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HomeMy WebLinkAbout07-11-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of Doris E a/k/a: a/k/a: a/l:/a: Pifer Deceased ESTATE NO: 21- - ~~ ,~° SS NO: 186-34-0720 Petitioner(s) who is/~.~ 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( is/s~ entitled to the aforementioned Letters Testamentary under the last Will of the above-named Decedent, datedNovember 7 , 2007 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 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(8): NONE ^ B. Grant of Letters of Administration (If applicable, enter d.b.a., pendent lite, durante absentia, durante minoritate) C. Petitioners j, 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 e.t.a. or d.b.n.c.ta., 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(8j, ~ept as folic: C ==~ ~=`' --, Name Address _ Rel n~ to DeceEL~aat ~ ' .~ ~ ~~- ~r -~ ~ G7 ~) c~ t~ ..; ~-~-, ..'~ ti ~;5t, anal r tc~~~~al, ~~i~~,>~,~i s i~ Nrc~i~~sA~ts- .. ~~~ , . . THIS SECTION MUST BE COMPLETED: r~, ' Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 1110 Granada Lane, Mechanicsburg (Upper Allen Township}, PA 17055 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 66 years of age, died July 1, 2011 at East Pennsboro Township 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 (Value (Month, Day, Year of death) (City and State where death occurred) All personal property $ Personal property in Pennsylvania $ Personal property in County $ based on R/E Tax Assessment) $ Total Estimated Value $ _45 500.00 _ 165, 800.00 _ _ _211, 300.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) _ __ _ _ _ Sil;natut-e \ame(s) & it~lailin~ Addt•ess(es) Vicki L. Parks, 118 Martel Circle, Dillsburg, PA 17029 .<«~,~~„ ru,~,~ ,~ w-vim rcviseu i~.~o. i ~~ oy ~,urnnenana t_ounty penctmg action by the Court Page 1 of 2 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 t11e 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 ~`' before me this ~ { •_ day of v cki L. Parks July ZO11 C7 c _.~ ~_ ,_ ~--, ----- For the Register ~'' ~ ~ .?~~ ~ '. DECREE OF PROBATE AND GRANT OF LETTERS ~~~' ~ m .:~. ~. r, ~. Estate of Doris E. Pifer _, Deceased File Number: 21-_~_- '} *~ ~ AND NOW, this •.' ~ day of July, 2011 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters x Testamentary of Adrninistration are hereby granted to: (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) Vicki L. Parks in the above estate and that instruments{s) dated _~tovember 7, 2007 described in the petition be admitted to probate and f led of record as the last Will and Codicil(s) of Decedent. n Glenda Famer Strasbau~h Register of Wills ~ ~~ i ~~ ~~{~~'`~'~~ `~ ~~~ ~ ~'' FEES: ~~ Letters ....................$ ~~ Will ........................ ~ ' . tom, Codicil(s) ................._ ((~) Short Certificates __ ( )Renunciations....... Bond ............................. Other ............................. ... ... ........................... Automation FEE......... _ 5.00 - JCS FEE ................ ... 23.50 TOTAL ................ ~ s~ ~~ ~, ~~ _~~ ~~ ~~ n ~_, ..r., ~M i c~ p -~-, v,yrraa-uic vi ~,vuir~ctne~~t[eu lu ~l~rHjJ~C~i'~IIICC Atty's Signature -,~~ ~ PRINTED NaI11e: Richard C. Snelbaker Supreme Court ID No.: 06355 AddreSS: Snelbaker & Brenneman, P.C. 44 West Main Street, Mechanicsburg, . PA 17055 717-697-8528 717-697-7681 Phone Fax: Interim Porm R W-U2 revised 12.26.1.0 by Cumberland County Pending action by the Court Page 2 of 2 I(1G ~(1G 171:\: ,rt, ~r,-~, __. ___ -- __ -_ _ _ _-_ LC)C~,~-L REGISTRAR'S ~CERTIFIC;ATIC)N C)I~° CELT ~/~RNNNG: It is illegal to duplicate this. ~oo~ay h'~ ~)hott~stat Or ~hotoc~~~~~:)~, . - -e~ 4Or tlu~ c~:rtiilratl~, ~;t,.lii) ,~~ % ' ,t(, ~ ,r~ ;N ~~ r~. ; t ~, i _ (;(t,3-I;) tt( (iti i), re t w t.'i'i )~ ttitt ,~C.. ~~c~~ tl+t k ` .. lt~ 'i ~ ~ ~~(~(' fUi~ ~ ~ ~,:)t ..Ill' U1 ~);'~if~~ ~xxp~ ~ ,.~ ~ t ~.•I~ t }~'!~ ,)' `!' 4 ~ I'it_~.~I,~ - ' l ~ I`,ll 1 tai.` ~ P r~9li~Ef ' ' Ij~ i>a. Wi''` I•. ~~ z a I ~d .. ., ~ ? t,$j l~l'E~ ~1? ss ~+~{~ i~1,. ''1I;i(4, i s ~ •, ;c.'t:l i .. t. ..r.. 4' .,,I`.. ):, il~';i2 P 172~813~ ,~ , -.~ ~° r ~~ , ./ r~ - ~ ' ~ - - - t r ~~ ,, ~ ('1'tltll'~l41OIl wUlll~ -." ~:^ rr.- - ___ ~ ~i t c ~ i t ~~' ___ - ---- ~~ ll"C~ ~. ~ t f ~ ~ ~ ~ A ~ ~~3 . __. [`~.,: H705-143 REV 11!2006 TYPE /PRINT IN PERMANENT BLACK INK 1. Name of Decedent (First, middle, last, suffix) Doris E. 5. Age (last BkmdaY) Under 1 ear Monms nays 66 ~r6. COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE NUMBER 2. Sex 3. Soda) Secudty Number 4. Date of Deam (Month, day, year) Pifer Female 186 - 34 - 0720 Jul 1 2011 Under 1 da 6. Date d BiM Monet, da , r 7. Birth ce C and state or fo ~ n count 6a. Place d Death (;heck on one Hours ~ Hospital: Other June 5, 1945 Mechanicsburg, PA Inpatient ^ ER /Outpatient ^ DOA ^ Nursing Home ^ Residence ^ Other - Specih~: (ib. County of Deam 8c. Ciry, Boro, Twp. of Deam 6d. Facility Name (If rid institution, give street and numfxtr) 9. Was Decedent of H~ anic 0 in? ~ n9 ~No ^ Yes 10. Race: American Indian, Black, Whbe, etc. • Ctiunberland East Pennsboro r~}~~ pt yes, spedty Cuban. (SpedM i ^N Holy Spirit Hospital Mexican, Puerto Rican, etc.) White 11. Decedents Usual Occ lion Kind of work done Burin rttost of work' kfe. Do rat state retired 12. Was Decedent ever in me 13. Decedent's Eduptfon (Speciy only highest grade completed) 14. Marital Status: Marred, Never Monied, 15. Surviving Spouse Qf cabs, give maiden name) I4nd of Work Kind of Business/Industry U.S. Armed Forces? Elementary / SecorWary (0-12) College (1-4 a S+) Wxbwed, Drrorced (Spenly) Food Ins for De t, of A icult e ^ Yes ®Nd 12 Widowed 16. Decedent's Mailing Address (Street, dry I town, state, zip code) Decedent's Did Decedent 1110 Granada Lane Actual Residence t 7a. State Pennsylvania Live in a t7c. [~ Yes, Decedent Lived in _ ~PPer AI fen Township? Twp. MeehaniCSb PA 1705.`i rib county Ctirn}wrl aTl(3 rid. ^ Nd, Decadent Lived wimin Acual Limits d City / Boro 18. Ferrets Name (First, middle, last, suffix) 19. Motf>ar's Name (First, middle, maiden surname) John Ra rid Fearnbau h 20a. Informant's Name (type /Print) 20b. InfomtartYs MaBing Address (Sheet, city /town, state, zip code) Vicki Parks 118 Martel Circle Dillsb PA 17019 21 a. Memod of Disposition i ^ Cremation ^ Donation 21 b. Oats of Disposition (Monet, day, year) 21c. Place of Di ry, Dry or other place) 21 d. Loptfon (Ciry/town, state, zip code) • i sposition (Name of cerrete cremat C~ Burial ^ Removal from State i was aemation a t3oaatlon aadtorized July 8, 2011 Mohler' s Church Cemete ^ Deter - t by Medical Examiner/Coroner? ^ ves^ No rY Mechanicsburg, PA • 22a Signature o ~ re~ e Licensee rson acting as such) 22b. License Number 22c. Name and Address of Facikry 8 Market Plaza Way " ~ FD-138630 Mal zzi Funeral Home Mechanicsb PA 17055 Comple ems 23a-c ony when 23a. To me best of my wledge, Beam ocarred at the firtte, date and pace stated. (Signature and bile) 236. license Number 23c Dat Signed (Monet, day, Year) phyS 1.4 rid availaable at tilde Of m to cause of Beam. ~ /~Tr ~ ~„ ~ /~ ~ ~~ / / 2 !