HomeMy WebLinkAbout05-27-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of VIOLET H. ELLENBERGER File Number ~ ~/ " !/~.p_ r~ ~~~]
also known as VIOLET 1~{~ELLENBERGER
Deceased Social Security Number 188-20-7575
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
last Will of the Decedent dated 5/24/1994 named in the
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 minorrtate)
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following~spouse (if an
Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) ~ y. ~ y~td heirs: (lf
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Decedent was domiciled at death in CUmberland County, Pennsylvania, with his /her last principal residence at
805 N Walnut St Mechanicsbur PA 17055 Mechanicsbur Boro Cumberland Count
(Last street address. town/clly, township, county, state, zip code)
Decedent, then 83 years of age, died on 5/17/2010 at 805 N Walnut Street Mechaniesbura Boro
Cumberland Count
PA 17055
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ $- 7~,~d, ~~
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania ~,
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
Trudy A. Merrill
Form RW-02 rev. 10.13.06
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Page 1 of 2 ~J
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Ii.vmr[.C~t ttv ft~L C.9S~S;) Attach additional sheets ijnecessary.
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 affirmedan]d subscribed
before me the ~ / ~~~ day of
~ ~~L~`~ V
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For Register
Signature of Personal
Signature of Personal Representative
Signature of Personal Representative
File Number: _ (~ ~ ' ~ ~) _ ~~~ `/
Estate of VIOLET H. ELLENBERGER ,Deceased
Social Security Number: 188-20-7575 Date of Death: 5/17/2010
~r~ ~~ ~
AND NOW, ~~ ~ ` ~ ,~ ~ ° , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, I IS REED t Letters Testamentary
are hereby granted to Trudy A. Merrill
in the above estate
and that the instrument(s) dated Mav 24, 1994
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
._
Letters ............................ $
Short Certificate(s) ............ $ ~ (C ~ tt.r~
Renunciation(s) ................ $ ' (. ~ t'7
~,ti ~ I 1 .... $ i ~ . t~;~u
~~`~ .... $ .~ 3 5C~
TOTAL
Attorney Signature:
.... $ Address: 1011 Mumma Rd Ste 201
Lemoyne
PA 17043
Telephone: 717 236-9318
Form RW-02 rev. [0.13.06 Page 2 Of 2
Supreme Court I.D. No.: 25483
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aEV 1lnoos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS _
PRINT IN ~ -
iK"NK CORONER'S CERTIFICATE OF DEATH ~ •
~~32-265 (See instructions and examples on reverse)
STATE FILE NUMBER
1. Name of Decedent (First middle, last, suffix) - 2. Sex 3. Social Secu Number
~' 4. Date of Death (MOnlh, dey, year)
Violet K Ellenber er Female 188 - 20 T 7575 Ma 17 2010
5. Age (Last BiMtlay) Untler 1 year Untler 1 dey 6. Date of Binh (Month, de ,year) 7. Birmplece (City and state or forego country) Ba. Piece of Death (Check only one)
83 uwmtu Days itn,rs Mmmas Hospital:
yrs Dec. 4, 1926 Honey Grove, PA soar:
• Bb. County of Death &. Ci , Boro, of Death ^ Inpatient ^ ER !Outpatient ^ DOA ^ Nursing Home Resitlenca ^Other -Specify.
P~ Bd. Facility Nertre (II not institution, glue street aM number) 9. Was Decedent of Hispanic Origin? No ~ Ves
(If yes, specify Cuban, ^ 10. Race: Ame ql fan, Black, White, etc.
Cumberland Mechanicsburg 805 North Walnut Street (span;Mw`~ii~°e
Mexican, Puerto Rican, etc.)
