HomeMy WebLinkAbout04-04-06
.
Register of Wills of Cumberland County
Estate of DORIS J. SCHMICK
also known as N/A
PETITION FOR PROBATE and GRANT OF LETTERS
No. 21-06- 6; ?f(;
To;
, Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 201-18-0005
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the execut RIX named in the last will of the
above decedent, dated DECEMBER 21, , 20 01
and codicil(s) dated NONE'
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in CUMBERLAND
Pennsylvania, with h.!;.Flast family or principal residence at
1854 SPRING ROAD, CARLISLE, PA 17013 (NORTH MIDDLETON TOWNSHIP)
(list street, number and municipality)
County,
Decedent, then ~ years of age, died MARCH 19 , 20~, at CARLISLE, PA 17013
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:
NO EXCEPTIONS
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
situated as follows: 1854 SPRING ROAD CARLISLE PA 17013
$ 25,000.00
$
$
$ 75,000.00
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters TESTAMENTARY
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
Residence(s) of Petitioner( s)
1842 SPRING ROAD, CARLISLE, PA 17013
717-243-2389
~ 1 \
..
.
Register ofWiIls of Cumberland County
OATH OF PERSONAL REPRESENT A TlVE
COUNTY OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA
}
SS:
The petitioner(s) above-named swear(s) or affinn(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 representative(s) of the above
decedent petitioner(s) will well and truly administer the estate according to law.
}r~74~
Sworn to or affinned all.? subscribed
BeforeUe this q day of
I.) hi ,20(1(.-
,
&i1 ~r./~W ~ i1Y1L) h~J ~
tf{;t ~~NR1t~er~~
{
C/)
~.
II>
e-
~
~
No. 21-o6-0;}'1't
Estate of DORIS J. SCHMICK
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~H {I....1;; I;-( 20~, in consideration of the petition on the reverse side
hereof, satisfacto~ proofhav'ing been presented before me, IT IS DECREED that the instrument(s), dated
DECEMBER 21, 001 . described therein be admitted to probate filed of record as the last will of
DORIS J. SCHMICK ; and Letters are hereby granted to
JEAN K. KLINE
FEES
Probate, Letters, Etc. ............. $
Will ................................. $
Renunciation........................ $
Short Certificates H) ............ $
JCP. .. .. . . . . . . .. . . . . . . . . . . . . .. . . .. . .. $
Automation Fee................... $
Bond.......... ~~~;..~ 5 ~...... :
Filed MAQGH-o II n~ 20~
I
Ql e -0)
I ~ rn)
I 0 ..r) ~
/ (7 . i) ))
C).. l..) (')
rJ)~
~riilr~~r
{ gi e o~~.o;,. _~
R~BE . LAC';' :Jl~
Attorney (Sup. Ct. 1.0. No.)
36 S. HANOVER ST., CARLISLE, PA17013
Address
717-243-3727
Phone
1:..
'\
(l)S()~ RE\' \.I()~
This is to certify that the information here given is correctly copied fron: an original ce~~ificate of death du~~. filed with me
Local Reuistrar. The original certificate will be forwarded to the State VItal Records OffIce for permanent tdmg.
o ,~
11
~
'~
as
WARNING: It is illegal to duplicate this copy, by photostat or photograph.
Fee for this certificate, $6.00
p
12270427
No.
,"-
~- ~'\...a \\. ~b.)..~~~
Local Registrar
MAR 2 1 2006
Date
H1Q5,143 Rev. 01106
TYPE/PRINT IN
PERMANENT
BLACK INK
1 Name 01 Decedent (First, middle, laSI)
COMMONWEALTH OF PENNSYL VANIA. DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH STATE FILE NUMBER
3. Social Security Numbel 4 Dale of Death (Manl/'!, day, year)
Doris J. Schmick
5 Age (Lasl bi"hdayl
7. Date or Birth Month, d8 , ear
8. Birt lace C and stale or be
77
Vrs
Sb. County 01 Dealh
Cumberland
Carlisle
11 Deeedent'sUsualOcc lion indofworil:donedurin rrr;s(ofworlt:' life;doooISlalereli19d
Lab T~~~lcian Kind 01 Business/lrvluslry
_ 16. Decedent's Maihng Addres.s (Street, cilyllown, slatl). zip codel
Chapel Pointe at Carlis e
770 S. Hanover St.
o Yes No
Decedent's
AclualResidence 17a. State
PA
CUmberland
17b, County,
19. Molher's Name (First. middle, maiden surname
201 - 18
March 19, 2006.
