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HomeMy WebLinkAbout02-20-13~.-~.~. 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: RALPH S. McGRAW a/k/a: a/k/a: a/k/a: Date of Death: FEBRUARY 7, 2013 File No: Z ~- 13' Q~ d 7 (Assigned by Register) Social Security No: Age at death: 64 Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (state) with his/her last principal residence at 144 PROWELL CAMP HILL 17011 HAMPDEN TOWNSHIP CUMBERLAND Street address, Post Office and Zip Code City, Township or Borough County Decedent died at CAROLYN CROXTON SLANE RESIDENCE, HARRISBURG 17110 HARRISBURG DAUPHIN PA Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's properly at death: If domiciled in Pennsylvania ............................All personal property $ 25,000.00 If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ 25.000.00 Real estate in Pennsylvania situated at: (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 JANUARY 21, 2013 and Codicil(s) thereto dated State relevant circumstances (e.g. renunciation, death of executor, etG) 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 born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. O NO EXCEPTIONS 0 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 rLb.n.c.~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 established as defined in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. O NO EXCEPTIONS Q 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 dress ~ ~ ~ ~ C'~ ~~~ ~ ~~ Q ~~ ~ ~ C"~ _r~ "'~ `~ ~ ~~ ~ ~ r--. Form RW-02 rev. 10/11/2011 Page I Of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } } SS: } To the Register of Wills: Please enter my appearance by my signature below: Petitioner(s) Printed Name Petitioner(s) Printed ~d s r_.x ~°~~-~ ~,~ KEVIN M. McGRAW 4 SOUTH SEASONS DRIVE DILLSBURG P "' 17019 c~~ ~~ The Petitioner(s) above-named swear(s) or affirm(s) the statements in the fog going 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,. t ~ Petitioner(s) will well and truly administer the estate according to law. Sworn to r affirmed and subscribed before Date ~ ~ me this ,~~~~' ~~ da of _ ~ / ,~lj i Date y: L.~C. ~ ~ _> Date t e Register Date BOND Required: Q YES •. NO FEES: Letters ...................... $ 60.00 ( 2) Short Certificate(s)...... 10.00 ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ...... , WILL ........ 15.00 INH TAX RETURN ........ 15.00 INVENTORY ........ 15.00 Automation Fee ............... 5.00 7CS Fee . .................... 23.50 TOTAL ..................... $ 143.50 Attorney Signat .-~ ~ ~ ~ %-~/,. ~ a © OfficiaL~L~e On ,..~~. - ~, . . Printed Name: MAR6.LI5 A. McKNIGHT, I~I Supreme Court ID Number: 25476 Firm Name: IRWIN & McKNIGHT, P.C. Address: 60 WEST POMFRF.T STRF.F.T CARLISLE, PA 17013 Phone: (717) 249-2353 Fax: X717) 249-6354 Email: DECREE OF THE REGISTER ~J R Estate of RALPH S. McGRAW File No: ` /' ~' ~ ~~,~'t~ 7 a/k/a: AND NOW, ~ f ~ C!/' ~ ~ ~ , in consideration of the foregoing Petition, satisfactory proof having been esented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to KEVIN M. McGRAW ~~ the instrument(s) dated JANUARY 21, 2013 described in the Petition be admitted to probate and filed of record Form RW-OZ rev. 10/I1/2011 in the above estate and cif applicable) that the last Willand Codicil(s)) o~~Decedent. Register of Wills ~~ ~~,~ ~~~~~ ~~. ~g~2 0~~ [~Y "~ O ~~ ~~ Will of Ral h S. McGraw ~ ~ ~ a ~~~ ~ ~~~ I, Ralph S. McGraw, a resident of Camp Hill, Cumberland County, ~tai$ of ~ ~~ Peyi~ declare that this is my will. T-"°,,. ~ 1. Revocation. I revoke all wills that I have previously made. 2. Marital Status. I am single. 