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HomeMy WebLinkAbout04-05-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate Of EVA M. OSTRANDER a/k/a: a/k/a: a/k/a: Deceased ESTATE NO: 21- ~ ~ - ~- .SS NO: 050-30-9771 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 Testamentary _ under the last Will of the above-named Decedent, dated si21i2oo7 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): 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 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 party to a pending divorce ,. proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), _ ~ as follotvs:_ ~~ N..... o A l~I~MPCC ilvrpd - .. = ~, rn -~~ - .. _. =~ ~ ~ =--~ t1S1!; AUll111U1VAL,HN;l:1~ IH IVra:@:~JAK1' ~? _~~ ~ 7 `_:~ - ~. _4 ' ~= r=r i '~~~ Cj "Tl THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 4837 E. Trindle Road, Mechanicsburg, PA 17050 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 90 _ years of age, died 3/28/2011 at East Pennsboro Township, 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 $ ~oo,ooo.oo _If not domiciled in PA Personal property in Pennsylvania $ _ _If not domiciled in PA Personal property in County $ _Value of Real Estate in Pennsylvania $ ~:zo,ooo.oo Total Estimated Value $ z o,ooo.oo Location of Real Estate in Pennsylvania: (Provide full address if possible.) 111 S Hillside Drive, Borough of Carlisle, Pennsylvania 17013 Signature(s) Name(s) & Mailing Address(es) ~ _ Gary G. Ostrander, 1116 Hillside Drive, Carlisle, PA 17013 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 1 of 2 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 representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or aff rmed and subscribed - b fore me this a ~ day of f r ~~ ~. - ~ ~'uy qq ~n t l ~~. f / ~~ T t~'i ~ - ' -- -=~J C1 I -- ,. .~ : ~ ~ - _ , Forthe Register t; -; ,-~ ..~.r - ,_, _. _.. _ ..~ _ .. DECREE OF PROBATE AND GRANT OF LETTERS '~ ~=`=~ ~`~' ~=-;; `~~~ C~~:i °t 7 Estate of Eva M. Ostrander ,Deceased File Number: 21-~.~~; I 1 - ~~ ~. -~~) AND NOW, this ~? ~ day of April, 2011 , 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.) Gary G. Ostrander _ In the above estate and that instruments(s) dated 6/21/2007 described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. ^n n .. ~i r ' j '» ~e ~i` ~ - ~, `~ lenda Earner Strasbaugh,~•~~~ `L~~~~"Y~ ~1, C~cx;~~ Register of Wills :' FEES: Signature of Counsel Required to Elp(tP~~Ap~earance Letters ....................$ ~ Will ....................... ~ ~ ~ b~ Codicil(s) .............. . (~j) Short Certificates 1~ . C~ ( )Renunciations....... Bond ............................ Other ............................. Atty's Signature PRINTED Name: Andrew H. Shaw Supreme Court ID No.: 87371 Address: 200 S. Spring Garden Street, Suite 11 Automation FEE......... 5.00 JCS FEE .................. 23.50 Phone: _ Fax: TOTAL ................ $ ,~~(y ~) • c`7. ~~ Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Carlisle, PA 17013 717-243-7135 717-243-7872 Page 2 of 2 GAL REGISTRAR'S CER-~'I~'I A`Tltl~ GF [?EAR°R t~4'~hRNING: It is illegal to duplicate i~i~~o ~r"a~~y ~~°,r ~a~~otos>~at or ~hn#.Ol°~al~~°(. ~".'t' ~it1t C11~ s,~t'I""Ils~aEtv'. '~,(~.('(! P 17~.16~.86 ~ :'(Illi(.<llttlil ~'ti;lll7c'I~ '!~ I s ,_ '111'= ~ 11 ')~ II'l;C~l'flla(lU)1 II~I.t t!lkc'il Iti itl,'r 1~1 ~ ~r ~ ` ~~'_`'C~Q`-` r~l~ ::_ ~ I,'1 't_tti ,:tl ~ t i.' <t I ),1'..' il~_i~ ~~ ~'1-lllll~tll C)1 L~~~l(~1 ^t \" ~,.. /,~,o~~ ~. II'~ .) t•t€ jl' i. s ~.t1c~l ~Z<<~i~traj-. I-l~~° (>rl{~11~a1 ~ ~ '.r_ ~ ti ~;~~ .~, ~_~:) i~1;t..1 ~t,t' '~~ ,-e~,r~i:~c2 if~l 11ac~ Mate Vital col ~, ~, , , ,1.. 9 xj ,~ 1~.°1 'I_I.)~1~s. I•ili(tt~ ,, * ,~ ~, ~ -~ ~~ ~~xp h tW M,~ 2 ~ ~ 011 ,~,~C~ x p ~ ,,~ i ~ s • ,. 