HomeMy WebLinkAbout04-13-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
Estate of Margaret R. Beamer
also known as
COUNTY, PENNSYLVANIA
File Number t~ \ ~ ` ~?~~a
Deceased Social Security Number 149-14-9809
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
A.. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the executrix
last Will of the Decedent dated August I5, 1983 and codicil(s) dated
(State relevant circumstances, e.g., renunciation, death of executor, etc.J
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
(/f applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente life; durante absentia; durante minoritate)
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (!f
.4rlmirrictrntinn ctn. nr db.n.c.t.a.. enter date of Will in Section A above and complete list of heirs.) ~,
Decedent, then 91 years of age, died on March 28, 2009 at Manor Care, Walnut Bottom Road, Carlisle, PA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 5,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 100,000.00
situated as follows: 903 W. Sixteenth Street, New Cumberland, PA 17070
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:
name and residence
Nancy Ann Grissinger nbm Nancy Ann Rider
1786 N Meadow Drive, Mechanicsburg, PA 17055
named in the
Form RW-02 rev. !0. ]3.06 Page 1 Of 2
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(COMPLETE W ALL CASES:) Attach additionai sheets if necessary. ^- ~ - ~ - ~' _~
Cumberland Count ~a• ~ ~ ~_i
Decedent was domiciled at death in y, Pennsylvania with his /her last princi~ residence at~,T
903 ~J Sixteenth Street New Cumberland PA 17070
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(List street address, town/ciry, township, county, state, zip code)
Oath of Personal Representative
COMPv10NWEALTH OF PENNSYLVANIA
COUPITY 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 estate according to law.
Sworn to or affirmed and subscribed
before; me the -_,~,~____ dayGGof
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For the Register
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File Number: J ~ W `> . ~ _ z
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Estate of Margaret R. Beamer ,Deceased
Social Security Number: 149-14-9809 Date of Death: March 28, 2009
AND NOW, ~~ ~C~.~t (~?~~- / ~ -~~ ~:~~.-~-~' cpnsideration~of the foregoing Petition, satisfactory proof
having been presented before m IT IS
are hereby granted to C
and that the instrument(s) dated ~~ f
described in the Petition be admitted to probate d filed of
FEES
Letters ..... ~.~.J.,l~l~ $ °~~
Shout Certificate(s) .. 43.... $ ~
Renunciation(s) .......... $
U~\\ _ ... $ 1S
... $ lG
... $
... $
... $
... $
... $
_ ... $
TOTAL .............. $ --~-99---~
in the above estate
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rec d the l st Will ( d Codicil( f Dec dent.
Regi o ~ ills ,
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Attorney Signature: ~--t ~-'~-~--
Attorney Name: John M. Ea in
Supreme Court I.D. No.: 6351
Address: Market Square Building
Mechanicsburg, PA 17055
Telephone: 717-766-3172
Form Rw oz rev. /0.!3.06 Page 2 of 2
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
}~ee for this certificate, ~6.U0
This is to certify that the information here given is
correctly copiers from an origin~il Certificate of Death
duly filed with me as Local Registrar. The original
certificate will he forwarricd to the Siate Vital
Records Office for permanent tilin~>=.
P 1518~36~
Certification Number
O/ AP 0 2 Q09
oca et~is err Date [sued
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REV nrttws COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS "Z7 -~ ••
MANENT CERTIFICATE OF DEATH W
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~CK INK
(See instructions and examples on reverse) STATE FILE NUMBER
1. Name d Decedent (First mitltlle, last, sudlx) 2. Sex 3. Serial $ecunty Numoer 4. Date of Death (Monet, tlay, yeaq
Margaret R. Beamer female 149 ' 14 ~ 9809 March 28, 2009
5. Age (Last Birthday) Under 1 year Under 1 der 6. Date of 8idh (Month, der ,year) 7. Birthplace (City aM stale or fore n urounhy) fie. Place of Death (Check Doty one)
Mourns Days Hours MkMes
91 November 16, 1917 HospNah Omer:
Lansford, PA
Yrs. ^ lnpafient ^ ER I Outpatient ^ DOA ursing Home ^ Residence ^Omer - eci ~.
SP N
fib. County of Death &. City, Born, Twp, of Death W. Factliry Name pt not insGltfion, give street aM number) 9. Was Decedent of Hispanic Orgin? ®No ^ Yes 10. Race: Amedcan Indian, Black, WMte, etc.
