HomeMy WebLinkAbout05-02-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNS'YI~VANIA
REGISTER OF WILL5
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of Florence R. Fisher
a/k/a:
a/k/a:
a/k/a:
Deceased ESTATE NO: Z-/" ~ I " ~.~ Z-'1
SS NO: 182-22-5970
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' A.ND "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 3/3/2011 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 establislhed as defined in
23 Pa. C.S.A. § 3323(8):
^ 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 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), excerpt as folloyxs~•_
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~.a~~~C .~aaress Rela to Dece
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THIS SECTION MUST BE COMPLETED: '-`
W,f
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence
At 619 North West Street, Carlisle Borough, Carlisle, PA 17013 __
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
Decedent, then 82 years of age, died 4/24/2011 at Manor Care. Carlisle PA._1_7013
(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 $ 10,000.00
If not domiciled in PA Personal property in Pennsylvania $ __
_If not domiciled in PA Personal property in County $
_Value of Real Estate in Pennsylvania $ •i32,oo0.00
Total Estimated Value $ 142,000.00
Location of Real Estate in Pennsylvania: (Provide full address if possible.) 619 North West Street~Carlisle, PA 17013
_ Signature(sj, ,~ Name(sl & 11-Iailinu Arlrir~cc(NCl
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~?'~ ~ '~, ~- J Donna R. March
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131 North East Street
Carlisle, PA 17013
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OATH OF PERSONAL REPRESENTATIVE ~'"
Commonwealth. of Pennsylvania ~m ~ ~ ~~
County of Cumberland t' ~''~' ~ ~-_ ; _~;
C;. `.~ ~. C"~
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The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petitior>~re true and-- `" Sri
correct to the best of the knowledge and belief of Petitioner(s) and that, as personal represent,ative(s) of~le
Decedent, Petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed G~, . ~
__
before me this ;~n ~ day of
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or th~,y Register
17ECREE OF PROBATE AND GRANT OF LETTERS
Estate of Florence R. Fisher ,Deceased File Number`'_-~_-_~J~'7
AND NOW, this ~~ay of !~! ~ ~ / ~ , in consideration of the Petition on
the reverse side hereon, satisfactory proof havin been presented before me, IT IS DECREEL> that Letters
x Testamentary of Administration are hereby ;;ranted to:
(If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.)
Donna R. March
_ in
the above estate and that instruments(s) dated 3/3/2011 described in the: petaivn be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
~~ ~
' ~. ~ ~
Glenda Farner Strasbaugh, ~r71~G'L~C7. ` ~ ~,~
Register of Wills
FEES:
Letters ....................$ ~~'~, ~~
Will . .................... U~
Codicil(s) ............... _ ~
(~) Short Certificates C
(p) Renunciations.......
Bond ............................
Other .............................
.................................
Automation FEE......... 5.00
JCS FEE .................. 23.5x0
TOTAL ................$ .~;~t /~ ~J
~Ignature ot" C;ounsel Required to~mter Appearance
Atty's Signatur ;;~ ,~ , ~~~ G~ ~,
PRINTED Name/~ Mark W. Allshouse, Esc t~' e
Su reme Court ID
p No.:
78014 ~
Address: 4833 Spring Road
Shermans Dale, PA 17090
Phone: (717) 582-4006
Fax: (717) 582-7476 __
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court
Page 2 of 2
LOCAL RECaISTRAR'S GERTIFI~ATIi~IV CDF DEA-'~"I~
VI/l~RNING: It is illegal to duplicate this co~ly° by p~hc-tostat ~~r ~~hotogra~i~.
