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HomeMy WebLinkAbout05-19-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland Estate of Carl A. Utsch, Jr. 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 '~ ~ ` i ~-` ` ,0/i1~- tf Social Security Number 179-18-5708 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the executrix last Will of the Decedent dated December 17, 1998 and codicil(s) dated rv ~~named in the ~~ State relevant circumstances, e. ' -":, r-r i --- ( g., renuncrauon, death of executor, etc.) __ -, , ~A Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of th~ittstrumetlt{~) 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 life; 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 hens: (If ,4dministration, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) (COMPLETE INALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 11 Birch Street, Mechanicsbure, PA 17055 (List street address, town/eiry, township, county, state, zip code) Decedent, then 87 years of age, died on May 11, 2010 at Holy Spirit Hospital, East Pennsboro Township Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 50,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 90,000.00 situated as follows: 11 Birch Street, Mechanicsburg, PA 17055 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: Si atdre T ed or rinted name and residence .~ ` ti~, l,~ ~ Cazol M. Rushow 4058 Kem Circle, Conway S.C. 29526 Norm RGG'-02 rev. 10.13.06 Page 1 Of 2 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 and subscribed be ore me the ~ ~~ day of ~~~~V~"vl_ J Register - t__~G Signature of Signature of Personal Representative Signature ofP~rsonal Representative File Number: '"~` ~ ~ ~~' •~ ~-' ~'~ L~ ;~.- CJ _i c~ _ ~" --e A.~. t > rr __ t7 x~ __. `~. a ___, - .~ i_ ,..~ Estate of Carl A. Utsch, Jr. ,Deceased Social Setc,~urity Number: 178-18-5708 Date of Death: May 11 2010 ;'~.GL/ ~..% , in consideration of the foregoing Petition, satisfactory proof AND NOW, ~ i ~1~ ~ ~ • ' t , having been presented before me; T I ' EC D that Letters ~t~"~~~~{"71 g l i+' ~ are hereby granted to in the above estate and that the instrument(s) dated ~ d " ~ described in the Petition be admitted to probate and filed of record as t^h}Je last Will (and Codicil(s)) of Decedent. FEES „ -- Register of Wtl~s .~ t r~cf»'•'~ ~ ~`? ~ b Letters ............... $ ~-'C1 ~ i '-'"f- ~ _, Short Certificate(s) ........ $ ` Attorney Signature: ~ ~ ` '~ ~ ~~ +'-'-'` Renunciation(s) .......... $ r p,, $ t u' '1, ... $ rJ~ e~ ~~ ---~- ... $ ... $ ... $ ... $ ... $ ... $ _ TOTAL .............. $~, )r :~' Attorney Name: John M. Elkin Supreme Court I.D. No.: 6351 Address: Telephone: Mazket Square Building Mechanicsburg, PA 17055 717-766-3172 Fornr RW-O2 rev. 10.13.06 Page 2 of 2 ;~ ~ ~ ~~ r' r~ C~7 c ~ - o ~ O ~' -~-/ ..e. Z-; i ~~ -+~. - • r? ~ _._. T~ W _ `' ~~ DEPARTMENT OF HEALTH • VITAL RECORDS :'; s' _ ' COMMONWEALTH OF PENNSYLVANIA • Htas t43 REV nrmos CERTIFICATE OF DEATH t-/ TYPE I PRINT IN tructions and examples on reverse) S7ATE FILE NUN~BER i PERMANENT BLACK INK ns (See x 2. Se 4. Gale of Death (MOnM, tlay. Year) ; urtty Number _ - !! . l~.L}t Sec l 3. Soca' ~ ~ IasL suffix) itldl ~ /,s y y t Q - 7 Q y ~ f ` - ~ `v - / ~U e L Name of Decedent ;9mt, m 1 Y / 1 ~+ ~ { J~ r nd stale a kr ' loon ~ CI .Plate al Death Cnetk onl one) I 5. Age (last BinhdaY h- Urber t ear Urrtler 1 da Monms Days Hours AanNes 6. Date of BiM Month, da , ear) a a 7. Bi ce pber: I _ Hos ital. rl ^ ER / OuIpa08n1 ^ DOA ^ Nursng Home ^ Resitlence ^ Otner ~ $pecily: ( n ~~ ~ ~ ti 8 7 ~ .. ~ - ~ ~ I N~o npa m ( G ^ Yes 9. Was Receded a Hispanic Orgin? ~No 10 Race: American Indan, 8lad, White, etc. aci S _ / Yrs. Counry d Death 8h & Cey, 8or0 d DeaN ive street and numbe) Bd. Facility Name (If not inslilulbn, g / '~ , /, ~ Ilf yes, 5petdy Cuban, Ma[itan. Pueno Rican, etcl ( p (y l~ . l ~ d b e C ~~~" ~~ ~ r "~ 1 S / [O ~ trl ( born ll~~ J h h st title axrg edN «rN 5 e 9r i S latedl 14 Marital StlNS Marrietl Never MarrleQ t5 Surviving 511^use (N wpe 9~~ n'aMn name) on l 13. DecetlerrYS Etlucal P r , a-. ~ w~ in k done dud moss d world Yee. tb cwt state retired t2. f 72 College (1-4 or 5 ) Widowed. pivorced ISpsay) f ~ wor t 7. pec¢tlenYs Usual Occ lion Kind o KInO o1 Work ) U.S. Armed Forces? Elementary I Secondary (U intl{pJ~B mess l ll~~~•uuussstry y/~,1 K ^ N t / ~ + /t~ / O W ~ Cl , ./ - ~ IC I P 1 - t v o Yes 7 af WQ pd pacedem ~~I1 St v e r .S>o r / Nei Twp. J ~ ~J I So r Live rn a 17c. Lpr Ves, Decedent lived m DeredenYS C 16 etlenYS Mailing Atldress ( treat. ary t town. state, zip code) .._- Actual Raskflmce 17a. State Township? 17tl ^ No Decedent Lived wimm G IBaro i/ ~i rc~ S~ wie~~ap,(csb~~ Pte- ~~o>; 16. Fattlefs Name IFrst, middle, last. suiix) ~S~ ~' ~' r 1 .4 V 20a. InformanYS Name (Type / P t U lA,t ~ r' Ct. N Ac1ud Lirnils a N tTO. Counry f-O 1~U 5 N D LC~ 21b. 21 a. McNOtl of psposition ^ Crerption ^ Donabon BulWI ^ Renxrval lrom State r ~ ~ ~~r fA~~l~^ yes^ No ^ Odwr - S 22b. Ixense Nu • 22a Signs d rreral Serves Licensee (or person acro a5 su ) < ~ ~ FD61 z 23a. To ate 0 ath ocw , tla Conpie 23ac any when p ing physitian'rs rot evadable at tune of Mam m 19. MolMYS Name (FM, middle, maltlen surname) ~~ N nr tie U l a-11 ILC/1 G 20b. IdormanYs Mailing Address (Stree4 city I ~y state, ap codel / N w A C' . C 7 ~~ ltd. Lopfion (city/town, stale, vp ode) Date of Disposelon (MOnm, day. Year) 21c. Piece of Disposition (Name of cemetery. crematory omen place) o ~Ylmv,lDt.