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Home My WebLink About01-23-12Reset 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 File No: ~ ' ~ ~ =~'~ `" Name: Marlin J. Griffie (Assigned by Register) a/k/a: a/k/a: Social Security No: 197-22-0439 a/k/a: Age at death• 83 Date of Death: 01/09/2012 (stare) with his/her last County, D ^ - Decedentwas domiciled at death in Cumberland County principal residence at 604 Pine Rd. Carlisle PA 17015 Cumberlan oun City Township or Borough Street address, Post Office and Zip Code County State Decedent died at 604 Pine Rd. Carlisle PA 17015 Cumberland citny Township or Borough Street address, Post Office and Zip Code Estimate of value of decedent's property at death: $ 180,000.00 If domiciled in Pennsylvania ............................ All personal property If not domiciled in Pennsylvania ............... • • • ' ' ' ' • • Personal p operty in County vania $ If not domiciled in Pennsylvania ........................ . , . • • . • • . • • • . • $ •"""" tRnn00.00 Value of real estate in Pennsylvania.. • • • • • • • • • • • • • • • TOTAL ESTIMATED VALUE.... $ -~a County Real estate in Pennsylvania situated at: 604 Pine Rd. Carlisle PA 17015 Cumberland C ty Township or Borough c., (Attach additional sheets, if necessary.) Street address, Post Office snd Zip Code ~ ra ~ L. ~ w ~~ A. Petition for Probate and Grant of Letters Testamentary ~~' Cod;cil( Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Wiii of the Decedent, dated 2/28/2011 ~ l . r ~• .. thereto dated -- ~,. renunciation, aearn u~ ra.~~»»••, ~•-•~ State relevant circumstances (e.g. Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not dtw divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ®. NO EXCEPTIONS Q EXCEPTIONS ^~ ~ ~:= not a pai~jo a p of have a~ ild ba¢~caC <..;- $. Petition for Grant of Letters of Administration e.t.aPPd.b.n'ed.b.n.c.t.a., pendente Bite, durante absentia, durante minoritate if Administration, c.t.a. or d.b.n.c.~a., enter date of Will in Section A above and comrce had bee nestablished as defined Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divo in 23 Pa. C.S. § 3323(8) and was neither the victim 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 W ill and was survived by the following spouse (if any) and heirs (attach Page 1 of 2 PETITION FOR GRANT OF LETTERS COUNTY, PENNSYLVANIA REGISTER OF WILLS OF Cumberland Farm RW-02 rev. /0/11/201 / Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland } The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and coaect to the best of me lrnowteugc auu ~~__~_ of Petitioner(s) and that, as Personal Representative(s) of the Dece~ ent _the Petitioner(s) will well and truly administer the estate according to law. Date l :J2 .3 I ~ Sworn to or affirmed and subscribed before ~'-""~~~ ~ ~" Date me this ^day of '~~1 ~ %~ Date By.t L1' ~ a'~ I i~~~~ Date _. For the Register { BOND Required: ~ YES ®NO FEES: `'~~'1 Letters ...................... $^,~.f~^~;' ,t `" - ., ~, ( )Short Certificate(s)...... I } Z ~ ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ••••••• 4ti ' ~ ........ t ~~~i - Automation Fee .............. . JCS Fee ..................... ~ - To the Register of Wills: Please enter my appearance by my f~ f"r !-~ W Attorney Signature: ~n '.,_,_' -~ tV _ ~' -- ~ -ts t..r Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Fax: Email: DECREE OF THE REGISTER ~ ~~~ / File No• ~ ~ ~. Estate of Marlin J. Griffie a/k/a: f " - t~t G: -_ , ~ ~ ~. ~ ~ ~ ; in comer sideration of the foregoing Petition, AND NOW, ._ ~ , ~ ; C ' ,. ~ ; ~ satisfactory proof having bee prey nted before m~, T IS DECREED that Letters t .. ~ ~ ,- ~ ~ ~ s- ~ i " are hereby grante to in the above estate and (rf applrcable) that the instrument(s) dated described in the Petition be Form RW-02 rev. l0/11/2011 probate and filed of record as the last Will (and Codicils)) of lieceaenr. 'Register of Wills ~• , , 1l' ~~ ~~- c-,: _ _~ f`"' ~ .r_ Page 2 of 2 ~'~ ~, , _~ . _ .,~ -T ti>3 ~_ 16 ~, c_ Type/PrilY[ I~ Permanent Black ink ~ ~~ ~~~~ac~i~, ~u~ra~c' J A N 1 1 2 fl i) COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS CERTIFICATE OF DEATH _.. 