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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 Willard F a/k/a: a/k/a: a/k/a: . ~;~ F~ Cassel )r _ ,Deceased ESTATE NO: 21- ~ - ~`--' <, c_, SS NO: 161-24-6656 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.n.c.t.a. (complete Part C also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters t j ~~.,~iim~~, 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, eater d.b.a., peadeat life, duraute absentia, duraute miaoritate) C. Petitioner(s), after a proper seazch, 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 spending divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), except as follows:- Name Address Relationship to Decedent C7 `'° _..~ ~ _,_ C..~ _._ y~i r- J 't't ~r- :~ USE ADDITIONAL SHEETS IF NECESSARY ` C ~:~~ ~ ~i C~> -rr THIS SECTION MUST BE COMPLETED: '"' -`- w`~ ~ = ` _t~ w;~ . ; _:~. Y Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family principal restden~ At 328 S. Washington St., Mechanicsburg, PA 17055 _ - ~ ~`; (Street address with Post Office and Zip Code, Municipality: Township,l3orough, City) Decedent, then 81 years of age, died 7/14/2011 at Camp Hill, 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 $ ~ ~ ~_ O~ P 0 . ~' (~ If not domiciled in PA Personal property in Pennsylvania $ __ _If not domiciled in PA Personal property in County $ -Value of Real Estate in Pennsylvania $ _' QO phC D (j Total Estimated Value $ r .00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) see attached Signature(s) Name(s) & Mailing Address(es) ,(f~ O ,~ Lisa A. Sanna 4 Crooked Dr., Enola, PA 17025 David M. Cassel 3514 Margo Rd., Camp Hill, PA 17011 Interim Fonn RW-~)2 revi,ed I ~26J0 by Cumberland County pending action b~~ the Court Uagc I of Z 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. Sworn t® or affirmed and subscribed before me this day of 1^ ~~ ~ ' ~ _s 1~:~ri~!~~~. _-~~ r., ~.~~ For the Register _"} ~ `~~ _ -~ , YJ `. DECREE OF PROBATE AND GRANT OF LETTERS i ~~ ~" -s~ /P•.: Estate of ~ 1~~~ ~(~ {- ~' (~~,,~~ ~ ~ ~ ` ,Deceased File Number: 21-~-__ld AND NOW, this ~ day of ~{ }.~~- ;~ (% 1 1 , in consideration of the Petition on the reverse side hereon, satisfactory proof ha ' g been presented before me, IT IS DECREED that Letters Testamentary _ of Administration are hereby granted to: pr.pplic.bk, enter c.ca., d.bo., d.bn.~ta., etc) ~.1~~~ a ``~( :t I~ (lC~~i2~'~ 1°> ~..x\1 ~~ ~ 'i ~ ~~~.~ ti. ~'% ~ in the above estate and that instnuments(s) dated described m the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. lenda Farner 3trasbaugh, ,, ~,r ~, xJ;, ~~~; ~'~ ~~ ~~ ~~, Register of Wills ~X ( i FEES: •~ ,. ~ 1 Letters ....................$ Will ........................ ! ~ CC.~ Codici 1(s) ................. ((j;) Short Certificates ~~ ~ • L.{~J' ( )Renunciations....... Bond ............................. Other ............................. ................................. Automation FEE......... 5.00 JCS FEE ................... 23.50 r.~ ~ -7~ TOTAL ................