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HomeMy WebLinkAbout01-08-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF <~;ltmher d COUNTY, PENNSYLVANIA Estate of__,~ (~rshcrLl ~-sQyr~JE-t'• ~a0 ~ File Number _~ ~ - ~~ - (~(~ ~~ also known as Deceased Social Security Number ~ dy - ~~/~~.rj Petitioner(s), who is/are 13 years of age or older, apply(ies) for: (CO~IPLETE 'A' or 'B' BELOW:) L~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~X e[~U~V named in the last Will of the Decedent dated 1 Q ~~ appg and codicil(s) dated (State releva~-t circumstances, e.g., renzrnciation, 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 (Ijapplicable, enter: c.t.n.; d. b. n.c.t.a.; pendente life; durance absentia; durance 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 Section A above and complete list ofheirsJ ~ ~. . Decedent, then~_ years of age, died on ~ .IGn 1,010 at 5: aQ hM ~ t+Oju Spired- }~Ios.~i~I 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: S 100. nD0 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 ..~/ Fo,-n, RAY-0? rev. lD.13.06 P1be 1 Of ~ .f (CONIPLETE IN ALL CASES:) Attach additional s/ieets if necessary. `--~~-7 ~ _ ~__~• Decedent was domiciled at death in M~~ _~ ~ ~ .~ - ~ r ~' County, Pennsylvania with his /her last princip~"residence at •-, ._; (List street address, town/city, township, county, state, zip code) Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF SS The Petitioner(s) above-named swear(s) or affirni(s) that the statements in the foregoing Petition are titre 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 l~ ~--,j..~~ Signature of Personal Representative ~7 c~ C ~ before me the -x~~-'-• day of ~~";", ~ ~ -~ ; ;, : '~ ~ t D Signature of Personal Representative ~ ,_,; ~ ._ -, or the Register Signature of Persaial Representative _._.~ ,--~ -; :Cj © ,= ~ ~ ~ , ~ --I .. C.J File Nu er: 2t -i~ ~ UV I ~ a Estate of ,Deceased Social Security Number: ~~'T "o?(o- ^T "'l ?._ c Date of Death: ~ '~ ~ " ~ 0 AND NOW, b ~ ~~ , in considera11tion of the foregoing Petition, satisfactory proof having been present before me, I S DECREED that Letters ~Q~Tam~.F~~TOVt,y. are hereby granted to in the above estate and that the instrument(s) dated 10- ~q-a5 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............... $ ~J~J - UO Short Certificate(s) ........ $ ZD • CX~ Renunciation(s) .......... $ ~ C s ... $ 23 sz7 ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ ~ Attorney Signature: Attoi7iey Name: Supreme Court I.D. No.: Address: Telephone: Register of Wills r-~,~~n Rw-v? rev. Iv.l3.or, Page 2 of 2 i 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 16053332 Certification Number H10ti-1a3 REV 11/2009 TYPE /PRINT IN PERMANENT BLALac lNK ai `~~ ZI 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. __~ L_~IOC~ ~~~-e~ac.~i-~c~-~cc~x JA~ 4 /Z010 Local Registrar Date Issued ra C"7 c~ . ~:;. 4._,S JrL.J ~ 4 `~ `t7 ~"' r J : ~'~ .•. wrr.' ~,~ ~ ~... ~ .. ,1 CJ . r" ti ,~- ~ ~ ... ..-11 _ " .W ~ © _ w J COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS .,.... ~ CERTIFICATE OF DEATH (See instructions and axamDles on reversal __._ _.. _ ......___ 1. ram. d Decedem (Fku, middle, eat, auHlx) 2. Sex 3. Sodal Secudry Niaroer 4. Date d Deem (Mmm, day, year) Marshall G. Pool Male 204 _ 26 _ 7725 January 1, 2010 5. Age (I.set Bkthdey) Under 1 Under 1 8. Data d Bkdt de 7. end state a Bor. Place d Deem Cftedc ate 75 Yrs. Madw ~ ~^ Feb . 26 , 1934 St . Thomas , PA Hapitel: Omer. ^ IrpatbM ~ER ! oulpetbM ^ DOA ^ Nte.ktg Ilan ^ Heeidertce ^ om.r - spsdly: 9b. Carry d D.em Bc. Cllr, Boo, Twp. d Dsam 8d. Fadly Name (If not ks8lydon, 9. WY I>aadaM d ` ~? ~ "° ^ tee 10. Race: Artisnan ~, Bledc, wNb, ero. Cumberland E . Pnnnsboro Twp. Holy Spirit Ho p tat (n r•e, ~•~+, Mexkxrt, Puerto Rk~rt, ero.