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HomeMy WebLinkAbout09-09-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of JOAN CASE BUTLER File Number ~~, - ~„~~~ ~ ~,.~ also known as Deceased Social Security Number 186-249322 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 1 are the EXECUTOR named in the last Will of the Decedent dated 10/11!2005 and codicil(s) dated (State relevaru circumstances, e.g., re~tunciatioee, death of executor, etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child barn 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 (lfapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente life; durante absentia; durance minoritate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following sp~se (if any) arir~eirs: (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.) c~ ~ ~ ` ~~';. .`~. Cf) :, Relations Res " C7 "'b ,'- Y' --j Name 4.».~ ` t^' '. ~ M.,.../ yid _ _ (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ,~ ^~ ~,,,,• ~ • % ; _% ,, Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his 1 her last principal residence at ~"~ 601 MILL RACE ROAD CARLISLE SOUTH MIDDLETON TOW_N_SHIP PA 17013 (List street address, town/city, township, county, state, zip code) Decedent, then 77 years of age, died on September 2, 2010 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 ~ CARLISLE, CUMBERLAND COUN'CY, PA 17013 $ 15,000.00 $ 100,000.00 situated as follows: 601 MILL RACE ROAD, CARLISLE, SOUTH MIDDLETON TOWNSHIP, CUMBERLAND COUNTY, PA 17013 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: name and residence DEBORAH L. BRICKER,13 DANDELION DRIVE, BOILING SPGS., PA 17007 Forme RW-02 rev. 10.13.06 Page 1 of 2 Oath of i'ersonal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND The Petitioners} above-named swear(s) ar 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 affirnted and subscribed ~~ before me the ~ day of ~. , " , ; . ~- . ,~ } . ~~ ~ > _ ~ / _ For the Re li er of Personal Representative Signature of Personal Representative Signature of Personal Representative File Number: Estate of JOAN CASE BUTLER Deceased Social Security Number: 186-249822 Date of Death:09/02/2010 AND NOWh;_„~-~~-~t~ ~~ ~11~' (- ~ ~ ~.i _, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to DEBORAH L. BRICKER in the above estate and that the instrument(s) dated ~ 1 -- ~~ (; C.i ~~ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. 9 ~ ~ ~'~ FEES ~. '1 ~ ~'; -,~ ~ .-~ rid (..~ . ~ ,> ' ~1.~~t %~_" II~ Register of Wills Letters ............... $~ l ~~` ~ ` C~ ' ~ ~ ~ t. ~, Short Certificate(s) ........ $ . ;`7r~ L~' Attorney Signature: Renunciation(s) .......... $ (X~1- ~~ t, ~~~`~~ ~-~ (~ ~( Y y 1 ~';~ .~-7 ~ (.' 1 1 ~~ ~ r ~~ M~ ... .! ... $ ~ ~~; ... $ ... $ ... $ ... $ ... $ ... $ ~'" TOTAL .............. $~~ Form RW-02 rev. 10.13. A6 Attorney Name: wII-LIAM A. DUNCAN Supreme Court I.D. No.: 22080 Address: 1 IRVINE ROW CARLISLE, PA 17013 Telephone: 717-249-7780 .~.C~i~~~ ~~~~ ~~ ~~~ ~ ~ ;p1 ~~ 6- d3S 01 ~~ pa e 2 of 2 g ~ ~,`, ~ .~ fir! ~ "" .._.~ ~.,~ ~..i ~'..! J . ~...~ ~~A~. REGISTRAR'S CERTIFt~CATlOt`J C)F DEAThI '~~CARNING: It is illegal to duplicate this copy by photostat or photagraph. I'c€~ i~c)r Ihiti C~`I~tlfiic';ti~: ~~, ~:~°{~ _,i~;,,,",~ `;-: "1'hl~ lti r(t ~~atii~ tfl~lt t~7e 1nt-ormation here ~riv~n i }+t'`rp,`y.~l~ Dr Pfr ~;,°~~. ~ _,>1;~, ~, cur(-+:crl~~ cu~r~~i I~)r.rr~ ar3 uri~ula! Certificate. ~7f Deatl "~~"p`'re,~`~'~ ~`~~a (fU1~ I11lLi "a~-lrf~ ~Y1':~: ~)~ l.t>CdI R~g)~tr(lr. The OC1glI1a ~~ __ c_c(-titi~~)(i.~ u-1 1i,.• Fi>s'~varClecl to the State Vita i ~ ;~, ~ .i ~` v~, .; ~ . ~~.