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HomeMy WebLinkAbout01-02-13 PETITION FOR GRANT OF LETTERS ~~15 t< OI ~L • -~)F CUmBERLAND COUNTY, PENNSYLVANIA Petitioner named below, who is 18 years of age or older, applies for Letters as specified below, and in support thereof avers the following and respectfully requests the grant of Letters in the appropriate form: Decedent's Information Name Ruth E. Smeltzer File No: a/k/a: Ruth B. Smeltzer (Assigned by Register) Social Security No: Date of Death: December 13 2012 Age at death: 94 Decedent was domiciled at death in Cumberland County, Penns lvania (State) with her last principal residence at 100 Mount Allen Drive, Mechanicsburg 17055 Upper Allen Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 100 Mount Allen Drive, Mechanicsburg 17055 Upper Allen 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 $ 202.500.00 If not domiciled in Pennsylvania . Personal property in Pennsylvania $ If not domiciled in Pennsylvania Personal property in County $ Value of real estate in Pennsylvania $ TOTAL ESTIMATED VALUE.... $202,500:00 Cl> Real estate in Pennsylvania situated at w ~p Street address, Post Office and Zip Code City, Town ffi. -1 p= Borougl i5 .G j County X A. Petition for Probate and Grant of Letters Testamentar r m = - ---t C=9 Petitioner avers it is the Executor named in the last Will of the Decedent, dated June . 2008 r N to tM thereto dated ~Tt State relevant circumstances (e.g. renunciation, death ofeeecutor, etP:J i...a ,..1:) V i-r Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, waa no divorceas n arty to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. J-1323(g), and i not havM child born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. X NO EXCEPTIONS EXCEPTIONS B. Petition for Grant of Letters of Administration (If applicable) e.t.a., d .hi., d.e.c.l.a., peadenle lite, durance adsemia, durate aiinoritate 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. § 3 323(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 the following spouse (if any) and heirs (attach additional sheets, if necessaiy): Name Relationship Address Form RIF-oz rev. 1011112011 Page I of 2 Oath A Personal Representative Orficia! Use Only COMMONWEALTH OF PENNSYLVANIA } r } SS: COUNTYOF MIFFLIN } Petitioner(s) Printed Name Petitioner(s) Printed Address The Fir National Bank of Mifflintown VP Trust Officer T, Petitions Qand.that, ove-named swear(s) or affirm(s) the statements innhe foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(as Personal Representative(s) of the Dec nt, the Petit' v (s) will well and truly administer the estate according to law. %r.SWorn to or' ffrrrrted and subscribed before - Date Zt! 1 Z 'Me t s ~ d~ ,o Dec . 2 012 Date t . By : s~ .4 Date For he gutter Date yr, _ ,ONb_Required: Q YES ® NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters $ 310.00 Attorney Signature: ( 2 ) Short Certificate(s)...... 10.00 ( ) Renunciation(s)......... ( ) Codicil(s) N AA A Al ( ) Affidavit(s)... Bond Printed Name: Peter J. 0' Donnell Commission Supreme Court Other Will 15.00 ID Number: 23937 Inh.Tax Retur.n...... 15.00 Inventory 15.00 Finn Name: Nielsen & O'Donnell • • • • • • • • Address: 15 out Wayne ree _T.Atdi etr)wn PA 1 7044 r C> (717) 24 &911 rri rn Phone: Automation Fee 5.00 Fax: p Lbb- JCS Fee. Email: i coui} t 7 TOTAL $ 93 50 w t.. rv rr, DECREE OF THE REGISTERS Estate of Ruth E. Smeltzer . File No: _o 66 I a/k/a: -n AND NOW, January , 2013 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, 1T IS DECREED that Letters Testamentary are hereby granted to The First National Bank o i intown the instrument(s) dated June in the above estate and (if applicable) that 1~ 2008 described in the Petition be adrnitted to probate and filed of record as the Ia t Will (and C Ali I(S)) of Decede j 1 t,(.!