HomeMy WebLinkAbout09-29-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
Estate of Kathryn T. Shoemaker
also known as
Deceased
COUNTY, PENNSYLVANIA
File Number ~S ~ ' 0 1 - l~ ~ ~ 1
Social Security Number 189-09-5034
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 Co-Executrices
last Will of the Decedent dated November 20, 2003 and codicil(s) dated none
(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 life; durante absentia; durance minoritate)
(COMPLETE INALL CASES:) Attach additional sheets if necessary. ~~ ~-~ {~~- ~~=~ ~'
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal i~itce at --
29 Garden Drive. Carlisle, Cumberland County, Pennsylvania 17013 -r-, --t ~-• ~ .. `_'
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(List street address, town city, township, county, state, zip code) -- ~, '~
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Decedent, then 89 years of age, died on September 11, 2009 at Carlisle Regional Medical Center
Carlisle, Cumberland County, Pennsylvania 17015
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ s"'o, a o a
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ / ~ ~ ~ ~ ~
situated as follows: Z 1 ~~~!'~G~+ ~~' `pit ~Z • ~ ~'S << ~'/L / '7 01 3
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 tore T d or rinted name and residence
X ~...~ Doris K. Townsend, 1309 Sadler Drive, Carlisle, PA 17013
~ ~ Phyllis E. Jones, 11 Garden Drive, Carlisle, PA 17013
named in the
Form RW-02 rev. 10.13.06 Page 1 of 2
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.)
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
~~
fore me the `OS ~ day of
OV~
a ~~
For the Register
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Signature of Personal resentative
Signature of~rsonal Representative
Signature of Personal Representative
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File Number: ~ ~"~` ~ g ~ 1
Estate of Kathryn T. Shoemaker ,Deceased
Social Security Number: 189-09-5034 Date of Death: September 11, 2009
AND NOW, ~~~ ~~. ~ ~ , ~w L, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters testamentary
are hereby granted to Doris K. Townsend and Phyllis E. Jones
in the above estate
and that the instrument(s) dated November 20, 2003
described in the Petition be admitted to probate and filed of record as the last
FEES
Letters ............... $ 2.~ ~ CX~
Short Certificate(s) ........ $ /~ (o . U O
Renunciation(s) .......... $
l~ r (.1_ ... $ is • ~~
~GP ... $ ~ d • (~
Plx-~y r~-- fir, ... $ S . y0
... $
... $
... $
... $
... $
... $
TOTAL .............. $ ~ .cap .~
(and Codicil(s)) of Decedent.
Register of ills /~ U
~J
Attorney Signature:
Attorney Name: Michael A. Scherer
Supreme Court I.D. No.: 61974
Address: O'Brien, Baric & Scherer
19 West South Street
Carlisle, PA 17013
Telephone: (717) 249.6873
Form RW-02 rev. 10.13.06 Page 2 of 2
OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 15729967
Certification Number
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.
~'sE i s /200
Local Registrar Date Issued
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TYPE/PRINT IN COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
t. Nrne a Dacederp (Flnt, mdela, bu, eanz)
STATE FILE NUMBER
KS h T . Shoemaker 2• se^ 3. sodd s.aany Number
Female 189 - 09 -5 4. Dab a Deem (Morph, day, y..rr
5. Aq (lad Bktldeyt tlrrder 1 under, de 034
6. Deb d Bkm (MOnm, 7 and elate a Se tember 11, 2009
llaw~ re. Pba d DsaM Check are
89 ~" "~ `~"~ Oct. 23, 1919 Carlisle, PA "°°p'~'~ 01~
' Yp.
eb. ca.ry a ouh ^ ER / a,p.uarp ^ IxM ^ ~a Non,. ^ RaNdaae ^ACpr .
