HomeMy WebLinkAbout03-27-13 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:
Francine L. Rusho-Drupp
Decedent's Information
Name: Homer W.Rusho File No: 21-13 - 0�357
a/k/a: Homer Wiliam Rusho (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 03110/2013 Age at Death: 87
Decedentwas domiciled at death in Cumberland County, PA (State)with his/her last
principal residence at 46 Erford Road,Camp Hill 17011 East Pennsboro, Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedentdiedat 46 Erford Road East Pennsboro Cumberland PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
ff domiciled in Pennsylvania........................ All personal property $ 4,500.00
ffnot domiciled in Pennsylvania.................. Personal propertyin Pennsylvania $
ff not domiciled in Pennsylvania.................. Personal propertyin County $
Value ofreal estate in Pennsylvania..,,....... $ 85,000.00
TOTAL ESTIMATED VALUE$ 89,500.00
Real estate in Pennsylvania situated at 11 Bellmore Road Lower Allen Township Cumberland
(Attach additional sheets,if necessary.)
Street address,Post Office and Zip Code City,Township or Borough County
FRI 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 1 0/3 0120 06 and Codicil(s)
thereto dated
(State relevant circumstances,e.g.,renunciation,death of executor,etc.)
Except as follows:after the execution of the instruments)offered for probate,Decedent did not ma ,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,§rry 3323(8),and did not have a child born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
nX NO EXCEPTIONS ❑EXCEPTIONS
❑ B. Petition for Grant of Letters of Administration (If applicable)
ata.;dbrn.;d.b.n.c.t.a.;pedente lite;durante absentia;durante minoritate
If Administration,c.t.a ord&n.c.t.a.,enter date of will in Section A above and complete list of heirs.
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Except as follows:Decedent was not a party to pending divorce proceeding wherein the grounds for divorce had been establ as defined
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. & M
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NO EXCEPTIONS ❑ EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse PNr3*-a1I!rheirs O&ch
additional sheets,if necessary):
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Name Relationship Address
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Form RW-02 rev io-i 1-2oi i Copyright(c)2011 form software only The Lackner Group,Inc, Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
Petitioner(s)Printed Name Petitioner(s)Printed Address
Francine L.Rusho-Drupp 276 Eisenhower Road
Palmyra,PA 17078
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoi� etition are true and correct to the best of the knowledge and
belief of Petitioner(s)and that,as Personal Representative(s)of the Decedent,Peti?i r(s)willwelia tru y administer the estate according to law.
thi yo Date
B Date
BON nequired Fly� M- No Tuo�������
Ely es below:
FEES t^I LoMers ....- .....................-.-- $ 210.00 AttorneySig re:
� 3 ---' 10.00
( >RenundoUu^(s)-----
( >Codicii(s),- ...--......-
� /*ffidaxx(s)---...-....... Pritted Name: Nora F Blair
Bond........................... ......... ........ Supreme Court
Commission............................. ..... ID Number: 45513
Other
Inheritance Tax Return 15.00
Inventory 15.«» Address: 5440 Jonestown Road
Will 15.00 PO Box 6216
Harrisburg,PA 171120216
Phone: 717/541-1428
Aummaunvroe...........___............ 5.00 Fax: 7171
JCSFee....................................... ouau
TOTAL.-------------- $ usoau E-mail: NFBLAW@comeast.net
DECREE OF THE REGISTER
Date of Death: 03m0/2013
Social Security No:
Gstateo, Home,W.Rusho File No: 31'13
a8ma: Homer William Rusho
ANDmCW, . .m consideration m the foregoing Petition,
satisfactory proof having been presented before me,|T|S DECREED that Letters Testamentary
are hereby granted m Francine Rusho-Drupp
D
in the above estate and(if applicable)that the/natrumonKodated 10/30/2008
described io the Petition be admitted uo probate and filed ufna nd | VVi|
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HI 05.805 REV(9/11)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
RECORDED OFF OF OF
-;If 1,
S This is to certify that the information here given
Fee for this certificate, $6.00 REGISTER OF ii-4 k-i- fiTheo te of Deat
correctly copied from an original Certi
I Ll duly filed with me as Local Registrar. rigin,
"0113 MR 27 PM 1 certificate will be forwarded to the State ViU
C=
C.J1 Records Office for permanent filing.
