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Home My WebLink About05-10-12 C7 r~:> :~ L ;1.. ~1 ~ , `~ -CJ b1~ ._ _ PETITIOti FOR G R~rT OF LETTERS ~: ~ ~; r r , REGISTER OF WILLS OF ~' Ll;.sti+ ,~.. ~~ -~.,,C COUNTY, PEN~;S~~,'~'.~~IA .~ .it:o , rem t ho ! ~ ~ c'+a or ~ ~! ~:t as ~c lid be.o ti .^.~ StI , sl:pC`OI C ~. _ ~. 1~ z'' ~..c ... ::u v.;~ J a.rC: ~ t ~ t D ! ,-~ . e5~, ; ..~ ..y _ ._. ~ T ..... „_ ~z . r ir..:h,..:ppr, nr . tz .or:n: , -T, ~, , . . Decedent's Information ' game: / ~t -r'. L- ~~- I ~ ~kC File \o• 2I " ~~-~" ~ a/k;'a: / (Assigned by Register) a/k,~a: a!k/a: % > $~- c.~ ~' - Social Security No: ~S-~S- `f Date of Death: ~ ~-~ ~ Z~, ~ ~ i 2 _ Age at death: ~~ 1 Decedent was domiciled at death in ~i-ssct~-C/~ew-, ~ County, %l~ (stare) with his/her~ast principal residence at ~' ~ ~- ~G 2 ~ ~ ( / - c~ ~N ~ c .. ( ,;= jf 1 -', .~,. , ~,,,, ~,,1,~~1 ~ ./ Street address, Post Office and Zip Code icy, Township or Borough County Decedent died at ~i r~sf' .~'~ r/< ~~r.~'t~i (-t~,• ~~~,--~5 j'e. ~ t ,rt/c~~~ /~i~{ Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania ............................ All personal property $ /~ pC~~~ If trot domiciled in Pet:nsy!vania ........................ Personal property in Pennsylvania $ If trot domiciled in Pennsyvania ........................ Personal property in County $ f~alete of real estate in Pennsylvania ......................................................... $_ TOTAL ESTIMATED VALtiE.... $ ~. ~ ~ --- Real estate in Peunsylvania situated at: (Attach additional sheets, i/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 Qlt: /'~ 2['~'`~ 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. i ~NO EXCEPTIONS ^ EXCEPTIONS ^ B. Petition for Grant of Letters of Administration (If applicable) c. t. a., d.b.n., d. b. n. c. t. u., penclente life, clurmite absentia, durance minoritate 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 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 lift ao 1k'ill and was survived by the following spouse (if any) and heirs (attach additional sheets, ifnecessury): Name Relationshi Address Fnrm RW-02 rev. !0/11/1011 Page 1 of 2 Oath of Personal Representative CO~(~(OVWE.~LTH OF PEV'NSY-LVAV[A } 1 i SS. O~cial L`sc Only :. ~--- _ '--- (1 r... , -n _` r~ ..T.. .I -.: ,[l - .. '~. -_ .~_ ~:. '.. ~ ~~~~:e a., ,..,, ~ Cress-` `~ _ ~ ,z Tlie Petitioner(s) above-named swear(s) or affirm(s) the statements in th fo oin Petition are tnie and correct to the best of the knowledge and belief of Petitioner(s) and drat, as Personal Representative(s) of the Decedei re P it r(s ill well and truly administer the estate ac~r ng to la Sworn to a trmed n b cribed ~or --'~ Date S /'~ ~~"-- me this ~ a of ~ Date I3y' ~ l Date -`~ / ° ~~ (,~_,. O,' a e~i ctn. _ Letters ...................... ( ~ )Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( ) Aftidavit(s)........... . Bond ........................ Commission ................. . $ :~ a To t/~e Register of Wil/s: Please enter my appearance by my signature below: Other ...... _ ...... Automation Fee . .............. ,C71J JCS Fee. . . TOTAL ..................... $_°°°~ Attorney Signature: r -~_ Printe~ ame: _ ~l~Yf~~ ~ y`~-~ t C~ ~~ ~r'~~ Supreme Court ID Number: `~ ~ ~ ~~ Firm Name: 1. •C rtL•' ~ ~ C n~ ~ C Address: 7 r% L? C v ~~ 5 • ~'~ /-ill -~ i~r~r Phone: (7(I) ~ 7 7-C~`i L `f Fax: (7t7 I~7~~1 (,.~ I Email t~ t`_ w% CC -//t~C, C~ vt ~t (~ ~ .fin ~ - (.~•'~^- DECREE OF THE REGISTER Estate of ~a ~~ L . ~/ ~~~ File No:~c 1- f ,~ ' ~,~~~ a/k/a: AND NOW, ~~ ,~~, in consideration of the foregoing Petition, satisfactory proof having b en presented before me, IT IS DECREED that Letters ~~ are hereby granted to /~ (? % "~j _ ~ CJ/'j ~ E, 'T in the above estate and (if appl' ~ le) that the instrtunent(s) dated ~ - ` described in the Petition be admitted to probate filed of record a~ the last Will (and Codicil(s)) of of Wills Fnrrn aw-nz ,'w. tnirtiznu BOND Required:DYES ~NO FEES: H 105.905 FtEV.