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HomeMy WebLinkAbout10-12-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of _ a/k/a: f `` ,Deceased ESTATE NO: 21- ~ ~ " I ( a/k/a: a/k/a: SS NO• 7' o - (~ ~~(p Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND ~°C" as a licable: ~A. Probate and Grant of Letters Testamentary or ^Administration c.t.a., or d.b.n.c.t.a. com and aver that Petitioner(s) is/are entitled to the aforeme do d Lett fs ( plete Part C ulnder the last Will of the above-named Decedent, dated ~ o®~ 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 c.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: USE THIS SECTION MUST BE COMPLETED: Decedent was domiciled at ath in Cumbe At ~4A Q.II.~., ou, ~~~~~ N (Street address with Post Office and Zip Code, Decedent, then ]~ years of age, died 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 Total Estimated Value $~0 e~ Location of Real Estate in Pennsylvania: (Provide full address if possible.) ~ Signature(s Name(s) & Mailing Address(es) tw d' ~t 4+I~C5`"'~~ ~~" ~~5~ C7 .~ _-~ ~..~ _ w~ - ~ ~ ,~ -3 c -- :. ,Pennsylvania, w't .his/her last f iIy or principal re5tzllence ~ r ~ Q J~ ~ W l1 S~ ~ _ {~ Day, Year o death) ~,~Borough, ity) • ~.~~~,~ t ~~ r (City and State where d h occurred) All personal property Personal property in Pennsylvania Personal property in County Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page I oft OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania County of Cumberland SS The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed b ore me this ~ -~- ~'~~ day of _ ~ (~ ~~ - ,~ , Cj~ ;~ r or the xeg> ster := r __. -c.:% -~ ;~ DECREE OF PROBATE AND GRANT OF LETTEB~=t -:-- ~ _ ~~• t_. Estate of ~ }'l(l~' ~ S ~ ~'( Y C r~~t:~ " ' l i ,Deceased File Number: 21- f I _ L`~" ,~ ~• _;,-; ..>~ AND NOW, this ~tl lday of _ ~(~-~(`~~ .r ~~` (( , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary - of Administration are hereby granted to: (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) ~~1~hP~ .fir;, n;-,,~ ~-,~ the above estate and that inst ents(s) dated j ~ - ~, in admitted to probate and filed of record as the lase d Codicil(s) of Decedent ribed in the petition be Glenda Farner Strasbatlg - ~ ("~ ~ ~ t'lr~~.7l~ ~- ~~_ Register of Wills % ~~ _ FEES: Letters.... ,$~,~ Will ....................... (~~ C (.,~ Codicil(s) ................. (5) Short Certificates ,- C . C`~L7 ( )Renunciations....... Bond ............................. Other ..................... ................................. ................................. Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................$ >0~3- Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Name: Supreme Court ID No.: Address: Phone: Fax: Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 OCAL REGISTRAR'S CERTIFICATION OF CEATH WARNING: It is illegal to duplicate this copy by photostat or phott~gr°aph. I~ee for this ~•crtifirtue~ y(i.QO _____P__17645491 Certlil~..tiol) j~'umber --- f;llS 1~ 1t~ ~,`i~Iti ill:i't lI1C lllltr137A11[t~li ;irv`(~ r'1v:Il C(!Il'el'(I\ CUPk't~ ilZ11P, .lll DI I~ I t, ~:.c'I~[111~'tUi', u1~1)C~ll <iul~ fi;ec! ~rr~iil~ ri~~ tls i~rtca! Ke,~l>(lar. The ori~_>in~ ~'ci~tifi~:.lt; a; !t,f,t,;;.a~~eki 'he St,(te bit. RCL'Urij> t~ilh '.