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HomeMy WebLinkAbout02-22-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COiJNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of ~~9 ~~eerl ?~ ~~~1'~, Deceased ESTATE NO: 21-11 "~~3s a/k/a: a/k/a: a/k/a: 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 Part C also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters under the last Will of the above-named Decedent, dated _ and codicil(s) dated (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 instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as defined in 23 Pa. C.S.A. § 3323(8): ^ B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent life, durante absentia, durante minoritate) C. Petitioner(s), after a proper search, has/have ascertained that Decedent left no Will and w,as survived by the r^~.: following spouse (if any) and heirs (If Administration c.t.a. or d.b.n.c.t.a., enter date of Will iin Section Aid complete~t of ~ heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a par pendnn Ivor T ~ '-` ~~ proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(gept as fvHows:_1. ~ ~_ _~ :~~- t~ c.~ :.,L1 Name Address R to D ent - ~ ~ e tip ~ <~ :J C~ -r'I ~,~ ~~ .. - ~,,. USE ADDITIONAL SHEETS IF NECESSARY THIS SECTION MUST BE COMPLETED: Decedent was dom'ciled at death in Cumbt At /~~v /~ ~Q~~M~~ 1~ .' t r. ~ ~~. C`~ ~~-- ;-~ r° Cn Q ia, with his/her last family or principal residence (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then years of age, died Estimated value of decedent's property at death: If domiciled in PA If not domiciled in PA _If not domiciled in PA _Value of Real Estate in Pennsylvania (Month, Day, Yeaz of death) (City and State: where death occurred) All personal property $ ~U Personal property in Pennsylvania $ Personal property in County $ Total Estimated Value $ Location of Real Estate in Pennsylvania: (Provide full address if possible.) Signature(s) Name(s) & Mailing Address(es) ~~' 1q lei del pct, -~lrs I/u Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page I of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF The Petitioners} 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 s>~~scribed i+ ~ ~,~ before i e the ~~ -day of ~.~ t ~!'~ ^ ~ ~ ^ ^ ' ,, i 'Yl~1~i v~.~ ;- For the Register Signature of Personal Representative Signature of Persona! Representative -~-~ ~t ~ ~) 4 ~. , T ~ `...,~ f _s _,. .,, _ -..r.~ ~".? ~ ~ rn ray `:,• Uj ~ N ~~ ~~ n ~ c~ -~, a~ :J c.. ~ ---t ~ ~ M -ter File Number: Z, ~ ~ ~ U Z ~ 4~ ~' cn `~ q I ~ ,, Estate of ~ r~ I I c°G L/ • 1~ ~~~'~f~ ,Deceased Social Security Number: i 7 ~ ~~~ ` ~f ~ ~ 5 Date of Death: 1 AND NOW, . ~ ~~ ti~G~~~ ~°c~r / , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT I D C E.,Dy~h t Letteprs ,S, __ ..Ll~rz~®M ,crt~ are hereby granted to ~,t.C.~t.Clh~~ E..J~LC~CJ in the above estate and that the instrument(s) dated ~ ~ c'7 ~ described in the Petition be admitted to probate and filed of record as the last Will FEES Letters ............... $ tJ ~~ Short Certificate(s) ...... .. $ / ~ ~'° R~e~untciation(s) ........ ~ .. $ ..~- t", ~ 1 . U 1 .. $ j S. . .. $ . .. $ . .. $ . .. $ . .. $ . .. $ . .. $ . .. $ TOTAL ............ .. $ ~~©. $® Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: icil(s)1 of Decedent. Register a~'Wills Form RW-0' rev. lo.r3.o~ Page 2 of 2 Signature of Personal Representntive ' /-11-czj LOCAL REGISTRARS CERTIFICATION OF DEATFN WARNING: It is illegal to duplicate this copy by photostat or photograph. . , f=ce for this certificate, $6.00 P 17243432 Certification Number •.1 JS~lL .REV 11.ZJOe ttPE R1NT IN PEn^AIANENT S:?: n 'NK ,~ I~ Z V ~~ W ~~ J 'phis is to certii~~ that the information here s~iven is correctly cvpieyl frrnn an o(~tTinal Certificate of Death duly filet] ~~ith Inc a~ Local Registrar. The original ccrtifi.•ate will he fln~w:u~ded to the State Vital Recora~)f ice • permanent filin~y. ~f -- ~- _ Local Rc,~istr.u~ Date Issued ('~ c ~~„ ~ ~ t'V e-r ~ ~~ ' v~ X N + ~ ~ ~ : ') a ~_ _ , . COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS Q -r7 ~ 1 ~ 7 ~... CERTIFICATE OF DEATH ~ ~'=- (See instructions and el(amples ort reverse) STATE FILE NUt~~'~I q F ~ :~") I Name d Daceaera Ifuv. mNak. lass. suk[I 2. Se[ 7. Socsal Secway Numaer Dak of Dean IMOnm. a y:• } l Ln ~^~( Colleen V. Breech Female 193 - 12 - 9055 February 1 .,, 2011 ~ 5 Aye,laal B+mNaYl UMer l yur Unror t my 6. Daro d BNn IMOmh. Day. Years 7 &nfpkca ICny azN auk a la cawery) Ba. Plxe :., Oealn ,coat[ ody met lAnnra oars wws rwvar Ybsgw. Dttwr. 1925 Plainfield, PA June 26 85 , ~~ ^,,,D,,,,,,,, ^ER Oulpebem ^DOA ®Nwsng rlorre ^Rawance ^OIMr SDedy aa. Counry of Deam . &. Gry. Boro TwD d Death BE. FacY~ry Name III nd „aptwon. give suees ana numpwl 9. Was DeceUSnt of tesparuc Orlqn? ~ No ^ yes 10. R A m [an eipan, &rl.'Mra. ee a c e . M Cu berland Middlesex 'lta P Claremont Nursin Home g wvs.so«~Ncapan. : Iy $ p e c y ~, I Wnite m • AMucan. Puerto Reran. elc.l 11 Decaaenl s Usual Oct can IKON d wet 0 orie most d wortln Nb DO nd stale NUren 12. Wu Deceaenl ever in In• 13. DBCeaenl's Eaunpon ISpeoly only nlyhesl graaa cpnp elwl 10 MaR'al Sklw. Mimeo. Never Marneo, I5. Survwing Spo use III wee. gve nudes rurnel KvN d WWe Ku„ d Buswas i Irduslry U.S. Armen Forces? Ekmenury / Secondary 10. t 2) CWlege 1 t ~i a 5.1 W'o"weo• DtvorW ISpe<~M Cashier Food ^Y.a ~ 12 Widlowed Y6. DecaoaMS ua.ny Aaaeu IStreN, my + own snk. [w cooel DeceM^t'a Oq DeN°°"t Middlesex Pennsylvania Wens n a„ T.p ~JY D awl 1000 Claremont Drive a r. .ra ,w AdualReatNrce t7a.5uk Towrwnl ? Carlisle, PA 17013 p [] np. camly Cumberland na. A °i ~u dtw.a wino uy/mo 16. Faawr a NarM Ifass. mdde. Iasi, wtlu) 19. abaw's tlartn IFtsl, ndde. mrMn swum•l David W. Heiser Violet Burnight 20a. Inbrmire's Name ITYM r Pmtl 200. Inlgmenl'! Maarg AOareu 19reN, cM kwn. sub, rrD coast Richard A. Breech 19 W. Keller Street, Mechanicsburg, PA 17055 2ta. Waiaa d Dupasruon ~] Lmupon ^ Dauoon 21 p. Data d DlspoPaon IMgen. oar. ream 21c. Place d DtaposOm INme d umemy. crematory or oaks pla<el 210. ~aaeon Icay; town. wk. op meet ^ ewr ^ Flemovazo-amSW. wuCnawmorDaulknAaNOr4W a _ I 1 . ~Lt I Cremation Society of PA Harrisburg, PA 17109 ^ Omer ~ SpecJy i M fleakal Eaamur Y CoraMr? L+I yea ^ No 12a. Sgkryre d Funral SenKe t,censea for person atop u such, ` 22b. Lcenee NunMr 22C. Hama and Aaaesa d Eatery Auer C ema t ion '~ e rv i c e s o f pennsy lv an i a r F 1 ~ FD-013376-L d, Harrisburg, PA 17109 4100 Jonestown Roa Oornplele ~ 27at arty 27a. To aw taYSt d my uwwkOga Dean acuarea al lM Ime, Ow arN Dkn skka. ISquluro arN t„el 23D. Ltense Nwuer 2Dc. Dak Srgrwo IMmm. aaY, r1ar1 D~andxwdetwazkMdaanb ~ `~./`'~1-~ ~,•~ N 5~ 3 7 `l o L ~ '~~/""'" moo// f a + r 1 Af ardy caw. a awn. - . • yara. • -c ) . Ilernt 21-M mw M rumplelea Oy parson 2a. T~m• d Prupunc•a Duo IMOn„, oaY. Yeazl 25. D a k 26. Waz Ca: Mtarrea k Mebcal E.vmrier ; C Worwr fn a Reason Olnx nun Cr•maaon ar Dauoon? wan pronaaicea na„. ~ ! 