HomeMy WebLinkAbout04-07-09PETITION FOR PROBATE AND-7 GRANT OF LETTERS
REGISTER OF WILLS OF C ~ ry ~i~`A-N~'/ COUi~1TY, PENv'SYLVANIA
Estate of /'~ f#•k' %//'4~1 ~.__ ~t4~ ~'-.~. ~`~ File Number ~` o~~ ~~~
also known as '
Deceased Social Security Number / ~ ~' ®~ ~ 7 ~~~
Petitioner(s), who is/are 13 years of age or older, apply(ies) for:
(COiYIPLETE 'A' or 'B' BELOW:)
A.. Probate and Grant of Letter Testa en[ary and aver that Petitioner(s) is !are the r~/L.S`ttJ~/ named in the
last Will of the Decedent dated 7~a~~ / 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 execution of the instrument(s) offered
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for probate, was not the victim of a killing and was never adjudicated an incapacitated person: n ~~
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7 "L7 '"~7JP -'
^ L.. Grant of Letters of Administration I- C J "7 - ~
(IJapplicable, enter.' c.t.a.,' d. b. n. c. t. a.; pendente life; dtrrante nbsentia; durmrt~ rn{iia2l a6'~J t
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spotrSe~~~n7j) and..l~irs: (tf
Adrrtinistration, c. t. a. or d. b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) y~ te=a ~'~ ~
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C Name Relationship Residert~ ~,,,, _;
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(COrY(PLETE GV ALL CASES:) Attach additional sheets if necessary.
Dec,~dent was do ziciled at death in ~ County, P nnsylvania wi his /her last principal residence at~' o' u t'+~/~S~~ps~
(List Sb~eet crddr ess, town/city, township, county, state, zip code)
Decedent, then ~ years of age, died on ~ ~ at C ~ v ~+ ~. ~, D/~ ~'' ~ l"/C,~ Cr /~~YL~ `L /"/'~
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
V ~~ V4 .
S
S
situated as follows: /~ C~~'v r~r ~F•T• WVkC~O 6~/R~/Fn/I~
When.fore, 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 Ty ed or rioted name and residence
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ro,m Hrv-oa .er-. 10.13.06 Page 1 of 2
Oath of Personal Representative
CONIiV10NWEALTH OF PENNSYLVANIA
~/~ S S
COUNTY OF _ (il rY1jPr'I
The Petitioner(s) above-named swear(s) or affirms} 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 persona] representative(s) of the Decedent, Petitioner(s) will we(1 and truiy
administer the estate according to law.
Sworn to or affirmed and subscribed
before me the ~ day of
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i For the Register
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Signatw-e ojPersonnl Representnlive w~
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Si~na~ure ojPersor:al Representative -~~ ~
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Si~naau-e ojPersonal Representative
File Number: ~~ JY~~X?rC~/' ~ ~ ~Pl Ci~~
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Estate of _ /'~~~~ ~ /~ i~U 1~ /Z, LE? ,Deceased q
Social Security Number: / E ~" O ~ _` f~.,3 ~~ Date of Death: J ~4 N ~-~' i ~- ~~"
AND NOW, ~ ~ Q~ ~ ;~rV~ ~~~, in consji~d~eration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters_ l~5 ~Y)z°i7~rZl
are hereby granted to J . ~~,rG ~Q U C' ~ ~~
in the above estate
and that the instrument(s) dated ~ ~(/ ~~ ~~r!
described in the Petition be admitted to probate and filed of re rd as the last Will (and C dicil(s)) of Decedent.
FEES ~ l ,~ ~ ~~
r N~~ u~t' RegrsterojWills
Letters ....1.~.,~~.-!.~... $ r,J
Short Certificate{s) ..~ ..... $ ~`~
Renunciation(s) .......... $
_~~1~~ ...$ ~S~x~
_J~ P ... $ t y ~~~>
~-~ ~ ... $ s""
... $
.. $
... $
... $
... $
"TOTAL .............
$ / ~oc~
Attorney Signahire:
Attorney Name:
Supreme Court LD. No.:
Address:
Telephone:
f~~,~„: Ryv-o? rev_ lo.ls or Page 2 of 2
I.. itri; K"t.` '~Il..
