HomeMy WebLinkAbout03-08-12r~r ~ ~ .~~- ~ ~> r ' ~~F.
PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
``~"tr~~R'8 kt~~tl=
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 ~~F
Decedent's Information ORPriAr~ S 1't~
Name: Lewis L Shistle ~ v~Vt'r
a/k/a: File No: ~~ - ~ ~ - ~~~(~~'r ~''~ , PA
a/k/a: (Assigned by Register)
a/k/a:
Social Security No: 192-20-7818
Date of Death: August 12 2011
Age at death • 85
Decedent was domiciled at death in Cumberland Count
principal residence at 58 Oliver Road Enola PA 17025 -East Pennsboro Townshi -Cumberland Coun (State) with his/her last
Street address, Post Office and Zip Code City, Township or Borough Coun
Decedent died at Golden Livin Blue Rid a Moutain 3625 N Pro ress Ave 17110 - Hatrisbur - Dau hin Count - PA ty
Street address, Post Office and Zip Code City, Township or Borough Coun
Estimate of value of decedent's roe 4' State
p p rty at death:
If domiciled in Pennsylvania ............................All personal property
Ifnot domiciled in Pennsylvania ........................ Personal roe $ 18,500.00
If not domiciled in Pennsylvania,,,,,, , ,,, , , , , , , , , , , , , , ,personal propel in Pennsylvania $
Value of real estate in Pennsylvania .............. p p rty m County $
................. ~gono nn
TOTAL ESTIMATED VALUE.... $_ 88 00 00
Real estate in Pennsylvania situated at: 58 Oliver Road 17025 - Enola East Pennsboro Townshi -Cumberland Coun
(Attach additional sheets, ljnecessary.) Street address, Post Office snd Zip Code City, Township or Borough Coun
ty
A. Petition for Probate and Grant of Letters Testamentar
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated April 30 1998
thereto dated and Codicil(s)
State relevant circumstances (eg, 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 bom or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS Q EXCEPTIONS
Q 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.t.a., enter date of Will in Section A above and com lete 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 Q EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived bythe following spouse (if any) and heirs (attach
additional sheets, ifnecessary):
Naroe Relationshi
Mary Lou Leonard Address
Daughter 25 Pine Ridge Circle Enola PA 17025
Lewis A Shistle Son 429 Losh Road, PO BOX 22, Shermansdale PA 17090
Kimberly A Wagner Daughter 517 Park Avenue, New Cumberland PA 17070
Form RW-02 rev. 10//1/2011
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF
_ v__ l.T
r. _ _ .lf
_ .~
J
Petitioner(s) Printed Name Petitioner(s) Printed Address
Ma Lou Leonard 25 Pine Rid e Circle Enola PA 17025 - ~~ ' ~"~~'~°~~r
Lewis A Shistle 429 Losh Road PO BOX 22 Shermansdale PA 17090 /
Kimberl A Wa ner 517 Park Avenue New Cumberland PA 17070
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 Decedent, the_(P~do e )will well and truly administer the estate acco in to law.
Sworn to or affirmed and subscribed before :.7"~- {-~-~ Date ~ ~ ~~
me tl}is~~ day of I r' C` I ~ ~ > >~ ~- Date 3/~' i L _
BY• ~ ~~.~ ~, ~ i--, ~ 4 -! k `~G~~'1 ~ ~ i~ 1 ~ Date
For the Register Date
BOND Required: Q YES ~NO
FEES: \\
Letters ...................... $ ~ «\' . ~'(,~'
( 5) Short Certificate(s)...... ,~C C'C
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ,._,.,.,
Automation Fee ............... ~j (' C
JCS Fee . .................... ,~.3 . t j C.
TOTAL ...................... $.tJ 7~3, 5C-' ~99-
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
G~k~~~~
~'rinted Name: ames A Miller, Esquire
Supreme urt
umber: 61352
Firm Name: MILLER LIPSITT LLC
Address: mouth 17th Street
Camn Hill PA 1701 1
Phone: 7177376400
Fax: 7177375355
Email: ~;naatlaw rnm
DECREE OF THE REGISTER
Estate of Lewis L Shistle File No: ~ ~ _ ~~ _ `~~ «'
a/k/a:
AND NOW, i ~'~ ~1(~ K ~ ~ ~ ~ ,~~L, I ,i, , in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters ~~-~ ~ E ~ ~~ ~ , -1 ~ , + ~ ;
are hereby granted to ti~~t a Lc-, t ; L P( . ~~ , (t1 ~ I ~ ;, ~ l =j `~ }'~ i `~ ~ ~~
~ ~ ~ ~ `~ L' E ~ in the above estate and (if applicable) that
the instrument(s) dated ~~
described in the Petition be admitted to
Form RW-O2 rev. 10//!/2011
bate and filed of record as the last Will (and Codicil(s)) of Decedent.