$ _~8s50 Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Name: Supreme Court ID No.: Address: Phone: Fax: Interim Dorm RW-02 rcvi,ticd 1225J0 by Cumberland Coun[v pending action by~ the Court :Page 2 of Estate of Willazd F. Cassel Jr Location of Real Estate in Pennsylvania 328 S. Washington St., Mechanicsburg, PA 17055 1634 Fisher Rd., Mechanicsburg, PA 17055 OCAL REGISTRAR'S CERTIFICATION OF DEp-T'I~ tiNARNING: It is illegal to duplicate this cl~lipy by photostat or photagrapl~. Fcr (or Ihi~ ~cr(Ifi~alr. ~!~'.Ill) - - ~, hl; ~~ Frill O ~ ~~;hc nt~Cxnuition i,L re _ivrn i~ '"A~jHOFpf` I'1~~.- '~'~\r -I'CIC~'(Iti ~1 1?IC[I f' .1' x;17 CII~'Ill.li ~~C'fUtl~'~l(t' l~l ~)CaCh SI ~ - ~1U1v 11t1i 1llll I.iL ii, rh•~~ tt ~~ ~ ~ t t1. Rc,~lslrlr ~[hL° ul~)_,nal !:'o ~ z ~ )ul~ic.n~ ~. ;'. I~ l,l~;(rl.ic~l t(1 the ~Sta[e ~iitnl ~': ~ ~~ , ~; rel. r f I , l ~ru(.t~~~c~n1 tilin~~. ~; * ~ ~" : ~, ,r ;' ,°,y~~~ ~ ;~,~~` , y' ,~ P 17644369 ~ ~`~ fix' - Ccrtillr~uuln tiOnlhL; A, ,__ 1r,(I IZi _I~.,r , I I)J(L' I,~~ue(,1 HIO$-113 REV 112D0fi COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE I PRINT IN PeLRACIw'c"EV"ICT CERTIFICATE OF DEATH (See instructions and eacamDles On reversal .i~ ~ _~, ~~ ?~.: . ~`_t _ ,~-, ~ E'f } -~ r~ _.? =-i b .., ~.~J Q _ (tea -t•~ 1. Name m Decedent (Fast, midde, last, siAfial 2. $Ba 3. Sooal Sawnly Number Lc n m 4. Date of pram (MOnm, day, year) 6 A e (Last &rmtl I Il d . g ay) rr er ar ar llaler 7 da 6. Date of BiM Mmm, 7. &M Ci and mare or b mtxrt Ba. Place d Deam Check m one t MonrM Oars Hoes Mvxaes^( ~7 ' HosPilal. OMer -- Yrs 1 ' ` I ~"~ _ ' V ` I a K-L--dW~-/ I i Inpaaent ^ ER / (hnpatlent ^ DOA ^ Nursing Hc:n¢ ^ Resitlence ^ Dplar. Spadfy. Bb. County of Deem & C+fy. Ran, Twy. d DBalh &. adgty Name III not instlhNOn, give street acrd number) 9 Was Decedent d Hispanic Odgn7 No ^ Yes 10. Race: American Intian Black While etc , , , . ~Vl , (H yes. spedFy Cuban, (SDac'~1 p ~1 (V"(~ 0 S 1 ~ M P R exican. uerto ,.}..~ lmn, ek) ~`~1 1 ~. 1 I D d Y U _ . em en S sual eon Nlra of vrole done tlu most d wo INe. Do not s191e re6ad 12. Was DBCBdenl aver in ma 13. Decedent's Edumam ($pecily mly highest grade CompMlad) 14 Marital Status'. Monied, Never Maned, I S Sunning Spouse (lf wile 9k'a maiden name) , I((d d Wale Kua of Busirress/Industry U5. Amred FacBS? Erememary / Secaaary (012) College (1-4 or 5«) Wi~"~. Oivacetl (Spearyl ~i ~ '. ~ ~ Yea ^ Nd UJ~ ~ - t6. Decedem's M n9 Adtlress (_Streett. oily, I town. state. zip model Decedent's (~ /Y Ditl Decedent l a' { W~~~ 1 ~C{~ vl 5 , r LlJ Aral RBSitlarfce 17a. Stale 1 ~Y live in a I7t. ^ Yes ~ t~ DeCetlent Lived in v ; T , , __-_- ~ J J 1 Townsh C -^ ~~ Q iP° I7d. ~ No, Decedent Lrvatl wimin ( D_ ~ O ~C 170. cony 1 A JJ JJ ~ L ctual Limits d _ CM 1B. Femefs Name (Firs( mdtlle last su - . , 19. Mdhers Name IFimt. middle, maiden wmamel ~ l cc 2 I f ' n omlaM Oa. s Name (Type I Pnnl) I ~ 2Db. InlormanYS Mtilpg Adtlress Street, rnY / Iown\slate, ziP coda, I.~- lL:V1 <t C1'G oK '(~rlb 'Pi~ 7 r q 27a. Mdhod of DsPmieon 1`~ Cremalan ^ Dana6on 27b. D at e of Disp osroan (Monet, tlaY, Year) 21c Place d Disposition (Name of cemetery, uematory or dher place) 2ttl. I.ocalion ((i'y/tam, stat¢, yq cqy) ^ Burial ^ Removal from aw ~ W e as Cremegon a Daudon AlAhodzell / I - / ~ G I I ' 7 ~j ^ Other - S ' by Medical Examirw/COldllY! ^ Yes^ No ~ ~ / ~ f. ~ 1 ' C a e 228. Sig m ( such) 22b. License Number 22c. Name and Adtlress of acilily - r•T vJ FDaI ~ l - ~ ' - • .. -.. 