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Home My WebLink About05-18-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of WILBERTA E. a/k/a: a/k/a: a/k/a: SS NO: 161-34-4356 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 C7 ,:under . -, the last Will of the above-named Decedent, dated 6/12/2009 and codicil(s) dated ~ ~ -~ ` -T' ,_ - , ,.~ ;- ~~ _~ , ~.~~ (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 afteUexkctiti~n of tare instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated per~ott~and was not a _' party to a pending divorce proceeding at the time of death wherein grounds for divorce had been esta~~is~ed as de'fi;~ted it1 - ;^~--+ --ri 23 Pa. C.S.A. § 3323(8): NONE. ~ ~ - ~ ~ ~ c. ^ B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent life, 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), except as follows:- Name HULLr CJJ ... .............. ... ~___-- iiSF. ADDITIONAL SHEETS IF NECESSARY THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 105 S. 15TH STREET BOROUGH OF CAMP HILL PENNSYLVANIA 17011 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 72 years of age, died 5/6/2011 at HERSHEY MEDICAL CTR., HERSHEY, PA (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 $ 1,000.00 If not domiciled in PA Personal property in Pennsylvania $ If not domiciled in PA Personal property in County $ Value of Real Estate in Pennsylvania $ 40,000.00 Total Estimated Value $ 41,000.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) 105 S. 15TH ST., CAMP HILL, PA 17011 C'unafnrvlcl Name(s) & Mailing Address(es) ...b..-_~_ _`_~ ~ ,~,~.~ SUSAN M. ROTH, 440 W. Locust Lane, Nazareth, PA 18064 Pa oe 1 nf? MOOD ,Deceased ESTATE NO: 21- I (J' JC~' Interim Form RW-02 revised 12.26.10 by Cumberland l;ounty penamg acnon oy uie ~ uw r 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 ~ ~ `~! , ~~ `_ n _ a, ~~ _, e ore me this 1~4~ da of ~ ~_ ~ ~ .~ ~~~ f _ ; -, ., __ -, c ~ ---~ _ ~., For the Register _~ ~':=; .. ~,~ DECREE OF PROBATE AND GRANT OF LETTERS ` Estate of WILBERTA E. MOOD ,Deceased File Number: 21- AND NOW, this ~ g day of ~'(,~. ~G ~ ~ , in consideration of the Petition on the reverse side hereon, satisfactory proof havi een 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.[.a., etc.) SUSAN M. BOTH in the above estate and that instruments(s) dated 6/1z/2oo9 described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. ~ ~~ ~~ ~ ~ Glenda Farner Strasbaugh, ~~ ~7 Register of Wills ~` FEES: Letters ....................$ , Will ........................ r Codicil(s) ................. (~) Short Certificates ~ , ~~ ( )Renunciations....... Bond ............................. Other ............................ ....................... Automation FEE......... 5.00 JCS FEE ................... 23.50 ~-x~ TOTAL ................ $ ..8-50'" Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Nam SA MARIE COYNE Supreme Court ID No.: 53788 Address: 3901 MARKET STREET CAMP HILL, PA 17011-4227 Phone: 717-737-0464 Fax: 717-737-5161 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 losso~ rzee ~uumi LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, X6.00 P 17299772 Certification Number This is to certify (iuU the inttrrn)ation here ~~i~°en is correctly copied i~ru)~~ an tyriginal Ccrtiticatc of Death duly tiled with mc~ ati Local Regisu-ar. The ori;?ina! certificate will bt: fi~rwardcd to the State ti'ital Records Office,,1<11 permanent tilin~~. yy~U g~ /Gnrt~ ~'l -~ --- - " --M~Q-L-~11 _ Local Re~ish~ar D.1tc lti~tled __ _ __ - _ n .