r ~
~~~ ~ d 1)L~1~1 ~ ~C~ ~~'~L~ ~ ~i1 TI C~,` ~X ~~ ~ ~.
Register of Wills
Page 2 of
H10.s.a li HI`s 1;17.
LOCAL REGISTRAR'S CERTIFICATION OF gE~i~,TH
WARNING: It is illegal to duplicate this copy by lahotostat or photoc~r<sl~i}~
Fee )in' thi.~ certiCirltr'. S(,-!ll)
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3/ PRINT N
6 COMMONWEALTH OF PENNSYLVANIA •
RMANEM DEPARTMENT OF HEALTH .VITAL RECORDS i
~'"~
acK INK CERTIFICATE OF DEATH
(See instructions and examples on reverse)
1. Name of Decetlenr (Rrst mltldle
last
sufix)
,
,
L e W 1 S L S h 1St 1 e
2. Sex STATE FILE NUM
3. Social Securtty Number BER
5. Age (Lest BiMtlaY)
under t ear
under, da
6. Date of BiM Monm de r 7
Bi
M a l e
1 9 2 - 2 0 - 7 8 1 8 a Date of Death (Hoorn, day, year)
A U
MoBms
Days
Hors MinNas
.
rth ace C and state or total coon
f)a. Place of Death Check oral one U I
B 5 vrs.
Bb
Cdun
W D February ] 2, 1926 M a h a n o
y C 1 t y P A "°apilar o
mar
.
ry
eem &. Ciry, Boro, Twp. of Deem
fitl. Fac91ry Name (II not Instlt
ubon, gNe sheet and number) ^ Inpatie nt ^ ER /Outpatient ^ DOA I1
vv
~g Nu rsing Nome ^ Residence ^ Omer -
Specity:
Dauphin
Sus u e h a n n a T w
Golden L 9. Wes Decedent of Hkpank Origin? ~
pt yea, spaciry Cuban, Na
^ vea
10. Race: American Indian, Bieck, Whhe, eto.
(S
11. Decedwtt's Usual lion Kind of work dome
dud rtmst W wpdd I'de. Do trot elate rea 1V1 Bll3e 121
12
Wes Decedent
m Mexican, Puerto Rken, etc,) ~avh1
White
KiM of Work
Supervisor Kind of Businessi Industry
Ca 1t01
Prod
t .
aver
ttre 13. Decedents Etluwtlon
U.S. Amxatl Forces? (~~
Elementary /Secondary 10.12) °nry hrgheat Srede comDletetl)
College (1-0 or 6r) 14. Merilai Status: Maned, Never Married,
Widowed, Divorwd /SpeciyJ 15. Surviving Spouse (If rode
,give maiden name)
uc
s
1 fi. Decedents Mallirg Address (Street Ciry 1 town, stale, rap code)
58 Oliver Rd ®va ^ Np 12
Dawde.rea
'
•
Enola, PA 17025 pA ad Dedadem
Adb,alRaklanw na.Sraro Liveinz East Pe
i 7c. g] Yes
Decedent Liv
tl i
nnsboro
1B. Famer's Name (First, midde, last
suffix) ,
e
n
Township?
