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HomeMy WebLinkAbout12-15-11Reset PETITION 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 request(s) the grant of Letters in the appropriate form: Decedent's Information ("~ 1 11~~ Name: HELEN M. SHELLEY File No: a/k/a: (Assigned by Register) a/k/a: a/k/a; Social Security No: 204-01-5947 Date of Death: December 5.2011 Age at death: 91 Decedent was domiciled at death in Cumberland County, Pennsylvania (stare) with his/her last principal residence at Woods at Cedar Run, 824 Lisburn Road, Lower Allen Township, Cumberland County, PA 17011 Street address, Post Office and Zip Code City, Township or Borough County Decedent died at Woods at Cedar Run, 824 Lisburn Road, Lower Allen Township, Cumberland Countv, PA 17011 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 $ 125,000.00 If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................ Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ 125,000.00 Real estate in Pennsylvania situated at: (Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough County A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated 11'/2/1998 and Codicil(s) thereto dated State relevant circumstances (eg. renunciation, death of executor, etc.,l 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. § 3:323(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. o NO EXCEPTIONS ~ EXCEPTIONS B. Petition for Grant of Letters of Administration (If applicable) c.t.a., d.b.n., d.b.n.c.t.a., pendente lite, durante absentia, durante minoritate If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs. Except as follows: Decedent 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 was neither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS ~ EXCEPTIONS 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 (attach additional sheets, if necessary): Name Relationshi Address =--- s. ~--. , - ~~ ` ~ t :~,~ rrt - :"-.~ C~~ -ri ~~ ,-- -. v ;._ 7!~ ~ ~.~ 1 C.: Form RW-02 rev. l0/!l/20/1 Page 1 of 2 } } SS: } Official Use Only >"SF i - ~ r'i r~ ~ ~. , ~~ ,_ 4.. ~ J - ., ~ , ~ ,,, , n ,.. Petitioner(s) Printed Name Petitioner(s) Printed t,\¢c }r ss _ RUSSELL C. SHELLE - 8161 Jefferson PA 17036 1~A~;Ff~, ~.Pv, , The Petitioner(s) above-named swear(s) or affirm(s) 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 D~ ~P/etitione ) it ell and truly administer the estate according to law. Sworn to or af~firtnl;d and subscribed before ~G~,r~ ~~ ~ Date /~` - / Y // me this ~ day of ~, ~ Date By: ~, Date For the Register Date BOND Required: Q YES Q NO To the Register of Wills: FEES' Please enter my appearance by my signature below: Letters ..................... . (~ )Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ~~n ~ . ~\ ....... . -~-`°~- Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND Automation Fee .............. . JCS Fee ..................... TOTAL ..................... Attorney Signature: nted Name:- U~`il~l creme Court Number: 19632 Firm Name: 17 S. 2nd Street, 6th Floor Address: Harrisbure_ F'A 17101 ~_ ~ ~ ~ $ 0.00 (717)233-1000 57171233-6740 ~r~ns~karlafns~nnarich.com ~S~ (~ ~ DECREE OF THE REGISTER Estate of HELEN M. SHELLEY File No: ~ I ~ 1 I r I ~Z~ a/k/a: AND NOW, ~~(~~~~- ~ ~ , ~~> in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TE:stamentarv are hereby granted to Russell C. Shelley, Jr. in the ,above estate and (if applicable) that the instrtunent(s) dated - / described in the Petition be admitted to probate and filed o,~record as thetla~t Will (anal Cod(~ct~(s)) of Decedent. ~ Form RW-01 rev. l0/!//20/1 of Wil Y v ~~ ~' ' ~/ Pa e 2 of 2 g Hi05.,cnS RLV R,110-i 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 17927270 Certification Number 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. ~~~~ ~ ~ gEC 081011 Local Registrar Date Issued 3 REV 11r2aos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS /PRIM BI arc "u4°,c~ CERTIFICATE OF DEATIi (See inehuetlona end afyamnlea nn rwwra.y C7 r.,_ 5 ,y--, .