'l Q ..._.. ~,~ T.f -r( -)- C7 ~~ - r ~,,• m ) .v~~ -- _. _i ~-- i ~~~ -T7 - _-_ - ~a . i _ ~ ~ .. _ ..._ H105-143 REV 11/2006 TYPE /PRINT IN PERMANENT BLACK INK )11 ~~ -r- U 0 0 w z COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) CTATF FII F NI II.ARFR 1. Name of Decedent (Frst, middle, lest, sufNx) 2. Sex 3. Social Secudry Number 4. Date of Dartth (Monty, day, year) 050 ~0 X771 March 28, 2011 5. Age (Last Birthday) Under 1 ar Under 1 da 6. Date of Birth Month, da , 7. Birt ce and state w coon 8a. Place of Death Check on one 90 "~^""' ~~ i,alrs Minutes Jan. 12, 1921 Prague, Czech Ho spital: OMer: Yrs. Re ub11C I ~ yynpetiem ^ ER I Outpatient ^ DOA ^ Nursing Fbme ^ Residence ^ Other -Specify: 8b. County of Death 8c. City, Born, Twp. of Death 8d. Fadliry Name (If rwt instlhNal, glue sheet and number) 9. Was Decedent of Hispanic Orgin? ~ No ^ Yes 10. Race: American Indian, Black, While, etc. - Cumberland E. Pennsboro Twp. Holy Spirit Hospital (lf yea, apecAy Cuban, (501'» White Mexican, Puerto Rkart, etc.) 11. Decedent's Usual Oct lion Kind of work done d uri most of work' Ige. Do not state retire 12. Was Decedent ever in die 13. Decedent's Educetbn (Specify onry highest grade comp leted) 14. Marital Status: Marred, Never Married, 15. Surviving Spo use (II wife, give maiden name) Kind of Work Kind of Business / Irxtust ry U.S. Amted Forces? Elementary /Secondary (0.12) College (1-4 or 5+) Widowed, Divorced (Spea'ly) Homemaker Own Home ^ Yea l~ tit 12 16. Decedent's Mailing Address (Street, city /town, state, zip code) Decedent's PA Did Decedent 4837 E . Trindle Road Actual Residence 17a. State Live in a 17c. ®Yes, Decedent Lived in __]E3amix3P_n Tt.» _ Twp. Mechanicsburg PA 17050 Cumberland Township? 17d. ^ No, Decedent Lived within 17b.counry , Actual Limits of - Ciry/Boro 18. Father's Name (First, middle, last, suffx) 19. Mothers Neme (Fret, middle, maiden surname) Rostislav Hoffmann Augusta Navratilova 208. Informam's Name (Type /Print) ~ Ostrander ~' 20b. InfortnanYs Mailing Address (Street, city /town, state, zip code) 1116 Hillside Drive, Carlisle, PA 1'7013 21 a. M et lxxl of Disposition I ^ Cremadon ^ Donation 21 b. Date of Disposi8on (Madh, day, year) 21 c. Place of Disposition (Name of cemetery, crematory a other place) 21d. Location (Ciry /town, state, zip code) ll LL~~ - ~ BSal ^ RemovaltromStete ~ ~ at brt ~ ,,=sil April 2, 2011 Cumberland Valley Memorial t^ al-lisle PA 17013 ^ r l ~ o Yea^ Na ~ , 22a. signs f Funeral Service ' (w person acfing as such) 22b. license Number - 22c. Name and Addmss of Fadliry Hof fman-Roth Funeral Home & Cremato - - 138504 Co e h g 23a. To the st d my knowledge, death attuned at the time, date a nil place stated. (Signature and title) 23b. License Number 23c. Date Signed (Month, day, year) physician is not available at tans of death to ce cause of death. / `~i~ ~~ _ y..,~~~ (Jtr(~, rz N ~ ~I ~ a ~c>~ - Items 24-26 must be completed by person - 24. Time of Death 25. Date Pronounced Dead (Month, day, year) 26. Was Case Referred to Medical Examiner / foroner for a Reason Other then Crematlon w Donatlon~ who pronourxxts death. ~^ U / _ M. J1 A /1 f) n LI ~ Q ~ ~ ~ ~ ~ ~ -+ [ ~ U ^ Yes ~No I Approximate interval: CAUSE OF DEATH (See Inatructlona and e x a m p les) Part II: Enter other simfirant conditlor~ conldbutino to deem. 28. Did Tobacco Use Contdbute to Death? Item 27. Part I: Enter the drain devents - dseases, injuries, or complkretlons • that directly cellsed the death. lb NOT enter terminal events such as rardiac arrest, i Onset to DeaM but not resul6rxl in the undedying cause given at Part I. ^ Yes ^ Probably respiratory crest, a ventricular flbrfllation without showing the etiobgy. List any one cause on each line. ' - ^ Unknown IMMEDUTE CA9SE IFna~disease w ~ ~~ I condkion resultin in elh ~ I 29. If Female: ~ ~ l ~~ C ~ a. _ _ t ithi t ©~ Due to was ~ rx:e 9 r ~ ~ ~ ' regnan w n pas year ^ Pre nant at time of death Seauentlegy Ilst conditions, if any, n ~ ~ ~ lead b the cause listed an line a b' ~ Gr ~~ n g ^ . g Enter the UNDERLYING CAUSE Due to rasa t>n: ~ ~ r /J d /~j~ y~~ ~ Not pregnant, but pregnant within 42 days of death (disease w injury that initiated the c. ~!.> ~ ///.