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HomeMy WebLinkAbout06-29-09 PETITION FOR PR ATE AND GRANT OF LETTERS GISTER ILL ' ~ COUNTY, PENNSYLVANIA Estate of 1 ~ ~~ 1 ~ 1 t~-~tv File Number ~ I ~ ©~ ~((/~ also known as ,Deceased Social Security Number (JC' - 31 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 Tegtamentary and aver that Petitioner(s) is /are the ~~C uT'~~C_. last Will of the Decedent dated U~t~E ~0 I q 41 and codicil(s) dated (State relevant circumstances, e.g., renunciation, death of executor, etc.) t7 Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution aftstrum for probate, was not the victim of a killing and was never adjudicated an incapacitated person: t?~ _.fa m :`~~ ® B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente[ite: duranteabsentia; dura~Qii~4PJate C :'_~ Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spe~§~if any Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) -p -'{ D Name Relationshi Residence (COMPLETE INALL CASES:) Attach itionai sheets if necessary. Decedent was domiciled a h in Co ty ennsyly a with hi r last principal residence at 2 , (List street address, town/city, township, county, state, zip code) n ~ Decedent, then ~~ years of age, died on VANE ~~ ~ •t at S X41 ~_ named in the r--3 ca _, ett~ offet~id, . ~ ~ _- ,::_ fV i~_ t,0 _ _. ~ ~ r 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, the undersii 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 or printed name and residence ./1~~11 ~.. l.~z;:l Gt e :.s ~ ~ ~ S'v~f ~ c.s t' (~' ~ ,~D s.~-- a,-.-~- t ~_ n .c ).. _ , L/. ,L. i , ~...,n ~ r- Form RW-02 rev. 10.13.06 Page I of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA /~ ~ ~ t_ SS COUNTY OF ~t,Yl'I. bP_.t'I /.U1 -~ 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 re eve(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. 0 Sworn to or affirmed and subscribed before me the ~~~ day of >( Signature of~rso n resentative C .` ~n ~ S' Signature of Personal Representative :-i-~ G '. ~~m f\.~ .__ t -r~.3~ SD_ __:_ Fort Register Signature of Personal Representative ~ ~ ~ <~ - ~'> ~~-'~' ~ 02 f - Qq - QpQ.3 _, File Number: '~ Estate of ~~~~ r , U I c_.c~ SQ ~ ,Deceased Social Security Ntu'mber: ~ 3~ ~vo2 ~ g `t ~~~~ AND NOW, ~ ~ ~d~lA~ ~ , ~-~e~_W`~I , having been presented before me, IT IS DECREED that Letters ~; are hereby granted to in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............... $ D.~ Short Certificate(s) ........ $ d~ Renunciation(s) .......... $ tl~i t1 ... $ I ... $ ... $ ~ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ '"d:OCf' Date of Death: in Fonsideration of the foregoing Petition, satisfactory proof Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: Register of Wills Form RW-02 rev. 10.13.06 Page 2 of 2 __ - ~ ~ ` ~' % - OLP~'~ LOCAL REGISTRAR'S CERTIFICATION OF CIIEA'1'H WARNING: It is illegal to duplicate this copy by photostat or photo~~raph Fee for this certificate, $6.00 Certification Number =v n/2oos RINT IN NENT CINK 132-044 This is to certif.' that _he information here given is correctly copied from an original Certificate of Death duly filed with Ina a~ Local Registrar. The original certificate will be ?orwarded to the State Vital Records Office fo~ rjnanent filing. /G~m- ~ C / N 110 9 Local Registrar Date Issued r"v t:7 c' C w L i +~ ,_ , r- ~_-_ ~ rn r~ 'C-J ~-; ~ A c ~, ~7 U -rT r~~ ~ , ~.. , +,~ ' COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CORONER'S CERTIFICATE OF DEATH (See instructions end examples on reverse) „_.__ _.. _ ..... 1. Name of Deatlwn (Flrsl, mitltlle, last, suffix) Richard P Gleason 2. Sex Male 3. Social Securm/ Numher - ~ ~ ~~ - ~ ~`- ~' V ~.' 