HomeMy WebLinkAbout02-03-12PETITION FOR PROBATE 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::
Estate of JEAN O. SHANDELMIER
File No.~ ~~ ~~ ' ~ ~,~02
Deceased Social Security No. 198-24-1653
Age at Death: 85
Date of Death: JANUARY 13.2012
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with her last family or principal residence at
street, address, town/city, county, state,
Decedent died at Hosoice Residence. Harrisburg. PA 17'110 Harrisburg. Dauphin County. PA
List street, address, Post Otfice and zip rnde city, township or Borough County State,
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal properly .....................................................................$ 60.000.00
(If not domiciled in PA) Personal property in Pennsylvania ........................_...........$
(If not domiciled in PA) Personal property in County ....................................................$
Value of real estate in Pennsylvania .........................................................._..........................................................$ 119.600.00
Total ..............................................................................._........................ $ 179.600.00
Real Estate situated as follows: 130 Hummel Avenue. Lemovne. 17043 Lemoyne Borough Cumberland County. PA
(attach8 additions/sheets ifnecessery) Street address, Post Otflce and Zip Code Clty, Township or Borough County, State
Q A. Petition for Probate and Grant of Letters Testamentary
Petitioner avers she is the F~tecutrix named in the Last Will of the Decedent, dated June 16. 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 nRtdivorced, and
was not a party to a pending divorce proceeding at the time of death wherein grounds for divot ' has been$tablish as
defined in 23 Pa.C.S.A. § 3323(8) and did not have'a child born or adopted and the Decedent.t~ether ~ vices p
killing and was never adjudicated an incapacitated person r., rn
0 NO EXCEPTIONS ^ EXCEPTIONS
t:5~ _
^ B. Petition for Grant of Letters of Administration (If applicable) ~ " r
enter: c.t.a.; d.b.n.c.t.a.; pendent elite;
If Administration, c.t.a. or d.b.n.at.a.,
Except as follows: Decedent was not a party to a pending divorce proceeding at the time of death wherein grounds for
divorce has been established as defined in 23 Pa.C.S.A. § 3323(8) and was neither a victim of a killing and was never
adjudicated an incapacitated person
^ NO EXCEPTIONS ^ EXCEPTIONS
Petitioner, after a proper search, has ascertained that Decedent left no Will and was survived by the following spouse (if
any) and heirs (attached additional sheets, if necessary)
Name Relationshi Residence
OATH OF PERSONAL REPRESENTATIVE ,
p r~FK;E t~
COMMONWEALTH OF PENNSYLVANIA __ ... ~,-~-
COUNTY OF CUMBERLAND
2412 FEB -3 Ftt 12~ 3y
Petitioner's Printed Name Petitioner's Printed Address
• SUSAN ANN LINDSEY {~ (~„ PA
935 Old Quaker Road
Etters, PA 17319
The Petitioner above-named swears or affirms that the statements in the foregoing Petition are true and correct to the best
of the knowledge and belief of Petitioner and that, as persona l representative of the Decedent, Petitioner will well and truly
administer the estate according to law.
Sworn to and affirmed and subscribed A_~a .a..,,.. Qn~.
Befo a me this ~~ day of SUSAN ANN LINDSEY
,, ._ _ 2012.
BOND Required
FEES:
Letters ...........................
{ Short Certificate(s)
{ }Renunciation ..............
{ )Codicil(s)
{ )Affidavit(s) ..................
Bond
Commission
Ot~,~
Automation
JCP Fee .......................
TOTAL.........
^ YES ®NO
$ /l~ , ~'
$ -
$ -
To The Register of Wi//s
Please enter my appearance by my signature below:
Attorney Signature:
.~~
Printed Name: EDMUND G. MYERS
Supreme Court
I.D. No: 20558
Firm Name: Johnson. Duffle. Stewart & Weidner,
Address: 301 Market Street. P.O. Box
Lemoyne. PA 17043
Phone: 717-761-4540
Fax: 717-761-3015
Email: EGMta'~idsw.com
DECREE TO THE REGISTER
Estate of JEAN O. SHANDELMIER .Deceased. File No.