LOCAL REGISTRAR'S CERT'iFICATION OF CEATH
WARNING: It is illegal to duplicate this copy by photostat or photograpta.
Fee for this cer[iliritc, ~h.litl
P 5038.159
Ceriiiicatirm N!u(;!~er
This i~ t(~ cr~rtit .`~a (he inl~ujr~~ati_yui nL:r;~ si•.cn ~s
correctly cu~ic~c! arum an tTrj~~in.jl C~rr*if~i~atr~ tTf D~ad~
duly 1~iled u~itl~ +n;' a. Lcirai }{, ~yi;(r u. ~l~ht~ uri~~irla;
ccrtiiic~uc ~y~iii y,T,' l~Tr~arc(e~( tt~ the ti,;1tc 4~ita!
Recc>rri; Offici~ ily; I~el~nu((~eut ri,irl<z.
I_oall Kes_;>tra.r 1?ate ?~;ue~l
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r 143 REV naoa; COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
YPE .PRINT IN
PERMANENT CERTIFICATE OF DEATH
BUCK INK
(See Insiructlons anq examples on reverse) srATE F
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1 Name of Daceaent (lust mxlWe. last suNW) .__ .._...,,_.. ~ v `,J \ V ~ J
2. Sex 3. Socal SecurAy Number 4 Date W Death (Morin, nay, year)
Margaret E. Bauerle Female. 165 _ 03 _ 4315 January 20, 2009
S. Age (Call &Mday) l1Mer r year UWkr 1 m 6. Dak d Binh (MOnm, day, year) 7 Binhlkece (C' aM stew a br ' country) Aa. Pixe d Deam (CywCk ayy onej
uw~aa Days Nays Nnuws Liospilel: Other.
August 13, 1910 Philadelphia, Pa.
98
Yrs
^mpetienr ^ER/OutpataW ^DOA
Nxra,ng Noma ^Residence ^omar_Speah:
Bb. County of Deam &. Cih, Dom. iwD_ of Death rv
Bd. FarNiry Name (If not irKMUfron, gwe aheel ard nunlDez) 8. Was DecedeW W Hispanic Orgin? WINO ^ Yes 10. Race. American tilaan, Bfack, White, arc.
Cumberland North Middleton Twp. Church of God Nursing Home (uyes'spea'rcxban' ISPeCM White
Mexican, Puerto Rican, arc.)
It Deceden's Usual Occ um IKmd a wok done tluy most el wakm tile. Do,ml slate re0ea 12. Was Decetlenl aver in N¢ 13. Decedent's Education (Specify onh Nglkst gratle compktedl I4. Marital Status: Martian Never Married, y5. Survivng Spouse (N wile, give maden name)
Khd of Work Kintl W Business l Industry U. S. Armetl Faces? Elementary ] SeeplUary (0-121 Co9ege (1 ~4 or Ss) Wkbwe4 Divacetl (Speciyl
Homemaker Own Home ^yea ~ Widowed
r6. Decedents Malirg Adtlress (Sheer, cih /town, slate, ziD ~1 DecedenYS Did Decedent O 1 e
PA
801 Hanover street Acbal Remaence na swa
Laveka nc ~vae Decedent Dyed in
Twp.
Carlisle, PA 17013 Township?
I]b cnunly Cumberland ,ytl p Nn,DaraoeW raetl wNNn
Aches Lkngs W Gh a &xo
18 Famel'=.. Name (Fist. middle. last. suytul
Michael Hughes 79. Homer's Name (First, mgae, maiden surname)
Jean
K. Lou head
20a Informant's Name (Type ! Pnnr) -
Marc Bauerle 20b Informant's MadkpAdtlress (Street city I lam, stale, z ode
PO Box 711 Mechanicsburg, PA 17055
2la Herbed of Dupositlm emaf ^ Dalaoon
r 216 Dak of Disposition (Mash, day, year) 21 d. Place of Dispusaxln (Name a camera
ry, «ematory a Whet glaze)
21 a. Lopibn IGry , wwn, state, zip mde)
^ Bartel ^ RenwvalNOmSlale WaaCremalbnaDonaUOnAu i:.d
^ OLnar . ,h: M Wakal Eaammur /corn Yas ^ No Janua 23, 2009
ry Conolite Cremato
ry Schaefferstown, Pa. 17088
22a Sig ~ W Funeral Serv n uchl 22b. License Number 22c Name antl Address W FaWMy
- ~ FD-012662-L Myers Funeral Home, Inc. 37 East Main Street Mechanicsburg, PA 17055
Colrykla Items -c oNy when canihk,9
physkian n. nai avadaae el hme d tlealh to 23a Desl of m ledge, Beam arwren al the rrcne. and place staled. (Sgnatue antl mkt 23b tcense Number
_ 23c Data S,
9nad (Month. tlay, Year)
~E,hh ~a,,:x a a¢aln. 9
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Irelns 21211 must be <ompleletl Dy pylon 2<. Time of Deam 25. Da Pranurc
ed
Dead (MOnm. day, year) 1 G
~ 26. Was Case Referred m Mescal Examilwr I Coroner br a Reason Omer van Cremation a Doreticn?
