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Home My WebLink About03-08-13D PETITION FOR GRANT OF LETTERS REGISTER O~.~WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA .- ., ,. - -, . •~ : , ., J r+ 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: HELEN M. FELTY File No: ~i - ~ ~~ '~ ~'J a/k/a: (Assigned by Register) a1k/a: a/k/a: Social Security No: Date of Death: FEBRUARY 11, 2013 Age at death: 90 Decedent was domiciled at death in CUMBERLAND County, pENNSYi.VANiA (SrateJ with his/her last principal residence at 406 RICH VALLEY ROAD, CARLISLE 17013 SILVER SPRING TOWNSHIP CUMBERLAND Street address, Post Otfice and Zip Code City, Township or Borough County Decedent died at CHURCH OF GOD HOME, CARLISLE 17013 CARLISLE CUMBERLAND PA Street address, Post Oftce 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 $ 775,000.00 If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................ Personal property in County $ Value of real estate in Pennsy[vania ......................................................... $ 1 1 R,00~_00 TOTAL ESTIMATED VALUE.... $ 893.000.00 Real estate in Pennsylvania situated at: 406 RICH VALLEY ROAD, CARLISLE 17013 SILVER SPRING TWP CUMBERLAND (Attach additional sheets, iJ 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 JUNE 14, 201 1 and Codicil(s) thereto dated RF.NI INC'IATiONS FC)R FUC.FNF HARRY FFi TY AIVn CRY4TAI ANl`T RA4HC)RF ARF ATTA('HF1~ F,'FRFT(~ 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 many, 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. O 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.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(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. O NO EXCEPTIONS Q EXCEPTIONS ~. r ~~m ~~ ~ ~ ea ;r,D ,,..e Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and)dejrs (attach additional sheets, if necessary): ~ GJ w Name Relationshi Address f~i ~ c~ -~, - .J l.. i t---d L) Cn -~€ m ca -,~ t-' Form RW-01 rev. 10/l1/3011 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND Petitioner(s) Printed Name Petitioner(s) Printed Address ~ `° ` DORIS FELTY LAY qq Q 1004 FORGE ROAD CARLISLE PENNSYLV 7701 ~'I` ~ ... p ~.! ~t ®' ERLAi~~ ~~.~. 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 Dec ent, the Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before - Date -~~~ me this ~ day of r~ (~ Date By: ~, ~'. p ~ J ~rl~.~~ ~~ ~ . Date For the Register Date BOND Required: Q YES Q NO To the Register of Wi[Is: FEES' Please enter my appearance by my signature below: Letters ...................... $ 610.00 ( 4) Short Certificate(s)...... 20.00 ( 2) Renunciation(s)......... 10.00 ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ........ WILL ........ 15.00 INH TAX RETURN ....... . INVENTORY ........ 15.00 15.00 Automation Fee ......... ...... 5.00 JCS Fee . .............. ...... 23.50 TOTAL ............... ...... $ 713.50 Attorney Signature: DECO `LJ~.~ ~.-,~ n ~~~~.~~ Printed Name: ROGERB. IRWIN, ESQUIRE Supreme Court iD Number: 6282 Firm Name: IRWIN & McKNIGHT, P.C. Address: 60 WEST POMFRF.T STREET CART T4i F, PA 17013 Phone: (717) 249-2353 Fax: _(717) 249-6354 Email: DECREE OF THE REGISTER Estate of. HELEN M. FELTY a/k/a: File No: ~ ~ ` ~ ~ ~~ AND NOW, ~~(~ ~ (~~ ~ , 51~, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to DORIS FELTY LAY in the above estate and (if applicable) that the instrument(s) dated JUNE 14, 2011 described in the Petition be admitted to probate and filed of record as the last Wil i (and Codicil(s)) of Decedent. ~~~~.~ ~~w~~~_ ~~ ~ Register of Wills FormRw-oz rev. ~niii;~nii ge 2 oft } } SS: } LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph, ~ Fee for this certificate, $6.00 _ Certification Numher TYPe/Print In Permanent Black Ink 1. Decedent's Legal Name (First, Sa. Age-Last Birthday (Yrs) Sb, 9O M. ga. g¢~Idance (Stat¢ or Foreign t 8d. Residence (County) Cumberland 9. Ever In US Armed Forces? ~ Ves $] No ~ Unknown s 1Y 'a E s O_ RECORC4~ ~iFfr1CE OF REG1STcp~ Q~ ~r?