Loading...
HomeMy WebLinkAbout02-12-13PETTTION FOR GRANT OF LETTERS REGISTER OF WII..LS OF CUMBERLAND COUNTY, PENNSYLVANLA 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: . Name eTHOMASoL. ZELLERS File No: (\/~ ' ~ ,'7 ` ~/ / a~/a: (Assigned by Register) a/k/a: a/k/a: Social Securfty No: 195-32-1697 Date of Death: ~ ~ j ~ Age at death: 71 Decedent was domiciled at death in CUMBERLAND County, pEl~lxsvly xra (Stara) with his/her last principal residence at 342 HERMAN AVENUE LEMOYNE BOROU H CLIMB RtAND street addrea, Port Office sad Tip Code Cay, TowmLlp or Boraae6 Ceaaty Decedent died at 342 HERMAN AVENUE LEMOYNE BOROUGH CUMBERLAND pA' Street addreu, Post OISce ud 7ip Code City, Towaetdp er lioroagh Coaaly state Estimate of value of decedenPs propery at death: Ijdorntciled !n Psnnsytva~rla .................:..........All personal ProPortY S 25.000.00 Ijnot dowtcilal h7 Pennsylvania ............... . ........ Personal property in Pennsylvania S If not donricllad in Pannsy!vernier ........................ Personal property in County S VaGra ojreerl estate ler PennsyHmder .........................:................................ S 12S 000 00 TOTAL ESTIMATED VALUE.... S 150.000.00 Rcal estate in Pennsylvania situated at: {Attach oddtdoaat shells, If neceraary.) Street •ddreeen Post Owe sad Tip Code City, Townritp er Boro~ ~ t,~p w rn Rt 0 A. Petition for Probate and Grant of Letters Testamentary ~qQ ~ ~ ~? Petitioner(s) aver(s) he/ahe/they ia/are the Executor(s) named in the lest Will of the Decedent, dated JANUARY tp,1~1 ~ ~Cod~( thereto dated _ _ ~~'~- a-~ rn rn Shte relevant circametaaces (erg. rarancJoNoer, loedi ojexecator, ate) Z - >t O O ',~ Excerpt ea follows: alterthe execution offbe insttumeat(s) offered forprobate Decedent did not marry, was ~t di v~no_lrh ~ apej divorce pmceedin8 wherein the grouods for divotcc had been established as defined in 23 Ps. C.S. 3323. adopted; and Decedent was neither the victim of a killing nor ever adjudicated as incapacitated n. ~ drd*iot hays }'ld 6615 ~1 P~ ~p ~ r_o y, W VS .rt NO EXCEPTIONS 0 EXCEPTIONS ~ ^ B. Petition for Grant of Letters of A ministration (If applicable) c.ta., db.n., d.b.n.c.ta., pandente late, durance absentia, durante neinorleate If Administration, r~ta. or di3.n.t»t:a, enter date of Will in Section A above and complete Lat of heirs. Except as follows: Decedent was sot a psriy to a pending divorce proceedir-g wherein the grounds for divorce had barn. established as defined m 23 Pa. C.S. § 3323(8) pnd was neither the victim of a killing nor ever adjudicated an incapacitated pe~eon. ' ... Q NO EXCEPTIONS : o EXCEPTIONS ~ _ Petitioner(s), afterapmpersearchhas/haveascerteinedtbatDecedentleftnoWillarxiwassurvivedbythefollowingspouse(ifeny)andheirs(attach additional sheers, tfnecessary): Name Relationahi Address n n a n ForaaRW-02 rev.10/ll/2011 Page 1 of t Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF cvMBERLAND } Official Use Only Fetitioner(s)'Printed Name ~ Petitioner(s) Prinfed Address 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 lmowledge and belief of Petitioner(s) aad that, as Personal Representative(s) of the Deceden~, the Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed d subscribed before Date ~~ ~ me o ~~~ Date $ ~ Date Far t ~ gister Date BOND Required: Q YES ~ Q NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters ......................