> White • i t. Dececlerd's Uaal Kktd d work d ate moat d Yle. Do rat stale 12. Wee Decedent aver n dre 13. DeoedeM'a Edtkamn (Specny sty highest grade mrtp bbd) 14. MernN stabs: Menbd Nsvsr Merrbd 15 Survirng Spo we (n woe ive maiden name) IOM d Wok grWdBueFSaa/lrtdcstry Owner Gas Tank Install U.S. Amsd Faas7 Ebrrbntary !Secondary (t}12) C09ege (1-4 a 5+) , , Wkbwed, Dlvarad (SpedlN . , g ^ y,~ ~ ,~ g Widowed - 18. DecedenYe Meilirtp Address (Street, ciy / bwn, slam, zip code) 477 Sherwood Drive DecedenYa Did Deaderd Actual Residence 17a. State ~~ Live in a 17c ~ Yes Decedent LNed in Middlesex T • Carlisle, PA 17015 . , Cumberland Township? 17d. ^ ~~ iro.couny Ciy/Boo 1 S. Ferret's Name (Flret. middle, leaf, au1Poc) David W. Pool 19. Mother's Name (Flret, midde, rtskten surname) Esther G. Pheil ZOa. InbrtnaM's Name (Type /Print) 20b. rolamenYa Mailrtg Address (Sheet, dly /town, state, zip code) Gr o Pool 373 Sherwood Drive, Carlisle, PA 17015 z1 e. Mentod a Dbpoeltlon , - ~ ^ ~~ - ^ 21b. Deb d (Matra, day, reed zm. Pba d Name d cantata creme I)laposiaon ( ry, rory soma place) 21d. Locatlon (City/rows, elate, np code) DoAutlrorizad late. ~ ~ N ~ Jan. 5, 2010 Letort Cemetery Carlisle, PA 17013 ^ o s,/ ^ Ya^ ~ E:am r ' 2z•. (« I ~ arait) 22b. IJarse Number 22c. Nente and address d Fedly Hof fman-Roth Funera .Home & Crematory, Inc . - - 138504 219 North Hanover Street Carlisle PA 17013 artlying pfryslden k rtol ebb a<tlme d deem ro 23a. To me last d my knowledge, deem ocaared et the time, dale and place elated. (Sigrsture and tine) YDb. Lk:enee Number 23c. Date Signed (Monet' day' yid aetlly awe m. • Items 2428 must be canPbled by person h d m 24. Tkne d Deem ' 25. Date Pratou1nced Dead (Manh, day, year) , r 26. Wes Case RBferreQ ro Medical Exmrdrter / Coster fa a Beeson Omer man Crematlat a Donetion7 w o prortoaiae ra . ~. O ~ M. J I ~ c~ (.} I Q J 1A,1~ ) I,L.C~.i ^ Yes f~No CAUSE OF DEATH (Sss Instructions end examples) r Approximate interval: Item 27. Pen L• Enter ds f~0..9Ld1mBIS - diseases, ktjcxise, a carpYcatbrs -met dredy calmed the deeds. DO NOT enter bmtinal events such ore cardsc arrest. ~ Onset ro Deem Part ll: Enbr other ' but nd resulting b the urabtiying cause gNen in Pen I. 28. Did Tobacco Use Contnbub ro Deem? ^ Yea ^ Probaby reapirelay enest, a vertlnarlar IPoAUatbrt wnitat showing ds etktbgy. List ony one cause on each Ikte. r IMMEDIATE CCAU E F l d t ^ No ^ Unknown $ ( ina seaee a crortdition rea,lnrtg et seem) ~ a. M'y Pd X 1 c'. (Z ES PI QATcRy FR9 LU ~. E H y ~ ~S 29. n Female: ^ N Duero (a ore a casegrsnce oQ: ^ (J r ' ot pregnant wilh4t peat year ^ ./ A ©U! R EJ r N E U M U N / A ~ H D U2S tree '~ ~ e b. ~ _ (7 w1 M V N I '? Pregrsrn al tlme d deem RLYNO CAUSE Duero (a u a astasgsrta of): r Enter IN I D E ^ Nd pregnant, but pre¢taM wink, az days k ~ a y swnb reedYry~ h Vim) LAST c. ~ d deem ^ - Duero (a as . casequence o7: I Not pregnant, but pregnant 43 days ro 1 year b f • d. r r e ore deem ^ Unknown b pregrsnt wimkt ds peat year 30e. Wo en Aulgsy Penonrted? 30b. Were Auropay Fbtdrtgs Available Prbr ro Cartpbtbn 31. Manrsr sf Deem , / - ., 32a. Date d Injuy (Month, day, Year) 32D. Deecrbe How Inury lkcurred 32c. Place d Injury: Home. Fenn, S7eN, Factory, d Ceuee d l>sem? 'Na L ~1 tuiai ^ Homidde Olnce BWWrtg, etc. (Spedyl ^ Yes ~ No ^ Ya ^ No ^ ACddBnt ^ P•ndrq Irtvestlpe9ort 32d. Tkne d Injury 32e. Irtjcey n Work? 321. n Treneponetbn ktjury (Specryy) 32g. Localbn d ktlury (Slroet, dy / bwn, state) ^ Sukdda ^ Caukl Nor bs Dstsrntktsd M ^ Yee ^ No ^ DdverlOpereta ^ Passenger ^ Pedeshlen Omer - Spec~ly: 33a. CettYlbr (deck ony one) 33b. Siestas of • Cartnying physbbn (Physidart artNyktg caws d dwm vAtan artontsr physicbrt hoe prortaxtad deem and computed Item 23) ~ Totlrabwtdmykrtowbdge,daemoauneddwbtlrearw(e)andmrarawefabd---------------------------------^ - 1- ~•a•~~w •~ «enYhw dtY•icbn (~Y•id•n b~ Wq dant.na Quumyktg ro awe a deem) 33c. Lianas Nanber 33d. Deb Sipwd (Monet, day, reed To 1M baN d my knowedge, dadh occumd M the tMrs, dent, rut plea. and due to tlta eauas(a) and mettle a stabd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ,~,~ • Mwlai Exantkta/Caarra 1 D 4 3~ ~ 6 '7 b 1 p l 2 a L a On the brb w sxamlrtMlort and / a Invatlgatlort, M my apinlon, eaatlt occrared M the thrts, dale, ant plea, and due ro the cause(s) and manna a WMSd_ 34. Name end Address d Person Who Corrgb0ed Corse d Deem (IMm 2» Type I riot >4bd.u.l. Q ~cLl ~, M.p Dab (Matra, daY, reed StT ~ Q N ' ,~2 (S ~,t ~ " f f l I I l I I DispositlonPermilNO.