3ci 1 . M. ~ [ ' ~T~L 1 ~- 02 C ~ ~ ^ Yes ~lo CAUSE OF DEATH ($N IMVUCtIOrYa aM ~aampNa) r Appro[enate inkrval. Pan n'. Enter oNer ; 20. ON ToMaro Use CanvOiaa p DMa1? 11pn 27 Pan 1. Ewer aw ~.IpyLgYY06 - dseasea. ayuna. a nrnpecaamf -nil Stn awe0 au assn. W NOT anur krmnal svenp surn as raruac arrest Onses k Dean put nd resWing n lM uNaMag cause gverl n Pan I. ^ Yet ^ Pmpegy iesprabry mss, W veMrruw hbaaeon wMaa SMwnq aM ewogy. V9 oNy OrM caws on aacn One. ^ No ^ laevla„ YIYEDIATE CAUSE Foul Osean a 1 ~ ~ 29. 11 Fe1rIW Catalan ruulBlq n ~ ~ r ) _~ a. ^ N a Dw 10 for as a conse0uenre dl' d Dragw npn Dw Year ^ Preyura a Ortw d aeaer Seorwry w nrlttDOra, A any. p. q b au quY Naha m en a ~ Due to la as a cans• rna dl: ^ Nd preywl fU prepwa Ain t2 DaT• g Eri W Bk UMOERl7NG CAUgE d Oeaet lase+se a buy EW +NUkp au C nwrik rasua n Maml UST . g Dw b I W ac a rmseQuwice dl. ^ NN prepnre. put Drepud a7 a•Y• b t Yw IKaan awn a. ^ UnArawn .1 Ora9nan wNrs eM Daft yet 7(Ia. Was an Aubpay 30o Waze Aubpsy FeWrgs 31. Mannar d Dee„ 32a. Data d Iryury IMontn. aaY Yearl 32o DescnM lbw Iryury Occurreo 72c. Place d dewy !suns. fazm. SMaA Fancy, PerMrra7 AvaeaW Poor k Cotrykoon d Cause of Deem? ~'°w'a' ^ M01"~a OSw 9uYanF x. ISDKtiYI - ^ Aa'o•nl ^ Pergrg lnYeW9aporl 72a Ten al UyWy 12e. eyury at Work? 721. ll TranspaUOan'.ryury ISpeeJY/ 32g. Concert d Dyury l5pe„. caY .town. skin ^ Yes ^ Yes [}I/~ ^ Surbe ^ Cosa Nd M Deknmea ^ Yes ^ No ^ Drw„ Op„akr ^ Passwq„ ^Psdeslnan M Dew Shah 33a CandaK InIB[e Dory anal Sgralure arN Titk of rartAwr CMrlyury pnyercun IPny„:an cMlly„9 isusa W lain xMn anWIW pnys~clan rtes JrggWl[aa ndm .trio cpnpleleo Ikm 271 A To au Mel d my YMwkage. OeeN occurrM due t0 tM nrreMal azra miner o ataleA. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ r~ J • Prquurcng aM umryuq plya+aan lPnyscan ;Wn c`uluwKnq Dean ono cenaynq to taco d aeaml ^ 77c c.ceru'+wrwer 77e. Tale Sgnea ~abnn uay .ea~~ To U1e Mal of my Ynawleaye, aNN OKUnea M Vie IMn, oak, aM plat., and arm la 1M taeaelal and manner as elalea_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • t1eGU1 ElarneNr I Caroni ( _ J Ql - V ~I SO ~ p - t~ On IM Mara d eumuueon arN / a mvn i my op„bn, aum octwna al aw teM. oak, old plan, and aw to IM ousels) and manrw u aulaa_ ^ 7t Nara urn .1oIXess :1 PaStn `Nno C;,mpielea Cauae ~.I Oeam rlem 27. 'yp• P~nI _ C t~-1 G~' ' ' C l C 4 35 a;,ysv. 3q w r u 7 76 Dak ~'aa`Mmm.~uv Years . - ~. li ~ J( . ` LL~I, C ~; ,. `CC C lCu taY ~ )T ~ ~ 7 , , , . ~ctr (, ~lC, r~Yi Y7CIS 0605387 D1spo$11wn Permit ^b 6 ~!