HomeMy WebLinkAbout04-13-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of CATHERINE A. WHITE
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 -1 ~ _ D ~`~~
Social Security Number 159-24-9553
O • CO-EXECUTORS named in the
A. Probate and Grant of Letters Testamentary and aver that Petitioners is /are the
~i~ot~nn9 _ and codicil(s) dated
last Will of the Decedent dated
RENUNCIATION BY WILLIAM R. WHITE DATED APRIL 6 2010 IN FAVOR OF BARBARA W. BANEY A
KATHLEEN W. LOSCHER TO ACT AS THECCOi E ed o Ua Oeparate Page
(State relevant circaunstances, e.g., ren:~nciation, 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 (`fapp
hcahle, enter: c.t.a.; d. b. n. c. t. a.; pendente life; durance 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~nd heirs: (!f
Adminish•ation, c. t. a. or d. b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) r'7 0 , .,
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(COMPLETE /NALL CASES:) Attach ntltlitionnl sheets if necessary.
Decedent was domiciled at death in CUMBERLAND ~ ~on_ oeou 1t7 ~(1 nsylvania, SILVER SP1RINGncipal reTOWNSF
~ U I CHJ 1 u~~ ~ ~+^•
(List street address, town/city, township, county, state, zip code)
81 years of age, died on 312612010 at SARAH A. TODD MEMORIAL HOME
Decedent, then
1000 W. SOUTH STREET CARLISLE PA 17013
Decedent at death owned property with estimated values as follows: $ 3 200.00
(If domiciled in PA) All personal property
(If not domiciled in PA) Personal property in Pennsylvania $
Personal property in County $
(If not domiciled in PA) $ 130 000.00
Value of real estate in Pennsylvania
101 EASTERLY DRIVE, MECHANICSBURG, PA 17050
situated as follows:
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:
Typed or printed name and residence
Signature
~ ~ KATHLEEN W. LOSCHER _ _ _ _ on ~ ~n~n
BARBARA W. BANEY
Page 1 of 2
.-_.._. o~,v n~ .o„ IO 13.06
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
t
before me the day of
_! ~
Fort Register
Signature of P~rsonal Representative
Signature of Personal Representative BA
W.LOSCHER
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File Number: ~' ~ ~ ~ ~~~~
Deceased
Estate of CATHERINE A. WHITE
....~
Date of Death: 3/2612010
Social Security Number:159-24-9553
i~f~ t~ r'~-, in consideration of the foregoing Petition, satisfactory proof
AND NOW, ~ '
having been presented before me, IT IS ECREED that Letters TESTAMENTARY
are hereby granted to KATHLEEN W. LOSCHER AND BARBARA W. BANEY in the above estate
and that the instrument(s) dated MARCH 12 2009
described in the Petition be admitted to probate and filed of record as the~last Wil~(and Codicil(s)) o~tecede~ t. ^
FEES
Letters ............................. $ i~'==
Short Certificate(s) •••••••••••• $ ---~~~==~-
Renunciation(s) •••••••••••••••• $ ~--~-
~ 1~i II .... $ ~ .p.
.... $
.... _ ..
~~ .SU
TOTAL ............................. $
Attorney Signature:
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Address: 54 E. MAIN STREET
MECHANICSBURG
PA 17055
Telephone: 717-697-4650
Page 2 of 2
Form RW-02 rev. 10.13.06
Supreme Court I.D. No.: 24849
OCAL REGISTRAR'S CERTIFICATI®hI ®F ~F:ATI
WARIViNG: It is illegal tla duplicate this copy ~y photostat ar photc~r~~:i-.
