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HomeMy WebLinkAbout05-25-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of /~-r ~e ne /)'), ~~/' ~ a S f'Gt' ,Deceased ESTATE NO: 21- t I - l ` j a/k/a: a/k/a: a/k/a: SS NO:_ / ~ / - Z $ ~- O/ 0 8 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: ~jA. Probate and Grant of Letters Testamentary or 0 Administration c.t.a., or d.b.n.c.t.a. (com lete Part C and aver that Petrtioner(~ is/are entitled to the aforementioned Letters 7esta~rt~n/`~r P also) the last Will of the above-named Decedent, dated ~~~~ l~, zeQ~{ under d (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(8): No ~~pTi~/j'S 0 B. Grant of Letters of Administration ~-- ..rr......~.~, ~•«<• u.u.n., penaent ute, nurante 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), except as follows: Name Address Relationship to ;~ ,: ~y ~...}.~ ~.~°1 ,~, ., ~-~~,- ~ USE ADDITIONAL SHEETS IF NECESSARY ~~ •~~-~ THIS SECTION MUST BE COMPLETED: ' CJ r .y Decedent was domiciled at death in Cumberland County, Pennsylvania, with Sher last family or r~inci al res'~ n ~' At 335 lr/QS/e .l~r,'re t. /oy° /ylecl~~n ~ cs~u,. p P ide ce (Street address with Post Office and Zip Code, Munic~pal~ty. Township, Borough, Crty) Decedent, then 7 f~ years of age, died ~~ IS, 2~/l at me C~1 ~ri i CS d ~ r ~ (Month, Day, Year of death) (C~ty and State where death occurred) Estimated value of decedent's property at death: If domiciled in PA All personal property 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 Location of Real Estate in Pennsylvania: (Provide full address if possible.) terim Form RW-02 revised 12.26.10 by Cumberland County peg $ /Op. eo $ $ /oo•mb Name(s) & Mailing Address(es) John N. A1tnGan o Box 38 Len7vyn , P~ ~7a~3 f- n+e~'l.n~ Z F D7 /!i etr~t f - Sf' ~a~+o N,'~l. A~4 / i~ action by the Court Page 1 of 2 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 before me this ~ ~ day of .~ ~ ~ n l~l, ~u nGQn r or the Kegister DECREE OF PROBATE AND GRANT OF LETTERS ~ Estate of /~-r le fle f~?, '?~r'eas fcr Deceased File Number: 21- /~/ - .,.... ~ rn ~- ~.~ tv ~ ~-~~ ,1,...,, "`~'~ ,.~.~ _rn .~~ ~ '~ ~~ AND NOW, this ~~Z day of ~ ~ ` , in consideration of the Petition on the reverse side hereon, satisfactory proof havi been presented before me, IT IS DECREED that Letters Testamentary of Administration are hereb anted t Y ln' o. (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) 0~1n ~. ~u~can the above estate and that instruments s dated ~,~ r~ti ~ ~, in () - ~~{ described in the petition be admitted to probate and filed of record as the last Will of Decedent. Glenda Farner Strasbaugh,,,.,~ ~. ,,~~~''a ; ~, ~ ~.~ ~~ Register of Wills FF,F C Letters...... '" Will ......................._ i'~TC'Z Codicil(s) ................. (t~ )Short Certificates ( )Renunciations....... Bond ............................ Other ............................ ................................. ................................. Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................ $ ~.y~~ -- Signature of Counsel Required to El~ter tlppearance Atty's Signature .~ PRINTED Name: ~~~1r~/cs` ~ ~~~c/a~s Supreme Court ID No.: 3gS/3 Address: (Q C /o k S ~I' ~®Q~/ ~c'C/IU!lZrcShH~, ~i~ /To Phone: "7/ ~ - ~~~ --v~,oy Fax: _ "7/ ~7 - 7 9S- 7if ~ Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 Ht~c Rnc n~V rnr rn-„ - - 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 1729757.3___ Certification Number H705-143 REV 11/2006 TYPE I PRINT IN PERMANENT BLACK INK 0 w w 0 0 w i ~;,,~""""~~---. This i~ to certit~v tl-jat the informatii->n here triven is t,t~t'' ~ZH OF p - ~,,t,,~~,~~--_Eyys~-_ c~•ui-rertly copied froil~ ,)n original Certificate of Death dui Bled 4~~ith mt ~~:~ ~~li) •~ ~n ~ --Cr' .