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Home My WebLink About02-09-12"w R@Set PETITION 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: William M. Baker File No: i~l 1 ~- ~ ~ - 1-% ~ ~ ~.L alk/a: (Assigned by Register) a/k/a: alk/a: Social Security No: 204-03-3610 Date of Death: December 28, 2011 Age at death: 91 Decedent was domiciled at death in Cumberland County, pennsX]vania (Stare) with his/her last principal residence at 302 East Coover Street, Mechanicsburt=.. PA 17055 Mechanicsburg Boroueh Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at Osteopathic Hospital, 4300 Londonderry Road, Harrisbure, PA 17105 Lower Paxton Twp . Dauphin PA Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania ............................ All personal property $ 1,000.00 If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ S~.~on.on TOTAL ESTIMATED VALUE.... $ 51.000.00 Real estate in Pennsylvania situated at: 302 East Coover Street, Mechanicsburg, PA 17055 Mechanicsburg Borough Cumberland (Attach additional sheets, if necessary.) Street address, Post Oftce and Zip Code City, Township or Borough County A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated August 4, 2005 and Codicil(s) thereto dated n/a State relevant circumstances (eg. renunciation, death of executor, etc.) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a parry to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did not have a child born or 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) c.t.a., d.b.n., d.b.n.c.t.a., pendente life, durante absentia, durante minoritate If Administration, c.t.a. or d.b.n.c.t+a., enter date of Will in Section A above aad complete list of heirs. Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS Q 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 additional sheets, if necessary): ~7 ~ Name Relationshi Address ?~ r'' t~ ~~ t'tl r;',•, .z7 ~ r-- Cv ~`cn~ ~L7 _ "~ ;~ Y~ ~ ~" ~ °' `F 4~ Form RW-02 rev. ioil~i2on Page I of 2 "~ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } } SS: } ~. ... - •'~ 40l2F~E6-9 PFD 104 Petitioner(s) Printed Name Petitioner(s) Printed Addre ~ Ronald L. Baker 302 East Coover Street Mechanicsbur PA 1 n s. ~'~~~ T ., 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 Petitioner(s) and that, as Personal Representative(s) of the Decedent, the ~titioner(s) will we an truly administer the estate according to law. Sworn to or affirmed and subscribed before ~ ~ Date met ' _ ~da;~ of ~ o~(~ ~ Date 1?y: Date or the Register Date BOND Required: Q YES ~ NO To the Register of Wills: F~Ei Ii,g• Please enter my appearance by my signature below: Letters ...................... $ 135. Cfn ( ,~ )Short Certificate(s)...... ~U . UC1 ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other u)111 ....... 15.OU Automation Fee ........ ....... ~ JCS Fee .............. ....... TOTAL .............. ....... $ ~ v Attorney Signature: r ~Z~~- Printed Name: Keith O. Brenneman Supreme Court ID Number: 47077 Firm Name: Snelbaker & Brenneman, P. C. Address: 44 West Main Street MechanicshurgpA 1'7055 Phone: Fax: Email: 717-697-8528 717-697-7581 DECREE OF THE REGISTER Estate of William M. Baker File No: ~ ~ ~ c~ " ~ ~ 1 ~ a/k/a: AND NOW, ~~~ ~(~_~~ , ~U i a , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Ronald L. Baker in the above estate and (if applicable) that the instrument(s) dated August 4, 2005 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. Form RW-02 rev. 10/11/2011 egister of Wills .