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HomeMy WebLinkAbout02-17-12Reset 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 1 Name: Graves, Gordon I. File No: _ c1'" 1 <•~ - Ll ~ ='~ a/k/a: Graves, Gordon Ivan (Assigned by Register) a/k/a: a/k/a: Social Security No: 168-26-3923 Date of Death: 02/06/2012 Age at death: 79 Decedent was domiciled at death in Cumberland County, pennsyly nia (State) with his/her last principal residence at 308 Glenn Avenue. Boiline Sprines PA 17007 South Middleton Township Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 308 Glenn Avenue Boiline Springs Cumberland PA Street address, Post Office and 7rp Cade City, Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania ............................ All personal property $_ 25,000.00 If not domiciled in Pennsylvania ........................Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................ Personal property in County $ l~alue of real estate in Pennsylvania ......................................................... $ 175,000 00 TOTAL ESTIMATED VALUE.... $ 200.000 00 Real estate in Pennsylvania situated at: 308 Glenn Avenue Boiling Springs Cumberland (Attach additional sheets, Ifnecessary.) Street address, Post Office 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 thereto dated 09/28/2010 and Codicil(s) State relevant circumstances (eg. renunciation, death of executor, etc.) Except as follows: after the execution ofthe instrument(s) offered for probate Decedent did not marry, 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 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 lite, durante absentia, durante minoritate If Administration, c.t.a. or d.b.n.c.>~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 additional sheets, if necessary): ,,~ c;~., ~~ Fany) an rs (at4~c'W~ '-. r-- Name Relationshi Address ='~;~ `"~ C~> t~ `-n D ~ W U~ f\:+ -9~ i, ~ °i~i Form RW-02 rev. !0/11/201/ Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } } SS: } Official Use Only Petitioner(s) Printed Name Petitioner(s) Printed Address Jennifer L. Bandura 4 Meadowood Place Boilin S rin s PA 17007 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 D dent, th Petitioner(s) will well and truly administer the estate according to law. Sworr, to or affirmed and subscribed before Date o (Z met is 7F`` d~ of , '- t, °~C` ~• Y ~ ~ ~- Date Date For the Register ~ / Date BOND Required: ®YES ®NO FEES: Letters ..................... . ( 5) Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other Will , , , ... , , $ 260.00 20.00 To the Register of Wills: Please enter my appearance by my signatu :7 l-- Attorney Signature: ~ ~: ~~ ~-~ ~ r.a 7~~ ~~~ ; *'t CX7 ~ T `r~"T" ... - ~-, w _. =r•i A ~ C. Q Printed Name: Robert C. Saidis, Esquire hs Supreme Court 15.00 ID Number: 21458 Firm Name: Saidis, Sullivan & Rogers Address: 26 W. High Street Carlisle, PA 1701'i •••••••• Phone: (717)243-6222 Automation Fee ............... 5.00 Fax: _(7271243-6486 JCS Fee . .................... 23.50 Email: rcaidis ccr-attnrne~c cnm TOTAL ..................... $ 323.50 DECREE OF THE REGISTER Estate of Graves. Gordon I. File No: :~ ~ - / ~~ - C-~ ,Z ~~ a/k/a: Graves Gordon Ivan AND NOW, ~ ~~~~ ~ ~"~ ~ ~; ~~ ~,_= , ~-~~ in consideration of the foregoing Petition, satisfactory proof having be 'presented before e, IT IS DECREED that Letters T_estamentarv are hereby granted to Jennifer L. Bandura in the above estate and (if applicable) that the instrument(s) dated 09/28/2010 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. 1. .1 , 1, Register of Wills ~ , ~ ,,- ~ Form RW-01 rev. ioi~iizo» ~`~ Page 2 of 2 LOS L~~rr~~~~REGISTRAR'S ~ER~I°IATI+~~I ~' ~~~ ~iN~i~ It~i~f~t to du~alicatx~ !hip c~~Y i~~ ;:ahcstost~t o~ ~~, )t;. ~~~ Five t~ i this (t~. ~;t~il~t)t,•- ;(.O!?1~~~ ~ ~ ' ~ r -, ~.8 17 P~ 3~ 52 '~ ~ '` ~:,.