% pie y person 5. Date Dead (Monet, day, year) Hems 24-26 must be corn fed b 24. Time of Deam 26. Was Case Relened to Medical Examiner I Coroner f Reason Other titan Cremation or Donation? who pronounces seam. ~,1; ~ yJ -~ M. ad ~ ~ ;~ U 1 ~ ^ Yes No CAUSE OF DEATH (See Instructlo and examples) r Approximate interval: Part II: Enter other sitlrtifrant condtors con r+txaind m death 26. Did Tobacco Use Contribute to Deam? Item 27. Pad I: Enter the chant of events -diseases, injuries, or complicatbns -mat drectty posed the death. DO NOT enter terminal events such as cardiac onset, r Onset to Deam twt not resulting n me urxierlying cause given in Part I. respiratory arrest, d venMcular fibrillation without showing the etbktgy. List Doty one puss on each line. i ^ Yes ^ Probably IMMEDIATE CAUSE IFnal disease or "7 _ r Bea r No ^ Unknown con6tion resulting in m) _~ a. ~~[~ ~ ~S ~ Y rrt f -~/'~ x Y- l„~L V ~ i 29. It Female: i Y Due to or as a ns rip of): \ ~ i Not pregnant within past ear SBeqquentially list conditions, b any, b ~n ~ ~ ~ l ,vim i lead to the puss listed on line a. i ^ Pregnant at tlme d deem Enter the UNDERLYING CAUSE Due W or as a consequence _ ~ ^ Not pregnant, bd pregnant wimin 42 days (disease d ktj tltat initiated me evens resulting u, deem) IAST. c. ~iJ ~} (/ CC C ~ -YY) I ~ i of deem Due to (or as c equence of): i ^ Not pregnant, but pregnant 43 days to 1 year d. i i before deem t ^ Unknown 'rf pregnan wimin the past year 30a. Was an Autopsy 30b. Were Autopsy Flndings 31. Mariner of Deam 32a. Date of Injury (Month, day, year) 32b. Describe How Injury Occuned Performed? Available Prior to Completion rn~qy.-~~ 32c. Place of Injury: Home, Fartn, Street, Factory, rye of Cause of Death? / NaWrel ^ Homicide Office Building, etc. (Specify) ^ Yes l~N No ^ Yes ^ No / ^ AccrOent ^ Pand,n9 Invesbgatbn mod. Time of Injury 32e. Injury at Work? 32F, b Transportation Injury (SpecAyJ 32g. Loption of injury (Street, city /town, state) / ^ Suicide ^ Could Nol be Determined M ^ Yes ^ No ^ Driver/ t ^ Passenger ^ Pedestrian ^ Omer - S 33a. Certif~~er (check only one) 33b. ~ a r^ rid Title of Ce r • Cerlilidng physician (Physician certifying cause of deem when another physictian has pronounced Beam and completed Item 23) - ~ / 1 To the best of my knowledge, death occurred due to the reuse(s) and manner aft stated _ _ _ _ - • Pronouncing and certfying physician (Physician born pronourtdng deem and certifying W cause of death) 33c. License Ntmher 33d. Date igned Month, day, year) To the best of my knowkidge, death occurred at the time, date, and place, and due to the reuse(s) and manner as stated _ _ _ _ _ _ ^ ~ ~ ~ ~ ,~ 1 ~ ~ • MadMalExaminer/Coroner -------'--'' On the basis of examinatbn and / or Investigatbn, in my opinion, death occuned at the time, date, and place, and due to me pose(s) and manner as stater!