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HomeMy WebLinkAbout02-22-05 . Register ofWiUs of Cumberland County PETITION FOR PROBATE and GRANT OF LETTERS Estate of Shirley A. Shatto also known as No. ~ I . ()!'). () II ;).. To: . Deceased. Register of Wills for the County of Cumberland in the Conunonwealth of Pennsylvania Social Security No. 209.28.8364 The petition ofthe undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, and the execut~ named in the last will of the above decedent, dated November 30 , 20 1978 and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland Pennsylvania, with h~last family or principal residence at 139 Second Street, West Failview, PA County, I"".) (list street, number and municipality) Decedent, then ~ years of age, died February 12 ,20~, at Holy Spirit Hospital, CumberlandCountY.._ Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted'after CJ execution of the will offered for probate; was not the victim of a killing and was never adjudicated inco~petent: ~.....~~ Decedent at death owned 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: 415 Fairview Avenue East pennsboro Townshio Cumberland County PA 132-134 Second Street. East Pennsboro Townshio. Cumberland County. PA $ 14,000 C) __,J $ $ $ 212,865 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) thereon. Signature(s) ofpetitioner(s) , Residence(s) ofPetitioner(s) ;l>.. .,.. <"'. ~ .' ~ <-' '/., / :", ...,) ;J .<t>( / d er -139 2nd Street West Fairview, PA 17025 . Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } SS: COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affinn(s) that the statements in the foregoing petition are true and correct to the best oftbe knowledge and belief ofpetitioner(s) and that as personal representative(s) oftbe above decedent petitioner(s) will well and truly administer tbe estate according to law. j~/t'~L 'lJ];j c1:~!I;r . II Sworn to or affirmed and sub~c2j!)::'d Be~ me tbis / ~of e ~'fdU ,20 0 /~ /JL.Jo. - 1lJ2. .k R. "'^ ~ 'J.-- o egu;ter <::, ~ ~ Cy~ L/'- NOdl-Dr)-617C).. Estate of Shirley A. Shatto { '" ~. . Ii 3 , Deceased ~ DECREE OF PROBATE AND GRANT OF LETTERS AND NO~ ':<I.e\"", a" / ;lA 20.Q2..., in consideration oftbe petition on the reverse side bereof, satisfactof1J"oofhaving been pres~ted before me, IT IS DECREED that the instrument(s), dated November 30, 19 , described therein be admitted to probate filed of record as the last will of Shirley A. Shatto ; and Letters are hereby granted to John L. Shatto FEES Probate, Letters, Etc. ............. $ Will................................. $ Renunciation....................... $ Short Certificates ( ) ............ $ JCP.................................. $ Automation Fee................... $ Bond................................. $ Total $ ,'il00. C\) Filed J . ;;) .::> 20-.05 .310 .00 15.00 lJL) CA r:~^V-') Register of Wills C' ~\).Q~I~-n LA.... ,10,00 10.00 t'5. DO Thomas E. Flower (83993) Attorney (Sup. Ct. I.D. No.) 2109 Market Street Camp Hill, PA 17011 Address 717-737-3405 Phone '"","'" ',':\ This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 No. 11".'I~~\~\\'orpl.t~---~ "",'~~4'JJ..>,- $~*<:;::': $-.1 ',.,-' ~~~ '~~.. ~, ~ ~ -,,:~.' Ii:~ "* '',.. ," ." , ;1 *~ ':: .A' , " ~ ~V.J\ -- ",~~I '1:.00: ~ II '--- 'fllr.. ..~"',. ~####.........;"ENl \\, /11111'1 """",##,,11111 t2,l>1!. ~ tf;4(1.!J l(f"" - Local'Registrar P 11333648 FES 1 3 ZOO~ Date 'J ',) -', il5,143Rev,U81 COMMONWEA.L TH OF PENNSYLVANIA - DEPARTMENT OF HEALTH - VITAL RECORDS C:,) CERTIFICATE OF DEATH -".) 