HomeMy WebLinkAbout05-26-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Liza D. Chance
also known as
Petitioner(s), who is/are 18 years of age or older, apply(ies) tor:
(COMPLETE 'A' or 'B' BELOW:)
COUNTY, PENNSYLVANIA
File Number _ ~~ ~ ~ ~ ~ ' ~' ~~ - ,1
Deceased Social Security Number E ~ ~! ~ ~ "~' ''
0/ A. R•obate and Grant of Letters Testamentary and aver that Petitioner(s) is /arc the Executor
last Fill of the Decedent dated May 7, 2010 and codicil(s) dated None
named in the
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(State relevant circttmstances, e.g., rensrnciation, death of executor, etc.J ' -? 1=p'
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of t~ +tis~rumes) oflc~red
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~~ ~ -
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l3. Grant of Letters of Administration a7 ..a ; ~
(Ifapplicable, enter: c. t. a.; d. b. n. c. t. a.; pendentelite; duranteabsentia; dana~_3eminoritate) ~ a ~=;
C.; l . ,
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: /lf
Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.)
(COiY/PLF.TE WALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled a[ death in Cumberland County, Pennsylvania with his /her last principal residence at
51 1 West Main Street, Mechanicsbure Pennsylvania 17055
(List sn~eet address, town/ci[y, township, county, state, zip code)
Deacdcnt. then 44 years of age, died on May 23, 2010 at 511 West Main Street, Mechanicsburg, PA 17055
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 Pem~sylvania ~
situated as Follows:
15,000.00
Wherefore, Nctitioner(s) respectfiilly request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Leiters in the appropriate Form to
the und~rsianed~
Stuart Ringer, 307 Glenn Forest Road, Magnolia, DE 19962
Form RSV-0? rev. 10.13.06 Pa~Te ~ Of
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COCN'TY 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 of
For th gister
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Si~A'tatttre of Personal Representative -: C~
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Signature of Personal Representative x.. i ~1
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Signan~re of Personnl Representative
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File Number: ~ ~ ~ ~ / ' ~ )~, ~~
Estate of Liza D. Chance
Deceased
Social Security Number: j ~ ~j - ~ ~,~ - ~ ~~~~ Date of Death: May 23, 2010
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A VD NOW, /- ~~ ~I , ~' , in consideration of the foregoing Petition, satisfactory proof
having been presented before me,' IS CREED at Letters Testamentary
are hereby granted to Stuart RinQCr
and that the instrument(s) dated May 7, 2010
described in the Petition be admitted to probate and filed of re<
FEES ~ ,~
Letters ............. .. $ 60.00
~..
Short Certificates 20.00
Renunciation(s) ...... .... $
Will ... $ 15.00
J.C.S. ... $ 23.50
Automation Fce $ 5.00
.. $
.$
... $
.$
... $
... $
TOTAL .......... .... S
123.50
as the last Will (and Codicil(s)) of ecedent.
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jf1c~r~ '~~~yha~r, -~,,~
Register of Wills
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Attorney Signature:
Attorney Name: Thomas S. Beckley, Esquire
Supreme Court LD. No.: 77040
in the above estate
Address: 212 North Third Street
P.O. Box 1 1998
Harrisburg, PA 17108- i 998
Telephone: (717) 233-7691
Fir,,, Riv-o_ ,~E~ti~. 1o.13_n6 Page 2 of 2
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?vPE1PRINr N COMMONWEALTH OF PENNSYLVANIA• DEPARTMENT OF HEALTH• VITAL RECORDS
PERMANEN
BucKINK CERTIFICATE OF DEATH
(See instructions and examples on reverse) srnrE FILE Nun+sER
, NarneotDecedent(Fatmiadle.lastsumxl
