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Home My WebLink About07-12-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of Roland K. Wise a/k/a: R.K. Wise a/k/a: a/k/a: Deceased ESTATE NO: 21- ~' SS NO: 206-10-9234 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.rt.c.t.a. (complete Part C also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters Testamentary under the last Will of the above-named Decedent, dated ___ 6/27/1980 ___ 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(8): N/A ^ B. Grant of Letters of Administration (If applicable, 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 (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 Address R~T~tionship to Decedent ~~ C,.- ~ ~~ ~' ~ I~.`l ~ n Q ~ -~. ~~ fTl ~ i ~~~ r^~ F M .,:~ e .~?-;~ - -_ t`SE ADDI"I'IONAL SflEG'1'S IF NF.(.'ESSARY' ~~~ ~"" ,;- ,,.-~,' THIS SECTION MUST BE COMPLETED: ~ .~ `.~ ~ ~., . Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal .residence ~' At 211 Clark Street, Lemoyne, PA 17043 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 83 years of age, died 7/14/2002 at (Month, Day, Year of death) East Pennsboro Township, PA (City and State where death occurred) Estimated value of decedent's property at death: If domiciled in PA All personal property 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 Location of Real Estate in Pennsylvania: (Provide full address if possible.) $ 13,000.00 $ 13,000.00 Signature(s) Name(s) & .Mailing Address(es) PNC Bank, N.A., Successor to CCNB Bank, N.A. V \~~, ~~+1 P.O. Box 308, Camp Hill, PA 17001-0308 [nterim Form RW-02 revised 12.26.10 by Cumherland Cowlty pending action by the L;ourt rage i or L OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania ~ SS County of Cumberland ~.:t ~.w r e .1 f ~`} _., The Petitioner(s) herein named swear or affirm that the statements in the foregoing : and .-~ ' '`~ correct to the best of the knowledge and belief of Petitioner(s) and that, as personal ~f the'_Y =; Decedent, Petitioner(s) will well and truly administer the estate according to law. ~ ~-~ ~~' , • ~ v ~ ...- Sworn to or affirmed and subscribed ~`~, _ b e m this f '~ iC.~ ~~-~~t~ ~: ~1~~~ ~ ~ ~ , ~~~~~ ~~,_-~, e Register DF~REE OF PROBATE AND GRANT OF LF,TTERS Estate of Roland K. Wise ,Deceased File Number: 21-_ -~~ AND NOW, this /~ day of ~~ , in consideration of the Petition on the reverse side hereon, satisfactory pro f 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.t.a., etc.) PNC Bank, N.A., successor to CCNB Bank, N.A. ~ in the above estate and that instruments(s) dated 6/27/1980 described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. . ~ n n ~} s , Glenda Farner Strasbaugh, ~~~ . Register of Wills FEES: Letters ....................$ 60.00 Will ....................... 15.00 Codicil(s) .............. . (3) Short Certificates 12.00 ( )Renunciations....... Bond ............................ Other ............................ Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................