HomeMy WebLinkAbout04-29-13 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:
Craig B Wisman and Susan K Mitchell
Decedent's Information G�
Name: Shirley L.Wismar File No: 21 r �JF 1
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 03/21/2013 Age at Death: 86
Decedent was domiciled at death in Cumberland County, PA (State)with his/her last
principal residence at 732 Harding Street,New Cumberland 17070 New Cumberland Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at Church of God Home Carlisle Cumberland Pennsylvania
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 $ 100 000.00
If not domiciled in Pennsylvania................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania................ Personal property in County $
Value of real estate in Pennsylvania................................................................... $ 100,000,00
TOTAL ESTIMATED VALUE $ 200,000,00
Real estate in Pennsylvania situated at 732 Harding Street,New Cumberland 17070 New Cumberland 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)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent,dated 04/11/2011 and Codicil(s)
thereto dated
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(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 ❑ EXCEPTIONS
r^v
❑ B. Petition for Grant of Letters of Adminj tration (If applicable) n
c.t.a.,d.b.n.,d.b.n.c.t.a.,pe e(b,durante a sentia.,,hr minoritate
If Administration,c.t,a or oli&n.c.t.a.,enter date of Will in i i
Except as follows:Decedent was not a party to pending divorce proceeding herein the grounds for divor a�bii�' esta"fillshe� s fined
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated pets ry r-;t
❑NO EXCEPTIONS [] EXCEPTIONS Co
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by th6-f6Il0Wing,spotM(if arty)and heirs(attach
additional sheets,if necessary): -t
Name Relationship Address ,
Susan K. Mitchell Daughter 309 Pinehurst Rd
York PA 17402
Craig B.Wisman Son 1024 Mt.Alem Drive
Hummelstown PA 17036
Form RW-02 rev.io-i i-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 }
} SS:
COUNTY OF Cumberland }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Craig B Wisman 1024 Mt.Alem
Hummelstown,PA 17036
Susan K Mitchell 309 Pinehurst Rd
York,PA 17402
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 I ecedenkF}etition r(s)will well and truly administer the estate accordin 1 to aw.
Sworn to r Irmed an ubscri ed before . Date t
me i ay cf / c Date
g 9 l__ e-N c---Date
For the Register C --Data
Data
BOND Required? YES El"NO To the Register of Wills: A- 17110 l
FEES. Please enter my appearance by My s Are bow:
��} _
Letters.............. ......_............. $ nature: to
( 4 )Short Certificate(s)......... _ �
{
)Renunciation(s).............. r,\)
( )Codicil(s)........................ g
( )Affidavit(s)...................... Printed Name: Aaron C. ackg'on Esq. 14
Bond............................................. Supreme Court
Commission.................... ... ID Number: 200490
0 O Iler _
t S I CID Firm Name: Tucker Arensberg,P.C.
Address: 2 Lemoyne Drive
-- Suite 200
Lemoyne,PA 17043
r
Automation Fee....................... Phone: 717-234-4121
_
JCS Fee....._................................ Fax: 717-232-6802
TOTAL.................................... E-mail: ajackson@tuckerlaw.com
DECREE OF THE REGISTER
Date of Death: 03121/2013
ty 309
Estate of Shirley L.Wisman File'No:Security No: 21 +1 5 _
a/k/a:
AND NOW, in consideration of the foregoing Petition,
satisfactory proof having been prdlJntedliefore me, IT IS DECREED that Letters Testamentary
are hereby granted to Craig B Wisman and Susan K Mitchell
in the above estate and(if applicable)that the instrument(s)dated 04/11/2011
described in the Petition be admitted to probate and filed of record as t i t Will nd Codi ' s}}of Decedent.
ota
Register of Wills
Copyright(c)2011 form software only The Lackner "tyf5pige 2 of 2
H105.805 REV(9/11)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
RECORD OFF)CE OF
OF"
Fee for this certificate, $6.00 B E G!S_ This is to certify that the information here given is
PEiyyf_ correctly copied from an original Certificate of Death
1t3 �Py` duly filed with me as Local Registrar. The original
R 29 F ' zz certificate will be forwarded to the State Vital
° Records Office for permanent filing.