~ ,~`~ ~~ r~ ~ y L al Rtb)strar. The of i~,inal ~~o ~; ~z certificate will he f~orw,u-ded to the State Vital .~ -~~~ ia: records Office t~or per)~~ai~ent filing. f N~ 0 11 - ----- ~-~ I_.ocul Registrar Dace [sued r~ C'~"~ -~ r~ -~ ~~. t'C"R"t +""k' X (J'S .°~~ 4x? •or~ ~ ~ Y © ~yrM .. ~~. - v ~ ... ~,• COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and ezamales on reverse) __.__ _.. _ ..... -___ t. Name at Decedent (Post middle, Wst suffix) 2. Sex 3. Social Security Number -- _ 4. Date of Death (Monet, dey, year) Arlene M. Treaster Female 171 - 28 - 0108 Ma 15, 2011 S. Age (Last Birthday) Under 1 year Udder 1 dey 6. Date d BiM (Monet, day, year) 7. Binttplace (City and slate a f country) 8a. Place of Death (Check ony one) 76 MOn~ ~~ ~'rs at.x4es Dec. 7, 1934 Carlisle, PA Hospital: gher: Yrs. ^ Inpatient ^ ER / Outpatient ^ DOA ^ Nursing Home ~ Residence ^gher - Specily~. Bb. County d Death 6c. City, Boro, Twp. d Deem !!d. Facility Name (tt rid insChnion, give street and number) 9. Was Decedent d Hispanic Origin? ~ No ^Yes 10. Race: American Irxkan, Black. White, etc. • ~ Cumberlar~ J~_r Allen Ztap. (H yes, specify Cuban, (Sp~lfy) 335 Wesley Drive, Apt. 109 Mexican.PuedoRcan,etc.) White 71. Decedent's Usual tion (Kind d work done du most d ife. Do rat state retked) 12. Was Decedent ever in the t3. Oecedent's Education (Spedfy tiny highest grade completed) 14. Manta Stahs: Marietl. Never Maned, 15. Surviving Spouse (tt wife. give maiden name) Kind of Work Kird d Busktsss I Irdusvy U.S. Am1ed Forces? Elementary /Secondary (0-72) Cdlege (1-4 or 5+) Wklowed. Divorced (Specify) Assembler Electronics ^Yes ®No 12 Wldow~ecl 16. Decedent's Maikng Address (Street, city !town, state, zip code) 335 Wesley Drive Apt, 109 Decedent's pennsylvania u e iD a~"t rr~txx L,ower Al1Pn Actual Residence 17a. Slate 17c. lea Yes, Decedent lived in 7w p T l ? , Mechanicsbur PA 17055 owns np t7d.^ No,DecedemLrvedwithin ,7b Coon " Cumberland Actual Omits d city / Born 18. Famer's Name (Firs) middle, fast. suffix) 19. Mother's Name (First midde, maiden surname) Luther O. Derrick Clara Si 20a. Informant's Name (Type !Print) ZOb. Informant's Maikng Address (Street dly I tam, state, zip code) Harlan Sproul 3610 Bryant Avenue North, Minneapolis, MN 55412 • 27 a. Method d Disposition ^ Cremation ^ Donatbn 21 b. Date d Dispoaitbn (Monet, day, year) 21c. Place d Dispositbn (Name of cemetery crematory ar aher place) 21d. Location (City /town, state, i1p code] - ~ Burial ^ Removal horn State ;Was Crematlon w Donstlon AW1or'asd ^ Other - Speciy: by fdedtcaf Examiner / coronert ^ Ves ^ No ~ 23 2011 y ~ Opossum Hill Cemetery Carlisle, PA • 22a. Signet d sa ~ Lk ac9rtg as such) ~ 22b. l~cerllse Ntxrtber ?2c. Name and Address of Facikty 8 Market Plaza Way • - FD-138630 Malpezzi Funeral Home Mechanicsburg, PA 17055 Cartplele 23ac only when 23a. To the best d my knowledge, death oaured at the time, date and place sated, (Sgnature and tills) 23b. License Number 23c Date Si ned M et d phy ~ ~ is rid available at timed to . g ( on , ay. year) ceray cause d deem. • gems 24-26 must DB completed by person 24. Time d Deam A 26. Date Prorarxtced Dead (Monet. day, year) 26. Was Case Refered to Medical Examiner !Coroner for a Reason Other than Cremator a Donatan7 wla pronoixlces deem. cox . 