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HomeMy WebLinkAbout02-27-12i 1 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 requests the grant of Letters in the appropriate form: nP~pdent's Information Name: John F. Maurer a!k/a: John Franklin Maurer a/k/a: a/kla: Date of Death: 02!20/2012 File No: 21.12 `- Ot /- t (Assigned by Register) Social Security No: 179-16-8385 Age at Death: 89 Decedent was domiciled at death in Cumberland County, pA (State) with his/her last principal residence at 711 S. 21st Street, Camp Hill 17011 Lower Allen Township Cumberland Street address, Post Office and Zip Code City, Township or Borough County Lewisbur Union PA Decedent died at Evangelical Community Hospital 9 Street address, Post Office 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 $ Over 10,000.00 !f not domiciled in Pennsylvania ................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ................ Personal property in County $ Value of real estate in Pennsylvania ................................................................... $ 135,000.00 TOTAL ESTIMATED VALUE $ 145,000.00 Real estate in Pennsylvania situated at 711 S. 21st St., Camp Hill Lower Allen Township Cumberland (Attach additional sheets, if necessary.) 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) that he/she/they islare the Executor(s) named in the Last Will of the Decedent, dated 07/2112011 and Codicil(s) thereto dated State relevant circumstances (e.g., renunciation, death of executor, etc.) Except as follows: after the execution of the 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 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. ao*ttion for Grant of Letters of Administration (If applicable) c.t.a., d. b. n., d.b.n.c.t.a., pedente life, durante absentia. durante minoritate If Administration, c.t.a or d.b.n.c.t.a., entRr date of ~"dill in Section A above and complete list of heirs. Except as follows: Decedent was not a party to.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 thle following spouse (if any) and heirs (attach additional sheets, if necessary): t? ~ ~~ Name Relationship Address ~ ~ '~ r-T-; `' ~' t~ ~: , ~? rn Iv --;~-- ~, J __- b ~ ~n Form RW-O2 rev. 10-11-2011 Copyright (c) 2011 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } ss: COUNTY OF Cumberland } Official Use Only r't,- ,rrf, i- , ~ ,-. ~~-`~ ~ ~ it~~ ,t ! ~ }-i~-,~ Il ~~ Petitioner(s) Printed Name Petitioner(s) Printed Address ~ ; ~ ~ ~ ~rf"4 ~ (- 1 Anne M. Grable 116 Holly Drive Mechanicsburg, PA 17055 C( ~RK CF ct~n~~~~E a~~~ c~ . ~A r ne Petitioner(s) above-nametl 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 ecedent,~Pye],titione )will well and truly administer the estate accordin to la . Sworn to or ffirmed and subscribed before ~ ~12e //L, Data !Z- me thi day f 1~ Data By: Ced.~ Fo th Register Date Date BOND Required? ~ YES ~ NO FEES: Lette s . ~ ......................................... ( )Short Certificate(s)......... ( )Renunciation(s) .............. ( )Codicil(s) ........................ ( )Affidavit(s) ...................... Bond .... ......................................... Commission .................................. Other (~ ; ~ 1 Automation Fee ............................ JCS Fee ....................................... TOTAL ......................................... -~ To the Register of Wills: r~eaaa an[er U-~ Firm Name: Address: Jan M Wiley nature oerow: 06298 The Wiley Group, PC 3 N. Baltimore S1:. Dillsburg, PA 1'7019 717-432-9666 Phone: Fax: E-mail: DECREE OF THE REGISTER Date of Death: 02/20/2012 Social Security No: 179-16-8385 Estate of John F. Maurer File No: 21-12 as a/k/a: John Franklin Maurer AND NOW, oC.