HomeMy WebLinkAbout04-06-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of DAVID W. LONG File Number ~ I _ I ~~ 0~~~
also known as
DAVID W. LONG ,Deceased Social Security Number 271-50-9418
BARBARA R. PHILLIPS LONG
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW.)
0 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 3/22/2000 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.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 was domiciled at death in CUMBERLAND County, Pennsylvania, with his /her last principal residence at 205 WEST
GREEN STREET SHIREMANSTOWN PA 17011
(List street address, town/city, township, county, state, zip code)
Decedent, then 59 years of age, died on 2/13/2010 at HARRISBURG HOSPITAL
DAUPHIN COUNTY HARRISBURG PA 17101
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 420.000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 220.000.00
205 WEST GREEN STREET
SHIREMANSTOWN PA 17011
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:
Signature Typed or printed name and residence
~ p~/ BARBARA R. PHILLIPS LONG 205 WEST GREEN STREET
/ ~/~/~.~`~ HIRFMAN~T(~WN on
Pa elof2
Form RW-02 rev. 10.13.06 g
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(COMPLETE INALL CASES:) Attach additional sheets if necessary. t~
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 ak d subscribed
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before me the ~ day of
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For the Register
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Signature of Personal Representative BARBARA~R. PHIL S LONG
1/
Signature of Personal Representative
Signature of Personal Representative
File Number: ~, ~ (~ - (~~`' `-"a~
Estate of DAVID W. LONG ,Deceased
Social Security Number: 271-50-9418 Date of Death: 2/13/2010
~p ~d= in consideration of the foregoing Petition, satisfactory proof
AND NOW, ~ ~ '
having been presented before me, IT IS DECREED that Letters
are hereby granted to ~ '
in the above estate
and that the instrument(s) dated 3 ~~ ~`~"~`'~
described in the Petition be admitted to probate and filed of
FEES
Letters ...........................
Short Certificate(s) •
Renunciation(s) •••••~~••••••
~~~
TOTAL ......................
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... $
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.... $
.... $
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as the last Will ¢and Codicil(s)) of Decedent.
Register of Wills `' d tr~_ly_
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Attorney Signature:
Attorney Name: MARK A. MATEYA
Supreme Court I.D. No.: 78931
Address: P.O. BOX 127
BOILING SPRINGS
PA 17007
Telephone: 717-241-6500
Page 2 of 2
Form RW-02 rev. 10.13.06
rns Pn~ qc~r in. ~n^,
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
~ Fee for this certificate, $6.0O
P 15935613
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
certificate will be forwarded to the State Vital
Records Office fc~ rmanent filing~EB 1 7 2010
LG~;~2. ~~~ /
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Local Registrar Date Issued
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13 REV 1112008
E I PRINT M
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UCK INK
1. Name of Depdent (First mkldle, last, erABrc)
David
8. Ape (Last BirMdey) Under 1
Montle
S 9 Yrs.
rb. County of DaeM
Dauphin
~ Under 1 de
DM Hour Mlrwtae
8c. CIry, Born, Twp. of Death
Harrisburg
IOnd of Wak I COm~~e
Systems Programmer rn
18. DecedxrCa MaiNng Address (Street, dry I town, state, zip code)
205 West Green Street
Shiremanstown, PA 17011
I8. FatlreCS Name (First mldde, lest, srMa)
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions end examples on reverse) STATE FILE NUMBER
2. Sez 3. Sortlel Setzzfry Number 4`D
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Q2
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N
of Jkalh (Month, day, year)
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8. Dab of Birth Month da Male
7. and state a can 271- 5 - 9418 ~ (,J
8a. Plep d Death Check one
May 21, 1950 Cleveland, OH Hoepkal; Other:
~„~„ ^ ER / oulpatbnt ^ DOA ^ th,rekrg Hare ^ Residence ^ oMrer .spooky:
&!. FaciNly Name (M rat krsdhrtlarr, give street end number) 9. Woe DepdeM of H'speMc Origin? ^ Yes
® No 10. Race: Anredpn Indian, Black, Whke, etc.