CLERK C
19399291 oRt7NaN s1 = a�,,
Certification Number C U M B E R L A ND C 0., �F�E Local Registrar Date Issued
Type/Print In COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS
Perms"e"t CERTIFICATE OF DEATH
Black Ink State File Number:
1.Decedent's Legal Name(First,Middle,Last,Suffix) 2.Sex 3.Social Security Number 4.pate of Death(MO/Day/Y,)(Spell MO)
Shirley L. Wisman Female 201 - 16 - 5309 March 21, 2013
Sa.Age-Last Birthday(Yrs) 15b.Under 1 Year 15c.Under 1 Da 6.Dale of Birth(MO/Day/Y...)(Spell Month) 7a.Birthplace(City and State or Far, Country)
Months Days Hpurs Mlnutea Enola, M-
86 August 10, 1926 17b.Birthplace(County) Cumberland
Be.Residence(State Or Foreign Country) 8b.Residence(Street and Number-Include Apt No.) Bc.Dld Decedent Live in a Township?
Penns lvania 732 Harding Street O Ye,,d...d.ntuv.d In twp.
8d.Residence(County)
Cumberland Be.Residence(Zip Code) 17070 W No,d...dent lived within limits of New Cumberland city/borO.
9.Ever in US,,,..tAtrmetl Forces? 30.Marltal Status at Time of Death 0 Married Widowed 11.Surviving Spouse's Name(If wife,give name prior to first marriage)
)3 Yes IJy No 0 Unknown 0 Divorced 0 Never Married 0..known
12.Father's Name(First,Middle,Last,Suffix) 13.Mother's Name Prior to First Marriage(First,Middle,Last)
William E. Seitz Grace C. Knackstedt
14a.Informant's Name 14b.Relationship to Decedent 141.Informant's Mailing Address(Street and Number,City,State,Zip Code)
o Susan K_ Mitchell Dau hter 309 Pinehurst Road, York PA 17402
G 1 a.P ace o Dear c e on y one.
_ ........................... ..............................._.................... ....................................
...............................
_ If Death Occured in a Hospital: Inpatient =1f Dea�t th Occurred Somewhere Other Than a Hospital: `�` HOSpice Facility �Oecedent's Home
2 0 Emergency Room/Outpatient 0 Dead on Arrival Ip,Nursin Home/Long-Term Care Facility Other(Specify)
15b.Facility Name(If not institution,give street and number; •1S..Clty or Town,State,and Zip Code 15d.County of Death
_ Church of God Home Carlisle, PA 17013 Cumberland
.6a.Method of Disposition 0 Burial Cremation 16b.Date of Disposition 36c.Place of Dis itlon Name of cemetery, re
a Removal from State 0 Donation March 22, Pos ( ry,c matory,or other place)
$' Other(SpecHy) Evans Crematory
16d.Location of Disposition(City or Town,State,and Zip) 178.Signatu¢of Fu al Service Licensee or Person In Charge of Interment 17b.License Number
Al Schaefferstown, PA 17088 (� t512S iq L
E 11c.Name and Complete Address of Funeral Facility
19 Parthemore FH & CS, Inc. 1303 Bri Street, New Cumberland, PA 17070
m 18.Decedent's Education-Check the box that best describes the 19.Decedent of Hispanic Origin-Check the 20.Decedent's Rare-Check ONE OR MORE races to indicate what
t- 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.
0 8th grade or less is Spanish/Hispanic/Latino. Check the"NO" [M White 0 Korean
0 No dlploma,9th-12th grade box If decedent is not Spanish/Hispanic/Latino. 0 Black or African American 0 Vietnamese
U1 High school graduate Or GED completed �NO,not Spanish/Hispanic/Latino 0 American Indian or Alaska Native 0 Other Asian
Some college credit,but no degree 0 Ves,Mexican,Mexican American,Chicano 0 Asian Indian 0 Native H.wall..
Associate degree(e.g.AA,AS) 0 Yes,Puerto Rican 0 Chinese 0 Guamanian or ChamorrO
0 Bachelor's degree(e.g.BA,AS,BS) 0 Yes,Cuban 0 Filipino 0 Samoan
0 Master's degree(e.g.MA,MS,MEng,MEd,MSW,MBA) 0 Yes,other Spanish/Hlspa nic/Latino 0 Japanese
0 Doctorate(e.g.PhD,Ed D)or Professional de 0 Other Pacific Islander
degree (specify) O other(spelify)
.MD,DDS,DVM LLB JD)
21.Deretlent'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
White 0 Japanese 0 Samoan done during most of working life. DO NOT USE RETIRED.
