HomeMy WebLinkAbout04-13-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of ~d~.u ` ~ Vydt.~~"lG/`.S ,Deceased ESTATE NO: 21- i ~~- ~'~~~
a/k/a:
a/k/a:
a/k/a:
SS NO• 1 ~ I -~ ~. ~ ~ ~ ~'
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or ~B' AND °~C" as
a plicable:
~A. Probate and Grant of Letters Testamentary or ^Administration c.t.a., or d.b.n.c.t.a. (complete Part Calso)
and aver that Petitioner(s) is/are entitled to the aforementioned Letters L~t{~r'S ~ `~~~ ,~,.~~ under
the last Will of the above-named Decedent, dated ~~b . ~ , 1 R~;Z, 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(g):
^ B. Grant of Letters of Administration
(lf applicable, enter d.b.n., pendent life, durante absentia, durance 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 party to a pending divorce
proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(g), except as follows:-
~`°°~° Aauress Relationshi to Decedl
USE ADDITIONAL SHEETS IF NECESSARY
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M'+~1
THIS SECTION MUST BE COMPLETED: G x ~
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Decedent was domiciled at death in Cumberland County, Penns lvania, with his/her last famil or principal resi~ f r..,
At +t'l' V11; K - 2,5'f'~-~' ~~s~ ~ n S ~,("y' t S j~ ;~" ~ ~d ~ " ~% N
(Street address with Post Office and Zip Code, Municipality: Township, Boro gh, City) N
Decedent, then ~ years of age, died D ~ ~ ~'01~ ~ r [ f at ~' vet o _}~, )) ~ ~-
(Month, Day, Year of death) (Citytand State w ere death occurred)
Estimated value of decedent's property at death:
_If domiciled in PA All personal property $ ~~~ DC7D. bCri
_If not domiciled in PA Personal property in Pennsylvania $
_If not domiciled in PA Personal property in County $
-Value of Real Estate in Pennsylvania $
Total Estimated Value $ 1~t~j' ~pT p, ~J~
Location of Real Estate in Pennsylvania: (Provide full address if possible.)
Signature(s) Name(s) & Mailing Address(es)
v~ ~ ~ . ~w 2r1. $ ! ~~ '7 )1
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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 affirmed and subscribed
J~ t h ~ ~
bef me this - ~x/of
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-~ ~~ _ ~
~orthe Register
DECREE OF PROBATE AND GRANT OF LETTERS
Estate of _ t1C fZ~' ~ ~- ~~ ~' IL VS ,Deceased File Number: 21-~__ 1
AND NOW, this t ~`~~ay of ~r 1' ~~ (~~ ~ , in consideration of the Petition on
the reverse slde hereon, satisfactory proo having been presented before me, IT IS DECREED that Letters
-Testamentary - of Administration are hereby granted to:
I If applicable, enter c.t.a., b.n., d.b.n.c.t.a., etc.)
~iE~" V"~ C~I,~~ . ~°I'1 Ct ~ a' iY~C~-- ~ , 1,n1 n~ ~-
the above estate and that instruments(s) dated ~ - ~ - 2" -----'n
admitted to probate and filed of record as the last Wi11 and Codicil(s) of Decedent ribed in the petition be
FEES:
Letters........... ~'
.........$ ~~. L~
Wi11 ........................~L`~C~
Codicil(s) .............. ...
(~~) Short Certificates S- ~%D
( )Renunciations... ....
Bond .......................... ...
Other .......................... ..
........................... .
Automation FEE......... 5.00
JCS FEE .................. . 23.50
TOTAL ................ ~. 5 c
$ ~
~--
~Qi~~~_ ~.~ ~ ~~~~~ ~
Glenda Farner Strasbau ,~~_ ~t ~i~~~-~,,`, "
Register of Wills
Signature of Counsel Required to Ent
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Atty's Signature
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Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court
Page 2 of 2
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee tier this certificate. $6.00
P 17116130
Certification Number
__
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Ht05.1/1 REV nnoa
TYPE! PRINT W
PERMANENT
SUCK INK
Oi32-493
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This is to certify that the information here given i correctly copied tcom an original Certificate of Deat}
duly tiled with )ne as Local Registrar. The origina
certificate grill ~e forwarded to the State Vita
Records Office f:>r Permanent filing.
