HomeMy WebLinkAbout09-16-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
PETITION FOR ROBATE OND GIRANT OF LETTERS
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Estate of ~ C I~ <a ~ i L (,(~~~~,
t ,Deceased EST 21- .
a/k/a: l~_ ~ ~~ ~ ~, ATE NO: -
a/k/a:
a/k/a:
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. tom
and aver that Petitioner(s) is/are entitled to the aforementioned Letters ( plete Part C also)
the last Will of the above-named Decedent, dated ..% c-1 ':)1 ,,~ under
-----__t_ ~;__~ _ and codicil(s) dated
(State relevant circumstances, e.g. renunciation, death ofexecutor, 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, durance absentia, durance 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 pending divorce
proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), extent ac fnlln.v~•
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i t115 SECTION MUST BE COMPLETED:
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Decede t was domiciled at death in Cumberland County, Pennsylvania, with his/her last famil
At ~u~~° ~ ~ ~ _
- ,~~---- / C,~,~ ~ ; ,. Y @I'Pt'mcipal residence ~ , ,
(Street address with Post Office and Zip Code, Munici ali Township, Borough, City) , ` r / ' ~ ,
P h' r?
Decedent, then 7 ~ years of age, died r v ~~ c: i r at (,/~ - ~
Estimated value of decedent's roe (Month, Day, eaz of death) ~"City and State where each occurzed)
If domiciled in PA p p rty at death:
_If not domiciled in PA All personal property $
_If not domiciled in PA Personal property in Pennsylvania $
_Value of Real Estate in Pennsylvania Personal property in County $
Total Estimated Value $_ ,~t ,1~,
Location of Real Estate in Pennsylvania: (Provide full address if possible.) /"l~
Signature(s)
Name(s) & Mailing Address(es)
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Interim Form RW-02 revised 12.26.10 by Cumberland Coun ~"' `~ ~'' ~ ~ ~ ~ ~~ ~ J
ty pending action by the Court
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OATH OF PERSONAL REPRESENTATIVE T -~.:
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Commonwealth of Pennsylvania ~ SS ~-~
County of Cumberland ''; ~-; ~ --
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The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petition are true and
correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the
Decedent, Petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed
befo me this ~ ~~ d~ of
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or the Register
DECREE OF PROBATE AND GRANT OF LETTERS
Estate of ~IC~J/(~ L ~~'/~/~ ~~ ,Deceased File Number: 21-~_-
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AND NOW, this 1~~~day of ~~f~j~ f~~ ~C~l ~ , in consideration of the Petition on
the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters
-Testamentary of Administration are hereby granted to:
(It' applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.)
the above estate and that instruments(s) dated _
admitted to probate and filed of record as the last Will and Codicil(s)
FEES:
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Letters ....................$ 5
Will ........................ C7
Codicil(s) ................. _
( •~j,Short Certificates ~ ~0
( )Renunciations.......
Bond .............................
Other .............................
.................................
Automation FEE......... 5.00
JCS FEE ................... 23.50
TOTAL ................ $ ~. ~ ~
Signature of Counsel Required to Enter Appearance
Glenda Farner
Register of Wills
Atty's Signature
PRINTED Name:
Supreme Court ID No.:
Address:
Phone:
Fax:
described in the petition be
Decedent.
Literim Form RW-02 revised 12.26. ] 0 by Cumberland County pending action by the Court Page 2 of 2
.OLAL REGISTRAR'S CERTIFICATION OF EATI~
1NARNING. It its illegal to duplicate this copy by photostat o~ pf~ot+acraYai~,
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"los-143 REV It'mos COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH • VRAL RECORDS
TYPE I PRINT IN ~ ~ ~ ~~ I~
PERMANENT
BucK INK CERTIFICATE OF DEATH -
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ISee instructions and nramnlnc ~n .a.xe.eet ---1 •.
