HomeMy WebLinkAbout02-04-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PF?N`NSYLVA `NIA
Estate of FRANCES M. SCHUCKER File Number ~ ~ - y 1 ~ t/ ~ I I
also known as
Deceased Social Security Number 180-03-7524
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 EXECUTRIX named in the
last Will of the Decedent dated JUNE 5, 2008 and codicil(s) dated
IV
(State relevant circumstances, e.g., renunciation, death of executor, etc.J ~
~ "'rl
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the i ~tt§(s) ot~d
tier probate, was not the victim of a killing and was never adjudicated an incapacitated person: i-~ ~ t
~~
^ B. Grant of Letters of Administration ~ ~ ~ 't?
(lfapplicable, enter: c.t.a.; d. b. n. c.t.a.; pendente life; durante absentia; durante mir'
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Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (any) and heir~(If
-Idmrnrstration, c.l.a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) ~
Name Relationship Residence
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(COMPLETE !N ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at
54 BURD DRIVE, CAMP H[LL, EAST PENNSBORO TOWNSHIP CUMBERLAND COUNTY PA 17011
/List street address, toivniciry, torvnship, county, state, zip code)
Decedent, then 89 years of age, died on JANUARY 27, 2009 at HEALTHSOUTH, 4950 WILSON LANE
MECHANICSBURG. PA 17050
Decedent at death owned property with estimated values as follows:
(lf domiciled in PA) All personal property $ 160,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 90,000.00
situated as follows: 54 BURD DRIVE, EAST PENNSBORO TOWNSHIP, CUMBERLAND COUNTY, PA
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 undersiened:
CYNTHIA S. HUBLER
618 GRANDVIEW AVENUE
CAMP H[LL, PA 1701 l
Form RW-02 rev. 10.13.06 PagO I Of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS
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 affir/m/Ied and subscribed
before me the `~~ day of
~ ,S
~`~h ~
For th egister
of Personal Representative
Signature of Personal Representative
Signature of Personal Representative
File Number:~~ t ' V"1 ~ O ~ (~ _
Estate of FRANCES M. SCHUCKER _, Deceased
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Social Security Num~b(er: 180-03-7524 Date of Death: JANUARY 27, 2009
AND NOW, ~ ~ of ~ , ~~ , in consideration of the foregoing Petition, satisfactory proof
having been presented befor me, IT IS DECREED t at Letters TESTAMENTARY _
are hereby granted to CYNTHIA S. HUBLER
in the above estate
and that the instrument(s) dated JUNE 5, 2008
described in the Petition be admitted to probate and filed of rec~orfdJas the last Will (a--//n--mo~d LCo//dicil(s)) of Decedent.
FEES ,~P~~~. t 1WU~~ ~ss ~-~•'~~~
Letters ............. . . $ ~ Register of Wills ~ ~ (~~" i7
Short Certificate(s) ........ $ c~-~ T
Renunciation(s) .......... $
I~l)1 ~~ ... $ ~~~~~
C~P ... $ ID ~ (~
... $
... $
... $
... $
... $
... $
TOTAL .............. $ J7o~.~~
Attorney Signature:
Attorney Name:
Supreme Court T.D. No.:
Address:
Telephone:
Fnrn+ RW-02 rev. 10.13.06 Page 2 of 2
OCAL REGISTRAR'S CERTIFICATION OF DE~AT~~I
WARNING: It is illegal to duplicate this copy by photostat o!r photograF r .
[~~e fF3;~ Ihi~ certit~irate_ S(~,O(1
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"This is tc/ rertif~~ tR aF ti!~._ ~nl~~>rn,laif>n here a~iven is
currec,l~~ I_opied frFr r! an !1r,_zinal Certificate oi~Death
duly riled with nu as Llrc~ll Re~~i~trar. ~hhe uri~^inal
ccrlitil etc will ht' 1~1r ulyded to the Statr~ Vital
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aEV 11/zoos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
PRINT IN
(ANENT
,K,NK CERTIFICATE OF DEATH
(See instructions and examples on reverse)
1. Name of Decedent (Flrsl. mitldle, last, suffix)
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r 2. Sex 3. Sodal Security Number v V
' q. Dale el Death (Month, day, year)
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" emote 180 - 03
-7524 Jan.27, 2009
5. Age ILasl Blrthtlayl Under I year Untler 1 day 6. Date of Binh (Month, day, year) 7. Binhpkce (City and stale or 1« egn country) B a. Place of Death (Check Dory one)
Monms Days Hoes Mir,ules T Hospital: Other: pp t
~o~
8 9 yrs 0 e t . 9 , 1919 e W Phi 1 a d e 1 p i d
^ Inpalienl ^ ER /Outpatient []DOA ^ Nursing Home ^ Residence Other Speclty
Bb. County of DeaU Bc. City, Bom, Twp. of Death 8tl. Facility Name (11 not insliMbn, give street antl number) 9. Was Oecedenl of Hispanic Origin? No ^Ves 10. Race'. American Intllan
Black
While
etc
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,
,
.
