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HomeMy WebLinkAbout08-21-12PETTTION 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• Charlene A. Shelts a/k/a: a/k/a: a/k/a: Date of Death: 07/ 10/2012 File No: ,~~ ~ a _q (Assipacd by Register) Social Security No: Age at death: 73 Decedent was da®iciled at death in Cumberland County, Pennsvlvania (Stare) with his/her last principal residence at 824 Lisburn Road 1701 I Lower Allen Cumberland Street address, Poq Office oW 73p Code Cay, Towoaaip er aorarreh Coraty Decedent died at 824 Lisburn Road 1701 l _ Lower Allen Cumberland PA Strec1 trtdrese, Post OIBre eed Zip Code CHy, TowesO} ~ Borwgh Coaoty Shte Estimate of value of decedent's property at death: ljdawiciled in Pennsy[verb ............................ All personal property S 500.00 /jnot dartieUed in Pennsylwnb ........................ Personal property in Pem~ylvania S Ijn.r dewticikJ b Pewwayfswie ........................ Personal property in Couoty S Valae ajreal esmte b PtnrasyHanb ..................... .................................... S 1 i,I7R.'i0 TOTAL ESTTMATED VALUE'..... S l3 638.30 Real estate N Pennsylvania situated at: Lot on South 45th Street 171 I I Swatera Township Dauphin (Attach additional sheets, iJnecessaryJ Street addrer, Pest Ofaee aM Zip Cede City, ToweaYip a BeroagY Cseety ® A. Petition for Probate sad Grant of Letters Testameatarv Petitioner(s) aver(s) helshehhey is/are the Executor(s) named in the last Will of the Decedent, dated thereto dated Shte rekvset clreemrtances (eg. rcnunrlonan, dnth of aecrbr, da) Except as Rrllows: aRerthe execution ofthe instrument(s)offered forprobate Decedent did not mamy,was not divorced. was notapartymapending 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.. Q NO EXCEPTIONS Q EXCEPTIONS ^ B. Ptxitioa for Gnat of Letters of Ad®iaistntion (tfapplicably e.t.a., d.b. n., d.b.n.c.t.a., pendenfe lire, durance absentia, durance minoritate If Administration, eta. or db.n.eta, 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 fcrc 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 Q EXCEPTIONS Petitioner(s), afters propersearch has/have ascertained that Decedent lets no Will and was sravivedby tM: following spouse(ifany) and heirs (attach additional sheets, ijnecessary): hr Name Relatioeah Addre O '" ~' T7 C_ i,-) CJ - =~C,7 G1 i _ t i ". = ~ O C _.° C 7 ~ - i./J 11/08/2006 _ and Codicil(s) Form RW-02 ,~e... foiluzoll Page 1 of 2 Oath of PelsoDal RepreseDtative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland } Official U 1 _C~)RL'~~C! ~~4~FiC OF ~~~ii, ~ ~~ ~!,'-~ ';tll I C %i112 AU6 2 I ~ t 0 Petitioner(s) Printed Name Petitioner(s) Printed Address Debra L. Boshinski J t ~ ~~+~ S vl)~ 363 Old S Road Lewis PA 17339 ~ The Petiti~er(s) above-named swear(s) or affirm(s) the stater of Petitioner(s) and that. as Personal Representative(s) of the Sworn to or affirmed and subscribed before ~ me a f ~~u COI o~'' _ 13y: _ Fort 'rrer _ BOND Required: Q YES ~ NO FEES: Letters .................... .. s~~ ( ,~ )Short CertiFicate(s).... .. L,Z ( )Renunciation(s)....... . . ( )Codicil(s) ........... . . ( )Affidavit(s).......... . . Bond ...................... .. Commission.......... . I Other ~_...... . Automation Fee ............ ... JCS Fee .................. ... tiC~ ~~ TOTAL .................. ... S -66f!' re HYe Rearsar ejWWs: Please eater sy appeaneee by ssy sigeatere beMrv: 'A Attorney Sigosttrre: Prieted Name: Sepreoe Ceart ID Nesber: Firm Name: Address: 115 5TT DECREE OF THE REGISTER ~f Estate of Charlene A. Shelts File No: ~ - I ~ ~/ / a/k/a: AND NOW, ~ ~,~,~'~ ~ ( ~ )~ , in co~i on of the f regoing Petition, satisfactory proof having presented before me, I"1' S DECREED that~f tters ~~ a are hereby gninted to ~ _ l-~G ~~~~. in the above estate (if applicable) that the instrument(s) dated I I CJ ~ ~C~C'~ ~ described in the Petition be admitted to probate and filed cord as~tbe last (!Gill and Codicil(s)) of Dec~y~nt. ~ ~ Form RW-01 rev. 70/17/2011 foregoing Petition are true and cornea to the best of the lmowledge and belief he ' 'e a w II and tndy ,tdmvtister the estate according to Iaw. Date ~' a 1 . ~ ~ Date Page 2 ,\, AECORC: ; .. ~ REGISTRAR'S CERTIFICATION OF DEATH ~Q~~ ~G: It is illegal to duplicate this copy by photostat or photograph. Fee for In;, e~PH~9f~1(~~L°P AM 8~ 1 I ...,_~i'~'. OHPhtA(~i'S U~URr P 1I~~'r as Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office fur permanent tiling. JUL 1 2012 ~~:egistrar Date Issued T'Pe/Pr Ink[ /'/ COMMONWEIaLTH OF PENNEVLVANIh•D TOF NEPLTHVITHL RECORDS LF RTI FILATF nFEf]FATH vtlent's Legal Name (Pha[, Miaalq Las[, suf<1x) Se 3. Social security Numb r 4. Oate of Dea[F (Me/OV V/Y.l lEpell Mot 1 K 382-38-6489 7/10/2012 Charlene A. 8helta F .. nge-Lax[ Blmnaav rvral sb. DFe.r 1 y... st. une.r 1 D. D.<. m Himn IMO/D.vr.arl (sp.n Mantq a.'rfi~41~N~Y i"a st~Tnr PnraEn caantryl s H nom D.va Hoar Innf 7 loun 9/28/1938 3 Tb.Brtnpn[.ICnnnNl valeence state o. Fn.elen Country) Bb. Realeence (Sfrve[ antl Number- Inclutlv Tp<NO.I R ec. Ole O cetlen<LIVe In a ID i owez Allen PA 824 Lisburn Road Avea, a.[.aent u.,ea In _ 8a. fleslaen[e (County) Cumberland R.alaep[e lzlp <oeel prv.. ae[eeent nyee wimmlimn. nr my/bnm. < s. m.a Fproxi .nul staters at nma o. D .m .nee W widowed . sn...amE sPa~ae a rv.me w cave, sme name rmr<n nrn m..nag.l 1O U ~D cetl []Nave OUnknown ['!jrv OUnknown ~V xo Fvtner's Name (Fitt[, Mlaale. Last, SuHlxl 1 r z Prior to First Marnaee (First, Mietlle, Lart) N.me Charles .Ia veer e Maxine Inionnent's Name 146. Relatlonihlp to Decedent Infnrman<'a Mallin8 Ftltlress (Street doer Number, Clry, s<e[a, p Cotlel 34a. 14c ZI Dr. Debra L. Boahinekl daughter 363 Old Stage RDad,LewiHb¢rry PA 17339 __ e. one ................ ........... ............................... .............. a[aa eat ...!~.. p:!.Y. ..... .. ~~~~~~~~~~~~~-~~-~~~~~~~-~~-~~~~MnaPl<al:~~~~~-~~_,.r~. Ili DeatM1 OCC ~~~~~-~~~~amnwnare IXFer Tnsna .