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HomeMy WebLinkAbout06-12-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of JANE E. SNYDER also known as Deceased COUNTY, PENNSYLVANIA File Number ~. ! ' 0 f " ~ ~ L-~-~Q Social Security Number 074-18-0949 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) 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 November 17, 2004 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 (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente life; durante absentia; durante minoritate) Petitioner(s) after a proper seat`ch has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If Administration, c.t.a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list ofheirs.) l Name Relationship Residence - -,..~ , - ' ~ :) . .., ,.~ r_,.,,~ (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. -"' '~ ..r.. ~~ ~ 'C/ r?~ ~.3 w7 Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal re ' ~ £'~ { »~ ' Bethany VillaQe_ 5225 Wilcnn i.ane Meehaniechnro (T.ncvPr Allen T.vr.l Ae »ncc ~-. ~~ (List street address, town/city, township, county, state, zip code) Decedent, then 84 years of age, died on June 1, 2009 .~ ~ ? 3 r'~r't at Holy Spirit Hospital, 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: $ 201,000.00 e TOTAL $ 201,000.00 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: x~ Sally S. Walters or printed name and residence 7276 Union Deposit Road __- Hummelstown, PA 17036 (717)566-8072 Form RW-O2 rev. 10.13.06 Page 1 of 2 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 .rte. 0~,~9 For the Register ~ ~o~~ Signature of Persona resent Signature of Personal Representative Signature of Personal Representative ca .a File Number: /~. I ' ~ 7 - ~ Jr'~ (v ~ Estate of JANE E. SNYDER ,Deceased `.~_Y -, ; --~.... ~~ ~ .:a ~, ~ -~~~~ ~C~ `~~. '~*': r~ ~ ,..,-. ~,.. .' a ~,....~~ ~.~~ Social Security Number: 074-18-0949 Date of Death: June 1, 2009 AND NOW, ~Ll_1'1~ ~~ , ~ ~~, in consideration of the foregoing Petition, satisfactory proof having been presented b ore me, IT IS DEC~~ED~that Letters Testamentary are hereby granted to ~ x~Ut in the above estate and that the instrument(s) dated ~ ~ ~ ~ `l ~ C~'`E described in the Petition be admitted to probate and filed of record as the last Wil (and Codicil(s)) of Decedent. 1 L ~ FEES ~ ~ Y Register o Wills t Letters ............... $~~1C~ • U(.~ Short Certificate(s) ........ $ I ~ . O~ Attorney Signature: Renunciation(s) ........:. $ u_ $ I ~ , ~~ Attorney Name: Jean D eibert, Esquire ~~' ... $ ic_~ ~ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ X52 • ~ ~ Supreme Court I.D. No.: 41713 Address: 109 Locust Street Harrisburg, PA 17101 Telephone: 717-236-9301 Form RW-02 rev. 10./3.06 Page 2 of 2 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Fee for this certificate, $6.00 rYYtrc""'~~--..~ - This is to certify that the information here given is tttt,~~p~,1H OF pF~; :: correctly copied from an original Certificate of Death ~~~~~~~'~ _ `~~ ~ duly filed with me as Local Registrar. The original ~ ~ certificate will be forwarded to the State Vital .~ o .°d' z, v -yam a~ Records Office foi~.~ermanent filing. P 15655218 Certification Number 1JNEV tt~M06 == P?lNT IN =RfdAfvENT such lNK Local Registrar COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) eTerc ctr c r,uruwcc ~'~ ~ Date.