z. sex 3. serial security Number pate or Deam (MOMh, oar. rear)
Liza D. Chance Female 155 - 72 - 8289
s. Age (Last &rthdavl uneu l yea• uneer I as 6. Date of Bum (Month. day, Year) 7. Birthplace (city one state o<rorei n pd¢n May 23, 2010
NmNS Oaya rwa kNmltss 9 trY Sa %ace of Oeam (Check only one)
Yrs. y
~ December 23, 1965 Bridgeton, New Jerse rbspn~ °tn¢r
• Bb. COUnry of Deam &. Coy. Boro, iwp WDeam ^Inpatient ^ER IOumaoent ^DOA ^NUrsmg Home ®Resieence ^Omer-SPeccify
dtl. Fadlily Name(If not insbNtion, give street and number) 9 Was Decedent of Hispanic Od n~
Cumberland rc g' ®"p ^yes 1o.Ra:eAmeripanmdian.Black,wnde,
Mechanicsburg 511 West Main Street (rea.sperryabae (Spe<;N/
Mexkan. Puedp Ripon. etp.) White
71. DecedenCS Usual Occupation (Klntl of work ~re tluring most aworking Ide. Do not state re0red.) 12. Waz Decedent ever in the 13. DecedenCS Etlucabon (Speaty only Nghest grade cpmpleletl) 14. Marital Status'. Mamed, Never Mame 15. Surviving Spouse (tt wife, give maiden name)
KiM Of Wqk Kind of Business/Industry U.S. Aimed Forces? Elemen Wgowed, DivorcerySpen
Sales Rep. tan/SecoMan(o-l2) Cdlege(l-eras.) hi
Payroll Processing ^Yes ®Nd q Married Edward Chance
16. Decedenrs Mailing Aetlress (Street city l town, slate zip code) DeceOenCs
ApWa' Residence l7a wale pA a~Deceaem
511 West Main Street „p ^ yes Depedentu~edm
Township? Twp.
echanicsburg, PA 17055 ,7b.cp¢nry Cumberland ,]tl ® Np oepedenlL~redwimm
Apiva~Dn~ny Mechanicsburg c~,~
l e. Famers Name (First mddle, last suffix) t9. Homers Name IF"xst middle. maieen surname)
Stuart Ringer Janice Granger
zoo. Inr«manrs Nam¢ (rype 1 A;rn)
20b. InformanYS Mating Atldress (Street cdY I town, state, zip pone)
Janice Sutton 15 Cake Road Bridgeton, NJ 08302
21 a. Method of DlSpC5i00n remaoon Donation 21 b. Date o(a i0on Monm, der
^ spos ( Y. Year) 21 c. Place of DisposNOn(Name of cemetery, crematory o-omer plac¢) 21tl. location (Chy /town, state, ap mde)
^ 8udal ^ Removal from State !Was Cremation or Do afion Authorized
N ~ ^ Dm¢r- : byMedicalExandneriCompeR veer ^Np May 26; 2010 Conolite Crematory Schaefferstown, Pa. 17088
~ ~ 22a. Sig a of Funeral a tar „ acting az such) 220. License Number 22c. Name and Adtlress of Fxiiry
a
FD-012662-L Myers Funeral Home, Inc. 37 East Main Street Mechanicsburg, PA 17055
Complele 3a~c oMy when certifying a. To the best o y knowledge. death occuned at the time, date and place stated. (Signature and title) 23b_ Lcense Number
physiaan is not available at Eme W deaN b 27c. Date 5gned (Monm, daY, Year
cendy pa se or Beam 1
Jerre 7.426 must be cprtpl¢RO by person 24. Tore of Deam 25. Dale Pronounced Deatl (Monm, Day, year
wM pronounces dean. ) 26. Was Case Rekrted to Medk:al Examiner I Coroner for Season Omer man CremaOOn a Donation?
2:35 A M. May 23, 2010 ^ Yaz ®Np
CAUSE OF DEATH (See instructions and examples) ~ Approximate interval: PartII: Enter omersanificant conditions cpnmbubn bBeam,
hGn 27. PART e Enter tMchan of euents~ diseases, injuries, or compapatians ~ mat d'uectly caused me death. DO NOT enter tP 'naI events such as cardiac arrest (Onset le Deam 28. Die Tobacco Use Contribute b Deamr
scirarory anent a venbicular fibrilla0on wrthoN sh¢wing me etiobgy. List only are Cause on each line. bN rot resulting in me underlying cause given in Part I. ^ Yes ^ Probably
IMMEDIATE CAUSE(Final disease a ~) ` l „{ Q ~~q J ~ ^ No ^ Unknown
condition resukng in deaN) _.~ V W K.-- '1'(~~ ~.~)+if~V L~~-~_
^ a n eguenc ~ JG!/j 29. If Female:
( e ot)
Sequentially list conditions, rt any, ^ Not pregnant wimin past year
leatling b cause listed on Ilne a Duero (or as a consequence o~ ^ Pregnant at tirre of Beam
Enter the UNDERLI1NG CAUSE ^ pregnant wimin 42 days
(disease a injury mat nvtialetl me Not pregnant bu•
en6 resulting in deat1 JAST. Due to (or as a conseq~en of deaN
uq.
