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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
Name: Dr. William Robert Walp
a/k/a: William R. Walp
a/k/a: ~~p ~dl~p
a/k/a:
Date of Death: 10/8/2012
File No: ~; ~" ~ ~~., _ ~' ~ I
(Assigned by Regis
Social Security No:
Age at death: 91
Decedent was domiciled at death in Cumberland County, p~, (stag) with his/her last
principal residence at 9 Alliance Dr. # 106 Carlisle 17013 Carlisle Cumberland
Street address, Post Office and lip Code City, Township or Borough County
Decedent died at 9 Alliance Dr. #106 Carlisle 17013 Carlisle Cumberland PA
Street address, Post Office and 7,ip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania ............................ All personal property $ 5,000.00 '
!f not domiciled in Pennsylvania . ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania . ....................... Personal property in County $
Value of real estate in Pennsylvania ......................................................... $
TOTAL EST[MATED VALUE.... $ 5,000.00
Real estate in Pennsylvania siriiated at: _
(Altai h additional sheets, if necessar:y.) 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 August 14, 2007 and Codicil(s)
thereto dated
State relevant circumstances (e.g. renunciation, death oJ'executor, etc.)
Except as follows: after the execution ofthe 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. 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 Q EXCEPTIONS
Q B. Petition for Grant of Letters of Administration (If applicable)
c. t. u., d. h. n., d.b.n.c.t.a., ~~endente lite, 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 been established as defined
in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
Q 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 (ifany) and heirs (attach
additional sheets, if necessarv):
Name Relationship Address
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- _ _
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FormRf~V-02 ref-. l0/1//?0/1
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Page 1 of 2` ,
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Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
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Petitioner(s) Printed Name Petitioner(s) Printed Addr~'s ~~
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) ar~d that, as Personal Representative(s) of the Decedent, the Petitioners will well and truly administer the estate according to law.
Sworn to z affirmed an s bscr~ e of e w Date ~ ~ ~
(Z z
me th~ s ~`~c ~y of lt~_` ~~/~..~ Date
By ~ _ Date
F ~he Register Date
r
BOND Required: ~ YES Q NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters ......................
( ,',~) Short Certificate(s)......
~~ ~~
$
` G"'~'
( )Renunciation(s)........ .
( )Codicil(s) . ........... .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
O~~h e~' ...... .
i`V~ / ....... '
.......
Automation Fee . ............. .
JCS Fee . .................... ~.J
TOTAL ..................... $ - -(}-9H
717-258-8379
~~hnc~ ~carliSlenalaw_c~m ~~
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DECREE OF THE REGISTER
n
Estate of Dr. William Robert Wale File No: ~" l,2 ~ ~~
a/k/a:
AND NOW, C~ ~ /`- ~~~ ~ ~ consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters ~~~ ~1 t.n ~ CI/~
are hereby granted to
. _ ~ , ~~ ,~, ,~ _ ~ in the above estate and (if applicable) that
the instrument(s) dated
described in the Petition be
tted to probate end filed of rec~i-d ~s the last Will (and Codicil(s)} ~~f~ecedent.
Register of Wills
Fornt RW-02 rev. 10~'ll/2011
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COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS
!'C OT~C~f ATC !1c r\cAT~-l
-- - - - - State File Number:
1. Decedent's legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (Mo/Day/V r) (Spell Mo)
William Robert Wa1 M ctober 8, 2012
Sa. Age-Last Birthday (Vrs) Sb. Under 1 Year Sc. Under 1 Da 6. Date of Birth (MO/Day/Near) (Spell Month) 7a. Birthplace (City and State or Foreign Country)
~j i
'i Months Days Hours Minutes rW
1C}~ PA
.
91 Au st 3 l , 1 921 7b. Birthplace (county) 1a
Sa. Residence (State or Foreign Gou Wiry) Sb. Residence (Street and Number -Include Apt No.) 8c. Did Decedent Live in a Township?
