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HomeMy WebLinkAbout08-04-11 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of Arlene M. Cassel a/k/a: Deceased ESTATE NO: 21- ~ 1_ ~-' ~ ~ ~~ a1k/a: SS NO: 172-24-9189 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' ,!AND "C" as applicable: O 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(s) is/are entitled to the aforementioned Letters T~s~-~,,~, p „r, .~~~._ under the last Will of the above-named Decedent, dated 2/22/2005 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): - ^ B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent life, 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 ipending divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8) ~ cept as follows:- Name Address to Decedent .=~ ~ C7 G "a _ _ . i r ~ ~. ~~.:- .L.. TfW ~ - - -,,., C7 ^I'h -"'-' ~ T- .~, .~ USF. ADDITIONAL SHEETS IF NECESSARY D .• -~, ;~., r-1 ,~ i ~! S.~ --r~ THIS SECTION MUST BE COMPLETED: `" Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 328 S. Washington St., Mechanicsburg, PA 17055___ (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 80 years of age, died 5/10/2011 at Hershey, PA (Month, Day, Year of death) (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 $ 0.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) Signature(s) Name(s) & Mailing Address(es) Lisa A. Sanna 4 Crooked Dr, Enola, PA 1702.5 L, ~~~ David M. Cassel 3514 Margo Rd, Camp Hill, PA 17011 Interim Form RW-i.)2 revised 12.26.10 M Cumberland County pending action by the Cowt Page I of 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 that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. c~ C7 :: -z~ Sworn to or affirmed and subscribed ~~~~i ~ :~ ~ . , ':- before me this day of Q~ ` -' (; ~ _ _~ T '-. ,. ~ ~ ..,. ~- ~~~ v _ ~ __ __ __----- --t•, For the Register DECREE OF PROBATE AND GRANT OF LETTERS Estate of ~"~"~~ ~ ~ ~~ ~ ~ ~~ C-1:~~~-~ ,Deceased File Number: 21- ; ~ ~ ~ -__ ~'~ ~~' AND NOW, this -~- day of {~ f.~.l' 1 j;~ ~ ~ G~~ I ~ , in consideration of the Petition on the reverse side hereon, satisfactory proof ha~ing been presented before me, IT IS DECREED that Letters ~I'estamentary _ of Administration are hereby granted to: 1 V y~/ /'~ i (I,f~a~p b~kj, enter c.ta., d.bo.(d~ b~1n.c.ta. eh.)c~ \ /_~ 1 ~,,;,~ ~.~. ~-? ~~CA 1 11 l i l ~I 1~ ~ `t~L1 ~I 1 I 1 ~ ~ A ~.3J C~ ~ _ _ In the above estate and that instruments(s) dated described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. y ,; ~FarnerStrasbaugh, ~,:~,( ~'~<'~li%C',~,)C`~1 ~~~~ Register of Wills t FEES: <~ ~ ` 1 Letters ....................$ . Will ........................ - ,. Codicil(s) ................. ((~) Short Certificates ~~ -~(. (,~ ( )Renunciations....... Bond ............................ Other ............................. ................................. Automation FEE......... 5.00 JCS FEE ................... 23.50 ,~ ~~ ;~` TOTAL ................