Ul tleaU) _~
~~~
~
(~~i
a
.
~G~r, e~~:a~t. y
( fir' -~/ ~ -C.I'/'Z ? t '~ ~~N
,l
r
N
~
_
DW IO 0s aconsequtln[B O1) 1
r yea
ot Wt~iaril w
ari W
PrUgnenl al IYne W d¢aN
^
aquenUa4Y wal wndlwn>, J anti b t
'~
'
IedOngg la Ue cause Ysled on lute a
Due to (a as a consequence o1J-. i `~ rkt pegnanl Gal Drvry~anl wl0wl a
2 days
Enle< B¢ UNDERCYIIM CAUSE
Id~eas'e d xyury Nat mlllan~d Ine ,
r
r
d death
¢venls rtsWling x, deatnl EAST.
Due to (or as a wnsequtnce 014
r
I i_] Nol Ivogl unl. but prcyruN 43 d.Da m 1 year
0elwe deaU
-
U
r r
~
Q llrMmwl A DlegnaM wwtxn Na Dasl yenr
Sew Waz an Autopsy 3G0 Wera Autopsy Fndngs 7t. Manner of DeaU 37a. Dete of InWry (M Ornh. day. year) fro. DeuriOe How Injury Occurred 32c. Place of UNry Hone Farm, Street. Factory,
PsAormedl AvaJetde Pier la Cun4klwn Otlke Slaldutg. etc. (Speclryl
of Cause ul DeaN? ~ Nalulal ~ ~ Harncrde
/ ^ ~cldonl ^ Pcndirig InvesUyslron 32d. Tuna of Iryury 320. Inryry al Work? 321 II Tmnsponalron Injury ISyenlyl 32g. la'aUm of InWry (Shea. crtY ~ lawn, 5ate1
~
Yes y~l No
/~ ~ Yes ~ No
^ Y
^ No s
^ Dm . Opuralor []Pas enyar ^Pedeseiar
[] ~a:.~J~ [,] Cowtl IJaI be Del¢rnnrsd M as Omer ESyecty
33a CerW+ar Icneck ady cnel 33b S lure antl Trlle C Iwr ~ /Y
/
gna .Al f
~
• CeNry' gphycwn ly 'n 1)0g - ~ld r, wr I pry~~ ~p n-tld m- tlcompmt¢u uerr i3l
_________________
_
__
To tlu O¢I I Yktw ledge deaN ac dd to We (J dm n talnd
- -~ ~
, /j,~
~~~
_
__
__
Pro arW aen
• To IM Deal of my kno ry 9 DMercun (Pr) b'Ir pr - g J 'I a J n ly ng 10 cu -¢ I dealhl
wkdga d¢alh occurred al Ue DrtM, date end place ar d due to Inn causeta) and manner as slaled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .. ^ 33c Licens6 NwrlOer ~.
/ // ~ "" y7
17
~ 33d Dow Siy d ( .day. Yeart
• Medical Examirrer 7 Caaner '~
/
end place, antl due to lhn uu5elsl and manner as slaled_ ^
date
tit my opinion
deaU occufr¢tl al Ine time
On the Dasis of axaminalmn andl or investigamn ; Prx,t
m 27j T
e of D
ln (U
I P
C
l
t
3 Ca
W
g
,
,
,
, e
y
omD
e
us
tA
rison
nu
e
mtr y
rd
Qtlt /
35 Re a. s Synatwe and Di -t m r ~s,
~
~
(
( 36. Date Fled (ManU. day. Yeah
~ //
(
/''C~ ~/1/ /A
L
L `!
~~ ~ ~~
-
~
l o
- I
I
loll l ~ ~ vGt ,
r
~ ,
~.G~f • a~u~-
G''.
3 ~ 3 i/
~ U ~
D~>h~~nlan Pemrlt Nn ~,,~ 51l 9 ~
LAST WILL AND TESTAMENT
OF
DORIS S. BOWMAN
I, DORIS S. BOWMAN, of Cumberland County, Pennsylvania, declare this to be
my Last Will, hereby revoking all prior wills and codicils.
FUNERAL EXPENSES
FIRST: I direct the payment of my funeral expenses, including my gravemarker, as
soon as may be convenient after my death.
PAYMENT OF DEATH TAXES
SECOND: I direct that all taxes that maybe 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 administration of my estate.
PERSONAL PROPERTY
THIRD: I bequeath those items of my household furnishings, personal effects, and
personal property as I may set forth in a separate signed memorandum to the persons named in that
memorandum.