~ ~; . - ~ y -~ ; ~ . _ c~ r~ f, .~ ~~~ u, " S -' _ ri ;~a C~ ~ ~ ~ , ~ _~ - ~ rv (. _. 'Yt GrJ ~/~ C..;~ 1. Name d Deoatlad (F1'r, nedrM, bet eWh) Helen M. Shelley 2. gas 9. 6aaW Seaehy Nunha ." ••' c r LG ...m !. Dab d D•Wr (Marts, day, yrr) female 204 -01 ,-947 Dec.S 2011 5. Ape (ISaI BNhdey) Ilrtder 1 r lAroa 1 8 DaOa d BIM 7. end lteb a M. Place d Deem f2rdr one 91 ~ ~ trot Mkedee Hoedul: OIMr. YB, ane9,1920 Harrisburg,PA ~s ii d ~l~vin ^ Inpdbd ^ ER / a,patlem ^ DDA Nuetq Home g ' 96. toady a Darn ea. qy, Boro, Twp. d Daum Bd. F•cnry Hem. (" not kdbtlan, 9h+etnet std nundeQ 9. wee Decedaa d HkpeNc Oriyn? ^ Vr 10. Race: Amarkai Inden, Bbdc, while, ek. Cumberland Lower Allen Woods ~ t C d ("~~°`~'~!a"• Is v a e ar Run "",~""' `w°"° rake"' ak.) white • 11. DemtbrYe lleud d work done mar d eN. Do nd ebb 12. Wr Demrlad err M Me 13. Demderd'e EMbelbn (Seedy mly hlpheet grade crnpylatl) 14. Merhel Sblu: McMed, Never Married. 15. SrevNhp Spouse (11 wtle, 9h'• meklen rcrtie) 161d d Wank 16W d BueYrr/IMrtry U.S. Mined Fonxe7 Ekxrlenbry I Secondary (0.12) Co"•g• (1J or 5.) WbOMed. aaaaee (sPA'~i'1 clerk bevera e g ^yr 12 widowed • 18. Demdad'e MtlMq AdAer (siror, dy /bwn, ebb, zip cadel Damdad's Pennsylvania Die oemdarn 824 Lisburn Rd. Aar'r ~"eB1Ce na.sbm wab• 1TC ~rea, Deaaerd ~Naa k,_.i,oRrQr 1111@A rwp . y 17D.Cany um er ari ird,^y/o Daa,d,na uv,d wlmin Camp Hill, PA 17011 A~uwtbr.d ~/~ 18. Female Name (Flint midde, br, eu8h) 19. Mdha'e Name (Ftrr, n4dM, ntdden eumeme) George Graham Carrie Eby 2De Iniorntent's Narc (Type / PrM) Russell C. Shelley,Jr. lob. 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Deb Signed (MOrllh, day, yrr) To nr beddmy knowbdq, deem oaumdrdr dine, deke, one pbm, end due font wegq end memwretebd__________________^ • O`rt r redkal Eeadrwleoraw o 1d e r a d n ~ L (f /y/ ~ _ n r arn ne on eta f «Imrtlgetlon, b my opblon, d.rh omumd r the ram., des, em Plre, eM ere b are mu•ele) std maxar r etebd- ^ 3! N rid Aenar d Paean was camdabd t a d a m 27 t / P . e r r ) ype rlm ~a ~ 35. Repiehele Sigeltw ortrld I~ I ~ I °~ I ~ I it ~ M pnlh Deb dey yee jr . iQt/t/,/E M~! osiE~-4c I ~- Q N- ~ a _ ~ /QI ~ / ~ ~ / DktpoelUon PermM No. ~ b ~ ~ U OC ~~t~# t11 ~t~~ ~.e~#~t~t.e ~t# ~~ _~ _ ,.T ~~ ~- -"~ 4_ - - HELEN M. SHELLEY ` ~"''~ `" ;~ ~. _ :.. I, HELEN M. SHELLEY, of the Borough of Camp HiNI, Cumberlar~ Coun ,,~~ ~ ~J c., ~_ Pennsylvania, declare this my Last Will and revoke any Will previously made by me. ~cw ~ ARTICLE I. I give and bequeath my automobiles, household and personal effects and other tangible property of like nature (not including cash or securities), together with any existing insurance thereon, unto my children, RUSSELL C. SHELLEY, JR., of Hummelstown, Pennsylvania and MARTHA A. SPECHT, of Mifflintown, Pennsylvania, to be divided between them in as nearly equal shares as is practical. Should either of my children not be living on the thirty-first (31St) day following my death, I direct that said deceased child's share shall be divided among his or her issue, per stirpes. ARTICLE II. I devise and bequeath all the rest, residue and remainder of my estate, of whatever nature and wherever situate, to the following individuals or entities: A. Six (6%) percent of said rest, residue and remainder to HARRIS STREET UNITED METHODIST CHURCH, Harrisburg, Pennsylvania. B. Eleven (11 %) percent of said rest, residue and remainder to my granddaughter, TRACY ACKER, of Susquehanna Township, Pennsylvania, should she survive me by thirty (30) days. Should my granddaughter, TRACY ACKER, predecease me or fail to survive me by thirty (30) days, I devise and bequeath the same in accordance with the provisions of Article II, !