Social Security No: 198-24-1653 Date of Death: January 13. 2012
AND NOW, I , 2012, in consideration of the foregoing Petition, satisfactory proof
having been presented before m T IS DECREED that Letters Testamentary are hereby granted to SUSAN ANN
LINDSEY in the above estate and that the instrument dated June 16. 2011 described in the Petition be admitted to
probate and filed of record as the Last Will of the Decedent.
v~n<4n~oop ion l~
LOC ~;~i'S CERTIFICATION OF DEATH
WAR duplicate this copy by photostat or photograph.
i ~ ~11 ~
Fee for this certificate, $6.00
P 18159753
Certification Number
Typ./Pene In
Permanent
Qf
V~I
a
2DI2 FEB -3 PM IZ= 3rd- This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
(~~(~ certificate will be forwarded to the State Vital
's (T Records Office for permanent filing.
q~i~~' co;. a~ ~ a
Local Registrar Date Issued
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF NEALTN VRAL RECORDS
rCOTa CarATC r\C FIGATY
1. Deudant's •Ea Nama alrst, Middle, Last, SuMK) 2. 3aK 3. Soclal 3KUrlty Numbar~ eq. DKe of DRKh (MO ay r) Spell Mq)
Jean O_ Shandglmier £gmal 798-24_7653 Jan.73 2072
Sa. AEe-feet BlKhdw (Yraj 3b. UnWr 1 Year Sc. Under 1 Da 6. Data of BIKh (MO/Day/YaRr) (Spell Men<h) >a. BlKhplaca Olry end 3NN or FeralEn Country)
8 5 Moneha pwa HOYrs MlnuNn Nov . 3 O. , 7 9 2 6
>b. EIKhp4ca (cqunry) um 6r
6a. RaslGaDea (3NN or F En Country Eb. Rasldanea (StraK and Num er- IncNtle Apt Ne.) Ec. Ditl Dsutlen< Llva In a Tewnship>
YY AA 3 O
Humm@ 1 AVE3 . OYO, dawdant lived In
emoyng
PA lY.p
.
,
s .a ..Pe Cgpnay)
limb@r~ and
L
M. R-Idenu (Zip COtlU o, eacadent Ilyae wltNn Ilmlts of
emoyne cw/bOro
9. Ewr In U3 A rcpa> 10. M tatue ae Tlme of DeetM1 MKtIW WI owe 11. SurvlvlnE Spoute's Name (It Wlfe, Slw name prlOr to rat merrlaE.)
Q
Yes o ~ Unknown Ivorced ~ Newr Mamlad ~ Unknown
13. Fa< ar'a Name (FIrK. M dl Last' 5 K)
D
id G
~ 13. Mother's Name Prlor to Flrst MKrla
rK, Mldd .,urt)
av
. O
Hara Gathering Lindsey
1M. 1 ormant s Name 14b. Rela[IOnaM1ip to Decetlant 16c. Informant z MalllnE Address ($eNK and Number, CRy, 3NN, SJp Coda)
Susan Lindse deli titer 935 01d Quaker Rd. tars PA77319
........................................... .............................""'" "'"_ _ _ a. acs o
............. ............................r.........<--o~.y o................................
