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HomeMy WebLinkAbout09-12-11IN THE COURT OF COMMON PLEAS OF CU MBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LE Estate of ~~, TTERS ~~a: ~ '~' ~~ ,Deceased ESTATE NO: 21- ~ a11c/a: a1k/a: SS NO: ~, (~ 7 Q ~ !3 ~~ Petitioner(s) who is/are 18 yrs of age or older, apply(ies for: a placable: ) COMPLETE SECTION `A' or `B' AND "C" as ~A. Probate and G rant of Letters Testamentary or QAdministration c.t.a., or d.b.n.c.t.a and aver that Petitioner(s) is/are entitled to the aforementioned L etters the last Will of the above-named Decedent, dated • (~omPlete Part Calso) ~.,~?.~va and codicil(s) dated under Except as follows, Decedent did notam relevant circumstances, e.g, renunciation, death ofexecutor, etc.) ~'ry, was not divorced, and did not have a child born or adopted after execution of th instruments offered for probate; was not the victim of a killing, was nev Pa~'ty to a pending divorce proceeding at the time of death wherein rounds e er adjudicated an incapacitated person, and was not a 23 Pa. C.S.A. § 3323(g): g for divorce had been established as defined in ^ B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent late, durante absentia, durante minoritate) C. Petitioner(s), after a proper search, has/have ascertained that Decede following spouse (if any) and heirs (If Administration c.t.a. or d.b.n.c.t.a.t left no Will and was survived by the heirs); was not the victim of a killing; was never adjudicated an inca acita enter date of Will in Section A and complete list of proceeding wherein grounds for divorce had been established as provided in 2 p ted person; and was not a party to a pending divorce 3 Pa. C.S.A. § 3323(g), except as follows:_ Name Address n R hi to D~t~dent ; , ;`-~- ~~~ i - ._ f -~~ ~~ ~ _. USE ADDITIONAL SHEETS IF NECESSARY '~ ~ ~~ ~ - . `...~ C..4._ _ ^~~ THIS SECTION MUST BE COMPLETED: ~ `~ ~. ," ~ ~ ~-~ Decedent was domiciled at death in Cumberland County Penns lv ~ ~~ ~"' At ( r~ th ~u,~~w ~r S-r ~~.~ Y anla, with his/her last family or principal residence ~~ r' s I ~' F',,g (Street address with Post Office and Zip Code, Munici ali Townshi Borough, City) ~~/ ~ Decedent, then p ty~ p, -~ Years of age, died b ~ C,3- ~ a i 1 at ~ci~ w ~ s l e, 1~~1 i Estimated value of decedent s roe (Month, Day, Yeaz of death) ~~ ~ ~ _If domiciled in PA ~ p p rh' at death: (City and State where death occurred) _If not domiciled in PA All personal property _If not domiciled in PA Personal property to Pennsylvania $ ~~ ~ ~ ~ _Value of Real Estate in Pennsylvania Personal property in County $ Total Estimated Value $ Location of Real Estate in Pennsylvania: (Provide full address if possible.) $ -~ ~ ~ ~ G~_ Signature(s) , Name(s) & Mailing Address(es) Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 1 oft OATH OF PERSONAL REPRESENTATIVE ~ a.. `= ~~ ~ -- Commonwealth of Pennsylvania - .. County of Cumberland '~-- ` t ~. ~" - m .~.. _.. ,:..r,~~ ~.:: L. ? ~M tai 1 The Petitioner(s) herein named swear or affirm ~ ° ~• ~, that the statements in the foregoing Petite are true~~and ~.. correct to the best of the knowledge and belief of Petitioner(s) and that, as ersonal Decedent, Petitioner(s) will well and truly administer the estate accord' p representative(s) of the ~' 1!ng to law. Sworn to or affirmed ax><d subscribed _~ befo ~'me this ~ r~ da of 1 '~ y` - V _ _ ~ _~_ ~' ~;' ~ o -. y ~f~ t~F? R P(T1 nf-o.. DECREE OF PROBATE AND GRANT OF LETTERS Estate of ~ ~~ ~~-- , Deceased File Number: 21- _ _.