HomeMy WebLinkAbout01-19-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF
Petitioner(s) named below, who is/are 18 years of age o o aMBERLANG COUNTY, PENNSYLVANIA
following and respectfully requests the grant of Letters in the appropriate form:
pply(ies) for Letters as specified below, and in support thereof aver(s) tht
WAYNE A. GOOD
Decedent's Information
Name: MARY A. GOOD
a/k/a:
a/k/a:
a/k/a:
Date of Death: 01!06/2012
Decedent was domiciled at death in Cumberland
principal residence at y10 BIG SPRING ROAD, NEWVILLE 17241 County,
Street address, post Office and Zip Code
Decedent died at 210 BIG SPRING ROAD
Street address, Post nsr~o ~.,a ~:_ ,. WF
File No: 21 - 12 - (~'y-~ ~ ~
(ASStgned by Register)
Social Security No; 168-14-3600
Age at Death: gg
SPA
~~~
West Pennsboro
City, Township or Borough
City, Township or Borough
County
(State) with his/her last
Cumberland
County
PA
State
Estimate of value of decedent's property at death:
/f domiciled in Pennsy/vania ........................ All personal property
if not domiciled in Pennsy/vania ................. $
/foot domiciled in Pennsylvania......•••••• Personal property in Pennsylvania $
Value ofrea/ estate in Pennsy/vania.........•. Personal property in County $
Real estate in Pennsylvania situated at
(Attach additional sheets, if necessary.)
Street address, post Office and Zio r„,~e
"------- 121,000.00
TOTAL ESTIMATED VALUE$ 121,000.00
-- City, Township or- qh
A• Petition for Probate and Grant of Letters Testamenta county
Petitioner(s) aver(s) that he/she/they is/are the Executor(s) named in the Last Will of the Decedent, dated
thereto dated 01/02/1986
and Codicil(s)
Except as follows: after the execution of the insUument(s)aoffered for probate, Decedent did not mar was not divorced, w;3s not a a
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C Secu3323c/
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. p rty
X^ NO EXCEPTIONS ~ ~ (g). and did not have a child bon orending
EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (If applicable)
If Administration, c.t.a or d.b.n.c.t.a., enter date of Will in Section A above and com lete list of heirs.
.n.c..a.; a cote fte; uran e a sentia; uran a mfnontate
Except as follows: Decedent was not a a
in 23 Pa. C.S. § 3323 P rtY to pending divor9 proceeding wherein the grounds for divorce had been established as defined
(g) and was neither the victim of a killin nor ever a udicated an incapacitated person.
^X NO EXCEPTIONS ~ EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that
additiona! sheets, ifnecessary): Deoedertt left no Will and was survived by the followin souse if an a`~
..._.-
9 P ( Y) n$ ~s (attach -~"
Name ,._..,
PATRICIA A. HOCKENSMITH Relationship Address -~
Daughter ~'~•
1601 WALNUT BOTTOM ROgp .,,.
WAYNE A. GOOD NEWVILLE, PA 17241
Son ~ w
12724 STONEWALL ROAD , t, »,
SHIPPENSBURG, Pq 1757 .» ,
f...,
[:;
Form RW-02 reg. to-f r_2of~
Copyright (c) 2011 form software only The Lackner Group, Inc.
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Cumberland } ss:
Petitioner(s) Printed Name }
WAYNE A. GOOD Petitioner(s) Printed Address
12724 STONEWALL ROAD
Name as listed in Will: WAYNE A. GOOD SHIPPENSBURG, PA 17257
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correct t
belief of Petitioner(s) and that, as Personal Representative(s) of the Decedent, Petitioner(s) will well and tr I adm'
Sworn to or affirmed and subscribed before o the best of the knowledge and
Y mister the estate according o la
me this day of ~] j ~(~ ~
gy. mrto- ~ Date ~ ~~ ~~
For the Register Date
Date
BOND Required? ~ Yes
No
FEES
Letters ............... .
i _L) Short Certificate(s).........
