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Home My WebLink About06-02-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Hilda M Shotsberqer also known as COUNTY, PENNSYLVANIA _ File Number 21 -~ ~~~ - ~~-~ ,Deceased Social Security Number 196-14-3221 James A Shotsberqer Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE A' or `8' BELOW.) ^X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor named in the last Will of the Decedent, dated p4/25/1497 and codicil(s) dated ~ ~_ g., renunciation, death of executor, etc. t.... ;_ - State relevant circumstances, e. ~ ~..t ~ - Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of th~e~i~ent(s~fferec~~ ~ _~ . -t., F for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ;_ si - :~ ::~~ _ ~, ^ B. Grant of Letters of Administration _._. _~ ~ ~ ~. ~- (Ifapphcable, enter. c.t.a.; d.b.n.c.t.a.; pedente 6te; durante absentra, durante minontate) ~„ ~ ~ .~.. Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and h6i3s: (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.) 2910 Morningside Drive, Camp Hill, Lower Allen, Cumberland, PA 17011 (List street address, town/city, township, county, state, zip code) Golden Living West Shore, East Pennsboro Township, Cumberland Decedent, then 87 years of age, died on 05/11/2010 at County, Pennsylvania Decedent at death owned property with estimated values as follows: (If domiciled in PA) (If not domiciled in PA) (If not domiciled in PA) Value of real estate in Pennsylvania All personal property $ 130,000.00 Personal property in Pennsylvania $ Personal property in County $ 120,000.00 situated as follows: 2910 Morningside Drive, Camp Hill, Lower Allen Township, Cumberland County, Pennsylvania 17011 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 _ ~ James A. Shotsberger 412-855-8648 3443 Brookridge Drive Mechanicsburg, PA 17050 Form RW-O? Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at ~ ~ 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. Register of Personal Representative Ja~rr~eS A. Shotsberger Signature of Personal Representative Signature of Personal Representative File Number: 21 .- ~~ - ~ ~~y Estate of Hilda M. Shotsberger ,Deceased Social Se ity Number: 196-14-3221 Date of Death: 05/11/2010 AND NOW, , ~~~ , in consideration of the foregoing Petition, satisfactory proof having been presente efore me, IT IS DECREED that Letters Testamentary are hereby granted to James A. Shotsberger in the above estate and that the instrument(s) dated 09/25/1997 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) ....................... $ Q,2t!~ Renunciation(s) ........................... $ $ `" ~~ - ~ - $ ~` c $ $ TOTAL. $ $ $ $ $ ~~ ~~L~;' Register of ills v // G''~/ `/ Attorney Signature: Cam. v/'~, Attorney Name: James D. Bogar Supreme Court I.D. No.: 19475 Bogar & Hipp Law Offices Address: One West Main Street Shiremanstown, PA Telephone: 717-737-8761 Form RW-O2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 Sworn to or affirmed and subscribed ~t1~ bef9r.~ me this day of ~~~ . ~,~.,p4aE,Rl .¢: . _ ^aIPC~t '.,$s~~il..~~g'+~~' ~ , . . ;; I~ i°c~-3~,_a~~:r'-,";rat D" ~~~~`~*~+~r~~sI.A=I° ~-_ I , 1. - w iii al ,:'nt~Illzi(1sftB }~t~''-i,: '_'l~lt'Il lti ,.: ti t f „y-','~" `r f^~ ~ ~ -;'. 7;-~9]~1J ~tC~i!(fc,il~' ~.tT ~)L'iLt~l : ~~. 1~~ ,~i !? t'~.~A)1 ~~.C~'1~[1iEl~ i I~it.' l)r:~rllliil I pn ,. V x. l , 7 ,~ ~ r,..~.t , . ''' .._ _ _.__.._ ~-.~ C- r `° r CJ ° - -~ -77 4... - E ... ,~s -CJ ~ '~., _.. -~ . . .1 .. - f t ~ ~ ~ ~•+~ _- .~~ .•... - r \.~.