HomeMy WebLinkAbout08-22-13 � Resef.
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 W.Lingle,Jr. File No: � � '�•°���
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 162-22-5587
Date of Death: AuQUSt 10,2013 Age at death: 84
Decedent was domiciled at death in Cumberland County, pennsylvania (Srare)with his/her last
principal residence at 9 Locust Street,WormlevsburQ,PA 17043 Wormlevsbure BorouQh Cumberland
Street address,Post OfGce and Zip Code City,Township or Borough County
Decedent died at Harrisbure Hospital,Harrisbure.PA 17110 Dauphin
Street address,Post Offce and Zip Code City,Township or Borough County State
Estimate of value of decedenYs property at death:
Ifdomiciled in Pennsylvania............................ All personal property $ 6,000.00
If not domici[ed in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsy[vania. ....................... Personal property in County $
Va[ue of real estate in Pennsylvania......................................................... $
TOTAL ESTIMATED VALUE. ... $ 6,000.00
Real estate in Pennsylvania situated at:
(Attach additional sheets,ijnecess4ry.) Street address,Post Office and Zip Code City,Township or Boro�6 � County
�
� � � P'� C'?
A. Petition for Probate and Grant of Letters Testamentarv � o ;-;� �
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,date�u'� 1,200�� `";, ��and Codicil(s)
thereto dated none 1^r1 -r <"a �~�i
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State relevant circumstances(e.g.renunciation,death of executoyet � ; , F,�.�, ,,_�
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Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,�as�n'c,t divorced�-vas nat a p�ty to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S�3�23(g),and did not hav��child born or
adopte d;an d Dece dent was nei t her t he victim of a killing nor ever adjudicated an incapacitated pers . �; F'"" . �''
O NO EXCEPTIONS O EXCEPTIONS '� � � lu' -�ir�
❑ B. Petition for Grant of Letters of Administration (Ifapplicable)
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.za.,enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent was not a parry 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.
�NO EXCEPTIONS Q EXCEPTIONS
Petitioner(s),after a proper search has/have 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
Kathleen S.Strawser daughter 34 West Willow Terrace,Mechanicsburg,PA 17050
Charles W.Lingle,III son 605 Old York Road,Wellsville,PA 17365
Form RW-01 rev./0/!l/Z011 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
Kathleen S.Strawser 24 West Willow Terrace Mechanicsbur PA 17050
Charles W.Lin le,III 605 Old York Road,Wellsville,Pa 17365
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 Petitioner(s)will well and truly administer the estate according to law.
Sworn to�Qr a,,f/�rmed a subscribed before Date ��ZL- L bi,3
me ' v(�'�lay o ,� Date 2D
By l�Y� � Date
For the Register Date
BOND Required: Q YES �TO To the Register of Wills:
FEES: ' Please enter my appearance by my signature below:
Lettgrs . . . . . . . . . . . . . . . . . . . . . . $ � Attorne ' nature:
( � )Short Certificate(s). . . . . . �
( )Renunciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printe Name: John A.Roe,Esq.
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Qther . . . . . . . . ID Number: 07109 -._:
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. . . . . . . . �; �
.. . . . . . Firm Name: � Q �'� c'�
. . . . . . r Address: T Y ��
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. . . . .. Harri'ahurg,P31D1'�'] �;d—�
. . . . . . . —� U7 °`� N �� C:)
. . . . . . . . Phone: 717/671-987((� � �� "t? -�s y —rt
Automation Fee. . . . . . . . . . . . .. . Fax: 717/671-987� "
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JCS Fee. .. .. . . .. . . . . . . . . . . . . , Email: �rnP.PSi(�anl'r.nnv`ti7 F—� �.� ��—
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TOTAL. . . . . . . .. . . . . . . . . . . . . $ f 't7 0
C..J �
DECREE OF THE REGISTER
Estate of Charles W.Linele,Jr. File No: ��'l 3— ��)
a/k/a:
AND NOW, "� ,��in consideration of the foregoing Petition,
satisfactory proof having been r ented e re me,IT IS DECREED that Letters Testamentarv
are here y granted to Kathleen S.Strawser and Charles W.Lingle,III
in the above estate and(if applicable)that
the instrument(s)dated June 1,2006
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s))of Decedent.
�,
R gister of Will$ ���
\� �
Form RW-02 rev.10/1l/2011 Page Of 2
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H105.805 REV(9/11)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat.or photograph.
