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HomeMy WebLinkAbout08-14-09Prepared By: Francis A. Zulli, Esquire Register of Wills of Cumberland County, Pennsylvania August 10, 2009 PETITION FOR GRANT OF LETTERS Estate of LOUIS H. SORG also known as No. F.? ~ - C~~ ~~ O ?~, Deceased Social Security No. 716-09-7231 ;COMPLETE "A" OR "R" RFI n~ni•~ --~_ A. Probate and Grant of Letters and aver that Petitioner is the Executrix named in the Last Will of the Decedent, dated February 27 2009 and codicil(s) dated Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: ^ B. Grant of Letters of Administration heirs: Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if an an Y) d Name Relationship Residence c-?C~ ~~ ' .-L_ r-. -.; , --. -~: ~--.. ~- r,. . ~, (COMPLETE IN ALL CASES:) Attach additional sheets if ne T~ ~"' , cessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last Ta residence at 1033 O ster Mill Road Ca il m m or Y principal Hill East Pennsboro Townshi PA 17011 Decedent, then 92 years of age, died on Rehabilitation Center 102 Ch March 12 2009 Stoneb id andra Drive r a Health & Duncannon PA 17020 Decedent at death owned property with estimated values as follows: (If domiciled in PA) (If not domiciled in PA) All Personal property $ (If not domiciled in PA) 0.00 Personal property in Pennsylvania $ Value of real estate in Pennsylvania Personal property in County Total $ 22 500.00 Real Estate situated as foll ~ 00 00 ows: 1033 O ster Mill Road Cam Hill East Pennsboro T• wnshi Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil s this Petition and the rant letters in the a ro ri ( ) res t t Signature p a en ed with e form to the undersi ned: ~ ?. Typed or printed name and residence Che I L. Durham 16 South View Circle Shermans Dale PA 17090 717 582-7650 RW-7 Commonwealth of Pennsylvania County of Oath of Personal Representative The Petitioner(s) above-named swear(s) and 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 of the decedent, Petitioner(s) will well and truly administer the estate according to law. (s) Sworn to and affirmed and s{~bscribed Before me this~`day of _ ':_':_TS= 2009. ~ Y /~ r~ f~v~ ~. •1 ~ _ blr ~ ~~ Cheryl L. Durham -~~--~--..~--r.` `~ DECREE OF REGISTER Estate of LOUIS H. SORG also known as No. I-~C -O~, Social Security No. 716-09-7231 ~ Deceased Date of Death: Marcia 12 2009 ~ a :-= G~,` AND NOW, this I`i~ day of August, 2009, in consideration of the Petition on the rev~rs~side her+eo sa isfactory proof having been presented before me, ., s--~ n, IT IS DECREED that ~'!~ } `~ ., ;.~ -_ ___ Letters ~ Testamentary p of Administration l~ _f are hereby granted to -~~ r- Che I L. Durham v in the above estate and that the instrument(s), if an dated Petition be admitted to probate and filed of record s the last Will of Decedent 2009 described in the FEES Letters------------------$ ~ OL> ~r~. ~ Short Certificate(s) - - - _ _ _ _ _ _ $ GL Register of Renunciation_____________ $ Affidavit( )__ ________-_ f~ ( )-`~'-I-L- - - - - $ r 5 , GL~ Attorney Si a ure Codicil__________________ $ JCPFee________________ A rney: Francis Inventory & Tax Forms - - - _ _ _ $ i ` ~ ., ulli, Esquire . No.: 15316 Address: 109 Locust Street Other - ~~'_tc!;_x _~~ ~_' ~_ _ _ - - $ J ~ , Harrisburg, PA 17101 ~ Tele hone: P (717) 232-1488 TOTAL----------- $ %`I -G`^Il DATE FILED: ~u~ _~ ~. RW-7a This is to certify that this is a true copy of the record which is on 61e in the Penns Ivania the Vital Statistics Law of 1953, as amended. Y llepartment of Health, in accordance with WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ ~, ~~;~ Linda A. Caniglia State Registrar _ APB '400, - No. }~ tl~ 7? ~ - H1GSd~3REVP,12U06 ~'~'~ .