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Home My WebLink About02-16-10PETITION FOR PRn~OBA//TE AND/GRANT OF LETTERS REGISTER OF WILLS OF (~G~l'1~bCf' /a/7GL COUNTY, PENNSYLVANIA Estate of L ~ VL Clp's ~ e1-'t also known as Q~, 1 {/ ~ E~j ~ f" Deceased File Number ~ ~ ~' O ' O ~ T~ Social Security Number o~ ~ T Q ~ ' 00~ Petitioner(s), who is/are 1 S years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) !J A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~ X. ~ C ~,`. ~~ ~` named in the last Will of the Decedent dated ~ ~o - o~ 07 and codicil(s) dated (State relevant circumstances, e.g., renunciation, death of executor, etc.) ~e-SN C ~l Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after executio~ a instrur~t(s) q_ i~j for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ rte' W ~-; ~~~ 01 r`;.. f~i B. Grant of Letters of Administration ~~ ~ r°•;.--~ (If applicable, enter: c. t. a.; d.b.n.c.t.a.; pendente life; durante absentia; r Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followt~ spouse (if w) and Adtrtfttistratloti, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~ l Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional heets ' neces ry. Decedent was domiciled at death in t~r Qn County, Pennsylvania with his /her last principal residence at (Gtst street attdress, town city, township, county, state, zip ~ Decedent, then S' 9 years of age, died on 201 at 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 ([f not domiciled in PA) Personal property in County Value of real estate in Pennsylvania situated as follows: $ ~. ODD 9,DOtI bVherefore, 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: l,~~g ~ Signature hyped or printed name and residence i ~~ Form RW-02 rev. 10.13.06 `I Page 1 of 2 Oath of Personal Representative CO~IMON'~VE.~LTH OF PENtiSY-LVANI_A SS COUivTY OF~ ~~m h~ ~_ . The Petitioner(s) above-named swear(s) or affirn~(s) that the statements in the foregoing Petition are clue and con•ect to the best of the kno~~9edge and belief of Petitioner(s) attd that, as personal representative(s) ofthe Decedent, Petitioner(s) will well and tvly administer the estate according to law. Sworn to or affirmed an~d/s~ubscri~ed before me the ~" •! day of ~1~. V For e Register Si~ntrhire of Personnl Rzpresenm~ive Si~nnture ojPersonal Rzpresentntive N n ~ ~ ' 4 , - ,. Signnt:u~eofPersorralRzpresentntive :-~-~ P'~'1 ~ ',.i ~... rn ' -- r ri-~ 'K,? _ ~ SCI Cn ~s 4. File Number: ~ ~ - /CJ'D~~ ~~~ ~ .., ~ r- Estate of ~l l V~ .~~ ~ ~~QaS ~~~ ,~ eased w ~-~~~ Social Security Number: ~7~J~ ~D ~ ~ VU~ Date of Death: AND NOVJ t7 ,(_,LA ~ ~ n , ~121.~, in consideration of the foregoing Petition, satisfactory proof - r-- having been presented before me, IS DECREED that Letters 'l ~, are hereby granted to Q ro n E . 0~~! • u- ~ in the above estate and that the instruments ted described in the Petition be admitted top bate and filed of record the last Will (and Codicil(s)) of Dece t. FEES Letters ............... $ ~ ~D Register of 4Yi!!s Short Certificate(s) ........ $__GZX1:L~. Attorney Signature: Renwirc~ation(s) ......... , $ '- D S ~~ $ ~3. Attorney Name: ,, JJ ~ ~ .. $_~1dL Supreme Court I.D. No.: ... $ _ $ Address: ... $ ... $ ... $ • • $ Telephone: ... $ TOTAL .............. $~ X3.50 Faru~ RIV-03 rev. tu.l_ o~ ~ Page 2 of 2 _ _ __ _ __ .