(8/lq This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with the Vital Statistics Law of 1953, as amended. 1 WARNIhIG It is ~lllegai;i~~~'uplicat~ this copy by photostat or photograph. f~C'~ , . _ ,.v -~ • ,-~- G~i ;,^~ 1 "`I sl ~c- ~~ "u"~C) Ca , FA s~~~~Y~~ No. ar .7S .y v_ `~2 W >~ Marina O'Reilly Matthew State Registrar APR232012 Date Type/Print In COMMONWEALTH OF PENNSYLVANIA ~ OEPARTM ENT OF HEALTH ~ VITAL RECORDS Permanent !`F~TI C~!`ATC AC P'1CATlJ 1. Decedent's Legal Name (first, Middle, Last, Suffix) 2. Sex 3. Social Security Number's N4. Date of Death (MO/Day/V r) (Spell Mo) Dale L. Zeiger Male 195-07-7559 March 20, 2012 6a. Age-Last Birthday (Yes) Sb. Under 1 Year Sc. Under 1 Da 6. pate of Birth (MO/Day/Year) (Spell Month) Ja. Birthplace (City and State or Foreign Country) 91 Months Davs Hdqrs Minpces November 9, "1920 <'am balltown PA 7b. Birthplace (cggnty> Lebanon Sa. Reside nc¢ (6[ate Or Foreign Country) 86. Resitlen,:e (Street and Number -Include Apt No.) Sc. Did Decedent Live in a Township? ly 1a 24 FarCJrEE:n ROad (fives, decedent Iw¢d In FZSt PE 'S1Z1SbCjrO de ~ ~~ _ __ wp. gd. Resi n C oun ~t3f: /21'Za11Ca 3¢. faesi a lisp Code) --I IC)~ ~ CND, de =rtlent li~¢tl within limits of sty/boro. a r 9. Ever in US Armed Forces? 10. Marital Status t 'fime of peach Marrietl 0 Widowed 11. Surviving Spouse's Nama (If wife, give name prior to first marriage) fives p N p unkngwn p DiYOrced C NeYer M ed p unknnw CFl='istiana DiSanto 12. Father's Nama (First, Middl¢, Last, Sgffix) 13. Mother's Name Prior Co Firsi Marriage (First, Mldtlle, Last) Lester Zeiger Beatrice Lebo 14a. Informant's Name 14b. Bela fionship to Decedent 14c. Informant's Mailing Adtlress (Street antl Number, City, Sate, Zip Code? 0 Christiana Zei er Spouse 24 Fa een Road. Hi 11 PA 170"1'1 G .................................... .................... .......................................... If Death Otturretl In a Hos ital: I ti t ..'...... isa. a.a¢e_o oeac-.. cneck oqy one _ _ O ~ ~ ~"~"~ ~ """"""""""""""""""""""' S p npa en If Death Occurred Somewhere ther Than a Hos ital: p ~ Hospice Facilit ~ Decedent's Home C Emergency Room/Ogtpa<i¢nt C Oead on Arrival ~ ", ~ N rsing Home/Long-Term Care Facllliy Ocher (Specify) i Sb. Facll icy Name (If no[ Institution, give street and n tuber; 15c. City or Town, State, antl Zip Code lSd. County of Death Forest Park HI=_alth Center Cumberland m 16a. Methgd of Disposition ~] Burial C Cremation 166. Date of Disposition 16c. Place of Disposition (Name of cemetery, cr¢matory, or other place) :~ ~ Removal from State ~ Donation Dmer(sPe¢ify) ch 26, 20'1 =ndiantown C'3p National Cemetery 16d. Location of Disposition (City or Town, State, and Zip) 17a. Signature of Funeral Service Licensee or Person in Charge of In Cerment 17b. License Number Annville, PA ' FD- 138630 F S 1JC. Name and Complat¢ Adtlress of Funeral Facil(ty ~ ' 1 zz' MectJanicsbur PA '17055 ~ 18. Decedent's Etl ucation -Check the box that best describes the 19. Decedent of Hispanic rigin -Check the 20. Decedent's Race - Gheck ONE OR MORE races to Indicate what highest degree or level of school completetl at the time of tleath. box that best describes whether [he decedent the decedent consitlered himself or herself to be. ~ Bth gratle or less is Spanish/Hispanic/Latino. Check [he "NO' While ~ K C No diploma, 9th - 12th grade box if decedent is not Spanish/Hispa nlc/Latino. ~ Black or African American C V etnam¢se C High school graduate or GED completed QI,] No, not Spanish/Hispa nlc/Latino 0 American Indian or Alaska Native C Other Asian Some college credit, but no degree Q Yes, Mexican, Mexican American, Chicano C Asian Intlian C Native Hawaiian Q Associate degree (e.g. AA, AS) t~ Yes, Puerto Rican C Chinese C Guamanian or Chamorro ' 0 Bachelor s degree (e. g. BA, AB, BS) ~ Ves, Cuban ~ FdiPmO C Samoan Master's degree (e.g. MA, M5, MEng, MEd, MS W, MBA) C Ves, other 5 Parrish/Hispanic/Latino C Japanese C Other Pacific Islander ~ Doctorate PhD, EdD (e.g. ) or Professional degree (Specify) [] Other 5 . MO DDS, OVM LLB JD ( pecify) 21. Decetleni's Single Race Self-Designation -Check ONLY ONE to indicat¢ what Ghe decedent consitlered himself or herself to be. 22a. Decedent's Usual Occu patio -Indicate type of work ' $J White C Japanese C Samoan done during most of working life ~ 00 NOT USE RETIRED . Q Black or African American C Korean C Other Pacific Islander Cgmptyter, Anal St Q Ame i I di Al k N i ' y r can n an or as a at ve ~ VI¢[namese ~ D [ Know/NOC Sure ~ Asian Intllan p Ocher Asian ~ Refusetl 22 b. Kind of Business/Industry Q Chinese ~ Native Hawaiian Q Other (Specify) Q FIIIPino Q Guamanian or Chamorro Federal C~oVernment ITEMS 23a - 23tl MUST BE COM PLE iE0 BV PERSON WHO PRONOUNCES OR CERTIFIES DEATH 23a. Date Pronquncetl Dead (MO/Day/Vr) rn a ~e-~N a o ~ ~ ~ ~ 23 h. Signat[IIe of Parson Pronoun g Death Only when applica bl¢ ~ , ~ ~,~/ ` /( ~ p 23c. License Number RJR SO IL S I r - L 23d. Date Signed (MO/Day/V r) ~ 24. Time of Death ~ ~ ~~lC // T i( " ~ ~ ~.O ~ ~- /~(i/ Q s2 ~ 7 29. Was Medical Examiner or Coroner Contacted? Ves No CAUSE OF DEATH Approximate 26. Pert I. Enter the chain of a ents--diseases, injuries, or complications--that directly caused the death. DO NOT enter terminal events such as card lac arrest Interval: n wit i s e N // respiratory arrest, or ventr cular fibrillatio hou howing ih etiology. DO OT ABBREVIATE. Enter only on¢ cause on a Iln¢. Add adtli[IOnal Ilnes if necessary - Onsei [o Death ~ ~ ~ ~ '~ v`'Le-C IMMEDIATE CAUSE --------------~ a. - ~ - ~~ ~ e (Final disease or condition Du~as a consequence of): _ result{ng in death) b . Sequentially list conditions, Due to (Or as a consequence nf): if any, leading to the cause listed on line a. Enter the - UNDERLYING CAUSE Due to (or as a consequence of): (tlis¢ase or InJury that - F initiatetl the events resulting d. - in death) LAST. oue to (or as a cons¢qu ence of): ag 26. a 1. Enter char significa edit' [rlbuCln¢ to death but not r ulting in the gntlerlying cause given in Part I 27. Was autopsy pe rtormed? ~ ~QMr.~ ~ C Ves C No 2H. Were autopsy findings available [o complete the cause of death? o Yes o N o 29. If Female: 30. Did Tobacco Use Contribute to Death? 31. Manner r~{1ea[h o Q Not pregnant within pass year 0 Yes C Probab y ~~1 C Homicide l ~ Pregnant at time of death 0 No [g-ki'rTR u 71 0 Accitlent C Pending Investigation N o ti C ot pregnant, but pregnant within 42 days of death C Suicitle C Could no[ be determined Q Not pregnant, but pregnant 43 days [0 1 year before tleath 32. Dace of Injury (MO/Day/V r) (Spell Month) C Unknown iF pregnant within the past year 33. 'lime of Injury 34. Place of Injury (e.g. home; consiruc[lon slier farm; school) 35. LocatlOn Of Injury (Street and Number, City, State, Zip Coda) 36. Injury at Work 37. If TransportaClon Injury, Specify: 3A. Describe HOw Injury Occurred: C Y ~ Driver/Operator ~ P¢destrian s C No ~ Passenger Q Other (Specify) __ 39a. C¢ r (Check only one): ertifying physician -TO the best of my wledge, death occurred due to the cause(s) and manner statetl C Prono ncing R Certifying ph he b f my knowledge, death occurretl a[ the time, dale, and place, and due to the cause(s) antl manner statetl C Medical Examiner/COf0 - minatlon, antl//or ll~nvests tion, In my opinion, death oc<u reed at the time, date, and place, antl due to the cause(s) antl manner stated ~ Signature of certifier: r ~ / r Title of certifier: License Number: 3g~^ ~ --^ A^ddress and Ip od of ¢rson Completing Cause ath (I 2 ) ~ ¢~ 39c. Da Signed Mo/Day/V r) V 2f-~- I ~r-- ~ S~ ~/~ ~ / ~Y a a 2G ~1G 40. Regtstrar.s District Number 41. R¢gis[rar'c5igna.