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Home My WebLink About07-10-12PETITION 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 requests the grant of Letters in the appropriate form: Decedent's Information ~] Name: Gladys Mae Warner File No: 21 "- / ~ /J a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Decedent was domiciled at death in Cumberland County, pA (State) with his/her last principal residence at 115 Cavalry Road, Carlisle 17013 North Middleton Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 115 Cavalry Road, Carlisle 17013 North Middleton 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 $ 130,000.00 If not domiciled in Pennsylvania ................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ................ Personal property in County $ Value of real estate in Pennsylvania ................................................................... $ 140,000.00 ® TOTAL ESTIMATED VALUE $ 270,000.00 Real estate in Pennsylvania situated at 115 Cavalry Road, Carlisle, PA 17013 North Middleton Cumberland (Attach additional sheets, if 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) that he/she/they is/are the Executor(s) named in the Last Will of the Decedent, dated 04/26/2005 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(8), 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., pedente lite, durance 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 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): t~-.a ~~ N ~ ~' Name Relationship Address tp C r; > `_ L3 C`" - - co ;~` -~q y ~,,, a o~ Form RW-OZ rev. 10-11-2011 Copyright (c) 2011 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland } Offidal Use Only Petitioner(s) Printed Name Petitioner(s) Printed Address Donald E. Warner 115 Cavalry Road Carlisle, PA 17013 717-243-3870 c:~ ~ ~ ~ rn _~ r rvr-r, ..- r ~ .~~ ry .t.~.~ ~`~ ~/% ' I ?1 - ~ ~ `~ r-~r The Petitioner(s) above-named swear(s) or affirm(s) the statements in the fore oing Petition are true and correct to th~best of the kn edge and-' belief of Petitioner(s) and that, as Personal Representative(s) of the De~ erf~ et}tlpn () wi well and truly administer the estate a ording to law. 2 sz~-- Date 7~~~' - z~~ Z Sworn to or/affirrped and~ubsc~ibed before „ „ , „ me th~ ~~ d y of By: ~ BOND Required? ~ YES ~ NO FEES: Letters .......................................... ( ,]J )Short Certificate(s)......... ( )Renunciation(s) .............. ( )Codicil(s) ........................ ( )Affidavit(s) ...................... Bond ... .......................................... Commi ssion .................................. Ot he r / ry ~(J7 ~ ~ Automation Fee.. JCS Fee ............. TOTAL ............... L~~ UCH ()~i .~ G pc> $ ~ To the Register of Wills: Date Date Date Please enter my appearance by my signature below: Attorne e: /,/` `r '`~ , B~dl y L Griffie Supreme Court ID Number: 34349 Firm Name: Griffie & Associates, P.C. Address: 200 North Hanover Street Carlisle, PA 17013 Phone: 717-243-5551 Fax: E-mail: bgriffie@griffielaw.com DECREE OF THE REGISTER Date of Death: 06/27!2012 Social Security No: 201-18-4 9 Estate of Gladys Mae Warner File No: 21 -- a/k/a: _ AND NOW, t,~ ~ ~ U ~ C i .z , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Donald E. Warner in the above estate and (if applicable) that the instrument(s) dated 04/26/2005 described in the Petition be admitted to probate and filed of record as the las it ,and Codicil(s~ f Decedent`. ~~~/L Register of Wills Form RW-OZ rev. 10/11/2011 Copyright (c) 2011 form software only The Lackner Group, Inc. ~~ 1- ~~ • 7,~/ 7 r L•c IOr ii;i~ rc~rtitirc(t(~, `.;(~,.i){ t~~1 .