HomeMy WebLinkAbout01-14-05
Estate ofK~c...n2".c~
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
VJ. c...~~ No. ;, i - 0 5 - 0040
To:
Register of Wills for the\ \
Deceased. County of c..u ~ 'at<.(" CC\... in the
Social Security No." ~(o ~ C)'3, . \4 \0 '-It Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who islare 18 years of age or older an the execut \\~
in the last will of the above decedent, dated \ \\ J./v.. . \ 0,
and codicil(s) dated
named
,~~OL-
(state relevant circHmstances. e.g. renunciation, death of executor. etc.)
peceden! was domiciled at death in c..\.)rn'oSl.r\~~
h I.,. last family or prinfipal residence at \ \ \ c., DV0"1-
Ee."," ~ \'^> , (A.ln--. -:>
County t !'en
Cu......V'J
lvania" with
C,C.
(list street, number, Twp. or Boro.)
Decedent. thcn._: lb year~ of age, died C)<2,.c...~ ~.;;t.y , 1!ll.).O(l't>
at \\J~ S{>-..(" \ 'r \-\;::,<;.f',-\r^ C,..~ \-'n.)J.. UJ.JY>~\"" c...ou~ ~
Except as 'follows, decedent did not marry, was not divorced ~nd did not have a child born or a opted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decedent at death o"ued property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$ SUO, CX'D. D0
$ 0
~ 8
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters -+ ':\'
theron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL:rH OF PENNSYLVANIA } ss
COUNTY OF Ll\lY\8f~U\NI)
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The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition areN
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
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Sworn to or affir,m ,ed andSU'bS',cribed {
before me this )t-/u, day of
-;; . ~ ,~
.ill/nAb.> <2"-111:,_. 'cu.-jJtl~U"!' (
f-'J Ijt/(f L ( .- I,il>-~ ex ter
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No c2l - 0 5 ~ () D 1 c)
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Estate oft<, \C\:-\ f\ \L.D
\j'.) . ~I....I::'~ ~~:.JJ f'. R-
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
,;Le05
- ,'4
AND NOW Vr:\:hl \ i Ki< 'j )Q, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
lT IS DECREED that the instrument(s) daten lr . I C/. 0 .:L
described therein be admitted to probate and filed of record as the last will of
KI Ci-\H~I),bJ, t. kI-!KUCR
and Letters \ [;:0 T 1\ VI "\ ( N ( /tI< 'I
are hereby granted to (\',TRfdl RFT D. C LFC KNt/1.(
FEES
Probate, Letters, Etc. ......... $-.1 i n.OD
htl j lCtUYll'LAl ~ 1-<-':<-.L b.RL~ ii," "-/~~,'"'
Register of wms F' tl V I r I J"t {(~!,( '.
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Short Certificates( S) . . . . . . . . .. $
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TOTAL _ $
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\ ATTORNEY (Sup. CLl,D. No.)
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143RIlV2187
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
c,}
CERTIFICATE OF DEATH
~,AME OF DECEDENT {F"51. Middle, lost)
I. Richard
AGE (Lasl Birthday)
SEX
STATEFILENLJMBER
$OCIAL SECURITY NUMBER
8e. East pennsboro
KIND OF BUSINESSIINDUSTRY
)0/1,/
3.726
o
..
OAT OF DEATH (MOnm, Day, Y8~f)
>C(rl1b'lI J/fJot"l
IV. Cleckner
"" "
Momhs DaV5
"0=
r
, "
Minutes
2. Male
F AIH
HOSPITAl
,npotieo,1II
7.Harrisbur" 6.
FACILlTY~ME(llnotinSliluliu".g'veslfeetandf1urTlb8r)
BIRTHPLACE (Cilyand
Slale or Foreign Country)
~ coni n
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ERiOulp,~"",D
00,,-0
R."dencoD
~s~:~.~ i 0
s,7R
,co
(:OUNTY OF DEATH
11. Attorne 11b. Law
DECEDENTS MAILING ADDRESS ISlreel, CilyfTown, Slate, lip CQde)
1119 Country Club Road
16. Camp Hill, PA 17011
FAHlER'S NAME(First,M,ddla, LaSl)
18. Amos C] eckner
INFORMANT'S NAME (Type/Print)
~Oa. Mrs. Mar -aret
METHOD OF DISPOSITION
Burial DCtemallOn
Olher(Specity)
FU ER SERVI
,
AS DECEDENT EVER IN
US ARMED FORCES7
Yes !Et""No 0
".
