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HomeMy WebLinkAbout08-23-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Mildred V. Forrester File Number ~~ ~ - ~~ J v 0 ~~ also known as ,Deceased Social Security Number 183-12-2928 John W. Forrester 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 named in the last Will of the Decedent dated 3/3/2005 and codicil(s) dated December 8. 2005 r~ C7 .,~ -~ ca °l ~, (State relevant circumstances, e.g., renunciation, death of executor, etc.) `~ ~ C'7 ~ - i:, Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution 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, f.!? 3:~ Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and hers: (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.) Decedent, then 86 years of age, died on 6/13/2010 at Carlisle Regional Medical Center Carlisle PA 17013 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 1.000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ none 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: Signature Typed or printed name and residence John W. Forrester 63 Mud Level Road Shi ensbur PA 17257 1.3~; ' J _~ - ti, ;~ . •.,7 ~) ~~ Form RW-02 rev. !0.13.06 Page 1 of 2 (COMPLETE INALL CASES:) Attach additional sheets if necessary. az~ lra'ka.~.~d Decedent was domiciled at death in Southampton Townshio/~unry, Pennsylvania, with his /her last principal residence at 638 Mud Level Road Shiooensburo PA 17257 Southampton Two Cumberland Countv (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 affurn(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 cs.~~` --e~~ Signatu~ofPersona!Representative John W. Forrester before me the 23 day of August ~ 2010 Signature of Personal Representative C7 r.s `~ ., . '- , ~- .-, a j , S: ature o Personal Re resentative o the Register gn f p ~ ~1 ~ ~" ~ `-± , : > ~ ;;r-~n ~ . -` ~~ _a~ w ~' ~ ~~J V ~ ~;j=s'3 ' ` ~ _~ ; ., ~ O lU File Number: - ~a ~ , ; Estate of Mildred V. Forrester ,Deceased ~„7 Social Security Number: 183-12-2928 Date of Death: 6/13/2010 AND NOW, Auoust 23 , 2010 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to John W. Forrester in the above estate and that the instrument(s) dated March 3. 2005 and December 8. 2005 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ........................ ..... $ 20.00 Short Certificate(s) ••••••• ••••• $ 4.00 Renunciation(s) ••••••••••• ••••• $ Codicil .... $ 15.00 Will .... $ 15.00 JCS fee .... $ 23.50 Automation fee .... $ 5.00 .... $ .... $ .... $ .... $ .... $ TOTAL ........................ ..... $ 82.50 Address: 14 N. Main Street Chambersbura PA 17201 Telephone: (717)264-6029 Form RW-02 rev. 10.13.06 Page 2 of 2 Supreme Court I.D. No.: 17516 nu~-sir xe~ ~r,vu~ ~ ~ ~ ~~~'-~~~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee frn~ this certificate, $6.00 P 16487520 Certification Number r This is to certify that the information here liven correctly copied from an original Certificate of Dea duly filed with me as Local Registrar. The origir ' certificate will he forwarded to the State Vii Records Office for permanent filing. 