HomeMy WebLinkAbout03-21-12PETITION FOR GRANT OF LETTERS
REGISTER OF WII.LS 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: A. BARBARA FOGELSANGER
a/k/a:
a/k/a:
a/k/a:
Date of Death: FEBRUARY 14, 2012
File No: ~ ~ "~~ " ~' 7~~
(Assigned by Register)
Social Security No: 186-248265
Age at death: 80
Decedent was domiciled at death in CL~ERLAND County, PENNSYLVANIA (State) with his/her last
principal residence at 125 FOGELSANGER ROAD, SHIPPENSBURG, PA 17257, SOUTHAMPTON TWP, CUMBERLAND
Street address, Post Office and Zip Code City, Township or Borough Co ~nty
Decedent died at 1790 GOOD HOPE ROAD, ENOLA, CUMBERLAND COUNTY, PENNSYLVANIA
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 $ 250,000
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.... $ 250,000
Real estate in Pennsylvania situated at:
(Anach additional sheets, if necessary.) Street address, Post Office and Zip Code
City, Township or Borough County
Q A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) he/she/they is/aze the Executor(s) named in the last Will of the Decedent, dated ~-Y 21, 2004' and Codicil(s)
thereto dated N/A
~"~ -
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 dive
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g),
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
Q NO EXCEPTIONS ~ EXCEPTIONS
B. Petition for Grant of Letters of Administration
r~ -.`-'
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not arty to ape~+ding
Hot h cue a child biisti or
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(If applicable) ~ -1
c. t. a., d. b. n., d.b.n.c.t.a., pendente lite, durante absentia, rante mino 'ate
If Administration, c.t.a. or cLb.n.c.~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
Petitioner(s), after aproper seazch has/have ascertained that Decedent left no Will and was survivedbythe following spouse (if any) and heirs (attach
additional sheets, if necessary):
Name Relationshi Address
Form RW-02 rev. 10/11/2011 Page 1 Of 2
Uatn of Personal Kepresentative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND
CURTISS FOGELSANGER
Printed Name
viu~iaL roc vary
Printed Address
976 MUD LEVEL ROAD, SHIPPENSBURG, PA 17257
The Petitioner(s) above-named swe Rse ° went rive(s) of the Decedent, therPetitionere(s) will well and truly adrmmst rthe estate according to awelief
of Petitioner(s) and that, as Personal p ~_~1 „~ ~ 1
~, Date F
Sworn to er a~firmed and subscribed before Date
me ' ~~~ day o 1~ l /`~" Date
Rtt: "1''1;9.1 n.l! ~ ~ ~_ ~ ` ~y Date
Por the Register
BOND Required: Q YES C~J ~O
FEES:
Letters ...................... $
( '7j )Short Certificate(s)...... '
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other •••••"
To the Register of Wills: °-- '
Please enter my appearance by my sigr~~t belowr.s
~• - >
Attorney Signature: ~ t-~- ~ ~ '-'
c~
Printed Name: ROBERT G. FREY v'
-Y-~
Supreme Court ~'
ID Number: 46397
Firm Name: ~1' ~ TILEY
Address: 5 SOUTH HANOVER STREET
CARLISLE PA 17013
~~~~~~~~ Phone: 717-243-5838
" " " " 717-243-6441
~~, SL Fax:
Automation Fee ............... y@FREYTILEY.COM
1CS Fee. C~ Email: RAE -
.................... •?7~n ~~ ~
TOTAL ..................... $
DECREE OF THE REGISTER
File No: ~ ~ ~ f ~- ' ~~ ~ ~ ~
Estate of A. BARBARA FOGELSANGER
a/k/a:
T ~~-~- ~~' ~~~~ ~(^N I ~ ; ~ in consideration of the foregoing Petition,
AND NOW,
satisfactory proof having been presented before me, IT SJRT S REoEsD LSa~GER TESTAME'.~ITARY
are hereby granted to
