HomeMy WebLinkAbout10-13-09~~giS~er c~~ ~~~~iilS ~~ ~~unt~, i~enn~~~[~ar~ia
~~~~~ j-~~~~~~ ~=~~ ~~~r~~r ~~ L~~r~~~
Estste of ~pw~~fl ~ V11 ~ 1., L N ~~ fro. ~l - U~ - ~~o ~
e~so known as State File No .
Deceased Social Security i~o. ~~ ' ~ ~ • ~Q~ ~~
Pe:dti~ner(s), who is'a~e i8 yeas of aye or oicier, rppfy(iea) Icr.
{COMPtFTE'A' OR B' BELOW:)
A_ Probate and Grant of Letters Testamentary and aver tflal Petitioner(s) islare ttte executors named in it~e test Wdl of
the Decedent, dated ~ 'Z~ ' 2oOFC and c~adicil{:) dated
~. r•t~nrst dra,rrsW,a.., ..~,. r~-nuncistion, dsaih d.=«utar, acc
Except as follows, De•~dent dd not marry, was not divorced, and dyd not have a child bom or adopted after execution of tfie dacumeniz
oflered for probate; was not the victim of a Killing and was Haver adjudicated incompetent:
^ B. Grant of Letters of Administration
(d~.n.c_ti; p+txi.nL h.; durarn• abaKttt; durant• rtinott,aL
Petitioner(s) after a proper search hssfiave ascertained that Decedent leh no VYtI and was survived by the folbwinfl spouse (rf any) and
girt:
Name Relationship Residence
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(COMPLY fE IN ALL CASES:) ACatt~ addoonaJ sheets ii n~cess~ary, ~ r.~ ~~,~''
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Decedent was domiciled at death in C',y~,t~3E~.t,~U~ County, Pennsylvania, with his/her last family
or principal residence at ~ ~ ~ cam` ~SO ~ ~ ~~o~
(list arrest, number and mull ity)
Decadent, tt,e n ~~ y e ens o f a g Q , died _ r~l,lr~r~,,,)S~ ~ ~ ~0 0~., ~ ~,,~!P,7(Pt1~4~ y ~ ~5~ Q1"I 14-1.
(l..ocatlon)
Decadent at death owned property with estimat$d values as fotbws:
(I f dom ia~fed in PA) A (1 personal property ~
(Ii not domiciled in PA) Personal property in Pennaytvanla ~
(It not domiciled in PA) PercorlaJ propefty fn County ~
Value of real estate in Pennsylvania ~
si tua to d as fo Tt ores
Wherefore, Petitioner(s) respectlufly request(s) the probate of the last Will and Codal(s) presented with this Petition and the grant of
letters in the appropriate form to file undersigned:
~.~lOnatUn3 Tvrwri nr nrintori name anr~ roe~rlo.,~.~,
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Probate Date:
~a~h of Rer~Qnal ~e~resentati~A
Commonwealth of Pennsylvania
County of
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in tl~e foregoing Petition are true
and correct to the best of the knowledge and befef of Petitioner(s) and that, as personal representative(s) of
the Decedent, Petitioner(s) will well and truly administer tt~e estate according to Iativ.
Swom to or affirmed arxi subscribed
bef~~o__reyy me this I day of
I~~UU~.~. 200
(.,~ - Q - 72n,~
For the Register
Estate of ~c,~wc~,r, ~ ~~,~~~r~gQY Deoeased
v
Social Security No: I~ S- ~D - CQ~3~ Date of Death:
AND NOW, ~~~Co~- ~ 3 ~~~ .~ in consideration
of tl~e Petition on the reverse side hereon, satisfactory proof having been presented before me,
r-r 1S DEDREED that ! etters~ Testamentary ~ 4f Administration
rt_C_Li; p~nderri• lrta; durant• abc~rxia~ durant+~ mrxxitai~
are hereby granted to
in the above estate and that the instrument(s) dated ~ - Z9 - 20C~~',
described in the Petition be admitted to probate and filed of record as the last Will of Decedent
FEES
Letters ..................... ~
Short Certificate(s) .... S
Renunciation ............ S
PRAECIPE $
REV1500 ,_ ~
Cadcif ...._._._............. S
.!G P Fee __ & _ AUTOMATI~JN 20.00
Inventory .................. S
Other ..... .................. S
TOTAL ............. S
t.D. No: L a ~ ~\3 ~ ~1
Address: ~ 5 ~ ~i /~ . ~r ~ -~~- 5~ ,
Telephone: ~7 ` ?~ Z j `~ " ~ ~ Z
Fwm sRW-1 Pale 2 of 2
Prepared by u`w Pennsylvania Bar /lssodaSion 1 X41
IUS.ROS RHV (00071
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.,
~ Fee for this certificate, $6.00
P 15658054
Certification Number
"•?~ ~HMT IN
?EntAANENT
3L.1t;K iNK
,ff«""""""--- This is to certify that the information here given is
NTH OF p
°tt~~~,P fyy~`
correctly copied from an original Certificate of Death
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~~~~ o ~° _ lam, duly filed with me as Local Registrar. The original
- ~= ~ ~
Z certificate will be forwarded to the State Vital
o - ~,,
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* ` Records Office permanent filing.
