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Home My WebLink About07-16-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of James D . Wood also known as COUNTY, PENNSYLVANIA File Number (~/ '~ ~~ Deceased Social Security Number 467-13-476 ~' 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 / ale the R 1 Ck BO 1 d0 S S er named in the last Will of the Decedent dated 11 / 12 / 2 0 O l and codicil(s) dated N/A (State relevant circumstances, e.g., renunciation, death orexecutor, 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: ri O e X C e p t 1 O n S B. Grant of Letters of Administration (Ijapplicable, enter: c. t. a.; d.b.n.c.t.a.; pendente life; durance 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.) Name Relationshi Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Cumberland 2903 Decedent was domiciled at death in County, Pennsylvania with his /her last principal residence at Society Hill Dr., p , amp Hill, Lower Allen Twp., Cumber an (List street address, town/city, township, county, state, zip code) County , PA 17 011 . Decedent, then 5 3 years of age, died on 6/ 3 0/ 2 010 at 2 9 0 3 S o e i e t y H i 11 D r., Apt . 3 0 5 Camp Hill, PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 5 0 , O O O . O O (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: Si nature T ed or rioted name and residence Rick Boldosser r~ 912 Derb shire Ave. Mechanicsbur PA 17055 RI?CORDED OFFICE OF Form RW-02 rev. 10.73.06 ~~'UI~~'R ~F L~'II~L•~ Page 1 of 2 2010 JULY 16 CLERK. OF ORPH~-DNS' COtTRT CL?`IBERL~~ND CO., P.~ 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 affirmed and subscribed re me the ~~ day of ;~ Ard p r ,. _ ,r.~l~ Signature of Personal Representative K 1 C K ti lJ l a O S S e r Signature of Personal Representative Register Signature of Personal Representative File Number: ~~ ~ /~ ~ ~ ~~~ Estate of James D . wood ,Deceased Social Sec umber: 4 6 7 -13 - 4 7 6~ Date of Death: 6 / 3 0 / 2 010 ,/~ , AND NOW, L'''am ( 2 0l 0 , in consideration of the foregoing Petition, satisfactory proof having been presented fore rt2y~e, T IS D CREED that Letters Testamentary are hereby granted to R I C K B o l ~O s s e r in the above estate and that the instrument(s) dated November 12 , 2 0 O l described in the Petition be admitted to probate and filed of reco ,the last Will (nd Codicil(s}} cedent. .~ ~ '~,~ FEES ~y \ Regis r Wilts Letters ............... $ ? s • t ~ i~•~ Short Certificate(s) ........ $ - ~' Attorney Signature: ~ , Renunciation(s) ... ti.. .. $ Marlin R . McCa l eb ~' $ ~ Attorney Name: t ~ 06353 • • $ ~ ` Supreme Court LD. No.: /~ .~ ~tZ.3 • $ ~.> ' 219 East Main Street ~~~ $ Address: $ Mechanicsburg, PA 17055 ... $ ... $ • ~ ~ $ Telephone: (717) 6 91- 7 ? 7 0 ... $ ~ i TOTAL .............. $ c 0.00 Form RW-02 rev. 10.13.06 RECORDED OFFICE OF RI?GIST'ER OF ~~~ILLS 2010 JULY 16 CI,ERIL OF ORPH_1NS' COURT CU~IBERL;~ND CO., P~~ 'age 2 of 2 , P n , "'~ +, r F e (i~ ("~ ~ x ~ R ~ i i , . ,) ~ ~ ". ' it : _ ! ~ ~./ l { ..,t ~ w~•, yy,, ° a R ~ &~ (:~,~ ~ ~'"' '' ,. t~~~ ,~ ,,, ,r , ~• ,, ,. .. .~, ,; (( ,. ,:~ ,; !' +: I,p t ~(t~i'ih't!(~t~il 4t~l~i' ~l'~;_')1 lti tv (~. , - t r ~~ .~ ~~,~-~_ Ii' `: t. , ~ i. , t) t,r~~ i(~~ta t"l:rtiiit htic' f7f 4_~ca!h .ta . ' tip; - ai ,t - ~,(xt`)7 31jc~'1'~il;ll. fiic: tt991_')I}li~~ ,~.~. ~ .'.R d' Y .. t~til.-~d '.).t ~P fl~i. ~~tl{t.' ~)L(~~ .~ ~~a ,~ P ~. ~ ~ ` ~ ~i ~ ~. r ~' .~ _ _ ; ~ ~ „4 1 y .