HomeMy WebLinkAbout09-02-11PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
Estate of Darlene G. Swenson
also known as
Deceased
COUNTY, PENNSYLVANIA
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File Number ~ ~ - ~ - (~ Ic.~ U
Social Security Number 202-36-5833
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE A' or 'B' BELOW:)
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Executrix
last Will of the Decedent dated November 14, 2007 and codicil(s) dated n/a
named in the
(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 instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: n/a
B. Grant of Letters of Administration
(If applicable, enter: c. t. a.; d. b. n. c. t. a.; pendente life: durance absentia; durante mbia-irate)
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spc~e (if any) and_heirs: (lf _~~
Administration, c. t. a. or d.6.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~ ~--~ ~-~ -t_i :_~, ~
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Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
920 Macoun Drive, Upper Allen Township, Mechanicsbure, Pennsylvania 17055 _
(List street address, town/eity, township, county. state, zip code)
Decedent, then 64 years of age, died on August 28, 2011
at Harrisburg, PA
Decedent at death owned property with estimated values as follows:
(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 $
situated as follows: 920 Macoun Drive, Upper Allen Township, Mechanicsburg, Pennsylvania 17055
1,000.00
99,000.00
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Leners in the appropriate form to
the undersigned:
~i nature T d or rinted name and residence
~„ ~~ Joanna Acker, 414 West Perry Street, Enola, PA 17025
Form RW-02 rev. 10.13.06 Page I Of 2
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(COMPLETE [N ALL CASES:) Anach additional sheets if necessary. L> i
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
SS
The Petitioner(s) above-named swear(s) or affirm(s) 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 the ~ day of
`~~n~a2.t;n I~ ~r~ ' o l
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For the Register
Signature ofP~sonal Representative
Signature of Personal Representative
Signature of Personal Representative
File Number: ~ ~ ~ ` ~ ' ~-' ~ ~~ O
Estate of Dar-ene G. Swenson
Social Security Number: 202-36-5833 Date of Death:08/28/2011
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AND NOW, ~'~~ ~~1 ~~ ~~"~ :~ ~C9l,l , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Joanna Acker
in the above estate
and that the instrument(s) dated November 14, 2007
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES ~ ~ 1, ~~ ~ ~ ~~ ~,~1
2 .00 Register of W' ~~~~, ~~ ~ r~
Letters ............... $ ~~ ``
Short Certificate(s) ........ $ 40.00 Attorney Signature:
Renunciation(s) .......... $ Nathan .Wolf
Automation Fee $ 5.00 Attorney Name: _
JCP Fee $ 23.50
Will $ 15.00
... $
... $
... $
... $
... $
... $
TOTAL .............. $ '3.50
Supreme Court I.D. No.: 87380
Address: 10 West High Street
Carlisle, PA 17013-2922
Telephone: 717-241-4436
Form Rw-oz rev. uz ls.o~ Page 2 of 2
OCAL REGISTRAR'S CERTlFICATIgN GIF DEA•~~IH
WARNING: It is illegal to duplicate this copy by photostat Or p~lo~ogr~pr~.
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TYPE I PRINT IN
PERMANENT
BIACI( INN
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
t. NarM d Decetlent IFlrst mitlOle. last, siMix) 2. Sex 3. Social Sewriry Number - _ _... d. Date Death ;MOdh. tlay, Year)
Darlene G. Swenson Female 202 - 36 - 5833 ~
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5. Age ILast &rtMay) Untler 1 ar Under 1 da 6. Dela d BiM Mamh, da , ear) 7. Bi Ci aM stale or far coon Ba. %aa d Onm Check on me
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laonlhs Days Hours kanules Hosp/ita Other. 1
64
10/7/1946 Harrisburg
PA
yrs
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IJIr~Patlenl ^ERloatpaaanl ^DOA ^N~remgHaM ^Resiarne ^omer-svedr
ab. County d Deam 6c. Ciry, Boro, iwp. d Deem Btl. Facikty Name (tt rrat iMelufion, give street and numMrl 9. Waz Decedent of Hspank Origin? [~NO ^ Yes t0. Rea: Amerkan Intlian, Blad. While, etc.
Dau in Harrisburg if yes, specify Cuban,
Harrisburg Hospital Ispe~Y/»
Mexican, Paeda Rkan. ek.)