--- ^ Not pregnant bN pregnant 43 days l0 1 year
of deaN
30a Was an AUmpsy 30b. Were ANOpsy Fintlings 31. Manner of Deam ^UNcrwwnif pregnant vnmin ttw past year
- PeROmntl~ Available Prior m Completion 32a. Date of Injury (Monm, day, year) 32b. Describe How Inlury Oceunetl: 32c. Plae of l
of Cause of Deam? ®Natural ^ Homicitle rgwy Home, Fans, StreeC Factory,
OIN.e 0uildng, etc.; SpecrN)
^ Yes ®No ^ Yes ®No ^ Accident ^ Pending Investigation ]2d. Time of Injury 32e. Inlury al Work? 321 If Transponation Injury{Specilyl 32g Location eY Inj l.ry (Street city /bwn, slate)
^ sq~cm¢ ^cowdNOtb¢Derem:nea ^ yes ^ b ^Ddrerroperator ^Passenger ^ Pee
33a. cersger(pneck¢my¢ne)
33b. Signature and title of fie
Certifying physician(Physician certifying cause of tleam wnen anomer physician Was pronounced tleam and cpmpl led Item 231
To Nebest of mykrowledge, deaN occuned due to the cause(s) and manner as rtatee__________e n ~ r ~~_, ~~j
Pronouncing antl cerofying physician(Physician bom pro,wuncing deaN and certifying bcause of deaN) ------'- JJ
To the best of my knowledge, death occuned at Me time, drie. and place, and duo to Ne causNsl and manner as stated. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ 33c U erne N ., b~f 334. Date Sig ed (Mon ,day, year)
Medical Examiner/Coroner iM/, J 7~~iL-~S--~ 5- ygr
On the bays of eaammabon and I or ~nvastigatlon in my opinion, Beath occuned at the time date, and place, and due to the cause(s) and manner as stated _ p
35 Re trar 34. Name and Address of P n Who Completed Cause of Deam Item 2]) Type\/Print
a , g nature and Dstrict Num I ~ I ~ I ~I ~ 36. Date Fled (Monm. daY Yea-) J'7~ ~~~: S / '._~cl ~,- ~ ~ `. 1rT ;fit ~~, \l \ `~yt~' C-'
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Olspasition Permit Na. lJ "C '7
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LAST WILL AND TESTAMENT ~..~ ~
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LIZA D. CHANCE ~J -;~
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I, LIZA D. CHANCE, a resident of Cumberland County, Pennsylvania, being of sound
and disposing mind and memory, do make, publish and declare this to be my Last Will and
Testament, hereby revoking all Wills and Codicils by me at any time made.
ITEM I: TAXES. I direct that all inheritance and estate taxes becoming due by reason
of my death, whether such taxes may be payable by my Estate or by any recipient of any prop-
erty, shall be paid by my Executor out of the property passing under this Will, which is not spe-
cifically bequeathed or devised, as an expense and cost of administration of my Estate. My
Executor shall have no duty or obligation to obtain reimbursement for any such tax paid by my
Executor, even though on proceeds of insurance or other property not passing under this Will.
ITEM II: POWERS OF APPOINTMENT. I hereby exercise all powers of appoint-
ment which I may have at the time of my death in favor of my Executor, and all property subject
to all such powers of appointment shall be included in my Estate.
