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Home My WebLink About06-29-12. r Reset PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND 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: Harold L. Nicholl a/k/a: a/k/a: a/k/a: Date of Death: June 25, 2012 File No: ~ i _ ~ ~ _ .) -7 (Assigned by Register) Social Security No: Age at death• 87 __ Decedent was domiciled at death in Cumberland County, pA (State) with his/her last principal residence at 4831 E. Trindle Road. Mechanicsburi=_. 17050. Hampton Township, Cumberland County. Pennsylvania Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 4831 E. Trindle Road, Mechanicsbure, 17050, Hampton Township, Cumberland County, Pen:nsvlvania Street address, Post Office and Zip Code City, Township or Borough Coiunty State Estimate of value of decedent's property at death: If domiciled in Pennsylvania ............................ All personal property $ 160,000.00 If not 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.... $ 160.000.00 Real estate in Pennsylvania situated at: NONE _ (Attach additional sheets, if necessary.) Street address, Post Office sod 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 January 20, 2003 and Codicil(s) thereto dated N/A _Glari~s M_ Nicholl rlierl nntnher 7R, 2(1(14 __ State relevant circumstances (eg. renunciation, death ojexeeutor, 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 bom or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS Q 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. Q NO EXCEPTIONS Q 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 Relationshl Address =[~ :v rXT -Z' ~-- r'r ~~rl -.' ~ ~ . r XI = - ~ ti _ ~ t f ~.. ~ ~C D .~. ~ ~ . cn c.> ~~ --~ _._ F'~. r'~ ~~ n Forn nw-oz rev. 10/!1/2011 Page 1 of t .' . . Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland Offic}al..LJ~S~~p1Y.. . ,_~.~ - ;F ~ { _ ~i~. lr ~C~ 0 °,~~~~ i c ;; ~~6 i 2 ,JUG 29 F~° ~ 3 Petitioner(s) Printed Name Petitioner(s) Printed Address David Nicholl 229 Mt. Zion Road ~ilsbta'' 17019 ~'h~~i-#~'v ~~ (_,` ~'~ '~ C , PA The Petitioner(s) above-named. swea*(s) or affirm(s) the state in the foregoing Petition are e an 'correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the a t, the Pehatio s) 11 11 an truly ister the estate acc rding o law. Sworn to or affirmed anti subscribed before ; ~ ~ ~`- ~ Date ~ ~~`~ 1 z-- me this, r~ day of ,~ ; 1 , ~ ~ - ,~ Da.te -, For the' Register. Date BOND Required: Q YES ~ NO To the Register of Wills: FEES: Please enter my appearance by my signature Ibelow: „ ~~ - `~ Letters ...................... $ ' . ( ~_~, )Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Otheiir ....... . ~ ~, ~ ~. .,e' i l ~ ....... ~ Attorney Signature: Printed Na e: William C. Dissin Supreme Court ID Number: 27737 Firm Name: Dissinger &Dissinger Address: 400 Snuth State Road _ Manrsville, PA 17053 Automation Fee ............... F" ~ - ' JCS Fee . .................... ~' ~~`~1C~ TOTAL ..................... $"~"7-7~`-X~"A:Ag Phone: (717) 957-3474 Fax: .(7171957-2316 Email: mvl na-net __ DECREE OF THE REGISTER Estate of Harold L. Nicholl File No:, ~1 ~ ~ '~, ~- ) ~__.`> a/k/a: AND NOW, , }(~ ~ ~,( ,.~~ } ~,~ ,, ~-L, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters r.(` .S { (11 j ~ ; ~ ~ j ri ; ~ 1 are hereby granted to ~r_x ~, t ~ C 1 ~ . \ C' 4 ~ (" 1 / in the above estate and (if applicable) that the instrument(s) dated - . ~ - .)( ~ ~'; described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of :Decedent Register of Wills - Form RW-02 rev. 10/II/2011 Pa~,l 2 Of H 10~6(1G k{-~' Io'II ~lll G:~~It Is tiJ dal to du~licat~ t~ht 1~:;,.ry~ ;~i~= ~~crt<<:r t~~l c > :r~~l , ,~)~ ~ ,i 1~~~ A~ ~ ~, I ., _.~I~ F~c ti)r this ~(°rtifi[ai(•. S(,.itlt }tl}~ Ju~ 29 ~~-~ ~' 23 01I~~/lft~4il ~J1,V't! _Cl1M8ER(.~WG CO., PA w , I ~~~~ ~ , Certifica[i(m 'Vutuh~(~ \`~ ~~` b ~ ~- ,+ ~~ 3d ~~~t trtl (..,t it(,(Ir ~± i?