HomeMy WebLinkAbout11-17-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
~
E s ate of Anna B. Brubaker
File Number 21 - 09 - ~ (~ ~
al known as
,Deceased Social Security Number 162-50-5449
G raid J. Brinser
P itioner(s), who islare 18 years of age or older, appty(ies} for:
(C MPLETE A' or B' BELOW.)
A. Probate and Grant of Letters Testamentary and aver that Petitioners} is/are the named in the
to t WIII of the Decedent dated 05/13/1997 and codicil(s) dated
Executor named in the Will PNC Bank renounced in favor of Petitioner.
(State relevant circumstances, e.g., renunciation, death o/executes! ek.)
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
fo probate, was not the victim of a killing and was never adjudicated an incapacitated person:
B. Grant of Letters of Administration C.t.a.
app Ica e, en er: c..a.; ..n.c..a.; p en e ~ e; uran e a sen ~a: uran minor a
P itioner(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
A ministrabon, c.t.a. or d,b.n.c.t.a., enter date of ~Il in Section A above and complete list of heirs.)
ame Relationship Residence
N
f,:,7
~ ;._}
uD
rn .~' tT~......'-~
~ ~ ,: ~-;
~J r--.
( OMPLETE 1N ALL CASES.) Attach addrbonal sheets if necessary.G`~ ~ _
D edent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence ate f„)
essiah ViNage, 100 Mt. Allen Drive, Mechanicsburg, PA (Upper Allen Township) -x" fV ~'
( ' st sheet address, rowrVclty, rownship, county, state, z1p code)
Dlecedent, then 100 years of age, died on 12/1 T/2001 at Messiah Village, Mechanicsburg, PA 17055
Diecedent at death owned property with estimated values as follows:
(If domiciled in PA} All personal property $ 1,200.00
(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:
t herefore, 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
e undersigned:
Signature Typed or printed name and residence
( Gerald J. Brinser 6 E. Main Street
P.O. Box 323
Palmyra, PA 11078
t~ xm W-02 Rev. to-f~-~
-~, a .-~ ---- ._.... ~...._._ _ , .,., ~-..,.,,~, ~, ,.r, ,.,.
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA } SS
Sworn to or affirmed and subscribed
tom.
before me this ~ day of
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 Pettioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Nove~ml~„ o~ C/3~~~.
Q I C.(CO.~
For the Register
Gerald J. Brinser
Signature of Personal Representative
Signature of Personal Representative
File Number: 21 - 09 - ~ ~`~
Estate of Anna B. Brubaker ,Deceased
Social Se^c1urity Number: 162-50-5449 Date of Death: 1 211 7/2 0 01
AND NOW, 1 V~VCmb~ _ (g ~C _ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters of Administration c.t.a.
are hereby granted to Gerald J. Brinser
and that the instrument(s) dated 0 5/1 311 9 9 7
in the above estate
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............................................ $ ~~ . W
Short Certificate(s) ......................... $ ~~ • O(~
Renunciation(s) .............................. $ ~ • (x~
~1C_P $ 10 . c~c~
~ t ~l_ $ I'mo' , C~c~
$
$
$
$
TOTAL .................................... $ W 1 , ~.x.~
Al
Al
P.O. Box 323
Palmyra, PA 17078
Telephone: 717/838-6348
Farm RW-(~2 Rev. f0-f3-2006 Copyright (c) 2008 form software only The Lackner Group, Inc. Page 2 of 2
Supreme Court I.D. No.: 43891
Brinser, Wagner 8~ Zimmerman
Address: 6 E. Main Street
_. ~ _ _.
r+tos.i~~ R :v. a;sa WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR
.FEE Foy ~-+is TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
cERTiFicAIIE S2.ooi COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH VITAL RECORDS
'~ LOCAL REGISTRAR'S CERTIFICATIION OF DEATH
cERr.NO. T 5048203
December 17, 2001
Date of Issue of This Certification
Na a of Decedent Nnna $' Brubaker
Firs[ Middle Last
Sex Female Social Security No. 162 - 50 - 5449 _ Date of Death December 17, 2001
Dat of Birth November 11 , 1901 Birthplace Lititiz, Lancaster County, Pennsylvania
of Death
White
I Status
Messiah Village
Facility Name
Occupation Housewife
Decedent's
Widowed Mailing Address
Cumberland County Upper Allen Twp. Pennsylva
County City, Borough or Township
Armed Forces? (Yes or No) NO
Messiah Village P.O. Box 2015 Mechanicsburg PA
Number Street City or Town State
Info mant Mrs. Nancy Hoke Funeral Director Scott D. Brenneman, FD
Na a and. Address of
Fun ral Establishmen# Cocklin Funeral Hoae,Inc.,30 N. Chestnut Street, Dillsburg, PA 17019
i Interval Between
Part I: Immediate Cause ! C)ncat al,~ npatn
(a)
(b)
(c)
r~~
Part II: Other Significant Conditions
Man er of Death
Nat ral [~XX Homicide ^
Acci ent ^ Pending Investigation ^
Sui ide ^ Could not be Determined ^
Na e and Title of Certfier James Tpndall, MD
Address 108 Lowther Street, Dillsburg, PA 17019
(M,.D.,, D.O., Coroner, M.E.)
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 of Vital Records District No.