~sued ~..,° ~. .. .ti s r eau. ("'~' ~ tT~ A *~~" f W I it v a: "?v' `;~'~ I Norms w DecaJer» [foes, noddle, last wDixi 2. Sex 3. Sonal S@curny Number s. Dat@ of Deam IMOnm, day, yeah Jane Elizabeth Sn der Female 074 - 18 -0949 June 1 2009 i. Age ilast &nhaayl Under t year UnJar t Jay 6. Data w Birth tMonm, day, year) 7. Birthplace {Criy arW sate or Ies egn COW1try1 des. Puce of Deam [Chet" only one[ 84 AbnNS Days Mors Atuwt.s July 22, 1924 Sunbury, PA HOSpltal: Omer' Ys ®inpauern ^ ER ' OutDatant ^ DOA ^ Nwsu+q Hame ^ Reswero:e ^Omer ~ Specdy: do County of Ceatn &. C,ry. Boro, Twp. of Daath tb. Facd;ty Name IN rat nsWulion, ryve sues[ and numbar) y. Was Decedent W Hupafirc Ohgm? ®No ^ Yas W. Baca. Aaertcart Indran, Bta:lr, `.`lrtita. arc Cumberland E. Pennsboro Tw P • Hol S irit Hos ital Y P P nfYes,speddycuoan, ,speedy) Whi Mexkan, Pwno Rican, etc.) te t t. Deceatrn s Usual Doc tan iKutd d worx D one most of MM. Oo nor state re@redl 12. Was Decedent ever m the 13. Decedent's Educalan 1Stxctry anty n,gnast grade comp leted) 14. Marnal Status: Marned NevM Marned t 5 Sunwatg Spo use If wde grva maden name) hard d Wore K@td d Busutass r Industry U. S. Mmed Faces? Elementary !Secondary (0.12) Couege { 1-i or 5.1 . , Widowed. Drvace0 lsvc'M . ; . Nurse Anesthetist Medical ^Yee [~rto S+ Never married t 6 Decedarn s Ma,ing Address [Street aty town. state. tp copal Oecadenrs DW Decedern PA ' 5225 Wilson Lane, Apt. 223 AcWalResrdence t7a sot. L.vema nc~] Yes.DeceoentLwed~n Lower Allen twp Mechanicsburg, PA 17055 Township? t 7d. ^ No. DKedn UveO wrtton t7b.cdunty Cumberland ActualLurotsW c.ty,BaD t 6. Father s Name lFust mgdla. ust, sueul 19. Mamer s Hama tF rst. mWdle maiden swnamel Earl E. Snyder Anna E. Heck 20a mfarmarn s Name [Type r Pmq 2t)D. lNamanfs tvtaurng Address [Boast. my ~ town, state, zap code) Sally S. Walters 7276 Union Deposit Road, Hummelstown, PA 17036 _ta. Metrad of O~spos,tan ~Crernation ^ Oonauon 2tD. Oats of Dispos,tan [Moro". day, year[ 21c. Ptacs of Drsposnan;Name of cemetery, crematory a other places[ ltd. Lawbon [Cory: town, state. zro code) ^ Banal ^ Removal from State Was.CrernaUon a DontNbrt Authorised ^ Otner~St+ecrry DyfWdicslExaminarlCoraler? COY.:^NO June 4, 2009 remation Society of Pennsylvania Harrisburg, PA 17109 21a S. n ' nu:elkens perscnaca~ such 22D.LMertseNumber 22t NamaanoAddressotFacibtyAuer Cremation Services of Pennsylvania, Inc. FD013801-L 4100 Jonestown Road, Harrisbur PA 17109 %omyete Hems anry when certrlyutq ?3a. To me best of my irrowtedge. dean occwrea at dw urns. dale era pair slated. l5.gnatwe and abet 23D L~tertse Number 23c. Date Sgned tMonm, day, year) ytySCraft .s noI avarlaDte of ume al deem 10 - :enrty cause of ceatrt ~ ~Iv ((i L (~ , ~ 7WlL ( NCO `I hams 21-26 must D@ c ortpleted by person -' Mme w Dea 25. ale Pronowtced Dead;MOrnn. day, year) 26. Was Case Referred to Medral Exam,ner Coroner br a Reason Cmer man rematan a Dartatan? .rra praawo:et deem. - O PM M. T,~ ~~ o ~ t~~CcC ^ Yeg ,~,~ CAUSE OF DEATH ~Sa instructions end eaamples) ~ Approsurtate nterval: Item 27 Pan I' Eller dM cflan d evMts - Jtsedses. tryunef, a compecauons -mil directly caused me dfalfl. OO NOT enter tennxW eVenis such ore oardaC an@St. 1 Onset to Deam r@sprtNary crest. or vMtnCUWr (alrUlatan wafaW showng IfN elabgy. Lra only one cwse On earn Ivlb. ~ Part ll: Enter other saaofrtarn cmddum canu;buunq m rteam, ow rat rewdug ut the underryug cause given n Pan I. 26. Dad Ttaacco Use Canmbwe m Deam? ^ Vas ^CB~ r tMME01ATE C USE . Fvwl drs@a ^ ~ A 1~ ~ w 1 ~,. ~~/ L+ Y-n~s ~ /~,n ~1 A~~ :ondltan rfswt n palm) ' a. ~ V Q e V ~ I ve ~ . G / e r ! Q V t 1(ieJ ~ ~.. I N ~ f t I~ '~ ~ ~ ~ ~ 29 d F r-~~~w/~/ fD~ue :Qo a~as a consegwrtce otl: }lGn n v c q Sepwntwsy ast ctxtaaorts. A any b. W W ~ ~~Y ~` { G • ` / ~ ~ S ~r ,-,~ ~ ' le to tM comae usted on ware a. ' W ''~'' ~ «~ P~ Y@y ^ Fragrant at tme of tleam Enter dr Ut10ERLYING CAUSE Due to a as a consegwrrce d): ~ ^ NW pregn.nL pq pegtar wtrin 12 drys ~dsease a ,rttwy that uouate0 the c. r avtnts resudatq m aeaml LAST. d cream ~ ~ Due to a as a cons ashes of): ^ fVat esagnartl Dal pregnant 33 drys td 1 year tl s ~s-s ~ ~~.