HomeMy WebLinkAbout01-25-12PETITION FOR PaOBATE AND GRANT OF LETTERS
Register of Wills of Cumberland County, Pennsylvania
Petitioner, named below, who is 18 years of age or older, applies for Letters as specified below, and in support thereof,
avers the following and respectfully requests the grant of Letters in the appropriate form::
DECEDENT'S INFORMATION
File No. ~ ~ _ ~ ~ ~ ~~
Estate of JULIE F. GALE Deceased Social Security No. 045-16-5000
Age at Death: 90
Date of Death: JANUARY 17 2012
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with her last family or principal residence at
105 Fairway Drive, CampStFieit,'aHampden~Towtnys~tp z~C u~m Berland County PA 17011
Cam Hill Cumberland C'ountV PA county State,
Decedent died at Hol S irit Hos ital c; townsni or sorougn
List street, address, Post Office and zip code tY. p
Decedent at death owned property with estimated valueg as follows: 500 000.00
(If domiciled in PA) All personal property ............................:........................................$_
If not domiciled in PA) Personal property in Pennsylvania .....................................$.
(If not domiciled in PA) Personal property in County ....................................................$.
350 000.00
(
Value of real estate in Pennsylvania ......................................................................................................................$ 850 000.00
Total ......................................................................................................... $
Real Estate situated as follows: 57 Circle Drive 17011 Hamaden Townshia. Cumberland County PA AND 105 Fairway Drive,
17011 Ham den Townshi Cumberland Coun PA
(attache additions/sheets ifnecessary) Street address, Post Office and Zip Code City, Township or Borough County, State
A. Petition for Probate and Grant of Letters Testamentary
Petitioner avers she is the Executrix named in the Last Will of the Decedent, dated Member 22 2008 and Codicil dated
June 9 2011
State relevant circumstances, e.g. renunciation, death of Executor, etc.
Except as follows, After the execution of the instrument offered for probate, Decedent did not marry, was not divorced, and
was not a party to a pending divorce proceeding at the time of death wherein grounds i'or divorce has been established as
defined in 23 Pa.C.S.A. § 3323(8) and did not have a child born or adopted and the Decedent was neither the victim of a
killing and was never adjudicated an incapacitated person
0 NO EXCEPTIONS ^ EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (if applicable)
enter: e.t.a.; d.b.n.c.t.a.; pendent elite; durante absentia; durante minoritate
If Administration, e.t.a. or d.b.n.c.t.a.,
Except as follows: De bl shed ssdefinedan 23 Pa C S A9§ 3323(8) and waisn a ther airy ctim of a kill ng alnd was never
divorce has been esta
adjudicated an incapacitated person
^ NO EXCEPTIONS ^ EXCEPTIONS ~-
Petitioner after a proper search, has ascertained that Decedent left no Will and was survived by t ~ owing ~'ous~~'
any) and heirs (attached additional sheets, rf necessary) ~ ~
Residence =~-~ `-~
Name Relationshi ~ „~ =~,
.~
_.,~ fir, r-
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
~~1~! .f~N 25 A~ 10~ 3
rCUUVi ~~~ ~ , ......,_ - --
LEISA J. KERCHER ~~- ~ • ~~
138 Kathleen Lane
Wyomissing, PA 19610
etitioner will well and truly
The Petitioner above-named swears or affirms that the srsonalent re entative of the Delc'edent, true and correct to the bes
of the knowledge and belief of Petitioner and that, as pe ~ ,
administer the estate according to law. ~~~ ~ ~ ( ~ ~-~~~ S'~
Sworn to and affirmed and subscribed
Before me this ~~ _ day of
J.
{ )Short Certificate(s) $
{ }Renunciation .............. $ I ~
{ l) Codicil(s)
Bond $
Commission $
Oth r $ I
~~
Automation $
JCP Fee ....................... $ ~' ~f
TOTAL.........