MARITALSTATUS_Marned
Never Married, IMdowed
DovotcedlSpecify)
14.Married
RACE-Amencanlnd>an, Black '"",'''te ei
(Specify)
HI. White
SURW/iN(;SPOUSIo
111""f.,","0 ",.'0." ''''''<1
..
Cumberland
DECEDENT'S USUAL OCCUPATION
(~'r::;ri~:{,i:"J/:"~'::.:i,:J,'t
u/L
/ /OS/.J;';(; /
e
p
DECEDENT'S
ACTUAL
RESIDENCE
(See1n.lnxtion.
(}(lotne"'de)
Ha_SUlle
PA
0,0
aeceaenl
live'na
IOwn.h'p?
17",~s,deceden'I,ved'n
East Pennc;h(l'ro
h...p
17b. counl"Cumberlnnd
17d. 0 ~~h~e~I~~I'I'I~'~~ 01
clly-,'bo,,-,
MOTHER'S NAME (First. Mlddie Ma,den Surname)
od-l
" P
INFORMANT'S MAILING ADDRESS (Sireet, CllylTown, State, l,p Code)
2Ob. 11 Road 'p, 17011
PLACE OF DISPOSITlON- Nameol Cemetel)', Cremalol)' LOCATION" CllyfTown, Slale, lip C()(j~
ofOlherPlaceCrJ?mr.\tlf'D Socip.ty 0
21c Penns lvnni? 21d. H.prrisbur> PA
NAME AND ADDRESS OF FACiliTY Auer MemoriEl} Home & Cr~'r,c.ticn
22c Servicf's (nc. Harri"on 1
liCENSE NUMBER DATE SIGNED
!Month_Day, Year)
22a.
ompleleitems23a_conly....hencertltying
phYSlClilr> 's rwl availabJe at lime 01 death lo
cert'fycau.eofdeath
l\ems24-26 must be completed by
pe,-sonwhopronouncesaeath
TotI1ebeslofmy~nowledge, death OCCUlTeJ althe lime, dat~ and place slated
(S'gnalureandTitle)
23a.
TIME OF DEA1H
C '.~O J
"
23b 23c
WAS CASE REFERRED TO A MEOlc,o,L EXAMINER ICORONEfP
16 Yes~ I NoD
27_ PART I: En'er1t>o di..u.., mjun.. Q' OQnlplic-io'""," ...h'<h c.u.ed 1\led...... Q nu' on,...... ,node or d~il\g, .uch n <..d,.c '" (.'P".''''Y ''''''. ,hoc~ Qf h..rtl..t"".
Li.t o"'~ ono c.u.. 0" ..co hno
IMMEDiATECAUSf.iFinal
~Isease or condlllon
fesullinginde~th)_
: App(O"male
. Interval between
: onset and aeath
PART II,
OlMr slgmficant condllions co[1I"~ullng lo ~~aih ~ur
nol'~sultlng III the unde'11,n9 cau~e gi,en In PART,
SeQuentlaltyli,ICOf)(j,tions
,fany, leaQ,ng to Immediate
cau,e Enter UNDERLYING
CAUSE {D,sease or Inful)'
Ihalln,haledevenls
(esulling On dealtl) LAST
I:
DUE TOIOfl A$ACONSEQLJENCEOFj
WAS AN AUTOPSY VIol::RE AUTOPSY FiNDiNGS MANNER OF DEATH
PERFORMED? AVAILABLE PRIORTD ITY' 0
COMPlfTION OF CAUSE tJatural HomLode
OFfJEAlIi? 0 0
Aq,llent f-'en~"'~ Invesrr~aliQ{]
Ye.0'NoO Ye.O '"1lY SUicide 0 COlJtdnotbe:Jelermln"d 0
DATEOFINJL;RY
IMo"',O.j,v"."
