HomeMy WebLinkAbout04-22-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of JOHN R. SCHREIBER ,j ~ .
also known as
Deceased
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.y
COUNTY, PENNSYLVANIA
File Number ~ / - ~- 090
Social Security Number 171-28-5156
^/ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Executor
last Will of the Decedent dated 4-14-2008 and codicil(s) dated
named in the
(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
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: NONE
^ B. Grant of Letters of Administration
(If applicable, enter: c.t.a.: d.b.n.c.t.a.; pendente Zile: durance absentia; durance minorita[e)
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: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) N
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Name Relatinnchin R..o:~.' ~'7 A '~ ~"~
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary._~~ ~ -- '
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Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal r~sidence at~_
943 S. HUMER STREET, ENOLA. PA 17025
(List street address, town/city, township, county, state, zip code)
Decedent, then 73 years of age, died on 4-7-2009 at HOLY SPIRIT HOSPITAL, E. PENNSBORO TWP.
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 follows: 943 S. H[JMER STREET, ENOLA, PA 17025
JOHN R. SCHREIBER, JR, 940 S. HUMER ST., ENOLA, PA 17025
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 to
the undersigned:
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY 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 an~ubscribed
before me the ~ day of
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the Register
of Personal Representative
Signature of Personal Representative
Signature of Persona! Representative
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File Number: (~/_ f BUR -~~J'/ D ---j,,
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Estate of JOHN R. SCHREIBER
Deceased
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Social Security Number: 171-28-5156 Date of Death:4-7-2009
AND NOW,
~~, inconsideration of the foregoing Petition, satisfactory proof
having been presented before T 1 E REED that Letters OF TESTAMENTARY
are hereby granted to JOHN R. SCH BER, JR.
and that the instrument(s) dated ~R1L 14, 2008
described in the Petition be admitted to probate and filed of
FEES
Letters ............... $
Short Certificate(s) ........ $~.
Renunciation(s) .......... $
... $
... $ ,
.$
... $
... $
... $
... $
... $
... $
TOTAL .............. $ ~ -~~'
record as the last Will (and Codicil(s)) of.
e ister of Wills
Attorney Signature: .. ~~
Attorney Name: DAVID W. KNALTER
Supreme Court I.D. No.: 21582
Address: 411A EAST MAIN STREET
in the above estate
MECHANICSBURG, PA 17055
Telephone: 717-795-7790
Form RW-02 rev. 10.13.06 Page 2 of 2
_ - -
LOCAL REGISTRAR'S CERTIFICATION OF DE~~T'N
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 15188550
Certification Number
This is to certify that the information here given is
correctly copied fr'Jim azi original Certificate of Death
duly filed with )ne as Local Registrar. The original
certificate will be for~rarded to the State Vital
Records Office for permanent filing.
O`' PR 8 2 09
Local Registrar Date Issued
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REV 1112006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ •~' `
PRINT IN
!ANENT CERTIFICATE OF DEATH
'KINK
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(See Instructions and examples on reverse) ,._,_~ ~„
1. Name d Decedent (First, middle, last, sudixL), ~
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NRETBER 2. Sax 3. Social Security Number 4. Dale of Death (Monet, tlay, year)
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nF ~ Male 171 - 28 '-5156 A ril 7 20
5. Age (Last &rlhdey) Under 1 year Untler I tle 6. Dale of Birth (Month, day, ear) 7. &Mpkce (City aM stele a fa eign Gantry) fig. Place of Death (Check onl onej
MOnW b°y" M011p ~I•+ HaspKal: Other:
73 yrs. arch 10, 1936 Ham den Tw Pa t}~mpatiem ^ER/odpetlem ^DOA ^Nursirg Hans ^Residence ^Otnar. Speay:
6b. County of Death &. City, Bom, Twp. of Death M. FacNlly Name (Knot iredhdion, give slre9l and number) 9. Wes Decedent d Hispanic Origin? ~] No ^Ves 10. Race: American Indian, Bkck, While, etc.