~~~~ ~~~~ Ho Plce Faclll ~~~~~~~~~~-~~~ I! OevtM1 Otturree Ina Inpstlent urretl s Hovpl<a l' [1 5 N Oaceaant's Home a E Ro m/DU< anent Dead on mrmn rvnramE Hame/wnv-term sere rvcinN oeh.r Ispe[INI L b. P.n3N rv.me w nn<mamannn. Ewe a<reet ana npmmr; [. < err Town, saafa ana zm code Lsa. connN n. Deam c 2 Woods At C¢dar Run Cam Hill, PA 17011 Cumberland ~ Cramat on lEb. Dv o. Dlxposl<lon 6c. P acs of Olapoaltlan tNVme of cemetery, crematory, err n[ne pace) etFOtl o1 Dlapanltlnn tier B° "e I 1 nnefl D nn Remn,,.LrnmsM<a o -~ _1 6- \'Y Franklin Hille M¢mory G8rdHRB caner Ispedry) n 1 tl. Lacv n oI Olspasltlnn [City orT can 5 e, antl 21p) F rvlce Licensee err Perxnn In CFaree of In<armenl 1Tb. L ense Number cat s a [ ~ ~ FD Canal Winchest¢ra OH 012848 L na complet. waer.aa aiF n IFanuN l~aitti¢mor¢ Funeral Hom¢ and Cr¢ matlon 5¢rvic¢aa PO Box 4 31a New Cumberland PA 17070 ffi [ed.nvx Ee.[.<I.n-cF.[k me bo=maf bo<e b aaenwf Hlspam[Dneln-rne k CM1 0 Immae what Oacaaent'a RVU-CFe to R D tleetF. F{heft tlv8ree nr level of acFaal completed et <Femme o [ [Fat beat tlezcnbea wne<M1ertM ent bax ~ Zelf co be. lmaelf ar ner «aen<canrltlerea M1 ~.~ <{ 0 H<M1 grade or less 'NO~ Ia spanlan/Hlapvnle/La<Ina. 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Manner of Oevm 3 r ~ N <PreHnvn<wlthln pva<yev o s ~ Pr obe ~ Ve blV [] Natural 0 Homicide 9 egnant at ume or seam o Pr r o o O rv p u k can O n O P ~ la < mn l a= ~.~ ~ 21 p N f, bu<Pr.gn.nt wrchm 43 a.va ai seam c o co~ o ~ e~ . ..ed O s ~ No[ pregnant but pregnant 93 days tp 1 Year belore death . Oe[e of Intury (MO/Day/Vr) (Spell Man<h1 0 VnknawnNpregnant wlNln tFe pa[<year .Time n. INUry . Pl.a ai Inlurv us. soma [ons<ruainn »u, arm. a[nnnD Lna.nnn of Inlurv (s<.ee<ana Numbe.. clp, suu. Zlp code) .Inlurv ork r a<o Inlury aclN: . Deacrlbe Haw In(ury Occurred: o Y o D ,rer/ oP~ .<nr o P .n . `e n o Nn e r o P a er o o [IVl c 3s~ nliNi~t Pnv dein ~ 1 tFe he5<uF my knowleaee, ee.<n na a.al . I a dsa<M1 o tae a e, tlafe5ana place, ana due to eFe cause<il antl manner stated ~ P rtlNln pnyalclan -TO trier bast of mV knowleage 6 e ~ Metl ca^Exam n e i/C r- n a a ai exrminatlnn, en /err In m a Inlon, rm nccurree vt me Vme, date, antl place, ana due de(er) a nn x ea ~ ln c 3 3 ~i-li .v oon _ m,e,Nl ~sl-s93 „be a. ~.~I.I., NV wee a tee. of P.a Se of De.<b B<• 21 Nl v SI3T/ H . rv.m., •n m ~ n IMO/D.v/Ym 3B e ~ N o~ Gfl-YY~ I-~t LL A ~ O / r } l i ~ o- 40. Registrars Is[ric[ N m 41. fleElsbar i s gna[ur p Ma D.y '. Re81a<re~ o7/-~// 7 /3,/~zoi 43. nmenamen<x Dlxppximpn Permn Nn.-_ _ O 7 ~o S 9 / RFV o>iioi. ._._s \sLCt .~, _..,, .~~[Je LAST WILL AND TESTAMENT OF CHARLENE A. SHEETS ^ ` ~ i..4. C^ ~ C ~~ rte. T+~ ~ i-~-~. 1'I t ~~ W'p _ C ',>i~ _ ~f, N , ~~_~ :C- C)C: 3G - -r! ~ '~~ C ~ I, CHARLENE A. SHEETS, of Upper Allen Township, Cumberland County, Pennsylvania, declare this to be my last will and revoke any Drill previously made by me. ITEM is I direct that my Executrix hereinafter named shall pay all my just debts and funeral expenses as soon as conveniently may be done after my decease from the residue of my estate. ITEM II: I devise and bequeath all the rest, residue and remainder of my estate of every nature and wherever situate to my daughter, DEBRA L. BGSHINSKI, if she survives me. ITEM III: Should my daughter, DEBRA L. BOSHINSKI, fail to survive me, I devise and bequeath all the rest, residue and remainder of my estate, of every nature and wherever situate, my son-in-law, WILLIAM E. BOSHINSKI, or to his issue, per stirpes. TTF,M IV: I appoint my grandson, JOSEPH W. EsOSHINSKI, and