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Home My WebLink About10-03-12PETITION 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: BETTY C. ALLEN File No: ~~ ~ - ~ U 8 a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 09/25/2012 Age at death: 89 Decedent was domiciled at death in CUMBERLAND County, pF.NN4YT.VAN A (stare) with his/her last principal residence at 770 S. HANOVER STREET CARLISLE 17013 CARLISLE CUMBERLAND Street address, Post Office and Zip Code City, Township or Borough County Decedent died at CARLISLE REGIONAL MEDICAL CENTER CARLISLE 17013 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 $ 250,000.00 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.... $ 250.000.00 Real estate in Pennsylvania situated at: (Attach additional sheets, if necessary.) 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 AUGUST 24, 2007 thereto dated County and Codicil(s) State relevant circumstances (eg. 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. 0 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.t.a. or db.n.c.za., 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. 0 NO EXCEPTIONS 0 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 ,. ~„ r:~ ~ n v~ _ _ k U~. ~ , ` \ ~ t- ~=~ f~ri ti./ 'Tl ~-"t7 ~ IQ~ `~ V , Form RW-01 rev. ioi~~i~o» Page 1 of 2 Oath of Personal Representative ~f Official Use Onl} COMMONWEALTH OF PENNSYLVANIA } ' '"~~~f,~~, ~T~~~~ COUNTY OF CUMBERLAND ~ Petitioner(s) Printed Name Petitioner(s) Printed Address DEBORAH A. BEHRENS 301 TIREE CT. UNIT 204 ABINGDON MD 21009, . -: BARBARA A. FAIR 12 MATTHEW COURT, CARLISLE, PAi+1F ei ~-at~ rn ~Dh 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 to or affirmed and uescribed before ~.~ q Date c.~ .:poi Z me t day of r~r (~ ~ GZt,C Date D ~ Z B Date For the Register Date BOND Required: Q YES Q NO FEES: Letters ...................... $ 310.00 ( 2) Short Certificate(s)...... 8.00 ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( ) Affidavit(s)......... .: . Bond ........................ Commission ................. . Other ........ WILL ........ 15.00 Automation Fee ............... 5.00 JCS Fee ..................... 23.50 TOTAL ..................... $ 361.50 To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: ~~ Printed Name: R(Q~R B. IRWIN, ESQUIRE Supreme Court ID Number: 6282 Firm Name: IRWIN & McKNIGHT, P.C. Address: 60 W .4T POMF F.T STREET C'ARLISL.E, PA 17013 Phone: (717)249-2353 Fax: (7171249-6354 Email: DECREE OF THE REGISTER Estate of BETTY C. ALLEN File No: a- - ~ a - r y ~ 1 a/k/a: AND NOW, ~ ~ , ~ , ~ 12 ,inconsideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to THOMAS MOYER AND JOHN BROUCKER in the above estate and (if applicable) that the instrument(s) dated described in the Petition be admitted to probate and d of record as the last Will (and Codicil(s)) of Decedent. b~ egister of Wills ~r (~~cr~ Form RW-02 rev. ioiui2ou Page 2 of 2 LOCAt ~r AR'S CERTIFICATION OF DEATH W~~~D~~FR~T~ ~ Ito duplicate this coPY by Photostat or photograph. ,J 1 Vs Fee for this certificate, $6.00 ,~~~~ ~Cj _3 AM ~,, OJ ORP R~LANS D CO. TPA P 18882564 Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. ~~~" Sf/R 2 7/ 2012 Local Registrar ~ Date Issued Type/Print In COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS Pa;><k;~k` CERTIFICATE OF DEATH ~~ ~JJ`` ~l ~_ s.. 1. Occident's Legal Name (First, Mlddla, Last, Suffix) 2. Sax 3. Social Security Number „4.