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HomeMy WebLinkAbout10-03-12PETITION FOR GRANT OF LETTERS REGISTER OF WII.LS OF CiJMBERLAND 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• Robert R. Yocum a/k/a: a/b'a: , . a/k/a: Date of Death: September 29, 2012 Decedent was domiciled at death in Cttmbedand County, principal residence at 70 Blain McCrea Road, Newville, PA 17241 Lower Street address, Post Office and 7~p Code City, Township or Borough County Decedent died at Wooded azea Lower Mif9in Township Cumberland PA Sheet address, Post O[8ee asHi 7Ap Code City, Townshgs or Borough County Shte Estimate of value of dxedenYs property at death: If doxekiled in Pennsylvania ............................All personal property If not doxtkiled to Pennsylvania ........................ Personal property in Pennsylvania If not domiciled in Pennsylvania ........................ Personal property in County i'aluc of rcal estate ix Pexxsylvaxia ........................................................ . TOTAL ESTIMATED VALUE... . Real estate in Pennsylvania situated at: None (Anach additional sheets, ijnecessary.) Street address, Post O[flce and 7~ip Code City, Township or Borough County A. Petition for Probate and Grant of Letters Testamentary ~'^ Petition March 12, 2007 U er(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated and Codicil(s) thereto dated N/A State relevant eireumstanea (Gg. renandatlax, deatk of ereraYOr, etc.) Except as follows: after the execution ofthe instrument(s) offered for probate Decedent did not many, was not divorced, was not a party to apendmg divorce proceeding wherein the grounds for divorce bad been established as defined in 23 Pa C.S. § 3323(8), and did not have a child bom or ~,ad[opted; and Decedent was neither the victim of a ]tilling nqr ever adjudicated an incapacitated person. QO NO EXCEPTIONS O EXCEPTIONS • B. Petition for Grant of Letters of Administration (If applicable) c.t.a., d.b.n., d.b.n.c.t.a., pendente lire, durante absentia, durnnte minoritare >f Administration, Gt.a. or dbn.c.ta., 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 survivedbythe following spouse (if any) and heirs (attach additional sheets, if necessary): Name Relstioashi Addr to r-ri C" -i <,^ ~ (J3 ..~ F...~G ~' s+ Forrs RW-Ol rev. 1 dl !/2011 File No• ~I ' I ~ ' 1 ~~~ • (Assigned by Register) Social Security No: 208-240926 Age at death: 79 (State) with h1S/hei last Cumberland _ a S S S $ S"1'J OC1~. Page 1 of 2 Uatn of rersonal representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF ~~~L``~D } } SS: } ~[CC~~iIJ~:i.~ ~ "~E~~ V7" Petitioner(s) Printed Name Petitioner(s) Printed A - ; Jeffrey Robert Yocum 17428 James River Drive, Disputants, VA 23842 ~4L ~,` I ~~ ~./ The Petitioner(s) above-named swear(s) or affuin(s) the statemexits 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 D~ t, etitio er(s} well and truly administer the estate according to law. Sworn to or affirmed d scribed be or `~ Date %O-- ~-~~Dlo2 me t ~ day ~ Date By. Date r_ ~'~e8~r Date /'i ~ BOND Required: Q YES NO ( FEES: n O O 0 Letters .................. . ` 7 .... $ ( a) Short Certificate(s).. -- ~ .... ~._ ( )Renunciation(s)..... ... . ( )Codicil(s) ......... ... . ( )Affidavit(s)........ ... . Bond .................... .... Commission .'{............. Other ~ v Vl .... ... . .... 1 CJ' .Q8 .... Automation Fee ........... .... .... JCS Fee . ................ .... TOTAL......... ......... .... $ To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Robert G. Frey Supreme Court 46397 ID Number: Firm Name: Frey 8c Tiley Address: 5 South Hanover Street Carlisle, PA 17013 Phone: 717-243-5838 Fax: 1 -243- 1 Email: rfrey@freytiley.com DECREE OF THE REGISTER Estate of Robert R. Yocum File No: ~~_ ~p2 ~ ~ ~~5 a/k/a: AND NOW, 1 J( ~~ ~ . ~ ~a2 . in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Jeffrey Robert Yocum in the above estate and (if applicable) that the instrumettf(s) dated March 12, 2007 described in the Petition be admitted to probate and filed of ~cprd as the last ill (and Codicil(s)) of Decedent. Oo , ..~ , n of Wills FormRW-07 rev. IOill/2011 ~ Page 2 Ilos.aos eev ten u - 1~~~~~~ LOCA ~ 'S CERTIFICATION OF DEATH WARNI 1 ~ 'plicate this copy by Photostat or photograph. Fee for this certificate, $6.00 Za~2 aCT -3 Ah ~l; ~~ 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 ~; i:; ';; certificate will be forwarded to the State Vital 'S ~}AT ecord~ ' 1' cZ f er anent film. P 18882709.. ~~~~"~ 4F e~rt~ 0 2 2oi2 Certification Number TVPP/Pflnt In P..m.n.nt #33-350 e i 1 COMMON WEALTH Oi PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS 1. .- _ _ _ _ Diled.nt f LHEI IWme (First, M edl0. LDit, SYNh 2. i•x 3. SPCI.i urM Number .. Dit• d.tb lM0/O.i ( PNr Me) Robert R. Yocum Male 208 24 0926 Ss tern6ar 29. 2012 P. Ml.Liae s H: tlar lrnl u r r c. undo .Date e/ snsh tM Dar/,earl (spell Mqntnl Ta. !Irt vIEC. G+tY Dnd ~EDt. ar iorrDn eeuntrvl LVE§fNDl7Z' F YA ~~ MOnthr DaYf NOUrt MlnYtes 7g June 72 7933 Tb..ktbw.e!(eeunty> b . otderlce (Snt. e• eratn eevnervl eb. neNdence Istrest and NYmM. - me ue! Ape NoJ sc. Da DecNent u.r. In • Tewn ipi =her M1££Zin tw P. pA 70 B~-a111 MC Cl'-Ea RC~• ~Yef, d•cMlnl llYetl In . Re nu Ceunt a21t3 te. RD4Wnce (21p Cdle) ONe, decedent IlVetl within limits et cNV/OOrO• . EWr M Ui N Orcffi 10. MaHSe18tD[Vi et Tlnr P/ ObetR Marribd W we 11. EVrVMrr{ 3Peuf! i Nime (1 w e, tlw rvme Mbr to rat marrlit0l Df Q NO O Unknown ~NYrcetl t~ Newr M.Med d Urrknpwn 2. FD r'f NenN Irft, MI le, Laft, Su .1 13. Mee N.me PrlOr [o t MDfNYfe (ilrrt. MIddM, Uf[) R33ssall R. YoC~IIn )br'oth M_ Mowe I li. nrxmant'a Nim! Lb. RllallonsrylP to DK! nt 34c. In am s MaIRM Addreii tree! and NVmWr, Clay, Stele. 21D Cede; Dia 7=ante r VA '1 7428 Jatiles River Dr S E . on Jeffrey R. YoCLan 5y . ~Y1 ........ ....... yyl• ... ......... .......... ........................................................ ......................................... ..........~~.....!f~.-....._~.... _.....b.^...~........... .......-........._ ... ... .. ....... ... ltil' O Ineiilem EI/ pe.tn OCCV IIed 3WnlwMfe Oth•f Titan a NP~Y: y MpfplC! FKRIty ••• y D!CltllnY9 Memn re1e M D Nes h O E $ \ CCY Deit e E Out .(Hitt Deid en ArrNal NVril NOrne/l9 -TDrm Ur. i.cIMY Daher (5 cl l § IS ae1 Nfine (I net Mte wtlen, tlv! s[r!!t and number; lSC. City Or Town. Stile, and Zip Codes SSd. Cotner Deeah r+ !