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Home My WebLink About11-16-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Bernice Fithian, a/k/a Bernice M. Fithian also known as Deceased COUNTY, PENNSYLVANIA File Number --1~ ~ ~ / ~ ~ ~~ / Social Security Number 148-18-7493 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 mimed in th~;._.: last Will of the Decedent dated January 7, 1987 and codicil(s) dated n/a a ~=t- ~ '~~-~r _M ~ ~ ~ , ~; (State relevant circumstances, e.g., renunciation, death of~executor, etc.) ~ ~... ~ Q1 -'~ Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of tlt~e tt6~~ent(s);f'ered ~ :~ for probate, was not the victim of a killing and was never adjudicated an incapacitated person: n/a ~ ~ j ~ p ~ - -r~ .. ~~ ~. ~.. ~ a <=~ _~ ~ .~ B. Grant of Letters of Administration ~ t" (If applicable, enter: c. t. a.; d. b. n. c.t.a.; pendente liter durante absentia; durante nrinoritate/ 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. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) I Name Relationship Residence (COMPLETE !N ALL CASES:) Attach additional sheets if necessar~~. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 1000 W. South St., Carlisle (Carlisle Borough) PA 17013 (List street address, totivn/city, toti nship, county, state, zip code) Decedent, then 86 years of age, died on November 11, ZO10 at 1000 W. South St., Carlisle (Carlisle Borough) PA 17013 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: n/a ~ 4,000.00 ~ 0.00 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: li Signature Typed or printed name and residence ~ Jered L. Hock, 1334 Kiner Blvd., Carlisle PA 17015-9769 Form RW-OZ rev. 10. /3.06 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA 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 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 1 (.U`~ h bef me the t day of Signature of Personal Representative ~~ ~ j--~- "C ~,^ ~• _. lam ..._ ~. j, 4-~ ~ ~ cs' _s~ ~o the Register Signature of Personal Representative ~"1 ~ -~ 'L7 ~: '`~ C ~ -~ i - ~ w --." ..~ --~--t ~~-=i File Number: Estate of Bernice Fithian, a/k/a Bernice M. Fithian ,Deceased Social Security Number: 148-18-7493 Date of Death:November 11, 2010 AND NOW, l , ~, in consideration of the foregoing Petition, satisfactory proof having been presented efore me, IT IS DECREED that Letters Testamentary are hereby granted to Jered L. Hock in the above estate and that the instrument(s) dated January 7, 1987 described in the Petition be admitted to probate and filed of rec as the last Wil and Codicil(s) Decedent.~~ ~ ~? ~.~I~~:st-C- FEES /~ ~~a `V~ Register of Wil ~`1 ~~ Letters ............... $ ~~ ~~ -- Short Certificate(s) ........ $ - Attorney Signature: ,~ Renunciation(s~ ........ $ ,~ ~'~ ~; Attorney Name: ... $ l ~~. / ~ ... $ ~ ~ Supreme Court I.D. No.: r ~ ~ $ ~~ At Address: ... $ ... $ ... $ ... $ • • • ~ Telephone: ... $ J TOTAL .............. $ Form RW-OZ rev. 10.13.06 Page 2 Of 2 ~, _~.. c -i/`// ~CaCAL~ REGISTRAR'S CERTIFICATtOt~1 QF ~EA•TI-•I rN~~~N~NCx: it is illegal to duplicate 'this copy by ~Ihotc,stat or photalgrapri: N-~ec• i~cn~ this r~r((Iic,(!c, ~~t,.O[; P---1~_85.54.0_~_ ;,,, I ,,, it.•, ~ (t~ ~ r ! f ~ 'I)~ ~ i) ij)irirnaatit)r ~~ ~c. giver) is .;,r~ ~ ~F/ tOt _! ~q- ~ t1'lC"l 1 ', ~tih t'_) ~~ >;~ ~1 t trr(9'111i ~ ~ ~ltl~l t'C' i)~ I7l'.irth ~' ~ - 'P n ~~p`'~ f ~ ~~ ~ t!II~', I ir'i! to f(Iti 1f1.. ,-,ti ~_'r?ItitlilT'. ~ ~)~ O!'r;v'lll~ll ,~,~ ~ °,:~ '~ , L~jittl~, .~_ .~ ~" ~ i, ~ :(~~lr(I tt) lh~lt° `~t:lte. Vj11i1 ~~ ; '~~ ~:cy I~.l':~t1u.1• O~Ci. I, i ~. ~, I.,, !lt'til IiIIr1`~ ~~ ~ ~~ ,; . r r ,9 ,1 ~~ ,,t _11.1-~Z --- L ; ~ i .. _... .... _.. _._. __ _____.,_ ,rr1,, \'~'~'. r,„r1r- ,.4r'i.