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HomeMy WebLinkAbout03-20-12Reset 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: CHRISTY G. SALISBURY File No: ~ ~'`~`~ a/k/a: (Assigned by Register) a/k/a: a/kia: Social Security No: 714-18-2211 Date of Death: 03/02/2012 Age at death: 95 Decedent was domiciled at death in CUMBERLAND County, pENNSYL.VANIA (State) with his/her last principal residence at 197 GOODYEAR ROAD CARLISLE 17013 WEST PENNSBORO TOWNSHIP CUMBERLAND Street address, Post Office and Zip Code City, Township or Borough County Decedent died at GREEN RIDGE VILLAGE NEWVILLE PA 17241 CUMBERLAND 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 $ 35,000.00 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.... $ 35.000.00 Real estate in Pennsylvania situated at: (Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough ® 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 3/15/2007 County 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(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. •O 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 db.n.c.i: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~een 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 ~~ n J ~`~ ~_ Petitioner(s), after a proper search has/have ascertained that Decedent left no W ill and was survived by the following sp~ny) ati~eirs (ttttach'= additional sheets, if necessary): ~ ~ ~ ~ _ , Name Relationshi Address'~~-r' ~7 - v Form RW-02 rev. ioiiiiaol~ Page 1 of 2 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 Petitioners will well and truly administer the estate according to law. Sworn to or affitmed an subsc ibed bef~ r ~' Date me jl~ts ~ 'day o~, I~,I~ ~1 , gyp ni I ~ Vf ~ 1 . rn n r.,,. Date For the Register Date Date BOND Required: Q YES Q NO FEES: Letters ...................... $ 90.00 ( 1) Short Certificate(s)...... 4.00 ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other WILL ....... 15.00 To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: `~^_~~ ~ '~~ ~~. f `] f r~ _ ^ .SJMi J -- -C y ~n'- tV - < < - ;_ Printed Name: j ~ ROGER B. IRWIN, ESQ>~ ~ -^ ~ , Supreme Court ~ ---- -;- ID Number: ~ 6282 ~ -~ - ~~ cn Firm Name: IRWIN & McKNIGHT, P.C. '`~ Address: ........ Automation Fee ............... 5.00 7CS Fee ..................... 23.50 TOTAL ..................... $ 137.50 Phone: (717) 249-2353 Fax: _(717)249-6354 Email: DECREE OF THE REGISTER Estate of CHRISTY G. SALISBURY File No: !~' - / a/k/a: AND NOW, ,~~~'~'~` ~ ~U,~ ~.~ ; /~ , in constderation of the foregoing Petition, satisfactory proof having b ,presented before me, IT IS DECREED th t Letter ~ ~' t ~~'1,,~-i,q., i are hereby granted to ~~ {~/~ ~ ~, ~,~~ c ( }r 1 in the above estate anZ~(if applicable) that the instrument(s) dated ~ ^ ~ described in the Petition be admitted to Form RW=03 rev. 10//l/3011 ana ittea or record as the last Will (and Codicil(s) j of Decedent. Register of Will 7 ~ ~~ ~~ ~~`L~~ ~~ - Page 2 of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } LOCAiIci~'IS~:r ~ C~`~iICAT'1C)~i O ~.~;~:a WARNII~r.'~~4s ~legab,4i~ J upli~afie #tsi~ r~a~:_y try phs~tnsta# ter pt~~ ,,, f c°e i~)r t;?:. L~rt)'it iri,. ~( (I?) ;;~r~t~ ~f~~ ~Q ~~ ~: ~++O+RPNgNRS COURT 5~ ~~•~ i, <, q .. ;I~,., i~ ~;~ `. ~~~ ~~ ~'1 k n- ~~Ir(~ :~ ;sul~ ri (~: ~tir1 L~i[(_' , ~, - ... I _ ,,. _ (_ertiric~tir)::'r .J)~,+~r _.. - t_tx Jt.:~~' Type/Print In COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS Permanent de~~-ins CERTIFICATE OF DEATH ~_ O 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (MO/Day/Yr) (Spell Mo) Christ G Salisbur Male '714-18-2211 March 2, 2012 6a. Age-Last Birthday (Yrs) Sb. Under 1 Year Sc. Under 1 Da 6. Date of Birth (MO/Day/Vea r) (Spell Month) 7a. Birthplace (City and State or Foreign Country) ~~ Months Days Hours Minutes N W V 95 Februar 7 1917 Zb. Birthplace (county) Cumb . Sa. Residence (State or Foreign Country) 86. Residence (Street and Number- Include Ap[ No.) 8c. Did Decedent Live in a Township? 