` ^ 34. Nam and Address d pars Who Complet~aus~peath (Item 27) T Print 36. R ~ s Signature and District Num r ~ `\,/ ,fit,. ~ u ~ ~ ~/V (/-/ 36. Date Filed (Month, day, year) `r ~ ~~~ r ~ ~ ('r f ~ - ~ j i - t L X21 f~ l_I ~ I .. I " .~? c~ / / ~ [~ ~~ ,~G~J C `1 C~ V C l~1Zcr < ~ Jv1. ~ t,N o~U ~~ ~ ~'1 j J Disposition Permit No. OS99514 (J l ~ [ LAST WILL AND TESTAMENT I, DORIS E. PIFER, of the Township of Upper Allen, County of Cumberland, and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at anytime heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executrix, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give and bequeath the sum of Five Thousand ($5,000.00) Dollars unto MECHANICSBURG CHURCH OF THE BRETHREN, absolutely. THI.RD. I give, devise and bequeath all the rest, residue and remainder of my Estate, real, (,~ personal and mixed, whatsoever and wheresoever situated in equal shares unto the following named persons, provided that each survives me, namely: my sister, JEAN M. STEFFEN, my brother, JOHN M. FEARNBAUGH, my brother, EARL R. FEARNBAUGH, my brother, PAUL R. FEARNBAUGH, and my sister, VICKI L. PARKS, share and share alike. LASTLY. I nominate, constitute and appoint my sister, namely, VICKI L. PARKS, to be the Executrix of this, my Last Will and Testament, but if for any reason she should fail to qualify as such Executrix or cease so to serve, then and in that event, I nominate, constitute and appoint my sister, namely, JEAN M. STEFFEN, to be the Executrix hereof, each and both to serve without bond or other security as a condition of qualification hereunder. IN WITNESS WHEREOF, I, DORIS E. PIFER, have hereunto set my hand and seal to this my Last: Will and Testament, which consists of two (2) typewritten page~to each o~vhich I ~~ i ;" i `~ LAW OFFICES `-p --~ ~ (,=r ,.) , _. SNELBAKER Sc ~!~ ~ (-' _ -r a'Z'1 , - , 7'_ _~R E N N E M A N, F.C. ,~ ~ ~ ,,,,,,, ' ,..~ ~--n ~"''•. `: ve affixed my signature this day of November, A.D., Two Thousand Seven 2007 . ( ) 1 (SEAL) DORIS E. PIFER The preceding instrument, consisting of this and one other typewritten page, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by DORIS E. PIFER, the Testatrix therein named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence and in the presence of each other, have subscribed our names as witnesses hereto. ,~ ' ~ / { l - r ~~ ~_.1 ~" -2- LAW OFFICES SNELBAKER SC BRENNEMAN, P.C. MMONWEALTH OF PENNSYLVANIA) SS. OUNTY OF CUMBERLAND ) We, DORIS E. PIFER, RICHARD C. SNELBAKER and JANE J. GOONEY, the Testatrix 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 Testatrix signed and executed the instrument as her Last Will and Testament and that she had 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 a witness and that to the best of his or her knowledge, the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~`~ ~ ~~~ Wi~n~ss ~.._~ Subscribed, sworn to and acknowledged before me by DORIS E. PIFER, the Testatrix, and subscribed and sworn to before me by RICHARD C. SNELBAKER and JANE J. GOONEY, the witnesses, this -- j Y ti day of November, 2007 -~ _ Notary Pub is CQMMONWEALTM OF pBN-VSYLVANIq Notarial Seal Susan L. Matrazi, Notary Public M ~-~sburg Born, Cumberland Cou Y Commission F-moires Nov. 24, 200 Member, Pennsylvania Association of Notaries LAW OFFICES SNELBAKER 8C ~RENNEMAN, P.C