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HomeMy WebLinkAbout02-07-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Samuel I. Martin COUNTY, PENNSYLVANIA File Number 21 -11 . (~ `~~ also known as ,Deceased Social Security Number 205-09-9182 Samuel Richard Martin Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE A' or `8' BELOW.) Executor named in the QX A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the last Will of the Decedent dated 0710912004 and codicil(s) dated (State relevant cin;umstances, e.g., renundafwn, death otexecutor, 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: none B. Grant of Letters of Administration ap rca e, en er. c..a.; ..n.c..a.; n e e; urea e a sea ra; urea a rruno a e Petitioner(s~ after a proper search has I 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.) See attached schedule (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. -p -"' • • `,7 Decedent was domiciled at death in Cumberland County, Pennsylvania with his I her last principal residel~e at w 129 Walnut Bottom Road, Shippensbur , PA 17257 (List street address, towMcity, township, county, state, zip code) Decedent, then $9 years of age, died on 0110712011 at Elmcroft of Shippensburg,129 Walnut Bottom Road, Shippensburg, PA Decedent at death owned property with estimated values as follows: 100,000.00 (If domiciled in PA) $ (If not domiciled in PA) (If not domiciled in PA) Value of real estate in Pennsylvania situated as follows: All personal property Personal property in Pennsylvania Personal property in County 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: d 'd ce nature Martin or panted name an rest en 2236 Ritner Highway Shippensburg, PA 17257 ~~W~ _-- ~ ~, ; , ~ ~ m , ~ t: ", _: " ; rt r ~ 1 ..~ ~_ ~- _.: 0 ~ f _, - - _ Form Rev. 10.13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. 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 truly administer the estate according to law. /' n - ~ ~ Sworn to or affirmed and subscribed before me this ~ ~ day of 'For th Register Samuel Richard Martin Signature of Personal Representative ~_.~ .~.,, r CTJ _ Z t-rt t '~" E•n ~ J `~ .: ~--1.-. 'I~ ~- ~~ ~ , ~! -_ -, 7_ File Number: 21 - 11 ^ ~ ~ 5~j ~ ~ ~ r_ r`~''r D [,J ~n Estate of Samuel I. Martin ,Deceased -- Social )Security Numfber: 205-09-9182 Date of Death: 0110712011 AND NOW, I ~ ~ ` ~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED at Letters Testamentary are hereby granted to Samuel Richard Martin in the above estate and that the instrument(s) dated 07/09/2004 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............................................ $ ~C~LtL.+-fsLL- Short Certificate(s) ........................ $ Renunciation(s) ............................. $ $ /~ ~j.~ $ S~ $ $ $ $ $ $ TOTAL .................................... $ ~~~• V"" Att Supreme Court I.D. No.: 22495 Address: 14 North Main Street, Ste. 414 Chambersburg, PA 17201 Telephone: 7171264-3711 Form RW-OY Rev. 1413-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 Attorney Name: William C Cramer PETITION FOR PROBATE AND GRANT OF LETTERS (Continued) REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Samuel 1. Martin also known as Deceased File Number 21 - 11 Social Security Number 205-09-9182 Name Relationship Residence Mary Hare Daughter 120 Rehobeth Road Shippensburg, PA 17257 Norma Jean Keefer Daughter 138 Horsekiller Road Shippensburg, PA 17257 Samuel R. Martin Son 2236 Ritner Highway Shippensburg, PA 17257 Melissa Burch Daughter 12712 Grandview Road Grandview, MO 64030 Steven Peiper Grandson 109 Dane Brook Drive Amherst, NY 14226 Melinda Foltz Granddaughter 608 Walnut Bottom Road Shippensburg, PA 17257 ~O ~~C'~ ~ ~ r-- rn ~cn~ ~~~ a ,w.. .._ ~ ar cry .,?