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HomeMy WebLinkAbout07-13-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of WADE L. GRAMLING also known as Deceased File Number ~ ~ ~~ ~~ Social Security Number ~~ ~ ~ ~ ~d--O TERI S. WHITE Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW:) Q A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the EXECUTOR named in the last Will of the Decedent dated and codicil(s) dated (State relevant circumsuznces', e.g., renunciation, depth of executor, etc. j 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.tn.; pendente lire; durance absentia; dta-ante minorftate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spoCu^s~e (if any) an~eirs: (If Administration, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ,- ~ ~ ~, ,. -n t_.. Name Relationshi ResidenC' - ~'-' - -rte, ;-z ~ ~.. , -=-- T) W - - ~ .._. ' 7 ~.~ - J \/ _~1 ~ ~~ ~~ (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his /her last principal residence at 400 DEERFIELD RD CAMP HILL PA 17011 CUMBERLAND CTY PENNSYLVANIA (List street address, t~iwn/cih•, township, county, stczze, zip code) Decedent, then 82 years of age, died on 6/10/2009 at 400 DEERFIELD RD. CAMP HILL. PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ ~ ~fDr' D (If not domiciled in PA) Personal property in Pennsylvania $ (lf not domiciled in PA) Personal property in County $ ~' by Value of real estate in Pennsylvania $ --229:000:DU" 400 DEERFIELD RD, CAMP HILL, CUMBERLAND COUNTY, PENNSYLVANIA situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the „rant of Letters in the appropriate form to the undersigned: S~a azure Typed or printed name and residence ~( ~ ~jC. TERI S. WHITE 16 GREENWAY DRIVE MECHANICSBURG PA 17055 Page 1 of 2 Form RW-02 rev. 10.73.06 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. 1 ,(~ ..~ ,, Sworn to or affirmed and subscribed /._'l~~ ~6, L,r ~ . Signanrre6 sonalReprsentative TERI S. WHITE before me the day of C7 '~ ~no~ Si~~nat rre of Personal Representative j ~~ ,- ~ ~ ,1-r~ --~ ; ~ 4T tr'~~.. , <,,,,3 FOr the ReglSter Signature of Personal Representative '~~~ ~-~ - <~ ' ' ~'? -~-~ .x: ~ .. W File Number: a a ~~~ ~~~~ Estate of WADE L. GRAMLING ,Deceased Social Security Number: ~ ~ ~ aL ~a ~U Date of Death: 6/10/2009 AND NOW, ~~ ~~ r , 2009 , in con ideration of e foregoing Petition, satisfactory proof having been presented before e, IT IS DECREED that Letters are hereby granted to TERI S. WHITE in the above estate and that the instrument(s) dated ~ ~ described in the Petition be admitted to probate and FEES Letters ...~.lo~. ~c .~..... $ ~ 'x#&90 Short Certificate(s) ••~•• ~~• $ "4:A9 Renunciation(s) •••••••••••••••~ $ WILL .,.. $ 15.00 JCP FEE .... $ 10.00 AUTOMATION •... $ 5.00 $ .... $ .... $ .... $ .... $ .... $ TOTAL ............................. $ ~~ of recorgl ~s the lash Will ~a~ Codicil(s) Attorney Signature: Attorney Name: Supreme Court I.D. No.; 15489 _ Address: WIX. WENGER & WEIDNEFI _ 508 N 2ND/PO BOX 845. HARRISBURG PA 17108 Telephone: X717) 234-4182 Form RW-02 rev. 10.!3.06 Page 2 of 2 105.805 REV iUl/UT LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. $6.00 '~ ..:L '/ 4 9 V ~ 4 *. Certification Number This is to ccrtifv That the information here liven i~ correctly copied lrrtmi an original Ct:rtificate of Leath duly filed with me ,ts Local Re~i~•trar- The ori;tinal certificate ~,vill bf~ forwarded to the State Vital Records Oft-ice for permanent filin~~-. r-~ LG~m, ~ o _} _ J;U~t' 1009 Local Registrar ~?_~-.~~n ~~... ate Issued _, -~„ r- _ ,. .. ,. rn - - - .,, - :I ~ \ ~' -` '- ~ A -~ .