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
YCm inetn tr`tlraDR and examples on reverse) TATF FII F NtIMRFR
2. Sex 3. Social Security Number 4. Data of Deem (Month, day, Year)
t NamemDecaae^nFlrltmltltlle,last.saffix)
Catherine A. White Female 159- 24- 9553 March 26, 2010
Under t ear Under t da 6. Date of BiM (Monet, da , ear) 7. Binh lace Ci and state or torsi n count Ba. Place bl Deem Check onl one)
Otner:
5 Age (Last Birmday)
Monme Deys Hours Minulx Hospital'. ~T
81 September 21, 1928 Mechanicsburg, ^ Inpatrent ^ ER I Outpatlent ^ DOA :q NUrsirg Home ^ Resitlence ^ Omer ~ SpecilY.
Yrs. t0. Race. American Indian, Black. White, etc.
Iry 9. Was Decedent of Hispank Origin? N° ^Ves
Facil Name (If rqI insthut'ICn, give sheet and number,
ed
.
& Ci Boro, Twp. of beam
pt yel, speGN taboo, (S~rh1
6D. Cou^ry of Deam ry.
) White
Todd Memorial Home
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Mexlcen,
uen°
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ara
Cumberland Carlisle
Kind of work tlone drri mast of workin tile. W rot scam retlretl 12. Was Decedent ever in me 13. Decedent's Educatan (Specity mly higMst grade completed) f 4. WW eG~Drvorcedn5peciyl Married. 16. Surv'winq Spouse QI rode, g:v! mmden name)
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s Usual Oct
t t. Decedent
2 ary (0-121 College (13 or 5.)
k Kird of Businessl IMUSIry U S. Armed Forces? Elementary I S
Widowed
f W
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or
Kind o
Homemaker Own Home ^ Ye! ®No
D'Idoeeeaent Silver Spring
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Decedent
s
State PA Dve in a nc.~ yes. Decedent Lived in Trop
t6. Decedent's Maiknq Adtlress (Street, ary I town. state, zip codel AGUai Resider¢e 17a
.
101 Easterly Drive T°~"!"Ip? 17d ^ No Decedent Laved wimin
Cumberland
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cit
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Actual omits o,
Mechanicsburg, PA 17050 nDCoenq
Fathefs Name (First. midtlle, Wsl suffix)
16 19. Momefs Name (First mitldle, maitlen surname)
Catherine Creamer
.
Royer O Weise
zoo. Inronnanr! Maiknq Aaeress (street, oN I town, sure. xip code)
zoo mformam'a Name hype r Prinp suckle Drive Mechanicsburg, PA 17050
37 Hone
Barbara W. Baney y
ation ^ Donation
osdion ^ C
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21 b. Date of Dispositlon (Monet, day, year)
27c. Place of Daposilion (Name d cemetery, aemamry or Omer place)
ltd Lacatwn (CM/tow'^, state, zip code)
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_ 21 a. Me
movaltromstate ~ w cremanonorDOrudonAad,odmd
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March 30 Mechanicsburg Cemetery Mechanicsburg, Pa. 17055
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S - ' by laedical Examiner/ carer? ^ Yes No
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Omer-
~ 22a. Sign a of Fuaral Se acting as such) 22b. Lceree NUtMer 22c. Name and Adtlmss of Facility
37 East Main Street Mechanicsburg, PA 17055
Inc
Funeral Home
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FD-012662-L
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C 23a. Tome of my knowletlge, Beam acwnatl at the fime, date and place stated. (Sigawre and lids) 23b. Lkensa Number 23c. Dale Signed (Monet, day, Yearl
mlp
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physictan Is not avalade at time d deem w
cermy Uua of deem.
d to Medical Examiner /Coroner
Was Case Referr
26
for a Reason :Dlher man Cremason or Donation?
24. Time of Death 25. Dare Praarxsed Dead (Monet. day. year)
Items 24-26 mu4 be completed by person e
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^ Yes LM Pb
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who pronoar~e! dam. I C S ~ ~ M. INi Owe ~- C, Z b 1 0
te interval:
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Part II: Enter other q^i&:= t mrdido • m'tvn o m =m
28. LYd Tobacm Use Contribute to Death?
pprox
ma
CAUSE OF DEATH (See instructions and examples) r
ations - mat directly caused me deem. W NOT enter terminal events such az ceNUC anent Onset w Death
li
n but rwt resulting in die unaeMinq rouse gNen In Pan I. ^ yes ^ ProbaDy
es, or comp
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hem 27. Pan :: Enter dre Gram of events -diseases, inlu
list Doty one cause on each line.
