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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: +~~ 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.) - - ,c _rj (COMPLETE INALL CASES:) Attach additional sheets if necessary. _ _ -~ ` ''` t~`' ~ ~ 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 -, . ~•~C_J 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 t7 e e~,lste. Signature of Personal Representative t j _~, _^' Tr--~ .-lid ;_. ~.,, File Number: ~(~~~ ~'~ 1 /I[~ - '' - '~' rv.; Estate of Idella Berniece Dietz b~ ~ Deceased ,~ ~t~ ~'' C~ 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 ~ ~ j~ ( ) f,~ D, eI cen nt. / /~ 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 ~/- /~ ~ L ~ y OCAL REGISTRAR S CERTIFI~CAIION OF C)EATH WARNING: It is illegal to duplicate this copy by photostat for photograph. Fee titr thi,~ L~ertificatc. SCE Ui i ;,,-,. ;;~ l his i~ I ~ L tij l . jlu ,,l~tipl~SBOFP ulor(7)tui<1n h<R' ~tnt~n i~ '' f~1' ~'~ ~ulrc~il~ t ` x, ~ i ~ ~~~ ~ ~ + (I ,( v(' a) rn i_in II C'enif(<,Lte nl f)cath rx~/ ;~1, ~r Liul~ 1~ilu ~~ (I) In1 ., ' .~ 1 ~ II R< r)ar~u "I~Itc u(l~(nal v uri(l~Lal ~~ G' h ~,eo, ~, z~ 1 j"IVV u(lr<I tL1 th. Stab ~~ital RL~i:urcls t 1+ P ~ Q ~ 1' ~l ~ ~ x ~~ I''~~ Ij ~'` jItl<E17<Jli frilly'. 1 r~ ~. ~ r ~ ~ 13 ,a i~ ~ ``~°` ~~ '~ O~ -- -_--- ~~'~' ~ / _ P 3~ 997. k' ,,~ S ('eruCir.ltiun .~ul~)i~~r ~E~1T (lF~;rt' ~~~ ,,,,,~- _. - - - - 2 __ -- _ --- ~)FI(C I~si.IL°L? C7 ~ _~_ a - _~ ~ f T7 ?~ Trn._ _`._i y ~ rn __ I REV 1 trzlb6 -`~ ,n~ C /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 l/ - /07~f ~ 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~ 'i ~~ 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. 7 .. ~ ~ r.. /~ r..,.. v7 ~ i; r.J 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 ~I 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 0 r / -._•* f ~i "r'~ , 1. ~) _ - CODICIL -~~.c ~- ,~ ~ tr ~. 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 ,,.J~.' t ~.c-r ~ $ ~:.e' (SEAL) 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 ~ ~. f~~ 'vii ~ 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