~ .. l H70! T .143 REV 112006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS !PE /PRINT IN PERMANENT CERTIFICATE OF DEATH BLACK INK (See instructions and examples on reverse) STATE FILE NUMBER t. Nartb of Decedent (RrsL middle. IasL suffix) 2. Sex 3. Soda? Sewrily Number 4. Date of Death (Month, day, year) M Shotsber er emale 196 -14 - 3221 May 11, 2010 5. Age (Last Birthday) Under 1 r Under 1 rla 6. Dam of Birth Month, da , 7. Berth ce C' and state w ~ cwmt 8a. Place of DeaN Check o one Mondrs Days Hours Mirxaea Hospital: Other: g 7 Yrs. 1 2 1 5 1 9 2 2 C o c o l a m u s P A ^ Inpatient ^ ER /Outpatient ^ DOA [~ Nursing Hotne ^ Residence ^ Other - speafr: itb. County of Death Bc. C4y, Boro, Twp. of Death 8d. Fadliry Name (If not institutim, give street and number) 9. Was Decedent of Hispanic Origin? ~ No ^ Yes 10. Race: Artterican Indian, Black, White, etc. (If yes, specify Cuban, (Sperrljq Pennsboro Golden Livin West Shore Mexican, Puerto Rican, etc.) White 11. Decedent's Usual K'rd of work done ~ most of woAd Wfe. Do rat state re' 12. Was Decedent ever 'n the 13. Decedents Education (Spedry only highest grade cartp leted) 14. Marital Status: Married, Never Martied, 15. Surviving Spo use (M wife, give maiden name) Kirdof Work Kirdof Business/Industry U.S. Amted Forces? Elementary /Secondary (412) College (1.4 or 5+) Widowed, Divorced /Spep'ly) ^ Y~ ~ 12 Widowed 16. Decedents Mailing Address (Street, city /town, state, rip code) Decedent's Oid Decedent Actual Residence 17a. State Pennsylvania Uve in a 17c. ~ Yes, Decedent Lived in I-!C~Wer Allen 7wp 2910 MOrnigside Drive Cti~Iriberlaild T°"'nst'ip? 17d. ^ No Decedent Lived within Hill PA 17011 , 17b. County Actual Omits of Ciry / Boro 18. Father's Name (First, midtie, last, suffix) 19. Mother's Name (First, midde, maiden surname) Coles Schell Lillian Beers 20a. InormanCs Name (Type I Print) 20b. Informants Mating Address (Siree4 aN !town, state, zip code) James A. Shotsberger 3943 Brookridge Dr. Mechanicsburg, PA 17050 21 a. Method of Dispositon r ^ Crematan ^ Donation 21 b. Date of Disposttion (Month, day, Year) 21 c. Place of Dispos4ion (Name of cemetery, crematory w other place) 21 d. Location (City! town, shale, zip code) Burial ^ Rertaval from state ~ ~ Cm ~o ~~ nonzed ~ 5 / 14 / 2 010 John' S Cemetery St Camp Hi 11 PA 17 011 ^ Yes ^ ~ ^ O tlter . , 22a. sigrwure of F w 'ng as such) ~ 22b. License Number 22c. Name and Address of Faciity Nei 11 Funeral Home, Inc - FD 013239 L 3401 Market St. Hill PA 17011 Compfero i[errs only when ceNfYi'g 23a. To the best of my knowledge, deadt occunad at the orre, date and place stated. (signature and title) 23b. License Number 23c. Date Signed (Month, day, year) physician i5 rat az mne of death ro ceNy m death. ~ A hr '~ t-4/~ /" j~ ~ 3 ~ ~ / t D / (~` Items 24-26 must be completed by person 24. Time of Death ~ d 25. Date Proraunced Oead (Month, day, year) 26. Was Case Referred to Medical Examiner /Coroner fw a Re Other than tbn w Donaton? who Pr~~s death. f G M. `y1,~ / ~ o ~ ~ ^ Yes ~No CAUSE OF DEATH ( Instructions and a mpbs) r Approximate interval: Pan II: Fster other ' ~, 28. Did Tobacco lha Coraritate ro Death? ttem 27. Pan I: Enter the chain of events -diseases, injuries, w compiice8ons • that directly caused the death. DO NOT enter rortnnal events such as cardiac arrest, r Onset to Death ' but not resulting in the urderlykg cause (even M Pan I. ^ Yes ^ Probably respiratory artesi, w ventricular fibrillatbn witlaN showing the etalogy. List only one cause on each Nne. ' ^ No ^ Unkrtowm IMMEDIATE CAUSE (FirW 6sease w ~ ' certditiart resultin N death) 1`'L L ~ j 1~ ~ ^~ 2g. If Fertiale: g C v c?. r~ >= / _~ a. / r y. ~ ~ t t whi t Due to (w as a consequerxe oQ ' ~ - pregnan n pas year ^ Pregnant az time of death ~/ t1~ i by ~ , H ar'Y, b. ~~!