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HomeMy WebLinkAbout08-28-12PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CL~~-~D 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: Robert Fife a/k/a: a/k/a: a/k/a: Date of Death: August 24, 2012 File No: ~ ~ ^ ~ ~ ~ Cf / ~~ (Assigned by Register) Social Security No: 236-32-8326 Age at death: Decedent was domiciled at death in Cumberland County, Pennsylvania (State) with his/her last principal residence at 442 Walnut Bottom Road, Carlisle, PA 17013, Carlisle Borough Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 442 Walnut Bottom Road, Carlisle, PA 17013, Carlisle Borough Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: 500,000 If domiciled in Pennsylvania ............................All personal property $ If not domiciled in Pennsylvania ........................Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................Personal property in County $ Value of real estate in Pennsylvania ....... . ................................................. $ 100,000 TOTAL ESTIMATED VALUE.... $ Real estate in Pennsylvania situated at: (Attach additional sheets, if necessary.) 17 Abbey Court, Carlisle, PA 17013 South Middleton Township Cumberland Street address, Post Office and Zip Code City, Township or Borough 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 thereto dated N/A 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. O 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, e.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 parry 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. O NO EXCEPTIONS Q 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): Name Relationshi Address 4 Form RW-02 rev. 10/11/2011 Cumberland Pennsylvania October 20, 2010 County and Codicil(s) Page 1 of 2 Vath of Personal Kepresentative COMMONWEALTH OF PENNSYLVANIA COUNTY OF } } SS: } ~. „_ Petitioner(s) Printed Name Petitioner(s) Printed Address ~ ..:a ~~ ~.~ Jennifer Hissem 164 Court Street, Fairlawn, Ohio 44333 Ti ~`~ ~ ~ - ~` ~ ._~. Robert G. Frey 5 South Hanover Street, Carlisle, PA 17013 .~~` c,: - coo ~ ~ :-' =~'=` -.:-:' --~. ~ . F.~ r-~ E .-- _ , v 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 Decedent, the Petitioner(s) will well and truly administer the estate accord/ing to law. Sworn to or affil2 ed a bscribe before ~~ ` ~-~ ~- ~ ~ ~ ~- t ~~-~.-' 1 .. t ,_.~ ~~- ~.= Date ~~ ! ~. ~~ ~~ Z met 's d~ of ~~ ~. Date B3'' ~• ~ Date _~ Z ~ ~ 1 r t e Register "- Date BOND Required: Q YES ~ NO FEES: Lett s .............. ( ~~) Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Oth r ....... $ ~,, L'C~ Li ~) ~ ....... • L} c+ Automation Fee ............... g JCS Fee . .................... ~'~a~~ TOTAL ..................... $ To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: ~~~ ^~~ Printed Name: Robert G. Frey r~ Supreme Court ID Number: 46397 Firm Name: Frey & Tiley Address: 5 South Hanover Street Carlisle, PA 17013 Phone: 717-243-5838 Fax: 717-243-6441 Email: rfrey@freytiley.com r"/~".~ DECREE OF THE REGISTER Estate of Robert Fife File No: _ ~ ~• ~ / ~ ~ ~~~~ a/k/a: _,, AND NOW, satisfactory proof having be ~~ , _ ~ in consideration of the for oing Petition, presented before me, IT IS DECREED that Letters ;.5~` /~/I ~~ _ are hereby granted to ~~nn, ~ ~ ,~.~~ ~ do % G' ,,-~ l~ C~ ,,,~ in the above estate and (if applicable) that the instrument(s) dated F' Cd ~~ (,~ ~ ~ ~ ~~ described in the Petition be admitted to probate and filed of record ~ the last Will (and Codicil(s)) ~~' Decedent. Form RW-02 rev. 10/11/2011 Register of Wills Page ~~ OATH OF NON-SUBSCRIBING WITNESS(.. ~~ ~ ~ 4.~ t ~~' ~~~ ~: - i~ . ~ 1 c,- ~ . ~,. __. ~ REGISTER OF WILLS ~ ~ - c~ r .~ ~~ . CUMBERLAND COUNTY, PENNSYLVANIA ~~~~ -~ ~ ~ ' '~~"~ ~ j j' ~ ~ `~ ---+ ~ 1~ N ~~"` t '?"1 _ t'``' Estate of Robert Fife ,Deceased Jennifer Hissem and (each) being duly qualified according to law, depose(s) and say(s) that acquainted with Robert Fife she / he /they was /were wetl- and am/are familiar with the handwriting and signature of the decedent, and that the signature of Robert Fife to the foregoing instrument purporting to be the Last Will and Testament/Codicil of Robert Fife is in his/her own proper handwriting. (Signa e) 164 Court Street (Street Address) Fairlawn, OH 44333 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed i before this ~ day f D u~y for Register of W i 11 s (Signature) (Street Address) (City, State, Zip) Form RW-04 rev. 10.13.06 .