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HomeMy WebLinkAbout08-07-12PETITION 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 specked below, and in support thereof aver(s) the following and respecttully requests the grant of Letters in the appropriate form: Decedent's Information Name: Lois S. Engle a/k/a: r ..t. c..rr.M. ~~ Fpgle a/k/a: a/k/a: Date of Death: 0 810112 0 1 2 None Decedent was domiciled at death in Cumberland County, pA (State) with his/her last principal residence at 317 MESSIAH CIRCLE, MECHANICSBURG 17055 MECHANICSBURG Cumberland Street atldress, Post OfRce entl Zip Code Ciry, Township ar Borough County Decedent died at 317 Messiah Circle Mechanicsburg PA 17055 Upper Allen Township Cumberland PA __ Street address, Post Office end Zip Code Cdy, Townshry or Borough County State Estimate of value of decedent's property at death: Ndomklled In Pennsylvania ........................ All personal property $ Knot domiciled in Pennsylvania ................. Personal property in Pennsylvania $ if not domiciled In Pennsylvania ................. Personal property in County $ Value o/real estate in Pennsylvania........... $ Real estate in Pennsylvania situated at (Attach additional sheets, if necessary.) pile No: 21 -12 - y0 ~ t (Assigned by Register) Social Security No: 202-16-5390 Age at Death: 88 14,500.00 TOTAL ESTIMATED VALUES 14,500.00 Street atldress, Post Office entl Zip Code Cay, Township or Borough Cour~ N 3s A. Petition for Probate and Grant of Letters Testamentary c~ C ~ Qp~ Petitioner(s) aver(s) that he/shetthey islare the Executor(s) named in the Last WiII of [he Decedent, dated ~ ~~+ and ~d6ci~} -x tr - ' mt rn thereto datetl _ __ ~ -~ Except as follows: after the execution of the instruments o divorce proceeding wherein the grounds for divorce had adopted; and Decedent was neither the victim of a killing no ~X NO EXCEPTIONS ~ EXCEPTIONS ^ B. Petition for Grant of Letters of Administration orappncacle) c.t.a.; ..n.; ..n.c..a.; en a e; uran e a en fa; uran a mtno a If Administration, c.t.a or d.6.n.c.t.a., enter date of Will in Section A above and complete list of heirs. Exl~pt as follows: Decedent was not a party to pending divorce proceeding wherein the grounds for divorce had been established as definetl in 23 Pa. C.S. § 3323 (g) and was neither the victim of a killing nor ever adjudicated an inrapacrtated person. QX 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,lf necessary): t_ l utircumstances, e.g., renundation, death orexecutor, etc.) '-1 ~ tiered for probate, Decedent did not ma ,was not divorced, was not a pp to a pending ' been established as defined in 23 Pa. C.S~3323(g), and did not have a chilm or raver adjudicated an incapacitated person. ~ Form RW-02 rev. 10-11-2011 Copydght (c) 2011 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Pensonal Representative COMMONWEALTH OF PENNSYLVANIA } couNTY of CumbeHand } ss: \ ~ -r . c h l '..1 •' b ~..