PA QYes, decedent lived in twp
sd. Residence (County) 9 A1liarice Dr _ , #~ 1 06
Ctanberland 8
R
id
-
e.
es
ence (Zip Code) 1
]01 3 0, decedent lived within limits of Car11S1e city/born.
9. Ever in US Armed Forces? 10. Marital Status at Time of Death Q Married ~~ Widowed 11. Surviving Spouse's Name (If wife
give name prior to Frst marria
)
,
ge
Yes Q No Q Unknown Q 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)
Charles Franklin Wa1p Blanche - Bower
14a. Informant's Name 146
Relati
hi
D
d
'
.
ons
p to
ece
ent
S 14c. Informant
s Mailing Address (Street and Number, City, State, Zip Code)
o usan W. Franck Daughter 5234 E_ Palo Verdes Place, Paradise Va11ey,AZ
C ..................................................................
............................ _.. lSa. Place of Death Chec onl)r one)
~ P
Deat Occurred in a Hospital: Q In atient ~ :If Death Occurred Somewhere Other Than a Hospital: C] Hospice Facility ~ Decedent's Home
Q Emergency Room/Outpatient Q Dead on Arrival Q Nursing Home/Long-Term Care Facility 0 Other (Specify)
.
W 15 b. Facility Name (If not institution, give street and number;
15c. City or Town, State, and Zip Code 15d. County of Death -
LL 9 Alliance Dr_ $~1 06 Carlisle, PA 17013 Cturiberland
16a. Method of Disposition Q Burial Q Cremation 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place)
Q Removal from StateDonation
w Q Other (Specify) 1 0/08/201 2 Htunanit Gifts Re iSt
16d. Location of Disposition (City or Town, State, and Zip) 17a. Signature of Funer I Service License er n i rge of Interment 17b. License Number
Philadelphia, PA 19105
~
_
FD 012633 L
E
a' 17c. Name and Complete Address of Funeral Facility
Etn~in Brothers Funeral Homes, 630 S_ Hanover St_ Carlisle, PA 17013
° 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 to indicate wh
t
r
- a
highest degree or level of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herself to be
.
Q Sth grade or less is Spanish/Hispanic/Latino. Check the "No" [-~CVhite Q Korean
Q No diploma, 9th - 12th grade box if decedent is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese
'
Q High school graduate or GED completed B
N O, not Spanish/Hispanic/Latino Q American Indian or Alaska Native Q Other Asian
S
Q
ome college credit, but no degree Q Ves, Mexican, Mexican American, Chicano Q Asian Indian Q Native Hawaiian
A
i
d
Q
ssoc
ate
egree (e.g. AA, AS) Q Ves, Puerto Rican Q Chinese Q Guamanian or Chamorro
Q Bachelor's de
ree (e
BA
AB
BS
g
.g-
,
,
) Q Yes, Cuban Q Filipino Q Samoan
Q Master's d
MA
M
egree (e.g.
,
S, MEng, MEd, MSW, MBA) Q Yes, other Spanish/Hispanic/Latino Q Japanese Q Other Pacific Islander
~
~
DOCtorate (e.g. PhD, EdD) or Professional degree (Specify) Q Other (Specify)
e. MD, DDS, DVM, LLB, JD
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 Occu
ti
I
di
.