$ •8-59 Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Name: Supreme Court ID No.: Address: Phone: _ Fax: Interim Donn KW'-02 recis~d I?'6.10 by Cumberland County pending action by the Coon Page 2 ul 2 OCAL REGISTRAR'S CER~'NN=IC,ATI(~IV 01= ~~~~~~N`N~ WARNING: It is illegal to duplicate tk~lez r,.c-~ll-1~ ~t~~ E:~h~~tc~,°~~ i:r ~hc~t~~~~ ~~~~~ f~('c i~x chi, ~crtifttial~~. ``~(i.iiil P___1.7-2 9 7 51 ? _ Ccnillc~ILctld tiulx°},~~ l ~lth~ F'~2 ;1 lt IC il 1 1 ~~ ;~ ~`~` t~ ~' r1 r I~ ~ , t ~.. r l ~ f ,` ,. ~ ~~~. I tl I I 'I 1 ihai ` ~~~9 ~ J ~ C a ~ ~1 t J r e~ ~fNI ~ W, X ,C' ~ • U'~_ ~ }K. . i -- l l ~'.... .. ~ - , l i U c'. c~ ~ ~ ~"' ~' - ~ ~' ~'?'1`.l7 ~ j '' ._~ C~ =~ ~~. __ SCI t~7 -~ -_ :-r, .w. ~n a -rt M1o6.t ad REV 1120D6 TYPE ! PRMr IN PERMANENT BLACK INK COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CORONER'S CERTIFICATE OF DEATH 1. Noma d Caredanl (Fret, Mille, bsl sdfix) `~~~ ~~' 2. Sez 3. Sack Secxfy Nurbar 4. Date d Ceam IMmth, m , C;~el fHtHle 172 - 24 -9189 May 10, 2011 5. Ape (Last armmyl Undx 1 r UMx t m 6. Date d BiM (MOnm, day. Yid 7. Bispaca (C' and slab ar bmgl ) Ba. Plea a Ceeth (Chxk Dory site) moans Dry. Mann Aiub IbsPnal: Other 3/15/1931 Nt~1 ~ Yrs PA . . ®mPaWa ^ER/Outpatient ^DOA ^NWSngFbme ^Reamnca ^Oebr Speay - BE. Canny d Ceam &. City, Boo, 7 q. d Deem Bd Fr~Yly Name Qf rot isduGOn. qve street aM number) 9 Was Decedem a H'riparic Origin? ®No ^ ryas 10. Rxe: Ameri®n MFan. Blacl~ White. eb. III yes. spxaly Cuban. (sPxayi Dauphin Derry Hershey Medical Center Me>manPDanpRion «p) 11. DxkdanCs Uwal Kad d wok don mml d Na. Do nil slab rats t2. Was Decades eve in dw t3. Daudenl'a EdMa1M (Sperify osy niprkx grade canpblad) /I. Masal Status: Married, Never Married. 1: Surviving Spouse (h wNe, 9s'e maiden rkrtie) Kind d Wank U S A med F ? . . r ames Ksd a Blmness /Industry EkmenWy / SecorWary (612) CoWge (1 J a Sr) WEOwed, Disnrskd ISpeo/y ~~ t]aTe ^rew ®"° 2 ttaTried Wi]]acd F. l~el Jr • 16. DecedxV's Maifnp Address (Street, dl1' l torn, sbte, lip code) DetemMs nl ~ Adu91 Reeieence I7a. sak PA L Na m 328 $. ~llIY~Il SZ'. 17c ^ vas. Decedent Livetl n --- Trop I ~ T')~'1. )~ 1 /V3J f 7b. CaMy QIf~~ towneNp? 17d LlY ND, Dewdenl Lived vomit t~'g]j,(~~ Aqual Lmib d ~_ Ciry / Born 16 FathaYS Name fFist midM, ~ sulhxl 19. Mdhx's Wms (Rrsl, mddb, mealen eumeme) Mi11m R. Millar Alt%ta Mae G~ten 2W. nAmwM'a Name (Type / Pnrd) 26b. Inbmms's Msssrg Address (SUeeL dtr /ban, slab, zlp code) ra;li;aTT~ F. (~ssel 328 S. i~ingtrai Sts Mad1a PT>, 17055 21a Melltad a Diwosllbn ~ ~~, ^ Buial ^ Removal kom Sate ^ ~~ • 2t b. Dale a gsposison (MOnm, day. year) 21c. Place a Disooenbn (Name a arrotxy. rzannbry x ether place) 21tl. Locaeon ICiy /town, stab. zp mdy ^ goer - rose G.re.NOn x Ibrbtlon ANlbrvM sPea7r: ; w AseQiwl Esarnlnx / cxorbrr ^ yr ^ No • 5/12/2011 MYas Btixig FH & Q'HrH1YIY ;~1i~.pa;s}a1>:g r PA 17257 71a. Sgrobro FuwW Service Linntee tar r~ ) ?ffi. L'eanse Nuriher 22c. Name aril Addess a Feceay _- / ~ ~_ FD138649 ~T-I & 37 E. Main St. Nit. PA '17055 Conplele Hems 23ac any wtkn cernysg 23a To the hart a my knowaedpa, deem oourred at me ume, date aM Dbca shred (S' naa and tlda physioan's rot avaibyb u nm. d deem to - ~ 1 23b- Lbanse Number 23c Date Sigred (Mpmh, mY Y~1 mrey Dees a dim. eenb 2426 mkt W cnnplxM yr, Parson "h° p'"la""° mom. 24. rune d Deam 01:26 A M 25.OW Promurz:ad Dead IMaah, day, yen) Ma 10 2011 y 26. Waa Case Relened b asa6ral Examiner I Combr f« a Reason Oabr man Gemadm or Danatbn7 . , ®re ^No CAUSE OF DEATH (Sas Inatslsctlons and anmpkal r Appre.srkla