HomeMy WebLinkAbout11-01-13 PETITION FOR GRANT OF LETTERS
REGISTER OF WII,LS 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 In,formation `
Name: DORIS L. BRICKER File No: 21-13- � O
�a; (Assigned by Register)
a/k/a:
�a: Social Security No:
Date of Death: 10/26/2013 Age at death: 83
Decedent was domiciled at death in CUMBERLAND County, PENNSYI.VANIA (State)with his/her last
principal residence at 530 QUAIL CT,MECHANICSBURG 17050 HAMPDEN CUMBERLAND
Street addresa,Post Office and 7dp Code City,Towoahip or Borough County
Decedent died at HARRISBURG HOSP FRONT ST 17101 CITY OF HARRISBURG DAUPHIN PA
Street addresa,Post Office and Zip Code City,Townsh[p or Boroagh County State
Fstimate of value of decedent's property at death:
If doneic�led tn Pen»sylvania................................All personal property $ $•000•00
If not domiciled in Pennsylvania.............................Personal property in Pennsylvania $
If not do�nlctled�n Pennsylvania.............................Personal property in County $
Value of real estate�n Pennsylvania.............................................................. $ 0.00
TOTAL ESTIMATED VALUE.... $ 8.000.00
Real estate in Pennsylvania situated at: N O N E
(Attach additioirul sheets,if necessary.) Street addreas,Post Office and Zip Code Ctty,Tow�htp or Borough County
� A. Petition for Probate and Grant of Letters Testamentarv
Petitioner(s)avei(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated 9/21/2011 and Codicil(s)
thereto dated N O N E
State relevant circumstances(�g.renunciation,death of arecutor,eta)
Except as follows:after the execution of the instYUment(s)offered for probate Decedent did not marry,was not divorced,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 did not have a child born or
adopted;and Dacedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
� NO EXCEPTIONS 0 EXCEPTIONS
O B. Petition for Grant of Letters of Administration(�f a�li�abie)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritate
If Administration,c.�a or db.n.c.�a,enter date of Will in Section A above and comalete 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.
0 NO EXCEPTIONS ❑EXCEPTIONS
Petirioner(s),after a proper seazch has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(attach
additional sheets,if necessary):
r-.:
Name Relations6ip Ad�Mess � ,�
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For►n RW-02 rev.10/11/2011 Page 1 of 2
.. ��
Oath of Personal Representative o���use o�
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COMMONWEALTH OF PENNSYLVAIVIA } � � w rn �
} SS: � � � � °`
COUNTY OF CUMBERLAND } � � �..'�.. �" ,,..'�.� �
� �
Petitioner(s)Printed Name Petitioner(s)Printed A s � ?'� q t�
1304 S. MARKET STREET � � � � -�
WILLIAM S. MOSER MECHANICSBURG � A ��v5
1370 FOX HOLLOW DRIVE :�, --f r rn
LOUISE I.ZELLER HARRISBURG � A �T 3
The Petitionei{s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are tiue and comact to the best of the knowledge aad belief
of Peritioner(s)and that,as Peisonal Representative(s)of the Decedent,the Petitioner(s)will well and ttuly administer the estate according to law.
Sworn to r ed and s bscribe before ` �. � Date l � -1 � `3
9
�h' ! ��3 ° ' ,
me this day of Date // /�/?
BY� Date
he Register Date
BOND Required: ❑ YES � NO To the Register of Wills:
FEES: Please enter my appearance by y si ture below:
Lett ....................... $ "�� Attorney Signa e•
( �)Short Certificates(s) ...... '�� '
( )Renunciation(s)..........
( )Codicil(s) ..............
( )Affidavit(s) ............
Bond ......................... Printed Name: MURREL R.WALTERS. III
Commission .................... Supreme Court
, ......... �
ID Number: 24849
''''''''' Firm Name: ATTORNEY AT LAW
''''''''' Address: 54 E. MAIN STREET
� ''''''''' ��� MECHANICSBURG PA 17055
••••••••• Phone: 7176974650
••••••�•• �� Fax: 7176979395
Automation Fee ................. '' murrel waltersgalloway.com
Email: _�
JCS Fee .......................