~~~..1_.5 This is to certiFy that the information here given is correctly copied from an original Certificate of Death ?~~~ ~~~ 8 ~m ~ duly Piled with me as focal Registrar. The original t i t; ~, certificate will be fi.~rwarded to the State Vital Records Office for permanent tiling. CLERPC 0~ 5 ~_ ~ ~ ~ QRPNAMS' C01lRT L S~+n~.~~ F 1 3 406 Rich Valley Rd. Divorced Q Never Married Unknown 2 ...~..~..em ~.v¢ ~ I nshlp~ eecedent rued In ~ 4i 7 ~ o firing Swp. decedent Itvetl within limits of city/born 1. Surviving Spouse's Name (If wife, glue name prior to flrcr m~..I~e_. g Doris La Il If Death Occu rr¢d in a Hos Ital: t~ Inpa[ient~ ~ ~~~ ~ ~~ ~~ ~~ ~ ~ Emergency Room/Outpatient ~ Dead on Arrival 15 b. Facility Name (If n t InsLltUtlon, glue street and number; Church o£ God Homo 16a. Methotl of Disposltlon Burial ~ Cremation Q Removal from State ~ Donation Other (Specify) 2 16d Location of Disposltlon (City or Town, State, and ZIp) ~ Carlisle, PA 17013 17 N d Co late Addr f Funer 1 F Illty f~o~t~`man-moth EFUnara~ dome & Cr ~ 18. Decedent's Education -Check the box that best describes the .- highest degree or level of school com pletetl at the time of death. 0 8th grade or less ~ No diploma, 9th - 12th grade High school graduate or GED completed Q Some college <retllt, but no degree Q Associate degree (e.g. Aq, q5) Q Bachelor's degrece(e.g. BA, AB, BS) ~ Master's degree ( .g. MA, MS, MEng, MEtl, MSW, MBA) ~ Doctorate (e.g. PhD, Etl D) or Professional degree R[ White - -- _ - ~ Black or African American ~ American Indian or Alaska Native Q Asian Indian Q Chinese Q FIIIPino Rd_, Carlisle '-"~~~-+'~+~f tE'+ 1/V1.3 Cuciitier-land I6b. Dale of Disposltlon 16c. Place of Disposltlon (Name of camera Feb 16 , 2013 ry, trematpry, pr ptner place> Cumberland Valley Memorial Gardens l2 Sig t F 15 I L~ r~ P r on In Charae of Inta...._... .~~ .._____ _. natory,/219 North Hanove r Street, Carlisle P 19. Decedent of Hispanic Origin -Check the , A 17013 20 ' box that best describes whether the decedent . Decedent s Rac¢ -Check ONE OR MORE races to Indicate what h is Spa nlsh/Hispanic/Latino. Check the "NO" t e decedent considered himself or herself to be. ® White box If decadent Is not Spanish/Hispanic/Latino, ~ Korean ~ Black or African A i W No, not Spanish/Htspanlc/Latino mer can ~ gmerican India l r O Ves, Mexican, Mexican American, Chlca no n or A aska Native 0 Othe ASlan ~ gslan Indian Yes, Puerto Rican Native Hawaiian 0 ~ Chinese Q Yes, Cuban ~ Guamanian or Cha morr0 l i Q Ves, other Spanish/Hispanic/Latino nese O Samoan 0 la pa (Specify) ~ Other Paclflc Islander O other (speafy>_ Ilcate what the deced ~ Japanese Q Korean Q Vletna mesa Other Asian Q Native Hawaiian ~ Guamanian or Chamorro en[ considered himself or herself to be. 22a. Decedent's Usual Occupation - Indicate Q Samoan done Burin LYPe of wort ~ Other Pacific Islander g most of working life. Dp NOT VSE RETIRED. Q Don't Know/Not Sure Hom~ma]cer ~ Refusetl Q Other (Specify) 22b. Kind of Business/Industry Own Home v ~ ~ " r 25. Was Medical Examiner or er Contacted? 0 Yes CAUSE OF DEATH oron I 26. Part 1. Enter the chain of ev t --diseases, Injuries, or complications-that directly caused the death. DO NOT enter terminal events such as cardiac a rrest respiratory arrest, or ventricular Obrl llatlon without s~tlp~ gy. DO NOT ABBREVIATE. Enter oily one caus¢ on a Ilne. Add additional lines if n¢cessary IMMEDIATE CAUSE - ~ ~ Q `/-`/mlY/ (Final disease or condition Due to (or ' I resulting In death) as a consequence of): b. Sequentially Ilst conditions, Due to (or If any, leading to the cause as a consequence of): listed on Ilne a. Enter the V NDERLYING CAUSE (.disease or Injury that Due to (or as a consequence of): In{tlated the events resulting d. In d¢atn) usr. Due to (or as a consequence of): 26. Part II. Enter