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HomeMy WebLinkAbout01-04-13PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF ~~~ (tC(.hC~ 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(,) the following and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information Name: ~ ~~~ '~'^ -sv_~\pr File No: ~ ~ - I ~ _ - ~~CJ~l~ a/k/a. (Assigned by Register) a/k/a: ~~a' Social Security No: p(Q - 1 ~ Date of Death: 1 ~. 'a.t5\\Z Age at death: ~ Decedent was domiciled at death in ~ ~rnee,e ~~1 County, Qn. (ware) with his/her last principal residence at y ~{~. <~~~,1~. _i Pia.... n ~ ._ ._ ..-, n _~ , _'~- r. Street address, Post Office and Zip Code City, Township or Borough Count Y Decedent died at ~-I c..4 ~~d\ n .~ ~~~. I-1 ~~ ~b-C'~~~~-t? ~ ~\ 4 ~ Street address, Post Otrce and Zrp Code City, Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsy!vania ............................ All personal property $ "?, b Cj~~ If not domiciled in Pennsylvania............ .Personal property in Pennsylvania $ ........... Ijnot domiciled in Pennsy!vania ........................ Personal property in County $ value ojreal estate in Pennsy/vania ....................... .. $ ......................... TOTAL ESTIMATED VALUE.... $ ~ C~ n~ ~ Rest estate in Pennsylvania situated at: (~ r (Attach additional sheers, il'necessary.) Street address, Post Office and ZIp Code City, Township or Borough Count Y 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 t b~ l ~- `a,c~-~_ and Codicil(s) thereto dated State relevant circumstances (eg. renunciation, death ojexecatop 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 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.a., d.b.n., d.b.n.c.t.a., pendente life, durante absentia, durante minoritate If Administration, c.t.a. or d.b.n.c.ta., enter date of Will in Section A above and com lete list of heirs. Except as follows: Decedent was not a parry 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. ^NO EXCEPTIONS ^ EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the folldWing spouse (ifat~ additional sheets, il'necessury): ~ O ~,,,~; , ~ ~ c_ Name _ ~ Relatio Fa•m RW-t)2 rev. 1 D/11/1011 Ad stC ~ 2s ~ ~ :7C ~ .-- - --~ -- ~, G ~ ~ ::ZA (,; C 1"S C:~ td his Mach t.,.l ~ ~' [~ y ~l7 1`ti'S r+1 ~:+ :~ 'q7 `+~ ._4.t ~° °. Y'r~ V~ . "Yl Page 1 of 2 DC/snn,...._ Oath of Personal Representative CO~i~,(0~'~.4'E,~LTH CF PE~~S~iLV,;Vi,~ } c~:;,- .'r of `~1ry1~ ~~~ 6~ - ~ ss ~ST$c'~c~~~r~r,tr.. ~~" •.~13 :~FN ~ ~;"I ~ (~ w r~4 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. Sworn to ~ aff rmed d subscribed before c~QQ ~ ~~~ Date t - 4- 1 m2 t ' {-~ day of 'v By: 1 ~ Date Date For rke Resister Date BOND Required: []yES NO To t/re Register ojWills: FEES: Please enter my appearance by my signature below: Letters ...................... (~ )Short Certificate(s)...... $ t ~. Q~) ) • 5 ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Botid ........................ Conttnission ................. . -•eritzr Lu + l I ...... J]_LV_V 3~-~~r L f ...... 1 ~ . FJ ~v Lt1ilTClkl~.trr Automation Fee ............... c~~ . ~'v ]CS Fee ..................... ~ 5 ~ :'L' TOTAL ..................... $ t ~] c~ ~ :7C~ Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Fax: Email: DECREE OF THE REGISTER Estate of _ ~~~ ~ ~h C C.-ll~( 1i (` File No• ~ ~ - ~~ j - ~;~; ~ a/k/a: AND NOW, ` 1. 7 ~(~ 1 ~ , in consideration of the foregoing Petition, satisfactory proof having een presence fore me, IT IS DECREED that Letters T,~-~~ni C 1 l~'9 are here y granted to • in the above estate and (if applicable) that the instrument(s) dated ~~ -- l7 - Z( Y'Z desct•ibed in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedetlt. egister of Wills Form RLi/_/17_ e..... ~nuinni~ __ __ - _• __. _. _ n n rep _. H105-ROB REV rq/nl - _ - - - - - - - -- LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. RECORD ~~Ar_ ~~. u• ~,_ Fee for this certificate, $6 Y~D D` ~~($ t ,~ ~~ DF j.