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HomeMy WebLinkAbout02-05-13~ rsesez PETITION FOR GRANT OF LETTERS REGISTER. OF WILLS OF CL~IBERLAND COUNTY9 PEI~TNSYLVANIA Petitioner(s) named below, who is/are 18 ~~ears 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 r~ ,~ / i Name: Donald E. Mornin¢star File No: ~'\~ ~ ~ ~;..~ (.'~ :~~ a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: January 15, 2013 Age at death: 80 Decedent was domiciled at death in Cumberland County, Pennsylvania (state) with his/her last principal residence at 18 Hendel Loop 17015 Carlisle, South Middleton Township Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at Cumberland Crossings Nursing Home Carlisle Cumberland P.A 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 $ 350,000.00 If not domiciled in Pennsylvania ........ . ... . . . ....... . .Personal property in Pennsylvania $ If not domiciled in Pennsylvania .... . ...: . . ....... . .. . . .Personal property in County $ YalueofrealestateinPennsylvania ......................................................... $ 0.00 TOTAL ESTIMATED VALUE.. , . $ 350,000.00 Real estate in Pennsylvania situated at; NiA _ (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 August 3, 2001 and Codicil(s) thereto dated NIA 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 parry 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 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 ~~,blished as defined in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated persons L ; ~:7 ~ NO EXCEPTIONS ~ EXCEPTIONS ~ ~ ~ ~ Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the follo~n,,spc~e (if any) an~pet~ (attach additional sheets, if necessary): ~ ,;~ ~ ~ CT] _ Cn Name Relationshi Add~s6-; `~ ''~ ~~ L~ «~~~ ~~-' ri .~ N ~~ t.,~ Form RW-02 rev. 10,'11/2011 page 1 Of 2 Oath of Personal Representati~~e COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CU!~~IBERLAND To the Register of Wills: Please enter my appearance by my sibnature below: Petitioner(s) Printed Name Petitioner(s) Printed Address Laura L. Morningstar 11~ Nelson Drive, Carlisle, PA 1701 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 De~e~dent, the Pet~'oner(s) will well end truly administer the estate according to law, ~ i V.,% . Sworn to or affirm~i; :and subscxil~ed before ~~- ~ ~(~ ---v Date ~ me,t~is ;~ ~ `., ;. day o~ _ ~ ~ ~ ~~ , ^~l ~_'> Date ,_ By' ~~, ~ ~ }~ z ~ ~~.~ ~ ,~ Date For the Register _ ,. BOND Required: ~ YES ~/~'r`O FEES: Date T Letters ...................... $ ~~.t ( ~, Cf Short Certificates ( ) Renunciation(s)„ .. , .. , . ( )Codicil(s) . . . . . ....... . ( )Affidavit(s). , .. , ... , .. , Bond., ..,,~ ................. Commission .................. Other ... , .. . ~:y _ _C;.`~' ~ ` ~ ~f_: tit. (I ~ ) ~~ , f- ~~. -.~1I'~;'l~~i ~1 ... , , . , jC,~,~~ Automation Fee,,,,,,,,,,,,,,, ~-,(`i JCS Fee, ,,,,,,,,,,,,,,,,,,,, ~)~ ~~- TOTAL ..................... $ ~' ',.~ i:~ 0 Attorney Signature: "' / ~." ,. r,,.,-,, ~ ~ ~~ ~-- /' ~. Printed Name: Stephen D. Tile d ~=°' ~--~~ ~.~ ~ r~ Supreme Court ~ ~ ~ ID Number: 32318 ~ ..~. ~ ~~ i~~ Firm Name: Frey & Tiley ~7 ~,- t"'° t" ~ R't c1~ sit t~u t Address: ~ South LTanrn~e >:8tr~et ac ~ ~ ~` ~ ~ rv r rn Phone: 717-243-838 `v ~ N r to Fax: 717-243-6441 Email: ctilevCa~frevtilPV cnm DECREE OF THE REGISTER Official Use Only '% ~ Estate of Donald E. Morningstar File No: ~;_~ / ~-~ ~ / ~ ,.,~ a/k/a: ~~=-t~i~~ ~ ~~ AND NOW, ~ ~ ~ _ , , ~' ~~ ~ .'~ , in consider -_ satisfactory proof having b en presented before~r~e, IT IS DECREED that Letters ~ ~1". are hereby granted to ~-~(.l. ~~_ 1~ ~'~ - L.-- ~~~ ~; `- ! ~ 1 ~'l~-l the instrument(s) dated ~~ described in the Petition be admi Form R t~'-0 2 rev. 10'11 /2011 on of the foregoing Petition, in the abode estate and (if applicable) that to probate and filed of record as the last Will (and Codicil(s)) of Decedent. ~~ I register of Wills~~ ~~' ~'~ ~+~~ ~ ~ ~ ; ' ,~ ~'! ~~ ~' )~ ~ ~ ~. ~~~" ;L age 2 of 2 VUAR~ifhl~: ~~ ~~slle~:~~ t0 ~i~~~~i~:~~~~ ~~~~:~ ~°~Y ~.