HomeMy WebLinkAbout08-02-12PETITION FOR GRANT OF LETTERS
COUNTY, PENNSYLVANIA
REGISTER OF WILLS OF CUMBERLAND
ears of age or older, apply(ies) for Letters as specified below, and in
Petitioner(s) named below, who is/are 18 y uest s the ant of Letters in the appropriate form:
support thereof aver(s) the following and respectfully req () ~
Decedent's Information File No:
Name: NANCY REESE VICTOR (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 278-22-6493
~/a: Age at death: 88
Date of Death: JUNE 26 2012 ,-.,TMevr vreNia _ (State) with his/her last
County, r ,
Decedent was domiciled at death in CUMBERLAND county
principal residence at 325 WESLEY DR LOWER ALLEN TOWNSHIP CUMBERLAND COUNT
Post Office and Zip Code City, Township or Borough
Street address,
County Stste
Decedent died at HOLY SPIRIT HOSPITAL CAoa P HILL PA 170C ty~ T BO hOUo Ba O gh AMP HILL CUMBERLAND
Street address, Post Office and Zip C
at death: $ '5,000.00
Estimate of value of decedent's property , • • All personal property $
If domiciled in Pennsylvania.. • • • • • • • • • • p m Pennsylvania $
If not domiciled in Pennsylvania. • • • • • • • • • • • • ' ' ' • • ~ ~ • • • personal p operty in County ~ ~
If not domiciled in Pennsylvania ........................ • .. , . $
.................. ~5 000.00
Value of real estate in Pennsylvania ................. • • • • ' ' ' • ~ .TOTAL ESTIMATED VALUE. • • • $
County
Real estate in Pennsylvania situated at: City, Township or Borough
(Attac additional sheets, if necessary.) Street address, Post Office and Zip Code
and Codicil(s)
A, Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named m the last Will of the Decedent, dated APRIL 11, 2007
thereto dated ONE
State relevant circumstances (e.g. renunciation, death of executor, etc.)
was not divorced, was not a parry to spending
and did not have a child bom or
Except as follows: after the execution of the instrument(s) offered for probate Decedent di not marry,
divorce proceeding whereinneit ge~the vic~ m of a killing nor ever adjude sated annn spas fated person 3323(8),
adopted, and Decedent was
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., pendente life, durante absentia, durante minoritate
If Administration, c.t.a. or d,b.n.c.i:a., enter date of Will in Section Alabooundsf for divorce hadlb a neshblished as defned
Except as follows: Decedent was not a party to a pending divorce proceeding wherein gr
in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS ~ EXCEPTIONS
a
Petitioner(s), after a proper search has/have ascertained that Decedent left no W ill and was survived by the following spouse (if any) and r~ s (atlas
additional sheets, if necessary): ~. f"7
Address "~ - C ` y J
Relationshi - =" ~=
Name a~C3 i`. ' ~:i , e ;.
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Page 1 of 2
Form RW-02 rev. 10/ll/2011
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
The Petitioner(s) above-named swear(s) or affirm(s)
of Petitioner(s) and that, as Personal Representative
For the Register
BOND Required: ®YES ~ NO
FEES:
Letters ...................... $ ,
( ~) Short Certificate(s)..... .
( 1) Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other • • • " " '
are true and correct to the best of the knowledge and belief
hwell and tru minister the estate accor~~ t9~ a~
/((~~ d--
Date
To the Register of Wills:
Please enter my appearance by my
Date
Date
Date
Q r.~
?~ C re i
r~below: ~ ~~, ,
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Attorney Signature: a~ :,
Printed Name: THOMAS E. FLOWER
Supreme Court
1D Number: 83993
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Firm Name: FLOWER LAW, LLC
Address:
r•evT TCT F PA 17013
''''~~~~ Phone: (717)243-5513
" " " " 717 241-4021
Fax:
Automation Fee ............... Email: -
JCS Fee .....................