7 ~,~ P ~o Doniplate aema 23ec Doty wnen oartiMrtg ro ma IxSt m my wrowladge, Beam otwrred m ma ame dare eta Wam srered (si nawre am ~ , . g 23b. License Number 23c. Dare SI physiden is rpl avalade at ems m deem goad (Monet, say, ( t•rGh/ pose of death. Items 24-26 must bg compreted by person ,' woo v'onounma itaam. 24. Tme of Deam 25. Dale Pronounced Deatl (Monet, deY. year) v 26. Was Case Relerretl to Medical Eaaminer I Caoa:r for a Reason Darer dean Cremation or Donalan? , 3 ~ ~' M. V 1. (~ 2 iV L ~ ^ vee ~ Na CAUSE OF DEATH (See inatrucllons aM examples) , Appmaimale MervaL. Item 27. Pad I'. Emer me 4Deln m events - tliseases. I'Nrdes, a corriPacaliore -met tlirecdY T enbr remand events such as cardiac anert O Pad IL Enter mbar sir ~•~ d_ra, m~• -lie. ~~ .spy 26 pW Tdaan UsEi Corimbula to Oeam? , M1Set to Deem respratory artes[ a ventricular ebrillapdn wiltiod showing rice ¢I'iokgy. last ~ cause on eeM Iina out rpl resmfing h me uMed)ing muse given n Pad I. ^ Yes ^ Probady WMEDIATE CAUSE Fxw disease a ~n ~ ^ No ^ Unlvpwn ta a,reanlungin aam) ~ a ACUr~ Gcn;C~~STIU~ I-i~AKT FAIwfLE ~ +iRoNlc IGIDnif.y Di5£y zs.nFatnale: ~ Due m (or as a consequence dl: , ^ Nd pegrant wiVgn past year Sequenbau Irst ommaa¢, a /, b -S ~ V ~~ M f j R R L REG, UFZG(I TATI o 1J ; ATRIAL F' i M atXe muse MSim on one a. ~1Li.LATloni D Em S ' ^ Pregnem at ome of deem er te UNDERLYING CAUSE ua to for as a cansequertce ofl' -- c~aaaeavy r m ti ea l e h ^ Vol preganl but pregant wimin 42 tlays y u a r a e t e RUPTL12£,1 C-1-1o12p,~,& T£nipiN£A~, J7iA13~TfS events rewlang m deem) LAST. ~ c of dean Due Ie (a as a corsequence ofl: -- ^ Not pregnan'., bd aegrran143 days to t year d. ' -- 30a. Was an Autopsy 3Ob. Ware Amopry Findings 31. Manner d Deem 32a. Date d Injury IMOnm, tlay, year) 32b. Describe How In 0«urred -- P r rf d? fury ^ Unknown il~regnant within me Past year e o me Available Pda to Cortplefgn ty of Cause d Oeam? yzsl NeNral ^ Hant;pOe ` l 32c. Plate of aqury: Home, Fatm, $trcet, Factory, Office BUYdirg, dc. (SpeUNf 1~-/ t ^ Ves IEl No ' ` ^ yes ~NO ^ Accitlenl ^ Pending Investigation mod' Tirre d Inlury 32e. Iryury at Wixk? 321 II Transporlalbn Inl'xY (SpecMl 32g. Lomtion at Iniu7 (Street, ri ly Ilom, stale) ^ Sueitle ^ Coua Vol be Determaetl M ^Ves ^ No ^ DMer/Operates ^ Passenger ^ Pedestrian ^ Omer ~ SpeciN 33e. Cartfia (chetlc anty awl _- • Certifying phyekian IPhysiiaan mmying muse of deem when another physician has pronancad deem aM mom tetl Item 23 Pre , 33b. Sgwure and T:IIe of Certifier {-{ e7 s p i -f :A L.I ST ^ Ta me au d my larowladge, dmth o«a,rretl due tt the teMege,anamanaeruet,rea_________________________________ • Pronwnein antl cemt ir h kb - ~ ~, g y q p ya n IPhysicarr Dom proraunceg deem and cerNying Id muse of loam) Tame~tdmYlmawMdg..tl~m~narredatlheam..data.andpla~,anddMetemama~,a,andmanneraeare~tl-------- _ _ _ _ _ _ _ _ ^ 33c. License