_ egister of ills 7 q - Y--If :°wrnt Ril'=02 rev. Ill,'11;:U;1 Page 2 of 2 IilUSn05 RP.V r9/I I I LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, S6.0(RECORD"ID op + "1~1NOfp~ This is to certify that the information here given is REGISr by correctly copied from an original Certificate of Death -f -R dulti filed %Nr me as Local Registrar. The original 1 , 1~. ~ certificate ~,ill be forwarded to the State Vital t~113 vr~i~ F'B'I Records' Office for permanent filing. x f r~~ - Ow F(' L9012 CLERK P 19161024 Certification Number ORPHANS' ~ ~ i - Local Registrar Date Issued Type/Print In COMMONWEALTH OF 1ENN111VAN1A - DEPARTMENT OF HEALTH • VITAL RECORDS Permanent CUMBERLAND C o ; Black ink O., EA CERTIFICATE OF DEATH State File Number: 1. Decedent's Legal Name (First, Middle, Las[, Suffix) 2. Sex 3. Social Security Number 4. Data of Death (MO/Day/Yr) (Spell Mal Ruth E. Smeltzer fA®Ie 196-05-8688 ixcmlber 13, 2012 Fa. Age-Las[ Birthday (Yrs) 5b. Under 1 year Sc. Undat 1 Da 6. Data of Birth (MO/Day/Year) (Spell Month) 7a. Birthplace (City and tote or Foreign Country) 94 Months Days Hours Minutes j{ APr~-1 20, 1918 7b. Blrthptar , (County) 8a. Residence (State or Foreign Country) III, Residence (Street and Number - IncI.d Apt No.) 8c. Did Decedent Live In a Township? IF3 P 100 Mount Allen Drive Na Yes, decedent lived In Upper Allen ty p. 8d. Residence (County) C =iiI7et19rzd Be. Residence (Zip Code) C1 No, decedent lived within limits of city/born. 9. Ever In US Armed Forces? 30. 'I'll Status It Time of Death 0 Married Widowed il. Surviving Spouse's Name (If wife, give name prior to first marHag¢) 13 Yes 10 No 0 Unkno ~ Olvorced I1 Never Married M Unknow 12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, Last) Carroll Lincoln ht W 14a. Informant's Name 146. RelatlonsHlp to pe[e dent 14e. Informant's Mailing Address (Street and Number, City, State, Zip Code) Eiana R. Saoeltzer da titer 373 St a Lane Mechanics ply 17055 G _ _ _ _ _ _ _ _ _ iSa_P ace o Deaf c ec o tie c If Death Occurr_eId naHospital: ❑ Inpatient IIf Death Occurred Somewhere Others, Than a Hospital: d Hospice Facility b Decedent's Home 0 Emergency Room/Outpatient 0 Dead on Arrival I Nursing Home/Long-Term Care Facility Q Other (Specify) 15b. Facility Name (If not Institution, give street and number) -c. City or Town, Stele, and ZIP Code lSd. County of Death y, 16e. Metho of Dlsposltlon Burial Cremation 16b. Date of Disposltlon' 16c. Place of os IDon (Name of cemetery, crematory, or other place) 0 Removal from State E3 Donation El Other (Specify) Dec. 14, 2012 at, on Association of Central PA 16d. Location of Disposition (City or Town, State, and Zip) 17a. Signature of Funeral Service Licensee or Person In Charge of Interment 17b. License Number I.ewisIbo cI , PA 17044 FD 015214-L E 17c. Name and Complete Address of Funeral Facility S Heller-Hoensit Funeral Home Inc. St. PA 18. Decedent's Education -Check the box that best describes the 19. Decedent of75 HlspanlcOan rlgln - Check the 20.Decedent's Race - Check ONE OR MORE races to Indicate what t- highest degree or level of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herself to be- L3 8th grade or 1¢s1 is Spanish/Hlspanlc/Latino. Check the "No" $'White 0 Korean 0 No diploma, 9th - 12th grade box If decedent Is not Spanish/Hlspanlc/Latino. 0 Black or African American 0 Vietnamese .>RT High school graduate or GED completed CW No, not Span lsh/H lspa nic/Latino 0 American Indian or Alaska Native 0 Other Asian M Some college credit, but no degree 0 Yes, Mexican, Mexican American, Chicano 0 Associate degree (e.g. AA, AS) 0 Yes, Puerto Rican 0 Asian Indian 0 Native Ilan 0 Bachelor's degree (e .g. BA, AS, BS) E3 Yes, Cuban O Chinese E3 Guamanian n or Chamorro Filipino 0 Samoan E3 Master's degree (e.g. MA, M5, MEng, MEd, MSW, MBA) U Yes, other Spanish/Hlspanlc/Latino 0 Japanese E3 Other Pacific Islander 0 Dcctorate`(e.g. PhD, Edo) LL Professlonal degree (Specify) 13 Other (Specify) . MD DDS OVM LLB JD 21. Decedent's Single Race Self-Desl...lion - Check ONLY ONE to Indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation - Indlcate type of work J'-White E3 Japanese E3 Samoan done during most of working life. DO NOT USE RETIRED. O Black or African American C3 Korean 0 other Pacific Islander 0 American Indian or Alaska Native 0 Vietnamese {r O Don't Know/Not Sure jCeta../I 0 Asian Indian . 0 Other Asian E3 Refused 226. Kind of Business/Industry 0 Chinese 0 Native Hawaiian 0 Ocher (Specify) O FIIlplno 0 Guamanian or Chamorro FJC~I]Cation ITEMS 230 - 23d MUST BE COMPLETED - - Date Pronounced Dead (Mo D.Y/Y0 23b. Signature of Person Pronouncing Death (Oniyw en applicable) Z3c. License Number BY PERSON WHO PRONOUNCES OR CERTIFIES DEATH ~I- I -4 O~a L 3d. Date Si 2 gned (M /Day/Y,) 124. Time of Death caa~ _ c~5 25. Was Metllc Examiner or Coroner Contacted? 