176. County (Z~r~ .....~ 17d. ^ No, Decedent Livetl within Twp.
,
Actual UmMS of
LeW1S Shlstle 79.Homer's Name (First middle, maiden surname)
Ciry/Boor
20a. Inlortnant's Name (Type/Font) Florence Bostian
Mary Lou Leonard lob. mrortnanra Maumg Addreaa (nasal, +ly r rown, grata, :.p node)
21a. Mamod of Dislxosl9on r
fk~~ t ^ Crematon ^ Oonalron
IA,a Bunel ^ Removal boor State r W
21 b. Date of Dlsposlrian (Honor, day, year) 21 c. Place of Disposition (Name of cemere cremato
a4 Cremeuon or Donation Authodzed
^ Omer ' : r byMetlkalFxamlar/COroner7 ^Yes^ No
zza. signature W wneral sermw Uw 7. ry or What place)
~LLgl1St IB, 2011 1M11antOWR Ga
~t T
l 21 tl. Location !Ciry!lown, state, zip yodel
naee (dr parson wing as such)
~
22b. License Number ona
P
Crete
22c. Name and Address of Fec9hy Annv i 11e PA 17003
Complete nams 23e.c oMy when cediying Y
h
Sici
i
23a. T t of my knowledge, deem occuned FD 012774-L
at me '
tlah d
l Richardson FiuLeral Home Inc, 29 S, Enol
Y
P
art
s nW available el Nine of deem to
certiry cause W deem ,
p
ace stated. (Signature dlb)
23b. License Number
.
~ Items 24
2fi
24
T
~ @
t1o Sgned (Honor day, year)
23 `1
c
-
must be completed by person
who pronounces deem. .
ime of Deem 25. Dal Pronounced Da tl ( m, tley, year) /
~
V ^ r~~
O,
M.
U
S
E
F
O
E
O 26. Was Case Referred to Medical Examiner !Coroner la a Reason Other man Cremation or Donation?
^ Ves ~No
Item 27. Pad I, Enter me chain of even • -diseases, injuries, o
w
r
nD
lc
er o
Approximate inlarral: Pan II
n
A borer drectN caused me tleelh. DO N rap er)tennin
res
irat
l : Enter Wher.sianifirant condor • M-~-n ' -
-
p
a
events such es wrtliac anent
ory arrest, or ventricular fibrillation without showing the etiobgy. List only one woes on each Ilne. Onset to Death but ml resulting In the untledylrg cause
t-_d~
_
Ne
i
P
qg pb T o Use Contdbule to Deelh?
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g
IMMEDIATE CAUSE /Kraal disease or
cor7don resulting in dpam) /~~~~~ ~ /
-~ e. [ 7 ~~( vl L r n
n
an I Yss ^ Probably
^ No ^ Unknown
0 ( as a_ c~peagga~ of) ~
Sequentially list condkions, N any, b. /u 1^ ~ s /~/.~
~'" /~ / r
lead)np to the w
li
d
/ ~~ 29. II Female:
^ Nol pregnant wihin
a
t
~,
oes
ste
on Ime a.
/'N /'~'yh.~~j J~~a riL
Enter me UNDERLYRiG CAUSE Du ro (o ea a rorrsequence of) p
s
year
^ Pregnant at time of de
th
. t
(tliseese or YyurY met mPoeted me
events rasulMg in deem) LAST, p~ a
^ Nol pregnant out pregnant within 42 days
Due to (or as a cdnsequance o(f: of dealn
d. ^ Nn1 pregnant. out pregnant a9 days to t year
30a. Was an Autopsy
Performed?
Were Autopsy Findings
Available Pnor to Co
31. Mann f Deam
32e. Date of Injury (Abram, da
y, year)
t
32b. Dascdbe How Injury Orxuned oefore deem
^ Unknown it pregnant within ma past year
of Cause of Deem? Natural ^ Homicide 32c. Place of Irryury. Home, Farm. Street, Factory
^ Yes No
^Yes No
^ Accx7em ^ Pentling Imasdgetion
32d. 7rme of Injury
32e.
Injury at Work?
3N If T
' .
OHKe Building, etc. /Specyty/
_. _.
