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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: Laura R. Shoaff
a/k/a:
a/k/a:
a/k/a:
Date of Death: January 28, 2013
,~
File No• ~ ~ ~ ~ ,3 ~- I
(Assigned by Register)
Social Security No:
Age at death• 94
Decedent was domiciled at death in Cumberland County, Pennsylvania (ware) with his/her last
principal residence at 2100 Bent Creek Blvd Mechanicsbur PA 17050 Silver S rin Townshi Cumberland
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at 2100 Bent Creek Blvd Mechanicsbur 17050 Silver S rin Townshi Cumberland PA
Street address, Post Office and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
Ifdomiciled in Pennsylvania ............................ All personal property
If not domici/ed in Pennsy!vania ........................ Personal property in Pennsylvania
If not domiciled in Pennsy/vania ........................ Personal property in County
Value ojrea( estate in Pennsylvania......... .
..................................
TOTAL ESTIMATED VALUE... .
Real estate in Pennsylvania situated at: ldOne
(Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough Coun
A. Petition for Probate and Grant of Letters Testamentar
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated February ] , 1972 and Codicil(s)
thereto dated -
State relevant circumstances (eg, 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(g), and did not have a child bom 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 lice, durante absentia, durante minoritate
If Administration, c.t.a. or db.n.c.za., 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(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS Q EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the follow souse if ~
additional sheets, if necessary): ; ~p ( ~ an rn r~tttach
~ ~ ~ 4 a ~
Name Relationshi AdS~ ~ n
~ trs ~ Cs
:cx ca
c•a o ° ~ 'n '*I
,~-- `*I
an c.~
-i r~
fr°., ft7
~ ~
$ 5,500.00
$ Q
$ ~ snn nn
Form RiV-02 rev. r0/1 //Z01 /
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
Petitioner(s) Printed Name
Mae Peterson a/k/a Mae K.
}
} SS:
}
Usc On
EcaRa~a o~~:C~ of
Petitioner(s) P~~ri~~nted Apddress
1520 S. Mountain Road Dillsburg, PA'=~`~S"OI~Eu
ORPHANS' COURT
CUMBERLAND CO., PA
The Petitioner(p;) 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 Peti[ioner(~ and that, as Personal Representative(yi~ of the Decedent, the Petitioner(~•will well and truly administer the estate according to law.
Sworn to.or affirmed d subscribed before _~~ 7('~ r- ~~ Date z ~ Lod
met ~ day of~bl^ ~ ~ ~J
BY~ .~L~.~k~.~x~ ~ , ' ~ Date
T Date
For the Register
Date
BOND Required: 0 YES ~ 1100
FEES:
Letters .................... .. $ ~b - ~%
( ~ )Short Certificate(s).... .. a ~ , (jU
( )Renunciation(s)....... . .
( )Codicil(s) . .......... . .
( )Affidavit(s).......... . .
Bond ...................... ..
Commission ................ . .
Other
I~ t ~
~ ...... .. 15 •iSU
........
Automation Fee.........
......
JCS Fee . .................... rte. 3 - ~G
TOTAL ..................... S ~-1;~. U
To the Register of Wi!!s:
Please enter my appearance by my signature below:
Attorney Signature:
,'
Pr me Name: Jane M. A
5 pre a Court
l N tuber: 07355
Firm Name: Jane M. Alexander, Esquire
Address: 148 S. Baltimore Street
DiDillsh~g_ pA 17019
Phone: 717-432-4514
Fax: 717-502-1087
Email: imalPxandPr 14Rnearthlink net
DECREE OF THE REGISTER
Estate of Laura R. Shoaff File No: ,~ I - ~'~ - ~ y
a/k/a: -
AND NOW, Mae Peterson a~c~ e~~eter~,son ~ l~~
in consideration of the foregoing Petition,
satisfactory proof havtng been presented before me, IT IS DECREED that Letters _Testamentarv
are hereby granted to Mae Peterson a/Wa Mae K. Peterson
in the above estate and (if applicable) that
the instrument(s) dated Februa 1 1972
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of De dent.
~cU~ ,~
Register of Wills
~ r :r~ c~ ~
FormRW-02 rev. l0/!1/201/
Page 2 0
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal. to duplicate this copy by photostat or photograph.
RECORDED OFFICE OF
Fee for this certificate, $6.OORE~I~.~~.R Of, ~I~,~S This is to certifi'v that the information here given is
con-ectly copied from an original Certificate of Death
~~~~ ~~~ duly filed with me as Local Registrar. The original
b ~~ ~ ~~ certificate will he forwarded to the State Vital
Records Office for permanent filing.
