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Home My WebLink About02-03-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COiJNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR FROBATE AND GRANT OF LETTERS Estate of Helen Jane Wolf a/k/a: a/k/a: --- a/k%a: --- ~_~. , Deceased ESTATE NO: 21- 1, ~ I~~~ .'.~„~„~ SS NO: ~a~-~3- >.:~~~3 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: ^ A. Probate and Grant of Letters Testamentary or ^ Administration c.t.a., or d.b.n.c.t.a. (completE- p'a,rt C also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters Testamentary _____ ~_ under the last Will of the above-named Decedent, dated 4/27/2006 andl codicil(s) dated (State relevant circumstances, e.g. renunciation, death of e~:ecutor, etc.) Except as follows. Decedent did not marry, was not divorced, and did not have a child born or adopted after ezecutio~n of the instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person. and was not a pac-ty to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as defined in 23 1'a. C.S.A. § 3323(8>: not applicable ._____ ^ B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent lite, durante absentia, durante minoritate) C. 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 ([f Administration c.t.a. car d.h.rt.c.t.~t.. enter date of ti~'ill in Section A and complete fist o#~ heirs}; was not the victim of a killing; was never adjudicated an incapacitated person; and was r;tot a party to a pending divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), except as follows:-- Name Address R 'onshi~to Decedent -- ~ ~`? _" ° - z__ ~ ._- a- -~~ ~,.,.- --_ r~--~ - sir ~ %'' ~ ..~ ~i.. --_ .~ "y'j ~~-_ _, ~/ ' .'y ~e~ •~` -..5, ;~ ,' 7"~ ~ _ J ..J t'SE -~DDITIOI\tU. S)IEE'I'S Il<' NECESSARI` ~~- ~ - THIS SECTION MUST BE COMPLETED: :~Y ~":' ~~ ~ Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or pr~ttlcipal rtdence "T'' At 17 Ridgeway Drive, Carlisle, 17015, South Middleton Township, Cumberland County, Pennsylvania _ (Street. address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then _ z~ ~__ years of age, died 1/28/2011 at Carlisle, Pennsylvania- (Month, Day, Year of death) (City and State where death occurred) Estimated value of decedent's property at death: If domiciled in PA All personal property $ __.__ ~'~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 $ __50,000.00 Total Estimated Value $ u____6?,000.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) 17 Ridgeway Drive, Carlisle, Pennsylvania Si„;nature(s) :Name(s) K lYlailing Address(es) ~ 1 11 Brenel Lane iMount Holly Springs, PA 1706! tntenm form xw-uz revrsea tz.16.1u by c,umbertana t_ounty pena~ng acuon by the court ~~age i of ~ OATH OF PERSONAL RF,PRESENTATIVI; Commonwealth of Pennsylvania ~ SS County of Cumberland The Petitioner(s) herein named swear or affirm 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 aff rmed and subscribed /,r ~ - f,'.:-~ j i G~~ ._ - b fo:-~: me this ~-- day of . --- . , ' I , .., / , ~. ,__ r the Register ; ~y~~-; ~~ 3 ~„, -- _;- - DECREE OF PROBATE AND GRANT (JF LETTERS ., ~~ -~ `-~ ~ _ _._. _ ,._ _ :_~~., -»t -- 7 ~ rt ~ : ~ ~ ~~.~'7 C7 Estate of ___ Helen Jane Wolf _, Deceased File Numher: ~I-i >(~ w-~__~~ ~ ~ .;,:^- ...T.~ AND NOVV, this ,~ day of ~ t"Lr ~ ~~{ ~ '~ G (~ _, in consideration of the Petition on the reverse side hereon, satisfactory proof having been resented before; me, IT IS DECREED tl~Iat L~tte;'s x Testamentary ____ of Administration _ are hereby grantee t:o: {If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) George W. Ely, Jr. __ _ _ iii the above estate and that instruments(s) dated 4/27/2006 _ described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. r ~ f 3, j ~p Glerida Farner Strasbau h ~' ~._~~%~~'~''.