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HomeMy WebLinkAbout09-15-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA ..,.ate of ALICE P. STINE also known as File Number 21 10 `- r~ ~~ ,Deceased Social Security Number 201-16-1161 Petitioner(s), who is/are l8 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 Executors named in the last Will of the Decedent dated 5/1/02 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: B. Grant of Letters of Administration (If applicable, enter: c. t. a.; d. b. n. c. t. a.; pendente life; durante absentia, durante minorit~te) 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:(/j Administration, c. t. a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Decedent, then 85 years of age, died on g/11110 at Golden Living Center -Blue Ride Mountain 3625 Progress Avenue Harrisburg Dauphin County PA 17110 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 situated as follows: $ 7~ ooc~ ,d u Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codici](s) presented with this Petition and the grant of Letters in the appropriate f~~rm t~~ the undersigned: Signature Typed or printed name and residence 1 Elizabeth Garman 1321 Spring Road PA Page 1 o t~ 2 Form IZW-02 rev. 10.13.06 (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 e.st 1321 Springy Road Carlisle PA Carlisle Borough (List street address, town/city, township, county, state, zip code) ,,* 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 representative(s) of the Decedent, Petitioner(s) will well and tnily administer the estate according to law. , Sworn to or affirmte(d~an~d1subscribed before me the ~ day of Personal Representative Elizabeth Garman y t`..i r., ~ .. Signature of Personal Representative ;~~ ~ . ~ . ._, For the~egister Signature of Personal Representative - ~> ~ C~ ` . - ~ s -.; ~ ~ ~ - ., .___ ~7 ...... --..w ,. -~.. ----i _._ -- File Number: 21 ~' Estate of ALICE P. STINE ,Deceased Social Security Number:201-16-1161 Date of Death: 9111110 c~ ~ ~, ,.. _ ._ E ~-- AND NOW,~~~ ~~ ~-~~ 1 ~t. J ~ ~~ , 2010 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testmentary are hereby granted to Elizabeth Garman in the above estate and that the instrument(s) dated 5/1/2002 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES , ; , -.... f ~~ i~ ~ t' ~(,K;. t - Regist ~ of s ~'~' -'~,~. ~~,/~~~~,,/C~-~ ~" t Letters ............................. $ ~~'-yJ _. ~~ .___ Short Certificate(s) • • • • • • • • • • • • $ ~'{ ~-%~-' Attorney Signature: Renunciation(s) •••••••••••••••• $ ~?•C`~ ' No V. Otto III $ ~~ , ~, ~;~ Attorney Name: .... $ "~~_ ~ J L' 27763 Supreme Court LD. No.: • • • • $ Address: 10 East High Street .... $ Carlisle .... $ ,.,, $ PA 17013 .... $ $ Telephone: 717-243-3341 r~ TOTAL ............................. $ ` tS ~ ~. ~ Form RW-02 rev. 10.13.06 page 2 Of 2 EGAL R~GIS~'RAR'S GERTIFIGA'Tit~l~ G1= I~~A1'I-~ 1lyARNiNG: It ~s illegal to du~alica~te th~+~ ~~a~y ;gay ~.~h~oto~tat ter ~taat~l~rx~ll~ir _ „ ,., ~~ ;,; . tC ft11" l1)~• i't' (s~IL'~la~. ~.~<). ~ ~~ _, ;~~Q~;~~l?~ p ~Ili'~ c drr t, t1ij~ ~ ).~! ({1t' il11O1'll)~lll(iJl 17cI~C' ~Tt~C'11 15 ~~~ _ t,, ,~ ~i ~ / .t,rr~~t (i~ ~.:r,~~1,. t'. ~ ~ ~. ,ff~ i~r~i ~~~if)al (t tlii~i~_~It~ ~If [)path - ~ ~ `~ iJ • )tllti II~;'I', ,',ltd ' it3 ~ „' ~,'.rt~<I~ ~l'°t'l4'1"~li~. ~Il~` [)Ii~.'))11(I ~.. as ~ ~ ti1(flr alii. 1{! ~1 4 }(- t ~ ~{. ~~d, alt tlL~L~ t~1 t]i~ ~lll(C~ k(l. Cll . ~ ~I t:~~ ~ ,s- ~,, i -~~.,.t,, s, (~ fi ( , I-,~~. ~a),)Itt~r~t f~ilin~_' _~~~. Kam- ..~ A` ti;~ y ~ T'l'S ------ P- -_ 1-6 -8 5-4-2 -9 ~ _ _ _ "~iC> ~ . 4 ~'C;,~,'`; ._ ; . rLs (~ ~rtlll~~fhtfl~ '~'ilrni,,•~)~ ,,,~,;~. , '.trLjl i~,.°,.~i~i),. r.