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HomeMy WebLinkAbout08-17-12rceset 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: Joseph A. Stimeling a/kla: Joseph A. Stimeling, Sr. a/k/a: a/k/a: Date of Death: August 5, 2012 File No: ~ ~"/~ ~ ~ ~ ~~~~ (Assigned by Regis Social Security No: Age at death: 71 Decedent was domiciled at death in Cumberland County, pennsvlvania (State) with his/her last principal. residence at 700 West Lowther Street, Apt. 1, Carlisle Borough, Carlisle, Cumberland County Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 700 West Louther Street. Ant. 1. Carlisle Borouch, Carlisle, Cumberland County, PA Street address, Post Office and Zip Code City, Totivnship or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania ............................All personal property $ 20,000.00 If not domiciled in Pennsylvania ........................Personal property in Pennsylvania $ 0.00 If not domiciled in Pennsylvania ... . .................... Personal property in County $ O.OQ Value of real estate in Pennsylva~tia ..................... . ................................... $ 0.00 TOTAL ESTIMATED VALUE.... $ 20,000.00 Real estate in Pennsylvania situated at: n/a (Attach additio~sal sheets, ifnecessa~y.) Street address, Post Office and Zip Code City, Township or Borough County Q 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 July 14, 2009 and Codicil(s) thereto dated n/a State relevant circumstances (e.g. renccnciation, 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. Q NO EXCEPTIONS Q EXCEPTIONS Q B. Petition for Grant of Letters of Administration (If applicable) c. t. a., d.b.n., d.b.n.c.t.a., pendente lite, dLCrante absentia, dacr-ante minoritate If Administration, c. t. a. oY 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(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. 0 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): ~--~ C'7 _ °~' _.~~ Name Relationshi Address' ~ ~ ~x:`' ~' !~ ~.-~ ~/ \ \.... .... ~ l ~ ;:;c:; ~ ~: ~ r"?^i ..-., .. tx7 Form RW-0? rev. 10/11/?011 Page 1 of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } "~'~ ~ ~» ~~ ~ ~ COUNTY OF Cumberland CA =v~,; } r---- ~--~--~ ,- -, ~ `-" ' ~ ~ ,~- ..- G~ '~:,, r ~-~ ~ ' Petitioner(s) Printed Name Petitioner(s) Printed Address ` ~ ~ r ~ i _ ''-n ' -r ' -- - l .. r - _ ~ Stimelina E Z 600 Woodland Avenue Mt. Holl S rims, PA 17065 ~jC:Y:~ ~ ~ _~ :~ . o ~,.. _.~ ~ . _ ~~ - - ,_ - cn ~ ~' Ca 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 De ent, the Petitio er(s) will well and truly administer the estate according to law. Sworn to •or a ffi1-med a d lbscrib d b ore ~ ~ ~ Date ~~ f ~~ ~ thda of L~ ~ ~~~i~ y E Stimeling Date met is ,y ~ ~. Date By. ~ . Date e Register BOND Required: Q YES ~ NO FEES: ,- t~~'e'~ Lett s ...................... ( ~) Short Certificate(s)...... $ ,, ' '~`~ ( )Renunciation(s)........ . ( )Codicil(s). ~....••••••• ( )Affidavit(s).......... , . Bond ........................ Commission ............. . ... . Other ........ ~-•-; d u ....... o Automation Fee . .............. JCS Fee . .................... , ~ TOTAL ..................... $ -x-89 To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: v Pr nted Name: Ro E. Johnson, Esq S preme Court ID Number: 1 4~3 Firm Name: Andrews & Johnson Address: 78 West Pomfret Street ,arlisle, PA 17013 Phone: 717-243-0123 Fax: 717-243-0061 Email: rPi~,.~hns~n(c~na net ~` iI i .s-0 DECREE OF THE REGISTER Estate of Jose h A. Stimelin File No: ~ ~ r ~ ~ ~ ~~ a/k/a: Jose h A. Stimelin Sr. AND NOW, ~ . .5f ~ 7 ~C7 /'Z- , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Roy Edward Stimeling in the above estate and (lf applicable) that the instrument(s) dated Jul 14, 2009 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/?011 Page 2 of 2 ~r-~~-~~9~7 I .~1 _ , i~~i t~)r ti?iz; ctrtii~i~.~:.. `~t~l +; ~ ~~~_ C-ertil-icaiic~« '~'r~E~;hc~~~ ,,.- •f'~ Type/Print In v Permanent slack Ink 0 a z v ~-~ ti r 0 u D d Q z "~_fi2 ~IJ~ f 7 A 9~ 45 ;. - :.,. .. _ GK~~~~l: , . ,.,~ ,~T J is.~ .~:~ 1 ~ ~ n: ~ ,.. ClJMB~R~.AN~ CO., P~ .~ ~ ' `~ '~ - :; ~. - .. AU.G 6:`2012 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH ~____ ~.._ ..