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HomeMy WebLinkAbout09-12-12I ~wasa I 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 /~ -7 Name: EVELYN D. REF.,D File No: `2~ ' ~ .Z _~~ a/k/ac (Assigned by Register) a/k/a: a/k/a: Social Security No: 209-12-6852 Date of Death: ~ 2 S / Z- Age at death: 86 Decedent was domiciled at death in Cumberland County, Pe n~ avtvania __ lsrnrel with his(her Last principal residence at 605 Benton Street Shiopensbure PA 17257 Shinoensbur¢ Cumberland Street address, Past Office and Zip Cade Ctty, Township or Borough County Decedent died at Chambersbur¢ Hospital Chambersbura Cumberland PA Street address, Posl Office and Zip Code Cily, Township or Borough County State Estimate of value of decedent's property at death: /fdamici[ed in Pennsy)vania ............................ All personal property $ 49,800.00 If oar domiciled in Pennsy!vania ........................ Personal property in Pennsylvania $ If not dnmici/ed in Pennsy!vania ........................ Personal properly in County $ Value of real estate in Pennsy!vania ......................................................... $ TOTAL ESTIMATED VALUE.... $ 49,800.00 Real estate in Pennsylvania situated at: /lam h ndditional sheets, i(ne~~ecsnq.) Street address, Post Otrice and Zip Code City, Township ar 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 g' Z 3 !! Z and Codicil(s) thereto dated N/A State relevant circumstances /eg. renunciarioa, death afexeeoror, etc.) Except as follows: after the execution ofthe instrument(s)offeredforprobate Decedent did not marry, was notdivorced, was notaparty toapending divorce proceeding wherein the grounds for divorce had been established as deKned 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. O NO EXCEPTIONS ©EXCEPTIONS © B. Petition for Grant of Letters of Administration (If applicable) t. t. a.. d. b.n., d.b.n.c.t. a., pendants lire, duran(e nbsentia, duranle minarita(e If Administration, e.t.a. or d.b.n.c.ta., enter date of Will in Section A above and complete list of heirs. Except as Col(ows: Decedent was notaparty toapending divoroe proceeding wherein the grounds For divorce had boen established ns defined in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. © NO EXCEPT70N5 ~ EXCEPTIONS Petitioner(s), alter a proper search has/have ascertained that Decedent left no Will and wassurvivedby the following spoUSejf any) and hci~attach additional sheets, ifnecessarry: ~ rwtia ~ C- Name Relationshi Address mT Pr'1 ~ r' ~ rr; ... N C': , b 0 ~ ~ ~ r i t U Ti i ~ .Z ,i ~-7 -i't _-r C'~ m ~ ['] Farn,e8'oz rr~. lnnuzq// Page I oft ' Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } Offcial Use Ooly Petitioner(s) Printed Name Petitioner(s) Printed Address Samuel L. Reed !r. 945 Overlook Drive Hummelstown PA 17036 Martha Cla ton 1104 Mill Mar Road, Lancaster, PA L7601 The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are tme and correct to the best of the knowledge and belicC of Petitioner(s) and that, as Personal Representative(s) of the Decede~tt, the Petitioner( )will well and truly admiciister the estate according to law. Sworn to or affirmed a d subscribed before ~ t" ~ Date q -la -~0%2 me t i ~a~ day of , e20~a. t"j"Yl Rnt 9 ~ Date 9 - i 2 - a U ~? By. ,~ -Date For the Register' Date BOND Required: ©YES Q NO FEES: Letters ...................... $~ /~~J~D.