Cumberland E. Pennsboro .111 yes. spedly Cuban,
Mexixn, Puarro Rican, etc.) ISPeci/)7
11. DeceMnCS Usual eon KqN d work tlaK ~ most d ~ Yle. Do nd skte redretl 12. Wee Decedent ever in the 13. Decedents E ucetlon (Specify ony highed gretle compkkd) 14. Marital Status: Martietl, Never Mameq 15. Surviving Spouse (II wile, give maiden name)
K'u10 d Work Kind of Busiress /Industry U.S. Armed Forced Ekmenkry /Secondary (012) College (1 d or 5+) Widowetl, Divorced (Spedly)
Maintenance Sch of ^Ves ft7Na U k Widower
16. Decedent's Maiing Adtlress (SmeL dry /Town, slate, zip cadet Decedem's Did Decedent
A
Pennsylv
ni
943 S. Homer St, ctual Resitlence ,7e. Slak
a
a Live ire 17c®Ves, Decedent Lived in Edct PPnnchnrn Twp
Enola
Pa 1 7025 Township? 17tl. ^ No, Decedent LNetl within
I?b Couny Cumberland
, Adael Llmile of city/Bom
. 16. Famer's Name (First, midde. Wsl, suKix) 19. Mother's Name (First, middle, maiden surname)
James E, Schreiber Mabel En le
20a. IMOm~ant's Name (Type /Prim)
John R. Schreiber Jr. ZOb. Inlomlant's Maifing AdMess (Street, dty !town, skte, zip code)
21a. Memod of Disposition ~ ^ Cremation ^ Donafion 21b. Dale d DlsPOSKkn (Month,
tlay, year)
21 c. Place d Dispwilbn (Name of cemetery, cremerory or other place)
21 d. Location ( ley l sown, stele, zip code)
~] Burial ^ Removal from Sate Wsa Cremation a Donatlan Authorized
^ OIWr. y: ~ byMadkalExaminer/Coroner'7 ^Yea^Na Apr 1 0 2009 Rollin Green M mori 1
22a. Sig F Service Licensee r person d as such) 22b. License Number 22c. Noma ens Address d Fadliry Sul 11
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CompNN h 23ec any even cengyig 23a. To die heal of my krowletlge, death occurred at IM lime, date aM pkce skied. (Siprelure and tltle) 23b. tkense Number 23c. Dale Signetl (Month
day
year)
physkien a rot evaikbb at fime d deem to ,
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tardy rouse d deem.
Kerns 24-26 must be wrtWetetl by person 24. Time dDeath /~
' 25. Dale/Pronounced Deed (Monts, day, year) 2fi. Was Cese Relerred.lo Metlicel Examiner /Coroner for a Reason Other Ivan Cremator or Donatbn?
wlp pronaxces deem. O ~' ,
% S R. i'/l M. A R,~ ~ Zed ^Ves No
CAUSE OF DEATH (Sea Instruetlons end exempka) r Approxknele Interval:
Item 27. Pan I: Eaer me chain d events - tliseeses, injures, a mrtplicaliors - the tlirecly caused the deem. DO NOT enkr termnal evens such es cardiac artes6 r Onsal to Deem
i Pad II: Enter other sianifi^r°nl Caldllione cont:hutna
bet not rasulmg in the underlying cause give to a n,
n in Pan I. 2fi. Db Tobacco Use Contribute to Death?
^Ves ^ Probaby
resp
ratory artesL a ventricular hbnllalion without showing me etblogy. List ony one cause an each lire.
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MNEgATE CAUSE (Fret tliaease or
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e 29. If Female:
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Duero (or as a con uence o :
f) , ^ Nol aegnant within past year
I$aea7~ceon!~y ~ ~ a+~ a b. "' ~
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e ^ Pregrlanl al time of death
DEALYING CAUSE Due to (or as a consequen ff: r
Enter Are
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^ Pr gnanL but pregnant within 42 days
(disease a injury met nNaletl me
events resuKkg m death) LAST. c. ~ of death
Due to (or as a consequence oQ: ^ Na pregnant, buI pregnam 43 tlays to I year
d, i W lore death
^ Unknown it pregnant within the peal year
30e. Was an Adopsy
Pedomwd? 30b. Wem ANOpsy Fuldngs
Availade Prgr la Campkaon 31. M d Deem 32e. Dale of Injury (Month, tlay, year) 32b. Describe Flow Injury Occurred 32c. Pkce of Injury: Home, Farm, Street. Factory.
d Cause of Deam?
