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Home My WebLink About08-13-12Reset 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: JOSEPHINE J. STILLSON File No: ~ ~ " ~a '~Yj~ -~ a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: August 5, 2012 Age at death: 91 Decedent was domiciled at death in Cumberland County, pennsylvania (State) with his/her last principal residence at 24 LonQView Drive, Mechanicsbure. PA 17050 Silver Shrine Townshiv Cumberland Street address, Post Otfice and Zip Code City, Township or Borough County Decedent died at Holy Spirit Hosyital, Camy Hill, PA 17011 East Pennsboro Townshiv Cumberland PA Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsy[vania ............................ All personal property $ 150,000.00 If not domiciled in Pennsy!vania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ 150,000.00 TOTAL ESTIMATED VALUE.... $ 300.000.00 Real estate in Pennsylvania situated at: 24 LonQView Drive, Mechanicsburg, PA 17050 Silver SyrinQ Township Cumberlat~ (Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Towuship 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 June 4, 2012, and Codicil(s) thereto dated N/A. State relevant circumstances (e.g. renunciation, 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(8), 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 tl 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(8) 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, ifnecessary): Name Relationshi Address ~ (~ N ~ r-r'7 'T s, ~ ~ J ,r. _ ~ Q C Form RW-02 rev. 10/11/1011 "J= W ~~ T7 Page 1 of 2 ,~~ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } ;f _ ,t , ~,. fppallitst t 1 ~L ~ ,_ i . -,-1..~~ ~'~~l2AUG 13 P~~ 1~ 32 Petitioner(s) Printed Name Petitioner(s) Printed Address_;:. Anita M. Baldassaro 257 Main Street Woodbrid e NJ 07095 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 D dent t~h ,~Pyet~it' s) ell a d t adminis er th estate ac ord' to lacy/ Sworn to or affirmed and subscribed before ~~~-"-%"~'~~~~ /Rr'`~~ate ~~ ~~ /~ me day of ' ~ ~ o? Date ! Bye - ~~Y ~ ~ ~% ~ ~ _ ~ ~ Date For the Register Date BOND Required: ®YES A NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters ...................... $ 310.00 ( 5) Short Certificate(s)...... 20.00 ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other Will ........ 15.00 ... Automation Fee ............... 5.00 JCS Fee . .................... 23.50 TOTAL ..................... $ 373.50 Attorney ~rgnature: Printed Name: Marlin R. McCaleb Supreme Court ID Number: 06353 Firm Name: Law Offices -Marlin R. McCaleb Address: 219 Fast Main Street P. n. Box 230 Mechanicsburg, PA 17055-0230 Phone: 717-691-7770 Fax: 717-691-7772 Email: marlimm~nalehromcn rnm DECREE OF THE REGISTER Estate of JOSEPHINE J. STILLSON File No: ,.~ ~- ~;~ - U ~( ~J a/k/a: AND NOW, ~t.`~U`C`t ~ ~~ , ~_, in consideration of the foregoing Petition, satisfactory proof having en presented before me, IT IS DECREED that Letters Testamentary are hereby granted to ANITA M. BALDASSARO in the above estate and (if applicable) that the instrument(s) dated June 4, 2012 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent Form RW-02 rev. 10/11/2011 J ~~ egister of Wills ,~ -age 2 of 2 LOCAI~;-~~~~~;~~'S CERTIFICATION OF DEATM WARNII~~~~t: jrgilleg~~~~~~duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 ?Q 11 AUG 13 Phi I ~ 32 ~Chis is to cc rtiiy th.rt I;he information here given is correctly copied frol~t an original Certificate of Death duly filed ~n~ith me a~ Local Registrar. The original certificate will he f(Invarded to the State Vital Recore,~s Office f~~r Herr ~~ncnt filing. l r r • L+~cal ~2egi~;n-au Date Issued F 1859791 Certification