irdxval: hen 27. Pen I: Esx the msRa2~C - daeases. iryurbs. a mmpfatdb - that drecay uufed tlb deem. W NOT enter terminal evoss such as cardiac aneaL Psrt It: Esx dlbr ' ~ 2B. Dq ToW¢p Use (:xxmUe to Deem? Gael q Deem kspimbrY emit, x vesnrJar fbriMalion aimpt ypang the etiobgy List oNy oro cause on arch Isk. hul r1Pl rradtrg n me imm~ysg cause given in Pan ~. ^ Vee ^ PmWyy MMEDIATE GI1SE FiW dnaase x cendem . Wth h~ m ~ No ^ thbbwn r a p ea ) --~ a. Complications From Chest Trauma z9.nFemale: Due b (x as a oonseyence oft: --_ ^ Na pregbrh within p a year SePbnWMlbt caMisons.darry, b. Motor Vehicle Collision bahq b me alas Ibbd m Ina e. Duero (x es a E t N f m D ^ Pregure at larkaeeam n rnrisequence o ): x a U Ew11~ sa~CAaUdSmEa t M hvnh rsaUyn to loam) LA$L c' ^ Nil PrWnxil, dx pregnas wahn 42 days d B m q Due to (a as a rurkeRuence dl: __ ea ^ Nd Program. da pregnan a3 days w t year a ~ nelore seem ^ lAYaiown it Pregnant wnNn Ilk Des'I Yex ry~~ 70e. Waa an Aubpzy 30b. Were Aubpry Rndigs 31. Manner d Daalh 32a. Dale d Iryrry \'^`^^'~ my, ye,q 32b. DeBi+ibe llow I ' Dttnned Perfgmadr Avalade Pop to COmpldkn Ma 9 2011 V hi l treat, Fasay '~~"iLe~'~ ~ ^~~ y , e c e vs Vehicle d Cause d Death? ^ Nernst Ort ! N/ R08tl Way ^ Vas ®No ^ Yes No ^ ®Aaidevl ^ PeMSp Im~eslipa6on 32tl. T of lywy 32e. hyury rt Ware? 321. n Transporbson IrMbY (Specay/ 32p. lua6on d In' 1xY (treat airy /town, sate) ^sD~d. ^CwMNaWDelermned 10:38 AM, ^vee ®NO ^~Dmrx„br ~Passxigx ^PedaeMan 6320 Carlisle Irk M echanicsburg, PA 37a. CerOr tdktlt osy onel _- Csnnyeq phyaklan IPnysxian cenityhp rouse of mom when arkmer pnycs: hea prommced Beam end mnplxeo rcem 23 To tM heal d m trowlad d m d ~' ~b a inb a Cerel'~ j ~ y pa, ee occurre due ea Mr ausyq and mamw r shred _ _ _ _ _ _ _ _ _ _ _ _ ^ ' Pmmunaag arq oMiyirg phys0.dan IPrrysicbn tarn pranaxKig deem aril cemryr m sues d mom) - ~ L / / ~.tl' Lisa A. Pottei er, Chief De u ~ 9 P h q _ mY bilge. mom otturW rt tlb time. dW, and aye) arq mamar a. sfated_ _ _ _ _ _ ^ a bwr q,ct site sue to the a.a ----------- 33c. a Number 33i. Dale Sigkd (Moth, my yearl MeabaExaearwrcororbr INay 10 2011 Cn me Web a exxninatlon and / x hvnHpNion, n mr oplnbn, mach occurred at the time. dale. W phu, xM due ro tW Quays) aeq manror es aMea , _ 3a. Name orb Adbeu of Person Who CunplelM Cause d Dexn Iltem 2711 Type / Pren ss. R -rt and Dstnd Lisa A. Potteiger o2 I ! I ~ I / I oZ ~ ~ 36. Dab Ftad LMonm, eery, year) ~G ~ ~ MQ %~ 1271 South 28th Street ' 0 ~ a S~ Harrisbur , PA 17111 1'pn ennil No. LAST WILL AND TESTAMENT :. ^~.~ OF ~ ~ ~~ ~-} r -~ ~ =- ARLENE M. CASSEL ` ~ ~ -~ ~~ ` -~ :17 ~ t.~ i ". ~ ~`i ~r ~ I, ARLENE M. CASSEL, of the Borough of Mechanicsburg, County of Cumberlarni and State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all former Wills by me at any time heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can be conveniently done. 2. I give, devise and bequeath all the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever the same may be situate, to my husband, WILLARD F. CASSEL, JR., absolutely and unconditionally. 