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COMMONWEALTH Of PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS 4-u __'.{
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CERTIFICATE OF DEATH -~
(See instructions and examples on reverse) STATE FILE NUMBER
t fsartw ~I Cacedent ,First, m,odW. last. sutl+xl 2. Sax 3. Sawt Sacunry NurnGer ~. Oa1a of DeaN ,Month, day, year)
Edward Francis Wadlinger LE - - AUGUST 12,2009
i age oast 8~rthdayl Under t year Under t day 6. Date of Birth 10.1onth, day. year) .. Bvthplace ICay and slate v for ego coumrvl 8a. Place of Death (Check Dory Doer
AWrms Days bows M,nures Hospdal: Other:
60 ys December 11, 1948 Harrisburg, PA ®Inpabent ^ER Outpaoent ^DOA ^NWSUtgHOme ^Resxience ^Oma•Soeoty
eb. Courry of Death 8c C,ry. Boro. Twp. of Death dd. Featly Name (if rot nstituuon, grve street and numorn 9- Was Decedent of Hispana Orgm? No ^ Yes 10. Race: American Indwrt, Blast, Wnae, etc.
ur yes. spec+ry Cuban. r
LEBANON
S LEBANON TWP
LEBANON VA HOSPITAL
Mexaan, Fhxrto Air2n, etc.) ~TE
t t Deceoent s Usual Oicupaabn ,Kmd W work d orte d un most W wok kle. Oo not sate rotuedl t 2. Was Decedent ever tit the i 3. Decedent's Education ;Spacily only fugnest grade comW eted) ta. Marital Status: Marred. Never Marred. t 5. Survwvt9 Spo use tlt wife, g,ve merlon name)
nrra of Wcrx Krnd d Business; Industry U. S. Armed Faces? Elementary r Secondary (0~ t2) Cobege )t J a 5.) Widowed. Divorced ISpearyt
Administrator State government ]Yea ^NO 4 Divorced
t6 Decedani s MaJrnq Address ISireet, city !town, state, zrp cadet Decedent's PA Dw Decedem
16 West Simpson Street Actual Residence t7a. Stets Lrve Ina t7c. ^ Yes. Decedent Lived N Twp.
T°~'~rp~
tya.~ No.DeceaeniLrvedwrmxt Mechanicsbur
,Tb county Cumberland
g
Mechanicsbur PA 17055 ActuatLarutsW
c+ryrBao
td. FdNer s Name iF:rSt. m,ddla. last, sudul 19 Mothers Name rFirSl. middle. ~naaan surname)
Norman Francis Wallin er Mary Irene Bates
20a. Intcrmaru s Name ,Type Print) ?rp, intamanrs Mailing Address (Street. city 'town, ;rate, rip coast
Theresa Wadlin er 1307 Penn Street, Harrisburg, PA 17102
?ta Matnod W D~spc>,tan ^ Cremdtan ®Donatan 2tb. Date df D~aposuKKl tMonin, day, year) 2`c. Place W Drsposawn tNaM W cemetery, crematory a other place) ltd. Laatan iC~ry ~ awn. state. zw cocei
^ Bwla+ ^ Removal hom Stile ;Was Cranation a Donation Auflwrixed
^ Gtrer-SpeoN i byMedkarEaamirwrlCoronerl ye:^Nd Au ust 13, 2009 ilton S. Hershey Medical Center Hershey, PA 17033
22a.S.graturec aI' Laenseeta r- acungas 22b.l~censeNdmDar 22cNameartdAOCresr:fFacdrry Auer Cremation Services f Pennsylvania, Inc.