•Date of Death (MO/Day/Yr) (Spell Mo) Sa. Age-Last Birthday (Yrs) Sb. Under 1 Year Sc. V nder 1 Da 6. Date of Birth (MO Day/Vear) (Spill Month) 7a. Birthplace (City and State or Foreign Country) '~ 89 Months Days Hours Minutes Aug 30 f 1923 7b. BlrthPlace (county) r an 8a. Residence (State or Foreign Country) Hb. Residence (Street and Number -Include Apt No.) Bc. Did Decedent Llve In • Townships PA 770 S _ Hanover St . OYea d«ldent uy<d in , 8d. Residence (County) ~P' Y CLanberland Be. R<sidence (21p Code) 17013 !v9 No, decedent Ilved wlthln limits of Car11es1@ city/born. 9. Ewr In US Arm<d Forces7 10. Marital Status at Time of Death Q Mauled Widowed 11. Surviving Spouse's Nsme (If wife, give name prior to firs[ marriage) 0 Yes ~ No Q Unknown ~ Divorced ~ Never Mauled Q Unknow 12. Father's Name (F rs[, Middle, Last, Suffix) Jose h C ~ 13. Mother Nam< Prior to First Marriage (First, Middle, last) tl p a aman Edi -- Rice 14a. InformaM's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zlp Cod<) Barbara Fair dau titer 12 Matthew Ct.f Carlisle PA 17015 z ......................................................... ..Pa.................................. ....... 1..a:...i~.......eat. ec on y one _ If Death Occurred In a Hos Ital: ........._.. .............................. ................ .................... ..................................... P ~ in tlent ~ )If Death Occurred Somewhere Other Than a Hospital: ~ Hospice Facility ~" Deced<nt's Home Emergency Room/OUtpatlent Q Dead on Arrival [ Nursing Home/Long-Term Care Facility Other (Specs ) ISb. Facility Name (If. not Institution, gWe street and number; Carlisle Re ional M di l C 15 c. City or Town, State, d Zip Code ISd. County of Death . A g e ca enter Carlisle, P 17015 Cumberland IBa. Method of Disposition ~ Burial Cremation 166. Date of Disposition 16c. Place of Dispositlgn (Name of cam<tery, crematory, or other place) p Ramovsl from Stat¢ p Opnatlon Other (Specify) apt 27 ~ 2012 Hoffman-Roth Funeral Home & Crematory 16d. Location o1 Disposition (City or Town, State, and Zip) 1]a. Signature Funeral Service LI Charge of Interment 1]b. License Number Carlisle, PA 17013 138504 17c. Name and Complete Address of Funeral Fac111ty Hoffman-Roth Fun@r 1 Home & Cr o 1 N v a( 16. Decedent's Education -Check the box that best d¢scribes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE races to indicate what highest dagrle or level of school completed at the [Ime of death. box that best describes wheth<r the decedent fh¢ decedent considered himself or herself to be . ~ Bth grad! or less is Spanish/Hlspa nic/Latino. Check the "No" ~ White ~ Kor¢an Q No diploma, 9th - 12th grade box If decedent Is no[ Spanish/Hispanic/Latino. 0 Black or African American ~ Vietnamese High school graduate or GEO complet<d ®No, not Spanish/Hispanic/Latino 0 American Indian or Alaska Native 0 Other Asian Q Som< college credit but no de r , g ee [] Yes, Mexican, Mexican American, Chicano ~ Asian Indian Q Native Hawaiian A i d ssoc ate egrc< (e.g. AA, AS) Q Ves, PueKO Rican 0 0 Chinese ~ Guamanian or Chamorro ' ~ Bachelor s degree (e.g. BA, AB, BS) 0 Yes, Cuban O FIIIPinO Q Samoan ' 0 Master s degree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Ves, other Spanish/Hispa nic/LetinO 0 Japanese Q Other Pacifle Islander Doctorate (e.g. PhD, EdD) or Professional degree (Specify) ~ Other (Specify) @. MD pD5 DVM LLB lp 21. Decedent's Single Race Self-Designation -Check ONLY ONE to Indicate what the decedent consideretl hims¢If or herself to be. 22a. Decedent's Usual Occupation -Indicate type of work White ~ Japanese Q Samoan done during most of working life. DO NOT USE RETIRED . Q