The URL can be used to link to this page

Home My WebLink About03-28-13 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 requests the grant of Letters in the appropriate form: Decedent's Information Name: Rosemary A.Resetar File No: 21 -13 a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 03/19/2013 Age at Death: 81 Decedent was domiciled at death in Cumberland County, PA (State)with his/her last principal residence at 2296 Gleim Drive,Enola 17025 Hampden Township Cumberland Street address,Post Office and Zip Code City,Township or Borough County Decedent died at 1870 Rohrerstown Road,Lancaster 17601 East Hempfield Twp. Lancaster 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 $ 40,000.00 If not domiciled in Pennsylvania................. Personal property in Pennsylvania $ If not domiciled in Pennsylvania................. Personal property in County $ Value of real estate in Pennsylvania........... $ 150,000.00 TOTAL ESTIMATED VALUE$ 190,000.00 Real estate in Pennsylvania situated at 2296 Gleim Drive,Enola 17025 Hampden Township Cumberland (Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County ❑x A. Petition for Probate and Grant of Letters Testamentary Petitioner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent,dated 0111912009 and Codicil(s) thereto dated Spouse,John R.Resetar,predeceased Decedent on January 11,2013. (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(8),and did not have a child bom or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ❑X NO EXCEPTIONS❑ EXCEPTIONS ❑B. Petition for Grant of Letters of Administration (If applicable) c..a.; . .n.; . .n.c..a.,pe en e i e;durante absentia;durante minors ate 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 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. ❑X NO EXCEPTIONS❑EXCEPTIONS Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following sq"se(if any)and Ms(attach additional sheets,if necessary): C rn 4*'> d Name Relationship Address C`> ' Ph 1171 M CC) c:> C> �l....,..A Co Form RW-02 rev.10.11-2011 Copyright(c)2011 form software only The Lackner Group,Inc. Page 1 of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland } Petitioner(s)Printed Name Petitioner(s)Printed Address Amy J.Kreider 225 Springfield Road Landisville,PA 17538 Cl> `3 M C> CO 'M cry M c. The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and correct,"to the besf:of the Khowlddge and belief of Petitioner(s)and that,as Personal Representative(s)of the ecedent,leitioner(s)will well and trutyadMinister the estate,accotding to law. Sworn too affirmed an_ subscribed before `'cx'ti Date Z" 3 1 me this �day of J7L By: I L/}"� �� ,Ll" ) Date For the Register Date BOND Required? Yes No To the Register of Wills: FEES Please enter my appearance by my signature below: Letters............................................ $ ""��(�' Attorney Signature: i )Short Certificate(s).......... Renunciation(s)............... >Codicil(s)......................... i Affidavit(s)....................... Printed Name: Gerald J Brinser Bond.............................................. Supreme Court Commission................................... ID Number: 09655 Other Firm Name: Brinser,Wagner&Zimmerman Xj m/- �� Address: 6 E.Main Street P.O.Box 323 Palmyra,PA 17078 Phone Automation Fee............................. : 717/838-6348 JCS Fee......................................... Fax: 717/838-6912 TOTAL........................................... $ .1 E-mail: gjbrin @aol.com DECREE OF THE REGISTER Date of Death: 03/19/2013 Social Security No: 178-24-3539 Estate of Rosemary A.Resetar File No: 21 -13 --- AND NOW, \_ / , `,/% r�` / '_ in consideration of the foregoing Petition, satisfactory proof having been presented before me,IT IS DECREED that Letters Testamentary are hereby granted to Amy J.Kreider in the above estate and(if applicable)that the instrument(s)dated .01/19/2009 described in the Petition be admitted to probate and filed of record as th I st , ill(and Codicil(4 of Decedent. i Form RW-02 rev 10-11-2011 Register of Wills Co PY ri ht(c)2011 form software only The Lackner Group,Inc. f .P age 2 of 2 H105.805 REV(9/11) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARN WQ RO(DogefV1 ggpWte this copy by photostat or photograph. REGISTE.R OF VIILLS Fee for this certificate, $6.00 ��- --- This is to certify that the information here given is :.013 MR 28 Pal 10 correctly copied from an original Certificate of Death ti c` duly filed with me as Local Registrar. The original CLERK O� o � z certificate will be forwarded to the State Vital d R H A S• C t R �" Yom; a; Records Office for permanent filing. * \ P 19399261 CUMBERLAND CO.,- .q �P~?'