~ ,. ~''- - ; W-~ *.~~ w ~,: ~~ 10>.80~ RHV i(IIIU~) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 17001797 Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent ' ing. Local egistrar Date Issued r~..s _.-. 7J ~ -~, rY, ~a F _ ~ ~-~ ~~' ~ ~ , 'v r OQ~ a T f ~ ?,7 -= H10S1/9 REV nl2DOS COMMONWEALTH OF PENNSYLVANIA • DEPARTIAENT OF HEALTH • VITAL RECORDS "-'~ © f' iT TYPE l PRIM IN K CERTIFICATE OF DEATH W ~'~ (See inatructfons and examples on reverse) STATE FILE NUMBER "" `~ Y 1. Name d DacaOav (FiM, aidde, rd, edfa) .f 2 Sa 3. Sodd SewNy NuM« /. Dab d DWh pAOnm~ dqt yeerl T Male 205 - 09 - 9182 January 7, 2011 & Aye Naaf &roateer) i lAa1e 1 B. Dar d BN1h 7. BbtlQlaoe and aMe « e,. Place d Deem (Cledc or aae. I>r/a ltan Iravr Hoepirt ONrr. 89 rm. 6-19-21 Shippensburg, PA ^lroaaem ^~/ ^~ ~ ^ ^~ sbaeM~ B0. eeu+r a Dam Se. CNy, Boro. Tvq. d Deem BN FaeWy Nm p na YaMMfaf yNe drad and iwrtar) , 9. wa Dao.der/ d HrprYe Onyin? g1 No ^ Ya 10. Ma: Anrrican Ndia, Brdf wMe, alc Cumberland Shi nsbur Tw PPe 4 P• Elmcroft of Shi ensbur ~~~~' ( PP g M.doaRPuebWnn,ac) White 11. Daoadeda Ilafel d apt eons mM a N. Do roi err 12 Wa Dacatlem scar b Ne 13. Dsaanl'a EducWm (Spedly Drily Nylrq p.7a ooriprrd) 1/. MarNd 8raa: Medr, Navar Mvird, 15. Sumrvq Spaee (N wNe, yha msitlen name) Kadd Yroa Nirdd9uaMes 1l~~nry~ U.S.Amea Faas7 Er„r„1.,yISamMary (612) Odlape (1J «b.) W~IDnpodlsPanTif Supervisor Let'mY ~Y ®Yr ^No 12 years widowed 1e.oaneee-msnyAOama(ae.ef.raTrlam,ama,:oma.) Demaa~ax PA DlaDaaaanf 129 Walnut Bottom Road "~ 1A Sal. oche nc®Ws. DaadamlMab Shiooensbura Township rwp. Shippensburg, PA 17257 t7b cosy Cumberland T0N1~ip4 nd^NO. Receded Uwe wlhb AdW LNdra Cin/SOm 18. FatlwY Noma (F4 nitlse, cal ad5a) 1N. Ilotler'a Name IFNd, mdde, neNr wane) Charles H. Martin Mary J. Gettle 9a MeaanarNraflbPerPlNn'--._---. __-..____...-._ 2ND. Ndarfrrfa MHYp Aaareal~.«yltown,aw,rq Does) Samuel R. Martin 2236 Ritner Highway, Shippensburg, PA 17257 21a. Method d DipaNlon ^ Qamalm ^ D«~n 21b. 0W d DrpoalYal (Abritlti tly. yrr) 21c Prr d DrpoeiUon )Ilar d cenM«y, owasbry «oNw pros) ltd lxsfon (DNY /bwn, err, xq mile) ® 9«rl ^ RaonvalApnSlae 11rsCrarasbn«D«1MIonAaMhad 1-12-11 ^ tiler- spadly: a Madled EaeMar / ear«rr7 ^ Yac ^ Na Cumberland Valley Memorial Carlisle, PA 17013 ?2a. 31parad (« adYpasudy 22r UOana Numh« 22e Nacre areAdaw dFaday - (~/.y..,, V{~`~ Q~ FD-012984-L oge anger-Bricker Funeral Home Inc., Shippensburg, PA 17257 C«pW Name 29.1 aYy Men cwNMnp 29a.k9e baddmy al tlr rr, ado and prr decd. (Sgrsaa and ~«w f ~ 2%.Urree Number 23c. DNa slve° Pbnm. a.x r~> pyadn r nil aaeibr al ra a arm b da an w ~~ /G~~ „n ~ /fin 1/ C/~ ~'L~`'r ~~G 2 L ~ rw,r a r l Ji ~ _0 7 o2O/ Nor 2/-25 ms1 e. cm~a M p•non Z!. a Daam ~- 25. Rasa Pmrbrauad Dead (-a+r, ear, car) 28. Wr Gr RaMraa b Medca Ewraer I Corarer br a Reran ONer trn daefon a Donelbn7 Me pemm~caa aedl. a. M. _ ~ / ^Ya CAUBE OF DEATH (Ba Instrucxom and aaamplas) , AppreanYt idervd: pain 2T, Pan I: HY«Nr fDThd.