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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 ;. i-~ ~w-~ _' --r~ ~~ N ~~ tL` 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: ~ ~~, , Z~ Attorney Signature: a~ :, Printed Name: THOMAS E. FLOWER Supreme Court 1D Number: 83993 3 .., ` ~; 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. .. ~,~ - ,gib egister of W lls ~,~ ~ ~~~,,.~ 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 ~ ~~, , 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 t u e D (Final disease or condition ,t / ~ ~s -z~ ~ ~ w ,~ ~Z~ / ,"' _ ~~l / J' _~ 9 / / ! ' / ~r resulting in death) b' / ' l ! / f / v [ / (~ ,L/( (~~ 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 ~, ~_~ ~; ~; ~ _.. a 4Cj ~7 ~- O ~~ j'1 ( r "~~ t -t 1 ~., . N ~ ~ ._.r t y.3 NANCY REESE VICTOR ° ~' ~ ~~~- ~. ~ r ~{ ~ , ~"~' ' N ..~ ~ 4t;` 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: ~~ i 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. r ~.. ~ Witness ~, ,1 Witness 4 NOTARIAL SEAL MERLENE J. MARHEVKA, NOTARY PUBLIC CARLISLE, CUMBERLAND COUNTY, PA MY COMMISSION EXPIRES JUNE 8, 2010 ry..3 -- ' O r ti ~ ~ i Sj r ~.~ RENUNCIATION ~,~F >r ,~=:, ~~ .^; ~- ' t: REGISTER OF WILLS o~ ~ 4~-" ~~ CUMBERLAND COUNTY, PENNSYLVANIA . ~ ~ - N ~_. ..n ~ 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