in the above estate and (if applicable) that
the instrument(s) dated NI-1' 21, 2004
described in the Petition be admitted to probate and filed of record as the last Wil1(and Codicil(s)) of Decedent'
Register of Wills l~ Y '~~-1L1'1:~ ~ i ~-:~~'
Page 2 of 2
FormRW-02 rev. 10/11/2011
' ~..~lt'~ ~~ to dupl~~at~ ~~d~= (,.-, ts~ pi~~ta~xa~ ~a ~~s
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CLERK OF
ORPHAN'S CC}URT
~RFR1,,A~WD ~~7 , PA
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GOM MONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS
Type/PHnCIn CERTIFICATE OF DEATH stet
Pefn'a"`"t x/33-196 2. sex 3.SOdaISewNtyNUmber
Black Ink 186-24-8265
1. Decedent's Legal Name (Firrt, Mlddie, last, Suffix) Fo elsan ar Fema1
Ada Barba'ra' 6. Date of Birth (MO/Oay/Year) (Spell Month) Ta~ Irto pOl a~~t
Sa. Age-Last Birthday (Yrs) S Nicn hsr 1 YeDays Sc HOUdrs r 1 Minutes Tb. Birthplace (Co
June 18, 1931
$~ Sb. Residence (Street a d Number -Include Apt No.) 8c. Did Decedent Llve in a Township
1 2 5 Fog ¢-e-bang vJ~- Roa.d vas, d<gaaant uyad In Soul
Sa. Residence (State or Foreign Country)
'PQyL VR • Q ~ No, decedent Ilyed within limits of
8d. Reside (GOUnty) ge, Residence (21p Code) 1 72 57
C(.LmbeJc,(l1cVLCi Married ® Widowed 11. Surviving Spouse's Name (If
9. Ewer in US Armed Forces? 10. Marna) Status at TImeN f DeaNt lh rrle O ~ Unknown
~) Yes [~ No ~ Unknown 0 Divorced ~ 13. Mother's Nsme Prior to First Marriage
. ~ Father's Name (First, Middle, Last, Suffix) ~,e~Qpj. MQrr. _~Qdres
_ u 4w sf62reet ar
< pct,rre omewn s e a
at
G ++.
_ ".. ."""""°""r Inp.nenc
d in a Hospital: u
i ~ Nursing Home/LOn Term Care Facilit
¢ If Death Occurre
Dead on A Iva
Room/OUtPatlent O
' • 15 c. City or Town, State, •ntl Zip GoOe
u
[] Emergency
Name (If not Instltu[lon, BIYe street and n mbar
ilit Eno 1a, PA 1 7025
"~ y
SSb. Fac
1790 GOOdYlO P ROad
tion 16b. Date of Disposition 16c. Place of Disp
/ ~_
/ Crema
Burial ~
16a. Method of Disposition Donation
t
te ~
2 -2 0 - rL Q 1 2
S 1[iC,YL f
1 a
~ Removal from S
Other (Spetlfy) d Zip)
16d. Location of Disposition (City or Town. State, an f Funeral Service Licensee or I
1Ta. Sign
hi. bwc 7 72
dress of Funeral Facility {„~
7 Name and Complete A -
h
d
1
2aa e
cedeni of Hispanic Origin -Check t
t
D
' .
Fo e.
x tea
EOucaHOn -Check the b
th
'
if
c
tN
that best describes whether the deceden
bo
"
"
~ i
.
s
dea
o
38. Decedent
me
t the
r level of school comp ate a NO
( Spanish/Hlspani4Latino. Check [fie
highest degree o
8th grade or less ant Is not Spanish/Hispanic/Latino,.
box f dated i Latino
h/Hispan c/
l
~
o diploma, 9th - 12th grade
d
t
l s
NO, not span
Chicano
n American
i
e
e
'High school graduate or GED comp ,
ca
0 Yes, Mexican, Mex
~ Some college credit. but no tlegree Q Ves, Puerto Rican
~ Associate degree (e.g. AA, A5)
B~ BA, AB, BS)
ree (e
d
'
- Q Yes, Cuban
other Spanish/Hlspa nit/Latino
Yes
~
.
eg
s
Bachelor
Q
~ Master's degree (e.6~ NIA, M5, MEng, MEd, MSW, MBA) ,
(Specify)
ctorate (e.g. PhD, Ed D) or Professional degree
~ D
o
. MD DDS. DVM LLB JD
NLY ONE to
necedenf consideretl himself or
InOicate
h
21. D dent's Single Race Self-Deslgnatlona- „P;^e
(W
s< O Sa m
oa
[] Other Pacific Islander
hite Korcan
Black or African American ~ O Don't Know/Not Sure
~
Vietnamese
)~ American Indian or Alaska Native O Other Asian ~ Refused
~ ~ Asian Indian - Q Native Hawaiian O Other (Specify) ~---
~ ~ Chinese ~ Guamanian or Chamorro
nature of Person Pr
Si
Filipino g
nou need Desd (MO/Day/Yr) 23b.
