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HomeMy WebLinkAbout07-20-12PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF ~-c.bfn `J1r2l~r .~ 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: D ecedent s Information Name: _ /t/--~~ip~..~ t PZ'/'~ Fish ,o_~_ a/k/a. a/k/a: a/Wa: Date of Death: __ ' 2 3' = / t Decedent was domiciled at death in Clv,tt 6.e%'c~,va County, principal residence at 3 7 / o ! v.. (n ..., r. _ . , r Decedent died at Street address, Post Office anT Cude File No: UI ~ I ~ ` (Assigned by Register) Social S Age at death: _ SL n_ City, Township or Borough with his/her last County Street address, Pos[ Olace and Zi Code ~ ~ ~ ~ r ~ r -I P City, Township or Borough Estimate of value of decedent's property at death: /I domiciled in Pennsylvania ............................ All personal property /Jnot domiciled in Pennsy[vans ........................ Personal property in Pennsylvania lJnot domiciled in Pennsy[vania ....................... . Personal property in County Value oJrea[ estate in Pennsylvania .................................. . TOTAL ESTIMATED VALUE... . Real estate in Pennsylvania situated at (AUnch additional sheets, ifnecersary.) Street address, Pwl Office and Zip Cade S 3 000.°p $---~_ City, Township ar Borough County A. Petition For Probate and Grant of Letters Testaments Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated /~ thereto dated /~5 and Codicil(s) Slate relevant circumstances leg. renunciation, dearh ofexecufar, arc.) Except as follows: afterthe execution of the instrument(s)offered forprobate Decedent did notmarry, was notdivorced, was notapartytoapending 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) ~_ ct.a., d.b.n., d.b.n. c.t.a., pendente lire, durance absentia, durance minaritate If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and ca_mplete 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 WiII and was survived by the following spouse (if any) and heirs (attach additional sheets, iJ'necessary): Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } ss: COUNTY OF ~ ,~Pp l~_ } •;p,, ~ „~~. I ~~ ~-r~rp AEi~~~.~., ~;F~~,~9~1y 01;~ JUL 20 AM 11 t 2 I LF i Petitioner(s) Pri r s ~~~ 7__ o The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petitio are we and correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Decedent th Petitio ,~ tell nd truly administer the estate actor ng to aw. Swore to or affirmed nd subscribed before me thi y Q~~ t ~/.. Date 2 p / L By: ~f Date Po egister Dale Date BOND Required: AYES NO FEES: To the Register of Wi!!s: Please enter my appearance by my sioaarn r. t,.[,...,. Letters ...................... $~ ( l )Short Certificate(s)...... ( t ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission.. Other ~_ Automation Fee.. . 1C5 Fee .................... -- TOTAL .................... $ Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: DECREE OF THE REGISTER Estate of ~ l !~ '~ Y>1Q ~ File No: ~ I - ~ ~ '~~ ~ / a/k/a: AND NOW, satisfactory proo the instrument(s) dated described in the Petition -~V >~ ~a , in con tderafon of the foregoing Petition, rented before me, IT ECREED that Le ters ~~ are hereby granted to ~ ~ , _ ~ Y J ~ ~ in the above estate and (if applicable) that to probate and filed Phone: Fax: Email: as the last Wi}I (and FonnRW-02 rrv. l0/ll/20/l v ,I~~" ~^ ~~w v Page 2 u: ~... c, L RAR'S CERTIFICATION OF DEATH ~, al to duplicate this copy by photostat or photograph. Fee for this certificate, $6.012 ~~~ 2~ ~~ ~~: ORP;IAN'S COURT P 18614~~~~°~ Certification Number P</pNn<In This is to certify that the information here given i correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will he forwarded to the State Vital Ruords Office for permanent filing. ~;,~1~~~-JUN ~ 910,11 Locul Registrar Date issued COMMONWEgLTH OF FENN3YLVANIq•OEP PTMENT OF HEiLTHVITgL IiECOPDS !'G OTECE!