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HomeMy WebLinkAbout04-12-13 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 i _ D Name: Lawrence C.Zimmerman File No: } a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: 161-32-8926 Date of Death: 04/08/2013 Age at death: 72 Decedent was domiciled at death in Cumberland County,Pennsylvania (state)with his/her last principal residence at 86 Dewalt Drive Mechanicsburg, 17050 Silver Spring Township Cumberland Street address,Post Office and Zip Code City,Township or Borough County Decedent died at Community General Osteopathic Hospital Harrisburg,PA Dauphin County 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 $ 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. ... S� /b, 6b0„&0 Real estate in Pennsylvania situated at: SC. Dewy 1 ��• 1 SI(JM S"G rf lre"044 (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 Novg=b l,2000'"' aml gicil(s) thereto dated None State relevant circumstances(e.g.renunciation,death of executor,etc.) rri N 'a t Except as follows: after the execution ofthe instrument(s)offered for probate Decedent did not marry,was no v tce�was not a pagVoepending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. § 3323 )C3nc id n�ve a"lhijd1born or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS 0 EXCEPTIONS CO I— rn M 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.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(ifany)and heirs(attach additional sheets, i/'necessary): Name Relationship Address Etta A.Zimmerman Spouse 86 Dewalt Drive,Mechanicsburg,PA 17050 Form RW-02 rev. 10/11/2011 Page I of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland } Petitioner(s)Printed Name Petitioner(s)Printed Address a. z 00.d (wsro 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 Petitioner(s)will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before Date 12 )'� me t is /9.tday of it 2013 Date . By: n Date cU = FA For the Register © Date C9 rn f i ::7 U BOND Required: Q YES eNO To the Register of Wills: N FEES: Please enter m appearance earance PP by m Y=�Quyv below: � p C` Letters . . . . . . . . . . . . . . . . . . . . . . $ Attorney Signature: C� C- °=i Short Certificate(s). . . . . . � � ;;0 CO t"" d'rt ( ' ) Renunciation(s).. . . . . . . . °5.00 C:) ( )Codicil(s). . . . . . . . . . . . . _n ( ) Affidavit(s).. . . . . . . . . . . Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Richard C. Snelbaker Commission. . . . . . . . . . . . . . . . . . Supreme Court Other . . . . . . . . _ ID Number: 06355 . . . . . . . . �5.00 • • • • . • • 15 DD Firm Name: Snelbaker&Brenneman,P.C. . . . . . . . . Address: 44 West Main Street • • • • • • • • Meehanicsburg PA 17055 . . . . . . Phone: 717-697-8528 Automation Fee. . . . . . . . . . . . . . . Fax: 717-697-7681 JCS Fee. . . . . . . . . . . . . . . . . . . . . Email: TOTAL. . . . . . . . . . . . . . . . . . . . . QA9+ DECREE OF THE REGISTER Estate of Lawrence C.Zimmerman File No: a/k/a: AND NOW, , 2013 , in consideration of the foregoing Petition, satisfactory proof having been p ksent ed before me, IT IS DECREED that Letters Testamentary are hereby granted to Etta A.Zimmerman in the above estate and (if applicable)that the instrument(s)dated November 1,2000 _ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s))of Decedent. f A0 Register of Wills Form RW-02 rev. l0/l1/20/l WPage 2 PU2 Ht0 AO REV(9/11) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. RECORDED OFF3CE OF Fee for this certificate, $6.00 RECORDED , ,L,af�rJ11 --- This is to certify that the information here given is REGISTER Off' WILLS ffLl`F 11111 OFba- Ak,`,�,IO��` Ny`p`ah duly filed copied a with me as Local Registrar. Theoriginal Z6113 HPR 12 An 8 14 r y� _ certificate will be forwarded to the State Vital �o i.; Records Office for permanent filing. 