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HomeMy WebLinkAbout07-16-12Reset 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: Donald Y.Frysinger Sr. File No: ~~" ~~" ~,~~ a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: 188-12-5948 Date of Death: April 11, 2011 Age at death: 88 Decedent was domiciled at death in Cumberland County, pennsvlvania (State) with his/her last principal residence at 1020 Wavne Avenue. Carlisle 17013 North Middleton Township Cumberland County Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 361 Alexander Sprine Road Carlisle 17015 South Middleton Township Cumberland PA Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedents property at death: If domiciled in Peni:sylvairia ............................ All personal property $ If not domiciled ii: Pen~aylvania ........................ Personal property in Pennsylvania $ If not domiciled iiz Pennsylvania ........................ Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ 0.00 Real estate in Pennsylvania situated at: FOR LITIGATION PURPOSES ONLY (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) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated March 10, 2000 and Codicil(s) thereto dated State relevant circumstances (e.g. renunciatiar, 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(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.~z., d.b.~z.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 (ifany) and heirs (attach additional sheets, if necessary): Name Relationshi Address c =s ?~ ~J ~.-, r-~ ~ i< f. -+~ ~- f"" .. ~ -w F'f f ..v C:'i `-' , ~_ _ . Q ~'~~ p ]ti- . i ~ ~ ~L- Y ~~ ...T] ~~ r~ `~ .l ="}'t _..~ ~~ Fo,-,n nw-oa reg. ~oiivzol~ Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ~~~, oc ~.. 4~ /~. C C Official Usc Only ~- C7 ~.., ~ ~ n ~ _7 ~ ~, _. - ~ , C Petitioner(s) Printed Name Petitioner(s) Printed Address -_ ~ Donald Y. F sin er Jr. ~: := 5 Mountain View Drive Carlisle Penns lvania 17013 ro ~ r~ O> _. 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 D edent, the Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed a d subscribed before ~ Date ~~~ me thi C~CIay o ~ , 2ci;Z, Date By' ~~ ~ ~ Date F he Register Date BOND Required: ~ YES Q NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters ..................... . (~) Short Certificate(s)..... . ( ~ )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . ~ ........ /~ , a, Attorn Signatu Printe ame: hn B. Zonarich Supreme Court ID Number: 79989 SkarlatosZonarich LLC Automation Fee ............... JCS Fee . .................... _~r?L~~ TOTAL ..................... $ ~-6:$6- (717)233-1000 (717)233-6740 ~1Z(~SkarlatnS~~narich rnm Firm Name Address: ~~J DECREE OF THE REGISTER } } SS: } Estate of _Donald Y. Frvsin>;er, Sr. File No: '`' / ~ ~ ~ /~~ a/k/a: AND NOW, ~~/~ ~~ ~f,~ j? , in considerati n of the foregoing Petition, satisfactory proof having en presented before me, IT IS ECREED that Letters r' ~/~ C//- are hereby granted to Q ~ j' in t above estate and (if applicable) that the instrument(s) dated _ described in the Petition be to probate and filed of record as the last Will (and Codicil(s)) of Decedent. Register of Wills Fornt RW-02 rev. 10/Il/201! Pa~~2 Of .~~-I~~ 7 1 ~- ~~~ ~~r .. , , ;, " v I,~„u - : L c~ i<yj_ i~li* ,i!I(Ct,L- `rr1.!`' . t :.., j~w i '. ~ ~.. I ,, lll~t( P 17450542 ,. -1 ____ _ " ~, ^ ~~~~~,~~ r 4 ~~ APr~t ~~~ 201 c ~~i :.II „ :: ~; .I;'.r _ _ -~;,; ~-_~ N ~ _ ~r ._ . \ , r 1 e ~ ~ ~•' r D ~~ H1os-143 REV 11n°°fi COMMON TYPE /PRINT IN WEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH V ~ PERMANENT • ITAL RECORDS BLACK INK CERTIFICATE OF DEATH (See Instructions and examples on reverse) i. Name a Decedent (First, mitlde, lazt, sNPor) STATE FILE NUMBER 2. Sax 3. S«ial Secunry Number 4. Date of DeaM (Month, day, year) ~12 5. Age (last Blrthtlay) Untler t ar Untler 1 tla fi. Date of Sidh Marlh, da , er 7 -5948 A ri 1 11 2011 1 ~8 Bits C' aM stale o f M 1 Mmms Dan Hoars Min~le~ c ° . r ore ro ~ Place 88 Dec. Vrs. PA Hospual: 10, 1922 Mt. Holly Springs, otner: Bb. C«n f DeaM ry ° &. Ciry, Bom, Twp. of Deem p~ Inpadent ^ ER / Ou~edent ^ DOA ^ Nursirg Home ^ Residence ^ 01her - $peciy; ed. Faclliry Name (If not instiMi l Cumberland S. Middleton 7.t.7p. m, g ue slre6l and number) 9. Was Decedent of Hispanic Orgm7 ~] Ng ^ yes 10. Race: American Indian, Black, White, ek. (Iryes,speciryca6en, (~ Carlisle Regional Medical Cente 11. Decedents Usual Occu eon Kind of work dme Bunn most of warki 6te. Do «t stale retired r M Mexkan, Puma Rican, eh.) White 12 Was Decedent eve I th ' Kits of Wak Kind of Business/IMUStry . r n e 13. Dacatem s Education (Spedty only highest grade canpleled) 14. Mar4al Status: Marred, Never Marred, 15. Survivi 5 use If wife, U.S. Amnd Fomas? n9 W ( give maiden name) Widowed, Divorced (Spealy) Elementary /Secondary (0-12) College (1-0 or 5+) 1fi. Decedents Mailing Address (Street, city/ town, state, zip code) yea ^ "° Widowed Decedents 1020 Wayne Avenue Did D«edent Actual Residence f 7a. state PA Live in a 17c ~ } Yes Deced t Li N d i Middle on Carlisle, PA 17013 . r~ '~ , en . ve n Twp. Cumberland Townahip? ,7b c 18. Famers Name (First, midtlle, last, suffix) . nunry rid. LJ No, Decedent Livetl within Actual Limits of City/ Bao Unknown 19. Homer's Name (First, midtlle, maiden surname) 20 I f t N Ernestine Yeingst a. n orman s ame (Type / Pnntj Donald Y. Frysinger, 20b. Infortnanl's Mailing Address (Street, city /town, state, zip rode) Jr. 5 Mountain View Drive Ca li l 21 e. Method of gsposifion ^ Crematbn ^ Donation o ~' Burial ^ Rertpvalfrom stare ~ waz cre nn AUlhorlretl , r s e, PA 17013 21b. Date of Disposition (Mgnm, tlay, year) 21 c. Place of Dis poskbn (Name of cemetery, crematory or other place) 21 d. Location (City/town, state, zip code) April 15 2011 W , ^ Other-S r b Examlrrer/WrorroR ^ Yes^ No estminster Cemetery Carlisle, PA 17013 22a. Sign n of «rel Sar ' re i actirg as sxh) 22b . Licerwe Nwnber z2c Namn aW gddress of F da < ~ ~ . a ry 138504 Hoffman-Roth E~neral Home & Crematory Conplete de when cerNyirg 23a. To the best of wkMge, death occurred al h id u rated. 219 North Hanover Street Carlisle PA 17013 ,dale antl (SgnaNre and title] p ys an not avadabM al lime of deaM Ic ] ~ rorory cause a death. ~ Vl r 23b. Lice r 23c. Date Signed (MOnm tray, year) 7 ~ ~~ C3G' yr' ~3 ~ ~ ~~ ,. , µtems 24-2fi must be compkfe0 by person 24. Timed 25. Date Pr«o Dead (MO tlay year) ho prornurxea death. ~ ~ M. , , 2fi. Was Case Referretl to ka Examiner /Coroner for a Reason Other Than Dremation a Duration? c ~1, ~ I ~ (/ `~ ~ ^Ves C ~ SE O~ DEATH (See I `satruetlons and ex mples) r Approximate interval: Item 27. Part I: re ter the chain of event -diseases, inrynes, rompli lions -Mat directly used me tleaM. DO NOT enter terminal events s«h as cartli t Part II: Enter otter iwT . t tlNOn= t'b frog t~ h 28. Did Tobacco Use Contribute to Death? epirefory anesl, a ventricular f~bnll showing tln etkdogy. List only one ca ac arres , Onset to DeaM use « each line but not resulting in the underryin9 cause gHen in Part I. ^ v.. Q o.,,r, ,n.. a E IMMEDIATE CAUSE fFinal dsease or rondiaen resultln in death g ) _~ ~'~'Y1 `,N y ,/T z. •'t Dee to (a a a ~ Sewnegntielly fist caxlitians, if any. b. L,~j d ce ° I h a En ter Iha U N D ERLYING CAU E a Due to (or as a mnseque«e oQ. (disease a iryury Ihat initiated me r events resuPong in tleath) LAST. ~ Due to (or as a c«seque«e oQ: a, r r 30e. Was an Aulepsy 30b. Were Autopsy Hakrgs 31. Mann alh 32a. Date of In Monts, da t Pedormed7 AvaBable Prior to Completbn NrY 1 y, years 32b. Describe How Injury Occurted ease of Deam7 Nature) ^ Homklde ^ yes o ^ yes IcdFJO ^ Accident ^ Pendng Invastigati« 32tl. Time al Injury 32e. Injury et Wak? 32f If Trenspodation Injury (Speciry) ^ Suicitle ^ Could Not be Delermirietl M ^Ves ^ No ^ Driver/Operator ^ Passenger 33a. Certifier (shed Doty one) Omer- Speay: • Certl lying phyaiclen (Physician certilying cause o1 deem when anotlnr physician has pranuncetl deem and wmpleled Item 23) To tin heat of my knowledge, tleath «curred due to the eause(s) and manner az slatetl_ _ _ _ _ _ _ • 330. Signature aril Title o1 e - - Pro«u«ing