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HomeMy WebLinkAbout05-15-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Louis C. Riegel File Number of ~ ~i~'l ~J~ J~ also known as Louis C. Riegel. Jr. Deceased Social Security Number 166-18-9165 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW:) X^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the EX2CUtrIX named in the last Will of the Decedent dated 10/31/1996 and codicil(s) dated (State relevant circumstances, e.g., renunciation, death of executor, etc.) E :cept 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.; pendente life; durante absentia; durnnte minoritale) 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:(IJ Adrinistration, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) r,a Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last principal residence at 824 Lisburn Road Camp Hill PA 17011 List street address, town/city, township, county, state, zip code) Decedent, then 87 years of age, died on 10/23/2008 at Holy Sgirlt HOSpltal 503 N. 21st Street Camp Hill PA 17011 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: ~ 6 000 00 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: Signature Typed or printed name and residence Bethann M. Edwards 13 Pennsboro Drive Enola PA 17025 Pa e 1 of 2 For;7~ X!V-02 rev. l0.13.06o' (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~ N Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND 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 ~ day of ~ > I. "' / ~ ~" r the Register I[ )1D ~`]~ /k /It / `~ . ~CLG(,~`ZZiIl:G~.cL/ `-' .v Sign Personal Representative r T ~ Zry <y ~ - ~ _ :..~ Signature of Personal Representative ~ ; Gfl _ ~ • Signature of Personal Representntive _!~ ~~ _ [1 •' - - N File Number: ~ ~ ~~ ~~~ Estate of LOUis C Rleq_el ,Deceased Social Security Number:166-18~-+9165 Date of Death: 10/23/2008 AND NOW, ~ t ~ ~~ , in considerati n of the foregoing Petition, satisfactory proof having been presented before me, I S DECREED t Letters ~ are hereby granted to a rnP~ 1t~'• _ in the above estate and that the instrument(s) dated ~ L~~- ~ ~~ ~ ~ Clty described in the Petition be admitted to probate and filed of record as the last Will (and CodicilO of Decedent. FEES Letters ........~P..,(~l.~U....... . $ t-f 5 g egister of Wills ~ / ~~l ~~~ ~~ / ~ Short Certificate(s) •••~••• • $ Attorney Signature: ,, ~, ~ ~/ /Kub`t- ~ "*r1 ~ ~ - ~ ~~ Renunciation(s) ••••••••••••••• • $ ill $ ~~ Attorney Name: Theresa L. Shade Wix, Esc `~~ ~ -•• ~ $ IU Supreme Court LD. No.: 43089 ~ ~_~~~ ... . $ s ••• • $ Address: 4705 Duke Street ••• ~ $ Harrisburg _ _ ... . $ ... . $ PA 17109 .. .. $ _ $ x,~ 3 Telephone: L 171 652-8455 TOTAL ........................... .. $ Form Rw-oz rev. 10.13.06 Page 2 of 2 1O5.8O5 REV (01107) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, X6.00 This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will he forwarded to the State Vital Records Office for permanent filing. 'P 14808580 Certification Number ~~ 1~ ~- ocT z s zoos -- / / Local Registrar Date Issued r~ r--, _ C J C =:* --w ~~ _` ',~~ _a: - .. , ,. r- " rr7 _ _ , ';; ::)~ ~ :~.~ ~ , . _ t `- -.. ~ ~ t~ N i`.J TEV 11/2006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS PRINT IN KNNKT CERTIFICATE OF DEATH (See instructions and examples on reverse) __.__ __ _ n r n r: , u I ~'Z 1, Name of DBCetlenl (First, midtlle, last, suffix) Louis C. Riegel Jr. 2. Sex l _...._.._~..,,,.,. 3. Social Secun Number ~ .~„ V• VZJ 4. Date of Deem (Month, tlay, year) Ma e 1 6 _ 1 8 } 91 65 October 23, 2008 5. Age (last Birthday) Untler 1 year Untler 1 day 6. Dale of Berth (Month, day, year) 7. Birthplace (City and stale or foreign country) 6a. Place of Death (Check only one) ' ~ Montlw Days Noun MMNes Hosphel: Other. 