130 32 4. Date of Death (Mmm, tlay, Year) _ ~ 8413 June 5, 2009 5. Age (Lest BirlMey) Under 1 Under I day 6. Date of Binh (Monet, de , r) 7, Bi ace (C' and stele a Mai ceuntry) 8a. Place of Deam (Check on one) Haws Mbwhs HospNM: Omer 67 Nov. 28 1941 OCICVllle CentertNY Yrs . ^mpeuenl ^ER/Outpatient ^DOA ^ Nursing Home Reaitlenpe ^omer - specify ' Bh. Counry M Death &. C , Born, p. d Death lid. Facility Name pl not indiltAbn, gNe street ant number] 9. Was Decedent of Hispanic Origin? No ^ Vas 10. Race: American IMlan, Black, While etc. , Cumberland Cam Hill 3528 Se tember Drive (If yes, specify Cuban, (SpyoiM P P Mexican, Puerto Riven, eta) White 11. Decetlwit's Usual tlon KNM d wok tlone Burin most of INe. Do not stale retired 12. Wes Decant ever in the 13. DecerlenYS Etluatbn (Spedty only highest gretle competetl) 14. Mental Status: Mertied, Never Mertied, 15. Surviving Spouse pl wife give maiden names , Kits d Work and d / IMUStry U.S. Armed F~? Elementary /Secondary (0.12) C College (1-4 or S+) WitlowaQ Divorced (Specify of Operations 'ti~an cor , p. ^Yas o JT Divorced 18. DecetlenYS Meiling Address (Stoat dly I town, state, zip code) Decedent's Did Dacedtmt P Actual gesidena 17a. Sale Pecros 1yaIlla Uve in a ^ Yes 3528 Se tember Dr. Y Decedent Lived In „` , Twp Townshlp~ De cedw Camp Hill, PA 17011 176. Coanry Qdnberland ,7d.~ iLived wNti~ ~P Hill al L ~ piry/BOra 1B. fatlteYS Name (Fuel midde, last sumx) 19. Mother's Name (First, middle, maiden sumeme) `John Gleason Theresa L. Schauer 20a. IMOmianYS Name (Type /Print) Darrah L Gleason 20b. InlamianYs McNlnq Atlaess (Street city /town, state, zip cadet . P.O. Box 4421 Greenwich, CT 06831 21a. Method d D'nposNan i ^ Crematbn ^ Donatlon ~ aortal ^ Removal from State j W C tl D 21b. Dale d DiapoaNion (Monet, day, year) 21c. Place of Disposition (Name d cemetery, crematory a other pace) 21tl. Location (Ciy /town, state, zip code) as rema on or onalbn Authorhed ^ Other ~ Speciy: i by Medial Examiner /Coroner? ^ Ves ^ No June 13 2009 ~ Hershey Cemetery Hershey, PA 22a. d Funeral Liven or acting s ) 22D. lxx+nse Number 014819 ii,, 22c. Name ant Address d Fadlity yvf. rerS~l7dr~ier Fl.meral Home "7 CorrpkM "ems 23ac ody when aMrynrtg 23a. To the hest d my edge, Beam occurred al ma tine, date and place stated. (Sigature end title( 23h Llanse Number 23 D physiden s not available el time d Beats to . c. ate Signed (Month, day, year( antiY auae d deem. ttems 2426 must ba corttpeted Dy person wro Prortaxx:ea deem. 24. Time d beam 1TNKNOWN P. M 25. Dale Pronwnce0 Deatl (Monet, day, year) Jllne 8 2009 26.~ ase Referred ro Medical Examiner /Coroner for a Reason Other than Cremation or Donatbn? . , Yes ^No CAUSE OF DEATH (Sea Instruetlone sod examplsa) t Approxknale Imervel~. Item 27. Pan I: Enter the chats of evens - dseases, inpxies, a Complkatlons -mat tiredly eased mu deem. DO NOT rxaer terminal evanLS such as cardac arrest, poser t D ch Pen II: Enter aher s:'a:"kaM condfons canto ~~+ m set, ZB. Dq To6aaro Use Contribute to beam? o es respiretay arrest, a veMnmdar ODnlletM wdhad ahowirg tlw etiology Lot only one ease on each line. r Dut not resdlin in Me undo 9 nYki9 ease gNen nt Pan L ^ Vas ^ Probabty r IMMEDIATE CAUSE IRrel dsease a t ^ No ^ Unknown i cai0ition resuN n _). a. Probable Myocardial Infarction ~ Occlusive Coronary 2s."Female; Duero (or as a consequence oil: ^ Not pregnant within past year Sequanmgy tisl contlaions, if any, h ~ I~Arpbme aaae tistedmlme a. t Artery Disease ^ Pregnant at lime ofdath Eller ma UNDERLYUIO CAUSE Duero (or as a consequerx~ ofi: t (disease a iryury mat iutleted me r a' r ^ Nol pregnant but pregnant within 42 days f d m events resuMng n deaml LAST. Due to (a es a consequence ofi: i o ee ^ Not pregnant Wt pregnan143 tlays to 1 year d. r belae death ^ Unknown it pregnant wihin the past year 30e. Was an Autopsy 30h. Were Autopsy Fmdrgs 