HomeMy WebLinkAbout06-20-11REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
PETITION FOR GRANT OF LETTERS
f No. ~ I ((+ ~-~lY I I
Estate • yi
also known as
,Deceased Social Security No. 190-16-1924
Frederick A. Souders II
Petitioner(s) who is/are 18 years of age or older, apply(ies) for:
(COMPLETE "A" OR "B" BELOW:)
® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execute or named in the IGst Will of the
decedent, dated September 25 ~ 2008 and codicil(s) dated NONE
( 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
ocum nts offered for robate; was not the victim of ~killi and w never )udicated incompetent: ~-~~~"°"~
_. ~3 P~.GS.r 33~~~C ~
^ B. Grant of Letters of Administration
( .b.n.c.ta.; pendente lire; durante absentia; durante minorilate)
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:
r.~.,..,~ Relationship Residence
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(COMPLcTE IN ALL CASES:) Attach additional sheets if necessary = ~ cp ~_ C~-~,
Decedent was domiciied at death in r„mharl ~ra County, Pennsylvania, with hi~)er las`t~a~y
or principal residence at 6 Village Road Me'chani cGburg (Silver Springs Township)
(list street, number, and munlcipallty)
Decedent, then 87 years of age, died May 16 , 20 11 , at 6 Village Road, Mechanicsburg
(Location)
Decedent at death owned property with estimated values as follows: p
(If domiciled in PA) All personal property $ Unestimated [ ~ ~.Q~
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of Real Estate in Pennsylvania $
situated as follows:
Wherefore, Petitioners} respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant
of letters in the appropriate form to the undersigned:
Signature Typed or printed name and residence ~
~, r~ Frederick A. Souders. II
k-
snace~IlsPetGrantl.V200~
~- Oath of Personal Representative
Commonwealth of Pennsylvania
County of ~ Cumberland
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true
and correct to the best of the knowledge and belief or Petitioner(s) and that, as personal representative(s) of the
Decedent, Petition(s) will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed ~
b re me thris ~_~ day of
~'' ~ ti 20 ~ -
Forth egister _
No. 21-11- ~~(
Estate of __ Vivian J. Shively Deceased
Social Security No.:~90-16-1A24 - 'Date of Death: May T6, 2011
/1 Pa 1 e _ .,, r ~~ -
AND NOW,
of the Petition on the reverse side heron, satisfactory proof having been presented before rime,
20 11 , in consideration
IT IS DECREED that Letters ~ Testamentary ^ Of Administration
d.b.n.c.t.a.; pendenle life; durante absentia; durante minoritate
are hereby granted to Frederick A. Souders, II
in the above estate and that the instrument(s) dated September 25 , 2008
described in the Petition be admitted to probate and filed of record.as the last Will of Decedent.
FEES
Letters ............ $ ~I;L_(10
- -- _.
--- S`~iortCertificafe(s} 2~.$~_ $.QO__~.__ ... ,..
Renunciation ...... , $
Affidavits ( ) .. ..... $
Extra Pages ( } .....$
~~tc~~ixx.W.i.l l . ..... $ 15.00
JCP Fee ...... .....$ 23.50
Inventory ..... ......$
Automation Fee ..... $_ 5.00
Other .............
TOTAL ........ $ ~ 1.50
snace/Wi11sP etGrantLV2o01
Frederick
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ers, 11
Attorney
I.D. No:
~%~.. Q~~;~ ~,~~ (mac ,
Re.gister.of Wills
( ~~~~~~~
m_ _ .4chrark TII
15893
Address: 1 ?4 W G Ha ri Ghurg street
Telephone:
Dillsburg, PA 17019-1268
(717) 432-9733
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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 17297627
Certification Number
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This is to ccrtil~~' iiru the inl~yrmuli~in ~lc'Iti ~i~en i
correctly copied frrln .In urigi)nd Cei-tificatc cal Death
duly filed ~~ith ±Y~e ,)< Local Registrar. "i~he orizzinul
certificate tivill hl forrtiarded to the State Vital
Records Office i~t~r Ocrnnulent filing
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
Ht TYPEI PRINTI~ CERTIFICATE OF DEATH
PERMANENT See instructions and examples on reverse) STATE FILE NUMBER
BLACK INK t
2_ Sea 3. Social Se«uity Number 4. Data IN Death (MOnM, eay. year)
' "a"'edOeC~°"'IR~''""tl~°'°`L'dh'1 Shively female 190- 16 - 1924 5/16/2011
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Vlvlan
Under t year l1Mar
t day
6. Dated &nh (MmM, eay. Year) and state w foreign croudryl
7. BMnpaca (City 9a. PMCe of Deets (Ctceck only one)
Hospice):
Other:
5. Age (last BiMtlay)
kbwns tNn Haxs MYSxu 12/01/1923 Altoona, PA ^„y,a~ra ^ER70utpaMnl ^DOA ^NUrsing Flame ®PasklBnce ^OtMr'Spedfy
87 yrs. Was Deceeent d Hispank Origin
9 ? ~ No ^ Yes 10 Race. Arnenoen uidan. Black. White. etc
• W. County d DaaM &. CM. Born. Twp. d DeaM Bo. Fadkly Name Itt rot insdaWOr, gve sweet and wrcnbar) .