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- SIAIE FILE NUM ~-' ~ l„_/
l Name of Decetlenl (First, mitldle, last r) 2. Sex 3. Social Sewrhy Number 4. Date of Deam (Mmm, day„yaps)
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5. Age (Last Birthtlay) UMer I Untler I da 6. Date of BiM Monm, tla , 7. Bldn ace C' and state w fact n coon f a. PWce a Death Check on m
a
/ Mcnea Days Hours MinNes P Hospital: ~r
Other.
7 ` Yr6 ~ ' ~ " 4 ~ ~}tlK q S ~ ~"~ 1 ~ ^ Inpa!ient 6 7 ER ! Outpatient ^ DOA ^ Nursing Home ^ Residence ^ Other SpecAy
66. Count' ofiDeath Bc. City, Bono, Twp. of Deam fitl. Factiliry Name (II not it tiluaen, 9rve Mreel and number) 9. Was Decetlenl a Hepank Orgm? ~ ~ ~ Ves 70. Race: American Indan, &ad, While, etc
• (If Yes
spxity Cuban
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G NHS `AA~~(.r ~(~ ` S iv \ ~ Mexican, Pueno Rican. etc.)
t 1. DecedenYS Ikual don Kind a workdmedud most of workin life. Do not stile retired 12. Waz Decedent ever In the 73. DBptleni's Education (Spedty aJy highest gratle canpleledl I4. Marital Status: MarneQ Never Married 15. Surviving Spouse (tt wile
give maiden name)
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Kintla Busi /IMUeVy U. S. Armed Forces? WNowed Divorcetl /SpecAyy
Elementary / SecoMary (0-12) Collegt, (t-4 a 5+)
~e. ~ Srtc a r Wv~ ~.1n , -t:1 2w yea ^ Nd l Z ~•e~ \ oho we
t 6. DeceaenYS MalFng Addreu (Street, city I t state, zi code) DecetlenYS pd Decedent
3020 ~f~41Q-~..LQ.~ S~, ~[~~ ~ ActualResitlence 77aStale Livelna i7c^Ves
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Actual limits of !
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t 6. Fad\refs~sName ( rrst, mtddre, last, suffix) 19. Molnafs Name (First, mkdM, maiden surname)
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2 InlwmanYS Name (Type /Print) 20b. InhymanYS Mailing Address (Street city / tare, Fip cotle)
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od a Diapdsihm cremaedn ^ oona6on 2te. Date a Diapoaiaon IMOnm, day. yeaq 21c. PWde of Disposnion {Na pmaery, mry or Omer pap) 21a. Lomb try / rown, aWle, zip ptle
anal ^ Removal bdm firele ~ was crematkn er Donation AWnorfied
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^ 1byfAetlkalExammeryCOroner? ^Yea^Nd 4-~~-ti ~al(~,~ ~ X17 Y
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a. a uM21 Servke (or pe n acfirg az 1 22b. License Number 22c. Name all Atltlress a Facility
Foa rz2i 2 -~ ale r 11 un 2 3
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- 23s~c wdy wtw3n prMy'xrg 23a. To e t my knowledge, tleamycarretl at the time, dale pace sretetl. - lure u
physkian a not available al lime of Beam to p 23b. Ucava Number 23c. ate Si 4Mdn ,day, yeafl
certify pose a death. j !N ~'~ ~j/~j 2 j O Z ~~ //
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Berra 2426 must be completed by parson
call prawunce5 seam. 24 Tema of Death
~ 25. Dale Praqurkpd Deatl (Mmm, day, year)
' 26. Was Case Refertetl to edk:al Examner I Coroner la a Reason Odler loan Cremamn or Donaam?
M. S r C
1 L r Q ~ O Il ^ yea Nd
CAUSE OF DEATH (See Inatruellona and examples) r Approximate interval:
Item 2]. Pan I: Enter dre Chain of events - tliseases, injuries, or complirafions -deal dreNy pusetl dre death. W NOT enter terminal events such as prdac anent
Onsal to a,am Pan II: Eller other 6lgnifipnl cdne'eon~ mntreuti 1 tla m 26. 0O-k~lr T~ Uu C«ariWle to DuM?
