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Home My WebLink About09-17-12PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF C,(,>! t'(/l I3 CR(~.4 ~ Z ~ 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: !I->fiTlLl C'l~l f4 ~ (.tTTC~ hl a/k/a: a/k/a: a/k/a: Date of Death: / ~ - ~ O / Z File No• 2 ~- ~ 2- ~ U ~ 2 (Assigned by Register) Social Security No: ~ l tJ' -~ ~ -~ D Age at death• ~' ~- Decedent was domiciled at death in C:/lM ~3~RL/ ~-ly ~ County, hCN~SrLVAiL~I/-~ fstate) with hi er st principal residence at 4~2. GVALNU.~. /3[~`7'T M R! ., fin/, C.4-RL/~C P~1 CGe.M~ ~~,~ Street address, Post Office and Zip Code Clty, Township or Borough County Decedent died at ~ `rLL 1/1JA-LIU I.L7- ~OTT ~W1 4~ f~ , ~ ~] ~L l ~ ~ I ni1(~~~LJ4-/ U )~ COQ Street address, Post Oftlce and Zip Code f City, Township or Borough County State /'~ /i (t 1`1" Estimate o value of decedent s property at death. If domiciled in Pennsylvania ............................ All personal property $ ~, ~ t`j ~ If not domiciled in Pennsy!vania ........................ Personal property in Pennsylvania $ ~~ If not domiciled in Pennsy!vania ........................ Personal property in County $ Value of real estate in Pennsy!vania ......................................................... $ TOTAL ESTIMATED VALUE.... $ O O Real estate in Pennsylvania situated at: ~ /if-~t (Attnch additional sheets, ijnecessary.) Street address, Post Office snd Zip Code City, Township or Borough County ~A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) he/~they islaze the Executor(s) named in the last Will of the Decedent, dated '] 2 `J 2 0o L and Codicil(s) thereto dated State relevant circumstances (eg. renunciation, death ojexecutor, 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(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. [~'NO EXCEPTIONS ^ EXCEPTIONS ^ B. Petition for Grant of Letters of Administration (If applicable) c. t. u., d. b. n., d.b.n.c.t.a., pendente life, durante absentia, durante minoritate If Administration, c.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 party to a pending divorce proceeding wherein the grounds for divorce had in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ^NO EXCEPTIONS ^ EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no W it l and was survived by the following spous~i~jy additional sheets, ifnecessury): p~-;,, gyn. Name Relationshi Address - S7 Form RW-01 rev. 10/11/1011 r..> e d as~efined~ ~rn C `C zr t~'~ ~ ~ _. heirs~rtttuch ~-~ ~ '17 ~° ='. -r-a T ~ ~~ Page 1 of 2 PFCU~'~C~ ~:~~~~i~1~Q~~ r.r f~Ir....,-fy r^,1.,' 1~.IIf 1 C` Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } /^- } SS: COUNTY OF l ~,1 /~,' 1~~RL~-%)D } Printed Nacne l2 SEP 11 PPS ~ ~ 30 . _,. 4 ~ ~I ~'~l _~ .Z. / 2 0 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 e d nt, the P t ner(s) will ell d t administer the estate according to law. Swore to 4r affirmed and sc ibed befo a (,(1 ~[,t~~, .!,l~P ~ QEC.~'r..~~. Date % ~ ~, me this ~hday oi; /~r1 By. Date Date or a egister Date BONDRequired:QYES ~NO FEES: Letters ...................... $ ~) ~ > (Z )Short Certificate(s)...... _~ ~. ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other Ill,\~ ...... ~~~UU Automation Fee ............... ~~- JCS Fee . .................... G~ • ~~ TOTAL ..................... $ -!'~ To the Register of Wills: Please enter my appearance by my sil;nature below: Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Fax: Email: DECREE OF THE REGISTER Estate of ~ ~ ~c i C ~ ('1 ~ . ~ c i ~NCSY~ a/k/a: AND NOW, ~ 5~~~~hp ~ ~ 7 2(~ 12 , in consideration of the foregoing Petition, satisfactory proof having en presented before me, IT IS D CREED that Letters ~'~l j-yl D Y1.~~ ~ ,~ are hereby granted to j ( j I ~, ~1 ~ '-~---- mthe above estate and (if applicable) that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. t(1 ' Register of Wills `~ ~ Ida ~~ ~ c~-e.;~~~~. Forst RW-n2 rev. Intl UZnl1 Page 2 of 2 H lf)5.R05 NEV rmi n LOCAL REGISTRAR'S CERTIFICATION OF DEATH .