HomeMy WebLinkAbout11-30-11PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Marjorie Rodgers
also known as
COUNTY', PENNSYLVANIA
File Numbetr 21-11- ~eZ~CJ~
,Deceased Social Security Number 192-14-4884
Denise H. Koser
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE A' or `8' BELOW.•)
® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the named in the
last Will of the Decedent, dated 11/21/2005 and codicil(s) dated
State relevant circumstances, e.g., renunciation, death of executor, efc.
After the execution of the documents offered for probate: Decedent did not marry; was not divorced; 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 (g); did not have a child born or adopted; was not the victim of
a killing; and was never adjudicated an incapacitated person, except as follows: / ~
B. Grant of Letters of Administration
(Ifapplicable, enter: c.t.a.; d.b.n.c.t.a.; pedente life; duranfe absentia; durance minantate)
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 ill on Section A above 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 (g), except as follows:
Name Relationship Residence C'~ _ _
-~~
~ ~ ~_
r . c7 .~
-_,rn ~a -
x-• :.~
~
>;
- ; `-~ -r,
_,,- _,
'
`J \_ _.~
-"f 7
'~~
,:i
~_~
T "~
j
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. 'o `~ • ~ ~ i_ ~ ;--r-t
D ~ ., "~
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
916 Apple Drive, Mechanicsburg Mechanicsburg Borough Cumberland PA 17055
(Lrst street address, town/crty, township, county, state, zip code)
Decedent, then ~_ years of age, died on 11/15/2011 at Harrisburg Hospital, Harrisburg PA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 5.000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 150,000.00
situated as follows: 916 Apple Drive, Mechanicsburg, Cumberland County, Pennsylvania
Wherefore Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the rant of Letters in the appropriate form to
the undersigned: 9
Signature Typed or printed name artd residence
Denise H. Koser 111 Melborne Lane
Mechanicsburg, PA 17055
,-.L/ -i~y~.~~ ~c.4~ - 717-691-1370
h't~orma F. Strothe~r ~d
rorm rcrr-ve heev. 12-26-2010 (interim form, pending action by the Court) Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
couNTY OF Cumberland } SS
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true ancf 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 me this ,~~ day of
,~ , ~~~~
For the Register
r
of Personal Representative Denise H. Koser
Signature of Personal Representative
Signature of Personal Representative
C~
~C~ ~. ~
- ~
z-~;.r~
_-~ -~
~ - ~
~,_~ -~ -
FileNumber: 21-11- ~~gr~ ~~ U.7 "~
x
<: , ~ ~ -
Estate of Marjorie Rodgers '--~' ~'
`
~ ~=~ ~".
Deceased .~
~: ' ~
'
c.
~'° r-,
_ _
_
~~
~ ~
i'v -' ~
r .. ,rn
Social Security Number: 192-14-4884 Date of Death: 11/15/2011 D ~ ''' `r'~
AND NOW, 01?,PNYI~SL~~ ~(~ //''
~(/f ~
in considerati
f th
f
,
on o
e
oregoing Petition, satisfacto ry proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to
i
and that the instrument(s) dated 11/21/2005 n the above estate
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ................................ .......... $ 260.00
Short Certificate(s) ............. .......... $ 16.00
Renunciation(s) .................. .......... $
Automation Fee $ 5.00
JCS Fee $ 23.50
Will $ 15.00
$
$
TOTAL ........................... ........ $ 319.50
Form RW-02 Rey. rays-zoos
Supreme Court I.D. No.: 15893
Address: 124 W. Harrisbu~ Street
Dillsburg, PA 17019-1268
Telephone: 717-432-9733
E-Mail: Schracklaw@comcast.net
Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 2 of 2
Attorney Signature: ' ~ Q~
Attorney Name: Wm. D. Schrack III Esp.
H105.Hnc RFV m~/mi
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
P 18037268 ~,~' t~• ~~~ /l /~ ~1
Certification Number
Local Registrar Date Issued
~ r~
~.,--m
' .~., ~'1
,'
? T _?
C?
'~> Cn c.a : (~::
. v %~
,> G
'_.
.'
_7 O - ~=~ Ta
.
.~l(~ ~~. ... ~.