~ / /~ r '/' / ' - / I events resuking m death) LAST. I ^ ~ Due to (a as consequence o . I Not pregnant, but pregnant 43 days to 1 year before dead) - d' i ^ Unknown fi lxegnant within the past year 30a. Was an Autopsy 30b. Were Autopsy Findings 31. Manner of Death 32a. Date of Injury (Month, day, year) 32b. Describe How Injury Occurred 32c. Place of Injury: Home, Fertn, Street, Factory, Perfomled? Available Prior to Corlpletion N l ^ H idd ~ N Office Building, etc. (Speciy) of Cause of Death? a ra am e ^ Yes ~ f4o ^ Yes ^ No ^ Acddenl ^ Pendirxl Investigation 32d. Time of Injury 32e. Injury at Work'1 32f. If Transportation Injury (Specify) 32g. Locafim of injury (Street, city /town, slate) ^ Suicafa ^ Could Not be Determined ^ Yes ^ No ^ Driver/Operator ^ Passenger ^ Pedestden 33a. CeAifier (check any ale) 33b. S' naNre end Tier Cenilying physician (Physician certiypg cause of death when another physician has proraunced death aM completed Item 23) To thebesttdmyknowkdge,dceMoccunedduetotheceuse(s-andlttanrteraaatatetl---------------------------------~ - ~/ .,,~'~--- /~1,-i • Pronouncing aM cenNying physcian (Physiclen bosh prwloundrtg death aril certifying to cause of death) To the beat of my krawhdge, death occurred at the time, doh, and place, and due to the cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c. License Number - / ~ ~~ ~~//G~ 33d. Data Signed (Mont day, year) /may ~ !~' /J'~ ar ~~// • MedlcalF~tamirtarlCOroner L~ ~ ' ( .-• / `" Dn the basis of examinatbn aM / w Investigstion, In my opinion, death occurred el Me ttms, doh, and place, and due to the cause(s) and manner ae staterL ^ 34. Name and Address of Person Wh~o~red Cau of Death Item 27) T e P t ~ C~ ~ ~ ~ ~~ Registrars ore and District Nymeer~ 36 Date Filed Month da ear GG YL .~ f •~ ~12~h~ /`' `' ~ I ~ I ~ I ~ I ~ I ~ I . ( , y, y ) ~ ~~~// ~~ r Disposition Permit No. ~ l l ~n ~ `-~_ ~q~ LAST WILL AND TESTAMENT OF EVA M. OSTRANDER I, Eva M. Ostrander, a resident of the Commonwealth of Pennsylvania, make, publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me. I am a dependent of a person who is retired from. the military service of the United States. FIRST: I direct that the expenses of my last illness and funeral, the expenses of the administration of my estate, and all estate, inheritance and similar taxes payable with respect to property included in my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my residuary estate, without apportionment and with no right of reimbursement from any recipient of any such property. SECOND: I give all tangible personal property owned by me at the time of my death, including without limitation personal effects, clothing, jewelry, furniture, fi~rnishings, household goods, automobiles and other vehicles, together with all insurance policies relating thereto, to my son Gary G. Ostrander, if he survives me. If Gary G. Ostrander does not survive me, then to Karen L. Ostrander if she shall survive me. If none of the aforesaid beneficiaries shall survive me, then to those of my grandchildren (Ashley N. Ostrander and Brandon O. Ostrander) who survive me, in equal shares. THIRD: I give all the rest, residue and remainder of my property and estate, both real and personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled at the time of my death (collectively referred to as my "residu~r,.~state" `~ as }~ ... follows: -~;:° -~ , _..., ,~ ~Y„~ +I m. `.,` ~~ (a) If Gary G. Ostrander survives me, to Gary G. Ostrander. ,:;_II, {~~ ~~y . ~1 _, ,,.~ a- <.~'.~ _ (b) If Gary G. Ostrander does not survive me, my residuary estate shall :b.~:~~aid -- and distributed to Karen L. Ostrander if she shall survive me. If non~-~~~ the '::' aforesaid beneficiaries of my residuary estate shall survive me, my residuary ~~ estate shall be paid and distributed to those of my grandchildren (Ashley N. Ostrander and Brandon O. Ostrander) who survive me, in equal shares. (c) If none of the beneficiaries described in clauses (a) and (b) above shall survive me, then I give my residuary estate to those who would take from me as if I were then to die without a will, unmarried and the absolute owner of my residuary estate, and a resident of the Commonwealth of Pennsylvania. FOURTH: If any property of my estate vests in absolute ownership in a minor or incompetent, my Executor, at any time and without court authorization, may: distribute the ~'• 1st, (9 ~, ~..._, -.,l _ , ,._ -.