•$~ ~ ( 6) Shart Certificate(s)...... ( )Renunciation(s)... ~-:~ .. . ( ) Codici~l(s).........~:.. . ( )Affidavit(s).... .. . Bond.......::.. ... ..;... Commission.. , ~ ... ...:.. . Other ~ ....... . ....... Automation Fee......:...... . JCS Fee ...................... TOTAL . .................... ~ DECREE OF T,HE R~EGI5TER t f _ .. - ~ ~ File No: ' ~3 " ~ / ~ ~ ~. Esta e ~ THOMAS L. ZELLERS _ _ a/k%a: AND NOW, C~/ C' C in consideration of the foregoing Petition, satisfactory proof having been pr ented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to BONTTAJ. ZELLERS in the above estate and (if applicable) that the instrument(s) dated IANUARY 19,2013 - g described in the Petition be admitted to probate and filed of r c rd as the last Will (and Codicils of Decedent. _, _ • _ _ -~ ~'' Register of Wills ~~i Form RW-02 rev,.~rarlnoll ~ ~ "~ Page 2 of t _ _ _... .. '. .4 a-/~o70 OATH OF WITNESS(ES) TO WILL EXECUTED BY MARK REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of THOMAS L. ZELLERS Deceased AMY J. MAZUTIS and RACHEL i. SHAW (each) a subscribing witness to the Q Will ^ Codicil(s) presented herewith, (each) being duly qualified according` to law, depose(s) and say(s) that: Testator /Testatrix was unable to sign his /her name thereto; Testator's / Testatrix' name was subscribed thereto in Testator's /Testatrix' presence; Testator /Testatrix made his /her mark thereon; Testator /Testatrix and deponent(s) were present when Testator's /Testatrix' name was subscribed and when Testator /Testatrix made his /her mark; and Testator /Testatrix was present when the undersigned the © Will ^ Codicil as witness(es). (Signa e) E (Street Address) CARLISLE PA 17013 (City, State, Zip) Sworn to or affirmed and subscribed before me this l r~ day (Signature) 300 WEST 1ST STREETS ~' ~ (Street Address) ~ ~ 0 ~ ~ BOILING SPRINGS PA 1~07P ... t~ v? ?°~ 7T (City, State, Zip) ~3 y r F--~- rn m r- ~ rn N ~ cr ~v`~ ° ~ ao -v ~ ~* t S ~n ~ tv ~rn ~ ~ ~ ~ ~~ . . of FEBRUARY , 2013 , Deputy r~e~~t~d~' Wills Notary Public CARLISLE BOROUGH, CUMBERLAND COUNTY -_ ~ -_ My Commission Expires Feb 6, 2015 - - Form RW-OS rev. 10.13.06 HIOS.SCIS REV (9/11) 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, $6.00 REGISTER OF WILL This is to certify that the infot111ation here given is correctly copied from an original Certificate of Dean ~~~~ ~~~ ~~ ~~ ~~ duly tiled with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. CLERK OF JAN 14 101' P 19 0 6 5 6 31 ORPHANS' couRr ~ - i~ Certification Number C1lMBERLANO ~Q.,_ ~q Local Registrar Date Issued ryPe/Print In COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS Permanent I^~>f~a cai•w~e~ w 3tate FI a N 1. peCetlanY's Legal Neme (Flirt, Mldtlla, last. SUMS 2 s . ax 3 30elel Secur ty Numtur 4. De!! of Death (Mrs/Day/Yr) (Spell Me) Thomas L Zellers . January 21,2013 Sa Ne-La Blrtbtl . s[ ay Yra) 66. Under i Va>r 5<. Un er 1 Oa 6. Dab of Berth (MO Day/Year) (Spell Month) ». Birthplace (C ty >ec~d St>ta er ForeiBn Gwan[ry) . Monts. D. a Ho Mm ~ 71 y grf squr gcnf November 25, 1 941 Harr ib. Blrthpbca (COUnty)DaLl n Co ge. Ra6ltlance Sbte or Foreign Country) 8b. Resl ante (S[rent entl