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Home My WebLink About06-15-12PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF cunneERLAtv~ 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 request(s) the grant of Letters in the appropriate form: Decedent's Information Name: Iva June LeFevre a/k/a: a/k/a: a/k/a: Date of Death: April 27, 2012 Decedent was domiciled at death in Cumberland principal residence at 302 Wertzville Road, Enola, 17025 Street address, Post Office and Zip Code File No: ~ I - ~ ;~ - ~; ~ `~ ~-~ (Assigned by Register) Social Security No: Age at death: 88 County, Pennsylvania (crate) with his/her last East Pennsboro Township Cumberland City, Township or Borough County Decedent dled at Rory Spirit Hospital, 503 N. 21st SL, Camp Hill, PA 17011 East Pennsboro Twp. 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 Pennsy[vania ............................ All personal property $ 30,000.00 If not domiciled in Pennsy[vania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsy[vania ........................ Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ 126,900.00 TOTAL ESTIMATED VALUE.... $ 156,900.00 Real estate in Pennsylvania situated at: 302 Wertzville Road, Enola, 17025 East Pennsboro Cumberland (Attach additional sheets, iJ'necessary.) Street address, Post Office and Zip Code City, Township or Borough County Q/ 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 February 24, 2012 thereto dated and Codicil(s) State relevant circumstances (e.g. renunciation, death ojexecutor, 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 (If applicable) c. t. a., d.b.n., d. b. n. c. t. a., pendente lite, durante 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 Relationshi Address "~' --.3 ~] ~ --- ; ti...7 --- - -rt , _ ._ ,. G, C ~: ~. ~ ~ . Form RW-02 rev. 10;'1 /;7011 D cn ~" ~ --n w Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } Petitioner(s) Printed Name Petitioner(s) Printed Address Joseph J. LeFevre 302 Wentzville Road, Eno i4 ,.~7,Q Paulette LeFevre 7107 Salem Park Circle, Mech(f~Rkt~li~~01 X50 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, th Petition (s 1 well and truly administer the estate according to law. Sworn to or affirmed and subscribed before ~~ P ~ Date ~ ~ l ~C~ ~ ~~- ~ ~ Date ~ -' me t~~~` ~~~ day of - ~ L , By: ~ it,,• I \ E ~ 1 ,E f (i(_'~ i~ G' i_ ~,~ ~ Date For the Register Date Official Use Only -rte `~~'! ! C ~' ~, iw ~Y-_..'J ~. ~ BOND Required: ^ YES Q, NO FEES: To the Register of Wills: i~C iISC cnw^ auy our. ~. vJ ...J ~.6.........~ ..- Letters ...................... $ ~,~ ~((~ ~ ~ ( ! ( )Short Certificate(s)...... ~ ((~ ~ ~ ~ ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ..•••••• ....... ~~_ Automation Fee ............... ~ ~ ~~ C JCS Fee. ..... ~`~ -~ ~ TOTAL ..................... $ C ~"~ Attorney Printed Na Jerry ! Supreme urt ID Nu er: 47624 Phil Firm Name: Philpott Wilson LLP Address: 227 N High Street P.O. Box 116 Duncannon, PA 17020 Phone: 717-834-3087 Fax: 717-834-5427 Email: Philpottj(ct~aol com DECREE OF THE REGISTER t Estate of Ida June LeFevre File No: ~) ~ 1 ~~~ ~~ Ll a/k/a: AND NOW, ~~'`~~~~ ~ ~~ _, ;,~( l -~_, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Joseph J . LeFevre & Paulette LeFevre in the above estate and (if applicable) that the instrument(s) dated February 24 , 2 012 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)~j of Decedent. ,- Register of Wills ~ , ~ ,_ ~.,~ ~ . , , i Form RW-02 rev. 10/11/2011 Page ~ Of 2 H I(IG ~:I~G pl: ~I ,tl.i i L ~~4F~iAR'S ~ER~"~~~~A~f~~~ ~ "-~~~,Y~'~ ti '-r .. IAI VV ~tWd~~ ~t is~`~~~~~~al to tiupdicat~ thsi~ f: ~~V ~~ly ~~~rotc~~.