HomeMy WebLinkAbout05-26-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
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Estate of NANCY K. BRANDY ,Deceased ESTATE NO: 21- ? ` . ~ ~- ,``~''~
a/k/a:
alkia:
a/k/a:
Address
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "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 5/11/2011 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 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 complete list of
heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a part to a pendip~- divorce
proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(~~x ept as P6tlows:
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USF. ADDITIONAL SHEF,TS 1P' NECESSARY
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THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence
At 4 HILL STREET MT HOLLY SPRINGS CUMBERLAND COUNTY, PENNSYLVANIA 17065
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
Decedent, then 70 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
5/14/2011 at CAMP HILL, PENNSYLVANIA
SS NO: 206-32-2492
(Month, Day, Year of death) (City and State where death occurred)
All personal property $ _ 331,000.00
Personal property in Pennsylvania $ __
Personal property in County $
$ 95,000.00
Total Estimated Value $ 426,000.00
Location of Real Estate in Pennsylvania: (Provide full address if possible.) 4 HILL STREET, MT. HOLLY SPRINGS, PENNSYLVANIA
~~ Signature(s) Name(s) & Mailing Address(es)
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JAMES M. BRANDY, 813 HAMILTON STREET, CARLISLE, PA 0
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Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the ~,ourr , as., , ~~
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.
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Sworn to or affirmed and subscribed `~ --?
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b~fQre me this ~ .~~ ~. ~ ~ day of G
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For the Register
Estate of
DECREE OF PROBATE AND GRANT OF LETTERS
NANCY K. BRANDT ,Deceased File Number: 21- -
AND NOW, this 1t~'~-~' day of ~~,~~ ~,,~- ~',~'_ ~~.~ ,~!` , in consideration of the Petition on
the reverse side hereon, satisfactory proof havi `~ 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.)
JAMES M. BRANDT in
the above estate and that instruments(s) dated 5/11/2011 described in the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
Glenda Farner Strasbaugh, ~~~k,_( ,l _' ~ ~~ ~_ ~,
Register of Wills ;" ~ ~ k-' 1-
FEES: Signature of Counsel Required to Enter Appearance
t,etters ....................$ 410.00
VViCC ........................ 15.00
Codicil(s) .................
(2 )Short Certificates 8.00
( )Renunciations.......
Bond ............................
Other .............................
.................................
Automation FEE......... 5.00
JCS FEE ................... 23.50
TOTAL ................$ 461°50
Atty's Signature .~~ G ~~~- f'7,+~t,.`
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PRINTED Name: ROGER B. IRWIN
Supreme Court ID No.: 6282
Address:
60 WEST POMFRET STREET
LISLE, PA 17013
(717)249-2353
(717) 249-6354
Phone:
Fax:
Lnterim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Fage 2 of 2
l7CA~. REGISTRAR'S CER~`IFIC,~-T101~ ~ :,~TI~
WARNING: It is illegal to dup~~ca~~ ~~~~~ :~:c~py ~a~~ ~hotost~# or ~~c~to~a~ ~r~,
P _ _ 17.4 5.1_D_ 5 5___
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS a`"~ ~ +.
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CERTIFICATE OF DEATH
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(See Instructions and examples on reverse) STATE FILE NUM !-'
1. Name d Decedent (First, midtlle, ast su1Hg 2. Sex 3. Social Searhy Number 4. Date of DeaM (Monts, day,
Nanc K. Brandt Female 206 -32 - 2492 May 14,2011
5. Age (Last arMeay) UMm 1 ar Under 1 da 6. Date d BiM MniM, da , 7. Bidh and sNate a Jon i 6a. Place d DpM Check ni one
70 Mmdw Deys Hours MinNes
10/8/1940
Harrisburg
PA HosDltel: OMer
Yrs , ®Inpetient ^ ER / Ou~eaent ^ DOA ^ Nurskg Home ^ Residence ^ OMer - Specdy:
~. Canry of Deets &. Ctly, Born, Twp. d DeaM fk1 Fadllry Nem• Qf Tat irelMdni, gve street aM number) 9. Wes Decedent of Hispank Origin? [~NO ^ Yes 70. Race: American Indan, Slack, Whim, ek.
Cumberland
Pennsboro Twp
Holy Spirit Hospital (tt yea, specky Cuban,
Mexaan,PueMflaan,ea.) (Sped/}
White
11. DecetlenYs Usual Occu bon Kind of work done dr' oast d IKe. Do not state re' 12. Wes Decedent ever a the 13. Decedents Educadni (spectly only highest gentle cang ated) 14. MerEel Status: Marred, Navar Mended, 15. Surviving Spo use (II wife, give maitlan name)
Kind d Wolk Kind d Busiress/Industry U.S. Armed Faces? Elementary I SecoMary (D-12) College (1-0 or St) Widvxeq DrvomeO (SpeayJ
Ex-Ray Tech Hospital ^ye~pCjNa ever Married
16. DecetlenYS Mailing Atltlress (Street, chy I town, state, zip code) DecetlenYS Did Decadent
P eon s v 1 van i a LNe in a
Act
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4 Hill St. ua
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ence
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tate
17c.
