HomeMy WebLinkAbout12-05-05
PETITION FOR PROBATE and GRANT OF LETTERS
() J ~ 0 >- /0 )0-
Estate of William H. Sellers
also known as
No.
To:
Register of Wills for the
, Deceased. County of .Cumberland in the
Social Security No. Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut or
in the last will of the above decedent, dated .T11 n E' 9,
and codicil(s) dated
named
,19~
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in
his last family or principal residence at
County, Pennsylvania, with
(list street, number and muncipality)
Decendent,then--2~yearsofage,died November 22, , .2005
at W~~!r',5ho"-L- /-tt..IH'\ ~ (l~I-,ClL"lit-a+(",,~ ((?""J- ~1I"SJ;,<y... Tv-v?J
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:
Decendent at 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
sit.!illted as follows:
$
$
$
$
'-',<800
I
~~"- '
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
pre<:~ntedherewith and the grant of letters testamenta ry
Ln (testamentary; administration c.I.a.; administration d.b.n.c.t.a.)
theron.
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il/tttJl JE
MicJrael L. Seifried
300 West Main Street
Shiremanstnwn, PA 17011
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA 'I ~~
COUNTY OF CUMBERLAND J S~
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are
true and correct to the b,est of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and tr y adminis r th estate. according to law.
i
Sw orn to or affirm ed and subscribed {
before me this 5~\-~ day of
DL'-'-~~ . J=>
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No. ~ I~ 0 S-)O S~;L
Estate of William H. Sellers
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW _, 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 June 9, 1999
described therein be admitted to probate and filed of record as the last will of
William H. Sellers
and Letters
are hereby granted to
Te1'lt.rJmpntrJry
Michael L. Seifried
~C{0 rtl.-tlU'\ S}-r~"yC
~fA/l Milzi:k> -r:h ~mp~ " I flr'
Register of Wills
FEES
Probate, Letters, Etc. ......... $ (; 0
Short Certificates(~h . . . . . . . . .. $ I ~
R..u'~Xnpt~~I~q: f~
TOTAL _ $ ID fa
n iJ c,"h- i}) 7 '
Filed .. ~C"':/.' . . . EX 0. .). ... . .. .. . . .. .
Andrew C. Sheely, Esq.
ATTORNEY (SuQ, Ct. I.D. No.)
127 S. Market ~t.,P.O. Box 95
Mechanicsburg, PA 17055
ADDRESS
(717) 697-7050
PHONE
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF SUBSCRIBING WITNESS
J /- D S / ! () <2.-
Andrew C. Sheely
codicil
(each) a subscribing witness to the will presented herewith, (each) being duly qualified according to
law, depose(s) and say(s) that he was present and saw
William H. Sellers
the testat () r I sign the same and that he signed as a witness at the
request of testat-O..l:- in lLis-- presence and (in the presence of each other) (in the presence of the
other subscribing witness(es)).
Andrew C. Sheely, Esq.
127 S. Marke'N~eet, P.O. Box 95
Mechanicsburg, PA 17055
,H{dtI ~~
(Name)
(Address)
~,~~, REGISTER OF WILLS OF CUMBERLAND COUNTY
'r OATH OF NON-SUBSCRIBING WITNESS
..~ ::9- f~ () S-j (j r.)..-
L")
Michael L. Seifried
, ,
) ::~J.~ subsctji?er, hereto, (each) being duly qualified according to law, depose(s) and say(s) that
L t~~e is ( familiarwiththesignatureof William H. Sellers
c---J
c6iilil-
testat~ of (one of the subscribing witnesses to) the will presented herewith and
that
he
William H. Sellers
aRh-..a
believes the signature on the will is in the handwriting of
to the best of his
knowledge and belief.
Sworn to or affirmed and subscribed before
S-t\-....--
~i' day of
00 QxY\baA. C) 00 ~
lJ{QWO-';,{o..,,,,,,,, J,t'VMlx,~
'}OI\ ~ -)~t.u.nt' Reg; er
~~I-^~J
\-
Michael L. Seifried
',~
. (Nam~;
300 West MaIn Str~et,Shitemanstown,p 1701]
~~~'?l!~AA
(Na e)
(Address)
Thi, j" fu ccnll\ that the informatiun here given is correctly cupied frum <111 I
L 'l'al Registrar The original certificate \vill be forwarded (u till' State \ Ital k,. I
al-tJf-lo~l
'4
WARNING: It is illegal to duplicate this copy by photosHt
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TYPEIPR!!'!::
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PERMANeNT
BLACK INK
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NAME O~EDENT (First, Middl6:- ~IJ
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE fILE NUMBER
Stale
DATE OF DEATH (Month. Day, Year)
. November 22,2005
..
COUNTY OF DEATH
79
y"
SEX SOCIAL SECURITY NUMiER
William Henry Sellers 2. Male 3. 208- 24' - 4002
BIRTHPLACE (City and PLAC OF DEATH Check 0 one
State or Foreign Country) HOSPITAL
Harrisburg, Pa. IflpllliBnr 0 ER/OulpnefllO DOA 0
7. _..