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (MO/Day/Yr) (Spell Mo) Marlin J_ Gri££ie Male 197-22-0439 January 9, 2012 Sa. Age-Last Birthday (Vrs) Sb. Under 1 Vear Sc. Under 1 Da 6. Date of Birth (MO/D ay/Year) (Spell Month) 7a. BirthpJa (City and State or Foreign Country) 1 83 Mpnths Days Hnqrs Minutes Ma 3 1928 y Gareners , PA 1 , 7b. Birthplace (County) 8a. Residence (State or Foreign Country) 8b. Residence (Street and Number -Include Apt No.) Sc. Did Decedent Live in a Townsh(p3 PA 604 Pine Road Yes, decedent IWetl in Dickinson twp. Sd. Residence (County) Be. Residence (Zip Code) ENO, decedent lived within limits of city/born. 9. Ever in US Armed Forces"J 10. Marital Status at Time of Death 0 Married ~ Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage) Ves [~ No ~ Unknown ~ Divorced ~ Never Married ~ Unknow 12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, last) Oliver Gri££ie Media Gardner laa. Informant's Name lab. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code) a Diane Louise Richwine niece 89 Ba 11 Park Dr_, Gardners, PA 17324 C lSa. P ace o Deat C ec only one in Hos tai: ~ In bent ~ If Death Occurred ' a pi pa .. ...... ........................................Y ..............~ ..................... If Death Occurred Somewhere Other Than a Hos ital: ~] Hos ~~~~~~~~~~~ ~~~ p pice Facilit Decedent's Home ° ~ Emergency Room/Outpatient ~ Dead on Arrival . Q Nursing Home/Long-Term Care Facility ~ Other (Specify) 156. Facility Name (If not institution, give street and number; 15C. City or Town, State, and Zip Code 15d. County of DeatH 604 Pine Rd_ Carlisle, PA 17015 Cumberland 16a. Method of Disposition ® Burial ~ Cre maLion 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery. cr matory, qr other place) m p Rempval from stale p Dnnatinn Jan _ 16 , 20 2 Cumberland Valley Memorial Gardens - pother (specify) 16d. Location of Disposition (City or Town, State, and Zip) 12a. Si a of Funeral Service Licensee or Person in Charge of Interment 12b. License Number Carlisle, PA 17013 013144E E 17c. Name and Complete Address of Funeral Facility H£ man-R h Fun r 1 H m & C m o 219 No Han S C e e l 18. Decedent's Education -Check the box that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE races to indicate what ~ highest degree nr level of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herself to be. $] 8th grade or less is Spa Wish/Hispanic/Latino. Check the "NO" White 0 Korean ~ No diploma, 9th - 12th grade box if de edent is not Spanish/Hispa is/Latino. n ~ Black or African American ~ Vie ~ High school graduate or GED completed [~'NO, not Spanish/Hispanic/Latino ~ American Indian or Alaska Native Q Othe rASian Q Srrme college credit, bvC no degree Q Yes, Mexican, Mexican American, Chicano ~ Asian Indian ~ Native Hawaiian ~ A~;sociate degree (e.g. AA, AS) ~ Yes, PuerYO Rican ~ Chinese ~ Guamanian or Chamorro ~ Bachelor's degree (e.g. BA, AB, BS) Q Yes, Cuban 0 Filipino ~ Samoan 0 Master's degree (e.g. MA, MS, MEng, MEtl, MSW, MBA) ~ Ves, other Spanish/Hispanic/Latino ~ Japanese ~ Other Pacific Islander Q Doctorate (e.g. PhD, Ed D) or Professional degree (Specify) Q Other (Specify) . MD, DDS, DVM, LLB, JD) 21. Decedent's Single Race Self-Design anon -Check ONLY ONE to Indicate what the decedent considered himself or herself to be. 22 a. Decedent's Usual Occu patlon - Indicate type of work [~ White 0 Japanese Q Samoan done during rn of working life. DO NOT USE RETIRED. ~ Black or African American ~ Korean ~ Other Pacific Islander Forkl i £t operator Q Ameriran Indian or Alaska Native Q Vietnamese Q Don't Know/Not Sure ~ Asian Indian Q Other Asian ~ Refused 22b. Kind of evsiness/Industry Chinese QNative Hawaiian QOther (SpecifY)_ Food Processin Q Filipino Q Guamanian or Cha mono g ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounced Deatl (MO/Day/Yr) 236. Signature of Person Pronouncing Death (Only when applica blei 23c. License Number BV PERSON WHO PRONOUNCES OR CERTIFIES DEATH Jan _ 9 , 2012 23d. Date Signed (MO/Day/Yr) 24. Time of Death 25. Was Medical Examiner or Coroner Contacted? ~ Yes No CAUSE OF DEATH "` Ap imate I'giJfy 26. Part 1. Enter the chain of events--diseases, injuries, or complications--that directly caused the death. DO NOT enter terminal events suc\'•'~ lac a rest Tom) ~~''~a l: r r ~ Ts respiratory arrest, or ventricular Flbrillation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add ad~l Iines if ne sary .fef)s![2e Death s ,~ " ~ T ; ~"~ y.