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HomeMy WebLinkAbout03-08-12Reset 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 Name: Bernard S. Meals a/k/a: a/k/a: a/k/a: Date of Death: February 27, 2012 File No• ~' "' ~ o~ ~-1 (Assigned by Register) Social Security No: 208-24-4780 Age at death: 81 Decedent was domiciled at death in Cumberland County, pennsylvania (stare) with his/her last principal residence at 50 Bonnybrook Road, Carlisle, PA 17013 Cumberland County Street address, Post Office and Zip Code City, Township or Borough County Decedent died at Carlisle Reeional Medical Center, Carlisle, PA 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 $ 1d, A00.Oa If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsy!vania ........................ Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ ZU. ~+G 0.00 Real estate in Pennsylvania situated at: 50 Bonnybrook Road, Carlisle, PA 17013, South Middleton 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) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated January 27, 2006 and Codicil(s) thereto dated ('rarv T ~P~t~ ~1+Pd 10/20/2010, a cn~y ofd ath rPrtifiratP is hPing~nrovided, thnc leaving Randall 4- Mealc as snle Rxecntnr State relevant circumstances (eg. renunciation, death ojexecutor, 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(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. Q NO EXCEPTIONS Q EXCEPTIONS B. Petition for Grant of Letters of Administration (If applicable) c. t. a., d.b.n., d.b.n.c.t.a., pendente life, tlurante absentia, durance 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. O NO EXCEPTIONS o EXCEPTIONS s _..+ Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the folloia%in~pouse (if any~itd heirs (a(~h additional sheets, if necessary): NCO '~'' ~:7 ;-~ Name Relationshi AddreS~ ~ -' -~'i J C ~ _,< ~~~ .. i- Form RW-02 rev. 10/11/2011 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland ~F~.OF_;c. r ~r ~4 Petitioner(s) Printed Name Petitioner(s) Printed Address Randall S. Meals 209 Alters Road Carlisle PA 17015 ~~RK ~~ GUMFiERL f~N~1 f ;n PA The Petitioner(s) above-named swear(s) or affirm(s) the statements in the fore oing Petition are true d correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the De d nt, th itioner )will 1 truly administer the estate accor ing t law. Sworn to or affirmed d subscribed before Date me this day , ~?/ Date By: Date Fort egister Date BOND Required: Q YES NO FEES: Letters ................... ... $ ( 5 )Short Certificate(s)... ... ~('r ( )Renunciation(s)...... .. . ( )Codicil(s) .......... .. . ( )Affidavit(s)......... .. . Bond ..................... ... Commission ............... .. . Other ~ \~~ ..... ... Automation Fee ............ ... ,j JCS Fee .................. ... TOTAL................... ... $ A To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature anted Name: ald E. Johnson, Esd upreme Court ID Number: 16453 Firm Name: Andrews & Johnson Address: 7A West Pomfret Street Carlisle, PA 17013 Phone: 717-243-0123 Fax: 717-243-0061 Email: rte' hnann V na.net DECREE OF THE REGISTER Estate of Bernard S. Meals File No: ~ ~ - ~~, a/k/a: AND NOW, _ satisfactory proof ~, () , ~~L1~, inconsideration of the foregoing Petition, been presented before me, IT IS DECREED that Letters Testmentary are hereby granted to Randall S. Meals the instrument(s) dated January 27, 2006 described in the Petition be admitted to probate and filed of~c~t'd as the last V Register of Wills Form RW-01 rev. 10/11/2011 , in the above estate and (if applicable) that and Codicil(s)) of Page 2 of 2 OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of Bernard S. Meals Randall S. Meals and Kimberly A. Meals (each) being duly qualified according to law, depose(s) and say(s) that acquainted with Bernard S. Meals and am/are familiar with the handwriting and signature of the decedent, and that the signature of Bernard S. Meals to the foregoing instrument purporting to be the Last Will and Testament/Codicil of Bernard S. Meals is in his/her own proper handwriting. r/ ~ /~ (Signature) 209 Alters Road (Street Address) Carlisle, PA 17015 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed befo e ~e this day of 1 r/GL V'U/~ i, ~ ~c~-- ,qty for Reg~er of Form RW-04 rev. 10.13.06 Deceased she / he /they was /were well- (Si lure) 209 Alters Road (Street Address) Carlisle, PA 17015 (City, State, Zip) n c~ `o :,; ~-~ ~~ r; ~~- -- -z rn ~ ~ , ~~~ ~ .:~_ ~~ ~ ~ ~ -= ,~ ...t ~' ~ ~.