HomeMy WebLinkAbout02-03-12PETITION 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
Name: J. DOROTHY ANGNEY File No: 21-12- r ~%'~
Ewa' (Assigned by Register)
a/k/a:
~~a' Social Security No: 174050882
Date of Death: 12/23/11 Age at death: 95
Decedent was domiciled at death in Cumberland County
Pennsylvania
,
principal residence at 442 Walnut Bottom Road Carlisle Borou h - (State) with his/her last
Street address, Post Office and Zip Code
City, Township or Borough Cumberland
Decedent died at 442 Walnut Bottom Road County
Carlisle Borou h
Street address, Post Office and Zip Code
City, Township or Borough
Cumberland PA
Estimate of value of decedent's property at death: County State
If domiciled in Pennsylvania ................................All personal property
If not domiciled in Pennsylvania
~
2.300.00
.............................Personal roe to Pennsylvania $
P P rty
_
If not domiciled in Pennsylvania
.............................Personal property in County $
Value of real estate in Pennsylvania ...........
.........
.......................................... $
0 00
TOTAL ESTIMATED VALUE.... $ 2 300.00
Real estate in Pennsylvania situated at:
(Attach additional sheets, ifnecessary.) Street address, Poet Office and Zip Code
CiTy, Township or Borough
County
® A. Petition for Probate and Grant of Letters Testamentar
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated 7/14/99
thereto dated NOne and Codicil(s)
M&T Bank formed known as Ke stone Financial Bank N.A. has renounced its ri ht to administer this Estate
State relevant circumstances (e.g. renunciation, death of executor, e[c.)
Except as follows: afrer the execution of the instrument(s) offered for probate Decedent did not many, was not divorced,
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did nod
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
® NO EXCEPTIONS ^ EXCEPTIONS
® B. Petition for Grant of Letters of Administration (If applicable) cta
c.t.a., d.b.n., d. b. n. c. t. a., pendente life,
If Administration, c.Ga. or d.b.n.c.>7a., enter date of Will in Section A ahnvP ar,.~ ,.n,,,..
not a party tp~`pending
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Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as d'8flhed
in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ""`
® NO EXCEPTIONS ^ EXCEPTIONS _
Petitioner(s), afrer a proper search has/have ascertained that Decedent lefr no Will and was survived by the following spouse (if any) and heirs (attach
additional sheets, if necessary):
,,,c rc,monetts) 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 Decedgnt, the Petitio r(s),will w I and truly administer the estate according to law.
Sworn to or affirmed and subscribed before ~ ~,\ ~~
me t~s . ~~~'si ~
da of ,. ~ ,, , ~~ -~ Date x 3 Z _
~~
By. (~y-~i. ~ ~=t# ~ ~. ~ L ~ Y 1 r ;~~'~ Date
For the Register ' ~ _ Date
Date
BOND Required: DYES ®NO
FEES:
Letters .................... +/' r ,.t
... $ ~)~+. (`( ,
( ~ )Short Certificates(s) . ..... _~ . (~`~(/'
( ~ )Renunciation(s) ...... .... ~ ~ ~~
( )Codicil(s) .......... ... .
( )Affidavit(s) ......... ... .
Bond ..................... ....
Commission ................ ... .
Other . .
~~ is .....
C I1 1t .hr~'~ ..... . `~ -5 ~~-,
.... ~~.l.t~~~
To the Register ojWills:
Please enter my appearance by my signature below:
Attorney Signature:
'~ j 1 ~~
J ~-x~~~~
Printed Name: No V. Otto III
Supreme Court
ID Number: 27763
Firm Name: Martson Law Offices
Address: 10 East High Street
Phone
......... Fax:
Automation Fee ................ .
JCS Fee ........ Email:
...............
TOTAL ......................$ ~~~ • SL,
Carlisle PA 17013
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DECREE OF THE REGISTER ' ~~ ~~ '~ - - ~ -~
J~_ ~ ~~-
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Estate of J. DOROTHY ANGNEY - v "-' .. . _:. m
a/k/a: File No: 21-12- !-~ D ~~ a
....
AND NOW, '~,1' ~l ~~ . ~...
` ~ 2012 , in consideration of the foregoing Petition,
satisfactory proof having be presented before 'e, IT IS DECREED that Letters of Administration c t.a.
are hereby granted to No V. Otto III
the instrument(s) dated July 14, 1999 in the above estaie and (if applicable) that
described in the Petition be admitted to probate and filed of record as the last Will (and Codicils}) of i%ecedent.
,~ ~~ f /
Register of Wills
Form RW-02 rev. 10/11/1011 ~'--¢_ i 4' ! p r t •!-~ ~ .2..
