HomeMy WebLinkAbout10-12-05
PETITION FOR PROBATE and G~T OF LETTERS
Estate of FRANK C. MACHAMER No. - OS - O?A.7
also known as To:
Register of Wills for the
, Deceased. County of CUMBERLAND in the
Social Security No. 189-18-6652 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the execut OR named
in the last will of the above decedent, dated SEPTEMBER 14. 2000
and codicil(s) dated
(state relevant circumstances, e.g. renunciation. death of executor, etc.)
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with
h IS last family or principal residence at 404 SILVER SPRING ROAD. EAST PENNSBORO
TOWNSHIP. CUMBERLAND COUNTY. PENNSYLVANIA
(list street, number and municipality)
Decedent, then 83 years of age, died 9/13/2005
at HOLY SPIRIT HOSPITAL - CAMP HILL. PENNSYLVANIA
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent: NONE
Decedent e.t 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:
$
$
$
$
40.000.00
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant ofletters TESTAMENTARY
thereon. fA ,~;1 ~~estamentary~;d1m~~~~~c~~~~~~tration d.b~~.c.t.a.)
3; ~ V r t NEW CUMBERLAND P~ \7p70
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYL VANIA }
COUNTY OF CUMBERLAND SS
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are
true and correct to the best of the knowledge and belief ofpetitioner(s) and that as personal represen-
tative(s) of the above decedent p~titioner(S) will well and truly administer the estate)lccording to law._
Swom to or affirmed ~ subscnbed { ~J ~ (J YYl ~ ~
b re me this Ja-+ day of.=L i5
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No. c2l-05-0~7
Estate of FRANK C. MACHAMER
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW (\y -rnn..IVI. J;) JD05 , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated 9/14/2000
described therein be admitted to probate and filed of record as the last will of FRANK C. MACHAMER
and Letters TESTAMENTARY
are hereby granted to
ALFRED A. MACHAMER, EXECUTOR
FEES
Probate, Letters, Etc.. . . . . . . . $ q{) .00
Short Certificates ( )...... $ lJ. .00
~~...",... $15.00
- ~------~""t"""~~~-V:- S .oU
.....Kf' $ lO-uO
TOTAL _ $1~a,C)Q
Filed. . Lb. -. P ~ ~ . . . . . . . . . . . . .
#39785
ATTORNEY (Sup. Ct. I.D. No.)
414 BRIDGE STREET
NEW CUMBERLAND PA 17070
ADDRESS
717-774-7435
PHONE
". " ." 1
II(h~(J) HL\' 1i0-'
This is to certify that the information here given is correctly copied froll~ an original ce~'~.ific~te of death du~~. fi1 d with me as
Local Registrar. The original certificate will be forwarded to the State V!tal Records OffIce for permanent fIlm
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $6.00
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11E';99933
No.
Rev, 2)87
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CERTIFICATE OF DEATH
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
STATE FILE NUMBER
MOTHER'S NAME (First, Middle, Maiden Surname)
19.Mae A. Miller
INFORMAIiTS MAILING ADDRESS (Stre~~ CilylTown, State, Zil' Code)
20b. 3L 1 Eutaw Ave. "ew Cumber land PA 1707
~~~~rO~a~~SPOSIT'ON~ Name of Cemetery, Crematory LOCATION - CityfTown, Stat" tip Code
21cBlue Ridge Memorial Gardens 21d, Lower Pax~Ol1 Twp. PA.I71l
NAM~l; ADDl<ESS OEFt-J;ILllY 17025
22c. KlChardson t'. H. mc.
LICENSE NUMBER
Sequentially list conditions \ b.
If any, leading to immediate
cause, Enter UNDERLYING
CAUSE (Disease or injury c.
that initiated events
resulting on death} LAST d
WAS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH DATE OF INJURY
PERFORMED? AVAIlABLE PRIOR TO (Monlh. Day, Year)
COMPLETION OF CAUSE Natural R Homicide 0
OF OEATH? Accident 0 pen~j~g Investigation 0 Yes 0 No 0
'1::71 0 30.. 30b. M. 30c. 30d.
