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HomeMy WebLinkAbout02-19-13PETITION 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 f Name: BETTY A. ZEIGLER File No: r~ ~ - ~~) ~' ~, (~ 1 a/~a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: JANUARY 8, 2013 Age at death: 80 Decedent was domiciled at death in CUMBERLAND County, pF.NNSYT.VAN q (State) with his/her last principal residence at 4 EASTWOOD DRIVE, CARLISLE 17015 SILVER SPRINGS TOWN~I-lIP_ CUMBERLAND Street address, Post Office and Zip Code City, Township or Borough County Decedent died at SELECT SPECIALTY HOSPITAL CAMP HILL 17011 CAMP HILL 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 $ 1fi5,00t7.00 If not domiciled in Pennsylvania ........................Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................ Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ 1,500 00 00 TOTAL ESTIMATED VALUE.... $ 1.665.000.00 Real estate in Pennsylvania situated at: 1301 W. TRINDLE RD CARLISLE 17015 SILVER SPRINGS TOWNSHIP CUMBERLAND (Attach additional sheets, if'necessary.) Street address, Post Office sad 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 DECEMBER 12, 2012 and Codicil(s) thereto dated 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 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. 0 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 db.».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 established as defined in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. Q 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 (ifany) and heirs (attach additional sheets, if necessary): ~ ~.,_~; ._: -.. ~ ~ .~. Name Relationshi d7ass "*'t '~ C~ ~ ~ ~ m tt> '~ ~v y. r-- ~.,..., rn ~ ~ ~ ~ -~c vta ~aa ~ ~`'~ ~ ~ ct~ Form RW-02 rev. ~oini2o/~ Page 1 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: ~ o~~~e~ of ~ 0~' ~r~~C.LS n n, ., Petitioner(s) Printed Name Petitioner(s) Printed dd ss JOSIAH J. ZEIGLER 6 EAST WOOD DRIVE CA ISL~~~~-7®1~ ELMER J. ZEIGLER 1516 W . TRINDLE RO A~~07 ~ T • . ~/~ The Petitioner(s) above-named swear(s) or affinm(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 Porsonal Representative(s) of the Decedent, the Petitioner(s) will well and truly administer the estate according to law. Date ~ ~ ~ Sworn to or a€firmed ~ subscribed before met ' ~ da o ~ ( ,i~V .L_) Date l B ~ Date y~ - Date the Regisier BOND Required: Q YES NO FEES: Letters ..................... . ( 4) Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ....••• Wii.i, ....... . $ 1,010.00 20.00 ~ c nn INH TAX RETURN ........ 15.00 INVENTORY ........ 15.00 Automation Fee ............... 5.00 JCS Fee . .................... 23.50 TOTAL ..................... $ 1.103.50 Attorney Signature: ~~ ~/~ ~ ~' Printed Name: ROG B WIN, ESQUIRE Supreme Court ID Number: 6282 Firm Name: Address: RECO~~ REGlS i ?~'i' ~ FAA IRWIN & McKNIGHT, P.C. (717)249-2353 X7171249-6354 Phone: Fax: Email: DECREE OF THE REGISTER Estate of BETTY A. ZEIGLER a!k/a: AND NOW, ~ , ~U ~ , in consideration of the foregoing Petition, satisfactory proof having been p nted before me, IT IS DECREED that Letters TESTAMENTARY e hereby granted to JOSIAH J. ZEIGLER AND ELMER J. ZEIGLER in the above estate and (if applicable) that the instrument(s) dated DECEMBER 12 2012 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decadent. e ~~ Register of Wills ~e r ~Q~C>l;~~l.