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HomeMy WebLinkAbout03-31-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland Estate of Renee. L. Rhoads also known as Deceased Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) COUNTY, PENNSYLVANIA File Number t r ' ~' ~1 " ~ , Social Security Number 196-60-8399 ® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Executor last Will of the Decedent dated February 21, 2008 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 (If applicable, enter. c. t. a.; d. b. n. e.t.a.; pendente life; durante 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 of heirs.) ts~ tseerem nuiiuw nuau ..mow ~...~ • <• • , ~ , . _-, .. (List street address, town/ciry, township, county, state, yip code) 2~ ~ l%- Decedent, then 33 yeazs of age, died on February 18, 2010 at Select Specialty Hospital in Dauphin County, Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 159,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ 0.00 (If not domiciled in PA) Personal property in County $ 0.00 Value of real estate in Pennsylvania $ 0.00 situated as 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: or printed name and residence Roy W. Rhoads, 85 Beetem Hollow Road, Newville, PA 17241 named in the Form RW-02 rev. 10.13.06 Page 1 of 2 (COMPLETE lNALL CASES:) Attach additional sheets if necessary. ~ _ ~__ _ ' C ~- Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal:"re~d~nc~ at ,`._ . ~' _ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF Cumberland 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 o°f ' ;/jl, ~ r~ L' ~ V ~ W~~` 1 r the Register Personal Representative Signature of Personal Representative ~ C~ _;; Signature of Personal Representative - + ~ ;_:.~ -~ - =-r-i File Number: ~ I J~ !~J ~r~ ?> Estate of Renee L. Rhoads Deceased 0 ~' W zy^ 0 N Social Sezcurity Number: 196-60-8399 Date of Death:2-18-2010 AND NOW, *r }~ `~~~~ ~C'~ , r - j~-' , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary _ are hereby granted to Rov W Rhoads, as Executor in the above estate and that the instrument(s) dated February 21, 2008 described in the Petition be admitted to probate and filed of FEES ' `~ i,~~ Letters ............... $ ~~ Short Certificate(s) ........ $~. Renunciation{s) .......... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ tt:66 as the last Will (and Codicil(~S)) of Decedent. ~~ ~~., ~- ~.~~_~ Attorney Signature: ~~~ ~% ~"~ +~ Attorney Name: Duane P. Stone Supreme Court I.D. No.: 85715 Address: 8 N. Baltimore Street P.O. Box 696 Dillsburg, PA 17019 Telephone: 717-432-2089 Form RW-02 rev. 10.13.06 Page 2 of 2 ~I '/C) -~~3~ ,j;:..- 71' ( I'Ilmi.:~3ai ~~ !+~i,9 ~3Ff ~•gY .i`' Sq 4°~)~5YYr ~T~ 7~F F'~'~~91<'~L QI• ~~~~5-)f?C CF ~.~S i, .~ n Fg .. ~` ,C,l 4J ' ~ L9 4~ ~~ P ... s H105-143 REV 11/2006 TYPE / PRIM IN PERMANENT BLACK INK ,1 W U i ll:. ... _,, C`I'. ,.,i `I~l' .ilir)1 t(ic ~, C a.. c'rl .` -, ';le 'l ,r.. ,. ~~ ~l~. i'i-S r~ c-+ (~ o ~ ~ 7 ,t -i7 7~' , . t ^s' ~ Z7 ~.~ ~~ ~ W -r~~1 ~~. ~ I '_ =C3 ~ t _"'~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS T "5 l~ .; ~ CERTIFICATE OF DEATH - ~ fSee instructions and examples on reverse) STATE FILE NUMBER 2. Sex 3. Saaei Semeiry Number d. Date of Deem (Mash, tlay, year) 1. Name d Decetlaa (First, midge, lest, Sdtix) F 196 - 60 - 8399 2/18/2010 ~~ L. ~~~ Age (last Binhd9y) UMa 7 year UMar 1 de 6. Dare of Birm (Mmm, day, year) 7. Binhplace (City entl stale a faeign cam 1 Ba. %aw d Deem (Check onty one) 5 Oarer' . . Mmaw Gaya Hours M'vnxes Hwpilal: 6/ 1 / 1976 Hersh PA ®mpatienl ^ ER / Ou~atianl ^ DOA ^ Nursing Hane ^ Residence ^Olher - Speciry: 33 Yrs . ar. Cmnry of Deem Bc. CM. Bao, Twp. d Deem 6tl. FacNry Noma (If not mstilulbn, give strew antl number) 9. Wes Oewdenl of Hispadc Odgin? ~ No ^ Ves 