11. DecetlenYs Usual Occu Lion Kind of work done dun most of work Ida. Do nm state retired 12. Wes Decadent ever in the 13. Decedent's Education (Specify only hghest grade completed) 14. Marital Status: Marred, Never Married, 15. Surviving Spouse (It wife, give maiden name)
Kind oi'york Klnd d Busitress I Intlushy U.B. Armed Forcas? Elements Widowed, Divorced S
Tax Examiner ry /Secondary (012) College (11 or 5+) (P~rM
State Government ^rea ~7No 12 2 widowed
16. Decedents Mailing Atltlress (Street, city /town, state, zip code) Decedents PA Did Decedent
ACNa Residence 17a. State Live in a 77c, ^ Yas, Decedent Lived in
805 N. Walnut St. r°wnanip? ~ Mechanicsburg Twp.
17b. COanry_ Cumberland 17d. No, Decedem LNed wimin
Actual Limits of City / Bom
18. Father's Name (First, mddle, last, suffix) 19. Homer's Name (First, mmtlle, maiden surname)
Thomas Henr Blanche Cordella Telfer
20a. InfonnanYS Name (Type / PnnQ ZOb. Intonnenl's Melling Address (3lreet, city /town, state, rip code)
Trudy E. Merrill 404 W. Strawberry Ave. Mechanicsburg, PA 17055
21a. Method of Disposition i k~ I Cre~t~ po ( y year) 21c. Place of Disposition (Name of cemetery, cremeto or other lace
4Y ^ Donetlon 21 h. Date of Dla siHon Monts, de ,
Bunal ry P ) 21tl. Location (City /town, state, zip code)
^ ^ RemovalfromState j waeCremedanaDuretlonAutlgrized 5/22/2010 Evans Crematory Schaefferstown,
^ aher ~ Spedty: l by Medleel Enminer /Coroner? Yes ^ No _ PA 17 088
~ 22a. SlgnaNre of Funera ~ icensee o rson acting as such) 22h. Ucense Number 22c. Name and Adtlmss M Fadlny
• - FS 012 849 L Parthemore FH & C5, Inc., P.O. Box 431, New Cumberland, PA 17070
Complete ttems 23aq Day en ng 2 . T° the est of my knowletlge, death occurred at the nme, date antl place siatetl. (Signature antl tltle)
physidan is rwl available at d deelh to 23b. License Number 23c. Date Signed (Month. day, year
certify cause of deem.
• Hems 2446 must be completed by person 24. Tme of Deem P TX . 25. Date Prorramcad Dead (Hoorn, day, year) 26. Was Case Refene0 to Medical Examiner Coroner for a Reason aher than Crematlon or Donation?
who pronounces deem. 6:00 P . M. May 19 , 2 010 Yes ^ No
CAUSE OF DEATH (See Instrudione end exsmples) A roximete Interval: Part II: Enter Omer sicnificant condPoons canidb n
Item 27. Pan I: Enter the Shan m averns -diseases, injuries, or compkcations -met drectly caused me death, DO NDT enter terminal evams such as carter anew, ~ 7F S-Bg to 'ih, 26. Did Tobacco Use ConMbule to Death? '
respiratory anesl, or ventdcular fibnlletion without showing the aiobgy. List only one cause on each line. ~ Onset to Deam hN not resutnng In the undetlying cause given in Pan I. ^ Vas ^ Probably
IMMEDIATE CAUSE IRnel dsease ar i ^ N° ^ Unknown
condition resuning in death) _~ a. Hvpertensive Cardiovascular Disease ~ 2s.uFemale~.
Elevated Cholesterol
Due to (or as a consequence oft. ~ ^ Not pregnant witMn past year
Seyuenhalry Ilsl cantlnions, N any, h ,
leading9 to tfh~e cause listed on line a. r ^ Pregnant at Nme of death
Enter ma UNDEryBLYING CAUSE Due to (or as a consequence oQ: ,
ev~e~rits esulAng in tlealN)aLAST~ c~ i ^ Not pregnant, bN Pregnant wAhin 42 days
of death
Due to (or as a consequence op, ' ^ Not pregnant. but y y
d. t pregnant 43 da s to 1 ear
t Galore tleeth
30a. Was an Autopsy 30b. Were Autopsy FlMings 31 Manner of Deam ^ Unknown d pregnant wahin the past year
Pedonned? 32e. Date of Inury (Month, day, year) 32b. Descdhe How Injury Occurtatl
Available Prior to Completion 7„( 32c. Place of Injury: Home, Fartn, Street, Factory.