~y~ r IMMEDIATE CAUSE ----------- - -> a. ~ SGC1 ~"~~ y y~ ~ ~ (Final disease or condition Due to (o as a consequ nce of): resulting in death) b -` ~ Sequentially list conditions, "j Due to (or as a consequence of): //e~~. ' ` '" • ~! if any, leading to the cause vI K 1 listed on line a. Enter the __ ~" c UNDERLYING CAUSE Due to (or as a consequence of): _ . ' (dis a or ini~rv fna ~ ~ ^:. ~a-~-':i _ ed the ev nis resulting d. -,y i e t m doath) LAST. Due to (o as a consequ nce of): ~ xw 9~ ~'r. ~ 26. Part 11. Enter other significant conditions contributin¢ to death but not resulting to the underlying cause given in Part I 27. Was an~utopsy)'pCrf rm d7 ~ 28. Wer oe sy fin n ailable to coats xhe c u eath. 29. If F.-male: 30. Did Tobacco Use Contribute to Death? 31. Manner of Death o ~ Not pregnant within past year ~ Ves 0 Probably [g-W atural 0 Homicide ~ Pregnant at time of death La}Np ~ Unknown ~ Accitlent 0 Pending Investigation ~ Not pregnant, but pregnant within 42 days of deatf ~ Suicide 0 Could not be determined i- ~ Not pregnant, but pregnant 43 days to 1 year before death 32. Date of Injury (MO/Day/V r) (Spell Month) ~ Unknown if pregnant within the past veal 33. Time of Injury 34. Plai:e of Injury (e.g. home; construction site; farm; school) 35. Location of Injury (Street and Number, City, State, Zip Code) 36. Injury aT Work 37. If Transportaflon Injury, Specify: 38. Describe How Injury Occurred: Yes Q Driver/Operator O Pedestrian Q No ~ Passenger Q Other (Specify) 39a. Ce rtlfier (Check only one): LQ^Ce rtifying physician - To the best of my knowledge, death o retl due io the cause(s) and m Led ~, Pronouncing 6 Ce rtifying physician - To the best of my knowledge, death o red at the time, date sa nd place, and due to the cause(s) and m r stated ~ Medical Examiner/Coroner - n the bast~~f a Lion, and/or investiga Llonr in my opinion, death occurred at the time, date, and place, and due to [h e c ause(s) and m nner stated a i (- Signature of c rtlfier: _ ~',~ 6 a Title of certifier: ~J- O License Numbe r:OSo OS~-`"~ a.-t-- 396. Name, Address and Zip Code of Person Com plexing Cause of Death (Item 26) ~ 39c. Dace Signed (MO/Dpy/Vr) tea. c~ c... _ `s<.>,-~ S !- ~L~ - alp \ (~ •~ v ~3 ~ s ~ / iz 40. Registrar's District Number 41. Registrar's tore ~^ ! 42. Registrar Flle Date (MO/Day/Vr) I - ~ D -~ _ ~, ao to 43. Amendments Disposition Permit No._ Lta_l Co \~ REV 07/2011 ;; ,~ LAST WILL AND TESTAMENT OF Marlin Junior Griffie I, Marlin Junior Griffie, a resident of the State of Pennsylvania, make, publish and declare this to be my Last Will anE Testament, revoking all wills and codicils at any time heretofore made by me. FiPST: I direct that the expenses of my last illness and funeral, the expenses of the administration o y estate, and all estate, inheritance and similar taxes payable with respect to property included in my estate, er or ~ ~, .~, not passing under this will, and any interest or penalties thereon, shall be paid out of my resld state, ?_' -: wi~.hout apportionment and with no right of reimbursement from any recipient of any such. ~ ~ :d'_ ``~ .,: (V _~. SE~OND: All tangible personal property owned by me at the time of my death and not specificall~~~ is ~ '; given as hereafter as provided with respect to my residuary estate. ~,-~~~ 'T'J `-;~; ~; - -r-, J ~ .~~ ; ° THIRD: I make the following specific gifts of property: ~•-y~.