C L -t E RIK' 0 F
Off
U U RT Iss
P 19474875 ORPHANS' G, rt �d.!L - - Date Issued
Certification Number CUMBERLAND C, PA Local Registrar
Mr,nil an COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS
7 CERTIFICATE OF DEATH State File Number:
J,q IrN3'(Fir i[Ididnil,n111't),S UM I' I'MV- 1 lh( DIV�ri SA.)
Sa Ati.-Lial""Re'"' "'"a.' "'O"N"O" al-W./Diully-1 Istell Month) In Irneffin CMIMN)
P7 r-'47 br,,l DM I ".- I frfinoiw V1
]b.girt place{COUnry)
mtivat.or FO.reign Country) Bb.Reside a metwelklumbet-fecludilAotN..) 9c.Qid Decadent LNe I.
W decedent 1.1,.M kffib= .a
r�mr)d E B...-(ZIP Costal l❑N*,decaudell lived wlttdn olimulsof cloy/nom,
9.Evyer In US Armed Foust I it, 0 Num"' Ill.s.*An Somna`s"a..{if wife. prim to ftrs,.."big.)
If-b-a=d-"-j3R=-MkorNc1 0 Unk-
12&herj.Nr(Fmn,ka7(� (first,Middle,last)
C 113,77
1 11 Decul- t"Mbill Add St. Nu I $I--.zip
Mile- Pi -on I, J�ffl I AL 176T
2 0 Emergeric,Room/Outpatient ent 0 .dmA,..l I Te
I'M KU ZIP
'M 1'7nf I
Ilia.Method of0hocaftion Iff suPw 13 Cremation 16b, P.. I 'rPothe I
❑7.,Ihk 51.1. ❑Donation 1 X13 rin n i r)"UZ I'N�n
0'.7
1,F.;1 N
IRT-To-,State,and DO V 2Ta lute of uneral5ery ne U@en Pers In Char of Inn rmem 1 License Number
I"7(r--
AgRod irrignifeffiv Phu."T WchffiLh jo PA 1765
S 18,Ou'dent's Education-QP ft b-nin ban,clux,lbu I is.Duane.of-11peAlc Origin-Check the 20, edent's Rue-a.k ONE E 0 Rh�nREilo c'.I to 1.6 at.
c M
M be
highest degree or Imref of school tompluedudhan-of death Tice in.,leot deaflbe h.b.,The decade', rumt m.d.rachumelf M h be
:in.Onxie.
❑Btbu...1., 13 Splooli/Nowncirt. No* ❑eman
diploma,9th 12MIgnuile,
ac V decedent is not Sonum/1-I--Maine. ❑Buick R,African AIMI ❑Vietnam.,e
g'NW,h houl,nul--illOcomplued h/M--/IaIm0 ❑American Indian o,.I.,k.Net. 0 Other Asian
❑Some college credit,but dell- ❑Yan,Miniftim,Mexican America,Chicano []&,an ind"n ❑Native H.-nim
❑A smiale dinbee(e.g.AA,AS) ❑y",Puerto Rican C3 uM, ❑
❑Bunooes degree I 6,BA,Ml,BS) ❑1.,Cuban ❑FROM, ❑Samoan
❑M.-'s degree(e.g. A,.5,ME.,MEd,MSW,MBAJ ❑ Sbmth/fu'obM/-MP ❑1.- ❑Other Pacific hummer
❑0.1mal.(a g,PhD,Edi PrIf-1-1 deg,., (Specify)_,_,__.. ❑offie,Nitrite)
a 1 001 1VM LLB,
.d.M4
2e'E4,,A;.Selft�a--Clbkck ONLY ONE to rulk-1.1 22a. cukki Usual 0. DO ificue No,of Work
Write "'ame. done dMIT of -:-,do" N
0 samom -.in If. OTUSERETIRED
❑Black or African American C3 for an ❑Other Pacific"tender
❑American Indian or Alit,irt Nature ❑Vietin-'IP, ❑Con't K�/Niu 5-
0 Asi.n Indian [3 Other Aum, E3 Ref-if 22b.kind Smomers/irduum,
❑Chinese ❑N.M.Hawaiian E]Other{Specify)._{Specify)._ I J-of I LL �w -
r-
[]Fflimno ❑Guamanian miGuamanian or Clunn.n. rV 13
ITEMS 23e-;3d MOST BE COMPLETED 123R Dec.on-"Deed jMcjDm"`:y431b,Seramok,of Person Pronouncing Death(Only when applicable l License Number
By PERSON WHO PRONOUNCES OR
CERTIFIES DIAT"
23d.Date Wed Mo/Day/Yr) 23c.
