HomeMy WebLinkAbout10-12-11PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Idella Berniece Dietz
also known as Berniece B. Dietz
Deceased
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
COUNTY, PENNSYLVANIA
File Number ~~ ~ ~~~ - ~~
(Social Security Number 206-32-4855
^/ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Executor
last Will of the Decedent dated Apri127, 2001 named in the
and cod'cil(s) dated January 4, 2006
~ ~ ~~
(State relevant circu lances, e. ~
g., renunciation, death of executor, etc.J
Except as follows, Decedent did not marry, was 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 was never adjudicated an incapacitated person:
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B. Grant of Letters of Administration
(/fapplicabte, enter. c. t.a.,~ d. b. n. c.t.a.; pendente lire; durante absentia; durante minoritate)
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 above and complete list of heirs.)
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(COMPLETE INALL CASES:) Attach additional sheets if necessary. _ _ -~ ` ''` t~`'
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Decedent was domiciled at death in Cumberland ~`''
County, Pennsylvania with his /her last principal rest~i 2nce at
Cumberland Crossin s 1 Lon sdorf Wa Carlisle South Middleton Townshi Cumberland Coun PA 17015
(List street address, town/city, township, county, state, =ip code) `~ ---i
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Decedent, then 95 years of age, died on September 28, 2011 ~~
'A 17015 at South Middleton Township, Carlisle, Cumberland County,
Decedent at death owned property with estimated values as follows
(If domiciled in PA) All personal property
(If not domiciled in PA) $ 110,000.00
Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania $
$ 0.00
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
the undersigned:
Virginia Lynn Chappell, 55 Neeta Trail, Medford Lakes, NJ 08055
Form RW-02 rev. 10.13.06
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF Cumberland
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, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or affirmeLd~and subscribed
befo me the / ~~ _ day of
~~~~ ,~~~
For th R ~'
V~
Signature of
RepresenGZtive
Signature of Personal Representative
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e e~,lste. Signature of Personal Representative t j _~,
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File Number: ~(~~~ ~'~ 1 /I[~ - '' -
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Estate of Idella Berniece Dietz b~ ~
Deceased ,~
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Social Security Number: 206-32-4855
IInn//II Date of Death: September 28 2011
AND NOW, ~) C~~~ ~ r~
~`-~ " ~ I in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Virginia Lynn Chappell
and that the instrument(s) dated Apri127, 2001 and January 4, 2006 in the above estate
described in the Petition be admitted to probate and filed of re d as the last Will and Codicil
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FEES ~- -C~-~v~ "`'~~1~'~~1~~.t~~ I1-E'J
Letters ............... $ ~'
Short Certificate(s) . >~ , , , $ h ; L~
.. $
.. $
.. $
.. $ _ ~
.. $
... $
... $
... $
... $
... $ j
TOTAL .............. $ . `~-gg.~
Attorney Signature: ~.t _ ~ ~ 1~t
Attorney Name: Join E. Slike
Supreme Court I.D. No.: 6262
Address: Saidis, Sullivan & Rogers
635 North l2th Street, Suite 400
Telephone:
Lemoyne, PA 17043
717-612-5800
Form RW-02 rev. 10.13.06
Page 2 of 2
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OCAL REGISTRAR S CERTIFI~CAIION OF C)EATH
WARNING: It is illegal to duplicate this copy by photostat for photograph.
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/PRINT IN COMMONWEALTH OF PENNSYLVANIA • _ ` 1 4l
tMANENr DEPARTMENT OF HEALTH .VITAL RECORDS l L t'
AcK INK CERTIFICATE OF DEATH ~ ~-~
(See instructions and examples on reverse) a `~ t°; - ~=,
1. Name of Decedent (First, mklde, last, suffix) STATE FILE NUMBER <~/~
Berniece B. Dietz 2. Sex 3. Sadel Secunry Numtter
4. Date of Death (Month, ,•year)
5. Age (Last Binhdeyl Untler 1 ar Under 7 da 6. Date o1 Birm Manm, da , ear Female 206 - 32 - 48 5 8 1
Mono s Days Hatrs Minulea 7. BiM lace C' and state or torsi n count e
Ba. Place of Death Check onl one
95 Yrs. December 31 1915 "oypital mbar
m. canny m Deym 6°. city, Bprp, T N. Bessmer Pa ^ mpanem ^ Eq / ourpanem ^ DoA Im
wp. of Death 6d. FecilRy Name (If not insatufion, give street and number) I[U Nursing Home ^ Residence ^ Omer ~ SpeGy~
6.unberland 9 Was Decedent of Hispanic Origin? ®No
S . Middle ton Cumberland (II yea, speciy Cuban, ^ Ves 1- Race. American Intlian, Black, Whee, etc.
