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HomeMy WebLinkAbout03-19-13 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: MARY E.NOLL File No: a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: DECEMBER 26,2012 Age at death: 79 Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State)with his/her last principal residence at 100 CHESTER ST.,CARLISLE 17013 N.MIDDLETON TOWNSHIP CUMBERLAND Street address,Post Office and Zip Code City,Township or Borough County Decedent died at CARLISLE REGIONAL MEDICAL CENTER CARLISLE 17013 CARLISLE 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 $ 1,603,000.00 If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $ If not domiciled in Pennsylvania. ....................... Personal property in County $ Value of real estate in Pennsylvania......................................................... $ 697,000.00 TOTAL ESTIMATED VALUE. ... $ 2,300,000.00 Real estate in Pennsylvania situated at: 100 CHESTER STREET,CARLISLE 17013 N.MIDDLETON TOWNSHIP 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 11/21/11 and Codicil(s) thereto dated ROBERT T NO LL DIED ON 12/12/12 -FSTATF#21-13-310 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 born or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS O 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,durance 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. 0 NO EXCEPTIONS Q EXCEPTIONS Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the fi wing spousegany).i liters(attach additional sheets,if necessary): C> Cl> Name Relationship d C/) ;0 i7l rn rtJ co Cn co Form RW-02 rev.10/11/2011 Page I of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA SS: C= C> COUNTY OF CUMBERLAND 7_L_1 Petitioner(s)Printed Name Petitioner(s)Printed Armes: SUSAN J. SHERMAN 2 VISTA CIRCLE,LEMOYNE,PA 17043 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 Petitio er( w 11 and truly administer the estate according to law. A 1) "-f"11 U--, Date- Sworn to or/4ffirmed andsub 7-bed before SC e:thn s-� �_'hday of 120 Date 5 Pi By: Date he Register Date BOND Required: () YES NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters. . . . . . . . . . . . . . . . . . . . . . $ 1,310.00 Attorney Signature: 5 Short Certificate(s). . . . . 25.00 Renunciation(s).. . . . . . . . Codicil(s). . . . . . . . . . . . . Affidavit(s).. . . . . . . . . . . Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: ROGER, IRWIN,ESQUIRE Commission. . . . . . . . . . . . . . . . . . Supreme Court Other . . . . . . . . ID Number: 6282 WILL I . . . . . . 15.00 INH TAX RETURN . . . . . . . . 15.00. Firm Name: IRWIN&McKNIGHT,P.C. INVENTORY . . . . . . . 15.00 Address: 60 WS T POMFRET STREET . . . . . . CARLISLE,PA 17013 . . . . . . . . Phone: (717)249-2353 Automation Fee. . . . . . . . . . . . . . . 5.00 Fax: (717)249-6354 JCS Fee. . . . . . . . . . . . . . . . . . . . . 23.50. Email: TOTAL. . . . . . . . . . . . . . . . . . . . . S 1,408.50 DECREE OF THE REGISTER Estate of MARY E.NOLL File No: a/k/a: AND NOW, 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 in the above estate and(if applicable)that the instrument(s)dated 11/21/11 described in the Petition be admitted to probate and filed of reacod s the last Will(and Codicils})of Decedent. Register of Wills Form R W-02 rev. 10/1112011 rage f2 r I Real estate in Pennsylvania situated at: 20 MARSH DRIVE CARLISLE 17015 S MIDDLETON TOWNSHIP,PA (Attach additional sheets,if necessary.)Street address,Post Office and Zip Code City,Township or Borough County Real estate in Pennsylvania.situated at: 121E SOUTH STREET CARLISLE 17013 CARLISLE BOROUGH,PA (Attach additional sheets,if necessary.)Street address,Post Office and Zip Code City,Township or Borough County Real estate in Pennsylvania situated at: 1079 NEWVILLE ROAD CARLISLE, 17013,N._MIDDLETON TWP PA (Attach additional sheets,if necessary.)Street address,Post Office and Zip Code City,Township or Borough County H105.805 REV(9/11) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ` RECORDED OFFICE OF Fee for this certificate, $6.00 REGISTER Q E �� I L L S This is to certify that the information here given is correctly copied from an original Certificate of Death Y duly filed with me as Local Registrar. The original 19 Pn I V G certificate will be forwarded to the State Vital CLERK C 1� n Records Office for permanent filing. 