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HomeMy WebLinkAbout10-29-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Daniel A Dandy File Number 21-09- l~~ Z ~ also known as ,Deceased Social Security Number 158-16-2246 Daniel J Dandy Pet ;goner(s), who is/are 18 years of age or older, apply(ies) for. (COMPLETE A' or `B' BELOW.•) QX A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor named in the last Will of the Decedent, dated 12/19/2005 and codicil(s) dated State relevant circumstances, e.g., renunciation, death of executor, etc. E~'cept 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 app ica e, en er: c..a.; .n.c..a.; pe en e i e; uran e a sen ~a; uran a moron a e 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: (/f Administration, c. t. a. ord.b.n.c.t.a., enter date of Will in Section A above and complete lisf of heirs.) Name Relationship Residence rv ~~ G~ .uk --- _w.. ~ -..,..~ +..~ r"r' t t. ~ ---~ .:: ~~x:`~ ,, _ r~ . ' . (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ' ~--~ -~`~? - ,~ .. .. ... Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residenc~.~t c.~ ~ ,- . r-t ._ _., ~- .L~ f .'. r.._..., 1^40 West South St., Carlisle, Carlisle Borough, Cumberland, PA 17013 ~ N ~~ (List street address, town/city, township, county, state, zip code) Decedent, then 84 years of age, died on 10/05/2009 ~, at Sarah A. Todd Memorial Home, Carlisle, PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ (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: 25,000.00 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: Signature Typed or printed name and residence Daniel J Dandy 333 North Mountain Rd. Newville, PA 17241 Form KW-Ul Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } SS CouNTY of Cumberland } 'i'he 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 Signature of Personal Represe ~ e Dan' andy before me this ~ ~ day of ~} '~ ~Y"~ ~ Signature of Personal Representative _____~ ~~ c~ r- - ~.L~ _.....< i ~ ~-i - (~~~I,NNd~ ~ For the Re inter Signature of Personal Representative _"" --~ ~# t ° ~ ~- g ~ ,,`, ;~ ~ __ ~ ---, , ~.a .. _.... .. .~, . ~: ~. ~~ c: ,. t ., + ~ i File Number: 21 -09- ~ 6 Z O __ = ~-~;~ ._,.~ (.r1J r ...{ Estate of Daniel A Dandy ,Deceased' ~ Y, Social Security Number: 1 8-16-2246 Date of Death: 10/05/2009 AND NOW, ~ ZQQ9' , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IS DECREED that Letters Testamentary are hereby granted to Daniel J Dandy in the above estate ana that the instrument(s) dated 12/19/2005 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. 60.00 16.00 A 15.00 Attorney Name: MarCl S. Miller 5.00 Supreme Court I.D. No.: 204083 10.00 Hazen Elder Law Address: 2000 Linglestown Road Suite 202 Harrisburg, PA 17110 Telephone: 717-540-4332 106.00 Page 2 of 2 FEES Lt de rs .......................................... . Short Certificate(s) ........................ Renunciation(s) ............................. WiII Automation Fee JCP Fee TOTAL .................................... Fora, RW-U2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. ~ S 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 15730337 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. Local Registrar Date Issued t~ C~ °r..,.- ~ "S 7 ~. , 1 •....r/ 1 r ' ~ ~ ~ ~.! ~ ^. / ... .... Q.'1 ". '~- _' J...y...t fin., 1 `-""~ ~ ^'+^ ..A.y .-3 ~... J ~ .-.....-) 1~~. 1~\ ~ u _ ~ ~ f . _1 ~.. 