- _- _ ,~.. a-) _ _ -- ~ _~, .T-, _ _ ~ - •' ~ ~ :: _ ;_. =_ . --: .:-; _. ,_, _, _):, 3 REV 1112006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS }' - "~ ~ `I PRINT IN `- --~-~ 9MANENr CERTIFICATE OF DEATH C ACK INK (See Instructions and examples on reverse) STATE FILE NUMBER 1. Name d oereaa,n (Flrel, middle, IeeL sdex) 2. Sez 3. Social Secudy NurtOer 1. Gate of Deem (Momh, day, year) Wilberta E. Mood emale 161 - 4 - 4 5. Age (L881 Batltdey) Under 1 r Uarer t de 6. Dared &nh , de , 7. BI C aM slate a f coo 6e. Place d Death Check on one Mt31ha Days Ilowa MmMU Hospital: Other 72 vrs. March 28 19 ~ ~ Inpetlem ^ ER / Oulpelbnt ^ DOA ^ Nursing Home ^ Residence ^ Olhar Spedy Bb. Ccunty d Deets &. City. Boro, Twp. d Death 6d. Fecaity Name (N not ktetl6NOn, give sweat and number) 9. Wes DecedeN d Hispanic Origin? [~ ~ ^Ves 10. Race: American Indan, Black. White, etc. (K yea, aD•dty Cuban, (SpaciM Dau his T "~"~"~ Pwrto Ricfln, pro.) White 11. DecetlenYs Uewl on Kmd d wale tl one nand ae. Do not state retl 12. Wes Decedent ever m Nte 13. DerzrdenYs Educetlan (Spedly only higlresl grade compl eted) 14. Madre) Stabs: Marred, Never Merrksd, 16. SurvMng Spo use (It wee, gwe maiden name) Katl d Wak Kind d Buelnus! Industry U.S. Amsd Faces? Elemenrery /Secondary (0-12) College (1d or 5+) Wxlowed' DNacetl (SPAY) Cleaning Lady Self ^ Yea g] Ne 12 16. Decedem's Mailing Address (Street, dry I town, state, zip code) DeredenYe Did Decedent Pa Live Ina A t l R id 17 ^ 105 South 15th Street c ua es ence a. State 17c. Ves, Decedent Lwed in Twp. Township? - ill 17011 pd.~ q~, Decedent Lived wKhin Camp Hill 17b.Cowty CLmtberland ~~Ci Pa H ~~/~ wlumind 16. FeUels Name First, rtidde, lest, sul9x) t 19. Mdhefa Name (Flrsl, mWde, maiden sumeme) Rosset i E. Mood Eleanor Manion 20e. IdomsnYs Name (Type I PnM) 206. InlomsnYS Meignp Address (Basel, dry /town, amre, zip code) Zoe Bukosk _ 3431 Wilson Avenue Orefield Pa 18069 21 a Metlad d DisPOS6mn i [~Crometlon ^ Danetan 216. Date d Dispositlon (Malls, der, yea,. 2tc. Place d Olapoeitlon (Name d cemetery, aemetory a other INace) 21d. Locatlan (City (town, srete, zip code) ^ Bunn ^ Removal hen State i Wee~ranetlon C AWlwrized ^ ~,. 6y ~ Yes^ Na y f Ma 11 2011 Hollis er Cremator Mt Holl S rin s Pa 22a. re SeMCe or each) 22D. License Number 22t. Noma and Address d Fac911y - 0116 4- Complete Hems 23a-c only when cerAlyag . To me beat d my Mowledge, tleam occurted et the tlme, date and place stated. (Slgnehae and tltle) 23b. License Number 23c. Date Signed (MOnM, day, year) phyaiden re rat evaNebre et acre of death a cadY ceuee of deaN. aerre 24-28 mull Oe CbrlipWtetl by person 24. T"in~a d Deets ronouncetl Deed (MOdh, day, year) 26. Date P 26. Wes Case Referred ro Metlkal Examiner I Coroner for a Reason Other man Cremation or Dorefion? who praaunree deeo~. y~ I ~ 4 f M. M M„ 7 '2 ^ Vea ^ No CAUSE OF DEATH (Sea inafzuetlona end eslernplas) i Approximate interval: Pan II: Eder other nknlAcent condeorre contrihuena m dam 26. Ditl Tobacco Use Canldsule to Deem? Iqm 27. Part 1: Eder ds dam d evems -diseases, inlurree, a complkeUons ~ that dhadty ceased the death. DO NOT enter rermmal evens such as cardrec artesl, ~ Onael to Death 6u1 not raedang In Me underlying cause gNen in Part I. ^ Yes ^ Probahry respiratory arted, or venhicuter 16nNe0an wlUaut ehowkq Me etlobgy. lief Doty one ease an Bath Iles. r o~ ^ NO Ll]Y Unknown aa4EDU17E CAUSE lFxsl deeeee a /1~ d~~, A ~ ~/ Gu~~ ~~ ~~ w~ ~ wre8eon reaulUrpmtlBBd) _~ a. ti1IV'tAIltd2h~iVl/k GrtM~F rW/V~ iaW,l,(ryfN/C 29. [[N7F~nem''a~~le: h Ow ro (a tie a coreequeree oQ: Pregnant wit in past year S en roridtlas, a •°Y• b. ~.n ~ ~ W ~.