~~f~~ I~~~I~~I f,~ n cp Q - , n ~' v~~ cn ::~= ~~ ~ -- •• ~ : ~~~ ~ w ~,. c,n - .-: ~~,, H105.143 REV it/2006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS .a,i ' PER/MaNEr~4T~ CERTIFICATE OF DEATH BLACK INK See instructions and exam lea on reverse P I STATE FILE NUMOER v a w °w W w a z 1. Name of Decedent (First, middle, last, su8ix) ~ 2. Sex 3. Social Security Number 4. Date of Death (Month, day, Year) 1161 F 201 16 _ _ 9 11 2010 5. Aga (Last Bktndey} Under 1 ar Under 1 6. Date of BirM Month, da , ar 7. Binfr ace Ci end slate a for coon 8e. Place of Death Chedr one Months Days Hours Minutes Latimore Ztap. ~ Hospital Other 85 vrs. 2 12 1925 ^ Inpatient ^ ER !Outpatient ^ DOA ~ Nursing Hone ^ Residence ^ Other -specify: 8b. Corrtty d Death Bc. City, Boro, Twp. of Death 8d. Facility Name QI not institution, give sweet and number) 9. Was Decedent of Ftlspertic Origin? ®~ ^ Yes 10. Race: American Irxllen, Black, White, etc. ~ Dauphin Susquehanna tap. (If yes, spertity Cohen, ISPed~ Golden Living Center-Blue Ridge Mtn Mexican, Puerb Rican, aka White 11. Decedent's Usual Occ Lion Kind of work d one dun most d world tile. Do not state retired 12. Was Decadent ever in the 13. Decedent's Education (Spedty only highest grade completed) 14. Marital Status: Married, Never Mazried, 15. Surviving Spouse (II wile, give maiden name) S w ~ ~~ Kind of Wak Kind of Brukressf Industry U.S. Amred Forces? Elementary /Secondary (0.12) College (1.4 or 5+) ( ae~Nl ~ ' d Wid Secrete Boro h of Carlisle ^ vas ~rto 1 owe - i6. Decedents Mailing Address (Street, city /town, state, zip code) Decedent's Did Decedent Actual Residence 17a. State PA Live in a 17c, ^ Yes, Decedent Lived k Twp• 1321 Spring Rd. C,~lmberland Township? 17d.~No,Decedentlivedwilfen Carlisle Carlisle, PA 17013 17b.Counry Ac1ualLimitsol CitylBoro 18. FathaYs Name (First, midde, last, suffix) 19. Mahefs Name (First, middle, maiden surname) Maurice A. Paviol Alice E. Wolfe 20a. Informants Name (Type / Pdnl) 20b. Infrxment's Maitktg Address (Street, city I town, state, zip code) Elizabeth B. Garman 1321 Spring Rd.r Carlisle, PA 17013 21 a. Method of Dispositan r ~ Cremation ^ Donation 21b. Date of Dispos8ion (Month, day, year) 21c. Place d Disposition (Name of cemetery, crematory or other place) 21 d. Location (City I town, state, zip code) • r ^ Burial ^ Removal Iran State r Wes Crematbn or t3onatbn Aufhorizad ^ Other • S ' : r by Medkal Examiner/Coroner? ~] Yes^ No 9 13 2010 EVans Crt~nation Services Leola PA 22a. re of F al Licensee (a per ass 22b. License Number 22c. Name and Address of Fertility ` FD 012633 L twin Brothers Funeral Home, Inc., Carlisle, PA 17013 Canpiete items 23ac only wton cenitying sician is rid avateDle az time of death to 23a. To the best of my knowledge, occurred at the time, to and place stated. (Signature an title) ~ 23b. License Nrxnber r ' ~ Z 23c. Dare Skyted (Monty, day, year) 9 ~~ty~areeo<dea~. ~-~ 1~ r z . a a - l Items 24.26 must be completed by person 24. Ti of Death r r 25. Date Pronouroed Dead (Month, day, year) 26. Wes Case Referred to Merficel Examiner /Coroner la a Reason Other than Crernatkn a Donaton? ~ ^ who prororxoes death. ~ i ~ M _ ~' ~ No Yes CAUSE OF DEATH (Sae Instructlana and exampleaj r Approximate interval'. s cardiac arrest t to Death t l t ch Ons d th DO NOT t i d d Part lt. Enter other simigcs_M condition rxxrlribW_ingto death cause iven in Pan 1 but not resultin in Ne underl in 28. Did Tobacco Use Canidbute to Deatlt? ^ ^ P bad Y , ~ er erm na even s su a e re ea . en Item 27. PaA I; Flier the chain of events -diseases, injuries, or complications -met dvectty cause respiratory artest, a ventrkular fibrillation without stowing the