his successors guardian c' any property which passe e., either under this said. cr otherwise, tc a minor and with respect t.o which I am authorized to appoir.r_ a guardian and have not otherwise specifically done so, provided than Lhis appointment of a guardian shall not s~persade the right ~~_' any fiduciary in i*_s discret'_oa to distribute a ~'aqe_ ~f -- share where possible tc the minor or to another for the minor's benefit. Such guardiar. shall have the power to use principal as well as income from time to time for the minor's support and education (including college education, both graduate and undergraduate) without regard to his or her parent's ability to provide fer such support and education, or to make payment for these purposes, without further responsibility, to the minor or to the minor's parent or *_o any person taking care of the minor. ITEM V: I appoint my daughter, DEBRA L. BOSHINSKI, Executrix of this my last will. Should my daughter, DEBRA L. BOSHINSKI, fail to qualify or cease to act as Executrix, I appoint my son-in-law, WILLIAM E. BOSHINSKI, Executcr of this my last will. Should my son-in-law, WILLIAM E. BOSHINSKI, fail to qualify or cease to act as Executor, I appoint my grandson, JOSEPH W. BOSHINSKI, Executor of this my last will. ITEM VI: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of his or her duties in ar,y jurisdiction. IN WITNESS WHEREOF, I, CHARLENE A. SHEETS, have hereunto set my hand and seal this _~ day of '~G4`'~G~ 2006. CHARLENE A. SHEETS Page 2 cf 4 SIGNED, SEALED, PUBLISHED and DECLARED by CHARLENE A. SHEETS, the Testatrix above named, as and for her Last Will and Testament, and in the presence of us, w:~o at her request, in her presence and in the presence of each other subscribed our names as witnesses. 414 Bridge St New Cumberland, PA Witness Address 414 Bridge St New Cumberland, PA Witness Address COMMONWEALTH OF PENNSYLVANIA: COUNTY CF CUMBERLAND SS: I, CHARLENE A. SHEETS, the 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 this instru- ment as my last will; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein contained. C%4-¢'~"'r'= liL- Syr-G9-C.C.a CHARLENE A. SHEETS Swcrn *_e or affirrc.ed to and acknowledged before ;ne by CHARLENE A. SHEETS, t'r.e Testatrix, this ~ day of~~-- 2006. COMMONWEALTH OF PENNSYLVANIA \ ~t j NOTARIAL SEAL ~l CARDLLTRDXELL, Notary Public Notary Pub i~ MyCommessaonExp~es Dece27n2009 P3g2 J of 4 COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND we, ~~~%~l~`-v~~~~~ and r 1~ Pal ~P~V~-~-~ the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw Testatrix sign and execute the instrument as her last will; that Testatrix signed willingly and that she 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 will as witnesses; that to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. ~G~ Witne witness Sworn. t/c~o'r7 ~a~ff/_rm.ed tc and acknowledged before me by C'P~2,~ /( U4~-ACC UL~~~ \ ~ and ~C~'~ ,Q?mil ~ ~y1~~ a_tnesses, this ~~ aay of \~~QiA'4- 2006. COMMONWEALTH OF PENNSriVANIA ~~ ~~ ' NOTARIAL SEAL CARDLL.7ROXELL, Notary Public Notary Fublic New Cumberland Boro. Cumberland Co. My Commission Expires Dec. 27, 2009 Page ~ of i