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HomeMy WebLinkAbout10-13-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Ellen Marie Bowen ~, ~ ~ _ ~~~~~ Marie D. Bowen File Number - also known as ,Deceased Social Security Number 203-10-7084 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW.) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the executor last Will of the Decedent dated 8~7~1 997 named in the and codicil(s) dated (State relevant circumstances, e.g., renunciation, death of execulor, etc.) 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, was never adjudicated incapacitated, and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as provided in 23 PA C.S. section 3323 (g): B. Grant of Letters of Administration (If applicable, enter: c. t. a.; d. b. n. c. t. a.; pendente liter durante absentia; durance minoritateJ 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 SectionA above and complete list of heirs.) N Decedent was rinmirilari ar ,IA~rI.:~ (List street address, town/crry, township, county, state, =ip code) t, then 90 ears of age, died on nut Bottom Road SI at Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania 1299 Strafford Road, Camp Hill, PA situated as follows: 1 $ 290 000.00 $ 100 000.00 TOTAL: $390,000.00 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 [he undersigned{ I Typed or printed name and residence David H. Stone 414 Bridge Street New Cumberland .,._ , ~ C_3 ~ ~~ ,.~~C. ~.. _..:~ CJ ~u ~..~ G ,~,~ -r-, principal residence at -'- Form RW-02 rev. ]0.13.06 Page 1 ~f 2 J ~ `~ ~ _ ~J - - _ (COMPLETE lNALL CASES:) Attach additional sheets if necessary. ~ _ '~~ ~ ~' Oath of Personal Representative `' ~;-~ ~O -- :a~ COMMONWEALTH OF PENNSYLVANIA ~a ~ ~ couNTY of Cumberland ~ SS ~ ~~;~? c;, _ -, < ~;~ The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true ~ correct~e` the bestrg ~._. the knowledge and belief of Petitioner(s) and that, as persona] representative(s) oft Decedent, Petitioner(s~will well aiv~'trul administer the estate according to law. ~~~~ G ~- _. y -~ Sworn to or affirmed and subscribed be me the C~ day of . ~-c'// For the Register Signature of Signature of Personal Representative Signature of Personal Representative File Number: ~~~~/ ~ /U/ Estate of Ellen Marie Bowen Deceased Social Securi Number: 203-10-7084 Date of Death: 10/4/2011 AND NOW, L~~O r 2~l and that the instrument(s) dated 8/7/1997 described in the Petition be admitted to probate and filed of record ac 9AP ----__ having been presented before me, IT IS DECREED that Letters TeSta1Cllenta eration of the foregoing Petition, satisfactory proof are hereby granted to David H. Stone FEES Letters .................. $ ~'~` ©~ Short Certificate(s) 1........ $ ' , a Re u c'ation(s) ................ $ .... $ .'~~' .... $ r ~ ~ .... $ -~_ .... $ -_ .... $ .... $ TOTAL ............................. $ - Form RW-02 rev. 10.13.06 last Will~nd Codicil(s)) of Attorney Signature: r Attorney Name: David H. Stone Es uire Supreme Court I.D. No.: 39785 Address: Telephone: 414 Bridge Street New Cumberland PA 17070 717-774-7435 m the above estate Page 2 of 2 ~.OCAL REGISTRAR'S CER~IFICAT' 2J_ ~~ ~~~~ WARNING: It Is illegal to duplicate this co h lO~l ~~ ~~EA~~ pry y photostat or i~hotc,graph, Fee Fur this ieriilirue. S(~.