HomeMy WebLinkAbout01-25-13PETITION FOR PROBATE AND GRANT OF LETTERS
Register of Wills of 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
Estate of JUSTIN M. STUCKEY, File No. ~ ` "" ~ ~ ' ~ C~~
a/k/a Justin M. Stuckey, Jr. Deceased Social Security No.
Date of Death: December 18.2012 Age at Death: 97
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his last family or principal residence at
204 High Street Summerdale East Pennsboro Township Cumberland County Pennsylvania 17093
(List street, address, town/city, county, state, zip code)
Decedent died at 204 High Street Summerdale 17093 East Pennsboro Township Cumberland Co. PA
List street, address, Post Office and zip code city, township or Borough County State,
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property .....................................................................$ 30,000.00
(If not domiciled in PA) Personal property in Pennsylvania .....................................$
(If not domiciled in PA) Personal property in County ....................................................$
Value of real estate in Pennsylvania ..................................................................................................................... $ 154,200.00
Total ......................................................................................................... $ 184,200.00
Real Estate situated as follows:204 High Street Summerdale 17093 East Pennsboro Township Cumberland County, PA 17093
(attache add/ sheets ifnecessary) Street address, Post Office and Zip Code City, Township or Borough County, State
Q A. Petition for Probate and Grant of Letters Testamentant
Petitioner avers he is the Executor named in the Last Will of the Decedent, dated March 12, 2012
State relevant circumstances, e.g. renunciation, death of Executor, etc.
Except as follows, After the execution of the instrument offered for probate, Decedent did not marry, was not divorced, and
was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce has been established as
defined in 23 Pa.C.S.A. § 3323(8) and did not have a child born or adopted and the Decedent was neither the victim of a
killing and was never adjudicated an incapacitated person
D NO EXCEPTIONS ^ EXCEPTIONS
^ B.
Petition for Grant of Letters of Administration (if applicable)
enter: c.t.a.; d.b.n.c.t.a.; pendent elite; durante absentia; durante minoritate
If Administration, c. t. a. or d. b. n. c. t. a.,
Except as follows: Decedent was not a party to a pending divorce proceeding at the time ofd tt~vherein`gfiourt~s r
divorce has been established as defined in 23 Pa.C.S.A. § 3323(8) and was neither a victim ling ani~jvasvsr
adjudicated an incapacitated person ~ -r, e-~ ;,--,
O NO EXCEPTIONS ^ EXCEPTIONS '~ rAn ~ P u-~ "'
.:,w _ ;,~~: _ ~ . ;~
Petitioner, after a proper search, has ascertained that Decedent left no Will and was survived~y ~te`~follov~ut3g spouse (if
any) and heirs (attached additional sheets, if necessary) =-~ `--; ~-~ ~= ~
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Name Relationshi Residence
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
O~cial Use Only
~" R.; ~ _
Petitioner's tinted Name Petitioner's Printed Address
RALPH E. STUCKEY (f ~ ` ~` L-- ;°
217 TOWPATH ROAD
DUNCANNON, PA 17~~ ~-' its A`~ ~~ ~''~ ~•~
The Petitioner above-named swears or affirms that the statements in the foregoing Petition are true and correct to the
best of the knowledge and belief of Petitioner and that, as personal representative of the Decedent, Petitioner will well and
truly administer the estate according to law.
Sworn to and affirmed and subscribed
Before me this ~ ~ __ day of
~~ a 1 !1
~ ~ __~_ 013.
or he egiste
BOND Required
FEES
Letters ..........................
^ YES ~ NO
{ ~{) Short Certificate(s)
{ }Renunciation .............
{ )Codicil(s)
{ )Affidavit(s) ..................
Bond
Commission
Othe
.~
~fl
Automation
JCP Fee .....................
TOTAL.........
ALPH E. STUCKEY
To The Register of Wills
Please enter my appearance by my signature below:
Attorney Signature:
s~ry~~ hi~~-
Printed Name: EDMUND G. MYERS
Supreme Court
I.D. No: 20558
Firm Name: Johnson, Duffie, Stewart & Weidner
Address: 301 Market Street, P.O. Box
Lemoyne PA 17043
Phone: 717-761-4540
Fax: 717-761-3015
Email: EGM(a~idsw.com
DECREE TO THE REGISTER
Estate of JUSTIN M. STUCKEY a/k/a Justin M Stuckey Jr ,Deceased. File No. ~~ -~ ~ ~- ~~
Social Security No: 172-01-5006 Date of Death: December 18. 2012
AND NOW, c~~l , 2013, in consideration of the foregoing Petition,
..
satisfactory prof having been esented before me, IT IS DECREED that Letters Testament are
hereby granted to RALPH E. STUCKEY in the above estate and that the instrument dated h'larch 12.201.2
described in the Petition be admitted to probate and filed of record as the Last Will of the Decedent.