NaNml ^ Homicitle Ollice Buildmq, alt. (SPeciy)
^ Yes ^ No ^ Yes ^ No ^ Accltlent ^ Pending Investigetan 32d. Tune of Injury 32e. Inlury el Work? 32r. K 7renspaklkn Irqury (SpedyJ 32g. Location d Injury (Street, coy I Iowa slate)
^ Suidde ^ Could Not W Determined ^Ves ^ No ^ Dmar I Operator ^ Passenger ^Pedesnen
M ^Oma - SPedly.'
~~ ~~ (~ °nly eel 33b. Slgnaarre and Title of CeNfiar
• Ca`tllying phydoian (Physician certlying reuse d Beam when another physician has pronounced deem eM canpbled Item 23) ° ~
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To the Wetd my knowkdge,de.m oaurrod due Wtheawae(a)and manneraatare4________________________________ ^
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rarourtaeg and artKYhg phyakien (Physcan horn praqunig death and cenayilg to cause d deem)
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33d. Date Sgneo (MOnm. day, year)
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LAST WILL AND TESTAMENT =~,~~:
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JOHN R. SCHREIBER, SR.
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KNOW ALL MEN BY THESE PRESENTS, That I, JOHN R. SCHREIBER, SR.,
of the Township of East Pennsboro, County of Cumberland, and Commonwealth of
Pennsylvania, do make, publish, and declare this instrument to be my Last Will and
Testament, hereby revoking and making void any and all former Wills by me at any time
heretofore made.
FIRST: I direct the Executrix hereof to pay all my just debts, funeral expenses and
costs of administration as soon as conveniently may be done after my death. I further direct
the Executrix hereof to pay all inheritance, estate, transfer and succession taxes which may
be levied or assessed upon any property which is included as part of my gross estate for the
purpose of any such tax.
SECOND: I give and bequeath the rest, residue and remainder of my estate,
realty and personalty, howsoever designated whosesoever situate unto my wife,
DELORES J. SCHREIBER, provided that she survives me by a period of thirty (30)
days.
THIRD: In the event that my said wife, DELORES J. SCHREIBER, predeceases
me, then in that event, I give, devise and bequeath unto my son JOHN R.
SCHREIBER, JR., an option or right of first refusal as the case may be to buy any real
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estate that I may own on or before the date of my death. The terms of said option or
right of first refusal are as follows:
a.) the length of time for my son JOHN R. SCHREIBER, JR. to exercise said
option or right of first refusal is ninety days from the date of my death;
b.) if my son JOHN R. SCHREIBER, JR. exercises said option or right of first
refusal within ninety days, my executor shall obtain from a licensed appraiser an
estimate of fair value for any real estate that I may own on or before the date of
my death;
c.) within 30 days of the date the appraiser provides to my executor the estimate
of fair value for any real estate that I may own on or before the date of my death,
my son JOHN R. SCHREIBER, JR. shall and must notify my said Executor
whether he will exercise said option or right of first refusal;
d.) if my son JOHN R. SCHREIBER, JR. elects to exercise said option or right of
first refusal, closing must be held within sixty days of his election to exercise said
option or right of first refusal and the proceeds of said sale shall be added to
and included in the rest, residue and remainder of my estate;
e.) if my son JOHN R. SCHREIBER, JR. elects not to exercise said option or
right of first refusal, then said real estate shall be sold and the proceeds thereof
added to the rest, residue and remainder of by estate.