~tn ~.1,~ov,al Ceun, f-~NNVtll.e ~~ i7~3 ,~-!8'-J rtrber 22c. Name aM Address d Padldy ~t I ~ ,r"/~ ' ~D~/ A IQ/ f , ~i/ Iry Q ('(cam 1 , /" ~~ zlz-~- 3yol Wlar ~l~S-~-, C~w~ r ~ ~V LCwensa/NUmbert~ (~ ~ { 23c Date Sign~ed/(Month, day, year) P~ s . (Sry+ati/e tNe) ~21 \J YJ O l~ ~ -1 -l ~ l ~ ~ Z° 26. Was Case Referred to Mee W Examiner i Cornier for a Reason Odlef than Cremation w Donation? cerlily cause d tleaN. ?5. to Pronouncetl DaaO (Month, day, Yeag ^ Yes No za. rme d Deem I l ZO t 0 ea Ice comWeted br person 12- '. '~ D P. M. h'I a4 ~ r Emer other t xatim al: Part lt l ' h ~ n l ea M 26. Die Tobago Use Contribute ro Deam? trb~ r . erv m D r Approximate w w ^rP~roaabN CAUSE OF DEATH (Sea InsVUCtlons anA examples) out not resWti n Vie underrying cause given in Part I. ^Q No GI Unkrwwn Onse[to Ream rig ter terminal events Six:h as cardlaz arrest. NOT en hem Z7. Pad 1: Enter iM M ' 1 evenly -diseases. --nluries, m caMlroatwru' Ihat araztly posed iM death. DO Bazh Ina. is t o nN ~ eliology. l ~ ~ ^^ i M l showiry wi tlau respiratory arrest, or venirKUWr fibellafion q ! 29. It F male' ~1 ~ ~Y ~ ~~t /~ y / ]/ ~y ys ~ / / ~ ~ ~ / I ~ f k4~1/lvti~ /'/J~/G~IY~ iY ~~/y~~~ G ' r~2~ IATE CAUSE (Foal tlisease or Jl ~~~' ^NdMagneniwtlhrtPastyear t at tlme of deem ^ r I IMMED t 4 1 caid~kon resulting m death) __~ a Pregnan (JI l "1 ~ et a as D .^ g ~ ^ Nd Dtegnanl, bN Pra9naM wlMin 42 tlays u !~ ~ l ~ „lil a deem $equanDel Nst ;,pxGtiorre, d aIN, b. lea3 b the pose Fsled an line a. for ccwaa~~~ggqcerrce o9 ~ / v y/1 / . ~~ ~ Due m 1 ~ a ~ ^ Nd pregnant bN pregnant 43 days to 1 year 7~ (.t' /`C - j7.., l-~[, ~j~l-^ ~ EM the UNDERLYING CAUSE Mfore death (disease m Injury Mat InNa~ST e ~7 ~ ~ ' Y 4 events resulUrg in deem) c. IAre to Im az a consequence d): am whin lt+o Pear Year ^ Unkrwwn a pregn r 32c. PMCe of Irryury Home, Farm, Street FeNmy, ` C_ pale d Injury (MOdh, daY• Pearl 32b. DescnM How Injury Ocprree ffia Office BuilMrg, etc. (Spsny) ` . 30a. Was an ANOpsy 30b. Were ANOpsy Firstlings 31 Manner d Death Pertortretlv Available Prior to Compblwn Natural ^ Flomidde 32g. Loplion of injury (Street, city I town state) It Trenspodatbn Injury (Speciy) rk? 32f W ;` . o of Cause of Death? 32tl. Time of Injury 32e. Injury at ^ Accident ^ PeMig Investigation ^ Driver/pperatm ^ Passenger ^ Pedestrian s ICJ No ^ Vas ^ No Y S ~ ^ Y Jy e y: s. pec ^ Ves ^SWCkIe ^Coub NOtM Determined M. OMer~ 33b. gre a an Td1e d CeM~er~ ] ~ ~A ~'~ ~~ Y - ~ t ~ ~ 33a. Certlhar (check onN ^ne) Ian has orarncad death and c«npletetl Item 23) Certeying phyakian (Physkian prtilyug pose d death when arwmar phYsb ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~. Lk:ense Nu _____ ^ To tM tlKt of my krawleege, death occurted em to dN pwda) acrd manner r atalae _ _ _ _ _ _ _ _ - ^ r~r d death) ) G l 3 ~ ~ 330 to Sgnetl (MOnih, tlaY. Yaar) ~ / _ , / 1 / I L y.~y x'' !~ ' ~J ~V t led _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ~ V / • Pronouncln9 entl prtNYln9 Physklan IPhyscw, brim pronaxiang death erN ceddYlrS to pose To iM Deal d mY knowleege, deaN occurted n tM time, esM, and pMCe, aM due to tM causela) and manner as s a ^ 34. Name and Addess d Person who Completed Ca M manner u elated use d Deam (Item.?71 T/Y~~/`G~ 1 Mz/!