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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
Name: ANNETTA A.BURGETT Pile No: _r� ✓ OCt
a/k/a: (Assigned by Register)
a/k,ta:
a/k/a: Social Security No:
Date of Death: 04/27/2013 Age at death: 86
Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State) with his/her last
principal residence at 3605 SPRING ROAD,CARLISLE 17013 MIDDLESEX CUMBERLAND
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 801 N.HANOVER ST CARLISLE. 17013 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 $ 75,000.00
If not domiciled in Pennsy lvania. .. .... . . ... ..... ... .... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania... ... . . ... . . .. . ... . ... . .... . ... .... .... ... ...... .... . . $
TOTAL ESTIMATED VALUE. ,.. S 75.00006
Real estate in Pennsylvania situated at:
(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/shetthcy islare the Executor(s)named in the last Will of the Decedent,dated APRIL 16,2010 and Codicil(s)
thereto dated
F C'I.YDE RI iRGPTT illFn AN All 71NIVA
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.
ONO EXCEPTIONS 0 EXCEPTIONS
B. Petition for Grant of Letters of Administration (if applicable)
c.t.a.,d.b.n..d.b_n.al.a.,pendente lice,durante absentia,durante minoritate
If Administration,cd.m or d.h.n.c.ta.,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.
O NO EXCEPTIONS Q EXCEPTIONS
Petitioner(s),aftera propersearch has/have ascertained that Decedent left no Will and was survivedby the followifn¢sLcSuse(ifan�j ndhejs Rtach
additional sheets,if necessary): C� r:; = r,>
Name Relationship Addr
-
�C
7
'� CS Gfi G7
Fonn RW--172 rev. 10/7 7120 7 1 Page I of 2
Oath of Personal Representative r .l,.t k.k) ' "1 iftly
COMMONWEALTH OF PENNSYLVANIA } REGO II is Ui 1 Y ltuF OF
1 SS:
COUNTY OF CUMBERLAND l
L
Petitioners)Printed Name �`Pe ihoner{ @s : '!q{
DENNIS RALPII GUTSHALL 3541 SPRING ROAD,CARLISLE ?A
tt11 FF jj;; �
CAROLYN GUTSHALL FRISCIIKORN 15 W ILD ROSE LANE,MECHA#ICS J �OS
nJ J ...r
The Petitioner(s)above-named swearis)or affirms)the state a is 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 th edent,the P pone s)will w l an t ly administer the estate according to law.
Sworn to or affirmed and subscribed before Date C'--?
$e t_t �day of j� Date S 3 J 3
Y �� C�'iCCZ l Date
Far the Relulo Date
BOND Required: O YES Q NO To the Register of Wilts:
FEES: Please enter my appearance by my signature below:
Letters. .. . . . . . .. . . .. . . . . .. .. $ 135.00 Attorney Signature:
( 5 )Short Certificate(s).. . . . . 25.00
{ )Renunciation(s).. . . . . . . .
( )
Codicil(s). . . . . . . . . . . . . - -�-' - L--"
( )Af6davit(s).. . . . . . . . .
. . -�-„/Bond_ . . . Printed Name: ROGER B.IRWIN,ESQUIRE
Commission. . . . . . . . . . . . . . .. . . Supreme Court
Other .. . . . . . . ID Number: 06282
WILL . . . . . . . 15.00
INVENTORY 15.00 Firm Name: IRWIN&MCKNIGHT,P.C.
INH TAX RETURN 15.00 Address: 60 WEST POMFRET STREET
. . . . . .. . CARLISLE,PA 17013
Phone: (717)249-2353
Automation Fee. . . . . . . . . . . 5.00 Fax: (717)249-6354
JCS Fee. . . . . . . . . . . .. . . . . . . . . 2150 Email:
TOTAL. . .. . .. . . .. . . . . .. . . .. $ 233.50
DECREE OF THE REGISTER
Estate of ANNETTA A.BURGETT File No: i ✓ i � v
a/k/a:
AND NOW, in consideration of the foregoing Petition,
satisfactory proof avi b n presented before me,IT IS DECREED that Letters TESTAMENTARY
are hereby granted to DENNIS RALPH GUTSHALL AND CAROLYN GUTSHALL
FRISCHKORN in the above estate and(if applicable)that
the instrument(s)dated APRIL 16 2010
described in the Petition be admitted to probate and file o reco a the st Will( Cod ici(s))oI'D d t-
egister
w
Fo m RW.02 rev. 1011112011 t Page 2 of 2
LAST WILL AND TESTAMENT
I, ANNETTA A. BURGETT, of Middlesex Township, Cumberland County,
Pennsylvania, being of sound mind, disposing memory and full legal age, do hereby make,
publish and declare this to be my Last Will and Testament, hereby revoking all Wills and
Codicils heretofore made by me.
1. I direct my Executor or Substitute Co-Executors, as the case may be, to pay all of my
debts, funeral and administrative expenses as soon as convenient after my decease. Furthermore,
I direct that all state, inheritance, succession and other death taxes imposed or payable by reason
of my death and interest and penalties thereon with respect to all property composing of my gross
estate for death tax purposes, whether or not such property passes under this Will, shall be paid
by the Executor or Substitute Co-Executors of my estate.