TOTAL ..................... $
DECREE OF THE REGISTER
File No: ~~.L ~'"~~~ - ~~ ~~~
Estate of NANCY REESE VICTOR
a/k/a:
/~ ~ /~ , in consideration of the foregoing Petition,
AND NOW, '
satisfactory proof having b e prese ted efore me, IT IS DECREED that Letters TESTAMENTARY
are ereby granted to ORRSTOWN BANK
in the above estate and (if applicable) that
the instrument(s) dated APRIL 11.2007
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
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Page 2 of 2
FormRW-01 rev. l0/ll/20/1
I 105.805 REV 1911 ( )
~.
LOC 1 R'S CERTIFICATION OF DEATH
Wp~~,~j~j~~~'i~, duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 ~~ ~ ~ ~~~ _ ~ Q~ ~ (•
I ~. .( ,.
Q~F'HRN'S GG~I~j
This is to certify that the information here given )s
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
P 18 6 2 6 5 61D ~" ~ ~' ,~,~,..,'.o>r.lul~ 2 $ /zot2
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Local Registrar Date issued
Certification Number
C~
Type/PrInL In --
Permanent
88
Q Yes ~] No Q Unknown
12. Father's Name (First, Middle,
Wi1li.am C11a11t1CE
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH VITAL RECORDS
CERTIFICATE OF DEATH State File Number: 11 Mo)
_.. __~__ n n.te of Death (MO/Day/Yr) (Spa
June 10 , 1924 7b. BlrthPlace (cour,cv)
.Number-Include Apt No.) 8c. Dld decedent Rved Ina TownThl~Pr Dl 1 PT gyp'
Dr _ g)Yes,
city/bore
7fl~fl - QNo, decedent lived withinulmIt- of
ni wife. give name prior to first marriage)
Q Divorced Q Never Married
G ........° ...................°°
.........................................................L~•y~s1 InPatlent '
owe If Death Occurred In a Hospital: Ofd peed on Arrival
Emergency Room/Outpatient Q
~ Holy Ilt~p me (f not Institution, give street and number;
irit Hospital
3 Burial cremation
16a. Method of Dlspositlon Q Donation
Q Removal from State O
Other (Specify)
16d. Location o7 Dlspositlon (City or Town, State, and Zlp)
Carlisle, PA 17013
17c. Name and Complete Addres f Fune 1 FHIi~e & C'C'/
Hoffman-Roth Funeral
~ h ghest degree odr level of school completed at the fldme rif des h.
Q Bch grade or less c
0 No diploma, 9th - 12th grade
Q Hlgh school graduatebut no de mpleted
ate] Same college credit, gree
~] Associate degree (e.g- AA, AS)
Q Bachelor's degree (e.g. BA, AB, BS)
Q Master's degree (e.g- MA, MS, MEng, MEd, MS W, MBA)
Q Doctorate (e.g. PhD, Ed D) or Professional degree
( g MD DDS DVM LLB JD) yONEL
White
Black or African American
Q American Indian or Alaska Native
Q Asian Indian
Q Chinese
Q FIIIPIno
caw< z3a - 2 M VST BE COMPLETED
r°J
(~
E
s
0 Samoan
Q Other Pacific Islander
Q Don't Know/Not Sure
~ Refused
Q Other (Specify) __
26, LD/
Self-employmenC
On y when app Ica a 23c. License Num er
f. Dat Signed h1.°/QPYP'r>' n t y L9. ' ~•`•` `~• /{~. ~~~~~ 2 as Medleal miner or Coroner a.oncac.a.... .-+ --
CAUSE OF DEATH e
di Ilcatlons--that directly caused the death. DO NOT enter termina'invee Add additlonald llnesrH necessary !
or comp
Injuries
cause on a '
ses
l
,
,
sea
y one
DO NOT ABBREVIATE. Enter on
26. part 1. Enter the rh i of events-
ng the etlol~ .
