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Home My WebLink About02-01-13Reset PETITION 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 Name: MARY LUCILLE SHUGHART File No• ~ I - ~~ -- i ~L~ a/k/a: M. LUCILLE SHUGHART • (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: JANUARY 7.2013 Age at death: 97 Decedent was domiciled at death in CUMBERLAND County, pA (stare) with his/her last principal residence at 81 BEETEM HOLLOW ROAD NEWVILLE PENN TWSHP. CUMBERLAND COUNTY PA 17241 Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 53 LADNOR LANE CARLISLE S. MIDDLETON TWSHP CUMBERLAND COUNTY PA 17015 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 $~ ~ ooa If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................Personal property in County $ Value ojreal estate in Pennsylvania ......................................................... $ 50~ o o t.1 TOTAL ESTIMATED VALUE.... $ -~~~ o~p 0 00 Real estate in Pennsylvania situated at: 81 BEETEM HOLLOW RD NEWVILLE PENN TWSHP CUMBERLAND CTY PA 17241 (Attach additional sheets, if necessary.) 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 SEPTEMBER 17, 1992 and Codicil(s) thereto dated State relevant circumstances (e.g, renunciation, death of executor, 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 Q EXCEPTIONS Q B. Petition for Grant of Letters of Administration (If applicable) c.t.a., d.b.n., d.b.n.c.t.a., pendente lite, durante absentia, durante 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 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. Q NO EXCEPTIONS 0 EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouseany) and heirs (attach additional sheets, if necessary): ~? C c:.,~ ~7 n"t Name Relationshi dTl6ss r'*~ --- ~ ~ Za. r -~i C7 r" ~ m rn rrr ~ ~ ~ d ~ ~ ~ oc~' ~=~ ~ --- h a rv u a Form RW-02 rev. 10/11/201 / Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } } 5S: } Official Use Only RECORt3E0 OPP~CE OF ~.~ Petitioner(s) Printed Name ~.~.~,~v Petitioner(s) Printed Address PEGGY C. GR)~'$T~~ ) 53 LADNOR LANE CARLISLE PA 1`i'~~~ ~L~ I Pfd ], ~ Z RUBY J. BROADS 85 BEETEM HOLLOW ROAD, NEWVILLE, P 7 ORPHANS' C CUMBERLAND CQ., pA 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 Petitione )will well and truly administer the estate according to law. Sworn to or affirmed nd subscribed before Date ,.,?_ ~ _ ~,3 met ~ day of , ~~3 Date _~~ -~ ~3 By'c Date For the Register ~ Date BOND Required: ~ YES Q NO To the Register oJWills: FEES: Please enter my appearance by my signature below: Letters ...................... $ ( )Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ........ . ........ . Other ........ Automation Fee .............. . JCS Fee . ................... . TOTAL ..................... $ 0.00 Attorney Signature: Printed Name: ST,l'SAN J. HARTMAN Supreme Court ID Number: 65184 Firm Name: DUNCAN &HARTMAN, PC Address: 1 TRVINF ROW CART,TST.R, PA 1701'i 717-249-7780 717-249-7800 si~~an(a~tlnncanhartmanla~=~ cnm Phone Fax: Email: DECREE OF THE REGISTER Estate of MARY LUCILLE SHUGHART File No: ;~ 1 - ~ '~j - ~ c~ ~ a/k/a: M. LUCILLE SHUGHART AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to PEGGY C. GREIST & RUBY J. BROADS in the above estate and (if applicable) that the instrument(s) dated SEPTEMBER 17 1992 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. Farm RW-01 rev. l0/11/2011 Register of Wills Page 2 of 2 HI05.805 RED' i<)/III - - - - __ _ - - LOCAL REGISTRAR'S CERTIFICATION OF DEAT~I WARNING: It is illegal to duplicate this copy by photostat or photograph, Fee for this certificate,E$(yQ(DRDED D~~}CE D~ T`his is to certify that the information hexe given is REGIST~~`t QF +~~~~s Correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original ~Ot3 ~EU ~ pry ~~ ~~ certificate will be t•orwarded to the State Vital LU tit I Records Office for rermanent filing. °~, F ,~ , s Certification Nurr~~PHANS' COURT Local Re istrar Type/Print In j'~~ (~ C-~1~BERLAND C