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Home My WebLink About05-09-12PETITION FOR GRANT OF LETTERS REGISTER OF W[LLS OF CUMBERLAND _____ COUNTY, PENNSYLVANIA Petitioner(s) named below, who is/are I8 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: LLOYD M. CLIN1='s File No• 21- ~ ~ ~ '~-'~~'_ 1 a/k/a: ___ (Assigned by Register) a/k/a: --- a/k/a: __ Social Security No: Date of Death: 428/1? Age at death: 84 _._-_ Decedent was domiciled at death in Cumberland County, Pennsylvania _ (State) with his/her last principal residence at 442 Walnut Bottom Road 17013 Carlisle Borough C_ umberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 442 Walnut Bottom Road 17013 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 in Pennsylvania ................................All personal property $ ~t% nn . CJO ~ `" ~ Ijnot domiciled in Pennsylvania .............................Personal property in Pennsylvania $ If not domiciled in Pennsylvania .............................Personal property in County $ Value of real estate in Pennsylvania .............................................................. $ TOTAL ESTIMATED VALUE.... $ __._- ~7 U 00.00 Real estate in Pennsylvania situated at: (AUach addirionul.cheer,r, ijnece.rsary./ 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 2L2.1.L2~ and Codicil(s) thereto dated None _ __ Frances G. Cline died 6,t10/2000 State relevant circumstances (e.g. renunciation, deat/r oferecrrlor, etc.) Except as follows: after the execution of the instrument(s) offered for probate Decedent did no[ 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 (If applicable) c. t. a., d. b. n., d. b. n. c. t. a., pendente life, durance absentia, durante 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 left no Will and was survived by the following spouse (if any) and heirs (attach additional sheets, if necessary): Name Relationship Address n ~~ ; ~"" I - - ~ ---------- fW 1~~ ~~ r l1? ~y F'1 corm aw-o~ rep, loan zou Page 1 of 2 Oath of Personal Representative oef;~~ai use only COMMONWEALTH OF PENNSYLVANIA } ~i(l, - ^,~ ~F ~~/~ _ COUNTY OF CUMBERLAND } - -- - e.E. ~ 1 , ~ n Petitioner(s) Printed Name Petitioner(s) Printed Address ' 304 North Middlesex Road --~ Wanda E. Gehr f/n/a Wanda E. Blair Carlisle +^ ' a-' : pA' ~ 'n1~13 ~t ~F~ 516 Mountain Road ~ ~~.+, Cl~ ~_ ~ ~l ~ ~(~ {~ Debra M. Lebo Boilin S rin s , PA 1707 _ 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 Decedent, tie Petitioner(s) will well and truly administer the estate according to law. Sworn to ¢r~afftrmed anc~ ~u~scribed before .rp ~- _ j met ' -~ day of ~ t .~ '- _ ^ ,~:~-~ _ ~ Date _ ~p' y~~ ~~~- C Uate For the Register Uate BOND Required: L7 YES ® NO FEES: Letters ..................... C ~~ ~~ 1 .. $ _ (.. ( _~ )Short Certificates(s) .. .... ( )Renunciation(s) ...... ... . ( )Codicil(s) .......... ... . ( )Affidavit(s) .......... ... ___ Bond ..................... .... Commission ................... . Other _ ........ . Automation Fee ................. `~~~ _, c" (, JCS Fee ....................... , TOTAL ......................$ To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: --, .. , rin d Name: John BFowler, III _ S reme Court ~ID Number: 06273 Firm Name: Martson Law Offices Address: 10 East High Street _ Carlisle PA 17013 Phone: 717 243-3341 Fax: 717 243-1850 _ Email: _ jfowler martsonlaw.com __ _ DECREE OF THE REGISTER Estate of LLOYD M. CLINE File No: 21- a/lc/a: AND NOW ~-\~~C~ ~~~~ _~~,j',~- ~ _ , in consideration of the foregoing Petition, satisfactory proof having been ~~•esented before me, IT IS DECREED that Letters Testamentary - _. are hereby granted to Wanda E. Gehr, f/n/a Wanda E. Blair and Debra_M, Lebo __ in the above estate and (if applicable) that the instrument(s) dated 02/_21/1995 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedeni. '' ~ ~ ~'~t~~ ~~~ )~ Register of W~s _ r~rm tzwnz ,~w. Moir zo~~ ~~' y ~'~ -'~,~,~ l ~(~~~~ Pale ~2 r ~_ f-- WA :it Is -tile 1 dupficat~ th~~ I;~~„~ t~~ ~~` Cltcyst.