who prorioxn<es seam. ~ / M. ,I
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Q 'tf~.t~ /~ f2 •/, L O % ^ yes ~Na
CAUSE OF DEATH (See inatructlona and eaamplea) r Approxunale mknat
27
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N Pan N'. EWa Wywr ggpliLdM r~,•areon=conLMvtina to yplyp, 26. Dd Tobacco Use COMMuk m Deam?
Item
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:
an
nlet
e GI~h.LI Ly:INS 0 ceases, blur es or compik;al nits - tnaf areW+y Caused dre Oeaih. CO N07 enter Terminal ¢vaMS such a5 caraac ane51. , Onset b Deam
W
fi
' bui nW reauamg b Nx; agent' rg cause given in Pan I. [] Yas ^ PrODaNy
respnalory arre
, a venrlicular
blill
alron wiVroul Showing the elroloyy. last pray one cause on each One. r
WYEDIA'fE CAUSE F,nal anea,aa
~ ^ No ^ Or,klrown
Z ~ ~ ; C ,~
corcYlbn resuhnq n ~am) _, a. _ ~ U I L ~Cv~ ~/' C r 29 II Female:
Due b (er ae a CgleagJenC¢ i): ~ ^ NDt ptagnani wWim pall year
$eyuantully lest Conarwne. 11 any. D ;
really to d:E causx listed tin kite a [~ Pregvnl at ante a noalh
. Due b or as a Corse uence ht :
EMe V:e UNDENLYMG CAUSE I 4 1 Not t
[] plegran .but prerywW xNUn a2 days
laeaase a x~lury u~al mllalaa me
c.
evana resulting In dEalY:l LAST a seam
Duo b (or as a CendadW nee oQ' f
L] Not pa9lwnl out qu{jraW 43 days Fi 1 you
tl. FWlaa deem
_ ^ Unknown N peynant canton dW pest year
30a Was an Autopsy 30b Were Autupsy FilulingS 31 Manner of Deam 32a. Date of burry (MaMh, day year) 320. Descnbe How Injury Occaretl 32c. Place a kyury tome Farm Street FaWUry,
Pennrmad? Avadaoa Prior to Completion
~Neluml [']NOnx~ida Orlce Buaang. eb. ISpxvh)
olca+N¢aDaan,?
^ YES ~NO C] ties [] No [7 A~ueenl ^ Pentling Imesagal,a, 32d. Time W Injury 32a. Injury al WoW? 321 If Transportation Injury (Speuh 32g. Lowhon of Iryury ISheat. clry / bwn, wlei
^ Suwrae ^ Coub Not be Dalelmmed ^ yes [] No ^ Drrver I Operas ^ Pass gar Pe van
_ M- Omer ~ Specih
37a C¢ryhar (cfaA-k onty ono!
• Cenihb9 PhYeiclan (Physlaan cendying cause of Uealn when anuaar pnysiuan has ploncuncud death and wmpbmtl Item 23) 330. Signature ar ~
~~ U
io hk best of my knowledge, deem occurred due ro the cause(s) end manner ad dteled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ - ~
-
• Pronouncing and cenltying physban (Physican UuR: pronouncng death aM cenityulg to cause W death)
Ta the best or my knowledge, deaN occurred a1 me time, date, and plxe, and due to the wuae(dl and manner as sWled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c. license 1 33d. Data Sgnad jMonm Jay year
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• Medkal Examiner I Cororrer 0
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On me basis ai examination and I or inveshgahon, in my opinion, death attuned at ihe
me, date, and Plxa, end tlue to iM cause(d) pits manrrer ad skted_ ^
~ yy Name enU Adaesd of Pelson Who Complektl Cause ui Daam (tram 2]) Typa ,Print
35 g ~ nature and Di 'In Nwn 36. Data Fletl (MOPm, day, ye r)
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LAST WILL AND TESTAMENT '-`'- ~
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MARGARET E . BAUERLE ~' ~'~ '
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I, MARGARET E. BAUERLE, of Stuart, Martin County, Fl~ida, make. -.
