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HomeMy WebLinkAbout08-01-12PETITION FOR PROBATE AND GRANT OF LETTERS Register of Wills of Cumberland County, Pennsylvania Petitioner, named below, who is 18 years of age or older, applies for Letters as specified below, and in support thereof, avers the following and respectfully requests the grant of Letters in the appropriate form: DECEDENT'S INFORMATION Estate of GENE G. TATNALL Date of Death: Julv 21 2012 Deceased File No.~~,~ - ~'~ 3~j Social Security No. Age at Death: gg Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 824 Lisburn Road #107 Cam Hill Lower Allen Townshi Cumberland Count PA 17011 (List street, address, town/city, county, state, zip code) Decedent died at 824 Lisburn Rnarl ~ ~n„ List street, address, Post Office and zi code vQ~ ~ ~ nni power Huen Townshi p city, township or Borough Cumberland Count PA County State, Decedent at death owned property with estimated values as follows: (If domiciled in PA) All ersonal ro e (If not domiciled in PA P P P rtY .....................................................................$ 46 686.00 Personal property in Pennsylvania .....................................$ (If not domiciled in PA) Personal property in County ....................................................$ Value of real estate in Pennsylvania ................................................................................................................. .... $ Real Estate situated as follows: Total ........................................................ ................................... $ 46 686.00 (Attach additions/sheets ifnecessary) Street address, Post Office and Zi Code p City, Township or Borough County, State A. Probate and Grant of Letters. Petitioner avers he is the Executor named in Decedent, dated Au ust 7 2003 the Last Will of the State relevant circumstances, e.g. renunciation, death of Executor, etc. Except as follows, After the execution of the instrument offered for probate, Decedent did not marry, was not divorced, and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce has been established as defined in 23 Pa.C.S.A. § 3323(8) and did not have a child born or adopted and the Decedent was neither the victim of a killing and was never adjudicated an incapacitated person D NO EXCEPTIONS ^ EXCEPTIONS B• Petition for Grant of Letters of Administration (if applicable) enter: c.t.a.; d.b.n.c.t.a.; pendent elite; durante absentia; durante minoritate If Administration, c.t.a. or d.b.n.c.t.a., - Except as follows: Decedent was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce has been established as defined in 23 Pa.C.S.A. § 3323(8) and was neither a victim of a killing and was never adjudicated an incapacitated person ^ NO EXCEPTIONS ^ EXCEPTIONS Petitioner, after a proper search, has ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs (attached additional sheets, if necessary) OC ~a 1 _~ V OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND Official Use Only JAMES G. TATNALL 1611 CHURCHILL ROAD HARRISBURG, PA 17111 The Petitioner above-named swears or affirms that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner and that, as personal representative f the Decedent, Petitioner will well and truly administer the estate according to law. ~..,_, Sworn to and affirmed and subscribed ~ ~ ~. rn ~'~ L ~ C~ / ~I /AMES .TATNALL < Before me this day of ~~ ~_ ~ , ~ f- '`?'; 2012. ~ ~~ ~;' to For the Re inter -~ S- -- BOND Required ^ YES 0 NO FEES: Letters ........................... $ ~ / ~ ~ ~~~ { )Short Certificate(s) $ _ ~~. ~ { }Renunciation .............. _ $ { )Codicil(s) $ { )Affidavit(s) .................. $ Bond $ Commission $ Other $ Automation JCP Fee ...................... TOTAL......... $----~~ $ , .5 ~- $ •S To The Register of Wi//s Please enter my appearance by my signature below: Attorney Signature: Printed Name: EDMUND G. MYERS Supreme Court I.D. No: 20558 Firm Name: Johnson Duffie Stewart & Weidner Address: 301 Market Street P.O. Box Lemoyne PA 17043 Phone: 717-761-4540 Fax: 717-761-3015 Email: eamna idsw rnm DECREE TO THE REGISTER Estate of GENE G .TATNALL Deceased. File No. ~~'"~~ -(~~~~ Social Security No: 201-181-5767 Date of Death:_ Julv 21.2012 AND NOW, Sf I , 2012, in consideration of the foregoing Petition, satisfactory proof having been presented before , IT IS DECREED that Letters Testamentary are hereby granted to James G. Tatnall in the above estate. ~ TRAR'S CERTIFICATION OF DEATH ~~ t{,ry~ `(~, • , _ _.,_ ~I~Ilegal to duplicate this copy by photostat or photograph. I1~iAI Vt5r..