HomeMy WebLinkAbout08-20-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Earl C. Walters Sr. File Number 21 - I(~'} ~- ~'
also known as 172 Animal Drive, Miles Township, Centre County,
Pennsylvania ,Deceased Social Security Number 202-20-4520
Arlene M. Walters
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 06/26/1987 and codicil(s) dated
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
app ica e, en er: c..a.; .n.c..a.; pe en e i e; uran e a sen ia; uran a 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 heirs: (If
Administration, c. t. a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list ofheirs.)
Name Relationship Residence
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(COMPLETE /N ALL CASES:) Attach additional sheets if necessary. _. - _ -•~a~- - ~ ~~
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Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last princip~F residence at ;, .'. ,~~-'~
926 Hawthorne Street, Enola, East Pennsboro. Cumberland. PA 17025 ...
(List street address, town/city, township, county, state, zip code)
Decedent, then ~_ years of age, died on 10/27/1999 at Harrisburg Hospital ~ Harr' shl~rcr f PA
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
27,221.55
situated as follows: 172 Animal Drive, Miles Township, Centre County, Pennsylvania
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 ~
/ Arlene M. Walters 926 Hawthorne Street
`~:'~ `~-., _ ~/'~rn f /~_ Enola, PA 17025
Form RW-O2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2
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 represey~tive(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
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Sworn to or affirmed and subscribed
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before me this >~L day of
r !.
For thetRegister
Signature of Personal
Arlene M. Walters
Signature of Personal Representative
Signature of Personal Representative
File Number: 21 - ~ ~ _ 1
Estate of Earl C. Walters Sr.
Deceased
Social Security Number: 202-20-4520 Date of Death: 10/27/1999
F• F'1 ~ 1
AND NOW, ~ ~ ~ ~ _ , in consideration of the foregoing Petition, satisfactory proof
having been presented efore me, IT IS DECREED that Letters Testamentary
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are hereby granted to Arlene M. Walters ~-- ..,,, r .;
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and that the instrument(s) dated 06/26/1987 : T~~
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. ~ ~ ~~; ~ ~ ,._
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FEES
Letters .......................................... $ 90.00
Short Certificate(s) ....................... $
Renunciation(s) ............................ $ Att
Will $ 15.00 Att.,,,,G, „a,,,~. rcoper[ ~. saiais tsq _
JCS Fee $ 23.50
Supreme Court I.D. No.: ___21458
Automation $ 5.00
Saidis Sullivan Law
$ Address: 26 West High Street
$
$ Carlisle, PA
$ Telephone: 717-243-6222
$
$
TOTAL ................................... $ 133.50
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Form /~W--~~ Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2
~r~S Cr1~ 12F\r ~ro~,
This i5 to certih~ th~..t the information here given is correctly copied from an original cer~~i~i f~)e oern~a)~h-~dtfil ~~~ed wit me as
Local Registrar. `The original certificate will be forwarded to the State ~ ttal Records Oft p
WARNING: It is illegal to duplicate this copy by photostat or photograph...
Fee 4or rhiti i~t°rtifirace, $2.00
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Local Registrar
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No.
4s Hnv 21sT COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
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NAME OF DECEDENT (Fast. Middle. Lea) ~ SEX SOCIAL SECURITY NUMBER DATE O TH iM ,Day, 'rear)
,- Earl C, Walters Sr. ,_ Male ,.202 - 20 -4520 .. 9~
AGE (Last Birthday) UNDER t YEAR UNDER t DAY GATE OF BIRTH BIRTHPLACE (Cay and PLACE OF OEQH (Check only one - gee rn9lructrons at aher sKlel -
Monthe ~ Days Hours ~ Minutsf tMonm.08y.'/earl Stateafora~ynCoumry) HOSPITAL_j:~/ LATHER: Outer
71 Yra 10/ 31 / 27 S 1 a t e H i 11, Pa Inpatierx )qt EWOutpahent ^ DOA ^ ~ ^ psy~~ ^ (SpecJy,
• S. r e. 7. w. /// "
COUNTY F DEATH CITY. FtO, TWP OF DEATH FACILITY NAME (II not tnst~tution give street antl rwm t WASIIpyD~~ECEDEN-TIDE HISPANIC ORIGIN? RACE • American I~Wian, Bleck, White. tNC-
No L`J Yoe ^ II ye., cpecdy Cuban, (SP~QY) `r
~ Mexican, Puerto Rican. etc. ~/Y h i t e
~, ,~. Harrisburg ,,. le-
DECEDE 'S USUAL OCCUPATION __ _ KING OFBUSINESS/INDUSTRY WAS DECEDENT EVER IN DEGED T'S EDUCATION MARITAL STATUS -Married SURVIVING SPOUSE
(Give of work done tluratg most - U.S. ARMED fORCES9 S c ade com Wed Never Married, Widowed. III wde. give maiden name)
o! kite tile: Ito rw1 use relaed) Elementary/Secondary College Divorced (SPecdy)
~roreman ftailroa~ ye1;0 "°~ (at2j U k ''°"5; Married Arlene Brewbaker
ife. llb. 12. 13. 14. le.
