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HomeMy WebLinkAbout07-19-11 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WII.LS PETITION F R PROBATE AND GRANT OF LETTERS Estate of G ~ ~ m~~ ~~Q~ ,Deceased ESTATE NO: /l-ago ~ a/k/a: a/k/a: a/k/a: SS NO: / - l~ " y~7S~ Petitioner(s) who is/are yrs of age or older, apply(ies) for: COMPLETE SECTION ~A' or ~B' AND "C" as applicable: LTA. 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 aforem tinned Letters _ under the last Will of the above-named Decedent, dated ~ Z 3 and codicil(s) dated _ t~~' DD y'. - y- (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 Pa. C.S.A. § _ ? B. Grant of Letters of Administration (If appticablq enter d.b.n., pendent late, duraett 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.h.n.c.t.a., enter date of• Will in St~etion A and complete list of hc;i,•s>; was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a pending~orce proceeding wherein grounds for divc?rce had been established as provided in Pa. C.S.A. ~ 3323(8)kept as follerovs: _ Namt Address R Dtc t ..r Y~: ("r'1 r t ...E ~ ~ ~ ~ Tt t'SE ADD17'IO~AL SHEETS IF NI~:CESS.4RY ~ THIS SECTION MUST BE COMPLETED: Decedent was do iciled at death iP~ C ber and County, Pe~sylvania, with hi er last family or prince~al residence At Z ~ oo ~~Kt C~ccK ~at eU4 i'~ ~CG~1a~~~soGcr / ~GSo ,t!~u~" J rn~? T~S~jo. (Street address with Post Office and Zip Code, Municipality: Township,l3orou h, City) Decedent, then I`~`~ years of age, died ~i~1.v?G q Za~t at CG~~/I~GSbKr J~ (Month, Day, Year of death) ity and State where death occurred) Estimated value of decedent's property at death: If domiciled in PA All personal property S ~S.~O . a0 If not domiciled in PA Personal property in Pennsylvania S If not domiciled in PA Personal property in County S Value of Real Estate in Pennsylvania S Total Estimated Value ~ 7~~SOd Location of Real Estate in Pennsylvania: (Provide full address if possible.) _ tiigna re{s) `amt(s) & :Mailing Address(es) Q'3a ~ ~ 1 c~N1 cud h'~-~~ r l ~ Interim F~<n~ni R~~'-~_~? rinsed J? i i_; h~ Ceunheriand Cr~unn pendi~7e actio~~ bS~ the Co~.n1 1'a~e. 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 the knowledge and belief of Petitioner(s) and ghat, 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 s ~ ' befo a ~s ~ ~ f t? Q or the Register DECREE OF PROBATE AND GRANT OF LETTERS ~ ~ ~ ~ _ . Estate of ~~fC'/~ 1~,~r,~a~- ,Deceased FilerJumber: l~ ---~-L~~ AND NOW, this ~ t~ay of ~ ~t~~I , in consideration of the Petition on the reverse side hereon, satisfactory proof Navin been presented before me, IT IS DECREED that Letters Testamentary of Administration are hereby granted to: 1 ~P (If applicable, eater c.ta., d.b.n., d.b.e.c.~.a., etc.) the above estate and that instruments{s) dated ° described in ther~tition be admitted to probate and filed of record as the last W and odicil( of Decedent. - ~ ~ . Glenda Farner Stras augh, - ° C~ Register of Wills ~ . ; FEES: Signature of Counsel Required to Enter Appearance Letters ~d Wiil ~ Atty's Signature C il(s) ~ d ( )Short Certificates ~~d PRINTEL> Name: ( )Renunciations....... Supreme Court ID No.: Bond Other Address: Automation FEE......... JCS FEE Phone: Fax: TOTAL - it.teti::~ )~i~~n' R~S~-(~? rerisc,! l2-''n f t~ hti Cumberland County pending action bti~ the Coi.irt Pale 2 ot'N scribe How Injury OccumW 32c. Place d Irtjtay: Home, Fenn, Street Factory, Perbrmed? AveNable Prior to C d Cause d Deadt~~eDOrt Natural ? Homicide Office Buildkq, ek. (SP~YI ? Yes ~ No ? Yes ~ No ? Acadent ? Pendutg Investigation 32d. Time d Injury 32e. Injury al WorkT d Tronsparrelion Injury (SpecNy) 32g. Localbn d Injury Israel dry /tam, state) ? Stridde ? Couk] fJd be Determined M ? Yas ? fVO ? Driver! C>perotw ? Passenger ?Pedast' Other -Specify-. 33a Cerurter (dtedc aNy one) 33b. • ~Ybq physician (Pttysidan certiryirp ease d deem when another physician hoc pronounced death and compreted dam / Coroner To tM beat of my IuawNdye. delft orx.Yrred due b tfte pace(s) and manner at sfkad_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ? ? / • Pronorndrq end eertfyYq physkirt (Physician Doh prorarxrdrg Death and certifying b cause d death) 33c. License Number 33d. Date Signed (Month. tlay, year) Z To nn beet of my browkage, death orxwrod l the time, eau, and place, and sus to the eauas(e) and manner as slstad- - - - - - - - - - - - - - - - - - ? 