HomeMy WebLinkAbout12-09-13 PETITION FOR GRANT OF LETTERS
REGISTER OF WII,LS OF CUMBERLAND COUNTY,PENNSYLVAI�iIA
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: Joyce E. Wyrick FileNo: ��� —����
�a: (Assigned by Register)
a/k/a: _
�a: Social Security No: 202206451
Date of Death: 11/18/2013 _ Age at death• 87 —
Decedent was domiciled at death in Cumberland County, Pennsylvania (State) with his/her last
principal residence at 428 North Earl Street 17257 Shippensburg Borough Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at Chambersburg Hospital 17201 Borough of Chambersburq Franklin PA
Street address,Post Oftice and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania................................All personal property $ 80,000.00
IJnot domiciled in Pennsylvania.............................Personal property in Pennsylvania $
Ijnot domiciled in Pennsylvania.............................Personal property in County $
Va[ue of real estate in Pennsylvania.............................................................. � 100,000.00
TOTAL ESTIMATED VALUE.... $ 'IBO,OOO.00
Real estate in Pennsylvania situated at: 428 North Ea�l Street _17257 Shippensburg Borough Cumberland
(Attach additional sheets,ifnecessary.) Street address,Post Office and Zip Code City,Township or Borough County
� A. Petition for Probate and Grant of Letters Testamentarv
Petitioner(s)aver(s)he/she/they is/aze the Executor(s)named in the last Will of the Decedent,dated �./2$/Z.Q�B and Codicil(s)
thereto dated none
none
State relevant circumstsnces(eg.renunciadon,death ojexecutor,etc.)
Except as follows:after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced,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 did not have a child bom or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
� NO EXCEPTIONS ❑EXCEPTIONS
❑ B. Petition for Grant of Letters of Administration(If applicable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritate
If Administration,c.ta. or d.b.n.c.�a.,enter date of Will in Section A above and complete 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. �, �
�-_.
❑ NO EXCEPTIONS ❑EXCEPTIONS �' o `'' Q �
� � a
Petitioner(s),after a proper seazch has/have ascertained that Decedent left no Will and was survived by the f�w�lg spouse�8ny)�1 l�gs(attach
additional sheets,if necessary): �ri � c'> —i '�
� � � �'
- �, _
Name Relationship :r- r� ;;y
..: - ,,` _� —c-s —ro
��:J C—�e r-�, � _.,,�
/"'� `F �"'1'i -.
-_ .. t .'. �----1
�i�
yl.� �'�i �.�...
_ __.� � LJ') "'Q.k --
���^ � �
Pa e 1 of 2�I
Form RW-02 rev.10/11/20I1 g
Oath of Personal Representative
Official Use Only
COMMONWEALTH OF PENNSYLVANIA } -
} SS:
COUNTY OF CUMBERLAND ___ }
Petitioner(s)Printed Name Petitioner(s)Printed Address
�213 Kenwood Avenue
Jeffre L. W rick �Catonsville _ _ MD 21228
The Petitioner(s)above-named swear(s)or�rm(s)the statements in the foregoing Petition aze true and conect to the best of the knowledge and belief
of Petitionei(s)and that,as Personal Representative(s)of the Decedent,the P ti'oner(s)will well and truly administer the estate according to law.
Sworn to��affumed and subscribed before Daze
me t�' �� day o '' , � _ Dace
By:�'�'d� 'lS�- -, — L�c,-. --- _ Hate
For the Register C'a �e a'J �q
� O
•-•-�
BOND Re uired: ❑ YES � NO To the Re ister o Wills: rn � � � '"i ��
9 g f � p.. r' ,..,� �-,•y
FEES: Please enter my appearance by�y �re Ife1�w: ='� `��`
_„ . rti .
Letters....................... $ 260.00 Attorney Signature: � c"^ �.-� � -:�� /x
:�, c� ...,, . � „�
(5 )Short Certificates(s) . . . ... _— 25.00 ... LL �_;
►--�
( )Renunciation(s) . . . . . . .... __ -�� a'w- '`�`
( )Codicii(s) ` � �'
� )�davit(s). .... .. . . .... . , �:�- �
Bond 'Prin ed Name: Jo R. Ilin er
.. . .... . . . .............. . �
Commission .. .. . . . .......... . . . reme Court
Other _.... . . , . . ID Number: 17516
will 15.00
inheritance retum 15.00 FirmName: Zullinger-Davis, P.C.
