HomeMy WebLinkAbout06-21-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNS'~'I.VANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of Martin Ripson
a/k/a:
a/k/a:
a/k/a:
Deceased ESTATE NO: 21- t,~" ~ 1L N
-~_
SS NO: 167-16-2343
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AIYU "C" as
applicable:
^ A. Probate and Grant of Letters Testamentary or pAdministration c.t.a., or d.b.n.c.t.a. (completE~ Fart C also)
and aver that Petitioner(s) is/are entitled to the aforementioned Letters under
the last Will of the above-named Decedent dated ------
___ _____ __ - - _ _ _ and codicil(s) dated
____
The estate assets will remain in the care and custody of the Pennsylvania Records.
(State relevant circumstances, e.g. renunciation, death ofexecutor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution ol~the
instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, a.nd 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):
^ B. Grant of Letters of Administration C.T.A.
to appucauie, 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 (lf Administration c.t.a. or d.b.n.c.t.a., enter date of Will in Section A and complete list o~f
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:
Mamie Ellen Ripson P-aaress
9 Relationshi~to Deced~
8 Linden Street, Wyckoff, NJ 07481-2735 Daughter
Monica J. Allen 209 Cumberland Ave., Harrisburg, PA 17110 Daug~r
tiSE ADDITIONAL SHEE'CS (F NECESSARY -~-~ ~r;,. r--
nt
~..,;;
r ~-. ~~
c._
THIS SECTION MUST BE COMPLETED: ~~
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family orp~~p~ residence ~t.. , {'
At 30 Johns Drive Enola East Pennsboro Townshi 17025 --- "~=~ ~ ~
~ --+_ .. ~-__ r~
(Street address with Post Office and Zip Code, Municipality: Townshi Borou h, Cit - ~ ~
P, g Y) s:..~"
Decedent then 89
years of age, died 6/11/2011 at East Pennsboro Town~hir,
(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 $ 50 000.00
_If not domiciled in PA Personal property in Pennsylvania $ ----
_Ifnot domiciled in PA Personal property in County $ ----
_Value of Real Estate in Pennsylvania $ 120,000.00
Total Estimated Value $ 170,000_.00
Location of Real Estate in Pennsylvania: (Provide full address if possible.) 30 Johns Drive, Enola, East Pennsboro Twp 17025
C
Signature(s)
..•••••~~~~ .; :aau~u~, r+uuress~es)
~ ~ ) r ~ Martie Ellen Ripson 98 Linden Street, Wyckoff, N:I 07481-2735
~~//
~d../~~.li~, `~-- ~ ,!`~~ Monica J. Allen 4209 Cumberland Ave., Harrisburg, PA 17110
InIel'1111 1=on11 K~~~-~)~ I'e~'lsed ~ ~.~(?.1() bV CUI11~e1"iatld COUnh' C)encjtnn ar•tinn h.; t h:~ f'..,.,, ---
Y3~Te f Oi
~~V
J
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 area 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 aftirrr~td and subscribed
before me this _.l ~ da of
l-~a c / t A ~~ Y ~ ~l~r \Jl ~~IO~9~
- G
For the Register '~-~-„?°~,~ ~
..~ 'y. r-
~..~' ,ter ~.t n..3
--~.~ .~ ~
DECREE OF PROBATE AND GRANT OF LETTERS ~' ~~'' %~
~.1 ~
"""7
r, ""
Estate of }~,J1,(~~( -~ (~ ~. y ~~~~'~(~ ,Deceased File Number: 21- `' "'~ i -- --~~_~--+ ----
`T?' ~..,.,~~.
AND NOW, this day of , in consideration of the Petitiot~t ~on
the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters
Testamentary ,:~of Administration (i T(~. are hereby granted to:
(If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.)
the above estate and that instruments(s) dated ~ ~ C~Cj~ described in the petition be
admitted to probate and filed of record as the last ill and Codicil(s) of Decedent.
~%~~
lenda Farner Strasbaugh, ,fit- r_-~L~~~~-:~~ ~ ~ ~,~ ~
Register of Wills
FEES: Signature of Counsel Required to Enter appearance
Will ....................... ! ~
Codicil(s) .............. .
(C.;,) Short Certificates .'~[.(
(~) Renunciations....... ,~
Bond ............................ o
Other .............................