Ne eDOb
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f No ^ Unknown
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raspiremry arzesl, or ventncWar 6brillaGon w
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IMMEDIATE CAUSE Fral disease or
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.ia (~~prlgnam wimm pelt rear
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wrdmm reaunirrq m
a. ' ^ Pregnant at "me of deem
Due re for as a,rynsequance o~ y
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~'LY~~ ~ nant wimin 42 days
^ Not
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$eguenliagy list cerdiDOru, if any, D_ ~,
bedngg to the cause listetl on line a. D
(or az a cn uerce tit)'
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of dean
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ue
Enter me UNDERLYING CAUSE lC
G` ~Y'~
~ ^ Nol pregnant Wt pregnant 43 tlays t° 1 year
(Oisase or Injury maI 'nlDated dre
evenre resulting in deem) LA57. c qle to (or as a consequence tit): before deem
^ Unkrgwn if pregnant whin me past Year
a
'
. ar) Describe How Injury Occunetl
32D 32c. Place of Injury: Home, Farm, SVeeL Factory.
t
A FIMin
Were Autopsy 9s
3W 31 Man d Death 32a. Date of Injury (Monet, day. Ye . Olt Building, etc. (Speay)
opsy
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30a. Was an
Perbrtned7 .
Available Prior to Completion niGde
l ^ H
,~/ of Cause of Deam? w
NaNra
^ Acddenl ^ Pending Investigation
32tl. Tuna of Inlury
32e. Injury al Work?
321 II Transportation Inlury (SpecMJ
er ^ Petlesman
^ Passen
t
^
/ 329. Location of Injury (Street cM /town, state)
^ Yes `LT' No ^ Ves ^ No ^ Yas ^ No g
Or
~~
~re
^ suidde ^ could Not be Delermirxd M. omen ~ sce~Y7
33a. cemr r knack orgy Dal 330. signawre r I ~ .~ ~
Certifying physician (PnysIGan cenilying taus! d deem when aromer phYsidan has pronounced dean ant :mplete0 Item 23)
^ ~
7o the beat of my krrowledge, dam occured due to the cause(!) and manner as lmted _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . L'ICense Number 33tl. Date Signed (Monet, day, Year)
• Pronouncing ad cerlflyl^9 phyekian (Ptrys'IGan Dom pmnounang deem and °eniM^9lo cause d dean) /~ ~t .
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To the eat of my pwwhdga, doom occurred at the Ume,tlam,aM pmce,aM duemthe causgs)antl manner al sated__________________ .
~ti1 .- V`s
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• Medcal Examlror/Coroner
In my opinbn, tlam occurred rM the lmre, am, antl plea, arM due to tlse cause(!) and manner as amted_
f examiatbn ant / a invatitptlon
i
m
b
34. Name ad Atldrass W Person Who Camplefed Cause of Deam (Item 27) Type I riot
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35. R fs Sigrewre and District Nur~Me/r //, ( ~
~ _. ~{.~iA..+l/:r I'Y c. L 'mil i~1i i~~ i I~ ~ 36. Date Fibd lMOnm, dnaY. Year)
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DisPwilion Permit No. ~ ~ 7 (o kJ J
LAST W,~LL ArTii~ TES i A1~+fEI~~
BE IT REMEMBERED THAT
I, CATHERINE A. WHITE, a resident of Cumberland County
Pennsylvania, being of sound mind, memory and understanding, do make,
publish and declare this to be my LAST WILL AND TESTAMENT, hereby
revoking any and all Wills and Codicils previously made by me.
I
I declare that I am not married and that I have three (3) children,
KATHLEEN W. LOSCHER, WILLIAM R. WHITE, and BARBARA W. BANEY.
II
I direct that all my just debts and funeral expenses shall be paid from my
residuary estate as soon as practicable after my decease.
III
I direct that all taxes that may be assessed in consequence of my death,
of whatever nature and by whatever jurisdiction imposed, shall be paid from
:ny resid>>ary estate as a part of the expense of the administration of my estate.
IV
I give, devise and bequeath all my property, whether real or personal,
wherever situate, including any property over which I may have a power of
appointment, to my children, KATHLEEN W. LOSCHER, WILLIAM R. WHITE, and
BARBARA W. BANEY, in equal shares, per stirpes.
V
I nominate, constitute and appoint my children, KATHLEEN W. LOSCHER,
WILLIAM R. WHITE, and BARBARA W. BANEY, as Co-Executors of this LAST
t~'ILI.,, tt~ serve without bond. If any of my children is unable or unwilling to act
in th~~t c:<<paciiy, ~ne ethers may act alone as Executor of this LAST WILL, to serve
~tTith.out bond.
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IN WITNESS ~JVHEREOF, I, CATHERINE A. WHITE, have set my hand to
this LAST WILL this /~~~ day of ./j lC<-LL~~ 2009.
CATHERINE A. WHITE
Signed, sealed, published and declared by the above-named CATHERINE
A. WHITE, as and for her Last Will and Testament, in the presence of us, who, at
her request and in her presence, and in the presence of each other, have
hereunto subscribed our names as witnesses.
if
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ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss.
I, CATHERINE A. WHITE, Testatrix, whose name is signed to the attached
or foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my LAST WILL; that I
signed it as my free and voluntary act for the purposes therein expressed.
a
L. L~~(s ..~ y.e.r. (. _ C. r. .f: y .
CATHERINE A. WHITE
Sworn or affirmed to and acknowledged before me by CATHERINE A. WHITE,
Testatrix, this /:2 '~ day of / l ~ a.-~ U/~. , 2009.
,--
,t.~ ~ CEO -~ ~ ~ l :~l'~~ z~~~;~
Notary Public
_...._.
NOTARIAL SEAL
DIANE M SMITH
Notary Public
MECHANICSBURG BORO, CIIMBERUWp CNN
My Commission Expires Jun 22, 2012
Sworn or affirmed to and acknowledged before me
this /,1 ~h day of /Y'1~,,1C-~~~.- , 2009.
J.__..
/ I]ii- J
Nota _ ,,, .~.
NOTARIAL SEAL
DIANE M SMITH
Notary Public
MECHANICSBURG BORO, CUMBERLAND CNTY
My Commission Expires Jun 22, 2012
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss.
We, ~f/~~t~i~ ~ L~~~t i_~ ~ ~~ ( and i'~,~'~f j9 Y~~~`~%~~f ,
the witnesses whose names are signed to the attached or foregoing instrument,
being duly qualified according to law, do depose and say that we were present
and saw Testatrix sign and execute the instrument as her LAST WILL, that
CATHERINE A. WHITE signed willingly and that she executed it as her free and
voluntary act for the purposes therein expressed; that each of us in the hearing
and sight of the Testatrix signed the Will as witnesses; and that to the best of our
knowledge, the Testatrix was at the time 18 years of age or more, of so nd mind
and under no constraint or undue influence. ~ '
,;
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RENUNCIATION
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O
REGISTER OF WILLS ~ ~'- n
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Cumberland COUNTY, PENNSYLVANIA ,.,
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Estate of Catherine A. White
I, William R White
(Print Name)
SOri Executor
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Deceased
in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
w.
Barbara Baney and ~athy Losche~ K a t h l e e n w. L o s c h e r
4-OS-10
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
(Stgrrature)
8560-102 San Marcello Dr.
(Street Address)
Myrtle Beach, SC 29579
(city, stare, zip)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunci tion for the
purposes stated within on this ~ day
,,
of r~l ~ 2~/G
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tart' Public
y Commission Expires:: zu;~~ L ; ~~~
(Signature and Seal of Notary or other icial qu i d to
administer oaths. Show date of expiration of Notary's Commission. )
Form RW-06 rev. 10.13.06