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12-12-11
PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF ~~ t/il1 ~Se/C'L t1rt~C~ 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 ~ _ ~~ , ~'3 ~W ~ File No: Name: ~ ~ ~-- (Assigned by Register) a/k/a: tU' l~1- L- /Yll~~ a/k/a: ,~~/ ~ C~ i tt>I a t_ ~ ( / IC v~0 ~' ~ ~" ~.~-.5 a/k/a. Social Security No: Date of Death: / v~'U ~ ~ ~ D 1 f ADge at death: 4X ~~ ~ p,~} ~ Count TG~~~G'~~r/~ (State) with his/her last Decedent was domiciled at death in y' e - Gu M,6~Gc.t3~ principal residence at ;~' 7 SChI vn mE' (. lad ~ ~-1 Gf~~~-/~Le' ~ S ~ l~~ ~~ count Street address, Post Office and Zip Code City, Township or Borough Y Decedent died at ~ 7 s~- ~ I /1'I ~h@ ~. CA }-'~'~ Street address, Post Office and Zip Code ~~~s _ sw~ City, Township or Borough 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 Pennsylvanta.......... - • ~ • • • • ' ' ' ' ' • • TOTAL ESTIMATED VALUE... . County State $ ~'' D~ .~ Real estate in Pennsylvania situated at: Ci Townshi or Boron h (Attach additional sheets, iJnecessary.) Street address, Post Office and Zip Code 4'+ P g UU ". Petition for Probate and Grant of Letters Testamental Petitioner(s) aver(s) he/she/they is/are the Executor(s) named to the last Will of the Decedent, dated IDCretu uawu County / I~j~jGj _ and Codicil(s) -- - t-) _ - - - T:7 State relevant circumstances (e.g. renunciation, death of executor, etc.) ~.. -; 'T ~i Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced-;-avasnot a pat#y to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), artd dtd~t hav~`~'child both or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. _ y ,, ; _- ~NO EXCEPTIONS ^EXCEPTIONS _.., ~,.~~ ,-~ B. Petition for Grant of Letters of Administration (cI taapp~ ~ bled b.n.c.t.a., pendente life, durance absentia, dtl~ttnte 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 parry to a pending divorce proceeding wherein the grounds for divorce had been established as delned in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. 3 3`'`~` Page 1 of 2 Fnrnt RW-01 rev. l0/Il/2011 ~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 ,,,Ll;nnnnl cheers. ifnecessary): Oath of Personal Representative COM'vIONWEALTH OF PENNSYLVANIA } / 4 } SS: COUNTY OF .( y,(,c m l7~''~~ } Official Use Only 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 Peti*ioi:e:(s) and that, as Personal Representative(s) of the De/cedent, the Petitioner(s) wi 1 well a d ly administer the estate a fording to law. Sworn to or zzfFrmed and subscribed before `~ ~'` -~.~ C~ Date ~- - ~ ` ~ _ Date mE tpi.c 1 ~~` da-y of " 1~~.(''[/ p ~ ~ ~ ~ ~ -~' Date Date For the Register BOND Fequired:~YES FEES: Letters .................... .. $ 1 '.~.~~ ( J )Short Certificate(s)... .. . ( )Renunciation(s)...... .. . ( )Codicil(s) .......... .. . ( )Affidavit(s)......... .. . Bond .... ................ ... Commission ............... Other~ti~i~~ ••~ .... ... _ •~• ~ ~ ... Automation Fee .............. . JCS Fee ..................... TOTAL ..................... $ ` To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: ~ _. -} ;O "_ ~ - ,_a Printed Name: '' ~ ~- ~.; ,.. . Supreme Court ~~ ID Number: '' ' Firm Name: . ~ cy _ . ,-i Address: C,; Phone: Fax: Email: DECREE OF THE REGISTER Estate of yif~til(IIC; ~~ ~?1 (t~tL~Cill, (Cllr ~ a/k,'a: ~ J AND NOW, ~ ~ ~lI ~~~ T~f'CC'~1~~'I' ~ ~~~' ~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Lets rs ~~ t t 1~!' ~ ~ ~T-~.~~\ L- ace hereby granted to ~C'(1 i~ ~ ~-' ~-~~ Yl'1 f~,i l in the above estate and (tf applicable) tl'iat the instrument(s) dated (/~'~'k1F ~ ~~? described in the Petition be admitted to proba FormRW-01 rev. 10/ll/201/ and filed of record as the last Will (and Codicil(s)) of Decedent. Register of Wills -~~ ~ ~ ~~, ~~~; ~}, ~. ; . ,:~~. Page 2 of 2 'l It,li.~t); l:(~., III~,th. ~ ~ -11.7 ~,~Y 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 17990904 Certification Number This is to certify that the information here giti~en ~s correctly copied from an original Certil irate of Death duly filed with lue <ts Local Registrar. 'The ori~ain~ll certificate will he i~lrwarded to the State Vital Records Office fin ;permanent filing:. Local Re4~~n•ar Date Issued n -rte __~ - ~l -r~ __ C~ , _r_. rr-t _ ~- _ _.17 "% i~ - - , ~ i r , _ ;~~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS HIDrt4J REV `t(1006 'U ~~ ~'? nPF r PNINT IN CERTIFICATE OF DEATH PERMANENT IJUGC INK (See instructions and examples on reverse) STATE FILE NUMBER .