HomeMy WebLinkAbout08-16-12PETITION 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 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: Sarah J. Howell File No: 21 ~ ~l ~ C
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 458-34-7376
Date of Death: 4/15/12 Age at death: 86
Decedent was domiciled at death in Cumberland County, Pennsylvania (State) with his/her last
principal residence at 210 Bid Springy Road 17241 West Pennsboro Twp Cumberalnd
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at 210 Big Springy Road Newville 17241 West Pennsboro Twp 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 Pennsylvania ................................All personal property $ / O®C5 . DCS
If not domiciled in Pennsylvania .............................Personal property in Pennsylvania $
If not domiciled in Pennsylvania .............................Personal property in County $
i~alue of real estate in Pennsylvania .............................................................. $
TOTAL ESTIMATED VALUE.... $ ~ D ~ ~D
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 11/3/98 and Codicil(s)
thereto dated 9/9/1999
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(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 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 Decedent left no Will and was survived by the following spouse (if any) and heirs (attach
additional sheets, if necessary):
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Name Relationship Address C ~ rv :Z"3
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Form RW-02 rev. 10/!1!2011 Page 1 Of 2
Oath of Personal Representative Official Use Only
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COMMONWEALTH OF PENNSYLVANIA } _
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COUNTY OF CUMBERLAND } =x' ; _ •
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Petitioner(s) Printed Name Petitioner(s) Printed Address ~ L, ~' ~ -: ' =~
10 East High Street _ ~-; ~ ~^' ;!"
No V. Otto III Es uire Carlisle ~° ~ PA 013 -.-
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 Dec ent, the 1?etiti er(s) will well and truly administer the estate according to law.
Sworn too ffied an su scribed b~for ~ Date I ~ I Z-
me t / a~C of ~~~ Date
By: L ,~~ 9
_~ Date
F r t e Register Date
BOND Required: ^ YES ^ NO
FEES:
L ~U,~c~
etters . ..... $
( )Short Certificates(s) ......
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( )Renunciation(s) ......... .
( 1) Codicil(s) .............. ' ~~
( )Affidavit(s) ............ .
Bond .........................
Commission ................... .
Oth ~~ ........
Automation Fee .................
JCS Fee ....................... <`j ~ ~`~
TOTAL ......................$ i
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name: No V. Otto III
Supreme Court
ID Number: 27763
Firm Name: Martson Law Offices
Address: 10 East High Street
Carlisle PA 17013
Phone: (717) 243-3341
Fax: (717) 243-1850
Email: iotto(cr~,martsonlaw.com
DECREE OF THE REGISTER
Estate of Sarah J. Howell File No: 21 --' ~ ~ ~' ~ ~ ~L!
a/k/a:
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AND NOW, ~ in consideration of the foregoing Petition,
satisfactory proof having bee resented before me, IT IS DECREED that Letters Testamentary
are hereby granted to No V. Otto III
in the above estate and (if applicable) that
the instrument(s) dated 11/3/1998 & 9/9/1999
described in the Petition be admitted to probate and filed of record as tl~e last Will (end Codicil(s)) of l,~ecedent.
Form RW-02 rev. 10/1 !/2011
Register of Wills
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Type/Print In GOM MONW EALTH OF PENNSV LVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS
Permanent
Black ink CERTIFICATE OF DEATH _
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1. Decedent's Legal Name (First, Middle, Last, Suffix] ~cace rite rv
2. Sex 3. Social Security Number um per:
4. Date of Death (MO/Day/Yr) (Spell Mo)
Sarah Jean Howell Female 458-34-7376 A ril 15 2012
Sa. Age-Last Birthday (Yrs) 56. Under 1 Vear Sc. Under 1 Da 6. Date of Birth (MO/D ay/Near) (Spell Month) 7a. Birthplace (City and S tate or Foreign Count
)
Months Days Hours Minutes ry
Sherman TX
86 A ril 10 1926 7b. Birthplace (county) Gra son
8a. Residence (State or Foreign Country) 8b. Residence (Street and Number -Include Apt No.) 8c. Did Decedent Live in a Township?
Pennsylvania decedent lived in ~^lest Pennsboro I
®ves
8d. Residence (County)
210 Bi S rin Road #204 ,
wp.
Cumberland 8e. Residence (Zip Code) 17241 Q No, decedent lived within limits of city/born.