~'~. r °`' PGA`+''~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ _ ~ t91dNEflT T.~+ _ . Bach INh CERTIFICATE OF DEATH ~ -~~ ' (See instructions and examples on reverse) ` I G t. Name of Decedent IFirslr middle, last, suhix) ""+ ~~ STATE FIL'~MBER ~~Q1i1 5 ~)Q~,rc 2. Sex 3. Social Security Number 8. Age (Last &nhda Lr O U 1 S [~ , S O r ~ 4. Dale of Death (Maq(~Uay, ye r) . Y) Under t year UMer t daY 6. Date of Both (MmIA, day, year) 7. ~ ~7 Y 6 - d ~ - •7 2 3 I' ~- l Z - ~ srawns Days Hars saewes Mlace (City and stale a foreign country) 8a. Place of Death (Check only one 9 2 yrs. ) HasDhal: Other: eb. coonry or Deam ac cin Boro. n,p. of Deam MOn t A 1 t O P A ^ mpadem 8d, Faci6ry Name III not institutbn, give slrea and number) ^ ER I Outpatient ^ DOA ~ Nursing Home ^ Residence Perry 9. Was Decedent of Hispanic Origin^ No Yes ^Other SDeary Penn Townshi Stonebridqe (It yes. spzcrry Cuban, ~ ^ to. Race: American Indian, Black, white. ek 1l. Decedents Usual Occ atio" INma of work done Burin moss of wakin life. Do rrol slate rehred 1 . I Specify) 2 Was Decedent ever in the 13. Decedent's Educatbn Mexican, Puerto Rican, etc.) Hind of Work Nind of Business / Induslp~ U.S. Armed Forces? (Specify only highest grade completed h Installer r~•~ Elementary /Secontla o~t2 ) 14. Marital Status: Married. Never Married, 15 Surviving Spouse (If wife, give maiden name Elevator ~y Yes ^No ry ( ) College I7-4 or 5*) Widowed, Divorced (Specify) • t6-Decedents Mailing Address (Street city I town, slate, zip code) 1 2 1033 Oyster Mill Decedem•a Road Actual Residence t7a. SWIe P nn y1y" ;; .. Did Decedent Carne Hill, PA 17011 -~-~-- Live in a 17e. ®Yes, Decedent Gved in dS P n ~y~ 17b. County (~lm}1P Township? ~2SLOr0 19. Famer's Name (Firs!, m~tldle. last suhu) r~ 'n~ t id. ^ No, Decedent Lived within --TwD~ -~~ Actual Lknils of Frederick W, SOr 19. Mother's Name IFirst middle, maiden surname) City I Boro ZJa. Inlormanfs Npme IType. Prinlj Gertrude Cheryl t, Minnick ~Url lam lob. Ir,Iormant's Flailing Address (Street city /town, state, zp code) 21a. Method of Dispositbn 16 Southview o ^Cremator Donason Circle Shermansdale PA 17090 [~ Burial ^ Removal from Slate ^ 21b. Date of Dispoa'tbn (Month day year) plc. Place oL Di ~ ^ Omer ~ Specify: i Was Crematbn a Donation Authorized sposdbn (Name of cemetery, crematory a other place) by Medical Examiner /Coroner? 3 1 7 21d, Location (City /town, state, zq code) a ~ 22a. Sgnature of Se - g ) ^ Yes ^No ~ X09 Camp HIll emete e Liters r din as ouch C ry a , ~ 22b. License Number 22c. Name and Address N Fadlity Cam H111 P -~ Fn Neill Funeral Home Inc. Compkle hems t onty when certifying 23a. To the besLof my knowledge, Beam tined at the time, uate and place stated. (Signature and ttl3 ~ ~ 1 ~Ret St • Ca[n Hl l l Wiyxician is avasable at time of death to /aJ'~Jw7y PA 17011 ceniy cause of death. ~G' ~ yd ~ p ) 23b. Lcense Number /~ ~l~! 23c. Dale Sigrred (Month, da ear _ hems 2428 must be camWeted by person 24. rme of Death fj~j 3, / S-.t C ~. Y, Y ) who pra'tounces death. a _ 25. Date Praleurlced Dead (Month, day year) , j ' / Z - (J J ' v j ~ M. 26. Was Case Rzferred to Medical Examiner /Coroner for a Reason Other than Cremation a Donation? Rem 27, Pan I: Enter the CAUSE OF DEATH (Sae Instruetterta and examples) ^ Yes ~ No v n -diseases, injures. or canplications - that fire aused Ute respiratory arrest, or ventncuWr fibrifatbn without showin ~ death' ~ NOT erda tamnal every such as card'ac arrest, ~ APMaximate inlewal: Pan II: Enter other