The URL can be used to link to this page

Home My WebLink About02-12-13PETITION 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: DORIS A. WOODROW a/k/a: a/k/a: alk/a: Date of Death: DECEMBER 14, 2012 File No: 2 ~ ~" ~.~ " d~ 7 (Assigned by Regis er) Social Security No: Age at death: 82 Decedent was domiciled at death in CUMBERLAND County, pENNSYL.VANIA (crate) with his/her last principal residence at 7 ALPINE DRIVE, CARLISLE 17015 LOWER FRANKFORD TOWNSHIP CUMBERLAND Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 7 ALPINE DRIVE, CARLISLE 17015 LOWER FRANKFORD TOWNSHIP 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 $ 5,000.00 If not domiciled in Pennsylvania ........................Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ 73~000.pp TOTAL ESTIMATED VALUE.... $ 78,000.00 Real estate in Pennsylvania situated at: 7 ALPINE DRIVE, CARLISLE 17015 LOWER FRANKFORD TOWNSHIP CUMBERLAND (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 .NNE 1, 2010 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(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. Q NO EXCEPTIONS Q 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 t~b.n.c.~a., enter date of Will in Section A above and comulete 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. O NO EXCEPTIONS 0 EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs (attach additional sheets, if necessary): Name Relationshi Address .RECD E )FFI(: <)~` RI?GISTI?R Ulu WI1,1,S 2013 FEB 12 CLERK OF ORl'H~NS COURT CUMRI?RI,~Nll COURT, PA Form RW-O2 rev. 10/11/?011 PagE 1 Of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } } SS: } Official Use Only Petitioner(s) Printed Name Petitioner(s) Printed Address JOY A. SHOCKLEY HOPE A. RICE 113 WALTON AVE., CARLISLE, PA 17013 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 Petitioner(s) will well and truly administer the estate according to law. Sworn to oz aff rmed a ubscribed before ~ _ ~ Date ~ l ~-~ ~ me t i ~~ay of ~ ~lr , .~.r/~ Date ~ -/Z- /3 7`-` t $y: ~~7 ~~-,(~J~.~,r, Date o the Register Date ~~ BOND Required: ®YES Q NO FEES: Letters ...................... $ 210.00 2) Short Certificate(s)...... 10.00 ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ........ WILL ........ 15.00 INVENTORY ........ 15.00 INH TAX RETURN ........ 15.00 Automation Fee ............... 5.00 JCS Fee . .................... 23.50 TOTAL ..................... $ 293.50 20 HAYS GROVE RD.. NEWVILLE, PA 17241 To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: t r Printed Name: ROG'ER~$. IRWIN, ESQUIRE Supreme Court iD Number: 6282 Firm Name: IRWIN & McKNIGHT, P.C. Address: 60 WEST POMFRF.T STREET C'ARLI4 ,F,, PA 17013 Phone: (717) 249-2353 Fax: X717) 249-6354 Email: DECREE OF THE REGISTER Estate of DORIS A. WOODROW File No: ~~ ~ ~-3 ~~f / '~ a/k/a: AND NOW, ~ ~L/ ~ v- C ~ ~ ~ , in consideration of the foregoing Petition, satisfactory proof having been prese ed before me, IT IS DECREED that Letters 1'ESTAMENTAP~Y are hereby granted to JOY A. SHOCKLEY AND HOPI A. RICE _ the instrument(s) dated JUNE 1, 2010 described in the Petition be admitted to probate and filed of rec Register of Wills Form RW-OZ rev. 10/l l/20! 1 in the above estate and (if applicable) that 1 Q~'G L V1 H105.805 REV (9/11) Z~-~3- DI 7 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 ~ ~.2~.0566 ~ Certification Number 7 ~ Type/Print in Permanent 'i!'i CAUSE OF DEATH 26. Part 1. Enter the chain of events--diseases, injuries, or complications--that directly caused the death. DO NOT enter termina l events such as cardiac arrest. respiratory arrest, or VentNCUlar fibrillation without showing the etiology. 