Cumberland U ~ r A 112 n of res, apeclty Cuban, (Spac;M
pP~ HealthSouth Rehab M
exican,PUedoRican,elc.) white
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11. Decedent
s Usual Oceu tan Kind of work done du most of world tae. Do rid state retired 12. Was Decedent ever In the 13. Decedent's Education (Spacily Doty highest grade completed) 14. Marital Slalus: Marred, Never Married, 18. Surviving Spouse (If wile
give maiden name)
,
Knd of Work f(iM of Business 1lntlustry U.S. Armed Forces? Elementary / Secrondary (012) College (1-4 or &) Widowed, Divorced (Specify)
seamstress
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o WldOwed
16. Decedent's Mailing Address (Street. pry /town, state, zip cotlel DecadanYS Ditl Decedent
5 4 B u r d D r. Actual Residence 17a. Stale _P ? n n G ~T 1 V a n i A Live Ina 17c. Yes, Decedent LNetl m E a s t P P n n a h n r n
Tw
,
p.
Township?
Camp Hill, PA 17011 lm cpony Cumberland 77d ^
No, Decedent Lived w4hin
Actual Llmss of Ciry I Borc
.18. Father's Name (First, middle, last, suffix) 19. Mother's Name (First, mitltlle
maitlen surname)
,
John Yaros Mary Bisco
20a. Informant's Name (Type I Print)
Cynthia S
Hubler 20b. Informant's Mailing Address (Street, city /town, stale. zip cotle)
. 618 Grandview Ave. ,Camp Hi 11, PA 17011
21 a. Method of Disposition ^ Crematlon ^ Donation
'`Q Buraf ^ Removau
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Slm 21 b. Dale of Dapositmn (Month, day, year) 21c. Place of Dispositbn (Name of cemetery, crematory or other pace) 21 d. Location fCity I town, state, zip cotle)
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e wa: cremangn « Donauon Amn«IzeE
^. r - Speciy by Metlkal Examiner I Coroner? ^ yes ^ No Jan . 31 , 2 0 0 9 S e h u l k i 11 Memorial Park
y . M a n h e i m Twp ., P A 9 7 2
22 ~ tore of Funeral Serv' (or person acting as such) 220. License Number 22c. Name arM Adtlress of Facilty
6l.~ ~` /Cl~'c=Z~c-c'~-4` FD-013153-L usselman FH~!CS 324 Hu
Complete Items 23a~c Doty when certilyrtg
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s 23a. 7o the best of my knowledge, death «cu!retl at me rime, date and lace slat
(Signature end lick)
23b. License Number
23c
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netl onth
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not available at lime of death l0
certity cause of death. ~ ! ^~
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Hems 24-26 must be tom tea
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wllo pronounces tleeth 24. Time of Death ( y y )
2 ate Pronounced Dead Month, tla , ear
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} 26. Was Case Rele!red to Metllcal Examiner I Coroner for a Reason Other than Cremation or Donation?
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/ ^Yes ~~
CAUSE OF DEATH (See instructlona end examples)
r Approximate interval.
Item 27. Pan I: Enter the chain of events -diseases, injuries, or complications -that directly caused the death. DO NOT enter terminal events such as cardiac arrest
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D Pan II'. Enter other siorif cars( contlitions conlribut'nq to death, 28. Dld Tobacco Use ConMWle to Death?
