Loading...
HomeMy WebLinkAbout03-15-06 Estate of PETITION FOR GRANT OF LETTERS Winifred M. Smith No. :J 1-- () 0 --() :}J 7 also known as Margaret Winifred Smith , Deceased Phillip A. Smith and Janet K. Bitting, Co-Executors Patilioner(s), who is/are 18 years of age or older, apply)ies) for: Social Security No. 193-12-7501 (COMPLETE "A" OR "B" BELOW:) ~ A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut ors Decedent, dated May 26, 2005 and codicil(s) dated named in the Last Will of the State relevant circumstances, e.g., renunciation, death of eXAclIlol, etc 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 8. Grant of Letters of Administration (c.I.a., d.b.n.c.l.a.: pendente lite. durante absentia; durante minoritate) 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: Name Relationship (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at clr3ath in Cumberl and residence at 789 Le,e Lane, Enol a, PA 17025 County, Pennsylvania, with his/her last family or principal Decedent, then 81 _ years cf age, died (list slreet, number and municipality) March 9 2006 ~ Home ,_,- (Location) Decedent 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 ........................................................................................ $ Total ................................................................................ .................................... $ :J., noo - \.~,wo Reaf Estate situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of lelters in the appropriate form to the undersigned: Typed or printed name and residence Phillip A. Smith 942 Maplewood Ln., Enola,PA 17025 " Janet K. Bitting 1495 New Valley Rd., Marysville, PA 17053 RW-1 Oath of Personal Representative Commonwealth of Pennsylvania County of CUMBERLAND The Petitioner(s) above-named swear(s) and affirm(s) that 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, Petitioner(s) will well and truly administer the estate according to law. Sworn to and affirmed and subscribed , rt-L before me this / J day of ~oo/" .. . __ J1i ,1nJ^-, Gh sbJ";> L 1 GA ~ P!\ -)/~; -- ~t~~~~~, , I(\"'d~~~~ Estate of DECREE OF REGISTER Winifred M. Smith Margaret Winifred Smith Deceased No. 1,1- 0 &.-Ol?) also known as Social Security No: 193-12-7501 Date of Death: March 9,2006 , h- AND NOW, m.a 1//[1 ( '7 , 2006 ,in consideration of the Petition on the reverse side hereon, satisfactbry proof having been presented before me, IT IS DECREED that Letters iii Testamentary 0 of Administration are hereby granted to ((C.l.il.. d.b.n.c.t.; pendente htp.; dUrilnte ilbspntia; dUri1nte minmiiltp) Phillip A. Smith and Janet K. Bitting, Co-Executors in the above estate and that the instrument(s), if any, dated May 26, 2005 described in the Petition be admitted to probate and filed of record as the Last Will of Decedent. FEES Letters ... ......... ........................ c:: Short Certificates(s) ...J........ Renunciation ..... ..................... Extra Pages ( ) ............... .. .......... ........... ...w~. t~........... I. T. R....................................... JCP Fee ...d...:./h;..OL........ Inventory ................................ Other........................... ........... TOTAL ................. ........ ....$ $ 1 0 (/1) ~. ~1c4- (jt{jf/l1$Jks!JtU'C,l f2F f!iIJJ;::."liZ/J;) t, - ~_~I~rN 6z~ \ Signature $ $ $ $ $ $ $ $ { '5. u0 ( c;. ujj Attorney: R. Scott Cramer, Esquire 22810 I.D. No: Address: P. O. Box 159 Duncannon, PA 17020 16 , U\.) 717-834-5700 Telephone: DATE FILED: ~ , . LAST WILL I, WINIFRED M. SMITH, of 789 Lee Lane, Enola, Cumberland County, Pennsylvania, declare this to be my Last Will, hereby revoking all prior Wills and Codicils. FIRST: I direct that the expenses of my last illness and funeral be paid out of my estate as soon after my death as is convenient and expeditious in the judgment of my Co- Executors, hereinafter named. SECOND: I bequeath such of my tangible personal property as is set forth in a separate signed memorandum, which I shall place with my will, to the persons therein designated. THIRD: I give, devise and bequeath the residue of my estate to my four