HomeMy WebLinkAbout11-19-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
Estate of Alvin E. Bush
Cumberland
also known as
COUNTY, PENNSYLVANIA
File Number ~ ~ ~ (..~~~! ° ~ ~~ / g
Deceased Social Security Number 202-10-7787
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPPLETE A' or 'B' BELOW:) ,.~ ~ -~
-~ ~-7
® A, Probate and Grant of Letters Testamentary and aver that Petitioners} is 1 are the Executor °- ~7 ~_~amed'in the
last Will of the Decedent dated April 9, 2001 and codicil(s) dated ' _~: ~'-'~ .~-
i._ ._._
(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 executioner i~ instrum s) ofF~red ;--
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.: db.n.c.t.a.; pendente life; duranteabsentia; duranteminoritate)
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.n., enter date of Will in Section A above and complete list of heirs.)
(COMPLETE INALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his 1 her last principal residence at
28 Palmer Drive Camy Hi11 PA 17011
(List street address, towrdcity, township, county, state, aip code)
Decedent, then 94 years of age, died on September 29, 2009 at home, 28 Palmer Drive, Camp Hill, PA 17011
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) A11 personal property
(1f 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:
$ 80,000.00
V`
Form RW'-O2 rev. 10.13.06 Page I Of 2
Wherefo!-e, 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.
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
SS
Th_e 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
before me the day of
~ ~~~i..'~ 'y ` ~ .' ~-- tel.'
n
For the Regis er
of P
Signature of Persona[ Representative ~-} ~=-~
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Signature of Personal Representative ~-> r_
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X21-C~~-10~~
File Number: ~ -L~ tv
Estate of Alvin E. Bush ,Deceased
Social Security Number: 202-10-7787 Date of Death: September 29, 2009
A~ r
AND NOW, ~~ ~ ~ ~.~,(~ ~( ~ lV ~U > c~~> in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to ~,c r y ~ L . ~ ~~
in the above estate
and that the instrument(s) dated April 9, 2001
described in the Petition be admitted to probate and filed of record as the last Will (and Cod~ic~il(s)) of~ecedent. ~
FEES ~ ~ ~ ~f lk...~ ~ . ~' ~ ~,~ , 1 )
~ 1 ~. ~ ~~ ' ~ ister Wills ~
Letters ............... $ ~ l,l, ~/~
Short Certificate(s) ........ $ ~~ • ~~ Attorney Signature: ---°°~
Renunciation(s) ..........
~y~ l~ ... $ I~~.Ub
~l~J'E--~~~~ .. .
... $
... $
... $
... $
... $
_ ... $
TOTAL .............. $ r~ ~ --6-@0
Attorney Name:
Duane P. Stone
Supreme Court LD. No.: 85715
Address: 8 N. Baltimore Street
P.O. Box 696
Telephone:
Dillsburg, PA 17019
717-432-2089
Form RW-02 rer. [0.13.06 Page 2, Of 2
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~
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CERTIFICATE OF DEATH
(See instructions and examples on reverse) STATE FlLE NUMBER
7. Name d Deccdant (Rrst, midde, lad, sNgs) 2. Se: 3. Socid SeWritY Number 4. Date of Deam (Month, day, year)
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94 "°"" °rya "°'"` k`""" 5/6/1915 Clarks Valley ~°~P"~` °Nac rr-ll.''
Yrs. ^ Irpatlent ^ ER / Oulpatbnl ^ DOA ^ Nursirg Maitre Lpt,esidence ^Omer ~ Seedy
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BD, Cant' d Deam &. City, Boro, Twp. of DeaM 6A Faddy Name (K nd iiuMUtian, give sheN and number) 9. Was Decedent a Hispanic Odgin? ~ No ^ Yes 10. Race: American Indian, Rlacl4 Wide, etc.
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Cumberland Camp Hill y°'•a~y
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28 Palmer Drive (
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t1. DxedeM's lsual ion Knd d wok dale du' most of world rde. De nd state rett 12 Was Decades ever n mm 13. DecedenCa Educagon (Seedy only higMSt gads completed) 14. ~ drat Stab M~ , Nall Marred, t6. Surviving Spouse (N w"e, give maiden name)
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• ' 16.Oecedenl's Mali Address (Street, city / town, state, zp code)
28 Palmer Drive Decedents Did Decedent
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Aduel ResMence i7+. Bata PA ~~~a 17c.^Yea, Decedent Limein
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Cam~g Hill PA 1701 1 ~
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16. FameYS Nanre IFxsL nAdda, last, scar) ig. Mdlmr' ame nbdk,
~'eceliaessier Bush
Moses Bush
20e. Inlorment's Name (Type / Pdnl) 20h. mlamanya Mailing Address (Sheet, dN /ban, share, rip cadet
Carol Bixler 28 Palmer Drive Cam Hill PA 17011
21a Medved a Disposition , ^ Crematbn ^ Dutaation 21b. Date d Disposigm (IAcnm, day. year) 27c Place d D'epwiGon (Name d cemetery, crematory a Omer place) 21 d. Lacalion (Chy /ban, stele. zip code)
PA 17980
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~ Sudel ^ Removatranstam iwaecremationorponauonAahadzsd
• 10/3/2004 ty
Greenwood Cemetery Tower C
^ Ott. et' M Meaal ExaMner / CoronKd ^ Yes ^ No
L ~lsnaa ( raa~~,"°a='ucn)
,.sre " 22"3N3-L 22cDimo'n ~'F:`~. 644 E. Grand Ave. Tower City PA 17980
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Complde ems 23at aYy when certdpng 23a To me bed d my knowledge, deem occurred at tlb line, sate and place staled. (SlpmNre and tilh) 230. IJcense Number 23c. Dale Signed (Month, day, year)
physkian h iw{ evadable M Ume d death b
ceddY cause d deem.
