HomeMy WebLinkAbout03-18-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Theresa A. Shover
also known as
COUNTY, PENNSYLVANIA
File Number - -~ ,70
,Deceased Social Security Number 194-12-7400
Charlotte A. Houck
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE A' or `8' BELOW:)
® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executrix named in the
last Will of the Decedent, dated OSfp2f2DOS and codicil(s) dated
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
(1 applicabe, enter c.t.a.; .n.c.t.a.; pe ente rte; durante a sentia; durante mmontate
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 of heirs.)
.-=~
w ~~' .~
33 Buttonwood Lane, Carlisle, Middlesex, Cumberland, PA 17015
(List street address, town/city, township, county, state, zip code)
'~ ~ (x ~
OOV~~i-1
~~~
rx ~
z
W
~~~~~~
pro rx~
~~N ~~
U
Decedent, then ~_ years of age, died on 03/04/2010 at Holy Spirit Hospital, Camp Hill, PA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA)
(If not domiciled in PA)
(If not domiciled in PA)
Value of real estate in Pennsylvania
All personal property
Personal property in Pennsylvania
Personal property in County
situated as follows
28,000.00
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 ~
Charlotte A. Houck 1264 Peggy Drive
Hummelstown, PA 17036
717-566-5772
Form RW-OY Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
} SS
}
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
before me this ~, ~) _. day of
?~ ~
Signature of
fs. ~,
~ ~
F.
a H
,, For the Register Signature of Personal Representative ~ ~ `~ ~ ~
~~V~~Ca
:~ z
Q(Q~ ~~~
~}~/ -7f~ C4~~U~~.,W
File Number ~ ~~'~~Z7(f ~ ~ N \O
Estate of Theresa A. Shover ,Deceased ~ ~~ ~
~~
Social Security Number: 194-12-7400 Date of Death: 03/0412010
AND NOW, '~ ~~/0 , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, I IS DECREED that Letters Testamentary
are hereby granted to Charlotte A Houck
in the above estate
and that the instrument(s) dated 08102/2005
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
!, CL
Letters ...........:.............................. $ (~
s CU
Short Certificate(s) ....................... $ ~rp.
Renunci lion(s) ............................ $ f
I $ /~` v o
~~~ l $ ~~~
$
$
$
$
$
$
TOTAL ................................... $
Attorney Signature:
Signature of Personal Representative
Attorney Name:
Supreme Court I.D. No
Charlotte A. Houck
C~-
Edward P Seeber
James, Smith, Dietterick & Connelly, LLP
Address: Suite C-400, 555 Gettysburg Pike
Mechanicsburg, PA
Telephone: 717-533-3280
Form RW O2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2
OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this espy by photostat or photograph.
Fee for this rerti'.ic~:,e. SEn.(it)
___P_ 16257300_
Certificatias, N(irnher
a
_ __
-Phis i5 to cerrif~ jl .~; t};e ~s~f, r17;atihl~ I?en~ ,lien
Correctly Ct~pie~s t~,~iit ~,n In~l~~inai C ~rtiftc.ftc i1f~)rath
dui tiled with I;~le a~ L,t~~:zl l2e~C ~trar. ~~hr origl3nl~
certificate ~~~ill ?-~~~ i~or~.ardec7 to iil~ 4tatr_ b~irll
Reeords (?fzice f~,r ;~r_rmsr(cnt filir~~~
~Y~I ~
Local _i~tra/ ;'>at~ 1 ~~.ued
RECORDED OFFICE OF
REGISTER OF WILLS
2010 MARCH 18
CLERK OF
ORPHANS' COURT ~~^
CL'~iBERLAND CO., PA
H1os113 REV 11/NO6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TYPEI PROtTW CERTIFICATE OF DEATH
PERMANENT
BLACK INN (See Instructions and examples on reverse) STATE FILE NUMBER
3
1. Nmw d Deadaa (Flrsl, middle, last wbu) 2. Sul
female 3. Sodd Sewdy Naha
7400
12
194 1. DW d Deem (. daY• Year)
March 4, 2010
Theresa A. Shover _
_
A
a (led B+emYl
5 Under t ear llyder 1 der 6. Dab d Birtln Mmm, de . a 7. Bi ar0 slab a fa Ba. Place d Dutln Check ore
a
g
.
Mr:
"'°"°~ °eY' "°'"° """xa` arch 24, 1924 Pottsville, PA Hospibl:
®InpaDml ^ ER / Ou~aMM ^ DOA ^ Nuneg Hare ^ Radderia ^ OYner ~ Spedly:
5
_
Yr3.