~~~" I ~`~ Register of Wills FEES: ~. _. :~ ~~ ~' c' Letters .................... $ Will ....................... j ~) ' Vie; Codicil(s) .............. . (~ ~' Short Certificates '` ~ ~- )Renunciations....... Bond ............................ Other ............................. Automation FEE,,........ 5.00 JCS FEE .................. 23.50 TOTAL ................$ 2.50 Signature of Counsel Required to Enter Appearance Atty's Signature '`~,, ~~~~ ~ ~~' ---•-•--• PRINTED Name: Keith O. Brenneman ___u Supreme Court ID No.: 47077 Address: 44 West Main Street Mechanicsburg Pr1 :17055 Phone: 717-697-8528 Fax: 717-697-6781------_-` -- ------- ~ h~terim Form RW-02 revised 1226.10 by Cumberland County pending action by the Court Page 2 of 2 --, ~ i r -, ~t C.,~. W t - ..../ - ~ r' t p•~ .r V~~ ....- ~r~-.• r ., .n,3 1~ I ~.. wr r..t.i ~. ~ ( , -.. ~ .. __ ~'J -~ ~ ~ ~ n ~ D ~~,. . C'3 ' I m .~ Qt U C M 0 ~~~ ~~ ~1 _~ z 0 v 0 0 i H705-143 REV 11/2006 TYPE /PRINT IN PERMANENT BLACK INK .-. ~. p .• ~ ~~_ .. ~:~ ~- ~. ~. _ . ~~. ; ~, , COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) ,._.r.- ~„ ~ ,,,,,.,._„ 1. Name of Decedent (First, middle, Iasi, suffix) 2. Sex 3. Soaal Security Number 4. Cate cf Deafi (INonth, clay, year) Helen. Jzne Wolf Female 20~ -03 - 6213 .7anua:~28, 20_11 5. Age (Last Bidhday) Under 1 ear Under 1 da 6. Date of Bidh (Month, day, year 7. 9!rth lace fCi and slate cr fo~eir n count Ba. Place of Death :'Check only one) Months flays Hours Minutes Hospital Other: S S Yrs. A P r i 1 1 1, 1 2 2 Car l i s l e, P a. ^ Inpatient ^ ER /Outpatient ^ p0A ^ Nursing Home C~ Residenne ^ other - spacity: ' 86. County of Death ~ Cumberland 8c. City, Boro, f Death So. A'tidd.leton Bd. Facility Name (If not institution, give street and number) 17 .Ridgeway )?rive 9. Was Decedent of Hispanic Origin? [~No ~.~ Yes 10. Race: t4merican Indian, Black, White, etc. (II yes, specity Cuban, (Specil'yl Mezican,PuertoRican,etc) _ White 11. Decedents Usual Occu ation Kind of work done i iuri most of worki Ida. Do not state retired 12. Was Decedent ever in the 13. Decedent's Education (Specify onty highest grade completed) 14. Marital Status: Manned, Never Married, 15. Surviving Spouse (If wits, give rneiden name) Kind of Work S stems Anal st. Kind of Business/ Indust ry Federal Goverm U.S. Armed Forces? .nt^ vea ~7 Nn Elementary /Secondary (0-12) College (1-4 or 5+) 1 2 yrs . Widowed, Divorced (Specify) Widow 16. Decedents Mailing Address (Street, city /town, state, zip code) Decedent's __ Did Decedent - P a 17 Ridgeway Drive Actual Residence 17a. State r • Live in a 17c. ®Yes, Decedent LNed in _~OS1u,j i'1 M i ~ ~ 1 P t n n r ~ Carlisle P a 1 7 01 5 17b.Coun ty Township? Cumberland 17d.^NO,DecedeniLivedwBhin , . - Actual Limits of _ City /Boro 18. Father's Name (First, middle, last, suffix) 19. Mother's Name (First, middle, maiden surname) L nn G , i3renneman Sr . ' Mary lane CJ~~;~_-_ 20a. Informant s Name (Type / Printl 20b, Informant's Mailing Address (Street, city /town, state, zip code) -r ,1 1 1 Brenel Lane Mt Holl C J]"1T1gS, Pa. 1 7065 21a. Method of Disposition ~ ®Cremation ^ Donation • 21 b. Date of Disposition (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory or other place) 21 d. .ocation (City /town, state, zip code) ~ ^ Burial ^ Removal from State 1 Was Cremation a Donation Aulhorizeri ,--, ^ No ^ Other- S ci ~ b 'cal Examinant Coroner? ~J Yes ~ J a n. 31 , 2 01 1 H o 11 fi n g e r F'H / (' r e m a t o r y Inc . M i. „ H o 11 y S p g s. P a. 1 7 0 6 22a. 1 ure of Funeral Service Licen a perso acti s such) ~ ' ~ 22b. License Number 22c. Name and Address of Facility 5 (~ 1 N . F?, a ]_ t L m0 r e A V e , - _ s FD-01 1 932-L _ 11 ~' :~~s Pa Co plate items 23ac only when ceniying h ician is not available at time of d th t 23a..T9 the bas' my\ owledge, death occ ned at the time, date and place stated. (Sign ( i atufe and title) _ 23b. License Number , 231:. Date Signed (Month, day, year) p o ea certity cause of deattl. q ' ~ ~ ~/ £}~.