Pro
t
a .rcvlc 23a - 23d MUST'BE COMPLETED e
23a. Da ' , ' n t
~~
s
y~
YJ
.~
~'
name prior to
w.- ~--•""""""'"~~~~"~~•~~~~~~ Decedent's Home
"~~"........Fy-~HOSPice Facility
14837-
Decedent's Race -Check ONE Oft MORE races to ina~~=•= ^••°-
~ecedent consid elf to be.
ered himself or hers
n
O
WacLeo Korea
BI k rAfrican American ~ Vietnamese
American Indian or Alaska Native ~ Other Asian
ii
n
Asian Indian a
Q Nat1Ye Hawa
~ Guamanian or Chamorro
Chinese O Samoan
Filipino Q Other Pacific Islander
Japanese
Other (Species)
f to be. 2d oae during mos[ of working lifen DO NIOT USEPRETIRED`
n flomema.Izelc
RTIFIES DEATM1 24. Time of Death
!, Dace Signed (MO/D¢Y/Yr) ~ (+5 P M ~ 25. Was Medical Examiner or oron
A rox. 7
CAUSE OF DEATH t sacs as cardiac arrest
m Ilcatlons-that direcilY reused the death. DO NOT enter terming ;lnee Add additional lines If necessary
~f vents-diseases, InJu rtes, or co p DO NOT ABBREVIATE. Enter only one cause on
26. Pert 1. Enter the -"~ entricular flbrf llation without showing the etiology.
respiratory arrest, or Y
___ g ertensive Card io sa q^ q1a eODisease
IMMEDIATE CAUSE ------- ~ a
gpproximate
Interval:
Onset fo Death
(Final disease or contlitlon .
resulting In death)
b.
on of):
Due [o (or ss a c sequence
Sequentially Ilst conditions,
If any, leading [o the taus
listed on Tine a. Enter then
V NDERLYING CAVSE
Due to (or as a consequence of):
(disease or Injury that
InltJated the events resulting
In death) LAST.
d,
_
Due to (or as a consequence of):
,_,_ _ ,_ ~.,° ,,,,,t taus
erlvin¢ < elven In Part 1
27. Wes an au<opsy
n Yes
~]rpf5~~~~ OT
K~S-"~~
to complete the ca _ of death
No< pregnant wlthln Past year
Pregnant at time of death
Not pregnant, but pregnant wlthln 42 days of pefore death
Not pregnant, but pregnant 43 days fo 1 year
V nknown If pr<gnen< within the past year
home; c nstrucilon site; farm; school)
_ of Injury (e.g. °
0 Ves ~O-.nP'roba bly
No )y ..nknown
Natural Q Homicide
Accident O Pending InvestlgetlOn
Suicide 0 Could not be determined
36. InJu^/et """'^ ""- - Pedesirlan
Q Driver/Operator ~
~ Ves
Other (Specify)
~ Passenger O
O No
39a. Certifier (Check only one):
knowledge, d th occurred due to the cause(s) and manner stated 1 nd due to the cause(s) and
date, and p ace, a
[Ime
th manner seated a rated
e to the cause(s) and m nner s
d d
To [he best of my
~ Certifying physician -
To h b st of ,
e.
I dg d th occurred a[
death occurred at the <Ime, date, and place,
inion
o u
an
h slcla -
Q Pronouncing 8a Certifying p Y a I
O
s °f x ,
p
~a nd/or inyesflga[lon, In my
COrOriE:7x_ICense Number:
£ Deputy
i
~~
Medical Examiner/Coroner.-
~~ -~
e
Tltie of certlflerCh 3yt Date Signed (MO/Day/V r)
-
sgnatpre of certifier- 6375 Basehore Rd.,Suite 4f1
ath (
o
17050
G 2012
Februar 15
39b. Name, Address end Zip Code of Person CYlie £ PA
u t
C OrOner h icsbur
De 42 Regist ~ File Date (Mo/Day/Yr)
"
Matthew S- Stoner> aura
41. aegis[ gna ~!j
~-
40. RegisV aYS DistrRt Number
~r
43. Amendments
H1O5-143
RFV n7/201]
~~
Permit No.~' ~ -'--
l
on
pisposl[
LAST WILL AND TESTAMENT
KNOW ALL MEN BY THESE PRESENTS, that I, A. Barbara Fogelsanger, of
Pennsylvania, being of sound and disposing mind, memory and understanding,
do make, publish and declare this my Last Will and Testament, hereby revoking
all prior wills and codicils by me at any time heretofore made.