~ -F~- L~-~~SC C~.r-,P Page 2 of 2 HIOS.ROS REV rp Vrt7~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 17927904 Certification Number 13 qEV 112006 'E 1 PgMiT MV =Rk1ANENi HACK INK COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH ($e0 Instructions and examples on reverse) STATE FII. F NUMRER 1. Nara d Dewderp (FIrR nadM, bd, soak) 2. Sea 3. Sodel SawrNy Nprter I. Date d Death (Morph, M. Y••rl ~ " ' 2 Z O 1 ~jak ~-~' M 204 - 03 -361 0 ~~~~~e~ (\1~ cam M W 5. Age (teal eMdYYI Iktde 1 r lklda t B. Drs d BIM 7, end side a Ba. Pbw d Deets Check one Mawre D•Y• Nona Mrebe Hospital: Ottrer: Y~ u l y 2 , 1 9 2 0 e c hen i c s bur g , PA l~lnpetianl ^ ER / Ou~elbd ^ DOA ^ Nurshg Fbme ^ gesioence ^ Otlrer - SpacNy m. Count' d l3erh &. Ciy, Boo, Twp. d Deatll ed. FedNy Name (M rnt kreNMlon, ghe erred aria Warta) 9. was Dewder d Nispenk Origb? No ^ Yes 10. Raw: AllpliCal klden, aleck. Wtrpe, ek. Dauphin Lower Paxton Osteopathic Hospital (w,~c~~,~) wh to 77. Dscedea'e IAuld d work d one mod d Ab. Do not dab 12. Wee Decedent ever h ep 13. Decedent's Educetbn (Seedy ody hlphea grass carpp eba) 71. Meld Sows: Memea, Never Mamad, 75. Surwvirg Spo use (M wile, 9h'a npiden nenp) gMdWek lcinddawinaea(kWrry salesman paper company U.S. Amad raraea? ye, ^ No Ebrtlry, $emrldery (P72) '1I LL 2Colbge (14 a 5+) 1dOWed fspadr» 1n. Decaded's MaWrq Addwas (saved, tlYy I town, sbte, zip code) s Did Decedent Stde Penns 1 V a n 1 a LNe Ina t?c. ^ vas oewderlc Liven in Twp. Actual Residence 17a 302 E. Coover St. , . Cumberland T"'"'~i1p7 ne.f~ploDecedemuetlwNnh Mechanicsbur PA 17055 t'"'0oa"'' Aaivei umiLyd cXyymro 18. Esthete Name (First, npdda, bsL eunal Harry B. Baker l9. ark a'"~":~°k~ur nett 20e. {rpmlrenYs Noma (Type, Pnnn .Ronald L. Baker 20b. bfomed's Menrg Address (street, dN / tovm, date, rip cotle) 352 Goffstown, Dillsburg,PA 17019 21a. McMlod d Dlspmitbn r Mon ^ pa,,,ym 216. Deb d Dlspaeitlan (Morph, day, year) 27c. Rase of DlspasMon (Nana d wmebry, cremerory a otlta place) 21tl. Lxetlm (City/town, sole, rip Dods) 1 7 O 6 5 adel ^ gennvdMOmsbb ~ ,/ ^ Dec.30,2011 Hollinger Crematory s rin Holl S Mt ^ « Yr^~ 1d + g , y p . ~ d F e Uwnsee (a person as euchl /lt-,dra ~'------ 22 b. Ucaoa Number FD-013163-L 22c. Nare aa1 Addass d Fadlly Musselman FH&CS,324 Hummel Ave.,Lemoyne,PA17043 b Nara 23e-c any den cabYn9 23a To ea best d my kmvpetlge, dash ocasred et the rime, deb end pbw stated. (Signetae end tpb) 23b. Uwnse Number 23c. Dale Sigad (MonM~, day, yew phyaden b rid evakhb d tlme d death ro wMY cause d deeUr. Mare 2426 mlpt he aonpbbd by person 2/. Tkne d Omer 20. Deb Prarwmed Dead (Alonlh, day, year) ' 2ti. Was Case Retern~e6d b Medmel Eaeminar I Carona to a Reason Oepr Nan Cremelian a Donebont ^ . who Proriolelaea deaM. Q ~ I d G M. Z ~ Z D t >, ~ C C c fyl,b~.c~ Yes L~ No CAUSE OF DEATH (Sea hubuctbns and sttampNe) r Approxkneb Interval: Item 27. Pell: Filler the doh d evaas - daeeaes, lnpaba, or wngewlions - tlld dreary caused the death. W NOT eder bnteral evwnb such as cardiac arrest. ~ Onset ro Death Pen II: Eder oMpr ' but not resuPong in the uMeayirg reuse gaen in Part I. 2B. Did Tobewo llr CordrbrAe b Death? ^ Yes ^ Probffip raepkdory errer, a venlrklla 06rlTatlorr wt0bin showilg the e0olo0-. Ur spy one woes m each Iha. r ^ No ^ lhpmam i NNkEdATE AUSE dbeeee or dtl h ~ p O 29.11 Female: aan m ) _~ a . d ; ^ Nd re nant whin ad ae Due to (a es a dj: ~ ' ~toonamna.Naly, 6. R~~`~~ 1~ow~/e~rb,-~~,t~.g e.~\\~~~'c~. ~ s - p g p y ^Raa~n+dmaaaedn ^ ~ i ro carpe Arad m is e. Eder UNDERLYMG CAUSE Due to (a u a coreequence on: r Hd pregad, lap pregnant wirih ~ days d d~ (Disease a Hw Md kdtleled the ' ~ ' l m t ^ Nd t b [ m 13 d evaea reapwy n deft) UST. Duero (a as a conseapme oy: year pegwi . u prepie ays haters death d. ^ Ursaowrl N pregred w;Mr, Ma peat yea 30a. Wee en Aukgsy 30b. Were Aubpey Fnwge 31. Mama d DeeN 32e. Date d Irdury (MOrM, tley, year) 32b. Deacphe Fbw InMlry OccunM 32c. Plow d trjtxy home. Farm. SlreA, FadaY, Perbmed? Av~Nle Pew 1o CmlgeMOn d Cape d Deets? ~j „ ro~ ^ r<.ane OtNw BuNdnq, dc. (Speciy/ ~,( ^ Yes 124eNa ^ Yea ^ No ^ AttitleM ^ Ped^9 kneetlpe6on 32a. Time d MNaY 32e. injury et Work? 32I. M Trawporbtbn IrNUry (SPeaYy) ^ DriverlO eator ^ Passa e ^ Pabsmen 329. Lownon d'mlury lStreeL its I ben. sbb) ^ Sddde ^ Could Nd be Odemrrled M ^ ~ ^ Yes p g ' Other- Speo y 33e. CertlMer (deck ady owl 33b. Signewre ant Cenlfier ~ ~ • eedykag ptryekitn (PtryMebn wMtybg aeons d aeagl when ararie ptrysoen rise prelwaed deem ertl aanpNled Mem 23) TolhelterdmYknowbdne. deanr oeaned dtwrolM teebs(e)antl manner ae etded_________________________________ ^ C ~ i r ~ - Proleundnp end prIMYMW OMYrcM (Phyddar bent pranaetdtg dMlh and wMykg b saps d darh) 3x. ltwnsa Number 33d. Dde Sippd (MOrM, rtt'. Y•a) Totlrbatrnrybtowbdga,deelhaaunedrtMrims.era,mdpkrw, madueromeaaur(a).nanannernadea----------- ® • ktedkr EomkarlCorone ------ OSJ10( O~l L ~eceTSla~r,{ 2. `6 201\ Ontlabeebdemmtnrbnard)or tnvatlpatlm,hnry appnbn, deeW Oxumarna tlnte,Gb, end pbce, and duerothe aaue.