other
o EFVOut lienl 0 DOA Nursil Home 0 Residence 0 Other.
9. Was Decedenl of Hispani: Origin? 10. Race: American IMian, Black. While, etc.
XIX No 0 Yes (II yes, specily Cuban, (Spechyj
Mex..n, Pueno Rlcan,elc.) White
on h' hest rade co Ieted
College (1..tl 01' 5+1
14 Marltill Slalus: Married, Never rrarried. 15. Surviving Spouse (lfwife, give maiden name)
Widow"', Divorced (Speci!)j
Dij Decedent
live in a 17c. 0 Yes, Declldenllived in
Township?
Twp
Carlisle
17d. XI No, Decedent Lived wRhin
Pl:tual limits of
Cityi&ro
Sarah K. Wonders
Albert E. Schmick, Sr.
2Ob. tnlormanl's Mailing Address (Slreel, city/lown, slale, zip code)
21d. location (Ckyflown. slate. 41 code)
3la. IntorTMnt's Name rrypelprint)
21b. Dale 01 Dispodion (Month, day, year)
18~2 Spring Rd., Carlisle, Pa 17013
21c. PIece of Disposition (Name 01 cemeteJy, crematory or other plllce)
Jean K. Kline
o
w
en
~
en
<<
~
Yorktowne Cremation Service York, PA17404
22c, N,meandhld",",oIFac;tity Hoffman-Roth Funeral Home
219 North Hanover St., Carlisle, Pa 17013
23b. license Nurrber 23c. Dale Signed {Month, ilay, year)
f--I'J bi 3441./ L
CAUSE OF OEATH (See iNItructlons and examples)
Item 27. Pant Enter the ~ - diseases. in~ries. or CQrTllbtions - thaI directly caused /he dealh. DO NOT enleT lem1ina! events such as cardiac arrest,
respiratory arres\, or ventricular fibrillation without showilg the elio1ogy. DO NOT abbre'liate. Enler only one caUse on a line.
IMMEDIATE CAUSE (Fif\ll disease or
condrtion resuning in death) -7 a
C."~~\,-
(,)"...,~ <~
dc~~ <..),
Due 10 (or as a consequence Of):
Sequentially list conditions. if any,
ieading lo the cause ~Ied on Une a
- Enler the UNDERl vtNG CAUSE
_ (disease or injury thalln~ialed the
ellenl5 1esv_ing in deafh) LAST
Due 10 (or as a consequence oQ
Due \0 (or as a consequence of)'
301. Was an Autopsy
Per1ormecl'l
d
n, Were AtJtopsy Findings
AvailalJle Prbr 10 ~lelion
01 Cause 01 Death?
OYesDNo
32e. Injury alWork?
o Yes 0 No
32a, Date 01 Injury (Monlh,day. year)
31, MannerolDealh
~ Natural 0 Homicide
o kcidenl 0 Pending In\lestigation
o Suicide 0 Gout! Nol Be Determined
o Yes~No
32d. Ttme of InJury
M
t--
Z
W
o
w
o
w
o
o
w
:::;
<<
z
333. c.rtifMM' (check only one)
~:::r:~~k~~~:,nd:~:~:: ~:':~:I~:eaanU:~~:~~~':r~: ~=~_~.~~ath 800 ~~~,~~,~!.,.. no .........~......~...."'.._....._..... , ...........{Jj/
Pronouncing and certifying physician (Physician both pronouncing death and cemtying to cause 01 dealh)
To the best 01 my knowled9'!. death occurred at the time. dale, and place, and due to tll4! c.ause(s} and manner as stated....._ ......_...."""'_....._..._._.......... ........._..0
Medical examlnerlcOfQner
On tht basis of examination and/or lnvesUgatlon, In my opinton, C1eath occurred at the time, date,.nd place, and due 10 the cause(s) and manner as stated .._.....0
lr~S Signa;::nd. ~~::er t\..\--- \
n ", U\.~ " I d..1 \ 1~1 \ 10 I
(See instructions and examples on reverse)
,Approlrimate interval
onset 10 death
Part II: Entel olher sianbnt conditions conlrtulfina to deafh.