~. coy, Twp DseCr ed. r-.arY Nenp (n not irpMuObn, plve aYest and renrbsr) e. wr Dsadap a ~M
' Cumberland S. Mi leton Carlisle Regional Medical Center ~~ ®~ ^~ 10~ ~'a~wNb..~.
to r•a elwMy Cubrr,
M.xiarr, Pualo Rkprl, stc.) White
~,. Dscadsrp'a llnap a wok doe moo a tw. Do not eat. talked ,2. Was Dscadap ever in me ,3. Dacsdap~s Edurprorr (spady apY hglpa tam compNted) ,a. MaNel stihp:
1°rd a wok tttnd d Budrpes / Nrduelry U.S. Amud Facse7 Elerrrerpery / gory (tY12) -darbd, Never Mauled, 16. sravMrg Spouse (H wtb, giw npi0en rpme)
Conspe (1-4 a 5+) wWovrsd, Dhrorcad (SpecUy)
Secrete Coll a ^Y« C~No 12 Widowed
18. Deadenre Merrp Addpp (StreN, cnY / bwn, stile, bP coda) Decedent's ~ Decedent
29 Garden Drive Acepl R«aare na. stib PA ? ,7~;[] Y«, I~edap I.~ad h North Middleton „~
Carlisle, PA 17013 ,7b.c«apY Cumberland »a^rb,pscsderpliwdwitlpn
1e. FeCw'e tarn. (Plot, midrib, bet aunbr) AcWd Llrrpb d Gh / Boo
Albert C . GOOdhaL't 19. Moma's Nara (Rpt, mddb, mdden wmme)
Bertha Bishop
2°e. InlomWp'a Nenp (Type / Pdrm 20b. Intanrarre MetNrq addrsee (street, dty /town. eteb, zfD code)
Doris Townsend 1309 Sadler Drive, Carlisle, PA 17013
21s. Harrod d Dleposnbn ^ Crarpron ^ Dorman 21D. Dab a tAepodnon (Moran, day, year) 210. Plea a °kpoeilbn (Nerve a
Brsbl ^ Renaud hen Stile Wee Cnnptlon a DalMbn Arrtlarlaed 0B1A~Y, ~~Y a omer Pba) 21d. loatlon (Coy /town, atib, bD ado)
^ -spay: byWtlalEa.arnre,,caal.r7 ^Yea^~ Sept. 16, 2009 Cumberland valley Memorial rlisle, PA 17013
~ ~ a s«Yw plan... (a va•an•a~+o as ~- 2zb. ~'° ~``~ NB11B eAd'~1°" a r Hof fman-Roth Funeral Home & Cremato
- 138425 ry, Inc.
Carpbb name 23ee orgy when oeANykg 23a. the treat a , deem oxrared d Cie rRp, Place dabd. (Slprnkae and tlue SiprlW (tdonm, . ya.r)
phyekpan r na evaneble d tklp d dear, b /' // -~ w ~~ ~~ ~ ~,~ ~~ 23c. Dab
aroy saw d da.m. I` Xl/X`/l [~ 9 ! r
Mart 2a,2r moat be conrplepd M P•reon 24. Tkne a Death 25. Dab Dead Morph. O ~~
( ~. ~' / / ~ O ~ 28. WaeYCsee Retorted b Haricot Exarrkpr / Coroner br a Reason glpr rpn Cranetlon a Donelbn7
who pronouresa deem. ~ 1 a/ M 2 G ^
CAUSE OF DEATH (See batruoUpne and ante ) r Appro>dnpte kperval; Part II: Ewer oCpr
Ibm 27. Pen I: Piper Cu {~-p~~ - dmwee, , a ~ _ rpt ~, rprpBd rp deem. DO FIDT error bunirld evapa such ea ardac sued, t 28. Did Tobaooo Ihs CorprlDule to Dsam7
~ ~reepkdorq arrest, a verprlaAar CbrNbron wiCaa ehowng the erolopy. Uet spy oa arw on each one. r Orpel b Deem but not paptlrp h me urrdedykp aae even h Part I. ^ Yee ^ Probably
r
a~i roeuerN h drlh) dhsaw a ~ ` r ^'I~o ^ lhYrrawn
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Drp b ; 2fi, n Fe~ela:
b cause CWd on one a. r
~ arrdCorp, C ~' b. ~ ~~ r ^ Pr'egnant d tlme as dedh
(6~ae!rMe aUIirypraERyLY~NO CAI18E ~ m ( a)
°""R reerarep ~'n deatlr c. L.~Q ~ i ^ ~Pmprarp, bd WeCnvr wirpn a2 days
Dru a (a as a oo'wgwrce ory: r
d, i ^ Not praynrp, but prsyrprp a3 days m t yea
t !plop deem
30a. Ntie an Autopsy 30b. were Aubpey FYgrpe 3,. Mwpr d Dsarr 32a. Date a ^ lArrrawrr C progrlerlt welm the Peat year
Perbrnpd7 Avaneble Prig b Conpbdm ~rY (Ham, say, year) 32b. Desaibe How IrQury Ocaxnd ~' 0~ a~ ~Yl ~~' Fedory,
a caw a De.m7 I ^ tbrrpdda
^ Yn (1~ ^ ya ~ ^ Aoddent ^ Penarq x,vedipera, 32d. rme a nay 32e. InM,ry at work? 321. n rrmePortird, lnJr,y (Sper#yl
`v ^ Suldds ^ could Na t» DNampad ^ ~ ^ I~+ver / operawr ^ paeeorpw ^Pa ~0' toatla, a lryrry (street, dlr / bwn, atria)
