HomeMy WebLinkAbout06-07-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNT', 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 request(s) the grant of Letters in the appropriate form:
Decedent's Information r)
Name: JOHN SC_HAFFER, ~R, _ File No: Q.'~~--~,'~ =~~
a/k/a: JOHN_SCHA~R _ _ - ______ (Assigned by Register)
a/k/a: __
a/k/a:
Date of Death: 5 /10_ / 2 012 __
Social Security No: 95- 7-1374 _
Age at death: 91_
Decedent was domiciled at death in CUMBERLAND __ County, PENNSYLVAIN~A (State) with his/her last
principal residence at 6~ND RIDGE ROAD 17055 UPPER ALLEN 1'OWNSHP CUMBERLAND ___
Street address, Post Office and Zip Code City, Township or Boroug~,h County
Decedent died at _1700_ S • LINCOLN AVE • _17042 SOUTH LEBANON TOWNSHIP __ LEBANON 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
ljnot domiciled in Pennsylvania .............................Personal properly in Pennsylvania
/f not domiciled in Pennsylvania .............................Personal property in County
g __.__ 895,500.00
ValueojrealestmeinPenrrsy(vania .............................................................. $ _-_. 176,100.00
TOTAL ESTIMATED VALUE.... $ 1, 071.600 • 00
Real estate in Pennsylvania situated a[ 64. ROUND RIDGE ROAD 17055 UPPER_ALLEN TWP __CUMBERLAND__
/Aaach additional sheets, Jnecessary) Street address, Post Omce 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 11 / 2 9 / 2 011 _ _._- and Codicil(s)
thereto dated ~-- ------ -
Sere relevant circumstances (eg. rewneWdon, dmth ofexecumr, efe.)
Except as follows: after [he execution of the ins[mment(s) offered for probate Decedent did no[ marry, was no[ divorced, was no[ a party [o a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g;i, and did not have a child bom 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. c.a., d. b.n., d. b.n.c.t.a., pendente life, durance absentia, durance minoritace
If Administration, c.ta ar db.n.c.ta, 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(8) 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 fallowing
additional sheets, fnecessoryJ:
Name
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/nrn nw-oz ter. loiuaml Page 1 of 2
. _ _ �-
---------_ —�
Oath of Personal Representative � °�"a'°st°"lY I
j Hf:'{�GE� t,�F��;E OF �
COMMONWEALTH OF PENNSYLVANIA } i ��'��[!� �;r ,�/��� �� i
} SS:
COUNTYQF CUMBERi. .�MD------ --- - } I ��-�-"`�--�J����_.___�
- ___
� ,_ Peeitiomr(s}PrinteA xame Petinoner(s)Pnnted Address
___ _ _ ..__. —_.._ .. __— .—_
� 406 CHESTNUT WAY . .—�- ---�L�+"'.rir r—y --�.�.�
—_— ----_ ���_���n
i�lOAN E. GAY�G9N ---. _ ._. -INEW CqF�BERI�AN�__ _.._- �
�.. �
� _-_ __.- _- .__ --- -------..If.._ _ .__. ____ -_ - _-_-..-.-_.- - _-__- ----- -i
i I
�-- -- ____-- ------.. -_.-.j_-__._-._-,_- -------------- ----- - �-..,-._�I
� _-_ __ ..__ -- _- ------- _1--... - -- -._ -_ -_.-.-. - --I
1'he Petitioner(s)above-named swear(s)or affirm(s)the sta[ements in lha foregoing Petition are true and cortcct m the best of the knowledge snd belief
of Petitioner(s}and that,as Personat Representative(s}of tfie Decedent,the Petitiornr(s)wiil weif and wFy adminisker the estate acwrding to taw.
Swom to or aftirmed and subscribed before oate !����1�-
2A� --�' - -_ -
m _ ay f �'�_ , - -- -- � - -. Date
Y� - '�ti,r--� ---- -- - - - _- -- -_ Date - _ -
�r t e Regisler Datc .
BONDRequired: ❑ YES �O TotheReglsteiofWills:
FEES: Piease enhr my appearanee by my sigaature belaw:
� -----..-_-._..-_.- -..-.-.. -,
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Le/tt^ers. .. .. .. .. . .. ... .. . . .. . . $ --- _-._-- I Attomey Signature: I
( l }Short Certificates(3) ".... �(7 - -__. � �
( )Renunciation(s). ... . .. . . . __._ __. �,�'�l/�.,�,� ,
t )Codicil(s} _._--- _---_.--- I - ---_._ _ __�.._�-��=-`-__._.-_ .� �
........ ...... -
( )Affidavit(s), . . ... . .. . . . "
Bond .. .. .. .. . . � Printed Name: �A'LH-S�A�__- _- .---_--.--!
