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HomeMy WebLinkAbout07-27-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of FAY M. RITTNER File Number ~' _ ~ ~ - ~ ~ ~~ also known as ,Deceased Social Security Number 1 8 71 66642 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 EXECUTRIX named in the last Will of the Decedent dated 12/17/1999 and codicil(s) dated ~yONE HUSBAND, DAVID E. RITTNER DIED NOVEMBER 6, 2001 (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, then 86 years of age, died on 8/28/2004 at CLAREMONT NURSING AND REHABILITATION CENTER. 1000 CLAREMONT DRIVE. CARLISLE PA 17013 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 Pennsylvania $ 3.600.00 UPPER ALLEN TOWNSHIP, CUMBERLAND COUNTY, 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 t '~ PATRICIA D. SHELTON 2 L VE E B Form RW-02 rev. 10.13.06 Page 1 of 2 (COMPLETE INALL CASES:) Attach additional sheets if necessary. ~ ~ ~ ~~~~ -~ ~ ~ ~° _ - ~ ~ Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last principal rdence at -~ •'~- 1000 CLAREMONTDB._eAtQQLESEX TWP. CARLISLE PA 17013 ;"- '" - ` ~' (List street address, town/city, totivnship, county, state, zip code) ~-~~~- Cx3 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 before me the ,r day of ,~ ~~ ~l~ ~ ~~Z-~~~~-Z~' i~ h of Personal Representative PATRICIA D. SHELTON Signature of Personal Representative I= or the R gister Signature of Personal Representative C7 ~ CT;' ~~ ~ r .' ~ ~ j .C.~ ,~ ._ ~. } T ~-- ~" :~ "~ =-~ m --, _i,- ,,,J ~ ~ ~ a File Number: ~ _ ~- ~~ ~~ ~ k' Estate of FAY M. RITTNER ,Dec. a~ ~ ~' ~~,. ~ . __. ` T. ~ . N .-~ C"1 Social Security Number:187166642 Date of Death: 8/28/2004 ~ ~' AND NOW, ~: ~ ~ ~~ ~ -7 , ~~ ~ ~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to PATRICIA D. SHELTON in the above estate and that the instrument(s) dated 12/17/1999 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of pecedent. ; ~ ' ~ ~ t FEES c :l (~r'~( ~~l t -(/~~`1-~-~ ~~ Gtr ~~~ ,r Letters ............................. $ ~ `y ~ Register of Wills ~ ~',~ T~ ~~~~ ~, f, Short Certificate(s) • • • • • • •. • •.. $ `~ Attorney Signature: J Renunciation(s) •••~•••••••••••• $ ~-~--- ~,~,-~ ~ ~ $ i F~ . C-Lr Attorney Name: L ALTER ' III Supreme Court I.D. No.: 24849 ~~t; i~1Ci. ~~ CY1 .... $ ~ . C` U .... $ Address: 54 E. MAIN STREET ~~~~ $ MECHANICSBURG .... $ .... $ PA 17055 .... $ $ Telephone: 717-697-4650 TOTAL ............................. $ ~ ~-' Form RW-02 rev. 10.13.06 Page 2 of 2 . ~` .~,i~ it ~~o certify th~~t t1~c iti[i?rmation here given is correctly copied f~rot7~ an L~rigin~tl certii~icate ~~1~ r.le~_tth duly filed with me as )(.~1 t .~~ristrar. "1'~~~e ~~~~~i~~~i~~~~ certificate will be forwarded t~~ the St~t1c ~Iit~l1 E~ev~•~~~r~~s Oi~fice i~or ~~err~~~~~t~ent~ filin~~. WARNING: It is illegal to duplicate this copy by pholtostat or photograph. f;~~e I~ot~ th~~; ~°ertificate. $?.