HomeMy WebLinkAbout01-11-13PETITION 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 ~ i , ~ ~~~~(
Name: Paul R. Picket. Jr. -___ - __ File No: ___ T ____
a/k/a: (Assigned by Register)
_ _
- ----- -
- -
a/k/a: Social Security No: 160_1.6-7040__.__.
_ ----.
- - --- -
Date of Death: 9/1/2005 ____ Age at death: 84___-_____
Decedent was domiciled at death in Cumberland. __ County, Pennsylvania _._ _ (State) with his/her last
principal residence at 29 N._Enola Drive__ -- .1.7025 East Pennsboro Townsh~ Cumberland _
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at One Masonic Drive- 17022 Elizabethtown Borough _---Lancaster PA
Street address, Post Office and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
/jdomiciled in Pennsylvania ................................All personal properly $ ___,__ ___
Ijnot domiciled in Pennsylvania .............................Personal property in Pennsylvania $ _._ __ - _ _ __
If not domiciled in Pennsylvania .............................Personal property in County $ ______ _____
Value ajreal estate in Pennsylvania .............................................................. $ __ - .40.000_00
TQTAI,ESTIMATED VALUE.... $ _-.__a~ ~QO.Qq
Real estate in Pennsylvania situated at: 29 N. En01a Dflve __ 17025 East Pennsboro Tw~__ Cumberland _
(Anach addiiiona! sheets, ijnecassary,) 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 ~8/1978 and Codicil(s)
thereto dated _ __ ___
State relevant circamstaaces (e.g. renunciation, death ojexecutar, ete.J
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.5. § 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) _- ___ - _._ _.
at.a., d. b. n., d. b. n. c. t. a., pendente lire, durante ahsentia, durpnte 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 [he 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. om:; ~
^ NO EXCEPTIONS ^ EXCEPTIONS n
~ o ~ m ~
___-- -_ _-_ _
Petitioner(s), after a proper search has/have ascertained that Uecedent left no Will and was survived b the follo~{ to~c ~
y (if ~ an
d~eir mach
~
addUional sheets, tf necessaryJ: ^d <
~
Name ~ Relationship ~ _
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FnrnaRW-02 rev. l04 (1207[ PagO 1 Oft
Oath of Personal Representative ~ ol~e~ai use o~iy
COMMONWEALTH OF PENNSYLVANIA } RECO~"°'" ~'
COUNTY OF CUMBERLAND.
_ _ -_ - - --
Peuuoner(s) Printed Name
I
II
Beth Kathryn Pickel -_- _-
f- - --- -
~~
--- - } __ i
,-,
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- --~---- J a- - _-,
- - --- v ~i etitidxer(s rn .Ad~r~s- ---- ~
12100 Bentcreek Blvd., R 2,~ _ ~
- - Mechanicsburg ~~-t~~ ~~~~' PA 17050 -~
~ ORPHA~'i~~ -- i
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- -fi-- - _ - ---- --- -- ~
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---- ~---- - - -- ----- ------ -1
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 [he estate according to law.
Sworn to or affirmed and subscribed before ~ ~
met ^s ~ h ~--~~L.-L-?~ ---- Date f-.~ ~ ~.--. _
I
~ -_,- day oft {~, [_~ ~ , 2013 _ Date _
J {~, ~
B~ +t~`E"'~ '~-~- -- _ Date -
%'~ . r the Register ~ _ --- -- --
-- ---- Date --- ---
BOND Required: ^ YES ®NO
FEES:
Letters ....................... $ _ 90.00
(1 )Short CertiScates(s) ...... - U".11'9C!"
( )Renunciation(s) ......... .
-
_ -__
_--
( )Codicil(s) .............. -
( ) A1Tidavit(s) ............. _
- - -
Bond ......................... _
--
Commission ................... .
------
Other - - - - - _ ........ .
-
- -
Will - - _.........
- 15.00
--
Auto_mation F_ee___ , , . , . , . , . __ 5.00
JCS Fee _ _ 23.50
. ...
