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HomeMy WebLinkAbout11-29-11PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in support thereof aver(s) the following and respectfully requests the grant of Letters in the appropriate form: Decedent's Information Name: FRANCES R.BUCHANAN a/k/a: Frances Rider Buchanan a/kla: a/k/a: Date of Death: 09/22!2011 File No: 21-11 - ) ~ ~ y (Assigned by Register) Social Security No: 208-24-3903 Age at Death: 89 Decedent was domiciled at death in Cumberland County, pq (State) with his/her last principal residence at 4837 Trindle Road, Mechanicsburg 17055 Hampden Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at Country Meadows Hampden Twp. Cumberland PA Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania ...................... All personal property $ If not domiciled in Pennsylvania ................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ................ Personal property in County $ Value of real estate in Pennsylvania ................................................................... $ Real estate in Pennsylvania situated at (Attach additional sheets, i(necessary.) 93.000.00 TOTAL ESTIMATED VALUE $ Street address, Post Office and Zip Code City, Township or Borough ® A. Petition for Probate and Grant of Letters T am ntary Petitioner(s) aver(s) that he/she/they is/are the Executor(s) named in the Last Will of the Decedent, dated thereto dated 93,000.00 County and Codicil(s) Slate relevant circumstances (e.g., renunciation, death of executor, etc.) Except as follows: after the execution of the instrument(s) offered for probate, Decedent did not marry, was not divorced, was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did not have a child born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ® NO EXCEPTIONS ~ EXCEPTIONS ^ B. Petition for Grant of~„etters of Administration (If applicable) c. t. a., d. b. n., d. b. n. c. t. a., pedentelite, durante absentia. durante minoritate If Administration, c.f.a or d.6.n.c.f.a., enter date of Will in tion A abov and omnlete list of heir. Except as follows: Decedent was not a party to.pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323 (g) and was neither the vlctim of a killing nor ever adjudicated an incapacitated person. ® NO EXCEPTIONS ~ EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the followin spouse (if any):~nd heirs (attach additional sheets, if necessary): ~ ,~~ -; ~ J .~~ ~ ~- Name Relationship Address ~'~ - ,. ~ r ~> 04/16/2007 Form RW-OY rev 10-11-2011 Copyright (c) 2011 form software only The Lackner Group, Inc. Page I of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland } Official Use Only Petitioner(s) Printed Name Petitioner(s) Printed Address Elizabeth A. Rider 2143 Andrew Avenue Elizabethtown, PA 17022 ~- .--? ,... .... ..~_7 - ~ ! -, , _,_ :',_ ,, -..; , - r _ ~=, ~ ~ .e :. .. ~:~ Y" T ~~~ ~~~~~~~~~~~t~~ nwve-ndrnea swearts/ or arrlrmts/ me sracements 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 before Date methis~~daynof~ t>,.1C,~~- `~~ _ _ _ Data f/-o2g ~ (~ BY t~~j~~ ~ ~~ .M- l .l~/~/`li,i,L ~ Date For the Register Date BOND Required? ~ YES ~ NO To the Register of Wills: FEES: Letters ......................................... . (~ )Short Certificate(s)......... ( )Renunciation(s) .............. ( )Codicil(s) ........................ ( )Affidavit(s) ...................... Bond ... .......................................... Commi ssion ................................. Other ~t~~ ~ Automation Fee.... JCS Fee ............... TOTAL ................. $ a [~ . ~a ~~ 1~. U6 "6 Niease enter my appearance by my signature below: Attorney Signature: 1 - Printed Name: ulie M. Cooper Esq. ("` Supreme Court ID Number: 81902 Firm Name: Gingrich, Smith, Klingensmith & Dolan Address: 222 S. Market Street, Suite 201 PO Box 267 Elizabethtown, PA 17022 Phone: (717)367-1370 Fax: E-mail: jcooper@gskdlaw.com DECREE OF THE REGISTER Date of Death: 09/22/2011 Social Security No: 208-24-3903 Estate of FRANCES R. BUCHANAN File No: 21-11 - i a ~ cf a/k/a Frances Rider Buchanan AND NOW, ~1: `~~iL Yl'1 ~-~~-.r ~~ ~ 1 ` , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Elizabeth A. Rider in the above estate and (if applicable) that the instrument(s) dated 04/16/2007 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. t Register of Wills -~ i, ~,)~~~ ~ '~ ,~„ ,,, Form RW-O2 rev. 10/11/201 i Copyright (c) 2011 form software only The Lackner Group, Inc. ~-~..~ Page 2 of 2 a)as.xos Rev roam) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 17729502 Certification Number 1'T'EM ~ ~aZ sxouLD x~n As Fo~rows: _ _ _. - -- _ _ _-- __ ~~ _ 'T'his is to certify that the information here given is correctly copied from an original Cel-tifica~e of Death du]y filed r,uith me as Local Registrar. The original certificate will be forwarded to the State Vital (records Office fur permanent filing. ~~~ ~-_ S ~2 b 011 Local Registrar Cate [slued ~~_ G ~7 r"J - Il t -=: O I'.. -1 - ..~ ~T~ E / va ~ IrmoS COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ -~-1 ~M~""~ CERTIFICATE OF DEATH ~ (See instructions and examples on reverse) STATE FILE NUMBER _~ ~~ -_ I '~ r1 -r-1 ~n :~ rT 1. Name d DeoatlMlt (Flrel nsdrle, hat, suMxl - ~ R a - J 2. Sex ~ 3. Sodel Seargy Number 3 zq /. Dare d Deem (Hoorn. my, yrr) a n r Qcr uc11A r ,ices _ 20~ _ ~o3 a 2a 2ou 5. Age (last BImMeYI UMer 1 r UnMr 1 8. Dated &M Modh, de 7. Bkm end ehre a Be. Place d Deem Check on one M:slu Data Roues MI*aaa O1 ~ I qy2 {r'~,~~'~ ~~ ~ ~ Hospital: Other: YB. • 1 ^ Inpatient ^ ER ! Oulpatlent ^ DOA Nuremg Hare ^ Resitlence ^ Other - Spatiry: Bb. Camry d Deem Bc. Cfly, Barn, Twp. d Death . Fedly Name (If nor kiatlhl8ari, give aeeM and nurrdeC 9. Wee DeceMm d Hhpenk Odgm? No ^ Yea 18. Race: AnwrkAn Inden, &eck, White, etc GUM(3EQl ~D MEthp-n11GS~N~~T ~~ CouN~R~( !'1Yt`A-.Yoc. (I~ n P ~ l ' R~k wh . , , U er an ,atc.) x n ite 11. Decadence Ueuel acn qry d work d one moat d world INe. Do ryt able retl 12. Was OecetNnt ever i1 me 13. DeudwiYS EducaYyn (Seedy a+y Aigheet grade comp leted) 14. MadW SbM: Martled. Never Merned, 15. Suronrp Spo use (N ails, give maiden name) IgrM d Wok Nk1d d Budreml I admin. assistan A'CG (,~ U.S. Amytl Forces? yr ^Na Ehmedary / Secadery (D•12) College (1d a 5*) Wxmwed, Divorced (Spetlh) yJ widowed 18. DeoedanYe AlBiirg Adtlrese (Street. cdY /town, slate, zp co de) Decedenfe d Deceeed d ~"" A q~3~ E. ?kt ~~ LF ~Y ~ en 7wp ActumResidence 17a.ste~a shl? i7c. Yes.DecedantLNetlin HdmD T~ l av n ,n. camty~eam BED' L ~o p i7d. No, Decedetd Lived waNn Actual Limns of City / Boro a.FathereName(Fkat,mtlda,hsteumx) Erhardt E. Rider e.M Ma~ry~Be~l Corbett 20e. Inmrrrwnca Name (Type /Prim) 200. Inmrrnenca Meyng Addeea (street ml (mxn, elate, d0 code) Elizabeth A. Rider 2143 Andrew Ave. ,Elizabethtown,PA 17022 21a. Method d Olapoeitlm r ^ CmmeBm ^ Donetlon 21b. Deb d Dhpoeym (Momh, day, year) 210. Place d D44aaXim (Noma d nrrrbry, aenymrY a amar place) ltd. Locaflen (City! town, shre, zip cads) L~d~ ^ RemovdhomSrete ~wrCrrbumorDerletlonAlnl,aM-d Sept.28,2011 alt Harrisburg Cemetery Harrisburg PA17103 ^ ~ M sedkel E-rdneclCorabr4 ^ Yes^ Tm , 22d d FunaN s~r~ la person adkg as sum) 22b. License Number 22c Name ell Address d FedMy ~.