HomeMy WebLinkAbout03-03-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF --~~i~ COUNTY, PENNSYLVANIA
Estate of ~ ~~ ~/ ~~~(,~(tYl-~-'C~~.--_ y!
also known as
Deceased
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
File Number ~ ~~ i~' ~ 2 i 3
Social Security Number ~,~~ Z ~ ~'i~
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are. the ..C T'E'e ~'7/~ i X named in the
last Will of the Decedent dated and codicil(s) dated
(Stnte relevnnt circtrmstnnces, e.g., renuncintion, death of executoa•, 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. Crant of Letters of Administration
(lfnpplicnble, enter: c.t.n.; d.b.n.c.t.n.; pendente life; durnnte nbsentia; durnnte minoritnte)
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: (/f
Adntinisdatioa, c. t. a. ord. b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name Relationship Residence ~
a
`~ (COMPLETE IN ALL CASES:) Attach additional//sheets if necessary.
VI Decedent was domiciled at death in Cwt /n-t., f'Lr ~/. L nl Co
~ M
b C,,,;_~
Pennsylvania with his /her last prin _ ~st ence 3fz
., ,.. -
(List scree nt dress, town/city, township, county, stnte, zip co e) r ~ ~•,~j ~3
J ~ ~ ,' ,
Decedent, then __~Z:. G years of age, died on ~~/S~/ LLSG`~ at ~~/ S ~~ y~~~ _ ~~,I~J l'J, ~~ ~>~
• ~ i 7.~
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
(tf not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
$ t~ /DSL
$ ~ ~ G ~tr~
situated as follows: ~~7 / ~ La~h _ ( ~
-T„~,-oa=r ~-^~ , , ~ ~ '~~ ~~~ /,7D//
Wherefore, Petitioner(s) respectfully request(s) the probate of [he last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
%/
~ ~~~
;~~ / 7a/j
Form arv-oa rev. 10.13.06 Page 1 of 2
Oath of Personal Representative
CO~I~(ON54~EALTH OF PEA fNSYLVAVIA
COUNTY' OF
SS
The Petitioner(s) above-named swear(s) or affirn~(s) that die statements in the foregoing Petition are twe and correct to the best of
the knowled;e and belief of Petitioner(s) at:d that, as personal representative(s) of the Decedent, Petitioner(s) will tivell and tmly
administer the estate according to law.
Sworn to or affirmed and subscribed
b ore me the _~_ day of
,c~01 O
For the Register
Signature oj.
Signature ojPersonn! Represenrneive~"NJ
Ca -?°'~
• „-a
Srgnnhu•e ojPersorrnr Represenmtive ~} ~-:~ :*.
~^`; ,`Fi
w ~-, ~ --~
File Number: d I-' Ill - Da /3 "' '7
:_. f"T'1
)estate of t~...n~ / z~u.) ,Deceased tr1
Social Security Nurnber: iC.~ " ~~' rJ 3 ~ Date of Death: C1 - 1 S - O`~
AND NO`S', ~~1'-G~~ , aO1 y ,inconsideration of the foregoing Petition, satisfactory proof
having been presented ~beyfo~re me, IT IS DECREED that Letters ~~i4/)Z~ ~wv
are hereby granted to ~ ~ I L ~ G r . )i.n)
in the above estate
and that the instrument(s) dated ~ ~- ~'` 02~~.~ _ _ ___ __
described iu the Petition be admitted to probate and filed of record ~s the last Will Fand/~odicil(s)) of~Depedent
FE);S C ~~~~
..... $ ~~ e~ Regis«r o wires
Letters .......... ~ '
Short Certificate(s) ........ $ ~~ ° cs`7 Attorney Signature:
Renunciation(s) .......... $
~ ~` $ ~S-~ ~-~ Attorney Name:
`-~~-5 • • • $ z 3~'5~-- Supreme Court LD. No.:
~.~~a rt~.~C't t~ ... $ ~ . UU
$ Address:
... $
... $
... $
" ' $ Telephone:
... $
TOTAL .............. $ y~~ .5th
Faun RIV-0? ,~,. ru.ro~ Page 2 of 2
1O5,gU5 REV !01/07)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
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.
