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HomeMy WebLinkAbout01-29-10PETITION FOR PROBATE AND GRANT OF LETTERS rn b ~r !~+-nd REGISTER OF WILLS OF ~~ ~`"`' ~ ' ~ COUNTY, PENNSYLVANIA ~~~~ ~ ~ ~ (3E (~ F L, File Number ~ I ' I O .i ~~ ~~ Estate of also known as a 4C/ - !a "5/ S' Deceased Social Security Number Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) ^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the E>< F!r l1 l R tCrS named in the last Will of the Decedent dated 8 I ~ aOo ~ and codicil(s) dated N d . ~ , .l n r ~~ (State relevant circumstances, e.g.> renunciation, death of executor, etc.) ~ 0 t_.~ , r_ ~ Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution og~~,ment~offer~d : , i7 ~rn N a~ ~ ..~ ~ 7 for probate, was not the victim of a killing and was never adjudicated an incapacitated person: V, h c "' ~`~ ~ "O ^ B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente life; duranteabsentia; Petitioner(s) after a propern oha as / erv~~ o f ~ 1 in Secto n A above and colmplete list of heirs.) by ~e following spo~e Administration, c.t.a. ord. tare) -=~ ~'r i ~ ", - _ any) an~irs: ~`If' ~``-r~, (COMPLETE WALL CASES:) Attach additional sheets if necessary. ~ ~nk~ Decedent was domiciled at death in u.rYl d eel a d County, Pennsylvania with }}is / )~r~ t principal sidence at ~ a ~ o tQd S ~zas- w [,~ (List street address, town/city, township, county, state, zip c ) g (0 6 a' a-4 ~ 0 9 at ~' 3 tF a , ~Yl Decedent, then years of age, died on Decedent at death owned property with estimated values as follows: $ ~ t ~ (, S. p o (If domiciled'in PA) All personal property Personal property in Pennsylvania $ (If not domiciled in PA) to County $ (If not domiciled in PA) Personal property S Value of real estate in Pennsylvania 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: T or rinted name and residence ~ aSI Si a ~QE .0.6a~sFS, aX vr-~jl r G. veb~ K. (-LurK, re,., S • ~OSh D. Q OX ~07~9 C:pons ~ .. - -°--~c...~.. PA /7d5~ ~ru ~i'un 17aaa Page 1 of 2 Form RW-O2 rev. 10.13.06 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF Ct~rn b er1 a n~ 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 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 ~u `~ or the Register oC - ~~ of of Personal Representative r.s ca ~ d ~r _.~ - ~ zZn ~ ~ ~~~~ _ N r, ~ --- ~J ~L! ~: , ~. 1 °<. r. _ _. ,7 DIED ~:~~ ~, - ~ -: File Number: `"{ ~- ~ _ b t1t , _> ,Deceased ~ -r, . 1., 1 _ ~ i Estate of ~ n , / //~~ .~ Date of Death: ~ °~ ~ ~ `~ ~ ~ ~~ Social Security Number: i~ in consideration of the foregoing Petition, satisfactory proof AND NOW, having been presented before me, IT IS DEC that Letters are hereby granted to in the above estate and that the instrument(s) dated ~~ described in the Petition be admitted to probate and filed of recor_d~snthe lastill (and~iHil(s)n Dec ent.n ~ / , FEES Letters ............... $ ~• Short Certificate(s) ........ $ Renunciation(s) .......... $ _ $ .DD ...$ Z) ... $ ~'~ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ Attorney Name: Supreme Court I.D. No.: Address: Telephone: Page 2 of 2 Form RW-02 rev. 10.13.06 Attorney Signature: fossos aEV (otro7/ ~ ~~~ ~~~~ 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 16086367 Certification Number H705.143 REV 112006 TYPE /PRINT IH PERMANENT BUCK nM d Deeded (Find. nadne, rer, wadi Beulah F. Seidel .an &NdM) IAMa 1 Uri trr•w bare Naas 86 rre. .w d rt.mn fic. Gry, Sao. /` 3 Cumberland 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 erma t filing. r~ ~ i~ Loc Registrar ~ C7 ° D,~?