9. Ever in US Armed Forces? 10. Marital Status at Time of Death Q Married ® Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage)
Q Yes ® No Q Unknown Q Divorced Q Never Married Q Unknown
12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, Last)
Ile Ross Reynolds Bertha Clay Youn
14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code)
o Ms. Sarah Sue Howell Dau hter 757 R al B nnet D
~ ............................................... ............._............................i ........ lSa. P ace o Deat Check on1Y one
ac
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If Death Occurred in a Hospital: ~ Inpatient : ..............................
If Oeath Occurred Somewhere Other Than a Hospital: '~` ~HOSpice Facility ~" Decedent's Home
Emer enc Room Out atie nt
Q g Y / p Q Dead on Arrival
® Nursing Home/Long-Term Care Facility Other (Specify)
i5b. Facility Name (If not instituiio n, give street and number; lSc. City or Town, State, and Zip Coda 15 d. County of Death
LL Greenrid e Villa e Health Center Newville PA 17241 Cumberland
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C° 16a. Method of Disposition Q Burial ® Cremation 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place)
Removal from State
Q Q Donation
Q other(Specify) April 19, 2012 Cremation Society of PA
16d. Location of Disposition (City or Town, State, and Zip) 17a. Si ture of Funeral ice icense erson in Charge of Interment 17b. License Number
a Harrisburg, PA 17109 FD-138753
E 17c. Name and Complete Address of Funeral Facility
u° Auer Cremation Services o P v 4100 Jonestown Road Harrisbur PA 17109
m
° 18. Decedent's Education -Check the box 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 best describes whether the decedent the decedent considered himself or herself to be.
Q 8th grade or less (s Spanish/Hispanic/Latino- Check the "NO" $] White Q Korean
~ No diploma, 9th - 12th grade box if decedent is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese
High school graduate or GED completed ® No, not Spanish/Hispanic/Latino Q American Indian or Alaska Native Q Other Asian
Q Some college credit, but no degree Q Ves, Mexican, Mexican American, Chicano Q Asian Indian Q Native Hawaiian
Q Associate degree (e.g. AA, AS) Q Ves, Puerto Rican Q Chinese Q Guamanian or Cha morro
Q Bachelor's degree (e. g. BA, AB, BS) Q Yes, Guban Q Filipino Q Samoan
Q Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Ves, other Spanish/Hispanic/Latino Q Japanese Q Other Pacific Islander
~ Doctorate (e.g. PhD, Ed D) or Professional degree (Specify) Q Other (Specify)
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 to be. 22a. Decedent's Usual Occupation -Indicate type of work
White Q Japanese Q Samoan done during most of working life. DO NOT USE RETIRED.
Q Black or African American Q Korean
Q Other Pacific Islander
Q American Indian or Alaska Native Q Vietnamese
Q Don't Know/Not Sure Housewife
Q Asian Indian Q Other Asian Q Refused 22b. Kind of Business/Industry
Q Chinese Q Native Hawaiian Q Other (Specify)
Q Filipino Q Guamanian or Chamorro Domestic Engineering
ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounced Dead (MO/Day/Yr) 23b. Signature of Person Pronouncing Death (Only when applicable) 23c. License Number
BY PERSON WHO PRONOUNCES OR
CERTIFIES DEATH ~ / ~ j~ -
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23d. Date Signed (Mo/Day/Vr)
24. Time of Death
iL 20 L.-CJG(, /J~t-s. / - c~
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l.~ { 25. Was edical Examiner or Coroner Contacted? Q Ves ® No
CAUSE OFD TH A
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26. Part I. Enter the chain of events--diseases, injuries, or complications--that directly caused the death. 00 NOT enter terminal events such as cardiac arrest Interval:
respiratory arrest, or ventricular fibrillation without showing the etiology. DO N
OT
AB
BREVIATE. Ente
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o
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o
ne cause on a line. Add additional Tines if necessary Onset to Death
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IMMEDIATE CAUSE ---------------> a. ~ -~~-~ ~) C/~J- S~i'cFJ`~J ~~ ( ~^'-t_/t-
(Final disease or condition Due to (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):
z
w (disease or injury that
t- initiated the events resulting d.
v in death LAST.
Due to (or as a consequence of):
26. PaK 11. Enter other siRnifica nt conditions contributing to death but not resulting in the underlying cause given in Part I 27. Was an autopsy performed?