SmniM1cant editions convidm, r 1, a, g ~ etldogY. List arty one cause on each line. Onset b DeaM --Wis..... 28. Did Tobago Use Conttlbule to DeaN? a1MEDIATE CAUSE Final disease a _ r ~ no1 9 wt the uikalyirg cause given m Pan I. ^ Yes ^ Probebty . calditbri resWdng in ~am) ~o r S --- a. ~-~ 11 r ~No ^ lMknovm G Due l0locos a cons U} Se7~nballY lest wridaiorts, R any, 6 C r 29. R Farele: ~dvta La the cause fiaed on ire a. r Enter 8ie UNDERLYIND CAUSE Due to a as a r ^ Na Dregnanf within past year ' (G'sease a iry'tuy Mal iniRaletl the ~"~"~ oty' r ^ Pregrsard at tine d death everts resulting m deem) LAST, c. r r uue to (a as a consequence al r ^ Not pregrwn, but pregnant witlwi 42 days ~ d. ~ d death 3oa. Was an AN t ^ Nd pregnant but ~ Y~r oPSY 30b. Were Autopsy Findngs 31. Manna of Deam r before death pregnant 43 to t Performed? AvaiWble Prbr to Completion 32a Date of Inryry (Month, da , oar ^ Unknown d Y Y ) 326• Desm'be How ky'ury Occurred pregnant within the of Cause of Death? Natural ^ Homkide Pit year ~ ^ Yes 32c. Place of Injury: Home, Fang Street Feclag ~° ^ Yes ^ No ^ Acddent ^ Pending Irrvestigatbn 32d. 7me of Iryury 32e. Injury at Work? 32f. tl T Otlkg Building, etc. ISpaa/y) v ^ Suede ^ Could Nd be DMermined ransponaha" ~~ () 32g. Location of Injury (Street /town, state v 33a. Cerkfia (duck Dory ono) M ^Yes ^ No ^ Dn'~f Operate ^ Passerga ^Pedesuian ~ ) ONer ~ Spedty: ' Tobesl of akun (Fhyslnan ~"g cause of deaM when anaha physioan has 336. S'9nehae and Title d CerMax my knowkd deadt Pronounced death and anpleted Rem V ~ Pronouns' ~' occurrod due to tlro cauw(a) art manner as ateted_ _ ____ _ _ _ _ _ _ _ _ ~ .. m9 and certih'b9 Phy'sicwn (Physigan both prorauncirg deaM and ceN ' ~ Gtr ' ~l.V/ z To thebestdm Mngtocauseddeath) ----'-------------- w Y knowledge, death occurred M the lime, date, and place, and due ro Ble ce u IledlnlExam6NrlCaoner use(s)andmannerassleted.----------- ^ ~'LkenseNumba w On the bash d exanMetion and / a tweet _ - _ _ - _ ^~ ,s ~~ O ~ I L 33d. Date Sgned (Morel, day, year) o Igaton, in my opkdori, death occurred al the dine, dote, end lace, / ~ Y/ 4'G~..~' D~ ' / ~1 ' o D and due to the uuee(a) and marina q ah L a 38. Regi I 's Signature and District urger ~' ^ 34. Name art Address d Person W}p Canpleled Cause M Death (Item 27) Type! Priu ^ I ' ^ z Dale Flied (Month, day, year) ' A/ `~ D ~..rZ~ ~ ~ Nl , wy~ /' Dispostlion PermR No. (J j ~~ ~^^ ..~ ~Q o ~ ~ •pAr I,7 o7~f- t ~ ?~~~Y Dili ~rt~ C~P~Y~zut~ttt ~s c:: cra OF ~ c7 .'=' ~- .:,. LOUIS H. SORG I, LOUIS H. SORG, of East Pennsboro Township, Cumberland County, '_ .~ w._ Pennsylvania, being of sound and disposing rend, memory and understanding, do make, `~' publish and declare this to be my Last Will and Testament hereby revoking all other Wills and Codicils by me at any time heretofore made. ITEM I: I direct that all of my just debts and currently due debts and funeral expenses 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. ITEM II: I give and bequeath my clock inscribed "Louis H. Sorg" to my son, LOUIS H. SORG, JR. ITEM III: I give and bequeath all of my tangible personal property, including my household furniture, furnishings, and other similar items, in equal shares, to my son, LOUIS H. SORG, JR., and my daughter, CHERYL L. DURHAM. If my son, Louis H. Sorg, Jr., should predecease me, then I give and bequeath his share of my tangible personal property to my daughter, Cheryl L. Durham. In the event that my daughter, Cheryl L. Durham, should predecease me, then her share shall pass to her surviving issue. ITEM IV: I give and devise my real estate located