Yes, Decedent Lived in Twp.
Towrehi
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170.
Cumberland
nst i"ed wiMm
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Mt. Holly Springs, PA 1 7065 .
allal
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Mt _ Hc~l 1 v S ri naairy/Roro
18. FaMels Name (FIrsL middle, last, suMx) 19. MotheYs Name (Pent, mitlde, maitlen sumamej
Joseph Brandt Jennie Gephart
20a. InfortnenYS Name (Type /Print) 26b. InlananYS Malbg Adtlress (Street city /town. state, zip code)
James Brandt 813 Hamilton St. Carlisle, PA 17013
21 a. McMOd of Dispostlion ^ Crematlon ^ Donesan 216. Date d Disposition (Monts, day, year) 21c. Place d D'efashim (Name al cerremry, cremetay or other place) 21tl. location (City/own, state, zy cow)
~ Burial ^ Removal from state i we: cremetwn « Danetlon Awartrad 5 / 1 8 / 2 01 1 1 7 0 6 5
^ Other- ~ W MMkel Examiner/COraleR ^ Yes^ No
22e. S' tore of Fuceml Se ' Licensee (« person actlrg as such) 22h. License Number 22c. Noma end Address d FadYay
~ „C. 011589E HollingerFH&Cremator Mt. Holt S rin s PA 17065
Complete items 23ac niry w4wn caNMn9 23a. To Me best d knowadge, M ned of tlw Nme, date and Place stated. (SigmNre and title)
a 23b. Llpme Number 23c. Date Signetl (MniM, day, Yaar)
physipen is not availaba al tlme d death tc ~~1 Q~ 1~ , Ix ,
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pru7 cause d deaM. v- .A
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Items 24-26 must be ampletetl by person 24. Tirtre d
Death 26. Date Pronounced Dead (Monts, day, year) 26. Was Case Refined to Medical Examiner /Cornier for a Reason OMer Man Cremadni a Dnietia?
who praaullCee deaM. , \
~ V~ ~ M. ~~ (lj I ~ ~O ~ I ^ Yea ^ No
CAUSE OF DEATFI (See Inatrueliona an esampba) ~ Approximate interval: Pan II: Enter otlier siniiApnt cerakarrs cpnbilutiro to tleaM 26. Da Tobaxo Use ContrMule to DeaM?
Item 27. Pan I: Enter the chain devents - deeases, njudes, a complaedms -Met directly caused the deeM. W NOT enter terminal events such as prdac enesL Onset M Deets but not resuEMg a Me ulbadyirg puss given in Pad L ^ yes ^ probably
re~irat«y arrest. a venbwlar ftixillakal MMaI stowing Me etlobgy. List niry roe pose ni earls line. ^ Ne ~'U'kn nown-
IMMEDIATE CAUSE IFinal tliseam a I 1
contlaicn resulting in aMl ~ '~(,~ ``e,e,~'~( L1. L ~ ~_
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29. II Femaa:
^ N
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Due a (or as a consequence of): , prxp~an
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n past year
^ Pregnant at dme of deaM
$eoue gaNy ten condi0ons, it anry,
b' ^
1
leafing a the listed m Ime a.
Enter Hre UNDERLYIND CAUSE Due to (a as a mrrsequence oq: Not pregnam, but pregnere within 42 days
d deem
(daeaae a mjary Mal mdaad the
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UST
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even
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.