~ Q Yes No
28. Were autopsy findings available
m' to complete the cause of death?
d Q Ves Q No
a 29. If Female: 30. Did Tobacco Use Contribute to Death? 31. Manner of Death
E
° ® Not pregnant within past year Q Yes Q Probably g] Natural Q Homicide
u Q Pregnant at time of death No Unknown
Q Q Accident
Q Q Pending Investigation
m Not re Want, but
Q p g pregnant within 42 days of death Q Suicide Q Could not be determined
~ Q Not pregnant, but pregnant 43 days to 1 year before death 32. Date of Injury (MO/Day/Yr) (Spelt Month)
Q 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, Speci
fy:
38. Describe How Injury Occurred:
Q Yes Q Driver/Operator Q Pedestrian
Q No Q Passenger Q Other (Specify)
39a. C ter (Check only one):
Certifying physician - To the best of my knowledge, death occurred due to the cause(s) and manner stated
Q Pronouncing 8. Certifying phy tan - To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated
Q Medical Examiner/coroner On the basis of examination, and/or investigation, in my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner stated
Signature of certifier: Title of certifier: ~~ ~ ' License Number: ~~~ d ~~ ~ ~
39b. Name, Address and Zip C f P son Completing Cause of Death (Item 26)
56 Ashton Street
~ 39c. Date Si Wed (Mo/Day/Vr)
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Carlisle PA 17015 y ~ ~J~.
40. Registrar's District Number 41. Registrar's Signature
c 42. Registrar FII Da
(M Day
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43. Amendments
H 105-143
Disposition Permit No. 0748603 REV 07/2011
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LAST WILL AND TESTAMENT ~.~.~
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SARAH J . HOWELL ~
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I, SARAH J. HOWELL, of Fairfax County, Virginia, being of
sound and disposing mind and memory, do he-r_eby make, publish and
d.PCJ.are this to be r;My Lu t ~";ill aild T2Sl.dltiClll.. 1 hereby revoke and
annul all wills, codicils and other testamentary dispositions
heretofore made by me.
I direct my executors to pay all my legally enforceable debts
(exclusive of those secured by encumbrances upon real property)
including the expenses of my funeral and the administration of my
estate, and authorize my executors to compromise or arbitrate, in
their discretion, any or all claims or demands which may be
presented against my estate and their discretion shall not be
subject to review. The expenses of my estate shall be paid out of
post death income first, and then from the principal of my estate.
ARTICLE 2
I direct that all estate, succession, legacy, inheritance or
other transfer taxes, however designated, that shall be payable by
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reason of my death, whether assessed with respect to property
passing under this Will or otherwise, shall be paid out of and be
charged against the principal of my Residuary Estate, without
reimbursement from any person, as a cost of the administration of
my estate .
ARTICLE 3
As a premise and criterion for interpreting this Will, I
announce it to be my wish and intent that any person designated as
the beneficiary or recipient of any bequest or devise herein who is
not living 120 hours following the time of my death, shall be
considered to have died prior to my death (herein sometimes
referred to as having predeceased me) .
ARTICLE 4
Any interest that I may have in any joint bank accounts and
joint savings and loan accounts and any stocks and bonds or any
other personal property held jointly in my rame and that of ar_y
other person are hereby declared to be the sole property of that
person, and my executor shall make no claim against them on account
thereof .
2
ARTICLE 5
All the rest, residue and remainder of my property (herein
sometimes referred to as the Residuary Estate) whether personal,
real or mixed, of which I may die seized, possessed or have any
interest in, both inchoate and vested, I give, devise and bequeath
unto the Sarah J. Howell Revocable Living Trust, dated u ~~
l~ with Sarah J. Howell as Trustee. My Trust Agreement
was signed before this Will.
ARTICLE 6
I hereby nominate, constitute and appoint Sarah Sue Howell as
the Executor of this Will and of my estate. In the event Sarah Sue
Howell is unable to serve as the Executor, either through
disinclination or disqualification, then I nominate and appoint
Laura L. Howell as such Executor.
ARTICLE 7
A. I hereby give my said Executor full power and authority to
sell, or otherwise dispose of any property, real or personal,
belonging to my estate, at any such times as in the Executor's
absolute discretion shall be deemed best for the purposes of paying
taxes or debts or in carrying out any other provision of my Will,
and without order of court.
3
B . I specifically confer upon my Executor all and singular of
the powers contained in Section 64.1-57 of the Code of Virginia in
effect on the date hereof, which powers are incorporated herein in
whole by reference to said section.
ARTICLE 8
I direct that no bond or undertaking be required in any court,
place or jurisdiction for the faithful performance of any duties of
any Executor nominated or appointed in this Will.