$ 115.50 signature of counsel Atty's Signature fired to >r:nte'A/r wpp+earance PRINTED Name: john E. dike Supreme Court ID No.: 6262 Address: Saidis, Sullivan & Rogers, 635 N. 12th St., Ste 400, Lemoyne, PA 17043 Phone: 717'-612-5800 Fax: 717'-612-5805 Interim Form RW-02 revised 1226.10 by Cumberland County pending action by the Court Page 2 of 2 ~[ his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as l..ocal Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat o)r photograph. Fee for this certificate, $2.00 Local Registrar P 838882 No. J U L ~ 5 2002 Date i3 Rev. 2187 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH STATE FrLE VUMBER r-a ~-t ~ C ~ ~ ~ "_` ~ t" ` ~ r-n ~-, ~, ,~T t/i ~ ~ ~ ~ ,..,~, ~ r •..~ d _,,,, _ '~ ~ C~ ~- ~ ~ ~, .,~; `'~ NAME OF DECEDENT (Fast. MrdWe. Lass) SEX SOCIAL SECURITY NUMBER DATE OF DEATH ,Mcnth. Day. rear) ,. Roland K. Wise :. male 3. 206 - 10 - 9234 .. / p' AGE ILast BKtnday) UNDER, YEAR UNDER 1 DAY DATE OF BIRTH BIRTHPLACE rC~ty and _ PLACE OF DEATH Ifne r k rnry erne -.cw ~r~surw.lann on >Mrr sue) Morphs ~ Days Mouro = Minu1N ~MOnm.Uay +aerl August 1 Staleorfcrerynl;oun[ry, HOSPITAL: -- _ OTHER: Nursrrr Oln.r 83 Yro. i r ~ , 1918 Lewisberry, PA Inpatient ERlOutpaurm U OOA ^ g Hom. ^ R••~•~• ~ ;spe~rty, ^ ' e. ,. a. COUNTY Of DEATH CITY: BORO, T1NP OF DEATH FACILfTY NAME Ut nut nst~Ntwn give scree, and wrnberr WAS DECEDEN T OF HISPANIC ORIGINT RACE - American Indan, Black, WhRe. sta. ~~ No ~ Has LJ It yea, specrty Cuban Ispecdy) C b l d E P T b . ~ ( . ; "~'°'•P"°"°R"`a"•«`. hit ' an eb. um er . enns oro w k. j c . 10 w e DECEDENT'S USUAL OCCUPQION KIND OF BUSINESS/INOUSTRV WAS l>EC NT ERIN ECEDE EDUCATION MARITAL STATUS - Marrwd SURVIVING SPOUSE (Gee krnd d work done dur moat U. S. ED F ES7 on n est . corn I Never MarttW. Widowed, let +nte. ~tve maaen Warne) of workirq kte; do nd use refired.) ^ ENmentary/Secondary College Divorced ISPecM) Counter Attendant Construction Y"~ "° (a,2) r.as«, 1 i d illi k h ,,,. „b. ,2. ,3. ,.. Marr e „-Kat r n K c DECEDENT'S MAILINGADORESS(Strnel.CaylTOwn.State.LpCaiel DECEDENT'S Penns lvania , 7 ACTUAL Y ^ v t d e k d i 7 s 211 Clark Street ee, t eee er e. w n , e. lat. Did RESIDENCE seceders "~ Isee nstructans Iiw n a Lemo ne PA 17043 rland '°""""'ip' ~ ~; d" ~ ~ ""°'"ef S1de' Cumb L le. Y f e „d. u ,, a,_ _ emo ne 1Tb. County. Y Cdylboro. FATHER'S NAME (First, Madee, Last) MOTHER'S NAME tFrsl, Mnldle. Maiden Surname) Wise Elmer C Elsie Kunkel 1e, . „- INFORMANT'S NAME (TypeiPrtm) INFORMANT'S MAILING ADDRESS IStreel. GtylTown, State. Zip Code) Kathr n K. Wise lob- 211 Clark Street, Lemo ne, PA 17043 METHOD OF DISPOSITION DALE OF DISPOSITION PLACE OF DISPOSITION -Name of Cemetory, Crematory LOCATION • Ciry/Town, Stale, Zip Coda ~ B rial ~ Cremation ^ Removal Irom State ^ (Month, D•Y. ~) or gher Place u ~~~ o,h•r(soe~~r- ^ July 17, 2002 Emanuel Cemetery PA 17070 Fairview Twp. • 41a 2,b. I,c. , 21d. ' sIGNATURE of F RvtcE NSEE oR PERSON ACTING AS SUCH LICENSE NU R NAME ANO AooaESS OF FACILITY part emo r e , nc . ' 2b. 22b. .5 0 i G'- ~~ nc. P.O. Box 431. New Cumberland, PA 17070-0431 ComplNe gems 2 w certtfyirg - To tM beet of my krawkdge, death occurred at the ume, date and