Loading...
HomeMy WebLinkAbout08-08-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of BERNICE M. PREDMORE also known as COUNTY, PENNSYLVANIA File Number 21-11 - ~~~ Deceased Social Security Number 193-36-2573 JUDITH ANN SOMERICK and MARTHA FRANCES MacADAM Petitioner(s), who i~dare 18 years of age or older, applyXor: (COMPLETE 'A' or 'B' BELOW) CONTINGENT Q A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) ~/are the Executrices named in the last Will of the Decedent, dated 07/06/1995 X~~Idaf~tlX James F. Predrr^ ^''^ ^'' ^"•^''°' 23 2005 State relevant circumstances, e g ,renunciation, death of executor, etc. After the execution of the documents offered for probate: Decedent did not marry; was not divorced; 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); did not have a child born or adopted; was not the victim of a killing; and was never adjudicated an incapacitated person, except as follows: N/A B. Grant of Letters of Administration (Ifapplicab/e, enter: c.t.a.; d. b. n.c.t.a.; pedentelite; duranteabsentia; durantemmoritate) 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. ord. b.n.c. t. a., enter date of Will on Section A above and complete list of heirs); was not the victim of a kllling; 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: ,,..~ Name Relationship Residence _= ~ ~ ~ -- _' i-» ~~ ~) _~'~'t rs - _.. ~~-'I (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with ~9S/ her last principal residence at 1709 Sherwood Road, New Cumberland, New Cumberland, Cumberland, PA 17070-1455 ~,, ,, ~~ (List street address, town/city, township, county, state, zip code) Hospice of Lancaster County Decedent, then ~~ years of age, died on 07/24/2011 at Mount Joy, PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ OVer 10,000.00 (If not domiciled in PA) (If not domiciled in PA) Value of real estate in Pennsylvania Total 10,000.00 situated as follows: NONE r(s) respectfully request( the probate of the last Wtlga~E.~c~¢s~presented with this Petition and the grant of Letters in the appropriate form to ~ Signature Typed or printed name and residence ~ %'-~ JUDITH ANN SOMERICK 3323 Sylvan Drive ~~~~~~~ Thorndale, PA 19372-1217 t~. k~c~=~~ l MARTHA FRANCES MacADAM 1 Tepee Circle ~ , Conestoga, PA 17516-9510 Personal property in Pennsylvania Personal property in County Form RW-OT Rev. 12-26-2010 (interim form, pending action by the Court) Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF I~ANI;;A.S'I~F2 } SS The Petitioner(s) above-named swear(~or affirms) 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. Sworn to or affirmed and subscribed before me this ~St day of August /~ 2 01 101 1 r'_ / ~Jo...n For the Register Chief Deputy Register ~,a~.aster Cbur~ty, PA ~P; ,~ ~r r craa~nm ncNrwcruauvC JUDITH ANN SOMERICK Signature Signature File Number: 21-11 '~ `~~-} -,-1 "1. C7 .~ "r 7T't . FIJ ~` ~' Estate of BERNICE M. PREDMORE ,Deceased ~~ ~y y. 1 L.~ ~l .? Social Security Number: 193-36-2573 Date of Death: 07/24/2011 AND NOW, ~ ~ f~" _ 2 01 1 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to JUDITH ANN SOMERICK and MARTHA FRA CES MacADAM in the above estate and that the instrument(s) dated 07/06/1995 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent FEES Letters .......................................... $ r~ ~ ~ ~ ~ ~ ~ ~ ~~ ! ~~~~ E .