HomeMy WebLinkAbout08-10-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF _ ~,~' i i rn (~c-,~ ~ c~;~_ 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 respectfitlly request(s) the grant of Letters in the appropriate form:
Decedent's Information
Name• 1 ~~~.~~ - File No: ~ ~ I ~ ~ ~ 7
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a/k/a: ~~ (Assigned by Register)
a/k/a: ' ^ - .5 ~ Social Security No:
Date of lleath: Cp f fa /i6~ Age at death: ~ ~,
Decedent was domiciled at death in ~ ~. County, / ~~` (state) with his/her last ~ ~~~~ ~
principal residence at ! ,` ~-~ ,~ r~~~-~ , ~~ ~, ,. ,s ~~-, ~~~~.~~,
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at ;~ a ~ ~ ~ ; S ~~ ~t r,,-~ ~ ~ , ~ ~ < < ~,~ E} ~,..~~ ~/
Street address, Post Office and Zip Code City, Township or Borough County State ~
Estimate of value of decedent's property at death:
If domiciled its Pennsylvania ............................ All personal property $ ~ ~ jap_ ~ Q
Ijnot domiciled in Penttsylvania ........................ Personal property in Pennsylvania $
If not domiciled in Pennsyh~ania ........................ Personal property in County $
Value of real estate in Pennsylvania ......................................................... $
TOTAL ESTIMATED VALUE.... $ ~~C~, ~ j}
Real estate in Pennsylvania situated at:
(Attach additional sheets, if necessary.)
Street address, Post Office and Zip Code City, Township or Borough County
(,~, 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 .a2 - / ~ and Codicil(s)
thereto dated
State relevant circumstances (e.g. renu~iciation, death of executor, etc.)
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 (Ifapplicable)
c. t. u., d.b.n., d.b.n.c•.t.a., pendente life, clurante absentia, durunte minoritctte
If Administration, c.t.a. or d.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- liecedent left no Will and was survived by the following spouse (if any) and heirs (attach
udditiaiul sheets, if neeessury): r_..1
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Oath of Personal Representative
CONI~IONWEALTH OF PENNSYLVANIA
COUNTY OF ~~r~>~'~'/~rr~~
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Petitioner(s) Printed Name Petitioner(s) Printed Address ~
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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 Decedent, the Petitioner(s) will well and truly administer the estate according to law.
Sworn to r ~~ rmed subscribe before •,(~ ~,~,,,,_.L .~ ~ f ~,~.,~. s~ Date /tom' ~=- /= `'.-~~' ~~ ~--
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me th' y o , ~ '' Date
By' ~ Date
t Register Date
BOND Required: ~ YES ~ NO
FEES:
Legs ...................... $ ~`~~
( )Short Certificate(s)...... ,~'~
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other .,.,.,,
.......
J
Automation Fee ...............
JCS Fee . .................... ~ UI1
TOTAL ..................... ~
Estate of (~ ~
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To tl:e Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name:
Supreme Court
ID Number:
Firm Narne:
Address:
Phone:
Fax:
Email:
DECREE OF THE REGISTER
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AND NOW, h' G/s~ ~~~' ~~/ ~, , in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS D C ED that Lette s ~.51~~~
are hereby granted to ~ ~ ~ i'~'1 ~ ,~ ~' .,
_ ~_ _ in the above estate and (if aonlicablel that
the instrument(s) dated C/ CAS
described in the Petition be admitted to probate
Form RW-Q? rev. !A/lI/1~11
filed of record as the last Will (and Codicil(s)) Decedent.
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Register of Wills ~ \
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Page 2 of 2
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/Print In COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
manent
ack ink CERTIFICATE OF DEATH s
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1. Decedent's Legat Name (First, Middle, Last, Suffix) 2. Sez 3. Sonal Security Number ~ 4. Date of Death (MO/Day/Vr) (Spell Mo)
Ruth A. Wonders Femal 209-12-9669 June 12, 2012
9a. Age-Last Birthday (Yrs) 6b. Under 1 Vear Sc. Under 1 Day 6. Date of Birth (Mo/Day/Year) (Spell Month) 7a. Birthplace (City and State or Foreign Cou n[ryl
Months Days Hours Minutes NeW Cumberland PA
87 June 7, 1925 76. Birthplace (County) ('gland
Sa. Residence (State or Foreign Country) 8b. Residence (Street and Number -Include Apt No.) Sc. Did Decedent Live in a Township?