of Cause of Deam? Nafuml ^ Homidde Odice Building, etc. (SpecityJ
^ Yes ~, jJO ^ Yes ^ No ^ AceMent ^ Pending Investigation 32d. Tme of Injury 32e. Inlury et Work? 32f. If T2nsportadon Injury (SpedtyJ 32g. Location of Injury (SIree4 dry (town, state)
^ Bukide ^ Could Not ba Detennlnetl ^ Dmer / emtor
H. ^ Yes ^ No OP ^ Passenger ^Pedesldan
Other ~ Spedty:
33a. Certifier (check only one) 330. Signature antl
• CerUlying phyelclen (Physidan canltying cause of death when anomer physiden has praauncatl deem an0 completed Hem 23) / /
7o the oast of my gwwledge, death oceurred due to Me cause(s) and manner ae staterL _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ ^ - C o r one r
• Pronouncing srk certlfying phyaklan (Physkian bath pronoundng deem and certNying to cause of tleeth) 33c. License Number
To the hen of my knowledge, tleeth occumad H the Nme, date, end place, arts due M IM owee(a) end manner as eleML _ _ _ _ _ _ _ _ _ _ _ ^ 33d. Date Signed (Hoorn, tlay, Year)
• Medipl Examiner /Coroner """
On the heels of eumination end! or invastigedon, In my oplnbn, tleeth ocoumtl et tM tlme, sate, end May 2 0 , 2 010
plsro, end due b dre cadWe) eM manner as shted_ ~ ~ Name ass of Pe on'M~o Complel Cause W Deam (Item 27) Type /Print
35. Registrar'ss~' Nre arts Dist bays-~ Todd C. ~Ckenrode, Coroner
- /~ % ~ ~I ~ I ~ ~ I ~1 36. DateFlletl(Mortm, y, year) 6375 Basehore Rd. , Suite I~1
Dbposison Penntt No. 6 4 7 ~1 Q
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OF :.
VIOLET H ._ELLENBERGER ' <',~- ~ _
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I, VIOLET H. ELLENBERGER, of the Borough of ~'~.m~''Hi.ll, cti
Cuml~erlarici County, Pennsylvania, do ma~.e, publ-~sh an~~~ ~Aec1_are
this to be my Last Will and Testament, hereby .revokir::~; all
Wills and Codicils by me at any time made.
ITEM I : I direct that all ?.nher7. ua.nce 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
property, shall be paid by the Executor out of the pro~~e.rty
passing under ITEM III of this Wi11, as an expense a~~d cost of
administration of my estate. The Executor shall ha-ve zzo duty
or_ obligation to obtain reimbursement for any such tat>_ so paid,
even though on proceeds of insurance or other propert- not
passing under this Will.
ITEM II: I give and bequeath to such. of my
children, BARRIE L. ELLENBERGER, TRUDY A. MERRILL, SLR~A F.
ROSS and EILEEN OSBERG, as are living at the time of my death,
absolutely and in fee simple, all of my household furr.xture and
furnishings, books, pictures, jewelry, silverware, a~~-`omobiles,
wearing apparel and all other articles of household or personal
use or adornment and all policies of insurance thereon, to be
divided between them as they shall agree. Should. the.~~-~ be no
agreement, such property shall be divided among them '>„ the
Page 1
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_--Y ____
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Executor in as nearly equal portions as is deemed pr~.ctical in
the sole discretion of the Executor, having due regard to the
personal preferences of such children.