I1. DecatlenYS Usual tlon Kind of work done tlun most o1 vrorlmt life. Do not state retired 12. Was ~O`S `S ~' Re t . CA[illl • Mexican, Puerto Rican, etc.) (SOecrM
Kind d Work DeaetleN ever in the 13, DecedertYS Edupfion (Speciy only highest grade completed) 14. Mantel Status. Marred, Never Married, 15. Sumvi
Kind of Business/Industry U.S. Ambd Forces?
Housewife ~p Ele12tery /Secondary (f}12) College (1-4 or 5+) Widoweq Divometl (SpeciryJ n9 Spouse (If wife, give maiden name)
• 16. Decedents Mailklg Address (Street, city /town, state, zip code) ^ Yes c,q No 1
Decedent's Widowed
1 Longsdorf Way Actual Resldenay nor. state Pa ad Deaedem 8~
Carlisle Pa 17015 L'V81ny "°7~7Yas•oepedantLryadin S• Middleton 'gym
17b. Canny rl l~hp7^~ p~~1 Township? Twp
16. FameYS Name (First, mkide, last, suffix) ----~_ 17d. ^ Na, Decedent LMed within
Actual Limbs of
Walter k3urns 19. MOmeYS Name(Rrsi mkkAe, maiden surname) Ciry!Boro
20e. l"'artnanra Norma (Type f~PLrtnt~) Ruth Lon don
Vlr inia uL LQ ell 2Db. Infomunt's Mailing Address (Street c'Ay /town, slate, zip cads)
2, a. MethodMDiaposnion 55 Neta Trail Medford Lakes New
~~**--,~ ^ Cremation ^ Donation 21b. Date of Dispositim (Month, day, year) 21c. Place of Dis Jers e 08055
• ^ i~J Burial ^ gemovyl ham State i Wes Cremstbn or Dottetbn ANhorized position (Name of pmetery, crematory or orier place)
21d. LocaAOn (City/town, slate, zip code)
' by Medcal Examlrter/Coroner? ^ Yes^ No OCtOber 4 2011
22 . ~ pNre of F al Service Licensee or pa such) S t John's Ceme ter
. 22b. License Number 22c. Name and Address of FedMy Meehaniesbur Pa
Dornplete Berne 23ac on when 011654-L ers-Hamer Funeral Home
ty 'IMin9 . To me bas, of my knowledge, deem ocwrred at the rime, de and plgp stated. (S Nre and titl~ ~ Iric 1903 Market S t Hi 11 Pa 17011
physician is not available at time of deem to + ,
iceNty' cause of seam. ~ 23b. License Number 23c. Date Signed (Month, day, year)
Hems 2x26 must be competed by parson 24. Time of Death ~ Z~ ("~ ~7 ~'/ L ~ _ I
25. Date Prono cad Daad (Mon , tlay, year) ~.l [~ 7j l
~~ who pronounces Beam. ~ 26. Was Case Referr~,~ed/}I°o Medical Examinor /Coroner for a Reason Other an Cremation or Donation?
CAUSE OF DEATH (See (mtructlona and ex~ Ies) (I ^ Yes L4C No
Item 27. Pan I: Enter the drain of even s -diseases, mjunas, or complica0ot5 -mat dimctty pusetl the tleam. DO NOT enter terminal events such as cardiac arrest, i Approximate intervaC Pan IL Enter other s ° fic
respiratory anest or ventricular libnllation wrthoul showing the etiology. List only one cause on each line. '~~~ "^ n...~~9aey 28. Dk Topaxo Use Comdbute to Death? _
Onset to Death but not resultlng n the undenying cause give m Part I.