~ ~,~ i,tt~;.~t~ .. ~ , i Ci.~RK Ofi ~~ ~ r , .~ ~ ~ I .. .~ _~, ,l,r;, , ~I~tv4 fns OR~P~ w u~ ~ ; .~~ ~, . .. --- - - ,r ~~-~~~~~`~~ Yh-~.r FEB 0 7 ~01~ t.81U(il:,ttU) ; ~UI71L1CI -•=.. ,:>' ~ - ~-_._. ~ - ~'. )C21~ i{c .,.. .. /, Type/Print In COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS Pe nt L O F - - ~ ~ Sfa[e File Number: 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (MO/Day/Yr) (Spell Mo) Gordon =van Gravers M 168 - 26 - 3923 Feb. 6, 2012 Sa. Age-Las[ Birthday (Yrs) 56- Under 1 Vear Sc. Vnder 1 Da 6. Date of Birth (MO/Day/Year) (Spell Month) 2a. Birthplace (City and State or Foreign Country) Months Days Hours Minutes Bennington , VeZZTlon't 79 July 1 1 932 26. Birthplace (county) Sa. Residence (State or Foreign Country) Sb. Residence (Street and Number- Include Ap[ No.) Sc- Did Decedent Liye in a Township. PA Yes, decedent Ifyed in South Middleton 8tl. Ry~ider~ (Co iv) 308 Glenn Avo_ iwp_ IJLIIT10er1aIZd Se. Residence (Zip Code) 1 7007 ONO, decedent lived within limits of city/boro- 9. Ever in US Armed Forces? 30. Marital Status at Time of Death ® Marrietl 0 Widowed 11- Surviving Spouse's Name (IF wife, give name prior to first marriage) Ves ~ No Q Unknown Q pivorced O Never Married Q Unknown Carol L _ Sl-leaf£er 12. Father's Name (First, Middle, Last, Suffix) 13- Mother's Name Prior to First Marriage (First, Middle, last) Frederick Orison Graves Jr. Marian E11a Towsle 14a_ Informant's Name 14 b Relati hi ' 0 G . ons p to Decedent Carol L_ Graves Wife ~ 14c. Informant s Mailing Address (Street and Number, City, State, Zip Code) 308 Glenn Ave_ Bonin S rin s, PA 17007 . m ° ...................---.........'----......._'------0'i~'--"'°`"""---"""°"'---'..° If Death Occurred ' rn a Hospital: patient Q Emergency Room/OUt pane nT 0 Deatl on Arrival 156. Facility Name (If not Institution, give street and number; . 308 Glenn Ava_ 16a. Method of Disposi [ion 0 Burial ~ Cremation ~ Rerngval from State L] uo n o ""--- lsa. Plape q Dear cne~ qn y one .................... ................................. If Death Occurred Somewhere Other Than Hos [al: --'-" """""""' -~~~- Pi e] Hos Facilit ~~-~~-~~~ "' pice y ~ Decedent's Home ~ Nursing Home/Long-Term Gare Facility Q Other (Specify) 16 c. City or Town, Stale, and Zip Code 16 tl. County of Death Boilin S rin s, PA 17007 Cumberland 16b- Date of Disposition 16c. Place of Disposition (Name of cemetery, creme Dry, or other place) a ~Other(Specify) F.l'1'FCXTIY9TIPl'lt 16d. LOCa[iOn of Disposition (City or Town, State, and Zip) Bennington, Vermont 2 13 2012 Bennln On P rlc La t 17a. Signature of I Service Licensee or of Interment 126. License Number FD 012633 L o 17c. Name and Complete Atl dress of Funeral Facility m ~ Ewin Brothers Funeral Home, =nc_ 630 S_ Hanover St. Carlisl PA 17013 18. Decedent's Education -Check the box that best describes the 19. Decede ni of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE races o indicate what highest degree or level of school completed at the time of death. box that best describes whether the decedent the tleredent considered himself or herself to be. t Q 8th grade or less is Spanish/Hispanic/Latino. Check the "NO" Q'OYhiie ~ Korean 0 No diploma, 9th - 12th grade box 'f decedent is not Spanish/Hispanic/Latino. 