• "A -- W REV tv2oo6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS I PRINT IN a^NENT CERTIFICATE OF DEATH ,cKINI< (See instructions and examples on reverse) 1 \ r,C, r~l ..l LI 1, Name of Decedent (Flrsl, mitldle, last, suttlx) 2. Sex 3. Serial Secuny Number 4. Date of Death (Month, tlay, year) Wade L. Gramling male 175- 20,,-4268 June 10,2009 5. Age (Last Binhday) Under 7 year Under 1 day 6. Dale of Binh (Month, day, year) 7. Bidhplace (City and slate or foreign country) ea. Place of Death (Check only one) 8 2 rxomrns pays Hours M~~~1eS a y 21 1 9 2 7 ' Hoapnal other -- Vrs. Johnstown, PA ^ I ^ ^ npaaenl ER /Outpatient DOA ^ Nursing Home Residence ^Other ~ Specty: Bb. County of Death Bc. City, Boro, Twp of Death Bd. Facility Name (II not inslilution, give street and number) 9. Was Decedent of Hispanic Origine ~I No ^ Yes 10. Rzce. Amenrzn Indian, Bleak. Where. etc YY Cumberland Lower Allen (If yes, specify Cuban, (SOecrlyl 400 Deerfield Rd. Mexican,PoenoRican,etc) White 11. Decedent's Usual Occu atron Kmd of work done tlurin most of worker life. Do not slate retired 12. Was Decedent ever In the 13. Decetlent's Education (Specify only highest grade completed) 14. Marital Slalus: MarrieC. Never Marred, 15 Surviving Spouse (If wife. give maitlen name! Kind Work Nintl of Business / Intlustry iv ~ U.S. Armed Forces? Elementary /Secondary (0-12) Colleye (7-4 or 5+) Widowetl. Dlvorcetl f Specity) 1 veer ^Np 1 widowed t6. Decedent's ailing Address (Street city /town, state, zip code) Decedent's Did Decedent 4 0 0 Deerfield Rd Actual Residence 17a. State PA Live in a 77c Yes Decedent Lrved in T•ntaP r A 1 1 P n . Camp Hill, PA 1 701 1 , _Twp Township? nb cpanty Cumberland ntl ^ No Decedem ^ved within Actual Limns of _Ciry ~ Boro t6. Father's Name (Frsl, midtlle, task suffix) 79 Mother's Name (Poll, middle, maiden sumeme) Irvin Gramling Olive L. Lehman 20a. Informant's Name (Type /Print) 206. Imormant's Mailing Address (Streak cIry I town, state, zip Dade) Teri S. White 16 Greenway Dr. Mechanicsburg, PA 17055 21 a. Method of Disposition [~Crematgn ^ Donation 21 b. Date of Disposition (Month, day, year) 21 c. Place of Disposition (Name of cemetery, crematory a other place) 21 tl. Location (City I town. state, zip codej ^ Burial ^ RemovalfromState ;Was Cremation orDOnationAuthor¢ed `' June 1 3, 2009 Hollinger Crematory Mt Holl s S i ^ Other -Specity ical Examiner I Coroner? ~ [ Yes ^ No . y pr ng 22a. Signature of~~F~~eral,S,ervk~nse °r pe acct as such) 22b. License Number 22a Name antl Atldress of Facility . - ~,.XX,~.,.~../~. 011248E Musselman FH&CS Inc.324 Hummel Ave. Lemoyne, PA Complete Items 23a-c only when cediyinq 23a. To the 1 y rwwledge, tleath occurred al the time, date antl ulace stated. (Signature and title) ! 23b. License umoer 23c. Date Signed (Month, day. year) physician is trot available at time of death to certify cause of death. Cz - ~` ~ ~'r ~~ ~ / ( - / ~_ ~G'r ~~ ~ , `yC/ Items 2d~26 must be completetl by person 24. Time of Death 25. Date Pronounced Dea~Monlh. day, year) 26. Was Case Referretl t edlcal Examiner r Coroner for a Reason Other than Cremation or Donation? who pronounces death. - _ , riTL M /~.~ G - U y ^Ves CAUS OF DEATH (See instruMions antl examples) ~ Approximate Interval: Item 27. Pan ~. Enter me phain of events - Uisaases, injuries, or complications -that directly caused the tleath. DO NOT amer terminal events Such as cartliac arrest O t D Pad IC Enter other sionifiwnl contlit'ons contri6mtng Ic tleath, 28. Did Tobacco Use Contnbme to Death? respiratory arrest, or venlncular li6nllation without showing the etioloyy. List o nse to eath nly one cause on each line. but not resulting in the underlying cause gwen ~n Pan I ^ Yes ^ Probably IMMEDIATE CAUSE Fiwl tlisease or ~ ^ No ^ Unknown condition resulfinq in ~eath) _~ a l - l~ ~ ~ 29. If Female. Due to (or as a con quence of)_ ^ NoI pregnant within past year Sequentially Iis1 contlNions, it any, p leading to the cause listed on line a. ^ Pregnant at time of death Due to or as a copse uence of Enter the UNDERLYING CAUSE ( q 1 t t ^ Not pregnant. but pregnant within 42 days (diseaae or Injury that initiated the c. vents resulting in death) LAST. of death Due Io (or as a consequence op: r ^ Not pregnant but pregnant a3 