IMMEDIATE CAUSE ((Final tlisease or r ^ Yes ^ probabry
catdtion resulting in death) `_ - p l t-C~~ ' ^ No ^ Unknown
Due fo to s a m segue ce op t 29. If Female
i Se°uenaalN list rnndiAons, it any, o ~ ^ Nol pregnam within past year
leadrg to the pose fisted on line a.
~ Eater the UNDERLYING CAUSE Due to (or as a consequence aq: ~ ^ Pregnant al time of tleath
- ~ (tliseau a mryrX that initiated me -~_
7 events resuRing m deem) LAST. c ^ Not pregnant but pregnant wHnin a2 days
Due to (or as a ronsequence of): of death
d_ ' ^ Nat pregnant, but pregnant 63 days l0 1 year
•~ 30a. Waz an Aut ~ before deem
7 opsY 30b. Were Autopsy Flndirtgs 31. Manner of Deam t ^ Unknown if pregnant wimM the
.i Pertormed? Available Prior ro Completion 32e. Data of Injury (Monm, day, year) 32b. Describe How Injury Occunetl past year
~ of Cause of Death? ^ Natural ^ Homicide 32c. Plap of Injury: Home, Fans, Street, Factory,
y~7 Offree Building, etc. (Spacrly)
Ves vyNO ^ vas ^ No ^ Aurdeot ^ Pending Investgation 32tl. Time of Injury 32e. Injury at Work? 3N. II Trensponetion Injury jSpedryJ
_ ^ Suicide ^ Could Not ba Determined ^ Drver/O 32g. Location of injury (Street, city I town, stale)
M. ^ Yes ^ No Aerator ^ senger ^ Pedestrian
33a. Cerafiar (check o"N one) ^omer - Speary
' Canftynng phyalelan (Physician pd i 336. Signature ~ ~ rer
Tome best b m know ~ "g ceuse of deem wren anomer physician rtes pronouncetl deem aM completed Item 23)
Y ledge, death occurred due to the pux(s) and manner es shted_ _ _ _ _ _ _ , {~ ~`
• Prortouneirg end cenHying jHtyalclen (Physidan born pronouncing deem tine pnmJk,g to puss of death) - - - - - - - - - - - - - - - - - - - - - - ~ - - - ^ 4/ _l__J
To tM peer d kn 33c. tJcens ~
my owkdgs, tleem oaurred et the time, date, end place, end due to the ceuae(s) and manner es ateted_ _ _ _ _ _ _ 33d. Date Sgrted (Month, day, year)
• Medicel Examhter/Coroner _ _ _ _ _ _ _ _ _ _ _ ^ OD ~ O L') C ~ _
On the tt•s!a of examinaeon and / or Investigation, in my opinbn, death oecurrM at the tlnM, dale, end pleas, eM due to the cause(s) end manner as atated_ ^ r ~ ` ~ ~ C `~
34 Name entl Address of Person Who Completed Cause N Deam (Item 27) Type /print
36. Registryrs Sigttatu and Disbicl Nu r
- ~ oZ ~ ~ ~ d I ~ I / I 38. Date Fi (Month, Oey, Yearl ~~ C-C .<\. ~ C 11 J`- < 1,~ t~-~("'_.
947 ~o ~~ 5~ ~S'~~ic~, 5~- c~~-~, . ~c~? 17a
Disposnbn Permit Na. D G ~O y ~ G
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LAST WILL AND TESTAMENT
I, OF
IDELLA BERNIECE DIETZ
also known as Berniece B. Dietz
'~ I, IDELLA BERNIECE DIETZ also known as Berniece B. Dietz of the Borough of
~'i Camp Hill, Cumberland County, Pennsylvania, declare this to be my Last Will and
~I
~ Testament, hereby revoking any will previously made by me.
I~
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~~ I. I direct the payment of all my jusi debts and funeral expenses out of my estate
'~
as soon as may be practical after my death.
