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HomeMy WebLinkAbout03-04-09~~TITI®N FOIZ I'I~OBATE ANI) ~I~NT ®~ I.~ETT~RS CUMBERLAND CO~Ty PENNSYLVANIA REGISTER OF WILLS OF Estate of Sarah M. Wertz also known as Sarah Murphy Wertz . Deceased Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) File Number ~~ ~~~~ ~ ('~~ 203-10-7017 Social Security Number named in the ® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is NjAthe Executor last Will of the Decedent dated March 17 , 1975 and codicil(s) dated (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 executi f the inshvn~t(s) offered no except' `"" ' ~ r~ for probate; was not the victim of a killing and was never adjudicated an incapacitated person: .~ z~--- ~A~ i ~ ..} ^ B. Grant of Letters of Administration Z rirare (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendenteli~e; durantenbsenrin; dIir' ~ A L":~ s,Y ^~ , ._. -t Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followin se (if anyO d hetxs;~ (tlf.} Administration, c.t.a. or d.b.n.c.t.a., ertter date of Will in Section A above and complete list of heirs.) ~ ~ ,,j ._ Relationshi Residence ~ Name (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Cumberland County, Pennsylvania with his /her last principal residence at 1003 Decedent was domiciled at death in 0 Bridge Street, New Cum er an , (List street address, town/city, township, count), state, zip code) 88 earsofa e diedon 12/10/08 at Holy Spirit Hospital, East Pennsboro Decedent, then Y g Township, New Cumberland, PA . Decedent at death owned property with estimated values as follows: $ 93 , 000.00 (If domiciled in PA) All personal property Personal property in Pennsylvania $ (If not domiciled in PA) $ (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania 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: Tvned or printed name and residence Elmer H. Wertz 1003 Bridge Street New Cumberland, PA 17070 Pale 1 of 2 Form R6V-0? rev. ]0.13.Oo 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 estai~e according to Iaw. Sworn iv or affirmed a d su~hscribed ~/ y before me the da of ~ C ~~ I' ~ ~ ~ ~ the ReglSter (, ~ Signature of Personal Representative Signature of Persona! Representative Signature of Personas Representative (/ " ~ . , Elmer ert~ ~ ~ F-~ !f"~~71 ~ `- ~~~ _ ~~,~- ~ ~ Q ~ i, ', ~ ~ L0 ~ . ~-ry N ~ ~ yn~ ~ 2U File Number: Sarah M. Wertz, also known as Estate of Sarah Murphv Wertz ,Deceased Social Security Number: 203-10-7017 Date of Dea th: December 10 , 2008 /' ' AND NOW, L.i Of' f C~~~C.~l 2009 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Elmer H . Wertz _~ __ in the above estate and that the instrument(s) dated March 17, 1975 described in the Petition be admitted to probate and filed of record the last Will (a , Codicil(s)) f Decedent. r ~~ FEES (} ~ ~i ~ --~ i Re i er Wills ~ ~ ~ 7 ~ $ ~ ~ ~ g ,.~- .... Letters .... ~~ Short Certificate(s) ..~.... $ lo~ Attorney Signature: ~ , ''` ~ Renunciation(s) .......... $ /.c ?I ~~ ... $ ~~ Attorney Name: Marlin R. McCaleb ... $ ~~ Supreme Court I.D. No.: 06353 CJ ... $ , lj $ Address: 219 East Main RtraPt $ Mechanicsburg, PA 17055 ... $ ... $ $ 717/691-7770 Telephone: ... $ TOTAL .............. $ ~ -~6 Form RW-02 rev. lo.i3.o6 Page 2 of 2 OCAL. REGISTRAR'S CERTIFICATION t~~ ~E,~+TI•I WARNlNCa: It is il9egal to duplicate this c~apy by photostat or photayr~~~~- - Td~f~ I`, !., .Lttf ~~. ' )~t~ Ilttiy -u a di: L _i~,. ^ {'Ln_ this rertilic.Ue- ~,ri )~) t~ec ''~,,'t~4' flF ~ ~-~ , ~ ..- E ~ ~~ Cltjic,UiV Clyl 3f.1 !! L 31) 11 -1. it ~ ~ it a_` IiL a 1 ~~ lljl . } ~~~~~/ .1'L '. CdUiti It1Cll VY 1Ci1 f?`.. tti I.iTt Lk tZ,'~ I 1 r ti,_ I `~ ~ l~ `, L:litlj ll'~llt' 1l 1,' ~" L +I1~ li dl`ll 1. tt.` Z t;,' ti r(_ii .~ ~ a ~ n;j • ' ' ~ ;; R~cL~r4d~ (~1t ,; i . ~n~t .r) l it l~ _ ~ DEC 1 2 2008 of C ~Z, F ~ .