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HomeMy WebLinkAbout08-28-12Reset 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: Lester F. Echard File No: ~• ~ ~ 1 ~ ~ ~ ~~/ !~ a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 08-20-2012 Age at death: 88 Decedent was domiciled at death in Cumberland County, p~, (stare) with his/her last principal residence at 304 N. Arch St. Mechanicsburg 17055 Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at Holy Spirit Hosyital, 503 N. 21 st St. Camy Hill 17011 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 $ 60,000.00 If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................ Personal property in County $ Value of real estate in Pennsylvania ...................... ................................... $ TOTAL ESTIMATED VALUE.... $ 60,000.00 Real estate in Pennsylvania situated at: NA (Attach additional sheets, if necessary.) 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 April 6, 2005 and Codicil(s) thereto dated State relevant circumstances (msg. 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. Q NO EXCEPTIONS Q 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.~a. or db.n.c.~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. Q NO EXCEPTIONS Q EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spou~if any) and h~~s (attach additional sheets, if necessary): ~ ~ ~ ~~ ` ~~? r-- Name Relationshi ~3- ~--~ ; Address i ~.. ~ ~'~~ ~ ~~-, ~ ~ .; .. `.s, -_-.... - ..~ ~,, ~ ..__ Q ~~ Form RW-02 rev. 10/11/2011 r~ `~ Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } } SS: } Petitioner(s) Printed Name Petitioner(s~ ...,.«...-,.a...~~~ Linda Echard 622 Allenview Dr. Mechanicsbur PA 17055 C' ~ _ _ .z, w _., rte:. The Petitioner(s) above-named swear(s) or affum(s) the statements in the foregoing Petition are true and correct to the best of the lmowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Decedent~~e Pe~~hUoner(s) will well and truly administer the estate according to law. Sworn to r ubscribed be ore ~~;vN,alt~ rn. ~.C:~tA.(.G~ Date ~ oZ~f /~ me thi day ~ Date By: Date t Register Date BOND Required: Q YES Q NO FEES: / Let ers ...................... $ 1{J '~ 6 (~~ Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . O h r ........ _ ...... iO Automation Fee .............. . JCS Fee ..................... TOTAL ..................... $ To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: O •~ DECREE OF THE REGISTER j Q Estate of Lester F. Echard File No: ~~ " 1 /~ ` ~ / ~~ a/k/a: AND NOW, satisfactory proo the instrument(s) dated _ described in the Petition be ,,~`r'J~- ~" , ~~OI- , in consideration of the foregoing Petition, presented before me, IT I~ DECREED thlat Letters ~~6 (.~/!1 L'n . ~1/-S6 _ are hereby granted to 1 ~d 2 F~. Q~_ in the above estate and (if applicable) that to and filed of record Register of Wills Form RW-01 rev. 10/11/2011 -~ n f 21r~lZ l'~~~1 ~t~ . * ~~ ,.xc:~ ti};-;iii ~t:rritiiatz•, °!i.tt ~~2 ~~~ 2~ Fl;yi ~; :, CUI~BF~L~~ ~, . ~ ,.~ ~F >. ~ x ~ 1 ,~ r ,~, . . ~-_ r°ztifieatr>~~ ti,,i1~G~~~r t In COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS kt CERTIFICATE OF DEATH ~._._..,_.. _,___ 1. Decedent's Legal Name (Firs[, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (MO/Day/Yr) (Spell Mo) Lester F. Echard Male 189-14-5306 August 20, 2012 6a. Age-Last Birthday (Yrs) Sb. Under 1 Vear Sc. Under 1 Da 6. Date of Birth (MO/D ay/year) (Spell Monthl 7a. irthplace (Ci[ and St i ate or Foreign Country) 88 Months Days Hours Minutes March 23 1924 A leron, ~hio , 7b. Birthplace (County) SUmRllt ga. Residence (State or Foreign Country) 86. Residence (Street and Numher -Include Apt No.) 8c. Did Decedent Live in a Township? Pennsylvania 622 Allenview Drive Yes, decedent lived In Upper Allen twp Bd. Residence (County) . Cumberland Se. Residence (Zip Code) 17055 ^ No, decedent lived within limits of city/horn. 9. Ever in US Armed Forces? 