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HomeMy WebLinkAbout10-27-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Sara K. Dewalt also known as Sara Katherine Dewalt Deceased COUNTY, PENNSYLVANIA File Number 2 ~ ~ V / - ~ ~ t Social Security Number 174-OS-3567 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 Executor last Will of the Decedent dated February 20, 2007 and codicil(s) dated (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; durante minoritate) (COMPLETE INALL CASES:) Attach additional sheets if necessary. `~ ~- ..~~ .. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal resi~i~ce gat ~' ~ " "' 801 N. Hanover Street Carlisle PA 17013 - ~~ ~-'~ ' ~-rti ... --s (List street address, tow-r/city, township, county, state, zip code) ~~ _... `~° . C.~"1 Decedent, then 95 years of age, died on September 23, 2009 at Carlisle Regional Medical Center, 361 Alexander Spring Rd. Carlisle PA 1701 S Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 207,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 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: or printed name and residence Michael Lloyd Dewalt 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.) 21-Z~~- /a f3 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) ofthe Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed L-efore me the ~~~ day of ~~ 1 > „r~ of Personal Signature of Personal Representative ~ • ' For the Register Signature of Personal Representative ~ ~ ~ ~~ ~ ~ _ .'~ ~.1 ~ ~ ,' ~ -'"^{ ~' ~....~ .._ N " ~~ ~ ~©~3 b 2 ~. ~~ ~ ~ ~ ~ ~ er: File Num - - ' . _. Estate of Sara K. Dewalt _ ,Deceased ~ ~ , . t , , T~ -.y L~ Social Security Number: 174-OS-3567 Date of Death: September 23, 2009 AND NOW, ~ ~" ZQd~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, I IS DECREED that Letters Testamentary are hereby granted to Michael Lloyd Dewalt in the above estate and that the instrument(s) dated February 20, 2007 described in the Petition be admitted to probate and filed of rec rd as the last Will (and Codicil(s)) of Decedent. FEES ©~ $ Regi r of Wills Letters ............... Short Certificate(s) ........ $ ~ to ~ o° Attorney Signature: Renunciation(s) .......... L , ){ It $ ~'-" 15- ~~ Attorney Name: Tricia .Naylor $ ~C~ ... $ ~~ ~ A~ Supreme Court LD. No.: 83760 YYl~~icWl ... $ J - ~ Address: 104 S. Hanover St. ... $ $ Carlisle, PA 17013 ... $ ... $ • • • $ Telephone: 717-243-7437 ... $ TOTAL .............. $ ~ •0 a -8-86' Form RW-02 rev. 10.13.06 Page 2 of 2 l -Zc~c~`~-1x13 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 15730130 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. ~~e. ~~~'p.~•c.~~~ SE 2 7 2t~9 ~ ~ / Local Registrar Date Issued ~_________..._____ ____ ~ ~___v ~,,,,~ w ~ _ _ ~, ~. ./ .W ~~ \../ (Y' ~~ ~ ~J ;.~. r ~.. ~.~ < .A. f r_, f -~ .. -c _~ ~_ ~ ~ H10S143 REV 11/1006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE/PRINT IN ~.f l w PERMANENT CERTIFICATE OF DEATH eucK iNK (See instructions and examples on reverse) ~_._~ ~„ - .,......