~ AND NOW, this l~ day of ~ the verse side hereon, satisfacto roo ~ G ~ , in consideration of the Petition on Testaments ~' p f ha ><ng been presented before me, IT IS DECREED that Letters ry of Administration - are hereby granted to: n (ITapplicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) C~~ ~~~ the above a tate and that inst ments(s) dated in admitted to probate and filed of record as the last Will and Codicils of Dec describes in the petition be () edent. Ciienda Farner Strasbaugh, ~ ' Register of Wills FEES: Letters ....................$ ~~ ~ 0 ~ Will ....................... ~'. d Co il(s) ............... ( )Short Certificates ~ DD ( )Renunciations....... Bond ............................ Other ............................. ................................. ................................. Automation FEE......... 5.00 JCS FEE .................. 23.50 TOTAL ................$ J 3~.5~ Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Name: Supreme Court ID No.: Address: Phone: Fax: Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 1115.250> REV (0 V071 2l it aybb LOCAL REGISTRAR'S CERTIFICATION WARNING: It is illegal to duplicate this co b ~F DEATH py y photostat or photograph. Fee for this certificate, $6.00 ''' ~ ~ f f rYY y.,,,,,..,,,.,,. ~, ~p~TN OF p ' ~~~~~ Fy~~~ =, ~o r ~~ _ L: C _ ~ Z:: ~ -. * * ~. ,, ~~~ ill,'' ~" 9lti1ENT OF , This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will he f~orwarde~d to the State Vital Records Office For permanent filing. Local Registrar Date Issue P 1799253 Certification Number nt0$-t4,3 REV IIr2(]Ofi TYPE PRINT tN PERMANENT SLACK iNK ' Nam. d oecedere jFrrst, mdtlp, last, suMuj Mar Ella Neum er 5 Age (Last arowy) Urltler t ratvuns COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH .VITAL RECORDS (~ i $ERTon~s a^d ex~ampes o~ reverse) STATE FILE 2. Sex 3. SocW ~N Number >. oap a ektn Moran Female 207 - 0 -~ O ~~. F,,~., ~~ ~ ~.~ yT ~ ~~ .~ -., _J~C~ }~ _.~, ~~ ,;. 4. Dap d DNIh (None!, yWq i ,~-~ ~_ ~_.; - - r. 9 2 Yrs. ~~ ~' Mi~u ~ r 7 ci and spp « ~,,,, ~ Pas. a t>oeat cnsck anal 13 8 5 S e t emb e r 2 011 S e t. 2 2, 1918 Hospital: ab. count' a Deem Goldsboro, PA °'^": ~ tk. City, 9«0, Twp. of Deam ^ Inpatient ^ ER / Ou~aeenl ^ DOA lta. Facirty Nanw (If not insoNtion, give street and number) ~s^9 fidnr ^ RssWence ^ Opyr - $p« ft'. Cumberland Carlisle 9. Was Decedent of Hispanic Orgin? ® ~ • I t. Deceoent'sUSUaI Church Of God Home (" )"'• r Cuban. ^ Yes lo. Rue: Arrtertcert N>darl, etaa~ wixp ~ lion Kind a worts done du ~ most of kte. Do not slap retired 12. Wu Decedent ever in the 13. Mexrcart, Puerto Rican, etc.) (Spanryq KiM d work Decedents Educaran ISpeury onry highest grade Whit e Housewife Kirwa6usuress/Industry U.S. Armed Forcea? canaepd) 14. Mental $tabtS: Manned, Never Manned. 15. Surn Elementary it ~~ry (0.12) Cdlege (i-4 « 5+) Widaved, Dw«ced lSpeciy) wn9 Spouse pf wih, gnro maxferl name! ~ 16. DecoOerlYS Marlylg Address !Street, wM /town. state. zrp code) ^ Yes ®No 801 North Hanover Street Decedents Widowed AcNalResiderlce narrate Pennsylvania oaDe~edern Carlisle p 17 1 nb. co~my Cumberland Townsfup? 17o fCfvvff! Yes. °e~de"' ~,~,n 18. Fadlefs Name (First coddle. last, wffix) 17d. tp; No. Decedent Lived wnfkn Twp. Clare Sta em er At:walLimitsa Carlisle 19. Abther's Name (First, rnid9e, maiden wmarne) Ce1' / Born zoa.lnfomw'rs"am°R''pe'Pnn`) Wilda Roush 21 a Method a err R . Neum e r 2pb. IM«mants Marling Adtlreu (street, city /town. stap.:p ~) D'Sp05i0°n ~ 4832 S tin to ^ e«~I ®crenwuan ^Donadon z,b Dateaa Drive Harrisbur PA 17111 ,~~ ^ Removal ham Slate ~ Wu Crenlpiert or Derlalidn AIdllprjx~d epO5iti0n !Mandl, day. Year) 21c. Place a Drsposrbon (Name of cemetery, crematory «omer place! ~ ~ ^ Dew - - by ~ Ctxorpr? 