(H yes. spewN Cuban. ISpeoh~1~aa,,~
mute
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Cumberland Silver Springs 6 Village Rd.
Decedem's Eduwtior (Spealy o^H hest 9~ corrW
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M Medran, Puerto Roan, ek.)
etad) Id. MarnW Scetus: Marred. Haver Marred. 15. Sunivmg Spo
use In wife. gh'e maden name)
tt. pe eMrn's Uwal ten KinO d w«k tl ace nest d Be. Do nd slece reared) n
e
t2. Was Deceeem ever
U.S. Armed F«ces? .
Elementary / SewMary (at21 College (1~A « 5.)
wleowee.wv«cetllspedM
Kkd d Boleros / Wusm
Knedwo~x
retail ^vea ~1NO 12 Widaa~ed
sales
e Ddapeaad Silver Springs Twp.
Decedent's pA live in a t7c
Decederl Livwtl n
L'I Vas
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16.Oecaeenrs MvWq Address IS1reaL dY /lows. state. zp to
6 Village Rd. ,
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Actual Resgarku 77a Stele Township?
,7d.^NO. Depemrt lAea wend cdY. Bore
Cumberlarrl Adaal Lkdtad
Mechanicsburg, PA 17050 rro comfy
79. Mothers Name (FrsL nkrldle, maden stareme) Nearhood
1B. Faltkts Name (Fkst. mitlde, cell edfix) V11r1Chart Alga
(~13rles
20b. Infamanl's Maskg Atltlress (Street, cry I town, state. zp coda)
ZDa. IM«manYS Nave (Typo / Pnnq
Souders
6 Villa e Rd. Mechanics PA 1705
~,~~.i~ A• Date of DrtDOaAOn (MONn. war. Y~rl
21a 27t. Place d pispMlk]n (Name d cerrielery, cremat«y «dMr pace) 21 e. LoaMn (city I Nwn. state. Zy coMi
21 a. Method d DislwsMm i ~] Crematim ^ Donation
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22a. ~ F ~ • (« FH & 37 E. M3irt St.
e aid osel 230. License NurtE«
ConVMle new 23eo ady wlsn cer01yin9 23a To Ma bast a my IowwMdga, eadn t Me Wre. ~e.aJ~ P~ _ (~ ~ ~ p
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physiden d rat avaaade d time d tlea
26. Was Case Rebmatl ro Medical Examiner / Cororer br a Realm OtMr Man Cremedm «Owretion~
c«dY caun d deaM.
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20. Time d DeaM M 25. Dete_ Prmwxcad ~l~ ~Y ~)
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CAUSE OF DEATH (See lnafructbna and ex s)
l b DeaM bd not resulting n Me uidetyirig cause given cal Pan I.
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gam 27. Par) I: Feder the than d eveds - daemea ay«iea. «wmpimtian -Met &ecW posed Me deaM. W NOT eder temknal events sots as card cres
a ventriaaar fMiatian witlad showag Me etlobdY. list ony one ease m ewer lice.
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~ ^ Pregrad at lime d eeaM
^ Na pregwnt. IkA pregnant when az day,
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sewenMgr tilt con6lww, a am. b.
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gayq M Me ease listed m Fne a. Duero as a arweglkrwe of):
Einar 6le UNDERLYRM. CAUBE ~ of eeaM
bd pregrcent a7 days ro 1 year
^ Nd Dregnam
S Mat idtided Me
evd°mnBBiewltlng deaMl LASt c. Due M (« m a wrceequerw:e dl: ,
i ,
bef«e death
^ UMriowrl A pralnar~t widen Me past year
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d DeaM 32a. Data d Iry'ury (Mints, eay. Yew ~. ~~ Flew Inury Ocanaa
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32c. Race d Irpuy. Nana. Farm. Street. Factory,
Oglre &aktkg, etc. (Sped/yl
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30a. Wes an Au1Wry 30b. Wert AdopsY Fsldrxes 37.
Pedomced? AvailabM Poor ro Cmgldlm ^ ~~~
d Cause d OeaM? ~a ~ wry Location of h Sbed, dry I town. a+acel
Injury at Work? 321. II Tre bon In (Speary) 329. yxv
32e
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Acddert ^ PendMg Imeaagaem 32tl. Tune d Injury
^ Ves ^ No ^~Mar t« ^ Passenger swear
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j ~ ^ Suidtle ^ Cats Nd be Detemaned
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• Carap'M9 phyakirt lpnysinan aerblying cause d tleeM wren arothx physidan has Pm~n~ tleaM one c«npbtetl Item 231 - .
