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HomeMy WebLinkAbout03-19-12PETITION 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: MARY E. SHANK File No: 21- ~ ~ ~ ~'~-~~~ a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: / ~.Z - Z 2 17o8~ Date of Death: 3/8/12 Age at death• 84 _ Decedent was domiciled at death in Ctumberland County, PA (State) with his/her last principal residence at 770 S. Hanover Street 17013 Carlisle Cumberland Street address, Post O[fice and Zip Code City, Township or Borough County Decedent died at 770 S. Hanover Street 17013 Carlisle Borough Cumberland PA Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: Ijdomiciledin Pennsylvania ................................All personal property $ __ 5,000.00 If not domiciled in Pennsylvania .............................Personal property in Pennsylvania $ If not domiciled in Pennsylvania .............................Personal property in County $ Value ojreal estate in Pennsylvania .............................................................. $ TOTAL ESTIMATED VALUE.... $ 5,000.00 Real estate in Pennsylvania situated at: (Attach additianal sheets, ifneces.rary,) 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 9/23/82 __ and Codicil(s) thereto dated _ ,)~~ ~J Sfl ~ .ic.~. /~~2Cc SOS _ 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 nat 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 born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ® NO EXCEPTIONS ^ EXCEPTIONS 0 B. Petition for Grant of Letters of Administration ([f applicable) c.t.a., d. b. n., d. b. n. c.t.a., pendente lite, durante absentia, durante mtnoritate If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and comulete 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. ^ NO EXCEPTIONS ^ EXCEPTIONS Petitioner(s), after a proper seazch has/have ascertained that Decedent left no Will and was survived by the Following spouse (if ,any) and heirs (attach additional sheets, if necessary): Name Relationship Address n ~ ~ t=~ -~ _ 2,. ~ 'Z ~> . / ~ ~ ~ l: l .~._ . ~ 1 ~~~ ~~~- r; ~~ Form RW-nz rev. ro;uaotl Page 1 of t Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } Official Use Only :.,~J `ii Petitioner(s) Printed Name Petitioner(s) Printed Addre Ste hen L. Shank 326 Pine Grove Road, ~R~/~(1f'~ v'~ ~ T Gardners ~- 17324 The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and corcect 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 t° affirmed and bscribed bef a -,,~ 3 ~ ~ me ! ~___ day of ~L (r~ ~1 ~` ~~~ ~ Date __~_~~ i3y;~~ ~ ~~ ~ Q ~ ~ ~ ~ ,,`T(~~(/~ !~ ~~~-~ ~ Date Late For the Register Date BOND Required: DYES ®NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters ....................... $ ,~ ~ . L ( ,~ )Short Certificates(s) ...... n L~C~ ( )Renunciation(s) ......... . ( )Codicil(s) ............. . ( )Affidavit(s) ............ . Bond ......................... Commission ................... . Other 11; ,~- Automation Fee ................. ~ ~~ ~) JCS Fee ....................... ~" ) TOTAL ......................