~~.jt3~ _ii )~ t),1r uc :~s1 alai ,) ~uN) 2 r zo~7 ~~~ _ ~~ ~_ Type/Print In COMMONWEALTH OF PENNSYLVANIA ~ OEPARTM ENT Of HEALTH ~ VITAL RECORDS Permanent CERTIFICATE OF DEATH Hiack Ink State File Number: rt 0 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4, Date of Death (Mo/Day/Yr1 (Spell Mo) H a r o l d Lee N i c h o l l r7a1-e 201- 16- 1 729 JiEne 25 2012 Sa. Age-Last Birthday (Yrs) 6b. Under 1 Vear Sc. Vnder 1 Da 6, Dat¢ of Birth (MO/Day/Vea r) (Spell Month) 7 Birthpla City and State or Foreign Country) ~ ~ Months Days Hours Minutes oysvi e, PA _ B7 NovESnber 2 I , 1924 76. Birthplace (County) P2r' Sa. Residence (State or Foreign Country) 86. Residence (Street and Number- Include Apt No.) 8c. Did Decedent Live in a Township? PenlTSy1V3n1a 483 ] E t 'LY i dl ~es, decedent lived In _ "~'~!•^sen twp. ad. Residenpe (cpgnty) as n e Road CIJnJberlal-ld 8e. Residence (Zip Code) ] 7~5 Q No, decedent Ilvetl within limits of _ city/born. s.. ~ r in US Armed Forces? 30. Marital Status a[ Time of Death Q Married Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage) {Ves Q No Q Unknown CI Divorced [] Never Married Q Unknown 12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (Fl rst, Middle, Last) Willi~il Nicholl Grace Wilt 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, Clty, State, Zip Code) 0 D(svid Nict1o11 Son 229 Mt. Zion Rd. Dillsbur PA :17109 ...... ...... .... ..... .... . ... .. .... .... ...... .... . ...... 16a. P ate o eat C ......................................... ec pn y one .......................,.._... .. . . . .. . . . . .. ... .. .. . If Death Occurred in a Hospital: ~ In patle nt . ;If Dea t h Occu rred Somewhere Other Than a Hospital: Hospice Facility ~f' Decedent's Nome Q Emergency Room/Outpatient Q Dead on Arrival ~Y SSFF Y Ly~NUrsing Home/Long-Term Care Facility Other (Specify) _ _ , 156. Facility Name (If not instituiio n, give street antl number, 15c. City or Town, State, and Zip Cod¢ 16d. County of Death Country Meadows Mechanicsburg, PA 17050 Ib 16a. Method of Disppsiton ® Burial Q Cremation 166. Date of Disposition 16c. Place of plsposition (Name of cemetery, cre matc.ry, or other place) Q Removal from State O Donation °a€' Other (Spetlfy) June 30, 2012 Ebergreen Cenlete v 16d. Location of Disposition (City or Town, State, and Zip) 17a. Signature of Funeral Se_D(ice Licensee or Person in Charge of Interment / 17b. License Number Duncannon PA 17020 - FG 012774-L ess f Funeral Facilit 17c Na and Co let Add . me mp e r o y Richardson Funeral Home 29 S_ Enola Dr. E °r>S 18. Decedent's Education -Check the box that best describes [he 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OP. MORE: r es to Indicate what ~-- highest degree or level of school com plexed at the lime of death. box that best describes whether the decedent the decedent considered himsell or herself [o be. Q Bth grade Or less Is Spanish/Hispanic/Latino. Check the "NO" ~ White ~ Korean Q No diplo 9th - 12th grade b if de etle t Is t Spanish/Hispanic/Latino. Q Black qr African American Q Vietnamese ]~ High school graduate or GED c mpleted ~ No, not Spanish/Hispanic/Latino Q American Indian or Alaska Native Q Other Asian Q Some coi{ege credit, but no degree Q Yes, Mexican, Mexican American, Chicano Q Asian Indian ~ Native Hawaiian Q Associate degree (e.g. AA, AS) Q Ves, Puerto Rican Q Chinese Q Guamanian or Chamorro ~ Bachelor's degree (e.g. BA, AB, HS) Q Yes, Cuban Q Filipino Q Q Master's degree (e.g. MA, M5, MEng, MEd, MSW, MBA) Q Ves, other Spa nlsh/Hispanic/Latino Q Japanese ~ Other Pacifir Islander Q Doctorate (e.g. PhD, EdD) or Professional degree (Specify) Q Other (Specify) . MD, DOS, pVM, LLB, JD 21. Decedent's Single Rac¢ Self-Designation -Check ONLY ONE to Indicate what Che decedent considered himself or herself to be. 22a. Decedent's Usual Occupation -Indicate type of work White 0 Japanese Q Samoan done during most of working life. DO NOT USE RETIRED. Q Black or African American Q Korean Q Other Pacific Islander (- r?neral FO La1 Q American Indian or Alaska Native Q Vietnamese Q Don't Know/Not Sure , cLi1 Q Asian Indian Q Otfier Asian ~ Refused 22 b. Kind of Business% Industry Q Chinese Q Native Hawaiian Q Other (Specify) Q Filipino Q Guamanian or Chamorro Conr 311 ITEMS 23a - 23d MUST HE COMPLETED 23a. Date Pronounced Dead (MO Day Yr) 23 b. Signatur o Person Pronouncing ea[h (Only when applicable) 23c- License Number BY PERSON WHO PRONOUNCES OR CERTIFIES DEATH ~S_V '~ ° Z~ Z,'<7. 