} 7 Bleln McC R atl N wVllla 772 6 18a. HryOG O DIfPOfltbn DYHaI CrematlOn 18b. Oa\! e! ONPUf IPn 36G. Mec. 01 Dlfpefl[Mm INDIne SlmlpN. irlmetgry, Or biner PNCe) [] A9mpyil M1em State D Denatbn plry., ( 1 O O5 201 2 Ti7est:minstC.r r 1 s 1 . LOCOtIM a Ifpoaltbn ICItV pr Town, tie., and 2101 liE. Slfnatur• ISerylc! LlcrnaafAe'PtPpn 1 InNrmeM lib. L1cDnae tuber _ Carlisle, PA '17073 JuA t E'D 012633 L vim. N {nd co ka. drlaio/ i M..I i.cxiry l~ln ~rot~. tars 'Flu-leral FrCn)Ea, 2nc., 630 S_ Hano~rsr St_, Carle er PA 17013 ~ lt. 1 t E ..lien - CnK t bex the[ best dascH et Ma 19. Decadent Hlipanlc Orltln - Gnecll the 20. DlcWlnt't Rec. - ChKk NE OR MORE rows t0 nmute what Althea! deNee er level d acneel CempMtetl at the nme e• death. Ma enat best tlescribsa wneaher ant dewdlnt N! tlseetlent cenfitleretl NmseH Or hlraeN to M. Q flit iretl! qr IeN N Spanlfn/NlspanlC/Latlne. Gnick tnw ^Ne^ ~xl8hhi O ROraan Q Ne diploma, Stn - 12eM1 trade bPa N tlecldent Is not Spinlan/HIEPEnIC/LetlnO. Q DINk or Afrlwn AurlHCan ~ Vlelnamefe ~Nyh achgel V.dYate Or OEO CPmplDtltl ®•Fib, not 3{Hnhn/HltOanlc/titinq Q AmINUn IIWYM Or Alstki NstN. Q Other Asl•n Q EpmD cell.(. Crldh, but n0 tlDfre! ~ Ylf. MDxlwn, Me.lwn AmeHwn, Chk:aro O AfIM Ind4n O NiNVe NEwallan Q AffOCiM. of{rte (l. t. AA. AS) Q Yef. Pu.rlO RICEn Q ChIMN [~ OViminlin Or CnamOrrO Q HinNei • deNN Is.t• PA, At, t3) Q Yes. Cuban Q FIIIWne ~ samwn r Pitinc IflarlQer Oth e q MaftfYf tle8re! (e ~. MA, M5, MEnt. MED. MSW, MBA) O Yea, enter SPinlsn/NlsPanlc/Lielno Q Jipinlfe 0 Doctxew (t.f. PhO, EtlD) er Preleatlonel depee (SpKlhl 0 O[Rer ISpaN/y) !. n0 DVM LLD lD 21. DDCDdent f fM Race Sel/-DealtnetlOn -Check ONLY ONE to Indlceta what ahe decedent COnfldarad hlmas ar MrfEl/ t0 23a. OeOdent d UEVM OC<upitkan - Intlleefe type e1 werk f73VryIN Q Jlpanise Q Samean dens dart,,( mess O/ werklM INe. 00 NOT USE RETIRED. [] Nock w ANiwn American Q Rerean O Otryer PMRC IalerMer f.:011$tZl1Ct10n work Q AmlrKen Indian Or Alatke NEINe 17 VletnlmeN Q Ibn't RnOW/Not Eur! p ANen Mdl.n O other Allan O RlNwd 12b. KI..d of fuslnee Industry i,eeal 94 ChlnNe O NatlVi Niwaifan O Other (SpeCNyl Q FIIIPkw OGUamenlan or Chamorrq p~8t'erPT-H 6l ~..t$tt@rlt Ma~ntg a. t9 mneun o q tna Yra arson roneunc K n V w K e. c!n!e um r ar DtRaow wtq PwaNOUPacet rtes Se, ember 29, 2012 2 w Slinetl (MO Dry r 2I. Time a peNn A ro .6:00 P.M. 3s. caw M.alt.l E..miner D. coron.. eom.cweT m Yes No CAUSE OF DEATH appre.imete r Interval: 19. DM 1. Enter tnK Clvln o/ !rents-dlfe9f<f. InlVrlea. Or cgmplluNOnY-that dIrMM caused try! death. 00 NOT ln<N iefminal events suCn as Urtl1aC arrett Add iddltlonil lines 11 necefiary ` OnsN le Deean On Ilnl l DDREVIATE E t T ' _ n er enN One cause a . A Hetery irrlst. Or venM<ular IlbHlletlbn whneW EnOWlly \ne eNY Oly. DO NO Kfp IMMEDIATE CAUSE ---------..a .. Probable M ocerdlel Infarction Innal dbeaae er cendltlgn Dua tp Ibr .a • ronfequince eq: ` eetuRinf in death) ) b. t llgwmllAY uat cerMhions, Due ao ter es • conuquenee a/1: i N anV. INdly t0 the taunt Ilswd bit Ilnt a. Enter arye C. LJIVpalHNO tJaUff Due to (er as a Consequence of): t i Idbos! w IMury thee Inltlltid tryb Nenti rlsYltlnt d. S In death) I.ILST. Due to for as a consaqulnce e/1: I 