2. My Executor or Substitute Co-Executors may, at his or their discretion, compromise
claims, borrow money, retain property for such length of time as he or they may deem proper;
lease and sell property for such prices, on such terms, at public or private sales, as he or they may
deem proper; and invest estate property and income without restriction to legal investments
unless otherwise provided hereunder.
3. I authorize and empower my Executor or Substitute Co-Executors to sell any realty
and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at
public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefore,
in fee simple, as I could do if living. My Executor or Substitute Co-Executors is/are authorized:=
CM-,
and empowered to engage in any business in which I may be engaged at 1gY9. eath, sia
period of time after my death as seems expedient to said Executor or Substitut f!wlr�Xecuto s.
In C D _ rr!
CO
4. I give, devise and bequeath all of my estate of whatever nature and wherever situate to
my husband, F. CLYDE BURGETT,providing he shall survive me by sixty(60) days.
5. Should the gift in Paragraph No. 4 not take effect, I give, devise and bequeath all of
my estate of whatever nature and wherever situate as follows:
a. The sum of$4,000.00 to ST.MATTHIAS LUTHERAN CHURCH
at Carlisle Springs, Cumberland County,Pennsylvania;
b. The sum of$3,000.00 to my two (2) sisters-in-law, ALICE
GUTSHALL and RUTH SHAFFER, share and share alike, providing
they are living at the time of my death; and
c. All the rest, residue and remainder in equal shares, share and share
alike to the following, if they survive me:
(1) My nephew,WILLIAM CARL GLEIM;
(2) My husband's nephew, GARY GUTSHALL;
(3) My husband's nephew,DENNIS RALPH GUTSHALL;
(4) My husband's niece,VICKI GUTSHALL MINNICK,
(5) My husband's niece, CAROLYN GUTSHALL
FRISCHKORN;
(6) My husband's nephew,MARK LEON GUTSHALL;
(7) My husband's niece,ANDREA GUTSHALL
BITTENBENDER;
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(8) My husband's niece, TERESA LEA GUTSHALL
WEARY; and
(9) My husband's niece,WANDA SHAFFER.
If any of the above-named persons should predecease me, I order and direct
that the gift to such person shall lapse and the residue shall be distributed equally
among those other persons who survive me.
6. I nominate and appoint my husband, F. CLYDE BURGETT, to be the Executor of
this my Last Will and Testament. In the event he has predeceased me, failed to qualify or is not
able or does not serve for whatever reason, I then nominate and appoint DENNIS RALPH
GUTSHALL and CAROLYN GUTSHALL FISCHKORN to be the Substitute Co-Executors
of this my Last Will and Testament, whereby the said Substitute Co-Executors shall have the
same powers as are given to the original Executor hereunder.
7. No person(s) shall benefit hereunder unless such beneficiary shall survive me by sixty
(60) days.
8. No Executor or Substitute Co-Executor acting hereunder shall be required to post
bond or enter security in this or any other jurisdiction.
9. No beneficiary may assign, anticipate or pledge his,her or its interest in any income or
principal held or distributable hereunder, and no beneficiary's creditors may levy, attach or
otherwise reach any such interest.
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10. If any person entitled to share in any distribution under the terms of this my Last Will
and Testament becomes an adverse party in any proceeding to contest the probate of this Last
Will and Testament, such person shall forfeit his or her entire interest inherited hereunder and all
provisions in favor of such person shall be declared void and of no effect. The share of such
person so forfeited shall be distributed as part of the residue pursuant to Paragraph 5. hereof,
except that if such person is entitled to share in the said residue, that interest shall be distributed
proportionately to the other residuary beneficiaries.
11. I hereby suggest that my personal representative(s) retain the services of Irwin &
McKnight, P.C. as attorneys in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 16`" day of April
2010.
(SEAL)
ANNETTA A.BURGETT
Signed, sealed, published and declared by the above-named Testatrix as and for her Last
Will and Testament, in our presence, who, at her request, in her presence and in the presence of
each other have hereunto set our names as subscribing witnesses.
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ACKNOWLEDGMENT AND AFFIDAVIT
WE, ANNETTA A. BURGETT, KAREN S. NOEL and SHARON L. SCHWALM,
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 her free and voluntary act for the purpose herein expressed, and that each of the
witnesses, in the presence and hearing of the Testatrix, signed the Will as a witness and that to
the best of their knowledge the Testatrix was, at that time, eighteen years of age or older, of
sound mind and under no constraint or undue influence.
ANNETTA A. B ETT
KA N . NOEL
SHARON L. SCHWALM
COMMONWEALTH OF PENNSYLVANIA :
. SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by ANNETTA A. BURGETT, the
Testatrix herein, and subscribed and sworn to before me by KAREN S. NOEL and SHARON
L. SCHWALM,witnesses,this 16`h day of April 2010.
'3 `
N a Public
COMMONWEALTH OF PENNSYLVANIA
Notarial Seat
Roger B.Iro Notary Public
Ca tWe Bono.Cumbedand County
My Commixsion Expires Oct.3,2012
5 Member,PenyylVanla AsaaAadon of Notaries