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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA
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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: Phyllis L.Renninger File No:
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: March 7,2013 Age at death: 80
Decedent was domiciled at death in Cumberland County, PA (state)with his/her last
principal residence at 38 William Penn Drive Camn Hill Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 38 William Penn Drive Camt)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 $ 3,000.00
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania......................................................... $ 120,000.00
TOTAL ESTIMATED VALUE. ... $ 123,000.00
Real estate in Pennsylvania situated at: 38 William Penn Drive Camp Hill Cumberland
(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 February 15,2013 and Codicil(s)
thereto dated N/A
State relevant circumstances(eg.renunciation,death of executor,eta)
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 bom or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
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,ca.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.
0 NO EXCEPTIONS 0 EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(attach
additional sheets,if necessary): c
a �2 M
Name Relationship Aid s C�
A s t.0 C-
ear? - a
Form RW-02 rev. 10/11/2011 Page 1 of 2
s
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA } V Q n "I
} SS: 0
COUNTY OF CUMBERLAND
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Petitioner(s)Printed Name Petitioner(s)Printed Addq
Steven R.Maben 61 JLocust Lane Mechanicsburg,PA 17050 ��' ::3 T°w
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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 Decede t,the Petitioner(s)will well and truly administer the estate according to law.
Sworn sub
to affirmed scr'bed b for �> Date
me th' day of Date
By: Date
t Register Date
BOND Required: Q YES E) NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . .. ... . . . .... . $ 260.00 Attorney Signature:
Short Certificate(s).. . . . . 50.00
( )Renunciation(s).. . . . . . . . "
( )Codicil(s). . . . . . . . .. . . .
( )Affidavit(s).. . . . . . . .. . .
Bond.. . . . . .. . . .. .. . . . . . . .. . . Printed Name: WILLIAM R119UFMAN
Commission. . . . .. . . . . . . . . .. . . Supreme Court
Other WALL . . .. . . . 15.00 ID Number: 78627
. . .. .. . Firm Name: WILLIAM R.KAUFMAN,ATTY-AT-LAW
. . ... . . Address: 940 CENTURY DRIVE.-SUITE B
• • • • • • • MECHANICSBURG,PA 17055
. . .. .. . Phone: 717-766-7702
Automation Fee. .. ... . . . . . . . . . 5.00 Fax: 717-790-9031
JCS Fee. . . .. . . .. .. . . . . . .. . . . 23.50 Email: wrkaufman_wrklaw(@comcacttnet
TOTAL. . . . . . . .. . . . . . . . . . .. . $ 353.50
DECREE OF THE REGISTER
Estate of Phyllis L.Renninger File No: �P 1 r fJ�14{
a/k/a:
AND NOW, March th 2013 ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters Testamentary
are hereby granted to Steven R.Maben
in the above estate and(if applicable)that
the instrument(s)dated February 15,2013
described in the Petition be admitted to probate and filed of record s the last Will(and Codicil(s))of Decedent.
CL LJ J�147
Register of Wills
Form Rw oz rev. 10/11/2011 Page of
H 105.805 REV(9/11)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
RECORDED OFFICE Or
Fee for this certificate, $6.00 This is to certify that the information here given is
'
REGISTER OF WIL"s IIllpl M0 Pf~~ correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
8 i certificate will be forwarded to the State Vital
j "613 MR 19 9M
S: Records Office for permanent filing.
CLERK OF MAR 12 2013
P 19466407
I
ORPHANS' CO L,RI MT
Certification Number
CUMBERLAND CO., PA Local Registrar Date Issued
Type/Print In
COMMONWEALTH OF PENNSYLVANIA•DEPARTMENT OF HEALTH•VITAL RECORDS
Permanent
Black Ink CERTIFICATE OF DEATH State File Number:
1.Decedent's Legal Name(First,Middle,Last,Suffix) 0
2.Sox 3.Social security Number 4.Date of Death(Mo/DaV77r)(Spell Mo)
Phyllis E. Ronningoz- female March 7, 2013
58.Age-Last Birthday(Yrs) 5b.Under I Year 15c.Under I Day 16.Date of Birth(Mo/Day/Year)(Spell Month) 17VIrthlace t:(City and Stp r Foreign Country)
Months Minutes 10 eW own, r
80 October 5, 1932
Days I Hours 17b.Birthplace(County) M:Lk:El1n
8Vsidence(State or Foreign Country) 8b.Residence(Street and Number-Include Apt No.) 8c.Did Decedent Live In a Township?