~L;~ ~~ ~ FD-013163-L usselman FH&CS,324 Hummel Avee,Lemoyne,PA17043 Campleb came 23ac ony when arrNykq 23a. To the best d rtry Wiowledge, deem aaumed at the tlme, tlare end place staled. (SIplaSne ant ale) 235. L'Kenr Number 23c. Data Signetl (Mmm, day, Year) phyakden h ml ewila5b at lime d death m cerlNy ease d seam. Ilene 2428 moat be Conphbd q' person 24. Tlme d beam 28. DaY Pronouae0 (MOmh, y, year) 28. Was Cane Rafe m Medical Examiner /Coroner la a Reason Omer then Cremetlon or Donedm7 M,a prarourxlas deem. aZ . ~ ~ ~,. ~ 2 A p- ^ ^ Yes No ~ APgonmste imervsl: CAUSE OF DEATH (SM Inafyuctlom sods Ise) Pert II: EMar Omer ~ 28. Did To6eaco Usa Comdhuta m Deem? , Item 27. Part I: Eller the Glad d -vente - dheases, mjudea, a camp8celisrw • met direly caused me death. DO enter le events sum r mrdec arrest, ~ arrest m Deem but not reankq in me undedying cease gNen in Pert I. ^ Yes ^ Probedy reapiremry anent, or vemkuhr flbriAetlon widyut dpwMtg dN etlobgy. UM ony orie awe on eem line. ~ r ~ ) ^ No Unknown WIMEdA7E C~,AAUDSE dame a i 1 ,, _ - I oondflon reeutlng in deem) _~ e. ~ N !"T N I 1 t o 1 V i + /(/(/1 /~, "' ..• ~~~ TTT "'~++ ` 1 7 ' ~a 29. If F mom: N i hi i ~~~------~~~ --- --- --- --- naa Due to (gNae i ~ n past yrr t d pmt w P ~ ~ , a ~, h' 11 r I ragmnl at dme d deem ^ m ulwe Xabd on one e. r / Due m a as a FAer UNDERLYMG CAUSE ~ coroaquence ot)'. r ~ !• . Na Dragnam, but pregient wimM 42 dsys of deem (dhera a H"'Y dyt inMlWd the c ~ u l5 tl m LAST C'y+ - ~ ~. ^ N even rru rq in ) r . Dry m la as e r carreegUBnCe ~'~ r d pregnen6 bur pregnant 43 days ro 1 year helore deem d ~ ^ Unknown X Pre nant wihin me est ear g p y 9pe. Was en Autopsy 305. Were Autgyy Fmdngs 31. Manner d Death 32a. Dale d In)uy (Mmth, day, year) 32b. Deacdbe How bury Ocametl 32c. Place of Injury: Home. Farm, Street Facmry, Pedormed? Avesebh Prior to Conpletlon g{ Nb al ^ H migd Difice BWlding, etc. (Spea~N1 of Ceur d Death? a o e ^ V N ^ Y ^ N ^ Acpdem ^ Pending Invedlpe-on ~~ TM"e d Inury 32e. Iryury m Work? 321. 8 TreryportMkn InKuy (SpedyJ 32g. Loratlon d mFUY (Street, cfy I town, state) o as ea o ^ Sukltle ^ Cou1tl Nd be Daternarhtl M ^ ~ ^ Vea ^ DmrerlOperemr ^ Paeserger ^ Pedrlrien Other ~ Seedy: 33a. Cxafler (mock oMy ay) ~ 33b. re r • CMMypq phyekhn (Phyaklen ceNykg cause d tleam when endher phyekien tees pmnxked deem uM canpleted earn 23) Fe1MLaualry knowbdge death occwnddrblM cree(-1•r ~rr-t-bd _ __ __ _ ~ , , _ __ __ __ ____________________ Prorrordrdrlg ant arlMyYg phyeldr (Phypden nom prala-rllg drm end rrtBYng m erw of drm) Toth MUdmymwwhdp-, death aeeutnd Mthe lime,deb, and phu,lerddrmtlr eeu-Ne)end mamas -bbd___-------'--___--^ 330. Mnbar F '~ 2'3 ~~ 93d. Date (Matth, 2 , yex) • MedloN E-eerayr/Coraw r+ J On tlN tern d enmkutlori and / or Inwelgetbn, In my oplmm~, death acWmed K lM li ma, dab, and plan, and duam 1M awa(a) en d manner r alalarL ^ s ~e d Deem (Item 27) Type / P dn"AddrrsYP7errson hd C 3d. 1 ,san ~aus ~O ~ ] Reghhere Spne aM.D'uhkl N ~ ~ / .7C1 /~ ~ ~ ~ ~I b yN ad i daY, ~r~ ~ - p / ~ v1[i I • y " ~ ~ _ j ~ I ' ©~~'D 4acs ' ~ ~ ' Disposiflon Pemdl No. v._ ~ ~ a ; WILL o -= -~ ;~ n. -~~ , ~ ~ ~ - ~-c7 ~ 1 r , ,. OF __ -.a FRANCES R BUCHANAN `/' `~"~? -~-~ \ `-' . _ ~ _ _ ,; -:_~ _ j , ~~ ~ , ~n I, FRANCES R. BUCHANAN of Cumberland County, Pennsylvania, do make this my Last Will and Testament, hereby revoking all Wills and Codicils at any time heretofore made by me. FIRST: Tangible Personal Property. Distribution. I give my tangible personal property to my niece, ELIZABETH A. RIDER, per stirpes and not per capita. SECOND: Residue. I give the residue of my estate to my niece, ELIZABETH A. RIDER, per stirpes and not per capita. THIRD: Spendthrift Provision. While in the hands of my executor, and until actually paid over or delivered to the persons entitled thereto, the