HomeMy WebLinkAbout03-30-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF C U 1q~1E12.r-hND
File No• •~~' !~ ~~ ~~
(Assigned by Register
Petitioner(s) Warned below, tivho is are 18 years of age or older, arpl~,(iesj for Leiters as specified below', and in
support thereof aver(s) the following and respectfully regt:est(s) the grant of Letters in the appropriate forth:
.Decedent's Information
Name: Markin I,. ~iP~U,~~ .1'r•
a'k/a:
a/k/a:
a/k/a:
Date of Death: _ 1'YlarGl•1 3 f Zol Z
Decedent was domiciled at death in C ce..rn bp,<`-~pryl d County
principal residence a[ 3I0 F ~n~j~,ytd Sf' IYlerha/n;t±sl
Street address, Post Office and Zip Code
Decedent died at
Social Security No: 1 `j ~ '30 - ~ ! ~ 9
Age at death: ~],Z
COUNTY, PENNSYLVANIA
(srate) with his,llaer~last
L t~.,-ytbu-I~.d
County
aireec anaress, rost Ulflce and "Gip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
Ifdomieiled in Pennsylvania ............................ All personal property $ q0, ppQ, O~
If not domiciled in Pennsy!vania ........................ Personal property in Pennsylvania $ ti~
Ijttot domiciled in Pennsyh~ania ........................ Personal property in County $ ~y~
Value of real estate in Pennsylvania ......................................................... $ p
~" TOT/AL ESTIMATED VALUE.... $ p~ pipp, 00
Rear estate in Pennsylvania situated at: (/~!! s~a/CSfi~~ ~S P~T~%/L/7~s /Jjba~j-f`
(Attnch additional sheets, ifnecessary.) Street address, Post Office and Zip Code
Township or Borough County
^ A. Petition for Probate and Grant of Letters Testamentary
Petitioners aver(sl~she/ r r"=
O ikey is.Gzca the Executor{.a) named in the last Will of the Decedent, dated n'1Q,!'Yin If 1992 `"=`
thereto dated _ --_~~'! . ~ .dud Codi
P.~
State relevant circumstances (eg. renunciation, death ojexecutor, etc.) 'T't C7 r"'!)" -~'
Except as follows: after the execution of the instntment(s) offered for probate Decedent did not marry, was not divorc~ eras~t a pa~o a pegding ..
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), at~$' aye a-c]rild borri o~ `:-.
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ~ -:-r "~, ~'~
NO EXCEPTIONS ^ EXCEPTIONS ,1G') N ~ ~~ ; +`_.
_i l`
~• ra
^ B. Petition for Grant of Letters of Administration (If applicable) n-`
c. t. a., d. b. n., d.b.n.c•.t.u., pendente lire, clurunte absentia, durutrte minaritute
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
i~t 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
^NO EXCEPTIONS ^ EXCEPTIONS
FornTRW'-02 rev.ltl~ll/2011
Page 1 of 2
Petitioner(s), after a proper search has/have ascertained that Decedent lefr no Will and was survived by the following spouse (if any) and heirs (attach
udditionul sheets, ijnecessury):
Oath of Personal Representative
CO!vfVtONWEALTH OF PENNSYLVANIA }
} SS:
couNTY OF C km 13Enl.,~N,D }
~r ~ i1iJ_ `se. On ..,
A
'{=Z c~AR 30 F 2` 2c
P~d:ionerl ~l Printed Name Petitioner(sj Printed Address J~
l~atr~~ia ~. L~ pub 3/0 ~ ~~'f/,~.t~ 5~, /yl~clian~esbkr~fOE~i' ~ •an
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are tnie and correct to the best of the knowledge and belief
of Petitiouer(s) and that, as Personal Representative(s) ofthe Dece~t, the Petitioner(s) ~ ill well~and truly administer the estate according to law.
Sworn to or affirmed and subscribed before X___~-J,G~~ ~~ ~ ~ J Date 3 ,~ xo/~
me this day f , ?01 ~, Date
By:
Date
r t e Register <
Date
BOND Required: ^ YES ~--1d"~
FEES:
Letters ..................
( ) Sltort Certificate(s)..
~ ~
.... $ ~ ~. C~
.... --~~1
(
) Renunciation(s)..... ... .
( )Codicil(s) ......... ... .
( )Affidavit(s)........ ... .
Bond .................... ....
Commission ..............
Other ~ Q ji ~,~ ... .
Automation Fee .::::::::::
JCS Fee. ..
