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HomeMy WebLinkAbout04-21-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of EDGAR PATTERSON File Number `~ I ' I ~ - L c~"'( also known as Deceased Social Security Number 199-07-3105 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW.) 0 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the CO-EXECUTORS named in the last Will of the Decedent dated 12/27/2006 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 instrument(s) offered for probate, was not the victim of a killing, was never adjudicated incapacitated, and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as provided in 23 PA C.S. section 3323 (g): B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d. b. n. c.t.a.; pendente liter durante absentia; durante minoritate) :» _ _n ~ , --~ ^~-,- (COMPLETE INALL CASES:) Attach additional sheets if necessary. ~~ _'_i • • ~ -- '' <:~~ Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last principal residence at `~~~ ~ `~ 2100 Bent Creek Blvd.. Apt 210 Mechancisbura PA 17050 Silver Sprina Two. (List street address, town/city, township, county, state, zip code) Decedent, then 94 years of age, died on 4/6/2011 at The Bridges at Bent Creek 2100 Bent Creek Blvd.. Apt. 210 Mechanicsburg PA 17050 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 3.000.00 (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 $ 3,000.00 situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Signature Typed or printed name and residence ~ ~ Walter R. Meyer 950 Walnut Bottom Road, Ste. 15-202 Carlisle PA 17015 Kathy M. Studer 935 Orrs Bridge Road Mechanicsbur PA 17050 Form RW-02 rev. 10.13.06 Page 1 of 2 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 above and complete list of heirs.) Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND The Petitioner(s) 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 afI-vmed and subscribed ~: i before me the ~~,~ ~ d~a~y of ~ , ~11_~ Signature o Personal Representative (/ Waltef R. Meyer ,/XJ Signature offers al Representative Kathy M. Studer n_ For the Re 1Ster Signature of Personal Representative ~ : ~:7 - ' ~ z't g ~ ^cJ ,e ~J ,'., _, '~ . ~r7 n _ , ` J \ • } File Number: •`- - .~ `, Estate of EDGAR PATTERSON r ~ _r' Deceased ~.•: _: ; ~ Social Securi`ty~Number:19I9-07-3105 Date of Death: 4/6/2011 AND NOW, t ~ S~` v' ~~ ~ ` , 2011 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Walter R. Meyer and Kathy M. Studer in the above estate and that the instrument(s) dated December 27. 2006 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............................. $ . V ~ '' II Short Certificate(s) •••6•••••• $ ~ `i • ~~ 1R~enunciation(s) •••••••••••••••• $ ~1-~-~ ~ .... $ .... $~y~ .... $ -"LtL~ .... $ .... $ .... $ .... $ .... $ .... $ TOTAL ............................. $ c~ • ~. Attorney Attorney Name: Supreme Court I.D. No.: 58802 Address: 1719 North Front Street Harrisburg PA 17102 Telephone: (717) 234-4178 Form RW-02 rev. 10.13.06 Page 2 of 2 105.805 R6V ,01/07. LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 ~P 17298959 Certification Number This is to certil~ that the infurn~latiun here ~>id~en correctly copicci tiom ~u2 original C'crtificate of Den duly filed witiz me as Local Re`,is;rm-. The t~ri~,?in certificate will be t~tr~~~arded )o the State Vit Records Office 't~)- perlnanc:nt filim~. ~~~ ~ ~~r~ APR 1 1 11 --1_~__ Local Reglstru~ [ .uc [ssLtEL. ~::; C._ ` rTl N C`Jf7~'~ t --, t; ` ' ~ REV t1I2008 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS PRINT IN -,~K INK CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE NUMBER 1. Name d Deamm (Fid, midde, last sumx) 2. Sea 3. Sxld Sepapy Number d. Date d Deelh (Month, day, year) Ed ar Patterson Male 199 - 07 '- 3105 Aril 6 2011 5. Age (~ BtrthmY) lister 1 r Unmr 1 m 8. Date of BIM Monts, er) T. BI end emle orb tam Ba Place of Dam Check Doty one) 11eyx Hao, kewsr Hcepllel: Omer: 94 yre, January 11, 1917 Harrisburg, PA ^Inpatlem ^ERIOutpaNent ^DOA ^Nwsinp Home ®Redmnce ^other. SpecNy: Bb. Carty d Deam Be. Cly, Born, Twp. d Deem Bd. FaAmy Nenre llf not irretNupon, gHe sheet end number) 9. Wes Decedent of Hlapanb Ongm? ®No ^Ves 18. Race: American Indian, Black, Whtle, ate. Cumberland Silver Spring 1t4Tp, 2100 Sent Creek Blvd. , Apt. 210 (6~e~cenoRl~tann,em.) ispetd~ White 11. Decedenre Uwd Nits d work done moat d world ph. Do not stale 12. Wee Decedent ever M ale 13. DeamnYS Eduatbn (Specify ony hlphesl grade campbted) 14. McMd SaNa: Mertled, Never McMed, 15. Surdving Spouse (If wife, give maiden name) Kid d WOM Kind d Budges /Industry U.S. Amred Porten? Elememary /Secondary (0-12) College (11 or St) Widowed, Divorced (Speclyy) Elevator Ins actor State Government ®va ^Nt 12 Widowed 1a.°areas'YaMalwg'>vaeee(so-eet'dty/m"n'~am':~`°de) °ete°e"Y' Penns lvania °~deM °" Y 2100 Bent Creek Blvd., Apt. 210 L wal AulwlRaldence t?e.Slere 17c.~]va,DeadentlNStlln Silver SDrinQ Tom. -- Mechanicsburg, PA 17050 Towrehlp? 17d. ^ No, Decedent Lived wphin fro ~a Cumberland AtrealLknrod ciy! INao 18. Father's Name (Fhsl, midrib, MaL supix) 19. Motlrefe Name (Fiat, mldde, maiden wmame) Jacob Patterson Mar Wharton 20e. IMOmeM's Name (Type / Pmd) 20b. InbrmenYn Metlhq Adtlreee (Street. ceY / kwn, state. zip code) Kathy M. Studer 935 Orrs Bridge Road, Mechanicsburg, PA 17050 21a. Method d Duipoaplon ^ Cremation ^ Doretbn 216. Date d Dispceipon (MaMh, mY, Year) 21c. Plea d Dlapoaillan (Name d cemderK crematory or other place) 210. Location (CSy I town, state, zip code) ^ ~,a,n RemwdhomSbh ~ MaWtllalem.n,Eaa,,oi~/oar~~e~„NA'm'°'rnd^y~^~ April 11, 2011 Rolling Green Cemetery Lower Allen Twp. , PA 17011 22e. d Fu (a edtrp a such) 22b. Lcense Ntenber 22c. None and Address d Fedpry - FD 013 340 L Parthemore F'H & CS, Inc., P.O. Box 431, New Cumberland, PA 17070 Conlpbta llama 23ec qtly ' ' 23e. To the Dent d my knowledge, mem occurred d the tlme, date dM place slated. (SigneWre and tUe) 23b. License Number 23c. Date Sgred (Monts, day, Year) physiden b clot evaNable et era d dam to amy awe a mom. Ibrre 242a mud M cortpbted by person 24. Tkne d Deem 25. Date Pronounced Dad (Moab, my, yaD 28. Wes Case Referred to Medical Examiner I Coroner fa a Reason Omer then Cremation or Doretan? """~'°'°~Bed~h 5:25 P M. April 6, 2011 ^Ya pNt CAUSE OF DEATH (See Instruedone and eaemplas) r Approximate Inbrvd: Pen II: Eller omer 28. Did Tobeao Use Cantndne b Death? Kam 27. Pan I: Eller the fABjB!>LgYppp - Obsess, mryme, a canpNcedale -met dreay caused the mom. DO NOT enter temxnd evems such a striae anent t Onael b Dam hd not rardttmg in me unmrlymg ease given In Pan I. ^ Yes ^ Probabty raltlrelay anent a vdndabr fibdpatlon wtlMd showing Hie ntlolagy. List only one awe on each Noe. t r ~ ^ No ^ Unknown TEr N 1 nelldis ease or /` ' ~l ~ /+ r mom _~ a. V/u 1 / lZ l Cd •~ C Q / r 29. II Female: ^ Due b (a es a consequence of): ~ Not pregnant wahin past year SepbnlNAy 5d cmdtlaxq, it yry, D i I ~ b dk p l d N ^ Pregnant at lime d mom ee q awe a e on ne a Due to (a es a was r ErMr Br IMNERL'IMG CAUSE CD^°•q o~~ r Not rent but r nant wDhin 42 da ^ Pre9 Deg Ys /faese a i.M' xV mn' c r ivdtle remiMyrM In mam~e r d mom Due re (a as a ansequance of): r ^ Nd Dregnent bW DregaM 13 mys to t year d. i Delon deem ^ Unknaxn N pregrenl whhin