Number - Inclutle Apt No.) 8c. Did Decadent Uve In a Townshlpi 8d. Rns ant! (County) 3 4 2 Harman riV 8 ~YK, tletetlam Ilved In fPrP M1t~'1lftafya( Penns 1 V i 8 He. Residence (Zip CPtle) W No, tlecetlent ilwtl wl[hln flmiK of Lemo ne y ciry/bpro. 9. Ever n US Armstl Forcesi y0. M>Nte Sta[u[ at Tlma of Oeeth Marrletl 0 WI owe 11. SYrvWing Spouse's Nem! (I wife, give name prior <P Rrrt m rrlwge) Yes Ip No DUnknown Q Di wrcetl Q Never Married Q Vnknown $Oni t8 J _ Re m ' 12. Father s Name (First, Mitltlle, Leff, Su x) 13. MoMer'f Nama DNOr <o Flrn Marrlye (Flnt, Mid le, Last) 1M. Inbrmanf'f Neme 14b Rll <lonshl t D d ' . a p o ece ent 14c. In prment s Melling Address (Street entl NYPlbar. Clry, Stale, Zip eetle) Bonita J Zellers Wif _ e 342 Herman La Ave. n PA. l 70 ......................................................... e~........ vets p..t~t ec en y, one- NONth Oaurretl lna Hpspl<sl: t~~lnPeel [ ~~~~~~--~~~~~~~~~~~i}~Dee[h Oeeurrld somewhere other Than a~flpfPlLa1: ~~~ ~-t~ryes Ice!! ~~~-"--""'~""-" "' P Pacligy --][~-~ Detea t H ~~~- .n f gme an Roo m/OU eflent Daad on Arylyal Nursln Homo long-Tfrm Care Faclll Other (Specify) ome SSb. F>Wlity Name IT not InKhutlon, gM KraK entl number. BSc. <Iry Or Town, State, a d 21p Cetle Sd C . ounry of Death 342 Herman Avenues Lemo ne PA_ 17043 b ffi, Cum erland }6e. MKho of pilposltl n BYNaI CromKlen 16b. Date M hposMOn 16c. Place M DlspesltlVn (Name of cemetery, fremetery or other place) QRamovel frem stKn , pponenq^ Jan. 24, 201 Hollin a Funeral Home & Crematory onter (s ) 4 r 6 Lxetbn of Dlaposl[ll1onl Clry or Town, StKe, end Zlp) lie. 3 tore OT Wnersi Service LI na Or Parson in Ch ! of term! t 1> , License Number SR3~"NHOB3~~tGYi~i~S~•eg~vLA 170 S FD-014151-L i S c. Name entl Co IKa Adtlrou of Funarol Feclllry Mussedman F l ~ unera Homs & Cra ation Ser_ inc_ 324 Hummel. Ave_ Lemo ne PA1 18 Dace a t s Etl eKI < k , . n V On - ec Ma bee Ma[ Mzt tlnfcAbef the 19. pecetlent of Hispenlc Origin - C Pck thf 20. Decedent's pace - Chn k ONE OR MORE races to Indicate what highest tlegroe or level of sehtwl completed >t the time o/ tl a<h D th . a oe at belt dnurlbes wMther Ma tlecedant the decedent <Onsitlered 1 imself Or herself t0 be. Q Bali grade or bss Is spanHh/Hlzpanl4L>Llne Check M! "NO" ~ . White 0 Kerean ~ Ne tllplOme, 9th - 12th gratle box If decedent i[ not Spenlfh/Hispanlc/LatinO. ~ Black or AMCan AmeNdan ~ Vb[namese R' Hlgh fcho0l gredue<n Or GED com leted N p ~ o, not Spenlfh/HlspanK/LetlnO 0 Amerlcan Intllan er Alasyka NetlvG Q Other Asian Q Some f.Ollnp crotllt, lwt n0 degtea O Yea, Mlxlcen i Mexican Amlrlcsn Chlc , , ene Alaoclwb degroe (l.g. AA, AS) O Aflen Indian 0 NKlve Hawellan Q yes, Pyerte Rican [] Chinese ~ Gu>menlan or Chemorrp O B>Ohalpr's angrae (e.g. BA, AB, BS) Q Ves Cuban , ~ FIII 1 Q Master's degree (e.g. MA. MS, MEng, MEd, MSW, MBA) ~ Ves, ether S Q Samoan panish/Hifpenic/LatlnO OJaPanes e ~ Other PaciR<ISlentler O OOKprKe (l.g. Dhp, EtlD) Or ProNSSlonrt tlegroe (S lf plc y) ~ Other (Specdyl e. . MD pp3 pVM LB Jp 23. pecedant's Single Raca Sat -Oeslgna[len - Pck ONLY ONE to Indlca<e whet the decedent considered himself er herself tp De. 22a. Decadent' Usual ccupa[IOn - Indicate type of work WhRa Q laps MS! ~ SemOen done d Vring m~[[ of working Ilfa. DO NOT USE