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HomeMy WebLinkAbout12-07-12PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF ~ut'n~2r~G'~r1C~ COLiVTY, PENNSYLVANIA Petitiorerf;) namzd "e1o•~ti. ~~ho is;'a-: 1~ years of aae or cldcr, apply(ies~ fcr Letters as specified below, and in support thereof avera s) the fo1lo~.ving and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information Name: ~ f t1 Ps+ '~ L t rr~ p('c..~ File No: ~ ` ` ~ a - ~ a ~ 2 a/k,'a: (Assigned by Register) a/k/a: a/k/a: Social Security No: ~ - ~7 ) ~' S ~S-~/ Date of Death: l/ /ia/ t z. Age at death: `j J Decedent was domiciled at death in C ~ ;,,, bt?rlr.~~~l County, P.A (Stare) with his/her last principal residence at 3 3 s W ~S1 ~,~ -p,- t1o1 S ~ I too s ~ !)'I Pchc,r, r < ~ ~,-, C ~,~1~,-/u.,~( Street addresa, Post Office and Zip Code City, Township or Borough County Decedent died at.~35 WeJiey 17r-. ~7P1 5~ 1 nos s me~lc~nit.sb~r~, ~U~vt~f~Ctncl ~~ 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 If not domiciled in Pennsy!vania ........................ Personal property in Pennsylvania If not domiciled in Pennsy[vania ........................ Personal property in County lialue ojrea! estate in Pennsylvania ........................................................ . TOTAL ESTIMATED VALUE... . Real estate in Pennsylvania situated at: (Attach additional sheets, ijnecessary.) $ !. ~~ CYJO 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 r /) and Codicil(s) thereto dated 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(g), and did not have 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.u., d.b.a., d.b.n.c.t.a., pendente life, durance absentia, durance minoritate 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 ifo©wing spoa`~(ifa~a~heirs (attach acditional sheets, if'necessary): r~ ~ ~ ~ ~ r ~ ..,, v Name Relationshi ~ d s ...t p ~ Uj :!7 ~.] ~ C7 C7 C7 © 3 ~ 'n ~ --I ~ t.~,. l'~i 17 'T1 Form RW-O1 .-ev. tnilli1n11 Page 1 of 2 Oath of Personal Representative COM~t0~1VEALTH OF PE~~SYLVAVL~ ) ' SS: ~.,.~,_,..',r c~ Official L`sc Only R CORDED OFFICE OF EGISTER OF '~~~LLS Z~~ DEC ? P(~ I `~? .. ~.' Shirr; txr,wel~ ~~13 UUo~1S ~ r'R~R~~~i~'s~ Rr ~?~l ~~os RLAND C ., PA The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are tnie and correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) ofthe Decce}$nt he Petitioners) will well and truly administer the estate accordi g to 1 w. Sworn to or affirmed an subs ribed before •~' ~-~"`~-`~ Date ~ /s' ~ Z.- me thi a of -- ~~ Date By' Date For the Register Date BOND Required: Q YES ~ To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters ...................... $ • V V ( C.Q )Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( ) Aftidavit(s)........... . Bond ........................ Commission ................. . her Automation Fee .............. . JCS Fee . .................... TOTAL ..................... $ I~~~ Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Fax: Email: DECREE OF THE REGISTER Estate of __~~_~ ~j ~.y~ ~~ File No: Ic~ ' 1 ~~ ~ a/k/a: AND NOW, ~p rn~ (~ 7 ZU ~ Z , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters .Q ~• are hereby granted to ~/ 1 T m U l D 1.1 in the above estate and (if applicable) that the instrument(s) dated _ ' " ' -" "" ' " " ` described in the Petition Fornr R W-01 rev. !0/l1/2~11 to probate and filed of record as the last Will (and Codicil(s)) of