children, Phillip A. Smith, Richard J. Smith, Janet K. Bitting, and Carol M. Peganoff, or their then-living issue, in four equal shares, share and share alike. Should any of my four children die without issue to survive them, then and in that event, the share of any such deceased child shall be added to the shares of my other then- living children, equally. FOURTH: All estate, inheritance and other death taxes, together with any interest and penalties payable with respect to property or interests therein subject to taxation by reason of my death and whether passing under my will or any codicil thereto, or otherwise including jointly held and other non-testamentary property shall be paid out of the principal of my residuary estate without apportionment. FIFTH: I hereby nominate, constitute and appoint my two children, Phillip A. Smith and Janet K. Bitting, Co-Executors of this my Last Will. I further direct that they shall not be required to post any bond to secure the faithful performance of their duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will, which consists of one (1) sheet of paper, dated thisd0~day of Mitt ' 2005. R. SCOTT CRAMER Attorney at Law 5 S. Market St. P.O. Drawer 159 Duncannon, PA17020 Q,o. ;(]/ .... \..n ,... , L_ t , I X:!v4~~>/rJ'~ (SEAL) ~ Wi fred M. Smith ,j 1-0 ~~ 0 }}1 . . '4 The writing contained on the one preceding page was signed and sealed by Winifred M. Smith and by her published and declared as her Last Will, in the presence of us, who have hereunto subscribed our names as witnesses at her request, in her presence, and in the presence of each other. '-8 /'lL~ L ~~"w 9f~~A .~. ~'uui COMMONWEALTH OF PENNSYLVANIA) )SS COUNTY OF PERRY ) I, Winifred M. Smith, 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 Willi that I signed it willinglYi and that I signed it as my free and voluntary act for the purposes therein expressed. d)l~ l1;.~ Wi ifred M. Smith SWORN or affirmed to and acknowledged before me by Winifred M. Smith, testatrix, this J(P--f.A day of 7YJcur , 2005 R. SCOTT CRAMER Attorney at Law 5 S. Market Sl. P.O. Drawer 159 Duncannon, PA 17020 vJaib- Notariel8eel Ann H. Watts, Notary Public Susquehanna Twp., Dauphin County My Commission .Expir:.S Apr. 24, 2007 t.._-_J_ ._...___ _,".~"."'W~' ;..:~-",' .,.,1.'\." ", :J'~~'(i'" ;-~1 "Jotades 1 .. COMMONWEALTH OF PENNSYLVANIA) )SS COUNTY OF PERRY ) We, ~r'€.nL... E. 0rl'lk.Yl\' and rr€.DC\\\e..c L. ripC\C'\nl', the witnesses whose names are signed to the attached or foregoing instrument, 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 Winifred M. Smith signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will 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. '-iJ "JJluLL- L L'f:u,t.Jj cd P %l ~O/l ,;} (').p/Linm SWORN or affirmed to and subscribed to before me by :Stfn0\~ L LLpntLvu:. and h'f'f n 0(:, C. (if>.rlaV1-t witnes::3'2s, this C2lo!!> day of lV)UA.-1 ' 2005. cQu1J L~ Notarial Seal Ann H. Wal1s, Notary Public Susquehanna Twp., Dauphin County My CommiSSiOO Expires ~r. 24, 2007 Member. Pennsylvania Associ3tion Of Not3ries R. SCOTT CRAMER Attorney at Law 5 S. Market Sl. P.O. Drawer 159 Duncannon, PA17020 Il!n.".~()" REV 1/05 This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. am.. J7l ?~(J"'- Local Registrar Fee for this certificate, $6.00 p 12226895 MAR 1 0 2006 Date 01 ;P' :::.~ C? Rev.Ol106 lRINT IN ANENT :K INK 1 Name of Decedent (First. mW;!dle, lasl) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH <:::) Cf\ STATE FILE NUMBER Margaret Winifred Smith 3. Social Security Nurroer 1 93_ 1 2 .. Date of Death (Month, day, year) 7501 March 9, 2006 5 Age (Last birthday) 8. Birth lace C 81 789 Lee Lane., Enola, Pa Other o EPJQul atient 0 DOA 0 NUfsin Home 9. Was Decedent of Hispanic Origin? R No CJ Yes (If yes, specify Cuban, Mexican. Puerto Rican, etc.) eX Residence 0 Other. S ci 10. Race: American Indian, Black. White, elc (Specify) White VIS Harrisbur 789 Lee Lane Enola, Pa 17025 13. Decedent's Education S eei on h' hast rade co Ieled 8emenlarylSecondary ((}.12)U k College (1-4 or 5+) Pennsylvania 14. Marital Status: Married, Never married, 15. Surviving Spouse (If wife, give maiden r,ame) Widowed, DMlrced (Spedfy) Widow 17b. County Cumberland Did Decadenl Uveina T ownshp'? 