HomeMy WebLinkAbout04-12-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBE1u-AND COUNTY, PENNSYLVANIA
Estate of MIRIAM J. SPEECE
also known as
File Number 21 10 "- c~ ~ V
Deceased Social Security Number 193-14-6913
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 Executrix named in the
last Will of the Decedent dated 11/25/09 and codicil(s) dated none
(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.c.t.a.; pendente liter durante absentia; durante 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.)
Decedent, then 86 years of age, died on 3/21/10 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
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
None
situated as follows:
PA /'7!/V
$ 100.000.00
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
~~?Ztti, - Korin M. Cline 717-243-7503
110 Sable Drive Carlisle PA 17013
Page 1 of 2
Form RW-02 rev. 10.13.06
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. :~':; C7 ` ~ `~' ' ""'~ j
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Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last princi~~esidence ~ ~- ~r-i
770 South Hanover Street Carlisle PA 17013 Carlisle Borough ~ ..... ~ .~V~.~,:~
(List street address, town city, township, county, state, zip code) C7"1
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 accarding to law.
Sworn t~ or affzrmed and subscribed
be€~re rr~e the t ~ ~ day of
-
For the Regist
Signature of Personal Representative Korin M. Cline ~ """ - `~
Signature of Personal Representative
Signature of Personal Representative
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File Number: 21 ~ ~ (~ - ~~. U
Estate of MIRIAM J. SPEECE ,Deceased
Social Security Number: 193-14-6913 Date of Death: 3/21/10
AND NOW, ~~ r 1 ~ ~ vZ ~ , 2010 , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Korin M. Cline
in the above estate
and that the instrument(s) dated 11/25/2009
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............................. $ ~.lU . UO
Short Certificate(s) ............ $ `~ ~ a~
Renunciation(s) ................ $
UU~II .... $ t~v.ed
~_~
.... $
.... $
.... $
.... $
.... $
.... $
TOTAL ............................. $ O~ ~-R-I ~ ~ y
Attorney Signature:
Attorney Name:
George B. Faller. Jr. V
4E.Q,.p
Supreme Court I.D. No.: 49813
Address: 10 East High Street
Carlisle
PA 17013
Telephone: 717-243-3341
Form RW-O2 rev. 10.13.06 Page 2 of 2
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This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with -
the Vital Statistics Law of 1953, as amended.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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,,.~°o~l- __ _ _ J'L Linda A. Caniglia
_ _ _-_ 9 State Registrar
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.~.~~.. ~ ~ ~ ~~~'°9q _ . _ r ~P~~'''' APR 0 2 210 -
~70Sta3 REV /7/2006 No• COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS Date
TYPE /PRINT IN
PERMANENT CERTIFICATE OF DEATH
BLACK INK
(See instructions and examples on reverse) STATE FILE NUMBER
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1. Name of Decedent (Firs1, midrib, last, au6iz) 2. Sex 3. Soda? Security Number 4. Date d Death (Mondt, day, year)
Miriam J. Speece F 193 - 14 - 6913 3/21/2010
5. Ape (last Bkthdey) Under t year Under 1 de 6. Date of Birth Month, de , ear) 7. Birthplace (City and state or foreign country) M. place d Death (Check only one)
Months Days Haxa Mhurea Hoapaa: Other
86 Yra. 6/24/1923 Altoona, PA ®Inpatient ^ERlOutpatient ^DOA ^NureingHome ^Residerto ^OMer-Specify:
Bb. County of Death Bc. City, Boro, Twp. of Death fid. Fadliry Name (II nil institution, give sheet and number) 9. Was Decedent of Hispanic Origin? ~ No ^ Yes 10. Rux: American Indlen, Bladt. Whi4, Nc.
•
Dauphin Harrisburg pt Yes. sPecdY Cuban, (Specify)
Select Specialty Hospital Harrisbur Mexican, Puerb Riean, etc.) ~j-~
17. Decedent's Usual Occ tbn Kind of want done du most d world Ate. Do not state retked 12. Was Decedent awr in the 7 3. DecedenYS Educatbn (Specity only highest grade wmpleted) 14. Marital Status: Married, Never Married, 15. Surviving Spouse Qf wife, give maiden name)
Kind of Work Kind of Butdrtees /Industry U.S. Amtad Forces? Elementary /Secondary (0-12) College (1.4 or 5+) Widowed, Divorced. (Specify
H~)aker Her C1wf1 bane ^Yes ®No 12 W1t3rJVaed -
- 18. Deodem'a Meilktg Address (Street, dry /town, state, zip code) Decedent's PA Did Decedent
770 S
Hanover St Adual Residence 17a. Sble Live in a 17c. ^ Yes, Decedent Lived h Twp.