Due a jar as a consequence ol): Nol pregnant but pregnant d3 tlays to 1 year
bafae tleaM
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na"t wdhM die
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ear
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30e. Wes an Adapsy 3W. Were Aubpsy Firaags . Ma
nnar d Deets
31
~. 32e. Date of Injury (Monts, day, year) 32b. Dascdbe Haw Injury Occurtetl 32c. Plop of Injury: Flume, Fenn, Street, Factory,
Pedomred? Available Prior to completion
of Cause of DeaM? ~
~
GJ "aNral ^ Momkade
t'TFta OftKe Building, etc. (SpeciyJ
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'~~ ^ Accident ^ PendMg Imrestigeaa 32tl. Time of Injury 32e. Injury at Wak? 321 I! Transportation Injury (Speclryl 32g. Loraaon of injury (Street, city I town, stale)
Yes es ^ Suaae ^ coua Not lR DetennMed ^ Yes ^ No ^ Dmrer/Opereta ^ Passenger ^ Petlesfrien
33a. Cedifor (Check Doty one) 336. SgnaNre a der, _
• Certdyln9 Dlrysiclan (Physinan certllylrg pose d OeaM Morn another phys'cian has prerwurcetl tleeM end completetl Item 23) ~/~
To the East of my knowbdge
death warred due to the puae(a) eM manner roe smUd _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
,
• Praaunckg arts certdying phyakun (Physidan both praaurcMg daaM antl avtitying b pose of tleaM)
To the ~eetdmy knoMedga,artlloaurt•tl altM dma, tlate, mltl place, and tlaerome auee(a)and manner as slaletl__________________^ 33c. Laence Number
7/t/1 Y1~~~~~~ 33d. Date Sigrred (Monts, day. year)
(~~(~"~.7~1
• 1latlkel Exama«/Coroner ,
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On 1M bola d aaminatl•n arts / «inveatlgstlon, M my oplnlon, dMh ottumtl al Eie Nme, Gb, end place, and due to tM nuae(s) and manner n ataled_ ^ on Wlo Comp~leted~1~a~
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~I- ~De'aM (Item 2]) Type /Pant
34. Nem~e
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35. RegisEafs and District N
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I l I a l~ l o t 36. Dek fled (MniM, day, Year) '
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Disposition Partnit Nd: ~ ~~o ~~ V ~v v
LAW OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
WILL OF
NANCY ,(. BR:,ND i
I, Nancy K. Brandt, of Cumberland County, Mt. Holly Springs,
Pennsylvania, declare this. to be my last Will and hereby r:~voke all
prior Wills and Codicils.
1. I direct that all my just debts, funeral expenses,
gravemarker and administrative expenses shall be paid
from my residuary estate as soon as practi~ab~~ after my
death.
2. I direct that all inheritan . e, estate, transfer, success ion
and death taxes of any kind whatsoever which may be
payable by reason of my death shall be paid out of my
residuary estate.
3. I direct that my entire esta+e be distributed as fellows:
A. I direct that my real estate at 4 Hill Street, Mt.
Holly Springs, Pennsylvania go to Pamela Still.
B. Should Pamela Still predecease me, I direct that
my real estate be sold and the pro:,eeds go to The
Human Society, C,.izens Fire Company #1 in Mt.
Holi~~ Springs and Vi°: ian Brandt in equal shares.
C. I direct that G,I of my personal property go to
James M. Brandt.
4. I appoint James M. Brandt Executor of this my I~~st Will.
5. The Executor of this Will shall have the power to
distribute my estate in kind or in cash, or partly in either.
6. I direct that no Executrix acting under this Will shall be
required to enter bond in any jurisdiction. ~
o =r
IN WITNESS WHER O , I have hereunto set my hc:nd, ~ c
~_ day of , 20~ ~ ~,
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Nanc~6 K. Brandt
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The preceding instrument consisting of this and one other page
was on the day and date hereof signed, published and declared by
Nancy K. Brandt as and for her last Will in the presence of us, who at
her request, in her presence and in the presence of each other have
subscribed our names as v°ritnesses hereto.
LAW' OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
-~~-..
ITN E S
WITNESS
ACKN0INLEDGMENT
LAW OFNICLS OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA (7013
State of Pennsylvania
County of Cumberland
ss
I, Nancy K. Brandt, 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; that I signed it willingly and as my free and
voluntary act for the purposes therein express~dD /
i
N~fncy4K. Brandt
me by Nancy K.
2 11. NOTIl~lq,L ~t .~~_ . _ /
~Phsn J. Hogg. Mat~rp ~~t~li~
CarNsle Boro, Cu~r,~r1~~~ Co. ~~ /(/~
~ "~~~° ~~~ ~z ~„~ ~ Notary Public/Attorn
....,.,.w,. _ ~...~.~....
Sworn to or affirmed and acknc
B ~ rix,~this day of
State of Pennsylvania
AFFIDAVIT
ss
County of Cumberland
We~ c~ ~~~_~ and ~ orv '_. the
witnesses whose names are signed to the 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; that the Testatrix signed willingly and
executed it as her free and voluntar,~ 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 or more years of age, of
sound mind and under no constraint o u influence.
s~1
Sworn to or affirm n bscribed to before me by witnesses,
this ~ day of , 2011.
pA0 .~..... ~ ._.~. ~i
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'~sphsn J. Hogg, ~,~~~~.~;. ~dl~i#tary Pu is/Attorney
CaMisls tear®, Ca4etr~s~ ~~:,_ :<;
C0/17h'I~BOj0P5 tS~Z' e'.":~'1S :ate iaF ." o. %' ;'