DISTRIBUTION OF RESIDUE
FOURTH: The entire residue of my estate shall be distributed as follows:
1/5 to the Special Needs Trust established for my daughter, Brenda Bowman
1/5 to my son, Gerald Bowman, outright
I/5 to my son, Larry Bowman, outright
1/5 to the Special Needs Trust established for my daughter, Joanne Bowman
1/5 to the Special Needs Trust established for my daughter, Mary Beth Bowman
The share of any child who predeceases me or dies on or before the thirtieth day following
my death shall be added to the share or shares for my other children.
C') n~
-- -:r
~s
- _:~ ;!
_. e ~-.._
<> - '_,
. r-- . ~,
-1 ~-i ~~ ~
'7
C;
C7
~ ', _ ~ ~ ,.
PROTECTION OF BENEFICIARIES
(Spendthrift Provision)
FIFTH: No interest in income or principal shall be assignable by a beneficiary or
available to anyone having a claim against a beneficiary before actual payment to the
beneficiary.
TRUSTEE OF ESTATE OF
MINORS AND INCAPACITATED BENEFICIARIES
SIXTH: If any income or principal shall be payable to any person who shall be a
minor or who shall be incapacitated for any reason, my executor, as trustee shall hold such
income and principal during minority or incapacity and shall be entitled to apply such
income and principal to the health, maintenance, support and education of such person
during minority or incapacity without the appointment of any guardian or committee or any
authority of court. My trustee shall be entitled to make direct application hereunder or to
make application by payment of income and principal to the parent or other person in
charge of such minor or incapacitated person, or to his or her guardian or to a custodian
under the Uniform Transfers to Minors Act. Trustee may, in discharge of all the Trustee's
duties, pay any minor's share deemed impractical of administration to the parent or other
person in charge of the minor or to his or her guardian or to a custodian for the minor under
the Uniform Transfers to Minors Act. Any remaining income and principal to which such
person shall be entitled shall be distributed to such person upon such person reaching the
age of 18. My Trustee shall have the same powers as my executor and shall serve without
bond.
POWERS OF EXECUTOR
SEVENTH: I confer upon my executor the right to sell or otherwise convert any
real or personal property at public or private sale, at such time or times, in such manner,
and for such price or prices, and upon such terms and conditions as my executor shall
determine, and to execute and deliver good and sufficient conveyances, assignments and
transfers thereof, without liability of any purchaser for the application of any consideration;
to borrow money and to secure its payment by mortgage of real or personal property,
pledge of investments or otherwise, without liability on the part of the lenders to see to the
application thereof; to retain any investments at discretion; to invest and reinvest at
discretion, without restriction to so-called "legal investments;" to make distribution in cash
or in kind; and to do all other acts and things necessary or appropriate in the management,
administration and distribution of my estate.
APPOINTMENT OF EXECUTOR
NINTH: I appoint Gerald Bowman executor of my will. If Gerald Bowman is
unable or unwilling to qualify as executor or having qualified is unable or unwilling to act,
I then appoint Larry Bowman as executor hereof. I direct that my executor shall not be
required to furnish security in any jurisdiction.
INTERCHANGEABILITY OF LANGUAGE
TENTH: Words used in the singular maybe read to include the plural or the plural
may be read as the singular. Similarly, the masculine form maybe read to include the
feminine and neuter; the feminine maybe read to include the masculine and neuter; and the
neuter maybe read to include the masculine and feminine.
HEADINGS
ELEVENTH: The headings used on the various paragraphs of this will are
included for convenience only and shall have no legal significance.
~`a
I have signed this will this /~'' day of ~Ec`~r~s ~~~''1- , 20Ci3
t~-r,~ ~wm-•-n/
DORIS S. BOWMAN
~ (,v °
' ness, Scott W. A ens
G ~ ------
Witness, T omas a. Ahrens
ACKNOWLEDGEMENT and AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
SS.
I, DORIS S. BOWMAN, the testatrix in, and Scott W. Ahrens and Thomas J.
Ahrens, the witnesses to the last will, the attached or foregoing instrument, who have
signed the instrument, having been duly qualified according to law do depose and say:
(a) that I, the testatrix, do hereby acknowledge that I signed and executed the
instrument as my last will, that I signed it willingly and as my free and voluntary
act for the purposes therein expressed; and
(b) that we, the witnesses, were present and saw the testatrix sign and execute the
instrument as her last will, that she signed it willingly and 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 a witness and that to the best
of our knowledge the testatrix was at that time 18 or more years of age, of sound
mind and under no constraint or undue influence.
DORIS S. BOWMAN
~ v Q~~
fitness, Scott W. Ahrens
~F - „~---
Witness, Th mas J. Ahrens
NOTARiAI SEAL -
JUDD M. AHRENS, NOTARY ppBLIC
MM HCOMM SSION IXPfRESUMAY 23A2005D
N
/' n
^ C ~//I/
~~ l / , / i I/f o~~:
Public