Loading...
HomeMy WebLinkAbout03-03-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA ~~i ~ ~° ~ ~ ~`~- L 1 Estate of Mabel M. Shuman File Number ' also known as Deceased Social Security Number 185104755 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW:) a A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the EX2CUtorS named in the last Will of the Decedent dated 11/17/1987 and codicil(s) dated None The s ouse of Mabel M. Shuman Ernest D. Shuman died on Ma 17 1990 (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: None B. Grant of Letters of Administration (If applicable, enter: c. t. a.; d. b.n.c.t.a.; pendente liter durante absentia; durante minoritate) 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: (!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.) ~ a __ ,- I, ~C _ 3'~ 1 x'_ W - - .~- (~©~ ~ ..o --t ~ , (COMPLETE INALL CASES:) Attach. additional sheets ijneeessary. Decedent was domiciled at death in Cumberland County Pennsylvania, with his /her last principal residence at 120 Hillto Road Newbur Ho ewell Townshi PA 17240 Cumberland Coun (List street address, town city, township, county, state, zip code) Decedent, then 97 years of age, died on 2/15/2009 Penns Ivania Carlisle 17013 Cumberland Count Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania $ 300, 000.00 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: Typed or printed name and residence Signature ., Jay E. Shuman Pn 17240 Philip D. Shuman Page 1 of 2 ~.....~ Aui_m ~o., t 0.13.06 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 ri.e the- ~ day of l ~~' ~ For the Register L Signature o ersonal Representative ~,. Sig lure of Personal Representative Signature of Personal Representative Z,~ (} ~ @ ~C~ ~~ I ~' c= i t W File Number: ~, C3 - ~ ~ Ded Estate of Mabel M. Shuman --a o0 • 2/15/2009 "- _, , c .._. -: ~. °:_ Social Security Number: 185104755 Date of Death. AND NOW, March ~ , 2009 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testaments are hereby granted to Ja E. Shuman and Phili D. Shuman in the above estate and that the instrument(s) dated November 17 1987 described in the Petition be admitted to probate and filed of reco~d as the last Will (and Codicil(s)) of Decedent. FEES Register of Wills ~ 1'` '.~ + / Letters ....~~~,.C~~.... $ <~ ca..., ~' ~~ _^. Short Certificate(s) ••••• •••••• $ Attorney Signature: ~ _ Renunciation(s) •••••~•~~•~•~~•~ $ ~ -' ~ Attorney Name: H Anthony Adams '-'- ,~ ~ I l .... ( $ . J ( F? .... $ f D Supreme Court LD. No.: 25502 r~,.. -~~ - .... $ ~ 49 West Oran a Street $ Address: .... $ Shi ensbur .... $ PA 17257 .... $ "" $ Telephone: 7175323270 .... $ . $ .3 JZn~, TOTAL ............................ Page 2 of 2 Form RW-02 rev. 10.13.06 OCAL REtaISTRAR'S CERTIFICATION OF DFATH WARNING: It is illegal to duplicate this copy by photostat or photograph. E-ce °k1i,. this c~rtifi~att~ 5(L(N1 P 1492657. (~c1-ti( a :11T ,~ n)hcr - H105-143 REV 11/2006 TYPE / PRIM IN PERMANEM BLACK INK tc ,1~P~.;k ~{ P~~• 1 eta„ ~~+1'~'-~. ~. C u ~ ,• T(t)s i~ Icy ~tt~til~ _irl, t?~c~ )rf!rrrnwlilln uue ?i~crr is C11iI~CTl1~ ~11r'tl tI ~!l~ ~SIl 1111 '.iPti~ ~ 11111 Ili' 111 ).>~'tllil dui. Ellett ~ ah ~)1 .r 1. ,~ .rl KL, l;trar- I j:e I~1. *mal cL)til~cn? 1~~~il , . itn~~t rlllc~_1 tLl i}7,~ St:(te Vit<tl R - Off ce .ti lie. ))clot !)lu~~ -- - az ~ ~~ ~-°--~- . _r C' ~~~l.~.rki!- ~ i:1 .i!i' l5~urt~ C•7 C~ ~~ `= ~-- r ~rn ~~x 21 G ~I c 2~ ~ ~~° COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ " CERTIFICATE OF DEATH ~ ~ (See instructions and examples on reverse) STATE FILE NUMB R ca ..v __ - 3 W f- r, f.. ~ ^ , ~ ... 