PA 411 E. Lisburn Rd. Rte 10 ~ves,decedentJlvedin Upper Allen twp
Sd. Residence (County) .
Cumberland 8e. Residence (Zip Code) ^ No, decedent lived within limits of city/boro.
9. Ever in US Armed Forces? 10. Marital Status at Time of Death %] Married ^ Widowed 11. Surviving Spouse's Name (If wife, give name prior to First marriage)
^ Yes ]^ No ^ Unknown ^ Divorced ^ Never Married ^ Unknown Lester E. Wonders
12. Father's Name (First, Mlddle, Las[, Suffix) 13, Mother's Name Prior to First Marriage (first, Middle, Last)
J. Floyd Grissinger Ruth Irene Humes
14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code)
Lester E. Wonders Husband 411 E. Lisburn Rd. Rte 10 Mechanicsburg, PA
.......................................„_,,,,„,,,.,„,,.,,,...
....... .15a. Place of Death Check only one
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I( Death Occurred in a Hospital: ^ In anent :If Death Occurred Somewhere Other Than a Hospital: ^ Hospice Facility b Decedent's Home
^ Emergency Room/Outpatient ^ Dead on Arrival ~` Nursing Home/long-Term Care facility ^ Other (Specify)
~
156. Facility Name (If not institution, give street and number; SSc. City or Town, State, and Zip Code lSd. County 01 Death
Manor Care Cam Hill, PA 17011 Cumberland
16a. Method of Disposition G7 Burial ^ Cremation
'1S 16b. Dale of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place)
^ Removal From S[a[e
^ Donation
6/15/201
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^Other (Specify) rig
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16d. location of Disposition (City or Town, State, and Zipl 17a. Signa ur f fu Servic tens son in Charge of Interment 1 7b, License Number
Camp Hill, PA 17011 FD 013239 L
17c. Name and Complete Address of funeral Facility
Neill Funeral Home Znc 3401 Market t. Cam Hill PA 17011
18. Decedent's Education -Check the hoz that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE races to indicate what
highest degree or level of school completed at the time of death. box that hest describes whether the decedent the decedent considered himself or herself to be.
^ 8th grade or less is Spanish/Hispanic/Latino. Check the "NO" ~ White ^ Korean
No diploma, 9th - 12th grade box i(deceden[ is not Spanish/Hispanic/Latino. ^ Black or African American ^ Vietnamese
^ High school graduate or GED completed ~ No, not Spanish/Hispanic/Latino ^ American Indian or Alaska Native ^ Other Asian
^ Some college credit, but no degree ^ Yes, Mexican, Mexican American, Chicano ^ Asian Indian ^ Native Hawaiian
^ Associate degree (e.g. AA, AS) ^ ves, Puerto Rican ^ Chinese ^ Guamanian or Chamorro
^ Bachelor's degree (e.g. BA, AB, B51 ^Ves, Cuban ^ Filipino ^ Samoan
^ Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) ^ Yes, other Spanish/Hispanic/Latino ^lapanese ^ Other Pacific Islander
^ Doctorate (e.g. PhD, EdD) or Professional degree (Specify) __ _ ^ Other (Specify) _ _
(e. . MD, DDS, DVM, LLB, 1D _
21. Decedent's Single Race Self-Designation -Check ONLY ONE to indicate what the decedent considered himself or herself [o he 22a. Decedent's Usual Occupation -Indicate type of work
White ^lapanese ^ Samoan done during most of working life. DO NOT USE RETIRED.
^ Black or African American ^ Korean ^ Other Pacific Islander Homemaker
^ American Indian or Alaska Native ^ Vietnamese ^ Don't Nnow/Not Sure
^ Asian Indian ^ Other Asian ^ Retuned 22b. Kind of Business/Industry
^ Chinese ^ Natwe Hawaiian ^ Other (Specify) _ OWIl HOme
^ Filipino ^ Guamanian or Chamorro
ITEMS 23a - 23d MUST BE COMPLETED
BY PERSON WHO PRONOUNCES OR 23a. Date p.onoun d Dead (MO/Day/Yr)
•
/ 236. Si nature o(Person Pronouncing Death (Only when applicable) 23c. License Number
CERTIFIES DEATH Z
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23d. Dace ~ red ( o/Day/Vr) Z4. time of Death ~
`^~ _ ~- 1 ~ 1'~ IV fi (?j ,~~~
.~-- ~-~ (,Z ~ ~ ,]_. V 26. Was Medical Examiner or Coroner Contacted? ^ Ves No
CAUSE OF DEATH Approximate
26. Part I. Enter the chain of events--diseases, injures, or complications--that directly caused the death. DO NOT enter terminal events such as cardiac arrest Interval.