TOTAL ......................$
DECREE OF THE REGISTER
Estate of OORIS L. BRICKER File No: 21-13- �
a/k/a:
AND NOW, d , ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREE that Letters TESTAMENTARY
are hereby granted to WILLIAM S. MOSER AND LOUISE I ZELLER
in the above estate and(if applicable)that
the instrument(s)dated 9/21/2011
described in the Petition be admitted to probate and filed of reco d the last Will(and Codicil(s))of Decedent.
Register of Wills �'�f _._...
Fornt RW-Ol rev.10/11/2011 ���f 2
H105.805 REV(9/11)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
_ _ _ __
_ _ _ _ ___ __ _ _
1lVaRM�NG:;it ��illegal yto dupli��te this capy;b� �hotostat or photograph.
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Fee for this��rtaficate, $6.00 ,,,f���""--H--. 'This i� to ��rtify that the information here given is
�������� �� ���.�.� ' ,��''%,�►���0��'fiJ;'' correctl�cop�ed frorrm�n origi�al Cerkificate of Death
�`��:���:� :�'��� dt�l� �led �vi�;>rr�e as Lc�cal;Registrar. The original
'' 't���� N�� � �� $ ,�� ' �` �-.� certi�'icate'' will be' forwairded to the State Vital
�� �v " a Records Office for ermanent filin .
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TYpt/P�M�� COMMONWEALTH OF PENNSYLVANIA•DEPARTMENT OF HEALTM•ViTAL RECORDS �
°g'"'•"'"` CERTIFICATE OF DEATH
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1.Dec�d! .s Lwpi Nime(Flrst,Middle,Last,�SuTfbc) . 2,Shc S.Sodsl Security Number �4.Date of Oqth(MO/OSy/Vrj(Spell Mo)
Dotts L. Bricicnr �male 162-22-6175
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12.i�� . f N�m!�� y M 1�,Last,Su ) � 13.Mother's Nsme Prior to Fint Marria�e(Fint,Middle,last)
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1 � !. .���n»se� s N�rrN � 14b.Rebdonship to Deeedent 14c.informant's M�Ilin�Address(Str�et snd Number,City,State,Zip Cod�
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� �O ith aadf o�'�ass � - Is Spanish/Hispanic/Latl�o. Check th�"NO^ �White �Q Korean .
p Na d�bms,9M-12th`rsd� bpz M decedent Is not Spsn(sh/Hisps�ic/Latino. []Bls�k or Africsn Ameriun Q Vletnarrfese
Q Nt�l+scAool Sradwte or GED completed �No,not Spanish/Hlspsn�c/Lat{no O�►meHc�n Indian or Alaska Nattve 0 Oth�r Asian
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� 6u�manta�or Chamorro
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21. �'� t •Rscw Se -D�sitnatbn-Chee ONLY ONE io inditate whs the deced�r�c considered himself or herself to be. 22a.D@c�de�+Ys lJSUSI Occupador+-indlcat�typ�of work
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l�I�slefo �Guarnanian or Chamorro Transportation
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�rrlspiry�tory a�s;or wMrtcular flbrlllation withouc showins th��Lio O NOT ABBREVIATE. Errter on n sw on Iine.Add additlon�l 11 es M n sary_ � Onset to Oeath
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Not pes�Mtft wlthNt past yasr � Ves Q Probsbly N�tu�i Q Homicid�
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O UhknqwfY H prf�ttant wtthin th�psst y�ar � 33.Tim�07 t�jury �
84.P Injury�.t.home;eo�utruetlon site;1arm;schooq 35.Location of InJury(Stre�t snd Number,City,County,State,Zip Code)
� � . 36.1� .ry rt oHc . $7.1�Trsnsportatbn Injury,SpecHy: 38.Describe How Injury Occurred: � .
t7 'r�t O OrNer/Op�rato� O vtdeatrian
� Q�..:NiD� �. t]Passerf�� � Other(SPK�tYI � .
� S9b.�. -�p� �ah,e�rtifl�d nurft�practltbner,medical�xaml��r/coroner e only one): � � � �
Certlfyi,fs O�tly'Td tf+�beat of rny knowleds�,death oecurr�d due to YM )and ma�ner stat�d.-
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LAST WILL AND TESTAMENT
BE IT REMEMBERED THAT
I, DORIS L. BRICKER, a resident of Cumberland County, Pennsylvania,
being of sound mind, memory and understanding, do make, publish and
declare this to be my LAST WILL AND TESTAMENT, hereby revoking any and
all Wills and Codicils previously made by me.
