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HomeMy WebLinkAbout03-24-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of FAYE S. BITTING also known as Deceased Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) COUNTY, PENNSYLVANIA FileNumber_ ~ ~ ~C~ ~~~ Social Security Number 177-24-7106 A. Probate and Grant of Letters Testamentary and aver that Petitioners} is /are the EXECUTRIX last Will of the Decedent dated SEPT. 27, 1993 and codicil(s) dated named in the (State relevant circurnsuinees, e.g., renunciation, duith 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: B. Grant of Letters of Administration (If applicable, enter c.t.a.; d.b.n.c.t.n.; pendentelite; dnrnnteabsentin; durnnteminoritate} Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following s~use (if any) heirs: (I/ Admirtistratioia. c.t.a. or d.b.n.r..t.a._ enter dateofWi[Z in .S'ectinn A abnvo and ~mm~lvly lice nfhairr 1 -~ ccw Decedent, then 78 years of age, died on MARCH l2, 2009 at MANOR CARE NURSING HOME 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 situated as S 10,000.00 Where Core, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the giant of Letters in the appropriate form to the undersigned: r I SUSAN F. BARTLEY, 5235 Windsor Blvd., Mechanicsburg, PA 17055 ro,~~n aw-oz r~~r~. io.i;.o~ Page 1 of 2 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ,_ =i -~ Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at N MANOR CARE, CAMP HILL BORO, CUMBERLAND COUNTY PA 1701 I (LisK street address, town/cifi, township, county, state, zip code) Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF ~ UMBERLAND . 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. C 2 ~ /~~~~ Sworn to or affirmed and subscribed ~ i1~ ` ~ r> ~"~'0 Signn Xi~re of Persona! Representative ~..~ before me the ~_ day of r~? ~ ~' ~~ ,J~VU~_ Signature of Persona[ Representative % -~ ~ ~~ r: . ^. or the ReglSter Signnhtre of Personal Representative ' - - i i -- "' %'~-U ~ __{ •• -~ ~ File Number: Estate of FAYE S. BITTING Social Security Number: 1(~77-24-7106 Date of Death:MARCH 12, 2009 AND NOW, ~~~ # ~ , ~_, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IS DECREED that Letters TESTAMENTARY are hereby granted to SUSAN F. BITTING Deceased in the above estate and that the instrument(s) dated SEPTEMBER 27, 1993 described in the Petition be admitted to probate and filed of FEES Letters ..... ~~ Ol?L ~ ~~ )....... Short Certificate(s) ...J.... $ ~~, Renunciation(s) .... ~ ..... $ -JCS -...~ /~ ~ ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL ~ ~~~ re d as the last Will (and Codic'1(s)) of Decedent. ., ~ rJ ter of Wills ~ 1 Attorney Signature: .`~~%h.-- -~- Attorney Name: A MARIE COYNE Supreme Court I.D. No.: 53788 Address: 3901 Market Street Camp Hill, PA 170 t 1-4227 Telephone: 717-73 7-0464 Form RW-OZ ren. 10.13.06 Page 2 Of 2' OCAL REGISTRAR'S CER`~'IFiCATiON OF DEATH WARNING: It is illegal to duplicate this copy by photostat ar photograph. I'LL t(or'I'•I~ t,1;3~R'tl(C. `,t,{;(, ~__ 1__~. 8 I"_~ ~ ~__ Ccrt.i t, ~ll t~t~ 'J:~.)a~hrt T'I'EM # / ~~ SHOULD READ AS FOLLOWS: ~, r'1 REV 7v2o0B RINT IN ANENT 'K INK 7F~ jN Or ~; ~Cht~ is a ch;.i t ;t t(,e in3~ l3n 1(trm h~i ,l~~n i> j ~ t~~,- ,~y=\ . ;r>rrcctl~ r I i~~< !, I,; tin ixi~i3.r1! ~e~7~i,)u 1<r: ,,± 1>e ~? ~q~,~ ~`~~' l ~~~~ club filch ~~i,i; ~ ~)~. I ot_a! l:r: t~:r~z?I The t33i ring t3r t ill ii l r - t v ~ ~ z~ ~t( ;~a ~ s il ~,u t (t ihr a ~~):(te ita. I~ v .. a?