$ o ~ ) Attorney Signature: J~ Printed Name: Seth T. M ebey Supreme Court ID Number: 203046 Firm Name: Martson Law Offices Address: 10 East High Street Carlisle PA 17013 Phone: (717)243-3341 _ Fax: (717) 243-1850 __ Email: smosebeyna,martsonlaw.com DECREE OF THE REGISTER Estate of MARY E. SHANK File No: 21- ~~ ~ ~~~ G _ a/k/a: AND NOW, `~ ~~~\r C ` l ~~ , ~ (~__~__; 1=~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentar~______ are hereby granted to Stephen L. Shank __ in the above estate and (if applicable) that the instrument(s) dated 9/23/82 _ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent Form RW-02 rev. 10%!1/20/1 r~ { ~ egtster of~ills _ `' ~ ~(~C ~ ti~~,l,~~,~,;k~ ~~~a~e ~~ of Z, ~ LOCAL ~,~STRAR'S CERTIFICATION OF DEA)'T'H WARNIN :k -is,~~F'~oldu~Icate this copy by photostat ar photograph. -- - . L~~ Fee for this certificate, $6.00 ~ ~ ~~1144~ ~hhis is [o certift t17,(i. the, inf`ormatiy~n h~(~e ~~itier, is ('~ ~~ ~~~~ ~ ~ F~ 2' ~ correctl~l copied (r)tr, ,:(r7 ori.i*ina] C'ertif~c,~te c)f 17eattj duly filed with )nc~ a~, l.u;_al Registrar. "1'he original CLERK ~C certificate will h( fO)~warded to the itatc Vita QRp~(S v IJRr {records Office i ,( ,,i~rrnanent filing. Cl1MRFRl_AIVD ~~} . PA ~.~~---^ Ewa s Zot2 --~ - _- L____ _. Local Registrar Date [slued COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS " Certification Number Type/Print In Permanent y _~ Q U 0 E t~ 5tate Flle N 1. DecedenT's Legal Name (First, Mitldb, Last, Suffix) ` r • ~ 2. Sex 3 SOCial Security Number etc of Death Mo/Des ( Y/Yr) (Spell Mo) Sa. Age-Last Birthday (Yrs) 6b. Unde~l Year Sc. Under 1 Da 6. pates o9 Birth Mo/pa /Y~ar 5 , 2 - 2 Z 1 h ell M ( Y ) ( th ' P on ) 7a. Birthplace (City and State or Foreign Country) MonthsDays Hours Minutes Dau hin C t oun 8 4 r s_ Nov _ 1 '~ 9 2 7 76. Birthplace (COUn[y) L)au h i n ga. Residence (State or Foreign Country) 8b Residence (Street d N b . an um er - Includs ~ N°.) Sc. pid Dacedenk Live in a Township Hanover QYes,tlecedentllYedin ttu Bd. Residence (County) Ca~lisle p ~~yy~~ ~~ 1u n 8e. Residence (Zip Code) '~ '] Q '~ 3 1=}t~lo, decedent Ilyed within limits of CaT' 11 S 1 e . city/bor 9. Ever In US Armed Forces? 10. Marital Status at Time of Death Q Married Widowed 11. Surviving Spouse's N Q Ves QQ If f ame ( wi e, give name prior to Rrst marriage) ryo Q Unknown Q Divorced Q Never Married Q Unknow 12. Father's Name (Firs(, Middle, Last, SufRx) 13. Mother's Name Prior to First Marriage (First, Middle, Last) r nk Hattie 1 n 14a. Informant's Name ° 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, CI Shank Ty, State, Zip Code) Ste hen L _ Son s If Death Occurred in a Hos Ital: sw ~~ ~~~ __ ec__ on y one P r l Inpatient If - o ~ _ eat ccurre omewhere Other Than a Hospital: ~ Hospice Facility •~ ~- Emergency Room/OUtpatlent Q Dead on Arrival _ ~{NUrsin ~]~Decedent's Homes ~ ~•• H g ome/Long-Term Care Facility OTher (Specify) 15b. Faclliry Name (If no[ institu[lon, glue street and n tuber; SSC Cit T . y or own, Slate, and Zip Code h e 1 1 n 16tl. County of Death 16a. Method of Disposition Burial Q Cremation 16b. Date of Dts umb 1 n Position 16 Pl c. ace °( DlsposlTion (Name of cemetery, crematory, or other place) Q Removal from State Q Donation !~ OTher (Specify) 3 / 1 2 2 ~ 1 2 Mt 11 v 16d. Location of plsposition (City prTOwn, State, and ZI S rin s Cemeter P) 1Za nature of Funeral S erv ce r Per n in Ch rge of Interment 176. License Number Mt Ho11 n , 17c. Name and Complete Address of Funeral Facility ~ 1B. Decedent's Ed cation -Check the box that best esc b s [he 1 ecedent of Hispanic Origin -Check the h ' 20. Decedent s Ra<e -Check ONE OR MO E races to Indicate what ighest degree or level of school completed at the time of death. box the[ best describes whether the d d ece ent the decedent considered himself or herself to be. g[h grade or less is Spanish/Hlspa nic/Latlno. Check the "Np" Whit No di l h ~ p oma, 9t e Q Korean - 12th grade box If decedent is not S Q High school graduate or GED completed Panish/Hispanic/Latino. Q Black or African American Q Vietnamese