0 Black or African American 0 Vietnamese 0 High school graduate or GED completed ~~ ,not Spanish/Hispanic/Latino ~ American Indian or Alaska Native ~ Other Asian ~ Some college credit, but no degree ~ Ves, Mexican, Mexican American, Chicano ~ Asian Indian 0 Native Hawaiian ~0"ASSOCiate degree (e.g. AA, AS) Q Ves, Puerto Rican ~ Chinese Q Guamanian or Cha mono p Ba<nelgrs degree (e.g. BA, AB, BS) 0 Ves, Cuban Q Filipino ~ Samoan Q Master's degree (e.g. MA, M5, MEng, MEd, M6W, MBA) 0 Ves, other 5 panish/Hispanic/Latino Q Japanese ~ Other Pacific Islander ~ Doctorate (e.g. PhD, Ed D) or Professional degree (Specify) ~ Other (Specify) . MD, DDS, DVM, LLB, JD 21. Decedent's Single Race Self-Designation -Check ONLV ONE to indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation -Indicate type of work ,gOf/hi[e Q Japanese Q Samoan d d5t ing mos f,workinq Ilfe- DO NOT USE RETiRED- 0 Black or African American ~ Korean 0 Other Pacific Islander olnLOrmatl0n HSSe'C ~ American Indian or Alaska Native ~ Vietnamese ~ LJOn't Know/Not Sure Q Asian Indian Q Other Asian ~ Refused 22b. Kind of Business/Industry ~ Chinese 0 Native Hawaiian ~ Other (Specify) p Fnipinq p Guamanian or chamorro = _ B _M _ Corp _ ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounced Dead (MO/Day/Vr) 236. Signature of Person Pronouncing Death (Only when applicable) 23 c. License Number BV PERSON WHO PRONOUNCES OR ~~~b Z,~ ~` ~ ~/ a- CERTIFIES DEATH I ~Q~ ~ M' ~ ~~ T~ 23tl. Uate ~rgned (IV O/Day%Yr) 24. time of Death ~ ,V D a.< ~ .-a,~ D ` 25. Was Medical Exam r Coroner Contacted? ~ Yes No CAUSE OF DEATH Approximate 26. Part 1. Enter the chain of events-diseases, Injuries, or complications--that directly caused the death. DO NOT enter terminal events such as cardiac arrest Interval: re spi ra [orY arrest, or ve tricular (ib rillation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines if necessary Onset to Death IMMEDIATE CAUSE --------n--- -> a. I~G AL ] 1 L, UT/ ~ JS/$ ' (Final disease or condition Due to (or as a consequence oF): resulting in death) b. - 6equentially list conditions, Due to (or as a consequence of): if any, leading to the c e listed On line a. Enter the UNDERLYING CAUSE Due to (or as a consequence of): (dis njury that _ Willa red the events resulting d. _ rn death) LAST. Due [o (or as a onsequence of): S ~ 26. Part II. Enter other sl¢nif(ica nt conditions c iribu['n¢ to death but not resulting in the underlying cause given in Part I 5• ~ ~~ f I , n 27. Was a autopsy perfo med2 C•] Yes No ~. ~ RS~6 '~i 4 ~ 28. Were autopsy findings available m to complete the c of death? a O ves O No - o m 29. If Female: ~ Not pregnant within past year 0 Pregnant at time of death ~ Not pregnant, but pregnant within 42 days of death 30. Did Tobacco Use Contribute [o Death? ~ Yeos Q Probably ~1 Unknown S•'~" ~ 31. Manner of Death ~CNatu ral ~ Homicide [] Accide ni 0 Pendi ^golnyestigation Q Suicide Q Could < be determined r- ~ Not pregnant, but pregnant 43 days to 1 year before tleatf '- U k • if 32. Date of Injury (MO/Da Yr 5 y/ ) ( Pell Month) L j r. n o .vn pregnant within [he Pas[ Year 33. Time of Injury 34. Place of Injury (e.g. home; construction site; farm; school) 35. Location of Injury (Street and Number, City, State, Zip Code) 36. Injury a[ Work 37. If Transportation Injury, Specify: 38. Describe How Injury Occurred: 0 Ves 0 Dri er/Operator ~ Pede trian ~ No ~ Passenger ~ Other (Specify) 39a. ertifier (Check only one): Certifying physician - To the best Of my Icnowled ge, death occurred due to the use(s) and manner stated Pronouncing ffi Certifying physician To the best f my knowledge, death occurred at the time, date, and place, and due to the c se(s) and manner stated ~ Medical Examiner/Coroner - O b is /Jibanon, and/or investigation, in my opinion, deer cu red at the time, date, and place, and due to the cau^se(s) a~d/~ manner stated Signature of c rtifier: `y~~~~/ Title of c rtlfic ~O<S'IGIG•~ Lic a Number. M :.,) C7 -/ Z ~ ~Z-- ns e 39 N e, Atl s a d Zlp C de of Person C m letin Caus f Death (Ite 26) •~ ~ ~~ ~ hQ 3 {~.~~..~. ~- ~'$'~~r ~., f~ L~ ~ ~e •'•'.- P.~9- ~ -7o°f 3 39c. Signed (MO/Day/Yr) ~i~..,.. 7,, 2 ~ f 2_ 40. Registrar's Distri c[ N tuber 41- Regl tra is Signature / `' vy' `-f ~// ~/ ~/~ 42. Registrar File Date (Mo/Day/V r) 43. Amendments r Q /_ ~ ~ / ~ ~ EV O?