BD. Caauy d Deem &. City, Soro, Twp. d Oeam 8d. Fadsry Name (lf rot iretiDnbn, qve sped and rs,rber) 9. Wes Oecederu d FAspanic Origb1 ~ Na ^ Yee 10. Race: Amaicen Indan, Bieck. Wide, dc.
Inrea.oedrYCwen, IsveaAl white
Cumberland E. Pennsboro Twp. Holy Spirit Hospital Mexcen, PrneM Rican, eb.)
• 11. Deadail's Vaud Don Nindd rrork davi dr most d Me. Do nd slab retired 12. Wu Decedent ever b me 13. Decedents Edreatim (Sped1Y odY hign•sl gr•d• mrrpbled) t/. Wklowea Divorab (,/r Maned. 15. Srwbhg Spouse (M rNe, pse rrieitlen name)
KiM d Wak Hind d &rarwssl l U.S. AmwO Faas7 Elanailary (Secondary (0-12) Cdlega (1 d a 5.) widow
1L
f P
~
lt~
ry
o
^ y„
] Ne
i
Office worker Commonwea
Deadem's MdNtg Address (Strad, city I town, dab, zip cede)
• 16 oeadmra PA ~ bode dent n~
Decedax lived ~ Silver Spring TwP.
~ Yea
.
33 Buttonwood Ln. ,
.
Aaud Residence 17a. Sole
d Townshp7 17d.^NO, Decetled Uved wMUn
r
h
l
Carlisle, PA 17015
• ,,,,,
or
an
t76C~ Ad~~d ~/e«o
'
18. Fa1Mfs Name (First midge, last, wnix)
(unknown) Marr 19. Homer
s Name (Fuu, mideb, maiden amnanie) Helen Londr igan
20a. lidmrwd's Name (Type /Print) 200. kitormenYs Marling Addrus Sbed, cNy / own, dde, z mdel
Humme~stown, PA 17036
~r
1264 Pe
Charlotte A. Houck .,
ggy
21a. McOad d Diaposilbn r ^ Cremation 21 b. Dale d Disposition (Maim. day, yea0 21c. Pba d Oisposilion (dame d calwrery, aerralaY a Omer place) 21d. Location (City/town, slab, zip codel
^ Dondbn
n Memorial Gardens Harrisburg, PA 17109
dl
W
a
aw
oo
(}~ eudd ^ RemovdlranStele ~ w,ecremdbna0aulbnAWMdud March 9, 2010
^ No
T ^ Y
es
^ Wner t by Iledkd Exrdrterltororwr
a~) zzb.LirenseNumber zzaNarearWAddreaaaFeciMy Hoover Funeral Homes b Crematory Inc.
22..Sgrala FmerdServiceL
FD 011921 L 6011 Lin lestown Rd., Harrisbur , PA 17112
L~
~
/
amore 23ec vAnu amitysg 23a. Tome Dell d mY ~'~~ deem axared al tlw tins, dab and place s~ol~ed~. (~S~grulae~aM~atla) p (~ ~ 23b. License NurMa 23c. Data Slgried (~re~ dy. Year)
ppaicbnbna avumle al tinnedaeamb (~..... D ij ~'~l'Y~`1VC.tl~~ fir V Rt~15 ~~l b - 3 L 'P~IQ~ `~f l ZO I ~
aroN cause d seam. ~1 Y
Time d Deem 25. Dale Pronaased Dead (Maxn, day, Year( 26. Was Case Relwred b ~ Examiner /Coma kr a Realm Otlwr men Gematim a Doretim7
24
.
gems 2426 moat M conUl•bd M palm ~ O ~ O ^ Yes o
J o ~ Z P M. March y t
ranarse deem
wro
p
.
CAUSE OF DEATH (Sae Instrrvetlone end eaamPba) n Approximate blend: Part II: Enbr oma ~ 28. Did Tabearo llse CorarDule b beam?
i Onset b Deam M na resuNing in me mdeAyng curee gN•n n Pan I. ^ Yes ^ ProDady
d
d
ac erre
.
Hem 27. Pan I: Ema me Main d events -diseases. kjures, a conpYcaoons - and drectly caused die deem. DO NOT suer lemwal events suM as car
^ ~ n
raspirabry arrest. a venlricdar fiaiYation molded stprwg me eeobgy. Liu any aw cause m eaM Ikw. r
r
WMEDIATE CAUSE IFnd disease a i 23..nnFlemur:
ti
D'.I Nd Pregnau whin Put Yea
de
card0an resulDnq n scot -~ a. ~ •t-~
Wr
u M C
d d
P
ngnar
ma
e
Due b (a u e dg r LJ
but pregrent wdtlan 12 days
GGV ~ ^ Nd p•Snara
,
bt mndfNaru, A ary• b.
a Due b (a u a c«eeAuana o0; ~ d deem
UtAERLYBM> CLAUSE
and mAiabd me r ^ Nd pregraA, but Dr•v~d 13 data b t year
c'
n
e
deem) LAST.