~ _. _ _ ___.. __ __ - _ q , R g{steer F e pate (MO Day/vr) ~ a~ t`t~ a3. Amenaments Disposition Permit No.:~ ~ 9 ~ ~ / ~ REV 07/2011 ~,~~~ V' ~Y ~~,~ ~1 ~ ~ ~~~~~~~1 ~ •. ~~~ i' 1.J ~v~ _`_, ...~ i~ _ ~!'0 ,.,rC -, I. i ;, yp,.., ~. ~ ~:.~ ~r_, `"'' ~~ --~ CO i _ ~ ~~ ~~~~ ~~~~ ~o ~~~~~~ .iY ..l_ LLi `TM c~~, DALE L. ZEIGER, of the Township of East Pennsboro, Commonwealth of Pem~sylvania, U declare this to be my Last Will and revoke any Will or Codicil previously made by me. ITEM 1: I direct that all my funeral expenses be paid as soon as practical after my death. ITEM 2: 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. ITEM 3: I give, devise and bequeath all the rest, remainder and residue of my estate of every nature and wherever situate, together with all insurance thereon, to my children, as follows: A. Twenty-five percent (25%) to my son, KEITH J. ZEIGER of 216 South 29`'' Street, Penbrook, Pennsylvania, per stirpes; B. Twenty-five percent (25%) to my son, DALE T. ZEIGER of 4 Country Club Place East, Camp Hill, Pennsylvania, per stirpes; cC w v ~! N w Q C. Twenty-five percent (25%) to my daughter, CHRISTINE M. GILLESPIE of Rehoboth, Delaware, per stirpes; and D. Twenty-five percent (25%) to my daughter, DIANE M. ZEIGER of Mechanicsburg, PA, der stirpes. In the event that any of my named children should predecease me and leave no issue, than [direct that the deceased child's share of my estate as noted, shall be divided equally among my then living children, per stirpes. Page 1 of 5 ITEM 4: My Co-executors shall have the following powers in addition to those given by law to be exercised by them in their absolute discretion, which powers shall be applicable to all property held by them, effective without the order of any court and until the actual distribution of all such property: a. To retain any investments at discretion including stock of any corporate fiduciary hereunder or of a holding company controlling it; b. To sell, to grant options for the sale of, or otherwise convert any real or personal property or interest therein, at public or private sale, for such prices, at such time, in such manner and upon such terms as they may think proper, and to execute and deliver good and sufficient conveyances, assign-nents and transfers thereof without liability of any purchaser to see to the application of the purchase money; c. To borrow money and to secure the repayment the--eof by mortgage of real or personal property, pledge of investments or otherwise, without liability on the part of the lenders to see to the application thereof; d. To compromise claims by or against my estate or any trust created hereunder; e. To allocate and distribute different kinds or disproportionate shares of property or undivided interests in property among beneficiaries or trusts, in cash or in kind, or partly in each; £ To manage, operate, repair, alter or improve real estate or other property, and to lease real Q! w T6 ~ N w w w Q L1 estate and other property upon such terms and for such period as my co-executors deem advisable even for mo--e than five (5) years and beyond the duration of any trust; g. To deduct administration expenses upon either the federal estate tax return or fiduciary income tax return with or without adjustment as between principal and income, as my corporate or disinterested co-executors shall determine; h. To associate with them in the absence of a corporate fiduciary, an accountant, custodian and investment advisor, and other agents and to compensate them from principal or income or both, as my executors shall determine, such compensation to be a reduction of the compensation of my co-executors; Page 2 of 5 To associate with them at any time, in their absolute discretion and of their choice, a corporate fiduciary which shall have the same powers as my co-executors, such designation by my co- executors and acceptance by a corporate fiduciary to be in writing; j. To combine, without prior court