limns 24-26 mus he nmpleted W person 24. Tire d Death Dead (Mall, day. year)
26. Dye Prawunce
d 26. Was Case Retorted to Medical Esamner / Coroner br a Reason Other than GBmation or Donation?
,' wda PorioMK:ee deem. $ : 3 (~ Q. M. p
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1 - a 9 - ~ 9 ^ Yea ®No
CAUSE OF DEATH (See InaWCtiona and eaampNs) s Approxknale Mervat Part II: Eder amm °'-T M a„•a m Lh 26. Did Tdmcw the Cmtribae to Deam7
Pad I: Inlar the don d events -dseaaes, irNunea, a canpgcagam -mM dbe My caused me deem. DO NOT eder tendnal sveras wdl as oNic artesl ; Oloet to Deem
Item 27 bN nd reSUKrq h Lhe urderlyelg rave given n Part L ^ Yes ^ Probably
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~espnatay enasL a vemdMar Raalation vAMut stowing dm egobgy. lxt ody ore sauce an each Wm. r ,~ No ^ llnknovm
IMMEDIATE CAl1SE (tFaml 65ease a ~~` ' ~, aC.U ('~/ i
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r ^ Nd pre(mard, but pregtanl wilAn 42 days
Enter me UNDERLYING CAUSE 1 „
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(drsease a v~jury that radiated the p adeam
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evenb resuNng n deem) LAST. ~ ^ Nd pregmM, bM pragnanl 43 days to f year
Due to (ar as a consequence oQ:
balsa deem
d. r ^ Unlatoan g pregmd wimra me past year
30a Was an Adrpsy 30b. Ware Aaopsy Fallings J1. Mamer of Deam 32a Date d Injury (Menm, day, Year) 326. Deacnbe How kgmy Ocwrted 32c. Place d Irryiay: Home, Farm, Street, Fadory,
Office ~"g' do (SPsdYI
PedomKd? Availade Pda to Campetion
01 Cause of Deam7 ~ Natural ^ Homicide
^ ACCideM ^ Pending Imestigatbn 32d Tnne d Injury 32e. mercy at Work? 3N. II TranspMatim nlmy (Spea'y) 32g. Locagon d miury (Sorel, city! bwn, state)
^ Yes ~ No ^ Yes ^ No
^ Vas ^ No ^ Driver / Operaia ^ Passergar ^Pedeshlen
^ Suicide ^ Could Nd be Determired M Omer _ Spscly
33a. Cen"ler (dam mty oriel 33b. sigMNre and Title d Ced"rer '
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On me vela d examinadon end! or bvasgyalton, in my opinion, death occurted rt the time, date, ell Pie. and due b the cause(s) ~ manner u staled_ ^ 3d. ~~ andAddress a Person Who Canpleted Cause qI D~am~~ iry27) Type! Print
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Disposition Permit No.
WILL
OF
ALVIN E. BUSH
I, ALVIN E. BUSH, of Porter Township, Schuylkill County, 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, includi~q
my gravemarker and all expenses of my last illness, and any and al~l~taxes awl
assessments imposed by any governmental body as a result of my deatla~-~?wheth
on ro ert assin under this Will or otherwise, shall be aid fro `-~'
P P Y P g P ~-~~ .~°
residuary estate as soon as practicable after my death as a part of=t-ti~-: •~-
expense of the administration of my estate. '~_~~`- `~
->
ITEM II. I give and bequeath all of my household goods, autor~o}~~iles, ~
jewelry, and all other articles of household and personal use, equip~ie~ht anc~
ornament, together with all insurance thereon and relating thereto,yto the C~'~
following persons, with due regard for their personal preferences, who survive
my death by thirty (30) days, per stirpes and not per capita: my son, TERRY L.
3USH, of Oviedo, Florida; my daughter, CAROL L. BIXLER, of Camp Hill,
:Pennsylvania; and my daughter-in-law, JULIA BUSH, of Tower City, Pennsylvania.
`Phe decision of my executor with regard to the division of such property shall
}~e final, binding, and conclusive on all parties.
ITEM III. I give, devise, and bequeath all the rest, residue, and
remainder of my possessions and estate of every nature and wherever situate to
t:he following persons who survive my death by thirty (30) days, per stirpes
sand not per capita: my son, TERRY L. BUSH; my daughter, CAROL L. BIXLER; and
my daughter-in-law, JULIA BUSH.
