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PETITION FOR GRANT OF LETTERS
REGISTER OF WII,LS OF CUMBERLAND COUNTY, PENNSYLVANIA
Petitioner(s) named below, who islare 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: Chester L. Richwine File No: ~ ~ - `;~ - ~ ~3r]
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 174-20-6144
Date of Death: December 30, 2011 Age at death: 85
Decedent was domiciled at death in Cumberland County, pennsylvania (stare) with his/her last
principal residence at 5 Melwood Lane. Mechanicsburg. Pennsvlvania 17050 Silver Sprin¢ Township Cumberland
Street address, Post Ofi9ce aad Zip Code City, Township or Boroegh Coamy
Decedent died at 4905 East Trindie Road. Mechanicsbure PA 17050 Hampden Township Cumberland PA
Street address, Pont Office and Zip Code CIty, Township or Boroag6 Coanty 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 ......................................................... $
TOTAL ESTIMATED VALUE.... $ 1.000.00
Real estate in Pennsylvania situated at:
(Attach additional sheets, if necessary.) Street address, Poat O[fice aad Zip Code Clty, Township or Boroagh Coanty
® 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 July 30, 1976 and Codicil(s)
thereto dated N!A
State relevant circumstances (rg. renancistion, death ojexecator, etr^)
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(8), and did pat have a child bom or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS o EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (lf applicable)
c.t.a., d.b.n., d.b.n.c.t.a., pendente life, durante absentia, durante minoritate
H Administration, c.ta or db.n.~ta., 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(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
Q NO EXCEPTIONS o EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent leR no Will and was survived by the following spouse (if any) and heirs (attach
additional sheets, if necessary):
Name Relationshi Address ` ''
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Forn Rw-oz rev. ionlizoll Page 1 of 2
R
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
}
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Official Use Only
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Petitioner(s) Printed Name Petitioner(s) Printed Address
Maril H. Richwine 5 Melwood Lane Mechanicsb PA 17050 CLERK OF
~.
.,..
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 Petitioner(s) will well and truly administer the estate according to law.
Sworn to a;• affirmed and subscribed before ~ - ~ ~,,,.z, , Q Date, -a ~ • a a i ~
me ~`' ~ day of ~ ~ Date
By:. Date
or the. Register Date
BOND Required: Q YES ~ NO To the Register oJWills:
FEES: Piease enter my appearance by my signature below:
Letters ...................... $ ~~ QV
( 3 )Short Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other
. ......
Automation Fee ............... ~~
JCS Fee .....................
TOTAL ..................... $
~ Attorney Signature:
Printed Name: Keith O. Brenneman
Supreme Court
ID Number: 47077
Firm Name: Snelbaker & Brenneman, P.C.
Address: 44 West Main Street
Mechanicsburg PA 17(155
Phone: 717-697-8528
Fax: 717-697-7681
Email:
DECREE OF THE REGISTER
Estate of Chester L. Richwine File No: ,~ ~ - i ;~ - ~ ~~
a!k/a: V
AND NOW, ~~ ) t7l ~ .P ~ , to consideration of the foregoing Petition,
satisfactory proof having been pre ented before me, IT IS DEC E~tters Testamentary
are hereby granted to Marilyn H. Richwine
in the above estate and (if applicable) that
the instrtunent(s) dated July 30, 1976
described in the Petition be admitted to probate and filed cord as the last W'll (and Codicil(s)) of Decedent.
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ster of Wills
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Form ew-o2 rev. 10/Il/Z011 Page 2 of 2
HIOS.ROS RBV (OI/O?1
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 17927975
Certification Number
'T'his 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
Records Office for permanent filing.
~~~n~z.. ~ ~ JAI 0 3 12
~~~~.
Local Registrar Date Issued
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143 REV t1/!!p6 COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH • VITAL RECORDS
PE /PRINT IN
BUCK INK CERTIFICATE OF DEATH
(See instruetldma and exemoles on reversal __.- __ _ _....___
1. Nerve d Deadwll(First, rtYdda, lest, sulNx) 2. Sex 3. Social Security NwMer V'•• 4. Date d DeaM (Month, day, year)
Chester L.-:Richwine male 1 - -
- -
5. Age (Leal Birthday) lkMer 1 Under 1 de 6. Date d Bidh Monet, 7. & and sea or f coon b. Place d Deelh Check one
Mgdhs Days Haas aanme HoePltal: Other
85 vta. 11-14-1926 Harrisbur PA ^lopetlem ^ER /Oulpetlent ^DOA ~[]NUrsmg Hgne ^Rmidence ^Oerer-Speciy
"
Bb. Covey d Dwm fk. City, Bqo, 7wp. d Death Btl. FacNiry Name (N not InstNUtlan, give street and number) S. Was Decedent d Hkpenk: Origin? No ^ Vas 1D. Race: American Indren, Bladt, WONe, etc.