~ 'Iss'ued -I~~~ ~ ~ ~ ~, r -!.7 :rr ~ N :. ~~f i ' Ci ~ } ~. ~ .~ ~ ~. ~--. -.T.: t COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS Q CERTIFICATE OF DEATH (See instructions end examples on reverse) STATE FILE NUMBER z. se. a saw seedy NumMr 4. Dw d Deoth 1Maan, deri yeeA Female 209 - 12 - 5184 December 24, 2009 8.Oar d BiM (Haan, 7. BYllplece (CX end orb a toreigri dual M. Plan d Deem (CMCk Day as) Omer. 11-27-23 reestone, PA ^bPed.m ^ER/oetgalwm ^DOA ®NUnnpHan ^Reaitlence ^DtMr-spedfy m. FocMy Name (n rid asuwan, eve easel end amMr) S. wee Oeadem d Hennb Oren? ®No ^ Yes 10. Race: Ansrinn hidsn, Blaca, WMe, eb. (K yes. spedly Cuban. lsPe~?N Merino. Pnno Raxr4 ebJ Whlte 'g Tw Shi pensbur Health Care ,C6n~er . ._ _ _ _._ _._ ... ~.__ ..w •Y.~warem 14. Medw SWUC: Monied. Never Herded. 16. SuaNrp Spaiee (n wife, give maiden name) n. Ueceoeae ueur ~.~ M ................ ..._. _.. _. _. _._. _ U.B. Armed Fare? Elamanrry /secondary (P12) Cdrtp (t-1 a srl .. t6m a woe Kari d ereawea / widowed Homemaker ^Y« ®No 8 years Did Decoded Shippensburg Twp. T 18. peatlenPe Merril Address (9lreel coy Norm, Data, zp add) DantlaM~s PA ~? 17c. r_I Yes. Indeed Lived h ~. AdiW Raeidence 17e. Swe 121 Walnut Bottom Road Cumberland rid.^NO, DarMAUved wllhb Ory/Soio 17D. caiMy AaW LaNw d Shippensburg, PA 17257 to MaMtetzan(Flrst midde ) te. Fedrrs Name IFru, noddle, rn, wMa) Mary Le edy Charles Mackey 20b. NdameM'a Mtlup Address (Streit, csr /taro, err, m ~) ~•'~a"w'"~8R°'"eRt'P"/Prve) P.O. Box 57 Upper Strasburg, PA 17265 Deborah K. Runk ztd. Lamson tCM/tam, wr, riP dada) 27a. tAethad d DlepoeNOn ^ Cremvtlon ^ DonMion 21b. Doe a Diagoetlion I~h~ der Wr) 21a Pro d D'spanbn (Name a cemeten, aemalaY a and plan) ® ^ R.mawfmmsrr ,~aDO,sy,,,A„n,~ Roxbury, PA 17251 ^ oltir ~r ~/Dow ^Yes^,/, 12_28_pg Roxbur Cemeter 22a. SiOrwe d F Llnrmee la A~ ecWg n wcnl 12b. Ikene Wrider Ytc. Name aM Addns d Feciry - (r e,•,., (.~i.s•- FD-012984-L Fo elsan er-Bricker Funeral Home Inc. Shi nsbur PA 17257 29b. License NumMr 23c. Dale Signed (Nairn. dri Yavl DanrpMe Inns 23et aYy wMn nrayeq 23e. To dw d my Iaodedpe, e.tn aamed,~(nw~mr/den am pace •rrd. (sgreeee and title) i ~lr~-1 1 ~L a r ~+ gryeidn's na erayehr n tan a der b ( ~L,GL G~ G'7~ '~ ~ ~ v~ •~•~/ ~ !1 JnC' nrMY aw a ~. ~ 26. Wes Coe fierned b MWkn Eserriiner / Corawr 1a a Rwa Otlsr tlsn Cremnion a Dawian? 24. Time d Deem 25. DMB Praamnd (M~'~ dY•Yea) Hens 2Mffi ~wnManwlerdMw~^ L` ^Yea ®#lo who I» ate. p ~3 M. Cl~mb~2 a''~"7 vii .. 26. ad Taban Llea carlwr m I~etn? CAUSE OF DEATH (Sae Instrucifosn sertl atwnrpfas) , Appratunle edema: Pan II: Eder odsr . Han 27. Pen I: Ede IM -dresas, bjnies, a anFYrmOna' nvl daeay'~ued Ys deem. DO fpT ems lemnel areas aurA n arch anon, i Orwa b Deem W not reauAirp In its ua1nM^G ~ 9~n h PM L ^O No ~ Udaswn respdraay mM, a vakicam wntuA eMwbg ~ elblc4r~ Uri odY as Wise a each ks. r _ r / ss~~MMEE ; 29. X Farwe: cwAOO~n reaelag N Fasl 6eene a • ^ Nd PrePsd dtliri P%M You ~) ~ e. ~ -~7 / - Due b (a a oonaeq'ence d): ~)- Yltr DA SF~ ^ n sit a dash SSssdduuwwa~~rlyv W ari6tloris, n arty. b. r ^ Nd paged, hW gegsnl wsis 42 days Ma3rgbtls case 6leda WS a. thsblaneanaequerse dl~ r ~ dtlnm Ensr iss IMDERIYMNi CAUSE r . ~ ~, ,., . , ~ a r ^ Not groped, but pepnenl43 nys b 1 year I •~T Dn b as a armI dY ~ betas deem d. ~~XAi , ~ .n.P r ^ UNarown M prpsm wehin the Oan ~r L 32b. Descdbe Flow eiaYy 0aured 32c. Pre d Mu~ary:Home Farm, Sreal, Fader, 30a. Wee en Aulolsy 30b. were Aubpsy F 3t. Memer d Dom 32a. Date d Irian (~ mr, Y~1 Odin BuNdng, ab. (Spear) Perlornwd? Averbb Prior