^ Yea
33a. Certlrer (dude only one) M. DCUr - ~°A~'~
' ~q PMd~ (Phydclrr artllykg caw a death when ararpr physlabr, hoe prapaarad death and aarrplsbd nom 23) 33b. rd TrN d Grrrsr
Tor,.tr.atamywawNdw,aeanoaandawbr,.arsep)andmaawaalNea--------------------------------- ^ - '~'` ~+-~ ~ t ~~~% V17r) / 1~9 ~
' ~ arM q PhP~ (fin tam prorauw,ip deMh and caryl,rg b caw a deem)
To rp baN of my bawbdpe, loam oecand at tlp Ikrp, dale, and pboa, and due b rp Dows(e) and nrapr a atatad_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~, ~,,.,` ^ ~ ~ Q~ 33d Deb Slp»d (Mom, yee~
• twdlaltEaaakrr/ceren.r CJyU /Vl S ~ ~ / ~D G
on rp t~ a •x.mbanorr are / a hwstyatlon, M my opkron, drm sarend n the rms. dab, and plate, and due to np cape(s) and marpr r wad.. ^ _
3ti. RepWrar' rw
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Diaposltlar Pempt No. ~. d .~rl '
LAST WILL AND TESTAMENT
I, KATHRYN T. SHOEMAKER, of North Middleton Township, Cumberland County,
Pennsylvania, being of sound mind, disposing memory and full legal age, do hereby make,
publish and declare this to be my Last Will and Testament, hereby revoking all Wills and
Codicils heretofore made by me.
ONE. I direct my Co-Executors to pay all of my debts, funeral and administrative
expenses as soon as convenient after my decease. Furthermore, I direct that all state, inheritance,
succession and other death taxes imposed or payable by reason of my death and interest and
penalties thereon with respect to all property composing of my gross estate for death tax
purposes, whether or not such property passes under this will, shall be paid by the Co-Executors
of my estate.
TWO. I direct that all of my household furnishings be divided equally amount my
two (2) children, DORIS K. SHOEMAKER TOWNSEND and PHYLLIS E. SHOEMAKER
JONES, and any items which they do not want to retain should be sold at public sale with the
proceeds distributed as set forth in paragraph three (3) of this my Last Will.
THREE. I give, devise and bequeath all of my estate of every nature and wherever
situate to the following:
A. Carlisle Brethren in Christ Church ~
115 Walnut Bottom Road, Carlisle, PA ............................. 10% ~
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B. My daughter, Doris K. Shoemaker Townsend ................ 14%?-
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C.
My daughter, Phyllis E. Shoemaker Jones ...................... -..
14%c` ~ ~~~ -n
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D. My daughter-m-law, Carol Shoemaker ............................ ~
14%~ ._._ ~--' ~ ;-_.?
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E. My granddaughter, Michele Suzanne Eager ......................7%
F. My grandson, Mark Thomas Eager ...................................7%
G. My grandson, Scott Jeffrey Shoemaker .............................7%
H. My granddaughter, Holly Lyn Shoemaker .........................7%
I. My granddaughter, Kelly Renee' Jones ..............................7%
J. My grandson, Aaron David Jones ......................................7%
K. My adopted grandson, Gregory Edward Hill ....................6%
FOUR. If one of the forenamed has predeceased me, then their share will be
equally distributed to their issue then living. If one of the forenamed has predeceased me without
living issue, then said share will be equally distributed equally to those named above who survive
me.
