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HomeMy WebLinkAbout02-17-12PETITION 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: MARGARET D. REAM File No: p! ~ ~~ ~ ~~ a/k/a: MARGARET DAY REAM (Assigned by Register) alk/a: a/k/a: Social Security No: Date of Death: 10/26/2010 Age at death: 79 Decedent was domiciled at death in CUMBERLAND County, pRNNSYLVANTA (state) with his/her last principal residence at 128 CAMBRIDGE DRIVE MECHANICSBURG (LOWER ALLEN TWP.) CUMBERLAND Street address, Post Office and Zip Code City, Township or Borough County Decedent died at ATLANTIC SHORES NURSING AND REHAB MILLSBORO 19966 SUSSEX DE Street address, Post Otiice 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 $ /f not domiciled in Pennsylvania ........................Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................ Personal property in County $ Value of real estate in Pennsy/vania ......................................................... $ 63,500.00 TOTAL ESTIMATED VALUE.... $ 63500.00 Real estate in Pennsylvania situated at: 12$ CAMBRIDGE DR. MECHANICSBURG (LOWER ALLEN TWP) PA CUMBERLAND (Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough County A. Petition far Probate and Grant of Letters Testamentary ~=' C3 ~ Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated ~--('~ and Qedicil(s}~ 1 ;-~-t thereto dated Will is dated 2/8/1984• husband Notman A. Ream is unable to serve as executor; and PNC Barf~i has ,3 r;-; 4, =ra State relevant circumstances (e.g, renunciation, death of executor, etc.) T ~ ~ ~ ~ c t. Y rn ~; Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was~25prty to ending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and dic~~~av-`"'e a chitorn or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ~] ,~, `~ '"'~ NO EXCEPTIONS Q EXCEPTIONS ~ ~ ~,,-t "~ •..: B. Petition for Grant of Letters of Administration (If applicable) C.T.A. c. t. a., d. b. n., d.b.n.c.t.a., pendente life, durante absend'a, durante minoritate If Administration, c.t.a. or db.n.c.t.a., enter date of Will in Section A above and 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. NO EXCEPTIONS ~ 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): Name Relationshi Address NORMAN A. REAM SPOUSE C/O ATLANTIC SHORES, 231 S. WASHINGTON ST. MILLSBORO DE 19966 VICKI L. WOMER DAUGHTER 27032 GUM TREE ROAD RIKKI A. ROCKETT SON 20750 VENTURA BLVD., SUITE 342 WOODLAND HILLS CA 91364 Form R I3! 02 rev. 10/11 X2011 Page I Of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } ss: COUNTY OF CUMBERLAND To the Register of Wills: Please enter my appearance by my signature below: 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 Deceder~e Peti io (s) • 1 w Il and truly administer the estate according to la Sworn .o or affirmed and subscribed before G~ ~ - " ~ ~~~ Date -~~~~ met L~ da of ._ r " 1 } ~'/ " ~ r i By: h R `t Date Date Date or t e eggs er BOND Required: Q YES ~ NO FEES: Letters ................. ~r ..... $ } ~~ ~ ~ ( '~ )Short Certificate(s). ..... ~ ~~ ~~. ( ~ )Renunciation(s).... .... . ( )Codicil(s) ........ .... . ( )Affidavit(s)....... .... . Bond ................... ..... Commission ............. .... . OtJ~er ~• ~•••• ti ~~ . ..... ~~V ` ~~ I~ .