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HomeMy WebLinkAbout04-29-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS r ~~°~~ r Estate of RICHARD B. IRWIN ,Deceased ESTATE NO: 21- ~ ~ - ~..~ °~ aIk/a: a/k/a: 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: D A. Probate and Grant of Letters Testamentary or ^ Administration c.t.a., or d.b.n.c.t.a. (comp.-ete 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 1 /26/1990 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): 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 (If Administration c.t.a. or d.b.n.c.t.a., enter date of Will in Section A and cc-mplete 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: Name Address ~nshi to-~cedentJ--: ;=~; I) -1-~i 1 ~.~ _''aT~~ .... % ,. ~ t7 ; ~, _" ~-e- `~~ -i'~ .. ~. _. ~ ~-- L1SE ADDITIONAi.. SHEETS IF NECESSARY _,T `"~ 12/23/2010 at -~ ~. n ~) ~_. THIS SECTION MUST BE COMPLETED: ,- ~~ Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 8 STRAYER DRIVE CARLISLE CUMBERLAND COUNTY PENNSYLVANIA 17013 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 9 2 years of age, died 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 Location of Real Estate in Pennsylvania: (Provide full address if possible.) Signature(s) Total Estimated Value $ 24,000.00 Name(s) & Mailing Address(es) ,, ,_~~ L ti"~ KATHLEEN L. IRWIN, 8 STRAYER DRIVE, CARLISLE, PA 17013 (Month, Day, Year of death) SS NO: 162-12-1838 CARLISLE, PENNSI(LVANIA (City and State where death occun•edj All personal property Personal property in Pennsylvania Personal property in County ,~ ---1 , . x:4.000.00 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Loun 1 a~~ 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 / ,~ ~-/ t =E? a cam- '~~.-~ L'L a--.1 be me this ~ ~ ~ day o ,~ ~~r,~ j ~ I ~ ~ ~, ~. G ~ _~~ ~~ . -:~~ ~-~ .c ~ ~.~:; For the Register Estate of` the rev ry p g 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.) KATHLEEN L. IRWIN ___ in the above estate and that instruments(s) dated 1/26/1990 described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) ®Decedent. Glenda Farner Strasbaugh, ```' ~.~ Register of Wills FEES: Letters ....................$ 60.00 Will ....................... 15.00 Codicil(s) ............... (1 )Short Certificates 4.00 ( )Renunciations....... Bond ............................ Other ............................ ................................. ................................. Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................$ 107.50 --- , ~_ ~>~~ tom; -%? :=~.; DECREE OF PROBATE AND GRANT OF LETTERS- `.-_' ~`~' ~~ ,., ~- RICHARD B. IRWIN ,Deceased File Number: 21- ,~~ - '~ .''} :~r ~~ .- ;-~-~ _,, .~ ~~ -, _ - _c._ ~~ ~~ ~'~` AND NOW, this Ida of ,~~(~, ~ ~ ~ in consideration Y of the Petition on erse side hereon satisfacto roof hav' Signature of Counsel Required to Enter Appearance ,n _ Atty's Signature ~ ~"~ ~~~- ~~~~~--~ PRINTED Name: ROGER B. IRWIN __ Supreme Court ID No.: 6282 Address: 60 WEST POMFRET :STREET CARLISLE, PA 1701:3 (717) 249-2353 (717)249-6354 Phone: Fax: Interim f=orm RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 his is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of ]-~r~~ltz, in acceraanc~ with the Vital Statistics Law of~ ] 953, as amended. WARNING: It is illegal to duplicate this copy by photostat or photograph. a.~ ., ..~: t..l~ -- -., -, .- c'ti ~ _ _ ~-- , _: _ ~~ L1.1-~- _% C'1-_ t_-t~ ___ U No. Marina O'Reilly i1~'Iatthew Acting State Registrar FEB ~- ~ 2011 Date cCRRECTED ITEMS: /s;ao ~ H105.144 REV 1112006 ~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE / PRINT IN P~, ~Q ~A'I"E, ~ _~,.,/~ ~` BLACKINKT CORONER'S CERTIFICATE OF DEATH / ,~ ~~~ ~E32-414 (See instructions and examples on reverse) sTATE FILE NuMaEa aS .