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HomeMy WebLinkAbout03-25-09PETITION FOR PROBATES AND GRANT OF LETTERS REGISTER OF WILLS OF ~~, m ~i ~,,~ / ~ >Y<~ COUNTY, PENNSYLVATTIA Estate of l~'r? ~ ~C1 ~f "t/ File Number c~- ~ ~ ~~ C~ d c~ also known as Deceased Social Security Number ~~~7--Y ~~ Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) A. Probate aed Grant of Letters Testamentary anti aver that Petitioner(s) is /are the ~X L G Uti't~c ~~ ~ ~ last Will of the Deoedettt dated /j^/,~,Y,~~ ~ and codicil(s) dated (State relevant circionsstances, e.g., remmctation, 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 insh~nt(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: n °~ B. Grant of Letters of Administratia- _. - -'. '~T~_ ,.-, ^~s• `". , . (If applicable, enter c.ta; db.n.c.ta; pendente life; drucerte absentia; Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following; Administration, c.ta. or db.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) - fta~ _~ 1 __~ an~nd ~ _~ ,.. .. r > (COMPLETE INALL CASES.) Attach addllioxal streets }f necessary. death ~ , [tt~ ~i~ ''~_ Courtty, Pennsylvania with Jris /her (List street odrb+e.Ls, taw/i/city, township, county, state, zip code) L~ residence at / 9 Decedent, then / years of age, died on ~ ~9%h/i`jl / ~~~~ f at ~G~' . ~ %~~f~ ~/~v~~ ~~ '~j ~ ~~ Decedent at death owned property with estimated values as follows: ~ ~~. (If domiciled in PA) All personal property $ ~.,f ~~ .--- (Ifnot domiciled in PA) Personal property in Pennsylvania $ _ (If not domiciled in PA) person prop~y ~ County $ Value of real estate in Pennsylvania $ situated as follows: Form RW-02 rev. 10.13.06 Page 1 of 2 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 t0 the undersigned: Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF ~ ,(,(,rn b ~r JQn d 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 _, 5`'~ day of !. , __ '-~ For Register Sigrature of personpl Representative .. ` ~ ~ -: - ` =, ,_ _~~ ~ -t I~ ~ rV File Number: ~ ~ ' Q ~ _ (~ a D ~j Estate of p ~~ Social Security Number: ~ R A 'U ~ J ~ Date of Death: Q,rC,~l ,~,T ~,~ AND NOW, 'J~ `~' ~, in consideration of the foregoing Petition, satisfactory proof having been presented before , IT DEED that Letters I ~ S~QYY1 P_I'1~1r~) are hereby granted to ~ ~ l1. Y1 ~ 1~(~ ,~.1 ~/"1 P n _ in the above estate and that the instrument(s) dated ___ ,~~ - ~ vi -- ~q q~j described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES ' Letters ............... $~ Register of R9~s f'~' .~` Short Certificate(s) ........ $ ~ Attorney Signature: Renunciation(s) .......... S ... $_(j?_Q.(,,Z Attorney Name: ~ ~- • • • $~~11_. Supreme Court I.D. No.: ... $ ... $ Address: ..$ ... $ ... $ $ Telephone: ... $ TOTAL .............. $ Fa~Rw-o2 ~. ~0.~3.06 Page 2 oft ~_ ?~ ; Signrurve of'Personal Representative ' ~. - _ ; ~ ' try N - `, ~, _., _...: ~ CTi _.. __, IIK.HI15 RFV' i01/0'i ~-~- ~a~s LOCAL REGISTRAR'S CERTIFICATION OF DEAT~-I WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 1~40~996 Certification Number This is to certify that the information here given is correctly copied from an ftriginal Certificate of Death duly filed with me as 1_.ocal Registrar. The original certificate will be Forwarded to the State Vital lR~ecords Office for rrnanent filing. Local Registrar ~ ~ Date I~s~ed ~© w _.I - ,. __ _, '.. c.. "; -,- C7 X17 ~. ~ - ~ )`i, ~ C ) (.