~ ~. ~ ~ Short Certificate(s) ....................... °y O 1 $ ~~L 1 Register of -1 ~.f~r ~' S( /~_ Z y ) Renunciation(s) ............................ - ._ $ Attorney Signature: ~,.IZ(~~ (~ - ~ ~~ ~ ~ ,i1 w ~ $ ~` ~ ~ `~~~! Att N ~~ - orney ame: Peter B. Astorino L. 1~{~r "~ l (~~ (. `~ 1 $ F~~ Supreme Court LD. No.: 63340 $ APPEL 81 YOST LLP Address: 33 North Duke Street $ $ Lancaster, PA 17602-2842 $ Telephone: 7717-394-0521 $ $ TOTAL ................................... $ ~ `"t C l ~ C\! Form RW OZ Rev. 10-13-2006 Copyright (c) 2D06 form software only The Lackner Group, Inc. Page 2 of 2 .... ..... ..-. . .v-.I~v~.V IYlalr/1 LJf11Y1 '~ _. REV-346 EX (03-09) 3 4 6 0 0 0 712 0 ESTATE INFORMATION SHEET pennsylvania FOR REGISTER'S OFFICE USE ONLY DEPARTMENT OF REVENUE County Code Year File Number DECEDENT INFORMATION: Enter data as it will appear on all 21 11 ~~ ({ documents submitted to the Department. Decedent's Social Security Number Date of Death Date of Birth 193 36 2573 07 24 2011 11 10 1922 Last Name Suffix First Name MI PREDMORE BERNICE M TYPE FILING: Enter mark (x) to indicate the nature of the return to be filed with the department. 0 Probate Return ^ Joint Assets Only ^ Non-probate Assets Only ^ Litigation Purposes (No Other Assets) LETTERS GRANTED: Enter mark (x) to indicate the nature of the proceedings at the register of wills office. (Attach additional sheets if explanation is necessary.) © Testamentary ^ Administration ^ No Letters ^ Other (Please Explain) ATTORNEY /CORRESPONDENT INFORMATION: Enter all data concerning the attorney or other individual to receive all tax information and correspondence. Last Name Suffix First Name MI ASTORINO PETER B Supreme Court I.D.# Telephone Number 63340 7717 394 0521 First line of address 33 NORTH DUKE STREET Second line of address City or Post Office LANCASTER PERSONAL REPRESENTATIVE INFORMATION: ExecutorlAdministrator Social Security Number Telephone Number Last Name SOMERICK First line of address 3323 SYLVAN DRIVE Second line of address OFFICIAL USE ONLY TRANSACTION COUNT City or Post Office State ZIP Code THORNDALE PA 19372-1217 Complete general estate information questions, and indicate additional personal representatives on reverse side. PLEASE USE ORIGINAL FORM ONLY Attorney / Corrrespondent's a-mail address: t7 _ T,-, t-~ ~ r,r '~~ r f r:; ~ ~.. ^_,,-_ -- .. ,y, ---- ') T. _... .._. State ZIP Code ~~ t PA 17602-2842 ? _{ ~~ `- ~; r Enter all data concerning the personal representative(s) of the estate authorized by the Register of Wills. Suffix First Name MI JUDITH A Side 1 3460007120 3460007120 .J Decedent's Name: BERNI CE M . PREDMORE Co-ExecutorlAdministrator Social Security Number Telephone Number Last Name MACADAM First line of address 1 TEPEE CIRCLE Second line of address City or Post Office CONESTOGA Co-ExecutorlAdministrator Social Security Number Last Name First line of address Second line of address City or Post Office Telephone Number 3460!107220 Decedent's Social Security Number 193 36 2573 Suffix First Name MI MARTHA F' State ZIP Code PA 17516-9510 Suffix First Name MI State ZIP Code General Instructions: This form should be filed with the Register of Wills of the county of which the decedent was a resident at death Please be aware the correspondent identified will receive all correspondence from the department. It is the responsibility of the personal representative to notify the department if the