1
- ~ FD013801-L 4100 Jonestown Road, Harrisburg, PA
109
Carplete +tems 23ar on n cenityxyg 23a. To best d my knowledge, learn oaurred at the tone, date and prate sated. iSigtatwe and kdel 230. License Number 23c. Date Signed tMonih. day, years
pnysKian .s not availac~ at tune d death ro
,;erury cause of death.
gems 2t 2b must ce compwwd by parson 2s. T+me of Death 25. Date Pronanced Dead 1Month, day, year) 26. Nas Case Rererred to Medical Examiner ;Coroner for a Reason Other than Crematan or Dmauon?
woo pronounces death. M• AUGUST 12 i 2009 ^ Yes .~io
CAUSE OF DEATH (Sss instructions and saaxnplss) Approximate nwrval:
r Pan It Enter other dint conrnr~xrs cdntonuena ro lea n
SNP -s,. ~
28, Da Tobacco Ilse Contrroiyw :o Dean.
Item 2' Part t Enter tM cr,~n W aya4Nf - drsasea. uyurwa. ur cwnW>catans - tlwl duectly caused IM dBaN. DO NOT erne Iermutal events such of cardiac arrest, i Onset to Death but rat resWtng in iM undenyrg cause gwen m Pan I. [~ Yes ^ Prooaory
re>pvatory arrest. a +anukwar Iarruatan witfaut ;rawug Ne ebology. Ust only aM reuse on earn law. r
i
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IMMEDIATE CAUSE F
1
..J~'l00 ^ Uniuawn
ina
disease a
,:cnd,iM.n reswkng .n ledNr _~ a END STAGE LIVER DISEASE ;
r
29.uFemare:
^
Due to for as a consequence of): , IJa pregnant wrtlvn past year
Sequertarly uu condarons..f any. b. ~
s ro Ins cause ~stea on',ne a ^ Prtrgrwd ar furs W death
. Dce to to as a con sots op: '
Enter a UNDERLYING CAUSE s~ t Na t
^ ae9Mn • ~ aeg++ar+t witJwt a2 days
~asease or ntury coat n~wteq :M c ,
agents reswbrg ,n death, LAST. , of death
Dua to for as a consequence ol): r ^ Nq pregnard, Cwt pregnant a3 days ro t year
r
d. r berae death
^ Urwtown tl pegrtaru wrewt dN D+ar Year
30a Was an Autcosy 3Lb 'Nere Autopsy Frrrdaigs 37 Mannar d Deafn 32a. Date of Iryury tMondr, day, year) '2o Deunba How In,ury Occwred 32c. Plata W Inlury: Home. Farm. Sweet. Factory.
Pencrmed? Ava,lapfa Prar ro Compkuan ~~yh~,
Natural ^ HaTUC~de
L slice etc r
~~' ~ ~~
of Cause of Death r J
[~'/es ~ Vo ^ Yes ®No ^ Accdenl ^ Pending Invaetlgde0n 32d. Time W Iryury 32e. ir.,urr at Nax? 321. It Transdonatan Iryury ISpanlyr 32q. Location :f trHury (Street, ary: town. state)
^ Suede ^ GouW trot be Getamxwd ^ !es ^ No ^ Onver: Cperata ^ Passenger ^Pedestnan
M Gtner ~ Speaty'
13a. C~r.,l,er ~,cnecx ;ray over "sib. Signature and Tine d Camtwr
• Groryrng physician ~ Pnysa;ran camtying Cause W learn when another physaan has prcnouraed ,team and comported Item27l
~
To tM beM of my knowledge. death oawred due to tM ause(y and manna ss sWed_ _ -' _ -' _ _ -' -' _ _ _ _ -' , _ -' _ _ -' ^
-~---- -
( ,per
• Pranouncuig and arWyinq physician ~Pnysaian I)4m pronaxicug seam and cerbtyug to cause d learnt IIyytt
To IM best of m
knowled
e
death occu
d at IM ti
l
d
t
d
d )3c Ucvnse Nurser lad Caw S+grwd ~fxla+dt, daY. rear,
y
g
,
rre
me,
e, an
a
p
ace, an
dw to tM cauce(a) and manna as sated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Le.?y
• Mligical Eaamuw I Coroner ~` ~ ~/
OtO117O1 ~ ~~
On tM orals of esaminstion and I of invasligation, in o 'ion, leads ocewred N tM time, OaN, and place, and dw to the causgs) and manna as sfatad_ ^ "
yt Neme end Auaess bl Person
Nfa ComWeted Cause of Oeam Item 27) Type ~ Prot
35 Hegs«ar ~ S.,rature ~- c. Nur r 3s a Fred 6kr.m. ,ay. ,eon MELISSA E MARTINES DO
- ~ ~ ~` ~ ~ ~ -~ - LEBANON VA HOSPITAL ~ LEBANON, PA. 17042
/ V4V'FJ17
Disposaan Pamrl NO
LAST WILL AND TESTAMENT c-7 ~'
FMT (`~
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a I~~~.