~~ ~ / { f 50~)03U2 - P ~ A 4 ,,, ` ~ ~c.~ Gs ~ ~--- . Ccrtil~IC.t:~Ltn tirr:~':~rr rv Q -- ~ ~-~-xr~l~l ~ a. Fem= ~ - ~ -, ~ ~ . t t ~,. ~ C7 __ c3QQ ~ ' ? G = -x ~ ' w ) . ` ss •V :M.'i REV 11/2006 PRIM IN (ANENT ,K INK 1. Name of Decedent (First, mitltlle, last, sug'a) Sarah M. Wertz 5. Age (Last Blnhtlay) Under t Months 8 8 Yrs. 86. County of Death Cumberland COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH ,~\ ~c5~ C, '1 C (See instructions and examples on reverse) STATE FILE NUMBER 1, 2. Sex 3. Social Security Number 4. Dale of Death (Month, day, year) Female 203 - 10•-7017 December 10, 2008 ~a,s I Min„~~ March &. City, Boro. Twp. of Death ,rwp East Pennsboro KI of Work I ki OTReess/lntlustry Homemar~Cer 16 Decedent's Mailing Address (Street, city I sown, stale, zip code) 1003 Bridge Street New Cumberland, PA 17070 13. FaU is Name (First middle, last suUlx) Ro~3ert 1-I. Murphy 20a. Informants Name (Type / Pnng Elmer H. Wertz 21a. Method of DisposHlon ^ Burial ^ Removal from Slate ^ Other - Speciy: ne CNMhxe of Funeral Service Licensee (o [~remation ^ Donation Was Cremation or Donation Authc by Medical Examiner/COroner7 r acting as su~) tale Hems 23a-c Doty when ceniying physician is not available at time of tleath to rHY rouse d death my 1 3 , 1 9 2 0 Man e he s ter , P A ^ Inpatient ^ ER /Outpatient ^ DOA ^ Nursing Hnma ^ Residence ^Other .Specify. Bd. Facility Name (If not institution, give street antl numher) 9. Was Decedent of Hispanic Origin? ®No (If yes, specity Cuban, ^Yes 10. `S~: ~ erican Indian, Black, While, etc. Holy Spirit Hospital Mexican,PUenpRiean,etc) White 12. Was Decedent ever in the 13. Decedent's Etlucation (Specify only highest grade completed) 14. Nan tlatDus~ ~a~nletl~e~r M arried. 15. Surviving Spo use (II wife, give maiden name) U.S. Armed Fomes? Elementaty {-Secondary (0.12) College (1-a or 5+) Married Elmer H. Wertz ^Yes I~No Decedent's PA Did Decedent Twp Live in a pc_ ^Yes, Decedent Llvetl In Actual Residence 17a. Seale Township? Cumberland rid.®NO, Decedent lived wmm~ New Cumberland city;Bom t7b. County ddi~nn Actual Llmtts of 1 M a rs NamejR. t mC r o l e ymel Y SS 20b. Informant's Maiiklg Address (Street, city I town, state, zip code) 1003 Bridge Street, New Cumberland, PA 17070 21 b. Date of Disposition (Monm, day, year) 21 c. Place of Disposaiar (Name of cemetery, crematory ar other place) 21 d. location (City I town, stale, zip code) ~Ves^NO Dec. 12, 2008 BFH Crematory Grantville, PA17028 2b. Ucense Number 22c. Name and Address o1 Fadlrty FO 012342-L Stone & Murray F.H.,408 3rd.St.,New Cumberland,PA17070 23b. License Number 23c. Date Slgnetl (Monm, tlay, year) e. date an fated. Isgnature and UUe) ce Items 24.26 must be completed by person - 24. Time of Death 25. Date Pronourxx+tl Dead (Montfi, day, year) Z~~ 1 n rlrx/` A yyY j..n /' 1 O IJI J ho Prmounces death ~ Q M ) . L/! /?- ~(/l CJ r f Jf J l Appmxrmale Interval CAUSE OF DEATH (Sae Instructions end examples) r W NOT enter terminal events such as cardiac anesL l Onset to Death d me death l . y cause Item 27. Pan P. Enter the rF~in d .van s -diseases, Injuries, or complications -that direct respiratory anest or ventricular fibrillation wtthout showing the at'IOlogy List Doty one cause on each line. IMMEDIATE CAUSE (Final disease or th d ~. J I ~~~N~ M ~~/~t~~ J~ ~ r~/ l ?'