L ~`~~~'~~-~ MA 2 4 2D11
Local Re~~istra~ Date [ssue/i
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See instructions and exameiea nn reverae.i
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1. Name a Demdent (Faso mldels, ma4 saMal 2. Sax 3. Sadel SxWry Number ••,,,' c r'•c'• V ra 4. Dale of Death (Ma1M, tleY. Yom)
Hazel E Walters Female 171 - 28 - 3388 March 22 2011
5. Aga (Leal BirthtlaY) lhider I uneer 1 8. Data d 13TH (Mmm~ 7. eiMpYce (Clry and yob a ~ ) 8e. Place d Deem CMdc ally one)
Mo-ra IAye Nwe Mvaan
Hoapilel: Oiher:
74 rte. Jul 3 1 36 echanicsbur PA rpedenl ^ER/oumanea ^DOA ^NwaalgHana ^Raddance ^pyMr.yp„y~.
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Sb. Coumy a DeNh Bc. qry, Twp oeam Sd. Facigy Noma (M na bsXlulkn, give street antl nuMa) 9. Wtl Derodaa d Hiepenb Odpn7 ~Y No ^ ree 10. Rxa: Ansricen Imlen. Smdt Whim, ak.
(n yea. apadry tuber,. (BPedly)
Cumberland East Pennsboro Hol S irit Hos ital Maakan,PwrbRicen,elc.) White
11. Dacedwda UsuY Knd d rlak done m«I d Wa. Do not deN 12. Was DeceOent ever in me 13. Decedent's Educafion (Specify ally higlmt grade axnpk~ 14. Manta Smaw McMad, Neva Herded, 15. Surviving Spare (H rdle
plus maiden name)
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ad d Wark 10nd a Bumnsr / hqusby
rmed Formal Ebrnenmry / Secwgary (0-la) Calege (1 d w St) WbO~• Divacad (Spedyj
Housekeeper Privatl
y ^ree $]Na 12 widowed
18. Daadwa's Maiap Addrex (Base, aY / ben, amts, zq rode) Decedea'e
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45 Winchester Gardens ~~ 17a. sam Qc~nn svl vani a Li
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Tovrnshlp? f>ti -P1~ P'}3~~~~~~eI3 7vq.
Carlisle, PA 1 701 3 17° ~' Cumborla^d 17°'
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CAyleoro
15. FemrB Nerro (FYst ntltlde, met adial 19. MoOsr's Narna (First, midde, melden auname)
Norman Smith
2Da. InkartrnYS Name (Type /Pmt) 206. InlmrsnYe MWnp Addrasa (Basel, dly / mum, emm, zip mtle)
Debora Cowden 514 Luther Rd. Harrisbur PA 17111
_ 21e. Method d Diep«ilion ®~aat ^ pcn,ypn 21 b. Dam d Dip«itim (Madh, der, year) 21c. Place d
DsPositior~ Meme d amelery, pRrotpy aroma pmts) 21d, lncatlm (~Y / lavn, amts, zlp cadet 1 7 0 6 5
^ eaiel ^ Removd ham Stag ta
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^°m°r-sPaar by MMkNEmlksr/cor«ary I~rea^NO 3 24 2011 Hollinger Crematory Mt. Holly Springs, PA
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22a. d Fasral Servin (a persm adag u aura) 22b, ticanx Numha 22c Nmne and Aedreea d FeaBy
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~. 011589E Holl~.nger FH&CrematoryMt. Holly Springs, PA17065
Canpmm Irons 23ac gay •mrl mMyig
plryaidan b M evakeae al time of Ham to 23e. To me best d my knowledge, deem acaana al me tlma, dam and pmu etamd. (S'ryryan aM tile) - 23b. Lkame Number 23c, Data
Sipsd (Mmm, day, year)
cenHy case d tleam.
