HomeMy WebLinkAbout06-13-11 (2)IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of_ C~cc~~ q~ 2t2~....T
a/k/a: ,Deceased ESTATE NO: 21-~~_
a/k/a:
a/Ic/a:
SS NO: 18~ " 3~ - I l~~l.
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as
applicable:
l&A. Probate and Grant of Letters Testamentary or ^Administration c.t.a., or d.b.n.c.t.a. (complete Part Calso)
and aver that Petitioner(s) is/are entitled to the aforementioned Letters L
the last Will of the above-named Decedent, dated m S ~~ ~<s4~; .,,~k-~ under
iG O ~+r 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):
^ B. Grant of Letters of Administration
(If applicable, enter d.b.n., pendent life, durante absentia, durance 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(g), except as follows:
wa nuui t ~u1VAL SHEETS IF NECESSARY
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumbe
At ZZ~ ~,iYliE ~L..,,,_.__~ G
(Street
_._ ~-~
" ~7
~j -"- - r^
~~ ~ _ -~i
;; J C ;~
~ ~ r ~~ rn~
County, PenG~n1sylvania,>~with his/her last famil}~r principalt widen e
~2~~ ~. 7YlYnn"~ci~.: r'~ ~~
'with Post Of~e and Zip Code, Municipality: Township, Borough, _.,,,
Decedent, then ~S years of age, died ~1wa ~(j . v2 b l l at t ~ .
Month, ~~`~ 'L i P"~
Estimated value of decedent's property at death: ( y> Year of death) t~~ry ana Mate wh death occurred)
If domiciled in PA All personal property $ ~ ~ ~ ~ u~
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 $ ~ g ~Gq
~., ~~~,
Location of Real Estate in Pennsylvania: (Provide full address if possible.)
Signature(s) Name(s)& Mailing.4ddress(es)
I n ~ ° n,
- 223 4mf ~>"._- _t E1 ,~_,-~
Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court
Page 1 oft
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.
~o ~ ~
Sworn to or affirmed and subscribed r, ~~ c Asa ~-
~., Al c~- ,/a iT, c7 ~ vF ~ .~
bef re me this ~t~~ day of ~~~ w `_`'
~. .~--
~ ~ i ~~ ~
For the Register
DECREE OF PROBATE AND GRANT OF LETTERS
Estate of ~~~~ ~ ~, ~~ ~~~ ,Deceased File Number: 21- `~ -~~~
AND NOW, this ~~day of , in consideration of the Petition on
the reverse side hereon, satisfactory prof aving been presented before me, IT IS DECREED that Letters
testamentary _ of Administration 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 described in the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
FEES:
Letters ....................$ ~• ~~
Will ....................... ~ ~GL ---
Codicil(s) .................
(~.~-)Short Certificates ~~~~
( )Renunciations.......
Bond ............................
Other ............................
................. .
Automation FEE......... 5.00
JCS FEE ................... 23.C5~0 ~
,,V
TOTAL ................ $
~ ~ r
lenda Farner Strasbaugh~ ~~~ ~ ~ '
Register of Wills
Signature of Counsel Required to Enter Appearance
Atty's Signature
PRINTED Name:
Supreme Court ID No.:
Address:
Phone:
Fax:
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2
i(r5.gp5 RED ;O1/U71
I _ ~I .... ~~ ~ I
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, X6.00
This is to certify that the ini~>nnati(m here given
correctly copied from an originai Certificate of Deai
duly filed with me as (.Deal Registrar-. The origin;
- certificate wi!1 he forwarded to the Staie Vita
Recor ~ Offire `i>r mar t fiGn~t.
P 1727968
Certification Number ~~'J~L, /~~~
Loc Regisu-ar lhLte I=sus-use-d-
- C7 "' '
_ cTl ~ ... L r,,'~
_ ~ ~ r•- r-i-t
c1`~ W ~x,t~
TYPE /PRIM IN ~" s
H10Si43 REV 112006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ ~ Q ~ ; y~:.,.