21 d. Lacaaon tCdy /town. spp, ~ Frxreralservreel-x:e ~ Yes^ No Se t. 7, 2011 Cremation Societ of pA ~~) a ~ ~ ~- ~ ) z2b.Lx;enee"«nb°r Harrisbur zzc. Name era Atldress a Fac4ity s PA 17109 z3a<dnywnenceru , FD-138753 Auer Cremation Services of pennsylvania rec. N"g 23a.T wwmledge,deatnocc«red tdrebme data and 4100 Jonestown Road i b j vnYS~uan rs na avaYable u hrte a death to pace silted. (signature and title) , Harr s u r PA 17 i 09 • carYty wore d dealt. I /ti ~:_~D ` ~ ^ ~~ r ~ ~ Il 23b. Lx;ense .yumper 23c. Dap _ :tams 24-26 must be ~JV TL7 (/l V C Synd (Montlt, day. Year) wrto prono„Kes ~ corrtpteted by person 24. Tme d beam ~ ~ ~ 25. Dap ~ 5 s ~ .~ ~ r ~ y,,. fJ~~ ~c~ D (Month. day. Year) ~r ( G ~ ~ I t • ~1t.M ~ }- ~ ,~ 26. was Case Referred to Mtwical Examner ; C«oner t« a Reason Oekr dtan Cremation « ponatton? item 27. Pan I: Enter the ~m a events _ CAUSE OF DEATH (5iN inetruedons srM etaerrlplee) G ~ LQ(I ^ Yas ~~~ diseases. ~ «~iCahorls - bet ~ , Approxrmap inprva~ Pan II: Enter other - _ resprabry arrest. « ventricular tibrxlaOdn widqut ygvvvg dp a ~Y causeO trp death. DO NOT enpr pmunel events wcn as cardiac arrest. r u9N1s'ant condi ion< ~9Y ~ onM aril cause an each line, Onset to Death Uih '" 28. Dd Tobacco Use WYEOIATE CAUSE Final disease « t Dot rat resulo N the undo rP~PPrrrpddp/bba,npbtlh'vb+t• b Oeadi? ~!, c«Idibm rrlsulbrlg n ~) -~- a. UQ t It ~Q ~ ~ ~ dYtn9 cause gven n Part I ^ Yes ^tG tNMUgwn ~ Due to (« as a P W ~ ~ ~ ~ K ~ ^ No j IW ooilAtlorls, d any, o`) t 29. d Female: b 'F ~ d~ r -•--__ 'f Ever pUNOERLYI G CA J~ a Due to (« as a consequence tit) Past Year ~ tdsease « irytay dill +ktiated the t egrurtat eme d dsatll evenp rewrOrlg n death! LAST. c. ~ ----~- ^ R • Due to (« as a t ^ Hat pregnant, bt4 pregnyy wiaxn ~ ~„ • cons•G+utce tit): d. ~ ------ d Oealh t 30a. Was an AulOpey 30D. Were Autopsy F r ~' ~N, ~ PregrwM 43 days b 1 year -PenomtetY? aWwgs 31. Marvler d DeaN t '~--- bM«e deM Avattable Pnor to Completwn ~~ 32a. Date a Inwry (Mgl,h, may, year! 32b ^ Urxugwrl d pregtare enr+irt tlM ~, ley a Cause a Death? IrJ NaNral ^ DesrnDe How Inwry Occurred ~--7 ~ 32c. Yes L~N1VO ^ Yes ^ No ^ AcWtlent ^ Pending Imrostigabon 32tl. Time of Injury 32e In ~ Ofltce f3uildtrtg, e~h~($y,xy)).1~~'' F~Y• µuy at Work. 32f. d Transponation In u ^ Swede ^ CouW Not be Oetermned ) ry l~rhl 32g Lowtron of ~ ^ Ves ^ No ^ Drrver ~ Operate ^ Passers r Mury lSireal, ay !town. spiel 33a Caroher Itrlefx «xy on,) M. Other - ~N: ~ ^ Pedastnan • T~heet d my~ Ikn°n'ledge• death oaumd due to tM uo1~ physrctan has prortorxlced death and competed Item 23) 33b. Signal e i a C liar ^'~ _ c+usele) and mwter u silted _ _ _ - ~ ~ /1 / To tMbgt a tilt know ~ pbysitien tPhystpan Ootlt pron«mc,ig tlutli and u _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~,( ,~• • t~//i Wdfcal Exaagryr/ , duM occurred al tM rime, date. and rblyvg p quM~deanE manner u pep, and dw to tlN tau ~ L Number on the Uaeie a e epted- ' - - ' - - - - - - - ^ f -( J~} 02.1 ~ f 33d. oap IMOn . my. war) and / or inwsdgetbn, in m ion. deem - - - - - - ot:curred atthe time. day, and ilea, end dw to tM uuee(s) arW mettrter u epted_ ^ ~ ~ (~ ~ U ~jr 2 ~ t ]5 Regxuars e r 34. Name and Address of Person o C ~ ~ /W~ h omppted 'aura a Death lit 27) Type r p t ail F IMmN, day year) ~ l~ G V ` cc ..