19210823 ORPHANS• COURT �wl_Ikl ' D 27 2012 ""°91A�1ENT OF�II'�' n � � Certification Number CUMBERLAND C 0., PA """"""""�� Local Registrar Date Issued 10 Type/Print In COMMONWEALTH OF PENNSYLVANIA•DEPARTMENT OF HEALTH•VITAL RECORDS t: Permanent CERTIFICATE OF DEATH Black Ink State File 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 EStlzar No11 F 1168 26 1933 December 26, 2012 Sa.Age-Last Birthday(Yrs) 15b.Under 1 Year Sc.Under 1 Da 6.Date of Birth(Mo/Day/Year)(Spell Month) 7a.Birthplace(City and State or Foreign Country) +�` Months Days Hours Minutes 1 933 M1ff 1�Z PA .4 79 October 1 O, 7b.Birthplace(County) G�mrtberlarid Be.Residence(State or Foreign Country) 8b.Residence(Street and Number-Include Apt No.) Sc.Did Decedent Live in a Township? PA R9 Yes,decedent lived in NOrttl Middleton twp. 8d.Residence(County) 100 Cr1eSt!?Y' St- CLnAoerla d 18e.Residence(Zip Code) 17013 ONo.decedent lived within limits of city/boro. 9.Ever In US Armed Forces? 10.Marital Status at Time of Death j3 Married $]-Widowed 11.Surviving Spouse's Name(If wife,give name prior to first marriage) 0 Yes ?=No 0 Unknown Divorced Q Never Married Unknown 12.Father's Name(First,Middle,Last,Suffix) 13.Mother's Name Prior to First Marriage(First,Middle,Last) William Bai1e , Sr_ Pearl J r 14a.Informant's Name 14b.Relationship to Decedent 14c_Informant's Mailing Address(Street and Number,City,State,Zip Code) Susan J_ Shennarz Dau liter 2 Vista Circle, Lerno e, PA 17043 29 ......................................................... ..........................................r........ ace_o..Deat...C_ec..on.y one..........:................... ...... ... ......... ... ... .. ....... ...... ... ... ........ ... ... .. .. .. ,. If Oeath Occurred in a Hospital: �] Inpatient :If Death Occurred Somewhere Other Than a Hospital: Hospice Facility Decedent's Home �. ° 2MEmergency Room/Outpatient E3 Dead on Arrival _ Q Nursing Home/Long-Term Care Facility E3 Other(Specify) 15b.Facility Name(If not institution,give street and number: 15c.City or Town,State,and Zip Code 15d.County of Death Z Carlisle Re Tonal Medical Center Carlisle, PA 17013 G�m>berland m 16a.Method of Disposition 1g Burial jJ Cremation 16b.Date of Disposition 16c.Place of Disposition(Name of cemetery,crematory,or other place) E3 Removal from state p Donation 1/2/2013 Westminster MAsTnrDrlal Gardens Other(Specify) Z 16d.Location of Disposition(City or Town,State,and Zip) 17a.Signature of F er I Service Licensee o in C of Interment 17b.Ucense Number Carlisle, PA 17013 1~'D 012633 L 17c.Name and Complete Address of Funeral Facility Davin Brothers Funeral Hcane, 2nc_ , 630 S. Hanover St. , Carlisle, PA 17013 i .9 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 12 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 Sth.grade or less Is Spanish/Hispanic/Latino. Check the"NO" Ea.white E3 Korean p�1Vo diploma,9th-12th grade box if decedent is not Spanish/Hispanic/Latino. j3 Black or African American 1]Vietnamese ) 0 Hlgh school graduate or GED completed o,not Spanish/Hispanic/Latino 0 American Indian or Alaska Native 1] Other Asian i- E3 Some college credit,but no degree j3 Yes,Mexican,Mexican American,Chicano j3 Asian Indian E3 Native Hawaiian E3 Associate degree(e.g.AA,AS) 13 Yes,Puerto Rican (]Chinese 0 Guamanian or Chamorro t 1] Bachalor's degree(e.g.BA,AB,BS) 13 Yes,Cuban E3 Filipino j3 Samoan E3 Master's degree(e.g.MA,MS,MEng,MEd,MSW,MBA) E3 Yes,other Spanish/Hispanic/Latino E3 Japanese 13 Other Pacific Islander , E3 Doctorate(e.g.PhD,EdD)or Professional degree (Specify) M Other(Specify) (e.g.MD DDS DVM LLB JD 21.De 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 _ .j7 White 1]Japanese j3 Samoan done during most of working life. DO NOT USE RETIRED. E3 Black or African American E3 Korean 13 Other Pacific islander HcmES4laker 0 American Indian or Alaska Native E3 Vietnamese 0 Don't Know/Not Sure Q Asian Indian [3 Other Asian C3 Refused 22b.Kind of Business/Industry 0 Chinese E3 Native Hawaiian E3 Other(Specify) ) M Filipino 13 Guamanian or Chamorro Her CRn7I1 rlCdne ITEMS 23a-23d MUST BE COMPLETED 23a.Date Pronounced Dead(Mo Day r) 23b.Signature of Person Pronouncing Death(Only when applicable) 23c.License Nu m er BY PERSON WHO PRONOUNCES OR CERTIFIES DEATH 12/26/2012 23d.Date Signed(Mo/Day/Yr) 24.Time of Death 1= 1 5 a.m. 29_Was Medical Examiner or Coroner Contacted? Yes )] No CAUSE OF DEATH z. 