the Deaf year 30e. Was an Aubgy 300. Were Aubpey FlMngs 31. Manner d Deem 37a Dde d Inury (Momh, my, ymr) 32b. Describe Fbw InMny Oaurred 32c. Pba of Irqury: Hone. Farm, Sired, Factory, Perfomed4 AvepeDb Prior to Canpletlm CJ Nalurel iJ ^ Homidde Office Buikkg, dc. (Specfy) d Ceua d Deem? ^Ves ^ No ^ Yes ^ No ^ Acddanl : ^ Pentfr~ lnvest~don 32d Tana d Injury 32e. Injury at Wont? 321. p Treropodation Injury /5pedyl 32g. Locetlon d Injury (Rrcet ctlY I town, state) ^ Sddm ^ Cadd Not be Detamined ^ Yes ^ Nc ^ Ddvar I Opareta ^ Passenger ^Pedatrbn M Opbr - Speedy: 33e. CeNpd (dreck Doty one) • Cenllylrg phyekla (Phyeiden certllying ease d mem when enottwr physkbn bee pmwunced mom and completed Hem 23) 33b. Sk~neture Ab d Certlfier ~ / . d d m d d t t d M ^ ,.y - "[ %~ To UN batdmy krlewN ge, ee accwro ue o he ceueye)en mennerae hd.,________________________________ .. l • Praroimdrrp end adNying phynlda (Phyeitlen bah prapurcing mem art artpyhq b aua d mem) d tM tl m rt l d d h d d ^ ~m T 33c. Number 33d. D Signetl ath, mY yar) - _ _ - - _ OCterre et me, te, a p ea, en ue LO t e aues(p en manxaehh ____________ MWkM ExemMery CereMr' • ~ n Q( ~p ~~ ~ ~ Q~ ~6 t( /J l On the Deets d exemiulbn end / a Inwstlgetlon, In mY oplnlon, mom soared el the rims, deN, end plea, ell duo k tM eewe(e) ell manner a etebd_ ^ 3p. Na~ ets Addae d P ~nanTComplemp Cewaof Dam (Item 2~ Type 1 Print - RegMre re ell ~ I ••q' ~ I ~ I / I ~ I 'y`I 38. Flied ( , dpX Yeer) arrQf '-` c~u FO 8 l.o ....~Y. V~ "J ~~ w. o l 4 / 7~ 3 Dkposition PemdtNO. 054250b ]E~~~~ ~~~C~C~]E~~®l~T I, EDGAR PATTERSON, having my legal residence at 1179 Shoreham Road, Camp Hill, Cumberland County, Pennsylvania, do declare this to be my Last Will and Testament, revoking all my previous wills and codicils. WITNESSETH: FIRST: I declare that I am widowed and that I have the following two (2) children born to me; WALTER R. MEYER and KATHY M. STUDER. SECOND: I appoint my son, WALTER R. MEYER and my daughter, KATHY M. STUDER, or the survivor of them to be my Personal Representative(s). A. No bond or undertaking shall be required of any Personal Representative nominated in my will. B. My Personal Representative(s) shall have full authority to administer my estate under the laws of the Commonwealth of Pennsylvania relating to the powers of fiduciaries. My Personal Representative shall have the power to administer my estate under the Independent Administration of Estate Act. THIRD: I give all of my property of whatever nature and kind and wherever located to my revocable living trust of which I am the Settlor known as the EDGAR PATTERSON REVOCABLE LIVING TRUST dated December 27, 2006. A. If my revocable living trust is not in effect for any reason, I give all of my property to my Personal Representative under this will as Trustee who shall hold, administer and distribute my property as a testamentary trust the provisions of which are identical to those of my revocable living trust on the date of execution of my Will. FOURTH: The term "death taxes," as used in my Will, shall mean all inheritance, estate, succession and other similar taxes that are payable by any person on account of that person's interest in the estate of the decedent or by reason of the decedent's death including penalties and interest. ~? _.~ ~~ ~ ~. r = '`~ r '' r-- _ r n h, ;fir; ~ --- _. ; ~_ C c ~~~ ~~ _ ~O=n _ - -; -;.~ ~ ~ -~ . ~ _ r v ~~ .