HomeMy WebLinkAbout12-12-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYLVANIA
Petitioner(s) named bele~v, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in
support thereof aver(s) th ;following and respectfully request(s) the grant of Letters in the appropriate form:
Decedent's Information
Name: Orton .Bauer
a/k/a: Morton H. Bauer Jr.
a/k/a: -
a/k/a:
Date of Death: 10/30/2012
Decedent was domiciles" at death in Cumberland
principal residence at ~ ~ 80 Maplewood Drive
Stre-t address, Post Office and Zip Code
17070
File No: ~ ~ - ~ ~ ~ ~" ~~~
(Assigned by Register)
Social Security No: 217-20-7266
Age at death: 85 -
County, PA (State) with his/her last
Lower Allen Township Cumberland ___
City, Township or Borough County
Decedent died at 1901 _~~orth 5th Street 17102 Harrisburg
Street add ess, Post Office and Zip Code City, Township or Borough
Dauphin PA
County State
Estimate of value of decedent's pry ~erty at death: $ ~j~QQQ,QQ
If domiciled in Pennsylvania ................................All personal property
If not domiciled in Pennsti~h~.mia ...... • • • • • • • • • • . • • • • • • • • • • • .Personal property in Pennsylvania $
If not domiciled in Pemzsylv~u~ia .............................Personal property in County Q E
Value of real estate in Penn~~ylvania ................................ • • • • • 5 ~ 000.00
TOTAL ESTIMATED VALUE.... $
Real estate in Pennsylvania situate ~ at: C; Townshi or Borough County
~ Street address, Post Office and Zip Code ~'~ p
(Attach addztiona! sheets, if~riecessary.,
® A. Petition for Probate and Grant of Letters Testamental 6/3/2004 and Codicil(s)
Petitioner(s) aver(s) he/sheltr ~y is/are the Executor(s) named u1 the last W~11 of the Decedent, dated
thereto dated --
State relevant circumstances (e.g. renunciation, death of executor, etc.)
Except as follows: after the ~~aecution of the instrument(s) oiTered for probate Decedent did not marry, wa fig) t divorced, was not a party to a pending
divorce proceeding wherein t'.e grounds for divorce had been established as defined in 23 Pa. C.S. § 3323 and did not have a child born or
adopted; and Decedent was ,::either the victim of a killing nor ever adjudicated an incapacitated person.
® NO EXCEPTIONS ^ EXCEPTIONS
^ $. Petltlon fOr Gran Of Letters Of AdminlStCation (lf appl~ abld~b.n., d. b. n. c. t. a., pendente lite, durante absentia, durante minoritate
If Administration, c.te ~. or ~l.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedera 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 '.vas neither the victim of a killing nor ever adjudicated an incapacitated person.
^ NO EXCEPTION ~ ~7 EXCEPTIONS
Petitioner(s), after a proper s. arch has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs (attach
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additional sheets, if necessnr ~~): ~ ,`~, i°sl
Relationship
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Page 1 of 2
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Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
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} SS:
COUNTY OF CUmberland } ~ ~
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Petitioner(s) Printe Name Petitioner(s) Printed Addre~ ``~~
{!3 ;''~ -"''~ ~°"~
202 Brackenwood Court ~,
Susan Bauer Liebert Timonium ~ ~ ~~ ~' ~ 2109:8'
..,9 ..»
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,,
~~
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The Petitioner(s) above-named s~ °ar(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 Person ~! Representative(s) of the Decedent, the Petitioner(s) wil well and truly adm~ ister the es to according to law.
~~ ~ ~
Sworn to ~ affirmed an ubscrib b ore ~ ~. ~ pate
~~ .
J•~
me thi day o `'~• --,~~~~~- ~__._...~' `~ ~ Date
B t_. ~ ~~~C~i
y' Date
r the Register Date
~,;
~~ ~~~
BOND Required: ^ YES ® NO
FEES:
Letters ................. ..... $ ~~• ``
( ~ )Short Certificates(s~ ...... ~ ~'~'
( )Renunciation(s) ......... .