-143 Disposition Permit No. (C/ CO R /~ni i LAST WILL AND TESTAMENT OF GORDON I. GRAVES I, GORDON I. GRAVES, of n z: ~ ?j ~~~ ~ ....'f ~~»1~l f . '~ ~' ~~I~ ~ ~4~ - /~ -- _`. ) it ~ / is"'1. f "'; .,~ % ,_ __ a 1"7" ..,.~ i f ..t ._ T~ -~ ~, ~~ 1_ i.r' (,:; ~~ South Middleton Township, 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 all other Wills and Codicils heretofore made by me. FIRST I direct the payment of my just debts and the expenses of SAIDIS SULLIVAN LAW 26 West High Stree~ Carlisle, PA my last illness and funeral from my estate as soon after my death as conveniently may be done. I direct that my body shall be interred at the F. 0. Graves Mausoleum in the Park Lawn Cemetery, Bennington, VT. I authorize my personal representatives to expend funds from my estate, in such amount as my personal representatives shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. SECOND I bequeath the following specific items to the persons hereinafter set forth: A. To my daughter, Victoria L. Graves-Bailey, my mother's antique secretary; B. To my daughter, Jennifer L. Bandura, my grandmother's antique secretary; and C. To my wife, Carolyn L. Graves, and to each of my daughters, Victoria L. Graves-Bailey and Jennifer L. Bandura, the sum of ten thousand ($10,000.00) dollars. I direct my personal representatives to pay the foregoing specific bequests as soon after my death as conveniently may be done. THIRD I give, devise and bequeath all the rest, residue and remainder of my estate in three (3) equal shares as follows: A. One share to my daughter, Victoria L. Graves-Bailey, per stirpes; B. One share to my daughter, Jennifer L. Bandura, per stirpes; and C. One share to my Trustee hereinafter named, IN TRUST, under the following terms and conditions: (1) My Trustee steal l hold, manage, i n~,rest and reinvest the principal so received and the SAIDIS SULLIVAN LAW 26 West High Street Carlisle, PA •~~~~ accumulation of income thereon; and (2) In each taxable year of the Trust, the Trustee shall pay to my wife, Carolyn L. Graves, a unitrust amount equal to twenty (20%) percent of the fair market value of the assets of the Trust valued as of the first day of each taxable year of the Trust. The 2 unitrust amount shall be paid in equal quarterly amounts, by distributing to my wife all income of the Trust, plus so much of the principal as may be needed to make up the unitrust amount. In determining the unitrust amount, the Trustee shall prorate the same on a daily basis for the year of my death and for the year ending with the beneficiary's death or other termination of this 'T'rust. (3) Payments authorized by this Trust may be made by my Trustee directly to the beneficiary or directly to any person or institution entitled to such payment by reason of services rendered or to be rendered to the beneficiary. (4) All payments of principal and income hereby given shall be free from anticipation, assignment, pledge or obligation of the beneficiary, and shall not be subject to any execution or attachment by her creditors. SAIDIS SULLIVAN LAW 26 Wes[ High Sveet Carlisle, PA (5) Upon the beneficiary's remarriage or cohabitation with an unrelated male for a period of three (3) consecutive months, this Trust shall terminate. (6) Upon the death of the beneficiary, or other termination of this Trust, the balance of principal and undistributed income shall be paid to my 3 daughters, Victoria L. Graves-Bailey and Jennifer L. Bandura, in equal shares, per stirpes. FOURTH I direct that any and all inheritance, estate, and transfer taxes imposed upon my estate passing under this Will or otherwise shall be paid out of the principal of my residuary estate. FIFTH In the event that my wife, Carolyn L. Graves, fails to survive me by thirty (30) days, then