respiratory arrest, or ventricular fibrillation without showing the [iology. DO NOT BBREVIATE. Enter only o e cause on a line. Add additional lines if necessary Onset to Death
IMMEDIATE CAUSE
---_.-.------.> a. ~~
(Final disease or condition D e (or as a consequence of)'
resulting in death)
b.
Sequentially list conditions, Due to (or as a consequence of).
if any, leading to the cause
listed on line a. Enter the c.
UNDERLYING CAUSE
Due to (or as a consequence of):
(disease or injury that
initiated the events resulting d.
In death) LAST. Due to (or as a <o nsequence of):
26. Part II. Enter other sl¢nificant conditions contiibutin¢ to death but not resulting in [he underlying cause given in Part I 27. Was an autopsy performed?
^ Yes No
28. Were autopsy findings available
to complete the cause of death?
^ Ves ^ No
29. IF Female: 30. Did Tobacco Use Contribute [o Death? 31. Manner of Death
~'IQbt pregnant within past year ^Ves ^ Probably atural ^ Homicide
^ Pregnant at time o(death ^ No I-l LwYnown
i~ ^ Accident ^ Pending Investigation
^ Not pregnant, but pregnant within 42 days of death ^ Suicide ^ Could not be determined
^ Not pregnant, but pregnant 43 days [0 1 year before death 32. Date of Injury IMO/Day/Yr) (Spell Month)
^ Unknown if pregnant within the past year 33. Time of Injury
34. Place of Injury (e.g. home; construction site; farm; zchoot) 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,
^ Yes ^ Driver/Operator ^ Pedestrian
^ No ^ Passenger ^ Other (Specify) _
39 rtifier (Check only ane)~
Certifying physician ~ To [he best of my knowledge, death occurred due [o the cause(s) and manner stated
^ Pronouncing & Certifying physician ~ To the best of my knowledge, death occurred al the rime, date, and place, and due to the causels) and manner stated
^ Medical Examiner/Coroner ~ On th is of vestigation, ~n my opinion, dea o urred at the time, date, and place, and due to the cause(s) and manner stateo
Signature of c ____-_ Title of certifier.. ~ _ License Number: ~~ ~--~-
396. Name, Address and Zip Code of Person Completing Cause of Death (Item 26) 39c. D to Sign d (Mo/Day/Vr)
Er, ~ T B' c~ JFo c I<.- c~u~ / Ca,., Fhti ,9 /7 0
40. Registrar's District Number 41. Re - [r r' Sign ure 42. Reg trar File Date IM /Day/Vr)
;~I-~i~ ~~ ~~J31~
43 Amendments
/~ ) Gf G+ H105-143
Disposition Permit No. ~ O T ~ i ! J _ REV 07/2011
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OF
RUTH A. WONDERS
BE IT REMEMBERED, that I, RUTH A. WONDERS, of 411
East Lisburn Road, Upper Allen To~mship, Cumberland
County, Pennsylvania, being of sound mind, memory and
understanding, do make, publish and declare this as and
for my Last Will and Testament, hereby revoking and
making null and void any and all Wills and Testaments and
writings in the nature thereof by me, at any time
heretofore made.
ITEM 1: I direct that all my just debts and
funeral expenses be paid as soon after my demise as may
be convenient.
ITEM 2: All the rest, residue and remainder of my
estate, of whatsoever nature and wheresoever situate,
whether it be real, personal or mixed, including property
over which I have a power of appointment, I give, devise
and bequeath unto my husband, LESTER E. WONDERS,
absolutely, provided he survives me for a period of
thirty ( 3 0 ) days .