P 15690409
Certification Number
~ _1 1009
L istr Date Issued
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REV „~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
w'E ~" CERTIFICATE OF DEATH
'K lNK See instructions and exam les on reverse
P STATE FILE NUMBER
i. Name d Oecedde (Fkal, nlitlde, 1881. au?Ix) 2. Sea 3. Social SeaxXy NuMer d. Date d Deem IMonlh, day. year)
David Fetrow Male 186 - 28 ,- 5333 Se ' tlember 15 2009
5. Ape (last BNYMap) Udder t Under t de 6. Date d Bidh (Month, da , er) 7. & (CYy vM sate or for ' touMry) Ba. Pate of Death (Check anry one)
wo,ww rmrs rru.a Nnues HospMl: OIMr.
yq~
1935 Mechanicsburg, PA ^
January 8
^
74
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ER! Oulpallanl
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urgkg Home IS
ence
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pecuy.
4Hesi
Bb. Cwsy d Death &. Ci", Boro, Twp. d DeaM M. FadYry Name III nd mdiMion, eve sheet ell number) 9. Was Detarmnl d Hlepanic Origin? ^ Vek 10. Race. American Inden, Back, White. etc.
Cumberland Camp Hill Boro. 421 S. 24th S.t. '~e~:n~e"°~,etx., `'Mite
11. Oaatlam's Unrd Ketl d werM d one ~ mod d Mle. Do not smm ~ 12. Was DetedeM ever In ill 13. Drroederd'e Eduta0on (Seedy Doty hphesl grade aomp emdl 1d. Mandl Sawa: Herded. Never McMe4 I B. Surviving Spo use III wife, give maben lama)
~w~sa~~
Kintl d Nind d 1 WPM
Secretary ~Yeasurer Flectr c U.S. Armed F«cea?
^ Vea ~~
Elementary / 3ecoMary (0-12)
2 Cdlege 11 ~1 or 5+) Widowed. Divorced (SpetiM
i~
Mildred Folk
18. DscetlerA'e Ma1Yq AdMU IShseL cdY I torn, state. zp code) Decedenl'e Did Decedent
Stale pA Live in a 17c
Detredenl Lived a Twp
^ Yes
Actual Residence 17a
421 South 24th St. .
.
.
.
Township?
d t?tl~NO,DaceOamLivedwilhin ~ Hill
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Hill PA 17011 dn
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Aduel Limds d City 7 Born
t8. Fadlede Name (Fvsl. MOM, leaf. sullix)
Edward Fetrow 19. Homer's Name iFlrel, MOM, nmidan wmemel
Charlotte Walters
208. NaarrnaM'e Norm (Type f Pdnl) 20b. InhmmnYa McYinp Addmse (S6eet I town, emte, zip code)
PA 17011
Hill
421 South 24th St
Cam
Mildred Fetrow ,
.,
p
21a. YMdioO d DieposYian ~ ^ Cremation ^ DaroNon 27b. Date d OkpoaYian (Month, day, year) 21c. Plan d Dmp«Yion (Name d amdery, cromewry a Amer pace) ltd. Loatrlbn (City f lawn, sate, zip cede)
Badd ^ RemovalhomSlem ; w.acr.mtmn«oolwlonAudwrWd 18 2009
t t. John's Cemet
ery MechaniCSbur PA 17050
g Y
^ - speaYy: I by YNdkal Fxemirmr I cororren ^ Yes ^ No .
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228 ~ d Fulxal service ~ each) 22b. Ucerme NulnMr 22t. name and Adareas d FedN"Myers-Harper- _ Ftitneral Hane Inc.
~ 014819 Hi11 PA 17011
DprpleN 238<ady when narYlYm9 23a. To my)apeledpe, deelh attuned M tlm Xnm. dam end place tad. (Sgneaxe erd Ydel 23b. Litenee Number 23c. Date Signed (Month, day, year)
pnysiden a na.r.YSaa el0me d deem m ~
1 J~ 2 /W5•/(~ I'
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tally auee d deem. r ~ie
Mms 24-26 ~ M wnolbW yr, ~~ 24. m 25. Dale Prorouwwtl Dead IMOnm, day, year) 26. Was Case Rderted to Medical Examiner I Coroner for e R son OIMr man Cremation «Donatbn?
wM Dranarnaaa dedh. y3 JIB N'H~ 9
r' S h X1[7 ^ Yes ^ No
DAUSE OF DEATH (See instruetlona end ea mpNa) r Approskrole Mervd: Pad II: Eller dher 26. Did Tdaao llx CanlribM to Death?
