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HomeMy WebLinkAbout03-18-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF _ _ CUMBERLAND COUNTY, PENNSYLVANIA Estate of Edmund W. Youngsman File Number 21-- ~q - () 2.1v~ also known as Deceased Social Security Number 153-22-8440 Diane Lynn Steenstra Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or '8' 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 04/19/1996 and codicil(s) dated Freda J. Youngsman a/k/a Frederika J. Youngsman died on December 4, 2008 Srare relevant circumstances, e. g., renunciation, death of executor, elc. 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 app Ica e, enter: c.t. a.: .b. n. c. t. a.; pe ente rte; urante a senba; urante m~norrtate Petitioner(s) after a proper search haslhave ascertained that Decedent left no Wifl and was survived by the following spouse (if any) and heirs: (If Administratlon, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationship Residence r O "' - _z~, ~~ - - ; r =~~. ---: r--- __' :.r.: CA ~, -i - - `. , ~ __. --, r ~ .,..t _... (w7v7rt_t I t !N ALL GASES':) Attach additional sheets if necessary. ~ --d -- t -U .. _ Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal resice~S'ce at ~'"~ 907 Gingko Grove, Mechanicsburg, Lower Allen Township, Cumberland, PA 17055 (List street address, town/city, township, county, state, zip code) Decedent, then 79 years of age, died on 02/26/2009 Decedent at death owned property with estimated values as follows: (If domiciled in PA) (If not domiciled in PA) (If not domiciled in PA) Value of real estate in Pennsylvania situated as follows: at M.S. Hershey Medical Center All personal property Personal property in Pennsylvania Personal property in County $ 5,000.00 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: Signature Typed or printed name and residence Diane Lynn Steenstra 589 Lake Meade Drive \~~ t/ M .d ~/ .ti East Bertin, PA 17316 Form KW-Ol Rev. 70-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 C>CAL REGISTRAR'S CERTIFICATION OF DEATH 'WARNING: It is illegal to duplicate this copy by phlotostat or photograph. [~ce tt3r lhi~~ ccrtificatc, 5h.OO Cerlltication Number liI'~//,/~J/~~' ThIS Iti (t) CCCUIb' lhal lhC Illll)I'nPUIOn here S_'IVt'll I' ,l a~,ZH Of p ~,o'~F., --~N~,-_ a>rreL•tl~~ rupied Ii~tnn an tn~iginal Ccrtifirate tyf Dratl lo~j ~~~~, dul~~ I~ileLl with nu' as L13cal Regislr~u~. "I'he tnirina !zc certificate will be f~urwar~led to the State Vita ~I~~~ia Rec1)rcls Office fLlr permanent tiling. Tr~- *~ 0~~ id+~r.-, \ ~99lMENT ~E~~P~ L ~~ex~.c~~..~eX' ~~' 2 209 //111/11 Lt)cal Registrar Date l.~sueLl r--s n d~ _, , -SJ ? , -J '-__ ~" ~; :) cA - . ~ ~.~ ~ _ ~ .:, .~ -~ w .~ H106~143 REV 11/2006 TYPE /PRINT IN PERMANENT BLACK INK rNem Items 24-29 must a congleled by person 24. Time al Deem 26. De/,p~~ar~~wr~lj%d Dead IMaah, daY. year) who proraurKes deem. ~, Q 1 M. / ~/' T Zd~ CAUSE OF DEATH (See Inatructbna end examples) l pproxLmete inter Item 27. Pen I: Eller aie chew of evens -diseases, injurbe, or complicadare - dial directly caused the deem. DO NOT enter temunel even6 such as cardiac anent, r reepNamry amea, a vMai aAar flbdllafion WIIIpN showi me atio Onset to Deem ng b9Y. Lint ony an cause m each Foe. WMEDUTE c~s~ ~mldleeese a ~ ~S ~ S cadinon resu ' --~ e. Due to a consequence oq. ~FeNy lie corwFliau, d any, b. (/ ~ B ~ (~`' ,~~ to the reuse listed m Fns e. CE ~ EnW UNDEgLYING CAUSE Due to (or es a consequence oQ. I edueeee a p"yay mat irdiatad me versa revuhmg In tleeml LAST. c Due .o (a as a consequence op. e. 30e. Was an Amapsy 30b. Were Aula,ny RMFgs 31. r of Deem 328. Dale d Irryury (Mahn, der r Penometl? AvaFeble Prior to CorIryIlBFOn Y year) 32b. Describe lbw Iryury Occunee of Cause d Deem? Nelursl ^ Homicide ^ Yea ~1 ^ Accttlenl ^ P lids I 32d Thrn d I ' COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE NUMBER (Flrst mitlele, less, suffix) 2. Sex 3. Social Securlry Number 4. Data of Deem (Monm, tley, year) Fdmttnri w v,.,,.,., _ Male 153 22 8440 Feb 26 2009 ands 1 v Untl 1 tley 6 D t e ll IMn n _ 79Yrs. onus Roue kadaa Jan. 3, 1930 ___. _. _.,.. ___,..., Paterson, NJ .o., A..o „~..Po,~~,~,~R:, u,~ one Hospital; ~ ,~„ a ^ ER / O i ^ Ol,1Bf. W. County d Deem tk. C' Boro, T M. wP a Deem . Ba. F liry Name (n cot nsla mion, gNe street and number) D ulpet enl DOA e W ^ Nursing Hame ^ Resitleme ^otrnr - ~ ' n~ Dauphin Derry Tv/p. M.S. Hershey Medical C . as Decedent of Hkpenk OnglnT ®No ^Ves ("~°°~~eCM°trban, 10. Race: Amen mn tlien, BlecN, WMIe, etc. ( Whi 11. DecedaM'e Uauel lion Kind d wolM tlonx eutln moat d wo ' Ina. Ib nol seta relve0 Klyd d Work Klntl d Business / Industry 12. Wee Deceeem ever In me U.S. Armed Faces? Mexica enter 13. Decretlenrs Etluce6on (Specify lily highest grade cromphtM) n, Puenc Rican, ate.) 14. Men1a1 $letus: MertleQ Never Marche, t e 16. Survhdng Spouse (II wile, give maiden name) Forcast Analyst IBM ©Ves ^No Elementary! Seconeary (612) Coll ege(1~aas+) Widowed, Divorced (Specrlyq tfi. Decedenre Melting Address (Street cttY /town. state, ziP toes) 907 Ginkgo Grove Deceeenra 5 Widowed pA Didoeadent Ad aR i Mechanicsburg, PA 17055 u es derce na.sate Live lna „~.®vea, Decetlenlltietlm Lower Allen Township? Twp. nb.cnmry Cumberland nd.^NO,DecwdsntLNedwitlsn 18. Famer's Name IFira, lnitldM, last, suffix) Actual Limtls al Ciy 1 Boo William Youngsman 19. Mamer's Name (FNst rtsde9e, maden aumema) 20a. Inlonnent'a Name (Typo / Pdng Agnes Spoelhof Lori Dykstra 20b. Infomenl's MBFI Address Sheet, '~ ( ~'/'°'"'~'~'°~a1pco0e) z, 1861 Leslie Rd. , Annaplis MD 21409 AMemotlaoiapoanm I ^ Cremetlon ^ DorreFon 27b. DeN d Dlspoadon (Mash tley year) , 27c Pl f Di itl ~ ^ Removal horn Stele ~ Wy Cematlon a Donaem Authorlx tl , , . ace o spos on (Name of cemekry, aemetory a o1Mr plane) 2ttl. Lacatlon (City /town, state, z'p coda) ^ N~ 22a dF e I byMsMealExsMner/CoronM ^ree^Na March 5 2009 Woodlawn Memorial Gardens Harrisburg PA . ~ meraSemceLacensee per c~ '^~ actirpeaeach) zgb.LiwnaeNaMer 2zc.NamaemAtlaeasaFedtlry o man- oth Funeral Home & , Cremator I Cm b - l I ' 013144E 219 N. Hanover St., Car y, nc. lisle PA 17013 p e ms 23ac mIY wino ce2ly alg plryaiden ~ rnl avanede el IkM d deem la 23a. To IM best a my lopwktlga, Beam oaunetl el the tlme, dale and place staled. (Sigmnxe all due) 23h License Number renny cause al deem . 23c. Date Signed (Monm, tley, year) e 26. Wes Case R femee t atlical Examiner /Corone r for a Reasm Omer than Cremation Dr Donation? ^Ves Pad IL Enlar other dmi rxa t mrdino = trbitl d der m, 28.Oid Tobaxo Use Conblhute to Death? Dal not resuNng n th untlerryirg cause gNen in Pen L ^ Yes ^ Prabedy ^ No UnNnown 29. M Female: ^ Not pregnant wimn peal year ^ Pregnant at 9nle of deem ^ Nol pregnant Dal Oregnanl wimin 42 tlaYs of death ^ Nd pregnant but pregnant 43 days to t year Delae deem ^ unknovm a pregnant wlmin me peal year 32c. P4ce a Irljay: Ibme, Farm, Brea, Factory, OR BuiMllg, ac. (SpedlyJ V ~ ^ Yes ^ No a rg mesegetron ^ Suidtla ^ Count Nol be Delamnied nlaY M 32e. Irryry a1 Work? 32t. n Tramponelion Injory (Spea/y) ^Ves ^ Na ^ OrNer! Opaaror ^ Passenger ^Pedesblan 32g. Location a Injury (Slreal, city /loom, slate) 33a. censor Ianal my and ' oma-spaary.' D«tlnMe Ptr/aldan IPnyeiaen mnnyN,g raox a seem wnen eran~er plryaicten has Pranonna seam and c letee Ilan 2a ro me Deal d mr Imowleag., d.ll, xeum.d el. ra tn. a °`"p ) uae(s)aM mercer as s dd 33b. si t mFer s e ________________________________ • Pronouneln and g un1A'I q phyaklan (Physidan Dom pra,wnctng deem all codifying m reuse a tleath~ ~~~uuu To tln bur d my knowledge, deem oeeurrsd M the tlme. dare, sntl lace. and due m tlr ceu _ _ _ _ _ kcal ExamDw / Caorlar p ae(I all manner as atated_ _ _ _ _ _ _ _ _ _ _ _ _ 33c. Number _ ~ ~~ /; ~ L 33d. DeN Sign IMmm, deY, r) r /y On tl» heals a axwdnstbn ell r a Imeatlgatlon, In my opmlon, deem oeeumed al th mrla, dale, all place, sntl due to the uuse(e) and mama as ebtld_ ^ y[ ~-'4 0 31. Name sntl Address a Persm Who Cam la d C a ~ 36. Pegshar's 1 ar~p D'~.