•,, _. This is to certify that the information here given is ~- ~ ~ correctly copied from an original Certificate of Death lfli3 ~ duly filed with me as Local Registrar. The original '~"~~ ~ ~~ ~ ~~ certificate will be forwarded to the State Vital v Records Office for permanent filing. 1 ~ 21 ~' ~ c.~R~ c1= `~ ~ aivs' c~~p ~ ~' ~ « X27 Certification NuBE~L~ND (~ Local Re istrar Type/Print In ~ "~ • f ~~ g Date Issued CO ONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS Permanent rCefTS r^/~wT~ w a ------- -~ ~" ~~ ~"'ms's Seats File Number: 1. Decedent's Legal Name (Fires, Middle, Last, Suffix) Z. Sex 3. Sale SecuHty Number 4. Date of Death (MO/Day/Yr) (Spell Mo) Ruth Eleanor Gueler Female 206-18-2017 December 20 2012 S , a. Age-Leaf Birthday (Yn) Sb. Untler 1 Year Sc. Under 1 Da 6. Date of Birth (Me/Day/Ygr) (Spell Monti) 7a. 9lrthplace (City and SUte or Forolgn Gauntry) M h ont s Days Hours Minutes 88 February 2i. 1924 7b. Birthplace (County) Fa etta Se. Residence (Strte or Forolgn Country) gb. Residence (Street and Number -Include Apt No.) Bc. Did Decedent Llve In a Township? Penns 1Vani8 QYes decedent Ilved I , n twP ad. Residence (County) 442 Walnut Bottom Road Cumbe land ee. Residence (Zip Code) 17103 ®NO, decedent Ilyed within limits of - Ca.rlit le city/burp . 9. Ever in US Armed Foreu7 30. Maribl Statu; at Tlme o1 Death Married Wf Awed 11. Surviving Spouse's Name (H wife giw name prior to flrat m i 0 Y ® , es arr age) NO Q Unknown ®Olyorced Q Navlr Married ~ Unknown 12. Father's Name (First, Middle, Last, Suffix) 13. MpthlYS Name Prior to First Marriage (Firrt, Middle, Last) Emant'ul Malik Daisy Felton 14a. Informant's Name 14b R l ti hi ' . e a ons p to Decedent P lac. Informant s Meiling Address (Street and Number, Clty, State, Zip Code) ff F-i am Shank Dau titer 95 Cold 8 ring Roads Carl i>s,3e:~„PA 17015 i5 ........................................................ ................... .............. I} Death Occurred in a Nos Ital: ........ P Inpatient ~ a. ace o .. ~.... a on y one .................... ........ ............... ............ ....... ... ........ ... ....... ....... ..... 11 Death OCCUrretl Somewhere Other Than a Hospkal: t~~HOSpice Fedl{ty ~ D d ' H • Emer enry Room/OUtpatlent Dead on ArHVaI l b ece ent s ome Nursin Nome/LOn -Term Gre Facility Other S Hy) ( Pee ~t 3 S . Facility Name (If not Institution, glue rtroee and number; Thortlwald Home SSe. City Or Town, State, and Zlp Code iSd. County pf Death 16a. Method of Disposition surlel Cremation Q Removal from Stat Carlisle pp 17103 Ctamberland 1gb. Date Disposition 1gc. Piece o Disposition (Name of cemetery, crematory, or other piece) e ~ Donation Other (Specify) ~e2~ ~~ ~o~~?` Cremation Soeiet of P l 16d. Locetlon of Disposition (City or Town, Sbee, and Zip) enn 17a. Sign of ral Se cosec or P i Ch Ce er vania Hatriaburga Pennaylvanis.17109 ~ erson n arge of Interment 17b. Veense Number FD-013376-L 17c. Name antl Complete Address of Funeral FaeiRty ~ Auer C ion Se vices of Penns lvania Znc. 4100 Jonestown Road Harrisbur PA 17109 ' ~ 1g. Decedent s Education -Check the box that best describes the 19. Decedent of Hlspanlc Orlgln -Check tM 20. Decedent's Raee -Check ONE OR MORE races to Indlute what highest degree or Iwel of school com leted t th i f p a e t me o death. box that bast describes whether the decedent the decedent considered himself or herself to be. Q 8th grade or less Is Spanish/Hlspanlc/Utino. CMck the "NO" a'] White Korean ~ No diploma, 9th - 12th grade box IT decedent Is not Spanlah/Hlspanlc/Latino. ~ slack or AiNUn Ame i r can [] Vietnamese ® High school graduate or GED completed ®No, not Spanlah/HlSpanic/Latino Q Amarlon Indian or Alaska