Automation FEE......... 5.00
JCS FEE .................. 23.50
TOTAL ................ $
-- ,.
r
Atty's Signature _ ~ ~`~~ ~__ ~ -~--~'~-~--'
PRINTED Name: ]ohn M. Eakin __
Supreme Court ID No.: 06351
Address: Market Square Building
Mechanicsburg, PA 1705-`i
Phone: 717-766-3172
Fax: 717-691-3281
_..Jk.'
"1-T ~~
`,~~- !,/
-~ . -r i
~.,
--r'l
r v ~ ~~
~~
Interim Foi~n R~~'-02 revised f 2.~h. l0 by Cumberland County pending action by the Court Page ~ of 2
_
L®GAL REGISTRAR'S CE~T'IF~C~~'14~[~N C~~ ~~~~
Y"V~,RNiNG: It is illegal to duplicate this copy b~ pl~otc~~mlat or ~al~~c~tc~.~at
Fee f~)r thts certiti~'alh. `~(~ l"f~;
P 17297~SC~ _
C ertifp~c~ttic~n :~iltl1~h,~r
.,.:z ~j t
'1 `v \ ,
it ~{, ~~,.I 1i10~~~1 .,~`.. ~_ , .. ,~~~ i' )i lr~(~~`Ai l()I: (ta i._ '~ t41f ;~
tit ~~4i(' ' `~.~~ ~, , ~l tt9.1f (I'Id~l~ 'ri U~ ~ ).~~slll
~` . .
~~ ~~ .S~r a .I 4~l {, al 3a it "' I~.t`~'liTtil' ~I~~' d+t!~'li;~.kx
.,
..~ ~y,,
'
f
,.,~ r u .- _- ~ _ ___ _ _
- - '~.- -
.... .~///lrF1~". ~ N
I) is I
r.:.. ~
t-~-~
~~' ~.
~ t,....
' ~~ ~
. r"
~..- -- ;
,~
~ ~ r-
-p
• • -
~-
a ~~; ~~~
t.. -
H705.143 REV 11/2006
TYPE /PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse) ~r~Tr= <„ ~ ,,,,,,o~„
t. name of ueceaent (hirst, mkidle, last, suttiz)
Martin Ripson 2. Sex 3. Social Security Number 4 Date of Deam (INonm, day, year)
Male 167 - 16 - 2343 June 1$
2011
,
5. Age (Last Birthday) Under 1 ar Under 1 da 6. Date of Binh (Monet, da , ear) 7. Bidh ce Ci and state or fore' count 6a. Place d Death (Check onl one
Monms Days Hours Minutes Hospital Other
89 Yes• November 23 ~ 1921 Bethlehem PA ®Inpatient ^ ER /Outpatient ^ DOA ^ Nursing Home ^ Residence ^ Other -
Specify:
86
f
C
_
.
ounty o
beam &. City Boro, Twp. of Death 8d. Facility Name (If not instiNtion, give sheet and number) 9 Was Decedent of Hispanic Origin? ®No 10. Race: American Indian, Black, White, etc.
^ Yes
•
(If yes, specify Cuban, (SPAN
Ctiunberland East Pennsboro Hol
S
i
it H
i
y
p
r
tal Mexican, Puerto Ricer, etc.)
osp
White
11. Decedent's Usual anon Kind of work done d uns most of world life. Do rat state retired 12. Was Decedent ever in me 13
Decedent's Education (S
edty
o
hi
h
t __
Kind of Work
K
i
f B
d
U
S
Armed Force
? .
p ty
D
g
es
grade completed) t 4. Marital Status: Marred, Never Marred. 15 Surviving Spouse (tt wife, give maiden name)
^,
~
7~~Q1 usiness) Industry
nl
~o
n...
.
)
B .
.
s Elementary /Secondary (0-12) College (1-0 or 5+) Widowed, Divorced (Speciy)
. an
cln ®Yes ^ No 1 2 4Vld
U
16. Decedent's Mailing Address (Street, dty /town, state, rip code)
30 Johns Drive Decedents 1'ennSylvania Did Decedent
Actual Residence 17a State
17c ~ Yes
Decedent Uved in F~tst Pennsboro
EnOla~ PA 17025 ,
Twp.