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egister of Wills
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
_ __ ._......,, ,,.,,......a.,, ,,,,,-,,,, ,«~E~ 1 ti S; ~~. _i,_j--~ This is to cer-tifv that the information here given is
correctly copied from an original Certificate of Death
~'I'3 ~ duly filed with me a~ Local Registrar. The original
~a ~'~id ~~ ~~ r ~~ ~~ certificate will he forwarded to the State Vital
R rds ffice for ~r ~ Went fil ng.
9._ t ` ._ .~. r`" .. '~Y 1~ f rl H FY a7 a t~ LT ~i ,~"~~ 1 , ~7 ~~,, t
Certification Number U~-'~SER~,~~~ ~^r ~ -.- l~` I ~`~~
~,,
~- `'~ f ~.-a Local Regisa-ar Date Issued
Type/Print In COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS
Permanent
~`~'~TICaJf^'ATC AC a1CATaJ
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Dlapoaluon Permit No. 0830489
-- - - - - - - -- - - " State FiN Number:
1. Deeedent'silagal Name (First, Mlddle, Last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (MO/Day/Yr) (Spell Mo)
Justin M. Stuclcsy, Jr- Male X72-01-E008 Dec'18
202
,
Sa. Age-Last Irthday (Yrs) Sb. Under 1 Vear Sc. Under 1 Da 6. Data of Birth (MO/Day/Vear) (spell Month) 7a. Birthplace (City and State or Forolgn Country)
Months Days Hours Minutes Summerdale Pa
9~ September 7, '19'15
7b. Bhthplaee (County)
Cumberland
8a. Residence, (State or Foreign Country) Sb. Residence (Street and Number -Include Apt No.) Sc. Did Decedent Live Ina 7ownship7
' PA 204 Hiph St
QY.a
decadent u
East Pennab
d I
r
-
,
y.
n
o
o
ad. Residence (county) twp-
umbsrland 8e. Residence (Zip Code) QNO, decedent Ilved within limits o} city/bOro.
9. Ever In Us rmed FOrces7 10. Marital Status at Tlma of Death Married ~ Widow 31. Surviving Spouse's Name (If wife, glue name prior to first marriage)
Q Y
es No Q Unknown (] Divorced Q Never Marrietl Q Unknow
12. Father's N me (First, Middles, Last, SuMx) 13. Mother's Name Prior to First Msrrlage (First, Mlddle, Last)
'
14a. Informs Justin Stuckey
is Name 14b
R
l
ti
hi
t
D
d Laura Jane Beam
'
S .
e
a
ons
p
o
ece
ent
Jean Rafsner DAUGHTER 14c. Informant
s MNling Address (Street end Number, City, State, Zip Codej
203 Kln s HI hwa Ma Ville, PA 17053
g II
If Dea
currod In a Hospital: ~ In Patient • . -.Y. ~n ................................ .....
.............
.............. _
If
~~~•-••~~~ -
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-
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(
Emer
RO
/O P
Y
_
Death Oc
curre
Somewhere Other Than a Hospibi: t~
HOa Ice Faclllt ~
o:csdani~:
i:on;e- ----"'
OM
N
trtPatient Q Wad on Arrival
SSb. Facility ame (If not institution, give s[raet and number; Nursing Heme/LOW -Tartu Care Facility Other (Specify)
iSc. City or Tewn, Sate, antl Zip Code ISd
Count
f D
th
204 Hiph St. .
y o
ea
Summerdale
PA 17093
'
m
16a. Method f Disposition Q Burial [S Cremation ,
~
Cumberland
I6b. Date of DlspoaRion 16c. Place of Dlsposltion (Name o} Cemetery, Crematory
or Other place)
Q Remov I from State Q Donation
o her(speufy> ,
Dec 19, 20'12 Evans Cramation Service
Z 16d. Location i,of Oisposltlon (City Or Town, State, and 2fp) 17a. SlgneWre of Funeral Service Licensee Or Person in Chsrga of Intefffient 17b. License Number
Leola, PA '17540
Nade A. arrow FD-13945-L
17c. Name anti Complete Address of Funeral Facility
Sullivan Funeral Home 51 N. Enola Dr. Enola, PA 17025
~ 18. Decedent' Education -Check the box that best describes the 19. Decedent of Hlapa nlc Origin -Check the 20. Oacedent's Race -Check ONE OR MORE races to indlgte what
highest degroG or level of school completed at the tlme of death. box that best describes whether the decedent the deeede,tt considered himself or herself to be
.