0 Black or African American 0 Korean 0 Other Pacific Islander
0 American Indian or Alaska Native 0 Vletna mese 0 Don't Know/Not Sure Boo kke eper
0 Asian Indian 0 Other Asian 0 Refused 22b.Kind of Business/Industry
0 Chinese 0 Native Hawa Ilan 0 Other(Specify)
O Filipino 0 Guamanian or Chamorro
Insurance
ITEMS 3a-23d MUST BE COMPLETED 23a.Date Pronounce Dead(MO ay Yr 23b.Signature of Person Pronouncing Death(Only when applicable) 23c.License Number
BY PERSON WHO PRONOUNCES OR // �/'
CERTIFIES DEATH ✓ -'7_r`l
23d.Date Signed o/Day/Vr) 24.Time of Death ���
fjv�% _ /'f •r'1 25. s Medical Examin r Coroner Contacted? / Yes 0 No
CAUSE OF DEATH r p 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 etiologyly.�DO NOT ABBREVIATE. Enter-only one cause on a line. Add additional lines if necessary Onset to Death
IMMEDIATE CAUSE -----------> a. !-tGl\i ♦ti NH 1 -4-P D •ul u^ 6-4 C
(Final disease or condition Due to(or as a cons quence of):
resulting In death)
b.
Seq uenilally list conditions, Due to(o as a co nsequ nce of):
if any,leading to the cause
listed on Ilne a. Eller the
C.
UNDERLYING CAUSE Due to(Or as a consequence of):
(.disease or Injury Shat
F Initiated the events resulting d.
in death)LAST. Due to(or as a consequence of):
3 26.Part II. EntaWther significant conditions contributing Y death but not resulting In the underlying cause given in Part I 27.Was an autopsy pe`r-r-a'for`r�r��d?
10.
findings
y- ✓ psy gs available
complete the cause of death?
0 Yes No
29.If tale: 30.Did Tobacco Use Co n[ribute to Death? 31.Manner of Death
E No[pregnant within past year 0 Yes 0 Probably ®Natural 0 Homicide
[9 0 Pregnant at time of death 0 No 12-Unknown 0 Accident 0 Pencil g Investigation
Not pregnant,but pregnant within 42 days of death 0 Suicide 0 Could not be determined
I- 0 Not pregnant,but pregnant 43 days to 1 year before death 32.Date Of Injury(MO/Oay/Yr)(Spell Month)
n 0 Unknown if pregnant within the past year
V` J33.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:
7_ 0 Ves 0 Driver/Operator 0 Pedestrian
0 Passenger 0 Other(Specify)
�iJ•j
39a.Certifier(Check only one):
R/ [?'Certifying physician-To the best of my knowledge,death o red due to the c se(s)and m stated
0 Pronouncing&Certifying physics -To the best of my knowledge,death occurred at the time,data,and place,and due to the cause(,)and manner stated
0 Medical Examiner/Coroner t bgsis f( ry/loath d/or in,�ttigation,in my opinion,death occurred at the time,date,and place,and due to the c....(s)and mono stated
( �\ Signature of certifier: //� o`�t./ irJ Title of certifier: c �D License Number:N 0 O
�J 39b.Name,Address and 21p Code of P o Cppmpleting Cause of Death(Item 26) 39c.Oates Signed(MO/Day/Yr)
tt 20 G d Gmv✓'U�(P- f1f- .e_.rs ..4- f -7 If 0 3 1 2( 1 20(1
b 40.Registrar's District Number 41.Registrar's Sig 42.Registrar File Date(MO Day/Yr)
o2�-a �Z 3 �a ✓a0.3
43.Amendments
H105-143
LAST WILL AND TESTAMENT
OF
SHIRLEY L. WISMAN
I, SHIRLEY L. WISMAN, of the Borough of New Cumberland, Cumberland
County, Pennsylvania, do make, publish and declare this to be my Last Will and
Testament, hereby revoking all Wills and Codicils by me at any time made.
ITEM I: I direct that all inheritance and estate taxes becoming due by reason
of my death, whether such taxes may be payable by my estate or by any recipient of any
property, shall be paid by the Co-Executors out of the property passing under ITEM III of
this Will, as an expense and cost of administration of my estate. The Co-Executors shall
have no duty or obligation to obtain reimbursement for any such tax so paid, even though
on proceeds of insurance or other property not passing under this Will.
ITEM II: I direct the Co-Executors to pay my just debts and the expenses of
my last illness and funeral expenses from the property passing unde Will as an= M
expense and cost of administration of my estate.
r � �=
C;)
L'. `y
ITEM III: I devise and bequeath the rest, residue, and remainder of the estate to
my spouse, CLARENCE BURTON WISMAN, also known as C. BURTON WISMAN.