1 ~3 -~ F _ ~ ~_ ~ l~i ~ _ 1 Cy a.... i _, ....r . H105.143 REV 11/2006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS PER/MANENTN CERTIFICATE OF DEATH BLACK INK (See Instructions and examples on reverse) STATE FILE NUMBER i • dI \ I I 1. Nanr d Decedent (FhaL middle, laq, sulAx) 2. Sex 3. Soda( Sectxity Number 4. Date d Daeth (Mordh, day, Year Daniel A. Dandy Male 158 _ 16 _ 2246 October 5, 009 5. Age (Last Blrthdey) lMder 1 llrtder 1 day 6. Date d Birth (Momh, da ,year) 7. (City and stale a braign country) 6a. Place d Death (Check ar) 84 '"°"" °"' "°" '""a" Sept. 12, 1925 Wallington, NJ "°°P"°'~ °"~~ yra, ^ Inpatient ^ ER / Outpatknt ^ DOA ~ Nursing Home ^ ReBidence ^O6rr - Specity: 8b. Camty d Death tic. C Twp, d Deets 6d. FacAAy flame (N rql lrolautiort, give streN and number) 9. Wee Decsderd d Hlepenic Origkt7 ®No ^ Yes 10. Race: Arrrncan ktden, Bledc, WNte, etc. Cumberland Carlisle Sarah A. Todd Memorial Home (If yea, spedty Cuban, Mexican, Porno Rk~rt, eb.) (Spsdfy) White 11. Dscadsrd's Uwd tlm d wont d er most d Ne. Do rqt smh retired 12. Was Decedent ever fn the 13. Decedent's Education (Spedty oMy hfgtrat grade camp laled) 14. Mertld Stator: Manled, Never Mauled, 15. Suniving Spo use (g wife, glue maiden name) IOM d Work d Teacher Pub~icSc~koo1. U.S}. (Amrd Forces? LYes ^,~ Ebmentary /Secondary (0.12} (1-4 or 5t) - ~ Dw0f0°d Isp«~+r) Widowed 16. Decederd's MaAktg Andreae (Stroet, dty /born, state, ziP code) 1000 West South Street Decedent's I)rd Decedent 17c. ^ Yea, Decadent t.ived m Twp. Adud Residence na stagy PA ~~ Carlisle, PA 17013 ? 1~.c«•rn Cumberland 1d~~, dL"ad"''"''" Carlisle cny / sore 18. FaYtsr'a Name (First, middle. leaf, eulAx) 1g. Momer's Name (FksL midde, maiden aumame) John Gizella Kissel 20a. Mlarnrrd'a Name (Type / Ptett) 20b. Inlortrrnre MaWng Address (Street, dty /town, cafe, rlp code) Daniel J. Dandy 333 North Mountain Road, Newville, PA 17241 21s. kMdtod d ^ Crenrtlon ^ Dorrtbn 21 b. Dste d Dlepoeitlar (Monet, day, yar) 21c. Place of Dhpoeeion (Name d oemstery, cremstary a dhar place} 21d. Location (CAy 1 town, elate, rip code) ~ f3unelRamovd Irom sea tfYaa crerrouort «DonNion AuthorlaW Oct . 9 , 2009 St . Mary's Cemetery Saddle Brook, NJ ^ Omer - Spedy: by Medal F-xaminar / C«anar7 ^ Yes ^ No 22e. d Funerd Service LkwaMe (a actlrrg u such) 22b. License Number 22c. Name ant Address d FadAty Hoffman-Roth Funeral Home & Crematory, Inc 013144E ConpleM Hems 23et orsy when cenMyNrp at tint d seem b k~` d 23a To tlr beat d my gawledge, dam at tlme, date ant Place stated. (Signature arxl tNk) 2 ~ 23b. Lcense Nwriber (.,~ a - ~ 23c. Date Sigrrd (M/aNh, day, Year) h ~' ~ esa»r. ! ~ ' / S ~ Gi / ! ! e C !7 S (,~ ~ gams 24.25 etas a competed b'/ person 24. Time d Dam 25. ,)ate /Dad (k~bnm, dey~eer) /~ ~ 26. Wes Ceae Referted W Medal Fxarnirrr! Cacsta for a Reason (')that man Crarrrfion a Donatbn7 who pronancae dam. `~ ~ s /' !~ M. G {J 2 2. S ~ V ^ Yes ~No CAUSE OF DEATH (See inetruetilxls and exampNs) r Approximaa irdetvd: Pen II: Erder dtrr ' 2e. Did Tobacco Use CantrPoNe ro Dam? Item 27. Part I: Enter the tYtl~te - dbemes, k>Nsiea, a oompAcatloro -that dkectly eased the dam. DO NOT crest tenttirrl evens such as rardac artest, r Onset b Dam but not resuAirrg h the undedykrg caws given in Pen I. ^ Yes ^ Probably reepkebry arreq, a vererlaAar Abd s6on whlad ahowkq the e tido Lbt oNy er r cause an ach Ana. ~ N gy. Ia ~ ^ l i ~-74~~ / ~ ~ ) G d ro ~rBetNkq h deem) ..-tea a. /C.G N ~. 7 /7 / t. (J avi~ - - - - i ~c:. i 1 w5 ~t ~,L / ~ ~ ~ / p'eJ ~ / ~5 /"' ~~/ T~c.