Mrri 27. PM I. Enter me cnan d events - tliseaces, irljudas, «camplratiare - ihel dMdNy raueed tlm deem. W NDT enmr temenal evenly such u ttNac arrest, r old m Deam bd not madlirg n pre undertyinp nauee given in Pad 1. ^ Yes ^ Probady
gy. lie) ody one cause on Bath Noe.
respiratory erred, a venhcMr fibria0on ailliod shawlrip Nk
e
tlo
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~ ^ No ^ Unknown
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Due to I« es a mnaequence o0: ~ d pregranl w
year
en pas
^ Pregnant al time of deem
erlNals~ ~ auidtine. Y ~, b 1
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ednp b Or tauee bred an Yoe a. r
Due to (or as a consequence dl: ^ Nd pmgnaM, but pregnant wihin 42 days
r
Enter 9re UIgEPLW1G CAUSE
Ideeea d.ryay nw y~a~ tM t r
T
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of deem
.
2vade raWNg In deaN) LAS
Due to (« es a consequence of)' I ^ Not Dregnanl, but pregnant q days to 1 year
d i before tleem
^ Unknown II pregnant within the past year
30a. Was an AumPaY 300. Were Aukkley Feidrlge 31, Menrer of Deam 32a. Dam d Injury (Room. day. Year) 32b. Deecr~De How Mipiry Oxurced 32c. Pace d aryry. Hone, Farts Street. Factory.
OKICe BdIMg
eta lSpetdyl
Permnned? Avaiede Pdor to Comdixian
d Cause of Deem? r~(
tp NawM ^ Homicide ,
I~
^ Yee
^ Yea ^ No ^ Aui0eM ^ Palling Invealigelian 32tl. Time o11Mury 32e. Ilqury at Wok? 321. II Trenepodethn Injury (Spedtyl 32g. Locatbn al ajury (Street dY /town, stale)
44Y1 ^ Suidtle ^ Coultl Nd M Delemened ^ Yes ^ No ^ Drivw I Oparear ^ Passenger ^Pedestnan
M Omer ~ Sped":
33a. Cedeer (check ally anal 330.
• Cadxyhq phyakien (Phytlderi cedYyinp reuse d deem vAmn andMr phyakran has Pronounced death end crorrpaled Item 23)
To 0r wadmy krowmtlga,rlxMlaaurtad due to tM eewels)en0 mamameama_________________________________~
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• PrormralbYig ~ x+N~9 PM'~~ (Physician bdh pronouncktq death oral cedily4g to cause d death)
To1M b«tdmr mwwledq,dMhoecurretlMthe time,date, and pace, and due to dm eeuse(s)eM memrx as amlad__________________® 33c. Lkenee ~ 33d. Date Sipred ~. A
rye, o~d9a~~ ~ ~~'
• Atedkal Eumirrr l Coroner
On tlm bpie d examinNion and I «mvaetigetmn, in my opinion, dsetn occurcetl at tM time, Aam, and play, arM dw to tM auesla) end manner ae amterL ^
Cawe of Deam (lam 27) / Pdnl
~. M~,aprq Address of Person Woo O~
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OF
DAVID E. FETROW
BE TT REMEMBERED, that I, DAVID E. FETROW, of 421 South 24th Street,
Camp Hill, Pennsylvania, being of sound mind, memory and understanding, do make,
publish and declare this as and for my Last Will-and Testament, hereby revoking and making
null and void any and all Wills and Testaments and writings in the nature thereof made by
me at any time heretofore.
ITEM 1: I direct that all my just debts and funeral expenses be paid as soon after
my demise as may be convenient.
ITEM 2: All the rest, residue and remainder of my estate, of whatsoever nature and
wheresoever situate, whether it be real, personal or mixed, including property over which
I have a power of appointment, I give, devise and bequeath unto my wife, MILDRED F.
FETROW, absolutely, providing she survives me for a period of thirty (30) days.
ITEM 3: Should my wife, MILDRED F. FETROW, predecease me, fail to
survive me for a period of thirty (30) days, or should we die simultaneously, Ithen give,
devise and bequeath my entire residuary estate, in equal shares, unto my children,
BRADLEY D. FETROW, STEPHANIE J. REISINGER, and JACQUELYN S.
