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HomeMy WebLinkAbout12-28-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of JANET M. SCHILLER File Number ~/~ C~9- ~1 ~`~ also known as JANET MARIE SCHILLER Deceased Social Security Number 192304322 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW.) Q A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / aze the EXECUTRIX named in the last Will of the Decedent dated 9/3/2009 and codicil(s) dated NONE (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 (Ifappltca6le, enter: c.t.a.; d.b.n.c.t.a.; pendente life; durante absentia; durante minoritate) 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 SectionA above and complete list of heirs.) Decedent, then 69 years of age, died on 12/17/2009 at CUMBERLAND COUNTY PENNSYLVANIA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 500.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 90.000.00 20 COVERED BRIDGE ROAD, NEWBURG, PA 17240 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: Signature Typed or printed name and residence DIANE OSBAUGH 101 N. SHADY ROAD NEWBURG PA 17240 Page 1 of 2 Form RW-02 rev. 10.13.06 (COMPLETE INALL CASES:) Attach additional sheets if necessary. ?~' G!7 `'~ '-- v Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his /her last principal residence at 20 COVered Bridge Road NEWBURG PA 17240 HOPEWELL TWP CUMBERLAND CO. (List street address, town/ctty, township, county, state, zip code) 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 aze true and correct to the best of the lrnowledge 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 ~Q r,~L..~ , ~ ~ ' .~. For the Register Signature of Persona! Representative `x: Signature of Personal Representative ~ ~> T ~ N t=-- { ;. Signature of Personal Representative ~ " _ r ' --i O __' `` r~~ ~ ~ ,'-~ t +..i x', File Number: ~ ~"~ - l 1 Estate of JANET M. SCHILLER aka JANET MARIE SCHILLER ,Deceased Social Security Number:192304322 Date of Death: 12/17/200 AND NOW, ~ ~-~ ~+-~-~~- ~~ , 20_x, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY aze hereby granted to DIANE OSBAUGH in the above estate and that the instrument(s) dated SEPTEMBER 3. 2009 described in the Petition be admitted to probate and filed of reco.d as the last Will~ar-d Codicil(s)) of Decedent. FEES Letters ............................. ~V W $ ` egister of Wtlls Short Certificate(s) • • • • • • • • • • • • $ ~~ • OO Attorney Signature: Renunciation(s) •••••••••••••••• $ ~A~.t_~ .... $ 1 S 00 Attorney Name: H. ANTHONY ADAMS `~~ •••• $ °~`~ "~ Supreme Court I.D. No. : 25502 ~lx'~'nty~.'~'~ar .... $ ••„ $ Address: 49 WEST ORANGE STREET. SUITE 3 "" $ SHIPPENSBURG .... $ .... $ PA 17257 .... $ $ Telephone: 717-532-3270 TOTAL ............................. $ ~~~_ Form RW-02 rev. 10.13.06 Page 2 of 2 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 16086279 Certification Number N106t13 REV nrma TYPE /PRINT IN BLACK nJl( V~ S ~) 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 permane cling. Loco Registrar Date Issued P•J a -ti C ~o a ~,~-? ~ ,~ _: _. 