Yes 0 No ^. Yes 0 No 0 Suicide Could not be determined 0 PLACE OF INJURY _ Al home, farm, street, factory. office LOCATION (Street. CityfTown, S ta)
288. 28b, 29, ~~:~ng, elc. (Specify) 30f. I
CERTIFIER (Check only one) . SIGN~TURE AND T :LE~IFIER L..-.-.-
.. ERTIFYI.NG PHYSICIAN (Physician cel1ifylng cause of death when anolher physician has ronoullced death and compleled item 23) _-" " ' '. ~l .
fo the be.t of my knowloilge, death occurr.d due to the c,u."I.) .nd mann.r a. .t.f.d_..............................................................~ 31b _.. ,:;;:::.. e---" ~ I h jJ
LICENSE NUMBER DATE SIG E Month, Day, Vear)
o 31c.h)~ _~'376S S-,- 31d. I.,.. /05-
NAME AND ADDRESS OF PERSON WHO COMPLETED C SE 0 DEATH
{ltem27)Type!~~1L.O-' p Pe~ 'Pl/' _ \r--E I t-r j./
o 6 ,-,/'" IS v; <;CC T _ )>l..Azr\ _ vv ,.l '( _
32. ~ 6. c. ,i...; ~ > "- C, 7/'1-
DATE FILED (Month, Day, Year)
NAME OF DECEDENT (Firsl, Middie, L..t)
Frank C. Machamer
SEX
Male
1.
AGE (Last Birthday)
2.
PLACE OF DEATH
HOSP!T~
lnpalienl~
8..
BIRTHPLACE ICily 3nd
State or Foreign Country)
83 Yrs.
5,
COUNTY OF DEATH
8b. Cumberland
DECEDENTS USUAL OCCUPATION
8c, Eas t Pennsboro
KIND OF BUSINESS I INDUSTRY
(c;,r:O~i~;~:fe~~o d~~leu~rtr~~ir~t
110. Mechanic 11bSico Oil Company
DECEDENTS MAILING ADDRESS (Street, CIlylTown, State, Zip Code) DECEDENTS
404 Si~ver Springs Rd. ~~~~DAiNCE
Mechan~csburg, PA 17055 (Seeinslructions
on other side)
Hill. Slale
Did
decedent
live in a
township?
11b. County
Cumberland
16.
FATHER'S NAME (First, Middle, Lasl)
18. Frank D. Machamer
iNFORMANTS NAME (Type/Print)
20a. Alfred A. Machamer
METHOD OF DISPOSITiON
Burial t{] Cremation ~emolJat from Slate 0
Other (Specify)
o
]9, 200
2~~E1M~~7~ 4 - L
Items 24-26 must be completed by
person who pronounces death.
24.
27. PART I: Enter the di...u.e, inJuria. or eomplleatlon. whIch cau.ed the death.
Ust l)nly on" ceu.. on ..en Hne.
IMMEDfA TE CAUSE (Final
disease or condition
resulting in death)---+
a.
DUE TO (OR AS A CONSEQUENCE OF):
.PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death and certifying to cause of death)
To the best of my knowledge. death occurred at the time. date, and place, and due to the causes(s) and manner as stated....
<MEDICAL EXAMINER/CORONER
On the buls of examination and/or Investigation, in my opinion, death occurred at the time. date, and place, and due to the causes{s) and
manner.. stated........ ........ .........,... ............. ...,................., ..,. ...............
31a.
~EGtSTRAR.S SIGNATURE AND NUMBER
jJJ 'f!;; -1 _ ~.-'1
33,
~/I~/( I
)"t
SOCIAL SECURITY NUMBER
3. ] 8 9 - I 8 - 6 6 5 2
Check ani one. 5 e inst ctions on oth r Side
OTHER:
MARITAL STATUS. Married,
Never Married, Widowed.