~le~ ##'3- S',~,~~/~ b~ 41'67 /'3-~7L~ 1~ ~ f ~ 5 r`4K. RF.CORL)ED OFFICE OF RICTIS'I'ER OF FILLS 2010 JULY 16 ChERh: OF ORPFI~-~~S' COURT CUti~IBERL AND CO., :P 1.144 REV 11/2006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS YPE !PRINT IN PBE~R-~"NKT ~~32-293 CORONER'S CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE NUMBER t. Name d l)ecedem (RrsL middle, last, suffix) 2. Sex 3. Social Security Number 4. Date d Deam (Monet, day, year) James Davis Wood Male 467 _ 13 _ 4760 June 30, 2010 5. Age (last Birttday) Under 1 year l)rder 1 day 6. Date d BiM (Monet, de , r) 7. Birthplace (City and state a br eign country) Ba. Place of Death (Check only one) 5 3 ~'~ ~YS ~~ ~~ Oct . 11 19 5 6 HdSpaac aner Yrs. , Lubbock, TX ^ Inpatient ^ ER ! Outpatlent ^ DOA ^ Nursing Home Residence ^Other - Speafy: t)b. Counry of Deem 6c. Ciry. Bao Twp. Death Bd. Faafiry Name (H rat institrrtiort, gHe sheet ant rxrmber) 9. Was Decadent of HLgpanic Origin? ~ No ^ Yes 70. Race: American Indian. Black, White, etc. Cumberland Lower Allen 2903 Societ Hill Drive y (Hyea,spedfycuban. (specry Mexican, Puerto Rican, etc.) Whl to 11. Decedents Usual ibn Kind of work done d uri most d Nfe. Do not state retired 12. Was Decederx ever in the 13. Decedent's Education (Specity mty hghest grade comp leted) t 4. Marital Status: Monied, Never Married, 15. Surviving Spo use III wrfe, give maiden name) Knd of Work Kind d Busness /industry U.S. Armed Forces? Elementary /Secondary (0-12) Cdlege (1-0 or 5+) Widowed, Orvart;ed (Speafyt ~~-Y ~ 1 ~~ ^Y~ ®~ 4 Never Married 16. Decedent's Meiling Address (Sheet city /town, state, zip code) 2903 Society Hill Drive Apt. 305 Decedents Penn$ lvania D BD aedent )S,~, ActualResdence ,7a.Sate Y ,7c.~lvee,Decedenilivedm Lower Allen T„~. ~ Camp Hill PA 17011 TownaMp ,7b.County Cumberland 17d"^ a'ned""m'" , C lBao ~v i6. Father's Name (First, ntidde, last, suNuc) ig. fNOthe(s Name (First, mddle, maiden staname) William C. wood JoAnn Mavis 20a. InfomtanYS Name (Type / Prinq 20b. Informants Ma' Address Street. ~1n9 ( city / tovm, state. Zip code) JoAnn Wood 9 As nt TX 79502 27 a. Matted d Disposition [~ Cremation ^ Donation 21 b. Date d Disposition (Monet, day, year) 21 c. Place d Disposition (Name d cemetery, crematory a other place) 21d. Location (City i town, state, zip code) Burial [~ Rertwval trait State Wa Cratatbn ar Donatiat Authorized ^ it - ! by Medial Ezamktar / cdron.r7 ^ Yes ^ Nd Jul 5 2 010 AS rmont Cemet AS rmont TX 22a 5 of F (a person acting as such) 22b. Ucense Number 22c. Name and Address of FadNty g Mar'k~t Plaza W y - FD - 014889 Malpezzi Funeral Home Mechallicsb P~ 17055 e s 2 ty when cef0i ' 23a. To the best d my knowledge, deem occurred at the time, date and place staled. (Sgnature and title) 23b. License Number 23c. Date Signed (Monet, day, year) ph is rata 'lede at time d de to certity cause of deem. Items 24-26 rtxut be completed by person 24. Time of Deem 25. Date Protaunced Dead IMonm, day, year) 26. Was Case Referred to Medical Examiner /Coroner for a Reason Other than Cremator or Donator? who pronouncesdeam. Aprx. 2:00 A. M. June 30, 2010 Yes ^No CAUSE OF DEATH (See Instructions and examples) r Approximate interval: Part Il: Enter other 26. Did Tobacco Use Contribute to Deem? tram 27. Part I: Enter die dtakt of everm -diseases, injuries, or crornpicatioru -mat directly caused trte deem. DO NOT enter terminal evems such as prdiac arrest, r Onset to Deam Dot rat resulting