HomeMy WebLinkAbout07-09-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA
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Estate of Paul H. Shughart File Number ~ ' / ~ ~ ~ ~~
also known as
,Deceased Social Security Number 204-30-8136
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 July 20, 2007 and codicil(s) dated none
(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:
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B. Grant of Letters of Administration ~`} ~
(If applicable, enter: c. t. a.; d.b.n.c.t.a.; pendente liter durante absentia; d~ninoritatef-~ ~'T
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Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following's ~` f anyt}''a'rid heirs (tf-7
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Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) ==~- t
Name Relationshi R `§id` ~.~ '~
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(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
357 McAllister Church_ Road, Carlisle, Cumberland County Pennsylvania 17015
(L~st street address, town/c:ty, township, county, state, zip code)
Decedent, then 85 years of age, died on June 29, 2010 at
357 McAllister Church Road, Carlisle, Cumberland Countv Pennsylvania 17015
Decedent at death owned property with estimated values as follows:
~r ~ . 4f ., ~
(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 $ r 3 ~ ~' ~u
situated as follows:
Wherefore, Petitioners} 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 nature T ed or rinted name and residence
__,,.___. Kathryn M. Huntzinger, 584 treason Road, Carlisle, PA 17015
Form RW-02 rev. 10.13.06 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF Cumberland
The Petitioners} above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to t:he 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
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b re me the C~ day of
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Register
Signature of Ij~rsonal Representative ,/ .,~ ~--j ~'
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Signature of Personal Representative
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Si nature o Personal Re resentative
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File Number: ~ ~" ~ j~
Estate of Paul H. Shughart ,Deceased
Social Security Number: 204-30-8136
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AND NOW,
having been presented ore me,
are hereby granted to athryn M.
Executrix
Date of Death: June 29, 2010
,(~~~~~ , in consideration of the foregoing Petition, satisfactory proof
IS DECREED that Letters testamentary
in the above estate
and that the instrument(s) dated July 20, 2007
described in the Petition be admitted to probate and filed of record y~~the last Will (any Codicils}) ~~ecedent.~ /~"
FEES
Letters ............... $ ~'
Short Certificate(s) ........ $ /
Renunciation(s) ..~ . ~. ... $
.. $
. $ r
~.. ~,~~$
... $
... $
... $
... $
... $
... $ .,
TOTAL .............. $ r .00
Attorney Signature:
Supreme Court I.D. No.: 61974
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Address: Banc Scherer
19 West South Street
Carlisle, Pennsylvania 17013
Telephone: (717) 249-6873
Form RW-02 rev. 10.13.06 Page 2 of 2
Attorney Name; Michael A. Scherer, Esquire
~.OCAL REGISTRAR'S CERTIFICATION OF DEATH
V1I,~RNING: It is illegal to duplicate this copy by photostat or photograph.
I"eE' iO1' [h1S Cii~lil~IrrAlt'. `~(1.(.lil
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~Th(~ i~, tc~ certify (hat tht irrforrnation here given i5
correctly copied {lt~)n an original I-,certificate of~ Ueath
duly Filed ~~~ith ill _ ..~~, Loc~:(I Registrar. 'The original
.°r'rti~f)c.:~te w;ll 17e tc)r4yarded to the State Vital
l~ec{~,rd~ Oil~ice ~~O)~ l~)eril~anent filing.
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i.~~cal RL:,:Tisdrar L7ate~ Issued
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TYPE !PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL, RECORDS
CERTIFICATE OF DEATH
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1. Name d Deeedenl (Fzs4 middle, last, suRtz) ~ 2 Sax 3. Socid Setxnfly Number 4. Date d Death (Month, day, yeah
Paul H. Shu hart M 204 - 30 - 8136 6/29/2010
5. Age (last Birthday) Under i Under i day 6. Date d Birth (Month, day, year) 7. BlAhplaca (Cky srd state or
foreign nrxrlry) . pa, Plea d Deam (Check only one)
1lonau Days Ham larzaea Hoepaek Other.
85 Yrs. 11/26/1924 Carlisle, PA 1]I~6~ ^~/ ^DDA ^NursingHome [~Residenca ^otrler-speafy:
' 6b. county of Death 6c. City, Boro, TWP. of Deam 6d. FadBly Name (tl nd insdltd0rt, glue street and ntxrther) 9. Was Decedent d Fgapenfc Ongin't No ^ Yes 10. Race: Amerieart Irdlan, Bhek, Whke, etc
eland West Pennsboro 'Itap. 357 McAllister Church Rd. ~>< ~et~a (Whit:e
11. Decedents Usual lion rat d work d one most d kle. lb not elate re 12 Wee Aeoedent aver in the 13. Deeederd's Eduatbn (Spedly aNy ltiglreat grade mrtt
l eled) 14
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Cotlegs (1-4 a 5+) .
