HomeMy WebLinkAbout04-09-12Roset
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: Gertrude C. Bratton
a/k/a• -~~.Keiser ~ Cam, o ~'
a/k/a:~ _
a/k/a:
Date of Death: 2/27/20
File No: ~J~ ' ~ ~ a
(Assigned by Register)
Social Security No: 191-26-4047
Age at death• 96
Decedent was domiciled at death in Cumberland County, Penn~y]vania (Scare) with his/her last
principal residence at Manor Care 1800 Market St Camo Hill PA
Street address, Post Office and Zip Code City, Township or Boroagh County
Decedent died at Manor Care 1800 Market St Camo Hill Cumberland PA
Street address, Post Office and Zip Code City, To~nsfiip or Borough County State
Estimate of value of decedent's property at death: `~ O d O
If domiciled in Pennsylvania ............................ All personal property $ ~
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.... $ ~ ~ C~ Dd. '9r99'-
Real estate th Pennsylvania situated at: na
(Attach addifional sheers, if necessary.) 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/the is/are xecutor(s) Hamel ' e last Will e
._.
thereto dates ~'~~ ~- ta~/ ~*
~t~ 4/16/2001 and Codicil(s)
State relevant cirea~tances (cg. renanciapion, death ojaerator, etc.)
Except as follows: after the execution of the instnrment(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 O EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (if applicable)
c.t.a., d.b.n., d.b.n.c.t.a., pendente Bite, durante absentia, durante minoritate
If Administration, t~Ga. or db.n.c.ta, 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.
Q NO EXCEPTIONS 0 EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following s}~se (if any) an~irs (attach
~ rv ~~
additional sheets, if necessary): ~a ~ ~,
_ _~
i'=,
Name Relationshi Address ='3 ~ r"' ~ _~ '`
~,.::t7.7C lD ; ~
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Form RW-02 rev. 10/1 //2011
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY O1~I ~1~~~ ~~ }
Official Use Only
Pedtioner(s) Printed Name Petitioner(s) ' ted Address
~~'~ ~~ 1 ~~~ J
The Petitioner(s) above-named swear(s) or affirms) the statements in the foregoing Petition are true and correct to the best ofthe knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) of the t, the Peti ' er(s will w ll fluty administer the estate \ to law.
~.,
Sworn to or affumed and subscribed before C- ~~-.Date
me this ~ day o a---- Date
By: - Date
F the Register Date
BOND Required: Q YES ~ NO
FEES:
Letters ...................... $ ~
( I )Short Certificate(s)......
i
( 1 )Renunciation(s)......... ~ -
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. ~~
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name:
Supreme Court
ID Number:
Firm Name:
Address:
:z~
...... Phone:=~~ "'~ ~.;
Automation Fee ............... Fax: `' ~' ~ ~-~ `^
JCS Fee . .................... Email: ~ . n ~ ;~~
TOTAL ..................... $ ~~'i C7
~~ C.. ~
DECREE OF THE REGISTER n ~ ~:
l c ,_~~0 ~ ~ Flle No: ~` ~c~ ~ ~1L1 oz
Estate of ~
a/k/a: t sZ~
AND NOW, ~ "1 , ~ . in co 'd tion of the foregoing Petition,
satisfactory proof wing been presented before me, IT IS DECREED that Letters < ~
are hereby granted to ~ I ~ ~ ~ ~ ~ `~ r
in the above estate and (if applicable) that
the instrument(s) dated _
described in the Petition be
Form RW-02 rev. 10/11/1011
to probate and filed of record as the 1 t Will (and 'cil(s)) of Decede t.
Re ' ter of W' 1 ~.
Page 2 of 2
RENUNCIATION
-'~>!2 APR -9 F°9 1 ~ 2 I
CLERK OF
ORPH,y~'S LOUR r
REGISTER OF WILLS Ct1~~'F!=t~ ~~,P~~i ` ~ ;~ ,! PA,
G +~ hn b ~ Yt, cs_1n~ COUNTY, PENNSYLVANIA
Estate of ~ ~ H ~ ''f` y ~ 'e ~ ~ ~ R"' a~ ~ ~ ~ .Deceased
I, C~ aH ~, ~'~ -~'~ ~ , ~ q1 ~ ~`~ , iin my capacity/relationship as
(Pri Name)
~~G ~ ~' 0 Y -~T ~' ` ~ ~- ~(' ~ of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
~ . '~ 1.._. ~ "Z. A C3~.`'C ~ ~ ~ ~ 1 N ~s e e o n ~ a~lr~u ~,ysF, e, ~~' o rJ
(Date) ' (signature)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this / .~ day
of /7Z A ~ ~~1 2~ / 2 .
