Loading...
HomeMy WebLinkAbout10- 1-12PETITION 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: GEORGE WILBUR KING JR a/k/a: GEORGE W. KING, JR. a/k/a: a/k/a: Date of Death: 811 /2012 } ' t--~ File No: 21-12- ' "~' l~ (Assigned by Regi Social Security No: Age at death: 90 Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State) with his/her last principal residence at 1000 CLAREMONT RD, CARLISLE 17013 MIDDLESEX TOWNSHIP CUMBERLAND Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 1000 CLAREMONT RD, CARLISLE 17013 MIDDLESEX TOWNSHIP 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 $ 80,000.00 If not domiciled in Pennsylvania .............................Personal property in Pennsylvania $ If not domiciled in Pennsylvania .............................Personal property in County $ Value of real estate in Pennsylvania .............................................................. $ 0.00 TOTAL ESTIMATED VALUE.... $ 80,000.00 Real estate in Pennsylvania situated at: (Attach additionnl sheets, if'necessary.) Street address, Post Office and Zip Code City, Township or Borough County ® 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 2/23/1993 and Codicil(s) thereto dated NON E 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. ® NO EXCEPTIONS ^ 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 d.b.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. ® 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): Name Relationship Address ~' r~,~ ~ ; - ~% ~ ~ r G..: _.., t=~ `r~ .~ .c~ Form RW-02 rev. 10/11/2011 Page 1 of 2 ,-~.., Oath of Personal Representative ~„ Officiate only r' -~ l..J - -. ~ ~~~' ~ COMMONWEALTH OF PENNSYLVANIA T ~~ >; {---' L :.~....1 r-~ ^ COUNTY OF CUMBERLAND } ^3 f~-_ ~ ~~ ~'` Petitioner(s) Printed Name Petitioner(s) Printed A ess~+ ~.n C~ 1 WEST PENN, APT 121 ~'" JUDITH A. WOLFE CARLISLE PA 17013 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 according to law. Sworn too firmed an "u s ri b fob ~ (T ~ ~-~,r } C: Date ~ ~ -' / - ~ me this da caf '`, (! Date ;. ~ By: Date For e Register Date BOND Required: ^ YES ®NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters ....................... $ ( )Short Certificates(s) ..... . ( )Renunciation(s) ......... . ( )Codicil(s) ............. . ( )Affidavit(s) ............ . Bond ......................... Commission ................... . Other ......... Automation Fee ................ . JCS Fee ....................... TOTAL ......................$ Attorney Signature: ----.~_. ~~ ~~ ~ `;~ Printed Name: DAVID R. GALLOWAY Supreme Court ID Number: 87326 Firm Name: DAVID R. GALLOWAY Address: ATTORNEY AT LAW 54 E. MAIN STREET MECHANICSBURG PA 17055 Phone: Fax: Email: 717-697-4650 717-697-9395 DECREE OF THE REGISTER Estate of GEORGE WILBUR KING, JR. a/k/a: GEORGE W. KING, JR. E AND NOW, e' `~~F~'i;../ r ~G~~~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to JUDITH A. WOLFE in the above estate and (if applicable) that the instrument(s) dated 2/23/1993 described in the Petition be admitted to probate and filed of record as tl~ last Will (apd Codicil(s)) of Decadent. ~~~, File No: 21-12- /~ /~' Register of Wills _,1,r-~ - ~ G.(~~~,~~' f'k~,._ Form RW-0? rev. 10/Il/2011 ~ ~''" _ 2~/- / z -lL~ 7~- .t ,1 -~,~ , r'r ~ qtr ,~ e'~~rt11~iL:<~ti~5~t titf~)~i~~~~~. Print In ianent k ink 0 u 0 Z E m c E c c° F ~~~,2 CCT - i F~ 2~ 54 " u.~i~~~t i ,r. .. ,, COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS 1 CERTIFICATE OF DEATH ~._._~,_.,.._ _.. 