at 1033 Oyster Mill Road, Camp Hill, Pennsylvania, but not my personal property contents therein, to my sister-in-law, JANICE REAM, only i.f she survives me. In the event that Janice Ream does not survive me, then I give and devise my real estate located at 1033 Oyster Mill Road, Camp Hill, Pennsylvania, to my daughter, CHERYL L. DURHAM, per stirpes. ITEM V: I give, devise and bequeath all of the rest, residue and remainder of my estate, whether real or personal, or wheresoever the same maybe situate or located, in equal shares, to my son, LOUIS H. SORG, JR., and my daughter, CHERYL L. DURHAM. In the event that my son, Louis H. Sorg, Jr., should predecease me, then I give, devise and bequeath his share of the residue of my estate to my daughter, Cheryl L. Durham, per stirpes. In the event that my daughter, Cheryl L. Durham, should predecease me, then I give, devise and bequeath her share of the residue of my estate to her surviving issue. ITEM VI: I nominate, constitute and appoint my daughter, CHERYL L. DURHAM, as Executrix of this my Last Will and Testament. In the event that she is unable or unwilling to serve in this capacity, then I nomina~e and appoint my attorney, FRANCIS A. ZULLI, ESQUIRE, as Executor of this my Last Will and Testament. ITEM VII: It is hereby directed that my Executor/Executrix shall pay all inheritance, estate, succession and legacy taxes to which my estate for the transfer of any property hereunder may be subject, and to charge such taxes as a part of the expense of the administration, payable out of my residuary estate. ITEM VIII: I direct that no Executor/Executrix or other fiduciary named, nominated or appointed in this my Last Will and Testament shall be required to post any bond or give any security of any type for any purpose whatsoever, any la~v or nllP of t?~e Court of the Commonwealth of Pennsylvania or any other jurisdiction to the contrary notwithstanding. ~t fd Residing - IN WITNESS WHEREOF, I have hereunto set my hand and seal this ``" `` day of February, 2009. . -, / ^'-~z.l~ ~' ~~; LOUIS H. SORG _' ' Signed, sealed, published and declared by the said LOUIS H. SORG, the above named Testator, as and for his Last Will and Testament, in the presence of us, who at his request and in his presence and in the presence of each other, all being present at the same time, have hereunto subscribed our names as witnesses hereto. ,, ~: ~. ,~ ~- Residing ~~~'-'~-~,,~~~/ ~J~t 2 Commonwealth of Pennsylvania SS County of ~~'' /~ 1 ~L {~C !s ft~ i ~+~ ~~J and `-~~~`~ ~ ~~~~ ~~'~ We, Louis H. Sorg, ~ ' the Testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn and qualified according to law, do hereby declare to the undersigned authority that we were present and saw the Testator sign and execute the instrument as his Last Will and Testament and that he signed willingly (or willingly directed another to sign for him), and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witnesses and that to the best of his or her knowledge the Testator was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence, and I, the said Testator, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament, that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. Subscribed, sworn to and acknowledged before me by Louis H. Sorg, the Testator, and subscribed and sworn to before me by ~"2 ~ N L ~~ A- `` ~~ ~ l ~ ,and ~ ~-,~-,~. ~,; p. ~ ~h nom, witnesses, this day of February, 2009. Notary )MMOPVIWEALTH OF PE!~11VSYLVAN[A NOTARIAL SEAL DEBBI SUE MIDDAUGH, Notary Public City of Harrisburg, Dauphin County M_.Y:~IU~ni~sic ~ +-M~sc~~~ 4rt~ker25.2C~(39 3