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Home My WebLink About04-26-12PETITION 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 ~' J / Z , ~ , / ~ ~~ Name: GEORGE P. FERTENBAUGH File No: `~ a/k/a: GEORGE PARKER FERTENBAUGH (Assigned by Register) a/k/a: a/k/a: Date of Death: Social Security No: 198-30-4498 Age at death: 92 Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State) with his/her last principal residence at 442 WALNUT BOTTOM RD CARLISLE CARLISLE BOROUGH PA 17013 CUMBERLAND Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 442 WALNUT BOTTOM RD 17013 CARLISLE. 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: If domiciled ire Pennsylvania ................................All personal property If not domiciled in Per:resylvareia .............................Personal property in Pennsylvania /f not domiciled in Pennsylvania .............................Personal property in County $ 273.000.00 Value of real estate ire Perer:sylvareia .............................................................. $ 0.00 TOTAL ESTIMATED VALUE.... $ 273.000.00 Real estate in Pennsylvania situated at: NONE (Attnch additional sheets, 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/they is/are the Executor(s) named in the last Will of the Decedent, dated 4119/2005 and Codicil(s) thereto dated NONE State relevant circumstances (e.g. renanciatiaa, deaUr 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(8), 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 ^ B Petition for Grant of Letters of Administration (tf applicable) c. t. a., d. b. n., d.b.n.c.t.a., pendente lire, duran[e absentia, durante mina-itate If Administration, c.ta. 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 [he grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ^ NO EXCEPTIONS ^ 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 (attach additional sheets, if necessary): z7 - u~ . _, Name Relationship Address ,~, ~T~ ~;7 -F-~ ~ f'r~ N ,~ -- ~.~ - _y ~ ~ ~ <_. ~ (,..3 ~~1 _i_ rte; 'TZ Form RVV-0? rer. /0/l U?Oll page 1 Of 2' Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } OEti ial Use Only _ _ ; ~ Y~. _;:; -v C7 ~i 4 '~ ''~-~ - _-rrr~ t`J ~c(,~ ~~ -- -~ ,- Petitioner{s) Printed Name Petitioners) Printed Address ~ -~ 4 ~ RAY L FERTENBAUGH 1249 HILLSIDE DRIVE r> c..; `'' ~. MECHANICSBURG PA 41'7055 EARL E. FERTENBAUGH 1263 W. TRINDLE ROAD MECHANICSBURG PA 17055 The Petitioners) above-named swears) or affirm(s) the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioners) and that, as Personal Representative(s) of the Decedent, the Petitioners) will well and truly administer the estate according to law. Sworn to af~i~-med and scribe befo e - ~ ^-~~ Dace ~~-~ ~ '~~-- me this ~~' ay of ~+~ ~~ Date B ~-- L /LC-7J y- Date F r ie Register Date BOND Required: ^ YES ^ NO FEES: Letters ....................... $ ( ~) Short Certificates(s) ..... . ( )Renunciation(s) ......... . ( )Codicil(s) ............. . ( )Affidavit(s) ............ . Bond ......................... Commission ................... . ~ ~LQ Automation Fee ................ . JCS Fee ....................... TOTAL ......................$ 4~L~? _~ 1 L~ t~ ~ ,_ ,..~ To the Register of Wills: Please enter my appearance by my signature below: ~,, Attorney Signature ~~~~ %~i' ` f~' Printed Name: MURREL R. WALTERS. III Supreme Court ID Number: 24849 Firm Name: MURREL R. WALTERS. III Address: ATTORNEY AT LAW 54 E. MAIN STREET MECHANICSBURG PA 17055 Phone: 717-697-4650 Fax: 717-697-9395 Email: DECREE OF THE REGISTER ~ ,~ J Estate of GEORGE P. FERTENBAUGH File No: ~~ ~ ~~ ~~ f ~~!' a/k/a: AND NOW, ~ ~./.C~ ~V' L~ ~ , in consideration of the foregoing 1'~tition, satisfactory proof havin been presented before me, IT IS DECREED that Letters TESTAMENTARY __ __ are