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HomeMy WebLinkAbout08-04-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland Estate of Mary Catherine Barner also known as Deceased COUNTY, PENNSYLVANIA File Number u~-~ ~ ~ ~ 1 ~ y~ ,~.I Social Security Number 174-20-2173 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 Executor last Will of the Decedent dated December 16, 1992 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 liter durante absentia; durante 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: (If Administration, c.t.a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Decedent, then 81 years of age, died on May 21, 2009 at Harrisburg Hospital Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 20,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 100,000.00 situated as follows: 127 Wertzville Road, Enola, East Pennsboro Twp., PA 17025 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: Si ature T ed or rinted name and residence Park I. Barner, Jr., 471 Frog Hollow Road, Harrisburg, PA 17112 named in the Form RW-02 rev. 10.13.06 Page 1 of 2 (COMPLETE INALL CASES:) Attach additional sheets if necessary. ~ ~ ~rj 2i. X . ~~`' r _) ~~jj ~ , Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal-ygsit}~nce at Crs ~ _ 127 Wertzville Road, Enola, East Pennsboro Twp., PA 17025 -~' ' ` ~` ~ ' ! j ,~~r.' .. .r --, (List street address, town/city, township, county, state, zip code) ~ , Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF 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 ~ -- -.~.~ Signature of Personal Representative tv before me the day of C7 ~ _ C .a ; '~ ~ Signature of Persona! Representative ~ f`:3 -'p ~ '~` r, ~ ._.. « For the Register Signature of Personal Representative S. ..r ! ~,, lJ! .... ~... t ~.. r ) ~ File Number: I-C~q -C~~2 [ ~r.~ 4..M ~ Estate of Mary Catherine Barner ,Deceased Social Se urity Number: 174-20-2173 Date of Death: May 21, 2009 AND NOW, ~ , ~~U , in consideration of the foregoing Petition, satisfactory proof having been presented of a me, IT IS DECREED that Letters Testamentary are hereby granted to Park I. Barner,lr. in the above estate and that the instrument(s) dated December 16, 1992 described in the Petition be admitted to probate and filed of record as t11e last ]Will (and FEES Letters ............... $.~.Q~_ Short Certificate(s) ........ $ ~ (p, .C.~ Renunciation(s) .......... $ t ~ ... $ ~ ~-C~ ~~P ... $ IQ .~ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ 3010 •~~ ~ Register il(s)) of Decedent. Attorney Signature: / Attorney Name: Lisa Marie Coyne Supreme Court I.D. No.: 53788 Address: Coyne & Coyne, P.C. 3901 Market Street Camp Hill, PA 17011-4227 Telephone: 717-737-0464 Form RW-02 rev. 10.13.06 Page 2 of 2 IOS.ROS REV (01/07) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Fee for this certificate, $6.00 P 1545177 Certification Number )i-;a3 REV tt;2006 TYPE PRINT IN ?ERMANENT BLAI;K INK This is to certify that the information here given is 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 Records Office for permanent filing. s` .r tf' ~ bi Local Registrar Date Issued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) gT~TF PflF Nl1saRER iv ~~~" ~ c~~~~ .:°I~a• ~ .:C _. ~ ~ ©~ : ~ ~, _ r 'Z-f ~ ~ w ~ t. Nartr d 0•c•rwrl IFirat, mrddl•, last. sulbx- 2. Sax 3. Socw S•ewry NumD« 1. Oar u- IA1aM, - . '~ l( ~~~'-' g r Female 174 - 20 -2173 :, o s. Aye (Last &rrrdayl urra« t Urtdar 1 m 6. oar a Birn wrrn, d . arl 7. . and slat a br 8a Piact d Death check arts Marro Days Nows MvsMS MOSprtal: 01Mr. Yrs. r ~ s b u r P A Inpati«r ^ ER / outpatient ^ DOA ^ Nutting yrnr ^ R•yoenc• ^ Orrr - sp•aay Mt«rcan NtOan, Bladt. Wtga, •yC. Orgn? ®No ^ Ya 10. 