-l/-v z3~ ~~._ _ ~f ~l1(. LAST WILL AND TESTAMENT of COLLEEN V. BREECH ~~E~~ ~~ ORPh~4,~`S (~0€JRT n. I, Colleen V. Breech, of 6023 William Drive, Mechanicsburg; H ~-f ~ ~' i~;~t~berland County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making null and void any and all Wills and Testaments and writings in the nature thereof by me at any time heretofore made. ITEM 1 I direct that all my debts and funeral expenses be paid as soon after my demise as may be convenient. Internment is to be at Westminster Cemetery, Carlisle, Pennsylvania. ITEM 2 I give and bequeath the following items of personal property to the individuals named: (i) my grandson, Joseph Robert Breech, the sum of $3,000; (ii) the table with the seven accompanying chairs and the hutch and server in the dining room, shall be retained as a set or sold as a set; (ii) hope chest in the sitting room was made by my brother, Robert, and is bequeathed unto my granddaughter, Andrea Breech Hunt; (iii) hope chest in the second bedroom is bequeathed unto my granddaughter, Margaret Breech Strawser; (iv) reversible table in the living room is bequeathed unto my grandson, Benjamin Breech; (v) any member of the family may select any of the following items: table linens with twelve matching napkins, located in the cedar chest; furry mittens, which was my first Christmas present from my now deceased husband, Harvey Richard Breech, located in the cedar chest; various table linens with matching napkins, located in the dining room hutch; angel statues, individually or collectively, the statutes are not to be sold or destroyed, but kept within the family; (vi) any of the grandsons may chose one item of their liking. ITEM 3 I direct that the following actions be done in the following order: (i) my son, Richard, shall receive an amount equal to 60% of the Fair Market Value of my 1/3 interest in my home, located at 6023 William Drive, Mechanicsburg, Pennsylvania, as determined by a current appraisal; - 1- (iii) my son, David, shall receive the remaining 40% of the Fair Market Value of my 1/3 interest in my home, located at 6023 William Drive, Mechanicsburg, Pennsylvania, as determined by a current appraisal; (iv) in lieu of selling the property, either son shall have the option to purchase the home at Fair Market Value based upon a current appraisal; and the net proceeds are divided as aforesaid. Such purchase would have to occur within six (6) months of my death. ITEM 4 All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situated, whether it be real, personal or mixed, including property over which I have a power of appointment, I give, devise and bequeath unto my sons, Richard A. Breech and David E. Breech, equally, provided they survive me for a period of thirty (30) days. ITEM 5 In the event one of my sons predecease me or does not survive me by thirty (30) days, then any amounts which would have gone to him under this Will, shall go instead to that son's spouse, if she survives him; and if there is no surviving spouse, to that son's children to share and share alike, per capita. In the event both of my sons predecease me or both fail to survive mc~ for a period of thirty (30) days, neither is survived by a spouse, I then give, devise and bequeath all of mry estate, both personal and real and wheresoever situate, unto the children of both of my sons to share and share alike, per capita. ITEM 6 I appoint my son, Richard A. Breech, as Executor of this my Last Will and Testament. Should my son predecease me, fail to quality of cease to act as Executor, I then appoint his wife, Saundra K. Breech, as Executrix of this my Last Will and Testament. ITEM 7 I authorize my Executor/Executrix to exercise