but nol resulUng in the underlying cause given in Pari I
28. Did TOOacco Use ConIrtllJtelo Oeath?
"'S. Yes 0 Probably
o No CI Unknown
'-'.....1_......
29. If Female
o Nor Pfig(lanl within pasJ year
o Pr.nt at time 01 death
o Not pregnant but pfegnant within 42 days
ofdealh
o Not pregnanl, btJ\ pregnant 43 days 10 1 year
before death
o Unknown ~ pregnant withln the past year
32c. Place of Iniury: Home, Farm, Slree!, Faclory, Offics
Buildino, etc. (Specif)')
,32b, Describe how Injury Occurred
321. IfTransportahon Injury (Specify)
o DriverlOperalof 0 Passenger
o Pedestrian 0 OIher - Specify:
lure and Tiuetier1l1ier
. p \J^"'~
32g. Location (Street. city/town, slatel
33.
33c, license Nurrber
33d. Dale Signed (Month, day. year)
t'\--)lQ4tW ~ I ?-p, \,
""'1) 0 l \;, <. 4~1 ~
34. Name and Address of Person Who Co/1l)lst1faUS8 01 Death (Item 27) TypelPrint
~ <; ~., L p. Qf 1.1"\ 'i. (AJr.-, J --.. r..v
~:s.) w "(,\..,r."I) ~tt" 4..1) (:~t L.(~~
~
J ,,- rJ7P - 07- q J'
..
"
"
.'
LAST WILL AND TESTAMENT
OF
DORIS J. SCHMICK
I, DORIS 1. SCHMICK, of North Middleton Township, Cumberland County,
Pennsylvania, declare this to be my Last Will, hereby revoking all prior wills and codicils.
FUNERAL EXPENSES
FffiST: I direct the payment of my funeral expenses, including my gravemarker, as soon
as may be convenient after my death.
PAYMENT OF DEATH TAXES
SECOND: 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 administration of my estate.
DISTRIBUTION OF RESIDUE
THmD: I give the rest of my estate as follows:
(A) To Jean K. Kline, my friend, or her issue, Fifty (50%) percent; and
(B) To Shari Lynn Kennedy, my friend, or her issue, Fifty (50%) percent.
MINORS AND INCAPACITATED BENEFICIARIES
FOURTH: If any income or principal shall be payable to any person who shall be a minor
or who shall be incapacitated for any reason, my executor as trustee shall hold such income and
principal during minority or incapacity and shall be entitled to apply such income and principal to
the health, maintenance, support and education of such person during minority or incapacity
without the appointment of any guardian or committee or any authority of court. My executor as
trustee shall be entitled to make direct application hereunder or to make application by payment of
income and principal to the parent or other person in charge of such minor or incapacitated
person, or to his or her guardian or to a custodian under the Uniform Transfers to Minors Act.
Any remaining income and principal to which such person shall be entitled shall be distributed to
such person upon the termination of minority or incapacity. My executor as trustee shall have the
same powers as my executor.
r
;(~.) ,
~
~ 1- (h - O?- q cJ
"
..
'.