~ , ~' " / fYL ~ ~ - • Medkal Fxaminer I Coroner ton, death otturred at lM time, Date. amt Place aM Due to tM uiue(s) a On tM Dasia of examinatbn tine / m inviMlgalbn, in rm apln 1`k~,~ /-t~~~ry ; ~.~fJ Year) V ea t Filetl (MOn h y D t 3fi ~ / ~ ~ ~ ~ ?~ ~J ~~(.~~-' 0 . . a e . ~7 11 '77 ] s s - C ! 36. Re¢ Var~1S' re antl Di(idcl Nu /. I rT I .i ( yl I 1 ' ~ ~ ~ v /l ti I / y /y, / / ~ 11 Dlsposilbn Permit No. LAS`1' ~rJILL ~PTD T1~'S1Ali'~~Id`~ OF CURL 1~.. UTSCH, JR. T, C!~T~T, A. U`I'SC?~, JR. , of the Totianst~ii_p of Silver Spring, County of Cumbeeland and State of Pennsylvani a, being of sound and dishos~ing mind, memory and understand.in~;, do znaYce, publish and declare this my Last 1~):ill. and Testament, hereby ,~evol~ir and T U rna.kitZ).; va.id aiZy and al_1 pria7~ Y~ei,_ls by m~e at any tine ~ ~ eti~faxP -- < < -~ , ~ : -~- made. J_, ,' ` ~fJ __ _.. - 3 I direct the payment of all rn~yT just debts and f~.zneral expenses as soon after my decease as the same can be conveniently done. 2. I c;ive and. bequeath ray ~I.'t,ao and one-half 02.50) Dollar gold piece to my granddau);hter, CII):?TSTINA 1~. D:1IL~Y_, absolutely. ~. I give, devise and bequeath a1.1 the rest, residue and rernaincJer of zny estate, real, personal and mixed, t•rhatsoever and j,rb.eresoever tkie sain.e may be sitzzate, to my daughter, C11ROL i:i. RUSiIO~~), absolutel;~ and tancond.itiona7_ly. -1- ~~. In the event that my daughter, CAROL T'I. P~USzIO~~d, should predecease me, or should she die T~ritl~zin thirty (30) days from the date of rly death, teen in either of such events, I direct the settlement and dist.r ibut ion of my estate to be made as follows: (a) I r~,ive and bequeath ray Two and one-ha.lf (1>~ .~0) Dollar gold piece to my granddaughter, CHRISTINA A. DAIL~s, absolutel~r. ~- (b) I give, devise a.nd begl.zea.th my family residence loc<~ted. in Silver Spring Teti-reship, Cu.r~~berland County, Pennsylvania, presently kno~rn as 11 Pirch Court, ~Zechan:icsbzzrg, Pennsylvania, together ~~rith a7.7_ the contents located therein, including, but not lix~ited to furnishin,r.~s, utensils, glassware, tools, equipment a.nd appliances, to m.y granddaughter, C>~F~ISTIP•1A A. D~~ILEY, absolutely, unconditionally and. in fee simple. (c) I give and bequeath any automobile w'nic'n I may own a.t the tune of my death, to my granddaughter, CT-IPISTIIdA A. DAILL'~ , absolutely and. uncond.itional7_y. (d) I give and bequeath all the rest, residue and remaincTer of my estate, of ti~rhatsoever nature and wheresoever the same nay be situate, to my granddaughter, CTiRISTINA A. D<?