in the undertyng cause given in Part I. [~ Yes ~ Probably respiratory anesl a ventricular fibigation without showing the etiology. List oNy are cause on each kite. r r IMMEDIATE CAUSE F l di ^ No [] Unknown ina sease or Cori estive Heart Failure conddion resulting a ~am) g Britt 1 e IDDM 29. If Female: r _~ a ^ Due to (a as a consequence of): ~ Not pregnant vnmin past Year SequantittNy lest cadRions, it any, b ~ le b the cause 65ted on line a ^ Pregnad at time of deem . Due to or as a Emer UNDERLYING CAUSE ( consequence ot): ~ ^ Not pregnant, txA pregnant wiavn 42 days (disease a injury that inhiated the c r eveng resulting to deem) LAST. r d Beam Due to (a as a consequence of): r ^ Na pregnant, but pregnant 43 days to 7 year d. ~ before Beam ^ Unknown N pregnant witlvn the past year 30a. Was an Autopsy Pertorrned? 30b. Were Autopsy Findings Avadede Pria to Com letbn 31. Mannar d Death ~ 32s. pate d Injury (Mash, day, year) 32b. Describe Flow M)ury Occurred 32c. Plece d Irtpxy: Fldnte, Fann, Street Factory, OMi S p , y~ f9l Natural ^ Fiorrrtctde ce Building, etc ( peciryJ of Cause of OeatM ^ Yes ~ No ^ Yes ^ No ^ Accident ^ Pending Investigation 32d. Time d Injury 32e. Injury at Work? 32f. tl Transportation Injury lSP~YI 32g. Location d Injury (Street, city /town, state) ^ Suicide [] Could Nd be Determined ^ Yes ^ No ^ Driver /Operates ^ Passenger [] P M Omer - SpecAY: 33a. Certfier (check only one) 33b. S' tore and Tdl ~ • Certlfying phystdan (Physician certifying puce d Beam when andher physician has pronouraed deem and corrpbted item 23) •-•~Ce r one r To the best of my knowledge. death occurred due to tfte pose(s) and manner as staled_ ^ _ _ _ _ _ _ _ „ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ - • Pronouncing and ertifying physkian (Physkan both praaurxang deem and pnilykg ro cause d death) To the bed of m knowld d m d th ^ 33c. Lcense Nurser 33d. Date Signed (Monet, day, Year) . y ge, a octune d e time, date, and pkee, and due to the cause(s) and marurr as atatsd_ _ -' _ ^ _ _ ^ _ _ _ _ _ _ _ _ _ • Medical Examiner /coroner July 1 2 010 On the basis of examination and I a investigdbn, in my opinion, deem occurred at me time, date, and pha, ad dos to ma ease(s) and manner ae stdad_~ , ~. N~~~~~ Pa~ ~ d Dsam (I~m 271eyQe /Print l 0 i ' D ll 36. is signature and District Number ) I ~ I ~ I ~ I I - / ~~ ate Filed (MOruh, day, year) ' u, i t ~~rl e 6 3 7 5 Ba s e h o r e Rd . , S I / o f ~J 1 p U Mechanicsburg, Pa. 17050 ~ ~ - Disposition Permit No. n479743 LAST GVILL AND TESTAMENT DF JAMES D. WDDD I, James D. Wood, of Camp Hill, Pennsylvania, revoke my former Wills and Codicils and declare this to be my Last Will and Testament. ARTICLE I PAYMENT OF DEBTS AND EXPENSES I direct that my just debts, funeral expenses and expenses of last illness be first paid from my estate. ARTICLE II DISPOSITION OF PROPERTY A. Specific Betluests. I direct that the following specific bequests be made from my estate. 1. All my non-fiction books on military history and military simulations shall be offered for distribution to the US Army War College, Carlisle. Any remaining materials shall be distributed to Rick Boldosser. If this beneficiary does not survive me, this bequest shall be distributed with my residuary estate. 