I
I declare that I am not married, my beloved husband, JOHN B. BRICKER,
having predeceased me, and that I have five children, RUTH E. STECK, ANN M.
CALLIHAN, NANCY L. MOSER, WILLIAM S. MOSER and LOUISE I. ZELLER.
II
I direct that a11 my just debts and funeral expenses shall be paid from my
residuary estate as soon as practicable after my decease.
III
I direct that all taxes that may be assessed in consequence of my death,
of whatever nature and by whatever jurisdiction imposed, shall be paid from
my residuary estate as a part of the expense of the administration of my estate.
IV
I direct that my body be cremated and that the ashes be placed in a
suitable container and thereafter l direct my personal representative to have my
remains interred in Rolling Green Cemetery, Camp Hill, Lower Allen Township,
Pennsylvania. The remaining burial plot in our family lot at Rolling Green
cemetery I leave to my daughter, LOUISE L. ZELLER.
�
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V
I give and bequeath items of personal property to specific individuals that I
have set forth in a list which I have prepared, signed and ma.intain with this Will.
VI
I give and bequeath my mobile home located at 530 Quail Court,
Mechanicsburg, Pennsylvania to my son, WILLIAM S. MOSER.
VII
All the rest, residue and remainder of my property, whether real or
personal, wherever situate, including any property over which I may have a
power of appointment, I give, devise and bequeath to my children, RUTH A. �
STECK, ANN M. CALLIHAN, NANCY L. MOSER, WILLIAM S. MOSER and LOUISE
I. ZELLER, in equal shares, per capita..
VIII
I nominate, constitute and appoint my son, WILLIAM S. MOSER and my
daughter, LOUISE I. ZELLER, as Co-Executors of this LAST WILL, to serve
without bond. If either is unable or unwilling to act in that capacity, then the
other may serve alone as Executor.
IN WITNESS WHEREOF, I, DORIS L. BRICKER, have set my hand to this
.
LAST WILL this a�� day of , 2011.
.
DORIS L. BRICKER
Signed, sealed, published and declared by the above-named DORIS L.
BRICKER, as and for her La.st Will and Testament, in the presence o us, who, at
her request and in her presence, and in the presence of ea other, have
hereunto subscribed our names as witnesses.
f�
f ,
' �
. . , � •
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA :
ss.
COUNTY OF CUMBERLAND .
I, DORIS L. BRICKER, Testatrix, whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my LAST WILL; that I
signed it as my free and voluntary act for the purposes therein expressed.
.
������•�°
DORIS L. BRICKER
Sworn or affirmed to and acknowledged before me by DORIS L. BRICKER,
Testatrix, this �f 5 T day of , 2011.
. ,�
�O�.h-c..... /� .
Notary Public
,
N�T�t�2iA1. S�AL_
` CJIAl�3�tv�'aPrtITH
- �� Notary �ubilc
- � MECHAPdlCSBUl2G BC�RO,CUMBERIfWD GNN
AFFIDAVIT Mty Commission Exp(res Jun 22, zo�2
C NWEALTH OF PENNSYLVANIA :
ss.
COUNTY OF CUMBERLAND :
we, �U��e�, � -(,J�t�?"l 2 f and �Se m,��1� �u
t he wi t nesses w hose names are signe d to t he a t t ac he d or foregoing ins t r umen ,
being duly qualified according to law, do depose and say that we were present
and saw Testatrix sign and execute the instrument as her LAST WILL, that
DORIS L. BRICKER signed willingly and that she executed it as her free d
voluntary act for the purposes therein expressed; that each of us in the h 'ng
and sight of the Testatrix signed the Will as witnesses; and that to the be of our
knowledge, the Testatrix was at the time 18 years of e or , of so d mind
and under no constraint or undue influence.
�
Sworn or affirmed to d acknowledged before me .
this��s�day of 7�`,t�y+�^-- , 2011.
� �
%�/1-_
Notary Public
� ' NoTaRiA�. sEA�_
D{ANE M SMITH
Notary Public
� MECHANiCSBURG BORO,GUMBERLAND CN'tY
Nly Commission Expires Jun 22, 2012