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HomeMy WebLinkAbout08-02-12Reset PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND 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: Decedent's Information Name: Lonas L. Wetzel File No: q~ ~ - ~ ~ - ~~ tea' (Assigned by Register) a/k/a: a~C/a. Social Security No: 182-22-5748 Date of Death: J~_~~2[j ~ ~, Age at death: 82 Decedent was domiciled at death in Cumberland County, pennsylvania (Stare) with his/her last principal residence at 211 Meals Drive Carlisle 17015 South Middleton Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 503 N. 21st St Camn Hill 17011 Camn Hili Cumberland PA Street address, Post Office and Zip Code City, Townshtp or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania ............................ All personal property $ 110,000.00 If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................ Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ 110.000 00 Real estate in Pennsylvania situated at: (Attach additional sheets, if necessary.) arreet aaaress, cost Uit-ce and Zip Code City, Township or Borough A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated 11/15/2010 thereto dated n/a State relevant circumstances (eg. renunciation, death of executor, etc.) County and Codicil(s) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, 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(g), 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) c.t.a., d.b.n., d.b.n.c.t.a., pendente lite, durante absentia, durante minoritate If Administration, c.t.a. or t~b.n.c.t.a., enter date of Will in Section A above and complete 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(g) 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 Will and was survived by the following spouse (if any) and heirs (attach additional sheets, if necessary): r,,~ Name Relationshi Address r+;a ~ - 1 ~ ~ ~ G'7 U-; N r_ C;~ ~ `. ~- ~ -- -+ .C" r- D ~n tV Form Rw-oz rev. l0/l!/2011 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND 1 Official Use Only ~ Yetttioner(s) Printed Name I Petitioner(s) Printed Address Y 54 MEDIA ROAD ~ JOLENE M. GREGOR ~ 1306 DICKINSON DRIVE, CARLISLE PA 17013-4294 The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the De edent, the Petitioner(s) will ell and truly administer the estate according to law. ~ -(// Sworn to or ffirtned a d subscri}ed before Date ~ ~~oZ Letters .............. . ( ~ )Short Certificate(s). ..... $ .~ ..... ~ L~ , ( )Renunciation(s)..... ... . ( )Codicil(s) ......... ... . ( )Affidavit(s)........ ... . Bond .................... .... Commission .............. ... . Other .,_ .,_. .... Automation Fee ........... .... .... ~, QD JCS Fee . ................ TOTAL .... (.~ ................. .... $ Attorney Signature: (/' ~~ (~~ Printed Name: Adam R. Deluca, Esq. Supreme Court r~ ID Number: 311738 C7 ~ _,,,, s- a Firm Name: Allied Attorneys of CPA ~~„~ Address: ~i ~x~o~, r ,.,..,-.._ ~. ~ .. PA 17013-1544 ('arlisle_PA 17fi1~ 17rr~-- N _. t ~:4 Phone: 7172491177 .z: r Q_ Fax: 7172494514 ~~ Email: ardPhrcaRSna~l cnm tV DECREE OF THE REGISTER Estate of Lonas L. Wetzel File No: ,-~ ~ ~ ~ - (~~ a/k/a: AND NOW, (~ ~` -f~~l/L~_~ in consideration of the foregoing Petition, satisfactory proof having n pres ed before me, IT IS DECREED that Letters Testamentary a hereby granted to Kimberly S. Wetzel and Jolene M. Gregor in the above estate ar~d (if applicable) that the instrument(s) dated 11/15/2010 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. ~ ~. ; /~ , egister of Wills {~ ~til f, /~n4 Form RW-02 rev. 10/11/2011 ~ L If> r `-~ . ge 2 of 2 BOND Required: Q YES Q NO To the Register of Wills: FEES: Please enter my appearance by my signature below: H 105.805 REV (9/I