HomeMy WebLinkAbout08-03-11PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Marian Wolfinger Burdick ESTATE NO: -=~- j ( ~ ~~ 8
also known as
ecease SS NO: 206-16-5744
Petitioner(s) who is/are 18 years of age or older, apply(ies) for:
[X] A. Probate and Grant of Letters Testamentary or -Administration c.t.a., d.b.n.c.t.a. (complete PaK C also)
and aver that Petitioner(s) is/are entitled to the aforementioned Letters Testaments
under the last Will of the above-named Decedent dated: October 5, 2000 co ci [e
N/A
state re evenat circumstances, e.g. renunciation, ea o 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 instrument(s) 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):
No Exceiptions
Grant of letters of Administration
(If applicab a enter: .n.; pen ente ite; urante sentia; urante 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 db.n.c.t.a., enter date of Will in Section A above 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), excpect as follows:
Decedent then 83 years of age died
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
situated as follows:
7/20/11 310 Big Spring Rd, Newville
~3so duo o~
~Vl,
Page 1 of 2
USE ADDITIONAL SHEETS IF NECESSARY . ~~ v -~, -
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THIS SECTION MUST BE COMPLETED: J ~ ~ ; -,
Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her last principal residence at~~ ~~~ ~
210 Big Spring Road, Newville, PA 17241 (West Pennsboro Township)
ist street ress, town city, towns ip, county, state, zip co e
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters
OATH OF PERSONAL REPRESENTATIVE
COMMONWEATLH OF PENNSYLVANIA
coUNTY of CUMBERLAND
The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition are true and cord
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.
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Sworn to or affirmed and subscribed -~~ .
befor~rne this , -~ ~` ~ ~~ ~ Holly A. one
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Estate Of Marian Wolfinger Burdick ,Deceased
Social Security Number: 206-16-5744 Date of Death July 20, 2011
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AND NOW ~ E l ~ ~~~ ~ , 20~in consideration of the Petition, satisfactory proof
having been presented bef re me, FAT S DECREED that Letters Testamentary
are hereby granted to
Holly A. Stone
in the above estate
and that the instrument(s) dated October 5, 2000
described in thte Petition to be admitted to probate and filed of record as the las Will (and Codicil(sl of Decedent)
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Register of l~l
FEES
Signature
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Attorney Name Robert G.
Letters ~>f r i`~ ~ ~~
Short Certificates ~ d:;~ _ ~~ ~' Sup. Ct. I.D
Renunciation
``, "v ,_ ~, ~ ` ~, ~ iw Address:
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Telephone:
TOTAL... 6'~ i ~ C-~
No 46397
5 South Hanover Street
Carlisle, Pennsylvania 17013
(717) 243-5838
Page2of2
OCAL REGISTRAR'S CERTlFIGATION OF ~ DTI-!
WARNING: It is illegal to duplicate this ;,opy ay photostat or pltot~t;' ;~~~
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H105-143 REV 11/2006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE I PRINT IN
sucK"IN`s CERTIFICATE OF DEATH
(See Inatructiens and examnlaa n~ ra•..a.evy
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1. Name of Decedent (First, middle, lest, wlfx) ~
Marian Wolfinger BURDICK
2. Sex
Female n~c ri~c rvum
3. Sodal Security Nunoer
206 _ 16 _ 5744 oen
4. Date of Death (Monty, day, year)
July 20, 2011
5. Age (Last Birtiroay) Under 1 ear lMder 1 da 6. Date of Binh Month, da , ar 7. BiM lace C' and state or lor ei tour Ba. Pace d Death Check an Dire)
MonNS Days Hours Mlnmes HospitaP ~Oryyth,er:
83 vr6. December 2, 1927 Chalfont, PR ^Inpatienl ^ER/Oulpatlent ^DOA LY Nursing Noma ^Residence ^Omer-Speciy:
8b. Counry of DeaN &. City, Bore, Twp. of DeaU~ Bd. Fadliry Name Qt rat instllution, gwe street and number) 9. Was Decedent of Hispank Orgin7 ~ No ^ Yes 10. Race Arrrencan Intlian, Black, White, etc.
(If yes, specgy Cuban, (SpeciM
Cumberland Newville rear Ridge Village
Mexkan,PuenaRican,etC) White
• 11. Decedent's Usual Oce Lion Kintl of work done dune most of work' tile. Do nd state refired 12. Was Decedent evm in the 13. Decedent's Education (Specify Doty highest grade completed) 14. Marital $letus: Martie4 Never Married, 15. SunNing Spouse Qf wife, give maitlen name)
Kind of Work Kine of Business/IMUStry U.S. Amwd Forces? Elementary /Secondary (D-12) College (1-0 or 5r) W'e'ed, Divorced (Speciy)
nt Coor inator Tree Ex art ^ Yea ~ No 4 Widowed
16. Decedenrs Mailing Address jSlreet city/town, state, zip code) Decerknfs Penns lvania Die Decedem
Y
206 Runnymede Avenue Actual Residence 17a. Slate.
Tvh 17o ^
Ves, DecedenWved in T
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wp
Jenkintown, PA 19046 nb.coanq Cumberland ~ 17d.1A,zNo,DecedentLivedwithin Newville
Actual Limits of City/Bore
1B. Father's Name (First, middle, last sutlix) 19. Mothers Name (First middle, makmn surname)
William I. Wolfinger Helen Seifet
20a. Informant's Name (type /Print)
Holly A. Stone 20h. Informant's M Bing Address heat city /town, slate, ziP code)
120 ~
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.