~>~ ,,,~ a21./~'(~1~~ 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 16090372 Certification Number 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 cert~cate will be forwarded to the State Vital Records Office for permanent filing. ~~~ egistr Date Issued ~/ - ~- ~ '~ o "~'I =~ i Ti ~: ~ r~ ~ rT1 : ~ S.,FS..F : _ ~ ~ ~~ '~~ ~ ~ W ~ N1ad-1n NEa ~~+~ COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH • VITAL RECORDS TvFE / FRrir w eiAac sac CERTIFICATE OF DEATH (Sella instntctbns and ~xampiss on reveres) f.NnrdOtetded lRrr, raddt,lbt alhQ - ~ ~rvuneen x sr x soar a.a.y Nurdrr a Iw~t 4r Y••A , OLIVE J. EBERT Female 204 - 03 -0024 e/a a Apt M1++eMS» IAian ~ urdr ~ a o.r a ekn ~. eneNdt« e• Plb. a Ordr kb6 a.,. l4er 6detr lbyXtk Darr: 89 rla June 25, 1920 Shamokin Dam, PA ,,,,,„, ^ ~„ ^ ooA ^ Nar ^ Ibrdrr ^ oda • s,.ary: a,. Cant d Ottdr a: Cy, 9er0. T•R d Ottdr dL FaA, Nm (M na irrNp4,n. rrr rtl anitrt A Wr Dtadtrd d Mprie OAyYV/ No Yr 10.Ibr: Amrkn bOr, 2bck WNb, re Dauphin Harrisburg Pinnacle Health/Harrisburg Hospita ~ t'~Whi te q~l it. Dtrdrtt air dradaer nor d at. ooearw tx Wr Dtotd~t awr b ri tx Otndrft EdrMar Islv~I ody w~wl 2r+d• aaryWrq f/. wnw s LwrNq is 8wh+q Spar. p ww, OM+ mraar rrrr) 4 arawak NMdaa.krb/bdYy u.8. Amrd Facr7 ENnwdtry / Sradey (412) CWtpt 11j «s.t Hanenaker ^ Yr ®No 12 Widow eoa.a.r,a+v~m.rlsr«.ah/b.n.rb.apooael o.oear. pp~ D1dDioitl"~ ,~~,®Y«.D«.eawuaM Silver Srn'in~s rrp. 6 Houston Drive /°'"''~'~ ~~•~ Abe ,A,d,,,,,,, Mechanicsbu PA 17050 1m ca.r, Cumberland T°""'"'p' „Q ^ ~ d ,aw cwylBao 1! FArf~ Ntnr 1~+. nidd6 Ytl tuR~ 10.1bdr/t Nrr I~t4 nddf• nrwr rnrit) Carl Haas Nettie Houser 2da tOanrrf Nrr mw / ~1 tm tdanrnP. Nrtip Adds (a•rt AY! b•r~ rw., ~ aE.) Sharon D. Ta for 30 Beard Road Mechanicsbur PA 17050 ^Crarlkn ^Ortron 21.OWdPb•d4 d•I~Y••A Feb. 7, 2010 ~• a ~ "a~b ~ a crae.dm~ 21o PYo•d0liooMiarP~odanrYrY.aarrbrY aroFrrPi•r) 216 k«alonl~Ylbrrr. rr~. i4 wd•) Orchard Hills. Cemetery Shamokin Da[R PA 17876 Oeraw^ Y«^ No . , , . 22• Snret ueaOr rap 226.lbrw NUn4a 22a Nrr rM AddnrdFtdlry - FD-011373-L V.L.SEEBOLD FUNERAL. HOME, 601 N. High St., Selinsgrove, PA 17870 Yet 2aeo ad/rrn eae,iq p6lrarYlltl eeYatdMddtMb ardhrut aa,tw xLTeri6Mdnry aratMgriar, 0~b ~~~^\ ~ ~ /~/ .(`/ ~~O Wa4 dtY•YMA ~ x~- ~ VU'V LYI C p/~ 0.••dW~44Y.Y~) ~{ ~~/4 20. OCr. Rdwrdb Weal Eandrr, Caar. br. Mrar Olwr rin «Oarlm4 /f ~~ MFa.r /~ ~ a ~ M. ~ ~cJ! ~b _ cAUae of oEATN lg.t Yaruetlorb ra.x.nwwl , Apprmdrb brink c Btr arir zd drae utt b Yn Z7. 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"~ ~7 ~--' OC~ve ~anette Maas Ebert ~' ~ `,' , I, Olive Janette Haas Ebert, a resident of the State of Pennsylvania, County of Cumberland, and City of Mechanicsburg; and being of sound mind, do hereby make, publish and declare this to be my Last Will and Testament, thereby, revoking and making null and void any and all other Last Wills and Testaments and/or Codicils to Last Wills and Testaments heretofore made by me. All references herein to this Will shall be construed as referring to this Last Will and Testament only. FAMILY CLAUSE At the time of executing this Last Will and Testament, I am unmarried. The names of my children are listed below. If I do not leave any property to any of my children, my failure to do so is intentional. Sharon Diane Ebert Taylor Deborah Jean Ebert Heisler Dana Lee Ebert Lowe RESIDENCY CLAUSE 2806536_DOC Having in mind the possibility that I may temporarily reside outside of, or simply be absent from the State of Pennsylvania, County of Cumberland, and City of Mechanicsburg, at the time of my death, I elect and hereby declare that this Will and each and every disposition and provision contained herein shall be construed and regulated by and in accordance with the laws of said State of Pennsylvania. It is my desire that this Will be probated in the State of Pennsylvania, my place of domicile, and that the principal administration of my Estate be made in said State of Pennsylvania and that none of the assets of my Estate which may be found in my place of domicile, be remitted to