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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 g '-"~MACHAMER . ~ \;.:--..... 'r;;- ~]' -i ,I "0 r:: r:: 0 tl:S -.;:: ~.~ 'i) p... I -I B15 os ~ i:ii r-...\.) ,~ '''''', 't}; ctJ en -"~1 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 . J~""Ul bVL ~ (\) l 2 N 4Ii-r. ~: l.,? .r.- C"l 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 p 11E';99933 No. Rev, 2)87 ~/~ I ~ ._~d! "/ C~.-1.(!!'?~.I/~-;. tf i Local Registrar ScP 15 20Q5 ~A t4 0t "j: r:Date - .: ") :-0 CTI c) ~~ .-) \";'1 C.':J .-) "-rl ~~:~ rn i'j -+ N -j- 'J q, 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:- '0.... 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