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HomeMy WebLinkAbout09-24-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Betty R. GOOdhart File Number _ ~ ~ - UQ_ t-~17 also known as Deceased Social Security Number 168264743 Alan L. Goodhart Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW.•) ^X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the last Will of the Decedent dated 11/3/1997 and codicil(s) dated r.~ C7 ° ~~~ ~ ~ -r, , } . Cn named irzttie i -,- ~- "~ T r r~ ~ ..~ ~ i'.... '_ 1 } (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 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 (I,fapplicable, enter.• c.t.a.; d. b. n. c.t.a.; pendente liter durance 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. or d. b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last principal residence at 24 Shiooensbura Mobile Estates Shipoensburg PA 17257 Shippensburg Twp Cumberland Cnty (Lrst street address, townJcity, township, county, state, zip code) Decedent, then 78 years of age, died on 9/20/2009 at M.S. Hershey Medical Center Derry Townshio. Dauphin Countv Hershey PA 17033 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 15.000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 0.00 none 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: Alan L. Goodhart Typed or printed name and residence Form RW-02 rev. 10.13.06 Page 1 of 2 (COMPLETE INALL CASES:) Attach additional sheets if necessary. 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 lrnowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Fetitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me the ~ day of 2009 For the Register Signature of Personal Representative Alan L. Goodhart n rv ~ Signature of Personal Representative -~ ~, `~' -[7 G/~ ~ ; ._~C~ C7 -^t7 r . Signature of Personal Representative - ~ ~1~ y;_~ ~ ~~ 1`~ -^- - T~ ~'- ,~ _ _ - i y, -, File Number: S~ ~ Ug ' OB~i\S can . Estate of Betty R. Goodhart Deceased Social Security Number:168264743 Date of Death: 9/20/2009 AND NOW, Seotember ~~Jr , 200 9 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Lett rs Testamentary are hereby granted to Alan L. Goodhart in the above estate and that the instrument(s) dated November 3. 1997 described in the Petition be admitted to probate and filed of record he last W' 1(and Codicil(s)) of Decedent. J ~ ~f ~~ FEES ~~ ,~{~ Letters $ 60.00 Register of Wills ............................. _ w~a Short Certificate(s) • • • • • • • • • • • • $ 20.00 Attorney Signature: Renunciation(s) •••••••••••••••• $ Will JCP fee Automation fee $ 15.00 $ 10.00 $ 5.00 .. $ .. $ .. $ .. $ .. $ TOTAL ............................. $ 110.00 Attorney Name: Joel R. Zullinger Supreme Court I.D. No.: 17516 Address: 14 North Main Street. Suite 200 Chambersburg PA 17201 Telephone: (717)264-6029 Form RW-02 rev. 10.13.06 Page 2 of 2 ~i~ -~~> LOCAL REIaISTRAR'S CERTIFICATION IOF DEATH WARNING: It i:s illegal to duplicate this copy by photostat ol• photograph. `r~Tur Iris ,~ertificatc. S6.00 P 15848484_ C~erlllication Number H105-143 REV 1111006 TYPE / PRIM IN PERMANENT BLACK INN ri 0 ' '['his i;i G.) certify that the information here ~~iven is correctly copicd~from an uri~rinal Ccrtifie~lte (~.I~Death duly filed ~~ith me as i.ocal RegisU~LU-. The ori11in~(I cu-titicate ~~~ill be f~t~~nvardcd to the >[ate Vital Records Officr fl n- permanent iilin~=. ~~ ~/~ Loc Re~isUar Date Issued n.a C7 `~ C.: ~ w -; ~ - cn .t J r~ ~-f; - i-T i -, ~ ` 1.7 T f r-_ T, ., vl ;,_, ~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS - _ -~ `- .1 . , _. r ~ I , CERTIFICATE OF DEATH ; C --`"~ (See Instructlons and examples on reverse) "-1 -- 1. Name d Decetlem (First, Initltlle, lest sash) 2. Sex _...._..-_.. 