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HomeMy WebLinkAbout03-14-13 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: ROBERT L.NOLL File No: 21-13-0316 a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 12/12/12 Age at death: 85 Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (state)with his/her last principal residence at 100 CHESTER STREET,CARLISLE, 17013 N.MIDDLETON TOWNSHIP CUMBERLAND Street address,Post Office and Zip Code City,Township or Borough County Decedent died at 100 CHESTER STREET,CARLISLE, 17013 N.MIDDLETON TOWNSHIP 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 $ 1,100,000.00 If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $ If not domiciled in Pennsylvania. ....................... Personal property in County $ Value of real estate in Pennsyl vania......................................................... $ TOTAL ESTIMATED VALUE. ... $ 1,100.000.00 Real estate in Pennsylvania situated at: (Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County 0 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 11/21/2011 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. Q 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.m 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&orce had beejstab0WXs defined in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated per0n.,Q M C ©NO EXCEPTIONS ®EXCEPTIONS CO Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the fo bmJig ousd(ifany)_ �irs(attach additional sheets,if necessary): = " (!y C> , Name Relationship A?d i5R s C.J r ' l' _4 VJ oft A to Form RW-02 rev.10/11/2011 Page 1 of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA r SS: n COUNTY OF CUMBERLAND Ln Petitioner(s)Printed Name Petitioner(s)PrinOX.A r 01 0") SUSAN J. SHERMAN 2 VISTA CIRCLE,LEMOYNE,PA 17043 J CX:) 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 Petition7�'(S)Will] ell and truly administer the estate according to law. Sworn to or affirmed ano subscribed before Date,3—/ I me t day,of 6,1, Date Date For the Register Date BOND Required: 0 YES NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters . . . . . . . . . . . . . . . . . . . . . . S 710.00 Attorney Signature: 2 ) Short Certificate(s). . . . . . 10.00 )Renunciation(s).. . . . . . . . 13. )Codicil(s). . . . . . . . . . . . . ) Affidavit(s).. . . . . . . . . . . Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: ROGER B. WIN,ESQUIRE Commission. . . . . . . . . . . . . . . . . . Supreme Court Other . . . . . . . . ID Number: 6282 WILL . . . . . . . . 15.00 INVENTORY . . . . . . . . 15.00 Firm Name: IRWN&McKNIGHT,P.C. INH TAX RETURN . . . . . . . . 15.00 Address: 60 WEST POM RET STREET • • • . . • • • CARLISLE,PA 17013 .. . . . . . . . Phone: (717)249-2353 Automation Fee. . . . . . . . . . . . . . . 5.00 Fax: (717)249-6354 JCS Fee. . . . . . . . . . . . . . . . . . . . . 23.50 Email: TOTAL. . . . . . . . . . . . . . . . . . . . . S 793.50 DECREE OF THE REGISTER Estate of ROBERT L.NOLL File No: a/k/a: AND NOW,_\-/X LdLI in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to SUSAN J. SHERMAN the instrument(s)dated NOVEMBER 21,2011 in the above estate and(if applicable)that -4 described in the Petition be admitted to probate and filed of rec9rd as the last , 11(and Codicil(s)) Decedent. 'jo D Register of Wills FormRW-02 rev. 1011112011 age of x)a s >v(t > LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. RECORDED OFFICE REGISTER VV ILLS Fee for this certificate, $6.00 OF VII L III,Iiit!/f�------,. This is to certify that the information here given is Z013 MR pn 28 j�OF correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original g = z certificate will be forwarded to the State Vital cz 3 a. Records Office for permanent filing. CLERK OF 105A9 A CUM ._9r ,Ili � xvt -�,ci ,- •. 13 D12 Certification Number ER L A R D Co, "-.