~J RE~$~ ~~ '~ `~,~-I __ nu 1 f11 Petitioner(s) Printed Name Petitioner(s)Printed Address , GERALD J. BRINSER 6 E. MAIN STREET P.O. BOX 323 "~~i ,- PALMYRA, PA 17078 ~Q~"f~'S Vv~RT T4... ~~.:u: _ __..._.._. ~_, ___._ ........... ....,,o„~, ,,, a,,,,,,,t,~ ,„~ ~i~,,,enus nt tnc toregom _rennon are true anc correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Deced t, Pett toner(s)(w-7ill w/~el~l and truly administer the estate according to law. Sworn to or t}f~irmed a subscribed efore -y~~ ~~,0/ '1~,~/1L-«/zA Date 9 Z me this - da of ,army" -T ` Date Date egls Date BOND Required? ~ Yes ~No FEES /~ Letters ............................................ $ CQ lJ c ~) Short Certificate(s).......... c _) Renunciation(s)......:':..:.... l )Codicil(s) ......................... ( _) Affidavit(s) ....................... Bond .............................................. Commission....:.:: ~ ......................... Other ~~ Automation Fee ............................. ~ JCS Fee ......................................... TOTAL ........................................... $ To the Register of Wills: Please enter my appe~nce by my signature below: Attorney Signatur Printed. Na Keith D Wagner Supreme Court ID Number: 43891 Firm Name: Brinser, Wa®ner & Zimmerman Address: 8 E. Main Street P.O. Box 323 Palmyra, PA 17078 Phone: 717/838-6348 Fax: 71 718 38-6 91 2 E-mail: keith(iabwzlaw.com DECREE OF THE REGISTER Estate of LOTS S ENGLE afkla: ANDNOW, ~ ~ i,( Q~A~- ~] satisfactory proof having been esented before me, IT IS DECREED that Letters are hereby granted tc GERALD J. BRINSER Date of Death: 08/01/2012 Social Security No: 202-18-5390 File No: 21 - 72 ~- j>~~d , in consideration of the foregoing Petition, Testamentary in the above estate and (if applicable) that the instrument(s) dated described in the Petition be admitted to probate and filed of record as rorm RW-02 rev. fo-f f-zoof Copyright (c) 2011 form software only The Lackner Group.. Inc. _ _ -T~_ _ ~a -~~-~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING:~n~ +~ete this copy by photostat or photograph. _.1`' f~(i1S~cR ~~ '~~~~~ Fee for this certificate, $6.00 ,mom"""'°'•--- This is to certify that the information here given is ~Q~Z aUG _~ ~~ (IC 'I~,P~TN OF pfayf _ correctly copied from an original Certificate of Death t ~`, duly. filed with me as Loeai Registrar. The original °~ - _ ~a$ certificate will he forwarded to the State Vital €. t~ ~ ~ s; Records Office for permanent filing. ~HANfS t/~~'f . ' ~~ ~~I~a ~ /y > l~~l~frt.VC'W` ~ y MENT OF,PIa'1''1, """""'O~~ LOCai Reg1S[rar Date Issued GOMMONWUtLTN OF -ENNSVLVANIA • DEPARTMENT OF NEALTN • VITAL 0.ECORDS wx Af! f~CATY P 18819250 Certification Number ryP•/Pnn<In PKm•n•nt • a i I Ink 1 ~~______~__--_ --_ _ -..._.-_... _.. O•e•tl•nt's LN•1 N•m• Firft, Mldd •, Vat, Su w) . !•w !. NI S«ur"y Num r DOt• DNth IMO/Dry r !p• Mo . Lois Sultzbnu h En le -Femal 202-16-5390 Au ust 1 2012 ! .. Ap- wt \In:IMry IYR) . un v n w s. O•t• o \IRM1 IMO Dry aar Y •. tl N bb or Pe t^ eunerv " c r r MlnutK MOUn OnMf Orys sa Au ust 4 1923 ib.tlrehq•e•/eeYntyl ancas er Y. NIYInC• !fete Or FOr•Itn °umry R•fld•nC• IStr••t .ntl NumM~ - Inclbd•Apt NO. 8C. DI nt LIw In • TOwMMp Uooer Allen ewP. o weln P n va i 317 Messiah Circle a.,d«.a.