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HomeMy WebLinkAbout06-12-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF l.t>lt~'~~ ~a-ro~ COLNTY, PENNSYLVANIA File Number ~~ ~G1 ~ ~~, Estate of ~O E' ~~ ~'~~ _ also known as 3 S ~ - ~ 0 ~ ~ ,Deceased Social Security Number Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (CO;YIF'LETE 'A' or 'B' BELOW:) ~~~ ~~-}-~{1,~.~ named in the ~A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Z ~ _ p (p and codicil(s) dated last Will of the Decedent dated ~ - (State relevant circumstances, e.g., renunciation, death of execaaor, 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: ^ E.. Grant of Letters of Administration ~ a t~cable, enter: c.t.a.; d. b. n. c. t. a.; pendenre tire; durante absentia; durante minoritate) N (f PP y g y) a~heirs: (I` 1 -~:r j^ Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived b the followin yAuS~ (if an Cam.. ~ ~ Adtninistratiott, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) . s7 -p ~-. ,_._~ - f -°, ) Res ~- Name Relationshi ~,~~~ N f.~_.? !: ~, - ~ ~.' ~ :7C -F'1 W `x:: ~J (CO,YiPLETE IN ALL CASES:) Attach additional sheets if ne/cessary. Decedent was domiciled at death in C tArr, o-e~'t ~''r ~` County, Pennsylvania iitah l;isU/_ er last p~~ip~al residence at _________ Z Co }tvS b W` G c SO J 1-t-+ P+ (List street address, town/city, township, county, state, zip code) ~~~ ~~ ~~ ~ ~ ~~~~ 5 q years of age, died on 2 ` ~ - U C at ~ 6 Y S Decedent, then Decedent at death owned property with estimated values as follows: $ ~ p p O O O (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 S Value of real estate in Pennsylvania C i r I ~ v~s+ sit~.tated 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 [he appropnate form to the undersigned: Tuned or printed name and residence Simon ure , Sc,c N A . T~ td-ev. i ~ z o Cer~~-c.Y v~ 11-Q- i2~ N~~w ~ ~ l e ~ ~ - -~ Z `i Page 1 of 2 Fmm RW-0? re». lO.I3.06 Oath of Personal Representative Commonwealth of Pennsylvania County of The Petitioner(s) above-named swear(s) and atione~(s) andtthattasepersonal represengtativgels) of therDecedenL correct to the best of the knowledge and belief of Pet Petitioner(s) will well and truly administer the estate according to law. N ~_ ~ cs t Sworn to and affirmed and subscribed - > c._. ~ ~ ` ' day of -.", this ~.~y~ ~ ~ `_~ ~ ~:r r ? `'~ ;'' before me /~q ~ ~~ ~ fV :7 ~ ','~ ~.7~ _. ~~ r ~ ~ ~ ~ ~_-~ -j DECREE OF REGISTER 6~ ~ ~' ~.~ C e~~ ,Deceased No• J ~ ~ Estate of also known as ~~~ No: 3~ ~ ~ ~ o_~.-- Uate of Death: ~-- y~ Social Security ~ \-~~ ,, 0~ ~~ 20 0~ , in consideration of the Petition A,ND tvOW, on the r~sverse side hereon, s tisfactory proof having been presented before me, Letters~Testamentary ^ of Administration _________- IT IS DECREED that - <,,,:n,„~~~<e,,,~,,;,,,,;;,,,,,,,r~.,~.,,.,,,.~ •T_ .. _ _ ~ 1 ~ ~ on r1 ra ,rY7~ C(0"~ ('T ~ l\~Q,~1 are hereby granted to in the above estate and that the instrumen(ts), if any, ate described in the Petition be admitted to probate and filed of record as the last 1Nill of Decedent. FEES Letters...... ~~. Q~U .......... Short Certificate(s)... ~• Renunciation ................ . Affidavit ( ) ................. Extra Pages t ?~~•-••~~~~•~ C-efitc~t~.. l,~ I J.~......... . n- ~~,,`\..... JCP Fee.... J'..1:-f~•1"..... Inventory & Tax Forms... Other ....................... . ... TOTAL ................ $__ °~~ _ g ~ ZO S S S s /J $ ~~ S S $ ~ CD J~~,~,r(~ ~ . udPQ~~ Attorney: ---~-~---~ I.D. No: 531'-E~1 Address: ) Z-~ So~1~ S~-e-~ ~,f1~-5~u~Y~ ; Pro 1-t la Telephone: -1 l-1 ' ZZl - I L t i ____ DATE FILED: .~un~e- IZ, Zo~°~ ~? rl-7 a ., ItF~ ll1 ~n-~ LOCAL REGISTRAR'S CERTIFICATIONoOF tDEATH WARNING: It is illegal to duplicate this copy by ph ^e fl~r this certificate. 5(~.(?t) Certification Nul;~}~er This is to eertif~ ti,,,( th~.~ irlfl~r(2)ati(i)G 3aere r~iiLn Ir. c(x-rectl~~ coplcd 11 c~m t i 71ri u) T1 t`',) i tt itc t L)CaCI; dul}° riled 'v~lth nu I i_~-yc;ti IZc~~),t)~I. _~1^~ >)I_inal certificate ~~iil he ~,i~rti~ardcd tly t~)~ 5tatc Vital Reclx~ds Ofti. e ful lyt, manent filing. L~re. ~~e~~-~c~-e=~cs~?