inventork . . . . . . . .. 15.00 Address: 14 North Main Street
Suite 200
� � � � � � ��� Chambersbur� PA 17201
• • • •••••• Phone: (717)264-6029
. . . ...... Fax: (717)264-1884
Automation Fee . . . . . . ......... . . 23.50 Emai1: 'zi ullinger@zullinger-davis.com
JCS Fee .. . . . ................ . . 5.00
TOTAL . . . . . . . .. ...... . . . . . . .$ 358.50
DECREE OF THE REGISTER
Estate of.loyce E. Wyrick File No: ��—�� - ����
a/k/a:
�D rjQW, ��� �����'m��(�,r , 2013 ,in consideration ofthe foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters Testamentary ______
are hereby granted to Jeffrey L. Wyrick_ __
in the above estate and(;f aj�plicable)that
the instrument(s)dated January 28, 2008 _. _
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Dece�ent.
,'�C?���,� � I��¢ v���� r %��
egister of Wills ��,�'��' ��� ���;1 ��;���� ,� ��
Form RW-02 rev.10/I1/2011
L `.
}�` Pag 2 of 2
� JR7 ' - 5 . 1 wyrick. 2 January 22 , 2008 �_,-
. � --• � 'c'
c a, ``' rr� �
3�' �� i� G'� C�
W ''i '
��� c� U) %�7
rn x � ._.; �--,
� I�. r- �.,} r��
� � t�l CO ;.k� �Y�
4� . ;,.: C�> e".'�
�ti J [-y .'C7 `rl ..'.�
LAST WILL AND TESTAMENT E_, �, '"�' :.:3 ...- `°'�
�:m �_, = � u,:�
: -� rv �_.y ��.'
_..� ,
�.�? c� "�7 =��
u�
I, Joyce E. Wyrick, of 428 North Earl Street, Shippensburg,
Pennsylvania, being of sound and disposing mind, memory and
understanding, do hereby declare this to be my will, hereby
revoking any and all former wills and codicils thereto by me
heretofore made .
I .
I direct that all my just debts and funeral expenses,
including all expenses of my last illness, shall be paid from my
� estate as soon as practicable after my decease as a part of the
expense of the administration of my estate .
�
� I .
��
� I give the sum of $5, 000 . 00 cash to each of my following named
grandchildren: Timothy E. Wyrick and Kevin L. Wyrick.
III .
I give the sum of $5, 000 . 00 cash to Robert E. Wyrick and
Darlene Wyrick, his wife, jointly or to the survivor of them, to be
used to supplement the care of their daughter, Lisa Jo Wyrick, �n
their sole discretion as they see fit .
IV.
I give the sum of $5, 000 . 00 cash to my step-granddaughter,
Clare Perrin.
V.
I give, devise and bequeath the residue of my estate of every
nature and wherever situate to my children, namely, Robert E.
Wyrick and Jeffrey L. Wyrick, in equal shares .
A. Should my son Robert E . Wyrick, predecease me or die on
1 or before the thirtieth day following my death, his share
,
shall be distributed to his wife, Darlene Wyrick, and if
she is not then living, to her issue, per stirpes, living
� at the time of my death;
� B. Should my son, Jeffrey L. Wyrick, predecease me or die on
cA;\ or before the thirtieth day following my death, his share
"\I
shall be distributed to his wife, Lorna Lee Wyrick, and
if sne is not then living, her share shall be distributed
under subparagraph A of this paragraph V.
C. The definition of issue herein shall not include my step-
granddaughter.
Page 2
vz.
Any fiduciary under this will shall have the following powers
in addition to those vested in them by law and by other provisions
of my will applicable to all property whether principal or income,
including property held for minors, exercisable without Court
approval, and effective until actual distribution of all property:
A. To retain any and all of the assets of my estate, real or
personal, without regard to any principle of
diversification of risk.
B. To invest in all forms of property including stock,
common trust funds and mortgage investment funds without
restriction to investments authorized for Pennsylvania
fiduciaries as they deem proper, without regard to any
, principle of diversification of risk.
\\\ C. To sell at public or private sale, to exchange or to
�v
lease for any period of time any real or personal
property and to give options for sales, exchanges or
�
leases, for such prices and upon such terms or conditions
as they deem proper.
D. To allocate receipts and expenses to principal or income
or partly to each as they from time to time think proper.
E. To compromise any claim or controversy.
F. To distribute in cash or in kind or partly in each.
G. To hold property in their names without designation of
any fiduciary capacity or in the name of a nominee or
Page 3
unregistered.