~
Cumberland
S. Middleton TWp.
Manor Care pf yes, spairy Cuban,
Mexican,PUenoRicen,ero.) (Specify,
white
tt. (kcedenys Usual Oct tkn Kind of wqk done dud most d Nfe. Do not state retired 12. Was Decedent ever in the 13. Oacedenl's Education (SpeciN aN highest grede completed) 14. Mariul galas: Married, Never Martied, 15. Surviving Spouse (If wife, give maiden name)
Kind of Won Kird of Buskwss I IMUStry U.S. Armed Forces? Elementary / SecorWary (0-12) College (b4 or Sa) Wbowed, Divorcetl (Speayfl
Secretary Banking ^Ves ®No 12 widowed
16. Decedent's Mailing Address (Sheet ckY I town, stale, zip code)
Sixteenth Street
903 W Decedent's
Acnuel Residence nor. State Did Decedent
Pennsylvania Live ins 77c,^Yes, Decedent LrvedM Twp.
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land
PA 17070
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N nb. County owns
ip
Cumberland nd.®NO. Decedem Lived wthin New Cumberland
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um Actwnimus of cirylBnro
18. Famer's Name (First midc'le, last sumz) 19. Mother's Neme (Frst mitldle, maiden surname)
John Riebe Anastasia Hrinda
20a. Inbrmant's Name (Type I Print) 2pb. Imormanr's Mating Address (Street dry /town, state, zip code)
Nancy A. Rider 1786 North Meadow Drive, Mechanicsburg, PA 17055
21 a. Mama of Disposition ^ Cremetbn ^ Donation 21b. Dale of Disposition (Month, day, year) 21c. Place of Disposition (Name of cemetery, aemetory or other place) 21d. Laetiort fCiry I town, slate, ip code)
~ e~nal ^ Removal/romState . WeaCrcmegonaDOnationAUthodzed
• April 3 2009 St. John's Cemetery Hampden Twp. , PA 17011
^ Other ~ Spedfy: i W Medcal Examiner I Coroner? ^Ves ^ No ,
22a. Signs of Fu rei Se kxnsee ( acting as such) 22h. License Number 22c. Name antl Address of Facipty
FD 013 340 L P.O. Box 431
New Cumberland
Inc.
PA 17070
Parthemore FH & CS
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Complete Items 23a-c Doty wlbn cen4yirg 23e. To 1 best of my knowledge, am occ etl a1,W lane, date and gate statetl. (Signature antl Nile) 23b License Number 23c. Data Sued (Month, day, year)
physician s not avaNaMe at tine of deem to ~ ~ ll (
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ceniN cause of deem. , V ~c,
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• Items 2426 must W completed by person 24. Time of Death L
~ (Month, day, year)
25. D~teA~Pt~olnouxred Dea)tl 26. Was Case Referted to Medical Examiner /Coroner for a Reason Other than Cremation or Donation?
wlq pronounces deem. • I l . M. _
/ sr l a (^ G /l a $ a U ~~ ^ Yes ~] No
CAUSE OF OEATM (See instructions end examples) r Approximate interval: Pan II: Enter other spnificent conditions cahihutmo to dean, 2B. ad Tobacco Use Contribute to Death?
Item 27. Pan I: Enter Nw g[ydp M events -diseases, injuries, or compllealions -mat direMly causetl the death. DO NOT enter terminal events such as certliac artest r Onset ro Deem but rot resulting m the underrying cause gNen In Pan I. ^ Yes ^ PrWabN
respirefay angst or ventncWer fibrNlarion wiNwW showing me etiology Lisl ay one cause a each line.
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^ No ^ Unknown
IMMEMATE CAUSE IFinal <NSeaze or ~ /,~~ ~ ~__y {n
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mMHicn resulting n deem) _' a. ~ IV•'a/ .•ypy, ~ 0.
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29. II Female'.