Items 2428 m«t W canplded by parson 24. Tats a Dean 28.Oara Pmnounretl Dead (Mmm, day, year) 28. Wes Cox Relarted b Medal Examasr f Coma for a Reason Omer man Cremadon a Daslion?
""°P'aipncesdaB1h 2:00 P.M March 22 2011 ~ree ^~
CAUSE OF DEATH (gas Inshuedons and enmpbs) r Approairute kaaval: Pan II: Ema timer 28. Dkl Tohean lka Caamde m Deem?
Ism 27. Pen I: Erax me dam d rxenm - deaefea, a{~elee, a cangAntlas -mar draty tuned me tlatll. W NOT sore terminal evenm such es mNea arras
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Omet m Deem but rnl maAkg m me adedyip pose given m Pen I. rsa Probe
rnpiralpY arras. a verskumr fibamtlon winwl ehoxMg me atldagy. Eel oar ors ause an each ins. ^ ^ °~'
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~~ ~~A~"b'a b. Fall S/P Cholecystectomy
Finer UNDERLYEW CAUSE Uw to la as a cormequerne d):
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Ma9rrnl, bW prapsra wMan 42 days
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r ^ lhdolown g preprsra wnhn tls Poet Yaa
30a. Wee ~ qulopay 306. Were Aubpsy Fialkge 31. Minna d Deem 32e. Des d Ivry (Napa, day, year) 326. Deam6e How I~qury Oowrred 32G Pla« a I I1Oms, Farm, Sbea, F
Parkxmed? AvalleaePMrmCatpetim acmry,
acaa:eaD~m? ^"~N ^ March 18, 2011 Fall in Hospital 01~a "~'~
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^ re. (~ r+a ^ rag ^ No ~ Awn ^ ~a Imasdgelbn 32a ran, a Iryay 3za. Inpay at wag? 3a. a T~,napamgar Irpay (sp.a/yl 32g. wmaon a adary (street, ay! mrm.,ml.) o sp i ta
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No th 21st Street, Camp Hill, PA
33e. CMWa (dark ady one) 33b. Sipumre and Tnle atiMiic
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• C•roNmg PM"lesn (Phyeidm aWrytrq auss d a.m wlsn aroma plryaden Ivv pmiorri«d mm.nd callpNlad Imm 23)
To tls brtd my mlowledge,datlt aeeuned duem ms ersye)ral rnrawramled--------------------------------- ^ - oner
' 9 ~ arSlykrg PirYelclen (Phyekien bah prasucYq deem and aniyiq b crse d deem) 33c. Lirenae Number 33d. Dale Sgrsd (Morph, day, yaer)
To tlr brtamy bmslsdge, derh aaraledMms tllrs,deY, and pmce,and tAabde naee(sl and marasra amua------------------ ^
• MedcY E»misrlCaasr r~,r
an m.6.w a aa.nurtlan and / «mrptlpMbn, M my apmbrt, deMh «ctarae r tls tune, deM, era plop, and due b ds eaua(q.nd menrsr u eleta4 yy h 2 3 2011
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~. „~ Todd C. Eckenrode, Coroner
q~ ~'Da°setl ,~r.rao 6375 Basehore Rd.
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LAST WILL AND TESTAMIl~PT
OF
HAZEL E , ~IIALTERS
v
SIN
I, HAZEL E. WALTERS, of 2115 Circle Drive, North r?i_ddleton Township,
Cumberland County, Pennsylvania, declare this to be my Last Will and Testament,
and revoke any will or codicil previously made by me.
ITF~~I I: I direct that all my just debts, funeral expenses and adminis
tration expenses, including my grave marker, shall be paid from the assets of my
estate as soon as practicable after my decease.