VI2.
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 .
VIII.
I appoint Jeffrey L. Wyrick as executor of this my will .
i
Should my son predecease me, fail to qualify or cease to act, I
����-� appoint Lorna L. Wyrick as executrix of this my will .
Jv
� IX.
No bond shall be required of any fiduciary hereunder in any
jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my
last will and testament, consisting of six typewritten pages, the
first four of which bear my signature in the margin for the
Page 4
!7/
purpose of identification this o� _ day of
� n , ZC�B .
,
� (SEAL)
Signed, sealed, published and declared by the above-named
testatrix as and for her last will and testament in our presence,
who in her presence, at her request and in the presence of each
other have hereunto set our hands as attesting witnesses .
' �' � ' �
.
� �,��,
We, Joyce E. Wyrick, �Q/'►�1�TQh l. . (�QV/S and
�r7� `Q L.Ic_X.IIIP , the testatrix and the 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 testatrix signed and executed the
instrument as her last will and testament and that she executed it
as her free and voluntary act for tne purposes therein expressed
and that each of the witnesses, in the presence and hearing of the
said testatrix, signed the will as witnesses and to the best of
their knowledge, said signer was at that time eighteen years of age
Page 5
or older, of sound mind and under no constraint or undue influence .
�
�
st ix
�.
Wi e s
����-t,C,l�t- O� 7'UQ.�
Witness
Subscribed, sworn to and acknowledged
before me by the above-named signer and
subscribed and sworn to before me by the
above-named witnesses this � day of
: c�r�llr� , �de� �
Nota Publ
COMMONWEAL'FH aF F'ENfVSYLVi4f�lA
Notariai Seal
Angela M.Schaeffer,Notary public
Shippensburg Boro,Cumt�erland Coui7ty
My Commission Ex,pires fwtay 15,2011
Member,Pennsylvania Association of Notaries
Page 6
H105.805 R8V(9/11)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WQRNING: It is illegal to duplicate this copy by photostat or photograph.
RECORt}EC� ` �" ,�' €�F
Fee for this certificate, $6.0 c-� ;; ; ,,�,,,����"' y _ This is to certify that the information here given is
�E��S�i `r� �� k` '' '- o,''�'�,p _ fN correctly copied from an original Certificate of Death
� �1N Of p""`�--._.
?1 n ��a°o`L` - `�1=; duly filed with me as Local Registrar. The original
��f�7 ��� 9 P� � �' Ft �� ` -- - 9' certificate will be forwarded to the State Vital
. 1� V� .�':_ .__,�.� `. Z3
;°- y a� Records Office for ermanent filing.
.
� GLE�K i,fr'= '=o =_- ��`'
� � � � � �. � � ,
,
�PF#AtdS' C�C;�'ii _��q9T �`�~�1 _
' --.,MENT OF ��P��,
CertificationNum�MBERLA�Y�' ��,F ��-'�� �������0����II" a�'Registrar Date SSU0C1
Type/Print In COMMONWEALTH OF PENNSYLVANIA�DEPARTMENT OF HEALTH�VITAI RECORDS
Pef"""°"` CERTIFICATE OF �EATH
Black Ink SCaie File Numbe�:
1.Decedmt's Legal Name(Firsc,Middle,Wst,Suff(x) 2.Sex 3.Social Security Number 4.Date of�eafh(MO Day r)(Spe MoJ
Joyca E:Wyrick � �� Famala . 202-20-645� Novemb@r�8,20'13
50.Aga-Last BlRhday(Yrs)� 54-llndBr 1 Yea� Sc.Untler 1 Da 6.Dafe of Birth(Ma/Day/Vear)(Spell Mon(h) 7a.BlKhplace(City and Siate or Foreign CounTryj
. �� � �MOnths Days Hours Minutas � CHf115I0,PA
. . � 87 � � April 23,1926 7b.Birthplace(co�ocy) Cumbarland
8a.RailAenre(State or For¢ign Couniry) 8b.Resltlence(Sxreat and Number-IncluCa Apt No.) 8c.Oid Decedenf Live in a Township]
P'4 428 North Earl Straat O�es,deceaeni uved�n cwo.
Sd.Resldence(COUnty)
CUTbBfl9fld 8e.Residenre(ilp Code)� �7257 ]$NO,decede�t Ilved within Iimits of Shippensburg ciq/boro.