~U~ ~Q a~~ 9~ Q~ CUMBp 0~ ~ °~ °~ , ~ ~ ~' ~ ~ v j ~' G ~~F~r~''k,e~D JINN 2 $~ 2n ~2 - --- - --- - - - e~X" l~rrtit(~ai((m "vu111').; t~ Type/Print In COMMONWEALTH OF PENNSYLVANIA OEPARTM ENT OF HEALTH VITAL RECORDS Permanent /~ _ (^FQTI CIf"ATC Ac IICATu 8 a 'z SaO Y - - File Number: 1. Decedent's Legal Name (First, Middle, Lasi, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (Mp/Da /Vr) (S ell M ) y p o Gladys Mae Warner emale June 27, 2012 6a. Age-Last Birthday (Yrs) 56. Under 1 Year Sc. Under 1 Da 6. Date of Birth (MO/DaY/Near) (Spell Month) 7a. Birthplace (City and State or Forei n Count ) ` g ry 86 Months Days Hours Minutes Feb 1 , 1926 Mercersbur PA ~ 7b. Birthplace (cPpntyj Fran7clin 8a. Residence (State or Foreign Country) 8b. Residence (Street and Number -Include Apt No.j Sc. Did Decedent live in a Township? PA 115 Cavalry Road ®yes d d t li d - T- i , ece en ve in Nr 1Yt I M r7f~l Pt An twp. Sd. Residence Count ) j ' Cumber .anc 8e. Residence (Zip Code) 17013 Q No, decedent lived within Ilmifs of city/born. 9. Ever In US Armed Forces? 30. Marital Status at Time of Death ~ Married Widowed li. Surviving Spouse's Name (If wife give name prior to first marria e) , g Q Ves ~ No ~ Unknown ~ Divorced Q Never Married ~ Unknow 12. Father's Name (First, Middle, Last, Sufflxj 13. Mother's Name Prior to Hrst Marriage (Firs[, Middle, Last) Thomas N_ Si s Carrie Fer 14a. Informant's Name 146. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code) 0 Don Warner son 115 Cava1 Road Carlisle PA 17013 G _ 1sa. P ace e .............................................. Deat C ec on n .. ..... ............. o ..... ......... e - ~ _ ___ 5 _ ............ . If Death Occurred In a Hospital: ~ Inpatient - If Death Occ ~~ ~~~~~~~~ ~~~ ~~ "' """"' ""' """' """ "••• urred Somewhere Other Than a Hos tai: Hos ~~~~~~~~ ~~ pi pice Facility '~ Decedent's Home Q Emergency Room/Outpatient ~ Dead on Arrival _ 0 Nur ing Home/Long-Term Care Facility 0 Other (Specify) 15 b. Facility Name (If not institution, give street and number; 15 c. City or Town, State, and Zip Code 15d. County of Death 115 Cavalry Road Carlisle, PA 17013 Cumberland m 16a. Method of Disposition ~] Burial ~ Cremation Q Removal from State 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place) ~ Donation July 7 , 2012 Westminster Memorial Gardens - Other (Specify) Z 16tl. Location of Disposition (City or Town, State, and Zip) 17 .Sign Lure of Funeral Se e L censee or Person in Char ge of Interment 17b. License Number Carlisle, PA 17013 ( ~~~_ 013144E E 17c. Name and Complete Address of Funeral Facility s _ m 16. Decedent's Education -Check the box that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE races to indicate what t- highest degree or level of school completed at the rime of death. boz 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" White 0 Korean 0 No diploma 9th - 12th grade box if d d t i S h ~ , ece en s not panis /Hispanic/Latino. Black or African American ~ Vietnamese High school graduate or GED completed No, not Spanish/Hispanic/Latino 0 American Indian or Alaska Native 0 Other Asian Some coll dit b t d ege cre , u no egree ~ Ves, Mexican, Mexican American, Chicano ~ Asian Indian p Native Hawaiian Q Associate degree (e.g. AA, A6) 0 Yes, Puerto Rican 0 Chinese ~ Guamanian or Chamorro ' Q Bachelor s degree (e.g. 6A, A8, B6) 0 Yes, Cuban Q Filipino ~ Samoan ' ~ Master s degree (e.g. MA, M5, MEng, MEd, MSW, MBA) 0 Yes, other Spanish/Hlspa nic/Latino Ja ~ Panese ~ Other Pacific Islander Doctorate (e.g. PhD, Ed D) or Professional degree (Specify) ~ Other (Specify) . MO DDS, OV M, LLB JD 21. Decedent's Single Race Self-Designation -Check ONLY ONE to indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation -Indicate type of work White ~ Japanese ~ Samoan done tluring most of working life. DO NOT USE