~~11 ?~.i~'(y~'„1' Ig:irk.' r.~,LleC~ N t~ - - ~: ~ ~Q x ~, ~ .....:. ~^y I ~ r~ ~ ~. J ... . ~-'^t '~ t... ti.J "'r'r ~ _ ` : ~4 , _. _ Cam? _ ,~! ~ ~ H105-143 REV 1112006 TYPE I PRINT IN PERMANENT BLACK INK .~ a 0 U X 'J J I a l w 0 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) .._..~ ~.. _ ..,........ 1. Name of Decedent (First, middle, last, su(Nx) 2. Sex 3. Sxlal Secudry Number 4. Date of Death (Month, day, year) 1 48 - 1 8- 7493 November 1 1 2010 5. Age (last Birthday) Under 1 r Under 1 de 6. Date of &M Month, da , ar 7. Birth G and slate or (or e" count Ba. Place of Death Check on ate Months Days Hours Minutes Hospital: Other: 8 6 Yrs. Oct . 6 , 1 9 2 4 Gloucester , N . J . ^ Inpatient ^ ER I Outpatient ^ DOA ~ Nursing Home ^ Residence ^ Other - Spealy: fib. County of Death fic. City Twp. of Death fid. FacilNy Name Qf not instUuUon, give sheet and number) 9. Was Decedent of Hispanic Origin? No ^ Yes 10. Race: American Indan, Black, White, etc. • Cumberland Carlisle Ot yes, specify Cuban, (gpacdy) Sarah A. Todd Memorial Home Mexican,PuedoRkan,etc.) White 11. Decedents Usuel Nan K1rW of wale date du ' t110at of Nfe. DO not state reU 12. Wae Decedent ever in the 13. Decedents Education (Specify sty highest grede corttpleled) 14. Marital Status: Martied, Never Monied, 15. Surviving Spatse (If w6e, give maiden name) Kind of Work Kind of Business/Industry Mans e /D U.S. Amted Forrxisl Elements /Sewn (0-12) Coll Wed' ~~ (S~ryr ry ~ age (1-4 ors+j Di d r ress Garment ^ y~ ~ vorce • 16. Decedents Mailirlg Address (Street, city /town, state, zip axle) Decedent's Did Decedent 1 0 0 0 West South Street Actual Residence 17a. state P a _ Live in a 17c. ^ Yes, Decedent Lived in Tom' Carlisle P a 1 7 01 3 Township? y--, 17b. Caunry C'. t t mhA r 7 a n r~ 17d.~] No, Decedent Lived within C a r l i s l e , . Actual Limits of Ci Boro 1 B. Father's Neme (First, middle, last, su1Nx) 19. Mother's Name (Fust, middle, maiden sumartte) Alfred D. Fithian Flva Burnett 20a. Inkrmant's Name (Type I Print) 20b. Infomwnt's Mailing Address (Street, dty /town, state, zip code) H. Romai n e She ff 1237 Pine Road Carlisle Pa 17015 rs ~ • 21 a. Method of Disposition t ~ Cremation ^ Donatlan 21 b. Date of Disposition (Monm, day, year) 21c. Place of Disposdbn (Name of cemetery, aematay or other place) 21 d. Location (City I town, state, zip code) ^ Burial ^ Removal rran state ~ was cremation or Daman A~hort~d~ ^ omen - ' by IAedkel Examiner / coratar4 ]~ Yas ^ No • Nov . 1 5 2 01 Ho 11 i n e r FH / Cr em e f o r g y Inc y pg 1 7 0 6 M t . H o l l S s . P a . 22 lure of Funeral Senrke tic (or pe as such) 22b. License Ntxrtber 22c. Name acrd Address of FaciNry 5 01 N . 13 a 1 t i mo r e Ave . FD-011932-L~ Hollin er FH/Cremator Inc. Mt. Holt S rin s Pa 170 e items 23a-c anly when car6ryirg 23a. To tl>e my knowledge, death occurred et the time, date and place stated. (Signature and tUle) 23b. License Number 23c. Date Signed (Month, day, year) ysician is not available at time of death to certntycauseotdeath. ~}~C` t, ~~ f, ~-y ~~~~ ~{~ ,( '~ "'~?'--'-v c-=-" > ~~ `~- V 9 ~1~ ~~~~ ~ ` ~ /~ +~ ~-~~f~.~ ott'~ • !tams 24,26 must be armpleted by person wh n d th 24. Time of Death ^~VL^` ~ 25. Date Pronounced Dead (Matra, day, year) ~ 26. W~asyCase Referted to Medical Examiner I Coroner fa a R Other man Creme6on or atjon? ~ ~ o pro ounces ea . ~~~ M. ~~~ ~,r ~y3 -.v.