HomeMy WebLinkAbout02-25-11 (2)IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of GERALDINE M
a/k/a:
a/kfa:
afkfa:
WAGNER ~` ""~ "~~ '~~~
,Deceased ESTATE NO: 21- - ~ I - C. ~ ~;`) i~
SS NO: 211-22-6369
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as
applicable:
D 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 TESTAMENTARY _ under
the last Will of the above-named Decedent, dated 4/12/1999 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 cf 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(g): N/A
^ 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 (If Administration. c.t.a. or d.b.n.c.t.a., enter date of Will. in Section A and complete list of
heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a par~to a pendidivorce
proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(~~x ept as f~i~ows:_~p
`r~ . 7,
Name
~ddrecc
r~-tea;
--- - --- ~,, ?~C7 . t',.,,~ -,
~
....
_
L ~ (,...~ •y.,~
_~ ...,,~ ~ ...v,a+
••
~..
~~~r, n,~u~ i ivN.~~ ~rtr_r: i s its Nr.c:r;tist~it~
-~-~-~
r- ~ I
~..~
'..1
f. ~..r... + -~
~~
~~
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence
At 770 S. HANOVER STREET, CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA 17013
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
Decedent, then 86 years of age, died 2/7/2011
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
at
CARLISLE, PENNSYLVANIA
(Month, Day, Yeaz of death)
(City and State where death occurred)
All personal property $
Personal property in Pennsylvania $
Personal property in County $
Total Estimated Value $
Location of Real Estate in Pennsylvania: (Provide full address if possible.)
Signature(s)
98,000.00
98,000.00
Name(s) & Mailing Address(es)
f
PATRICIA G. WICKARD, 3041 WAGGONERS GAP RD., C:ARLISL
Interim Form RW-02 revised 1226.10 by Cumberland County pendinc action by the Court ~:,~~~ ~ ~,f~
OATH OF PERSONAL REPRESENTATIVE
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 representati.ve(s) of the
Decedent, Petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed
~ . tiLY.~'~GIr„~
before me this ,~' %~^~ day of ~;_:
„_
-, ,,
,~.
_ ~ ~ --n__
s ~; r- .~
-
,,
v _
_
_.
- (,~~ u,t _ ;~
For the Register ~';~ ~~::, ~=
DECREE OF PROBATE AND GRANT OF LETTERS ~ ~ ~ `'' ~'
Estate of GERALDINE M. WAGNER ,Deceased File Number: 21- ; ~(;' t ~ -
AND NOW, this ~~j day of _ ~ ,rZ.~ ~~?t~~z..~ ~~ lj , in consideration of the Petition on
the reverse side hereon, satisfactory proof having bee resented before me, IT IS DECREED ghat Letters
x Testamentary of Administration are hereby granted to:
(If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.)
PATRICIA G. WICKARD
the above estate and that instruments(s) dated 4/12/1999 described in the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
in
Glenda Farner Strasbau h - ~ ~ ~ ~; ~ '~. 'a . ~: `;
Register of Wills
FEES:
t.etters ....................$ 210.00
Wlll ....................... 15.00
Codicil(s) .............. .
(2) Short Certificates 8.00
( )Renunciations.......
Bond ............................
Other ............................
.................................
.................................
Automation FEE.........
5.00
JCS FEE ................... 23.50
TOTAL ................$ 261.50
Signature of Counsel Required to Enter Appearance
7 /,~
Atty's Signature ~. ~`~~ ~ t~~u+.~
,~
PRINTED Name: ROGER B. IRWIN
Supreme Court ID No.: 8262
Address: 60 WEST POMFRET ST
CARLISLE, PA 17013
Phone: 7172492353
Fax: 7172496354
Interim form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 oft
~ i
-~... ~ r.:i..~^.. # 4 , , - z # ti W ~ ~ ~ ~ CI E d ~.;1 d.J t,~ 4 I {r t:) ~ a;:' l ~ I ~ ~~ ~ ~ f ~-.yy~~ ~ rig s ~. +g'} ~^- ~tr_-y y p~ ~^ !g it'S
r ... ~ ~ ~ t•E «!. ~,.~5,#'~~~w.hf i'.!6 ~..+{f }~„)! P~~~.f S+~A St ~,b, 4
,
(~ 1704746
4
43 REV 11/2006
f I PRINT IN ~ , r r
:RMANENT
(LACK iNi~
„1 ``kl (~~y~jr
~~` M
~1f~ 9
'-
1F ~~ i f.`~ =} ;!' ~ it r2?Ijl)tlfl(ll{ [~l l ~ 1+'Y1l'f) 11~
'-
~
,
~ ~ ~ ,w
~.