P 19 ~ ~.5 ~ CLERK OF ~ JAN 2 8' 1013
PNANS' COURT
Certification Numb(~(jjy1BERLAND CO,F pA ~o al Reds Date Issued
G
TVDa/Pri^<In COMMONWEALTH OP PENNSYLVANIA ~ DCPARTMENT OF HEALTH ~ VTAL RECORDS
Permanent
1. c•den<'s L•{al Nema PI Middle, Le SuTx _- _ vt s~ Sbta F11• N bar
~
2. Sex • Seeia Security Number 4 Oaq of Dwth (MO Day r) (Spa I Mo)
Sa. P.i•-(aK Birthd.y (Yr~) b. Vn • Y••r Sc U 1 O. B. Dab o Birth (MO OW/YUr] (Spell Month) 7{
1
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Mon[ha Days Nouea Mlnlrt•a
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{a. R once Sea<. or Forai{n Coun[ry ib. Residenw Street en Number- Inelu Ape Ye. iG d Deea ant Uw In P T
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ry
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e .sla•nw (ce ty] ~ ~Y•s, d.wd•n< nwd In 1~, ~ ~! P. t2 ~O-F r-[G1 S,.,P.
{a. Maldanw (Zip Cella) QNp, d•eetl•nt IWd wthln Ilmlb of
city/bpro.
9. Ever in Armed FOrCaa 1 Marle•I Sbtua at a Mt Marrl•d a 11
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urvlvin
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eme If wHe, Siva name PrlOr to That mettle{a
Q Yu No Q Unknown Q DlVerwd Q
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14a In ant's Na 1 IadonahlP to •eadent 14e. Informant' allln treat end bet
boa, Zlp
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IT Death Oeeurratl In • NpaPhil: ~ -• •• ................ ..
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1/ Death O era O<Mr T/tan .(NwOR#1:'
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ow Sbte, end p .County Oeet
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16a. et otl DlsDOSRion Burial ~ Cramatlpn 1{b. D b of Dla
0 1BG Plaw sppslelpn Nama O( wmebry, rnmatory
O R•mwal from 3b[a n D
or other pieta)
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e p i e2D/~
16d. Lpwtlon DlapoaltlOn (City Pr Town, Sbta, an ZIP {natu RPU
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n In har{a Inbrmertt 17b Llwnsa Number
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1>c. Name and Cam Pl. Odd ss 01 R n Fedll ~-
~ 16. Decadent P uwelon - C e<k Me a chat describes the 1 . Oaoadant of sp nle rIB n - e the 10. Dawdartt's R•w - C E •ORE rape ndiwb wha
hlihaK de{tee or level of school cemplepd et eha e f d
h
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eat
. Oox NK bese dMCrlb•e whether the decadent the tlawdent eenaldarad hlmaaK Pr hera•If cp be,
Q ben Brad. or lass V 3
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pan
an/HbPanle/LatlnO. Cheek Lha ^Np^ WhRa Kpreen
Q NO diplpma, 9th - 12th {retle beK K decadent Is not Spanlah/Hlspanlc/I
atlno
~ Bl
k
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,
.
ac
or African AmeNwn Q Vlatnameae
{h sehpol {reduab qr GED completed
Ne, ne<SPanlah/NI•Panl4Latlne Q American Indlan or Alaska Netlva
Soma coll•{e credit
but n
tl
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e
a{raa
Q Aupclata da{ree (a.{. AA. AS) Yr, Mexican, Mexlwn American, Chicano Q Aalan Indlan ~ Other AElan
Q NaeNa Hawanen
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Q Chinaaa
Q Bacnalpr'a d•Erae (e.i• BA, AB, BS)
Q 6uamenlan'or Chemorre
Yaa, Cub
Q
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Q Marter
i de{ree (a.{. MA, M9, MEn{, MEd, MSW, M A
a ) O Yea, other 5 Q 3emoen
penlah/HI•Panle/Latlne Q la paneaa
Q
Q Other -aclTC Ialendar
DeROraee (e.f- PnO, [d D) ar Prohaslonal da{tee (SpecKY) Q Other (SpacHy)
MD DOS OVM LLB
31. Da<adant'a Sln{ a Raw Salf_Daalanatlon - Chec ONLY ONE to Indiuce w at the decedent cpnal Bred hlmaell or herwlf tp 22a. D•wtlene'a Uaue OeNpatlon - indicate typo e1 work
W hlta Q
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Black or AMwn Amenwn
ampan Bona dunns most of wprkln{ Ilfe. OO NOT US! RETIR[D.
KOraan
Q Other Pae1Re lalandar
Q Amer can Indlan Or sleaka Nauw Q Vlaenamaaa Q pon't Know/Net Sure
Q Aslenllndlan
Q O[her Aalan Q Refuwtl
Q Cnlnase Q N
23b. Kind O {ua opts Indr/
•tiw Nawellan Q Other (SPael
p fRl pln° O a...m.nl.n or cn.me.re N)
_
ITEM! 2{a - 23 V T BE C MP ED Dab ro Me Day • S B
r
{Y I{R{ON WNO PRON OUNCa{ OR +~~n nitn~ ^O / ne
nE as w .n aPP IGb a ~2ic. Iepn:a Nunf
CERTIFIES DV.TN \/~-C .S oc n ronpu
~ ~~~~
~'`~VJVr r!i
23 .Dab n d Me peV 24, ma aeh ~`" _ C f `~_GQ
V J--iJ '7
ZS. Was Medlwl Examiner or Cpro ctadi Q ~ Np
n r Y.a
CAUSE QF DEATH
Apprpxlmate
36. P•K L Enter the ch.lynf avg.--rlap•sY, Inlurlas, or eom PllwtlOns-[oat tllraRlY caused Lha tlaa<M1. OO NOT enter terminal events aueh as
raaPiratorv arras[
er vanerleular flb
arOl
li
,
C
r
aG .rtes( nta N.l:
latlon witheue showln/{ Atha etlolo{ - DO NOT ABERNIATE. En
ona wuw en s Ilna. Add addltlonel Ilnas K
~
~
neews+ry Onaat to DaaM
IMMEDIATE CAUSE a • _
( 'Q ~ ~ (~ G ~ /-!'Y
(Find dla•ase or condition Du•~~O fo s•quanw o11.
resuldnS In death) ~ r-- C- , ~ con
b
-
-
. _ _y.
s.gl,.nn.Ry nee tonmupna•
,.~~ k5
T
DL. m (er ... epr,..q,,. pq:
if any. IudlnB to one uusa
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IIKatl on Iln• a. EnNr iha p ./~
UNO{RL
NO GV{E
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(dlaNae Inl
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et^b
Inltlatad the su Rlnl d.
re
yyy
In tle•in) WT. Dua P (Pr aagarance pf):
t
aa. can
2 . -aR 11. •Enbr ocher ut net ref )
1. ~ /~ /~ ~ / _ u in{ In t e undarlYln{ wuae {Wen in pan; 1 27. Was en cute DSY ParformetlT
l71')
/tr
L,G At a4L.t J ~ 4~.r//~ Yaa
~J 2B. Ware autppaY ntlinp avallabla
- t0 complete the wusa of dasth7
Yaa
29. IT F•m~Ja 30. Dld To a f0 Vs• C
t
ib
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E
~ o
r
vb to O•a[h 31.~ Mann~1 r o Death
L9
Not Pra{Want wnfiln Pasc Year [y~N7t Q NOmlcida
Q PrgpabN ur.l
Q Pre{nam •t Vme of death Q yet
O Npt
r
~ Np ~ (kno
P
pBnant, but Pr•inant wlthln 42 dsyt W death
wn Q Accident Q PandinE Inyattl{atlon
0 of era{Want
but
ra
n
L 4
S
l
,
p
i
an
u
1 dpya tp 1 year before daat~ 2, pp[a p 1 Q
Ud. ~ Coultl nOt ba datarminad
Nury (MO DaY/Yr) SPa I Mon[h
Q Unknown K Pre{na nt wlthln the paK
e
e.
Y
93. Time Inlury
84. Place of Inlury (e.{- home; censcrvRlPn alb; farm; acn Opl) !3
l
.
cwLOn of INury (street and Number, ION, Stare, ZIP Coda)
96. Inlury at Work 97. If Transportetlon Inlury, SPeGfy: Si. Oeacriba Now Inlury Occurred:
Q Yaa O DNve r/Opaeater 0 -adeatrlan
Q Ne Q Peasen{ar Q Other (SPacilY)
S9a. Mar Check only ona
IfYlni DhVSlclan - Te the baK of mV knowledBa, death occurred due to en. wuaa(sl and manner Katatl YC/11 f5 t / r Ct~~ QytG~'. ~ ~~_
Q Pronounrln{ i Certif
ln
h
i
l
y
{ P
ya
c
en - Te tn. beK of my knowlad{e. deesh occurred •e ona time, deb, and Dlace. d due !e [he uuae(a) and manner f[ tad
Q Madlwl Exe miner/Cpr On the ba pf .Ka
i
l
m
nat
on, and/pr InvaKl{atlon, in my opinion, daatn oec d < t time, da[a, nd place, and due tp tna wusa(a) and
31
nat
/
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f
rn
9 {
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ure o
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certlRer: Title pf earth Rar:l YU 1 sQ Ilil'J ~~ L1`.t~ License N
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9b
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um
er:
.
t>a~
ama, Address and Ip Cetl• Parr n Comp Kln{ Cause o D eW Item 26
4 39<. Da Si Me Oay r)
.{ KefeJ Kr
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4 rsfa En•N / O
G ? ~ GP~ 1. •BlKrar a Me ay
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4 3. Amendm ante Q ~
Dlapp•ItlOn Pafmlt Ne. V ~ el ,t ~ N303-143
REV 07/2011
REGQRpEp ~FF1CE OF
REGISI'FR pF 4~1~LS
OATH OF SUBSCRIBING WITNE,~1~(~) ~ P,~ 9 yy
REGISTER OF W[LLS CLERK O1"
CUMBERLAND COUNTY, PENNSY ORPHANS' Cdl1RT
~-~'I~RLANO CO., PA
Estate of LAURA R. SHOAFF
Jane M. Alexander
Deceased
(each) a subscribing witness to
(Print Name/sJ
the ~ Will ~ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same
and that she / he /they signed the same and that she / he /they signed as a witness at the request of
the Testator /Testatrix in her /his presence and in the presence of each other.
(Signature)
(Street Address)
(City, State, ZipJ
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ~~ ~ , ~L~ .
Deputy for Register of Wills
48 S. Baltimore Street
'freer Address)
Dillsburg, PA 17019
(Cifi, State. Zip)
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
Form RW-03 rei•. 10.13.06
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of LAURA R. SHOAFF
Maureen Shoaff
and
Deceased
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well-
acquaintedwith Laura R. Shoaff and am/are familiar
with the handwriting and signature of the decedent, and that the signature of Laura R. Shoaff
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
Laura R. Shoaff is in his/her own proper handwriting.
,~
(Signature)
132 Spring Road
(Street Address)
Dillsburg, PA 17019
(City, State, Zip)
(Stgnature)
(Street Address)
(Caty, State, Zip)
Executed in Register's Office n
c o ~
``' .'$
rn m
Sworn to or affirmed and subscribed w~ ~
rn s ~ ~-,.,-,
cao '~ c
vi ~
before me this ~ day ~ A ~
~ ~ ~
rn ~ rn
~, o
of ~' x
°c~o
~ o0
-,~-~
~ ca r rn
,~ (~.~.,P~ , ~~ l~Q rSCY~ n ..~ ~ o
"
Deputy for Register of Wills ~ ~'t
Form RW-04 rev. 10.13.06
t'>
~ O H
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LAURA. R. SHOAFF
I, Laura R. Shoaff, of the Township of Carroll, County of York
and Commonwealth of Pennsylvania herewith publish.. and declarE: this
to be my last Will and Testament.
ITEM 1. I direct that all my just debts and funeral expenses
be paid as soon after my decease as may be convenient to the proper
administration of my estate.
ITEM 2. I give, devise and bequeath my individual estate
unto my husband, Earl E. Shoaff, for life, or until such time as he
may remarry. In the event he remarry, T then direct that he shall
retain one third thereof and distribute the remaining two thirds.
unto my children. If he does not remarry, and there is any of my
separate or individual estate remaining at his death., I direct that
same shall 'be distributed unto my children, in equal shares. per
stirpes.
ITEM 3. In the event my said husband predeceases me, I give,
devise and bequeath my entire estate remaining after payment of
debts and expenses unto my children, to be divided in equal shares
per stirpes.
ITEM 4. I nominate, constitute and appoint my husband, Earl
E. Shoaff, Executor of this, my last Will and Testament. In the
event my said husband predeceases me, I then appoint Mae Peterson,
my daughter, Executrix in his place and stad.
IN WITNESS WHEREOF, I, Laura R. Shoaff, have hereunto
£~~
subscribed my hand to this, my last Will and Testament, this
day o f ~~ ~~~ -: r~ , 19 7 2 .
i'
SIGNED, PUBLISHED and DECLARED by the above named Laura R. Shoaff as
and for her last Will and Testament in the presence of us, who, at
her request and in her presence and in the presence of each other,
have signed our names as attesting witnesses hereto.
~ ,-
,.~~ ,
1
~~ -- residing at. ' ~`t, ~'-r'` . ~ ~=~;_..
r
~~, r
residing at /~- ° .L' GGrt,.~~ ,~' ~ y
V
- 2 -