FOURTH: In the event that my wife, DELORES J. SCHREIBER, does not
survive me by a period of thirty (30) days, then in that event, I give, devise and
bequeath the rest, residue and remainder of my estate to my children and
grandchildren as follows:
1.Twenty-Five Percent (25%) to JOHN R. SCHREIBER, JR.
2.Twenty-Five Percent (25%) to JUDY D. SCHREIBER.
3.Twenty-Five Percent (25%) to JENNIFER D. SCOBEE.
/,~~ S - 2 -
4.Twelve and One-half Percent (12-1/2%) to MEGAN MORRIS.
S.Twelve and One-half Percent (12-1/2%) to MICHELE MORRIS.
FIFTH: I appoint my wife, DELORES J. SCHREIBER, to be Executrix of this my
Last Will and Testament. I do hereby give to the Executrix hereof full power, discretion and
authority at any time or times to sell, at private or public sale, mortgage, lease, pledge,
exchange or otherwise deal with or dispose of the property comprising my estate as deemed
best, to settle and compound any and all claims in favor of or against my estate as deemed
best and, for any of the foregoing purposes, to make, execute and deliver any and all deeds,
mortgages, contracts, leases, bills of sale or other instruments necessary or desirable to
exercise the action taken.
SIXTH: In the event my wife, DELORES J. SCHREIBER, fails or refuses for any
reason to serve as Executrix of this my Last Will and Testament, then in that event I appoint
my Son, JOHN R. SCHREIBER, JR., to be Executor of this my Last Will and Testament.
LASTLY: I direct that no fiduciary appointed by this, my Last Will and Testament,
shall be required to give bond and that if, notwithstanding this direction, any bond is required
by any law, statute or rule of court, no surety shall be required thereon.
IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and
Testament, consisting of four (4) typewritten pages on the margin of which (except this page)
I have affixed my initials this 14th day of April, A.D. 2008.
JOHN R. SCHREIBER, SR.
-3-
Signed, sealed, published and declared by JOHN R. SCHREIBER, SR., the above-
named Testator, as and for his Last Will and Testament, in the presence of us and each of
us, who at his request, and in his presence, and in the presence of each other, have
hereunto subscribed our names as attesting witnesses.
DAVID W. NAU R
JA ICE L. BUSH
-4-
ACKNOWLEDGMENT
County of Cumberland
Commonwealth of Pennsylvania
ss.
I, JOHN R. SCHREIBER, SR., the testator, whose name is signed to the
attached or foregoing instrument, having been duly qualified according to law, do
hereby acknowledge that I signed and executed the instrument as my Last Will; and
that I signed it willingly and as my free and voluntary act for the purposes therein
expressed.
Sworn to or affirmed and acknowledged before me by JOHN R. SCHREIBER,
SR., the testator, this 14~' day of April, 2008.
JOHN R. SCHREIBER, SR., Testator
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NOTARY PUB
My commission expires:
NOTARIAL SEAL
AMY KNAUER
Notary Public
MEC~i~NC~&RGBOROUGI{
My Commission Expires Jan 25, 2009
-5-
AFFIDAVIT
County of Cumberland
ss.
Commonwealth of Pennsylvania
We, DAVID W. KNAUER and JANICE L. BUSH, the undersigned witnesses to
the Will, the attached or foregoing instrument, having been qualified according to law do
depose and say that we, the witnesses, were present and saw the testator sign the
instrument as his last Will, that he signed it willingly and as his free and voluntary act for
purposes therein expressed; that each of us in the hearing and sight of the testator
signed the Will as a witness and that to the best of our knowledge the testator was at
that time 18 or more years of age, of sound mind and under no constraint or undue
influence.
Sworn to or affirmed before me by David Knauer and Janice L. Bush, witnesses,
on this 14~' day of April, 2008.
David W. Knauer (Witness)
Attorney ID No 21582
GV ~Z(.Cl~~ ~~~~~
Ja a L. Bush (Witness)
My commission expires: _~
Notary Pub
NOTARIAL SEAL
AMY KNAUER
Notary Public _ 6 _
NliGBOROUGH,
MY Commisslon Expires Jan 25, 2009