~ J:J (~ -... COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ ~ N +-7 .i REV It 2JtYe .,.aN'EN'" CERTIFICATE OF DEATH O +~w tNH fSee Instructions and examples on reverse STATE FILE NUMBER 1 Nm a Decaoertl tFust. nwtde. um, sWNI 2. Ses l F 7. $aLtal Securtry tManoer 188 - 03 - 7880 i. Date of Dean (Abnln, hy. year) 2009 March 13 Helen Emma Egge, aka Helen G. Eggs e ema , Age (Last e,rlraap utaer i t reu lHthr t by 6.Oab d &nn 1N1trNn, hy, year) 7. Buutpuce IGry an0 sub « l«egn cantryl a. Plata of Dealn (Costa only arwl . ovum Dare trots bvuwsi FbegW: Over March 18 , 1917 York, PA ^ „ ^ ER! DUtpalienl ^ DOA ^ N«.nq Nqm. ®Ree ^onar ~ swear 91 Yn • 30. Caauy d Dean &. Cary. Bao. Trop. a Oean fiE. FatdAy Nana In nd auauam.9^m sbea al0 nunber( 9. Was DeceOSrq d raspans 0~nn7 ~ No ^ Yas 10. Pau: Amman atOiirt, BIeOI Wn1e, eC. ISPeaM (n y.e, speray twat. , White Cumberland Lover Allen Twp. 5225 Wilson Lane/Bethany Village Mesican, PUera Rican. Na.) t 1 Decexrn s usual ac taro a a«x acrd most a w« We m nor sorb reseal 12. was D.cehm ever n bte 19. DarrOenl's Eaucaan ISpaory ody ntglwsl 9raae congbte0l la. Normal sum: Marneo. Never Maro0. ls. survrvrlg Spouse In rote. qtr. ntaam rumel waowrsd, DN«Cea l~M l(ur1 d row l(xa d Busrou! wusvy U.S. AmwO F«us? Elementary / Saconhry 1o-121 college 17 ~a « S.f Widowed Homemaker Her Own Home ^Y~ ®~ 12 1 16 Decaoaas MaX+W Aa«ees 19rea. coy: bwn, sure. zp ~) Oscahm's l Pe~a D!d Dace0em DK.aem Lwaan Lower Allen Twp. vania Uvena „p ®Yn 5225 Wilson Lane/Bethany Village + s"""~1OeACa 17a S'a" . . TownsNp? 17a. ^ No, Derxtlanl lmo wtaat Mechanicsburg, PA 17055 17" ~'Y Caamherl and Acwa taaaa Gryl6ao 16. Faow s Nair tFrst. nrads, last. stfisl 19. abbwr's Name lFrsl, tnAde. rtuAen sumanm) George E. Goodling Carrie M. Evans 20e. Wanrtargs Nana (Type r Prue) 20D. WomunYs Afaay Aoassa ISeeeL cOY I town, sou, zq tzhl Mrs. Joan E. Payne 3360 Cochran Drive, Lancaster, PA 17601 21a. MetMO d Dtsposrtan ®Genwm ^ panaDOn T1D. Dab d Dtspoaaan (Math. hY• Year) 21c. Place of Dspostaan lName d cemetery. «enWay a diner pbcel 21a. LafdDarl (Gry 1 town, store. a0 co0e1 ^ Bunal ^ Ramrod Iran Stan ~ Wu Crmsabn ar Oortellon AWaraM 1$( ^ w 2009 March 17 Cremation Society of PA Harrisburg, PA 17109 ND Y,a ^ eta sve~N ; ey,aear„E„m„e„ceeonm? , >2astgttaaae ~,nera eUCmse,lsxperaan sucni 220lxrens.raenwr r""ar'"aidAOOraudFx""' Auer Cremation Services of Pennsylvania, Inc. . ~ FD-010694-L 4100 Jonestown Road Harrisbur PA 17109 Dantpub u«m z7a< a+N ,nm cerafYuS pnysaanuml areeabbaartrdaeana z ro M Dest a my , dorm «wrea a~,uw am pxa suwa. Isgrulae door uml / , ~ I U ' 1V~ 220. Lcanw Numom iZn15o~ ~lrUL zx. role sgrea (MOtmt. my. tart 1 ~3 2EB`~ caav cauw a horn ~ , . perm 21-26 must a mtnpbte0 M Perspn 2A. me of Doran 25. Dale P Deco l~n/.~ hY, Year) 26. Was Case Relertea la Aleaica Esartuner I Coroner 1« a Reasm Ora titan Gamamn « D«taom? +eto panwxes aaln M. (%j ~ ^ Ve8 `o - CAUSE OF DEATN ( insVsrctbns and taemOtee) , Appramate ueenar. Pan u: Ema star n Pat I n o 26. Da TaDacco Use CawtOW a Deirl? ^ Yes ^ ProadY nertt 27. Pan t. Ems Dte coast d ewu - LLSeases, uyww. a oarparaoau -oral Urec6y caused aw him. W NOT anNr tamwul stems such u cardac artasl. r Orwat a Dean . urae yeg Dose gwm Od rot resuknq n t CMri9 Ne mObgY. W tlay «M tlIW M NM aM. Si VGA resprtaay Ntsl. « venfrlGAar tOr1laean w l ^ Np ~UNnOMt ~ -~ ~ ~ws iDtg~n dell `'~. i'"1110~ « a ~ Tsr1 ~ p~ (~ ya r~ ~ ~ ~ a~^s r-y,w7 ~)'V ,'` 1 ~'7a`-'T TM1.r) Ji l/~`e 29. ICI-Ftem~ur: . te ~^ ~ ~ - -~ . G _ , ml~ne~~ / .