00 NOT ABBREVIATE. Enter only one cause on a line. Add additional Tines if necess IMMEDIATE CAUSE ---------------> a. ~~-~) f (Final disease or condition Due to (or as a consequence of): resulting in death) Sequentially list conditions, Due to (or as a sequence of): w ^ tt any, leading to the cause listed on Tine a. Enter the c. ~ f UNDERLYING CAUSE Due to (or as a consequence of): ^, N [-' r~I W W (disease or injury that I i i d th l i d ^ ~ '~ J n ate e events resu ng t t . in death) LAST. Due to (or as a consequence of): ~ H ~ w /Nt1 ^ ~ ~~ 26. Part 11. Enter other significant conditions contributing to death but not resulting in the underlying cause given in Part 1 27. Was an auti /'`. ~~ 1 I 1 ~,,1 fJ ~ Q ~'1 ~T y ~ W Yes Q y ~ 28 ` p mom' FFFF---rT-,---1111 ' : rTl F to ompi t +-I ~ -+ W 29. If Female: 30. Did Tobacco Use Contribute to Death? 'f' ~ ~r ('1111 Q ves ((('' 31. Manner of Death ~ f ~ ~ .^J.. ~ ~ O x S V Ot pregnant within past year Q Yes Q Probably Q Q Pregnant at time of death Q No [~tTFiknown Q latural Q Homicide ~ _ y r ~ Q Accident Q Pendin Irk ~ ~'-' ~' Q Not pregnant, but pregnant within 42 days of death g / i '= N '.~i ~" Q Suicide Q Could not ~ f°.. Q Not pregnant, but pregnant 43 days to 1 year before death 32. Date of Injury (Mo/Day/Vr) (Spell Month) .. rT, rx Q Unknown if pregnant within the past year 33. Time of In)ury rW~ ;J --1 r ~ u 34. Place of Injury (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 Injury, Specify: 38. Describe How Injury Occurred: Q Ves Q Driver/Operator Q Pedestrian Q No Q Passenger Q Other (Specify) 39a. Certifier (Check only one): Q Certifying physician - To the best of my knowledge, death occurred due to the cause(s) and manner stated Q Pronouncing 8. 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/Corone - On the basis of examination, and/or investigation, in my opinion, death occurred at the time, da te, and place, and due to the cause(s) and manner stated Signature of certifier. Title of certifier: ~~ ~ - License Number: ^1 ~b ~ 3 S? (~ 39b. Name, Address a/nd Zip Code of Person Completing Cause of Death (Item 26) ., i ... 1. .,.., ,~ /! JQ I i PJi ~~ - V1~~ h ~i ~ ll ~ ~ ~.a n ~.. ~ ~ $~l ~O a a / ~,~..,,. .,~ {J. ~~ L•~L/ ~ ~ r'i // 39c. Date Signed (MO/Day/Yr) / ~ ~ / LJ/ - ~/'1 / _~ This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original 4 r certificate will be forwarded to the State Vital Records Office for permanent filing. =~'O9glM ~~~Q~``'~, ~~Q,,AC~C;~, DE.~ 17/2012 --.,,,,,ENT~O,,,,1~~'' Local Registrar Date Issued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH ~ VITAL RECORDS CERTIFICATE OF DEATH State File Number: 2. Sex 3. Social Security Number 4. Date of Death (Mo/Day/Yr) (Spell Mo) Doris A_ Woodrow Fema1 December 14, 2012 Sa. Age-Last Birthday (Yrs) Sb. Under 1 Year Sc. Under 1 Da 6. Date of Birth (MO/D ay/Year) (Spell Month) 7a. Birthp aye ( ty and State or Foreign Country) ~' 82 Months Days Hours M inutes April 22 ~ 1930 Car~1s ~-e ~~ 7b. Birthplace (County) 8a. Residence (State or Foreign Country) 8b. Residence (Stree t and Number -Include Apt No.) Sc. Did Decedent Live in a Township? PA 7 Alpine Drive es, decedent Ilved in Lower Franlcford twp. Sd_ Residence (County) Cumberland 8e. Residence (Zip Code) QNo, decedent lived within limits of city/born 9. Ever in US Armed Forces? 10. Marital Status at Time of Death Q Married ~ Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage) Q Yes [~ No Q Unknown Q Divorced Q Never Married Q Unknown 12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First MarNage (First, Meddle, Last) Earl Hoover Ethel Shughart 14a. Informant's Name 14b. Relationship Lo Decedent 14c. Informant's Malting Address `Street and Number, City, State, Zip Code ) o Joy Shockley daughter 20 Hays Grove Rd_, Newville, PA 172 41 G ....................................... ...""'..."""""'