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Home My WebLink About05-03-11c "~ PETITION FOR PROBATE AND GR ANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Wanda H. Sommerville COUNTY, PENNSYLVANIA also known as File Number 21 Mima J. Willis and John R. Sommerville ,Deceased Social Security Number 177.24.6436 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE `A' or 'B' BELOW.•) _ A. Probate and Grant of Letter; Testamentary and aver that Petitioners is/ last Will of the Decedent, dated () are the Executors _ 02/15/2006 and codicil(s) dated _ named in the rare re~evant circumstances, e.g., renunciation, death of executor, etc. -- After the execution of the documents offered for probate: Decedent did not marry; was not divorced; was not wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323 (g); did not have a child a killing; and was never adjudicated an incapacitated person, except as follows: a party to a pending divorce proceeding born or adopted; was not the victim of B. Grant of 1 .~sa.,.~ _: . - -- ---•~•~ ~+~ r+unnnlsirailOn Petitioner(s), after a proper search, has/have ascertained that Decedent left no'W II ani~re; durante absentia; durante minoritate) Administration, c. t. a. or d. b. n. c. t. a., enter date of Wil/ on Section A above and complete list of heirs); was not th adjudicated an incapacitated person; and was not a party to a pending divorce proceedin where'IVed by the following spouse (if any) and heirs (if § (g), except as follows: provided in 23 Pa. C.S.A. 3323 9 m grounds for d vorce had bete nestabl sh er ed as Name Relationship Residence ` -~ : _ r ...~_ Z7 ;--r_1 ..~ .~ (COMPLETE IN ALL CASES.) Attach additional sheets if necessary. --, l ~ Decedent was domiciled at death in C ~- ~ ~ ~ ~ _ ~ = _R~ -.l~r~berland County, Pennsylvania with his /her last pnnclp~l.} ence at`+-{ f ~ -~ : ~~ Green Rid a Villa a Newville West Pennsboro Townshi Cumberland Coun -~, (List street address, town/city, township, county, state, zip code) t PA 1724.1 _~ `~ - ; , Decedent, then ~~ years of age, died on 04/07/ 011 at Green Rid a Village, Newville, PA 17241 _ Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) ~ 93 926.00 Personal property in Pennsylvania ~ (If not domiciled in PA) Personal property in County - Value of real estate in Pennsylvania $ situated as follows: $ the undersigned: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Le tters in the appropriate form to Signature Typed or printed name and residence ~ :' ,_ ~ ~- i Mima J. Willis ~7JG~ ..._ __ - e ~ 1267 Ritner Highway Shippensburg, P,A 17257 ~~ c,,.,., A U/_ n ~ _ _ „~ „~,,. ,~_~p_~u7u (interim form, pending action by the Court) Copyright (c) 2006 form software only The Lackner Group, Inc. wnn K. Sommerville 15391 Hillvalle;y Road Mount Union, PA 17066 Page 1 of 2 ~ 'r Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and corrf~ct to the be the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and trul st of administer the estate according to law. y _. ,., 1. Sworn to or affirmwd and subscribed Signatu of PersC before me this _~`~ day of ~ ,-- 1 ~ s- '~ ~ ~ „ r ~, ! fgnature of Perso, /". ~ ,. ~~.~ ~ ~ vJ R~fSresentative Mima J. WIIIIS ..- Representative John R. Sommerville For the Register Signature of Personal Representative C7 _~ =r -a .a _ T ~ f ; -~~~1 ~ ; `I. C7 ~ - File Number: 21 - , ~ - ~ ~~ ~ Estate of Wanda H. Sommerville , _} , ~ ' - ~ ° - ' -' ~; D~ce~s~ed ~ ~ ~ ~_.. r~*-~ Social Security Number: 177-24-6436 c = ~' ~ Date of Death: 04/07/2011 AND NOW, - +'-~~~~-.~.-I . ~~t ~ L 1 id In c having been presented before me, IT IS DECREED that L tt ons eration of the for ~ egoing Petition, satisfacto ry proof e ers Testamentary are hereby granted to lima .1. Willie and ~.,ti., o c+_.Y __ _ _ ... and that the instrument(s) dated 02/15/2006 w.