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 fibrilla�t on without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line.Add additional Imes if necessary = Onset to Death IMMEDIATE CAUSE -----> a. j�'"YhsLnO.ScLe�.O-�c (Final disease or condition Due to(or as a consequence of): resulting in death) ] t b. Sequentially list conditions, Due to(or as a consequence of): if any,leading to the cause z listed on line a. Enter the C. ' UNDERLYING CAUSE Due to(or as a consequence of): air (disease or Injury that E Initiated the events resulting d. 3 In death)LAST. Due to(or as a consequence of): 26.Part 11. Enter other signiflca nt conditions contributing to death but not resulting in the underlying cause given in Part 1 27.Was an autopsy p rformed? E3 Yes o 28.Were autopsy findings available y to complete the cau of death? m E3 Yes No 29.If Female: 30.Did Tobacco Use Contribute to Death? 31.Manner of Death WNot pregnant within past year Q Yes 0 Probably �A 0 atural Homicide Pregnant at time of death aLEL-No E3 Unknown E3 Accident Q Pending Investigation Not pregnant,but pregnant within 42 days of death 0 Suicide E3 Could not be determined Not pregnant,but pregnant 43 days to 1 year before death 32.Date of Injury(Mo/Day/Yr)(Spell Month) 13 Unknown if pregnant within the past yea. 33.Time of Injury 34.Place of Injury(e.g.home;construction site;farm;school) 3S.Location of Injury(Street and Number,City,State,Zip Code) - 36.Injury at Work 37.If Transportation Injury,Specify: 38.Describe How Injury Occurred: Q Yes Q Driver/Operator E3 Pedestrian E3 No 1]Passenger 13 Other(Specify) 39a.Certifier(Check only one): Aff-Certifying physician-To the best of my knowledge,death occurred due to the cause(s)and manner stated E3 Pronouncing 8.Certifying physician-To the best nowiedge,death occurred at the time,date,and place,and due to the cause(s)and manner stated 13 Medical Examiner/Co er-On t e basis of exa inati n,and/or Investigation,In my opinion,dew/#h occurred at the time,date,and place,and due to the cause(s)and manner stated Signature of certifier: - Title of certifier: ( {J�C t-R'C License Number:/'•L7'ZI �� 39b.Name,Address and Zip Code of Person Compietin Cause of Death(Item 26) 39c.Date Signed'M Day/Yr) 40.Registrar's District Number 41.Registrar'sifilffMture ^ 42.Registrar File Date Mo Day r 43.Amendments �^� / HIO5-143 Disposition Permit No. '1;'A::,2 V A l0 REV 07/2011 ( C> M I =3 I C-) CD -V — 01 rin = c-> Cn > C C7 ITI rn wD LAST WILL AND TE,STAM � �n �.s 1, MARY E. 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 Executor, 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 Executor 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 Executor may, at her or his discretion, compromise claims, borrow money, retain property for such length of time as she or he may deem proper; lease and sell property for such prices, on such terms, at public or private sales, as she or he 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 Executor 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 Executor 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 Executor. 3. I give, devise and bequeath all of my estate of whatever nature and wherever situate to my husband, ROBERT L. NOLL. 4. If ROBERT L. 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. I nominate and appoint SUSAN J. SHERMAN 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 ROGER B. IRWIN to be the Substitute Executor 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 Executor 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 his, her 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 S IN WITNESS WHEREOF, I have hereunto set my hand and seal this 21s' day of November 2011. (SEAL) MARY E. NO L Signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will and Testament, in our presence, who, at her request, in her presence and in the presence of each other have hereunto set our names as subscribing witnesses. 4 ACKNOWLEDGMENT AND AFFIDAVIT WE, MARY E. NOLL, MARTHA L. NOEL and SHARON L. SCHWALM, the Testatrix and witnesses respectively, whose names are signed to the 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 and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose herein 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 years of age or older, of sound mind and under no constraint or undue influence. 42- JIAR Y E. NOLL-- MAR YAAL.'(NOEL SHARON L. SCHWALM COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND • Subscribed, sworn to and acknowledged before me by MARY E. NOLL,,the Testatrix herein, and subscribed and sworn to before me by MARTHA L. NOEL and SHARON L. SCHWALM,witnesses,this 21't day of November 2011. C6,01 Not 44 Public COMMONWEALTH OF PENNSYLVANIA Notarial Seal Roger B.Irwin,Notary Public Carlisle Boro,Cumberland County My Commission Expires Oct.3,2012 5 mernFer,Pennsylvania Association of Notaries