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Home My WebLink About06-07-13 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 Name: CHARLES E.TATE File No: ��' ��Cp�� a!k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: July 19,2008 Age at death:74 Decedent was domiciled at death in CUMBERLAND County,pENNSYL.VANIA (srare)with his/her last principal residence at 219 Chestnut St.Mt Hollv Snrin�s,PA 17065, CitvBorou�h of Carlisle,Cumberland Countv Street address,Post Office and Zip Code City,Township or Borough County Decedent died at ManorCare Health Services 940 Walnut Bottom Rd Carlisle PA 17015 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 $ 5,000.00 If not domiciled in Pennsylvania. ... .................... Personal property in Pennsylvania $ If not domiciled in Pennsylvania. ....................... Personal property in County $ Value of real estate in Pennsylvania.............................. ....... .................... $ 70,000_00 TOTAL ESTIMATED VALUE. ... $ 75.000.00 Real estate in Pennsylvania situated at:912 W.North Street,Carlisle,PA 17013, CityBorou�h of Carlisle,Cumberlat�}:aCounty (Attach additional sheets,if necessai��.) Street address,Post Office and Zip Code City,Township,�Bo�rough w � �� tar � 'ti c � � 0 A. Pehtion for Probate and Grant of Letters Testamen v m � z tn � Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated � � 1�`— `�cl�,�odicil(s) thereto dated *'� —•.7 -;� c� Z ' ` �� A—�� State relevant circumstances(e.g.renunciation,death of executor,etc.)� C'� � Z7 "�'i "�"t C"� O � � „� '*'f Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was no�d�rced,wa�t a p�dy t�pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §33�(g�,tand did not hav�c�ild born or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ]s► C�i �+'� � � �NO EXCEPTIONS �EXCEPTIONS � 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 abse�itia,durante minoritate If Administration,c.t.a. or d.b.n.c.�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. O NO EXCEPTIONS �EXCEPTIONS Petitioner(s),after a proper search has/ha�•e ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(attach additional sheets,if necessary): Name Relationshi Address JUNE A.TATE SPOUSE 219 Chestnut St,Mt Holly Springs,PA 17065 WESLEY A.TATE SON 598 Zion Road,Carlisle,PA 17013 MERL E.TATE SON 118 Yates St,Mt Holly Springs,PA 17065 DARRYL P.TATE SON 11 Mount Allen Dr.,Mechanicsburg,PA 17055 BRIAN K.TATE SON 219 Chestnut St,Mt Holly Springs,PA 17065 Form RW-O2 rev.10/11/2011 Page 1 of 2 . _,��, _ Oath of Personal RepresentaNve C'� Official�Only� � � �7 �— �? Q COMMONWEALZ'H OF PENNSYLVANIA } m 'U Z t,r� � } S S: � = r '' `�'. D ;-;� t�� COUNTY OF CUMBERLAND } D Z � � � � fJ� "�'t Petitioner(s)Printed Name Petitioner(s)Printed(1�d�ss � .b `�'� O WESLEY A.TATE 598 Zion Road Carlisle PA 17013 � � � � � n c-� u' -r, N 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 Dece nt,the titioner(s will truly administer the estate accordi ,g to 1 w. Sworn to or affirmed and subscribed before Date v ` ..3 me is day of } � , 2�,[� �ate BY � Date For the Xegister Date ., BOND Required: Q YES � NO To the Register of Wills: FEES: Please enter my appearance by my signature below: 3��° Letter . . . . . . . . . . . . . . . . . . . . . . $ Attor 'gnature: ( �) Short Certificate(s). . . . . . r— � ( )Renunciation(s).. . . . . . . . • 0 ( )Codicil(s). . . . . . . . . . . . . ( )Affidavit(s).. . . . . . . . . . . Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: STEVEN D.GUINTER Commission. . . . . . . . . . . . . . . . . . Supreme Court O r ID Number: 34215 ,. . . . . . . �6 . • � • � • Firm Name: LAW OFFICE OF STEVEN D.GUINTER,J.A . � • � • • • • Address: 480 C,ABIN HOL.LOW ROAD • • � • � • � • Dii.i.SRITR(� PA 17019 � � , • � • • Phone: 717 397 4397 Automation Fee. . . . . . . . . . . . . . . '� Fax: 888 701 1538 JCS Fee. . . . . . . . . . . . . . . . . . . . . Email: �g iinter�nntlnok c�m TOTAL. . . . . . . . . . . . . . . . . . . . . $ . @'_� a� � ° DECREE OF THE REGISTER Estate of CHARLES E.TATE File No: ��- I�- (0��p a/k/a: AND NOW, �� ,�, in consideration of the foregoing Petition, satisfactory proof h ing been presented before me, IT IS DECREED that Letters of Administration are hereby granted to Wesley A.Tate in the above estate and(if applicable)that the instrument(s) dated described in the Petition be admitted to probate and filed of reco d as the las Will(and Codic' s))of Decedent. Register of Wills `� age 2 f 2 Forn�RW-O2 rev.!0/1!/l0/! ` ; _. i G' � r� � � � � � � � � � ...... � � = n � ^"� � � �. � � �"� r z rn --.� :� � � U'- � ° `� .�-�, -� -�c RE�TIT�i CI��TIO� ° a � � �: � o � �-- r-° :� -v � cn � ° REGISTER OF WILLS � �v � �i��+rt,IE.1�C��l nJ� COUNTY, PENNSYLVANIA ��-/3-!��lv � Estate of � G.� e� �• � �� ,Deceased I �V!`�� /��. �— � Q , in my capacity/relationship as (Print Name) � p`6�� of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to �� . , (Date) (Signatu I � .� ,�r�+� � (Street Address) ��.� � � �� (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 1�� ,—,�,`� . _� Deputy for Register of VVills N ary Public My Commission Expires: (Signature and Seal of Notary or other official ualified to administer oaths. �� Jodi A.VanVVir�de�Notary Public. Hummelsboam Borough�Dauphin Co. My Commiasion Exp�+a�s April 18�2017 Form RW-06 rev. l0.13.06 f.,�j � �7 � � � L�/ � � � � � � � �� rn ...� � � � s� � � y�s �� i�`� �� c-' � T'�'t --.J ;�.: '�' RE�!"I,Ti'�,CIa�TI0�1 � �' � �, a � � c> c.� � �, -� � c> -�-; � c� G GISTER OF WILLS � � ~ � � � � � � (��r►�l�o��l/� COUNTY,rENNSYLVANIA s� rv �l j 3 -�� Estate of �' �s �� , D�ccas�d I, � fC � , in my capacrty/relationship as rint Name) �o'`� of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to �� e �Q �� (Date) (S' a re) � r � f r (Street Address) ` � / � G� ��// (Ciry,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 o�� day of , � �� Deputy for Register of Wills No Public My Commission Expires: (Signature and Seal of Notary or other o�cia i A administer oaths. �� T � �� S Jodi A.VanilVtnide,Notary Pubiic Hummeis�oMm Borouqh�Dauphin Co. My Commiss�n Expires April �8�2017 Form RW-06 rev.10.13.06 ;�.� C w � � � � � � � � C � C� RE�TLTi�iCI��TI�� _ � z �'`' :°� �r �,,, r- � � A � � � � � � � `J :,� � RE ISTER OF WILLS �' c� o �'v ° � �u�v�.be�1.�� COUNTY, PENNSYLVAN� C � � � � ` ..�`,� ~ �" r�t a�-�� r �. � � � / �. Estate of � h. � C � � Q ,Deceased ��f I� a � / in m ca ac' , y p rty/relationship as (Print Name) �� of the above Decederit,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to /� l � � � o� �0%3 � (Date) (Signatur � �� h�s�� ',S�-, �� c� � (Street Address) � �� 11 rS � � � � ,� �ciry,srate.z�pl 1�70 � �'' 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 sta d within on this d day . of , O , r _ Deputy for Register of Wills Notary Public My Commission Expires: (Signature��e�fj;�� Atf�y;o�-�C �1� administ . 