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HomeMy WebLinkAbout09-08-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of BETTY A. SWEENEY File Number 21 09 () g`6 also known as ,Deceased Social Security Number 202-20-4927 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW:) a A. Probate and Grant of Letters Testamentaryand aver that Petitioner(s) is /are the Executrix named in the last Will of the Decedent dated 2~22~05 and codicil(s) dated none (State relevant circumstances, e.g., renunciation, depth 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 (/f applicable, enter: c. t. a.; d. b. n. c. t. a.; pendente life; durante absentia: durante minoritnte) 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:(1~ Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) ~~ ~ rn '`., (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~ Z -~ -,: '" Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last princiP`~'esidence at~ ~,,,.~_ 562 Mountain Road Boiline Shrines PA 17007 So. Middleton Township ~ (List street address, town/city, township, county, state, zip code) Decedent, then 79 years of age, died on 8~27~09 at 562 Mountain Road Boiling Shrines So Middleton Township PA 17007 Decedent at death owned property with estimated values as follows: (1f domiciled in PA) All personal property $ 7,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 60,000.00 South Middleton Township situated 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 the appropriate form to the undersigned: Signature Typed or printed name and residence LaDonna Lee Miller (717) 258-3447 560 Mountain Road Boilin S rip s PA 17007 Pa e 1 of 2 Farm RW-Ol rev. !0./3.06 g 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 ~~~~ For the Register a Signature of Personal Representative LaDOnria Lee Signature of Persona! Representative Signature of Personal Representative File Number: 21' 0 ~ - ~ g~ Estate of BETTY A. SWEENEY ,Deceased Social Security Number: 202-20-4927 Date of Death: 8/27/09 AND NOW, 115 g~/~Glll o~ Spyy}Crrl f 2009 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to LaDonna Lee Miller in the above estate and that the instrument(s) dated 2/22/2005 described in the Petition be admitted to probate and filed of record as the last W 11 (an icil(s o ecedent 1 A n ~ ~~ ~ ~ %1 ev FEES Letters ............................. $ ~JJ~. bC~ Short Certificate(s) ............ $ . 0~ Renunciation(s) •••...•......... $ Will .... $ . dv ~~~' .... $ (o.ov but©mat-ic~n .... $ 5. o0 .... $ .... $ .... $ .... $ .... $ .... $ TOTAL ............................. $ ~ 1 3. QO Form RW-02 rev. 10.13.06 of Attorney Signature: Vv ?""' ~ r=-y r,•. Q - ~, Attorney Name: Hubert X. Gilro ~ "'4 ~.'~ ~= ~- ~,, ~: ~=: Supreme Court LD. No.: 29943 ~'•' ~- "~' Address: 10 East HiEh Street Carlisle PA 17013 Telephone: 717-243-3341 Page 2 of 2 {1/15 q(1G 4F\~ rnrrn^~. _. _ ~I _ Q~_ d ~3 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat ar photograph. Fee for this certificate, $6.00 P 15729782 Certification Number This is ul certify that the information here given is correctly copied from ,_m original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for pel~-manent tiling. Al! 31 2009 ~~ ~ ~K~~~~ ~ / Local Registrar Date Issued - -- ___ _.._ .ao _- --- -- -- -_ _ 't~ /~ ~ -- "-- "-- -.._ S.f~ ~y v( cx3 ~ ~? z- ~ ~~ ~-~? s ~F, :~-~ .