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Home My WebLink About02-20-13C Reset 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: Nancy C. Tritt File No: ~ ~ - `~'~ - ~ Q~ a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 02/14/2013 Age at death: 77 Decedent was domiciled at death in Cumberland County, pA (ware) with his/her last principal residence at 86 Shinnensburg Mobile Estates Shinnensbur~ Shinnensbura Cumberland Street address, Post Office snd Zip Code City, Township or Borough County Decedent died at Hershey Medical Center, Hershev Derry Dauphin 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 $ 15,000.00 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.... $ 15.000.00 Real estate in Pennsylvania situated at: 86 Shippensburg Mobile Estates Shippensbur~ Cumberland (Attach additional sheets, if necessary.) Street address, Post Ot'tice 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 01/15/2009 thereto dated and Codicil(s) State relevant circumstances (eg. 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. NO EXCEPTIONS Q EXCEPTIONS Q B. Petition for Grant of Letters of Administration (If applicable) c.t.a., d.b.n., d.b.n.c.t.a., pendente life, 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 established as defined in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS Q EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived b the ~owin s ous ~ an Y g p ~ yrn irs (attach additional sheets, if necessary): p ~ ~ -~ ~ C~ CA r-*~ ._. C3 Name Relationshi ~ ,_„t ~ vQQ ~ ~~ ~ tV l"" t"T1 t,.... f---+ '*1 Form RW-02 rev. 10/1 //2011 Page 1 of 2 S ~ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA c~OUNTY OF Cumberland } } SS: } Official Use Only RECORDED OFFICE OF Petitioner(s) Printed Name +•r.v~v r rrn Vf €tT Petitioner(s) Printed Address Deborah M. Ott ._t 26 Ai ort Road Shi ensbur PA 17257 `~~ j F~8 2~ P1 1 2 51. ORPNAHS' COURT CUMBERl.AHO CO., PA The Petitioner(s) shove-Wanted 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) a~pd that, as Personal Representative(s) of the Dec t, the Petitioner(s) wilMl well and 1 dminister the estate according to law. Sw rn #p or affirmed d subscribed befo~r~e~ ~ / / (~ Date _~=ad " ~~ m ' f s~_ day o _s~ "~,L, Date Date For the Regi`ster' Date BOND Required: ~ YES ~~10 FEES: Letters ...................... $ (~ )Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . ther ~ ....... Automation Fee . ............. . JCS Fee . ................... . TOTAL ..................... $ o To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Lee Mandarino Supreme Court ID Number: 312895 Firm Name: Rominger & Associates Address: 15 So i h Hanov r 4 r Pt Carlisle, PA 17013 717-241-6070 717-241-6878 skierleenh~omail cnm Phone: Fax: Email: DECREE OF THE REGISTER Estate of Nancv C. Tritt File No: ~ I ' ~ '~~ a/k/a: AND NOW, ~ , in consideration of the foregoin etition, satisfactory proof having been sented before me, IT IS DECREED that Letters are hereby granted to in the above estate and (if licable) that the instrument(s) dated ~ 1 L ~ described in the Petition be Form RW-02 rev. 10/11/2011 to probate and filed of record as the list Will (and Codicil(s)) of ~-fegister of W~fls v ' ~ Pa e 2 of 2 g H105.805 REV (9/111 w ' Nursin HOm!/LOn Term Gro Facility 15b. Facility Name (ff not institution, glue rtreei and number) 15e. q ~ Hershey Medical Canter tY or Town, State, and Zip Coda Deny Twp, PA 17033 a. ~ th of Dlspos(tron - Burtai G.matbn 1dh. Dare of DlspoJiltbn 16C_ Place of DlsposRlon Q Removal from State Q Donation Other (S edfy 2/ 1 9/ 2 0 1 3 C u m b e r t a n LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 RECORpED OFFICE OF This is to certify that the information here given is R E61 S TER 0 F W! ~, L S correctly copied from an ongmal Certificate of Death duly filed with me as Local Registrar. The original ~~~3 ~[^ ~Q certificate will be forwarded to the State Vital CU P~ 2 ~~ Records Office for permanent filing. P ~.