`ATC !1 1. Decetlen['a Le{el Name IFl,at, Mlaele, Lv,t, 3ufllwl mbar: 3. son 3, sacral securlH Numbe 3tata Frl Nq. Oats o! OeseF (Me/Dayry,) (spell Me) Ri¢the lmer Female 167-16-6258 June 28, 2012 . qae-Coat so-tneay lr„) se. unaa, l ve.. uee<r l o Dau or Dlnn (Me/Dav/wean (span Menenl slnnpl.=. taH.na sotto, Ferclm ceumH( M m ' one Davx Heat Inut Philadel hia PA Januar 4 1920 zb. elnM1Place (DeanH) Philadel his e F exla<nce (so or<I{n ceantrvr ee. R<xmence (serc<c .na Namm,- nc me gp<rvoo la D ia <p.aenf uYe m a rown,nlaz n a, a.emenc uv.a m Hamvden ~m.ne. lcoanM 3710 Le land Drive y` - tw ea R CUmberland ..m.nm mp eotl.) 17050 Orv eea.nf liven wrean nmm. a( v e clew/m o. s E.., m us q,m.a Forcers lD. M.rlu~ sutP, .arms or D..fn o M I a O w wen . sanavm{ spoase', a oFwna swe n.me ee. co n DV ~ ) Nam t n f' . r, m.. p .vel N ~Unknewn DDIYa.cee ~N e, Ma„lae O Unknown eV 13 . Fa<n e, a Name (Piro(, Mltltlle, last, Sufflel 13. Metne,'s Name pear <e Fns'[ Mvreage IFlrst. Mietlle, Lvat) J h o n Curran Nellie Ratiean va.. lnro,m.nre N. n.. lab Ra n n . . en, lp to Decetlem lac. lnrn.m.nra Malm{gee,<es ls[,.et ana rvumbe..oH.snte. zip emy J h g C o n L. Riethaimer ISI Son 3710 L¢ land Dr. Mechanicabur PA 17050 ..... x? a ...... .......................................... ...... .................. ........ a. vDean o'x~atream.naaplol: mp.nent .._ `if6~af'I:'o=S'~°.ys q.~_µ ,_e~orvyoune _ ....... ... .... erred a,::e ri ..... ..... .................................... ......................-..... er'e Oilter Thm a NO,piia: C]Tfbsplce Fa<nIH [r oeceC r en . Home O Emenency ROnm/ou<pauent O D..e Pn gvlvI rvaraln Hom./Cons-r.rm ore Facnl Inner (speclry) lsb l . Futi ity Nama (11 no<rni[Itu[len, Elva acres[ antl numba,`~ 15c. City o. Town, State, entl Zlp Cotle a c 1 15 . unH o Death Manor Car¢ Carlial¢ Carlisle PA 17013 Cumberland IE.. Nl~emo~er D1sTbmmn p Rp.ml c,emaeon lsb. D.<e o1 wxpaanon c. pmt. oe a n. eme[e t Na. me ry. c em.<o acne, Platt) ~ a na st ee i e M om.r (speclry) .Tune 29,2012 Rolling Green Cem¢tery o o . en . er a, Te , su[ 1Ee. w ox Dl.pozmon Tel a npl a. sl{n.at f F p n thane or mtermem vb. L e Number .n menx. n c <rxon r neon Camp Hill PA 17011 vc.Name.na sample[e gaar<xx aF Funeral F.eluH FS 012 849 L ~ IE. Deceeent's Etlucatlon-CM1e<k Ma box <nv<beat eescrlbea the 9. Decatlanfo Hlapanl O,IBIn-CM1eck Ma Decetlen[SR RMORE wnae M1I{Feat ae{,ae ec level el atonal cemple[etl vt ens [rme of eee<n fo rnelcete h b D O . x t at est eesc,rbe, wneMe, [ne aecee em O e tleceeent co aleerctl n m aell o, nerael o pe. ~ [n <a~ R<n a5 .nl,n/Hl,p.nl4la[lno. Check cn. "Ne W n alPlo ~ k .can 0 o mv, -13<M1{,nee box ll tleceaant4nat spanlaM1/Nr nlULacl o ne. OBlack r gfecan gmerlcsn ~ HIET school g,atlue a o, GEO ca plates 0 Yo, ne<spanran/H a nl mLa ~ y `[ m m can Ionian e, glaskv NaNVe ~ Ot Og 0 So colle e qz E reelC bu<ne ee{rce l r a e t ~ { ga ~ a. Mexican, Mex lce Q V P a a Rlca n eecam EM1lceno 0 1 n lntlran p N a Naw an 0 q, ocla[e e8cea la B, ` n = r ' ~ 0 Fnl^a"• p ommanl... o O v M1elors aaso le.{. es( , cn.mn,m ' 0 V a CUbvn q a , 0 IlPino 0 Samoan O Mva[e,', ee{real .E-M MEe p MS, MEn{, MSW, MBq) OVa; ufne.5pvnl,M1/HlspanlULe<Ino J Q aPaneae panerpann=Ialanee. O De.nercta p.