DECEDENT'S MAILING ADDRESS (Street, Cuy/Town, Slate. Zip Codel DECEDENT'S pe nn sy 1 va n i a lhc.L~3 yea, dec.dent lived in East Pe n n sb o r o Mp.
ACTUAL t7a. State Dkl
9 2 6 Hawthorne S t. RESIDENCE ~•~+
(Sea rnslructtons liven a
n o l a, p a 17 0 2 5 on other stdel ~` u m b e r l a n 3 _ tdwnshipa ~{ "°• ~•d•M ~'°
te. t7b. Counry~l 17d.LJ wehin actual limits of crry/bao
FATHER'S NAME (first Middle. last) ~ ~
Ralph I,~al t e r s MOTHER'S NAME iFasl. Mrdddle. Harden Surname) ~,
Eva ,,hee ly
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INFORMANT'S MAtt.ING ADDRESS (Saeel. Ciry/Town. Stale, Zp Cade)
S NAME (IyperPrinq
INFORMANT
j,Valters
Arlen
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926 H~~wthorne St. H,nola Pa 17025
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METHOD OF DISPOSITIONi~ i DATE OF DISPOSITION _
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PLACE OF DISPOSlT10N • Name of Cemegry, Crematory LOCATION • CilylTown, Stall. Zlp Cods
Buns J~ir f 7 ff 11 (Month. pay. Year)
L+LA Cremation LJ Removal burn Slate L_1 r'1 Q v 1
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1 9 7 7
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• ar OIMr Place u
oft i ng Green Me m Par Camp i 11 Pa
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Dunatron
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CILITY
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' SIGNATUR F ERAL S RVIC LICEN OA PERSON ACTING AS SUCH LICENSE NUMBER NAME ANO AODRESSO
Sullivan F.H~,51 N. Enola I}r. Fnola Pa
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Complete e s 23a-c only when certifying To the best of my krwwledge, death occurred al the ume, dale and place stated LICENSE NUMBER GATE SIGNED
(Month, pay. Yearl
physician available al limn of death to (Signature and Tme)
certdy cause of death.
2~b. 23c.
__ __ ___ 23a.
Items 24-28 must bs completed by ~ TIME OF DEATH- ~~ DATE PR LACED DEAD (MOnt ear) ~ ~ WAS CASE REFERREp TO MEDICAL EXAMINEFUCORONER?
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. person wtt0 pronounces death. r
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. 27. PART 1: Enter the diseases. injuries or complicatruru which caused the death Do not enter the mods of dyin , such as cardiac or respirato arrest, statck ar heaR failure ~ Approximate PART II: Other signiflCanl conditions alnlribuling to death, but
Interval between not rosulting in the underlying cause given in PART 1.
List onty one cause on each line. I
,onset and death
IMMEDIATE CAUSE (final ~ t
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56 a condiliun ..-.
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resulting ur deem) --- a. D ~ (~ ~ ONG{t~-`O-UENCE Of7: t
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Sequentially list caxlitiona b _._.---_--.-.--- - ----------------
PICE Of}: t
bading to immediate DUE TO (OR AS A COt~6EQU
i1 airy
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_ cause. Enter UNDERLYING 11/L~ `Ili ~1 ~F`~~
CAUSE (Disease or injury c._,_~_-_ -------------------..-----"""Y-
. that Yiiliale0 avems DUE TO (OF1 AS A ONSEQUENCE Ofd: 1
resuMing in Deem) LAST '
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GATE Of INJURY TIME OF INJURY INJURY AT 1NORK~ DESCRIBE NOW INJURY OCCURRED.
'
NPSY FINDINGS MANNER OF DE ATM
WAS AN AUTOPSY WERE AU
(Month, Day. Year)
PERFORMED9 AVAll1.BLE PRIOR TO
COMPLETION OF CAUSE
Of DEATHS Natural Homicide ~7
~1 Yes LJ No ^
Accitlent ~__~ Pending lnvesttgatan L-J
70b. M- 3l)c. 70d. --
70e
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Yes ~~ No ~ Yns ^ Plo U Suic We ~ ~ Could not Dn determuirxl ^ PLACE OF INJURY - At home, farm, street. factory, office LOCATION (Street. CiNRown. Stale-
building, etc. t5t>ecrlvl
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3N. 2eb. 29.
SIGNATURE AND TITL F CERTIFI A
CERTIFIER (Check Dray unel
'CERTIFYING PHYSICIAN iPhyscanceitrlyu~g cause ut death when mother phvsK~an has prunoun[;ed rleein and cumpiuieA Item 2JI
To the beet of my knowfsdge, death occurred due to the cause(s) and manner as staled ..................................................... ~ 71b. _ _
Yearl
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LICENSE NUM R GATE~SIGNED
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'PRONOUNCING AND CERTIFYING PHYSICIAN lVr,y~.Cian turn u~~i~o.,r.c,r`J t.ueUr and cenifying to e:au5e of uuatnl f ~ ~"'' _- ` I O ' j- -) 1 ) J
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To the bent of my krwwladge, death occurred at tM tlme, date. and place, and due to the cause(s) and manner as staled ..........................
