HomeMy WebLinkAbout09-30-11
A
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER- OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of William R. Shuman File Number ~ n ~ ._ ~ ~ - ~ ~) ~~~~
also (mown as
Deceased Social Security Number 193-12-9612
Petitioner(s), who is%are 13 years of age or older, apply(ies) for:
(COMPLETE ',9' ar 'B' BE/_O N'.•)
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is i are the William Lee Shuman named in the
last Will of the Decedent dated September 1a, 2009 and codicil(s) dated
(S7nfe rrlcranl circuna.~7arurs. ee., renmu~ialion, death n1 crecuRir cle.l
Except as follows. Decedent did not marry, ~~~as 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 vvas never adjudicated an incapacitated person, and was not a party to a pending divorce proceedine at the time of death
wherein erounds for divorce had been established as provided in 23 i'A C.S. section 3 ~?3(g):
^ B. Grant of Letters of Administration
(Ifapp/icuble, enter: c.Ga.; db.rzc.t.a.: pendcn~c lim: durante erhsenticr, den•ana~ nrinoritcrte)
Petitioner(s) after a proper search has !have ascertained that Decedent left no Will and was survived by the following sp~~e (if any) and~l3eirs: (If
Admmislratron, c. t. a. or d.b.r~.c t a., esucr dole of Wil! in Section .4 above ar2d complete lrst o~hc~i~sJ -
rLrst street uddrers, town%crtr. Jnrocn.chip, enr~ntr, stule~, zrp code)
Decedent, then 89 years of age, died on September 21, 2011 at Golden Living Center, East Pennsboro Township
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property S 150,000.00
(If not domiciled in PA) Personal property in Pennsylvania S
(If not domiciled u1 PA) Personal property in County y
Value of real estate in Pennsylvania ~ 150,000.00
situated as follows:
Wherefore. Petitioner(s) ruspccrtfiully request(s) the probate of the last Will and Codicil(s) prescnYCd with this Petition and the grant of Letters in tho appropriate form to
the undersi:,roed:
~~«nm re Tv ed or tinted name and residence
~,~yy,~i..~ William Lee Shuman, 260 Creek Road, Camp Hill, PA 17011
Furnr Rfi"-0~ rrt~- 10.13.0(
RW-02
Page 1 of 2
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(COMPLETE /N ALL CASES:) .91tach additionn! sheets if necessnrt~. -
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Decedent vvas domiciled at death in Cumberland Cowrty, Pennsylvania with his /her last principal residence at `_~~'
2112 Orchard Road, Camp Hill, Pennsylvania 17011
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 to or affirmed and subscribed
before me this _L; day of
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For the Register r;,
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DECREE OF PROBATE AND GRANT OF LETTERS ;i_-~a
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Estate of
L'L~ ~ ~ ~ ~ U f~Y! ~~ ~~~ (~,~~ (,(n ,Deceased File Number: 21- -,' ~' - ~ '~;(_;;
AND NOW, this ~i[1 day of ~~ ~ ~' ( ~% (; ~. ~ , in consideration of the Petition on
the reverse side hereon, satisfactory proof h mg been presented before me, IT IS DECREED that Letters
Testamentary _ of Administration are hereby granted to:
~~
(If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.)
~ ~ ~ '~ ~ ~ ~ ~~~~ r~ ' in
the above estate and that instruments(s) dated ~ ~' described in the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
~ - - ~ ,,
Glenda Farner trasbaugh, ;~
Register of Wills '~ E_' ( ~~ ~<% CI L%('.'~_ t';y) ~~.~
FEES:
Letters ....................$ ~ ~'
Will ........................ 1~ C ~
Codicil(s) .................
`~) Short Certificates , ~(; .
( ) Renunciations......._
Bond ............................. _
Other .............................