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razpalwy artazl, a venlrcwar fibr6lalim wnrrom showing the etiobgy. List only are cause on each line. but not resultin me untle
9 in rtykg cause given m Part I. L~'y ^ ProOaGfy
es
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29. tt Female:
Due to (or as a consequence ^ Not pregrum whin put year
SSeeqga~enpa~,~ k t condNOra, d am/, b
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e cause 41ed pn One a.
Erger the UNDFALYWG CAUSE Due to (or az a consequerke off- -
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Dreryrenl, ON pregnant whhin 42 days
(r[ ease a iry
ury dot kaleled me c
8eenis resulblg in death) LAST. of Beall
Due Id (a az a corisequerce al: -
^ Not
pregnant, but pregnant d3 tlays to t year
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30a. Was an Auto{ y 30b. Were ANOpsy Findngs 37. Manner of Daalh 37a. Dale of In
Padametl? M1aY (Mdnm, tlay, Year) 32b. Describe How Injury Occurred
AvaiWbM Prpr to Cdrnpletion r~ p
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year
32c. PWp of Injury' Mane, Fann
Saeel
Factory
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I.il.Nalrval ^ Hanitide
of Cause of Dea
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~p Buidkig, etc. (Specrtyf
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y-R ^ Accident ^ Pentling Investiga0on ~' Time of Injury 32e. Iryury aI Work? 321. Il Tronsponalbn Inlu7 (SPaclly) 32g. Locafbn of injury (SVeel, ci ty! [own, slate)
- ^ Suicide ^ Could Not be Determined ~ ^ Yes ^ No ^ Driver/Operate ^ Passarger ^ PetlesVian
M ^ Other ~ Speayy-
33a. Certifier IGack only ore) 33b. Sk/name and Title a Certillar
• Cenifying phyakWn (Physician prlilying ruse d Beam when arwmer p4ysician nos Pronoacetl seam arM completed Item 231
To ill heal al my knowMdge, dMh occurred due to ill cause(s) and manner as stated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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To the bee of my knowedge, Both occurred n tM time, doe, all place, all due to the pusga) all manner u statetl_ _ _ _ _ _ _ _
^ 33c. License Number 33d. Dafe Si ( ,day, Year)
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euminelkn arW / w inveatigatlon, in my opinion, death attunetl at the time, dab, and pace, and tlue to the puse(sj all manner es atated_ ^ 34. Name antl Addressol Pe,% Who Corrplel
ed
Cause of
beam (Item 27f~ype / Pnnt
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Disposibm Permit No. 07 '•( `1 .7 b.J _ o - - ~ ' ~ i~
2978-2/October 31, 2003/MCD.mmb/220334
`~a~t ~iCC artb ~e~tatttent
OF
RICHARD L. WANNER
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I , RICHARD L. WANNER, of East Pennsboro Township, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby
make, publish and declare this as and for my Last Will and Testament, hereby revoking and
making void any and all Wills or Codicils at any time heretofore made by me.
ARTICLE I
I direct the payment of my legally enforceable debts and the expenses of my last illness
and funeral from my estate as soon after my death as may conveniently be done as a part of the
expense of the administration of my estate.
ARTICLE II
I give and bequeath my motor vehicles, household and personal effects (including pets)
and other tangible personalty of like nature (not including cash or securities), together with any
existing insurance thereon, unto my children, DONNA K. LINDSEY, DAVID M. WANNER and
K/MBERLEE M. BRUTON, to be divided between them with due regard for their personal
preferences in as nearly equal shares as possible.