I) LOCp:~,~R'S CERTIFICATION OF DEATH WARf~~s"i11~~p duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 ~~t2 ~~~ _2 ~~ 4~ Qz I-- ORPI-it1f~1'S (;DUr~T ~~~0 ~., P 1866904 This is to certify that the information here given correctly copied from an original Certificate of De< duly filed with me as Local Registrar. The origi( certificate will be forwarded to the State Vi Records Office for permanent filing. L ~Saxy~ ~ ~"c~-.,e,~D~e' J U,C 1 2/2 01 Local Registrar Date Issued ~s Certification Number Type/Print In Permanent Black Ink sa_~ Z COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH VITAL RECORDS f F'RTIC~f"ATC ewe ear w-ru vs rs • n State Flle Number: 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. sex 3. social security Number 4. Date of Death (MO/Day/Yr) (Spell Mo) Lonas L. Wetzel Male 182-22-5748 Jul 10, 2012 Sa. Age-Last Birthday (Yrs) Sb. Under 1 Year Sc. Under 1 Da 6. Date of Birth (Mo/Day/Year) (spNl Month) 7 Bi h a. rt places (City and States or Foroign Country) g2 Months Days Hqurs Minutea June 29, 1930 Carlisle, PA 8a. Residence (state or Forty Count 7b. Birthplace (County) Ctanberland PA Bn ry) 8b. Residence (Street and Numbar -Include Apt No.) Bc. Did Decedent Lives in a Township? 8d. Residences (County) 211 Meals Drive Yes, decedent lived In C Mi rlA "( tCL1 twp. Cumberland Be. Residence (21p Code) Q No, decedent lived wlMin limits of city/boro. 9. Ever in Us Armed Forces? 10. Marital status at Time of Death Q Married ~ Widowed il. Surviving Spouse' N Y f s ame (I Q wife, glue name prior to first marriage) es ~ No Q Unknown ~ Divorced ~ Never Married Q Unknow 12. Father's Names (First, Middle, Last, Sufflz) 13. Mother's Name Prior to First Marriage (First, Middle, Last) Chester R_ Wetzel Zula Bear o 14a. Informant's Name 14b. RelaHOnship to Decedent 14c. Informant's Melling Address (street and Number, City, State, Zip Code) Kimberly Wetzel dau ht G g er 54 Media .Road, Carlislef PA 17013 ..... .................................................... ...................................... I1 Death Occurred In a HoaP7[al: tuyln [lent ~d Pa Eme env R /O ;.......... a ace c .............. o... ea_... •.. ec._on y one __ .. _ ..-.._. .... .......... ......... ;If Death Oceurretl Somewhere O(har Than a Ho •Ital•~~ . ................................. sp Hos Pice Facilit ~~~~~~~~~-~ ' •~ y y oom utpatient Q Dead on Arrival 15b F ili y Decedent s Home Nursing Home/Long-Term Gare Facility Other (6 I pec f ) • a . ac ty Name (If not Institution, give street and number) Y i5c. City or Town, stale, and Zlp Code z? Hol S irit Hos ital 15d. County of Death Hill, PA 17011 ~, 16a. Method of Dlspositlon w Burial Q Cremation p Remgval frgm stale p D cl Cumberland 16b. Date of Dlspositlon 16c. Place of Disposition (Name of cemetery, crematory or other l Pna Pn Other (specify) , p ace) y Jul 19 , 201 Westminster Memorial Gardens 16d. Location of Dlsposltion (City or Town, States, and Zip) 17a. 6lBnature of Funeral Ice Licensee or Person In Charge of Interment 17 b. License Number Carlisle, PA 17013 138504 17c. Name and Complete Address of Funeral Facility ~ iB. Decedent's Education -Check the box Shat best describes the 19. Dace ant of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE race hlBhes[ degree or level of school completed at th t I ti di f d h s o e me o n eat cate what . box chat best describes whether the decedent the decedent considered himself or herself to be ~] 8th grade or less . Is Spanish/Hispanic/Latino. Check the "NO" White Q Korean ~ No diploma, 9th - 12th grade box if decadent is no[ Spanish/Hispanic/Latino l . B ack or African American j7 Vietnamese Q Hlgh school graduate or GED completed ffi No, not Spanish/Hispanic/Latino A ~ merican Indian or Alaska Native ~ Other