3. Specific Gifts. I make the following specific gifts: I leave my Civil war painting picture above my fireplace to Alan Dieringer or, if he does not survive me, to Margaret Dieringer. I leave some miscellaneous items that will be boxed and designated for Margaret Dieringer or, if she does not survive me, to Alan Dieringer. I leave my oriental scroll to Nancy Tsang or, if she does not survive me, to Nancy's mother. I leave my piano to my niece Kristen A. McGraw or, if she does not survive me to my brother Kevin M. McGraw. I leave my guitars, instruments to my brother Kevin M. McGraw. I leave my original oriental painting to my brother John J. McGraw 4. Residuary Estate. I leave my residuary estate, that is, the rest of my property not otherwise specifically and validly disposed of by this will, including lapsed or failed gifts, to my brothers John J. McGraw and Kevin M. McGraw or, if they do not survive me, to their respective spouses Kathy (Cope) McGraw and/or Julie A. (Gaumer) McGraw. 5. Beneficiary Provisions. The following terms and conditions apply to the beneficiary clauses of this will. A. 45-Day Survivorship Period. As used in this will, the phrase "survive me" means to be alive or in existence as an organization on the 45th day after my death. Any beneficiary, except any alternate residuary beneficiary, must survive me to take property under this will. B. Shared Gifts. If I leave property to be shared by two or more beneficiaries, it shall be shared equally by them unless this will provides otherwise. If any beneficiary of a shared specific gift left in a single paragraph of the Specific Gifts clause, above, does not survive me, the gift shall be given to the surviving ~~-~ w ,~' ,f~ beneficiaries in equal shares. If any beneficiary of a shared residuary gift does not survive me, the residue shall be given to the surviving residuary beneficiaries in equal shares. C. Encumbrances. All property that I leave by this will shall pass subject to any encumbrances or liens on the property. 6. Ezecutor. I name my brother Kevin M. McGraw as executor, to serve without bond. If he does not qualify, or ceases to serve, I name my brother John J. McGraw as executor, also to serve without bond. I direct that my executor take all actions legally permissible to probate this will, including filing a petition in the appropriate court for the independent administration of my estate. I grant to my executor the following powers, to be exercised as the executor deems to be in the best interests of my estate: A. To retain property, without liability for loss or depreciation resulting from such retention. B. To sell, lease, or exchange property and to receive or administer the proceeds as a part of my estate. C. To vote stock; convert bonds, notes, stocks, or other securities belonging to my estate into other securities; and to exercise all other rights and privileges of a person owning similar property. D. To deal with and settle claims in favor of or against my estate. E. To continue, maintain, operate, or participate in any business which is a part of my estate, and to incorporate, dissolve, or otherwise change the form of organization of the business. F. To pay all debts and taxes that may be assessed against my estate, as provided under state law. G. To do all other acts which in the executor's judgment may be necessary or appropriate for the proper and advantageous management, investment, and distribution of my estate. These powers, authority, and discretion are in addition to the powers, authority, and discretion vested in an executor by operation of law, and may Signed, sealed, published and declared by the above-named Testator, as and for his Last Will and Testament, in our presence, who, at his request, in his presence and in the presence of each other have hereunto set our names as subscribing witnesses. L ~~~ 5 Wi ne, Signahue Typed or printed name Residing at 1~ c 1-e ~ /~7~~.~ City, State, zip Witness 3 Signature Typed or printed name Wit ess 2 ,, Signature ~~ r Typed or printed name iding at .