HomeMy WebLinkAbout02-26-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of LARRY V. NEIDLINGER
also known as
COUNTY, PENNSYLVANIA
File Number ~~ ~" V!~ O 1 1
,Deceased Social Security Number 379-38-0090
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
m A. Probate end Grant of Letters Testamentary and aver that Petitioner(s) is /are the Executrix
last Will of the Decedent dated November 20, 2007 and codicil(s) dated none
named in the
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(State relevant circumstances, e.g., renunciation, death of executor, etc.) ' ~ -r- ~ '-~'-..`
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after executionift~ ~trum~(s) often
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~'~ ~ ? ~ -8 ~~ `
B. Grant of Letters of Administration "t ~ -. '~
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente liter durance absentia; d ante minoritate~ '~' +'
fJ'1
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
Administration, c.t.a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
(COMPLETE INALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
595 Greason Road. Borough of Carlisle. PA 17015
(List street address, tawr/ciry, township, county, state, zip code)
Decedent, then ~ years of age, died on December 26, 2008 at 595 Greason Road, Borough of Carlisle, PA 17015
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 100,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) .Personal property in County $
Value of real estate in Pennsylvania $
situated as
Form tzw-o2 rev. l o. /3.06 Page 1 of t
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 fonn to
the undersigned:
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 affirmed and subscribed
before me the day of
VI L
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Signature of Personal Representative ' `.) `i7 ~ t-rj `- ~ -
FOr a Register Signature of Personal Representative ~ r- ~ ~~ ~ ~-,
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File Number: ~~ ~ ~ ~ ~ / / ! ~
Estate of LARRY V. NEIDLINGER ,Deceased
Social Security Number: 379-38-0090 Date of Death: December 26, 2008
AND NOW, , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to MARY JO NEIDLINGER
in the above estate
and that the instrument(s) dated November 20, 2007
described in the Petition be admitted to probate and filed of
FEES
Letters ............... $ 210.00
Short Certificate(s) ........ $ 20.00
Renunciation(s) .......... $
Will , .. $ 15.00
JCP $ 10.00
Automation Fee ... $ 5.00
... $
... $
... $
... $
... $
... $
TOTAL .............. $ 260.00
record as the last Will (andfCodicil(s)) of De dent.
egister o~~Wills
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Attorney Signature: Y
Attorney Name: George F. Douglas, III, Esq.
Supreme Court I.D. No.: 61886
Address: Salzmann Hughes, P.C.
354 Alexander Spring Road, Suite 1
Carlisle, P.A 17015
Telephone: 717-249-6.333
Form RW-02 rev. 10.13.06 Page 2 of 2
105-AIK KG6 rtl 111 l"1 ~~ ~ ..~ / 1~~~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or' photograph.
Fee for this certificate, $6.00
P 15097180
Certification Number
143 REV 11 <DD5
'PE f PRINT IIJ
'ERMANEIJT
BLACY. INK,
This is to certify that the information here given is
correctly copied from an original Ce rtificate of Death
duly filed with me as Local Regist rar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
4~~1~,,.'t.~i>~ ~ a
Local [registrar ~C7 °w I1~t~~s~ued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CT1
CERTIFICATE OF DEATFI
(See instructions and examples on reverse) 5747E FILE NUAABER
11. Name of Decebenl IFirsl. midde. Wsl. sudixj 2. Sex 3. $ncia15ecudly Mumber 4. Dale of Death Ilutonlh, tlay, yearj
Larry V. Neidlinger Male. 379 - 38 - 0090 December 26, 2008
5. Aoo (Last Bidhtlayl Untler 1 year Under 1 tla! 6. Dale el Binh IMmlh. tlay, year) 7. Blrlhplate Icily antl stale or loreign country] Ba. Place of Death (Check only gnat
Monms Uays Hours kknmes Hospital: Other
64 .fro January 31, 1944 Niles, Michigan ^InpareM ^ERf 0ulpadDnl ^DOA ^Nursing Home ®Resitlenc
e ^otner - spenily:
06. County of Death Sc. CB}'. Borc. Trop. of Death Bd. Facility Name 111 not inslilulion, plve street and number) 9. Was Decedent of Hispanic Origin? ®No ^Ves 10. Race: American Indian. Black. While. etc.