~~~1~11t,~i~legal to duplicate this copy by photostat or photograph. I:..-, F~, IL.: :t: c~. .... ..,. t.,,., ~,t,l tul~atc, .av,[rTj ~~ hl5 iti 10 C('j'(lI1' trial the Inf01'matlon he':'e g1Ven 1S ~Q~2 SEP (7 P~~ ~' ~0 c+n•rectl~ copied-fron) an original Certificare of Death cialy filed ~r,ith me u~, Local Registrar. The original c rtificate «.il! hr tor~~~arded to ttie State Vital ~'~~- `r' ~~ ~~ Recorits Oftice for permanent filing. ~~yy P 1882. ~~o~.~ ---- --- - tea' - q' ! 3 IL Certification Numher~ L.ocat ~ egisrrar Date issued TYPe/Prlnx In COMMONWEALTH OF PENNSYLVANIA Permanent DEPARTMENT OF HEALTH ~ VITAL RECORDS P'C OTgCg/"ATC AC a~~wTu -_------------- --~'"'~ State Flle Number: 1. Decedent's Legal Name (First, Middle Last Suffix) , , 2. S•x 3. Seclel S•eurhy Number 4. Date Of Death (MO/Day/Yr) (Spell Mo) P atricia A. Sutton Female 195-28-1013 SeptamDar 11, 2012 Sa. Age-Last Birthday (Yrs) Sb. Under 1 Vear Sc. Under 1 Da 6. Data of Birth (MO/Day ear) (Spell Month) 7e. Birthplace (City and State or For•I n Count ) g ry MofKha Drys Heurs Minveef Harr labor Parana lvania 94 February 22, 1928 7b Birth lace (Co nt ) D . p u y au hin Ba. Resldenu (State or Foreign Country Bb. Resitlence (Street and Number -Include Apt No.) Bc. Dld Decedent Llve in a Township? Penns lvania 442 Walnut Bottom Road, 89 Ore:, deeeeent Ilyed In twp Bd. Resm.nce (eo~nty Ct3mber land N. Refidenu (21p Code) 17013 ®NO, decedent Ilved within limits of Carlls le city/boro. 9. Ever In US Armed Fortes? 10. Marital Sbtus at Time of Death Married Widowed 11. SurvNing Spouse's Nam• (11 wife, gNe name prior to first marNa e) g ~ Yes ®No Q Unknown ~ Divorced ~ Nw•r Married Q Unknown 12. Father's Name (First, Middle, Les[, Suffix) 13. Mother's Nam• Prior to First Marriage (First, Middle, Last) Earl Rica Maria Franlceberger - 14a. Informant's Nama 14b Rel ti hi D ' . a ons p to ecadent 14c. Informant s Malling Address (Street and Number, City, State, Zip Coda] Bets R ~ y owe Friend 908 Armstrong Road, Carlisle, PA 17013 a ...................... ii Death oc<~rr.d In a Hos Ital: ................. ...................._......... ... ..... p ~( Inpatient H D r ~ O e ' ~ .. ....... ..... eath Oeeur •tl Somawh r ther Than a HospltN: ~ ( liosplee Faclllt "- Y ~ U~cedent's ~HOme-~ Emer nc R /O »~i p y oom utpatient DNd on Arrival Nurfl Home/LO -Term Gre Feclll Other 5 fy) (1 lSb F {Il N . ac ty ama (14 not Inatltu<ion, give street and number; SSC. Glty er Town, State, and 21p Code SSd. County of Death Thornwald Home Carli l PA 17013 ~ s e, CtJmbarland 16a. Method of Disposition 0 Burial Cremation 16b. Oates of Dis ry, crematory 16c. Place Of Dlspesltlon (Name o/ cemete or other plan) R ® 1 $ !~ , emoval from State ~ Donatlo 0 eptember 3 , 201 Other (Specfy) Cremation Societ of P l i y enney tran a 16d. Location of Disposition (City or Town, State, and 21p) 17a. Signature 1 Servie! License or Parson In Charge of Interment 17b. License Number • Harrisburg, Pannaylvania 17109 FD-013376-L 17c. Name and Complete Address O( Funeral Facility ~' A r io rvices of Penns lvania Inc. 4100 Jonestown Road Harrisbur PA 17109 18 O d ' Etl . eee ent s ucetlon -Cheek the box that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Raee - Chsck ONE OR MORE racef to Intllute what hi h d g est egree Or level of school completed at the time of death. box that bas[ describes whether the decadent the decedMt considered hlmpl/ or hfrfelf to be. ~ 8th d l gra e or eas Is Spanish/Hispanlc/Utino. Cheek the "NO' ® Whlt• Korean ~ N di l 9 h o p oma, t - 12th grade box N d•cedenT h not Spanish/Hlsp•nlc/Latino. Q Black or Afrlun American Q Vietnamese ® Mlgh scheol graduate or GED com l t d p e e ®No, not Spanish/Hispanle/Latino ~ American Indian or Alaska Native 0 Other Asian Q Some colla e credit b t d g , u no egree 0 