w
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hi
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77d.~Q4 o, Decedent Lived wihin Carlisle
nh. county Cumberland
arlisle PA 1 O 1 Actual Lnnib of city/Born
78. Fedrer's Name (First, midrib, leaf, sufia) 19. Mother's Name (Flrat, middle, maiden sumama)
Edward D. Bra Alverda - Moore
20e. IMOrmant's NertM (Type /Print) 20b. Idarmant's Mailing Address (Street, city! Nwm, state, zip code)
Korin M. Cline 110 Sable Drive Carlisle PA 17013
21 a. Method of Disposition ICremation ^ Donaton
• 21 h. Date d Dieposroori (Month, day, year) 21 c. Race of Disposition (Name of cerretery, crematory or other place) 21 d. Locetlm (City /town, state, zip code)
^ Burial ^ Removal from State j YYU Cnmetbn M DonetlOn AuthorizM
• ^ other • spedb: ' by ftNdlul Ex.mxte,/ coren.r9 ®vea ^ No
3/23/2010
Evans Crgnation Services
Leola , PA
22a. Sigrmlura of F ice Lionsee (or pe ae 22b. License Number 22e. Name and Address of Fed1lry
- - FD 012633 L Ewin Brothers Funeral Hone, Inc. Carlisle PA 17013
L`ompkb same 23ac only when cenitying 23fl. To tM best of my k ,death occurred at the time, date end pbce stated. (Signature end tide) 23b. License Number 23c. Date Signed (Month, day, year)
physkdan is not swilebla at tkne d death to
onlry cause of death.
Items 24.28 must be completetl by person 24. Time d Death 25. Date Prortourx»d Deed (ManM, day, year) 28. Was Case Referred to edits? Examiner / Coroner br a Reason Other than Cramatlon or Donation?
- who pronounces death.
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CAUSE OF DEATM (SN Imtrta:HOns end exsmproy r Approximate interval: Pan II: Enter other 26. lhd Tottatxb Usa Contribde to DeaM?
Item 27. Part I: Eller rite titaki d events -diseases, irgttriee, a compticetlons -Met directly ratiaed rite death. DO NOT enter terminal ewds such as cardiac anent, r Onset to Death but nil resutling h the undedying cause given in Pad L ^ Yss ^ Probably
respiratory anssL or wmnculer fibrillation w7tltoul cltowing the Lbt only one cause on each Ilne. t
t
t
IMMEDIATE CAUSE (Fin
l di
^ No ^ Unknown
a
aeaee d
condition resulting in dealt) -~ a. ~,,~ ~~4Z i
29. II Femab:
^
Due to (or as a consequence off: ~ Nd pregnant within ptW year
Sequen6uly set candnbns, it any, b ~
leadrq W Ilte cause Ibtsd on Ikre e ^ Pregtant at Nme of deaM
. Due W or as a Iona uence of t
Ertbr Sts UNDERLYMJG CAUSE - ( eC 1~ r Nd n
^ pregna t, but pregnam wihin 42 days
(dbsase or i ' that inftlated the t
• Svente reauPo~7g In death) LAST. c~ r
- d death
Due W (or es a consequence off: r ^ Nd pregnam, but pregnem 43 days to 1 year
• d ~ Mfore dealt
^ Unknown If pregnant wlNin the pest year
30e. Wee en Autopsy 30b. Were Auopsy FlrdMge 31. Ma r d Deets 32a. Date d Iryury (Monts, day, year) 32b. Describe Now Injury Oceurred 32c. Pbce of Injury: Home, Ferm, Stree6 Factory,
Performed? Awilable Prior to Compbtbn
l ^ Fb
bid
N
t Otlio Building, etc. (Sperry)
d Cause of Death? a
ura
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e
/
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A "" ^ YB6 ^ ~ ^ Acddent ^ Pending Investlgatbn 32d. Time of Iryury 32e. Injury al Work? 32f. B Trensportatk>n Injury (Specify) 32g. Location d Injury (Street, illy /town, state)
E ^ Suicide ^ Could Not be Determined ^ Yes ^ No ^ Dnver / Operetor ^ Pasaertger ^ PedesMen
M. ^ Other - Spedty:
33e. Certifier (check onty on•) 33b. Signature and Tito of Canifier
• GrtNying phyelelen (Phyaieian cenitying cause d death when another physician has pronounced death and completed Item 23) /n~
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To the Met of my knoseedge, death xorred due to tM Dose(s) and manner ea sMed_ _ _ _' _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ~
- i
• Prortouroing end certlfying physklen (Physidan both pronouncing deaM and certltying to cause of death) 33c. License Number 33d. Date Signed (Montle, day, year)
To tM MM d my krtowlWpe, deem oceumd at the ttms, data, end pleas, and due to the esuse(s) end manner es wted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• ttwdkal Examiner /Coroner p
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3. 2 2. 2 a 1 a
On Use beW of exeminedon end / or ?nwetlgatlon, In my oplMon, deeds rxeurred a< the rime, date, end plsce, srd due to the oase(s) end manner ss statsd_ ^ 34 ame end Address of Person Who Completed Cause d Dwth (Ite
~ m 27) Type I PrMI
35. Registrar'sSI~y~`'-en~d Dia ' NtuAba!-"~ ~t~~r~--
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- 38. Date Fged (Month, day. year) R ~ E E 5 •~•~ -/~ ,S' ~ p -111~ T 1-1 A- M D
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F:\FILES\Clients\10037 Speece\10037.1.wi11.2009.revised
LAST WILL AND TESTAMENT
I, MIRIAM J. SPEECE, of the Borough of Carlisle, Cumberland County, Pennsylvania,
being of sound and disposing mind and memory, do hereby make, publish and declare this to be
my Last Will and Testament, hereby revoking any and all former Wills or Codicils by me made.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all inheritance taxes (whether such taxes may be payable by my estate or by any recipient of any
property) shall be paid from my residuary estate as soon as practicable after my decease and as
part of the administration of my estate. My personal representative shall have no duty or
obligation to obtain reimbursement for any such tax so paid, even though on proceeds of
insurance or other property not passing under this Will.