1'Z. ~ ~-~~ K ~~ ~-Z~ 23d. Date 51 ed (MO/Day/Yr) 24. Time of Death - (.(J 2... ~ 2_~ /~ 3 lJ ~ ~I ' 25. Was Medi al Examiner or Coroner o tacte Q Yes CAUSE OF DEATH Approximate 26. Part 1. Enter the chain of events--diseases, injuries, or com plicatlons- that directly caused the death. 00 NOT enter terminal a uch a ardiac arrest _ Interval: respiratory arrest, or ventricular fibrillation without showing the etiology. DO NOT ABBREVIATE- Enter only one cause on a knee Add additional lines if necessary Onset to Death a IMMEDIATE CAUSE > ~ ~7 L/-.~~l~ __ _ (Final disease or condition a ~ to (or as a quence of). resulting in death) ~` / 1 ~jj ' ~ //~~~ ~ ~~ -- - ' /'{~J b. / ~y i~/ - - Sequentially list conditions, Due to (or as sequence of). if any, leaning tp the cal,se _ ~_ / ~ ~ W ~i ~ listed on line a. Enter the c ~~/~ ~ lY1- _____ __ UNDERLYING CAUSE / Due to (or as a consequence of): (disease or injury that initiated the events resulting d. _ _ - in death) LAST. pue to (or as a consequence of): _~ 26. Part ll. Enter other sien'fica nC conditions contr"butina to death but not resulting in the underlying cause given in Part I 27. Was an autopsy performed? [~ Ye B'iFo ~ 28- Were autopsy Endings a ailable to mpie Ce the c of death? co a °Ya Q No Q Yes 3' 29. If Female: 30. Did Tobacco Use Contribute to Death? 31. Manner of Death E ~] Not pregn w(thin past year n Q Yes Q Probably QM1aCU ral [_I Homicide Q Pregnant at Y me of death Q1lo Q Unknown Q Accident [_( Fending Investigatio °m' Q Nnt pregnant, buC pregnant within 42 days of death Q Suicitle [J~ C:ould not be determ,ned F- ~ Not pregnant, buY pregna ni 43 days [0 1 year before tleatY 32. Date of Injury (MO/Day/Yr) (Spell Month) __ Q Unknown if pregnant within the past year 33. Time of Injury 34. Place of Injury (e.g. home, co nstructlon site; farm, school) 35. Location of Injury (Street and Number, City, State, Zip Code) 36. Injury at Work 37. If Transportation Injury, Specify: 3B. Describe How Injury Occurred: Q Yes Q Driver/Operator [] Pedestrian Q No Q Passenger Q Other (Specify) 39a. Certifier (Check only one)- L$-e>s-fTfying physician - To the best of my knowledge, dent r¢d due io the se(s) and m r rated Q Pronouncing 8a CertifYing physician - st of wledge, death o ed at the time, datesand place, antl duet the c e(s) and m ed r Q Medical Examiner/COrOner - he ba d/or Invest y opinion, death occurred at the timeod ate, and place, and due to <he c e(s) and m t d Signature of certifier: Title of certifier: _ License Number: 3 b. Name, Atldress antl Zip tle of Person Co pletin Cause of eath (it m 26) 39c. Da ~ Signed Mo/Day/Yr) ~ M~ S~ o r- ur !lo// ~p 40. Registrar's District Number 41. Regisira is ature ._ ~ 42- Registrar F,le Date Mo/Day/Yr) / - ~ ~ C,/~ ~~~ of z a3. Amendments pisoosition Permit No. V ~ , V ~i J' ~ R H%O?-/'At3 t LAST WILL AND TESTAMENT OF H!-,ROLD L. NICHOLL ~y '' J ~''` ~'~ i`a , , r~ .,t~.` Q ~'"` V t~,~,.s ~ N . ., ., ?'o-' ~ +. ~ '~> r-~ t..tJ "~ ~C~ N Lx- G.y, ~J I, Harold L. Nicholl, of 1 West Highland Avenue, Eno1a, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Will~~ and Codicils heretofore made by me. ! ITEM I. I direct that all my debts and fur..e:ral expenses, 1 including my cemetery lot and grave marker and all e:~cpenses of my M ast illness, shall be paid from my residuary estate as soon as practicable after my death as part of the expense of the administration of my estate. ITEM II. I devise and bequeath all of my e:~tate of every ature and wherever situate to my wife, Gladys M. Nicholl, if she urvives me by thirty (30) days. ITEM III. If my wife, Gladys M. Nicholl, predeceases me or dies ~n or before the thirtieth day