HomeMy WebLinkAbout08-13-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of ERMA JANE OMAN
also known as
Deceased
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File Number ~~ ~ " ~~ `" ~~M~~' J
Social Security Number 201-16-5425
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 EXECUTOR
last Will of the Decedent dated JANUARY 11, 2000 and codicil(s) dated JUNE 28, 2010
(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 fife; durante absentia; durante minoritateJ
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following sp6tLse (if any) aneirs: (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.) ~--,~ ~~;~ ~•' ,
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Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at
207_S. 15TH STREET, CAMP HILL BOROUGH, PA 17011
(List street address, townfcity. township, county, state, zip code)
Decedent, then 87 years of age, died on AUGUST 8, 2010 at HOLY SPIRIT HOSPITAL, EAST PENNSBORO TWP.
CUMBERLAND COUNTY, PA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 11,500.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 140,000.00
situated as follows: 207 S. l STH STREET, CAMP HILL BOROUGH, CUMBERLAND COUNTY, PA 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:
Si nature T ed or rinted name and residence
• '~~ C ~ ~^~1 R• STEPHEN OMAN
80 LUCY AVE
HUMMELSTOWN, PA 17036
named in the
Form RW-02 rev. 10.13.06 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVAMA
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 Petitioners} and that, as personal representative(s) ofthe Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
, Signature of Personal Representative
:~efore me the _ ~
? day of ~ ---
1 ~LJ~ ~" .; ; ~ ~ ~ y Ll ~~.~ Signature of Personal Representative -:~ -r? ~ ~
For the Registe Signature of Personal Representative ' • "` ~~}
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Estate of ERMA JANE OMAN ,Deceased
Social Security Number: 201-16-5425
Date of Death: AUGUST 8, 2010
AND NOW, E jt~ ~~ ' ~ ~ , ~:;~~` ~~,~ , in consideration of the foregoing Petition, satisfactory proof
having been presented be re me, IT IS DECREED that Letters TESTAMENTARY
are hereby granted to R. STEPHEN OMAN
and that the instrument(s) dated JANUARY 11, 2000 and JUNE 28, 2010
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES ," ~; t '~ ~ ,, , _,r ~ ~'~~~~ ~' 7~~ l~' r i~/"'
~ ` 5 d ` 'Register of Wills ~>, ~ ~'' ~~ /9~ ~~ ~~/~~
Letters ............... $ ~ 1, ~.-., ~--• , -7 ~ / ~r f
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Short Certificate(s) ........ $ ~ • ~'~, Attorney Signature: v ,. it.we, ~.- 'fi't- ""
Renunciation(s) ......
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... $
...$l.~ LCD
... $
... $
... $
... $
... $
TOTAL .............. $~~~ ~ ~"-'C1~9:90
Attorney Name: Thomas E. Flower
Supreme Court I.D. No.: 83993
Address: Flower Law, LLC
10 W. High Street
Carlisle, PA 17013
Telephone: (717) 243-5513
Form RW-02 rev. 10.13.06 Page 2 Of 2 ~ `~ ~"~~
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in the above estate
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
iSee Instructions and examples on reverse) CTATF FII F NI IWRFR
1. Name o1 Decedent (first, middle, last, suffix) 2. Sex 3. Sortial Security Number 4. Date of Death (Month, day, year)
EL~na J. Oman Fecal - -
5. Age (Last Birthday) Under 1 ar Under 1 da 6. Date of Birth Month, da r 7. Bt and state or t cou 8a. Place of Death Check on one
Hospital: Other.
Months Days Hours Minutes
(~
87 vr~. Se tember 7 722 Inpatient ^ ER /Outpatient ^ DOA ^ Nursing Home ^ Residence ^ Other - Spcuity:
Bb. County of Death 6c. Ciiy, Borc, 7wp. of Death 6d. Fadlity Name (If not instlhfion, give street and number) 9. Was Decedent of Hispanic Origin? No ^ Yes t 0. Race: Amedcan Indan, Black, WhRe, etc.
e (If yes, specify Cuban, (Specil)q
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. Oumberland ~' . PennSbOrO can, e
exican,
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c.)