~ ~ ~~a13 City, State, zip Residing at ACKNOWLEDGEMENT AND AFFIDAVIT WE, RALPH S. McGRAW, KAREN S. NOEL and TRACI D. SMITH. SCHWALM, the Testator and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and 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 of 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 sound mind and under no constraint or undue influence. P S~W Q REN S. NOEL TRACI D. S ITH COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by RALPH S. McGRAW the Testator herein, and subscribed and sworn to before me by KAREN S. NOEL and TRACI D. SMITH, witnesses, this 21St day of January'"" ~4MI~4NWEA~TH OF PENNSYLVANIA Notarial Seal Martha L. Noel, Notary Public Carlisle Boro, Cumberland County Mmission Expires Sept. 18, 2015 _. r, ~ 13F NBTAiiIES H)05.805 REV (9/Il) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by-photostat or photograph. RECOF~OFp OFFICE OF Fee for this certificate, $6.00 ~~t`sI~T~~{ 0 ' " - This is to certify that the information here given is ,IIt~ P 19398353 Certification Number Type/Print In Permanent ~~ 7 ~I ,,Qf''ll~(,f'~ y =._ correctly copied from an original Certificate of Death =- 1~I3 FEB ,~ `'~ _ yf~ =_ duly filed with me as Local Registrar. The original ~ _ ~ _ za certificate will be forwarded to the State Vital ~ ~ ~ ° --~= a ~ Records Office for permanent filing. * ~~ ~' ~~ 1 3 013 ~t~'~tBERLAN" Nt ~~'~`ll''' " ' Local Registrar Date Issued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH -VITAL RECORDS tt'FRTIFICOTF nF I7FOTH 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4. Oate of Death (MO/Day/Yr) (Spell Mo) R a 1 p h S McGraw Male February 7 , 2013 Sa. Age-Last Birthday (Yrs) Sb. Under 1 Year Sc. Under 1 Da 6. Date of Birth (Mo/D ay/Year) (Spell Month) 7a. 6lrthola ib(CIT nd State or Foreign Country) Months Days Hours Minutes s ~ YY ~Ctt lilt 64 October 25, 1948 7b. Birthplace (County) Alle e Sa. Residence (State or Foreign Country) Sb. Residence (Street and Number -Include Apt No.) 8c. Did Decedent Live (n a Township? Pennsylvania 144 P ll C~Yes, decedent lived in F~pdan twp. 8d. Residence (County) rowe Ctmlberland 8e. Residence (Zip Code) 1701 1 Q No, decedent Ilved within limits of city/boro. 9. Ever in US Armed Forces? 10. Marital Status at Ttme of Death ~ Married ~ Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage) ' [ ~YeS (] No (] Unknown ~ Divorced Kl Never Married 0 Unknown 12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, Last) Ralph W. McGraw JaczIt7PlinE' R. Drake 14s. Informant's Name 14b. Relationship to Decedent 14c. informant's Mailing Address (Street and Number, City, State, Zip Code) o Kevin M. McGraw Brother 4 South Seasons Drive Dillsbur PA 17019 G _ _ _ _ _ _ _ _ 15a_ P ace o Deat ec on Yone _ ac _ _ _ _ _ _ If Death Occurred In a Hospttal d Inpatient ~If Death Occurred Somewhere Other Than a Hospital: ®Hospice Facility ~[] Decedent's Home ~ Emergency Room/Outpatient ~ Dead on Arrival i ~ Nursing Home/Long-Term Care Facility ~ Other (Specify) iSb. Facility Name (If not institution, give street and number) lSc. City or Town, State, and Zip Code SSd. oun of Death " Carolyn Croxton Slane Residence Harrisburg, PA 17110 15aup~in ~-, 16a. Methodof Disposition Burial ~ Cremation 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or ocher place) ~ Removal from State p Donation O other(speclfy) Feb. 15, 2013 Tnriiantown Gap National Cemetery S6d. Location of Disposition (City or Town, State, and Zlp) 17a. Signature of Funeral Service Licensee or Person in Charge of Interment 17b. License Number Annville, PA 17003 FD 012774-L 17c. Name and Complete Address of Funeral Facility Richardson bllneral Home 29 South E1wla Drive Enola PA 17025 r~ 18. Decedent's Education -Check the box that best describes the 19. Oecedent of Hispanic Origin -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. Q 8th grade or less is Spanish/Hispanic/Latino. Check the "No" ~ White O Korean ~ No diploma, 9th - 12th grade box if decedent is not Spanish/Hispanic/Latino. ~ Black or Afrtean American p Vietnamese ~ High school graduate or GED completed ~ No, not Spanish/Hispanic/Latino ~ American Indian or Alaska Native ~ Other Asian D Some college credit, but no degree ~ Yes, Mexican, Mexican American, Chicano ~ Asian Indian ~ Native Hawaiian Associate degree (e.g. AA, AS) ~ Yes, Puerto Rican p Chinese ~ Guamanian or Chamorro Bachelor's degree (e.g. BA, AB, BS) ~ Yes, Cuban ~ Filipino ~ Samoan ~ Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) ~ Yes, other Spanish/Hispanic/Latino ~ Japanese ~ Other Pacific Islander D Doctorate (e.g.