Yes, Mexlean, Mexican AmeNCan, Chluno Q Asian Indian ~ Native Hawallan ~ Associat d e agre• (e.g. AA, AS) Q Yes, PueKO Rlean ~ Chinese ~ Guamanian or Chamorro ~ Bachelor's degree (e.g. BA, AB BS) V C b , es, u an Q Matter's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) ~ Ves, other Spanish/H{spanic/Latino 0 lalpalnese • Q O[he PSCIflc Islander Dottorate (e.g. Ph O, EtlD) or Professional degree S f ( peci y) Q Other (Specify) f. MD ODS DVM LLB JD 21. Decedent's Single Race Self-Designation -Cheek ONLY ONE to Indlut• what the decadent considered himplt or hers•11 to ba. 22a. Decedent's Usual Occupation -Indicate t e of work yp ® White 0 Japanese 0 Sampan done during most of working Ilh. DO NOT VSE RETIRED. ~ Black or A}dean A i mer can 0 Korean 0 Ocher Paclflc Islander ~ American Indian or Alaska Native 0 Vietnamese •] Don'[ Know/Not Sure Clerk ~ Asian Indian 0 Ocher Asian Q Refused 22b. Kind of Business/Indust ry ~ Chinese 0 Natly Hawallan Q Other (SpecHy) Q FIIIPino ~ Guamanian or Chamorro Nationwide Insurance Company 1 M - .Dab Donee ea Mo aY 2 Kur• o arson onouncing eat n V w • aPP ca a c. unse Num BY PERSON WNO PgONOUNCES OR ~ ^ r cegTlilES DeATN O 9 ~ 11 p~ ?.O - 23d. Da a SI d (Me/Day r) 24. Time o! Death IQ.-~ 55 a v ~ O~ 25. Was Medical Examiner or Coro er Gonbcted7 0 Yes o CAUSE OF DEATH Approximate 26. Pert 1. Enter the chain of events--diseases, Injuries, or eompliutlons--that tllrettly caused the death. DO NOT enter terminal events such as cardiac arrest 1 Interval: respiratory arrest, or ventricular fibrlllatlpn without showing the etiology. 00 NOT ABBREVIATE. Enter only one cause On * tine. Add atldltipnal lines H neussary Onset to Death IMMEDIATE CAVSE --------------> a. ~ ~ W ~ j V.n`t~ (Final dlaease or contlitlon Due to (o as a consequence of): resulting in death) b. Sepuentlally Ilst conditions, Oue to (or as a consequence of): If any, leading to the cause Ilstatl on line a. Enter the VNOERLYING GUSE Due to (Or of a consequence off: (disease or Injury thaT F inltlated the events resulting tl. ~ in tleathj LAST. Due to (or as a confequanc• of): y t7 26. Part 11- Enter other lanlfl t tliti t Ib •tl t tl th but not resul[ing In the underlying Cause given In Part 1 27. Was an autopsy performed? Ves No 2g. Were sutoPSy findings available to comple[e the cause o1 death? W No 29. If Female: 30. Dld Tobacco Use Contribute to Deeth7 31. Manner of Death $ Not pregnant within past year 0 Ves 0 Probably Natural 0 Homicide Q Pregnant at time of death ( N U k ~ ~' ~ o 0 n nown AttidenS 0 Pentljng InvestlLatlon ~ Not pregnant, but pregnant within 42 days o1 tleath 0 Suicide ~ Gould not be determined Q Not pregnant, but pregnant 43 days to 1 year before death 32. Data o11n u 1 ry (MO Day/Vr) (Spell Month) ~ Unknown If pregnant within the past year 33. Tim• of Injury 34. Place of Injury (e.g. home; eonaeruttlon site; farm; school) 35. Location of Injury (Street antl Numbsr, City, State, Zlp Code) 36. Injury at Work 37. If Transportation Injury, Specify: 36. Deacrlbe How Injury Occurred: ~ Vea 0 Driver/Operator ~ Pedestrian Q No 0 Passenger 0 Other (Specify) 39a. Ce Kifler (Check only one): Certifying physician - To the bast of my knowledge, death occurratl tlue to the s•(s) and manner stated ~ Pronouncin 8 G lf ' g . K ying physician - To tie bait-ef-Irr~ knowl•dge, death occurred at the time, date, and place, and due to the tausa(s) and manner stated ~ Medical Examiner/Coroner - the b ( f as{ o examination, antl/or InvestlgaTlon, in my opinion, duth occurred at the Lima, data, antl place, antl tlue to the cause(s) nd manner sbtetl Signature of ce Kifler ~ /~ar`r Title pf ce Klfier. Ucsnte Number~~D ~ ~ b Z~ t6 39b. Name, Atldross and Zip Code of Person Completing Cause of Death (Item 26) G6or,~. P- 6!'c..f\5c~~ev+ u,. `'y^'m T1 nac~a>,- ~~~ G 'C^t t 7 ~ 39c. Dab Signed (MO/DaYr'Yr) t( Ze S . . -iJ ot.S ^a \ 40. Registrar's District u 41. Reg rtrar s Signature er ~~, ~ ~ _~ 4 egistra F e ate Mo ay r 43. Amendments ~ [ Disposition Permit No. OS I6 9a4/ H305-143 REV 07/2011 LAST WILL AND TESTAMENT OF PATRICIA A. SUTTON I, PATRICIA A. SUTTON, of North Middleton Township, Cumberland County, Pennsylvania, declaze this to be my Last Will, hereby revoking all prior wills and codicils. FUNERAL EXPENSES FIRST: I direct the payment of my funeral expenses, including my gravemazker, as soon as may be convenient after my death. PAYMENT OF DEATH TAXES SECOND: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of administration of my estate. DISTRIBUTION OF RESIDUE THIRD: I give the rest of my estate to the First Church of Christian Scientists presently located at 175 Huntingdon Avenue, Boston, Massachusetts 02115. POWERS OF EXECUTOR FOURTH: I confer upon my executor the right to sell or otherwise convert any real or personal property at public or private sale, at such time or times, in such manner, and for such price or prices, and on such terms and conditions as my executor shall determine, and to execute and deliver good and sufficient conveyances, assignments and transfers of the property, without liability of any purchaser for the application of any consideration; to borrow money and to secure its payment by mortgage of real or personal property, pledge of investments, or otherwise, without liability on the part of the lenders to see to the application thereof; to retain any investments at discretion; to invest and reinvest at discretion, without restriction to so-called "legal investments"; to make distribution in cash or in kind; to allocate and distribute 'Brent kinds or disproportionate shares of property or undivided interests in property amon v rn beneficiaries, in cash or in kind, or partly in each; and to do all other acts and things. ~y o~^ ~.? ~ appropriate in the management, administration and distribution of my estate. ~ -- c:. ,~, ~,-, cn ,; ...r :~: ~ c~ ~ ~ f ~* ~ + i ~` ~ 8 ~ "'tR "`- E} C» ("i"1 ...~ ~ ~ .11 t,~ APPOINTMENT OF EXECUTRIX FIFTH: I appoint Robin E. Rowe Executrix of my will. If Robin E. Rowe is unable or unwilling to qualify as Executrix or having qualified is unable or unwilling to act, I then appoint Robert R. Rowe as Executor hereof. WAIVER OF BOND SIXTH: I direct that no fiduciary hereunder shall be required to furnish bond in any jurisdiction, and if any bond is necessary, no surety shall be required. INTERCHANGEABILITY OF LANGUAGE SEVENTH: Words used in the singular may be read to include the plural or the plural may be read as the singular. Similarly, the masculine form may be read to include the feminine and neuter; the feminine may be read to include the masculine and neuter; and the neuter may be read to include the masculine and feminine. HEADINGS EIGHTH: The headings used on the various paragraphs of this will are included for convenience only and shall have no legal significance. I have si ed this will this ~da of gn y , 2002. 'tea ~ ~~U~~ Patricia A. Sutton, Testatrix ~~; ~ ~~, , Witness . Q--C--c.c_a_1 r ~Vit ss ACKNOWLEDGMENT and AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) SS. We, Patricia A. Sutton, the Testatrix in and the undersigned witnesses to the will, the attached or foregoing instrument, who have signed the instrument, having been qualified according to law do depose and say: (a) that I, the Testatrix, do hereby acknowledge that I signed the instrument as my will, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and (b) that we, the witnesses, were present and saw the Testatrix sign and execute the instrument as her will, that she signed it willingly and 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 a witness and 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. ~~~~~ ~ Testatrix, Patricia A. Sutton ltness 'itn s /~~~~~ Notary Public Notarial Seal Robert R. Black, Notary Public Carlisle Boro. Cumberland County My Commission Expires Sept. 10, 2005