~, :.~ c~'.~~ Fee for this certificate, $Fr.Qp2 ~~~ _ P~ 3` ~ ~ This is to certi:v that the information here Qiven correctly copied from an original Certificate of Dea duly filed with me as Local Registrar. The origin vt "~~ certificate will be forwarded to the State Vi P Ot~f'~~ ~ ~''~~~ Records Office for permanent filing. 18 7 01 ~~~ c~o'. ~' Certification Number ~' t 7~a= Type/Print In Local egistrar j~ Permanent COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS Date ISSUed Black ink CERTIFICATE OF DEAT 1. Decedent's Legal Name (First, Middle, last, Suffix) I"'I 2. Sex 3. Social Security Number5tate File Number: Genf G. Ta tnHll 4. Date of Death (MO/D!Y/Yr) (Spell Mo) Sa. Age-Last Birthday (Yrs) Sb. Under 1 Vear Sc. Under 1 Da Female 201-18 5 7 6 7 Months Days Hou.• .~,_,.-__ 6. Date of Birth (Mo/Day ear) (Spell Monthf -rte e.._~_._ .- JU ly 21 s 2012 G w$ ~i z Residence (State or Foreign Country) Bb. Residence (Street and Numberp=lnclutle Apt No.7 Penns lvania Residence (county) 824 Lisburn Road aY107 Cumberland 8e. Residence (21p Code er In Us Armed ForcesT ) 17011 YeS ®No Q Unknown 30. Marital Status at Time of Death Q Married W Father's Name (First- Mwwi~ , _~ .Q Divorced Q Nwer Marred Q Unk®wn decedent Rued in Lower Allen two. decadent lived within limits of Hill PA woods At Cedar Run ~ - -- --~_~~ _~~~ °°me ' s. Method o/ Disposition Burial Cremath Q Removal from State Q Donation D Other (Specify) i Lo SI 1 DI p sitlon (City pr Town, State, and Zlp) King of Prussia, PA 19406 15c. city or Town, stern Camp Hill, PA In 16b. Date of Dlsposltioi Jul 25, 2012 17a. Sig Lure pf Funet Cremation Society o£ PA Auer Cremation Services o£i~lPenna FD-138753 ylvania In B D ' . ecedent s Education -Check the box that best describes the Ighest degree or level of school cem let d , c., 4100 Joneat Road, 19. Decedent of Hispanic Ori in -Ch Eiarriaburg, pp 17109 p e at the Sims of death. Q 8th grade or lass g eck the boz that best describes whether the deced t 20. Decedent's Rap -Check ONE OR MORE race Q No di loma, 9th - 12th grade en is Spanish/Hlspanic/Latino. Cheek the "NO• s to indlpte what the depdant considered himself or herself to b! Q High school graduate or GED completed Q Some college credit but no d box if decedent Is not 5 No, not 5 Panlah/Mlspanic/Latino. ~ Panif h/His a i L . (~ White Q Korean Q Black or African Ameripn , egree )~ Associate degree (e.g, qq, Asj ® Bachelor's d p n e/ atino Q Yes, Mexican, Mexican American, Chicano Q Yes P Q gmerlcan Indian or Alaska Native Q Vietnamese Q Other Asian Q Asian Indian egree Q Master's de ( g BA AB, BS) free (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Doctorat , uerto Rican Q Ves, Cuban Q yes other 5 i h Q Natly! Hawaiian Q Chinese Q Guamanian or Chamorro Q Filipino e (e.g. PhD, EdD) or Professional degree , Dan s /Hispanic/Latino Q Japanese Q Samoan . MD DOS DVM LLB JD L. Deptlent's Si l R (Specify) Q Other 5 Q Other Pacific Islander ( peelf ) ng e ace Se11-Desi f~ White gn Klon -Cheek ONLY ONE to Indicate what the decedent eonsitlered him lf ~ J< y Paneae t] Black or Afrlean Ameripn Q Korean se or he Q Samoan rself to be. 22a. Depdant's Usual Occu Patl on -Indi Q American Indian or Alaska Natlye Q Vietnamese Q Asi I Q Other Pacific Islander ' e cate type of wort done during moat of workin IN g ~ DO NOT USE RETIRED an ndian Q Other Asian Q Chines Q Oon t Know/Not Sure Q Rafusrd . Registered Nurse Q Native Hawaiian Q Filipino Q Guamanian or Chamorro Q Other (Specfy) TJ'•3S 22b. Kind of Busine Industry C1 ppLL5 t7 Harrisburg Hospital 26. Part i. Enter the chain of a ~s-asSE OF DEATH t --diseases in i - " "` ~t No respiratory arrest, or ventric , jur es, or eompliptlons--that direttly caused the dpth. DO NOT enter terminal events s ular fibrillation without showin the etiolo € Approximate g DO h IMMEDIATE CAUSE uc N~ as cardiac arrest NOT ABBREVIATE. Enter only one taus! on a line, Adtl additional li Interval: /~ t (Final disease or contlltlon ! ~ Z. VV t nes It necessary Onset to Death resulting In death) D t ( q f) ''4 eu Y Sa u ti ll b. ,S S-c- tv'1 L ~ (~ ~.rzr>' c N-~-- A ~ ^ q en e V list conditions, If any leadin to th C F Due to ( s4 L2 i /.