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Home My WebLink About11-01-12PETITION 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 speci e~ support thereof aver(s) the following and respectfully request(s) the grant of Letters in the app c Decedent's Information Name: JANICE M. REAM File No: ~ a/k/a: (Assigned by a/k/a: below, and in riate form: tea; Social Security No: Date of Death: 10/16/2012 Age at death: 85 Decedent was domiciled at death in Cumberland County, Pennsxlvania State) with his/her last principal residence at 324 N. 3rd St New Cumberla PA 17070 New Cumberland Boro Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 324 N. 3rd St. N C New Cumberland Boro 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 $ 10, 000.00 Ijnol domiciled in Pennsylvania .............................Personal property in Pennsylvania $ If not domiciled in Pennsylvania .............................Personal property in County $ Value of real estate in Pennsylvania .............................................................. $ 85.000.00 TOTAL ESTIMATED VALUE.... $ 95,000.00 Real estate in Pennsylvan-a siwated at: 324 N. 3rd St. New Cumberland17070 New Cumberland B ro Cumberland (Anach additional sheets, ifnecessary.) 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 and Codicil(s) thereto dated 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, w 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 ha e a child bom or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ® NO EXCEPTIONS ^ 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 ab entia, durante minoritate If Administration, c.t.a. or d.b.n.c.~a., enter date of Will in Section A above and comalete list o heirs. Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been esta lished as defined in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ^ NO EXCEPTIONS ^ EXCEPTIONS ,~ , Petitioner(s), after a proper search haslhave ascertained that Decedent left no Will and was survived by the following spou any) and hetre (attac~ '-t additional sheets, ifneeessary): =t7 ~ t~ n ., o ~ C.7 Name Relationship Address I r=-~ r ~-; ~- _, ~ C~ '~ i -- N Form RW-02 rev. l0/! 1/201 / Page 1 Of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } Officf al Use Only AFCOr`~ ~ '~ `~'~E QF r ~ ~ ~ ~+ Petitioner(s) Printed Name Petitioner(s) Printed Address Ma Jo Pinchorski 1165 Trail Road Hummelstown l~f~PH• '.~v~~ ~'~~~ 6 ~t _ , The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and corcect to the best of the nowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner(s) will well and truly administer the estate a cording to law. Sworn to r affirmed subscribed before J ~- -/oZ met ' ~ da of ~- 2012 Date Date BY~ Date For the RegiSfer Date BOND Required: ^ YES ®NO FEES: Letters ....................... $ ~ ~ • U V (8 )Short Certificates(s) ...... ~'3~~ CS~ ( )Renunciation(s) ......... . ( )Codicil(s) ............. . ( )Affidavit(s) ............ . Bond ......................... Commission ................... . ~rl ~l ......... Automation Fee ................ . JCS Fee ....................... ~~ •~.. TOTAL ......................$ ~~ d To the Register of Wills: Please enter my appearance by my signature Attorney Signature: ~~ Printed Name: M. Wineka Es uire Supreme Court ID Number: 58802 Firm Name: Purcell Kru & Haller Address: 1719 North Front Street Harrisbur PA 17102 Phone: 717 234-4178 Fax: 717 783-4939 Email: ~wineka kh.com DECREE OF THE REGISTER Estate of JANICE M. REAM File No: a/k/a: AND NOW, _IV~n.~Q f~ ~ , 2012 , in consideration of satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentanr are hereby granted to Mary Jo Pinchorski in the above estate a~ the instrument(s) dated August 1.2011 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of De n ~ h Register of Wills Form RW-02 rev. l0/II/20!! ~ ( ~9 foregoing Petition, (if applicable) that 2 of 2 LOC R'S CERTIFICATION OF DE TH WA ` t: '. +~Ne~ duplicate this copy by photostat or photogra h. 1 ;:i t I:.: ~ r J ~'..