!
icular fibrillation without sho
t
r
respiratory arrest, or ven ,r //~%
~
Giffin //~L(•~-~(,/fV l~
IMMEDIATE CAUSE ------------~ a• a consequence of): '
s
o (or a
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u e
D
(Final disease or condition ,t
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resulting in death)
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oue to (or as a consequence fl:
Sequentially Ilst condiUOns, ~C7 ~ ~/~ i /llsr-'
iJ
e" f~1/a~/~
• r •
if any, leading to the cause ~ /
~
~~~[ /T
listed on Ilne a. Enter the
c /
Due to (or as a consequence of):
UNDERLYING CAVSE
Injury that /
-I _ - - _ "~1~~~ /~.~/T7 ~7(/
/t/J/IZ~vJ//~, L/
(disease or
initiated the events resulting d~ Due to (or as a consequence of):
In death) LAST.
rt 1 27. Was an autopsy
Approximate
Interval:
Onset to Death
[y `~~
~rr'~
/~K4
i h but not resulting in the under~lyi~ng ~caurse given In Pam- Q ~,eS No
:6. part 11. Enter other I f t c n i ~~~ %' C 2g, Were autopsy Fl Ings available
~~6n~~ ~ ~Ijr//~~/ ~ to come Vey the 5.af death?
0 cs )a t`lo
Fe Ic:
nant within past year
t
ro
~ Q Q Probably
~ Q Unknown
p
g
o
~ Pregnant at time of death f within 42 da f death
0 Not prognant, but prognan Ys °
before death
32. Dale of Injury (MO/Day/Yr) ('
0 Nat pregnant, but pregnant 43 days to 1 year
0 Unknown If pregnant within the past year
LruRion site; farm; school)
lace of Injury (e.g. home; cons
35. Location of Injury
.jury at Work 37. If Transportation Injury, Specify:
38. Describe How Inj
Q Yes Q Driver/Operator Q Pedestrian
Q Other (Specify)
Q No )~ Passenger
Natural Q Homicide
Accident Q Pendln6 lnvestigatlon
Suicide Q Could not be determined
Certifier (Check only one): knowled death occurred due to the cause(s) and manner stated
yeo living physician -TO the best of my ge' knowled death occurred at the time, date, and place, a d due to the cause(s) and manner stated
~y nting 8. CerCHying Physician - To the bas f y Be•
~ Medical Examiner/GOr On the basis of a mi ion, and/o Invests aLlon, in my opinion, dea~jh~o~c/cu'rr^ed of t/h/estl date, and place, and due to the ceus./s) sn~jaO Cr stated
TI[le of certifler._~ar' / 7f/ ~cf " ~ e, License Number: ,/'HIS '~'/ `/ir/~T/ 777
Slgnaturc of certifier: 39c. Da a Signed (Mo/Day//Yr) y
b ame, Addross a d e of pass C mpleNn Cause of rD ath (Item 26 ~ ~/~ / /J_ ~. /'7/b ~ `~~p / G~~ Z
~y'/ 41. Registt/rar s Lure ^!1'T ~-' /°!T - 42. Registrar File Dater~MO Day
e _..,.•.m.. nlstdct Num er ~ ['\ g\! s~ ' -. ,{G'~-_-_~S~_ ~~ !'~l l RCS oR~. ~~-~
Disposition Permit No. O `~O ~~~
Q Unknown
13. M ther's Name
Margaret
to Decedent 14c. I.nformant's M
e o Deat ._, ec , on-y one _..,
""~~"-'~ ~~ ere Other Than a
itt~rrea somewh
V ursing Home/Long-Term Gare Facl
r Towsl, State, a d Zip de
Ip Hill PA 7011
June 28,
~t~ry 219 North Hanoi
19. Decedent of Hispanic Origin Cheek the
box that best describes whether the decedent
is Spanish/Hispanic/Latino. Check the "No"
box If decedent is not Spenlsh/Hispanic/Latino.
No, not Spanish/Hispanic/Latino Chicano
Yes, Mexican, Mexican American,
Q Ves, Puerto Rican
Q Yes, Cuban
Q Yes, other Spanish/Hispanic/La[inc
(Specfy)
Q Japanese
Q Korean
Q Vietnamese
Q Other Asian
)~ NaLlye Hawaiian
Q Guamanian or Chsmorro
013144E
Decedent's Race -Check ONE OR MORE races to mo~ca.e ......
decedent considered himself or herselfKOrean
White Q
Black or African American Q Vietnamese
American Indian or Alaska Netlve Q Other Asian
Asian Indian 0 Native Hawaiian
Chinese Guamanian or Chsmorro
Filipino Q Samoan
Japanese Q Other Paclflc Islander
Other (Specify)
f to be. 22a. Decedent's Usual Occupation - Indicate type of wort
done during most of working life. DO NOT USE RETIRED.
voice Teacher
H105-143
REV 07/2011
LAST WILL AND TESTAMENT
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NANCY REESE VICTOR ° ~' ~
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I, NANCY REESE VICTOR, of 336 Acre Drive, Carlisle, Cumberland County,
Pennsylvania, make, publish and declare this to be my Last Will and Testament, hereby
revoking all Wills and Codicils by me at any time made.