10. Marital Status at Time of Death ^ Married Widowed Il. Surviving Spouse's Name (If wife, give name prior to first marriage) { ]Ves ^ No ^Unknown ^ Divorced ^ Never Married ^Unknown 12. Father'srw me (Firs[ Middle Last, Suffix Alva ~' ~ h ~ 13. Mother's Name Prior to first Marriage (First, Middle, Last) . c arc Lucy B. Swink 14a. Informant's Name 14b. Relationship [o Decedent 14<. Informant's Mailing Address (Street and Number, City, State, Zip Codel Linda M. Echard Daughter 622 Allenview Drive, Mechanicsburg, PA 17055 _ i5a. Place o Death (Chet on y one IF Death Occurred in a Hospital: inpatient If Death Occurred Somewhere Other Than a Hospital: i-, Hos ice Facilit LJ P Y ^ Decedent's Home ^ Emergency Room/Outpatient ^ Dead on Arrival ~ ^ Nursing Home/Long~Term Care Facility ^ Other (Specify) lSh. Facility Name 11f not institution, give street and number', 16c. City or Town, State, and Zip Code 16d. County of Death Hol S irit Hos ital Hill PA 17011 1 16a. Method of Disposition ^ Burial Cremation 166. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place) ^ Removal from State ^ Donation ugust 22 201 Hollinger Cremator ^ Other (Specify) , y 16d. Location of Disposition (City or Town, State, and Zip) 17a. Signat r neral Service Li see or Person in Charge of Interment 1 76 License Number Mt. Holly Springs, PA 17065 ~ FD-138630 17c. Name and Complete Address of Funeral Facility Malpezzi Funeral Home 8 Mar ket aza Wa echanicsbur PA 17055 18. Decedent's Education -Check the box [hat best describes the 19. Decedent of Hispanic Origin -Check [he 20. Decedent's Race -Check ONE OR MORE races to indicate what highest degree pr level of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herself [o be. ^ 8th grade or less is Spanish/Hispanic/Latino. Check [he "No" ~ White ^ Korean ^ No diploma, 9th - 12th grade box if decedent is not Spanish/Hispanic/Latino. ^ Black or African American ^ Vietnamese ^ High school graduate or GED completed No, not Spanish/Hispanic/Latino ^ American Indian or Alaska Native ^ Other Asian Some college credit, but no degree ^ yes, Mexican, Mexican American, Chicano ^ Asian Indian ^ Native Hawaiian Associate degree (e.g. AA, AS) ^Ves, Puerto Rican Chinese ^ ^ 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 ^lapanese ^ Other Pacific Islander ^ Doctorate (eg. PhD, EdD1 or Professional degree ISpecifvl ---.. __._._-_.__ ^ Other (Specify) -_ ._ MD (e DDS DVM LLB jD) . , , , , 21. Decedent's Single Race Self-Designatlor -Check ONLV ONE to indicate what the decedent considered himself or hersell to be 22a. Decedent's Usual Occupation -Indicate type of work }'White ^lapanese ^ Samoan done during most of working life DO NOT USE RETIRED. ^ Black or African American ^ Korean ^ Other Pacific Islander Sales Mana er g ^ American Indian or Alaska Native ^ Vietnamese ^ Don'1 Know/Not Sure ^ Asian Indian ^ Other Asian ^ Refused 22b. Kind of Business/Industry ^ Chinese ^ Native Hawaiian ^ Other (Specify) _ _ _ Oll Canpan y ^ Filipino ^ Guamanian or Chamorro ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Prono need Dead (MO/Day/Vr) 23b. Sign of Person Pronouncing Death (Only when applicable) 23c. License Number BV PERSON WHO PRONOUNCES OR CERTIFIES DEATH pp,~ c, ~ I L V `, ~S~ 23d. Oate Signed (Mo/Day/Vr) 24. Time of Death I (2 f V~ ~ p Er (,1 ~ r \ 25. Was Medical Exami er or Coroner Contacted? ^ Yes No CAUSE OF DEATH Approximate 26. Part I. Enter [he chain of events--diseases, injuries, or complications--that directly caused the death. DO NOT enter terminal events such as cardiac arrest Interval: respiratory arrest, or ventricular flbr~llat i o n wit hou t sho wing the etiology. D O NOT ABBREVIATE. Enter only one cause on a line. Add additional lines if necessary Onset to Death `~ )) lI // / ~`~ ) , r~ IMMEDIATE CAUSE a ILLrCI~tl•YiL,tVyV(1 V•Cl.a-i V-~E`~L t't~ _ (Final disease or condition to (or as a consequence of). resulting in death) Sequentially list conditions, Due to (or as a consequence of): if any, leading to the cause ((~~ t listed on line a. Enter the <. l (lU DP~ IILQ f'~tQ (!