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HomeMy WebLinkAbout09-23-15 PETITION FOR GRANT OF LETTERS REGISTER OF WILLS 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: Bonnie R.Lindsay Decedent's Information , Name: Grace W.Steele File No: 21-15 —I y a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: 179-12-4566 Date of Death: 07/29/2015 Age at Death: 94 Decedent was domiciled at death in Cumberland County, PA (State)with his/her last principal residence at 1000 West South Street,Carlisle 17013 Carlisle Cumberland Street address,Post Office and Zip Code City,Township or Borough County Decedent died at 1000 West South Street,Carlisle 17013 Carlisle Cumberland PA Street address,Post Office and Zip Code City,Township or Borough County Stale Estimate of value of decedent's property at death: If domiciled in Pennsylvania...................... All personal property $ 10,000.00 If not domiciled in Pennsylvania................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania................ Personal property in County $ Value of real estate in Pennsylvania................................................................... $ TOTAL ESTIMATED VALUE $ 10,000.00 Real estate in Pennsylvania situated at (Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County ©A. Petition for Probate and Grant of Letters Testamentary Petitioner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent,dated 01/12/2012 and Codicil(s) thereto dated State relevant circumstances(e.g.,renunciation,death of executor,etc.) Except as follows:after the execution of the instrument(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 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.,pedente lite,durante absentia.durance minoritate If Administration,c.t.a ord.b.n.c.t.a.,enter date of Will in Section A above and complete list of heirs. Except as follows:Decedent was not a party to 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 adfudicated an incapacitated person. ❑NO EXCEPTIONS ❑ EXCEPTIONS Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(attach additional sheets,if necessary): Name Relationship Address rV c M 70 75 ryy r— N 6 r F r rn c,J z) C] G C7 C:) a_ n rV r- rr't r o U' o Form RW-02 rev.10-11-2011 Copyright(c)2011 form software only The Lackner Group,Inc. I'—A Page 1 of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland } Petitioner(s)Printed Name Petitioner(s)Printed Address Bonnie R. Lindsay 3600 Ritner Highway Newville,PA 17241 (717)776-7762 The Petitioner(s)above-named swear(s)or affirm(s)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,P tits (s)will well and truly administer the estate according to law. Sworn to or_giffirmed and subscribed before l Date -0�.3'�S� me f day o Date By Date or the Register Date r BOND Required? YES �NO To the Register of Wills: Please enter my appearance by my signature below: FEES: Letters.......................................... $ A rney lgn e: ( � )Short Certificate(s)......... ;v ( )Renunciation(s).............. c� Codicils "' rn Printed Nae: Bradley L.Griffie Q �� ( )Affidavit(s)...................... -'�3 C- 'x'S �� Bond............................................. r"t C —� cry Supreme Court ..�. --i Commission.................................. ID Number: 34349 �� r— 1`10 M Other Firm Name: Griffie&Associates,P:C:7 Address: 396 Alexander Spring Road,—,—SUitb 1 J 3 _ `t 1 ry r— f rl Carlisle,PA 17015 T Phone: 717-243-5551 Automation Fee............................ `� b Fax: JCS Fee....................................... E-mail: bgriffie@griffielaw.com TOTAL......................................... $ I00, 50 DECREE OF THE REGISTER Date of Death: 07/29/2015 Social Security No: 179-12-4566 Estate of Grace W.Steele File No: 21-15 — Lq a/k/a: AND NOW., 0M5_ ,in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Bonnie R. Lindsay in the above estate and(if applicable)that the instrument(s)dated 01/12/2012 described in the Petition be admitted to probate and filed of record as the lasso Will(and Codicil(s))of Decedent. , 0' " Register of Wills 0 �QQ �J� ",IV Copyright(c)2011 form software only The Lackne�i Wb.p,I �' Page 2 of 2 H105.805 REV(9/11) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. REvult REi fir•, -• _ trtj , t, Fee for this certificate, $6.00 ` `' This is to certify that the information here given is 1 C correctly copied from an original Certificate of Death ��i3 �E� 23 �� y�9` duly filed with meas Local Registrar. The original certificate will be forwarded to the State Vital C= a Records Office for permanent fling. ORPH k 2"19 7 c u M B C7 ENT 0 Certification Number ��OF PEN LVANIA LWal Registrar � Date Issued J Type/Print In COMMONWEALTH OF FEry LVANIA•OEP0.RTMENT OF HEAITH•VITALR Permanent CERTIFICATE OF DEATH Black Air CERTIFICATE Fila Number: 1.0-d-Vi legal Name(Flat,Middle,Last,SuMxl 2.Sex 3.soclal s.-Hty Number 4.Date of Oeath fMo/Day/Yr)(spell Mo) Grace Weary Steele p 179 12 4566 July 29, 2015 St.Age-last Birthday(Yrs) 5b.Under l Year 15,Under l De 6.Oate of Birth(MO/Day/Yearf(Spell Month) 1a.Birthplace(Clry df Stet,or Foreign Counlryl 94 Month: Day: Hoare Mmun, January 14, 1921 Northce(Caudieton Twp-. PA fi,Blrthplanty) Cumberland Ba.Residence(State car Foreign Country) 8b.Rest(Ace(Street and Number-Include Apt No.) Sc.Did Decedent LFve In a Township? - -" PA 1000 W. South St. ❑Yes,decedent lwedln lwp. 5d.Resmenae(County) Carlisle Cumberland Be.Residence(Zip Code) 17013 No,decedent Oved within limitsOf clry/bora. 9.Ever In US Armed Forces? 10.Merhalstetw atTme of Death ❑^Married (3 Widowed 11.Surymns Spouse's Nam,(if wife,911. am.pd.,to first marriage) 13 V. ANO ❑Ilnknnwn ❑Divorced ❑Never Married ❑Unknown - - 12.F,thees Name(FIrst.Middle,Lost,Suffix) 33.MOlheis Name Pdar to First Marriage(First,Middle,Last) Jacob M. W Jessie Peck 14a.lnformant'a Name 14b.Reladonshi ODecedent 14cinformanVs mi ling Add (Street and Number,aty,State,Zip Code) Bonnie R. Lindsay Niece 3600 Ritner Highway, Newville, PA 17241 G ---"-_-- ------- S I..111eoTbeaticnac on one __ __ __ If Deatf10s#urcedina lLaspital: -Inpatient tlf Dealt C-mad Somewhere Other Than a HJIPtai ❑W.;[;Facgiy -1'loecedesm-,Home ❑Emergency Room/Out„lent ❑Deadon ArrN.1 1 0 urslAg Hama/Lon-Term Care facillty ❑Other(Specify) 15b.Fatllity,Name Jif not institution,gem street ant number) 3S,0, r Town,Stare,and ZIP Coda ISM.[ounry of 01 1a, Sarah A. Todd Memorial Home Cal isle PA 17013 Cumberland .. t 16,.Method of Disposition EPE.lel [3 Cremation 16b.Dx of DlsposiUon 16c.Plxe of Dlsposltl0n(Nemo Of cemetery,crema-1,of other Fete) p ❑�� Other Remoymnamsta;e o DenaneR g/•. x/2015 Westminster Memorial Gardens @ ❑ (Spec( ' Z16d.Location or Disposition(City or Town,State,and Zip) 17alIL tore aF Funere11-1,,License.or Pen on in Char a aflntennent 17b.License Number y Carlisle, PA 17013 �� FD-04151-L 17c.Name and Complete Address of Funeral Facility Home Inc. E O S. Hanover St Carlisle. 18. den IEducatlon-Check the box that best describes the 19,Decad of Hispanic Origin-Check the 20.Decedent's Race-Check ONE OR MORE races to indicate what highest degree or level of school completed at the time of death, box that describes whether the decedent the decedent considered himself or herself to be. ❑8th grade car less Is Spanish, Spanic/Latino.Check the"No' 2rWhlte ❑Korean SNo diploma,9th-12th grade box if deco At is not Spanish/Hlspanic/LaUno. ❑Buck or African American ElVletnamase ❑High school greduate or GED completede No,no Banish/Hispanic/Latino ❑Amerlun Indian or Alaska Native ❑Other Asian ❑Some college cradlt,but no degree ❑yes,M x-,Mexican American,Chicano ❑Asian Indian ❑Native Hawaiian ❑Associate der'.