^ Swcitle ^ Could Notce Determined
M
^Yes ^ No ransportation In
ryry (Spenryl
^ Dover/Operator ^ passenger ^ Pedesnien 32g. Lowtlon of inj ury (Street ~:iN ~ town, state)
33a. Carfdkr (check Dory one) . ^ Dinar ~ sPa°!ry
• Certdying phyeiclen (Physician certitying rouse W deem when another pnysxxan nag pronouncetl tleath and cortpleted Item 23) nature and Title of Cerefi
To the bat of my krwwkdge, death oceurrod due to the ceuee(a) antl manner
a sleletl_ _ _ _ A
• Pronouncing end certHYdng phyaiclan Ph "-"'-'-------- /l
( Ysidan boor pranounrrng tlaeM aM certitying la cause W deem) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
io the beet Of ttry knowledge
death occurred al th
~ Lx:ence Numb
d
~
•
,
er
e
ine, date, and glade, and clue to me ceuae(s) end manner a etated_ _ _ _ _ _ _
Medcal EumlarlCoroner _ _ _ _ _ _ _ _ _ _ _ ^ fly /~ / ~ U ~ ~
On tM heaia of exeminatlon
d f
„ / V ` 33tl. Date Slg d (Honor, tley, year
J )
an
or Investigmion, In my opinion, death occurred at the time, date, and glade, end da to tM ceuae(a) and manner u steleQ
^ ~ I L~_ l I
,
34. Noma d Address of Person Who Completed Cause of Deem (Item 27) Typo) Pnnl
Regisbars Signatu tl Distract Nu ~~/ ~ ~ ~
4 I
~l / 1 ~ 1 f 1 /
36. Dare F' (Mon ,day, year) ~~ ~ r Q~
~
-
1
L v~l / 8'
~
8 0 ~/
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Dispositlon Permit No. - D ~ ~V a ~~
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LAST WILL AND TESTAMENT ~7
~-~
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aP %/1 ~ C~ , .
OF =; ~ ~.~ ~ - --
LEWIS L
SHISTLE --~ =`=
. D
cam:
-,-,
I, LEWIS L. SHISTLE, now of Enola, Cumberland County, Pennsylvania, declare this
to be my Last Will and Testament and hereby revoke all prior Wills and Codicils made by me.
ITEM I. I direct u'~at aIi of my just debts acYU~ iuiieral expenses, including the cost of
my gravemarker, if any, shall be paid for from my residuary estate as soon as practical after my decease
as an administrative expense of my estate.
ITEM II. I give and devise all of my estate of every nature and wherever situate in
equal shares, share and share alike, to my children, MARY LOU FREUNDEL, LEWIS A. SHISTLE
and KIMBERLEY WAGNER, or their respective issue, per stirpes. Should a child predecease me
and die without issue, I give such child's share to my surviving children, or their respective issue, per
stirpes.
ITEM III. If any income or principal shall be payable to any person who shall be under
the age of twenty-one (21) or who shall be incapacitated for any reason, my personal representative.
as trustee, shall hold such income and principal for such beneficiary until the age of twenty-one 21
( )
or during incapacity and shall be entitled to apply such income and principal to the health, maintenance,
support and education of such person without the appointment of any guardian or committee or anv
authority of court, and shall be entitled to make direct application hereunder or to make application
by payment thereof to the parent or other person in charge of such person, or to his or her guardian
;°
.~u~ ~~~
Lewis L. Shistle
or to a custodian under the Uniform Transfers to Minors Act. Any remaining income and principal
to which such person shall be entitled shall be paid and distributed to such person upon attaining the
age of twenty-one (21) or upon the termination of incapacity.
ITEM IV. I appoint my children, MARY LOU FREUNDEL, LEWIS A. SHISTLE
and KIMBERLEY WAGNER, Co-Executors of this my Last Will and Testament. No bond shall be
required by my personal representatives in any jurisdiction.
ITEM V. In addition to the powers given by law to my personal representative(s) and
trustee(s) [hereinafter fiduciaries] in the administration of my estate and of any trust(s) created herein,
they shall have the following discretionary powers applicable to all real and personal property held
by them, including property held for minors, effective without court order until actual distribution.
A. To retain any property owned by me at my death and to invest any funds held by
them in any stocks, bonds, notes or other securities or property, real or personal, including common
trust funds, mutual funds and money market deposit accounts operated or offered by my corporate
trustee, if any, or any affiliate of it.
B. To sell or otherwise dispose of any property, real or personal, at any time forming
apart of'my estate or the trust estate, for cash or upon credit, in such manner and on such terms as
they see fit, and no one dealing with the fiduciaries shall be bound to see to the application of any monies
paid.
C. To manage, operate, repair, improve, mortgage or lease for any term [even if beyond
the duration of the trust(s)) any real estate at any time held or owned by them as fiduciaries.
D. To hold investments in the name of a nomineeand exercise and dispose of warrants.
~~ , ~
a~~
Lewis L. Shistle
2
E. To engage in litigation and compromise, arbitrate or abandon claims and property.
F. To conduct any business in which I am engaged or in which I have an interest at
the time of my death for such period as the fiduciaries deem advisable, with the power to borrow monev
and to pledge the assets of the business and to do all other acts which I, in my lifetime, could have
done, or to delegate such powers to a partner, manager or employee without liability for any loss
occurring therein.