~+ ±~ ~ ~ Data Filed IMmm daY Ymr) p e ause Deem (Item 27) TYPe / PnM ~ a-F • I I I d I I I ~ I -~ , / / ~ Gc.~G/R /t/~~r.~r~ ~~~I.S. Hershey Medical Ctr. Dispoatron Parton No. ~ \ /`,L j~ ~ ~Q(~ Last Will of EDMUND W. YOUNGSMAN I, EDMUND W. YOUNGSMAN, a resident of Dauphin County, Pennsylvania, declare that this is my will. I hereby revoke all my previous wills and codicils. <:_~} Article One ~ `-' - - ~ ~ ,~.~ " ;-~, _- Introductory Provisions ~, ,;~ a' ~~ ~ ~ ~ ~~. Section 1. Marital Status ~~~ w a ~ I am currently married to FREDA J. YOUNGSMAN A/K/A FREDERIKA J. YOUNGSMAN, and all references to my spouse in this will are to her. Section 2. Children a. 'Che name(s) and birth date(s) of my children: Name Birth date DIANE LYNN STEENSTRA October 8, 1957 LORI JANE DYKSTRA April 30, 1960 All references to my children in this instrument are to these children and any children subsequently born to or adopted by me. 1 Article Two Section 1. Appointment of My Personal Representatives Nomination of My Personal Representatives I appoint the following to be my Personal Representative: FREDA J. YOUNGSMAN A/K/A FREDERIKA J. YOUNGSMAN If for any reason the Personal Representative(s) named above are unable or unwilling to serve, the following successor Personal Representative(s) shall serve until the successor Personal Representative(s) on the list have been exhausted. Unless otherwise specified if Co-Personal Representatives are serving, the next following named successor Personal Representative shall serve only after all of the Co-Personal Representatives cease to act as Personal Representatives. (1) DIANE LYNN STEENSTRA OR (2) LORI JANE DYKSTRA, OR THE SURVIVOR OF THEM; THEN (3) ROBERT W. STEENSTRA OR (4) SCOTT W. DYKSTRA Section 2. Waiver of Bond No bond or undertaking shall be required of any Personal Representative nominated in my will. Section 3. General Powers My Personal Representative shall have full authority to administer my estate under the laws of the Commonwealth of Pennsylvania relating to the powers of fiduciaries. My Personal Representative shall have the power to administer my estate under the Pennsylvania Probate, Estates and Fiduciaries Code. 2 Article Three Disposition of My Property Section 1. Distribution to My Revocable Living Trust I give all of my property of whatever nature and kind and wherever located to my revocable living trust of which I am the Trustor known as: EDMi1ND W. YOUNGSMAN and FREDA J. YOUNGSMAN A/K/A FREDERIKA J. YOUNGSMAN, Trustees, or their successors in trust, under the EDMUND W. YOUNGSMAN LIVING TRUST dated _ p ~~ I ~ '~g~_ and any amendments thereto Section 2. Alternate Disposition If my revocable living trust is not in effect for any reason, I give all of my property to my Personal Representative under this will as Trustee who shall hold, administer and distribute my property as a testamentary trust the provisions of which are identical to those of my revocable living trust on the date of execution of my will. Article Four Death Taxes Section 1. Definition of Death Taxes The term "death taxes" as used in my will shall mean all inheritance, estate, succession and other similar taxes that are payable by any person on account of that person's interest in the estate of