197 Goodyear Rd. OYeS, decedent eyed In Wast Pannsboro tytp 8d. Residence (County) . C mb 8e. Residence (ZIp Code) 1 7 Q 1 3 QNO, decedent Ilved within ilmits of city/born. in US Armed Forces? 10. Marital Status at Time of Death Q Married ~ Widowed 11. Surviving Spouse's Name (If wife, give name prior to Frst marriage) 'es Q No Q Unknown Q Divorced Q Never Married Q Unknow 12. Father's Name (Firs[, Middle, Last, Suffix) 33. Mother's Name Prior to Firs[ Marriage (First, Middle, Last) Albert Salisbur Anna Mae Salisbur 14a. Informant's Name 14b. Relationship to Decedent 14<. informant's Mailing Address (Street and Number, City, State, Zip Code) o Dennis Salisbur son 197 Good ear Rd. Carlisle, Pa G 1 a. P ace o neat c ec on y p..e if Death Occurred in a Hospital: inpatient = ._... .. y.q 1f Death Occurred Somewhere Other Than a Hospital: LJ Hospice Faculty L_J Decedent's Home ° Q Emergency Room/Outpatient Q Dead on Arrival _ Nursing Home/Long-Term Care Facility Other (Specify) 156. Facility Name (If no[ institution, give street and number; 15c. Cit or Town, State, and Zip Code 15d. County of peath Green Rid a Villa e 16 M th d f Di iti B i l C ti Newville PA 17241 Cumberland 16b D t f i i m a. e o o spos on ($ ur a Q rema on QRemovalfrom5tate QDOnation . a e o D spos tion 16c. Place of Disposition (Name of cemetery, crematory, or other place) Mar_ 6 201 Prospect Hi11 Cam. - Other (Specify) 16d. Location of Disposition (City or Tpwn, Sate, and Zip) 1?a.5~g~ o Funeral Service Ucense¢ or Person in Charge of Interment 17b. License Number Nawvilla, Pa 17241 13895 E 1ZC. Name and Complete Address of Funeral Facility s 18. Dece e s Education -Check the box that best tribes the 19. Decedent Hisp Ic Origin -Check the 20. Decedent's Race -Check ONE OR MORE races to indicate what ~- highest degre or level of school completed at The time of death. box that best describes whether the decedent the decedent considered himself or herself to be. Q 8th grade or less Is Spanish/Hispanic/Latino. Check the "NO" White Q Korean Q No diploma, 9th - 12th grade f decedent is not Spanish/Hispanic/Latino. Q Black or African American Q Vie[na mere o ~~yty High school graduate or GED completed No, not Spa nlsh/Hispanic/Latino Q American Indian or Alaska Native Q Other Asian O Some college credit, but no degree Ves, Mexican, Mexican American, Chicano Q Asian Indian Q Native Hawaiian Q Associate degree (e.g. AA, AS) Q Ves, Puerto Rican Q Chinese Q Guamanian or Cha mono Bachelor's degree (e.g. BA, AB, BS) Q Ves, Cuban Q Filipino Q Samoan Q Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Yes, other Spanish/Hispanic/Latino Q Japanese Q Other Pacific Islander Q Doctorate (e.g. PhD, Ed D) or Professional degree (Specify) Q Other (Specify) . MD DDS DVM LLB JD 21. D ecedent's Single Race Self-Designation -Check ONLY ONE to Indicate whaS the decedent considered himself pr herself to be. 22a. Decedent's Usuai Occupation -Indicate type of work i .~ ~p White Q Japanese Q Samoan done during most of working life. 00 NOT USE RETIRED. Q Black or African American Q Korean Q Other Pacific Islander muniti ons hand 1 ar Q American Indian or Alaska Native ~ Vietnamese ~ Don't Know/Not Sure Q Asian Indian Q Other Asian Q Refused 22b. Kind of Business/Industry Q Chinese Q Native Hawaiian Q Other (Specify) Latterltanna Q Filipino Q Guamanian or Chamorro y ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounced Dead (MO Day Vr) 23 b. Signature of Person Pronouncing Death (Only when app icabl¢) 23c. License Number BV PERSON WHO PRONOUNCES OR March 2 , 2012 CERTIFIES DEATH 23d. Date Signed (MO/Day/Yr) 24. Time of Death 3 : ~0 P . M. 25. Was Medical Examiner or Coroner Contacted? Yes Q No CAUSE OF DEATH Approximate 26. Part I. Enter the chain of events--diseases, injuries, o mplications-that directly caused the death. DO NOT enter terminal a cots such a ardiac arrest Interval: respiratory arrest, or ventricular fibre llatlon without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines If necessary Onset io Death IMMEDIATE CAUSE > Hypertensive Cardiovascular Disease (Final disease or condition Due to (or as a consequence of): resulting In death) b. Sequentially list conditions, Due to (or as a consequence of): _ if any, leading to the cause listed on Tine a. Enter the ' UN DERLVINGCAUSE Due to (or as a consequence of): (disease or injury that -_ Initiated Che events resulting d. In death) LAST. Due to (or as a consequence of): S 26. Part II. Enter other significant conditions contributing to death but not resulting in the underlying cause given In Part I 27. Was an autopsy rformed7 ° O Ves No g 28. Were autopsy findings available m to complete the cause of death? a D Yes Q No 29. If Female: 30. Did Tobacco Use Contribute to Death? 3y Manner of Death o Q Not pregnant within past year Q Ves Q Probably ~JPt. Natural Q Homicide 0 Pregnant at time of death Q No Q Unknown O Accident Q Pending Investigation m Q Not pregnant, but pregnant within 42 days of death ~ Suicide ~ Could not be determined ~ Q No< 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 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: 38. Describe How Injury Occurred: Q Yes Q Driver/Operator Q Pedestrian Q No Q Passenger Q Other (Specify) 39a. Certifier (Check only one): Q Certifying physician - To the best of my knowled death occurred due to the cause(s) and m r stated Q Pronouncing 8< Certifying physician - To the t my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated Medical Examiner/Coroner - Che b s nation, and/pr Investigation, in my opinion, death o rred at the time, date, and place, and due to the cause(s) and manner stated u Dt?ptlty COrOnE!~icense Number: Signature of certifier: _ Title of certifler:Chit?£ 396. Name, Address and Zip Code of Person Completing Cause of Death (Item 26) 6375 Bas chore Rd . , $11i tt? 1 39c. Date Signed (Mo/Day/Vr) Matthew S. Stoner, Chie£ Deputy Coroner a i PA 17050 March 5 2012 40. Registrar's District Number 41. Registrar's ture ~" ~ ~ 42. Registrar File Date Mo/Day r) a ~ -ago ~.t ~ - ~~ ~~-, ab 43. Amendments Disposition Permit No. ~ ` ! 3~ `i"~~ H105-143 REV 07/2031 :~ ' © ~ ~~ ; a LAST WILL AND TESTAMENT ~ ~ ~ `~ ' ; ra 1 t"-'! h) CHRISTY G. SALISBURY `-'- ~~'' ~ ~' . ~~;' '-~ -, I, CHRISTY G. SALISBURY, widower of West Pennsboro Township (~~ing .._ --~ ~~~ address: 197 Goodyear Road, Carlisle, PA 17015), Cumberland County, Pennsy~"'vania, c.~ ~~ ~..~ 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 and making void any and all Wills by me at any time heretofore made. I. I direct my hereinafter-named Executor to pay all of my just debts and funeral expenses as soon after my death as may be found convenient to do so. I direct that my funeral services he conducted by Egger Funeral Home, Newville, Pennsylvania, in accordance with arrangements which I have made there, and I bring to the attention of my Executor that funds for my funeral services are on deposit in a Newville Bank. 2. I direct that all inheritance, transfer, succession, estate and death taxes, including interest and penalties thereon, which may be payable on account of my death shall be payable from the residue of my estate regardless of whether the assets upon which such taxes are based are included in my probate estate. 3. All of the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath in equal shares to such of my six (6) children, their heirs and assigns as shall survive me by a period of ninety (90) days, but should any of them fail to so survive me then the share such deceased child of my would have received shall pass to such of his or her issue as shall survive me by a period of ninety (90) days, their heirs and assigns, per stirpes, and if there be no such issue the same shall lapse and be added to the remaining shares, per stirpes. My six (6) children are the following: (a) Mrs. MARY DELACEY, Box 926, RD 3, Mifflintown, PA 17059-9776. (b) Mrs. BETTY MENTZER, 101 Conodoguinet Mobile Estates, Newville, PA 17241. (c) GARY L. SALISBURY, 433 Crossroads Schoolhouse Road, Carlisle, PA 17015. (d) KENNETH C. SALISBURY, 118 Springfield Road, Newville, PA 17241. (e) DENNIS L. SALISBURY, 197 Goodyear Road, Carlisle, PA 17015. (~ Mrs. THELMA FINK, 298 Stonehouse Road, Carlisle, PA 17015. 