SLACK INK
CERTIFICATE OF DEATH =
(See instructions and examples on reverse) -~ ~
7. Noma d Dewwra (Fuel, midde, rsl, au6u) STATE FILE '~
l+~~~~ r....
~-.u1LK D. ~eypX' 2. Sex 3. 3oCiel gygyrAy Nuo~, . Dste d Deem (M«M. ray. )teed
s. Age (Lae rl under t under t day e. Dme a arm Moran. de read 7. it~le lUt) ,1b - 3164 I"~Y 20, 2D1L\,)
"'"w! 0rya 11awa awvw Smt9rw (' aritl awe a laden canary ea. Plow d Death (Cheolt Day one)
rrs. I•hrch 30, 1946 Philadelpi'tia $. : omen:
' /iD. Camry(d~ De~em_-l ~~ c&~. qty, lbro. TwLp. d~Deem7L~,,, ~BdnFOerlfcly~N~rw (II nd Yysdw,,4.m,.~ y~vet_anteel ant «Lm+b~er)~ ^ I'~'b11' ^ ER / Ddpatienl ^ DOA ^ Norsirp Hans ~ gayde~ ^ _ ;
~Aa18JClJdli1 ShippaisbLU'g i^Y• GL7 .YLL~]S''^,ry tS ,'ilU~ +'y~LLYte4 8 (X y68yaCaba~n~ ~? ~ ~ ^ Yes 10. Raw: AlwlCan nldlan a.Gt, wnAe, ek.
ff/ N. Lkwawlrs Up~W,a ~ d wod done moq d vile. Oo nor awe 12. Was Derodara aver b the 73. Dewdera's Etluwtrn Mexican, Pumo Rico, ek.) (~M white
l ,,,,,,,y,,,~,d ~ Kntl d Bwarn / mduetry u.s. AmaM Forwa? (~H atlr Hplieat 9rada oort4leled) ta. MealY SYwa: MemW, Never Manietl. 15. Sunn4n9 ~aee (tl wtle, 9Ne mukn rema)
C t'.YHtLSpplt.'8t1Q1 ^Yes ®NO Flemenrry12Saopgary lPl2) CdrDe (1da&) WNbwed, Ohwwa (Speer)
i6. Dewaenl'e 1Wrp Addntas (areal, car! Wvn, Wb, xp Darer Y/jfION!'~
~ ~i.ppensbtsg MDbi1e Estates ARae~mnoa na. sal. PA L~nre mDBe °"" no ®yea, Dawdad u~d In ShiDD~ISbLr.o
ppensburg, Pa. 17257 ,m, qty, Townehq?
na. O Na oawaNn LAea wimm T"P'
18. FWUr'~~I~w.(F betp~)
r~Y~I7.tZ 19. MgMr'a Nrre ~w LNrar d
made, meiaen earww) Ccy /Sao
zoe. naam(a'~m~.,N~,.~malry7ya / Pr:~ai BPSSie h~rie Sites
"~J~~ L. r~,{tter za. Idamanre ualGp Adar«s (Straal, ay / pa,,, Blab. ~, ooh)
_ z,a.Mdnodaaapwnior, ~ ~ ~PPglsburg Mobile Estates ShippensbLUg, pg• 17257
^ 0®r Saw ^ Remww hen Stns Wa Crwnetlon a Dertetbn AWgdua 21b. Dale d DieDwarn Mash, wY• yud 2fa Piece d Dipwitim (Nenie d carielery, aamelay a omen prw) 21d. loratgn
~'rF" M Maeicel Euminer/ Caorwr ^ Yas ~ No ~ 27, 2011 ]1~yrvi1~ ~tery (Cqy /ban, erb, ziP wee)
_~ •' Ile. signanaa d Fuww serviw Llwreee (a person anP ~ each N~YVille, Pa. 17241
~ ~ ~ ~. ) Ffl-012864'L z2c.N^neandAaaaa.dF '
~ ~ & GY~tory. Inc. 51 Asper Dr. ShippgySburga pg. 17257
pry Id~er~ b ru avepehle~r Yna d awm w x1a. To m. eaa a mr loolvleaw~ aem ocaarea el ma uma, der rd Pbw aYbd. (Siwwia ew tltla)
wrlily wwe d dedn. 29b. licewe Number 23c. Dale
Sipryp Monm, day, reed
_~ lbma 2l-26 m,w wwmpldad by person 24.lirwd _ 25. Deb t>~pr,an,
~ Prerlo«xes ~. x Ys M. ~, ~ 26. Wee Cue Relen«1 b Medal Examiner / Gxowr for a Ream omen Alen Cremelrn a Dorialion7
CAUSE OF DEATH (Sea Inatnrctians ands plea) V Z O' ~ru ^No
torn 27. Pal I: Eder tlw dyo d ovmm- area. iyuhas~ a mnplipyw~s-ryw y~yy wuaea me deem. DO r amen tardrw avant, eucfi as wrdac 1 ~f0pA18'e naval. Pas II: Eder dear . ..