1, Name of Decetlenl (First, middle, last, sMb) 2. Sex 3. Social Securky Number 4. Dale of Death (MOnlh, tlay, year) Mabel B. Shuman Female 185 - 10 - 4755 February 15, 2009 5. Age (lest einhday) Under 1 year Under I day 6. Date of Binh (Month, tlay, year) 7, BiMplace (CAy and state or foreign country) Ba. PWCe of Death (Check onty orre) slomrs- Deya Hwrs svn,nes ]jpp~.pg] t 'j~, r ~, Cp, , Hospital: Other 97 Yrs. 12-21 -1 1 PA ^ Inpatient ®ER / Oulpatienl ^ DOA ^ Nursing Home ^ Residence ^Other Specify: ' Bb. County of Death 6c. City, Bao, Twp. of Death lM. Facility Name (drat instilulgn, give slreef and camber) 9. Was Decedent of Hispanic Origin? ®No ^Yes 10. Race. Amsrican Indian. 81ack, While, etc. (h yes, specify Cuban, (Speply) Cumberland S. Middleton Twp. Mexican,PUenoRican,MO.) white 11. Decedent's Usual eon Klyd of work tlone tludn most of world life. Do not stile retired 12. Was Decedent ever in th 13. Decedem's Educelion (Spedfy oNy highest grade completed) 14. Merkel $Ialus'. Married, Never MarrieQ 15. Surviving Souse (II wile, give maiden name) Kind of Work Kind o(Business I Industry U.S. Armetl Forces? Elementary /Secondary (0.12) College (1-4 or 5+) Wdowed, Divorced (Specify) homemaker ^Yes ®NO 8 years widowed 16. Decetlenfs Mailing Adtlress (Street dry /town, state, zip code) Decedent's Dd Decetlenl rryye~ Hope W e l l Twp . PA Live in a 17c Yes Decedent Lwed'm T t l R id 17 St l A ' 120 Hilltop Road , . L wp. ua ence a e c es a. 1 TownSMp? 17d t Li ^N D d tl khi en n . o, ece ve w 17b. County Cumberland l Li A t k f C Newburg, PA 17240 c ua m s o M/Bao 16. Father's Name (First, mdtlle, lest, sukix) 19. Mother's Name (First, mitldle, maiden sumank) David Ahl Myers Daisy Elenora Diehl 20e. Inlamant's Name (Type / Pant) 206. Intormanl's Mailing Address (Street, cky /town, state, zry cotle) Philip D. Shuman 120 Hilltop Road, Newburg, PA 17240 21 a. Method of Disposition i ^ Cremation ^ Donalan 21 b. bete of Disposition (Month, day, year) 21 c. Place of Dsposklen (Name al cemetery, crematory or other place) 21 d. Location (City I town, slate, np cotlel ® Burial ^ Removal from Slate WeaCremalbnorponatixmAUthoriutl • 2-19-09 Otterbein Cemetery Newburg, PA 17240 ^ Other -Specify i by Medical Examiner I Coroner? ^Yes ^ No ~ 22a. Signature of ice Lice see (or person ad'mg as such) 22b. License Number 22c, Name and Address of Fadlky , . ~ ~ FD-012984-L Fogelsanger-Bricker Funeral Home Inc., Shippensburg, PA 17257 Compete Items 23ac only when ceditying 23a. To the best of yno ath occurtetl al the lime, Gale entl pWCe stated (Sgnature and IBIe) e 23b. License Number 23c. Date Sgned (Month. day, year) physrden is rxN available at Nme of death to ~ A . `~ f "~ (~/ D ~ ~ 3 IS~ ~) L ) cenky rouse of tleath. ' it Items 2426 must ce comDletetl by person 24. Tune of Death year) 25. Dale Pronounced Dead (Month, d ay 26. Was Case Referr ed~rto Medical Examiner! Coroner for a Reason Other than Cremation or Donation? ,' who pronounces death. ,Cj~Q('j /~M. ~ c ©2- IS L,CrjLT ~ ^Yes I'~,XNo CAUSE OF DEATN (See Instmetlons and examples) I Approximate kkerval~. Part IC Enter other sionA Unl Coldkgn5 comnbul'no b death, 28. Did Tobacco Use Conlnbule to Death? Item 27. Pan 1: Enter the cha'n of evens - dseases, injuries, or complicalbns -that tllrectly caused the death. W NOT enter lemtinel events such as cardiac artesl, I Ansel to Death ¢I onl one use on each Nra h the etido fib ill ti kh l i n l but rrot resuking In the