Hol S lrlt HOS ltal
11. Decedent's Usual tan Klnd of work d one duri most of world IAe. Do not state retired 12. Was Decedent ever in the 13. Decedents Education (Specify only highest grade completed) 14. Marital Status: Martied, Never Married, t5. Surviving Spouse (It wile, give maiden name)
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Kind of Work Kind of Business/Industry U.S. Amled Forces? Elementflry I Secondary (0-12) College (1-0 or 5+) Widowed,
vorce
(
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ist Cn~monwealth of P ^ Yea No Widowed
~ 18. Decedents Mailing Address (Street, city /town, state, zip code) Decedents Penns lvania Did Decedent
y Live in a 17c
Decedent Lived in Twp
^ Yes
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207 South 15th St . .
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,
es
ence 17a.
tate
cwa
~~^r +`~ Township?
Decedent
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~ivedwithin ~,$([]~) Hill
Counry ~.A~11l.JCilt~ltll 17d.~No
17b
Hill PA 17011 a
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CitylBoro
18. father's Name (First, middle, last, suffix) 19. MoMlei's Name (First, mfddo, maiden surname)
John P. Nelson Jeane e
20a. InfornanYs Name (Type /Print) 20b. Informant's Mailktg Address (Sheet, sty 1 town, state, zip code)
Robert Stephen Oman 80 Iuc Ave. Hummelstown PA 17036
21 e. McMod of Disposition i ~ Cremation ^ Donation 21 b. Date of Disposition (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory or other place) 21 d. Location (City /town, state, zip code)
• i
^ Burial ^ Removal from State i Wsa Crcrostbn or Donation Authorized ^
^ fir, i by Medleal Examiner/ Yes No p
00.11-2010
CAJ 111 er ~CelDatlOn ~L v i~:e t"tt . 17v11 r • $
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22a. are Funeral
22b. License Number
22a Neme end Address of Facility Myers-Hero
r Funera Home
014819
Compote kerns 23a-c Doty when certifying 23a. To the best of my knowledge, death occurred at the tlme, date and place stated. (Signature end tltie) 23b. License Number 23c. Date Signed (Month, day, year)
physican is not available at time of death to
certify cause of death.
~ toms 24-26 must be computed by person 24. Time of Death ///~ 25. Date Pronolxtced Dead (Month, day, year) 26. Was Case Referred to Medical Examiner /Coroner far a Reason Other than Cremation or Donation?
^
^
~ wta pronouiwea death. ~ ~ 5 / a M• /"^/ t,(~ V S'7^ b,` . .~ () / ~ No
Yes
CAUSE OF DEATH (See Instructions and exampbs) i Approximate Interval:
ent
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OT Pert II: Enter other sicnificant conditions contributirtq to death.
cause
Nen in Pan 1
In the underl
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twt not resultin 26. Did Tobacco Use Contribute to Death?