~ t- ~; ~ ~lS Nc specific gifts identified ~ Any specific gift made in this will to two or more beneficiaries shall be shared equally among them, unless unequal shares are specifically indicated. All shared gifts must be sold, and the net proceeds distributed as the wi I directs, unless all beneficiaries for that gift agree in writing, after my death, that the gift need not. be sold. If ~ name two or more primary beneficiaries to receive a specific: gift of property and any of them do not survive me, all surviving primary beneficiaries shall equally divide the deceased primary beneficiary's share unless I have specifically provided otherwise. If I name two or more alternate beneficiaries to receive a specific gift of property and any of them do not survive me, all surviving alternate beneficiaries shall equally divide the deceased alternate beneficiary's share. I give all the rest, residue and remainder of my property and estate, both real and personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled at the time o` my death (collectively referred to as my "residuary estate"), as follows: (a I give my estate to Kimberly Larkin in the amount of 20% and to Jason D. Richwine the amount o~ 40% to be managed by Diane L Richwine and to Diane L. Richwine the amount of 40%. (b~ If none of the named residual beneficiaries described in clause (a) above shall survive me, decline the gift or any no longer in existence, (together referred to as "pre-deceased"), then equally to Gregory D. Richwine and Jennifer J. Steigleman (c If none of the beneficiaries described in clauses (a) and (b) above shall survive me, decline the gift or are no longer in existence (together referred to as "pre-deceased"), then I give my residuary estate to those who would take from me as if I were then to die without a will, unmarried and the absolute owner of my residuary estate, and a resident of the State of Pennsylvania. FOURTH: I appoint Diane L. Richwine to be my executor. If Diane L. Richwine does not survive me, or shall fail to gaallfy for any reason as my personal representative, or having qualified shall die, resign or cease tc act for any reason as my executor, I appoint Jennifer J. Steigleman as my executor. To the extent permitted by the laws of the State of Pennsylvania, this will is intended as and shall be construed to be a nonintervention will and, after the probate of this will, no further proceedings in court shall be necessary other than to comply with the statutes relating to the handling of estates under nonintervention wills. No bond or surety or oti~er security shall be required of any Personal Representative serving hereunder. The decision to administer my estate independently or under court supervision shall be made solely by my personal representative. FI~TH: Whenever any beneficiary of my estate is under a legal disability or, in the judgment of my Personal Representative, is for any reason unable to apply any distribution to the beneficiary's own best advantage, my Personal Representative may nevertheless make the distribution directly to the beneficiary or to the conservator of the beneficiary's property or to a person with whom the beneficiary resides at the time of the distribution in whatever manner my Personal Representative shall deem best. In the alternativE and if the beneficiary is under twenty-one years of age, my Personal Representative may, in the discretion of my Personal Representative, distribute the property to a custodian for the beneficiary under a Uniform Transfer or Gift to , Minors Act. The receipt by the beneficiary, conservator, custodian or other person of any distribution so made 'x1~ shall be a complete discharge to my Personal Representative regarding the distribution. t'\~ s '.r~+~\ ' ~ --~ ~ i Page 1 of 3 S><TH: I grant to my personal representative all powers conferred on personal representatives anti executors wl erever my personal representative may act. I also grant to my personal representative power to retain, sell at public or private sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for cash or on credit; to borrow money and encumber or pledge any property to secure loans; to hold property in bearer form or in the name of a nominee; to divide and distribute property in rash or in kind; to exercise all powers of an absolute owner of property; to compromise and release claims with or without consideration; to execute and deliver deeds and other instruments, including releases; and to employ attorneys, accountants and other persons for services or advice. The term "executor" wherever