approval, any trust herein with any other trust with substantially similar provisions, although such other trust may have been created by separate instruments and by different persons, and, if necessary to protect different future interests, to value the assets at the time of such combination and to record the proportionate interest of each separate trust in the combined fund; provided however, that no such combination shall be permitted if the effect of such combination would be (]) to violate the applicable rule against perpetuities; (2) to disqualify any interest in one or more of such trusts for a deduction for federal estate tax purposes which would otherwise be allowable; or(3) to cause the loss of the exempt status of one or more of such trusts from the imposition of the generation-skipping tax; k. No trustee shall be required to qualify before, be appointed by, or, in the absence of a -~v ~ ~[ w " w N w d Q breach of trust, account to any court (and failure to account alone shall not be considered such a breach); nor shall trustee be required to obtain the order or approval of any court in the exercise of any power or decision granted hereunder; To allocate any generation-skipping transfer tax exemption from the federal generation- skipping transfer tax to any property to wi~ich 1 am deemed the transferor under the provisions of Section 2652(a) of the Internal Revenue Code of 1986 and its successors, including any property transferred under my will and any property not in my probate estate and any property transferred by me during life as to which no allocation was made prior to my death, to the extent necessary to cause the inclusion ratios applicable to such transfers to be zero; m. To disclaim any interest in property without court approval; and Page 3 of 5 n. To do all other acts and things necessary or appropriate in the management, administration and distribution of my estate or trust. ITEM 6: In the event any legatee or devisee named in this will dies under such circumstances that there is not sufficient evidence to determine absolutely whether such legatee or devisee survived me, I direct such legatee or devisee shall be presumed to have predeceased me and devise and bequeath the gift in favor of that legatee or devisee to such persons and in such manner and in such proportions as set forth in this will for distribution if the legatee or devisee predeceased me. ITEM 7: Until distributed, no gift or beneficial interest shall be subject to anticipation or voluntary or involuntary alienation. ITEM 8: I appoint my sons, KEITH J. ZEIGER and DALE T. ZEIGER, Co-Executors, of this, my Last Will. ITEM 9: I direct that my personal representative or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this ~ ~ day of ~' , 2009. ,t9-~.e.. ~ ~:~ DALE L. ZEIGE Signed, sealed, published and declared by the above-named Testator as and for his Last Will and Testament in our presence, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~ ~~~ residing at ' ~ ~~ ~~ / ~~ ~~ '~ g j ~1 ~7~ [ ', ~~ CL.t~~'~l ~-~ 2rLt,~ ~ ~ ~ ~' residin at ~"tl' ~ ,{,t~~~-G, , ~ `7~'; ~ 1 I .~ -'_~.' Page 4 of 5 COMMONWEALTH OF PENNSYLVANIA ) ss: COUNTY OF CUMBERLAND ) We, DALE L. ZEIGER, ~r!-r /~I• ~.g,. ~./ and ~~fit? ry ~. ~, the Testator and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the will as witness and that to the best of his or her knowledge, the Testator was at the time eighteen (18) years of older, of sound mind and under no constraint or undue influence. DAL L. ZEIGER Witness I ~j~ Witness Subscribed, sworn and acknowledged before me ~ ~ by DALE L. ZEIGER, the Testator, and subscribed and sworn to before me by ~n~~ . ivy M,P.v and ~~ ~" y ~ ~tl "ti ~ ,the witnesses, this /y day of d ~T , 2009. CdMMONWEA~TN OF PENNSyIVANiA NOTARIAL SEAL Page 5 of 5 Lisa Marie Coyne. Notary Public Nampdsn Township, Cumberland County My Comtnissiort Expires ,luno 10. tOtZ