70yrs. 5lATEFIlfNUIoIilfR NAME OF DECEDENT (First, Middle. LillI) ,. MOEILh\'Oir1hdllY) Shirley A. Shatto SOCIAL SECURITY NUMBER ..209 28 8364 DATE OF DEATH (Monlll, Day, Y,.r) ..Q["" .. COUNTY OF DEATH Cumberland .... BIRTHPlACE (Clly..,d Slille or Forel9'l Counlry) HOSPITAl: Hbg, pa Ini>O~.nID 7. ... FACILITY NAME (II nol inslillllloo. give skeel and ntlmber) "",,0 '::::0 WAS DECEDENT OF HISPANIC ORIGIN? NOf'JlI Ye.n II yes,aped1YCubllll, Me~.Pue'iro'Rk;en.elc, IWkIonr:eD ~fy) 0 RACE - American Indian. Bleck, White, e I_I White ". E. I,. DECEDENT'S ACTUAL RESIDENCE (S",einsln.u;lions on olher side) MARITAL STATUS . Mnied. No~lI\' Mamed. W~. Divorced (Spaclly) 1-4. Married 17e:. kJ Yel. deced,nllived In East SURVIVING SPOUSE \MwI\tI.g;-..,""'__l DECEDENrsuSUALOCCUPATION (~.~of.,-::.,,=..:e~.:il 11... Homemaker 11b. DECEDENrS MAILING ADDRESS (Slreet. City own, S~te. Zip Code) KIND OF BUSINESS I INDUSTRY 139 2nd Street 1.. West Fairview, Pa FATHER'S NAME (Firsl. Middle. Lalt) 1.. William Burke INFORMAN1'S Nfo.ME {T~peIPnn\} 20... John La Shatto METHOD OF DISPOSITION OonellooO Burial OCrllme"~OValfromStale 0 . 21.. Other (Spedfy) . SIGNA UNE ERV E 15. John L. Pennsboro ..... 17b. COUl1lv l1d.D ~:~~~~Ol MOTHER'S NAME (Fil'$l. MIddle. Maiden Surname) 19. Evel n Brinton INFORMANT'~ tMlLlNG,f.DDRESS (Slrael, CityfTown, Slate, ZIp Code) ,,,. 139 2na st., West Fairview, pa 17025 PLACE OF DISPOSITION- Nama 01 Cemetery, Crematory LOCATION. CityfTown. Stale. ZiP Code or Olher Place 21c:.Evans Eagle Cremation 21d. Leola, Pa NAME AND ADDRESS OF FACILITY 22e:.S 1 cily/borO. o 2-4. l..o' DATE PRONOUNCED DEAD (Month. DlIV, Yeer} 25. F~'(J"I....J...( (X"J 23b. WfoS CASE REFERRED TO A loA 2.. Yes::f& : ApprolCimale PART II: Other $lQnificanlllOl1dillons amlributing to duo\tI. tlIIl 'IntillVillbelween nolrestllllng in the undertying ceUlilglYiln In PART I. :onselanddeel/l 'u f... . 21. PART I: l!nlor 1M d......., "'Iu......... oompN...U..... whloh e.....<I 1/1. d..IIl, 00 not nlOr'h_ mod. .ldVI"". ouch.. ",",dlac: 'p1'.lory .,...~ .hoOIl..r h.'" 10011..,.. U.IOnIV_oauH""."'hIlM. . '4J.t. ~r -' .-/... K ~ ::dL+.....(' lb. , ,. ..... - DIJ TO( "'SA SEOUEN 0 I "",j'"" MANNER OF DEATH N8.IUrar~ o o DA Tf:. OF INJURY ("""'1fI. 0_1. V...,) TIME Of INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. No"""'" o o o 30.. 30b. M. PLACE OF INJURY - AI home, rllrm. slrael. feclory, oIrlce b..kII~.al<:,(S~) 30.. 'MEDICAl EXAMlNERlCDRONER On the tHlal. ol.lIilmlntilon UldJor In'''~\i.tlOI\.ln my opinIon. a..th o~curred at tn. Ume, dalt. and piau, .nd due 10 lh. ~.u...(.) and m.mltlr.....l.d............................................ ." REGISTRAR'S ~N ~I/~II( I YeaD NoD so,. YesD 2.... 21b. CERTIFIER (ChedI onI)' one) .'t~Ih~J~~~"J,~~Ih~U-d~IOJ~:~.~:~(:r~~~rC~x~:.h:~fa~~~.~~~~.~~~.~.~~~~~.i.l~~.~~.)..... No~ P6ndlnglnVilallgalio(l Suicide Couldnolbe delermjne<i 21. .PO- 'PRONOUNCING AND CERTIFYING PHYWCIAH (Phy.-lcian both pronouncing dee-th imd~l'Iifying \<)callUl 01 dealh) 1"0 the.".al of my knowh.dge, dulh o~~ur,..d at Ih. tlm.. dal.. and place, and due 10 the ~au..a(aJ and manner.. 8lated... .. cJ5 ARNO~D,SLIXE & BAYLEY ..TTORNEYS ..,. L..W .m~"""UT.noUT C"NPH'LL,PE....