~~ /y~/~ f aarry SeprngYy ast wtdbms o ~ ( e~ual {/L~~ofl~ ~'CJa 1 ~" ~~~ ~ l l ' mss, /~ r ~/e- La l.lrra W W P Y PreVt+XtYtirod MaD . . . ~. yayq b dr cause aste0 on aw a. Ow to 1« as a avtsepuerra d): ~ ~ ~ ~ ~ ~ Emsr iw UNDERLYWG CAUSE (OSeiae «at,?y nil ruDaleO Vie c S awns resWrg n aeanl UST. ' ~ :eyuuL DJ prequrA 0.l bys b 1 yea ^ Due a 1« as a cartseRtwnce d): d s ~ ^ lAtanorm a prepunl wYn dr psi yw . xr. Wu at Autopsy 3C0 Were AWOpiy Fndvgs ll. MartrNr d Dean 72a. Dau d lr7•Y (abrdt, hY. Yea) 72D 17esuae lbw alunY Oared 32c. Play d aVuY' Home. Form, Street Faddy. O16ce Bddttg, etc. ISRanh/ Panamw+ ArLibb Poor a Cantpbean a Deanr a c ~iawra ^ l7onrdde atty ^ Aoctaen ^ Penhtq awesagatan 72a tea a lrwry 7ze Inylry at wax? 72r. rc Traappbtan iryury rswptM 7zq locaaon a ltpay Isreet, uy; awn. soul ~~i,,/ ^ Yu 'ice ^ Yes ^ 1b ^ Yes ^ Dmer: Operator ^ Passargar ^Pehswn ^ No ^ $wcth ^ CtsM Nd a Debrnaw0 M 0e1er ~~. Sid Certdw tcxa omy anal bbd r m 27 d d Cemtbr 70e. Sgnawre~ door Title aonv e • CnlOyng pnyacun (Pnystcun centrynq rouse a horn wan anoawr pnysKart nas wanaanced horn an 1 rtN OW alM Causgsl arM maxrruslab0 bd haflloa i d k .._"" " ~/~ ! ~n ~ `~ - - _ _ _ _ _._..._____"____ ____ now u otMltea my ge. • Fonourrng arW andY'n9 pDyactan IPrrystcrut Door praaunong tout and carayrg to cause d deanl w d ^ 3x. lien Number q ' 77d. Oars tibrNll. Y. Nrlq _ _ _ - - _ - e _ """"""' To w ass d my Xa+'bdg•. Oran «cunw u la lbr, hu, std Plw, and sue to tM uuWal artl manner ore s ~„ ~ ~ ! ]. 33 V J 1 ~ ~ 6 O 4 • Yeeital 6amwrlC«uner On U4 ads d eaem an0 / « nrntgalbn, n m n, hen acurred a Vw tea, hle, as pled, an0 dw b Ia causNal an0 mnrw » shied. ^ ~ M ~ ~~ d Peron Nno Ccmokte0 "auu d r n' lam 271 Type ~ Pr ~~/ 1 ~~ i~ N D nm D ii ( ~ 1 ~ t 75 Peryu:Mi;tir'ature' 1' 1,~ ~!/Y !/T ~7"I ~ - a/ O . ory, Y 3 ~wA_N ~1 ~ '~, ~t/V~ I -l -YV 1 / DtepaattanPemANa 0358364 Q~N ~ •N I I ~__;~_ ~~ L C"~j :;: ~ ~, ,-- t.n _ _ cv ~__ _= cxy - ~, _-__ _~ r., SAIDIS, GUIDO, SNUFF & MASLAND 21l><I Market Street Camp Hill, PA F-~- Ci! C~= .--_ LAST WILL AND TESTAMENT -- ~ = OF `~J' HELEN G. EGGE a;-° ° also known as HELEN E . EGGS .:: ; >;-T_; ~r_ =: v =; I, HELEN G. EGGS also known as HELEN E. EGGE, of Lower Allen L~ Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any will previously made by me. I - I direct the payment of all my just debts and funeral expenses out of my estate as soon as may be practical after my death. II - I devise and bequeath all of my estate of what- ever nature and wherever situate unto my daughter, Joan E. Payne. III - Should my said daughter predecease me, then I devise and bequeath all of my estate of whatever nature and wherever situate unto my grandchildren, Holly Payne, Michael Payne and Eric Payne, in equal shares, the share of a deceased grandchild to be paid to his or her issue per stirpes. IV - Should any of my grandchildren be under the age of 30 at the time of the distribution of my estate, then I direct that said grandchild's share shall be retained by my trustee hereinafter named in a separate trust for that grandchild and thereafter: Page 1 A. As much as the income of that trust as my trustee may from time to time think desirable for the beneficiary either shall be paid to him or her or shall be applied for his or her benefit; and B. Any income not so distributed shall be added to the principal; and C. As my grandchild attains the age of 30, he or she shall