if DyM Occunatl In a Hospkal: t~~ Inpadant If Death OccurNd Somewhere Other Than a Noapl<al: osplei Facility ~~~~ OacwEen['s ~Floma ~~~
~
Ema n Room/Out Klan[ Dyd pn ArrNal
Nuraln Homa/Le -Term Gre Faclll Other (3 aclty)
13 Fael lty Nettle (1 Ot nrtRUtbn, Elw stn d numbs; 13c. City or Town, SNN, and Zlp Ceea lSd. County of Death
Hos ice Rgsidan HarriE3bur PA 77770 Dau hin
~, 1 MK O Dispwitlon rlal Crema[lon
p 16b. Dote OT Dlaposltion 16c. Pleca of Dlnpoahlon (Name K cemetery, crematory, or OMar platy)
R.mwalfrom st.N pDgnatlen Jan_78, 207 St_ John's Cem
Camp Hi 11
PA77077
1 Other k j _,
,
16d. LOeatlOn o DlaposRlen (CRy ar , 3NN, and 21p
Cam
H111
PA 77077 IQrature o Fu~yqq a Llcenaee er Person In CM1ar3a oT Interment 17b. Ucense Number
p
, [./_ =073763-L
1>c Name anO~omplKa AEd[tY eLFyn'r~ ~~Iry Hummel Av
Mussg11man F'1Yd1Cb
L
° e _ ,
gmo ne , PA 7 7 O 4 3
1B. .rN'a Eduutlen - k Me bOM MK bIK KpnbN fM1a 19. D.cad.nt oI Hlapenlc OrlBln - Ch.ck tM1e 30. D.FId Ke - CM1gck ON OR MORE rec.a to IndIGN wnat
r hiEhaK deENe er IwN of school complKad at the lima or death. box [hat bast describes whKM1ar M. tlacetlant tM d ant connlderetl M1lmsed or heraeN to ba
.
~ E<h Erade er leas Is 3Penlah/HlsPanlc/LRHno. Check the "NO" title ~ Koran
~ Ne dlPlpme, 9th -12M Erode bOK IF tlegedent Is no[ SPaniaM1/HlaPanl4LaNno. O 61ack or African ATOrICan 0 NetnameN
~ NIEh school EraduKe or GED eOmpletetl ~ No, not 3panlsh/Nlspanlc/LKlnO 0 Amerlon Indlen or Alaska NatNe ~ Other Asian
Q Some collya credh, but no dyrae Q Yas, McKlcen, MaKican Amarlun, Chlcan0 ~ Asian Indlen ~ NRlw Mawallan
~ N dyrae le.i. AA, AS) ~ Vas, Puerto Rican ~ ChinKa 0 Guemanlan or C1+amorro
'
chalgr
a daErea (a.E• BA, AB. BS) 0 Vas, Cuban ~ ~ Flllplne Q Samoan
'
0 Meater
f dyrae (e.E, MA, M5, MEnE, MEd, MSW, MBA) Q Yes, other 5psnlah/Hlspenl4Latino Q Japanese Q O[M1ar PaciRc Islander
0 DoctoraN (e.E. PM1D, Edo) pr Proteulpnal dyrae (Speclty) 0 Other (3peclfy)
e. . MD DDS DVM D
21. Mced. Y clnEle Race Se •DeslEnetlOn - C eck ONLY ONE <e Indlceee whK Me decaeent considers imzelf qr h.rself to be. 22i. Decedent's usual O<cupauon - In flit. type of work
~e 0 J.Pan.v ~ Samoan don. durlnE moK of werklnE Iih. DO NOT U3E RETIRED.
~ Block er African AmeKCen ~ Korean ~ Other Pacmc IFlandar
~AmeH[vn lnllen er AlKka N.Hve QVIKnam.ee ODOn't KDOw/Nel3urr benef itS specialist
Nlan Indlen ~ Other AFlan 0 Refusal 22b. Kln Buslnasn/Industry
O OIImN ONatNe Nawellan OOLM1er l3pedfy) chemical com an
Q Flliplne p 6wmenlen or Chamome P Y
EV pEREON WNO sM10FIOVMtp OR a N ronounu ae aY r 3 . 51Enatura Person PronounclnE peat Dn y w r
PP ce a
RnFi p a /1 _J ~~
~N/Y-
Rn/a3s~`~
23E
D
N Sl
d M
.
a
Ena
o Dw/Yr) 1 m Dent
L V 77~'! 2s. was Medical EKamInK or CpronK ConNCtee> Q Yes No
CAUSE OF DEATH
Approslm.t.