~~~~~ ~~~~ CLERK OF [~~~~ F HAN S' C O {~ e~a~s~-~~kkn~x' E,~ 18/2 013 Certification Number R T Local Re istrar a' 1^~t~ ./s.~ g Date Issued TYP./PrMt In G~~.~1.6ER ~^ ~1 _ _ __. Permanent ~! 4e EA~oF PENNSYLVANIA • DEPARTMENT OF HEALTH ~ VITAL RECORDS Black ink '` i-HCERTIFICATE OF DEATH 1. Decedent's Lepl Name (First, Middle, Lest, Suffix) State Flle Number. Na n e 2• sex 3. social Security Number 4. Date of Death Mo y Catherine T r i t t ( /Day/Yr) (Spell Mo) Sa. Age-Cart Blrthda em a 1 1 9 8- 3 0- 4 2 9 8 February 14, 2013 y (Yrs) Sb. nder Vear Se. Under 1 Da 6. Date of BIKh (MO/Day eer) (Spell Month) 7a. Birthplsp (qty and State or Foreign Country) 76 Months Days Hours Minute: November 1 O , Franjtl in 1936 ou A 8a. Rastdenca (State or Foroign Country) 8b. Residence (Street and Number - Include A 7b. BMthplaoe (County) Penns 1 v a n i a 8 6 5 h i g pt N°•> 8c. Did Decedent Uw In a Township? 8d. Residence (county) P P e n s b u r MO b i t Q yes, decedent lived k, C u b E s a As t,,,,p• ge. Residence (aP Code) apNo, decedent lived within Rmits of ~ h ~ T]t1 A r sz 1-. ~ ~ r.~ _ 9. Ever In US Armed Forces? 10. Marital Status at Time of Death Ma Med Q Yes ~ No Q Unknown Q Divorced Q Never Married 0 U 12. Father's Name (First, Middle, Last, Suffix) _ GeorGe LautsbaucTh ..,,v~ners name Prbr to First Marrlap (Firs; Middle, Last) Irene Earley ~-.o. ne~ar~onsmp t0 Decedent 14c Informant s Ma11i Address (Street and iumber, dty, stab ap 1 1R o••....••......^Ott Ne hew 28 Airport ..• ............. ................... sa. aeeo a Sh PPen car If Death Occurred In a Hospital. j'j'••"'•"'•"""'•"••••'••°•••••••• ••••........, on one patient - ~If Ueaiii Oocurreti Somewhere Utiier Then i•-lospjtal••~ ~~~~~ ••i'Y w:;:::i~~'c,~i~TC. •' s u •••v.v _• Eme ency Room/Ou atlant Dead on AM 1 iB~.,L~ti~npL Dlsppsi'bnlGit~r or7~q, ~afe, and ZI P) 1 S 1 C YX 1 17a_ Sig F lJ 3 une 1 SeM Ueensee of 17e. Name and Complete Address of Funeral Fac111ty 31 E er F ' ~° 16. Decedent s Education -Check the box that best describes the highest degree or level of school completed at the time of d th 19, ent o Ispanic Agin _ Check the •h ea , Mh grade or less box at best describes whether the decedent No diploma, 9th - 12th grade h: Spanish/Hlsparilc/Latino. Check the "NO" Q High school graduate or GED completed box If decedent K not S apish/Hispank:/Latlno. ~ Some tollep credit, but no degree No, not 5 / p / panlsh His ank: Latlno Q Afsoelate degroe (e.g. AA, AS) Yes, Mexlo n, Mexican AmeHean, Chicano Q Bachelor's degree (e.g, BA, AB, BS) Q Ves, Puerto Rican Q MazbYS degree (e.g. MA. MS, MEng MEd MSW MBA 0 Y~• Cuban , , , 0 Doctorate (e.g. PhD• EdD) or Professional d ) ~ Yes, other Spanish/Hlspanic/latino egroe e. . M DVM LLB lD (Specify) 21. Decedent's Single Race Self-Designation -Check ONLY ONE to Indicate what the decedent eonsiderod hlms White M Q Japanese Black or African American Q Korean Q Ameripn Indian or Alaska N ti e or Q Samoan Q Other Pacific Islander a ve ~ Viemamese [] Asian Indian ~ Other Asi [) Don4 Know/Not Suro an Q Chinese kr° Q Natlw Hawatian Q Fili ~ Refused Q Other (Specif ) y p Q Guamanian or Chamorro ITlMS 23a -_ MUST gE COMPLETED PRONOUNCES OR FI N 3a. Date Pronounud Dead (Mo Day r 23 Ignaturo o P CERTI S EATH February 14,~ 20 13 erson Pr. 23 d. Date Signed (MO/Day/Yr) 24. Time of Death 10:34 PM __ __. alley Memori~al~ Gardens FD 13895 L --- -----••~ - ^~~° - ecx vne OR MORE races 20 Indlpte what the decadent considered hlmulf or heneN to M Whk° Q Black or African American . Q Korean ~ Vietnamese ~ American Indian or Alaska Natlve ~ Other Asian Q Asian Indian Q Chinese Q Natlw Hawaiian Q FlNpine Q Guamanian or Chamorro Q Japanese 0 Samoan Q Other Padfle Islander ~ Other (Spedfy) ]eoadent's Usual OceuPatbn -Indicate type of wort durMg most of working Ilfe. DO NOT