HomeMy WebLinkAbout04-27-12~ rtesei
PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/are L8 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• )C G ~- ~-- ~ ~~~1 5 l~ t'"`
a/k/a:
a/k/a:
a/k/a:
Date of Death: Aori1 9.2012
File No: ~ ~ ~ ~ ~ ~,~r~L-._
(Assigned by Register)
Social Security No: 203- ] 0-7782
Age at death:92
Decedent was domiciled at death in Cumberland County, Pennsylvania (state) with his/her last
principal residence at I3 East Main Street 17011 Shiremanstown Cumberland
Street address, Post Office and lip Code City, Township or Borough County
Decedent died at 1000 Claremont Road 17013 Carlisle Cumberland _ PA
Street address, Post OfFcc and "Lip Code City, Township or Borough County State
Estimate of value of decedent's property at death: _
If domiciled in Pennsylvania ............................ A11 personal property $ i L5 l u • ~'.• p~~
If tzot domiciled in Pennsylvania ........................ Personal property in Pennsylvania $
If not domiciled in Pennsy/vania ........................ Personal property in County $ f t ~ ~ ~~~ ~~ ~ ; a
Value of real estate in Pennsylvania ......................................................... $
TOTAL ESTIMATED VALUE.... $. 2 y~til dG~c~ ~~~
Real estate in Pennsylvania situated at: 13 East Main Street 1701 1 Shiremanstown Cumberland
(Attach addrtionai sheets, i/'necea~sart~J 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 October 7, 1975 and Codicil(s)
thereto dated _
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.
NO EXCEPTIONS ~ EXCEPTIONS
B. Petition for Grant of Letters of Administration (lf applicable)
e.t.a., d. b. n., d.b.n.c.t.a., pendente lite, durante absentia, durante minoritate
If Administration, e.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.
NO EXCEPTIONS ~ EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no W ill and was survived by the following spouse (if any) and heirs (attach
additional sheets, if necessary):
Name Relationshi Address
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Fo~mi RW-Ol ren. /0/ll/201! PagO 1 Of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
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COUNTY OF CUMBERLAND
Official Usc Only,.
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Petitioner(s) Printed Name . ,.~.
Petitioner(s) Printed Address ~ ~-- '~'
Edward J. Whisler ~.:v
887 Kin Street, Lewisberr ~, PA 17339 ~ ~-~' ;_.~ ~--,
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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 Personal Representative(s) of the D ~ nt, the Petitioner(s) will w ~ll a<ndptruly administer the estate according to law.
Sworn too affirmed and uescribed fore ~ ~~i~22~-t, Date `/ Z 7 y~i Z
me this day of r~ Date
By:
the Regia~ter
Date
Date
BOND Required: ~ 'YES ~ NO
FEES:
Lett ...........
( ~) Short Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
6
$ / ~ ors
(,~ R Oll
C~~
Automation Fee ...............
JCS Fee . .................... Q
TOTAL ..................... $- 0
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
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Printed Name: Andrew C. Sheely, Esquire
Supreme Court
[D Number: 62469
Firm Name: Andrew C. Sheely, Attorney at Law
Address: _127 South Market Street
P.O. Box 95
Mechanicsburg, PA 17055
Phone: 717-697-7050
Fax: 717-697-7065
Email: ~ndrewc.sheely@verizon.net
DECREE OF THE REGISTER
Estate of ~G~~^~_ ~ ~ (,c..~ j ~ ~ ~-~ File No: 2 ~ - ~ ~ ~~~
a/k/a:
AND NOW, ~7 ~ d ~ ~ , in consideration of the foregoing Petition,
satisfactory proof having een presented before me, IT IS DECREED that Letters 1~estamcrttary_
arc hereby granted to Edward J. Whisler
in the above estate and (if applicable) that
the instrument(s) dated October 7, 1975
described in the Petition be admitted to probate and filed of record a~ the last Will. (and Codicil(sll of Decedent
Register of Wills
Formr RW-02 ren. l0/11/201 /
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se/Print In COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT pf HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
1. Decedent's Legal Name (First, Middle, Last, SuHlx) Z. Sex 3. Social Secu Iry Nu ber 4. Dale of Death (MO/Day/Yr) (Spell Mej
VerC~ L.oulseln)hlsler ~ ~t03 It)-~14~1 ~}pYii9,,~.pl~
Sa. Age-Las[ BlrthdaY (Yrs) Sb. Untler 1 Vear Sc. Untler 1 Da fi. Date of girth (MO/D ay/year)19pell Month) ]a. Birth 19ce (City one Slate or Foreign Country)
/1
l Months Days Hours Minuses /'j~.