~l-deause,Mara,«mnpinliar-tlm6adM awMfedea6r. DD NDTad«rmiW aver auohucadiacamd, r de«bDSem Penn: Filar aarr ~ wrw nerabp hlM ~Nlro rue yrrbPant 25. DNl ToMcv ire Coddaa b WamT ^ Yr gRmeay mpYabry enaal «wa4Y tEriWm alNea M«Ap me seobyy. Uel oily ar rnae an adf rr. 1 r pu o-tiw arrr « ^ No ^ Urarean ~ . b •-~ a. /tl'IN`D"~a'/` pl ~a.Wl/'~ ; ~ ~ Y~"'~' 2B.0 ~b P~aIYYn DrlYaar '! 9uooafYlpa,Irry~ b. ~ ~y/t~J~ b mrw 6W an Ins a .-••' "' ~ ^ PrePrddmeddrm . Web ( ~ i IINDERLTa1G CAUSE ^ Nd pmpwM~ hd prglMtl MINn /2 aqs ~~ o. r ddrm Due b a arequ«Iw oQ: i ^ Nil pmprd, hd prepwv /3 d0ys b 1 yrr d. ~ bobs drm ^ IMuwa 1 propenl rNhb tle Prf Y~ 300. Wr r Adgey ' stir. Wem AuOOpey Fbdnps 31. Mover d DeYh 32a. Dar d bFn' QJorvh, day. lwr) 32b. Dacrbe How b}vy lkpured 32a Plra d Brri Faday Pal«med f AwlNeda,Pnor b Compleeon [P~Nsbrel ^ Flonicitle Orce Biidr9• do (SpedY) d Ceur d DaeaT ^ ~ Q'~ ^ ~ ^ ~ ^ Adsded ^ Padrg brrNgMiar 3za. rare d Iry'ey Sze. Won n Work? sa. nrranspafMOn bNn' /svedYl 2zy. leceNon d W«r (suem, illy! bwn, metal ^ sddde ^ cadd Na be Defamed ^ Yes ^ No ^ D1N°'! DPeabr ^ PYQB1a°f ^Pedad'r" Il Diner- MAY 33a CMifi« Idea tidy one) 93b. Speeae and Tile • c.nxyby pffyarrrr IPhyakien c«yybp cwr a each when amlh« phyeM ien fee pawuexa dam and mnpddaa Nem z3) To aw bor dmy erowrdye. deem aa«rd da btbe wrep)and maneraare4________________________________ • Profbfarrfy aM amWq phyakdel IPM/M+r both pronmsidnp dam «d calYyYip b mre d arm) th T h ta k n a d m d l W tb dW M l dd bS q ^ 93c. Lrnae 33a Dab ' )Mom, aay, yow) o e a my rfaa e ys, r ocoom e re, an e oauae(s)ar a rA ,a p a mortar ac aWe4_________________ • Irdral EaaWrnlr:ar«w ~. ¢ d 3i1 ~~ ~o ~~~ On me haW d aamnWlbn WI I«rraatiyatbn, b my ~ oeourrM a11M 1NeR ask, and pre, aM due b ae uwe(a) W mrrer r alard_ ^ 31. Nor aril Addeas d Person Who Complde~ Cause d Wmh (Nam 2h T / Pnnl T ~~~~ 5 ~ Cs hc.~^1 r'^• D 35. RapNrare Sipef«e and ~ - 12 1 / I 1 1 ~ 36. Fled )Manor, day, yrr) 411 s. Pc..y ~C-k ». Shby PA r'~z s-1 , ZO y v• p DrpoeNion Pemef N0.. 0 5 6 4 5 61 fi` - ~ ~--- a ~ ~ ~?~ ~~ ~~ 1 ~ ..,,~ S~IVIIJ~I. L 1~I~~1'IN `'' ~' ~ ~~' ~' =~ ~,--~+ ~:;~ <...~ NOW THIS ~ day of July, 2004, I, Samuel I. Martin, presently residing in the Commonwealth of Pennsylvania, with a present mailing address of Outlook Point, 129 Walnut Bottom Road, Room 134, Shippensburg, Pennsylvania, being of sound mind and body, but nevertheless mindful of my mortal nature, do hereby publish and declare, in the presence and hearing of the undersigned witnesses, this as my Last Will and Testament, hereby revoking all previous wills and codicils executed by me. ITEM FIRST I direct my executor or executrix to first pay my funeral expenses as soon after my demise as may be found convenient, and also first pay all estate, inheritance, succession and other death transfer taxes, of whatever nature and by whatever jurisdiction imposed and interest and penalties in respect thereto, assessed against my estate or payable by reason of my demise, with respect to any and all property, life insurance and other interest comprising my estate for death tax purposes, whether or not such property or interests pass under this will or any codicil thereto, without reimbursement as if such taxes were administration expense, and also to first pay, from my estate, all administration expense. -~ ~~. .:.~ ~, ~~ ~.