~~ ~ ~ l ~'C~ `Q ~~ V-~-. ~`~ ~/~Q/ 4 r-I res ^ No Lug ~ ~\`~+ CAUSE OF DEATH (See Instructions end examples) t Approxlmale Interval: Item 27. Part I: Enter the chain of events -diseases, infudes, a txtmplicatkns • that diredty caused the death. DO NOT enter terminal events such as cardiac ertest, ~ Onset to Death Pan N: Enter other ' ~ but not resuNing in the undertying cause given in Part I. 2fi. Did Tobacco Use Contdbute to Death? ^ Ye ^ Probably respiratory arrest, a ventricular Nbdlletion witlwtd showing the etiology. List only ate cause on each line. t ~ ^ r /n^ IMMEDIATE CAUSE (Fl t i No Unknown ~ A oa sease or d `it`i~[.~ t~i2~~ ~' !'.~ ' ~~ 1~ Ly ~,~ i condition resuting in death) 29. If Female: _~ a r ^ (a as a caisequ/aM,;e-7o~q: L. Y n /,, r SecuenUeNv Nst conddkns, if arty, b. ~ L"~.y L~~'~ / / 7~t~ l~' c-/ Y'f2-C(~~ ~ (~ IBS L~ ~ leadrg to the cause listed an line e Not pregnant wimin past year ^ Pregnant at time of Beam . Enter me UNDERLYING CAUSE ue to (a as a consequence oQ: i ^ Na pregnant, but pregnant wimin 42 days (daease a injury mat initiated the t events resulting m deem) LAST. o. ~ of death ^ Due to (a as a cans•Mrertce oQ: t Not r ant, p ego bu[ pregnant 43 days to 1 year b f d • d. r r e ore eem ^ Unknown N pregnant wimin me past year 30e. P as'opsy 3qb. Were Autopsy Findings Avaiaable Prior to Completion 31. sonar of Deem 32a. Date d Injury (Monm, day, year) 32b. Desaibe How Injury Occurred 32c. Place of Injury: Home, Farm, Street, Factory, of Cause of Death? Natural ^ Homkide ONice Building, etc. (SpecilyJ ~--~/ ^ Yes No GI ^ Yes ^ Na ^ Aa:ident ^ Pending mvestigaNon mod. Tune of Injury 32e. Injury at Work? 32f. If Transportatkn Injury /SpecilyJ 32g. Locaton of injury (Street, city /town, state) ^ Suicide ^ Could Not be D t i d ^ Yes ^ No ^ Ddver/Operator ^ Passenger ^ pedesMan erm e ne M ^ Other -Specify: 33a. Certifier (check only one) 33b. Signs and T of Certifie • Certlfying physlclen (Physkian certifying cause of deem when ~ )her physician has pronounced deem and axnpleted Item 23) j To the bast of my knowedge, death oeeurrod due to tM au sand manner as stated _ _ _ _ , l r7 L ' Pronouncing ant cenltyfng physlelsn (Physkian both pratounritg deem and certifying to cause of deem) 33c. License Number 33tl. Date Signed (Monm, day, Year) To dts treat M my Iatowledge, death oceurrod at the tltne, date, and place, and due to the auea(a) and manner as stated _ _ _ _ _ _ _ _ _ _ _ ^ ' - -' ' - - ~y ? C (h • Medcal Examner/Coroner I O ~ 1 / 1 .7 O d l~ ~ ~ ` ~~- ~ ~ / D On the basis of examinatkn and I ar Investigation, in my opinion, death occurred at the time, date, end place, and due to the cause(s) end manner as statetL ^ 34. Name and Address of Person Who Completed Cause of Deem (Hem 27) Type I Prim 35. Regishar lure and D' ' t 36 Date Fled (Month, day, year) 1<~ 710/ S r r~ f'7C S Dispositlon Permit No~ _ U > I~ I i v -i~~!/ LAST WILL AND TESTAMENT OF BERNICE FITHIAN I, BERNICE FITHIAN, of South Middleton Township, Cumberland County, Pennsylvania revoke any prior Wills and Codicils made by me and declare this to be my Will. 1. I direct my Executor to pay all of my just debts and expenses, including the costs of my illness and funeral as soon after my death as may conveniently be done. 2. I give my clothing and non-perishable food, together with any insurance thereon, to the Salvation Army, Carlisle, Pennsylvania. 3. I give all of my sewing machines, together with any insurance thereon, to the South Middleton School District out- right for use in the Home Economics Department of the District. 