HomeMy WebLinkAbout09-13-11PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WII.LS OF C'UN~ERLAND COUNTY, PENNSYLVANIA
File Number ! e ~ ~ /~°
Estate of 1tarYx7 D T.i ~ Sr
also known as
Deceased Social Security Number 7fld_(1'~.h-7Q7
-~
Petitioner(s), who is/are 18 years of age or older, apply(ies) for: ~ ~ -- ~ ~ ~~?
~.') ~ ` 7
(COMPLETE 'A' or 'B' BELOW.) ~ .-~ ~~-; . -;
~ _ rte- ~~ n ed itk~e
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Exec>stc~r n ~ ~ ~ ~r as4` . ,
last Will of the Decedent dated 1~1 ~ 30 ~ 2010 and codicil(s) dated _____~_N/A -~y ~.r~..;~'
._~ , ~~
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(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 instrutr~ent(s) offered
for probates was not the victim of a killing anPd was never adjudicated an incapacitated~~p~erson. ,ru~+a ~ ~~ ~ w ,
~ ~^ ~~J r~-~ "Y ~c .e. ~,~oC ~' P..~ t ~S h ~ ~ *~+~ of ed~~ ~+-, d~~+2 39 ~('~ cs.~ 3 ~`
B. Grant of Letters of Administration M
(If applicable, enter: c.t.a.; db.n.c.t.a.; pendente fife; durante abserttta; durante mmontate)
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.i.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
(COMPLETE WALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in
- -. ,
(List street address, townlcity, township, county, state, zip code)
County, Pennsylvania with his /her last principal residence at 129 Wz1nUt
Decedent, then _ 88 years of age, died on at 129 Walnut Rnttrym Rck3d,
Decedent at death owned property with estimated values as follows: $ 15 , 883.39
(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 ~ ~
'I'O~I'AL: $15,883.39
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
Page 1 of 2
Form RW-OZ rev. f 0.13.06
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA :
_ - __- _ - __ - SS
COUNTY OF _ CI~FRT~Iq_
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, Pet/itioner(s) will well and truly
administer the estate according to law. _ ~ ~ v
Sworn to or affirme//,,d~~and subscribed
before me the ~..J~ day of
~~~~~~~ ~~ ~J
Register
Signature of Personal Representative I~. r;aV~dY'd j,i nn
Signature of Personal Representative
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Signature q~'Persona/ Representative ~ ~ ~.:, .Y ;
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File Number: _trw ~ ~ a
1 wncxl D ~, Sr T~ceased ~ ~~~_ `~"~ ~'
Estate of E~ -' ``~
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Social Security Number: 204-03-6782 _ Date of Death: Atuc~ust 10. 2011
AND NOW ~ ~ ~ ~ ~' . in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters 'I'eSt~menta--~1 --
are hereby granted to R Edward T,i nn
in the above estate
and that the instrument(s) dated Jul 30 2010
described in the Petition be admitted to probate and filed of reco~c~a~s the last Will (~u1d Codicil(s))~f Decedet~,~. ~~ ~ ~~-~ ~~
FEES
Letters ............... $ .W
Short Certificate(s) ........ $ V'J
Renunciations .... .. ~ ~ ~ $
... $ sue--~=r,,~l~
...
... $
... $
... $
... $ ~,~
... $
... $ ~j
TOTAL .............. $ ` .~e6
~~C~
of
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.: '`'' ~l~~F~
Address: 9614 RDwe Ruri I~ooA
Telephone:
(71?) 532-4832
Page 2 of 2
Form RW-02 rev. 10.13.06
105.905 REV.(8111i
This is to certi that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with
the Vital Statistics Law of 1953, as amended.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
6329447
No.
Marina O'Reilly Matthew
State Registrar
2011'-r~-:
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
H105-143 REV 1112006
TYPE /PRINT IN CERTIFICATE OF DEATH
PERMANENT Corrected Item : 3 (See instructions and examples on reverse) STATE FILE NUMBER
BLACK INK per:F.D. Date:9/O1/lloh
2. Sex 3. Sodal Security Nurrtbar 4. Date a Death (Month, day, Year)
~ Name a Decedent (First middle, last, suffix) M a l e 2 0 4 - 0 3 - 6 7 8 2 A u u s t 10 2 01 1
Elwood Dewey Linn
Under 1 UMer 1 da 6. Data a BiM Monts, da , ear 7. Birth ace C' and state ar forei n count lb. Place of DeaM Check onl a+e Other.
