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Home My WebLink About03-27-12Reset 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: Gilbert V. Prowell File No: ~ ~ t X ` ~ t~ ~~ ~~a' (Assigned by Register) a/k/a: ~~a' Social Security No: Date of Death: March 17. 2012 Age at death: 74 Decedent was domiciled at death in Cumberland County, pennsylvania (scare) with his/her last principal residence at Bethany Villaee. 325 Wesley Drive 17055 Mechanicsbure Lower Allen Township Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at Holy Spirit Hospital 17011 Camp Hill 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 $ 450,000.00 If pat domiciled in Pennsy!vania ........................ Personal property in Pennsylvania $ If not domici/ed in Pennsy!vania ........................ Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ 450 000 00 Real estate in Pennsylvania situated at: None (Attach additional sheets, rfnecessary.) 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 April 21, 2008 and Codicil(s) thereto dated none 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 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 born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. O 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, durante absentia, durance minoritate If Administration, c.t.a. or d.b.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 Q EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs (attac•h additional sheets, if necessary): Name Relationshi .~~ Address ICJ '~`~ r r ~ ,.. ,rim -J ~~.,.~ J ~~ ..~ --~ .: _ D Ln ~ ~~ i .. , - ~~ ;T'7 __ ~ "r-! Form RW-0? rev. [0/1 U101 / Page 1 Of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland Register To the Register of Wills: uta~~a P~rPr my anoearance by my signature below: BOND Required: Q YES ~ NO FEES: Letters ..................... . ( 5) Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . $ ~, ~~ ~, ~ ~ Other •.••••. , ~~~it~ ...... l`~~[i(. ...... ~ Automation Fee.......... JCS Fee . .................... S.C~~ TOTAL ..................... $ y 1 3 Attorney Signature: "~\ Printed Name: Vicky Ann Trimmer Supreme Court ID Number: 49679 Firm Name: Address: Phone: Fax: Email: Official Use Only Persun & Heim, P.C. _. n_ ,.t. U,...lo r.i Cnita 1611 Ptl Rix 659 Mechanicsburg PA 17050-0659 (717)620-2440 (717)620-2442 r ' marCa~nPrcnnhPim rnm - DECREE OF THE REGISTER r '> File No: ~~ " ~~ ~ ~~~~ Estate of Gilbert V. Prowell a/k/a: AND NOW, ~~~lt ~7 ~~ ~~C;'~l ,<~` -~ ~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to M ra P.Reill in the above estate and (if applicable) that the instrument(s) dated Aril 21 2008 described in the Petition be admitted to probate and filed of record as the last Will (and codicil(s)) of Decedent. , t .~ ~ ~ l•,. i'1 1 ~ ~ ~~ ~ ~ / L Register of Wi / ~ ~ Page 2 of 2 C Form RW-01 rev. IOi/l;?Oll 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 Persanai Representative(s) of the Decedent,,thQe Petitioner(s) will well and truly administer the estate a~cording to law. Sworn to r affi ed a bscri e bef re ~~w" - % D • ~'-~ Date ~x~ ia1- f/~- U Date me th's "t1a of /' ~ / Date By: Date ~f , ~,r~ / - ,{ ,~ ~', ' -" _ ~, ''^`~ I~n~ ~ ] f',° ~~~ .rid, («~~, ,^ III •: Ot~~f-(q,~ ~ r CI1~ a `~ : ~!I'~r7 ?~ .. _ ~~ ~ ~ ~a la Type/Print In COMMONWEALTH OF PENNSYLVANIA _ DEPARTMENT Of HEALTH _ VITAL RECORDS Permanent A /~ ~.~ _' ~ ~_ --- - - -- -- ~ ~. .