HomeMy WebLinkAbout05-23-06
PETITION FOR PROBATE and GRANT OF LETTERS
No 21-06- LJ 4 r"J
To: Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Estate of Dale E. Wert
also known as
Social Security No. 209-28-8611
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the executor
in the last will of the above decedent, dated Sept. 23,2005
and codicil(s) dated N/A
named
(state relevenat cIrcumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland County, Pennsylvania,
with his last family or principal residence at
26 East Winding Hill Road, Upper Allen Township, Cumberland County
(lIst street, number and municIpalIty)
Decedent, then ~ 0 years of age, died May 16,'06
at Chapel Pointe at Car Isle, Borough of Carlisle, Cumberland County
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:
$ unestimated
$
$
$
Total:
unestimated
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.; admimstratIOn d.b.n.c.t.a.)
thereon.
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e ea~l t~~t treet
Carlisle PA 17013
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UATH Ut'I'EK~UNAL KEI'K~ENTATIVE
COMMONWEA TLH OF PENNSYL VANIA
COUNTY OF CUMBERLAND
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The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoingpeition are::5
true and correct to the best of the knowledge and belief of petitioner(s) and that as personalrepresen~
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law::o
Sworn to or ~nn~ and subscri bed ':!!J- e~ j 0 f: ~/ ./Jilt
before me thIS;2;J day of ~
May,2006
\ WRvrl.(.~nAf\O~r :b-U~b(U~:t. .
.- U -~ ~RegisteT
Estate of
No. 21-06- 4t.f 1
Dale E. Wert
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ('(\~ d 3 20 r5Lo , 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_ Sept. 23,2005
described therein be admitted to probate and filed of record as the last will of
Dale E. Wert
and Letters Testamentary
are hereby granted to Merle E. Wert
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~ FEES L5_00
Probate, Letters, Etc. $ a (r;() " dZ)
Short Certificates(1 ) $ 5? . d1)
~ JL.P $ 10..00
~~1"V $ ~.6D
Total_ $ ~q ~ . ro
Filed..m~..a~...~t::rm
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S ephen D. Tiley 32318
ATTORNEY (Sup. Ct. 1.0. No.)
5 South Hanover Street
Carlisle, Pennsylvania 17013
ADDRESS
(717) 243-5838
PHONE
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H 11l~.R()~ REV I/n~
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.
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Local Registrar ~
Fee for this certificate, $6.00
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12535432
MAY 1 7 2006
Date
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Hl05.1~ Rev. 01.(16
TYJI&llRINT IN
PERIIANENT
BLACK INK
,. Hame oIllecedont (FrsL ll'iddlo.last)
c2 J - OUo - 44.,
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH STATE FILE NUMBER
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7. Oolaol_
3. Sociol Security Hutrilor
209 .:. 28
16, 2006
,da. II'
70 Vrs.
I!b. County 01 Ooath
1936
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CUmberland
Middlesex Twp.
10. Race: Amoricanlncfl8n. _~ _. ale.
(SjJocifyl
White
ad
Cologe (H or 5+)
14. Marlol Status: Mauled, Hever merriod, 15. SUrvMng Spous. (he, give meld.n name)
_,D_(SjJocifyl
Never Married
~.Din~_1 17c. IS Vts,DocadonlLiYadin Upper Allen
Townsh!>?
Twp.
17a. Sial. PA
1?b. Coullly
Cumberland
17d. 0 No, OacadIl1lLiYod wIIhin
AcI..1 UmiII 01
Clyltloro
18. Folher'sN_lFtsL_,last)
19. MoIher's N... (Fusl, _, ..Id.n s )
Catherine Lebeck
2Ob. Informaofs Mailllg Addr... (SIrIlt, cly/loWn, aloI., ,., code)
Clayton G. Wert
200. In_nrsH_(T~~
Merle E. Wert
641 Hamilton St., Carlisle, Pa 17013
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21c. Place of Oispostion (Name of cemetery, crlfl'81olY or other pkK:e)
21d. Location (Clyllown, stall, zi> code)
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CAUSE Of DEATH (500 Instrucllons Ind .11"""')
.... V. Pan I: Enter Iho ~ - disll8sts, injurlas, or COI!lli<atiorls -Ihal dirllClly caused Iho death. 00 NOT onlor ,.rminal ....Is s...h as cordiac amts!,
rtspialory Irrost, or __ _tiOfl_ s~ Iho Illology. DO NOT _evlal.. Enler only OlIO cause on. Iin..