Native 0 Other Asian ~ Some colle e credit b t d g , u no egree Q Yes, Mexlun, Mexlun American, Chicano Q Asian Indian 0 Native Hawaiian Q Associate degroa le.g. AA, AS) 0 Yes Puerto Rlcen , ~ Chinese ~ Guamanbn or Chamorro Bachelor's degree (s.g. BA, AB, BS) Q Yea, Cuban 0 Fill lno p Q Samoan Q MesNr'a dyree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Yes, OtMr Spanish/Hlspanlc/Latino Q /a Panese Q Other Pacific Islander 0 Doctora[e (e.g. PhD, EdD) or Professional degroe (Specify) 0 OtMr (Specfy) . MD DDS DVM LLB JO 21. Decedent's Single Raee SeH-Designation -Cheek ONLY ONE to Indlute what the decedent considered himself or herself to be. 22a. Deudent's Usual Occupatlon -Indicate type of work ® Whlta ~ Japanese ~ Samoan done during most of working life. DO NOT USE RETIRED. Q Bieck or African Americ ~ Korean ~ Other Pacific Islander American Indian or Alaska Native Q Vietnamese Q Don't Know/Not Sure Training Director Asian Indian 0 Other Asian ~ Refused 22b. Kind of Business/Industry 0 Chinese Q Natlye Hawaiian ~ Other (SPecify) 0 Fillplno Q Guemanlan or Chamorro Weight WatCher6 EMS 2ge - M M-L E 23e. at o cants Dee Mo Day 2 gnaturo o arson fonouncing Wtt n y w en app Ica a 23c- License Num r aY -lRSON WHO PROMOVNClS OR ~ ~ ~ CERTIFIES DEATH 23tl. D e 51 reed (MO/Day/Yr) 24. Tme of Death 25. Was Medlin Examiner Or Coro er Wntaeted7 Q Vu No n CAUSE OF DEATH Approximate 26. Pert 1. Enter the chain of events--diseases, Injurlu, or compllutlons--that directly caused the death. DO NOT enter terminal eye nts such as cartlbc arrest ~ Interval: , respiratory arrest, or ventricular fibrllletlon wI[hout show in g the etiology. DO NOT ABBREVIATE. EnTer only one cause on a Ilne. Adtl additional Ilnes It necessary I Onset to Death ~ f .~ IMMEDIATE CAUSE ---------------a a. ~-7 ~ ~r y\V'~ ~f 1L t V +~, ! lJ.,~i`~ ` (Final dlspse or eondtfion OW to (or as a consequence ot): resulting In death) r~ ~ ~t~ La7 P U b . ~ C!~/~ C Mo.~ Sequentially Ilst conditions, Due to (or as a wnsequence of): if any, leading to the cause listed on line a. Enter the V NDERLYING CAUSE Due to (or as • wnsequence of): ~ (disease or Injury that c Initlatad the vents resulting d. ~ in death) LAST. Due tD (or as a consequence of): 26. PaR 11. Enter other slenifl a t ditl ~ t Ib I to death but not resulting In She underlying Cause given In Part I 27. Was an autopsy performed? ~ Yes No ~• 2B. Were autopry findings aval4ble to Complete the ca of death? Yes 29. If Female: ~ Not Pregnant within Patt Vear 30. Dld Tobacco Use Contribute to Deethi ~ Vu 0 Probably 31. Hoer of Death .~ 0 Pregnant at time of death ~ Not pregnant, but Pre gnant within a2 days of death N 0 NO Q Unknown Natural ~ Homicide 0 ~ g g Accident Pendin Investl rtlon ~ Suicide ~ Could not De determined ~- O ot prognant, but pregnant 43 days to 1 year before death Unknown if ~ pregnant within the put ear 32. Date of In ury (MO Da 1 / Y r) (SPell Month) y 33. Time of Injury 34. Place of Injury (e.g. home; cons<ruetlen site; farm; seheol) 35. Location of Injury (Siroet and Number, CI ty, Stetl, Zip Code) 36. Injury at Work 37.1 Transportation Injury, Spe<ITy: 38. Describe Hew Injury Occurred: Q Yes ~ Drlyer/Operatof 0 Pedestrian ~ No Q Passenger 0 Other (SPecity) 39a. Certifier (Check only one): ertifying physician - To the best of my knowledge, death occurred due to the cause(s) and manner sbted ronouncing a GrtNying physician - To the best of my knowledge tleath occurred at the ti d , me, ate, and plan, and due to CM cause(s) and manner stated Medical Examiner/COra n On the basis of examinatian and/or In l l yest gat on, In my opinion, dea th occurred at the time, dace, and place, and due to the p ~~~ ca u s e(s) end manner stated -^ _ ~ ~ t' ~ Signature of certiAer: lSV' .~ (Vw ~~, try Title of certifier: 1 V(~ License Number: • ti ~t bZ~.