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Home My WebLink About11-07-12PETITION FOR GRa~iT OF LETTERS REGISTER OF tiVILLS OF ~~,u,~Y'i ~C~~~~~~'~ COU~iTY, PEV~SYLVANI:~ ~, ~, -, ~ ,r: ~~~a~~ed Le: ~~,~~. ~,ti ~. ~: ~ nears _ ~ - J ~•., ~±-~~ ,.~ L '~ f '~ ~ e or ~~d~r. u'~p'._~(ies f.r L,..,,.~ a~ spt~:if.:.~ be!o~~, a11d in J~,"'"~Oi. zr~lcr.'.Li a~~,r1J rl:iC' il7iil~'~ti is ? ~ i'°.S~C~,~.ttl.ii t~ Uy, = ,~~ ~~~ ~ ~ z~ aj ~ r _ v~;u;:,t(s) the _.a. t of L:,~~..rs uz ::~e ~.pt,ropriat,, crm: Decedent's Information v ame: ' C' ~~ ~' ''~ Chi"' ' "1 1~?. ~ aik,~a: a/k/a: Date of Death: ~ ,~i~. ~ ~ ; Decedent was domiciled at death in ~, f ~ ~`r,._ principal residence at !/~~~ ~ ~~`'kLL~'~x:`f ' 1. File tio: ~ / ' ~ ~ ` ~ 1 7(~ (Assigned by Register) Social Security No: ,~, ~" Cpl ~ ~ ~ • Age at death '~., County, ~/~ (State) w~~th his/her ast Street address, Post Office and Zip Code City, Township or Bor~gh County / r Decedent died at l ~t1C ~ ~ r ~tC,~~} l ~, ~ ~`~~~..1 l` y ~ ~,{ Yr, ~ ~' ~ ~;~~~" ~l~ ! ~~ Street address, Post Office and Zip Code City, Township or Bor gh County State Estimate of value of decedent's property at death: ~ / •-~ , If don:iciled in Pennsylvania ............................ All personal property $ ~~ ~~ ~' ~~ ` . J~ If trot domiciled in Pent:sylvania ........................ Personal property in Pennsylvania $ •' If ttot domiciled in Pent:sylvania ........................ Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ ~.~ / ~ TOTAL ESTIMATED VALUE.... $ S (.~ 7, S Real estate in Pennsylvania situated at: ~ (Attach additional sheets, ifnecessary.) Street ress, 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 ~ ~ ~ ,S ~~l c;~,.and Codicil(s) thereto dated .l9 ~l~" 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, 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(g), 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 ^ EXCEPTIONS ^ B. Petition for Grant of Letters of Administration (If applicable) c. t. u., d. b. n., d.b.n.c.t.u., pendente lite, durunte absentia, durunte minoritute 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(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ^ NO EXCEPTIONS ^ EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs (attach udditiorzul sheets, if necessary): Name Relationshi Address r-- __ W~ ..__. _~, --~ ,E _..~ ~,t'? __._ ~ ~ _..... .. f _ - -- 1~° i ~ _, . - ,,--. - _ Form RW-02 rev. l0/11/1011 _;;~ =_ f V ~-'`~ C....J _._..~ ~ Page 1 of 2 Oath of Personal Representative CONIMOVWEALTH OF PENNSYLVANIA C~~~ VTY OF } } SS: ~, .~_ -- C~i?f€'£~i~l list Only=, ,' _ - .~ ~ ,--~ - Ci. _. ;: _ ~~~~ _ _~ ~ r~----r-- ~*,~s Per.i~cm~r(s) ?r:nte~ v'ame • t_ ~ p°~rtioner!s; Prntec ~ddres ~.? ~ - _ ~ ~~ 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 D~~dent, the Pet~tioner(s/);will well and trul,}~ administer the estate according to la}r~. Sworn to or affirmed a subscrib d before '~ !` ~~--k--y ~._"~~~ _ / ~ `~-~ -~' ``~ ' .%' Date % i ~~ %~ /J j -~- -- me thi th day... o ~~ ~ /` ~ Date l ~' ~~ By' ~~ Date the Register Date BOND Required: ~ YES ~ NO FEES: ~s ~'~ . Letters ...................... ' $ / ( ~~) Short Certificate(s)...... + ~~ ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . O th -~~~~p ~j / ....... Automation Fee ............... JCS Fee . .................... ;~ TOTAL ..................... $ s To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Fax: Email: DECREE OF THE REGISTER Estate of ~ ~- ~~/'~ ~' q ~ "`j~~ File No• ~~ " ~" ~/~~ a/k/a: G~ AND NOW, ~-~'~°~'~c'~' ~C~'1~~;i~'7~~' o , ,~1~/~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Lette s G'am` /I')~~ Z'``f;/' are hereby granted to ~ ~i'r t ~ in the above estate and (if applicable) That the instrument(s) dated u~i~s f _ ~ t~ ! ,Z described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent Register of Wills For»r ncv-o? rev. 1ni11i1n11 .