9.Ever In US Armed Forcesl 10.MaAtal Sfacus ai Time of D¢ath �Married �Widowetl 11.Survlving Spouse's Name(If wite,give name prior to flrst marriage)
�Ves �No �Unknown �Divorced �Never Married �Unknow
12.Father's Name(First,Middle,Last,Suffix) 13.Mother's Nam¢Prior[o First Marriage(Firot,Middle,LasT)
Jacob�FOSter Shank � � Helen Hoffman
14a.Info�ma�['s Name 14b.Relatlonshlp to Decedent 14c.InformanYS Ma7ling Atldress(Sireet and Number,Clty,Siate,Zip Cotle)
� Jaff L.Wyrick. Son � 2�3 Kenwootl Ava.. CatonavUle,MD PA 2'I228
........ ........ .... ......................_.....'""'""""""•"'"""'""1 a.P ace o one
"'"".. ...... .......... ...at. ...ec on
z If Doath OcGUrrotl in a�HOSpifaf: �InpaHent 31f Dea[h Occu��ed Somewhe�e Other Than a Hospiial:�������������HOS�ice Facill�� �� ���� ��� ������� ������� ����
- . ...
, p ty Detedent'sHOma�
yO Emergenry Room/OUt atlent O Dead on Arrival Nursing Home/LOng-Term Gre Facility Other(Specify)
a�2 15b.Facility Name(If not Insiitution,glve streec antl number) 'i5c.City or Town,State,and Ztp Code 15d.Counry o Death
� Chambarsburg Hospital Chambersburg,PA�720'I Franklin
� �,� 16a-Methop oT Dlsposifion Burlal Crematlnn 16b.Date of Disposltlon 16c Place of DlsposiHOn(Name of�cemetery,cr¢matory,or ofher place)
� � p aemwa�frorr�sieie� p oo.,ac�on S rin Hill Camate
ochor(spoa ) Novambar 23,20'13 P 9 �Y
� I6d:Loytion of D�sposition(City or Town,Sfate,and Zip) 17a.Signature of Funer LI sea or Perscn In Charge o4 Infe�ment 17b.Lic¢nse Number
.� ShippAnsburg,PA'17257
FD-072984-L
E i7c.Name antl Complete Adtlress of Funeral Facllify
,3 Fogalsangar-Bricker Funaral Homa��2 W King St.PO Box 336,Shippansburg,PA'17257
SH.Decedent's EAucaHOn-Check the box that best descrtbes the 19.Oecedent of Hispanlc Origln-Check the 20.OecedenT's Race-Check ONE OR MORE races to Intlicate what
m highest tlegree or level of school completed at th¢iime of death. bax that best describas whecher the tlecedent the dec¢dent mnsideratl himselF or herself to be.
0 Bth g�ade o�less Is Spanish/Hispanic/Latino. Check the^NO" �White Q Korean
]$[No diploma,9th-12th grade box if dec¢tleni is not Spanish/Hispanic/Lacino. �Black or African American 0 Vietnamese
0 High school graduate or GED complefetl �(No,not Spanish/Hispanic/Latino �American Intlian or Alaska NaHva �Other Aslan
Q Some collage credit,but no degree 0 Yes,Mexican,Mexican Ame�ican,Chlcano �Asian Indian � Native Hawallan
p o.::o�iaca aeg�ee�e.a.na,ns� �Ves,Puerto Rlcan p cn��e:e p�wma��ao o�cn��„o��o
Q Bachelor's degree(e.g.BA,AB,BS) �Yes,Cuban �Filipino 0 Samoan
0 MastaYS Aegree(e.g.MA,M5,MEng,MEd,MSW,MBA) 0 Ves,o[her Spanish/Hispanic/Latino 0 lapanese 0 Ocher Paciflc Islander
� DocioraSe(e.g.PhD,EtlD)or Professlonal degree (Specify) 0 Other(SpeciTy)
.MD DDS DVM LLB 1D
21.D¢cedent's Single Rac¢Self-Destgnatlon-Ch¢ck ONLY ONE to indicate what She decetlent consitleretl himself or herself to be. 22a.Decedent's Usual Occupatfon-Indlcate type of work
�Whlie 0 lapanese 0 Samaan tlone tlu�ing most uf working Ilfe. 00 NOT USE RETIRED.
0 Black or Afrlcan Ame�ican 0 Kor¢an �O[her Pacific Island¢r �-IOTBTekBf
q 0 American Intlian or Alaska NaHVe �Vietnamese �Don't Know/NO[Sure
ac �Asian Intlian 0 Other Asian O Refused 22b.Kind of Business/Industry
� p cnine:e . � p NaiWe Hawalian p oine��s�pry� .