/~/C~ ~171('P //DGI /1~ /)
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(f~- / / / ]b. Birthplace lCOUnty) ~({jh~C'rl((r)~
8a. Residence (State Or Foreign COUn[ryj 8b. Residence (Street and Number- Include Apt No.) Bc. Did Decedent live In a Townships
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Street
IMa 1
13 E ^vei, aleeemt upee m twp.
ed. ResieeMe Icopnry) .
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rti e r and 8! Residence (Zip COtle) 17~ ~ 1 ~NO, decedent Ilved within limits o/ -~b I re /17a/]~ IDYV n elty/born.
9 Ever in US Armed forces] 10. Marital Status at Time of Death ^ Married Widowed 11. 9urvNing Spouse's Name (1l wile, give name prior to first marrlagel
^Yes ~NO ^Unknown ^Dlvorced ^Never Marrletl ^Unknow
12. Father's Name (First, Mitldle, Las[, Suffix)
' 13. Mother's Name Prior to First Marriage (First, Mitldle, Last)
+ans setts
I I(am mar F i,eisrn~n
14a. InlOrmanCS Name 14b. Relationship to Decedent
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J 14c.Informant's Mailing Address (Street and Nu ber, Clry, Stale, Zip Codes
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~ arC~ ~ 3l In'Sireet,~ev~,ls~rr~~• P (7339
p lsa. P ace o peat c ec on y one
"' If DeatM1 Occurred In a Hospl[al: t] Inpatient ~If Death Occurred Somewhere Other Than a Hospital: [] Hospice Facility [~} Deceeent's Home
° ^ Emergency Room/Oplpatlent ^ Deatl on Arrival ~NUrsing Home/Long-Term Care Faclllty ^ Other (Speclry)
~
156. Facility Name llf not institutio treetand number;
a 16c Ci Towp,S ate, d Code 15 .founryof DeaM
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C artmol,+ ursii) ~ ~ih
bili Ahmi C(!iller , ~
~Cirl islz
I ~U13 umbek-I ~rul
a 16a. Method O/Disposition Burial ^ Cremation 16b. Dale Ot Disposition 16c. Place of Disposition (Name of Cemetery, crematory, or other place)
^ Removal Irom State ^ ponation
y l3 aDl~
isb~er°~ Cerny-{~r-~
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_ ^DtM1er,9pelify, , ~
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Z 16tl. location of Dls osltlon (C)ry Or Town, Stat , a d Zlp)
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~ 1]a Signat r / u Brat Serv ce LI Person' arge of Interment
~~ ~ ~ ~ 1)b. License Number
o3
a~'ris
~'Ir91 ~ I
c~~w ~b~la ~ySL
c 1]c. Name and Complete A dress of Fun r I Facility y
m e hr+ , r,,,p ,.~ CremafiYl , 37 E. rvlain St~r~+, ti e hani~5}~6er , pA-boss
lg. ecetlen['s Education ~ Check the box that best describes the 19. ecedent of Nispanic Origin ~ Check the 2p. Decedent's Race -Check ONE OR MORE races to Indicate what
° highest degree or level OI school completed at [he time of death. tips that best describes whether the decedent the decedent cpnsldered himself or herself to be.
^ gth grade or less is Spanish/Hispanic/Latino. Check the "Np' White ^ xprean
^ No diploma, 9th ~ 1Zth grade box Ir decedent is not Spanish/Hispanic/Latinp. ^ Black or African American ^ Vietnamese
^ High school graduate or GED completed No, not Spanish/Hlspamc/la[InO ^ American Indian or Alaska Native ^ Other Asian
^ Some college creep, but no degree ^Yes, Mexican, Mexican American, Chicano ^ Asian Indian ^ Native Hawallan
Associate de8ree le.g. AA, ASI ^Yes, Puerto Rican ^ Chinese ^ Guamanian or Chamorro
Bachelor's degree le.g. BA, Ag, B6) ^Yes, Cuban ^ Flllplno ^ Samoan
^ N1as[eYS degree (e.g. MA, MS, MEng, MEd, MS W, MBA( ^Yes, other Spanlsh/Hlspanlc/Latinp ^lapanese ^ Other Paclflc Islander
^ poctorate le.g. PhD, Edp)or Professional degree (Specify) ^ Other lSpecifyj
e.. MD, DDS, OVM LLB ID
Zl. Decedent's Single Race Self-Designation ~ Check ONLY ONE to indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation ~ Indicate type of work
White ^lapanese ^ Samoan done tluring most of working Ilfe. DO NOi USE PETI0.EO.