TIME Of' INJURY
INJURY Ar WORK"' DESCRIBE HOW INJURY OC.C.URR~LJ
28a 28b
CERTIFIER (CtLecl<. only one)
.f~ ~~~F~~?or:;t:1!,TJ~~~s~~l1cg~:&i~J~u,;: I';; fl:'ea\r'a~~~I~r~~3rrK~~~i~fa~~ h:t~r~dr,,~un_Ce<i, d~~thacl~ .~.~.plete~ l\er""3)
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PLACE or INJURv
bu;ICloOQ",c{5"eo'M
3Ge.
'"
M
Ye.D NoD
30e 30<1
LOCATIOI, IStr~el, C,tyITol'on, Sla'~i
-Al nome, (Jrm, 'i'e~t, factory, olfree
Co
~I\ f/\
'PRONOUNCING AND CERTIFYING PHYStCIAN iPhys,c,an both pronoul1cmg ~ealh afl<.l celllty'flQ \0 Cause of ~eathi
To tile bnl 01 my ~nowl..d\le, dUlh occurred ~I th.. lima, date, and ~Iace, anQ du.. 10 the caun'(,l and manner u .Ialed,
'MEDICAL EXAMINER/CORONER
On Ihe bul. 01 eumlnallon and/or lllve.tlgatioll, ill my opinion, death occurred at Ihe lime, dal~, and place, and due 10 Ihe cause'(al and
m"llfTeru,IBfed
'"
REGISTRAR'S SIG
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LAST WILL AND TESTAMENT
OF
RICHARD W. CLECKNER
I, RICHARD W. CLECKNER, of East Pennsboro Township, Cumberland
County, Pennsylvania, being of sound and disposing mind, memory and
understanding, do hereby make, publish and declare this to be my
Last Will and Testament, hereby revoking and making void any and
all Wills by me at any time heretofore made.
ITEM I: I hereby direct that all my funeral expenses and
estate and inheritance taxes be paid by my Executrix or Executor as
soon after my death as may be found convenient.
ITEM II: I give and bequeath all my tangible personal
property, together with all policies of insurance thereon,
including but not limited to, any and all automobiles, furniture,
furnishings, china, silverware, jewelry, ornaments, works of art,
books, pictures and wearing apparel, but excluding cash on hand and
tangible evidences of intangible personal property, to my wife,
MARGARET D. CLECKNER, if she survives me.
ITEM III: I give, devise and bequeath unto my wife,
MARGARET D. CLECKNER, if she survives me, the smallest fractional
share of my estate required to reduce to a minimum or to zero the
Federal Estate Tax liability of my estate after taking into account
all other items includable in my gross estate for Federal Estate
Tax purposes whether or not such items pass under this Will. In
computing the share of my estate to which my wife shall be entitled
under this Item of my Will, the final determination in the Federal
Estate Tax proceedings of my estate shall control, and only such
assets as qualify for the marital deduction shall be allocated to
the fractional share of my estate passing to my wife under this
Item. It is hereby declared to be a primary objective of this will
to reduce to a minimum or to zero the Federal Estate Tax liability
of my estate, and my personal representative is accordingly hereby
granted full power to take whatever measures and to make whatever
appropriate adjustments may at any time be required by the Internal
Revenue Code, the Federal Estate Tax regulations or decisional law
to clearly qualify the assets passing under this Item of my Will
for the marital deduction.
ITEM IV: If I am survived by my wife, MARGARET D. CLECKNER,
I give, devise and bequeath all the rest, residue and remainder of
my estate unto MARGARET D. CLECKNER and RICHARD W. CLECKNER, JR.,
in trust, for the benefit of my wife, MARGARET D. CLECKNER, and
said Trustees shall hold, invest, manage and otherwise administer
said property for the following uses and purposes:
A. To pay the net income therefrom to my wife,
MARGARET D. CLECKNER, during her lifetime, said payments to be
made at least annually and more frequently if my wife shall at
any time request the Trustees in writing for more frequent
payments of income.
B. In addition to her right to the income from this
residuary trust, my wife shall also have the power to invade
the principal of this residuary trust in her sole and absolute
- 2 -
discretion, provided that such invasions of the principal of
this residuary trust shall not exceed Five Thousand Dollars
($5,000.00) annually or five percent (5%) of the principal
annually, on a non-cumulative basis, whichever of the two sums
just mentioned is the greater.