ITEM III: I give, devise and bequeath all
the rest, residue and remainder of my estate, not disposed of
in the preceding portions of this Wi11, to my children, in
', equal shares. If any of said children is not living ~.~t my
death, the share of said deceased child shall be pair ~o tine
then living issue of said deceased child, per stirpes.
ITEM IV: In addition to powers given by
law, the Executor shall have the following discretior:ary
powers, effective without court order:
(a) To retain any property received by the
Executor;
(b) To sell real estate for any purposes,
publicly or privately, far such prices and on such
terms as the Executor deems proper, without liability
on the purchasers to see to application of the
purchase moneys;
(c) To compromise controversies;
(d) To distribute income or principal in cash or
in kind, or partly in each, at valuations fi>ed by° the
Executor at such times as are deemed appropriate;
(e) To hold investments in the name of a
nominee; and
i
Page 2 --~ --"~ ``~ ` Y - --
', (f) To undertake all other acts in the
' Executor's judgment deemed necessary for the proper
and advantageous administration and settlement of my
estate.
ITEM V: Any Berson who shall have died at
the same time as I shall have, or in a common disaster with me,
or under such circumstances that the order of our deaths cannot
be established by proof, or wi~:.hin thirty (3C) days of my
death, shall be deemed to have predeceased me.
'~ ITEM VI: If at any time any beneficiary
I! under the age of twenty-one (21) years sha11 be entitled to
receive any assets hereunder, the living parent of such
~, beneficiary shall receive such assets as Custodian under the
Pennsylvania Uniform Transfers to Minors Act for that
~ beneficiary. Such Custodian may receive and administer all
i
assets authorized by law, and shall have full authori-`y as
provided in the Pennsylvania Uniform Transfers to Minors Act to
use such funds in the manner it deems advisable for the best
f interests of such beneficiary. In addition said Cus'-
_odian
~, shall have all the rights and privileges as to the
Custodianship and its assets as are herein granted to the
Executor as to my estate and the assets therein. I a~_so
designate said Custodian as successor Custodian of an_s property
', for which I am custodian under any Uniform Transfers -.o Minors
'' ACt.
ITEM VII: I hereby nominate, const_tute and
'~ appoint my children, BARRIE L. ELLENBERGER, TRUDY A. ;iERRILL
', and SERLA F. ROSS, to be the Executors, herein col'_~=~~.~~_~vely
referred to as "Executor". The Executor is specifica___1v
Page 3 ; ;
relieved from the duty or obligation of filing any bind or
other security.
IN WITNESS WHEREOF, I have set my hand and seal to
this, my Last Will and Testament, consisting of this and the
preceding three (3) pages, at the end of each page o~ which I
have also set my initials for greater security and be'~i~er
identification this '~. y day of ~'-~~~ ~:~.`~ ~ to ;'
~`/
.t
!~~ VIOLET H. ELLENBERGER ~ CSEAL)
We, the undersigned, hereby certify that the soregoing
~' Will was signed, sealed, published and declared by the above-
named Testatrix as and for her Last Will and Testamenl~, in the
presence of us, who, at her request and in her presence and in
the presence of each other, have hereunto set our ha.~.ds and
seals the day and year first above written, and we certify that
', at the time of the execution thereof, the said Testa~;-i.> was of
sound and disposing mind and memory.
i.
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ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA )
~`, ) S S
COUNTY OF ,~j' )
I, VIOLET H. ELLENBERGER, Testatrix, whose ~_:ame is
signed to the attached or foregoing instrument, havi-~~ been
duly qualified according to law, do hereby acknowlec~~e that I
signed and executed the instrument as my Last Will a_A1u
Testament; that I signed it willingly; and that I sa.~-ned it as
_..
my free and voluntary act for the purposes therein e~~ressed.
-~ ~ ~.
=r ~ C~ ~ ~ ~~ „~.'~-.~~ ~ ~ ~~~ -- ( SEAL)
VIOLET H . ELLENBE3.~GEF.
Sworn to and subscribed
', before me this o24/~ti day
o f `Z~Ca-~ 19 9y .