~
p'
POWERS OF EXECUTOR
FIFTH: I confer upon my executor the right to sell or otherwise convert any real or
personal property at public or private sale, at such time or times, in such manner, and for such
price or prices, and on such terms and conditions as my executor shall determine, and to execute
and deliver good and sufficient conveyances, assignments and transfers of the property, without
liability of any purchaser for the application of any consideration~ to borrow money and to secure
its payment by mortgage of real or personal property, pledge of investments, or otherwise,
without liability on the part of the lenders to see to the application thereof; to retain any
investments at discretion; to invest and reinvest at discretion, without restriction to so-called
"legal investments"; to make distribution in cash or in kind; to allocate and distribute different
kinds or disproportionate shares of property or undivided interests in property among
beneficiaries, in cash or in kind, or partly in each; and to do all other acts and things necessary or
appropriate in the management, administration and distribution of my estate.
APPOINTMENT OF GUARDIAN OF ESTATES OF MINORS
SIXTH: I appoint my executor as guardian of the estates of minors with power to hold
all property payable by law to a guardian appointed by my will and to use it for the minor's health,
maintenance, support and education, either directly or by payment to any person selected by my
executor to disburse it whose receipt shall be a complete acquittance. Guardian may, in discharge
of all the guardian's duties, pay any minor's share deemed impractical of administration to the
parent or other person in charge of the minor or to his or her guardian or to a custodian for the
minor under the Uniform Transfers to Minors Act. My executor as guardian shall have the same
powers as my executor.
APPOINTMENT OF EXECUTOR!RIX
SEVENTH: I appoint Jean K. Kline, Executrix of my will. If Jean K. Kline is unable or
unwilling to qualify as Executrix or having qualified is unable or unwilling to act, I then appoint
Shari Lynn Kennedy as Executrix hereof.
WAIVER OF BOND
EIGHTH: I direct that no fiduciary hereunder shall be required to furnish bond in any
jurisdiction, and if any bond is necessary, no surety shall be required.
INTERCHANGEABILITY OF LANGUAGE
NINTH: Words used in the singular may be read to include the plural or the plural may r>
10 (} /~
~.
/I
..
~
".
..
.'
be read as the singular. Similarly, the masculine form may be read to include the feminine and
neuter~ the feminine may be read to include the masculine and neuter; and the neuter may be read
to include the masculine and feminine.
HEADINGS
TENTH: The headings used on the various paragraphs of this will are included for
convenience only and shall have no legal significance.
1-1 s;r: () --- -.r- ,;;?
I have signed this will this day of < tlA::-tfl'fl!>6 '"' ,20QL.
/) ~~~) lJ d frl~ eI
Doris 1. Schmi , Te~atrix ~.
~ !1(!j!~
Witness
.~?n~
Witness
ACKNOWLEDGMENT and AFFIDA VIT
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND
)
'I 'l
Kc-t'td K.
Ola.e!J
I, Doris 1. Schmick, the Testatrix in, and
C .'
and ~M '1v\ (!)}jU_~
, the witnesses to the last will, the
attached or foregoing instrument, who have signed the instrument, having been duly qualified
according to law do depose and say:
(a) that I, the Testatrix, do hereby acknowledge that I signed and executed the
instrument as my last will, that I signed it willingly and as my free and voluntary act for the
purposes therein expressed; and
(b) that we, the witnesses, were present and saw the Testatrix sign and execute
r
..,.
,
.."
the instrument as her last will, that she signed it willingly and 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 a witness and that to the best of our knowledge the
Testatrix was at that time 18 or more years of age, of sound mind and under no constraint
or undue influence.
r / /.-
>-;. 'X/'I I'l:F: t]: f'e ~jL'.
1.../'" /,,)'- '" ' ,
Testatrix, Doris Y'Schmick
~4
fU-eJ
. t1
'j/lliJetVL
Witness
~1n~
.
Witness
c.....' ......,
~}~U
Notary Public
} ("
'1\tt~
Notarial Seal
Susan K. Guyer. Notary Public
Carlisle Bora, Cumberland County
My Commission Expires Sept. 4, 2003
Member. F'f:llnsviw.1rda Association 01 Notaries