Hee ~~or this certif.-i~a(e. St~_(?ID
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,~-Cil~)~~til~' .~~ ;!! "' :,,',,:d~~(r(1~c1 t~) the State Vital
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H1tKi•143 REV 11/2006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE 1 PRINT IN
PERMANENT
BLACK INK CERTIFICATE OF DEATH
(See instructions and examples on reverse) STATE FILE NUMBER
1. Name of Decedent (First, middle, last, suffix) 2. Sex 3. Soael Security Number 4. CWte of Death (Month, da ,
Florence R. Fisher y i'ce')
F 182 - 22 - 5970 April- 24, 2011
5. Age (Last Birthday) Under 1 ar Under 1 da 6. Date of Binh Manm, da r 7. Bi ai and state or fee' coup 6a. place of peach Check on one
~~ ~~ ~xa ~~ West Pennsboro 'Itn?p. Hospltel: ,O~ther~
• 82 Yrs. 0 CtIIT1~J. COUnt , PA ^ Inpetlent ^ ER / Ou~atleM ^ DOA I~Nursi Hane
ng ^ Residence ^ Other -Specify:
fib. County of Death fk. City, Boro, Twp. of Deam fid. Fedliry Name (If not institution, give street end nurt~er) 9. Was Decedent of HI
• spank Origin? ~] No ^ Yes 10. Race: American Indian, Bladc, White, etc.
(0 yes, sP•dry Cuban,
C-~m~berland South Middleton ManorCare Health Services Mexican, Puerto Rican, atc.> (Mite
• 11. Decedents usual lion Kind of work date most d works We. De rat state reti 12 was Decedent ever in the 13. Decedents Edtaetlon (Specify Doty highest grade completed) 14. Mahal StaNS: Menled, Never Married. 15. Sutvivirg Spouse (if wife, ry've maiden name)
Kind of Work Kktdof Bueinese/Industry U.S. Amted Forces? Elemtentary I Secondary (0-12) College (1.4 or 5+) Widowed, Divoroed (SpecrlyJ
Sales/Management Radio Stations ^ y~ ~~ 1 Widaved -
• 18. Decedents Maikng Address (Street, city /town, state, zip code) DecedeM's PA Did Decedent
619 N . West Street Actual Residence 17a. state live in a 17c. ^ Yes, Decadent lived in __ Twp
Carlisle, PA 17013 17b.~N„h, Cumberland T°w"~"p? 1Td~No,DecedeMLivedwnnin CarllSle
Actual Limits of City/ Bore
18. Father's Name (Frst, midde, last, suffix) 19. Mother's Name (First, middle, maiden surname)
Frank Hi lands Elsie Cc~anerer
20a. IMormaM's Name (Type I PrinQ 20b. Informant's Mailing Address (Street, city /town, state, zp tx~)
Donna R. March 131 N. East St., Carlisle, PA 17013
21a. Memod of Disposition t ^ Cremation ^ Donation 21b. Date of Disposition (Month, day, year) 21c. Place of DTs
• r position (Name of cemetery, crematory a other place) 21 d. Locatiat (City f town, state, zip code)
w° ® Burial ^ Removal from State r Was Crenlatial Of Denatl0rt Ardhorized
• ^ other- r byMedicalExerniner/caorter? ^ yas^ ~ 4/28/2011 Ashland Cemetery G~r]_isle, PA 17013
a ~- F ce Lkxmtaee (or a as ) 22b. License Number 22c. Name and Address of Facility
a
~ -Fth~e(Dhm/~0~a12633 L Ewin Brothers Funeral Herne, Inc. , Carlisle, ]?A 17013
Complete sterna 23e-c only when arrtltyirtg 23e. To the best of mry k am occuned atF / \ to and place stated. (Sgnature and title) ,• 23b. License Number
physician is rat ava0eble at time of death to l~~I' , ~~ /y/- / 3c. Date Sgned (Monts day, year) ~]
certirycelmeof dealt. .t!.1~., Q~f~[/ ~~ ~ - t~` ~~~"~~~U %~ ~ 19 y ~~ / `- " ~~ °C-~l/
• 2a. rmrte a Death __
Items 24-26 must be cortrpleled by parson 25. D Pronounced Dead (Month, day, year) 26. Was Case Refer-red t/o y~~I F~camina / Carorar fa a fj ason Other then Cremation or Danation7
~ who prorrauaes death. i'r)~ ~ M. /7 ~ T")/ ^ Yes NLS o
CVVAUSE OF DEATH (See Inatructlons and ampbs) OCR !/ r Approximate interval: Pen II: Enter other ' m, 26. DM Tobaxo Use Contnbule to Death?
