HomeMy WebLinkAbout10-22-09PETITION FOR PROBATE AN GRANT OF LETTERS
REGISTER OF WILLS OF ~ COUNTY, PENNSYLVANIA
Estate of ~3Ar~t~ ~ ~; MQ rL.>`1~~.' Fife Number (~ .~~~) _ q ~ ~~
also known as
,Deceased Social Security Number ~ ~ 6R' ~ ~ w L 33
P~ ~~ N~0 ~l'--~
Petitioner(s), who islare 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 I are the
last Will of the Decedent dated A• uS't' 3oF,~,~(4(~ and codicil(s) dated
named in the
(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 bom 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:
Q B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente liter durance absentia; durante minoritate)
Petitioners) after a proper search has /have ascertained [hat Decedent left no Will and was survived by the tollowing spouse (if any) heirs: (/f
Administration, c.t.a. or d.b.n.c. t.a., enter date of Will in Section A above and complete list of heirs.) .`7 ~~
(List street address, town/city, township, county, state, zip code)
Decedent, then ~ years of age, died on ~ ll~~>1 ~jZL~IQ at (y ~~~ M
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ „"~O,(X~C7
(If not domiciled in PA) Personal property in Pennsylvania $
(lf not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania c$ S'p~ 4(,O
situated as follows: f" (~ (~ ~1~
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Leners in the appropriate form to
the undersigned:
Form RW--r]2 rev. 10.(3.06 Page I Of 2
(COMPLETE INALL CASES:) Attach additional sheets if necessary. ':.i f`J ~'
--
.,.: ,,
Decedent was domiciled at death in ~'O M~DC'Y l An! County, Pennsylvania with his /her last pnnc~pal residence at ~_
_l.t? _Art~:z~ p~~ 1.se.w CJ~ ~A-,v~~ ~ A- 1~C1?C)
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF
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 t to according to law.
ra
~.~
Sw to or affirmed d subscribed •~~~ ~lLk -_ ~ , -, ` ~ ~ . --~ ~
?~r' __,;~ Signature of Personal Representative ~ ~~~
re a the ~ f ' _: --a
', tea _. ?s
• ~ ignature of Personal Representative ,;~ `
~ _~
< <~, _ ,_.
For the Register Signature of Personal Representative N '
_T:a f.3 _~
CJ
~ ~} 2
File Number: ~ ~ ` (~~ ' ~~~ ~ "1 a')
Estate of ~~Q i~ ~C.3 ~'~ n ~~, 1~(~. ~ ,Deceased
Social Security Number: ~ Q lf) ~ t ~ ~ ~~~02, Date of Death: ~,~ J~ ' i~ ~ ~' ~ ~/y /
.~,~ ~' _ ~~~,+~~
AND NOW,~,L~__ , ~' ~ ~~cyy- L, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Tt'S QYYI~-'1 Z2jr`(J1'
are hereby granted to _
n in the above estate
and that the instrument(s) dated ~ '~"' f "'1 ~ 10
described in the Petition be admitted to probate and filed of recor as the last Wili (and Codicil(s)) of Decedent.
r~
FEES ~„~ i ~ . ~ , 1
~/~-~ Register of N~iiis ~ j~ ~' ~ d~
Letters ............... $ ~• ~-'~"" IY
~ ~~
Short Certificate(s) ........ $
Renunciation(s) .......... $
... $ ,
... $
... $
... $
... $
... $
... $
... $
... $
TOTAL .............. $~~11.99-
Attorney Signature:
Attorney Name:
Supreme Court LD. No.:
Address:
Telephone:
Form RW-02 rev. IJ.13.06 Page 2 Of 2,
105.£SOS RF.~- IUI/07/
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, 56.00
k
Certification Number
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with n;e as Local Registrar. The original
certificate will he forwarded to the State Vital
Records Office for permanent filing.
ism, ~ d`~ AUG 2 5,009 /
Local Registrar Date [slued
rv
c°a
=, ~
',
`_ ;
,.
(_ _, ;._~
--~ - :~i
-„ ~ -
_y ., -b
{
't> ~
C1
REV n/zoos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
PRINT IN
(ANENT CERTIFICATE OF DEATH
.K INK (See instructions and examples on reverse)
STATE FILE NUMBER
1. Name of Decedent (FUSE middle, last, wKx) 2. Sex 3. Social Security Number r 4. Date of Death (Month. tlay, year)
Barbara Ann Moran female 186 - 40 - 2332 Au ust 20, 2009
5. Age (last BiAhtlay) UiMer 1 year Under 1 tlay 6. Dale of Birth (Month, day, year) 7. Birthplace (City antl state a foreign country) 8a. Place of Death (Check only one)
Momma nays eovra Mutes Hospilay. 01her.