___~___ 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Sociai Security Number 4. Date of Death (Mo/Day/Yr) (Spell Mo) Joseph A_ Stimeling, Sr_ M 172 32 1612 August 5, 2012 Sa. Age-Last Birthday {Yrs) 56. Under 1 Year Sc. Under 1 Da 6. Date of Birth (MO/D ay/Year) (Spell Month) 7a. Birthplace (City and S tate or Foreign Country) Months Days Hours Minutes Carl151e, PA Z ~ -~ 1 Jan _ 1 1 941 76. Birthplace (county) r an Sa. Residence (State or Foreign Country) 86. Residence (Street and Number -Include Apt No.) Sc. Did Decedent Live in a Township? PA A t 1 h t Yes, decedent lived in twp. 8d. Residence (County) p _ _ , er J 700 W. Lowt C~nnberland 8e. Residence (Zip Code) 1 7 [~NO, decedent lived within limits of Carlisle 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) [Yes ~ No ~ Unknown Q Divorced ~ Never Married 0 Unknown - 12. Father's Name (First, Middle, Last, Suffix) 13. Mothers Name Prior to First Marriage (First, Middle, Last) Ro Edward Stimeling Margaret - Heberlig 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code) 1 7 0 Ro Fdward Stimelin Son 600 Woodland Ave_ Mt_ Ho11y Springs, PA G . .... ---- 15a. Place of Death (Check onl one . ... .................----•--•--.....-----......Y...........-.......----...-.........- ....... ....... .......... z , ....... .... ................................................•---•-----.......................... If Death Occurred in a Hospital: ~ Inpatient ~ = . 1f Death Occurred Somewhere Other Than a Hospital: ~ Hospice Facility [Decedent's Home ° Q Emergency Room/Outpatient ~ Dead on Arrival _ Q Nursing Home/Long-Term Care Facility ~ Other (Specify) ~d 15b_ Facility Name (If not institution, give street and number; lSc. City or Town, State, and Zip Code 15d. Coun of Death l d n 700 W_ Lowther St_, Apt. 1 ber an Carlisle, PA 17013 G~S 16a. Method of Disposition $] Burial ~ Crem atlon 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place) C° ~ Removal from State ~ Donation p Other (Specify) 8/9/201 2 g Cemetery n Trindle Sp r i 16d. Location of Disposition (City or Town, State, and Zip) ry ~ Ei ~ 17a. Signature of e I Service Licens r Per arge of I `terment ` 176. License Number Mechanicsburg, PA C FD 012633 L ~ ~, 17c. Name and Complete Address of Funeral Facility PA 1 701 3 E<,ving Brothers Funeral Home, =nc_ 630 S_ Hanover St_ Carlisle, 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 i°- 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 is Spanish/Hispanic/Latino. Check the "NO" bite ~ Korean 0 No diploma, 9th - 12th grade box if decedent is not Spanish/HispanicJLatlno. ~ Black or African American Q Vietnamese ~liigh school graduate or GED completed o, not Spanish/Hispanic/Latino Q American Indian or Alaska Native ~ Other Asian 0 Some college credit, but no degree Q Yes, Mexican, Mexican American, Chicano ~ Asian Indian Q Native Hawaiian Q Associate degree (e.g. AA, AS) ~ Ves, Puerto Rican Q Chinese Q Guamanian or Chamorro Bachelor's degree (e. g. BA, AB, BS) ~ Yes, Cuban ~ Filipino ~ Samoan ~ Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) ~ Yes, other Spanish/Hispanic/Latino ~ Japanese Q Other Pacific Islander ~ Doctorate (e.g. PhD, EdD) or Professional degree (Specify) ~ O[her (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. bite ~ Japanese ~ Samoan 22a. Decedent's Usual Occupation - Ind(cate type of work done during most of working life. DO NOT USE RETIRED. Black or African American 0 Korean Q Other Pacific Islander Q American Indian or Alaska Native Q Vietnamese ~ Don't Know/Not Sure P011Ci° Off 1Cer ~ Asian Indian Q Other Asian ~ Refused 226. Kind of Business/Industry ~ Chinese ~ Native Hawaiian Q Other (Specify) Filipino Q Guamanian or Chamorro Carlisle Police Department ITEMS 23a - 23d MUST BE COMPLETED BY PERSON WHO PRONOUNCES OR 23a. D e Pronounced ea~o/ ay/V r) ~ ~~t 23b. Signet re of Person_P ronou ncing Death (Only when applicable) ` ~J~ 23c. License Number ,~J r ~T CERTIFIES DEATH G~ t ~ o~ ~ ~~~ /~,N CJ 23d. to Signed (Mo Day/Yr) 24. Time of Bath= ` ~~ U 25. Was Medical Examiner or Coroner Contacted? ~ Yes No CAUSE OF DEATH Approximate 26. Part I. Enter the chain of events--diseases, injuries, or complications--that directly caused the death. DO NOT enter terminal events such as cardiac arrest, Interval: ogy. DO NOT ABBREVIATE. En~ my ne ca on a line. Add additional lines if necessary Onset t eath i g t h e et i o l wit h O u respiratory arrest, or ventricular fibrillation t sho~w /) n~ /~ ~A _ ~ ~ + . ~ ~ j , p ~ ~ ~1't YY7'~J~ !~ ~9 ~i- ~!