Attorney Signature:
ti
Printed Name: =ICHARD W. STEWART
Supreme Court
I.D. No: 18039
Firm Name: Joh___ nson. Duffie Stewart & Weidner
Address: 301__ Street P.O. Box
Lemoyne, PA 17043
Phone: 717-761-4540
Fax: 717-761-3015
Email: RWSCaidsw com
DECREE TO THE REGISTER
,~ - ~~(
Deceased. File No.
Estate of JULIE F. GALE
Date of Death:_ Janua 17 2012
Social Security No: 045-16-5000 roof
AND NOW , 2012, in consideration of the foregoing Petition, satisfactory p
having been presented bef re me, I IS DECREED that Letters Testamentary are hereby granted to Leisa J. Kercher in
the above estate and that e L Will and Testament dated September 22, 200nd Cod codicithe Decedent 9 2011
described in the Petition be admitted to probate and filed o~sp^d as~t ~e L~Wi1~~0.~____
of Will~s~~
BOND Required ^ YES D NO
FEES: To The Register of Wills
Please enter my appearance by my signature below:
Letters ........................... $
H105.805 REV (9/I li
•' _ ,,., LOCAL REGISTRAR'S CERTIFICATI~ONoC~F tDEATH
`~:~ ~ W(~RNING: It is illegal to duplicate this copy by p
`'.
`~- ~ ~ This is to certify that the information here given is
F correctly copied from an original Certificate of Death
ee for~s~=certifica~r e, $6
r =-= Lff duly filed with me as Local Registrar. The original
}..n.J N
.t~-~ certificate will be forwarded to the State Vital
C sit Records Office for permanent filing.
°~ Q p ~~~yL,11 J 1 2012
P 1 ~ ~~ 9 8 ~~ - Date issued
Local Fegistrar
Certification Number
c~(JryPe/Print In
Permanent
(~
~_
'.a. Residence [State or rore,g ..~v•
Id. P8 coca (county)
C,UIRIX m18T1C1
I. Ever in US A No d FQoUnknow~
Q Vas
L2. FaCher's Name (First, Middle, Las
14a. Informant's Name
Leisa KercYLer
......... ..................
it ~Daeth Occurrcd~ln a Hospital:
[] E rgancy Room/OUtpatlent
15b. Facility Name (If not Institution
l C t~
16a. tKa<d oT"vlzpos y(
Q Removal from Staten
Q Ot ` r (Spec*fy)
-- . ___ __ ,. n ~.,n~ ion (City or
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH State Flle Number: II Mo
2. Sex 3. Social Security Number 4. Date of Death (Mo/DSy/Yr) (Spa )
~) 8b. Residence (Street and Number-Include Apt No.) 8c. Did Decedent Live In a Townsnrpr **--~~n twP~
[~Ies, decedent lived In _ L"~1"W
1~5 a• Ve city/boro
8e. Residence (21p Code) Q No, decedent Ilyed within limits of i r to first marriage)
I. Marital Status at Time of Death • Widgwed 11. Surviving Spouse's Name (If wife, glue name pr o
Q Divorced Q Never Married rr Q Unkn3LVn' •w^.~_' `Nam
e Prior to First Marriage (First, Middle, Last)
Care
Q Donation
M grs_lya=i1Cl
cation -Check the box that bast describes the
d
' pan Bln - a.nva:w .~.e
19. Decedent of H s c r
~nl
e
u
s E
. Decedent
ree or level of school completed at the time of death.
C de
h Che k thee No'
ish/Hlzpanlc/LStlno.
I
S
g
ez
{
0 8th grade or less pa
s
box if decedenC is not Spanish/Hispanic/Latino.
® No diploma, 9th - 12th grade
d Q No, not Spanish/Hispanic/Latino
tl Hlgh school graduate or GED complete Q yes, Mexican, Mexican American, Chicano
Q Some college credit, but no degree Q yes, Puerto Rican
Q Associate degree (e.g. AA, AS) Q yes, Cuban
Q Bachelor's degree (e.g. BA, AB, BS)
MEd, MSW, MBA)
MEng
M5
MA
' yes, of her Spa nlsh/Hispanic/Latino
D
,
,
,
s degree (e.g.