Harrisburg Hospital ) (sver~
(k~eran,PuerbA~;
,~
,
.
white
of eah 12. Woe DspdeM ever n the 13. Deoederrre Eduptlon (Specky only NgMet grade completed) 14. Mantel Status: Mewled, Never Mewed, 15. Surviving Spouse (If wife, give maiden name)
U
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Amred F
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®~ Ekxnerttary 1
Se
corrdery (0.12) College (1.4 or St) Widowed, Dlvorcetl (Spec/hl
1
2 4 Married Barbara Ruth Phalli s
Decedents Pennsylvania
Actual Residerrp 17a. Stale DsDeQ°~r't
Live in a 17c. ^ Yes
Decedent Lived kr
17b. ca,My Cumberland ,
Twp
T°""1B11~' 17d. ®r~, tlaCedeM Uved wI1Nn
ActualLknksof Shiremanstown cky/Boro
19. Mother's Name (FrM, mkldb, maiden aurtrertre)
narola wafter Lon Cathr n Re ins Multi an
20a. Irdorrnenra Nana (Type I Prkd) 20b. IMormenCa MaNing Address (Street, dty / own, state, zip code)
Barbara R. Phillips Long 205 West Green Street, Shiremanstown, PA 17011
21 a. Metlrod of Dleppltlar i ®Crerrretbn ^ DoneBon 21 b. Date of Dleppltlon (kladh, day, year) 21 a Place d OhpoNkon (Name of , aematory a other Place) 21 d. Loptbn (Cky! tam, state, zq code)
~ ^ 8udel ^ Removal fran Stab r Woe Cwnrflon a Donatlon Aetlralzed
^ clear- r bylledealErcarNrr/Corarer7 Ye,^ No February 17, 2010 Evans Crematory Schaefferstown, PA 17088
~ ~• (or pe ectlrg ea such) 22b. Lioena Number 22c. Name end Address of FedWy
~ FS 012 849 L Parthemore FH & CS, Inc., P.O. Box 431, New Cumberland, PA 17070
CartpNte lanr 23ec when cer8lykg To the of my knowledge, death ooaared at Mrs tore, da0e and place slated. (sigrreb,re end Mtle)
physiclen b not Mme of loth b 23b. Lk>arme Number 23c. Date Signed (Month, day, year)
oartlfy prate of deetlr.
~ Ihrtw 24.28 moat f» cartpleled by person 24. Tkne~ / D 25. Dead Marlh, day, year) /( A D / D 28. Q Case Relerred too ExaMner /Coroner fa a Reason OMrer than Crematbn a Donation?
who pronourcee death. ~ M. d{ ~/f
CAUSE OF DEATH (See Instructlona and examples) r Approzknea hrarval: Pert II: Eller oMrer
Ilem 27. Pert I: Ener Mrs cbekr of evens - dfee~eee, injudas, a corrplk;etlorro , Mret d 29. Did Tobacco Use ConMbrAe to Deethl
rectly posed the death. DO NOT error lemrl events such u prdac arrest, r Onset b Death but not le the ands ^ Probeby
reapkabry emst, or ventrhzdu ehowkrg Mrs e8ology. List ony on eadr ~ fA81N^8 dying pose given M Pert I. ^ Yes
r ,, ^ No ^ Unknown
TE CAUSE (Fkrel dkaseee a . ~' r
rg m Ih) _~ e. r 29. k Female:
~ Due b (a casequenp of): ~
^ sNot pregnant within peel year
b puce ion Nr~ie a. b' i tat 8me of death
Enter~ie UIIDERI.YMfi CAUSE Due to (a as a consequence oQ: r
- (dosses a Won Mret k~keted Mrs r _ Nd P M, but pregnant wkhin 42 days
~ events roaultlry in death) LAST. °• ~
Due b a 88 a
. d ( Ml~ r Not pregnant but pregnant 43 days to 1 year
before death
30e. Wes an Autopsy 30b. Were Autopsy Flndkrgs 31. TAernar of Death r ^ Unknown k pregnant wtlhln the peat year
Performed? Avarlade Prior b CanPletion r-/ '~~ ~ 32a. Dent of kr)ury (MpNh, day, year) 32b. peacdbe Now Injury Occuwed 32c. Plop o1 l
,~/ or Correa of Desth7 iG Natures ^ lianicide ornp eu I~ae~q, et~(SFtlStreet Factory,
^ Yes dG No ^ Yes ^ No ^ ant ^ Pending IrrveeMgeMon 32d. Tkne o1 InJury 92e. kr)ury at Worlfl 321. k Trensportatbn IrrJury (SpacHY1 32g. Loptbn of krjury (Street dry /town, state)
^ Sukide ^ Could Not f» DetertMred M ^ Yea ^ No ^ Ddver/Operebr ^ Passenger ^ Pedestden
OMwr- SP•~Y
33e. CsnlAer (dock only one)