any other jurisdiction for administration or distribution. Page 1 of my Last Will and Testament ° ~; (Signature) DEBT CLAUSE I direct that the executor named pursuant to this Last Will and Testament review (as soon after my death as practical) all of my just debts and obligations, including funeral expenses and the expenses incident to my last illness; excepting those long term debts secured by real or personal property which may be assumed by the Heir of such property, unless such assumption is prohibited by law or upon agreement by the Heir. The executor shall pay these just debts only after the creditor provides sufficient evidence to support their claim. My executor shall pay out of my gross Estate, as if they were my debts, and without proration or appointment, all estate and inheritance taxes, by whatever name called; (including any interest due thereon) becoming payable because of my death in respect to all property comprising my gross Estate for death tax purposes, whether or not such property passes under this Last Will and Testament. I further direct that if any Heir or Heirs named in this Last Will and Testament should be indebted to me at the time of my death, and evidence of such indebtedness is provided or made available to the Executor of my Estate, then that share of my Estate which I give, devise, and bequeath to any and each such Heir shall be reduced in value by an amount equal to the proven indebtedness of such Heir or Heirs, unless I have specifically provided in this Last Will and Testament for the forbearance of such debt, or unless such Heir is the sole Principal Heir. COMMON DISASTER CLAUSE In the event any Principal Heir and I shall both die in, or as a result of, a common accident or disaster, or under such circumstances that the order of our deaths cannot be established by proof, then I direct that for purposes of this Last Will and Testament, such Principal Heir shall be deemed to have predeceased me. In the event that any Heir (other than a Principal Heir) under this my Last Will and Testament and I shall both die in or as a result of a common accident or disaster or under such circumstances that the order of our deaths cannot be established with proof, then I direct that for the purposes of this Last Will and Testament such Heir shall be deemed to have predeceased me. Page 2 of my Last Will and Testament ~%~%c-~- ~~~,~~,~-~._.. (Sign re) PRINCIPAL DISTRIBUTION CLAUSE I give, devise, and bequeath to the persons named below (my "Principal Heirs"), if he or she, whichever the case may be, shall survive me, all of the residue and remainder of my gross Estate after payment of all my just debts, expenses, taxes, administration and specific bequests, if any, in the percentages set forth below. 1. Name: Sharon Diane Ebert Taylor Relation: Daughter Percentage: 331/3% 2. Name: Deborah Jean Ebert Heisler Relation: Daughter Percentage: 331/3% In case such Principal Heir does not survive me, I direct that the share of my Estate which would have been given to such Principal Heir shall be equally distributed to: The children of Deborah Jean Ebert Heisler. 3. Name: Dana Lee Ebert Lowe Relation: Daughter Percentage: 331/3% In case such Principal Heir does not survive me, I direct that the share of my Estate which would have been given to such Principal Heir shall be equally distributed to: The children of Dana Lee Ebert Lowe. Page 3 of my Last Will and Testament ~n ' ignature) EXECUTOR APPOINTMENT CLAUSE (A) I nominate, constitute and appoint my daughter, Sharon Diane Ebert Taylor, to be the Executor of my Estate. (B) If, for any reason, my first nominee Executor should fail to qualify or be unable or unwilling to accept or to