+ n • • State File Number: 1. Decedent's Leg Name (First, Middle, Last Suffix] , 2. Sex 3. Social Secu riiy Number 4. Date Of Death (MO/Day/Vr) (Spell Mo) GILBERT V . PROWELL le March 17 2012 Sa A e-Last Bi hd V , . g rt ay ( rs) Sb. Under 1 Year Sc. Under 1 Da 6. Date of Birth (MO/Day/Vea r) (Spell Month) 7a. Birthplace (City and State or Fo i re gn Cou nTry) 74 Month: Days Hpurs MlnuTes December 26 , 1937 7b. Birthplace (cp°niv) aup in 8a. RePsidAence (State or Foreign Country) 8b d ~t et and N bar -Include Apt No.) Sc. Did Decedent Live in a Township? SR~~~n`~ ` e ~. i l son ane L~]yes, decedent lived in Upper Allen Sd. Residen (County) twp C ~i l d Um er an 8e. Residence (Zip Code) ONO, tlecedent livetl within limits of city/boro. 9. Ever in US Armed Forces? 30. Marital Status at Tlme of Death 0 Marr(etl ~ Widowed 11. Surviving Spouse's Nam (If if a w e, given a prior to First m iage) Q Yes ® N° Q Unknown ~ Divorced Q.Never Married ~ Unknow ar^ err 12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, Lastj Harold R_ Prowell Myra Vickery ' 14a. Informant s Name 14b. Relationship t° Decedent 14c. Informant's Malting Address (Street and Number, City, State Zip Codel Myra Reill o G , y Sister 3006 Jason Place, Madison WI 53719 ..............................."'-...........°--......... '."'... ..-"'...'.......°".. isa. P ace o each ec on y one _ __ _ ___ in a Hos ita l: ... ........................................ ................ ........ If Death Occurred' p ~{ Inpatient If ~~~ ` o _, __ _ ___ ___ _ ___ Death Occurred Somewhere Other Than a Hospital: ~ Hospice Facility ~ ~~ ~ ~ ~~D d t H ~~~~~ ~ ace en s ome Q Emergency Room/Outpatient Q Dead on Arrival N Q ursing Home/Long-Term Care Facility Q Other (Specify) 15 b. Facili y Name (If not institution give stre t and number; 15 e • , c. City or Town 5 te, d Zip C d 16d. Count f D Sh Hoy Spirit Hospita l Camp Hil~ PA ls/~11 ~e ~l m , Cum r and 16a. Method of Disposition $] Burial Q Cremation 36b. Date of Disposition 16c. Place of Disposition (Name oT cemet ery, crematory, or other place) p Rempyalfrpmsta~) p °°nat,°" r 23, 2012 Harrisbur Cemetery Other (Spec) g v 16d. t~QC t' pf Djspositi°n (Cljy pr TQ~15jay~, and Zip) 17a. Signature of Fun ra Service Licensee or Person in Charge of Interment 17b 3rL'1S Ur Li YH a . g, cense Number 1 ll-3 07~ !l /D~o~/ -G_- Eo 17c. C lei u Fa Ity ~~ n' ~~I.n~bM~ 357 S 2nd St S l ~ , _, tee ton, PA 17113 ' 18. Decedent s Education -Check the box that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Ch k ON ~ ec E OR MORE r indicate what highest degree or level of school com pleied at the time of death. box that bast describes whether She decedent the decede t i ° t n cons dered himself or herself to be. Q 8th grade or less is Spanish/Hispanic/Latino. Check the "NO" White Q Korean 0 No diploma, 9th - 12th grade box If d d ~ ece ent is not Spanish/Hispanic/Latino. Black or African American Q Vletna mese Q High school graduate or GED completed ® No, noL Spanish/Hispanic/Latino Q American Indian or Alaska Native Q Other Asian Q Some collage credit, but no degree Q Yes, Mexican Mexican American Chican , , o ~ Asian Indian Q Native Hawaiian Q AssociaTe degree (e.g. AA, AS) Q Yes, Puerto Rican Chinese ~ Bachelor's degree (e.g. BA, AB, BS) ~ Ves ~ Guamanian or Cha mono Cuban , Q Filipino 0 Q Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Yes, other Spanish/Hispanic/Latino a Q Japanese Other Pacific Islander Q Doctorate (e.g. PhD, Ed D) or Professional degree 0 . MD DDS, DVM LLB 1D (Specify) O Other (Specify) 21. Decedent's Single Race Self-Designation -Check ONLY ONE to indicate what the decedent considered himself or herself to be 22a Decede t' U . . n s sual Occupation -Indicate type of work White Q Japanese Q Samoan d one during m of working