RETIRED. Black or Afri A i can mer can 0 Korean ~ Other Pacific Islander nurses alder ~ American Intlian or Alaska Native ~ Vietnamese ~ Don't Know/Not Sure Q Asian Indian Q Other Asian 0 Refused 22 b. Kind of Business/Industry Q Chinese ~ Native Hawaiian Q Other (Specify) nursing home ~ Filipino Q Guamanian or Chamorro ITEMS 23a - 23d MUST BE COMPLETED BV PERSON WHO PRONOUNCES OR CERTIFIES DEATH 23a. Da Pronounced d (MO/Day Yr) 7 ~J~ /~ OC_(/ L 23 b. Si a /~rson Pronouncing ggqaaa th (OnIY when aPPlicablel /~C / a ~ ^ -. / / / • D ~ / J / 23c. License Number ~~~~~~ 23 Date Signe>X o/~ r) J J~• 24. T( e of Death i /)~ n~ J / ~ / /~ a L- J 1 K V ~ O ! / r (•/! 25. Was Metlical Examiner or Coroner Contacted2 ~ Yes CAUSE OF DEATH A i t pprox ma e 26. Part 1. Enter the chain of a ents--diseases, injuries, o mplicatlons--that tlirectly caused the death. DO NOT enter terminal a ents such a ardiac arrest Interval: respiratory arrest, or ventricular fibrillation wi th out showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines if necessary Onset to Death ~ l IMMEDIATE CAUSE > N~ Y E L- G D Y S r ~' S( 5 Y ~Li '~T~~_.t >~ (F al disease o ndition pue to (or as a consequence of): resulting in death) _ b. Sequentially list conditions, Due to (o as a consequence ofj: if any, leading to the c e listed on line a. Enter the UN DERLVING CAUSE Due to (or as a consequence of): (disease or inlury mat Initiated She events resulting d. (n death) LAST. Due to (or as a consequence of): s 26. Part 11. Enter other sfanifica nt conditions contribut'na to death but not resulting in the underlying cause given in Part I 27. Was an autopsy pe rfo rm ed? I~ .~ ~ D Yes •Q ~•O 28. Were autopsy findings available ~ to pieta the c of death? com a a Yes O No o 29. If Fe ale: ~ Not pregnant within past year 30. pid Tobacco Use Contribute to Death? ~ Yes ~ Probably 31. M pf Deam ,~ Natural ~ Homicide ~ Pregnant at Time of death ~^NO ~ Unknown ~ Accident ~ Pending Investigation m ~ Not pregnant, but pregnant within 42 days of death Q Suicide 0 Could not be determined ~ Q Not pregnant, but pregnant 43 tlays to 1 year before death 32. Date of Injury (Mo/Day/Vr) (Spell Month) 0 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 Gode) 36. Injury at Work 37. If Transportation Injury, Specify: 38. Describe How Injury Occurred: ~ Ves 0 Driver/Operator 0 Pedestrian 0 No ~ Passenger 0 Other (Specify) 39a. Certifier (Check only one): ~' Certifying physician - To the best of my knowledge, death occurred due to the c se(s) and m r stated ~ Pronouncing S Certifying physician - To the best of my knowledge, death occurred at the time, tlate, and place, and due to the cause(s) and manner stated Medical Examiner/GOroner - On the basis of examination, and/or tnvesilgation, in my opinion, death occurred at the time, date, and place, and due to the cause(s) and m r stated a A y Signature of certifier: ~ Title of certifier: ~h ~ License Number: 1 ( -11~ 39b. Name, Address and Zip Code of Per on Completing Cause of Death (Item 26) 39c. Date Signed (MOJDaV/Yr) Christopher J_ Bero, 220 Wilson Street, Carlisle, PA 17013 June 28, 2012 40. Registrar 5 District Number 41. Registrar's 6~ re ~1 42. Registrar File Date (MP Day/Vr) - atio QE 0 ~a- 43. Amendments Disposition Permit No. O ~ I ~O l0 iQ.O H105-143 REV 07/2011 r_a ~ ~ ~ ~~;'n LAST WILL -'-'r o cn ~: • _x~ ~-;~ TESTAMENT OF g~ ` ~ ~_ ~umberlan~ r ad Carlisle PA 17013 f 115 C l R GLADYS MAE WARNER I y , , , , o a va o , , County, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking any and all other wills and codicils heretofore made by me. FIRST. I direct that all my just debts and funeral expenses be paid from my estate as soon after my death as practically and conveniently