^t Y. •rtt• my chy/bor0- Cumber and Y. RKm.nc• wP rndu Qne, dK~Nnt m•a whmn umw m t [wr n S Arm. Ferufi 10. M•rYl tb[uf K paKM1 M•M•d 11. urV1VIM SpeuN'f N•m• IN wH•, tM1'• Mm• pr or b RrR maMN•7 . QYN ~Ne QUnknown QOWerNd QNwK MaMad QYnknewn 1 2. F•th•Yf Nam• rft, MIeOY, L•at, Su wl 13. Mether'a N•m• Pnor b IM MarrNp lFlr•[, MmdN. L•a<) b h l au tz J. Aver En le Adda M. Su d e IY. In •M'f N•m• Lb. YI•t10NhID t0 D•ud•m 14c. In rnt•m s MN kV rfY ttr•\t \nd Number G tK•, ID ce PA 17022 bei;h~own Eli St l , za ., ar Doris A. Culbertson Niece 41 S. 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Add •ddltlOn•111nN N n•NIMry AT VI E DO NOT A\\"E eut fnewlnt tM Kb1otY. wi tb Nplntory eR•rt, or V•mncular Obnlla<lon • ~ / `~E~ •~ ~ ~ ~ , ~ / •~ ~t~ti~ cry ~aS L• ~~ '^ 'S~ _ IMMEDIATE GUSE --------------> a. Du• t0 (er N • Con.•qu•nca Ofl: ~ (Final dIF•K• Or COntlltlon ~~ ~ L r•suklnt In death) Y ~Lf~••~41 w b. !•eu.mblly Ilft CerMltlOnF, OY• to (Of •f ! COniNY•ne•O/1: ~{ / f N •rw, INdIM to she e•uN /~_ 1~- ~r ~~ ~~ y ~/IS„Ltl~r G ~ lifted Pn:Hn•a. Enter tM1a s•~+• f ON fO IOr Y a wnNgwnc•Of): VNOtRLVtNO CAYN (dIN•N Or InIYN diet InHlatad lM wantf rasulHna d. Dua to lOr of a wns•waKa eN: In eaathl LA\T. 26. PaR 1•. Emer Other Out net rofYltMt In t und•rlylnt uuN thHn In P•R 1 - WN 4n eblOPfy Nrform• N° 1 .Wert futppey ntllnp •w11abN d d•.<hi to OOIFpI•t. the uuw ( If R•m•1•: 2 O. Dltl TONCtO YN COn<NbYb to peNhi 1. Mannfr O D•KM1 mle H . a a wrcnin Past war ~N prana^ f N <h i p V°f p u t n~o n • om nl O ~ ne O wndlM L.wayatlPn a me O Q PrNMnt at t s oT dNeP hhl 42 da Q SuN:IG p ePYld n« a a«ermin•d ~ y n Q Not PratMnt, but Propan< w nan< 43 data to 1 war b•fero death t t b r !2. Date of Inlury IMe/DaY r/ (tP•11 Monthl , u Q NK Prtnan P M Q Unkrwwn H Pr•pan! wRhin the P•rt war !!. Time of Injury !4. PI«a ° Injury (a.t. M1°m•; wrotruMen she: farm; ad+oell !S. LOUNOn O/ Inlury Street and NumMr, City, St•t•, 21D Geda) 90. InlYrv at Work sT. 1 TranaPOrtat on Inlury. SPK !!. .cn Now InlYrv OttVR . ~ Vas Q Onyr/OP•rROr Q Padaf<nan Q No O Pa•fantar O OtMr (NKIry1 lfa. Grtl •r K enlV oM ~•C•Rlfylnt PhYNeI•n - To eM1a bot 0I mY knowlatlp, eNlM1 eeeurrod tlY• t° the causals) and manner ttatae and due m M• uuNls) •ntl manner ft•bd •ntl Places deb d t the time M1 , , attune a , ~ Pronounclnt i GRIF/IM PM1YSInen - T° tM Yst of mV knowladta. daK eccurr•d •t tn• Om•. tlK•, •rW pl.c•. end Aw t0 tM uuF•1\I •rld m•rtrl•! atat.d tit In mY PplnlOn, d •ntl/OI InV•ftliKlen am len N f M1 b , , o •w • .F Q M•tllPal n t ~ E '"(INt`G^~fwT// /T/-YwO/tZ~ F ~ U dnK •~V Elpat MI• °t c•RITI.r. /l/ !tb Irle, •nterl P Itt~GJS4f• (It 1P4 O•t• p {MO Y 6 a Nat F ar a Y rt... sn•tYr. • "r • n• e w ~~ I g s 4!. Am•ntlm.ma ^r S r DIfPe:men vermR No. 07861 31 Rev m/2ou ~~ - ~~1 WILL OF LOIS S. ENGLE 4~ ~oR~`~ ~~~It~ ~ . R ~;~'~R ~ ,~ h ~D#2 AUG -l PM 4~ O I 1'1,Y~1,,, ~..... '.1~ ~p~g~A~A ID C~,O. iPA I, LOIS S. ENGLE, currently of Upper Allen Township, Cumberland