_ _ _ _ _ _ ~
~ ~~ 33d. Date IMmM, day. year)
To Me Mal d my lorowledge, deaM rsawrs0 due ro Me cause(s) aM manner u aMte1 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
PrmouncMg and «rdMlw Plwsklen (Physicim bah P~+n°r'9 deaM and certifying to cause d MaMI
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^
ela) and mamx ae sfaled
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To the best d mY Nnowletl9e, dwM occurred d Mee tMce, tlace, one Dom, aM due to
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ame and Adrlr s a arson Wno I«ee Cause of Deatl~ Inem 271 7y /Prim
lkdkxl Examen! Coroner 34. N
On Ma Msls d exmrdnatron antl 1 « investigation, ro my opinbn. death xcunetl al 1M time, date. and DMce~ znd due to Me ~use(si and manner as ,bled.
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Diap0alUpn Pemul No. l J
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CLIENTS\SHIVELY, David\Vivian -Will
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OF ~U,~ c~
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VIVIAN J. SHNELY ~~
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c,-;:
BE IT REMEMBERED, that I, VIVIAN J. SHIVELY, of 873 Hawthorn Avenue,
Mechanicsburg, Upper Allen Township, Cumberland County, Pennsylvania, being of sound
mind, memory, and understanding, do make, publish, and declare this as and for my Last Will
and Testament, hereby revoking and making null and void any and all Wills and Testaments and
writings in the nature thereof by me at any time heretofore made.
ITEM 1: I direct that my hereinafter named Co-Executors pay all my just debts, my
funeral expenses, and the expenses of the administration of my estate. With this direction, I
authorize and empower my Co-Executors to expend for my funeral expenses and interment such
amounts as may be considered necessary and proper, without regard to any limit that may be
prescribed by a court of law.
ITEM 2: I direct my Co-Executors to pay all inheritance, estate, succession, and
legacy taxes of whatsoever nature and kind, to which my estate or the transfer of any property
passing hereunder or otherwise passing by reason of my demise, may be subject and to charge
such taxes against my residuary estate, it being my intention that none of the aforesaid taxes,
either federal or state, on any property required to be included in my gross estate, under the
provisions of any state or federal law now in force or hereafter enacted, shall be prorated among
the persons interested in my estate to whom such property is or may be transferred or to whom
any benefit accrues.
ITEM 3: I give and bequeath unto my spouse, DAVID G. SHNELY, the right to
the use and enjoyment of my personal property and family antiques which are found in our
marital home at the time of my death.
ITEM 4: I give and bequeath unto my spouse, DAVID G. SHNELY, all of my
personal possessions that are stored in the basement of our home.
ITEM 5: I give and bequeath unto my son, FREDERICK A. SOUDERS II, all of my
financial investments, antique corner cupboard, antique marble top stand, small milk glass lamp
with red shade, antique coffee grinder, antique crystal sugar holder, the large clear antique oil
lamp on the mantle, the five needlepoint pictures that were made by his grandmother, two pull-
up chairs with needlepoint seats and the contents found in boxes above the garage in an area
labeled "Vivian's Property".
ITEM 6: If my husband survives me, I give, devise and bequeath my one-half
interest in our marital premises known as 873 Hawthorn Avenue, Mechanicsburg,
Pennsylvania unto REBECCA L. BAILEY and JEFFREY L. BAILEY, Trustees of the Funded
Revocable Trust created by David G. Shively on February 1, 2005. On the occasion of my
Page -2-
husband's death, I then direct that my son, Frederick A. Souders II, and my husband's daughter,
Rebecca L. Bailey, arrange to have the residence property marketed and the net proceeds
divided into two equal shares, with one being distributed to my son, FREDERICK A.
SOUDERS II, and the other to my husband's daughters, REBECCA L. BAILEY and CRISTINA
M. POULIN.
ITEM 7: I appoint my son, FREDERICK A. SOUDERS II, as Executor of this my
Last Will and Testament, directing that he shall not be required to give bond for the faithful
performance of duties in this or any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this - - `day of
~._...
2008.
VIVIAN j. SHIVE~.Y ~?"`
The preceding instrument, consisting of this and two (2) other typewritten pages, was
on the day and date thereof signed, sealed, published, and declared by the Testatrix herein
named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her
presence aid in the presence of each other, have subscribed our names as witnesses hereto.
t
OF
Page -3-
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF YORK
We, VNIAN J. SHN,~LY,
~/~
SS. /
!`~
and
the Testatrix and the witnesses,
whose names are signed to the attached or foregoing instrument, being first duly
sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed
the instrument as her Last Will and Testament, and that she signed willingly, and that she
executed it as her free and voluntary act for the purposes therein expressed, and that each of the
witnesses, in the presence and hearing of the Testatrix signed the Will as witnesses, and that to
the best of their knowledge, the Testatrix was at the time eighteen (18) years of age or older, of
sound mind, and under no constraint or undue influence.
SWORN TO AND SUBSCRIBED
BEFORE ME THIS ~~~'DAY
OF c~r~ ~~~ ~~ , 2008.
NOTARx' PU$LIC
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Janet S. Gore, Notary Public
~illsburg Boro, York County
My Ctxnmis~ort E~ires Od 25, 2010
VNIAN J.,.SHI~ELY
r-~,
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Member, Pennsylvania Association of Notaries