hereby granted to RAY L. FERTENBAUGH AND EARL E. FERTENBAUGH in the above estate and (if applicable) that the instrument(s) dated 4/19/2005 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. Form R6V-03 rev. 10/1 UZ011 _ t~ ~~ i l it ~' ^ ~ r u CLERK r ' Cl1A~~f ~~?I ~^,i~. ' '~~ PA ,.. , , / 5 1 t F ~ r'~ a µ+ b ~ ,, S •, /Print In COMMONWEALTH Of PENNSYLVANIA • OEPAflTMENT OF HEALTH • VITAL RECORDS cklnkt CERTIFICATE OF DEATH 6 s Z 4 E 1. Decetlen['s legal Name IFlrst. Middle, Las[, 6uffxl 2. Sex 3. Social Security Number 4. Date of Death IMO/Day/vrl lSpell Mo) eol' z rKPr Fer°fe11b2u~h M ~g.~G-`l`l9g A l-II I`I ~Zo1a 6a. Age-Wzt Birthday (Yrs) 6b. Under 1 Year Sc. Under l Da 6. Date of Birth (MO/DaV/Vear) lSpell Mgnthl )a. Birthplace IClty and~tate o Fpreigll~ountryl Months Days Hour Minutes S LC ~~JJ /1 ~ ( rt,~/(1 (/7~( TAI I1/ I /~ -/ / 7 )b. Birthplace lCqunlYl .({('YI ~JP L~(l /) . Ba. Residence (State or Foreign Country) Bb. Residence (Street antl Number -Include Apt No.l Bc. Oid Decedent Llve in a Township? pq l r Bo$ 'i'ii Walnu K' ^YeS, tlevedem nyed In twD etl Residence Icountyl . orvl uete T Q Be. Residence I21p Cotle) ) -~ L' f 3 MM ~`(r r I S I e_ K+NO, decedent Ilvetl witM1ln limits of city/boro. 9 Ever n US Armed Forces) S0. Marital Status al lime of Death ^ Married ^ Widowed 13 Survwing Spouse's Name IIf wife, glue name prior to /first marriage) l ~Ves ^Np ^Unknown ^Divorced pO Neve. Married ^Unknow 12. Fa[heYS Name (First, Midtlle, Lait, Suffiv) ~ ~ ' G ]3. Mother's Name Prior fq First Marriage (Firs[!-Midtlle, Las[I ~ ' cr.e ~r af~ ~er VQur Qvl l L c^r~rUd~ 11 IQVIQ reG~nbaug mc 14a man[' a 14b Relallpnshlp to pecedenl r~ ~ ~ J ' 14c. Informdnt's Mailing Adtlress IS[reet antl Number, Clty, State, Zip Codel ~ ly L GLU v1 ~-Ftr~C vcther 1349IEiIISICI(, Vv~ N1P(VI0.nl(S~u.K~. ~ 17055 16a. Place of Death 1Cneck only one) .V If Death Occurred in a Hospital'. y Inpatient ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y. :II DeatM1 Occurred Somewhere Other Than a Hospital. E-I Hospice Faclli yPuv tV y Decedent's Home ^ Emergency Room/Outpatient ^ Dead on ArNVaI ~ Nursing Home/long-term Care Facility Other (Specify) 156. faclllry Name (lt not institu[lon, give street antl number' lSC. Ciry o Town, 5 ate, tl Zip Code 15d. Coun y o/ De h f or wc~ d rn2 ~Qr isle 1~A l7U/.3 Cum r~ct/1~ 16a. Method of Dlsppsitlon '~ Burial ^ Cremation 166 Dale of Isp o sltlon 1 6 c. Place of Olspoxitlpn (Name of cemetery, crema[pry, or other Dlacel ^ Removal from State ^ Donation / 1 i/ ~,av /~ y x L~ 1' I f ~ ( ~ ~1/>n Ceme-l-e~-e a+ c heu~ci t ^Other l9peaify, . 7 own 16d. LocaHOn o/ Dlsppsltion (City or Town, State, and ZIpI 1)a. 61g tore of Funeral Service license Persp~r In Cha ge of Interment 1 )b License Number ~Dl~ln ~' rln S ,~R 1700 1 ~~C~(A(iL ~ ~ ~uUI~ ~2~~'l-_ lJC. Name antl Complete Adtlr s of Funer I Fa t ry 1-105 ~ Cre to - ( p m b i f ~ sl 5 ~ ~,rl , 3 E / gcZ q mcL ~s n rnt ur~, iL r Y11 ha 18. Decedent's Education heck the box tha[bes[tlescribes th< 19. Deretlent o/Hlspanlc Origin-Check Me 10. Decedent's Pac<-Check ONE OR MORE races [o lndlcare what highest degree or level of school completed at the time of death. box that bes[descrlbes whether [he decedent the deceden[conslderetl himself or herself to be. ^ e[h grade or less Is Spanish/Hispanic/Latino. Check the "NO' ~ White ^ Korean ^NOtliploma, 9th-12[hgrade box if Decedent is no[Spanish/Hispaelc/Latino. ^Black orAfrican American ^Vietnamese High school Graduate or GED completed ~ No, no[ Spanish/Hispanic/Latino ^ American Intllan or Alaska Native ^ Other Asian ^ Some college credit, bv[ no degree ^ Yes, Mexican, Mexican American, Chicano ^ Asian Indian ^ Native Hawaiian ^ Associate degree le.g. AA, ASI ^ Yes, Puerto Rican ^ Chinese ^ Guamanian or