1. Decedent's Legal Name (First, Middle, Las[, Suffix) 2. Sez 3. Social Security Number 4. Date of Death (MO/Day/Yr) (Spell Mo) C-~ ~ - .~-~ Llj"~ ~ a~l~ 6a. Age-Last Birthday (Vrs) 56. Un 1 Vear Sc. Under 1 Da 6. Dat firth (MO/D ay/Vear) (Spell Month) 7a. Birthplace (City and S tate or Foreign Country) Months Days Hours Minutes ~r 1 `~ C S ~0 ~ ~ ~ ~ ~ ~ 1l,~Ll/-Y. J Y ` 7b. Birthplace (County) 9a. Residence (State or Foreign Country) ence (Street and Number - In[lude Apt No.) Bb. Resi d ns hip? Bc. Did Decedent Live in a Tow /I ~~ ~ ~ I ,.' ~ n Yes, decedent lived in I r 11 (AL.I~P_`ifX twp. 8d. Residence (County) j { OVO U~~L-~vlN 9e. Residence (Zip Code) y 7j ^ No, decedent lived within limits of city/born. 9. Ever in US Armed Forces? 10. Marital Status at 71me of Death ^ Married ~ Widowed 11. Surviving Spouse's Name (If wife, give name prior to First marriage) ~~ Ves ^ No ^ Unknown ^ Divorced ^ Never Married ^ Unknown 12. Father's Name (First, Middle, Las[, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, Last) I ( ~ G 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code • ~ lSa. P ace of Death {Check on Y one If Death Occurred in a Hospital: ~ Inpatient ~ If Death Occurred Somewhere Other Than a Hospital: ^ Hospice Facility ^ Decedent's Home ^ Emergency Room/Outpatient ^ Dead on Arrival . f~ Nursing Home/Long-Term Care Facility ^ Other (Specify) 16b. Facility Name (If not institution, give street and number; County of Death ip Code 15d 15c. City or Town, State, and Z n / 16a. Method of Disposition Burial ^ Cremation 166. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place) ^ Removal from Stale ^ Donation ^Other (Specify) ~ ~ ^ b~ X Rctl~nr ~v PN V1 ~P'Mn(11~ci-~ ~Z-I'~' 16d. Location of Disposition (City or Tewn, State, and Zip) 17a. Signature, of Funeral Service Licensee or Person in Charge of Interment 176. License Number 17c. Name and Complete Address of Funeral Facility ~~ '.r c - _ u 'f 7 -- 19. ecedent's Educatlo Check the hox that hest describes the 19. Decedent of spank Origin -Check the 2 0. Decedent's Race Chec O E OR MORE races to indicate what highest degree or level of school completed at the time of death. box that best describes whether [he decedent t he decedent considered himsel! or herself to be. ^ 8th grade or less is Spanish/Hispanic/Latino. Check the "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 GEO completed No, no[ Spanish/Hispamt/Latino ^ American Indian or Alaska Native ^ Other Asian ^ Some college credit, but no degree ^Ves, 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) ^Ves, other Spanish/Hispanic/Latino ^lapanese ^ Other Pacific Islander ^ Doctorate (e.g. PhD, EdD) or Professional degree (Specify) ^ Other (Specify) e.. MD, DDS, DVM LLB, 1D 21. Decedent'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 type of work White ^lapanese ^ Samoan done during most of working Ilfe. DO NOT USE RETIRED. ^ Black or African American ^ Korean ^ Other Pacific Islander ~ ^ American Indian or Alaska Native ^ Vietnamese ^ Don't Know/Not Sure ~ ! 1 ^ Asian Indian ^ Other Asian ^ Refused 22b. Kind of Business/Industry ^ Chinese ^ Native Hawaiian ^ Other (Specify) t~ ~ ' ^ Filipino ^ Guamanian or Chamorro I''C-~( a ~ pVl ~""G~-t ITEMS 23a - 23d MUST BE COMPLETED 2 3a. Date Pronounced Dead (Mo/Day/Vr) 236. Signature of Person Pronouncing Death (Only when applicable 23c. License Number BV PERSON WHO PRONOUNCES OR ~t U 10 '~ t~ I CERTIFIES DEATH - . t ~^ cis. s ' tt~~ Q L t ) ~~ CC~~ ~ /mil S '1 ~) J C ~l C 23d. Date Signed (Mo/Day/Yr) 2 4. Time of Death -~.. + a. ~.~.._ t.