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HomeMy WebLinkAbout04-02-13 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Edith R Sydnor File Number 21 also known as Deceased Social Security Number Z C4 -26'79 Lyndon I. Lickel Petitioner(s),who is/are 18 years of age or older,apply(ies)for: (COMPLETE'A'or'B'BELOW) RX A.Probate and Grant of Letters Testamentary and aver that Petitioner(s)is/are the Executor named in the last Will of the Decedent dated 03113/1996 and codicil(s)dated (State relevant circumstances,e.g.,renunciation,death of executor,etc.) C" After the execution of the documents offered for probate: Decedent did not marry;was not divorced;was not a oendir&div(Rtgrvceedirof c ecC wherein grounds for divorce had been established as provided in 23 Pa.C.S.A.§3323(g);did not have a chit as victim a killing;and was never adjudicated an incapacitated person,except as = l) cn —4 r:7 PO J> r- M rry ry ;7J B.Grant of Letters of Administration Z37 (if applicable,enter at a.;d.b.n.c.t.a.,pedente lite;durante absentia;durante mm nit 171 Petitioner(s),after a proper search,has/have ascertained that Decedent left no Will and was survived by the S-0 (if any)j&girs(if 'ous Administration,c1a.or ol.b.n.c.ta.,enter date of Will on Section A above and complete list of heirs),-was not thlevio ff of ling p 0 kil, ;was�rlre"f adjudicated an incapacitated person;and was not a party to a pending divorce proceeding wherein grounds for div?r(+c49e had been established as provided in 23 Pa.C.S.A.§3323(g),except as follows: (D Name Relationship Residence Lyndon I. Lickel Son 1800 Orrs Bridge Road Enola, PA 17025 Kevin L. Lickel Son 2045 Good Hope Road Enola, PA 17025 David Austin L. Lickel Grandson 1800 Orrs Bridge Road I I Enola, PA 17025 (COMPLETE IN ALL CASES.)Attach additional sheets if necessary. Decedent was domiciled at death in _ Cumberland_ County,Pennsylvania with his/her last principal residence at 1800 Orrs Bridge Road, Enola, PA 17025 (List street address,town/city,township,county,state,zip code) Decedent,then 80 years of age,died on 12/23/2012 at Carolyn Croxton Slane Hospice,Harrisburg PA 17110 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ r 5,000.00 (if not domiciled in PA) Personal property in Pennsylvania $ I%J (if not domiciled in PA) Personal property in County $ fW I Value of real estate in Pennsylvania $ 2ni., 100,000.00 situated as follows: 1800 Orrs Bridge Road Enola,PA 17025 Wherefore,Petitioner(s)respectfully request(s)the probate of the last Will and Codicil(s)presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Signature Of Typed or printed name and residence Lyndon I.Lickel 1800 Orrs Bridge Road Enola,PA 17025 Form RW-02 Rev.12-26-2010(interim form,pending action by the Court) Copyright(c)2010 form software only The Lackner Group,Inc. Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } The Petitioner(s)above-named swear(s)or affirm(s)that 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,Petitioner(s)will well and truly administer the estate according to law. Sworn to or affirmed an subscribed Signatur f erson Representative Lyndon I. Lickel � w m before me this day of A O Signature of Personal Representative Ti ( l -M. N ` , . C Cy ;re ster Signature of Personal Representative Cs p - `"� CO rn C O_n D W, File Number: 21 - 1 Estate of Edith R Sydnor Deceased Social Security Number: ZDq -7—&- 2941, Date of Death: 12/23/2012 AND NOW, 'mil DU ,in consideration of the foregoing Petition,satisfactory proof having been presented bef a me,It IS DECREED that Letters Testamentary are hereby granted to Lyndon I. Lickel in the above estate and that the instrument(s)dated 03/13/1996 described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent. IS BOND REQUIRED? Yes NX No AMOUNT $ ARE THERE ANY MINOR HEIRS? Yes rXj No FEES Letters............................................ $ iVl1 gister of Will Short Certificate(s)........................ $ Renunciation(s)............................. $ ,� Attorney Signature: i1I $ oo Attorney Name: Duane P Stone q�q�-�,, Supreme Court I.D.No.: 85715 $ ��`yy Stone, Duncan, & Linsenbach, PC $ Address: 8 N. Baltimore Street $ Dillsburg, PA 17019 $ Telephone: 717/432-2089 $ V'13. 0 r $ S-O J�� TOTAL.................................... $ '5V Form RW-OZ Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. Page 2 of 2 H105.805 REV(4111) 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 C F "N I L L Irr,rtrrrrns,,,.,. This is to certify that the information here given is r,PC'�p��H QF pfN correctly copied from an original Certificate of Death 7 C't11(� __ yr; duly filed with me as Local Registrar. The original '013 APR 2 An 9 " If a �� „ a certificate will be forwarded to the State Vital y b. Recffdas Office for permanent filing. CLERK O opt _' zttt,� t P 1121 ORPHANS' COURT Certification Number C U M B E R L A N D 'DENT�� �}., PA """'""'r Local Registrar Date Issued Types/Print In COMMONWEALTH OF PENNSYLVANIA•DEPARTMENT OF HEALTH•VITAL RECORDS P8mckInk` CERTIFICATE OF DEATH State File Number: 1.Decedent's Legal Name(First,Middle,Last,Suffix) 2.Sex 13.S SecurRy Number 4.Data of Death(MO/Day/yr)(Spell MO) Edith R. Sydnar F 204-26-7946 Dec 23, 2812 So.Aga-Last alrthdey(Yrs} 5b.Under 1 Year 5c.Under 1 Oa B.Date of Birth(MO Day/Y...I(Spell Month) 7a.-Ir[hPl (CI d Stet Foreign Country) gq Month: Dave Hours Minute: December 1 9, 1932 not1.'at, vsl 7b.S"hPi#ce(county) Cumber and Be.ResldenceiState or Foreign Country) Sb.Residence(Street and Number-Include Apt No.) ac.Did Decedent Live In a Township? Pa 1800 Orrs Bridge Rd. 90Yes,decadent lived In I amoden twp. Sd.Residence(County} Cumber 1 and Se.Residence(Zip Code) 17050 Q No,decadent lived within limits of clty/boro. 9.Ewer in US Armed Forces? 30.Marlt#i StatUS at Time of Death Q Married Widowed 11.Surviving Spouse's Name(If wife,give name prior to first marriage) Q Y.. IM No Q Unknown Divorced Q Never Married Q Unknow 12.Father's Nome(First,Middle,Last,Suffix) 13.Mother's Nam Prior to First Marrl#ge(First,Middle,Last) Ira Rickard E�Jsie Bretz 34a.Informant's Name J lab,R.IatlOnshlp to Decedent 14c.Informant's Ma%S Address(Street and Number,Clty,State,Zip Cad.) Kevin Iickel Son 12045 Good Hope Rd. , Enola, Pa 17025 ..............................................».......... ......................................... 158.Place or ea th lChecK anyone if Death Occurred in a Hospital: �(inpatient -{f Oath Occurred Some Other Than a Hospital: .'�Hospice F#ciRty [�`-CJecadent's Home S Q Emergency RaomfOutpsxienY Dead on Arrival 1 Q Nursing Homaftong-Term Cara Facility Other(Specify) a 154.Facility Name(If net tnat give stroaf and number; IS..City or Town,State,and Zip Coda Sad*cpun[y of Daath E Carol n Croxton Slane Hos i e Harrisburg Pa 17110 Dauphin 1Ba.Method of Disposition Burial Cremation 1Bb.Date of Disposition lbc.Place of Dlsposltlon(Name of cemetery,crematory,or other place) [}Removal from State Q DOR.TiOn Other{Spaci ) Dec 26, 20 2 Evans Cremation Service ibd.Location of Disposition(City or Town,State,and Zip) 17#.Sig lire f Funer 15 -[1 Ucensee r,Paraon in Charge of Interment 17b.License Number L,eola, Pa FDO11897-L ° 17c.Name and Complete Address of Funeral Facility En I 1 025 rg' ILS.Decedent's Education-Check the box that best describes the 19.0...d..t of Hispanic Origin-Check the 20.Decedent's Roca-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 decadent the decedent considered himself or herself to be. Q 8th grad.or less is Spanish/Hispanic/Latin.. Check the"No" jg White Q Korean Q No diploma,9th-12th grade box If decedent is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese �(High school graduate or G£D completed 02 No,not Spanish/Hispanic/Latino Q American Indian Or Alaska Native Q Other Asian Q Some college credit,but no degree Q Yes,Mexican,Mexican American,Chicano Q Asian Indian Q Native Howell- 0 Associate degree(e.g.AA,A5) Q Yes,Puerto Rican Q Chinese Q Guamanian or Chamorro Q Bachelor's degree(e.a.BA,AB,SS) Q Yes,Cuban Q Filipino Q Samoan Q Master's degree(e.g.MA,MS,MEng,MEd,MSW,MBA) Q Yes,other