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Home My WebLink About12-05-12PETITION 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 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: EDWARD S. CALAMAN File No: ~i - ~ a - ~ o~Q 2 tea; (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 11/01/2012 Age at death: 83 Decedent was domiciled at death in CUMBERLAND County, pFNNSYLVANIA _ _ (State) with his/her last principal residence at 9 STRAWBERRY DRIVE CARLISLE 17015 SOUTH MIDDLETON CUMBERLAND Street address, Post Office sod Zip Code City, Township or Borough County Decedent died at HARRISBURG HOSPITAL HARRISBURG HARRISBURG DAUPHIN PA Street address, Post Otfice 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 $ 90,000.00 If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................ Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ 90.000.00 Real estate in Pennsylvania situated at: (Attach additional sheets, if necessary.) 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 MARCH 24, 2000 and Codicil(s) thereto dated n~irrn.TrreTinrr env x,rvTJ'Tr F u ('AT ArdAAT TC ATTAC'T-YETI uFT2FT(1 State relevant circumstances (eg. 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(8), and did not have a child bom or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. Q 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 lite, durance absentia, durante minoritate If Administration, c.t.a. or db.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 0 EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse ~f any) and heirs (attach .~ additional sheets, if necessary): n ~ ~ v ~! ~ Name Relationshi s ~ ~ ~ rn ~ ~ c~ o, ::a z b. r -a ~ ~ ~, ~, :~ r.:r z . ~ a c~ c~ c ,~ -.~ o ~ rn W Form RW-02 rev. 10/11/21111 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND Official Use Only Petitioner(s) Printed Name Petition ddr s EDWINA C. HORICK 1914 DOUGLAS DRIVE CARLISLE PA 170 >- JOHN W. CALAMAN 268 STUART ROAD, CARLISLE, PA 1781f3PHAN S' ~ ~? GttBERLAPIL~ GA., ~A 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 Petitioner(s) will well and truly administer the estate according to law. Swor~rn to or affirmed and subscribed before ~L Date 1 a Sad me day of nit o Date _~,~- ~ • ~!a l `~~~~,P 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 ..................... . ( 2) Short Certificate(s)..... . ( 1) Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ....,,,. WILL ........ $ 210.00 8.00 s_nn i c nn ....... Automation Fee ............... 5.00 JCS Fee ..................... 23.50 TOTAL ..................... $ 266.50 Attorney Signature: `~ r .. Printed Name: O R B. IRWIN, ESQUIRE Supreme Court ID Number: 6282 Firm Name: IRWIN & McKNIGHT, P.C. Address: 60 WEST PnMFRFT STREET ~ARi.iSI.F., PA 1701 ~ Phone: (717)249-2353 Fax: (7171249-6354 Email: DECREE OF THE REGISTER Estate of EDWARD S. CALAMAN File No: ~ ~ - ~ a - ~ ~Ct~ a a/k/a: AND NOW, P(`D ~(!~D.r ~ 2C~(2 , in consideration of the foregoing Petition, satisfactory proof having'been presented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to EDWINA C. HORICK AND JOHN W. CALAMAN in the above estate and (if applicable) that the instrument(s) dated MARCH 24, 2000 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent ~ - Register of ills •~ f Form RW-02 rev. 10/11/2011 a 2 of 2 H 105.805 It F,V IIUI ! 1 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. RECORDED O F F f C E 0 F Th;~ is to certify that the information here given is Fee for this certificate, $b•~ REGISTER dF ~~1LLS Y P g correctl co ied from an on final Certificate of Death duly filed with me as Local Registrar. The original C~'~2 ('t[' ~+ ~ ~~ ~ ~ ~ ~ certificate will be forwarded to the State Vital t. E. Records Office for permanent filing. P 18 8 8 3 2 9 5^pPNAr~s~ COURT ~.