life. DO NOT USE RETIRED. Q Black or African American Q Korea Q Other Pacific Islander os2 0 American Indian or Alaska Native Q Vietnamese Q Don't Know/Not Sure LaW Cleric ~ Asian Indian Q Other Asian Q Refused 22b. Kind of Business/Industry Q Chinese Q Native Hawaiian ~ Other (Specify) Q Fllipi^° O Guamanian or Cha mono Legal Profess lOn ITEMS 23a - 23tl MIDST BE COMPLETED 23a. Date Pronounced Dead (MO Day r) 23b. Signature of Person Pronouncing Death (Only when applicable) 23c PRONOUNCES OR Cle N . anse umber CERTIF ES DEATH Marci"] 17 , 2012 23d. Date Signed (MO/Day/Yr) 24. Time of Death 25. Was Medlcai Examiner or Coroner Contacted? ~ Yes No CAUSE OF DEATH 26. Part 1. Enter the chain of events--tliseases, injuries, or com pllcations--that direc[I AP proxi mate y caused the death. DO NOT enter terminal events such as cardiac arre t - i a s resp Inierv 1: ratory arrest, or ventricular fibrillation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional li if nes necessary Onset io Death IMMEDIATE CAUSE ---- --------- > a. G!a''12.. D ~ ~ Rrc ,c !'~ ~-0,2 Y 7`~~2 ~4 ~- - . 7 (Final disease or condition Due to (or as a consequence f): resulting in death) ~ ~ ~~ b. Sequentially list conditions, Due to (or as a consequence of): If any, leading to the cause listed on Ilne a. Enter the - UNDERLYING CAUSE Due to (or as a consequence of): - (disease o injury that F iniTlatetl the events resulting d. in death) LAST. Oua to (or as a consequence Of): - s 26. Pert 11. Enter other si 'fi s co n 1 In d ath b u t n ° 2 resulting in the u n d rlyi e ng ca use given in P a rt t n ~ e 27. Was an autopsy performed? •~ / ~ f ~ / ` ~ ~ ~ ~ ! _ ~~-fff ~~~ l 2 ~ N I L ~ / • Q i ~ !M L ` v, I~~ ~.~/l ~ ~~ ~ ~/ ~ Q Ves ~ y~ ~/ y t, ~/s ~ N m s ~ _ o ~ ~ ~~ V 28. Were autopsy findings available ~/ S w I o [o c mple[e tF~e cause of death? Q Ves Q No 29. If Female: 30 Did T b E . o acco Use Contribute to Death? 31. Manner of Death Q Not pregnant within pass year Q Yes Q Probably ~ Natural H 0 omicide Q Pregnant at time of death Q No ® Unknown ~ t m r- Q Pending Inves[igatlon 0 Npi pregna ni, but pregnant within 42 days of death Su tide Q Not pregnant, but pregnant 43 days to 1 year before death 32. Data of In Q Q Could not be tletermined Jury (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 In}ury Occurred: Q Yes Q Driver/Operator Q Pedestrian Q No ~ Passenger Q Other (Specify) 39a. Certifier (Check only one): ® Certifying physician - To the best of my knowledge, death occurred due To the cause(s) and manner slated Q Pronouncing 8 Certifying physician - To the bast of my knowledge, death occurretl at the time, tlate, and place, and due to the cause(s) and manner stated Q M tli l E e ca xaminer/CO - OnZhe ba i of examination, and/or investigation, In my opinion, death o rred ai the time, tlate, and place u and due To th e C r , se( ~ r' sj and m ~~ e~ stated Signature Of certifier: , /I ~ a 3 ~ w Title of certifier: w License Number `_, 4 3'~ 'T ~ 9b. a Adtlress and 21 ode of Person C feting Cause of Death (Item 26j 39c. Date Signed (MO/Day/Yrj ie Ida ..+~ 4 v t ~luc~ 3,..~ a~ .~in.,d)~ d ~.