3. Sopel Semdy Number „_ _y __ lr,' ale of Death (Month, day, ~ Betty R. Goodhart Female 168 - 26 - 4743 September 2009 5. Age (lest Birdday) thxler 1 year Under 1 tley 6. Date of Bkth (Month, tley, year) 7. Blrmpece (C all style or krei country) Ba. Place d Death (Check only one) kbalx:' Date tloua M>aees Fbspdel: aha: 78 vm. 9-5-31 Shippensburg, PA ®Inpolem ^ER/Outpatient ^DOA ^Nursing Home ^Residerwe ^aher-Speciy: 6b. Counry d Death fie. City, Bom, Twp. d Death fid. Fadlity Name (e not kstild'wn, Yhve prep and number) 9. Wes Decedent d Hispeni Origin? [~ No ^ Ves 10. Race: Amerksn Indian, Black, While, etc. (II yes, speedy Cu[an, (SPe'iM Dauphin Derry Twp. M.S. Hershey Medical Center Mexican,PUerloRiwn etc.) , white 11. DecetlentY Usual Oa lion Knd d work tlone dud moat d wo ' Ne. Do not slsle retired 12. Wes Decedent ever m tl18 13. Decedent's Etlucatbn (Speciy only Nghest gratle competed) 14. Mental Status: Mertieq Never Manisd, 15. Surviving Spouse (If wile, give maiden name) Kind d WorN Kintl d Busbess / IMudry U.B. Armed Forces? Elements / Semnda 0-12 Coll Wirbwe4 DNOrced ry "( ) ~(t-4or5{) ( Homemaker ^rea g]No 12 years widowed 16. Decetlem's Me°k1g Adtlress (Bred, city! town, state,» Code) DecedeM's Ditl Decedent 24 Shippensburg Mobile Estates y Ap°elResiderce nastele PA LNem° nc.L] rea,DeadeMLNeam Shippensburg Twp. rwp Shippensburg, PA 17257 , nb. Comty Cumberland Townshp 17tl.^No, Decedent Lbed wkhm Aduel Limits d City / Born 1fi. Fame's Nenk (Fksl, rtitlde, leaf, aulfix) 19. Momer's Nerre (Firs, midrib, maiden sumeme) Frank L. Glessner Ruth M. Kauffman 20a. Infomient'a Name (Type / PdnQ 20b. InlamaM's Maiing Adtlress (SOeel, ply / )own, stele, tk code) Alan L. Goodhart 399 Walnut Bottom Road, Shippensburg, PA 17257 21 a. Memotl of asposidon ^ Cremation ^ Daretim ® Burial ^ Renpvel from Slate W C • ~ 21 b. Wla d Disposkim (Madh, day, year) 21c. Place of DisposMbn (Name of cemetery, crematory a ama place) 21 d. Lacdion (City /town, stele,-zip code) as rematbn or Donetlon AutharWd ^aner~specify: hyMeelalExaminerrcoroner7 ^vea^No 9-26-09 Spring Hill Cemetery Shippensburg, PA 17257 22e. Sigrebre (a palm aping es such) ~r~~ 226. Limrse Number 22c. Name antl Atltlress d Fadliry -'l~•~ FD-012984-L Fogelsanger-Bricker Funeral Home Inc., Shippensburg, PA 17257 Complete Kerns 23ac aiy when flying phyaxien is not evakede d lime of death to 23a. To gie bed d my krowlNge, Death oaunetl at the tbie, date end sldetl S' pie . (gndure entl INe) 23h. License Number 23c. Dale Sigrred (MOMh, tley, year) cenily cause d death. Kerrs 2426 mud be wrri kletl b P Y Darean wM prmanxes dedh 24. Tana d Death p 25. Dde Pronourexid Deetl Mmm, da , er 1 Y Ye) 26. Was Cese Hdemd to Metlical Examine /Coroner Ia a Reason aher than Crematkm or Donatim? . g' 20 1 M SL 1•(.IYI bQ.Y L~ 1 Z~~ ^res Q~No CAUSE OF DEATH (See Instructlons end examples) , Approximate mlerval: Keen 27. Per) I: Emer the plain d events -diseases, kljunes, or cemplicdions - tllal &edty caused me death. DO NOT enter lamina) evems such as cerdec arted r Pad IC Enta dher aiatifirenl mdKois axilr~ vn t tledh, 2fi. Ditl Td>acco Use Cumnbde to Deelh? , Onset to Dedh respralay ertest a veMRUler fibdlletbn willwd Showing the etiology. List only ak cause m each Ilse. - i hd not resuking in the untlertying cause given in Pen L ^ Yes ^ Probably ~ WMEgATE CAUSE IF~nal disease a J l ~ ^ No [ ] Unknown ,~~[ n y,, mrtddbn resuKkg m Ihj -~ a. x.21/ I Y afioru OJ1 p r U'10.i fa lu re i Q,' 11 1 al ~Fibr'fllanon 29. II Femek: Due to as a con nee op: ~ ^ Nd pregnant wimin pas) year SaqueMidN tat mMKiona, d am, b. (anOl C li'l'h i ASi 5 i I/4l (]O1I S 1 Qn .