// IMMEDIATE CAUSE -> a. .C~'V / ` ~ (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): ,s.. (disease or injury that initiated the events resulting d. w u in death) LAST. Due to (or as a consequence of): _ 26. Part 11. Enter other 5ignifica nt conditions contributing to death but not resulting in the underlying cause given in Part I 27. Was an autopsy performed? 0 0 Yes o g 28. Were autopsy findings available to complete the cause of death? ~ Yes ~ No a 29. If Female: 30. Did Tobacco Use Contribute to Death? 31. Ma er of Death E ~ Not pregnant within past year ~ Yes ~ Probably Natural ~ Homicide v ~ Pregnant at time of death ~ No ~lTnknown 0 Accident ~ Pending investigation m ~ Not pregnant, but pregnant within 42 days of death Q Suicide 0 Could not be determined `°- but pregnant 43 days to 1 year before death ~ Not pregnant 32. Date of Injury (MO/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; school) 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 Q Driver/Operator ~ Pedestrian Q No ~ Passenger ~ Other (Specify) 39~a. Ce~~fier (Check only one): Bath occurred due to the cause(s) and manner stated f k l d T h b t o now e g o t e es my L~jiCertifying physician - ~ Pronouncing 8. Certifying physician - To th e of y knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated he cause(s) and manner stated ~ Medical Examiner/Coroner - On the b i nation, and/or investigation, in my opinion, death occurred at the time, date, and place, and due to t / Signature of certifier: Title of certifier: AI /~ License NumbeL.~^~ ~~ Z Z. ~~ Z - L 39b. Name, Address and Zip Code of P rson Completin se o Death (Item 26) 39c. D Si d (MO/Day/Yr) 40. Registrar's District Number 41. Registrar's 5' ~tur~e ~ rte- \ ~ 4 .Registrar File Date (Mo/Day/Yr) Q ~ _ ~O~~C-~R~aG7c'~D~= [ ~ljx~ ~ ~ ~ ~~~ 43. Amendments Disposition Permit No. v L ~~ L [~ REV 07/2011 ~-_ ~ C ~ -~ -~ ; -,~~ WILL O F ~-- ~. ~ ,- - - -- -- .~. ~~ ~ JOSEPH A. STIMELING ~' ~ ~ - , ~'' ~ ~- - - ~. I, Joseph A. Stimeling, of Carlisle, Cumberland Count , ~~ ~ ~~~ Tt Pennsylvania, declare this to be my last Will and hereby revere all ~~+ `~" ~; prior Wills and Codicils. ~ 1. I direct that all my just debts, funeral expenses, gravemarker and administrative expenses shall be paid from my residuary estate as soon as practicable after my death. 2. I direct that all inheritance, estate, transfer, succession and death taxes of any kind whatsoever which may be payable by reason of my death shall be paid out of my residuary estate. 3. I direct that my entire estate be distributed as follows: A. I leave my entire estate to Roy E. Stimeling. 4. I appoint Roy E. Stimeling as Executor of this my last Will. 5. The Executor of this Will shall have the power to distribute my estate in kind or in cash, or partly in either. 6. I direct that no Executor acting under this Will shall be required to enter bond in any jurisdiction. LAW OFFICES OF STEPHEN J. NOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 .IN WITNESS WH REO , I have hereunto set my hand this day of ~ , 2009. seph A. Stimeling The preceding instrument consisting of this and one other page was on the day and date hereof signed, published and declared by Joseph A. Stimeling, as and for his last Will in the presence of us, who at his request, in his presence and in the presence of each other have subscribed our names as witnesses hereto. LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 f~~ ., ~~ ~~ I ~ f~ ~~ WITNESS ' , NESS ACKNOWLEDGMENT State of Pennsylvania County of Cumberland ss I, Joseph A. Stimeling, the testator, 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 my last Will; that I signed it willingly and as my free and voluntary act for the purposes therein expressed. 'seph-A. Stimeling LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 Sworn to or affirmed a Stimeling, the Testator, this / t M171'I`i9iAi. 'F ~f'i~F+F~Fi J. ham, i~lC~1'A,fa r ~y ,.; , ' ~I~i~v aqW ~~DY.~' ,~F i? State of Pennsylvania County of Cumberland ~ acknowled bef me by Joseph A. day of - , 2009. .f ,~ f., ,. Nota Public/Attor AFFIDAVIT ss We, -~, ~_r. i k; ~`i`1 ~ ~`i S and ~ ~r ,the witnesses whose na es are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his last Will; that the Testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the Will as a witness; and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint r undue influence. . ~ ~.~_ .~ lt~ ~~ .r S orn to or affir and ~ bscribed to ore me by witnesses, this day of i- ~ , 20 ~~ s ~'# J~~ F 1~ I~I~~~.If~ -~lotary Public/Attorney ~ i ~+AOQ. aOT,.a~r :mac ~~~ crS F~ ~.~Ft y, x'C,+ .'