-~"~Z~-
::::
TOTAL ................. .... $
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
/`~2AZ~
,~-0~.~ r
Printed Name: C{'JQJ-~CS .~ S`j~p~~~S ~'
Supreme Court
ID Number: .~~5/3
Firm Name:
Address: C S o
lanes k~•r ~ /`7o5S
Phone: 7/7 71+b-o~o9
Fax: 7/7- 9S- 73
Email: CGS~Ii ,/~G
DECREE OF THE REGISTER
Estate of _~Q/-ji4 ~ . ~ ~~O~JP.rt ,~'~- File No: ~/-/~ -.
a/Wa: -
AND NOW, `- ,
y~~~~ 1 ~ °~U ~°2 , in consideration of the foregoing Petition,
satisfactory proof having been presented before tne, IT IS DECREED that Letters TSfir/hrn f,¢rq
are hereby granted to ~QfiYGi4 ~, `~'p~~t"
in the above estate and (if applicable) that
the instrument(s) dated n'l0,rp~ Z'rti /qq;t
described in the Petition be admitted to probate and files of record as the ias; 1~'il~ (and Codic~}(s~) of Decedent
In ~ ,
Forur RGG'-0? rev. l0/1!!201 /
ter of Wills ~~ ,~
Page 2 of
i ~
LOC~~~~~f~R'S CERTIFICATION OF' DEATHI
WAR~N~~: I#: P$ ille~~~'t~j duplicate this copy by photostat or photoc~ra~sh.
,~ _ „ -
Fee for this certificate, X6.00
~L~~ri ~~R ~~ ~ ~~ ~'~' '1~'his is [o ccrtif~~ tlr.? the informat~un he_e ~1ves1 i
rorrect(y coped frnna an original Certifica(e of Death
~~~~}( ~F duly filed l~~ith 11~c ,N'~. Lo~.~al RegisU~ar. "I'he arinillal
~PH~FS ~~~T certificate will hr ~;~n arded to thr State Virif
PA keu~rds Office t+Ir pe~nn Trent fsling.
Gt1~AB~Q! ~ ~ C? . r
P 18194816
Certification Number
~m~"ni~~n
Marlin L.
-4N RkHMay IYrs) Sb. Un
72 Mom
Yes ®NO ^UMnown
-- -- __ --- ------ ~ _1 ~~-
Local Regrstrar Datc :s5tled
COMMONWEALTH Of PENNSYLVANIA • DEPARTMENT Of NEALTN • VOAL pECORDs
CERTIFICATE OF DEATH Sbte Flk Number:
uL SuMa) 2. Sit 3.3«kl Security Number 6. Oak pf Death IMO/my/rr1lSpNl Mol
Lippert, Jr. Male 192-30-2179 Maroh 3, 2012
Sc Vnder 10 6. Date o/Birth (MO/DeY/Yearl ISpell Monts) Ta. &rthplaca (City and Stab w yn CauMry)
Dart N«rf Mbsdef October 25, 1939 FYlhau~ Penns ~vania
]b. &rMplxe(COUnryI in
eb. Ruldanu Istreet and Number - I«Isxle Apt No.l &. Did Decadent lM In a Towmhlpi
310 E. Ebrtland Street ^Yes, a.ceeem IN[d In ewv.
ea.p«Id.lkylz'pcvdal 81NO.aaGd.nLxy<dwltmnpmlba Mectlanicsbura vm/~p,p.
IaMal SbtV1 at Time o/ DeaM MaMed ^ Widowed 11. SurvMrq Spoufe's Name IM wHe, eke lame prbr tp flrrt maMa9el
DNOfCld ^Never MaMM ^Unkmwn n~a-~.a ..s_ w .~-__~
L,A 1- ar. Dorothy A. McCreary
l1a. InfwmaM's Name 1Ib. RektbnMlp to DecMent 1k.InMmanYS M<iliry Addrtu lS[roN ant NUmMr, Gry, State, ZlP COdeI
o Patricia A Li rt S e 310 g. Portland Street, Mechanicaburq, PA
G ......................................................... ...................... a . a
a v oe,M occum.e b a Ibsdbl: CI' mwne~e """"""""li'r o~;i'n'octVrrea SpmewMre otn:r inin a ifoawbl: .......................... ....... .... .