~ Mlae deem
vade esuNUq
Due b (a u a conseGu•z• dl:
l ^ lhanown n prepwa rvAhn tlw Dad yea
d.
•
30a Wu /h Adopay 30b. Were Aubpsy Fvndrgs 31. Mauiu d Deem 3za. Dab d kMurY (Manlh, day Year) 32D. lksuiba How Injury Oaxrred 3za Pop d mjary: Hare. Fam, Stred, FxYay
Olha Bdltling, eb. (Specyy)
Padamed7 Avanade Prior b Carpbtbn {~ Naorrd ^ tlorrscitle
---~~looo a caau a Deam7 4'
^ Asklenl ^ PeMbg Inves99atian
32d. tiros d court
Sze. kMaY d woe?
321. n TrmspalaDm k4aY ISO•cMl
e ^ PadaeuWr
br ^ Passa
^ ~/O Loca9m a ryuy (Sweat. dry /own. stab)
~9~
^ Yu tTl No
/ ^ Yu ^ No ^ Sdcide ^ Celad Nd M Ddarrrtlned M. ^ Yu ^ No g
pera
pppr. Speciy:
3 /
30. Sgrebra aW Tnb d CerYfw
33e Carkier (Mark only aw)
• Dadrykte DM•k+•n l ad1Yb0 cws• a deem weal aamer pnysidan nee pramax ed seam end cangebd Ibm x31 _
~
~l/ .
Toth Meta mY knawbdWdMm eccunW damtM awNel•nd nwateru etNed_________________________________ 3 Licera;e Number
3c 33dDW Sipnwdl~•deY•yea)
• Praba¢kq end amByktg phyekM (Ptrymcan Oam W5 deem and alMyq b auu d Oum)
^ .
~Y p
2 SE
a!O
YI I
~' dolU
t red
/='~
io tlr Ma eery knowbdge,dwMrceurtedatlle tllre,dW,end ltksa, end awbda cuee(el endlreaw eredwd------------------ /
/
J ,
.
• Medkd Eaamwr/Coroner
On IIb bole d aentkndon erW I a Inwetlq•Ibn M my aplnbn deem acurred et Ne Ikrr deb, erM plea, end due b Ilw aunts) end muwr a ewed_ 3
/. Name and Addreu aJ~ ersm~ ComDleled Cyga beam (I ~~ ~IpeM H
r
/V
Y
'h
35. are o" ~ ~ ,~ 1 36. Dab Fled (Mmm, dr/, ri•r) -
5 G i
.1
d d) /fC
rIo l/
{1
/! /J
~ ,~ .
cal U ;
~
c.a~.+~,a
~
V4304U/ -
Dispositian Permu No.
OF
THERESA A. SHOVER
I, THERESA A. SHOVER, now domiciled in Cumberland County, Pennsylvania, declare
this to be my Last Will and Testament. I revoke all other wills and codicils that I may have
previously made.
Article I
My just debts and expenses of my last illness, funeral, and administration of my estate shall
be paid by my Executor from the principal of my residuary estate as soon as practicable after my
death.
Article II
All inheritance, estate, and succession taxes (including interest and penalties thereon, but not
including any generation skipping tax) payable by reason of my death shall be paid out of and be
charged generally against the principal of my residuary estate without reimbursement from any
person. This provision is not a waiver of any right which my Executor has to claim reimbursement
for any such taxes which become payable as the result of any property over which I have the power
of appointment.
RECORDED OFFICE OF
REGISTER OF ~~'ILLS
2010 MARCH 18
CLERK OF
ORPILINS' COURT
CU~fBERL.~ND CO., P,-1
Article III
I give, devise and bequeath in accordance with any memorandum which I have either
handwritten or signed, located with my will or with my valuable papers and found within 30 days of
the probate of my will. Gifts may only be to persons who survive me or to organizations which exist
at my death, and if there is a conflict, the memorandum having the latest date shall govern.
Article IV
All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever
situate, I give, devise and bequeath IN EQUAL SHARES to my daughter, CHARLOTTE A.
HOUCK, of Dauphin County, Pennsylvania, and to my daughter, Margaret VonNieda's husband,
THOMAS VONNIEDA, of Cumberland County, Pennsylvania.