( )Codicil(s) ............. .
( )Affidavit(s) ............ .
Bond .........................
Commission ............. ..... .
Oth r .. ...... _
~~/~ ...... /:S c `'
Automation Fee .......... ..... .
JCS Fee ................ ..... .
TOTAL ................ .....$
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..~
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name: Gerald J. Shekletski, Esquire
Supreme Court
ID Number: 40486
Farm Name; Stone LaFaver &Shekletski
Address; 414 Bridge Street
P.O. Box E
New Cumberland PA 17070
Phone: 717-774-7435
Fax: 717-774-3869
Email: gshekletski a~stonelaw.net
DECREE OF THE REGISTER
Estate of MOrtOn H. Bauer File No: ~ ~~~ ~ ~ ~ ~~ ~~
a/k/a: Morton H . Bauer, Jr .
AND NOW, ~ ~ ~ , in consideration of the foregoing Petition,
satisfactory proof having b~~n presented before me, IT IS DECREED that Letters Testamentary
_ are hereby granted to Susan Bauer Liebert
in the above estate and (if applicable) that
the instrument(s) dated Jtane 3, 2004
described in the Petition be «dmitted to probate and filed of record as the last Will (and Codicil(s)) of D~,cedent.
Register of Wills y ~~~~~~
Form RW-02 rev. 10%112011
Page 2 0
REG '}~7 R ~.
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G ~.~ 3.1 ~~ Nov o ~ 202
YLVANIA DEPARTMENT OF HEALTH VITAL RECORDS
Type/Print In COMMONWEALTH OF PENNS
CERTIFICATE OF SEAT State File Number:
)
ll M
Permanent o
Sex 3. Social Security Number 4. Date of Death (Mo/Day/Yr) (Spe
2
Z
y
Black Ink
1 . D ecedent's Legal Name (First, Middle, Last, Suffix) .
Male 21 7 - 20 - 7266 '
t ~-d ~
Morton
Sa. Age-Last Birthday (Yrs) H.
56. Under Bauer
1 Vear , Jr.
Sc. Under 1 Da
6. Date of Birth (Mo/D
ay/Year) (Spell Month)
7a. Birthplace (City and State or Foreign Country)
Baltimore MD
Months Days nu
Hours July 18 , 1 927 7b. Birthplace (county) Baltimore
85 R
8b esidence (Street and N umber -Include Apt No.) 8c. Did Decedent Live in a Township?
Lower A11en cwp.
Sa. Residence (State or Foreign Country) . Yes, decedent lived in
Penns lvania 1480 Maplewood Drive
city/boro.
8d. Residence (County)
d
l
Residence (Zip Code) 1 7 07 0
S Q No, decedent lived within limits of
ive name prior to First marriage)
if
If
'
an
Cumber e.
f D Wido
th ~] Married O e, g
w
s Name (
wed il. Surviving Spouse
i1e
D
ea
Ever in US Armed Forces? 10. Marital Status at Time o
rried ~ Unknow
9
M a
Mar orie Eleanor
n
.
Yes ~ No ~ Unknown 0 Divorced ~ Neve a
r 13. Mother's Name Prior to First Marriage (First, Middle, last)
Father's Name (First, Middle, Last, Suffix)
12 Dora Martin
.
Morton H. Bauer, Sr.
to Decedent
nshi
ti
R
l
14c. Informant's Mailing Address (Street and NN
b~, CC
PA 1 7 ~ 0
1IIIaUt erland
14a. Informant's Name 146. p
o
e
a
Wife O
,
~
1480 Maplewood Drives,
,~
Bauer
Marjorie E.
lac of Death
e
Sa
...... ...."...
...
1
. ._. Fac~li y ........... ecede nt sHome .......
.........
Check on y one).___ _.____ .
.. .... .
...... ..
- ~] Hosp~c
t~...... .........................
........
_.__
.....
__.......
ital: u Inpatient ...
.
..