~`~~'~!'~' "~ 2/2o~z Certification Number CUMBERLAND CO., PA Local Registrar Date Issued Type/Print In COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH _ VITAL RECORDS Permanent CERTIFICATE OF DEATH Bieck Ink State File Number: L V 1. Decedent's Legal Name (First, Middle, last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (MO/Oay/Yr) (Spell Mo) Edward S 1 - - V~ '~ ~ ~ Sa. Age-Last Birthday (Vrs) Sb. Vnder 1 Yaar Sc. Under 1 Da 6. Dale of Birth (MO/Day/Year) (Spell Month) 7s. Birth lace (City aJ~d S[a[a or Foreign Country) ~ ennsDOro TW Months Days Hours Minutes W _ 8 3 yr s, March 1 4 9 9 2 9 7b. Blr:hplace (cp~ntYlCumb . 8a. Residence (State or Foreign Country) Hb. Residence (Street and Number -Include Apt No.) Bc. Did Decedent Liye In a Township? 9 Strawberry Dr _ f9Ye:, de~eden[ RYed In tw . 8d. Residence (County) Carlisle P A umb 1 n He. Residence (tip Code) QNO, decedent Iiyed within limits o1 city/boro. 9. Ever in U ed FOrces7 10. Marital Status at Time of Death Married ~ WI owed 11. SurvlW ng Spouse's Name (If wife, give name prior to firs[ marriage) Q Yes ~fJO DUnknown ~ DlVOrced ~ Never Married DUnknow M rtle Hutchison 12. Father's Name (First, Middle, last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, last) Jose h W a1 man Edith Rice 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Malling Address (Scree[ and Number, City, State, Zip Code) E wine clc h a....... ......... -.... ........................................... I .. .............................. --..-...... . . W .................................-.. .-...........-..................... l ~•H ic Fa ilit ~• Deced nt's Mome h Oth Th H it l d S P 1f Dasih Occurred In a Hospital: In bent ~ Emergen Room/Out atient Dead on Arrival _ : e y ere er an a osp a OSp c e i Death Occurre Somew Nursing Home/long-Term Care Facility Other (Specify) 15b. Facility Name (If not Institution, give street and number; 15c. Gity or Town, State, and 21p Code 15d. County of Death Harrisbur Hos ital au h1n 16a. Method of Disposition ~ Burlsl Cremation 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place) 0 Removal from State Q Donation onter (specify) 1 1 /3/20'1 2 Hollinger FH/Cremator inc. 16d. Location of Disposition (City or Town, State, and Zip) 17a. SI of Funeral Service License r on In Charge of Interment 17b. License Number Mt. Ho11 S rin s PA 17065 FD-011932-L 17c. Hama and Complete Address of Funeral Facility ~ 1 N $ t m0 re AV e Mt_HO~1 S rin s PA -T 7065 ~' SB. Decedent's Education -Check the box that best describes the 39. Dace ant of Hispanic OriEin -Check the 20. Decedent's Race -Check ONE OR MORE races to indicate what highest agree or level of school completed at the Hme of death. boz Chat bas[ describes whether the decedent he decedenS considered himself or herself to be. th grade or less Is Spanish/Hlspanic/Latlno. Check the "NO" Ice Q Korean No diploma, 9th - 12th grade box If decedent is not Spanish/Hispanic/La[Ino. ~ Black or African American Q Vietnamese ~ High school graduate or GED completed not Spanish/Hispanic/I.atlno Q American Indian or Alaska Native 0 Other Asian Q Some college credit, but no degree ~ Ves, Mexican, Mexican American, Chicano ~ Asian Indian ~ NatiVa Hawaiian Q Associate degree (e.g. AA, AS) Q Yes, Puerto Rican ~ Chinese Q Gua oleo or Chamorro ~ Bachelor's degree (a. g. BA, AB, BS) ~ Yes, Cuban Q Flllpino 0 Samoan ~ Master's