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