(C ~ t'UI `L~e UNDERLYING CAUSE Due to (or as a consequence of)' (disease or injury that fnt 1 1 t ~ ~ initiated the events resulting d. N Cf C`UL 1-i ~l<' lS\'('~ ('tl k~ _ in death) LAST. Due to (or as a consequence of): 26. Part II. Enter other s~nificant conditions contributing to death but not resulting in the underlying cause given in Part I 27. Was an autopsy pe rf ormed? ,~ l ^ Yes I,E No 28. Were autopsy findings available to complete the tau-s/e of death? ^ Ves Ca No 29. If Female: 30. Did Tobacco Use Contribute to Death? 31. Manner of Death ^ Not pregnant within past year ^Ves ^ Probably ~ Natural ^ Homicide ^ Pregnant at time o(death ^ No ~ Unknown ^ Accident ^ Pending Investigation ^ Not pregnant, but pregnant within d2 days of death ^ Suicide ^ Could no[ be determined ^ Not pregnant, but pregnant 43 days [0 1 year before death 32. Date of Injury (Mo/Day/Yr) (Spell Month) ^ Unknown if pregnant within the past year 33. Time o(Injury 34. Place of Injury (e.g. home; construction site; farm; school) 35. Location of Injury (Sheet and Number, City, Stale, Zip Code) 36. Injury at Work 37. ff Transportation Injury, Specify 38. Describe How Injury Occurred. ^ Yes ^ Uriver/Operator ^ Pedestrian ^ No ^ Passenger ^ Other (Specify) - _ _ . - 39 a Cerblier (Check only onel- , _,F KJ Certily~ng physician io the best of my knowledge, death occurred due to [he cause(s) and manner stated ^ Pronouncing g Certifying physician - To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated ^ Medical Examiner/Coroner On t basis of e~ ninabon, and/or inveshgahon, m my opinion, death occurred al the time, date, and place, and due [o [he cause(s) and m an ner stated / ~ Signature of certifier~_ Lt Title of certifier. ~~ _ ___ License Number-. MV L{t~~` J~- 39b. Name, Address and Zip Code of Person Completing Cause of Death (Item 261 39c. Dale S~ ned (MO/Day/Yr) m,-to ~( A(, Sa3 nta~'t Ca tf(u m i7o~ o~~~. ~ 40. egis[rar's District Number 41 Re tr i Signature - 42. Registrar file Date (Mo/Day/Yr) a~-~~~ ~~ 2 p' ' ~,. . .~~ 1a 43. Amendments Disposition Permit No. 0693722 H106-143 REV 07/2011 ..~ ~a- ~~ ~., ~ ~ t LLE t~ ~~ I P~'I~TT~ LLB ~.. Cl.lll:~~ 3 I 1 L ~ ~ I'.i Y. .i A: 1~~, 4. ~`_ ~ ~v ~...) ' ~ ~_ ~~~ .~ C!". - ~. J ~~ .:~: LAST WILL AND TESTAMENT ;.o-~~: c.a f`~.= ~~ Lester F. Echard I, Lester F. Echard, of 622 Allenview Drive, Mechanicsburg, Pennsylvania 17055 being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking any and all prior Wills and all Codicils made by me at any time heretofore. ITEM 1. I direct that all my legally valid debts, funeral and administration expenses, and inheritance and estate taxes incurred on account of my death shall be paid by my personal representatives out of my residuary estate as soon after my death as practicable. ITEM 2. No interest of any beneficiary under this will or any Codicil hereto shall be subject to anticipation or voluntary or involuntary alienation. ITEM 3. I give, devise and bequeath all my property, real, personal and mixed, of every nature and wherever situated to my Children, Gregory Echard, Linda Echard, Leslie Carricato and Marcia Echard, absolutely, providing that they survive me by a period of at least thirty (30) days. In the event any of my said Children should predecease me, or having survived me should die within thirty (30) days of my own death, I direct that my estate shall be equally distributed to the remaining children in equal shares. ITEM 4: I nominate, constitute and appoint my Daughter, Linda Echard as Executrix of this, my Last Will and Testament. If my Daughter, Linda Echard, does not act or continue to act as my Executrix then I nominate, 1 r ~ILLEI~ ~I~IfiT LLB ~` :1 ~ ~r`;~ ;~ -~~~~a~l ~~•~~x ~ ~-.