~`~ 1~ccurL~~~ t)f#ic ~~ 1~+1)~ ~>tarrr)~lr~c:nt Cilin~. # ' . ,,, ~ 1 _ -ir'e'' ~ ~ ! fl r ~~ [~f7 -__ _ ____ rte" C. t~?~tili.~~f~rt~r) : rj ~)l~.. ~- ~ `,';-r ,,,~„~r. I,ttit~~)( ~.t~~~~~tr~,+ ~ D~)te I~SCr~:d t:,..~ ~„~ ~ t-, ^ t~ ~_ ~ ~ r ~ .~ ~ ' - r~, - ""~ ~ Q l ~ t. •~ ~' .~` H105-143 REV 1112006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS '~ TYPE I PRINT IN PERMANENT CERTIFICATE OF DEATH elncK fNK (See instructions and examples on reverse) STATE FILE NUMBER w Na 1. Marne of Decedent (Fxst, middle, IasL suffix) 2. Sex 3. Social Secudty Number 4. Date of Deattr (Month, day, year) Joan C. Butler F 186 - 24 - 9822 9/2/2010 • 5. Age (last einnaey) Under 1 ear Under 1 da 6. Date of Birttr Month, de , ear 7. Binh and slate ar for e' camt t da. Place of Death Check at one kWrxhe Oat's !lours Minutes Hospital: Other: Yra. 12 12 1932 Carlisle PA ®Inpatient ^ ER /Outpatient ^ DOA ^ Nursing Noma ^ Residence ^ Other - Specity: 8b. County of Death fic. Ciry, Boro, Twp. of Death rdd. Fac9iry Name (if not institution, give street and number) 9. Was Decedent of Hispanic Origin? ®No ^Yes 10. Race: American Indian, Black, White, etc. • C>.~nberlarid South Middleton Carlisle Regional Medical Center (If yes, specify Cuban, Mexican, Puerto Rican, eta.) (Specify) White 11. Decedent's Usual Orx ion Kind of work done d ud most of workin lice. Do not state retired 12. Was Decedent ever in the 13. Decedent's Eduralion (Speciy ony Mghest grade comp leted) 14. Madtal Status: Marled, Never Married, 15. Surviving Spo use (lf wife, give maiden name) Kind of Work Kind of Business/Induct ry U.S. Armed Forces? Elementary !Secondary (0.12) Co6ege (1.4 or 5+) Widowed, Oivorrxld (Specify) Knotter saver Car isle Ribbon Mill ^Yes ®fJO 8 Widfowed - 16. Decetlenl's Mailing Address (SUeet, city J town, state, zip rbda) DacrxlenYS Old Decedent South Middleton T PA Live in a 17 id A t l A 7 D d d i S ®Y L 601 Mill Race Ct . , Box 1 es c ua ence 1 tate es, ece ent ive wp. a. c. n T°""'~"p? Carlisle, PA 17013 na. ^ Na, Decedent Lived within C~mberlarid 17b.County Actual Limitsot Gtylf3oro 18. Father's Name (First, nudme, last, suffix) 19. Mother's Name (First, middle, maiden surname) Benjamin F. Case Nora - Smith 20a. Informant's Name (Type 1 Print) 20b. Infomranl's Mailing Address (Street, cry !town, state, zip code) Deborah L. Bricker 13 Dandelion Drive, Boiling Springs, PA 17007 21a. Metfrod o1 Disposition r [~ Cremation ^ Donation 21b. Date of Dis{asitiati (Month, day, year) 21 c. Place of Disposition (Name of cemetery, crematory or other place) 21d. Location (Ciry/town, state, zip code) • r ^ Burial ^ Removal from State r Was Cremation or oonalion Autlwrtred ^ Omef. , r by Medical ExarMrrer/Cororterl ~ Yes^ No g 4 2010 / / E~Tans Crt~nation Services Leola PA x • 22e. Sgrrawre of Funerel nice see (a person acY 22b. f.icerrse Number 22c. Name and Address of FaciYry . - FD 012633 L Fwing Brothers Funeral Home, Inc., Carlisle, PA 17013 Complete items 23ec any when certilyirg 23a. To best d my krawledge, lea nsd at the lime, date ant place stated (Signature and title) 23b. license Number 23c. Date Signed (Month, day, year) physician is rat available at lime o) death to certify cause M deem. ~r~~ r ~, Vr "!~ C...wa,~.i G'-+' ~1"'~/.,, ~j+~ Q" ~. ~. ~~ ~r, ~j ~ Cj' ~ ~~ Items 24.26 must be completed by person 24. Tema of Death ~ 25. Date Pronounced Oead (Month, day, year 26. Was Case Retorted W Madcat Examiner /Coroner for a Reason 0 r than Creme nor Donation? who pronowx;es death. ~ ~~M. ~ O ~„~ r Q ^Yes CAUSE OF DEATH (See Inatructlons aril ex lea) r Approximate interval: Part A: Enter other sianificaru ronditons contrihutine to death. 