A Lowe3r Allen
138 W1111ELm Penn Drive JIMes,decedent lived in t".
8d.Residence(County)
Cumberland Be.Residence(zip Code) I full [3 No,decedent lived within limits of city/boro.
9.Ever In US Armed Forces?
10.Marital Ste Time of Death C3 Married 1WWldowed 11.Surviving Spouse's Name If wife,give name prior to first marriage)
Status at a
Oyes 2KNo C3 Unknown E3 Divorced E3 Never Mrried Unknown
12.Father's Name(First,Middle,Lost,Suffix)
13.Mother's Name Prior to First Marriage(First,Middle,Last)
Chart E. Silks Blanche M. Gvoae
14a.Informant's Name 24b.Relationship to Decedent 14c.Informant's Mailing Address(Street and Number,City,State,Zip Code)
Sit-even Mtbort nephew 611 Locust Lane MochEnLcabuxg, PA 17050
150.Place of Do hm!y2mv............................. .......
.................................
........... ........................... Occurred Somewhere Other Than a Hospital: t1f Hospice Facility '�'Daeedent's Home r
E3 Emergency Room/Outpati..t Q Dead on Arrival E3 Nursing Home/Long-Torm Care Facility [3 Other(Spec
(Specify)
15b_I'MM7 as
Name or State,and Zip Code 15d.��iTty f Do h
zX(If not Institution,give street and numberr 15c.city ej�
38 Penn Drive Camphrlriv PA 17011 Cumberland
1` 16a.Method of Disposition E:3 Burial RM cremation 16b.Date of Disposition 16c.Place of Disposition(Name of cemetery,crematory,or other place)
E3 Removal from State [3 Donation 2013 vema�t:Lon Association of Cant:z-ELl PA
Others march II, r
26d.Location of Disposition(City or Town,State,and Zip) 17s.Signature of Funeral Service U P License Number
,ePsee or arson In Cho a interment 17b.L
'Lowlat:own, PA 17044 FD 138718-E
g 17A Name and Complete Address of Funeral Facility -
t::Lne Funeral Home
Ho n . Inc. 75 Logan St;. . Lewistown PA 17044
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 race*to Indicate what
►2 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.
grade or less
Is Spanish/HispanWLatino.Check the"No" IQ-Whtte 13 Korean
W-=dlpioma 9th-12th grade box If decedent is not Spanish/Hispanic/Latino. [:3 Stock or African American (:3 Vietnamese
E3 High school graduate or GED completed .2T No.not Spanish/Hispanic/Latino E3 American Indian or Alaska Native [3 Other Asian
113 some college credit,but no degree E3 Yes,Mexican,Mexican American,Chicano E3 Asian Indian
C3 Native Hawaiian
E3 Associate degree(e.g.AA,AS) E3 Yes,Puerto Rican E3 Chinese E3 Guamanian or Chamorro
C3 Bachelor's degree(e.g.BA,AS,BS) E3 Yes,Cuban E3 Filipino E3 Samoan
[ZI Master's degree(e.g.MA,MS,MEng,MEd,MSW,MBA) [=1 Yes,other Spanish/Hispenic/Latino E3 Japanese Q Other Pacific Islander
E3 Doctorate(e.g.PhD,Ed D)or Professional degree (Specify) E3 Other(Specify)
e.a.MD.DDS,DVM,LLS,JD)
22.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
ja White E3 Japanese E3 Samoan done during most of working life. DO NOT USE RETIRED.
C3 Black or African American E3 Korean [3 Other Pacific Islander Homemaker[3 American Indian or Alaska Native 1[3 Vietnamese Q Don't Know/Not Sure
E3 Asian Indian [=1 Other Asian E3 Refused 22b.Kind of Business industry
C3 Chinese E3 Native Hawallan r3 Other(Specify)
[3 Filipino [3 Guamanian or Chamorro Own Home
ITEMS 230-23d MUST BE COMPLETE 23 Date Pronounced Dead(Ma/Day/Yr) 23 h Signature of Person Pronouncing Deat h(only when applica a 23c.License Number
BY PERSON WHO PRONOUNCES OR
CERTIFIES DEATH
23 at I d Mo/Day/Yr) 24.Time of De h
V_v 7A 00 PIA 25.Was Medical Examiner or Coroner Contacted? Yea 13 No
CAUSE OF DEATH approximate
26.Part 1. Enter the chain of events--diseases,Injuries,or complications-that directly caused the death. 00 NOT enter terminal events such as cardiac arrest. Interval:
respiratory orrest,or ventricular fibrillation without showing the etiology. DO NOT ABBREVIATE. Entgr orliv-42om cause on a line.Add additional lines if necessary
IMMEDIATE CAUSE
(Final dl.....r--.Iltl.n Due to(or as a consequence _
resulting In death)
Sequentially list conditions, r as a consequencilaf):
If any,leading to the cause I-zle"A
,,,n
listed on a a. Enter the C.