C. During the lifetime of my wife, the other Trustee,
in his sole discretion (without the participation of my wife
as a Trustee), may invade the principal of this residuary
trust whenever in his judgment such invasions are reasonably
necessary for the support, maintenance, and medical care of my
wife.
D. Upon the death of my wife, the trust shall terminate
and the remaining Trustee shall distribute the principal and
all accumulated income to my son, RICHARD W. CLECKNER, JR.,
free of trust. If my said son is not living at the time for
distribution to him under this ITEM IV, the Trustee shall
distribute the principal and all accumulated income to the
following beneficiaries, free of trust, in the percentages
stated:
(1) To MARY K. CLECKNER - Forty-five percent (45% )
(2) To WENDY HEINZ - Twenty percent (20% )
(3) To SANDRA SPIEWAK - Twenty percent (20%)
(4) To WILLIAM BARNES - Five percent (5%)
(5) To DAVID S. DEIBLER - Five percent (5%)
(6) To JEFFREY K. DEIBLER - Five percent (5%)
- 3 -
If any of these beneficiaries is not living at the time
for distribution hereunder, his or her share shall be
distributed pro rata among my surviving beneficiaries.
E. In the event there is a vacancy in the office of
Trustee of the Trust created hereunder, I appoint Ann E.
Rhoads to act as successor Trustee.
ITEM V:
If my wife, MARGARET D. CLECKNER, does not survive
me, I give, devise and bequeath my entire estate to my son,
RICHARD W. CLECKNER, JR. If both my wife and my son do not survive
me, I give, devise and bequeath my entire estate in equal shares to
the following beneficiaries, free of trust, in the percentages
stated:
(1) To MARY K. CLECKNER - Forty-five percent (4S%)
(2 ) To WENDY HEINZ - Twenty percent (20%)
(3) To SANDRA SPIEWAK - Twenty percent (20%)
(4) To WILLIAM BARNES - Five percent (S%)
(S) To DAVID S. DEIBLER - Five percent (S%)
( 6) To JEFFREY K. DEIBLER - Five percent (S%)
If any of these beneficiaries is not living at the time for
distribution hereunder, his or her share shall be distributed pro
rata among my surviving beneficiaries.
ITEM VI: I hereby expressly authorize and empower my personal
representatives and also Trustees of the trust herein created, in
their sole and absolute discretion:
A. To retain as part of my estate, or of the trust
estate hereinbefore established, any property or investments
- 4 -
which I may have at the time of my death, whether authorized
by law as proper investments for fiduciaries or not, it being
my desire that the same may be held unless, in the judgment of
my personal representative or Trustees, such property or
investments are clearly not suitable investments.
B. To invest, reinvest, alter, vary and change
investments and reinvestments. and in so doing, my personal
representatives and trustees may act without restriction to
so-called legal investments and without responsibility for
diversification.
C. To sell, lease, pledge, mortgage, transfer,
exchange, convert or otherwise dispose of, or grant options
with respect to, any and all property at any time forming a
part of my estate or of the trust estate, for such prices and
upon such terms, credits and conditions as may be deemed
advisable. Any lease made by my personal representative or by
my Trustees may extend beyond the period fixed by statute for
leases made by fiduciaries.
D. To borrow money for any purpose connected with the
protection. preservation or improvement of my general estate
or of the trust estate whenever deemed advisable, and, as
security, to mortgage or pledge any real estate or personal
property of which I may die seized or possessed or forming a
part of the trust estate, upon such terms and conditions as
may be deemed advisable.
E. To vote in person or by general or limited proxy
with respect to any shares of stock or other securities held
- 5 -
by them; to consent, directly or through a committee or other
agent, to the reorganization, consolidation, merger,
dissolution or liquidation of any corporation in which my
estate or the trust estate may have any interest, or to the
sale, lease, pledge or mortgage of any property by or to any
such corporation; and to make any payments and to take any
steps which may be deemed necessary or proper to enable it to
obtain the benefit of any such transaction.