~, r Urouawrt d aegwd well me Dora Y.ar 30a. Was an Autopsy ~ 3(b Were Auopsy F~noutgs 31. Manner of Death 32a. Oats of uYu'I' tMonm, day, year) 32b. Descnbe How lntury Oct rreo 32c. Place or 'nµay Home. Farm, SueM, Facxxy, Pertorm@d AvaflaDle Prar IO Oomp,Etan twat ^ Hamrade Olhce Buueutq, 91C. ISpedy) of Caus@ of Deam ^ Yes ^ Ves ^ No ^ Acutlent ^ Pentlaq !nvestyatxm 32d. Tune of lntury 32e. lntury al Wall? 321 ll Transu:nauon rnlwY iSpacryl 72g. Locauon of ~nlury Street. cdy ~ town, stater ^ Su~cule ^ Gould Not De Detsrmuted ^ Yes ^ No ^ Diner Operates ^ Passenger ^Pecestnan M. Grier ~ Soecrfy: 33a. Can~f~er ,cnacx Dray ones 33b natwe and Title w CemRer • Genlfymg physician iPnysrCWl l@nayulq cause of depth when anoltWl tYtYSeun nds pronounced deem and Complel@d II@m 23i • /~ ~ e J ~~~~,h ~y y,~ ~ To lfre best of my snowNdga, dam occurred dw to pre cwne(sl and manner as states_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ V W./ •' ~I v v .~ • Prortwncup and urtlfying physician .Pnys.cian bah proraurtcug death and cendyng to cause of deaml 37c nse Number 33tl Date SrgnsO I Dory. /ear[ To tf» WA of my ttrtowNdge, e.em occurred n the time, pat.. and place, and dw to tM causelal and manner as stated.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • M i E Mo ~ 1 a ~ 3 3 6 ~ ed cal samirwr / Caawr t]n tM tow d esamina ' I a investi ation in m a d th W tM i ^ •f- ! a o g , y p ea accurr a t me, dale, and place, and dw to tM cwsNsl and manner >t swap. ~- 3a Fla me and Address d Person Wfq Compet @d Oeam ::I tem CauseM 271 Type : Pmt 35 Reg~sirar s aynawra ,ur . ~ r Nw ar ] 1 36 eta Fi MUnm dor ' m ~ J - / / ~ [ ~ F ~ ~ ~ ~ ~ V' !~"@"-'s "i ~ ~ ( s • `~ I ~ I I r~ ~ - a, r~ . y. ye t ~ ~ 3 S1~ 1 R~t ti o tx R~~ cP~rr~ i-~ 1 I.t,. PA - ~ O~swsdxxt Parma No U 3/ U `/ 4 b ~L~ risk 3~i ill ~n~ ~pst~ntent ~~. OF u7 JANE E. SNYDER --~ I, JANE E. SNYDER, of the Borough of Lemoyne, Cumberland Count; Cw..' w. .. Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this as and for my Last Will and Testament, hereby revoking all Wills and Codicils previously made by me. 1. I direct the payment of my debts and expenses of my last illness and funeral from my estate as soon after my death as conveniently maybe done. 2. I give and bequeath my ruby and diamond ring to my third cousin, MICHAEL HARTSOCK, of 7208 Hazel Avenue, Upper Darby, Pennsylvania. If my third cousin, MICHAEL HARTSOCK, should predecease me, then I give and bequeath my ruby and diamond ring to my second cousin, BRUCE HARTSOCK, of 7208 Hazel Avenue, Upper Darby, Pennsylvania. If my second cousin, BRUCE HARTSOCK, should predecease me, then I give and bequeath my ruby and diamond ring to my third cousin, STEVEN HARTSOCK, of 7208 Hazel Avenue, Upper Darby, Pennsylvania. 3 . I give and bequeath my aquamarine and- diamond ring to my third cousin, STEVEN HARTSOCK, of 7208 Hazel Avenue, Upper Darby, Pennsylvania. If my third cousin, STEVEN HARTSOCK, should predecease me, then I give and bequeath my aquamarine and diamond ring to my second cousin, BRUCE HARTSOCK, of 7208 Hazel Avenue, Upper Darby, Pennsylvania. If my second cousin, BRUCE HARTSC)CK, should -3 1 1 , ,,; ~: :_.~ ~~.