HomeMy WebLinkAbout06-11-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of ELSIE E. AMIG ~~ 0~1 a~~2
File Number
also knovvn as
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW.)
Deceased Social Security Number 197039141
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Executrix named in the
last Will of the Decedent dated 12/1/1999 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
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
B. Grant of Letters of Administration
Iq appucao[e, enter: c. t. a.; d. b. n. c.t.a.; pendente tile; durance absentia; durance 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
Administration, c. t. a. or d. b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name
~o
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r ~.
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..
(COMPL~iTE7NALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last principal residences '~
1000 S. ~JVest St. Carlisle PA 17013 Carlisle Borou h Cumberland Coun
(List street address, town/city, township, county, state, zip code)
Decedent, then 88 years of age, died on 11/3/2008 at Sarah H. Todd Memorial Home
1000 S. 1Nest St. Carlisle PA 17013
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(Ifnot domiciled in PA) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
$ 2 000.00
situated as follows:
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
Stephanie O'Shura
Form RW-0.? rev. 10.13.06 Page 1 of 2
Oath of Personal Representative
COMMfONWEALTH 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
the knovvledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and trul of
administer the estate according to law. y
Sworn to or affirmed and subscribed
befor me the ____~~_.day of
the Register
~rgnature of Personal Representative
Signature of Personal Representative
File Number: ~~ ~ ~_~~~'Z dpi
Estate of ELSIE E. AMIG
Deceased
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Social Security Number: 197039141
1~ Date of Death: 11/3/2008
AND NOW,
having been presented before m IT IS DECREED that Lettermentas~deration of the foregoing Petition, satisfactory proof
are hereby ;granted to Ste hanie O'Shura
and that the instrument(s) dated December 1 1999 in the above estate
described iri the Petition be admitted to probate and filed of rec d as the last Wil (and Codicil
( ) of D cedent.
mmF\\EES r
Letters .........p~., (J!!~!......... $ zQ
Short Certificate(s) egt er of Wtlls
Renunciation(s) Attorney Signature: C
.••• $ ~ Attorney Name: Allen E. Hench
.. $ Id
~~j,n $ 5 Supreme Court I.D. No.: 23315
~- ••~• $ Address: 220 Market Street
.... $ Newport
--- .... $
--'- •' • • $ PA 17074
--•----- •••• $ Telephone: 7175673139
TOTAL ............................. $
Form RW-02 rev. 10.13.06
Page 2 of 2
iosit2"EV. i,o5 WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR
CERTIFIGATE $fi.001
~FEEFOar"is TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
COMMONWEALTH OF PENNSYLVANIA `~ ~ ~, C1 ~Z
DEPARTMENT OF HEALTH VITAL RECORDS
LOCAL REGISTRAR'S CERTIFICATION. OF [?EATH
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4y°FA\~ ~~---~`--°°" ,ass November 4 2 0 0 8
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,++149lMfNT f1F ~`~LP~ Date of Issue of This Certification
Name of C>ecedent Elsie E
Frst Amig
Sex Female M~dd~e
Social Security-No. I97 - 03 - 9141 `a''
:Date of Death Nov . 3, 2 0 0 8
Date of Birth Aug • 13 , 1920 Bear Ga -----_-~-~----------
Birthplace p, -PA
Place of Death_Sarah A. Todd Memorial Home
Facility Name
Cumberland Carlisle
White ~°°°t~ Pennsylvania
Race Seamstress ~~tY R°=°~gh°r r°-,~ ----_--_
Occupation
Divorced .Decedent's Sarah p,, Armed Forces? (Yes or No) No
Marital Status - Todd Memorial Home
Mailing Address
Stephanie 0 Shura N~r;6er s,reet
informant _ ' C r, nr T°w~
funeral Director James F, s`atP
Name and Address of Nickel
Funeral Establishment Nickel Funeral Home, P.p, Box 910
Loysville, PA 17047
Part I; Immediate Cause - --
Interval Be#ween
ASHD Onset and Death
(a)
Unl~own
/C)
Part II
(d) -
Other Significant Conditions
.~. /
' ;
C
~ ~,,~ :_
Manner of Death ~ -~ `~
Natural Describe how injury occurred: ~"' ~`~ -
~'~ Homicide ~
Accident a Pending Investigation -----~____
Q
Suicide ^ Could not be Determined
Name and Title of Certifier George P. Branscum Jr.
M. D.
Address 850 Walnut Bottom Road, Carlisle, PA 17013
(M.D., D.O., Coroner. M.E.)
This is to certify that the ihformation here given is correctly copied from an original certi
of death duly filed with me a Local Registrar. The original certificate will be forwarded to
State Viial Records Office for permanent filing, flcate
the
November 4 20.08 50-455
cal Regstrar bf vtah Recortls
' 101 Barnett ~~~rr,°t N, -
oar°Re°a;~e~e~~°°a~Registra St. , .New Bloomfield PA
srra°f A~°ress . 17 0 6 8
~,ty a~,~~g~ r~w„si,;p --
~~
:NCH AND CRESSLER
ATTORNEYS AT LAW
24 MARKET STREET
EWPORT PA 17074
'EL (717) 567-3139
~AX (717) 567-3130
LLERSTOWN OFFICE
EL (717) 589.7787
I, ELSIE E. AMIG, of Toboyne Township, Perry
County, Pennsylvania, being of sound mind, memory and
understanding, do hereby make, publish and declare this
to be my Last Will and Testament, hereby revoking any and
all Wills by me heretofore made.
FIRST: I direct payment of the expenses of my last
illness, funeral and burial costs from my residuary
Estate, as an expense of my Estate, as soon after my
death as conveniently may be done. All Federal, State
and other death taxes payable because of my death, with
respect to the property forming my gross Estate for tax
purposes, whether or not passing under this Will,
including any interest or penalty imposed in connection ~,
with such tax, shall be considered a part of the
administration of my Estate and shall be paid fror~ c
residuary Estate without apportionment or right t ~ a
reimbursement.
v5 x _..
It is my wish and desire that I be buried i
Cemetery with all arrangements being handled thrc~ the ~
Nickel Funeral Home. ~
r
SECOND: I direct that my entire estate, whether
real, personal, or mixed and wheresoever situated, be
sold at public sale, liquidated, and converted to cash,
and the proceeds therefrom and all the rest, residue, and
remainder of my estate, I give and devise, in equal
shares, among the following of my children who survive
me: MARY LEE R. CROWL, JOSEPHINE I. RUOSS, WILLIAM H.
AMIG, VIRGINIA A. KESSLER, and TERRY L. AMIG.
In the event a child fails to survive me, that
child's share shall lapse and I give such share to those
children of mine, above-named, living at the time of my
death.
THIRD: In addition to all powers granted by law, I
give my Executrix, hereunder, the following powers, which
may be exercised without leave of court: to retain and to
invest in all forms of real and personal property; to
compromise claims and to abandon any property which is of
little or no value, if deemed appropriate to my Executrix;
to sell at public or private sale, to exchange, or to
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1_ease for any period of time, any real or personal
property, or interest therein, and to give option for
sales or leases, and to give a good deed of conveyance
or_ bill of sale for the transfer thereof; to allocate any
property received or charge incurred to principal or
income or partly to each, without being obliged to apply
the usual rules of Trust accounting; to distribute in cash
or in kind (according to the fair market value prevailing
at the time of distribution) or partly in each.
FOURTH: I nominate, constitute and appoint
STEPHANIE O'SHURA as Executrix of my Last Will and
Testament and my Estate. In the event STEPHANIE O'SHURA
is unable or unwilling to serve, I nominate, constitute
and appoint MARY LEE R. GROWL as Executrix of my Last Will
and Testament and my Estate.
FIFTH: I direct that no Executrix acting under this
Wi11 shall be required to enter bond for the faithful
performance of duties, in any jurisdiction.
IN WITNESS WHEREOF, I, the said ELSIE E. AMIG, have
hereunto set my hand and seal, to this my Last Will and
Testament, this~~ day of December, 1999.
(SEAL)
E SIE E. AMIG
HENCH AND CRESSI.ER
ATTORNEYS AT LA1A1
224 MARKET STREEI-
NEWPORT PA 17071
TEL (717) 567-3139
FAX (717) 567.3130
MILLERSTOWN OFFICE
TEL (717) 589.7787
The writing contained in this and the preceding
sheet was signed and sealed by the above named, ELSIE E.
AMIG, and by her published and declared as and for her the
Last Will and Testa ent, in the presence of us, who have
here to subscrib our ames as witnesses at her request,
in , ex p~c,~.
dre s:
D: C RO NA A G.WIL
L~~~oS~lz
OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
n=,~_ COUNTY, PENNSYLVANIA
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Estate of~ ELSIE E. AMIG , Ded~ased
SHEILA BRUGGER , (each a subscribing witness to
(Print Names)
the ^X Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same
and that she / he /they signed the same and that she / he /they signed as a witness at the request of
the Te;stator /Testatrix in her /his presence and in the presence of each other.
`y~~;~ r ~ ~~1LL ,tom
-(Signature) ~
(Street Address)
~~~, r P ~ ~ o~-~
(City, State,~p)
(Signature)
(Street Address)
(City, State, Zip)
Executed in Register's Office
Sworn i:o or affirmed and subscribed
before me this day
of
Executed out of Register's Offue
Sworn to or affirmed and subscribed
~ ~~ day
before me this ~"
of V ,~ ~
Deputy for Register of Wills ary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: 7'o be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
Form RW-~03 rev. 10.13.06
COMMOPJWEALT H OF PENNSYLVANIA
NOTARIAL SEAL
LINDA J. HALL, Notary Public
Nevtport Borough, Perry County
M Commission Expires Nov. 29, 2011
21 ~ ~(~S~-4~
OATH OF SUBSCRIBING WITNESS(ES) _
REGISTER OF WILLS
ter' ,~ Z `= F';
_ _DAUPHIN COUNTY, PENNSYLVANIA ~ = e-~-: ,
p 3 - _-~ ~
Estate of ELSIE E. AMIG ,fleceased''
ALLEN E HENCH , (each a subscribing witness to
(Print Names)
the ~ Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same
and that she / he /they signed the same and that she / he /they signed as a 'tness at the request of
the Testator /Testatrix in her /his presence and in the p~esenc~a~jeach er. /
(Signature)
(Street Adci'ress)
(City, State, Zip)
(Signature)
220 MARKET STREET
(Street Address)
NEWPORT PA 17074
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deput`~ for Register of Wills
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this ~ ~~ day
of
Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) aCOMMONtWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Form Rl~'-03 rev. ]0.13.06 LINDA J. HALL, Notary Public
Newport Borough, Perry County
M Commission Ex fires Nov. 29, 2011