-~ Item 27. Pan I: Enter the dreirt of evens - dseases, injuries, or carttpNcatlons - mat drectly catxred the death. NOT enter temdnal events such as cardiac arrest, r
respiratory arrest, a ventricular fibrillation without shows thee' Onset to Death but rat resulting in me unde cause iven in Pan I.
ng tabgy. List Doty ane cause on each line. r nYm9 g Yes ^ Probably
t,~ ~ r ^ Unknown
IMMEDUITE CAUSE (Final disease a ~ t
' ., ~~~ cord'nion resulNrtg in am) -~ a ~ e/S ~ ~ r
r 29. U Female:
~:..r~ Due to (or as a cata•q nce o : r -
~ t of pregnant wihin past year
1 >~ J uentlally list corrditlorts, if any, ~ t
t i leadirrp to the cause fisted on line a. b' / Y1 ; ^ Pregnant at fime of death
y EMer $te UNDERLYING CAUSE Due to (or as a consequence of): r - ^ Nil pregnant, but pregnant within 42 days
1`` - (dlvease a injury drat initleted the
_ events resulting m death) LAST. c. r of death
Due to (or as a consequence of): ~ -
_ • d r ^ Na pregnant, but pregnant 43 days to 1 year
r before death
r ^ Unknown if pregnant within the past year
\~, 3~. Penomred7~~ 30b. Ware Autopsy Findings 31. Manner of Daam 32a. Date of Injury (Monet, day, year) 32b. Desaibe How Injury Occurred
Available Prior to Completion ~o~ 32c. Place of Inryry: Fiortte, Fenn, Sheet, Factory,
of Cause of Death? ~l Natural ^ Homk;ide Office Building, etc. (Sped/y)
' ^ Yes f~.~ ^ Acadent ^ Pendi Inves ~ eon ~• rime of Injury 32e. Injury at Work? 32f. If Trans tan In u
~IQo ^ Yes ~ry rvo n9 ~ Pad 1 ry (SP~IIyI 32g. Locatbn of injury (Street, dry /town, state)
^ Suicide ^ Could Na be Detennlad M ^ Yes ^ No ^ Driver/Operator ^ Passenger ^ Pedestrian
^ Otltar- Speciy.•
33a Certifier ( ~ ~) azure and Title of Certifier _ r
~\, Tithe l~phyabian~(P,hysiden ceNlyltg cause of deem when another physician has pronorsaed death and completed Item 23) ~ +' ~ (//, ^ M
my bilge, deem occuned due to the cause(s) end manner as stated _ _ _ ~ ~~/~1 .~ f~'~ ~~~ I r n
• Pronouncing and e•rtNYFng phyaicbn (Physiaan txNh pronounn9rtg death and cenitykg to cause of deem) 33c. Lcense Number 33d. Crate Signed (Monet, day, year)
~ To the bast of my knowbdge, death xcuned at the Nme, date, and pbca, end due to the eauas(s) end manrrsr es stated_ _ _ _ _ _ _ ^ O r ~ ~ •, ~ ~ / /~ ^^~~ •~
w
° fMsdkal Examiner/ Coroner - - - - - - - - - - - ` F t l /~ 5 . '`' D ~ 1
„~, On tM basis of examination and / or inveatigatbn, in my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner as stated.- ^
° 34. Name and Address of Person Who Completed Cause of Deam (Item 2~ T / Pdnt
~ 35. Regiskar lure and Diebki y
- !' ~ F/~ ~~ I ~,, i I I ~ I i I ~ I 36. Date Filed (Monet, day, year) DONALD J. KOVACS, MD
h\ - ,=. Yellow &[~ectres Family practice Center
F 1356 Lutz;ovm Rd., Billing SPrirgs, PA 17007
Disposition Permit No: ~' O ~ ~ ~ LI~
LAST WILL AND TESTAMENT ~~~ r-~
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FLORENCE R. FISHER ~,~~ ~ `,~ =~.