} ~~. ~-:'~ f ~~~ .. -~- ,.. _.._ R . ~ , nd be ueath m furnishings, furniture and the balance of my jewelry to my third give a q Y cousin, DAVID A. WALTERS, of Denver, Colorado. 5. I give, devise and bequeath all the rest, residue and remainder of my estate, whether real or personal, and wherever the same maybe situate or located, in the following distribution: (a) Seventy-five (75%) percent to my second cousin, SALLY S. WALTERS, if she survives me. If my second cousin, SALLY S. WALTERS, should predecease me, then I direct that this percentage distribution shall be given and bequeathed to my third cousin, DAVID A. WALTERS, if he survives me. (b) Twenty-five (25%) percent to my second cousin, BARBARA CHERVANIK, of 2664 Nestlebrook Trail, Virginia Beach, Virginia, if she survives me. If my second cousin, BARBARA CHERVANIK, should predecease me, then I direct that this percentage distribution be given and bequeathed to my second cousin, SALLY S. WALTERS, if she survives me. If my second cousin, SALLY S. WALTERS, should predecease me, then I direct that this percentage distribution be given to my third cousin, DAVID .WALTERS, if he survives me. 6. I direct that any and all inheritance, estate and transfer taxes imposed upon my estate, passing under my Will or otherwise, shall be paid as a part of the expense of administration, payable out of my residuary estate. 7. In addition to powers given her by law, my Executrix acting hereunder shall have the fullest power and authority in all matters and questions and to do all acts which I might .i- property, real and personal at such times and upon such terms and conditions that she may deem advisable. 8. I nominate, constitute and appoint my second cousin, SALLY S. WALTERS, as Executrix of this, my Last Will and Testament. In the event of the renunciation, death, resignation or inability to act for any reason whatsoever of SALLY S. WALTERS, I nominate, constitute and appoint my second cousin, BARBARA CHERVANIK, as Executrix of this, my Last Will and Testament. 9. I hereby relieve my personal representative from the necessity of posting security in connection with her duties as such in any jurisdiction in which she maybe called upon to act insofar as I am able by law to do so. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of three typewritten pages, the first two of which bear my ' for the u ose of identification, this ~ `~ " day of signature in the margin p rp `" ~-~ , 2004. (SEAL) Jane Snyder Signed, sealed, published and declared by the above-named Testatrix, Jane E. Snyder, as and for her Last Will and Testament, in the sight and presence of us, who, at her request, and in her sight and presence and in the sight and presence of each other, have hereunto subscribed our names as witnesses. f N Address .~. ~ ~ Na e Ad ess + ~t i Commonwealth of Pennsylvania SS County of Dauphin `]ale, Jane E. Snyder , Jean D. Seibert ,and Kay L. Dwulet ,the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn and qualified according to law, do hereby declare to the undersigned authority that we were resent and saw the Testatrix sign and execute the instrument as her Last Will and p Testament and that she signed willingly (or willingly directed another to sign for her), and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witnesses and that to the best of his or her knowledge the Testatrix was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence, and I, the said Testatrix, 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. ~~ Testatri .. Witn ~o. ~ . .~%'.~` Witness Subscribed, sworn to and acknowledged before me by Jane E. Snyder the Testatrix, and subscribed and sworn