~.`J Frl~ tOr th(~; certificate. Sfi_O(? ~~~~ ~~~ _ ~ ~~ `L-. ~~ fl~Jti i. ?(i L~ICii~, ! I a;,c inf(nmation here given is t~(uJCctly :(~},cd l~i(~ rJ :n o(i!~inai Certificate of Death d~;ly f~iie(i with :uc ;r; L.n..(1 Re;*istrar. 7`he original ,~ certific.(R~ ~.+~iii he '~,rwa(~ded to the State Vital Q#~P}-iF,N'~i ;~;~I~~jT Rra)(~(iti e)f11ce ((, ~_~~ri?,initnt tilin~~. P 18 8 014 61 ~a~~u~° co.. PA ~~ ~ __-- ___ ~ ~~ 0~2 ~--_-- -- Certification Nu(nber Type/Print In Permanent Black Ink ~' _~ L+>r)i l:el~f~t::(r Date Issued COMMONWEALTH OF PEN NSV LVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORpS CERTIFICATE OF DEATH 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. 5 1 1 secure Num 4 '¢1349 ~ 7 ~ Date f O th (MO/O V ) II '1' ,~F7'~'"~ ~ ~ O 4- 0- Janice M_ Ream Femal c o er 6a. Age-Last Birthday (Vrs) Sb. Under l Year Sc. Under 1 Da 6. Date of Birth (MO/Day/Vear) (Spell Month) 7a. Birthplace (City and Sfa a or Foreign Country) 8 C Months Days Hours Minutes 1 927 October 1 1 ' , 7b. Birthplace (County) um Er an Ba. Residence (State or Forllgn Country) 06. Residence (Street and Number -Include Apt No.) 8c. Did Decedent Live in a Township? Penns lvania 324 N_ 3rd_ Street pve5, decedent uYed in twp. 8d. Residence (copnty) NeW Cumberland Cumberland 9e. Residence (Zip Code) No, decedent Ilved within limits of city/bore. 9. Ever in US Armed Forces? 10. Marital Status at Time of Death Q Mauled Q Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage) 0 Yes ® NO Q Unknown ® Divorced Q Never Married ~ Unknow 12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prio to First Marriage (First, Mld le, Last) Alvin G _ Krebs Erma Wertz 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Melling Address (Street and Numbe City,$Tate, 7.ip Code) 0 Charles Ream Son 1 41 2 Snowmass Road, Columbus, ` ~ If D ath Occurred In a Hospital: [~ Inpatient = 1f Death Occurred SomewFfere Other Than a Hospital: L 1 Hospice Facie ty ~ Decedent's Home Q Emergency Room/Outpatient Q Dead on Arrival _ g-Term Care Facility Other (Specify) Q Nursing Home/Lo 16b. Facility Name (If not Institution, Iva street end number` ~ n 15c. City or Town, Siste, a ip Gode 15d. ~ Conn f De h ~e ~ reet 324 N_ 3rd_ S 3..and, PA 17070 New Cumber um r and i, 16a. Method of Disposition 0 Burial $( Cremation 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery, cr ate ry, or other place) $ ,€ p Rempyalfrpmscate O Donation Other (Specify) Oct _ 22 , 1 01 Cumberland mate y, LLC 16d. Location of Disposition (City or Town, State, and Zip) a nature Of F 1 Service Llce rson In Cha c Interment 1 b. License Number Carlisle, PA 17013 FO 012342-L 17c. Name and Com lets Address of Funeral Facility Stone ~ Murray Funeral Hom , 408 3rd_ Street, Cumberl nd, PA 17070 ~ 10. Decedent's Education -Check the box that best describes the .Decedent of Nlspa nl< Origin -Check the 20. Decedent's Race -Check E OR MORE races to Indicate what I- hlghlst degree or level of school completed a[ the time of death. box that best describes whether the decedent the decedent considered him If or herself to be. Q 8th grode or less is Spanish/Hispanic/Latino. Check the "NO" White Q Korean Q No diploma, 9th - 12th grade b x If decedent Is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese $j Hlgh school graduate or GEO completed ~ No, not Spanish/Hispanic/Latino Q American Indian or Alaska alive Q Other Asian ~ Some college credit, but no degree O Yes, Mexican, Mexican American, Chlca no Q Asian Indian ~ Native Hawaiian Q Associate degree (e.g. AA, AS) Q Yes, Puerto Rican Q