31. Mannar d Death 32e. Dale d Injury (Manor, day, year) 32b. Dexna How Injury Occurred Penormed? AveNabla Prior to Canplelion 32c. place of In u Home, Farm, Sreet Fordo j ry: ry, d Cause of Deem? ~NaNrel ^ Homidtle pfice BuikNng, etc (Specify) ^ Yes ~NO ^Yas ^ No ^ Accident ^ Pending Irneatlgatlon 32tl. Tlme of Irpury 32e. Injury M Work? 321. II Tmnsponetlon Inlury (fib'/ 32g. Location of Injury (SreeL city I lawn, stale) ^ Suicide ^ CaWtl Nol he Determined ^Yas ^ No ^ Drwer / Operant ^ Passenger ^ Pedestrian M. OIM SPeuhH: 33e. CeMfier (check only one) 336. Signature ant fi • CadNying plryalelan (Physician cenityin9 ease of deem when arglher physician has praqunced deem and completed Item 23) T th h d k Co rove r _ o e eat my nowledge, death occumM da ro the ceuee(a) and manner es sletad_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • Pratourichq ant esMibdng physklan (Physcian bath pronouixk meet end all i ro d d g y ng ease ean) To tlta hest of my know"edge, dxM atoned n rho tlme, date, and kce, ell da M tM au P sa(s)and manneru elated__________________ ^ 33c, License Number 33d. Date Signed iMOnm, day, year) • M°"~`"a"'"k1°r/p0f0"" June 11 2009 On mw baala d exemkiatlon ant / or Inveetpallon, in my opkdon, Beets ocourretl at the time, date, antl plea, and due to the eauae(sl end manner ea sdled_ , 34, gddre d waon Com etl Cause Death Qtem 27 type /Print lc~iae~ ~ ~°orr°"~s G~orone~ Ragiatrar' ~ tore and I .~~ ~I ''~I ~ ~ 38. DateF (Monet, deY, Year) .. , 6375 Basehore Road Suite lli I I ~ /' cJ > Mechanicsburg, PA 17050 Dispositon Permit No U-~-~15-~1 n C:iJ •*-i ._.~ l i- U C7 ;J RICHARD P. GLEASON {~... } r'. y G '7 ~:? ~.,... C~' •.,,3 tJ .:.c: l~ .~' -~ _T, RICH:ARn P. GLEP.SON; residing at 351 Pemberwick Road, Unit 101, Greenwich, Connecticut 06831, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all Wills and Codicils heretofore made by me. FIRST: I direct that all my just debts and funeral and administration expenses be paid as soon after my death ~U as may be convenient, and that any estate and inheritance taxes payable on my taxable estate shall not be appor- tioned, but shall be paid as an administration expense out of my residuary estate. SECOND: I give and bequeath all of my tangible property, including without limitation, all of my personal effects, clothing, jewelry, household furniture and furnishings, and automobile, together with any policies of insurance applicable thereto in effect at the time of my death (including any prepaid premiums thereon) to my i" e: - "t~T c..':Y ~~`'Y 1 daughter and son DARRAH GLEASON and NEIL GLEASON or the survivor of them to be divided between them as they may agree, or failing agreement for any reason whatsoever, then as nearly as possible in equal shares in such manner as my Executor shall determine. It is my wish that in dividing and distributing such property my Executor be guided by the provisions of any memoranda which I may leave with respect to the distribution of such personal property. All expenses incurred by my ExeCU:tor d~~ri::y the administration of my estate in storing, packing, shipping, deliverin or insurin an article of tan ible personal g g Y g v ~ property bequeathed by any provision of my residuary estate and treated as an expense of administration. ..