N o, not Spanish/Hispanic/Latino Q American Indian or Alaska Native Q Other Asian Q Some college credit, but no degree Q Ves Me i , x can, Mexican American, Chicano Q Allan Intlian Q Associate degree (e.g. AA, AS) Q Natlye Hawaiian Q Yes P rt , ue o Rican Q Bachelor's degree (e.g. BA, AB, BS) Q Chinese Q Guamanian or Chamorro Q Ves Cuban , Q Filipino Q Master's degree Q Samoan (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Ves, other Spanish/Hispanic/Latino Ja Q Doctorate (e.g. PhD, Ed p) or Professional degree Q panese Q OTher Pacific Islander . MD DDS DVM LLB, JD (Specify) Q Other (Specify) 21. Decedent's Single Race Self-Designation -Check ONLY ONE to Indicate what She decedent considered himself or herself [ [aWhl[ b ' o e. 22a. Decedent s Usual Occupation -Indies e Q Japanese Q Samoan a type of work done Burin Q Black or African American Q Korean Q Other Paclflc Islander g most oi' working life. 00 NOT USE RETIRED. Q American Indian or Alaska Native Q Vietnamese Q Oon't Know/Not Sure Hou S EW ]_ f e Q Allan Indian Q Other Asian Q Refused Q Chinese Q Native Hawaiian Q Other (Specify) 226. Kind of Business/Industry Q FIIIpi^° Q Guamanian or Chamorro Dome s t i c ITEMS 23a - 23d MVST BE COMPLETED 23a. Date Pronounced Dead Mo Day 236. Signature of Person Pronouncin BY PERSON WHO PRONOV NOES OR D h g eat On y when app Ica a 23c. Vicense Num e CERTIFIES DEATH ~ r ~ 23d. pates Signed (MO/Day/Vr) 24. Time~of ath ~ a r~~~ `~ ~ a p `Z-~'J 1~ ~ ~ 5. Was Medical Ex r Contact ^er or rune d? ~J e Q Yes Q No CAUSE OF DEATH 26. PaK 1. Enter the chain of t -diseases, Injuries, or complicaflons--that direct) Approximate Y caused the death. DO NOT enter t res i t i l p ra erm o r v na events such as cardiac arrest Interval: ry arrest, ° entricular fibrlllatlon without showing the etiology. DO NOT ABBREVIATE Enter onl . y one cause on a Tine. Adtl addiTfonal lines if necessary Onset to Death IMMEDIATE CAUSE --------- -_> a. 'Q (~7 ~ ) . (Final disease or condition resulting In death) Due to (or as a consequence of): - V b. Sequentially list conditions, Due to (or sequence of): If any, leading to the cause as a con - Iisted on Ilne a. Enter the UNDERLYING CAUSE Due tp (or sequena=e of): (disease or Injury that as a con G vitiated the events resulting d. in death) LAST. pue to (o as a consequence ot]: 3 26. Part 11. Enter other slanificant dill t ib ti [ d th but not resulting in [he underlyin cause i i [ ~ g g ven n Part I 2.7. Was an autopsy perforrnetl7 i~S ~( Q ~ Yes Q No J ~ wT 2B. Were autopsy flntlings available 3' [o complete the taus of death? 29. If Female: E 30. Did Tobacco Use Contribute to Death? Q Yes Q No Q Not pregnant within past year 31. Manner of Death s ~ Q Pregnant at time of death Q vas Q Probably ~ Natural Q Homicide Q NO ~ Vnknown Not Q pregnant, but pregnanT within 42 des f deatt Accident Ys ° Q Pending Investigation r- Q Not pregnant, but pre Q Suicide Q Could not be determined g^anf 43 days To 1 year before dean 32. Dat¢ of Injury (MO/Da /Y ) S l y r ( pe l Month Unknown if Q pregnant within the past year ) 33. Tme of Injury 34. Place of Injury (e.g. home; construction site; farm; school) 35 L i . ocat on of Injury (Street antl Number, Clty, State, Zip Code) 36. Injury at Work 37. If Transportation Injury, Specify: 38. Describe How Injury Occurred: Q Ves Q Driver/Operator Q Pedestrian Q No Q Passenger Q Other (Specify) 39a. CertiRer (Check only one): Q Certifying physician - To the best of my knowledge, tleath occurred due to the c se(s) and manner statetl Q P ronouncing 8< Certifying physician - To the best of my knowledge, death occurred at the time, date and place and due t Q Metlical E th i , , xam o e cause(s) and manner stated ner/Coroner - On he sis of examination, and/or Investigation, In my opinion death occurred t h , a T e time, date, and lace, and tlue to the cause ° (s) and manner stated Signature of certif(er: 3 r~.