FACILITy NAME (If not inslilution, give street and number)
,.
AGE (last Blnhday)
ao.
West Shore Health & Rehabilitation
FluideflUO ~~:Clfy) 0
RACE. Amencan Indian. Slack. Vv'hite etc
(Spec",)
...
Cumberland
DECEDENT'S USUAL OCCUPATION
(GNe llrld ", work don. dufn'i. m"51
" .~~(E';s"~ainhj~ce
WAS DECEDENT EVER IN
U S_ ARMED FORCES?
y..1!! NOD
12.
10,
White
Pa,
MARITAL STATUS - Married,
Never Married, Widowed,
Divorced (Specify)
Widowed 16.
17c. ~ Ye., deced.nI".<"n East Pennsboro
SURVIVING SPOUSE
(If wile. giw malQeo nem.)
11a. 11b.
DECEDENT'S MAILING ADDRESS (Street, CityfTawn. Slate, Zip Code)
770 Poplar Church Road
Camp Hill, Pa 17011
14.
17b. Counly
Cumberland
o'd
decedent
live in a
township?
l.p
16.
FATHER'S NAME (First. Middle, last)
11.
INFORMANT'S NAME (Type/Print)
20,
METHOD OF DISPOSITION
Burial 00 CrematlOll 0 Removal from State 0
o er(S Clfy)
17d. 0 :~i~e~~t~:~~sdof
city/boW
George Sellers
MOTHER'S NAME (First. Middle, Maiden Sumame)
1.. Verna Hoover
INFORMANT'S MAILING ADDRESS (?treel, CilyfTown, Slals. Zip Code)
20.. 44 West Main street Shiremanstown, Pa. 17011
Michael Seifried
~
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PLACE OF DISPOSITION- Name of Cemetery, Cremalory
Of Other Place
21c. Rolling Green Memorial Park
NAME AND ADDRESS OF FACILITY
22c. Myers Funeral Home, Inc.
LICENSE NUMBER
lOCATION. CityfTawn, Stale, ZIp COde
To the best of my knowledge, death occurred at the lime, date and ptace stated
(Signature and TIUe)
23a.
TIME OF DEATH
UCENp~MBER .
22.. rp- C) / Z-fi:,
21d.
Camp Hill, Pa. 17011
37 East Main Street Mechanicsburg, Pa. 17055
DATE SIGNED
(Month, Day, Year)
2'.
6:25 PM
DATE PRONOUNCED DEAD (Month. Day, Year)
2.. NblleMb"",. 01;; 005
23b. 23c.
WAS CASE REFERRED TO A MEDICAL EXAMINER /CORONER?
21, Yos 0 No 00
: Approximate PART II: Other Signit)cant coMltlons contribullng to Oealh. bul
, interval between nol resuhing in the Under1ying cause given 111 PART I
: onset and death
: ,.....,~n.!'
Jf.~,r...
.J' -.J ............. '"' '--
27. PART I: Enter the "iune., injo.lri.. or comphuUon. which Ca0.l5." the d..th. Do nol.nter the mo. of dying. ,...ch n c.,diac or re5pifatofy e"..t, 5hock Of heart 'ailure.
Lit;tonlyo""cao.luone~chlm.
DUE TO (OR AS A CONSeQUENCE OF)
~1~vr e
f""" t....J I ':l,) ,.~{, "J,'f
Sequl:lnloally IIsl conOltlons
If an)', leadlogto immediate
. cause Enter UNOERl YING
CAUSE (Disease or illjury
thallOltlated events
resultJnQ on death) LAST
! :
f &- "r ~'l ~,/'.'~ \.v1~II~
WERE AUTOPSY FINDINGS
AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
MANNER OF DEATH
Natural
00
o
o
DATE OF INJURY
(Month.Oey. Year)
TIME OF INJURY
INJURY AT 'NORK? DESCRIBE HOW INJURY OCCURRED
Homicide
o
o y..o NOD
30.. 30b. M 30e.
o PLACE OF INJURY - At home. farm. street, lactory, offICe
bulldlflg, ele (Specify)
30..
ACCident
PentJlng Investlgallon
Could not be determined
Yo. 0 No 00
y..o
NOIKJ
Suicide
28.. 21b.
CERTIFIER (Check onl)' one)
'~:~~F:~~tGor~~\';~~~.~gh"Sdc~~~hc:~~~~~~ad~: r~ ~:~a'Z~:~(:)~~~r ~~~~;~a~lIh::.r~~~o~.~~.~~. ~~~~~ .~.~~. ~.~~~I~~~~. ~.~~. ~.~~.. ............. .. .. 0
2..
t-
Z
w
Cl
w
U
w
Cl
o
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0(
Z
IZlll~d I~
31b.
LICENSE NUMBER
o 31c. nf)"'1)'4j)-L.. 31.. rJ"'vtt-l...... 11.1
NAME AND ADDRESS OF PE~N ~HO COMPLETED CAUSE OF DEA ~
(ltem27)T~peorPnnl 1 1,r"-(iI.-~/ f.\ Y::t.J"') ,~
o r' '1 <> (""1' - c1,.--y....-h.