10. Race: Amaiwn Indian, &ack, White, etc. (If yes, spenfy Cuban, (~KYI Dauphin Harrisburg elect Specialty Hospital "+~~^~ ~^° Rya^~ em.) White DecedenYS Usual ion Kmd d work dare du most d Nre. Do not stale re&ed 12. Was Decedent ever In the 13. DecedenYS Educatlon (Specgy only Nghesl grade compbted) 1d. McAlal SeWS: Marde4 Never Married, 15. SurvNin9 Spouse (II wife, give maiden name) Wxiowetl, DNorwd (SpeuYy) 11 . U.S. Armed Fomes? Elementary I Secondary (Q12) Cdlege (1-4 or 5r) Khd d Wok Nind d Buakress I IMUSUy 5 Never Married - Pharmacist Phaxma ^Y~ ~]rao 16. Decedent's Mafirq AdMess (Strae6 ctlY I Tarn, slate, zip code) Decedents Did Decadent PA ~~ i^ a 17°. [~ vea, Decedent LNea m Penn rwp. 85 Beetan Hollow Rd. Aduel Reaidence na. sate T°""""'D~ nd.^NO De~gl UVed wlakn City/Bag unberland CS ewville PA 17241 ~ ,>b. Ccunry . l ' 1r. Famers Name (Fks4 mitltlM, Iasi, wmx) en wmame) s Nerve (First, mklde, maA 19. Mdha Shu hart J Rub ~ yJ. ~~~ . y 206. InlmrenYS Matlirg Adtlrees (Street, caY /torn, slate. zq cotle) 20a. InfomranYs Name (Type I Print) 85 Beetem Hollow Rd., Newville, PA 17241 ~ ~T Rhoads Memotl of Dispwitim ! ^ Cremation ^ Donatbn 21 E. Dale d Dispositlan (Mash, day, year) 21 a 21c. %ece d DisPwdion (Name d ceniereD', crematay a Omer place) 21tl. Loceam (CM I town, slate, zip cotle) . Banal ^ Removal from Slate ~ w.a Crem.Ummom.nm AathMZatl 2/25/2010 ^ ^ • Mt. Holly Springs Canetery Mt. Holly Springs, PA Na Vas ^ Omar - Spedy: ! q' Nedlcel Exammer I Coronx7 ~ 229. Signatue d Fuw Licensee reon s 1 226. llcenae Number 22c. Name aM Atldreea d FacNty FD 012633 L E)ain Brothers Funeral Home, Inc., Carlisle, PA 17013 ~ - , CernpMre dams 23ec aa'Y when cedtlY•9 23e. To me best d my , deem attuned et me time, tlere end Dlece stated. (SigteWre eM mlel 23b. license Number 23c. Date Signed (MOnM, tlay, yea) phye'rcien is rot avaYade at lime d Beam to worry roues d Beam. Pralwrmed Deatl (Month, tlay, year) 26. Was Case Refartetl to Medkal Examiner / Caax+far a Reason Oth9r man Cremation or Oonation7 24 Tore of beam 25. Date Items 2426 must ce caMleted M person ~ r I,S ZO ICJ ^Ves ~'No ~. ..~7 M. FAG r wM praaurces deem p . ~ , CAUSE OF DEATH (See inalrucslorre end examples) ~ Approximate IMerral: Pan II: Emer oma; a' nl wndtiars aaaM mno to deem, 28.Oid Tobacco Use Cminbute to Deam? Enla the dla n d events -diseases. injuries, a campkcatims -met dxectly roused ma tleam. W NOT enter terminal events such as cardiac anest, Onset to Death but not rewltlng in me undertymg rouse given in Pan I. ^ Vas ^ Probably Pan I' kem 27 . . r%pirelory arte9t, a venVicuWr FNnllatian wiltwul slwwing me etlobgy. Lill only aw wuw on each line. ^ No ^ Unktwwn IMMEDIATE CAUSE IFinel disease ar /'' y /' / 1 ` ~? S /S 29. If Female'. cardtim resulting in deem) ~ a. / ) ~.$~ I /~~' 1 ~'~c7 r-"` ~, ~ 1 ^ Not pregrent wi0~dn past year Due to (or as wnsequence oQ-~ / J ~ ~~r ,~ ' e' L , ~ ^ Pregnant at lime of deem ter QJ ` l $equMUal a91 wndlims, if any, b. ~ ^ NM pregnant, Wt pregnant wdNn 42 days leadng to the Nsted an Gw a. Due to (a as a cansequerrce oq: d seam Enter me UNDERLYING CAUSE ~ (tl6e93e or Irqury mat mitiete0 me c, r ^ Nd pregnmL but pregnant d3 tlays to 1 year evens rewrorg in Beam) LAST' Due to (or as a cansegwnce aQ: ~ belae Beam a. 1 ^ Unknown a pregnant wahin me past year 30a. Was an AulopM 30b. Were Autopsy Ferdngs 31. Martyr d Deem 02e. Dale d In'ryry (Mmm, tlay, ywr) 32b. Describe How Inury Oaurtetl 32c. Platy d Injury: Flonre, Farm. Street, Factory, OMw Buiklirg, etc (Spedry) Penormetl? Availade Pna to Compbtbn ~TlaWrel ^ Homicide d Ceaae d l»am? ^ Acdtlent ^ Pending imesk9aaon 32tl. T d Injury 32e. Inryry al Wak? 321. If Trenspatatlon Injury (Spedry) 32g. Lowtbn of Injury (~~. ciry /town, srete) ^ Vas ~NO ^ Yes ^ No ^ ~ ^ Ve3 ^ Drive / Oper9rer ^ Passarper ^Pedearien ^ Sukide ^ Cmkl Nd ba DMemkneU M Omar - Spady: 33a. Cent (dxxk mty orrel kted Item 23) m tl 33b. Signature of Canitler _.