,
:
r
_YJ
-~ --~
rv ~.,
_ _ ~.
f.... :~ri
~~
xlostaa REV it2006 COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE / PRBIT M
~"'~1R CERTIFICATE OF DEATH
B.Aat Sac
(See Inshvctlons and examples on reverse)
STATE FILE NUMBER
~ I
1. Name d Deuraare IFaa, mats, mu adfa)
rs~ 2. Sea 3. Sodel Seaxey Number
- - ~. Drm IMmm, ey, year)
~~ ;~ dl
s.Age (fare B'rYaey) Unasr 1 - )Alder 1 Der a BIM Maah, 7. Bi and eWe a 9s. Ptsw a Dn91 Chxk ane
Nonar Wye Hdn eeYVaee t
lo
e
pitqI: DBNr
88 vra. ril 20 1923 Pl uth PA ~
-
,/
L7 lroet»nt ^ ER / oagnDent ^ DOA ^ Nurang Nara ^ Resitlence ^ Other - seedy
m. Casey d Deem &. City. Bao, Twp. d Deem 8A. Faeiy Name IB nd irMUDm, gyn wren end reninar) 9. Wes Dwdre d MlepMlie gigb7 ®No ^ Yea 10. Roca' Nrrriean ktlen, Black, Whae, etc
Dauphin Harrisb
urg
Harrisburg Hospital Ir r«. r ~,.
Mme. Paanp ~e• •~) Ism
White
11. Deaded'a tlaw ~ Knda work e ar ~ mw d ~ xs. W ria our ~ 12. was Dacaaed ever b me i3. Deraderts EtlcWm (Seedy aey Nprtl 7eae conv Mnal tt. MadW :~: Marred. NavM MamMd ts. Survivig spa ns m wMe, gNe maitlri name)
IDrid d Work aiMdBiakwellMUeby U.S. AmrO Faye?
EI""
/ sependen (a,21
cdl~. a< pr s.) WiOOwat Dilated /S-sdyJ
Bookkee Accountin ^ vea ENO ~ Wiciaaed
16. Dxeaem's Haling Adaeb (street, ciy /town, sae, r4' eoael
916 Apple IIrive OeceaenYS Penns lvania Did DecaleM
Adw ReaiMme na slat Y Tip 17c. ^
Yes, DeceaerR liwtl n Twp.
Mechanic
bu
PA 17055 a~i
t?n.Daaer Gtmlberlarrl nd.[gl~
LlveawWkn Mechanicsburg
s
rg, ~d
Gy/Boo
19. Famrh Name (Fast midda, lest, aAfa) 19. Mothela None lfktl. meals, maiden Mmenr)
Robert Rilk Ver p11
20e. mbrrrMrlrs Name (TYpe /Pmt) 2Bn. Inblmarfe Maip Atltlrees (Strae6 ay /ban, sues, ap ~ztle)
Denise H. Koser 111 Melbourne Lane Mac;hanicsb PA 17055
2da. Menial d Depoancn ^ Crenracn ^ Danaaorl 21 b. Dtle d OinpceAOn (Mmm, day. yeary 21c. Plan d DiepoaDon (Name d amwry, aertrtay a don pYn) 21 d. LA ilbn (CRy/ban, sWe, nP aMel
Burl ^ Remwa' Imm Set i Wr Creereelon a Darlian AWlaleed
^ err- ~ nr Maul eamirr/cararf+ ^ res^ No
November 21 2011
Inr3iantaan Nat' 1 CEYile
Annville PA
m F perem actlrg es auto) 22b. Uwrer Nunmar 22c. Name are Atlams d FedBy 8 Market. Plaza Way
- FD - 014889 Mal zzi Etiolate) Home Mechanic;sb PA 17055
aw wMn oe
u nd aaaaeDb tl one d dents b 2W. Totlr beat d rty labwlage, tleam ocarrea tl me ime, der arN plan sated. Isgnamre w Itkl xan. Licarna NmBer 23c. Date Signed (Madh, daY, Year)
rsWy sans d death.
IMms 2426 mW x amplebl M Person 24. rrr a Deem u. Wu Pmrl.bea Dean (MOmh, daY War) ze.
w
e~ cafe FpNartee m Medan Examnar / tamer rot a Reason Darr num cramanm a Danetim?
who praaaaicas deem. ~'~-(J ~r M. ~ , t
y
Y~.Vea ^No
CAUSE OF DFJITH (Sat InaRnwxbeu eeW sanvpW) Approanrte kwuval: Port 11: EnW Omer ~ 28. Ditl ToDeao Use CmmWU b Daam7
awn 27. Port I: EMar me d,ab d events- a®mes, injuies, orwriginUar. iwt Brady awra me aeatll. DO NOT air tamnal saws sacs ae ®rdec wren, Orrat b Dma,
resPeeto % arrest a v,rbiculer inri161ipn ward ahawii
ar stido
Lot ad
ar sues m each ins hul nd ra+d^A in me undeaykip ease pNen in Part I. ^ Yea P
g
gy.
y
.