~~r n~~~~~~t ~:r ~~~~r~~h. _ _ RECO~~~~ ~~~~cF o~ I'C--~ fCll~ t~liti Cti~tlfil<;tt.', ~f?.~~~~ i(//~~~~;; ~ ~~ "' I ' i • (~1 i 113" l~la~ )h% ijltO3'tllittlO!1 hc1~E' ~~11'i'Il iti ~~V ~~~Er ~ (~~1(~ ~ ~ }ij ~~~.~ 1 jr { 5 `i ~~ ~ 7~,.LS I'~''" ~ ~. °;_iIL C~(`(itL±1 iit)~ll ~1') O1']i~Tll~~li ~~e1'tlfiCdlt Of I)t~lt~~ f/f ~ , ~~~'r~ ~: (~it~ :I±t:t~ 'ti li~? i1iC :14 1 (l~~;l ~l/~~`ISCI'til'. ~}1E. (.)I-I,~lll~t) ~~~~ FE~ S P~ ~ ~` ~ r1_- ~~ ; ~ ~ ~ ~,i I ~, ci~~(te {,,~~ i~~ t~(,~~~~trd~~l tip the st~it~~ Vitus ~' (i' a, ~ ~.,~~~ ~~ '~i (iti t ~f l il'C' ~";ll ~)t't~fll~li~l:lll ililll~,? .R :~~ ._ J r t -. ,. w .~ ,' i ~ .~. i Yea tt t1hC<1~1011 i~lilllf~ei' ~] '~ - ' "=~ "~ ' ,, ~~,_; ~Z~.??'.FidT~ ~~~ltt ISSUC'u Gt~~BERLA~dD co. ( ,~, __ -_ Type/Pant In COMMO(~M/EA~H OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS Permanent CERTIFICATE OF DEATH State File Number: Black Ink 1. Decedent's Legal Name (First, Middle, last, Suffix) 2. Sex 3. Social Security Number 4. DTate of Death (MO/Day/Yr) (Spell Mo Donald E. Morningstar Male 5 5Ql~ ~Si.~0~3 Sa. Age-Last Birthday (Vrs) Sb. Under 1 Vear Sc. Under 1 Da 6. Date of Birth (MO/Day/Year) (Spell Month) 7a. BI YhOp 1Za~ (Cp~nnstalvan ialgn Country) Months Days Hours Minutes 80 January 19 , 1932 7b. Birthplace (county) York Sa. Residence (State or Foreign Country) 86. Residence (Street and Number -Include Apt No.) 8c. Did Decedent live in a Township? Penns lvania ®ves, decedent lived in South Middleton 1'wp. twp. 8d. Residence (county) 18 Hendel Loop 8e. Residence (tip Code) 17015 ~ No, decedent lived within limits of city/boro. b land 9. Ever in US Armed Forces? 10. Marital Status at Time of Death ~ Married Q Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage ® Ves ~ No Q Unknown ® Divorced ~ Never Married ~ Unknown ~ 12. Father's Name (First, Middle, Last, Suffix) Millard R. Morningstar 14a. Informant's Name 14b. Relationship to Decedent Laura L. Monringstar Daughter 13. Mother's Name Prior to First Marriage (First, Middle, Last) Pauline E. Harbold 14c. Informant's Mall(ng Address (Street and Number, City, State, Zip Codel 15 Nelson Drive Carlisle, PA 17015 •~ l G atient ~( In l y one •. .•_ •,_,•.•• .... ... ......... lSa. Place o Deat C eck on Decedent's Home ~If Death Occurred Somewhere Other Than a Hospital: [~ Hospice Facility ~_ ° p : If Death Occurred in a Hospita atient ~ Dead on Arrival O t R Nursing Home/long-Term Care Facility Other (Specify) ate e' oom/ u p Q Emergency 15 b. Fac{I Sty Name (If not institution, give street and number; O, 1~1. Coun of D¢at t i.' ~~ V ~~ • 1 c. City or Town, State, and Zip Code l , . LL Cumberland Crossin s Nursing Home l a Place of Disposition (Name of cemetery, crematory, or other place) 16 16a. Method of Disposition ~ Burial ® Cremation c. on 16b. Date of Dispositi p Removal from state p Donation o ~ - 2 Z-2~ ``3 Cremation Society of Pennsylvania ~ Other (Specify) Si ture of uner rvi a Licensee or Person in Charge of Interment 17b. License Number 17a 16d. Location of Disposition (City or Town, State, and Zip) . F'D-013376-L a, Harrisburg, Pennsylvania 17109 _a ° 17c. Name and Complete Address of Funeral Facility E 100 Jonestown Road Harrisbur Penns lvania 171 Auer Cremation Services of Penns lv ania Inc. Decedent's Race -Check ONE OR MORE races to indicate what k the 20 Ch m 18. Decedent's Education -Check the box that best describes the . ec 19. Decedent of Hispanic Origin - the decedent the decedent considered himself or herself to be. th h '°- highest degree or level of school completed at the time of death. er e box that best describes w Check the "NO" ® White ~ Korean ti i L ~ 8th grade or less no. c/ a is Spanish/Hispan box if decedent is not Spanish/Hispanic/Latino. Q Black or African American V etnamese 0 No diploma, 9th - 12th grade not Spanish/Hispanic/Latino ~ AmeNCan Indian or Alaska Native ~ Other Asian No ® ~ High school graduate or GED completed , Native Hawaiian Mexican American, Chicano ~ Asian Indian 0 xican M Y Q Some college credit, but no degree , e es, ~ Rican Q Chinese Q Guamanian or Cha morro t P O Associate degree (e.g. AA, AS) o uer ~ Yes, ~ Filipino ~ Samoan b ~ Bachelor's degree (e.g. BA, AB, BS) an ~ Yes, Cu Ja anese Other Pacific Islander anish/Hispanic/Latino ~ P th S ® Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) er p ~ Ves, o ~ Other (Specify) ~ Doctorate (e.g. PhD, Ed D) or Professional degree (Specify) e. MD, DDS, DVM, LLB JD n idered himself or herself to be. a Decedent's Single Race Self-Designation -Check ONLY ONE to 21 indicate what the decedent cons DO NOT USE RETIRED. fe done du rng moss of working . ~(C White ~ Japanese ~ Korean Q Samoan - ~ Other Pacific Islander Associate Professor Phys cs 0 Black or African American Q American Indian or Alaska Native ~ Vietnamese Don't Know/Not Sure 0 22b. Kind of Business/Industry ° .u Other Asian 0 Asian Indian Q Refused f ~ Chinese ~ Native Hawaiian y) ~ Other (Speci Higher Education Q Guamanian or Cha ~ Filipino morro {car~se Nu f Person Pronouncing Death (Only when applicable) 2 ~ ~ ~~ o/Day/Yr) 23 b. Sign ture o d ITEMS 23a - 23d MUST BE COMPLETED 23a~Date Pronounced Dea /' ~+ ^ A ~ / Y V ~-+ BY PERSON WHO PRONOUNCES OR TV +Y~y `L 5 ' CERTIFIES DEATH 23d. Date Signed (Mo/Day/Yr) 24. Tirne~f 1 L~ yes No 25. Was Medical Examiner or Coroner Contacted? 0 ~QyLLu CAUSE OF DEATH Approximate al: I t erv n Enter the chain of events--diseases, injuries, or complications--chat d seronna linee Add add{tionald lanesrif necessary Onset to Death ra 1 P 26 i 0 a . a . respiratory arrest, or ventricular fibrillation without show one ca u y Enter on D0 NOT ABBREVIATE ing the etiology. ` __]~tii ."' Gov- t G`- i IMMEDIATE CAUSE ---------- ----~ a- Due to (or as a consequence of): (Final disease or condition resulting in death) Sequentially list conditions, b Due io (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): W (disease or injury that Initiated the events resulting d- Due to (or as a consequence of): z in death) LAST. u 27. Was an autopsy perfo ed7 cause given in Part I rl in d h y g e e un ~ Yes No 26. Part II. Enter other significant conditions contributing to death but not resulting in t l bl 0 ~ e a 28. Were autopsy findings avai to complete the ca u~se~f death? m ~ Yes ~i~ I`1o Ma er of Death 31 ~`~ v ai 29. If Female: . 30. Did Tobacco Use Contribute to DeathT Q Pr bly Natural ~ Homicide c~ E ~ Not pregnant within past year 0 Ves ~ No nknown ~ Accident ~ Pending Investigat on Could not be determined v Q Pregnant at time of death h ~ Suicide 0 m ~ Not pregnant, but pregnant within 42 days of deat Date of Injury (Mo/Day/Yr) (Spell Month) h 32 . ~ 0 Not pregnant, but pregnant 43 days to 1 year before deat 33. Time of Injury ~ Unknown if pregnant within the past year Zip Code) State Cit b Ra_ Place of Iniurv (e.g• home; construction site; farm; school) , y, er, 35. Location of In)ury (Street and Num 38. Describe How Injury Occurred: if y: 36. Injury at Work 37. If Transportation Injury, Spec ~ yes ~ Driver/Operator Q Pedestrian ~ No Q Passenger ~ Other (Specify) ~• 39a. iffier (Check only one): Certifying physician - To the best of my knowledge, death occurred due to the cause(s) and manner stated death occurred at the time, date, and place, and due to l d the cause(s) and manner stated e d manner sta d t - ge, e t the time, date, and place, and due to the cause(s) an ~ Pronouncing g, Certifying physician - To the best of