12/9/20 Pottsville PA V , rs ®Inpetient ^ ER /Outpatient ^ DOA ^ Nursing Home ^ Residence ^Other ~ Speciy . Bb. County of Deam 6c. City, Bor Twp of Death fid. Facifiry Name (If trot insHMion, give street aM number) 9. Wes Decedent of Hispanic Origin? ®No ^ Yes 10. Race: American Indian, &ack, While, etc. • Cumberland East Pennsboro Holy Spirit Hospital ofyee,epeciy°Mban, (speriM White Mexican, Puerto Rican, etc.) 11. Decedent's Usual Occ W rms Kind of work done dodo n105 re anrad 12 ~n Me 13. Decedent's Education (Specify onty highest grade completed) 14. Marital Status: Martied, Never Married f 5. Surviving Spouse (II wife give maiden name) Ar ~Bl ~ ~ , o U.S. med Forces? K nd uslne$s rldUat p~ _C~ollege(1-d or 5a) Widowed, D'worced(Speci/yl Elementary/Secondary (0-12 Agen~ Pru~enLlal N ~ ^~ es ~1(( W1dOWed 16. Decedent's Mail Address (Street, city /sown, state, zip code) DeDedem'e Penns 1 va n i a °id °~de"' 8 2 4 ~r i s b ur n Rd Actual Resid n 17 Sl t Y Li . e ce a. a e _ ve in a 170. ^ yam, pe0etlenl Lived in Twp Cumberland Township? 17d. ~NO, Decedent Lived wthin Camp Hill, PA 17011 17b.County Camp Hill AcNalLimkeDf coy I Boro 16. FamerS Name (First, mitltlle, last, suffix) Loll 1 S C . R i e ge 1 S r . 19. Mmher's Name (First, mitlde, maitlan wmame) Mary I. Stoyer 20a. InfonnanYs Name (Type / PnnQ Be t 1•la riri M . Edwards 2~''^'DmtanYS Mailing Addess (Street, d /town, state, ziP Dona) 13 P ~ ennsboro r. Enola, PA 17025 2/a. Methatl of Disposition [Cremation ^ Donation ^ Burial ^ RemovaliromStale ~ WecCrematianorDOnetlo A ll d d 21b. Date of U n Month, da , ea ~DD ( Y Y r) 10/l4/OS 21c. Place of D eposHion (Name m cemetery, crematory or omer place) 210. Location (City I town, state, zp mtle) n U b ze ^ Other ~ Sprlciry: M Aletlkal Examiner /Coroner'. Yes ^ No • Evans Cremation Service Leola, PA 22a. Sgnature of Funeral rvice Licensee (ar perso ing as ) . - 'f ~~~~LZ'~ . 22b. License Number FD014993 22c Name and Address of Fadliry U 1 V a n one r a ome ; ,~,~c c.. 51 N. Enola Dr. Enola, PA 17025 • Coriplete Herre oNy when certitying physbian is rwl a labk at tlme of tleam to 23a. To the best of my knowledge, deem occurred at the time, Uale antl place stated. (Sgnature orb title) 23b. License Number 23c. Dale Si ) 9ned (Monm, day, year cedily cause of death. • Hems 2426 must be canpletetl a/ person wtro Droraurcas deem. 24. Time of Death 7 . ~T, `~1 25. Date Pronounced Deatl (Monm, day, year) ~ 26. Was Case Referted to Ira) Examiner /Coroner for a Reason Other than Cremation or Donation? M r O . / / / ~ G~ ~ ^ Ve5 No CAUSE OF DEATH (See inatructlona and ezempka) r Approximate interval: Pan II: Enter other =ioNAra t rn Hora ^•» ~ a' o to deem, 28. atl Tobacco Use Contdbme to Deam? Item 27. Pan I: Enter the dwn of events -diseases, eryunes, or complicatiem -met tliremhy caused the deaN. W NOT enter temtinal events such as cardiac arrest, r Orsset to D m b ea ut not resultng in the untlnty4ng cause given m Pan L ^ Yes ^ Probably respiretory arrest a ventricular fibnllatlon wehoul showing me elidagylist Doty one cause an each One. /' ,,/I /^ ~ ^ No ^ Unkrgwn IMMEDIATE CAUSE IFinel disease or r biH ca on resulH m deem A9 ) -)• a. _ C.. /~ /C' i GI,C~i yi{ r ~ ~~ 1 29. II Female: Due m (or as caxeque0ce oQ: • ' A ~ ^ Not pregnant wHNn past year Seven ~ list condlions ~ ~ ' , ~4? ~ / ~' b. t ,S ^ Pregnant at tlme of tleam W cause Fled an line a. r Due to (or as a con rice oQ: Enter UNDERLYR4G CAUSE i ^ Not pregnant, but pregnant wanin 42 days d i ( sease a njury that initiated me evems resulting m tleam) LAST. D' ~ of deaN Due to (or as a consequence off: t ^ Not pregnant, but pregnan143 days to 1 year d. ' belore deaN ~ ^ Unkrrown II Dregnem within the pas) year 30a. Was an ANOpsy 30b. Were Autopsy Flrttlirtgs 31. Manner of Deam 32a. Date of Injury (Month, day, yeart 32b. Describe How Injury Oaurred Pedomtetl? Ava0able Prior to Completpn 32c. Place of Injury: Home, Farm, Street Factory, of Cause of Deam? ^ Natural ^ Homkide Olfxz Building, etc. (Speary) egon 32d. Time of Irryury 32e ^ ADdtlent ^ Pendn InvesH Inju al Work? 321 II T t M I ' g g . ry . atrspor at njury rspea ^ Yes No ^ Yes ^ No NI 32g. Locatinn of Injury (Street DHY I faun, sate) ^ Ves ^ No ^ Driver I Operetw ^ Passenger ^Pedestdan ^ Suidde ^ Cab Nm he Detemaned M ^Omer' SpeaTy ?3a. Certifier (check Doty ono) 33b. Signature aM Ttle of CertHier • Certitying phyaklan (Physician certitying cause of deaN when arwther physipan