2S.Was Medical E'ancoar M Coroner,Comwed? ❑yak No
CAUSE OF DEATH APprosilnrate
26,Part L Emarthedulloof -diwam.tniuries,OrCDMPIkAbnS-.thotdireRlV reused th death.00 NOT enter terminal eiRe'".ch I unemot:
a I
DO NOT ABBREVIATE.Enteronly-cau...11mi.Addliddid-flimailforuines,f 0-1,To DWI,
IMMEDIATECAUSE CHF
(Final dloo-or-alon of):
Due"("
ullma,1.durml, CARDIAC ARREST
Seque tialiflistrondfitions. Duara,o,as-cans.---
If.-Wiftbrilloome- MEDULLARY FAILURE
Ill on line..9.1.1 me c-
U.M1.11"CAUSE
Immealf,III
,h=tMt
m :�Rhuko canuuMing d.
death)UST. Do*to(11 Is I conuut-rue Ifl:
26.Frint ff.Emermbin Ilimificant condllongontrib.nnetodeath but rat rcsuhing in the underlyingcause given in Partl 127 W. indl?
(Tum A, me
y. ;W No
Iromp thecucefd,arth?
"IW"`[3"y""`'i4`N`.Vu"_
ik
29.1f Funeria; W.Did To'...One Contribute 1.Death? 31.Manner of Death
F ❑Not carbseem e""e Pat Year ❑Yei
2 Probably Natural ❑Homicide
13 ❑P'tiloam."Inn,Of death ❑Na Unknown Accident ❑Pending Investigation
❑Not malment,but motimint wfthin 42 day,of death ❑Suicide ❑Could not be determined
❑Nott,but Pregnant 43 de,,to I"or before death 32.Date IT Mor,(Mc/Oky/Yrf{Spell Month)
❑ If mkimuml.1110.the Pa.year 33.Time of injury
34.Place of Injury(e.,home;omst-th-Ple;farm;school) 35-timo,f Mjuny Street and Number,City,State,Zip Code)
36.1.1.,at WMk lull S-01 38 D-dat-Inter,Otoomd.
❑Y 13 01-10-1-ter 13 Red- n
T's
0.0 ❑P.-Milin ❑Diner($.dN)
I"" in
3W�ndfte
it.
To e best of My komPledge,death occurred due to the cauSets)and manner stated
❑Pronouncing I MCannim,111 Fm"R,m-To the beat of-knowledge,death occurred at the time,date,and place,and due tot"came(O and manne,stated
I I
❑
Medhkka ticaminerliCbront'.on the basis of aranimation,and/or im,kinkfabon,In my opinion,death occurred at the limit,date,and Place,and d.to ft...(,).ad inume,thrl"
signature or«rdRer a, b- 4- •0* 05000897L
Lkeno,Number
39b.N-Add, ;mdZlPCodofPem,, Cmm,h,tInV,MFkofOe;bh(IbbmZ6) N71TIVY 'Y'l
S409' D ERRY ST HBG A 17111 0,C). 3
.0,RaglstraYS IsMCt NUm r 141*7
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43.romendmanci
'141 -143
CuwIllim,Far-N.8a��- EV07/2011
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LAST WILL AND TESTAMENT m C" tr?