~l oL , in consideration of the foregoing Petition, satisfactory proof ha 'ng b n pres nted before me, IT IS DECREED that Letters Testamentary are hereby granted to Anne M. Grable 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 r Copyright (c) 2011 form software H105.805 REV (01107) LO~~C't:`.R~~TRAR'S CERTIFICATION OF DEATH V'~~~IfN~..at "r~~~~gal to duplicate this copy by photostat or photograph. E~ 2 7 A~ ~ ~ ' ~ ~ „Ilr~r~-------.--_ This is to certif that the information here iven is Fee for this certificate, $6.08`1 „/ Y g 11' a~SH OF pF"~ correctl co ied from an on final Certificate of Death ,,t,`~~(o~~~C, NyJ!'- duly filed with me as Local Registrar. The original CLERK ©F T +~ - ,;~ za certificate ill be forwarded to the State Vital oR~v s coin. - -. ~~~a`'~~._,~Nn ~;~., ~A ? ~ ~ -~ ~ a ecords e for anent filing. { ~P~,,t ~'' FEB ~ ~1 ~~~~ P 18083158 `°`~q91~ ~ ~~~' '" /~ '"'~---~MENTfO'%„/III''j111 / r ^~,,~' ~ ~ Type/Print~rtiflcatiori Number COMMONWEALTH OF PENNSYLVANIA . ARTMENT OF HEALTH . VLT7~6.~C~~istrar Date Issued Permanent CERTIFICATE OF DEATH State Fila Number: V L a ~( lack In k 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (MO/Day/Yr) (Spell Mo) JOHN FRANKLIN MAURER Male 179-16-8385 February 20, 2012 der 1 Da 6. Data of Birth (MO/O ay/Vear) (Spell Month) 7a. BIrthF~lace (City and State or Foreign Country) Months Da s Hours Minutes 9'22 I^ 89 y March 1, 1 7b. Birthplace (COUniy ga. Residence (State or Forclgn Country) gb. Residence (Str t and Number -Include Apt No.) 9c. Did Decedent Live in a To.vnshlp7 Allen L S . 21St S t . twp. OW2r ®Yas, daceden[ lived in gd. Resmen~e county ~ S decedent Ilved within limits of city/born. Q No lanC CLanber 9. Ever in US Armed Forces? 10. Mar , Se. Residenu (Zip Code) ital S[a[us at Time of Death Q Married Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marNage) Yes Q No Q Unknown Q Di vorced Q Never Married Q Unkno w 12. Father's Name (First, Middle, Last, SufRx) 13. Mother's Name Prkar W First Marriage (First, Middle, Las[) C1~arles David Maurer Mary Alice Foust Informant's Nsme 14b. Relationship to Decedent 14c. Informant's Melling Address (Street and Number, City, State, Zip Code? 14a o . Anne Marie Grable Da hter 116 Holl Drive Mechanicsbur PA 17055 G _ _ _ ace q eat a~ qn y ort. ............................... --- ... .....-•-- •-- --..... ..-•--- ..... +gs~ ~ re Other Than a Hozpiul: ~ Hospice Facility C] Decedent's Home atient Flf Death Occurred Somewhe In i l x p ta : pl 11 Death Occurred in a Hosp Q Emergenry Room/Outpatlent Q Dead on Arrival Nurzing Home/LOn -Term Care Facility Other (Specify) a ISb. Facility Name (If not institution, give street and number; lSC. City or Town, State, and Zip Code lSd. County of Death Eva elical CofxmLmit. Hos ital Lewisbur PA 17837 Union m 16a. Method o7 Dispostion Burial ~ (~ Cremation 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place) Q R.mpYal frgm state Q opnatiq^ Feb. 27 , 201 Pomfret Manor Crematory Other (Spacl(y) 16d. Location of Disposition (CI Town, Stale, and 21p) ry 1?a. 5 of Funeral Service License¢ or n In Charge of Int ent 3?b. License Number FD-011373-L ~_ 7801 Sunbury, PA 1 1?c. Name and Complete Adtlross of Funeral Facility ~' 38. Decedent's Education -Check the box that best describes c 19- Decedent of spanic Orlg n -Check the 20. Decedent's Race -Check ONE OR MORE races to intlicate what highest degree or level of school completed at the time of death. box that best describes whether the decedent the dettdent considered himself or herself to