` t'T'"1 ~- G~3 G.` LOCAL R T CERTIFICATION OF DEATH ~~ /)~ WARNING: ft i~ 1a1 ~q- dup1~ ~ e this copy by photostat or photograph. yl' V ! r• 1 Fee for this certificate, $6.00 ~ ~~~ ~~~ -~ ~M ~~; ; jjJf"""'~_---.. This is to certify that the information here given is (~ ~~H OF pf-- t~ftlt(~~~F, - yy~~_ correctly copied from an original Certificate of Death r ~~ _ l~ duly filed with me as Local Registrar. The original a-E~~ ~r ~ ~ - ~ ~ certificate will be forwarded to the State Vital ~~~~~~ (~Q~f ~ ~~- ~ a~ Records Office for permanent filing. *~ P 18211224 Certification Number Type/Print in Permanent 8 ~_ ~` 9lMENT OE~~` - ~ ~~C.,~ F'E8 /19 ?01? _ ,,,, , , , , , „! , , , , ,III ,1, (, , oral kegistrar ~~ Date Issued COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS CERTIFICATE OF DEATH State Flle Number: 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Secu rlty Number 4. Date of Death (MO/Day/Vr) (Spell Mo) Bernard S_ Meals male 208-24-4780 Februa 27, 2012 Sa. Age-Last Birthday (Yrs) Sb. Under 1 Year Sc. Under 1 Da 6. Date of Birth (MO/D ay/Near) (Spell Month) 7a. Birthplace (City and State or Foreign Country) ` 81 yrs. Months Days Hours Minutes AugllBt 14• 1930 7b. Birthplace (col,nty) Cumber and Sa. Residence (Slate or Foreign Country) Sb. Residence (Street and Number -Include Apt No.) 8c. Did Decedent Live In a Townsh lpp7 Penns lvanla 50 BOnnybrook ROad ~~ ®Yes, decedent lived in `5' . M1ddl etOn tyrp 8d. Residence (CON nty) Cumberland ge. Residence (Zip Code) ~ No, decedent lived within limits of city/boro. 9. Ever in US Armed Forces? 10. Marital Status at Time of Death ~ Married ® Widowed 11. Surviving Spouse 5 Name (If wife, give name prior Co first marriage) ® Yes Q No ~ Unknown ~ Divorcetl ~ Never Married ~ Unknow 12. Father's Name (Firs[, Mlddie, LasC, Suffix) 13. Mother's Name Prior to Flrs[ Marriage (First, Middle, last) Melvin Meals Helen Da 14a. Informant's Name 146. Relationship [o Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code) 0 Randall S_ Meals Son 209 Alters Rd. Carlisle, PA 17015 G .................................................""'°° """°""°'°""°""°"""'°"° """'°.sa.....ace.°....cat......ec.,onyone . .'.'. 0"2 _ , If Death Occurred in a Hos ital: ~ In dent = p pa . .. _ ________ 1f Death Occurred Somewhere Other Than Hos Ital: ~-~~ ~~ ~~~~~ ~~~~~~~~~~~~~~ ~~~--~- ~ -~ ~ ~ ~ ~ ~~~-~~-----~~~ ~~~~ ~~~~ p ~` Hospice Facility tj' Decedent's Home Emergency Room/Outpatient Q Dead on Arrival • ~ Nursing Home/Long-Term Care Facility Other (Specify) 4i 15 b. Facility Name (If not Institution, give street and n tuber; 15c. City or Town, State, and Zlp Code - lSd. County of Death Carlisle R tonal Medical Center Ca 1- e P 1 Cumberland 16a. Methotl of Disposition ® Burial 0 Cremation 16b. Date of Disposition 16c. Place of OfsposlYlon (Name Of cemetery, c matory, or other place) $ Q Removal from State ~ Donation Marcia 2 • 201 Westminster Memorial Gardens - Other (Specify) - 2 16d. Location f DlsposiTlon (Cii Town, STafe, and Zip) Carlisle PA 1713 17a. Sig f Funeral Se is erson in Charge of Interment 17b. License Number °s , 138504 17c. Name and Complete Address of Funeral Fa cillty 18. Decedent's Education -Check the box that best describes the 19. Decede of Hispanic Origin - Check t e 2 cedent s - N Era es to indicate what ~ highest degree or level of school completetl at the time of death. box that best describes whether the decedent the decedent considered himself or herself Co be. 0 8th grade or less Is Spanish/Hispanic/Latino. Check the "NO" ~] White Q Korean No diploma, 9th - 12th grade box if decedent is not Spanish/Hispanic/Latino. 