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:
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Name Address _ Rel n~ to DeceEL~aat ~ '
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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
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For the Register ~'' ~ ~
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DECREE OF PROBATE AND GRANT OF LETTERS ~~~' ~ m
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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~ ~~ ~, ~~
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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
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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
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LAW OFFICES `-p --~ ~ (,=r ,.) , _.
SNELBAKER Sc ~!~ ~ (-' _ -r
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_~R E N N E M A N, F.C. ,~ ~ ~ ,,,,,,, ' ,..~
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ve affixed my signature this day of November, A.D., Two Thousand Seven 2007 .
( )
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(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.
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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.
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Wi~n~ss
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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
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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