/`~~- ~W h ^ t e cause listed on ine a. r Enron UNl)ERLYMIG CAUSE Duero (w as a cwsequerae off: ~ - Nd pregnant. but pregnant wkhin 42 days (disease a k9t'ry' that nitialed the r c' events resultin n death) LAST of death ^ g . ~ Due to (or as a consequence of): ' - Not Pregnant, but pregruun 43 days to 1 year bekxe death d. ' r Unknown if pregnant wiMin the past year 30a. Was an Autopsy 30b. Were Autopsy Findings 31. Manner d Death 32a. Date d Injury (Month, day, year) 32b. Deswbe How Injury Oaurted 32c. Place of Injury: Home, Farm, Street, Factory, Performed? Available Prior to Completbn of Cause of Death? ~7( 1~-' Natural ^ Homicide Office Buildmg, etc. (Specify) ^ Yes No ^ Y ^ N ^ Accident ^ Pending Investigation 32d. Tana of Injury 32e. Injury al Work? 32f. If Transportation Injury /Spec/lyJ 32 Location of in u Sheet, ci I town, stale 9~ I 'Y ( ry ) es o ^ Suicide ^ Could Not be Determined ^ Yes ^ No ^ Driver/Operator ^ Passenger ^ Pedestrian M. ^ Other - Spenaly: 33a. Certifier (check only one) 33b. SignaNre Title of Certifier • Certifying physkWr (Physician certlrying cause of death when another physiden has prorauoced death and completed Item 23) To fhe bast of my WrowASdga, death occurred due to the cause(s) and manner as slated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~~ , ~y~~ ~ . • Pronouncing end artHying physician (Physician both pronoundrg death and certilykg ro cause d death) 33c. Ucerse Number 33d. Date Signed (Month, day. Year) To the bast of my knorMdge, dssth occurted at the Nme, date. and place, and dw to the oase(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • Medial ExamNrr/Cororrr ,.y n ~ ~3 ~ 3y ~ ~ i- ~, ~ ~ ~ ~ ~ 2G (C~ On the beefs of srarnktstbrt and / or investigation, in my opinion, death occurred at the tams, dek, end plan, end due to the ease(s) and manner as stried.. ^ 34. Name ~d dress of person Who~pleted Cause of ~ `(tte0t (~ ype I Pn~ ~~ %"-'~~~/ ^ ~ Y' Y! / r/ ~ r 35. s Wre Dstrid r - ~1 X71/ afp Q1 ~ I ~ I ~ I ~ i ! I ~ I 36. Date Filed (Month. daY. Year) (ma i ~' Z v rvl~r~'~'' ~~ ~ , . Disposition Pertnlt No. y ` f~ ~ `r ~ v ~ ~ l ~~~ ~ L~ i ~~ LAST WILL AND TESTAMENT ~,_._ _ -, `_t7 OF _` ~ re: ~,:; .~ HILDA M. BHOTSBERGER -- ~ ~. I, HILDA M. SHOTSBERGER, of Lower Allen Township, ~ Cumberland County, Pennsylvania, make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, to my son, JAMES A. SHOTSBERGER. SECOND: Should my son, JAMES A. SHOTSBERGER, prede- cease me, then I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, to his wife, MARY E. SHOTSBERGER. .~, THIRD: In addition to all powers granted to them by law and by other provisions of this Will, I give the fiduciaries ,~ ,A~ acting hereunder the following powers, applicable to all proper- ~ ty, exercisable without court approval and effective until actual distribution of all property: '~~,.~~; (A) To sell at public or private sale, or to lease, ~., \=~ for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon ~,, such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give -, legally sufficient instruments for transfer of the property and ~`~ to receive the proceeds of any disposition of it. .°~ - (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivi- sion, improvement, zoning or management of real estate and to ~~ ' '` ;_: , - .