my know 7 r n the basis of examination, and/or investigation, in my opinion, death occu rred /C © ~ G Z f O O orone Q Medical Examiner ,(V~ G 7 f License Number: Signature of certifier: Title of certifier: 39c. Date Signed (Mo/Day/Yr) 3gb.lVas~A_ ress and Zi (p Co of Person Com Ieting~C/~a1tu(se of Death (It mp26) /' ~~ iS' ~ , f}^ ~ ~ ~C { ~ ~~~ ~ J ~~~ ~{e ~ ~w j-'r-i- J \ ~ l~ f r/ G? ~ / 3 Y / C R ' U ~ J " L J ~~ f 40. Registrar's District Number 41. Registrar's Signature r) File Date (MO/Day/ r tra s 42. Regi ~ _ ~ 0 43. Amendments H105-143 ((~~ (( ,~,, ~~ O REV 07/2011 9 VJ~ - Disposition Permit No. LAST WILL AND TESTAMENTn n,: ~ ~ rn G ® i'Y'! ~ ~ ~ r~i ~_ G ® '~ OF rr, ~+ ~ CTJ ....; ~,: ~ ~ ? DONALD E MORNINGSTAR ~ C' r ~~ ~' mV . I, DONALD E. MORNINGSTAR, of 218 Three Square H+allo`w Ro~.d~ I ., w r' ~~ Iv~rg, Cumberland County, Pennsylvania, 17240, make, publish, and declare this to be my Last Will and hereby revoke all Wills and Codicils previously made by me. ITEM I. I direct my Executrix hereinafter named to pay all of my just debts and funeral expenses and the costs of the administration of my estate as soon as practicable after my death. ITEM II. I direct my Executrix hereinafter named to sell, at public or private sale and for whatever price is deemed advisable, my home located at 218 Three Square Hollow Road, Newburg, Cumberland County, Pennsylvania, 17240, together with any and all personal and household goods, and I further direct that the proceeds of said sale or sales become part of my residuary estate. ITEM III. I direct my Executrix, hereinafter named, to sell at public or private sale and for whatever price is deemed advisable any automobiles owned by me at my death, and I further direct that the proceeds of said sale or sales become part of my residuary estate. ITEM IV. All the rest, residue, and remainder of my property and estate of every kind and nature and wheresoever situate, including all lapsed legacies and bequests, and including any property over which I may have a power of appointment at the time of my death, I give, devise, and bequeath as follows: Document #: 210635.1 A. One half share to my granddaughter, JADELYN D. MORNINGSTAR or her issue, per stirpes. If Jadelyn D. Morningstar predeceases me, and without issue, then I give, devise, and bequeath said share in one half part to my daughter, LAURA L. MORNINGSTAR of Carlisle, Cumberland County, Pennsylvania, and one half share to my son, BRONLY E. MORNINGSTAR, of Harrisburg, Dauphin County, Pennsylvania, Pennsylvania, absolutely and forever. B. One quarter share to my daughter, LAURA L. MORNINGSTAR, or her issue, per stirpes. If Laura L. Morningstar predeceases me, and without issue, I give, devise, and bequeath said share to my granddaughter, JADELYN D. MORNINGSTAR, or her issue per stirpes. C. One quarter share to my son, BRONLY E. MORNINGSTAR, or his issue, per stirpes. If Bronly E. Morningstar predeceases me, and without issue, I give, devise, and bequeath said share to my granddaughter, JADELYN D. MORNINGSTAR, or her issue per stirpes. ITEM V. All estate, inheritance, legacy, succession, or transfer taxes, including any interest and penalties thereon, imposed by any domestic or foreign law with respect to all property taxable under such laws by reason of my death, whether or not such property passes under this Will, by operation of law, by contract, or otherwise, shall be paid without any right of reimbursement from any recipient of any such property, without any right of apportionment, and without postponement. ITEM VI. Should any person entitled to a share of my estate be a minor at the time of distribution to him or her, and should the value of such property be more than the amount which may be paid or delivered to him or her or in his or her behalf without the