`' ITEM SECOND I give, devise and bequeath my entire estate and all my property, whether personal, real, mixed, tangible or intangible, wherever situated, whenever acquired and of whatever description, which I may own, possess or have any right to dispose of at the time of my demise to my six children, namely, William Martin, Mary Hare, Norma Jean Keefer, Samuel Richard Martin, Susan Peiper and Melissa Gilkison, in equal shares. Providing, however, should any child of. mine fail to survive my demise by thirty (30) days and also leave a child or children (my grandchild or grandchildren) surviving my demise by thirty (30) days, then the share of such deceased child shall lapse or be divested and shall pass, instead, in equal shares, to their child or children (being my grandchild or grandchildren). However, should any child of mine not survive my demise by thirty (30) days and also fail to leave a child or children (my grandchild or grandchildren) surviving my demise by thirty (30) days, then the share of such deceased child shall lapse or be divested and shall pass, instead, to my remaining child/children, in equal shares. ITEM THIRD I appoint and nominate my son, Samuel Richard Martin, as executor of this will and should he predecease me, renounce or decline this appointment or for any reason fail to qualify or accept this appointment, I then appoint and nominate my daughter, Melissa Gilkison, executrix of this will. ~~ ~ z No bond or other security shall be posted or required of my executor or executrix appointed in this will or otherwise qualifying for such position. In addition to all other powers which my executor or executrix may have at the time of my demise, whether by statutory law or common law, I also grant them the power to sell, transfer or assign any and all property in my estate, both personal and real. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 9~ day of 2004, to this and the preceding two (2) pages and I have also placed my initials on each page herein for purposes of greater security and better identification. Samuel I. Martirt, , SIGNED, SEALED, PUBLISHED AND DECLARED by the above named Testator, Samuel I. Martin, as and for his Last Will and Testament, in the presence and hearing of us, who at his request, in his presence and in the presence of each other, have hereunto subscribed r mes itnesses on the date first written above. (SEAL) /yN, rr~.9iy-sT. sr~. ~r~5!eH~iaaE,c-r6uRG .~j Address ~~~`~~ (SEAL) /y N, r+~rr sT,sY', yi.~ ~.~oE~ saa~e6. P,q Address ~~,~ 3 COMMONWEALTH OF PENNSYLVANIA COUNTY OF FRANKLIN SS I, Samuel I. Martin, whose name is signed to the attached and foregoing instrument, having been duly sworn and qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that t signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by Samuel I. Martin, this day of , 2004. i'~~ Notary Public NOTARIAL SEAL SUSAN K. ROTE. NOTARY PUBLIC CMYMB "r1MS S ONBEOXPIRES JUNEI20, 005A ~~~ ~ ~t ~~- Sam~,el~Sl. Mhartin 4 COMMONWEALTH OF PENNSYLVANIA COUNTY OF FRANKLIN SS We, l.J/ua~ e. ~ih~e and ~Jr.~aea .Z -r~cacE~ , 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 the Testator sign and execute the instrument as his Last Will; that Samuel I. Martin signed willingly and that Samuel I. Martin executed as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge, the Testator was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me and ~.Du~i9~e~ = S~~ ,witnesses, this G,/iw,~ C'. C~~c h day of , 2004. NOTARIAL SEAL SUSAN K. ROTE, NOTARY PUBLIC CHAMBERSBURG BORO., FRANKLIN CO.. PA MY COMMISSION EXPIRES JUNE 20, 2005 5 ~~>o~`- Notary Public