ITEM I. Except to the extent that the Trustee of the Trust referred to in Item
II herein pays inheritance and estate taxes, I direct that all inheritance and estate taxes
becoming due by reason of my death, whether such taxes may be payable by my estate
or by any recipient of any property, shall be paid by my Executor out of the property
passing under Item III of this Will as an expense and cost of administration of my estate.
My Executor shall have no duty or obligation to obtain reimbursement for any such tax
paid by it, even though on proceeds of insurance or other property not passing under
this Will. In the absolute discretion of my Executor, it may pay such taxes immediately
or may postpone the payment of taxes on future or remainder interests until the time
possession thereof accrues to the beneficiaries.
ITEM II. During my lifetime, I prepared a Revocable Living Trust dated April
11, 2007. I give, devise and bequeath all the rest, residue and remainder of my estate
to the Successor Trustee therein named to be administered in accordance with the
terms of that Trust.
ITEM III. I nominate, constitute, and appoint my son, WILLIAM REESE
VICTOR and ORRSTOWN BANK, to be Co-Executors of my estate. My Executor is
specifically relieved from the duty or obligation of filing any bond or other security.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last
2007.
Will and Testament, this ~ day of Y'
Nan eese Victor
SIGNED, SEALED, PUBLISHED and
DECLARED in the presence of:
~~
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2
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
I, NANCY REESE VICTOR, 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.
Sworn or affirmed to and acknowledged efore, me, by NANCY REESE
2007.
VICTOR, the Testatrix, this 1 ~'~ day of
Nancy R se Victor, Testatrix
3
_~
NOTARIAL SEAL
MERLENE J. MARHEYKA, NOTARY P'1!BlIC
CARLISLE, CUM6ERLAND COUNTI~ PA
MY COMMISSION EXPIRES JUNE 8, 2010
COMMONWEALTH OF PENNSYLVANIA ss
COUNTY OF CUMBERLAND
We and '
the witness whose names are signed the attac ed or foregoing instrument, being duly
qualified ac rding to law, do depose and say that we were present and saw Testatrix sign
that she signed willingly and that she
and execute the instrument as her Last Will; that each of
executed it as her free and voluntary act for the purposes therein expresseand that to the
us in the hearing an a thetTestatr x waasrat that time 18 or more yea ssof age, of sound
best of our knowledg
mind and under no constraint or undue influence.
Sworn or affirmed to and subscribed to before me by
~, this ~ ~.~ day of
and
2007.
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Witness ~,
,1
Witness
4
NOTARIAL SEAL
MERLENE J. MARHEVKA, NOTARY PUBLIC
CARLISLE, CUMBERLAND COUNTY, PA
MY COMMISSION EXPIRES JUNE 8, 2010
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RENUNCIATION ~,~F >r ,~=:, ~~
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REGISTER OF WILLS
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CUMBERLAND COUNTY, PENNSYLVANIA . ~
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NANCY REESE VICTOR ,Deceased
Estate of
I, WILLIAM R. VICTOR , in my capacity/relationship as
(Print Name)
SON NOMINATED AS CO-EXECUTOR of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
ORRSTOWN BANK
07/30/2012
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
~~ ~ ~
(Signature)
~ Ri TCHANNON DR. APT 301
(Street Address)
CARLISLE, PA 17013
(City, Stare, Zip)
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 3 d ~ day
of C~ ~^ ~.b I ~'-- .
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
THOMAS E. FLOWER, Notary Public
Carlisle Boro., Cumberland Counttyy
My Commission Expires October 26,2