'sion.) AL Andrew Shoemaker, Notary Public Newviile Borough,Cumberland Gounty My Commi::ion Expir�i�an��y 10,2016 Form RW-06 rev.10.13.06 � C � � � f'st � � C � 'O � � � Z �13 � � �'� ?�► � � �``� �t� � � � � � � C;,7 � RE�iUi�CIATIO� � � ° � a�' -� ;� � :� . � �-.-• ;_�' �;,t „� ....� ;,..,. REGISTER OF WILLS �' �'�` �`� �' rv `*� u � �r �� COUNTY,PENNSYLVANIA ��- /�- G �� Estate of � r �� Q . ,Deceased � I, �-C �� , in my capacrty/relationship as �� (Print Name) of the above Decedent, hereby renounce the right to administer the Estate of the Decedent respectfully request that Letters be issued to 8 �l ,�� -e�� . (Date) � (Signature) /� S �. (Street A dress) �� l �70� (Ciry,State,Zip Executed in Register's Office Executed out of Register's Office Sworn to or affirmed and subscribed Before the undersibned 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 �J�'�- day of (Y�.�,�, , ��3 � ' �'��'�'1. 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.) COMMONWEI�L"i H CUr rtN+dS`1LVANIN NOTARIAL SEAL. DEBORAH S.BEH,Notary Public Mo�rt Holiy Springs Bo%Cumberland County Form RW-06 rev.10.13.06 My Commissian Expir�s(?�.^.�E.r 04,2016 ��.:.. �.,� __..--�-__....��.._...� Power of Attornev I,June A. Ta�e,of Cumberland County,Pennsylvaxua,appoint my son,Darryl P. Tate of Cumberland County Pennsylvania,with fuli power to act individually and separately as my a,gent ("my agent"),with fu11 power of substitution,for me and in my name,to transact all my business and to manage a11 my properly and affairs as I might do if personally present,including but not limited.to exercising the following powers: Durable Power of At#orney: This power of attorney shall not be affected by my subsequent disability or inca.pacity.All acts done by my agent pwrsuant to this power during any period of my disabiliiy or incapacity shall hav�the same effect and enure to my benefit and bind me and my successsozs in interest as if I had full capacity and were not disabled. Revocation of Prior Powers of Attorney: I hereby revoke a11 powers of attorney which I may have heretofore granted,except(i)limited powers authorizing any lawyer or certified public accountant to act on my behalf in any matter relaxing to federal taxes for a specific yeaz or years or for a specific audit or proceeding,{ii}limited powers over any bank,brokerage or mutual fund account or safe deposi#box;provided that in either case,the power is signed by me on a form authorized or supplied by the Internal Revenue Service or the institutior�involved,.as the,_cas� may be;and(ui)any advance directive for health care,or similar doc�ent. � � Manugement of As� ' 1. Cash Accounts To collect and receive any money and assets to wh�ch I may be en�itled; to deposit cash and checks in any of my accounts;to endorse for deposit,transfer or collection,im m �ame and for m account an checks f y y y pa.yable to my order,and to draw and sign checks for me and in my name,including any a+ccounts opened by my agent in my name at any banl�or banks,sa.vings svciety or eisewhere,and to receive and apply the � proceeds of such checks as my agent deems best. 2. Real ared Personal�roperly. To buy or sell at public vr pnvate sate for cash or credit or by any other means whatsoever;to a�c�uire,dispose o�repair,alter or manage my �angible real or personal property or any interests therein. 3. Benef it Plan.� To apply fot and receive any government,insurance and retirement benefits to which�may be entitled inciuding the right#o act as my represent�.tive.