............
to
51f Death Occurred Somewhere Other Than a Hospi 1
Q Other (Specify)
cilit
F
~ O
Y
g
If Death Occurred in a Hosp
Dead on Arrival
n
nt ~ a
Nursing Home/Long-Term Care
~f Death
y ~ 15d. County
(~
.
o e
p
Emer enc Room/Out a
c~lity Name (If not institution, give street and number;
F
15b ,
15c. C-t or Town, State, and Zip Code ~ ~ V ~ ~ „A
t y~! _r `
~yY~
-
z 4
~
-~TOI~Ykca GC.ir. ~S'~ ~
~ lj~1r lace of Disposition (Na a of cemetery, crematory, or other place)
16c
LL
' Cremation
16a. Method of Disposition Q Burial
State Q Donation
f 16b. Date of Disposition
-'-{{}I.~~.~,
NOVe2X12 2 ~ .
Evans Crematory
d rom
0 Removal
if
Person in Charge of Interment
17 b. License Num er
.~ y)
Q Other (Spec
osition (City or Town, State, and Zip)
f Di
17a. Signat, o un Se
-
rvice Licensee or
F+'D 012 $48 L
sp
16d. Location o
ScYlaefferstown, PA 17088
~ 17c. Name and Complete Address of Funeral Facility 0 BOX 431 , New Cumberl
P and , PA 1 7 070
MORE races to indicate what
I1ZC - '
Parttiemore FH & CS , -
anic Origin -Check the
f His 20. Decedent's Race -Check ONE OR
e
lf t
edent's Education -Check the box that best describes the
D p
19. Decedent o
e nt
e
-
o
the decedent considered himself or her
Korean
° ec
18.
hest degree or level of school completed at the time of death.
hi
b
Che k thee No'
a nic/Latino.
h/H s
i Q
~
White
Vietnamese
r g
rade or less
8th p
s
Span
anish/Hispanic/Latino.
ot S
i Black or African American
Other Asian
~
g
0
9ih - 12th grade
a
di
l p
s n
box if decedent
anic/Latino
Hi 4merican Indian or Alaska Native Q
~
waiian
H
i
,
om
p
~ No
High school graduate or GED completed sp
No, not Spanish/
~ Ves, Mexican, Mexican American, Chicano a
~ Nat
ve
(~ Asian Indian Guamanian or Chamorro
~
~ Some college credit, but no degree ~ yes, Puerto Rican ~ Chinese
~ Samoan
Q Associate degree (e.g. AA, AS) 0 Yes, Cuban ~ Filipino
~ Other Pacific Islander
O
Bachelor's degree (e.g. BA, AB, BS)
MBA)
MSW
MEd
E yes, other Spanish/Hispanic/Latino
~ Japanese
~
,
,
ng,
Q Master's degree (e.g. MA, MS, M
cif
)
s ~ Other (Specify)
Doctorate (e.g- PhD, EdD) or Professional degree y
pe
( al Occupation -Indicate type o wor
U
'
e. MD DDS, DVM, LLB, JD
dicate what the decedent considered himself or herself to be.
i
su
s
22a. Decedent
most of working life. DO NOT USE RETIRED.
i
21. Decedent's Single Race Self-Designation -Check ONLY ONE to n
Samoan
~ ng
done dur
White ~ Japanese
Korean
American ~
i Q Other Pacificlslander
S
' CiV11 Engineer/Project Mgr.
can
Black or Afr
Alaska Native ~ Vietnamese ure
t Know/Not
~ Don
226. Kind of Business/Industry
0 American Indian or
Q Other Asian Refused
0
Asian Indian
0 Native Hawaiian ~ Other (Specify)
Civil En ineerin
~ Chinese
Filipino Q Guamanian or Cha morro
onouncing Dea
P
th (Only when applicable)
23c- License Number
ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounced Dead (Mo/Day/Vr)
BV PERSON WHO PRONOUNCES OR ~~ /.~~ ~ Q ~ 'Z r
23 Si nature of Person
~ gg /~~/ ~ ~
~`~!/ M
S~~ ~~ ~mq~ ~/ _. L+
~!~) ~i.~
CERTIFIES DEATH
Date Signed (Mo/Day/Yr) 24. Time of Death
23d
7 -
No
~
Was Medical Examiner or Coroner Contacted? ~ Ves
25
.