~t~ hr'('lil~i ll call I!I:ii~_ __ ~ ~~ ~ ~- - -~, =' ~ ~ ~ ` m -- . _, -% x: i 4 i •._J '1 ~ z.J _ = . H106113 REY It/20g6 j"' ~ •, 1-} TYPE / PRtNr IN COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS t~`° PCRMANENY BucK INK CERTIFICATE OF DEATH (See instructions and examples on reverse) t. Name a Deceoent lFirsL midtlle, yst, wffix) STATE FILE NUMBER Charles FarnarTi Seymore z. Sex 3. S«ial security Number a. Date a Dean IMOnm, mY, road male 177 - 26 - 6956 October 7, 2011 5. Age (Last BirtlaaYl Untler t r Under t W 6. Dare a BiM MmN, da , 7. Bi lace C' arN state a t n coon ea. Plata W DeaM (7gck m one AI"neis Day: Nours AlimMe 77 vrs. May 18r 1934 Gett Sb Hoapnac omer: • Bb. Coon of DeaN y ur g r PA ^ Inpe(iem ^ ER / Ouq~alient ^ pOA ^ Nursing Roma ~] Rastlanca ^ Other ~ Speofy: N 8c. Ciry, Born, Twp. d DeaN % Faddy Name (Knot ahtiNtion, Siva street and number) Qmlberland 9. Was Decedent al Hspank Orgm? ~] Np ^ Ye5 10. Race: American I«aan, Black, White, ek Upper Allen rltap, 908 Allenview Drive m yea. apecgy caWn. (~ • 11. DTxedariYS Usual 'on Kintl d work tlme most d life. Do rot stale retiretl 12. Waz Decedent aver in the 13. DeceOent's Etlucation (Speey ony nghest ratle ce ~~' Pue~ Rican, ac.) ~e Kill d Work KkH Of Business/Industry U.S. Armed Forces? 9 mpletetl) 14. Merdal Status: Married, Never Marrietl. 15. Surviving Spouse (tt wits, give maiden name) SU lntendent Elementary /Secondary (Q12) Cdlege (1d «Sr W'' Divorced BperiNl ~-r ConStTllction vas ^ No 12 ) Divorced • 16.Oec«lenl's Maipng Address (Street. dry /town, state, zip cotle) Decetlea's 908 Allenview Drive Amaal RBaiderTce ,7a. state _ Penncvl n; a °" °~"' Live n a t 7c. ®Yaz, Decedent t.ived n _IIDtJPY A 1 1 Pn Mechanicsburg, PA 17055 t7b.c«m Cinnberland T°""e''~? rwp h t 7e. ^ No, Deceaem Livetl wiwn I6. Fang/s Name (First, rtutlNe, last, suffix) Actual Lands d City I Bono Martln .S. Se re Sr 19. Mother's Name (First mid8e, maiden sumang) Hilda McInt 20a. Infonnard's Name (Type /prim) Ste en E Se re 20b. Inf«nlanYS Mailirg Atltlress (Street. aly / Opwn. state, rip mde) 27a. Method a Disposition 908 Allenview Drive Mechanicsbur PA 17055 ^ Cremation ^ ponatlon 21h. Date «Dispcaition IMmm, day, Ysar) 27c. Place of Disposition (Name or cemetery, cremarory «oNm place) 21tl. locetion ® Blxiel ^ Removal from Sreg ~ was Crengtbn « DOTYGaII Autlgrized (City/town, state, zip code) ^ 01"ef~ ' by'ae"kr E~akrer/~nen ^ vaz^ NP October 17, 2011 Gate of Heaven Cemetery i.__ ~ 22a. Signanxe d Service Licensee («ya,a«, aceng as wm) zm. L;ceme N„mbar zzc Nama are amreg or Fawily ~c~ liCSbi1L'CJ r PA < - ~ ~- ~ FD-138630 8 Market Plaza Way Conplere ~ z3ac only wlgn cermying 23a. To the best d my , seam oxuned at Ina tirtg, dare aM Mal Zzi Flu)erdl Horne MechaniCSb PA 17055 not avaeable a time of death fxece steed. (SigrTa«re antl title) ~Y ceuee a daaro. 23b. Licerwe NwnWr 23c. Dale S' a 3 S S 6 L ~°° IMF,. daY. Year, hems zazs must W completes w Deno„ zA. rare of Deem z6. oa ronwTCea Dees (Mann, den year) w1w ProrgW4'e5 death. / ,/ J~ 26. Wes Case Referred to MrMical Examvgr! Caorer for a Reason Other Than Crematpn « Donation? J I ~ • •~ S rT • M. ^ Vas ~No CAUSE OF DEATH (See IrraWetiona antl examples) r APProxmare interval: part U: Emer otner;ypy~nT ~ t,,,~~„_jno to da to 2g D'd To6aao Use Contnbula to Deam? Item 27. Pad L Enter the main «evenre -diseases, njwies, «mmpkcati«h - mat direcny aused Ne death. DO NOT enter rermna events wm az ceNac arrest, aspiratory artesL ar wmtncWar fibrillation witlput sh«d the Onset ro Deere but not resW6 tlg wtledyig cause given in Pan I. ^ Yaz ^ Probabty rg etioiegy, list my one cause on eam Fete. rig m ~~ TE~C~Sn fF ~)disease« ,,// / ~ / / ^ No ^ Unkrawn des -~ a. /~i ci~L :i TG.7 ` G~y -.ice ~--i vC, 1. = // Oue ro (« az e corheglgrxe aQ: /~ r'~r~' 29. K Female: uenfalN Iret mrdiUms, d arty, b ^ Not pragnam within past year gg ro tM cause Fsted on Fns a. ^ Pregunl at tune of death Eb~aMer' Bg DNDERLYn10 CAUSE Duero (or az a corhequence on: (cheese or aqury mat initiated The ^ N« pregnant. but ewvps rewl&g m death) LAST. pe~gnt witNn 12 tlays a death e Due to (« az a catseque«e o7: ^ Not Pmgnem, but pregnant 43 days to t year tl. ~ Wlore