~ ~ • 1 ~ ~a2 ~ ~ / ~ ~ Q V td L _ K/~l.y p av, Disposrtbn Permit No. 0 6 6 7 412 i ~ ,,. ~ t; _r •- r-_...i....J _" _ 4` ' _ ~ ~~ LAST WILL AND TESTAMENT { a '~`-~~'~ (Pour-Over Will) ~.,~_, ~-~ ~ ~, OF u-~ -~ ''J MARY E. NEUMYER ..' I f c:: IDENTITY • I, MARY E. NEUMYER, residing in the County of Dauph in, Commonwealth of Pennsylvania, being of sound mind and memory, and not acting under duress or undue influence of any person whomsoever, hereby declare this to be my Last Will and Testament, and I do hereby revoke all other former Wills and Codicils to Wills heretofore made by me. My Social Security Number is 207-09-1385. All reference made herein to "spouse or my spouse" refers to the person to whom I am currently married, namely, CLAYTON L. NEUMYER. By the ensuing provisions of this Will, it is my intention to dispose of my interest in our property; I do not intend to dispose of anything belonging to my husband or to put him to any election. I have the following children: TERRY R.M. NEUMYER born May 13, 1941 and currently residing in Harrisburg, PA 17109; MERRY ANN KISH born November 5, 1947 and currently residing in Harrisbur PA. g, DEBTS, TAXES AND ADMINISTRATION EXPENSES I have provided for the payment of all my debts, expenses of administration of property wherever situated passing under this Will or otherwise, and estate, inheritance, transfer, and succession taxes, other than any tax on ageneration-skipping transfer that is not a liability of my Estate (including interest and penalties, if any) that become due by reason of my death, under THE CLAYTON L. NEUMYER AND MARY E. NEUMYER REVOCABLE LIVING 'TRUST executed on even date herewith (the "Revocable Trust"), or if my spouse predeceases me, under the Survivor's Trust created by the said Revocable Trust. If the Revocable Trust assets should be insufficient for these purposes, my Executor shall pay any un aid items from the residue of my Estate passing under this Will, without any apportionment or reimburse ent. In the alternative, my Executor may demand in a writing addressed to the Trustee of the Trust an amount necessary to pay all or part of these items, plus claims, pecuniary legacies, and family allowances by court order. PERSONAL AND HOUSEHOLD EFFECTS • It is my intent that all my personal and household effects were transferred to the Revocable Trust as a result of the Declaration of Intent signed this date. If there are any questions regarding the ownership or disposition of these assets, it is my desire that such assets pour into the Revocable Trust, signed by me this date in accordance with the provisions of the section titled "Residue of Estate." POUR-OVER WILLS Page 1 (Testat r/Test trix) • RESIDUE OF ESTATE I give, devise and bequeath all the rest, residue and remainder of my property of every kind and description (including lapsed legacies and devices), wherever situated and whether acquired before or after the execution of this Will, to the Trustee under that certain Trust executed by me on the same date of the execution of this Will. The Trustee shall add the property bequeathed and devised by this item to the corpus of the above described Trust and shall hold, administer and distribute said property in accordance with the provisions of the said Trust, including any amendments thereto made before my death. If for any reason the said Trust shall not be in existence at the time of death, or if for any reason a court ofcompetent jurisdiction shall declare the foregoing testamentary disposition to the Trustee under said Trust as it exists at the time of my death to be invalid, then I give all of my Estate including the residue and remainder thereof to that person who would have been the Trustee under the Trust, as Trustee, and to their substitutes and successors under the Trust, described herein above, to be held, managed, invested, reinvested and distributed by the Trustee upon the terms and conditions pertaining to the period beginning with the date of my death as are constituted in the Trust as at present constituted giving effect to amendments, if any, hereafter made and for that purpose I do hereby incorporate such Trust by reference into this