C1'iiofdnfadury 01"riec<a.m'f'iiom:""""'
^ Emergency Room/OutpNknt Dead on Arrkal NurslM Noma/lonR~Term Gn Faflllly Other (Spe<11y1
lsb. faclllly Name 1N not instlbtion, `ka street ant numGr, ~15c _Cny w Town, State, d 21v Code ]Sd. County of DeatA
1111 tP O..«4T ~..a c ~_.
16a. Method of Disp«ttbn ^BuHal UemaHm l6b
Date of DR y~~ f ' ''V JJ C'~EIpE:rldllO
«nbn l
Pl
.
EC.
we of OkpwMOn (Nam! of umabry, crematory, or MMr plan)
^ Removal born State ^ DonaHOn P
Den<rlsp<dhi Maroh 6, 2012 Hollinger Crematory
~ I6d. loutbn W Dispunbn I[ny or town, sate, ant 21p1 Da. signab al servl« L or Peron In Entree of Interment 1]b
U
N
E
Y .
unst
umber
Mt. Holly Springs, PA ~' FU
13
-
8630
vt. Nam. and cpmpkb Aedreaa or Funem Facllny
Mal zzi Fl2rleral Hone 8 Market P za Wa hanicsb PA 17055
~ 3e. Oecedent's EduuNen - Chea tlk b« that beat describes Me 19. Decedent of Mispank Oryin -Chaco Ma z0
Deuhnt'
R
r .
s
au -Check ONE OR MORE noes to Indkrte what
hRMrt Degree w level of fdlool compktad at Me tNne o/ death. bm Nut bnt descrlbu wMMer ell decedent tM d
d
eca
ent unskknsd hlmuN w MrsNl to be.
^ e[h gndewleu Is Spanish/Nispanlt/latlno. CMckIM'NO' ®Whne ^ Korean
^ Np dlpbma
9th -12th gratle
,
boa N decadent h lot Spanish/Nlspaek/latino. ^ ektk w AfrWn American ^ Vkhumese
^Hieh xMd RaduabwGEDCpmpkted Q[Np
rove Spanbh/His
Snk/L
tl
,
P
a
np ^Amenon MHlan or Nasky Natiw ^Other Adan
^ Soma toga[<veaL but rep daRra< ^ Yes
Mealon
Meakan Am
c
Chl
,
,
er
an,
uno ^ ANan Indian
^ Native Nawalkn
^ AboWb degree 1e.6 M AS) ^ Yes
Puertp Akan
,
^ ONnese
^ Guamankn w Chamomo
^ Bechebr's Degree ley FIA, AB, Rsl ^ Yu
Cuban
,
^ FlNdrw
^Samoan
$r MastMStlgree le{. MA, MS, MEry, MEd, NSW, MRAI ^YeL «MrS
anl
nMh
p
s
WnWlaHnp Japanese
^ ^ Other Padflc Islander
^ OoctMb lay PhD
EtlD) w Prol
b
l d
,
eN
na
grea
ISperlhl ^ Other lspedfy)
e MD DOS DVM LL! 10
21. Decedent's Single Rau Self-Desyntbn -Check ONIY ONE to IMlub what tM decedent consberetl hlmuH w heneH to be. 23a. Decedent's Usual Oaupatlon - Nvlkat
f
Whk
e hpe o
work
e ^ lapanex ^ Lmoan done dodo
rt
f
k
{ Mo
o
ww
lM Ilk. DO NDT USE PETIRED.
^ekckpr Afrkm American ^Kwexs ^omer Patiflc ldaMer
School Principal
^ Amercan IMlan w AInM Natve ^ Vktnamex ^ Don't Krgw/N« Sure
^ASbn lnaan ^O[Mr ANan ^Refsssed 22b. Kkd oi&Wlsus/IMus[ry
^ Odnese
^ Nath,eNawalkn ^ OMw(Spedh) Edl2eation
^ FNi
l
p
m ^ GwmsMan w CMmwro
ffERaS zee -Ild MUST eE COMINETEO 23a. Date Prorlourlred Dntl M DaY r 23b.5iersatu f Person Pronou«Iry Death Onh when ap b e 13c Ucerne Number
BY PERSON WNO PRONOUNCFSOR
~L.~ ~1
fERNFIES DPATN
Ia /af-cl, .3 2012
t
~ ~ G ~
/
.