pWCe stated. LICENSE NUMBER DATE SIGNED ~physitier, ie not we~ Irma of death t0 (Srynature and Tale) (Month. Day. Year) pnrly cause of death. ate 23e. 23b. 3e. : Hems 21-2e must W completed try TIME OF DEATH DATE PRONOU ED DEAD (Maxh. Day. Year) WAS CASE REFERRED TO MEDICAL EXAMINERICORONER9 •z~ person who pronounces death. (bl - Yes ^ No yM ~ ~ ~ ! M-_ 2S._-- _l~! L__ ZvV_~_ 2.. -_ Z.. ~ - -- _ - - - - _ 27. PART I: Enter tM d,seases, in,Wies or complicatbns which caused the dear" DO tenter the mode of dying n as rest or respiratory arrest, shock or heart failure I Apprortimate PART 11: OIMr aigrtiflceM cor,UiYOrta contributkg to death, but List oMy one rouse on each krw. ~ rmenal tretween not rosuNing in tM ur,dsrlyirrg cause gh'•n in PRAT I. IMMEDIATE CAUSE (Feat t onset ana death I Wseaseorcondsan 1 t r Nr YW d -- ax q n ea ) a. --- _ DU ORASA EOUEN E i SequeMiaey lief conditions b. r ~ ' it ery, leading to immediate DUE TO (OR AS A CONSEQUENCE OF): cease. Enter UNDERLYINt3 i • CAUSE (Disease or nryry c. __ _ __ _ I _ • that rnrtiated events r DUE TO (OR A$ A CONSEGUE NCE OF)' rasuNvq n deaM) LAST I WAS AN AUTOPSY WERE AUTOPSY FNJDINGS MANNER OF DEATH DATE OF INJURY TIME OF INJURY INJURY AT WOAK9 DESCRIBE HOW INJURY OCCURRED. PERFOFiME07 AVAILABLE PRIOR TO (MOnm. Day. Year) COMPLETION OF CAUSE ~ryI~ t N ral t ] H ^ OF DEATHS a u ( om!crde L Yp ^ NO ^ ^ AccWent ^ Perxkng,nvsaugation 1~~~777 Yes ^ No T,q1 Yes ^ No ^ 1 ~~~• ~J Could not Ae delermured ^ 30 30b_ M. Sec. ___ PLACE OF INJURY • A, lame, farm, street, tagory, office LOCATION fStraet. GAy/Town. Seale) 1 bwlding, etc. ISpecdv) .tea. 2eb. zs. 3a. _ CERTIFIER ICheck Dray one, SIGNATURE NO ~ T IEA t/+ 'CERTIFYING PHYSICIAN tPhysradn cerutyrng cause or orate w"er anotr•.er phvsw~an has pronounced deem anu completed Warn 231 1 ~ r ~ 1 ~,~ To U,e Wet of my knowledge, death occurred due to the teasels) and manner se slated ..................................................... LJ 31 - N SE NUM R ,-~ DATES Mon a . Year) L~E 'PRONOUNCING AND CERTIFYING PHYSICIAN IP"yskien twU~~ ;;ryu~wrc:~ny ueam and cerUlymq to ~:ause of ueaMl ~_11 w _ ~/ ~1~~~ ~ ~/ ~~~ To the beet of my knowledge, death occurred at the nme, date, arW place, and due to the cause(s) and manner as sated ........................ ! ...J ' ///~~~ ` ~J l _ 31d. NAME AND ADOR S PERSON WHO COMPLETED CAUSE DEATH 'MEDICAL EXAMINER/CORONER (Ilene ~?) Type W I ~ .r ,s -,i i1 ^ ~ On the basis of examination and/or investigation, in my op,nion, death occurred at the time, date, and place, and due to the cause(s) and 1- ~ _ f ~((Jry~,{~Q.J 1 manner as stated ................................ . ................................................................. r .~ 3,e. 3z. 4 REGISTRAR'S SIGNATURE AND NUMBER ~ ~ -TI "'~ ~ 1~ +~ I ~ ~ ~ _ _ DATEFILEC1iMunn~ Uay r er ~ . ~ - ~ ~ -- - -- - - r~~ Q .Z.. as ~~ -~1±_ ice. -- _-_ - - ,~ / ~ v ~ J ' Z ~ ~ ~ 4y~. ~ i ,. i` 4.