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
~ X ~ 1~(t ~~ ~ S r~ ~"
(Street Address)
~1~ ~ ~ ~ ~`~ Q W r1 ~ c~. ~~ 05 7
(City, State, Zip)
Executed out of Register's Offue
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ~ ~ day
of~C~ ~/ 2
~~ ~~
Notary Public
My Commission Expires:
(Signature and Seal of Notar}+ or other official qualified to
administer oaths. Show date of expiration of Notary's Commission)
COMMONWEALTH OF PEtJNSYLYANIA
NOTARIAL SEAL.
ROBERTA E. BIESECKER, Notary Public
Camp Hill Boro, Cumberland County
My Commission Expires July 23, 2013
LOCA REGISTnRAR'S CERTIFICATION OF DEATH
W }t~# ' 1 1 auto duplicate this copy by photostat or photograph.
~ ,Ir -:-
Fee for this certificate, $6.00 This :is to certify that the information here given is
~~~ ~ ~ ~~~ _ 9 P~ ~ ' ~ ( correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
~E~K ~F certificate will be forwarded to the State Vital
ORQ~I~ ~flU~T Records Office for ermanent filing.
R
P 18 0 8 9 9 8 3~uh~~'^`~i Hr~~ nn Pa ~ ~~,~.~~~ ~FR/2 ~~ 01•
Certification Number `~ Regtstrar Date Issued
Type/PMtln -~ [DMMONWEAETN OF pENN3YlVANM.DEIARTMENT OFNGITM.NTALRECORDS
P'"".a"°n° [FRTIFIfATF [1F I]FATH _.. _. _.
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L Daadmt's lepl Name (FhA Mddle, tuL Suknl 2. Sea 3. Sotla Saurlty Number .. Data a'DesM IMO/parA'rl (Spec Me)
Gertrude C. Bretton F 191 26 4047 Feb..27,2012
Sa. Aae•USl81phMY IYnI Sb. UMtt I Year Sc. tAaer 1 6. Dtte pf ekth (Me/My/1'ar) lipeu Moak) ]a. CJIMp
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Pa. 1700 Market St. Qrtt,e.aa.nt uped In Mp.
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9. Eyyer N US ArmM Fatae7 10. Maap Status p Time el paaM ^ Marrkd owrd 11. SurvMnC Speuu'3 Name (N wke, CNe name prior tp hat mankfiel
~Ya QNp QUnknown ^DNarced ^Nepr Married QVnkriowm
12. Fatlw(s Name (FksU Middle las SufR
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A 13. M s Name Prkr to Fbst McMate (First, Mkdk, Wt)
Harry
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ser na L. Lyons
lb. In/ fib. RektlpaMp to Decedent Itc IMamanns MaNlry Address (Sbeu and Numbtt S'nd, W Cpde)
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urg, Pa.17019
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y 1W. Mnhed o1 Dlsposkkn uda ^ Gematbn I6b. Mte a ObpalUOn 1fit. Pkce p/ Dlaposkkn (Name acttrl.t«v, tmnatory, or ahtt plapl
~ QR.moralkomsnea ^Oootkn Mar.3,2012 Juniata Memorial Park
aMr IspedN)
Z 16d. l«ubn of Ohppdtbn IClty «TOwn, ante, and 21P) 1] . un a Funeral 3 a lkeu Perlin I harp a Interment 17b. lkenM Number
E Lewistown, Pa. 17044 •~ 010186 L
IJt. Name and compete Atlerauawunl FacllllY Funeral Hm.395 State St., Sunbury, Pa. 17ff01
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dascrlbes the 19. Deadmtof WSpank OrlCln-Check the 20.De<adaM's RUe-Chak ONE OR MORE Tausto MUlkate whit
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^ nh pads«ku bSpaNM/NbpankJlatlne. Own tM'NO' I~10hln ^ Korcan
No dipbma.9M-13M R+de bw if detedmtls net SpanW~llkgMC/latlnp. ^nack or Ahkan Amttkan Q VkWmeu
^ NiCh fclioal Cradum AGED Umpk[a0 ~,rwt Spanlsh/Hbpank/nWa ^AmttkanlMkn er Akska NatM ^ Other Adan
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21. Dece~enYs SInCN Race Sell-DUkrutbn - [heck ONIY ONC to indkata what the deceMnt cpn4daed himuk«herrento M. Ile Duedanl's Usual Otapatlon - indlun typo a wM
~/Mte ^pparwse ^Lmwn dom dwkC inert el warWriE Nh. DO NOT USE RETIRED.