Number or~Hwv2s ~o~~; r Cl1MBEBtAND Cora PA e/Prkt b ack llnkt COMMONWEALTH OF PENN6YlVANIA • DEPARTMENT OF HEALTH • VifAl RECORDS CERTIFICATE OF DEATH 1. Decedent's legal Name (First, Mitltlle, last, SuNixl Z. Sex 3. Serial Secudrv Number <. D>te of Death IMp/Dayryrl ($DlII Mo) Josephine J. Stillson emote 192-12-2579 Au t 5 2012 6a. Age-last Birthday IYnI Sb. Under 1 Year Sc. Under 1 Da 6. Date of Birth IMr/Day/Yearl ISpell Month) ]a. Birth ac larvdne State or foreign Country] 91 MpntM1a Dava Hppra Mbutea December 23, 1920 ~ on, Penns lvania )b. girtnlsixeltounry) Ba. Residence 16W[e or Foreign Country) eb. Pesltlence Istrcet aM Number ~ Include Apt No.l g<. Db Dxedent Live In a township) Penns lvania 24 Longview Drive fives, eecedent llyed b Silver Snri na tw 8d. Resldersce Ifounrvl p Clmlberland Be. Residence IZip Code1 17050 ^NO, decetlant INed wtthln limits o! <irv/borp. 9 Fver in US Armed FOrcei7 10. Marital Status atnme of Death ^Mamletl Widowed 11. 6urvINng SDOUSe's Name llf wile, give name priorb Rn[marrlagel ^Yes r~NO ^Unknown ^Dlvorced ^Never Marnetl ^Unknown 1Z. Fathei s Name (First, Middle, last, SuHkl 13. Mother's Name Prior to Firat Marriage IFUrt, Middle Lastl Frank Polito , Jennie hbrganti 14a. Informant's Name 14b. Relationship to Decedent 14c. Inlprmsnt's Malling gtltlrlss 16treet and Number, City. Slate, Elp Codel 0 Anita Baldassaro Dau hter 257 Main Street Woodbri NJ 07095 G r on! ..................... .lsa. ate p am c ¢ _ Il pe [h Occurred lnaHOSpital: ^Inpatlent If Death Occurred Some here Othe Th ~~~~~~~~~~~~~~~~~~~~~~~~~~1W ~~~~~~~~ ~~~~~ W tH rtal: y~HOSpice Facility yOeceden 's sp ~ Emer envy 0.oom/Outpatknt ^ Dead on Arrival Nursin Home/Long-Term Care Fa<ility otner IspeclMl ~ 156. Fxiliry Name IN riot Institution, give street aM number; fSC. City or Town, State, and Zip Code lSd. County o/ DeaM Hol S irit Hos ital Hill PA 17011 CZuDberland a ifia. Methatl of Dlspositbn Burial ^ Cremation 166. Date pl Dlsposltlon 16c. Place pl DHposttlon (Name of cemetery, crematory, or other place) ~ ^ Ram e ^ Dpnanp^ ~ ugust 8, 201 Chestnut Hill Cemetery ane lspepl hl v 16d. l.ocatlon of DlsposHbn (Cirv or Town, Slate and Zi01 Mech ni b PA 17 1)a. Signal cal SeMCe cosec or Person in Charge o! Interment ~ e' ~' 1)b. license Number Y a cs urg, 055 , fi ,--~ FD-138630 E 1]c. Name and Complete Atldress of Funeral Facility s Mal zzi Funeral Hone 8 Market laza Wa Mechanics PA 17 55 ~ lg. DecedMt's Etlucatlon Check Inc box that best tlesWbes the 19. Decedent of Hispank Origin ~ Check the 10. Decatlent's 0.ace ~ Check ONE O0. MORE races to Indicate what ° highest degree or level of school completed at Me time of tleath. box that best tlescribes whether the decedent the dxedent cpnsldere0 himself or herself to be. ^ Bth grade or less is Spanish/Hispanic/latino. Check the'NO' White ^ Korean ^ No dipbma, 9tM1 - 11th grade box i(dxadent is no[ Spanish/HISW~ic/tattoo. ^ Blxk or African American ^ Vkenamese ~Hlgn uhool gradua[ewGEDCOmple[ed ~'Np, not Spanish/Hlspanlc/latino ^American lntlianor Alaska Native ^Other Asian ^ Some college credH, but rip degree ^Yes, Mexlun, Mexican American, Chlcanp ^ Arlan Indian ^ Native Hawaiian ^ Auoclate degree le.g. AA, ASI ^Yes, Puerto Rican ^ Chinese ^ Guamanian or Chamorro ^ Bachaloi s degree le.g. BA, AB, BSI ^Yes, Cuban ^ Filipino ^ Samoan ^ Mastei s tlegree le.g. MA, M6, MEng, MEd, MSW, MBA7 ^Yes, other Spanlsh/HI•panic/Latiro ^ Japanese ^ Ocher PaclRc Islander ^DOCtorate le.g. PhD, EEDIor PrWesslonal degree 16peclfyl ^Otherl5peciryl e.. MD DDS OVM llB ID Zl.Decedent's Single Race SeN-DesignatIon-Check ONLY ONE to lndkate what[he tleceden[conzitleretl himself or occult to be 21a. Decedent's USUaI OCLVpihpn-Intllcate