~~-a~_ r« I .- /ak - : 4. f J i~ i .1 ( ~ 1 ~ I /',r 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. thout showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines if necessary ~ Onset to Death respiratory arrest, or ventricular fibrillation wi p IMMEDIATE CAUSE ---------------> a. ~Sn f (~l h ~(A l ~~'~ i (Final disease or condition Due o (or as a consequence of)~. resulting in death) ~ - Sequentially list conditions, ~ Due to (or s consequence of). if any, leading to the cause listed on line a. Enter the c. UNDERLYING CAUSE Due to (or as a Consequence of): (disease or injury that initiated the events resulting d. in death) LAST. Due to (or as a consequence of): 26. Part II. Enter other sianitican[ conditions contrlbutinR to death but not resulting In the underlying cause given in Part I 27. Was an autopsy perior ed7 ^ Ves No 28. Were autopsy findings available to complete the cause of death? ^ Yes ^ 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 of death ^ No ^ Unknown ^ Accident ^ Pending Investigation ^ Not pregnant, but pregnant within 42 days of death ^ Suicide ^ Could not be determined ^ Not pregnant, but pregnant 43 days to 1 year before death 32. Date of Injury (Mo/Day/Yr) (Spell Month) ^ Unknown If pregnant within the past yeas 33. Time of Injury 34. Place of Injury (e.g. home; construction site; farm; school) 35. location of Injury (Street and Number, Ci[y, State, Zip Cade) 36. Inlury at Work 37. ((Transportation Injury, Specify- 39. Describe How Injury Occurred ^ Ves ^ Driver/Operator ^ Pedestrian ^ No ^ Passenger ^ Other (Specify) 39a. C rtifier (Check only one): certifying physician - To the best of my knowledge, death occurred due tp the cause(s) and manner stated ^ Pronouncing & Certifying physician - To the best of my knowledge, death occurred at [he time, date, and place, and due [o the cause(s) and manner stated ^ Medical Ezaminer/Coroner - 00 t e b sis of exa ina[ion, and/or investigation, in my opinion, d5a[h occurred,at the time, date, and place, and due to the~c)ause(s)7and manner stated n ~ ~ / I Fr ~ I~ 9 1 t ~ ~. US~~U ~ l~ (~ l J ' L- V \~ /\ i~,~(„b_1~~~" Title of certifier: ~ I l- t License Number: Signature of certifier: ~ ' ~A 1 ((As ~~ 39b. Name, Address and Zip Code of person Completing Cause of D ath (Item 26j ~ i 39c. Dale Signed (M /Day/Vr) i , ~ ar's District Number 40. Registr 41. Re S rar's Signature 42. Regisfra file D to (Mo/Day/Yr) a ~ ) / ~ ~.~c.~ 2 i L r c7t " /1 ~ ~~l ~ lZ~ ( ,~ ) ._~ I / _ - - r c is ?-, . - L^-,Z-~~v'• Lc-;T-,v-' ~~. U ~ . .- - ...~ 43. Amendments REV 07/2011 ±i~zs# mill ttnD ~e~strzmen# C.} G' ~~ ~ 1 ~'~ ~- _ -; ~~~ ~ ~~ =, ;. ~ ~-= `, .4 , ij'; ~~~! ~_.i ,~_ ._._ ~~ ~~~ d ~_~ OF -.. '.^~~ _ .~~~ GEORGE W. RING, JR. ~,:.'7 ._.. _ -- ~ ':. ~- ~-~~T REMEMBERED, that I, GEORGE W. RING, JR. of &027 William G ~~ ~~ive, Mechanicsburg, Hampden Township, Cumberland County, ~_ ~:; 7'~ [~ r r'! C [ t 1 [ T 7 r. 't +~ y. n i r± n r, ~ c'~ i-. t . r.. i r s.- ... ^ s - .-~ L r~...a aYaa.