0 yes No CAUSE OF DEATH Approximate 26. Part I. Enter the chain of events--diseases, Injuries, or compllcatlons--that directly caused the death. DO NOT enter terminal events such as -d'- arrest, Interval: respiratory arras[, or yeti trlcular fibrillation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines If necessary. I Onset to Death IMMEDIATE CAUSE I (Fl..I disease or condltlon Due to inr as a consequence of): resulting In death) Z 't b. Sequentially list con dltlons, Due to (or es a consequence of): If nd, leading to the Ilst¢d le line a. Enter the c UNDERLYING CAUSE D e to (or as a consequence of): (disease or injury that ' F Initiated the events resulting d,-~-~ In death) LAST. Due to or seg as a con ( uenee of): S 26. Part 11. Eme? other slgnlflcan[ contlitions contrlbuting to death but not resulting In the underlying cause given in Part 1. T..- Was an autopsy perfoadz E3 Yes Were autopsy findings liable .J to cOOplate the eau `-.4..th? Y. No 29. If Female: 30. Did Tobacco Use Contribute to Death? 31. Manner of Death S ;N,tpragnantwithinpastyear Q Yes OJProbably Natural 0 Homicide D Pregnant at time of death O No ~l Unknown 0 Not pregnant, but pregnant within 42 days of death 0 0 Accident O Pending tnvestiga r-I Suicide Couttl no b¢ determned t- O Not pregnant, but pregnant 43 tleys to 1 year before death 32. Date of In Jury (Mo/Day/Yr) (Spell Month) O Vnknown 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, City, County, State, Zip Code) 36. Injury at Work 37. If Tra nsportatlon Injury, Specify: 38. Describe How Injury Occurred: O Yes 0 Driver/operator O Pedestrian o No 0 Passenger o Other(Speclfy) 39a. ertlfler - physician, certified nurse prac[ITloner, medical examiner/coroner (Check only one): 'P,Certlfying only - To the best of my knowledge, death occurred due to the cause(s) and manner stated. D Pronouncing ffi Certifying - To the best of my knowledge, death occurred at the time, date, and place, and due to the c sa(s) and manner stated. 0 Medical Ex - On the bas s of minatl on and/or In... Ligation, In my opinion, drys curved at the time, date, and place, and due to the ~r s~ nod fated. SI _ Title of certifier: License Number: y' fFs~ 39b. dtlress a ff)Z Ip Code of mpletln Cause of Death (Item 26 / 39c De a Signed (MO/Day/Vr) 40. Registrar's District Number 41.. Registrar's Slgnatur 42. Registrar FIIe Date (MO Day Yr) 43. Amen is 1a t 001Wr H105_143 Dlsposltlon Permit No. REV 07/2012 RECORD"^ REG1S,. ZC~l3 J;E , LAST WILL AND TESTAMENT CLER A I, RUTH B. SMELTZER, now of Cumberland County, Pennsylvania, ORRIiaE~ ~'C C ! - 'm tp dispose of all of my property, make the following to be my Last Will, CUM B ER LN lz SRlg revoking all Wills and Testamentary Dispositions heretofore made by me. ITEM I: I direct that my Executor pay my funeral expenses, the expenses of the administration of my Estate and my lawful debts. ITEM II: If my husband, HAROLD L. SMELTZER, survives me, I give him all of the tangible personal property which I may own at the time of my death, including insurance then in effect thereon. If my said husband fails to survive me, then I give all of the tangible personal property (excluding any motor vehicles) which I may own at the time of my death, including any insurance then in effect thereon, to my daughters, DIANA RUTH, BARBARA JEAN and SUZANNE LINDA, or such of them as survive me, to be divided among them in whatever manner they may agree. Provided, however, that any items not selected or with respect to which agreement cannot be reached, shall become part of the residue of my Estate. ITEM III: All federal and state estate, inheritance and other taxes of the same nature payable because of my death, including any interest or penalties thereon, with respect to any property comprising part of my Estate, whether or not the property passes under this Will or whether the taxes are payable by my Estate or by any recipient or beneficiary thereof, other than any generation-skipping taxes, shall be paid by my Executor from the residue of my Estate with no right of reimbursement from the recipient or beneficiary of any such property. ITEM IV: If my husband, HAROLD L. SMELTZER, survives me, I give and devise the residue of my Estate to him. If my said husband fails to survive me, then I give and devise the residue of my Estate, in equal shares, to such of