3. In the event that my husband, WILLARD F. CASSEL, JR., should predecease me, or should he die within thirty (30) days from the date of my death, then in either such event, I direct the settlement and distribution of my estate to be made in the following manner, to wit: (a) I give and bequeath the sum of One Thousand ($1,000.00) Dollat•s to my -1- granddaughter, LAUREN R. CASSEL. (b) I give and bequeath the sum of One Thousand ($1,000.00) Dollars to my granddaughter, KRISTEN M. CASSEL. (c) I give and bequeath the sum of One Thousand ($1,000.00) Dollars apiece, to each of my following named granddaughters, to wit, MARISSA J. SANNA, NICOLE E. SANNA, KATELYN M. CASSEL and COURTNEY E. CASSEL, and in the event that any or all of the above named granddaughters have not attained the age of eighteen (18) years at the time of my death, then in such event, I direct that their bequest and share in my estate be placed in an interest bearing account at a local banking institution, until such time as they attain the age of eighteen (18) years, at which time the same shall be paid over to them, free of any further restrictions. (d) I give, devise and bequeath all the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever the same may be situate, to my four (4), children to wit, TIMOTHY S. CASSEL, DAVID M. CASSEL, LISA A. SANNA and MATTHEW A. CASSEL, share and share alike per stirpes. LASTLY, I nominate, constitute and appoint my husband, WILLARD F. CASSEL, JR., Executor of this my Last Will and Testament and in the event that my said husband should predecease me, or should he be unable or unwilling to serve in such capacity for any reason, then in such event, I nominate, constitute and appoint my daughter, LISA A. -2- SANNA and my son, DAVID M. CASSEL, Co-Executors of this my Last Will and Testament in his place and stead and in all instances, I direct that my personal representative be excused from posting bond or other security for the faithful performance of their duties, in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this r~) `~ day of February, A. D. 2005. 7~ . C'~~ (SEAL) Arlene M. Cassel -3- COMMONWEALTH OF PENNSYLVANIA ) SS COUNTY OF CUMBERLAND ) I, ARLENE M. CASSEL, the 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 same instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act and deed, for the purposes therein expressed. ' ' ` ~~~~ SEAL --t ) Arlene M. Cassel Sworn and subscribed to before me this~~'~'' day of February, 2005. ~~ ~~ ~ . ,~'~,~~,~~ HEIDI M~LS~~N, Notary PubNc MechaMcsburg Boro, Cumberland Co. Notary Public My Commission Expfres June 27, 2007 COMMONWEALTH OF PENNSYLVANIA ) SS COUNTY OF CUMBERLAND ) We, the undersigned, J. ROBERT STAUFFER and JOHN M. EAKIIV, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the testatrix, ARLENE M. CASSEL, sign and execute the instrument as her Last Will and Testament; that the said testatrix executed it as her free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of the testatrix, signed the Will as witnesses; and that, to the best of our knowledge, the testatrix was, at the time, eighteen (18) or more years of age, of sound mind, nde~ no constraint, duress or undue influence. Sworn and subscribed to before me this ~_~'`~ day of February, 2005. Notary Public ..~:.. NOTARIAL SEAL _ 4 _ HEIDI M. NELSON, Notary Public Med~anksbur~ Born, Cumberland C~. My Corrnnbsfon Expires June 27, 2007 ~.