{)U ~ ~.~ba~~ ~ ~~ ~~,. ,~~~-C~.tit~c,~~..~<--Z.. 1_oc~il t~c~tistrar ~ © ~ ~ ' _.,. , - -) ?~~ ~ t r--- t ...' :F } _. ~, ... -~ i ~ ' ~ ,,, 1 ~ ' T^~ ,~ t~.3 ~ ~ f ) ""~ 1„os :a3He~ ve7 rit iI;INT r t ~~rA •r t.EN1 ii a,:K INK COMMONWEALTH OF PENNSYLYANIA • DEPARTMENT OF HEALTH • YtTAL RECORDS CERTIFICATE OF DEATN NAME OF DECEDENT (f est. Mrddb. iaa) ~ SE% SOCIAL SECURITY NUMBER OAt E,FiF DEATH MCrxh. Uay. marl ts a •G~..~~ ,1t y f ~~rf ~ ' t ,. j-~ /1~ . R t -r+n 2 r „1, si ~. F 7. ~ 9 1 - I b - (o b ~~ -~ AGE 11. asl B ay) UNDER 1 YEAR t1NDER 1 DAY DATE OF &RTH BIRTHPIACf :(:~ry and PLACE OF DEATH IChecN orVy rx~e -- see ~nsuu:l,a.s an ufher s.del ___ ---r-- Morph DaY. ~r.dl dale a rcre n l~cwnb HOSPITAL: ~ O7 HER: -_~.__ _ __..___. _ ._ ______._..._ _r._. __ c Moraha Daya ftotee t MYwf« Se 12 1917 Berrys~3urg, ~a Nwsep ah.r n G DDA C ^ Ewo p ^ C ] , vV yrs. i ~ t uoafre InpaherN . Hon,. ~ Reswanu isl>ecaY1 w e. 7. ___ . - -__ _ s^ COUN TY OF DEATH ' CTTY. BORO. TWP OF OEA1H FACILITY NAME III not u~sfluuun, gr.e street and ru,mherr YtNS DECEDENT OF HISPANIC Ofi1GIN? RAi:E - Amancan Inaan. &u-, NiTae. s1c. `/"~""' Whi Cumberland Middlesex Twp. te Claremont Nursing & Rehabilitation ~ ~~ ~ ~aDeL"'~`"~`^~ e. lo. _ _ «. ea. eb . _ DECEDEM'S USVAL OCCUPRION KIND OF BUSINESS/INOUSTRY lGna Nr,O d w«N done der~rg mat a.«kin0lfy ppllgty;/,fyggJ Own Home _ NMS DECEDENT EVER IN ~ DECEDENT'S EDUCQION IAMITAL STATUS-Maned SURVWING SPOUSE U. S. ARME D iORCES? C as Never MarrW, Wido.•ed, W arJa. drys rtwrden namel ,~ ~ ~ ~ X EI«n.nlary/s««wYy cdewa °rvo(~1~"ov71~d $ It~or5~1 O/Z r tta. ltb. ) I 17. t7. 11. t!. DECEDENT'S MAILING ADDRESS (sD••f. Ceylfoen. Slab. ZipCodel DECEDENT'S Penns Ivania Y °i0 tT~,l~.,r7K.wntw.din - -- f~ 7 1000 Claremont Drive AQT1AL RESIDENCE a.~.a.rr 1 i~$11e -~- Carlisle, Pennsylvania 17013 ~~""'a Cumberland i ~.w~•~•~~ ~ ta. r*elvl actwl NnIIY d _ ceylboro t 7b. f.;oun _ nd. FQHER'SNAMEIFrat.Mrdale.Uaq Frank Klinger te. MOTHER'S NAME(Fttal.Mdtle.MafdwfSurnarnal Saddle Rotharmel 1e INFORMAD1TSNAME(fypelPrax) h l I NFORMANT'S ADDRESS reel, Z Coca Pa. 17055 ~~"Lexing~on dive ICAe hanics~burg ton e Patricia D. S ~o.. METFIOD OF d GATE OF DISPOSITION , 7eb. PLACE OF DISPOSITION • Name w CrtmNery. Crwnaforr LOCATION ~ CaylTown, Slaw, Zip Cow BuriY ~rematitln^ Ramovelk«n Slafe^ lMoran. Oay.Yw1 0 «Omel Place Rolling Green Memorial Park Camp Hill, Pa. 17011 f]tbwl ~ 71b. 04 Aug 31, 2 21d. 7tc. NATU OFF SERVK:EL NSEEORPER.S01dACTW6ASSUCH FACy. LK;ENSENUMBER FD-014318-L "A'"~'WDM°y°eRrS~unBraf Home, Inc. 37 Easi Main Sireel MechanicsUu«~, Pa. 17055 ' 77a. ~-e _ =7b. --- ne. Complete rtema Y7at onry when taro