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reslNRlory arrest, or ventricular fbn11a0on without showing the etiology. List only one cause on each line. but not resulting In Rie underlying cause given In Par I ^Yes ^ Probably
IMMEDIATE CAUSE 1Final disease or
contlaan
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Due to or as a nsequence of . t
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Sequentially MI coMitlons, rf any, 0. 1^q . J S~ 1 C 1 b~ i x .! ~ t V
^ Nol pregnant wthin past year
^ Pre
nant at time of d
th
kadkq to the cause listetl on Foe a. t
Enter 1 UNDERLYING CAUSE Due to (or as a consequence of):
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^ Nol pregnant, but pregnant within 42 tlays
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(6sease or injury that ini0ated the
events resulting m deaU) LAST. o' of death
Due to (or as a consequence ol). ^ Not pregnant, but pregnan143 days to 1 year
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30a. Was an Autopsy 3W. Were Amapsy Findings 31. Manner of Oealh 32a. Date of Injury (Month, day, year) 320. Describe How Injury Occurtetl before death
^ U known it pregnant within the past year
Performed? Available Prpr to Completion
of Cause of Death? ~lural ^ Homicide 32c. Place of In
pry: Horne, Farm, Street, Factory,
Offke Builtling, etc. /Specilyl
Yes ~ No
^ Ves No
^ ^ ^ Accident ^ Pentlirg Investigation 32d. Tme of Injury 32e. Injury at Work? 32f. II Trensponallon Injury (sPedM 32 Locetion of In
9~ fury (Street, city
I Inwn, aWte)
^ Suicitle ^ Could Nol ba Determinetl ^Yes ^ No ^ Drivarl0perator ^ Passenger ^Pedeslnan
M' Other - Spea(y:
33a. Certifier (check Dory one) 33b. SignaNrey9A. le of Certifier
• CMlfying physcian (Physioan certitying cause of tlealn when another physican has pronounced death and completetl Item 23)
To ttte heal of my knowledge, tleeth occurred due to the cause(s) and manner as staletl_ _ _ _ _ _
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_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• Pronouncing aM cenltying physician (Physician both pronounpn
tleeth antl ceni
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1
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ty
ng
o cause o
death)
To the Dell of my knowledge, death occurred at the time, date, and place, antl tlue to the cause(s) and manner as staletl
^ 33c. License umber 33d. Dale Signed (Month. day. year)
_ _ _ _ _ _ . _ _ _
• Metlical Examiner/Coroner
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nation antl I or Investigation, in my opinion, tleeth occurred at the lime, tlale, and place, and tlue to the cause(s) antl manner as staletl_ ^
34. Name and Adtlress of Person Who Complsle0 Cause of Death (Ite m 271 Type I Pnnl
35. Reg,stmr's S e and Dlstnc ~ 36 Dal Filetl (Month, day, r)
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Dleposillon PBrmlt No. ~'-~ / ~ ~ ~ ~~..J
LAST WILL AND TESTAl'VIE~NT
OF
FRANCES M. SCHUCKER
!, FRANCES M. SCHUCKER, of East Pennsboro Township, Cumberland County,
Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking
and ma~ing void any and a!I former V!~ills made by me.
ARTICLE I
I direct that all my legal debts and funeral expenses, including my grave marker and all
expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my
decease as a part of the expense of the administration of my estate.
ARTICLE II
!direct that all inheritance, transfer, estate and similar taxes (including interest and penalties)
assessed in consequence of my death, of whatever nature or by whatever jurisdiction imposed, shall
be paid out of my residuary estate as a part of the expense of the administration of my Estate. My
Executrix shall not require any beneficiary to reimburse my estate for taxes paid on property passing
under the terms of this Will or otherwise.
ARTICLE III
I bequeath my household goods and personal effects (not including cash and securities)
together with any existing insurance thereon, to my children, JANET F. HUBLER, CYNTHIA G.
HUBLER, CAROLE L. BREHONY and DOUGLAS W. SCHUCKER , to be divided among them b~
my Executrix with due regard for their personal preferences in as nearly equal shares as ~~tical. ~ _ ~~--
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ARTICLE IV
If the two (2) Gold Coins are still in my possession at the time of my death, they can be
purchased by any one of my children, JANET F. HUBLER, CYNTHIA G. HUBLER, CAROLE L.
BREHONY and DOUGLAS W. SCHUCKER, at the appraised value. If a disagreement exists with
regard to the coins, they are to be disposed as a part of the residue of my estate.
ARTICLE V
I give, devise and bequeath all the rest, residue and remainder of my estate of every nature
and wherever situate, as follows:
A. Twenty (20%) percent to my daughter, JANET F. HUBLER.
B. Twenty (20%) percent to my daughter, CYNTHIA G. HUBLER,.
C. Twenty (20%) percent to my daughter, CAROLE L. BREHONti'.
D. Twenty (20%) percent to my son, DOUGLAS W. SCHUCKER.
E. Twenty (20%) percent, in equal shares, to my grandchildren DANIEL S. BREHONY,
MELISSA J. HARBOLD, KATHLEEN M. YOUNG, KIMBERLY L. HAYNES, DANIEL D.