EDWARD F. WADLINGER ~~--~ f ~~
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I, Edward F. Wadlinger, of Mechanicsburg, Cumberland County, Pennsylvania, being of
sound mind and memory, and not acting under duress or undue influence of any person
whomsoever, hereby declare this to be my Last Will and Testament and I do hereby revoke all
other former wills and codicils to wills heretofore made by me. My Social Security Number is
175-40-6934.
I. DEBTS, TAXES AND ADMINISTRATION EXPENSES
I have provided for the payment of all my debts, expenses of administration of property
wherever situated passing under this Will or otherwise and estate, inheritance, transfer, and
succession taxes, other than any tax on a generation- skipping transfer that is not a liability of my
Estate (including interest and penalties, if any) that become due by reason of my death, under the
provisions of THE EDWARD F. WADLINGER REVOCABLE TRUST AGREEMENT
executed by me on the same date I have executed this Will (my "Living Trust"). If the Living
• Trust assets should be insufficient for these purposes, my Executor shall pay any unpaid items
from the residue of my Estate passing under this Will, without any apportionment or
reimbursement. In the alternative, my Executor may demand in a writing addressed to the
Trustee of my Living Trust an amount necessary to pay all or part of these items, plus claims,
pecuniary legacies, and family allowances by court order.
II. PERSONAL AND HOUSEHOLD EFFECTS
It is my intent that all my personal and household effects were transferred to my Living
Trust as a result of the Comprehensive Transfer Document signed this date. If there are any
questions regarding the ownership or disposition of these assets, it is my desire that such assets
pour into my Living Trust in accordance with the provisions of the section below titled "Residue
of Estate."
III. RESIDUE OF ESTATE
I give, devise and bequeath all the rest, residue and remainder of my property of every
kind and description (including lapsed legacies and devices), wherever situated and whether
acquired before or after the execution of this Will, to the Trustee of my Living Trust, which, as
•
Last Will and Testament Page 1
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stated above, was created by me on the same date as the execution of this Will. The Trustee shall
add the property bequeathed and devised by this item to the corpus of my Living Trust and shall
hold administer and distribute said roperty in accordance with the provisions of my Living
p
Trust, including any amendments thereto made before my death.
If for any reason my Living Trust shall not be in existence at the time of my death, or if
for any reason a court of competent jurisdiction shall declare the foregoing testamentary
disposition to the Trustee under my Living Trust to be invalid, then I give all of my estate,
including the residue and remainder thereof, to the person who is the Trustee (or would have
been the Trustee if the Living Trust were in existence at the time of my death) as Trustee, to be
held, managed, invested, reinvested and distributed by the Trustee upon the terms and conditions
pertaining to the period beginning with the date of my death in the Living Trust, as then
constituted giving effect to amendments, if any, hereafter made, and for that purpose I do hereby
incorporate such Living Trust by reference into this my Will.
IV. POWERS OF EXECUTOR
My Executor shall have the following powers in addition to those conferred bylaw until
all property is distributed:
(a) To retain any real or personal property in the form in which it is received.
• (b) To sell at public or private sales for cash and/or credit, to exchange, and to lease
for any penod of time, any real or personal property and to give options for such sales,
exchanges, or leases.
(c) To purchase all forms of property, including but not limited to stocks, bonds,
notes and other securities, common trust funds, life insurance policies and real estate, or any
variety of real or personal property, without being confined to so-called legal investments and
without regard for the principle of diversification.
(d) To purchase securities at a premium or discount and to charge such premium or
credit such discount to principal or income.
(e) To exercise any option arising from the ownership of any investment; to join in
any recapitalization, merger, reorganization, liquidation, dissolution, consolidation or voting trust
plan affecting any investment; to delegate powers with respect thereto; to deposit securities under
agreements and pay assessments; to subscribe for stock and bond privileges; and generally to
exercise all rights of security holders.
(fj To hold property unregistered or in the name of a nominee.
(g) To mortgage, divide, alter, repair and improve real property and generally to
•
Last Will and Testament Page 2
exercise all rights of real estate ownership.
• h To distribute in cash, in kind, or partly in each, and to cause any share to be
()
composed of cash, property, or undivided fractional shares in property different in kind from any
other share.
(i) To compromise claims by or against my estate including but not limited to tax
issues and disputes, without order of court or consent of any party in interest and without regard
for the effect of such compromise on any interest hereunder.