^""^.... ................... .. .Sa. P ace o Deat C ec on ), one ..... ..................................._.......................................... ... .. oc If Death Occurred in a Hospital: Inpatient z .. ... ray _................................... .................................. ~ :If Death Occurred Somewhere Other Than a Hospital: I_I•Hospice Facility ~~ Decedent's Home ° Q Emergency Room/Outpatient Q Dead on Arrival Nursin Home Lon Q g / g-Term Care Facility Other (Specify) • 15 F ility m~ (If riot In tutfon, i e s eet and number; ~~ t~ ~# ~ t ~ ~ iSc. City or Town, State, and Zi Code SSd. County of D ath " 1 l j y osp a o pz.ri Cep Hi11 , PA 7011 Cumber and m 16a_ Method of Disposition Burial Q Cremation ~¢ b. Dat o Dispq,~}~ l~C ~~ L ~2 16c. Place of Disposition (Name of cemetery, crematory, or other place) Q Removal from State Q Donation i ~+ Cj]mb~ar],anC] Valley Memeorial Gardens Other (Specify) °~ 16d. Location of Disposition (CFty or Town, State, and Zip) 17a. Slgnatur Funeral Servic L ense on in Charge of Interment 17b. License Number $ Carlisle, PA 17013 138504 3 ]~7c. I~~~ a~nnCQ~p1~t~Ad~ess of Fun al cflity O YiOL rl7nera~ dome & Crematory, 219 North Hanover Street, Carlisle, PA 17013 c~ 18. Decedent's ducatlah'- Check thi' box"that'tiest describes the ~ " 19. Decedent of Hispanic Orlgiri -Check the 20. Decedent's Race -Check ONE OR MORE races to indicate what highest degree or level of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herself to be. 8th grade or less is Spanish/Hispanic/Latino. Check the "NO" White Q Korean No diploma, 9th - 12th grade box if decedent is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese Q High school graduate or GED completed ~ No, not Spanish/Hispanic/Latino Q American Indian or Alaska NatlVe Q Other Asian Q Some college credit, but no degree Q Ves, Mexican, Mexican American, Chicano Q Asian Indian Q Native Hawaiian Q Associate degree (e.g. AA, AS) Q Yes, Puerto Rican Q Chinese Q Guamanian or Chamorro Q Bachelor's degree (e.g. BA, AB, BS) Q Yes, Cuban Q Filipino Q Samoan Master's degree (e.g. MA, M5, MEng, MEd, MSW, MBA) Q Yes, other Spanish/Hispanic/Latino Q Japanese Q Other Paeiflc Islander Q Doctorate (e.g. PhD, EdD) or Professional degree (Specify) Q Other (Specify) e. . MD DDS DVM LLB JD 21. Decedent's Single Race Self-Designation -Check ONLY ONE to indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation -indicate type of work White 0 Japanese Q Samoan done during most of working life. DO NOT USE RETIRED. Black or African American Q Korean Q Other Pacific Islander CustOdlal Q American Indian or Alaska Native Q Vietnamese Q Don't Know/Not Sure Q Asian Indian Q Other Asian Q Refused 22b. Kind of Business/Industry Q Chinese Q Native Hawaiian Q Other (Specify) Nursing HOme Q Filipino Q Guamanian or Chamorro ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pro no unced Dead Mo Day r 23b. Signs ure of Person Pronouncing Death (Only when applicab e) 23c. License Num er i~ ., BY PERSON WHO PRONOUNCES OR P eCPYYI ber ~ ~ ZC~ ~ Z CERTIFIES DEATH C` / ~ n I fl .~ 1 ~ ~ ~ ~ Q O T /~~~J 1~1 v V 23d. Date Signed (Mo/Day/Vr) 24. Time of_ Death C ~ ) .2 ~ 2 ~ (~ 25. Was Medical Examiner or Coroner Contacted? Q Yes No 40. Registrar's Di 43. Amendments O_ . r~ , aoti~ x ~ ~ ~$ ~~ H105-143 Disposition Permit No_ li J REV 07/2011 LAST WILL AND TESTAMENT I, DORIS A. WOODROW, of Lower Frankford Township, Cumberland County, Pennsylvania, being of sound mind, disposing memory and full legal age, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils heretofore made by me. 1. I direct my Co-Executrices to pay all of my debts, funeral and administrative expenses as soon as convenient after my decease. Furthermore, I direct that all state, inheritance, succession and other death taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property composing of my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid by the Co- Executrices from my estate, and that none of the aforesaid taxes shall be prorated among those persons or entities named herein or otherwise beneficiaries hereunder. 