HomeMy WebLinkAbout04-24-12PETITION 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 requests the grant of Letters in the appropriate form:
Decedent's Information
Name: Laura A. Shoemaker
a/k/a:
a/k/a:
a/k/a:
Date of Death: 04/07/2012
File No: 21 - 12 - ~~ rJ. ~ O
(Assigned by Regist/er)
Social Security No:
Age at Death: 90
Decedent was domiciled at death in Cumberland County, pA (State) with his/her last
principal residence at 4308 Allen Road, Camp Hill 17011 Lower Allen Townhip Cumberland
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at 4308 Allen Road, Camp Hill 17011 Lower Allen Townhi Cumberland PA
Street address, Post Office and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death
/f domiciled in Pennsylvania ........................ Alf personal property $ 400,000.00
If not domiciled in Pennsylvania ................. Personal property in Pennsylvania $
Ifnot domiciled in Pennsylvania ................. Personal property in County $
Value of real estate in Pennsylvania........... $ 0.00
TOTAL ESTIMATED VALUE$ 400,000.00
Real estate in Pennsylvania situated at None
(Attach adtlitional sheets, if necessary.)
up cone
City, Township or Borough
QX A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) that he/she/they is/are the Executor(s) named in the Last Will of the Decedent, dated
thereto dated
08!20/1991
(State relevant circumstances, e.g., enunciation, death of executor, etc.)
Except as follows: after the execution of the instrument(s) offered for probate, Decedent did not ma ,was not divorced, was not a paa pending : -v~
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 or ._
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ~ r~
A
QX NO EXCEPTIONS Q EXCEPTIONS
~~~
County
and Codicil(s)
^ B. Petition for Grant of Letters of Administration (If applicable) _ - f~l iU
c.r.a.; a.b.n.; d.b.n.c.t.a.; pe en e I e; a la; uran e
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. ^ ~ ~ '' `- ~ "'~
C-; ,~ "
Except as follows: Decedent was not a party to pending divorce proceedin wherein the grounds for divorce had been established as de$~eGx7
in 23 Pa. C.S. § 3323 (g) and was neither the victim of a killing nor ever a~udicated an incapacltated person. ~ _1 ~::~
^X NO EXCEPTIONS Q EXCEPTIONS ~'' ~"
c3'~
Petitioner(s), after a proper search has/have ascertained that Deoedertt left no Will and was survived by the following spouse (if any) and heirs (attach
additional sheets, if necessary):
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Form RW-02 rev. fo-1 f-zof f
Copyright (c) 2011 form software only The Lackner Group, Inc. Page 1
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
couNTY of Cumberland } ss:
}
Petitioner(s) Printed Name
Lisbeth Mary Shoemaker
Petitioner(s) Printed Address
4308 Allen Road
Camp Hill, PA 17011
Official Use Only
ORPFfr~N'S `~Ot)RT
The Petitioner(s) above-named swear(s) or affirm(s) the statements in a foregoing Petition are true and correct to the best of the knowledge and
belief of Petitioner(s) and that, as Pet~sora! Representative(s) of the dent, Petitioner(s) will I and truly dminister the estate according to aw.
Sworn to or affirmed an ubscrib d before sfY ~ ~~z yi~ v
Date
me thi~day of ~ ~ Date
B ^-°~
Date
the eg~ste;
Date
BOND Required? ~ Yes ~ No
FEES
L
tt
~,~ C~
e
ers ........................................ .... $
l 15 > Short Certificate(s)...... .... ~('i, c;~
( )Renunciation(s) ........... ....
( >Codicil(s) ...................... ...
( )Affidavit(s) .................... ...
Bond ........................................... ...
Commission ................................ ...
Other 1~", (~ W
Automation Fee ........................... .. ~ C~
JCS Fee ....................................... .. ~
TOTAL ......................................... .. $ ~ G ,~, S~
To the Register of Wills:
uac anaar .rry ap{xarance oy my signature below:
Attorney Signatu
Printed Name: Richard E Connell Esq
Supreme Court
ID Number: 21542
Firm Name: Ball, Murren 8 Connell
Address: 2303 Market Street
Camp Hill, PA 17011
Phone: 7171232-8731
Fax: 7171
E-mail: connell~bmc-law.net
DECREE OF THE REGISTER
Date of Death:
Estate of Laura A. Shoemaker File No: 21.12 - ~,(-~ ~~'
a/k/a:
AND NOW, ~ ~(' ~~(~l , in consideration of the foregoing Petition,
satisfactory proof having be n presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Lisbeth Mary Shoemaker
in the above estate and (if applicable) that the instrument(s) dated 08/20/1991
described in the Petition be admitted to probate and filed of record a last Will (a Codicil(s)) of dent.
