HomeMy WebLinkAbout11-04-11ESTATE OF IN THE COURT OF COMMON PLEAS
MARY CATHERINE FRY :DAUPHIN COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. r - , g. ~ ~~
;.
PETITION UNDER SECTION 3102 OF THE PROBATE,
ESTATES AND FIDUCIARIES CODE FOR
SETTLEMENT OF SMALL ESTATE
TO THE HONORABLE JUDGES OF SAID COURT:
Samuel D. Fry, Jr., Sue Etta Kellner and Christine M. Icenbower, your Petitioners, file
this Petition for Settlement of a Small Estate under the provisions of Section 3102 of the Probate,
Estates and Fiduciaries Code and in support thereof avers that:
(1) Your Petitioner, Samuel D. Fry, Jr., is a competent adult residing at 960 E. Walnut
Street, Palmyra, Pennsylvania, 17078, and is the son of the above decedent.
(2) Your Petitioner, Sue Etta Kellner, is a competent adult residing at 58 Locust
Avenue, Hershey, Pennsylvania, and is the daughter of the above decedent.
(3) Your Petitioner, Christine M. Icenbower is a competent adult residing at PO Box
84, Arndtsville, Pennsylvania, 17033, and is the daughter of the above decedent.
(4) Mary Catherine Fry, died on October 7, 2011 at the age of 97 years, but prior
thereto lived and was domiciled at 58 Locust Avenue, Hershey, Pennsylvania,
Dauphin County, Pennsylvania. A copy of decedent's Death Certificate is
attached hereto as Exhibit "A."
(5) Mary Catherine Fry died with a Will. No Letters have been issued.
(6) Mary Catherine Fry had no probate estate when she died other than the following:
Bank Account PNC Bank with a value of $3,229.72. A copy of the September,
2011 statement is attached hereto as Exhibit "B."
24 Series E Savings Bonds valued at $12,562.04. A copy of the Inventory Report
is attached hereto as Exhibit "C." f?
,_- ,-~
(7) The sole heirs and relationship to the decedent are as follows:
,.
_,
Samuel D. Fry, Jr., Son ~ ~ ~~~ ~ ; _~ -
Sue Etta Kellner, Daughter - ' ` -"
Christine M. Icenbower, Daughter ~ ~-_~ ~. ' ~ - ~~_-~
L.. ~.
(8) Your Petitioner avers that there are no creditors of the decedent and no claims
unpaid known to your Petitioner.
WHEREFORE, your Petitioners respectfully request that an Order be made authorizing
Samuel D. Fry, Jr., Sue Etta Kellner and Christine M. Icenhower to act as equal Fiduciaries for
the Estate of Mary Catherine Fry to close the account with PNC Bank and cash in the Series E
Savings Bonds, pursuant to Section 3102 of the Probate, Estates and~uciaries~de.
By
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
Marc~(zs A. Mc fight. III, Esquire
Supreme Cou .D. .25476
IRWIN & McKNIGHT, P.C.
60 West Pomfret Street
Carlisle, PA 17013
(717) 249-2353
Samuel D. Fry, Jr., Sue Etta Kellner and Christine M. Icenhower, being duly sworn
according to law, deposes and says that the facts contained in the foregoing Petition are true and
correct to the best of their knowledge, information and belief.
(SEAL)
Samue D. ry, Jr.
rev ,~~~~iarl~.y~--~-~ (SEAL)
Sue Etta Kellner
„'
~~~~~-~~~~~~~'~~%~'~c~--'--(SEAL)
Christine M. Icenbower
Sworn and" subscribed before me
this - ~ / day of October, 2011.
r ,.
],, ^..~
/ Notary Public
COMMONWEALTH OF PENNSYLVANIA
NotaAal Seal
Karen S. Ncel, Notary Public
Carlisle Boro, Cumt~erland County
MY Commission Expires Dec. 8 2011
MEMBER, PENNSYLVANIA ASSOCIII7ICN OF NOTARIES
nlu5~~••.i~ ldi v ~i-no
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee tier this certi!~irate. $(x.00
This is uy certfv that the inforla~ati(>n here r~iti~en i~
correctly copied 1~o!n all r_>ri~~in4il :'crtificate ~>t D~~ttt duly filed with I~Ie as Local Registrar. "l~h~ ori~~ina
certificate will ~~~c forwarded io the Slate Vita
Records (~fficc i~~~or permanent Cilin~_
P 1780348?
Certilication '~`~Iumber
_.