my Will. EXECUTOR I hereby nominate and appoint CLAYTON L. NEUMYER as my Independent Executor of this, my Last Will and Testament, to serve without bond. • In the event the first na med Executor shall predecease me or is unable or unwilling to act as my Executor for any reasons whatsoever, then and in that event, I hereby nominate and appoint TERRY R.M. NEUMYER to serve without bond as my Independent Executor. In the event the second named Executor shall predecease me or is unable or unwilling to act as my Executor for any reasons whatsoever, then and in that event, I hereby nominate and appoint MERRY ANN KISH to serve without bond as my Independent Executor. Whenever the word "Executor" or any modifying or substituted pronoun therefore is used in this my Will, such words and respective pronouns shall beheld and taken to include both the singular and the plural, the masculine, feminine and neuter gender thereof, and shall apply equally to the Executor named herein and to any successor to substitute Executor acting hereunder, and such successor or substitute Executor shall possess all the rights, powers, duties, authority, and responsibility conferred upon the Executor originally named herein. EXECUTOR POWERS By way of Illustration and not of limitation and in addition to any inherent, implied or statutory powers granted to executors generally, my Executor is specifically authorized and empowered with respect to any property, real or personal, at any time held under any provision of this my Will: to allot, allocate between principal and income, assign, borrow, buy, care for, collect, compromise claims, contract with respect to, continue any business of mine, convert, deal with, dispose of, enter into, exchange, hold, improve, • incorporate any business of mine, invest, lease, manage, mortgage, grant and exercise o tions w' to, take possession of, pledge, receive, release, repair, sell, sue for, make distributions in cash Orlin kind of POUR-OVER WILLS '` Page 2 (Tes ator/Test rix) • partly in each without regard to the income tax basis of such asset and in e g neral, exercise all of the powers in the management of my Estate which any individual could exercise in the management of similar prope owned in its own right upon such terms and conditions as to my Executor may seem best, and execute and deliver any and all instruments and do all acts which my Executor may deem proper or necessary to carry out the purpose of this my Will, without being limited in any way by the specific grants or power made, and without the necessity of a court order. My Executor shall have absolute discretion, but shall not be required, to make adjustments in the rights of any Beneficiaries, or among the principal and income accounts to compensate for the consequences of any tax decision or election, or of any investment or administrative decision, that my Executor believes has had the effect, directly or indirectly, of preferring one Beneficiary or group of Beneficiaries over others. In determining the Federal Estate and Income Tax liabilities of my Estate, my Executor shall have discretion to select the valuation date and to determine whether any or all of the allowable administration expenses in my Estate shall be used as Federal Estate Tax deductions or as Federal Income Tax deductions and shall have the discretion to file a joint income tax return with my spouse. SPECIFIC OMISSIONS I have intentionally omitted any and all persons and entities from this, my Last Will and Testament, except those persons and entities specifically named herein. If any person or entity shall challenge any term or condition of this Will, or of the Living Trust to which I have