~ ~~ .. ..... ~l . Automation Fee ......... ...... 3' ~~ JCS Fee ............... ...... ~ ~ $ U TOTAL ............... . . ...... Attorney Signature: Printed Name: ROGER M. MORGENTHAL, ESQUIRE Supreme Court ID Number: 17143 Firm Name: SMIGEL, ANDERSON & SACKS, LLP Address: 44~' rr ~unrrT eTAFFT,'TRT~ FT,C)()R TrIARRi4BLTRCi PA 17110 ,, - ~~~2F~L~ !~ P~~' 1~ 57 Phone: 717-234-2401 Fax: 717-234-3166 Email: Rl\~nR(',FNTHAT ~c e cr r P r'(lM DECREE OF THE REGISTER Estate of MARGARET D. REAM File No: ~ t " } ~ - (/ ~3 1 a/k/a: MARGARET D(A~Y REAM AND NOW, ~ `l'ip ~ ~~~~~~"~ "`~~~ ~~- , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters OF ADMINISTRATION C.T.A. are hereby granted to VICKI L. WOMER in the above estate and (if applicable) that the instrument(s) dated 2/8/1984 described in the Petition be admitted to probate and filed of record as the last Will (and Codic~il(~s)) of Decedent, kegister of Wills 1 }•.(~ ~~ ~ ~ ~ ~ ~i; ~ ~~~, `~ Page 2 of 2 Form RW-02 rev. l0/ll/2011 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } ss: COUNTY OF CUMBERLAND ~¢ a ~~~~e Only ~.~ Sri ~7 -, a,:~ C' ` '~ ~.'J i~~t F~r~ t 7 P~ I~ S7 ~~ ~. Petitioner(s) Printed Name Petitioner(s) Printed Addr '..~ VICKI L. WOMER 27032 GUM TREE ROAD DAGSBORO DE 19~~,~~rt-~ ' ~ `~ 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 Petitioners}and that, as Personal Representative(s) of the De~cjede Peti ios)/w 1 w 11 and truly administer the estate according to law. Sworn to or affirmed and subscribed before G~G'~;i~ ~~1~~~~~ Date ~~ met ' ~_ da of ._ C ~ ~ Date By: ~ ~ Date r the Register Date BOND Required: Q YES Q NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters ..................... . ( )Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other Attorney Signature: Y Printed Name: ROGER M. MORGENTHAL, ESQUIRE Supreme Court ID Number: 17143 Firm Name: SMIGEL, ANDERSON & SACKS, LLP Address: 4431 N. FRONT STRF.RT 3RD FLOnR HARRTSBTTR(C, PA 17110 Automation Fee .............. . JCS Fee . ................... . TOTAL ..................... $ 0.00 Phone: 717-234-2401 Fax: 717-234-3166 Email: RM(~ROF.NTHAT,rcSAST.T.P C'(~M DECREE OF THE REGISTER Estate of MARGARET D. REAM File No: of ~ ~ ~ r~ - ~J ~~-cy ~, a/k/a: MARGARET DAY REAM AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters OF ADMINISTRATION C.T.A. are hereby granted to VICKI L. WOMER in the above estate and (if applicable) that the instrument(s) dated 2/8/1984 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent Register of Wills Form RW-02 rev. 10/U/2011 Page 2 of 2 ~~ E~; ~ s ~~3 17 P ! ~ 57 OFFICE OF VITAL CERTIFICATE OF DEATH STATISTICS n r^r~ ~tfttC Of ~f(a11tftTC ('IU7) t .~ FRK. ! ~~ DEPARTMENT OF HEALTH AND SOCIAL SERVICES State File NOmber L813~~~ This is to certify that this is a true and correct I reproduction or abstract of the official record filed ~; with the Delaware Division of Public Health. ~.