•*r. ~i-i I P~»n . . . l o3/1s/2012 4 0. Re Dlstricx Numbar 41. Re tra s Signature 42. Registrar File Date (MO/Day Yr) 43. Amendments O Z U / -3 ~ ~ ~?S H 105-143 Disposition Permit No. REV 07/2011 Last Will and Testame _ - - -- __ _ _~ _i. ,_,_~._, ^.z1 ~,: -Tl ~.,~ f,J '1" GILBERT V. PROWELL ~' `-? ~' ~~; F:-; ;=r; ., _,~ :~ P i I, GILBERT V. PROWELL, of Lower Allen Township, Cumberland County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether payable by my estate or by any recipient of any property, shall be paid by the Executor out of the property passing under Item V of this Will, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. ITEM II: I direct the Executor to pay the expenses of my last illness and funeral expenses from the property passing under this will as an expense and cost of administration of my estate. ITEM III: I give and bequeath to BETHANY VILLAGE, Mechanicsburg, Pennsylvania, absolutely and in fee simple all of my household furniture and furnishings, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment and all policies of insurance thereon. ITEM IV: I give, devise and bequeath all the rest, residue and remainder of my estate, not disposed of in the preceding portions of this Page 1 `T )~ ~ Will to my sister, MYRA P. REILLY, as Trustee, IN TRUST, NEVERTHELESS, to be held, administered and distributed in accordance with the terms of a certain Agreement of Trust originally executed by me as Grantor on October 31, 1997, as Amended on January 29, 2003, executed by TOLBERT V. PROWELL and MYRA P. REILLY, as Trustees and as amended on ~ Z / , 2008, and executed by MYRA P. REILLY, as Trustee and by me as Grantor. I hereby confirm and ratify said Agreement of Trust in every respect. ITEM V: In the settlement of my estate, the Executor shall possess, among others, the following powers: (a) To retain any investments I have at my death, including specifically those consisting of stock of any bank even if I have named such bank as the Executor herein, so long as the Executor may deem it advisable to my estate so to do. (b) To vary investments, when deemed desirable by the Executor, and to invest in bonds, stocks, notes, real estate mortgages or other securities or in other property, real or personal, as the Executor shall deem wise, without being restricted to so-called "legal investments", and without being limited by any statute or rule of law regarding investments by fiduciaries. (c) In order to effect a division of the principal of my estate or for any other purpose, including final distributions, the Executor is authorized to make said divisions or distributions of the personalty and realty, partly or wholly in kind, and to allocate specific assets among beneficiaries hereunder so long as the total market value of any share is not affected by the division, distribution or allocation in kind. Should it appear desirable to partition any real estate, the Executor is authorized r Page 2 ~ ? ;~.; to make, join in and consummate partitions of lands, voluntarily or involuntarily, including giving of mutual deeds, recognizances or other obligations, with as wide powers as an individual owner in fee simple. (d) To sell either at public or private sale and upon such terms and conditions as the Executor may deem advantageous to the estate, any or all real or personal estate or interest therein owned by the estate severally or in conjunction with other persons or acquired after my death by the Executor or Trustee, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon the Executor in this paragraph or elsewhere in my Will. (e) To mortgage real estate, and to make leases of real estate. (f7 To borrow money from any party, including the Executor, to pay indebtedness of mine or of my estate, expenses of administration or inheritance, legacy, estate and other taxes, and to assign and pledge assets of my estate thereof. (g) To pay all costs, taxes, expenses and charges in connection with the administration of my estate. ~~ t'''~~ ~_ Page 3 '~,~' r ~ (h) To transfer, sell hypothecate, and endorse, and to vote