ITEM IV. All of the interests of the beneficiaries hereunder shall not
`~' x~e subject to anticipation or to voluntary or involuntary alienation nor shall
they be subject to any execution or attachment.
~ ITEM V. I appoint my daughter, CAROL L. BIXLER, executrix of this my
~-;t last Will. Should my daughter predecease me or otherwise fail to qualify or
''--~~ii cease to serve as executrix of this my last Will, I appoint my son, TERRY L.
BUSH, executor of this my last Will.
.~
'~ ITEM VI. In addition to the other powers and authorities granted to my
personal representatives by Pennsylvania law and by the other terms and
~ provisions of this Will, I hereby give to my personal representatives the
"-~ following powers and authorities effective without court approval and until
actual distribution of all property: to compromise any claim or controversy;
to make distribution in cash or in kind, or partly in cash and partly in kind,
a:-~d in such manner as my personal representatives may determine and at
i
:-
D:\LWORK\WILLS\G03260 ] A. WPD
valuations finally to be fixed by them; to invest in all forms of property,
including any stock or other securities in any corporate fiduciary or its
successor without restriction to investments authorized for Pennsylvania
fiduciaries, as my personal representatives deem proper, without regard to any
principle of risk or diversification; to retain any or all assets of my
estate, real or personal, without regard to any principle of risk or
diversification; 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, or leases, for such prices and upon such terms or conditions
as my personal representatives deem proper; to allocate receipts and expenses
to principal or income or partly to each as my personal representatives de ern
proper in their sole discretion; and to serve as guardian of any property
which passes, either under this Will or otherwise, to a minor or to any person
adjudged by any court of competent jurisdiction to be mentally incapacitated
to care for such property or for such person's own affairs, and with respect
to whom I am authorized to appoint a guardian and have not otherwise appointed
a guardian or trustee with the power in the guardian to use principal as well
as income from time to time for such person's education, support, and welfare
without regard to the ability of the parents of such person to provide for
such education, support, or welfare, and to make such payment for these
purposes, without further responsibility, directly to such person or to the
parent or any other person taking care of such person.
ITEM VII. When a "per stirpes" gift to a person's descendants is
provided for under this Will, gift shall be divided into as many equal shares
<~s there are then living children of such individual and then deceased
children represented by descendants then living, and each then living child
:>hall receive one share, and the share of each deceased child shall be divided
~imong his or her descendants in the same manner, repeating this pattern with
z-espect to succeeding generations until all shares are determined.
ITEM VIII. I direct that my personal representatives and fiduciaries
;hall 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
~~~~'~ ~.
ALVIN E. BUSH
D:ALWORK\WILLS\G032601A.WPD - 2 -
The preceding instrument, consisting of this and two other typewritten
pages, each identified by the signature of the testator was on the date
thereof signed, published, and declared by ALVIN E. BUSH, the testator therein
named, as and for his last Will, in the presence of us, who at his request, in
his presence, and in the presence of each other, have subscribed our names as
witnesses hereto.
~~' ~~
GECA E A. VA G III
DIANE B. 3EP3'KINS
`3i
~:~
~~--
D:\LWORK\WILLS\G032601A.WPD - 3
COMMONWEALTH OF PENNSYLVANIA )
( SS.:
COUNTY OF CUMBERLAND )
I, ALVIN E. BUSH, being the testator whose name is signed to the
foregoing instrument, having been duly qualified according to law, do 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.
ALVIN E. BUSH
Sworn or affirmed to and acknowledged
before,mep by the testator named above
this,/day of ~~~~~, 2001.
,~ -7
J iV®TARIAi_ SEAL
~~~~-~ ^ ~ _~' --~: ~~~~~ Frances T. Vaughn, Notary Aublic
otary Public ~ f~ampden Twp., umbarlen-~ County
~y Commission Expires Sept. t 5, 2003
COMMONWEALTH OF PENNSYLVANIA )
( SS.:
COUNTY OF CUMBERLAND )
WE, GEORGE A. VAUGHN, III, and DIANE B. JENKINS, the witnesses whose
names are signed to the foregoing instrument, being duly qualified according
to law, do depose and say that we were present and saw the testator sign and
execute the instrument as his last Will; that he signed it willingly; that he
executed it as his free and voluntary act for the purposes therein expressed;
that each of us in the hearing and sight of the testator signed the Will as
witnesses; and that to the best of our knowledge, the testator was at the time
eighteen or more years or age, of sound mind, and under no constraint or undue
influence.
~~ ~,
GE E A. VAU III
//
DIANE B. NKINS
Sworn or affirmed to and
acknowledged before me this j
of ~'~a,,2 `~~,. 2001.
i -, .T -.
,,,
~,
]rotary Public
day
N®TARlA1. SEAL!
Prances T. 4'aughn, Notary Public
Hampden Twp., Cumberland County
Wiy Commission iwxpires Sept. ib, 2009 i
I7:ALWORK\WILLS\G032601A.WPD