1 ' 00 M. Ma 16 2011 Yes ^ No CAUSE OF DEATH (See instructions and examples) 1 Approximate interval: hem 27. Part I: Enter the titekt d events -diseases, ktjuries, or tbrnpicaUOns -mat directly caused me death. DO NOT enter terminal events suds as cardiac arrest. r Onset to Deam res ir t i l Part II: Enter timer .ry'nnific?nt crorldhior~ rxxgrih~mrlo to Beam, but not resutlirg in the urldedying cause c ~'ven in Pan I. 28. Did Tabaoco Use Contribute to Deam? ^Yes ^ Probably p a ory arrest or ventt cu er fiGikation whlaut stowing the etdobgy. lust only one cause an each fine. ~ TE CAUSn Patel disease ar ^ ~ , ~ Nd ^ Unknown ~ y~~ ~/ `~ ~^ n ~! resdprg ) -~ a. C U ~ ~ 1 r r / V 1.,~ Y• ~ i ~ !- I N ~ A ~ ` 1 i U I J ~ ~ ~ u t. ~ zs. It Female: Due a ( as a consequence of): ~ S e u nt~all e let condb d Not pregnant withn past year ~ y ons, any, b. r agtl b n p t 0 ~~RLY ~ C E a Pregnant at time d death ~e ro (« as a consequerce tit): r Erger fhe , Nu It r( AV r ^ Not pregnant but pregnant within 42 days eves~tin~g inin~deta~tfmij aL ASL'~ c. r of deem Due to (or as a consequence of): ~ ^ Not pregnam, but pregnant 43 days to 1 year • d 1 ^ U kn norm pregnant within the past year 30a. Was an Autopsy Performed? 30b. Were Autopsy Firxfxlgs AvaiWble Prior to Completion 31. Maurer of Deem 32a. Date d Injuy (Monet, day, year) 32b. Describe How Injury Occurred 32c. Place d Injury: Home, Farm, Street Factory, d Cause d Deam? ~ Natural ^ Fdonwcide Office Building, etc (Speclty) ^ Yes ~ No ^Yes ^ No ^ Accdent ^ Pending Investigation 32d. lime d Injury 32e. Injury at Work? 32f. h Transportation Iryury (Specity) 32g. Location of Injury (Street dry /town, state) ^ Suicide ^ CoWd Nd be Determined ^Yes ^ No ^ Driver ! Operetor ^ Passenger ^ Pedestrian M Omer • Spodly: 33a. Certifier (check only one) 33b. Signature and T41e d Certifier Certifyfn9 Physician (Physician certifying cause of death when another physician has proratuaed deem and completed hem 23) T m t t f k ~1 G..t - ~ ~ )')'1 (~ ^vZv~'Z o e xa o my nowNdge, deem oaurrcd due to the cause(s) and mentter ea stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Pronouncin and eerdf in h i i Pl i i b , .r g y g p ys c an ( ys c an oth pronotxaing Beam and certifying to cause d deem) To fhe beat d m kn y owbdgs, deem occurred at the time, date, and place, and due to the cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c. Lxense Number 33d. Date Signed (Month, day, yoar) • Medical Examiner I Coroner O ~Y] (~ G`-'Z (~/~ _ 7 / f 7 j 2 G f ! n the basis of ezemfnation and / a investigation, in my opinion, deem occurred at the time, date, and pWa, and due to the cause(s) and manner as stated_ ^ 34. Name and Address of Person Wra C em pleled Cause of [ka;h (ite m 271 Type ; Prim 35 ar' nature rid Dist ' N 1 j '] ~ "• ~ , ~ ~ ~' ~ ~ 36. Dlarte Filed (Monet, say, yearr) `` rr ~' Cir "t7 'D'am. jG. ~ rL; i ~~/y ~ r~ y • W. .~!• i~ ~-QJ r~ 7i~.t~. .~ l~r~C~(i' ~Cu ~L~.vr ` 1 i-I-~f l d Gi f~ G l Disposition Permit No. 0599450 LAST WILL AND TESTAMENT OF ARLENE M. TREASTER I, ARLENE M. TREASTER, currently of the Township of Lower Allen, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all rior Wills me at any time heretofore made. ~ ~"" ~ z'"` ~ s Ct ?' ~ ~. 1. cn r ~.'r'F,! ~'~ ~- , ~ I direct the a ment of all m 'ust debts and funeral expenses as soon after my~~ as P Y Y J ~~ c~ ,~~. ~_ same can conveniently be done. ,~ ,"~'. t~ ~_ ~; . 2. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath to be divided and distributed, as follows: A. Ten (10%) per cent to my grandson, HARLAN SPROUL, currently of 206 Pennsylvan Drive, Mohnton, Pennsylvania 19540. In the event that he predeceases me, his share shall lapse and be divided equally between the two (2) charities listed hereinbelow. B. Forty-five (45%} per cent to GALILEAN CHILDREN'S HOME, currently having an address of P. O. Box 880, Liberty, Kentucky 42539-0880. C. Forty-five (45%) per cent to CHURCH OF GOD, currently located at 3 5 South Locust Street, Shiremanstown, Cumberland County, Pennsylvania 17011. 