2. My Go-executrices may, at their discretion, compromise claims, borrow money, retain property for such length of time as they may deem proper; lease and sell property for such prices, on such terms, at public or private sales, as they may deem proper; and invest estate property and income without restriction to legal investments unless otherwise provided hereunder. RECORDED OFFICE OF RI?GISTI~.K Ole WI],I,S 2013 FEB 12 CLERK OF ORI'H,1NS COURT CUMRI?R1,AND COURT, I'~~ 3. I authorize and empower my Co-Executrices to sell any realty and/or 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 I could do if living. My Co-Executrices are 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 Co-Executrices. 4. I give, devise and bequeath all of my estate of every nature and wherever situate to my husband, GLEN A. WOODROW, providing he survives me by sixty (60) days. 5. Should the gift in Paragraph No. 4 not take effect, I give, devise and bequeath all of my estate of whatever nature and wherever situate to my five (5) children, share and share alike, the child or children of any deceased child taking the share their parent would have taken if living. 6. I nominate and appoint JOY A. SHOCKLEY and HOPE A. RICE to be the Co- Executrices of this my Last Will and Testament. 7. No person(s) shall benefit hereunder unless such beneficiary shall survive me by sixty (60) days. 8. No Co-Executrix acting hereunder shall be required to post bond or enter security in this or any other jurisdiction. 2 9. No beneficiary may assign, anticipate or pledge his or her interest in any income or principal held or distributable hereunder, and no beneficiary's creditors may levy, attach or otherwise reach any such interest. 10. If any person entitled to share in any distribution under the terms of this my Last Will and Testament becomes an adverse party in any proceeding to contest the probate of this Last Will and Testament, such person shall forfeit his or her entire interest inherited hereunder and all provisions in favor of such person shall be declared void and of no effect. The share of such person so forfeited shall be distributed as part of the residue pursuant to Paragraph No. 5 hereof, as the case may be, except that if such person is entitled to share in the said residue, that interest shall be distributed proportionately to the other residuary beneficiaries. 11. I hereby suggest that my personal representatives retain the services of Irwin & McKnight, P.C. as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 1St day of June 2010. ~../~~~ ~-~~,~' (SEAL) DORIS A. WOODROW 3 Signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will and Testament, in our presence, who, at her request, in her presence and in the presence of each other have hereunto set our names as subscribing witnesses. 4 ACKNOWLEDGMENT AND AFFIDAVIT WE, DORIS A. WOODROW, KAREN S. NOEL and SHARON L. SCHWALM, the Testatrix and witnesses respectively, whose names are signed to the 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 purpose herein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a 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. DO S A. WOODROW ,~ t=~ REN S. OEL ~ r ' ~ ~~y~~, ~~~. SHARON L. SCHWALM COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by DORIS A. WOODROW, the Testatrix herein, and subscribed and sworn to before me by KAREN S. NOEL and SHARON L. SCHWALM, witnesses, this 1St day of June 2010. ~ - C~~ N to Public CbMIVIdN~'LTM OF PENNSYLVANIA Notarial Seal roger B. Irwin, Notary Public Carlisle Boro, Cumberland County My Commission Expires Oat. 3, 2012 Member, Perns~~H~ar~~ ~±s,+rociation of Notaries 5