type of wor4 ' Q Whlte ^lapanese ^Samoan donedunngmosc of wprking life. DO NOTUSE RETIRED ^Black or Alrkan American ^Korean ^Other Pacific islander Beautician ^ American Indian or Alaska Native ^ Vktnam<se ^ Dpr't Know/NOI Sure ^ Arlan Indian ^ Other Asian ^ Refused 22b. Kind of Business/Induztry ^ Chineu ^ Native Hawaiian ^ Other ISpecllyj - ^Flllphso ^GV,manlanprcn.mpmp Health/Beauty REMS 2L-lgd MUST BE fAMPlETEO 23a. Date Pronounced Dead Mo Day r 13b. 91gnature of Penon Pronouncing Death (Only when appliublel 13c. license Number BY PERSON WNO PRONW NOES OR (~ [ERTFIES DEATH d C 23tl. Date Signed (MO/Day/vr) 14. nme o/ Dea r `, 25. was Medical Examinerw Coroner COnbtted7 ^ Yes ^ No CAUSE OF DEATH Approximak 26. Part I. Enter Inc chain of events--diseases, Injuries, ar compllcanons- that dirtttly caused the death. DO NOT enter terminal events such as cardiac arrest Interval: respiratory arrest, or ventricular llbd ll a tl o n w ith ut sh owing the e tio lo g y. DO NOT pBBREVIgTE. Enter onN one cauu on a Ilne. Add addltlonal Imes if necessary Onset to Death / / ~ ~' 1 ( ~ ~~ ~ ( } T Y - - l IMMEDIATE CAUSE ~-------~----~> a. '~-' ` ' t- I venal aiuau pr cpnembn I Ira: a anence pq: resutrbg in death) ( I ~ / ~1 / y~ I b. Cr'"N C~ J L~~,/~/L_ l ill I , se9Penbany list cpnmuons. Dpe fora 17 gue^ce pr j if any, kading tp the cause listed on line a. Enter [he _ __ __ UNDERLYING UUSF Due b for a <as onsequenrc pfl. '' a w Idiuase or mlury [hat Inltlatetl [he events resul[inp tl ___- mdeanltgsT D„emlpr asaconsep~exe prp ~- --- S 26. Part II. Enter other significant cond t on ntdbutlna tp death but not resulting In [he underlying cause given In Pan I 2). Was an autopsy pe o medt ^ Yes 18. Were autopsy Rndings available wpP plete one <apu or aeaenl ~ V ^Yes No 19. IF Female. 30. Did tobacco Use Contribute b Death2 31 Manner of Death c ^ Not pregnant within past year ~ Yes ~ Drpbably ~iaWral ^ Npmkitle -IreB^a^t at time of deatM1 ~ ^Unknown ^ Accltlent ~ Pending lnvesttgatt°n e1i ^ Not pregnant, but prrynanl wiMin di days of death ^ Sulclde ^ copb not ee determinee ^ Not prc[nanl but pregnant 43 days tp 1 year before death 31. Date of Injury IMO/DaYh'rl iSpell MonrM1l ^ Unkrwwn If pregnant wilhb trio Oast year 33. time o/Injury 34 Pkae of Injury le 6 home; cons[ruc[bn site: krm; schopil 35 Location of Injury 16treet antl Number, City, State, Elp cotle) 36 Injury at Work 3). Il Transportation Infury, Specify: 38. Descnhe Hpw Injury Occurred: ^ res ^ Drroer/operator ^ Pedesman ^ No ^ pasunger ^ Other lSpeclfyl 39a. Rer (Chec4 only oriel: Certifying Dhyitclan ~ To the best pf my kmwledge, tleatn occurred tlue to [he causelsj and manner stated ^ PronWnclnO 6 Certifying physician ~ TO est pl my knowledge, death occurred at the hme, date, and place, and due [o trio cauuls) and manner stated ~ ^ Medical Examiner/C Op~e ba °Te InaM1On, and/or investlgatbn, in my opinion, tl«~p rretl at the Ume, date, and place, antl due to the <ausels) antl manner stated Signature of certlReu si\ /a/ 1 J ~X IIIJ Tiha pf clrtHkr. i l J Lkana! N°mbar~fl ~-~x:~ i rr ~L 39b. Name, Address and ZiP Code of Penpn Completing Cause of DeaM Iltem 261 39c. Dat etl I o/Day/Yr) William Nasuti DO 21 Waterford ive 'c PA ~ G I 00. Registrar's DIrtrIR Number 41. Regi 7 Ignature 02. PegUtrar Rte Date IMO Day r) a,~•.