Black or African American ~ Korean Q Other Pacifle Islander Contract Cler7C American Indian or Alaska Nativ¢ 0 Vietnamese Q Don't Know/Not Sure Q Asian Indian Q Other ASian ~ R¢fused 22b. Kind of Business/Industry Q Chinese Q Native Hawaiian Q Other (Specify) Na D@ t Vy p~ ~ Filipino Q Guamanian Or Chamorro ITEMS 2 - 2g MUST BE COMPLETED 23a. Date Pronounced a M Day r 23 . Signature Person Pronouncing Death (On y w en applies a 23c. License Num er BY PERSON WMO PRONOVNCES OR ~ CERTIFIES D TN e y 2 s~ f "~ ` 23d. Date Signed (M /Day/V ) 24. Time of D ath ~d - d y3S~f/L S ~ 2'~ />t'1 25. Was Medical Examiner o Co er Contacteds 0 Yes [~}~-NL>- CAUSE OF DEATH Approximate 26. Part 1. Ent<r the chain Of events--diseases, In)urles, or compligilOns--that directly caused the tleath. DO NOT enter t¢rminal events such as cardiac rr t a es Interval: respiratory arrest, or ventricular fibrlllatlon Ithout showing the etiology. DO NOT ABBREVIATE. En[ w <r on1V one cause on a Iln¢. Adtl additional lines If necessary Onset to Death /~ ~ / IMMEDIATE CAUSE ---------------> a. ~Tl-tti~ 2eS/f, r4J~a/af ~4 "ltti.iQ '' 2 ~ l . . r (Final dls¢ase or condition Due to (or as a co sequence of): resulting in death) ~ - ~ ~ $ 4 b. S Sequentially Ilst condltfons, Due to (o s a consequence f ) If any, leading fo the cause ~ L / listed on line a Enter th LAY V /~ Q -' L- t ~ r . e - p f a .lr 1 / 4-~ • /L~} UNDEgLVING CAUSE D ¢ to (o as a consequence of): A (disease or In) ry that PG5 D Initiated the events resulting d. in death) LAST. Due to (or as a consequ<nce of): y a7 a 26. Part 11. Enter other I Ifl t dlti Lib ti t d th but not resulting In the underlying cause given In Part 1 27. Was an autopsy perform ~ O ve: $ 28. Were autopsy findings available to complete the cause of deaths ~i ' Yas O 29. If F e m a le: 30 Dld T b £ .. ~ ~ gi - LEI rvpt pregnant wlthln past year . o acco Use Contribute to D¢aihi 31. Manner of D¢ath ~ Pregnant a[ time of death ~ Yes Q Probably f oral ~"~~ Homicide ~' ~ Not pregnant, but pregnant within 42 days of death rj-fft ~ V nknown O Accident Q Pending InvestlgatiOn ~ Suicld¢ ~ Could not be determined ~ Q Not pregnant, but pregnant 43 days to 1 ytar before d<ath Q Unknown if re nant wlthln the t 32. Date of In u Mo/Da /Yr 5 J ry ( Y ) ( Pell Month) p g pas year 33. Time of InJury 34. Place of InJury (e.g. home; construction site; farm; school) 35. Location of InJury (Sir¢et and Number, City, State, Zip Code) 36. Injury at Work 3]. If Transportation InJury, Specify: 38. Describe How InJury Occurred: 0 Ves 0 Driver/Operator ~ Pedestrian ~ No 0 Passenger 0 Other (Specify) 39a. Certifier (Check only one): Certifying physician - To the best of my knowledge, death occurred due t0 th¢ cause(s) and manner staled ~ouncing 8. Ce Kifying physician - To th< esf of my knowledge, tlea[h occurred at the time, date, and place, end due to the cause(s) and manner stated Medical Examiner/COfO - On the Is at nd/or investigation, In my opinion, death d t the time, date, and place, and due to the se(s) d a fated u y Signature of certifier. Title of certifier /'[ O Y3~' ~~.[ ucense Number:~ 3 Nam<, Addre a d ~d of Person COm se } De h Item 26) ~ ~ 9c. Date Signed (MO/Day/Vr) ~ n ~f ` aU 1a.~. d b.. l,F- /l~ ~ e % e S ~ ' c.L~ 1. ~r l ~- 40. Registrar s District Num ¢r 41. Registrars 51 42. Registrar FI a Date Mo Day ! t-2.