r~'..,L,...,, Townshi v
~-.wllUCl land p 17tl. ^ No. Decedent Lrved within
17b.Counry ActualGmitsof
16. Father's Name (First, middle, last, suffix)
Jacob Ripsam _
_ Ciry / Boro
19. Mother's Name (First, middle, maiden surname)
Theresa Kunder
20a. Informant's Name (Type / Prnt) 20b. InfomtanYs Mailing Address (Street, city /town, state, zip code)
Judy A. Sowers
1704 Pennsylvania Avenue Lancaster PA 17602
21 a. yMe~thod of Dispositon ~ ^ Cremation ^ Donation 21 D. Date of Dispositai (Monet, day, year) 27c. Place of Disposition (Name of cemetery, crematory or other place) 21 d. Loeifion (Ciryltown, state, zip code)
• f'J Bural ^ Removal h
rn St
t
o
a
e r Was Cremation or Donation Authorized
• ^ Omer- r by Medical Examiner/Coroner? ^ ves^ No June 25, 2011 Gate of Heaven Cemetery Mechanicsbu
rg, pA
22a. " ature use mce (o person acting as such) 22b. License Number 22c. Name and Address of Facility
rr~~ pp
- FD - 014889 Malpezzi Funeral Home Mechanicsburzd P~y17055
~
C to
only wirer certilyi 23a. To t of my knowledge, Beam occured at me time, date and place stated. (Signature and iRle
) 23b. License Number 23c Date Signed (Monet, day, year)
p ' "an is not available at time of deem to
~
r ~
~
s'
certny cause of seam
/
„_
~_~
l
_~_
Q ~
. {.
~f
w ~Z
~ ~
..
~
ttems 24-26 must be corttpleted by person 24. Time of Deem 25. Date Pr Dead (Monet, day, year) 26. Was Case Referred to Medal Examiner /Coroner for a Reason Omer man Cremator or Donator? C
~ who prorrourtces deem. ~f ~~
/
`, C
~ ~ ^Yes
!
CAUSE OF DEATH Instructions and examples)
r Approximate interval: Part II: Enter outer siartiTaant corxfitions conirbulra to deem. 2g. Did Tobaccq Use Contrbute to beam?
Item 27. Part C Enter me drain of event -diseases, injuries, or complicatwns -mat directly caused the deem. DO NOT enter terminal events such as cardiac arrest
r
,
Onset to Death but not restating in me underlying cause given in Part I ^ Probably
respiratory arrest, or ventricular fibrllafion witlatrt showing Ne eDology. List Doty one cause on each line. r ^Yes
~ ^ Nc Unkrawn
IMMEDIATE CAUSE (Farrel disease or ~ r
cortdiDon resuAing in Beam) S~ ~' ~~ ~~~
~~/~ ~C ~_ /~
29
tt Female:
-~- a
`
'~
,
r
.
. 7
r
At r~
r as a con rxxi of): r ^ Not pregnant wihin past year
Sequen6alhy list condiuorts' if ~'• b ~ C ~`^ ~ ~~ ~ ^ Pregrent at time of deem
l
fi
ea
ng to reuse listed on M1ne a. ~ i ^ Not pregnant. but pegnan( within 42 days
Enter Bte UNDERLYING CAUSE ~ t uerlpe o
(dsease or injur
that inNated th
~~
y
e c
~ `f _ ~ r of death
events resulting m Beam) LAST.
^ Not a rant, but r
Due conseq ~ i M g p egnant 43 days to 1 year
~ / !- ~
• ~ ~ r b
f
d
,
e
ore
d.
eem
~
a ~
^ Unknown if pregnard widtirl the past year
30a. Was an ANOpsy 30b. Were Autopsy Findirgs 31. Manner of beam 32a. Date of Injury (M rim, day, year) 32b. Descrbe How Injury Occurred 32c. Place of Injury: Hare, Farts, Street
Performed? Available Pror to Completwn
Fadory
,
,
of Cause of Deam? Natural ^ Homicide Olfae Building, etc. (Spedty)
^ Yes~o Accident ^ Pending Investigation 32d. Tlme of Injury 32e. Injury at Work? 321, M Transportation Injury (SpedfyJ 32g. Location of injury (Street, city /tows, state)
^ Yes No
^Yes ^ No ^ Driver/Operator ^ Passenger ^ Pedestran
^ Suicide ^ Could Not be Determined
M
^ Omer - Specify.'