USE RETIRED. Farmer Clnd of Bwiness/Industry Agriculture i1Y when app Ica le 23c. Llunse Number 26. Pert 1. Enter the chain of eve respiratory arrest, or ventric CAUSE OF DEATH "' `~ nts-diseases, Injuries, or complications-that dirottiy caused the death DO NOT ent ular fibrlllatl . on without showing the etbb er terminal ewncs such as cardiac arrest. gy. DO NOT ABBREVIATE_ Enter only one Ouse on a line Add additi IMMEDIATE CAUSE -----_> . onal lines If necessary > a. Multi le Traumatic In cari (Final disease or condltlon es resulting in death) Due to (or as a consequence of): b. Pedestrian Struck SequenilalW Ilst condltlons, If any, leading to the puss Due to (or as a consequence of): listed on Tine a. Enter the c UNDERLYING CAUSE _ (disease or Injury that ~ Due to (or as a consequence of): Inltleted the events resuhing d. in death) LAST. _ • ~°- Y ~_ uue to (or as a consequence of): not resulting in the underlying cause given In Approxlm ate Interval: Onset to Death autopsy Q Not Pregnant within Past year Q Prognant at time of death Q Not pregnant, but pregnant within 42 days of death ~ Not pregnant, but pregnant 43 days to 1 year before death Q Unknown If pregnant with In the past year lace of Injury (e.g. home; construttlon site; farm; school) to complete tM eaYse of death? •-• -- ~ : ~ontn°ute to Death? - 31. Manner of Death No Q Yes ~ Probably ~J No Q Unknown Q Natural Q Homidde ® Accident Q Pending Investipilon 12. Date of Injury (MO Day r) (Spell Month) Q SuiNde 0 COUid not be determined February 14, 2013 33. Time of Injury 06:40 P Roadway 35. Loeatbn of Injury (Street and Number, City, State, Zip Code) 36. Injury at Work 37. If Transportailon In u Ritnar Hwy 8a S Connestoga Dr, Shippensburg, PA 17257 1 ry, Specify: 3a. Describe How Injury Occurred: ~ Yes Q DrWer/operator Q Pedestrian Vehicle V8 Pedestrian ® NO O Passenger Q Other (specify) 39a. Grtlfler (Check only one): Q Certlfying physldan - To the best of my knowledge, death occurred due to the cause(s) and manner stated Q PronounNng b Gertlfying ysidan - To the b o y knowledge, death occurred at the tlme, dab, and place, and due to the cause(s) and manner stated ® Medical Examiner/C nth xa atbn, ar~d/or Investlgatlon, in my opinion, death occurred at the Nme, date, and piece, and due to the cause(s) and manner stabd signature of t»KI Chief DeDUtV 39b_ Name, Address and Zlp Code of person Com pleating Ouse ath (Item 26) title of ce rtlfler: Ucense Number Lisa A. Potteiger, 1271 South 28th Street, Harrisburg, PA 171 11 39c. Date Signed (MO/Day r) 40. Registrars District Number 41. Registrar's u;e ~ February 15, 2013 ~~~~ 42. Registrar a Dab (MO Day Vr) 43. Amendments _. ~~ („~ r~ ~ _ _ ._ Disposition Permit No. i )~a,~~ ~ H305-143 - REV 07/2011 Last W~li and Testament of NANCY C. TRITT n ~; ~ ~~ w ~ i rn~ QJ ~ r ~ C~ 111 ~ n ~ fn ~ A ~ rr1 N rn rrz ~, ~ o ~ c~ ~ ~ ~ a e~ o c ~ ~ .~.- ~=, ~ -~p N ~-- f"" ~ ~ ~ M `r1 I, Nancy C. Tritt, of 75 Farm Road, Penn Township,- Cumberland County, Pennsylvania, being of lawful age, sound mind and memory, and under no restraint, do publish this, my Last Will and Testament, revoking all others previously made by me. First: I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid from my net distributable estate as soon as practicable after my decease as a part of the administration of my estate. Second: I give, devise, and bequeath my entire estate, real, personal, or mixed, of every kind and nature, and wherever situated, which I may own, or hereafter acquire, or have a right to dispose of at my death, to my nephew, Roy G. Ott, and his wife, Deborah M. Ott, of 28 Airport Road, Shippensburg, Pennsylvania, in equal shares. Third: To those individuals who survive me by thirty days who are designated on a list or memorandum signed by me which refers to this Will or is found with a copy thereof, I give the items of tangible personal property