Loading...
HomeMy WebLinkAbout10-07-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNS~'LVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate oI' a/k/a: a/k/a: a/k/a: Jane H. Branson Deceased ESTATE NO: 21- ~ _--~~ SS NO: 3Z0-38-3076 Petitioner(s) who is%are 18 yrs of age or older, apply(ies) for: COMPLETE SF,CTION `A' or `B' A1`1D "C" as applicable: ^ A. Probate and Grant of Letters Testamentary or ^Administration e.t.a., or d.b.n.c.t.a. (complete Part C also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters Testamentary __ under the last Will of the above-named Decedent, dated 8/13/2011 and codicil(s) dated (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 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. § 33?3(g): ___ ^ B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent lite, durante absentia, durante 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 e.t.a. or d.b.n.c.t.a., enter date of Will in Section A and corripletc 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 i'or divorce had been established as provided in 23 Pa. C.S.A. & 3323(8), except as follows:- Name Address Kelationshi ~ to Ueced~ C7 _ . C"l r-- ", i. ant I .._~ USF, ADD[TIONAL. S[IGE7'S ll~ NECESSARY ~;,-} - _....~ THIS SECTION MUST I3E COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or pr~raci~al residence At 461 Bloserville Road Newville PA 17241 __ " (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 74 years of age, died 8/14/2011 at Carlisle, Pa __ (Month, Day, Year of death) (City and State where death occun~ed) Estimated value of decedent's property at death: If domiciled in PA If not domiciled in PA If not domiciled in PA Value of Real Estate in Pennsylvania All personal property Personal property in Pennsylvania Personal property in County Total Estimated Value $ 60,000.00 $ _ $ 100,000.00 $ 160,000.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) 461 Bloserville Road, Newville, PA 1724.1 Signature(s) Nume(s) & Mailing Address(es) Angelis Miller, 464 Bloserville Road, Newville, PA 7.7241 -- interim Porn RW-02 revised 1226.10 by Cumberland County pending action by the Court Paee 7 of 2 :1-7 -,, .. _ ;-T 3 L!~ ,__ OATH OF I'ERSONAI, 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 / da of ~ ~ ~~? `-_ - For the Register , -_~ ~__ ~ .- DECREE OF PROBATE AND GRANT OF LETTERS Estate of Jane H. Branson ,Deceased File Number: 21-s (~-~'~ AND NOW, this ,~lday of d~-~-C1I~,r ~ ~ ~ , in consideration of tree Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters x Testamentary of Administration are hereby granted to: pf applicable, enter e.t.a., d.b.n, d.b.n.c.[.a., etc.) Angelia M. Miller _ in the above estate and that instruments(s) dated 8/13/zoll described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. Glenda Farner Strasbaugh, ~r ~j~ '~~s~C/I'~ ~. Register of Wills FEES: Letters ....................$ 260.00 Will ........................ 15.00 Codicil(s) ................. (8 )Short Certificates 32.00 ( )Renunciations....... Bond ............................. Other ............................. Automation FEE......... _ 5.00 JCS FEE ................... 23.50 TOTAL ................$ 335.50 Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Natne:4')ason E. Kelso Supreme Court ID No.: zo91o7 Address: 26 West High Street Carlisle, PA 17013 Phone: 717-243-6222 Fax: 717-243-6486 Intciim Form RW-02 revised 12?6.10 by Cumberland County pending action by the Court Page 2 of 2 OCAL REGISTRAR'S CERTIFICATION OF DEA'~~NH WARNING: It is illegal to duplicate this copy ny phai:ost:at or photoctraph ,Fc•c lug this rer[iiicate. `h6.UO P 177??~:~~ Ccrtificati(m Numhrr I'ti~ i~ tt ~n~t1i!k tile! I)r :)IlnrnrlliOl~ I)cre ai'vrn fs k.~Tlrrrtl~ r,•i,ilirii !:~:r lrl : r Final (~rrlii~ir;(1r ~1f 1)ra(h Lluly IilrLl ~n[1? n:~ .r~ I l1~al iZrl~islr,I~. Thr 1>ri<.tinal rcrtifik:utL ~:'c;ii _ ~ n ~r.,uzi~~L! tr) tL~k~ Stair Vital R_~crt:I~, ("iir~c '~ ~ uan.n? '~ilin~•. - ---~! 