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^ Amerkan IMiu a Muw Natlw ^ VletMmae ^ Don't Know/Not Sun
^ASknlMbn QD(MrAdan ^bksed 22b. Kka o/&Wuss/Industry
^Chken ^NatNeN.wawn ^DIMrlspedNl nursing se:hool
^FNgira QGuamwlan«CMmerro
GEMS Ib • MUST CE COMHFTEO 23a
. Date P Dead ( o ay r) 23 . SiCOt n /anon Prprquak( Deuh IDnN when app a 33u Uurw Numbtt
^
KY RRSON WNO /RONOUNCES OR (J
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35.Wa Madkal Etarltllttt aCproner Conte[nd] Q Yas Np
CAUSE OF DEATH ~ ApprokmaM
26.hN1 EnIerlM Chain al evens--0ISeaseA lnJurles,w<ontpNanpnf--that dlrepN au»dtM datlt. DO NOT enter terntlna ewasiuA as ardkc meat ~ Interval:
rapintay arrcst «vantriwlu flbriwtbn wlihoul slte
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rcwltlry k death)
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ItlMau «inlury that i
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tprepant wlUan putptt ^ Ye
Q RrpMbly XNatunl Q Npndelde
Irepant utkna rNtloM ~
`p~~.{ ^ Unknown Q AtcMenl Q PenAry Mwslyatlpn
~ Q Not present, but prepant wlMin t2 dap a loth ! Q lacks Q Couk rot M aebnMn.a
Q Nm pepant, ba prepuce a3 days n 1 par baton death 32. pate dlnRxy IMe/oaY/rrl ISpNI MmM)
^ VMnown k praptarrt wkhin iM Oast War 33. TMne alnlsxy
3t. Naa a klury le;. home; tensbtNtlon ski, him; athoal) 35. taatbn d InhtH (Sbau ant Number, Cirv, State, 77p Code)
30.Infury at Work 3T. NTraapopatlpn Mlury, SpeGrv: 3t.DUCdW HOw lnRry Occurred:
Q Yas ^ Dnvtt/Operat« Q /WttMan
^ No p Passanett Q anti ISwdNI
3 9a. Gnmtt (Duck only onel:
[enNykC phYSicbn-To eM b.u of mykmwcedpe, daaN pccwnd due to tM nusala)and manner gaud •
Q Promuncky i Certlfylnt PhplNan • To the best a mY krawledaa doM o«vmd at tM time, due, and plan, and due t" nN two(s) ant manna petal
^ Medlin Enminer/Coroner n Me MdF a atbn, ana/« Mpttlptbn, k mY eWnier4 death otwrtad at the tlme, data, ant INaca, and taw a Me twulsl antl manrwr atatetl
siptpercaarmtt: nneattttmen p(J l3tanseNUmhr: OS DI2~FR
3 9b.Name. Addres and 2lp COde of Person COmpkniC GuM MOapgqlMmlfi) 39G ypNd( ay/Yr)
ChrYSrk;nt Dlech~ U 2v lu /pyrktr'~'. C ~il~ P{} I'7p1 I 2 ;t
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Dkpoaxkn Pttml NO._. 07,Z~,.,~~ 3 NlDSaa3
REV OJ/3033
~~~~
I, GERTRUDE C. BRATTON, of 130 South Fourth Street, Sunbury,
Northumberland County, Pennsylvania 17801, declare this to be my Last. Will and Testament and
hereby revoke and make void all former Wills by me at any time heretofore made.
AS to such estate as it has pleased God to entrust to me, I dispose of the same as
follows:
ITEM I: I direct that my just debts, last illness expenses and funeral expenses be
paid as soon as practicable after my death.
ITEM II: I intend to leave a memorandum which is in existence at the time of the
execution of this Will and I direct my executor, or her successors, to deliver and distribute the
articles mentioned therein to the person or persons designated therein. 'T'hese items shall be free
and clear of inheritance taxes, transfer taxes and other death taxes which. shall be paid from my
residuary estate.
ITEM III: All the rest, residue and remainder of my estate of whatever nature and
wherever situate, I devise and bequeath to my sister, CHARLOTTE L. MALICK, if she survives
me for a period of at least thirty (30) days.