- ~r ~P ~ G FT7 `~ S , g e puss ilstetl on line a. Enter the or es a consequence of): UNDERLYING GVSE c I (tlisease or Injury that Due to (or as a consequence of): Initiated the events resulting d. In tleath) LAST. Due to (or as a consequence of): 26. Pert 11. Enter other slenifice dl I Ib 1 t but not resulting In the underlying cause given in Pa rt 1 ~ 27. Was autoPSY Perfor 7 an Yes If Fa e~ 28, Were eutoPSY findings available Not pregnant within past ye ar 30. Did Tobacco Use Contribute to D to complete the taus! of death? Yes Q Ne gnant at time of death eath? C] Y~i Q Probably w!r o/ Deat 31s.~M. a~~ NO h Q Pregnant, but pre inapt within 42 tlaYS of death ~]~IV Q Unknown _ o '•ai~+ral Q Homicid< Not Q pregnant, but pregnant Q Unkno f 43 days to 1 year before death 32 D Q Aecitlent Q Pendin Inv<sti Q Su{cid i wn I pregnant within the past year . ate of In u 1 ry (MO/Day/Yr) (Spell Month) a Q Could not be d ~ar mined 0 Yes Q paszern0 . r 38. DeseHbe How Injury Occurred: No Q ge era[or Q Petlestrlan ~ Other (SpacNy) CJftlfi (Ch ck IY ) C Ifyi g phy 1 1 T th b t f y k I dg d th P I g a Certifying physician - To the best of my knowlad d tl t th use(s) antl manner stated Metlleal Examiner/Coroner - On the basis of examination, d/ investlgatlon, in m ge, death occurred at the time, date, and place, and due to the pyse(s) and manner stated Signature of certifier: i / or. Y opinion, death occurratl at the time, tlate, and place, and tlue to the taus f7~~ Title of certifllr: ll/1 e(s) and manner stated b. Name, Address nd Zip ode of Person Completing Cause of Death (Item 26) Ueenaa Number: ~~ 4.'Z(9 $y v a Yyt v-a.~ F" F+-tw.f CLi Y'uz- 3 k 5 G Sri n c1 C~ R d t~ (~( y~~ /~ Rglt DtItN Ca Hi f~ f'/(~ t'q 1'"70)1 39 Dt Sig d(M/Dy ) 41 R gist 51 t 1 as ~ ~/ g .. ~ ~ ~ A 42 ~~;~,~ _J__ Disposition Permit No. 0786156 HIOS-143 REV 07/2011 216018 ~.~~t ~iYY ~~b ~P~t~~I1~Pl~t ~ ~° ~ ~, OF ~v~ ~' Q ~-.; :. GENE G. TATNALL c> c:' o ~.~: -~ _-~ r -a ~:,~ > c1 -r; ~. -•, ~,. ~ (`~~? ri _:, C:"~ =; ~f ~> ~~ ~~ ~. w I, GENE G. TATNALL, of 431 Allendale Way, Camp Hill, Cumberland County, Pennsylvania, 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 and making void any and all Wills or Codicils at any time heretofore made by me. ARTICLE I TAXES I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes be payable by the estate or by any recipient of any property, shall be paid from property passing under this Will, as an expense and cost of administration of the estate. My Personal Representative shall not demand, or seek, reimbursement for any such tax even if imposed with regard to proceeds of insurance or other property not passing under this Will. ARTICLE II SPECIFIC BEQUEST I give and bequeath my diamond wrist watch unto my daughter, KAREN T, HAACK, provided she survives me. ARTICLE III TANGIBLE PERSONAL PROPERTY I give and bequeath my motor vehicles(s), household and personal effects and other 216018 tangible personalty of like nature (not including cash or securities), together with any existing insurance thereon, unto those of my children who survive me to be divided among them by my Personal Representative with due regard for their personal preferences in as nearly equal shares as practical. ARTICLE IV REST, RESIDUE AND REMAINDER I give, devise and bequeath all the rest, residue and remainder of my Estate, of whatever nature and wherever situate, as follows: A• One-third thereof unto my son, ROBERT C. TATNALL; B• One-third thereof unto my daughter, KAREN T, HAACK; and C• One-third thereof unto my son, JAMES G. TATNALL. Should any of my children predecease me leaving issue to survive, I give, devise and bequeath such child's share unto his or her then-living issue, per stirpes, and should there be a failure of same, then I