Ghlnese Q Guamanian or Chamorro Q Bachelor's degree (e.g. BA, AB, Bs) Q Yes, Cuban Q Filipino Q Samoan Q Master's degree (e.g. MA, Ms, MEng, MEd, MS W, MBA) Q Ves, other spanish/Hispanic/Latino Q Japanese Q Other Pacific Islander Q DoROrate (e.g. PhD, EdD) or Professional degree (Specify) Q Other (Specify) . MD DDS OVM LLB JD 21. Decedent's Singe! Race Self-Designation -Chick ONLY ONE To indicate what the decedent considered himself or herself to be. 22a. Decedent's U ual Occupation -Indicate type of work OCWhlte Q Japanese Q Samoan done during most f working Ilfe. 00 NOT USE RETIRED. Q Black or African American 0 Korean Q Other Pacific Islander ~' u r V ~ s Or O Q American Indian or Alaska Native Q Vietnamese Q Don't Know/Not Sur! ~ 8r ReCOr S Q Asian Indian Q Other Asian Q Refused 226. Kind of Ousln ss/Industry Q Ghlnese Q Native Hawaiian Q Other (Specify) Q Filipino Q Guamanian or Chamorro U . S . G vernment ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounce Dead MO Day r) 23b. Signature Of Person Pronou ncing Death On y when app ca le 23c. License Number BY PERSON WNO PRONOUNCES OR CERTIFIES DEATH O~O ZO, Z ~ ~ N Q N 53 ~'~ 33 23d. Data Signed (MO De /Yr) 24: Time-Of Death - O r ~ Z Z ~a s / {~~ 25. Wes Medical Examiner or Coroner Contacted? f'Q Yes ~ No CAlJSE OF DEATH Approximate 26. Pert 1. Enter the chain of a ants--diseases, injuries, o mpllcations--that directly caused the death. 00 NOT enter terminal a ants such a a iliac arrest Interval: respiratory arrest, or ventricular fibrillation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Adtl addition I Ilnes If necessary Onset [O Des[h IMMEDIATE CAUSE > e,fST erY = ~ (Final disease or condition Oue To (or as a consequence Of): resulting In death) b. Sequentially Ilst conditions, Due to (or as a consequence of): if any, leading to the cause listed on line a. Enter the UNDERLYING CAUSE Oue fo (or as a consequence of): (disease or Injury that initiated the events resulting d. ~ in death) LAST. Due to (or as a consequence of): 26. Part 11. Enter other nlfl ant c n ti n ntri I t but not resulting in the underlying cause given In Part I 27. Was an autopsy performed? i3 Yes ~ No g 26. Were autopsy findings available to complete the taus! of death? O Yes 1® No 29. If rFemm ale: ~ot re nant within ast ear 30. Did Tobacco Use Contribute to Death? Q Y Q P b bl s 31. MJy~~~ er of De l h tg p p y g Q Pregnant at time of death l ~ ro a y $ 0 Vnknown t i° BNatura Q Accident 0 Homicide Q Pendin Investi ation °OS' Q Not pregnant, but pregnant within 42 days of death ~ ~ Suicide g g Q Could not be determined Q No[ pregnant, but pregnant 43 days to 1 year before death 32. Date of Injury (MO/Day/Vr) (Spell Month) Q Unknown If pregnant within She past year 33. Time of Injury 34. Place of Injury (e.g. home, construction site; farm; school) 35. Location of Injury (Street and Number, Clty, State, Zip Co e) 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~~rr~~Ifler (Check only one): ~~Certlfying physlclan -TO the best of my knowledge, death occurred due to the cause(s) and m r stated Q Pronouncing tL Certifying physlclan - To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and ma n r stated Q Medical Examiner/Coroner - On She basis of axaminatlon, nd/or investigation, in my Opinion, death occurred at th ! Time, date, and place, and a to the cause(s) and manner slated / Signature of certifier: /J Title of certiflerr/~ /YRL`L L- [~ L UG~~ License N a/ tuber:/g/t7 06.7 / Q 39b. Name, Address and Zip Code of Person Completing Cause of Death (Item 26) 39c. Date Signed (Mp/Day/Yr) ~ e ~ 40. Registrar's District Num er 41. Registrar s Signet a 42. egistrar File Date (MO/Day r) 43. Amendments DisposiTlpn Permit No. y~~ !