32. ,~"" 'I' LJ~) ,q,.,)
DA TE ~I~D (Month., Day: Year)
3. NDIe Nl e ~.o g60~-
>./"'
'PROHOUNCING AND CERTIfYING PHYSICIAN (PhySIcian OOth pronouncing death and cerllf)'ing to cause of dEtaIn)
To the bast of my knowl.dge, dulh occ...rred al tha time, d.I., .nd pl.c., and d.... to the c....S..{II) and manner.1I sta'.d.
'MEDICAL EXAMINER/COROHER
On tha balli, of .Jl.mln.Uon and/or Im/..tlgatlon, In my opinion, d..th occ...rred .t the tlma, data, .nd placa, and due IQ Iha c....II..{sl.nd
mlnnar III IItal.d
31a.
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11
LAST WILL AND TESTAMENT
f "'" ,.
r., ~-.
OF
t...,
".
WILLIAM H. SELLERS
I, WILLIAM H. SELLERS, of 1069 Allendale Road, Apt. D,
Mechanicsburg, (Upper Allen Township) Cumberland County,
Pennsylvania, make, publish and declare this as and for my Last Will and
Testament, hereby revoking all other Wills and Codicils heretofore made
by me.
FIRST: I direct that all inheritance, estate, transfer, succession
and death taxes, as well as my just debts and funeral expenses, of any kind
whatsoever, which may be payable by reason of my death, shall be paid
out of the principal of my estate as the same can conveniently be done.
SECOND: I give, devise and bequeath all the rest, residue
and remainder of mv estate of whatever nature and wherever situate,
.I
including any property over which I hold power of appointment and
together with any insurance policies thereon, to ST. JOHN'S
LUTHERAN CHURCH, 44 West Main Street, Shiremanstown, Penn-
sylvania.
THIRD: In addition to all powers granted to them by law and
by other provisions of this Will, I give the fiduciaries acting hereunder the
following powers, applicable to all property, exercisable without court
approval and effective until actual distribution of all property:
..'\.. -
~
~
~
~
-
(A) To sell at public or private sale, or to lease, for any period
of time, any real or personal property and to give options for sales,
exchanges or leases, for such prices and upon such terms (including credit,
with or without security) or conditions as are deemed proper. This
includes the power to give legally sufficient instruments for transfer of the
property and to receive the proceeds of any disposition.
(B) To partition, subdivide, or improve real estate and to
enter into agreements concerning the partition, subdivision, improvement,
zoning or management of real estate and to impose or extinguish restric-
tions on real estate.
(C) To compromise any claim or controversy and to abandon
any property which is of little or no value.
(D) To invest in all forms of property, including stocks,
common trust funds and mortgage investment funds, without restriction to
investments authorized for Pennsylvania fiduciaries, as are deemed
proper, without regard to any principle of diversification, risk or pro-
ductivity.
(E) To exercise any option, right or privilege granted in
insurance policies or in other investments.
(F) To exercise any election or privilege given by the Federal
and other tax laws, including, but not necessarily being limited to, per-
sonal income, gift and estate or inheritance tax laws.
(G) To make distributions to my herein named beneficiaries
2
. ..
." -
in cash or in kind or partly in each.
(H) To borrow money from themselves or others in order to
pay debts, taxes, or estate or trust administration expenses, to protect or
improve any property held under my will, and for investment purposes.
(1) To select a mode of payment under any qualified retire-
ment plan (pension plan, profit sharing plan, employee stock ownership
plan, or any other type of qualified plan) to the extent the plan or the law.
FOURTH: I nominate and appoint my friend, MICHAEL
L. SEIFRIED, of 300 West Main Street, (Borough of Shiremanstown),
Shiremanstown, Pennsylvania, Executor, of this, my Last Will and Testa-
ment. In the event of the death, resignation or inability to serve for any
reason whatsoever of MICHAEL L. SEIFRIED, I nominate and appoint,
ST JOHN'S LUTHERAN CHURCH, or its successor, Executor, of this,
my Last Will and Testament. I direct that my Executor and their succes-
sors, shall not be required to post security or a bond for the performance
of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this, my Last Will and Testament, this C( day of June, 1999.
4'~A"k~~~J~
WILLIAM H. SELLERS
(S EAL)
3
,... -
Signed, sealed, published and declared by the above-named
Testator as and for his Last Will and Testament in our presence, who, at
his request, in his presence and in the presence of each other, have here-
unto subscribed our names as attesting witnesses.
1/2 &11/. 3f)t'r....r5tre~f {J./I-,p /ft(~ /1I17uIf
Address
/lnctv/ (7, SLg
Name
/7 7
" ~. 1/ ~ 0.. .,V
,~tJH" .' '\.44. , / 1:du....,~1i (leT;"
Address -.
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--d -:-fur '/;""rhYI.-UA..,t--J
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Name
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