etiology. List ony one cause an each line. n y g . g g ro y eses t .p`No ^ UNtnawn IMMEDIATE CAUSE Final disease or r r {~ ~ ~ M1l-c,i~ltfa+'t r ~ C 1xL ~ ~ ~ ~ N 1! ~ 1 rl~ ~ ~V-~ t t Can(tibOR resulting in ath) ~ a n A t 1 cu~F f~+FS'}Ma In'FFS~ti1V1L 29. If Female: ear nant within past ~ Not re . Due to or as a copse o : r ( o n Sequentially list conditions, it any, b Cd (red N Q 1~ •T k ~ ~k V 'J 11~'~S S y C t i~1QE SS N E y p g ^ Pregnant at time of death d ^ . r lea to the cause listed on line a. Enter UNDERLYING CAUSE Due to (or as a consequence oQ: n - ~ t~ ~ ~ +~ f ays Nol pregrtanl, but pregnant within 42 of death (disease a injury that initiated the ~ o ry ~ Q ~ I s to 1 nant 43 da ear t nant but re ^ N n events resulting m death) LAST. Due to (or as a consequence of): r ~ d r H'y ~ k ~ ~ $ t I „ y preg , p g y o before death ^ unknown 4 pregnant witlrin the past year • . 30a. Was an Autopsy 30t1. Were Autopsy Findings 31. Manner of Death 32a. Date of Injury (Monet, day, year) 32b. Describe How Injury Occurred 32r.. Place of Injury: Home, Farm, Street, Factory, Ogice Building, etc. (SpecityJ Penortnedl Available Prior to Completion of Cause of Death? ~ Natural ^ Homicide ^ Yes ~No ^ Yes ~,No ^ Accident ^ Pending Investigation 32d. Time of injury 32e. Injury at Work? 32f. If Transponatbn Injury (SpeciJyJ e ^ Perkstrian ^ DriverlO erator ^ Passen r 32g. Locatbn of injury (Street, city /town, state) ^ Suicide ^ Could Not be Determined M. ^ Yes ^ No g p ^ Other - Specily: 33a. Certii'~er (check onty one) ~ b 33b. Sgnature and Title of enilier~ ~ ~~q ~ • Cenlfying physician (Physician cenitying cause of death when another physician rtes pronounced death and completed Item 23) d manner as stated d th ur to th ca (s e bd e d d s T f k h b \.?' _-v ~ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _ ) g , ea occ re ue e u e n eat o my now o t e • Protroundng and cenllyirrg physcian (Physician troth pronouncing death and cenitying to cause of deaN) ^ r as tated t th d i l d d 33c. License Number ~ ~ 33d. Oate Signed (Mon1th, day, year) L t'1Q t 1 2 O 1 0 }1t ' _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ue o e cause(s) an manne s me, data, and p ace, an To the fxM of my knowbdge, death occurred at the t i lC • ta lE O v 00 y ~~ „ 1~ t S ~ N xam ner aoner edica On ttre basis of examinallon end / or investigation, In my opinion, death occurred at the time, date, and plea, and dos to the causa(a) and manner as ataled_ ^ 34. Name end Address of Person WFO Comple a use of Death (Item 27) Type /Print C.. sn1'~~t13 NAIGtA/4 n ~J d t i S ' Date F0 (Mondt day ear) 36 ~ 153 i4f/>E 3 ~ya{ O~~ (pK~~ ~ ~ r 35. R ar o L g(n~af~~rye a)n r .,,/~~, ,,, s~ /V~~ r • JI ~~~~ W: Ly-I ~ I I I I , , y . .. ~ .,~ 0~ J , ~} ~-ek tab a ~ col t ~ t { Disposition Permit No. RENUNCIATION ~~, r-,,:r _ . ~zc3 . REGISTER OF WILLS ~. r -. ~ ~ c - , -~- ~ =~ ~~ tJt ; CUMBERLAND COUNTY, PENNSYLVANIA .~ cx~ ;;-~ ~ c -; ~ ~ . _ s:~ _: l = ~ ~ , ~ 1- I l~ - ~'i Ll ~~ _ ~ -,-, - Y .. f~ c~ ~-> - - Estate of ALICE P. STINE ,Deceased l~ LINDA LEHMAN n/k!a LINDA LEHMAN BENNETT , in my capacity/relationship as (Print Name) CO-EXECUTRIX of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ELIZABETH GARMAN . 9 ~4 ao~~ (Date Executed in Register's Office Sworn to or affirmed, and subscribed before e this ' ~ ~ day of - ~ . 1 \ ~.. Deputy for Register of s ~...lL'7i ~k.