Cumberland Ham den
p gyp. pt yen, apedy Cuban,
Country Meadows of the West Shore Mexlan,PuartoRkan,ek.) (wh to
• 11. UeadaM's UwN ibn Kndd wlak doe most d NFe. Do noteaa 12. Wee Decedent ever In me 13. Decadenra Education (Spec6y ady laprest grade Wmpleted) 14. Mental Status: Maenad, Never Married, 15. Surv'rvirg Spouse (N wile, give maiden name)
.. , Kind d Work, ! ~ KxM d BusFase/Indus
" ~ ~ 11.5 Amred F^rces7 7pqLne~y Secondary (D-12) Cdlepe (1-A q Si) WidoweQ Divorced (Specify)
~L 1
Yee ^ No
I{ married arilyn Ruth Hartz
16. Uecedenfs Mmlirg Adtlress (Street, rdty /town, sate, DP code)
5 Melwood Lane Decedenrs Did Decedent
Adual ROaklence 1Ta. 51ea PennsVlVania Iivema t?c~Yes
Decedent Lived in Silver ~in
Mec
hanics
b
u
rg PA 17050 ,
g Twp.
Cumberland TowwMp? 17d.^No, Decedent Lived wNhin
17b~"ty'
AdualLimitsd cdy/B«a
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18pHlll R'F~1 cLiwine ,g. Namara NamatFast, midtlle, maiden surname)
Hazel M. Leach
20e. IMgmgd's Name (Type 1 Pdnt)
Marilyn H
Richwine 20b. IntamrenYS McNing Address (Sired, dty I town, aha, zip code)
. 5 Melwood Lane, Mechanicsbur PA 17050
21a, kNelhgd d Oispallion i C~~ ^ ~~
^
^ 21b. Date d DisposiNm (Momh, day, year) 21c. Place of Disposition (Name d cemetery, cremarory or dher place) 21d. Loratlan (Ciyl rover, state, rip coda)
Burial
Removal horn Saa i Wp CsarluBOn q Dortelbn Adhodud
^ Omer- s hl Nadgai ExamineriCgamfy ~ Yee^ No
- -
~ 22a. SlgruN (ar acting m auto) 220. Licewe NuMra 22c. Name end Address d Facility
- F
D 012 848 L Parthemore FH and CS Inc.-PO
B
o
~i.431,.New Cumberland PA 17070
Cartplde ~ ^^IY adNYM9
ptrysican h nd aYeYBMa a<time of deem a
arNh cause d death. 23e. o th has) of my ~owbdge' V W ate/ l ~ endWece slated. (Si9ndure and tills)
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236. Licsro
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K 23c Signed (Momh. day, Year)
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30
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lanw 24~2fi moat he arndeae by person
,' who praaerees deem. 24. Torre d
: 5~
P 25. iongaxwd Deatl (Monet. daY, Yom) 26. Was Case Reamed a Me<Acal Exami~ (Coroner for a Reason Other th~ Cremation q Donation?
,
M 4v // ^ Yea l~ll r(
CAUSE OF DEATH (See InsWCtbns end exempba) ~ Apgozknete kdervai:
Item 27. Pert I: Eller dre dull d mamta- diseeaes, NtJ,rties a canpNaNons -and ®recdy caused me deem. DO NOT rmar armYlel evens such m aNiec arrest, r Onset a Deem
r
k
b
l pad il: Eder Omer ~
hul not resuPon m Nre undo
9 ~ dying ause gNen in Pan I. 26. Did Tdtacco Use Cwdnb~de a Deem?
^ Yes ^ P
bed
esp
e
ry arrest, or vemria
ar fdxiNMbri wagd showhg tl1a eg^I^gY. fiat oMy one cause on earJt hre. r y
ro
gll
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IWI dATECWSE `Fitel6aese or ~~ ~/'~
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Un
wwn
~Nbn rmdNng In deem) _~ a. " / {w ~f / ~
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-/ 29. II Femak'.
~
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Due a Iq ^~~
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Dre9nam wehin Pa51 Yeaz
~y NN midticrie, N erry, b
~
0-'Y) / /•T i ^ Pra~ad at thre d tleam
.
b 10e awe Noted an Ixre a.
