HomeMy WebLinkAbout10-31-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as sp
support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropr
Decedent's Information
Name: MARIAN L. GRONINGER File No:
a/k/a: (Assigned by R.
a/k/a:
a/k/a: Social Security No:
Date of Death: OCTOBER 23.2012 Age at death: 82
Decedent was domiciled at death in CUMBERLAND County, pRNNSYLVANIA
principal residence at 1041 W SOUTH STREET. CARLISLE 17013 CARLISLE BOROUGH CU
Street address, Post Otfice and Zip Code City, Township or Borough
Decedent died at 1041 W SOUTH STREET. CARLISLE 17013 CARLISLE_ BOROUGH CUMBER
Street address, Post Office and Zip Code City, Township or Borough
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania ............................ All personal property $_
If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $_
If not domiciled in Pennsy[vania ........................ Personal property in County $_
Value of real estate in Pennsylvania ......................................................... $_
TOTAL ESTIMATED VALUE.... $__
Real estate in Pennsylvania situated at: 1041 W. SOUTH STREET. CARLISLE 17013 CARLISLE BOROUGH
(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) helshe/they is/are the Executor(s) named in the last Will of the Decedent, dated JANUARY 21
thereto dated
ified below, and in
e form:
~~
ster)
6763
are) with his/her last
3ERLAND
County
ND PA
aunty State
County
and Codicil(s)
State relevant circumstances (e.g. 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,
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and c
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
O 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 life, durante
If Administration, c.t.a. or db.n.c.t.a., enter date of Will in
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had
in 23 Pa. C.S. § 3323(g) 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 W ill and was survived by the following spc
additional sheets, if necessary):
(if any) and heirs (attach
.^.,~
Name Relationshi Address r~ s)
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Form RW-01 rev. 10////101 /
.s not a party to a pending
not have a child born or
durante minoritate
established as defined
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Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND
Official Use Only
F~fC~'~1..~,, ~,,, ~-~r't' OF
Petitioner(s) Printed Name - - - c.- v ~
Petitioner(s) Printed Address
LYNNE G. BEISWANGER 304 BATTLESHIP COVE STAFFORD VA 22554 ~"- ' '
M `~
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 Perrtit~~~ner s) will well and truly administer the estate accordin to law.
Sworn too affirmed an s b cribed before t~ ~J1 ~ Date lU 31 12
met ' da of ,~~ Date
By' Date
For the Register Date
BOND Required: Q YES Q NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters ...................... $ 360.00
( 4) Short Certificate(s)...... 16.00
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ........
WILL ........ 15.00
...
Automation Fee ............... 5.00
JCS Fee ..................... 23.50
TOTAL ..................... $ 419.50
Attorney Signature:
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Printed Name: MATTHEW A. McKNIGHT
Supreme Court
ID Number: 93010
Firm Name: IRWIN & McKNIGHT, P.C.
Address: 60 WEST POMFRET STRRRT
CARi,iSi.F. PA 17013
Phone: (717)249-2353
Fax: (717)249-6354
Email:
DECREE OF THE REGISTER
Estate of MARIAN L. GRONINGER File No: ~ I - ~ ~ - ~ ~~~
a/k/a:
AND NOW, O~b~ r ~ ") I Q~ ca ,inconsideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY
are hereby granted to LYNNE G. BEISWANGER
in the above estate and (if applicable) that
the instrument(s) dated JANUARY_21, 2000
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent
Register of Wills •~ p ~- ~~~ ~Q
Fo,m Rw-oz rev. ~oii~iaoii Page 2 of 2
l
WIUS.RU~ R!.V 191 I1
L(~,~~~RAR'S CERTIFICATION OF DEATH
W~g~ ft'~s~~l~al to duplicate this copy by photostat or photograpfh.