~ c ~ r~~'~ ~ ~-~ ~ / r- mnp an • CarfNn9 PbYSlden (% ceblYi^9 cause d deem when errdhar physktlan has prawaaed Bea ------------------- ^ tlM wtwe(el end m~nnernatalerL da t ~ , C/~''r"u'D ------------- ue o To tlr besldmy knowreage,tlam awum d d m Ucen rAxroer 33c 33a. Date signed IMmm, dax year) ee ) • I'ranoundng and cargMng phyekAen lPhv*re^ ~" Ixaaundng awm am carrying to wwe ---------tl~ s)ma manner as alaed rom c ree a a . ' -------- ( e M ue Ta me best of my knoWatlge,tlum occurratl et the tlme,acre, and place, er yv~C~ ©1~1455~ JI ~ r-Z` I'~I z- • M.alw Exaranar / Cemna On ate beats of exmnirmtlm and / a Inveatlgetim, In my opraon, tledh oauma al ma tlrre, dare, eM pMce, erM due ro me muags) end manna es ateted_ ^ ~_ Name ant Address d Person Wno Congleted Cause d Deem (Item 27) Type / Print 35. RegislreYS 9 re and DisVicl ~- ~ I I I ~1 I I ~ I ~ ~ ~f'y.Oate Filetl (Harm, my, ye/ar)~ -1 i O 6 ow{3-. aY rx 2 I~c~ r 7 ~4 -S lE^^oc ._ . . . L 'J,~ V f- i i Disposition ParmM N9. ~~ ~._7 ' i l'~, f( L``~ ~,~~ ~~ Prepared by the Law Offices Of Duane P. Stone, P.C. 8 N. Baltimore Street P.O. Box 696 ~ Dillsburg, PA 17019 ~ , 717-432-2089 ~ ~ ?~ , ~. -r n r~ .-. m ~,,, -, ,r~- i :.~,1 ~" `j ( i ~,. :.7 ~_; ...- .. t~ 1 LAST WILL AND TESTAMENT OF RENEE L. BROADS I, RENEE L. BROADS, a resident of and domiciled in the Commonwealth of Pennsylvania, make, publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me. FIRST: I direct that the expenses of my last illness and funeral, the expenses of the administration of my estate, and all estate, inheritance and similar taxes payable with respect to property included in my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my residuary estate, without apportionment and with no right of reimbursement from any recipient of any such property. SECOND: I have not contracted for or paid for any funeral arrangements. THIRD: I give all the rest, residue and remainder of my property and estate, both real and personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled at the time of my death (collectively referred to as my "residuary estate"), as follows: (a) To my Father, ROY W. BROADS and my Mother, RUBY J. BROADS who survive me, in equal shares, if any one of them survives me, they shall receive my entire estate. (b) If none of the beneficiaries under clause (a) above shall survive me, I give eighty (80) percent of my residuary estate to my following cousins listed in equal shares; LAURA BROADS, CABBIE BARON, LESA SWENSON, BRENT GRIEST, TRAVIS WELKER, and ANDREA BENNETT. The remaining twenty (20) percent of my residuary estate shall be placed into separate custodian accounts for the post-secondary education of ELLA STINE and any other children of JULIE STINE at the time of my death. Each account will be funded equally and if not used by the age of twenty-five (25), the principal and interest shall be distributed to the child per stirpes. y~ ~ 1 ~~~%.~~ a~~'-~~ ~~~=' ' FOURTH: If any property of my estate vests in absolute ownership in a minor or incompetent, my Executor, at any time and without court authorization, may: distribute the whole or any part of such property to the beneficiary; or use the whole or any part for the health, education, maintenance and support of the beneficiary; or distribute the whole or any part to a guardian, committee or other legal representative of the beneficiary, or to a custodian for the beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed by the person to whom the distribution is made shall be a full discharge of my Executor from any liability with respect thereto, even