crest
rive, Carlisle, PA 17013
21a. V~M--egqNOtl of Disposition ~ ^ Crematbn ^ Donation 21 h. Date of Disposifion (Month, day, yeaz) 21c Place of Dleposifion (Name of cemetery, crematory or oMw place) 21d. Locatron (City/rown, state, zq code)
zl~4 Burin ^ Removal horn State t Wee Cramatlon or OonaUon ANhorixad Cemetery Of
^ Other- is ~byM.dicMExamirwr/COrorwr? ^Yae^No July 30, 2011 St. James Lutheran Church Chalfont PA
~
22a. stare d Funeral Service Lkensae (or person acting as such) 22b. License Number 22c. Name aM Atldress of FadBry ar on OW an un a ra. ome
- ^ FD 014234-L 1059 Old York Road, Abington, PA 19001
items ~c oNy when cenirying
phy ' n is real availa"e a1 time of deem to
cerllh
caus
f d
th 23a. To tyre hell of m dge, death occurted at die time, date eM place stated. (Signs and title
-
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23b License Number
` / ~i / 23c. Date Si
goad (Month. daY Year)
/
e o
ea
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24
T
d D
th ,s
~/ V / ~ ~[ ] !, _ ~ ( ~ a J ,x 0 1.1
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Hems 24-26 mull a completed by person
~ who
ronounces tleam .
me
ea
a
P 25. Date Pronouns Dead (MOntit day, year) 26. Wes Case Referred ro Medical Examiner /Coroner Iw a Reason Other Than Crematron or Donation?
p
. D
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x r° ~~ ~.Q `1 ^Ves ~No
CAUBE OF DEATH (Sae Inetrualona and exam ss) i Approxhnate interval:
Item 27. Pan I: Enter ne chain of events - diwases, injures, a wrrplications - Ihet dreary caused Ne death. tb NOT amen mrmhel events such as cardiac enest t Onset to De
th Pan 11: Enter other sion ficant condtion• con.ih r g to d m
b 28. Did Tobago Use Contribute to Death?
a
resphatory arrest or ventricular fihritiNion wimoN showing 8ie etidogy. List Doty one cause on each Ilse. r ut not rewPo in the undo
rg rlyuig cause given in Pan I.
^ Yes
^ Probably
~
IMMEWATE CAUSE Final disease or {{
f
~ ^ No ^ Unknown
y
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cnndAron rewfling ro
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ath) _~ a. ~y„/ 1 \ 29. If Female:
1
i rr~~pp
Due to (or as a consequence oQ:
SSaeoouenlially Yst conditions, H any, b. ~
leading m the rouse Nsted on Boa a. gts1 Na pregnant within past year
^ Pregnant at time d death
Elver the UNDERLYING CAUSE Due b (w as a consequence ol): ~ ^ Not pregnant pu(pagrant within 42 days
(dsease a irryury tltat initiated the ,
c
of
a
' i
events resuhkg m deem) LAST. ^
Due to (or es a consequence oQ:
Not
pr
egnant Wt pregnant 43 tlays to 1 year
d ~ before death
^ Unknown it pregnant within the pest year
30a. Was an Autopsy
Penormed? 30h. Were Autopsy Findings
Available Prior to Gompmaon 31. Manner of Death 32a. Date o/ Injury (bloom, day, year) 32b. Desr,iw How Injury Occurred 32c. Place of Injury' Home, Farm, Street, Factory,
of Cause of Death? ~alural ^ Homicide Office BuikBng, etc. (Speay)
^ Yes i~NO
^ Yes I$'No ^ A~'~"t ^ Pendn9lnvesfigatlan 32d. Tune of Injury 32e. Injury at Work? 321. H Transportation Injury (SpeGry) 32g. Localron of injury (Street city /town, state)
^ Suicide ^ Could Not be DeterMned
M
^ Yes ^ W ^ Driver/ rotor essen ^ Petlestnan
~ gar
other - Speph'
33a. Certifier (check only one) 33b. Signamr of CenBier
• Cenxying phyalcmn (Physician aniying cause of tleath when another physician has pronounced deem arM canpleled Item 23) -
~
To the best of my knowledge, deem occurred due m the ease(s) arM manner o oared _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• Pronouncing and artllying phyeklan (Physidan bah promuncing deem and ceNlyting to cause d deem) ~~ Lke r 33tl. Date Sryred (Month day, year)
To the heal of my knowledge, death ocrwrrod m the Ume, dam, aM pma, and due m the cwse(a) arld manner as atated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^
• Medial Examiner/Daormr Q O ~ O l , r _ (_
"1 ~ ~ ~ G ]
On the baste of exammallon end! or Investigatbn, In my oplnlon, desth occurredM the dme, dam, end plea, end due to the auae(q and manner as Hated ^ 34. Name and Address of Person Who Completed Cause of Deam (Item 27) Typa / Prim
35. Registrars SignaWre and District Number
-
36. ate FBed nth, day, year)
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( Darryl Guistwite, D.O.