ant eertltying phyalean (Physiden both prorouMng Beam aztl cenitying to cause of deeM) T° tM best of my knowNtlga, deaM a«umatl et the Uma dale ant lace end due t M .License Number , , p , o B cause(s) and manner az sWted_ _ _ _ _ _ _ _ _ _ _ _ _ _ • Medleal Examiner/Corornr ---- ©S On the beds of examinMl« antl / «imesNgatl«, In my oplnl«, deaM «eurred at the time, date, and place, and due to the eause(s) and manner a: et l d ^ ` J a e _ d d rs 34. Nema'~dp am of rs Registref tore and District yyrri0en 38 Date Filed (Month da e r) ` -j 1 [ ~ - ~ ~ III I~~ Ip~ . , y, y a C/~v~n~ Disposhion Permd Na`- ~ ~ ~ ~ ~ b li 32g. L«atxn at injury lesinan I7A x~ V l Z~3 ~-L Cause RI Death (Item C>,~,,~.-II s ~~ •LfNc LJ unknown 29. If Femak+; ^ Not pregnant within past year ^ Pregnant at Nrrn of death ^ Not pegnant, but pregnant wdhin 62 days of deaM ^ Nol pregnant, but pregnant 43 Jaya l01 year betas deem ^ UMctwwn H pregnant wimm me past year 32c. Place of Injury: Hans, Fartn, $Iree( Factory, DBra Building, etc. (Spea'ry/ city /town, state) p/. ~~I LAST WILL AND TESTAMENT n ~:.a rs :~ ~ ~ ~ ~"~ ~ `~ ~ U;; :~. rn `-. - i p ~ .., ; _, _. , " ~ z'' ~ n ; . D --, I, DONALD Y. FRYSINGER, SR., of North Middleton Township, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. I. I direct my executors to pay al] of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 2. I authorize and empower my executors to sell any realty owned by me at my death, at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do if living. 3. I devise and bequeath all of my estate of every nature and wherever situate to my son, Donald Y. Frysinger, Jr. and my daughter, Donna Lee Seith, share and share alike, the child or children of any deceased child taking the share their parent would have taken if livin¢. 4. I nominate and appoint Donald Y. Frysinger, Jr. and Donna Lee Seith to be the executors of this my Last Wi11 and Testament; they are to serve as such without bond. 5. I hereby suggest that my personal representative retain the services of Irwin, McKnight & Hughes, as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this i0~iH day of March, 2000. ~~ ~ ~tt~. -- ~ (SEAL) DONALD . FRYSrINGE , SR. Signed, sealed, published and declared by DONALD Y. FRYSINGER, SR., the above named testator, as and for his Last Will and Testament, 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. ~~ 2 ACKNOWLEDGMENT AND AFFIDAVIT WE, DONALD Y. FRYSINGER, SR., CHERYL L. CLELAND and MARTHA L. NOEL, the testator and 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 had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, and teat each of the witnesses, in the presence and hearing of the testator, signed the Will as a 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. ~~~~~ DONALD .FRYSINGER, SR. CHERYL L. CLELAND " ARTHA L. NOEL COMMONWEALTH OF PENNSYLVANIA . . SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by, DONALD Y. FRYSINGER, SR., the testator herein, and subscribed and sworn to before me by CHERYL L. CLELAND and MARTHA L. NOEL, witnesses, this l Or" day of March, 2000. 3 ,~-~~ otary Public Roger g_ Irwin. ~Jotary~ Public: ';arlisle Bono `~umberlan~ Ccun?y fJ4,- Comrnissior~ Expires Oct ~. 2000 I ~ __ ~ t~,~,y~ ~' ~,: G!i Ov (VG 11!5S RENUNCIATION REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA t7 G~ ~~ v_ C7i,..' t7C: O ..p --, D ~.~-il~ ~,~~ Estate of Donald Y. Frysinger, Sr. ~.., C_,. C P`- m _~ n~r~{ ;; ,-..~ c_ C ("T'i __, ._.1 -n -~-, ~~ Deceased I, Donna Lee Seith , in my capacity/relationship as (Print Name) daughter of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Donald y. Frysinger, Jr. cX. Q (Dale) dos Executed in Register's Offce Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this ~O day of J~..i~ ~.~(Z C c~_ ~ Notary Public REBECCAL SiUY[)ER Notary Puhiic, State of Newyork My Commission Expires: G1S~`;~;U7G~b R ~c:~~ ~.;elaerCaunty i Signature and Seal of Notarq or other ot~ticia~c~i9711P1diY~o '' ~~~ ~'"~~~ ~'~~~ administer oad~s Show date of expiration of Notary's Commission.) !'arnt RW-06 rein. 10.13.06 zgnature)