- ~ it ~tn-cL: t)thcc ~ tr,~rn,nru~nt illiltr I, ~ ti ~ ,,i ~ 4,,c. , ~ ~ rr„ z~2 =''t~ ~- f.ucal Ilc~~3st;~cu (~.)tt~ I~;~ucct ~` ~ .tea , -T-- - ~- , +_' = ~--, ~a - ~. _ - ~ ~=. _ ~13 -~ N COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) ~r,r~ F„ ~ R,,,x,Q~p 7. Name of Decetlenl (First, middle, last, suffix) 2. Sex 3. Social Security Number 4. Date of Death (Month, da ,year ~ Faye S. Bitting female 177 -24 -7106 arch 12,~00 9 5. Age (Last Birthday) Untler t year Under i tlay 6. Date of Birth (Month, da ,year) 7. Birthplace (City and stale or lo reign camfry) Ba. Wace a7 Death (Check only one) 78 smnms Days Nan Mlnwes Sept. 1 6 1930 Juniata CO HospitaC er O th Yra. , . ^Inpatient ^ERIOutpatient ^DOA r Y ~ IJ Nursing Nome ^Residence ^Other Specy eb. County of Death Bc. City, Boro, Twp. of Death 8d. Facikty Name Qf not institution, give street and number) 9. Was Decedent of Hispanic Origin? ,~ No ^Ves 10. Race: American Intlian. Black. While. etc. Cumberland Camp Hill Manor Care ufyea,SDecnycuban, (speciryj Mexican, Puerto Rican, etc.) hit e 1i. Oecetlent's Usual Occu tan Kind of wodc tlone Burin most of world life. Ih not slate retired 12. Was Decedent ever In the 13. Decedent's Education (Specify only highest grade completed) 14. Marital Status: Married, Never Mamed, t5. Surviving Spouse (If wile, gwe maitlen name) Kind of Work Ki Burin I Indu ~and N u ~ U.S. Armed Forces? ,y ry ( ) age (, 4 or 5r) Widowetl, Divometl (Specihn Elements / Secronda 0-72 Coll ~ packer ~~m ~ ^Yes [~Ne 12 widowed 16. Decedent's Mailing Address (SIreeC city I town, state, zip cotle) Decedent's Did Decedent PA Li i R 1 7 0 0 Market S t . ve Actual esidence 17a. Slate n a t 7C Twp Yes, Decetlenl Lived in ^ ~ .6$ d7'--'- -~ V Township? n6cptlnly Cumberland +7dtLINo,DecedantLivedwiminCamp Hill 2 : Actual Limits of Clty I Boro 13. Father's Name (First, middle, last, sullix) 19. Mother's Name (First, mitldle, maiden sumame3 Oscar Shelley Elva Smith 20a. Informant's Name (Type /Print) 20b. Informant's Mailing Address (Street, city I town, stale, zip cotlel Susan F. Bartley 5235 Windsor B1vd.Mechanicsburg,PA 27a. Method of Disposition ®Cremation ^ Donation 21 h. Dale of Disposition (Month, day, year) 21 c. Place of Disposition (Name of cemetery, crematory or other place) 21 d Locyw /~oWp zi g~dp~ J~1~111 pYH ^ Burial ^ Renwvaliromsfate WaScremauonorDOnahonAUthad:ad ^ March 14 2009 Hollinger Cremator / Mt HOll ^ Other - Specify ical Examiner I Coroner? Yes No , y . y 22a. Sign Nra F eral Service LicerlSaC (or person ping a such) 226. License Number 22c Neme arM Address of Facility -~ C~-~.•+( 011248E Musselman FH&CS Inc.324 Hummel AVe.Lemoyne,PA Complete Items 23ac only when cediying h srian is not available al lime of deem to 23a. To the best my klw tlealh oauned at the 6me, dale arM p ce statetl, (Signature and title) ~ 236. License Number 23c. Dale Slgnetl (Month, Day. yeaq cemry cause of death '/'V ~ ' ~/~ ~1'~~ ~ ~~ 3 / L ~~ q~~~ ~C~~ . I y /Y e ;~ ~ ~ ~-- - l Items 2446 muss be completed by person 24. Tme of Death 25/.~Date Prwpurked Dead (MOnlh, tlay, year] 26. Was Case Refened to Medical Examiner /Coroner for a P,eason Other Thar Cremation or Donation? who pronounces Beam. , i .~J• ~ M. (/~ ~~. /Q ^ Yes ~No CAUSE OF DEATH (See instructlona and examples) r Approximate interval: Part II: Enter other sientlkant conditions conir'buting to ath, 28. Dld Tobawo Use Contribute to Death? Item 27. Pad I: Enter Ne chain o1 events -diseases, injuires, a corrplirzibns -that tliredty caused the death. DO NOT enter terminal events such as cardiac anesL ~ Onset to Death but not resulting In the underlying cause given in Part I. ^ Yes ^ Probably respiratory anesl, or ventricular fibrillation widwul showing the etrology. List only one cause on each line. t r I ~ ~ IMMEDIATE CAUSE /IFin l disea ^ No ^ Unknown se or )) a condition resulting in death) - ~ / i tl'3' ~~ ? r M / ~ ~~ " 2q. Il Female: , ,_ ,. . ~ , , . -~ a G i :~L4 ,-, ~~. ~~Y ir ~r ~ Due ~x as ? cnnsequencegi): `` ~~ ~ !' ~ ~~ ^ Not pregnant wnnin past year ^ , Sequentiatly list conditions, if any, o, J !. ~ r. l~1r i L ~16f'•, x„ /j ~ •r- r G~ l'"~ ~ /.r .. r Iead~rp Io the cause listetl ar lure a Pregnant at time of deafn . Oue to or s a consequence of ~ Enter ~e UNDERLYING CAUSE ~ p Y , Not ^ pregnant, bw pregnam wimin 42 tlays (tlisease or injury that initialed the c, iu--/ )* ~ .