HomeMy WebLinkAbout03-21-06
,
Register of Wills of
CUMBERLAND
County, Pennsylvania
PETITION FOR GRANT OF LETTERS
RUTH E. STINE
Deceased
No. 'J- 000 - 02 Y f'
Social Security No. 204-01-5203
Estate of
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE "A" OR "B" BELOW:)
A. Probate and Grant of Letters and aver that Petitioner is a Residuary Beneficiary under Article IV-A
of the Last Will of
the Decedent, dated Mav 23, 1986 and codicil(s) dated
M&T Bank (Successor by Merger with Dauphin Deposit Bank and Trust Company), the appointed Executor
renounced in favor of Richard E. Shambach.
State relevant circumstances, e.g. renunciation, death of Executor, 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 to victim of a killing and was never adjudicated incompetent:
B. Grant of Letters of Administration
(d.b.n.c.t.a.: pendente lite; durante absentia; durante minoritate)
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:
Name
Relationshi
COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in
CUlnberland
County, Pennsylvania, with her last family orprincipal re~~nce at
ManorCare Health Services. 1700 Market Street, Borough of Camp Hill
(List street, number and municipality)
Decedent, then 97
years of age, died
January 9, 2006
at
ManorCare
(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....................................................$
Val ue of rea I estate in Pen nsylvan i a ...................................................................................................................... $
T ata I.............................. ..................... ........................... ...... ..................... $
44,,000.00
-0-
44,,000.00
Wherefore, Petitioners respectfully request the probate of the last Will presented with this Petition and the grant of letters in the
appropriate form to the undersigned:
Si nature
/{
z~L
T ed or rinted name and residence
Richard E. Shambach
1701 Fairmont Drive
Mechanicsburg, P A 17050
L
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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.
Before me this ~l ,~ f
)~(.~
RICHARD E. SHAMBACH
Sworn to and affirmed and subscribed
day of
'--v'\ /I /" I .1'1 '-
f V tWVL/rL. , 2006.
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No. 2-00/0 - 01. if g
Estate of
RUTH E. STINE
, Deceased.
Social Security No: 204-01-5203
Date of Death:
J anuarv 9 ~ 2006
AND NOW, '--f/t1/lA.cIt ,9... / SI- ,2006, in consideration of the Petition on the reverse side
hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters Testamentary d.b.n.c.t.a.
d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate
are hereby granted to RICHARD E. SHAMBACH in the
above estate and that the instrument(s) dated MA Y23. 1986
described in the Petition be admitted to probate and filed of record as the last Will of the Decedent.
FEES
Letters.ad.m...c..Y8.. $
Short Certificate(s) 4- $
Renunciation.............. $
Affidavit ().................. $
Extra Pages ()....... $
Codicil...W.U.I................ $
JCP Fee....................... $
Inventory...................... $
Other...Q..UJQ.............. $
10.00
5.00
40,00
5,00
~/J~
Attorney: Edmund G. Myers
1.0. No: 20558
Address: Johnson. Duffie, Stewart & Weidner.
301 Market Street, P.O. Box 109. Lemoyne. PA 17043-
Telephone: 717-761-4540
16 00
10,00
TOT AL......... $
j1f/.OO
IrlA~.~':.~ r:-:'.' ,.,-
Thi, 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.
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Local Registrar ..'
Fee for this certificate, $6.00
p
12224067
JAN 1 2 2006
Date
Rev, 01106
)RINTIN
ANENT
~KINK
1. Name of Decedent (First, middle, IaSI)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH STATE FILE NUMBER
e,.)
Cumberland
S, Birth lace C' and slate or fore'
one
Ruth E. Stine
3. Social Securify Nurrber
204 _ 01 _ 5203
4. Date of Death (Month. day, year)
January 9, 2006
5, AQe (Last birthday)
97 Yrs,
8b County of Death
11 Decedent's Usual Occ alion Kind of work done durin most of workin life; dO not state relired
Tea c ~i~ ~ Work Ed u C ~HtiB~s~eSsllndUstry
16 Decedent's Mailing Address (Slreet, cityl1own, stale, zip code)
1700 Market Street
Camp Hill, PA 17011
12.