Q Bth ire r(e or less Is Spanish/Hispanlc/LatinO. Check the ^NO" ~ White Korean
Q No dlpltrma, 9th - 12th grade box H decedent is not Spanish/Hlspanic/LatinO. Q 64ck or African American Q Vietnamese
Q High lcryool graduate qr GED Completed ~ No, net Spanish/Hispanic/Latino Q American Indian Or Alaska Native Q Other Asian
Q Some c Ilege credit, but no degree Q Yes, Mexican, Mexlon American, Chleano Q Asian Indian Q NetlVa Hawaiian
Q Associa
degre~ (e.g. AA, AS) Q Yes, Puerto Rican Q Chinasa Q Guamanian or Chamorro
'
s
Q Bachelo
deg a (e.g. BA, AB, BS) Q Yes, Cuban Q FIIlpino Q Samoan
'
Q Master
degree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Yes, other Spanish/HUpanic/Latino Q Ja panesa Q Other Psdflc Islander
DOCfora a (e.g. PhD, Ed D) or Professional degree (specify) Q Other (Specify)
e. D DDS DVM LLB JD
21. Decedent' single Race Self-Designation -Check ONLY ONE to Indicate what the decedent considered himself Or herself to be. 22a. Decedent's Usual occupation -Indicate type of work
0 White Q Ja Panese Q Samoan
done duHng most of working IHe. DO NOT USE RETIRED.
Q Black ors African Ameri
n
ca
Q Korean
Q Other Pacific Islander Purchaser
Q American Indian or Alaska Native Q Vietnamese Q Don't Know/Not Sure
Q Asian Ir(dlan Q Other Asian Q Refused 22b. Klntl of Business/Industry
Q Chinese Q Native Hawaiian Q OTher (Specfy)
'
Q FillplnO
'~. Q Guamanian or Chamorro Federal Government
ITFMS 23e - 2 MU BE C MPLETED 23s. Date Pronounce Oea Mo Day r 23 . Signature o Person ronouncing Wath On y when app ice a 23c. L tense Number
BY PERSON NO PRONOUNCES OR
^
CERTIFIES D TH C. ~. ~ 8 CS /jt /JI! ~ l ~,~ ~~~p d Z Cy
23d. Date Sig ed (MO/D y/Yr) 24. Time Of Death ~~~ 6f (/ 1/ ~-^-~' ~~L~ ~~ TT~ / D
~~ O 0 D ~ 25. Was Medical Ezaminer or Coroner COntatted7 Q Yes No
CAUSE OF DEATH
Approximate
26. Part 1. Qnter the chain of events--diseases, Injuries, or compgutlOns--[hat directly caused the death. DO NOT enter terminal events such as cardla< arrest Interval:
respiratory arrest, or ventricular flbrllla
t
lon without showing the etlO
lo
gy. DO NOT ABBR
EVIATE. Enter on1V one cause on a Ilne. Add additlanal Ilnes if necessary Onset to Dpth
/^
~
y
^
r
IMMEDIAT¢CP.VSE -------------a (~~ ( E~ \ O ~jLt e- l - L, Cp p -
L,~SG tg,~ ~~-
~
(Flnal diseajre or condition Oue to (or as a consequent of):
resulting in'.death)
b.
Sequentially Ilst conditions, Due to (or as a consequence of):
If any, lead;ng to the cause
listed on Ilrje a. Enter the
UND[R1V11~G CAUSE Due to (or as a consequence of):
(disc or pnJury that
initiated th~ vents resulting d.
~ In death) LAST. Due to (or as a consequence of):
S 26. Part Ii. iEnter other fl but not resulting in the underlying cause given in Part 1 27. Was an auto
psy~perfO
m
ed7
n
~ N
o
Gc,.~.~c.e,~ ~ -E ~n.os Tc-. e
Yes
ms'. 26. Were autopsy findings available
to complete the cause of death?