~o - ail old 43. Amendments Disposition Permit No. l J ~ l -1 7S ~~ H105-143 REV 07/2011 LA~.ST WILL AND TESTAMENT ~_ Q m .f ~ ~' ~ f") ~ r ~ -'-1 C:n ~t7 ~~ ~ ry. r a Betty C. Allen ~:; ; w ~ ~-~ o~ '~' ~ :. I, BETTY C. ALLEN, of South Middleton Township, Cumberland ~ounty,o ~~ Pennsylvania, being of sound mind, disposing memory and full legal age, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils heretofore made by me. 1. I direct my Executrices to pay all of my debts, funeral and administrative expenses as soon as convenient after my decease. Furthermore, I direct that all state, inheritance, succession and other death taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property composing of my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid by the Executrices from my estate, and that none of the aforesaid taxes shall be prorated among those persons or entities named herein or otherwise beneficiaries hereunder. 2. My Executrices may, at their discretion, compromise claims, borrow money, retain property for such length of time as they may deem proper; lease and sell property for such prices, on such terms, at public or private sales, as they may deem proper; and invest estate property and income without restriction to legal investments unless otherwise provided hereunder. X53 3. I authorize and empower my Executrices to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefore, in fee simple, as I could do if living. My Executrices are authorized and empowered to engage in any business in which I may be engaged at my death, for such period of time after my death as seems expedient to said Executrices. 4. I give, devise and bequeath all of my estate of every nature and wherever situate as follows: a. 5% to GOOD SHEPHERD COMMUNITY UNITED METHODIST CHURCH OF CARLISLE, PENNSYLVANIA; b. 45% to DEBORAH A. BEHRENS; c. 45% to BARBARA A. FAIR, and if she is not living at the time of my death, to her children, share and share alike; and d. 5% to CAROL STEWART. 5. I nominate and appoint DEBORAH A. BEHRENS and BARBARA A. FAIR to be the Executrices of this my Last Will and Testament. 6. No person(s) shall benefit hereunder unless such beneficiary shall survive me by sixty (60) days. 7. No Executrix acting hereunder shall be required to post bond or enter security in this or any other jurisdiction. 8. No beneficiary may assign, anticipate or pledge his or her interest in any income or principal held or distributable hereunder, and no beneficiary's creditors may levy, attach or otherwise reach any such interest. 9. I hereby suggest that my personal representatives retain the services of Irwin & McKnight as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this Ly' ~ ~ day of August, 2007. • (SEAL) BET C. ALLEN Signed, sealed, published and declared by the above-named Testatrix as and for her Last Will and Testament, in our presence, who, at her request, in her presence and in the presence of each other have hereunto set our names as subscribing witnesses. -, / / ~ t/ / ACKNOWLEDGMENT AND AFFIDAVIT WE, BETTY C. ALLEN, CHERYL L. CLELAND and TRACI D. SMITH, the Testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a witness and that to the best of their knowledge the Testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. ~. BETTY .ALLEN ~,CHE L. CLELA C F ~ ~~ TRACI D. SM H COMMONWEALTH OF PENNSYLVANIA . SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by BETTY C. ALLEN, the Testatrix herein, and subscribed and sworn to before me by CHERYL L. CLELAND and TRACI D. SMITH, witnesses, this i~ ~ day of August, 2007. ~.~ Public wol9rial seas Roger B. Itwln, Notary Public CauNsle Boro, Cun'~betland County MY ~ E~ires Oct 3, 2008 Member. Pennsylvania Association Of Notaries