be. Q gth grade or less iz Spanish/Hispanic/Latino. Check the "NO" ~ White Q Korean Q No dlpioma, 9th - 12th grade b If decedent is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese Q High school graduate or GEO completed (~~ no[ Spanish/Hispanic/Latino Q American Indian or Alaska Native Q Other Asian ano ~ Asian Indian Q Native Hawaiian Chi i A i can mer can, c Q Some college credit, but no degree Q Yes, Mexican, Mex Q Associate degree (e.g. AA, AS) Q Yes, Puerto Rican Q Chinese Q Guamanian or Chamorro Q Bachelor's degree (e.g. BA, A8, BS) Q Yes, Cuban Q Filipino Q Samoan Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Yes, other Spanish/Hispanic/Latlno Q Japanese: Q O[her Pacific Islander Q Doc[orate (e.g. PhD, EtlD) or Professional degree (Specfy) Q Other (Specfy) . MD DOS DVM LLB lD 21. Decedent's Single Race Self-Designation -Check ONLY ONE to Indicate what the decedent considered himself or herself to be. :22a. Decedent's Usual Occupation - Indigte type of work [White Q Japanese Q Samoan done during most of working life. 00 NOT USE RETIRED. Q Korean Q Other PaciHC Islander i f A mer can C] Black or A rican McC~18TllCal En ineer 0 American Indian or Alaska Na[IVe Q Vietnamese Q Don'[ Know/Not Sure Q Asian Indian Q Other Asian Q Refuzetl 22b. Kind of Business/Industry Q Chinese Q Native Hawaiian Q Other (Specify) N$val Depot Q Filipino Q Guamanian or Chamorro ITEMS 23a - 23d MVST BE COMPLETED 23a. Dale Pronounced Dea (MO Day r 23b. SlgDttur¢ o Person Pronouncing Death (On y when app iobleJ 23c. License Num er - \J /. /J BY PERSON WHO PRONOUNCES OR /`/ CERTIFIES DEATH ~ L Z ~~(~.~( ~ QO D $ D t O 3 S~ LL 4 f 23d. Date Signed (MO/Day/Yr) 24. Time of Death ~ Flo O Z 25. Was Medical Examiner or Coroner Gontacted7 Q Yez g CAUSE OF DEATH Approximate 26. Part 1. Enror the chain of events-diseases, InJuNes, or complications-that directly caused the tleath. DO NOT enter terminal events such as cardiac arrest. Interval: Onset to Dea[h respiratory arrest, or ventricular flbrillatlon without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines If necessary IMMEDIATE CAUSE ------------> a- /4'L_-~"+e- Q ~,~C rL--teas ~~ F~ r~ ~it•'L (Final disease o onditlon ue [oD (or as a cor+ ¢quence of): resulting in death) b. J4s~ r J-s x-'10 ~ P ~ _ -- o +.r Sequentially list conditions, Ou¢ to (or s a n equence f>: If any, Ieadin8 to the cause Ils[ed on Ilne a. Enter the VNOERLVING CAUSE Oue to (or as a consequence of): (disaas¢ or Injury that F initiated the events resulting d. ~ con in death) LAST. Due fo (or ass sequence of): Enter other fi I i n h but not resul[ing in the underlying cause given In Part 1 27. Was a autopsy performed? 26 Part 11 - . . Q Yas BT`l 28. Ware autopsy findings available y;y Yo complete the cause of death? °° Q Yas No .~9d' 29. If Female: 30. Did Tobacco Use Contribute to Death? 31. Manner of Death ~ Q No[ pregnant within past year Q Yes Q Probably Q"~nknown N 10atural Q Homicid¢ Q Q Accident Q Pending Investigation °m' Q Pregnant at time of death but pregnant within 42 days of death Q No[ pregnant o Q Q Suicide Q Could not be determined ~ , Q Not pregnant, but pregnant 43 days to 1 year before death 32. Date of Injury (MO/Day/Yr) (Spell Month) Q Unknown If pregnant within the pas[ year 33. Time of Injury 34. Place of Injury (c.g. home; cons[ruction site; farm; school) 35. Location of Injury (Street and Number, City, State, Zip Code) 36. Injury at Work 37. If Transportation Injury, Specity: 38. Describe How Injury Occurred: Q Ves Q Driver/Operator ~ Pedestrian Q No Q Passenger Q O[har (Specify) 39a. Certifier (Check only one): Q Certifying