13. Decedent's Education S eci on h' trade co ed
ElementarylSecondary (()'12) 4 College (H or 5+)
Other:
o ERlOul alienI 0 DOA ~ Nursin Home 0 Residence 0 other.
9. Was Decedent of Hispanic Origin? 10. Race: American Indian, Black, Whtte, etc.
1j No 0 Yes (If yes, specify Cuban, (Specify)
Mexican, Puerto Rican, etc.) Wh i t e
14. MarMI Status: Married, Never married. 15, Surviving Spouse (If wife, give maiden name)
Widowed, Divorced (Specify)
Widowed
Camp Hill Bora
17a, Slale
Pennsylvania
Did Decedent
Live in a
Townsh~?
17c. 0 Yes, Decedent Lived in
Twp,
17b. County Cumberland
17d. r]{ No, Decedent Lived within H 1" 11
Actual Limtts of C am p
CifylBoro
16. Father's Name (First, middle, last)
19. Molher's Name (Firsl, middle, maiden surname)
Arthur M. Jacoby
Laura K. Smith
20a. Inlormant's Name (Typelprinl)
2Ob. Informanl's MaiNng Address (Street, cifyl1own, state, zip code)
Betty Shambach
1701 Fairmont Drive, Mechanicsburg, PA 17050
21b. Date of Disposnion (Month, day, year)
21 c. Place of Disposttion (Name of cemetery, crematory or other place)
21d. Location (Cifytlown, state, zip code)
o Removallrom Slate
1-12-06
22b. License Nurrber
012755-L
FH, 1903 Market St.,
Hill, PA 17011
26. Was Case Referred to a Medical ExaminerfCoroner?
23b. License Number
i<;J 3J. ~ lr3tr L
c:J-o (I {p
K Yes 0 No JPF
Approximate interval: Part II: Enter other sianificant condnions contrilulina \0 death,
onset to death but not resuning in the underlying cause given in Part I.
26. Did Tobacco Use Con1rbJle 10 Death?
o Yes 0 ~bly
o No ;;vonknown
o Yes YNO
d
3Ob. Were Autopsy Findings
Available Prior to COrllJletion
of Cause o~th?
o Yes , No
31, Manner of Death
~alural 0 Homicide
o Accident 0 Pending Investigation
o Suicide 0 Could Not Be Determined
32a. Date of Injury (Monlh, day, year)
32b. Describe how Injury Occurred:
29. If Fama .
01 pregnant wtthin past year
o Pregnant at lime of death
o Not pregnant, but pregnant within 42 days
of death
o Nol pregnant. but pregnant 43 days to 1 year
before dealh
o Unknown it pregnant within the past year
32c. Place of Injury: Home, Farm. Street, Factory, Office
Building, elc. (Specify)
Due lo (01 as a consequ8llCe on:
Sequenlially list conditions. H any,
;. leadinO \0 lhe cause Iisled on line a.
Enter the UNDERLYING CAUSE
. (disease Of injury that in~iafed the
events resuning in death) LAST.
b.
Due 10 (or as a consequence on:
Due to (or as a consequence on:
308, Was an Autopsy
Performed?
32d. Time of Injury
32e. Injury at Work?
DYes 0 No
32f, If Transportation InjUry (Specify)
o Driver/Operator 0 Passenger
o 0 other - Specify:
33b. S' tu of
~'c;fTC1r
~
M.
33a. Cenlller (check only one)
Certifying physician (Physician certilying cause of dealh.when another physician has pronounced dealh and corllJleled lIem 23)
To the best of my knowledge, death occulTed due to lhe cause(s) and manner as staled ..............................................................................................................................
. Pronouncing and certifying physician (Physician both pronouncing death and certifying 10 cause ol deatl1}
To the besl of my knowledge, death occurred atlhe time. date, and place. and due to the cause(s) and manner as slated...,...................................................................O
Medical examiner/coroner
On the basis Of examination an lor Inv~~,ligaliOn, In my oplnlon.~ealh occurred atlhe time, date, and place, and due to the cause(s) and manner as stated .........0
Regislrar's Si I e an~Q.,islrict / c.?.-,1~ '-'-:i- 36. Dale Filed (Month, day, year)
/ -...,... U I .:z. I r 1-< 1/ 1/ I
33d. Dar7i ;on day, y r)
leted Cause of Death (lte~~YP~!( Ii Il CIIU/l.( tI NJ .