Automation FEE......... _ 5.00
JCS FEE ................... 23.50
TOTAL ................$ ~ .! L
Signature of Counsel Required to Enter Appearance
Atty's Signature
PRINTED Name: ~/' y (`_( (~ ~~'~ ~
Supreme Court ID No.: -Z ~ 1
Address: ~ Y, ~~,~ f~c I
Phone: l l ~'- Z~ (p .- ~.3Cj
Fax: ;~1 ~L~ -~aGU a.
Interim Form RW-02 revised 12.26.10 by Cumberland Counry pending action by the Court Page 2 of 2
LOCAL REGISTRAR'S CERTIFICATION OF' DEA'T~N
WARINING: It is illegal to duplicate this copy by photostat or photogra;.ah.
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13 REV nrzoos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS C ~ •' ~r i ~
E /PRIM IN
RMANENT
ucK INK ~ ~ -
CERTIFICATE OF DEATH '~'
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(See Instructlona and examples on reverse)
1. Noma d Decedam (First, middle, last, suBh) STATE FILE NUMBER
2. Sex 3. Soda)
Seaeey Nunher 4. Date of Deem (Monts, day, year)
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5. Age (feel BiMdeY) l1Mer 1 r l1Ma 1 de B. Date of BIM Mats, 7. end stale a lee ccu Be. Place d Deem Clledc ale
~ Hours ~~
89
vra. Haspdal: Other:
29, 1922 rIe~A7 Kingston
PA
M. County of Dam &. Ciy, Bao, Twp. of Death ,
^ Inpetlem ^ ER / Oulpetlent ^ DOA Nu
reap Llprne ^ Residence ^ Omar ~ SDedN:
Sd. FadRy Name (It not msBhrtlon, give street aM number)
e n _l._~l~
l't1ILLJCL E. Pennsboro 9. wee Decedent U laspenk Origin? 6bNo
(b ~, ~N fin, M ^ Yes 10. Ra titan Indan, Blerk, Whke, ab.
Golden Livi Center Meg
P
11. lkcadenYa Usual Nind of work dare du moat d wo ~ IXe. Do rid state
Kind of Wak Kind of Budrbss/Industry cen,
uedo Rican, ek.) Gfii to
12. Wes Decedent aver In me 13. DeredenYs Education (Sprx;my only h'
U.S. Armed Fonxb? Sheet grede canPleredl 14. Meribl Srehra: Monied, Never Manied 15. Surviving Spouse (If wile, give maiden name)
rat Contactor struction ppII Elementary / SerxxMery (612) College (1-4 or 5+) Widowed, DNorced (Specrlyl
Yes ^ N
1~Da1's ddrese ($Ira_ filly/town. state, zlp wda) yy
o 1
Decedenra
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Hl ll, PA 17011 oa Deaden 7 ,.. ~~~ ~ t
AcNal Residence 17a. State ~s __, five ins 17c. [~ Yes, Decedent LNed in iAne'Ci. tfilen
d Taxnstkp9
Qlm la
T"P
t 7b. County
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17d. ^ No, Decedent Lived within
18. Father's Name (Prat mkdMe, lest, sWfix) Aaual Limits of CirylBao
Robert M. Shuman 19. Mothers Name (Flrst, midde, maiden sumeme)
20a. IMOmtem's Name (Type / Pnm) Ka i
William L. Shuman 20b. Informants Mallkp Address (Sheet sly I town, state, zip wde)
21a. Memod of DuPoeiBOrl ,
^ Cremetbn ^ Donetbn
[~ Burial ^ Removal hom Stab i Was Crematlon a Donetlon Autlwdmd 260
21b. Dale of Obposinon (Morin, day, rear) 21c Plea of DiapoNtion (Name d cemetery, crememry a Omer place) 21d. Lorenon (city/ lows, stare. zip code)
^ oma ~ I w Yedkd
~ 22 ^ Yea^ Nd Sept. 26, 2011 Rolli Green Cgaet
Hill
a of Funerel Servke ' a uch) PA 17011
22b. LJCerwe Number 72c. Name end A
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dAry Myers-Ratner Ftuteral HOlOe
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Clete Ibrrre 23ec on when mRBylns 23e. To th laser a m krxrw 1903 s•ny LCCt S
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17011 '
y ledge, deem acaned at Me rime, deb place anted. (Sk3neture end mb)
phyelden ie not avenebb at time of deem to
renny reuse of deem.
