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HomeMy WebLinkAbout02-14-12-. PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF 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 requests the grant of Letters in the appropriate form: Decedent's Infonna ion ;,,~ Name: Nellie C. Nennin er ~' 9 File No: 21-12 a/k/a: aJk/a: Date of Death: 12/24/2011 Decedent was domiciled at death in Cumberland County, principal residence at 55 Naugle Road, Shippensburg 17257 South Newton Street address, Post Office and Zip Code PA ~° ~~• ~••~, ~, • ~~• ••~~~•.~ a~ ti ~w ••~•,•~ wry, i ownsrnp or norougn =County "'c7 Decedent died at 14097 Rehobeth Church Road, Lovettsville, VA 20180 Lovettsville Loudoun VA N Street address, Post Office and Zip Cade City, Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania ...................... All personal property $ 65.000.00 Ifnotdomlclled in Pennsylvania ................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ................ Personal property in County $ , Value of lea/estate in Pennsylvania ................................................................... $ 200,000.00 ® TOTAL ESTIMATED VALUES 265,000.00 Real estate in Pennsylvania situated at 55 Naugle Road, Shippensburg 17257 South Newton Twp. Cumberland (Attach add/tiona/ sheets, if necessary.) CUMBERLAND Social Security Age at Death: City, Township or Borough ^ A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) that he/shefthey is/are the Executor(s) named in the Last Will of the Decedent, dated thereto dated last County and Codicil(s) State relevant arcumstances (e.g., renunaation, death o/executor, etc.) Except as follows: after the execution of the instrument(s) offered for probate, Decedent did not ma was not divorced, 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 did not have a child bom 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., patients life, durance absentia. durance minorrtate If Administration, c.ta or db.n.c.ta., enter date of Will in Becton A shove and complete list of heirs. Except as follows: Decedent was not a party to pending divorce proceedin 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 a~udicated an incapacitated person. NO EXCEPTIONS ^ EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse ('rf any) and heirs (attach additional sheets, if necessary): Name Relationship Address James D. Nenninger Son 14097 Rehobeth Church Road Lovettsville VA 20180 Phillip W. Nenninger Son 31 Hilltop Lane Newville PA 17241 Form RW-02 rev. 1x11-2011 Copyright (c) 2011 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } } SS: } Petitioner(s) Printed Name Petitioner(s) Printed Address James D. Nenninger 14097 Rehobeth Church Road Lovettsville, VA 20180 Phillip W. Nenninger 31 Hilltop Lane Newville, PA 17241 ~ =~; C_ r~ _ -~ . ~ ~ ~ t~-ry _ r_~i f-r1 -- - The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correct to 'tsest of the knowledge artd' belief of Petitioner(s) and that, as Personal Representative(s) he Decedent, Petition (s) will well and truly admin~~estate-cording to Jaw. Sworn to ffjrmed an su scribed before ~ ." h ~7 c_' _ 7 me thi ~ day of ,~~~ ---~ Dates ~ -- f F th Reoister Date BOND Required? I__I YES ~ NO FEES: ~ Q Lett rs .......................................... $ J ~ ® • 1+ ( ~ )Short Certificate(s)......... C ( )Renunciation(s) .............. ( )Codicil(s) ........................ ( )Affidavit(s) ...................... Bond ............................................ Commission .................................. Other Automation Fee ............................ JCS Fee ....................................... TOTAL ......................................... $ _ d ~r Printed Name: Jerry A. Weigle Esquire Supreme Court 01624 ID Number: Firm Name: Weigle & Associates, P.C. Address: 126 East King Street Shippensburg, PA 17257 Phone: 717/532-7388 Fax: 717/532-5289 E-mail: DECREE OF THE REGISTER Date of Death: 12/24/2011 Social Security No: 207-22-2465 Estate of Nellie C Nenninger File No: 21-12 - (2 d~~ a/k/a: ' ^ ~1t 7_ '- -~L -~ , in consideration of the foregoing Petition, AND NOW, satisfactory proof having been p sented before me, ITf DECREED that Letters of Administration are hereby granted to James D. Nenninger and Phillip W. Nenninger in the above estate and (if applicable) that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Form RW-02 rev. ~0~11/20~1 To the Register of Wills: Please enter my appearance by my signature below: Official Use Only nature: nt. /L~,~l ~~~r ~~ Register of Wills ~ ;: `~.'~" ( ~~~Cr~ ~ t2 .~ Copyright (c) 2011 form software only The Lackner Group, Inc. /, Page 2 of 2 COPY A g~ s~ ~Y ~g gs ~5~ S E 3 a' s $ n b )~ S ~~ a e g~ o d i` !x c j ~~Rn ~apY of ~-EA~ ~~~ COMMONWEALTH OF VIRGINIA -CERTIFICATE OFD TH ~; DEPARTMENT OF HEALTH -DIVISION OF VITAL RECORDS - RICHM~ iv ~t "T'"t i T7 REGISTRATION ~ CERTIFICATE STATE FlLE ~ TT -~T'1 NUMBER ''"~ FOR DIRECORD~ AREA NUMBER / / ~ ' '1 NUMBER ~ w ( ( ~ ~ ~ i_ ~ V © - DECEDENT (middb) peep (flnN) . SEX ~ fdinYli t' ~ "~ DECEDENT Nellie Carrie Nenningef ~-~c--~ ~,,~ { 3. DATE OF (mo.) (day) (yesr) 4. AGE IF UNDER 1 YEAR IF UNDER /DAY 5. DATE OF L ) (year) AS DECEL S N[.t.~ ~ E DEATH months T days hours _ r minutes I 1 I I BIRTH L-- j , ~ ARMW FOl~.E~- ~ December 24 2011 90 ~ Ma 921 PLACE OF 7. NAME OF HOSPITAL OR INSTITUTION OF DEATH (q rlorr, so eWe) I Out Pat. 8. COUNTY OFD H (If independent clht_ have DI~IytQ rte-, ~" ~ / DEATM 1 DOA Emar Rm Inpatient - -._..) None ^ ^ ^ Loudoun ^' 8. CITY OR TOWN OF DEATH inside city or town IImIb7 10. STREET ADDRESS OR RT. NO. OF PLACE OF DEATH yea no Lovettsville [~ ^ 1409~'Rehobeth Church Road USUAL 11. STATE (OR FOREIGN COUNTRY) OF DECEDENTS RESIDENCE 12. COUNTY OF DECEDENTS RESIDENCE (iT independent city, levee blank) ~* PA CumbetB~nd 13. CITY OR TOWN OF RESIDENCE inside city a town IimksT 14. STREET ADDRESS OR RT. NO. OF RESIDENCE 1 DP CODE Yes n0 I Shi ensbur ^ ~ . 55 Nau le Road l 17257 PERSONAL 15. NAME OF DECEDENT'S FATHER 18. MAIDEN NAME OF DECEDENTS MOTHER ~T~+T Joseph Clever Deihl Hazel Edna Husler 17. RACE OF DECEDENT 18. OF HISPANIC ORIGINT M yea, specity Cuban, Mexican, 19. EDUCATION (Specity onty highest grade completed) Puerto Rlean, etc. ~ ^ O 8 W hjte Y~ ~ Elementary/Secondary (612) Cdlege (1~4 «5 +) 20. CITIZEN OF WHAT COUNTRY 21. BIRTHPLACE (state a country) 22. NEVER MARRIED ^ DIVORCED ^ 23. IF MARRIED OR WIDOWED, NAME OF SPOUSE (If divorced leave blank) USA PA ^ l~ Walter I. Nenninger MARRIED WIDOWED 24. SOCIAL SECURITY NUMBER 25. USUAL OR LAST OCCUPATION 28. KIND OF BUSINESS OR INDUSTRY 27. INFORMANT - OR SOURCE OF INFORMATION -RELATIONSHIP 207-22-2465 Homemaker Own Home James D. Nennin er -Son 28. PART 1. Ender the diseases, injuries, a canplications