Notary Pub1~-c
My Commission Expires:
', (SEAL)
Notarial Seal
~' Sha~nna T~m
My Commission Expires Sept 28,1997
', tulc;n ;fir, Pennsylvania 0.ssoda6on of Notaries
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
~j ~ ) SS
COUNTY OF k~ )
and "~ ~ ~.,, ~ ~~ , ~._ ~.~ -
e~'"'''; ~ the Witnesses whose names are
~'~ signed to1the attacfied or foregoing instrument, being duly
~, qualified according to law, do depose and say that we were
present and saw Testatrix, VIOLET H. ELLENBERGER, sig-~ and
execute the instrument as her Last Wi11 and Testament; that
Testatrix signed willingly and that she executed said wi11 as
her free and voluntary act for the purposes therein e~~:pressed;
that each of us in the hearing and sight of the Testatrix
signed the Wi11 as Witnesses; and that to the best of ou.r
knowledge the Testatrix was at that time eighteen (l~> or more
Years of age, of sound mind and under no constraint o~ undue
influence .
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Witness Witness
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1 Witness `°r
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Sworn to and subscribed
before me this o?f~-t6i day
', of ~~ ~ 9 9y.
_ ~.
otary Pub1'c
My Commission Expires:
(SEAL)
rJotarla- 9~a1
Marge M. KerN,onhy, Nt~tary PubAc
Susquehanna Twp., Dauphin Gounty
My Comm Eire, Sept 28,1997
Mrrr:'ti~r, F'ennsyNaniaAsscaaT;on of Notaries
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RENUNCIATION _~,f ~~ ~ '~.
~~_, J .
REGISTER OF WILLS ~ z~ '?
CUMBERLAND COUNTY, PENNSYLVANIA ' -~? ~ ~ ~=~
za ~? ..
Estate of VIOLET H. ELLENBERGER aka VIOLET E. ELLENBERGER ,Deceased
I, SERLA F. ROSS
in my capacity/relationship as
(Print Name)
named Executor/daughter of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued
TRUDY A. MERRILL
~~ ~ ~ ~ ~~
(Iaate)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
day
of
Deputy for Register of Wills
NOTARIAL SEAL
DAVID H RADCLIFF
Notary Public
EAST PENNSBORO TWP, CUMBERLAND COUNTY
My Commission Expires Jun 29, 2012
7
(Signature) ~,G ~~
~; /~ ~C ~z. YX_.C~ ~/ -~ ~~ lZ~~
(Street Address
(City, State,' 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 renunciation for the
purposes state~jwithin on this ?,G4 `~~~ day
of <G~i~ 7 Z.° ~~'
Notary Public `/
My Commission Expires: / ~ - 2.~ - ~~ ~Z"
(signature and Scal of Notary or other official qualified to
administer oaths. Show date ofcxpiration of Notary's Commission.)
Horm RIV-O6 rev. 10.13.06
RENUNCIATION r'
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REGISTER OF WILLS `,
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CUMBERLAND COUN'T'Y, PENNSYLVANIA -
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Estate of VIOLET H. ELLENBERGER aka VIOLET E. ELLENBERGER
I, BARRIE L. ELLENBERGER
(Print Name)
named Executor/son
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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
TRUDY A. MERRILL
ZC~ ~--
(Date)
`~~ ~ i
(Signalure~ ~-~ ~~-~,~ ~ ~ ;~
(Street Address)
~t~-~L ~ti~ ~A 1~ ~
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
day
of
Deputy for Register of Wills
NOTARIAL SEAL
DAVID H RADCLIFF
Notary Public
EAST PENNSBORO TWI? CUMBERLAND COUNTY
My Commission Expires Jun 29, 2012
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this %~ly ~~ day
~~~ , a~
Notary Public ,/ ~
My Commission Expires: ~ ~~- ¢ ' ~~ ~""
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date ofexpiration ofNotary's Commission. )
Form RW-06 rev. 10.!3.06