any shares of stock which form a part of the estate or Trust, and otherwise to exercise all the powers incident tot he ownership of such stock. (i) In the discretion of the Executor, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of the estate. (j) To the disclaim any interest in property which would devolve to me or my estate by whatever means, including but not limited to the following means: as beneficiary under a will, as an appointee under the exercise of a power of appointment, as a person entitled to take by intestacy, as a donee under athird-party beneficiary contract. (k) To do all other acts in their judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the estate or Trust. ITEM VI: Any person who shall have died at the same time as I shall have, or in a common disaster with me, or under such circumstances that the order of our deaths cannot be established by proof, or within thirty (30) days of my death, shall be deemed to have predeceased me. ITEM VII: I hereby nominate, constitute and appoint my sister, MYRA P. REILLY, to be the Executrix, referred collectively referred to as "Executor". In the event that my sister dies or becomes unable or refuses to serve as Executor, I nominate, constitute and appoint MID PENN BANK, to be the Executor ,-~.~/ "r Page 4 M j` or Trustee, or both. The Executor and Trustee are specifically relieved from the duty or obligation of filing any bond or other security. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding four (4) pages, at the end of each page of which I have also set my initials for greater security and better identification this = ~ :~ i~ day of ~ ~ i~ ,~ . i 2008. ~ J( n ~~~ I~- ~ ~ 1 ~U~ (SEAL) ILBERT V. PROWELL We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testator as and for his Last Will and Testament, in the presence of us, who, at his request and in his presence and in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testator was of sound and disposing mind and memory. '~ ~- z'j;t r~ (SEAL R lf,~.- ~~.~ ` ~--~ ) esidin ~~~ ~~ ~~ gat _ ~S `~-4~-~- -- ~ .-~ _~ -~ ~ )•,.~ ~ e_a.~s, 5L ~~ ~~~ t•._ 1 ~ i. ~` ,~_~, ~(1f1sw SEAL) Residing at ~-~ls~~, so ; , ;} ~~ 9 (SEAL) Residing at ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA ) SS: COUNTY OF ~ „ ~., ~ ~~ l ~~r..~`~ ) I, GILBERT V. PROWELL, 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 and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn to and subscribed before me this ~ ~ , ~ day of ~~~ j , 2008. f , }, =•____ Notary Public My Commission Expires: r ~ ~ ~' j j ff,l,~ ~~ ~ a ~~ ~-t~ ,~~ r, GILBERT V. PROWELL carnl,~a•v~s~~~a~i- c.~= ~-~~:,ti~:~r~ a~~ia~ No!a!ia! Seal Vicky Arr~ Trimmer, Notar ~ I Susquehanna ~Tw ~' ~ ublic P ~at,phir Coi~r~ry ~on'.rruss'pn czD~res M{,r a ~r,;, (SEAL) AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) SS: COUNTY OF ~:_ ~ -~~~r ~r,~~-; ) + -~ We, -'~~~ ~ ~`-~c- f"~ ~ ,~~'~~~'" , ~~~r:~.l• 'T ~,.c1 r~ and 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 Testator, GILBERT V. PROWELL, sign and execute the instrument as his Last Will and Testament; that Testator signed willingly and that he executed said Will 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 knowledge the Testator was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. 3 ,~ 1 J~\~.e .7 Witness Witness Witness Sworn to and subscribed before me this ~i: ~ day of -_; o; ~ .2008. Notary Public . ~ r,,, --~~wFi;viw. tiuiar a~ geal `- ~.-cvr~~ ~ n,r;;t; Notary Public ~ ~ ~u,a~ 3rn ~ , ~r,,~., Dauphin County -- ~' ~i,r ~ 3 E'.zp r~s 1Aar. 71, 20' ~ 1 My Commission Expires: (SEAL) 487302v1