~ ~'-'."' ^JCl OATH OF SUBSCRIBING WITNESS(ES) ~~ : ~ _~r REGISTER OF WILLS ~' `=; _ c~ ~ ' `! CUMBERLAND ~ `~ COUNTY, PENNSYLVANIA a~^' "''~° ;_., ~'_; n.r --~-~ Estate of Robert Fife Robert G. Frey Deceased (each) a subscribing witness to (Print Names) the Q Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /they signed the same and that she / he /they signed as a witness at the request of the Testator /Testatrix in her /his presence and in the presence of each other. ~ " (Signature) 5 South Hanover Street (Street Address) Carlisle, PA 17013 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before is ~~~~ day ~'° ~ r of - ~~ ~----. leputy for Register of Wills ,~ (Signature) (Street Address) (City, State, Zip) Executed out of Register's Office Sworn to or affirmed and subscribed before me thi s day of , Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Form RW-03 rev. 10.13.06 :. . . ,1 '`~. ., URP~~~~; ;~~:~..~F~ ;_ 4 .. - _; -~ .~ CIJ~BERk.AND GO., PA ~ '- . .# ~.F6~~~~ ('t )~liliL~!iii)i; \'1'11ii~-ti \~ Type/Print in Permanent Black Ink ~I OL W .~. !..! D O_ 2 '~'' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS f C~T~~~/~ATr ~r T.. - -" - " _ State File Number: 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (Mo/Da /Yr) (S ll M y pe o) Robert W_ Fife M 236 32 8326 August 24, 2012 Sa. Age-last Birthday (Yrs) Sb. Under 1 Year Sc. Under 1 Da 6. Date of Birth (Mo/Day/Year) (Spell Month) 7a. Birthplace (City and State or Foreign Country) / 1 l Months Days Hours Minutes I.~Sa e WET 87 September 21 , l 924 76 Birth l (c . p ace ounty) Sa. Residence (State or Foreign Country) Sb. Residence (Street and Number -Include Apt No_) 8c. Did Decedent Live in a Township? PA QYes, decedent lived in 8d. Residence Count ( y) 442 Walnut Bottom Rd [`^'p- _ G~nberland Se. Residence (Zip Code) 1 701 3 L~Tio, decedent lived within limits of Carlisle city/boro. 9. Ever in US Armed Forces? 10. Marital Status at Time of Death Q Married Q Widowed 11. Surviving Spouse's Name (If wife give name prior to first mar i ) Y , r age Q es ~ No Q Unknown ~ 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) , Earl C_ Fife Ona Blanche Wallace 14a. Informant's Name 146 R l ti hi ' . e a ons p to Decedent J if 14c. Informant s Mailing Address (Street and Number, City State, Zip Code) o enn er L_ Hissem Mace l63 Court Dr_ A}cron, OH 44333 .......................................................... ............................................i-....... 15a. P ace of Deat C eck only one .................... ..................... I Deat Occurred in a Hos ital: I ti ° ................. p ..................................... npa ent ~ :lf Death Occurred Somewhere Other Than a Hospital: ~] Hospice Facility tJ` Decedent's Home Q E mergency Room/Outpatient ~ Q Dead on Arrival _ Nursin Home Lon ® g / g-Term Care Facility Q Other (Specify) 156_ Facility Name (If not institution, give street and number; lSc. City or Town, State, and Zip Code 15d. County of Death LL TY-iornwald Homo Carlisle, PA 17013 Ctunberland m 16a. Method of Disposition Q Burial ~ Cremation 166. Date of Disposition 16c. Place of Disposition (Name of cem t v e ery, crematory, or other place) Q Removal from State Q Donation Other (Specify) 8 27 20l 2 E~-ans Cremation Services ~ v 16d. Location of Disposition (City or Town, State, and Zip) 17a. Signature of Fu ral ervice Licensee or P in h e o terment 17b. License Number ;, Leo1a, PA E FD 012633 L 17c. Name and Com late Address of Funeral Facilit~ Etn~in ~rothers Funer l H I 61 a ome , nc _ 630 S . Hanover St _ Carlisle , PA 1 70 1 3 ' ° 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 t I di h ~ - o n cate w at highest degree or Ievei 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" ~/h ite Q Korean N di l Q o p oma, 9th - 12th grade box if decedent is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese Hi h h l Q g sc oo graduate or GED completed ~'1Qo, not Spanish/Hispanic/Latino Q American Indian or Alaska Native Q Other Asian Q S ll d ome co ege cre it, but no degree Q Ves, Mexican, Mexican American, Chicano Q Asian Indian Q Native Hawaiian Q Associate degree (e g AA AS) . . , Q Yes, Puerto Rican Q Chinese Q Guamanian or Chamorro ~~achelor's degree (e. g. BA, AB, BS) Q Ves Cuban , Q Filipino Q Samoan Q Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) QYes, other Spanish/Hispanic/Latino Q Japanese Q Oth P ifi l er ac c Is ander Q Doctorate (e.g. PhD, EdD) or Professional degree (Specify) Q Other (Specify) e. MD, DDS, DVM, LLB, JD 21. Dece Wt'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 t e of w k yp or hate 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 SOrtar etC _ Q Asian Indian Q Other Asian Q Refused 226 Kind of B i /I d . us ness n ustry Q Chinese Q Native Hawaiian Q Other (Specify) Q Filipino Q Guamanian or Chamorro L7S Postal SerV1Ce 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 ~c a ~~ ~ /O 23d Date Signed (MO/Day/V r) 24. Ti a of Death 6 (~~_(~C-Q~~C j~ ~3 ~ 3 L • ~ © 25. Was Medical Examiner or Coroner Contacted? Q Ves 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 int l erva : respiratory arrest, or ventricular fibrilla tio n with out showing the etiology. DO N O T ABBREVIATE. Enter only one cause on a line. Add additional lines if necessary Onset to Death n ~ p ~ f ' IMMEDIATE CAUSE ---------------> a. _ /C.