Fee for this certificate, $6.(>(~~ ~ 2 ~CT 3 ~ P~ 2~
v~
ORPHI~N'S vli~Fi~
(,'t.lt~4BERLAND CO., PEA
This is to certify th t the information here given is
correctly copied fro an original Certificate of Death
duly filed with me s Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for ermanent filing.
P 18883120 ~~.~~.~-~
Certification Number
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't/ Type/Print In
PermsnenS
Black Ink
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Local Registrar
COMMONWEALTH OF PEN NSVLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
GERTIFIGATE OF DEATH
7C ` 2 4 Oil
Date Issued
1. Dewdent's Legal Name (First, Middle, Lazt, Suffix) 2. Sex 3. Social Security Number 4 Date of Death (MO/D!y/Yr) (Spell Mo)
Marian L_ Groningen F 177 24 6763 ctober 23, 2012
6a. Age-Last Birthday (Vrs) Sb. Under 1 Year Sc. V ndar 1 Da 6. Date of Birth (MO/Day/Year) (Spell Month) 7 Irfhplice (,~Ity an Or Foreign Country)
r~ Months Days Hours Minutes l$r11S1e , Y
\• 82 May 28 , 1 930 7b. Blrthplape (cot,ney> r an
Ba. Residence (State or Foreign Country) Bb. Residence (Street and Number -Include Apt No.) Bc. Did Decedent Live In a Township?
PA QYes, decedent Ilyed In twp.
8d. Residence (County) 1 041 W. SOl1tY1 CJ't
~anl~erland
8e. Residence (Zip Code) ~~(~~
I~r1Y0, decedent Ilyed wlthln limits of
1151E city/born.
9. Ever In VS Armed Forces? 10. Marital Status of Time of Death Q Married Widowed 11. Surveying Spouse's Name (if wife, gly sme prior to 11rat marriage)
Q Ves $~QJO ~ Unknown Q Divorced Q Never Married Q Unknow _
12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, MI die, Lart)
Harry E _ Bat-1-+)-la rt Ruth A _ White
14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Numb Gity, State, Zip Code)
g L e G_ Beiswan r Dau hter 304 Battleshi Cove, Sta ford, VA 22554
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ital: Hos
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If D
th Occurred Somewhere Other Than a Hos
................. ....................................
It
Decedent's Home
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If DCat
Eme envy Room/Outpatient Dead on Arrlyal } p
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ea
Nursing HOme/Long-Term Care Fac11i Other (6peclfy) y
lSb. Facility Name (If not Institution, give street and number) ISC. Gity or Town, State, d Zlp Code lSd County of Desth-
a 1041 W, South St_ Carlisle, PA 17013 rland
16a. Method of Disposltlon Burial Q Cremation 16b. Date of Disposltlon 16c. Place of Disposltlon (Name of cemetery, cre story, or other place)
p Removal fro( pwc~ e p DOnatlOn
others fy) 1 0~27~201 2 Ro11ir1g GYEEn Manorial ark
16d. Location of Disposltlon (City or Town, State, and 21p) 17a. Signature of Fu anal Service Llce PenyoJq Charge of Interment 1 b. Ucense Number
Camp Hill, PA 17011 CS D 012633 L
17c. Name and Complete Address of Funeral Facility
Ekuin Brothers Funeral Hc[nE, Snc. 630 S_ Hanover St_, Carli e, PA 17013
~ 38. Decedent's Education -Check the box that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check NE OR MORE races to Indicate what
~ highest degree or level of school completed at the time of death. box that best describes whether the decedent the decedent considered him elf or herself to be.