61 March 24, 1948 Uniontown, PA
Yrs. ^ Inpatient ^ ER /Outpatient ^ DOA ^ NursMg Nome ®Residence ^Otner ~ Speary
8b. Counry of Death 8c. Ciry, Boro, Twp. of Death Bd. Facility Name (If not institutbn, give street and numbeQ 9. Was Decedent of Hispanic Origin? ~ No ^ Ves 10. Race: American Indian, Black, White, etc.
Cumberland Lower A11en Tw
P ~ 49 Drexel Place a+yes,apeciryc°ca".
P
M
i
rt
Ri
t Ispr~A>~
ex
can,
ue
can, e
o
c.) whit e
11. Decedent's Usual Occu Ipn Kind of work d one d unn most of woAdn life. Do not state retired 12. Was Decadent ever in the 13. Decedent's Education (Specify oMy highest grade compl eted) 14. MarAel Status: Married, Never Monied, 15. Surviving Spo use (If wife, give maiden name)
KIrM of Work Kintl of Business /Industry U.S. Armed Forces? Elementary /Secondary (D-12) College (1-0 or 5+) Witlowed, Divorced (SpeciM
Sales Manager Sales ^Yes ®Np 12 2 divorced
16. Decedent's Maiing Atldress (Street city l sown, state, zip cotle)
49 Drexel Place Decddent's Did Decedent
Actual Residence t7a. slate Pennsylvania uva ina ,7p.®ves, Decedenwyedm Lower Allen Tw.
p
New Cumberland
PA 17070 Tpwnahip?
17b. copnry Cumberland 17d. ^ No, Decedent Lived within
, AMUal limits of Ciry/Born
' 18. Father's Name (First, mitldle, last, sudix) 19. Mother's Name (First, middle, maiden wmame)
Geor e Byrd Marie Ventura
20a. Informant's Name (Type / Pnnp 206. Inlornant's Mailing Address (Street, cM /town, slate, zip code)
Erin C. Moran 49 Drexel Place, New Cumberland, PA 17070
21 a. Method of Disposilan ~ ®Cremation ^ Donation 21b. Date of Disposition (Mash, day, year) 21c. Place of Disposnbn (Name of cemetery, crematory or other place) 27 d. Location (City /town, stale, zip code)
^ Banal ^ Removal from State j WasCrematlonorponatlonAu~honzed
^ Other - Specity~ i by Medical Examiner /Coroner>. 1~1' Yes ^ do August 24, 2009 Evans Crematory Schaefferstown, PA 17088
22a. Sgn ae of neral Licen r aainq as such) 22b. license Number 22c. Name antl Adtlress o1 FadlRy
- ~ FD 013 340 L Parthemore FH & CS, Inc., P.O. Box 431, New Cumberland, PA 17070
Complete Items 23ac only when ceniryitg 23a. To the (rest of my knowledge, tleam occurred at me time, date antl place stated. (Signature and tldej 23b. license Number 23c. Oate Signed (Month, tlay, year)
physxdan Is na avaNable at time of tleam to
certify cause of death.
Items 24-26 must ce completed blJ person 24. Time of Death 25. Date Pronounced d (Monts, day, year) 26. Was Casa Refered to Medical Examiner /Coroner for a Reason Other than Cremation or Donation?
who pronamces deaM. M. 2 U ^Yes ~1~
CAUSE OF DEATH (See instruMlons and amplea) t Approximate imerval: Pan IC Enter other a QOificant c Mtt'on~ contri6~ning to death, 28.Old T tto Use Contribute to Deatn?
Item 27. PaA I: Enter the r~jppl ge18a -diseases, Injuries, or complications -that directly caused the death. DO NOi timer terminal events such as caNiac artest r Onset to Deam but not resulting in the undeAying cause given In Pan I. Yes ^ Probably
respiratory arrest, or ventricular fibrillation wdhoul showing the etidogy. List onty one cause on each line. r
I
^ No ^ Unknown
IMMEDIATE CAUSE (Final disease a i
~
~
~ `/ f d (/
yam
2g' If Female.
ca,dnan resuhing in death) _~ a
r /~ a a'. f .
rr e s
~ .
J \ I ry~4 IA A~` 1tAAC t S
Due to a
s a consequence of : of pregnant within pall year
~
~
Sequentlalty list coiMkions, N anY, b, ~.A r0 l^4 W ~ 1~ lvQ Jx / /J) S.QG.sP ' ^ Pregnant at lime of tlealh
kung Ip the cause listed on Ilse a, ,
-T r
seW
en
£Mer the UNDERLYN16 CAUSE Due to (ot as a cal Not re nant but pr
p g egnanl within 42 days
L
-
1 J-f
(dsease a injury that kuliated the c. µ~/~Qf / f ~1!/r?.yl l '
events resubin
in death) LAST
mil- t of death
g
.