RETIREp. Black Or Ahl[an 4merlun ~ Korean O Other DaclFlC Islander Q Amerlcan Indian or Alaska NaHVe ~ Vls[namese ~ Don't Know/Not Sure Lab Tea s to r 0 CDlnesedlen Q Other Aalan Q Refused 226. Klntl of Bu Inefz IntlVStry 0 ~ NKIw Nswallen ~ Other (SPeclfy) Q FIIIPInp ~ GVamenlan or Chamorre Railr ad e- a M p eb rpno nce ee Mo DeY 23 Ign! u P on Prenouncln eat On Y w en a Pica 23c. Ucense Vm er PBONOUN<LS OR Y WN O/ ^/ ~~ [ O RTIC~D TN 23tl. Deter, goad o D>y/ Y r) 24. TIRja oOfrOe ~ J lth ~ f~ -~ aa3 - 2 p 3 OL ~r / 25 . Was Matlicsl Examiner Or Cor r GOnteRlOT Ye No CAUSE OF OEATM Approxlmata 26. Part 1. Eneer Me chain of awntf--dlsaasaf, In)urles, er complicetlonz-that directly causetl the death. p0 NOT enter terminal !vents such >z ~ardlsc arras[ 1 Interval: reaplra[ory erreft or wntrl l Rb lll cu ar E . r etlen wl[hout showing the etiology. D O NOT ABBREVIATE. Enter only one cause on a Ilne. Add addi[IOnal Tines If necwcsary S Onze<to Death ~/ S IMMEDIATE UVSE -----------> a ~ /ll° 111 ~ / /I /^ . - /~ ) (Final dlseeb or contll[lon pue to (er vz i consequence af): i resulting In deKhJ yl t ; Seg4fntlelly Ilst cendl[lOns, pye Lo (or as cOnseq Vence of): a N any. leading to the ceufa ~f _ e / 7~ ) leafed On Ilne e. EMar Ma _ %~ y't ~) c R C P VNDERLVINO UUSE Due to (^r as a consequent ot): 1 (dlfaasa Or Inury that e 1 3^ P s InIHPtad the events rozultina d. 1 In tllKh) IAHT C I . Due [o (or Ps a cpnsagYence e0: 1 26. Part Il. En<eI O[D!r f 1 h bVt not rpf VRIn81n <ha Vnderlyln ca e l I P g us n wn 8 art 1 2i. Was an 1u[OPIY Pe OrmeOi Yes o 28. Ware autopsy Rndings avallaDla to cemPleb the Cause a ea[hi 29. 1I Female: Yes o 30. Ditl Tobacco Use COn[rlbute to Deathi 33. Manner o D ath Q Not pregnen! wlChln pas<ylar 0 Pbgnan[e[Hme qT tleeth • b ~AT O tle ~ ~ Tlo 0 Unkno wn CCIdenC Pendin gallon ~ NOt pregnant, but pregnant Within 42 days Of deetM1 0 0 I Inwrtl 5ulcltla CPVItl het ba dabrmined ~ Net pregnant, but pregnant 63 days t0 1 year before tlaeth 32. pate of In u 0 1 ry (MO p>Y r) Spell Month) ~ Unknown if prognent wlthln the pant war 33. Time e11NVry 34. ace Injury (a.g. Dame; cenatruc4lnn site; /arm: school) D3. Lpcetlon Of INUry (Street and NVmber, CI[y, 3[a[e, ZIp C 36. InJury at Work 37. If Tranzporta<lOn Inury, SpeclfY: 3g. Describe How Injury Oeeurred: ~ Yes 0 DNYer/Operator ~ Petlestrlan Q NO Q paasangar 0 Other (SPaclly) 39~rt1 er (CM1aek only one GrtN i h y ng p yslclan -TO the Dest of mY knowletlge, deKh occurred due to the elusa(z) entl manner sbtad O Pronouncing & Grtlfying phyelclan - To Ma beK of my knowledge, death occurred at the time tlete entl piece a d d M , , , n ue [O e cause(s) entl mehnlr stated Q M>tllesl Examiner/coroner - On a sl f InKlon, and/er InwrtlgDtlon, In my opinion tleetM1 occurretl K M! ti tl , me, a[e, and place, Pnd tlue to the ca\usets) and manner s<etatl SIBn><Yrn OT cl Klflar: ~ r l TI[I! of certlRar: V Lltense NVmber: MfI Q07 S ~ ~i 3 b. Nem>, dross and Zip C a oT Person CAmplKing sole of OP h (Ibm 26) 39c: Dale Slgn! MO/pa /Yr) aD. eg Krar f str um !r 1. eglf[rar a turn 42_ eglstrar FI a b (Mp ey ./a s~/w'to.-j r 43. Amantlments `-~ /' D4 Dlfpgehmn Parmq Ne. ~/X/ S ~ H2o3-la3 - REV Di/201} / ~ ~ /'~U. .