County, Pennsylvania, realizing the uncertainty of this life, but with confidence in God and trust in His Son, my Lord and Savior, Jesus Christ, who died for my sins upon the cross and rose again to redeem me and give me eternal life, do hereby make, publish and declaze this to be my Last Will. and Testament, hereby revoking any and all prior Wills and Codicils made by me. I. I direct that all my just debts be paid from the assets of my estate as soon as practicable after my demise. II. I direct that all estate and inheritance taxes that may be assessed in consequence ofmy death, shall be paid out of the principal ofmy general estate to the same effect as if said taxes were expenses of administration and all property includable in my taxable estate whether or not passing under this Will shall be free and clear thereof. III. During my lifetime, I have mazked certain items of tangible property with the names of different individuals. I bequeath the items so mazked unto the persons indicated. The remainder ofmy tangible personal property I devise and bequeath unto Messiah Village, Mechanicsburg, Pennsylvania. IV. All the rest, residue and remainder ofmy estate, of whatever nature and wherever situate, including property over which I hold a power of appointment, I devise and bequeath unto Brethren In Christ Boazd for World Missions, Grantham, Pennsylvania, to be used as it determines best. V. I appoint Gerald J. Brinser, Esquire, Executor of this my Will. In the event that he fails to qualify or ceases to act as Executor, I appoint Keith D. Wagner, Esquire, Executor in his place. VI. I direct that no bond be required of my fiduciary for the faithful performance of his duties in any jurisdiction. IN WITNESS WHEREOF, I, LOIS S. ENGLE, herewith set my hand to this my Last Will, typewritten on two (2) sheets of paper including the attestation clause and signatures of witnesses, this ~ G ~ day of February, 2002. ~e-t,4 ~ (SEAL) LOIS S. ENGLE Signed by LOIS S. ENGLE, by her declared to be her Will in our presence, who have hereunto subscribed our names as witnesses in her presence and at her request, this a ~-1~-t day of February, 2002. ~Q _ , ~ residing at ~T-- U~ J ~ f ~~,{~._ residing at l~(,P,c,~o,~,icf,(~rwa PA -2- COMMONWEALTH OF PENNSYLVANIA COUNTY OF LEBANON WE, LOIS S. ENGLE, ~ ERAS ~ T ~lSki~vsp,e and ~aleric J • ~c.c~osh , the testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly affirmed, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and that she 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 the Will as witnesses and that to the best of our knowledge the testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. o~~ LOIS S. ENGLE WITNESS v ~. ~.~ WITNESS Subscribed, sworn or affirmed and acknowledged before me by LOIS S. ENGLE, the testatrix, ~ FR4 c fl ~. 6e~ wsf R and j/a f~~ J, ~~sti ,witnesses, this ~~-day of February, 2002. ~~~-~- 7, [ - SEAL) Notary Public Karen .. ,nf Pi~bl!c ]~iih`y' !' i 5~ Kthn M.1UmKC~ ~ V~r Ape111V+p.E~~ May 29, 2004 I+ly Commbaa^ ~1.PMr g11on dt NotaA~t -3-