this, my LAST WILL AND TESTAMENT, and revoke all prior Wills~nd
Codicils.
ARTICLE I - IDENTIFICATION - FAMILY MEMBERS
1.1 Child or Children. I have one (1) child, J. MARC BAUERLE. All
references in this Will to my "child" or "children" are to said
named child or cl^.ildren.
ARTICLE II - DEBTS AND EXPENSES
2.1 Debts and Expenses. I direct my Personal Representative to pay
my funeral expenses, my medical expenses, the costs of
administration, including ancillary, and such of my enforceable
debts, other than those secured by property specifically devised
under this Will or secured by property passing outside of this Will
as my Personal Representative, with sole discretion, determines
shall be paid.
ARTICLE III - SPECIFIC GIFTS
3.1 Personal Effects. (a) I devise all my clothing, jewelry,
personal effects, furniture, furnishings, household effects,
automobiles, boats and other tangible personal property (other than
money), including insurance policies thereon, in accordance with a
written list or memorandum which I may have executed and which is
in existence at the time of my death. In the event of any conflict
between such memorandum and any subsequent such memorandum, this
Will, or any Codicil to this Will, then as to such conflict the
provisions of the last executed document shall prevail. My
Personal Representative shall conclude no written memorandum or
list exists if none is found within 60 days after admission of this
Will to probate.
(b) To the extent that all such property is not effectively
disposed of by such written list or memorandum, or if no such list
or memorandum exists, I devise such items, including insurance
policies thereon, to my children who survive me, to be divided
among them as they shall agree, or failing such agreement within 60
days after admission of this Will to probate, then as my Personal
Representative shall determine. All reasonable costs of
safekeeping, insuring and shipping my tangible personal property
INITIALS _~~r
Page 1 of 5
shall be deemed to be a general estate administration expense.
ARTICLE IV - RESIDUE
4.1 Residue. All the residue of my estate, but expressly
excluding any property over which I have a power of appointment, I
give to my son, J. MARC BAUERLE. If he should predecease me, then
I give the residue of my estate to my granddaughter, MARCI K.
RADEL, per stirpes.
ARTICLE V - FIDUCIARY APPOINTMENTS
5.1 Fiduciary Appointments. I appoint my son, J. MARC BAUERLE,
P.O. Box 711, Mechanicsburg, PA 17055, to be Personal
Representative under this my Will. No Personal Representative
shall be required to furnish bond or other security in any
jurisdiction.
ARTICLE VI - ADMINISTRATIVE PROVISIONS
6.1 Taxes. I direct that all estate, inheritance or other death
taxes (including interest and penalties, if any) payable under the
laws of any jurisdiction by reason of my death, whether or not the
property generating such taxes passes under this Will or any
Codicil (other than any generation-skipping transfer tax, tax on
property over which I have a power of appointment, or tax imposed
on qualified terminable interest property, which taxes are to be
paid according to applicable law or from said property), shall be
paid out of my residuary estate, without contribution,
reimbursement or apportionment.
6 2 Beneficiaries Under Age 21. (a) If a beneficiary under age
twenty-one (21) becomes absolutely entitled to any property, such
property shall immediately vest in such beneficiary. The fiduciary
in its discretion may distribute the property directly to the
beneficiary, directly in payment of the debts or expenses of such
beneficiary, to the Guardian of the person or property of such
beneficiary, the parent or parents of such beneficiary, to a
custodian for such beneficiary under a Uniform Transfers or Gifts
to Minors Act, to any other person who shall have the care and
custody of the person of such beneficiary, or to the Personal
Representative named in this Will. If property is distributed to
the Personal Representative, the Personal Representative shall hold
the property as a separate trust for the benefit of the beneficiary
and shall pay to or apply for his or her benefit all the net income
and so much of the principal at any time and from time to time as
the Personal Representative with sole discretion believes advisable
to provide adequately for the beneficiary's health, maintenance,
education and support in reasonable comfort.