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�'ee for this certificate, $6.OQ ����f . `- �" �,,,,����"" This�is to.certify that the information here given is
�, a : 3, � 1��,��P��H OF pF�;y _ . correctly copied from an original Certificate of Death
� • ' ��r�p�" -= `��, dnly filed with me as Local<Registrar. The original
, '���� ;f v�J :�'� �-�, � Cr� ��= � =_ s�z certificate will be forwarded to the State Vital
� ;_ Records Office for p anent filing.
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Certification Number ��M 8 E R L A Pv�? i,�., r�Q
"""""""'"� � Local egistrar Date Issued
. 7yp�/Print_In ' � COMMONWEAITH Oi PENNSYlVAN1A�DEPARTMENT OF HBALTH•VITAL RECORDS
P•�^'•^= '`� ..,CI�ART-.E&_ i�i, LINGLE, JR_ CERTIFIGATE OF �EATH st,uF,i�N,,,,,be�:
. Black InT['•.
. 1.'O�eqdent's.l�t 1 N�mrSFir34 Mldtll�,Laai SuHix) 2.Stx 3.Soeial Swcurity Number 4.D U o1 D�afh(MO/Day/Yr)(Spall Mo)
C�'f i�' '� ::-�' -' � . �i! 1� G!� ��C. 162-22-5587 �
Sa.Ap-Lart BI� - Sb: nd�rS.Y�K- Sc.Und�r 1 Oa 6.O�t�of Bfrth(MO��y/Y��r)(Sp�ll Month) 7a.Birthpbce(City snd State or Fo• n untry)
JWdnthsi ;•D�ys.' ' Mours nni���.. � � Harrisbur �A �
:84.- - July 22, 1929 �e.e�nnP�.�.tco�.,�.>
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' �'.Y�s 0 No 0 Unknown 0 OWorc�d 0 N�wr M�rrfad 0 Unknow
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�Whll� �JaPan�s� � Samo�n don�durin{mo�e of werkin{Iih. DO NOT VSE 0.ETIRED.
Black or Afriun Am�rlun O Kor�an � Other Paclflc lalander Mg11 Handler
� O AmeAcsn Indisn or AISaW Native O v�etnam�s� � Don'S Know/NOS Su��
0 Asisn Indbn �Other Aaian � Ratuasd 22b.Kintl of Butinsaa/Intlustry
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[ S 3T ECOMlI O� Z�a. at�Pronounce Des Mo�ay � 2 .�SI`naturs o eraon:P�onounc n{De�t On y w en applic� Iw c.Licsrffo Number
BY PEItSON WMO PRONOUMC[S OR �� � �� � . � �
CERTi1FS��0EATM . . . . . . . � . . . .
23d.DaC�5linep(MO/'DaY ��) . � 34..'Rm�ot Oeat � �
�� � � � � 25:Was M�diul�.Ex�mina��.orCOronerCOntacted? Yes�� No �� �
� � � � � CAUSE OF�EATFf. .. .. , .. � ��.. . . .
.. . . ..� N+Prwnenace
26.Yar!L ErK�r th�eNa1n of�v�nes--dlN�s�s,InJurNa�or eomplieKlons-tti�C d1��CtN c�us�tl YM death. DO NOT�nqr t�rminal�wno such aa errdl�e arc�f[, � Inffrv�l:
respiraiory arraat,or vsntrlCUlar flbr111aClon withouS shoWlns th�eNOlosy. DO NOT ABBREVIATE. Eni�r only on�oua�on a Ilne. ACtl sdOiiional Iines if netesaary. 1 Onsat to D�a�h
f�0 X/�- � �,�x
IMMEDIATE CAUSE -----> a. �
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If�nY.Ia�dinf�Ne causa � . �. . . .. i
o� Ilst�d on Ilns�.�. EM�r th� � � . � . . � . ..
f� UNDERLYING CAUSE �. �. . � . Due to(or as a cons�quanCt o�: �. �
_ � � (d�sus�or inJury that � � . . �
� �nrcusea sn..wou��r.w�c�nt.. a. � . . '
in dpen)IAST.�� oue te(or aa a eons�qwnca o�: �
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O P�t������tlme of A��Sh 0 No � "QfUnknown 0 A cldant O Pe�d���Inv�stlpcbn
.�1 0 Not pret�an[,but prnnant witMn 42 tlays of dsaih O Sulclde p Could�ot ba d�tertnln�d
p Not pro�nant,but pr�snant 43 days u 1 year b�for�Apth 32.Data of InJury(MO��y/vr)(Spell Mont�)
O Unknown If pr�`nant within th�p�si y�ar 33.Time of In)ury
� 34.PIaCe o/1nJury(e.{.home;construCtlon slte;farm;scF�ool) 3S.Lootlon of In)ury(Streat and Number,City,CounN.52ata,Zip Cotl�)
36.inJury st Work 37.1f TranspoKatlon InJury.SpecHy: 30.DeseAbe How IN�rY Occurred:
�� p ves O Orlwr/Opsrator p vatlesirian
V� p No p Paas�ni�r [� Oth�r(SpeCNy)
� 39a. �r-phV+�����.��K �d nune praciltloner�+�tlical���ntn�r/eoroner(Check only one): .