~.QyI lee to cause lismtl m ins s. _J Y\`' ^ PregraM el4me d dee,h J • Eller UNDERLYING CAUSE Due to (a as a mnsequa¢e ol): r r ^ Nd pregnant, bd pregnant wkhin 42 days (dsease a iljury Inat milieletl the evems resuk'rg n death) LAST. c' ~ d death Due to (a es a cauequence op: , ^ Nd pregnant, bM preglaM 43 days to 1 year d. ' bebre death ^ Unknown H pregnant wKNn the past year 30e. Wes an Auopsy 30b. Were Autopsy FNdings 31. Manner d Death 32a. Dale d In u Madh, de , Petlartned? Ava4ebk Prbr b Canplelion 1 ry ( Y Yid 32b. Oescdbe Now Injury Occurred 32c. Place d Injury: Hans, Farm, Street, Fepory, d Cause d Dealh7 ®Ndurel ^ Homicide OKke Building, dc. (Spedly) Yes No ^ Q yes No ^ ^ ^ Acptlent ^ P,edmg kwedigalbn 32d. Time d Injury 32e. Injury al Work? 321. II Transpatetbn In u I ry (SDesM) 32g. Lorelion d Injury (Street, cky /town, state) ^ Suidde ^ Caid Na be Determined ^ Ves ^ No ^ aiva I Operetor ^ Passenger ^Pedesl!ian M ^aher' Specify: 33a. Cendia (check aiy aw) 33b. Signature erM T41e of Cedilier • CMNylrg phyaklen (Physiden cm°ying reuse d Beam when another physiclen has prmounced deem and cortpk4etl Item 23) To the heeldmy knowledge, tlesth occunetl duebthe wuse(s)entl manna tie etetetl_________________________________ ^ • Prawundng and ceddying physldsn (Physclan both mnouan tleath d nl i - D g en ce ty ng to cause d death) tt To tlm hest d m k ktl d m 33c. License Number 33d Dd Si tl M h i~tt y nww ge, ee oaurrM et the lMe, ride, and place, ell tlue to the uuse(e) antl manner es smled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ r fi . e grw ( , tley, year) OM • Akdkel Exeminer I Corms On the heals d examindion M / I l b ~~ I A 5 2 0 2 J // Q 120 O er m nred gd n, b my oplnbn, death occurtetl M the time, date, end pace, and due to the auegs) end manner as slded_ ^ ' 3i. Name antl AOtlress al Persm Who Canpeletl Cause cl Death Qle 1 m 271 Type /Print 35. Registrar's Signature and Distract Nu - I z F ~ I ~, I / I ,~I 36. Dde Fi (Mmlh, tley, year) z M,S. HerShe Medical Ctr. W~ Ng y ~ Hershey, PA ] 7033 DisposAbn Perrnit No. ~ ~ ' i 5 ~ y 'V JRZ - 5.1 goodhart.2 October 22, 1997 LAST WILf~ AND TESTAMENT 7''~~ r~ ~, _. ~ w ~S_1 s~~ in1' j~: ~x ("•f f't~•i r l~_~_I1 ~ _ hi C ~ ~ ''' '~`~. I, Betty R. Goodhart, of 24 Shippensburg Mobile Estates, Shippensburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and under. standing, do hereby declare this to be my will, hereby revoking any and all former wills and codicils thereto by me heretofore made. I. I direct that all my just debts and funeral expenses, including all expenses of my last illness, shall be paid from my estate as soon as practicable after my decease as a part of the expense of the administration of my estate. II. I give, devise and bequeat:Z the residue of my estate of every nature and wherever situate to my children, namely Alan Goodhart, Ruth Wiser, Laura Motta, and Edwin Goodhart, Jr., in equal shares, 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 said beneficiary's issue, per stirpes, living on the thirty- first day following my death, and in default of any such then- living issue, such share shall be added to the share or shares of my other children. t I'~ . In the event that anyone entitled to a share of my estate shall be under the age of twenty-one years at the time for distribution to such beneficiary, ]: constitute and appoint Alan Goodhart as trustee of any property which passes either under this will or otherwise to said beneficiary. Should Alan Goodhart predecease me or fail to qualify as trustee, I appoint Edwin Goodhart, Jr., as trustee of any property which passes either under this will or otherwise to said beneficiary. Said trustee shall in the trustee's sole discretion and without order of court, use principal as well as income from time to time as may appear to be necessary for the beneficiary's we:ifare, comfort, medical care, recreation, support and educat~_on, without responsibility to the beneficiary or to any person taking care of the. beneficiary; and the remaining balance in tY~e hands of said trustee shall be distributed to said beneficiary when the beneficiary attains the age of twenty-one years. If such beneficiary dies