nowNdge, wam Occtured at fha tune, safe and plats sfawf. LICENSE NUMBER DATE SIGNED (Monln. DaY' yarl phyarcun rt n01 ava~ Ih b ($iQfNlura TtlN1) umrynw.d ~LA,.Lt1~LYW Y7a , l w tv C.l i F~~.LJ-" . IJ 77b.R"'- 5 oa ~ 35 - t'-- 7x,~ ~ r t ~, F.t , owns 2a-2e must W COmpwled Dy IME OF OEATM DATE PRONOUNCE D DEAD (Month. Day, Year) VWS CASE REFERRED TO MEDICAL EI(AMINERK;ORGNER? _ Z.Q i f ^ No • pw7Dn who Pronounces walh. ~ , D `J rr M Val 4J t: t uJ~C. n ~ ~ C ^~~ 200 ~ 7e_ -.~ AU f 7s . . _ :~. 77. PAAT 1: Eller IM Orseasea, rnlurres or Compacahona which causwf IM wam Do not eMat IM rtaw of ,such as cardae or raspttal arrest, «Mart lasers I Approximate PART H: Other spndkaru crondttrnns uuNrrbulinq to deafn. Del L rst only one cause On eaUi IiM. i ~ ~ n pat r•wllinq xr tM uMerMnq taut. Vn•n in PART 1. IYYEDIATE CAUSE (Feist disease or cond0ion ~N t V t ^^ C N 1 Q 1 I .__..-__- OIfE TO (OR AS A CONSEIXIENCE OIl' - -____.-______ -._~___.._...~-_-__ _'_'t'-- ~ i ;iey.prNiiay NSl conddrona D _ d any, fwWnV to ttnmw7iate DUE TO tOR AS A CONSEQUENCE DTI: _._..____._.._~-_~ _._ . ___..-r.-__.._..__..___.____.____.__.____-__~.____. i reuse Emw UNDERLYING , .A it s.rasi .w npuy c ...-- -.. _. ---- - nui v,u,rew uvras DUE TO (OR A,S A CONSEQUENCE UF): ___ __ I r. ev.V v. i I••ttrl l Ai T I -_-~ -------~-- WA i AN AUTOPSY NfERE AUTOPSY FINOWGS MANNER OF DEATH f'T AF OAMEDi AWII.ABLE PRIOR TO --.~ --- -----'--._.___.._ _ ...._.T----.__ DATE OF INJURY TIME OF INJURY IN,KIRY AT WORKi DESCRIBE Hc7N IN.fUHY OGCUf7RED. (Monet. Oay. marl COMPLETION OF CAUSE NaturY ® flomKida ^ OF DEAHi y« ~] ~(~ Accident ^ Pendrp Investgalan ~.1 M 70d . _ _ __ . __ _ _~..______ yea ~_~ Na ~ yes ^ NO ~ $uicrw ^ Could n« W dewrmrnwl ^ PLACE OF INJURY ~ At hortN, farm, sliest. IxY«y, otMce LOCATION (SDap CuyJTown. Sufel -' buadlrp, we ISpaulvl 1aa. 21ab. Ie. 7W. 701. __~ _ CERTIFIER rCrecN avy u,el cause d t1eaN .Then anahw physK~an has por x.an cwla n 'CERTIFYING PHYSICIAN I(>h qunCed death arul comprefed (tern 231 /1--~, SIGNATURE ANO TITLE OF CERl~IER __, - ~ j ~~ %~~ `~ ~ y p g To the best of my knowNdge, wash occurted 6w b Bw eauee(sl and manner ae sMIW . .................................................... Pt_I 71b. , i -= 7'~ _ _ ___ _ LICENSE NUMBER DATE 51(iNED tMadn. UaY Yvan sCan bdh , ronp.ncrng death and ceNlyvy ro cause of denml 'PRONOUNCING AND CERTIFYING PHYSICIAN IPh MD - Cif 1 ~ ,~~ -' S ~ ` / 7 f d y Ta tM Deaf of my knowwd0e, loam occurred at dw tleie, date, and place, and due b dN cauaala) and manner as walwl ........................ . . ^ . -____,___. __ ~_-. 