2.
I give, devise and bequeath all of my estate unto my children, KORIN M. CLINE,
STEVEN OWEN SPEECE and TIMOTHY PAUL SPEECE, in equal shares absolutely, provided
that the share of any child who predeceases me shall be distributed to his or her issue, per stirpes,
and in default of any such then-living issue, such share shall be distributed to my surviving
children.
3.
I nominate, constitute and appoint my daughter, KORIN M. CLINE, as Executrix of my
estate. In the event my said daughter shall be unable or unwilling to serve in such capacity, then
I appoint my grandsons, ADAM CLINE and NOAH CLINE, to act in such capacity. ~ the even
_ --~ ,,
one of my said grandsons is unable or unwilling to serve in such capacity, then th~ainin ~-, } `~
grandson may serve alone. ~ ~ i~ ~ %~ n ~' ~ --`'
,_~c_
I direct that all fiduciaries acting under this Will, whether or not named herein-;,mall nom _ _~ r°T'~
,~ ..
be required to give bond for the faithful performance of their duties in any jurisdiction. ~r, ~'~
5.
I authorize and empower my Executrix, or her successors, in their sole and absolute
~s~
M.J.S.
Page 1 of 3 Pages
discretion, to purchase or otherwise acquire and retain any investments of which I die seized or any
real or personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose
of or grant options in regard to any or all property of any kind forming a part of my estate for such
terms and such prices as they may deem advisable; to borrow money for any purposes connected
with the protection and preservation of my estate; to mortgage or pledge any real or personal property
forming a part of my estate or to join in or secure the partition of same; to compromise any claims
or demands of my estate against others or of others against my estate; to make distribution in kind
and to cause any share to be composed of cash, property or undivided fractional shares in property
different in kind from any other share; to employ agents, attorneys and proxies and to delegate to
them such power as my personal representative considers desirable and to pay reasonable
compensation for such services as may be rendered by such agents, attorneys and proxies; and to
execute and deliver such instruments as may be necessary to carry out any of these powers. In
addition, I direct that my Executrix, or her successors, shall have the power to conduct an inventory
of any safe deposit box necessary to the administration of my estate.
IN WITNESS WHEREOF I have hereunto set my hand and seal this ~~'~ da of
Y
6 ~ , 2009.
(SEAL)
'riam J. Spee e
SIGNED, SEALED, PUBLISHED AND DECLARED bytheabove-named Testatrix, as and
for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testatrix and of each other.
(~~„ r.
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Page 2 of 3 Pages
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND 1
We, Miriam J. Speece, .,and Ut..~Ce.;~~ (~.J~t~. ,
the Testatrix and the witnesses, respectively, whose names are signed to the foregoing instrument,
being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and
executed the instrument as her last Will and that the Testatrix has signed willingly, and that the
Testatrix executed it as her free and voluntary act for the purposes therein expressed, and that each
of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a witness and that
to the best of his/her knowledge the Testatrix was at that time eighteen years of age or older, of
sound mind and under no constraint or undue influence.
i 'am J. Speece estatri
.~ s . ~
Witness
itn s
Subscribed, sworn to and acknowledged before me by Miriam J. Speece, the Testatrix, and
subscribed and sworn to before me by nd ~,,.~
/~
the witnesses, this~S`'~' day of ~"lam ~`~..,`~ , 2009.
~~
Notary Public
~vtMONWEALTH OF PENNSYLVAMA
NOTA~tIAL SEAL
"Victvrin L. Otto, Notary Public
~arlielc Borough, Cumberland County
_My commission expires December 20, 2010
Page 3 of 3 Pages