prior to attaining the age of twenty-one years, eai.d trustee is authorized in the trustee's discretion to pay part or all o:F the beneficiary's funeral expenses and the remaining balance in the hands of said trustee shall be distributed to the bene~iciary's personal representative., In the eveni: t}:e funds held by the trustee for any beneficiary become in the o~:in2.on of the trustee too small for Page 2 proper and efficient administration, the trustee, in the trustee's sole discretion, may deposit such funds in a savings account in the name of the beneficiary. IV. Any fiduciary under this will shall have the following powers in addition to those vested in them by law and by other provisions of my will applicable to all property whether principal or income, including property held for minors, exercisable without Court approval, and effective until actual distribution of all property: A. To retain any and all of the assets of my estate, real or personal, without regard to any principle of diversification of risk. B. To invest in all forms of property including stock, common trust funds and mortgage investment funds without restriction to investments authorized for Pennsylvania fiduciaries as they dev~m proper, without regard to any principle of diversification of risk. C. To sell at public or private sale, to exchange or to lease for any period of time any re«1 or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as they deem proper. D. To allocate receipts and expenses to principal or income or partly to each as they from time to time think proper. Page 3 E. To compromise any claim or controversy. F. To distribute in cash or in kind or partly in each. G. To hold property in their names without designation of any fiduciary capacity or in the name of a nominee or unregistered. H. I wish to advise my executor that I have a number of items of personal property in my home which belong to my children. It is my desire that they nat be considered a part of my estate and that my children be permitted to remove them from my house following my death. V. I direct that all taxes that may be assessed in consequence of my death of whatever nature and by whatever jur.i.sdiction imposed, shall be paid from my residuary estate as a party of the expense of the administration of my estate. v;~ I appoint my son, Alan Goodhart, as executor of this my will. Should my son predecease me, fail to qualify or cease to act, I appoint my son, Edwin Goodhart, J3-., as executor of this my will. Page 4 vII. No bond shall be required of any fiduciary hereunder in any jurisdiction. IN WITNESS 1~HEREOF, I her~sunto set my hand a:nd seal to this my last will and testament, consisting of six typewritten pages, the first four of which bear my signature in the margin for the purpose of identification this _~~ day of /l/U-~~l~~,t.~i(~ , 19~. ~-- (SEAL) Signed, sealed, published and declared by the above-named testatrix as and for her last will and testament in our presence, who in her presence, at her request and in the presence of each other have hereunto set our hands as attesting witnesses. . ~ / ~! ~~ ~ ~~~~~ We, Bett7 R. Goodhart, _~o ~ 'R. Zuyu-~ N ~ EYE and Lot= z, P~2 2 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 Page 5 undersigned authority that tine testatrix signed and executed the instrument as her last will and testament 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 said testatrix, signed the will as witnesses and to the best of their knowledge, said signer war at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. statri.x ... r Witness Witnes ~ Subscribed, sworn to and acknowledged before me by the above-named signer and subscribed and sworn to before me by the above-named witnesses this 3~~ day of a'be„-„pov_ti. ~ 19_r'1'~- ~~ ~ . No ary Public - ~.~yr2_bn,~'`;a^a ~~ir~.,; ~zrcts ~, X01 Page 6