~t ~,r r , fec f~~r this T~ertiticatr. "~f~.(HI ~f r ~`"~tY _~ >! ;' ~ +O (u( 1 _~:~ I ,-, ~,~F ~~. ^~~%f ~ ~I;lj t sl,i~ Ija ~ )c rt~i i I~. j~((u(. f ~)rj ~t)aC CU~IBERL.k~1~ CQ. ~PA '_ ~~~ ~ . '„~,' :; ~ ;~ ~ ~ ,~ ---- ---- - ------- ~' ~',~ ' A ~ (~ 3 0 ~ 01 z-- 97 ,if ' ~~Nt _ ~` - - i Y , Ceri)ttcat(on ti~((z1l>.°r r.c~ i~a;. .)I^~i ~. Type/Print In COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH VITAL RECORDS Permanen< CERTIFICATE OF DEATH ~s 2 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Num berg V a' Dace of Death (MO/Day/Yr) (Spell Mo) Lloyd M. Cline M 20l l8 2888 April 28, 2012 Sa. Age-Last Birthday (Vrs) 56. Under 1 Year Sc. Under 1 Da 6. Date of Birth (MO/Day/Near) (Spell Month) ]a. `rthplac~~eS Cittyy d Stare or EEoo~~,eeign Country) ~ ~ ~ urCJ, YH Months Days Hours Minutes nS IJZp r 84 Oetobr=_r 4 , 1 927 ]b. Birthplace (cpgntyl Ctiunl~r an 8a. Residence (State or Foreign Country) 8b. Residence (Street and Number -Include Apt No.) Sc. Did Decedent Live in a Township? PA oyes, decedent Ilyed in tw Bd. Residence (cp ty) 442 Walnut Bottom Rd. p. -- """"""'-"-'rl'and Se. Residence (Zip Code) No, decedent Ilved within limits of ~~~Y1 i ~l P city/borp. 9. Ever in US Armed Forces? 10. Marital Status at TI of Death ~ Married ~}C CW idowed 11. Surviving Spouse's Name (If wife, glue name prior to first marriage) e [Yes ~ No Q Unknown Q Divorced D Never Married ~ Unknow _ SZ. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle. Last) Roy - Cline Ada Lautsbau h 14a. Informant's Nam 146. Relationship to Decedent e 14c. Informant's Malling Address (Street and Number, City, State, Zip Codel 0 Wanda E Gehr Dau titer 304 Nord-1 Middlesex Rd. Carlisle, PA 17013 G w ......................... ............................ ...................................... f Death Occurred in a Hos it l [~ I i : ......... i6a. P ace o Deat C ec o ne n o . ............):..................-................... ...................................... tt--~++.. ..................................... - ~ p a : npat ent - Q Emergency Room/Outpatient ~ peed on Arrival • If Death Occurred Somewhere Other Than a Hospital: EJ Hospice. Facility ~y Decedent's Home ~ Nursing Home/Long-Term Care Facility Q Other (Specify) 16b. Facility Name (If not institution, glue street and number; 16c. City or Town, State, and Zip Code i5d. County of Death Tl-lornwald Home Carlisle, PA 17013 C<_anberland m 16a. Method of Disposition $}{BUrlal Q Cremation ~ Removal from State 0 Donation 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place) = Orner (specify) May 2 , 201 2 Cm~}~rland V a lley Manorial Gardens 16d. Location of Disposition (City or Town, State, and Zip) C PA 1 li l 013 p ~y a 1]a. Signature of Fuser I Service Licensee o i ge of IQterm ent ( 1]b. License Number ar s e, 7 GJ F'D 012633 L E 1]c. Name and Complete Address of Funeral Facility ° ' min Brothers Funeral Home =nc_ 630 S_ Hanover St_, Carlis e, PA 17013 ~ 18. Decedent's Ed ucatlon -Check the box that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE races o Indicate what t ~ highest degree or