A — r,t
OF .a W
HOMER W. RUSHO <.�
-,rj
cs Ca c:� Z3
►_, V- V71
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I, Homer W. Rusho, of Lower Allen Township, Cui�berland'`bounty,
Pennsylvania, declare this to be my Last Will and Testament and
revoke all Wills and Codicils previously made by me.
ITEM I: I direct that my legally enforceable debts and
funeral expenses, together with the expenses of the administration
of my estate shall be paid from my residuary estate as soon as
practicable after my decease, as a part of the expense of the
administration of my estate.
ITEM II: If my spouse, Beatrice L. Rusho, survives me, I
devise and bequeath to my said spouse, Beatrice L. Rusho, the least
amount (based upon values as finally determined in Chapter 22 of
the Pennsylvania Probates, Estates and Fiduciaries Code, herein the
"PEF Code") necessary to satisfy my spouse' s elective share as
provided for in Section 2203 of the PEF Code, computed in
accordance with the provisions of said Chapter 22 of the PEF Code,
as if such election had been made, and taking into consideration
all assets otherwise passing to or for the benefit of my spouse
which would be treated as a charge against my spouse' s elective
share .
ITEM III: I devise and bequeath the rest, residue and
remainder of my Estate of every nature and wherever situate unto my
daughter, Francine L. Rusho Drupp, .provided she shall survive me by
thirty (30) days.
ITEM IV: Should my said daughter, Francine L. Rusho Drupp,
predecease me or die on or before the thirtieth (30th) day
following my death, I devise and bequeath the rest, residue and
remainder of my Estate of every nature and wherever situate unto
Shiremanstown United Methodist Church of Shiremanstown,
Pennsylvania.
ITEM V: All Federal, State and other death taxes payable
because of my death, with respect to the property forming my gross
Estate for tax purposes, whether passing under this Will or
otherwise, including any interest or penalty imposed in connection
with such taxes, such be considered a part of the expense of the
administration of my Estate and shall be paid out of the principal
of my residuary estate without apportionment or right of
reimbursement .
ITEM VI: I appoint my said daughter, Francine L. Rusho Drupp,
Executrix of this my Last Will and Testament . Should my said
daughter fail to qualify or cease to act as Executrix, I appoint my
attorney, Dale F. Shughart, Jr. , Executor of this my Last Will and
Testament .
ITEM VII: I direct that all fiduciaries acting under this
Will, whether or not named herein, shall not be required to give
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bond for the faithful performance of their duties in any
jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal, this
day of October, 2006 .
; . ,, 2,& [SEAL]
Homer W. Rusho
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, published and declared
Homer W. Rusho, the Testator therein named, as and for his last
Will, 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.
U /
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COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
We, Homer W. Rusho, Bonnie L. Coyle, and Francine L. Rusho
Drupp, the Testator and the witnesses, respectively, whose names
are signed to the foregoing instrument, being first duly sworn, do
hereby declare to the undersigned authority that the Testator
signed and executed the instrument as his last Will and that he had
signed willingly, and that he executed it as his free and voluntary
act for the purposes therein expressed, and that each of the
witnesses, in the presence and hearing of the Testator, signed the
Will as witness and that to the best of his/her knowledge the
Testator was at that time eighteen years of age or older, of sound
mind and under no constraint or undue influence.
Testator
Witness
Witness
Subscribed, sworn to and acknowledged before me by
Homer W. Rusho, the Testator, and subscribed and sworn to before me
by Bonnie L. Coyle and Francine L. Rusho Drupp, witnesses, this
day of October, 2006 .
4A, f
of P Iblic
NOTARIAL
DALE F SHUGHART N TARY PUBLIC
CARLISLE BORO CUMBERLAND COUNTY PA
MY COMMISSION EXPIRES JANUARY t 2009
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