Gbla~
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S'~ 236. License Number
~ 23c. Date Signed (Morin, day, year)
Items 2426 must be compbled by person
24. Time of Deem .
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26. Date Praxaalred Dead (Monet, day
year) l~ 5
i 1 LrL( l..(
~~ ZI Loll
who ptawlmres deem.
Q ~ ~ 0 ~ M. ,
Z{ O ~ 26. Wes Case geterted ro Medical Examiner /Coroner
~f_
^ Yea for a Reason Omer man Cmmatbn or Dala~.ion?
CAUSE OF DEATH (See Inehuetlone a exempNe)
Item 27. Part I: Enter me abler d events- diseeaes, iryurba, or conplkations -that duealy reused me deem. W NOT enter terminal eveMS such es rerdiec artesi
, Approxknete inbrvel:
I
Pan II Sl4fi
: Elver other
~
20. Did Tobacco Use Conhibuta ro Deem?
respimlay arrest or venlnaaar lbnllaaon wlnpW sharing me aialogy. Lint day one reuse on each fine. I Onset b Deem but na resulting b me undenyurg cause gNen In Pert I. ^ Y9e
^ Probably
met
MIYEDIATE CAUSE fF disease w ' /
condNOn resumng in deem)
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7 i [~NO ^ Unknovm
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to (a ~ ~ off' ` ,/~
lief condinans d
to cause kehd'onii e'a 6. ~~+'~ C~ , y //~'l~'s'• ~
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/h- e..~f,//s
I " ^ Not pregnant within past year
^ Pregnant at time of deem
Emer UNDERLYING CAUSE Duero (a as a consequence a .
(rASease a IMury met NYtleled yg ryl
evema resulting m deem) LAST. c' ~' `'~/t ~ dye ~/~,2 ~ S~f r- ~/~ 1
~.~,
I
~ ^ Nol pregnenl, but pregnant within 42 tlays
of deem
Due to (or as a consequence o0:
e. i
~ ^ Not pregnant, but Pregnan143 days l0 1 year
b
r
r e
ae deem
^
30e. Was an A
u(opsy
Porlonnedl
30b. Were A ntlkps
utapsy Fl
Avalbbre Poor to Com
reeon
31. Manner of Deem
32a. Data a In Y year)
IaY (Monet, tle ,
32b. Desmhe Now I u Occurted
M ry Unkrown n pregnant whin the pall year
p
of Ceusa a Deem?