~ILEY and to my grandson, STIAbFT1 ti°d. DAILL'Y, sh=a.re and. share alike, per stirpes. LAS'1'hY, I nominate, constitute and appoint my_daughter, CAROI~ T„7 I,[JSIT0~~1, 1a~xecu.trix of this my Last ~~iil1 and Testament, _~.. and in the event that zny said daughter should predecease me, or should she be unable or urn~ailling to serve in such capacity :P or any reason, then in such event, I nominate, constitut© and appoint my granddaughter, CI~ISTII?A A. DAILL'Y, I~,xecutrix of t17is Tny Last ~~rill and Testament, in her place and stead, and in all .instances, I direct that my said personal_ representatives be e:lcizsed. from posting bond or oilier secu.ri_tJr for the f_a.ithful performance of their duties in any jurisdiction. IN ti°TLTT~TI~SS T,.rI~EIZEOF, 1 have hereunto set my hand and seal this / ~ day of December, A. D. , 1.998. i '' Carl A. Utsch; Jr. (SEAL; _~- Sifrned, sealed, published. and. declared by the above named, CARL A. U`I'SCH, JR. , as and f_or his Last t°Jill a.nd Testament, in the pi esence of us, rho have slzbscribed our names hereto as tai.tnesses, at the reayuest of said testator, in his presence and in the presence of each other. _~~_ COhiP1ONWEAL'1'il OF FENNSYLVANiA ~ SS. COUNTY OF CUP113ERLANll ~ the testat Or i , C1lRL L~. tl`L'SCIi,_ JR._________--_-' having wicose uacue. is slgued to the aCCached or- foregoing instrument, been duly qualified according to law, do hereby acknowledge that i slgctecl and executed the instrument as 'my Last Will and 'Testament; drat I sigcrecl It willingly; and that l signed it as my free acrd volun- tary act and deed, for t(te purposes therein contained. Sr.Torn acid aLfirmect to c~~Z ~~U`rscx~ ~~ -' -- - - n . and acknowledged before me by the testatol' Citi.s _ _._-_ v.. 199• day o f ])~_~~mb~.-_-.------- ~, ,~, Carl 11. Ul;sch, JxY. I ' -j' 1 '_ CUl`1~IONWEAL'C(1 OF PENNSYI,VAN I A ~ SS . COUNTY OF CUh113ERLANU ~ _~_,_ Notary Fublic tar~,:~{ bra; ~u~~uc No r;,otarY i ounty Mariyn E. vy~lt;acn~r,m;~rta^~~ 2001 Mechan~csbur9.gcro, res Nov. 6, MY COmm'sscor, ExPi otacces Dania Association o1 tV Member. Penr,sy . We, the undersigned, J. ROBERT ST~UFF'ER ____________ and _ StJSAI'1 A. T'"ZC_C__Oy _ _--- ~-t~1e witnesses whose names are signed to the attached or f_oregol_ng lnstrumetrt, being duly qualified according to law, depose and say that we were l?resent'asdg aanctllrexe- testator _ __C~RL ~• UTSCH, JR. - ' ----------"-~ l,a s t W 111 and '1' e s t ame n t; t h a t t h e cute the instrument as hi-s/~~: ,IT ~R executed it as said testat or _ _C~1.1?L~ 1~. ITT S(~ _ ~_----°----- hisiRtl,W~ free and voluntary act Cor the purposes therein expres~~clned that each of us, iu Clre lcearl-ng and sight of the testat Or the the Will as caitctesses; anti that to the best of our kuoear~gof age, Cestat~r _ was, at fire Bute, eighteen (1->3) or more y of sound tnl_nd, and under no constrainC, duress or undue influence. Swore and subs.c;x,~.~ed to befor me this __,_ day of December ~ 199• . -~. !: ~ - ~ ~{ ,hit I~i:tc~.ticl~ .. fr'~r 1~'1.~ ~ E rnS. {v~i~ Y County Y lti'tHie, • Cuminri~n~ Marie n Eat, hdo~. 6, 2001 Moctlanic,bu sior, Exp,res iv1y Ccmm~ ^t~ieries or peansylvat~ca Assocc~ Memb~~ -5-