0 Black or African American ~ Vietnamese ® High school graduate or GED completed ~J No, not Spanish/Hispanic/Latino ~ American Indian or Alaska NaCive ~ Other Asian 0 Some college credit, but no degree ~ Yes, Mexican, Mexican American, Chicano 0 Asian Indian Q Native Hawaiian 0 Associate degree (e.g. AA, AS) ~ Yes, Puerto Rican ~ Chinese ~ Guamanian or Chamorro ~ Bachelor's degree (e.g. BA, AB, BS) Q Yes, Cuban Q Fiii pino ~ Samoan ~ Master's degree (a.g. MA, MS, MEng, MEd, MSW, MBA) ~ Ves, other Spanish/Hispanic/Latino 0 Japanese Q Other Pacific Islander 0 Doctorate (e.g. PhD, Ed D) or Professional degree (Specify) Q Other (Specify) . MD DDS DVM LLB JD 21. Decedent's Single Race Self-Design atlon -Check ONLY ONE io indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual OccU pation -Indicate type of work ® White 0 Japanese 0 Samoan done during most of working life. DO NOT USE RETIRED. 0 Black or Afr(<an American 0 Korean Q Other Pacific Islander Truck Driver. 0 American Indian or Alaska Native 0 Vietnamese Q Don'[ Know/Not SU re ~ Asian Intllan [] Other Asian 0 Refused 22b. Kind of Business/Industry 0 Chinese Q Native Hawaiian ~ Other (Specify) Trucking Company ~ Filipino Q Guamanian or Chamorro ITEMS 23a - 23d MUST E COMPLETED 23a. Dat Pronou red Dead (MO Day Yr) 236.5 nature of Person Pronouncing Death (Only when applicable 23c. License Number BY PERSON WHO PRONOVNCES OR CERTIFIES DEATH 23d. Date 5 ned (M /Day/Vr) 24. Tim e o f Death ~~'( ~ ~j C~rJ 25. Was Medical Examiner or Coroner Contacted? Q Ves NO CAUSE OF DEATH Approximate 26. Part I. Enter the chain of events--diseases, inju rtes, o mplicatlons--chat directly caused the tleath. DO NOT enter terminal a enis such a ardlac a est Interval: r respiratory arrest, or ventricular fibrillation without showing the etiology. DO NOT ABBREVIATE. Enter only pne cause on a line. Add ad ditto nal Ilnes if necessary Onset to Death IMMEDIATE CAUSE ---------------> a. ~ ~ ~`` ~~ T la / [~/F~-r~ i~ yf - - ~ (Final disease or condition Due to (or as a consequence of):~ ~ 2~- resUlCing in death) Sequentially Its[ condlTlons, ~ J Dl,e to (or as a ~onse~en~e or>Yor>Y~ If any, leading to the cause listed on line a. Enter [he UNDERLYING CAUSE Due to (or as a consequence of): (disease or Injury that Initiated the events resulting d. In death) LAST. Due to (or as a consequence of): S 26. Part: 11. Enter other i nifica nt contli ion n rl in a h but not resulting In the untlerlying cause given In Part I 27. Was an autopsy perf9Y~Ied? /~ r y L P ` /~ /~, ~ ~-/ ~ ~~~ ~ Yes [3 No ~_ ~ E/ / ~L~ //~~ / (~O~ ~/ L~/`J~ ~~~/~ 2g, Were autopsyfindings available to complete the cause of death? ~ O yes ®~No 29. If Female: 30. Did Tobacco Use Contribute to DeathT 31. Manner of Death 0 0 Not pregnant within past year Q Ves 0 Probably r~l6atural ~ Homicide ~ Pregnant at time of death ~ No [y~/(J nknown ~ Accident 0 Pending Investigation m 0 Not pregnant, but pregnant within 42 days of death ~ Suicide ~ Could not be determined r ~ Not pregnant, but pregnant 43 days To 1 year before death 32. Data of Injury (MO/Day/Vr) (Spell Month) ~ Unknown if pregnant within the past 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 at Work 37. If Transportation Injury, Specify: 3B. Describe How Injury Occurred: 0 Yes 0 Driver/Operator ~ Pedestrian 0 No Q Passenger Q Other (Specify) 39a. Certifier (Check only one): Q Certifying physician - To the best of my knowledge, death occurred due to the cause(s) and m r stated ~~Pronouncing 6 Certifying physician - To the best of my knowledge, death occurred at the time, date, and place, and due to the c se(s) and m r stated ~ Medical Examiner/Coroner - On the basis of examination, antl/or Investigation, in my opinion, deat h o red aC the time, date, and place, and due to the c se(s) and m stated er ~ ,r ^ Signature of certifier: TI[ie of certifier: / ~/ _ ' J License Number: ~,~ ~~ ~~~ 39b. Name, Address and Zip Code of Person Completing Cau a of Death (Item 26) /~,/f !