Q Yes No
29. If Female: 30. Did Tobacco Use Contribute to Wath7 31. Manner Of Death
Q Not p}egna nt within past year Q Vas (] Probably [~ Natural 0 Homicide
Q Pregn~an[ at time of d
th
~' ea
Q No [~ Unknown Q Accident Q Pending Investigation
Q Nof p}egna nt, but pregnant within 42 days of deatF
~ (] NOt pregnant, but pregnant 43 days to 1 year before deatF 32. Dab of In ury (MO/Da /Yr 5 Q Suicide Q Could not ba determined
J y j ( pall Month)
Q Unknewn it pregnant within the past yea,
33. Time of InJury
34. Place of In ury (e.g. home; construction site; farm; school) 35. Location of Injury (Street and Number, City, State, 21p Code)
36. Injury at ork 37. If Transportation Injury, Specify: 38. Describe Now InJury Occurred:
)~ Yes Q OHVer/Operator Q Pedestrian
Q No Q Passenger 0 Other (Spaelly)
39a. Certifier ( heck only one):
~CertHying physician - To the bast of my knowledge, death occurred due to the cause(s) and manner shred
P
!
ronountlng /
i Certifying physician - To the best of my knowledge, deaM occurred et the time, date, and place, and due to the cause(s) and manner staled
Q Medical Examiner/Coroner - On the basis
f
i
l
o
exam
nat
O and/or Investgation, In my Opinion, death o
cc
urred at The time, date, and place, end due to the a
use(s) and manner stated
~
~
^
Signature o4 certifier: TI[le of certifier: jt'~ 1 / Ucenae Number:lYl L~ 6 J 6 ~ [O 3~
39D. Name, Ad yes and Zlp Cede of Person Completing Guse o Lath (Item 26)
39c. Date S(gned (MO/Day/Yr)
~ r ~~ Si! UYN4 (
V
~
-
,
I
OS\.
G f7lG V i
2 G.f 2
40. Registrars 1st tt Num er
41- Registrs s Signature
- 42. Reg stray 1 e Dab Mo ay
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A
3.
mendments
H1O5-143
REV 07/2011
Last Will and Testament
OF
JUSTIN M. STUCKEY
I, JUSTIN M. STUCKEY, of East Pennsboro Township, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make,
publish and declare this as and for my Last Will and Testament, hereby revoking and making void
any and all Wills or Codicils at any time heretofore made by me.
ARTICLE I
DEBTS
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I direct the payment of all my legal debts and the expenses of my lasll~~ss andfune~~l
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ft
d
h r
K3 ~
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rom my estate as soon a
er my
eat
as conveniently may be done. ,
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ARTICLE II , ~~ ~ ~--s
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SPECIFIC BEQUESTS ~~- ~~ ~ ~ ``
- J .~~,.
I give and bequeath all of my guns, rifles and firearms unto my son, RALPH E.
STUCKEY, provided he survives me.
ARTICLE III
TANGIBLE PERSONAL PROPERTY
I give and bequeath the remainder of my household goods and personal effects and other
tangible personalty of like nature (not including cash or securities), together with any existing
insurance thereon, unto those of the following of my children, JANE E. BIDDLE, JEAN E.
RAISNER and RALPH E. STUCKEY, who survive me, to be divided among them with due
regard for their personal preferences in as nearly equal shares as is practical. If there is a
disagreement as to the disposition of any item described in the Article, I direct that it shall be sold
and distributed in accordance with Article IV hereafter.
ARTICLE IV
REST, RESIDUE AND REMAINDER
I give, devise and bequeath all the rest, residue and remainder of my Estate, of whatever
nature and wherever situate in equal shares unto those of the following of my children, JANE E.
BIDDLE, JEAN E. RAISNER and RALPH E. STUCKEY. If either of my daughters, JANE E.
BIDDLE or JEAN E. RAISNER, predeceases me, I give, devise and bequeath such deseaced
daughter's share unto her then living issue, per stirpes. If my son, RALPH E. STUCKEY,
predeceases me, I direct that his share shall be divided equally between my daughters, or the then-
living issue of either who may then be deceased.