the decedent or by reason of the decedent's death including penalties and interest but excluding the following: a. Any addition to the federal estate tax for any "excess retirement accumulation" under Internal Revenue Code Section 4980A. 3 b. Any additional tax that may be assessed under Internal Revenue Code Section 2032A. c. Any federal or state tax imposed on ageneration-skipping transfer as that term is defined in the federal tax laws unless the applicable tax statutes provide that the generation-skipping transfer tax is payable directly out of the assets of my gross estate. Section 2. Payment of Death Taxes Pursuant to th.e terms of my revocable living trust all death taxes whether or not attributable to property inverrtoried in my probate estate shall be paid by the Trustee from that trust. However, if that trust does not exist at the time of my death or if the assets of that trust are insufficient to pay the death taxes in full, I direct my personal representative to pay any death taxes that cannot be paid by they trustee from the assets of my probate estate by prorating and apportioning those taxes among the beneficiaries of this will. Notwithstanding any other provision in my trust all death taxes incurred by reason of assets transferred outside of my trust or probate estate shall be assessed against those persons receiving such property. Article Five General Provisions Section 1. No Contest Clause If any person or entity other than me singularly or in conjunction with any other person or entity directly or indirectly contests in any court the validity of this will including any codicils thereto the right of that person or entity to take any interest in my estate shall cease and that person or entity shall be deemed to have predeceased me. Section 2. Captions The captions o f Articles, Sections and Paragraphs used in this will are for convenience of reference only and shall have no significance in the construction or interpretation of this will. 4 Section 3. Severability Should any of the provisions of my will be for any reason declared invalid such invalidity shall not affect any of the other provisions of this will, and all invalid provisions shall be wholly disregarded in interpreting this will. Section 4. Governing Law This will shall be construed, regulated and governed by and in accordance with the laws of the Commonwealth of Pennsylvania. I signed this, my last will, on APR 19 ~ggg EDMUND W. YO ``-- 5 The foregoing Will was, on the day and year written above, published and declared by EDMUND W. YOLJNGSMAN in our presence to be his Will. We, in his presence and at his request, and in the presence of each other, have attested the same and have signed our names as attesting witnesses. We declare that at the time of our attestation of this Will, EDMUND W. YOLJNGSMAN was, according to our best knowledge and belief, of sound mind and memory and under no undue duress or constraint. <P~~~f WITNESS Address: ~~ Z P ~G~ , I'J~9 ! `7 I l 1 WITNESS Address: ~ 7~~ 6 COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF DAUPHIN We, EDMUND W. YOUNGSMAN, 5~~} ~. ~,p-=~Y~,_and w~ ~ the Testator and the witnesses, respectively, whose names are signed to the foregoin Wil ,having been sworn, declared to the undersigned officer that the Testator, in the presence of witnesses, signed the instrument as his last Will, that he signed, and that each of the witnesses, in the presence of the Testator and in the presence of each other, signed the Will as a witness. `z-...~,... EDMUND V~'. O GS AN c~ WITNESS <1~%' 1~ WITNESS Subscribed and sworn before me by E~VIJJND Wes. YOLTNGSMAN, the Testator, and by S ~" w~~ vL. and u /,9 - ~ the witnesses on /~ ^1996. ~ --% Notary Public My commission expires: `'! J' .., V 7