� �Fflfpino �� �G�aamanian or Chamorro • OW/I h0111B
0- 3tl B COMPLETED 23a.Date Pronounce Dea Mo Day 23b.Signature.o Person Pronouncing Death Only when app ica e 23c.Licens¢Num er
BY PERSON WHO PRONOUNCES OR
CEIRTIFI $DEATN �
23d.�DaTe Signed(MO/Day�r) 24.Time of Death
"1'1:26 AM 24.Was Metlical Examinar or Goroner Contactedt O Yes � No
CAUSE OF DEATH � nPProwmaie
26.PaK 1. Enter the chaln of events--diseas¢s,injuries,or compliutlons--that dlrectly causetl ihe tleaSh. DO NOT enter[erminal even[s such as cardlac arrest, � Interval:
respiratory arrest,or venfricular flbrillaflon without showing the eilology. DO NOT ABBREVIATE. Enter only one causa on a Iine. Add additional lines If necessary O�set to Death
IMMEOIATE UUSE -------------> a. Cardiopulmonary Arrost f�W Millll[�8
(Flnal disease or cond{tlnn Due to(or as a ronsequence of): �
rasuliinQ In awatM1) �
b. Massive MI � few Minutas
saquenna�N��si conamons, � oue ca(or as a consequence or�: i
If any,leading to che W u9e ,
uscad on ur,e�a. er,cer cne �. Massive CVA � few days
UNOERLYING CAUSE Oue to(or ds a conseq�ence on:
W (Alsease o�InJury tha[ '
�n�c�a�ea rne evan:s rasu�c�ne e. Atrial flbrillation
� In tleach)lAST. � Due to(or as a consequence of): E
°� �26.PaR H. Enier other ' t Y but not resulfing in the underlying cause given!n PaR I 27.Was an autopsy parformedT
8 O Yes No
� 28.Were autopsy flndings availablc
m � to complete Che cause of tleathT
Ves f.lo
� 29.1 Fe ale: 30.Did Tobacco Us Contribute to DeathT 31.Manner of�¢aih
�NOt pregnant wi[hin past yea� Q Yes � Probably �(Natural � Homicide
s 0 Pregnant a[tlme of deaSh �No 0 Unknown �Accident 0 Pending Inv¢stlgaSion
°m' 0 Not pregnant,but pregnanf withln 42 dayz of death 0 SuitlAe �Could noc b¢decermined
� Not pregnant,but pregnant 43 days io 1 year before tleath 32.Daie of Injury(MO/Day/Vr)(Spell Month)
Q Unknown if pregnant within the pas[year . 33.Time of InJury
34.Place of Injury(e.g.home;const�uction site;farm;school) 35.Location of Injury(Street anA Number,Ciiy,County,Staie,Zip Cotle)
36.Injury at Wo�k 37.IfT�ansportation Injury,Specify: ' 38.Describe How Injury Occu�red:
0 Yes Q Drlver/Operator O Pedescrian -.
Q No Q Passenger � Othe�(Specify)
39a.Certifie�-physltian,Certified nur5e practitloner,metlical examiner/roroner(Check onlyone):
0 Certifying only-Tothe bast of my knowl¢dg¢,tleath ocwrred due to the cause(s)antl mann tated.
�Pronouncing 8.Certifying-To the best of my knowledge,death occurred at the time,tlate,andfplace,and due to the ouse(s)anC manner statetl.
�MeAlcal Examiner/COroner-On ihe basiz of examinatlon antl/or investigation,in my opinion,deach occurretl at the tlme,tlate,and place,and tlue fo ihe cause(s)antl m nner stataA.
" Slgnature of certlfler:�. cs.Fi..F..�.wss.� �Raa..E�✓�J.a TIHa of certifler. M� - Llca a Number. M�443'137
39b.Name,Address antl 2tp Cotla of Person Complecing Cause of Death(Item 26) s, n 39c.Oaie Signetl(MO/Day/Y�)
Qr.Shakhawan F Raehid,M� 1�2 N 7th St,Chambersburg,,PA�72Q� Novartlber 18,20�3
4 .Reglst�ar 6 Dist/ric[Numb¢r !� 41.ft r's Signat 42.Regis[rar Fi e Date Mo ay r
� � !� J �
� 43.Amentlments � �
�
0970706 H105-143
Disposlifon Permlt No. HEV 07/2012