~,~ THIRD: I give, devise and bequeath all of my right, title and interest to the real property together with all \~ appurtenances and improvements thereon located at and known as Unit 101, 351 Pemberwick Road, Greenwich, Connecticut 06831 to be held as tenants common as follows: A. Fifty (50~) percent interest therein to my daughter, DARRAH GLEASON. B. Fifty (50~) percent interest therein to my son s~Eil_ ~L~~~vi:.. FOURTH: All of the rest, residue, and remainder of my property and estate, both real and personal, of whatsoever nature and wheresoever situate, of which I die seized or possessed, or to which I may be entitled in any manner at any time, (including any and all property over which I shall have any power of testamentary disposition or appointment), I give, devise and bequeath absolutely and forever, equally to my daughter and son, DARRAH GLEASON and NEIL GLEASON, if they shall survive me. In the event however, that either of them shall survive have predeceased me, the share of the one sa dying shall pass tC1 ::kaeir then livi rg i ss~?~e, ~c+ar stirpes. In the further event that either of them shall have predeceased me without issue, ~!~ then the share of the one so dying shall pass to the ~\" survivor of them, per stirpes. ~ FIFTH: I hereby nominate, constitute and appoint my daughter, DARRAH GLEASON and, my son NEIL GLEASON to be the Co-Executors of this my Last Will and Testament. I hereby direct that no bond or other security shall be required in any jurisdiction of any of the executors under this my Last Will and Testament, to secure the faithful performance of my said executors duties as such. SIXTH: In addition to such other powers as executors :ray pcsse~s. by Iaw, i authorize aid ernpUwer my executor to retain, sell, exchange, and invest in any corporate stocks, bonds, common trust fund, or other property, real or personal, whether or not the same shall be legal invest- ments for fiduciaries, and without any obligation of diversification; to borrow money from any source and to pledge assets of my estate as security for the repayment thereof; to make any payments, distributions, or division required by my Will, wholly or partly in kind, and for that purpose to determine the value of the property so distri- buted or divided in kind; and to sell publicly or privately for cash or on credit, at public or private sale, mortgage, exchange or lease for any period of time, without regard to restrictions or the approval of any court, or upon such other terms and conditions as my executor shall deem best, an real or C~~ y personal property belonging to my estate, and ~a to make proper delivery, assignment and conveyance incident ~~ to such sale; to determine whether to claim deductions available to me or to my estate on Estate Tax or on Income ~~ Tax returns, and to determine the date upon which to value my estate for Estate Tax purposes. To settle their account either judicially or non- judicially by fully utilizing the doctrine of virtual representation as provided in New York's Surrogates Court procedure Act Section 315 or any other legislation which authorizes such a procedure. Where a party to any proceeding in connection with my estate or any trust created hereunder has the same interest as a person under a disability it shall not be necessary to serve that person under a disability or to obtain written consent or non- '~ ~,~\ judicial release and discharge on behalf of such person(s) who are under a disability. SEVENTH: If any part of my property and estate shall vest in absolute ownership in a minor, I authorize and empower my executors to hold the property so vested in such minor, either in kind or in a separate fund, or both, for the benefit of such minor, and to hold, invest, and re-invest such properties, and to keep the same invested, to receive the income therefrom, to apply so much of the income and of the principal to the care, support, main- tenance, and education of such minor as my executors, in their uncontrolled discretion, shall deem appropriate, and to this end I authorize and direct my executors to make such payments, (a) to the guardian or guardians of said minor, (b) to the person with whom said minor may reside, (c) to a Custodain duly appointed under the Uniform