HomeMy WebLinkAbout02-10-09 (2)PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF L U i~'1 ~'-r ~ ~ 11 ~~-- COUNTY, PENNSYLVANIA
Estate of ~ VL ~ ~f i'l i ~C,1 ~h L 1 D~ V ~--1 TG I'~ File Number _C~-' ~ ~~ ~ ~ ~ I I
also known as
,Deceased Social Security Number 1 -] 4 - ~-~~ "' ~ 7 ~ ~
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
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A. Probate and Grant of Letters Testamentary and auer that Petitioners} is !are the ~ X t~C. ta~~ 1`~ i X named in the
last Will of the Decedent dated -~~ L ; r O ; 2CrJ ('t j and codicil(s) dated
(State relevand circumstances, e.g., renunciation, death of executor, etc.J
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
(Ifapplieable, enter: c.t.a.,'d.b.n.c.t.a.; pendenteltte; duranteabsentta; duranteminorttate)
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) andrheirs: (!f
Administration, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) C 7 v
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Name Relationshi Residence _~ __ ^: i _
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(COMPLETE INALL CASES:) Attach additional sheets if necessary. -~ ~ ~D ~ ~r--~
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Decedent was domiciled at death in l-_l.%I YYl ~n~- ~~ r'~ t~.i County/j~~ Pennsylvania with h~~is /her last pr cipa[ residence at ---+V~~ - .
S { (~ 1~t'Yl`~~lh~' I ~ ~ Cr3r~l~Slr ~ t umf•x'i i~,~,-,;~ C(1wCti1~~ ~~~111~~1~VC'i'1'lilr 17C~/.~~'
(List street address, town/ciry, township, county, state, yip code ~~
Decedent, then ~~ years of age, died on ~CC'm~t'Y- ~ 3 _ ~~~ at J ~ I T °t ~7~ L~L'k=tc~ ~ C(:1 r ~ I ~ ~N . ~R ~ 7~ l~
Decedent at death owned property with estimated values as follows:
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(If domiciled in PA) All personal property $ ~ ~ ~-~ 7~t
(If not domiciled in PA) Personal property in Pennsylvania $
(lf not domiciled in PA) Persona] property in County $
Value of real estate in Pennsylvania $
situated as fol
Wherefore. Petitioner(s) respectfully request(s) the probate of the last WiII and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
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Form RW-02 rev. 10.13.06 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF (~i a Y11~~'1~7~'~ c~.--
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 affrrred and subscribed
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before me the l~-'' day of
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or the Register
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Signature of Personal Representative
Signature of Personal Representative
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Signature of Personal Representative
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File Number: -':n
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Estate of ~Yc= ~`(' i~ i~U - 1-1 ~~ '~F=' -~-~~~~" ,Deceased er7
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Social Security Number: l 7u- ' TO - ~ 76U Date of Death:. I ' '~ r L`r°Y' Z 3 Low'
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AND NOW, ~ V ~~~~ ~j,.t,~ f~1 ,,~~~, in consideration of the foregoing Petition, sati~~,factory proof
having been presented before me, IT I ` ECREED that Letters i e~'~~ t~-~~ ri-~~-rr~(
are hereby granted to 14 ~ r» ~ ~``t • L~ c~ t•` i~,~ --, _
in the above estate
and that the instrument(s) dated ~ ~.: ~.~~ i ~ ~ Z C`~~ ~T _ _
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Deceden±.
FEES
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etters ...... .... ^
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Short Certificate(s) _
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Renunciation(s) ..
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Attorney Name:
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TOTAL ...... ........ $_~~ ~--
Form RW-0? rev. 10.13.06 Page 2 of 2
OCAL REGISTRAR'S CERTIFIQATION OF ®EA'fl-I
~h`Af3NING: It is illegal to duplicate this copy by photostat or photograph.
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Ht DS-143 REV n/zoos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH ~ VITAL RECORDS
TaeannNEMrrTI" CERTIFICATE OF DEATH
Buck INK See instructions and exam les on reverse
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STATE FILE NUMBER
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1. Name a Decedent (First. mitldle, 1851, sullix) 2. Sex 3. Social Security Number 4. Dale of Dea\h (Month, day, year}
Evelyn Ruth Liberator female 174 - 20' - 1760 December 23, 2008
5. Age (last Binhtlay) Under 1 year Under 1 day 6. Dale oI Binh (Month, day, year] 7. BiMplarR (City and sale or toregn muniry) Ba. Place a Deem (Check only one)
89 yrs. M°^°~ °°ye "°"" ~"'"°~ December 23, 1919 Lower Frank Ford Hospilab o`her'
Vrs. TW ^Inpalienl ^ER10uryalient ^DOA ^Nursing Home (Residence ^Other-Specity:
Bb. County of Death &. City, Boro, Ivry. oI Death Btl. Facility Name (II not inslitutlon, give street and number]
17015 9. Was Decetlent of Hlspenk Origin? ®No ^Ves 10. Race: Arterican Indian, Black WNIe. etc.
