HomeMy WebLinkAbout04-08-05
Estate of Amber J Goodling
BEFORE THE REGISTER OF WillS, CUMBERLAND COUNTY, PENNSYLVANIA
PETITION FOR GRANT OF LETTERS
No. 011-05- 3J.1
also known as
Amber J Goodling
, Deceased
Social Security No. 196186233
Michael D Goodling
Petitioner(s), who isJare 18 years of age or older, apply(ies) for:
(COMPLETE "A" OR "B" BELOW:)
GJ
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut or
Decedent, dated 5/8/1996 and codicil(s) dated
named in the Last Will of the
State relevant circumstances, e.g., renunciation, death of executor, ate
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.t.a., d.b.n.c.t.a.: pendente Ute, durante absentia; durante minon'tateX
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:
I Name Relationship Residence : . d
" ~ ,','i
., .
. ':.'\
"
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal
residence at 100 Mt Allen Drive, Upper Allen Township
(list street, number and municipality)
Decedent, then 85 years of age, died March 26 ,2005 ,at Messiah Village
(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 ....................................................................,................... $
Tot.I..................................................................................................................... $
324,000.00
324,000.00
Real Estate situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presenled with this Petition and the grant of letters in
the appropriate form to the undersigned:
ture
Typed or printed name and residence
RW-7
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
tatements in the foregoing Petition are true
as p rsonal representative(s) of the Decedent,
The Petitioner(s) above-named swear(s) and affirm(s) that t e
and correct to the best of the knowledge and belief of Petitioner(s) th
Petitioner(s) will well and truly administer the estate in 0 w.
Sworn to and affirmed and subscribed
n-+~
before me this I' day of
Aoril 2005.
~~r1~~~~~'h''4L
~
Estate of Amber J Goodlina
DECREE OF REGISTER
Social Security No: 196186233 Date of Death: 3/26/2005
AND NOW, April 'I 2005 , in consideration of the Petition
on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters IXI Testamentary 0 of Administration
also known as
are hereby granted to Michael D Goodling
.
....1
Deceased
No.oIl-D5 - 03n,
"
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'G.,"
(c.t.a.. d.b.n.c.t.; pendente lite; durante absentia; durante minoritate)
$
360.00
in the above estate and that the instrument(s), if any, dated Mav 8,1996
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters ....................................
Short Certificate(s) .'1.e..1f!-! $
$
$
$
$
$
$
$
Renunciation ..........................
Affidavit ( ) .......................
Extra Pages ( )..............
Codicil N.V!!L........................
JCP Fee .................................
Inventory & Tax Forms.............
Other .A~.t<?m\'l.ti.Q!).f.~.~.... ... .....
TOTAL .............................$
RW-7A
16.00
15.00
10.00
5.00
406.00
L;lll"^,l,~,".^t~'~~
RegiSter of Wills . ~
&-~,~
Attorney: Jan L Brown
I.D. No: 67993
Address: 845 Sir Thomas Court Suite 12
Harrisburg
Telephone: 717-541-5550
DATE FILED: 4/1/2005
PA 17109
BEFORE THE REGISTER OF WillS, CUMBERLAND COUNTY, PENNSYLVANIA
OATH OF SUBSCRIBING WITNESS
Estate of Amber J GoodlinQ
No. .;2/. OS-. 63d-1
also known as
Amber J GoodlinQ
, Deceased
Bruce C Bankenstein
Patricia C Bankenstein
(each) a subscribing witness to theO codicil(s) !XI will(s) presented herewith, (each) duly qualified according to
law depose(s) and say(s) that she/he/they was/were present and saw the above Testator(rix) sign the same and
that she/he/they signed as a witness at the request of the Testator(rix) in her/his/their presence an(jXJ in the
presence of each other 0 in the presence of the ot r subscribing witness(es).
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(Signature)
l ]12 (;t.-/t 'TIe i?l.Jd.'s 5 fA 1I,.N I\J)
<; IE V G ~ V frl,,'-' [; Y S, i'1t I 736 0
PA 17401
42 North Duke Street
York
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~ (Signature)
42 North Duke Street
York
PA 17401
(Address)
Sworn to or affirmed and subscribed
before me this In'lf, day of
/fan I ~{(J!5
A~~, /12 ~L. J
Notary Public
My Commission Expires: ~. tl1; ;?()(),f
OMM NWEALTH 0 P NNS VAN
NoIIrtel Seal
Bona J. OHlman, NoIaIy Public
Mancheater lWp., Yorl< County
My Commission Elcpl... Dec. 28, 2008
(Signature and seal of Notary or other
official qualified to administer oaths. Show
date of expiration of Notary's commission.)
NOTE: To be taken by officer authorized to administer oaths. Please have
present the original or copy of instrument(s) at time of notarization.