direct that such child's share shall be divided equally among my surviving children or their then-living issue, per stirpes as the case maybe. ARTICLE V UNIFORM TRANSFERS TO IVHNORS ACT In the event any beneficiary of my Will has not reached the age of twenty-five (25) years at the time for distribution of his or her share, distribution of said share maybe made in the discretion of my Personal Representative after considering the age and needs of the beneficiary, either directly 2 216018 to the beneficiary or to a Custodian for such beneficiary until age twenty-five (25) under the Pennsylvania Uniform Transfers to Minors Act, 20 Pa. C.S.A § 5301 et seq., or the applicable Uniform Gifts to Minors Act or Uniform Transfers to Minors Act in the state of residence of such beneficiary as the case may be. My Personal Representative may designate as such Custodian any institution or person, including my Personal Representative, qualified to act as a Custodian for such beneficiary under such Act in effect at the time such distribution is made. A receipt for any payment or distribution so made shall be a full discharge therefor to my Personal Representative, who shall not be responsible to see to, or be liable for, the application of such proceeds thereafter. ARTICLE VI POWERS OF PERSONAL REPRESENTATIVE My Personal Representative(s) shall have the following powers in addition to those vested in them by law and by other provisions of my Will applicable to all property, whether principal or income, including property held for minors, exercisable without court approval and effective until actual distribution of all property: A. To make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as they may determine. B. To retain any or all of the assets of my estate, real or personal, without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principle of diversification or risk. C. To invest in all forms of property without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principle of diversification or risk. 3 216018 D. To sell at public or private sale, to exchange, or to lease for any period of time any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as they deem proper. E. To allocate receipts and expenses to principal or income or partly to each as they from time to time think proper. F• To compromise any claim or controversy. G• To make such elections, decisions, concessions and settlements in connection with all income, estate, inheritance, gift, generation skipping or other tax refunds and the payment of such taxes as my Personal Representative shall deem appropriate, without obligation to adjust the distributive share of any person thereby affected. ARTICLE VII PERSONAL REPRESENTATIVE I name, constitute and appoint my son, JAMES G. TATNALL, Executor of this my Last Will and Testament. Should my son, JAMES G. TATNALL, fail to qualify or cease to so act, I name, constitute and appoint FULTON BANK alternate Executor. No fiduciary appointed herein shall be required to post bond for the faithful discharge of the duties required in an jurisdiction. y IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this ~ day of ~- 2003. n /A~ (SEAL) GENE G. TATNALL 4 216018 Signed, sealed, published and declared by the above-named Testatrix, 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 names as witnesses. s 216018 AFFIDAVIT AND ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS We, GENE G. TATNALL, and ~; ~ t~~ ~ ~ th Testatrix and the witnesses, respectively, whose names are signed to the attached or fore oin instrument, being first duly sworn do hereb declare to the undersi g g ' y fined authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed willingly and that she executed it 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/her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. _ /C~ ~ n~ rc GENE .TATNALL Witness ~_ Witne Subscribed, sworn to and acknowledged before me by GENE G. TATNALL, Testatrix, and subscribed and sworn to before me by `~~ ~ ~"'~ and witnesses, this 1~~ay of 2003. Notary Public NOTARigL SEAL DIANNE LENIG, Notary Public 6 Lemoyne Borough Cumberland Co. MY Commission Exp;r~ Dec. 21, 2005