continue as the Executor of my Estate, I nominate, constitute and appoint my daughter, Dana Lee Ebert Lowe, to be the Executor of my Estate. (C) If for any reason, all of the nominees designated above in Paragraphs (A) and (B) should fail to qualify or be unable or unwilling to accept or to continue as Executor of my Estate, I nominate, constitute and appoint my daughter, Deborah Jean Ebert Heisler, to be the Executor of my Estate. EXECUTOR POWER OF APPOINTMENT CLAUSE (A) All directives in this Will that use by reference the word Executor mean and include any person named herein as my Executor (or personal representative, as may be defined under state law) and any person who may be acting in either capacity, at any time. Such person shall have broad and reasonable discretion under the directives of this my Last Will and Testament with respect to any property, real or personal, left by or held by me, or acquired by my Executor on behalf of my Estate. (B) I wish my Executor to have broad and reasonable discretion in the administration of my Estate, to have all of the powers permitted to be exercised by an Executor under state law, and to be able to do everything he or she deems advisable for the best interest of my Estate and the Heirs thereof, all without the necessity of court approval or supervision. I direct that my Executor perform all acts, take all such proceedings, and exercise all such rights and privileges, although not specifically mentioned in this Will, with relation to any such property, as if the absolute owner thereof; and in connection therewith, to make, execute and deliver any instruments, and to enter into any covenants or agreements binding my Estate or any portion thereof. (C) No such person named in, or appointed in connection with this Will in a fiduciary capacity shall be required to file any bond or other security for the faithful performance of his or her duties as such fiduciary in any jurisdiction; and if, despite this directive, a bond should be required, I request that it be accepted without sureties and in a nominal amount. Page 4 of my Last Will and Testament ' (Sign re) NON-LIABILITY OF FIDUCIARIES Any fiduciary, including my Executor and any trustee, who in good faith endeavor to carry out the provisions of this Last Will and Testament, shall not be liable to me, my Estate, or my heirs, for any damages or claims arising because of their actions or inactions based on this Last Will and Testament. My Estate shall indemnify and hold them harmless. SAVING CLAUSE If a court of competent jurisdiction shall at any time invalidate or find unenforceable any provision of this Will, such invalidation shall not be construed as invalidating the whole of this Will. All of the remaining provisions shall be undisturbed as to their legal force and effect. If a court finds that an invalidated or unenforceable provision would become valid if it is limited, then such provision shall be deemed to be written, deemed, construed and enforced as so limited. Page 5 of my Last Will and Testament ~ ~ ~' ~~~' (Signature) IN WITNESS WHEREOF, I, the undersigned Testator, declare that I sign and execute this instrument on the date written below as my Last Will and Testament and further declare that I sign it willingly, that I execute it as my free and voluntary act for the purposes expressed in this document and that I am eighteen years of age or older, of sound mind and under no constraint or undue influence. ~~ ~ '~ a r~~ , (Signature of live Janette Haas bert) SSN: Date: _ ~ ' ~a " ~ Page 6 of my Last Will and Testament (Signatur ~ ATTESTATION CLAUSE This Last Will and Testament, which has been separately signed by Olive Janette Haas Ebert, the