~~~J~~~ ( 6) Short Certificate(s)...... ~l-.y~~~ ( )Renunciation(s)........ . ( )Codicil(s) ...... . ..... . ( ) Affidavit(s)........... . Bond ........................ Commission .................. Other1~1{'.~ ...... Automation Fee . .............. JCS Fce . .................... r TOTAL ..................... $z°°~~'~~k-~s~"~ To rbe Reglsrer of Wills: Please enter my appearance by my signature below: Attorney Signs Printed Name: Peter R. Henninger, !r. Supreme Court ID Number: 44873 Firm Name: Jones & Henninger, Y.C. Address: 339 West Governor F:oad S itn 90_ti ___ I Hershey, PA 17033 Pbone: 717-533-7113 Fax: 717-533-7233 Email'. ~rter p;3nnec-henninuer.aim ha C rv ~ m T m GiJ t U~.i N rTl ~ C- ~ ~ C~ b' S ..., __~ - n ~ Y ~ c n p -rt Form RPo~oz .ev. /onuzoe/ Page2of2 Oath of Personal Representative ONWEALTH OF PENNSYLVANIA } { SS. OF The Petitioner(s) above-named sweaQs) or a t (s) the statements in the foregoing of Petitioner(s) and that, as Personal Representan s) of the Decedent, the Petitiot Sworn to or affirmed and subscribed before me this _ day of _ ay: For the Reguter BOND Required:QYES []NO FEES: Letters ...................... ( )Short Certificate(s)..... . ( )Renunciation(s)...... , . . ( )Codicil(s) ............ . ( )Affidavit(s)............ Bond .. ...................... Comm ission ............... . Other , , Autotnati Fee ............... 1CS Fe .................... TOTAL ..................... S ie we and correct to the best of the kn4w,~e dge and belief well attd truly admini the estate ac~ftling to law Date rn m G'3 Date ~O ,-"~'T"'T~~v date -^ n~ rii V ~ nc._ --rC-Try To the inter of Wi![s: -D~" Please ente y appearance. by my ~ig'~nat~re Attorney Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Faz: Email: DECREE OF THE REGISTER a .}~ \O t- rpn ~+? ~ °it Estate of~V~'I\I(1 t.J. Kef'C]' File No: .~ ~' ~'Z ~~~ aJkJa: AND NOW, ~ ~~ t D~ SQL' L/`)') ~ ~r <, in comtideration of the fore Ding Petition, satisfactory proof having been prese ted before me, IT IS DECREED that Letters ~ s YL~ are hereby granted to i~(1(17 U P I 1 IpQ~/^ r _ 1V Ctf i~h U ('tal'}L~ rl in the above estate and (if applicable) that the instrument(s) dated Q; - 2?~ - described in the Petition be admitted to prof Fmm RW-01 rev.lNl//z0/( and filed of record as the las/t Will (anti Codicil(s)) of Decedent. ~1U: ~ ~ egister of Wil r ~~QJ„ n n ~~ t U Irit Paor'3 nF o .,: ,., LO(bf~:Q;~'J~`~r',ry AR'S CERTIFICATION OF DEATH WACiLJt'is iV~is j91 to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 ~~~~ ~~~ ~ ~ ~~ ~~ ORPHA~~'~ ~;UUR? ~~IBERLPND GO.. PA P 18850651 This is to certify that the information here given is correctly copied from an original Certificate of Death daly filed with me as Local Regis Var. The original certificate will be forwarded to the State Vital Records Office tix permanent filing. O z7 /Z- ~ r Date fss~ed Certification Number Typa/P.1M In w.m y3~ Y GOMMONWEALTN OF PENNSYLVANIA • DEPItRTMENi OF NFµTN . VRAL REC0R09 GF_RTI FICATE OF DEATH I kin k gceeen[1 upl N•ma (Firc< Mldtlle, Lert. E Ix) 1. ux 9~ Soclel Sawmy Numb•f •u of Deets lMe/Dry(Yrl (Ep•11 Mai EVELYN D REED Famale 208-13-9852 Aupuai 25. 