2 o Medlel fcxamlrrr / cororwr June 9 , rj tkt tlr fxesb o} examhntlort and / or bvestigation, in my apinlon, death oceurrod l the time, date. and place, and due to tM cause(s) and manner u sfetsd_ ~ d P,groop Who C t9d L 1C ompbQ Cause C. Death (dam Type I Prim ° ~ roartdDisvia ~ r ~ Date Fled(MOMh,da,year) BasehorenRd.e~Suiten4~1 ? z i i:li~ix iii a~{ tai Mechanicsbur Pa. Disposition Permit No. _ _ _ _ y ^°y OATH OF NON-SUBSCRIBING WITNESSES r. f .:~''-!a ~ REGISTER OF WILLS fy~,~~~ y y~~fZ~ ~ COUNTY, rENNSYLVANIA tom, _T ~ r Estate of ~ c .~l~:,Md~N - ,Deceased R,1 y and L~~ 0 L`1 e r-~wt ai? (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was were well- acquainted with ~~~`Z~I~I ~ s ~Mnn~''('4M~~,~ and arrL~are familiar with the handwriting and signature of the decedent, and that the signature of ~ ~L(~'~1~ i , ~ _ to the foregoing instrument purporting to be the Last Will and Testament/Codicil of tL~,~N C~ ~ ~ _ is in his/her own proper handwriting. (Sig„atct e) gnature) . (Street Address) (Street Address) Q (City, State, Zip) (City, State, Zip) Execccted in Register's Office Sworn to or aff..med and subscribed before me This day e uty for Reg~st~r of ills Form RW-04 rev. f ~ . u , . LAST WILL AND TESTAMENT OF 1~ELEN O. AMME1~?~~AN I, Helen O. Ammerman, of Mechanicsburg, Pennsylvania, revoke my former Wills and Codicils and declare this to be my Last Will and Testament. ARTICLE I n IDENTIFICATION OF FAMILY ~ o ~ ~ ~ The names of my children are Adella Ammerman Wauhop, Lee O. Ammerman, and Lames en~an Morgan. All references in this Will to "my children" are references to the above-named~`~~ , ' ARTICLE II - ~ ~W:`:- PAYMENTS OF DEBTS AND EXPENSES ~ I direct that my just debts, funeral expenses, and expenses of last illness be f rst paid from my estate. ARTICLE III DISPOSITION OF PROPERTY Residuary Estate. I direct that my residuary estate be distributed to my child(ren) in equal shares. There are outstanding loans to Louise Ammerman Morgan, totaling which she needs to repay to the estate (See attached Documentation). If a child of mine does not survive me, such deceased child's share shall be distributed in equal shares to the children of such deceased child who survive me, by right of representation. If a child of mine does not survive me and has no children who survive me, such deceased child's share shall be distributed in equal shares to my other children, if any, or to their respective children by right of representation. If no child of mine survives me, and if none of my deceased children are survived by children, my residuary estate shall be distributed to my heirs-at-law, their identities and respective shares to be determined under the laws of the State of Pennsylvania, then in effect, a.s if I died intestate at the time fixed for distribution under this provision. ARTICLE IV NOMINATION OF EXECUTOR I nominate Lee O. Ammerman, of Lewisberry, Pennsylvania, as the Executor, without bond or security. If Lee O. Ammerman does not serve for any reason, I nominate Brian Wauhap, of Lebanon, Pennsylvania to be the Executor, without bond or security. ARTICLE V EtXECUTOR POWERS My Executor, ire addition to other powers and authority granted by law or necessary or appropriate for proper administration, shall have the right and power to lease, sell, mortgage, or otherwise encumber any real or personal property that may be included in my estate, without order of court and without notice to anyone. My Executor shall have the right to administer my estate using "informal", "unsupervised", or "independent" probate or equivalent legislation designed to operate without unnecessary intervention by the probate court. ARTICLE VI MISCELLANEOUS PROVISIONS A. Paragraph Titles and Gender. The titles given to the paragraphs of this Will are inserted for reference purposes only and are not to be considered as forming a part of this Will in interpreting its provisions. All words used in this Will in any gender shall extend to and include all genders, and any singular words shall include the plural expression, and vice versa, specifically including "child" and "children", when the context or facts so require, and any pronouns shall be taken to refer to the person or persons intended regardless of gender or number. B. Thirtv Day Survival Requirement. For the purposes of determining the appropriate distributions under this Will, no person or organization shall be deemed to have survived