.... .... . _- I
Commission . ..` .... � I Supreme Court
........... ----
Othar _.. .�)_t .. �� I tDNumber: 7��.4.�---��---- -.__----- -------- I
.._-- -___- -__.., .. _.__ _____--
' FirmName: REAC�,ER $ ADLER, PC__.._ ____.. __._�
_ _ - __ _- .. . - -- -
� Address: 2331 MARK�T.STR� ___
-----�
_ - - ---...... ._ -__- _ _. I
I
-. ___ - . .. ..... . . --., ( CAMP H$LL -- -_ PA . 17 11 -I
-,._ __ _ .. . ... . .. _ ._
._ --_ ..... --- I Phone: 7b7-76�1�83--
- ---- . _-- -
- _ . .. . . _ � Fae 71�.31�7�6_-
_- -- --�
Automatron Fee . ......... ... ,�¢ I Emai3: �.���R�1!�_ERA�?,LERP�,�__ .._
JCS Fee .. . .. .. . .. .. . . . ���!._.
TOTAL. .... ......... ... ...$ _. ���
�-- �- - - --. __ .._�-.._�
DECREE OF TFIE REGISTER
EstateofJOHN S�NAFFER_,. JRe_ __ _.__- _-- -- - -- FileNo: ��_�_�_�_-�-.-.-
a/k/a: __ - --- - - -- .-
_ _- - -- --- - _- ---- -- -
_
AND NOW, '���,,,�-�-."`-'-� -_. _.._ , �d�_. ,in co si�o£the foyegoing Pet�tton,
satisfactoty proof having been presented before me,IT IS DECTtEED at Letters �`•�tk��. -
_ ___ _ __ -__ aze hereby granted ta �r � �?�,
- - - - -_.
_.- _- -,._. _� __ i e above estate and(if applicable}that
- - - - -
the instrument{s)dated _._��. J �
-- -- - _- -._ __ - _- -_- ---_
described in the Petition be admitted to probate and filed of record s the t Will(a Codicil(s}}of D dent.
� __ _ _ �- -
Re is ero Wt ls � ^
FormRW-o2 rev_7a/l1/107f
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LOCAII ~p~ I~~~to{c~dR'S CERTIFICATION OF DEATH
WAR~~~~~~ . g`~P_.Ca Uplicate this coPY by photostat or photograph.
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Fee for this certificate, $6.00
P 18389503
zaiz~ur+-i ann~ is
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pRPiiPN'S %OJF!
(Xprl~FiIAND CA,I PA
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
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Local Registrar Date Issued
Certification Number
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OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
(S/gnatureJ
Estate Of JOHN cCHAFFER also known a tOHN c HAFF R lR ,Deceased
THOMAS s. LONG , (each a subscribing witness to
(Prlnl Name/sJ
the^X Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same
and that she / he /they signed the same and that she / he /they signed. as a witness at the request of
the Testator /Testatrix in her /his presence and in the presence of each other.
~~ c"~1
(Signature)
~7~5 ~. ~Tb ~~
(Street Address)
~~ ruat~ ~~ ~ 7yY ?
(ciy, sra~e, rP~
Executed in Register's Office
Swom to or affirmed and. subscribed
before me this day
of
Deputy for Register of Wills
(Street Address)
(City State, ZiPI
Executed out of Register's Office
Swom to or affirme/Id44>u}d subscribed
before me tlfis ___L_(L day
of
2012 JUN -7 AM I I= 18
'.:-REF? ~;:
pRPHAN'S LOUR?
C1NdBERIAND CA., PA
,2012 ,
y Commission Expires: (~ ~~ ~~
(Signature and Seel of Notary or other official qualified to
administer oaths. Show date of aspiration of Notary's Commission.)