^ Black or African American ^ korean ^ Other Paclflc Islander I' II ,, J p ll^^
^ American Indian or Alaska Native ^ Vietnamese ^ Oon'[ Know/Not Sure DDk K " K r
^ Asian Indian ^ Other Asian ^ Refused 22b. glnd of Business/Industry
^ Chinese ^ Native Hawallan ^ Other (Specify) T
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^ Filipino ^ Guamanian or Chamorro _/ ~ C ~~ V~
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ITEM533a-23d MUST BE COMPLETED 23a.0a[e Pronounced Dead IMO/Day/Vrl 23b. Signature of Person Pronouncing Death )Only when applicable) 33c. License Number
BY PERSON WHO PRONOUNCES OR
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CERTIFIES DEATH E
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SI1 Zc-4>~LT'~S ~L~2'Zi QNL744bIL
z3e Date slgnee IMO/DavNr) 34. rime pr Death
A l : 1 1 ~ ,3 (~ I c~ I (~ ZS Was Meeical Examiner or Coroner Contacted] ^ Yes ^ No
CAUSE OF DEATH Appm.imate
Z6. Part I. Enter Me chain of events-diseases, Inlurles, or compllcatlons-that dlrecHy caused the death. DO NOT enter terminal events such as cardiac arrest Interval:
respiratory arrest, or ventricular Flbrlllation without showing the e
tiology. DO NOT ABBREVIATE. Enter only one cause on a line. Adtl adtll[lonal Ilnes if necessary Onset [o Death
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IMMEDIATE CAUSE ...._...._....> a.
I/~
IFlnal elsease o. concision Due ro for as a cpnie9uence oH.
resulting in death)
b.
s<gpennauy (lit cpnelamns, Dpe to 1pr as a consequence off.
vanv, leaeing m me copse
usmd On une a. Emer the
UNDERLYING GUSF Dpe ro Inr as a ron.e9pe ce °H.
- (disease or in)ury that
_ atetl the events resulting d.
In death) LASt. Due to (Or as a consequence ot)'.
S Z6. Part II. Enter other sinniflcant contlltlons contributln¢ to death but not resulting in the uneerlying cause given in Part I m~]
Z7. Was
an autopsy per(
Or
^
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R
f 2g. Were autopsy Flntlings available
to complete the cause o~death]
^ Yes
d 29. If~Fema~le ,
LvJrvot pregnant wlthln past Year 3p. Did Tobacco Use Contribute [o Death]
^Yes ^ Pr°bablY 31. of Death
m~l ^ Homicide
^ Pregnant at time o! Beath (~ ^Unknown ^ Accident ^ Pending Investigation
^ Not pregnant, but Dregnan[ wlthln 4Z days of death ^ Suicide ^ Could not be determined
^ Not pregnant, but pregnant 43 Bays to 1 year before death 33. Date of Injury IMO/Day/Yrl (Spell Month)
^ Unknown a pregnant within the past year 33. Time pf Inlury
34. Place of Injury e_8-home; construction site; farm; school) 35. Location of Injury (Street and Number, City, State, Zip Codes
3fi. Inlury at Work 3] If Transportation Injury, Specify. 38. Deicrlbe How Inlury Occurred.
^ yes ^ Driver/Operator ^ PedesHian
^ Passenger ^ Other (SpeOfyl
39~a[. Certifier (Check only one).
IL Certlfying phVSltlan ~ To the best o! my knowledge, death occurred due to the cause(s) and manner stated
^ Pronouncing & Certitying Dhysician -TO the best of my knowledge, death occurred at the time, date, and place, and due m the causelsl and manner stated
^ Medial Examiner/Coroner - On a basis of examination, and/or investigation, In my opinion, death occurred at the time, date, and place, and due t° the cause(s) and manner states
Signature of certi/ler: lJ Title of certi/ler: License Number: LyS- -s~~.~'
39b. Name, Address and Zip Code o z ompleting Cause of Death (Item 26l
er°p 39c. Dale Signed IMO/Day/Yr)
(uo0 C uei. Csu lislM 701
i las y 9 ., ol.a.