��` MA2 1/2013 Certification Number NT,��;,�''1111 __ _ Local Registrar Date Issued Type/Print In COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF HEALTH VITAL RECORDS Permanent CERTIFICATE OF DEATH i 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) Rosemary A. Resecar Female March 19, 2013 So.Age-Last Birthday rs Sb.Under 1 Year Sc.Under 1 Da 6.Date of Birth Mo/Da/Year)(Spell Month 7a.Birthplace(City Y( ) ( Y ) and State or Foreign Country) Months Days Hours I Minutes I T soak Haven. PA 81 December 6, 1931 7b.Birthplace(County) Clinton Be.Residence(State or Foreign Country) 8b.Residence(Street and Number-Include Apt No.) 8c.Did Decedent Llve in a Township? .J Penns lvania 14 Yes,decedent 11ved In East Hempfield gyp• 8d.Residence(County) 1870 ROhrerstown Road Lancaster Be.Residence(Zip Code) 17601 1 C3 No,decedent lived within limits of city/boro. 9.Ever in US Armed Forces? 10.Marital Status at Time of Death E3 Married 0a Widowed 11.Surviving Spouse's Name(If wife,give name prior to first marriage) Yes No Unknown C3 Divorced Never Married Unknown 12.Father's Name(First,Middle,Last,Suffix) 13.Mother's Name Prior to First Marriage(First,Middle,Last) John B. Severino Philomena Marino 14a.Informant's Name 14b.Relationship to Decedent 14c.Informant's Mailing Address(Street and Number,City,State,Zip Code) i Amy J_ Kreider Dau titer 225 S rin field Road, Landisville PA 17538 <. ....................................•.'__.._.............. ...........""""""""""_"....,........15a....ace. eat •ec on.y one .. ..... ... __...... ... ... I z If Death Occurred In a Hospital: inpatient elf Death Occurred Somewhere Other Than a Hospital: •Hospice Facility [��Decedent's Home Emergency Room/Outpatient C3 Dead on Arrival ? [M Nursing Home/Long-Term Care Facility L3 Other(Specify) 15b.Facility Name(If not institution,give street and number; .15c.City or Town,State,and Zip Code 15d.County of Death ME Ma iiolias of Lancaster Lancaster PA 17601 Lancaster 3 16a.Method of Disposition )3 Burial IM Cremation 16b.Date of Disposition 16c.Place of Disposition(Name of cemetery,crematory,or other place) E3 Removal from State E3 Donation Other(Specify) MarcYi 21,zoo Evans Crematory ¢ 16d.Location of Disposition(City or Town,State,and Zip) 17a.Slgnatur of 1 Service Licensee or Person in Charge of Interment 17b_License Number Schaefferstown, PA 17088 a 17c.Name and Complete Address of Funeral Facility 3 Parthemore FH & CS, 2nc. 1303 Brid a et, New Cumberland, PA 17070 �25 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 �°- 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" ML White - E3 Korean E3 No diploma,9th-12th grade box if decedent is not Spanish/Hispanic/Latino- [:3 Black or African American E3 Vietnamese (N High school graduate or GED completed Ca No,not Spanish/Hispanic/Latino C3 American Indian or Alaska Native E3 Other Asian E3 Some college credit,but no degree 0 Yes,Mexican,Mexican American,Chicano E3 Asian Indian 0 Native Hawaiian 1]Associate degree(e.g.AA,AS) E3 Yes,Puerto Rican- E3 Chinese 0 Guamanian or Chamorro 0 Bachelor's degree(e.g.BA,AB,BS) 0 Yes,Cuban E3 Filipino _ Samoan v` Master's degree(e.g.MA,MS,MEng,MEd,MSW,MBA) Yes,other Spanish/Hispanic/Latino [3 Japanese E3 Other Pacific Islander 1= Doctorate(e.g.PhD,EdD)or Professional degree (Specify) 0 Other(Specify) (e.g.MD DDS DVM 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 ffi White Q Japanese E]Samoan done during.most of working life. DO NOT USE RETIRED. E3 Black or African American 0 Korean E3 Other Pacific Islander American Indian or Alaska Native 0 Vietnamese Q Don't Know/Not Sure HOmam8lce r E3 Asian Indian E3 Other Asian E:3 Refused 22b.Kind of Business/Industry Q Chinese E:3 Native Hawaiian Other(Specify) E3 Filipino E3 Guamanian or Chamorro Owrl HOme ITEMS 23o-23d MUST BE COMPLETED 23a.Date Pronounced Dead Mo Day r) 23b.Signa f P rs n P u ing Death(Only when applicable) 23c.license Number PERSON WHO PRONOUNCES OR CE O CERTIFIES DEATH 46-375 23d.D t i ned( /Da/Yr) 24.Time o De th J f Q? QyY] 25.Was Medic aminer or Coroner Contacted? C3 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 fibrillation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines If necessary j Onset to Death IMMEDIATE CAUSE -------> a. (Final disease or condition Due to(or as a consequence of): resulting in death) /✓ j/%�C.Gr'Ti�f•S / -�* L �CaJi✓IJi�L b. Sequentially list conditions, Due to(or as a consequent of): if any,leading to the cause listed on line a. Enter the C. 3 UNDERLYING CAUSE Due to(or as a consequence of): E W (disease or Injury that F Initiated the events resulting d. p� in 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 1 27.Was an autopsy perform Yes o 28.Were autopsy findings available to complete the cause of death? dLL G / O Yes No 29.If Fern 30.Did Tobacco Use Contribute to Death? 