2E. hrt 1 . lntlr other 1 W net refVhly In the undlHYlnf tauae f1Ven In hrt 1 2i. Wai Dn aVtOpry i y i Dlabetea MetiKUe, Atrial Fi6rlllation 2f. wew.YeePey q Inp w ble E w cbmpNt. dte wYN a d.eahi V Nq 2D, I Female; O. OI TObKCO Uf onMbute t0 OOiani 91. Mennerel Dei[h ~ Net pretnent within plat Y!!r t7 Yea 0 Probably m Ni[ural ~ Nemiclde Q Pr.tnint at time p1 death Q No m Unknown Q AcCltlent 0 Pendlnt ImrwtltRlOn ~{ Not PrMnint, put Pratnana wlahln l2 diya O/ dcat) Q SulelOa 0 Cpuld nM M determlrwd ~ Not pretnent but pretnant l3 tlayt [O 3 veer belbre deitF 32. wte e/ InJurv IMO/Dey/Yr) (9pe 1 Momn) . Q Vnknawn N Prafnanl wl[hln the Paat Veer 33. Time Of In1Vry 3O. Place of lnlury (e.8. nOme: cenftrvctlm fNa: farm: acPOel) 35. Locitlen qr In{ury IStrelt and Num r, ChY. State. 21P Cod. 36. InWry at Work 3 y. IF Trantportatlen In)ury. Splclry: 38. DescHM Now M ury OccvNed: Q Ver Q DHVer/Op.rNer Q Pedeatrlin Q NO O Pasienler 0 Other lsOeelN1 9A. Cart r ICheik pnlV ene): Q CeNNylnl pnyHCfin - Te {n! Met b/ my krbW IIdK. death OcCYr d du! to tM Ci VaDlf) Intl minnef atatOtl Q PrergV n4nf L Certlfylnt PllHlclan - Te the best e1 mY e. deetn rrccurred it tit! time, data, and Place, antl dV! to tM ciuf!(a) arM manner stated ® Mldfcal EaamlRel/COrOn.r - Nf /or Inwst4anon, M my opinion. tlletn euuned !t tM Nmi, date. and piece, end tlue to tM wut!(a) end menhir ab[e0 SlfnatYra a1 CDRI(Ie1: Tll! M wrtlMn ACt' InQ C'OI'Oner Llclni! NYTMf: 3Db. Mimi. Atltlr9ff arW ilp Cotl. 01 perfen Cempl•tinf Cauc! e/ DealR N.m 29) 39G. DOM Sit Matthew toner Actin OOrOnar 9375 Baaahore Road. SU[ta 7, Matllanicttwrp, PA t~oa(i October T, 2072 a a n t r t m 1. Raf stor tYw^ eNstrlr T t-a o R- ~ ,t. A . t, ~ ' N103-las DlfpOfltlOn Pernllt No. tZ'f~ qg_ ~~ REV OT/2011 Local Registrar bate Issued_ __ _ _ ---.-,. .. ,. , 1~-~D&~ LAST WILL AND TESTAMENT OF ROBERT R. YOCUM I, ROBERT R. YOCUM, unmazried, of Lower Mifflin Township (mailing address: 70 Blain-McCrea Road, Newville, PA 17241), Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament hereby revoking and making void any and all Wills by me at any time heretofore made. 1. I direct that my funeral services be conducted by Ewing Brothers Funeral Home, 630 South Hanover Street, Carlisle, PA 17013, and that my body be interred on my burial lot located in Westminster Memorial Gardens near the Borough of Carlisle, Pennsylvania. 2. I direct my hereinafter named Executor or Executrices to pay all of my just debts and funeral expenses as soon after my death as may be found convenient to do so. I further direct that all inheritance, transfer, succession, estate and death taxes, including interest and penalties thereon, which may be payable on account of my death shall be payable from the residue of my estate regardless of whether the assets upon which such taxes are based are included in my probate estate. 3. All of the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath in equal shares to such of my following three (3) children as shall survive me by a period of ninety (90) days, their heirs and assigns, but should any of them fail to so survive me then the share which such deceased child would have received shall pass to such of his or her issue as shall survive me by a period of ninety (90) days, their heirs and assigns, per stirpes. My three children are JEFFREY ROBERT YOCUM, SCOTT PAUL YOCUM, and LINDA L. FORSHEY. 