FIVE. I nominate and appoint my children, DORIS K. SHOEMAKER
TOWNSEND and PHYLLIS E. SHOEMAKER JONES, to serve as Co-Executors of this my
Last Will and Testament. It is my express desire that my Co-Executors give the first option to
purchase my real estate at an appraised market value price, if I still own it at my death, to my
daughter, PHYLLIS E. SHOEMAKER JONES.
SIX. My Co-Executors may, at their discretion, compromise claims, borrow
money, retain property for such length of time as they may deem proper lease and sell property
for such prices, on such terms, at public or private sales, as they may deem proper; and invest
estate property and income without restriction to legal investments.
SEVEN. No Co-Executor acting hereunder shall be required to post bond or enter
security in this or any jurisdiction.
2
IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of
November, 2003.
y
f.SEAL)
KATHRY T.SHOEMAKER
Signed, sealed, published and declared by the above-named person as and for a Last Will
and Testament, in our presence, who at said person's request, in said person's presence and in the
presence of each other have hereunto set our names as subscribing witnesses.
CHER L.CLELAND
~/ ~~ t
TRACI D. SMITH
3
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ACKNOWLEDGMENT AND AFFIDAVIT
WE, KATHRYN T. SHOEMAKER, CHERYL L. CLELAND and TRACI D.
SMITH, the testatrix and witnesses respectively, whose names are signed to the 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 herein expressed, and that
each of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness
and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or
older, of sound mind and under no constraint or undue influence.
I{ATH T. SHOEMAKER
L (,ua ~
CI D. SMITH
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by KATHRYN T. SHOEMAKER,
the testatrix herein, and subscribed mo~d,, sworn to before me by CHERYL L. CLELAND and
TRACI D. SMITH, witnesses, thisol~'day of ~T-___---'-__ nnn~
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OATH OF SUBSCRIBING WITNESS(ES) ~~~~ ~~
REGISTER OF WILLS ~
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Cumberland COUNTY, PENNSYLVANIA ~,
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Estate of Kathryn T. Shoemaker ,Deceased
Traci D. Smith , (each) a subscribing witness to
(Print Name/s)
the ®Will ®Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / lie / try was / ~ present and saw the above ~stact~~/ Testatrix sign the same
and that she /~~ / ~ signed the same and that she htl~eyx signed as a witness at the request of
the ~` /Testatrix in her /~ presence and in the presence of each other.
ignature)
/'Yl
(Str t Address)
~ ~~ / ~~/
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
NOTE: To be taken by Officer authorized to administer oaths
Form RW-03 rev. 10.13.06
(Signature)
(Street Address)
(City, State, Zip)
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this oZ ~' ~ day
of ~ , ~ a~•
No ub
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Please have present the original or copy of instrument(s) at time of notarization.
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Martha 1. Noet, Notary Public
CarlisN Boro, Cumberland County
My Commission Expires Sept. 19, 2011
MemHer, p~ttngylVr-Ptll~ l4~aols#ton Af Notaries
OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
Cumberland
COUNTY, PENNSYLVANIA
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Estate of Kathryn T. Shoemaker ,Deceased
Cheryl L Cleland , (each) a subscribing witness to
(Print Name/s)
the ®Will ®Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / ~ / t~ was / xSae>Qe present and saw the above x/ Testatrix sign the same
and that she / / ~x signed the same and that she ~~l~e / tk~ signed as a witness at the request of
the '~f~' /Testatrix in her /~ presence and in the presence of each other.
r
(Signature) v ~ '
(Street Address)
~~Dl~
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
(Signature)
(Street Address)
(City, State, Zip)
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this ~ ~ ~h day
of ~_, Oo
Not ..Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy ~4)141MMLt~~LVANIA
Notarial Seal
Martha L. Noet, Notary Public
Form RW-03 rev. 10.13.06 CarlisM Boro, Cumberland County
My Commission Expires Sept. 18, 2011
Member, Pennsylvartia,4saeeiatien of Notaries