INITIALS ~1~
Page 2 of 5
(b) All funds not paid to or applied for the beneficiary in
accordance with Section 6.2(a) shall be paid to the beneficiary at
age twenty-one (21) or to the beneficiary's Personal Representative
in the event of the beneficiary's death prior to age twenty-one
(21). Upon obtaining a receipt from the person to whom
distribution is made, the Personal Representative shall be relieved
of any further obligations with respect to the property
distributed.
ARTICLE VII - FIDUCIARY POWERS
7.1 Fiduciary Powers. My Personal Representative (including any
substitute or successor Personal Representative) shall have the
following powers, in addition to, and not in limitation of, those
powers under F.S. § 733.612, or similar provision of subsequent
law: to (a) invest, reinvest and retain, abandon assets as long as
shall seem prudent, without restriction to investments authorized
by law; (b) sell, convey, exchange, mortgage, lease or otherwise
dispose of all or any part of my property, real or personal, at
public or private sale, for such prices and upon such terms and in
such manner as such fiduciary may deem advisable (c) receive the
proceeds, rents, issues, incomes and profits therefrom; (d) borrow
money from themselves or others; (e) employ and compensate
custodians, accountants, attorneys and other agents; (f) register
securities or other property, real or personal in nominee or bearer
form; (g) liquidate or compromise any and all claims due to or by
my estate; (h) make distributions of such property in cash or kind
or partly in each, in divided or undivided interests; (i) exercise
federal tax elections under the Internal Revenue Code, with or
without making compensation among beneficiaries; (j) retain and
manage any business; (k) account to adults; (1) pay Personal
Representative's commissions and attorney's fees on account; and
(m) execute and deliver necessary instruments and give full
receipts and discharges.
ARTICLE VIII - DEFINITIONS
8.1 Definitions. References in this Will to "descendant" or
"de:~cendants" shall mean criild, children, and issue, whether born
or adopted before or after execution of this Will, provided that
any adoptee is under the age of eighteen (18) years at the time of
adoption. The singular shall be deemed to include the plural, the
masculine the feminine, and vice versa. Headings and captions are
for reference only.
IN WITNESS WHEREOF, I have subscribed my name and affixed my
seal to this my Will at Stuart, Florida, this 23rd day of July,
INITIALS i
Page 3 of 5
2001.
MARGARET E. BAUERLE
We certify that the above instrument was on the date thereof
signed and declared by MARGARET E. BAUERLE, as her Will in our
presence, and that we, in her presence and in the presence of each
other, have signed our names as witnesses thereto, believing
MARGARET E. BAUERLE to be of sound mind at the time of signing.
STATE OF FLORIDA
ss.
COUNTY OF MARTIN )
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We, the undersigned, being the Testatrix and witnesses,
respectively, whose names are signed to the foregoing instrument,
and having been sworn, do hereby declare to the undersigned officer
that the Testatrix, in the presence of witnesses, signed the
instrument as the Testatrix's Will, that the Testatrix signed
willingly; and that each of the witnesses, in the presence of the
Testatrix and in the presence of each other, signed the Will as a
witness.
Subscribed and sworn to before me by MARGARET E. BAUERLE, the
Testatrix, and by JORDAN FIELDS, and TENA PENSENTT, the witnesses,
on this 23rd day of July, 2001, all of whom personally appeared
before me. MARGARET E. BAUERL the Testatrix, is personally known
to me or has produced ~~,/-~ as identification.
~b~ "'
INITIALS ~' ~
Page 4 of 5
JORDAN FIELDS, a witness, is personally known to me. TENA PENSENTI,
a witness, is personally knowr3,-to me.r ~
I~6tary Public ,/,,
Print Name : v~~~ ~ / ~~l G'~ L~J" ~'
My commission expires:
~~:~_.;~; Yvonne M. Koehler
•. PrIYCOMMISSION#CC684454 EXPIRES
September 29, 2001
BONDED THRU TROY FAIN INSURANCE, INC.
INITIALS ~7 r ,~
Page 5 of 5