UNDERLYING CAUSE f--to'(-r as-consequence of):
(disease or ln)pry,that
"ttlated the e9ants resulting d.
n death)LAST. Due to(or as a consequence of):
26.Part if. Entes-other s(anificant conditions a to death but not resulting In the underlying cause given In Part 1 7.Was an autopsy�d?
Yas
_F,
E3
Were autopsy findings available
to comp the cause of death?
C3 to.
29.if Female: 30.Did Tobacco Use Contribute to Death? 31 M f Death
0
[3 Homicide
,15"h'm pregnant within past year X3 Ves E3 Probably
C3 Pregnant at time of death r�_ o [3 Unknown 6EM3 ScEdent E3 Pending Investigation
C3 Not pregnant,but pregnant within 42 days of death E3 Suicide E3 Could not be determined
C3 Not pregnant,but pregnant 43 days to 2 year before deatl- 32.Data 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;form;school) 35.Location of Injury(Street and Number,City,State,Zip Code)
36.Injury at Work 37.If Transportation Injury,Specify:
38.Describe Now Injury Occurred:
[3 Yes [3 Driver/Operator E3 Pedestrian
E3 No E3 Passenger E3 Other(Specify)
3 a. rtifier(Cheek only one):
Certifying physician-To the best of my knowledge,death occurred due to the cause(s)and manner stated
E3 Pronouncing&CertlfVln hysiclan-To the best of my knowledge,death occurred at the time,date,and place,and due to the cause(s)and manner stated
E3 Medical Examine - the 0 Ion,In my opinion death r t the time,date,and place,and due to the couse(s)and manner stated
Title of certifier. a Numb4U__P_kt0
Signature of certifies er: 9W -7 5-,!!>
a Npgfe,Attdrre Zip a of Person Completing Cou Death em 26 39c.Datlagnero/Died
-71!. wz.,6 oe/- ..4*
/'Vel Pw 1 .:7
40.Registrar's District Number 41.Registrarl.50151ilinat 42,Registrar Fie,
e Date a*/Vr)
14J411 -5r - I / A at n A4-N_1,t
ll/urs"It OUALAVA4�
43.Amendments
I Ise orflv
stat
0898202 HICS-143
Disposition Permit No. REV 07/2011
LAST WILL AND TESTAMENT
ca =-
OF c� `�`' rn �
rn « I w...J V J ✓�
PHYLLIS L. RENNINGER M
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I, PHYLLIS L. RENNINGER, of Lower Allen Tar§iip, Cbern6
County, Pennsylvania, being of sound mind and body declare this to be my fast NVIIIMnd
Testament and revoke any and all Wills and Codicils previously made by me.
ITEM 1: 1 hereby direct that my funeral and my burial be carried out
in accordance with my arrangements already on file with Barr's Funeral Home in
Lewistown, Pennsylvania.
ITEM I1: I hereby direct that all just debts, funeral expenses, all
administration expenses, including inheritance tax shall be paid from the assets of my
estate as soon as practicable after my decease.
ITEM III: I hereby give, devise and bequeath $20,000 to my brother,
JOSEPH R. SILKS, of Lewistown, Pennsylvania, if he survives me by thirty (30) days. If
he does not survive me by thirty(30) days, I give such distribution to the following
beneficiaries:
(a) $10,000 to JOHN R. SILKS, if he survives me by thirty (30) days, if
not, then to those of his issue who survive me by thirty (30) days, per stirpes; and
(b ) $10,000 to MARK HOCKENBERRY, if he survives me by thirty
(30) days, if not, then to those of his issue who survive me by thirty(30) days, per stirpes.
Page 1 of 5 .
ITEM IV: I hereby give, devise and bequeath all of the rest and residue
of my estate, real and personal, wheresoever situate and in whatsoever name,to my
nephew, STEVEN R. MABEN, of Mechanicsburg, Pennsylvania, if he survives me by
thirty(30)days.
ITEM V: In the event that my said nephew does not survive me by
thirty(30)days, I hereby give, devise, and bequeath such property in equal shares to those
of his daughters, MICHELLE Y. MABEN and STEPHANIE S. MABEN, who survive me
by thirty(30) days. In the case of my personal property, such gift shall be as equal as is
practicable.