'
~~, ~ t
C,, ,1t L__ it
1L~`sl([?
~) e
~
.
>~~ °,
1'~.~i~ _)
1
_
' [''' ` ''`
1 ,: I t ~~ ~.. ~~;., (I,1; . ~ [lt" t t ~ 11361[
a... ~& t~ ~ art'(? Il. 1[~i.` ~)(a1(t' 11' I(ia[
,
;, .a
._.
.; .,.'
.mss
s
i i~~ ~ A~ ,
~
+~ }~;_
A ,
~.
~ r
~. ~~
;.
-- ~
Y., '
Z
~--^..=
t21-~ /-r ~ r: 7
i
.-.,.
~.
_
'
-
~~ r-'- i~
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverser
1. Name d Decedent (Fast, ntidde, lest, suffix) 2. Sex 3. Soclel Security Number V ' , ` 1 L` 'v V,v' 4. Date of Death (Month, da ,year
~
~
er.aldine M. Wa nor female 211_ 2?~_ 6369 eb. 7, 2
1
5. Age (Last Birthday) Under 1 ar Urxier 1 de 6. Date of Birth Month da , 7. Bf a C' and sbta'.or f count 6a. Place of Death Check on one
1 924 Fairview' Twp~. "oepital: other:
86 "~"~ ~>~ "°~' ""'w1B8 May 7
,
. YfS. g] InpatleM ^ ER I OutpatleM ^ DOA ^ Nursing Home ^ Rrsidence ^ Other • Specify:
fib. County m Death Bc. City, Boro, Twp. of Death 8d. Fadlity Name (If not irtsdNtion, give street and number) 9. Was Decedent of H' x; n?
~ ~Pa^ ~ No ^ Yes 10. Race: American Indian, Black, White, etc.
Cumberland S. Middleton T p. Carlisle Reg. Med.Ctr. (n yea,apectlycuban, (spe°~,
Mexican, Puerto Rican, etc.) hit e
11. Decedents Usual tlon Khx1 of wodt done d uri moat of Nfe. Do not state refire 12. Wes Decedent ever in the 13. Decedents Educatlon (Specify only highest
rade com leted) 14
M
h
l St
t
M i
Kind of Mork
Dept. Manager
Kind of Business l Industry
Credit Bureau
U.S. Amted Forces?
^Yes ~No
Elementary /Secondary (0.12)
8 g
p
College (1.4 or 5+) .
a
a
a
us:
onied, Never Married,
Widowed, Divorced (Sped/yJ
widowed 15 Surv
ving Spouse (If wife, give maiden name)
~ 16. Decedent's Mailing Address (Street, city /town, state, zip code) Decedent's Did Decedent
Actual Residence 17a. State p A Uve in a 17c. ^ Yes, Decedent Lived in
Twp.
7 7 0 S. Hanover S t. Township?
®
17b. County ~'t 1 m b (~ r l a n (~ 17d. "
f ~ wahin Carlisle
~L
da
e
t
Actual
m
i
rts
o
City /Boro
16. Father's Name (Fret, middle, lest, suffix) 19. Mother's Name (Flrst, middle, maiden surname)
Sylvia L. Shetr•one
20e. InfonneM's Name (Type / Pdnt)
Patricia G. Wickard 20b. IMonnartYs Mailing Address (Street, rdly I town state, zip
3041 Waggoners t;ap R~.Carlisle,PA 17015
~ 21 a. Method of DlsposRion ~ ^ Crematon ^ Donation
~Burbl ^ gemovallromState r W
C 21 b. Date of Dlapositlon (Month, day, year)
b
1 2
2 01 1 21 c. Place of Dispoaklon (Name of cemetery, rxamatory a other place)
lli
M
P
k 21 d. Location (Ci / tolvn st~te, zi code)
~
~
~
es
a Donetlan Auttwrized
I
/C
^
r b
^
^ .
e
, ng Green
em ,
ar
Ro Camp
i1
. l ,
A
tDtlrer-
ner
oroneR
y
Yes
No
•
22a. Sign of F SeMce Licensee or acting such 22b. License Number 22c. Name and Address of Factliry
~ 011248E Musselman FH&CS Inc. 324 Hummel Ave. Lemoyne, PA
Corrpbte Items 23ac only when cert6ying
ptryakk:lert is not evaibbb at time of death to 23a. To the best of my ,death occurred at the tkne, date and place stated. (Signature and title) 23b. License Number 23c. Date Signed (Month, day, year)
certHHy cause of death.