{sue/~ 39c. Date Signed (M Day/Vr) ~ 36 ~ i oZ/Z i z 4D. Regisfra r'S District Number 41. Reg is ~ignatu re 42. Registrar Flle Date Mo Day/Yr) a ~ -~.. ~ v , l~'La-~~ F-e6. ~ oz o ~~ 43. Amendments Disposition Permit No. C / / / H105-143 REV 07/2011 LAST WILL AND TESTAMENT I, BERNARD S. MEALS, of Cumberland County, Pennsylvania, being of sound mind, disposing memory and full legal age, do hereby make publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils heretofore made by me. ONE. I direct my Executor or Executrix, as the case may be, to pay all of my debts, funeral and administrative expenses as soon as convenient after my decease. Furthermore, I direct that all state, inheritance, succession and other death taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property composing of my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid by the Executor or Executrix of my estate. TWO. My Executor or Executrix may, at his or her discretion, compromise claims, borrow money, retain property for such length of time as he or she may deem proper. Lease or sell property for such prices, on such terms, at public or private sales, as he or she may deem proper; and invest estate property and income without restriction to legal investments unless otherwise provided hereunder. I authorize and empower my Executor or Executrix to sell any realty and/or personalty owned by me at my death and no specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefore, in fee simple, as I could do if living. My Executor or Executrix is authorized and empowered t~eyettgage itf any business in which I may be engaged at my death, for such period of titer m~ i ~ -- ,~ ;~ z~ , ~ ~. death as seems expedient to said Executor or Executrix. ~ v7 =~ °° _~ ~ ':~ o ~„ _ _ 4-- O~-T, ,~, 1., .~, Initials - ~ =-~ ~' `=~~ Page 1 of 3 n-n ~ ~:. ~;, ~~ THREE. I give, devise, and bequeath all of the rest, residue and remainder of my estate equally to my children, GARY L. MEALS, MICHAEL W. MEALS, DOUGLAS G. MEALS, STANLEY K. MEALS, RANDALL S. MEALS and BRADLEY S. MEALS, per stirpes, which provides that the child or children of any deceased beneficiary shall take the share their parent would have taken if living. FOUR. I nominate and appoint my two- sons, GARY L. MEALS and RANDALL S. MEALS, to be the Co-Executors of this my Last Will and Testament. In the event that either of them fail to qualify or is not able to serve for whatever reason, the remaining Co-Executor may act alone as Executor. FIVE. No person(s) shall benefit hereunder unless such beneficiary shall survive me by sixty (60) days. SIX. No Executor or Co-Executor acting hereunder shall be required to post bond or enter security in this or any other jurisdiction. SEVEN. No beneficiary may assign, anticipate or pledge his or her interest in any income or principal held or distributable hereunder, and no beneficiary's creditors The remainder of this page intentionally left blank. Initials Page 2 of 3 may levy, attach or otherwise reach any such interest. IN WITNESS WHEREOF, I have hereunto sent my hand and seal this ~Z day of Augusts -X893-- ~~,.cca r~ ~ ~ ARD S. MEALS Signed, sealed, published and declared by the above-name person as and for a Last Will and Testament, in our presence, who at said person's request, in said person's presence and in the presence of each other have hereunto set our names as subscribing witnesses. Notarial Seal Cathy E. Fry, Notary Public Sout4 Middleton'11vp., Cambedand County My Commission Expires July 30, 2406 Initials Page 3 of 3 ACKNOWLEDGEMENT AND AFFIDAVIT WE, BERNARD S. MEALS, the testator and witnesses respectively, whose names are signed to the 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 that he had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the will as a witness and that to the best of their knowledge the testator was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. BERNARD S. MEALS COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS: Subscribed, sworn to and acknowledged before me by BERNARD S. MEALS, the testator herein, and subscribed and sworn to before me by , witnesses ,this ~7 day of-~4~st,~8@5. Notarial Seal Catty S Fry. Notary Pablic swan Mla 1~vp~ ca ~r Not Public ~y Connmiessiott l~icp3t~es 7aty 30. 2006