~._ -» ~. , _.; - r,_.. ~~ - ~~ __ _ __ --i C.a~ `_~_ 2. Sea J. Sowl $eaad'Y NurMSr 1. Odle d Deam IMmm. mY. Year) 1. Nana d Decedent IFvsl, rrvdda. ast, wdvl Female 201 - 18 - 6025 December 1, 2011 Vir inia L. McGowan e (LU, e'A,mn undo , ear unmr , m s oar a ard, MMm. 7. a ci and wte « as Prce a Deem ct.a orr s A g IIOMU Dan Hers - MMn Septem 88 HOSplat'. OUMr. ber 6, 192 Brooklyn, NY ^,,,P,p„„ ^ER/OutpaWd ^Dw ^Nlasky NOnw ~Resdeme ^omer specny rrs Twp. d Deam oily B«o & ~-t W. Fadery Nama 01 rnl knsdardon, Siva Mreai and rasnDer) 9. Wu Decadent d FYfparkc Oren? "LJ No ^ yes td. Rao'. Amarcan I«kan, &ark wrote. etc S adM , . . ep. Coumy d Dean P (N yes. speriY LUaan. ( W Arakan. Puab Flipn, elc.l Whit e DendxRS Uwal Nkd a work aorta m mod d ~ ir. Do rd slat tea t t tz. was Daudra aver 'n ar t7. Dacadmrs Eduunm ISpedry aNy IvgMA 9roda ) t1. Maaal SrWC: Mamad, Never Marmd, ts. S,avi+irq SP«ae (tt wee, 9^'e magen rumel Witlotead, Ditcrad (Spr.Iy) . Icw a work Kk,d a 9uarw/ kalulVy U.S. Amwd Force? Ernrnrry / Sacadvy (412) C,alrge (Jd «5.) ^ rw Np W' w d Decedents MaArrq Address (SVwI dry / rown, err. zip codal 16 Dscedartra ~ Decadent DeceOeta Livad~ t"T 17c ^Yw l Vftnia PPnnG . 87 Schimmel Way . ~~' . y Actual ResitlartD l7a. SUla l vd®rb.D«.a.+L;vad~tM, Carlisle (' h l „m ar anr nD.c«,my A~laal~d ~ ~ Carlisle PA 17015 t 8. Famets Name (Post, midde, ra, wmrl 19. MdDefs Name (FnL middle, maidrt sumanb) 20D. Wonraae's Mang Addrsu (Strwt c0.Y /ban, err. sV wm) 20a. WorrnaMs Name (Type I Pml( 1903 Geor e Ave. Carlisle PA 17013 Donald W. Kauffman ^ Darodm 2yD. Dots d Disposition (Mmm, mY• Y~1 21c. Pre d Drpaaip«, (Nartw d onrrry, arrobry a adw pool ltd. Londm IoM/ tir«n, err. zq model d d DLt osioan ©C u m d p on 2t a. e o rama ^ earl ^ Rernaaatlmmsur ~ wwcr«nxrn«DonsdwAtpwtaad 12/6/2011 Bitner Crematory, LLC Harrisburg, PA • ^ Dew t tiY Madiul EsamirwlC««w? ~ Yw^ No 2br~aLF«eralseMw ,,,,p,,,~,;g,,,,,~,1 2ze.L;DrwaAntb.r zzc.NamaWAddwsaFriary etrick remotion ervices ~~ ~~ FD-013592-L 3125 Walnut St. Harrisbur PA 17109 . c«rpl.t. area zJa< ady ~+ m^Mrv zJa. Tome D.z d my a..m ow+nW >t me trr, mr plw aura. ISiQnwaa vtd timl zJe. Imanw N«rtw -7 zx. oar sy.d (MmLm. my. rare pysrorr n rw aaaad. at o-re a mom b ~ A / ~,~ / ~ L ~ ~ ~' r< ...L 41-f / ~ 0 ro,my rw. d awm. ~ v y.ar) 26. Ww caw Medtol Eaam+w / Carew M a Reason Dew man Garnatton « Dwtan'+ my Ow PmwnW Dead (Mmm 25 , , . 24. 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Ow b 1« u a axtsegrrru dl: Enlaz me UNDEALYING CAUSE IM pregnant U mys b t year ^ Na pregrrM m . e Idreax « ryrxy mat irkWtad evanb rewMg n dwml UST ~ Due 6 (« u a cansepwrxe a0' mtoro mom ^ Dnkrrown d IxagWS wNVn me pay Year d • Joe. wet an Autopsy JOD. wero Autopsy Fsvlkgs Jt. Mamm a Dwm Jza. Dar a Iryury (M«Wt, mr. yexl JzD. D.a«iD. H«• tiwn omxred Jzc. Place d kwxv-. rrome, Fam, sews. Parlay. Omce &a18n9. ec. (Spedyl PBAOrtred'+ Avaadb Prior l0 Corryrtxn ~-~ lA0 NaNral ^ Morrkdde ^a a Cause a Deam'+ u+ aCOn Mr Imesti ^ P ^ 72d. T'me d IMu7 ) J2a. Iryury al Work, ~ /~.~ J21. II TransponaMn I 32g. Loolan d uy«y (SVSet. dry' bwn. srr;~ ^ Yes ~NO ^ Yes ^ No g g e Apatlxa ^ Vet ^ No ^ DrivN/Operoror ^ Passenger ^ Pedwlnan ~ ^ Saa~de ^ coub Na m oet.m.rd M. orxr ~ SPadN' 79ti. SgrNro and Ter 73a. Camfw I~edr «JY oriel LMAymg pnysicrn IPDys~ cemryag ouw d mom wMn anDrer phrsssan tar parwxW aam and r:onprleE Ilem 2J) ~j _ _ _ _ 1~1 ,~~ ~ ' - To tM Dear d my knonkdge, amore occuned tlw la IM owelal and manrrr as f Wad _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Pr«aurrcirg and ce'rdfYi^9 plrysrorn IPnyvcan Dom praria'xxxg rleam and ondyeg lp Dote a mom) ^ 7~. ~ N«~ .~1 7 37d. Date Signed IMOnm mr. Yearl v J/ al C i / / ~ !i ~- / 'J / j i ~ To IM met d my kna+'rd7, mom xcurred at tM Vma, mr, and Pro, and dw to tM c+ueNsl ~ ^r^nK as anted _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ • Yedkal EtaminenlC«anar On tM Weis of eaaminHion and I « investigation, in my opinion, deem attuned al dr Urrr, mN, and prca, arM dw to tM Dose(s) and manrtar w atar4 YI. Nye arq Addreu d Pxsm wM Cgntpr~(' /DwUlaem 27) Tyye I Pml //I-/ /~ ~ ( " /, / ~ u me aM V ~ 36./~~ ~ .rul ^~' w Z c. 1 / 'f ~ ~_-' i -.i ., !i+-/1 a- .7 e = .3 Qsposilbn Permit No ~' ` ~~~~ WA1 xa F. SHADE Altomey at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 ~._/ ..