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Home My WebLink About02-17-05 Estate of CLAYTON E. ZIMMERMAN PETITION FOR GRANT OF LETTERS 21-05- ()llt"L No. also known as , Deceased Social Security No. 159095625 BEULAH A. BARGER Petitioner(s), who is/are 18 years of age or older. apply(ies) for: (COMPLETE "A" OR "B" BELOW:) GJ A. Prob~and Grant of Letters and aver that Petitioner(s) is/are the e~ecut~IX Decedent, dated "1 fi,cH II J JGf9~ . and codicil(s) dated f\Jt)<1'J'e... /~J Y'~'r NplrYled Gcx:.ec uT'\IX Pre 4ecl1,ged I)..,~ 19 N S~ p., .:2. C6 2.... (J/ ~ :2-.. named in the Last Will of the dece <leu ( 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: o B. Grant of Letters of Administration (c.I.a., d.b.n.c.t.a.: pendente lite, durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence co ;:..---', ~"" .,"<.: ( . (COMPLETE IN:.ALL CASi;S:) Attach additional sheets if necessary. DecEildentwas d&a,iciled-~tdeath in CUMBERLAND County, Pennsylvania, with his/her last family or principal residenceat 1~.:CLOUSER ROAD, MECHANICSBURG, PENNSYLVANIA ) YJOI\J Y'D e.... T 0P : (list street, number and municipality) . Decedent, then ;~2 ye~rs of age, died FEBRUARY 12 ,2005 ,at CHURCH OF GOD HOME, CARLISLE, PA (Location) Decedent at death owned property with estimated values as follows: (if domiciled in PAl All personal property......................................... $ (if not domiciled in PAl Personal property in Pennsylvania .................... $ (If not domiciled in PAl Personal property in County.............................. $ Value of real estate in Pennsylvania ........................................................................................ $ Total ..................................................................................................................... $ ~~ .~~...~ 7J--tV o I :)"JD I t) t) C) , 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 Signature Typed or printed name and residence I A " 17. t7 /I h7~. L.A './ tf BEULAH A. BARGER 129 CLOUSER ROAD MECHANICSBURG, PA 17055 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 that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate accordiqg to law.~ Sworn to and affirmed and subscribed ;{~ a. _~ '1 BEULAH A. BARGER before me this ( day of Fl213RlAJtR'I IUD 5 lLU ~1YlI Estate of CLAYTON E. ZIMMERMAN DECREE OF R GISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA No. 21-65-ILi2.. Deceased also known as Social Security No: 159095625 Date of Death: 2/12/2005 AND NOW, Ft::l3 R\A.A1('1 I '1 2005 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters IZ) Testamentary 0 of Administration are hereby granted to BEULAH A. BARGER (c.I.a., d.b.n.c.t.; pendente lite; durante absentia; durante minoritate) 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. FEES $ ~toOI(1) ~D,DD 5,0-0 Letters.................................. .. Short Certificate( s) ............... $ $ $ $ $~5,-0D lb~ [TO Renunciation .......................... Affidavit ( ) ....................... Extra Pages ( ).............. -CoQieil .............W.I~L....... JCP Fee ................................. $ Inventofu:& Tax{iorms............. $ 1"0 ~ ....Q.tAer. ... ......... ....:................. $ \.5 Jru 815 0-0 TOTAL .............................$ , RW-7A Attorney Attorney: THOMAS L. WENGER, ESQUIRE 1.0. No: 15489 Address: WIX, WENGER & WEIDNER/P.O. BOX 845 HARRISBURG PA 17108-0845 Telephone: (717) 234-4182 DATE FILED: 2/17/2005 RENUNCIATION Estate of CLAYTON E. ZIMMERMAN No. 21-05-iLoL also known as , Deceased The undersigned, CEPHAS C. ZIMMERMAN, SON (Relationship) of (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters TESTAMENTARY be issued to BEULAH A. BARGER Witness CC) hand thi~ (} _, ._ daca~ ~ (Signature) CEPHAS C. ZIMME N 257 SALEM CHURCH ROAD, MECHANICSBURG PA 17055 (Address) if) r".;"~..... (Signature) (.'...' (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this \ b"T '" day of ~~~S Notary Publi My Commiss on tx.oir..e~!JTAR/AL SEAL VU/ti J. LORE, Notary Public I Camp Hi'! 8.ore, Cumberland County . My Com~~!on Expires April 14, 2007 , (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) NOTE; Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. RW-3 IUJ.~UJ Kl::.V IIU) 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. 11333876 i.No. tZvn-/??~. Local Registrar Fee for this certificate, $6.00 O':h ur ..,. FEB 1 6 2005 Date C1- 105.143 Rev. 2/87 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH fAfft Clouser Rd. ~ Mechanicsbur PA 17055 FATHER'S NAME (Firat. Middle. Last) 1'. Amos Zimmerman INFORMANT'S NAME (TypolPl1nt) ~. Beulah Barger ME i'\S DECEDfNT EVER IN U.S. ARMED F~S? Yes 0 No p.l. 12. 13. 17LState Pennsvlvani~ decedent Cumberland :::~ohipa? 17b. Countv SEX 2.male NAME OF DECEDENT (Firat, MIddI8, LOll) 1. CIA AGE (Last Birthday) 5. 92 Yrs, COUNTY OF DEATH BIRTHPLACE (City and s_ or Foreign COunlly) ..., 7~ York, PA ;:...... 0 FACILITY NAME (If nol inalilullon. give a_I and IlUIOO<<) Middlesex Tw . 