ITEM IV: In the event my sister, CHARLOTTE L. MALICK, fails to survive me
for a period of at least thirty (30) days, I devise and bequeath my residuary estate to my niece, C.
ELIZABETH KLEIN, per stirpes.
c7 "~'
ITEM V: I authorize my executor and trustee and their successors, to ~c@Dcise the: _ ~.~.r+, i.
A. ~
7 ~ : C7 r , ~ C~: ~
,,;
following powers, in addition to those given by law, to be exercised in their sole disc~e~i~~-:,-:, , ~
A. To retain any real and personal property which may at anytirr~~~parC ~ ` , ' : u;
e._
of my estate. ~' r`,~, ~~ o
r
...~%~~`~.J
B. To invest and reinvest in any real or personal property without restriction
to investments authorized for Pennsylvania fiduciaries. If I own real estate investment properties
at the time of my death, I specifically authorize my executor and/or trustee to retain the same if
they in their sole and absolute discretion deem them to be proper investments.
C. To repair, alter, improve or lease, for any period o:f time, any real or
personal property and to give options for leases.
D. To sell at public or private sale, for cash or credit, with or without security,
to exchange or to partition any real or personal property and to give options for sales or
exchanges.
E. To compromise claims.
F. To make distribution in cash or in kind or partly in each.
G. To have the authority relating to any Individual Retirement Account (IR.A)
or any other Retirement Benefits including but not limited to (401(k) and 403(b) benefits) that
may be made payable to my estate or trust and to deal with the same and. to take any actions
necessary to insure that they qualify for the estate tax marital deduction :if that is, in my
fiduciaries sole and absolute discretion, in the best interest of my beneficiaries for estate tax
purposes and to have authority to allocate the proceeds so that the proceeds are taxed most
advantageously to my beneficiaries for income tax purposes as in my fiduciaries sole and
absolute discretion is deemed proper and best. Also to have the authority to disclaim all or part
of any qualified plan benefits and Individual Retirement Account made :payable to my fiduciaries
if that, in their sole and absolute discretion, is in the best interest of my estate and beneficiaries.
respect to property or interests passing under my will or any codicil shall. be paid out of the
principal of my residuary estate without apportionment.
ITEM VIII: I appoint my sister, CHARLOTTE L. MALICK, executor of this my
Last Will and Testatment. In the event she fails or ceases to so serve, I appoint my niece C.
ELIZABETH KLEIN, substitute executor.
I direct that none of my fiduciaries shall be required to post bond in any
jurisdiction in order to serve in their fiduciary capacity.
Wherever the words Executor, Trustee or Guardian are used in this document,
they shall include both the singular and plural.
IN WITNESS WHEREOF, I, GERTRUDE C. BRATTON, the Testatrix, have to
this, my Last Will and Testament, set my hand and seal this ~ day of , 2001.
Gertrude C. Bratton
Signed, sealed, published and declared by the above named GERTRUDE C.
BRATTON as and for her Last Will and Testament, in the presence of u.s, who have hereunto
subscribed our names at her request as witnesses thereto, in the presence; of the said Testatrix,
and of each other. ,
~~~ \
- 4 -
COMMONWEALTH OF PENNSYLVANIA:
ss:
COUNTY OF NORTHUMBERLAND
WE, GERTRUDE C. BRATTON, ROBERT E. DIEHL, JR. and R. EDWARD
ZIMMERMAN, the Testatrix and the witnesses, respectively, whose naives are signed to the
attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned
authority that the Testatrix signed and executed the instrument as her Last Will and that she had
signed willingly (or willingly directed another to sign for her), and that she executed it as her free
and voluntary act for the purposes therein expressed, and that each of the witnesses, in the
presence and hearing of the Testatrix, signed the Will as witness and that to the best of their
knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under
no constraint or undue influence.
~ ~~~.~~~
Gertrude C. Bratton
Testatrix
itnes
/~ ~;h~mGs-NCS.~
rt:ness
Subscribed, sworn to and acknowledged before me by GERTRUDE C. BRATTON, the
Testatrix, and subscribed and swo to before me RQBERT E. DIEF[L, JR. and R. EDWARD
ZIMMERMAN, Witnesses, this~~day of , 2001.
~~
~ Notary
Notarial Seal
M Commission Ex Tres: Au ust 25, 2003 Carolyn Ann Benninger, Notary Public
Y p g Sunbury, Northumberland County
My Commission Expires Aug. 25, 2003
- 5 -