(el and msnlargetetad_ ^ 34. NemeaM Addesed Pepm Who Canpleled D8laed Oeetll (Mem 27J Type/Print a. Regrrere sgaoae Norte ,~ ~ a ~ . ~ I I I I I I 3s Dab ( dri, YeeO / y'JO'n L 7r-ic~» C3°m.( f'` ' ~ M . /'/ /~70%70 / 1- orY ts'atr PA 1~ ~ ° ~ This is to certify that the information here given is correctly copied from an original Certificate of DeaCh dul3~ filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. ~~~` ~ ~ ~~C 3 ~ Zd~~ Local Registrar Date Issued r.,, _~ 0 ^' ~ ~i ~ r~ ~ T~J {~- W t . m I i r ~~x ~ 7~ ..~QO ~ - -~t~ L~ DePwitim PemM No. ~ b r b / 6 ~'7 - _ LAST WILL AND TESTAMENT of WILLIAM M. BAKER I, WILLIAM M. BAKER, of the Borough of Mechanicsburg, County of Cumberland and State of Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all former wills, codicils and other testamentary dispositions by me at any time heretofore made. 1. I direct my Executor, hereinafter named, to pay as soon as practicable after my decease all my legally enforceable debts and the expenses of my last illness and burial. 2. I give, devise and bequeath all of my estate, whatsoever and wheresoever situate, unto my unto my sons, William M. Baker, II and Ronald L. Baker, equally, share and share alike. 3. I appoint my son, Ronald L. Baker, Executor of this my Last Will and Testament. If Ronald L. Baker fails to qualify or ceases to act as Executor, then and in his stead I appoint my son, William M. Baker, II, Executor of this my Last Will. 4. I direct that my personal representative, and his successor, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, WILLIAM M. BAKER, the Testator, have hereu~nlto set my hand and seal to this my Last Will and Testament on this "~ ~ day of /~u t~~i~~- , 2005. _ ~ ~ F WILLIAM M. BAKER `~' ~ ~'" m ~'% '' ~ ~ ~y; ~~ ~ -' ~; ~ = ~ sT D .. y ~ ~ C7 ~f `r~ 1 Signed, sealed, published and declared by the above named WILLIAM M. BAKER, as and for his Last Will and Testament in the presence of us, who, at his request and in his presence and in the presence of each other, have hereunto subscribed our names as witnesses thereto. Witness .~~~ Witness COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. I, WILIAM M. BAKER, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will, that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn to and acknowledged before me by WILLIAM M. BAKER, the Testator, this ~*~`- day of ~ 7- , 2005. ~~~ ~' {SEAL) Notary Public COMMONWEALTH OF PENNSYLVANIA Notarial Seal Dawn S. Sunday, Notary Public Mechanicsburg Bono, Cumberland County MY Commission Expires Oct. 1, 2008 Member Pennsylvania Association Of Notaries 2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. We, William L. Sunday and and Elizabeth Batoha, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator, WILLIAM M. BAKER, sign and execute the instrument as his Last Will, that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed, that each of us in the hearing and sight of the Testator, signed the Will as witnesses, and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to and subscribed before me by William L. Sunday and Elizabeth Batoha, witnesses, this yam- day of /'4y~r,~„~ , 2005. v Witness Witness Notary Public ~OMMUNWEALTH OF PENNSYLVANIA Ndtarial Seal Dawn S. Sunday, Notary Public Mechanicsburg Born, Cumberland County My Commission Expires Oct. 1, 2008 +Aember Pennsylvania Association Of Notaries 3