Due to (or as a sequence i): r ^ Not pregnant, but pregnant 43 daVS l0 1 year
d i before tlealh
^ Unknown if pregnant within the past year
30a. Was an ANOpsy 30b. Were Autopsy findings 31. Mannar pf Death 32a. Date of Inury (Month, day, year) 32b. Describe How Injury Occurred 32c. Place of Injury: Home, Farm, Street Factory,
PeAormed? Available Prur to Completion ^ Office Building, eta /Specity)
of Cause of Death? atural
Homicide
^Yes
'~ ^ Pas ^ No ^ Accident ^ Pending Investyation 32d. Tme of Injury 32e. Injury at Work? 32t. It Transpatatan Injury (Seedy) 32g. Location of Injury (Street city I town. state)
4~
_ ^ Suicide ^ Geultl Not De Determined ^Yes ^ No ^ Driver I Operator ^ Passenger ^Pedestrian
M Other ~ Specify
33a. Certifier (check only one) 33b. Sgnawre and Ttle of Certifier
/
• Cenirying physician (Physraan ceNtymg cause of deaN when another physician has Dronouncad death antl completetl Item 23J (
n/
-
- _ _
To the best of my knowledge, death occurretl tlue to the cauae(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ '/C./
• Pronouncing and certifying physician (Physician both pronounpng deem and certifying to cause of death)
d
^ 33c. License Number 33tl. Date Signed (Month. day. year)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
To the best of my knowledge, tlealh occurred at the time, date, antl place, and due to the cause(s) and manrer as state
al E
ine
/Corone
M
di `'
W OV~2 ~' L 2 ~ ~~
r
r
e
c
xam
_
On the basis of examinailon and 1 a investigation, in my opinion, death occurred al the time, date, and place, aM due to the cause(s) antl manner as stated_ ^ 3d Name antl Adtlress of Person Who Completetl C ;r of th (Ile Ty I t
~
rm~
JJ "
istrar's S' re and Distnc
35
Re
36. Date F' etl (Mon day, ear ~
/
A
~
,
.
g
~ 1:21 / I ~ I / ( I
LCm ~~~y~~r~~~ ~
; .:
~
7
-
n. y
~- .~__._._._.._ I
-~
_, 1
WILL , , , ,.
,.
OF -~ r~. .~=}
r.~ _ ..a
BARBARA A. MORAN - ~-\ ~:`'
--~-
r, ,._'.
A, , ,
-, ..
I, BARBARA A. MORAN, of the Borough of New Cumberland, Cuni6erland unty, . ` `
Pennsylvania, declare this to be my last will and revoke any will previously made by me.
ITEM I. I direct that all my just debts and funeral expenses, including my
-~ I
~I
gravemarker and all expenses of my last illness, and any and all taxes and assessments
imr~pcerl h~i anji ~n~iPrnmgntal ~nr1y as a raciilt ,pf m;i ~faath ~!vhPthPr nn nrnnerty na~ssna
under this will or otherwise, shall be paid from my residuary estate as soon as practicable
after my decease as a part of the expense of the administration of my estate.
ITEM II. I give, devise, and bequeath all of my possessions and estate of every
nature and wherever situate to those of my issue, per stirpes, who survive my death by
thirty (30) days. If I leave no issue who so survive my death by thirty (30) days, then I
give, devise, and bequeath all my possessions and estate of every nature and wherever
situate to KARA C. MORAN DOWNING.
ITEM III. Should any of my issue entitled to a share of my estate not have attained
the age of thirty-five (35) years at the time for distribution to him or her, I devise and
bequeath the share of such issue to my hereinafter named trustee, IN SEPARATE TRUSTS,
to hold, manage, invest, and re-invest, the shares so received, and the accumulation of
income thereon, and to use and apply from time to time such portion of income and
rrin~i~al tharnnf ac r~~i trLrgteS _rtinkc ~rpr~er for the rQrnfr~rtablP c~Rnp`:rt maintgranra
health, welfare, and education of the issue or to make payment for such purposes, without
further responsibility, directly to such issue, or directly to any person taking care of such
issue. Any principal or income not so applied shall be distributed to such issue as follows:
A. One-third of all such principal and undistributed income when he or
she attains the age of twenty-five (25) years; and
i
6. One-half of the then-remaining principal and undistributed income
when he or she attains the age of thirty (301 years; and
C. The balance of all such principal or undistributed income when he or
she attains the age of thirty-five (351 years;
or if he or she dies prior to attaining the age of thirty-five (35) years, all of the then-
remaining principal and undistributed income to his or her personal representative.