~ G. C. Eleven (11 %) percent of said rest, residue and remainder to my granddaughter, CHRISTINE ACKER, of Susquehanna Township, Pennsylvania, should she survive me by thirty (30) days. Should my granddaughter, CHRISTINE ACKER, predecease me or fail to survive me by thirty (30) days, I devise and bequeath the same in accordance with the provisions of Article II, § G. D. Eleven (11%) percent of said rest, residue and remainder to my grandson, CHAD SHELLEY, of Swatara Township, Pennsylvania, should he survive me by thirty (30) days. Should my grandson, CHAD SHELLEY, predecease me or fail to survive me by thirty (30) days, I devise and bequeath the same in accordance with the provisions of Article II, § F. E. Eleven (11%) percent of said rest, residue and remainder to my grandson, BRIAN SHELLEY, of Swatara Township, Pennsylvania, should he survive me by thirty (30) days. Should my grandson, BRIAN SHELLEY, predecease me or fail to survive me by thirty (30) days, I devise and bequeath the same in accordance with the provisions of Article II, § F. F. Twenty-five (25%) percent of said rest, residue and remainder to my son, RUSSELL C. SHELLEY, JR. Should my son, RUSSELL C. SHELLEY, predecease me or fail to survive me by thirty (30) days, I devise and bequeath the same unto I'iis issue., per stirpes. G. Twenty-five (25%) percent of said rest, residue and remainder to my daughter, MARTHA A. SPECHT. Should my daughter, MARTHA A. SPECHT, predecease me or fail to survive me by thirty (30) days, I devise and bequeath the same unto her issue, per stirpes. ARTICLE III. I direct that all estate, inheritance, transfer and other taxes of a similar nature payable by reason of my death, together with any interest and penalties thereon, and imposed with respect to property, whether or not disposed of by this Will, shall be paid out of the residue of my Estate. I further direct that any and all such taxes shall be paid from and deducted from my Residuary Estate prior to the calculation of the shares of the residuary beneficiaries, so that each residuary beneficiary, charitable or not, shall bear a portion of the burden of such taxes. ARTICLE IV. I appoint my son, RUSSELL C. SHELLEY, JR., of Hummelstown, Pennsylvania, Executor of this my Last Will. Should my son, RUSSELL C. SHELLEY, JR., fail to qualify or cease to act as Executor, I appoint my daughter, MARTHA A. SPECHT, of Mifflintown, Pennsylvania, Executrix of this my Last Will. ARTICLE V. I direct that my Executor or successors shall not be required to give bond for the faithful performance of his or her duties in this or any other jurisdiction. IN WITNESS !!!'HEREUF, ! havQ hPreun±o set my hand and seal this ~ day of ~~~-~+~'~~/ 1998. / ~~'~~ ~ SEAL) Signed, sealed, published and declared by the above-named Testatrix as and for hei Last Will and Testament in the presence of us, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses. ~MtisAr~c ~n ~~_4~ ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss: I, HELEN M. SHELLEY, Testatrix, whose name is signed to the foregoing instrument, having been duly qualified according to 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. 0 HELEN M. SHELLE Sworn to or affirmed to and acknowledged before me, by HELEN M. SHELLEY, the Testatrix, this ~ as day of --dam,,, , ~_ ~ _~ _ , 1998. NOTARIP,L SEAL DIANNE LENIG, Notary Public Lemoyne Borough Cumberland Co. My Commission Expires Dec. 21, 2001 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss: we, ~ a ~ ; ~ La,,, .k., and ~rr~~inP. 'IY (~l(~J~~~``~~-- whose names are signed to the foregoing instrument, bein dul ualif ~ the witnesses depose and say that we were present and saw the Testagtrix sign and exe uote t e foraw, do instrument as her Last Will and Testament; that she signed willingly and that she executed 'teas her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge, the Testatrix was at least 18 years of age, of sound mind and under no constraint or undue influence. -~~ on~,;c~~ ~~' ~" Sworn to or affirmed to and subscribed to before me by and ~ ~~~aritnesses, this of -~b day of `c1 ~„~J,,.~,,,,~~. , 1998. NOTARIAL SEAL DIANNE LENIG, Notary Public Lemoyne Borough Cumberland Co. My Commission Expires Dec. 21, 2001 :115926