~ S1 r ea condaion rewlUng m ) -~ a. t if Due to (or as/pcon/;e~9pan~e o1J: /' ` K fx - ~ ~• ,/~ r any, Sequentially Iut cdMitbns, leading to the rouse listed on lure a. Enter Me UNDERLYING CAUSE b, ~r Due to (or as a consequence of): ^ _ /~ ~ G r ~~~f/(/ l R ~~ O ,e y).L (disease or injury Neat radiated the u ' r / ~ a ~h - r events resulting In death) LAST' Due to (or as a consequence ot): i d. 31 Manner of Death 32a. Date of Injury (Monm, day, year) 32b. Descdbe How Injury Occurred 30a. Was an Autopsy 30b. Were Autopsy Rndmgs . Pedomred? Available Prior to Completbn ^ Natural ^ Homicide of Cause of Dea1M ^ Accident ^ Pending Investigation 320. Time of Injury 32e. Injury at Work? 321. It Transponatron Ir ^ Ves ~} No ^Yes ^ Nc ^Yes ^ No ^ Driver / Operator T ^ Suicide ^ Cald Not be Datermirred M. ^Other - Speclh'.' ~b OS r l0 20U~ 26. Was Case Referted to Medical Examiner I Coroner for a Reason Other than Cremation or Donation? ^Yes ~No Pan II: Enter other sanific t coed Conx contnbutine to Beam, 26. OM Tobacco Use Contribute to Death? Yes Probab but not resutling in the untlertying cause given in Pan I. ^ N / ~"~ ""LL(ZC f~jE~q~-o~rc ~~Mrd~ ^ No ^ Unknown 29. If Female ^ Not pregnant within pall year ^ Pregnant at time of tleath ^ Nat pregnant but pregnam within 42 days of death ^ Not pregnam, Dut pregnant 43 days l0 1 year Detore tleam ^ Unknown if pregnant wimin the past year 32c. Place of Injury'. Home, Farm, Street Factory, Office Buldrrg, etc. (Specfy) Location of Injury (Street cIry I lawn, stale) 33b, Signature I rtle o mr r 33a. Certifier (Neck only one) , • Ceditying physician (Physldan certifying cause of death when another physician has pronounced tleath and completed Item 23) , '1~~ To Me best of my knowkdga,dath occurred due to the cause(s)end manner es staMd--------------------------------- ^ 33c Lkense Number 33d. Date Slg/ed (M nth, Day, yearl • Pronouncing and certifying physician (Physician from pronouncing beam and cenitying to rouse of Beam) ~ ~ ~ L$d ~ ~ ' L/ ), ~~~/ To the beat of my knowledge. death occurretl at the time, date, aM place, and due to the cause(s) and manner as staled- - - - - - - - - - - - - - - - - - ^ Medkel Examiner I Coroner 34. Name and Address of Person Wlro Completetl Cause of Death Qlem 27) Type I Print • On the basis of examinatbn and I or investigation, In my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner as siated_ D / r~ / ) ?6 Date Fil (Mon ~: day. Year( (• `~,,a~ . 1,.~,m6 ~b,~~ /~r 1'~~i~ ~ ~• -~~ 14l QL1 •~ `f ~~' ~V L 35. Registrer's Signs District Num ~ 1 ~ I / 1 ~i ~ 1 / 1 !~ ~/ ~d Q U 7, /~' nispssition Permit No. LAST WILL AND TESTAMENT ,~_ h.3 4`7 r:- - i OF ~ `° .. . ~: SARAH MURPHY WERTZ ~ ~` ~ t: m t `- Cn ~ .t` ` _ ~ :.: I, SARAH MURPHY WERTZ, of 1003 Bridge Street, Newber~tnd,;: ~ ~~~_'7 W `~. Pennsylvania, do make, publish and declare this to be my Last Wills```i and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my Estate or by any recipient of any property, shall be paid by the Executor, from property passing as part of the rest, residue and remainder of my Estate, as an expense and cost of administration of my Estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax even though on proceeds of insurance or other property not passing under this Will. In the absolute discretion of the Executor, such taxes may be paid immediately or may be postponed on future or remainder interests until the time possession thereof accrues to the beneficiaries. ITEM II: 1 direct the Executor to pay expenses of my last illness and funeral expenses from property passing under this Will as an expense and cost of administration of my Estate. TTFM TTT- If my husband, ELMER H. WERTZ, survives me, I give, devise and bequeath to her all my property, real, personal and mixed. Page 1 of 5 pages. _,~.._ -----s- ITEM IV If my husband, Elmer H. Wertz, does not survive me, all my property, real, personal and mixed, shall be divided into as many shares as required in order to make the following disposition, and (a) I give, devise and bequeath one such share to my son, ROBERT H. WERTZ, or to his issue per stirpes; (b) I give, devise and bequeath one such share to my son, JAMES M. WERTZ, or to his issue per stirpes; (c) I give, devise and bequeath one