• -~ A. Pursuant to the terms of my revocable living trust, all death taxes whether or not attributable to property inventoried in my probate estate shall be paid by the Trustee from that trust. However, if that trust does not exist at the time of my death or if the assets of that trust are insufficient to pay the death taxes in full, I direct my personal representative to pay any death taxes that cannot be paid by the trustee from the assets of my probate estate by prorating and apportioning those taxes among the beneficiaries of this Will. B. Notwithstanding any other provision in my trust, all death taxes incurred by reason of assets transferred outside of my trust or probate estate shall be assessed against those persons receiving such property. FIFTH: If any person or entity other than me singularly or in conjunction with any other person or entity directly or indirectly contests in any court the validity of this Will including any codicils thereto, then the right of that person or entity to take any interest in my estate shall cease and that person or entity shall be deemed to have predeceased me. SIXTH: Should any of the provisions of my Will be for any reason declared invalid, such invalidity shall not affect any of the other provisions of this Will and all invalid provisions shall be wholly disregarded in interpreting this Will. SEVENTH: This Will shall be construed, regulated and governed by and in accordance with the laws of the Commonwealth of Pennsylvania. I signed this, my last Will and Testament consisting of two (2) pages plus the Acknowledgement, Affidavit and Certification on December 27, 2006. EDG ATTERSON The foregoing Will was, on the day and year written above, published and declared by EDGAR PATTERSON in our presence to be his Will. We, in his presence and at his request, and in the presence of each other, have attested the same and have signed our names as attesting witnesses. We declare that at the time of our attestation of this Will, EDGAR PATTERSON was, according to our best knowledge and belief, eighteen (18) years of age or older, of sound mind and memory and under no undue duress or constraint. .f ~~ W TNESS COMMONWEALTH OF PENNSYLVANIA . SS: COUNTY OF DAUPHIN I, ROBERT P. GRUBB, the Testator whose name is signed to that attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed this instrument on December 27, 2006, as my last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. EDG PATTERSON, Testator Sworn or affirmed to and acknowledged before me by EDGAR PATTERSON, the Testator, on December 27, 2006. Attorney 3 COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN . SS: UWe, the undersigned witness(es) whose name(s) is/are signed to the attached or foregoing instrument, being first duly qualified according to law, do depose and say that Uwe were present and saw EDGAR PATTERSON, the Testator, sign and execute the instrument as his last Will and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that I (each of the us) in the hearing and sight of the Testator signed the said Will as a witness; and that to the best of my/our knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraints or undue influence. i ~. WITNESS WITNESS Sworn or affirmed to and acknowledged before me by ~ G,,lL! and ,the witnesses, on December 27, 2 06. PA ttorney COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SS: On December 'Z7~ 2006, before me the undersigned officer, personally appeared ROBERT P. GRUBB, Esq. (Pennsylvania Supreme Court ID No. 76057), known to me or satisfactorily proven to be a member of the bar of the highest court of Pennsylvania and certified that: 1. He was personally present when the foregoing acknowledgment and affidavit were signed by the Testator, EDGAR PATTERSON and the witness(es); and 2. He was one of the witnesses whose names are signed to the attached or foregoing