6 ~ /i~ Deal gis ar ,,,,= Date Issued n ° CQ c~ __ ~' .gyp C ~ ~'; n C t ~ ..L~ D ~ fTl ~ C-1 "'l ~ O ~ ~ ~ . N106t/3 REV 1712009 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH .VITAL RECORDS ~ ~ -~ :'*"t TYPE I PRIM IN N~ r CERTIFICATE OF DEATH ~ -- `~`~ (See instructions and examples on reverse) STATE FILE NUMBER Oti ~_ 0 1. Name d pcedem (fkN mitlde, krN, sotto) ~!l L ~~~ ~~ /~S' %~~ 2. sea ~ 3. Socol Searey NuMer 1 8 3 _ 1 2 - 2 9 2 8 1. Dale d ( der. rear) s. Ape (LaN ekdNay) •lhNer 1 INitl« 1 8. Deb d aM Madh, 7. ~ C' and Nate a l ~ awd 7 M. Pkce d DsM Clydc ore ~(p Yrs MoNh6 Oryt Nan Mkrs 12-2-23 Chambersburg, PA Ho6pilal: 011rr: ~;,,~,ti,a ^ER/Oulpatimt ^DDA ^Nur6ingH«ce ^Rasidence ^ghar.Specily; Bb. Calory d DsM &. Gy, Boro, Twp. d DsOI 8d. FadYly Name (d nd nsMuOon, give aheN and nunber) 9. Was Deadens d Hepertic Onpn? ®No ^ Yea 10. Rero: Anrdctn IMien, Black. WNk, etc. I Ind Cumberland S. Middleton Tw 1 MB°pn, Ppno ~°"~ Na.) White 71. Deoetlem'a Usual IOrid d work d oce du' moN d kN. Do M Nale 12. Was Decedent scar b tlr 9. Diadem's EdupOa (Spadly ady hpMSt prada mrnp bletl) 14. MmA61 S7Np: Manieq Never Marred. 15. Survirip Spa re (q NN, Aire maitlan name) KYr d Wah KMdBuekrea/kNUNry U.S. Amrd Faces? Ebrrlmlary / Seprldery (0.12) Cdlege (1-/ a 5r) Wslowed, Dirotad (Specdyj Dairy Farmer Sell Employed py.p ®No 8 years Married John W. Forrester Is.D.oaaanrak+.anpAmrea6lsvaN.dy/bwn,NNa.:lpcoda> Da6adam's pA a^Daoedenl~ Southampton Twp. AcgrlReaNerce t7e.SUr 7Ta Y86 ~ DtkNBd" T 638 Mud Level Road T owrehy7 ' "p~ Cumberland , Td. ^ No, Deadem aced wM7in 17b'~ Shi ensbur PA 17257 AduN lknksd cny/Bom 18. FeYrfs Name (First rdtlde, Mss, auMx) 19. MotMf6 Name (First, nuddk, maitlen sumeme) Jacob Leedy Thesta Foreman 2h. IdamnaM'e Name (Type I Pmt) 20b. Odomrd'a Mang Atltlracs IBtre•l, mY /ban. Nate. Tip cede) John W. Forrester 638 Mud Level Road, Shippensburg, PA 17257 21 a. Metlnd d D'rpaiban r ^ Crematlon ^ Dma9p 210. Date d OrPO41bn (Monts. day, year) 2tc. Place d Drparon (Name d arrrtery, a•^mory a oM« piers) 21tl. Lapam (Cdy/bwn, Nate, zp code) ® Buis) ^ WmoveltmnS«te ' wsCreme9«raDoMknAuMOrlatl ^ q~. ~ byMedictlEsmMrrlCaorrr? ^ Ys^ No 6-18-10 Salem Cemete ry Chambersburg, PA 17202 22a. ~ d Fur (a adkq s nrd0 220. lianas NumOer 22c. Name and Adtlreu d Facuay rya, FD-012984-L Fogelsanger-Bricker Funeral Home Inc., Shippensburg, PA 17257 Campbr amrc 23e<aa/ wtrn arkly'uip 23e. To Me I~t d my drMetlpa, dots ocaned N Me 9nr, der and pre stNed. (SpneNre antl Otle) 23b. Barre Mmbar 23c. Dar Siprrd (MOmh. day, Yaad ptryswn b nd r«akable N time d tlstli b array wuee d deeM. Hems 24-29 mrt De corrgleled q' parse 24. Tens d DsM 29. Dale P Dead ( Madh, deY,YSr) 28. Was Cabe RNarred b MWrsl Ezamiw ! Career W a Reason goer than Crartrgon a Darlbn? stn praances deem. ~. ~.~ ~- M. // - 7 O(d ~ /Gti' ~{% ^ vas ^ No CAUSE OF DEATH (See inetrtrctbne sntl exempba) , Approxrrte knervN Pan II: ErMr other ~ 29. Did Tohaao Use CarsribNe to DsM? Kern 27. Pan L Enter Iha - tliseaae6, kpaias. a oatpkpaar - Mrt dradM uusetl Me tleaM. DO NOT eder rrrnkrl evade sots s prdiec mreN, i Orel W Deets but nm resuNnp in Me uMenyng sae gven n Pon I. ^ Yes ^ Prebaby reapkNay rarest, a vemncdar PorlkNion wkhad Nraep dr edobpy. lkl ady ar pus a each kre. ~tp 7 ~ y ~J aC a~ '~s17lTM'N ~(.~"~ ~//7.H?2*71~ ~> L(,61p+~ _ i ~NO ^ Unknown r ) IMIEDUITE CAUSE ffkW deeace a <,,~~ 4 axMpbn reeWO^B m aM) } a. ~'"'C• 1.~Y70J'1/ ~ ~ /r C S : ~Ytf'~{.~1L ~l ~i.Lf r /'~~l- '?- 2rL /inn ~~ t'LT r ~~!"-' l~ k~j (iJrH-~ 29. 0 F Q~ Dab (« a6 a aaee9uerke a0: Ne-~t,~ (~ ~ , /~/y)7 v~7 .~1 1 ~~ / Nd preprrd wXM P'~ year nt a 0. ~ ~ d `ter '~ '!'