~" 29. If F eme b: ^ Dw to (a as a consequence of): r Nd pregnant wANrt fret yar nem et lime d dam ^ Pre SaquantleAr MM cordgiorr, A anY, b. i J'T ~~y~ ~ `~l(SI (~ s+l j/ g bs~q dr Eller BrbUNDERLYMNI CAUSE a Dw to (a a a conaquerrce off: i ~dNca~v~es a' ' met Iral,sud the ~, ~ ltl~ d m LAST i a b ~A!lbtll /Rys' i sf17r, ^ Not prepwm, but pregrrnt wiWn 12 days. ven resu q in a ) . Dw w (a as a consequence d): ^ ~ pregtrrrt, but pregrtad 43 d.Ya ro 1 year d. i n d ~''/(~ C'~-~/Q.C /~ C'1' `/ ^ ~Unk eiow~ preprM wANn the P~ Y•& 30e. Was an Autapay 30b. Were Auropey Ferdrgs 31. Meurer d Dam 32a. Data d ln~xy (Morph, day, year) 32b. Describe How Inpay tkwrtsd 32c. Plea d k*ey: Hortr, Farm, Street, Fedory, Penormed? AveAeWe Pna b Completbn d caves a Deem? QNaMaI ^ Hanickle ~ ORICB g~ ~• /SPedN) ^ Yes ~ ^ Yes ~ No ^ q~ef s ^ p~7 Imams 32d. Time d Injury 32e. InNay et Wark? 321. H Trsnaponatbn Iryray (Sperd/y) 32g. LocaAOn d byury (Strad, dty I ,suet, state) ^ 9uirlde ^ CotAd Nd be Detanrrirrd ^ Yea ^ tlo ^ Oliver / OParetar ^ Passenger ^Pedestdert M Odrr - SpecrYy 33e. CertiRw (dreck only one) • CeAKyhq physkan (Physkkisan csntiykg cause d deed, aArn andMr prysician trs praarxtoed dam and conpbled Item 23) 33b. S Tdb d ~ /~ TolMtrstdmyknowkrlge,deedtaxumddwtotMcauss(s)sMmsrmarasated____~___~_~____~_________________ ^ t7G,s '~ /~+'r/f/ - ""~ • Pronouneinp ant cenllying physician (Physlden txNlt proratxtcirp dam ant cert6yinp b cause d dam) - - - - _ _ - _ To tlr fret d my W+a'adge, loth occurred st the thee, dale, ant pieta, snd dw to the ease(s) ant msmrr as stated_ _ _ _ _ _ _ . _ _ ^ 33c. Lk~nse Number 33d. Pete Sigrrd (Month, day, yar) ~ ~6 ~ ~ c,~~ '~ /~ " ©~ _~it>!J ~, a • Medal Exsmkrr / l;ororrr On the txsib d axamkrtlon end / a invesfigstlon, in my opMat, loth occurred at the ,lure, date, end pees, ant dw b ttr oase(s) arts manner ss stated_ ^ _ ~ m h )Type / Pdnt w ~ ~ 35. a Sfgtrlure I I I ~ ~ Dale Filed (Monet. day. Year) >0 .~ ~ ~ s° .~.,! ~!o ~ /N /v 3fl `~ / L TLEs~.~V .2/' ,a Jr•t~n! - P1 j-~~ ~ ~ ~ ~ ~-} . Tao 7 y DispwiAon Pemtit No. ~~~_ LAST WILL AND TESTA~TT OF DANIEL A. DANDY r~s C7 ' ':i=1 ~ o.v C "~ --~-' `~ r ~ ~ ~ ; 7 ~ , ^..? .. _~ ., .. .,, r' ~ 1 . i yy ~~ ,._~ .. N I, DANIEL A. DANDY, now domiciled in Cumberland County, Pennsylvania, declare this to be my Last Will and Testament. I revoke all other wills and codicils that I may have previously made. Article I My just debts and expenses of my last illness, funeral, and administration of my estate shall be paid by my Executor from the principal of my residuary estate as soon as practicable after my death. All inheritance, estate, and succession taxes (including interest and penalties thereon, but not including any generation skipping tax) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursement from any person. This provision is not a waiver of any right which my Executor has to claim reimbursement for any such taxes which become payable as the result of any property over which I have the power of appointment. Ar+;~lc+ TTT I give, devise and bequeath my tangible personal property in accordance with any memorandum I have handwritten or signed, located with my will or with my valuable papers and found within 30 days of the probate of my will. Gifts may only be to persons who survive me or to organizations which exist at my death, and if there is a conflict, the memorandum having the latest date shall govern. To the extent no such memorandum is found, or all of my tangible personal property is not disposed of pursuant thereto, my tangible personal property shall be added to my residuary estate and pass under Article IV hereof. Article IV All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, I give, devise and bequeath IN EQUAL SHARES to my children: DANIEL J. DANDY and GINA DANDY. However, if a beneficiary does not survive me by thirty (30) days, but leaves descendants who survive me by thirty (30) days, those descendants shall receive, Per Stirpes, the share the beneficiary would have received had he or she survived me by thirty (30) days. The share of any deceased child who does not have living issue shall be distributed to my surviving child. Or+in~A ~J I nominate, constitute and appoint my son, DANIEL J. DANDY, of 509 Miller Avenue, Mechanicsburg, Pennsylvania 