Q Master
torate (e.g. PhD, Ed D) or Professional degree
Q D (Specify)
oc
ecedent considered himse or
. MD DDS OVM LLB JD
M1
n -Check ONLY ONE to Indicate w
ti
h
o
L. Decedent's Single Race Self-Designa
ese Q
oan
Sam
White Q Japan Q Other PaclFlC Islander
[Black or African American Q Korean Don't Know/Not Sura
Q
Q American Indian or Alaska Native Q Vietnamese
i Refused
Q
an
Q Asian Indian Q Other As
Q Natlye Hawaiian Other (Specify)
Q
Q Chinese
Q Guamanian or Cha morro
Q Filipino
23d M ST BE COMPLETED
3
" 23a. Date Pronounce Dead ~ ~ ay Yr 23 .Signature of Person Pr
a -
EM 2
Y PERSON WHO PRONOVNCES OR `7~nN Qry /'~' _. ~~~-
ssa /s5
CERTIEIea seq. ^ 24. Time of Death Yes Y
23d. Date Slgnad (MO/Day/Yr) 3 AM 23. Was Medical Examiner or Coroner Cantac[ed7
~[tnUGr'r ~7. °Z~/ ~ Approximate
CAUSE OF DEATH Interval:
sad She death. DO NOT enter terminal events such as cardiac a rest.
--diseases, In mplicatlons--Shat dir ctly cau Iin Ad additional Iinesrif necessary Onset to Oe9th
26. part 1. Enter the h I f [ T BREVIATE. Enter only one cause on a d~
respiratory arrest, or ventricular flbrlllatl without owlnB the a ology. D ~ ,r /
IMMEDIATE CAUSE -------------~ a' ue to ( r s consequ a of): ' ICIAV -_}{
(Final disease or condition ~ a
resulting In death)
b.
Sequent1a11Y list conditions, ~~~~ ~^I n ~~/~/L~ /~_/r/~/ 1~~~~
if any, leading to She cause C~ JL ..rr~~(L 1 ~~~
listed on line a. Enter the Due to (or as a consequen f)
UNDERLYINQ CAUSE
air (dlaease or Injury that
initiated the events resulting d. Due to (or as a consequence of): _
~ 27. Wa autopsY Perf ~d7
oFc in death) LAST.
t Ib ti t death but not resulting in the underlying cause given in Part 1 sQ Yez ~r'lO
26. part 11. Enter other I nlfi t dltl 28. Were autopsy findings available
- to mpiete the cause !a[h7
coQ Yes No
s 31. Ma r of D<ath
30. Did Tobacco Use ConCrlbute to Death? Jatu ral Q Homicide
29. If Fe ale: Q Q Probably Accident Q Pending Inyestigatlon
H Not pregnant within past year ~jyq Q Unknown Q Could not be determined
Q Pregnant at time of death Q Suicide Q
~' Q Not pregnant, but pregnant within 42 days of death 32. Date of Injury (MO/Day/Yr) (Spell Month)
~ Q Not pregnant, but pregnant 43 days to 1 year before death 33. Time of Injury
Q Unknown H Pregnant within the Past Vear •~ .evr Code)
_ _ _. __ _ _ ..-., and Number. City, State, Zip
36. Describe How Inlury ~rccurrv...
~_ Injury at Work 37. If Transportation Injury, Specify:
Q Ves ~ Driver/Operator Q Pedestrian
Q N Q p g Q Oth (SP ItV)
la. Certlfllr (Check only one): curved due to the cause(s) and manner stated and manner stated
Q CartlTying Physician - To the b f y know) dg d th oc ccur nd place, and due to the cause(') and due to the
Q Pronouncing 8. CertifYln6 P sic en -TO the b t o y ledge, death o red aC the time, date, a data, and p ace,
bast f -~/j{, t d/or InvesYlgation, in my opt neon, death occurred at the time,
Q Medical Examiner/Coron -O o m f(~A'~,•'}~ a~ rn ~ License Number:,/
(Jr y XXX...///\~~ Tltl f certifier
Slgnaturo of certifier: 39c. Date Signe
/~
Disposition Permit N~~r ~ ~~
zD. oecedenrs R
idered himself or he
I
the decedent cons O
Korean
kite
lack or African American Vietnamese
Q
Q American Indian or Alaska Natlye other Asian
O
Q Asian Indian Natlye Hawaiian
Q Guamanian or Chamorro
Q Chinese 0 Samoan
Q Filipino Q Other Paciflcislantler
Q Japane•.se
Q Other (Specify)
lecedent's Usual Occupation -Indicate type of wort
during most of working Ilfe. DO NOT USE RETIRED.
