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HomeMy WebLinkAbout05-14-09PETITION FOR PROBATE and GRANT QF LE 'T~ S Estate of DOROTHY M. GOTSHALL No. vl also known as To: Deceased. Social Security No. 206-10-9488 Register of Wills for the County of CUMBERLAND in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older and the execut or named in the last will of the above decedent, dated 9/2/2004 and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland County, Pennsylvania, with h gr last family or principal residence at 100 Mount Allen Drive. Upper Allen Twg. Messiah Village 3 Decedent, then 90 years of age, died Except as follows, decedent did not marry, was not divorced and did not have a childl born or after execution of the will offered for probate; was not the victim of a killing and was never adjt incompetent: 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: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters Testamentary thereon. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) U G N b Vf N d ~ ~i O N ~ ~w ri _~ n Elwood R. Gotshall, Jr., 8 Manor Drive ~~+-~ ~/L West Chester PA 19380 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA t COUNTY OF CUMBERLAND J 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 represen- tative(s) of the above decedent petitioner(s) will well and truly a inister the estat according to law. Sworn to or affirme d subscribed ~ ~ • be e me this day of v Register u~~ ~_ r[ ~. J ~ --,~ -._ ~-+ ~ ._ - $ N $ 499.500 .00 o~' A Z No. ~,l -aq~r~~~q Estate of DOROTHY M. GOTSHALL _ ,Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~7 I r l , in consideration of the petition on the reverse side hereof, satisfacto pro having n presented before me, IT IS DECREED that the instrument(s) dated 2, `2yc' I J described therein be admitted to probate and filed of record as the last will of ~~~ 1~ ~t~ -(` and Letters ,~~ are hereby granted to ~'~ (?~ Re ister of Wills ~~ •_. FEES ~ Robe L. Knu p, ` Probate, Letters, Etc.. ~ i ~ ~ . $ ~oZS • 07083 Short Certificates (~d, ), . $ -q-g . Co ATTORNEY (sup. Ct. LD. No.) Renunciation ............ $ PO Box 630, 407 N. F=ront St. J C P~r~u~c ~ t~ e-v~ $ i s• oy Harrisburg PA 17108 TOTAL $ ` ~5~ ~~'~RESS (717) 238-7151 Filed ... .... .. .... .. . " PF[ONE _ r)In~xo~atc,uvml ~~~ ^~~ ~~~ ~, LOCAL REGISTRAR'S CERTIFICATION (~F DEA:`i'H WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. $6.00 ~... ~ ~ ~ b./ e4 !. S ~1 Certification Number Lc~- ~• ~ c~~ , ~ en ~ -doo9 ~ a, "Phis is to certifti° that the ;infortnatiun here given is correctly copied from an ori~Tinal Certificate of Death duly filed with Hie a~ Local Registrar. The original certificate will he forwarded 1o the State Vital Records Oi~fice fur permanent filing. ,, , .• Local Registrar ,-,~ y ~ Date lssiied It z n ;.; ~ ,- t -C1`~ ~ C_ - ~ ~- .~,. t~!' t~ -~ :. n _zu COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ 'f:iNi IN "''.',NENT CERTIFICATE OF DEATH au. K wK (See instructions and examples on reverse) ~,,,~ F„ F ti„•,q~o I Nanw,l Ca:vdesu IFu;I. nrfdt. last wK„1 L r M -D T ~ 2. Sax J SsUI Secunry Nunmer ~ Date of DeaN IMOnIn. ]ay. year) . L oRo Hy o SHA FEyp^L[ ,206 - to - 9Y88 Iv1Rr ,2, 1009 5 Age ;Cast B~nraayl UrWer 1 rear Urger I day 6. bete of einn thklnlN, tlay, year) 1 BNnplate rGry ark ;late a br egn tounlryl Ba Place of Deam ICneck only asel ~~ uo-~vu Dais rwws w Hc;pkl. Omer: v-: A4G. eZ9, X91$ NARRIS/yYRG PA. ^In utm pa ^ ER. Oulpauenl ^ DOA ®Nursing Home ^ Resalence ^Olner ~ Speary-. 