umber MD 4 4U ¢70 33c1. Idle Signed IMonm, day, year( . _ - • kletlkal Eaamirrer/Coroner On th b l d i ~ ._ (~ I I e o a axam natian end / a imeetigalion, in my oplnlon, deem occurred a[ the tiros, date, and place, antl due to the ceuae(e) aM tnenner as afnted ^ y{ A _ _ ame antl d dress d Persm Wtq ComplMed Cause d Deam (Ite m 27)'fyp[ I Print 36. R rs Sigreture and Datrat Num 1 n / l - / ` ~ `~'V ~ ~ ,~ / l ~I QS R ~.4 P w 1 ~i G - t loll Iv21 1 I,~I 36. Dafe Fled (Monet, day, year) J rt !6 0 503 ~. 3i 5.. Cam all CJ-rt( l .- - ~ k p l otl -- 'U Disposition Permit No. 1 / i.~ -( / ) x( LAST WILL AND TESTAMENT OF WILLARD F. CASSEL, JR. I, WILLARD F. CASSEL, JR., of the Borough of Mechanicsburg, County of Cumberland 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. ~~ n K7 ~ ~A=' ~-, _;_ n 2 ~'~= c.-~ - . ~... r.-. I give, devise and bequeath all the rest, residue and remainder of my estat~~~, ,. ~ ~~ ono personal and mixed, whatsoever and wheresoever the same may be situate, to my wife, ~..~ ARLENE M. CASSEL, absolutely and unconditionally. 3. In the event that my wife, ARLENE M. CASSEL, should predecease me, or should she 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) Dollars to my granddaughter, LAUREN R. CASSEL. -1- (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 e~oh of my following named granddaughters, to wit, MA~ISSA 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 wife, ARLENE M. CASSEL, Executrix of this my Last Will and Testament and in the event that my said wiff; should predecease me, or should she 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. SANNA and my son, DAVID M. CASSEL, Co-Executors of this my Last Will and Testament in her place and stead and in all instances, I direct that my personal representative be excused from -2- posting bond or other security for the faithful performance of their duties, in any jurisdiction. IN WYTN~5S V~JI~EREOF, I have hereunto set my hand and seal this c~2 day of February, A. L1. 2005. ~s~~.~ ~ ~/ fig SEAL) Willard F. Cassel, Jr. -3- COMMONWEALTH OF PENNSYLVANIA ) SS COUNTY OF CUMBERLAND ) I, WILLARD F. CASSEL, JR., 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 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) Willard F. Cassel, Jr. Sworn and subscribed to before me this ,."' ~ ^-dday of February, 2005. HEIDI M ~ ~' ~; ~ `~ ~ . --~~,C~L'4'- Mec~anl~r9 Boro; Cumberland Co. Notary Public ~ Commies terns June 27, 2007 COMMONWEALTH OF PENNSYLVANIA ) SS COUNTY OF CUMBERLAND ) We, the undersigned, J. ROBERT STAUFFER and JOHN M. EAKIN, 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 testator, WILLARD F. CASSEL, JR., sign and execute the instrument as his Last Will and Testament; that the said testator executed it as his free and voluntary act for the purposes therein expressed; 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 the time, eighteen (18) or more years of age, of sound mind, ar~nd~ no constraint, duress or undue influence. ~-' Sworn and subscribed to before me this ~~-2 ^~day of February, 2005. HQDI M. NELSON, ~ public Notary Public My Commission Explr+es June 27, 2007 -4-