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NAME AND ADO OF PERSON O COMPLETED CAUSE OEATM
(Item Z7) Type or Print ~'1`~ ~ , G
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- 'lr/ED1CAl EXAMINER/CORONER `
On the basis of examination and/or Investigation, in my opinion, death occurred at the time, date, and place, and due to the cause(s) and r' ~~ -~ , ` ` / ~ C L,Y~ ~ `~, ~ (^
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msnnsr as elated ......................... ........ _ ....................... ..................................
72. __ _~
71 a.
_. __--.-__.._.--._ _-.___...~._________.______ _~___~._ __._______..___.~~~ I DATE fILE04MOnlh Day. Yearl n ~j
RE/GIS~TRAR'S SIGNATURE A~NDjN'U~MB~ER ~ / 11~~,.J J° ~~~~/
-- / ./ x'7'7 ~' / ~ ~ _ ... ~ 1 / ~ _- _ _ C/ -
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LAST WILL
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I, FART, C. WALTERS, of Eriola, Cumberland County, Pennsy.~via, ~-
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declare this to be my Last Will, hereby revoking all prior Wi~l~~;24nd ,~
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Codicils. ,, , ':? K~
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FIRST: I direct that the expenses of my last illness and uneral.
be paid out of my estate as soon after my death as is convenient and c,y
expeditious in the judgment of my Executrix, hereinafter named.
SECOND: I give, devise and bequeath all my property, to my beloved
wife, Arlene M. Walters, provided she survive me by a period of thirty
days.
THIRD: Should my wife, Arlene M. Walters, predecease me or die on
or before the thirtieth day following my death, I give, devise and
bequeath my estate to my four children, or their then-living issue, ir.~
equal shares, share and share alike.
FOURTH: All estate, inheritance and other death taxes, together
with any interest and penalties payable with respect to property or
interests therein subject to taxation by reason of my death and whether
passing under my will or any codicil thereto, or otherwise, including
jointly held and other non-testamentary property shall be paid out of
the principal of my residuary estate without apportionment.
FIFTH: I hereby no~Linate, constitute and appoint, my wife, Arlene
M. Walters, Executrix of this my Last Will. Should my wife, Arlene M.
Walters, be unable to so serve for any reason whatsoever, then and in
that event, I nominate, constitute and appoint my son, Earl C. Walters,
Jr. I further direct that they shall not be required to post any bond
to secure the faithful performance of their duties in the Cor~nonwealth
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CRAMER & McPHERSQN I u, of Pennsylvania or in any other jurisdiction.
Attorneys at Law
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IN WITNESS WHEREOF, I have hereunto set mY hand and seal to this mY
Last Will, which consists of two (2) sheets of paper, dated this ~~ ~ ~ clay
of June, 1987.
~~-~ ~, C ~-~~~ SEAL
( )
Earl C. Walters
The writing contained on this and the one preceding page was sigr.~ed
and sealed by Earl C. Walters and by him published and declared as his
Last Will, in the presence of us, who have hereunto subscribed our names
as witnesses at his request, in his presence, and in the presence of
each other.
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CRAMER & McPHERSON
Attorneys at Law
CONIl~I~JNWF~LTH OF PEI~TNSYLVANIA)
SS
`~ COUNTY OF PERRY )
', I, Earl C. Walters, testator, whose name is signed to the attachE.d
or foregoing instnurient, 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 that I signed it as my free and
voluntary act for the purposes therein expressed.
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SWORN or affirmed to and acknowledged
before me by, Earl C. Walters,
testator this ~~ f`day of June, 1987.
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CRAMER & McPHER50N
Attorneys at Law i
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CONA~YJnfWEALTH OF PENNSYLVANIA )
SS '
COUNTY OF PERRY )
We, f~ J r_ ~ ~ ~f2~~'"i~~~=-~ and ~- ~4Ic-~G- J~ ~~'Tc ~~ r~~'~~~~ _~
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 testator sign and execute the instrument as
his Last Will; that Earl C. Walters signed willingly and that he
executed it as his free and voluntary act for the purposes therein
expressed; that each of us in the hearing and sight of the testator
signed the will as witnesses; and that to the best of our knowledge tree
testator was at the time 18 or mare years of age, of sound mind and
under no constraint or undue influence.
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SinIORN or affirmed to and subscribed
to before me by iY, j ~-v ;t',~ ~'',~?.~~a~ .
and~~-t~,~~~a~ ~: I'~?~- ,e~sa~t ,witnesses,
thi_sa2~ nday of June, 1987.
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I CRAMER & McPHER50N
Attorneys at Law