has protrouncetl death and completetl Item 23) To the beat of re krawbd tl M d d h ge, es occum ue to t Y e cause(s) end manner es ate4rL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Pronouncing artd crMHyin phyakisn (Ph skun both reno d d th d f i - - /(J~ g y p un rig ea an cert y rtg m cause of death) To ate beat of my knowledge, depth accumed at the Ume, date, end place, end due to the auee(s) arM manner m staterL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • Madkal Exeminer /Coroner 33c. License Number ,Al ~` 7 J 33d. Date S' tred (Month, day, year) (~y / / On the besia W examination end I or Investi ation in m o lnb tl th d l h i /V~ ~ G 7 `1 L _ ) L , L'OG•,L Z ~ 2 `~t G' g , y p n, ea occurte e t e t me, date, and place, and due to the eeuee(s) orb manrrer as ataled_ ^ 34 Name and Adtlress of Person Who Completed Cause of Deam (Ite m 27) Type I Prim 35. Registra' afore aM - a~ ICI ~ I al I i li I 38. Date Flied (Monm, tlay. Year) i "' ~~~ ~r, ~. 1 S T •Y y p1~.~.~ J /.> ~~„ S ,~r 1 f~ I c - ~t~r~ ~ ~,n,rr r~t(I, ~:, r~~r( Dispositon PermH Nc. Uc+{a:J1 1/ ~ V ~~ ~7 ;_a, C_~ ~~a ,~ -'t 7 ~-m ~ ~ ~ __ LAST WILL AND TESTAMENT ~- s ~ c.~ ' OF -~ ~ ~„ - -;;.= ~~ ~~ LOUIS CLARENCE RIEGEL `_-' ~ r.~ r~ I, Louis Clarence Riegel, presently residing in Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils previously made by me. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by my Executor out of the property passing under this Will, which is not specifically devised or bequeathed, as an expense and cost of administration of my estate. My Executor shall have no duty or obligation to obtain reimbursement for any such tax paid by my Executor even though such tax was paid on proceeds of insurance or other property not passing under this Will. If the assets not specifically devised or bequeathed are not adequate for the payment of all such taxes, then the recipients of the property specifically devised and bequeathed shall each pay a pro rata portion of any such tax based upon the valuation of the property received by each such recipient as finally determined for Federal Estate Tax purposes, or if no such determination is made, then for applicable State Inheritance Tax purposes. ITEM II: I hereby exercise all powers of appointment which I may have at the time of my death in favor of my Executor, and all property subject to all such powers of appointment shall be included in my estate. PAGE 1 OF 5 PAGES ITEM III: I hereby give, devise and bequeath all of my estate, whether real, personal or mixed, of whatsoever nature or kind and wherever located, unto my daughter, Bethann M. Edwards, provided that she survives me by thirty (30) days. ITEM IV: In the event that my daughter, Bethann M. Edwards, predeceases me or does not survive me by thirty (30) days, then I give, devise and bequeath all of my estate, whether real, personal or mixed, of whatsoever nature or kind and wherever located, in equal shares, unto my grandsons, Shawn M. Edwards, Brett K. Edwards and Scott B. Edwards, or their issue, per stirpes. ITEM V: In addition to such other powers as my Executor may be granted by law, or under previous portions of this Will, he shall have the following powers: a) To retain investments I may have at my death so long as my Executor may deem it advisable to my estate or trust to do so. b) To vary investments, when deemed desirable by my Executor, then to invest in such bonds, stocks, notes, real estate mortgages, or other securities, or in such other property, real or personal, as he shall deem wise, without being restricted to so-called " legal investments " . c) In order to effect a division of the principal of my estate or of any trust or for any other purpose, including any final distribution, my Executor is authorized to make said divisions or distributions o£ the personalty and realty partly or wholly in kind. If such division or distribution is made in kind, said assets are required to be divided or distributed PAGE 2 OF 5 PAGES at their respective values on the date or dates of their division or distribution. d) To sell either at public or