rmsequerw;e a): i
FFidx UNDERLY11q CAUSE Dee a (q m a
Na pregnant, but pregnam wNNn d2 deYs
ray
-
e
~B c of deem
. r
veresWYrb
in deem) LAST ^
Due t^ (^r es a C^M1Segwna ^~: NM prepienl, bd pregrwre 13 drys a 1 par
C. hafge deem
^ Unbrown N pregrrem wid4n ma pmt year
30e. Wm en Auapsy
Perlprmad7 3fib. Were Aukrpay Fkidrgs
Available Prior u Corr7letio^ 31. Manner of Deem 32a. Dace d In'
Aay (Month. day, Year)
32b. Desaibe Haw Injury Occurred
32c. Place a kjurY yWrrs, Fenn, Sbeal, Fact
ry,
a Dews d Deem? ~ Neb"el ~ ~^~• Olfice RuNdng, ah. (Sperary/
^ Ym
~ gyro
^ Yes ^ Aakard ^ PeMkq Invmtigetlon ~. Time d Inpxy 32e. Injury d Wodc? 321.11 Trenapodation Injury (6pervYy) 32g. Location d inlury (Street. city /Town, sole)
^ Sdcide ^ Cant Nd he Deterrnhreo
^ Vee ^ No ^ Dr'rverl relor ^ pedeabien
OPe ^ Passengm
M Omer - Spedry:
33a. Cediker (dtedc only one) 33b. SigreMe end
• CenMyhq POYdoI•^ (Phyaiden artllykg awe d deem when enomer phydclen Nee proriounad dmm end amPaled lam 23)
Toth Wdd my lora•Aedps, deem occwM due to the cmne(s)and mrrnerurdeaU_________________________________ ^
• Prorramdrp ant oertlfying phyaklen (Plryakian boll proriaeidrg deem erq arMyNg a sum d dea0i) 33c. Lkenae r 33d. Dea Signed (Monet, day. Year)
TolM haaldmy lmowadge,drm omerW qth•6nw,hb, srM pace, end rlarotlr aues(a)end numm~Wded__________________^
• Yedial Fiarnkar/Coroner ~J/
/ fyJew~~ / I~ 1~
t/~~i~ ~V
On the DeNa d aaeminetion and I q InvpllpaUOn, i^ my opinbn, tlwth oaurM
ClMtlma,dab, rd pMp, and dwto
U
r eeuee(w) end mercer u esabrL ^ gs. Name arq~
e
m of
Peuon Who d (NSm 2'>) Typo / prlM /~„~ ~ /
Ad~dr
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Regitrer's aritl DlebiCl ~ I n I ~ ' ~7' / I I
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tX ~1 38. Dad FMd (~, dY, Year)
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DLapwNbrl PetmN No. ~ ~ ~~ 7 ~
OATH OF NON-SUBSCRIBING WITNESSES}
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Chester L. Richwine Deceased
Marilyn H. Richwine and Betsy Ann Dressler
(each} being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with Chester L. Richwine and am/are familiar
with the handwriting and signature of the decedent, and that the signature of Chester L. Richwine
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
Chester L. Richwine is in his/her own proper handwriting.
(Signature)
5 Melwood Lane
eet A ess)
Mechanicsburg PA 17050
(Crty, State, ip)
Executed in Register's OJ,~tce
Sworn to or affirmed and subscribed
befAxe me this ~ `~ a day
J ,
Deputy for Register of Wills
(Signature)
64 Manny Drive
trees A ess
Middletown, PA 17057
(Cuy,~State, Zip)
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Form RW-04 rev. 10.13.06
LAST WILL AND TESTAMENT OF CHESTER L. RICHWINE
I, CHESTER L. RICHWINE, of the Township of Silver Spring,
County of Cumberland and State of Pennsylvania, being of -found =~.
and disposing mind, memory and understanding, d
o make , p,,~~~ f~
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and declare this my Last Will and Testament . ':=~ ~ •
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I direct the payment of all my just debts and funeral expe nses
as soon after my decease as the same can conveniently be done.
2.
I give, devise and bequeath all the rest, residue and remainder
of my estate, of whatsoever nature and wheresoever situate, to my
wife, Marilyn H. Richwine, absolutely and unconditionally.
3•
In the event that my wife, Marilyn H. Richwine, should prede-
cease me, or should she die at about the same time as I do, such
as in an accident common to both of us, then in such event, I give,
devise and bequeath my entire estate, real, personal and mixed,
whatsoever and wheresoever the same may be situated, to my two
children, to wit, Robert E. Richwine and Betsy Ann Richwine, share
and share alike.
LASTLY, I nominate, constitute and appoint my wife, Marilyn
H. Richwine, Executrix of this. my Last Will and Testament, and in
the event that my said wife should predecease me, or should she
be unable or unwilling to serve in such capacity for any reason,
then in such event, I nominate. constitlatP an~aYlYln~n+ mtr ~--~
y
r .
Co-Executors of this my Last Will and Testament in her place and
stead.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
~Z> day of July, A. D. 19'76.
~`, . ~~2c-e.~e'.~~~? ~ SEAL
Chester L. Richwine
Signed, sealed, published and declared by the above named,
Chester L. Richwine, as and for his Last Will and Testament, in
the presence of us, who have subscribed our names hereto as
witnesses, at the request of said testator, in his presence and
in the presence of each other,