such share to my daughter, SANDRA WERTZ WALLACE, or to her issue per stirpes; and (d) I give, devise and bequeath one such share to my son, NED C. WERTZ, or to his issue per stirpes. ITEM V• In settlement of my Estate, the Executor shall possess, among others, the following powers: (a) To vary or to retain investments, when deemed desirable by the Executor, and to invest in bonds, stocks, notes, real estate mortgages or other securities or in other property, real or personal, without being restricted to so-called "legal investments" and without being limited by any statute or rule of law regarding investments by fiduciaries; (b) In order to effect a division of the principal of my Estate or for any other purpose, including any final distribution, the Executor is authorized to make said divisions or distributions of the personalty and realty, partly or wholly in kind, at a fair value determined at the date of division or distribution, and if it appears desirable Page 2 of 5 pages. A ~. to partition any real estate, the Executor is authorized to make, join in and consummate partitions of lands, voluntarily or involuntarily, including giving of mutual deeds, recog- nizances, or other obligations, with as complete powers as an individual owner in fee simple; (c) To sell, either at public or private sale and upon such terms and conditions as the Executor deems advantageous to my Estate, any or all real or personal estate or interest therein owned by my Estate severally or in con- junction with other persons or acquired after my death by the Executor, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in performing any power conferred upon the Executor in this paragraph or elsewhere in my Will; (d) To mortgage real estate and to make leases of real estate; (e) To borrow money from any part, including the Executor, in order to pay indebtedness of mine or of my Estate, expenses of administration or inheritance, legacy, Page 3 of 5 pages. - - ~ ` estate and other. taxes, and to assign and pledge assets of my Estate therefor; (f) To pay all. costs, taxes, expenses and. charges in connection with the administration of my Estate; (g) To vote any shares of stock, which form a part of my Estate, and otherwise to exercise all powers incident to the ownership of such .stock; (h) In the discretion of the Executor, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company the securities of which form a part of my Estate; and (i) To do all other acts, deemed necessary or desirable, for the proper and advantageous management, investment and. distribution of my Estate. ITEM VI: Any person who shall have died at the same time as Testatrix, or in a common. disaster with her, or under such circumstances that it is difficult or impossible to determine who died first, shall be deemed to have predeceased her. ITEM VII: If, at any time, any minor shall be entitled to receive any funds hereunder, FULTON BANK (a bank with its principal office in Lancaster, Pennsylvania, and with an office in Harrisburg, Pennsylvania) or its successors, shall act as Guardian .~ '~ ,%,., ,~ o. ,,'y ~.ary ", ~ ~ ~""~ . , ~; Page 4 of 5 pages . __.-~ of the funds payable to such minor and shall have full authority to use such funds in any manner it shall deem advisable for the best interest of such minor. ITEM VIII• I hereby nominate, constitute and appoint my husband, ELMER H. WERTZ, to be the Executor. In the event of my husband's death or inability or refusal. to serve, I nominate, constitute and appoint ROBERT H. WERTZ to be the Executor, and in the event of his death or inability or refusal to serve, I nominate, constitute and appoint, JAMES M. WERTZ, to be the Executor. The Executor shall not be required to give any bond or bonds. IN WITNESS WHEREOF, I have set my hand and seal to this my