me unless such person or entity is also surviving on the thirtieth day after the date of my death. C. Liabili , of Fiducia y. No fiduciary who is a natural person shall, in the absence of fraudulent conduct or bad faith, be liable individually to any beneficiary of my estate, and my estate shall indemnify such natural person from any and all claims or expenses in connection with or arising out of that fiduciary's good faith actions or nonactions as the fiduciary, except for such actions or nonactions which constitute fraudulent conduct or bad faith. D. Beneficiary Disputes. If any bequest requires that the bequest be distributed between or among two or more beneficiaries, the specific items of property comprising the respective shares shall be determined by such beneficiaries if they can agree, and if not, by my Executor. IN WITNESS WHEREOF, I have subscribed my name below, this day of May, Testator Signature: Helen O. Ammerman We, the undersigned, hereby certify that the above instrument, which consists of seven pages, including the page(s) which contain the witness signatures and additional documentation wa,s signed in our sight and presence by Helen O. Ammerman (the "Testator"}, who declared this instrument to be his/her Last Will and Testament and we, at the Testator's request and in the Testator's sight and presence, and in the sight and presence of each other, do hereby subscribe our names as witnesses on the date shown bove. Witness Signature Witness Signature: ~'I Name: Name: ~ ~ , City: .e ~ti; ~ ~ City: State: State: Witness Signa Name: ~ 5 City: ~ ~c State: PENNSYLVANIA Self-Proving Clause COMMOrf WEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I, Helen O. Ammerman, the Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly and as my free and voluntary act for the purposes expressed in the instrument. Sworn to or affirmed and acknowledged before me by Helen O. Ammerman, the Testator, this 23'"`°Q day of May, Testator Signature -z.~--- U- elen O. Ammerman COMMONWEALTH OF PEI`IINSYLV Notarial Seal Carl Eugene Ginder, Notary Public Mt. Joy Twp., Lancaster County My Commission Expires Oct, Signature officer Member, Pennsylvania Association of Notaries {Seal) ~ , Official ca acity of officer . , AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND W , and \i and the witnesses w ose names are si ed to the attached or ore~oing instrumen ,being my qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as the Testator's Last Will; that the Testator signed willingly and executed it as the Testator's free and voluntary act for the purposes expressed in it; that each of us in the hearing and sight of the Testator signed the Will as a witness; and that to the best of our knowledge the Testator was at that time or more years of age, of sound mind and under no constraint or undue influence. Sworn to or affirmed and subscribed to before me b ~j~ /-,rte and e u~o ~f and cr ,'s ~ ~ . ,Scrr1 witnesses, this day of , 2Op.s' Witness Signature: ~ Name: ~ j , ~ s ~.~C Clty: w v State: ~ , Witness Signature: Name: ~ City: State: ~ Witness Signature: Name: City: ~ State: COMMONWEALTH OF PENNSYLVANIA 1~~2i~~~ No~a~ sea! Signature Carl Eugene Cinder, Notary Public Mt. Joy "iLvp., Lancaster County My Commission Expires Oct. Member, Pennsylvania /lssociation of Notaries seal an fficial capacity of officer r ~ ~j~ . . ~ ~ 1 t -~r ~ ~ ~ ~ ~ A / " Z~ i' J / ~ / ~i ~A 'L K ~ ~ V • J1 ~ ~ ! f. a n ~~ry~~~ 4G ~ ~J~~ ' y - ~ j~--~", G' ~,r~i f ~ ~ u i i,( ~ r ~ G, ~ { ` j ~`--~E ' ~ i , ~ . ~ . ~ _ I~ i ~ ~ JJ ;li ~ tJ /F ~/v~ V' v r~ ~ L _ U F ..yt sue, Y" ~ +^.}f~ T 7 a^Y ~ ~ ,,.q ~ x ~ ~ j ;'...a ' _ i s ..~._,.~....w~. ._..,..,<..~d ~i .F ' a t ~ ~ • • Codicil to Helen O. Ammerman's will Dated and signed May Commonwealth of Pennsylvania County of Cumberland I, Helen O. Ammerman, the Testator, whose name is signed to the attached instrument, do hereby desire to eliminate .from my will the obligation of Louise A. Morgan to repay her outstanding loans from me totaling as stated in Article III, pg. Sworn to or affirmed and acknowledged before me by Helen O. Ammerman, the Testator, this ~ day of ~'rti, ~ Testator Signature Helen O. Ammerman COMMONWEALTH OF PENNSYLVANIA Notarial Seal Michael J. Scudder, Notary Public Derry Twp., Dauphin Courrt~ My Connmission E~ires June ~~~-n~. .L.s~~~~~~~~o~ ~f Nota~®S ignature of officer ,rV~~r P~ ~ l; (seal) officia capacity of officer