2012 A{e-We IMdW IYn) b ear 1 Yaer se. Vnaar 1 O B. Oen W Blrtn IMe/OW/Ve•.1 !Bull Me )a. BIN:pI•ce IGIN entl it to ISn Gpun<ry) S. B . MenMa Dryi rbVn Mlnutei WBIn Vt BOHOm, PA gg Now be[ t, 1823 Tb. Blrtnplea (county) Cumberbntl B.. Raalaence (Bute w FeRlgn Country) eb. Peslaance ISnapt.na Number-InNUdf Apt o.) Ec. Dle DecMen[ Live In. owNM1IpT PA 303 Branton Stroll pYO, a.vemt oyes In _ <w'P~ se. nommce (copntvl Cumblrbn0 Be.RUlaenw 111p CPtlel t723J i3[Ne, acueent llvetl wltnln llmlti er 3M1IpPBnsb Vl9 e1N/borer. EwrIn UE Armes Fereeei SO. Mefh.l St•[Va etTme Deets MBnlad • i1. suMVing Spoual Neme 11f w1 e. BNe name p<lor to fln[m•Mege) 9 l . Samuel L. Rasd. Sr. p ~ N p Unknown p Dlwrcae p rv e. Mern.a pumneWn vn 12. RMery Neme lFln<Mltltlle, laa<SU x E. Mplna/F me orw Nnt 4r[erd•p IFIrR Mleale. l•a0 Leonard O. Baldal LIIBn B. NeuBb iu.lraofm•nt'F Norm 39b. R•I emM1lP to Oaeaaane 39e.IMaemen[YM.NIn[<aenulsluat •ne NUmbefr GlD/. BU<M ZIp Getla) f Samuel L. Reetl, Sr. SpouBa BO. Bnnb: Stroat SbipgrnaDUre PA 17239 ......................................... .................................................3:...lY.... ......3............?^.Y. ~^.. ..............................W re Oti~er Then. NpPIUI: 1f NPaptw Fec111N ~gc~GNt's Mame et1.M li Deetn pewr.ee sem. M1 •. •.. •••• •.•• ••• •. •... ••• W<~I•••.••••-•~t••In N W a If DaeM Oewnetl In a P n .Term Ceu Fetlll OMerE U Em. nW RPPm/O tlent q•tl an Arflwl Nunln Nome IEB. Feel M rveme If not Ini< on. Blw < eat e.M number 1ST Glty Or Town, xeu, entl Le Cosa 35 . CouMY Oi De•m Gnemberoburp Hogpltel Cnambarsbul9, PA 19201 Franklin Ih. MCMee of Dbpulelon BVN•I LnmRbn b. D•J ei Dlipoiltlen 16<. Pleu el Dl<POFIGen(N.mu MCemetery. wm•<ory, er elnar pl•u) lE p Remava M1em x•ta O Den•non AuOUBt 28, 2012 6Prlnp HIII Gmetary oM.r seed 1 . Lpuelw+ Pi pupumen IatY o<Tawn, xm, ma IP) r 1 .. slBn•w vet semu uumae er p.non In en.rg. of Interment 1Jb. uvme Num a SM1ippenabur8, PA 19257 _- F0.014B31-L m. rv.m. ane <omPlata Aaa.e.B a FPn.nl FeanlN F alaan ar-Bricksr Funanl Homa 112 W King Sl. PO Box 333. Snip nebu PA 17259 ~ Daceaent'e 6tlUOeen-Cne4 MB bpx tnx beR tlWCNDer the 19. ecetlem of Nbpenlc Orlgln. Cn.ck tM1e 30. Oacetle:tt'e Reu- M1eeA ONE OR MOPE nui to lntllu[e wnet IB . MBnart tlePee or !owlet F<neol cemOlautlvMeema ei tleeM. box MV bY[tleeeribeF wnetM1erMeaeutleM the aeuaent conalaeretl nimaeNOr neneNb be. etlewlea. Ia spenlMMlawn+Jtxlne. coast Me-NO^ wM1lta p xenon O ont ' o •, Btb-v2tn Bnn. DPx lr eeeedem la ne<BpenbM1MbpenWl9[Ine. pBlaek er Afrlem Amerlcen p Vle[^em.o ®[NIBb •cnool {retlueu er OEp mmpleutl )ENO. net BP•nlinMlapenl4l•[In0 pM•rlunlnalen ar AlerW Netlw pOMar4len Q SOmemllege catll<DUt neaegne OY.e. Maxlcen, Mexleen4matlcen. CM1luno pMlen !oaten pNedve N.Welbn oe O Du.mm n er cn.merro le p n.ma.n a.ane a.. AA. AS) p vea. wa.te Rrun p rnm l 'Beenalei i segos Ia. B. BA, PB. aE) p Yea. Cuban p FIIIP ne p Eameen p Mertw'i dagua 19A. MA. MS. MEnM MEtl, MSW. MBA) p v.:, eM•r sp•nun/NI.P•MJL.elne p 1ew••n. p oM.r Peane bl.na.r O Denenn (e. g. vnD. EaD) w vwfmlenel aa9ne (BP.dM p oM.r Rue1N) MD DE DVM LLD l 1 Deceaent'a BlnEla Reca Eell-OealEneVOn-CM1ecF ONLY ONE to lndlute wM1e<<M1etlWaan<[OVlaaretl M1lmaaliw M1enellw be. :[3e. Decatlenlt UauelOttVmtlOn-Intlleen type 0i work 3 tlone tlurlnBmm<OiworklnE lNe. 00 NOT VEE RErIRED. u ~~t p my Peclnc lalenOV ck er Ahlun Amerlun pKenen Laborer O B Bure merlwn Inden er Plob Ne<Iw p wNnamvp p Don't EnowMac :t2D. Kind pl BuNnef IntlurtN p .Ylen Inel.n p oM.r Alen ~ Rafuud p rnwae O rv.