29. Did Tobacco Use Contribute to Death? Item 27. Pan L Enter dre chain Wevents - rtiseases, injuries, or corrrplicatiorrs -that dirrx4ly caused the death. DO NOT enter terminal events such as cardiac enact, ~ Onset to Math but net resulting in the underlying cause given n Part I. ^Yes ^ Probably respkatory arrest, or ventricular fibd9atbn without showing the etiology. list only one cause on each line. r ^ No UnWwwn IMMEDIATE CAUSE (Foal disease or ~ r corrdition resulting m death) ~_ a s•C ~ ,~ ~, ~- ~ ~ i7r~ 79. If Female: V t t ihi Dus ~ a conseq oly: ~ u r u ' - ~ o pregnan w n past year ~ ^ Pregnant at 6me d death Se ntieNy kst conditions, it any, b .p ~" .~~ 1~~ ~~~,,,, T .aL~ w... ~_~ ~ ~ ^ m to the cause listed an line a. r r Enter the UNDERLYING CAUSE D~ t o~aq~~ ~~ r (disease or inrury that initiated the c. a ~•i t~ ~+~ @, ~~ ~+a ~~ ~ ~ events restil0r h deem) LAST r~ ---- Not pregnant, but pregnant within 42 days of death ^ b • g . ~ r Due to as a wns /~ r • d. «•- C ~ ~'S Cr'r~ Or+t~" 6~ 4-~-w-~ r ~E,-,r { r Nol pregnant, ut pregnant 43 days to 1 year before deem ^ Unknown it pregnant wiNin the past year 30a. Was an Autopsy 30b. Ware Autopsy Findings 31. Manner of Death 32a. Date of Injury (Month, day, year) 32b. Describe tfow Injury Occurred 3:`c. Place of Injury: Home, Farm, Street, Factory, Pedamed? Available Prior to Completion of Cause of DeaN? Natural ^ Homicide Office Building, etc. /Spectily/ ^ Yes ~' No ^Yes ~ ^ Accident ^ Pending Investigation 32d. Time of Injury 32e. Injury at Wark? 321. If Transportation Injury (Specify/ 32g. Locatbn of iryruy (Street, city! town, state) ^ Suicide ^ Could Not be Determined M ^Yes ^ No ^ DrivarfO valor pe ^ Passenger ^ Pedestrian . Other -Specify 33a. Certifier (check onyx one) • Cortit in h skien (Ph sician certi in ca se of deem when another i i th h h d d l t d It 23 nt 33b. Signatur nd Title of Ceniiier ~ ~ ' ~ y g p y y y p g u ys c an as pronounce ea a comp e e em ) To the beat of my knowledge, death occurred due to the causep) and manner as stated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ` ,! ~ r ~Qr .rarQ C.. ~ GG...V~~000 • Pronounci and cent In ng ty g physictan (Physirtian both pronouncing death and certifying to cause of death) To the beat of m knowled death occurred at ttta time date and lace e and due to the caus s a e atated d 33c. Lkense Number 33d. Date Si ed e gn (M°nm ~ "' y g , , , p , e( ) an m nn r aw _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • MadlcalExaminer/Coroner ~/ ~ ~ ~ Y ~ T On the baste of examktatbn argt! or Investigation, In my oplnton, death occurred at the dme, date, and place, and duo to the cause(s) sod monnor as stalerL ^ 34. Nam Address 1 Person Who Completed ause of Death (Item 27) Ty Print ~~ ~ ~ 35. Regis) 's 9kyrature ant Distric Nu r J ~ j ~1 ~ (,/ , ~~ ~ ~ 36.~ate Filed per) ~ S ~ /1 `~"~• ~~`~~0~~'•~~ ~ (/ L f i ~~/ o ~r-./'~~ /! ~/ J~ r / C~~99r Disposition Permit No. ~_ c~ LAST WILL ~ ~ n .'~`'`.~ ~', ` ~, TESTAMENT OF t=(-'~'yy ~~' ~ "a ~ ~ ---~ I, JOAN C. BUTLER, of 601 Mill Race Court, Box 1, Carlisle, South M~3~~on c~ _:~ ~~= Township, Cumberland County, Commonwealth of Pennsylvania, being of sound~nd disposing , mind, memory and understanding, do hereby make, publish and declare this as and ]for my Last Will and Testament, hereby revoking any and all other wills and codicils heretofore made by me. FIRST. I direct that all my just debts and funeral expenses be paid from my estate as soon after my death as practically and conveniently may be done. SECOND. I direct that my remains be interred at Indiantown Gap Cemetery beside my husband, V1~'ILLIAM R. BUTLER III, in accord with my expressed wishes. THIRD. I authorize my