HomeMy WebLinkAbout03-08-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
C~~'
Deceased ESTATE NO: 21- " ~ ~ ~
Estate of
a/k/a. SS NO: 167-36-6003
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:
O A. Probate and Grant of Letters Testamentary or ~ Administration c.t.a., ~ NTARY .t.a. (complete Part C under
and aver that Petitioner(s) is/are entitled to the aforementioned Letters TESTAME
the last Will of the above-named Decedent, dated 4/27/1999 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 chieddbano incaaac'tated personeand was not a
instruments offered for probate; was not thethe time of dea h wherein grounds for divorce had been established as defined in
party to a pending divorce proceeding at
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 (lf Administration c.t.a. or d.b.n.c.t.a., enter date of Wdil` i s not a n art nto a pend ng d vorce
heirs); was not the victim of a killing; was never adjudicated an incapacitated person, a p y ce t as foffa'ws:
proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(g)~c p
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L1SE ADAITIONAL ST~IEE7 S IF' NECESSARY C
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence
At 115 N. MARKET_STREET MECHANICSBURG BOROUGH CUMBERLAND COUNTY PENNSYLVANIA 17055
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
87 ears of a e died 11/17/2010 at CAMP HILL, PENNSYLVANIA
Decedent, then y g
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
Total Estimated Value
$ 60,000.00
$ 60,000.00
Location of Real Estate in Pennsylvania: (Provide full address if possible.) 115 N. MARKET STREET, MECHANICSBURG, PA 17055
Signature(s)
(Month, Day, Year of death)
(City and State where death occurred)
All personal property
Personal property in Pennsylvania
Personal property in County
Name(s) & Mailing Address(es)
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court
OATH OF PERSONAL REPRESENTATIVE
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County of Cumberland E' ~ ~~ -~~~ ~ ''
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The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petitio~>a~re true ai~'d
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correct to the best of the knowledge and belief of Petitioner(s) and that, as personal repres~tative(s) ~o~ the;~:n ~,
Decedent, Petitioner(s) will well and truly administer the estate according to law. ~~:
Sworn to or affirmed and subscribed
before me this da of
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For the Register
Estate of
DECREE OF PROBATE AND GRANT OF LETTERS
SHIRLEY A. SWEGER ,Deceased File Number: 21- ~' ~ - ~}'U~'
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AND NOW, this ~ day of (V1.~~ r ~ _ ~'1 ~? ~ ~ ~ , in consideration of the Petition on
the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that 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.)
DORIS H. SWEGER
the above estate and that instruments(s) dated 4/27/1999 described in the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
in
Glenda Farner trasbaugh, ~ r~ ~~ ~-~,:..,~,~ 1 c~..~
Register of Wills
FEES:
Letters ....................$ 135.00
Will ....................... 15.00
Codicil(s) .............. .
( )Short Certificates
( )Renunciations.......
Bond ............................
Other ............................
.................................
Automation FEE......... 5.00
JCS FEE .................. 23.50
TOTAL ................ $ 178.50
algna>cure oI ~:ounsel xequired to >~:nter Appearance
Atty's Signature
PRINTED Name: MATTHEW A. McKNIGHT
Supreme Court ID No.: 93010
Address: 60 WEST POMFRET STREET
CARLISLE, PA 17013
Phone:
Fax:
717 249-2353
717 249-6354
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2
OCAL REGISTRAR'S CERTIFICATION OF DEATH
`'JVI~RNING: It is illegal to duplicate this copy by photostat or photograph.
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P__1.70290-03_
C~crCificatiOn ~ur~~he)
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111'f EP- - --- Fy "= ~orrectl ~o )~.d from ,~r.n ori~~inal Certificate of Death
,~` o~' ~ ~~,~ duly filed wit}l (nc, as Lora] Re~z;istrar. 'lf'he original
' z3 t_ertif)cate ~~~ill hc.~ f~ir(w;->rded to the State Vital
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~..~~ ~ ra l~ec°ords Office 1~t~)~ p~er)l~anent filing.