~' ~ E ~' _ 1 °~ 12009 ~j,~t~ ,ti~.lled Luca( Re~~ristra) ~ _ ° -L::: . rrJ ~,,.~ ~z ~ . '.. r-t? ~..~ ~ •-. w..- ~ ~ ~ , I l ~ N _ , ,~ ~~ ~nG " 7 C'. :"~~ '.~.` -T-- C ~~' F ~ ~ -r~i N c.,', W r \ H105-143 REV 11P006 TYPE I PRINT IN PERMANENT BIACK INK me a Decedent (First. mieae, ~. sWNx) Roy E. Seek COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS ~\ ~ C1 Q ~C CERTIFICATE OF DEATH J.~ (See instructions and examples on reverse) STATE FILE NUMBER 3. SrcAa Seway Number 4 Date a Death (MOnlh, eaY. year( z. Sax _ 40_ 8284 February 4, 2009 male 351 UMer t year uncar i ~r __._ _. _ . 5. Age (mot ElinhdeY) 1949 Takoma Park , MD ^ Inpatiem ^ ER / oapauenl ^ ~A ®N^rsi^s "°'"° Reaide"`° r '"°"'° wYa "°'~ MrsaK August 15 , 10. Race: Amerkan Indian, &ack, Wh4e, ak. 5 ~) vra. treat am nnmbar) s. was 13eeeaem of Nispank origin? ®No ^ vea jsPearyl whit e Bd. FadlNy Name llf not ualiNtion. glues (If yes, speciry Cuosn, Bb. County of Deam ec. City, Bom. Twp. a DeaM Cumberland Carlisle Borough Forest Park Health Center Marken, PUeAO R"man, ek.) If wile. 9rve rraitlan name) Education (~N1 only rv9hesl grade CanDl°tad) 14. Mantel Slalus: Marred, Never M°rtied, 15. Sum`iiig Spoi+va Widowed. Divorcetl (Specity) Ned d work Bored ~ moat a work' Ne. W not state retlrad 12. Wes Decedent ever in the 13. pecetlem's CoN 1 4 or 5r) 17. peceeenis Usual Ki d Buslress 1 NdusaY U.S. Am~ed Farces? Elementary / Secondary 1o-12) °g° (- widowed Kkdawak trucking company fln~ ^No 12 yrs. Two. driver pp pece0ant lNetlm D^cedB11'' Penns 1Vanla "VBroa 1".^Yes, Decetlenl 16. pecadaA's Halving Address l~se6 cNyl trnm, state, zip code) Acpta Resitlence 17a. slate Township? 77d.®NO, Decedent Wed wimin Carlisle Borough CNy/Bom tf't,mberland ACM11a ~'"N a 700 Walnut Bottom Rd. Carlisle, PA ,7b.cam 17013 19. Maher s Name (Firs(, mdda, maiden wmame) • 18.FamersNamelRrst,middM,las6sulfix) Lorraine Audrey Johnson Clarence Emmar Seek za,.mlamain'aMalNngAddresstsDea,alr/rown,smle,xp~) l~D 20901 zoa laomtanraName(TYpa/PmA) 101 Williamsburg Dr. Silver Spring ~a;on cNyltewn,aWl°,:ip=etle) Carrie L . Seek 2tb. Dine a Diap~sNkn (Mash, day, rear) zm. Platy of Dieposinm (Name a pe,rwterY, ~'nalerr °r °d'er wa~°1 z/a.Melhoaaoiapoairn i ^c~"°"ar` ^Do"°'~" February 9, 2009 Indiantown Gap National Cemetery Annville, PA w © Burial ^ Removal from slam ~ ny MBdIwIFSam~re~r I aCO~roria/Aamarizad ^ vea ^ No PA 17013 • ^ Omer - Speci/y ... 22b. license Nulnbx 22c. Name and Address pl FacNiry 2za. ~"kB~ as 138504 Hoffman-Roth Funeral Home and Crematory Inc. 219 N. Hanover St. ar 23D. license Number 23c. Date Sigred (Month, day, Year) • ~ deem rree d me lima, date one pl stated. (signaNre aM NHe) ~ r{~~~/ (o ~' ~ ~' L D 2 U ~f ~' Conlpkta Items 23ac only when ~ 23a. To ^ a ~' bp~^'~~ ooo/~~~ nd [~ f //ace physkien a net avaNaae a ~ m N .p ~7;Y =~Lt~C.( Nc' 26. Was Case Rafened ro Medical Examiner / Coroner kr a fleason Omar n Cremation or Donafon? cmNY cwre of deaNx +e 26. Dale Pronounced Dead m, Y. Year) ^ yre ~lNo 2q, o ath ,7 !/ ~/ ~f^i Hems 2x.26 must Na cenpleted by Ps'w^ /D ' // /1 M. ~~"2 ~~7 ° / t Appmxim°te inlerv°I: PaA II: Eaer af~er .__. ___.,:__. ,..,..r,y~tlno ro deem 2S. Did Totrxco llse ConNMN° ro cealn? who pmriaxmes death. .7 "YY Yes PmEedy CAUSE OF DEATH (Sae tnatNe,te,l8 and exemp s) but not rewNNg In Me undeAt4rg cause gNen in Pan I. ^^ ~ T urn • Item 27. Pan I: Elver Nte drain d evade -diseases, injuries, a minpksatims -Ural Erectly causee me deelh. Ib NOT inter krmkiel events such as cardiac amesl Onset ro Death td'^° ~ respiretay acres(, a vemnwler 6briNation witlmut stowing Ule e6okg/. llsl onN one cause m each kne. ; 29. N Female: ^ Na pregnam w;min peat year 1 r ~ce~ pnTreESC~mgsm dem~1 -mar e. v I ^ Preglent at fime a deaM Due to (or a a al: ^ Not pregnem, hN pregnant wNtm 42 days I d deem NaNy Nd cnrid'Akns. U arty. b. - r 143 days to t Yeer lead'xp W the ares° tlstad on Gn° a. Due to (or consequerae r ^ Na pregnant. but txegnan Enter 