2.a. I direct that all death taxes, costs, fees, and the like, associated with the settlement of m y estate be paid from the residue of my estate before the division and distribution provided for above as if they were an expense of the administration of my estate. 3. I nominate, constitute and appoint my trusted friend, JOHN H. DUNCAN, to be the Executor of this my Last Will and Testament. In the event that he is unable or unwilling to act as Executor, I appoint my trusted friend, STEVEN E. LEHMER, to be the Executor in his place and stead. In the event that he is unable or unwilling to act as Executor, I appoint my trusted friend, GERALDINE MILLER, to be the Executrix in his place and stead. I further direct that they shall not be required to file bond or other security in the Office of the Register of Wills for the purpose of administering my Estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of A.D. 2004. ARL~'M TREASTER ~~(SEAL) Signed, sealed, published and declared by the above-named ARLENE M. TREASTER, as and for her Last Will and Testament, in the presence of us, who at her request and in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. F~g- Q OATI~[ OF NON-SUBSCR:~BING WITNESS(ES) REGISTER OF WILLS ~ k hn R~Y'.t~ COUNTY, PENNSYLVANIA Estate of ~`'lP..~?G ~• ~%a~s'~~r- ,Deceased and being duly qualified according to law, depose(s) and say(s) that sloe / he~e~ was ~•o- well- acquainted with /~r ~P.~'JG /fl. ~~a~'~r and am~~e familiar with the handwriting and signature of the decedent, and that the signature of ~~~ ~?- l/1°Qs~/" to the foregoing instrument .purporting to be the Last Will and Testament~erl of ~"'l^/G/~ '~J~tt~S't~'I' is in Sher own proper handwriting. ' 1 _ ~`- ~ . , > L (Sigi tur) ~ p N N H. (~ cc N C~ O13oX 3$1 o?fsa7 rllarllef'St: (Street Address) (City, State, Zip) r /Ha, /%n~ Execic~ted in I?'Ea ster's office Swoi-r-_ to or affirmed and subscribed before.. me this. _ ~..:~ ~ day of 1~'~~_~ .-~~ ~ C ~ n r~~ Y~ ~ ~ c~ ~>~ ~c~ Deputy for Register of Wills Forrn RN'-04 r•ev. !0.13.06 (Signature) (Street Address) (City, State, Zip) ~ ,~' . s a- ~ ~-~ ~E ~r/ s fir) ... ~ ~ i~ ~~ •# ~~~ = '~ ~` rr .... ~~ 1.t"` OAT]FI OF SUBSCR~BIl`vG WITI~TESS(IiJS) REGISTER OF Vi~ILLS C' ll ~ tQ,~/ZLI~i(lD COUNTY, PENNSYLVANIA Estate of ~r~e~G ~~ •7rea~~r ,Deceased ~~iQ~~LS ~. ~'l~~~z!S ~ , {-cater) a subscribing witness to (Print Name/s) the l~C Vijill presented herewith, (•e~xe~) being duly qualified according to lain, depose(s) and say(s) that she / he /~k€~} was •~-~~re present and saw the above ~=~s~~e~-/ Testatrix sign the same and that she ~-1~~}rey- signed the same and that ~/ I7e-~e~ signed as a witness at the request of the T-~s~;`e~/ Testatrix in her /-~s- presence and in the presence of each other. - X (Signature) C h•~ !`/Gs ~~ dI'1 /GI~,S (Signature) ~ C~lousQ,r ~d (Street Address') l~1e.~f a~rr~cs urn, ~~ i~os~ (City, Statc, Zip) Execicted i~1 Reb ister's Office Swon? to or affirmed and subscribed berorerne this ~~ ~ day ,, Deputy for Regist~ r of V~/ills (Street Address) r,.,s (city, stag, zip) ~ <`'~ ~ ~``~ t ~ ~,+s "i: ~. ' ~ .~xecicted out of lZegistel s ~ .r.~ ~r a ._ ~~ Sworn to or affirmed and sul~ri~ed "~ ~~ 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 C;ommission.) 1~lOTE: To be tal.en by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Fornr R {•1'-03 re n. l 0. l 3. ~G