~.~. ~_~C'~1'+l~~tC~''~~ ~~"~9g~'~i~Ci~,t~.~.~~ r~ ~. .. _ - : °q£ ~ ,ti~,~t.,.., ,..r ,i`~..g*.~z~~a~,.. f,... }i't tail', ;~C't~il'!4~1;.. .-t, -.-. - ,. S~ i ~ Y.. - -~s, , >~~„ FA a ~ ~ . ~~, /Print In nanent ck ink a E J ~.; /`.;~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ('FRTIFI!'ATG (lC iI1CATu - - ? I _ )f~s "!?l~si ~ ~,~[lij~tli~~ iii ~~4'~3t~~ i~ . t .3' .._ .:~', 1 1~,--. ~c~~~~t(;,(-. ~i~11~• a;~l-it;,l:;+.? ` s ) '- ~ ~ i3 Jt ~ ( iii \ ~ S) -. tit ~i-c1rt.~ d' ilaii Jitl~' Itti`+1_lk.Y~ 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2 . Sex 3. Social Security Number , c x 4"Date of Death jMo/Day/Yr) (Spell Mo) Mar aret Schell Female 112 - 01 - 8513 Se tember 30 2012 5a. Age-Last Birthday furs) 56. Under I year Sc. Under 1 Da 6. Date of Birth (MO/Day/Vear) (Spell Month) 7a. Birthplace (City and State or Foreign Country) 92 Months Oays Hours Minutes N New York NY ovember 3, 1919 76 Birthplace (County) ew or 8a. Residence (State or foreign Country) 8b. Residence (Street and Number -Include Apt No.) S c . Did Decedent Live in a Township? Penns lvania ~r , Ey Ves decedent lived in Upper Allen Bd. Residence (County) 1000 Brookwood Drive , [wp. Cumberland 8e. Residence (Zip Code) 17055 ^Np, decedent lived within limits of city/boro. 9. Ever in US Armed Forces? 10. Marital Status at Time of Death ^ Married ®Widowed 11. Surviving Spouse's Name (If wife, give name prior [o firs[ marriage) ^Ves (~ No ^ Unknown ^ Divorced ^ Never Married ^ Unknown 12. Father's Name (First, Middle, Last, Suffix) 1 3. Mother's Name Prior to First Marriage (First, Middle, Las[) Frank Kilgallen Bridgette Doyle 14a. Informant's Name 146. Relationship to Decedent 1 4c. Informant's Mailing Address (Street and Number, Ciry, State, Zip Code) Robert K. Schell Jr. Son 1000 Brookwood Drive Mechanicsbur PA 17055 ................................. ................................ P ................................... If Death Dccurred in a Hospital: CJ In anent 16a. Place of Death (Check on y one) .......................................................-.............................................................................k.~x....................................... :If Death Occurred Somewhere Other Than a Hospital: ^ Hospice Facility N Decedent's Home ^ Emergency Room/Outpatient ^ Deatl on Arrival ^ Nursuig Home/Long-Term Care Facility ^ Other (Specify) ~ 15b. Facility Name (IF not institution, give street and number' 15c. City or Town, State, and Zip Code lSd. County of Death 1000 Brookwood Drive Mechanicsbur PA 17055 Cumberland 16a. Method of Disposition ^ Burial [(~ Cremation ^ Removal from State ^ Donation 16b. Dale of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place) ^ Other (Specify) October 32012 Cumberland Crematory, LL,C. 16d. Location of Disposition jCity or Town, State, and Zipj 17a. of urt ServjSe Licensee or Person in Charge of Interment I7b. License Number Carlisle, PA 17013 i ~ - FD - 014889 17c. Name and Complete Address of Funeral Facility Malpezzi Funeral Home 8 Market Plaza Way Me icsburg, PA 17055 18. Decedent's Education -Check [he box that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race ~ Check ONE OR MORE races [o indlca[e what 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. ^ 8th grade or less is Spanish/Hispanic/Latino. Check the "No" ~ White ^ Korean ^ No diploma, 9th - 12th grade bpx if decedent is not Spanish/Hispanic/Latino. ^ Black or African American ^ Vietnamese High school graduate or GED completed LXJ• No, not Spanish/Hispanic/Latino ^ American Indian or Alaska Native ^ Other Asian ^ Some college credit, but no degree ^ Yes, Mexican, Mexican American, Chicano ^ Asian Indian ^ Native Hawaiian ^ Associate degree (e.g. AA, AS) ^ Yes, Puerto Rican ^ Chinese ^ Guamanian or Chamorro ^ Bachelor's degree le.g. BA, AB, BSI ^ Yes, Cuban ^ Filipino ^ Samoan ^ Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) ^Ves, other Spanish/Hispanic/Latino ^ Japanese ^ Other Pacdic Islander ^ Doctorate (e.g. PhD, EdD) or Prgfessional degree (Specify) ^ Other (Specify) (e. . MD, DDS, DVM, LLB, 1D) 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 Occupation -Indicate [VPe of work White ^ lapanese ^ Samoan done during most of working life. DO NOT USE RETIRED. ^ Black or African American ^ Korean ^ Other Pacific Islander Hanernaker ^ American Indian or Alaska Native ^ Vietnamese ^ Don't Know/Not Sure ^ Asian Indian ^ Other Asian ^ Refused 22b. Kind of Business/Industry ^ Chinese ^ Native Hawaiian ^ Other (SDeci(y) ^ Filipino ^ Guamanian or Champrro QW17 Hone ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounced Dead (MO/Day/Vr) 236 Signature of Person Pronouncing Death (Only when applicable) 23c. License Number BV PERSON WHO PRONOUNCES OR ~a (, , r ~ n ~r~ CERTIFIES DEATH /L/,}(A (/ /~f~~ ~ C~~~GV~2 /2,N 1.s1 /1/1/ ~7 ~'~t 23d Dale Signed (MO/Da /Vr) 24. ime of Death U l.~r P` tF(IU ~~ VN ~ I L ~~ 25. Was Medical Examiner or Coroner Contacted? ^ Yes No CAUSE OF DEATH Approximate 26. Part t. 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 wit ho ut showing the et io lo g y. DO N T ABBREVIATE O . Enter only one cause on a line. Add additional lines if necessary Onset to Death `~ '1 ~ ! ~ / j ~ - ( IMMEDIATE CAUSE ---------------> a. ~ ~ (V ~~~~ I V li ~1 I ~ ~ 1 F A-- LU ~ ~ ` OrJ (Final disease or condition Due to (or as a consequence oF): resulting in death) ? ~ ~~ h ~_o_-~_o N r~ y A~(Z-T E~~ '~j c E r1~ ~ - -- -_ Sequentially list conditions, Due to for as a consequence o i(any, leading [o the cause listed on line a Enter [he . ____ _ _ UNDERLYING CAUSE Due to (or as a consequence of) (disease pr inJUry that initiated the events resulting d in death) LAST Due to (or as a consequence of) 26. Part II. Enter other si g n dicant conditions contributive to death bu! not resulting in [he underlying cause given in Part I 27. Was an autopsy performed? ~ ~ n ~ ~l ~ C Q L D ~ l.fT ~ ~ {~ ` ~ P ~ r-~ ~ I a ^Ves No 28. Were autopsy findings available to complete the cause of death? ^ Ves ^ No Z9 ((Female: 30. Did Tobacco Use Contribute to Death? 31. Manner of Death Not pregnant wl[hin pas[ year ^ Yes ^ Probably Natural ^ Homicide Pregnant at time of death ^ No GT Unknown ` ~ACCident ^ Pending Investigation ^ Nol pregnant, but pregnant within 42 days of death ~ ^ Suicide ^ Could not be determined ^ Not pregnant, but pregnant 43 days to 1 year before death 32 Date of Injury (Mo/Day/Yr) (Spell Month) ^ 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 Injury (Street and Number, City, State, Zip Codei 36. Injury at Work 37. If Transportaton Injury, Specify. 38. Describe How Injury Occurred: ^ Yes ^ Driver/Operator ^ Pedestrian ^ No ^ Passenger ^ Other (Specfy) ___ 39a. Certifier (Check only one): certifying physician - To the best of my wle ,death occurred due to the cause(s) and manner stated ^ ronouncing & Certifying physicia T t f my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated ^ Medical Examiner/Coroner - On b urination, and/or investigation, in my opinion, death occ u rred at the time, date, and place, and due to the cause(s) a er nd ma n n state ^ {~~ { ( ~ -~ ~ Signature of certifier: Title of certifier: m I J License Number: 0 ~23 a ID b~ Naln Address an ip Cod e of r on Complet ¢ / i ) G l ing CauseN Death Item 2 6) /~ , S ( y J 39c Dale igned ( o/Day/Vr) O ,v f 1 ,V S 8 0 l 1 C ~ ~ I I ~ - ' 1 O dl.~ l ~ lye ~ 0 12 40. Registrar's District Number 4 . R egist is Signature ( ~ 42. Regis ar File to (Mo/Day/Vr) •g 7j , ~ ,/ ~ J ( ~ 14 L Cn•x ~•~+--'L j ~Q ~ 1' 43. Amendments '~ 0693777 H105-143 Disposition Permit No._ __ REV 07/2011 LAST WILL AND TESTAMENT OF MARGARET M. SCHELL I, MARGARET M. SCHELL, of Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and hereby revoke all prior Wills and Codicils. 