4~.,~. auk ~ s~ ~-o a l Aral Illrs_~i~[r!.Ir 1?:ltr i>~,t)c(1 ~~_ _ _ ~ ,- ,~ ~,~ n j i ~- -_ ) ~ j ,. v- -'~ ~ t • - --r~ --,,: H705~143 REV 1112006 TYPE I PRINT IN PERMANENT BLACK INK COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) „_.__ _„ _,,,.. t. Name of Decetlenl (First, midtlle, lazt. suffix) Jane H. Branson 2. Sex female 3..S L SecuMy Nurrlbar~ 3 0 7 6 .SLUU ..SS 4. Dale of CeMh (MOnm, day, year) - - Og -i4 -act i 5. Age (Last Birthday) Under 1 year Under 1 tlay 6. Data of Birth (Month, tlay, year) 7. Bidfplace (City and slate ar fo reign country) 8a. Piece of Death (Check only one) 74 Ne"rhe pan caws Nlouha 10/11/1936 den H a a 9 Hdapda: omen rrs. Nether 1 a n d s ^ mpaheM ^ ER / outpaVem ^ DDA ~ Nprsing Hnma ^ Realdance ^otner - spadifr~ 8b. County of Death Bc. City, Boro, Twp. of Death 6d. Facility Name (II rat inslilWion, give slreel end number) 9. Wes Decedent of Hispanic Origin? No ^ vas 10. Race: Amerkan Indian, Black, While, etc. Cumberland Carlisle Forest Park Health Center (Il yes, specity Cuban, (Specil)) ' Mexican, Puerto Rican, etc.) Whit e 11. Decetlem s Usual Occu Iron Klyd of work tlorte tludn moss of work) life. Do na slate relined 12. Was Decedent ever in the 13. Decedent's Education (Specify only highest grade completed) 14. Marital Btatus'. Martied, Never Marred. 15. Surviving Spouse (II wife, give maiden name) Nind of Wo/y Kind of Busirress / IMuslry Housewi a U.S. Armed Forces? Elementary /Secondary (012) Collage (1-4 or 5a) w'idoweQ Divorced (Sped/} W 1 d 0 w e d ^vea ®NO 12 • 16. Decedent's Mailing Address (Street city /lows. state, zip code) Decedent's p A Did Decetlem 461 Bloserville Road AcNel Residenre 1 ]9. Stale Live m a t 7c Ves, Decedent Lived in U Z P Y F Y.7 11 )t f ~ nrd TwP. Newville PA 17241 um er an Tdwnahro? ,]d^Na,Dataaamuvadw~~ 17b0oinry , AdaalDmma cm7Bdm 16. Famer a Name (First, middle, last, suffix) Ernest F. Kaltenbach 19. Momer's Name (Frsl, middle, maiden 5umame) Aleida J. Adriana Van der Kolk 20a. InlormeM's Name (Type /Print) 20b. Informant's Mailing Address (Street, oily I rown, stale, zip code) Angelia Miller 464 Bloserville Rd Newville, PA 17241 21 a. Mamatl of Disposhion ®Cremation ^ Donatbn 21 b. Date al Disposilbn (MOnlh, tlay, year) 21 c. PWCe of DiSposaion (Name of cemetery, crematory or Mh« place) 21d. Localkn (City! town stale zip catle) ^ B"dal ^ Ramovanromstate weacremedenerDOnatlennwhan:ee ^ Other ~ Spenty: i by Metllcel Examiner / Caroner7 dyes ^ No 8/17/2011 Hollinger Crematory , , ti70HQlly Springs PA 5 22a. sgrwWre WfyRrel ank¢ L nsee (« rson acting as aoch) ~ 22b License NunWer 22c. Name and Atltlress of Faci6y Egger F u n e r a 1 Home ]: n c . ~ ~ FD 13895 L 15 Big Spring Ave. Newville, PA 17241 Conrgele Items 23a-c only when cenitying physiden is not available al lime of death 3s. To the best o my knowledge, deem occurred at flw lime, dale anti place slalad. (Signature roue line) 23b. License Number 2&.. Date Signetl (Month, day, year) centty cause of deem. ~ Q dZls*-~_ ~, f'~/LJ / J'/1~ .3 ~~S'Y ) 7~ 0 ~ - i y - ~O ~ Items 2426 muss ce compleletl by person woo prwaunces death 24 TimaCy Deem 25. Dale Pnxlrolunced Dead (Month, day, year) Y ~ G 26. Was Case Referred to Metlical Examiner /Cornier for a Reason Other man Cremation or Donation? . J M. Q y7 - l V ~ z d I I ^ Yes ^ No CAUSE OF DEATH (See Inatruetlona and examples) t Approximate interval: Item 27. Pan I: Enter tine Bran d event -diseases. injuries. or compkafions -that tiredly causetl Vw deem. DO NOT enter terminal events such a5 careiac artesl Pan II: Enter alher sion'firanl c«ddons camdbnf t de th, 26. Did Tobacco Use Contribute to Death? , Ousel to Death respiralary anes1. or venlrkular flbnlWlion without showing me etidogy. List oMy ore cause on