(nl P ~_ ~ 7 ? 9__i_? ~ Certffic~ttiun ~VuiY~ill,~r - it~'I~~p,~T H_~iF Pf~,\ ~' ~ ~~ ~ ~. ~, c ~ ~ ~~ * ~ >f ~ / ~., ~' _~i .., II/,~i oFA~9TMENT bF~~P~~ I~hi. i~, It 7_Lr(;I4 II7,i~ Iht mFurmtrtiun here ~~i~en i t.urrerllr rul~r)ct~ t~.tr1 ,n ~,ri~il~al C'ertiFi~.tic t,t Dcatl ciul~ lilt~ti ~~:),, ( I. I~ i tell P2c_t~tl:(r. ~i~hr uri~rina i rtf l~ir ll r l i ( (~ '~+(w arLlecl to (h~ Sl~llc ~'it<I R~~nr>,I~ ~f ,,. i~~i'f m:ulen) tilif2_r. y,~ a`~ 1_.....-___- I):11C I,ti>11 Ct1 :, y- ~~ _'l I __ L J ~j ~ ~~~_ :~: ~ ._ REV 7(12008 / pRIN7lN COMMONWEALTH OF PENNSYLVANIA MANENT _ -T~ • DEPARTMENT OF HEALTH • VITAL RECORDS ,cK INK CERTIFICATE OF DEATH (See Instructions and examples on reverse) + of Decadent (Fi I mMtlb Wsl, suhix) STATE FILE N arse ~i Bow . en s. Age(tzgtBrmday) er, ear Y UMer 1 tlay fi. Date of Bidh (Month, tlay year) 7 B u ' 2. Sex Fema 1 e U 3. Social Security Number 2 0 3 _ 1 0 ' - 7084 MBER 4. Date of Deem (Month, day, year) Octob 4 9 O O "^' Den , . lnhplace (City end slate ar for n tour Hars r4m,nes ~9 try) Be . Place of Death Check on on er , 2 Q 1 1 yre. Bb. County of Death e) August 12, 1 921 Carlisle pA HosPAaC other: ~ Cumberland Sc. City, Boro, Twp. of Deets ^ In tbnt Bd. Facility Neme pl rid insliadkrl, give sheet end number) ~ ^ ER /Outpatient [] DOA ^ N s was Carlisl De d ursing Home ^ Residence ^o'ner. Specify e Man or Care . ce ent of Hispanic Origin? ® Q/yes s eci C No ^ yes 10 Race: Am ri 11. Decadenys Usual lion Kintl of wok do Kits of W k ne tlun most W wodci life. Do npl state retiretl 12. Wes Decedent ave i h , p y uban, exlcag u e can Intl,an, Bieck, White, etc SPeaM r n t or e 13. Decedent's Education (Speciry Kind al Buslrass / Intlustry U.S. Armed Forcea7 Bookkeeper t El only highest grade compl 14 eted) Ma~ilal 3tatuscMe i d N Whit e ementary/Secondary (0-12) Kessler 3 Inc . ^ yes ®Ne 1 2 18. Decetlenl's Mailing Address (Street it / r e , ever C°Ilege (7-0or B«) Widoweq Divorced S (peciyy) Memed, 15. Survivin 9SPOUSe (If wife, give maiden name) , c y town, stare, zip code) DecedenYS 15 Argali L A PA Widowed cNalReOitlence na.Sta,e ane DbDepedem Mechanicsbur Llve ins "°^ y„q Dy~mt Live PA 17 t7b.cpnnry Cumberland r°wngnip? 8 d in T pf N (First, ddb, u4 sµtlu , 7d ®Mt. Decedent lived within Car 1 i s 1 e ~. il~arc~`" U S A ,YUaILimdsnl DD 79 Mpmer's Name (Rrsl, middle, maiden sumeme) 2ga. r Grace Irene Reese `~~"~'~°e~°:" Bowen City / Boro 20b. Intomlanrs Mei9ng Atl9ress (SIreeL city /town, state, rip cede) z,a. Memod pr piapoedan ^ crematbm ^ Dpnah0ll Burial ^ Removal hom State ' 15 Argali Lane Mechanicsb 2m. Data pf Diaposilbn (Month da ~ Y year) 21 urg PA 1 7 0 5 5 j Was Cremation or Donatlan ANhodzed ^ omer ; twMedlulExemineNC nar7 ^y~pN 22 , . c. Place of Dieposhbn (Name of cemetery, crematory or other place) October 7, 201 1 Mt , 2,d Location(city/tpwn,atete elpppda, ° a NreprFane ' Lke ctirg es such) 22b. Uceme Nu . Olivet Cemeter y mber . 