~~ ~ ~~ ~;.~~ 4~ [7 .a.~ ~~- M106-143 REY 118006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE / PRIM IN PERMANENT CERTIFICATE OF DEATH BUCK INK (See instructions and examples on reverse) 1. Name a DecetlBnl (Rrsl, mieele, Iesl, sulfoc) STATE FILE NUMBER 2. Sex 3. Saral Seady Nurtber 4. Date of Death (MOmh, day, year) Betty Arlene Sweeney F. 202 -20 - 4927 Au ust 27 20 6. Age (Lest Bxthdey) Untler 1 yam Untler 1 day B. Oeta of Birth (Month, tley, year) 7. BiMpace (Ciy and state w country) 6a. Place a Daem (CfucN nnN one) Mwh DaY9 Hers 9anuee r+osplw: aver: 7 9 vrs. an , 2 9 1 9 3 0 Carlisle P a . ^ Inpatrent ^ ER / outpatrenl ^ DoA C'1.+e~1 Hare ~-/~(I r BE. County of Deem &. City. Bore, Trwp, a Deets Bd. FecYiN Name (" nd inaiweon, give shed erM number) 9. Was Ikaetlea a ~ ~Residarwe ^Otlur - SpedN: " ! 1 Hispanic Origin? ~ No ^ yes 10. ~ : M rican Indan. Bkch, Wh"e, eh. I Cumberland South Middleton 562 Mountain Road 1"rea''pacl"'c°ba"' M.xican. wan' Rlw°' em.) White 11. DecetleM'a UauY don KYd d was tlau most d rye. Do nd state re 12. was Decadent ever N ere 13. Decatlent'a Eduatlon (SpadN Dory highest grade mrnplelW) 14. Memel Stapn: Mauled, Never Msrded. 16. Surviving spouse IH wile, give rtleitlen name) Kkq d Wak Karl a Buskwae / Indeuy U.S. Amretl Forces? Eremerxery /Secondary (0-12) Col Wltlowaf, Divorced Housewife 'agan'oru) (speaM Domestic ^va ~lw g rg Widow N 16. DecetlenYs Madmg Atldas9 (Sheet, dry / rown, state, zip code) Decedent's °~ 562 Mountain Road °cA~R~ 17a.swre Pa - °"°ee°am ''~ ro~n~ni+ nc.®vea.pededa,tLiredm SO, Middleton TwA Twp o Boiling Springs, Pa, 17007 17b. cepmy Tm land p t7e.^Nn, DxwMnllmdwhhin 18. Fedui 3 Name (First, rriitlde, rea, sabot Aaua liab d CM / Barr U 19. Mdner's Name IFirsL maids, maiden sunuuu) o Charles Scott ZOa. InromunYS Name (Type /print) 20b. Inlortnanrs Mehmg Adtlress 13heel dry! town, stele, zip code) La Donn 560 Mountain Road Bailin S tin s Pa, 17007 z1e. Metfgtl d Dlsposhia, ^ Gemeda, ^ Ixnmia, z1b. Dare d Dleoo9tkon IMonm. °w ~ Burial ^ Removal tram sate I mr, Ysm) 21 c. Place a Disposition (Name d cemetery, aemarory a anar pace) 21tl. Lacetion (Chy / wwn, sole, np atla) Iw..a.tlreBOn«oars"a,A°"rod:ad^va9^NO Sept. 1, 2009 Mt, Zion Cemeter ^ other-~r , MMadkalfxamkur/carorry aFanmdseniceL ( as ) 22b.UCetneNUnlxe z2c.NarreandAddeesaFachiN Y Boiling Springs, Pa, D-011932-L Hollinger FH/Crematory Inc, 501 N, Baltimore Ave. re burrs r3ac say whin o«Alrng z3a r a mY ocaxred u ma ",,,,, mm a pas areted. wre and lea 11 S r i n S P a 1 7 0 6 5 phyetian b not avalrede al are d dYM a ) 236. Cleanse Number ~~y 23c. Dale Sigrred (MOdlt, day, Year) o9rwym«eaaeam ~ 69/l/J /~!~ G'~y~~i~5,~- 4 t pains 2426 miul M axnpmed by person 24. Tine d Deem 25. Data Prmaacetl Deetl (Mash, der, yeerf ' / `d ~ $~ Z p wM pranlxxea deem. ~~ Q ~ 26. Q Cane Referred ro Me6al Examiner / Cacner for a Reason Other than Cremation or DauMn? /~ . M. / r ICI Z ~ ~~ ~~ Yes ~No CAUSE OF DEATH (See Inatru°tlona end examples) t Appmximete mrerval: Pan II: Enlm other hem 27. Pan I: Enter the also d evmre- tli9easm, ayares, a oanpfieercaa -mat ~ ~ ~ 28. Did Tobacco Use CmkiNde t° Deam7 respiralay enmt, a vMlldcular fibaetion wleroul shosrl Oa dry' ~~~ ~ deeN. W NOT surer lemsnal avems such as cmdec arrest, rlg eMbgy. Ud mN one cause °? earn IiM. ~ Oneel ro Death pal not msultlrp in me undedyirq cause give„ m part I. ^ Ves ^ IcM"rrdEtxD1"i r~esuClaAg$E IFial)daease a //II /) ' ^ No Unknown m deem _~ a. _ rlC r ~~ G<.!