~~~ rz t l ~~ ~~ ~~ ~~7~ constitute and appoint my daughter, Leslie Carricato, as Executrix/or of this, my Last Will and Testament. ITEM 5. My Executrix/or acting hereunder shall have the following powers in addition to those vested in him/her by law and by other provisions of this Will, applicable to all property, real, personal and mixed and wheresoever situated, including property held for minors, whether principal or income, exercisable without court approval and effective with respect to each item of said property, until actual distribution: A. To retain any or all of the assets of my estate, real or personal, without regard to any principle of diversification or risk; B. To sell at public or private sale, to exchange, or to lease for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as they deem proper; C. To invest in all forms of property (including stock, common trust funds and mortgage investment funds whether maintained by my corporate fiduciary or others), without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper without regard to any principle of diversification or risk; D. To make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as they may determine, and at valuations finally to be fixed by them; E. To allocate receipts and expenses to principal or income or partly to 2 ~ILLEI~ LII~'ITT LLB' ~~~ C:~~,~-~l~ I Ill 1'~~'~ 1s'i~:1.~ ~~•~t~ ~. ~'.,I~~'~.Zt ] ~i~~~,~. ~~~. ~ is each as they from time to time deem proper in their sole discretion; F. To compromise any claim or controversy; G. To borrow money from any person or institution, and to mortgage or pledge any or all real or personal property as they in their sole discretion shall choose, without regard for the dispositive provisions of this instrument; H. To carry on any business owned or controlled by me at my death for whatever period of time they shall deem proper, and to do any and all things they deem necessary or appropriate, including the power to incorporate the business, the power to borrow and to pledge assets contained in my estate as security for such borrowing, and the power to close out, liquidate, or sell the business at such time and upon such terms as my personal representatives shall deem best; ITEM 6. No fiduciary acting hereunder shall be required to post bond or enter security in any jurisdiction. IN WITNESS WHEREOF, I set my hand and seal to this, my Last Will and Testament, ~ is Wedn sday, April 06, 2005. i, Lester F. chard 3 ~ILLEf~ LIR"ITT LLB COMMONWEALTH OF PENNSYLVANIA: ss: COUNTY OF Cumberland: We, fir; ~- . ~ +e and 1 , ~/~'~'i~,~.~' .,~ ~ )~~i!~~~T ,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 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 or undue influence. Sworn to or affirmed and subscribed to before me by ~c-~; z. ~ ~ ~-- , and /~f/~~~1~ i~. ~_,,,~r,~;,~'T , witnesses, this Wednesday, April 06, 2005. ~ t.._ . ~~ Witne ~ ,~r , Witness NOTARY PUBIC My commiss~n expires: NOTAf3;.!~L SLAL JAMES A. hAfLLER, Nc?ary Public Boro of CAmp Hill, Cumt~~,r;ts ;~ C~.:unty, ~'A My Ccr~}~:ssi:~,~ Frv•re.+.: ~p+;; 30, 2UQ5 ...,r s k ~"~ ~' ~' ~E j ~i l E . t "~~ `~ l 1'~' ~' t- - C~~~~i~-~~~ I lilt ~ 1~~~ "l ~= CSI -ii: COMMONWEALTH OF PA: ss: COUNTY OF Cumberland: I, Lester F. Echard, 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; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by Lester F. Echard, the Testator, this Wednesday, April 06, 2005. ~ ~. Lester F. E hard NOT~f~~ PU LIC My commis ' n expires: f~T~IAL $~AL '.._... JA~if8 A. f4iiLLER, wry Ptr~t~ Coro o€ carry f-4ffl, Gumbei Ccrear~y, €'~ iii s ~r3+~rr?t"~-} '~x~r-~~~ ~~rfil ~0, ~~ 5 ~i«~~ Li~i~T ~~ .~. tib'i'.~i''~'_ ~"tr~.l~ Ix`t~~`e 1~~~ 7 L.1~ The preceding instrument, consisting of this and three (3) preceding typewritten pages, signed at the bottom of each page for security purposes, was on the date thereof signed, published and declared by Lester F. Echard, the Testator herein named, as and for his Last Will and Testament in our presence, who, at his request, in his presence and in the presence of each other, have subscribed our names as witnesses whereof. ~t'c' ~, WITNESS -Print Na e 1 ~ .` Signature Address / ( 4 (_ e ~ ) _ r //~i/ WITNESS -Print me ~ ~" l 2~ Signature Address 4 ~(=G