Cumberland West Pennsboro Twp .
516 Barnstable Rd. Carlisle, PA (uye5,5petiyahan,
Mexican,PaeddRltan.ama (svaGM white
71. Decetlenl's USUaI Oa eon KiM a wont tlara d u' most al wa ' Me. Do twl state talked 12. Was Decadent evef In me 13. Decedents Education (Spec'rfy only highest gentle tomp letetl) 14. Marital Slelus. Mametl, Never Married, 15. Surviving Spo use (If wife. give maitlen name)
KirW o1 Work Nind a Business I IMUSIry U. S. Armed Forces? Elementary I Secondary (0-12J Collage It-4 a Sa) Widowed, Divorcetl (Sped/~
homemaker own home ^ye5 f3ta° 8yrs widowed
16.Decedent's Mailing Address ($Ireal,cMllown, stale, zip code) Decedam•5 Did De°adea lye W, Pennsboro
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516 Barnstable Rd. Carlisle, PA 17015 y
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1B. Famers Name lFirsl middle, last, suRix) 19. Momers Name (First, middle, maitlen 5umamej
Elmer B. Wert Mary C. Henry
20a_ Inl°mant's Nama (Type / Pont) 29b. Inlormenf9 Mailing Address (Street, dly /town, stale, z¢~ Code)
Alma Garman 516 Barnstable Rd. Carlisle, PA 17015
21 a. Method of Dispwiaon ^ Cremaf ^ Donation 21p,~Dele of DisppsNOn (M°~14tlay, ye~r~ 21c. Platy of Disposif (Name of cemetery, cremalay w omet place} 21d LocaAan (Cey I town, stale, zip code)
Burial ^ Removal Iran slate j was Cremellon or Donator Amhorixed eCem Der / ~ jj Westminster Memorial Gardens Carlisle
PA 17013
^ Omer ~ Specity~ i M Medical Examiner /Coroner? ^ yes ^ No ,
22a. d FunemV ServVCe Lxen or per9ion acting as sucm) 22b. l1CHI5B Number 22C Nama and AtlMess of Facility
013144L. Hoffman-Roth Funeral Home and Crematory Inc. 219 N. Hanover St.
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CarrMHe tams 23ac oHy when redAyirg 23a. To me best of my krowledge, elk-dccurted at me time, dale ant Dlace sfatee. (SignaWre ark tkle) 23b. Licen90 Number c. ate rgtled h, y, year
physician riot ava4able al area of deem to
tenay cease a deem.
Items 2d~26 must be compleletl by person 24. Time of Death 25. Dale Prmouncetl Dead (Month, day, year) 26. Was Case Flafened to Medical Examiner I Coroner for a Reason Other than Cremation or Donation?
writ Drawurx es aea'h 7:30 PM M December 23 , 2008 ~ea ^ Nt
CAUSE OF DEATH (See Instructions BtW examples) r Approximate interval: Part II: Enter oIMr,5lgBlfcanl caM'A ohs conlfibNing to death 28. Did Tobacco Use Conmbule to Death?
Item 27. Pad I: Enter the Gain aevents - tliseases, injuries, or candicabaR - that tlirecay caused Ilw deem. DO NOT enter terminal events such es cardiac arrest, Onset to Death but not resulting in me underlying cause given in Part L ~ Yes ^ Prohabty
respiratory artesl, or ventricular Iibdllation wilhaa sfgwing the elrology Lill only arse Wuse ar each litre. N ^ Unkrwwn
MIMEgATE CAUSE Final diseasea {- -['
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Due o s a consequence op: - of pragnam within past year
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$equentiaAy N51 coniktions, II any, b_ ~ c ~~ ~ ~ , . ` 2 ~ 1, ~,y ~ Pregnant et Gore a tleath
Ieadng to the cause lisletl on line E. Due to as a cerise rice o I
Enter the UNDERLYING CAUSE (q1 qua ~: - ^ Not pregnant, tin pregnant within 42 days
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erLseese or injury mat inaiatee the ~ 1 w ~ ~ ice-
is rewaing m death) L49L t o
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Due to (or aTd Zonsequance oQ: ^ Not pregnam, but pregnan143 tlays to 1 year
e. before Beam
^ Unknown fl pregnant wahln the past year
3Da. Was an Autopsy 3W. Ware Autopsy Findrgs 31. Manner of Death 32a. Date of Injury (Month, tlay, year) 32b. Describe How Injury Daunetl 32c. Place of Injury: Hone, F rm, Street, factory,
Pedormetl? Areilebk Prior to Compklian
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^ Yes ~NO ^Ves ^ No ^ AcWenl ^ Pmdirg Invesagelbn 32d. Time of Injury 32e. Injury at Work? 32t A Transponalion Injury (SpertilyJ 32g. Location of Injury (Street, Gily (town, state)
^ Suicide ^ Could Not be Dalennined ^ Yes ^ No ^ Driver I Operator ^ Passenger ^Pedesban
M. ^Other-Spenly:
33a. CeniM1er (heat oay ale} 33b. helot tl 41n of CerJ~r
• Certdying pnyaitian (Physician cenitying cause of tlaam when entreat physitlan has pmraunce0 Beam and completed Item 23) ale` C/~
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To the best of mY knowedge, eeama~~uned due Wtne causa(sl arW mamror as slated_________________________________
Pronouneing and certifying physoian (Physician bore prorrouncing death antl caddying to cause a tlealhj
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^ 33c. Ucense Numher 33d. Dale Signed (Manor day. year]
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• Medical Examiner I Coroner ~ l' ~ Z~ 7 / ~1~
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On the basis of examinalion antl I or Investigation, in my opinion, death onurrad at the lime, sate, antl place, antl tlce to the ceuse(s) antl manner as statad_ ^ yt Name and Address of Person Who Com la~ use o1 Deam Iltem T71 Type /Prim
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Disposition Permit No.
LAST WILL AND TESTAMENT
OF
EVELYN R. LIBERATOR
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KNOW ALL MEN BY THESE PRESENTS, that I, Evelyn R. Liberator, of 516
Barnstable Road, Carlisle, Cumberland County, Pennsylvania, being in good health and of sound
and disposing memory, do hereby maize, declare, and publish this as my .Last Will and Testament,
hereby revolzing all former Wills and Codicils heretofore made by me.
FIRST: I direct that all my just debts and expenses of my last illness and funeral expenses
shall be paid by my Executrix, hereinafter named, from my estate as soor.~ alter my decease as shall
be found convenient.
SECOND: I give, devise, and bequeath all the rest, residue, and remainder of my estate, '~
whether real, personal or mixed, of any nature whatsoever and wherever situated, including any lapsed ~~``'
or void legacy, to Alma M. Garman, 516 Barnstable Road, Carlisle, Pennsylvania. ~'
THIRD: I hereb nominate, constitute, and a oint Alrna M Garman, as Executrix of this
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my Last Will and Testament. If my Executrix fails to serve, or for any reason fails to continue to `~'
serve, I then appoint Lindsay D. Baird, Esquire, 37 S. Hanover Street, Carlisle, PA to serve as
Executrix.
FOURTH: I direct that my Executrix, or her successor, shall not be required to furnish
any bond or other security for the faithful performance of her duties, notwithstanding any provisions ~ ~ ~'~~`~.,
of law to the contrary. ~
FIFTH: My Executrix shall have, in addition to the powers and authority conferred upon
her by law, the following additional powers and authority:
1. To sell at public or private sale, exchange, lease, mortgage, or pledge any property, real or
personal, constituting a portion of this estate, at any time, and upon such terms and conditions as
she shall deem wise.
1
2. To invest any money at any time in such bonds, stoclzs, notes, real estate, mortgages, life
insurance, annuities, or other securities, or such property, real or personal, as she shall deem wise,
without being limited by any statute or rule of law regarding investments by the Executrix.
3. To retain, without incurring any liability, as investments, any property owned by me at
the time o~ my death, as long as she deems it wise, and even though such ;property is not the hind of
property she would purchase as an investment, and even though to retain s uch property might violate
sound diversi{ication principles.
4. To cause any security or other property which may at any time constitute a portion of my
estate to be issued, held, or registered in her own name, or in the name of a nominee, or in such form
that title will pass by delivery.
5. To consent to the reorganization, consolidation, readjustment of the 1•inancial structure,
or sale of the assets of any corporation or other organization, the securities of which constitute a
portion of my estate, and to talze any action with reference to such securities which, in the opinion
of my Executrix, is necessary to obtain the bene~it of any such reorganization, consolidation,
readjustment or sale; to exercise any conversion privilege or subscription. right given to her as the
owner of any securities constituting a portion of my estate; to accept and hold as a portion o~ my
estate securities resulting from any reorganization, consolidation, readjustment, sale, conversion, or
subscription.