1~~3 -Z;1 r•n - ~n=n c'~ G'' - , COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ;~ tj -~rl ~ ~ _ {~ CERTIFICATE OF DEATH ~ ~ O " "- (Ses instructions and exam les on reverse r~',~ P 1 STATE FILE NueAla~ • A 'i ': 1. Nrne d Deoerlue (Frei, nitlse, YeLa~rt 2. Su & Sotlm Seaegy NurBU 7. lhM d Dena ILXOmh, day, Janet M . Schiller e m a l e 192 _ 30 _4322 I)eo®lTf~ 17, 2009 5. A{p M1em Siitlrtley) IAma 1 lhider 1 8. Dme d BMh 7. end sots a to PYp a DwN Chaco w Mae• D•ye roue teaaw Ibepilel: char: vm. 23, 1939 Willow Hill, PA ^ Ypedanl ^ ER I OugWm ^ DOA ^' Nurekp Nana Q Residents ^ Oasr ~ Speany 9b. Carty d Oaea Y. CXy, Boo, Tvq. d Oeari 8d FacBly Name (II rid IreSaian, pna sheet eM artber) 9. Wn Deoedem d Wspsnk aqn? No ^ Yea 10. Race: Amaicai tridiat Black, WhXe, eb. (q yes, epWy Cavan, (SVk+M Qa~berlard Ooa'-tY Hopewell lt„p• Cbv~led ~'i~ Rd. ,NeyXbLag, PA .17240 M.>ntn PUerb wt.n, .b.l White 11. Deradaa's UeW d sea d on. mom a Xle. Do rrA etere 12 Ww Dxehm ever b ne 13. Decedri'a Educatlon (Spedly mry liphnt grede cong lmed) U. L4dW Stour: Merned r Mused, ts. Survhiq spo use IM wXe, niw meidan name) WaitTse~ dwat R1Bugtrrr/s'drtY U.S. Amrd Faas? EbmuXery I Secondary (P72) CdNge (1J a 5.1 ~ ~ Diraced ^ Vw ®No $tll Wir]DKaed ts. DewduX'a Mminp Maws (Steel dylbwrh eaM, zip code) Decedent's Did Decadent ~ live Ina 17 Aa N R id n 17 St u' ~• T t ®V D d t Li d 20 Cbv~+sed ffii~je Rd. s s PA 17240 u es e ce e s e c. w, ece en n wp. b ~.~~ Twmehip? 17d. ^ Decetlent aretl wANn ~ 17b. Coady CXyfBao 19. FmM's Name (Firm, niche, km, suBx) 19. MgMrk Name (FM, middle, maiden wmame) Qait A. Fdayk Nail 2W. hYOlrrwfe Nuw~ype~ ) zOb. Irdorrwm'e McWp Atltlme (saem, cXy / toxo~ mek. zq ama) Llieine ..°.,...7. 101 9iarly Rand, Newbl~g, PA 17240 21e. Medrotl d Diepwkon r ^ CrenrYOn ^ Danstlon 21b. Dale d Dieoomnm (MaM, day. year) 21c. Place d D'epoeilbn (~ dcpwrry, crwimay a other place) 21tl. Lawn (CMy/brm, mp, zip Dodo) © scam ^ Removal trap sole i caw Crsetmbn a Dawbn Arahaisd ^ ahr. r by McAW ETamtwlCorerrrT ^ Yw^ Na 12-23-2009 Path V Fa7mett FYaT11C1~I1 22a. F servos ) 22b. Ltanw Number 22c. Name and Aairew d FacXlly - FD-014351-L tlayeral H~1e inc.112 West St. PA Xems 23sc any rdrn artlyiip 23e. Tot bem d my bwwMdpe, dwM attarW el tlr tma, deM end place mpd.ISlplMUr• and MNI 23b. Licare Number 23c. DaM Spwtl (Mordl, Gy, yeaJ .rol.,riablem6rradwhb I o°1 d auw a de.n. p la n gems &-26 mum De cmperd M pereon 2e. rime d DuM 25. Dp Daad ,day, year) 26. Wu Case b Medcel Exemurr / Cararr for a Rewm gher ores Cremalbn a Dartion7 edp praniemw ara. + \JS P M. ^ Yw No CAUSE OF DEATH (Sea Inetrlsctlona and examplaa , Approaimer hdervu: Pat I: Error Doer ~ 2s. D'q T ae to Dwlh? r Irm 7y. Pen I: Eller dr fdam.gSY~a - Qseww, e(wiw, a tompicanar ~ tlrl drecny teuwd ae dwlh. DD NDT wrr Mrmerl evems arch w corset amwl, i Onwt b Deco band puXnp h the urmMyip ceuae pnan b Pen I. O P~ ~ Yw reaptmay apm, a aedoaAer Ibrrauon aehaa mpwap tlr aliolopy. Lim oNy one rake a wch W. ~ r / ' /// ~~~ ^ No ^ lkurnvm /// ~ /a- / // CA~dsewea ~ ~O T A//A fl / ~ y / I 2n. n Femeb: .