HomeMy WebLinkAbout01.06.05 BEFORE THE REGISTER OF WILLS, CUMBERLAND COUNTY, PENNSYLVANIA
PETITION FOR GRANT OF LETTERS
Estate of Marie E Shaffer No.
also known as
Marie E Shaffer , Deceased Social Security No. 197-28-9287
Sharon M Roque
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE "A" OR "B" BELOW:)
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut rix named in the Last Will of the
E Decedent, dated 4/22/1999 and codicil(s) dated
state relevant circumstances, e.g., renunciation, death of executor, etc
Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered
for probate; was not the victim of a killing and was never adjudicated incapacitated:
[] (c.t.a., d.b.n.c.t.a.: pendente lite, durante absentia; durante minoritate)
B.
Grant
of
Letters
of
Administration
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse
(if any) and heirs:
~~d~nc::~
Name Relationship ce C._
~/) 0
(COMPLETE IN ALL CASES:) A~ach additional sheets if necessa~.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal
residence at 213 Gull CouP, Hampden Township
(list street, numar and municipali~)
Decedent, then 85 years of age, died Januaw 3 ,2005 , at Manor Care, Camp Hill, PA
(Location)
Decedent at death owned prope~ with estimated values as follows:
(if domiciled in PA) All personal prope~ ......................................... $ 70~000.00
(if not domiciled in PA) Pemonal prope~ in Pennsylvania .................... $
(If not domiciled in PA) Personal prope~y in Coun~ ..............................$
Value of real es~te in Pennsylvania ........................................................................................ $
Total ..................................................................................................................... $ 70,000.00
Real Estate situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in
the appropriate form to the undersigned:
Signature Typed or printed name and residence I
Sharon M Roque
200 Gull Court, Mechanicsbur~], PA 17050
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Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and ~lffirm(s) that the statements in the foregoing Petition are true
and correct to the best of the knowledge and belief of P~it((~ner(s) and that, as personal ~l~tresentative(s) of the Decedent,
Petitioner(s) will well and truly administer the estate acc~rdifu3 to,,ia~.
Sworn to and affirmed and subscribed ~, ~'~
Sharon I~ 15,oque
before me this day of
January, 2005.
DECREE OF REGISTER CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Marie E Shaffer .Deceased No.
also known as
Social Security No: 197-28-9287 Date of Death: 1/3/2005
AND NOW, January , 2005 , in consideration of the Petition
on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters I~ Testamentary I~ of Administration
(c.t.a., d.b.n.c.t; pendente lite; durante absentia; durante minodtate)
are hereby granted to Sharon M Roque
<:::3
in the above estate and that the instrument(s), if any, dated April 22, 1999 ~ :z3 L
described in the Petition be admitted to probate and filed of record as the last Will of Decedent. ~-!'-~: ~c'} ~
FEES ,~:,,~ ~ ~
Letters $ 135.00 ~a ~
Register of Wills~'~ ~
Sho~ Ce~ificate(s) ........... $ ~00
Ronunciation .......................... $
fixtra ~a~os ( ) .............. $ ~~ ~~
co0icH ~J~[ .......................... $ ~s.00
OG~ Feo ................................. $ ~0.00 ~ttorney: ~an k Brown
Invento~ & Tax Forms .............$ I.D. ~o: ~7~3
Other .~9~9.~.~.i~D..~A~ ........... $ fi.00 Addross: 045 Sir Thomas Cou~ Suite ~2
Harrisgurq ~A ~7~0~
lOl~k ............................. Tolophono: 7~ 7-fi4~-5550
DATfi FIk~D: ~/~/2005
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'i hi- is :o certify thai the inf()rmation here 2ixen is ct~rct ti', c<~pic~! from an original certificate of death duly filed with me as
I .,, ti I.:egistrar. The original certificate will be [orw',u'dud !o ibc S~a!c '¢'ilal Records Office tbr permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $2.()0
No.
143 Rev 2J87 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH * VITAL RECORDS
CERTIFICATE OF DEATH
~. Harie E.. Shaffer I~. female ]~. 197 -28 - 9287 I~. 1-3-2005
AGE (Last Birthday) ] .?.N.~ERm 1 !EAR ! ..ONDE~R , ~Ay I ,i~A~T.E~O~E BI,R,T_H , I ~IRTHPLACE (Ci~ a~ IPL~CE OF DEATH IChec~ ertl ..... instruclio~s op ~)th~r §idt '
~ 85 Y~ I I I I I 8-15-1919 I Curwensville I ........ []
DECEDENT'S USUAL OCCUPATION ' ' I ~, I '
G ................. J ~:lsbu~g, KINDOF BUSINESS/INDUSTRY ~AS DECEDENT EVERIN , DECEDENT.SED~ATiON J MARiTAL STATUS . Mar~ed. j~OO~ miz Yes~ No~ J :leme.~/~,~ J (l~+)gee widowedDiV°~d (Sp~fy) SURVIVING SPOUSE
,,. cafete~J_a worker J,~. District ~ ~4.
DECEDENT'S MAILING ADDRESS (Streel. Cily~n. Sta~e, Zip C~e) ~ DECEDENU$
213 Gull Court I~C~U~t ~,.st~,, Pa.
..Mechanzcsburg, Pa 17055 I~TM Cumberland
· ~. ' [ ~ ol~r side) lib. C~nl~ t~nship? lid. ~ No. de~ent lived
· ,.~oster Norris ],~. Carrie Moose
~,. Sharon M. Roque J~. 200 Gull Court Mechanicsburg~ Pa. 17050
~nali~ m Bu.al m Crema~ ~ .... t from s~.t. m l( ............. ~ I o, ot~,,.=. ] ~0~ ~ones to~ Road
~,,. q,,~ s~) / ~ ~. 1-7-2005 I~- lue Ridge Memorial gard~sHarris~ur~, Pa. 17112
~.~' /3 ~' [~. FD 138182 Jz~. Ne~yer Funeral Home Inc. Harrisburg, Pa.