4. I give all of my oil paintings, the signet ring which was my mother's, the cameo ring which was made from my father's tie pin and all of my coins, both old and new, together with any insurance thereon, to my brother Joseph B. Fithian. If my brother Joseph B. Fithian does not survive me, I give these items to his wife Maria Elfrieda Fithian to distribute among their children in such shares as she in her sole discretion deems best. 5. I give to Mt. Zion Evangelical Lutheran Church, Monroe Township, Cumberland County, Pennsylvania, all of my real estate, all of my household goods, personal effects, and tangible personal property (except for the items included in paragraphs 2, 3, and 4 above), all of my savings bonds, all of the net proceeds remaining in bank accounts, and all of the rest, residue, and remainder of my estate. I make this gift to Mt. Zion Evangelical Lutheran Church outright, with the church council in its~v~e x ~~n .-C ~u~~ -- ~, ~:;.~ r7 =~ ra ~' O u,__, ~:~'~.~ C; :, _l _i r-, _ _; _; r _ ~~~3 ~' ri discretion to sell or retain any and all items and to use any and all items or the proceeds of their sale as the church council in its sole discretion deems best. 6. I appoint Jered L. Hock, Executor of my Last Will and Testament. 7. I direct that my Executor shall not be required to give bond for the faithful performance of his duties in any jurisdiction. 8. My Executor shall have the following powers in addition to those vested in him by law and by other provisions of my Will, exercisable without court approval, and effective until actual distribution of all property: (a) To compromise any claim or controversy, (b) To invest in all forms of property without restriction to investments authorized for Pennsylvania fiduciaries, as he deems proper, without regard to any principle of diversification or risk, '- (c) To exercise any law-given option to treat ,~., '~'~ administrative expenses either as income tax or as estate tax, ~., ~;f inheritance tax, or other death tax deductions, without regard ;'~ to whether the expenses were paid from principal or income, and ,.~ 3;;~ s~ (d) To sell at public or private sale, to exchange, Y,w A -~ or to lease for any period of time, any real or personal property and to give options for sales, exchanges, or leases for such prices and upon such terms or conditions as he deems proper. 9. At the present time, I maintain insurance on my life with the Metropolitan Life Insurance Company. To the extent that the proceeds of this insurance is sufficient to pay for my estate expenses and the reasonable fees of my Executor, I direct that he pay such fees and expenses from said insurance proceeds. -2- Any monies remaining from my life insurance after payment of these reasonable fees and expenses shall become a part of my residuary estate. ,,. EXECUTED ON F~;~ ~.~.c.z,~..~.~....~~.~ ~'' , 19 8 '~. ' t-f..- i.. -r ~ `~ Name /~~ l ~\. r~ j~,. ~ ,~ ~~ Name' -3- y 0 3 ,, ~ f, ~ , _..l BERNICE FITHIAN ;:~: ;~ Address Address Commonwealth of Pennsylvania SS County of Cumberland I, the 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 Will; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein expressed. .~ _.._.f, Testatrix Sworn or affirmed to and acknowledged before me by the above named Testatrix thi s ~ J'`~"~ day o f ~1 ~,~ ~ t:ct. t_ ~:~~ 19 8 °~. - y ~' No ary Public Commonwealth of Pennsylvania SS County of Cumberland : ~~ We, the undersigned 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 Testatrix sign and execute the instrument as her Last Will; that she signed willingly and that she executed it 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 the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. ~ - ,_ ~' ~N --- Sworn or affirmed to and acknowledged before me by the above named witnesses this '~'~~ day of ~~. c:~_ ~~.~_~..~~ #~.- 198~~. .~y f Notary Public