CertNyln�onH-To the b�st o4 my knowl �e ath oc r d dw co the caus�(s)and m�nn �s4t�d.
� 0 P onoun<i�s&GrtHylns-To tM b�se iy owl�tl� �ath occurr�d at tM tlme,date,and plac�,anE tl�a�to ch�uua�(s)and mann�r aiae�E.
1 0 M�dical Examin�r/COronar-On th xamin n and/or Inv�ssiptbn,in my opinion,d��ih�o.ccAurr�d a!eM tlm�,dat�,�nd pl�ce,�nd dw m th (a)and m� atac�d.
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H105-143
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�,AST WILL AND TESTAMENT : ' � ,`''
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CHARLES W. LINGLE, JR.
I, Charles W. Lingle, Jr. of the Borough of Wormleysburg, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory, and understanding, do make, utter,
and publish this, my Last Will and Testament, hereby reveking all former Wills by me heretofore
made.
1. I order and direct that my Executor, hereinafter named, shall pay in full as soon as
may be conveniently possible after my decease my just debts and funeral expenses, including all
inheritance, estate, succession and legacy taxes of whatsoever nature and kind, both State and
Federal, to which my estate or the transfer of any property passing hereunder or otherwise passing
by reason of my death, may be subject, and to charge such taxes against the residue of my estate,
it being my intention that none of the aforesaid taxes or any of the property required to be included
in the gross estate under the provisions of any State or Federal Law now in force and effect or
hereafter enacted, shall be pro-rated among the persons interested in my estate and to whom such
property is or may be transfened or to whom any benefit accrues.
2. I give, devise and beqizeath all the rest, r.•esiuue and remainder of my properry, real,
personal and mixed, of whatsoever nature and wheresoever situate, of which I shall die seized and
possessed, or to which I shall be entitled at the time of my decease, to my daughter, Kathleen S.
Strawser, per stirpes, of Mechanicsburg, Cumberland County, Pennsylvania and my son, Charles
W. Lingle, III, per stirpes, of Wellsville, York County, Pennsylvania in equal shares.
��.
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3. I nominate, constitute and appoint my children, Kathleen S. Strawser and Charles
W. Lingle, III, or the survivor of them, co-Executors of this, my Last Will and Testament, to
serve without bond of any type whatsoever.
4. I direct that my Executor shall serve as Guardian of the estates of any minor
beneficiaries, to serve without bond of any type whatsoever.
IN WITNESS WHEREOF, I have to this, my Last Will and Testament, set my hand and
seai a[ the eiYd 'nereoi, this� da} �f June , 20G6.
�� � p �
CHARLES W. LING , J .
The preceding instrument, consisting of this and two (2) pages, was on the date thereof
signed, published, and declazed by Charles W. Lingle, Jr., 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 e ch other, have subscribed our names as witnesses hereto.
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:__ __.�-- ITNESS WITNESS
ACKNOWLEDGMENT AND AFFIDAVIT
COMMONWEALTH OF PENNSYLV�NIA )
► :s
COUNTY OF DAUPHIN )
On this ls` day of June , 2006, Charles W. Lingle, Jr., John A. Roe and Ann M.
Robinson, 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
2
signed and executed the instrument as his Last Will and Testament, and that he 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 witnesses 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.
WITN S ES:
� �� ; � .
��� eai j ; � (Seal)
CHARLES W. LIN GLE,
i��� `� ' Y �"-t-��-,.�`r;� (Seal) _
;
Subscribed, sworn to, and acknowledged before me by Charles W. Lingle, Jr., Testator,
John A. Roe and Ann M. Robinson, witnesses, this ls` day of June , 2006.
��G'��t�. � .�1..�.�-%t
Notary Public (Seal)
COMMONWEALTH OF PENNSYLVAN;+fa
NOTARIAL S LAE ���',�
EBONE' M. TURNER, Notary Publ�:;
;9 Susquehanna Twp., Dauphin County ;
;My Commission Expires April 6, 2009�
--._,
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