G. To allocate items of receipt or disbursement between principal and income as the
fiduciaries deem equitable regardless of the character given such items by law; to distribute in cash
or kind or partly in each at valuations fixed by the fiduciaries.
H. To borrow money, including the right to borrow from any corporate trustee, if any,
and to mortgage or pledge as security or to hold its own stock if a corporate trustee.
I. To join in any merger, reorganization, voting trust plan or other concerted action
of security holders, and to delegate discretionary duties with respect thereto.
J. Should the principal of any truest herein provided for be or become too small in trustee's
opinion so as to make establishment or continuance of the trust inadvisable, my trustee(s) may make
immediate distribution of the then remaining principal and any accumulated or undistributed income
outright to the person or persons and in the proportion they are then entitled to income. Upon such
termination, the nights of all beneficiary(ies) who might otherwise have an interest as succeeding income
beneficiary(ies) or in remainder shall cease.
~? ~^ - --
..~.~ r~ ,~ ~.r.~.-~.
Lewis L. Shistle
i
K. In general, to exercise all powers in the management of the assets of my estate or
the trust estate which any individual could exercise in the management of similar property owned in
his own right, upon such terms and conditions as the fiduciaries may deem best, and to execute and
deliver all instruments and to do all acts which the fiduciaries may deem necessary or proper to carry
out the purposes of this will or any trust(s) created herein.
L. To apply income or principal to which any beneficiary is entitled, directly for his
or her comfort, maintenance and support, should the fiduciaries deem such beneficiary incapable of
receiving the same by reason of age, illness, infirmity or incapacity, or to pay the same to such person
or persons as the fiduciaries select to disburse it, whose receipt shall be a complete acquittance therefore
without the intervention of any guazdian.
M. To assume continuance of the status of any beneficiary with reference to death,
marriage, divorce, illness, incapacity or other change in the absence of information deemed reliable
without liability for disbursements made on such assumptions.
N. All principal and income shall, until actual distribution to any beneficiary, be free
of the debts, contracts, alienations and anticipations of any beneficiary, and the same may not be liable
for any levy, attachment, execution or sequestration while in the hands of any beneficia and t
ry, he
same may not be liable for any levy, attachment, execution or sequestration while in the hands of any
fiduciazies.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this r~ ~` ~~
~ _.> ~ day
of -~ f , l~~a.
/, ~-, ~
~,
Lewis L. Shistle
4
The preceding instrument, consisting of this and four other typewritten pages, identified by the signature
of the testator, as on the day and date thereof signed, published and declared by Lewis L. Shistle, the
testator therein named, as and for his last Will, in the presence of us, who, at his request, in his presence
and in the esen e, of eac other, subscribed our names as witnesses hereto.
l~ / ~
(//
,~
i ~ ~ ~~
5
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN : SS.
I, LEWIS L. SHISTLE, testator whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed
and executed the instrument as my last Will, that I signed it willingly, and that I signed it as my
free and voluntary act for the purposes therein expressed.
Lewis L. Shistle
Sworn or affirmed to and acknowledged before me, by Lewis L. Shistle, testator,
this ~?~ U day of _. C,tp i-~ ~ , 1998.
0
No Public
My Commission Expires:
AFFIDAVIT NOTARIAL SEAL
COMMONWEALTH OF PENNSYLVANIA : LINDA L GUSTIN, Notary Public
Harrisburg, Dauphin County
My Commission Expires May 24,1999
COUNTY OF DAUPHIN : SS.
We, ~ ~ hC~,'. d ~ . ~ n ,
witnesses whose names are signed to the attach d or fore oin 1~~~ ~~~~ ,the
according to law, do depose and say that we were present and aw tes~tator~ sgn and executer the
instrument as his last Will; that he signed willingly and that he executed it as his free and
voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the
testator signed the Will as witnesses; and that to the best of our knowle ge the testator was at that
time 18 or more years of age, of sound mind and under no con
r un a influen e.
,-
__
~~t--~. ~
Sworn to and subscribed before me this ~~ V ~ ~~
~~ day of _ r? , 1998.
~"~?~.y_'x-tom ~.'~ ~,',~-~ {-~ h
No Public
My Commission Expi es: LINDA L GUST NLNotary Public
Harrisburg, Dauphin County
My Commission Expires May 24,1999