17c. ~ Yes, Decedenl Lived in East Pennsboro Twp 17a. State 17d. CJ No, Decedent Lived w;thin AclualUmitsof CitylBoro 18. Falher's Name (First middle, las1) 19. Mother's Name (First, middle, maiden surname) Vincent D. Moloney Phillip A. Smith Marguerite B. Mailey 20b. Informanl's Mailing Address (Street, cily1lown, stale, zp code) 789 Lee Lane., ENola, ~a 17025 .J 20a. Informant's Name (Type/print) 21b. Date of Dispos~i.Jn (Month. day, year) 21c. Place of Dispos~ion (Name of cemetery, crematory or other place) 21d. Localion (City"vwn. state, zp code) 2006 Holy Cross Ceme~~ry' Hbg, Pa 22c. Narro.ndAddressofFdty Sullivan Funeral Home 51 N~ Enola Dr., Enola Pa 17025 23b. License Number 23c. Dale Signed (Month, day, year) 22b. License NufTi>er ~/ F.D.014993 23a. To the besl 01 my kno>Medge. death occurred althe lime. dale and place stated. (Signature and t~19) 24 Time of Death 25. Date Pronounced Dead (Month. day, year) 3Oa. Was an Autopsy Performed? DYes i( No d 3Ob. Were Autopsy Findings Available Prior 10 Complelior. of Cause of Death? DYes 0 No 31. MannerofDealh ~ Natural 0 Homicide o kck:lenl 0 Pending Invesligalion o Suicide 0 Coukl Not Be Determined 32a. Dale 01 Injury (Month, day, year) 26. Was Case Referred 10 a Medical ExaminerlCoroner? o Ves .>( No ,Approximate interval Part II: Enler other sianificant cond~inn!l r.nntrihulinalo d~Ulth, 28 Did Tobacco Use Conlrbute to Death? onset to death bul not resuKing in the undertying cause given in Part I 0 Yes 0 Probably o No 0 Unknown It : Sg 1\ M Q.(" " k '1 CAUSE OF DEATH (See Instnll::Uorl$ i1nd examples) nem 27. Part I: Enter the ~ - diseases, iniuries, or cofT1)licaHons -thai directly caused the death, DO NOT enler lerminal events such as cardiac arrest, respiralory arrest. or ventricular fibrHlalion w~hout showing the etiology. DO NOT abbreviate, Enler onty one cause on a line IMMEDIATE CAUSE (Final disease or condition resu~jng in death) -7' a C"~'J"')'/...~ I..\p,^ (i.f"'c...i 1lAt''- Due to (or as cons9Quence 0 : ( C.I...r.."",- i?e..., ( ~o..i ""l"t!.. Due 10 (or as a consequer.ce on. CO..e........... ~u, vi'....,,,;. I 29 If Female o Not pregnant wijhin past year o Pregnant at time of death [J Not pregnant, but pregnant within 42 days 01 death o Not pregnant, but pregnant 43 days to 1 year belore death o Unknown if pregnanl within the pasl year 32c. Place of Injury: Home, Farm, Street, Factory, Office Building, etc. (Specify) Sequentially list conditions. if any, leading to the cause lisled on Line a Enler the UNDERLYING CAUSE . (disease or injury Ihat initiated the evenls resultirlg in death) LAST Due 10 (or as a consequence on 32b. Describe how Injury Occurred' :32d. Time of Injury 33a_ Certifier (check only one) Certifying physician (Physcian certifying cause of death.wtlen another physician has pronounced death and coflllleted lIem 23) To the best of my knowledge, death occurred due to the cause(s) and rTl3nner OIlS stated, ,...................,.."....,...... ....."......."".."""... Pronouncing and certtfylng physician (Physician both pronouncing death and certifying to cause of death) To the besl of my knowledge, death occurred 3t the time, dOllte, and place, and due to the cause(s) alld manner.as stated .........m....,......".................."'''''' Medbl examiner/coroner On the basis of examinaUon Indlor Investigation, In my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner as stated .........0 35 Reqist",'sS ~I / I ?-IJ 1/ I 36 r;;;;.lO;~'Y27,o ..........~ 321 II Transportation Injury (Specff)1 o DriYerlOperator 0 Passenger o Pedestrian 0 Other - Specify' 33bW&d;;:'WlL --Q 33e License Nurrber 32g. location (Street, cityl1own, stale) 33d. Dale Signed (Month, day. yearl .....0 ;y.. '0 0 10 ~(p; f. Mc....c.1... C\ 2.€.~ C. 34. Name and Address of Person VYho CofTll~ Caus.@olDasth(ltam27) TypeIPrint .~ Wo.-t reI"" 1\ _ Wc...TlliN .'t "-y "isCi$" ~l (' 11to-...~ Coo 14.rf". ~ rr. Co. (See instructions and examples on reverse) Of.o-O;};f7