Spanish/HisP.nic/Latino Q Japanese 1]Other Pacific Islander Q Doctorate(e.g.PhD,EdD)or Professional degree (Specify) Q Other(Specify) MD DOS DVM Desi LLB JD 21.Decedent's Single Race self- gnaNOn-Check ONLY ONE to Indicate what the Decedent considered himself or herself to be. 220.Decedent's Usual Occupation-Indicate type of work Ca White Q Japans. Q Samoan done during most of working life. DO NOT USE RETIRED. Q Black or African American Q Korean Q Other P#clfl.Island e( $ook Ket:per Q Amer ican Indian or Alaska Native Q Vis tnsmesa Q Don't Know/Not Surc Q Asian Indian Q Other Asian Q Refusad 22b.Kind of Susiness/Industry yr Q Chinese Q Native Hawaiian Q Other(specify) sT1. E3 Filipino 0 Guamanian or Chemorro Distribution ITEMS 23o-234 MUST BE COMPLETED 231.Date Pronounced Dead MO Day 23b.Signature of Parson Pronouncing Death my when applicable) 23c.Ucens.Number BY PERSON WHO PRONOUNCES OR CERTIFIES DEATH 23d.Oa a Signed(MO Day/Yr) 24.Time of Death / 0 r S C 30 en 25.Was Medical Examiner or Coroner Contacted? Q YeS No CAUSE OF DEATH Approximate 26.Pan L Enter the main of.vents--diseases,injurles,or compikotions--that directly caused the death. DO NOT enter terminal events such as cardiac arrest_ interval: respiratory arrest,or vent Icular fibrillation without showing the etiology. DO NOT ABBREVIATE. Enter my one cause on a line. Add additional lines if necessary Onset to Death a c e �f ! IMMEDIATE CAUSE ---------------> a. f`OA�(/3wa/C //rvt2t.<',^C!t't /L��r•-i�O.-ss `• (Final disease or condition Due to(of as a consequence of): resulting In death) ' b. t Sequentially Iist condlUOns, Due to(or as a consequence of): if any,leading to the cause = listed an line a. Enter the i UNDERLYING CAUSE Due to(or as a consequence of): W (disease or injury that F initiated the events resulting d. In death)LAST. Due to(or as a consequence of): 26.Pan it.Enter other i n but not resulting In the underlying cause given in Pan 1 27.Was an autopsy p.rfp-ad? Yes No 111,Were autopsy findings available to complet.the celiac of death? Q Y.s No 29.If Female: 30.Old Tobacco Use Contribute to Death? 31.Mann.,of 0 t {�NOt Pregnant wfth'1 past year Q Yes )3 Probably O`Natural Q Homicide 6 Pregnant at time of death 5a No Q Unknown Q Accident Q Pending investigation Q Not pregnant,but pregnant wihin 42 days of death Q Suicide Q Could not be determined Q Not pregnant,but pregnant 43 days to 1 year before death 32.Data of Injury(Mo/Day/Yr)(Spell Month) Q Unknown if pregnant within the post Year 33.Time of Injury 34.Place of Injury(e.a.home;construction site;farm;school) 35.Location of Injury(Street and Number,City,State,ZIP Cade) 36.Injury at Work 3 : 38.Describe How Injury Occurred: C. Q Y.. Q Driver/Operator Q Pedestrian Q Na Q Passenger Q Other(Specify) Sal.Certifier(Check only one): ($Certifying physician-To the best of my knowledge,d Occurred due to the causes)and manner stated (3 Pronouncing&Certifying phySicia the best knowledge,death occurred at the time,date,and place,and due to the cauu(s)and manner stated _ Q Medical Examiner/Coroner- e is Ot n tion,and/or investigation,in my opinion,death roccurred at the time,date,and place,and due to the cause(s)and manner stated _.�. signature of certifier: Title of certifier: A4 License Number: /K 0eh:P?I-:''AK 39b.Name,Address end Zip Code of Person Completing Cause of Death(Item 26) 39c.Date Signed(MO/Day/Yr) ��1J1/6:{'E t;_ .sK�-e- /'I'l- /{�css7,g l/F✓s f cif J�Q-o-2 Y'JC4 .'LrIL 40.Registrars District Number 43.Registrar's gnaturo 42.Registrar Files Dote Mo Diy r oZ� CL O . C./.J�-4 / io2 a2 C4- duct 43.Amendments r^ y H105-143 Disposition permit Na_ y7 t..:-' !LJ�,i. REV 07/2011 CO irn Last ' ffand Testament M cn = C of Edith R. Sydnor Flo �a M r-D ....t ,. C= I, Edith R. Sydnor, of 1800 Orrs Bridge Road, HavApden Ti nship,- Cumberland County, Enola, Pennsylvania, declare this to be my last will and revoke any will previously made by me. I. I direct that the executor of my estate satisfy all of my legally enforceable debts and funeral expenses as soon as may