{. ono, EaD) e. exof.aaenal Gyre. tsp.elH) O otne. IspedHj DDS ovM uE (D a u.Dee. ~nx•, smalea.c<s.IF-Dexlm.aen-cn«k orvw oNEm mama<e wnx[b. aeceaen«eneea,.a nlmxan ar M1<nelf to be. cea.nra uxaa oaupv9en-Imm.<e H O wnae <of k wor p o .lapane,e p amoa^ eons eaens moat of wa,km{ nxe. Do NoT usE RETweD. O {l.ck of gnltl+n gme,m.n ol< ootn<, P.clnc lxl.neet not go.ka we.,. ~ omc ew/Na<sarc ~ v o wm ~am ~ a a°M1aT . n Nxi., . al p emn.. o rv.. .w.n.^ o oe e 1 p.elHl zzb. Rine of aaaneas/Inaa,[rv p FIIIP O cu cn. ~ m canes zs. va musT ae Dau Prenoanc. esa ev REIaoN wwo pnokxwrv Ee z ows !l •v z na a.e a anon Prenpp oo< Iv when npp m. lei . ucen,e Nam e CEI<TIFIEE DEMTX ~//'JC ~~ a~~~ / ~~ _ // _ ~ ~J ^ a as{nmt / vrrl a. Time KGB«'YI GYAiW~LS~ /{NG!/a/~ ©S-S,St r/ ~~ ~S ~ 73' xa zs. wva Mealol E mms, e, corona. conu=c.ep p v., No CAUSE OF DEATH zs. pan 1. E r<n. [Halo m. no--mu.aea,Injarl.a, of eompuealon,--<M1at abenly capxea <ne ana[n. Do NOT en[e,[..mmal ..rent: aam as coral.[ arrex< ! ,cam,emrv.,rcn,a.~.nfn<ul.,nnellaelan wlfnau[.nnwlns[n. eeela{v o NDT 1n°°^'a" o geeREVIgTE I . . nn one=auae on allot. qaa aaarnnna nn<, ifn~t<::a,v Enu, Iv onaet to Deam IMMEDIgTE CqusE .. , a. !'(,~.--r <J <'f' -s~ L.o~~~.-f- ~_ (, ~Q_ ! ,Flna<tl coneltlon o to, as a conic uence o(f Duet j q : caul In{ In eea[nl kc4n..r-~ vu -tc~~ ~L ~ sSa'% S52_ i ~ seae.itlalvn ate, eFl: v.nv, eaamv m=<n«.a,.~ Duct .aaeanaee.,enc. uxua en n . en. c. na o NoeRlvl ust o m, n~: i Im,e . injury fna Duet as a mnueaenu c~a x G n be ey<nc, rcaal ne a. hl . ~, a .mlLgaT' Duewlet asa=onaewence on: i xs. v.n u. Ence, amen xl<n F rc bat not r<,wnne In me aneenvlne capxe mxen m P n I a j , m<az "`o ~ Ha ~' zv. were a w nnalnea aval.me ~e« m comP tn. caax<af aeamz zs. n Fe N Ito _ 30. Dia mb.cco u,. concpbate ca D..mz ~ N 1_ Manner o< DaatM1 re{n.nt .n r 3 i l yev r3 V ~ PtobeblV ~ Pte{nant a[ time a ~ N u,a O Homlcle t tleetM1 ~ O Not PteBnant bu<pte[nvn[wltnln q3 tlaYS O/eea[n 0 No ~ Unknown O t l t ~ Pennine Cnvestleanon S l ee O NOt p,e{nant,bu<ptegnan[g3 says to lyeatbefote eeatF 2. Date of lnjurytMO/Oay/ytl (Spell MentM1) cl oceala no<be aeu,mrn<a O Unknown I pregnant wl<M1ln one pant year 33. nme o Injury . Plata oI Injury la. {. Fom¢, cenattuRlon alts: Fe,m: school) Location a Injury lso-ee<anE Numbe(. OH. Sfate•Zrp Ceee1 .Injury vc work 3T. eHOn lnlurv dN' es a 38. D cabs H Injury Occu,rce: Q Yes ~ D,IVer/Opera[o, ~ peaea<rlan p rvo p p ,en .r p other (speclNl { Ceni (cM1e YS CnIY One): I Ian -Te lM1e boat el my knowleeEa eeatM1 oecurrea tlua to tna e ^ , cause(s) vn manner [(acne LOl Matllcal ExvmEncenlHoE pM1Yalclan -Ta an e("kna lea{e, EaatM1 occurtee at Me time, tlate, antl place, entl tlua [o [M1e cause(il antl manna. states m I e./co. her D a a a exs f min. on, mot mymne.NOn, m my oplnron, ae.en eaa,..e .e a nme, aae., .na pl.a,ana aae m tn. ~auxe(zl. n t ua tn - ` slm.mre ox x.nlner, ~ aranlne.: ~ O OQI o ~( T e N Tl _ m u et 39b. Name, gtlercaa antl Zlp <otle e n Ce e<In{ Cause of Death ntam 36I mpl a c p IMO/Day .) Dr_ Darr 1 uia its 56 Ashton Str¢at Carlle PA 7 1 g D her{2 4 r i ' . ean< ra t a Oxcea NOm e, g1.Rylattarxs• 42~{IS<rcr Frle ~~_a~, <e aDay r ~ g e . m.n men[x s/ dai.z oLPennan Petmlt Na. y / 4 U7 4i L. Hlosna3 ReV oznml LAST RILL AND TESTAMENT OF HELENS T. RIETHEIMER ~., ~~ ' ~ c '- n 7 J ~, r i n. Off-,, ~. ~ c~ c:: ~ ~ ~ O C, ` y - S r ~ i t ' ~ [[ ~ ~ N "ft I, HELENS T. RIETHEIMER, of 4123 Kimbers Road, Harrisburg, Dauphin County, PA 17112, being of sound and disposing mind