Last Will and Testament, consisting of this and the preceding four (4) pages, at the end of each page of which I have also set my hand for and better identification this ~' ~ day of greater security 1975. T--__ ~ (SEAL) a es. - Page 5 of 5 p g ef~~ Sarah Mu~ ~ 'hyr Wertz We, the undersigned, hereby certify that the foregoing Will was 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 and in her presence and in the presence of each other, have hereunto set our hands and seals the day and year above written, and we certify that, at the time of the execution thereof, the Testatrix was of sound and disposing mind and memory. (SEAL) Residing at: 3«~ "~ ~F . _~ - ' 1 -t = , f ~ .,- i ( Residing ~;`/~ ,~ ~~ r ~ ~,b-~,G~ SEAL ~<. ij, ,J rr -- ~~_?~-~-R--`~.u._ (SEAL) Residing ~' ~ r ~'~,~, ~ ..~ . ~ ~~~_.~a__-* ' n ~O ev c f-ramp OATH OF SUBSCRIBING WITNESS(ES) ~~~ ~ 7~ :-. ; ~ ~ ,' ~_ ~~~ ~ ^. ; {--; a ~ }, REGISTER OF WILLS ~n,. ~w'~" _~Y ~4 CUMBERLAND COUNTY, PENNSYLVANIA ~~ ~:~`r _ W ` h? Estate of Sarah M. Wertz, also known as Sarah Murphy Wertz Deceased John Havas ,~~ a subscribing witness to (Print Nume/s) the ®Will ©Codicil(s) presented herewith, Ii) being duly qualified according to law, depose(s) and say(s) that e / he / ~ was / #~ present and saw the above XR~i~ /Testatrix sign the same and that e / he /may signed the same and that / he / ~~x signed as a witness at the request of the ~I~€~i>x/ Testatrix in her /~ presence and in the presence of each other. ~` '~=~ L~ i (Signature) (Signature) Join $aVdS ..,, 6121 Stephen's Crossing (Street Address) (Street Address) Mechanicsburg, PA 17050 (City. State, Zip) (City, State, Zip) Executed in Register's Office Executed out of Register's Office Sworn to or affirmed and subscribed Sworn to or affirmed and subscribed before me this day before me this j ~ ~ day a. fi~ ~ ~ Deputy for Register of Wills Notary( Public My Commission Expires: ' (Signature and Seal of Notary or other official qualitied to administer oaths. Show date of expiration of Notary's Commission.) ~. , NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or ~ S~ft~fiirt~Pn#I~ ~+~~~~~~t1~~ ~~ai~ f<<~; ~ ~ ~,,", Ca' ~ i11c~t~Ey E'ti~iic Form RW-03 rev. !0./3.06 ~ i-'~ -~w: ~i"^ X39 v ~.":~i C r~!'a {.rt~Ut'~,r r-3 0 nQ ~ ~ _ _ , ~ ~ ATH OF SUBSCRIBING WITNESS(ES) ~ ~ ~;' ~ ; F~-" O r l_ ~ REGISTER OF WILLS ~ ~ ~_ '= ti's CUMBERLAND COLTNTy, pEr1NSYLVANIA ~ ~:? ; ~:. . _, 47 . N Sarah M. Wertz, ,also known as Sarah Murphy Wertz ,Deceased Estate of James A. ulsh lira subscribing witness to (Print Name/s) the ~ Will (~ Codicil(s) presented herewith, (~ being duly qualified according to law, depose(s) and say(s) that he ~bt was / ~~ present and saw the above ~'~~i~' /Testatrix sign the same and that the / he / signed the same and that ~~~ / he /~tils;}x signed as a witness at the request of the T~sf~t~/ Testatrix in her / ~~ presence and in the presence of each other. ~, f --_ - t./ , (Signature) (Street Address) Ja s A. U1 3401 th F ont Street (Street Address) Harrisburg, PA 17110 (City, Maze, Zip) (City, State, ZiP) Executed in Register's Office Sworn to or affirmed and subscribed before me this day Deputy for Register of Wills Executed out of Register's Office Sworn to or affirmed and subscribed before me this ~ ~ day of ~~f,,D a Eio SYLVAN Notary P b ~ Notarial Seal My Co iCC 4th( °~~hhStaa~nri~~~r'tUilan~~,11~~N,.,otary Public (Signature an SC2~+y'or~etNl1)~io'~'9+'°'~"'C7`~''OUnt! administer oa talfo4tlit~etc>fSi~D~~eO~lfi'l~8tat~aat~~f~Pl ,.,a,,.., .._,.._...-..____._..._.. _ __- NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy p1l~BNOtaflg S~r@g SYLVAN I A Betty Ann McMullan, Notary Public Form RW-03 rev. 10.13.06 Susquehanna Twp., Dauphin Count My Commission Expires Jan. 28, 20 Member, pennsylvanla Asaociatlon of Notaries