my daughters, DIANA RUTH, BARBARA JEAN and SUZANNE LINDA, as survive me. If neither ~ 1 my said husband nor any of my said daughters survive me, then I give and devise the residue of my Estate to my said husband's niece, LARUE M. SMELTZER MILLER, and my brother, CARROLL LINCOLN BOUGHTER, in equal shares. ITEM V: No interest of any beneficiary created herein, whether in principal or income, shall be subject to the beneficiary's debts, liabilities or legal process prior to the distribution to such beneficiary, so that my Executor shall not be required to make any disbursements to any assignees or creditors or otherwise than to the beneficiaries in person. ITEM VI: My Executor, for the purpose of administering my Estate, in addition to the specific powers herein granted and in addition to any authority given it by law, shall have the authority to exercise any and all of the following powers: (a) To sell any real estate which may form part of my Estate, in such manner, at such times, at such prices and upon such terms of payment, as it deems for the best interests of my Estate; to give options for the purchase of any such real estate upon such terms as it deems for the best interests of my Estate; to manage and make repairs and improvements to any such real estate, and to lease the same upon such terms as it deems for the best interests of my Estate. (b) To sell any property of any kind of my Estate, at such time and upon such terms as it may deem for the best interests of my Estate. (c) To retain, without liability, any property, until such time as it shall deem it desirable to sell the same. (d) To invest, reinvest and change investments at its discretion. (e) To borrow such moneys as it deems necessary for the administration of my Estate and the payment of any taxes due thereon, including any interest and penalties. It shall have complete authority in connection with such loans to execute and deliver promissory and judgment notes and bonds, to collateralize the same with property of my Estate, and to deliver mortgages and bonds on any real estate. 4~ 2 (f) To pay or compromise any obligation or claim, including taxes, either in favor of or against my Estate, upon such terms as it determines and upon such evidence as it deems sufficient. (g) To j oin in filing j oint income tax returns to the extent permitted by law without requiring my husband to indemnify my Estate against liability for the income tax payable by virtue of his To make gifts to my issue, unlimited in amount, for purposes of making me eligible for medical assistance or other governmental benefits. income. ITEM VII: I appoint FIRST NATIONAL BANK OF MIFFLINTOWN, of Mifflintown, Pennsylvania, or its successor, as Executor of this Will and I direct that said Executor shall not be required to file bond or furnish surety in any jurisdiction. IN WITNESS WHEREOF, I, RUTH B. SMELTZER, the Testatrix, have to this, my LAST WILL AND TESTAMENT, set my hand and seal, this day of June, 2008. For identification I have signed each page of this Will, which consists of three (3) pages. (SEAL) UTH B. SMELTZER Signed, sealed, published and declared by the above-named RUTH B. SMELTZER, as and for her LAST WILL AND TESTAMENT, in the presence of us, who have hereunto subscribed our names, at her request, as witnesses thereto, in the presence of the said Testatrix and in the presence of each other. i'7a5 y iF l~r~f~w~_ 11,4 t 2k5 ~3[~sr 2-3S, Al itnes Address VC 6 /A Witness Address 3 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA : . ss: COUNTY OF CUMBERLAND We, RUTH B. SMELTZER, 1C A ~R~~ C1c and the Testatrix, and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she signed willingly or directed another to sign for her 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 witnesses and that to the best of their knowledge, the Testatrix was at least 18 or more years of age, of sound mind and under no constraint or undue influence. Witness RUTH B. SMELTZER Witness Subscribed, sworn to and acknowledged before me by RUTH B. SMELTZER, the Testatrix, and subscribed and sworn to before me by O Q (fir k and , witnesses, this \kk4- day f June, 2008. COMMONWEALTH OF PENNSYLVANIA Notarial Seal Sharon L. Wehler, Notary Public MifBintown Boro, Juniata County My Commission Expires Feb. 2, 2012 Member, Pennsylvania Association of Notaries 4