~L-~itL /Z{'tl~l/~f~ i Pregnant et ems of deem ^ ~ a D ro ro ent, but pregnant whhin 42 days (a m e wneaquanc ue/ UNDERLYWD CCAUSE en°~t Enter / ',, , ,/ r ++ of dee~ , s t ,YS (deuee a kqury tlst in6tered the c. S u V ~1t'L~'ll/' VYp /~l 1'i ~-11/~7L.lIF'NWl3 i ^ evade resulOrg m dulh) LAST. i Due te (a as a coneepwnce oq: ~ Not pregrenl, but pregnant 43 tleys fo t year balsa death d. i ^ Unknown N re nant within the t p g pas year 30a. Wes en Auropey 30b. Were Autopsy Findnps 31. Manner d Deets 32a. Date d Injury (MOnlh, day, year) 32b. Describe Hex Injury Occurred 32c. Place of Injury Hone, Farts, Sheet, Factory, Penamed? Avegede Pna ro Compkeon d Cause of DeeM7 rn W NeNrel ^ Homidde 01fx:e Bulldog, etc. (Specify) ^ Yea ~ No ^ Ves ^ No ^ Acddent ^ PeMMg Imestlgetlon 32d. Tone d Injury 32e. Irqury et WaK1 321. I1 Treneportatlon IrMUry (Speciy/ ^ 320. Lacetbn of injury (Sheet, city I town, state) ^ Suidtla ^ Could Nd be Dnermined ^ Ves ^ No DdverlOperate ^ Paesenga ^ Pedaehian M, Other - Spea'ly: 33e. GrtlMr (dick anty one) 33b. Signs tl Title d Certleer • CartBying phyakten (Phyeiden urt9ying pose d deeM when arelher phyciclen tree prmounted deem and completed Item 23) To dr bandmy knowMdge,dudl oeeurnd dwroeM awe(a)snd manna tie arebd________________________ ________ ^ ' Pronourehlq and eardlrlnY P6r•kre° (Physiden hots prawuaing dots and redtying to dose d rreaN) ednth tlm end laa end dueroths awa(.)and manna ae ahdd ^ l d d M doe T th h n f b 33e Lkeree Number 33tl. Date Signed (Month, day, year) } 0. p ------------------ iow pa, a. oaurt a , o e e o my a 0. • M.alen ExemmarlCamar T ~ GI On tlw hula d examination end / a ImutlyBOn, In my oproron, dots aeurred n the tlme, dote, end place, end due ro the owe(s) end msnner w staled. ^ 34. Name end Addreu d P r~ on W ho Complet ell Cause d Deam (Item 27) Type I Print e / ~ Q , ~ , t a Di 36 D ~ da ~ , , ~~~~ ID~+~wdN d r 36. t>egrewre flr ea ~ I o471 ~ I ~ I ~ I / I ~ ~ p , y, / / 3 M.S. Hershey Medical Cir. ~ ` ~ Disposition PermB No. ~,~`~/~. ~/~ _: (q~~,~ ~' ~ 1 -~. 1 ~ - _^a ~. . Ci I, WILBERTA E. MOOD of 105 South 15th Street, Borough of Camp Hill, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any will or codicil previously made by me. ITEM 1: Upon my demise, I direct that my body be cremated and my ashes be disposed of in accordance with the instructions I have provided to my Executrix. ITEM 2: I direct that my funeral expenses be paid as soon as practical after my death. ITEM 3: I direct that all taxes and interest and penalties thereon that may be assessed in b ,.-. ~:. .~ O w ~~ _~! ~ ~ ~ ~~ ~ °' 3 consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my Estate. ITEM 4: I give, devise and bequeath TWO THOUSAND DOLLARS ($2,000.00) to the Helen Krause Animal Shelter, Dillsburg, Pennsylvania, or its successor, a "no-kill" charitable animal care facility provided that the Helen Krause Animal Shelter shall take possession and care of my cats so that the natural lives of my cats shall be preserved. Should Helen Krause Animal Shelter no longer hold the status of a "no-kill" animal shelter, I direct my personal representative to donate my cats, to another "no-kill" charitable animal care organization which will insure that the natural lives of my cats shall be ' 33 1~ Page 1 of 7 preserved and that charitable animal shelter shall be given TWO THOUSAND DOLLARS ($2,000.00) for the care of my cats. Should I no longer have cats at the time of my death, this bequest will abate. ITEM 5: I give, devise and bequeath all the rest, residue and remainder of my estate of every nature and wheresoever situate, together with insurance thereon, to my niece, SUSAN ROTH of 440 West Locust Lane, Nazareth, Pennsylvania 18064, providing she survives me by thirty (30) days. ITEM 6: Should my niece, Susan Roth, predecease me or fail to survive my death by thirty (30) days, I give, devise and bequeath all the rest, residue and remainder of my estate of every nature and wheresoever situate, together with insurance thereon, to my niece, ZOE CARUSO of 4098 Windy Road, Orefield, Pennsylvania 18069, per stirpes. ITEM 7: My Executrix or her successors shall have the following powers in addition to those given by law to be exercised by her in her absolute discretion, which powers shall be applicable to all property held by her, effective without the order of any court and until the actual distribution of all such property: a. To retain any investments at discretion including stock of any corporate fiduciary hereunder or of a holding company controlling it; b. To invest and reinvest in the executrix's discretion as permitted under Act 28 of 1999, as ~~ i ~f c C,y -~-? E J~ -~.