(e.g.AA,AS) EIYes,Puerto Rican E3China. ❑Guamanian or Chamorro ❑Bachelor's degree(e.g.BA,AS,BSI ❑Yes,Cuoen ❑Filipino ❑Samoan ❑Master's degree leg.MA,MS,ME%MEd,MSW,MBA) ❑yes,Omar SpanHh/HHpenIc/Latino ❑Japanese ❑Other Pacific Islander ❑Doctorate jet.PhD,ECD)or PActessfonal degree (Specify) ❑Other(Specify) e..MD,DOS DVM LLB,1D 21.�cedenYs 51n{le Race Self.Designation-Clack ONLY ONE to indicate what the decedent consld...d himself or herself to be. 2h.Decedent's Usual Occupation-Indicate type of work UTite ❑Japanese ❑samean done during most of working life.00 NOT USE RETIRED. ❑Beck or Alrican Amekan ❑Kprean ❑Other'wfic(s under Clerk ❑American Indian or Alaska Native ❑Vietnamese ❑Don't Know/Not Sure ❑Allen Indian ❑Other Asian ❑Refused 22b.Kind of Businesss/!Industry ❑Ctanese ❑Wall"Hawalen ❑Other(Specify) C. H. Mas and & Sons ❑Filipino ❑G-anwnorChamorro (Carpet Factory) ffEM523a-23d MUST BE COMALETED 23a,Date Pron 0 atl 0ev r 13b.Slgna,ure.1 4-Pronouncin{Oeath Onlyw In appllcohl¢ 23c.License Numher BY PERSON WHO PRONOUNCES OR n� [ERTIi1E5 DEATH Q o rY I O i y � O.19 U�6 23d�1ta 51g d Y r 24.Time Dp Il0 � Contacted M1/Ly0(No . (-JJ 1 1 25.Wast edits(Examin¢ror Coroner Contacted ❑ as ❑ No L C-7SE OF DEATH I I APPsoalmate .. 26.Part 1.Enter the thein ofevents--disaases,Injuries,or comp111110 --th llrestly causedihe death.00 NOT At.,terminal events such as cardiac arrest, I Interval: respire tory arrest,or venUlcuiarfib611.lion without showing the•oology YCi NOTABBREVIATk.Enteronly one cause ono line.Add additional lines ynecessary. I OnSet W Death IMMEDIATE CAUSE a. Ca I�z9�•(/1'Y Lk 1 /i l Iji_ tl � (Final ft Aor condldon P Due' 'oras,consequence of): I raH,111 S{In death) h. I 5epuanNtlfy lis;conditions, Dueor ora consequence of): I If any,leading to the cause listed on In,a.Enter the C. I UNDERLYING CAUSE Duel or as a consequence ol): I (disease or Injury that _ . F Initiated the events resulting d. ... F5 In death)LAST. Due' or as a cansequ,nce on: . ❑ 26.Pert If.Enter othersl¢nifiont contlltlFnswnMbutina to death but not n WAS in the underlying-,Ili—In Pert 1. Z7.Wasan autopsy plrfA, d7 O Yes No W ere autopsy ffA&ngs available -J to complete the cause of death? Y� ❑Yes No ^_+ 29.1r Female: 5 Md Tobacco Use Contribute to Death? 31.Manner Of Death rel E .&Not pregnant within past year ❑Yes ❑Probably �SaNatural ❑Hamiclde Vj s/ 3 ❑Pregnant at time of death jZNo ❑Unknown ❑Accident O Pending ln-19.0on IC) �' ❑Not preBnAm bu[PI A:At within eZ days al death ❑Suicide ❑Could not badenrmined /S ❑Not pregnant,but pregnant 43 day,to l year before deoth 32:late car ln)u,,iyp/cx,, L,,eq Month) 'VVV/III ❑Unknown if pregnant whhln the past year 33.Tme of Injury 34.Place of Injury(e.g.home;constructlon site;farm;school) 35.Location of AjuryfSIra,t and Number,Oty,County,Sbte,210 Code) I 36.Injury at Work 3T.If Transportation Injury,Specify: 38.Describe How Injury Occurred: ❑Yes ❑Drwer/Opo-rotor ❑Pedestrlan J ❑Na ❑Passenger [3Other(Specify)_ (y 39a.Certlfler physician,<,mFed nurse Practitioner,medical examiner/coroner(Check only one): -'@ Certifying only-To the best of my knowledge,death oaurred due to the causefs)and manner stated. ❑Pronouncing A,Certifying-fo the best of my knowledge,death occurred at the time,date,and place,and due to the cause(s)and manner stated. ❑Medical Examiner/Loroner-On tit bads of ex,min,lion and/or Isrvesisear on,In my opinion,dealfl,occurred at the time,date,and place,and due to the cause(s)and mannn�er stated. 