7
~~~~ ~
egister of Wills ^ „ ~ <,
Form RW-02 rev. ro-r r-zon \ , r~ ("j~lj,
Copyright (c) 2011 form software only The Lackner Grou nc. ` Page 2 of 2
H 105.805 REV r9/I I
LOCAL R ~) T~q~'S CERTIFICATION OF DEATH
WARNING: It~ -I-~ci~u~ic~e this copy b hotostat or hot
~~'sl''.:I`;-; ''+r"~ Lc Y p p ograph.
Fee for this certificate- $6.00
P 181~~5~~
Certification Number
Print In
went
~k Ink
~'(~.f,(~~3R ~'I'"""'~--- This is tL> certii~ that the informatun hf~re given is
~~ ~~ 3L;,I~~~T~~ ~~E~Y~j~;_ I.orrectly copied h~~n-~ an (>riF„inal Certifl~tzte of Death
~`°~oo~ ~l I]uly filed with m. ~)s Local Regisil~at. The original
C~~~ r~~ ao~ - ,,, _ ~Z L~ertificate will he li~rw~arded to the State Vital
QRp~~,~f5 ~~(_J j*1° ~~~ la Records Office +or pl>rn~lanent filing.
~9MENT OF~~`P°I _.___ _~~U
,,,x -Local Reg1s rar ~~~~llate Issued
[OMMONWUITM OF pENNSYIVANIA • DEPARTMEM OF HEALTH • VITAL RECORDS
CERTIFICATE OF oEarH
.s s ut>i name Truss, MIDdN, Last. Sufflxl 2. Sak 3. Social Secwry Number !. Date a/ Death IMO/wY/Yrl ISpdI Mol
Laura A. Shoanaker
.angle 142 - 16 - 5159 A it 7 2012
S+. ABe-USt Birthd>y IYnI Sb. UMx l Year Sc Under 1 B
Date o/ Birth IMo/O
/Y
S
.
aY
a+r) (
pell MonMI )a„plrthgKaO(Oty apdSbb w F«eltn Country)
MonMS Gays Naun Minutes ~1~L'e(IL Yl
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s
90 Aril 17 1921 )b.BkthplattlEOUnry) er
Ba. Resldena Sbte w Farchn Country) Bb. Refldentt (Street aM Number - IrMUde A
t No
Ob D
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.
qg~
etteenl LNe In a TowmhlD7
Pennsy
vania CSYe,
ee
T~-r Allen
d
tlN
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4308 All
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tt
en
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ln
en Road twp.
Be. aeNdentt )county)
Ctmberland a
R
c.
ealaence mD code) 01 ^ No, decedem Ryee wnnb NmItF or tlnroorp.
9. Ever In U9 Mmed F«ces7 10. Madtal Status K Time M D<>th Q Married Widowed ]1. SurvlMp Swuse's Name II/wdk
hrc nam
^Y
H
fi
, p
e p
w to
rst maM>ReI
U QNO ^Unknown ^pNOrced ^Newr Marred ^Unknown
12. Father's Name (Flnt, Mitldk, Wt, wfnxl 13. Mother's Name Prbr to First Mamete (FIrsR MIedN, tasn
Vito Annicchiarico
Angela ,Mande
'
lea. Informant
s Name 14b. Relationship to Mceeent Ik. Informant's MaINry Address (SMxt and Number, CIN, Sbte, Zip Code)
Lisbeth Shoemaker
g Da ter 4308 Allen Road Hill PA 17011
r u Death occumed b a Nownal. CJ'inwtent ~ """':'i'( iieain orcumee somewn.rc anar Than a N
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Emeryenry Room/OUtwtknt Dead on Mrwal Nunlry Hama/Len -Txm Grc FxHiry Other Is
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156. Fatll NameJl/riot IrotkuHOn, five Nreet>rld number
lSC. Cny w Tewn, State, and Zip Code 15d. County of DaaM
430 Allen R
d
oa
Rill PA 17011
m 16
~~rldnd
vM.Mod of gsposkbn Burial Q Cremawn 16b. Oate of gsposltbn 16c
plxa of q
i
,
,
a
on (Name of cemetery, «emuory, or other place)
LO Removal hom St>te Q DonaHOn caut
oMerlSpeclNl
A it 13 2012 Cedar Grove Cemeter
16d
Lattnan of Oh
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ltb
i
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n (C
ty w Town, State, and Zlp) 1)a. Funeral Se lkenxe or Person In CharR ai Interment 1)b. Lkense Number
Athens, 1N 37303
0 F'D - 019889
1)c. Neme,ne compete Adarex or Pulxm F.d6ry
Mal zzi Funeral Home 8 Market Plaza Wa Mechan c
~
° s PA 170
IB. Decedent's Eduwtlon. Uea the box tMt bast describes the 19. Decedent of Hhpanic Origin - Ued tlN 20
Decedent) Ra
U
k
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tt -
ec
ONE OR MORE rxu [o IrMkate what
hhhert detrK w IevN of uhod compleed at the time o/death. boa Mat best dexHbes whether the decedaM
th
e decedent conside
d hl
M
re
mu
22
~~
«herseH to be.
