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HomeMy WebLinkAbout03-11-13Reset 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: Ramon J. Zinn a/k/a: a/k/a: a/k/a: Date of Death: January 5, 2013 File No: l~ _ r ~' Z~ / (Assigned by Register) Age at death• 84 Decedent was domiciled at death in Cumberland County, Pennsylvania (stare) with his/her last principal residence at 27 Woodmyre Lane Enola, East Pennsboro Township Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at Claremont Nursing & Rehab Carlisle Cumberland PA Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at deat)i: If domiciled in Pennsylvania........ .....:...........All personal property $ 120,000.00 . ,. . 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.... $ 120.000.00 Real estate in Pennsylvania situated at: 4118 Seneca Avenue Camp Hill Cumberland Co. (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 April 1, 2009 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(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 ®EXCEPTIONS ® B. Petition for Grant of Letters of Administration (If applicable) c.t.a., d.b.n., d.b.n.c.t.a., pendente lice, durance absentia, durante minorirate If Administration, c.t.a. or aLb.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. ,. ® NO EXCEPTIONS ~ EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the follo~ngh®spouse (if i and~irittach additional sheets, if necessary): ~ ..~ ~ ~ C7 ~. Q Name Relationshi Ad s ~ ~ Cry r- ~ rn r~~ ~'°r~ ~ ~ ~ ~ ~ ~ ~.~ ~ ~ y ~.w~ ~ W ~ ;K` , • V Form RW-02 rev. 10/11/2011 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } } ss: } Petitioner(s) Printed Name Petitioner(s) Printed Add e~"3s ~ Linda Il enfritz ~ _r": "i 27 Woodm re Lane Enola PA 17025 ~' ~ ~ `~` ,,,~ ---1 a ~ #"t'1 N `TI 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 truly administer the estate according to law. Sworn to or~~firmed an bscri ed before ~ ~ Date met day of /' ~, 203 Date $y; Date the Register Date BOND Required: ~ YES Q NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters ...................... (~ )Short Certificate(s)...... $ ~lo ~ ~ D 0 . D(~ ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Oh r ....... ~i LL ....... •oa Q ....... ~ r~en d~Y....... ~ Automation Fee ............... • v© JCS Fee . .................... -~D TOTAL ..................... $ ~~~'~ U Attorney Signature: Official Use On k y..,, rr ~~ / "-' y O W ~ rn~~ ~ / ~ ~~ A ~ ~ b. r--- ~ ~ ~ ~ --~ ~ >"~ t'ri ~ ..,,.. r L Printed Name: John L. Senft Supreme Court ID Number: 64486 Firm Name: Senft Law Firm LLC Address: 105 T.eader Heights Road York, PA 17403 Phone: 717-747-9048 Fax: 717-741-1469 Email: 'icPnft,.cPnftlaw rnm DECREE OF THE REGISTER Estate of Ramon J. Zinn File No: a/k/a: 21-13 -Z~q AND NOW, _ 11~LL-~~~ ~,(~~ / / , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Linda Ilgenfriz in the above estate and (if applicable) that the instrument(s) dated April 1, 2009 described in the Petition be admitted to probate and filed of rec r ~ as the last W'll (and Codici s)) of Decedent. ~~ ~ ~ ~ .~ ~. Register of Wills Form RW-02 rev. 10/11/2011 ~ ~ Page Of 2 H 105.7;OS REV tyll 1 ) ~~ / ~ ~ ~~ LOCAL REGISTRAR'S CERT11=1CAT101~ O~ ~EAT'R WARNING: tt is illegal to duplicate this copgt by photostat or photograph. REOORi~ED 0~~1GE OF_ _ . I~ee for th2S CerXIflCate, ~f).(?~ ;,~~r"'' •"~• ~ l ~1?ti 15 t~f ~.cltl~~' ill<ll tl~e itilOrmatl0)) here' ~`IVen 15 REGISTER OF !l II '~.`~~ ~F~~iy~ l 1 t , , < <T ^l Cert)ficate of lleath cul~re~~tli-~ co Diet ~,,)~. ~tJ7 ~)) )nu l !,;`~ ~~/ `~l ~ ~ulti~~ tiled with me as ~c)cat~ Reg)strar. The original ~DI3 ~~~ I1 ~i~ \~',1 c~rtific<)te ~~-i11 t)e f(~rwardeci tc; the State Vital i t `~ *~ ~. ,;'* l~e~'ir~(I~; f~tt~ire for permanent filing. OLERK 0~ _~~ P 19 0 6 5 4 8 3 =_ ~,~~, __ ~~~~~{' ~~,~,y~ JAN 1~ "101 ORPHANS CQUR ' jNEN~ pF~;i~~-''~ _______ __ Certification Number 1 °; ~~~~E-RLAND~ ~~.~ ~~ l ~~cal Reg)str.)r Date Issued Type/Print In COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS Permanent ('FRT~GI~`ATF ~'1C r1CAT4J • j 1 ~ Q i 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Numbe r.,•a.~ c • 4.