31_Ma eath of pregnant within past year E3 Yes E3 Pr -Natural E3 Homicide E3 Pregnant at time of death Q No .-known E3 Accident E3 Pending Investigation c� Q Not pregnant,but pregnant within 42 days of death 0 Suicide E3 Could not be determined Q 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 0 No E3 Passenger E3 Other(Specify) 39a.C er(Check only one): Certifying physician-To the best of my knowledge,death occurred due to the cause(s)and manner stated C3 Pronouncing&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 E3 Medical Examiner/Coroner-On the i! aminatton,and/or investigation,in my opinion,death occurred at the time,date,and place,and due to the cause(s)and manner stated Signature of certifier: Title of certifier: ZiL License Number: Q Sim"1�37 B 39b.Name,Address d Zip Cdffe of Person Completing Cause of D ath(Item 26 39c.D Signed(Mo/Day/Yr) 3001 ..�n� 40.Registrar's District Number 41.Registrar' S1 ture 42.Registrar File Date Mo Day r 43.Amendments W i-�p C s-7 H105-143 - Disposition Permit No.__0 U_J l�(P 2 REV 07/2011 _ C> fV M M r � rn co cz) WILL • --D - '° c c-> ~+ � c �, _ c-> fll ROSEMARYA. RESETAR I, ROSEMARY A. RESETAR, currently of the Borough of Wormleysburg, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any and all prior Wills and Codicils made by me. I. I direct that all my just debts and funeral expenses be paid from the assets of my estate as soon as practicable after my demise. H. I direct that all estate and inheritance taxes that may be assessed in consequence of my death, shall be paid out of the principal of my general estate to the same effect as if said taxes were expenses of administration and all property includable in my taxable estate whether or not passing under this Will shall be free and clear thereof. III. I bequeath unto my husband, John R. Resetar, all tangible personal property which I own at my death. IV. All the rest, residue and remainder of my estate, of whatever nature and wherever situate, including property over which I hold a power of appointment, I devise and bequeath unto my husband, John. V. In the event that my husband, John, does not survive me, I devise and bequeath my entire estate that would have otherwise passed under Paragraphs III and IV above as follows: A. I intend to keep with this my Will a separate memorandum concerning disposition of certain items of tangible personal property. I bequeath the items on said memorandum to the persons designated. B. All the rest, residue and remainder of my estate I devise and bequeath equally unto my children. If any child predeceases me, his or her share shall pass unto his or her issue per stirpes. If said child leaves no issue, said share shall lapse and be added to the shares passing to my other children or their issue per stirpes. Al i � -1- VI. I appoint my husband, John R. Resetar, Executor of this my Will. In the event that he fails to qualify or ceases to act as Executor, I appoint my daughter, Amy J. Krieder, Executrix of this my Will. VII. I direct that no bond be required of my fiduciaries for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, ROSEMARY A. RESETAR, herewith set my hand to this my Last Will, typewritten on two (2) sheets of paper including the attestation clause and signatures of witnesses, this /?Y'`'day ofjxr." r , 2009. (SEAL) 'kbSEMAAY A. RESETAR Signed by ROSEMARY A. RESETAR, by her declared to be her Will in our presence, who have hereunto subscribed our names as witnesses in her presence and at her reque t, this 'day of 2009. residing at .r c residing at _.� -2- f f 1 COMMONWEALTH OF PENNSYLVANIA COUNTY OF LEBANON WE, ROSEMARY A. RESETAR, GERALD J. BRINSER and i the testatrix and the witnesses, respectively, whose names a signed to the attached or foregoing instrument, being first duly affirmed, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and that she signed willingly (or willingly directed another to sign for her), 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 witnesses and that to the best of our knowledge the testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. R SE A. RESETAR s TNESS WI SS Subscribed, sworn or affirmed and acknowledged before me by ROSEMARY A. RESETAR, the testatrix, GERALD J. BRINSER and witnesses, this Y da of �� , 2009. KL�,,&,. (SEAL) Notary Pub-1k COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL WENDY L.CRAWFORD,Notary Public Palmyra Boro.,Lebanon County Ni CommT+ssion Expires September 10,2009 -3-