~ Title of certifier: Ucense Number: -"C/~ ~.V Z~ ~~i 9b. N a me, A d dress and Zip Code of Parson Com l¢Tin C f l/ ~~ G~ p g ause o Death (It m 26) s + ~ ~aa~ O +l~ P _ ~~~1, 'V) k~ J 1 (r~~ 39c. Oat 51 etl (MO/Day/yr) '77 I~x~n- lt~.re. CZ~`i.q. >< Pe Il ' 4 . w3 3 9 0. Registrar s District Number 41. Registrar' Lure 't 1 _ a,D ~~~ 42. Registrar Flle Date Mo Day r 4 3. Amendments ~ ao la pisposlTlon Permit No. ~ `I ~ (~ -y~~ H1O5-343 REV p7/2011 LAST WILL AND TESTAMENT I, MARY E. SHANK, of Dickinson Township, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking any and al:l former Wills or '~ Codicils by me made. cn ~' ~~ ~ j ~ 1. c~ t ~ ~~~ ~ "' cr, I direct that all m ust debts funeral ex enses testamentar ex enses and all . cr, ~ Y J ~ P ~ Y P ~~ J ~; _ • ~~eritance taxes shall be paid from my residuary estate as soon as practicable after ~= ~ ` -~ _ r:-y decease and as part of the administration of my estate. 2. If my spouse shall survive me by thirty (30) days, then I give, devise and bequeath all of my estate, both real and personal property, unto my husband, JOSEPH J. SHANK, absolutely. 3. In the event my said husband, JOSEPH J. SHANK, shall predecease or fail to ~~ survive me by more than thirty (30) days, then I give, devise and bequeath all of my estate, both real and personal property, unto my son, STEPHEN L. SHANK. 4. In the event my said son, STEPHEN L. SHANK, shall predecease or fail to survive me, then I give, devise and bequeath all of my estate both real and personal w , ~'~, ~ property, unto my Trustee, in trust, for the following purposes: (a) I direct that my Trustee shall hold, invest and reinvest the same, collect the income arising therefrom, and after paying all expenses iincident to the management of the trust, to use and apply as much of the income and principal as may LAW OFFICES WILLIAM F. MARTSON. P. C. be necessary in the sole discretion of my Trustee, in equal shares, for the support, -1- well-being and education of the issue of Stephen L. Shank, per stirpes. I direct that the income arising from said trust shall be payable in equal shares directly to said issue per stirpes as they attain the age of eighteen (18) years. (b) I direct that each of said issue shall have the right of withdrawal of the principal of his or her share in the following manner: one-third (1/3) thereof as each attains the ale of twenty-one (21) years and the remainder of said share as each attains the age of twenty-five (25) years, however, in no event shall final distribution be delayed hereunder longer than twenty (20) years after the death of the said Stephen L. Shank. (c) Prior to the distribution of the principal of any such share, my said Trustee shall have the sole discretion to invade the principal of said share for the support, maintenance and education of such issue of Stephen L. Shank, regardless of age. (d) To the extent that the same is permitted by law, none of 'the beneficiaries hereunder shall have any power to dispose of or to charge by way of anticipation anv interest given to such beneficiary; and all sums payable to such beneficiaries hereunder shall be free and clear of the debts, contracts, alienations and anticipations of the