'd. ~...o :~)O RACE. Amarican Indian. Black. 'M1ila, et (s;rrl te 10. Cumberland Co.. ~. k DECEDENT'S USUAL OCCUPATION KIND OF BUSINESS 'INDUSTRY (c:r"=:~"=~=r store l1a. truck driver 11b. department DECEDENT'S MAIUNG ADORESS (Street. CiI)'lTown. S_, Zip Code) DECEDENrS ACTUAL RESIDENCE (See instructions 00 0Ih0r side) MARITAL STATUS - Manied. Naw=~~. 14. widowed SURVIVING SPOUSE (If wife, .......Iden name) a. C~'~1'h4 170. 0 Yes._ivadin \a No._1ived 17d.lfC'""witiin actuaIlimlts 01 j)~Ff1 N~MEiftti1~'raidon Surname) INFOl!IJ!-NrS foIAJUNG ADDRESS (Sl(oe!, qwrown~l8l8, Zip Codab 1 70 5 5 ~.~~ Ciouser Ra.,Mecuan1cs urg,PA PlACE OF DlSPOSITION- Name 01 Carnalet)', Cromalof)' LOCATION - OlylTown. State. Zip C_ O( Other Place 21..Slate Hill Cemetery IrlI?wer Allen Twp. NAME ANQ.ADDRESS Qffb<;tIL.lTL L .seiman t'H&~~,324HummeIAve.Lemoyne,PA UCENSE NUMBER (Monh. ~~~_) It, 7J!>r 3~ Dc. WAS CASE REFERRED TO A MEDICAL EXAMINER /CORONER? 28. Yes 0 No 18-- :c:..l<im8l0 PART II: ~"=-th8~con=::~R~. :onsatanddoalh ~ twp Dillsburg cily-". Soquonti8lly ist conditions I be.' . i181l)', Ia8dlng 10 Immediate causa. Enter UNDERLYING . . ~u=-=: Irjury rosUting 00 doath ) LAST d. WAS AN AUTOPSY WERE AUTOPSY FINDINGS PERFORMED? AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? (OR AC NCEO : Yos 0 No i(] MANNER OF DEATH Natural i:1 Accid8nt 0 Suicid8 0 HomIck18 Pending Investigation Could not be determined DATE OF INJURY TIME OF INJURY (MonI'I,o.y, v....) D D -0 NoD D 308. 3Gb. M. 3Oc. PLACE OF INJURY - At home. farin. street, factory. oIlica _..... (Sp.d~) 308. DESCRIBE HOW INJURY OCCURRED. SEaUE NoD 28. 1';96r 1e1/loi If ~ 34. . ' lfIaat 2lID'il! Ctltb- ~Q}tgtam~nt) OF CLAYTONE. ZIMMERMAN -J ,"j I, CLAYTON E. ZIMMERMAN, of the Borough of Mechanicsbu~, County of Cumberland and state of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all prior wills by me at any time heretofore made. 1- I order and direct the payment of all my just debts and funeral expenses as soon after my decease as the same can be conveniently done. 2. I give, devise and bequeath all the rest, residue and remainder of my estate, real, personal and mixed, of whatsoever nature and wheresoever situate, to my wife, THELMA I. ZIMMERMAN, absolutely and unconditionally. - 3. In the event my wife, THELMA I. ZIMMERMAN, should predecease - 1 - . me, or should she die at about the same time"as I do, such as in an accident common to both of us, then in such event, I give, devise and bequeath my entire estate, of whatsoever nature and wheresoever situate, to my three (3) childen, to wit: CEPHAS C. ZIMMERMAN, BEULAH A. BARGER, and LESTER J. ZIMMERMAN, share and share alike, per stirpes. 4. For the purpose of facilitating the settlement and distribution of my estate, I authorize and empower my Executors hereinafter named to sell any and all real estate which I may own at the time of my decease at either public or private sale or sales. 5. LASTLY, I nominate, constitute and appoint my wife, THELMA I. ZIMMERMAN, to be the Executrix of this, my Last will and Testament, and in the event my said wife should predecease me, or should she be unable or unwilling to serve in such capacity for any reason, then in such event, I nominate, constitute and appoint my son, CEPHAS C. ZIMMERMAN and my daughter, BEULAH A. BARGER, Co-Executors of this, my Last will and Testament, in her place and stead, each and all to serve without bond or other - 2 - . security for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 1/ day of March, A. D. 1998. !~.;...." ~ CIa n E. Zimmerman (SEAL) Signed, sealed, published and declared by the above named, CLAYTON E. ZIMMERMAN, as and for his Last will and Testament, in the presence of us, who, at his request and in his presence, and in the presence of each other, have hereunto subscribed our names as witnesses. - 3 - COMMONWEALTH OF PENNSYLVANIA) SSe COUNTY OF CUMBERLAND) I, CLAYTON E. ZIMMERMAN, the testator 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 and Testament; that I signed it willingly; and that I signed it as my free and voluntary act and deed, for the purposes therein contained. Sworn and affirmed to and acknowledged before me by CLAYTON E. ZIMMERMAN, the testator, this II~ day of March, 1998. ftlt COMMONWEALTH OF PENNSYLVANIA) SSe COUNTY OF CUMBERLAND) We, the undersigned, J. ROBERT STAUFFER and SUSAN A. McCOY, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the testator, CLAYTON E. ZIMMERMAN, sign and execute the instrument as his Last will and Testament; that the said testator, CLAYTON E. ZIMMERMAN, executed it as his free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of the testator, signed the will as witnesses; and that to the best of our knowledge, the testator was, at the time, eighteen (18) or more years of age, of sound mind, un er no constraint, duress or undue influence. Sworn and subscribed to before me this 11f.., day of March, 1998. ~~CUldL Notary blic - 4 -