ITEM VI: No person, to whom any gift or interest shall have been
given by the terms of this Will, shall be deemed to have survived me who shall have died
at the same time as 1, or in a common disaster with me, or under such circumstances that it
is difficult or impossible to determine which of us survived the other.
ITEM VII: No interest in income or principal of my estate or any trust
created hereunder shall be subject to attachment, levy or seizure by any creditor, spouse,,
assignee or trustee or receiver in bankruptcy of any beneficiary of my estate or of any trust
created hereunder prior to the beneficiary's actual receipt thereof. My executor and trustee
shall pay over the net income and the principal to the beneficiaries herein designated,as
their interests may appear,without regard to any attempted anticipation(except as may be
specifically provided herein),pledging or assignment by any beneficiary of my estate or of
any trust created hereunder and without regard to any claim thereto or attempted levy,
attachment, seizure or other process against said beneficiary.
Page 2 of 5
ITEM VIII: If any beneficiary under the age of twenty-one (21)years
shall become entitled to any share hereunder,then such share shall immediately vest in
such beneficiary, but notwithstanding the provisions herein,my executor may distribute
such beneficiary's share to any adult person standing in loco parentis, or to a legal guardian
of such beneficiary, or to a custodian(to be selected by my executor)under the
Pennsylvania Uniform Transfers to Minors Act,without requiring bond of such adult
person, guardian or custodian. The receipt of such adult person, guardian or custodian
hall constitute a full release of my executor for any property so distributed.
ITEM IX: I confer on my executor to sell or otherwise convert any real
or personal property at public or private sale, at such time or times, in such manner, and for
%ch price or prices, and on such terms and conditions as my executor shall determine, and
to execute and deliver good and sufficient conveyances, assignments, and transfers of the
property,without liability of any purchaser for the application of any consideration; to
rop . ,
borrow money and to secure its payment by mortgage of real or personal property,pledge
of investments, or otherwise, without liability on the part of the lenders to see to the
application thereof;to remain any investments at discretion;to invest and reinvest at
discretion, without restriction to so-called"legal investments"; to make distribution in cash
or in kind; to allocate and distribute kinds or disproportionate shares of property or
undivided interests in property among beneficiaries, in cash or in kind, or partly in each;
and to do all other acts and things necessary or appropriate in the management,
administration and distribution of my estate.
ITEM X: I hereby appoint my aforementioned nephew, STEVEN R.
MABEN, of Mechanicsburg, Pennsylvania, as Executor of my estate. If for any reason he
Page 3 of 5
should fail or cease to act, I appoint my attorney WILLIAM R. KAUFMAN, of
Mechanicsburg, Pennsylvania, as Executor.
ITEM XI: The Executor, or any successor Executor, shall qualify and
serve without the duty or obligation of filing any bond or other security.
IN WITNESS WHEREOF, I have set my hand and seal to this, my Last
44,\_.
Will and Testament, consisting of this and the preceding three (3)pages, this day
of r� , 2013.
(SEAL)
PHYLLIS L. RENNINGER
We,the undersigned, hereby certify that the foregoing Will was signed,
sealed, published and declared by the above-named Testatrix as and for her Last Will and
Testament, in the presence of us, who, at her request and in her presence and in the
esence of e of , have hereunto set our hands and seals the day and year above
wri en, an we rtify that a he time of thgSxecution thereof, the said Testatrix was of
soun an ing nd y.
(SEAL) Residin g at: � � ✓�'t ��� �
(SEAL) Residing at:
Page 4 of 5
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND ss.
-:� ,4We, PHYLLIS L. RENNINGER, � 1-lj hot r1-1, and
-:72Ario h C k-'4Li l 0 ,the Testatrix and the Witnesses, respectively, whose
names are signed to the attached or 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, that she signed it willingly, and that she executed it as her free and
voluntary act for the purposes therein 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(18) years of age or older, of sound
mind and under no constraint or undue influence.
atr'
W' ness
Witness
Sworn to, acknowledge and subscribed before me by PHYLLIS L. RENNINGER,
the Testatrix, and sworn to and subscribed before me by " -,-p t.. M vr++ and
o I+t1 M,, C j,,0:0 t-J , the Witnesses, this 1 day of e.
A.D., 2013.
Notary Pu lic
COMM2teaWLM OF PENNSYLVANIA
NOTARIAL SEAL
PATRICIA A.BENDER,Notary Public
Lower Allen Twp.,Cumberland Coun
My Commission Expires September 22,Y01 5
Page 5 of 5