(j) To borrow money and to pledge any real or personal property as security for the
repayment thereof.
(k) To apply income for the benefit of any incapacitated individual to whom income
may or must be distributed for any reason during the period of incapacity. Income not so applied
maybe distributed to a custodian or accumulated, invested and if not sooner applied, paid to such
individual upon gaining capacity.
(1) To join with my spouse or my said spouse's personal representative in filing any
joint income tax return, and to join in any gifts made by my said spouse for gift tax purposes
even if this may result in additional liabilities for my estate. Any income or gift taxes due on
such returns and any deficiencies, interest, penalties or refunds thereon shall be allocated
between my estate and my said spouse or my said spouse's estate, or all to any of them, in such
• manner as my Executor and my said spouse or my said spouse's personal representative may
agree.
(m) To apply expenses of my estate permitted as income tax or real estate tax
deductions and to value my estate for estate tax purposes by any method permitted.
(n) To employ accountants, agents, attorneys, investment counsel, brokers, bank or
trust company to perform services for and at the expense of my estate and to carry or register
investments in the name of the nominee of such agent, broker, bank or trust company. The
expenses and charges for such services shall be charged against principal or income. My
Executor is expressly relieved of any liability or responsibility whatsoever for any act or failure
to act by, or for following the advice of, such accountants, agents, attorneys, investment counsel,
brokers, bank or trust company, so long as my Executor exercises due care in their selection. The
fact that an Executor may be a member, shareholder or employee of any accounting, investment,
legal or brokerage firm, agent or bank or trust company so employed shall not be deemed a
conflict of interest. Any compensation paid pursuant to this subparagraph shall not affect in any
manner the amount of or the right of my Executor to receive commissions as a fiduciary.
(o) To invest any part of my residuary estate in, or lend money to, any closely-held
business in which I may have an interest at my death for any purposes incident thereto, including
but not limited to expansion and entry into new fields of business provided that only assets
•
Last Will and Testament Page 3
actually invested in such business shall be liable for the debts incurred in its operation.
•
(p) To disclaim any interest in property without court approval.
V. EXECUTOR
(a) I appoint Nina M. Wadlinger, of 1355 Poplar Street, Denver, CO 80202, and
Theresa L. Wadlinger, of 1307 Penn Street, Harrisburg, Pa 17104 as Co-Executors.
(b) My Executor shall not be required to post security in any jurisdiction.
IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and
Testament, this t~ ~ day of /~- ~ _ d ~•
~ (SEAL)
Edward F. Wadlinger
•
Signed, sealed, published and declared by the above-named Testator, as and for his Last
Will and Testament in the presence of us, who have hereunto subscribed our names at his request
as witnesses thereto, in the presence of said Testator and of each other.
COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAN ll:
I, Edward F. Wadlinger, the testator/testatrix whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I
signed and executed the instrument as my Last Will and Testament; and that I signed it willingly
and as my free and voluntary act for the purposes therein expressed.
~- -~.
Edwar F. Wadlinger
t
Last Will and Testament Page 4
•
COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND:
On this ~- ~ day of M. 00 () ,before me, the undersigned
•
•
officer, personally appeared Edward . Wadlinger, known to me (or satisfactorily proven) to be
the person whose name is subscribed to the foregoing Last Will and Testament, who
acknowledged that he or she executed the same as his/her Last Wi11 and Testament.
NoTARVU sE~t
ROBERT J HORNS
Notcry PubNc
Notary Publi LOWER MCCUNGIE TWP. LEHIGH COUMY
My Commission Expires Jun 14, 2010
We, '^ ' ~~ and ~wz~ t_~ ~i1c~~Y ~- ,the
witnesses whose na s are signed to the attached or foregoing instrument, being duly qualified
according to law, do depose and say that we were present and saw the testator/testatrix sign and
execute the instrument as his/her Last Will and Testament; that the testator/testatrix signed
willingly and executed it as his/her free and voluntary act for the purposes therein expressed;
that each subscribing witness in the hearing and sight of the testator/testatrix signed the will as a
witness; and that to the best of our knowledge the testator/testatrix was at that time 18 or more
yews of age, of sound mind and under no constraint or undue influence.
,(SEAL) Residing at:
SEAL) Residing at:
COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND:
Subscribed and sworn to before me by both witnesses, this ~ ~ day of ~ ,
d~'~
~~
Notary Publi
NOTARIAL SEAL
ROBERT J HORNS
Notvry Public
LOWER MCCUNGIE TWP LEHIGH COUNiY
My Commtsston Expires Jun 14, 2010
Last Will and Testament Page 5