rwpYaloO' etrep, «vedricurr Ilhrila3on wNhaa showing the etiobgy. Lw ally ae wwe on each Ira. ~' ' tymel b Dmm ba na1 ~ 28. Did Tabareo lbe CmbOae to Dwm?
r re&Mg r the untladyYq wwe ghen h Pas I. ^ Yea ^ Prohedy
WY DIATF CAUSE ffnal d'cease a r
dwdngr ) ~ a. N [Dim ' ^ No ^ Unknam
r
uue r la as a oorwr« ' 29. X Female:
au~ efsl~ed m ramie a. b' / i ~ Nd PaPlaa wilNn Past year
Ede UNDEryRLYSIG CAaUaSE Due r (a u e wrtaeplance d): r ^ Pregrnm q rw d dam
evens renaag i, ~hLAST~ ~
c. ^ Nd d, bd
Due to (or as a Consequax;e d): r a ~Prm na a•lrnnl wUan 42 days
tl. ~
r ^ Na pmpianl, ba prepmnl43 days r t year
30a. Was en Aulgrsy 30b. Were ' belae tleam
Peaamed7 Areaaaeprpr b CmyaN'xxi 31. Manner d Death 32a. Dar d rhel' (MaM, day, read 32b. Despite Fbw Iryap Ocawed ^ Unr10N'n a pregnad rams aye peal year
a Cause d Deem? dew ^ tialaade 32c. New d
,-,!/ / sexy: Monte, Farm, ared, Fa tar,
Wa G ~ ^ rap ~'lP'r ~'~Qoa"' ^ PainnP mvea,wauon 3zd. rang a Mgun 32a. °mw along. aw. rspean')
nMaY d Wak? 321. a Tmreparlrn In'
Q setae ^ caie Nd na Odemanad nav IsPaaNl 3zg. Lastion a hyury (areal, ar /Lam, ante)
33a. CaMter (a,ack °dY ate) M. ^ res ^ No ~giva~hdt« [] Ptasenger ^Peaesnwt
' T ~M~ a arrn (plryaaan adayoq waea d deem wear anana gryslda„ lma pra,w„wa deals am aanpara pem z3 ~. ~wre pro ran arse
my rnwkdge, aeetn awrawa Due r Nte aumele) enamanner ee eterd_ --- --- -
• To~lAebeat~d my rpwrage,aMnawuRad yy"ma Dme°'dete'xld pWx~, ~s ~) asamed__________________ ^ ~`.Nar°ar 33a. Date •.
• Medical Examiner/Coroner O ~ h, day reed
~ On the bur a etmnNrliarr end I a imeetipolon, In my opidon, death seamed h Ilte time, data, ant
t-
glare, end due to Ste eeuee(s) entl manner u sletetl ^ ~. -~..~ ~ I
LL° 3~'.J,N.«~w ew Address d Person Who Carprtetl Cause d Dasm IRem 27)YType / W~nI~
36. Regrtrar's signeM1we and Dw' r l 36, Feed Moan y, read ' N.~ ie~ ~m ~,~ l!JF' I 1 mC~1 l +J - 0 .
~ ~ ~ ~ ~ 3~'za -l P r ~3
Dl~waion Pami No.- Q lfr 'l s"l ~ ~1 IL 1"~ a ~ I aS-~
JRZ - 5.1 reever.l May 5, 2011
LAST WILL AND TESTAMENT
I, Clark D. Keever, of 223 Shippensburg Mobile Estates,
Shippensburg, Cumberland County, Pennsylvania, being of sound and
disposing mind, memory and understanding, do hereby declare this to
be my will, hereby revoking any and all former wills and codicils
thereto by me heretofore made.
n„~
n C~
r ~ ...,.