1. I direct that all my just debts, funeral expenses, and administrative expenses shall be paid from my estate as soon as practicable after my death. 2. I give, devise, and bequeath all of my real property and personal property that I own at the time of my death to my son, Robert K. Schell, Jr. 3. Should my son, Robert K. Schell, Jr., predecease me, then all of my real property and personal property that I own at the time of my death shall be given to my daughter-in-law, Ronda J. Newman. 4. I leave the rest, residue, and remainder of my estate to my son, Robert K. Schell, Jr. Should my son predecease me, then all of the rest, residue, and remainder of my estate shall be given to my daughter-in-law, Ronda J. Newman. 5. I appoint my son, Robert K. Schell, Jr., as Executor of this my Last Will and Testament. In the event that my son is deceased, unable or unwilling to serve, or shall cease to serve for any reason whatsoever, then I nominate, constitute, and appoint my daughter-in-law, Ronda J. Newman, as alternate Executrix of this my Last Will and Testament. 6. The Executor or Executrix of this Will shall have the power to distribute my estate in cash or in kind, or partly in either. __3 7. I direct that no Executor or Executrix acting under this Will shall be ~~ required to enter bond in any jurisdiction. ~~~ ~a 8. I recommend that my Personal Representative retain the law firm of Allied ,~-; Attorneys of Central Pennsylvania, L.L.C., to probate my estate. j .~., .~ ~ ~--. IN WITNESS WHEREOF, I have hereunto set my hand this ~ ~ ~ day ~_ ~ <; ~o`~'. ~~ ~r ~ , 2012. . _ _ c~ t..2..., ._ ~ r v a _.~ _ ~ ../ ~ t _. (~ t f.... .. f t"`. _, .. ' ~ c .=` MARGARET M. SCHELL .-, L ~ .+. J~ 5.~... 1_.Y -` ~.... `G _... t~ Page 1 of 4 The preceding instrument consisting of this and four other pages was on the day and date hereof signed, published and declared by MARGARET M. SCHELL, as and for her Last Will and Testament in the presence of us, who at her request, in her presence and in the presence of each. other have subscribed our names as witnesses hereto. ,, .% .J ~. ti >t f ,ij. . ,/ ~r ~~ Witness f ~ ', ~ , ~~/ Witness Page 2 of 4 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS I, MARGARET M. SCHELL, the TESTATRIX, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. MARGARET M. SCHELL COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND S.S. ~~ On this ~_',~ day of ~`~ ~% `a~ , 2012, before me personally appeared MARGARET M. SCHELLlknown to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and she acknowledged that she was the declarant who executed the same for the purposes therein contained. IN WITNESS WHEREOF I hereto set my hand and official seal. ~, ~ --~. Notary Public COMMONWEALTH OF PENN5YLVANIA Notarial Seal Adam Deluca, Notary Public Carlisle Boro, Cumberland County My Commission Expires Jan. 26, 2016 Page 3 of 4 A FFTT) A VTT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS j ,~ ~~~ WE, ,~:. /c- 1 ~ ~- ~-~ ~ ~ and ~~1~~,i( ~~~~C~~~' , the witnesses whose names are attached to the foregoing document, being duly qualified according to law, do depose and say that we were present and saw testatrix sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testatrix signed the Last Will and Testament as witnesses and. that to the best of our knowledge the testatrix was at the time 18 or more years of age, of sound mind and under no constraint ~ due influence. `, 1 t f ,~ -~'°" i ~: ~ - r~ ~ ~ ~ f ~ ~ /~ ~~ Sworn or affirmed and subscribed before me by ~^ r 1 ~ ~ '~ ~ ~. ~ ~ 1 ~~ ~ , ,~ and -~ ~~ ~ ~' ~'~X~ thi s .~ ' ~.~ ~,~, ~ ~' ~ day of ~ ~ ,"~" , 2012. ~::~ . ~. ., ~~; ~ F~ ~- ,r ~_ ..~ -~ -~. Notary Publ'c/Attorney COMMONWEALTH OF PENNSYLVANIA Notarial Seal Adam Deluca, Notary Public Carlisle Boro, Cumberland County My Commission Expires Jan. 26, 2016 Page 4 of 4