~a~ trr~ ; s s~.atr~f., x;~ Fee ti)r this ~:ertifi(~ate P +j(,~~r12 ~~~ ~ ~ Q~ ~~~ ~~ i -~ I ,. ~ ;~ `~~ ( t' ( (j' j I. c)I licit! CUMBERLANp'VUr~sr ~'a, ~. ~, ~s::; , t~,~ 5,,) r~j~ CO. PA *~~` b~ '' ,~ fi~j . r~ ••, ~ ~ ; P ~~ .~ ~ 1~~. ;~~ L t. Cy ~`° - - __ 'ertlticatj~n ti,u~lh:! ,, ~ ~ _ _ --= ~ ' , Type/Print In COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS Permanent 1. Decedent's Legal Name (First, Middle, Last, suffix) v • .~-s s s State Fil< Number: 2. Sex 3. social securiTy Number 4. Date of Death (MO/Day/Yr) (Spell Mo) Iva June LeFsvre Female 203-20-480'1 sa. Age-Last Birthday (Yrs) sb. Under 1 Year Sc Under 1 Oa 6 . . Oats of Birth (MO/Day/Year) (spell Month) 7a. Birthplace (City and sUte or Foreign Country) Months Days Hours Mi nutes 88 April 7, 7924 >b Birth lac (c . e ounty) P 8a. Residence (State or Foreign Country) Sb. Residence (Street and Number- Include Apt No.) 8c. Did Decedent Live in a T hi T owns p ad. Re:mence (ep~nPA 302 Wertzville Rd j(7 Ves, decedent used In n aboro wP. e Cumberland Be. Residence (21p Code) '17U2S QNO, decedent Ifvetl within limits of <Ify/born. 9. Ever in U5 Armed ForcesT 10. Marital Status at Time of Death ~ Married ~] Widowed 11. surviving Spouse's Name (If wife i Y , g ve name prior to first marriage) es ~] No ~ Unknown Q Divorced Q Never Married ~ Unknow 12. Father's Name (FirsT, Middle, Las<, suffix) ' 13. Mother s Nam< Prior t0 First Marriage (First, Mltltlle, Last) Clarottca Mac ro or 14a. Informant's Name 14b R l . e ationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zlp Coda) P l g au et LaFevro DAU HTE C s .. ....:..................................................... ~ ...... ..............................:If D ~~ th ~O "ace C 5 eat..... _ _ _ _ _ _ _ , ec on y one If Death Occurred In a Hospital: InpeTient c ea ~~ ~ o ........ c urre omewhere Other Then a Hos ixal: p [~ Hospice Facility (~ Decedent's Home ~ Emergency Room/Outpatient Q Deatl on Arrival 0 Nursin Hom /L T F g e ong- erm Care Facility Other (spe<Ify) 16b. ac lity Nama (H not Institution, give street and number, ls Ci LL c. ty or Town, state, and 21p coda lsd. County of Death Holy Spirit Hospital Cam HIII PA 17 71 16a. Method of Disposition ~J Bur lal Q Cremation 16b. Date of Disposition 16c. Place of Disposition (Name of cemete c t $ O ry, rema ory, or other place) ~ Removal from state Donation :~ other (sp<clty) S~3 /~ Blue Rid a Memorial Gardens Z 16d. Location of Disposition (City or Town, State, and Zip) 1>a. signature Of Funeral service Licensee or Person in Charge of Interment 1>b. License Number g Harrisburg, PA 17112 ~ E FD-'13646-L 1>c. Name and Complete Address of Funeral Facility 's Sullivan Funeral Homo t N En ~ . 18. Decedent's Etlucation -Check The box Tha[ best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE r- races to indicate what highest degree or level of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or h lf t b erse o e. ~ Bth grade or less is Spanish/Hispanic/LaTlno. Check the "NO" White K ~ orean No diploma, 9th - 12th grade box It decedent is not Spanish/Hispanic/Latino. Black or African American ~ Vietnamese ~] High school graduate or GED completed No, not Spanish/Hispanic/Latino Q American Indian or Alaska Native 0 Other Asian Q Some college credit, but no degree Ves, Mexican, Mexican American, Chicano ~ Asian Indian ~ Native Hawaiian A 0 ssociate degree (e.g. AA, As) ~ Yes, Puerto Rican Chinese Q Guamanian or Cham orro Q Bacheloi s tlegree (e.g. BA, AB, Bs) ~ Yes, Cuban ~ Filipino Q Samoan ' ~ Master s degree (e.g. MA, Ms, MEng, MEd, MSW, MBA) ~ Yes, other Spanish/Hispanic/Latino ~ Japanese O Other Pacific Islander Doctorate (e.g. PhD, EtlD) or Professional tlegree (specify) Q O h t er (specify) . MD ODs DVM LLB JD 21. Decedent's Single