- in the above estate described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES - Letters .......................................... $ 1 O . C;~~: Short Certificate(s)...~..;~ ............... $ Renunciation(s) ............................ $ -.~. 11 $ ~~. ic'S $ ~~ ~_ - ~. $ Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: $ $ $ Telephone: $ $ TOTAL ................................... $ -~~ ~,~. ~:, i. Shippensburg, PA 172!57 717/532-7388 Form Rw 02 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. ., ~ ~~ a C. ~l ,.:(. -I ~~~ C~_( !OlS1P_r of iAli!lc ~i-~'f Page 2 of 2 vve~gie t~ Associates, I'.C. 126 East King Street ~~'~~F~I~XI~G~ ~# ~~ il~~g~l to c~~upl6~~~t~r ~~~li ~ (;$~~~ ~w 1,~ ~#l~~:d~(;• ~~ :,~ ~~~ _~~ P__1726.22.0.3 _ ,~ -.~, ~ +' ~,' ~. ~ '~.° ~' ;:ti ~~ ~: ~w ` ..~+ -~~ ~C .~ I....: ~'e ~ 7 H105-143 REV 112006 t `~ r~l ~ f" 1 • - ~ 1 TYPE /PRINT IN COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ `.~ T ~ ') '- -' BLACK INK ~ r y, t PERMANENT CERTIFICATE OF DEATH '` (See instructions and examples on reverse) '~ I•' ~ C7 -'r"t ~ i..I STATE FILE NUI~1~ '("J ~ ""i l i. Name d Decedent (First, middle, last, suNix) 2. Sez 3. Social Secu ' Number -' MY 4 Death (Month, day, year) •: ~_ u' Wanda H. Sommerville Female 177 -24 - 6436 ~~•~! ~~- ~ ~~ i" - rn 5. Age (Last Birthday) Under 1 ar Under 1 de 6. Date of Birth Month, da , er 7. Birth lace Ci end state or fore' count 8a. Place of Death Cfreck onl one Abnths Days Hours Mmules _ 85 Hospital: Other; Yrs. 10-15-25 Newburg PA ^ Inpatient ^ ER /Outpatient ^ DOA ®Nursing 4ome ^ Residence ~- Odrer • Specify: 8b. County of Death &. City, Boro, Twp. d Death 8d. Facilely Name (II not insklution, give street and number) • 9. Was Decedent o1 Hispanic Origin? ®No ^ Yes 10. Race: American Indian, Bladc, White, etc. Cumberland W . Pennsboro Tw ~"~°`~`~ //~L~r; ~,e~ of yes, Y c°ba"' (sv~h7 p • Gr~Cr` `.xr..t.~. N~ C'Yt'. Mexican, Puerto Rican, etc.) White 11. IkcedeM's Usual Occu lion Kind o1 work done dunn most d work' life. Do not state retired 12. Was Decedent ever in the 13. Decedent's Education (Spedty only highest grade completed) 14. Madtal Status: Married, Never Marrkd, 15. Survrvin Kind d Work Kind of Business/ Indust U.S. Armed Forces? 9 Spouse (If wife, give maiden name) Registered Nurse Veteran's SCh001 Elementary /Secondary (0.12) College (1-0 or 5+) widowed, Divorced (SpealyJ ^ vea ~ No 12 years 3 years widowed • 16. Decedent's Mailing Address (Street, city /town, state, zip code) Decedent's Did Decedent rX~ 210 Big Spring Road Acual Residence 17a. state PP' Live in a 17c. (~ Yes, Decedent Lived in _ W •• Pennsboro Twp . Cumber 1 and Township? Twp. Newville , PA 17241 17b. County 17d. ^ No, Decedent Lived within Actual Limits of Cdy / Boro 18. Father's Name (First, middle, last, sulfa) 19. Mother's Name (First, midtlle, maiden surname) Richard Hoch Eleanor Bricker 20a. Informant's Name (Type /Print) 2~. Informant's Maili Address Street, Mims Jean Willis "9 ( rdty/ttwm,state,zipcode) 1267 Ritner Highway, Shippensburg, PA 17257 21e. Method of Disposbion r ^ Cremation • ^ Donation 21b. Date o1 Disposition (Month, day, year) 21c. Place of D ( ry, ry p ) 21d. Location (City/town, state, zip code) r reposition Namedcemele aemeto or other lace ~ ® Burial ^ Removal from State r Wes CrorrrMbn or Donation Authorized w ~ ^ Other-S ; : r byMedicalExaminer/Coroner? ^ vea^ No 4-16-1 1 Middle Spring Cemetery Shippensburg, PA 17257 a ~ 22a. Signature o1 Funer ce Licensee (or person ailing es such) 22b. License Number 22c. Name and Address of Facility ~ ~ FD-012984-L Fogelsanger-Bricker Funeral Home Inc., Shippensburg, PA 17257 Complete items 23a-c only when cenifykrg 23a. To the best of my knowledge, death occurred at the time, date and place stated. (Signature end title) physician is not available et time of death to rJ \ ~ ~A ' 23b. License Number 23c. Dale Signed (M~th, day, year) centty cause d death. L J~ IV ~( / `8 ~g~ A ~, ^; 1 7 .