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HomeMy WebLinkAbout12-17-12 I Reset PETITION 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: ANNA E. YOHE File No: tQ 1,`7 aWa: (Assigned by Register) a/k/a: a/k/a: Social Security No: 191-18-4796 Date of Death: OCTOBER 22, 2012 Age at death: 90 Decedent was domiciled at death in CUMBERLAND County, pENNSYLVANIA (State) with his/her last principal residence at 69 W. MAIN ST, NEW KINGSTOWN, PA 17072 SILVER SPRING TWP CUMBERLAND Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 1000 CLAREMONT RD. CARLISLE 17013 MIDDLESEX TOWNSHIP 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 $ 7,500.00 If not domiciled in Pennsylvania Personal property in Pennsylvania $ If not domiciled in Pennsylvania Personal property in County $ Value of real estate in Pennsylvania $ 45,000 00 TOTAL ESTIMATED VALUE.... $ 52.500.00 Real estate in Pennsylvania situated at: 69 W. MAIN ST, NEW KINGSTOWN PA 17072 SILVER SPRING TWP CUMBERLAND (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 NOVEMBER 30, 1973 and Codicil(s) thereto dated N/A All assets will remain in the custody and control of th resid nt co-personal representative PFF Code § 3174(b)(1)(jji) 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 0 EXCEPTIONS rl B. Petition for Grant of Letters of Administration (If applicable) c ' c.t.a., d.b.n., dAn.c.t.a., pendente lite, duran=a ntia, dutM" a mi irw n If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complt~ IiH of heirr to a Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce ~I ll*erf establi~ed as4f* in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. , rn __J X c`.> 0 NO EXCEPTIONS 0 EXCEPTIONS O Petitioner(s), Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the followinoefAny) and heirttttgh additional sheets,ifnecessary): v fV - --P r Name Relationship Address C7) -vt Form RW-02 rev. 1011112011 Page 1 of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } Petitioner(s) Printed Name Petitioner(s) Printed Address CHARLES W. YOHE JR. 145 CORNWALL HOLLOW RD WEST CORNWALL CT 06796 LINDA K. YOHE S N~tlbt ENOLA, PA 1 7 D Z~ 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 Decede the Petitioner(s) will well a ly administer the estate according to law. Sworn to or ~frmed an s bscrib'd before ' Date _ZL me th' % 0 Date / 13y: Date or a Register Date C rv i T'1 rrl C-> BOND Required: Q YES Q NO To the Register of Wills: Q CD FEES: Please enter my appearance by my fflnaure beldwi n f 1 . ;U D 1- h-A _,.I C7 Letters $ Attorney Signature: r- rn rn ty7 ( 2 ) Short Certificate(s)...... (1a ( ' ) Renunciation(s)......... ' c7 'mo t ( ) Codicil(s). . . . . . . . . . . . ( ) Affidavit(s)............ a ..rt rv ryy Bond Printed Name: THOMAS E. FLO R-I G Commission Supreme Court Other ID Number: 83993 Firm Name: FLOWER LAW, LLC • • • Address: 10 W. HIGH ST CARLISLE PA 17013 Phone: (717) 243-5513 Automation Fee rr% U Fax: (717) 241-4021 JCS Fee Email: Tom°.Flnwer-law_com TOTAL $ . DECREE OF THE REGISTER / Estate of ANNA E. YOHE File No: J/ a/k/a: / AND NOW, j ~ 4' l in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to CHARLES W. YOHE, JR. and LINDA K. YOHE the instrument(s) dated NOVEMBER 30 1973 in the above estate and (if applicable) that described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. n UV A ,tr-, bv Register of Wills Form RW-02 rev. 10/11/2011 Page 2 2 HIO5.SOS RIiY le/111 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 RECORDED OFFICE OF us is to ccrtif% that the information here give❑ is REGISTER OF !ILLSP cu,rcetkcnpred from an original Certificate of Death club Wed ~+ith me as Local Registrar. The oriinal pm C~2 QEC 1f t I I 2 ~Y!W'7 cC St;lcatc ~~ill be f~)r~rarded to the State Vital I R~~ ~r(is U1fiI_e for permuner7t (illus. CLERK Oi- P 18861489 ORPHANS' COURT 1c Certification Numhcr- CUMBERLAND CO., ?A i oval lze,,istrar Date IS Ued ,In, In COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS w CERTIFICATE OF DEATH State File Number, r` 1. ad-' 's legal Name First, Mldtlle, Last, Suffix) 2. Sex 3. 