/ ~ Page 2 of ~
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443 REV 11/2006 `~
'PE /PRIM IN COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH .VITAL RECORDS ~ ~
ERMANEM
BLACK INK CERTIFICATE OF DEATH ..~
(See instructions and examples on reverse)
i. Name of Decedent (first, middle, last sWfix) STATE FILE NUMBER
J. Dorothy Angney 2. sax 3. Social Searnry Number
4. Date of Death (Month, day, year)
6. Age (Lag Birthday) under 1 ar under 1 tl 6. Data of Birth Month, da , ar Female 174 - 05 - 0882 December 23,
95 MonMs Days Hours Minuses 7. Birth lace C' and stele of fora coon ga. Pkce of Death 2011
April 20, 1916 `~`°° °"~
rrs. Harrisburg, pA Hospital: Other:
\ - Bb. Colmry or Death Bc. City, Boro, Twp, of Death ^ Inpadanl ^ ER / Ou~atient ^ DOA
I Cumberland gd. Facility Name (II not insfitWon, give greet and number) Nursing Homo ^ Residence ^ pryer - Spegly
Carlisle Thornwald Home s. waa Dapdam °r Hiepenk origin? ~]
(If yes, speciy Cuban, `~Y No ^ Yes 10. Race: American Imtien, Black, White, etc.
1 11. Decedent's Usual Occ lion KirM of work Bona Burin most of fde. Do not state retl 12. Was DecetleM ever in the 13. DecedanYs Eduption 5 Mexican, Puerto Rican, etc,) (~~
Kintl of Work Kind of Business/Industry U.S. Armed Forces? (PedfY o^ry highest grade pmplated) 14. Marital Status: Monied, Never Marred, 15. Surviving Spouse White
Elementary /Secondary (0-12) College (1-4 or 5+) wMOwed, Divorced (SpedryJ (h wde, gNe maitlen name)
• 16. Decedent's Mailing Address (Street city /town, state, ap code) ^ Yes No
442 Walnut Bottom Road Decedents PA
Actual Residence 17a. State Ditl Decedent
\ ~ Carlisle, PA 17013 ~'~'" a 17c. ^ Yes, Decedem Lived in
176. County C'_l mrl'lorl anc3 Township?
17d. No, Decadent Lived within Tom'
t8. Father's Name (First, middle, last, sulfiz) Actual LimAS of -~ ~ 7
tall l lam H. Angney 19. Mothers Name (First middle, maiden surname) City/ Bom
20a. Infom~am's Name (Type /Print) Marie J . ~ Ut11CTlOwl1 ~
Iv0 20b. Infom~ant's Mailing Atltlress (SIreeL city /town, sure, zip code)
Otto III
21a. Method of Disposition , 10 E. Hi h Street, Carlisle, PA 17013
^ Crematbn ^ Donation 21b. Dale d DisPOStlbn (MOnM, day, year) 21 c. Place M Di
Burial ^ Removal from State ~ W„ C,a,r,Mkn or Donetlon Aulhalaed sposdion (Name of cemetery, cremehry or odrer place)
Dec. 30, 2011 Westminster Cemetery 2,d. Locaaon (DM/~"'~ Ala' ~ `°~)
_ Dinar-s r ~rM•ael~.miner/~~? ^ yab^ No Carlisle, PA 17013
229. Signature Fu ~ Service Lice actin as such)
226' Lcense Number 22c. Name and Address of Faciliy
138504 Hoffman-Roth Funeral Home & Cremato
Comphre items 23ac Doty when 'rig 23a. 7o the best d my M o¢u Me tlme, date d shat 'nature and gtle)
physican h not available g time of deaU re 236. Lkensa Number
prdfy pose of deeN. /,/ ~ 23c. Date gignatl ( try, day, year)
~ Items 24-26 mug be completed by person 24. Time of DeaM 5. Date Pronounced Deatl (Month, day, year) ~ GG ~ ~7~~ /
who pronounces tleafh. > 26. Wes Case Relemed h Medical Examiner / Corarer hr a Rea
/~ M. ~,~~ r ~ ^ Yes p{ Ottrer Crematlon or Donation?
CAUSE OF DEATH (See inetruetlons end examples) ~a No
\ earn 27. Pad I: Erder the chain of events -diseases, injuries, or compliplions - Thal dreclly causetl the death. DO NOT enter terminal events such as prdiac arrest, ' Apr°zimale inlervel: Ped II: EMar olMr '
respiratory aneg, or vemrkular fibrillation without showing me edokgy. List only one pose m each Ime. ' Onset to Death but rpt resu6ing in Me uMen ' 2g. Did Tobacp Use Contnbure to Deatl~?
i ymg puss grtren in Pan I. ^ yes ^ pr°6ebly
IMMEDIATE CADSE (Final disease or ~ I
J condidon resultlng in death) / u ~ ^ e -/ . /C T/ / ~ 1 ~ ^ No ^ Unknown
Due to (a az a conseque 29. If Female:
Saaoduregnfielllyhag cendiliona, K an , b.