III yes. specily Cretan, ISpecily)
Cumberland West Pennsboro Twp. 595 Greason Road MexKan,PuenoFican,etc.) White
11. Decedents Usual Occwatien IK'md of work tl orre D un most of workin INe. Do net stale reliredl 12. Was Decetlenl ever in the 13. Decedent's Etluwllon (Specih only highest grade comp leted) 14. Merihl Blalus: Marrred, Never Marred t5. Surviving Spo use (It wile, give mottles name)
KiM of WorN Klnd of Business! Intlustry U.B. Armatl Forces? Elementary !Secondary (0-12) College (1-4 or 5t) Widowed, Divorcetl ISpeci/)1
Civil Engineer Government ®vea ^Np 5+ Married Mar Jo Williams
16. Decedents Maillria Atltlress (9reel, cAy!tovm, slate. zip code) Decetlenl's Penns 1Vanla DveOin aedenl West Pennsboro
Twp
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itl
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y 17
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595 Greason Road enc=
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17b
Cnumy Cumberland 17c.^NO, Decetlenl Lwetl within
Carlisle, PA 17015 . Actual Limits of Cil !Bore
1B. Fathers Name IFimt, middle. last, suffix) 1g. Mother's Nam= (First, middle, maiden surname)
Walter V. Neidlinger Adele C. Schoenlau _
217a. Inlormanl's Name I type! Print) 20b. Informant's Mailing Adbess (Sheet, city /town, slate, zp code)
Mary Jo Neidlinger 595 Greason Road, Carlisle, PA 17015
21a. Method el Disposition ®Cremalion ^ Donafmn 21 b. Dale of Disposition 1Momh, day, year) 21c. Place of Dispasdion (Name DI cemetery, crematory or Mher place) 21 d. Local (Clly I town. stale, zip code)
^ Budal ^ Remevanmmslale waacmmatmnarDenaBenamneri:e° December 27
2008 Charles Evans Crematory Reading
PA 19601
^ Olber - Specilt• by Medical Examiner /Coroner? ®Yes ^ No , ,
22e Signature of Wneral Service licensee person actin as such) 22b. LicarrSe Number 22t. Name and Address of Facillly Gellman-$O110Sk1 Funeral Home, Inc.
~•~ ~ 013364-L 5153 Kutztown Road, Tem le, PA 19560
Compkle Items Zia c enty when cedilying 23a.TO the hest of my knowledge, tlealh occunetl al the Ime. dale and place staled (Bignature antl tllle) 23h. License Plumber 23c Date 5'gned(Month dal year)
pltysidan Is not avaNabie al f e of death m t ,7 - ' ? ,.
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cediry~ cause of death. ~.
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Items 24-26 must be compleletl by person t~~, Time of Death J(i ~ 25. gale Pronouncetl Deatl IMOnIh. day, year)
. 2fi. Was Case Relerretl to Medical Examiner! Coroner for a Reason Other man Cremation or Donation?
who pronounces tlealh. ~` ~ .:~- M. /(, i~,! . - `
~ ~.• .L L'L~`rI ^Yes ^X No
CAUSE OF DEATH (See Instructions end examples) r Approximate imervah PiM II: Emer other Zmi6canl wMllions mnlnbuting to tlealh. 28. Did Tobaan Use Gonirioule to Death?
Item 27. Pad I. Enter the ghats of events-diaeaeee. injuries, or cwnpllcalions -M21 tNreplly DaVeetl the tlealh. W NOT enter terminal eve nts such as cardiac arrest. Ousel to Death hul rIM resullVrp in the untlerlymo rouse arven In Pan I. ^Ves ^ Probably
tespkalory artest, or venbicularlibMlaiion without shwting'~he elidogy. list only orle cause on each line. ~NO ^Unknown
mdMEDIATE CAUSE (Final tlisease m ) ;
cnndamn raawlmpmaeaID) _~ _C~-Nip Cf}fV4[~-' t_(`rETl4 7p1~7( (,
a ~. \ i
712 ~V / r 29. II Female:
^ f
Due to for as a consequence ol):
SeT2Mkdlly list contlili0ns, it any, h r
r
j 4o1 preanam wilnin past veer
^ Pregnant al bete of tlealh
leadmp to the cause lisletl on line a.
Enter Ere UNDERLYING CAUBE Due to (or as a consequence pp: r ^ Not pregnant, but preenam wilhln 42 days
(tlisease or injury Ihal iMlialetl the
vents resuNin
m dealhf LAST DI tlealh
g
.
Due to (or as a consequence olj.
^ Nol pregnant, but pregnant 43 days le I year
a helore tlealh
.
^ Unknown it pregnant within the past year
30a. INas an Autopsy 3gh. Wee Autopsy Findings 37. Manner of Death 32a. Date of Inryry (Month, tlay, year( 32b. Describe How Injury Occunetl 32c. Place of Injun': Home. Farts. Sucel, Factory.