8D. Courny d Dean 6c. Ciry, Boro, Twp. a Dsan 8d. Facility Name tIt rra nstikrlWn, qw sue« and number) 9. q a Oeced•nt ~ ub ( Y~• sp•cry H rrisbur Harrisbur Hos ital ""a'~"'•P°"ti'`t""'•«bl White 11 D•cea•nt's Uswl tcino d work dorr• mast d war tda. oo rra stab r•tked 12. was Decedent w« k, rr IJ. D•cedem's Education Isp•cAy ~Y N9D•K 9r+a aorrwMtedl 11 Mar•al SIatW: AAarrr•d, Nw« M«rr•d. 15 Survrvnq Spout• Ir wrr, qv mad•n nand KnOdWark K•rdd8usrrss/krdus0y U.S. ArrtrW Farces? Ems, ~ ~bary 10.12) Cda9.11.1 ar 5+) W'd0""d' ~~,svec+hl x As essor Government ^Ya ®NO 11 Widowed 16. D•c•danYS Matkrtq Addrast ISDaN. raly / bwn. stall. zrp code) Deadarr's Dd Deadest 0acedam L,vd n East P e n n s b o r o T,yp Pennsylvania t7a ~'a A I R 7 M s 12 7 W e r t z v i l l e Road , ~~~ , rs~ rta , .. tar aWe Enola, PA 17025 11D.COtMtly Cumberland 17d.^ ~~^ ~„~ 1 B. FatMr's NarM (First, ntida•, last, sulks) 19. Abrrr's Nartr IFrst, mrddl•. rttakl•n sumartl•I Mar Conrad 20a. krtormarK's Nam• (Type ; Pnnq 200. Irrormara's MarWg Add•u ISkaN, c1y I town. uar. zp codes B rn r Jr 471 Fro Hollow Road Harrisburg, PA 17112 21 a. hrrrod d Dapo>rtan r ^ Garalatr ^ Donawn 2iD Oata d Orsposrron IMonn, day. years 2tc. Plea d Orsposdan.Name al cenNlery, crematory a orr« DUC•1 ltd. Lxatian IC.N, Wwn• star, zrp codes - ^ Burutl ^ li•mwal from SUt• i Wa CraWiOrt « Dorrdoa AWhorirad ^ oMr - r by Iradkal EaartrwwYCorort«t C~- (~'es^ ~ hl a 2 3 2 0 0 9 B i t n e r Crematory , L L C Harrisbur P A 171 10 ~ 22a. Srgnarur• d Funeral s.rvra LK«uw for person acurrg as such) 2zD. I.itrti• Nunger 22c. Nam. anti Aaarass a Facrkty H e t r i c k Funeral H o m e - - ,~..~ G- r P A 1710 9 e«ns 23at Day qn artilyurq 23a. io tM au d mY krrowrdq•, death otxurr•d at tha Ian•, daN ampraa stated. (Signature and Wes 23D. La:era• NumO•r 23c. Dar Sprd IAAonh. day, ytari physrcun 4 rral avaeiDr at !erN d dun b c•rteY cwa d asan. - it•rrre 21-26 must W carrprted W person 21 T , (( a"`F ~ 2S. Oar Prararrtcad Dead IMorrh, dY. Year) Q ) ~ - ~Q ~-- ~ ~ ~ ?6. Was Case Retired b hAedtal Examrr« ~ Coraw `a a Reasan On« dtarr CnmaoOrt a Dorrtwn? ^ Yu ~No wha Pranaunc•s dean. M. - ( ` 1 -- 1 CAUSE OF DEATH (Stt Instrucfbru tsrsd turnplta r Approsmap vltsr.>I Item 27 Pant Enter rr than d weNS - dis•aas, atprrw. a arrgticakaa • rill died/ au•td rr deals. DO NOT rrmrw weMS sudt as arWC arrest. r OnsN to D•an PaA il: Enter orw yjyy6taru inrtorrats mrme~A±+r+'° ~eadr but nd r•stalstg n rr urrd•rtyng cauw gn•n n Part I. 20. Od Tdaaao Us• ConuDub W Q Yes ^ ProOabty respratory arr•aL at ventricular hbrilgtian wMaA stlge•Ig rr etiology. Lnl Oay Orr aua On each Mn•. ~ r ^ NO llrsui0wn Ma1ED1ATE CAUSE IlFwW Oss•asa or t condition reswirrq n deans _~ a •. 1 S ; S ; 29. r F•mar: sMtkh ® Na ro iW ast ar Dir b la a s al: i i p g P Y ^ Prtgnarr r Wrr d d•ari NM rnridibais, d ar7, p, C l~ ~ 1' ~ t ^ E~ RlY JG CAUSE a Ow b (a as a cans•grroe a-: ~ Nd prgwN, but pngnanl wNrt Ct dM d d•ari IOsaasa a nhry riot niW W IM i c. 1 13 d ^ •vntt r•sugng n deans LAST. ; Ow b for as a cans•pwtoe d): y« ays b b Oil pngrirr • d ~ ^ Unkrben r pragriarr wells rr paR w« . 30a. Was an Autopsy 300. W«• Aubpsy Fndrgs 71. 32a. Dw d trMwY ItNonn, day, year) 320. D•scriW Mow kMrry Occurred 32C. Place a ~Y' Nome. Farm. SD•K Factory, P•normW? Avairbte Prbr b CampNron a caua a Dan? Naexal ^ Honkatida Ostia BtalOt9. tilt. (Syrr/y) ^ ^ ^ ^ Acaid«N ^ Pwrdtig Mw•stigalian 32a. Tm• d tryiry 32a. tryury ar wars? 321. r Tranaponatan kMrrry ISp•c/r~ 32q. t.oaeori d vyury r SDwL uty r town, stars Yes No Y•e tb ^ Suidda ^ Could Nd W O««rrrrd M ^ ~ ^ Ya ^ Om«!Op«abr ^ Pass•rig•r ^ P•gestnan ori« • sP•ury 73a. C•rNi« Idi•cs arty aril 73b. Sgnaan and TiW C•roMr ~ C•niywp vtr~ IPlhrsiCian andYn9 cause d Dear, wMn arwrw physiciari sae PKed a•an and compN•d kmZ3) Tour Dal d my bwwMd4r, daatlt oaurttr dir b dw cwags) aM m«nw a atatad _ - _ _ _ _ - ^ ~ ~ ._ Fa;~.