_.. W 1. Nmce d Decedera (Ebel. niddre, last aulPoc) 2. sex 3. Socrel Securgy dumber -- 4. Date d Death (Month, day, year) SARA KATHERINE DEWALT Female 174 - OS _ 3567 September 23, 2009 8. Aga (Wt BiNdey) Under 1 Urder 1 8. Dots d Blrth (Mordh, r 7. SkUtprece and stele a country) t ta Place d Daedt (Check only one) 95 Yre. Mawr tlaye Hone eenbe May 13, 1914 Cariisle, Pa FloePital: ~~ ^~/~~ ^ooA Other ^~ ^ ^~ ' 8b. Cohahty d Death Bc. Chy, Soro, Tws. d DaeM 8d. Facaky Name (M not k1pW8on, give street and rhrxribsr) 9. Wa Decedent d Hbperlic Origin? ®No ^ Yee 10. Rees: Arrrerkerh Indian. Sreck VRrM, ek:. Cumberland South Middleton Carlisle Regional Medical Center (lf yes, aPeeify cr~a", 1 Mexican, Puerto Rlcerh, etc.) lte 11. Dendere'a Ilarel KM d work d oce mop d IXe. Do not stale 12. Was Decedent ever in the 13. DecedenPe EdtaaOOn (seedy ony higlhep greds arnp spd) 14 MadW Slphu: Mewl d N t M d 15 S Hn Kkd d Work Kind d Srakree / lydwlrl' ' U.S. Amred Forcee9 Eren~rhrery /Secondary (a12) Cdrege (1.1 or 5+) . e , ever en e , Widowed, Divorced (Spedry~ . urv g Spoues (If wife, give maiden nerrre) sor Book Club ^Ya ®Na 12 Widowed ~ 18. DecedeM'e McMrtg Aaaea (Street. dry' / town. arete, zIP cove) 801 N. Hanover St . Decedenrs 1Vania ok1 paeederd Aawl Repasnce na. sere Pay Lfve n a , Tc ^ ya pis LNed n Carlisle, Pa 17013 . , ~. 17b.Couniy Cumberland Ta>»xhsspy 17d~s ~ Carlisle py/~ 18. Father's Nems (Fkat middle. lap. sd6x) 1g. MoMer's Name (Fhat middle, maiden eumurhe) Jacob M. Snyder Bess M. Albert 20s. krfonrrerd's Nrce (Type / PrkN) 20b. Inhxmanye McNkhq Address (SreN, dlY /town, pare, ~ cads) Michael Dewalt 104 Storehouse Road, Carlisle, Pa 17015 21e. Mphod d R"~^ srre B'a' ^ cr«n.tla, ^ Doredon zlb. Dare d Dle~elarn (MorhM, d.y, yak 2tc. Plan d Diepomnen (N.me d cemetery, cremarery or other pleoe) z1a l.ocatlon (coy /town, afore, xlp cede) d . ^ o~ M.aw ~ e/ ^ Y~ ^ ~ Sept 28, 2009 Mt . Zion Cemetery Boiling Springs, Pa 17007 • 22a. siprkss Service (or a each) . - 22b. License Number b~-012909-L 22c. Name and Address of Fadkly Ronan Funeral Home 255 York Road Carlisle Pa 17013 ; ~~~~~„ , , CompNte 2~-c Dray wtren cerlNykg physiderr N nd avalabM p tlme d loth to 23a. To tlhs bat d my krawredge, doll occurred p dre ems, dare and place slated. (Sigrhsture end tltle) 23b. lkarha Number 23c. pals ~~ (M01M~ sa1'~ y°a~ oertlly cares d doll. Mme 21.28 map be conpWad by Person ~ who praraaxa doll. 24. Tkre d , ~J~ /1.. 25. are Pronounced (Mordh. day. yar) 't' 1 28. Was Case Referred to Medcel Examiner / Coroer for a Reason Other Men Crenredorh or tMnalbn7 . _ . ^ Ya ~ CAUSE OF DEATH (see Inatructlorq and examples) , ApproxNnare kKeml: hem Z7. PaA I: Enbr Me gyp, - deaaa, InMsla, or canpXplbro - the drectly cauesd Me daeM. DO NOT enter temrkhd rverds shxin a carder arrest r Oreet to Dart rapkNOry amep, or ventricrier RxXlagon hvMlrorA elhowkg Me etblogy. Lie) any one cewe an each Ina. Pert II: Er1Der oiler but nil reeulltng n Me uderlying cause given M Pert I. 28. Did Tobacco lke Corntdbde b DaM9 Yes n P ^ r ~ r TE CAUSE F chase ar ~.. ~ ~ ~ - l~~ ,~No ~ ~ n " -•~ r~ ~ ~ -~ a 29.8 Female: . r 'F Due b (a a ti ~p SequeMW lp carnddwe H an `' ~ ~~ lo1 pregrerx wkAn pap year yre , y, b. tz ~ 1 wV>r(.