~ (Signature) 64 Scotch Gap Road, Unit 127 (Street Address) Quaker Hill C"I' 06375 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this day of Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission. ) Form RW-06 rev. 10.13.06 F:\FILES\DATAFILF,\Estate Plmuung\49I4.WIL LAST WILL AND TESTAMENT I, ALICE P. STINE, of South Middleton Township, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils by me made. 1. I direct. that all my legally enforceable debts, funeral expenses, testamentary expenses and all inheritance taxes (whether such taxes may be payable by my estate or by any recipient of any property) shall be paid from my residuary estate as soon as practicable after my decease and as part of the administration of my estate. My personal representatives shall have no duty or obligation obtain reimbursement for any such tax so paid, even though on proceeds of insur~or othe + ` 3 ''~~n ~ r property not passing under this Will. ~~`' ~'rn -. ~ ; , -3 ,. 2. -~t~r ~ ~,. `- ~_; :.; I give, devise and bequeath all the rest, residue and remainder of my estate, b6t`i"m real anr]• ~ : _ -:~, .~. personal property, unto my daughters, ELIZABETH GARMAN and LINDA L~HMAN, ' ~~ ~~~~ equal shares, absolutely. 3. I nominate, constitute and appoint my said daughters, ELIZABETH GARMAN and LINDA LEHMAN, as Executrices of my estate. 4. I direct that my Executrices shall not be required to file a bond to secure the faithful performance of their duties in any jurisdiction. 5. I authorize and empower my Executrices, in their sole and absolute discretion, to purchase or otherwise acquire and retain any investments of which I die seized or any real or personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in regard to any or all property of any kind forming a part of my estate for such terms and such prices as they may deem advisable; to borrow money for any purposes connected with the protection and ,~ ~. ,-- r ~ ~ . A.P.S. Page 1 of 3 Pages preservation of my estate; to mortgage or pledge any real or personal property forming a part of my estate or to join in or secure the partition of same; to compromise any claims or demands of my estate against others or of others against my estate; to make distribution in kind and to cause any share to be composed of cash, property or undivided fractional shares in property different in kind from any other share; to employ agents, attorneys and proxies and to delegate to them such power as my Executrices consider desirable and to pay reasonable compensation for such services as may be rendered by such agents, attorneys and proxies; and to execute and deliver such instruments as may be necessary to carry out any of these powers. In addition, I direct that my Executrices shall have the power to conduct an inventory of any safe deposit box necessary to the administration of my estate. IN WITNESS WHEREOF I have hereunto set my hand and seal this ~~.~~~ day of ~/ ~ ~~,,~, , 2002. ,~~ ~ ' C_.. ~=~ ~ ~~_ _ ~ ~'~,t ~ > ; ~ (SEAL) Alice P. Stine SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed our names as witnesses thereto, in the presence of the said Testatrix and of each other. _~ __. ~I Page 2 of 3 Pages COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) s'' ~ /~' We Alice P. Stine ~ ~ and ~ ~ ~~~-~- 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 that the Testatrix has signed willingly, and that the Testatrix executed it 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 Will as a witness and that to the best of his/her knowledge the Testatrix was at that time eighteen years of age or older, of ice P. Stine, Testatrix Subscribed, sworn to and acknowledged before me by Alice P. Stine, the Testatrix, and subscribed and sworn to before me b r- ~ ' y .~=~,~ / ~ ,-- ~ , j-~_ . ~..> r' ~~ ~ ~- ~ and ,_ ~-: ~1 ~ ~~ r~r~ ~~.. ~~t ~ .j > - ,~ ~~_y. ~ ,the witnesses, this ~ $ T day of ~ ~r ~, t . , 2002. J Page 3 of 3 Pages sound mind and under no constraint or undue influence.