4. Should any person less than 21 years of age, be entitled to a distribution from my estate, in such event I nominate, constitute and appoint the parents of such child as Guardian of the Estate of each such person, and authorize and direct them to receive and to invest the same, and to pay the income arising therefrom together with so much of the principal thereof as in their opinion is necessary or desirable to be expended for the proper maintenance, suppo,-t and eda~at~o:~ ;~f s~~ch persot,, to or for tl:.~ ~~=~~ieft :^f such person, and upon such person attaining 21 years of age to pay to him or her the then remaining principal together with any undistributed income. If the parents of such person less than 21 years of age are unable or unwilling or cease serving as Guardian of the Estate, then in such event I nominate, constitute and appoint my hereinafter named Executor and his successors as alternate or successor Guardian of the Estate of such person less than 21 years of age. 5. I hereby nominate, constitute and appoint my son, DENNIS L. SALISBURY, as Executor of this my Last Will and Testament, but should he predecease me or fail to qualify or cease serving as such, then in such event I nominate, constitute and appoint my daughter, MARY DELACEY, as alternate or successor Executor, and I further direct that neither of them shall be required to post any bond to secure the faithful Page 1 of 3 ~ ~ ~~,~ performance of his or her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. 6. In addition to the powers conferred by law, my hereinbefore named Executor and Guardian of the Estate of a person less than 21 years of age, and their successors, are hereby empowered: a. To invest any part of the trust corpus in such securities, investments, or other property as may be deemed advisable and proper, irrespective of whether the same are authorized for the investment of trust funds under the laws of any governing jurisdiction. b. .'~~ith respect to any corporation, the stocks, bonds, or other securities of which may be held, to vote in person or by proxy on any shares of stock; to consent to the merger, consolidation or reorganization of such corporations; to consent to the leasing, mortgaging or sale of the property of any such corporations; to make any surrender, exchange or substitution of such stocks, bonds or other securities as an incident to the merger, consolidation or reorganization of such corporations; to pay all assessments, subscriptions and other sums of money which may be deemed wise and expedient for the protection and maintenance of the proportionate interest of the investment in such corporations; to exercise any option or privilege which may be conferred upon the holders of such stocks, bonds, or other securities of such corporations either for the conversion of the same into other securities or for the purchase of additional securities, and to make any and all necessary payments which may be required in connection therewith; and generally to have and exercise as to all such stocks, bonds and other securities, the powers of an individual owner who is not under trust obligation. c. To hold the trust corpus in one or more consolidated funds in which separate shares shall have undivided interests. d. To sell at public or private sale for cash or upon credit, or partly for cash and partly on credit, and upon such terms and conditions as shall be deemed proper, any part or parts of the estate, and no purchaser at any such