ITEM II: I devise and bequeath the residue of my estate, of every
nature and wherever situate, to my husband, r,,iarlin E. Walters, providing he shall
survive me by sixty (60) days,
ITEM III: Should my husband, Marlin E. Walters, predecease me or die or
or before the sixtieth day following my death, I devise and bequeath. the residue
of my estate, of every nature and wherever situate, to my issue living on the
sixty-first day following my death, per stirpes.
ITED~ IV: I nominate and appoint the Farmers Trust ('ompany, Carlisle,
Pennsylvan Tai, rustee of any property of any beneficiary who may be a minor, ThE
income and/or principal of said trust may be accumulated or expended for the main
tenance, education and support of such beneficiary as my Trustee, in its discre-
tion, may determine; and my Trustee, in the expenditure of_ income and/or prin-
cipal for such purposes, may, in its discretion, apply the same directly without
the intervention of a guardian, or pay the same to any person having the care or
control of said beneficiary or with whom the beneficiary resides, ~nthout duty or
the part of the Trustee to supervise or inquire into application of the funds by
any person to whom any payment is so made, The balance of such income and/or
principal shall be paid to such beneficiary upon reaching majority, or to such
beneficiary's estate in the event of death prior thereto.
ITF.~~ V: I direct that all taxes that may be assessed in consequence
of my dea of whatever nature and by whatever jurisdiction imposed, shall be
paid _from my residuary estate as a part of the expense of the administration of
my estate.
ITEM VI: I appoint my husband, 'Marlin E. ~Nalters, Executor of this,
my Last will. Should my husband, T•4arlin E: Walters, fail to qualify or cease to
act as Executor, I appoint my children, Debora Ann Cowden and Norman E. ?~Ialters,
or the survivor thereof, Executors of this, my Last Will,
LAW OFFICES
LANDIS & BLACK
CARLISLE, PENNSYLVANIA
ITEM VII: I direct that my Executor or Trustee, or their successors,
shall not be required to give bond for the faithful performance of their duties
in any jurisdiction.
RI~:C;ISI'R1?K (~I~ ~'II,I,S
2011 APR 13
(:LP;Rh OI~
<)IZPH:~NS CC)UKT
CU~IBI~,Kl,.1M~ COUR'T', P:~
IN WITNESS WHEREOF, I have hereunto set my hand this ~r~ day of
~,~c:~-~c.~,~,, ~ 1982.
"~
~. ~ (~,c~.-~~~.~ (SEAT
Hazel E. Walters
The preceding instrument, consisting of this and one other typewritten
page, each identified by the signature of the Testatrix, FIazel E. ?^Talters, was,
on the day and. date thereof, signed, published and declared by Hazel E. IValters,
the Testatrix therein named, as and for her Last ~-gill, in the presence of us,
who, at her request, in her presence and ir. the presence of each other, have
subscribed our names as witnesses thereto.
LAW OFFICES
LANDIS & BLACK
CARLISLE, PENNSYLVANIA
Page Z of Z Pages
COMMONWEALTH OF PENNSYLVANTA )
SS,
COUNTY OF CUMBERLAI~~ )
We, HAZEL E. WALTFRS ROBERT n. BLACK , and
~I
the Testatrix and the witnesses, respectively;
I
(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
i
(or willingly directed another to sign for her), and that she executed it as her
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 7n1i11 as wit-
mess, and that to the best of his knowledge the Testatrix was at the time
eighteen years of age or older, of sound mind and under no constraint or undue
influence.
Testatri ITazel F. ~~Talters
~~ ~~ .
~l ~-t_/
Witness Robert R, Black
Witness
Subscribed, sworn to and acknowledged before
me by Hazel E. tNalters ,Testatrix,
and subscribed and sworn to before m~y
Robert R. Black and Z~G(rttd
witnesses, this ~'~' day of ,,.~ 19 2.
I
SAW OFFICE6 Notary PU llc
LANDIS & BLACK
ARLISLE, PENN6YLVANIA I ~Sy,'^ ,j "'•' ^~'A,~'1. ~,7 .z_, ~~ ~~~~
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