~ 1. / ~ wem) _~ a '^~'a~ Ir IYV.. rVW1~L W~ VK~~~ ~ •/ .7N/.I.S 1 W/ ^ Nd t rhm l Due b (a w a d): r r pregan r pw year ^ Pragnanl al lXne a deaa Ikt cardllar, X ~,. b' i ^ b cup IXXM on Ire e. Emar UOEALYMG CAUSE Due to (or as a mnequence oR: r Nd pregwnt, hul pregnant wXNn /2 days d tlaalh (~ a tlim bitlmad m, o r everts rwalr In dwa) U15T ^ y . ~ Due b (ar n a cae•4uare d): ~ Nd prepneM, dd pregnem 13 days l01 ywr belae daau d i ^ Ungpwn X prepieM within the pea year 3De. Ww n Autopsy 9gb. Were Aubpey FirM1rgs 31. Memer d Daea 32e. Dale a In)uy (MOritl1, day. ywr) 92b. Deprbe How MaY Ocanetl 32c. Place d Injwy: Homo, Fann, Steel Fa.1ay, Penomrd? AveXede Poor b Cornpblbn l ^ H i ; b Olfice g• eb. l~'hl a cap a D.mh? ure orr c l ^ Y ~N ^ V ^ N ^ Acxidam ^ PeMip IrwempeXOn 32d. Taw d bKm' Sze. Injury m wok? 921. n Trerrpatelbn tMrY lsyed'r/ 32g. lasfien d bkY (Slreel, idy f ban, oar) w o w o ^ Suidde ^ Could Nd he DelenriirU ^ Yw ^ No ^ Ddlu/Dperma ^ Paewnpu ^ Petlamdan M Otllu ~ sP•dY: 33a. CMarr (aroM Dory aw) h skYn (Ph mdai cenX cap d deem wow arrodrr t mdan hw i rmoupd dwb nd n brd h 23 • C•M t 33b. Sipimure end r~u]~ier ~ / y l ry y g p p q p a ca em ) Y w To the hemdnry luoMwp,eMhocoanddwto lM••uWHarm msnrrrrmmsd________________________________ .. ' Proues•rang and temsytrg t>IMsbisn (PhYslan bade pracueYp dwm am cerWybp b uuee d dwb) re eta Gmdmy lurewMdpe, deNh aaeursdmlMalp,dm.,.rdp~w,wdar.btX.awwe,.,wdaanwrwmpd----------- ^ ------ r ~ ~ or7Y93 - L 33d. Data Siprd IMadn, day. yea) ~ 6 ~~ ~0 9 • r.aam FiratwfCaaw ,aa u , On the txr6 d weartrmkaarm la Inwmgmbn, In ny bn, dsstlr oaumd m the fibre, N4, and pNa, and due ro tlr rarne(e) and nrnror n steled_ ^ 3/. Name Who Carorte~tl Gwu9e d Dena (Man 27) Typa! Pad A i tiepweh sigrerae end NuM~' ~ •~ 36. te Feed ( deY. r tA l9r A ..~ " •V /i s Mw~/A^d Rve . ,bn ' 4 I ' I ~i I / I I 1 ~ ~ ~ l~ I Dispwnbn PermX No. ~~ ~~~ ~v ~ . LAST WILL ANC TESTAMENT OF JANET M. SCHILLER ~ -~-> ,~" ~ KNOW ALL MEN BY THESE PRESENTS that I JANET M. SCHILLE~~ ~ F ~' ;,) - , , Pennsylvania, being of sound and disposing mind, memory and understat~iing, ` ~ ` . do make, publish and declare this my Last Will and Testament, hereby revoking all prior wills and codicils by me at any time heretofore made. FIRST: I direct the payment of all my legal debts, burial expenses including my grave marker and all of my expenses of my federal estate and state inheritance taxes together with cost of administration of my estate, as soon as may be conveniently done following my decease leaving all specific bequests free of tax to the legatee. SECOND: I give and bequeath all my jewelry of whaterver nature or kind to Wanda Schiller. THIRD: I give and bequeath my five piece diamond shape clock set to Diane Osbaugh. FOURTH: The rest and residue of my estate be it real, mixed nor personal, I give, devise and bequeath to Bruce Alexander, Sr. FIFTH: If Bruce Alexander, Sr. should predecease me or if we should die in a common disaster in of those said events, I give, devise