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
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(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
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Signature of Personal Representative -~ ~, `~'
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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
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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
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' '['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~=.
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Loc Re~isUar Date Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS -
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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
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~ 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
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WMEgATE CAUSE IF~nal disease a
J l
~ ^ No [
] Unknown
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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
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nl
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D
g
en
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ty
ng to cause d death) tt
To tlm hest d m
k
ktl
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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 /
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b
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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
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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.
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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.
. ~ / ~!
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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
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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'~-
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No ary Public
- ~.~yr2_bn,~'`;a^a ~~ir~.,; ~zrcts ~, X01
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