Items 24-26 moat be completed by person
who proratxtces death. 24. Time of Death
1D 25. Date Pronounced Dead (Month, day, year)
~ ^ 26. Was Case Refened to Medical Examiner /Coroner for a Reason Other than Cremation or Donation?
' ~ ~
M M. ~
~ I ~ ^ Yes ~ No
CAUSE OF DEATFI (See instzuctbna and exampbs) r Approximate interval:
Rem 27. Part I: Enter the chain of events -disuses, injuries, or conplkalions • that directly caused the death. DO NOT enter tenninel events such as cardiac arrest, r
Onset to Death
res
irator
anesL or veMri
l
fib
ill
ti
Rl
t
h Pert II: Enter other significant cordifiona con ri era to dutn
but not resulting in the undertying reuse given in Part f 28. Did Tobacco Use Contribute to Death?
-
^ Yes ^
Pr
obeb
p
y
cu
er
r
a
on w
au
s
owing the etlokgy. List omfy one cause on each line. ,
IMMEDIATE CAUSE (Fi disease or
r ~-
y
^ Nc C~ Unknown
1
condtion resuting in a~
~'rlp ~o.
~~r ~ ~ ~-r r
-~ a
1„ t
~ `'~ +~~
~ I
~
1
(p~
29 If Female:
,
_
,
. ~~ ~ 1~n ;
_
10
a/
~ ~~ ' ,ham
,~QY
`L! ~•
~ ~ ^
Duet (or as a consequence o : r
S$eepp~t~~ntlelly list conditions, tl any, b ~
l` ~ Not pregnant within past year
^ Pregnant at time of death
aS
ludng to the Cause Nsted an line a.
i f O An rn S ~~
~ nS 1~ ~ •
Due to
Eller the UNDERLYING CAUSE (or as a consequence of): r
' ^ Not pregnant, but pregnant within 42 days
(disuse or
ryury that initiated the r
events resulting m death) LAST. °~ r
Q e! I~ . M 1 . ~r-[ nt
" " of death
S
^
Due to (or as a consequence of): ~ T Not pregnant, but pregnant 43 days !0 1 year
• d ~
r ^ Unknown tltpregnant wtlhin the past year
30a. Wu an Autopsy
Perfonnedl 30b. Were Autopsy Findings
Available Prior to Completion 31. Manner of Duth 32e. Date of Injury (Month, day, year) 32b. Describe How injury Occuned 32c. Place of Injury: Home, Farm, Sheet, Factory,
of Cause of Death?
atonal ^ Homicide Office Buildin
g, etc. /SpeatyJ
^ Yes ~.No
^ Yes ^ No ^ Acddent ^ Pending Investigation 32d. Time of Injury 32e. Injury at Work? 32f. If Transportation Injury (Specify) 32g. Location of irqury (Street, city! town, state)
^ Suicide ^ Could Not be Detemwred M ^ Yes ^ No ^ Ddver/Operator ^ Passenger ^ Pedeshian
Other - Spedty:
33e. Certifier (check only one) 33b. Signature arM Title of Certifier
• CsRHyMg physician (Physician certtlying cause of deeM when another physician hu prorwurxed death end completed Item 23)
S
J
To the but of my fmow4edge, dsMtt oocurrod dw to the ause(e) end manner u stated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^
• ~
~~i~.~. ' N
Pronouncing and certHying phyekbn (Physician both i duth and a
pronorxrc ng rttlying to cause of death)
To tM but W my knowledge
death occurred ri the time
dale
end
bce
end d
t
th
~ 33c. Lkense Numbe -
33d. Date Signed (Month, day, year)
-
,
,
,
p
,
ue
o
e auee(e) end manner u elated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• Msdkal Ex
min
/C n A O `~'~ ~ `3
~ ° r a ~ -"
I
er
e
oroner
On th
b
b
f
k
b I
I
e
o
o
exsm
ut
n and / or Investlgetbn, In my opinion, death occurred et the time, dtle, and pbce, end dos to the csues(s) end manner u stated_ ^ 34. Name and Address of Person Who Completed Cause of Death (Rem 27) Type /Print
ra'sgna ~!~ ' L ~ I ~
/
' 36. Date Filed ( , day, year) ~ , S U ~ ~ LC k4 ~ V ~ K U ~ A
~
I l I
I d- l / O //
Disposition PennR No. ~ `7 y d Y ~ -J
LAST WILL AND TESTAMENT
I, GERALDINE M. WAGNER , of Camp Hill, Pennsylvania, being of sound mind and
memory, do make, publish and declare this my Last Will and Testament, hereby revoking all
former wills and codicils by me made.