Local R ~~isu-ar I)atc~ Issued
H10&143 REV 112006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE /PRINT IN
PERMANENT CERTIFICATE OF DEATH
BLACK INK (See instructions and examples on reverse)
STATE FILE NUMBER
I. Name d Decedent (First' middle, last, sutra) 2. Sex 3. Social Searcy Number 9. Date d Deets (Month, day, year)
MARY CATHERINE FRY female 193 - 28- 2852 October 7, 2011
6. Age (Last Birtlitley) Untler 1 Under 1 6. Date of &rm Month, da , a 7. arttl slate a r Ba. Place d Deem Cheri ore
Mwaw Days Hours MnAes Hospital: Othef
97 vrs. March 7, 1914 Hepburnville, PA ^IrpatreM ^ERyanpdiem ^DOA ^NurssgHnire ®Resideraw ^omer-sPadly:
~. Counry of Deem Ik:. City, 8oro, Twp. d Death Bd. Fedlgy Name (It not irebane,n, 9ve street end nmiber) 9. Was Decedent d Hepenc Origin? ~ No ^Ves 10. Race: Americarr Indan, Black, White, etc.
Dauphin
Derry Twp.
58 Locust Avenue (n yes, specAy GNsan,
~~. P~to ~+. em.) (SPaaM
white
• 11. Decedent's Usual lion Kird d work done ~ most d kle. Do nd stale retired 12. Was Decedent ever b the 73. Decedent's EexxBni (Spetlry ody highest grade contPl eted) 14. Marital Slabs: Married Never Monied, 16. Surviving Spo use (8 wife, give maitlen rtarne)
Krdd Work
KkN dBusirsssllndudry U.S. Amsd Forces?
ElemnitaDlL SecorNary (11-12)
Cdlege (1-4 or 5+) Widowed, Diwrcetl (SpeciryJ
Housewife
Home making ~
^vea Na
ILL
_.. Widowed
Did Decedent AFy,
• 16. Decedents MaiMg Address IStreM, city I town, stale, zq code) Decedent's
Derry
Penna
. Uveina nc. C7Tea,oecr,tentUVedin
Twp
58 Locust Avenue Actual Residence t7a.state
Dau bin TowreNp7 17d. ^ No, Decedent Lived wihin
Hershey, PA 17033 T7b
Ca,nry p
.
acted Umitsd ciry/Bore
_ -- --
18. Famefs Name (Post. mMde, last. surer) 19. Mother's Name (First. mEde, rtoitlen surname)
William Mosteller Salome Phillips
20e. InbrtnanYS Name (Type I Print) 20b. Inbmrant's Mailing Address (Sheol, coy / bwn, slate zq code)
Sue E. Kellner _ _58 Locust Av_enu_e, Hersh_ey,_PA 17_033 __
hod d Disposition r ^ Cremdbn ^ Darelan 21b. Date d Disposdan (~ riot. Y~1 27c. Place d Daposilbn (Name or cemetery, cemetery or Omer place) 21d. Locatlon (Grit'/town, slate, zip code)
21a. M
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~ CJ BMid ^ Removal from Stale i Wq Crenlallon M Don86arr AYtlrodad
^ Dg„r. rbyMaAaalExaadnr/coronarY ^vee^Na October 10,2011 St. Peter's Cemetery New Ville, PA 17241
__ _ _ _
• 22a. f Fuwrd Service Licensee (c ailing as such) 22b. LiCerse Number 22c. Name ant Atltlress d FacNry
. ~ FD010092-L Hoover F H & Crematory, Inc. P 0 Box 475, Hershey, PA 17033
e items 23at onF/ when certifying 23a. To the best d my knowledge, dpm a¢urred'et date and tad. (SiUatue erq tiNe) 23b. License N mean 23c. Date S' (Month, day, year)
pfryskian s nd evadable at time of deem m
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~ aern5 24,26 must be conpeletl by person 24. Tine oI Dpm ab Pr d (Mani, day, year) 26 Was Case Rderted to Medal Ezamerer /Cornier for a Reason Other than Cremation or Dniation?
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- Wto praroiakes deem.
. ~ P M i o o~ ~o ~ r
CAUSE OF DEATH (Sae Instructions end exa ) r Approximate interval: Pad II: Eller amen simifrgnt mridlyors cdnbbuea to deem. 28. Did Tdtacco Use Ca4rsde to Deem?