following my death there in that case, L make the following specific bequests: A. Unto David Nicholl I give my gun cabinet, all my firearms and my brass railroad bell. B. Unto Christine Smith I give my cherry ]~>edroom suite, antique round coffee table and antique wash stand. C. Unto Julie Wohlforth I give my antique Tiffany lamp, Q fin.: my antique walnut bookcase and my antique oak table. ~~ ';_~c~ ,~ ~: 0 D. All my dishes, cutglass and jewelry to be divided among my daughters by them in as equal shares as possible. In the event said daughters are unable to agree as to such division, then in that case said items shall be sold and distributed pursuant to Article IV hereof. ~. m ~--, ~1,.~`= ~_ ~~ -- C3 ~._, ITEM IV. In the event my wife, Gladys M. Nicholl, predeceases me or dies on or before the thirtieth day following my death, I leave all the rest, residue, and remainder of my est<~t.e of whatever ~ i }-, ~ ~ m r 1-,i 1 drpi din ra thp~ Y ~ CC~~1P na~ure and whe ever si~aa~e cqua~ly ur_to ~.~~. c:l~~ ~ 1 ~ __ per stirpes. ITEM V. I direct that any and all Inheritance, Estate and I, Transfer taxes imposed upon my estate passing under my Wi11 or 'otherwise, shall be paid out of the principal of my residual estate. ITEM VI. I appoint my wife, Gladys M. Nicholl, Executrix of ;this my Last Will and Testament. In the event of her -renunciation, death, resignation or inability to act for any reasor.~ whatsoever, I ,appoint David Nicholl, Executor of this my Last Will and Testament. ,In the event of his renunciation, death, resignation or inability to act for any reason whatsoever, I appoint Christine Smith, Executrix of this my Last Will and Testament. In the event of her ,renunciation, death, resignation or inability to act for any reason whatsoever, I appoint Julie Wohlforth, Executrix of this my Last Will and Testament. I relieve my Executor or Executrix from the inecessity of posting security in connection with his or her duties jas such in any jurisdiction in which he or she may be called upon to act. ITEM VII. This Will is not the product of any contract or agreement between me and my wife, Gladys M. Nicholl, and my wife shall be free to dispose of any property (whether acquired under ,i this Will or otherwise), either during her lifetime or by Will, as she deems proper in her sole discretion. ITEM VIII. In the event my wife, Gladys M. Nicholl, dies under such circumstances that there is not sufficient evidence to determine absolutely whether she survived me, I direct: for purposes of this Will that she shall be conclusively presumed to have survived me. IN WITNESS WHEREOF, I have hereunto set my hand t:o this my Last Wiil and Testament, which consists of ~ pages, to ea h of which !I have affixed my signature this a~~'~ day of Vii= two 'thousand and two ( ~~9~-) ~i ~ f /` 1 l~ l~I ~ I-#arold L . Nichol l -~ v .. ,~ COMMONWEALTH OF PENNSYLVANIA ss .. COUNTY OF PERRY . We, Harold L. Nicholl, and C'-lcr.~.~ (`~~, ?~~.~c.~~~-~ ~ , and ,~ ,~ ~, (~ ;Rti-tip 1~;~~;~-~c~~.~-~ , the testator and the witnesses respectively, whose names are signed to the attached or foregoing !instrument, being first duly sworn, do hereby a'.eclare to the undersigned authority that the testator signed and executed the ~i.nstrument as his Last T~Vill and that he had signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, i.n the presence and hearing of the testator, signed the Will as witness and that to the best of their knowledge the testator was at that: time eighteen years of age or older, of sound mind and under no constraint or undue influence. e i'~ ~~ - , Harold L. Nicholl, Testator W i/t'~n~e s s U Gam' d ~~~--~i~' Witness Subscribed and sworn to and acknowledged before me by Harold L. Nicholl, Testator and subscribed and sworn to and. acknowledged before me by ~~~ta,r~~., h~1, iJ,c.h~,11 and lF. '~ witnesses this ~'"` day o f ~ -~. ~-~ . ~t~., ~ ~" XClotary Public NOTAR1Al. SEJ1L, tElGH ANN SNYDSR~ Not~ty Pty ~-y~vlNe Boro, Perry ^,~~, My fission Expos May 18, 20Q6