instrument, and that being duty qualified according to law, did depose and say that he was present and saw EDGAR PATTERSON, the Testator sign and execute the instrument as his Last Will; that the Testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the will as a witness; and that to the best of his knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Robert IN WITNESS HEREOF, I hereunto set me hand and o~'ficial seal. Notary Public COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL CAROL A. LYTER, Notary Publlc City of Harrisburg, Dauphin County R.~°i Commission Expirds Dec. 28, 2008 5 ~JLJI~~~ ~~~~~~~®l~ This informal letter of instruction to my family, Executor and Trustee serves to convey my personal wishes concerning distribution of selected personal effects. In any situation where the provisions of this letter may be deemed to be inconsistent with or contrary to the terms of my Will, Living Trust or other formal Estate Planning Documents, it is my desire and intent that the provisions of my Will my Trust and other formal Estate Planning instruments shall govern and be controlling since I do not intend that this letter shall serve in any respect as a Will nor shall the terms of this letter override the provisions of a Will or a Trust executed by me whether it was signed prior or subsequent to the date of this letter. Distribution of Personal Property Description of Property Beneficiary 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 1 Description of Property 13. 13. 14. 14. 15. 15. 16. 16. 17. 17. 18. 18. 19. 19. 20. 20. 21. 21. 22. 22. 23. 23. 24. 24. 25. 25. Beneficiary Other Directions To My Family: 2 OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS t~ j~ r~ ~_ COUNTY, PENNSYLVANIA Estate of L- GI G, /: d` ~~R tl ~i~S Q LL Deceased ~S.a 7it~1~~5~~Y7 ~J"l©r1.5 %C ~ and (each) being duly qualified according tQlaw, depose(s) and say(s) that she / he /they was /were well- acquainted with ~ G, G Y ~~ (f Z ~fU~ and am/are familiar with the handwriting and signature of the decedent, and that the signature of f ~~fG G~`-- to the foregoing instrument purporting to be the Last Will and Testament/Codicil of _~ t°/,~QGt_ is in his/her own proper handwriting. (i nature) (Street Address) (Signature) (Street Address) ~~~~~ 17 ~3c~y ( ity, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed befor me this ~~ ~ ~~ day of , ~~~r (` - '~ /~; W ~ + Deputy for Register of i s (City, State, Zip) n O ~.: :-~~ ~ ~ ;-, ^~ ~> r ~`i'1 ~ J I J - .. J `..~J -~ . ._. _..f ~ J ,`..-- W. ~, ..~, •-~ ~~~ .._- ~~~ c C;~ ~~ Form RW-04 rev. !0.13.06 O ---- ;- ~ L ~ ""~: ~ OATH OF SUBSCRIBING WITNESS(ES) `~t-r, tom: - r -..~~-~ - REGISTER OF WILLS ' ~ _n - - c.__ (a 1)'VI ~P~ ~ C1CI COUNTY, PENNSYLVANIA ~ ~~ ° ° ~ ;, ~, azI - 11 -a~~ ~. Estate of ll f ~ ~ ,Deceased i~L(Yl C 1~ ~ , ~~~1 f r , (each) a subscribing witness to the~Will ^ Codicil(s)'~rt say(s) that she / he /they and that she he /they the Testator Testatrix (Print Narne/sX sented herewith, (each) being duly qualified according to law, depose(s) and was were present and saw the abov Testator I Testatrix sign the same signed the same and that she he /they signed as a witness at the request of in her his presence and in the presence of each other. (Si e) (Street Address) 5'v ~ ~ ! ~ ~ Z p Z ~~li~~l~ ~~ f~oi~ (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this ~~ ~ day of ~~;~~ ,c~C)~~ Deputy for Register of Wills Executed oast of Register's Office Sworn to or affirmed and subscribed before me this day of Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. (Signature) (Street Address) (City, State, Zip) Form RW-03 rev. 10.13.06