/2 rl.! GfL ~3r1..pc]~ /~yn'r' // / Due tp (a as a romequence r / /•l %C !ti` C L.. ~ ?~e~q~ z9. It Female: Ga caMiaons, d arty, b, .Gj e l/.~ l'~? ~~~ /-y-~ ; ~NOt pregnant wi"ml past Year FnM 10UNDE~RL~YM CpUS s. Due to (or as a ' ~~.' (assess a injury mat initiated tl1e ~~ ~' t /~ ^ Pregnant el Ima a tledA ermb r•sula5 n tleelh) UST. ^ Na pregnant, but Prs9nenl wimin 42 days a Due b a es e d tleam I consequence a): d. ^ Nd pregnem, put pregrunt 13 days t° 1 year w 30e. Was an Autopsy 30b. Wine A F i balsa deem MWW ndngs 31. Meurer a beam 32a. Date of In ^ UnYrmw° rc pregned wddn ~ ~sl Year Penametl? Avallade Prlor ro Caiglepon rrr---~~~- Wry (Madh, tlay, Year) 32b. DescrlLe How Inryry 0¢urred d Cause d Death? I,CI Natural ^ Mankxle 32c. Plaro d injury: Wma. Farm, srem. Feaory. OBxe Bdrolrg, etc. (Speciyl ^ v~ f] ~ ^ va: ^ r1o ^ Acwent ^ PeMip Invesligetipn 3zd. Tm1e a mbrry 32e, injury al wore? 3z1. rc turn ^ Sdtlda ^ Caad Na M Daarmirwd ^ Yae ^ No ^ DMer / Operate N^/Passa+Nom ^Peasl' fig. L°`atron of Inpry (srad. sty / rown, state) 33e. Certifier lareck ady one) M' abet' SpsaYy: • Ca'mNin9 pnyala.n (Pnysidan cemNl~q cause d deem wnen anomer 336. slg~uwre Irma cenitrer To tM beet a Dnysrlan has prawurx:ed deem and canpreted hem 23) ~ ~ ~ 1j my loawredpa, deem oceurree dwrotM nuss(a)arM nunrer .. ateted------------------ _ ^ Pronouncing and eenityltq phyeklan (Physiden bah prawundrg death aM cerlrcy'eg to cause d daah) _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ Tome Mst d mY lorowredge, death oocurretl a the IMN, Mh, aM place, and due Io tM ea _ _ Fz.~ 33c. License Number 33d Dale signed IMmm, daY, Yeer) Medkal Examtrur /Crooner use(s) aM manner u aretsd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Gl ~ J ` ~ ~ ~~ ~, ~~/j-- n ~ ~ M' o On tM Msis d exanlnallon entl/ or Inveg"ga(Ipn, m my opirdon, Malfl «eurred at tM titM, dine, and Platt, erq due to IM caus(e) and manner sa stetad_ r/^ J ~ 21 C ~ ~ ~ 5 J ~L vVV 3l Naas antl 9 0l Pa 0 36. Regi s wre mq~sfadrN~wTo ~ ~~ . MPn ~p CanVblad Cause d Death Qlem 27) Type / Pdnt ~ ~ k~tC, t-_.~y,,_ ~ I ~ I c~. I ~ I ~ I Data Rlad (MOnm. my. va,l 3 ~ V ~;V, ,~u~.i~!'/9~nrr-.~ i - ~'? ~ ~... /I//'1 ~~~~ ~ rr,, /~~' 1 ~~ti , Dispositpn Pemut No. LAST WILL AND TESTAMENT OF BETTY A. SWEENEY I, BETTY A. SWEENEY, of Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM ONE: I direct that all my debts and funeral expenses, including my gravemarker shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM TWO: I give, devise and bequeath my entire estate to my four children, Harry L. Sweeney, Jr., LaDonna Lee Miller, Joannie Ann Leaphart and Margie Jo Fish, share and share alike per sterpes. In the event that any of my children predeceases me or is not then living on the 61st day after my death, then I devise and bequeath that their share would go to their issue. ITEM THREE: I appoint LaDonna Lee Miller, Executrix of this my last will. Should she fail to qualify or cease