private sale and upon such terms and conditions as the Executor may deem advantageous to the estate, or any trust, any or all real or personal estate or interest therein owned by the estate or trust severally or in conjunction with other persons or acquired after my death by my Executor, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trusts and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable, in carrying out any of the powers conferred upon my Executor in this paragraph or elsewhere in my Will. e) To mortgage real estate, and to make leases of real estate. f) To borrow money from any party, to pay indebtedness of mine or of my estate or of a trust, expenses of administration or inheritance, legacy, estate and other taxes. g) To pay all costs, taxes, expenses and charges in connection with the administration of my estate or trust. My Executor shall pay the expenses of my last illness and all funeral expenses. PAGE 3 OF 5 PAGES h) To vote any shares of stock which form a part of the estate or of any trust, and to otherwise exercise all the powers incident to the ownership of such stock. i) In the discretion of my Executor, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of the estate or of any trust. ITEM VI• as Testator, or in circumstances that died first, or who after the death of him. ~,ny person who shall have died at the same time a common disaster with him, or under such it is difficult or impossible to determine who shall have died less than thirty (30) days Testator, shall be deemed to have predeceased ITEM VII: I hereby nominate, constitute and appoint my daughter, Bethann M. Edwards, to be the Executrix of this my Last Will and Testament. My Executrix is specifically relieved from the duty or obligation of the filing of any bond or bonds in this or any other jurisdiction. ITEM VIII: All references to the Executor and/or any such terms in the masculine form shall be deemed to include a reference to the Executrix and/or any such comparable term in the feminine form, when and if applicable, and shall have the same force and effect as if set forth originally in the feminine form. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament, consisting of this page, the preceding three (3) pages, and the following one (1) page, this <- ~~ ~ day of ~C~e9-~~,w , 1996. ~ ~~~ ~~ ~ it ~~~"'Fi~+.d_{% ~L,~'~~i Louis Clarence Riegel PAGE 4 OF 5 PAGES We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above- named Testator, as and for his Last Will and Testament, in the presence of us, who, at his request and in his presence and in the presence of each other, have hereunto set our hands and seals the day and year above written, and we certify that at the time of the execution thereof, the said Testator was of sound and disposing mind and memory. ~ ~" 1. /~ (j ~1_~.}ti,-v',~;iy~~~ Ckr ~-t,~~.. ~,,~~c,L ``` ( SEAL ) (SEAL) ~~ ~..~` o, ~~ Wan,~r. ( SEAL ) Residing at_~Q ~~% ~~-~~~~- ~,~,.~~ ~C2ns.~r, 'i ~,~- '? l I ~~ Residing a S`f ur~ (~~~~"~-~~ / / Q T- Residing at ~b~~ ~ C-v.~~~~,`,z~ PAGE 5 OF 5 PAGES ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN I, Louis Clarence Riegel, 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 Louis Clarence Riegel, the Testator, this ~~ ~-a~- day of ~ c~-~~ 1996. ~((////yam ~ J'tr'`~J, Louis Clarence Riegel Testator C Notary ublic My Commission Expires: AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) ) COUNTY OF DAU~iIN ) ( 1 ' Notarial Seai %ynthia M. Mayhew, Note . '~~i~c ~ ?-f~Wer Paxton Twp., pa;,, ;punt ~.~~ ~Ommission Expires ; _ 1998 _ ~. _ and ` ~ \ c~.:~~Q C ~,,,2,,,,,~,~ the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will; that the Testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness, 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. S((w//orn to or ' aI f f firmed an subscr ' ed to be re me by and ~~ ~L ~- ~ , ~~~-~~ witnesses, this 3 /~ day of ~- c~%~ , 19 9 6 . ~^ ~ ~ Witn s ' Witness ^\\ Witness (SEAL) Nota y Public My Commission Expires: Notarial Seal Cynthia M. Mayhew, Notary Public Lowor Paxton Twp., bauphin County My (Cnrn mirrlnn Fvr~irne Ccn4 77 i ~~~