9 UNDERLYWG CAUSE r belo2 death (dLSeaee or Injury Neat inN'wtted Nie ^ Unknown M pregnant wMm me past year events reaNbng m deem) LAST. c Due to (or as a ofJ: i d. ~~ OR a BuNOin7g' eHanaS~ry, Slreel, Feeley, 31. Marvav m 32a. Data of Injury IMmm, day. Year) 32b. Describe How Injury Ocarred \ w 30a. Was an ANapsY 36b. Were AWapry FNId'mgs ^vG, Perlaned? AveiMNe Prior k Garlplatkn I ^ ~NSide 3zg. laation a Inuy (Slrael cNY / kwn, state( ' V a Cauw a Deem? 3rd. Time a Inury 32e. Injuy at Wak7 321. If Transponatkn Injuy (~'/YI PeekslAan ^ AmdtlaU ^ Pending InvesUgalkn ^ Diner / Opemta ^ Passeiger ^ ^ Yes ^ Ido ^Yee o ^ Ves ^ No Other-Spea'/y: J ^ g~de ^ Cook Not ba pelamiined M. 336. Sigrietu dT of rUl' 33a. Conifer (chedt onry are) deem and completed Item 23) ,~,( , /{~.~'~ , CenKYln9 phyaktsn (Physkan cenNyirg cause a deem when anaher physician has prareuncetl _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ jLY 33d. Dee S' nod ( rim, day, Ysarl _ _ _ 33c. Ilcen N bar / Z To the Dent a my Nttowkdlp, d~th oaurre0 due~ro ~uri~cm9 deaNnand ceNtymg to~cause a tleam) _ _ _ _ _ _ ('b~~ t ~ _l ~ , Pronounclrg Bad ceANylrlg physlclen (Physiaan arM manrer as sMed_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ Ta the Dest a my knowledge, deeM aeouned et the Nina, date, end Dlace, and due to Ne cease(s) w IAedkal Examner / Caaer inion, death occurted et Ue time. data and place, and tlue to tM cause(s) and menrer as sated_ ^ 30, Name aM Addrc'.sg1a Parson wrro Completed Cause of Dream gram 2?) Type I Print ° On the basis of exemlmtbn antl I or Investlyatkn, in mY W 1 Q ~ F /~i/~ vj c. ~ % ~ , ~ FNed (MOnlh, day, Year) V S. /~ 7~ ,, 0 35. Regishar's re aM De ' C 11 l~ ~ t I ~ I ~ ~~ ~~ r'V ~' Disposition Permit No. ~~~' Z\ GC\ G~S~ LAST WILL AND TESTAMENT OF ROY E. SEEK I, ROY E. SEEK, of Carlisle, Cumberland County, Pennsylvania, being of sound mind and memory, and not acting under duress or undue influence of any person whomsoever, hereby declare this to be my Last Will and Testament and I do hereby revoke all other former wills and codicils to wills heretofore made by me. My Social Security Number is 351-40-8284. ~ ~O ° ~.~; All reference made herein to "spouse or my spouse" refers to the person to ~ I arr~ ,°= y , ` currently married, namely Alexandria A. Seek. By ensuing provisions of this Will ~'~~ ~ c'~a ~~-ri _ intention to dispose of my interest in our property; I do not intend to dispose of an~ N `-~~'-' J belonging to my wife or to put her to any election. , }~~' ~ -a ~ xj __.f 8 ---f N !` _~_~ i`r L DEBTS, TAXES AND ADMINISTRATION EXPENSES v y.~ I have provided for the payment of all my debts, expenses of administration of property wherever situated passing under this Will or otherwise and estate, inheritance, transfer, and succession taxes, other than any tax on a generation- skipping transfer that is not a liability of my Estate (including interest and penalties, if any) that become due by reason of my death, under the provisions of THE ROY E. SEEK AND ALEXANDRIA A. SEEK REVOCABLE TRUST AGREEMENT executed by me on the same date I have executed this Will (my "Living Trust"). If the Living Trust assets should be insufficient for these purposes, my Executor shall pay any unpaid items from the residue of my Estate passing under this Will, without any apportionment or reimbursement. In the alternative, my Executor may demand in a writing addressed to the Trustee of my Living Trust an amount necessary to pay all or part of these items, plus claims, pecuniary legacies, and family allowances by court order. II. PERSONAL AND HOUSEHOLD EFFECTS It is my intent that all my personal and household effects were transferred to my Living Trust as a result of the Comprehensive Transfer Document signed this date. If there are any questions regarding the ownership or disposition of these assets, it is my desire that such assets pour into my Living Trust in accordance with the provisions of the section below titled "Residue of Estate." Will Page 1 III. RESIDUE OF ESTATE I give, devise