rJ staRld
:(s) an r
y3o~s
to/Dav/Yr)
( 20 2
Ite Mo Day r
ao / -z-
H 105-143
REV 07/2011
Codicil to
Last Will and Testament
OF
~~~
JULIE F. GALE ~~;
I, JULIE F. GALE, of the Township of Hampden, County of Cumberland,
Commonwealth of Pennsylvania, declare this to be the first Codicil to my Last Will and
Testament dated September 22, 2008.
ITEM I. I hereby revoke Paragraph B of Item VII of my Will.
ITEM II. In all other respects, I hereby ratify, confirm and republish my Last Will and
Testament dated September 22, 2008, together with this Codicil as and for my Last Will.
IN WITNESS WHEREOF, I hereunto set my hand and seal this~f~ day of
.~~>h e.. _ , 2011.
~~ - ~_~~ (SEAL)
JU F. GALE
Signed, sealed, published and declared by the above-named Testatrix, as and for her
Codicil to 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 hereunto subscribed our names as witnesses.
~i
U~t i'3
~,
:~,
L.c 3 '~~
c,n ~~?
t ' ~..j:
~~°~ ~°~
AFFIDAVIT AND ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA .
SS
COUNTY OF CUMBERLAND
We, JULIE F. GALE, ~i ~cl,,~,-r~ ~ Sfe~wr~ and~~'~~=~-- ~
the Testatrix and the witnesses, respectively, whose names are signed to the attached or oing
instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix
signed and executed the instrument as her Codicil to her Last Will and that she had 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 Codicil as
witness and that to the best of his/her knowledge the Testatrix was at that time eighteen years of
age or older, of sound mind and under no constraint or undue influence.
.~
/ ~ ~ `~ ~ i ~~1-t2~
E F. GALE
~,,.
Witne s `
Witness
Subscribed, sworn to and acknowledged before me by JULIE F. GALE, Testatrix, and
subscribed and sworn to before me by ~l c4R~-c~° ~ ~`tr~rr'` and
`~ _ r, r~ ~ ~,~ ,~ ~V witnesses, this ~ day of "~~_~, 2011.
A
CAM-.M~NW~AITH OF PEIVNSYLVANIq
Notarial Seal
S M~Reevesr.,No~-Y Pubik
My ComnNsslp~ ~,~ ~, ~~
Member. Pennsypanla A.~~ ~
Natarle,4
:444789
Last Will and Testament
OF
JULIE F. GALE
I, JULIE F. GALE, of the Township of Hampden, County of Cumberland,
Commonwealth of Pennsylvania, declare this to be my last Will and revoke any Will previously
made by me.
ITEM I. I direct that my funeral expenses be paid from the assets of my estate as soon
as practical after my decease and that my Executrix erect a suitable head stone on my grave.
ITEM II. I bequeath the sum of Twenty-Five Thousand ($25,000.00) Dollars to MARIE
MAXYMUIK if she survives me.
ITEM III. I bequeath my household goods and personal effects and other tangible
personalty of like nature to my daughter, LEISA J. KERCHER, and my grandson, ANTHONY E.
ROSSIGNOLI, to be divided among them by my Executrix in accordance with their preferences
in as nearly equal shares as is practical.
ITEM IV. I devise my real estate known and numbered as 57 Circle Drive, Hampden
Township, Cumberland County, Pennsylvania, to my Grandson, ANTHONY E. ROSSIGNOLI, if
he survives me.
ITEM V. I devise my real estate known as 105 Fairway Drive, Hampden Township,
Cumberland County, Pennsylvania, to my daughter, LEISA J. KERCHER, and my grandson,
ANTHONY E. ROSSIGNOLI, or the survivor of them, if at least one of them survives me.