personal representative to expend funds from my estate, in such amounts as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. FOURTH. I give, devise and bequeath any and all real estate owned by me at the time of my death, unto my children as follows: to my daughter, BILLIE JO BUTLER, I give fifty percent (50%), per stirpes; unto my daughter, KATHY J. WAGNER, my daughter, DEBORAH L. BRICKER, my daughter, YVONNE M. GATES, and my son, BENJAMIN C. HOLMES, I give twelve and one-half percent (12 '/z%), in equal shares, per stirpes. FIFTH. I give, devise and bequeath all the rest, residue and remainder of all other property unto my children, BILLIE JO BUTLER, KATHY J. WAGNER, DEBORAH L. BRICKER, YVONNE M. GATES and BENJAMIN C. HOLMES, in equal shares of ~~twenty percent (20%), per stirpes. SIXTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my estate passing under my will or otherwise, shall be paid out of the principal of my residuary estate. SEVENTH. I hereby nominate, constitute and appoint my daughter, DEBORAH L. BRICKER, as Executrix of this my Last Will and Testament. In the event of renuncial:ion, death, resignation or inability to act for any reason whatsoever of DEBORAH L. BRICKER, I nominate, constitute and appoint my daughter, KATHY J. WAGNER, as Executrix of~ this my Last Will and Testament. I hereby relieve my Executrix from the necessity of posting security in connection with her duties, as such, in any jurisdiction in which she may be called upon to act insofar as I am able by law to do so. In addition to the powers conferred by law, I auth~~rize my Executrix, in her absolute discretion, to retain in the form received, and to sell either at public or private sale any real or personal property owned by me at the time of my death. EIGHTH. I have made, or may from time to time make, a written memorandum expressing my desire to give certain items of personal property to specific persons. I urge my Executor and beneficiaries to respect these wishes. Such a memorandum, if made, shall be stored in conjunction with this Will. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of two typewritten pages this ~ ~ day of ~~ ~~ ~ C,~C~ ~`~ 2005. - '~.~- OWN C. BUTLER Signed, sealed, published and declared by the above named Testatrix JOAN C. B[~TLER as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence and in the sight and presence of each other, have hereunto subscribed our names as witnesses. ~ 1 ~ ~~11I ~~. COMMONWEAL TIC OF PENNSYL VANIA COUNTY OF CUMBERLAND 0, ~' SS. I, JOAN C. BUTLER, Testatrix 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 Wiil; that 1 signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. S ~ (1 J t JOAN C. BUTLER ~; ~,, Sworn or affirmed to and acknowledged before me, by JOAN C. BUTLER this ~~ day of (~ C~ ~~ , 2005 . ~_._. ____~g~TARlAL SEAL K~~~ k.. l~9t~~~nert, Notary Public l~cro~gt~ of GarlFvle, Cumberland Co., PA r.~ y Commission Expires Aug. 11, 2007 COMMONWEALTH OF PENNSYL VANIA COUNTY OF CUMBERLAND ss. We, ~ ; [ ~ t 4l vr~ ~ ~v~l.CGt~ and J~~ ~ ~ I~~~Gc 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 JOAN t,. BUTLER sign and execute the instrument as her Last Will; that she signed willingly and that she executed as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge, the Testatrix was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. ,, `" ~ ~ 1 w ~ ~~ / ~ ~~ Sworn or affirmed to and subscribed before me by L(.1, ~ ~ ~C~tt~ ~c~tlCczC~ and ~l~c~ n (~. ~~~x. WLS ,witnesses, this l ~ day of UCH ~ ~%`~ 2005. ~ot ublic NOTARIAL SEAL l{r~thy L. Mummert, Notary Public ~c~~ 4c~gh of Carlisle, Cumberland Co., PA C~=y Commission Expires Aug. 11, 2407