41", ecurity Number 4. Date of Death (MO/Day/Yl) (Spell Me) )11Y, IF aa, lot 5. . Age-Last aln1d., (Yrs) 5b. Under 1 ear Sc. Under 1 Da 6. Date of Binh (M,/Day/Year) (Spell month) 7 , Irth lace 10ty and Slate or Fore) untry (mot r~ Months Days Mours Minutes lrQ l(> i 103 Iq 7b. Birthplace (County) ^ ga. Resi epc State or Foreign Country) Bb. Residence (Street and Number - Include [ N .I .B.c.~Oid Decedent UVe in a T nshlp7 1 ( IJres,decedentllvedlnJI(~I~IrI`Y} twP. eneegce c nty) Be.Resldence(Zip Code) s" ❑ No, decedent lived within limits a( city/born. 9. Ever In US Armed Forces? 30. Marital Status at 11me of Death 0 Married Wldpwed 11. Surviving Spouse's Name (If wife, ghre name prior to first marrlage) ❑Yes rNO ❑Unknown ODivorced ONo- Married 0 Unknow 1 lherY Name (Firn, Mld le, Last, Suffix) 1 . Mo[hei s Name Pr r o FI MaMage (FirsL Middle, Last) r 4wmp- an 1 Informant's Name 14b. Rela[bnsh lp to Decedent 34 . i0fotmanl's M Ad ess (Street u ber [I , State, 21p Code) q' r C 15 e-s kvnual ......a ...oa_.................................... a.M Sa. Occurred Paceo........Deal C.«... ne 1f De [h occurred Inasbs kal: Hr9y ................nred Somewhere Other .^..Y.p...,. Than . a HOspiSpl.ww...................ry.............. p tJ In dent jl(Dewtal: LJ Nas ice Fasili FFrrss R LJ Decedent's Nome ❑ Emergerrry 0.oom/OUtpatient ❑ Dead on Arrival [a'hursing Home/Long-Term Ure Facility 0 Other (Specify) . fadli Name (If n t inrtltutlo 6i r tad u P16b.p- Tow , State, plido. Method Other of Dlspo (SpesJcify) U,m Sual 0 Crematlon pf lsposl[ion 16clace of Dlsposltlon (Name of came ery, crematory, or othr place) ❑ Removal from State ❑ Donation l 'kr ULIL1E-1I 1W. Location of Disposhbn (City or Town, Slate, and Zip) 17e SI ature of Funeral SeMce L/ic,e/p/s/$~s E Pe on In interment 17 . Ucen Number q5 0111 7.Name and o ete Addr ss Fu ra FaGllty LdK (/V//--~ m f , j Q ig. cedent's Education heck the boxthat best describes the 19. cedent of Hispanic Origin- Check t 520. Decedent's ne Check ONE OR MORE races to indicate what ht degree or level of school completed at the time of death. be. that best describes whether the decedent th ~c efimt considered himself or herself to be. Lh grade or less Spanish/Hlspanic/latlno. Check the 'No' a~Whl[ Korean 0 NO diploma, 91h 12th grade VI. ,11cedent is not Spanish/Hispanic/Latino. O Black or African American Vletnamese ❑Hlghschool graduate or GEDCOmpleted ot Spanish/Hlspanic/Lalm. O American Indian or Alaska Native ❑Other se- me college credit, but no degree 0 Yes, Mexican, Mexican American, Chicane 0 Asian Indian 0 Native Hawaiian 0 Associate degree (e.g. AA, AS) 0 Yes, Puerto Rican 0Chinese 0 Guamanian Or Chamorro 0 Bachelor's degree (e.g. 8A, AB, BS) 0 Yes, Cuban 0 Filipino ❑ Samoan (3 Master's degree le.g. MA, M5, Meng, MEd, MSW, MBA) 0 Yes, other Spanish/Hispanic/-ino ❑ Japanese ❑ Other Pacific Islander 0 Doctorate (e.g. PhD, EdD) pr Professional degree (Specify) ❑ other (Specify) DDS DVM, LlB ID I1 De dent's Single Race Sell Deilgnation-Check ONLY ONE to indicate whatlhedecedent considered hims,lfor herseifto be. 22a.Decedent'sUSUal Occupation- Indicate type of work White 0 Japanese ❑ Samoan doe ring most of working life. UO NOT USE RETIRED. ❑ Black or African American 0 Korean ❑ Other Pacific Islander ❑ American Indian or Alaska Native ❑ Vietnamese 0 Co.'( Know/Not Sure 0 Asian Indian 0 Other Asian 0 Refused 22b Kind of Business/Industry 0 Chinese 0 Natty, Hawaiian ❑ Other (Specify) 0 ~1I(~~{'~ WII~S/~'~ Fil,elno 0 Guamanian or Ch-c- Ow l 1 1v1 J - ITEMS 23 23d MUST BE COMPLETED 23a. Oats Pronounced Dead (MO/Day r) 23b. Signature of Person Pronouncing Death (Only when applicable 23c. License Number BY PERSON WHO PRONOUNCES OR ` ll CERTIFIES DEATH I O O C% I l~, y R nl b 3 l 3 23d O . Me Igned Mo/Day/Yrl 24. Time of Death w' Q d r Z Z5. Was Medical Examiner or Coroner Contac[ed7 ❑ Yes No CAUSE OF DEATH gpproxlma[e 26. Part 1. Enter the chain ofevents-diseases, Injuries, or complications--that directly caused the death. DO NOT enter terminal events such as cardiac arrest Interval: respiratory arrest, or ventricular fib,illation without showing the etiolo , DO NOT ARBREVIATE Enter only one cause on a line. Add additional lines;( necessary Onse[tp Death IMMEDIATE CAUSE ------------a Tww, (Final disease or cmulin-n Due to (or as a consequence ON: resulting in death) b. Sequentially list conditions, Due to (or as a consequence of) if any, leading to the cause listed on line a. Enter the UNDERLYING CAUSE Due to (or as a consequence oq (disease or in)pry that initiated the events resulting d. In death) LAST. Due to (or as a consequence Fig 2fi. -ii. Enter other Sl¢nlflcant conde.em, ent,lbutinx to I deal h but not resulting In the underlying cause gNen In Part 21. Was an autopsy Performed? ❑ Yes ul e'!' 