Race Self-Designation -Check ONLY ONE to indicate what the decedent considered himselT or herself to be 22a Decedent's U l O . . sua ccu patlon -Indicate type of work Q White ~ Japanese ~ Samoan don i d e ur ng most of working life. DO NOT USE RETIRED. ~ Black or African American ~ Korean ~ Other Pacific Islander ~ American Indian or Alaska Native Q Vletna mese ~ Don't Know/Not Sure Homemaker Asian Indian ~ Other Asian ~ Refused 22b. Kind of Business/Industry Q Chinese ~ Native Hawaiian ~ Other (specify) ~ FIIIPIno Q Guamanian or Chamorro Domestic fT EMS 23a - 23 MUST BE COMPLETED 2 .Date Pro un a Dead Mo Day Yr) 23 b. sign ture Per Pronouncing Deat Only when applica le 23c. License Number BY PERSON WHO PRONOUNCES OR c ~ ~ A CERTIFIES DEATH V ~ ~ ~~ ~~ 23 Date si ed (Mo/Day/Vr) 24. of Death 0 L 25. Was Medical Examiner or Coro er Contac[etlP ~ Ves No n a CAUSE OF DEATH Approximate 26. Part I. Enter the chain of a ents--diseases, injuries, or complications--chat tlirectiy caused the death. DO NOT enter terminal events such as cardiac a rres[ Interval: respiratory arrest, or ventricular fibrlllatlon wi[y~ut showir>,g t~o DO NOT ABBREVIATE. Enter only one cause on a line. Add additional Ilnes If necessary Onset to Death a / ` ' - ' _ IMMEDIATE CAUSE ------------ --> a. ^ ~ /1 /~ B ~, YY ~rr (Final disease or condition Due to (o as a consequence of): resulting in tleath) b. seq uentlally list condi<ions, Due to (or as a consequence of): If any, leading t the c o a Ilstetl on line a. Enter rhe UNDERLYING CAUSE Due to (or as a consequence of): (tl isease or injury that _ In itiatetl the events resul[Ing d. in death) LOST. Due to (or as a consequence f o) 26. Part 11. Enter ocher sl¢n'fica nt dit t Ib ti [ d th but not resulCing in [he underlying cause given in Part 1 22. Was an au<opsy rt metlP ~ ~ Yes m 28. Were autopsy fin rigs available t0 complete the cause of death? a 0 Ves ~ No 29 f male: E 30. Ditl Toba<c0 Use COnTribute to Dea[h> of Death t pregnant within ast ear ag p y Yes Probabl ~ Y Natural ~ Homicide Pre n t ti f m g an at me o death ~ Not pregnant, but pregnant within 42 days of death NO 0 Unknown ccide nt 0 Pending Investigation ~ Q Not pregnant, but pregnant 43 days to 1 year before tleath 32. Date of In Mo/Da /Yr S D suicide ~ Could not be determined jury ( Y ) ( Pell Month) ~ Unknown if pregnant within the past year 33. Time of Injury 34, Place Of Injury (e.g. home; construction site; farm; school) 35. Location of Injury (street and Number, City, State, Zip Code) 36. Injury at Work 3>. If Tra nsportatlon Injury, sp<ci N: 38. Describe Haw Injury Occurred: Q Yes ~ Driver/Operator 0 Pedestrian ~ No ~ Passenger ~ Other (specify) a. a rtifler (Check only one): rtifying physician - To the pest of my knowledge, death occurretl tlue to the cause(s) antl manner stated Pronouncing 8 Certl 'rig p slcl - To the best of my knowledge, death occurretl at the time, date, and place, and due to the cause(s) antl ma d ~ Medical Examiner/CO e b t < sis of examination, antl/or investigation, in my opt nlon, des red a[ the time, dace, and place, and ~^ef S at Cau~s)~od rnapB<r _zta signature of certifier: Ti le of certifier c T 37~ j 3 < License N ` y 3 b. N d1~ s az otl ers~ tin ause of Death (Item 26) : Y 39c. to Igne (MO D r) _,I.ae ~~~ ~ ~ ~ 4D. Registrar's District Number 41 Re istra si ~ . g r s gnatur 42. Regi ar FII Date a 43. Amendments / l U `~ Disposition Permit No. i.l~ ~ S~- 1 ' H705-143 REV O]/2011 LAST WILL ,: I, IVA JUNE LeFEVRE, of East Pennsboro Towns7rip, Cumberland County, Pennsylvania, declare this to be my Last r~^7ill, hereby revoking all prior Wills and Codicils. FIRST: I direct that the expenses of my lass illness and funeral be paid out of my