I
~~f1~:1"L~~ - -`
1~LCJ
Automation Fee ................. ~ ~~-//~~ ~
JCS Fec ....................... --L`~ • ~~ -
ToTAI, ......................~ ---~5@
To the Register of Witts:
Please enter my appearance by my signature below:
I
Attorney Signature:
-- ~~ v.1X.Q~U2O~~Lxr~-- -----
I
Printed ame: Jac uq elineA_Kell~_ ___ __
Supreme Court
ID Number: 91973 _ _ _ - ~
Firm Name: Jan L. Brown & Associates __ _ _ __ _
Address: 845 Sir Thomas Court _ -__-__-_ _-__ I
Suite 12 ___ _ ___ _
Harrisb_u~-_- --- -PA_17109 ___~
Phone: 717-541-5550 _ - ~
Fax: 717-541-9223 __ _ _ ___
Emaik n 'ackie'Ib veriz n.net _ _ __ ~
DECREE OF THE REGISTER
Estate of Paul R_Pickel, Jr.-__ ___
a/k/a: - -
File No: _ __ ~~1 "~~ ~ ~~~~--. _
AND NOW, -_~ ~ - __ _-~ _ , 2013 , in consideration of the foregoing Petition,
satisfactory proof having been presente efore me, IT IS DECREED that Letters Testamentary -,___ -_
- - _ _ are hereby granted to Betty Kathyn Pickel__-
--- - _ _
- - - -- -- ----- ----- ------ - --_- in the above estate and (if applicable) that
the instrument(s) dated 5/8/1978 ___-_ _~_ ---
described in the Petition be admitted to probate and filed of record as the last W'll (and Codicil(s)) of Decedent.
9 ~
~~- ~ ~ L~
egtster of Wills /'~ ~ %~
~-o.ni aw-oz .ev. ro~ruzorr ~ ~ ~~~ ,
Page 2 0
`''li~ Ir, io certify that the information here eiva~ is con~ectly copied from an original certificate of death duly filed with me as
L~N t. I.,~gistrnr~The Lx~iginal certificate will he forwarded tv the State Vital Records Office for permanent filing'
C ~'_`7 _7
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fcc fin- this cerlificaA•, `ti6.00
~~%/ ~.
Local Registr~a~~~~~ r -
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,d,49 Rev. 2fe7 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORD9~" R~
~_a ~ r~s
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CERTIFICATE nF I~FATI-1
NAME OF DECEDENT (First, Middle, Last) $E% SOCIAL SECURITY NUMBERnu GATE OF DEATH (Month, Day, Year)
, Paul R. Picket 2. Male ,.160 - 16 - 7040 a
Se t 1 2005
AGE (Less Binhday) R 1 DATE OF BIRTH BIRTHPLACE (City and
M
h
D
Y .
P r
Monlns Day9 HODrS MIrIVtB6 ont
(
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ay,
Bar) Slate Or FOfB19n DOJlltly) HOSPITAL: OTHER
s. 8 4 Y"
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1 1/ 1 6/ 2 0
e.
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'"'°""' ^ Ea°°m°"°^' ^ DOA ^ N°ni^, Dm=,
Ba. Heme ® Rmmence ^ (sp<ciryl ^
COUNTY OF DEATH QTY, BORO, F DEATH FACILITY NAME (If not inStitUlon, give street and number) WAS DECEDENT OF HISPANIC ORIGINO RACE ~ American Intlian, Black. Vvhita, el
• No~2--,l Ves If yes. speGy Cuban, (SpaGry)
Lancaster West Donegal Masonic Home Eli zabethtow Maxlca
P
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s"
n.
ue
can. etc.
~ Ba. ' ,p White
DECEDENT'S USUAL OCCUPATION KIND OF BUSINESS/INDUSTRY AS DECEDENT EVER IN DECEDENTS EDUCATION MARITAL STATUS-MameQ SURVIVING SPOUSE
I
h<undc wak dm,<q„n, r
c
U.S. ARMED FORCES? •n e. nl a,t .d<ccm at<a Never Mamee W,doweQ Prml<, aN<mam<<..m.7
r worxine rile. ap riot uee r<Pnnej J~~ ^ Elemenuryl5nrondary aX•ge Diwrcetl (Specify)
ve4 "°
,,,. Jewier „q. Watch Re air
'0.1z' "'"'" Married Bett Kline
,x. ,]. nk u. s
Y
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DECEDENT
S MAILING ADDRESS (Street ClryRavn, Stare, ZiP Coda) pECEDENTS
,7a. State
AC?UAL Pa Did „p.®vea, tlecedant rued in East Pennsboro Ny
p
29 N. Enola Drive RESIDENCE tlecetlent
(See tnatnxtlons live in a No, tlecetlenl lived
s. Enola Pa 17025 on other sltle7 rib. ctlemy Cumberland townsMp4 ,m.^ witnin actual limits of c,tylbOro.
FATHER'S NAME !First. Mitltlle. Last)
,e
Paul N
Pick
l MOTHER'S NAME (First, Middle, Maiden Surname)
.