Chamorro ^ Bachelor's degree le.g. BA, AB, BSI ^ vex, Cuban ^ Filipino ^ Samoan ^ Master i tlegree le.g. MA, M5, MEng, MEd, MSW, M8A) ^ Yes, other Spanish/Hlspanlc/Latino ^ lapaneu ^ Other Pacific Islander ^ Doc[oratele.g. Ph0, EdDl or Professional degree 16peciNl ^ Other 5 1 v«ifvl e.. MO DDS DVM LLB 1D 21 Decedent's Single RaceSeli-Designation-Check ONLY ONEto indicate what[he decedent considered himself or herself to be. 22a. Decedent's USUal Occupation-Indicate type o/work White ^ Japanese ^ Samoan done during most of working Ille. DO NOT USE RETIRED. ^ Black or African American ^ Korean ^ Other Pacific Islander r V v ^ American Indian or Alaska Native ^Vietnamese ^ Don't Kngw/Not Sure r ~j I ~ ^ Asian Indian ^ Other Asian ^ Refusetl 22b. Kind of Business/Industry p cninese ^ native Hawaiian ^ omer Ifipeciryl ~ t . o ^ Filipino ^ Guamanian or CHamorrp ~}g r I ~.LLI-f a I'-(~. ITEM623a-23d MUST gE COMPLETED 23a. Date Pronounced Dead lMO/DaV/~'rl 236.SIgnaNre ofPerson Pronouncing Death )Only when applicable) 23c. License Number BV PERSON WHO DR0N0UNfE8 OR CERTIFIES DEATH / /~ 13 Date Si ned IMO/Day/Vrl 24. ime of Death L'LL `G{Z L%^ / sU- / 1 Lj ~ 5 25. Was Medical Examiner or Coroner Contacted? ^ Yes Np CAUSE OF DEATH Approximate 26. Part I. Enter [he chain of events-diseases, injuries, or complications- that directly caused the death. DO NOi enter terminal events such as cardiac arrest Interval. expiratory arrest, or ventn<ular fibrillation without snowing the etiology. DO NOT ABBREVIATE. Enter only one cause on a Ilne. Add additional lines if necessa Onse o Death IMMEDIATE CAUSE --- ~ ~~ ~x ~ ~ L ~R'uy0 p ^` E.{a~jy` _ (Final disease or condition Due to for as a cgnse uence oft. resultin In tleath) g b S [i ti li t tllt equen a y s con igns, Due to for asa consequence oft. Ii any, leading to the cause listed on Ilne a. Enter the __ UNDERLYING GU6E Due to for as a consequence qf). Idlsease or injury that aced the events resulting d. in death) )AST. pue to (or ai a consequence qf) 16. Part IL Enter ether sl¢nlNCant cpntlltlons contribu[In¢ to tleath Cut not resulting In Ine untlerlYing cause given in Part I ZJ. Was an autopsy pertgrmetl) ~, yD ^ Yes Nq ` 18. Were autopsy findings available [~ hR.msw to o plete the cause of deaths r ^ Yes ^ Np Z9. If Female: 30. Old Tobacco Use Contribute to Death? 31. Manner of Death ^ Not pregnant within past year ^ Yes ^ ProbahlV Natural ^ Homicide ^ Pregnant at time of death ^ No Unknown ^ Accident ^ Pentling lnves[Igatlon ^ Not pregnant, but pregnant within 42 daYS of tleath ^ Suicide ^ Covid not be tletermined ^ Not pregnant, but pregnant d3 days to 1 year before death 32. Date of Injury IMO/Day/Vr) lSpell Month) ^ 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 Cedel 36. Injury at Work 3). If iransponatipn Injury, Specify. 38. Describe How Injury Occurred: ^ Yes ^ Driver/Operator ^ Pedestrian ^ No ^ Passenger ^ Other )Specify) 39a. Certifier (Check Doty one): ~Certitying physician -TO the best of my knowledge, tleath occurred due m [he causels) and manner stated ^ Pronouncing & CertlNing phY5lclan ~ To the best o/ my knowledge, death occurred at the time, tlate, and place, and due to the causels) and manner stated ^ Medical Examiner/C ro er ~ On the basis of examination, and/or Investigation, in my opinion, death occurred at the time, date, and place, and due to th e ca u s els) a n d manner statetl , l1 ~~ nn 11 `` aa Signature of certifier: ~ l Tithe Of certifier: License Number. I'L VI~sL Lt 16 39b. Name, Atltlress and Zlp Code of Person Completing Cause of Death Iltem 261 39c. Date SI ed ( o/Day/vrl G6oFvlk, P. "3rznSwr.. J^ vy.D 7'1 fut~.l`^- ~°'\~A. CZ y R ('rJ lip Y I~ 40. Registrar's District Number 41. Regis[ jgna e 42. Regis[r r Flle ~ (MO/Day/Vr1 it i a 1 ~, ~~, / fi . ~ N ~ .i 'Y 12 43. Amenament5 D,Sgp.ibpn Permit Nq._ 07 ~- `~ 0 L~ H]OS-143 REV OJ/2011 .