other sglFCa nt c dl[I t Ib tl t d but not resulting in the under) Ying caus¢ given In Part 1 22. Was an au[oos jpq Not prognant within past year O Pregnant at time of death 0 Not pregnant, but pregnant within 42 days of deatF a Not pregnanptfe ut pregnant 43 days tY Iayear before death Unknown If gnant within the past - trio Tobacco Use Contribute to ~Q Yes ~ Probably P`l NO Q Unknown 32. Date of Injury (Mo Da ) (Spa / Y/Yr lace of Injury (e.g. home; constructlOn site; farm; school) 35. Location of Injury (6' •Jury at Work Yes No 37. If Transportation Injury, Sp¢clfy: O Passers Operator ~ Pedestrian gar ~ Other (Specify) 3g. DescHbe How Injury ~3//~ Approximate Interval: pnset to Death -/G7 v: to mplete the cauu of d¢athT Ll• Natural 0 Homicide ~ Accident ~ Pendingotnvestlgatlon Suicide Q Could be determined C<rtlfying physician - To he best of my knowledge, death occurred due to the cause Pronoun Ing 8< Certifying hysicl/an/bT;sJ[~]h~oe/~berest of kno Ls) and manner stated ~ Medical Examiner/COro~ _ On the-~'[/ / I xa mY wl¢dge, death occurred a the time, date, and plac¢, and due to the caus¢(s) and manner stated G/~// mination d/pr inv¢stigation, in my opinion, deawth/occurred at the tlm¢, date, and place, and due to the cause Signature of certifier: ~A ` ~ Title of certifier / _, ~ (s) and manner statetl b. Na A dr 5 tl 2tp G de of Perso Com letin Caus '~,^(- -_(1 ^ .~^ ° .s. ~~ P 8 fD th (Item 26) Vicense NUmb¢r: ~ ~3Sg 7a E ~L.~(dY)[ 1, t.~ 30 3 ~~Y 11 /1 _ 1 1 m ^ ~ ~ p 39c. Dat¢ 51Fn¢d (M /Day/Vr) R BI D Ic[ N 6 41 R gl t I SI ETZ' ~ J-~'G M'h O ~1.1 SOf Wtf 1 ~ ~ X7'1 ~0.~ ~ o~ 1 (~~- ~~ g 1 3 •- _ 2013 ~~MBERIAND CO., PQ Local Registrar llate Issued COMMONWEALTH OF PENNSYLVANIA _ DEPARTMENT OF HEALTH _ VITAL RECORDS CERTIFICATE OF DEATH Hpura I Mln°tesl June 3 , 1922 Disposltlon Permit No._ _ • J 7f ~ `~ HIOS-143 REV 02/2011 LAST WILL AND TESTAMENT I, HELEN M. FELTY, of the Township of Silver Spring, County of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind, memory ,.. and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my Co-Executrices, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give and bequeath unto my daughters, DORIS FELTY LAY and CRYSTAL ANN BASEHORE, such of my personal belongings, household contents (not including cash or securities), furniture, furnishings, jewelry, clothing and ~:: accessories as they may choose, absolutely. If both of them should d sirs the ~~ same item, the recipient shall be determined by lot. ~ ~ ~ ~' ~ ~,. r n~~ °O THIRD. I give, devise, and bequeath all the rest, residue and r~~"rnr~r `~ `~ _:~ ~ _.~ my estate, real, personal and mixed, whatsoever and wheresoever sitU~'t~; in eq~~l _~ --~ _ shares onto my children: RICHARD GLENN FELTY, DORIS FELTY LA~, EUGEI~ HARRY FELTY, and CRYSTAL ANN BASEHORE, share and share alike, absolutely and in fee simple. Provided, however, that if any of my children shall pre-decease me, then and in SAW oFF~~ES II that event I order and direct that the share provided above for such deceased child MARLIN R. McCALEB shall be paid over and distributed in equal shares between or among the other shares herein provided, share and share alike, absolutely and in fee simple. LASTLY. I nominate, constitute and appoint my children, CRYSTAL ANN BASEHORE, EUGENE HARRY FELTY and DORIS FELTY LAY, Co-Executors under this, my Last Will and Testament, each to serve without bond in this or any other jurisdiction. If for any reason any of my said children shall fail to serve as such Co-Executor or cease so to serve, it shall not be necessary to appoint a substitute Co-Executor in his or her place, but in such event my remaining Co- Executors shall serve with full power and authority under this, my Last Will and Testament. IN WITNESS WHEREOF, I HELEN M. FELTY, have hereunto set my and seal to this, my Last Will and Testament, which consists of two (2) typewritten pages to each of which I have affixed my signature this ~,~ ~~-- day of ^h ~..