each line. but not resulting In me undedying cause given in Pan I. ^ Yes ^ Probahty IMMEDIATE CAUSE (fFinal aseaee or ^ No ^ Unkmwn cond4ion resukirg in dealry i e. ~_ r-`-Y ~ 29. II Female. o ne ro or roe a c«sequen orP Sequ baNy list candtions, Il any, b . - ^ Not pregnant w;mk peat rear ^ Pre rent at tim l d M kaMn9 to the cause listed on lin¢ a. D g e a ea uero (a as a consequence op: Fnler the UNDERLYING CAUSE - ^ Not pregnant, bN pregnant within 42 days (dsease or injury Ihal initiated the d ants resulting m death) LAST. Du a of death e (or as a conseque a op: - but preglan143 tlays to 1 year ^ ee d. t betore am ^ Unknown it pregnant wilhln the pest year 30a. Was an Autopsy Perkmwd? 30b. Were Autopsy Fintlings AvaAabla Rion to Completion 31 Manner d Death 32a. Date of Injury (MOnlh, day, year) 32b. Describe Mow Injury r)ccurretl 32c. Place of Injury: Home, Fam1, Street, Factory, of Cause of Deam7 ure ^ H«rNf:de Office Building, etc. (SpecilyJ ^ Yes (~ ^ Yes ~o ^ ACCitlent ^ Pending Investigation 32d. Time d Injury 32e. Injury et Work? 39. If Transpodalion Injury (Specryl 32g. Location of Injury (Steel, coy I town, sWk) ^ SIIICde ^ Cald Not be Determined ^Ves ^ No ^ Driver /Operator ^ Passenger ^Petleslrtan M. ^Other ~ Specrty: 33a. CeruSer (check Dory me) • CanKying phyalcian (Phyakian cadityirg cause of tlealh when another pnyskian has pronounced tlealh and mrnpkted gem 231 336. Sgnature aztl T of Cedili« ~ To the best of my knowledge, death accurretl tlue to tlw cause(s) and manner u stared,. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • ProlwuMing antl bertiryin h akfan Ph kA b h ~ ~.~_ •.n J g p y ( ys en ot pronouncing death ant cenitykg to reuse of death) T th 33c. License N bar 33tl Dale Si netl (Monm tl o e best Of my knowledge, death occurred at the Ilme, dale, and place, anti due Io the cause(s) ant manner a6 slaled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . g , ay, year) • Metlkel Examiner I Coroner O d b i f ~ s O _ ~ L / n te as s o exnminetlon end I or invesllgation, in my opinion, death occurretl at the time, dale, and place, and due to the cause(s) and manrrer as stared_ ^ 34 Name and Adtlrep{ ol~ rson Who Compk~ptl reuse of paath (Ite m 271 T ylre I Prm ~ 35. Regrslrar', ~'3 d DI c1 dnrt~T / / / / +r (J ry /~ xY 1 /~ y,~~, ,, ~ I 1 I fJ C I I I I ~ I • ~r .Dale Filed (Monm, tlay, year) r O ,1 S - ~,z[ jG ~i~ 5 ~--- Cl g ~ . \ J ~ 1K- ~ _ L_ /~ Z Diapoaieen Permit Ne. e~ ~"I ~, (~-{ LAST WILL AND TESTAMENT OF ~ ~_ .x~ JANE BRANSON ~ ±-= -~;' ~ ~ ' ~, - ~ - _• I, Jane Branson, of Bloserville, Cumberland Cou~~~, Pennsylvania, being of sound and disposing mind, merno~y and ~..,~~, understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST I direct the payment of my just debts and expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. Further, I direct that my body be cremated and that my remains be disposed of with my late beloved husband, Charles Branson. SECOND I bequeath the following specific items to the persons Law Offices of Sa.idis Sullivan & Rogers 26 West High Sveer Carlisle, PA 17013 hereinafter set forth: (1) My bread machine together with all pitchers in the cupboard and the gold pitcher in the front room to my friend,. Darlene Lindsay; (2) My ring with initials and my large vase to my brother, Frieder Kaltenbach; (3) My wooden vase on the coffee table to my sister, Maria Kaltenbach; (4) My jewelry located in the back of the desk in t=he bedroom to my cousin, Mieke Wagenmans-Voss; (5) The sum of five thousand ($5,000.00) dollars, my bird collection and my avon bottles to my neighbor, Angelia Miller; and (6) All of my clothes and shoes to a second hand shop chosen by my personal representative. FOURTH I give, devise and bequeath all the rest, residue and remainder of my estate in equal shares unto my sister, Maria Kaltenbach, my brother, Frieder Kaltenbach, and my cousin, Mieke Wagenmans-Voss, per stirpes FIFTH I direct that any and all inheritance, estate, and transfer taxes imposed upon my estate passing under this Will or otherwise shall be paid out of the principal of my residuary estate. SIXTH Law Offices of Saidis Sullivan & Rogers 26 West High Street Carlisle, PA 17013 In addition to the powers conferred by law, I authorize any personal representative, trustee or guardian acting under this instrument, in their absolute discretion: A. To retain in the form received, or to sell either at plzblic or private sale any real or personal property; B. To exercise any options to subscribe for stocks, bonds, or other investments; 2 7 Ii ~ i C. To join in any plan of lease, mortgage, ! consolidation, exchange, reorganization or foreclosure of any corporation in which my estate or any trust= may hold stocks, bonds or other securities; D. To sell, transfer, convey, mortgage, pledge, lease or exchange any property, real or personal, which at any time may form part of my estate, for the payment of debts or taxes, or for any purpose of administration or distribution, for such prices and upon such terms as my personal representative, in their sole discret~~_on, may deem wise, and to execute and deliver deeds of conveyance or transfer thereof; E. To make settlements and compromises on such terms as my personal representative in their sole discretion may deem wise without the necessity of obtaining arty court approval thereof; F. To make distribution hereunder either in cash or kind, as my personal representative in their discretion may Law Offices of deem Wise . Saidis Sullivan SEVENTH & Rogers I do hereby nominate, constitute and appoint my neighbor, 26 Wesr High Street Carlisle, PA 17013 Angelia Miller, to act as Executrix of this my Last Will and Testament. 3 EIGHTH I direct that no personal representative, guardian, trustee or other fiduciary appointed under this instrument shall be I required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, Jane Branson, have hereunto set my hand and seal to this my Last Will and Testament, consisting of 4 typewritten pages, this 13th day of August, 2011. Her ~ Jane Bran n Mar, Signed by Jane Branson, the above named testatrix, by her Law Offices of Saidis Sullivan & Rogers 26 West High Sveer Carlisle, PA 17013 mark, and her name subscribed by Jason E. Kelso, Esquire, in her presence and by her express direction and authority,, the testatrix having declared her inability to sign her name, and sealed, published and declared by said testatrix to be her Last Will and Testament, in the presence of us, who at her request, in her presence, and in the presence of each other, all being present at the same time, have hereunto subscribed our names as ADDRESS "G^~'~'~. ~`~~.~V ADDRE S S 4 OATH OF WITNESS(ES) TO WILL EXECUTED BY 1VLA.RK REGISTER OF WILLS Cumberland COUNTY, PENNSYLVANIA Estate of Jane H. Branson ,Deceased Tanya L. Ware Maria Hernando _ {each) a (Pant Names) subscribing witness to the ~ Will O Codicil(s) presented herewith, {each) being duly qualified according to law, deposes} and say(s) that: Testator /Testatrix was unable to sign his /her name ther<;to; Testator's / Testatrix' name was subscribed thereto in Testator's /Testatrix' presence; Testator / Tesi:atrix made his /her mark thereon; Testator /Testatrix and deponent(s) were present when Testator's /Testatrix' name was subscribed and when Testator /Testatrix made his /her mark; and Testator / ~Cestatrix was present when the undersi ned signed the ~ Will O Codicil as witness(es). (Signature) r ~Dt~ ~ (Signature) i (Str Address) ~ ~ (Street Address) ~~.~ ~~~ ~ ~oiJ .~ ~~ (Gh', State, Zrp) _ ~~.-~~~~ i ~~ / .~ L~~ (City, State, Zip) Sworn to or affirmed~..~n~ubscribed before a 's ~~~ ~y of r ~ ~ 7 ~~ puty for Resist W' Forne RW-OS rev. 10.13.06