appointment of a guardian Document #: 210635.1 Page 2 of 4 or other fiduciary or the delivery of security, such share shall be paid and distributed to my Trustee hereinafter named to be held IN TRUST and managed, invested, and reinvested, together with the accumulation of income thereon, if any, and the Trustee shall use and apply from time to time such portion of the income and principal thereof as it deems necessary or desirable for the minor's reasonable maintenance, support, and complete education, including preparatory, college, post- graduate, or professional training, or to make such payment for such purposes to the guardian or person with whom such minor resides or directly to or for the benefit of the minor without further responsibility to such minor or any person taking care of such minor, and when such minor attains the age of twenty-one (21) years, any principal or income not so paid or applied shall be distributed to such minor, or if he or she dies prior thereto, to his or her personal representative. ITEM VII. In addition to the powers granted by law, my personal representative shall have the following powers: A. To sell at public or private sale, to exchange, to lease, to pledge, to mortgage, to transfer, or convert or otherwise dispose of, or grant options with respect to any and all property, real or personal, at the time forming a part of my probate or trust estate, in such manner, at such time or times, for such purposes, for such price or prices, and upon such terms, credits, and conditions as shall be deemed advisable or necessary under the circumstances. B. To compromise any claim or controversy. C. To invest in all forms of property without being limited to legal investment. ITEM VIII. I nominate and appoint my daughter, LAURA L. MORNINGSTAR, as the Executrix of this my Last Will, but in the event that she predeceases me, fails to qualify, or ceases to act, I nominate and appoint my son, BRONLY E. MORNINGSTAR, as Executor of this my Last Document #: 210635.1 Page 3 of 4 Will. My Executrix or Executor, as the case may be, will serve without bond for the faithful performance of duties in any jurisdiction. ITEM IX. I nominate and appoint LAURA L. MORNINGSTAR as the Trustee of all trusts created by this my Last Will, to serve without bond for the faithful performance of duties in any jurisdiction. Should Laura L. Morningstar predecease me, I nominate and appoint BRONLY E. MORNINGSTAR as the Trustee of all trusts created by this, my last Will, to serve without bond for the faithful performance of duties in any jurisdiction. IN WITNESS WHEREOF, I hereunto set my hand this 3 day of 2001. ~t DONALD E. MORNINGSTA The preceding instrument, consisting of this and three (3) typewritten pages, was on the date thereof signed, published, and declared by DONALD E. MORNINGSTAR, the Testator named therein, as and for his Last Will, in the presence of us, who, at his request, in his presence, and in the presence of each other, have subscribed our names as witnesses hereto. Witnesses: C~ Name Name ~t~.tcs~ (/ ~ , Address Address Document #: 210635.1 Page 4 of 4 COMMONWEALTH OF PENNSYLVANIA COUNTY OF ' SS ACKNOWLEDGEMENT We, the undersigned 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 Testator sign and execute the instrument as his Last Will; that he signed willingly and the he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses and that, to the best of our knowledge, the Testator was at the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. SWORN or affirmed to and acknowledged before me by the above name witnesses this L,{-] -. day of ~''L,~.; G.G,~ ; ; -~~ , 2001. ~~~ ~~ /-~ G Notary Public My Commission Expires: NOTARIAL SEAL CAROL A. LYTER, NOTARY PUBLIC (SEAL) Harrisburg. Dauphin County My Commission Expires Dec. 28 2004 Document #: 210635.1