• ~MrW Phy~ (fin ~Yti9 terns of death when erroMrsr phyelclen has prorranced daMr end of
To the beet of my knowad0•, deaMr occueW drw a the poss(e) and mamw a stead- _ _ _ _ _ _ cared tam 23) ^ ,
' Pronorercbrp and aAMylny phyelearr (Phyeiclen both prarorarclrg deem era prutykq b prare of daMr) - - - - - - - - - - - - - - - - - - - - - - - 33c. Nranber (Morrlh, day, year)
To Mw bat of my Mrowledpe, death oaunad a< Mrs time, daa, and pace, and ew a the earae(e) ~,d manner a shad- _ _ _ _ _ _ ^ ¢~ } /~
• MedlCdExrNnar,Caoner ----------- (/ ^ ~C° rd
On Mrs baNe d ezemhrtlon and / a Mvatlpatlon, M my opMlon, deNh arxerrod at the Mme, des, end glace, and due to tM cause(s) and roamer a ahted_ ^ 34. Name era Addrsaeo'~f P,~ere~on Who of 27) Type / nt
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LAST WILL AND TESTAMENT
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DAVID W. LONG ~`~'
I, DAVID W. LONG, of the Borough of Shiremanstown, Cumberland County,
Pennsylvania, being of sound mind, memory, and understanding, make, publish, and declare this
to be my Last Will, and hereby revoke all wills and codicils previously made by me.
ITEM I. I direct my Executor hereinafter named to pay all of my legal debts and
funeral expenses, including the cost of my gravemarker, and administration expenses of my
estate, as soon as practicable after my death.
ITEM II. I give and bequeath all my automobiles, jewelry, wearing apparel, books,
pictures, household furniture and furnishings, and all other articles of household and personal use,
together with any insurance existing thereon, to my wife, BARBARA R. PHILLIPS LONG, if she
survives me; but if she predeceases me, then to my children, ALISON CATHERINE LONG and
OWEN DAVID LONG, to be divided among them as they shall see fit, but if said children fail to
agree upon such division within a period of two (2) months after my death, then the items to which
there has been no agreement shall be sold and the proceeds therefrom shall be added to,
become a part of, and administered with my residuary estate as hereinafter set forth.
ITEM III. The rest, residue and remainder of my property and estate of every kind
and nature, and wheresoever situate, including all lapsed legacies and bequests, and including
any property over which I may have a power of appointment at the time of my death, I give,
devise, bequeath as follows:
Document #: 166717.1
A. If my wife, BARBARA R. PHILLIPS LONG, survives me, to her absolutely
and forever.
B. If my wife, BARBARA R. PHILLIPS LONG, predeceases me, one-
half (1/2) thereof to my daughter, ALISON CATHERINE LONG, or if she is not
then living, to her issue per stirpes; and the remaining one-half (1/2) thereof to my
son, OWEN DAVID LONG, or if he is not then living, to his issue per stirpes. In the
event that a child of mine shall predecease me without issue him or her surviving,
his or her share shall be distributed to my other surviving children, or if one of them
is not then living, to his or her issue per stirpes.
ITEM IV. All estate, inheritance, legacy, succession, or transfer taxes, including any
interest and penalties thereon, imposed by any domestic or foreign law with respect to all property
taxable under such laws by reason of my death, whether or not such property passes under this
Will, by operation of law, by contract, or otherwise, shall be paid without any right of
reimbursement from any recipient of any such property, without any right of apportionment, and
without postponement.