17055, as Executor of my Last Will and Testament. In the event of the renunciation, death, or inability to act, for any reason whatsoever of my Executor, I 2 nominate, constitute and appoint my daughter-in-law, JOAN DANDY, of 509 Miller Avenue, Mechanicsburg, Pennsylvania 17055, as successor Executrix of my Last Will and Testament. I direct that my Executor or successor Executrix be permitted to serve without bond. In addition to those powers granted by law, I grant them power to distribute in cash or in kind, in like or in unlike shares, and to file any qualified disclaimer I could have filed if living. My Executor or successor Executrix shall receive reasonable compensation for services rendered to my estate. Article VI In addition to the powers conferred by law, I authorize my Executor and successor Executrix, in his/her absolute discretion: (a) to retain in the form received and to sell either at public or private sale, any real estate or personal property except that which I specifically bequeath herein, (b) to manage real estate, (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification, (d) to exercise any option or right arising from the ownership of investments, (e) to compromise claims without court approval and without consent of any beneficiary, (f) to file any federal income tax return for any year for which I have not filed such return prior to my death, (g) to make distributions in cash or in kind, or in both, and to determine the value of any such property, 3 (h) to employ any attorney, investment advisor, or other agent deemed necessary by my Executor or successor Executrix; and to pay from my estate reasonable compensation for all their services, (i) to conduct alone or with others, any business in which I am engaged in, or have an interest in at time of my death, and (j) to receive reasonable compensation in accordance with their standard schedule of fees in effect while their services are performed. IN WITNESS WHEREOF, I, DANIEL A. DANDY, hereby set my hand to this my Last Will and Testament, on o~ / ~ 1~, 2005, at Harrisburg, Pennsylvania. ~~~~. DANIEL A. DANDY In our presence, the above-named DANIEL A. DANDY signed this and declared this to be his Last Will and Testament and now at his request, in his presence, and in the presence of each other, we sign as witnesses. Name Address 2000 Ling lestown Rd., Suite 202, Harrisburg , PA 17110 2000 Lin~ lestown Rd., Suite 202, Harrisburg , PA 17110 4 I, DANIEL A. DANDY, Testator, who signed the foregoing instrument, having been duly qualified according to law, acknowledge that I signed and executed this instrument as my Will, and that I signed it willingly as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and Acknowledged before me by DANIEL A. DANDY, the Testator on .) q , 2005. Notary lic -~~~ DANIEL A. DAND~ COMMONWEALTH OF PENNSYLVANIA Notarial Seal Marielle F. Haien, Notary Public Susquehanna Twp., Dauphin County fNy Commission Expires Sept. 23, 2006 We, the undersigned witnesses who signed the foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the Testator sign and execute this instrument as his Will; that he signed and executed it willingly as his free and voluntary act for the purposes therein expressed; that each of us in his sight and hearing signed the Will as witnesses, and that to the best of our knowledge, that he was at that time eighteen (18) years or more of age, of sound mind, and under no constraint or undue influence. Sworn to or affirmed and Subscribed to before me and ~ ~ witnesses, on `~~~rJ,ct~~-2 ~ ~~ , 2005. Not y Public COMMONWEALTH OF PENNSYLVANIA Ma-'ielle FNotarial Seal Sus ueh Hazen, Notary Public q anna Twp,, pauphin County MY Commission Expires Se t. p 23. 2006 ~_-~ Witness Witnes ,. 5