28. Were autopsy findings available to complete the cause o(Seath? ❑ Yes 1 29. If Fema~Jale: 30. Did Tobacco Use ConMbute to Dea[h7 31. Manner of Death ❑'N d pregnant within Past year 0 yes 0 P.o bly try-r~^.•,°tural 0 Homicide 0 Pregnant at time of death 0 No Fnown ❑ lodem ❑ Pendinglnvestigatlon 0 No: pregnant, but pregnant within 42 days of de If 0 Suicide 0 Coultl not be determined 0 No[ Pregnant, but pregnant 43 days to 1 year before dealt 32. Date of Injury (Mo/Day/Y,) (Spell Month)) 0 Unknown if Pregnant within the past year 33. Time of Injury 34. Place of Injury (e.g. home; cons t-1- site; farm; school) 35. location of Injury (Street and Number, City, State, Zip Code) 36. Injury at Work 3]. If Transportation Injury, Specity: 38. Describe How Injury Occurred: Ves 0 OrNer/Operator 0 Pedenrian 0 No 0 Passenger 0 Other (Specify) 39a Ce er(Ueck only one): ertltying physician To the best of my knowledge, death occurred due to the cause(s) and manner stated n 0 Pronouncing & Certifying physiclan To the ben of my k -ledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated 0 Medical Examiner/[prone, OoUt~ s1 examigati - .d/(9r investigation, In my opinion, death occurred at the time, date, and place, and due to thhe~wse(s) and marine, stated Signature of certifier - \ Title of certifier. License Number V U O ~G ,g' C 3b. Name, Addressand lip Code of Person ompleting CZUSeof Death (Hem 36)(7(.1 et' t 101 ,Q, 39c. Date Si 1' gned (MO/Day/Yr) y° I 3 2- w. Regbtrar's District Number 41. 0.eg1 [rar' Ignalure 42. Registrar Ile Dale (Me Day/Yr) 43. Amendments H105-143 -y79 H Disposition Permit N,IM, REV 07/2011 ~ ,3 r r LAST WILL AND TESTAMENT OF ANNA E. YOHE I, ANNA E. YOHE, of the Township of Silver Spring, County of. Cumberland and State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament. 1. I direct the payment of all my just debts and funeral C- expenses as soon after my decease as the same d2n be cbAve ?iently o done. Co o v, xr r- r► rr, rn 2. c? -Vl 9 C~ I give and bequeath all the rest, residue aid=i~emaznder ' CD ~ rn my estate, of whatsoever nature and wheresoever situate, to my children, share and share alike. 3. For the purpose of facilitating the settlement and distribution of my estate, I authorize and empower my Executors hereinafter named, to sell any and all real estate which I may own at the time of my decease, at either public or private sale or sales. LASTLY, I nominate, constitute and appoint my son, Charles W. Yohe, Jr. and my daughter, Linda K. Yohe, Executors of this my Last Will and Testament. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ` day of November, A. D., 1973. l (SEAL) Anna E. Yoh -1- Signed, sealed, published and declared by the above named, Anna E. Yohe, as and for her Last Will and Testament, In the presence of us, who have subscribed our names hereto as witnesses, at the request of said testatrix, in her presence and in the presence of each other. -2A OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of ANNA E. YOHE , Deceased CHARLES W. YOHE, JR and LINDA K. YOHE , (each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were well- acquainted with ANNA E. YOHE and am/are familiar with the handwriting and signature of the decedent, and that the signature of ANNA E. YOHE to the foregoing instrument purporting to be the Last Will and Testament/Codicil of ANNA E. YOHE is in his/her own proper handwriting. a_ dt'12_4 (Si Nature) (Signature) 145 CORNWALL HOLLOW RD LINDA K.YOHE (0l 5wooej LauA (Street Address) (Street Address) WEST CORNWALL, CT 06796 ENOLA, PA 7 Z4 (City, State, Zip) (City. State, Zip) Executed in Register's Office c o rn Sworn to or affirmed and subscribed co -0 n zn o r- -4 Z3 m C-> before this 7t~ M t day a„ -3 Z' _ Cp of -n -I -,i =3 C ay I ~7 uty for Register of Wills Form RW-04 rev. 10. 13.06