g Date Issued Permanent Of ~ t7R'Yf10NWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH . VITAL RECORDS Black Ink ~ A CERTIFICATE OF DEATH 1. Decedent's Legal Name (Flr;t, Middle, Last, Suffix) State Flle Number: Mary Luc111e Shughart 2. Sex 3. Social Security Number 4. Date of Death (MO/Day/Vr) (Spell Mo) Sa. Age-Last Birthday (Yrs) Sb. Under 1 veer F ~ 86 38 0492 January 7 , 20 ~ 3 /` J Sc. Under 1 Da 6. Date of Birth (MO/Day/Near) (Spell Month a` 9,7 Months Days Hours Minutes ) 7a. Birthplace (City and State or Foreign Country) dG ~ °Z ~ ( 1 S Per Count PA 8a. R idenre (State or Foreign Cov ntry) 8b. Residence (Street and Number - Include A t No. 7b. Birthplace (Co nty) PA P ) Sc. id Decedent Llve in a Township? u 8d. Reside nee (County) 8 ~ Beetl3il HOl1CJW Rd. s, decedent lived In Pf:,l->n Ctmfberland 8e. Re;Iden<e (zip cod<) l 7241 < twp. 9. Ever in VS Armed Forces'? 30. Marital Status at Time of Death 0 No, Decedent lived within limits of Q Ves ® No Q Unknown Q Divorced Q Married ~CWidowed li. Surviving Spouse's Name (If wife, five city/born Q Never Married [] Unknown g name prior to first marriage) 12. Father's Name (FirstuM~i d~d le, Last, Suffix) Leonard Banlcs 13. Mother's Name Prior to First Marriage (Fl rs[, Middle, Last) 14a. Informant's Name 14b. Relationship to Decedent 14c~ rar:a nt s~NN cling Addre Street and Number, Ci o ggy C_ Griest Dau ht G _ _ __ 5 ar S3 La a dnor Lan e 11 e ~ If Death occurred In a Hospital: •••~ -- ~ - ----""" 15 A 1 70'1 S .....................•---•--.....r-..--..----- ace o Deai Inpatient 'N'--•---------- --- --• e' - ccurred 5om ••-•---•Y •- ,•, •,----p .• r Car I It Death O ~ °n one Q gency Room/OUtpafie nt '-' ----•-••- •--~....-.p,.-----, _ _ Emer _ ewhere Other Thane HOS Ital~ ( Peet s1D' J Q Dead on Arrival ~ Hospice Facility •" [ -""-" - Decedent's Home -~ 15b. Facility Name (if not institution, give street and number; O ursing Homee Long-Term Care Facility Other 5 ty) ~ 53 Ladnor Lane • ls<. ntv or rowh, stet ,and zip code Carlisle , PA ~ 7O ~ 5 _ i5d. County; f Death i6a. Method of Disposition Burial p CL-IInbe_rland Q Re val from State 0 Donation Cremation 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, cr other lace moOther (specify) p ) 16d. Location of Disposition (City or Town, State, and Zip) ~~ ~ 120 ~ 3 weStrLL7-nSt2r Comte 12a. Signature o 1 Service Licensee _ Cc'3r11S1e, PA ~ 7p ~ 3 so harge of Interment vb. ucense Number E 17c. N m< and complete Address of Funeral Facillt l FD O ~ 2633 L min Brothers Funeral ~3cxne , Inc . 63 O South H m 18. Decedent's Educatioh -Check the box that best tlescrlbes the 19. Decedent of His aI10Vi°r S'tru't , Car1151e , PA ~ '] Q ~ 3 i- highest degree or level of school completed at the Hme of death. box the[ best descrlbeslw hOethier the decedent 20. Decedent's Race -Check ONE OR MORE races to Indicate what ~'r8th grade or less the decedent considered himself or herself to be. Q No diploma, 9th - 12th grade is Spanish/Hispanic/Latino. Check the "N O" 'White Q High school graduate or GED completed bqx if decedent is not Spanish/Hispanic/Latino. Q Black or gfrican American Q Korean Q Some college credit, but no de ~Nn, not Spanish/Hispanic/Latino Q Vietnamese Associate de gree Ves, Mexican, Mexican American, Chicano Q American Intlian or Alaska Native Q Other Asian 0 Bree ( eg, qq, qS) Q Yes, Puerto Rican Q ASlan Indian Q Bachelor's degree ( .g. gq, qB Q Chln Q Native Hawaiian Q Master's de ~ BS) Q Yez, Cuban ese ~ Guamanian o Chamorro gree (e.g. MA, M5, MEng, MEd, MSW, MBA) Q yes, other 5 Q Fill pino 0 Samoan Q Doctorate (e.g. PhD, EdD) or Professional de Panish/Hispa nit/Latino Q Japanese gree (Specify) Q Other Pacific Islander . MD DOS DVM, LLB JD Q Other (Specify) 21. Decedent's Single Race Self-Designation -Check ONLY ONE to Indicate what the decedent considered hl hate Q Japanese mself or herself to be. 2Za. Decedent's usual Occu Black or African American Q Korean Q Samoan done