^rb ,Udamvn
~~g~r Ida n
deem y, ~ TNT. 1
t
~
~
- 29. If Female:
.,`
au., .fSh
\
-~ a.
AMC 1
\N, la ~
1
Due la ae a mrwpwce cry: a~
~~
1°1
^ Pre
nant al Yme d Beam
iq mri6tlar, d n
b
tl
f
t
f~
d
~
~r ' g
^
rr
c
ns
e
e
m
a. Due b la as a
E
IMDERLYNG CAUSE ~•71eA~ ~: Nd pregront, bd pregrrnl rdlen a2 days
laeea.e a i1~wY Ihtl axl'aW me p
steno n dwh) LAST. or deem
^ N
Due ro la m a aanequara:e pry: d pregrnl, M pregnnM 43 data b 1 year
wore seem
d.
^ Unlabwn a pregrd wilNn the past year
30e. Wee an Aumpsy 30n. Ware Autopsy Fkaiige 31
. M
emar d DNm 32s. Date d Injury (MOM, day, year) 32D. Deeabe Fbw WurY OccurtM 32c. Puoa d Injury' Fbme, Farm, Sheet Fadpry,
PMamed7 AveltlW Prior b ComoleDOn ~
y
DO NWreI ^ Fi
add OBbe Bu9C g. ~. (/
d Cauca d Deem? ai
a
,,/
^ Vea LY No
^ No
^ V ^ Accidpe ^ Pending InveNgation Sze. Time pt k4uY 32e. Injuy tl Work? 32. a Trmapautlon kVUrY (spedryJ 32g. laraaon d roNY (Street ciy / bwn, stale)
as ^ ~~ ^ ~ Nd ee Dsrmtrd
M ^ Yea ^ No ^ DRwx/Operator ^ Poesenga ^ Petleslnan
. OtMr- sFe~YY:
a3e. am (drd ctrl arl San. Sgware am rm: a cernker
• C•rt~9 PMekW+IPhYecbn amlyag awes d Ham when errant dMkder~ tw praruwred deem and arpuua Vern 23)
~ ~
^
A
To mrwadmylalowuage,,Wmaxuraaaw totM arwp)ara manroroamed_________________________________ ^- " -~
'
• P[abuncMq and uRBYklg pnysbMri 11'tMdde^ Dom nrarusSn9 ran end urflyap ro uuw d awn) 33c. Uunae NunCa (Mmm. day. Ymrl
33d
D
a
l
e
S
D
~
• TMMbtl ExaminerYtararr deem pccureatlmetbr,dale,aM plw,r,tl,beb lM cawelsl era mannsrr atlW__________________^ ~i ~I~k 7~ ~
}
/
~
~
~
~
/
/{'""(!~/.J(/'I~~.~~I
On tlr DWS d errdrrNm end l a lrreatlgalon, h my Oplnia,, dwh aaurM tl tits Ifs,., a.r,.na pus, and en tithe ease(s) eM manner n wted ^ 3e. Nrna art d CO~)~}e/d 0 Tye
U
r
- ' tare ens la+~{njr ~ ~ ~ ~ .l ~ d~ ~ ~ al ~ h~C+~ M 1 ~1.~ a< -(
c~,~LJ /L r~ 0~
/crc~/,ir~~r
Ub`JSS3b
DupoaDm Perrot No.
RENUNCIATION ~ ~
~ ~
- r7 ~,
~
REGISTER OF WILLS ~ ~, '-,'
~~ COUNTY, PENNSYLVANIA ~ ; c ' ~~
~ = `
;
~~
-_; - __
-
_;
_~ .
_
rte ~ .._ ~~
. ~~; ~
~'r-r
Estate of MARRTClR,IE
Deceased
I, 1~X7R1Vlpr F. S1'I~Or1I~RS
(PrintNameJ , iin my capacity/relationship as
iNAIV)ED EXEQTiRIX of the above Decedent., hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
DENISE H. I~6ER
~/ 30 /~ .~
(Date) -(i~' ~~ ~~?~
(Signatur
2645 Hill Road
(Street Address)
Executed in Register's Office
Sworn to or affirn~ed and subscribed
befo;e, m~~ O day
of ~j ~ ~__,~_
eputy for Register of Wills
SELI•ERSVILLE PA 18960
(City, State, Zip)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this __ day
of
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10. /3.06
i
,. .