FIRST: I direct the payment of all my legal debts, funeral expenses
including my grave marker and all expenses of my last illness, state, federal
estate and inheritance taxes and administration costs shall be paid as soon as
may be conveniently done following my decease leaving all specific bequests free
of tax to the legatee.
SECOND: I direct that all my tangible personal property is to be sold,
including but not limited to my vehicles and the proceeds of such sale are to be
divided between my four children, William Fogelsanger, Gerald Fogelsanger,
Andrew Fogelsanger, and Loretta Deimler, share and share alike, per stirpes.
THIRD: I give, devise and bequeath the rest and residue of my estate to
William Fogelsanger, Gerald Fogelsanger, Andrew Fogelsanger and Loretta
Deimler in equal shares, share and share alike, per stirpes. No provision is made
herein for Curtiss Fogelsanger because adequate consideration was given to him
during his lifetime.
minate and appoint Curtiss Fogelsanger as Executor ~ this
I
no
FOURTH:
ld fail to serve or be unable to se~~
h ~ r
ou
~,
m Last Will and Testament. If he s
y ~J
-- ~,~., r,, __
~.1 V~`~ - .. '~I
~ S'"~ ~ T'r,
D (r~' `"~
nominate and appoint, Gerald Fogelanger as Executor of this my Last Will and
Testament.
IN WITNESS WHEREOF, I, A. Barbara Fogelsanger, to this my Last Will
and Testament set my hand and official seal, this ~ ~ day of ° ~~~
2004.
~` %~~,,~~-~ECts ~ G'" ,.,~. ~~L-n, ,/SEAL
. ~' ~
A. Barbara Fo anger ~
Sworn to and subscribed, declared and
Published by A. Barbara Fogelsanger, as
Her Last Will and Testament, and so
Done in the presence of we the
Witnesses, who sign at her request,
And in her presence, and in the presence
Of each other.
r7
~ q r
~ ///t /~~
COMMONWEALTH OF PENNSYLVANIA:
:SS
COUNTY OF CUMBERLAND
I, A. Barbara Fogelsanger, whose name is signed to the foregoing
instrument, having been duly qualified according to law, do hereby acknowledge
that I signed it willingly; and that I signed it as my free and voluntary act for the
purpose therein expressed.
A. Barbara ogelsang
Sworn to and acknowledged, before me,
By A. Barbara Fogels ng :., the Testatrix,
This ~ day of 2004.
..
~ ~~ ~
Notary Public
COMMONWEALTH OF PENNSYLVANIA:
SS
COUNTY OF CUMBERLAND
Notarial Seal ,
H. Anthony Adams, Notary Public
Shippensburg Boro, Cumherland~C20~6
My Commission Expires May
'qa F~PSGC~°;;~~~, [•.1 i\~iilatjP$
Mer~~~er,Per~rse?~a~~~
WE, Darlene M. Bigler and Sharon Coleman Adams, the witnesses whose
names are signed to the foregoing instrument, being duly qualified according to
law, do depose and say that we saw the Testatrix sign and execute the
instrument as her Last Will and Testament; that she signed willingly and that she
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 and belief the Testatrix was at
the time at least eighteen (18) or more years of age and of sound mind and
under no constraint or undue influence.
~-
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Sworn to and subscribed before me by,
Darlene M. Bigler and Sh~ron Col mar~Adams,
The witnesses, this -~--- day o 2004.
~.
Notary Public ----- - .
Notarial Seal
H. Anthony Adams, Notary Public
Shippensburg Boro, Cumberland Coun4
My Commtsston Expires May 15-2E!'~4?
Member, Pennsylvania A.ssocis lion ~' 4`°w~~ ~'=`