5. Aga (Lest Blro,deyl Hospital:
Months Days Hours Mnutea ^ Other - S
1 - 9 - 1 9 2 3 Shippensburg , P A ^ Inpetlent ^ ER / Outpetlent ^ DOA ®Nursirtg Home ^ Residence I~r•
$ 8 YB. 9. Wes Decedent a Hispenk Origin? ®No ^ Yea 10. Race: Amerkten IMbn, Black, White, etc.
8c. City, Bono, Twp. a Death fkf. Factliry Name (If na irlstkulion, give street end number) (Specil}~
eb. ca,my a peetn (II yes, specify Cuban, Whit e
Medcen, Puarlo Rican, etc.)
•
14, Markel Sbtrn: Martled, Never Married, 15. Surviving Spouse Of wde, gWe maiden name)
Cumberland Shippensburg Twp. Elmcro
1 11. Decedent's Usud Occ tbn Kind of work done Burin most of workpt Ige. Do rat state refired 12. Wae Decedent ever in the 13. Decedent's Education (Specify any highest grade completed) W~~ DNOrced (Specify)
IVA,r Kind aBusiness /Industry U.S. Armed Forces? Elementary /Secondary (o-2) College (1.4 or 5+) Grace S C O t t
lord of work 12 ears 2 years widowed
Electrician U.S. Government ®vee ^NO y Did Decedent
Decedents Live in a 17c. ®Yes. Decedent Lived'n Shippensburg Twp . Twp.
• 16. Decedent's Maikng Address (Street, city / fawn, state, zip code) Actual Residence 17a. State P A
Township?
1 2 9 Walnut Bottom Road Cumberland 17d. ^ No, Decedent Ltved wMxn city / Boro
17b. County Aaual Limits o1
Shippensburg , P A 1 7 2 5 7 19. Molhels Name (First, midde, maiden surname)
16. Father's Name (Frsi, midde, lest, suffix) E 1 v a J • Eye r
Ralph S. Linn
20b. Infomrent'c Mailing Address (Street, ckY /town, stab, zip code)
z0e. Informard's Name (Type /Print) 9 6 9 1 Rowe Run Loo S h i ensbur P A 1 7 2 5 7
R . Edward Linn 21 d. Location (Gry /town, sbb, zip code)
21 a. Method a Disposition ' ^ Cematlon ^ Donation 21 b. Date of Dispostion (Month, day, year) 21c. Place of Cispositon (Name of cemetery, crematory or other place)
• r Shippensburg, PA 17257
® Burial ^ Removal from State r Wss Cramatlan or Donatlon Aulhorized Ridge C e m e t e r y
,.°, ' by Msdleal ExsminerlCororter? ^Yes^ No
~ ^ Other - : 22c. Name and Address a Facility
a • 22a. Signature a Fu see (or person ailing u such) 22b. License Number
• - ~ /r~SaM FD-012984-L Fogelsanger-Bricker Funeral Home Inc. Shi ensbur PA 17257
" (//yi- 23b. Ucanse Number 23c. Date Signed (Month, day, year)
Complete items 23ec Day when certifying 23a. To the best of my knowledge, eath warred et kb time, date and place stated. (Signature and tkb) / ~, ~~ / /
physician h rat avail~le at lime of death to
cerdry cause of death. 26. Was Case Refertad to Medical Examiner /Coroner for a Reason her than Cremation or Donation?
24. Time a Death 25. De Iranounced (Month, day, year) ,~,~
Items 24-26 must be completed by person r" ~ ~ ') / ^Yes o
~ .4pprozimate interval: PaA II: Enter other Via.:^-°-' ^^^ditlor~ contrihutina to death. 28. Did Tobacco Usa Contribute to Death?
• who pronounces death. M.