ITEM 1V. I appoint PATRICK F. MORAN, of West Chester, Pennsylvania, trustee of
the trust or trusts created by this my Iasi: will. Should the said Patrick F. Moran predecease
me or otherwise fail to qualify or cease to serve as trustee, I appoint KARA C. MORAN
DOWNING trustee of the trust or trusts created by this my last will.
ITEM V. I appoint PATRICK F. MORAN executor of this my last will. Should the
said Patrick F. Moran predecease me or otherwise fail to qualify or cease to serve as
executor of this my last will, I appoint KARA C. MORAN DOWNING executrix of this my
last will.
ITEM VI. I appoint KARA C. MORAN DOWNING guardian of the person of my minor
children.
ITEM VII. In addition to the other powers and authorities granted to my trustee,
executor, or other personal representative by Pennsylvania Law and by the preceding
paragraphs of this my last will, I hereby give my personal representatives, expressly
including any trustee, the following special powers and authorities:
A. To retain any or all of the assets of my estate, real or personal
(including any stock or securities of any corporate fiduciaries), without any
regard to any principle of diversification, risk, or productivity;
B. To invest and re-invest in all forms of property without restriction to
investments authorized for Pennsylvania Fiduciaries, as my trustee deems
proper, without regard to any principle of diversification, risk or productivity;
C. To sell at public or private sale, to exchange or to lease, for any period
of time, any real or personal property and to give options for sales, exchanges,
a
or leases, for such prices and upon such terms or conditions as my trustee
deems proper and in the best interests of the beneficiary or beneficiaries of
said trusts;
D. To allocate receipts and expenses to principal or income or partly to
each as my trustee from time to time deems proper in its sole discretion;
E. To compromise any claim or controversy;
F. To exercise any option, right, or privilege granted in insurance policies
or in other investments;
G. My trustee may accumulate the income from this trust during the term
thereof but may, from time to time, distribute from current income or from
accumulated income or from principal such amounts as my trustee, in its sole
discretion, deems advisable for the education, welfare, and comfort of the
trust beneficiary.
ITEM VI11. All of the interests of the beneficiaries hereunder shall not be subject to
anticipation or to voluntary or involuntary alienation nor shall they be subject to any
execution or attachment.
ITEM IX. l direct that my personal representatives and fiduciaries sha11 not be
required to give bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand this day of
1996.
f, ~ (~ .
B RBARA A. MORAN
3
The preceding instrument, consisting of this and three other typewritten pages, each
identified by the signature of the testatrix was on the date thereof signed, published, and
declared by BARBARA A. MORAN, the testatrix therein named, as and for her last will, in
the presence of us, who at her request, in her presence, and in the presence of each other,
have subscribed our names as witnesses hereto.
Sam L. Andes
~ Jan
Lou Ann Grissi
COMMONWEALTH OF PENNSYLVANIA 1
( SS.:
COUNTY OF CUMBERLAND 1
The undersigned, being the testatrix whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, does hereby acknowledge that I signed and
executed the foregoing instrument as my last will, that I signed it willingly; and that I signed it as
my free and voluntary act for the purposes therein expressed.
~.
BA BABA A. MORAN
Sworn or ?ffjrmerl to and acknowledged
bclcre me by the testatrix named above
'phis ~t±~` day of f}k3,Kr~- 1996.
~; Notar °ublic Ly~~~ EH1~6V~E~.®o Nvtruy ~uofic
~ ~s~ ~+to. arum ~ou~~
l ~,~rrarr~l~s~r~ E~1r~ P+tag.t~,
~''
COMMONWEALTH OF PENNSYLVANIA )
( SS.:
COUNTY OF CUMBERLAND
WE, SAMUEL L. ANDES and LOU ANN GRISSINGER, the witnesses whose names 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 testatrix sign and execute the instrument as her last will; that she
signed it willingly and that she executed it as her free and voluntary act for the purposes therein
expressed; that each of us in the hearing and sight of the testatrix signed the will as witnesses; and
that to the best of our knowledge, the testatrix was at that time 18 or more years of age, of sound
mind, and under no constraint or undue influence.
Sworn or affirmed to and
acknowledged before me this
3 ot`' day of A~ Hsf , 1996.
Nona Public N®Tp~FUAt- ~ ~° P~~ltc
LytdN EHFiEI~FELDo tvlot~r3"
LemoVn~ 13aro. Cu~a~erlar~d ,~~ z®
AAY ~~Is~io~ E~lres ~o~~
f L. Andes
'~ ~ '~
Lou Ann Grissinger