physician - To the best of my knowledge, death pccurred due to the cause(s) and manner stated a'Pronouncing $ Certifying physician - To the best of my knowledge, death occurred at the time, date, and place, and due io the cause(s) and manner stated Q Medical Examiner/CO - On the basis of examination, and/or Investigation, In my opinion, tleath occurred at the time, da'Ge, and place, and due to [he cause(s) and manner stafetl Signature of certifier: Title of certifler:~7f S: Glds~ Uc¢nsa Number ~ S Q (a =~ Z L~ 39b. Name, Address and Zip Code of Person ComdeHng Cause of Death (Item 26) 39c. Date Signed (MO/Day/Yr) f~ 0 z v t- Zp 2eI Z 40. Registry YS District Number 41. Registry r'a Signature 4 Isirar File Date Mo Day vas- sb-3 0?~- pia B 43. Amendments Disposition Permit No. O~ / ICJ ~/ ~ REV O?/2011 t~.~~~t ~.[l ttrt~r tZes~xmertt OF JOIIN F. MAURER C? ~~ ~~~ fT1 ~~ '~~ ~~~, a ~a --~., ~~~} ('~7 ^-~~ .~- .c-° BE IT REMEMBERED, that I, JOHN F. MAURER, of 71 1. S. 21St Street, Camp Hill, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making null and void any and all Wills and Testaments and writings in the nature thereof by me at any time heretofore made. ITEM 1: I direct that all my just debts and funeral expenses be paid as soon after my demise as may be convenient. ITEM 2: All the rest, residue and remainder of my estate, o~f whatsoever nature and wheresoever situate, whether it be real, personal or mixed, including property over which I have a power of appointment, I give, devise and bequeath unto my daughter, ANNE M. GRABLE. Should my daughter, ANNE M. GRABLE, predecease me, I then give, devise and bequeath my entire residuary estate unto my son-in-law, WILLIAM D. GRABLE. ITEM 3: I direct my hereinafter named Executrix to pay all inheritance, estate, succession and legacy taxes of whatsoever nature and kind, to which my estate or the transfer of any property passing hereunder or otherwise passing by reason of my demise, maybe subject and to charge such taxes against my residuary estate, it being my intention that none of the aforesaid taxes, either federal or state, on any property required to be included in my gross estate, under the provisions of any state or federal law now in force or hereafter enacted, shall be prorated among the persons interested in my estate to whom such property is or may be transferred or to whom any benefit accrues. ITEM 4: I appoint my daughter, ANNE M. GRABLE, as Executrix of this my Last Will and Testament. Should my daughter predecease me, fail to qualify, cease to act or renounce probate, I then appoint my son-in-law; , as contingent Executor ~ , of this my Last Will and Testament. ITEM 5: I direct that my Executrix or her successor shall not bey required to give bond for the faithful performance of their duties in any jurisdiction. is Page 1 of 3 ITEM 6: My Personal Representatives shall have the following powers in addition to those vested in them by Law and by other provisions of this, my Last Will and Testament, exercisable without court approval, and effective until distribution of all property: To retain any or all of the assets of my estate, real oi• personal, without restriction to investments authorized for Pennsylvania fiduciaries, as they from time to time may deem proper, without regard to any principal of diversification or risk. 2. To invest in all forms of property without restriction to investments authorized for Pennsylvania fiduciaries, as they from time to time may deem proper, without regard to any principal of diversification or risk. 3. 