tleaN 30a. Was an Auopsy 30b. Were Autopsy Findings 31. Mahar «Oeattl T ^ Unknown tl pregnant wimin dg Pasl year Pedorrtgtl? Available Pnorro Cortpletion ps 32a. Date d Injury (March, daY, Year) 32b. DazdW Now InjuryOwrted G_J NaNrel ^ Harnipde 32c Pkce a Injury' Hong, Fartn, Street, Factory, or Cause a Dazm? office Builsng, arc. Bvecyryl ^ vas ®No ^ Yes ^ No ^ AaWent ^ Peridxg lnvesFgation ~. tans al kTjury 32e. In)uy at Wo~k+ 321. If Tramportatgn Iri IuvY /SPea'Ml 32g. Location a injury (Street city / rown, slate) ^ Suidde ^ could Not W Delemwgtl M ^ vas ^ No ^ Dmerl operator ^ Passenger ^ Pedestrian 3aa. cendrer (meek my one) aver - saay~ ' ~+MW9 Physkun (Physican vtilyirp was m deem when another physidan rgs Dranouncatl death aM arnpbtetl hem 23) ~ 33b. Signature and leaf CerM r To tlx beet a mY knowkege, dpth accurtM cue to the arrse(g arse manner az aaud _ _ _ --- 1~J ~ . ! :~ /~ _ l~J Praloundn rise ___________________________ 33c Licenre NUnher • g a ee1'ln9 PMsidarT (Physidan bah pr«guncug deem erg certityirg to cause of deem) ~ To me bee a mY Nnewfse9e, drrn «c«rsd a the rime. Bale, sad place, aria due to IW ausa(a) arq manner az slated_ _ _ _ -- - - - ^ .Dare Sgred (Mmm, ear. year) • Lleekal Examagr/Caromr -------- ~7'J 3,;Gi v`%/E il3-/} On the Was a examination aria / «Imestigatbn, in my opinion, deem accurretl at the tlme, date, and place, one due re the ea ~ ~~~ ° use(s) and manner as BreterL ^ 34. Noma and Adtlresa of Person NTOpComplegd Cause~o'f Ream ptem 27) type //Prim $d - ? s SgnaNre antl Dgtrct NumWr 38. Date Fgd (Month. tlay, Year) L1 °~Y-/ !~!' ~ -- _ ~?~ //1i' oiaposrenn Parma Nn. 0599643 LAST WILL AND TESTAMENT OF CHARLES B. SEYMORE n O ~_. ~, _ -~-~ ~- { ;r~`~~ -~ ' -„_ r-n v_^ r`,F .~ ~_~ ~~ _, ~~ _, - .?.~~ ~ ., r,. . L> C:_ ._r ~ I, CHARLES B. SEYMORE, of Upper Allen Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all previous Wills and Codicils heretofore made by me. FIRST I order and direct my personal representative hereinafter named to pay all of my just debts, ~~~ funeral expenses and expenses involved or connected with the administration of my estate as soon after my death as is reasonably possible. However, my personal representative need not accelerate ~~'~ and pay those unmatured obli ations wh' g ich, m his, her or its opinion, it might be proper and more ~~ advantageous to retain or renew and pay as they become due and payable. If I do not own a burial plot or a grave marker at the time of my death, I authorize my personal representative, in his, her, or its sole discretion, to purchase a burial plot and to erect a suitable marker at my grave, and to expend sums from my estate for this purpose. Page 1 of 6 Pages SECOND I give, devise, and bequeath my entire estate together with all insurance proceeds thereon of whatever nature and wheresoever situate in equal shares to my children, LAURA A. KURPIEL and STEPHEN E. SEYMORE, who survive me by sixty (60) days, per stirpes. THIRD If, at the time of my death, any beneficiary of this my Last Will and Testament is under the age of thirty (30) years or is, in the judgment of my personal representative, mentally disabled, I give, devise and bequeath said beneficiary's share to my Trustee, my son-in-law, STANLEY KURPIEL, in Trust for said beneficiary, in accordance with the paragraphs below. If STANLEY KURPIEL is unwilling or unable to serve for any reason, I appoint my son, STEPHEN E. SEYMORE, to serve instead. FOURTH During the terms of any trust created pursuant to this Will the Trustee is authorized to expend and apply so much of the net income and principal of each such trust as the Trustee shall consider advisable for the health, maintenance, support, and education (including college education, d