RW.2
\\H~W.l" REV. \!(l'i " 0" s correctl CO ied from an original certificate of death dU~7. filed with me
This IS to certify that the mtormatton herWc\'lbllbveenf~~wardcd !c) th~ State Vital Records Office for permanent hhng.
Local RegIstrar. The original certiticate
WARNING: It is illegal to duplicate this copy by photostat or photograph:-...
as
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COMMONWEALTH uF PENNSYLVANIA. oePARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
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'''PI!IPAINT
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w.ME OF oeCEDENT\f~... M_, ua,
I. Amber J. Goodling
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100 Mt. Allen Drive
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LAST WILL AND TESTAMENT OF
AMBER]. GOODliNG
I, Amber J. Goodling, of York County, Pennsylvania, being of
sound and disposing mind, memory and understanding and considering
the uncertainty of life, do therefore make, publish and declare
this to be my Last Will and Testament, hereby revoking and making
null and void any and all wills and Testaments or writings in the
nature thereof by me at any time heretofore made.
ARTICLE ONE
I direct the payment out of my estate of the expenses of my
last illness if any, my funeral expenses, and my just debts, the
same to be paid out of my estate by my Executor hereinafter' named,
as soon as conveniently may be after my demise.
<.
ARTICLE TWO
I give, devise and bequeath all of the rest, residue and
remainder of my estate and property, real, personal or mixed, of
whatsoever nature and character and wheresoever situate, of which
I may die seized or possessed, or to which I am in any way entitled
at the time of my death, or over which I have any power of
testamentary disposition unto my son, Michael D. Goodling, if he
survives mej unless there has been created by the time of my death
a non-support trust naming my said son as beneficiary which is
intended to be used only as a supplement to, and not as a
replacement of, any statutory or other governmental benefits to
1
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which my said son may be or become entitled, including, but not
limited to, medical assistance, pUblic assistance, supplemental
security income, or the like, in which event, I give, devise and
bequeath all of the rest, residue and remainder of my estate, in
trust, unto such trust as part of that trust for the uses and
purposes therein contained so long as my said son survives me.
ARTICLE THREE
In the event my son, Michael D. Goodling, does not survive me,
I give, devise and bequeath all the rest, residue and remainder of
my estate as follows:
A. One-half (1/2) thereof unto my daughter-in-law, Fay
L. Goodling, if she survives me; unless there has been created by
the time of my death a non-support trust naming my said daughter-
in-law as beneficiary which is intended to be used only as a
supplement to, and not as a replacement of, any statutory or other
governmental benefits to which she may be entitled, as indicated
above, in which event, I give, devise and bequeath this one-half
(1/2) portion of the remainder of my estate, in trust, unto such
trust as part of that trust for the uses and purposes therein
contained so long as my said daughter-in-law survives me. In the
event my daughter-in-law, Fay L. Goodling, does not survive me, I
give, devise and bequeath this one-half (1/2) portion of the
remainder of my estate unto the Pinnacle Health System, currently
located at 17 South Market Square, Harrisburg, Pennsylvania, or its
successor, to be used for physical medicine and rehabilitative
2
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services.
B. One-half (1/2) thereof unto the Pinnacle Health
System, currently located at 17 South Market Square, Harrisburg,
Pennsylvania, or its successor, to be used for physical medicine
and rehabilitative services.
ARTICLE FOUR
I nominate, constitute and appoint my son, Michael D.
Goodling, to be the Executor of this my Last Will and Testament.
In the event my said son should predecease me, or is unwilling or
unable to serve as Executor for any reason, I nominate, constitute
and appoint my nephew, Samuel Herman, as Executor.
ARTICLE FIVE
All federal, state and other estate, inheritance and death
taxes payable because of my death, with respect to the property
passing under this Will, including any interest or penalty which
may be imposed thereon, shall be considered a part of the expense
of the administration of my Estate and shall be paid out of the
residue of my Estate before distribution of the residue is made, so
that all residuary beneficiaries, whether charitable or otherwise,
shall proportionately share in the payment of the same.
ARTICLE SIX
I direct and request that any fiduciary under this my Last
Will and Testament, shall not be required to enter bond or security
of any nature whatsoever in any jurisdiction in which such
fiduciary may act.
IN WITNESS WHEREOF, I have hereunto set my name and affixed my
3
cl\~
seal to this my Last will
pages this gt4 day of
and Testament which consists of four (4)
;11 /11
, 1996.
(SEAL)
5.S.#
{C/o - JC?-6'233
SIGNED, sealed, pUblished and declared by the above-named
Testator as and for the said Testator's Last will and Testament in
the presence of us who have hereunto subscribed our names at the
said Testator and of each other.
Testator's request as witnesses thereto, in the presence of the
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