,
e ,9, Christine Wagner
INFORMANT'S NAME (TypeyPnnt)
Bett
Pi
k
l INFqg MANT'S MAILING AD ES$ !real. City?own Ste Zip Code
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e zobLy N. Eno
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a 17025
METHOD OF DISPOSITION
• -7 DATE OF DISPOSITION PLACE OF DISPOSITION- Neme of Cemetery, Crematory LOCATION - City/TOwn. $lato. Zip Cade
ve.r7 or Omer Place
Banal 16
^ (Mm,m
Da
J Crematio
t
f
.
y,
emoval
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n LJ
rom Slala
Donation ^
• z,,, omefrspe¢iry) ^ 2,b,Se t 6 2005 z,~. Middletown Cemeter 2,d.Middletown Pa
SIGNATURE OF FCNERAL SE V OR P SON AC G M LICENSE NUMBER NAME AND ADDRESS OF FACILITY
• 2ze. z2b. F'aD, 014993 zz<.Sullivan FH 51 N, Enola Dr Enola Pa
Complete items 2:inc only whe certlfying To the bast W my knowledge, deem occuretl at the time, tlete end place states. LICENSE NUMBER DATE SIGNED
physltlan is rwt available el bm of deatn to
(Signature end Title( (Month, Oay. Year)
' certify cause of deatn.
_
23a. 2]b. Rr •a la S ']~ ", 27c. Z Q(^i
Items 24-28 must be completed by TIME OF DEATH DATE PRONOUNCED DEAD MoMlt, D Year
parson ,vno pron:uncas tleam. ( aY. ) WAS CASE REFERRED TO A MEDICAL E%AMINER ?CORONER?
24. ,'RG 4M ZE. .. 1 ,()fJ `. I8. Vas ^ No
27. PART 1: Enrer qe 4lsea<H,inryneaor compf tbnswM1kM1CaVSH qa dal,q.¢nnOt enter qa lrgde of4ylrp,fucM1 as cardiac ar reapiralory nna4.l,^ckmheen rellure. A rox,n:tlla PARTII: Othersi nR¢ant cOrltliti0ns rontngrning tO tleath, DUt
ua ealy ew...a,,,. o,, e.ch tin.. ~ PP g
iMervel between rwt resulting in the untledy,ng rouse given In PAR, i
IMMEDIATE CAUSE (Final
;onset antl deatn
~
disease or condition i
resulting In death)-+• e
DUE TO (OR A6 A GONa[pUF.NC
•
Seouantialty list contlltlons b.
i, any, leading t0lmm¢tllata UE TO (OR AS ACONSEOUENCE OFI.
cause. Enter UNDERLYING
CAUSE (Disease or injury o.
Mat initidtetl BVenls DLIE TO (OR A3ACON90UENCE OF).
msulling on death) LAST d,
WAS AN AUTOPSY
PERFORMED? WERE AIITOPSV FINDINGS
AVAILABLE PRIOR TO MANNER OF DEATH DATE OF INJURY TIME OF INJURY INJURY AT WpRK7 DESCRIBE HOW INJURY OCCURRED.
(Mcnm, Day, veer)
COMPLETION OF CAUSE ^
Natural ~ Homicitle
OF DEATH?
AcGtlent ^ Pentling Investigation ^
Yes ^ No ^
Yes ^ No Vas ^ Na ^ Suicide ^ Could rwt qe aeterminetl ^ 10a. ]Bb. M. ]a, 38d.
PLACE OF INJURY -At Home, farm, street, IaMOry, ogee LOCATION (Street, CitylTOwn, State)
WAdne
etc
(apedN)
28a. ieb. 28. ,
.
70e. ]of.
CERTIFIER (Check only one)
'CERTIFYING PHYSICIAN (Physician ceddyi cause or seam when a other h sidan hasC Danced death and complatetl ?tam 23)
' o the best o! my knowledge, death occurr~d due Lo the causespi~and rlQar~ner es atateLL
` IGNATURE AND TITLE OF CERTIFIER
...................... ......................................... ],b. ~ 1/Y\~
'PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronounGrg tlaeth antl cemtying m Wuse of death) LICENSE NUMB DATE SIGN D/IM nth Dey, Vear)
Te the btlt of my knowledge, death occurtetl at tqe time, date, end place, and due to the causea(e) and manner se stated ...................... ^ ],c. ~ ~ ~ S .j f 3 ~ L- Std, f (~US
'MEDICAL E%AMINER/CORONER
On me b
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A E AND ADDRESS OF faE~N ON yvl-10 CO PLFrTED O DEATH
CAUSE F H
m
(Ice 27)Type
o
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PM
t
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as
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exam
natlon andlor Imeatigmlon, In my opinion, death occurred at the lima, date, arM place, antl due to me cameo(s) and ^
manneras stated __.........._.,,. ........ ........____. .......... ...... .. ~ /
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REGISTRAR'S SIGNATURE AND NUMBER /~/~/t ~`- J DATE FI D (Month, Day, Veer)
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LAST WILL AND TESTAMENT
OF
PAUL R. PICKEL, JR.