I
'CERTIFYINGTo the t ell of my kno~edgePHYSlC A N Physi~an ~n~yi~ c~se of d~th when another ~vsid~ has pr~d d~lh a~ ~pe~ item 23) 7;~..~_ ......___ -' ~------~mA~~~.~~a
'MEDICAl. E~MINE~ORONER NAME AND ADDRESS OF PERSON ~O ~MPL~T~D C~S~ ~F D~A~/.
(Ilea 27) Tv~ or P~nt /
LAST WILL AND TESTAMENT
OF
MARIE E. SHAFFER
I, MARIE E. SHAFFER, now domiciled in Cumberland County, Pennsylvania, declare this
to be my Last Will and Testament. I revoke all other wills and codicils that I may have previously
made.
Article I
My just debts and expenses of my last illness, funeral, and administration of my estate shall
be paid by my Executrix from the principal of my residuary estate as soon as practicable after
death.
-.
Article II
All inheritance, estate, and succession taxes (including interest and penalties thereon,
not including any generation skipping tax) payable by reason of my death shall be paid out of and
be charged generally against the principal of my residuary estate without reimbursement from any
person. This provision is not a waiver of any right which my Executrix has to claim reimbursement
for any such taxes which become payable as the result of any property over which I have the power
of appointment.
Article III
I give, devise and bequeath in accordance with any memorandum which I have either
handwritten or signed, located with my will or with my valuable papers and found within 30 days
of the probate of my will. Gifts may only be to persons who survive me or to organizations which
exist at my death, and if there is a conflict, the memorandum having the latest date shall govern.
Article IV
All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever
situate, I give, devise and bequeath IN EQUAL SHARES to my three daughters, SHARON M.
ROQUE, of Cumberland County, Pennsylvania, SHIRLEY SPENCE of Bay City, Texas, and
JEAN BAGWELL of Anderson, South Carolina.
However, if a beneficiary does not survive me by thirty (30) days, then his/her share shall
be distributed to the surviving beneficiaries, PER CAPITA, not per stirpes.
Article V
I nominate, constitute, and appoint SHARON M. ROQUE as Executrix of my Last Will
and Testament. In the event of the renunciation, death, or inability to act, for any reason whatsoever
of my Executrix, I nominate, constitute and appoint JEAN BAGWELL as successor Executrix of
my Last Will and Testament. I direct that my Executrix or successor Executrix be permitted to serve
without bond and in addition to those powers granted by law, I grant them power to distribute in
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cash or in kind in like or in unlike shares and to file any qualified disclaimer I could have filed if
living. My Executrix or successor Executrix shall receive reasonable compensation for services
rendered to my estate.
Article VI
In addition to the powers conferred by law, I authorize my Executrix and successor
Executrix, in her absolute discretion:
(a) to retain in the form received and to sell either at public or private sale, any real estate
or personal property except that which I specifically bequeath herein,
(b) to manage real estate,
(c) to invest and reinvest in all forms of property without being confined to legal
investments, and without regard to the principal of diversification,
(d) to exercise any option or right arising from the ownership of investments,
(e) to compromise claims without court approval and without consent of any beneficiary,
(f) to file any federal income tax return for any year for which I have not filed such return
prior to my death,
(g) to make distributions in cash or in kind, or in both, and to determine the value of any
such property,
(h) to employ any attorney, investment advisor, or other agent deemed necessary by my
Executrix; and to pay from my estate reasonable compensation for all their services,
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(i) to conduct alone or with others, any business in which I am engaged in, or have an
interest in at time of my death, and
(j) to receive reasonable compensation in accordance with their standard schedule of fees
in effect while their services are performed.
IN WITNESS WHEREOF, I, MAR1E E. SHAFFER, hereby set my hand to this my Last
Will and Testament, on ~t~5~,~ ~ & 1999, at Harrisburg, Pennsylvania.
/
MARIE E. SHAFFER ~ [
In our presence, the above-named MARIE E. SHAFFER signed this and declared this to
be her Last Will and Testament and now at her request, in her presence, and in the presence of each
other, we sign as witnesses.
Name Address
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I, MARIE E. SHAFFER, Testatrix, who signed the foregoing instrument, having been duly
qualified according to law, acknowledge that I signed and executed this instrument as my Will, and
that I signed it willingly as my free and voluntary act for the purposes therein expressed.
Sworn to or affirmed and
acknowledged before me by
MARIE E. SHAFFER, the Testatrix
on CL~ c~ 1999.
Q.~ ~ublic MARIE E. SHAFFER [ [ -
i Notarial Seal
Jan L. Brown, Notary Public
Lower Paxton Twp., Dauphin County
My Commission Expires Mar. 20, 2000
We, the undersigned witnesses who signed the foregoing instrument, being duly qualified
according to law, depose and say that we were present and saw the Testatrix sign and execute this
instrument as her Will; that she signed and executed it willingly as her free and voluntary act for the
purposes therein expressed; that each of us in her sight and hearing signed the Will as witnesses, and
that to the best of our knowledge, that she was at that time eighteen (18) years or more of age, of
sound mind, and under no constraint or undue influence.
Sworn to or affirmed and
subscribed to before me
and ~ ~f.f; J~¢ax~o~_, W'"itness
witnesses, on ~ c:~O.__ ,1999.
-
iNotarial Seal
· Jan L Brown, Notary Public
lower ~ Twp., Dauphin County
My Commission Expires Mar. 20, 2000
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