26. Part 1. En<er Lhe cheln K avener-diueue, Injurl.z, or wmpllcatlOns-that tllractly caused the deKh. DO NOT enter terminai wants such es cardiac arrest ~ Irtterval:
rasplretory arrant, or yentrlcubr RbNllatlon w
lth
ut/
ahewinE the Klolow. DO NOT ABBREVIATE. Enter only one cause en • Ilna. Atld atldhiOnal lines 1/ necessary ~ Onwt to peach
e~
~
~
~
{
IMMEDIATE UUSE ---------- a, ~ ~ ~"' ~ (
(FInN dINKe or contlRlon Due Lo (or es • ronaagvence of i
)
rasuklnE in death)
(
b.
SegwndalN Ilse rondhbns, Oua [o (pr as a censaquence ef): 3
IT anY. leetlinE to the wuae 1
IIKEO en Iina a. EnNrlhe 1
c
UNDERLVINO UUSE
pus to (or an a ronsaquance ot): i
(di-e- er INury that
InRlated the wanes resuRlnE d.
1
In d.Kn) LAST. Du. en (or at . ronaegge of):
nce
y~
B 2 K 11. EMar K er ApniReant tendR en rontrlDUUna N deaM but not resultlnE In t a untlerlyinE cause Elwn In PeK 1 1>. Waz an autopfy peKo
! Ya e
2H. Were aueePSY RrlOinas ewilab a
to rornplata the cause oI dyMT
Vas No
29. I Female: 30. Did Tobacco Uze Gontrlbu<a to Death> 31. Manner of Death
No[PNEnent wbhln past Year Q Ves
P
D
bI
ro
a
0
V ~ Natural Q HemlNtle
0 Prynant a[ time Of eeKh Q NO ~ Unknown ~ Accident ~ PentlinE InwstlEKlen
N
b
)~.
K pNEnant,
ut PNEnant wRDln q1 dws of deKh ~ SulQea 0 Could not ba determined
0 No[ preEnan<, but pNEnam 13 dws [p 1 year before tleath 32. Date of Injury (MO/Day/Vr) (Spell MontM1)
0 Unknown H preEnaM within [M part year
33. TIm6 pf Injury
34. Piero W INury (a.E. Dome; ronatructlon nna; Iarm; school) 35. LOCatlon of Inlurv Street antl Number, GIN. Slate, 21P Cpdel
98. INury at Work 3>. 1/TNnspOKatlgn Injury, 5peclty: St. Dascrlbe How In)ury Occume:
~ VK ~ Drhrar/Operator ~ PKIK<rlan
0 No Q Peuenier ~ Other (Specify)
Sea. Ca er (Cheek only enK:
KlfylnE Phyzicla _ To the beat e1 mY knewladaa, deatM1 eeeurratl due le <M1e uuse(a) end manner aNtad
PronODRGinEE, GKIIyI E Physlclan -TO Me best oT my knowletlEa, daaM pccurretl at Ma lima, tlefe, and place, and due to the cause(s) and manner stood
K
Q Medical EKaminer/C errs-~O~n the /bails K enzam/itn
len, and/er InwsUEKlon, in my opinlOn, death occurred st the time, date, ane place, and due to
M
a
wune(s) and manner
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Disposltlon Permit Na. tJ G 7~ 7 / S NSDS-1s3
REV O>/2011
Last Will and Testament
OF
JEAN O. SHANDELMIER
I, JEAN O. SHANDELMIER, of Lemoyne, 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 and making void any and all Wills or
Codicils at any time heretofore made by me.
ARTICLE I
DEBTS
I direct the payment of all my legal debts, and the expenses of my last illness and funeral
from my Estate as soon after my death as conveniently may be done. ti
,~ °o
ARTICLE II ~~~ w
SPECIFIC BEQUEST ^°
~~
. _ ~-
I give and bequeath the sum of Ten Thousand ($10,000.00) Dollars unto my cous°u-,
MARGARET Q. McKEE, Boston, Massachusetts, provided she survives me.
ARTICLE III
TANGIBLE PERSONAL PROPERTY
I give and bequeath my motor vehicle(s) and my household goods and personal effects and
other tangible personalty of like nature (not including cash or securities), together with any existing
insurance thereon unto my daughter, SUSAN ANN LINDSEY, Collegeville, Pennsylvania
provided she survives me.