Gifts to Minor Act, (d) to any other proper person or persons for the use and benefit of such minor of such minor, or (e) in a proper case, during the latter years of minority, to the minor directly, all without account- ability for the application or use of such payments. In exercising their discretion as to payments of income, my executors need not consider the income of such minor from other sources, but they shall consider such other income before making payments from principal; and I further authorize and empower my executors to accumulate the excess of said income, if any, and to add it to principal periodically, at least annually, until the said minor shall attain the age of eighteen, at which time all accumulated and unexpended income and the funds and other properties on hand shall be transferred and paid over to the said minor. If such minor shall die before attaining the age of eighteen, at which time all accumulated and unexpended income and the funds and other properties on hand shall be transferred and paid over to the said minor. If such minor shall die before attaining the age of eighteen, such -_ income and properties shall be paid over to the estate of such minor. The authority hereby conferred upon my ~• executors by this Article SIXTH of this my Will shall be \~ construed as a power during minority to manage property vested in an infant, and shall not operate to suspend or prevent the absolute vesting of any property, in any such minor. With respect to any such property, my executors shall have all of the powers conferred on executors and trustees by law and by the provisions of this my Will, including without limitation, the power t~~ invest and re-invest, both as to principal and accumulated income, without being limited to investments authorized by law for trust funds; and the donees of such power during the period of minority shall be entitled to the same compen- sation as is allowed by statute to a testamentary trustee. for the purposes of this paragraph, the term "minor" shall mean a person under the age of eighteen years. EIGHTH: Whenever necessary or appropriate, the use of any gender shall be deemed to include the other genders and use herein of either the singular or the plural shall be deemed to include the other. IN t~VITNE,SB YvIiEitEGr , I have hereunto set my hand and seal to this my Last Will and Testament this ~i~ day of 1991. ~ ~ L.S. Signed, sealed, published, and declared by RICHARD P. GLEASON, the testator herein, in the presence of us and of each of us, as and for his Last Will and Testament, and we thereupon, at his request and in his presence, and in the presence of each other, have here- ~~ unto subscribed our names as witnesses on the day and year last above written. .-~. . .... ~ _ __ . t - ",~,'` ` • ~°---' residing at 6 ~ kN~ ~%~~~ -~` ~_ ~, ~~ p,_, A"~._ err t.-`•. A r l ~ G' ~~.~ ~ Gi~ ~4~-1 ~ residing at ~ 7 o~c~-, ~ ~,,~ l~~a r OATH OF NON-SUBSCRIBING ~'ITNESS(ES) REGISTER OF WILLS ~.••~~ lc.,t c.Q COUNTY, PENNSYLVANIA Estate of l2 ~c. ~~t~~ ~ G (_~~s ~ n Deceased w/'~:.-.~ L . ~ I ~ o-s ~ ~ and ~ -~:` ~ i~ . C~ l e ~.~ o ~ (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well- aequainted with 2 ~ c l.~ c~.c,Q I~, (=,f ~ c.- ~ ~ n and am/are familiar with the handwriting and signature of the decedent, and that the signature of 1~ ~ c ~ ~ ~~ h~ G ~ z ~.~ ~ " to the foregoing instrument purporting to be the Last Will and Testament/Codicil of ~ ~ L~ ~~~ ~ G (~c-.S ~ ~ is in his/her own proper handwriting. (Signature) (Street Address) (City, Slate, Zip) Executed in Register's Office ~ c.... Sworn to or affirmed and subscribed ~~ before me this 1 ~~,y~pday ~=~ ~ m r\> ,--. ; c ; of C7~~~ r~ c--, .-- Q -E-i ~ ~ -; r- Deputy for Register of W is Form RW-04 rev. lOJ3.06