undenyirg cause given'm Pan I. ^Yes ^ Probably y . ow gy. ar r a on w ou s ng respratory arrest, or vem cu No ^ Unknown IMMEDIATE CAUSE /Fnul tlisease or tordilion resulting in death) _' 2. r ` / / ~ O~'~ !7~ ~`- 29. B F le. I Due to (or as a sequence of : ,.. ~. / /Y r I r ~ / ( / I Pregnant within past year ^ Pregnant at lime of death Sequentialty list conditions, it anY b. ~ ~ v (~J L r leatling to the cause Nstetl m line a. UNDERLYING CAUSE Due Io (ar es a consequence of): th E t ^ Not pregnant, Mit pregnam wkhln 42 days n er e (dlsea5e or injury Thal initiated the p ; of death 9 in ) , events resullin tleath LAST. Due to (or as a consequence ol) ^ Nol pregnant, but pregnant 43 days to t year , r d. before death Unknown it pregnant within the pall year 30a. Was an Autopsy 30b. Were Autopsy Flndngs 31. Ma .r of Death 32e. Date of Injury (Month, day, year) 32D. Describe How Injury Occurred 32c. Place of Injury: Homc. Farm, SlreeL Factory, Pedortned7 Available Prior to Canplekon of Cause of Death? atuml ^ Homicitle Oflae Building, etc. (Speaty) ~ ^ Accidem ^ Pending Invesligmion 32tl. Time of Injury 32e. Injury at Work? 321, h Transponalion Iryury (Specify) 32g. location of Injury (Street, sly /town, slate o ^ Yes ^Yes ^ No ^ Suicide ^ Could Not be Delemarretl ^Yes ^ No ^ Driver I Operamr ^ Passenger ^Pedestrian M ^Olher~ dy: 33a. Candler (check only one) b. Signature and TAk of Ceniller • Cedflying physician (Physician cenilying cause of tlealh when arather physician has prorrouraetl deaN aM Compleletl Item 23) , Te the best of my knowledge, death occurretl due to the cause(s) entl mender es stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Pronouncing and cenifying physician (Physkien both pronoundn9 tlea!h and cenitying to cause of death) To the best of my krrowletlge, death occurted at the Ilme, date, end place, and due to the cause(s) end manner as slaletl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ne di l E i I C • M 33c. Lcense Numbe n 33d. Dale Signed ( onlh, tlay, yam) ///~~~ / /1 ~ ~ I ~ ~ T ~i7' I V oro r e ca xam ner On the basis of exami n a / or Invesli , liUn inlon, death occurretl at the time, date, end place, end due to the cause(s) end manner as stated_ ^ M Name and ddmss of Pew Who Can let se ealh 7 T /Print , 35. Registrar's Bignawre al Number ~ ' ~ / I I I ~ isl 3G. Dale Iletl (MOMh, day, year) o G ~, 'y ry '~ Ih 7 ~ ~ a /7 z . 1 3 Disposition Permit No. ©~ ~~© ~.J LAST WILL AND TESTAMENT I, MABEL M. SHUMAN, of Hopewell Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any r-~ will or codicil previously made by me. ~ _ C `" _ ~~ ITEM I: I direct that all my just debts and funeral e~s„e?s, nclu~ing, my gravemarker and all expenses of my last illness, shall b~.>~ fr6~ my= l~ ~4 ~ residuary estate as soon as practicable after my decease asC~~a~*t o~the_: administration of my estate. -°y -- cs~ ITEM II: I bequeath those articles of my household furniture and (furnishings and those articles of my personal effects and personal property as set forth in a separate memorandum, which I shall place with my will or deposit with my attorney, to the persons therein designated. ITEM III: I devise and bequeath the residue of my estate of every nature and wherever situate to husband, ERNEST D. SHUMAN, providing he shall- survive me by thirty days. ITEM IV: Should my husband, ERNEST D. SHUMAN, predecease me or die on or before the thirtieth day following my death, I devise and bequeath all of the residue of my estate of every nature and wherever situate to my