and bequeath all the rest, residue and remainder of my property of every kind and description (including lapsed legacies and devices), wherever situated and whether acquired before or after the execution of this Will, to the Trustee of my Living Trust, which, as stated above, was created by me on the same date as the execution of this Will. The Trustee shall add the property bequeathed and devised by this item to the corpus of my Living Trust and shall hold, administer and distribute said property in accordance with the provisions of my Living Trust, including any amendments thereto made before my death. If for any reason my Living Trust shall not be in existence at the time of my death, or if for any reason a court of competent jurisdiction shall declare the foregoing testamentary disposition to the Trustee under my Living Trust to be invalid, then I give all of my estate, including the residue and remainder thereof, to the person who is the Trustee (or would have been the Trustee if the Living Trust were in existence at the time of my death) as Trustee, to be held, managed, invested, reinvested and distributed by the Trustee upon the terms and conditions pertaining to the period beginning with the date of my death in the Living Trust, as then constituted giving effect to amendments, if any, hereafter made, and for that purpose I do hereby incorporate such Living Trust by reference into this my Will. IV. POWERS OF EXECUTOR My Executor shall have the following powers in addition to those conferred by law until all property is distributed: (a) To retain any real or personal property in the form in which it is received. (b) To sell at public or private sales for cash and/or credit, to exchange, and to lease for any period of time, any real or personal property and to give options for such sales, exchanges, or leases. (c) To purchase all forms of property, including but not limited to stocks, bonds, notes and other securities, common trust funds, life insurance policies and real estate, or any variety of real or personal property, without being confined to so-called legal investments and without regard for the principle of diversification. (d) To purchase securities at a premium or discount and to charge such premium or credit such discount to principal or income. (e) To exercise any option arising from the ownership of any investment; to join in any recapitalization, merger, reorganization, liquidation, dissolution, consolidation or voting trust plan affecting any investment; to delegate powers with respect thereto; to deposit securities under agreements and pay assessments; to subscribe for stock and bond privileges; and generally to Will Page 2 exercise all rights of security holders. (f) To hold property unregistered or in the name of a nominee. (g) To mortgage, divide, alter, repair and improve real property and generally to exercise all rights of real estate ownership. (h) To distribute in cash, in kind, or partly in each, and to cause any share to be composed of cash, property, or undivided fractional shares in property different in kind from any other share. (I) To compromise claims by or against my estate including but not limited to tax issues and disputes, without order of court or consent of any party in interest and without regard for the effect of such compromise on any interest hereunder. (j) To borrow money and to pledge any real or personal property as security for the repayment thereof. (k) To apply income for the benefit of any incapacitated individual to whom income mayor must be distributed for any reason during the period of incapacity. Income not so applied maybe distributed to a custodian or accumulated, invested and if not sooner applied, paid to such individual upon gaining capacity. (1) To join with my spouse or my said spouse's personal representative in filing any joint income tax return, and to join in any gifts made by my said spouse for gift tax purposes even if this may result in additional liabilities for my estate. Any income or gift taxes due on such returns and any deficiencies, interest, penalties or refunds thereon shall be allocated between my estate and my said spouse or my said spouse's estate, or all to any of them, in such manner as my Executor and my said spouse or my said spouse's personal representative may agree. (m) To apply expenses of my estate permitted as income tax or real estate tax deductions and to value my estate for estate tax purposes by any method permitted. (n) To employ accountants, agents, attorneys, investment counsel, brokers, bank or trust company to perform services for and at the expense of my estate and to carry or register investments in the name of the nominee of such agent, broker, bank or trust company. The expenses and charges for such services shall be charged against principal or income. My Executor is expressly relieved of any liability or responsibility whatsoever for any act or failure to act by, or for following the advice of, such accountants, agents, attorneys, investment counsel, brokers, bank or trust company, so long as my Executor exercises due care in their selection. The fact that an Executor may be a member, shareholder or employee of any accounting, investment, legal or brokerage firm, agent or bank or trust company so employed shall not be deemed a conflict of interest. Any compensation paid pursuant to this subparagraph shall not affect in any Will Page 3 manner the amount of or the right of my Executor to receive commissions as a fiduciary. (o) To invest any part of my residuary estate in, or lend money to, any closely-held business in which I may have an interest at my death for any purposes incident thereto, including but not limited to expansion and entry into new fields of business provided that only assets actually invested in such business shall be liable for the debts incurred in its operation. (p) To disclaim any interest in property without court approval. V. EXECUTOR (a) I appoint my wife, Alexandria A. Seek as Executrix. If my said wife fails to qualify or ceases to act for any reason, I appoint Scott Tilden and Tracey Green as Executor in her place. (b) My Executor shall not be required to post security in any jurisdiction. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, this ~ day of ~Q/~G?~1.,~C'!~ , °Z~y~ -- ~ - (SEAL) Roy E. ek Signed, sealed, published and declared by the above-named Testator, as and for his Last Will and Testament in the presence of us, who have hereunto subscribed our names at his request as witnesses thereto, in the presence of said Testator and of each other. WITNESS: ,6 f~ Ill _ ~ ~ ,~„Q Will Page 4 COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND: I, Roy E. Seek, 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 Testament; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. ~_ Roy E. ek COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND: On this ~ day of >(`~P"G~~/UZ- 2 ~'~ ,before me, the undersigned officer, personally appeared Roy E. Seek, known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing Last Will and Testament, who acknowledged that he executed the same as his Last Will and Testament. ----~ Notary Public ~ COMMONWEALTH OF PENNSYLVAI+dq NOTARIAL SEAL ANTHONY SCHIMONY Not~y Publj~ City of PhBxle~hia. Phila. County Commission Expires Jul 14, 2009 We, : E~-d} f W ~t~ri nd f~, ~~r. ~~f ,v~,~(n~ ,the witnesses whose names are signed to the attached o 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 and Testament; 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. ~i .~-.SEAL) C-.~~C ~`~'='=~--l_.=1~-. :;:~~~, (SEAL) Residing at: ~ ~' ~ ~~ z ~1~~~~ ~~~ Residingat:;~v_~~~ /IZ ~y~Yti~~Sya~~ ~ l7°'~~. COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND: and sworn to before me by both witnesses, this Z~day of JI ~ , - r''t"~F ~ll~f a~T Yd vv [,At_Tri :.if- P~f'~3~S~`4.VAN~ Notary Public 4~."._`_` 'v_`nr~, ~~SI`~:-_~,. ~" sa~'~~4~ Ivl ~(',NIi~A~)6~I`~ '~ntarN~~ublt ~;;+ty nr 4~hiiacieiphi~ ~~h~a Ccunt~ t ~ ~~~~r~rr?isss~~' ~xtl~res,~~,ly ~~. ~~' w Will Page 5