I. W~~ Y
~~m --
~ ~ ca
~~~ -~
I direct that all m ~~
y just debts and funeral e.$nses;.
including all expenses of my last illness, shall be paid from my
estate as soon as practicable after my decease as a part of the
expense of the administration of my estate.
II.
I give, devise and bequeath the residue of my estate of every
nature and wherever situate to my friend and caregiver, Crystal L.
Menter, providing she shall survive me by thirty days.
III.
Should Crystal L . Menter predecease me or die on or before the
~1
~J ~'~
S_e ~~
'-~ =_._7
"., _
r_ .
-~~; r;,
-~=' t .,
c: `'
-- -„
~~ rn~
thirtieth day following my death I give, devise and bequeath the
residue of my estate of every nature and wherever situate to my
following named grandsons, Donald E. Russell and Kyle Russell, in
equal shares.
IV.
Any fiduciary under this will shall have the following powers
in addition to those vested in them by law and by other provisions
of my will applicable to all property whether principal or income,
including property held for minors, exercisable without Court
approval, and effective until actual distribution of all property:
A. To retain any and all of the assets of my estate, real or
personal, without regard to any principle of
diversification of risk.
B. To invest in all forms of property including stock,
common trust funds and mortgage investment funds without
restriction to investments authorized for Pennsylvania
fiduciaries as they deem proper, without regard to any
principle of diversification of risk.
C. To sell at public or private sale, to exchange or to
lease for any period of time any real or personal
property and to give options for sales, exchanges or
leases, for such prices and upon such terms or conditions
as they deem proper.
D. To allocate receipts and expenses to principal or income
or partly to each as they from time to time think proper.
Page 2
E. To compromise any claim or controversy.
F. To distribute in cash or in kind or partly in each.
G. To hold property in their names without designation of
any fiduciary capacity or in the name of a nominee or
unregistered.
V.
I direct that all taxes that may be assessed in 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.
VI.
I appoint Crystal L. Menter as executrix of this my will.
Should Crystal L. Menter predecease me, fail to qualify or cease to
act, I appoint my grandsons, Donald E. Russell and Kyle Russell, as
co-executors of this my will.
VII.
No bond shall be required of any fiduciary hereunder in any
jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my
Page 3
last will and testament, consisting of five typewritten pages, the
first three of which bear my signature in the margin for the
purpose of identification this
__,(Q ~' day of
2 Q!! .
l .
~~ (SEAL)
Signed, sealed, published and declared by the above-named
testator as and for his last will and testament in our presence,
who in his presence, at his request and in the presence of each
oth have hereunto set our hands as attesting witnesses.
_ ~~us ~,~
r
L
~~~ 1We, Clark D. Reever, ~~ ~~~ 1., ~~n/ and
I--~- the testator and the witnesses respectively,
whose names are signed to the attached or foregoing instrument,
being first duly sworn, do hereby declare to the undersigned
authority that the testator signed and executed the instrument as
his last will and testament and that he executed it as his free and
voluntary act for the purposes therein expressed and that each of
the witnesses, in the presence and hearing of the said testator
signed the will as witnesses and to the best of their knowledge
said signer was at that time eighteen years of age or older, of
Page 4
sound mind and under no constraint or undue influence.
Subscribed, sworn to and acknowledged
before me by the above-named signer and
subscribed and sworn to before me by the
above-named nesses this _~ ~/~ day of
Notar Public
COMMONWEALTfi OF PENNSYLVANIA
Notarial Seal
Carin L. Walter, Notary Publ6c
Chambersburp Boro, Franklin County
My Commission Expires May 18, 2018
Page 5
~ ~,
Testator