~ S! ~ /Z [H ~2~Ti~Y r-j-TZL~J `Q (~„ y~4-Ys (Final disease or condition Due to (or as a consequence of): lti i d h resu ng n eat ) b. C-~71~~ /3JC..o 10~4~ GU ~ /4->2- ~ LS Ei?~ ~ Y~`S 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 LL, (disease or injury that Initiated the events resulting d. ~ u in death) LAST. Due to (or as a consequence of): _ 0 26. Part I1. Enter other slgnifica nt conditions contributin¢ to death but not resulting in the underlying cause given in Part I 27. Was an autopsy performed? g Q Yes ~ No "' m 28. Were autopsy findings available to complete the cause of death? ~ _a, Q Yes ~ No 29. If Female: 30 Did o . Tobacco Use Contribute to Death? 31. Manner of Death Q Not pregnant within past year u Q Yes Q Probably ~ Natural Q Homicide Q Pregnant at time of death " m No ~ Unknown Q Accident Pendin Investi atlon but Q Q B B Not re Want re nant withi Q P g 42 d f d h ~°- , p g n ays o eat Q Not pregnant, but pregnant 43 days to 1 year before death 32. Date of In u Q Suicide Q Could not be determined j ry (Mo/Day/Vr) (Spell 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 In'u ry (Street and Number, City, State, Zip Code) 36. Injury at Work 37. If Transportation Injury, Speci fY= 38. Describe How Injury Occurred: Q Ves Q Driver/Operator Q Pedestrian Q No Q Passenger Q Other (Specify) 39a. Certifier (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 physician - 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/CO ner - On t~ a 's of~i~ and 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 D6•Z~`'Z g ~' ~' "~ 39b. Name, Address and Zip Code Person Completing Cause of Death (Item 26) 39c. Date Signed (Mo/Day/Yr) /i5/Lp-"lOfvyLU 71lGcr Y)~ O t'S SS La~277J~+~s.! /1-/~ ~U«-/~Z ~ioQL~I1L6S~ .4tj-I?p J7 os-- as-a~/i 40. Registrar's District Number 41. Registrar' j a tu r e ~ 42. Registrar File Date (Mo/Day/Vr) _ [~ }~ J ( ~ - 43. Amendments Disposition Permit No. © (. \~ \ D ~J H105-143 REV 07/2011 ~«~..! LAST WILL AND TESTAMENT ~ ` ~' ROBERT FIFE ~ ~' ~ ~ `~ `- ` `'~' ~~."i tV CA r''~T. ~~ 1 Cf"~' I, ROBERT FIFE, unmarried man, of South Middleton Township, Cuml~-nd Couy, '. ; ~ ,_ Pennsylvania (mailing address: 17 Abbey Court, Carlisle, PA 17015), being of ~~d and~~ : -_= ~=:' disposing mind, memory and understanding, do hereby make, publish and decl ~ tlhis as a~ for~;~ t ~' my Last Will and Testament hereby revoking and making void any and all Willsby me at Y time heretofore made. 1. I direct my hereinafter named Executor or Executrices to pay all of my just debts and funeral expenses as soon after my death as may be found convenient to do so. I further direct that all inheritance, transfer, succession, estate and death taxes, including interest and penalties thereon, which may be payable on account of my death shall be payable from the residue of my estate regardless of whether the assets upon which such taxes are based are included in my probate estate. 2. I declare that I am unmarried and that I have one (1) child, TERRENCE C. FIFE. 3. I give and bequeath the sum of $5,000.00 to Hillsdale College, to be used as deemed fit by the Trustees of the college. 4. All of the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath in equal shares, (a) One share for my said son, TERRENCE C. FIFE, (b) One share for my sister, ROSALIE WILSON provided that each of them shall survive me by a period of ninety (90) days. Should any of the aforesaid persons predecease me or fail to survive me by the aforesaid period of ninety (90 days, the share that person would otherwise have received shall pass to his or her issue, per stirpes, and if there be no such issue, said share shall lapse and be added to the remaining share or shares. 5. I hereby nominate, constitute and appoint my niece, JENNIFER HISSEM, and my attorney, ROBERT G. FREY, or either of them if one is unable to serve as Executors of this my Last Will and Testament, and I further direct that neither of them shall be required to post any bond to secure the faithful performance of his or her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. 