~ ~ )Renunciation(s) ..............
~ )Codicil(s) .........................
I )Affidavit(s) .......................
Bond ..............................................
Commission ...................................
Other
.. $ ~-
y
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name: Hamilton C Davis
Supreme Court
ID Number: 10264
Firm Name: Zullin er Davis, PC
Address: 20 East Burd Street
Suite 6
Shippensburg, pq 17257
Automation Fee .............................
Phone: 717/532-5713
JCS Fee .........................................
TOTAL ........................................... $ ~ Fax: 717! -~
E-mail: hdavis
@Zullinger-Davts.com
DECREE OF THE REGISTER ~-
Estate of MARY A. GOOD
a/k/a:
AND NOW,
satisfactory proof having be present before me, IT IS DECREED that Letters
are hereby granted to Wq NE A. GOOD
in the above estate and (if applicable) that the instrument(s) dated
described in the Petition be admitted to probate and filed of record
01/02/1986 -~'-
ill and Codicil )) of Decedent. -"-'-
, - ~r~hcw
Copyright (c) 2011 form software
Date of Death: 01/06!2012
Social Security No; 168-14-3600
File No: 21 -12
~ , in consideration of the foregoing Petition,
Testamentary
Lackner Group,
Page 2 or 2
RENUNCIATION
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of MARY A. GOOD
Deceased
~' PATRICIA A. HOCKENSMITH
(Print Name) , in my capacity/relationship as
Daughter
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
WAYNE A. GOOD
/a~
{ _, ~
~Jl~~ ~ ~ ,
_" ". (signature) PATRICIA A. HOCKE MITH
.., ,
,~,,,
-_
i
i
.~
C. ..
.'
_~. `J .
L
Executed in Register's Office
Sworn to or affirmed and subscribed
before me thi-`----day
of
Deputy for Register of Wills
1601 WALNUT BOTTOM ROAD
(Street Address)
NEWVILLE, PA 17241
(CKY State, Zip)
Executed out of Register's Office
Ba fore the undersigned personally appeared the
p rty executing this renunciation and certified
that he or she executed the renuncia ' n for the
purposes stated within on this ~da
.rr~~.., __ Y
Note Pu lic `~ `-
My Commission Expires: ~~51 i~/aO`5
(Signature antl seal of Notary or other official qualified to `
administer oaths. Show date of expiration of Notary's commission.)
Form i~tly-vs Rev. 10-132006
Copyright (c) 2008 form software only The Lackner Group, Inc.
QOMMONWEq~TM pF PENN
Notarial Seat S1'LVANI/~
Angela M. Schauer Nary Publk
~t~eoi'o, G+mberland County
~NSri.v rot M iS 2015
~oa~noN of Nor~r
LOCAL REGISTRAR'S CERTIFICATIOIV OF DEAT
WARNlNC: It is illegal `t~ duplicate this co f'I
pY by photostat or photograph.
Fee for this certificate, $6.00
P 18150;12_
Certification Number
Type/Print In
Permanent
n~.I I
Ci '~~ ~ ~~ ~~ .~~
Mary A. GOOd
al
~~ I
`I
S
>~
a
E
_ 8 8 ' months
R Id (State or Forei
PA gn count
1. Residence (County)
Cumberland
Ever in VS~q_rnoed Forps7
]Yes QVnk 1
F th N me (First, Middle, Last,
James G. Strale
•. Informant's Name
Wayne A. Good
lest/. oceurrea i~ : "tiosi.CP: •-••---°°
This is to certify that the information here given
correctly copied from an original Certificate of Dea
dul~/ filed with me as Local Registrar. The origin
certificate will be forwarded to the State Vit:
Records Office fo e anent filing.