-'VENT rOEi,,li1 --�- �� Local Registrar Date Issued O Type/Print net COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF HEALTH•VITAL RECORDS Permanent Inkt CERTIFICATE OF DEATH State File Number: 1.Decedent's legal Name(First,Middle,Last,Suffix) 2_Sex 3.Saclal Security Number 4.pace of Death(Mo/Day/Yr)(spell Mo) Robert L. No11 M Decenber 12, 2012 5a.Age-Last Birthday(Yrs) 5b.Under 1 Year Sc.Under 1 Da 6.Date of Birth(MO/Day/year)(Spell Month} Ta,Birthplace(City and State or Foreign Country} Months Days Hours Minutes Green Park, PA 85 DecENnber 1 6, 1 926 7b.Birthplace(County) er Be.Residence(State or Foreign Country) 8b.Residence(Street and Number-Include Apt NO.) 8c.Did Decedent live in a Township? PA es,decedent lived in NOrth Middleton 8d.Residence(County) 100 Chester St_ twp. � r1-end Be.Residence(Zip Code) 1 E3 No,decedent lived within limits Of city/boro. 9.Ever in U5 Armed Farces? 10_Marital Status at Time of Death - Us Married E3 Widowed ll.Surviving Spouse's Name(if wife,give name prior to first marriage) l [$Yes E3 No ,(3 Unknown E3 Divorced fl Never Married E]Unknown Ms Esther Pa11e 's 12.Father's Name(First,Middle,Last,Suffix) 13.Mother's Name Prior to First Marriage(First,Middle,Last) Chester No11 Rachel Peck 148.Informant's Name lab.Relationship to Decedent 14c.Informant's Mailing Address(Street and Number,City,State,Zip Code) ' Ma Esther Noll Wife 100 Chester St. , Carlisle, PA 17013 '{ _ S a Place D t C »..,.,. _...«...._.. P.............................................»., a e o ea ec on one i�-- ,............................................ ..,....._,....................,... L, if Death Occurred in a Hospital. •...»...............«.,,^,°.,,.. a p In anent - g If Death Occurred Somewhere Oter han a Hospital: Hospice Facility ` Decedent's Home E3 Emergency Room/Outpatient E] Dead on Arrival : Nursing Home/Long-Term Care Facility E3 Other(Specify) y 15 b.Facility Name(If not Institution,give street and number' 15c.CI ' p 1 701 3 15d Cau of eath City or Town State,and ZI Code W 100 Chester St. CarllsYe PA . �:tacn�er�land s' 16a.Method of Disposition 92courial E7 Cremation 16b.Date of Disposition 16c.Place of Disposition(Name of cemetery,crematory,or other place) E3 Removal from State E3 Donation Other(Specify) 12/17/2012 Westminster Mee oriel Gardens 16d.Location of Disposition(City or Town,State,and Zip) 17a.Signature of Fun al Service Ltcens Pemqnjn Charge of interment 17b.license Number ; Carlisle, PA 17013 FD 012633 L 17c.Name and Complete Address of Funeral Far�llty I Carli x H105.805 UV(9/11) / LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 RECORDED O F�,i ,.+ This is to certify that the information here given is ` REGISTER `(( fiyy= correctly copied from an original Certificate of Death F ,+liii� _ - �t duly filed with me as Local Registrar. The original cert ificate will be forwarded to the State Vital 44- a; Records Office for permanent filing. P 191 . c . ` _,� .�- 2012 ORPHANS i,1 2 7 R I �? f �fo�off Certification Number Local Registrar Date Issued Type/Print In COMMONWEALTH OF PENNSYLPAMAP+APARTMENT OF HEALTH•VITAL RECORDS Permanent Black Ink CERTIFICATE OF DEATH State Fite Number: 1.Decedent's Legal Name(First,Middle,Last,Suffix) 2.Sex 3.Social Security Number 4.Date of Death(Mo/Day/Yr)(Spell Mo) Mary Esther Noll ' DecemkDer 26 2012 Sa.Age-Last Birthday(Yrs) Sb.Under 1 Year i5c,Under 1 Day S.Date of Birth(Mo/Day/Year)(Spell Month} 7a.Birthplace City and State or Foreign Country) y Months Days Hours Minutes PPl °`► 79 October 10, 1 933 7b.Birthplace(County) r1 e1 Be.RRe�siidence(State or Foreign Country) 8b.Residence(Street and Number-Include Apt Na.) 8c.Did Decedent Live In a Township? 99 Yes,decedent lived in Nor-C Middleton tw Bd.Residence(County) 1 QQ ChESster St. p. C1- 1�erlariC� 8e.Residence(Zip Code) 1 7Q 1 3 QNO,decedent lived within limits of city/boro. 9.Ewer In US Armed Forces? 10.Martial Status at Time of Death [3 Married Widowed 11.Surviving Spouse's Name(if wife,give name prior to first marriage) E3 Yes 3=No E3 Unknown E3 Divorced E3 Never Married _ [�unknown 12.Father's Name(First,Middle,Last,Suffix) 13.Mother's Name Prior to First Marriage(First,Middle,Last) William E ai.1e , Sr. Pearl 'T r 14a.Informant's Name 14b.Relationship to Decedent 14c.informant's Mailing Address(Street and Number,City,State,Zip Code) 9 Susan J. Sheer Dau bier 2 Vista Circle, Lemo e, PA 17043 o"_e' I.f_.D.,e.,a.t»h..O...c.c..u..r.r..e.d...i.n...a..H..a..s..p..Ft..a.i.:............�I^n.p.a..t..ie..n,.t.................,...._.....ry.f D_,ea.,1 t..h,Oa;uP uacrree_od.SOo�msOet w..hC.e.r ee c Other..a.n.Y.T o hnae n ,,a,Hgj p71 t................�Ho_s .c.e...._....y.....,........ r ' _edents Home Emergency Room/Outpatient E3 Dead on Arrival z E3 Nursing Home/Long-Term Care Facility C3 Other(Specify) a 15b.Facility Name(If not institution,give street and number; 15c.City or Town,State,and Zip Code 1Sd.County of Death W Carlisle Re Tonal Medical Center Carlisle, PA 17013 C>mJberland 16a.Method of Disposition R9 Burial E3 Cremation 16b.Date of Disposition 16c.Place of Disposition(Name of cemetery,crematory,or other place) Q Removal from State E3 Donation Other(Specify) 1/2/2013 Gardens 16d.Location of Disposition(City or Town,State,and Zip) 17a.Signature of F er I Service Licensee 2xPervey in C o{Interment 17b.License Number Carlisle, PA 17013 _ FD 012633 L 27c.Name and Complete Address of Funeral Facility Bw-Ln Brothers Funeral Hczrtf--, Inc_ , 630 S. Hanover St. , Carlisle, PA 17013 a% 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 Indicate what { r°- 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. E3 8th grade or less is Spanish/Hispanic/Latino. Check the"No- ET-Ohite E3 Korean o diploma,9th-12th grade box if decedent is not Spanish/Hispanic/Latino. d Black or African American E3 Vietnamese [3 High school graduate or GED completed o,not Spanish/Hispanic/Latino E3 American Indian or Alaska Native C3 Other Asian E3 Some college credit,but no degree E3 Yes,Mexican,Mexican American,Chicano Q Asian Indian C3 Native Hawaiian E3 Associate degree(e.g.AA,AS) E3 Yes,Puerto Rican E3 Chinese E3 Guamanian or Ghamorw E3 Bachelor's degree(e.g.BA,AS,BS) E3 Yes,Cuban []Filipino E3 Samoan E3 Master's degree(e.g.MA,MS,MEng,MEd,MSW,MBA) E3 Yes,other Spanish/Hispanic/Latino C3 Japanese E3 Other Pacific Islander C3 Doctorate(e.g.PhD,Ed D)or Professional degree (Specify) M Other(Specify) e. .MD DOS DVM LLB JO 21.Oe,,,�c dent'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 ' .J�'"Whlte []Japanese []Samoan done during most of working life. OO NOT USE RETIRED. C3 Black or African American Q Korean Other Pacific Islander E3 American Indian or Alaska Native E3 Vietnamese C3 Don't Know/Not Sure Hcxne ST€akt--r Q Asian Indian C1 Other Asian C3 Refused 22b.Kind of Business/Industry C3 Chinese C3 Native Hawaiian E3 Other(Specify) E3 Filipino E3 Guamanian or Chamorro Her cywri lu=r ee ITEMS 230-23d MUST BE COMPLETED 232,Hate Pronounced Dead Mo Day r) 23b.Signature of Person Pronouncing Death Only when applicable) 23c.License Number j BY PERSON WHO PRONOUNCES OR CERTIFIES DEATH 1?-/26/2012 23d.Date Signed(Mo/Day/Yr) 24.Time of Death . 1 1 5 a.m. 125.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, = interval: respiratory arrest,or ventricular fibrillar i�onwithout showing the etiology. DO NOT ABBREVIATE. Enter only one cause on as fine.Add additional lines if necessary Onset to Death IMMEDIATE CAUSE ---------> a. -.�4 r �SL"""1O*.�'G O�C. /�`Yy-'Ai0-,V-,3 (Final disease or condition Due to(or as a consequence of): resulting in death) b. Sequentially list Conditions, Due to(or as a consequence of): _ If any,leading to the cause listed on line a. Enter the C. _ UNDERLYING CAUSE Due to(or as a consequence of): i (disease or Injury that Initiated the events resulting d. €n death)LAST. Due to(or as a consequence of): 26.Part 11. Enter other significant conditions contributing to death but not resulting in the underlying cause given In Part t 27.0 Wa op med? Y n o 28.Were autopsy findings available tD� to N complete the cau of death? o 29.If Female: 30.Did Tobacco Use Contribute to Oeatfi? 31.Manner of Death Yes Not pregnant within past year S Pregnant at time of death C3 Yes E3 Probably 42 "lgatural E3 Homicide 'No E3 Unknown E3 Accident C3 Pending Investigation E3 Not pregnant,but pregnant within 42 days of deatf C3 Suicide 13 Could not be determined r-° E3 Not pregnant,but pregnant 43 days to 1 year before death 32.Date of Injury(Mo/Day/Yr)(Spell Month) - E3 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,State,Zip Code) 36.Injury at Work 37.if Transportation Injury,Specify: 38.Describe How Injury Occurred: E3 Yes E3 Driver/Operator E3 Pedestrian E3 No E3 Passenger p Other(Specify) 398.Certifier(Check only one): 491-Certifying physician-To the best of my knowledge,death occurred due to the cause(s)and manner stated E3 Pronouncing&Certifying physician-To the best a nowledge,death occurred at the time,date,and place,and due to the cause(s)and manner stated E3 Medical Examiner/Ca er-On t e basis of exa inatl n,and/or Investigation,in my opinion,de h occurred at the time,date,and place,and due to the Aca(u�se(s,.)