_ ~ ~ ~~ •
• ~ ~ 2G, y /
6- .
Approximate
r com
i CAUSE OF DEATH Interval:
e Add addat onald lanes if necessary Onset to Death
plications--that
n
r
0
a
D
T
es, o
26. Part 1. Enter the chain of events--diseases, injur
wi
h a line
on
one cau se
r only
Ente
E
DO NOT ABBREVIA
the etiology.
n
g
o
respiratory arrest, Or ve ntricUlar fibrillation without s
IMMEDIATE CAUSE -------------~ a-
(Final disease or condition
c
e
onsequen
Duet (or as a c
f) /
o~
~L~r~C
~
/
P
resulting in death) ~/1d r'~Gr`jG {{
~--
_
.~
/
~
I
/
/~~Vn f~~ /
~f ~Jit l ~- y~J /~~ll"y ~ ~ t/a~
b.
Due to (or as a consequence f)
Sequentially list conditions,
if any, leading to the cause
listed on line a. Enter the c-
Due to (or as a consequence of):
UNDERLYING CAUSE
z (disease or injury that
initiated the events resulting d.
Due to (or as a consequence of):
in death) LAST.
iven in Part 1 erfor d?
27. Was an autopsy p
u
26. Part 11. Enter other si nifica nt conditions contributing to death but not resulting in the underlying cause g tes
Mi
Yes No
findin s av ble
2g. Were autopsy g
d
S
L
W
V
O
0
Q
z
o to complete the cause death?
g ~ Yes No
m
~
30. Did Tobacco Use Contribute to Death?
31. Ma r of Death
Natural ~ Homicide
'~ 29. If Female: ~ Ves ~ PJ~atTably
0 Accident ~ Pending Investigation
~ ~ Not pregnant within past year ~+[J
[] No nknown Suicide ~ Could not be determined
~
~ ~ Pregnant at time of death
~ Not pregnant, but pregnant within 42 days of death
th
d 32. Date of Injury (MO/Day/V r) (Spell Month)
f Injury
ea
1-° ~ Not pregnant, but pregnant 43 days to 1 year before 33. Time o
Q Unknown if pregnant within the past year
d Number
State, Zip Code)
City
school
34. Place of Injury (e.g. home; construction site; farm; ) 35. Location of Injury (Street an ,
,
38. Describe How Injury Occurred :
36. Injury at Work 5 ecif
37. If Transportation Injury, p Y=
Yes ~ Driver/Operator ~ Pedestrian
cif
)
S
Q No y
pe
~ Passenger Q Other (
39a. rtifier (Check only one):
To the best of my knowledge, death occurred
datesand place, and
t
i
s
due to the cause(s) and manner stated
rate
a
me,
an -
the
Certifying physic
death occurred at
sician - To the best of my knowledge,
e
e
h
t
i
f
d m date, and pl
(
n
~~
y
`~%
ng p
ea
y
Q Pronouncing 8~ Certi
the basis of exam' a, n, and/or investigation, in my opinion,
~
,y .l
-f j--
66 ~O
~/l~~
t
b
U
Q Medical Examiner/Coroner -
Title of certifier: Licen er
l
tu
se N
Date Signed (Mo/Day/Yr)
39c
Signature of certifier:
G use of Death (Item 26)
i
l .
~,~tljCr / ~V( Z
`
~
et
ng
39b- ame, Address and Zip Code f Person Comp
T
f ~~~ ~ ~//j'7 7 ~~ v3~
O
~ ~/
J
istrar File Date ( o/Day/Yr)
Re
42
a
)
/,
~~X A` ~~
/
` g
.