~~ C~,~ ~, _ ~ ~ . Form RW-02 rev. 10/11/?011 Page 2 of 2 ®~ File No• ~~ ' ~ ~ ` 2 ~ r Real estate in Pennsylvania situated at: 1400 W. TRINDLE ROAD, CARLISLE 17015, SILVER SPRINGS TOWNSHIP PA (Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough Coumy Real estate in Pennsylvania situated at: 4 EASTWOOD DRIVE, CARLISLE 17015, SILVER SPRINGS TOWNSHIP PA (Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough County Real estate in Pennsylvania situated at: REAR HELEN AVENUE, MECHANICSBURG, 17055 MECHANICSBURG PA (Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough County ~© _Q `~' mrn as ~' -~ c~ ~"' ~~~ m ~~ ~ ~r ~ ct' ~~ rn ra~ n ra ~., o r~ ~ c ~ ~~' ~ n N ~ ~ ' ' -v -,! ~, - 1 7 y CL7 "v7 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal. to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 R E c a R o E a a F F ~ c E o~ This is to certify that the information here given is R E C 1 S T E R O F W 1 L L5 correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original '013 FE8 19 F~ ~ 5~ certificate will be forwarded to the State Vital Records Office for permanent filing. p ~ ~ ~~ ~ ~~~ ~ CLERK OF ~~ ~~ P H A N S COURT rvc J 1 0 2013 Certification Number PA G~MBERLAND CO Local Registrar Date Issued ., Type/Print In COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT O Permanent . F HEALTH • VITAL RECORDS B lack Ink CERTIFICATE OF DEATH ' 1. Decedent s Legal Name (First, Middle, Lasi, Suffix) 2. Sex Feinal 3. social Security Number5tate File N~ Date of Death (MO/Day r) (Spell Mo) 166-54-4597 Sa. Age-Last irthday (Vrs) 5 .Under 1 Year Sc. Under 1 Da 6. Date of Birth (MO/D /Y January 8, 2013 gQ Months Days Hours Minutes ay ear) (Spell Month) 7a. Birthplace (City and State or Forclgn Country) Jan 2 , 1933 All n p 8a. Residence (State Or Forel n Count g ry) Pennsylvania Sb. Resfdence (Street a d Number -Include Apt No.) 4 Eastwood Dr. 8e. Did Decedent Ll 7b. Birthplace (County) ve In a Township? 8d. Residence (County) Yes, decedent lived in - .S11V@rsprinQ twp Cumberland Be. Residence (Zip Code) Q No, decedent Iwed within limits of 9. Ever In US Armed Forces? 10. Marital Status at Time of Death Q Married Widowed city/boro Q Ves ~ No Q Unknown Q Divorced Q Never Married Q Unknown 11. Surviving Spouse's Name (If wife, give name prior to first marriage) 12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to Fint Marriage (First, Middle, Last) P@rc S lvester Williams Sarah Ruth Davis 14a. Informant's Name 14b. Relationship to Decedent 14e. Informant's Melling Address (Street an Number, CI State I Josiah J. Zeigler son 6 Eastwood Dr_, Carl~sl@, ~A 1`~~~~e) ..........• .............................................. ...... .......... a. ace o eat ee on y one If Death Occurred In a Hos ital: Wr .. ............_._..._. ..................................................... . P uY •InPatient ...... ...................... ........... ?If Death Occurred Somewhere Other Than a Hospital: - -"""'-'•--•"•••••••• •••-••--•- •--- c ~ hlosPice Facie - "•••••••••• Emergency Room/Ovtpatlent Q Dead on ArrWal Nursin Home/LOn -Term Care Facility Other 5 eci ~ ~ Decedent's Home SSb. Facility Name (tf not institution, give street and number; •i5c. Ci ( P ~) S@1@ct S cialty Hospital Nor Town, State, and Zlp Code iSd. County of Death LL Camp Hi11, PA 1'7011 Cumberland ~, 16a. Method of Dlspositlon Q: Burial Q Cremation 16b. Date of Disposition 16c_ Place of Disposition (Name of cemete Q Removal from State Q Donation .Ian 11 , •201 ry. crematory, or other place) Other (S eeify) Cumberland Valley Memorial Gardens 16d. Loca[lon of Dlspositlon (City or Town, State, and 21p) 17 lure of Funeral Servi~nsee or Person in Cha Carlisl@ , PA 17013 rge of Interment 17b. Ucense Number 0._ 013144E 17c. Nam nd Complete Address of Funeral acllity Ho~~man-Roth Funera~ Home & Crematory, 219 North Hanover Str@@t, Carlisle, PA 17Q13 ~ 18. 