~ i ~/ f v O ~ Due b (« s e aaaeprnce N): EIIOERLYtl M CAUS a r n but pregrient willun 42 days Pre9ns , (daeaee a kquy Met iniliatetl Ma r everds r•ormnB n deaM) LAST. o. ~ d tlsth Due b (or as a caregance oQ: Nd prpMnt, bN pregnem 43 tlays b t Ye« d hebre deeM ^ tlraarorm a pregnant NMn Me peN year 30e. Was s ANOp6Y 3W. Were Aulapsy Fkalkgs 31. Mannar d Death 32e. Date d IrMiay IMaM, mY. Ye~l 32b. Describe How I ~ Occurred nMY 32c Pka:e d I~ Hare. F Street Factory, Penormetl? Available Piror to ComplNion ry G NaW l ^ H idtle ~ ~y/ ~~ ' ~ of Cause d DsM7 re ai ^ Vas ~No ^ Yes ^ No ^ Acddenl ^ P~^9 XneN~tian 32tl. Time d kljuy 32e. Injury et Wak? 321. 0 Trareponalim In)ury Ispeedyl 329. laallon d kqury (SOee6 dly /form. NNe) ^ Sddtle ^ Cadtl Not be Delemurrtl ^ Yes ^ No ^ DdverlOpereta ^ Pa6senger ^ PedeNden M OMer -Speedy: 33e. Ceniaer (dreck mty anal 33b. Siprrture and Tar d GnXar CMBying physkhn (Phlsician cenilying ceuce d tleaM wtrn errMa physiden has prorouncetl dsM stl certpbled hem 23) . ~ 7~ Todre heNd my knowrdpe, datlhapurad due to the puee(s)antl manners NNetl_________________________________ ^ L • ~ ~ Prarounokg and aNykp physlchn (Physiaan bothporiotrcsanp tleNh entl andyirp b pose d dsM) To MebMdmy knowNdpe de•Ih ax«IetlNMellme Wr eM Mce and tlpblh tl bd d .License NuMer /I "7 ) 39d. Dme (Mats ceY. year) ) / ? ' , , , p , eowags)an msner as s e ____________ • YedbN EssmkimlCamrr _ _ _ _ _ _ L'~~ 1l~ v n. dl~r%J! T 7 D ` / 7 ~/O (/J / / 4Gr On die Gsb d easminHbn erN / a k«astlgNion, In~my opMbn, tlealh oceumd N the time, Osk, and place, and dw to the ease(s) sod manner s NNeIL ^ 34. Name antl Atltln765 d Person Who Cmglekd Cause of DeNh (Item 27)Type / Print d ~~ ~ ~ 39 'b S l t - L~/N~~1U~ / {~nd2 ~V . gp ure e a 39. Dale Filed (Modh day ysr) Chi ~t t ~~ {~z~ cs>'v~ z. b~2C-b ccr~rL ci7v-rv~ ~ ~ v v Disposition Pemul No. O ~+ ~ ~~ v TLB - 5.1 forrester.2w February 4, 2005 LAST WILL AND TESTAMENT I, Mildred V. Forrester, of 638 Mud Level Road, Shippensburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this to be my will, hereby revoking any and all former wills and codicils thereto berme _~ c7 ___ ~. heretofore made. `^ ~ c heretofore made. -~~~~ ~,. ~? ~ c ru ~ m ~t ~ N ~Z p N -. ~- zJ W [~ I . ~ ~ lT b. I . f-~ - ? i-' "" ." _ t.`~ ~ _:_{ -ni iD .~-, .~. I direct that all my just debts and funeral expen es, I direct that all my just debts and funeral expen es, including all expenses of my last illness, shall be paid from my including all expenses of my last illness, shall be paid from my estate as soon as practicable after my decease as a part of the estate as soon as practicable after my decease as a part of the expense of the administration of my estate. expense of the administration of my estate. II. I give, devise and bequeath the residue of my estate of every nature and wherever situate to my husband, John W. Forrester providing he shall survive me by thirty days. III. Should my husband, John W. Forrester, predecease me or die on -~-, ; t`~`7 i -~ .. a :_ r~,~~ F.~7 ~~ or before the thirtieth day following my death I give, devise and bequeath the residue of my estate of every nature and wherever situate to my children, namely Danny G. Forrester, Charley L. Forrester, Betty Martin and Jean Wingert, in equal shares, provided that the share of any child who predeceases me or dies on or before the thirtieth day following my death shall be distributed to said beneficiary's issue, per stirpes, living on the thirty-first day following my death, and in default of any such then-living issue, - such share shall be added to the share or shares of my other children. IV. In