Q eth grade or less Is Spanish/Hispanic/Latino. Check the "NO" [!]'white 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 g'1Vo, not Spanish/Hispanic/Latino Q American Indian or Alaska Native Q Other Asian
$ Some college credit, but no degree Q Yes, Mexican, Mexican American, Chicano Q Asian Indian Q Natlye Hawallan
Q Aasoclate degree (e.g. AA, AS) Q Ves, Puerto Rican Q Chinese Q Guamanian or Chamorro
0 Bachelor's degroe (e.g. BA, AB, BS) Q Ves, Cuban Q Filipino Q Samoan
Q Mastar'z degree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Yes, other Spanish/Hispanic/Latino Q Japanese Q Other PaclRc Islander
Q Doctorate (a.g. PhD, EdD) or Professional degree (Specify) Q Other (Specify)
. MO DDS DVM LLB JD
21. Decedent's Single Race Self-Deslgnatlon -Check ONLY ONE to indicate what the decedent considered himself or herself to be. 22a. Decedent's U ual Occupation -Indicate type of work
~OGhite Q Japanese Q Samoan done during most of working Ilfe. DO NOT USE RETIRED.
Q Black or African American Q Korean Q Other Pacific Islander T 1
St
7
Q American Indian or Alaska Native Q Vletnameae Q Don't Know/Not Sure .
~
Q Asian Indian Q Other Asian Q Refused 22b. Kind of Busin ess/Industry
Q Chinaza Q Natlye Hawallan Q Other (Specify)
Q Filipino Q Guamanian Or Chamorro LaW SC Z StLldEntS
~
23 Ignature o Perso
n
P
ronouncing eat y w ap
O PERiON WlfO PRONOUNCES OR ED 2~ Dare P pnounce Dca Mo Day
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CERTIFIES DEATH (S
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24. Time Death ~/CJ
2 51 d (MO/D
r)
3
Of/ ~~ 25. Wss Medical Examiner Of Coroner Contacted? Ves NO
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 c rdlac arrest Interval:
reaplratory arrest, or yentrlcular Rbrlllatlon without showing She etiology. DO NOT ABBREVIATE. Enter only one cause on a Ilne. Adtl addltlo 1 Ilnes If necessary Onset to Death
! )
IMMEDIATE CAUSE ---------------a a. r
(Final disease or contlitlon Du to (o as a consequence qfl:
resulting in death) /±
b. a+G
Sequentially Ilat conditions, Due to (or as s consequence ofl:
H any, feeding to the taus!
listed on line a. Enter She -
VNDERLYING CAUSE Due to (or as a consequence ofl:
W (disease or Injury that
initiated the events resultin6 d.
in death) LAST. Due to (o as a consequence Ofl:
26. Pert il. Enter oHllr but not resulting In the underlying cause gwln in Psn 1 27. Was an autopsy performed?
~°. TLS •POIrO
~4~1Gr7 Q
~
~~ Q Yes p
~ . ~
\ 2B. Were autopsy findings ayallable
m to complete the cause of death?
~44
ss Q Yea NO
29. If Fe le:
~~
)'flcNOt
regnant within
asC
ear 30. Did Tobacco Use Contribute to Death?
Q V Q Probabl !r
31. Ma of De
~atural th
(
id
Q H
p
p
y
Q Pregnant at time of death y
o Q Unknown
Q Accident om
c
e
Q Pending Inyestigatlon
~ Q Not pregnant, but pregnant within 42 days of death Q Suicide 0 Could not be determined
Q Not pregnant, but pregnant 43 days to 1 year before death 32. Date of Injury (MO/Day/Yr) (Spell Month)
Q Unknown If pregnant wlthln the pas[ year 33. Time of Injury
34. Place of Injury (e.g. home; construction site; farm; school) 35. LocaYlon of Injury (Street and Number, City, State, Zip Co e)
36. Injury at Work 37. If Transportation Injury, Specify: 38. Describe How Injury Occurred:
Q Ves Q Oriyar/Operator Q Pedestrian
Q No 0 Passenger ~ Other (SpeciTyJ
39a. C er (check only one):
ertifying physician - To the best Of my knowledge, death occurred due to the cause(s) and manner stated
Q Pronouncing 6 CertHying physician - To the best o/ my knowledge, death occurred at the time, date, nd place, and due to the cause(s) and m Hoer stated
Q Medical Examiner/Coroner - On the basis of ex i a ion, and/or f estigation, In my opinion, deat~oc !d at the time, date, and place, and
T
® due to the cause(s) end manner stated
Signature of certifier. Title of certifier. •
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License tuber: d ® ~ 2-
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39b. Name, Address and ZI a of Parson Completing Cayy! of Death (Ite =26)
~
~ 39 Date Ignad ( o/Day/Vr)
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40. Registrar s District Number 41. Registrar s Sign ~ C 42. Registr r FI a
D
ate Mo Day r
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43. Amendments
^ (~ rte' ~~O H105-143
Disposltlon Permit No. `J - 1 ~T i REV 07/2011
F ~ i
LAST WILL AND TESTAMENT OF
MARIAN L. GRONINGER
I, Marian L. Groninger, of the Borough of Carlisle
Cumberland County, Pennsylvania, declare this to be my ast Will
and Testament and revoke all Wills and Codicils previou ly made
by me.