CAH,iUJPIJ , 10"
(See instructions and examples on reverse)
1 ,
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1Eagl1lt11ill attb Qrtglamtttl
I, RUTH E. STINE, of the Lower Allen Township, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and understanding, do
hereby make, publish and declare this as and, for my Last Will and Testament,
hereby revoking all other Wills and Codicils heretofore made by me.
ARTICLE I.
I direct the payment of all my just debts and the expenses of my last illness
and funeral from my Estate as soon after my death as conveniently may be done. I
direct that all taxes that may be assessed in consequence of my death, of whatever
nature and by whatever jurisdiction imposed, shall be paid from my residuary estate
as a part of the expense of the administration of my estate.
ARTICLE II.
I give, devise and bequeath, all the rest, residue and remainder of my Estate,
of whatever nature and wherever situate, unto my husband, JAfVIES I.H. STINE,
provided he shall survive me by thirty (30) days.
ARTICLE III.
Should my husband, JAlVIES I.H. STINE, predecease me or die on or before the
30th day following my death, I make the following specific bequests:
A. I give and bequeath my Gateleg Table and my Spinning Wheel Chair unto
RICHARD HARRIS BACASTOW, Devon, Pennsylvania, provided he survives me.
B. I give and bequeath my David Smith 1836 Coverlet to MAJOR TODD
SMITH BACASTOW, Hershey,....>Penn~ylvania~)?rovided he survives me.
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C. I give and bequeath all of my silver (except myoId silver coffee pot) and
silverware unto BETTY W. SHAlVIBACH, Ivlechanicsburg, Pennsylvania, provided she
survives me.
D. I give and bequeath my glassware and my large oil painting above Virginia
sofa unto CYNTHIA PERfvnCI, IVlechanicsburg, Pennsylvania, provided she survive me.
E. I give and bequeath myoId silver coffee pot, my banjo clock, and the oil
painting, September Morn, to I\1RS. RICHARD BEANER, Enola, Pennsylvania, provided
she survives me.
F. I give and bequeath my marble top tables unto JAN BEANER, Enola,
Pennsylvania, provided she survives me.
G. I give and bequeath my oil painting, Penny, unto MRS. EDWARD
CAMPBELL, Boiling Springs, Pennsylvania, provided she survives me.
H. I give and bequeath my topsy pastel unto MRS. DONALD lVIARIK (formerly
Nancy Lake), Lancaster, Pennsylvania, provided she survives me.
ARTICLE IV.
Should my husband, JAi'VIES I.H. STINE, predecease me or die on or before the
30th day following my death, I give, devise and bequeath all the rest, residue and
remainder of my estate as follows:
A. Twenty (20%) percent thereof unto RICHARD E. SHAMBACH and BETTY W.
SHAlVlBACH, his wife, Mechanicsburg, Pennsylvania, or the survivor of them, with the
suggestion that they or the survivor of them divide the share among themselves and
their children, JEFFREY ALAN SHAMBACH and CYNTHIA PERMICI.
B. Fifteen (15%) percent thereof unto TRINITY LUTHERAN CHURCH, 2000
Chestnut Street, Camp Hill, Pennsylvania.
C. Five (596) percent thereof unto AMERICAN UNIVERSITY, Washington, D.C.,
to be contributed to the Scholarship Fund, College of Liberal Arts.
D. Five (5%) percent thereof unto BOSTON UNIVERSITY, Boston,
rVlassachusetts, to be contributed to the Scholarship Fund, School of Education.
E. Five (5%) percent thereof unto THE COrvIMONvVEALTH OF PENNSYLVANIA
for use in the WILDLIFE RESOURCE PRESERVATION PROGRAlV1.
F. Five (5%) percent thereof ooto the AMELIA GIVEN LIBRARY, Nlooot Holly
Springs, Pennsylvania.
G. Five (5%) percent thereof ooto WITF, Channel 33, Public Television, 1982
Locust Lane, Harrisburg, Pennsylvania.
H. Ten (10%) percent thereof unto THE BETHESDA lVIISSION, 611 Reily
Street, Harrisburg, Pennsylvania.