•Date of Death (MO/Day/Yr) 5 11 Mo) ~ 3 Raymond J_ Zinn Male January 5,2C~'l Sa. Age-Last Birthday (Yrs) Sb. Under 1 Year Sc. Under 1 Da 6. Date of Birth (MO/Day/Near) (Spell Month) 7a. Birthplace (CIty and State or Foreign Country) 84 Months Days Hours Minutes Harrisbur March 1 3, 1 9 2 8 7b. Birthplace (County) 8a. Residence (State or Foreign Country) Sb. Residence (Street and Number -Include Apt No.) 8c. Did Decedent Ltve in a Township? Penns lvania 27 Woodmyre Lane ®3r s decedenttivedin Fact A r-nshr-~rr-~ , ~,,,p. Sd. Residence (County) Cumber 1 and He. Residence (Zip Code) 1 7 O 2 5 0 No, decedent Ifved within limits of city/boro. 9. Ever In U~rmed Forces? 10. Marital Status at Time of Death ~ Married Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage) ~ Ves No ~ Unknown ~ Divorced O Never Married ~ Unknown 12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to Flrst Marriage (First, Middle, Last) ' Charles Zinn Violet Fortne 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code) g Linda == enfritz Dau bier 27 Woodm re Lana Eno1a PA. 17025 G ... .......... ...................•-•--•--.._......... .................................. a. P ace o eat c ec on one .. .. . _ ....................................... ..............Y..._............._..........._._. ...... ... ... _.. ... .................... ........................ ............. If Death Oeeu rred In a Hos ital I ti t • $ : p npa en gif Death Occurred Somewhere Other Than a Hospital: ~ [~ Hospice Facility ~ Decedent's Home Emergency Room/Outpatient Q Dead on Arclval j Nursing Home/Long-Term Care Facility Other (Specify) 15b. Facility Name (If not Institution, give street and number; iSc. Gity or Town, State, and Zip Code 15d. County of Death Claremont Nursin & Rehab Carlisle PA_ 17013 Cumberland y, °O 16a. Method of Dlsposltion Burial ~ Cremation 16b. Date of Dlsposltion 16c. Place of Disposition (Name of cemetery, cremato pla~e) .~' Q RemovalfromState Q Donation 01 / 1 2 /201 Woodlawn Memorial Gardens Other (Specify) 16d. Location of Dlsposltion (City or Town, State, and 21p) 17 nature of Funeral Service Ltcen a or Person In Charge of Interment 17b. License Number Harrisburg PA_ 17109 ~~ ~, FD-014151-L 17c. Name and Complete Address of Funeral Facility • ~ em ne PA1704 18 Decedent' Ed ti Ch k h b h b d b r-° . uca s on - ec t e ox t at est escri es the 19. Decedent 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 ~ Korean ~ No diploma, 9th - 12th grade box if decedent Is not Spanish/Hispanic/Latino. ~ Black or African American ~ Vietnamese High school graduate or GED completed No, not Spanish/Htspanie/Latino ~ Amercan Indian or Alaska Native 0 Other Asian Some coll dit b t d ege cre , u no egree Ves, Mexican, Mexican American, Chicano ~ Asian Indian ~ Native Hawaiian ~ Associate degree (e.g. AA, AS) ~ Yes, Puerto Rican ~ Chinese ~ Guamanian or Chsmorro ~ Bachelor's degree (e.g. BA, AB, BS) ~ Yes, Cuban ~ Filipino ~ Samoan ~ Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Yes, other Spanish/Hispanic/Lattno ~ Japanese ~ Other Pacific Islander 0 Doctorate (e.g. PhD, EdD) or Professional degree (Specify) 0 Other (Specify) e. . MD DDS OVM 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 ~ Japanese ~ ~ Samoan done during most of working life. DO NOT USE RETIRED. Bl k Af i A i ~ ac or r can mer can ~ Korean ~ Other Pacific Islander 0 American Indian or Alaska Native 0 Vietnamese ~ Don't Know/Not Sure .Federal Government Q Asian Indian 0 Other Asian Q Refused 226. Kind of Business/Industry Q Chinese 0 Native Hawaiian ~ Other (Specify) ~ Filipino ~ Q Guamanian or Chamorro Naval Depot ITEMS 23a - 23d MUST BE COMPLETED 23 a. Date Pronounced Dead (MO Day Yr) 236. Signature of Person Pronouncing Death (Only when applicab e) 23c. License Number CERTIFIES DEATH PRONOUNCES OR T~ N~~~~ ~ _ a ~ ( 3 ,p ~ 3 7 9 O ~ ~ ~~ ~ ~ ~ ~~ ~ N l~ 1'V S 23d. Gate Signed (MO/Day/Yr) 24. Time of Death - ' " ~ ~/41VLGfQ-rL s - ao i 3 / ~ ~ ~ to ~r~ 25_ W Medical Examiner or Coroner Contacted? Q 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 ss cardiac arrest, Interval: respiratory arrest, or ventricular flbrlllation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines if necessary ~ Onset to Desch I~vA ~/ / 770/ f IMMEDIATE CAUSE -> a. " (Flnal disease or condition Due to (or as a consequence of): _ resulting in death) ALZ ~~/MG^h ~ 0~~[ni,77aeF i