ITEM 3: Should my husband, LESTER E. WONDERS, fail
to survive me for a period of thirty (30) days, or should
we die simultaneously, I then give, devise and bequeath
ten (10%) percent of my net estate to the church which
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11,A .i l i _J 13 ..c j. .I ~ c~ . t
ITEM 4: Should my husband, LESTER E. WONDERS, fail
to survive me for a period of thirty (30) days, or should
°~
R TH A. WONDERS
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I we die simultaneously, I then give, devise and bequeath
all the rest, residue and remainder of my estate, of
whatsoever nature and wheresoever situate, whet~!~er it be
real, personal or mixed, including property over which I
have a power of appointment, I give, devise and bequeath
unto my, my son, RICHARD L. ALBERT, my son, WILLIAM L.
ALBERT, my daughter, DORA J. TROUP, my daughter, SHERRY
Y. EBY, and my step-daughter, CHRISTINE R. FREEMAN in
e ual shares er stir es.
q ~ p p
ITEM 5: I direct my hereinafter named Executor to
pay all inheritance, estate, succession and legacy taxes
of whatsoever nature and kind, to which my estate or the
transfer of any property passing hereunder or otherwise
passing by reason of my demise, and may be subject and to
charge such taxes against my residuary estate, it being
my intention that none of the aforesaid taxes, either
federal or state, on any property required to be included
in my gross estate, under the provisions of any state of
federal law now in force or hereafter enacted, shall be
prorated among the persons interested in my estate to
whom such property is or may be transferred or to whom
any benefit accrues.
ITEM 6: I appoint my husband, LESTER E. WONDERS,
as Executor of this my Last Will and Testament. Should
my husband, LESTER E. WANDERS, predF==cease iii, fail tv
qualify, cease to act or renounce probate, I then appoint
my son, WILLIAM L. ALBERT, as Contingent Executor.
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~,- `~ ` ~ ;kr :,:~_''~ SEAL )
a~.,,.
UTH A. WONDERS
Should my son, WILLIAM L. ALBERT, precedes me, fail to
quality, cease to act or renounce probate, I then appoint
my daughter, SHERRY Y. EBY, as Contingent Executrix.
ITEM 7: I direct that my Execrator, or his
successor shall not be required to give bond for the
faithful performance of their duties in any jurisdiction.
ITEM 8: My Personal Representative shall have the
following powers in addition to those vested in them by
Law and by other provisions of this, my Last Will and
Testament, exercisable without court approval, and
effective until distribution of all property:
1. To retain any or all of the assets of my
estate, real or personal, without restriction
to investments authorized for Pennsylvania
fiduciaries, as they from time to time may deem
proper, without regard to any principle of
diversification o_r r~_sk.
2. To invest in all forms of property without
restriction to investments authorized for
Pennsylvania fiduciaries, as they from
time to time may deem proper, without regard to
any principal of diversification or risk.
3. 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 from time
to time may deem proper.
4. To allocate receipts and expenses to principal
or income or partly to each as they from time
to time may deem proper.
5. To borrow money from persons or institutions,
themselves included, and to mortgage or
pledge any or all real_ or personal property
as they in their sole discretion shall choose,
without regard to the diapositive provisions of
this instrument.
6. To compromise any claim or controversy asserted
,l~ ~ `~ ~ i'`' ..~",~_ ;~,~ ~ ;~ SEAL )
UTH A. WONDERS
-3-
by or against my estate or trust estate.
7. To make distribution in cash or in kind or
partly in cash and partly in kind, and in such
manner as they may determine, and at valuations
finally to be fixed by them.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal this `f~1 day of j,~ ~~ 1999 .
~-
WITNESS:
--...,
R TH A. bNDERS
1
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COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF YORK
We, RUTH A. WONDERS, DAVID J. LENOX, ESQUIRE and
JANICE E. YOCUM, the Testatrix and the witnesses
respectively, whose names are signed to the attached or
foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the Testatrix
signed and executed the instrument as her Last Will and
Testament and that she had signed willingly (or willingly
directed another to sign for her), 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 this Last
Will and Testament as witness and that to the best of
a
their knowledge the Testatrix was at the time eighteen
(18) years of age or older, of sound mind and under no
constraint or undue influence.
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R A. WON ER
WITNESS ~ ,
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Sworn to and subscribed
before me this c~?~ day of
~ ;,~ , 1999.
NOTARY PUBLIC
MY COMMISSION EXPIRES:
Notarial Seai
~; ~7~wn Gladfeiter, Notary i'ubfe
~illsbcar~ Boro, York County
M~ ~~t~miss+on Expires May 17', 2009
~~ ~~, annsy nia ~ssoc~>~~~n r~~