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, Never Married,
• Divorced (SD~M 15. SurvHing Spouse (II wife, Siva maiden name)
Farmer is awn faun ^Yea QNa 8 Widowed -
16. Decedent's Making Address (Street, city /town, slate, ap code) Decedents
l>e ~ard
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357 McAllister Church Rd. Adrxr Rea>aenoa ne. Sere
nG ®Yea, DeaxiaN lived in West PennsbOro Twp
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TownshfpT 17d ^ No, DacaJeM Lived within
Carlisle, PA 17015 17'h-caemy Cumberland
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18. Father's Name (Fks4 middle, lest, sulOx) 1g. Mdhar's Name (Piro(, mkldla, maiden srallame)
F ed H. Shu hart Ruth - Miller
20a INortnanl'a Name (Type / PrtN)
Huntzinger
Kathryn M 20b. Inlormant'a MOAIng Andreae lS~, eltj /tam, stele, bP code)
. 584 treason Rd., Carlisle, PA 17015
27 e. Method d Disposition ^ Crerrmllon ^ Donegon 21R Dare d DhpaaNon (Month, day, year)
Burial ^ Removal hen Sate 21a Place d (Nona d nmMery, crematory a other piece) 21 d London
lOM / bum, state, xip aafa)
Was Cremation or Donation Authorl>yd-
^ omer•spe~ry. by wedb.iEaminer/Gwonerr ^Yee^No 7/3/2010 Clanberland Valley Manorial Garden Carlisle, PA
na. Signature d Funeral llrmsas'(or z2a Lketae NuMar 220. Name and Addreea d FedNly
- ---. ~ FD 012633 L Dwing Brothers Funeral Hare, Inc., Carlisle, PA 17013
Camplele Hems z3at ony when earteykq
physkcan b rat avakable at time d deem b
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cause d d
em 23x. 7o the l>efl d my krzfwladge m ooasred M the limn aril plan sated (tiigrxkae end Die)
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23c Date ned (Month, day, year)
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hems 24.26 muss be completed a/ parson
who Mcnorxees deem. 24. Time ~ m ~ 25. Da vPraraunnd Dead ~ day, ~ 7
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CAUSE OF OEA (Sea Instyuetions and examples) re Ydervek ~ N: Fir ~,
i Appredrtrs 26.Otd Tobacco Uca Cankitxae b tkamT
item 27. Pan I: Fitter the dwin d evenh - , ktjudea, ar corrglkatbrts - mat dhectly caused the death. DO NOT wirer terminal evade sudl ss cendac artesr
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respiratory artesl, ar venWadeT flWilladon wiltarR altowi the Orel b Dealll but rat rosultlrtq h the tmderrying cause given b Pert 1. ^ Yes ^ Probably
ng etiology. list ardy ore nose an Bath tine. r
IMMEDIATE CAUSE~Fyr disease or r ^ No ^ llNmam
corditkn raking in deatn> _~ e. t S G N E (>'I l C. t/4 2n i o ^.~ Yo r AY-a Y ~ ~ ,,
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Enter UNDERLYWG CAUSE
pied widdn 42 days
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Due W (w es a consequence on:
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^ Unknown tl prsgnad wiWn the past year
30a, Was an ANOpsy 30b. Were Autopsy 1Rrtdrlgs 31. Mean d Deem 32s. Dots d I
(~[ ~ . ~" ~~ 3~' I)escrke Ftow Inh,ry Ocnrred 32c P1eca d In)dy: Hone, Farts, SreeL Factory.
PertonnedT Avakade Prior b Completion ,-~
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d Cause d DnthT L`S ryatural ^ Hamkide Omce BWldrg, etc (Spea7yl
^ Yss ~ ^ Yes ~o ^ AecaleN _ ^ Pendarg IrweaSpaizn 32d Tone d InjraY 32e. tnhaY at Work? 32f. tl Traneporhtion In(ury (Speclly) 32g. Lncatim d Injury (Saee1, city /town, state)
^ Sukide ^ Coukt Nd be Delemrkred ^ Yes ^ 140 ^ Ddver / Operabr ^ 1'aeeenger ^PadnWan
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33x. Certifier (check only one) ~ 330. Slgratrae and Tike d CeAtlfer
• CMiiying Physkren (Ptryslelan earttlykrg aeon d death when aralhar ptryskian lux pnxrorxned dnm and eomplered tlem 23)
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,. PAUL H. SHUGHART ~' ~~~ `-~' ` y ~'
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.~ I, PAUL H. SHUGHART, of Carlisle, Cumberland County, Pennsylvania, being of sound
~, mind, memory and understanding, do hereby make, publish and declare this as and for my
~ Last ~!il! and Testament, hereby revoking a!! other `,r.i;!s and codicils heetcfore made by C. e.
ITEM ONE: I direct the payment of my debts and the expenses of my fast illness and
funeral from m estate as soon after my death as conveniently may be done.