7/e. __ NAME AND ADDRESS OF PER ~ OMPI. TED CAUSE OF DEATH (Item 271 Type «PriM • 'MEDICALE%AMINER/CORONER On IIIt basis of eaaminetlon end/ort inwetlyation, in my opinion, death ttccurrtd at tM tlme, date, and place, and due to the cause(s) and ^ t77A.USj" ^~. eloStj, rtLt ? y 7J '1 >~ manner as atdTed .......... ....................................... ]fa J .................. . ............ . . . . . . ......... t a f l 72. ~~YO C^vvlJ rldl ~~ /~ F~ r L7t.t -`- HEGIST S~NATURE ANO NUMB€R I lMOnm. Oay. Pearl GATE FIL E D , 4. ~~ L~.~ ,r ~ ~ /7 V 1/~~~0~ ~ >. ~ . t t ~ LAST WILL AND TESTAMENT BE IT REMEMBERED THAT I, FAY M. RITTNER, a resident of Cumberland County, Pennsylvania, being of sound and disposing 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 have three (3) children, JAN HAROLD ALBERT RITTNER, MYRL VIOLA BUSLER, and PATRICIA D. SHELTON. 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 my residuary 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, JAN, MYRL and PATRICIA, in equal shares, per stirpes. V I nominate, constitute and appoint my daughter, PATRICIA D. SHELTON, as Executrix of this LAST WILL, to serve without bond. If PATRICIA is unable or unwilling to act in that capacity, then I nominate, constitute and appoint my daughter, MYRL VIOLA BUSLER, as Executrix of this LAST WILL, to serve without bond. c~ ` ~•,, C ~" r ="~ ! f ,r~ y. , ~.,... ' J. ~_l Icy. _3 _ _ ! ! .._ ~ ~ ~ ' ~'M11PF ~J _sy ~ ~l ~ y _ r.. ~ ,-s t ". IN WITNESS WHEREOF, I, FAY M. RITTNER, have set my hand to this LAST WILL this (~~~ day of December, 1999. FA M. ITTNER Signed, sealed, published and declared by the above-named FAY M. RITTNER, 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 . ,.~~' %~~ jgy I }~,: t / 1 J / i ~, f, ~ ~ d ~, ~ /, ~ d'(. P r 7, ~' / /~ { ~ /(:~ 2 ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. I, FAY M. RITTNER, 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. c1ti ~~ FA M. RITTNER Sworn or affirmed to and acknowledged before me by FAY M. RITTNER, Testatrix, this /~ ~ day of December, 1999. ~~ Notary Public ""'~~ Notan~.~ Se<~i 6 Ytith. Nc#ary Put~lic t plane M. S!~ .,, ,,~berlanci County p,~r;rr~an.csburg Born. ~.,«. ,~1, ?pC?C 1 ~!',ornrr~~ission F~x,~i~F;s .June ~-~~~„~.~ N;y . ______._--..___ AFFIDAVIT _..._------ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. We ~ ~ , ~` ~ rr. ~ ,~ ~ ~ ~ ~ ~" and ~~° i/ / /G~'j'~~ , 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 FAY M. RITTNER 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 year,~s of age or more, of sound mind and under : no constraint orb- ur~.e~ue ~~ influence. - ~ ~; ,~ /~, ,1 L :~ ~ L' e ~ h' ~. ~ ~ ' ~~ 4 ~ j/s ~ J ~( r~rt ~J.J ~7 ~ 4. ~ ... \. J~ /~~ ~ Sworn or affirmed to and acknowledged before me this j7`r~ day of December, 1999. 1, , ~-- ~~~, Notary Public ____.~,e..e Nataria! Seal Diane M. Smith, INotary Pubiit; Mechanicsburg 8oro. Cumberland County Pviy Commissior~ Cxpires .June 22, ~?i){)~