~ ~ H305-143 REV 07/201] ~~ LAST WILL AND TESTAMENT OF JANICE M. REAM I, JANICE M. REAM, of New Cumberland, Cumberland Cou declare this to be my Last Will and Testament, and revoke any and all ~..;, 4 ~w rU ^~ ~ a7't7 .,, Cs ~.:~ 4 ~-: - _... _ ,,.,,~ C.J i_ , ,.. , ~ : l- C:U _„ its p>rnnsyl~~ : _. ia, ~ %~ R~ Hills and Codicils previously made by me. ITEM I: I direct that all my just debts and funeral expe ses, including my grave marker and all expenses of my last illness, shall be paid from my r siduary estate as soon as practicable after my decease, as a part of the expense of the estate. ITEM II: All federal, state and other death taxes p~ death with respect to the property forming my gross estate for tax purl passing under this Will, including any interest or penalty imposed in con shall be considered a part of the expense of the administration of my es out of the residue of my estate, without apportionment or right of reimburs ITEM III: I give, devise and bequeath all the rest, rE of my Estate of every nature and wheresoever situate to my son, ELMER Columbus, Ohio, provided he survives me by thirty days. ITEM IV: In the event my son, ELMER CHARLES RI me by thirty days, then I give, devise and bequeath all the rest, residue Estate of every nature and wheresoever situate to be divided equally am law, LINDA REAM of Columbus, Ohio and my grandchildren, LISA Dp Chester, Ohio and JESSICA REAM of Columbus, Ohio, or their issue, ministration of my because of my whether or not on with such tax, and shall be paid and remainder REAM, of fails to survive remainder of my my daughter-in- JHART of West stir es. If any beneficiary should die without issue, then her one-third share shall be divid the surviving beneficiaries or their issue, p_er sti es. ITEM V: I appoint my niece, MARY JO PINCHORSKI Pennsylvania as Executrix of this my Last Will and Testament. In the even JO PINCHORSKI should predecease me, fail to qualify or cease to act a appoint my niece, BETSY HUGHES of Dauphin, Pennsylvania to serve as E Will and Testament. ITEM VI: I direct that no Executrix be required to p security in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my ha ~ST day of ~UG U5T , 2011. ~~ JANICE M. REAM equally among ~f Hummelstown, my niece, MARY Executrix, I then ecutrix of my Last bond or enter and seal this EAL) The preceding instrument, consisting of this and two other typewri n pages, was, on the date thereof signed, published and declared by JANICE M. REAM, t e Testatrix therein named, as and for her Last Will, in the presence of us, who, at her reque t, in her presence, and in the presence of each other, have subscribed our names as witnesse hereto. ~T~Rt-I N ~ ~ VN LA P residing at L E1~! 156 ~!~ residing at ~~ 2 _ _ i . , COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF DAUPHIN WE, Janice M. Ream, ~T~RLIIU(, pUlNc.~1 P and ~~ ~~ C, f~/'/)S,~(//I _, the Testatrix and the witne ses, respectively, whose names are signed to the attached or foregoing instrument, being fi t duly swom, do hereby declare to the undersigned authority that the Testatrix signed nd executed the instrument as her Last Will, and that she had signed willingly and that she xecuted it as her free and voluntary act for the purposes therein expressed, and that each o the witnesses, in the presence and hearing of the Testatrix, signed the Will as witnesses and that to the best of their knowledge, the Testatrix was at that time eighteen years of age or of er, of sound mind and under no constraint or undue influence. M. REAM Witness " ,/r ils. Subscribed, swom to and acknowledged before me by Janice M. R am, the Testatrix, and subscribed and swo/rn to before me by ~7f=T~LlN6 ~~(N~/4P and ~QC. [5~rl~S~~/~ ,witnesses, this 1ST day of 6r , T 2011. Notary Public BARBARA A. BHADEL., Rit~c Cllyy d Her~dMp, OowMy IrAy Qo~m~ebn ~gtMe~ 4, 2Mb