I. Ten (10%) percent thereof unto C.A.R.E., Box 13140, Philadelphia,
Pennsylvania.
J. Ten (10%) percent thereof unto THE AMERICAN RED CROSS, Harrisburg
Area Chapter, 230 State Street, Harrisburg, Pennsylvania.
K. Ten (10%) percent thereof unto THE SAL VATION ARiv1Y, 1122 Green
Street, Harrisburg, Pennsylvania.
I further direct that in case any of the above-listed charitable organizations is
not in existence at the time for distribution, I direct that such share shall be
distributed in equal shares to the remaining charitable organizations named in this
Article. I further direct that any and all taxes assessed as a consequence of my
dea th shall be paid from and deducted from my residuary estate prior to the
calculation of the shares of the residuary beneficiaries so that each residuary
beneficiary, charitable or not, shall bear a portion of the burden of such taxes.
ARTICLE V.
I name, constitute and appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY,
Harrisburg, Pennsylvania, Executor of this my Last Will and Testament.
. ~
IN WITNESS WHEREOF, I have hereunto set my hand and seal on this the
c:2#-day of ~ ' 1986.
-tfd; cf ~~/
. Ruth E. Stine
( SEAL)
Signed, sealed, published and declared by the above-named Testatrix, 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 hereunto subscribed our names as
witnesses.
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ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
ss:
COUNTY OF CUMBERLAND
I, RUTH E. STINE, whose name is signed to the foregoing instrument, having
been duly qualified according to law, does 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.
~ C!. ~~/
Ruth E. Stfne
Sworn or affirmed to and acknowledged before me, by RUTH E. STINE, this
.-; ~ ~ day of'Vv"'\. e\.A.'\S: ' 1986.
\"\ . ~.,'
~~\'-~~ N~Yfulihe
DIANNE LENIG, NOTARY PUBLIC
My Commission Expires December 21, 1 !.ld9
'~moyr~, PA Cu. .berland COUll,)
.. . .
..~ .,
AFFIDAVIT
COMNIONWEALTH OF PENNSYLVANIA
ss:
COUNTY OF CUMBERLAND
We, \,-.JJL-J "~~ '--",,---~-y .., and t_.Djw-.A.,,-,.~ll K). y.y,..~~1 the witnesses
whose names are signed to the foregoing instrument, being duly qualified according
to law, do depose and say that we were present and saw the Testatrix sign and
execute the foregoing instrument as her Last Will and Testament; that she 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 Tes tatrix signed
the Will as witnesses; and that to the best of our knowledge, the Testatrix was at
that time eighteen (18) or more years of age, of sound mind and under no constraint
or undue influence.
....1. I '--.' "'=J. ...~
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(..' L/
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Sworn or affirmed to and subscribed to before me by W_Q...,J "~~'-'c__..-__,~----.-, , and
\;~w"",QJ ):::, y,~esses, this ? J ~ day of '\,.." t'-^X ' 1986. ("
~
- .. \ ~-'- ~yPu~~
DIANNE LENIG, NOTf'\RY PUBLIC
My Commission EXpllb .: .:;ore; 21. 1989
· amoyr9, PA CU. ,t:L,:mJ Cauntt
Register of Wills of Cumberland County, Pennsylvania
RENUNCIATION
IN RE: Estate of RUTH E. STINE
No.
}...000 " 0 2 Y f'
, Deceased
The undersigned, M&T BANK (Successor by Merger with Dauphin Deposit Bank and Trust Company)
the appointed Executor of the above-named decedent, hereby renounces the right to administer the estate and
respectfully requests that Letters Testamentary be issued to RICHARD E. SHAMBACH, Residuary
Beneficiary under Article N -A of the Will.
WITNESS my hand this / G.'tL.day of f/hyc ~
, 2006.
M&T BANK
~/
.....'"
Sworn to and Subscribed
before me this J <c
day of March, 2006.
~ X.ff~
COMMONW~~Wo~\l>~lilsYLVANIA
1 Notanal Seal
Deanna L Wells, Notary Public
aty Of Harrisbul~~, ,?auphin ColrtY
My Commission Expires Dec. 6, 2008
L b Pennsylvania Association Of Notaries
Mem er,