~~ 1. Name of Decedent (First, middle, last, suffix) 2. Sex 3. Sadal Se\\urfly Number 4. Date of Dean (Month, day, year) Richard B Irwin Male j 6d~ - ~~ - I~f ~ December 23, 2010 5. Age (Last Birthday) Under t year Under 1 day 6. Date of Binh (Month, day, year) 7. ltinhphce (City and state or foreign country) Ba. Place of Death (Check only one) Months Days Hours Minutes Hospital: Other: 9 2 Yrs. May 19 , 1918 C ((qr~{ EI ~A ^ Inpatient ^ ER /Outpatient ^ DOA ^ Nursing Home Residence ^Other ~ty~ ' 8b. County of Death 8c. City, Boro Twp of Death Bd. Facility Name Qf rat institution, give street and number) 9. Was Decedent of Hispanic Origin? ®No ^Yes 10. Race: American Indian, Black, WhAe, etc. ' ~ (If yes, specity Cuban, (sP~M Cumberland South Middleton 8 Strayer Drive Meziran,PuenoRaan,etc.) ~t:~.~ 11. Decedent's Usual tan Kind of work done du ' most of (fie. Do not state retired 12. Was Decedent ever a the 13. Decedent's Educatan (Specify only highest grade completed) 14. Marital Status: Married, Never Married, 15. Surviving Spouse (If wife, give maiden name) Kind of Work Kktd of Business 1 Industry U.S. Armed Forces? Elementary I Secorxtary (0.12) College (1.4 or 5+) Widowed, Divorced (Specify) r ''iOf ®Yes ^No C~ ~t~f i '~~ ~d 16. Decedent's Mailing Address (Street, city /town, sate, zip code) Decedent's p Did Decedent $~rrQ h~~ ~f ~ ~C Actual Residence 17a. State ~~ Live in a 17c. ^Yes, Decedent Lived in ~/•1 i. / Township? -- Twp. \ '~ s `~ ~{ '~ ~ I 17b. County~U ~ (~.IA ~ 17d. ~ No, Decedent Lived within '' Actual Limits of _~1 i S ~~ City / B~ 18. Father's Name (First, middle, last, suffix) 19. Mother's Name (First, middle, maiden surname) 20a. Informant's Name ( e /Print) 20b. Informant's Mailing Address (Street, city /town, state, zip code) ^' Ir'sl ~A I'lol~ sposhion Month, des , ear 21c. Place of D' 21 a. Method of Dispositon ^ Crematan ®Donatan 21 b. Date of Di ( y y ) rspo (Name of cemetery, crematory a other place) 21 d. Locetiai (Gty r tam, stale, zip code) ^ Burial ^ Rertaval from Slate ! Was Crixnadon a Donation Authorized Other • Specify: ~,' ; by Medical Examiner! Coroner? 1~ Yes ^ No ~ ~ )+y ~ (J ~ 22a. Signatae of F ~ Uc (a person acfing as such) 22b. License Number c. Name and Address of Facility ~ ~ v~o ~'~ s. F C • S~ r ~- ~y~ Complete Items c Doty rg 23a. To the best of my knowledge, death occurted at the time, date and place stated. (Signature and fide) 23b. License Number 23c. Date ' ned Month, des ear) physician b rat vaflable at fi of death to 5 ( y, y cenity cause of death. ~ 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 ~ Coroner hx a Reason Other than Crematan or Donation? who pronounces death. A r X. 5: 0 0 P M. D e e emb e r 2 3, 2 010 Yes ^ No CAUSE OF DEATH (See instructions and examples) r Approximate interval: Pan II: Enter other signifaant conditions contribufinc to death, ''.8. Did Tobacco Use Contraute ro Death? Item 27. Pan I: Enter the chain of events -diseases, injuries, a complaatans - that drectly caused ttre death. DO NOT enter temrinal events such as cardiac artest, r Onset to Death but nd result' in the uncle respiratory arrest, a ventricular fibrillafion without showing the etalogy. Ust Doty one cause an each Ikte. , a9 Hying cause given in Pan I. [ Yes ^ Probably r ^ No ^ Unknown IMMEDUITE CAUSE (Final disease a r condtionresulfingin ath) ~ a Atherosclerotic Cardiovascular Disease ; Remote CABG 29.lfFemale: Due to (a as a consequence of): r ^ Not pregnant withkt past year r Sequen6aNy Nst conditions, ff any, b r ^ PiegnaM at firtre of death leadng to the cause fisted an fine a. r Enter the UNDERLYING CAUSE Due to (a as a consequence ot): r r ^ Nd pregnant, but pregnant within 42 days ' (dsease a i that kw6ated tfre c r of death events resufling m death) LAST. r Due to (or as a consequence of): r ^ Not pregnant, but pregnant 43 days to 1 year ~ d• ~ before death ^ .Unknown if pregnant within the past year 30a. Was an Autopsy 30b. Were Autopsy Rndings 31. Manner of Death 32a. Date of Injury (Month, day, year) 32b. Describe How Inryry Occurred 32c. Place of Injury: Home, Farm, Street, Factory, Performed? Available Prior to Canplefion of Cause of Death? Natural ^ Homicide Office Buiaing, etc. (Specfy) ^ Yes ~No ^Yes ^ No ^ A~ihnt ^ Pendng Investigation 32d. Time d Injury 32e. Injury at Work? 32f. K Transponatan Injury (SPe~I') 32g, Lacetion of In' (Street, city /lows, state) ^ Suicide ^ Could Not be Determined ^Yes ^ No ^ Dover /Operates ^ Passenger ^ Pedestrian M. -~ OUrer • Specify: 33a. Cerfifier (check Doty one) 33b. Signature acct ' Ce~l'in9 I~Y~c~ (~ ~Mn9 cease d death when anMher physaian has proraunced death and completed hem 23) To the best of my knowledge, death occurred due to the cause(s) and manner as stored- _ _ _ _ _ _ - ^ ~ ~i'Lt'i`~-/ C o r o ne r ------------------------- ' ~onou~n9 ~ ~Yh9 PhY~n (~Ys~n both pratorxairg death and cenifykrg to suss of death) 33c. License Number To the best of my knowkdge, death occurred at the time, date, and place, and due h the cause(s) and manner es ahhd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33d. Date Sgied (Month, day, year) ~'I~~`f December 27, 2010 On the bash of examination and 1 a investigation, fn my opinan, death occared at the time, doh, and place, and due to the cause(s) and mmxrer as 34. Name and Address of Person Who Completed Cause of Death (Item 27) Type I Piint 35.Registrer'sSignatureand ' Number Todd C. Eckenrode, Coroner 3s. Date Filed(Monih,day,year) 6375 Basehore Rd., Suite ~~1 Ig ISIS121 ~1 ~AN062011 rg. Pa. 17050 0 w a a W U w 0 0 w Q Z Disposition Permit No. O~ O ~°y ~ r'~ ~t ~•~/ ;, ~ C"_', :_ ~~ ~~ '` . ~~ l ') ~'~ ~~ , -:?r ~.~ ~ ._ ._ ~ _~, "r~ ~~~ .i> I, RICHARD B. IRWIN, of South Middleton Township, Cumberland County, Pennsylvania, declare this instrument to be my last will and testament, hereby expressly revoking all wills and codicils heretofore made by me. 1. I direct my executrix to pay all of my debts, funeral and administrative expenses as soon as may be done convenieni~ly after my decease. 2. I authorize and empower my executrix to sell any realty owned by me at my death, and not specifically devised herein, a~~t either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do if living. 3. I give, devise and bequeath all of my estate of eve~r~r nature and wherever situate to my wife, Kathleen L. Irwin,, providing she shall survive me by sixty days. 4. Should the gift in Paragraph No. 3 not take effect, I devise and bequeath all of my estate of every nature and wherever situate to my two children, share and share alike, the child or children of any deceased child taking the share their parent would have taken if living. 5. I nominate and appoint Kathleen L. Irwin to be t!~e executrix of this my last will and testament; she is to serve as such without bond. Should she die before my death, renounce or ~~' ~~-. ... ~. 1 1 ' ` ,ri.-.' J ~ ~ ~', t t.y _. ~ ,_ ~_ .. ~,.~ "l ~_ ~_.~ refuse to serve for any reason, or die leaving any of my estai'~e unadministered, I nominate and appoint Thomas R. Irwin and Larry E. Irwin, as substitute executors, also to serve as such without bond with the same powers as are given herein to my executrix. 6. I hereby suggest that my personal representat=ive retain the services of Irwin, Irwin & McKnight, as attornE~y~s in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~'~ day of January, 1990. r.,...-~, _, ~~ ~' .,~~ 1 ~,,-, ,~ ~_. ~°' ~~ ~ --~.~,..~,~.. ( SEAL )i RIC~ARD B. IRWIN Signed, sealed, published and declared by Richard B. Irwin, the above named testator, as and for his last will and testament, in the presence of us, who at his request, ins his presence and in the presence of each other have subscribed our names as witnesses hereto. /' Dry ,~C ~L~~~GD~1'~ Cpl , ~C~ ~il-~ ~~~ -J- -- 2 ACKNOWLEDGEMENT AND AFFIDAVIT WE, RICHARD B. IRWIN, BETZI A. MORRISON and SHARON L. SCHWALM, the testator and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his Last Will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, ~~nd that each of the witnesses, in their presence and hearing of the testator, signed the Will as a witness and that to the best of their knowledge the testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. - - : . _ _._ RICHARD B. IRWIN ~` BE I MORRISON _. SHA N L. HWALM ~` ~~ COMMONWEALTH OF PENNSYLVANIA: ss. COUNTY OF CUMBERLAND . Subscribed, sworn to and acknowledged before me by RICHARD B. IRWIN, the testator, and subscribed and sworn to before me by BETZI A. MORRISON and SHARON L. SCHWALM, r. witnesses, this ~~~ day of January, 1990. ,~ .r.. ..._...,....._._....... /~,~""'~.-. ' ,~ c._~.~:~__._ RC~cr i. i~ 11i ~e ,i i~ ~-11~ ~ fryl~ 1 i~L~Qi,.IV { . e.~ ~i -~ ..~ ~, lt~lf ~'lAdt.~~~:~.~f;~l ~Y;ai~~r, r~~^t a +nn