Decedent. ~In ~ ~~ UJ7~Qr1 ~fibG~1 ~~r~,~ ~1 Register of Wills ~~~ ~1.1.l~SeJ~(~ ~~ page 2 0 2 __ H)pS.RpS Rgv rnn I~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. RECORDED OFFICE OF Fee for this certificate, $6.00 REG~S~ER OF MILLS This is to certify that the information here given is correctly copied from an original Certificate of Death ~~+IL t;C~i 7 ~~ ~ ~~ duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital CLERK OF Records Office for permanent filing. P 18 8 618 2 ~,oRPHANS' cooRr a~ ~ !! ~~~ ~ Certification Number BERLAND GO.P PA Local Registrar Date Issued n/Pnnt In COMMONWEAIiH OF PENNSYLVANIA • DEPARTMENT OF HEAIiH • VITAL REC00.05 "`"` rFrtrEGErerc ne nceru 1. Decedent's La9al Name (Flrsl, MNdk, las4 SufRa) 2. See 3, SOtlN SawMy Numhar~ws w na. hte el DNM (MO/OaYnr) (Spell Mot Ernest R. Lilrglpo Male 217-18-8654 Novertlber 10, 2012 Sa. lqa-last lurthdar (Yrsl Sb. UMar 1 raF Sc. under 1 B. Was o/ Birth (Mo/Davnear) (Span Monts) 7a~irthpl~ce ICI' and wtrLOr fpreyn ~ (y) , M0"Mf Dan Hmn Mlnuces l:[lE:II R11I1 MI@9C Vl n a y i k 91 July 11, 1921 7b. BIRlipiace I[ounryl Ba. Re9P ~ N~ f « F «e ~l{rl Country) W. Residence (Street aM Numbn - InNude Apt No.) Bc. Dld Decedem LHe In a TownshlpT a e V ~ ~ ~ 335 Wesley Dries Apt. 521 Qjves, dexdenc lNeek LlY4JPT' tl^_ twp Bd. aesfd.ree lCourdl'1 , , Cunberlend k. Residence Izq YAdel 1 7055 ^ No, decedent caved wlMk Ilmhs d dty/bprp. 9. Eqr N U9 Armed Forces? 10. MarRal SnbN at nrrie of Death Maenad 11. SurvMnB Spouse's Name Ilf wih. She name pd« to first marHgei Yn ^NO ^UMrawn ^OhVrud ^Never Mankd ^Unkriewr3 12. FatherY Wme Inrn, Mlddk, twat, SuAk) Jose h Li 13. Mother'f Name prior to Fint Marrege IFkst, Middk. Usti p mppo Bessie Albri t 1M. kMmanYS Name IeO. Relatbmhlp to Decedent ]ac Inlorma«Y MaIXq Address (SbM and Number, Cky, was, ZIP Cadet Sherri Limppa-11 ~aI~ t~ 193 Woods Drive Mechanics PA 17050 S ........_ ..............._....._....._................ ~............................,........_....:._~...................__..._~.............................. ................................yy ................................ H MaM ORUmed Ina N ttaaplul: ~ t pH DNM OaumM brtrWlien OMer Than a HospRYl: ~~HOSpke Fatln I DKlelnt'3 H y ome 6 E Roan/O lent Dqd on ArrMl Nunlry Nom,/lon -TMm Grc FaWNy ptlkr 1 ( r a~ 15h. Fatllky Wme (H net xuNtutkn, Bka sDeet and number; 19e. Dry or ewn, State, and ZID CoN lSd. County of Math ~ 335 Wesl Drive t 16a. Method M Dbgofltbn ButW ^ CrcmaHOn 16b. Mn o/ Dlaposkkn 1&. Mace of Diwosklon (Name of amenry, crematory, «other pacel ^ Removal from snn ^ °°"'"°" Nov. 14, 2012 Mechanicsburg Cemetery Ifid. lautlon of DkposNlon IeRr e. rawrL Stan, and ziDl 17.. slanatN 1 Se ~ see « persm in a.ne or interment 17b. tkeme Numbe. Mechanicsburg, PA 17055 ~ FD-138630 17c. NarM and Cxnpkn Address of Funeral FagBly Mal zi FW3esa1 game 8 Market Plaza Wa i P ~ .°- 11. Oendam'f Educatbn - Chock the ben that best dexrtbes the 19. Decedent d Hlipank OrlBln . CltecY the 20. Oecedenl's Rxe - OwcY ONE OR MORE rxef to Indican what hiaMat lapse « Iwel M fdtoW com l t d t eM th / d M p e e a ree o ea . bee that Msc dexrlbM wAeMer the daxdent the dexdent conddered himulf «herself to be. ~(eth pale «krx bS bh IH ' • pan / panic/latko. Lack Me NO ~ Whhe ^ Rorcan ^ No dlpbma, 9M - I2M pads boa H decedem Is not SWnbh/Hbpank/ntlno. ^ Bkck «Afnean Amencan ^ Vktnamese ^ Hyh school Bradum or GEO completed Q[ No, rat Spanhh/Nkpanic/Latlra ^ Amerkan Indkn or Alaslw Nature ^ 11tMr Asian ^ Some ~~ GMR, ~ ~ lapse ^ Yb, Meakan, Mnkan Amerkan, Chlxno Asian Indian ^ ^ Natve HawNlan Aoodan ^ depN le.i. AA, AS) ^ Ye; PuMO Rican ^ Ch1MSe ^ Guamanian or Chamorro ' ^ Bxhebr s lapse Ia.B. BA, AB, BSI ^ Yes, Cuban ^ illlpine ^ Samoan ' ^ Martx adgrx ly. MA, MS, MEq, MEd, MSW, MBAs ^ Yes, other SpanHNNlspank/lallno ^ lapanex ^ Other Pacific blander ^ Do¢orcte Ie.