30. C.wmy of Deam 3c. Cary. Bao, Twp. ul Dzam gtl. Facmry Name III «t insuluuon. glue sDeel and num0erl 9 Was Decedent of wspanK Or Igin~ ~ NO ^ Yes 10 Rdee. AmerKan Irban. Blaca, wyute, eK CumeenLAK, 17tPT•~oF Puet.icwflfwaE rnGSS~AH `~-.~(~fl~~ (II yes. spenly Cuban, Me.¢an,PuenoRlcanec) ISpm/N H//IITf 1 t D~exnts t)5uL Q 1Ar iN~nd d wok ]one ] ~n 'nest of ws:rk Ida. Co nd skla retuetll 12. Was Decedent ever m Ire 1 3. Oacetlenl5 EtlUeallOn (Speufy retry ngnesl grade <mp leledl la hlarnal SIaWS: Marruk Never hlarrwd I S Survrnrg $GCa s;e II wile ive maalen Harrel Kw d Wak CLEKICpL S4OErt /i SaR Kntl d Busmzss: Dkuslry 7 f ~ J U S. ArrtKd Forces? Elemenury I Secondary (0121 College 11-~ or Dr) . Wkowetl. Dnracetl (Sptulyl , , g l (PT o f[FAOE blsc 1 ^ves ®NO /~, V11/IJpDJ ~a t6. Dzceaents Mareng Address (Sdeel, ary; sown. stale. zp <odel Decedetes Ditl Decedent PA UPPER A LL E ) / 00 M T. /QG L EnJ D R • . ~ Actual Resdence na. State true m a 17c. (~ yes. Deceoent Lirea In rep MELNAsu ye 1'yo ~A. SS 3 Bu,aG TownsMp? Ira.^nw,o«edem trued w~mn nD. coKnry CumeEaan.v 7 , o,dwl WMIS d Cay- Bao I3 Fama s Name Ifust, mtOde, last. ;Mal Plous NA 79. Milner s Name ,Fast, nWae, nwden sandrnel • w~M Mg2y ME NrzfR 2Da. IruumanYS Name IType Pnml 20D. lnlormanrs Mamng Aoaess ISireel. city !town, stale. zp cotlel ELWOOtj R. GorSNALL JR. $ MANOR 1~7R. EST CrIESTER PA. 14380 L I a. \ItmoO of Drsposagn ^ GematKn ^ DaiaDOn 21 D Date d DiSpoLlKn Inwnm. day, year) 21c. Place a D. tun tName of cemetery. [renal a Omer sposi Dry place) 210. Laaeon lC~ry :own. wle. sn weal Banal ^ Remmal Irom Yale ~ WaE Cremation a DOrIaIIDn Autlgrus0 ^Omer~3pe,:~h: iDy Medical EfamlrwlDaauR ^Ytls^NO / MAY 6a Z009 n OL Lt N K G GREEr~ /H EM•IORUL PARk_ ~A.yP Nr~r lA. (70/! 2a S..yama d F m Sarvce lKensea for pawn array as sucnl Q ~ L 220. LKense Naroer d1 1 1 22c. Nanw ana Address d Facmry ~ ~a, d, , a 117. - I~EILI- fvru¢2tl I~~e•••r'e rv<, 3,SO1 ~} fRR'1 $T.r {-~AR21f <}uRG, ~~. 1711! Carpple uzms 23ac on wMn cemryeg 23a. 7o :ne cast of my 4wwletlge. seam uccaretl at der erne, dole aM Dlace staled. ISgnature aM Imel 270. txense Number 2?<. Date Sr xtl IMCdn day yeah yryscarr a ml a.aaade al mrw a Deam Ie z , . 4erefy cruse ,d ceam. Hems 2J~26 mwt ce completed M person wM] por wtces Beam 2a. lime d Deam _ ~ I 1 ~ 25. Data Prarquncetl Dead IMmm, day, year) 26. Was Case Ralerrsd to MedCal Esaminer! Coroner la a Reason CMner man CremaOOn a Donauon~ . s ~ M. ~ a ©© ^ Ya5 ~rNo CAUSE OF DEATH (Sea InasruPUonA and e:amplaA) r Apprc,imale ~menal Han 21 Pan r. Enter mo ~ of even - debases. aWres. a CarplKalgns - mat tirecey cawed me tlealn W N0T anla lemvnal evens suer az cardac artesl Pan u. Enter Omer sgmlSdULcoma.~ <cmmeuune •o exam, 28. LW Tdarm user CaarOJe m Dean? t . Onsal to Deam res{wa orY ane.4, a rar ncuW tmnaaucn nkqul slwwe'g IM elglorY. Usl aey one cause on serer MM. WI not resWUnq n dre underryug cause guar n Pan I. ^ Yes ^ ProDedy 1 ~E~ TE CAUSE F dsease or ~ ) ^ ~ ~ UrlkrrOwrl ~i q swung n ~a ~ a / /v~ / ~ ~ Q, ~ 29 I I F e mW_ . ~ , - - , / Due to f or as a croseque«e op: IQ Na ye¢unt wiM past year SWuenuaYY a51 coMlwrs. d arty. b ~/'( G ~( L~i ^ Pregwq L Ima d Dean ~aMp w me cause 0sled m later a. ~ , Due'o for as a cons E ~sw me UNDERLYMIG CAUSE Mwrice d). ^ Na aeg,yy as paywe vmnn a2 daYs tnsease a vyury vat ubDatN me ~~~ a seam evens resulWlg m Oealnl kASi. out w Ior a5 a con aewa,ce tn: ^ Nd aegwa. W preyraq s3 tlays k t year d. celae deem ^ Uruu~gwn it pranare wYlbl tl4 past yea 3Ca Was an Autopsy PaA,mpd 300 Were AarmpSy F~nuys AvaJade Pnor to Camplenon 71 Manner d Deam / 32a. Dale d Iryury IMonm, derv, Yearl 320. De.scn0o How Iryury Occurred 32c. PWCe a Ir{lay. Hans, Farm, SDea. Farory, d Cause d Deam? ry W ~I"`al ^ H°""c'Oa / pica Baikatg, eK. ~,Speoly/ ^ ves ~NO ^ Yes ^ No ^ Attked ^ Pendng InveslgalKn 32a. lime a Inwn 72e. Iryury al Work'+ 721. II ?ransporatgn Iryu7 ISPa.'+hl 32g. Locator of Inury (9reN. ary: town. soul ^ SuKde ^ Cook nbl ce DPlemxnM M ^ Yes ^ No ^ Dnva Operator ^ Passenger ^Peoesvan pMr - Sprrry. 33a Cxmher ~,cneck ady anal • Ca4lyusq pnyarcian IPnysuan cenrrywtg ~_ausa U ceam wren anomer pnysaaan Has pro«aKetl deem and cortplele0 Item 2~'I To m D l 1 4 J~ Sgra a ape Fete-m'Dena~br ~ / /~ e el 0 my row4dge deem«curre0 dw tolM CwsNal and mama! ere sYlad_______________________________ ~ • Pranouncn arq nru D ~P~ - ~ ~L ~j g ryug p yaKtan ystan Dom prawurcmg Beam and cemryurq to cause d dealnl To me ceu of my knorktlge. death «curred al tM lime, Date. ark pbw, srk due to me cwsNs) and manner as staled_ _ _ _ _ _ _ _ _ _ ~ ^ _~ ___ • MedKal Eaaminer l Coroner ik - n NumOa J30 Date 5 ec 'ay /earl `f `y _ ~ ~ ~ ~ ~ /, ~~_ ~+ ~~U o On tM WLe al eaamwUm and I a investigalwn. in my optntm Beam «currad al IM Ilme date and lace arM d t IM d ^ ~ . . . , w o <auselsl an P manna ere abW_ Ji Vale a Address a Peron Xlno C:.yry~)rJ~2~ ~~CtiN .Item 2~ I iy De. P~~nl uar; i ere- n il C 't•J' ( /C ~ g y atuee n ` sl~ ~ ~~ ` ` I ~ I V I l` I J~ `\ 75 -tt FJ¢J lMtlnm. Jay. ~ ~ ~ C K ~ ~~ r ~J / ~ r N KI lk/ r ~ /~ I~L~[~-G C_a.t'rC_G C YJ C.C~ /~- ! ~ S J Onpo;rncn P+rmil Nc O J k~' ~ V' ps ~J J ~~ ~u ~ F; .' ~a ` LAST WILL AND TESTAMENT OF DOROTHY M. GOTSHALL I, DOROTHY M. GOTSHALL, of Harrisburg, Dauphin Country, Pennsylvania, being of sound and disposing mind, hereby make, publish and declare this my bast Will and Testament, hereby revoking and making void all prior Wills and other testamentary writings at any time heretofore made by me. I. I direct my Executrix or successor Executor, hereinafter named, to pay all of my just debts, funeral and testamentary expenses as soon as conveniently can be done after my demise. II. I give, devise and bequeath my entire estate of whatsoever kind and wheresoever situate, unto my beloved sons, ELWOOD R. GOTSHALL, West Chester, Pennsylvania, and RONALD L. GOTTSHALL, Middletown, Pennsylvania, per stirpes, or thE~ survivor of them equally, share and share alike. III. Should there be any property of whatsoever kind and wheresoever situate of which I have the right to dispose at the time of my death, including but not limited to any special or general power of appointment or both, I hereby appoint the same to my legatees set forth in Paragraph II hereof. c a '~ ~. x~ _ J' '' T C~7 x-1, t :.1~ r -- -: ; -~' ~ c"a C~ - -. ~'" ~ J. ' .