NOTE: To be takrn by Otfiar authorized to administer oaths. Please have present [he original or copy of inst ~3'yLVANIA
COMMON~~,~~'W`O~1'~1N
Notarial Seat
Form RW-03 rev. 10.13.06
Tara R. Ensmunger, Notary Public
City of Lebanon, Lebanon County
My Commission Expires June 26, 2015
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LAST WILL AND TESTAMENT
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I, the undersigned, JOHN SCHAFFER also known as JOHN SCHAFFER,
JR. presently residing in South Lebanon Township, Lebanon County, Pa, my
address being 1700 South Lincoln Avenue, Bldg. 1, Room 518, Lebanon, PA
17042, do hereby make this as and for my LAST WILL AND "CESTAMENT, and
I do hereby revoke any and all former Wills by me at any time heretofore made.
1. I direct that all my just debts and funeral expenses shall be paid as soon
as may be convenient after my decease.
2. I direct that all inheritance, estate and succession taxea which become due
and payable by reason of my decease shall be paid out of the principal of my estate
with the same effect as if said taxes were expenses of administration and the
personal representative of my estate shall have no duty or right to obtain
reimbursement for the payment of any of said taxes.
3. I give and bequeath my automobile to my friends, namely, William
Hosier and Pat Hosier, or the survivor of them if either should predecease me,
absolutely.
4. I give and bequeath the sum of One Thousand ($1,000.00) Dollars to my
friend, BRYAN CAPRIOTTI, absolutely, if he survives me.
5. I give the sum of One Hundred Thousand ($100,000.00) Dollars to my
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daughter, Joan E. Gavigan, if she survives me, absolutely;
6. I give the sum of Thirrr~ 'i hot;eaud ('v~0,000.e0) Doilars to my
granddaughter, Megan Quinlan, absolutely;
7. I give the sum of Fifty Thousand ($50,000.00) Dollars to my brother,
Peter K. Schaffer, if he survives me. but if he predeceases me, :[ give said sum to
my nephew, Peter K. Schaffer, Jr., ifhe survives me.
8. I give the sum of Twenty-five Thousand ($25,000.00) Dollazs to my
nephew, Peter K. Schaffer, Jr., if he survives me.
9. i give the sum of'I`hirty'I`hoz~sand ($30,0011.00) Dollars to my nephew
and his wife, namely, John Joseph Schaffer and Ciaire Schaffer, or the survivor of
them if one should predecease me., absolutely;
10. I give the sum of Twenty-five "Ihousard ($25,000.00} Dollars to my
nephew, Andrew Schaffer, absolutely, if he survives rne;
11. I give the sum of Twen±y-f ive 'T'ltousand ($25,000.00) Dollars to my
niece, Constance Boclsoce, absolutely, if she survives me;
12. I give the sum of Thirty Thousand ($30,000.00) Dollars to my
grandson, Scott C. Kelly, absolutely, if he survives me;
13. I give the sum of Twenty-five Thousand ($25,000.00) Dollars to St.
Michael's Evangelical Lutheran Church of Harrisburg, Pennsylvania, absolutely,
to be administered by the Pastor of the Church;
14. I give the sum of Five Thousand ($5,000.00) Dollars to my great-
grandson, Thomas Scott Kelly, to be invested by his mother, Molly E. Kelly, in a
Certificate of Deposit or other similar investment until he is 18 years of age, at
which time the principal and interest shall be paid to Thomas Scott Kelly.
15. All the rest, residue and remainder of my estate, I gave and bequeath
unto Childrens' Miracle Network for the use and benefit of Penn States
Childrens' Hospital at Hershey, Pennsylvania, absolutely.
16. I acknowledge that I have a daughter, namely, Jane E. Kelly, but that I
have intentionally and knowingly omitted her from sharing in the benefits of my
Estate.
17. [nominate, constitute and appoint my daughter, Jo~ui E. Gavigan, as
Executrix of this my LAST WILL AND TESTAMENT, but if she predeceases
me, or if for any reason she fails to qualify, or ceases to serve, then and in that
event I nominate, constitute and appoint, my granddaughter, P/Iegan Quinlan, as
Executrix of this my LAST WILL AND TESTAMENT, and :[ direct that my said
Executrix, shall not be required to file any Bond.
IN WITNESS WHEREOF, I have hereunto set my hand and seal, this
7'/f ~ ~
day of / 1/Q f J~~'/!I f /' ___, A. D., 2011.
(SEAL)
(JOHN SCHAFFER)
Signed, sealed. published and declared. by John Schaffer, Testator above
named, as and for his LAST WILL AND TESKTANIENT, in the presence of us,
who at his request, in his presence and in the presence of each other, have
hereunto subscribed our names as w' -~ ~es hereto. 1
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