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I own a cemetery lot at Cumberland Memorial Gardens in Carlisle, Pennsylvania and I
desire to be interred in that lot with my wife, EVELYN W. SHUGHART.
1 authorize my personal representative to expend funds from my estate, in such amount
as my personal representative shall consider necessary and desirable for the cost of my
interment.
ITEM TWO: I give, devise and bequeath such of my personal property as may be
listed on a signed and dated memorandum kept with my Will to the persons named thereon,
provided they survive my death. Should such a memorandum not be found with my Will, it
shalt be conclusively presumed that none was prepared, and all of my personal property shall
pass according to the remaining provisions of this Will.
ITEM THREE: I give, devise and bequeath the rest, residue and remainder of my
estate of whatever nature and wherever situate to my daughters, KATHRYN M.
HUNTZINGER, SHIRLEY D. YOUNG, ARLENE R. JENNINGS and PAULA J. GRUMBLING,
in equal shares, per stirpes.
Page 1 of 4
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ITEM FOUR: I direct that no executrix, or other fiduciary named, nominated, or
appointed by this my Last Will and Testament shall be required to post any bond or give any
securit of an t e for an ur ose whatsoever an law or rule of the Court of the
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Commonwealth of Pennsylvania or any other jurisdiction to the contrary notwithstanding. I
direct that the law of the Commonwealth of Pennsylvania shall apply to any interpretation or
application of the validity of this instrument.
ITEM FIVE: Any and all payment or payments of any sum or sums, whether in cash or
~~,~ in kind and whether for principal or income, payable to an heir, or any of them, shall be made
upon the sole receipt of the respective individual to whom the payment is made, and free from
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anticipation, alienation, assignment, attachment, and pledge, and free from control by the
creditors of any such beneficiary.
ITEM SIX: I confer upon my executrix the right to sell or otherwise convert any real
or personal property at public or private sale, at such time or time, in such manner, and for
such price or prices, and on such terms and conditions as my executrix shall determine, and to
execute and deliver good and sufficient conveyances, assignments and transfers of the
ro ert without liabilit of an urchaser for the a lication of an consideration; to borrow
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money and to secure its payment by mortgage of real or personal property, pledge of
investments, or otherwise, without liability on the part of the lenders to see to the application
thereof; to retain any investments at discretion; to invest and reinvest at discretion, without
restriction to so-called "legal investments;" to make distribution in cash or in kind; to allocate
and distribute different kinds or disproportionate shares of property or undivided interests in
property among beneficiaries, in case or in kind, or partly in each; and to do all other acts and
things necessary or appropriate in the management, administration and distribution of my
estate.
Page 2 of 4
ITEM SEVEN: I appoint my daughter, KATHRYN M. HUNTZINGER, executrix of this
my Last Will and Testament. Should my said Executor fail to survive me or for any reason fail
to qualify as executrix, I then appoint my daughter, SHIRLEY D. YOUNG, alternate executrix
of this my Last Will and Testament.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will
and Testament, consisting of four (4) typewritten pages, the first two (2) of which bear my
signature in the margin for the purpose of identification, this 20th day of July, 2007.
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~~, ~,--~~~ "' ~~-_~ (SEAL)
Paul H. ughart
Signed, sealed, published and declared by the above named testator, Paul H.
Shughart, as and for his Last Will and Testament, in the presence of us, who, at his request, in
his sight and presence, and in the sight and presence of each other, have hereunto
subscribed our names as witnesses.
WITNESS:
Michael .Scher r
563 Mountain Road
Boiling Springs, Pennsylvania 17007-9520
Andrea M. Barrick
236 North Baltimore Avenue, Apt. 4
Mt. Holly Springs, Pennsylvania 17065
Page 3 of 4
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
We, Pauf H. Shughart, Michael A. Scherer and Andrea M. Barrick, the testator and the
witnesses, respectively, whose names are signed to the attached or foregoing instrument,
being first duly sworn, do hereby declare to the undersigned authority that the testator signed
and executed the instrument of his Last Will and Testament, and that he signed willingly and
that he executed as his free and voluntary act for the purposes therein expressed, and that
each of the witnesses, in the presence and hearing of the testator, signed the Will as
witnesses, and that to the best of their knowledge, the testator was at the time eighteen (18)
years of age or older, of sound mind and under no constraint or undue influence.
Sworn to and subscribed before me this 20th day of July, 2007.
...
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COMMONINEAL~1`~i OF PENl~lSYLVANIA
Nutsri~l gal
Amanda ~., fisher, Natary Public
Carlisle E3orv, Cun7t;~r~rland County
My Gommissipn Fx~ires Apr. 1 ~, 2010
Member, ~~r~n~ylv~rtl~ As~~cl~tluri ~t N~t~ri~~k
Page 4 of 4