ARTICLE III
I devise and bequest the rest, residue and remainder of my estate, of whatsoever nature
and wheresoever situate unto my children, DONNA K. LINDSEY, DAVID M. WANNER and
K/MBERLEE M. BRUTON, in equal shares. Should any of my children, DONNA K. LINDSEY,
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2978-2/October 31, 2003/MCD.mmb/220334
DAVID M. WANNER and KIMBERLEE M. BRUTON, predecease me, then I devise his or her
share to his or her then living issue, per stirpes, and in default of said issue, said share shall be
added equally to the share of each surviving child described in this Paragraph III or the issue of
the deceased child described in this Paragraph III.
ARTICLE IV
Should any of my issue entitled to a share of my estate not attained the age of twenty-
five (25) years at the time of distribution to him or her, I devise and bequeath the share of each
such issue to M&T BANK, of Harrisburg, Pennsylvania, IN SEPARATE TRUST, to hold,
manage. invest and reinvest the shares so received and the accumulation of income thereon,
and to use and apply the income and principal, or such much thereof as, in Trustee's sole and
absolute discretion, may be necessary and appropriate for such issue's support and education
(including trade school and college education, both graduate and undergraduate) without regard
to his or her parent's ability to provide for such support and education and to make payments for
these purposes, without further responsibility, to such issue or such issue's parent or to any
person taking care of such issue. Any income no so used or applied shall be accumulated and
added to and thereafter treated as part of principal. After each such issue shall attain the age of
twenty-one (21) years, Trustee shall distribute to each such issue the net annual income from
his or her separate trust at least as often as quarter-annually. When each such issue shall
attain the age of twenty-five (25) years, his or her separate trust shall terminate and the then
remaining principal together with any accumulated and undistributed income shall be distributed
to said issue's then living issue, per stirpes, and in default of said issue said share shall be
distributed to said issue's personal representative.
ARTICLE V
I direct that the interest of the beneficiaries shall not be subject to anticipation or to
voluntary or involuntary alienation.
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2978-2/October 31, 2003/MCD.mmb/220334
ARTICLE VI
I direct that all taxes that may be assessed in consequence of my death of whatever
nature and whatever jurisdiction imposed shall be paid from my residuary estate as part of the
expense and administration of my estate.
ARTICLE VII
I appoint my daughter, DONNA K. LINDSEY, Executrix of this my Last Will. Should my
daughter, DONNA K. LINDSEY, fail to qualify or cease to so act, I name, constitute and appoint
my granddaughter, PAMELA S. MURRAY, Alternate Executrix to complete the administration
of my estate. No fiduciary appointed herein shall be required to post bond for the faithful
administration of the duties required in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will
and Testament, this ~~ ~ day of Ca C>J''vb-E~ _, 2003.
,~.~ ~ , ~ (SEAL)
RICHARD L. NNER
Signed, sealed, published and declared by the above-named Testatrix, as and for her
Last Will and Testament, in the presence of us, who at her request, in his presence and in the
presence of each other, have hereunto subs~r~hPr~ ni,r names as witnesses.
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2978-2/October 31, 2003/MCD.mmb(220334
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
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COUNTY OF ~-~-"^`~~-° ~~~~-~'
I , RICHARD L. WANNER, the Testatrix and the witnesses, respectively, whose names
are signed to the attached or 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, in the presence and hearing of the
Testatrix, signed the Will as witness and that to the best 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.
Subscribed, sworn to and acknowledged before me by RICHARD L. WANNER,
Testatrix, and ~ \c,c ~ C~ `~sCE ~ -` _ and _ ~ ~ ~~ ~ P~ '~ "~ ~~ ~'~-~
witnesses, this ~\'~ day of C'1c`cr~~e~ , 2003.
Notary Public
Notarled Seel
Michelle M. Bross, Ndary PUb~c
L®moyne Boro, Cumberland Cotrriy
My Canmissbn Bxpires Sept 23, 2008
ltiAamber. Perrisylva~a As.~o®fion Of t+folaries
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