4 A CLERK Oros P 19 4 7 5 4 9 � ]HA s C O u RTq�rE Certification Number U M B E R L A N Q C 0-, (P� E Local Registrar Date Issued e/P 11 MMONWEALTH OF PENNSYLVANIA�OEPARTMNT OF HEALTH VITAL RECORDS cuisines CERTIFICATE OF DEATH Slack Fie Numbs, 1.Decedent's Legal Name(First,A Mdie,Last,Suffu 2.Sex 3.Sochi Security Number 4.Oate of OeaM(MOJDayjvrj(Spell Maj Iawr_nce C. zinverrtan Male 161 - 32 - 8926 April 8, 2013 5a.Age-last Birthday(Ym) 51b.Under 1 Year 1 St.Under 1 Day 16.0,t,,fBifth(M,/D,V/Year)(SpePIM,mthI ]a.Blrthpko(U and State or Foreign Country) Months Day: Hours Mmotes lt, PA 72 January 17, 1941 m.8itthplao tCwntyl o 8a.Residence(State or Foreign Country) Bb.Residence(Street and Number-Include Apt No.) 9c.Did Decadent Uve In a Town ip? Penns lvania 86 Dewalt Chive Yes,deced<PitlivedIn sit.er Spring -P_ Bd.Residarrce(County) oxilherland 9t-Reatdente(ZIp Code} 17050 02M,deted<nt BVedwfthblbNDof dtyl6oro- 9.EverinUSArmadfor<es7 10.Marital Status at Time of Death Married 0 Widowed 11.SUrviWnl Spouse's Name{If wife,Siva name odor to first marriage) ❑ as {R No 0 Unknown 0 Olvorced 0 Never Married 0 Unknow Etta Am mo an 12.Father's Name(First,Middle,Last SIMP) 13,Mothers Name PHPr to First Mamllge(First,Middle.Last) Donald Zil mermn Mae Hockenbury 14s.Mbrmers's Name ddb.ReiatMmhip to OecRdtm Sbc.informant's Mailing Address(Street and Number,CRY,State,Zip Code) g Etta Ann Zimmer an Wife 86 Dewalt Drive Mechanicsburg, PA 17050 G eat Ce a on.) I_D_ath&c-.PT n_a H,P__ a Imntkni V--_VIII Death Occurred Somewhere Other Than a Hospili V V V(a}Hpspke F.rdby,V t1 Decedent's Home_V S D Emergency Roomuunpaiknt 0 Daad,n AmYnal i O NUrsey HOm/Umg-Term Care;.oMv 0On.Specify) 15b,Facility Name III not insthutbn,Siva street and number) 1St.City or Town,State,and Zip Code 151.Count,of Death i3mmmity General oteopathic HaLrrisburcj, PA 17105 Dauphin r 16a.Method of Disposition OB.H.1 IX Cremation 16b.Data of Oispodti,n 16c.Pl5ceof Dkpo$ItkMjName ofcemetery,cremstory.orothe,place} 0 Aemova4 from SUte ❑do,atbn 0Othet15p.dhr April 10 201 Hollinger Ccemtory Y 16d.IMaROn of Oisposition([Ity or TOwn,Shue,and Zlp) lle$Vetor,IFU < o eorPerspoin Charge oflntemlent 117b,UCense Number Y Mt,Holly Springs, PA 17065 FD - 014889 1]t.Name and kte Address of F-.1 Facility 8 Mal zzi Funeral.Home 8 Market Plaza Way Medianicsbur , PA 17055 18.Decadent',Education-Check the has that best describe,the 19.Decedent of Hlspon.c Origin,Check the 20.Decedent',Rate Check ONE OR MORE races to Indkate what 9 highest chip,..or level of school completed at the time of death, box that best describes whether the decedent the decedent considered hlmseif or herself to be. 0 8th grade or less k5panish/Hispw,1/UPIno.CIw,kth.-..- 10 White 0 Korean 0 No derumna,9th-12th grade box if decedent Is net Siantsh/HkpaMCjtaima. 0 Black w African American 0 Veouncese 0 High sc.of graduate or GED tompkted a(NO,not SWnkh/Hispudc/Lat1- 0 American Indian or Alaska Native 0 Other Asian O Some college credit,but to degree 0Yes,Mexican,Mexican American,Chian, 0All,,Indian 0Nathm Hswaian 0 Assoclak degree(e./.M,AS) 0 Yes,Puerto Rican 0 Chinese (:I Guamanian or Chamorro Cj Sechelor's degree(e.g.SA,AS,BSj 0 Yes,Cuban 0 Filipino 0 Samoan O Masters degree e.g.MA,MS,MEPC MEd,MSW,MBA) Oyes,other SpankhjFkpankjotko ❑',opens. 0 Cm.,Pacific islander 0 Ooctontt(e.g.PhD,EdDS w Professional degree Ispecify) O Other(SP.01y) e..M0 DDS pVM LLB 10 21.yyDecedent's Single Rata Self-Desynatlon-Check ONLY ONE to Indicate what the decedent considered himself or henseif to be. 221,Decedent's Usual Occupation-Indicate type of work !Ea White 0 Japanese 0 Samoan done during most of working lie.DO NOT USE RETIRED. 0 8ktk or African American 0 Korean 0 Other Pacific hkMe, Architectural y i OA merican Indian M Alaska Native 0 Vietnamese 0 Do."X-114a1 Sure mig 222er 0 Allen Indian 0 Other ASiam 0 Refused 22b.KIM of Business/Industry 0 Chinese 0 Native Havnlum 0 On.,(Specify) _ Engineering ❑flllplrw 0 Guamanian or Chamorro FFEMS 23a-23d MST BE COpePtF D 23a.Date Pron,unced Deed MO ,) 231,Stpostureo Pro--ti ,Death -.Pptkabk 23c.Uceme Number BY PERSON WHO PRONWNCES On CERTIFIES DEATH - /�+r}GY/L4i SSL 23d.Data Signed(MO/Day/Yr) 24.D e of Oath /3 25.Was Medical Examiner or Coroner Contacted? 0 Yes a No CAUSE OF DEATH t i Approximate 26.Part i.Enterthe SllPinWevenU--0knses,Injuries,oramdicillons-Choi directly caused the death.DO NOTeMer terminal events such as ordfit arrest 1 Interval: resplrstory arrest or venMcular RbHILIMn Ithout showing the etiology.DO NOT ABBREVIATE.Enter only one cause on line.Add additional lines if necessary. 1 Onset to Oeath w /J I IMMEDMTE CAUSE ------------u i. Ay^f..