• ~^ L4 1V CN- ~ r NaArq re 0 aua NpW an Nne a. ) ~ ` "'+^-s' r ^ Pregnant at Ortre d deaM USE Due b (or ae a conaequerx:e of): r Eller Ere UI ~ ERLYING A C Pd. but Pregnerd wXhn 42 days ^ y y ~ t ~ ivenu raauM/g~n d'~'aM) LAST c. ~ D r . ~ ue to ar a a ( consequence oQ: r ^ Not progneM, bd pregnard 43 deye b 1 yar • d. ~ before doll ^ lMlahown g pregneM wkMn Me Pep year 30e. Wes an Aheopsy Perlomed7 30b. Wars Aubpsy Fkhdrxp AvaMble Prbr re Cannpb8ar 31. Mammt.d DeaM 32e. Dpe d ~Y (Monts, day, yak 32b. Dexrlbe How InJuy Ocalrted 32a d l~. Home Skeet, F d Cewe d DseM? ~~ ^ ~~ ; 0 dreg, ^ Ya ^ Ya ~No ^ Acddent ^ ~ 32d. Tkne d tnpsy 32e. Irnjury p Waky 32f. n Trarreporredon Injrxy (Spsaly) 32g. Locetbn d Irh}xy (Street, illy /town, pare) ^ Shridde ^ Could Nd be DeremYrred ^ Ya ^ No ^ Ddvar / ^ PedaeUlarn M Other • Spectly. 33e. CaaBer (dreek aNy one) 33b. Sipnetue CertSar ' CMIIYkq phyekien (Plhyeidsrh certllynp awe d dart when snorter physkaen bee prorhourced dart end completes Item 23) T 0 b p d w o e s my howreegs, deph aaaxred dce to lhs oaree(s) end manner a ataMd_ - - -' - - - -' - -' - - -' -' -' - -' - - - - - "" ^ ' Pratourhdr and ceAM h N l Ph id - G° Y" q y g PM e an ( ya erh botln Proraundrq dart ell certllykg b caws d deaM) To the beat of my laawNdga, dart occurred p tM tNna, ilea, arts • thNdical Examiner /Coroner Pte. end due to the cause(s) and manner a stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ L'CenS° ~ i..- C'" ~,~~ ~ .Z f~ ,~ 33d. Date Sia~d ( .day, yar) ~'( On th bale d axemiredon and / w nrestigetlon In my opkdon loth occurred at the time date end l d d t th ^ ~ ~ , , . , p ace. en ue o e reuse(s) and memrer es atsted_ 34. Name all AdMea d Person Wla Completed Cewe d DeaM (ke m 27) Type /Print - L~ ~Eaab~ L~1 I ~ i I f I 0 I 3& Ftled (LwnM, day. year) '' ~~ ~', /4 yy/> Dlsposklon Pemd No. 0 ~1)Vp( , !' t-~ a r LAST WILL AND TESTAMENT ~-~ , ~y ~ ~ R=te _.. c'~ ,~", ; ~_, _, ... _- r-r~ N i "_.a SARA K. DEWALT = ~~-r~ -' ~~' ~~ I SARA K. DEWALT of the Borough of Camp Hill, Cumberland Cour~~y, Pennsy~ania ~ -;~> cn~ being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all ~ wills by me at any time heretofore made. 1. I direct that all my debts and funeral expenses be paid as soon as practical after my death by my Executor hereinafter named. I direct that all taxes that may be assessed as a consequence of my death shall be paid from my residuary estate as part of the expenses of the administration of my estate. 2. I give to MICHAEL L. DEWALT, BARBARA M. DEWALT, MICHAEL STEPHEN. DEWALT and VIRGINIA DEWALT, my burial lot, identified as Lot No. 90, Section E (10 feet by 18 feet) in Mt. Zion Cemetery, Churchtown, Pennsylvania. 3. I direct that all of my stocks, securities and investment accounts be divided equally and given to my son, MICHAEL LLOYD DEWALT, my grandson, MICHAEL STEPHEN DEWALT, my granddaughter, JENNIFER KUMMER and my granddaughter, APRIL L. GIBB. In the event my son, MICHAEL LLOYD DEWALT should predecease me, then in such event, I give the share he would have received under this Paragraph to my grandson, MICHAEL STEPHEN DEWALT, my granddaughter, JENNIFER KUMMER and my granddaughter, APRIL L. GIBB. 4. I give to three of my grandchildren named hereafter, the sum of $1,000.00: APRIL L. GIBB, JENNIFER KUMMER and MICHAEL STEPHEN DEWALT. 