- 20 1 f • Items 2426 must be completed by person 24. Tkne o1 Dppth / 25. D/at~e Pronounced Deed (111ynth, day, year) 26. Was Catse~ Referred to Medical Examiner / Coroner for a Reason Other than Cremation or Donation? who pronourpes death. 6 ; a S- ,. ~ M. ,~ .L ~ ~ 7 j-(ti" / ~ ^ Yes ^ No CAUSE OF DEATH (See Instructions end examples) i Approximate interval: Pan IL Enter otfx3r significant cerxli ~+ns centrib lino to Item 27. Pan I: Enter the chain of events -diseases, injuries, or rxxnplications -that directly caused the death. DO NOT enter terminal events such as cardiac arrest, r 1leflLh 211. Did Tobacco Use Contdbule to Death? respiratory arrest, or ventricular fibrillation without showing the etiology, List Doty one cause on each line. r Onset to Death but not resuhing in the undenying cause given in Pan I. ^ Yes ^ Probably IMMEDIATE CAUSE (Final disease or 9 r r ^ No ^ Unknown ~ condition resuting in death) _~ a ~ V. Q S v m~..~ ~ Q J Cf,, c/ /Y.- r 1U ~ ` S G ~~ c L ~ i 29. II Female: ~ Due to (or as a consequence oQ: , ^ Nd pregnant wthin past year SSaopouentially list conditions it any, ^ Pregnant al time of death leading 1o the cause listed~on line a. b. Enter the UNDERLYING CAUSE Due to (or as a consequence oQ: ~ ^ Not pregnant, but pregnant within 42 days (disease or injury Ihat initiated the r of death events resulting m death) LAST. c' Due to (or as a consequence oq: ~ _ ^ Nd pregnant, but pregnant 43 days to 1 year d. , r before death r ^ Unknown H pregnant w4hin the past year 30a. Was an Autopsy 30b. Were Autopsy Findings 31. Manner cl Death 32a. Date of In' y Ye ) Pedormed? IWY (Month, de , ar 32b. Describe How Injury Occurred 32c. Place of Injury: Home, Farm, Sireel, Factory', Available Prior to Completion r-y $ of Cause of Death? LJ Nsturel ^ Homicide Ollice Building, etc. (Specify/ '~ ^ Yes !_I No ^ Accident ^ Pendi Invest' hon mod. Time of Injury 32e. In u at Work? 321. II Trans nation In u S ci <- ^ Yes ^ No rig ~ 1 ry Po I ry (Pe h'I 32 . Location of in'u 9 fry (.Creel, city /town, slate) ^ Suicide ^ Could Not be Determined M ^ Yes ^ No ^ Driver/Operator ^ P r ^ Pedestrian ^ Other Speciy: ~ 33a. Cendier (check Doty one) 33b. Signature and Wilier ,,,3 CertHying physiclan (Physician cenilying cause of death when another physician has pronounced death end completed Item 23) To the beat d my knowledge, death occurred due to the cause(s) end manner as stated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ ~ • Pronouncing and ceRfying physicfan (Physician both prorpurping death and cenirying to cause d death) 33c. License r 33d. Date Signed Month, day, year) ~ To the best d my knowledge, death occurred et trre time, date, and place, end due to the cause(s) end manner eb steled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ~ 0 ~ O ..