.
pa
on -
n
cate type of work
,~~/kite Q Japanese Q Samoan done d
i
f
ur
ng most o
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/Nat Sure Podiatrist
Q Asian Indian Q Other Asian Q Refused 22 b. Kind of Business/Industry
Q Chinese Q Native Hawaiian Q Other (Specify)
Q Filipino - Q Guamanian or Chamorro Podiatric Medicine
ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pro ounced De d (Mo/Day/Yr) 23b. Signature of Person Pronouncing Death (Only when applicable) 23c. License Number
BV PERSON WHO PRONOUNCES OR ~ ~ ~ ^yt`/ ~ ^
CERTi FIES DEATH ~J CJ !~=-/T
~~~ v
23d at Sig d (Mo/Day Mme o D at
~.~~~ 25. Was Medical Examiner or Coroner Co ntacted7 Q Yes o
CAUSE OF DEATH
Approximate
26. Part 1. Enter the chain of events--diseases, injuries, or complications--that directly caused the death. DO NOT enter terminal events such as cardiac arrest Interval:
respiratory arrest, or ventricular fibrillation without sho
wing the etiology. DO NOT ABBREVIATE. Enter only one taus
e on a line. Add additional lines if necessary Onset to Death
/
~t
IMMEDIATE CAUSE --- > a. ~! ~/ wt Q (<~ y ~ t ~ ~ t-. ~( 2 p ~/
(Final disease or condition Due to (or as a consequence of):
resulting in death) / _
b. ~ ~7 [ G .~ ~ .o...~~
.~ .~~ i % ~
c
Yr c.ij
Sequentially list conditions
D
,
ue 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):
w (disease or injury that
initiated the events resulting d.
w
v in death) LAST. Due to (or as a consequence of):
_
S
0 26. Part 11. Enter other s~nificant conditions contributive to death but not resulting in the underlying cause given in Part I 27
Was an autops
erfor d?
~ .
y p
Q Yes No
2S. Were autopsy findings available
to complete the cause of death?
y'
v Q Yes Q No
29
If F
.
emale: 30. Did Tobacco Use Contribute to Death? 31. Mann,~r.-of Death
E: Q Not pregnant within past year
Q Yes Q Probably .~'fQ~atural Q Homicide
Q Pregnant at time of death ~],^IC"o Q Unknown Q Accident Q Pending Investigation
N
m
= Q
ot pregnant, but pregnant within 42 days of death
Q Suicide Q Could not be determined
1 Q Not pregnant, but pregnant 43 days to 1 year before death 32. Date of In'u
) ry (Mo/Day/Yr) (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 Street and Number, Ci
1 ry ( ty, State, Zip Code)
36. Injury at Work 37. If Transportation Injury, Specify: 38. Describe How Injury Occurred:
Q Yes Q Driver/Operator Q Pedestrian
Q No Q Passenger Q Other (Specify)
39a. C iffier (Check only one):
= C
rtif
i
h
e
y
ng p
ysician - 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/Coroner - On the b
~,y~.g~mi lonr nd/or 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: Y~ License Number: ~'~' J~ GrZ
39b. Name, Address and Zip Code of Person Completing Cause of Death (Item 26) 39c. Date Signed (MO/Day/Yr)
9~ ,4- „~- G .^ ~ 7 ( - ~ -~ G4 ...^..... < ., o s ~ .~..-- C :.._ /. ~ _ .~, Gy/-~t-- / y~G~ i c ~ I o St / 2_. c^. ! ~_
40. Registrar's District Number 41. Registrar's ure
~~
~ 42. Registrar File Date (Mo/Day/Yr)
-
.~l - a b t~s
~ ~ ~
~, ~ a ~ ~
43. Amendments
Disposition Permit No. ~~.J V ~ 3 ~ H105-143
REV 07/2011
~ .~._
~
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~
LAST WILL AND TESTAMENT ~'~'' ~
-' _
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WILLIAM
ROBERT WALP ~~T.- ~ ~ .- --Ty
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.
OD -.~-~
I, WILLIAM ROBERT WALP, of Cumberland County, Pennsylvania, do make,
publish and declare this as and for my Last Will and Testament, hereby expressly
revoking all wills and codicils made by me heretofore, and dispose of my estate as
follows:
ITEM 1: I direct the payment of my just debts and funeral expenses, including a
suitable and proper grave marker, as soon as conveniently can be done following my
decease.