5. I give to three of my great-grandchildren hereinafter named, the sum of $1,000.00: LAW OFFICES SNELBAKER 8c BRENNEMAN, P.C. ATHENA STONE, JEREMY STONE and CASEY KUMMER. 6. All the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath to my son, MICHAEL LLOYD DEWALT, his heirs and assigns. In the event my said son should predecease me or fail to survive me by a period of sixty (60) days, then in such event, I give, devise and bequeath the rest, residue and remainder of my estate, real, personal and mixed in equal shares to my three grandchildren, MICHAEL STEPHEN DEWALT, APRIL L. GIBB and JENNIFER KUMMER. 7. If my son, MICHAEL LLOYD DEWALT, shall survive me by a period of sixty (60) days and decide within six months of the date of my death to dispose of my home at 3110 Dickinson Avenue, Camp Hill, Pennsylvania, rather than retain it for his own use, I direct that he, as my Executor, have an appraisal made of such property by a professional real estate appraiser to determine the fair market value of said property and I direct that the said property be first offered at the appraised fair market value to my grandson, MICHAEL STEPHEN DEWALT. Should my said grandson, MICHAEL STEPHEN DEWALT, decline to purchase the property at the appraised fair market value, my Executor may, as he wishes, either keep the property or dispose of it as he sees fit. 8. I hereby nominate, constitute and appoint my son, MICHAEL LLOYD DEWALT, as Executor under this my Last Will and Testament, but should he predecease me or fail to qualify, then in such event, I nominate, constitute and appoint my grandson, MICHAEL STEPHEN DEWALT, as Executor of this my Last Will and Testament. I further direct that no person serving as Executor hereunder shall be required to post bond to secure the faithful performance of his duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on Two (2) pages this 20th day of February, 2007. -~c~n.Ov K.- '~ .1J~rs1/ ~ (SEAL) Sara K. Dewalt LAW OFFICES SNELBAKER 8c BRENNEMAN, P.C. Signed, sealed, published and declared by SARA K. DEWALT, the Testatrix above named, 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 subscribed our names as attesting witnesses. ~121~-~ ,(SEAL) r._},~~~ ~ ~~Y~~~-SEAL) -2- .., ~. ,., +~ COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND ) We, SARA K. DEWALT, KEITH O. BRENNEMAN, ESQUIRE and SUSAN L. MATRAZI, 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 undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she had signed willingly, 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 Testatrix, signed the Will as witness and that to the best of his or her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. S U~ ~c, ~, .~~ ~~ Testatrix Witness ~~..... Witness Subscribed, sworn to and acknowledged before me by SARA K. DEWALT, Testatrix, and subscribed and sworn to before me by KEITH O. BRENNEMAN, ESQUIRE and SUSAN L. MATRA.ZI, witnesses, this 20th day of February, 2007. NOTARIAL TEAL ROSi=ALYN M VANDERLYKE Notory Pubiic otary Pu is cAas.MLE ~oROUCrI, cuM~ERUNO cou~m My Canmiaion Expi~~: Oci 2./, 2010 LAW OFFICES SNELBAKER $c BRENNEMAN, f .C.