ARTICLE 9
As used in this Will, the terms Executor and Testator shall
be deemed to include and mean persons of either masculine or
feminine gender whenever necessary or appropriate; the singular
shall include the plural and vice versa.
IN WITNESS WHEREOF, I have hereunto subscribed my name and
set my seal to this, my Last Will and Testament, consisting of Six
(6) typewritten pages, bearing my initials at the bottom of each
page preceding this one, this ~ day of /~~~~f-t~~/2, , 1998 .
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G~ ( SEAL )
'SARAH J. H LL
4
The foregoing will was subscribed, published and declared by
the Testator as and for Testator's last will and testament in our
joint presence and we, in Testator's presence and in the presence
of each other and at Testator's request, hereunto subscribe our
names as attesting witnesses thereto.
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(WITNESS)
5
STATE OF VIRGINIA
CITY OF ALEXANDRIA
Before me, the undersigned authority, on this day, personally
ap eared Sarah J . Howell , ~--~~~ /~ • G~:-~g-~,~y ~ and
~~//~ ,~'i'2i "!~i/rj~ES known to me to be the Testator and
the witnesses, respectively, whose names are signed to the attached
or foregoing instrument and, all of these persons being by me first
duly sworn, the Testator declared to me and to the witnesses in my
presence that said instrument is Testator's last will and testament
and that Testator had willingly signed and executed it in the
presence of said witnesses as Testator's free and voluntary act for
the purposes therein expressed; that said witnesses stated before
me that the foregoing will was executed and acknowledged by the
Testator as Testator's last will and testament in the presence of
said witnesses who, in Testator's presence and at+Testator's
request, and in the presence of each other, did subscribe their
names thereto as attesting witnesses on the day of the date of said
will, and that the Testator, at the time of the execution of said
will, was over the age of 18 years and of sound and disposing mind
and memory.
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`Test for
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Witness
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Witness
Subscribed, sworn and acknowledged before me by the Testator
and the witnesses, this 3 day of ~~ ~ ~~~Q ~ 1998 .
G /
Notary Publi
My commission expires : ~ ~ ~ ~ ' °~-' ~ ~L~
EP798049
6
F \FILES\DATAFILE\WILLS\9942.COD
CODICIL
I, SARAH J. HOWELL, of West Pennsboro Township, Cumberland County, Pennsylvania,
being of sound and disposing mind, memory and understanding, do make, publish and declare this
to be a Codicil to my Last Will and Testament dated November 3, 1998.
1.
I hereby revoke ARTICLE 6 of my said Last Will and Testament and replace it with the
following:
ARTICLE 6
I hereby nominate, constitute and appoint the law firm of 1V[_ARTSO?~T
DEARDORFF WILLIAMS & OTTO, Carlisle, Pennsylvania, as Executor of my
estate.
2.
In all other respects, I ratify and affirm my said Last Will and Testament dated November
3, 1998.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ ~ day of
September, 1999.
(SEAL)
Sarah J. Howel
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and
for a Codicil to her Last Will and Testament dated November 3, 1998, in the presence of us, who at
her request, have hereunto subscribed our names as witnesses thereto, in the presence of the said
Test rix and of each other.
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Page 1 of 2 Pages
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS.
I, Sarah J. Howell, 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 a Codicil to my Last Will dated November 3, 1998; that I signed it willingly; and that
I signed it as my free and voluntary act for the purposes therein expressed.
Sarah J. Howe
Sworn or affirmed to and acknowledged before me by Sarah J. Howell, the Testatrix, this
9 day of September, 1999.
Notary Public
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NOTARIAL SEAL
CORR{NE L. MYERS, Notary Public
Canis{e Boro. CumberlandCounty
~l Cammissicn E x 'res Ma 27, 2003
We, / ~0 V • ~~d __L.1.1.-- and ~ -~. ~' _ / ~
the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified
according to law, do depose and say that we were present and saw Sarah J. Howell, the Testatrix,
sign and execute the instrument as a Codicil to her Last Will dated November 3, 1998; that the
Testatrix signed willingly and that the Testatrix executed it as her free and voluntary act for the
purposes therein expressed; that each of us, in the hearing and sight of the Testatrix, signed the
Codicil as witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or more
years of age, of sound mind and under no con rai or undue influence.
Address / y ~, ~l ST
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Sworn or affirmed to and subscribed before me this g day of September, 1999 .
Notary Public
NOTARIAL SEAL
CORRINE L. MYERS, Notary Public
Carlisle Bono, CumberiandCourtryry
Page 2 of 2 ommission Ez 'res Ma 27, 2003