December 17, 2001 153 Logan Road, Dillsburg, PA 17019
Date Receive 6y Local egistrar Stroet Address City. Borough, Township
Describe how injury occurred:
'~ ` _
3-
t,a
~-
7
i4 i..
2009 NOV t 7 PM 3= 20
RENUNCIATION CLERK OF
OF~'HAhI'S COURT
REGISTER OF WILLS ~~~~~~'~~ GO„ PA
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of ANNA B. BRUBAKER
Deceased
I, LINDA J. LUNDBERG, VICE PRESIDENT OF PNC BANK, N.A , in my capacity/relationship as
(Print Name)
EXECUTOR OF THE ESTATE of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
GERALD J. BRINSER
~p,J c., ~ 4~`E-1 N . R
NOVEMBER 4, 2009 ~~
(Date) (Signature) V ~, L~ Q L~ S L Q E~
PNC BANK, N.A., 4242 CARLISLE PIKE
(Street Address)
CAMP HILL, PA 17011
(City, State, ZipJ
Executed in Register's Office Executed out of Register's Offce
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of that he or she exec the renunc>< 'on for the
purpos fate ith'n on this day
f !I ,
.%
Deputy for Register of Wills Nota c~
My Co fission Expires:
(Signature and Seal of Notary or other ~cial qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
.NO ARIA~i s Ai
DENISE C. RYAN, Notary Public
Hampden Twp., Cumberland G,ounty
My Commissiar Ex ' s Decemberf 17, X012
WILL
OF
ANNA B. BRUBAKER
e~
c~ =
--r_ ;
_
-
C3~ ~ f,T
(
"
'
i
'
[
1 ~~ Y 'i ~@ F u 7
Q "U C.~: L" ~'
C.J ~,
~ ~
~ ~ .
;>
~
0
I, ANNA B. BRUBAKER, currently of Upper Allen Township, Cumberland County,
Pennsylvania, realizing the uncertainty of this life, but with confidence in God and trust in
His Son, my Lord and Savior, Jesus Christ, who died for my sins upon the cross and rose
again to redeem me and give me eternal life, do hereby make, publish and declare this to be
my Last Will and Testament, hereby revoking any and all prior Wills and Codicils made by
me.
I. I direct that all my just debts and funeral expenses be paid from the assets of my
estate as soon as practicable after my demise.
II. I direct that all estate and inheritance taxes that may be assessed in consequence of
my death, shall be paid out of the principal of my general estate to the same effect as if said
taxes were expenses of administration and all property includable in my taxable estate
whether or not passing under this Will shall be free and clear thereof.
III. All the rest, residue and remainder of my estate, of whatever nature and wherever
situate, including property over which I hold a power of appointment, I devise and bequeath
as follows:
A. Thirty-five percent (35%) unto the Board of Brotherhood Concerns,
Brethren in Christ Church, Grantham, Pennsylvania, to be used as it sees best.
B. Twenty-percent (20%) unto The Board of Missions, Brethren in
Christ Church, Grantham, Pennsylvania, to be used as it sees best.
C. Twenty percent (20%) unto Messiah College, Grantham,
Pennsylvania, to be used as it sees best.
D. Fifteen percent (15%) to be divided equally among the following
nieces and nephews of my late husband who survive me: Nancy Hoke, Bazbaza
Kreider Nissley, Dale Kreider, Katharine Kreider, Ronald Brubaker and Edna
Brubaker Schroeder.
E. Ten percent (10%) unto Messiah Village, Mechanicsburg,
Pennsylvania, to be used in its Endowment Fund.
IV. I appoint my PNC Bank (or its successors), Mechanicsburg, Pennsylvania, Executor
of this my Will.
IN WITNESS WHEREOF, I, ANNA B. BRUBAKER, herewith set my hand to this
my Last Will, typewritten on two (2) sheets of paper including the attestation clause and
signatures of witnesses, this 13th day of May, 1997.
ANNA B. BRUBAKER
Signed by ANNA B. BRUBAKER, by her declazed to be her Will in our presence,
who have hereunto subscribed our names as witnesses in her presence and at her request, this
13th day of May, 1997.
residing a~
l~r residing a~
-2-
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
WE, ANNA B. BRUBAKER, GERALD J. BRINSER and N ~^~~ z l,~o ~ ~ ~ ~ ,
the testatrix and the witnesses, respectively, whose names are signed to the attached or
foregoing instrument, being first duly affirmed, do hereby declare to the undersigned
authority that the testatrix signed and executed the instrument as her Last Will'and that she
signed willingly (or willingly directed another to sign for her), 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 testarrix, signed the Will as witnesses and that tb the best of
our knowledge the testatrix was at that time eighteen years of age or older, of sound mind
and under no constraint or undue influence.
ANNA B. BRUBAKER
TNESS
WITNESS
Subscribed, sworn or affirmed and acknowledged before me by ANNA B.
BRUBAKER, the testatrix, GERALD J. BRINSER and At,~ A z-, ~~,, ~ ,,~ ,
witnesses, this 13th day of May, 1997.
_ ~. 7/1~~
(SEAL) Notary Public
Notarial Seal
Karen M. Turner. Notary Public
Upper Allen T~>>~., rurnberland County
My Comrr:_sion Expires wtay 29, 2000
Member, Pennsylvania Association of ~!~.?°:~'yr;
-3-