made reference in the sections "Household and Personal Effects" and "Residue of Estate," then, to that person or entity, I give and bequeath the sum of • only one dollar ($1.00) only in lieu and in place of any other benefit, grant, bequest or interest which that person or interest may have in my Estate or the Living Trust and its Estate. SIMULTANEOUS DEATH ' If my spouse and I should die under circumstances such that the order of our deaths cannot be determined, then it shall be conclusively presumed for the purpose of this Will that my spouse survived me. If any other Beneficiary should not survive me for sixty (60) days, then it shall be conclusively presumed for the purpose of this my Will that said Beneficiary predeceased me. MARY . N YER Testatrix POUR-OVER WILLS Page 3 (Tes ator/Tes trix) • This instrument consists of S typewritten pages, including the Attestation Clause, Self-Proving Clause, signature of Witnesses, and acknowledgment of officer. I have signed my name at the bolt of each of the preced' pages. This instrument is being signed by me on this day of ATTESTATION CLAUSE The Testatrix whose name appears above declared to us, the undersigned, that the foregoing instrument was her Last Will and Testament, and she requested us to act as witnesses to such instrument and to her signature thereon. The Testatrix thereupon signed such instrument in our presence. At the Testatrix's request, the undersigned then subscribed our names to the instrument in our own. handwriting in the presence of the Testatrix. The undersigned hereby declare, in the presence of each of us, that we believe the Testatrix to be of sound and disposing mind and memory. Signed by us on the same day and year as this Last Will and Testament was signed by the Testatrix. • WITNESSES: ~Z~,~G"vL ~~ ~~~~~ (Printed Name of Witness) D~~~-_ ~ A ~ // ,! "/ / , v ~IL~~~ (Printed Name of Witness) ADDRESSES: 3/Z~ /~ NNl.~oD ~ ' T ~ / ~~~ EFi~rre2~.s-~i~e-G na , ,os • POUR-OVER WILLS Page 4 (Test or/Test rix) • COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SELF-PROVING CLAUSE BEF~ ~~~ME the unde~gned authority, on this day personall appeared MARY E. NEUMYER, ~~~,~ and ~Dy~f ~ ~ ,known to me to be the Testatrix and the witnesses, respectively, whose names are subscribed to the foregoing instrument in their respective capacities, and all of them being by me duly sworn, MARY E. NEUMYER, Testatrix, declared to me and to the Witnesses, in my presence, that the instrument is her Will and that she had willingly made and executed it as her free act and deed for the purposes therein expressed; and the Witnesses, each on his or her oath, stated to me in the presence and hearing of the Testatrix, that the Testatrix had declared to them that the instrument is her Will and that she executed the same as such and wanted each of them to sign it as a witness; and upon their oaths, each witness stated further that he did the same as a witness in the presence of the Testatrix, and at her request and that she was at that time eighteen (l 8) years of age or over and was of sound mind, and that each of the witnesses was then at least fourteen (14) years of age. G MAR E. UMYER Testatrix ~ .~ ~ 1 J Witness ~~~~/~ L~~~ (Printed Name of Witness) W itn ~ t ~- (Printed Name of Witness) SUBSCRIBED AND ACKNOWLEDGED before me by MARY E. NEUMYER, Testatrix, and subscribed nd sworn to before me by ~~~ _-- ~~/~i~ _-- _- and witnesses, this the ~~~~ of ~. . No ry ublic, Commonwealth of Pen vania Notarial Seal John N. Wight, Notary Public Upper Merion Twp., Montgomery County My Commission Expires Sept. 1, 2003 Member, Pennsylvania Association of Notaries POUR-OVER WILLS Page 5 (Testa or/Testa ix)