HomeMy WebLinkAbout01.11.05 Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of Michael A. Gottshall No.
also known as
, Deceased Social Security No. 192602675
Petitioner(s), who is/are 18 years of age or older, apply(les) for:
(COMPLETE "A" OR "B" BELOW:)
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut or named in the Last Will of the
~ Decedent, dated 11/22/2004 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 minodtate)
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 followi~g~ spouse
(if any) and heirs: ~ ~ _-~
Name Relationship ; :'~ _~_s~ence ~
(COMPLETE IN ALL CASES:) A~ch additional shee~ if necessa~.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal
residence at 3 Patricia Dr. Enola, East Pennsboro Township, r~
(list street, number and municipali~)
Decedent, then 37 years of age, died December 1, ,2004; , at
(L~tion)
Decedent at death owned prope~y with estimated values as follows:
(if domiciled in PA) All personal prope~y ......................................... $ 58~000.00
(if not domiciled in PA) Pemonal propeAy in Pennsylvania .................... $
(If not domiciled in PA) Pemonal prope~y in Coun~ .............................. $
Value of real estate in Pennsylvania ........................................................................................ $
To~I ..................................................................................................................... $ 58,~00.00
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:
I ~"~ /~/ature Typed or printed name and'residence I
670 Whisler ~d
Etters, P^ 17319
RW-7
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true
and correct to the best of the knowledge and belief of Petitioner(s) and th/at, as personal representative(s) of the Decedent,
Petitioner(s) will well and truly administer the estate a,g~ding to law.
sworn to and affirmed and subscribed ~'~'~"'
David Lash
before me this / / f/~ day of
DECR REGISTER
Estate of Michael ~. G0ttshall Deceased No.
also known as
Social Security No: 192602675 Date of Death: 12/1/2004
AND NOW, , , in consideration of the Petition
on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters [] Testamentary [] of Administration
(c.t.a., d.b.n.c.t.; pendente lite; durante absentia; durante minoritate)
are hereby granted to
in the above estate and that the instrument(s), if any, dated
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
Short Certificate(s) ............... $
Renunciation .......................... $
Affidavit ( ) ....................... $
Extra Pages ( ) .............. $ Attorney
Codicil ................................. $
JCP Fee ................................. $ Attorney: James H. Turner
Inventory & Tax Forms ............. $ I.D. No: 29928
Other ...................................... $ Address: 4415 N. Front St
Harrisburq PA 17110
TOTAL ............................. $ Telephone: 717-232-4551
DATE FILED:
RW-?A
U. h o certify thai the information .here given is correctly copied from an original certificate of death duly filed with me as
I. ,{ ~ F~egisll'ar. Thc original certil'icate will be forwarded to the State Vital Records Office for permanent filing.
W~NING: It is illegal to duplicate this copy by photostat or photo~raph.
/~g~ ~ ~ N~X5 Local Registrar
No. ~ ~..- ~ ~
,In5 t43 Rev 2/87 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
NAME OF DECEDENT (First, MK~dle, Last} I SEX I SOCIAL SECURITY NUMBER I DATE OF DEATH (Monlh Day, Year)
". Michael A, Gottshall 2. Male 13 192-- 60 -- 2675 ~J)ecerd;,dr / god,./
AGE (Last BiRh~y) I UN~R 1 YEARm UNDER I DAY[ DATE OF BIRTH 8 RTHP~CE (Cy a d PLACE OF DEATH C~k O~V one S~ Inst~ctl~s ~ 9{~r ~i~) - * %'
. 37 w, I [ 8/8/67 IBloomsburg, I ..... ~o.. .... D ~O I~-.;~ m ....
0' I I I I 16. - - 17. Pa 8.. I "~' u ,,~.--~
,~ ......... ~:. ~,,,~uro ~w~ MO/. C .... /- 14~._i lu,~.~u.~,..,c White.
,,. Credit Union I,~.Fraud ~ept [~. I'. 1 2 I 2 < ~ ~,. Sinqle ~.
ACTUAL aTa. Stale Ponrmvl van~~ 17c. ~Yes,~ec.a~t~in East Pennsboro
3 Patricia Drive IRESIDENCE - d~e~nt
~ (~ ins~tions live in a
~s. Enola~ Pa 1 7025 io.o~,~.~ ~z~.comv CumberlanO ~,~,* ~.~
~. Sterling E. GotEshall ~,. Hary E, Deibler
INFORMANTS NAME (TypelPdnt) INFORM%N~ MAILI~g,DDR~SS (Stre,, Clty~n. State, Zip C~)
,~.. David Lash ~0.. 0 W ~sier Rd, Etters, Pa 17319
~ETHOD OF ~IS~OSITION DATE OF ~ISPOSIflON ~ P~CE OF OIS~OSlTION- N~m~ of C~m~/e~, Cr~ma ~ ~[~ATION - City~n 5tat~ Zip
z,.. 0m,r(sp~} ~ 2~b. Dec 6, 2004 *,,. Enolg Cemetery ,,,.Enola, Pa
,~,.F.D.014993 ],=Sullivan FH, 51 N. EnolDr, Enola,Pa
~1~ ~use ~ ~ath. 231. 23b. Il
!