level of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herself to be . Q 8th grade or less Is Spanish/Hispanic/Latino. Check the "NO" [a'~i/h ire 0 Korean ~ No diploma, 9th - 12th grade box if deced enf Is not Spanls h/Hispanic/Latino. ~ Black or Atrican American ~ Vletna mese "High school graduate or GED completed jxNo, not Spanish/Hispanic/Latino ~ American Indian or Alaska Native 0 Ocher Asian ~ Some college credit, bu< no degree ~ Ves, Mexican, Mexican American, Chia no ~ Asian Indian 0 Native Hawaiian ~ Associate degree (e.g. AA, AS) Q Yes, Puerto Rican ~ Chinese ~ Guamanian or Chamorro ' ~ Bachelor s degree (e.g. BA, AB, BS) Ves, Cuban ~ ~ Filipino ~ Samoan ' ~ Master s degree (e.g. MA, MS, MEng, MEd, MSW, MBA) ~ Ves, other Spanish/Hispanic/Latino 0 Japanese Q Other PaclFlC Islander ~ Doctorate (e.g. PhD, EdD) or Professlonai degree (Specify) _ ~ Other (Specify) . MD, DDS DVM LLB, JD '-- 21. Decedent's Single Race Self-Designation -Check ONLY ONE to Indicate what the decedent considered himself or herself io be. 22a. Decedent's Usual Occupation -Indicate type of work ~~Nhi~e Q Japanese ~ Samoan done during most of working Ilfe. DO NOT USE RETIRED. Q Bieck Af i A i or r can mer can Q Korean ~ Other Pacific Islander Co~.1er/Operator ~ American Indian or Alaska Native Q Vietnamese ~ Don't Know/Not Sure ~ Asian Indian Q Other Asian ~ Refused 22D. Kind of Business/Industry Chinese Q Native Hawaiian Q Other (S peclfy) Appllan C2 ^J t.Ore and ~ FIIl pino ~ Guamanian or Cha mono Pltunblri ~ Heat In C-.001.1n BY PERSON WHO PRONOUN ES OR EU 23a.e IDat~elPr/onounced Dead (MO Day/Yr) 236. Signature of Person Pronouncing Death (Only when appllca bled 23c. License NumberCJ`tOZ- CERTIFIES DEATH (~ 4 /Ors/ o~(2 ._ ~ ~ ~~~ 23d. Da a Sig ed (MO/Day/Yr) 24. Time of Death 2-l Z 2-~ 25. Was Medical Examiner r Cor r Contacted? 0 Yes ®~ No one CAUSE OF DEATH Approximate 26. Part 1. Enter the chain of events--diseases, inJ uries, or com plicatlo ns--That directly caused the death. DO NOT enter <erminal events such as cardiac arrest Interval: respiratory arrest, or ve nir,cular fibri llatlon w ithout sho w ing the etiology. DO NOT ABBREVIATE. Enter only one cause on a Ilse. Add additional lines if necessary Onset to Death / ~ ~ ~ IMMEDIATE CAUSE ~ a `-~ ~ N a J `~ ~ ~ ` (Final disease or condition pee to (or as a consequence of): resulting in death) b. Sequentially list conditions, Due to (or as a consequence of): if any, leading to the cause listed on line a. Enter the UNDERLYING CAUSE Oue to (or a5 a consequence of): (disease or Injury that initiated the events resetting d. ,n death) LAST. Due to (o as a consequence of): S 26. Par[ II. Enter other si¢nlfica nt conditions contrib urine t d th but no[ resulting In the underiying cause given in Part I 2]. Was an autopsy performed? g Q Ves ~ No 28. Were autopsy findings available v to co plete the cause of death? '' ~ Yes Q No 29. If Female: 30 i o . D d Tobacco Use Contribute fo Death? 31. Manner of Death Q Not pregnant within past Year 0 Yes ~ Probably Natural ~ Q Homicide m Q Pregnant at time of death ~ No ~ Unknown ~ Accident Q Pendin Inv¢sii [Ion ~ Not pregnant g ga but re nant lithi 42 d f r- , p g w n ays o death ~ Suicide 0 Could not be determined Q Noi pregnant but re nant 4-t d t 1 b , p g ays o year efore death 32. Date of In ~ Vnknown If pregnant within tFi e~past year Jury (MO/Oay/Yr) (Spell Month) 33. Time of Injury 34. Piece of Injury (e.g. home; cons[rucYlon site; farm; school) 3S. Locate on of Injury (Street and Number, City, State, Zip Code) 