~rel ^ Homidde 32c. Place of Iripxy. Home, Farm, Street, Faacry,
Office Buildup, etc. /Spedyy/
^ Ves ~ ^Ves ^ No ^ Accident ^ Pendng Inveetlgetlon 32d. Time W Inpry ffie. Iryury at Work? 321 If Tre
rwlxxbtlm IMury ($oacwy/
32g. Locatlon a Inlury 1Streel ci
ty (town
state)
^ Suicide ^ Coub Not be Determined „ ^Ves ^ No ^ DdverlOperebr ^ Passenger ^ Petlesmen ,
33e. Certifier (dbrx ally one)
• CartlM^g phyelden (Phyebbn certirying cause of deem wean aromer 336. signature and Tine N
To Ur heel d my Imowledge, deem occurred dw to ma physlden has Ixalaalrad death and canpleled Item 23)
awe(el and menneraeMW---------------------------------^
• Pronoundng end antlying phyeklerl (Physiden hom praraaldrp meet and renihring b reuse d deem) 33c. Llasee Number ~ f7 33d. Dab s' ed ( ear, ya
To Ute beet N mY kloeNdfr, deem oceunetl et the time, tlYe, arts pbp, end due 101M awe(s) end manner r ebnM_ _ _ _ _ O ~V U ~ 7 ~l•/ [~ y (2~ MMMoaaryyyj~hhh(/j
• YedlulEUmhrer/Coroner _____________ / ,
On the heels of axaminetbn end f or Investlgetion, In mr opinbn, tleNh acuned et the tlme, dam, eM pbce, end due to the rxuee(a) em! manner ae Wbd_ ^ `
34. N Address of Person ~p~tetl Cause of Deem (nom 27) Type i Print
Regblmla SipleWre eM Distrid Number _ J I y I ~l ~l ~ I ~ I 36. Dare F (Mann`, ~y Yeer) ~~U /Lt/J'6 ~F++ a.~f GEC. Q~0 /
~- ec. 9 ~~ a/do // CS1JU ~2A~ ~Jr/~ ?u, ,~y~
D Parma nlo. - 06104A4
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OATH OF NON-SUBSCRIBING WITNESS(ES)
/REGISTER OF WILLS
~- L~ ~~ ~,~~(~~ d4~'~ COUNTY, PENNSYLVANIA
Estate of Cam) ~ ~ ~ ~ G
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(each) being duly qualified according to law, . epose(s) and say(s) that she / he /they was /were well-
acquainted with {'?` ~ ~ ~ r ~ ~ m /~ ~j~'"I ~,;~-~
and am/are familiar
with the handwriting and signature of the decedent, and that the signature of _ (,.t.' i ~ ~~ cr;M /~ , Jul t_~iti,~--
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of ~_ ~' 2y~P / ~f~'~c
~ tai .~!~~ l
Deceased
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and _ _ ~ ~ ( ({' /1 ~ ~ ~ ~ (:4~` Y2t~f,"~
is in hislher own proper handwriting.
i
(Sig ure) ", ,~ ~ I,
(Street Address)
(Cuy, Slale, Ztp)
Executed inRegister's Office
Sworn to or affirmed and subscribed
bcforc me this ;_ ~~ '
day
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Deputy for Registei~of Wills
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Form RW-0! rev. [Q. 13.06
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~Fje ~.a~t ~i[C anb ~e~tametrt
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WILLIAM R. SHUMAN
I, WILLIAM R. SHUMAN, of Upper Allen Township, Cumberland County
Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby
make, publish and declare this my Last Will and Testament, hereby revoking and making
void any and all prior 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 conveniently be done.
2.
I direct that there shall be paid out of my residuary estate all estate, inheritance and
like taxes together with any interest or penalty thereon imposed by the Government of the
United States, or any state or territory thereof, or by any foreign government or political
subdivision thereof, in respect to all property required to be included in my gross state
for estate, inheritance or like tax purposes by any of such governments, whether
property passes under this will or otherwise. ,=
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3 . ==,
I give and bequeath one half of my Morgan Stanley Smith Barney account #724-
11548-19-364 to my daughter, LORRAINE C. HUGHES.
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4.
All the rest, residue and remainder of my estate, real, personal and mixed, of
whatsoever nature and wheresoever situate, I give, devise and bequeath to my son,
WILLIAM LEE SHUMAN, absolutely and in fee simple.
5.
Lastly, I nominate, constitute and appoint my son, WILLIAM LEE SHUMAN to
be Executor of this my Last Will and Testament and I direct that no bond or other security
be required of my personal representative to guarantee faithful performance of his duties.
IN WITNESS WHEREOF,1 have hereunto set my hand and seal this/y a y of
September, 2009. /~
~~~ \ ` ~~SEAL .
Wi iam R. S uman
Signed, sealed, published, and delivered by William R. Shuman to be his last Will
and Testament in the presence of us, the subscribing witnesses in his presence and in the
presence of each other.
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