11 Sign.-of tort(((e;: ^(1/IQ('(!/71 _ TkleefcertiHer: Ab Ucense Number.MmOI�p Z,IS v 39b.Name,Address and Zip Code of Person Completing Cause of Death(Item io) 39c.Dale Slgned fMo/Day/Yr) .. George P. Branscum, Jr., MD, 77 Ne'son Drive, Carlisle, PA 17015 July 31, 2015 q� 40.RCglsi District Number 1.Reylst i s 5 n 1 al.Registrar file Date(Mo Day rl 43.AmenAs dments " As HIOS-143 LAST WILL AND TESTAMENT OF GRACE W. STEELE I, GRACE W. STEELE, of Carlisle, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and hereby revoke all prior Wills and Codicils. 1. 1 direct that all my just debts, funeral expenses and administraf&© expenses shall be paid from my estate as soon as practicable after my death. Isy �+' `—' wish that upon my death my body, dressed in pajamas and robe, shall be buried beSi& my husband, Paul in the Westminster Memorial Gardens Cemetery,Newville R66d, Carlisle, PA. __� 'r:; ) 2. I direct that my niece, Bonnie R. Lindsay shall be given my real property ry and all personal property that I own at the time of my death, with the exception of my grandfather clock, which shall be given to my nephew,Norman W. Myers, my larger homemade cedar chest, which shall be given to my grandnephew, Kevin W. Myers and my smaller mahogany cedar chest, which shall be given to my grandniece, Kelle Jo Myers. 3. I appoint my niece, Bonnie R. Lindsay as Executrix of this my Last Will and Testament. In the event that my niece is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever,then I nominate, constitute and appoint v my friend, George A. Reese, as alternate Executor of this my Last Will and Testament. 5. The Executrix or Executor of this Will shall have the power to distribute my estate in cash or in kind, or partly in either. 6. I direct that no Executor acting under this Will shall be required to enter bond in any jurisdiction. 7. I recommend that my Personal Representative retain the law firm of Allied Attorneys of Central Pennsylvania to probate my estate. IN WITNESS WHEREOF, I have hereunto set my hand this day of 2012. GRACE W. STEELE Page 1 of 4 The preceding instrument consisting of this and three other pages was on the day and date hereof signed, published and declared by GRACE W. STEELE, as and for her Last Will and Testament in the presence of us, who at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. Witness Wit;ieG Page 2 of 4 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND 1, GRACE W. STEELE,the 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 and Testament;that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. GRACE W. STEELE Sworn or affirmed and acknowledged before me by GRACE W. STEELE,the TESTATRIX,this�2 \ day of IT66 ,2012. of Pu c/Attorney NOTARIAL SEAL STEPHMIE E CHERTOK,Notary Public Carlisle Boro,Cumberland County My Commission Expires March 24,2015 Page 3 of 4 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND WE,�' 0 4 - �� 71fA and Kc o A, S+0 the witnesses whose names are attached to the foregoing document, 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 she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testatrix signed the Last Will and Testament as witnesses and that to the best of our knowledge the testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed and subscribed before me by44 q !J v6XI and �W-ASL+kf-r"fh-'� this day of0,Av^r , 2012. o ' y Pub ' ttom N pRIAI SEAL. STEPHANIE E CHERTOK,Notary Public Carlisle Boro,Cumberland County My Cornmission E;,�ires March 24,2015 Page 4 of 4