To the be.t of my knowledge, deim occu.~d due to the c~uses(l) and mann .... ~ated ..............................................................~~/~ r;'; ~'l/f/
'PRONOUNCING AND CERTIFYING PHYS~IAN (phy ..... ~,. ~o.ou~cino death a~ ~d,~i~ t ...... , ~alh) I uc~N~ N~M~E" / -Q-- I DAI E SIGNEp IMPlY/DaY,Year)
To the belt of my knoMedoe, death ..... ..,thetlme, date, andpl ...... dduetoth ....... Ii)and .......... tared ............ ~13,~/bfl~O'[C q<~ I""- /~/z
'MEDICAL EXAMINE~CORONER I NAME~ND ADDRESS OF PERSON ~tO COMPLETED C~UbE O~DEAIH
mannerOn the basis of exam nat ~ an~or ~vestlgatlon, iff my Dp n Dills ~ated .... , del h occurred at the time, date, and place, and due to the causes(s and ~l ~t''~ /~ ~)~1 ,~ ~ j/, ~ ~ //
REG~R'S SIGN~ ~MBER i - , ~ DATE FIreD (M~tt~ Day. Year) f ~
LAST WILL AND TESTAMENT
OF
MICHAEL A. GOTTSHALL
I, MICHAEL A. GOTTSHALL, 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 Executor fi.om the principal of my residuary estate as soon as practicable after my
death.
Article H ~ ~.~
All i~edt~ce, estate, ~d succession t~es Onclud,ng ~nterest ~d penalties~ but ~t
~ "~f~ ,~""* ("3
including ~y generation skipping tax) payable by reason of my dea~ shall be p~g ~~d~
ch~ged generally against the principal of my residu~ estme without reimb~se~om ~
person. This provision is not a waiver of ~y fi~t which my Executor has to claim reimb~sement
for any such taxes which become payable as the result of any property over which I have the power
of appointment.
Article IH
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
I direct my Executor to pay offmy mortgage from the principal of my residuary estate as soon
as practicable after my death.
Article V
All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever
situate, I give, devise and bequeath according to the following schedule:
A. FIFrY PERCENT (50%) to my mother, MARY E. HUBER, of
Cumberland County, Pennsylvania.
B. FIlrrY PERCENT (50%) IN EQUAL SHARES to my brother, DAVID
LASH, of York County, Pennsylvania, to my brother, JAMES
GOTTSHALL, of Columbia County, Pennsylvania, to my brother,
ROBERT GOTTSHALL, of Cumberland County, Pennsylvania, to my
sister, DIANE FETTERMAN, of Northumberland County, Pennsylvania, to
my sister, PHYLLIS SMITH, of York County, Pennsylvania, and to my
sister, JANICE HEVEL, of Perry County, Pennsylvania.
-2-
If one of the beneficiaries named in this Article predeceases me or fails to survive me by
thirty (30) days, I give, devise and bequeath the share he/she would have received to the
.remaining named beneficiary(ies) in this Article who survives me by thirty (30) days, PER
CAPITA, NOT PER STIRPES.
Article VI
I nominate, constitute, and appoint DAVID LASH, as Executor of my Last Will and
Testament. In the event of the renunciation, death, or inability to act, for any reason whatsoever of
my Executor, I nominate, constitute and appoint PHYLLIS SMITH, as successor Executrix of my
Last Will and Testament. I direct that my Executor 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 cash
or in kind in like or in unlike shares and to file any qualified disclaimer I could have filed if living.
My Executor and successor Executrix shall receive reasonable compensation for services rendered to
my estate.
Article VII
In addition to the powers conferred by law, I authorize my Executor and successor Executrix,
in his/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,
-3-
(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 retum
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
Executor; and to pay from my estate reasonable compensation for all their services,
(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, MICHAEL A. GOTTSHALL, hereby set my hand to this my
Last Will and Testament, on ] ]- ~ ~3~ ,2004.
L A. GOTTSHALL
In our presence, the above-named MICHAEL A. GOTTSHALL signed this and declared
this to be his Last Will and Testament and now at his request, in his presence, and in the presence of
each other, we sign as witnesses.
Name Address
4
I, MICHAEL A. GOTTSHALL, Testator, 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
MICHAELon ! A.[. GOTTSHALL,~.~.. 2004.the Testator, ~)~~'
(./Notary Oubli-c " 0 /10IICHAEXL A. GOTTSHALL
~.qWEALTH OF PENNSYLVANIA
,IACQUELmE A. KELLY, NOTARY PUBtle
COMMISSION EXPIRES DEC. 17, 200~'
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 Testator sign and execute this
instrument as his Will; that he signed and executed it willingly as his free and voluntary act for the
purposes therein expressed; that each of us in his sight and heating signed the Will as witnesses, and
that to the best of our knowledge, that he 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 ~
by~-O~,~- q,. ~r~ ,11~.. ,~-- ~~
~d ~~~/['~ Wimess
wimesses, on [1-~ ,2004. ~~~, ~~~
~i~ss ' - ~'