1 7070 New Cumberland FO ~ 1 2 3 22c. Neme antl Adtlress of Facility 42-L Stone&Murra reltems23 F H , PA y atpnlywhenceN . lying 23a. 7o the 1 Nn edg ,death urtetl al the U ate , ., 408 Third ,Street New Cumberland, PA 70 ysician is rrol available e1 time of death to ~ place stated Signature and tltb) certity cause d deem. ~ r 23h l ~ , ~ a t . cense Number w(~J / lcV p ~ h 2 - ~ 23c Dete Sig etl (Month, tla . Y Yearl / / ~+/ ems 4-2fi must be compbtetl 6y person 24. Tme of ~S/ 25. Date Pro ncetl D who 0 / ~ l f~ 0 rono d /~ _ (, / / / l~ l p ea unces deem. ,t (Monet, tlay, Year) 26 I O I $ fi W ~ ~ ~/ / l .~ _,y v . M. ~ ~ ~ / ~ as Case Relered to Medical Exami CAUSE OF DEATH (gee Instructlona end examples) ^ Yes ~•11 Item 27. Pan I: Enter the t91am nr.~~,• -diseases Injur ner / Coroner tm a Reason Other than Cremation or Donation? es, a complketbns - that mrecty caused the death. p0 NOT enter terminal events such as caMiac aresL i Approximate interval: Pan II: Enter other ' respiratory ertest, or venlnculer fibrillation without showing dte etiology. List Dory one cau ~~LdB~°n s contri [n - o to tleam - se on each line. Onset to Death , 28. DiU Tobacco Use Comribute to Death? IMMEDIATE CAUSE !Final tlisease or ~~~ ~ ((~ /, - ~ , but not resulting in me underlying cause given In Pan I. ^ Yes ^ probably / condilbn resulting ;n elh) r7l (( ( ~ ~ , yl ~l --~ a. ~'~ t ry ^ No I 7 unknown D e~ (or a s consequence o ~/ ~ SeguenOelry list condNons,Aany 6. l~Cf12Gc,~'t/ ~ ~~~!' NYC F.p~.( . ~---- .~ batting to the cause Ibt tl l I Y _ 29. N Female: V ~ . t ~ e on ine a. i E n ter me UNDEpLYING CAUSE Due to (o as a conse _ r L7 not oregnanl within pall year ( ~ ~ que a o/) t ~ Aven~a5e or injury met inhiated the _> Averts resutiing ;n deaM) LAST. t ~_~_,_ ^ Pragnanl at time of death t Due to Ior as a cons r _> equence of): ^ Not Pragnanl, but pregnant within 42 days ml death ~ 30a. Wes an Aut r ~ ~Y 30h. Were Autopsy Findings 37. Ma er of Death r . Penorned? A ^ Not pregnant, but pregnant 43 days tp 7 year belore deem -_ i vailable Prior to Completion 32e. Date of Injury (Month, day, year) 32b. Describe How Injury Oxured ~ of Cause pf Death? Natural ^ Homi id - ^ Unknown it pregnern within the past year c e ^ Yes ~ No ^ Yes ^ No ^ Accident ^ pending Invesligetion 32d. Tme of In u ' ry 32c Piece of I njury: Home, Farn, Street. Factory, Office BuiMing, etc. (SpeciyJ 32e. Injury al Work? 321. II Trans,wnatbn In(ury (Specify) ^ Suicide ^ Could Not be Determined M ^ yes ^ Nc ^ Driver / Operetor ^ passenger ^Petle 33a tn C nifi 32g. Location of Injury (Street city /town, state! . s e an er (check only one) Other ~ Spacdy • Certllying physklsn (Physician cenilyng cause of tleam when anomer physician has pronounced death and completed Item 23) 33 S t re end tla of Cendip To the heat of my Imowledge death occurred dire to me c ~ ause(s) antl manner as atated_ _ _ _ _ _ _ _ (J ~( • PratourMng and ctxtllying phyaicien (Physican bom pronoundn death andce -----""--'--- ~ ~ l (~"(~f ~` ~'/+ ~ Tp dte !test of 9 rtifying to cause of death) _ _ _ _ _ _ _ _ _ _ ~ my Itnowledge, death occurred m the tlme date d ~> ~/ . , , an lace, and due to the cauae(e) eM manner es stela 33c Ucense ' tAatlkal Examiner /Coroner p d__________________ ^ ~jAF/,,.~~ ~ r) ~~ ` On the beela M exsminatlan end / or I 33d. Date Sig th earl nveatlgetbn, In my opinion, tlemh ocarted et the tlme, dab, antl place end due to the / v t 1/ 0~ ~~ , csuee(a) and manner as eteted_ ^ 35. Reg¢trer's S;gnaNre and Distna Number ~ra.