~`~- / 1~- ,._'~U(~i~l.-i.Cti-.lX. J<_/L r .~' ~ / / ~? %``v ~l~r:X_/~ (/ V'// ~. / .l i / / J-.xr l~ c~~-~ Items 24-26 must be completed by person wh r d th 2 ime of Death{ J/ / 25. Dale Pronounced Dead (Month, day, year) 26. Was Case Referred t edical Ezamine~ I C~mner for-a ,Reason Othe than Cremation or Donation? o p onounces . ea L / M ^Yes ~ No CAUSE OF DEATH (See Instructions and examples) 1 Approximate interval: Item 27. Part I: Enter the chain of events -diseases, injuries, or complications -that directty caused the death. DO NOT enter terminal events such as cardiac arrest, r Onset to Death respiratory aresl, a ventricular fibrillation without sttovving the ebeiogy. Lislonly one cause on eac line. Part II: Enter other significant conditions coniributinq[o_~ath,T.. Did Tobacco Use ConMbu•.e to Death? but not resulting in the underlying cause given ire. Fart I. I ^Yes ro ly r IMMEDIATE CAUSE (Final disease or > .r ~- ~/ diti L ~> / I ''L lti i d h ~ ~ , / 1 ~ ' ~ ^ No Unknown ( 1 ~ ~ ~ • con on resu ng n n eat ) / ~ a. ~ 1G y L", G / i~ .,M1 VV V l 1.~ i_, ~ ~i; I. , c L ~. <__~ 7'T.'/ ~` -5%; 2:. If Fomale: ~ /~ ~_ ~ Due to (nr as a cons ue ~ 99; .._. ~ ---- ^ Not pregnant within past year ~ ~ ., S uenUally list contlitions, if an , ~~ ~ ~' / e-'G ~~' 7,'( ~~ ^ ~ ~ ~~ ~ r ~ d e o' r / t ~' •G ~ `C ~ L. I ^ P~egnant at time of death lea ing to the cause listed on lin a -- Enter the UNDERLYING CAUSE Due to (or as a consequence of): ~ ~ ~ ---' ^ Nat pregnant, but pregnant within 42 days (disease or injury that initiated the 1 or death events resulting in death) LAST r' -- ~~iue to (or as a consequence oQ: i t - --~--- ^ Not pregnant, but pregnant 43 days fo 1 year before death d r ---- ^ Unknown if pregnant within the past year 30a. Was an Autos P Y Pedortned? 30b. Were Autos Findin s P Y 9 Available Prior t C l ti 3.i. Manner of Death 32a. Date of Injury (Month, day, year) ----~- 32b. Describe How Injury Occurted : 32c. Place of Injury: Home, Farm, Street, Factory, o omp e on f + s Natural ^ Homicide Office Building, etc. (Specify) o Cause o Death ~ ^ Yes ~No `may/ ^ Ves aI Nc ^ Accident ^ Pending Investigation 32d. Time of Injury 32e. Injury at Work? 321. If Transportation Injury (SpecilyJ - - 32g. Location of inju~y ~:St~eet, cty /town, slate) /// ~~` ^ Suicide ^ Could Not be Determined ^Yes ^ No ^ Driver I Operator ^ Passenger ^ PedesMan -___ M ^ Other -Specify: 33a. Certifier (check only one) • Certitying physician (Physician certifying cause of death when another physician has pronounced death and completed Item 23) To the best of my knowledge, death occurred due to the cause(s) and manner as stated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ '--'--"°'~-' 33b. Signature and Title of Ce fief /r/ ~~ /1 h~ , - ..-' .1 Z L ~ ~ j `f t,!~ /,1~ ~ / /~ v -~ C• ~ ~~- L I~ / • Pronouncing and certitytng physician (Physician both pronouncing death and certiying to cause of death) 33c. License Number iT 33d. 0<te Signed nth, day, year) . - To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner as stated_ _ _ _ ._ _ ^ ~~, rv v% C' 7' ~ , ~ ~ _ _ ~ • Medical Examiner/Coroner ~ ` , On the basis of exeminatlon and I or investigation, In my opinion, death occurred at the time, date, and place, end due to the cause(s) and manner as staterL ^ 34. Name and Address of Person Who Completed Cause of Death (Item 271 Type; Pint 35. Registrar' ure and Di ict er ~e~e~~ '' 36. Date Filed (Month, day, year) '"1 i ~ ~}/! ~~ / /`7~ L 1~ L- L- ~~ `~ ~, Disposition PermitNo. ~ ~i~') ~:+`I ~(-~~ ~.. t.