degree (e.g. MA, M5, MEng, MEd, MSW, MBA) Q Yes, other Spanish/Hispanic/Latino ~ Japanese Q Other Paclflc Islander 0 Doctorate (e.g. PhD, EdD) or Professional degree (Specify) ~ Other (Specify) . MD DDS DVM LLB lD 21. Decedent's Single Race Self-Deslgnatlon -Check ONLY ONE to indicate what the decedent considered hlmseH or herself to be. 22a. Decedent's Vsual Occupation -Indicate type of work `~'OG~Ite Q Japanese ~ Samoan done during most of working life. DO NOT USE RETIRED. Q Black or African American ~ Korean Q Other Paclflc Islander ~ American Indian or Alaska Native ~ Vietnamese ~ Don't Know/Not Sure Foreman ~ Asian Indian Q Other Asian ~ Refused 22b. Kind of Business/Industry ~ Chinese Q Native Hawaiian Q Other (Specify) ~ Flllpino a Guamanian or Chamorro Fro & Switch Manufact _ ITEMS 2 a - 2 U T COM L ED 23a. Date Pronounce Oea Mp Oay 23 Signature o Person Pronouncing Deat On y w en applies 23<. License Num er gV PERSON WNO PRONOUNCES OR CERTIFIES DEATH ~v '~ U 1 23d. Dale Signed (MO/Day r) 24. Time of Death 3•. q M 2S. Was Medical Examiner or Coroner Contacted? ~ Ves No CAUSE OF DEATH Approximate 26. Part 1- Enter the chain of events--diseases, Injuries, or mmpllcatlons--[hat directly caused [he death. DO NOT enter terminal events such as cardiac arrest, Interval: respiratory arrest, or Ventricular fibrillation wit ut showing the etiology. DON ABBREVIAT Ente only one cause on a Ilne. Add additional Ilnes if necessary F Onset to Death o y~~ / ( IMMEDIATE CAUSE --------------> a. I a LV )t ~ a ~ S V ~~ Yom{ 1J ~ _ ~[l (Final disease or condition Due to (~r as a consequence of): resulting In death) b. Sequentially list conditions, Due to (or as a consequence ofl: If any, leading to the cause listed on Ilne a. Enter the V NDERLYING CAUSE Due to (or as a consequence of): (disease or Injury that Initiated the events resulting d. ~ in death) LAST. Due to (or as s consequence of): 26. Part 11. Enter other I n flc t 1 I n ribu i h bu[ not resulting In the underlying cause given In Part 1 27. Wes an autopsy perfo med7 Ves No ~ 26. Ware autopsy findings ayallsble .~ to complete the cause Of death? Yes No 29. If Female: 30. Dld Tobacco Use Contribute to Death? 31. Manner of Death ~ No[ pregnant wlthln past year ~ Ves []r Probably 0 Natural ~ Homicide Q Pregnant at time of tleath 0 No [~ Unknown 0 Accitlent ~ Pending Inyestigstlon ~' 0 Not pregnant, but pregnant wlthln 42 days of death 0 Sulclde 0 Coutd not be determined 0 Not prognant, but pregnant 43 days [0 1 year before dea[h 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, Clty, State, Zlp Code) 36. Injury a[ Work 37. If Transportation Injury, Specify: 3H. Describe How Injury Occurred: ~ Yes ~ Driver/Operator O Pedestrian ~ No Q Passenger ~ Other (Specify) 39a. Cy~FF~~Ifler (Check only one): ~~Gartltying physician - To the best my k dge, at due to se(a) and manner stated Q Pronouncing S Certitying - T ast wle , de red at the time, data, and place, and due to the cause(s) and m zbted m ~ Medical Examiner/Cp n the of e i r i atlonr In my opinion, death occurre ~theptlple~d and place, and due to the ( S) d an stated ' I ~/~ , 1 ? I Signature of certifier: Title of ceKifler: T~ 44 License Number: l \ 1 V Y 3Y ~t~ 39b. Name, Address a Ip Code of Person Compl f Death (Item 26) u~ 39c. Dst 5 ned Mo Day/Yr) ~ `` ~ T ~ ~~ 0 + ( Z 40. Registrar s District Num er 41. Registrars Lure ~~ 42. egist ar FII ate Mo Day r t- to 5~ o~ a sots. 43. Amendments n /' 2 /` H105-143 Disposition Permit No. d ' I ~lSJV~ REV 07/2011 LAST WILL AND TESTAMENT I, EDWARD S. CALAMAN, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. 