�and .,manner stated Signature of certifier: Title of certifier• EJ C{-� License Number: 39b.Name,Address and Zip Code of Person Completin Cause of Death(Item 26) / 39c.Da,.te,,Signed}M Day/Yr) v 1 fig L�r `Zs�..L� �/`��5�+ S�" �`O1✓1tS� f /"� 3 4+! L ao��Z_ 40.Registrars District Number 41.Reglstrar s lure r-^1 42.Registrar File Date Mo/IDa1y r) 43.Amendom`ents - V i� Disposition Permit No. l.3 oS V.:'''1 REV 07/2011 CI> M M C*> CAD (D M C-> M M Cn LAST WILL AND TESTA T CI> Cn C> co 1, ROBERT L. NOLL, of North Middleton 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. 1 direct my Executrix or Substitute Executrix, as the case may be, 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 tax purposes, whether or not such property passes under this Will, shall be paid by the Executrix or Substitute Executrix from my estate, and that none of the aforesaid taxes shall be prorated among those persons named herein or are otherwise beneficiaries hereunder. 2. My Executrix or Substitute Executrix may, at her discretion, compromise claims, borrow money, retain property for such length of time as she may deem proper; lease and sell property for such prices, on such terms, at public or private sales, as she may deem proper; and invest estate property and income without restriction to legal investments unless otherwise provided hereunder. I authorize and empower my Executrix or Substitute Executrix 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 Executrix or Substitute Executrix is 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 Executrix or Substitute Executrix. 3. 1 give, devise and bequeath all of my estate of whatever nature and wherever situate to my wife, MARY E. NOLL. 4. If MARY E. NOLL does not survive me by a period of at least sixty (60) days after my death,then my estate I give, devise and bequeath as follows: a. The sum of$7,500.00 to the WAGGONERS UNITED METHODIST CHURCH,Carlisle, Pennsylvania; b. The sum of$2,500.00 to THE SALVATION ARMY,INC., Carlisle, Pennsylvania; c. The sum of$10,000.00 to TRICIA FRAMPTON; d. The sum of$10,000.00 to NICHOLAS GILBERT; and e. All the rest,residue and remainder of my estate is to be distributed as follows: (1) Thirty Percent(30%)to JODY L. GILBERT; and (2) Seventy Percent(70%)to SUSAN J. SHERMAN. 5. 1 nominate and appoint MARY E. NOLL to be the Executrix of this my Last Will and Testament. In the event she has predeceased me, failed to qualify or is not able or does not serve for whatever reason, I then appoint SUSAN J. SHERMAN to be the Substitute Executrix of this my Last Will and Testament with the same powers as are given to the original Executrix hereunder. 2 6. No person(s) shall benefit hereunder unless such beneficiary shall survive me by sixty (60)days. 7. No Executrix or Substitute Executrix 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 her, his or its 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 No. 4 hereof, as the case may be, except that if such person is entitled to share in the said residue, that interest shall be distributed proportionately to the other residuary beneficiaries. 10. 1 hereby suggest that my personal representative retain the services of Irwin & McKnight,P.C. as attorneys in the settlement of my estate. 3 k IN WITNESS WHEREOF, I have hereunto set my hand and seal this 21"day of November 2011. I,( (SEAL) ROBERT L.NOLL 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. i 4 ACKNOWLEDGMENT AND AFFIDAVIT WE, ROBERT L. NOLL, MARTHA L. NOEL and SHARON L. 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. 4 ROBERT L.NOLL Y2 MART L.N SHARON L. SCHWALM COMMONWEALTH OF PENNSYLVANIA : : SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by ROBERT L. NOLL,, the Testator herein, and subscribed and sworn to before me by MARTHA L. NOEL and SHARON L. SCHWALM,witnesses,this 21"day of November 2011. /3. �9ary Public COMMONWEALTH OF PENNSYLVANIA Notarial Seal Roger B.Irwin,Notary Public Carlisle Boro,Cumberland County My Commission Expires Oct.3,2012 5 Member,Pennsylvania Association of Notaries