estate as soon after my death as is convenient and expeditious in the judgment of my Co- Executors, hereinafter name~_~. SECOND: I give and devise my homestead residence situate at 302 Wertzville Road, Enola, Cumberland County, Pennsylvania to my son, Joseph J. LeFevre. THIRD: I give, devise and bequear_h all the rest, residue and remainder of my estate, be it: real, personal or mixed, of whatsoever nature and wheresoe~~rer situate to my five (3) children, Paulette LeFevre, Terry LeFevre, Debrah Roschel, Loretta McNaughton and Tammy Champagne, in five (5) equal shares, share and share alike. FOURTH: All estate, inheritance and. other death taxes, together with any interest and penalties payable with :respect. to property or interests therein subject to taxation by reason of my death and whether passing under my will o.r any codicil thereto, or otherwise including jointly held and other non-testamentary property shall be paid out of the principal of my residuary estate without apportionment. FIFTH: I hereby nominate, constitute and appoint my son, Joseph J. LeFevre and Paulette LeFevre, Co-Executors of this my Last ~~7i11. I further direct that they shall not be required to post any bond to secure the faithful performance of their duties in the Commonwealth of Pennsylvania o:r in any other jurisdiction. ITS ?,ti?ITNESS r~7HEREOF, I have hereunto set my hand anal seal to this my Last Will, which consists of one (1) sheet cf paper, dated this ayes day of ~-e?~~~~-Y~ 2012. R. SCOTT CRAMER Attorney at Law 5. S. Market St. ~ ~ ~~~ P.O. Box 159 vim- ~{ SEAL ) Duncannon,PA 17020 Iva J ne LeFev e The writing contained on the one (1) preceding page was signed and sealed by Iva June LeFevre, and by her pub=lished and declared as her Last Will, in the presence of us, who have hereunto subscribed our names as witnesses at her request, in her presence, and in the presence of each other. r C01~~10NPIEALTH OF PENNSYLVANIA) )SS COUNTY OF PERRY ) I, Iva June LeFevre, testatrix, whose name is signed t:o the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed ar~d executed the instrument as my Last t~~~ill; that I signed it willingly; and that I signed it as mfr free anal voluntary act or the purposes therein expressed. ~~ Iva ne LeFevre SV~70RN or affirmed to and acknowledged before me by Iva June LeFevre, testatrix, this ,~ r/ 7 t day of ~~~~~~~, 2012 R. SCOTT CRAMER 1 ~ ~\ Attorney at Law J 5. S. Market St. P.O. Box 159 / Duncannon, PA 17020 - ~`0~'~~~~~ ~ f ''~;> t~ ~~~ ~~L ~~~ OP1 o~i3r..~ , u~~C.3~en~.!,rrw cane ~Y ~fimisslOn ~. ,a~~„ r' ,e~ ~' ~Ut: COMI~TONWEALTH OF PENNSYLVANIA) COUNTY OF PERRY ) Gti'e ~(, ~L~~~~i4/1yI'~/~ and <~Io.S'-~".~3~1 GCS. ~7~`%'/4~?~' the witnesses whose names are signed to she attached or--~~~ foregoing instrument, being duly qualified according t:o law, do depose and say that we were present and saw testatrix sign and execute the instrument as her Last rs~7ill; that Iva June LeFevre signed willingly and 'that she executed it as her free and Voluntary act for the purposes there~n expressed; that each of us in the hearing and sight of the testatrix signed the ,,mill as witnesses; and that to the best of our k:nowledge the testatrix was at the time 18 or more years of ache, of sound mind and under no constraint or undue influence. .,% R. SCOTT CRAMER Attorney at Law 5. S. Market St. P.O. Box 159 Duncannon, PA 17020 SL^~IOR1~1 or affirmed to and subscribed to before me by ~. ~~ ~~ ~,~,a~~'1'J~/~~.-, a r_ d J c~ SY p,/t /,~,~ . ~ Q A!y!'l ~~~, , witnesses , this rid da of y ti, y ~-l.C~l~'t~/~ 2 012 . ;~ r" ~y ~~~ i' ~ t C~a~s~ait~ M Pitt ~ ,;~~ ~; ^ ~..1~ SEAL 1 ®urtc~~ntac~ ~~~o, ~rYy ~uF`r~ f ~~ f~8~ ~or~missiar~ ~Cx~a~~,~ k~ay 2~, 2~i~ ~