~' 1. DECEJ ~1 •(II~a any) (Frst Middle, Last) ` 2. SEX 3. SOCL4L SECURI1ti Nl1MBER ' ~( )~ ` __ , 172-24-96b4 4a. A "y"j, 1 by il, ID +1 EA (Years) ac. UNDER 1 DAV 5. ,DATE OF BIRTH lMdDaylVr) 6 BIRTHPLAC E (Cary and State or Foreign Country) Monms Days 79 Hours Minutes 6-16-1931 HASBISBIIBGa PA ________ 7a. RESIDENCE-STATE 7b. COUNTY 7c. CITY OR TOWN PBNNSYLVANIA CDMBE]RLAND MECHANICSB08G 7d. STREET AND NUMBER 7e. APT. NO. 7f. ZIP CODE 7 g. INSID€CITY LIMITS? [] `les ^ No 128 CAISBI3IDGE D]itIV13 17055 YBS 8. EVER IN US 9. MARITAL STATUS AT TIME OF DEATH 10. SURVIVING SPOUSE'S NAME (H wife, give name prior Io first marriage) ARMED FORCES? m Marred ^ Widowed ^ Divorced ^ Ves %j No ^ Never Married ^ Unknovm ~~ A, lit m 11. FATHER'S NAME (Flat, Middle, Last) 12. MOTHER'S NAME PRIOR TO FIRST MARRIAGE (First. Middle, Last) ~ 1ftALPH H. DAY ]HABGARET JAffiS _ ~ V 73a. INFORMANT'S NAME 13b. RELATIONSHIP i0 DECEDENT 13c. MAILING ADDRESS (Street and Number, Ciry, State. Zip Cade) W ~ s VICKI L FiOBMBR DADGHTE)~ 27032. GOM TRSS )ROAD DAGSBO]RO DELAW Q ~ E 74. PLACE OF DEATH (C1+eek entry one; see Instrucliena) W bb O IF DEATH OCCURRED IN A HOSPITAL: IF DEATH OCCURRED SOMEWHERE OTHER THAN A HOSPRAL LL ^ Inpatient ^ Emergency RoomlOutpalient ^ Dead on Arrival ^ Hospice facility Nursing tlEane/lorlg term care facilty ^ Decedent's none ^ Ober (Specity): p 15. FACILITY NAME (If rqt institution, give street 6 number) 16. CITY OR TOWN , STA ; AND Ztl CODE 17. COUNTY OF DEATH ATLANTIC SH013SS NOBSING AVID BEHAB 1!iII.LS]BOYO 0131.AAAB16 19966 SIISSE% 18. METHOD OF DISPOSITION: Burial lion 19. PLACE OF DISPOSITION (Name of rxm+etery, crematory, Qtl+er place) ^ Donation ^ Entombment Removal Trom State Ober S 20. LOCATION-CITY, TOWN, AND STATE 21. NAME AND COMPLETE ADDRESS OF FUNERAL FACILITY CAMP HILL PAe FOl~NAL HO!ffi PO BO% 125 lIIL1.S19Olit0~ DEI.AHABS 19966 22. SIGNATURE OF UNE ICEN E ENT 23, LICENSE NUMBER (OI Licensee) K1-000540 ITEMS 24-28 MUST E COMP D BY N WHO PR NCED DEAD (MdDay/Yr) 25. TIME PRONOUNCED DEAD PRONOUNCES OR CERTIFIES DEATH ~ ! Q ay/Vr) UMBER 28. DATE IGNED Mo /D 26. SIG UR F PF1iSON PRONOUNCING DEATH (Orly wMn apptceble) 7. UCENSE N ,, II ' r ~~ V/ ~~ ~V 29. ACTUAL OR PRESUMED OA F DFA7H 30. ACTUAL OR PRESUMED TIME QF H 31. WAS MEDICAL EXAMINER CONTACTED? (MdDaYnr) (Spell Month) ^ Yes ^ No CAUSE OF DEATH (See instructions and examples) Approximate 32. PART L Enter the chain d svenh-Eiseases. nmkanas, orwnplicabpu-that directly caused be dea0+. DO NO7 enter terminal events wpt as cardiac interval: arrest, respiratory arrest ar ventricular fibdlletbn without attoWMg tM etiology. DO NOT ABBREVIATE. Enter Dory one cause on a Nne. Add additional Onset to death Noes sr+eassary. i //// ~ //~~ ~/J ~y^ t IMMEDIATE CAUSE (Final ~j ,,,,x _ p eei ~ ~ ~rr..jw<~, ~ ~ / ~ disease a comdsiom ----~ a. „/~~ ~~G s's-~i~"A~ y, '~ K,JIL ' _ resutling in death) .. Due b (a as a uenoa o0: I Sequerttiaay ast txaMispns, b. a anY• loading to the cause Due b (or as a consequence of): - IOted on lire a. Enter The UNBERLYWG CAUSE c. (tlisease or injury that Duero (or as a consequence o7j: - intlb0ed are events rewlerlg ro death) LAST d. PART 11. Emer oMer s(gniflant rxxMtlbns cenWDUtlrla b daWt rid reaWang in Me undertying puce given e+ PART I 3 M 3. WAS AN AUTOPSY PERFORMED? ~/ .