`• ~_JJ~`~ WILL OF MARSHALL G. POOL I, Marshall G. Pool of Cumberland County, Carlisle, Pennsylvania, declare this to be my last Will and hereby revoke all prior Wills and Codicils. 1. I direct that all my just debts, funeral expenses, gravemarker and administrative expenses shall be paid from my residuary estate as soon as practicable after my death. 2. I direct that all inheritance, estate, transfer, succession and death taxes of any kind whatsoever which may be payable by reason of my death shall be paid out of my residuary estate. 3. I direct that my entire estate be distributed as follows: A. All household items such as furniture, appliances, kitchenware, linens, towels and the like shall go to David H. Pool. B. $5,100.00 shall be paid to Kathleen G. Slentz to satisfy an existing loan. t~ ~ r, _~. ~~~, ~ -.J .-,~~~ :~ --, . ~ ~ :..-- r ,. .---- LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 ~ CARLISLE, PA 17013 C. The remainder of my estate shall be divided into equal shares to my children, Kathleen G. Slentz, Gregory M. Pool, Carol A. Pool and David H. Pool. --- ~4 D. Should any of my children predecease me, their r ..1 `~ ^~~ share shall lapse and be divided into equal shares -~~~.~~--; to his or her surviving heir. .,,,- cr: == u i - ~' ~ ~ ~., . The above distribution is to be carried out provided cx~ ~...o- `~`~" ``-' v =' Gregory M. Pool and Tina L. Pool, his wife, has c.~ satisfied in full an installment sales agreement for the property located at 373 Sherwood Drive, Carlisle, Cumberland County, Pennsylvania and dated January, 21, 2002. Should the aforementioned sales installment agreement not be satisfied in full at the time of my death, the value of the unpaid portion of the installment sales agreement shall be divided equally between Kathleen G. Slentz, Gregory M. Pool, Carol A. Pool and David H. Pool. ~~~~~~~m ~R~ 4. I appoint Kathleen G. Slentz, as Executrix of this my last Will. If Kathleen G. Slentz should predecease me or cease to act in such capacity, I appoint Gregory M. Pool as alternate. 5. The Executrix of this Will shall have the power to distribute my estate in kind or in cash, or partly in either. 6. I direct that no Executrix acting under this Will shall be required to enter bond in any jurisdiction. IN WI ESS WHERE a hereunto set my hand this day of (~ 05. Marshall G. Pool LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 The preceding instrument consisting of this and two other pages was on the day and date hereof signed, published and declared by Marshall G. Pool 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. LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 ~~ WITNESS WITNESS ACKNOWLEDGMENT State of Pennsylvania County of Cumberland ss I, Marshall G. Pool, the Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last Will; that I signed it willingly and as my free and voluntary act for the purposes therein ex ressed. Q ,~, .~/~ shall G. Pool Sworn to or affirmed a acknowled a of a me by Marshall G. Pool the Testator, this day of ~ , ~~~ ~~ ~~;~ ~r+~`i J •+~tt, AIOfA11V PIJRIC ".' :.~r~,';aY_ `ppQ. ~~UMOERUMID CO.. r+- ` L;i+_C~i.1h61;rfjKM~t£XOoM1E~~~f1~ Notary Public rn y State of Pennsylvania County of Cumberland AFFIDAVIT ss We, ~~~ T~1 ~. - ~0 ~f ~t,and l~cn h~~~ /~• /YlaYeythe LAW OFFICES OF STEPHEN J. NOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 witnesses whose names are s,~gned to the attached or 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 the Testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the Will as a witness; and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. orn to or a this day of _( ._.~.. ~y',. v . # KIP".M- subscri d to before me by witnesses, 2005. Notary Public/Alto