2. All my religious books, videos and property shall be offered first for distribution to Judith Solensky. Any remaining materials shall then be offered for distribution to Mr. Rick Boldosser. Any remaining materials after this shall be offered to St. Theresa of the Infant Jesus Church, New Cumberland, PA. Any remaining materials shall be distribute to Rick Boldosser. If this beneficiary does not survive me, this bequest shall be distributed with my residuary estate. 3. My remaining tangible personal property shall be distributed to Rick Boldosser. If this beneficiary does not survive me, this bequest shall be distributed with my ~, o residuary estate. ~ v ~ .~ ~ o B. Residuary Estate. I direct that my residuary estate be distributed to the following o o ,,~',~ ~ o Q beneficiaries in the percentages as shown: Q x ~, v ~~~a~~ N ~ 50.00% to Food for the Poor, INC., 550 SW 12th Ave, Deerfield Beach, FLonda. If ~ o ~ this person does not survive me, this share shall be distributed proportionately to the ~ ~ ~ other distributee(s) listed under this provision. V 1 of 6 20.00% to Mrs. Joan Davis Wood, 2507 38th Street, Lubbock, TX. If this person does not survive me, this share shall be distributed proportionately to the other distributee(s) listed under this provision. 10.00% to Judith Solensky, 81 West Vine Street, Shiremanstown, PA. If this person does not survive me, this share shall be distributed proportionately to the other distributee(s) listed under this provision. 10.00% to St. Theresa of the Infant Jesus Church, 1300 Bridge Street, New Cumberland, PA. If this person does not survive me, this share shall be distributed proportionately to the other distributee(s) listed under this provision. 5.00% to Mr. and Mrs. Rick Boldosser, PO Box 242, Loysville, PA. If this person does not survive me, this share shall be distributed proportionately to the other distributee(s) listed under this provision. 5.00% to Mr. Michael Ortega, 123 Mossy Dale Lane, Albany, GA. If this person does not survive me, this share shall be distributed proportionately to the other distributee(s) listed under this provision. 100.00 - .Percent Total ARTICLE III NOMINATION OF EXECUTOR I nominate Rick Boldosser, of PO Box 242, Loysville, PA, as the Executor, without bond or security. If such person or entity does not serve for any reason, I nominate Mrs. Edyth Moran, 1075 Lancaster Blvd, #S, of Mechanicsburg, PA, to be the Executor, without bond or security. ARTICLE IV EXECUTOR POWERS My Executor, in addition to other powers and authority granted by law or necessary or appropriate for proper administration, shall have the right and power to lease, sell, mortgage, or otherwise encumber any real or personal property that may be included in my estate, without order of court and without notice to anyone. My Executor shall have the right to administer my estate using "informal", "unsupervised", or "independent" probate or equivalent legislation designed to operate without unnecessary intervention by the probate court. 2 of 6 ARTICLE V MISCELLANEOUS PROVISIONS A. Paragraph Titles and Gender. The titles given to the paragraphs of this Will are inserted for reference purposes only and are not to be considered as forming a part of this Will in interpreting its provisions. All words used in this Will in any gender shall extend to and include all genders, and any singular words shall include the plural expression, and vice versa, when the context or facts so require, and any pronouns shall be taken to refer to the person or persons intended regardless of gender or number. B. ThirtX Day survival