ARTICLE V
TRUST FOR BENEFICIARY(IES) UNDER THE
AGE OF 25/INCAPACITATED BENEFICIARIES
Whenever my Personal Representative is directed to distribute property to or for the
benefit of any beneficiary who is under (a) twenty-five years of age, or (b) a legal disability or
otherwise suffers from an illness or mental or physical disability that would make distribution
directly to such beneficiary inappropriate (as determined in my Personal Representative's sole
discretion exercised in good faith), my Personal Representative may distribute such properly to the
person who has custody of such beneficiary, may apply such property for the benefit of such
beneficiary, may distribute such property to a custodian for such beneficiary, whether then serving
or selected and appointed by my Personal Representative (including my Personal Representative),
under any applicable Uniform Transfers to Minors Act - or Uniform Gifts to Minors Act, or may
2
T __. ___ _ _ _ _ _
ti
~I distribute such property directly to such beneficiary without liability on the part of my Personal
Representative to see to the application of such property. This provision shall not in any way
operate to suspend such beneficiary's absolute ownership of such property or to prevent the
absolute vesting thereof in such beneficiary.
ARTICLE VI
POWERS OF FIDUCIARIES
My fiduciaries shall have the following powers iii addition to those vested by law and by
other provisions of my Will applicable to all property, whether principal or income, including
property held for minors, exercisable without court approval and effective until actual distribution
of all property:
A. To make distribution in cash or in kind, or partly in cash and partly in kind,
and in such manner as my fiduciaries deem appropriate.
B. To retain any or all of the assets of my estate, real or personal, without
restriction to investments authorized for Pennsylvania fiduciaries, as they
deem proper, without regard to any principle of diversification or risk.
C. To invest in all forms of property without restriction to investments
authorized for Pennsylvania fiduciaries, as they deem proper, without regard
to any principle of diversification or risk.
D. To sell at public or private sale, to exchange, or to lease for any period of
time any real or personal property and to give options for sales, exchanges or
leases, for such prices and upon such terms or conditions as they deem
proper.
3
E. To allocate receipts and expenses to principal or income or partly to each as
they- from time to time think proper.
F. To compromise any claim or controversy.
G. To make such elections, decisions, concessions and settlements in
connection with all income, estate, inheritance, gift, generation skipping or
other tax refunds and the payment of such taxes as my Personal
Representative and/or Trustee shall deem appropriate, without obligation to
adjust the distributive share of any person thereby affected.
ARTICLE VII
PERSONAL REPRESENTATIVE
I name, constitute and appoint my son, RALPH E. STUCKEY, Executor of this my Last
Will and Testament. Should he fail to qualify or cease to so act, I name, constitute and appoint
my daughter, JEAN E. RAISNER, alternate Executrix to complete the administration of my
Estate. I direct that no fiduciary acting under this Will, whether or not named herein, shall be
required to give bond for the faithful performance of the duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and
Testament, this ~~~day of
.L) ~
4
Signed, sealed, published and declared by the above-named Testator, as and for his Last
Will and Testament, in the presence of us, who at his request, in his presence and in the presence of
each other, have hereunto subscribed our names as witnesses.
~~Gf ~ ~~,_./
AFFIDAVIT AND ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND .
We, JUSTIN M. STUCKEY, ~ yYl u n.~ ~ . ~. y7° ~ and
~~ ~ N SSt,S ~ ~ ~ 6 ~ 5 en-, ,the Testator and the witnesses, respectively,
whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby
declare to the.: ur~dersigr~ed authority that the Testator signed and executed the instn.~ment as his Last
Will and that he had signed willingly and that he executed it as his free and voluntary act for the
purposes therein expressed, and that each of the witnesses, in the presence and hearing of the
Testator, signed the Will as witness and that tot best of his/her knowledge the Testator was at
that time eighteen years of age or older, of sound mi d and uncJ,er no constrairX~ o~, undue influence.
~ M. STUCKEY~-~ 1
Witness
Witness
Subscribed, sworn to and acknowledged before me by JUSTIN M. STUCKEY, Testator,
anIId'' slIubscribed and sworn to before me by _~_y~j~ yt~ G , ~y p~ r--S and
u l ~~~~ . ~,yt ~ S t1ti, ,witnesses, this _~o~~~day of _~Q rL.~ , 2012.
uQ
Notary Public
X484671
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Gail J. Mahoney, Notary Public
Lemoyne Borough, Cumberl~d County
commission expires Febn~ary 19, 2014
6