correspondent contact information changes. The department is authorized by law, 42 U.S.C. §405 (c)(2)(C)(i), to require disclosure of Social Security numbers in connection with administering state tax laws. The department uses the Social Security number to identify the decedent and personal representatives of the estate. The commonwealth may also use the information in exchange-of-tax-information agreements with federal and local taxing authorities. State law prohibits commonwealth personnel from disclosing confidential tax information except for official purposes. Side 2 3460007220 3460007220 J At~iiVil'~i x: it is iiiegai to ~~a~i,~t~: I, ,a.~ ~ ; ~a=~~(.,,i,t .~r ~Itf~l :. ,F P 17558038 ___ 3 REV 112006 / PRIM IN RMANEM ACN INK K ~ + ;.*4s" $ <",rf , fi'' C7 Tz ~:'LL ~ . ~ ~ r ~ - c3 - -__ ~, . ~ ~` ~ c.-.. i c ,=. ' -~ ..,~ - ; ' ~~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~' °' ' CERTIFICATE OF DEATH f~, tRna InwAUetiona and examlDles on reverse) Mx,x: ~„ .~~ . 1. Narre d DecederN (First, made, kuR, suNb) Bernice M. Predmore 2. Sex Female 3. Sodel SeauiN Number 193 - 36 - 2573 4, Date of Deem (MorM, daY, Y••rl July 24, 2011 e (Lest Birmdey) A 5 Under 1 Under 1 8. DeY d BIM Momh de , 7. &M end stele ar Ba Piece of Deem Chxk one g . gg vrs Days Ham MMNm November 10, 1922 Denver, CO HoePNal: ^InpeNem ^ERIOulpatknt ^ODA Other: ^NUrsingHane ^Residence ®omer-spedyHospice at. County d Deem Bc. CIN, Boro, Twp. of Deem &I. FedIIN Name (N ref IretlWlbn, gNe street and number) 9. Was Decedent of Hapenk Ortga? ®No ^ Ves 10. Race: Arth>dcan Im9en, Black While, etc. h N C (S~ af Lancaster Mount Joy o en, j yea, sPe Y Hospice of Lancaster County ~~^. Pu~ro s~^~ ~) White • t i. Decedar8e llsuel tlon Kind of work done Burl oast of wo ~ INe. Do not elate r 12 Wes Decedard ever In me 73. DecedeM'e Educetlon (Spedfy Doti hlgfad 9reds ~^Watedl 14. McRYI Statue: Mertletl, Never McMed, 15. SurvNing Spouse (N wde, give maiden name) WIUOw'•d, Dhrorced (Specvy) CafeteiN3gW°"~ KmdofBUSine~~/Iraunry U.S. Arced Forces? ElemerRary I Secondary (412) College (1d or 5~) Widowed Cook and Server Education ^ vas ®Ne 12 • 16. Decedents Malting Addrem (Street, ciryl town, slate, decode) D~^ra Penns lvania old Da~adem Decedem Lived in Twy. y Live I^ a 17c ^ Yes 17 09 Sherwood Road . , Actual Residence 17e. State Cumberland Township? na.®No,DecedentLivedwNhm New Cumberland _ New Cumberland, PA 17070 '7b. counN AclualUmlts°r cNy/Ekro 16. Famefs Name (Flrs4 waddle, last, sufPol) 19. Mathefa Name (Foal, mklde, maiden aumema) Martin W. Neary Gertrude A. Theno 20e. IMomiant's Name (Type / PRnt) 20b. InlownanYa MaHkg Address Ism cN1' I rown, elate, zp code) Martha P. MacAdam 1 Te ee Circle, Conesto a, PA 17516 21e. Memod d DieposiVOn i ^ Cremetlm ^ Donaeon 21b. Dale d DlepoeiVon (Monts, day, Year) 21c. Place of Dbpodtbn (Name d cemetery, crematory ar other place) 21d. LocaHOn (CiN I town, state. dP code) _ ® Burial ^ Removallromstete ~ wesCrenletlanorporedorlAulhorired ^ ^ Jul 27, 2011 y Gate of Heaven Cemetery Upper Allen Twp. , PA 17055 Na Yes ^ Omer. I by Yedkd Examirer/cerabr+ ~ _ lkensee (a person ecVrg ee such) 22a of ~~ 226. Laenee Number FD 012 848 L 22c. Name era Address d FedYy Parthemore FH & CS, Inc., P.O. Box 431, New Cumberland, PA 17070 • ~ Co^pls N when caRNyhq 23a. To the hest of my dge, death accuwed at Me iaa, dale end place stated. (Slgrmture