SCHUCKER AND THOMAS D. SCHUCKER.
Should any of my children or my grandchildren predecease me, I devise and bequeath his or
her share to his or her then-living issue, per stirpes. In the event that any of my said children or
grandchildren shall predecease me and shall not be survived by issue, I devise his or her share to my
surviving children, grandchildren, or their then-living issue, per stirpes, as applicable.
ARTICLE VI
Should any of my issue entitled to a share of my estate not have attained the age of eighteen
(18) years of age at the time of distribution to him or her, I devise and bequeath the share of each
such issue to my daughter, CYNTHIA G. HUBLER, IN SEPARATE TRUST, to hold, manage, invest
and reinvest the share so received, and the accumulation of income thereon, and to use and apply
the income and principal, or so much thereof as, in Trustee's sole and absolute discretion, may be
necessary or appropriate for each issue's education (including trade school and college education,
both graduate and undergraduate) without regard for his or her parent's ability to provide for such
education, or to make payments for these purposes, without further responsibility, to such issue or to
such issue's parent or to any person taking care of such issue. Any principal or income not so used
or applied shall be distributed to such issue absolutely when he or she attains the age of eighteen
(18) years. If he or she dies before attaining the age of eighteen (18) years, the Trust shall terminate
and such share shall be distributed to his or her personal representative. In the event that my
daughter, CYNTHIA G. HUBLER, shall fail to qualify or cease to act as Trustee, I appoint my
daughter, JANET F. HUBLER, as successor Trustee.
ARTICLE VII
w nominate and appoint my daughter, CYNTHIA G. HUBLER, Executrix of this my Last Will
and Testament. Should my daughter, CYNTHIA G. HUBLER, fail to qualify, or cease to act as
Executrix„ I nominate and appoint my daughter, JANET F. HUBLER, Executrix of this my Last Will
and Testament. Should my daughter, JANET F. HUBLER, fail to qualify or cease to act as Executrix,
I appoint my daughter, CAROLE L. BREHONY, Executrix of this, my Last WiNI. Should my daughter,
CAROLE L. BREHONY, fail to qualify or cease to act as Executrix, I appoint my son, DOUGLAS W.
SCHUCKER, Executor of this, my Last Will.
ARTICLE VIII
I direct that my Executrix and Trustee, or their successors, shall not be required to post bond
for the faithful performance of their duties in any jurisdiction.
,, l ~N WITNESS
~J ~ , 2008.
WHEREOF, I hereunto set my hand and seal this ~ day of
;/i--~~~,~'~-r.,L'~._ iron "~--
~~ ,~.=~.e,~ (SEAL)
FRANCES M. SCHUCKE:R
Signed, sealed, published and declared by the above-named Testatrix as and for her Last
Will and Testament in the presence of us, who, at her request, in her presence and in the presence
of each other have hereunto subscribed our names as witnesses.
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
:ss:
1, FRANCES M. SCHUCKER, Testatrix, whose name is signed to the foregoing instrument,
having been duly qualified according to law, do hereby acknowledge that I signed and executed the
instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free
and voluntary act for the purposes therein expressed.
G
l.."~. ~
FRANCES M. SC UCKER
Sworn or affirmed to and acknowledged before me, by FRANCE;> M. SCHUCKER, the
Testatrix, this ~ day of , 2008.
COMMONwEALTiH OF PENNSYLVANIA Notary Public
Notarial seal
Dena L Wieseman, Notary Public
lsrnoyne Bono, C~nberland Cotnly
My Commission E~ires Nov. t5, ZAOti
Member, Pennsylvania Association Of Notaries
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
:ss:
We, ~e'~1 A. ~~~~el~tin~~ and ~ l~'~~/~~~~r /'~~~1 the
witnesses whose names are signed to the foregoing instrument, being duly qualified according to
law, do depose and say that we were present and saw the Testatrix sign arnd execute the foregoing
instrument as her Last Will and Testament; that she 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 our knowledge, the Testatrix was at
that time at least 18 years of age, of sound mind and under no constraint or undue influence.
J~rG7,r ou
o u-
Sworn to or affirmed
L ,
day of ~ ,(,l.i~:. , 2008.
to, and subscrib to before me by
an U2.~ - witnesses, this
i'
Notary Public
COMMONWEALTH OF PENNSYLVANW
Notarial Seal
Dana L Wieseman, Notary PubUc
Lemoyne Bono, Ctxnberland OOlilly
My Canmfssion E~ires Nov. 15, 2008
Member, Pennsyfvsnia Association Of Notaries