<Iw ww.u.n p ano IspeelM SM1IPPanebur9 Uniwnily p Rnpme pDUrm.menwrn.meme a. 0•d ~ IBnatun enpn mnOUne nB R Yw en app u a 29c, unu umyr BY I[RBPN WN O PRONOUNC60R AY9YBt 23, 2012 _ C4~IB . Wu SI[netl I eY .1 2a. Tma ei pevF ei N 8:33 PM u. wM Mealul Exsminat w cwenat coePanaai p Y CAUSE pF DEATH Ap^mametB ~ <erval: 26. qn1. En<v<M1eN.in vi events-ah.egv,INurlaa. ormMPllu[Iona--MV tllnc[IVUUed Me ee•M. DO NOT mur<erminel avenb wcn eauMl•c vrett. nap tory•urt or wntrlculy nbr111et1en whnout MewlnB Ma vloleBy. DO NOT ABBR[VIATE. fMx OnH una uue enellne. Atltl eeeltlen.111no Nnausury { Onu[[e 0aath IMMEDIATE CAUSE --- -> a 4bIOPD1IITpanrY erreBt ~ (iln.l dpeva er wnehlon Ove [o (er ea • cenupuenu p0: rumtmg m e..m> . _ b. Bepsis ~ SaeuendelN lVt mnamonc - Due to lorp•couaquence o0: N any, uaalq ep Me nose metPta<IC bleddBr Penaar ee en Im... Em.r tM1. ~ Deem ter.ae mnaabwnt. en: uwP4RLnnD Ume IJliaaae er lnfV<Y tbe[ Innleud Me evanb ni~lni O. m d..<nl twzn Due to for o e eewwe.nce IXI: 2E. pant!. Enur wTV bu<netuWltlnB In MeuntlvlVlnF~we9l onto P.nl 2T. Wea ene ;ePW Perta.maaT 18. Ware eutopry 11nOlnp We table to ompleR Me uVie of d.aMT o N 19. 11 Gemele: beue VFa COnlnbuta In OeetFt 90. DIa Te 91. Manner of ea M1 p Not Pr.gnent whnln part r... e p y . p Pmb.bly tle p rva...lu IBf Natur.I me MtleWn l ]~ Ne p Unknown p 4elaen[ p PenaM9lnuertlBKlon 2' . be[Pra{n<Int wlenln 02 aWaIXMKt Q NOt PreaneM p Suldda p Coultl na<ba da<ermined bu<pugnene 09 tlWiu lwv ba5eu auH p NOtPUgn•M 93. Oxe el lnlury (Me/O•y/Yr (Spell MOntN , p Vnknpwn xpregnan[wltnln Mepert yeN .Time nr Injury . Plan ei mlurv ee.B. Dem.: co.unucelen nee: brm: ameep . Lxwen et rmury tstr..e ens Numbe.. Ptv, serte, ao ease) 96. lnlury •t Wor4 r vlon lnlury. EpaclN: 9B. OucNDe Mow lnlury OcwrnO: p Y p o e./Dpanw. p saaeaPlm p N p v hanger p anar IspalM 99I. Certlner ICnec4 only ene): bart n1 4newletl des red eua en [ne cwaals) entl manner sutaa nlMng ml ~ w. c ^T O the hart M my knewl edu, ante eccwna x lne [Imo, set ^ enO pace, entl ave [o Me u sale) entl manner atxee ~ proneunclnB D CertNNnB pMVi1<lan Q MatlICel ExeMlneN eronar-On fM1a heals of exam neebn,entl/or lnvesClptlen, In my epinlon,tlut occur tlat etlma. sate.. •ntl I•ce, entl doe to eM1euwela)ena Mann .ib<e e <n p rc ! MD pcenae NVmber: MD443g93 _ 1l/D le er eertxle.: BlBnxure of cenlflv:»~--- 971.'~-g ry Ptl ateaaaM fip COtle of Pataen <em leung 4uae DaeM Dtem2 ) cOeee sl9nad (MO O•V r D4 HBewg M Feraf, MO 1 t2 N )TH ST, CnemWrabur9, PA 1) AV9uet 2g, 2012 a0. Reg4F•r'i Olifrlc[ Number al. 0.eg [Iitrar FI a e. M rl Da t 2 ~ ~ ~ I.5' ~ t / ) •C/ B . amendmenu 0739499 EvSOT ia9 01apnBlHOn Permit Ne. R /loll LAST WILL AND TESTAMENT OF EVELYN D. REED I, Evelyn D. Reed, of 605 Benton Street, Shippensburg, Cumberland County, Commonwealth of Pennsylvania, do hereby declare this to be my Last Will and Testament, revoking all other Wills and Codicils heretofore made by me. My husband, Samuel L. Reed, Sr., and my son, Samuel L. Reed, Jr., my daughter, Martha J. Clayton, .and my husband's son, Terrance Reed, are living at the