~ 7?~~^ it +,~ t events resulting m death) LAST. r or deem Due to (oc s consequence ofJ: t ^ Not pregnant, but pregnant a3 tlays to I year d ~ oelore death ^ Unknown d pregnant witnm Ne past year 30a. Was an ANOpsy 30b. Were Autopsy Fintlings 37. Manner of Death 32a. Date of Injury (Month, day, year) 326. Describe How Injury Occurred 32c. Place of Injury. Home Farm Street Facrory Pedametl? Available Prior to Completion ,,/' L~ I Naturef ^ Homicide OAlce Building, eta (Speciryl of Cause Ot Death? . ^Ves ~NO ^Ves ^ No ^ Accitlenl ^ Pending Invesligelion 32d. Time of Injury 32e. Injury al Work? 32f. If Transportation Injury (Sper'ty) 32q. Location of Inury (Sireel, city I town, stale) ^ Suicitle ^ CAUItl Not be Determinetl ^ Yes ^ No ^ Driver / Operator ^ Passenger ^Pedestdan M ^ Other • Spepty: 33e. Censier (check onty one) rtif di i h n Ph ician s f death hen lh r h i i h • C iri d tl m tl l l It 2 336. Signalu a tl Ti of Cerpfe f ~'~'~ ty ng p ys e ( ce ying cau w e p ys as pronounce e ys e o aro c an ea an cgnp e etl em 3) ~ ~ ; l ~ / , ~ ~ % `~ To the bast of my knowledge, death occurred due to the caasalsl and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ..4 -%' i c -~'~i!' r :., ! ,r.~~ • Pronouncing and certityln9 physcian (Physician both pronouncing death and certifying to reuse of tleathj T th t f k l d d th d l th ti d d l d d th d t b d ^ 33c. License Number 33d. Date S gnetl (Monet, day, yaarl e es o my now ge, ea occurre a e me, ate, an p ace, an ue to e Cause(s) en manner as ste e o e _ _ _ _ _ _ _ _ _ _ .. _ _ _ _ _ _ _ ;' ,_ r ~/ ~~' ci ell.-~1 : - ;' ~ • Medical Examiner) Coroner ^ I ~ . 1 ~ I On the basis of examibadon end I or investi ation, in m o anion, deaM cecurred at the time, date, aM lace, and due to the cau 9 Y D p sets) and manner as sgted_ pny~7y j~~~ '.Name and Addreu dpaarea,Wya~[pn~sy,p(,jlepyt ptem 27) Typal Print ~ 4 R9 IA11 \ ~T 36. Registry nature and Di ~ ~ 7 ~ ~ I I I cT I I I 36. Data Filed (Month, day, year) r F ~LY l/t~~~ .U p~ ~ S ~ - -. .~/ i2' /~( nc ~ c3'-5 E i i Disposition Permit No. ~ '} ] 3 d ~ M~~~ ~"~A~ ~-ti~- 009382-00001/September 9, 1993/CRW/SLP/29310 ~~~t mill ~n~ OF FAYE S. BITTING I, FAYE S. BITTING, of the Township of Fairview, County of York, and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills heretofore made by me. ARTICLE I I direct the payment of my legal debts and the expenses of my last illness and disposition of my remains from my estate as soon after my death as conveniently may be done. All of the foregoing shall be considered expenses of the administration of my estate. ARTICLE II I bequeath all of my tangible personal property (excluding cash or securities), together with any existing insurance thereon, to my husband, GEORGE W. BITTING, if he survives me for a period of thirty (30) days. If he does not so survive me, I direct that such property he divided as nearly as possible into two equal shares and distributed as follows: A. One such equal share shall be distributed to my children, TERRY L. BITTING and SUSAN F. BARTLEY in as nearly equal shares as possible. Should any such beneficiary not he then living, his or her share shall pass to the survivor or survivors of them. B. One such share shall be distributed in as nearly equal shares as possible to my grandchildren, BRADY BITTING, DANIELLE BITTING, EMILY 009382-0000] /September 9, 1993/CRW/SLP/29310 I BARTLEY and DEXTER BARTLEY. Should any such beneficiary not be then living, his or her share