White
11. DxatlenYS Usual Ike Kkd of work doM dun most al wodd life. Do not slate rea _
12. Was Decetlent ever n me 13. DecetlenYS Etluntbn (Speufy Drily hgMSt grade nmpletetl) td. Manta Status: Mametl Never ManieQ 1!i. Surirving BpW$e (II wile, give maiden Morel
KiM d Wilk K1ndd BusiMSS/lnduslry U.S. AfineO Forces? Elementary I $ergndary (P72) College (td or 6~, Witlowad, Divorced /SpefilyJ
Superviosr ^ Yes Nq 1 ~ ied
• 76. Decedent's Mmhng Atltlress (Street, pry /town, sUte, zip cotle) Decedents Di0 Decetlent
920 Macoun Dr Actual Resdenn 17a. Slate PA Live in a 17c. ~ Yes, Decadent Uved in Ulmer Allen Twp
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ip? 17tl ^ No, oegetlem lived wimm
Cinnberland
t 7h. Couny
Actual Lmits of Ciry / Boro
tB. Famers Name (First midde, lasts ix t3. Momer's Name (First, middM, maitlen wrMmel
ose n EVa M. Houdeshell
20a. IdormanYS Name (Type I Pnnl) _
20b. InformanYS MaYirg Adtlress (Street oily 1 town, sWe, rip cotlel
Joanna Acker 414 W P St. FY>ola PA 17025
2/a. MBlhotl d DlspMhkn ^ Cremal'wrr ^ Donation 21 b. Dare d Disposaion (Honor. daY. rear) 21 c. Place of D
spashron (Name of cemetery, crematory or other place)
ltd. Lgaeon (Coy/town, stale, zip wtle)
~1 BuMI ^ Removalfromstate ~ wocrem•Yieno<13gM6onAutlwriatl
^ aner- ~ ' byMeakalEUmIMr/COroneR ^ves^ No /
9 6/2011 Rolling Green Memorial Park Camp Hill, PA 17011
~ 22a. Signa or person ailing az such) 22b. Lkense Number 22c. Name aM Atldreas d Faddy Neill Funeral Home, Inc
- - FD 013239 L 3401 Market St. Hill PA 17011
Complare' 23ac oily when nrtayiy
23a. Tome best of my knowletlga, loam ocanW at hro ame, date aM place slalM. (Signature and tilk) ---
23b. Lkense Number I ~~~
lac Date S'
Md (Honor
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ear)
e ~ avakabM at lime d seam to ,
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Y. Y
~e d aam 1
• n•ms zaxs mad be CarplBtBd by perwn
- who DroMUnaa Deam za. rrM of Deam / 2s. Date P oeaa (Monet der. rear
D/ zs. was case Relarred m kal EzamiMr t coroner roc a Reason aher man cremaagn a nonarlon?
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CAUSE OF UEATH (See instruetlons and axe s)
, Approximate inrenaf.
hem 27. Part I: Enter th ~ of even6 - tlkseeses, byunes, or mmpkcaaoM -oral directly nosed the tleam. W enter terminal evanf5 5ach az nrdac arrest Ousel to Deam Pan II: EMar other ~^^ = l ontlili t t tin tl1
but not msull'eg'n the untlerlyirg Muse gven'n Per) I. 28. Ditl Tobacco Use CAmriMM to Deam?
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respka[ory arrest or ventricular fibdlBlkn witfaul sMwinq me eadary. List DnFj Huse on each G ra
y
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IMMEdATE CAUSE IFiMI Oise
!1 /1 No ^ Unknown
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cprrddim resulting in amt /`//(C ~~ L} ~ { .• J~
a.
23. tt F
Due to for as a consequence otf:
BMalry kst mntioore, Aarry, b
ng ro
a - Pregnm wshtr pest year
^ Pregnant al lima of tleam
(or as a con
me Due to segana dl'.
Enter
UNDERLYING USE -
^ Nd pregnant but pregnam within d2 days
(dseasB or injury oral inNaretl me of deem
events resWerg in aaml LAST.
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Due to (m az a consequence till: - Not Dregnant. iM pregnant 43 days W 1 year
tl.