II. I bequeath certain items of my tangible personal property, not including cash
'~ and securities, in accordance with a written list made by me during my lifetime. In absence of
I
~' a list or designation on such a list, I direct that my Executor hereinafter named distribute my
',
~Ij household goods and personal effects as she or they shall, in their discretion, determine.
i~ III. I devise and bequeath all the rest, residue and remainder of my estate of what-
'II
ever nature and wherever situate unto my husband, DAVID STONER DIETZ, also known as
D. Stoner Dietz, providing he survives me by sixty (60) days.
IV. Should my said husband fail to be living on the sixty-first (61 S`) day following
my death, then I devise and bequeath a1I of my estate of whatever nature and wherever situate
j as follows:
I
SAIDIS ~ ~
SHiJFF FLOWER
&L[~1DSAY ~~
,vrow~vs•eruw
2109 Market Street ~ ''~
Camp Hill, PA 'I
a. I devise and bequeath 75% of the residue of my estate unto my daughter,
VIRGINIA LYNN CHAPPELL, or if she is deceased, to her issue per stirpers~.
V.
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b. I bequeath 5% of the residue to my granddaughter, KRISTI LYNN MALIK,
and 5% to my grandson, SCOTT W. CHAPPELL, or if either of them is deceased, to their
',~ issue per stirpes.
c. I devise and bequeath the remaining 15% of my estate to be divided equally
among the following named grandchildren, DAVID L. DIETZ, MARY LYNN KURTZ,
REBECCA DIETZ HULL and great grandson, CHRISTOPHER DIETZ, or if any of them is
deceased, to his or her issue per stirpes.
d. I have intentionally made no provision for my beloved daughter, BARBARA
JANE DIETZ, not through lack of love and affection, but because I feel that a gift to her
would serve no practical purpose.
V. I appoint my daughter, VIRGINIA LYNN CHAPPELL, guardian of any
property which passes under this Will or otherwise to a minor or an incompetent and with
respect to which I am authorized to appoint a guardian and have not otherwise specifically
done so. Such guardian shall have the power to use principle as well as income from time to
time for the minor's education and support or to make payment for those purposes without
further responsibility to the minor or to any person taking care of the minor. The said
guardianship shall terminate as to each beneficiary when he or she reaches the age of 21
li years, if a minor, or when declared competent, if an incompetent.
I~
~ij VI. All taxes that may be assessed in consequence of my death of whatever nature
'', and by whatever jurisdiction imposed shall be considered a part of the expense of the
SAIDIS
SHUFF FLOWER
LI~USAY ~I, administration of my estate and my personal representative shall have the absolute power in
2109 Market Street
Camp Hill, PA
I
',~I 2 ~ /n.
his or her discretion to pay the same at once whether or not the law under which they are
imposed permits the postponement of all or part of them to a later time.
VII. I appoint my husband, D. STONER DIETZ Executor of this, my Last Will and
Testament. Should my said husband fail to qualify or cease to act as such, then I appoint my
daughter, VIRGINIA L. CHAPPELL, to act in this capacity. Neither of my personal
representatives shall be required to post bond in this or any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal on this, the
,~, `~ day of , 2001.
-"~ua%c<.- ~ EAL)
IDELLA BERNIECE DIETZ,
also known as Berniece B. Die
SAIDIS
SHUFF FLOWER
& LIfiIDSAY
nrmw•~sar•uw I'.
2109 Market Street
Camp Hill, PA U
III i
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I
Signed, sealed, published and declared by IDELLA BERNIECE DIETZ also known as
Berniece B. Dietz, herein named, on this and three (3) other sheets of paper as and for her
Last Will and Testament, in our presence, who, in her presence, at her request, and in the
presenc~f each other, have hereunto subscribed our names as attesting witnesses.
;.
~'~ ,
Name
~~ Address
~... ~ ~' .~z,:
Name
3
_~
Address
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF CUMBERLAND }
WE, the undersigned, the Testatrix and the witnesses, respectively, whose names are
signed to the 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 Testament and that she signed willingly (or willingly directed another to sign for her), and
that she executed it as her free will 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
witnesses and that to the best of their knowledge the Testatrix was at that time eighteen years
of age or older, of sound mind, and under no constrain or undue influence.
IDELLA ERNIECE DIETZ also
known Bernie. Dietz, Test rix
Witness
/ ~
~,
~ ~.
~ ;'~~. Witness
SAIDIS
SHUFF FLOWER
~ LINDSAY
amw+~xs•nruw
2109 Market Street
Camp Hill, PA
Subscribed, sworn to and acknowledged b~y the Tes ri , a subscribed
and sworn to before me by both witnesses, this ~ day of ..'~ ,
2001.