6. To pay all costs, taxes, charges and expenses in connection with the administration of my
estate.
7. To transfer, sell, exchange, partition, lease, mortgage, pledge, give options upon, or
otherwise dispose of any property at any time held by her, at public or private sale, or otherwise.
8. To employ legal counsel, accountants, brolzers, investment advisors, custodians, managers,
and other agents and employees and to pay them reasonable compensation out of my estate or out
of any ~und held hereunder to which said compensation is attributable.
9. To do all other acts in her judgment necessary or desirable ~or the proper and
advantageous management, investment, and distribution of my estate.
SIXTH: I direct that all trans~er and inheritance taxes, state or federal, assessed because of
my death, whether the ~unds, property, or insurance proceeds to which such taxes are attributable pass
under this Will or not, shall be paid out of my residuary estate just as it they were my debts and none
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of those taxes shall be charged against any benelaciary; that my Exe<utrix pay, or provide for
payment, al all such taxes at such time or times and in such manner as my Executrix deems best.
SEVENTH: All questions as to the validity of this, my Last Will, or the administration o~
the Will shall be governed by the laws o~ the Commonwealth o~ Pennsylvania.
EIGHTH: Should Alma M. Garman, fail to survive me, then I give, devise, and bequeath
all the rest, residue, and remainder o~ my estate o~ whatsoever nature and wheresoever situate to my
three children, David Liberator, Cheryl Peiper and Roger Liberator, Jr.
NINTH: Except as otherwise provided in this Will, I have intentionally wiled to provide for
any other relatives or other persons, whether claiming to be an heir of mine or not. Insofar as I have \ r
waled to provide in this Will for any of my other issue now living or latter born or adopted, such 1~
~ailure is intentional and not occasioned by accident or mistalze. ;J
IN WITNESS WHEREOF, I, Evelyn R. Liberator ,the Testatrix to this, my Last Will ;~~
and Testament, typewritten on three (3) sheets of paper which I have identi{ied in the margin of each `"
page by my signature, hereunto set my hand and seal this 10th day of July, 2007. (v
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C' Evelyn R. Liberator `'~~
The preceding instrument, consisting of three (3) typewritten pages, each identified by the signature
of the Testatrix Evelyn R. Liberator, was on this day and date signed, published, and declared by her,
the Testatrix therein named, as and for her Last Will, in the presence of us, who at her request, in
her resence, and in the presence of each other have subscribed our names as witnesses.
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COMMONWEALTH OF PENNSYLVANIA. )
SS:
COUNTY OF CUMBERLAND )
I, Evelyn R. Liberator, Testatrix, whose name is signed to the attached ar ~oregoing
instrument, having been duly quali{ied according to law, do hereby acl~nowledge that I signed. and
executed the instrument as my Last Will on the 10th day o~ July, 2007; that I signed it willingly;
and that I signed it as my free and voluntary act ~or the purposes herein expressed.
_~~
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E yn R. Liberator
Sworn or a~irmed to and acknowledged be~ore me, by Evelyn R. Liberator , the Testatrix, this
10{~' day o~ July, 2007 .
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Notary Public
COMMONWEttL"H QF °FiJNSYLVANIA
Notarial Seal
Niven J. Baird, Notary Public
Carlisle 8oro, Cumberland County
My Commission Expires Nov. 2, 2010
Member, Pemisy,vania Association of Notaries
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF CUMBERLAND )
We, the witnesses whose names are signed to the attached or ~oregoing instrument, being duly
quali~ied according to law, do depose and say that we were present and saw Evelyn R. Liberator sign
and execute the instrument as a codicil to her Last Will; that she signed willingly and that she
executed it as hex ~ree and voluntary act for the purposes therein expressed; that each o;~ us in the
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hearing and sight o~ Evelyn R. Liberator signed the codicil as witnesses; and that, to the best o~ our
knowledge, Evelyn R. Liberator was at the time eighteen (18) or more years o~ age, o>~ sound. mina.,
and under no constraint or undue in~luence. ;'~
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Sworn or a~irmed to and subscribed to be~ore me by the
above-named witnesses, this 10th day o~ July, 2007.
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Notary Public
COMMONWE;~~I'~''°!'~ l~•Ei~NSYI_VANIA
Notarial Seai
Niven J. Baird, Notary Public
Carlisle Boro, Cumberland County
My Commission Expires Nov. 2, 2010
Member, Pennsylvania Associa!ion of Notaries
5