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H105.113 REV 11/1006
TYPE I PRINT IN
PERMANENT
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and BYATflIRA AA ravurcnl
1. Name a Decedent (FesL ndddb, Ust sulfift) 2. Sex 3. Sotie! Serxxiry Number vet 4. DaU d Deem (Month, day, YeerJ
Shirle A. Swe er - - Nov. 17 2010
- s. Age (I.asf ekarmy) under 1 Under 1 6. Deis d Bim Monet, da , 7. Bi and sUb « can 8a. Place d Deem Check one
87 ""`~" De" "a'a "`""" 11 /8/1923 New ~3loomfield, pA Hospital: Omar
Yrs. Inpatient ^ ER /Outpatient ^ DOA ^ Nursing Home ^ Residerxxr ^ Other - Specily
(!b. Canty d Deem 8c. City, Boro, Twp. of Deem Bd. Fadiry Name (It rat inatihfion, give sveet and rxwMer) 9. Was Deddem d Hisperdc Origin? ~ No ^ Yes 10. Race: American Indian. Black, White, etc.
• C<unberland E. Pennsboro 'Itap. Holy Spirit Hos
ital m Yom, sPe~Y ctrban, (~,~
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Mexican, Puerto Rion, etc.) Whlt
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• 11. DeaMxM
s Usual lion Kind d work done nest d ttle. l>o not stab 12 Was Deddem ever n the 13. DecederM's Edudtion (Spedly orVy highest grade atrtpbted) 14. MeriUl SUM: Married. Never Married, 15. Surviving Spouse (tl wife, give maiden name)
KinO d Work d / U.S. Ambd Forces? Ebnrerdary / Seaxdary (0-12) Cotlege (1-4 or 5+) Wkkwnd, Divorced (Specify)
addres aph nava'~ epos"
^ Yea C~ Na 12 never married
- ,s. Deddent'e Mating Andress (street. Gn/town, stare, zip ~dej Deus oid Daoeaera
Adual Residence 17a. SUU PA Live in a 17c. ^ Yes, Decedent Lived in
115 N. Market St.
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17b. County CL]IT)b~rl artr3 rid. C~Ho
Li~ed wimk, N~haniCS
Mechanicsb PA 17055 burg
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city/ B«o
18. Fatlbr's Name (First, midde, Uat, suffix) 19. Mothsfs Noma (First. midde, maiden surname)
James Oren Sweger Ethel M. K' sborou
20e. InfonnanCs Name (Type /Pant) 20b. InronronCS M•7ing Address (Street. dry / rown, sUb, tq code)
Doris H. Sweger 115 North Market St. Mechanicsbur PA 17055
21a. MMhod d Disposition r ;Cremation ^ Dorravorl
• ~i Burial ^ Removal from SUte i W
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b 21b. Date d Disposition (Monet, day, Year) 21c. Place d Disposition (Name d came creme «other
~' ~ ~)
21d. location (Cirylbwn, SUb, zip )
es
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n « DorUelon AWarlaed
^ otl,er- r by Medcal Examinaricoron.r? ^ Yes^ No NOV. 22, 2010 ~310Cmfield Cemetery New B100[tlfield,
z2a. sign.ka. d Funeral servid I~dnsee (« person actig es such) 22b. License Numbs, 22c. Name and Aaaress d Fadiry 8 Market Plaza Way
- FD 011667 L Malpezzi mineral Home Mechanicsb PA 17055
Conrpbb ibrns 23ac ony d
phyaiaan is rat available at ' d deem to o the ` J krowbdga, deem o ~ at Ihe~ee. daU and place sUted. (Sigfreture and title(
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V 23b. License Number
23c. DaU Signed (Month. day, year)
arNfy teas d deem.