~ ~ ~ _ ~ °w MedlcalExeminer/Coroner C~ ~ ~r ~~ o On the beefs of examinatfon end / or Investigation, in my oplnlon, death occurred et the time, date, and place, and due to the cause(s) and manner as stated_ ^ 34. Name and Address of Pe~rs-on tarp Completed Cause of Death (Item 2'?) Type /Print ~ 35. Registrar's Signature an is um ~AGL~' ~ ~7-u~,Tts/_4-fie-. a ~ ~ ~ I / I I ~ ~ I 36 ate Filed (Month, day, yoar) ~ ~ ~ ~i}~ r•, 5 ICS - Disposition Permit No. ~ s ~ Q 'r ' 1 LAST WILL AND TESTAMENT I, Wanda H. Sommerville, presently residing at 152 Cottage Road., Shippensburg, Southampton Township, Cumberland County, Pennsylvania 17257, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all Wills by me at any time heretofore made. FIRST. I order and direct the payment of all my legally enforcc;able debts and funeral expenses as soon as may be convenient after my decease. SECOND. I give, devise and bequeath all my estate, real, personal and mixed, whatsoever and wheresoever situate, to my children, namely, Mima J. Willis, John R. Sommerville, Sally D. Shaul, and LouAnn S. Neidigh, in equal shares, on a per stirpes distribution basis. THIRD. I nominate, constitute and appoint my daughter, Mima J. Willis, presently residing at 1267 Ritner Highway, Shippensburg, Pennsylvania 1725i', and my son, John R. Sommerville, presently residing at 65 Peachy Ann Drive, Newville, Pennsylvania 17241, or the survivor thereof, to be the Co-Executors of this my Last Will and Testament. FOURTH. I direct that my personal representative(s) shall not be required to give bond for the faithful performance of their duties in any jurisdiction. FIFTH. I direct my Executor to retain the services of Jerry A. Weigle, Esquire, with offices located at 126 East King Street, Shippensburg, Pennsylvania 17257, with respect to the settlement of my estate due to his familiarity with my affairs. seal ~ ,, ' IN WITNESS WHEREOF, I, Wanda H. Sommerville, have hereunto set: my hand and to_ this my Last Will and Testament, written on one (1) page, this ~'",~~ ~~` day of ~ -~' ~ , 2006. - (SEAL) ,f c~ ± ~.. ,-- ,_ _ ~ _.~. r,`. t~71 9 ~~ ~~ ~ C~ -n ~1~;, ~-- __,w ~f ~. C,.= ~~ ~~ -, --; _, . -~ .~ ,. - ~~ -,-,,, __ - ~ ..._ ~~ WEIGLE & ASSOCIATES, P.C. -ATTORNEYS AT LAW - 126 EAST KING STREET' - SHIPPENSBURG, P,A 17257-1397 ~ f ~ This instrument was by the Testatrix, on the date hereof, signed, published and declared by her to be her Last Will and Testament, in our presence, who at her request and in the presence of each other, we believing her to be of sound and disposing mind and memory, have hereunto subscribed our names as witnesses. -~ ~, ~~1 P t / /f/~ ,7 S ~ p/ i J I COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND I, Wanda H. Sommerville, the person whose name is signed to the foregoing insttrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ., 7 ~ . ~ YYY ~..~9 C.. /,.rl si l`"` /,r'~,y" ' ,gip _Z-. L L~,y_~``L-+ ~, L 2-. Sworn or affirmed to and acknowledged before me by Wa da H. Som_m~~e,,,,~~''ille, the Testatrix, this ~ day of ~ i~Lc- , 2 06. II ~ ~ , ; , NaTAR#AL SEAL J A,1M~1~9a, Notary Public phi ~~~~~, ~ r;~~~berland County ~tf~~;~~ ~~;~ bctober 7, 2006 WEIGLE & ASSOCIATES, P.C. -ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, P,4 17257-139'7 COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND : We, ~~ LC t A- L l o r'11-~ ~ ~ ~~ "~ ~°~ E ~ t ; s ~ "~ ~~ . , - .~: ~- -- _. and ~~,; .~t~;~, ~ Ncl , ~.-~ ~,.~ ,the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Wanda H. Sommerville, the Testatrix, sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix, signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at the time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. ~~~~ ,, .-~ -~> .. ~' _.. __ _ ~ - Sworn or affirmed to and subscribed before me by c L~ ~~me , . ,. _.. and ' -=.,... -., .:~-~ .:~: s ~~~ .,. , . ~_ 1 P y _~_, , 2006. wig es es this / 5 da of ~ ~ ~ ~ . ~_ , ~ i ~. ~~ ~~~ NOTARIAL SEAL . , Jerry A. Weigle, Notary Public Shippensburg, PA Ci1E ~ ~berlal~d County . ~ MY Commission E:x~ires ®ctober 7, 2006 WEIGLE & ASSOCIATES, P.C. - ATTORNEYS AT LAW - 126 EAST KING STREET -- SHIPPENSBURCi, PA 172.57-1397