~n".."t.Lm'" LAST WILL AND TESTAMENT OF SHIRLEY A. SHATTO I, SHIRLEY A. SHATTO of West Fairview, Cumberland, C~UDty, t::) Pennsylvania, declare this to be my Last Will and Testfmen~, hereby revoking any will previously made by me. _...J I - I direct the payment of all my just debts and funeral expenses out of my estate as soon as may be practical after my death. II - I devise and bequeath all of my estate of what- ever nature and wherever situate unto my husband, John L. Shatto. III - Should my said husband predecease me, then I devise and bequeath all of my estate of every nature and where- soever situate unto my children, David B. Shatto and Scott M. Shatto, per stirpes. IV - I appoint my mother, Evelyn G. Burkey, guardian of any property which passes either under this will or otherwise to a minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so. Such guardian shall have the power to use principal as well as income from time to time for the minor's support and education (including college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education, or to make payment for these pur- poses, without further responsibility, to the minor or to the minor's parent or to any person taking care of the minor. dL'fi /~ d .if ~,'k .~ v Page I AUNOLD, SLIKE & BAYLEY ATIORNEYS AT LAW a'oe...."........n~ C....PJl'LL,P._nLV......."'", v - I appoint my husband, John L. Shatto, Executor of this, my Last will and Testament. Should my said husband fail to qualify or cease to act as such, then I appoint my mother, Evelyn G. Burkey, to act in this capacity. Neither of my personal representatives shall be required to post bond in this or any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal on this, the yU~ , 1978. day of :~ tJ ~. ,1 ;' ~ 4.1- L:U.~ Shuley. A. Shatto (SEAL) Signed, sealed, published and declared by SHIRLEY A. SHATTO, Tes- tatrix thereiI< named, on this and one (1) other sheet of paper as and for her)Last Will and '!:estament in our presence, who, in her presence, at her request and in the presence of each other, have hereunto subscri~ed our names as attesting witnesses. , / I -,'M, \ i Lud!~ Na e ~d6r 7 (1" '>>\) /-hr/. ~. Address ~t -t. Name ~)(.> ~ff tJ; U ' Address Page 2 COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND) I, SHIRLEY A. SHATTp , the testat or whose name is signed to the attached or forego~ng instrument, having been duly quali- fied according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it will- ingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and SHIRLEY A. SHATTO, of November , 19~. acknowledged before me, b~. the testat or this _~ r1 day ~ J ~q1~ Njrtary Public '1lieIma $, McC.uslin. Nol~;Y Pllbflc- Mv Commisdon Expiles July 1, 1980 (Imp Hill. PA Cumberland (ounly COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND) WE, the undersigned, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testa~ix sign and execute the instrument as her Last Will; that SHIRLEY A. SHATTO signed willingly and that SHIRLEY A. SHATTO executed it as her free and voluntary act for the purposes therein expressed; that each of us, in the hearin,9' and sight of the test rix ~gned the will as witnesses; and th~t to the best of r k wle e/the testatrix was at that time l8?r more years of ge, of s un ' mind and under no constraint or Und\e~'nflu, nc~. , . I J./I, ~I -1.~~ Sworn to and subscribed before me this J nf day of November , 19 78 AaNOU>. SUXIl . IlAYLI!Y """.Nf.YS AT LAW 21. ......... ...... ea.................... 17011 A~ l~c lb.lm. $, McC.usfln. HolMY ~ub\it' Mv Commisslon Expires July t. t980 H'II PA Cumberland (oun\V (amp I,