210 Bi
S
i
Rd
Q~ g
pr
ng
. , Newville, PA 17214
Dlspositbn Permit NO. UbLylyS
~1 A~U ffiltl~ ~~~~DBHI@D11~ A~"~[~Q~D6 91~~gDl~~ D[t~H~~d
I, Marian Wolfinger Burdick, of the Borough of Jenkintown, Montgomery County,
Commonwealth of Pennsylvania, hereby revoke my prior Wills and Codicils and declare this to
be my Last Will.
I. I direct that all my funeral expenses are to be paid as soon after my demise as possible
and that all estate, inheritance, transfer, legacy, succession, and/or other death taxes and duties of
any nature payable by reason of my death which may be assessed or imposed upon or with respect
to property out of my estate be considered as an expense of the administration of my estate and no
part of said taxes shall be apportioned or pro rated to any legatee or devisee under this Will or to
any person owning or receiving property, including life insurance, not passing under this Will.
II. All the rest, residue and remainder of my estate, whether real, personal or mixed, of
whatsoever kind and wheresoever situate, which I may own or have a right to dispose of at the time
of my death, I direct to be divided equally, share and share alike between my children, per stirpes
and not per capita.
III. In the event that any person entitled to share in my estate under this Will is a minor at
the time of distribution to her or him, such share of my estate shall be delivered to either her or his
parents or the person having custody of her or him. The receipt of such share by surent o~- : ,i_ry
ry
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other person shall constitute complete and final acquittance to my Executor hereunder. ~ ~,~
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N. I nominate, constitute and appoint my daughter, Holly Ann Stone, as Executor under
this my Will. In the event that Holly Ann Stone refuses or is unable to act as my personal
representative, Iconstitute and appoint my son, Neil Elliott Burdick, to act in her stead. I give and
grant to my Executor, in addition to the authority conferred by law, the power to sell any and all
property, real, personal or mixed at public or private sale, at such time, at such price and upon such
terms and conditions as she may see fit. My Executor shall have the discretion to retain all
property, real, personal or mixed for distribution in kind, and the power, but not the duty to invest
any cash, without being limited to investments of the character allowed to an executor by statute or
general rule of law. My Executor shall have the power in general to execute and deliver any and
all instruments and to do all acts which she may deem necessary and proper to carry out the
purposes of this Will.
V. No bond shall be required of any Executor for service at any time under my Will. If a
bond is required notwithstanding the provisions of this paragraph, no surety or security shall be
required on the bond.
IN WITNESS WHEREOF, I, Marian Wolfinger Burdick, Testatrix, herein have set my
hand and seal to this my Last Will and Testament, consisting of two pages, this St" day of
October, Two Thousand (2000).
,~
Marian Wolfingter B dick, Testatrix
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA ,
COUNTY OF MONTGOMERY
. SS
I, Marian Wolfinger Burdick, Testatrix, 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 and Testament, and that I signed it willingly,
and that I signed it as my free and voluntary act for the purposes therein expressed.
SWORN AND AFFIRMED to and acknowledged by me, Marian Wolfinger Burdick,
Testatrix, this 5th day of October, 2000
SWORN TO AND SUBSCRIBED:
BEFORE ME THIS 5th DAY
OF OCTOBER, 2000
N TARY PUBLIC
• ~ ~~i;NUA A. UIIPHANT, Nohry~ Public ,
~~~~ ~ .hNi+ ~, 2000
Marian Wolfinger Burddick, Testatrix
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA ,
. SS
COUNTY OF MONTGOMERY
WE, ~1_x"r; iN/~ i~ ~l?L~ ,J~>HN ~`l'~f?S/-~~Sa'hd ~J.l`.?k~'~iL'E= ,1~C5 ~~~~t', the witnesses
whose names are signed to the attached or foregoing instrument, being duly qualified according
to law, do depose and say that we were present and saw Marian Wolfinger Burdick, Testatrix,
sign and executed the instrument as her Last Will and Testament; and the Testatrix signed
willingly and that he executed it as her free and voluntary act for the purposes therein expressed;
and that each of us in the hearing and sight of the Testatrix signed the Last Will and Testament
as witness; and that to the best of our knowledge the Testatrix was at the time 18 years or more
years of age, of sound mind, and under no constraint, or undue influence.
Witness
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SWORN TO AND SUBSCRIBED:
BEFORE ME THIS 5TH DAY
OF OCTOBER, 2000
t
ARY PUBLIC
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i ~ PriM~fsahla, PhMa. Caxily
Co~~Mon Emirs .lug 24, 2002
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