and of full age, do make, publish and declare this as and for my Last Will and Testament, revoking any and all prior Wills or Codicils. ITEM I. I direct that all my just debts and funeral expenses be paid by my Executor or successor as soon after my decease as may be conveniently done. ITEM II. ~~~ (a) I leave the sum of Three Thousand Dollars ($3,000.00) to Christ Lutheran Church, 1214 Crosby Street, Linglestown, Pennsylvania. (b) I leave the rest of my Estate, of whatever nature, real, personal or mixed of whatever kind and wherever situate which I now own or to my son, JOHN RIETHEIMER, III. (c) In the event my son shall predecease me or not survive me by thirty days, I leave his share to my daughter-in-law, LYNNE RIETHEIMER. ITEM III. I expressly direct that all principal and income of any Estate or Trust created hereunder shall be free and clear of the debts, contracts and engagements of those beneficially interested therein, and from anticipation, assignment, alienation, attachments, executions or sequestrations, by any process, legal or equitable, and shall be paid over directly to the persons entitled thereto hereunder upon their own proper receipt in writing only. ~ / ITEM IV. ~(\~ In addition to the powers elsewhere granted herein, or by law, my Executor and his successor, at their sole discretion and without leave of Court may: (a) Compromise any claims by or against my Estate, without consent of any beneficiary; (b) Make distributions hereunder either in cash or in kind at valuations to be determined by my Executor or his successors; and (c) Sell property for such prices on such terms, and at public or private sale as he may deem proper and grant options for the purchase of property. 2 ITEM V. (a) I nominate, constitute and appoint my son, JOHN RIETHEIMER, III, to be Executor of this, my Last Will and Testament. If he is unable or unwilling to serve as Executor, I nominate my daughter-in-law, LYNNE RIETHEIMER, 'to serve in his stead. (b) Any successor fiduciary shall have the same powers, rights, duties, discretion and immunities which I have conferred upon the original fiduciary. (c) No fiduciary hereunder shall be required to enter security in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 18th day of April 2005. HELENE T. RIETHEIMER ~~~ SIGNED, SEALED, PUBLISHED and DECLARED by the above-named Testatrix, HELENE T. RIETHEIMER, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other, have hereunto subscribed our namgp as witnesses. ~7°ri17 Address 3 7/D .~~,n/~~+,~e /~/' ri¢L .~ 7o Sc~ fiW/ Address / /O /7a'1T ~~ ~ 3 ACKNOWLEDGEMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA: SS COUNTY OF DAUPHIN WE, HELENE T. RIETHEIMER, the Testatrix, and witnesses, whose names are signed to the attached instrument dated the 18th day of April, 2005, being duly sworn, do declare to the undersigned authority that the Testatrix executed the instrument as her Last Will and Testament and that she signed willingly, and as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness, and that to the best of his or her knowledge, the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. \~~ Witnes (i~'1 ~f.14/ Witness HELENE T. RIETHEIMER Subscribed, sworn to and acknowledged before me by HELENE T. RIETHEIMER, the Testatrix, and subscribed and sworn to before me by the above, her witnesses, this 18th day of April 2005. Notary Public COMMONWEALTH OF PENNSYLVANIA I(~ Notarial Seal I Aimee L. Paukovifs, Notary PubliS City of Nartisbmg, Dauphin CounQ i MY Coounission Expires Apr. 17, 2007