~ r R~~EEEC~~O~~RggDED OFFICE QF LAST WILL AND TESTAIUENTTER DF Wi~LS ~Qt3 DEB 12', P(~ 12 3? I, THOMAS L. ZELLERS, of 342 Herman Avenue, Lemoyne, Cum A~'~~'T Pennsylvania 17043, do hereby make, publish and declare th~~~yd~ ~narRfttestament, hereby revoking all wills heretofore made by me. 1. I direct my personal representative to pay all of my debts, funeral and administrative expenses as soon as convenient after my decease. I direct that all inheritance taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property, whether or not such property passes under this III, shall be paid by~'ny personal representative out of my estate. 2. I authorize and empower my personal representative to sell any realty andJor personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefore, in fee simple, as 1 could do if living. My representative is authorized and empowered to engage in any business in which I may be engaged at my death, for such period of time after my death as seems expedient to said representative. 3. I give, devise and bequeath all of my estate of whatever nature and wherever situate as follows: A. To my son, Thomas B. Zellers, any of my sporting goods and tools that he desires; and all the B. Rest residue and remainder to my spouse, Bonita J. Zellers, my son, Thomas B. Zellers, and my daughters, Christine M. Burger and Tracey L. Williams, share and share alike, or the survivors thereof. 4. I nominate and appoint my spouse to be the personal representative of my estate, to a, serve without bond. If my spouse cannot or does not serve, then I appoint my son, Thomas B. .. Zellers, to be the substitute personal representative, with the same powers and also without bond. 5. I suggest that my personal representative retain the services of Harold ~. Irwin, III, Carlisle, Pennsylvania in the settlement of my estate. rI t 5 ,~ IN WITNESS WHEREOF, I have hereunto set my,l~.l~nd"seal this 19"' day oiF January, 2013. M~Ri~ (SEAL) THOMAS L. ZELLERS Signed, sealed, published and declared by the above-named person as and fora last will and testament, in our presence, who at said person's request, in said person's presence and in the presence of each other have hereunto set our names as~~ribing witnesses.' i ACKNOWLEDGMENT AND AFFIDAVIT WE, THOMAS L. ZELLERS, AMY J. MAZUTIS and RACHEL I. SHAW, the testator and witnesses respectively, whose names are signed to the foregoing instrument, bleing first duly swom, do hereby declare to the undersigned authority that the testator signed end executed the instrument as his last will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, and that each ofi the witnesses, in the presence and hearing of the testator, signed the will as a witness and that to the best of their knowledge the testator was, at that time, eighteen years of age or older, of soulhd mind and under no constraint or undue influence. ~~~~~~,e~ kw~~'~'" -^-~ l~~~k THOMAS L. ZELLERS AMY J. UTIS ~~~ RACHEL I. SHAW COMMONWEALTH OF PENNSYLVANIA :ss: COUNTY OF CUMBERLAND Subscribed, swom to'and acknowledged before me by THOMAS L. ZELLERS, the testator herein, and subscribed and swom to before me by AMX J. MAZUTIS and RACHEL I. SHAW, witnesses, this 19T";day of January, 2013. ~ ~ - v 1~v vv ~~ v Notary Public NoTARIU:~u . HAROLD 5 IRyYMI III Notuy Publk CARUSIE BOROUGH, CUMgERLANO COWRY _ My Commlaslon ExptrM Fib 6, YOti -