Divorced (Specify)
14. Widowed
11e, IKl Yes, decedent lived in
Spri1G;
Iwp.
17d, 0 ~~h~e;~~~I~i~i~~ of
citylboro.
26.
: Approximate
. infelVal between
: onset and death
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW I JORY OCCURRED_
I
I
I
I
34.
5')
ep\wills\machamer.fc\9-00
LAST WILL AND TESTAMENT
OF
FRANK C. MACHAMER
I, FRANK C. MACHAMER, of East Pennsboro Township, Cumberl!and
County, Pennsylvania, declare this to be my last will and revoke any
will previously made by me.
ITEM I:
I direct that my Executor hereinafter named shall pay
all my just debts and funeral expenses as soon as conveniently may be
done after my decease from the residue of my estate.
ITEM II:
I bequeath my die cast model collection to LARRY V.
SHUMAKER.
ITEM III:
I devise and bequeath all the rest, residue and
remainder of my estate, of every nature and wherever situate, in equal
shares to ALFRED A. MACHAMER, IRVIN M. MACHAMER, and BENJAMIN :F.
SHl~AKER! if they survive me.
Should ALFRED A MACHAMER, IRVIN M.
MACHAMER, or BENJAMIN F. SHUMAKER predecease me, I devise and bequeath
his share to his issue, per stirpes.
'r--..~,
ITEM IV:
I appoint my brother, ALFRED A. MACHAMER) ~xecu~9r
C~,)
.....-j
this my last will.
1.-"".;'''.
Page 1 of 4
'.1:-
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ITEM V: No fiduciary acting hereunder shall be required to post
bond or enter security for the faithful performance of his dutiies in
any jurisdiction.
IN WITNESS WHEREOF, I, FRANK C. MACHAMER, have hereunto S'et my
hand and seal this
(\(
day of
~~Yt\~ , 2000.
~rzc~~
FRANK C. MACHAMER
SIGNED, SEALED, PUBLISHED and DECLARED by FRANK C. MACHAMER, the
Testator above named, as and for his Last Will and Testament, and in
the presence of us, who at his request, 1n his presence and in the
have subscribed our names as witnesses.
A.ef.-i.lO.A:u-<l.J. ~-"'" f~
Address
~~
Witness
~~
~..pAr&~~~ y"
Address
COMMONWEALTH OF PENNSYLVANIA:
SS:
COUNTY OF CUMBERLAND
I, FRANK C. MACHAMER, the Testator whose name 1S signed to the
attached or foregoing instrument, having been duly qualified according
Page 2 of 4
! I
to law do hereby acknowledge that I signed and executed this ihstru-
ment as my last will; that I signed it willingly and that I signed it
as my free and voluntary act for
the purposes therein contained.
ff?dC;ct~
MACHAMER, the Testator, this
Sworn to or affirmed to and acknowledged before me by F~K C.
IV day of ~^~, 2000.
() -1._ '---p '/1
\~ _~~--1Uf'/' d\ ,f<\cvJ--L
Notary Public
NOTARIAL SEAL
CONST.A.NCE '.. KABU, Notary Public
New Cumber!and, PA Cumberland Co.
My Commission Expires April 13, 2003
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF CUMBERLAND
We,
~A" '" ~<
'-'.
and!:fi/; k;;( ~
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 Testator sign and execute the instrument as
his last will; that Testator signed willingly and that he exeduted 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 th~ will as
Page 3 of 4
r
witnesses; that to the best of our knowledge, the Testator was at that
time eighteen or more years of age, of sound mind and under no con-
straint or undue influence.
1~~~
Witness if
Sworn to or affirmed to and
CYv )!/l ~ I J'~.(
witnesses, this
Il( day of
acknowledged before me by
and I/;-4Lc k J/ ~
([~~ ?R'~~
Notary Public
NOTARIAL SEAL
CONSmNCE r.. MRU, Notary Public
Na\~ Cumger~?nd, PA Cumberland Co.
My commiSSion Expires April 13. 2003
Page 4 of 4