FETROW. In the event BRADLEY D. FETROW or STEPHANIE J. REISINGER
shall predecease me, their share shall pass to the issue of said predeceased child, in equal
shares per stirpes, or if not survived by issue, then to my surviving children in equal shares
per stirpes. In the event JACQUELYN S. FETROW predeceases me, her share shall also
pass to her surviving issue in equal shares per stirpes. However in the event JACQUELYN
S. FETROW predeceases me without being survived by issue, and further assuming she
is survived by her husbnad, BRIAN KELL, then her share shall be divided and distributed
as follows: Fifty percent (50%) to her husband, my son-in-law, BRIAN KELL; and fifty
percent (50%) to my surviving children in equal shares per stirpes. In the event
JACQUELYN S. FETROW predeceases without leaving surviving issue and is not
survived by her husbnad, BRIAN KELL, then her shall pass entirely to my surviving
children in equal shares per stirpes.
TI EM 4: I direct my hereinafter named Executrix to pay all inheritance, estate,
succession and legacy taxes of whatsoever nature and kind, to which my estate or the
transfer of any property passing hereunder or otherwise passing by reason of my demise,
maybe subject and to charge such taxes against my residuary estate, it being my intention
that none of the aforesaid taxes, either federal or state, on any property required to be
included in my gross estate, under the provisions of any state or federal law now in force
or hereafter enacted, shall be prorated among the persons interested in my estate to whom
such property is or may be transferred or to whom any benefit accrues.
ITEM 5: I appoint my wife, MILDRED F. FETROW, as Executrix of this my
Last Will and Testament. Should my wife predecease me, fail to qualify, cease to act, or
renounce probate, I then appoint my daughter, STEPHAI~IIE J. REISINGER, as
contingent Executrix. Should my daughter predecease me, fail to qualify, cease to act, or
renounce probate, I then appoint my son, BRADLEY D. FETROW, as contingent
Executor.
ITEM 6: I direct that my Executrix or her successor shall not be required to give
bond for the faithful performance of their duties in any jurisdiction.
ITEM 7: My Personal Representatives shall have the following powers in addition
to those vested in them by Law and by other provisions of this, my Last Will and Testament,
exercisable without court approval, and effective until distribution of all property:
1. To retain any or all of the assets of my estate, real or personal,
without restriction to investments authorized for Pennsylvania
fiduciaries, as they from time to time may deem proper, without
regard to any principai of diversification or risk.
2. To invest in all forms of property without restriction to investments
authorized for Pennsylvania fiduciaries, as they from time to time
may deem proper, without regard to any principal of diversification
or risk.
3. 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 they from time to time may deem proper.
2
4. To allocate receipts and expenses to principal or income or partly to
each as they from time to time may deem proper.
To borrow money from persons or institutions, themselves included,
and to mortgage or pledge any or all real or personal property as
they in their sole discretion shall choose, without regard to the
dispositive provisions of thisinstrument.
6. To compromise any claim or controversy asserted by or against my
estate or trust estate.
7. To make distribution in cash or in kind or partly in cash and partly
in kind, and in such manner as they may determine, and at
valuations finally to be fixed by them.
IN WTITTESS WHEREOF, I have hereunto set my hand and seal this ~ day
of ~1 pV~P,~rt „~.~, 2003 .
WITNESS:
(SEAL)
DA E. FETROW
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF YORK
We, DAVID E. FETROW, DAVID J. LENOX, ESQUIItE and LINDSAY M.
STRATHMEYER, the Testator and the witnesses respectively, whose names are signed
to the attached or foregoing instrument, being first duly sworn, do hereby declare to the
undersigned authority that the Testator signed and executed the instrument as his Last Will
and Testament and that he had signed willingly (or willingly directed another to sign for
him), and that he executed it as his free and voluntary act for the purposes therein expressed,
and that each of the witnesses, in the presence and hearing of the Testator, signed this Last
Will and Testament as witness and that to the best of their knowledge a Testator was at
the time eighteen (18) years of age or older, o d mind and u d r no constraint or
undue influence.
DAVID E. FETR
WITNESS
TNES
Sworn to and subscribed
before me this ~ day of
IUD~~~~ , 2003.
NOTARY PUBLIC
MY COIVIlVIISSION EXPIRES:
NO~~ ~ public
s• a~YorkCouMy
~ ~on Expires May 1 ~, 2005
~~iaggspc~aUOn of Notaries
4