{. PfiO, EAD) « Professbnal dgree ISpedryl ^ Other ISpes+ryl e.. MO D DVM UB JD 21. DaaaMm's Ski6k Rex SaH-0nlpiatlon - CM[Y ONLY ONF to Indkste whx tM decedent coruldered hhnseH or henelf to M. 22a. Decedent's UsuN Occup+tbn - Indiean type of work Whke ^ lapsMSe ^ Lmwn dens dung most of worklry Iif<. DO NOT USE RETIRED. ^Blac*«Afrkan Amerkan ^KarcM ^Other P clM I l d a s an er ^ Amerkan IrWkn « Alaska Native ^ Vktrwmex ^ Don't Rnaw/NOt Sun `~l~ ^ Aakn Indian ^ Other Asian ^ bfused 22D. Rind of IYnlness/Indurtrv ^ Chkeu ^ Natve HaWaNan ^ Omer ISpecHrl ^ Fugino ^ Guanlankn «CNmone Specialty Contracting REAtl S!a - MUST BB COMPI[RD 23a. Drta Mad ay r 230. a IM when a0 Ia I 23<. Uceme Number w fntaDF3 YHIa FStONOINICEf oR ~ ~ ~ /O r lERnq[S DBATN o n !A 23d. see ( nrl 2a nine d a M ~ /~ ~ 613 ~ . AS s( ~ ~ S OA-a-~ 25. Was Medkal Eaaminer «Coroner CnrdMed7 ^ Yea No CAUSE OF DEATH ADDroalman 2b. part 1. Enter the main plevents-dWaHS. INurles, «mmplkatbns--that directly caused the leach. 00 NOT emer terminal egrets such as urdlx arrest InnMl: rasplnmry erns[, «gntdmkr flbrRktbn WIMmt dawiry the etbkfBy. DO i ABBR IATE. Enter only ox uuu an a Ilne. Adtl addkbnal Ilrws it nerasgry j Onset to MEM IMMEDWTE GUSE -------a ~- yy r r aj ~ I~h ~ (Final dkeax«mrMitkn a 3JI« as mnxpuenx oQ: r resulHq M dxM1 ' _ ~ 1 ~ L~-a~ A~/.!lY.rc. C/) b. ' ~ Gt.-~,.~ ay €/,rh"„d~ ~ Sewentla6y Nrt ~°^s. Due to Or ay ConfepueMeOfj: J' - ~ i ' If any'. kadiq n the cause ~// ` rested m Nne a. Eller tIN ~ 5~ a.. T77Y-r. L ~r ae~.t. 7~ -t.+.~ ~L~' ~G uxtlutLnNB ut/3E , a -, -- Duen mmequerce aft: 'Y Iduaase«Mpay Mat F Inkkted the events nsuhlry d. y~ In death) IAST. Due to Im as a conseouence oft: L7 26. hrt IL Erder «her fknMxm mrrdluons MbW [ de th but not rcfUklrl31n the underlylnB cause Sk'en In part I 27. Was M autopsy rfarmed7 ~ Yn n ZB. Were autopq fl s agikWe to mmpkte the cause of deathT 29. N Femak: 30. dd Tobacco Use ConVlbute t" Death? 31. Manner of Death ^ Tq No ^ N«pnar4«Within pM[year ^ Yes ^ Probabhr ~NRUnI ^ Homklde ~ ^ hgnan[ x pine o/death '~NO ^ Unknown ALCfdent ^ PeMlry YwesUpcbn ^ Not prgnaM, but Prgrun[ wNhin a2 days o/ lasts ^ Not pre6nant, but prgnant a3 days to t year bef«e lasts 32. inn or I ^ Suklde ^ Cwltl rrot be determlMd Nury IMO/MYnr115pe11 Month) ^ UnYrawn H pnBnaM wkMn the pall year 33. nine of INury L. Plax of Inlury Ie{. lame; mmtructlon ske; farm; school) 35. Locatbn of InWry (Scree[ and Number, qty, Sbn. Zlp Colel 3 fi. Inlury ri Work 37. If Trcnsportatbn Infury, Spa Jfy: 3B. pescrlbe How InWry OccunM: ^ YH ^ Drker/Operalar ^ Pedeatdan ^ 1'10 ^ Passen6er ^ Other (Specify) 3 9a. CertMer Icheck mly onei. Q CertllyMB phYSkLn - To the Mrt of my knowladae, death omtnad due io the causelsl Md manner ibted $[ Prangnrdrq i CeM(yky p o the hest of mr k , death xc ~ at the thee, date, and plau, wM due to the cauxlsl and manner steed ^ Medkal E i C xam ner/ oroner a beds o/ evaminatron, I , In mY opinion, lasts a c~tlmed tt Me time, d at e and Plax, and due to tM uuMls) all manner scatM / y , s ,, ~ Slanalurc of cNtHkr: l" THle otcMlfler. /l S C//,~' - LlceMe Number. LIS~J )'7"z ,./' 3 9b. Name, arts Zip Code M hrsan fq~~~ etlq CauN~/ofMM a 261% m ' /r 39c. Mte S d (l~d/Dry rI ~ .w/If..