40. Reglitrar'i DlsMCt Npmbp~
I ~ 41. ~ [r 6ignatur
~ 42. Re ishar File D to IMO Day r)
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03. Amendments
Disposition Permit No. v ~'! '~ ~~ REV D]/Z011
OATH OF NON-SUBSCRIBING
REGISTER OF WILLS
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WITNESS(E~~ ~
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CUMBERLAND COUNTY, PENNSYLVANIA
Estate of VERA L. WHISLER ,Deceased
Edward J. Whisler and
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with Vera L. Whisler and am/are familiar
with the handwriting and signature of the decedent, and that the signature of Vera L. Whisler
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
Vera L. Whisler is in his/her own proper handwriting.
(Signature)
(Street Address)
(City, Slate, Lip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this ~~ day
of ~ ~ ~ C~~~
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~'`~ ~ .~ ~~'u
~~uty for Register of Wills
(Signature)
887 King Street
(.Street Address)
Lewisberrv. PA 17339
(City. Slate. Zip)
Fornz RW-04 rev. 10.13.06
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OATH OF SUBSCRIBING WITNESS(ES) ,~ =, = _
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REGISTER OF WILLS Y ~-
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of VERA L. WHISLER
Deceased
Harold E. Sheely , (each) a subscribing witness to
(Print Name;'s)
the ~~ Will Q Codicil(s) presented herewith,~eas~-being duly qualified according to law, depose(s) and
say(s) that °s~e / he /-key was /tee present and saw the above ~• /Testatrix sign the same
and that -sire / he y signed the same and that site / he /~ signed as a witness at the request of
the ~'-/ Testatrix in her /-iris presence and in the presence of each other.
(Signature)
(Street Address)
(City', State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
day
of ,
Deputy for Register of Wills
NOTE: To be taken by Officer authorized to administer oaths
Form RW-03 rev. 10.13.06
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(Sigr~ah~re) f___
706 Apple Drive
(Street Address)
Mechanicsburg, PA 17055
(City, State, Zip)
Executed out of Register's Office
Sworn to or affirmed and subscribed
h
before me this oZ 5 ~ day
of ~1~~ ~ ~ ~U ~ ~.
~~
Notary Public
My Commission Expires: i~~(~J~~Gt ~
(Signature and Seal of Notary or other official qualitied to
administer oaths. Show date of expiration of Notary's Commission.)
Please have present the original or copy of instrument s atat timn~otari f
PityTARIAI ~EJ4L,
~,~BFC;KY ML.,.Kt~Ip~S,~ELY,/Fd~~a1, ; Pu~b~1lk~,.
1'iW lanl~W~ W1°~~ Wd~lii~{Z'Y W W.
P4y Commission Expires Pion. 19, 2~Za
LAST WILL AND TESTA'~~IENT
of
VF.F.A L. WHISLER
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I, Vera L. Whisler, of the Borough of Shiremanstown, County
of Cumberland and State of Pennsylvania, being of sound mind and
memory, do make, publish and declare this my last Will and
Testament, hereby revoking any and all wills by me heretofore
made.
FIRST: I direct that all my just debts and funeral expenses
be paid by my Executor, hereinafter named, as soon as possible
after my decease.
SECOND: All the rest, residue and remainder of my estate,
whether real, personal or mixed, I give, devise and bequeath to
my husband, Clarence L. Whisler, providing he shall survive my
death by sixty (60) days.
THIRD: Should my husband, Clarence L. Whisler, predecease
me or fail to survive my death by sixty (60) days, then I give,
devise and bequeath said residue and remainder of my estate to
my son, Edward J. Whisler.
FOURTH: My personal representative shall have the following
powers in addition to those vested in him by law and by other
provisions of my Will, applicable to all property, whether prin-
cipal or income, exercisable without court approval and effective
until actual distribution of all property:
(A) To retain any or all of the assets of my estate,
whether real or personal, without regard to any principle of
diversification, risk or productivity.
(B) To sell at public or private sale any real or
personal property for such prices and upon such terms or con-
ditions as he deems proper.
(C) To compromise any claim or controversy.
(D) To exercise any option, right or privilege granted
in insurance policies or in other investments.
FIFTH: I appoint my husband, Clarence L. Whisler, the
Executor of this my last Will and Testament. Should he fail
to qualify or cease to act as Executor, then I appoint my son,
Edward J. Whisler, Executor in his stead.
IN WITNESS WHEREOF, I have hereunto set my hand this °~ T_/~
day o f ~~!c'-~~t~ 19 7 5 .
f~ l t~~~i~~ z~
Vera L. Whisler
Signed, sealed, published and declared by the above named
Testatrix as and for her last ~Nill and Testament, in our presence
who, at her request, in her presence and in the presence of each
other, have hereunto subscribed our names as attesting witnesses.
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