CAUSE OF DEATH (See Instructions and exa has) r Onset to Death but not resultlng H the undeRyng cause given in PeR I. ^Yes ^ Probaby
Item 27. Part is Enter the nhain a events -diseases, injuries. or complications -Mat directly caused the death. DO NO enter terminal events such as ceMiac arrest. ^ pto ^ Unknown
respiratory arrest, a ventricular fibrillation wkhout showing the etidogy. List Doty one cause on each line. ~ 29. If Female;
IMMEDIATE CAUSE (Final disease or / ) .~. / ~ ' ^ Not pregnaa within past year
r ^ Pregnant at time of death
condition resulting in death) _~ a. / / (/ ~/ ~
Due to (or as a consequence ofJ: '
r ^ Not pregnam, but pregnant within 42 days
$eauentlall1yy list condkbns, k any, b. ' of death
leading to Me cause Fsted on line a. '
Enter fire UNDERLYING CAUSE Due to (or as a consequence of)'. r
- - (disease « injury Mat initiated Me c r Not pregnant, but pregnant 43 days to 1 year
_ events rewking in death) LAS?. ' before Beats
~ ^ Unknown if pegnant within the pest year
Due a (or as a consequence oq: '
• 32c. Place o1 Injury: Home, Farm, Street, Feaory,
d. ~
32a. Date of Injury (Month, day, year) 32b. Describe How ~.njury Occurred Office Building, etc. (Specify)
30a. Was an Autopsy 30b. Were Autopsy Endings 31. Manner of Death
Performed? Available Prior to Completion Natural ^ Homicide
of Cause of Death? 32g. Location of injury (Street, city / awn, state)
32d. Time of Injury 32e. Injury at Work? 321. ff Trensporbtbn Injury (Specify)
^ Accident ^ Pending Investigation ^ priverlOperetor ^ Passenger ^ Pedestrian
^ Yes [~`Alo ^Yes ^ No ^Yes ^ No
^ Suicide ^ Coud Na be Determined M. ~ Other -Specify: ^
33a. Certifier (check ony one) - f1/V'f~!/ / 4/ \~
• Csrtkyfng physician (Physician caRirying cause of Beets when another physician has proraunced Beats and completed Item 23) 33d. Dale S~
To the beet of my knowbdga, dsaM occurted due to the ceuee(s) and manner as stated - - - - - - - - - - - - - - - - - - - - - - - - - - -' - - -' - g~ rise Numbs
• Pronouncing end certifying physican (Physician both pronoundng death and ceRitying to cause of Beats) _ _ - _ -
z To tits bast a my knowledge, death oecurrod st tM time, date, and place, end due to the uusa(s) end manner es stated_ _ _ _ _ _ _ _ _ _ _ _ _ ^
wo Lydilcsi Exemirrr/Coroner
~ On tM baste o1 examination and I or investigation, In my oplnbn, death occurtsd et Ne time, date, end pbce, and due to the cause(s) and manner as stated_ ^ 34. Name and Address of Person Who Com eted Cause of Death (Item 27) Type
° 36. to Filed (Monts, day, year) ~ ~~~ ~, 1p•~ UJ
~ 35. Registrar's Signature and t N bar I ~ I~ I z
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Disposition Permit No.
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LAST WILL AND TESTAMENT OF
ELWOOD D. LINK, SR.
I ELWOOD D. LINN, SR., of 129 Walnut Bottom Road, Shippensburg, Pennsylvania
17257 declare this to be my last will and testament and revoke any will previously made
by me.
ITEM I: I direct that all my just debts, expenses, and inheritance taxes that may be
assessed in consequence of my death of whatever nature and by whatever jurisdiction
im osed, shall be paid by my executor hereinafter named, as soon as may be convenient
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after my death.
ITEM II: I give and bequeath my coin collection and all my firearms owned by me at my
death to my brother R. Edward Linn.
ITEM III: i give, devise and bequeath all the rest, residue and remainder of my estate of
every nature and kind, and wherever situate, to my granddaughter Jacqueline Linn Sutton,
my granddaughter Victoria Linn Prince, my grandson Jonathan Linn, and my grandson
Paul Linn, in equal shares, providing that the share of any of my above-named
randchildren who predecease me or die on or before the thirtieth day following my death
9
shall be distributed to such of my other above-named grandchildren who survive me, in
. ~ .,
e ual shares. ~ ..