Testator, was signed, executed and declared by the above named Testator as his or her Last Will and Testament in the presence of each of us. We, in the presence of the Testator and each other, under penalty of perjury, hereby subscribe our names as witnesses to the declaration and execution of the Last Will and Testament by the Testator, and we declare that, to the best of our knowledge, said Testator is eighteen years of age or older, of sound mind and under no constraint or undue influence. ignature o witness) Date: 'R V~c1 C`'j C- . ~ O y~bC (Print Name) (Address) (City, State, ZIP 2 • of tness) (Print Name) Date: g' ~ ' ~ 7 ._.__ 3. (Signature of witness) Date: `~'"-~ ~~ 5~ fiver r~~ ~-- ,~~ (Address) (City, State, ZIP) (Print Name) (Address) (City, State, ZIP) Page 7 of my Last Will and Testament / ' ' ~ ,. ~~~,~~ (Signature) STATEMENT OF INTERMENT, CREMATION and WISHES I, Olive Janette Haas Ebert, the undersigned, having previously executed a Last Will and Testament on the date hereof, hereby state that, in addition to the directives and bequests set forth in said Last Will and Testament, it is my desire that my remains be interred in a burial plot. My further wishes and directives are as follows: Lot already purchased. Bury next to husband. Westside Cemetery, Shamokin Dam, Pennsylvania. Dated: 0 " ~ - (~ ~ ~,~-e-- _ ~~~ r Signature of a Janette Haas Ebert ACKNOWLEDGMENT OF NOTARY PUBLIC State of Pennsylvania County of Cumberland On this ~D~ day of 20~, before me, the undersigned Notary Public, personally appeared Olive Janette Haas Ebert, personally known to me (or proved to me on the basis of satisfactory evidence) to be the individual who signed the foregoing instrument and acknowledged to me that he or she executed the same in his or her authorized capacity, and that by such signature, the person executed the instrument. Witness my hand and seal. Signature of Notary Public: COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL ~ Ann C. Garbarino, Notary Pubiic Silver Spring twp., Cumberland County Commission Expires Dec. 13, 200$ SELF-PROVING AFFIDAVIT State of Pennsylvania County of Cumberland I, Olive Janette Haas Ebert, the undersigned Testator, being first duly sworn, do declare to the undersigned authority that I signed and executed the attached or annexed instrument as my Last Will and Testament and that I signed it willingly, that I executed it as my free and voluntary act for the purposes expressed in that document and that at the time I signed the document I was eighteen years of age or older, of sound mind and under no constraint or undue influence. Date: (Signature of Oli tte Hr a e We, the undersigned witnesses, being first duly sworn, do each declare to the undersigned authority the following: (1) the Testator declared to each of us that the attached or annexed instrument is his or her Last Will and Testament; (2) the Testator executed the will in our presence; (3) each of us, in the presence of the Testator, signed the will as witness; and (4) to the best of our knowledge the Testator is eighteen years of age or older, of sound mind and der no constraint or undue influence. (Si ature of witness) (Print Name) 2. ` ~~~ l L~ ( e of fitness) (Print Name) 3. (Signature of witness) (Print Name) Acknowledgement of Notary Public: Subscribed, sworn and acknowledged to me on this ~ da o,f1__ 20~, by Olive Janette Haas Ebert, as Testator, and ~L1mnC~ ~ i'~Ui)J EK. M~iD ~~ 1= ~ ~N-1 L . ~ t C.E ~d , as witnesses. Witness my hand and seal. Signature of Notary Public: COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL Mary Ann C. Garbarino, Notary Public Sllwr Spring Twp., Cumberland Cody Mjt Commission Expires Dec. 13, 2005