b. Sequentially Ilst conditions, - Due to (or as a consequence of): If any, leading to the cause listed on Ilne a. Enter the c. UNDERLYING CAUSE Due to (or as a consequence of): ~ (disease or Injury that i - Initiated the events resulting d. e ~ in death) LAST. Due to (or as a consequence of): _~ 26. Part 11. Enter other sianifleant conditions contributing to death but not resulting in the underlying cause given in Part 1 27. Was an autopsy p o ed? 8 ~ Yes No ~ - 28. Were autopsy fin ings available m to complete the cause o Bath? ~ Yes o a E 29. If Female: Q Not re nant within ast ear 30. Old Tobacco Use Contribute to Death? ~ Yes Q Probabl 31. Ma ner of Death ~N t l i d ~ p g p y ~ Pregnant at time of death y Q No ~ Unknown [ ure ~ Hom ci e ~ Accident ~ Pending Investlgat(on ~' 0 Not pregnant, but pregnant within 42 days of deatf 0 Suicide ~ Could not be determined r°- ~ 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, Clty, State, Zip Code) 36. Injury at Work 37. If Transportation Injury, Specify: 38. Describe How Injury Occurred: Q Yes ~ Driver/Operator Q Pedestrian ~ No ~ Passenger Q Other (Specify) 39a. iffier (Check only one): Certifying physician -To the best of my knowledge, death occurred due to the cause(s) and manner stated ~ 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 ~ Medical Examiner/Coroner - On the basls of aminati /or Investlgatlon, in my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner stated _ .-~ ti0 - X20 9y ~ ~~~ /~~~ Signature of certifier: Title of certifier. License Number: 39b. Name, Address and Zip Code of Person Com ng se of Death (Item 26) 39c. Date Signed (Mo/Day/Yr) FJ?n~sST ^~• ~/~SdF~ tie 3p Good I-/oP~ RD '~..iot+l ~ Pal •7o ZS i 7 . /.'i 40. Registrar s District Number 41. Registrar's Signature 42. Registrar File Date (Mo Day r) /-cd /i //moo ~~o /3 43. A me ndments ~ /J Q ~ ; ~ - ~ , OULD RBAD /~i9frlo/V -,I~ ~l~i~ ; W ~/~~~~ H105-143 Disposition Permit No. O REV 07/2011 ~ -..:, -. `r`' rn m ° ~ ~ ~ ~ ~ ? ~~~ ~ ~v'~ ~ :-~ ca ~ ~`~ , ~ ~ ~ ~~,. ~ , ~~~~ ~~ ~.~_ Vj ~" F--~ fV ~ ~~~ I, RAMON J. ZINN, of Lower Allen Township, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ~ ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker ~. 1 \, and all expenses of my last illness, and any and ali taxes and assessments imposed by any governmental body as a result of my death, whether on property passing under this will or otherwise, shall be paid from my residuary estate as soon as practicable after my death as a part ` of the expense of the administration of my estate. ITEM II. I give and bequeath all of my household goods, automobiles, jewelry, and all other articles of household and personal use, equipment and ornament, together with all insurance thereon and relating thereto, in equal shares, as follows: A. Twenty-five (25%) Percent to my daughter LINDA ILGENFRITZ provided she survives my death by thirty (30) days. Should she predecease me or not s~~~i;~ r~=y death by thirty (30) days, then her share shall go to her issue per stirnes. 1 B. Twenty-five (25%) Per:,eirt to my step-son IIARRY M. HOUDESHELL provided he survives my death by thirty (30) days. Should he predecease me or not survive my death by thirty (30) days, then his share shall go to his issue per stirpes. 1 C. Twenty-five (25%) Percent to my step-son RALPH E. DERR provided he survives my death by thirty (30) days. Should he predecease me or not survive my death by thirty (30) days, then his share shall go to his issue per stirpes. D. Twenty-five (25%) Percent to my step-son WILLIAM F. HOUDESHELL, JR., provided he survives my death by thirty (30) days. Should he predecease me or not survive my death by thirty (30) days, then his share shall go to his issue per stirpes. ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my ~ possessions and estate of every nature and wherever situate, in equal shares, as follows: A. Twenty-five (25%) Percent to my daughter LINDA ILGENFRITZ ~' provided she survives my death by thirty (30) days. Should she predecease me or not survive my death by thirty (30) days, then her share shall go to her issue per stirpes. B. Twenty-five (25%) Percent to my step-son HARRY M. HOUDESHELL provided he survives my death by thirty (30) days. Should he predecease me or not survive my death by thirty (30) days, then his share shall go to his issue per stirpes. C. Twenty-five (25~ o Percent to my step-son RAI:PH E. DERR provided he survives my death by thirty (30) days. Should he predecease me or not survive my death by thirty (30) days, then his share shall go to his issue per stirpes. D. Twenty-five (25%) Percent to my step-son WILLIAM F. HOUDESHELL, JR., provided he survives my death by thirty (30) days. Should 2 he predecease me or not survive my death by thirty (30) days, then his share shall go to his issue per stirpes. ITEM IV. All of the interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation nor shall they be subject to any execution or attachment. ITEM V. I appoint my daughter LINDA ILGENFRITZ executrix of this my last will. Should my daughter predecease me or otherwise fail to qualify or cease to serve as executrix of `~ this my last will, I appoint my step-son HARRY M. HOUDESHELL executor of this my last will. ITEM VI. In addition to the other powers and authorities granted to my personal representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby give to my personal representatives the following powers and authorities effective without court approval and until actual distribution of all property: to compromise any claim or controversy; to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as my personal representatives may determine and at valuations finally to be fixed by them; to invest in all forms of property, including any stock or other securities in any corporate fiduciary or its successor without restricti:,n to ir.` estw'.ents a»tho_ri`ed for Pennsylvania fiduciaries, as my personal representatives deem proper, without regard to any principle of risk or diversification; to retain any or all assets of my estate, real or personal, without regard to any principle of risk or diversification; to sell at public or private sale, to exchange, or to lease for any period of time, any real or personal property and to give options for sales, exchanges, or leases, for such prices and upon such terms or conditions as my personal representatives deem proper; and to allocate 3 receipts and expenses to principal or income or partly to each as my personal representatives deem proper in their sole discretion. ITEM VII. I direct that my personal representatives and fiduciaries shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this ~ day of ~~ ,~ p~, ~ , 2009. RAMON J. Z 4 The preceding instrument, consisting of this and FOUR other typewritten pages, each identified by the signature of the testator was on the date thereof signed, published, and declared by RAMON J. ZINN, the testator therein named, as and for his last will, in the presence of us, who at his request, in his presence, and in the presence of each other, have subscribed our names as witnesses hereto. F~~~ z ~~~ 5 COMMONWEALTH OF PENNSYLVANIA ) ( SS: COUNTY OF CUMBERLAND ) The undersigned, being the testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, does hereby acknowledge that I signed and executed the foregoing instrument as my last will, that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. .- RAMON J. ZINN Sworn or affirmed to and acknowledged before rl by the to t . na d above tr~i.7 ~ dad- of , 2009 C(~IIM~VEALTH OF PENNSYlVAN~A I~~ta~ial Seal ntar`/ Public AAy Commis~ior~ E~i~es Niay 10, 2011 - Pennsylvania Association of Notaries COMMONWEALTH OF PENNSYLVANIA ( SS: COUNTY OF CUMBERLAND ) c.~1~rC,,~ ~ h/ // -- -~ ~ WE, L ~ ~, ~~ ~-~ L- .~ and Nl o ycc~~S ~~ ,the witnesses whose names are signed to the a ached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testator sign and execute the instrument as his last will; that he signed it willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testator signed the will as witnesses; and that to the best of our knowledge, the testator was at that time 18 or more years of age, of sound mind, and under no constraint or undue influence. ~ ~.~ `\ r`! ,~- V ~- W °~ ~~~~ Swo: n r affirme t nd acknowledged before e, hid _ day of 2009. t ?~o~arv Public COMMpNWE H PENNSYLVAI<NA Seal Vylendy 0°~ Sfi~~, Imol+ay Pu~#Ic lovJar~len Ttar~., ~t~n'r~sta+~ ~raa;ty~ flrfy Comrnlssia~ E~ires Nlay 10, 2011 Penns~rlvanla Association of Notaries 6