~ -J ~ amended, the "Prudent Investor Act," with the specific right to invest in stocks, bonds and real estate, including non-income producing residential real estate for the occupancy of any present income beneficiary or beneficiaries, and in such diversified, proprietary money market and mutual funds, including such mutual funds of any corporate fiduciary hereunder or those of any successor or afftliated corporation or a holding company controlling it, as my executrix deems appropriate; c. To sell, to grant options for the sale of, or otherwise convert any real or personal property or interest therein, at public or private sale, for such prices, at such tune, in such manner and Page 2 of 7 upon such terms as they may think proper, and to execute and deliver good and sufficient conveyances, assignments and transfers thereof without liability of any purchaser to see to the application of the purchase money; d. To borrow money and to secure the repayment thereof by mortgage of real or personal property, pledge of investments or otherwise, without liability on the part of the lenders to see to the application thereof; e. To compromise claims by or against my estate or any trust created hereunder; £ To allocate and distribute different kinds or disproportionate shares of property or undivided interests in property among beneficiaries or trusts, in cash or in kind, or partly in each; g. To register investments in the naive of a nominee or to hold the same unregistered in such form that they will pass by delivery; h. To join in any recapitalization, merger, reorganization or voting trust plan affecting investments; to deposit securities under agreement; to subscribe for stock and bond privileges; and generally to exercise all rights of security holders; To manage, operate, repair, alter or improve real estate or other property, and to lease y-., vJ ,~ ~ ~' --~ ~ ~:~ ., ~ t ~J i .. ~i ~~ real estate and other property upon such terms and for such period as my executrix deems advisable even for more than five (5) years and beyond the duration of any trust; j. To deduct administration expenses upon either the federal estate tax return or fiduciary income tax return with or without adjustment as between principal and income, as my corporate or disinterested executrix shall determine; k. To associate with them in the absence of a corporate fiduciary, an accountant, custodian and investment advisor, and other agents and to compensate them from principal or income or both, as my executrix shall determine, such compensation to be a reduction of the compensation of my executrix; Page 3 of 7 To associate with her at any time, in her absolute discretion and of her choice, a corporate fiduciary which shall have the same powers as my executrix, such designation by my executrix and acceptance by a corporate fiduciary to be in writing; m. To combine, without prior court approval, any trust herein with any other trust with substantially similar provisions, although such other trust may have been created by separate instruments and by different persons, and, if necessary to protect different future interests, to value the assets at the time of such combination and to record the proportionate interest of each separate trust in the combined fund; provided however, that no such combination shall be permitted if the effect of such combination would be (I) to violate the applicable rule against perpetuities; (2) to disqualify