~~ ~p
al Registrar
Date Issued
COMMONWEALTH OF PENNSYLVANiq . pEPARTMENT OF HEALTH . VIT4L RECORDS
eat, suffix) CERTIFICATE OF DEATH
2. Sex 3. Socla Securl Num STata Flle Number:
Sc. Under 1 D• F e m a 1 ~ bar 4. Date of Death Mo
6. Date o1 girth (Mo Day ~ 6 8 _ ~ 4 _ ~' 6 O O ( /Day r) (SI
Deri Hours Minutes ear) (SPell Month ( January 6 2 O 1 2
1")aY 2l 1923 ) ~.. aiLhp~t C es dse to gn CO t
Bb. Resi anee (Street and Number _ ~ O W n , P A un ry)
Include Apt No.) gc, 1 mob. Blrthplap (County)
2 l 0 ~ D•pdent Llw In • TewnshlP? Adam s
gig Spring Road s, depdent llyed In West
Be. Residence (Zip Code) P e n n s b o r o
stirs) Status at nme f ~ 7 2 4 l Q No, decedent IWed within IImRS of
DNOrced ° Death Q Man d
CI Never Married Q Unknown 1 owed 11. Surviving Spouse's Name If w
( Ife, ghre ham el
33. M
other's Name prior to First Marria a Prior to Rrst manage)
14b. Relatlonshl to Mar A . W O 1 f 8a (First, Mitldle, Laat)
P Decedent 14e, Informant's Mailing gddr•ss (Street and Number, CRy, State, Zip Coeiej
.................. '12724 St
npatlent ................... o n see o eat onewal l Rd. t Sh
,........... e:..... ..... .
Death "' '
~ D~~w .._._ :If otturrea GTE,. •._!.._onyon!__._. -~~Pen`_..bVr9. PA ~~o~-.
L;reen Ridge Vi11a street anc
•- Method of DlsPOSltlon e
Q Remwsl from state oriel
L7 oth~..<___._ . 17 oomatlon
Newyille, pq-~~~ "
. Dace of Dbposltlon ~ 7 2
16e. Plate of
1-10-20'12
5 h i p P e n s b u r _.~. ~••° ~IP7
g va. sgnature °f F„_e 5 t i n
' rsl
l
.7c. Name and Complete Ad
s 7
Fu rv
~
f
~'
Licensee c
d
ress of
neral Fa Il ri
Fo elsan
ricke '
l/
~'*~ -
r F u n e r a l
a. oeceaent•a Edueac on B
lgneat de Cheek the
o m e Inc . ~ ~ 2 Wes t
box that best tlescrib
Brae or lev
l
p
e
es tt
of school tom letetl at the time of death
8th grade or less 19. Decedent of Hb Kin S
i
0
l
.
Q No diploma, 9th - 12th grade
Q Hl
h box that beat descHbes
wh
•th
ar the decedent
Is Sp•nlah/H
g
sch°ol graduate or GED completed
Some colle ispanic/Latino. Check the "NO"
box N decedent Is n
ge credit, but no degree
[] Associate degree (e.g, qq AS) ot 5
Panish/Hispanic/Latino.
ENO. not Sp•nlah/HlsPanl4Latino
Q Bachelor`s tlegrea (e,g, BA, qB, BS)
Q Mast
' xican American, Chl<ano
Q Yef
Puert
er
s degree (e.g. Mq, MS, MEng, MEd, MSW,
Q Doctorate (e
MBA)
g
Ph O ,
o Rican
Q Yes, Cubsn
.
.