ITEM III. PERSONAL POSSESSIONS. I hereby give and bequeath all of my house-
hold furniture and furnishings, books, pictures, jewelry, china, linen, silverware, wearing apparel
and all other articles of household or personal use and adornment, in equal shares, to my father,
STUART RINGER and to my friend, PIPPA CALLAND. I hereby give and bequeath my
automobile and my dog, Trixie, to my friend, PIPPA CALLAND. I have intentionally failed to
provide any share in this bequest for my spouse, EDWARD C. CHANCE, III.
Page 1 of 3 pages
ITEM IV: RESIDUAL ESTATE. I give, devise and bequeath all of the rest, residue
and remainder of my property, real, personal and mixed, as follows:
(a) FIFTY PERCENT (50%) to my mother, JANICE SUTTON;
(b) THIRTY PERCENT (30%) to my father, STUART RINGER; and
(c) TWENTY PERCENT (20%) to my friend, PIPPA CALLAND.
I have intentionally failed to provide any share in this bequest for my spouse, EDWARD
C. CHANCE, III.
ITEM V: EXECUTOR'S POWERS. In the settlement of my Estate, my Executor
shall possess, among others, the following powers:
(a) To sell, either at public or private sale and upon such terms and conditions
as my Executor may deem advantageous to my Estate, any or all real or
personal estate or interest therein, whether owned by me separately or in
conjunction with other persons or acquired after my death by my Executor
and to consummate said sale or sales by sufficient deeds or other instru-
ments to the purchaser or purchasers, conveying a fee simple title, free and
clear of all trust and without liability of the purchaser or purchasers to see
to the application of the purchase money or to make inquiry into the valid-
ity of said sale or sales; also, to make, execute, acknowledge and deliver
any and all deeds, assignments, options or other writings which may be
necessary or desirable in carrying out any of the powers conferred upon
my Executor in this paragraph or elsewhere in my Will.
(b) To pay all costs, taxes, expenses and charges in connection with the ad-
ministration of my Estate.
(c) To distribute my Estate in kind or in money. In the event assets are dis-
Page 2 of 3 pages
tributed in kind, such assets shall be distributed at their value(s) on the re-
spective date(s) of their distribution.
(d) To do all other acts in the judgment of my Executor necessary or desirable
for the proper and advantageous management, investment and distribution
of my Estate.
ITEM VI: SIMULTANEOUS DEATH. Any person who shall have died at the same
time as me or in a common disaster with me or under such circumstances that it is difficult or
impossible to determine who died first, shall be deemed to have predeceased me.
ITEM VII: EXECUTOR. I hereby nominate, constitute and appoint my father,
STUART RINGER, to be my Executor. My Executor specifically is relieved from the duty or
obligation of filing any bond or other security.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my last Will
and Testament, consisting of this and the preceding two (2) pages, at the end of each page of
which I have also set my initials for greater security and better identification this ~ day of
May, 2010.
~~~V ~ . ~~
Page 3 of 3 Pages (SEAL)
Liza D. Chance
We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published
and declared by the above-named Testatrix (Liza D. Chance), as and for her Last Will and Testa-
ment, in the presence of us who, at her request and in her presence and in the presence of each
other, have hereunto set our hands and seals the day and year above written, and we certify that
at the time of the execution thereof, the said Testatrix was of sound and disposing mind and
memory.
(SEAL)
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(SEAL)
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AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ~ ~,~,~~,~"~~
SS:
We, the undersigned Testatrix (Liza D. Chance) and Witnesses, respectively, whose
names are signed to the attached or foregoing instrument, being duly qualified according to law,
do depose and declare to the undersigned authority that:
The Testatrix signed and executed the instrument as the Testatrix's Last Will and
Testament.
2. The Testatrix signed and executed the Will willingly as the Testatrix's free and
voluntary act for the purposes therein expressed.
3. Each of the Witnesses, in the presence and hearing of the Testatrix, signed the
Will as a witness.
4. To the best of the knowledge of each of the undersigned, the Testatrix was at the
time 18 years of age or older, of sound mind and under no constraint or undue influence.
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Sworn or affirmed and subscribed to before me by the above-named Testatrix and Wit-
nesses, this _~~day of May, 2010.
COMMONWEALTH F P N YLVANIA
NOTARIAL SEAL
ELIZABETH S. BECKLEY, Notary Public
City of Warrisburg, Dauphin County
My Commission Expires March 17, 2013