sale shall be bound to inquire into the expediency or propriety of any such sale or to see to the application of the purchase moneys arising therefrom. e. To keep on hand and uninvested such money as may be deemed proper and for such period as may be found expedient. f. To compromise, settle or arbitrate any claim or demand in favor of or against the trust estate. g. And authorized in the discharge of fiduciary duties, to employ counsel and to determine and to pay such counsel reasonable compensation which shall be charged against the principal or income of the trust fund, and shall further be entitled to charge against the principal or income such other reasonable expenses and charges as may be necessary and proper to incur for the proper discharge of fiduciary duties and for the proper management and administration of the trust estate. h. In making any division of property into shares for the purpose of any distribution thereof directed by the provisions of the trust, to male such division or distribution, either in cash or in kind, or partly in cash and partly in kind, as shall be deemed most expedient, and in making any division or distribution in kind may allot any specific security or property or any undivided interest therein to any one or more of such shares, and to that end may appraise any or all of the property so to be allotted and the judgment as to the propriety of such allotment and as to the relative value for purposes of distribution of the securities or property so allotted shall be final and conclusive upon all persons interested in the trust or in the division or distribution thereof. i. And authorized to register any shares of stock or other assets of any trust in their own names or in the name of a nominee. j. To retain and invest in shares of stock of my Trustee. ,, Page 2 of 3 C'~ k. To retain any investments including mutual funds which I may own at the time of my death and in addition to invest any part of the Trust corpus in such mutual fund or mutual funds as may be deemed advisable or proper, irrespective of whether the same are authorized for the investment of trust funds under the laws of any governing jurisdiction. 1. To determine from time to time whether all or some portion of realized capital gains shall be treated as ordinary income for distribution to a beneficiary or treated as principal to be retained as part of the corpus, and such designation need not be consistent from one year to another. IN WITNESS WHEREOF, I have hereunto set Ly hand and eal to this my Last Will and Testament written on three (3) pages, this %,St day of ~~`,~ 2007. ' Ci ~ (SEAL) CHRISTY .SALISBURY Signed, sealed, published, and declared by CHRISTY G. SALISBUR~ the Testator above named, as and for his Last Will and Testament, in our presence, who, in his presence, at his request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~_ ~ -~~ ~~ ~~~ Page 3 of 3 OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF W1LLS CUMBERLAND COUNTY, PENNSYLVANIA Deceased Estate of CHRISTY G. SALISBURY and ROGER B. IRWIN, ESQUIRE DENNIS L. SALISBURY alified according to law, depose(s) and say(s) that she / he /they was /were well- (each) being duly qu and am/are familiar acquainted with CHRISTY G. SALISBURY CHRISTY G. SALISBURY with the handwriting and signature of the decedent, and that the signatun~Codicil of to the foregoing instrument purporting to be the Last Will and Testame h dwriting is in his/her own proper an CHRISTY G. SALISBURY ~1h ti~ ~ (Signature) 197 GOODYEAR ROAD (Street Address) CARLISLE, PA 17013 (City. State, Zip) ~. (Signature) 60 WEST POMFRET STREET (Street Address) CARLISLE, PA 17013 (City, State, Zip) Executed in Register's Off ce Sworn to or affirmed atn~d subscribed ~ ~ day befor1e me this ' ~ (~ ~ ,'~ ~~`~ X1,1' .' ~-~`, _ '~'L~~;~". Deputy for Register of 1 7 ~~ :~~ ~~r _~ ~'-~ fv --- ~. _, ._~`'J~ - ~ J~ - D --~ .. r `~ -ri Form RW-04 rev. 10.13.06