~1 i v i..C1alS.i, bV 111y v1 .7rv b311~ ici1 ~I~ , 1~G'1li ~Ji Y Calld lAllu~r~ l.aiid illy , dU make, publish and declare this as and for my Last Will and Testament, hereby revoking and making null and void any and all Wills and Testaments and writings in the nature thereof by me at any time heretofore made. ITEM 1: I direct that my hereinafter named Executrix pay all my just debts, my funeral expenses, and the expenses of the administration of my estate. With this direction, I authorize and empower my Executrix to expend for my funeral expenses and interment such amounts as she may consider necessary and proper, without regard to any limit that may be prescribed by a court of law. ITEM 2: I direct my Executrix to pay all inheritance, estate, succession, and legacy taxes of whatsoever nature and kind, to which my estate or the transfer of any property passing hereunder or otherwise passing by reason of my demise, may be subject and to charge such taxes against my residuary estate, it being my intention that none of the aforesaid taxes, either federal or state, on any property required to be included in my gross estate, under the provisions of any state or federal law now in force or hereafter enacted., shall be prorated among the persons interested in my estate to whom such property is or may be transferred or to whom any benefit accrues. ITEM 3: All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, whether it be real, personal or mixed, including property over which I have a power of appointment, I give, devise and bequeath unto my wife, MARY E. RING provided she survives me for a period of thirty (30) days. ITEM 4: In the event that my beloved spouse predeceases me, or dies on or before the thirtieth (30th) day following my death, or should we die simultaneously, I then give and bequeath my entire residuary estate unto my issue in equal shares, per stirpes. ii°El~f 5: In the event t~iat any of my children should predecease me, leaving issue surviving, I give and bequeath the share of such deceased child to his issue. In the event that any of my children should predecease me without leaving issue surviving, I give and bequeath the share of such deceased child to my surviving children. ITEM 6: I nominate, constitute and appoint my wife, MARY E. RING, as Executrix of this my Last Will and Testament. Should my wife predecease me, fail to qualify, cease to act, or renounce probate, I appoint my son, WILLIAM E. RING of Harrisburg, Pennsylvania, as alternate Executor, and my daughter, JUDITH A. WOLFS, as second alternate Executor of this my Last Will and Testament. ITEM 7: I direct that my hereinbefore named Executrix shall not be required to give bond for the faithful performance of her duties in this or any jurisdiction. IN WITNESS WHEREOF,have hereunto set my hand and seal this ,2,j day of /!~ 1993. ~. r `~~ ~ ~ ~ i . A ~ „4 1 :~. ,~~, , GEORGE ; RING, JR 1`./` The preceding ? nstr_u:~:ent, co:~sisLi:':~ of ti-iis and two ~ ~ } other typewritten page, was on the day and date thereof signed, sealed, published, and declared by the Testator herein named, as and for his Last Will and Testament, 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. ~ ~.~. ~ , ~~ ~~ ~ fi. ~~ r r ~ ~ti : ~ ,. ; ~ ~. ~`~ OF i , ° ~ . COMMONWEALTH OF PENNSYL`JANIA COUNTY OF YORK We , GFhO GE RING, JR . , - and i the Test or and the witnesses, resp ctively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigrieci authority that the Testator signed and executed the instrument as his Last Will and Testament, and that he signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator signed the Will as witnesses, and that to the best of their knowledge, the Testator was at the time eighteen (18) years of age or older, of sound mind, and under no constraint or undue influence. SWORN TO AND SUBSCRIBED BEFORE ME THIS ~ ~/~AY ~----~.~ ~ ; 19 9 3 . ,/ //~ r /i' A:\93\GKING Notariat S~ ~12~net S. Go. ~, +wc;~ry Pub~C Dit~bur~ BorU, York cour~r iWy Commission Ex~~ires Oct ,19134 ylvarua Assoaabon of 7 ~ ~ •` ,.fP ~ _ a -~r~