ITEM V. Should any person entitled to a share of my estate be a minor at the time of
distribution to him or her, and should the value of such property be more than the amount which
may be paid or delivered to him or her or in his or her behalf without the appointment of a
guardian or other fiduciary or the delivery of security, such share shall be paid and distributed to
my Trustee hereinafter named to be held IN TRUST and managed, invested, and reinvested,
together with the accumulation of income thereon, if any, and the Trustee shall use and apply
from time to time such portion of the income and principal thereof as it deems necessary or
desirable for the minor's reasonable maintenance, support, and complete education, including
- 2 -
preparatory, college, post-graduate, or professional training, or to make such payment for such
purposes to the guardian or person with whom such minor resides or directly to or for the benefit
of the minor without further responsibility to such minor or any person taking care of such minor,
and when such minor attains the age of eighteen (18) years, any principal or income not so paid
or applied shall be distributed to such minor, or if he or she dies prior thereto, to his or her
personal representative.
ITEM VI. I nominate and appoint my daughter, ALISON CATHERINE LONG, as
guardian of the person of my son, OWEN D. LONG.
ITEM VII. In addition to the powers granted by law, my personal representative shall
have the following powers:
A. To sell at public or private sale, to exchange, to lease, to pledge, to
mortgage, to transfer, or convert or otherwise dispose of, or grant options with
respect to any and all property, real or personal, at the time forming a part of my
probate or trust estate, in such manner, at such time or times, for such purposes,
for such price or prices, and upon such terms, credits, and conditions as shall be
deemed advisable or necessary under the circumstances.
B. To compromise any claim or controversy.
C. To invest in all forms of property without being limited to legal
investment.
ITEM VIII. I nominate and appoint my wife, BARBARA R. PHILLIPS LONG, or if she
predeceases me, fails to qualify, or ceases to act, I nominate and appoint my daughter, ALISON
CATHERINE LONG, as the sole Executrix of this my Last Will, to serve without bond for the
faithful performance of duties in any jurisdiction, and I nominate and appoint my daughter,
- 3 -
ALISON CATHERINE LONG, as the sole Trustee of any trusts created by this my Last Will.
IN WITNESS WHEREOF, I have hereunto set my hand this ~2 day of March , 2000.
W ~~~
David W. Long
The preceding instrument, consisting of this and three (3) other typewritten pages, was on
the date thereof signed, published, and declared by DAVID W. LONG, the Testator named
therein, as and for his Last Will, in the presence of us, who, at his request, in his presence, and in
the presence of each other, have subscribed our names as witnesses hereto.
Wi es:
w.
Nam
Name
32 ~~ /~~- ~,~ ~ ~ ~ ~~i~~
Address
Address
- 4 -
Commonwealth of Pennsylvania
County of Dauphin
ss
I, the Testator, 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 free and voluntary act for the purposes therein expressed.
G--tom-~ 4.~
David W. Long
SWORN to or affirmed to and acknowledged before me by the above named Testator this
~~day of March, 2000.
Notary Public
Commonwealth of Pennsylvania
My Commission Expires: NOTARIAL SEAL
CAROL A. LYTER, NOTARY PUBLIC
(SEAL) Harrisburg, Dauphin County
My Commission Expires Dec. 28, 2000
ss
County of Dauphin
We, the undersigned 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 Testator sign and execute the instrument as his Last Will; that he signed willingly and that he
executed it as his free and voluntary act for the purposes therein expressed; that each of us in the
hearing and sight of the Testator signed the Will as witnesses and that to the best of our
knowledge the Testator was at the time eighteen (18) or more years of age, of sound mind and
under no constraint or undue influence.
SWORN or affirmed to and acknowledged before me by the above named witnesses this
day of March, 2000.
Notary Public
My Commission Expires:
(SEAL)
CARS A tC1?ER ~ ~' ~^
M Harri~pr& Dauphin ~PUBUC
Y Commissron ~ ~, ~ ~