tlays to t year d. before death t ^ Unknown d preynanl within the pall yea 30a. Was an Autopsy 306. Were Autopsy Findings 31. Manner of Death 32a. Dale of Injury (Month, tlay, year) 32b. Describe Haw Injury Occurted 32c. Place of Injury. Home Fann Street Factorvr Pedormetl~ Available Prior to Completion 1~ Natural ^ Homki de . . Ottlca Building, etc. (SUOr.'ity) of Cause of Death? ^ Ves ~o ^ves ^ No ^ Acodenl ^ Pending Imestigalion 32tl. Time of Injury 32e. Injury at Work? 321. II Tranaponalion Injury (Specity) 32g. Location of Injury tStreek cAy r town. state) ^ Suicide ^ Could Not be Determine0 ^Ves ^ No ^ Driver /Operator ^ Passenger ^Pedestrian M ^Other- eci/ ~ 33a. Certifier;chach onl on Y - - ~ 9~ and Title of Cenilier 33b Si nature • Certifying physician fPhyscian cedifyinq cause of tleath when znotne physicrn has pronou a ced deah and completed Item 23) ~ M ~ q rr ( Te the best ofm knowletl e, death occ red due to the reuse,)antl mariner n as stated_________________________________ ^ ~ • Pronouncing and centfying physician (Physician both pronouncing death and cPn To the best of my knowledge, tleath occurred at the time, date, and place. and • M i itying to cause of death) tlue to the reuse(s) antl manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c. License Number 33d. Date 51 red tMonlh. day year) ~~...-~-_-~ 1 A~ r~ I^~ d'1 ~ ~ /yy1 l !' Y p/ t ~ ~ l ~ ~ ~ ~ • ~ edical Exam rer /Coroner Gn the Uesis of ezaminalion and / or investigation in my opinion death occurr ed at the time date and place arld due to the cauae(5) and m nner as st t d ^ l V r U .i _- ~- , , ~.~ , , . a a e _ ---j _- V 34. Name and Address of Person Who Completed Cause of Death them 27) Type' Prim v ~. FryisVar's 'nature and Dis ct u~(p//~. ~ -~. V ALT ~G~i~r7~~,. ~tl, •! L_~J_/~J 36 Date led (M th, day, yeak ~' ~~ ~/r~ G'L7 ~ i. ~" Diapoaitiom Permit Nc _ Q 33~ ~ ~ 1 WILL OF WADE L. GRAMLING I, WADE L. GRAMLING, of Camp Hill, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I. I direct that ali my just. debts acid funeral expenses, including the cost of a suitable gravemarker and perpe~ual cam . ~~ ~ i ~ ~ for my burial plot, shall be paid from the assets of my~~ate ~ - t _ ~ ~? r ,. . soon as practicable after my decease. ~'"~ w ~~~~~ _~ ~ _, _ _ O ~=~ _~- ' -- , - , ~ ~ _ _ ;, . . ~ ITEM II. I give all the residue of my estate, $eal acid . a: w personal, and in equal shares, to my children, TERI SUE GRAMLING and MARK WADE GRAMLING, provided that the share of any child who predeceases me or dies on or before the thirtieth day following my death shall be distributed to his or her issue per stirpes living on the thirty-first day following my death and in default of any such then-living issue such shares shall be added to the share or shares for my other child. ITEM III. No interest in income or principal shall be assignable by, or available to anyone having a claim against, a beneficiary before actual payment to the beneficiary. Page 1 of 3 Pages. ITEM IV. All federal, state, and other death taxes payable on the property forming my gross estate for tax purposes, whether or not it passes under this will, shall be paid out of the principal of my residuary estate just as if they were my debts, and none of those taxes shall be charged against any beneficiary. ITEM V. I authorize my executor: A. to retain and to invest in all forms of real and personal property, regardless of (i) any limitations imposed by law on investments by executors or trustees, (ii) any principle of law concerning delegation of investment responsibility by executors or trustees, or (iii) any principle of law concerning investment diversification; B. to compromise claims and to abandon any property which, in my executor's opinion, is of little or no value; to borrow from, and to sell property to others, and to pledge property as security for repayment of any funds borrowed; C. to sell at public or private sale, to