porn 27. Pan I: Enter rite gDy -diseases, iryunes, c oarpfratinis -mat erectly eased me deem. W NOT enter bmknal evens such as rareac arrest, r Onset to Deem but not resuNng in the imdedyng cause ghren in Pan I. ^
^ Probably
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respiratory erred, c veMncular IiMiAalicn wawul shoving me e0ology. List only one cause ni each line. ~ ~o ^ Unknown
WMEDUTE CAUSE First tlisease a f r 29. IrI Feymale:
conedon resdtlng n ~eam) _~ a ~r-i'((, S~-e, Yta.: IS r L_,dv Nd Pregnant wahm Pest year
Due b (or as a Consequence ol):
r ^ Pregnant al tines d tleam
corndaorts, 0 ~,
^ Nd Pregnant, but pr~nant within 42
to cause tided ni krs a. b. r days
Enter UNDERLYING CAUSE Due to (or as a consequence dJ:
of death
(~~ c eiP"X tlW ~~ ~ c ;
evens revelling n deem) LAST. r ^ Nd pregnant, but pregnen143 days Io 1 year
Due to (or as a censegtrence dl: bdce deem
.
d. j ^ UMuwwn d pregnant wither me past year
- ___:-
30e. Wes an Auopsy 30b. Were Autopsy Fkidng6 31. M r d DeaM 32a Dale of Irqury (Month, riot. Year) 32b. Describe Flpv Iryury Oaurred 32c. Place d Irrtjuury. Home Farm Slred, Feeley,
a OmCe Bmldng, ek. (Speary)
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arp
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on Nensrel ^ Homicide
d cause a Deem?
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,~,/ ^ Accident ^ Peeling nvesligatbn 32d. Tkp d Inury 32e. kryry at Wark? 321 1/Transportation Injury (SpecAYJ 32g. Location of equry (Street city / 1oxm, state)
^
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No ^ pirverl ^ Passenger ^ Pededden
^ Yes ^ No Operator
^ Suicide ^ Could Nol be Debmurwd M
. Otlsr _ ,:
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Tdkd C
ertirer
3~ SignaWre A.nd
33o. Conifer (chap ally are)
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• Certllyhng physlden (PhYSidan cerdryep cause d deem when acme physician has praourced deem end completed Item 23) , ,d7 ~t.{/t ~ ~.~y~s /"
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To the best of my knoMetlga,rWmaccurntl due to ale puae(e)and llNnlnar as ftabd_________________________________ ...
33c. license Number 33d. Date SgreO (Month, riot, year)
_ __
Pronouncing ant cMlflytrlg phyaklan (Physician bdh pronournrag death and cerkhykg W cause d deem)
•
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_ _ _ _ _ _ _ _ _ _ _ _ _
To the heel of mY knowledge, deatln eaumd d iNe iMne, dab, and pbp, artd due to Uls causata) arts manner es sbbd_ _ _ _ _
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lM ihs fzatb d examkullon arts I or tmesllgallan, In my aplnlal, dalh oaurtM rd Une time, dab, end place, and dos b Iles pose(s) ant nanner a ebbd. ^ 34. Name and Address d Person Who Conplesd Cause of Deem (Nam 27) Ty
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35. Regishata and Ds ' Numbs C 36. Fdetl (Month, pay, year)
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Disposition Permit No. O C~ ~ ` , t l
Nav, 4. [011 9:53AM PNC BANK
~Iy~
LI;;A~itr6 THE 1AtA-1
November 4, 2011
Marcus A McKnight III Esq.
Irwin ~ McKnight P.C.
60 W Pomfret St
Cazlisle, PA 17013-3222
RE: Mary C Fry
SSN: 193-28-2852
DOD: 10-07-2011
Dear Mr. McKnight:
No, 6156 P, ~,i'~
In response to your request for Date of Death (DOD) balances for the customer~noted above, our
records show the following:
Certificate of Deposit
Account # 31100170680 Established: 11-16-1999
MARY C FRY
DOD balance: $ 2,004.54 + 0.59 accrued interest
Interest paid 01-01-2011 thru 10-07-2011 $ 8.59 YTD
Checking Account
Account # 5140429805 Established: 01-04-1988
MARY C FRY
DOD balance: $ 1,224.59 non interest bearing
Please note that this office provides date of death balances for deposit accounts (IltAs, CDs, Checking and
Savings). We do not process any financial transactions or provide statements. If you need assistance with
slay of these iteraas, please call 1-888-PNC-B,ANK (1-888-762-2265) or stop by your local PNC Bank branch
office.
Sincerely,
National Financial Services Center
PNC Bank, N.A.
Member FDIC
Page 1 of 2
Nov, 4, 2011 9;54AM PNC BANK
No, 6156 P. 2/2
This message is intended for the use of the individual or entity to which it is addressed and may
contain information that is privileged confidential and exempt from disclosure under applicable law.
If the reader of this message is not the intender! recipient or the employee or agent responsible for
delivering this message to the intended recipient, you are hereby notified that any dissemination,
distribution or copying of this communications is strictly prohibited If you have received this
communication in error, please notes me immediately by reply or by telephone at 500-762-1775 and
immediately destroy this faxed document.
PaaP. 7. of
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