�ln ,wrpavtllT� /7hi�k'r'� t {Fkgidiseeseor CanM[tonDlubt <as as nepvence ot}: i resuRtngmdeath} b. ///d��f/✓Y�� �iev as CAA./fv t 1 SepueoNMN Ilse condltlans, Due to for as anseouenc.oO; If any,leading to the cause I Kstad-a-I,E-the cl i MOIRMM CAUSE Due to(,r as a conseouenca of): (disk ise or Injury that huh.ad Me events resulting d. - In death)LAST. Due to(or as a consequence of)'. � I S 26.Part B.Enteromer aknBk:ant COntllSbrls contnbu0ne to death but not resulting W,Me Yvhxmw,j, se groin in Part i. 27.Was an autopsy Perfarmed7 0 Yes $No 28.VV autopsy findings available to complete the 112 of death? 8 ❑Yes PI Na If Female: 30.DM TOWcca Lhe C-mbut<to Wall? 31 Manner of Oath 'gkF ❑ or pluMsot wmin Fret Year 0 Yts 0 Probably �Naturai 0 Homlclde 0 Pregnant at time of death 0 No 5r Unknown 0 Attic- 0 Pending Invespi,shon It 0 No pregnant but pregnant within 42 tlays el death 0 Suicide 0 Could not be determined ❑Not pregnant,but pregnant 43 days to l Year before death 32.Date of In).,(MO/Day/Yr}(Spelt M,nth} 0 Unknown ff pregnant within the Past year 33.Time of htur, 34.Plate of Injury(e.g.home;construction site;farm;school) 35.Location of Injury(Street and Number,City,County,State,ZIP Code) 36.irgvry at Work 31.If Tratuportatbninjury,,SPeciy: 3B,Witme How injury Occurred: 0 Yes 0 Driver/Operator 0 Pat. an 0 No 0 Passenger 0 Other(Specify) 39a.CePo/kr-physkiafl,tertiled nun.Practitioner,medical examlmor/coroner(Check only onel: �CerdfyBlgomy-To[h.ban,fmy kiwwedge.death, ed due to me ause(s)aM meme,-ed. ❑Prwrow%kgBCertlfying-Ta beat at 2. , eam octhe❑Madksi Examner/Cprone h and/or Investlgatbn,in my opinion,death occurred at the time,date,and place,and due to the cause(s)and manner stated. Slipluvre ofcert gkr: Title of Certifier: />-� Ucense NMmbsr: M/�}.".tj/N,'SSG 39b.JNm,Add,...M Code of Person Compkthrg Cause of Death{Rem 261 39c,Date 3igrfM(Mo/Day/7r) 40.peglltrar's District Number 41.Reghtnrs Spa 42.peplstnrFlle Data Mil Day r) 43.Amendments 0887671 H165.143 Olsposbon Permit No._-. .... Is n,nor, C> M w � M CO 7i c =9 `?s CM "` f LAST WILL AND TESTAMENT I, LAWRENCE C. ZIMMERMAN, of the Township of Silver Spring, County of Cumberland, and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at anytime heretofore made. i FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executor or Executrix, as the case may be, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated, unto my wife, namely, Etta A. Zimmerman, absolutely and in fee simple, if she survives me. THIRD. If my wife, ETTA A. ZIMMERMAN, does not survive me, then and in that event, I give, devise and bequeath my said residuary estate in equal shares unto the grandchildren of my said wife living at the date of my death, share and share alike, but subject, however, to the protective trust provisions contained in Item Fourth hereinbelow. FOURTH. If an-,,�, rerson erI# *.Jc,1 to a share or part of my residuary estate LAW OFFICES under Item Third hereinabove has not attained the age of twenty-three (23) years at SNELSAKER. BRENNEMAN & SPARE the time of distribution, I order and direct that the distributive share of such person, shall be paid over and delivered unto ORRSTOWN BANK,(or its successor by merger, consolidation or other corporate reorganization) as my testamentary trustee, IN TRUST, NEVERTHELESS, to hold, manage, invest, accumulate income and reinvest until said beneficiary attains the age of twenty-three (23) years, at which time said trust shall be terminated and the net proceeds thereof be paid over to the beneficiary absolutely. I authorize and empower my said Trustee to invest the assets of said trust in any reasonable manner and not be limited or restricted to so-called "legal" or statutory investments for fiduciaries. I designate any trust hereunder to be a spend-thrift trust. The beneficiary shall have no right to invade, pledge, assign or otherwise dispose of the assets of said trust (including income) nor shall any creditor of a beneficiary have any right to seize, levy or execute upon said assets by reason of any pledge, assignment or other transfer, voluntarily or involuntarily, made by said beneficiary. I further authorize and empower my said Trustee to use, consume, expend and apply from time