^ B[h 9radewku IsSwnlfhMispank/IaHrq. CTwck the •NO' Ly Whke
Q Korean
^ No elplom>, 9th ~ I2M trade boa H decedent Is not SwnbhMhwNc/laHro. Black or Afrign Amerkan Q Metwmex
~Nith school traduab «GEO camONted ~ No
not S
i
hM
,
s
wn
bp>nic/IaHna ^ Amertun IlWlan w Alaska Na[IVe
^ Other Asian
^ bme mlkte vedk, Hut no decree ^ Yes
Mexlttn
M
k
A
,
,
ex
an
merkan, fMttno Q Allan IMlan
^ AssocNte tlgrce Ie.[. Aq, AS) ^ Yes
Puerto Akan ^ Na[Ne Hawaiian
,
Cuban Q Uirwse ^ Gwmanen w Uamorm
^ BxhNOr's decree le-t. BA, AB, BS) Q Yes
,
^ MuteYS decree (e.t. MA, MS, MEnL MEd, MSW, MBA) ^ Yes, other SwnhhMiswnic/La[Ino ^ Fllpirla ^ Samoan
^ la
sn
p
eu ^ OMer pxiflc Isbnder
^ poctonte (e.{. PhO, E6D) w prolessbnal dgree
IswclNl ^ omer IspenNl
e.. MD 005 037M LLB 10
21. Decedent's SiryN Race SeH-OesltnaHOn - Ueck ONLY ONE to Indlnte what the decedent considered hhnsNi «herxll [o be
22a
Oeudant'
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l
~
.
.
s
wa
Occuwtbn .Indlute tyw of work
Whlte QNwneu Q~A1Oi^ d
d
one
uHrit most of work) Ille. 00 HOT USE RETIRED.
^ BNCk or Alrkan Nnerkan Q Roman ^ Other Padflc IdaMer M
^ Amedwn beNn «Alask, Natroe ^ veM,meu ^ Dpn't Knpw/N« sure Librarian
^ Allan Indian ^ Other ANan Q Re/used
22b. and of Business/Intlus[ry
^ amex ^ native N,wanan ^ other lsoedNl
^ Fllpino ^ OwmanNnwUamomo ~ ~~ [~-.~ ~ s1r.,~.;,.,,T
'~^'+
lfERA9 23e - MUST tE CdAPIFTED 23a. Date pronounced Dead Mo D>Y/YN 23b. Synamrc a Person Pmmuncint DeaM (Onty when applicable 23c
WNO MOMOUNCES OR
U
N
.
cenx
umber
CERTIFIES D
ril 7 2012
23d. Date S4rIM (MO/Dry/Yr) 24. Time o/ Death
2S. Was Medical Examiner or Coroner [onbc[ee7 ^ Yes ® No
CAUSE OF DEATH
26. Part I. Enter Me du'n of eve O-dixaxs, inlurks, or complicatbns--Mat dkeM Approximate
t Y soused the deaM. W NOT enter terminal evens such as caMi
ru
i
p
ra
x arrest Interval:
orY arrest, wvenMCUI>r fibHlNtbn withou[showirlt Me etbloBy. DO NOT ABBREVIATE, Enter onN one cauu ono Nne. Add addklonal lbws Hnecesx
~ Onxt t
D
h
ry
o
eat
IMMEDIATE UUSE ---~-~_.__> ~ aSC~.,~/t (C ~~~• ».E,,a,s/
(final dhease a condlHOn Oue [o (« as a nx9uentt on
co
:
resuklnt In death)
x
n
~
9uenda
r uat ttndaona, Due t
r>a a wmeownce on.