36. Injury at Work 37. If Transportation Injury, Specify: 3H. Describe How Injury Occurred: Q Ve Q Driver/Operator Q Pedestrian Q No ~ Passenger Q Other (Specify) 39a. Certifier (Check only one): Certifying physician - To the best of my knowledge, death occurred due to the cause(s) and manner stated ~ Pronouncing 8a Certifying physician - To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manse stated r Q Medical Examiner/Cor - On the basis of examination, and/or Investigation, in my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner stated ~ ~ Signature of certifier: ~ r /~Ml....~ TI[le of ce rtifler: YVL- ('~ _ License Number: ~~h O (` Z`y\G 396. Name, Address and Zip Code of Person Completing Cause of Death (Item 26) G6 0 ~. C' ~ Q c' ra N ~ w rr- d ,-, *~o -7 ~ N e (.~ G...-,. ~C r ~~ t CL ~ f PA ~7n ( ~y. 39c. Date 5 ned ( o/Oay/Yr) ~ ~- 40. Registrar's District Number 41. Reglstra r'~ian„aturw ~~ ~ l U 7( ~ - v o 42. Registrar File Date (MO Day r) -V .e - 43. Amendments ~~ ~ a U to /\ Cl '2 I\ ~'p ~j H1U5-143 Disposition Permit No._ lJ L ~.7 lJ .JJ D REV U]/2011 LAST WILL AND TESTAMENT OF LLOYD M. CLINE :.~ , I, Lloyd M. Cline, of the Borough of Carlisle, Cumbe~~d ~:; County, Pennsylvania, declare this to be my Last Will and, ~,-.~ ~= ~T:.-- Testament and revoke all Wills and Codicils previously ma~_b~ ~ c::; u me . `:~ --a ITEM I: I direct that all my legally enforceable debt;and ~~ funeral expenses, including all expenses of my last illne~,y rv ~t~ shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM II: I bequeath any automobiles or motor vehicles I may own at my death, my personal effects, such household goods if any as may be my individual property and not the property of my wife or owned jointly by me with her, and other tangible personal property of like nature (not including cash or securities), together with any existing insurance thereon, to my wife, Frances G. Cline, providing she survives me by thirty (30) days. Should my said wife predecease me or die on or before the thirtieth day following my death, I bequeath such tangible personal property and insurance thereon to such of my daughters, Wanda E. Blair and Debra M. Lebo, as are living on the thirty- first day after my death, to be divided between them in as nearly equal shares as practical and as they shall mutually agree. I direct that any of the foregoing articles about which there is no agreement shall be sold at public or private sale by my personal representative(s), and I further direct that the net proceeds thereof shall be administered and distributed as a part of the residue of my estate. ITEM III: I devise and bequeath the residue of my estate of every nature and wherever situate to the Trustees of that certain -~z -r, ;r-, -- ' - ~~~ ,~ -- ~~~ ~ ~n ~ , ,K ~ ~yl . c....i~._, Trust known as the "Lloyd M. Cline Trust" and created by me on the 21st day of February, 1995, to have and to hold, IN TRUST, for the uses and purposes and subject to the terms and provisions thereof, including any alterations or amendments thereto, or any other trust which may hereafter be substituted therefor. ITEM IV: All Federal, State and other death taxes payable because of my death with respect to the property forming my gross estate for tax purposes, whether passing under this Will or otherwise, including any interest or penalty imposed in connection with such taxes, but not including any assets taxable in my estate for Federal Estate tax purposes under Sections 2044 and 2056(b)(7') of the Internal Revenue Code, shall be