I, PAUL R. PICKEL, JR. of East Pennsboro Township,
Cumberland County, Pennsylvania, declare this to be my Last
Will and Testament, hereby revoking any will previously made
by me.
I - I direct the payment of all my just debts and
funeral expenses out of my estate as soon as may be practical
after my death.
II - I devise and bequeath all of my estate of every
nature and wherever situate unto my issue per stirpes.
III - If I have no issue surviving me, then I devise
and bequeath all of my estate of whatever nature and wherever
situate unto my wife, Betty Kathryn Pickel.
IV - I appoint my wife, Betty Kathryn Pickel, Executri
o.f this, my Last Will and Testament. Should she fail to qualify
or cease to act as such, then I appoint my son, Paul C. Pickel,
Executor of this, my Last F7i11 and Testament. Neither of my
personal representatives shall be required to post bond in this
or any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal on
c-, ~-:
~~his,~_t~e 8th day of May 1978,
~ _.
r--+
_~
,_ ~ i _ ~
~ / ~~~ SEAL
"'~ C~~,,~-, W Paul R. Pickel, Jr.
- - c~. ~
__~ ~ ~
S'lgned, waled, published and declared by PAUL R. PICKEL, JR.,
't'estator thereinr named, on this sheet of paper as and for his
Last Wild and T'esta~ent in our presence, who, in his presence,
~a~t his rreques,~ anc}~in the presence of each other, have hereunto
bsCr~ed q~ir n es as attesting witnesses. ?
Aaxo~.n, S~.ixe & Bwvi.rtv
ei n n wFx r4r c'~ v~rv~
1 •rv~~ Hitt., Paxw 6v~v~. ~~ n i~.l~
A
~.aaress
i i
Address ,_: " r
~1 Page 1
~1
Y ) ,
COMMONWEALTH OF PENNSYLVANIA)
SS.
COUNTY OF CUMBERLAND)
I, Paul R. Pickel, Jr. , the testator whose name is signed
to the attached or foregoing instrument, having been duly quali-
fied according to law, do hereby acknowledge that I signed and
executed the instrument as my Last Will; that I signed it will-
ingly; and that I signed it as my free and voluntary act for the
purposes therein expressed.
Sworn or affirmed to and acknowledged before me, by
Paul R. Pickel, Jr. the testator this 8th day
of May , 1978 --~
~ ~~ ~~-~
Notary Public
1~MtS K, ARNi'L~, NOTr1RV !'UBUC
CAMP HILL 8OR•J, CUM6ERl.AND COUNTY
MY COMMtSSIDN EXPtREy DEC. 19. 1978
Member, PennsylvanlaAssociationofNutarla
COMMONWEALTH OF PENNSYLVANIA)
SS.
COUNTY OF CUMBERLAND)
WE, Edgar B. Bayley and Kim E. Kell
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and
say that we were present and saw the testator sign and execute
the instrument as his Last Will; that Paul R. Pickelr Jr.
signed willingly and that Paul R. Pickel, Jr. executed it
as his free and voluntary act for the purposes therein expressed;
that each of us, in the hearing and_sic~ht of the testator signed
the will as witnesses; and tha .-~to the best of our kno ledge the
testator was at that time 18 or more yea~.'of~ age, so nd mind
and under no constraint or un ue influen ,,// ~
' . ~ ~/ ~~~
~~ ~ '/
-
~
AINOLD, SuKE ~ eene~r
ATTIIA NI:Y1 AT LAW
210) YAI~lT F'IIQ~
CAYI X6L, PYM2nYAIM 17011
Sworn to and subscribed before me
this Q+h day of Mai , 19~
~J`C
Notary Public '-
lHr~rs K. arirv6Lu"", Nuii,~rY wu5.lti...~
'CAMP HILL 60RD, CUMBERLAND CtlUNTYa
MY CpMMISSIbN EXPIRES DEC, 19, 1911
Memtur,pFliflsvlvarli~AASOCIetinnof Nate~leR