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 Ind cafe 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/Hispanle/Latino. Cheek the "No° ~ White Q No diploma, 9th - 12th grade box If decedent is not Spanish/Hispanic/Latino. Q Black or African Amercan ~ Korean Q High school graduate or GED completed No, not Spanish/Hispanie/Latirio Q Vietnamese Q Some college credit, but no degree Q American Indian or Alaska Native Q Other Asian Q Ves, Mexlca n, Mexican American, Chicano Q Asian Indian Q Native Hawagan Q Associate degree (e.g, AA, AS) Q Yes, Puerto Rlcen Q Bachelor's degree (e.g. BA, AB, BS) Q Chinese Q Guamanian or Chamorro Q Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Yes, Cuban 0 Flllplno Q Samoan Q Yes, other Spanish/Hispanle/Latino Q Japanese Q Doctorate (e.g. PhD, EdD) or Professional degree Q Other Pacific Islander e• . MD DDS OVM LLH JD (Specify) Q Other (Specify) 21. Decedent's Single Race Self-Designation -Cheek ONLY ONE to indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation -Indicate White Q Japanese Q Samoan pe of work Q Black or African American Q Korean done during most of working life. DO NOT U5E RETIRED. q Q American Indian or Alaska Native Q Other Paeiflc Islander ~i Q Vtetnamese Q Don•t Know H«T~ Ma7C@r Q Asian Indian Q Other Asian Q Refused /Not Sure Q Chinese Q Native Hawaiian 22b. Kind of Business Indust Q FIIlpino Q Guamanian or Chamorro Q Other (Specify) OWr'1 HOme / ry 1 MS 2 a - MUST BE LETED 23a. Date Pronounce Dea Mo ay r 23 aturc o cup P no Deat nl w_Sen ace Ica a 23c. License Nu er BY PERSON WMO PRONOUNCES OR ~~ 8 ~ , ~ Y// s`3 CERTIF{ES DEATH ~ ~'s~ ~ 23d. Date Signed (MO/Day/Yr) 24. Time of Death ~ / _t ` ' ~© ~ ~ 25. Wa dical Examiner or Coroner C~ clad?/`J ~r b~ ~~~ CAUSE Q Yes No 26. Part 1. Enter the chain of v ~ OF SEA H _.~~--diseases, injuries, or compltcattons-that directly caused the death. DO NOT enter terminal events such as cardiac arrest, '4PProximate respiratory arrest, or ventricular flbrlllation wiGthout showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a Ilne. Add additional Tines if necessary ~ Onset to Death IMMEDIATE CAUSE -------------> a. ~ (~~ ~~~ ~\ ~'~r ~- ) (Final disease or condition Due to or as a copse • resulting in death) ( quanta of). b. Sequentially Ilst conditlons, Due to (or as a consequence of): if any, leading to the cause listed on Ilne a. Enter the c. UNDERLYING CAUSE °C (disease or injury that - Due to (or as a consequence of): i initiated the events resulting d_ s In death) LAST. Due to (or as a consequence of): ~ W m ~ ~- 26. Part II. Enter other sianifleant condi 'ons ontrib 'n¢ a 1+but not resulting In the underlying cause given in Part 1 9. If Female: 30. Did Tobacco Use Contribute to Death? ~~Not pregnant within past year Q Pregnant at time of death Yes Q Probably o Q Unknown Q Not pregnant, but pregnan[ within 42 days of death Q Not pregnant, but pregnant 43 days to 1 year before death 32. Data of In u Q Unknown if pregnant within the past year 1 ry (MO/Day/Yr) (Spell Month) ' 27. Was an auto s P Y Perfo edT vas c 28. Were autopsy findings available to complete the cause of death? ~ Ves No 31. Manner of Death Natural Q Q Homicide Q Accident Q Pending investigation Q Suicide Q Could not be determined 33. Time of Inju 34. Place of Injury (e.g. home; construction site; farm; school) ry 35. Location of InJury (Street and Numb er, City, State, Zip Gotle) ~ ~ 36. Injury at Work 37. If Transportation Injury, Specify: qj 38. Describe How InJury Occurred: Q Yes ~ Driver/Operator Q Pedestrian !V ~ ~ l~ Q No Q Passenger Q Other (Specify) 3 a. C rtifler (Check only one): ertNying physician - To the best of my knowledge, death occurred due to the cause(s) end manner stated Q Pronouncing Ss Certifying ph sic T o the best of my knowledge, death occurred at the time, date, and place Q Medical Examiner/COf O a and due to f th 4J , o e cause(s) and manner stated examination, and/or Investigation, in my opinion, death occurred at the time, date and place Si d d gnature of certifier: (, ~ w' , , an ue to the cause(s) and manner stated Title of certifier:- / ~ • Q 39b. Name, Ad ss an Zip Code of Person Completing Cause of Death Items) License Number:_~ ~ a T ~ a 1 t ~ 4 ~{ ~- ' 40. Registrars istrict Num er 41 R i ~ 39c. Date Signed (MO;Day/Yr) ~ ~ LS . eg strars ure •~ ~ ~ .Registrar 1 e Date Mo ay r 43. Amendments - Dlspositlon Permit No.