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Items 21-26 moat be carpbbd by person
who pranunda deem. 24. Txne d Deem
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> 25. Dab Prmax¢ed Dead (Monet, day. Year) ^~ //. 26. Was Case ReUn~e9d ro Medical Exartwrrer I Coroner t«
a Reason Omer man Cremation albonation?
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~V ~~ , .'/ ~ \ ~..~ ^ Yes /~ No
CAUSE OF DEATH (Sea Instruetloru and exampbs) r Approxrreb nterval: Pan 11: Enter other ' 26. Did Tobacco Use Cmmbute ro Deem?
Ibm 27. Pan I: Enter me drain d avenU -diseases, kN~s, «corrrpicati«x -met d'aectly dosed the deem. DO NOT enter tertniryl evenU such as cardiac anent
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but rat resulting n the underlying cause given n Pert I.
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respiratay arreu, «ventricubr fbriUlion without Nwwing the etiobgy. List only are cause an each ins. r ^
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IIpAEDU1TE CAUSE Fxad disease «
caxiEen needling ~ rSsam) -~ a. (-~ C
v? E ~ ~ PER a AIQ ~ I e jR is P ~ RA toR ~ FA I w~ ~ 7 ~ F F r O L l T 1 ~ ~ p ~ P
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,egr~d w~,~
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d death
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Erser roUHgE~RL~YfPIG CLAUSE a Duero (a as a consequence oQ: ^ ~
~ pregnant wihin 42 days
(dmssse or i^NaY mat initiated the
evems resulting n deem) LAST. c. ~ d deem
Duero (« as a consequence of):
^ Nd pregnant, but pregnant 43 days to 1 year
;
• d
before deem
r ^ Urdarown A pregnant within fhe peal year
3M. Was an Aukrpsy 30b. Were Auropsy FsMirge 31. Maurer d Deem 32a. Dab of I '
Pedarmed? Available Prior ro Cartpbum ^I~Y (Modh, may, Year) 32b. Describe How Irqury Occurred 32r:. Place d kyury Flonre, Farm, Street, Fatdory
,
d Cause d Death? ®Natural ^ Homidde Office Buikfing, ero. (Specify/
^ Yes ~ No ^ Yet ^ No ^ AcddeM ^ Pendng Investigation 32d. Time d Injury 32e. Injrxy at Work? 32f. tl TrenaporUtion Iry'ury (Specify/ 32g. La~6on d iryury (SVeet, dry /town, sUb)
^ Suicide ^ Could 14d be Debrmined M ^ Yes ^ No ^ Driver/Operator ^ Passenger ^ Pedestrian
Omer - Spsdfy:
33e. Certi6x (dredr any one) 33b. signalo rtle a Certifier
• ~~ I> (Phyeiaan dnttlykg deae d deem when anomer physidan has pronorrrced deem and axrpbtsd Warn 23)
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ro dr beet a my Imowaadg., easel, occurred aw to the eauss(a) and nrrrrrer u orated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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O S T Pt L 14 7 M
g •nd ~Ykq PhY•~•n (PhYaidan born prorrounc(rg deem and drtllying to cause d deem)
To the beat a my kmrrbdgs, death oaurred n tM 8ma, dw, end place. and dos to the auas(s) aM manner u stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^
• 33C.
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1„ JTb 33d. Dab Signed (Modh, day, Year)
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On the bola a axaminatbn and / «Invesdgatbn, in my opinion, death occurred et the tlnrs, dab, and pbd, aM due to tM dose(s) and manner r eLted
^ 34
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ame and Address d Person Who Cause d Deem (Item 27) Type / PdM
9egra~ala ~re and ~ r ~d ~ ~ ~ ~ ~ ~ ~ ~ ~ 3s. Dab Reed (Madh, daY, year,
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Dispositon Pemtit No. tJ1 Y~ ~ ~ ~ r
LAST WILL AND TESTAMENT
I, SHIRLEY A. SWEGER, of Mechanicsburg Borough, Cumberland County,
Pennsylvania, being of sound mind, disposing memory and full legal age, do hereby make,
publish and declare this to be my Last Will and Testament, hereby revoking all Wills and
Codicils heretofore made by me.
