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
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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
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GENE G. TATNALL c> c:'
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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