~ ¢ /~ ti! ~ ~ 3 ~ ~~ WERE Al7TOPSY FINDINGS AVAILABLE TO 4 ~+ W m S ~ r ~ a ~ . COMPLETE THE CAUSE OF DEATH? yy H, l~•~ r~-~+ry i ^ vas a6 No ^ unkrvown d W 35. DID T08ACC,0 USE CONTRIBUTE 36. IF FEMALE: 37. MANNER OF DEATl1 C V TO DEATH? ~ Not pregnant within pest year CCCSiii `J PregrlBnl at 8me W tleatll A Naturel ^ Hommide t5 ; ^ Ves ^ ProDady ^ Not We9nartL but pregnant within 42 days W death id nt ^ P I ^ A Q t a o W ^ Nm pregnant, but pregrranl43 flays to 1 year before deab ng nves ga on cc e en le- ~ P No ^ Unknown ^ tMknowrt it pregnant within The past year ^ Suidde ^~ow4J not be determined 3B. RATE OF INJURY 39 TIbE OF INJURY M. PLACE ~ INJURY (eq., Decedent's home; oorreauctlan ilb; reetatrrertt wooded area) 41. MJURY AT WORK? (MdDaylYr) (SpeN Month) I^ Yes ^ No 42. LOCATION OF INJURY: Stab: City or Tam: 8lraat 6 Number. No.: Code: 43_ SCRIBE FiOW INJURY 44. LF TRN4 ATION INJURY, SPECIFY: Q DrMAOperebr ^ Passsrrpx Q PsdeaUlan OMr 45. CERTIFIER (Chxk onty one): CerWyin9 physkiar+-To iM beat o(mY krww4edga. death axurted due to me nude(s) and manner stated. ^ Praloundng b Certifying 'an-To tlw bast of my Wwvdedpa. dash ocared at tl1e arr+e, date. and place. and due b the cause(s) ant manner steed. ^ Medial Examlrter-On the of saanarratlan, and/or . in my oaaared at the tlrne, Ode, and pea, and due b the cause(s) and manner slated. Sfpteture o/ cerafier: s3. NAM ESS. AND 21P OF PERSON COMPLETING CAUSE OF DEATH (Hem 32) Ca o to M. t,.o • 5 3 G A L IS '~•~ODI • 47. TRLE OF CERTIFIER 48. LICENSE NUMBER 49. DATE CERTIFIED (MO/Dey/Yr) 50. F REGISj~(+RIOlt4Y~AT~FjI D (MO/DaylYr) ~ D~ a [[BUJ ~I +. DECEDENT'S EDUCATION-Check the box 52. DECEDENT OF HISPANIC ORIGIN? Check tl+e box 53. DECEDENTS RACE (Check one or more races to rrxlp:ae what me ) that best descdbas the nigtteat degree a level bat best descnbae wflrxtlier the decedent is decedent rxxlsidered har1se11 rx Ireraetl b be) )~ Any alteration of this document is prohibited. Do not J`~ accept unless on security paper with the raised seal of the Office of Vital Statistics. ~~ ~~ States Registrar r~ 1 ~~i ~ .. E`'~+.3 ~r-r9 ~~~t viii ~n~ C~.~~~~xrrt~ertk ~~ ~~ ~ OF z v~ ~ --~ MARGARET D. REAM ~On r'' ~~ ~ ~ ~ --+ ,. I, MARGARET D. REAM, of the Township of Lower Allen, Cumberland Cou~y, 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 ^~, -r~ ~ M-r., i C,~,`; i:~i~5 _~`...~ ;. ._ ..~ lam) -,~: '~= ;"s i ~'..... t`~"i ~~ ~ --~, I direct the payment of all my just debts, and the expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. I authorize ~'~ my Executor to expend funds from my estate for the purchase, erection, and inscription of a suitable grave marker. All of the foregoing shall be considered expenses of the ~~ administration of my estate and paid from my residuary estate. ~, ARTICLE II I give, devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, unto my husband, NORMAN A. REAM, provided he survives me by a period of thirty (30) days. ARTICLE III Should my husband, NORMAN A. REAM, predecease me or die on or before the thirtieth (30th) day following my death, I give, devise and bequeath all the rest, residue and remainder of my estate, in equal shares, to my children, RICHARD A. REAM, Mechanicsburg, Pennsylvania and VICKI L. WOMER, Dagsboro, Delaware, provided however that should either child predecease