In the event my spouse shall predecease me, I direct my estate be paid as follows:
1) Fifty (50%) to be paid to my daughter, SUSAN K. MITCHELL. In
the event my daughter, SUSAN K. MITCHELL shall predecease
me, I direct this share shall be paid to her issue, per stirpes.
2) Fifty (50%) to be paid to my son, CRAIG B. WISMAN. In the
event my son, CRAIG B. WISMAN, shall predecease me, I direct
this share shall be paid to his issue, per stirpes.
In the event that either of my children predecease me and leave no issue, than I
hereby direct that this share shall be paid to my surviving child, or his or her issue, if
applicable.
ITEM IV: In the settlement of my estate, my Co-Executors shall possess,
among others, the following powers:
(a) To retain any investments I may have at my death, as long as the Co-
Executors may deem it advisable to my estate to do so;
(b) To sell either at private or public sale and upon such terms and conditions
as the Co-Executors may deem advantageous to the estate, any or all real or personal
property or interest therein owned by the estate;
(c) To pay all costs, taxes, expenses and charges in connection with the
administration of my estate;
(d) To compromise controversies; and
(e) To do all other acts in the Co-Executors judgment deemed necessary or
desirable for the proper and advantageous management, investment and distribution of the
estate.
ITEM V: Any person who shall have died at the same time as I shall have, or
in a common disaster with me, or under circumstance that the order of deaths cannot be
established by proof, or within thirty (30) days of my death, shall be deemed to have
predeceased me.
ITEM VI: I appoint my daughter, SUSAN K. MITCHELL and my son,
CRAIG B. WISMAN, to be Co-Executors of my Estate. In the event either my daughter,
3 ,�
SUSAN K. MITCHELL or my son, CRAIG B. WISMAN, cannot act or refuses to act
as Co-Executor for any reason, I nominate, constitute and appoint the other as sole
Executor. Any Executor is specifically relieved from the duty or obligation of filing any
bond or other security.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last
Will and Testament, consisting of this and the preceding three (3)pages, at the end of
each page of which I have also set my initials for greater security and better identification
this 8ffi day of April , 2011.
r
J (SEAL)
SHIRLEY L. WISMAN
4
We, the undersigned, hereby certify that the foregoing Will was signed, sealed,
published and declared by the above-named Testatrix as and for her Last Will and
Testament, in the presence of each other, have hereunto set our hands and seals the day
and year first above written, and we certify that at the time of the execution thereof, the
said Testatrix was of sound mind and memory.
"k�hJ 1W Residing at: 98 South Cherry Lane
da L. Souders Dillsburg, PA 17019
Residing at: 12 North Third Street
adniel M. Hartman Steelton, PA 17113
5
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
. SS.
COUNTY OF CUMBERLAND
I, SHIRLEY L. WISMAN, Testatrix whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my Last Will and Testament;
that I signed it willingly, and that I signed it as my free and voluntary act for the purposes
therein expressed.
�/l�tiaw` (SEAL)
SHIRLEY L. WISMAN
Sworn to and subscribed
befAme8u' day
of 11.
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Barbara Sumple-Sullivan,Notary Public
NowcumberW4 am,Cumberland County
Cbmmiee+al ilo Nov.15 2011
NO ARMS
My Commission Expires:
(SEAL)
6
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
. SS.
COUNTY OF CUMBERLAND
We, AMANDA L. SOUDERS and DANIEL M. HARTMAN, the witnesses
whose names are signed to the attached or foregoing instrument, being duly qualified
according to law, do depose and say that we were present and saw Testatrix, SHIRLEY
L. WISMAN, sign and execute the instrument as her Last Will and Testament; that the
Testatrix signed willingly and she executed said Will as her free and voluntary act for the
purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed
the Will as Witnesses; and that to the best of our knowledge the Testatrix was at that time
eighteen (18) or more years of age, of sound mind and under no constraint or undue
influence.
AMANDA L. SOUDERS, WITNESS DANIEL M. HARTMAN, WITNESS
Sworn to and subscribed
before me this 8t' day
of WPU13LIC 011.
COMMONWEALTH OF PENNSYLVANIA
Notarial seal
My Commission Expires: Barbara rumple-Sullivan,Notary Pubik
Newcumbeiarw eao,Qxnberiand county
(SEAL) RVCW4MM,,V res Nov.15,tosl
Ma
7