2
,.~~~. n„ ~.., t, 41. Regis[ra is Signat sal _ _ ~ _
. _ _ . ____-~_ .-
._ ..
~~ /S~ ~ ~
43. Amen
a ~' °'Z ~ ~
H 105-143
G REV 07/2Q11
Disposition Permit No. O•~ - 7 ~p
ep\wills\BAUERmorton
rte.
~~ ~ ~
LAST WILL AND TESTAMENT ~ ~., -~~ ;~ °
-
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~
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~~, ~ ~;.~
MORTON H . BAUER ~=` t~ ~~
-=i ~'~"
~~'' ~
BAUER, of the Borough of New Cumberland,
MORTON H Cumberland
.
I
County, Pennsylvania, declare this to be my last will and revoke any
will previously made by me.
ITEM I: I direct that my Executor hereinafter named shall pay
11 m 'ust debts and funeral expenses as soon as conveniently may be
a y ~
done after my decease from the residue of my estate.
ITEM II: I make the following bequests:
A. I bequeath all of the Verizon Communications Common
at the time of my death to my grandson, BRUCE
Stock which I may own
BAUER LIEBERT.
B. I bequeath 100 shares of Pfizer, Inc., Common Stock to
my granddaughter, ALEXANDRA LIEBERT.
ITEM III: I devise and bequeath all the rest, residue and
finder of my estate of every nature and wherever situate, in equal
rema
hares to my daughters, CHRISTIE LYNN BAUER LIEBERT and SUSAN BAUER
s
LIEBERT, or to their issue, per stirpes.
Page 1 of 4
ITEM IV: I appoint my daughter, SUSAN BAUER LIEBERT, Executrix
of this my last will. Should my daughter, SUSAN BAUER LIEBERT, fail
to qualify or cease to act as Executrix, I appoir:.t my daughter,
CHRISTIE LYNN BAUER LIEBERT, Executrix of this my last will.
ITEM V: No fiduciary acting hereunder shall be required to post
bond or enter security for the faithful performance of her duties in
any jurisdiction.
IN WITNESS WHEREOF, I, MORTON H. BAUER, have hereunto set my hand
~~ ~ 2004
d a o f ' J,,, '
and seal this Y
~' ~ ;'
t . ~,~: ~.
MORTO H. BAUER
SIGNED, SEALED, PUBLISHED and DECLARED by MORTON H. BAUER, the
Testator above named, as and for his Last Will and Testament, and in
who at his request, ire his presence and in the
the presence of us,
prese of each other, have subscribed our names as witnesses.
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Address _ - `~' _~
Witness ~ .....
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Address
Witness
Page 2 of 4
.,.t
COMMONWEALTH OF PENNSYLVANIA
. SS.
COUNTY OF CUMBERLAND
~' •_,~y ~ r, ~.~``,~ ~~N ~~ ~'`~ ~ and ~~-~ ~. -~
We,
he witnesses whose names are signed to the attached or foregoing
t
ument being duly qualified according to law, depose and say that
instr ,
we were resent and saw Testator sign and execute the instrument as
p
st will; that Testator signed willingly and that he executed it
his la
free and voluntary act for the purposes therein expressed; that
as hls
us in the hearing and sight of the Testator signed the will as
each of
• that to the best of our knowledge, the Testator was at that
witnesses,
time eighteen or more years of age, of sound mind and under no con-
straint or undue influence.
.~-=~-
~-~ ,-
~~t
.f ._ ,.
Witness
.~~
,~
. ,>.,
Witness
Sworn to o_r affirmed to and acknow edged before me by
..
,- -.
.._,,~ ~''` ~ ~~' as'C`r- and ~ ~.~~ ~ . 1. \t `~_a~:- ,
witnesses, this ~_ day of ~
.,~~.~~"
~~ ~ ~~~~~`~ t~ Put~lic
~THLEEN KE
tdew ~umbeciand l~orQ., Cuaec~i5n20~6
My Commisstou Expires
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~~s
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Notary Publ c
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Page 4 of 4