, Etl0) or Professional de
. Mp DDS OVM tree
B D Q Yes, other S
Panish/Hisp•nlc/Latlno
(SPecl/y)
. Decedent's Single Race Self`
~'Whge Dealgnation -Check ONLY ONE t
o In
Q Blracek or^ friean American Q J oPan
ese
CIA rice I
Q K e dleste what the deptlent considered himself or
Q Samoan
a
n
ndian or Alasks Native
Q Aslan
l
ndian - _ Q Vietnamese
~ Q Other Paelfle Islander
s
e
Q Chine
Q Other Aalan Q Don't Know/Not Sure
Q Flllplno
tive Hawaiian Q gefused
Q Gu
Q ether S
MS 23 shish or Chamorro ( Peclfy)
MusT
erlan
FD-0'12984-L
et Shi ensbur
. Decedent's Race -Check ONE OR P A 1 7 2$ 7
s decedent considered himself or herself to be, to Indicate what
'White
Black or gfrlcan gmerlpn Q Korean
Amem'ean Indian or Alaska Native Q Vietnamese
Asian lndlan Q Other ASlan
Chlna:te O Native Hawai'•n
Flllplno Q G ^!maa; lan o Cham
Japanese 0 Sa o orro
Other (Specify) Q Other Pacific Islander
to be. 22a. Decedent's Vsu•1 Occupation -Indicate type of wort
done during most of working life, p0 NOT VSE RETIRED.
Inspector
~
~
23d. Date
d o/paY/Vr) --- a,O(A ~F
6o'?O~ar/v.). z .signaeuree
ars n Pronoun
i Hoffman Mi11s
/
Gi ~ !7
~fO
~f r
c
ng Deat On Y w e
24. Time of Death ~ / `n ~ ~ r o _ ^ aPP Ica 23c. License
er
/ 535 r~- // (
r
c
(
e
~
26. Part L Enter the chain f .
,.
.
..
.
•
2S- Waa Madlcal Examiner
°r coron
---- ~,Lf j l2~lJ ~°/~f X007 ej p
8
respiratory arrest, or Yentri er
--dlaese:, In)urre:, or oompupe
OF oenT-i
cul
~ dtr ~ O
contatted~
Q Yas
IMMEDIgTE CAVSE I
on,__t
arflbrilla
tion without showing the etlolo Y pus d the death. DO NOT enter ter
BY~ DO NOT ggB Q No
i
_ _ __
(Final disease or conditi
REVIATE. Enter onl
` Y one pose o
s a ~~ r' m
nal evenb such as cardiac a
! APProxlmate
treat
n a fi
on
resulting In death) S ne. Add additio
. Interval.
nal lines If necessa
3
Du to (or as
on
se ry
On
set to Death
Sequentially Ilst conditions,
if a b ~, ~
quence of):
t~
~ ~_/ -
Ie
-
ny, leading to the pus
listed on Ime a
Ent
a (
-
~=
Dua to (or
L~ ~ !
as a co
~
.
er rhe
V NDERLYING CAUSE n
sequence oT):
c'
~ (disease or in
)u
that -~
F e
^
Initlatetl the a is resulting
in d Du
d e to (Or segue a p~:
as a con ,tc i
`~ eath) LAST.
26. P•R It. Enter othe
rsi nifl
sa • con
Due to (or sequence of): ;
---
~
e' n 1
n rl 1 h but not resulting In the under) I
' ~~-
a n
Y 8 cause given in Part 1
29. If Fema
le: 27- Was an autoPSV Perfor ed?
o
0 N t pre^g^a^t wlthi^ Past Year 30. Dltl Tob
Preg t
28. Wer
Yes Y flndln o
t
l
~
at time of deeath
Q Not pregnant, but pr gnant ac o Use Contribute to Death?