issue, per stirpes, living on the thirty-first day following my death. ITEM V: I appoint his or her parent or guardian, guardian of any property which passes outright either under this will or otherwise to a minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, provided that this appointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minor's benefit. Such guardian shall have the power to use principal as well as income from time to time for the minor's support and education (including secondary, college education, both graduate and undergraduate, professional and other education) without regard to his or her parent's ability to provide for such support and education, or to make payment for these purposes, without further responsibility to the minor or to the minor's parent or to any person taking care of the minor. ITEM VI: I direct that all taxes that may be assessed in consequence of Imy death, of whatever nature and by whatever jurisdiction imposed, shall be (paid from my residuary estate as part of the expenses of the administration of Amy estate. ITEM VII: I appoint my husband, ERNEST D. SHUMAN, and sons, JAY E. ~SHUI`'tAN and PHILIP D. SHUMAN, or the survivor or survivors of them, executors of this my last will. ITEM VIII: I direct that my executors or guardian or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and Testament, written on three (3) sheets of paper, dated this (~ day of ~dy~w~~j~,~ 1987. G~~V i')'1. (SEAL) Mabel Shuman The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the testatrix, was on the day and date thereof signed, published and declared by the testatrix therein named, as and for her Last Will, in the presence of us, who at her request, in her presence, and in the presence of each other have subscribed our names as witnesses hereto. - , ~ ,, ~' ' ' f ~~ ~~ <;' ~;. '~} Y~ ~ ,'%~/L~'~-~_ residing at ~~~~~ ~~, , '' ~ ~' ., ~~~ //'` . ~..Q.~.Q~~ residing at S!'l.~~r/J~QdL.s ~~g', ~~ 2 COMMONWEALTH OF PENNSYLVANIA ss. ,COUNTY OF CUMBERLAND I, MABEL M. SHUMAN, the 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; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. ~, ,,,,~1 (SEAL) Mabel M. Shuman Sworn to or affirmed and acknowledged before me by /~71~~3 c:-1 ~yI v`' fxl.~/~FFlrz%~ the testatrix, this f ?~- day of `~1cu~r f? ~'~' 1987. i ~. TE~'N~@ ~~;~~~~~^t~ry FubiiC Ship;-;ensh,;;g, Cur~;;er_=nd Co., Pa. My Commission Expires Sept. 9, 1941 COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We (or I) ~ i~7~'tIC TC~ r~ 1-~-(/yS and ~%t~'~?1,~-; /l~'i . ._;i-:7-1;:~r.'" the witness(es) whose name(s) are (is) signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were (I was) present and saw the testatrix sign and execute the instrument as her Last Will; that the testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each ,subscribing witness in the hearing and sight of the testatrix signed the Will as a witness; and that to the best of our (my) knowledge the testatrix was at that time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. ~' Sworn to or affirmed and subscribed to before me by ~r~:. ~~! ~ ,~/y, ~f5 and i'o~ ~~ ,~ ,~r`3 ,S e=~4 5:.- witness (es) , this 7 n- day of ,~ 1m/~ rac.kJ a,~ 1987 . Nota Public Ship; cr~_.__ _, C:~rr_.-,_na ~: , , My Cc~T',~cs?on ex~.irea .. ;-+. ~ . i 3 PERSONAL PROPERTY MEMORANDUM TO ACCOMPANY WILL OF MABEL M. SHUMAN As provided in ITEM II of my will, I hereby designate that the following listed property shall go to the persons whose names are designated hereon. ITEM NAME DATED: SIGNED: