Loading...
HomeMy WebLinkAbout10-06-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of Esther E. Prowell ,Deceased ESTATE NO: 21- ~~~ a/k/a: a/k/a: a/k/a: SS NO: 195-07-5685 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: DA. Probate and Grant of Letters Testamentary or ^Administration e.t.a., or d.b.n.c.t.a. (complete Part Calso) and aver that Petitioner(s) is/are entitled to the aforementioned Letters Testamentary under the last Will of the above-named Decedent, dated 6/3/1997 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. § 3323(8): ^ B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent life, 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 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), except as follows: r,,. __ Name Address ~~~ Y! ~. -_ I- ,. J"~-~ ': ..u.~... i `~~ __: 1 ~ ~'-' ~a _ ['SF, ADDITION.AI. SHEETS IF NF,CESSARY ~ - _ ,.,j i'.~ ~ f,:,. ~ ...._, THIS SECTION MUST BE COMPLETED: ~' "- ~ ~~C-~,' Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 277 Hillcrest Road, Camp Hill, PA 17011 __ (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 94 years of age, died 9/10/2011 at Camp Hill, Pennsylvania (Month, Day, Year of death) (City and State where death occurredl Estimated value of decedent's property at death: If domiciled in PA All personal property $ 75000.00 ]f not domiciled in PA Personal property in Pennsylvania $ ____ _If not domiciled in PA Personal property in County $ _ -Value of Real Estate in Pennsylvania $ 120,000.00 Total Estimated Value $ 195000.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) 113 Fa'IrvleW Drive, Camp HIII, PA 17011 Signature(s) ~l Name(s) 8c Mailing Address(es) C ~ ~ Joyce E. Sweigard, 277 Hillcrest Road, Camp Hill, PA 17011 . ~ ~ ` Yvonne W. Gettys, 1950 Chestnut Street, Camp Hill, PA 17011 .,~ ' _'- hi to Deeedent _. _ i „_ -- Interim Forni RW-02 revised 1226.10 by Cumberland County pending action by the Court Page I of 2 OCAL REGISTRAR'S CERTIFICATION OF ~}EA'li II-1 WARNING: It is illegal to duplicate this copy by photostat or prtiotograpti. Fee ur Ihi< r.crtil~icate. ~~(,.t)r7 P 1 _7_6_4 5 0_8..,1. Certificauun 1um,l7k°r - ~(K ~JF ~tn~n IS l I)) h ~ ,i~F.P- p fry" ~ 'yJ' "- c~ I L e~, ! ~ t I ul l ~ n)al ( ~rtill~lf~ of llru[h ~ ~ ~ ~, axe I; ~~ f .t t i ~ I IZL I ,irLr. l I,e ,I icJ L, tlr; S, U ~'il l ~ ~ ~: r 1 I , . . ~ ti ;_ a ~: V; d¢ x a: k Lk ~,, I' ~ n.I ~°nl (ilit~~, O ' t n F~ __ ~~. i ~ ~ ~ __ ' C~'' j ~ 1 1 ~ s ~9rM ~~~P ~ ~ ~! ~ ~A1~ _ _ _ _ _-- -__ L~ -~~.. r~, : - . - z~=~ ~} i-n t ~ .~~ ~~ : - __ _.~ ....t "`.. ~~~ H10.5-143 REV tt2Wfi ttPE I PRINT IN PERMANEM BLACK INK .-+ ~1 ~;~ Q/ 0 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) ~_._~ ~„ ~ .,.,...,,-., Nam¢ pf Decetlenf (First mitldle, last. sunix) 2. sax 3. soda security Number a. Data of Ikam (Mmm, OaV. year) 5. Age (Last Birthday) Under I err Under t ea 6. Date of Birm Mmm, der . e 7 & lace Ci antl state or lorei n court 8a. Place of Deam (Chad o one) Monms Dan IWUrs Minutes N ospi tat: Other - / n , Yrs. ~ 31 ~ I - z~ , Y A L~ mpaoent ^ FR / outpatient ^ DoA ^ Nurs~nq Rome ^ Ra,~de~¢ ^ omen sp¢ulry ~. Cpunry of Death e c C m/ , B ar o, T wp. of Deam 8d. Fa iliry Name IM not inseanim c gne s re et aM number) g. Was Decetlant of N¢panc Origin? ~ ^ VeS 10. Rarer: Ameroan IMian. Black, White, sic. 1 ~ n t~ t - ~ ~ Ct-~7T t'~11 Yl5WYU ~ u { L l ~ 1 `Ol i~l'1 rl O`' -I'~ Ig tea. weary taboo, IsvaaM Mexican. Puerto Rican, att.) 1 r a 11. Decetlenl's Uwal Oct dm Kintl of wwk dare tl - mostd worki kte. Do na stare retired 12. Was D m ever n me 13. Oecedenl's Etlucetlon (spedty Doty highest grade mrtgeted) 14. Mahal Status' Mematl Never Marred, I i $urvrvxg Spouse QI wile. give maitlen name) Klyd of Work Kind of Buskiess/Indus) ry U. s. Armed Forces Witloweq Divorced (3PaplY) / Elemwntary / Secondary (412) College (1-4 or 6.) Imo/ ^ Yes LJ NO (~• 16. DBpedent'S Mallirq Atldress et ciy I town, slate, zip mtle) ~l ~ t DecedenYS n Uid Decetlenl ~ I~ ~~ Actual Resgence 17 St l ~/"~ ~ ~ / t 1 I ~ G ~~~ ~~ - oC r 1 ~.L.71 a a e T Townshi 17c Yes, DeCedeM LrveC in Twp. 1 pn %i trn~~? V~ (y y~ t7d. ^ No Decedent Lrver1 wNhin I7b C , , . ounty ' Actual Limits of Ciry / Born 18. Father's Name ( rst middle, last, wlnx) rg. Momefs Name (First middle, maNen surname) ~A ~^ 20a. Inlormant's Name (Type / Print)~~ ~^ nYS Mailing Atltlress (Street, city /town, state, zp c0tle) 20b. In+lo m~ie 7 f ~ 2ta. Meth a Disposndn ^ Cremation ^ Dona con 2tb Date of Dislwsilron IMmm, day, year) 21c Mate a Disposition (Name acremere cremate or other ry, ry place) 210. Laafion (Cirylrown. state, zip wtle) Burial ^ Removal horn Slate i Was Crematlon err Dorwtlon Autnglzetl ^ Omar - S ~ oy Medical Examiner/COronerT ^ Yes^ No ' ~ ' ~ ~ r I t ' oVl .. i•Ril 1 1 e#~v- <' w ~f - ~r v ~ 22e. S era) xre Lice (w person acYirg as suW) 22b. Lxx+nse Number plc. Name aM Address of Facility Complete items 238-c only rig ' 23a. To st or my k ,death rred me time, date and place stated. (Slgreture 4k) 23b. Licerea Number 23c Date (Mmth. day, ail pnysxvan is not avaiWbM at Beam to teregtauaeadaam. ( ~ - D /ZIVI ~ ~r1~~ Olt ~ J;e ./Ji ~~ ~' N ~ ~~ ~ ~© O]~ Items 24-26 must be completetl by person who prmmnces death 24. Time of Death Ll 25. Date Pmnomcetl Deatl (Mmm. Oay, year) j 26. Was Case Relep~a{d to Medical Examiner I Coroner fu a Reasm Other man Cremation or DmeBm? . r . M. Se ~(~jYty ~iy~ I ~ a/ r 1 v ^ Yes C.I No CAUSE OF DEATIi (See Instructions antl examples) , Approximate interval. Pan II: Enter oUrer ~ f ?tit one t tle ly 28. D tl Tobatxp Use Contribute to Death? Item 27. Pan I. Enter me ~N of events -diseases, injures, or compNCatbns -mat 6reclly causetl me deem. W NOT enter termval events wch as wrtliac arrest, Onset to Deam bN rot rewltirg in the uMertying rouse givan In Par I. ~ !`I' %es ^ Probabl r¢spimtory arrest, or venmcular rdxilWtim wm,out snowing me etiology. List Dory one cause m earn line IMMEDIATE CA SE Fi i ~ y ^ No ^ Unknown nal d sease err U runtlitron resulting In ~eaml ~ ~ F ~ S'~~ N i9 II Female: _ ._~ A a ` r ~ ~ L~Q~- i ^ N Duero (o: as consequence otf~ ~ a pregnant vklnin past year ^ P $equ ualty list contlNOns, H any, b. ~~{ ~..~ ~y / ~ lea]ug to the cause listed on line a ~-~= regnant at dme a tleam . EMar me UNDERLYING CAUSE Due to ( consequence of): D - ^ Nut pr t but pregnam wimin 42 der egnan , ys (diae05e a injury mat inNated tM ~ ~ r ~ ven6 rewldng m tleam) LAST. c of deaN ^ Due to (or a5 a wrsequence Dry. - Not pregnant but pregnam 43 tlay5 to 1 year l tl m tl - ea be we ^ Unknown if pregnmt wimp me past year 30a. Was an ANOpsy Pedom d? 30b. Ware ANopsy Fillings A 31 Manner a Deam 32a. Date a Injury (Mmm, day, year) 32b. Describe How Injury Ocmrtatl 32c. Place of Inlury: Hmie, Farm, Street. Factory, re vaiWde Prbr to Completion Natural ^ Momiatl 011'xc building, etc. (Specryy) a Cause of Deam? a ^ Yes ^ Np ^Ves ^ No ^ Accltlem ^ Pending Inwasagation ffid. Time of Injury 32¢. Injury at WoM1? 321 If Transportation Injury (Speniyl 329. Lowtim or injury IStret4, city I town, Gate) ^ Suk:tle ^ CoW Not be Determined ^Ves ^ No ^ Driver/ Operator ^ Passenger ^ Pedestrian M ^ Other ~ SpeaM' 33a. Certiaer Irheck only met 33b. Sgrwtu of CeNrwr - • Certltying pnyslc4n (Physician cen4ying cause a deem when andher physician has pronwmcetl deem and cmplemd Item 23) - ~ f\ To the best of my knowledge. death omurtetl due totM cauee(e)and manner es rieted_________________________________ ^ • Prtwaenang and ceNrNn9 phyelcian (Physcian both pmnoundq tleam all cer6MM to cause d death) 33c. License Nu r 33d. Date Siqrwd IMmm, day, year) Te the beat of my lmowleegs. aeam,mam¢e at me rim.,data. and place, erne dMerotn.¢.aee(a)arw mannaraa.taNe------------------ ^ • Medical ExaminerlCororer y ~ . G On the healer a examlrotbn and / or Invrotigation, in my opinion, tleaCi occurred ere the time, date, erne place, antl sue to the cauae(a) and manner ere etate~ ^ 34. Name antl Atltlress of Person Who Cmpleled Cause of Deam (Item 27( Type /Print 35. Re9istr s' trk;t 9 f ~ / 7 ~ rea _ I I 1 I I l 1 y1 1 Date dell (MOmh, day, err) I- ~ '`~ ~ ' ( ~, / .^~-t ~-O f7 -~ c~7 7 '7 ~ y '~' ' ~ l v H j r I ~ ~~ n' ,St, G M S03 ti r 31 ~(, OA (7v ~, Disposition Parton No. U / [ / ¢~ ~~~ ep\wille\prawell.ee\6-97 ~`~ .-,_ LAST WILL AND TESTAMENT -"'~ ~==- =~' '~.7 ' ~ -i7 . t r ~ ' .,. F> ESTHER E . PROWELL _.;~ . ~ ~ ~ ~> c~ r.~, _ w ., ::~~ ^_ --, ; _. I, ESTHER E. PROWELL, of Fairview Township, York County, Penn- ~" sylvania, declare this to be my last will and revoke any will previ- ously made by me. ITEM I: I devise and bequeath all of my estate of every nature and wherever situate, in equal shares to my daughters, CAROL J. HOFFMAN, and JOYCE E. SWEIGARD, my son, JOSEPH E. HOFFMAN', and my step-daughters, YVONNE W. GETTYS and SHIRLEY A. SUCK, if they survive me. Should any of my children or step-children predecease me, I devise and bequeath the share of such child or