6. I hereby nominate, constitute and appoint my son, JEFFREY ROBERT YOCUM as Executor of this my Last Will and Testament, but should he predecease me or fail to qualify or cease serving as such, then in such event I nominate, constitute and appoint my son SCOTT PAUL YOCUM as alternate or successor Executor, but should he predecease me or fail to qualify or cease serving as such, then in such event I nominate, constitute and appoint my daughter, LINDA L. FORSHEY. I further direct that none of them shall be required to post any bond to secure the faithful performance of his or her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on one (1) page, this ~ Zr"`day of ~~-~ ~ , 2007. (SEAL) ROB RT . YOCUM Signed, sealed, published, and declared by ROBERT R. YOCUM the Testator above named, as and for his Last Will and Testament, in our presence, who, in his presence, at his request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~ ~ ~ ~.~ ~J 4 i-+ ~. ~_> f-s" ~y ~ Page 1 of I Gz N O N _ ,_ f~ ,/ ~ ~.~ RE~S~E~ ; ;;; ;,"dt~se, OATH OF SUBSCRIBING WITNE,~~(~5~,3 AM ~ ~ ; 36 REGISTER OF WILLS {;; r,:'sti~`. °~~. CUMBERLAND 'S L~~T COUNTY, PENNSYL ~., pq Estate of Robert R. Yocum ,Deceased Robert M. Frey (each) a subscribing witness to (Print Names) the,~Will ~ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /they signed the same and that she / he /they signed as a witness at the request of the Testator /Testatrix in her /his presence and in the presence of each other. ~ ~. ~ (Signature) 5 South Hanover Street (Street AdcfressJ Carlisle, PA 17013 (City, Stare. Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this 3 ~ day of ~ c~o~~1' Zoi 2 (Signature) (StreetAddress) (City, State, ZipJ Executed out of Register's Office Sworn to or affirmed and subscribed before me this 3 r -1 day ~~ Deputy for Register of Wills NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Notary Public _ TM0~'" ""~ y Commission Expires: IIOgBtt 6r~v, tt~ Pu1~ Signature and Seal of Notary or other o uelified to ~Maapiddalda.Cunba4al0aaM1~ 'nisteroaths. Show dateofexpirationofNotary'sCommission.) ayCuanarw+t~ arr~ 201 Form RW-03 rev. 10.13.06 ~~ -~o~a ~~c~r~ro ~~~-F~~ oc~ OATH OF NON-SUBSCRIBING WITNESS~S~~T _~ AM I1 ~ 36 REGISTER OF WILLS ;,~~-h,; , CUMBERLAND COUNTY, PENNSYLVANIA (?RPHAt~l~S I~JUFir {+IBERIANQ C.O., PA Robert R. Yocum Estate of _ _ _ __ _ Robert G. Frey and Deceased (each) being duly qualified according to law, depose(s) and say(s) that she / he !they was /were wel]- acquainted with Robert R. Yocum and am/are familiar with the handwriting and signature of the decedent, and that the signature of Robert R. Yocum to the foregoing instrument purporting to be the Last Will and Testament/Codicil of Robert R. Yocum is in his/her own proper handwriting: tgrtature) 5 South Hanover Street beet aaJ Carlisle, PA 17013 (Sigrroture) [reetA esa) ity, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this ~ day of ~ ~bn,~~i~--: Deputy or st of Wills aty, rare, Zip) Form RW-04 rev. 10.13.06