33a. Certifier (check only one)
• Certifying physician (Physician certifying cause of deem when another physidart has pronounced deem and completed Item 23)
T
th
b
f 33b. Signatu Title of Certifier
~
~
o
e
est o
my knowledge, death occurred due to the cause(s) and manner as stated _ _ _ _ _ _ _ _ _ _ _ _
• Pron
un
i
d
rtif
i - v~~ ! ~i
~~ IFS ~~
o
c
ng an
ce
y
ng physician (Physician both pronourtcktg Beam and certifying to cause of death)
To me beat of my knowledge, death occurred at the time, date, and pWce, and due to rite cause(s) and manner as stated _ _ _ _ _ _ ^
• Medical Examiner/Coroner - - -' -' - - -' - - 33c. license Number 33d. Daf<! Signetl Monet, day, year) '
~ ~r-
Z G V~ ~~i 2
,
On the basis of examination and ! or investigatbn
in m
inion
o
death occurred at the time
dat
d
W d `
,
y
p
,
,
e, an
p
ce, and due to the cause(s) and manner as stated_ ^ 3q. (4a~.rte prfrtress of P
erson Who Completed Cause d Deam (I
t~~~YY
~~tt T
yp~-,Pr~t
"
j
35. R ~ s Signature and Disirk:t Numbe
36. Date Filed (Month, day, year) ~
~
L
~~
/
am-` C l ~ ' ~"t- 7' ~~~iC~ ~.~ `''~~ ~'~>10
`-
`
` U ~/ Disposition Pertrtit No. OS99517 V ~ ~~
OATH OF NON-SUBSCRIBING WITNESS(ES)
Cumberland
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Estate of Martin Ripson __, Deceased
Martie Ellen Ripson and John M. Eakin
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with Martin Ripson and am/are familiar
with the handwriting and signature of the decedent, and that the signature of Martin Ripson
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
Martin Ripson
is in his/her own proper handwriting.
(Signature)
98 Linden Street
(Street Address)
Wyckoff, NJ 07481
(City, State, Zrp)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this `~ ~ _ day
of ~~~~ , ~~ cl -
~ r~
~ ~
Deputy for Register of f~~ills
~J
~t - C..~.,~.--
(Signature)
Market Square Building
(Street Address)
Mechanicsburg, PA 17055
(City, State, Zip)
O
~ ~' ;-r,
n
~
7 ~]
~
r 1
r ;~ f:
-~ ~~
.,
~~
r~r-~ ~ ~ ~ ~ .~
~~.~
_-~ ~ -I-j _ ,-,,,
`~
~
Z'f
--+I ......
~ ~ ..
*
S"T'"f
,.`_
~
.77'
Z
'~~ `~ ~
"
'
.
~. i
1
Form RW-04 rev. 10.13.06
RENUNCIATION
REGISTER OF WILLS
Cumberland
COUNTY, PENNSYLVANIA
r--:~
~,.,
~'7
.
j4
M ~~
.~ .y ~ ~
.~ ~ ~
' ~1
"f~
CJ rj
°~ 1TI tV '
~ : ~~ is ~.=.
~~ ~
..M-- ,._
~. _ --
j ~,
, ~:~ ~
, --~,
~:
Estate of Martin Ripson
Deceased
I, Judith A. Mumma now by marriage Judith A. Sowers , in my capacity/relationship as
(Print Name)
daughter of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Monica J. Allen and Martie Ellen Ripson
June 21, 2011
(Date)
. ~dz~~.~
(Signa re)
1704 Pennsylvania Ave. _
(Street Address)
Lancaster, PA 17062 _
(City, State, Zip)
..
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this ,~ day
of _ _
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
pu es stated within on this ~~ day
of -__- ~ ,~1 -~ --
Deputy for Register of Wills
N~iry Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
t'~9MMQ~WTH OF PENNA~'VL4
NotaNai Seal
Janet I. MQbel, tVctary public
Lower Paxton Twp., t~UPhin CounCy
My Commisslon Expires Ott, 19, 2013
Member, Pennsylvania Association of Notaries
P 182-wai, a--79
.IULIUS BLUMBERG, ING_,
PueLiSHER, NYC 10013
~~.st ~i11 ttn~ ~rstttmrnt
~, I~IA.RTIT~3 RIPS(~N o f the
;Ii:-'~yNSiTiF~ of LO~;~JER ALLEN in the County of C ~:"!LBERLAIvTD
and State o f PEi~tN S YLVA1~i IA being o f sound mind and memory, d o make,
publish and declare this my last ~il1 t ~~~#~tm~en#, in manner following that is
to say
~ftr~#. I direct that all of my just debts and funeral expensE;s be paid as soon
of ter my death as may be practicable.
SEC~WF~~iD; All the rest, residue and remainder of my estate, :real, personal
and mixed, wheresoever situate, I give, devise and bequeath to m;y wife,
tiELEIti~ BILGCK RIPSUN , absolutely and in fee simple .