may be done. SECOND. I direct that my remains be interred in Westminister Cemetery, Garden of Benediction, within the Warner burial plot in accord with my expressed wishes. THIRD. I authorize my personal representative to expend funds from my estate, in such amounts as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. FOURTH. I give, devise and bequeath any and all tangible personal property owned by me at the time of my death unto my children: DONALD EARL WARNER, NINA RAE CERRUTI and THOMAS EDWARD WARNER, in equal shares, per stirpes. FIFTH. I give, devise and bequeath any and all real estate owned by me at the time of my death, unto my children: DONALD EARL WARNER, NINA RAE CERRUTI and THOMAS EDWARD WARNER, in equal shares, per stirpes. SIXTH. I give, devise and bequeath all the rest, residue and remainder of my estate unto my children: DONALD EARL WARNER, NINA RAE CERRUTI and THOMAS EDWARD WARNER, in equal shares, per stirpes. SEVENTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my estate passing under my will or otherwise, shall be paid out of the principal of my residuary estate. EIGHTH. I hereby nominate, constitute and appoint my son, DONALD EARL WARNER as Executor of this my Last Will and Testament. In the event of renunciation, death, resignation or inability to act for any reason whatsoever of DONALD EARL WARNER, I nominate, constitute and appoint my daughter, NINA RAE CERRUTI as Executrix of this my Last Will and Testament. I hereby relieve my Executor from the necessity of posting security in connection with his duties, as such, in any jurisdiction in which he may be called upon to act insofar as I am able by law to do so. In addition to the powers conferred by law, I authorize my Executor, in his absolute discretion, to retain in the form received, and to sell either at public or private sale any real or personal property owned by me at the time of my death. NINTH. I have made, or may from time to time make, a written memorandum expressing my desire to give certain items of personal property to specific persons. I urge my Executor and beneficiaries to respect these wishes. Such a memorandum, if made, shall be stored in conjunction with this Will. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of two typewritten pages this ,,`~ (~ day of~~~~-. , 2005. GLADYS MAE WARNER Signed, sealed, published and declared by the above named Testatrix GLADYS MAE WARNER as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence and in the sight and presence of each other, have hereunto subscribed our names as witnesses. COMMONWEAL TH OF PENNSYL VANIA COUNTY OF CUMBERLAND . SS. '~ / ~ L.--~---- 1 ~~ G~ I, GLADYS MAE WARNER ,Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. GLADYS AE WARNER Sworn or affirmed to and acknowledged before me, by GLADYS MAE WARNER this ~ ~.; day of ~~~ ~'~ , 2005. Notary)Public NOT,AryiAL SEAL K,~t~y L. l~ummert, Notary Public l3arc:~~~~ of Carlisle, Cumberland Co., PA ~riy ~ammission Expires Aug. 11, 2007 COMMONWEALTH OF PENNSYL MANIA COUNTY OF CUMBERLAND SS. We, ~aU! ~.":~,~r~ 4 ~:~~-~'~~ ~. i'. and ~~,`°~ ~ ~~t'~- + ~t', the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw GLADYS MAE WARNER sign and execute the instrument as her Last Will; that she signed willingly and that she executed as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge, the Testatrix was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. ,~ ~~' ~ _. ~? G~~-Q- Sworn or affirmed to and subscribed before, me by ~~,j~ , .; ~~t~ ~ ~~ ,~, ~ ;, ;~ and ~'_~~~r~ ~ °~~~_`~- -~ ~ ,witnesses, this ~ ~ day of ! ~;, ~ t , 2005. { Notary Public N07fi~R1~aL SEAL Kathy L. MummErt, Notary Public Borough of Carlisle, Cumberland Co., PA My Commission Expires Aug. 11, 2007