be conveniently done after my death. II. I bequeath to my grandson, David Austin Leafman Lickel, the property located at 1800 Orrs Bridge Road, Hampden Township, Cumberland County, Pennsylvania. III. I hereby give, devise and bequeath the rest, residue and remainder of my estate of every nature and wherever situate to be split among my two sons, Kevin Leafman Lickel and Lyndon Lickel, provided that they shall survive me by thirty (30) days. IV. Should my sons, Kevin Leafman Lickel or Lyndon Lickel, predecease me or die on or before the thirtieth day following my death, I devise and bequeath the rest, residue and remainder of my estate to my grandson, David Austin Leafman Lickel. V. I direct that my executor, trustee, and their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. VI. I appoint my son, Kevin Leafman Lickel, executor of this, my last will. Should my son, Kevin Leafman Lickel, fail to qualify or cease to act as executor, I appoint my son, Lyndon Lickel, executor of this, my last will. VII. No interest of any beneficiary under this will or any codicil hereto shall be subject to anticipation or voluntary or involuntary alienation and shall not be subject to any execution, attachment, levy or sequestration or other claim of the creditors of said beneficiaries or any of them. VIII. I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction Imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. IX. I direct that my executor shall have the power to make distribution in cash or in kind, or partly in cash or partly in kind, and in such manner as he may determine and at valuations to be finally fixed by him. IN WITNESS WHEREOF, I, Edith R. Sydnor, the above-named Testatrix, have hereunto set my hand this day of �, 1996. Edith R. Sydnor This instrument, consisting of two pages, was on the date thereof signed, published and declared by Edith R. Sydnor, the testatrix therein named, as and for her last will In the presence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. U Q Witness v s Witness COMMONWEALTH OF PENNSYLVANIA : SS COUNTY OF �t wry We, Edith R. Sydnor, s o hl o r,6 4• and PCB,y-e, L-,Ck L° / , 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 a 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 witness, and that, to the best of witness' knowledge, the Testatrix was at the time eighteen (19) years of age or older, of sound mind and under no constraint or undue influence. Edith R. Sydnor fitness Witness Subscribed and sworn to and actmowledged before me by Edith R. Syndor, the Testatrix, and subscribed and sworn to before me by m2aa_Q.2�7�. and� Q , witnesses, this 13 44(-day of 1996. t !sea& ,y Notary Public 0') ' My commission expires: tJoiurial Seal Mary Ellen Uckci,Noiary Public Soro ,cumberlan counbr �y i � ien Ex�i:es t= b ° a Form RW-06-rev. 10-13-06-Renunciation-3855 http://www.ccpa.net/DocumentCenter/View/3855 C= C.0 w = M M Co RENITNCIATION M = n L-- ;0 )> r- M A = M )> Cn REGISTER CT WILLS LINTY,PENNSYLVA NLAc- Fn Estate of E) t K , d Deceased ill lily cap- I 1, 60-1 ' capacity elatiolls up a, (Print Name) of the abo-ve Decedeiit,hereby renounce the right to adiiiii1l'stef the E.4-ate of the Decedent and ie-Spectfifflv reque.,t that Letters be isSmed to Z ' 0 J'9'1 :4-a-,4 Dj (Date) tl (3:gn:at�ur Z_ (Street Address) (aly,State,Zipf Eveciited in Register's Office Evecitted ont of Register's Of ,fice Sworli to t.)riffiriiied Gild .lib.cilbed Before die undersigned personally appe.-ifed file before ine thiS day '-Irty e'.."ecutilig this reilliliciatioll"llid certified part- 11 of that he or executed the renunciation for the pufposer stated wifluill oil fluis 2741- da y of /5 Depity for Register of%NVills NotaiV P#11C My ("oniiiiissloji Expire"S' (Signature and Seal of Notary or other official qualified to administer oaths. S:bCO14INK)RVWAIWCF44INNSYLVM)Aon.) Notarial Seal Mary Ellen Keefauver,Notary Public Lower Paxton Twp.,Dauphin County My Commission Expires Feb.22,2017 Form RW-06 rev.10.13.06 MEMBER,ANKYLVANIA ASSOCIATION OF NOTARIES