during most of w Patton -Indicate type of work C 0 American Intllan or Alaska Native Q Other Pacific Islander orking life. DO NOT USE RETIRED. Q Asian Indian Q Vie[na mese Q Don't Know/Not Sure Q Q Other Asian Q Refusetl Dairy Farmer-~~n~akex- Chin Native Hawaiian 22 b. Kind of Business/Industry Q Filipino Q Guamanian or Chamorro Q Other (specify) ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounced Dead Mo Da Her OW3Z f axm and 1-1C$Tle Bc~ ERSON WHO PRO NOUNGEg OR . Y/Vr) 23 b. Signature of Pe...... o____.._ _. _ _. - -" <4. Time of Deat(] . ~ - - ~~ - 7 °Z ° ~ 3 ~d w~ S 25. was Medical z miner or coroner Contacted? Q Ves 26. part I. Enter the chain f <..< CAUSE OF DEATH '~ N° nts--diseases, Injuries, or <om plicatlons--[hat directly caused the death. DO NOT enter terminal a nts such a Approximate res plratory arrest, or ventricular fibrillatshowing the etiology. DO NOT ABBREVIATE. Enter only o ~< s cardiac arrest, ne cause on a line. Add additional Ilnes if necessary ` Onset to Death IMMEDIATE CAUSE ____________ __~ a. (.) ~ .1_. _ _ f_ ( _ ~_ ~ . (Final tlisease or condition ~ \ f~f't 1:3C.-(~-C_ ~p resulting in death) ,t O t ( ~ a- __ l/ oqf~ I~ -~ ~~ ,~t~^ q`l~p f~) ~ [-- Sequentially Ilst <o nditions, b ~T1lA-~I~ ` - ~-'+ l~n bCjmLy~ if any, leading to the cause ~ D t < ce ' listed on Ilne a. Enter the c. _ r ` V r~' ~ ~-~~ ~ ~S U UNDERLYING CAUSE W (dise inlury that D t ( eq f) _ F initiated the events resulting d, in death)LAST. ~ Due to (or sequence of): cJ 26. Part II. Enter other significant co ndi[' s t 'b tl as a con - o d th but not resulting in the underlying cause given in Pan I ~ J_7. Was an autopsy performed? '-~ U Yes I$ No 28. Were autopsy findings avails ble ~J °' 29. If Female- to c plate the c of death? ~7 0 ® Not pregnant within past year 30. Did Tobacco Use Contribute to Death? oQ Ves a0 No Ves Q Probably 31. Mann of Death Pregnant at time of death ® Natural Q Homicide ~ Not pregna n[, but pregnant within 42 days of death ® NO Q Unknown Q Accident ti Q Not pregnant, but pregnant 43 days to 1 year bef°re death Q Suicide Q Gou di not be deg erim fined Unknown tf pregnant within the past year 32, pate of Injury (MO/Day/Yr) (Spell Month) 34. Place of In"u 33. Tim< of Injury 1 ry (e. g. home, construction site; farm; school) 35. Location of Injury (Street and Number, City, State, Zip Code) 36. Injury at Work 37. If Transportation in)ury, Specify: J Q Yes Q Driver/Operator 38. Describe How Injury Occurred: Q No Q Pedestrian Q Passenger ~ Other (Specify) 39a. Certifier (Check only one): ® Certifying physician - To the best of my knowledge, death occurred due to the c Q Pronouncing 8. Certifying physl clan - To the best of my knowledge, death o ause(s) antl mann sfaatted _ Q Metlical Examiner/C Doer - O he basis of exam naTlon, nd/ invests tcurretl at the time, date, d place and due to the cause(s) and m - ~ gallon, in my opinion, death n r stated Signature of certifier: ~ yl A C~ ccurred at the time, date, and place, and due to the cause(s) antl m Y ~ l~Ft Title of certifier. 5 .^ f~` I~~ ( ~ -/~ pstatetl 39b~7N ,, ~.~e Atldre //'t~ ((~~d ~Zip COdeo Pty ,~~C~ r~pleting Cause fDetath (Ile 26) t .~t.x-~ 4` JmC~tYUCense Number:~/~(~ ~S "17n6 L ~"'YV {^l~~'t.J ~a~iV~.~AiVrsr -~L+T a700 L/+-`r f-C ~ ~ C`/L,x.ar`- ZS t~l,ttgf A ~~ZaZ 39c. Date Slgn d(Mo/D Y/Vr) q 40. Registrar' District Number ~ ~ Z £~ L 3 G 41. Reglstra is 51 G -•~-~1 v ~~ 42- Registrar File Oate (MO Day r) ~ 43. Amendments - f U ~1 013 Disposition Permit No. (~ ~~ ~ ~~ ~-~ H105-143 - - - - _ _ _ REV 07/2011 LAST WILL AND TESTAMENT OF M. LUCILLE SHUGHART r..:, ~ ~ ~ O c t'rf~ ~ '~ ~l t7D r r'1 ~ Q tTi ~ n Cz~ ~ ~ ~C:~ D~t1 ~ ~'~a ca =n ~ a c~ -,,-~ cs -x-; ~ r r,, to o rv ~ I, M. LUCILLE SHUGHART, 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 all other wills and ~ codicils heretofore made by me. FIRST I direct the payment of my debts and the expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. Further, in