~i~tst t.C1 ~xxrd~ (`~esx~x~ren#
~_ _._
__~..
._- ~ ~__
OF -~ ~~
- i- `7
MARJORIE RODGERS C'
- _ ; _,..,
~'
,_ -- __ ,
BE IT REMEMBERED, that I, MARJORIE RODGERS, an unrema~fied widow, ""'
presently of 916 Apple Drive, Mechanicsburg, Cumberland County, Pennsylvania, being
of sound mind, memory and understanding, do make, publish and declare this as and for
my Last Will and Testament, hereby revoking and making null and void any and all Wills
and Testaments and writings in the nature thereof by me at any tame heretofore made.
ITEM 1: I direct that my hereinafter named Co-Executors pay all my just debts,
my funeral expenses, and the expenses of the administration oi= my estate. With this
direction, I authorize and empower my Co-Executors to expend for my funeral expenses
and interment such amounts as they may consider necessary and proper, without regard
to any limit that may be prescribed by a court of law.
ITEM 2: Idirect my Co-Executors to pay all inheritance, estate, succession, and
legacy taxes of whatsoever nature and kind, to which my estate, or the transfer of any
property passing hereunder or otherwise passing by reason of my demise, may be subject,
and to charge such taxes against my residuary estate. It is my intention that none of the
aforesaid taxes, either federal or state, on any property required to bye included in my gross
estate, under the provisions of any state or federal law now in force or hereafter enacted,
,*
shall be prorated among the persons interested in my estate to whom such property is or
may be transferred or to whom any benefit accrues.
ITEM 3: I give and bequeath certain items of tangible personal property that
are solely owned by me at the time of my death and that are identifiied in a separate writing
or writings, titled "Specific Bequests of Marjorie Rodgers,"directi:ng distribution thereof
after my death which is dated and is signed by me at the end thereof, to those persons
designated in such separate writing. If any item of tangible person,~l property is identified
in more than one separate writing, I direct that, unless stated to the contrary, the separate
writing bearing the last date shall govern the disposition of such item. If no such writing
is found within thirty (30) days of my death, it shall be presumed not to exist or that I
destroyed it. If I do not own the item at the time of my death, the gift shall be considered
adeemed.
ITEM 4: All the rest, residue and remainder of my estate, of whatsoever nature
and wheresoever situate, whether it be real, personal or mixed, including property over
which I have a power of appointment, I give, devise and bequeath to my daughters,
DENISE H. KOSER and NORMA F. STROTHERS, in equal shares, per stirpes,
ITEM 5: In the event that either of my daughters should predecease me leaving
issue surviving, I direct that the share of such deceased child shall be passed to my
grandchildren, SHANA L. STROTHERS DOTTERER and CHAD M. STROTHERS, in
Page -2-
equal shares. In the event that either of my daughters should predecease me without
leaving issue surviving, I direct that the bequest to that deceased daughter lapse, and that
my residuary estate be distributed to my surviving daughter.
ITEM 6: I nominate, constitute and appoint my daughters, DENISE H. KOSER
and NORMA F. STROTHERS, to serve as Co-Executors of i:his my Last Will and
Testament.
ITEM 7: I direct that my hereinbefore named Co-Executors shall not be
required to give bond for the faithful performance of her duties in this or any jurisdiction.
IN TNESS WHEREOF, I have hereunto set my hand and seal this ~ ~~ da
Y
of ~~2~ ~ 2005.
~/
MARJ IE RODGERS
The preceding instrument, consisting of this and two (2) other typewritten pages,
was on the day and date thereof signed, sealed, published, and declared by the Testatrix
herein named, as and for her Last Will and Testament, in the presE~nce of us, who, at her
request, in her presence and in the presence of each other, have subscribed our names as
witnesses hereto.
OF
~,,.~__. _ ~ (y
i'
;,>.
Page -3-
,~
COMMONWEALTH OF PENNSYLVANIA :
COUNTY OF YORK / '
_ _ f1 ./
~~
and
the Testatrix and the
witnesses, respectively, whose names are signed to the attached oar 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, 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 Will as witnesses, and that to the best of their knowled;~e, the Testatrix was at
the time eighteen (18) years of age or older, of sound mind, and sunder no constraint or
undue influence.
SWORN TO AND SUBSCRIBED
BEFORE HIS / ~ DAY
OF !/
2005.
miners. o, ~
Mr eo~o, o
m ~ ~~~ Oct 25~ 2006
~°nnsyhrania <lssocia6o~ pf~aries