considered a part of the expense of the administration of my estate and shall be paid out of the principal of my residuary estate without apportionment. or right of reimbursement; provided that any or all bequests, claims, taxes and expenses in connection with the settlement of my estate may be paid from the assets of that certain Trust, created by me and referred to in Item III hereof as provided therein; and provided further, that any taxes and increased administration expenses in my estate on any portion of the marital deduction trust of that certain Trust known as the "Frances G. Cline Trust" and created by my said wife on the 21st day of February, 1995, shall be paid from the assets of that Trust as provided therein. ITEM V: In addition to those powers given them by law, all fiduciaries acting under this Will, whether or not named herein, shall have all of the powers more fully set forth under Article VIII of that certain Trust created by me and referred to in Item III hereof, which said powers are incorporated herein by reference thereto, applicable to all property, including property held for minors, whether principal or income, exercisable without court approval and effective until actual distribution of all property. I further authorize my personal representative(s) to disclaim any :interest in property, in whole or in part, passing ~, v~, ..~p~. to or for me under any will, trust, or otherwise, including but not limited to such property under that certain Trust created by my said wife and referred to in Item IV hereof. ITEM VI: I declare that Article IV of that certain Trust created by me and referred to in Item III hereof is intended to qualify "Trust A" created thereunder for the qualified terminable interest property provision set forth in Section 2056(b)(7) of the Internal Revenue Code, and my personal representative(s) are hereby directed to make the election to qualify if such qualification will reduce the Federal Estate tax in my estate. ITEM VII: I appoint my said wife and daughters, or the survivor(s), Executrices of this my last Will. ITEM VIII: I direct that all fiduciaries acting under this Will, whether or not named herein, 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, this ,~/-~ day of February, 1995. ~ 'h.. vi.•-~._ [ SEAL ] ~_ The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testator, was on the date thereof, signed, published and declared by Lloyd M. Cline, the Testator therein named, as and for his last Will, in the presence of us, who, at his request, in his presence and .in the presence of each other, have subscribed our names as witnesses hereto. COMMONWEALTH OF PENNSYLVANIA . ss. COUNTY OF CUMBERLAND , We, Lloyd M. Cline, John B. Fowler, III, and Mary M. Price, the Testator and the witnesses, respectively, whose names are signed to the 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 has signed willingly, and that he executed it as his free and voluntary act for the purposes 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/her knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. --~ ~ , Testator ~/~ , /~r.- yH '~ ~. Witness Witness Subscribed, sworn to and acknowledged before me by Lloyd M. Cline, the Testator, and subscribed and sworn to before me by John B. Fowler, III, and Mary M. Price, the witnesses, this a~~ day of February, 1995. .~,~.® ~ ~ 2~ ~ ~,~ . ~ ~~~- r ~ ~____-- ~vcara~'a~ sG°` Notar blic ~~NN~'El. f~~l j1J^.e~Y`~"`'` y~ ac,r =~ , 1 .a. ~r ~. 1 1'. 1 r 1 4':"~ ~i~. ~ ~<It. t ~^ -.~r, ~a ~ .,. - ~ _ .., _- s..r~._-~.,~fi