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HomeMy WebLinkAbout10-12-12Reset 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 f"" ~;~; fV ~ _;-~ C~ ~-, ~. - _ _ - :.c-: - FormRf~V-02 ref-. l0/1//?0/1 ~..t Page 1 of 2` , `~) C7 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } } SS: i gal Usc O~ --~ ' ' ' ' rn ~ _~, : c_~ ~ ~ ~.. . ---•i ~; ` ,. , fit': ~ .-; Cv "~ - ~ : ~- ~. n - ~ ~ .J 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 ~~ '•J 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 Zi-l2-/i~~~ r ., ,. Y'lr :f"4 +~fi"~~s ~ ,,r~, a. s I ~ lt1('~~r _ i'„ r~'IR~~}t. . ~ s.. R ~> 3F -. Sd 4W ik' r ~~~~ L Type/Print In d Permanent W a ~~ `~c1 V W V O Q 2 ~~ ~ ~ ~~T ~ 2 P~~ ~~:. ~ ~ ~~! I ice}! ~~''~ ~ ~I~.~~. ~ `'nzt }* ~' ~~ c«~~F~~~va c~:t=, -~ i ?JJ.?!)~.)tt 7,l t. ,~~i.~CJ )~ i i -~~-_~r~ _ ~2_~z i - i.~;lE~' I~.,tEi~~.i 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 ~ .~._ ~ ~ ~ LAST WILL AND TESTAMENT ~'~'' ~ -' _ ~~ ~ ~~ ' ( ~ -^~ ~ ~ ~ + -~ -. - _ ~~ ~ _--, WILLIAM ROBERT WALP ~~T.- ~ ~ .- --Ty =-_ ` , . 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. ~ ~` i ~7c~r3 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