step-child. to his/her issue, per stirpes. ITEM II: I appoint my Executrices and their successors guardian of any property which passes, either under this will or otherwise, to a minor and with respect to which I am authorized to appoint a guard- ian and have not otherwise specifically done so, provided that this appointment of a guardian shall not supersede the right of any fidu- ciary in its discretion to distribute a share where possible to the minor or to another for the minor's benefit. Such guardian shall have the power to use principal as well as income from time to time for the minor's support and education (including college education, both graduate and undergraduate) without regard to his or her parent's Page 1 of 4 __ ability to provide for such support and education, or to make payment for these purposes, without further responsibility, to the minor or to the minor's parent or to any person taking care of the minor. ITEM III: I appoint my daughter, JOYCE E. SWEIGARD, and my step- daughter, YVONNE W. GETTYS, Co-Executrices of this my la~~t will. ITEM IV: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of hi.s/her duties in any jurisdiction. IN WITNESS WHEREOF, I, ESTHER E. PROWELL, have hereunto set my hand and seal this ~~ day of ~~,~ ., 1997. ESTHER E. PROWELL SIGNED, SEALED, PUBLISHED and DECLARED by ESTHER E. PROWELL, the Testatrix above named, as and for her Last Will and Testament, and in the presence of us, who at her request, in her presence and in the p e of e h her, have subscribed our names as witnesses. ~~C.-tJ (.J L~t~fc-:~ ~ ~ /~, ~ W tnes Address ~ '` a Witness Address Page 2 of 4 COMMONWEALTH OF PENNSYLVANIA: SS: COUNTY OF CUMBERLAND I, ESTHER E. PROWELL, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law do hereby acknowledge that I signed and executed this instru- went as my last will; that I signed it willingly and that. I signed it as my free and voluntary act for the purposes therein contained. ESTHER E. PROWELL Sworn to or affirmed to and acknowledged before me by ESTHER E. PROWELL, the Testatrix, this 3~ day of ~it,LaS" , 1997. Notary Publ c ~.e.~~~-A~l.~aL SEAL ~~ ':: ~. 6 ,,': ~ ~ ~a(!~'P:.~ fit- E~;y ~ , , ;~s„ ~~re~ A~~i~ 13,1399 COMMONWEALTH OF PENNSYLVANIA . SS: COUNTY OF CUMBERLAND We ~ ~ '~ and ~'~ ~ u~. 7~Y~. /`~-e ~~.~~,~ c~-~ the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw Testatrix sign and execute the instrument as her last will; that Testatrix signed willingly and that s:he executed Page 3 of 4 it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix: signed the will as witnesses; that to the best of our knowledge, they Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. ness Witness Sworn to or affirmed to and acknowledged before me bey ,~ I~ ~J rT~OY-c and UO/Uic.~fl JZ!" ~~~~_s.~r~~-- r witnesses, this 3"°~ day of ~U~ , 1997. r Notary Public IV~~~~~~~ r~~~~ I l~~'ry ~1.(~l~~A l"~ f ~ ~ ~'1 My C~rrmi~,~or~ tX;~i~t„w r~r il,~~iu~d ~Q, c ,,.:;~ n~ 8,1999 Page 4 of 4