Pedormed% Available Prior to Completion rr~~
Natural ^ Homicide OAice Building, etc. (Bpecllyl
~ ^I Cause of Death? Ibl
11
^Ves ®No ^ vas ^ No ^ Acodenl ^ Pentling Investigation 32tl. Time DI Injury 32e. Inury at Work? 321. II Transponalien Injury (Speciry) 32g. Lacalmn of Injury IStreel, city! Imrn, stale)
^ Suicide ^ CouW Nof he Determined ^Yes ^ Ne ^ Drkver IOperelor ^ Passengw ^Peeeshran
kl ^Other ~ Specily:
33a. Ceniher jcneck only pnel 33h. $ignalure ar>d Title of Cenilier
• Cerlilying physician (Physician cedilvinp cause of death when another pnl5ician has pronounced tlealh and completed Item 231 .. l'-.
~
To the best of my knowledge, tlealh occurtM due to the Cause(s) and manner as atated_ _ _ _ _ _ _ _ ^X .~C ~` -
• Pronouncing and ceditying physcian (Physician troth pronxmcino death and cedilying In cave of death)
l
^ 33c License Number 33tl. Dal= Signed (Monts. day, year)
I To the best cl my know
edge, death occurred at the lime, date, and place. and due to the causels) end manner as slated_
• Medical Exemmer 1 coroner _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ i~t D ~} 7 7 a_ j (7E r:_ .;. ~ , Z~ us?
j On the basis at examination and I or Investigation. Vn my opinion, tlealh occurred al the lime, dale, antl place, and tlue fo the causelsi and manner as staletl_ ^ 34. Name and Address el Person Whn Comoleletl Cause el Uhath Iltem 27i Typo i Pnm.
3s. Reg~war s srgmm~re and cmdd PJUmdei O ~ ~-
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36. Data Filed ]Mums. doe veaN Dr. Anita Koszyk-Szewczyk
5 00 univ e r s:i t D r .
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Diapnaninn Permg Nn. 0 3 00 6 6 5
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LAST WILL AND TESTAMENT
OF
LARRY V. NEIDLINGER
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I, LARRY V. NEIDLINGER, of 595 treason Road, Carlisle, Cumberland
County, Pennsylvania, being of sound and disposing mind, memory and understanding,
do make, publish and declare this as and for my Last Will and Testament, hereby
revoking and making void any and all former Wills, Codicils, or writings in the nature
thereof, by me at any time heretofore made.
FIRST: I hereby order and direct my Executrix or Executor,
hereinafter named, to pay all my just debts, funeral expenses, testamentary expenses
and all Inheritance, Estate, Transfer and Succession Taxes, as soon as may be
conveniently done after my death, out of my residuary estate.
SECOND: I give my entire estate to my wife, MARY JO NEIDLINGER,
provided she survives me by thirty (30) days.
THIRD: In the event that my wife fails to survive me by thirty (30) days
or we should die as the result of a common disaster, I hereby give, devise and bequeath
my residuary estate to my children, ROBERT V. NEIDLINGER, MICHAEL T.
NEIDLINGER and JUSTIN C. NEIDLINGER, in equal shares, per stirpes.
LASTLY: I nominate, constitute and appoint my wife, MARY JO
NEIDLINGER, to be the Executrix of this my Last Will and Testament. In the event that
my said wife, MARY JO NEIDLINGER, shall be unable to serve as Executrix for any
reason, I appoint my son, ROBERT V. NEIDLINGER, as Executor. No Executor or
Executrix shall be required to file bond in this or any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
~.~ v'i~
day of ~l0 ~~~~r-~ , 2007.
/~] //
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Larry V. Neidlinger
SIGNED, SEALED, PUBLISHED and
DECLARED in the presence of:
,c ~4~. R~.~~e~C:.c~~~~
2
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss
I, LARRY V. NEIDLINGER, Testator, 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
willingly; and that I signed it as my free and voluntary act for the purposes therein
expressed.
Sworn or affirmed to and acknowledged before me, by LARRY V.
NEIDLINGER, the Testator, this 2.b~' day of PJ~..ti~n ,
2007.
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(O ~ Ki
Larry V. Neidlinger, Testator
G
otary Public
NO~fARIAlBEAL
t~011t1~F DOUQLAS, IN,
CARUBIE 80NOr GNrIBE'I~~lDCOIN~Y
M1f 00111~8910N EXPIl~~NAE>~>00f1
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
~~~
We, ~Q ~cr- ~• fl i c ca rd d and ~~~/~ L" ~~/~ ~= ,
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
Testator sign and execute the instrument as his Last Will; that he 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; and that to the
best of our knowledge the Testator was at that time 18 or more years of age, of sound
mind and under no constraint or undue influence.
Sworn or affirmed to and subscribed to before me by Kw Yom! /-~ !~ cca r,,( D
and ~i~/~Y~ ~~ ~yi¢~E this
.~c~L
day of _ f'~~~~~. ,
2007.
~ot~ ~ ~ rC .cyc~J
Witness
Witness
G
Notary Pubic
4