Q Yes c
Q Prob
i
bl
h O GOt^PI ~e She cause of death
T
yes
Ma
3'1
Q Not pregnant, but pregnant w
a
t
y
in 4
2 days of death ~~ •~~ Q Vnknow
43 tl ~~
n~~tar of Death No
L~'N•tur
l
[] Unknown If pregnant within a
n
the ys to 1 year before death
32 a
0
Homicide
Q Aetld
34. Place Pest year
. Date of Inlury (Mo/DaY/Yr 5
) ( pall M ent
Q Suicide 0 Pending Inyeatigatlon
_••
onth)
of Inlury (e,g, home; construction sine: fnr... ._~_ -
~] Could not be determined
Q Vas __-___..e...~n mJUtY. SPecify: .. ___ °• P c.ode7
Q NO Q Driver/Operator O Pedestrian 38. Describe How In u
[] Passenger Q Other 5 7 tY Occurred:
:Ia-~Ce~rtifi~e ~r^Check onl ( PecHy)
Q P°f"TYI C Physician one): '-~~
To the bast of my knowledge, death oecurre
^ Ing 8: CertHying physicla - To the bast of my knowlad d due t0 the cause(s) and manner sated
(] Metlical Examiner/Coroner - On the b ge, death o
si f examination, antl/or Invest) red at the time, data, nd Place
Signature of ceKifler: gatlonr In my opinion, death oecurretl at the timeod tom`, nA (twee d ~ •^^er s
b. Name, Address and ZI ~ tared
P Code of P Title of cerHfler:_ ~ P a d due to the cause(s) and manner stated
Qr m ~" r--• S ` ` ompleting Guse of Da th (Item 26) _ ~ ~
R ~TaA•~ ria- ~ ~~,_ a ~~ ~` License Number: O~ (('S ~ ~ f.~
gistr District Number S 1
41. Ragl ,~-ry ~ l 39c, Date 51
~~ ~- ~~ gnatu/ ~ ~ ~ /-/~ 1 7Zy 1 / / G7(MO/Day r)
~_ ~_ _
- DisPOSftIOn Permit NO._~_
H105-143
REV n~r~n.
twp.
,.
LAST WILL AND TESTAMI3NT
OF
MARY A. GOOD
I, MARY A. GOOD, of the Borough of Shippensburg, Cumberland
County, Pennsylvania, being of sound and disposing mind, memory
and understanding do hereby make, publish and declare this as and
for my Last Will and Testament, hereby revoking all other Wills
and Codicils thereto, heretofore, made by me.
FIRST
I direct the payment of my debts and the expenses of my last
illness and funeral from my estate as soon after my death as
conveniently may be done. In the event I am not the owner of a
cemetery lot at the time of my death, I direct my Executor to
purchase such lot with a contract for perpetual care and to
improve the lot and have erected thereon a suitable monument and
`\^r\` marker, using therefor funds from my estate in such amount ,.~.s she
V ~... r-~
in her sole discretion shall deem advisable. ~'
.::3
r-
SBCOND ' `-~ ,.,~.,
I give, devise and bequeath all my property, whether real~br
personal, tangible or intangible, together withh all insrtrance ...~.
''~ policies thereon, unto my husband, RALPH E. GOOD, provided he
shall survive me by thirty (30) days. In the event my husband
fails to survive me by thirty (30) days, I then chive, devise and
bequeath all my estate whether real or personal property,
tangible or intangible, together with all insurance policies
thereon unto my children, provided they shal]_ survive me by
unto my children, provided they shall survive me by thirty (30)
days, in as nearly equal shares as possible. In t:he event any of
1
my children fail to survive me by thirty (30) days, I give,
devise and bequeath my deceased child's share unto said deceased
child's spouse and children, in as nearly equal shares as
possible.
THIRD
I give, devise and bequeath all the rest, residue and
remainder of my estate unto my husband, RALPH E. GOOD, provided
he shall survive me by thirty (30) days. In the event my husband
fails to survive me by thirty (30) days, I then give, devise and
bequeath all the rest residue and remainder of my estate, in as
nearly equal shares as possible, unto such of my children as
shall survive me by thirty (30) days, provided that the share my
oldest child, Gary Good, shall receive, shall be reduced by the
sum of Thirteen Thousand Dollars ($13,000.00)~to reflect sums
paid by me for his college education. In the event any of my
~~hildren fail to survive me by thirty (30) days, I give, devise
and bequeath my deceased child's share unto said deceased child's
spouse and children, in as nearly equal shares as possible.
FOURTH
I give, devise and bequeath any minor child's share to be
invested in an interest bearing account at Dauphin Deposit Bank &
Trust Company, Shippensburg Office, until such child is eighteen
(18) years old.