�ayee with the Social Security A ' ' 'on.and to exercise any right to el�t},�nefits�r rn m . c� � r, p a y m e n t o p ti o n s;#a��r m i n�a t e,t o c h a n g e b e n e fi c i a r i e s o r o w n e r s l u p,t��g n r i g�s,to�— � b orrow or receive cas h v a lue in retura�for the surrender of any or a11 ri�t��ay have� � Ii fe insura�ace po licies or b e ne fits,annuity po licies,p l a n s or b ene fits,�ti t�t�u n d�d � � o t her d ivi den d investment plans and retarement,profit-shari.ng and em��:e�vve � � � � .,,�.� � ,�.., `�t plans and benefits. c,, c �.� �-, : � F--� t'°�' r� � � � � N Medical Procedures and Admission into Facilities: 4. Medical Procedures. To arrange for and consent to or to withhold medical,therapeurical and surgical procedures for me,including the administration of drugs. 5. Admission Into Facil'iti�s. To apply for and authorize my admission into medical, nursing,re�idential,reha.bilitation,convalescent,or other similar facilities on my behalf, and to sign any consent or admission forms required by such facili�ies which are consistent with this power,and to enter into agreements for my care by such facilities or elsewhere during my lifetime or for lesser periods of time as my agent may designate, including the retention of nurses for my caze. 6. Access To My Medical And Other Personal Information. To request,receive,and review any information,verbal or written,regarding my personal affairs or my physical or mental health in any of my health care records,including medical and hospital recorc�s, which informa.tion may include my health history;any diagnosis,treatment or prognosis I have or have had;even if such information inciudes information pertaining to sexuatly t�rransmitted disease,acquired immunodeficiency syndrome(AIDS),or human immunodeficiency virus(lE�,behavioral or mental heaith services or treatment for alcohol or drug abuse,and I expressly authorize my agent to�ecute any reie.ases or other documents that may be required in order to obtain this informatibn,subject to the#erms of the attached Au#horiza.tion for Access to Medical Records�s executed by me ;_ ("Authorization"}.I understa�id.that once such information is relea,5ed to my agent,it may be re-disclosed and not protected by federal privacy laws or regulations. I agree to � . indemnify and hold harmless any medical provider for providing the requested confidential information conceming a determination of my capa.city,and from the uses to which such information may be placed.In all respects,this provision of my Power of , Attorney is intended to provide my agent with the same authority as I would have with respect to the uses and disclosures of my protected health information under the Health b�surance Portability and Accountability Act of 1996,as amended(otherwise known by the a�cronym"HIPAA"}_ 7. Reliance on�'ower. This power may be accepted and relied upon by anyone to whom it is presented until such person either receives written notice of revocation by me or a guardian or simiiar fiduciary of my estate,or h�as�knowledge of my dea�h. 8. Hold I�armless. All actions of my agen#shall bind me and my heirs,distributees,legal representa:tives,successors and assigns,and for the purpose of inducing anyone to act in accordance with the powers I have granted herein,i hereby represen�,warrant and agree that if this power of attomey is term,inaxed or amended for any reason, I and my heirs, distributees,legal repr�senta�ives,successors and assigns will hold such party or parties harmiess from any loss