Requirement. For the purposes of determining the appropriate distributions under this Will, no person or organization shall be deemed to have survived me unless such person or entity is also surviving on the thirtieth day after the date of my death. C. Liability of Fiduciar.,y. No fiduciary who is a natural person shall, in the absence of fraudulent conduct or bad faith, be liable individually to any beneficiary of my estate, and my estate shall indemnify such natural person from any and all claims or expenses in connection with or arising out of that fiduciary's good faith actions or nonactions as the fiduciary, except for such actions or nonactions which constitute fraudulent conduct or bad faith. D. No Spouse. I am not currently married to anyone. E. No Children. I do not have any children at the time of the signing of this Will. F. Beneficiarv Disputes. If any bequest requires that the bequest be distributed between or among two or more beneficiaries, the specific items of property comprising the respective shares shall be determined by such beneficiaries if they can agree, and if not, by my Executor. IN WITNE S WHEREOF, I have subscribed my name below, this ~!~~day of J1~ov~-, w~ , ~D~J Testator Signature: es D. Wood We, the undersigned, hereby certify that the above instrument, which consists of pages, including the page(s) which contain the witness signatures, was signed in our sight and presence by James D. Wood (the "Testator"), who declared this instrument to be hislher Last Will and Testament and we, at the Testator's request and in the Testator's sight and presence, and in the sight and presence of each other, do hereby subscribe our 3 of 6 names as witnesses on the date shown above. .--, ,~~ ~ ,~- ~~-- Witness Si nature. g ~ ~~. Name: ~=/ S.~c' ~ ir-1 U ~/~~ City: ~1 ~ ~i~~v rc5.~~~ State: ~~U,y Witness Signature: ~'~ Name: ~~,~,~-~ .13 /~ ~ ~3- ~ C1ty: ,U1 L~~-f-f-14 tV/c--~,~3~,~ State: ~,~}- 4 of 6 PENNSYLVANIA Self-Proving Clause C(JMMONVVEALTH OF PENNSYLVANIA COUNTY OF CUIVIl3ERLAND I, James D. Wood, the Testator 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 willingly and as my free and voluntary act for the purposes expressed in the instrument. Swo to or affirme and ac nowledged before me by James D. Wood, the Testator, this ~~ day of ~h/t~,. ~.db 1. Testator Signature ames D. Wood S' ature of officer 1~4(JTARIAL SEAL PubCtc Official capacity of o cer~amp l-6gll, Cumberland County My Commi~~lon Explre~ ,lone 6, 2005 (Seal} 5 of 6 AFFIDAVIT COMMOrTWEALTH OF PENNSYLVANIA COUNTY OF CL~MI3ERLAND / ~' We '~ and '~ 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 the Testator sign and execute the instrument as the Testator's Last Will; that the Testator signed willingly and executed it as the Testator's free and voluntary act for the purposes expressed in it; that each of us in the hearing and sight of the Testator signed the Will as a witness; and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sw to or affirmed and subscribed to before me by /~ ~ s c c. c. ,~C~ /~/~•~~~(.~ and ~_..DyT~/ 13 ~~ l~/~- ,witnesses, this _1! ___2--day of ~~~ 'Witness Si nature: - ~~~ ~~~ g Name: /`~"~ S5 ~ ~U ~ /~'`C>.~?~~..~ City: ~Gt'~~i~tC:s Ll,~'C-~ State: Witness Signature: Name: L~ ~ t ~ ~ 1'U~ d x= f~- ~ City: .~,~ ~-;fi-~Vtc~A~/~ State: ~~" Si tune C` NCTAi~IAL SEAL JAf~AES E. GREEN, Notary Camp 0-liil, Cumberland County '~~' . 6, 2005 Seal and o icia capaci v o o ices 6 of 6