the following powers in addition to those given by law, to be exercised in the sole discretion: A. To retain any or all of the assets of my estate, without regard to any principle or diversification, risk or productivity; B. To invest in all forms of property without restriction to investments authorized for any type of fiduciary; C. To compromise any claim or controversy without cc-urt approval and without consent of any beneficiary; D. To exercise any option or rights arising from ownership of any and all types of investments; - 2- E. To manage real estate; F. To sell at public or private sale, any real or personal property except as listed below, and to give options for sales, all for such prices and upon such terms and conditions as they deem proper; G. To allocate receipts and expenses to principal or income or partly to each as they deem proper; H. To repair, alter or improve any real or personal property; I. To distribute cash or in kind or partly in each at valuations fixed by Executor/Executrix; J. To subscribe for or to exercise options for stocks, bonds or other investments; to join in any plan of lease, mortgage, merger, consolidation, reorganization, foreclosure or voting trust and to deposit securities thereunder, and to generally exercise all the rights of security holders or employees of any corporation; K. To register securities in the name of a nominee or in such manner that title shall pass by delivery; L. To employ attorneys, accountants, engineers and such other persons, professional or otherwise, as may be necessary for the proper administration of thi<.; estate and to pay their compensation from such funds; M. To file an federal income tax return for any year for which I have not filed such return prior to my death. Any income or fit taxes due on such returns and any deficiencies, interest, penalties or refunds thereon, shall be allocated between my estate, or all to any of them, in such manner as my Executor/Executrix may agree. ITEM 8 I direct that my Executor/Executrix, guardians or their successors, shall not be required to give band for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal the ( t~lay of 2Q08. ~~~ COLLEEN V. BREECH - 3- Signed, sealed, published and declared by the above-named Testatri:K, Colleen V. Breech, as and for her Last Will and Testament, in the presence of us, who, at her request, her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. ~ t ~~ ~ e~x~~ ~n ~~ gnature Address Signature COMMONWEALTH OF PENNSYLVANIA ~e~mc~t~ ~~ ,4 ~~1b~v Address ~- .- ss COUNTY OF (. L~ We, C Veen V. Breech, ~O~Q.~ ~ . ~ 2G (,~ ~- and ~e.ee o~. e+r-' the Testatrix and the Wimesse ,respectively whose names are signed to the attached or foregoing instrtnnent, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument a~s his last will, and that he signed willingly, and that he executed as his 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 witnesses, and that to the best of their knowledge, the Testatrix was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. Sworn affirmed t d acknowledged before me, this (~ day of -'~~ 2008. Notary Public COMMONWEALTH OF PENN YLVANIA Noter~i Sed BatNa M. RueeeM, Nt~Muy pubNc ah-a, u~rr,~ My CarrMniedort E~iroe Aup.19, 2010 Memtusr ?enns+dvArtla Asaodatl~n of .~ .~!~~ WITNESS