~~ __ ....... __^ 1 ~ ~..; A 3 , _ !- f~-T'~ .. _. -_ rig ~ LAST WILL AND TESTAMENT:.Y ~~ ~~ _~c:~ ~_~ `_-- I, VIRGINIA L. McGOWAN, of the Borough of Caisle, ,_Coun`t~y~ .;c- of Cumberland, Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at ~ anytime heretofore made. ~ FIRST. I order and direct that all my just debts and ~ funeral expenses be paid by my personal representative or representatives, hereinafter named, as soon as conveniently may be done after my decease. I further authorize my personal representative to expend funds from my Estate in such amounts as my personal representative shall consider appropriate, for the disposition and memorial of my remains. SECOND. I authorize my personal representative or representatives hereinafter named to distribute, in accordance with his or her discretion, items of tangible personal property from my Estate in accordance with any of my wishes expressed in iting. Such tangible personal property shall be restricted to common personal possessions and shall not include cash, bank books, stock certificates, bonds or the like unless otherwise expressly stated in my said written wishes. In the event of any conflict between my said written wishes and this my Last Will and Testament, this shall control. In the event of any cash bequests in my said wishes expressed in writing, I hereby authorize my personal representative or representatives hereinafter named to distribute the bequests to any minor legatees directly to any parent or legal guardian of the minor legatee. In the event of my failure to leave a list, I order and direct that all of my said tangible personal property, other than as specifically bequeathed herein, be liquidated and distributed as part of my residuary Estate. In the event of the failure of any of the legatees designated in any of my said wishes expressed in writing to survive me, I order and direct that his or her bequests be liquidated and distributed as part of my residuary Estate. In the event of the failure of one of the legatees to survive me, nothing herein shall be interpreted to prevent my personal representative or representatives hereinafter named from selling any of the items which would have passed to that legatee to my other legatees at fair market value. In the event of a dispute as to any aspects of the list, I order and direct that any such disputed tangible personal property be liquidated and distributed part of my residuary Estate. THIRD. For the purposes of this my Last Will and Testament, a person shall not be deemed to have survived me unless he or she shall have survived me by more than ninety (90) days. FOURTH. I order and direct that my residence at 250 WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 Glendale Street, Carlisle, Pennsylvania, be listed for sale including all draperies and other window treatments with Gwen Drum and that none of the contents of my residence be removed until the house is under agreement of sale with all contingencies under the agreement removed. -2- FIFTH. I give, devise and bequeath my residence at 2100 King's Highway #109, Port Charlotte, Florida, and all of the contents with the exception of any automobiles which I may have there unto ANN E. McGOWAN, KATHLEEN BARNETT and JOHN L. McGOWAN, the grandchildren of my late husband, JOHN W. McGOWAN, as joint tenants with right of survivorship. SIXTH. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath unto my children, JUDITH A. BOND, SHERRY L. DARR, DONALD W. KAUFFMAN and JEFFREY P. KAUFFMAN, in equal shares. If any of them should fail to survive me, I give, devise and bequeath his or her share unto his or her issue, if any, in equal shares by representation and not per capita. If any of them should fail to survive me and fail to leave issue to survive me, I give, devise and bequeath his or her share unto such of my issue who shall survive me, in equal shares by representation and not per capita. SEVENTH. I order and direct that any estate, inheritance or WAnaE F. SxAVE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 ~milar tax due as a result of my death with