any interest in one or more of such trusts for a deduction for federal estate tax purposes which would otherwise be allowable; or (3) to cause the loss of the exempt status of one or more of such trusts from the imposition of the generation-skipping tax; n. To exercise any stock options which they may receive; to borrow such funds from any :~)) 1S source as my executrix may deem necessary for the exercise of such options; and to pledge assets as my executrix deems appropriate for this purpose; o. No trustee shall be required to qualify before, be appointed by, or, in the absence of a breach of trust, account to any court (and failure to account alone shall not be considered such a breach); nor shall trustee be required to obtain the order or approval of any court in the exercise of any power or decision granted hereunder; p. To allocate any generation-skipping transfer tax exemption from the federal generation- skipping transfer tax to any property to which I am deemed the transferor under the provisions of Section Page 4 of 7 2652(a) of the Internal Revenue Code of 1986 and its successors, including any property transferred under my will and any property not in my probate estate and any property transferred by me during life as to which no allocation was made prior to my death, to the extent necessary to cause the inclusion ratios applicable to such transfers to be zero; q. To disclaim any interest in property without court approval; and r. To do all other acts and things necessary or appropriate in the management, administration and distribution of my estate or trust. ITEM 8: In the event any legatee or devisee named in this will dies under such circumstances that there is not sufficient evidence to determine absolutely where such legatee or devisee survived me, I direct such legatee or devisee shall be presumed to have predeceased me and devise and bequeath the gift in favor of that legatee or devisee to such persons and in such manner and in such proportions as set forth in this will for distribution if the legatee or devisee predeceased me. -~ ITEM 9: Until distributed, no gift or beneficial interest shall be subject to anticipation or ~ voluntary or involuntary alienation. =., ITEM 10: I appoint my niece, SUSAN ROTH, Executrix of this my Last Will. Should my ~w niece, SUSAN ROTH fail to qualify or ceases to act for any reason as my Executrix, I appoint my niece, J c-~j ZOE CARUSO, alternate Executrix of this my Last Will. .J ._ ITEM 11: I direct that my personal representative or her successor shall not be required to give bond for the faithful performance of their duties in any jurisdiction. Page 5 of 7 IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this day of ~~ ~,~;,,~~~ , 2009. ~~ 1 d BERTA E. MOOD Signed, sealed, published and declared by the above-named Testatrix as and for her Last Will and Testament in our presence, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. residing at ~~~~~~ ~~~ „y~ ~~ / T~ S-S ~ ") t~-~ • ~ y~~ residing at Page 6 of 7 COMMONWEALTH OF PENNSYLVANIA ) ss: COUNTY OF CUMBERLAND ) We, WILBERTA E. MOOD, 5 /k Z ~ L , and f~i ~~ /r/1• ~rrt.21. ,the Testatrix and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being firsi duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the will as witness and that to the best of his or her knowledge, the Testatrix was at the time eighteen (18) years or older, of sound mind and under no constraint or undue influence. Witness Subscribed, sworn and acknowledged before me ~ by WILBERTA E. MOOD,) ^-the Testatrix, and subscribed and sworn to before me by L 1~~. ,v~ ~-rz/ ~" Ci..N ~ and day > ,the witnesses, this ~ day of ~(,.J N E , 2009. otary Public / (SEAL) NOTARIAL. SEA! Henry F. Cnyn~; Notary Public Page 7 of 7 Mampd~n Township. Cumb~rlsnd County My COnfrlnission Expir~s,Luho 17, Z4~?