listed beside their names, provided that no such list or memorandum shall be valid unless it is received by my Executrix within sixty days of my Executrix's qualification. Fourth: In the event that Roy G. Ott and Deborah M. Ott predecease me, I ive, and be ueath m entire estate to their children, g devise q y Roy E. Ott and Billy Joe Ott, in equal shares, with Billy Joe Ott's share to be held IN TRUST, with Roy E. Ott acting as Trustee. Fifth: I specifically disinherit my nephews, Michael D. Tritt and Ronald L. Tritt, their heirs and assigns, as they have been provided for during my lifetime. Sixth: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the expenses of the administration of my estate. 1 Seventh: I nominate and appoint Deborah M. Ott, to be the Executrix of my Last Will, granting to her authority to sell and convey any or all of my estate, real and personal, or mixed, upon such terms and prices as she shall deem proper, without obtaining any prior order of the court therefor. I also grant her full power and authority in the settlement of my estate, to compromise, adjust, and settle any and all debts and liabilities due to or from my estate, for such sums, and upon such terms and conditions as she shall deem best. (a) My Executrix is hereby authorized to disclaim any interest in property in accordance with Chapter 62 of the Probate, Estates and Fiduciaries Code or Section 6103 thereof and may do so without court authorization. (c) I authorize my executrix to pay all the expenses of (1) a funeral or memorial service; (2) the internment of my remains, including the costs of a gravesite, if necessary; and (3) the installation and inscription of a suitable marker at, and perpetual care of, the gravesite. I further direct my executrix to pay all of my debts that my executor in her sole discretion may allow as claims against my estate. (d) I direct that no bond or surety shall be required of any executor, executrix, administrator, trustee, or fiduciary named herein. IN WITNESS WHEREOF, I have hereunto subscribed my name, and acknowledge and publish this instrument as my Last Will in the presence of the undersigned witness, on / -- /,.sf= ~ v 6 ~ , 2009. ancy C. Tritt This instrument was signed by the Testatrix, Nancy C. Tritt, on the date hereof, signed, published and declared by her to be her Last Will and Testament, in our presence, who at her request and in her presence and in the presence of each other, we believing her to be of sound and disposing mind and memory, have hereunto subscribed our names as witnesses. ~' . ~;c~~ Susan F. u A'/~ W~ Robert B. Fry 2 Signed, sealed, published and declared by Nancy C. Tritt, Testatrix, as and for her Will, in the presence of us, who at her request, in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses hereto. Susan F Luhn residing at N ill ewv e Penns ylvania Robert B Fry residing at N ill ewv e Pennsy lvania COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CUMBERLAND We, Nancy C. Tritt, Susan F. Luhn and Robert B. Fry, the Testatrix and the witnesses whose names are subscribed to the attached Will, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will; that she signed it willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of Nancy C. Tritt signed the Will as witnesses; and that to the best of our knowledge she was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Testatrix: ~ ~ Witnesses: ~~~ Sworn and subscribed to before me, this ~~da of _L___ y 2009. r ,,`*~~~'.!!1!I! I Ili ~~.(' I '/1 i • J~ J( i _,. • • 1 ,. • ~`~ r. ~~ ~ ~ !~• ~~~ t-~ ~ ~fUrrrF.eN.te~t. PERSONAL PROPERTY MEMORANDUM TO ACCOMPANY THE LAST WILL AND TESTAMENT OF As provided in my Last Will and Testament, dated f .-~ / ~ , 2009, I hereby designate that the following listed property shall go to the persons whose names are designated hereon. ITEM NAME DATED: _ / _ / ~g.~ ~ d Q 9 SIGNED: ~, ~