used herein shall mean the personal representatives, executors, executor, executrix or administrator in office from time to time. The term "trustee" wherever used herein sha'I mean the trustees or trustee in office from time to time. Each personal representative and trustee shall have the same rights, powers, duties, authority and privileges, whether or not discretionary, as if originally appointed hereunder. SEVENTH: Each beneficiary shall be deemed not to have survived me unless the beneficiary is living on the thirtieth day after the date of my death. N WITNESS WHEREOF, I, Marlin Junior Griffie, sign my name and publish and declare this instrumen` as my last wi l and testament this ~ ?day of • ~ , 20 1 ~. I also have affixed my initials on the bottom of each of the preceding pages hereof. JJ~ ~ ,{ Marlin Junior Grif ie W ~, the witnesses, at the Testator's request, sign our names to this instrument, being first duly sworn, and do hereby declare to the undersigned authority that the Testator signs and executes this instrument as the Testator's will and that the Testator signs it willingly, and that each of us, in the presence and hearing of the Testator, hereby signs this will as witness to the Testator's signing, and that to the best of our knowledge the Testatrix is eighteen years of age or older, of sound mind, and under no constraint or undue influencE.. '`t='jj.Z, ,~, ~.fi bid ~l~ of ~>~ ~Z )',•Y~l j.~=~,'•~ ~- W tress ,~ ~.. j Vdrtn~ss J Witness Page 2 of 3 AFFIDAVIT OF WITNESSES STAB F OF Pennsylvania, COUNTY OF Cumberland, ss. Before me the undersigned authority, on this day personally appeared: the"estator, Mar in Junior Griffie having an address at, 604 Pine Road, Carlisle, PA 17015, an,d each of the undersigned witnesses, Stella Richwine having an address at, 1240 Goodyear Road, Gardners, PA 17324, and Den pis Richwine having an address at, 89 Ball Park Drive, Gardners, PA 17324, and Jemmy Steigleman having an address at, 400 Pine Grove Road, Gardners, PA 17324, respectively, being individually and severally duly sworn, did depose and say that: The foregoing last will and testament was subscribed in our presence and sight by Marlin Junior Griffie, the Testator named therein. The undersigned witnessed the execution of said will of Marlin Junior Griffie, on this day. At t-ie time the instrument was so subscribed, the Testator declared said instrument to be their last will and testament. The undersigned thereupon signed their names as witnesses at the end of said will at the request of the Testator, in the presence of the Testator and each other. At thf= time of so executing said will, in cur respective opinions, the Testator was at least eighteen years of age, and was of sound mind, memory and understanding, under no constraint, duress, fraud or undue influence, and in no respect incompetent to make a valid will. In our respective opinions, the Testator was able to read, write and converse in the English language, and was not suffering from any defect of sight, hearing or speech, or from any other physical or mental impairment which would affea their capacity to make a valid will. Each of us was acquainted with the Testator, and we make this affidavit at thei request. Said will was shown to us at the time this affidavit was made, and we examined it as to the signature of the Testator and our signatures. Said will was executed as a single, original instrument, and not in counterparts. -~ -, ' yl. ~,~ 11; I e~t for Wit~yess /,' ~.~/...t1~ .-r- .r1iw.,,..r.,. W1t>fress 5 Witness Subscribed, sworn to and acknowledged before me bye/+'~~`~ ~'~~ .f~t~,ta, t ~r-`~,z'. ,the Testator, and subscribed and sworn to before me by the said ;1 fr"Ij~;, ~;,t l;r~ rat". , and U~ ~ ~s„~~ h.. ~ r ~ ., ~c ,and . >>" ~ ~ r..s, >i, t s°, c--„~a_r , as witnesses, this~`tlayoflx~~.~`~--K ~~r',20~. ' T_,.-... j' .' ; :;, ~ ~ ' ~1~4 NOTARIAL SEAL " ± C, JILL L KULAWIECZ Mary- Ilc ~ Notaty Pubilc y :ommission expires on CARLISLE 60R000H, CUMBERIANDCO:JNI My Commission Expires Aug 42011 _. LAST WILL AND TESTAMENTOF ~ k ~('1_: A~tti 1:~r ~+t~Y (~ia:~}~~it Dated: ~'~ r'r.:;a a<<', 20 ;;' . Page 3 of 3