If any of my beneficiaries predecease me or fail to survive me by thirty (30) days, I give,
devise and bequeath his or her share to his or her issue who survive me, per stirpes, or if he or she
has no issue, the share(s) are to be added equally to the other shares.
Article V
I nominate and appoint THOMAS VONNIEDA, or if he is unwilling or unable to serve,
C.P.A.R.C., or its successors, of Cumberland County, Pennsylvania, to be the designated payee for
the railroad retirement benefits payable to MARY H. SHOVER.
Article VI
I nominate, constitute, and appoint my daughter, CHARLOTTE A. HOUCK as Executrix
of my Last Will and Testament. In the event of the renunciation, death, or inability to act, for any
reason whatsoever of my Executrix, I nominate, constitute and appoint my son-in-law, THOMAS
~-
VONNIEDA, as successor Executor of my Last Will and Testament. I direct that my Executrix or
successor Executor be permitted to serve without bond and in addition to those powers granted by
law, I grant them power to distribute in cash or in kind in like or in unlike shares and to file any
qualified disclaimer I could have filed if living. My Executrix or successor Executor shall receive
reasonable compensation for services rendered to my estate.
Article VII
In addition to the powers conferred by law, I authorize my Executrix and successor Executor,
in his/her absolute discretion:
(a) to retain in the form received and to sell either at public or private sale, any real estate or
personal property except that which I specifically bequeath herein,
(b) to manage real estate,
(c) to invest and reinvest in all forms of property without being confined to legal
investments, and without regard to the principal of diversification,
(d) to exercise any option or right arising from the ownership of investments,
(e) to compromise claims without court approval and without consent of any beneficiary,
(f) to file any federal income tax return for any year for which I have not filed such return
prior to my death,
(g) to make distributions in cash or in kind, or in both, and to determine the value of any
such property,
(h) to employ any attorney, investment advisor, or other agent deemed necessary by my
Executor; and to pay from my estate reasonable compensation for all their services,
-3-
(i) to conduct alone or with others, any business in which I am engaged in, or have an
interest in at time of my death, and
(j) to receive reasonable compensation in accordance with their standard schedule of fees in
effect while their services are performed.
IN WITNESS WHEREOF, I, THERESA A. SHOVER, hereby set my hand to this my Last
Will and Testament, on ,{~ - ~ 2005.
~,.~~
ERESA A. SHOVER
In our presence, the above-named THERESA A. SHOVER signed this and declared this to
be her Last Will and Testament and now at her request, in her presence, and in the presence of each
other, we sign as witnesses.
Name Address
~~ ~
u.
'-"-:.~ ~ ~ti 845 Sir Thomas Court, Suite 12, Harrisburg PA 17109
~~~'~~-~ ~~~...~ 845 Sir Thomas Court, Suite 12, Harrisburg PA 17109
-4-
1, 'THERESA A. SHOVER, Testatrix, who signed the foregoing instrument, having been
duly qualified according to law, acknowledge that I signed and executed this instrument as my Will,
and that I signed it willingly as my free and voluntary act for the purposes therein expressed.
Sworn to or affirmed and
acknowledged before me by
THERESA A. SHOVER, the Testatrix
on ~'- 2005.
.~ ~
-_ c.~ ~ rte. r, ~. w ~
~N tary ~blic
~_ TMo~~
NOTARUtI SEAL
JMtX1UELINE A. KELLX NDtARr P1KIa.IC
TOWER PAXTON TWP., DAUPHIN COUNPI
MII COMIMISSION EXPIRES DEC. !~ 20011
~~ ~ ~ ~~
SA A. SHOVER `
We, the undersigned witnesses who signed the foregoing instrument, being duly qualified
according to law, depose and say that we were present and saw the Testatrix sign and execute this
instrument as her Will; that she signed and executed it willingly as her free and voluntary act for the
purposes therein expressed; that each of us in her sight and hearing signed the Will as witnesses, and
that to the best of our knowledge, that she was at that time eighteen (18) years or more of age, of
sound mind, and under no constraint or undue influence.
Sworn to or affirmed and
subscribed to before me
by ~f~ ,~, to _ ~ li :. ~,,~
and ~-L~ C~.~C `~ ,
witnesses, on ~ - ~ , 2005.
C/
Notary 1~ublic
~_
COMMONWEALTH op PENNSRVANUI
NOTARIAL SEAL
IIU;QUEUNE A. KELLY, NOTARY PUBLIC
LOWER PAXTON TMfP., DAUPHIN COUNT-
MY CDMMISSION EXPIRES DEC. 11, 2001
-5-
~~= CC2-f l - ~ ~ < SG
tness
Witness