-
23Q,~bsiSned( D ~t~
l~/
~a~~97~-
:.. Tlrne of De.M v
•J
/
'
'
l v
are
y
f•
m zS. Was Meekal Eaamlrlw or Cwonar COnbdedi Yes ^ No
CAUSE OF DEATH
26. Part I. Eller tM Win Magenta-dnaasef, Inlurk; «compNusbns-that direct Approalmate
h caused Me deHh. W NOT enter terminal events suds as urdb
rt
c ame
Interval:
resplra[ory amuL or ventrkukr flbMNbrl wkhwt
s
howns5 [M a
tbloEy. DO NO
T
(~RRREyIATE
Enter Dnh one cau
Il
.
se on a
na. Add addPoonal Ihxs If necuury ? Onxl to Death
~T
/
n
l
/
/~
IMMEDIATE CAUSE --------. a. _ //// A 5te~ .- //`/7 /~y/~Cl-a )j C' A 0~
(Final dixax or coMkbn Due to for a consapuance oFl:
ruuniM In death)
b.
SeAUentlalh Ib[ wndnbns, Due to Iw as a conse9ueMe oFl:
If ally, kadky to the cause
IIStM on Ilne a. Enter the
UNDERLYING GI/SF Due to for as i coMepuence oFl:
ldlfNSe or btyry Mx
F innbtM tM events rcsulHnB d.
in eeaml IwsT. Dee mfor as a conxyuence -
<n:
5 zA. PNe n. Enter ocher NonlRnnt comnbM Hbcn M b
s ut not refNnbg In me pnaeHylne nNSe ewer In Part I n. Was an aptepsr perfprmwt
I Yes ^ Np
ze. Wert autopsy flMlrys mllabk
to romdete Me reuse M derthi
3! 19. H Female: ^ Y<s ^ No
30. Dld Tabatto Use CoMdbute to thathi 31. Manner M peaM
^ Not pree^ant wiMln past year
^ Yes ^ Probabh Natural Nomkide
^ Pregnant at Hme of tleaM ^ ^
~ Not wrynanL but ^ No ^ Unkrwwn ^ Accbent ^ PeMine Irnutleatlon
^ prgnant within 12 days of deaM
^ Suicide ^ Coultl mt be determined
^ Not pngnanL but pregnant 13 days to l year Oefore death 32. Date o1lnlury (MO/DaY/Yrl (Spell Mpnth)
^ Unknown H pregnant within Me Wst year
33. Time of Inlury
31. Plan of Inlury le.e. Mme; eonseruMOn site: brm; sdrod) 35. Locatbn of Injury (Strut antl Number, Gry, State, Zlp Code)
36. Inlury at Woa 3]. N Trampwbtbn Inlury, SpetNy: 38, pexHbe Mow Inlury Occurred:
^ Yes ~ DrNer/Opentw ^ PM<sMan
^ No ^ raneriger ^ otM. (specMl
3 9a. CertNkr (Uetk only onej:
' .B-tertlMrn phrfld,n -TO the best m my btowleq<, de.M otcurred dw to tM noselfl and manner naaa
^ vrenoNndrK a CerHNkse pnyfkkn - t M my knowledge, eeatn «tpwed at tM nme, aab, and date area eue to tM too
fels) and manner sated
^ M
edlul Eaaminer/Coroner - On th mina[bn, a
rM/w Irnestleanon, in my odnbn, death occurred at the tkne, date, antl place, and due to tM aufelf) and manne
t
t
d
r s
a
e
!slgnabndtertmw: Tln<M
rnfk
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a r: ~
n
D Lkenfenpmb.y:i%//ya791
~7
pp. Name, Sdar and zip C, de of G I Daxh 39c. Dat<Skn a I r/YN
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enaNre
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1
3. Amendments fc o3JG 'i~
Dlspombn Pem,rt No. 0729364 Nms-la3
-.___-.._.__ ____. _. REV mnou
~a
LAST WILL AND TESTAMENT OF MARLIN L. LIPPERT JR.
I, MARLIN L. LIPPERT, JR., of the Borough of Mechanicsburg, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish
and declare this my Last Will and Testament, hereby revoking and making void any and all prior
Wills by me at any time heretofore made.
1.
I direct the payment of all my just debts and funeral expenses as soon after my decease as
the same can conveniently be done.
2.
All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and
wheresoever situate, I give, devise and bequeath to my beloved wife, Patricia A. Lippert, to her
own use and benefit absolutely.
3.
In the event, however, that my said wife should predecease me, or should die at about the
same time as I die, such as in a disaster common to both of us, I give, devise and bequeath my said
estate in equal shares unto my children, Scott Alan Lippert, Lynnette Renea Powell and Kelley Jo
Mallon.