me, I direct that such child's share shall pass to his or her issue, per stirpes, or if there be no such issue, then such child's share shall pass to my surviving child. i ~ ARTICLE IV I appoint CCNB Bank, N. A., guardian of any property which passes under this will or otherwise to a minor with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, provided that this appointment of a guardian shall not supersede the right of any fiduciary, in its discretion, to distribute a share where possible to a minor, or to another for the minor's support and education (including trade school and college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for said support and education, or to make payment for these purposes, without further responsibility, to the minor, or to the minor's parent or any person taking care of the minor. ARTICLE V I nominate, constitute and appoint my husband, NORMAN A. REAM, Executor of this my Last Will. Should my husband, NORMAN A. REAM, fail to qualify or cease to act as Executor, I nominate and appoint CCNB Bank, N. A., Camp Hill, Pennsylvania, Executor of this my Last Will. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~ ~~ day of F.~~,,,,,,,,.,,` 1984. MARGARET D. REAM 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. ~` ~, -2- ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA , ss: COUNTY OF CUMBERLAND , I, 1VIARGARET D. REAM, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. argaret D. Ream Sworn to or affirmed and acknowledged before me, by MARGARET D. REAM, this ~~'~'-'~~ day of (_~~,,~,,,~,,~ „~ 1984. ~. A FFi11 O VIT COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND We, ~~w,...~....~ ~.~M,.~n~,~ and 1~,, ,the witnesses whose names are signed to the foregoing instrument, being my quali ' d according to law, do depose and say that we were present and saw the Testatrix sign and execute the foregoing instrument as her Last Will and Testament; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge, the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. G~-~- 0 ~~` ~1 Sworn to or affirmed and subscribed to before me by ~;,~,~,,.~~_ ~ ., and ~ ~ ,witnesses, this ~ ~~~ day of )~~~+.L..~r , 1984. Notar ublic ^__._ ", ;r:4;c ~1r~.-,~.. ~ , - .'~ ~~2 f~E~ I ~ PSI i ~ 57 RENUNCIATION REGISTER OF WILLS CLER~~ ~;G QRPH~'+N'~ COURT CUMBERLAND COUNTY, PENNSYLVANIA Estate of MARGARET D. REAM Deceased I, Linda J. Lundberg, Vice President, PNC Bank, N.A., successor to , in my capacity/relationship as (Print Name) G~CNB Bank ~ N_A. named Executor of the Estate of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to January 25, 2012 (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Form RW-06 rev. 10.13.06 P~1C BANS N.e°+i. (si~atu,~ice Pres. rust Offiwer 4242 Carlisle Pike, PO Box 308 (Street Address) Camp Hill PA 17001-0308 (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 exec 1~ie reritnx~iation for the purposes t ed >tl><in on this - f~ day ~f ~ - ~ , _ G _ , ., , My (Signature and~al of Notary or othefofficial qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONMdEALTH OF pENNSYLVANlA NOTARIAL SEAL _ DENISE C. RYA mbe land Count Hampden Tvup. Y My Commission Exr~=•t:~y 2~,,,7r:r 17. 2012