- before deem
^ UNmown N Pregnant whhin me past year
30e. Was an Auopsy
Perfomretl? 30b. Were Autopsy Findings
gvailable Prior to Congletbn 31. Manner d Deam
,
/ 32a. Date d Injury (Honor. day, year) 32b. Describe How Injury Osurretl 3'2c. PWa of Injury'. Hone, Fenn, SVeel, Factory,
of Cause of Deam? I
~N
al
ml ^ ~~~ Office Buil6rg, etc. (Spscily)
^ Yes ~lo ^ Ves ^ No ^ Accident ^ Pentlng Investigation 32d. Time d Injury ffie. Injury al Wqk? 321. H Transportation Inlury (SpeayJ 32g. Lontpn d injury ISecel, city! town. stale)
^ Suidtle ^ CWk Not be Detemkned ^ Yes ^ No ^ DYrverl Operator ^ Pa ^ Peeesbian
M ^ Omer - Specity'
:33a. Demaef (Che lc oMy me) 33b S Nre aM ifier
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• Certilying physkun (Physician oadilying Huse of Oeam when aMmer physician has pronouncetl death antl completes (lam 23)
To lhs besldmykMwleege, seam oaumee sue fotM nlue(s)aM manMras stated_________________________________
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• Pronouncing antl certiyhtg plrysician (Physician both proraunang deem and arliYyirg to Huse of deem)
To the bestdmykMwlaa
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eeaN
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i 33c. LkeMe N r
33d. Dsla Sgned (Month, da ,year)
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me,dare, antl plea. and tlue MtM auae(:)antl manMraz etaletl___--------- -^
• Metlinl Examlrvx l~oroner ----- ~'//
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On IM balls of ex IMlion antl / or investigation, in my opinion, death ocnnetl at IM time, date, and plea, aM tlM Yo the apse(s) BM manner as sYaYed ^ 36 N'7..p: a~nd~j~~ojf ~n ~ ~p11? l/sd/~, of Dea1M~"j~T~ not
ss. Rlegs rs a)ure aM Ditl ' ~ ~ ~
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Disposium Permit No. ~ -~ ~ 7 y ~ °1
LAST WILL AND TESTAMENT OF
DARLENE GALE SWENSON
I, Darlene Gale Swenson, of Lower Allen Township, Cumberland
County, Pennsylvania, declare this to be my Last Will and
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Testament and revoke all Wills and Codicils previously ~~e by,:,;- -.., ~~-°~
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me. rm `s
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ITEM I: I direct that my legally enforceable debt~~,~~~
funeral expenses, together with the expenses of the „_=~ .. ~~~
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administration of my estate shall be paid from my residuary
estate as soon as practicable after my decease, as a part: of the
expense of the administration of my estate.
ITEM II: I devise and bequeath all of my estate of every
nature and wherever situate unto my mother, Eva Mae Swenson,
provided she shall survive me. Should my said mother fail to
survive me, I devise and bequeath all of my estate of every
nature and wherever situate unto my cousin, Joanna Acker. Should
both my mother, Eva Mae Swenson, and my cousin, Joanna Acker,
both predecease me all of my estate of every nature and wherever
situate shall be distributed to the estate of Joanna Acker and
shall be distributed as a part thereof.
ITEM III: All Federal, State and other death taxes payable
because of my death, with respect to the property forminc~ my
gross Estate for tax purposes, whether passing under thus Will or
otherwise, including any interest or penalty imposed in
connection with such taxes, such be considered a part of the
expense of the administration of my Estate and shall be paid out
of the principal of my Residuary Estate without apportionment or
right of reimbursement.
ITEM IV: I appoint my mother, Eva Mae Swenson, Executrix of
this my last Will and Testament. Should my said mother fail to
qualify or cease to act as Executor, I appoint my cousin,
Joanna Acker, Executor of this my last Will and Testament:.
ITEM V: I direct that my personal representative, as well
as her successors, shall not be required to give bond for the
faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal,
this ~~~ day of November, 2007.
/ Z-Q- fJ`E'/~Z,~b1/L.~S EAL
Darlene G. Swenson
The preceding instrument, consisting of this and ones (1)
other typewritten pages, each identified by the signatures of the
Testatrix, was on the date thereof, signed, published and
declared by Darlene G. Swenson, the Testatrix therein named, as
and for her last Will, in the presence of us, who, at her
request, in her presence and in the presence of each other, have
subscribed our names as witnesses hereto.
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
We, Darlene G. Swenson, Dale F
Shughart, Jr., and E:va Mae
Swenson, the Testatrix and the witnesses, respectively, whose
names are signed to the foregoing instrument, being first: duly
sworn, do hereby declare to the undersigned authority that the
Testatrix signed and executed the instrument as her last Will and
that she had signed willingly, and that she executed it as her
free and voluntary act for the purposes therein expressed, and
that each of the witnesses, ir_ the presence and hearing of the
Testatrix, signed the Will as witness and that to the be:~t of
his/her knowledge the Testatrix was at that time eighteen years
of age or older, of sound mind and under no constraint or. undue
influence.
Testatrix
witness
~~ _
Witn
Subscribed, sworn to and acknowledged before me by
Darlene G. Swenson, the Testatrix, and subscribed and sworn
to before me by Dale F Shughart, Jr., and Eva Mae Swenson,
witnesses, this f ~ ~ day of November, 2007.
~~ y
Notary'" ubli.c
NOTARIAL SEAL
BONNIE L. COYLE, NOTARY PUBLIC
BORO OF CARLISLE, CUMBERLAND CO. PA
MY COMMISSION EXPIRES OCTOBER 17, 2010
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