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Rte. ryry
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ITEM IV: I appoint my brother R. Edward Linn, of 9691 Rowe Run Loop, Franklin
Coun ,Shippensburg, Pennsylvania 17257, executor of this my last will and testament.
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Should m brother R. Edward Linn fail to qualify or cease to act as executor, then l appoint
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m sister-in-law, Janell G. Linn, of 9691 Rowe Run Loop, Franklin County, Shippensburg,
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Penns ivania 17257, as executrix of this my last will and testament. Should my sister-in-
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law, Janell G. Linn, fail to qualify or cease to act as executrix, then ~ appoint my
randdaughter Jacqueline Linn Sutton, as executrix of this my last will and testament.
9
ITEM V: Any fiduciary appointed under this my last will and testament shall have the
following powers in addition to those vested by law and by other provisions of this my last
will and testament, applicable to all property, principal and income, exercisable without
court approval, and effective until actual distribution of all property:
(a) To accept or retain any or all of the assets of the trust, teat or personal, which I
may own at my death, without regard to any principle of diversification or risk;
(b) To invest in all forms of property, real or personal, including stock, common
trust funds and mortgage investment funds, without restriction to investments authorized
for Pennsylvania fiduciaries, as my trustee deems proper, without regard to any principle of
diversification or risk;
(c) Ta purchase investments at a premium and at the discretion of my
trustee to charge such premium and the premium on any investments owned by
me at my death either to principal or income;
~~" ~'
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d To give proxies and to join in any merger, reorganization, voting trust
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Ian or other concerted action of securities holders affecting investments,
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delegating powers with respect thereto;
e To sell at public or private sale, to exchange, to lease for any period of
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time, any real estate or personal property, and to give options for sales,
exchanges, or leases, for such prices and upon such terms as my trustee deems
proper;
(f) To register property in the name of a nominee or to hold property
unregistered;
(g) To allocate all stock dividends in shares of the distributing corporation
to principal, irrespective of the percentage of such dividend, and to allocate
receipts of any other property and expenses incurred to principal or income or
partly to each as my trustee from time to time deems proper in the sale discretion
of my trustee;
(h) To compromise any claim or controversy; and
(i) To distribute in cash or in kind or partly each.
ITEM Vl: 1 direct that any fiduciary appointed under this my last will and testament
shall not be required to give bond for the faithful performance of their duties in any
i tion. ~• ~-
~urisd c
WITNESS WHEREOF, I have hereunto set my hand this 34th day of July, 2010.
IN
Elwood D. Linn, Sr.
This Last Will and Testament, consisting of a total of five type-written pages including the
S was on the day
next page, identified by the signature of the testator, Elwood D. Linn, r 'the testator
and date thereof signed, published and declared by Elwood L1. Linn, S. 're uest in his
therein named, as and for his last will, in the presence of us, who, at his q ,
resence, and in the presence of each other have subscribed our names as witnesses
P
hereto.
~~~~- ~
'- Witness
Commonwealth of Pennsylvania
County of Franklin ss.
the testator and
We, Elwood D. Linn, Sr., Seth J. Macaluso, and Joseph A. Macaluso, oin instrument,
witnesses, respectively, whose names are signed to the attached or foreg rs9 ned
havin been duly qualified according to law, do hereby declare to the unde ill and that he
9
authori that the testator signed and executed the ins#rument as his Last ur oses
it willin I and that he signed it as his free and voluntary act for the p p
signed g Y
' ex ressed, and that each of the witnesses, in the presence and hearing of the was
therein p
tator si ned the Will as witness and that to the best of their knowledge the testa urndue
tes 9
t the time ei hteen years of age or older, of sound mind and under no constraint or
a 9
influence.
~ .ri,~~,.-~.
Elwood D. Linn, Sr.
~~ ~,
~~" W ~tness
Sr. the testator,
Subscribed, affirmed and acknowledged before me, by Elwood D. Linn, Macaluso,
and subscribed and affirmed before me by Seth J. Macaluso and Joseph A
witnesses, this 30th day of July, 2010.
(Seal)
Amy L. caluso, Notary Public
Commcx,~r.a~lna
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