beneficiaries, and all liabilities for levies and attachments and proceedings of whatsoever kind, at law or in equity. x 5. `" w I nominate constitute and a ~ ppoint my husband, JOSEPH J. SHA:~TK, as Executor of my estate. In the event my husband, JOSEPH J. SHANK, shall be unable or unwilling to serve in such capacity then I appoint STEPHEN L. SHANK to act in such capacity. In the event STEPHEN L. SHANK shall be unable or unwilling to serve in such capacity then I a^~oint ROXANNE D. SHANK to act in such capacity. LAW OFFICES WILLIAM F. MARTSO N. P. C. -2- 6. I hereby nominate, constitute and appoint ROXANNE D. SHANK as Trustee under the terms of this Last Will and Testament and I further appoint her as Guardians of the persons of any minor children. 7. I direct that neither my Executors nor my Trustee shall be required to file a bond to secure the faithful performance of their duties in any jurisdiction. 8. I authorize and empower my personal representatives and Trustee, in their sole and absolute discretion, to purchase or otherwise acquire and retain any investments of which I die seized or any real or personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in regard to any or all property of any kind forming a part of my estate for such terms €ind such prices as they may deem advisable; to borrow money for any purposes connected with the protection and preservation of my estate; to mortgage or pledge any real or personal property forming a part of my estate or to join in or secure the partition of same; to compromise any claims or demands on my estate against others or of others against my estate; to make distribution in kind and to cause any share to be composed of cash , property or undivided fractional shares in property different in kind from any other w share; and to execute and deliver such instruments as may be necessary to carry out any of these powers. I direct that my personal representatives shall have specific powers to comingle other assets which they may receive for the beneficiaries of the Trust, including, but not limited to, life insurance proceeds and savings accounts. LAW OFFICES WILLIAM F. MARTSO N. P. C. -3- IN WITNESS WHEREOF I have hereunto set my hand and seal this ~3 r~ day of ~~E1'_.TE/» t~3E"/Z , 1982. ~7~1 G~. ~%tiGLvil~Q.i (SEAL) Mary . S nk SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed our names as witnesses thereto, in the presence of said Testatrix and of each other. \( ~# LAW OFFICES WILLIAM F. MARTSON. P. C. -4- . . COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) I, Mary E. Shank, Testatrix, 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. Sworn or affirmed to and acknowledged before me by Mary E. Shank, the Testatrix, this 2~ day of SEr~TE,~~6EJQ , 1982. ~,i ~-- j/~~ Notary Public WII.,LIAM L. EAR.P, Nextory Public Carlisle, Cumberland Co., PA COMMONWEALTH OF PENNSYLVANIA ) My Commission Expires Aug. 13~ 1984 . SS. COUNTY OF CUMBERLAND ) We, 2V v ~ , ©TR) ~ ~1 1 N o iv11~s T~. i,~,? ~ L ~ ~ 'A ~ 5 the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will; that the Testatrix signed willingly and that the Testatrix executed it as her free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of the Testatrix, signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Address Q,,,,~ '~ Address ~ Q t Sworn or affirmed to and subscribed before me this 2~rd day of J~~Te wL1.,er , 1982. C ~J " ~ ~ ~~~~~~ Notary Public WILLIAM L. EARP, Notary Public Carlisle, Cumberland Co., PA LAw OFFICES My Commission Expires Aug, 13, 1984 WILLIAM F. MARTSO N. P. C. 3-