ITEM I: I direct that my legally enforceable debt and
funeral expenses, together with the expenses of the
administration of my estate, shall be paid from my resi uary
estate as soon as practicable after my decease, as a pa
t ~~ the r..~
expense of the administration of my estate.
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ITEM II: I devise and bequeath all of my estate o ~
y
nature and wherever situate in equal shares unto my two l /
~~ ~y
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daughters, Lynne G. Beiswanger and Joan D. Hall, provid d, ut
however, that the share of either of my said daughters ho shall
predecease me or die on or before the thirtieth day fol owing my
death shall be distributed to her issue, per stirpes, 1' ving on
the thirty-first day following my death and in default f such
then living issue, such share shall be added to the sha e for my
other daughter, if then living, or to the shares of her then
living issue, per stirpes, if she is also then deceased .
ITEM III: I appoint my daughter, Lynne G. Beiswan er,
Executrix of this my Last Will and Testament. Should m said
daughter, Lynne G. Beiswanger, fail to qualify or cease to act a s
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Executrix, I appoint my daughter, Joan D. Hall, Executr x of this
my Last Will and Testament.
ITEM IV: I direct that my personal representative as well
as their successors, shall not be required to give bond for the
faithful performance of their duties in any jurisdictio .
IN WITNESS WHEREOF, I have hereunto set my hand an seal,
this ~_ day of January, 2000.
L EAL ]
Marian L. Groning
The preceding instrument, consisting of this and o e (1)
other typewritten page, each identified by the signatur of the
Testatrix, was on the date thereof, signed, published a d
declared by Marian L. Groninger, the Testatrix therein amed, as
and for her last Will, in the presence of us, who, at h r
request, in her presence and in the presence of each of er, have
subscribed our names as witnesses hereto.
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1f~lr-~C/1 I . ~ r ~i
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
We, Marian L. Groninger, Dale F. Shughart, Jr. and
Heather A. Barbour, the Testatrix and the witnesses,
respectively, whose names are signed to the foregoing i strument,
being first duly sworn, do hereby declare to the unders gned
authority that the Testatrix signed and executed the in trument
as her last Will and that she had signed willingly, and that she
executed it as her free and voluntary act for the purpo es
therein expressed, and that each of the witnesses, in t e
presence and hearing of the Testatrix, signed the Will s witness
and that to the best of his/her knowledge the Testatrix was at
that time eighteen years of age or older, of sound mind and under
no constraint or undue influence.
~/
Testatr
fitness
tnes
Subscribed, sworn to and acknowledged before me by
Marian L. Groninger the Testatrix, and subscribed and s orn to
before me by Dale F. Shughart, Jr., and Heather A. Barb ur,
S
witnesses, this o ~-~ day of January, 2000.
NO~/NMII~ffAL
COIN L OOM1i.110Tw111- /{~iC
w a~OrMNON ~ OCrO~E~ ~s zoos
~~.
Notary P is