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I, Florence R. Fisher, of Carlisle, Cumberland County, Pennsylvania, being of sound awl
disposing mind and memory, do make, publish and declare this to be my Last Will and
Testament, hereby revoking all Wills and Codicils by me at any time previously made.
FIRST
I direct the payment of my just debts and expenses of my last illness and funeral from my
estate as soon after my death as conveniently may be done.
SECOND
(a) To my daughter, Karen Szwiec, I give the sum of $1.00, as we have been estranged
during my lifetime.
(b) I give, devise and bequeath all of the rest, residue and remainder of my esl:ate as
follows:
i. One-half to my daughter, Donna March, per stirpes.
11. One-half in equal shares to any of my grandchildren who survive me.
THIRD
All shares of principal and income hereby given shall be free from anticipation,
assignment, pledge or obligation of the beneficiaries and any of them, and shall not bye subject to
any execution, attachment, levy or sequestration or other claims of the creditors of said
beneficiaries or any of them.
FOURTH
Any person who shall have died at the same time as I or under such circumstances that it
is difficult or impossible to determine who shall have died first, shall be deemed to have
predeceased me.
Page 1 of 5 pages.
FIFTH
All death taxes (and interest and penalties thereon) imposed as a result of my death upon
the property passing under my Will, and upon assets held in any qualified or non-qualified
deferred compensation plan or IRA, and proceeds of insurance on my life, but not otherwise,
shall be paid out of my residuary estate, each share thereof, to bear a pro rata portion of such
taxes.
I authorize my Executor, in my Executor's sole discretion, to make an electicn, in whole
or in part, to cause a Pennsylvania Inheritance Tax to be payable by my estate on property
passing to or for the benefit of my spouse or to defer the Pennsylvania Inheritance T<~.x on such
property. My Executor shall be without liability to anyone for making or failing to make such
election.
SIXTH
My Executor shall have the following powers in addition to those conferred ~-y law until
all property is distributed:
(a) To retain any real or personal property in the form in which it is received.
(b) To sell at public or private sales for cash and/or credit, to exchange, and to lease
for any period of time, any real or personal property and to give options for such
sales, exchanges, or leases.
(c) To purchase all forms of property, including but not limited to stocks, bonds,
notes and other securities, common trust funds, life insurance policies and real
estate, or any variety of real or personal property, without being confined to so-
called legal investments and without regard for the principle of diversification.
(d) To purchase securities at a premium or discount and to charge such premium or
credit such discount to principal or income.
(e) To exercise any option arising from the ownership of any investment; ~to join in
any recapitalization, merger, reorganization, liquidation, dissolution,
consolidation or voting trust plan affecting any investment; to delegate powers
with respect thereto; to deposit securities under agreements and pay assessments;
to subscribe for stock and bond privileges; and generally to exercise al:l .rights of
security holders.
(fl To hold property unregistered or in the name of a nominee.
(g) To mortgage, divide, alter, repair and improve real property and generally to
exercise all rights of real estate ownership.
Page 2 of 5 pages.
(h) To distribute in cash, in kind, or partly in each, and to cause any share to be
composed of cash, property, or undivided fractional shares in property different in
kind from any other share.
(i) To compromise claims by or against my estate including but not limited to tax
issues and disputes, without order of court or consent of any party in interest and
without regard for the effect of such compromise on any interest hereunder.
(j) To borrow money and to pledge any real or personal property as security for the
repayment thereof.
(k) To apply income for the benefit of any incapacitated individual to whom income
may or must be distributed for any reason during the period of incapacity. Income
not so applied may be distributed to a custodian or accumulated, invested and if
not sooner applied, paid to such individual upon gaining capacity.
(1) To join with my spouse (if any) or my said spouse's personal represerrtative in
filing any j oint income tax return, and to join in any gifts made by my said spouse
for gift tax purposes even if this may result in additional liabilities for my estate.