that the deeM. Do nd a er the node d dying, such as cardiac a respiretory erresL shock, or heart failas. NTEfiVAL BETWEB4 CAUSE OF DEATH List only one cause on each line. `. ONSET AND DEATH IMMEDIATE CAUSE (Flnal disease or (A) TO amdiflon resulflng in deaM) ~ OUE TO (OR AS NSEOUENCE OF): PHYSICIAN: Com lete and ~ 5equenaalty Ilat amdiflars, if any. leading (B) v v r p sign madiW to immedbb cause. Eder UNDERLYING DUE TO (OR AS A CONSEQUENCE OF): b,r CAUSE (Disease a injury that Initlated (~ ~ a,y evems resulting In OeaM) LAST - relum botlr copies b IunerN director es soar = Q PART 11. OMer d reaulOng in the u erlying cause given in P n nificeM didons contdbuflng M deaM Du~t ~~ _ ' ~ /k 28e. AUTOPSVT yes no AUTHORIZED BV: as posslds abler F ~ "~ ' t `~ ---- IIr y 's If f ^ determination d ` Cy "- ~ W v \ J K , ~~' ~ 28b. IF FE WAS THERE A PREGNANCY I 28c. IF EXTE NAL CAUSE, R WAS .DESCRIBE HOW INJURY RELATING TO DEATH OCCURRED IN PAST 3 OONTHST lnlatAAr ^ o<coNtaielmnc ^ NOTE:B ^ no ^ unknown ^ ro CAUSE of DEATH "Pending" must ~ 28e. TIME OF INJURY (mo.) (day) (year) 281. INJURY OCCURRED 2Bg. PLACE OF INJURY (home, lartn, 28h. (city or town) (coumy) (stab) Da IndlcNed, eo ~ i facbry, street, office bldg., etc.) I el~ I~~ t W A,M, whib nd while ^ ^ l tr d fi d i ~ P.M. et work at work I reg ar n s decbbn as soon ~. 7.10 m as pacelhle. To the beat d my know) occurted at (am.l (P.m.) on the date and place from the cause(s) slated. ___________ _ _ ___________________________________ _____ _ ` ~y TDATE SIGNED: ~ SIGNAATURE ~ ~ I ~ Z 1vY f~/ --- --7-Q--/------------ NAME OFA ~- - R or -----/----------------- jAOORESS OFA NDING VSICIA -- T T ~ ~ PJ~~1 ! / /// / / / D FUNERAL 28. BURAL REMOVAL CREMATION 30. PLACE (name d armetwy ar cremebrY) (e8y a county) (stab) DIRECTOR OF BURIAL. ~ ^ REMOVAL. ETC. Cumberland Valley Mertir~i•ial Gardens Carlisle, PA 31. (Slgnekr rgda or person y fi8ng Mis caOficaEe) NAME OF FUN HOMEANO ms-Green Funeral Home l AD°RE~' 7~1 Elden Street, Herndon, VA 20170 FUN, L SE 1 RE(i1STi1AR 32. d DATE RECORD - FlLED: ~ a~ ~~ II RESERVED FOi>; /7 ~ v / - --- REGISTRAR'S USE/ _-. .... _: Tl~id ~ tlot t>~St 1 i:k ~- t arm port ir~t~~ a~ the a~ ie!€~ d~la)>E,oa~ fur . . D~p~tM;, ~.eea>~urg, V'irr. D>Rt~ ~ _ ~' ~ ~ (~S.~~y7~~ J'S1f I ~D~+t~~i '~~ ~ ..... r:. ~ , ~ ~Tt~'f`1'E~t 1~ 3~'A'>~"~J'I41: DD N~`.4~~CLP`1C ~~ ~ ~i 0~" ~+~~1~ ~~fU~'~7~ 'A~L~ OF ~'1IwI~ AID` Pennsylvania OD% Western Surety Company PERSONAL REPRESENTATIVE BOND Bond No. 6127 6118 File No. ESTATE OF Nellie C Nennin er KNOW ALL PERSONS BY THESE PRESENTS, that we, James D Nenninaer and Phillip w -_ as Principal(s), and WESTERN SURETY Nenninge_r - COMPANY, as Surety, are held and firmly bound unto the Commonwealth of Pennsylvania in the sum of DOLLARS ($ 130, 000.00 -)> One Hundred Thirt Thousand and 00 100 lawful money of the United States of America, to be paid to the Commonwealth, for which payment we do bind ourselves, our heirs, executors, administrators, successors and assigns, firmly by these presents. 