[fj 39b. Name, Address and Zlp Code of Person Completing Guse of Ogth (Item 26) 39 Oata Sign (MO Day/Yr) GG o~~" 6~ . 3'"chJCUr>^ r.r.~ '77 ~'yt(J~c+-. Or~~ CZ*wyJa. Pga l'~l ~Gv ~L tiol 2 J ._. 40. aglstrar s District Num er 41. Regls[rar s gnatur~ ~ 42. Reg rtrar F e Date Mo ay r °~ ~ a ! a ~ oZ7 - o?O t~ 43. Amendments Z+~n~ =t- 3q4 ., a ~d ~ er~~Y iR Ah~~_<-~ct'a 1 ', ra~o~-dcr ~, .S~ ~~ ~. .9 DlsposlTlon Permit No. ~ ~ Vr T V T- J H705-143 REV 07/2011 e , LAST WILL AND TESTAMENT OF RUTH E. GUSLER I, Ruth E. Gusler, of Cumberland County, Pennsylvania, being of sound mind and memory, do make, publish and declare this my Last Will and Testament, hereby revoking any and all Wills by me heretofore made. FIRST: I direct that I be cremated and my remains interred in an urn at the Rolling Green Cemetary, the arrangements for same already having been made during my lifetime. SECOND: I give, devise and bequeath the following: a) To my son Robert C. Kressler, my curio cabinet, my small stand with marble top and stained glass lamp. b) To my granddaughter, Tiffany Gardner, my lamoge miniatures c) To my grandchildren, Andrea Shenk, Kyle Shenk and Nathan Alleman, my remaining crystal miniatures, to be divided among them in such manner as they shall choose, but if they are unwilling or unable to effect such division by their own choice, then my Executrix shall sell such items and allocate the proceeds equally among them. d) To my daughter Pamela A. Shenk, the set of dishes in my china c 1 o s e t . ~, T..~et cn - ~a~e.w - GJo~+l -~-Jt.. e.~~i c~,aQ ~,~ S Qom.. ` 2 ~O--e9't3~ THIRD: I give, devise and bequeath all my remaining tanaiblP personal property, of whatsoever kind and wheresoever situate, to Robert C. Kressler, Pamela A. Shenk, Karen S. Alleman, Tiffany Gardner, Nathar_ P.lleman, Kyle Shenk and Andrea Shenk, to be divided among them in such manner as they shall choose, but if they are unwilling or unable to effect such division by their own choice, then my Executrix shall sell such items and allocate the proceeds equally among them. FOURTH: I give, devise and bequeath to my daughter, Pamela A. Shenk, 10~ of all of the rest and remainder of my estate whatsoev~ kind ~ ~ ~'- © m fTi wheresoever situate. ~ ~ ~ ~ O m ~ ,n .~ crr :~ PAGE 1 OF 2 PAGES ~ ^~ ~ r tri 3y CJ7 U3 ~ L"]Q 'Y7 FIFTH: As to any part of my estate that cannot be distributed pursuant to any preceding paragraphs of this Will, I devise same in equal shares to Robert C. Kressler, Pamela A. Shenk, Karen S. Alleman. SIXTH: I hereby nominate, constitute and appoint my daughter, Pamela A. Shenk, to be the Executrix of this my Last Will and Testament. I direct that my personal representative be excused from entering and/or filing any bond to assure the proper performance of her duties. IN WITNESS WHEREOF, I have hereunto set my hand and seal this -~- day of October, 2002. TESTATRIX (SEAL) . GUSLER WI ESSED: ADDRESS J ~03 % ~ff/'~o// ~' ` ~ ~~ ADDRESS G)"/~~l~lOf1 ~11-~i ~GC.3 ~~l~ 7~~/ ~~~~~~~ ~. COMMONWEALTH OF PENNSYLVANIA: • §§ COUNTY OF Cumberland Ruth E. Gusler, the Testatrix, and the above witnesses, whose names are signed to the foregoing instrument, being first duly sworn, each hereby declares to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament in the presence of the witnesses and that she had signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of their knowledge the Testatrix was at the time eighteen years of age or older, of sound mind and under no constraint or undue influence. Subscribed,s~w~rn to and acknowledged before me by the Testatrix and the witnesses, this _~t- day of October, 200 . ~jY ~, Notuial Seal ~~, NOTARY PUBLIC Norman M. Yoffie. Noury Public My Commission Expires Camp Hill Boro. Cumberland Connty My Commission Expires Aug. 26, PAGE 2 OF 2 PAGES .E. gusler\will