^ Y
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b
bl
ac an
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na
even
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as cer
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enter term
N
Item 27. Part I: Enter the chain of events - diseases, Injuries, or wmWicatlons • that drectty caused rite death. D
respiratory anent, or vemrfcular flbrtgatbn wilhaA showing the etbbgy. List only one cause on each rare. i
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^ No ^ Unknown
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IMMEDIATE CAUSE (Final dsease or v Yy ,.j a- y y ~
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~ 29. N Female:
Y
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condition resulting m ath) _~ a
/ i ^ Not
nant within
ast
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Due to (or as a consequence of): ~i ~ /~ ~~ 1^~ ~G ~~i¢vJ
m lot condlhons, if ~~ b
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^ Pregnant at time of death
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to the cause fisted on line a. Not pregnant, but pregnant within 42 days
pus to or as a tonne uence of r
Enter UNDERLYING CAUSE ( q )
of death
(dreease or injury that initiated the c
s to 1
ear
nt
re
nant 43 da
^ Not
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t
events resulting m death) LAST. i ,
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pregna
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Due to (or as a consequence of): r
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d before death
~ Unknown 8 pregnant within the past year
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30a. Was en Autopsy 30b. Were Autopsy Fmdbgs 31. Manner of Death 32a. Date of Injury (Month, day, year) 32b. Describe flow Inury Occurred 32c. Puce of Injury: Home, Farts, Street, Factory,
Office Building, etc. (SpecilyJ
Performed? Available Prbr to Compution
o} Cause of Death? p~
YfJ Natural ^ Homfdde
^ Acddent ^ Pendng Inveatlgation 32d. Time of Injury 32e. Irqury at Work'1 32f. If Trenaportation Injury (Specify) 32g. Location of injury (Stree6 city 1 town, state)
^ Yes [~No ^ Yes ^ No
^ Ye
^ No ^ Driver/Operator ^ Passenger ^ Pedestrian
^ Suidde ^ Couk1 Not be Deurtnined M s Other - SpecHy
33a. CertlAer (check only one) 33b. Signature and Title d Certlfler
CenMying phyakon (Physician certHying cause of death when another physician has pronoixiced death and completed Item 23) ^
- - - - - - - - - - - - - - -
-
death oceunad dw to tM cause(s) arM manr+ar as stated
bwwod
To the beat o1 m
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, 33c. License Nixi~er 33d. Date Signed (Month, day, Year)
• Pronouncing and tanMying phyabon (Physiden both pronourxang death and certNykg to cause of death)
To the beet of my knowledge, death occurred at the rime, date, end place, end due to the auee(a) sod manner a stated _ _ _ _ _ ^ _ _ _ _ _ _ _ _ _ _ _ _ ~ / ~ !~ L~ 3 l ~ { 3 n 8~ J ~°
• Medcal Exantlner/Cororbr
On the boats of examinsdon end 1 or irrveatlgatbn, In my opinion, daelh oceurrsd et the time, date, end pace, end due to the cease(s) end manner ss etaterL ^
34. Name and Address of Person Who Completed Cause of Death (Item 27) Type /Print
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35. R ~ re / /
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Disposition Permit No. ll~Fg2g9~
LAST WILL AND TESTAMENT
OF
ERMA JANE OMAN
I, ERMA JANE OMAN of the Boroug'r~ of Camp Hill, Cumberland
County, Pennsylvania, declare this to be my Last Will and
Testament, hereby revoking any will previously made by me.
I. I direct the payment of all my just debts and funeral
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expenses out of my estate as soon as may be practical after_ my
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``~ II. I devise all of my estate of whatever nature and
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~'~'"wherever situation unto my son, R. Stephen Oman or if he is
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~'daceased to my granddaughter Susan D. Oman.
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IV. I appoint my son, R. Stephen Oman, Executor of t~.~is, my
SAIDIS,
SNUFF &
MASLAND
ATTORNEYS•AT•I.AW
2109 Market Street
Camp Hill, PA
Last Will and Testament. Should my said son fail to qualify or
cease to act as such, then I appoint my granddaughter, Susan D.
Oman. Should both my son and granddaughter fail to qualify or
cease to act as such then I appoint Allfirst Bank, Harrisburg, PA
as Executor. None of my personal representatives shall be
required to post bond in this or any jurisdiction.
this , the /"/ day o f ~ ~-}~-9-9 , .~, Cam" ~~ l?
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IN WITNESS WH REOF, I have hereunto set my hand and seal on
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SAIDIS,
SHUFF &
MASLAND
ATTORNEYS•AT•IAW
2109 Market Street
Camp Hill, PA
Signed, sealed, published and declared by Erma Jane Oman therein
named, on this and two (2) other sheets of paper as and for her
Last Will and Testament, in our presence, who, in her presence,
at her request, and in the presence of each other, have hereunto
subscribed our names as attesting witnesses.