and tltle) 23b. lkeree Num6ar 23c. Date Signed (Momh, day, year) physidan re no, aveileble m Vnre or mad, a ~' ~ ~ Kn! - t 5 7 ti 3 8 t_ ~,~ ~~ ao r I ~r ~ d seam. it. a, re Items 2426 moat be carMatsd by person 24. Time of Deets 25. Dale Prondrriced Deed (MOmh, day, Year) 28. Was Case Retewed to Medaal Exemaer /Coroner s fd"Np ^ Y for a Reason Other Crematlon a Donation? • who praaurcea seam. ; 3 M. ~u I t{ a - I e CAUSE OP DEATH (Sea InatruMlorre and axe les) I Approximate Marvel: aj~xles, or mmpRcatlore -met drectly caused Vie deem. DO NOT emar lewranel eveme such as cardiac street, r Onset a Deets @lBNS- dheeaes PaR L Ellerthe gpei0 27 -1 N Pert II: Enter oVar but not reslatlng In Ve urasMaA cause gNen in PeR I. 2B. Did Tobexo Use ComriMRe to Deam? - ^ Yes ^ Probably , . . . etn reepireary arreeL or ventricular ~rBeVan wNhout showing the etlobgy. Lid Doti one cause an each Itra. i ~ao ^ Unknown i IYYEDUTE CAUSE (Fire) tlieeesa or ~ ~ r rK~frct- ~resu,~.ed +~.w s y~e ; >~ a deem, ~ rlmNa, reeuYn 29. N Fe N: Nd nent wNhm st ear ^~ yea ~ Y , pp g -~ , Due a for ae a corrsegrence i P ~ v, _ .~ r~~~ 1'•~'~ ~ ~~ ^ Pregnant at time of deeM hi ^ i 42 tl uenNelN Ifst condNorre, II arty, 6. j to Vte cause Iced °n Ime e eys t n Not Pregnant. bm Prs9^ant w . Due to (or ae a consequence off: ~ Einar UNDERLYING CAUSE r r se a inju Vet Initiated Vie d of deem nant 43 data to 1 year ^ Not re re ^e^L but c { 9ea n everre reauMrg deem) UST. i p g D 9 Due to jot ae a consequence otl: ~ before deem ^ Unknown N pregnant within me past year d. 30e. Wes an AutopaY 306. Were Aulapey Flndnge 31. Mem,er of Death 32a. Date of Injury (Momh, day, Year) 326. Desaibe How InW^Y Ocaxred 32c. Place of Injury: Home, Farm, Street, Fectwy, ONae Buildng, etc. (SpecryJ Pedowned? Available Prat to CanPletlon ,~,/ ~ Natural ^ Homldde ,.,/ ^ m cause of Deem? ^ N ^ V ^ Accldam ^ P•Mag Investlpatlon ~. Tkne of Injury 32e. Injury al Work? 321. N TrerapoRetan Injury (SpedfyJ ^ DrlverlOperator ^ Passenger ^ Pedeetrlen 32g. L°Letion of inJury (Street, MY I fawn, state) Yes L!I No o as ^ Suidde ^ CoWd Not he Determined M. ^ Yee ^ No Other- SpecYy: 3aa. Cedlbr (check o^N one) ~' ~ Cartlryhq phyeklen (PhyekNen rarNlying cause of dash when enomer ptryelden has praaurxxrd deem end canroleted Narn 231 ~ 7 To Vr hsRdmy knowledge,dMhoeGllred duemlllB CeueMs)era nrervrerueteted_________________________________ 3 • pronoundng all certlly6rg physklen (Phyeldan Dom pronourldng deelh end ceMYa9 a cause d deem) To tlrs Deal of my ala•4•dD•, desM owned et tlrs thee, dsb, end Pl•s•, end dos W tlro cwee(a) and manner ea slatsd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 3c Lkelpe Number/ J~~ ~IV~ Cj~J //~_l/L( op ~ ~ ( ~~ 1~~ ! • IAediul E:rMner/Coroner and due to tlb eeues(s)arid manner ee etak4 3 end Pleas ned n the dins deb d th i i 4 Name end Address of Person Who Completed Cause of Deem (Nam 271 Type / Pdm , , , ea attu n on, On 1iN beets Of exemlruUOn end / or InvesUglUlon, In my op ~~ 40TS OId Harrisburg Plke . , i ~ .. V 7 n . ~ ! ~ ~+ r `- w u 35. RegkireYa and DlsVki I ~ I ~I di / I / I / _) ~~ Mount Joy, PA 17552 O I ~ of DisposVlon Permit No. [ 1 ~ o ~~a"ti4 5 L. Last Will of BERNICE M. PREDMORE I, BERNICE M. PREDMORE, a resident of Cumberland County, Pennsylvania, declare that this is my will. I hereby revoke all my previous wills and codicils. ~_ -_ Article One `= -~:-l~ Introductory Provisions ' = ~=~~ `~° ..: i ,--. ,-~ .. `~ ~ ~_ ~ --~ Y . . Section 1. Marital Status ~.. I am currently married to JAMES F. PREDMORE, and all references to my spouse in this will are to him. Section 2. Children a. The name(s) and birth date(s) of our children are: Name Birth date JUDITH ANN SOMERICK February 6, T941 THOMAS JAMES PREDMORE August 9, 1942 ELIZABETH MARIE GABLE February 27, 1949 MARTHA FRANCES MACADAM February 5, 1953 MATHEW JOSEPH PREDMORE February 13, 1963 All references to our children in this instrument are to these children and any children subsequently born to or adopted by us. 1 =x~+ ~.. 1 ~~ , 7/G/9s ,~~r. c9 Article Two Appointment of My Personal Representatives Section 1. Nomination of My Personal Representatives I appoint the following to be my Personal Representative: JAMES F. PREDMORE If, for any reason, the Personal Representative(s) named above are unable or unwilling to serve, the following successor Personal Representative(s) shall serve until the successor Personal Representative(s) on the List have been exhausted. Unless otherwise specified, if Co-Personal Representatives are serving, the next following named successor Personal Representative shall serve only after all of the Co-Personal Representatives cease to act as Personal Representatives. (I) JUDITH ANN SOMERICK (2) MARTHA FRANCES MACADAM Section 2. Waiver of Bond No bond or undertaking shall be required of any Personal Representative nominated in my will. Section 3. General Powers My Personal Representative shall have full authority to administer my estate under the laws of the State of Pennsylvania relating to the powers of fiduciaries. My Personal Representative shall have the power to administer my estate under the Independent Administration of Estate Act. 2 ~/~/ ~s ,~~.0. Article Three Disposition of My Property Section 1. Distribution to My Revocable Living Trust I give all of my property of whatever nature and kind and wherever located to my revocable living trust of which I am a Trustor known as: JAMES F. PREDMORE and BERNICE M. PREDMORE, Trustees, or their successors in trust, under the JAMES F. PREDMORE AND BERNICE M. PREDMORE LIVING TRUST dated ~ ~ ~ ~` `~ ~ ~ ~ ~ and any amendments thereto Section 2. Alternate Disposition If my revocable living trust is not in effect for any reason, I give all of my property to my Personal Representative under this will as Trustee who shall hold, administer and distribute my property as a testamentary trust the provisions of which are identical to those of my revocable living trust on the date of execution of my will. Article Four Death Taxes Section 1. Definition of Death Taxes The term "death taxes," as used in my will, shall mean all inheritance, estate, succession and other similar taxes that are payable by any person on account of that person's interest in the estate of the decedent or by reason of the decedent's death including penalties and interest, but excluding the following: a. Any addition to the federal estate tax for any "excess retirement accumulation" under Internal Revenue Code Section 4980A. b. Any additional tax that may be assessed under Internal Revenue Code Section 2032A. 3 7/c/~~ c. Any federal or state tax imposed on ageneration-skipping transfer, as that term is defined in the federal tax laws, unless the applicable tax statutes