THIRD: In the event my wife should predecease me or die within thirty (30)
days of my death, then I give, devise and bequeath my entire estate as follows:
A. sum of two thousand (2,000.) dollars to GEGRGE C. KGHLER III, son of my
deceased daughter, SHARCN KOHLER deLA.RA.. The remainder of my estate in equal
shares, per stirpes, to my remaining children, to wits JliDITIi A, l~I~;MMA, MONICA
J. A.LLEsv and I~iARTIE ELLEiv' RIPSUI~ .
Fu.;43~'i-I: I hereby authorize and empower my said executor~tr'Lx within
his~her absolute discretion and in any manner and with the appro~ra:1 of my
aforesaid children, to sell , exchange , transfer or assign the who're o:r part of
real or personal estate .
n r-~,
~~
~ ~~ c r_n_
.:~t7
' -~T{ N
~ `tl'}
~ i l
..
.~ ~
:D , : ~.7
t
Li
~M .
~~
~~
•aaag3 axinbaa autos •sassau3tm pm3 3sgai 3g saatnbaa a~s~s Saan~*
s~'~ri~~1 ~o uat~~:ros~~~ ~nanr,~F ~ a;;_a~~~^,n3 - -t ~ ~ :~
• ~ ~._~-~
L~v L ~L7 ~~r'° 1(` 58.1,0`X' i)fi.5.a~ r .
,(}unc~ p~~Ei~.,un~ ~.~,a~~ u~iltlaa;•r,~~ ~,._~ ~..
J` 5~~1~1
~n~ ~LU~IoN ~~ _
1~ 8utpzsa.t
/! v ut is .;
7
_ ~ ~',,
u::s ,.~ .
~ ~ ~ ~ ,. ~ . p. a.c - ~ ,
~~
•aauap2sa,c ~o saav1d, aai~aa~sa,c ,cno sautivu ,cno a~isoddo a~a,cr~z puv `11z11~1 pzos aq~ ~o a~vp
aq~ ~o rCvp a~~ uo `,ca~~o lava ~o puv -~ ~ ~v~sa~ aq~ ~o aauasa,c~ a~~ u2 op tiga,ca~ ara~
gaagra~ `~oa,caq~ uoa~naaxa a~~ o~ sassau~i~t sv o~a,ca~~ saucvu ,cno u.~2s o~ `sn ~o lava puv
`sn pa~sanba,c puv `~ua~ui~~~a~~ ~u~ YY} sop -, ~ };; aq o~ autivs a~~ pa,cv1aap `~ui.cva~
puo aauasa,c~ ,cno ui `au~2~ au~vs a~~ ~o puv `sn ~o lava ~o aauasa,cd a~~ u2 puv aqua
-sa,c~ ,cno ui ~uautin,c~sui sa~~ o~ au~~u .• ,;~ pagi,casgns `pau~vu a~ogo ~:.~v.~sa~ a~~
6I a .. ~'o tivp
,.~~ ~-;~~~~ aq~ uo ~oq~ ~~l~~d~~ ~~ `pagi,casgns o~una,ca~ a,co sautivu aso~~r, `ate
J
• ^•T ~~7
J 1 ~ ~ ~ ~~ .
f ~ ~~.-__
l~_.- t,_._,...w-..._
• aazus ~~auz~ puv pa,cpunH uaa~auz~ .coati a~~ u2 ,zaqu~aoaQ ~o rCvp u~-oz
a~~ aucvu rCuc pagz,casgns o~una~a~ a2vq I ~~~r~~r~ ~~~~~1 ~n
~'1 ]~
• p~ea~s pine ao~eZd ,zau uI xz,z~.noaxa auk aq
o~ ' NJSdIH Pd~`I'I~ 3I,I~I~d1rd ' ~a~u~n~ep dui ~.uzodd~e pine a~.n~I~suoo ` a~.~euztuou I uac~~.
• eons sE ~o~ off. uos~ea~ ~uE .zoo atq~eun .zo ~u-~ZT-~MUn aq pTnous aus ~.uana auk uT
•apvuc auc rCq spparaz ,cauc,co~ 1pv ~u2~o2a~ rCga,ca~ `a~v~sa 1va,c a,~v.~~.couc ,co asva1 `rCartuoa puv
11as o~ ti~i,co~~nv puv ,cara~od ppn~ ~~ira~ `~uaucv~sa,L puv ppa~ ~svp rCuc `s2~~ ~o Xz~ ~naaxa
aQ o~ ` ~IOSdI~i ~i~0'II~ N~'I~i ` a,~zM ~cui ~2c2o~~v tiga,caq j ~~~~~~~'