interest of beneficiaries in the income or principal of my estate shall not be subject to assignment, pledge, attachment, or the claims of creditors. FOURTH: Powers of Fiduciaries. In addition to the powers conferred by law, my executor shall have the following powers to be exercised in such executor's absolute discretion: to retain for distribution in kind, without duty of diversification, all property owned by me at my death, or to sell all or any part of such property, upon such terms as my executor deems advisable; to hold any proceeds and other cash uninvested or to invest in all forms of property, without restriction to so-called "authorized" or "legal" investments and without regard to diversification; to exchange or lease for any period of time any real or personal property and to give options for sales, exchanges, and leases; to exercise all rights of security holders; to compromise any claim or controversy without court approval; to delegate discretionary powers; Page 1 of 4 to employ investment counsel, custodians of trust property, brokers, agents, accountants and attorneys and to act without independent investigation upon their recommendations; and to make distributions in cash or in kind at current values, in undivided interests or non-pro rata shares. FIFTH: Payment of Taxes. AN estate, inheritance, and succession taxes, including interest and penalties, payable with respect to property included in my grass estate, including any property not forming part of my testamentary estate, shall be paid from the principal of my residuary estate, at such times and in such manner as my executor deems advisable, without apportionment or right of reimbursement. S{XTH: Appointment of Executor. A. Appointment. I appoint my niece, ELIZABETH A. RIDER, as the executor of this my Will. B. No Bond Required. Under no circumstances shall any personal representative appointed hereunder or otherwise be required to post bond in any jurisdiction. SEVENTH: Headings. The bold headings used throughout this Will are for convenience only. I do not intend such headings to be used in the construction and interpretation of this Will. EIGHTH: Number of Pagges. This Will consists of `4 pages. WITNESS my hand this ~ ~~~ day of ~ ~ ` , 2007. c~~ cJV, '` ~ ~;~c,~-1~-04-~~., (SEAL) FRANCES R. BUCHANAN Signed, published and declared by the above named Testatrix, FRANCES R. BUCHANAN, as the Testatrix's last Will in the presence of us who at the Testatrix's request, in Page 2 of 4 the Testatrix's presence and in the presence of each other have hereunto subscribed our names as witnes s. Name Address Name Address Page 3 of 4 AFFIDAVIT OF WITNESSES COMMONWEALTH OF PENNSYLVANIA ) // ) SS: COUNTY OF ~(/ 1'~ b~ ~D,rn ~L ) We, FRANCES R. BUCHANAN, ~ C1'n-+~S' y - ~ ~7~~ r~ ~ ~r' , and ~~~ 1 - ~ • I~ ~ ,Testatrix and witnesses, respectively, whose names are si ed to the attached or foregoing instrument, being first duty sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as the Testatrix's last Will and that the Testatrix signed willingly, and that the Testatrix executed it as the Testatrix's 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 Will as witnesses and that to the best of his or her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. TESTATRIX Frances R. Buchanan Subscribed, sworn and acknowledged before me by Frances R. Buchanan, the Testatrj~,.~nd subscribed and sworn to before me b ~ and 0~ ,witnesses, this 1 lo'~ day of , 2007. ..(r- ~ Notary Public MY COMMISSION EXPIRES: con~n~oNwen~~oFPewNSnv~ww Palsrta~ Seat 92188 PauNne Pam Thorr~es, Notary PubYc ~~~ ~~ ~~ AAy Camrrrmsiorr E~Ites Msrah 24, 2011 trNmbtH, PMniylv~nls M.oauon M NolrNtr Page 4 of 4