and bequeath the rest and residue of my estate to Diane Osbaugh, Bruce Alexander, Jr,, Gary Alexander, Jeffrey Alexander, Wanda Schiller and John Sheffer, in equal shares, share and share alike, per stirpes. SIXTH: I name Diane Osbaugh to be my Executrix of this my Last Will and Testament and if she should be unable to serve or fail to serve I nominate and appoint Jeffrey Alexander to be my Executor of this my Last Wilf and Testament. If administration of my estate or trust should be necessary in any jurisdiction where my Executor is unable to qualify or if my Executor deems it necessary for any other reason, I give to my Executor the power to designate any individual or corporation with trust powers to serve with my Executor's or in my Executors stead. I request that no security be required of any Executor, including an Executor named pursuant to the preceding sentence. References in my will to my "Executor" are to the one or ones acting at the time, except where otherwise specifically provided. I grant my Executor the powers set forth in 20 Pa. C.S. §§ 3311-3332 and 20 Pa. C.S. § 780.6 respectively. My Executor may distribute tangible personal property passing to a minor to any adult person with whom the minor resides, and that person's receipt shall be a sufficient voucher in the accounts of my Executor. IN WITNESS WHEREOF, I, Janet M. Schiller, to this my Last U1~ill and Testament set my hand and official seal, this ~ day of 2009. ,,~ ~ . ,~ (SEAL) net M. Schiller Sworn to and subscribed, declared and Published by Janet M. Schiller, as Her Last Will and Testament, and so Done in the presence of we the Witnesses, who sign at her request, And in her presence, and in the presence Of etch other. ~. ,, ,• '' ~~ . C { ,~~ COMMONWEALTH OF PENNSYLVANIA: :SS COUNTY OF CUMBERLAND I, Janet M. Schiller, whose name i.s signed to the foregoing instrument, having. been duly qualified according to law, do hereby acknowledge that I signed it willingly; and that I signed it as my free and voluntary act for the purpose therein expressed. ~~ ~ ~~het M. Schiller Sworn to and acknowledged, before me, By Janet M. Schiller, the Testatrix, This ~ day of 2009. Notary Public COMMONWEALTH Ok PENNSYLr7ANIA NotariallSeal H. Anthony Adams, Notary Public Shippensburg eoro, Cumberland County My Commission Facptres May 31,2010 COMMONWEALTH OF PENNSYLVANIA: :SS COUNTY OF CUMBERLAND WE, Darlene M. Bigler and Sharon Coleman Adams, the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we saw the Testatrix sign and execute the instrument as her Last Will and Testament; that she signed 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 and belief the Testatrix was at the time at least eighteen (18) or more years of age and of sound miind and under no constraint or undue influence. Sworn to and subscribed before me by, Darlene M. Bigler and Sharon Coleman Adams, The witnesses, this ~- day of .2009. COMMONWEALTH OF PENN~Y]LVANIA Notaria{ Seal Notary Public snipperisb -°rngyaAodro; cumNo1aaeri~anPa co my My Commission Expires May 31,2010 r- ,~ /~