undergraduate and graduate) of each such beneficiary until he or she attains thirty (30) years of age, ~`' or until all such amounts are paid out of the Trust. When the beneficiary attains the age of thirty (30) years or is in the judgment of my Trustee mentally sound whichever event occurs later, the Trust shall terminate and the remainder thereof shall be paid to said beneficiary. If said beneficiary shall die before the termination of said Trust, the Trust shall terminate and the remainder thereof shall be paid in accordance with the paragraphs above. I direct that no Trustee shall be required to Page 2 of 6 Pages give or post bond for the faithful performance of the Trustee's duties in this or any other jurisdiction. FIFTH My Executor and Trustee are authorized and empowered to exercise from time to time in his, her or its sole discretion and without prior authority from any Court, in respect of any property forming part of any trust hereby created or otherwise in its possession hereunder, all powers conferred by law upon trustees or executors and I intend that such powers be construed in the broadest possible manner. SIXTH ~l "`. I nominate, constitute and appoint my son, STEPHEN E. SEYMORE, Executor of this my Last Will and Testament. In the event STEPHEN E. SEYMORE is deceased, unable or unwilling serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint ~~ my daughter, LAURA A. KURPIEL, to serve instead. In the event LAURA A. KURPIEL is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint my son-in-law, STANLEY KURPIEL, as personal representative ~~ of this my Last Will and Testament. I direct that my personal representative shall not be required to give or post bond for the faithful performance of his, her or its duties in this or any other jurisdiction. SEVENTH I hereby declare it to be my expressed desire that my personal representative employ Kline Law Office of New Cumberland, Pennsylvania, for legal advice and assistance regarding this my Last Will and Testament, said attorneys having considerable knowledge of my affairs, views Page 3 of 6 Pages and wishes respecting any matters that may arise at the probate of this instrument, the administration of my estate, and the execution of the powers herein mentioned. IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and Testament this v~ day of ~~~~i , 2005. L/ Witness CHARLES B. SEYMORE ,~ . C Witn ss Page 4 of 6 Pages ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS I, CHARLES B. SEYMORE, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to the law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. l .,~ ~c~ CHARLES B. SEYMORE Sworn or affirmed and acknowledged before me by CHARLES B. SEYMORE, the Testator, this~~ day of ~-7d~j ~--7'c' ~ , 2005. ~- NOTARY PUBLIC ~tj~_~~'t.AL'I'f-I OF PENN~;'L~r~'`;1 ! Notarial Seal 5fiarrn ~~. Feister, Notary Public "~' C:-; aberiand Toro, Cumberland Co!rav ;, t. r;trti..~;,; Ea.~sres Aor. ? j - , ...... r~'`.~/ Page 5 of 6 Pages AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND We,~- ~ ~C~iAJ~ ~ and _ ,L ~~,1/~ ~ ~ ~.~~ ,the witnesses whose names are attached to the foregoing document, being duly qualified according to the law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testator signed the Last Will and Testament as witnesses and that to the best of our knowledge the Testator was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. ~- Sworn or affirmed and subscribed befor me by ',~3~. ~ ~ ~,,~,~-- and yisJ uc ~i ,U~ this ~_ day of ~~o ~~ , 2005. 1 OTARY PUBLIC ~~:"y;,._~t~,,,;y;;~ALr>1 0~ Y~NrlsYrvA~;lta Notarial Seal Sharer, IZ. Feister, Notary Public {Vew Cur7berlauci 13oro. Cumberland County Page 6 of 6 Pages `~'y Corzmics~c,t xn~r~s YApr. 152007 :„