I give, devise and bequeath all the rest residue and remainder of my estate unto my daughters, Victoria L. Graves-Bailey and Jennifer L. Bandura, in equal shares, per stirpes. SIXTH I appoint my daughter, Jennifer L. Bandura, as Trustee of any Trust created hereunder. SEVENTH In addition to the powers conferred by law, I authorize any SAIDIS SULLIVAN LAW 26 West High Scree Carlisle, PA personal representative, trustee or guardian acting under this instrument, in their absolute discretion: A. To retain in the form received, or to sell either at public or private sale any real or personal property; B. To exercise any options to subscribe for stocks, bonds, or other investments; 4 C. To join in any plan of lease, mortgage, consolidation, exchange, reorganization or foreclosure of any corporation in which my estate or any trust may hold stocks, bonds or other securities; D. To sell, transfer, convey, mortgage, pledge, lease or exchange any property, real or personal, which at any time may form part of my estate, for the payment of debts or taxes, or for any purpose of administration or distribution, for such prices and upon such terms as my personal representative, in their sole discretion, may deem wise, and to execute and deliver deeds of conveyance or transfer thereof; E. To make settlements and compromises on such terms as my personal representative in their sole discretion may deem wise without the necessity of obtaining any court approval thereof; F. To make distribution hereunder either in cash or kind, as my personal representative in their discretion may deem wise. SAIDIS SULLIVAN LAW 26 West High Srreer Carlisle, PA ~~ EIGHTH I do hereby nominate, constitute and appoint my daughter, Jennifer L. Bandura, to act as Executrix of this my Last Will and Testament. Provided, however, that if Jennifer L. Bandura is unwilling or unable to act as Executrix, I direct the duties of Executrix to be performed by my wife, Carolyn L. Graves. 5 NINTH I direct that no personal representative, guardian, trustee or other fiduciary appointed under this instrument shall be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, Gordon I. Graves, have hereunto set my hand and seal to this my Last Will and Testament, consisting of six typewritten pages, the first five of whici~ bear my initials in the margin for identification, this 28th day of September, 2010. (~; Gordon I. Graves Signed, sealed, published and declared by the above-named Gordon I. Graves, Testator, as and for his Last will and Testament in the presence of us, who have hereunto subscribed our names at his request as witnesses thereto, in the presence each other. SAIDIS SULLIVAN LAW 26 West High Srreec Carlisle, PA ADDRESS 26 West High StreE~t Carlisle, PA 17013 ADDRESS 26 West High Street Carlisle, PA 17013 6 COMMONWEALTH OF PENNSYLVANIA , COUN'T'Y OF CUMBERLAND , We, Gordon I. Graves, Tanya L. Ware and Phyllis McCoy, the Testator and witnesses, respectively whose names are signed to the foregoing or attached instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and Testament and that he signed willingly and that executed as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator signed the Will as witnesses and that to the best of their knowledge the Testator was at the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. God on I. Graves ~.- ~ Tanya Ware, Witness /Z~r ~ Phy~.3is McCo ' tness Subscribed, sworn to and acknowledged before me by Gordon I. Graves, the Testator, and subscribed to and sworn or affirmed to before me by Tanya L. Ware and Phyllis McCoy, witnesses, this 28tH day of September, 2010. Notary Publ SAIDIS SULLIVAN LAW 26 West High Streer Carlisle, PA NOTgRIAL SEgL RENEE L. HURRAY, Notary public Carlisle Boro, Cumberland County, pq MY Commission Expires Dec. 73, 2013 7