H asry. IeaMrq to Me uuu
Ilstetl on Nrw a. Enter the
UNI2ERlY1NG GUSE Due to for as
-
a consequence on:
Idlxsx wInlury thrt
F inluatad the events rcsultlna d.
b tleaMl nisi. qx w for a. a conxque«e oR.
s~ 26. Part II. En[eratheraNDifl towN[bm Mbc [od th but nos resultlnfire [he untlertylnt cause given In Partl
Z). Wasan autopsy wrlwmed7
(~~y~,s~~ !1 /~~ `1^~,~Y
Yas No
^~
~
^' ~
"
^
SP
-
IryMaGT
PSi a--Y
/
l C~7
I
/ Zt. Were autolNy flMirys anHable
E to complete the caux of deaths
Y
E Z9. If Femal 30. De Tobacco U CoMHbue to DeaM7 ^ Yes No
31. Manner of OeaM
«pretnant wkhln
st
s9 YeN
ca
^ Pretnant>t time o/death ^ Yes i"I probabty ~NtEral Q Nomkke
~
~ Q NIX pgnaM, but Prgwnt wltMn 42 days W duN ^ Nq •E] U
nkmwn Q AcNdent Q PeMiry Investlta[lon
Q Not pretnant, but prgnant A3 tlay to l Year before deaf) 32. pate o/ Inlury IMO/paY/Yr1lSpell Month) ^ SukNe Q Could mt be deNrtnined
^ Unkrown H prctnant within the put yxl 33. Time of Inlury
36. %ue of Inlury (<.t. Iwme; Wnstructbn ilea; )arm; school) 35. Loca[Irm o/ Inlury (Sercet arW Numher, Ciry, State, ZIO code)
36. Inlury at Work 3). I/Trenapwtatbnlnlury, Speclly: 38. Describe Haw Inlury OCCUrrcd:
Yes ^ prtver/OperMw Q PedesMan
^ No ^ pavunter ^ oMer IsDeclNl
3 9a. Cart IUeck onty one):
ertlfylnt Dhysklan - To the Hess of my knowkdta, death occured due to the cauxls) and manner stated
^ pr
omun0 8 Certllylnt phYSkbn ~ io Hle best of my Ynowledte, deeM occurred at the time, date, and place, and dw to the cauxis) aM manner stated
^ Medkl Fa /Cgror
r
O
th
b
-
w
n
e
ails M bn, arM/or Inyertitatlon, in mY oplnbn, death «curred at the three, date, and Dlace, and ew Iq th
e
w
uulfl and
m
anror Stated
/
~
~
g
p
rc Tkle or certlfbr: ~~ Lkeme Number:(/~i-1]rJ/3~
3 arM 21p CompleHry Cawe of Death 'ream 261
. 1 c. ~w,L 39c. 0.asbS (M /0>y/Yr)
' •~'f ~ "
~ ?a / Z
b . ReOsMr's Dhtrkt Num 41 burrs cure
J
-
_ a I 'd 13. RetMrer FIN pate Mo y r
4 e-4n.y.~ an.~~ R ?G1~~ CS I
3.Amendmenb
DiaPmabn PermD No. 0693644 Nms-]43
REV 0>/20]1
1~--y
LAST WILL AND TESTAMENT
OF
LAURA A. SHOEMAKER
I, LAURA A. SHOEMAKER, a resident of 11 Fairhaven Road,
Havertown, Delaware County, Pennsylvania, being of sound and disposing
mind and memory, do hereby make, publish and declare this my Last Will
and Testament, hereby revoking any Wills and Codicils by me at any time
heretofore made.
DEBTS AND FUNERAL EXPENSES
I direct that my just debts and funeral expenses,
gravestone and burin I expenses sha I I be paid from my residuary estate
as soon as practicable niter ya~y death, anc! shall be considered as part
of the expense of the administration of my estate.
TAXES
I direct that all taxes arvhich 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.
DISPOSITIVE PROVISION
I give, devise and bequeath the rest, remainder and residue
of my estate to my beloved children, MICHAEL RAYMOND, JOHN CHARLES,
LAURIE. ANN, and LISBETH MARY in equal shares, share and share alike
per capita.