to act as Executrix, I appoint Harry I,. Sweeney, Jr., to act as Executor with the same rights, powers and duties. ITEM FOUR: All estate, inheritance, succession and other taxes, imposed or payable by reason of my death, and interest and penalties thereon, with respect. to all property comprising my gross estate for tax purposes, whether or not. such property passes under this will, shall be paid out of the principal of my residuary Mate, without apportionment or right of reimbursement. ITEM FIVE: I direct that my personal representative or guardian shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ~ _ BETT A. SWEENEYn -~~ ~} PAGE ONE OF THRF,E PAGES i c; ,,: ~ }~ = ~ ' ~ g .~ ~~ W .. _.,..'t1 i' . ..r G :s t,"`1 V ..~ ITEM SIX: In addition to the rights and powers given to the fiduciaries by law or elsewhere in this will, I give to my Executrix during the full time necessary and for the administration of my estate the following rights and powers to be exercised in his sole discretion: A. To retain any real or personal property which may at any time form a part of my estate so long as he or she deems it advisable. B. To invest in any real or personal property without restrictions to legal investments. C. To repair, alter, improve or lease for any period of time any real or personal property and to give options for leases. D. To sell at public or private sale, for cash or credit, with or without security, to exchange or to partition real or personal property, and to give options for leases. E. To make distribution in kind. F. To compromise claims. IN ~ TNESS WHEREOF, I have hereunto set my hand this ,~~~ da of Y 2005. SIGNED_ y~~'~,,~ ~/ BET7' A. SWEENEY The preceding instrument, consisting of this and two other typewritten pages each identified by the signature of the Testatrix was on the day and date thereof signed, published and declared by the Testatrix therein named as and for her last will, in the presence of us, who at her request, in her presence and in the presence of each otl~• have subscribed our names. PAGE TWO OF THREE PAGES COMMONWEALTH OF PE1~INSYLVANIA ss COUNTY OF' CUMBERLAND We ~Ut~ v' c~ ~ ~~ ~~o and ~~t ~~ ~ o~ (.C' s ~f / witnesses whose names are signe to the attached or foregoing instrument being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her last will; that she signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge, the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn and subscribed to r before me this p~,`'A day of ~'~,t~•.•c~%~ , 2005. ~~ No ry Public P.otarial Seal Bridget Ann Corcoran, Notary Public C2rliste Boro, Cumberland County My Cor.~rnission Expires June 10, 2006 Member, Penns;~IvaniaAssociatfonotNotaries COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss I, BETTY A. SWEENEY, whose name is signed to the attached instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last will; that I signed it as my free and voluntary act for the purposes therein expressed. Swor a 1 d affirmed to and acknowledged before me this ~~ day of 2005. Pdotarial Seal p Bridget Ann Corcoran, Notary Public ( Carlisle Boro, Cumberland County My Commission Expires June 1'.i; 2006 ~ ~ ; C%~,~/\ Member, PennsyiLar,a as--~- s~ria±;~n~; r,rv,G es otary P blic PAGE THREE OF THREE PAGES