respect to any property passing as a result of my death, shall be paid from the residue of my Estate before its division into shares and prior to distribution as an expense of administration and that no part of the taxes should be prorated or apportioned among the persons or beneficiaries receiving the taxable property. It is my express intention that all inheritance taxes imposed as a result of my death be paid from the residue of my Estate whether or not the property passes under my Last Will and Testament. My personal -3- representative shall have full power and authority to pay, compromise or settle any such taxes at anytime whether with respect to present or future interests. EIGHTH. I order and direct that any liens against any personal property which passes to a designated person either under this my Last Will and Testament or otherwise shall be paid from the residue of my Estate prior to distribution as an expense of administration and that such specific bequests of personal property not pass subject to any liens thereon. NINTH. Any and all decisions, determinations or actions made or taken by a personal representative or Trustee hereunder, if made in good faith, shall be final and conclusive on all persons who are or may become interested in my Estate. No fiduciary acting under this my Last Will and Testament shall be liable for any error in judgment or for any depreciation or reduction in value of any Estate or Trust assets at anytime, in the absence of willful default. TENTH. I order and direct that, upon my death, my body be ted in lieu of burial and that disposition of my ashes be at the discretion of my personal representative. LASTLY. I nominate, constitute and appoint my son, DONALD WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 W. KAUFFMAN, to be the Executor of this my Last Will and Testament, but if, for any reason, he should fail to qualify as such Executor or decline or cease so to serve, I nominate, constitute and appoint my children, JUDITH A. BOND, SHERRY L. DARK and JEFFREY P. KAUFFMAN, as successive alternate personal representatives, all to serve without bond. My designation of -4- Donald as my primary personal representative is not intended to reflect any lack of faith or love and affection with respect to my other children. It is simply a matter of convenience in that he would be most likely to have the most time available to perform the responsibilities of Executor. IN WITNESS WHEREOF, I, VIRGINIA L. McGOWAN, have hereunto set my hand and seal to this my Last Will and Testament which consists of seven (7) typewritten pages to each of which I have affixed my signature, this 21st day of October A.D. One Thousand Nine Hundred Ninety-Six (1996). C/ ~ ~~c AL) Vir nia L. McGowan The preceding instrument, consisting of this and six (6) WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 other typewritten pages, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by VIRGINIA L. McGOWAN, the Testatrix therein named, as her Last Will and Testament, in the presence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. FI,Gr, ,~-~ -5- Acknowledgment COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS: I, VIRGINIA L. McGOWAN, the person 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 and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by VIRGINIA L. McGOWAN, this 21st day of October 1996. Vir nia L. McGowan Notary Pu is Notarial Seal Connie J. Tritt, Notary Public Carlisle, Cumberland County My Commission Expires Oct. 5, 2000 WAnvs F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pemsy(vania 17013 Affidavit COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS: We, Wayne F. Shade and Susan O'Hara the witnesses whose names are signed hereto, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament; that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Will as a witness; and that, to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence . -6- Sworn to or affirmed and subscribed to before me by Wayne F. Shade and Susan O'Hara witnesses, this st day of Octo er 1996. w /-_. ~' C% ~~ ~~~~ Notary Pub is Notarial Seal Connie J. Tritt, Notary Public Carlisle, Cumberland County My Commission Expires Oct. 5, 2000 ~I WAYNE F. SHADE Attorney at I.aw 53 West Pomfret Street Carlisle, Pennsylvania 17013 -7-