this connection, I authorize my personal representative to expend funds from my estate, in such amount as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. SECOND I give, devise and bequeath my entire estate to my children PEGGY C. GREIST, RUBY J. RHOADS and JUDY A. WELKER, per stirpes. Should I own the property that I currently reside in, adjacent to my daughter, Ruby and her husband, Roy, then, I direct that the following be done with the property. Ruby and Roy shall have the option to purchase the land valued without any of the improvements thereon such as the mobile home, well, septic, macadam drive, basement and back porch. In the event that my Executrixes are unable to agree upon the fair market value, then two appraisals shall be secured and averaged. The mobile home shall be removed from the property and sold separately and the net proceeds placed in the estate. The reason for these directions is the proximity of my home to Ruby and Roy's home. In the event Ruby and Roy do not exercise this option, then the property shall be sold with all improvements thereon so to maximize its value. THIRD I nominate, constitute and appoint my children, PEGGY C. GREIST, RUBY J. RHOADS and JUDY A. WELKER as Co-Executrixes of this my Last Will and Testament. I relieve my personal representatives from the necessity of posting security in connection with their duties as such in any jurisdiction in which they may be called upon to act insofar as I am able by law to do so. FOURTH In addition to the powers conferred by law, I authorize my Co-Executrixes in their absolute discretion: A. To retain in the form received, and to sell either at public or private sale any real or personal property. B. To manage real estate. C. To invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification. D. To exercise any option or rights arising from ownership of investments. E. To compromise claims without court approval, and without the consent of any beneficiary. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of three {3) typewritten pages, the first two (2) which bear my signature in the margin for the purpose of identification, this the / ~~ day of ~~; , 1992. J (SEAL} M. LUCILLE SHUGHART Signed, sealed, published and declared by the above named testator M. LUCILLE SHUGHART, as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. ADDRESS 7SQ~ SO ~l~' ,~.~c,,~~'~~ hhq fry ~'~~~`~ ~~' S~ ADDRESS ~ 1 C i tc ~t r~~ e ~- I COMMONWEALTH OF PENNSYLVANIA : COUNTY OF CUMBERLAND We, M. LUCILLE SHUGHART -`` ~~ 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 of her Last Will, and that she signed willingly and that she executed a.s 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 the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. Sworn to an ubscribed before me this ~ day of 1992. Notarial eat ` Renee L. Murray... ary Publlo Carlisle Boro. Cumberlan! County My Commission Ex fires Dec, 1 RECOROgD OFFICE 0~' RENUNCIATION REGISTER ~~ ~~~LLS ?~13 FEB 1 APl 10 22 REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYL E R K O r ~NS' COllRT CUMBERLAND CO., PA Estate of MARY LUCILLE SHUGHART A/K/A M T .T iC'TT .r F c ~T ~ ru a r~ T I, _JUDY A. WELKER (Print Name) DAUGHTER Deceased in my capacity/relationship as of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to PEGGY C. GREIST & RUBY J. BROADS ~~ ~ .3 Q' (Dare) (Sign re) 2524 D SHIPPENSBURG ROAD (Street Address) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Form RW-06 rev. 10. /3.06 BIGLERVILLE, PA 17307 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciatio, n for the purposes stated within on this _J'~ day ofi ' 1 ~ c '~.~ a ~ ~~ /3 ~, - __ ~ N Public ~' `~-~~Iy Commission Expires: ~ -,~ - ~~ ~ (~ (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COM14?Q^stJa~=r~E.3 i-i i:-: 6'M~~ ,1!~.~ilfL~F:"1NIA 3~OTARiAL ~~ t.` TAMiV~tE ~. MOCK, ,,~°. ; Nubiic City of Fayetteville, Fr:.;;lc; ~aun:y .,~ Commission Exire~ tJ:cy 3, 2016