~. A. D., Two Thousand Eleven (2011). ~ ,, ...~ ~ U~ ~ ~. ....~_,.-. (SEAL) t' Aw ~>~F~~ ~s MARLIN R. McCALEB The preceding instrument, consisting of this and one (1) other typewritten page, each identified by the signature of the Testatrix, was on the date there of signed, sealed, published and declared by HELEN M. FELTY, the Testatrix herein named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence and in the presence o each other, have subscribed our names as witnesses hereto. -2- RECQR~c ~ iGE OF ~~GiS~'e:r~ u~ ~~i~.~.S RENUNCIATION :'~~+i3 flflfl 8 F(~ ~ 15 REGISTER OF WILLS ~ L ~ ~ ~ C `~ CUMBERLAND COUNTY, PENNS ~ R i'HAN S' C O J ~T ~b~@'~~alU~ cc., P~ Estate of HELEN M. FELTY I, CRYSTAL ANN BASHORE CO-EXECUTOR (Print Name) Deceased in my capacity/relationship as of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to DORIS FELTY LAY ~~ (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Form RW-06 rev. 10.13.06 n ~ri ~lYim ~ .I~ mP (Signature 1 CHESTNUT CIRCLE (Street Address) CAMP HILL, PA 17011 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciati n for the purpo es t ed within on this !~ ~' day otary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission. ) app7MpNWEALTH OF PENNSYLVANIA Notarial Seal Karen 5. Noel, Notary Public Carlisle Bono, Cumberland County My Commisslott 6cpires Dec. S, 2015 M~BErtt ~nnsm~nrs~ anew eF NertaaEs RENUNCIATION ~c>a~~~.~.) e~i=~cY of Rl:cis~~~ a~ ~~~~.~_s '~:t3 ~lflfl 8 ~(~ 15 REGISTER OF WILLS CUMBERLAND COUNTY, PENNSY~~~~R K D s co~~~ CUMBERLAND GO., PA Estate of HELEN M. FELTY I, EUGENE HARRY FELTY CO-EXECUTOR (Print Name) Deceased in my capacity/relationship as of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to DORIS FELTY LAY ~~1~~/i (Date) ( n re) 7399 HILLCREST DRIVE (Street Address) MACUNGIE, PA 18062-9461 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the pu os s tated within on this ~3 Y'~ day of ~`~~'r~~1 ~ ~ -~ , I'4otary Public -- My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission. ) Form RW-06 rev. 10. ! 3.06 COMMONWEALTii OF pENNSYL,YgNTq Notarial Seal Karen S. Noel, Notary Publk CartlsFr &xo, Cumberland County My Comml~lon Expires Dec. 8, 2015 MEMBER, PENNSYLVANIA ASSOCIATION OF NOTARIES ~ r-~; c_ j . _, ~-~ ~ ~ ~Q r, ' OATH OF SUBSCRIBING WITNESSES ~ m rn :~ ~°~ Q' ~l~ ~ a P'^~ .-. 'T ., , y 4~ ~~,.' ~ ~ .. j ~.~ ., . -''r ~. ~ REGISTER OF WILLS =:: ~" (~~ ~~~p~p SCSr1Yl8GLCLANI] r _ COUNTY, PENNSYLVANIA " `"' ... ~-' ~" `~~' ~_ Estate of EL ,Deceased I~1N_R. McCALEB E en Y_A. ~ncrr=o ' " ~ __ , (each a subscribing witness to (Print NamelsJ the Q Will ^ Codicil(s} presented herewith, (each) being duly qualified according to law, depose(.ej~and says} that s13e~ie /they was, /were present and saw the above Testetter /Testatrix sign the same and that she / l~#hey signed. the same and that ~ /they signed as a witness at the request of the T.estater /Testatrix in her /#ie presence and in the presence of each other. :-, (SigrtatureJ ----~_ Marlin R. McCaleb ~+g"J E ly A. Foster 219 E. MAIN STRFF'(' (Street Address) E. MAIN STR (Street Address) MECHANI.~RIlRG PA 17055 ~ctty, stare, ztpJ Executed in Register's Office Sworn to or affirmed and subscribed b Marli R. P~cCaleb ~da be~ore me/t~iis y of March 2013 ~~ Deputy for Register of Wills MECHANIGSBURG PA ~f7 5~ (C1ry, State, zip) Executed out of Register's O, f,~ice Sw orn to or affirmed and subscrib d s bb e beto~eme/t~sp' Foster ry, ~ ~3N day of March 2013 z ~ ~_ o ~ ~, ~ ~ZV~ o a A ~~~~ Notary Public ~° My Commission Expires: Si ~ ~ ~ ( gnature and Seal of Notary ar other official qualified to administer o th S v a s. how date of expiration of Notary's Commission.) NOTE: To betaken by Officer aathorized to administer oaths. Please have present the original or copy of instruments} at time of notarization, Form RW-03 rev. 10.13.06