APPOINTMENT OF EXECUTOR
I hereby nominate, constitute and appoint my beloved
daughter, LISBETI-I MARY, as Executrix of this, my Last Will and
Testament.
POWERS OF FIDUCIARIES
In addition to the rights and powers given to fiduciaries by
law and elsewhere in this Will, my fiduciaries, whether Executor,
Executrix, Trustee, or Guardian, may, at their discretion and during the
full time necessary for the administration of r?~y estate, exercise tl~e
folloEa~ing powers.
A. to retain and to invest i n a I I forms of rea I and persona I property
regardless of (i) any I imitations imposed by law on investments by
Executors or Trustees; (ii) any principle of law concerning delegation of
investment responsibility by Executors or Trustees; or (iii) any principle
of law concerning investment diversification;
Li_ ~
`~
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- -
~. ~~ ~~~.
~ ; --
-.
~. ~ CI3 ~'.
Ct=' ---'~
CL~ J ~
~:
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ti.~
URA A. SHOEMAKER
B. to compromise claims and to abandon any property which, in my
Executor's or my Trustee's opinion, is of little or no value;
C. to borrow from, and to sell property, and to pledge property as
security for repayment of any funds borrowed;
D. to sell at public or private sale, to exchange or to lease for any
period of time, any real or personal property and to give options for
sales or leases;
E. to join in any merger, reorganization, voting-trust plan or other
concerted action of security holders, and to delegate discretionary duties
with respect thereto;
F. to use administrative or other expenses of my estate as income tax or
estate tax deductions and to value my estate for tax purposes by any
optional method permitted by the law in force when I die, without
requiring adjustments between income and principal for any resulting
effect on income or estate taxes;
G. to distribute in kind and to allocate specific assets among the
beneficiaries (including any trust hereunder) in such proportions as my
Executor may think best, so long as the total market value of any
beneficiary's share is not affected by such allocation.
This I i st i s not exc I us i ve, and the powers stated are i n no vv ay
exclusionary, nor are they in derogation of any remaining statutory
powers.
WAIVER OF BOND
direct that any fiduciary acting hereunder shall not be
required to enter bond or other security in any court or jurisdiction in
which said fiduciary may be called upon to act.
I N WITNESS WHEREOF, I , the said LAURA A. SHOEMAKER, have
here ~to set my hand and seal to this, my Last Will, on this~day
of - ,_/' ,19 9~.
,~
L~\ 12A ~- `~~Y`~ ~' (SEAL)
U SH E KER
(ssaappe) ssaappe
•o;away sassau}inn
se saweu .ano pagi.aosgns aney aay}o yaea ;o aauasaad aye pue aauasaad
aay/siy ui oynn 'sn ~o aauasaad aye ui '~uawe~sal pue ~~l1"A ~se~ aay/siy
ao~ pue se .ao}e~sal aye ~(q pa.ae~aap pue paysi~gnd 'pau6is a~ep pue
~(ep ay} uo senn '.ao~.e}sal aye }o a.an~eu6is ay} ~(q pai~i~uapi yaea 'sa6ed
ua~~i.annad~C} .aay~o -£- pue siy~ ~0 6ui~sisuoa '~uawn.a;sui 6u~paoa.ad ayl
COMMONWEALTH OF PENNSYLVANIA
:~
COUNTY OF DELA6VARE _
LAURAr ~ A. SHOEMAKER, ~~ `,'~~,.~,~~~ ,~~~f~~; and
_~~il~?r~.- ~/)~~;»,q~k'i ,testator es atrix and witnesses
respectively, whose names are signed to the attached instrument, being
first duly sworn, do hereby declare to the undersigned authority that the
Testator/Testatrix signed it as his/her free and voluntary act for the
purposes expressed, and that each of the witnesses, in the presence of
the Testator/Testatrix, signed the Will as witnesses, and that to the best
of their knowledge, the Testator/Testatrix was eighteen (18) years of age
or older, of sound mind and under no constraint or undue influence.
l 1~4~r ~~ ~ ~~~
LAURA A . S E
Y ,
E
R
I ESS
SUBSCRIBED, SWORN TO AND ACKNOWLEDGED,
SHQ,EM~AKER and subscribed and sworn
~ ~ ~~~ AP
Witnesses, on his day of
before me by
to before
LAURA
me
or
A.
by
ar~d
NOTARIAL SEA!
HELEN M. GOSLEE, Notary,F.ublic
Haverford Twp., Delaware. Co.
Commission iret 7