A.
B.
C.
D.
E
WITNESSES:
rve~
~~aZ 0 ~L .~'~~-
i n
I will and direct my personal representative to pay all legally enforceable debts, including
the expenses of my last illness and funeral expenses, current bills and any and all other
expenses incurred in administering my estate.
I give, devise and bequeath all of the rest, residue and remainder of my estate and
property, of whatever kind and wherever situated, owned by me at the time of my death,
in equal shares to my beneficiaries, PATRICIA WICKARD, NIECE; RICHARD E.
CRISAMORE, NEPHEW; NEIL U. CRISAMORE, NEPHEW; AND HARRY I3.
DANNER, NEPHEW. If any beneficiary does not survive me, I give the share of said
beneficiary in said rest, residue, and remainder to the surviving beneficiary(ies) in equal
shares.
If no beneficiaries named in this Last Will and Testament nor alternate beneficiaries
named in this Last Will and Testament survive, then I give the rest, residue and
remainder of my estate and property, of whatever kind and wherever situated, owned by
me at the time of my death to First Christian Church, Disciples of Christ, currently at 442
Hummel Av., Lemoyne, PA.
Any person who does not survive me by sixty (60) days shall be deemed not to have
survived for purposes of distribution pursuant this Last Will and Testament.
PERSONAL REPRESENTATIVE(S):
~ ~_
..JJ
~... ~l .t 1
1n.1 ~ ~ _~
~1 1 __~..~
l
+. ~ ~...,.de ~
T
~~..~ k.~7
f 7
STATRIX:
i
Page 2, Last Will and Testament of GERALDINE M. WAGNER
1. I constitute and appoint PATRICIA WICKARD personal representative of this
my Last Will and Testament. I authorize and empower my personal
representative to sell, transfer and convey any and all of the property of my estate,
real and personal, and to execute, acknowledge and deliver good and sufficient
transfers and conveyances thereof.
2. If no personal representative named in this will is willing and able to act, a
personal representative or co-personal representatives may be selected by the
majority of adult beneficiaries named herein. The personal representative(s) so
selected and appointed shall have all rights and responsibilities hereinbefore given
to the named personal representative(s).
3. No bond will be required of the personal representative(s).
F. In construing this will, words which import one gender shall be applied to any gender
where appropriate. The singular imports the plural and the plural imports the singular
where appropriate. Trustee includes any person or corporation from time to time holding
that office as sole or co-trustee. Personal representative includes any person or
corporation from time to time holding that office and also includes a special
administrator.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this /a day of
/-~nri l , l ~~~1 .
~-
ERALDINE M. WAGNER
Page 3, Last Will and Testament of GERALDINE M. WAGNER
Commonwealth of Pennsylvania:
County of Dauphin:
We, GERALDINE M. WAGNER, %~' /crt~c /C . ~ ~ ,and
_ ,~~ G . 5~,~~,,~,1'.`,.. ,the testatrix and the wit esses, 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 the testatrix's last
will, that the testatrix signed it willingly or directed another to sign it for the testatrix, that it was
executed as a 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 or more years of age, of sound
mind, and under no constraint or undue influence.
. C'C~
GERALDINE M. WAGNER ~
~,
fitness
• ~~~-'L
Witne
Subscribed, sworn to and acknowledged before me by GERALDINE M. WAGNER, the
t~tatrix, and subscribed and sworn to before me by 1~'J4~,~ ,(! ~e,~ /~,,. and
rz„ S < / L S~~c f~'~ ,witnesses, this ~ day o ~ 'J , /~~.
U
(Seal)
Nota ublic
Notarial Seal
Robert J. Kreidler, Notary Public
Susquehanna Twp., Dauphin County
My Commission Expires Oct. 14, 2002
Member, PennsVlvanie Association of Notaries