ITEM 2: I direct that all State and Federal Transfer Inheritance Tax, Estate Tax,
Succession Tax or any other tax, including any interest, assessments or penalties
thereon, that may become due and payable by virtue of my death, or by virtue of the
passing of any property either under my Last Will and Testament, or in any other manner,
shall be paid from my residuary estate, just as if such taxes were my debts, and no
beneficiary shall be required to pay or refund any part thereof.
ITEM 3: I give and bequeath my tangible personal property as follows:
A. my newest chest, screen, lady's desk, round table, and Asian blue lamp to my
daughter, ELLEN;
B. my loveseat, wooden wren, coffee table, plates in the dining room, cement
birds, pitcher and lamp sets to my daughter, SUSAN; and
C. all my other tangible personal property found in my residence at my death to
Chapel Pointe or sold as its representative shall determine. The proceeds of
any sale shall be distributed to Chapel Pointe Benevolent Fund.
ITEM 4: All of the rest, residue and remainder of my estate of whatsoever nature
and wheresoever situate, I give, devise and bequeath in equal shares unto my children,
CATHY, ELLEN and SUSAN. If a child of mine does not survive me, but has issue who
survive me, then that deceased child's share of the residuary estate shall be distributed
to the issue, per stirpes of such child, subject to the provisions of ITEM 5. If a child
does not survive me and does not leave issue who survive me, then that deceased
child's share of the residuary estate shall lapse.
ITEM 5: I further direct, anything hereinbefore to the contrary notwithstanding,
that in the event any or all of the distributions provided under ITEM 4 be to a beneficiary
or beneficiaries while she, he or they are still under the age of twenty-one (21) years then
such distribution(s) shall be made to the Custodian appointed in ITEM 10, as custodian
for such beneficiary until age twenty-one (21) under the Pennsylvania Uniform Transfers
to Minors Act, 20 Pa.C.S. §§5301 et. seq. The foregoing is intended to comply with the
requirements of 20 Pa.C.S. §5321 and shall apply to any beneficiary under the age of
twenty-one (21) years.
2
ITEM 6: In the administration of my estate my Executor shall have the
following powers without leave of court in addition to, but not in limitation of, the powers
granted by law to the Executors of estates, which powers shall continue after the
termination of my estate until actual distribution of the assets:
A. To receive in the estate and to retain any assets, real or personal, to which
may be entitled at the time of my death, which my Executor may deem for the best
interest of the estate without being required to convert said assets into so-called "legal
investments".
B. To invest and reinvest in such securities as a prudent investor of intelligence
and discretion would buy for himself for investment, and not for speculation, giving due
regard to the safety of the principal and the adequacy of the income, and without being
limited to the so-called "legal investments" of the Commonwealth of Pennsylvania, said
investment authority to include the right to invest in any Discretionary or Legal Common
Trust Fund that may be administered and managed by a Corporate Executor or
Corporate Trustee.
C. To sell or buy real estate without Court order at public or private sale; to make,
execute and deliver or receive good and sufficient deeds of conveyance and give or
receive good title therefor; to reinvest the proceeds as if they had originated in personal
property; to mortgage or encumber any real estate comprising part of my estate,
3
borrowing the necessary funds from himself or from any other source; to improve any
property or otherwise expend principal funds for the upkeep and welfare of any
properties; to release, vacate and abandon the same; to grant and acquire licenses and
easements with respect thereto; to make improvements to or upon the same; and in
general to do all things necessary in the management of the properties as if he is the
owner thereof, including the right to let property and to make leases for any term. The
purchaser shall not be required to see to the proper application of proceeds but may pay
the same over to the Executor selling the same.
D. To make distribution hereunder in cash or of property and securities in kind at
fair market value at the time of such distribution and in such a manner as to be fair,
equitable and just to all concerned. Distributions of property and securities are not
required to be identical among the beneficiaries, and some may receive one type of
property or security while another may receive another type of property or security.