~ ~t ~~~yyy 34. NameP~`~ntl/Addres Person W f Cause of Deam (Item 27) Typo /print v I.~[.. I ~ W ~ m. deY, Yeer) I '"]. ~~ ,r'r( / / 1 er ~ KC(~7 ~ ( I I ~~J~ ~ Disposition Permit No. 0~+~ ~ ~~ q eP\wille\bowen.md\8-97 n 0 _ ~Y. :~3 -: ~~.. i`~ r~ --r ,_ LAST WILL AND TESTAMENT ~ ~ h ~ I _ :~:: c,~. ^ c..:: '~ r7 -T-r ELLEN MARIE BOWEN also known as MARIE D.N ~~ ~ `~` ~.. .. '-n I, ELLEN MARIE BOWEN also known as MARIE D. BOWEN, of Fairview Township, York County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I direct that my Executor hereinafter named shall pay all my just debts and funeral expenses as soon as conveniently may be done after my decease. ITEM II: I devise and bequeath all rest, residue and remainder of my estate, of every nature and wherever situate, as follows: A. One-sixth (1/6) unto my son, JOHN E. BOWEN. B. One-sixth (1/6) unto my son, PETER :L. BOWEN. C. One-sixth (1/6) unto my son, JAMES W. BOWEN. D. One-sixth (1/6) unto my son, TERRY P. BOWEN. E. One-sixth (1/6) unto my son, JEFFREY A. BOWEN. F. One-sixth (1/6) unto my daughter, WENDY A. McGOVERN. ITE= III: I appoint DAVID H. STONE Executor of this my last will. IT- EM IV: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of his duties in any jurisdiction. Page 1 of 4 IN WITNESS WHEREOF, I, ELLEN MARIE BOWEN also known as MARIE D. BOWEN, have hereunto set my hand and seal this ~~~~~ ~ day of # ~ a.,° ~ 1997. ~G7 ELLEN MARIE BOWEN also known as ~~~~~~ ~~~ ~~~zc~~ MARIE D. BOWEN SIGNED, SEALED, PUBLISHED and DECLARED by ELLEN MARIE BOWEN also known as MARIE D. BOWEN, the Testatrix above named, as and for her Last Will and Testament, and in the presence of us, who at her re- quest, in her presence and in the presence of each other, have sub- scribed our names as witnesses. f. Witness -~.~.- u~ Witness ~` COMMONWEALTH OF PENNSYLVANIA; COUNTY OF CUMBERLAND ~ SS: Address Address I, ELLEN MARIE BOWEN also known as MARIE D. BOWEN, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law do hereby acknowledge that I Page 2 of 4 signed and executed this instrument 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. t~~~~ i~%Ge'iI-tom ~ ~ ~-v~ix~ ELLEN MARIE BOWEN also known as MARIE D. BOWEN Sworn to or affirmed to and acknowledged before me by ELLEN MARIE BOWEN also known as MARIE D. BOWEN, the Testatrix, this ~~2 day of ~`'`~ , 19 9 7 . r~ No ary P lic NOTARIAL SEAL KAYE R. LUCKEY, No?ary Public New Cumberland c~,ero. Cumberland Co. Pd'y Commission E;;pires March 27, 20Di COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ? SS: We, ~~t iyLc'c.. ~~~. ,C}~G%7~~t~iFc.-G.t- and .~( J a2~ck~ /~ /~/ 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 she executed it as her free and voluntary act for the purposes therein expressed; Page 3 of 4 that each of us in the hearing and sight of the Testatrix signed the will as witnesses; that to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Witness ~~ , ./ ~ , Witness Sworn to or af~~f//firmed to and acknowledged before me by ~~G'il~~.lt /~.~ ,~71~ /li1 ~ and Ns / c e ~. witnesses, this ~ day of ~~-~.~.t~ ._, 1997. Notary P lic ~~OTARIAL SEAL KAYE R. LUCI;EY, No!ary Pi~f,lic Ne~~v Curnberla,~cf Boro-_f•_I.;~~er!c,nd Co~ Ply Cenimiss-on Er. • ; ~; ,- S ..Ji Marl^~r~ L/'.'~;i W~ I Page 4 of 4