shall pass to the survivor or survivors of them. ARTICLE III I devise and bequeath all of the residue of my estate to my husband, GEORGE W. BITTING, if he survives me for a period of thirty (30) days. If he does not so survive me, I direct that all of the residue of my estate be divided into two equal shares and distributed as follows: A. One such equal share shall be distributed to my children, TERRY L. BITTING and SUSAN F. BARTLEY in equal shares. Should any such beneficiary not be then living, his or her share shall pass to the survivor or survivors of them. B. One such share shall be distributed in equal shares to my grandchildren, BRADY BITTING, DANIELLE BITTING, EMILY BARTLEY and DEXTER BARTLEY. Should any such beneficiary not be then living, his or her share shall pass to the survivor ur survivors of them. ARTICLE IV I appoint my husband, GEORGE W. BITTING, Executor of this my last Will. In the event of his inability or unwillingness to act or contir.~~e ±:~ ~cr 3s Executor, I apnc~irt my children, TEP_RY L. BITTI'~:G and SUSAN F. BARTLEY, Co-Executors. 009 3 8 2-0000 1 /September 9, 1993/CRW/SLP/'_'9310 ARTICLE V I direct that my Executor, or his successors, shall not be required to give bond for the faithful performance of their duties in any jurisdiction in which they may be called upon to act, insofar as I am able by law to do so. IN WITNESS WHEREOF, I hereunto set my hand and seal this ~'~ day of September, 1993. ~,,. _ __ ~~~ ~-~_ >. ~` ~ ~ -' ~ _~ (SEAL) Faye ~ . Bitting ,,;.~' 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, in her presence and in the presence of each other have hereunto subscribed our names as witnesses. ....:.~ i `., i .` ~~ .. ~, ~. ,_ r f 00938?-00001 /September 9, 1993/CRW/SLP/^_9'_' 10 ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss: I, Faye S. Bitting, Testatrix, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~ x. c` : < _ ~ t` ~i f ~ i~.r. Faye .Bitting ,~` Sworn or affirmed to and acknowledged before me, by Faye S. Bitting, the Testatrix, this -~'~'`~ `~-- day of September, 1993. Notary Public ' SHARON I,NpREBLE~ NOTARY PUBLIC MY COMMISS ON~EXPIRESEMARND24~UN9o4 009382-00001/September 9, 1993/CRW/SLP/29'_' 10 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND We, `- ..t7~- ~--~ {.!~ ~ G4`~ ~~1' ~, ~~>~ ~`. and ~ {'~."°~.~ ~ `~* ~~li f(-~~'f`'~ the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the foregoing instrument as her Last Will and Testament; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge, the Testatrix was at least 18 years of age, of sound mind and under no constraint or undue influence. ~--- -`----~T_-- ~~ -. ~--- `i .-'" ~. ., ,, Sworn to or affirmed to and subscribed to before me by 1~ : ~~~~~_~ (.~, ~~_ ~.~,~ t-.~ t" `~~ €~,~~ and ~~"~,,~ ~ .: ~ ~' `r ~',_f ~~~, ,witnesses, this ~~/`~ ~-May of September, 1993. ~. Notary Public SHARON L. NOTARIAL SEAL LEMpYNE BOROREBIE, NOTARY PUBLIC MY COMMISSION EXPIREStMA~ND COUNTY 24. 1994 RENUNCIATION REGISTER OF WILLS CUMBERLAND Estate of FAYE S. BITTING COUNTY, PENNSYLVANIA I, TERRY L. BITTING (Print Nnme) CO-EXECUTOR in my capacity/relationship as of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to SUSAN Fo BARTLEY ~,'~ ~~~ 6 ,~ ~ ~ ~~ (Date/ ~ Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills `~ /~ (Signature) 2379 Pine Tree Terrace (Street Address) Kissimmee, FL 34744 (City, Stnte, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this 7 c~ day o f ~ t3t? t ~l 3,v z~ c~ ~~~ ~~ No~ar,~ Public My ommission Expires: (Signature and Seal of Notary or other oflicial qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH Of PENNSytVAN1A Form RW-06 r•ev. IOJ3.06 NOTARIAL SEAL Lisa Marie Coyne; Notary Pvblic Hampden Township, Cumberland County My Commission fxpiresJune tt), 3t?t2