E. To exercise any election or privilege given by the federal and other tax laws,
including but not limited to, the election of the alternate valuation date for federal estate
tax purposes, the election to claim deductions for federal estate tax or for federal
income tax purposes, and the election of the method of payment of pension, profit-
sharing, HR-10, individual retirement account, and any other similar benefits. In
addition, my Executor, in his sole discretion, may make or not make equitable
adjustment among the beneficiaries, without the consent of the beneficiaries, for the
4
exercise or non-exercise of any election or privileges.
ITEM 7: If, for any reason, a guardian over the estate of a beneficiary or
beneficiaries is needed or required, the Custodian appointed under ITEM 10 shall be the
guardian of the estate of such beneficiary or beneficiaries, with the same rights, powers,
privileges, duties and responsibilities as I have given to him or her as Custodian.
ITEM 8: All references in my Will to issue shall include those born or adopted,
either before or after the date of my Will. Adopted persons shall be considered as
children of their adoptive parents, and they and their descendants shall be considered as
issue of their adoptive parents, regardless of the date of the adoption.
ITEM 9: I nominate, constitute and appoint my son-in-law, HULETT H. ASKEW, to
be Executor of this, my Last Will and Testament. If my son-in-law, HULETT is unable or
unwilling to serve or continue to serve as Executor, I appoint my daughter, CATHY
ASKEW as Executrix of this, my Last Will and Testament. If my daughter is unable or
unwilling to serve or continue to serve as Executor, I appoint JOHN C. OSZUSTOWICZ
to serve as Executor of this, my Last Will and Testament. No Executor or Custodian shall
be required to give bond.
ITEM 10: My son-in-law, HULETT H. ASKEW, shall be the Custodian of any
Uniform Transfer to Minors Act accounts established under ITEM 5. If he is unable or
5
unwilling to serve or continue as Custodian, then my daughter, CATHY ASKEW, shall
serve as Custodian.
ITEM 11: Wherever the context requires, the masculine gender shall include the
feminine gender and neuter gender, and vice versa, and the singular shall include the
plural, and vice versa.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of
C~Vt S T- 2007.
airz ~ ~ra .r ~
~
Signed, sealed, published, acknowledged and declared by the above-named
Testator, WILLIAM ROBERT WALP, 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 hereunto subscribed our names as witnesses thereto.
~ ~`
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1 ~C 1 ~
6
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS:
I, WILLIAM ROBERT WALP, Testator, who signed the foregoing instrument,
having been duly qualified according to law, acknowledge that I signed and executed the
instrument as my free and voluntary act for the purposes therein contained.
~G-~~~ ~•
WILLIAM RO
Sworn to or affirmed and ._---=
acknowledged before me by
WILLIAM ROB, RT WALP, 'C~1IAMONWEALTH OF PENNSYLVANIA
Testator, this I day r~l
Trivia D. Naybr, Notary Public
O G 7' Carlisle 8oro., Curr~ertand county
My C~arrurussion Expires Oct. 2, 2010
of ry Public ~``~
COMMONWEALTH OF PENNSYLVANIA )
SS:
COUNTY OF CUMBERLAND l
We, the undersigned witnesses who signed the foregoing instrument, being duly
qualified according to law, depose and say that we were present and saw Testator sign
and execute the instrument as his Last Will and Testament; that he signed and executed
it willingly as his free and voluntary act for the purposes therein expressed; that each of
us in his sight and hearing signed the Will as witnesses; that Testator is known to each of
us; and that to the best of our knowledge and observation the Testator was at the time
eighteen (18) years of age or older, of sound mind d under no constraint or undue
influence. 1 ~ .-,
Sworn to or affi
to before me b~
an m
thi h
Public
d and subscribed
~-- witnesses,
~- , 2007.
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Triaa D. Naybr, Notary Public
Carlisle Born., Cumberland County
My Commission Expires Oct. 2, 2010
7