Eller Me°UNDEHLYING CAUSE a Due to (or as a ~d~L MM /V.Qf ~' ~ v `( Q~ i ^ Nol Pre9nent wilhln pest year
(disease or cryury that inkiared Me C0n9BQce"ce op' i ^ Pregnant of Moe of death
events resuhhg in death) LAST. c ~ ^ Not pregnant, but pre~ant wimin 42 days
Due to (or as a consequence oq: r of Beall
~ ^ Not
d' ~ Pra9nam, but pregnant 43 days to 1 year
30a. Was en Autopsy 30b. Ware Autopsy Findings 31. Manrrer of Death ' before death
- Pedormad? 32a. Dare of l ~ ^ Unkrrown N Pregnant vddiin Ma peg year
Available Prior to Compregon Mary (Monk, tlay, Year) 32b. Describe How Injury Occurred
of Cause of Death? ~iNaNral ^ Homicide 32c. Place of Injury: Home, Farm, Sheet Factory,
Office Building, ek. (SperyryJ
^ Yes No ^ yes ^ No ^ Accident ^ Panting Imesligatbn 32tl. Time of Injury 32a. Injury et Work? 321. If Trensporhtion Injury (Spaci/yJ
32g. Loptkn of injury (Street ^tlY /town, state)
Sukide ^ Count Not ba Deremuned M ^ Yes ^ No ^ Odver/Operator ^ Passenger ^ pedas6ian
33a. Certifier (check ony orre) Odrer - Speclyy:
TCen~ I~phyaklen (Physicren certilymg pose of dpM when aradrer physician ryes pronounced death aritl cmnplahd Item 23) 33h. Signature and Title of Certifier
my larowledge, death acurred due to the eeuee(s) ell manner M eteted_ _ _ _ ~ ~ ~ Lxildl
• Tp ~ ~ amd anlMng physkhn (Physician holh Pronouncing Beall ant cert6ying to puss of daalh) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~I =J
my knawMdge, deem occurred el tM tlme, dent, ant 33c. License Number 33d. Doh Signed (Month, day, year)
• MstlIpll6umMer/Coroner p4a,eM due tolMaues(e)end manner ee etafW_-----------' -^ ~~~^031
On Me bank of examinedonend /or imeellgetfon, In my ophlon, death aaurred et lM time, Bete, and pleas, end due to tM uuee(e) and manner se eteted_ ^ ` / ~~ ~~ - ~l
34. Name end Address of Person Who Compkletl Cause of Death (Item 27) Type /pool
36. RegishaYS Bend Di 'q Na~1 ~ C f e ~ Q ,, -- `
~~, i `1 I I I .y ~ 1 I n I 3fi. Date Filed (Alomh, day, year) r`~^~+^ ~Z
R LAS a[ , I to S ~! Cs~t P,~ ~ 701
Dispaston Parma No. ~, f Qgl
F.\FILES\DATAFILE\WILLS\9904. WIL
LAST WILL AND TESTAMENT
I, J. DOROTHY ANGNEY, of the Borough of Carlisle, Cumberland County, Pennsylvania,
being of sound and disposing mind and memory, do hereby make, publish and declare this to be my
Last Will and Testament, hereby revoking any and all former Wills or Codicils by me made.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all inheritance taxes (whether such taxes may be payable by my estate or by any recipient of any
property) shall be paid from my residuary estate as soon as practicable after my decease and as part
of the administration of my estate. My Executor shall have no duty or obligation to obtain
~,
reimbursement for any such tax so paid, even though on proceeds of insurance or otter ro ert r ~.
=9 c~ p ~°t --
passing under this Will. ~. x, -I, -, ; ; ;
~'~ ~~ fT7 _: i '~_.
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2. -rti ~ ~ ~ ~ ~ , r.
I give the sum of Five Thousand Dollars ($5,000.00) unto EVELYN KELLE:~ £~IG ~v, _"' r
of 39 East North Street, Carlisle, Pennsylvania. This legacy shall lapse if she shall.- re2iecease lne ...~ ` J
or if my net estate, after a -T,
p yment of all administration expenses, debts and death taxes, shall be
insufficient to pay same.
3.