F. To hold investments in the name of a nominee.
G. To complete, extend, modify or renew any loans,
notes, bonds, mortgages, contracts or any other obligations
which I may own or which I may be a party or which may be
liens or charges against any of my property or against my
estate, although I may not be liable thereon, in such manner
as may be deemed advisable; to pay, compromise, compound,
adjust, submit to arbitration, sell or release any claims or
demands of my estate or the trust estates against others, or
of others against my estate or the trust estate as may be
deemed advisable, including the acceptance of deeds of real
property in satisfaction of bonds and mortgages, and to make
any payments in connection therewith which may be deemed
advisable.
H. To make distribution of my estate or of the
principal of the trust estate in their discretion, in kind or
in cash, and to cause any share to be composed of cash,
property or undivided fractional shares in property different
in kind from any other share.
- 6 -
I. To execute and deliver any and all instruments in
writing which may be deemed advisable to carry out any of the
foregoing powers. No party to any such instrument in writing
signed by my personal representative or by my Trustees shall
be obliged to inquire into its validity, or be bound to see to
the application by my personal representative or by my
Trustees of any money or other property paid or delivered to
them pursuant to the terms of any such instrument.
ITEM VII: All estate, inheritance, legacy, succession or
transfer taxes (including any interest and penalties thereon)
imposed by any domestic or foreign laws now or hereafter in force
with respect to all property taxable under such laws by reason of
my death, whether or not such property passes under this, my Will,
and whether such taxes be payable by my estate or by any recipient
of any such property, shall be paid by my personal representative
or my Trustees, at such time or times as may be deemed advisable,
out of my general estate as part of the expenses of the administra-
tion thereof with no right of reimbursement from any recipient of
any such property.
ITEM VIII: No interest of any beneficiary under this will or
any Codicil hereto or any beneficiary under any trust created under
this Will shall be subject to assignment, anticipation, attachment
or other voluntary or involuntary alienation, nor shall such
interest of any beneficiary be subject in any way to the claims of
creditors of the beneficiary.
- 7 -
ITEM IX:
I nominate, constitute and appoint my wife,
MARGARET D. CLECKNER, to be the Executrix of my estate, and if she
is deceased or unable to serve, I appoint my son, RICHARD W.
CLECKNER, JR., as Executor, and if my said son is deceased or
unable to serve, I appoint Ann E. Rhoads as Executrix. No
fiduciary named herein shall be required to post bond or other
security in any Jurisdiction.
ITEM X:
In the event that my wife and I die in a common
accident or under conditions making it impossible to tell which of
us survived the other, my wife shall be deemed to have survived me
if such presumption shall be advantageous in determining the tax
liability of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand
this, my Last Will and Testament, this IC{~day of
and seal to
)CW(~
(
2002.
c; c;-, iZi~
RICHARD W. CLECKNER ~-
(SEAL)
Signed, sealed, published and declared by RICHARD W. CLECKNER,
the Testator, as and for his Last Will and Testament, in our
presence, who, at his request, in his presence, and in the presence
of each other, we believing him to be of sound, disposing mind and
ave hereunto subscribed our names as witnesses.
P~i ~.~ ;U.
OF !vAA.-/ ~,IA /1D10
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- 8 -
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF DAUPHIN
We, RICHARD W. CLECKNER,
l/,}dc( //It:' /C/! "'_
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e .
SAc, /!l. and
the Testator
and witnesses,
respectively, whose names are signed to the attached or foregoing
instrument, being first duly sworn, do hereby declare to the
undersigned authority that the Testator signed and executed the
inscrument as his Last will and Testament and that he had 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 their knowledge, the Testator was
at that time eighteen (18) years of age or older, of sound mind and
under no constraint or undue influence.
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Subscribed, sworn to and acknowledged before me by RICHARD W.
CLECKNER, the Testator, and subscribed and sworn to before me by
[;0/1/,/ ) j, 5).'01(0 and ///.,t:/.-<... 4;;,</(',7<:'"
witnesses, this /9/7, day of:A'-,;-/c" ,2002.
,,I' /
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Notary rublic
/
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/ , {/(..ny
Notarial Seal
Jenny A. Tobias, Nolary Public
Hemsburg, Dauphin Ccunty
My ;jN'1~l~S:_Ai('jf' Expires Feb.15. 2005
------_..-";.,."~...............