time of the execution of this, my Last Will and Testament. ITEM ONE: I direct that the expenses of my last illness and funeral be paid from my estate as soon as practical after my death. ITEM TWO: I devise and bequeath those specific items to those specific persons named in the signed and dated memorandum attached to this, my Last Will and Testament. ITEM THREE: I give and bequeath the inheritance from my mother's estate, including principal and any accrued interest to my son, Samuel L. Reed, Jr., and my daughter, Martha J. Clayton, per stirpes. ITEM FOUR: I devise and bequeath all of the remainder of my estate and property, of whatever nature and wheresoever situate, in equal shares, per stirpes, to my son, Samuel L. Reed, Jr., my daughter, Martha J. Clayton, and my husband's son, Terrance Reed, if they survive thirty (30) calendar days after my death. ..., ~ ~~ xi ~'; T-~-,- i r ~ 'v c; ~ , - r C ~~C7 -r- -- C"~G +, yn 3 i n - -r! ? `~ 1 n ' ~n ITEM FIVE: All estate, inheritance, succession, and other death taxes, imposed or payable by reason of my death, and interest and penalties thereon, with respect to all property comprising my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid out of the principal of my general estate, as if such taxes were administration expenses, without apportionment or right of reimbursement. I authorize my legal representatives to pay all such. taxes at such time or times as maybe deemed advisable. ITEM SIX: I appoint my son, Samuel L. Reed, Jr., and my daughter, Martha J. Clayton, or their survivors, Co-Executors, of this Will and direct that they be permitted to serve without bond and without any intervention of any court except as required by law. I authorize my Co-Executors to sell, encumber, mortgage, invest, distribute in kind, or retain any items or property of my estate in such manner as they shall deem proper, limited only by their own discretion. p~ IN WITNESS WHEREOF, I have at Hershey, Pennsylvania, this `p~J flay of August, 2012, set my hand and seal to this my Last Will and Testament consisting of FOUR (4) pages. q f}' ~?~ Evelyn D, Reed SIGNED, sealed, published, and declared by Evelyn D. Reed, the above-named Testatrix as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses. Residence .~y~-~-u+1T ~~ ~~~~ ~ Residence ~ ~~' ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF DAUPHIN 1, Evelyn D. Reed, the Testatrix whose name is signed to the attached or foregcing 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 Evelyn D. Reed, the Testatrix, 2012. ~~~ Evelyn D. Reed CL ~ N tary Public this Z~ day of s~1,~.~~ AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SS. We, ~ and LC(.~l f~~ ~, Y~~ the witnesses whose names are subscribed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will; that she signed it willingly and that she 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 witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind, and under no constraint or undue influence. WITNESS (~CRtiI/~- /~. ~ WITNESS SWORN and subscribed to before me, thi ~" 3~I day of pALtqus~ ,2012 i~.h lYY~/I a l _ ~~jDJ1 Cf1~- ~ry P>.(blic OMMON EA H OF M~NNSYL ANIA IJOTARIAL :TEAL RHONDA C. SPENCER, Notary Public Township of Derry, Dauphin County My Commission Expinas May 05.2015 4