~ ~ ~' .~ n ~ Q :_ -~-, ~ .~ - - _.. Z n ~~ ".. _~ :.: 7 ~ frT"7 !' J _~ CFA ~ !7~ I - i ' _ ..-~ L.. _. .. _. - _~ LAST WILL AND TESTAMENT =' J f.~:, ~.; f.J~ t^~) C,,,,, -: ~~ BE IT REMEMBERED THAT I, GEORGE P. FERTENBAUGH, a resident of Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. I I declare that I have three (3) sisters, ELSIE M. STEVENSON, MABEL McNULTY and MARTHA BOYER, and that I have three (3) brothers, PAUL N. FERTENBAUGH, RAY L. FERTENBAUGH, and EARL E. FERTENBAUGH and a sister-in-law, VELMA FERTENBAUGH (my brother JOHN W. FERTENBAUGH having predeceased me) . II I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. III I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. IV I am the owner of a 70-acre farm. If any of my brothers should desire to purchase my farm and continue to operate it as a farm, I give that brother the right to purchase my farm for its appraised value. If one of my brothers does decide to purchase the farm, the funds that are paid for that purchase shall be distributed pursuant to the next paragraph. If none of my brothers desires to purchase the farm, then I direct that it be sold and the proceeds derived therefrom be distributed pursuant to the provisions of the next paragraph. V I give, devise and bequeath all of the rest, residue and remainder of my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to my sister, ELSIE M. STEVENSON, my sister, MABEL McNULTY, my sister, MARTHA BOYER, my brother, PAUL N. FERTENBAUGH, my brother, RAY L. FERTENBAUGH, and my brother, EARL E. FERTENBAUGH, and my sister-in-law, VELMA FERTENBAUGH, in equal shares, per stirpes. If any of my brothers or sisters should predecease me but leave a surviving spouse, then the share shall be given to that spouse. If any of my brothers or sisters should predecease me, but not leave a surviving spouse, then the share shall be given to their children equally. VI I nominate, constitute and appoint my brother, RAY L. FERTENBAUGH, and my brother, EARL E. FERTENBAUGH, as Co-Executors of this LAST WILL, to serve without bond. If either is unable or unwilling to act in that capacity, then the other may act alone as Executor of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, GEORGE P. FERTENBAUGH, have set my hand to this LAST WILL this 1 `~ ~`~ day of ; ~ r~« ,~. , 2005. .~ /, ~ _ _ . GEO E P. FERTENBAUGH ~ Signed, sealed, published and declared by the above-named GEORGE P. FERTENBAUGH, 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 eac~i"other, have hereunto subscribed our names as witnesses, ~ f, ~f ~ ~/~ L`__--_ ~~ / ' J 2 ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. I, GERRGE P. FERTENBAUGH, 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; that I signed it as my ~ ee and voluntary act for the purposes therein expressed. GEOR P. FERTENBAUGH Sworn or affirmed to and acknowledged before me by GEORGE P. FERTENBAUGH, Testator, this ,' day of ~!'ru..f''t , 2005. ') ~ r Notary Public ~ ....~,.~.....~.,._....~~,, ~;,~~, ~ ~,~-~,e_.,~....,~.~.W ~~ ~ ~ , ~~,~ _ x - << - .:;;~_ _ , AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. ~- _ We, ~~~~tZrZ~~ 2 Lu%~ ~ t ~".~ s".~~-~ and ~`~%~~~ ~ ~ l ~ ~ ~ ._y~ E, ~'~~, , 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 sign and execute the instrument as his LAST WILL, that GEORGE FERTENBAUGH signed willingly and that he executed it 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~.th~z to the best of our knowledge, the Testator was at the time 1 ye of age r ore, of sound mind and under no constraint or undue inf~C.ie ce. ~/ Sworn ~~r affirmed to and acknowledged before me this %r~```day of ~,~ ` , 2005. ~ ~ ~~~ No ary Public 3 _