Any income or gift taxes due on such returns and any deficiencies, interest,
penalties or refunds thereon shall be allocated between my estate and my said
spouse or my said spouse's estate, or all to any of them, in such manner as my
Executor and my said spouse or my said spouse's personal representaitive may
agree.
(m) To apply expenses of my estate permitted as income tax or real estate tax
deductions and to value my estate for estate tax purposes by any method
permitted.
(n) To employ accountants, agents, attorneys, investment counsel, broker>, bank or
trust company to perform services for and at the expense of my estate anal to carry
or register investments in the name of the nominee of such agent, broker, bank or
trust company. The expenses and charges for such services shall be charged
against principal or income. My Executor is expressly relieved of any liability or
responsibility whatsoever for any act or failure to act by, or for following the
advice of, such accountants, agents, attorneys, investment counsel, brokers, bank
or trust company, so long as my Executor exercises due care in their sf;lection.
The fact that an Executor may be a member, shareholder or employee of any
accounting, investment, legal or brokerage firm, agent or bank or trust company
so employed shall not be deemed a conflict of interest. Any compensation paid
pursuant to this subparagraph shall not affect in any manner the amount of or the
right of my Executor to receive commissions as a fiduciary.
(o) To invest any part of my residuary estate in, or lend money to, any closely-held
Page 3 of 5 pages.
business in which I may have an interest at my death for any purposes incident
thereto, including but not limited to expansion and entry into new fields of
business provided that only assets actually invested in such business shall be
liable for the debts incurred in its operation.
(p) To disclaim any interest in property without court approval.
SEVENTH
(a) I appoint my daughter, Donna March as Executrix of my estate.
(b) My Executrix shall not be required to post security in any jurisdiction..
IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Wi1.1 and
,~
Testament, this ~~~~"~` day of ~ ~ ~~~c ~., 2011.
i/~ ~- ~ \
Florence R. Fisher 1
Signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will
and Testament in the presence of us, who have hereunto subscribed our names at her :request as
witnesses thereto, in the presence of said Testatrix and of each other.
WITNESSED BY:
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I, Florence R. Fisher, the testatrix whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed
and executed the instrument as my Last Will and Testament; and that I signed it willingly and as
my free and voluntary act for the purposes therein expressed.
Florence R. Fisher
Page 4 of 5 pages.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF: r;~ f~,;~'; I~~-t%~_~~~%r~
On this ;..~ ~` c~ay of ~`~'1 ~ ~ ~~.- ,2011, before me, the undersigned officer,
personally appeared Florence R. Fisher, known to me (or satisfactorily proven) to be the person
whose name is subscribed to the foregoing Last Will and Testament, who acknowledged that she
executed the same as her Last Will and Testament.
NOTARIAL SEAL
ANGELA L COHEN ~ ~ 1 j ~ ; ~ ,, ,~ ~
Notary Public }~ ~ ~~ ~ ~ ~
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HARRISBURG CITY, DAUPHIN COUNTY
My Commission Expires Jul 6, 2014 Notary Pu iC
We, ~ u h 5L ~ ~~ ~ k ~_ and -~~C7 ~~~ ~ ~~ Wit: { ~ ~ ~".. ,the
witnesses whose names are signe to th attached or foregoing instrument, being duly qualified
according to law, do depose and say that we were present and saw the testatrix sign and execute
the instrument as her Last Will and Testament; that the testatrix signed willingly and executed it
as her free and voluntary act for the purposes therein expressed; that each subscribing witness in
the hearing and sight of the testatrix signed the will as a witness; and that to the best of our
knowledge the testatrix was at that time 18 or more years of age, of sound mind and under no
constraint or undue influence.
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF (.- ~: i~~ ~3 ~I7 i h r~, t~
Subscribed and sworn to before me by both witnesses,
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this ~~` day of
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2011.
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Notary Public
Page 5 of 5 pages.
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NOTARIAIL SEAL
ANGELA L COHEN
Notary F~ublic
HARRISBURG CITY, DAUPHIN COUNTY
My Commission Expire: Ju16, 2014