~ ~ ; i n b h d n b d d kl d M PI ~ 33c. Lens. Number 33d. oar sigrwe Iwriri, ay. wars rq , ea an a•r caixt ea a y an I Ixq Nq a^d pttya Msrc~an dale and Plea and dw b tlit earsags- grid manrrr a •tat•d ® daadl aauntd «dr tYrr To ttr eaa a m turwNd r L 2 , , _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . y y, • watt Eaaaiin•rlCararr« /\/ . ~ (2 i y 1 ~ - Z Z on rr train d • kieaatlyMiori, k. dettli oautnd r Itw t4ir, dale, and pia, end dw b ttr aua•(a) and mam« a awd_ ^ CampLrd~wa d can ltt«n 271 Typo r Pm 1s Name AAaa~~ww d Pe 35. Registrar s Sgiatiar ct ~i~4ai~ ~3-r 76 Dar F IMoND. day. years ~ ~ ~ / }. S.t- ~ ~ J ~~'! ~ 7 ~d 2, ~ ~-r~.,. y ~~' oi/Paiba, PemM No. O 3~ Z 3~0 [ ~ LAST WILL OF MARY C. BARNER ~ r I, MARY C. BARNER, of 127 Wertzville Road, Enola, Township of East Pennsboro, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any Will previously made by me. Items 1: I devise and bequeath all of my estate of every nature and wheresoever situate, together with insurance thereon, to my son, PARK I. BARNER, JR. Ite^ 2: Should my Son, PARK I. BARNER, JR., predecease me or die on or before the thirtieth (30th) day following my death, I devise and bequeath all of my estate of every nature and wheresoever situate, together with insurance thereon, to my Daughter-in-law, Wife of PARK I. BARNER, JR., who is GAIL R. BARNER. Itea 3: I direct that all my just debts be paid as soon as practical after my decease. Itet 4: I direct that all taxes that may be assessed in w z a U a consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. Ite^ 5: Upon my demise, I direct that my body be buried in the Rolling Green Memorial Cemetery, Lower Allen Township, Cumberland County, Pennsylvania, where I have a burial lot next to my Late Husband, PARR I. BARNER. Ites 6: I appoint my Son, PARK I. BARNER, JR., Executor of this my Last Will. Should my Son, PARK I. BARNER, JR., fail to qualify or cease to act as Executor, I appoint my Daughter-in-law, GAIL R. BARNER ecutrix of this my Last dd '~C~~~ r~~.i~~~'~~ W i 11 . l~na~ s,rs~a~o ~o ~~~~ 2 ~ :g ~r +~ - ~~'~ 60~lZ ,, . ~ - _ _J.. ~_r _ _, ... r ' Itet ?: I direct that my personal representative, or their successors, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this ~~~~ day of /'~.1~ 1992. ~ ~ a~~ MAR ARNfiR The preceding instrument consisting of this and one (1) other typewritten page, each identified by the signature of the Testatrix, was on the day and date thereof signed, published and declared by MARY C. BARNER, the Testatrix therein named, as and for her Last Will, in the presence of each other, have subscribed our names as witnesses hereto. 3~0~ ~~: residing at l R residing at ~~? COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) ss: We, MARY C. BARNER, `tr ~. (~ w~ and L~s~ ~~~~~ ~uVE the Testatrix and the 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 Testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his or her knowledge, the Testatrix was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. MARY Witn Subscribed, awo i ~ ~, Testatrix, and subscribed and _1~EN1'P y ~ Cw.v~ a n d the witnesses, this ,~G'~ day rn and acknowledged before me ~/~ by MARY C. BARNER, the sworn to before me by .~ I s ~ die ~E ~ ~ti~ o f fii.~G~ ~. ~ ~iZ... , 19~~ . .~.,% . otary Public A (SEAL) NOTARIAL SEAL EILEEN S. CC)YNE, NOTARY PUBLIC HAI~PCEI~I T!~". CUMBERLAND CO. MY CQMI`~;1iS-SIC~I EXPIRES t1UNE 2~, iS3'96