-, -, ~-, _,. ; ,r impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritar,~ce tax laws. ~~~ (G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, 'to protect or improve any property held under my will, and for investment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. FOURTH: I direct that all inheritance, estate, trans- fer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the principal of my residuary estate. FIFTH: All interests hereunder, whether principal or income, which are undistributed and in the possession of i~he fiduciaries acting hereunder, even though vested or distribut- 2 .~ able, shall not be subject to attachment, execution or sequestra- tion for any debt, contract, obligation or liability of any beneficiary, and furthermore, shall not be subject to pledge, assignment, conveyance or anticipation. SIXTH: I nominate and appoint JAMES A. SHOTSBERGER, Executor of this, my Last Will and Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the said JAMES A. SHOTSBERGER, I nominate and appoint MARY E. 5HOTSBERGER, Executrix of this, my Last Will and Testament. I direct that my Executor or Executrix, as the case may be, and their successors, shall not be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, thisti~~ ~`" day of ~; ~, ~ ; ( SEAL) HILDA M. SHOTSBERGER Signed, sealed, published and declared by the above- named Testatrix as and for her Last Will and Testament in our ~~ presence, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as ;'~ attesting witnesses. Address Address ~~ ~~~. ~.~,~~ ,~: G~ ^r r"~ ~ t...~f 3 ~- ' ~ ~ i<~ ~(. ~~f~'~ 1~ - i ~ ;1 ~`~ ~ ~ ~U~~ -~ k~`~ $: ! 3 OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA E,2 ~ - I ~,~ - .~~ Estate of HILDA M. SHOTSBERGER Deceased James D. Bogar , (each) a subscribing witness to (Print Name/s) the ~ Will Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were present and saw the above Testator /Testatrix. sign the same and that she / he /they signed the same and that she / he /they signed as a witness at the request of the Testator /Testatrix in her 1 his presence and in the presence of each other. (Signature) (Street Address) (City, State, Zip) Executed in ~Zegister's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills One West NI~n Str (Street Address) Shiremanstown, PA 17011 (Gifu, State, Zip) z ~~ Executed out of Register's Office a a J' a N > qp Z N !~- ~ ~ .-y Sworn to or affirmed and subscribed `~ `~ ~" ama ¢ l ~o~w before me this / 5f clay 66. ~ZVLr "4 c~?01 (~ ~ ~ ¢ Z ° ~ . of ~ ~ ~~~~, ~~ r ~°~~ ~ _ L ~ a tuna ~~~ a ~ .~ Notary Public ~ My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Comm ission.) NOTE: To be taken by Officer authorised to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. A ~,~, t ' ~~ ._ A: Form RW-03 rev. 10.13.06 ~~ l: `"" OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA e~~l - ~~ ~ ~~~~~ Estate of Judy I{. Sigler and (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well- acquainted with Hilda M. Shotsber~er and am/are familiar with the handwriting and signature of the decedent, and that the signature of Hilda M. Shotsber~er to the foregoing instrument purporting to be the Last Will and Testament/Codicil of Hilda M. Shotsber~er is in his/her own proper handwriting. `~ (Signat e) 1070 Riverview Road (Street Address) Dauphin, PA 170$ (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before e this day of i~ ~l~ ,-~~~~/~) Form RW-04 rev. 10.13.06 HILDA M. SHOTSBERGER ,Deceased (Signature) (Street Address) (City, State, Zip) n r~-..2 ~ ~ _ -- ,~ -,~ ~ {,.~ , - ..~ ' '~.l (~~ ..i.~ -;- , r _~ i