provide that the generation-skipping transfer tax is payable directly out of the assets of my gross estate. Section 2. Payment of Death Taxes Pursuant to the terms of my revocable living trust, all death taxes whether or not attributable to property inventoried in my probate estate shall be paid by the Trustee from that trust. However, if that trust does not exist at the time of my death or if the assets of that trust are insufficient to pay the death taxes in full, I direct my personal representative to pay any death taxes that cannot be paid by the trustee from the assets of my probate estate by prorating and apportioning those taxes among the beneficiaries of this will. Notwithstanding any other provision in my trust, all death taxes incurred by reason of assets transferred outside of my trust or probate estate shall be assessed against those persons receiving such property. Article Five General Provisions Section 1. No Contest Clause If any person or entity other than me singularly or in conjunction with any other person or entity directly or indirectly contests in any court the validity of this will including any codicils thereto, then the right of that person or entity to take any interest in my estate shall cease and that person or entity shall be deemed to have predeceased me. Section 2. Captions The captions of Articles, Sections and Paragraphs used in this will are for convenience of reference only and shall have no significance in the construction or interpretation of this will. 4 ~6~9~ ~ ~, ~ Section 3. Severability Should any of the provisions of my will be for any reason declared invalid, such invalidity shall not affect any of the other provisions of this will and all invalid provisions shall be wholly disregarded in interpreting this will. Section 4. Governing Law This will shall be construed, regulated and governed by and in accordance with the laws of the State of Pennsylvania. I signed this, my last will, on y 5 BERNICE M. PREDMORE 5 7~~/gs ~ ~ _P. The foregoing Will was, on the day and year written above, published and declared by BERNICE M. PREDMORE in our presence to be her Will. We, in her presence and at her request, and in the presence of each other, have attested the same and have signed our names as attesting witnesses. We declare that at the time of our attestation of this Will, BERNICE M. PREDMORE was, according to our best knowledge and belief, of sound mind and memory and under no undue duress or constraint. WI ESS Address: ~fi~Pft~,~ f7 WITNESS Address: ,. 6 ,7/~/95- ,~~rt. STATE OF PENNSYLVANIA COUNTY OF DAUPHIN SS: We, BERNICE M. PREDMORE, 20 lei 1'• (~?u 66 ,and ~~ ~ ~~~5~ ,the Testatrix and the witnesses, respectively, whose names are signed to the foregoing Will, having been sworn, declared to the undersigned officer that the Testatrix, in the presence of witnesses, signed the instrument as her last Will, that she signed, and that each of the witnesses, in the presence of the Testatrix and in the presence of each other, signed the Will as a witness. ,~ a~ ma~- BERNICE M. PREDMORE ESS K~-~/ WITNESS Su cribed and sworn before me by BE~ICE ~PREDMORE, the Testatrix, and by ~0~ _ ~~Qv~6 and C o ~ ~ < < ~`-'~p S~ the witnesses on .., ., r.~ , 1995. Notary Public My commission expires: PAULA N. ANGLEMEYER ~Notar}r ~ub+ic Hummeistown, Dauphin County My Commission Expires May 17,1999 7 ~`~~ s ~~~