though my Executor may be such person. If such beneficiary is a minor, my Executor may defer the distribution of the whole or any part of such property until the beneficiary attains the age of eighteen (18) years, and may hold the same as a separate fund for the beneficiary with all of the powers described in Article SIXTH hereof. If the beneficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary. FIFTH: I appoint my Father, ROY W. RHOADS to be my Executor. If my Father, ROY W. RHOADS shall fail to qualify for any reason as my Executor, or having qualified shall die, resign or cease to act for any reason as my Executor, I appoint my Mother, RUBY J. RHOADS as my Executor. If my Mother, RUBY J. RHOADS shall fail to qualify for any reason as my Executor, or having qualified shall die, resign or cease to act for any reason as my Executor, I appoint my Cousin, BRENT GRIEST as my Executor. I direct that no Executor shall be required to file or furnish any bond, surety or other security in any jurisdiction. SIXTH: I grant to my Executor all powers conferred on executors under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon executors wherever my Executor may act. I also grant to my Executor power to retain, sell at public or private sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for. cash or on credit; to borrow money and encumber or pledge any property to secure loans; to exercise all powers of an absolute owner of property; to compromise and release claims with or without consideration; and to employ attorneys, accountants and other persons for services or advice. The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office from time to time. SEVENTH: If any beneficiary under this will and I die in a common accident or under circumstances in which it is difficult or impractical to determine who survived the other, such beneficiary shall be deemed to have predeceased me. ` ~~--~` 2 IN WITNESS WHEREOF, I, RENEE L. RHOADS, sign, seal, publish and declare this instrument as my last will and testament this 21St day of February, 2008. --- `~ ;~ ~-, RENEE L. RHOADS 3 The foregoing instrument was signed, sealed, published and declared by RENEE L. RHOADS, the above-named Testatrix, to be her last will and testament in our presence, all being present at the same time, and we, at her request and in her presence and in the presence of each other, have subscribed our names as witnesses on the date above written. ~r ~~~ ,~~~~ ~~~ ~~r` residing at residing at residing at y ~ L ~~ tu~ ~~ ~, .~ ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF YORK .~ one ~~ ~.~ ; c,_ ~u ~~ e~ s,~~~~~ We, RENEE L. RHOADS and "~~,,~.r--~ ~ ~Y ~L~ ~.~~~,~ ~-~' the Testatrix 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 Testatrix, RENEE L. RHOADS, signed and executed said instrument as her last will and testament in the presence and hearing of the witnesses, and that she had signed willingly, and that she executed it as her free and voluntary act and deed for the purposes therein expressed, and that each of the witnesses at the request of the Testatrix, in the presence and hearing of the Testatrix and each other, signed the will as witness, and that to the best of his or her knowledge the Testatrix was at the time at least eighteen years of age, of sound mind and under no constraint, duress, fraud or undue influence. RENEE L. RHO DS Testatrix Witness Witness Wi ess Subscribed, sworn to and acknowledged before me by the said RENEE L. RHOADS, Testatrix, and subscribed and sworn to before me by the above- named witnesses, this 21St day of February, 2008. --,~~~ ~ ~`~~ . °~ Notary Public My commission expires on: M c~~, ^~ ~c NOT AL TARA K STONEBRAKER Notary Public DILl88URG BOROUGH, YORK COUNTY My Commission Expires Mar 9, 2011