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Duet (or as a consequeae oft: TT~ ; Not pregnant within past year
^ ?regnant at time of deem
SequeneelN fist wrMitions, N ant. b. 1
Isad~ug to the cause Igletl at line a. Due to (or as a consequence oq;
UNDENLYING CAUSE
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r ^ Not pregnant but pregnant within 42 days
rAer
e
(disease or NMwY mat initialed me c
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' of death
evens reautting n deem) U~5
Due to (or az a wnsequence oi): Not nant but g y ye
^ preg pre nant 43 der 5 to 7 err
d.
r afore tleam
^ IMknown d pregnant withn lure past year
30a. Was an ANOpsy 3flb. Were ANOpsy FrMings 3f. Mariner of Death 32a. Oate of Iry'ury (Monet, day, year) 32b. bescdbe How Injury Occurted 32c. Place of Injury: Home, Farts, Street Factory,
Pedomretl? Available Prior to Completbn
^ Natural ^ Homida Office Building, etc (Speciy)
of Cause M beam?
^ Aaident ^ Perdirg InvesNgatan 32d. Time of Injury 32e. Injury at Work? 32f. If Trensponatan Injury (SpecAy) 32g. Location of Injury (Street, cAy I town, state)
^ Yes ~ No ^Ves ^ No ^ Sukide ^ Could Nol W Determined ^Ves ^ No ^ Dover /Operator ^ Passenger ^Pedesinan
M Other - Specl/y:
33a. Cenif~er (check Doty Dire)
auncetl death aM com
letetl Item 23)
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idan haz
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• Cendymg physN:lan (
To the beat d my lutowledge, deeds occurred due to the cause(s) and menrwr as staMd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ -
• Pronouncing arkf cemtying physician (Physician both prorrouncirg deem and cenitying ro cause of death)
^ 33c. Uc u er 33d. Dale Signed (Monet, day, year)
To the Wet of my knowledge, deadt atoned et the time, date, and place, and due to the catrsgs) end manner as sWted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ p O ( r ~ I C ^, ~ 3 / 7 O (~ [~
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• Medcal Examlme I Coroner
On tW Wah of axaminatla and I or investigedon, In my aptnloa, death acurted at tW time, tlete, end place, antl due to the cauaa(s) and manner as stated_ ^ 1
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yl Name aWM Atldres of Person Who Campteled Cause of Death htem 27) Type I Print
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35. Registrar's Lure ~ Dist' ~
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i 36. Date Filed ( ih, tlay err)
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LAST WILL AND TESTAMENT OF MARGARET R. BEAMER
I, MARGARET R. BEAMER, of the Borough of New Cumberland,
County of Cumberland and State of Pennsylvania, being of sound
and disposing mind, memory and understanding, do make, publish
and declare this my Last Will and Testament, hereby revoking and
making void any and all prior Wills by me at any time heretofore
made.
1.
I direct the payment of all my just debts and funeral
expenses as soon after my decease as the same can be conveniently
done . n r,,
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I give, devise and bequeath all the rest, resit and=-
remainder of my estate, real, personal and mixed, wfiatsoev~ ,
and wheresoever the same may be situate, to my daughter, NANCY
ANN GRISSINGER, absolutely, uncondtionally and in fee simple.
LASTLY, I nominate, constitute and appoint my daughter,
NANCY ANN GRISSINGER, Executrix of this my Last Will and
Testament.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal this _ day of August, A. D., 1983•
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araaret R. Beamer _~
(SEAL)
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Signed, sealed, published and declared by the above
named, Margaret R. Beamer, as and for her Last Will and Testament,
in the presence of us, who have subscribed our names hereto as
witnesses, at the request of said testatrix, in her presence and
in the presence of each other.
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OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
Cumberland COUNTY, PENNSYLVANIA
Estate of Margaret R. Beamer ,Deceased
Nancy Ann Grissin~er nbm Nancy Ann Rider and Gordon K. Rider
(each) being duly qualified according to law, depose(s) and say(s) that she / he /~h~~ was / er well-
acquainted with Margaret R. Beamer and am/ rfamiliar
with the handwriting and signature of the decedent, and that the signature of Margaret R. Beamer
to the foregoing instrument purporting to be the Last Will an estamen Codicil of
Margaret R. Beamer is in his/her own proper handwriting.
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(Si~,manere)
1786 North Meadow Drive
(S'treet Address)
Ni[echanicbsur~, PA 17055
(G`ty, &ate, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
ignature
1786 North Meadow Drive
(Street Address)
Mechanicsburg, PA 17055
(City, State, Zip)
fore me this ~ da
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Form RW-04 rev. 10.13.06