~,..,.._....o.,........- Notarial Seal
Stacy L. Frick, Notary Public
East Pennsboro Twp., Cumberland County
My Commission Expires Jan. 12, 21]04
4
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CODICIL -~~.c ~-
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OF ~~
_`+5 _._
IDELLA BERNIECE DIETZ ~}' ~ '
--;
also known as Berniece B. Dietz < -'-'
I, IDELLA BERNIECE DIETZ, also known as Berniece B. Dietz, of South Middleton
Township, Cumberland County, Pennsylvania, the within named Testatrix, do~ hereby make
and publish this Codicil of my Last Will and Testament dated April 27, 2001.
I. I hereby revoke Paragraph IV of my said Will and substitute the following:
IV. Should my said husband fail to be living on the sixty-first (61st) day
following my death, then I devise and bequeath all of my estate of whatever nature and
wherever situate as follows:
a. I devise and bequeath 80% of the residue of my estate unto my
daughter, VIRGINIA LYNN CHAPPELL, or if she is deceased, to her issue per stirpes.
b. I devise and bequeath 10% of the residue to my granddaughter, KRISTI
LYNN MALIK, and 10% to my grandson, SCOTT W. CHAPPELL, or if either or them is
deceased, to their issue per stirpes.
c. I have intentionally made no provision for my beloved daughter,
SAIDIS
SHUFF, FLOWER
o t rwrr~c n~~
ATPORNEYS•.A"I-•LA W
- Camp.Ilill, PA--
BARBARA JANE DIETZ, not through lack of love and affection, but because I feel that a
gift to her would serve no practical purpose.
II. In all other respects, I hereby ratify, confirm, and republish the remaining
provisions of my Last Will and Testament dated April 27, 2001.
'"~~-L~ J
Initials
IN WITNESS WHEREOF, I, Idella Berniece Dietz, also known as Berniece B. Dietz,
have hereunto set my hand and seal to this Codicil to my Last Will and Testament this
~l ~ 200 ~;~.
day of i t _
4
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IDELLA BERNIECE DIE Z
also known as Berniece .Dietz
Signed, sealed, published and declared by IDELLA BERNIECE DIETZ, also known as
Berniece B. Dietz, herein named, as and for a Codicil to her Last Will and Testament in the
presence of us, who have hereunto subscribed our names at her request as witnesses thereto,
in the presence of said Testatrix and of each other.
_ ADDRESS
~`:~r~ ~. ',--v .~."(,L ~, ADDRESS:
.~ ~~ 1 '7 c-t ~
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SAIDIS
SHUFF, FLOWEK
& LINDSAY
~rrokvt:~s•,~r•i~~w
2109 1lerket Street
Camp Hill, PA
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND :
SAIDIS
SHUFF, FLOWER
& LINDSAY
2109 M17arke~ Street
Camp Hill, PA
We, IDELLA BERNIECE DIETZ, also known as Berniece B. Dietz,
' /~ _ ... % ~ ' 4„ .~.. ,and ~~~ r~ ~~ - ~1./i kf= ,the Testatrix
and witnesses, respec vely, whose names are signed to the foregoing or attached instrument,
being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed
and executed the instrument as her Codicil and that she 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 Codicil as witness and that
to the best of their knowledge the Testatrix was at the time 18 or more years of age, of sound
mind and under no constraint or undue influence.
~~~~~ ~ ~
IDELLA BERNIECE DIETZ
also known as Berniece B. Dietz'
i
a .3 j
~,e„~,'
Witness
j r~, /
Witness
Subscribed, sworn to and acknowledged before me by IDELLA BERNIECE DIETZ, also
known as Berniece B. Deitz, the Testatrix, and subscribed to/ and sworn or affirmed to
before me by ,~-~~~~'• T ~~` L'~ ~ and J c !~ ~~ ,1~~ `~j/~~-r ,
witnesses, this `-~ ~ day of ,J t i) (,, c'+6 ~~ _, 200.
s
C otary Public
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Sara J. Ensinger, Notary Public
Carlisle Boro, Cumberland County
My Commission Expires Oct.17, 2009
Member, Pennsylvania Association of Notaries