Asian Q Some college credit, but no degree Q Ves, Mexican, Mexican American Chican , o ~ Asian Indian 0 Native Hawaiian Q Associate degree (e.g. AA, AS) ~ Ves, Puerto Rican Q Bachelor's degree (e.g. BA, AB, B6) ~ Chinese 0 Guamanian or Chamorro ~ Ves Cuban , Q FIIlpino Q Master's degree g (e.g. MA, M5, MEn MEd, MS W, MBA) 0 Yes, other Spanish/Hispanic/Latino Q Samoan Q Ja an p ~ Doctorate (e.g. PhD, EdD) or Professional degree ese 0 Other Pacific Islander (SPeclf ) y ~ Other (6peclty) e. MD DDS DVM LLB JD 21. Decedent's Single Race Self-Designation -Check ONLY ONE to Indicate what the decedent considered himself or herself [o b 22 ' e. a. Decedent s Usual Occupation - Indicate White Q Japanese ~ Samoan done Burin tYPe of work Black or Afri ma A t i f can s mer o working Ilfe. DO NOT USE RETIRED. can 0 Korean Q Other Pacific Islander B ~ American Indian or Alaska Native Q Vietnamese ~ Don't Know/Not Sure Forltli £t Operator A i Q s an Indian ~ Other Asian Q Refused 22b. Kind of Business/Industry Q Chine» 0 Native Hawaiian Q Other (Specify) Q FIIIPino Q Gua manlan or Chamorro Cardboard Mfg . fTEMS 23a - 23 MUST BE COMPLETED 23a. Date Pronounced Dead Mo Day 23 .Signature of Person Pronouncing Death Only when applicab e) 23 BY PERSON WNO PRONOUNCES OR i c. L cense Num e CERTIFIES OEATM r 23d. Date Signed (MO/Des /Vr) 24. Time of Deat 25. Was Medical Examiner or Coroner Contacted? Q Yes No CAUSE OF DEATH Approximate 26. Part 1. Enter the chain of events-diseases, Injuries, or complications-that directly caused The death. DO NOT enter terminal events such a res irato di p s car ac arrest. Interval: ry arrest, or ventricular fibrillation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a Ilne i Add dditi l . a ona Ilnes If necessary Onset to Death IMMEDIATE CAUSE -----------_> a, ~~ ~ ~S 1 i (Final disease or condition Due to ( r s a ons quanta of): n resulting in death) ~~ ~ tn- 6~ ~ ~ ~ b. 1 Sequentially Ilst conditions, Due to ( r eq as a c o uen of). I If any, leading to the cause I listed on Ilne a. Enter the ~i.Q y`f ~j~,~r~ Fp t t"lZ ~ ~ UNDERLYING CAUSE Due to (o a sequence f). (disease or Injury [hat s a con Initiated the events resulting d. In death) LAST. DUe to (or as a consequence 26. PaR 11. Enter other s~flcanT co diti t ib tl [ d th but not resulting In the underlying cause given in Part I ~ ~ 27. Was an auto PsY Performed? .~ Yes No 28. Were autopsy findings available to complete the cause of death? 29. If Female: 30 Yes No Did T b E . o acco Use Contribute to Death? 31. Manner of Death Q NoT pregnant within pas[ year ~ ~' 0 Pregnant at time of death No oyes °o Unknaown ~( Natural ~ Homicide . r] gceidant Q pending Investl Q Not pregnant, but pregnant within 42 days of death Bstlon 6uicids ~ Not Dregnant, but pregnant 43 days to 1 year before death 32. Date of In u ~ Q Could not be determined 1 ry (MO/Day/Vr) (Spell Month) ~ Unknown if pregnant within the past year 33. Time of Injury 34. Place of Injury (e.g. home; construction site; farm; school) 35. Location of Injury (Street and Number, City, State, Zip Code) 36. Injury at Work 37. If Transportation Injury, Specify: 38. Describe How Injury Occurred: ~ Ves 0 Driver/Operator 0 Padestrlan ~ No ~ Passenger ~ Other (Specify) 39a. Certifier (Check only ono): Certifying physician - To the best of y knowledge, death o curved due to the cause(s) and manner stated Q Pronouncing ik Certifying physician - o The best of my knowled d h ge, eat occurred at the time, date, and place, and due [o the cause(s) and manner stated ~ Medical Examiner/Coroner- On the Is of a urination, and/or InvestlgaHon xa in my opinion death d , , occurre at the time, data, and place, and due to the cause(s) and m stated er SlBnature of certifier: Title of certifier: Llcenss Number: IiC.d d~ ,~ ~ ~ 39b. Name, Address C d 21p Code of Person Co ring Cauge of De th (Item 26) 39c. Dale Slgn d (MO/D /Y ` l O es r) ~ S- ~ I ~~ ~ ~ S 40. Reglatra r s Di trict Number 1. Registrar ! ` s ~ 42. Registrar FI ate (MO Day ` ~ l 43. Amendments ~ ~L~ , l a~ a Dlsposltion Permit No. O '(~ d ~ ~( HSO6-143 REV 07/2011 WILL OF LONAS L. WETZEL I, Lonas L. Wetzel of Cumberland County, Carlisle, Pennsylvania, declare this to be my last Will and hereby revoke all prior Wills and Codicils. I direct that all my just uebts, funeral expenses, r'avemarker and administrative expenses shall be paid from my residuary estate as soon as practicable after.my death. 2. !direct that ?II inheritance, estate. transfer, succession and death taxes of any kind whatsoever which may be payable by reason of my death shall be paid out of my residuary estate. 3. I direct that my a°rotire estate be distributed as follows: A. I direct that my entire estate go to my wife, Mary E. Wetzel. B. Should my °~vife predecease me, I direct tF~at 25% go to Kimberly Wetzel, 25% go to Jolene Groger, 25% go to Kenneth Wetzel and 25% go to Karon Keeseman. C. Should any of my children predecease me their share shall lapse and be divided into equal shares between my surviving children. 4. I appoint Mary E. Weiitel Executrix of this my last Will. If Mary E. Wetzel should predecease me or cease to act in such capacity, I appoint Kimberly'v~etzel and Jolene Groger, jointly. 5. The Executrix of this Will shall have the power to distribute my estate in kind or in cash, or partly in either. 6. I direct that no Executrix acting under this Will shall be required to enter bond in any jurisdiction. IN WITNES EREOF, have hereunto set my hand this day of , 2010. LAW OFFICES OF STEPHEN J. NOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 ~2- v~ ~~ Lonas L. Wetzel 'o ~ ~I !~ ~,:. - ~ ~ L. G' i ~s ~ ~ i t t`; :. -7 {-- CJ~' "~ ~-~k, ; _... ._ . ~ _y 7 r ~ t The preceding instrument consisting of this and one other page was on the day and date hereof signed, published and declared by Lonas L. Wetzel as and for his last Will in the presence of us, who at his request, in his presence and in the presence of each other have subscribed our names as witnesses hereto. f ° ~.~ r „~ \ > ~. TN NESS LAW OFFICES OF STEPHEN J. NOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 ACKNOWLEDGMENT State of Pennsylvania County of Cumberland ss I, Lonas L. Wetzel, the Testator, attached or foregoing instrument, having been dome is signed to the law, do hereby acknowledge that I signed and executed Ithe inst ume 9 as my last Will; that I signed it willingly and as my free and voluntary act for the purposes therein expressed. LAW OFFICES OF STEPHEN J. NOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 Gt'~'7~-~-_ Lonas L. Wetzel Sworn to or affirmed and acknowlesioed before by Lonas L. W Testator this ~~day of ''lU'~ ~TARIAL g~L , 2010. a ~Pl~en J. Hogg, Notary Puppy +' ~ ,~' ~' ~ ,,. ~~~~~ ttoro4 Cumberb~ Co. PA Nota Public/Atto~~~~ State of Pennsylvania FFIDAVIT County of Cumberland ss We, ~~~~C~~ L ~.rlQSI~ r~S and ~SG~ lc witnesses whose names are signed to the the instrument, bein dul attached or foregoing g y qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his last Will; that the Testator signed willingly and executed it as his free and voluntary act for the purposes therei; ~ expressed; that each subscribing witness in the hearing and sight of the Testator signed the Will as a witness; and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or due i flu~nce. ~ 1~ S orn to or affirm and this ~ day of ~'~/~ NUTARIAL SEAL ~Phen J. Hogg, Nary p o, Cumberland Co. PA {!~~ 1~,x ~~~.~.a~ 1~aer~F~s g~bmbK 9~ Z018 to before me by witnesses, Attorney