~/. LC f>,_:, iJ':iJ749 -/hY t-c!/ -• / ~~C/i; ij ~L. 1-w- • . RgNlnfy ONtrIR Number Al. t A2. Rgktnr Flle n 1 3. AmerMments asmsnlon Permit Na. 0819450 HI05-143 REV 07/2011 s LAST WILL AND TESTAMENT I, ERNEST R. LIMPPO, of 335 Wesley Drive, Mechanicsburg, Cumberland County, Pennsylvania 17055, do hereby make, publish and declare this to be my last will and testament, hereby revoking all wills heretofore made by me. 1. I direct my personal representative to pay all of my debts, funeral and administrative expenses as soon as convenient after my decease. I direct that all inheritance taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property, whether or not such property passes under this Will, shall be paid by my personal representative out of my estate. 2. I authorize and empower my personal representative to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefore, in fee simple, as I could do if living. My representative is authorized and empowered to engage in any business in which I may be engaged at my death, for such period of time after my death as seems expedient to said representative. 3. I give, devise and bequeath all of my estate of whatever nature and wherever situate as follows: ~' ~© '~ rnr~n A. 10°~ to Immanuel Alliance Church, Mechanicsburg, Pennsylv~i~ for g~ral~ purposes; ~ ~ ~~" ~ b„~rn -a B. 30% to my daughter-in-law Teresa Limppo; Q ~ ~ ~~ ~; ~ , C. 30% to my grandson, Barry L. Limppo; and ~ ~' -~ ~ ~ ~ <~ D. 30% to my granddaughter, Sherri L. Bromwell. `z7 -~-~ ~~` ;~. A. ..r_ to cy -~ `n 4. I nominate and appoint my granddaughter, Sherri L. Bromwell, to be the personal representative of my estate, to serve without bond. If she cannot or does not serve, then I appoint my daughter-in-law, Teresa Limppo, to be my substitute personal representative, with the same powers and also without bond. ' 5. I suggest that my personal representative retain the services of Harold S. Irwin, III, Carlisle, Pennsylvania in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 16~' day of August, 2011. ERNEST R. LIMPPO Signed, sealed, published and declared by the above-named person as and for a last will and testament, in our presence, who at said person's request, in said person's presence and in the presence of each other have hereunto set our names as sub ribing witnesse . S ~ ACKNOWLEDGMENT AND AFFIDAVIT WE, ERNEST R. LIMPPO, AMY J. MAZUTIS and MELANIE S. RAMOS, the testator and witnesses respectively, whose names are signed to the foregoing instrument, being first duly swom, 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. ~~ ERNEST R. LIMPPO COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ME NIE S. RAMOS ~_~~~ Subscribed, swom to and acknowledged before me by ERNEST R. LIMPPO, the testator herein, and subscribed and swom to before me by AMY J. MAZUTIS and MELANIE S. RAMOS, witnesses, this 16'" day of August, 2011. /~ Notary Public NorARiA~ 8EI1L HAROLD 81R11MN IN Nohry PubNc R118lE SOROtIGH, CUMSERIARD COIJIITI- M~- Commiuion Expiry Fib d, 2018 1A~~ !AflUTQM HI NMtAi 2 {}.f!}fiA1t ~Wu9 ~ ~~IOflt 1RtAU0a ONAJR38M;'~ .I~t.'IUdI+DB iIB,.If~ t f OS .8 d~a ,~~t~p.4 ~ nova:~mma~ ~