1. I direct my executrix to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 2. I authorize and empower my executrix to sell any realty owned by me at my death, and at either public or private sale, and to gib good ar~suf~uant not specifically devised herein , c+ c-~ ~ c~ deeds therefor, in fee simple, as I could do if living. o~ ~ ~ ~ ~' ~ " AZT c~ i 1~1 ~ a 3. I devise and bequeath all of my estate of every nature and wher~asas~iate~ mq~~n~e ' cs ~ ~i __:3 ~ Myrtle H. Calaman, providing she shall survive me by sixty days. ~ ~ C ~` F_' tr' 4. Should the gift in Paragraph No. 3 not take effect, I devise and bequeath all of my estate of every nature and wherever situate to my two children, Edwina C. Horick and John W. Calaman, share and share alike, the child or children of any deceased child taking the share their parent would have taken if living. 5. I nominate and appoint Myrtle H. Calaman to be the executrix of this my Last Will and Testament; she is to serve as such without bond. Should she die before my death, renounce or refuse to serve for any reason, or die leaving any of my estate unadministered, Inominate and appoint Edwina C. Horick and John W. Calaman, as substitute executors, also to serve as such without bond, with the same powers as are given herein to my executrix. 6. I hereby suggest that my personal representative retain the services of Irwin, McKnight & Hughes, as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 24th day of March, 2000. Gr~~,e~.~•d [,~~,,,,~,-~., ~. (SEAL) EDWARD S. CALAMAN Signed, sealed, published and declared by EDWARD S. CALAMAN, the above-named testator, 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 subscribed our names as witnesses hereto. ~~ ~ i . 2 ACKNOWLEDGMENT AND AFFIDAVIT WE, EDWARD S. CALAMAN, CHERYL L. CLELAND and SHARON L. SCHWALM, the testator and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his last will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the will as a witness and that to the best of their knowledge the testator was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. EDWARD S. CAL AN ERYL` ,L~. CLELAND ~ SHARON L. SCHWALM COMMONWEALTH OF PENNSYLVANIA . SS: COUNTY OF CUMBERLAND . Subscribed, sworn to and acknowledged before me by EDWARD S. CALAMAN, the testator herein, and subscribed and sworn to before me by CHERYL L. CLELAND and SHARON L. SCHWALM, witnesses, this 24th day of March, 2000. ~. c~ Public Notarial Seai Roger B. Irwin, Notary Public Carlisle Boro, Cumberland County My Commission Expires Oct. 3, 2ppp Member Pennsyi~~~a+~G Ass:~~:aic,n r.t ~,t;?_,~,i, N C:7 '~'' /~ rn rn ~~ t~ ~~ RENUNCIATION ~ ~ ~ `f' ~,~,~ , ~ ~ ' REGISTER OF WILLS ~' `°" ~' r-= n~ CUMBERLAND COUNTY PENNSYLVANIA ~ ~ ~ ~ , ca ,~~-~a-ia~2 Estate of EDWARD S. CALAMAN I, MYRTLE H. CALAMAN (Print Name) EXECUTRIX Deceased in my capacity/relationship as of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to EDWINA C. HORICK AND JOHN W. CALAMAN NOVEMBER 21, 2012 (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , r-(~'~~ ~~ ~~'yt--Gig o~^'ti (Sigrrat e) 9 STRAWBERRY DRIVE (Street Address) CARLISLE, PA 17015 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciatiorl'for the purposes stated within on this ~/~' day of ~ ITV P,CV11~C~ n ~~~-- Deputy for Register of Wills Form RW-06 rev. 10.13.06 Notary ISUblic My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) cOMMtoNweAI.TH OF PENNSYt.VANU NotatWl Seal ~;~rE:r~ ~lnel., Notary Publk (j1; t.`5e_.:, . ~:,, Cumberland CAUMY M,y C:ommissiwi Expires Dec. 8, 2015 MEMBER, PE.NNSYIVANLI ASSOQAT[0N 9F