6. In addition to the powers conferred by law, my hereinbefore named Trustees and Executors and their respective successors, are empowered: a. To invest any part of the trust corpus in such securities, investments, or other property as may be deemed advisable and proper, irrespective of whether the same are authorized for the investment of trust funds under the laws of any governing jurisdiction. b. With respect to any corporation, the stocks, bonds, or other securities of which may be held, to vote in person or by proxy on any shares of stock; to consent to the merger, consolidation or reorganization of such corporations; to consent to the leasing, mortgaging or sale of the property of any such corporations; to make any surrender, exchange or substitution of such stocks, bonds or other securities as an incident to the merger, consolidation or reorganization of such corporations; to pay all assessments, subscriptions and other sums of money which may be deemed wise and expedient for the protection and maintenance of the proportionate interest of the investment in such corporations; to exercise any option or privilege which may be conferred upon the holders of such stocks, bonds, or other securities of such corporations either for the conversion of the same into other securities or for the purchase of additional securities, and to make any and all necessary payments which may be required in connection therewith; and generally to have and exercise as to all such stocks, bonds and other securities, the powers of an individual owner who is not under trust obligation. c. To hold the trust corpus in one or more consolidated funds in which separate shares shall have undivided interests. d. To sell at public or private sale for cash or upon credit, or partly for cash and partly on credit, and upon such terms and conditions as shall be deemed proper, any part or parts of the estate, and no purchaser at any such sale shall be bound to inquire into the expediency or propriety of any such sale or to see to the application of the purchase moneys arising therefrom. e. To keep on hand and uninvested such money as may be deemed proper and for such period as may be found expedient. f. To compromise, settle or arbitrate any claim or demand in favor of or against the trust estate. g. And authorized in the discharge of fiduciary duties, to employ counsel and to determine and to pay such counsel reasonable compensation which shall be charged against the principal or income of the trust fund, and shall further be entitled to charge against the principal or income such other reasonable expenses and charges as may be necessary and proper to incur for the proper discharge of fiduciary duties and for the proper management and administration of the trust estate. h. In making any division of property into shares for the purpose of any distribution thereof directed by the provisions of the trust, to make such division or distribution, either in cash or in kind, or partly in cash and partly in kind, as shall be deemed most expedient, and in making any division or distribution in kind may allot any specific security or property or any undivided interest therein to any one or more of such shares, and to that end may appraise any or all of the property so to be allotted and the judgment as to the propriety of such allotment and as to the relative value for purposes of distribution of the securities or property so allotted shall be final and conclusive upon all persons interested in the trust or in the division or distribution thereof. i. And authorized to register any shares of stock or other assets of any trust in their own names or in the name of a nominee. j. To retain and invest in shares of stock of my Trustee. k. To retain any investments including mutual funds which I may own at the time of my death and in addition to invest any part of the Trust corpus in such mutual fund or mutual funds as may be deemed advisable or proper, irrespective of whether the same are authorized for the investment of trust funds under the laws of any governing jurisdiction. 1. To determine from time to time whether all or some portion of realized capital gains shall be treated as ordinary income for distribution to a beneficiary or treated as principal to be retained as part of the corpus, and such designation need not be consistent from one year to another. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on one (2) pages, this ~a{{~ day of ~~~ ~ ~- , 2010. ~~~'Y~''~ ~ ,/i (SEAL) ROBERT FIFE ~~ Signed, sealed, published, and declared by ROBERT FIFE, the Testator above named, as and for his Last Will and Testament, in our presence, who, in his presence, at his request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses.