HomeMy WebLinkAbout02-06-13PETITION 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
Name: Edith P. Egan
a/kJa:
a/k/a:
a/k/a:
Date of Death: January 31 , 2 01 3
~~ -, _ ~
File No: t~ ~ /'• -- ~: `~ -- ~' ~:;
(Assigned by Register)
Social Security No:
Age at death:
Decedent was domiciled at death in Cumberland County, PA (State) with his/her last
principal residence at 442 Walnut Bottom Road Carlisle Cumberland
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at 442 Walnut B~ttom Road Carlisle 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 $ 1 3 ~ , 0 0 0 . 0 0
If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $
If not domiciled itr Pennsymania ..................::: : : :Personal property in County $
Value of real estate in Pennsylvania ................ ............ $ N A
TOTAL ESTIMATED VALUE.... $ 0--:-$$ ' rT}r A
Real estate in Pennsylvania situated at: N ~ A
(Attach additional sheets, iJ'necessarv.) 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 June 5 , 2 0 0 7 and Codicil(s)
thereto dated Apr i 1 2 8, 2 0 0 8
State relevant circumstances (e.g. renunciation, death of executor, etc.)
Except as follows: after the execution ofthe 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 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)
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 est'ah~'ished as d~#jtned
in 23 Pa. C.S. ~ 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. n ~ ~ rn
^NO EXCEPTIONS ^EXCEPTIONS ~ ~ ~ _~
Petitioners , after a ro er search has/have ascertained that Decedent left no Will and was survived b the folio ~u if a~~ nd hfPa s ~ crch
() P p Y ~~~ Y) ~f
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additional sheets, if~r7ecessary): I,„. ~ ~ ~~ ~~ ~~
Name
Relationshi ~ ~ ~ ~ ~.,~
Addr -"~~~
~ ~ °~rt ~ »,,~ ~.~~
Form RW-ll2 rev. l ~'1 L%ZO1l Page 1 of 2 ~
_~~~ 1.
Oath of Personal Representative
COMMONWEALTI-1 OF PENNSYLVANIA }
} SS:
COUNTY OF C'_umhPrl and }
Petitioner(s) Printed Name Petitioner(s) Printed Address
ani Bi 1 P Box 1 Hann h Drive Hollis H 03049
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the best ofthe k owledge and belief
of Petitioner(s) and that, as Personal Representative(s) of the cedent, the Petitioner(s) will well and truly administer the estate a cordin to taw.
r ,. ~
Sworn to or affirmed an subscribed before_ ~ ~s~i Date
;-
me thisi r,~ ddy O "~` ~• ' ,~1.~t ~ ? ~ Date
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For the Register ~ 1 `` rtt
BOND Required: ^ YES [ENO To the Register of Wills: ~ ~ ~ .:,~~;,: .w-
FEES'
. Please enter my appearance by my signa~ra;,beto
.~. ~.
Letters ................. j ~
..... $ i ~ ! ; ' I ~ ~~ ~-'
T
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Attorney Signature: ~ ~1 ~ ~
( ~~j )Short Certificate(s) . _.
...... .~ °~ . ~:r ~ r-~ '~~ ~ 1`"''"
~
( )Renunciation(s)......... ~ `
_
( 1 )Codicil(s) ....... ...... ~ ~ 'C ~ - ~ `~ ~ ~ ''" •` ;~ ~ ~ ~-
V
( )Affidavit(s)...... ...... ,'
Bond .................. ...... Printed Name: William C. Dissinqe
Commission ............ ...... Supreme Court
Other
.. ...... ID Number: 27737
_
/~ t . ...... G=- ~~ ~.
r ~", ~~ .. ...... `= . ~~~~ Firm Name: D1SSiriger & Dissinger
-~~i~ ~j ~1~~~i-(_S .. ...... ~# ~ Address: 4 O O South State Road
. ...... Marysvi 1 le PA 1 70 5 3
.. ...... Phone: 717-957-3474
Automation Fee ......... ...... Fax: 71 7-957-231 6
JCS Fee . .............. ...... _ _ ..._ - Email: mV 1 @~a .net
TOTAL ............... ...... $ .~= -~.
DECREE OF THE REGISTER
Estate of Edith P .
Egan
-,
i ~ ,~ - `
File No: ~ ~~ I ~ '; -- , I,f
a/k/a:
AND NOW, F~Y~rLa r~ 6 2 01 3 > in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Janis B i ge 1 ow
in the above estate and (if applicable) that
the instrument(s) dated June 5, 2 0 0 7 and Apr i 1 2 8, 2 0 0 8
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
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~2egister of Wills ~ ~~~ '~i ~ ~ ~ ~ ~ `~~ ~ / ~ ~-
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Form RW-OZ rev. lOil li?Ol1 ~_ F Page ~ of 2
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---~'ert~fic ai~(~n tiT~())nir~~ CU~+I BEREAN D C C., PA ~ -~`~`~3~'Y~J
Type/Print In COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
Permanent CERTIFICATE OF DEATH
Black Ink State File Number:
1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (MO/Day/Yr) (Spell Mo)
Edith P. Egan Female an 31, 2013
S a. Age-Last Birthday (Yrs) Sb. Under 1 Year Sc. Under 1 Da 6. Oate of Birth (MO/Day/Near) (Spell Month) 7a. Birthplace (City and Slate or Foreign Country)
89 Months Days Hours Minutes
January 26, 1924 EnOfa, PA
7b. Birthplace (County) Cumberland
8 a. Residence (Slate or Foreign Country) Sb. Residence (Street and Number -Include Apt No.) 8c. Did Decedent Live in a Township?
PA 442 Walnut Bottom Rd. Owes, decedent lived in twp-
S d. Residence (County)
l
Cumberland 8e. Residence (Zip Code) 17013 @ city/born.
~QV o, decedent Ilved within limits of CarliS
9 . Ever in US Armed Forces? 10. Marital Status at Time of Death Q Married [j(Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage)
Q Yes [,~No Q Unknown Q Divorced 0 Never Married Q Unknown
12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, Last)
Robert H. Procasco Edith Kling
14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, Stale, Zip Code)
o Janis Bi slow DAUGHTER PO Box 926 Hollis, NH 03049
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.
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I lSa. P ace o Deat C ec on one ,,, ,,, ,,, ,,,, ,,,•,••„
. . ... .. .. ... ....................................
. ................... ..................... ................ .........................................:..... ........................................... Y...................................... ...
f Oeath Occurred in a Hospital: ~ Inpatient :If Death Occurred Somewhere Other Than a Hospital: ~ Hospice Facility [~~ Decedent's Home
_
° Q Emergency Room/OUtpailent Q Dead on Arrival ~ Nursing Home/Long-Term Car¢ Facility Other (Specify)
•
lSC. City or Town, States, and Zip Code lSd. County of Death
iSb. Facility Nam¢ (If not institution, give street and number;
l
d
Z an
Thornwald Hom• Carlisle, PA '17013 Cumber
16a. Method of Disposition [~ Burial Q Cremation 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place)
`n
a
;,-. p Removal from State Q Donation Feb 9, 2013
Other (Specify) - St John's Cemetery
16d. Location of Disposition (City or Town, State, and Zip) a. Si nest a of Funeral Service Licensee or Person in Charge of Interment 17b. License Number
FD-13845-L
Mechanicsburg, PA 17055 MaNO A. Billow
~ Name and Complete Address of Funeral Facility
17c
° .
Sullivan Funeral Home 51 N. Enola Dr. Enola, PA 17025
u
m Decedent's Education -Check the box that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE races to indicate what
18
,°- .
highest degree or level of school completed at the time of death. box that best describes whether Lhe decedent the decedent considered himself or herself to be.
0 8th grade or less is Spanish/Hispanic/Latino. Check the "No" White Q Korean
Q No diploma, 9th - 12th grade box if decedent is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese
i
an
High school graduate or GED completed ~No, not Spanish/Hispanic/Latino Q American Indian or Alaska Native Q Other As
Chicano 0 Asian Indian Q Native Hawaiian
Mexican American
Mexican
O Yes
,
,
,
Some college credit, but no degree
Q Chinese Q Guamanian or Chamorro
Ri
P
can
uerto
Q Associate degree (e.g. AA, AS) ~ Yes,
ban ~ Filipino Q Samoan
C
~ Y
'
u
es,
s degree (e.g. BA, AB, BS)
~ Bachelor
other Spanish/Hispanic/Latino ~ Japanese ~ Other Pacific Islander
MBA) (] Yes
MSW
MEd
ME
S
'
,
,
,
ng,
,
s degree (e.g. MA, M
~ Master
(] Doctorate (e.g. PhD, EdD) or Professional degree (Specify) ~ Other (Specify)
(e. MD, DDS, DVM, LLB, JD
nation -Check ONLY ONE to indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation -Indicate type of work
if-Desi
l
R
S
t
Si
g
e
e
ace
s
ng
21. Deceden
White Q Japanese Q Samoan done during most of working life. DO NOT USE RETIRED.
Q(
0 Black or African American Q Korean Q Other Pacific Islander Clerical
o ~ American Indian or Alaska Native Q Vietnamese 0 Don't Know/Not Sure
Kind of Business/Industry
22b
.
Q Asian Indian Q Other Asian Q Refused
~ Chinese (] Native Hawaiian ~ Other (Specify)
Insurance
~
a Q Filipino Q Guamanian or Chamorro
ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounced Dead (MO/Day/Yr) 23b. Signaiu re of PersonPronou ncing Death (Only when applicable) 23c. License Num er
BY PERSON WHO PRONOUNCES OR i tJ ff ~ ~j -7 ~'/ A J
W~e_ ~~ ~ - ~ F`,(1~ C'- ? ~-f 1
CERTIFIES DEATH
J
23d. Date Signed (MO/Day/Yr) 24 i e o eath ~ A^
•~V , C rover Contacted? Yes 0 No
,~.
.°C,
V
0
a
_.
V
0
i--
W
0
u
v
o_
z
- w ~ ~ ~ 25. Was Medical Examiner or o
CAUSE OF DEATH Approximate
26. Part 1. Enter the chain of events--diseases, injuries, or complications--that directly caused the death. DO NOT enter terminal events such as cardiac arrest. Interval:
respiratory arrest, or ventricular fibrillation without showing the etiology. DO NOT ABBREVIATE. Enter Only one cause on a line. Add additional lines if necessary Onset to Death
IMMEDIATE CAUSE ---------------> a• ~ ~ ~ ~ ~~
(Final disease or condition Due to (or as a consequence of):
resulting in death)
b.
Sequentially list conditions, Due to (or as a consequence of):
if any, leading to the cause
listed on line a. Enter the c.
UNDERLYING CAUSE Due to (or as a consequence of):
(disease or injury that
initiated the events resulting d.
in death) LAST. Due to (or as a consequence of):
26. Part 11. Enter other significant conditions contributing to death but not resulting in the underlying cause given in Part 1 27. Was an autopsy performed?
(] Yes ~ No
28. Were autopsy findings available
to complete the cause of death?
Q Yes I7C No
30. Did Tobacco Use Contribute to Death? 31. Manner of Death
29. If F ale:
r
t
hi Q Yes Q Probably •B~ Natural Q Homicide
yea
n pas
.rte Not pregnant wit
f
h
- Q No m Unknown Q Accident (] Pending Investigation
deat
Pregnant at time o
~
nt within 42 days of death
b
t ` Q Suicide Q Could not be determined
pregna
u
Q Not pregnant,
s to 1 year before death
t 43 da
b 32. Date of Injury (MO/Day/Vr) (Spell Month)
y
ut pregnan
~ Not pregnant,
~ Unknown 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, State, Zip Code)
6. Injury at Work 37. If Transportation Injury, Specify: 38. Describe How Injury Occurreo:
~ Ves ~ Driver/Operator ~ Pedestrian
Q No Q Passenger Q Other (Specify)
9a. Certifier (Check only one):
~(~Certifying physician - To the best of my knowledge, death occurred due to the cause(s) and manner stated
(] Pronouncing & Certifying physician - To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated
Q Medical Examiner/Coro r - On the basis of examination, and/or investigation, in my opinion, death occurred at the time, date, and place, and due to the catu~se(s) and mta~n ner stated
Title of certifier: License Number: MJ ~ ~~ ~• `~C
Signature of certttier.
~9b. Name, Address and Zip Code of Person Completing Cause of Death (Item 26) 39c. Date Signed (Mo/Day/Yr)
AGO ._ p • » ~swY.. J-, na '» l~X, J`~n ~~x. ~-Z ~ ,a [ 7o c Jzn 3 1 ~t3
.O. Registrar's District Number 41. Registrar's Signature 42. Registrar File Date (Mo Day/Yr)
7 ~~r2~~ ~ ,~ ~
Am
0867249 H 105-143
Disposition Permit No. REV 07/2011
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LAST WILL AND TESTAMENT
~--i .~
~ ~...
~~ - OF
~~ ~
~~
"`~ °"'`~ `'~ a.~ EDITH P . EGAN
~ ~~+ ~.~ ~
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~~ ~
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"• I;-a F~`-lh P. Egan, of 27 West Pine Street, Enola, Cumberland
fJ
ouy, rsylvania, being of sound and disposing mind, memory and
G
'nd~standia g, do make, publish and declare this to be my Last Will
and~~Testament, hereby revoking all Wills and Codicils heretofore
made by me.
ITEM I. I direct that all my debts and funeral expenses,
including my cemetery lot and grave marker and all expenses of my
last illness, shall be paid from my residuary estate as soon as
practicable after my death as part of the expense of the
administration of my estate.
ITEM II. I devise and bequeath all of my estate of every
,nature and wherever situate to my husband, Donald J. Egan, if he
'Isurvives me by thirty (30) days .
ITEM III. If my husband, Donald J. Egan, predeceases me or dies
ion or before the thirtieth day following my death, I bequeath all
I~jewelry, Franciscan dinnerware in rose pattern and cedar chest to
Laura Kasak.
ITEM Iv. If my husband, Donald J. Egan, predeceases me or dies
on or before the thirtieth day following my death, I devise and
bequeath all the rest, residue and remainder of my estate of every
nature and wherever situate equally unto Janis Bigelow and Wayne J.
Egan. If Janis Bigelow predeceases me, then in that case her share
of my estate shall pass equally to each of her two children. If
Wayne J. Egan predeceases me, then in that case his share of my
estate shall pass to Audrey Egan.
ITEM V. I direct that any and all Inheritance, Estate and
,ransfer taxes imposed upon my estate passing under my Will or
otherwise, shall be paid out of the principal of my residual estate .
ITEM VI. I appoint my husband, Donald J. Egan, Executor of
:his my Last Will and Testament. In the event of his renunciation,
death, resignation or inability to act for any reason whatsoever,
appoint Wayne J. Egan, Executor of this my Last Will and
,estament. I relieve my Executor from the necessity of posting
>ecurity in connection with his duties as such in any jurisdiction
'_n which he may be called upon t~~ act .
ITEM VII. This Will is not the product of any contract or
agreement between me and my husband, Donald J. Egan, and my husband
hail be free to dispose of any property (whether acquired under
:his Will or otherwise), either during his lifetime or by Will, as
le deems proper in his sole discretion.
ITEM VIII. In the event my husband, Donald J. Egan, dies under
>uch circumstances that there is not sufficient evidence to
determine absolutely whether he survived me, I direct for purposes
~f this Will that he shall be conclusively presumed to have
predeceased me.
IN WITNESS WHEREOF, I have hereunto set my hand to this my Last
Jill and Testament, which consists of ~. pages, to each of which
C have affixed my signature this .~ ~, day of ~t~ r1 ~' two
:houband seven (2007).
t
,t, ,f .;
E ld th P.~Eg
,.
COMMONWEALTH OF PENNSYLVANIA
ss ..
~OUNTY OF PERRY .
We, Edith P . Egan, and ~ ~ ~ ~.n ~~~~ ~;~~
and
~~:~~-~ ~ ~ ~°~{~~.°p 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 had signed willingly, 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 witness and that
to the best of their knowledge the testatrix was at that time
eighteen years of age or older, of sound mind and under no
constraint or undue influence.
~_ ~;r
Edith P. Eg T trix
C-'(..~'
~..-
Witness
.,
Witness
Subscribed and sworn to and acknowledged
before me by Edith P. Egan, Testatrix
and subscribed and sworn to and acknowledged
before me by ~ ~ ~ ~ ` ,~~~ and
~~~~°~.~ t~ ~, ~ 4~ ~_Z ~~ w i t n~ s s e s t h i s
~~ ~ 1 day o f -G, 4 ;~,~ 2 0 0 7.
~~y ~ ,~
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~'G~' LL
Notary Pu 1'c
wowtw. s~
lEiGa ~ saro~a
Nw~rsviuE ++.~Rar cowvnr
My GaY+mke+on Expires A,by 16.2009
'~~`~'~ "" ~~ ~y' ~~``~ ~~ FIRST CODICIL
~` ~: ~ ~.
~~~ b ~'~ 1 3l of
EDITH P. EGAN
~LL~ti~
~ '~~;,A~ ~' C~~:€~T
~~~ ~~~ ~~.~~g~~ of 27 West Pine Street, Enola, Cumberland
County, Pennsylvania, declare this to be the First Codicil to m~
Last. Will and Testament dated June 5, 2007.
1. I hereby revoke Paragraph VI of my Last Will and
~~estament ~~rld in lieu thereof provide as follows
"ITEM VI. I appoint my husband, Donald J. Egan, Executor of
this my Last Will and Testament. In the event of his renunciation,
death, resignation or inability to act for any reason whatsoever,
I appoint Janis Bigelow, Executrix of this my Last Will anc~
Testament. In the event of her renunciation, death, resignat_~or~
or inability to act for any reason whatsoever, I appoint John H.
Bigelow, Jr., Executor of this my Last Will and Testament. I
relieve my Executor/Executrix from the necessity of posting
security in connection with her/his duties as such in any
jurisdiction in which she/he may be called upon to act."
2. In all other aspects, I hereby ratify, confirm and
republish my Last Will and Testament dated June 5, `007, together
with this First Codicil, as and for my Last Will and Testament.
IN WITNESS WHEREVF, i have hereunto set my hand th ~_s o~ ~~
day of ~"~, two thousand and eight (2008).
Signed by Edith P.
Egan as a First Codicil
to her Will dated June
5, 2007, in our presence
and in the presence of
each other have signed
as witnesses.
xd~-
Witness
~ ~~.~~~
Witness
COMMONWEALTH OF PENNSYLVANIA
ss ..
COUNTY OF PERRY .
We, Edith P . Egan, and G~!/~~11~~1 ,~i35~d1 ~' ~~ , and
~ ~C1r~~~ I~~~'~C_.~~~t._~ the testatrix and tMe 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 First Codicil to her Last Will and that she had
signed willingly, ar~d that sr_e executed it as her free ar~d
voluntary act for the purposes therein expressed, and that each
of the witnesses, in the presence and hearing of the testatrix,
signed the codicil as witness and that to the best of their
knowledge the testatrix was at that time eighteen years of age or
older, of sound mind and under no constraint or undue influence.
.~
Edith P. E an, Testatrix
Witness
. ~~
W' ness
Subscribed and sworn to and acknowledged
before me by Edith P. Egan, Testatrix and
subscribed and sworn to and acknowledged
before me by ~~°~;llicaf~-, C ~~~~Sc ~~c~~' ,
and ~JC~r~~C, (,'>:r~c~1~~~..<-_~
witnesses this ~~
~~ ~ day of (~;~~~,~~~ 2008 .
_ r-
Notar Publi`
NOURIAL SEAL
TINA MARIE Y~OiNr6
Notay t~iDiic
MARYSYILLE lORO!!CirH. IERRII CC1t1MY
My Comm~lon Expiry Oct Sl, 2009