~ i' .+ _~ ~ .,,.~ ~ LAST WILL AND TESTAMENT ~ =~w;~ ~ ~~' :. _~ -.~- ._ ~~~~ °~~~ _`} , . ~ ---~ :~~ = ~ *:, - HELEN JANE WOLF I, HELEN JANE WOLF, of South Middleton Township, Cumberland County, ~~ Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, ~-, ~'-~ ~.~ publish and declare this as and for my Last Will and Testament, hereby revoking and making ~~: ~ void any and all wills by me at any time heretofore made. 1. I direct that all my debts and funeral expenses be paid as soon as practical after my death. by my Executor hereinafter named. I direct that all taxes that maybe assessed as a consequence of my death shall be paid from my residuary estate as part of the expenses of the administration of my esl:ate. ~,. I give my antique Christmas tree collection andl my wedding ring (gc-ld band with ten small diamonds) to LINDA M. ELY. ~. I give to TAMMY HALVERSON the sum of f-~orty'I'housand lloi-~ars r1~40,vvu.i)uj. 4. I give to DAVID B. ELY the sum of Forty Thousand Dollars ($40,000.00). .5. I give to LINDA KELLY the sum of Ten Thousand Dollars ($10,000.00). ~. All the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same maybe situate, I give, devise and bequeath to my son., (GEORGE W. ELY, .IR. 7. In the event any of the beneficiaries named in Paragraphs 2, 4, 5 and 6 of this my Last Will and Testament should predecease me, I direct that the share that such deceased beneficiary would have received hereunder be given to his or her issue surviving me per sti~rpe~s. In the event TAMMY HALVERSON should predecease me, I direct that the share that she wc-uld have received hereunder be given to GEORGE W. ELY, JR. LAW OFFICES Sh"EL6.4KER S. I hereby nominate, constitute and appoint my son, GEORGE W. E1~Y, JR., as BR~NNEMAN Executor of this my Last Will and Testament. I further direct that my Executor shall not be required to post any bond to secure the faithful performance of his duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my .Last Will and Testament written on Two (2) pages this 27th day of April, 2006. j~ :r` ,', ?~~ - (SEAL) ~°.~ --- Helen Jar~~ `JVoI f Signed, sealed, published and declared by HELEN JANE WOLF, the Testatrix above named, 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 subscribed our names as attesting witnesses. ih ~~ -- (1J 1JAL) LAW OFFICES SNELBAKER 8c BI-2ENNEMAN -2- - - _ 1- COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND ) We, HELEN JANE WOLF, KEITH O. BRENNEMAN, ESQUIRE and JANE J. GOONEY, 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 had signed willingly, 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 Testatrix, signed the Will as witness and that to the best of his or her lalowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. + ~, 'Testatrix Witness i Witn LAW OFFICES SNELBAKER BFiENNEMAN Subscribed, sworn to and acknowledged before me by HELEN JANE WOLF', 'testatrix, and subscribed and sworn to before me by KEITH O. BRENNEIVIAN, ESQUIRE; a.nct JANE J. GOONEY, witnesses, this 27th day of June, 2006. r ~. ~.. ~~. ~,~ ------~--4-- Notary Public CoMMC)NWEALT~9 CAF PENi`JSY'L~+ANi,~ Natariai Seal Susan L. Matrazi, Notary Public Mechanicsburg Baro, Cumberland (axmty~ My Commission Expires Nov. ?_4, ',200" Member. Pennsylv:~rvia As~~ciat~~n C?t Nc~t~~nes