ONE. I direct my Executor or Executrix, as the case may be, to pay all of my
debts, funeral and administrative expenses as soon as convenient after my decease. Furthermore,
I direct that all state, inheritance, succession and other death taxes imposed or payable by reason
of my death and interest and penalties thereon with respect to all property composing of my gross
estate for death tax purposes, whether or not such property passes under this will, shall be paid
by the Executor or Executrix of my estate.
TWO. My Executor or Executrix may, at his or her discretion, compromise
claims, borrow money, retain property for such length of time as he or she may deem proper;
lease and sell property for such prices, on such terms, at public or private sales, as he or she may
deem proper; and invest estate property and income without restriction to legal investments
unless otherwise provided hereunder. I authorize and empower my Executor or Executrix to sell
any realty and/or personalty owned by me at my death and not specifically devised or bequeathed
herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale
therefor, in fee simple, as I could do if living. My Executor or Executrix is authorized and
empowered to engage in any business in which I may be engaged at my death, for such period of
time after my death as seems
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Executor or Executrix.
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THREE. I give, devise and bequeath my estate to DORIS H. SWEGER. In the
event DORIS H. SWEGER predeceases me, then my estate I hereby give, devise and bequeath. to
Cheryl L. Cleland, Gerald L. Sweger and Donald R. Sweger, share and share alike, per stirpes,
which provides that the child or children of any deceased beneficiary shall receive the share their
parent would have received if living.
FOUR. I nominate and appoint DORIS H. SWEGER, to be the Executrix of this
my Last Will and Testament. If she has predeceased me, failed to qualify or is not able or does
not serve for whatever reason, then I appoint Cheryl L. Cleland, to be the Executrix of my estate.
In the event Cheryl L. Cleland is unable to serve for whatever reason, then I hereby appoint and
nominate Gerald L. Sweger and Donald R. Sweger as co-executors. The substitute personal
representatives having the same powers as the original Executor/rix hereunder.
FIVE. No person(s) shall benefit hereunder unless such beneficiary shall survive
me by thirty (30) days.
SIX. No Executor acting hereunder shall be required to post bond or enter
security in this or any other jurisdiction.
SEVEN. No beneficiary may assign or anticipate his or her interest in any income
or principal held or distributable hereunder; and no beneficiary's creditors may attach or
otherwise reach any such interest.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 27th day of April,
1999.
(SEAL)
SHIRLEYA. SWEGER
Signed, sealed, published and declared by the above-named person as and for a Last Will
and Testament, in our presence, who at said person's request, in said person's presence and in the
presence of each other have hereunto set our names as subscribing witnesses.
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ACKNOWLEDGMENT AND AFFIDAVIT
WE, SHIRLEY A. SWEGER, SHARON L. SCHWALM and BETZI A.
MORRISON, the testatrix and witnesses respectively, whose names are signed to the 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 that she had signed willingly,
and that she executed it as her free and voluntary act for the purpose herein expressed, and that
each of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness
and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or
older, of sound mind and under no constraint or undue influence.
SHIRL ~ . SWEGER
;:.
SHARON L. SCHWALM
BETZI ~. MORRISON
COMMONWEALTH OF PENNSYLVANIA :
SS:
COUNTY OF CUMBERLAND ;
Subscribed, sworn to and acknowledged before me by SHIRLEY A. SWEGER, the
testatrix herein and subscribed and sworn to before me by SHARON L. SCHWALM and
BETZI A. MORRISON, witnesses, this 27thday of April, 1999.
Notarial Seal
Martha L. Noel, Notary Eu~ 1;c
Carlisle Boro, Cumberland County
My Commission Expires Sept. 18, 19s•~
.giber, Pennsylvania ~ssccia#ion of otaries`
otary Public