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Addre s
COMMONWEALTH OF PENNSYLVANIA }
SAIDIS,
SHUFF &
MASLAND
ATTORNEYS•AT•LAW
2109 Market Street
Camp Hill, PA
COUNTY OF CUMBERLAND
WE, the undersigned, the testatrix and the witnesses,
respectively, whose names are signed to the foregoing instrument,
being first duly sworn, do hereby declare to the undersigned
authority that the testatrix signed and executed the instrument
as her Last Will and Testament and that she signed willingly (or
willingly directed another to sign for her), and that she
executed it as her free will and voluntary act for the purposes
therein expressed, and that each of the witnesses, in the
presence and hearing of the testatrix signed the will as
witnesses and that to the best of their knowledge the testatrix
tn1~aS at that ~1mP Pi C7}-?-tnF'P c~ry~rc ^i ?rc .fir l ~~e ~ c: ~„-,.-3 .~
and under no constrain or undue influ nce.
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~Er Jane man, Testatrix
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Witness
Witness
Subscribed, sworn to and acknowledged before me by the
testatrix, and subscribed and sworn t,Q before me by both 200
witnesses, this I ('~h day of ,J~~~~ ~-g-~g ,
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, 1
otary Public
NOTARIAL SEAL
KAREN S. N(JEL, Notary Public
Camp Hill fora, Cumberland County
M Commission Expires Dec. 8, 2003
CODICIL
OF
ERMA JANE OMAN
I, ERMA JANE OMAN, the within named Testatrix, do hereby make and publish this
Codicil of my Last Will and Testament of 1999.
FIRST
I hereby amend Paragraph II. of my said Will to provide as follows: I devise and
bequeath all of my estate of whatever nature and wherever situated unto my son, R. Stephen
Oman or if he fails to survive me, then to his wife, Paula Oman. If both son and daughter-in-
law should fail to survive me, then to my granddaughter Susan D. Oman.
SECOND
In all other respects I hereby ratify. confirm and republish my Last Will executed by
me in the year 1999, together with this sole Codicil as and for my Last Will.
IN WITNESS WHEREOF, I, ERMA JANE OMAN, have hereunto set my hand and
seal to this Codicil to my Last Will and Testament this ~ ~ day of June, 2010.
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Signed, sealed, published and declared by the above-named Testatrix, as and. for a Codicil to
her Last Will and Testament in the presence of us, who have hereunto subscribed our names
at his request as witnesses, thereto, in the presence of said Testatrix and of each other.
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"• ~~-~~~ ~ ADDRESS ~ G' E ~ ~ C ! S!.
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M-. ADDRESS tv ~ - •
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
We, ERIVIA JANE OMAN, Thomas E. Flower, and ~ Ua VI VI ~~.~(`s
the Testatrix and witnesses, respectively whose names are signed to the foregoing or attached
instrument, being first duly sworn, do hereby declare to the undersigned authority that the
Testatrix signed and executed the instrument as her Codicil and that she signed willingly and
that she executed as her free and voluntary act for the purposes therein expressed, and that
each of the witnesses, in the presence and hearing of the Testatrix signed the Codicil as
witness and that to the best of their knowledge the Testatrix was at the time 18 or more years
of age, of sound mind and under no constraint or undue influenc .
~~
ERMA J E OMAN
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Witness
Commonwealth of Pennsylvania ) SS.
County of Cumberland )
~Jn this, the ~~ ~ day of ~~,( 2010, before me,
Yti3 ~A~$t9~ ,~', ~~-~~-L~ ,the undersigned facer, personally appeared Thomas E. Flower,
Id. #83993, known to me or satisfactorily proven to be a member of the bar of the highest
court of Pennsylvania, and certified that he was personally present when the foregoing
acknowledgment and affidavit were signed by the testatrix and witnesses.
I have signed my name and affixed my seal.
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Notary
A T PnbNc
BARBARA & STEEL, Nota~rY
Cazlisk Baroy ~~~ ' PA
My Commission E Tres June ?, 2011