__ \ J 9~~L~~ H105-143 RFV A7/7n1 ~ LAST WILL AND TESTAMENT I, BETTY A. ZEIGLER, of Silver Spring 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-Executors 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,~t~x purposes, whether or not such property passes under this Will, shall be paid by th~GoExectors rn ~ cow rn ~4 from my estate, and that none of the aforesaid taxes shall be prorated among tl~'s son`~'or ~'" '~' ~ ~ ~ r' ;.~ m e'-~ m entities named herein or otherwise beneficiaries hereunder. z ~? ~ ca '~ ~ ~~ cy Ga ~~ ~ ~~ w.~..... 2. My Co-Executors may, at their discretion, compromise claims, borror~v r~ney, r~d.in ~ ~ property for such length of time as they may deem proper; lease and sell property for such pfi~es, ~ -^ 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. 3. I authorize and empower my Co-Executors 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 therefor, in fee simple, as I could do if living. My Co-Executors 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-Executors. 4. I give, devise and bequeath all of my estate of whatever nature and wherever situate as follows: a. Certain items of personal property according to a list left with my Will; b. The sum of $1,000.00 to PAULINE W. THRUSH; c. The sum of $1,000.00 to ROBERT E. WILLIAMS; d. The sum of $5,000.00 to HICKORYTOWN UNITED METHODIST CHURCH; e. The sum of $60,000.00 to be divided between my nine (9) grandchildren, share and share alike; f. The sum of $40,000.00 to be divided between my six (6) great grandchildren, share and share alike; and g. All the rest, residue and remainder to my five (5) children, KENNETH E. ZEIGLER, JR., LINDA K. DEITCH, ANNA M. ZEIGLER, JOSIAH J. ZEIGLER and ELMER J. ZEIGLER, share and share alike. However, when determining the share of ANNA M. ZEIGLER, she is to be charged with receiving the sum of $125,000.00 since she will inherit the home at 4 Eastwood Drive, Carlisle, and I want my children to all be treated equally. 2 5. I nominate and appoint JOSIAH J. ZEIGLER and ELMER J. ZEIGLER to be the Co-Executors of this my Last Will and Testament. 6. No person(s) shall benefit hereunder unless such beneficiary shall survive me by sixty (60) days. 7. No Co-Executor acting hereunder shall be required to post bond or enter security in this or any other jurisdiction. 8. 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. 9. 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 4 hereof except that if such person is entitled to share in the said residue, that interest shall be distributed proportionately to the other residuary beneficiaries. 3 10. 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 12th day of December 2012. ,C~ .e~"~ ~L ~r~'~ (SEAL) TTY Z GLER 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 witness s. ~- 4 ACKNOWLEDGMENT AND AFFIDAVIT WE, BETTY A. ZEIGLER, 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. E~'~A. Z~IGLER ~~. ~' ~ "KAREN S. NOEL SHARON L. SCHWALM COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND ; Subscribed, sworn to and acknowledged before me by BETTY A. ZEIGLER, the Testatrix herein, and subscribed and sworn to before me by KAREN S. NOEL and SHARON L. SCHWALM, witnesses, this 12th day of December 2012. Notarfal Seal Royer B. Irwin, Notary Public GrNele 8oro, Cumberland County ~Cfr1N111r1011 ~acpires Oct. 3, 2016 5