the event that anyone entitled to a share of my estate shall be under the age of twenty-three years at the time for distribution to such beneficiary, I constitute and appoint Orrstown Bank, as trustee of any property which passes either under this will or otherwise to said beneficiary. Said trustee shall in the trustee's sole discretion and without order of court, use principal as well as income from time to time as may appear to be necessary for the beneficiary's welfare, comfort, medical care, recreation, support and education, without responsibility to the beneficiary or to any person taking care of the beneficiary; and the remaining balance in the hands of said trustee shall be distributed to said beneficiary when the beneficiary attains the age of twenty-three years. If such beneficiary dies prior to attaining the age of twenty-three years, said trustee is authorized in the trustee's Page 2 discretion to pay part or all of the beneficiary's funeral expenses and the remaining balance in the hands of said trustee shall be distributed to the beneficiary's personal representative. In the event the funds held by the trustee for any beneficiary become in the opinion of the trustee too small for proper and efficient administration, the trustee, in the trustee's sole discretion, may deposit such funds in a savings account in the name of the beneficiary. v. ~~ Any fiduciary under this will shall have the following powers in addition to those vested in them by law and by other provisions of my will applicable to all property whether principal or income, including property held for minors, exercisable without Court approval, and effective until actual distribution of all property: A. To retain any and all of the assets of my estate, real or personal, without regard to any principle of diversification of risk. B. To invest in all forms of property including stock, common trust funds and mortgage investment funds without restriction to investments authorized for Pennsylvania fiduciaries as they deem proper, without regard to any principle of diversification of risk. C. To sell at public or private sale, to exchange or to lease for any period of time any real or personal Page 3 property and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as they deem proper. D. To allocate receipts and expenses to principal or income or partly to each as they from time to time think proper. E. To compromise any claim or controversy. F. To distribute in cash or in kind or partly in each. G. To hold property in their names without designation of any fiduciary capacity or in the name of a nominee or unregistered. VI. '~ I direct that all taxes that may be assessed in consequence of my death of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. VII. The interest of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation; and the principal and income shall be paid by the trustee or guardian directly to or for the use of the beneficiary entitled thereto, without regard to any assignment, order, attachment or claim whatever. Page 4 VIII. I appoint my husband, John W. Forrester as executor of this my will. Should my husband, John W. Forrester predecease me, fail to qualify or cease to act, I appoint Orrstown Bank, with principal offices located in Shippensburg, Pennsylvania, as executor of this my will. IX. No bond shall be required of any fiduciary hereunder in any jurisdiction. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my last will and testament, consisting of six typewritten pages, the first four of which bear my signature in the margin for the purpose of identification this 3 -G`~day of ~..,,,A ~ 2 QO,~. !"~'( ~ , • SEAL ) Signed, sealed, published and declared by the above-named testatrix 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 set our hands as attesting witnesses. ~• Page 5 We, /MLildred V. Forrester, ~D ~ and ~,4 ~. ,~U,4-icy ~ , the testatrix and the witnesses respectively, whose names are signed to the attached or 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 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 said testatrix signed the will as witnesses and to the best of their knowledge said signer was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. statrix Witness - - - i ~~~~~a Witness Subscribed, sworn to and acknowledged before me by the above-named signer and subscribed and sworn to before me by the bove-named witnesses this 3~~ day of c~ 2 vc~s-- Nota~ Pu li COMMONWEALTH OF PENNSYLVANIA Notarial Seal Teresa J. Burkholder, Notary Public Shippensbur~ Boro, Cumberland County My Commission Expires Aug. 6, 2008 Member. Pennsylvania Association of Notaries Page 6 JRZ - 5.1 mforester.cod December i, 2005 n ° F;: C1 © ~ --, ~; R -E7 C r , f..) ~,.n._ 4 J r w7 ,. _ m.., ;.. _. ,. _, CODICIL ~~%: a y,. ` ,' -n - ~= -i c~~~ .-.-, ~ I, MILDRED V. FORRESTER, of 638 Mud Level Road, Shippensburg, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this to be a codicil to my will dated March 3, 2005. I. I hereby revoke paragraph VIII of my said will which reads as follows: "I appoint my husband, John W. Forrester as executor of this my will. Should my husband, John W. Forrester predecease me, fail to qualify or cease to act, I appoint Orrstown Bank, with principal offices located in Shippensburg, Pennsylvania, as executor of this my will." IN LIEU THEREOF, I direct that the following be substituted: "I appoint my husband, John W. Forrester as executor of this my will. Should my husband, John W. Forrester predecease me, fail to qualify or cease to act, I appoint my children jointly and severally, namely Danny G. Forrester, Charley L. Forrester, Betty Martin and Jean Wingert." II. In all other respects I hereby ratify, confirm and republish my will dated March 3, 2005 together with this codicil as and for my will. IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of ~UQCein~ 2 dC~ . (SEAL) Signed, sealed, published and declared by the above-named testatrix as and for her last will and testament in our presence, who in her presence, at her request and in the presence of each o r have h eunto set our hands as attesting witnesses. .c ~ c~ ~ f~ ~~~a We , MILDRED V . FORRESTER, ~rl TD ~ ~- ~ ~ 1 and l jL~,~t3~ ~1 ~ ~uK~~~E/C, the testatrix and the witnesses respectively, whose names are signed to the attached or 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 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 said testatrix signed the will as witnesses and to the best of their knowledge Page 2 said signer was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Testat '~ Witness ,~ W the Subscribed, sworn to and acknowledged before me by the above-named signer and subscribed and sworn to before me by the a ove-named witnesses this ~'` day of ~Q~~~~ ~ 2~j~ ' 1~..(~U otary lic Notarial Seal Tricia L. Bailey, Notary Public South Middleton Twp., Cumberland County My Commission Expires Sept 24, 2006 Page 3