__. N 1 IV. It is my desire that my Personal Representative consult with P:obert L. Knupp, Esquire of the law firm of Knupp, Kodak & Imblum, P.C., concerning the settlennent of my estate since he has acted as my legal advisor and is acquainted with my affairs. V. I nominate, constitute and appoint ELWOOD R. GOTSHALL as Executor of this, my Last Will and Testament and further direct that he shall serve without bond. VI. If the said ELWOOD R. GOTSHALL is for any reason unable or unwilling to serve as Executor of this, my Last Will and Testament, then I nominate, constitute and appoint DAVID L. GOTTSHALL, as successor Executor. He, too, shall serve without 1-ond. VII. Said Executor or successor Executor shall have the power to discharge all the debts, liens and encumbrances upon my estate, as well as any taxes thereon, to pay for the cost of the final disposition of my remains and final illness, if any, to receive any and all commissions and other compensation for services rendered by me during my lifetime and to perform any and all fiduciary duties authorized by statute. Further, I direct my Executor or successor Executor to preserve my estate and any instructions pertaining to the distribution of the same from any attachment or anticipation while in the hands of my said personal representative, it bevig my express intent that 2 all legacies shall be free from any attachment or anticipation while in thf~ hands of the accountant for my estate. IN WITNESS WHEREOF, I have to this, my Last Will and Testament, typewritten o/fn~two (4) pages of paper, set my hand and seal at the end thereof this ~C! day o ~ x-U-~-' _, 2004. DOROTHY . GOTSHALL SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, DOROTHY M. GOTSHALL, as and for her Last Will and Testament in 1:he presence of us who, at her request, in her presence and in the presence of each other, all being present at the same time, have hereunto set our hands as witnesses. (SEAL) (SEAL) COMMONWEALTH OF PENNSYLVANIA :SS: COUNTY OF DAUPHIN I, DOROTHY M. GOTSHALL, Testatrix, 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 Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn to qnd subscribed before me his ~ day of , 2004. CAnr(, Notary Public U My Commission Expires: Notarial Seal . ~~ ~ ~ gee. ~ zoos DOROTHY M. GOTSHALL (SEAL) COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN :SS: WE, Dyf'fif21 ~ I f1 ~ • ~ ~j~3n~,d ~ Q~ ~~0 ~ Y ` ~/t.~l , the witnesses whose names are signed to the attached or foregoing instrument, lbeing duly~qualified according to law, do depose and say that we were present and saw DOROTHY M. GO'TSHALL, Testatrix, sign and execute the instrument as her Last Will and Testament; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us iin the hearing and sight of the Testatrix signed the Will as witness, and that to the best of our knowledge, the Testatrix was at that time 18 or more years of age, of sound mind and under no co aint or undue influence. .- ~~ Sworn to and subscribed before me this ~ day of HIV , 2004. Notary Public My C ~~~111 Notarial Seal Carol V. Shay, Notary Public City Of Harrisburg, Dauphin County My Corrrmssion Expires Feb. 26, 2006 Member, Perxrsyhrania Association Of Notaries 4 (SEA.L)