suffered or liability incurred by such party or parties while acting in accordance with this power prior to that party's receipt of written notice of any such termination or amendmen#. NOTICE THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON YOU DESIGNATE(YOUR"AGENT")BROAD POWERS TO�[ANDLE YOUR PROPERTY, WHICH MAY INCLUDE POWERS TO SELL OR�THERWISE DISPOSE OF AN�REAL OR PERSONAL PROPERTY�'VTTHOUT ADVANCE NOTiCE TO YOU OR APPROVAL BY YOU. ' THIS P4WER OF ATTORNEY DOES NOT IlViPOSE A DUTY ON YOUR AGENT TO EXERCISE GR.ANTED POWERS,BUT.'�V:E�N POWERS ARE EXERCISED,YOUR. AGENT MUST USE DUE CARE TO ACT F4R YOUR BENEFIT AND IN ACC�RDANCE WITH THIS P�WER OF ATTORNEY. YOUR AGENT MAY E�RCISE THE POWERS GNEN HERE THROUGHOUT YOUR LIFETIlVIE,EVEN AFT'ER YOU BECOME INCAPACITATED,UNLESS YOU EXPRESSLY LIMIT 1'HE DURATION OF'THESE POWERS OR YOU REVOKE TI-�SE POWERS OR A COURT ACTIl�TG ON YOUR BEHALF TER:MIl�TATES YOUR AGENT'S AUTHORITY. Y4UR AGENT MUST KEEP YOUR FUNDS SEPARATE FROM YOUR.AGENT'S FUNDS. A COURT CAN TAKE AWAY THE POWF.RS�F Y�UR AGENT IF IT FINDS YOUR AGENT IS NOT ACTIl�TG PROPERLY. � � . - . THE POWERS,AND DUTIES 4F AN AGENT UNDER A POWER OF ATTORNE�ARE EXPLAINED MORE FULLY IN 20 PA.CONS. STAT.ANN.CH. 56. � IF THERE IS AN�"THiNG ABOUT THIS FORM THAT YOU DO N�T UNDERSTAND, YOU SHOULD ASK A LAWYER OF YOUR OWN CHfJOSING TO EXPLAIN TT TO YOU. I HAVE R.EAD OR HAD EXPLAINED TO ME THIS NOTICE AND I UNDFRSTAND ITS , COr[7'ENTS. � - e A.Tate,Princ�pal Date: �-� -�.� � l�l Acknowledgment Common th of Pe Ivar�r� : County of (�i,�1��..� ��u : ss: 4 �u n�, �-��-fi If On this . �day of -�?�`` (month andyear)�personallY aPpeared before me,a Notary Public in and for the said County and State,the above-named individual, June A.Tate,who acknowledged the foregoing Power of Attomey to be her act and deed and � desires the same might be recorded as such according to law. I have signed my name and a�xed my seal on the day and year aforesaid. . � � f . �:y � �� __ � ��' �,f�� - ��. �. _ �� . 9 � . ♦/ Notary Public I'VIy Commission E�ires: , J ��%1�t 7�r� C , �i0 � �' �y'��t��r��l��SEI��. ' . � s�:i�:i�. �#js��±�1.�.'v��C��i��+ts�l;�{�i � ��u�>;��►��r�ugt�, D�upt��n Co. �y Gonxnissi�n Expires A�rit 18,2Q93 .r�, �' ACKNOWLEDGMENT I,Darryl P.Tate(agent),have read the atta.ched power of attorney and am the person identified as the agent for th�principal.I hereby acknowledge that in the absence of a specific provisions to the contrary in the power of attorney or in 20 Pa. Cons. Stat,Ann.when I act as agent: i sha11 exercise the powers for the benefit of the principal. I shall keep the assets of the principal separate&om my as�sets. I shall exercise reasona,ble caution and prudence. I shatl keep a full and accurate record of all ac#ions,receipts and d.isbursements on behalf of the principal. _..��-.�____�---�------; i �'� Darryl P. Taie, gent . ; - � a � ��Date: / "�. � �:;� , � � This power of attorney sha11 become effective i.mmediately upon execution of this document. I have si ed this wer of attorne this : �'�da of L��(.� �' � P° Y y � 4 {month and ear . y ) � �,� �° � e A.Ta#e,(Principal) .� � � � � (Socia.l Securiiy Num� r } Witaesses: � � � �� .� �� ji Witness's signature:� l� �� -� - " ffi ,� _ � � AddFess&Phone Num : � { - ��t��i�� . � • �C . - , , ��. . / �... ' ' •� )� f � { - '1 I' � 1 1.;`�'�, i� � WItIleSS�S S1��13�e: � `� " ,� ; � - / � � . ��. AddreS,s&Phone Nudnber: c��ZS �� C�'�-� ,l� �'- . ' ' ' � fi /7� , �`. f G� . � -7/7 �� - �� ' ,