All the rest, residue and remainder of my estate, both real and personal property, I give,
devise and bequeath in the following manner:
Fifty percent (50%) thereof unto FIRST UNITED CHURCH OF CHRIST, North Pitt Street,
Carlisle, Pennsylvania, 17013;
Twenty-five percent (25%) thereof unto THORNWALD HOME, Walnut Bottom Road,
Carlisle, Pennsylvania, 17013; and
Twenty-five percent (25%) thereof unto SARAH A. TODD MEMORIAL HOME, West
South Street, Carlisle, Pennsylvania, 17013.
The shares of THORNWALD HOME and SARAH A. TODD MEMORIAL HOME shall
be used solely at the Carlisle, Pennsylvania, facilities.
Page 1 of 3 Pages
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J.D.A.
4.
I nominate, constitute and appoint KEYSTONE FINANCIAL BANK, N.A. of Carlisle,
Pennsylvania, as Executor of my estate, and I direct that my Executor shall not be required to file
a bond to secure the faithful performance of its duties in any jurisdiction.
5.
I authorize and empower my Executor, in its sole and absolute discretion, to purchase or
otherwise acquire and retain any investments of which I die seized or any real or personal property
of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in
regard to any or all property of any kind forming a part of my estate for such terms and such prices
as it may deem advisable; to borrow money for any purposes connected with the protection and
preservation of my estate; to mortgage or pledge any real or personal property forming a part of my
estate or to join in or secure the partition of same; to compromise any claims or demands of my
estate against others or of others against my estate; to make distribution in kind and to cause any
share to be composed of cash, property or undivided fractional shares in property different in kind
from any other share; to employ agents, attorneys and proxies and to delegate to them such power
as my Executor considers desirable and to pay reasonable compensation for such services as may
be rendered by such agents, attorneys and proxies; and to execute and deliver such instruments as
maybe necessary to carry out any of these powers. In addition, I direct that my Executor shall have
the power to conduct an inventory of any safe deposit box necessary to the administration of my
estate.
IN WITNESS WHEREOF I have hereunto set my hand and seal this ~'4' ~ day of
~`~~~ , 1999.
,.~;, ~ z~~-t`"-tom , . l ~c c ,-n~' L (SEAL)
J. orothy Angn
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, have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testatrix and of each other.
`, _
~, - __ ,
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Page 2 of 3 Pages
COMMONWEALTH OF PENNSYLVANIA ~
COUNTY OF CUMBERLAND ~ SS.
I, J. Dorothy Angney, Testatrix, whose name is signed to the attached or fore oin
instrument, having been duly qualified according to law, do hereby acknowledge that I si ned g
executed the instrument as my Last Will; that I si ed it willin 1 and that I si ed it as m gfree and
voluntary act for the purposes therein expressed g Y, ~ y
J. Dorothy Angn'y ` _
'~,~ Sworn or affirmed to and acknowledged before me by J. Dorothy Angney, the Testatrix, this
day of ~ , 1999.
Notary Public
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
N07ARIAl SEAL
COAAINE L. MYERS, Public
Carlisle Bore, ~!y
SS. M~-nmission E ~ " es M 27, 2003
We, ~Ct~~~lnc ~ ~~ and
the witnesses whose names are signed to the attached or foregoing instrument, bein d~
according to law, do depose and say that we were present and saw J. Doroth ~ g y qualified
sign and execute the instrument as her Last Will; that the Testatrix signed willginglytand thattthe
Testatrix executed it as her free and voluntary act for the
us, in the hearing and sight of the Testatrix si purposes therein expressed; that each of
knowledge the Testatrix was at that time 18 r mor vyears of age,sof~sound mindthe best of our
constraint or undue influence. and under no
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G~ r~i J /e F ~ ~C7/_~~
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Address ~ - ~%'
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Sworn or affirmed to and subscribed before me this ~
day of _ , 1999.
1
Notary Public
NOTARIAL SEAL
CORRINE L. MYERS, Noterry~ Public
Page 3 of 3 Pages Carlisle 8oro, Cumbertarw~C
Commission Ex ' es M 27,
RENUNCIATION ~ ~..r=
~ -.,
REGISTER OF WILLS ~' c~
~
~
CUMBERLAND COUNTY
PENNSYLVANIA ~
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--'n
Estate of J. DOROTHY ANGNEY
Deceased
I, JANE BURKE a Vice President of M&T Bank f/k/a Ke stone Financial Bank , in my capacity/relationship as
(Print Name)
a representative of M&T Bank named Executor under the Will of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
I~ V. OTTO III. ESOUIRF
r
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
~~, L- ~~
(Signal e)
ONE WEST HIGH STREET
(Street Address)
CARLISLE PA 17013
(City, State, Zip)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
pu ses stated within on this ~ ~ day
of~G'~ , for ,
(~ C~e:~ .,~~ c2./1
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. !0. /3.06