~ la n. ~ ~ ,; ~,~ a3. Amendments Diap°,nlpn Permit N°.0693712 Hlos-]A3 REV o]/2011 LAST WILL AND TESTAMENT I, JOSEPHINE J. STILLSON, of the Township of Silver Spring, County of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executrix, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give, devise and bequeath all the rest, residue and remainder ~_„W <~F~ MARLIN R. t of my Estate, real, personal and mixed, whatsoever and wheresoever situate, unto my daughter, ANITA M. BALDASSARO, of Woodbridge, New Jersey, absolutely and in fee simple, if she survives me. Provided, however, that if my daughter, ANITA M. BALDASSARO, shall not survive me, then I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, in equal shares unto my granddaughters, namely: KRISTEN GIORDANO, BIANCA BALDASSARO, ERIKA BALDASSARO and MARISA BALDASSARO, who survive me, share and share alike, absolutely and in fee simple. LASTLY. I nominate, constitute and appoint my daughter, ANITA M. ~... C:`* BALDASSARO, Executrix of this, my Last Will and Testament, but iany r~ sorr.~~ r ~ rn l.' i _. ` .l ..~ ~-... she shall fail to qualify as such Executrix or cease so to serve then rYainat$ r.;- , , , , U% ~ W .F3 D ~~ G~ R'a *,. ~ • ~ , constitute and appoint her daughter, ERIKA BALDASSARO, to serve in her place and stead, each to serve without bond in this or any other jurisdiction. IN WITNESS WHEREOF, I, JOSEPHINE J. STILLSON, have hereunto set my hand and seal to this, my Last Will and Testament which consists of two (2) typewritten pages to each of which I have affixed my signature this ~ day of %' , A.D., Two Thousand Twelve (2012). ,; (SEAL The preceding instrument, onsisting of thi and one (1) other typewritten page, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by JOSEPHINE J. STILLSON, the Testatrix therein named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. i.. n `e Cil.i~-~YZ Q .. f I.AW UfF1C_ES MARLIN R. McCALEB -2- 1 ~ ~ ~ +(i OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA ~~~ ~ 2 ~U~ 13 PIS I ~ 32 GRPHAv`~, ~v~nr C~IMBERLAND CO., PA Estate of JOSEPHINE J. STILLSON ,Deceased MARLIN R. McCALEB , (each) a subscribing witness to (Print Names) the ~ Will ~ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /they signed the same and that she / he /they signed as a witness at the request of the Testator /Testatrix in her /his presence and in the presence of each other. (Signature) (Signature) 219 East Main Street (Street Address) (Street Address) (City, State, Zip) Mechanicsburg, PA 17055 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me This ~. day of_~~ j-tJ ,G~• r Deputy for Register of Wills Executed out of Register's Office Sworn to or affirmed and subscribed before me this of day 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.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Form RW-03 rev. !0.13.06 f~E{.'~ ~~":; ` I ~ ~.: ~wiC~ 0~ ~l~ l 2 AtIG 13 P1•~ i - 32 OATH OF SUBSCRIBING WITNES~S~ `~ ~v~~r CUMBERLANp CO., PA REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA ~I- I~. -6~~3 Estate of JOSEPHINE J. STILLSON Deceased LOREN A. FEATHERS (each) a subscribing witness to (Print Namels) the ~ Will ~ Codicil(s) presented herewith, (.e~e~ being duly qualified according to law, depose(s) and say(s) that she / hey was / were present and saw the above ~• /Testatrix sign the same and that she / lieq signed the same and that she / si ~ greed as a witness at the request of the Testator /Testatrix in her / Ikis presence r. (Signature) (J'treet Address) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Mechanicsburg, PA 17055 (City, State, Zip) Executed out of Register's Office Sworn to or affirmed and subscribed before me this _ r~ ~ day 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.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Form RW-03 rev. 10.13.06 COMMONWEALTH OF PENNSYLVANIA Natarlal Seal Martin R. McCaleb, Notary Public Mechanlcs~trg Boro, Cumberland County MEMBER PEN misslorl ~re'S Dec. 14, 2014 NSNLVANU ASSOQATIINI pp Np7q~~ k au.~1 ~ . (Signature) 35 West Locust Street (Street Address)