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 prices and upon such terms or conditions as they from time to time may deem proper. 4. To allocate receipts and expenses to principal or incorr~e or partly to each as they from time to time may deem proper. 5. To borrow money from persons or institutions, themselves included, and to mortgage or pledge any or all real or personal property as they in their sole discretion shall choose, without regard to the dispositive provisions of this instrument. 6. To compromise any claim or controversy asserted by or against my estate or trust estate. 7. To make distribution in cash or in kind or partly in cash and partly in kind, and in such manner as they may determine, and at valuations finally to be fixed by them. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 215` day of July, 2011. '" `"'- ~ ~ (SEAL) JOH F. MAURER ~~ Page 2 of 3 COMMONWEALTH OF PENNSYLVANIA COUNTY OF YORK SS We, JOHN F. MAURER, JAN M. WILEY„ ESQUIRE and M. SUSAN McMICHAEL, the Testator 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 Testator signed and executed the instrument as his Last Will and Testament and that he had signed willingly (or willingly directed another to sign for him), and that he executed it 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 this Last Will and Testament as witness and that to the best of their knowledge the Testator was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. JO N F. MAURER ITNESS WITNESS Sworn to and subscribed before me this 21 S` day of July, 2011. ,Q~._, NOTARY PUBLIC MY COMMISSION EXPIRES: COMMONWEALTH OF PENNSYLVANIA Notarial Seal S. Dawn Gladfel6er, Notary Publ~ Dillaburp Boro, York County My Commiaslon F_xpires May 17, 2013 Member, Pennsylvania Association of Notaries Page 3 of 3 BEFORE THE REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF JOHN F. MAURER A/K1A JOHN FRANKLIN MAURER DECEASED NO 21-12-0254 DECREE OF THE REGLSTER OF WILLS AND NOW, this 28th day of February, 2012, upon consideration of the Petition for Grant of Letters filed by Anne M. Grable, for the above decedent anti the instrument offered for probate as the Last Will and Testament of John F. Maurer, which is dated July 21, 2011, and containing certain modifications thereon, the Register of Wills having given consideration thereto, has made an official determination regarding the modifications and renders the following decision: IT IS DECREED that the instrument is admitted to probate as The Last Will and Testament of John F. Maurer and shall include the obliteration and i:nterlineation appearing on the first page in ITEM 3, changing John F. Maurer to William D. Grable. IT IS FURTHER DECREED that Letters Testamentary are hereby issued to Ann M. Grable this date. Ann M. Grable shall have all the rights and duties of a fiduciary under the laws of Pennsylvania and shall proceed with the administration of this estate according to law. Glenda Farner Strasbaugh, Register o ills dd ' (J:.i UNt~I~i~YV{l~ 1~C10~ S.MdHd~? ~~ ~~~ hS ~Z ltd 9Z 8?.~ l? J ~ tfft' r`t:~71Jj ~0 7~~_.-;t_. f j'.iC~l~~ In Re: ANNE M. GRABLE, DECEASED : ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF . CUMBERLAND COUNTY PENNSYLVANIA NO.21-12-0254 CERTIFICATE OF SERVICE OF ORDER ORDER DATE: 2/28/12 JUDGE'S INITIALS: GFS TIME STAMP DATE: 2/28/12 IN ~: DECREE OF THE REGISTER SERVICE TO: JAN M WILEY METHOD OF MAILING: ® USPS ^ ~ ^ HAND DELIVERED ^ OTHER MAILED: 2/29/12 ENVELOPES PROVIDED BY: ^ PETITIONER ^ JUDGE ® CLERK OF ORPHANS COURT SERVICE TO: METHOD OF MAILING: ^ USPS ^ RRR ^ HAND DELIVERED ^ OTHER MAILED: ENVELOPES PROVIDED BY: ^ PETITIONER ^ JUDGE ® CLERK OF ORPHANS COURT puty rk of Orphans' Court