b Cangnion []'Nalurel ^ tbnaclde a Ceuee a Deem? Sze. rMrr et Wodc? 321. n Treispondon niuh' (spad/y) 32g. Lacelbn a riaY (suer, ar / ~, earl ^ Aaaiad ^ Penang 32tl. Tan a usury ^ Yes ~ ^ Yea ^ !b ^ Yes ^ No ^ Dover / Operna ^ Pesaerper ^Petlestden ^ Suiade ^ Cdk Nd M Oelemiuied M. Onsr - SpeWY: ~//~ ,fLw S 33b. Signtue and Tills d Cedlan C~ R-, "'" ~~ e e~ v •1 D 33a. Censer (dwca ad/ awl n/~•i C•dn4uW Physfdm (Ptyciciar caayaq case d deem wren aiolltsr physicsn has gawniu0 door end carrywed Han 23) , To to Mn d my Illrovlarlge, dnN aocunad due to the cetsele) aria manrwr n rrrd- - - - -- - - - - -- - - - - - - - - -- - - - - - - - - -' - 33d. Doe Sigrid tMam, nY. yearl • Prarouncing and artnyrg phyrrYn (~MelMn bah Ixaiauame deem and oennyig b cane d dnlh) 33c. Licerwe Number k To dw Mndery unewledge,a»modarM el lM an.dak, artl lNxe,aM auerotn aanela)aM mwsr ac atakd------------------^ m0 QS93Q9'~- 1a2_~~~I D. Q fAedlcN Exanesr / Coroner 34. Nuame ors Address d Person who Canplered Cause d Dean (Hem Zy) ~Typ~e / PriA .y F ~ on nw Meld d eaerrrrNbnand / a inveatlgetbn, ro my oplnnn, denh scared„the trs, der, em l~~ and do/LO to ceuMa) and mama es crrd_ ^ 7 d~ / n/ D At A ~ . !~ A L H~}7yJ '~ 6/ • S7 e'1 f~v'L .. I ZI ~ I LI/ J.') I 36. DateFYedt ~br~ 7 _ A I ~~a 0 35. Fieginra5 Sgnelae N _ , .. Dapailron Parma NO. © 3" / 34cJO • LAST WILL AND TESTAMENT KNOW ALL MEN BY THESE PRESENTS, that I, Beulah F. Beidel, of Pennsylvania, being of sound and disposing mind, memory and understanding, 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, funeral expenses including my grave marker and all expenses of my last illness, state, federal estate and inheritance taxes and administration costs shall be paid as soon as may be conveniently done following my decease leaving all specific bequests free of tax to the legatee. SECOND: I give, devise and bequeath all my estate, real, personal and mixed whatsoever and wheresoever situate to my children, Sandra L. Shope, Barbara ]. Rowles, Cheryl E. Keefer, Dennis R. Beidel, Deborah K. Runk, Linda J. Grove and Karen S. Goshorn, to share and share alike, per stirpes. THIRD: I nominate and appoint my said children, Sandra L. Shope, Cheryl E. Keefer, Deborah K. Runk, Linda ]. Grove and Karen S. Goshorn, as Executrices of this my Last Will and Testament. IN WITNESS WHEREOF, I, Beulah F. Beidel, to this my Last Will and d Test~mbnt set my hand and official seal, this `3 `~ day of 2004. -.; ,. .-, _, ~ -: rn `~ - - ~~ p~~ ~ ~ (SEAL) ~~ cL r _ ~~ ~" -~ ' Beulah F. Beidel -J ~, v -~_ <-~ Sworn to and subscribed, declared and Published by Beulah F. Beidel, 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 each other. f i..k,. ,, ~~, ~~. ry ~~ COMMONWEALTH OF PENNSYLVANIA: :SS COUNTY OF CUMBERLAND I, Beulah F. Beidel, whose name is 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. Beulah F. Beidel Sworn to and acknowledged, before me, By Beulah F. Beidel, the Testatrix, This 3 "d day of 2004. ~_~ ~ ~--- Notary Public Notarial Seal H. Anthony Adams, Notary Public Shippensburg Boro, Cumberland County My Commission Expires May 15, 2006 A4ernber, "ennsyivania Association of Notaries 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 mind and under no constraint or undue influence. Sworn to and subscribed before me by, Darlene M. Bigler and Sharon Coleman Adams, The witnesses, this ~~Q day of ~c~2004. Notary Public Notarial Seal H. Anthony Adams, Notdry Public Shippensburg Boro, Cumberland County My Commission Expires May 15, 2006 Member, PennsylvaniaAssociaUonof Notaries