have the right to withdraw one-half of the principal balance of the trust; as said grandchild attains the age of 35, he or she shall have the right to withdraw the remaining balance of the trust. Such rights of withdrawal may be exercised at any time or from time to time after the right accrues. If any said grandchild shall have attained any such respective age or ages at the time when such shares are directed to be set apart or at the time when any addition is made thereto, such grandchild shall then have the right to withdraw such part or parts or all, as the case may be, of such share as is given to such grandchild upon attaining such respective age. D. If any grandchild for whose benefit the trustee holds a separate trust dies before distribution of the entire share held for the benefit of said grandchild, the principal and any accumulated and undistributed income of the share shall then be distributed to the grandchild's issue. Should any grandchild die and have no issue surviving, including afterborn issue, then the remaining principal and accumulated and undistributed income of the share shall be distributed to my other grandchildren or their issue, as the case may be, and held and managed in accor- dance with the terms and conditions of this trust. V - I appoint my daughter, Joan E. Payne, Executrix of SAIDIS, GUIDO, SHUFF & MASLAND 2109 Market Street Camp Hill, PA this, my Last Will and Testament. Should my said daughter fail to qualify or cease to act as such, then I appoint my her hus- band, Ellis P. Payne, to act in this capacity. Should he fail to qualify or cease to act as such, then I appoint my grandson, Michael C. Payne, to act in this capacity. I appoint Ellis P. Payne, Trustee of any trusts which need to be created hereunder, Page 2 or if he is unable to serve as such, then I appoint PNC Bank, N.A. as trustee. None of my personal representatives or trustees shall be required to post bond in this or any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal on this, the ~ day of ]/]/I Lt-i 1995 . . ~ ~ (SEAL) Hel n G. g e Also known as: . L SEAL { ) Helen E. Egg SAIDIS, GUIDO, SIiUFF & MASLAND 2109 Market Street Camp Hill, PA Signed, sealed, published and declared by HELEN G. EGGS, also known as HELEN E. EGGE, Testatrix therein named, on this and two {2) other sheets of paper as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~: j Name I- , / ;' ~% me 4~ Address ~~- Add e s Page 3 SAIDIS, GUIDO, SHUFF & MASLAND 2109 Market Street Camp Hill, PA COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND) WE, the undersigned, the testatrix and the witnesses, respectively, whose names are signed to the foregoing instru- ment, being first duly sworn, do hereby declare to the under- signed authority that the testatrix signed and executed the instrument as her Last Wiil and Testament and that she signed willingly (or willingly directed another to sign for her), and that she executed it as her free will and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix signed the will as witnesses and that to the best of their knowledge the testatrix was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. Subscribed, sworn testatrix, and ubscribed nesses, this ~ ~ day of Notarial Seal Jo A. Luxenberger, Notary Public Camp Hil! Boca, Curnf,~rianc.' ^,cxarrry My Commission E~cp;res iviay s5. ! :-~96 to and acknowledged before me and sworn to before me by both by the wit- 1995. i~~~~l ~° estatrix