-PhD, EdD) or Professional degree (Specify) ~ Other (Specify) e. MD DDS OVM LLB JD 21.~ecedent'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 ~ Japanese Q Samoan done during most of working life. DO NOT USE RETIRED. ~ Black or African American ~ Korean ~ Other Pacific Islander T S i li t = ~ American Indian or Alaska Native ~ Vietnamese ~ Don't Know/Not Sure - . pec a s ~ Asian Indian O Other Asian ~ Refused 22b. Kind of Business/Industry p Chinese O Native Hawaiian ~ Other (Specify) ~ Filipino ~ Guamanian or Chamorro Rite Aide Co ration rpo ITEMS 23a - 23d MUST BE COMPLETED 23a. D a te Pronounced Dead (MO Day Yr) 23b. Signature of Person Pronouncing Death (Only when applicable) 23c. License Number BY PERSON WHO PRONOUNCES OR CERTIFIES DEATH 1 ~. .~ f~V~ ~ 1 Zo r 23d. Date Signed (MO/Day/Yr) 24. Time of Death - - ~ -- - -- ~ ----- --- /"~ t-'~ VY1 25. Was Medical Examiner or Coroner Contacted? ~ Yes No 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, 1 Interval: respiratory arrest, or ventricular fibrillation without showing the etiol o gy DO NOT ABB R EVI ATE. Enter only one cause on a line. Add additional Tines if necessary. 1 Onset to Death / j ~ ~ ~s ~ ~ IMMEDIATE CAUSE -------------a a_ ~.~~~~ ~.J/~-~[/~'f~) C-Ifii_ ~iC l~r1Y7/C-O`•~ t (Final disease or condition Due to (or as a consequence of): ~ 1 resulting In death) ~ ~ b. 1 Sequentially list conditions, Due to (or as a consequence of): I if any, leading to the cause 1 listed on line a. Enter the c. 1 UNDERLYING CAUSE Due to (or as a consequence of): 1 ac (disease or Injury that 1 initiated the events resulting d. 1 1 ~ In death) LAST. Due to (or as a consequence of): 1 26. Part 11. Enter other significant conditions contributing to death but not resulting in the underlying cause given fn Part 1. 27. Was an autopsy performed? ~ ~ Yes No ~ ~ .. 28. Were autopsy findings available m ~ - ~ to complete the ca se of death? Bi O Yes No a € 29. If Female: ~ Not pregnant within past year 30. Did Tobacco Use Contribute to Death? p Yes p Probably 31. Manner of Death ~ Natural ~ Homicide ~j p Pregnant at time of death ~o~ No O Unknown p Accident p Pending Investigation °ad Q Not pregnant, but pregnant within 42 days of death o~ ~ Suicide p Could not be determined f°_ ~ Not pregnant, but pregnant 43 days to 1 year before death 32. Date of Injury (Mo/Day/Yr) (Spell Month) ~ 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, County, State, Zip Code) 36. Injury at Work 37. If Transportation Injury, Specify: 38. Describe How Injury Occurred: ~ Yes ~ Driver/Operator O Pedestrian ~ No ~ Passenger ~ Other (Specify) 39a. Certifier -physician, certified nurse practitioner, medical examiner/coroner (Check only one): O Certifying only - To the best of my knowledge, death occurred due to the cause(s) and manner stated. '~ Pronouncing ertifying - To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated. ~ Medical Exami /Co er - On the basis of exa nation and/or investigation, in my opinion, death curred at the time, date, and place, and due tot c o a use(s) and manner stated. c //~ ~~ ,./ ~ ~ d~~ l 7~ Signature of certifier. Title of certifier: ~G~ License Numbe /T / ~ .Norma, Ad ess a Zip Code of Pe on Co plating Cause of Death (Item 6) 39c. Dori Signe Mo/Day/Yr) i 40. Registra s tract Num er 41. Registra is Sig a 42. Re Istrar le Date Mo/Day/Yr) 02 ~ - d ~ ~ ~ f ~~/ c-~3 43. Amendments Disposition Permit No. / ~~~,J/ / / REV 07% 012