~ -~- t. '3 ~-~- 'l' ~~' whole or any part of such property to the beneficiary; or use the whole or any part foi• the health, education, maintenance and support of the beneficiary; or distribute the whole or arty part to a guardian, committee or other legal representative of the beneficiary, or to a custodian for the beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with whom the beneficiary resides. Evidence of any such distribution or the receipt therefi~r executed by the person to whom the distribution is made shall be a full discharge of my Executor from any liability with respect thereto, even though my Executor may be such person. If such beneficiary is a minor, my Executor may defer the distribution of the whole or any part of such property until the beneficiary attains the age of eighteen (18) years, and may hold the same as a separate fund for the beneficiary with all of the powers described in Article SIXTH hereof. If the beneficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary. FIFTH: I appoint Gary G. Ostrander to be my Executor. If Gary G. Ostrander shall fail to qualify for any reason as my Executor, or having qualified shall die, resign or cease to act for any reason as my Executor, I appoint Karen L. Ostrander as my Executor., 1: direct that no Executor shall be required to file or furnish any bond, surety or other security in any jurisdiction. SIXTH: I grant to my Executor all powers conferred on executors under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon executors wherever my Executor may act. I also grant to my Executor power to retain, sell at public or private sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for cash or on credit; to borrow money and encumber or pledge any property to secure loans; to pay any legacy or distribute, divide or partition property in cash or in kind, or partly in kind., and to allocate different kinds of property, disproportionate amounts of property and undivided interests in property among any parts, funds or shares, and to determine the fair valuation of the property so allocated, with or without regard to tax basis; to determine what property shall receive basis increases pursuant to Section 1022(b) and (c) of the Internal Revenue Code and the amount of such increases and to make such determinations without regard to any duty of impartiality as between different beneficiaries; to exercise all powers of an absolute owner of property; to compromise and release claims with or without consideration; and to employ attorneys, accountants and other persons for services or advice. The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office from time to time. SEVENTH: I direct that for purposes of this will a beneficiary shall be deemed to predecease me unless such beneficiary survives me by more than thirty days. IN WITNESS WHEREOF, I, Eva M. Ostrander , sign m name and publish and declare this instrument as my last will and testament this ,~,,~ day of , 2,007. Eva M. Ostrander ~, ~+ V 2 ~ ~~~ ~ The foregoing instrument was signed, published and declared b~y Eva M. Ostrander ,the above-named Testatrix, to be her last will and testament in our presence, all being present at the same time, and we, at her request and in her presence and in the presence of each other, have subscribed our names as witnesses on the date above written. having an address at ~a ~~~ ~~~ ~ctV1 hc~,~ ~Ct,,UI.VYV~ cn,h having an address at c ~~ ~:5~ ~ Igo i3 3 ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss. We, the Testatrix and the witnesses, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix, Eva M. Ostrander ,signed and executed said instrument as her last will and testament in the presence and hearing of the witnesses, and that she had signed willingly, and that she executed it as her free and voluntary act and deed for the purposes therein expressed, and that each of the witnesses at the request of the Testatrix, in the presence and hearing of the Testatrix and each other, signed the will as witness, and that to the best of his or her knowledge the Testatrix was at the time at least eighteen years of age or emancipated, of sound mind and under no constraint, duress, fraud or undue influence. Eva M. Ostrander Testatrix print: ~~~e~r ~- • `~~r Witness print: Nahha~, ~Ca «h Witness Subscribed, sworn to and acknowledged before me by the said Eva M. Ostra~ier , Tes ix, and subscribed and sworn to before me by the above-named witnesses, this ~~ day of , 2007. Not ry Pu 1 is My commission expires on~~ /~G °~a9 rCOMMONWEALI~H a;:;~= i'E.ftilvl~Yi~ VA__1V~A5 ~1o?ariai aea Betty S. Kistler-, N~ta~~ ~'ubfic Carlisle Bona, Curnb~ia~~, County 1 My Commission? E~x ~,~;~> i~;?ay tai, 2005 ,Member. Pennsylya~i~ r>ss _>;;, .,~~ ~, ; a , Na ar~e~,