FIFTH
I hereby direct that all inheritance, estate or transfer
taxes imposed upon my estate, whether passing under this my Last
Will and Testament or otherwise,. be paid out of my estate.
2
SI%TH
Any and all sum or sums, whether in cash or in kind and
whether for principal or income, payable to the :beneficiaries, or
any of them, shall be made upon the sole receipt of the
respective individual to whom the payment is made and free from
anticipation, alienation, assignment, attachment or pledge and
free from control by the creditors of such beneficiary. All
shares of principal and income herein given shall be free from
_ / anticipation, assignment, pledge or obligation of` any beneficiary
~\~'~/ and shall not be subject to any execution or attachment.
S$VENTH
I nominate, constitute and appoint my husband, RALPH E.
GOOD, Executor of this my Last Will and Testament. In the event
of the death, resignation, renunciation or inability to act for
`~-~-as~y reason whatsoever of my said husband, I nominate, constitute
and appoint WAYNE A. GOOD and/or PATRICIA A. :HOCKENSMITH Co-
Executors of this my Last Will and Testament. My executors may be
compensated for their services up to three (3) percent, in total
of my estate, to be divided equally between them. I hereby
relieve my Executor from the necessity of posting security in
connection with his duties as such in any jurisdiction in which
he may be called upon to act, insofar as I am able by law to do
so.
3
T
IN WITNESS WHEREOF, I have hereunto set my hand and seal to
this my Last Will and Testament, consisting of three (3)
typewritten pages, the first two ( 2 ) of which bear my signature
in the margin for the purpose of identification this ~_ day of
1981( .
..~~' rr~
Ma A. od
Testatri
SIGNED, SEALED, PDBLISHED AND DECLARED by the above named
Testatrix, MARY A. GOOD, as and for her Last Wi:11 and Testament,
in the presence of us who at her request and :in her sight and
presence and in the sight and presence of each other have
hereunto subscribed our names as witnesses:
~~,;. ~ ~,L._..~
CO!lMONWEALTH OF PENNSYLVANIA
SS
COIINTY OF FRANKLIN
I, MARY A. GOOD, the 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
4
.~
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.
~~
Mary A. G d
Testatrix
Sworn or affirmed to and
acknowledged before me by
Mary A. Good, Testatrix,
the ` _ day of
198.
r
~,
Notary ublic
JOYCE A. CRO(~SE, ROTARY PUBLIC -~
S11U71~lPTQy T'elP., F~'4s?;~.!R COUNTY .~~
~; ~ MY COlN~91SSiO!,' c~~ •~ 5, 197
M~r~bcr, P~-~~tsYdt&~,r~ >i,::, .
- ~ "sa3~ri~g
CO1rIIYiONf1BALTH OF PENNSYLVANIA
SS
COUNTY OF FRANKLIN
we , ~ yes 7` /1~ ~ ors and ~o ~~'s i~~u.~n 6
witnesses whose names are signed to the foregoing instrument,
being duly qualified according to law, do depose and say that we
were present and saw MARY A. GOOD, Testatrix, execute the
instrument as her Last Will and Testament, that she signed it
willingly and that she executed as her free act and voluntary act
for the purposes therein expressed; that each of us in the
5
hearing and sight of the Testatrix signed the Will as witnesses;
and that to the best of our knowledge the Testatrix was at the
time eighteen or more years of age and under no constraint or
undue influence.
~~~
~D ~ qo i~
Sworn to and subscribed before
me by ~~re~s f" /~/. N7 ytrs
and J~~~s ~~um6 ,witnesses,
this ~hcL day of lLnu.cc~
198 ~ .
~~~ ~ _~
Notar P blic
My Commission Expires:
JiYCt A. E.'RGi~r£, NOTARY PUBLIC
SOUTI•AMPTOfI TCIIP.. FRANKLIN COUNTY
MY COMkI1SSlON E%PIRES JAN. 5, 1987
Member, Pennsylvania Association of Notaries
6