15th da of February 2012 ,the Principal(s) was/were WHEREAS, on the Y in the above estate. appointed Co-Personal Re resent state fiduciary capacity) THE CONDITION OF THIS OBLIGATION is that if the above Principal(s), or any of them, shall well and truly administer the estate according to law, then this obligation shall be void as to those who shall so administer the estate; otherwise, it shall remain in full force and effect. PROVIDED, the aggregate liability of the Surety to any and all persons, regardless of the number of claims made against the bond or the number of years the bond remains in force, shall in no event exceed the amount set forth above. Any revision of the bond amount shall not be cumulative. Signed this _ 17th _ day of ~ J G_ Q Q ~ .. ~- ci r ,..,~ J ~-- CV - ~ ~i `': [~ ~ C.a ~ r, ~..i.~; :,L ~ . ~~.. U Form F3118-7 -98 ~ni2 it~ll WEST R~ SURETY COMPANY ~~Jt ~RPp By `/ / ~- ~ F I ~i9/ ~ 1 ~ . Western Surety Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota, and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United States of America, does hereby make, constitute and appoint Richard B Bell of Chambersburg ' State of Penns lvania ,with limited authority, its true and lawful Attomey-in-Fact, will full power and authority hereby conferred to sign, execute, acknowledge and deliver for and on its behalf as Surety and as its act and deed, the following bond: One Co-Personal Re resentatives Nellie C Nennin er bond with bond number fOf James D Nennin~er and Phillip W Nenninaer as Principal in the penalty amount not to exceed: $ 130 000 .00 _. Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Westem Surety Company duly adopted and now in force, to-wit: Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corpora e name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys-in-Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attomey or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. In Witness Whereof, the said WESTERN SURETY COMPANY has causid these dpresofnts to bF bruart ~ by its Senior Vice President with the corporate seal affixed this Y 2012 -- TE N URET COMPANY ATTEST I ), e _-_- A. Vietor, Assistant Secretary STATE OF SOUTH DAKOTA 1 ss COUNTY OF MINNEHAHA Jj WES / By G/`- ~ -- Paul T. Brufl ,Senior Vice President On this 17th day of February 2012 ,before me, a Notary Public, personally appeared and A. Vietor __ Paul T. Bruflat Senior Vice President who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the voluntary act and deed of said Corporation. }hyhh6aNyybyhyy~i~ib450.yhb4y S s D. KRELL s s s ~~ NOTARY PUBLIC g~~ s s SEAL ~ SOUTH DAKOTA s 4ahhhhh~h~y5hh~ygh5yyh~y + Notary Public My Commission Expires November 30, 2012 Form 672-9-2006 ACKNOWLEDGMENT OF SURETY STATE OF Pennsylvania ~ 88 (Attorney-in-Fact) COUNTY OF_Franklin On this 17th day of February 2012 ,before me, a notary public in and for said County, personally appeared Richard B Bell to me personally known and being by me duly sworn, did say, that he is the Attorney-in-Fact of WESTERN SURETY COMPANY, a corporation of Sioux Falls, South Dakota, created, organized and existing under and by virtue of the laws of the State of South Dakota, that the said instrument was executed on behalf of the said corporation by authority of its Board of Directors and that the said Richard B Bell acknowledges said instrument to be the free act and deed of said corporation and that he has authority to sign said instrument without affixing the corporate seal of said corporation. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal at Chambersburg Pennsylvania ,the day and year last above written. My commission expires (.f'll~F l; ~-~~~-`~~u~-"-'~ ~l3 -~~ °`~~~ - - - 1V otarq Public Form 106-2000