to time such amounts of principal and income of and from said trust which in the exercise of its sole discretion shall be determined to be reasonable and necessary for the beneficiary's education. The term "education" shall be construed and interpreted to mean college or other post high school training which is intended to improve the beneficiary's productivity as an adult or enhance the quality of his or her life. In considering what is reasonable and necessary, my said Trustee shall take into consideration the primary responsibility of the beneficiary's surviving parent to provide such education. It is my will and intention that the foregoing disci°etionaryr proz�i_-i �r... for n:lucation shall be supplementary to the Law OFFICES SNELBAlGER. LASTLY. I nominate, L'constitute and appoint my friend, RICHARD C. pL'y� J BRENNEMAN & SPARE SNELBAKER, to be the Executor of this, my Last Will and Testament, but if for -2- any reason he should fail to qualify as such Executor or cease so to serve, then and in that event, I nominate, constitute and appoint my wife, ETTA A. ZIMMERMAN, to be the Executrix hereof, each and both to serve without bond or other security as a condition of qualification hereunder. If both of the above named persons should fail to qualify as my personal representative hereunder or cease so to serve, then and in that ultimate event, I nominate, constitute and appoint ORRSTOWN BANK to be the Executor hereof. IN WITNESS WHEREOF, I, LARRY C. ZIMMERMAN, have hereunto set my hand and seal to this my Last Will and Testament, which consists of three (3) typewritten pages to each of which I have affixed my signature this IST day of November, A.D. Two Thousand. r (SEAL) LAWRE C. ZIMMERMAN The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testator, was on the date thereof signed, sealed, published and declared by LAWRENCE C. ZIMMERMAN, the Testator therein named, as and for his Last Will and Testament, in the presence of us, who, at his request, in his presence and in the presence of each other, have subscribed our names as witnesses hereto. LAW OFFICES SNELBAKER. BRENNEMAN & SPARE -3- C5 C"`7 G} rn G7 rn a) "fin 07 C3 OATH OF SUBSCRIBING WITNESS{E% C-W CZ REGISTER OF WILLS ::�o ._ Cumberland COUNTY, PENNSYLVANIA- t--% } 4=� Estate of Lawrence C. Zimmerman , Deceased Richard C. Snelbaker and Jane J. Cooney , (each)a subscribing witness to (Print Name/s) the 13 Will n Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s)and say(s)that -4€/141,-/they was/were present and saw the above Testator/-Tostak%4 sign the same and that site-/+e/they signed the same and that shtLri-he/they signed as a witness at the request of the Testator/Teststri?t in -he-t-/his presence and in the presence of each other. 4a a a,ex W.-�_ UL.4, � , L__azn�s� (signature) Richard C. Snelbaker nature) Rne J. Coone 40 Dewalt Drive 32 Cumberland Drive (Street Address) (Street Address) Mechanicsburg, PA 17050 Mechanicsburg, PA 17050 (City.State.Zip) (City,State.Zip) W Executed in Register's Office � Executed out of Register's Office Sworn to or affirmed and subscribed Sworn to or affirmed and subscribed before me this day , before me this 11th day of YS 4` . of April , 2013 Deputy for Register of Wills Notary Public My Commission Expires: {Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To betaken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s)at time of notarization. Form RW-03 rev. 10.13.06 n � c w M wit C-5 rn /\ RENUNCIATION ti ;w xy' Cn REGISTER OF WILLS c CUMBERLAND COUNTY, PENNSYLVA�[* K CO D Estate of Lawrence C. Zimmerman , Deceased 1, Richard C. Snelbaker , in my capacity/relationship as (Print Name) friend of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Etta A. Zimmerman 1 61A.Q l?, x A7 (Date) (Stgnar e) 40 Dewalt Drive (Street Address) Mechanicsburg, PA 17050 (City,State.Zip) Executed in Register's Office Executed out of Register's Office Sworn to or affirmed and subscribed Before the undersigned personally appeared the before me this day party executing this renunciation and certified of that he or she executed the renunciation for the purposes stated within on this day of April 2013 Deputy for Register of Wills Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06