exchange or to lease for any period of time any real or personal property, and to give options for sales or leases; Page 2 of 3 Pages. D. to join in any merger, reorganization, voting-trust plan or other concerted action of security holders, and to delegate discretionary duties with respect thereto; E. to use administrative or other expenses of my estate as income tax or estate tax deductions and to value my estate for tax purposes by any optional method permitted by the law in force when I die, without requiring adjustments between income and principal for any resulting effect on income or estate taxes; and F. to distribute IN KIND and to allocate specific assets among the beneficiaries in such proportions as my executor may think best, so long as the total market value of any beneficiary's share is not affected by such allocation. These authorities shall extend to all real and personal property at any time held by my executor and shall continue in full force until the actual distribution of all such property. All powers, authorities, and discretion granted by this will shall be in addition to those granted by law and shall be exercisable without leave of court. Page 3 of 3 Pages. ITEM VI. I appoint my daughter, TERI SUE GRAMLING, executrix under this will. Should my daughter, TERI SUE GRAMLING, fail to qualify or cease to act as executrix, I appoint my son, MARK WADE GRAMLING, executor under this will. No personal representative appointed hereunder shall be required to give bond or furnish sureties in any jurisdiction. ITEM VII. The term "executor" and "trustee" or any pronoun used to indicate the executor, trustee, any other fiduciary or any beneficiary shall be deemed to apply to one or more than one person or corporation and to the masculine, feminine or neuter gender as the case may be. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my last will, this ~ day of ~ ~ri 1995. i i - ( SEAL) WADE L. G LI G SIGNED, SEALED, PUBLISHED, and DECLARED by the above testator, as and for his last will, in the presence of us, who thereupon at his request, in his presence and in the presence of each other, have hereunto subscribed our~ames ~s witnesses. ~~ , Page 4 of 3 Pages. STATE OF PENNSYLVANIA ( ss: COUNTY OF DAUPHIN ) We, WADE L. GRAMLING, G,r~n ~ 41~C4,~ l1r and ~~,~,~~,.~,~`=f ~;~-'~Z, the testator and witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn do hereby declare to the undersigned authority that the testator signed and executed the instrument as his last will and that he had signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the will as witness and that to the best of our knowledge, the testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. SUBSCRIBED, sworn to or affirmed, and acknowledged before me by the above-name testator and by the witnesses whose names appear above on %~ , 1995. i ``L ~ 1.X4-~~ of ry Public Notarial Seal Stephanie L. Gaffey, Notary Public Harrisburg, Dauphin County My Commission Expires Sept. 26, 1998 Member, Pennsylvania Association of Notaries OATH OF NON-SUBSCRIBING ~VITNESS(ES} REGIS 'ER OP WILLS ~ 11~j'~ OU`NTY, PENNSYLVANIA Estate of ~ V'~~ ~~ I~ Deceased y- ~.~ ~s-'~ ~ and /~- Y~ ~~ ~ ~ C ~ ~-~-~ ~~ ~~~ S ~ ~ (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well- ? ri1 ~ ~ ~ (~ ~~~ ~~~ `~ G- and am/are familiar acquainted with ~ ~ ~ ~ ~~%~ with the handwriting and signature of the decedent, and that the signature of ~C.~' ~ ~'F ~ ~~0~~~ to the foregoing instrument purporting to be the Last Will and Testament/Codicil of CC ~ >~ - ;~-~ ~ ~~,~~~ ~_~~~-~ is in his/her own proper handwriting. ~/ ~ ~(~~ ^ ~s~;;,~ut« n (Street Address) ~ ~-~ ~;~, ~ v~ (City, Smte, Zip) Executed in Register's Offcce Sworn to or affirmed and subscribed before me this ~~ day ~1i.~ ~~ of -~ Depu~fo~ Register of V~'ills O J~~ =~'~ ~_-~ ~fl _. ~-~ `~~ . -~' --~ ~.~ c-' w x~ w ;~: - =, ~_. ..-~ :.~ Form RW-04 rev. !0.13.06 City, fate, Zip)