} ~ ~ ~.,y ~ r LAST WILL AND TESTAMENT = ~ '4' r~~ ~' ROLAND ~Z. WISE I, ROLA~ID K. WISE of the Borough of Lemoyne, Cumberland County, Pennsylvania, declare this to be my Last Wi11 and Testament, hereby revoking any will previously made by me. I - I direct the payment of all my just debts and funeral expenses out of my est-ate as soon as may be practical after. my death. II - I devise and bequeath all of my estate of whatever nature and wherever situate unto my wife, Kathryn K. Wise pro- viding she survives me by sixty (h0) days. III - Should my said wife fail to be living on the sixty-first (61st) day following my death, then I devise and bequeath all of my estate of whatever nature and wherever situ~.te unto my brother-in-law, Marry C. Ki,liick of York Haven, Pa., or his issue per stirpes. IV - I direct that there be no public sale of my house- hold goods and furnishings conducted from the premises. V - I appoint my wife, Kathryn K. Wise, Executrix of this, my Last Will and Testament. Should my said wife fail to qualify or cease to act as such, then I appoint CCNB Bank, N.A., clew Cumberland, Pa., to act in this capacity. Neither of my personal representatives shall be required to post bond in this or any jurisdiction. IIRNOLD~ SLIHE Sc BAYLEY /~ / ATTORNEYS AT LAW 2100 MAHHET STREET CAMP HILL, PENNSY LVA NIA 1]011 Page 1 COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF' CUMBERLAND) I ROLAND K. WISE ' the testator whose name is signed to the attached or foregoing instrument, having been dul uali- fied according to law, do hereby acknowledge that I si nedgan executed the instrument as my Last Will; that I signedgit will- ingly; and that I signed it as my free and voluntary act for purposes therein expressed. the Sworn or affirmed to and acknowledged before me, by ROLAND K. WISE of the testator this _ 27th day June , 19 80 Notary Public Thelma S. 1~cCaus(in, Nnt~ry Public My Commission Expires !u!y 1, 19g4 Camp [sill, PA Cumberland Counl~r ~RNDLD, SLIKE B BAYLEY ATTORNEYS AT LAW 2109 MARKET STREET :AMP HILL. PENNSYLVANIA 11011 COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND) ~~ the undersigned, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose ar~d say that we were present and saw the testator sign and execute the instrument as his Last Will; that ROLAND K. WISE signed willingly and that ROLAND K. WISE as his free and voluntary act for the purposes thereineexpressedt that each of us, in the hearing and sight of the testator signed the will as witnesses; and that to the best of our knowledge the testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to and subscribed before me this 27th day of June 1980 ~/.. _,~ N tary Public Thelma S. I~cCaus(in, Notary Publit My Commission Expires July 1, 1984 Camp Hill, PA Cumber~ard County Ill WITI~tESS WHEREOF, I have hereunto set my hand and seal on this , the ~ ~`~' d ay of 1980. / ' - ~) (SEAL) Ro an .. ise Signed, sealed, published and declared by KOLA~TD K. WISE, Testa- tor therein named, on this and one (1) other sheet of paper as and for his Last Will and Testament in our presence, who, in his presence, at his .request and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ABNOLD, SLI$E Sc BAYI. F_Y ATTORNEYS AT LAW aloe Nwas ar sraeer CAMP Hf LL,PeNN3YLVANIA 1)011 (o~.~C A Page 2