4.
I nominate, constitute and appoint my wife, Patricia A. Lippert, to be the executrix of this
my Last Will and Testament. In the event that she should predecease me or for any reason be
unwilling or unable to act as such executrix, I nominate, constitute and appoint my son, Scott Alan
Lippert, to be executor in her place and stead. In the event that he should predecease me or for
any other reason be unwilling or unable to act as such executor, I nominate, constitute and appoint
my daughter, Lynnette Renea Powell, to be executrix in his place and stead. In the event that she
should predecease me or for any other reason be unwilling or unable to act as such executrix, I
nominate, constitute and appoint my daughter, Kelley Jo Mallon to be the executrix in her place
and stead. I further direct that they shall not be required to file bond or other security in the Office
of the Register of Wills for the purpose of administering my Estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~ day of
- ~ , A.D. 1992.
l
~L <u -taL/' CE d
~ --` `v ~c ~~~. (SEAL
~~, ~_.,
(L caw ~
.::a U
l 1
Signed, sealed, published and declared by the above-named MARLIN L. LIPPERT, JR. 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 subscribed our names as witnesses.
~a
,~\G;~
I v' .~
~t ~~.~ ~ ~'lI ~ C
"_U~Z ri~~t 30 F~ 2~ 2G
OATH OF SUBSCRIBING ~~'ITNESS(I+JS~~ER~ p
pRPHAN'S GpLRT
REGISTER OF WILLS
Clt.m ~EiQl.~FND couNTY, PENNSYLVANIA
Estate of n1~,r~ i n ~... l.~ Grt ,Tt~. ,Deceased
~- ~'llla,.~C,S L. ~~ i~~a~S ~ a subscribing witness to
(Prird Name/s)
the Wi11 E}-f~ioii{-~}~presented herewith, {ems) being duly qualified according to lavv, depose(s) and
say(s) that she,( he /-~e3~ was /~er~e- present and saw the above Testator 'r~r~ sign the same
and that sly he , signed the same and that s1e / signed as a witness at the request of
the Testators in his presence and ir. the presence of each other.
(Signature)C~a~~ ~. ~h~~ds ~ (Signature)
(Q C~ouS~+r' Ropy
(Street Address)
m~Ghan~cf~~~rA, A~ I'TosS
(Cite, State, ZiP)
E~:ecacted in Register's Office
Swore to or affirm~~ed//ante~d subscribed
before me this `Jt..J ~ day
< eputy f -Reg ter f Vdills
(Sn•eet Address)
(Cig~, State, Zip)
E~:ecacted occt of Register's Office
Sworn to or affirmed and subscribed
before me this
day
of
Notary Public
Ivey Conmmission Expires:
(Signature and Seal ofNotan' or other of5cial qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by OfScer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
corm R11'-03 rev. 10.13.0(
!11
~~'s~i ~r~~ ~~ ~'C~t 2~ ~L
OATI-~[ OF NON-SUBSCRIBING WITNESS(]E~~~ ~~
ORPHANrs Cal1As
REGISTER OF WILLS CUMf3f~R't ~N`~ C(7 . PA
C tt, rh (3~J./~-NJ~ COUNTY, PENNSYLVANIA
Estate of ~ ~.r~ i h (, . ~ ~ p~~,R-r rt ~'r
Deceased
and
~eacl~~.being duly qualified according to law, depose(s) and say(s) that she Ll~e-/-~e~ was~e well-
acquainted with ~lA.r~~n ~ . ~-i ~J,pGrt a ~'-: and am,La~a familiar
with the handwriting and signature of the decedent, and that the signature of /'Yla.+-lig ~.. ~~PpGrt~ Tr.
to the foregoing instrument .purporting to be the Last Will and Testament/-adi~cil of /~'l~tr~i-1 ~. ~~p/0u"t.,
~ r
Jd", is in his~own proper handwriting.
~~ _
u r
X ~ ~O_~lil/raQ / ,[~D/I~
(Srgnature) r ,~ '~-
3/v ,~' /~o ~t/aid ~f:
(Street Address)
/y1ee~~;~s ~dHrir. PA i 7os~
(City, Stare, Zip)
Executed in Register's Office
Sworn to or affirrne~~d,, s~and subscribed
before me this ~t~`~ ~ da
Y
o~1c~~~~ ~~ .
(Srgnature)
(Street Address)
(Crty, State, Zep)
Form R N'-Od rev. ! 0.13.06