;~
~•-
r
i'~
~~
~~' ~..
I
ARTICLE IV
REST, RESIDUE AND REMAINDER
I give, devise and bequeath all the rest, residue and remainder of my estate, of whatever
nature and wherever situate unto my daughter, SUSAN ANN LINDSEY, Collegeville,
Pennsylvania provided she survives me. Should my daughter, SUSAN ANN LINDSEY,
predecease me, I give, devise and bequeath the same unto my cousin, MARGARET Q. McKEE,
Boston, Massachusetts.
ARTICLE V
POWERS OF FIDUCIARIES
My fiduciaries shall have the following powers in addition to those vested by law and by
other provisions of my Will applicable to all property, whether principal or income, including
property held for minors, exercisable without court approval and effective until actual
distribution of all property:
A. To make distribution in cash or in kind, or partly in cash and partly in kind, and in
such manner as they may deem appropriate.
B. To retain any or all of the assets of my estate, real or personal, without restriction to
investments authorized for Pennsylvania fiduciaries, as my fiduciaries deem proper,
without regard to any principle of diversification or risk.
C. To invest in all forms of property without restriction to investments authorized for
Pennsylvania fiduciaries, as my fiduciaires deem proper, without regard to any
principle of diversification or risk.
D. To sell at public or private sale, to exchange, or to lease for any period of time any
real or personal property and to give options for sales, exchanges or leases, for such
2
prices and upon such terms or conditions as deemed proper.
E. To allocate receipts and expenses to principal or income or partly to each as from
time to time considered appropriate.
F. To compromise any claim or controversy.
G. To make such elections, decisions, concessions and settlements in connection with
all income, estate, inheritance, gift, generation skipping or other tax refunds and the
payment of such taxes as my fiduciaries shall deem appropriate, without obligation
to adjust the distributive share of any person thereby affected.
ARTICLE VI
TAXES
I direct that all estate, inheritance, transfer and other taxes of similar nature payable by
reason of my death, together with any interest or penalties thereon, and imposed with respect to
any property, whether or not disposed by this Will, shall be paid out of the residue of my Estate
and shall be considered a part of the expense of the administration of my estate. I further direct
that my Personal Representative shall have the absolute power in her or his discretion to pay the
same at once whether or not the law under which they aze imposed permits the postponement of all
or part to a later date.
ARTICLE VII
APPOINTMENT OF PERSONAL REPRESENTATIVE
I name, constitute and appoint my daughter, SUSAN ANN LINDSEY, Executrix of this
my Last Will and Testament. Should she fail to qualify or cease to so act, I name, constitute and
appoint my grandniece, HEATHER E. O'HARA, Alternate Executrix to complete the
administration of my estate. I direct that no fiduciary appointed herein shall be required to post
bond for the faithful administration of the duties required in any jurisdiction.
3
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will
and Testament, this ~b~ day of z~ _ 2011.
AN O. S ELMIER
Signed, sealed, published and declazed 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.
au~,~ ~ `~-I a~
,~
4
AFFIDAVIT AND ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
We, JEAN O. SHANDELMIER, ~1.N Vl 1~1'~C~ (o I -" 'LI~I~S and
~~~(~ j, f ~~'.~y~Qt,.~, ,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.
Witness
SHANDELMIER
Subscribed, sworn to and acknowledged before me by JEAN O. 5HANDELMIER,
Testatrix, and subscribed and sworn to before me by _ ~ • S and
~~,y (~,~ ~ ~~~-~'Y1(,~, ,witnesses, this ~ day of \ ~U VLF. , 2011.
1 ~1J~-~.ul.,
Notary Public
~LTH OF pENr1SYWgN1A
C.O~ SAY SeM
paM Lpumb~~P~
:443933v2 {,MnopM ~O• ,q~.16. 2018
Coar~~^ of Nde~
Member. Pei
5
S2VQJ~.~~ ~ ~ y~'~Q~lrot~l
Witness