ITEM VI. I devise and bequeath the residue of my estate, of whatever nature and
wherever situate, as follows:
1
•5
A. One-half thereof to my daughter, LEISA J. KERCHER, if she survives
me. If she fails to survive me, her share shall be added to and treated as a part of the
share created in Paragraph B, below.
B. One-half thereof to my grandson, ANTHONY E. ROSSIGNOLI, if he
survives me. If my grandson fails to survive me, his share shall be added to and treated
as part of the share created in Paragraph A, above.
ITEM VII. Should neither my daughter nor my grandson survive me, I make the
following disposition of my estate:
A. I bequeath the sum of Twenty-Five Thousand ($25,000.00) Dollars to my
nephew, RAYMOND WILLIAMS, if he survives me.
B. I bequeath the sum of Twenty-Five Thousand ($25,000.00) Dollars to
JOHN McGU1GGAN, if he survives me.
C. I bequeath the sum of One Hundred Thousand ($100,000.00) Dollars to
THE BLESSED VIRGIN MARY CHURCH, Centralia, Pennsylvania, in memory of the
late Peter Felix Family.
D. I bequeath the sum of One Hundred Thousand ($100,000.00) Dollars to
SAINT ANN'S BYZANTINE CATHOLIC CHURCH, Harrisburg, Pennsylvania in memory
of the late Peter and Josephine Felix Family of Centralia, Pennsylvania.
E. I devise and bequeath the residue of my estate of every nature and
wherever situate in equal shares to such of the following named persons who survive
me: NICHOLAS MAXYMUIK, MICHAEL MAXYMUIK, RONALD MAXYMUIK, MARIE
MAXYMUIK, REBECCA MAXYMUIK, ALEXA MAXYMUIK, and CHRISTINE
MAXYMUIK. It is my intent to create a class gift so that the share of any deceased
member shall augment the share of the others and if only one of the above-named
individuals survives me, that person shall receive the entire amount.
2
d
ITEM VIII. I direct that all taxes that may be assessed in consequence with my death, of
whatever n and by whatever jurisdiction imposed, shall be paid from my residuary estate
as a part of the expense of the administration of my estate.
ITEM IX. I appoint my daughter, LEISA J. KERCHER, Executrix of this my Last Will.
Should my daughter, LEISA J. KERCHER, fail to qualify or cease to act as Executrix, I appoint
my grandson, ANTHONY E. ROSSIGNOLI, Executor of this my Last Will.
ITEM X. I direct that my Executrix or her successor shall not be required to give bond
for the faithful performance of her duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and
Testament, this a2h~ day of S ;~,~b~~- 2008.
/ i
(SEAL)
LIE F. GAL
Signed, sealed, published and declared by the above-named Testatrix, as and for 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 hereunto subscribed our names as witnesses.
~~ ~,~
3
•~
AFFIDAVIT AND ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA SS
COUNTY OF CUMBERLAND
~ ~~\.,.. ,.~ Ut 5 ~u~~ - ~- and
We, JULIE F. GALE,
,~ ~ ~.}.~ / ~ ~'~' _, the Testatrix and the witnesses, respectively,
whose names are signed to the attached or 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 that she had 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 witness and that to the best of his/her knowledge
the Testatrix was at that time eighteen years of age or older, of sound mind and under no
constraint or undue influence.
J I .GALE
Witness
Witness
Subscribed, sworn to and acknowledged before me by JULIE F. GALE, Testatrix, and
(~ ~ „~A-2T _ and
subscribed and sworn to before me by ~~ C~t~r2h
~ 1.t A ~-'~-('f'Ef2l~af~" ,witnesses, this ~~ay of , 2008.
~7~ Ctc-aJ
N tary Pub
N~~Lr TH OF PENNSYLVI4NIA
Wot~tlel Seal
Nlnt Jurn Davla, Notary Public
:294506v2 ~M~901'0. Cumberland County
My Won ~s oa 31,2010
~~~, p~nneylwnl~ MaealaNefl6i NCH®!;