=~~US;=~ a r~-tf {jNvYJ/)
Due 10 (Of as I consequence 01):
Westminster Memorial Gardens Carlisle PA 17013
220. H....ndAddressoIFlCiIIty Hoffman Roth Funeral Home
219 N. Hanover St., Carlisle, Pa 17013
231>. L_ Nu_ 23<:. Oil. Signed (MorIh, clay, year)
RN~53;;S''1L may I~ J .;}oo(,
26. Was Case Rolorrad 10. Modical ExarrinorlCoroner'l
o VIS )t No
: ~rr.l. interval: Part II: EntBf other sklnibnl eandllinM ennlrh!llinn 10 dMlh,
: onset to death but nol resuling in Ihe und~ ClUH given in Part I.
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301. _.nAutopsy
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321>. Oascribo how Injury Oc<unod:
28. Dij Tobocco U.. ContItIulo 10 Death?
o VIS OProblbly
o No 0 Unlcnown
29. nF_Ie:
o NoI pregnant wlhln past YIII
o f'ragnontal lime 0' dllth
o Notfl!l91lnt,IIIll_I_42days
ol_
D Not progIlInt, buI preg..nl43 clays 10 1 yoar
be.... death
o Unk--. H _III iMIhln Iho past Yllr
321:. Place 01 Injury: HOIII8, Farm, 51rllt, Factory, Office
Buidlng,8Ic.(SjJocifyl
ll.!
Soquontidy Iisl condIions, H any,
Ia8ding 10 Iho ce...1isIod on Line..
. ENer 1118 UHDERL YIlG CAUSE
. (er..... or injury Ihol"llalod Iho
........ rllSUling in _hI l.AST.
b.
Due 10 (01 as a consequence 01):
Duo 10 (or as a consequence 01):
o VIS ~
d.
3(1). Were Autopsy FindIngs
Ava_PriorIo~
of Causa 01 Ollth?
o VIS ~No
31. MannllofOeath
~aluf'll [J Honicide
o Accij.nt 0 P....ing lmIuligation
o Suicide 0 Could NoI80 Ootamined
32a. Dale 01 Injwy (Month, clay, year)
32g. LocalionlSlrIlt, cilyllown, stat.)
32d. T""" 01 Injury
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338. ~(_onlyonol
CenIIytng pllyslclan (PI1ysi:llIn cer1iIyWIg co... 0'_ whon "_ physicion has pIllIlOUllCad death IIlll COfI1lIllI1d nom 23)
To tho _ 01 my IulowIodgo, _ occumod d.. to tho cauae(al.nd......., as _ .-....-.-....-.-.-..-...--__.._._____._._....__...__lIf
I'rInoIa1cing and certIlytng pllysIclan (Pl1y1ician both pIOIlOUI1Cing dMth and earlitying 10 co... of doIlhl 3300, ~ON~ I " ? L 33d. ll!Jr.SP.*l,/' , rO (,' day, yur)
To tho - 01 my ~ - occunod lllho limo. date. and place, and d.. to tho cauae(1) and IIlInner as --..-............_......................._..._.............0 ~ v', 10 '- :) /1 (yo ,
_1_.....
Oolllo bull of"""""" I_ _tIgaUon,1n my opinion. _ occuned .1 tho _. date. Ind place, and due to tho ca"o(l) Ind IIlInner II stated ,_0 34. . Hame IIf "'!d'~,J;.. Person ~1Id eo... 01 Cllth (Il.m VI T\'P6'PIfnt
35. ~lU...~~;..~~ I~ II DII'FI8d(Month'daY'Yoar)<o t..P,.y.~ ~ IV ;~W~dM) I't' J-:n5':j
pies on reverse)
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LAST WILL AND TESTAMENT
OF
DALE E. WERT
I, DALE E. WERT, unmarried, of Upper Allen Township (mailing address; 26
East Winding Hill Road, Mechanicsburg, PA 17055), 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 and making void
any and all Wills by me at any time heretofore made.
1. I direct my hereinafter named Executor to pay all of my just debts and
funeral expenses as soon after my death as may be found convenient to do so. I direct
that my funeral services be conducted by Hoffman-Roth Funeral Home, 219 North
Hanover Street, Carlisle, Pennsylvania, in accordance with arrangements which I intend
to make there, and that my body be interred on a burial lot which I intend to acquire
either in Westminster Cemetery, or in Cumberland Valley Memorial Gardens, each of
which is located near the Borough of Carlisle, Pennsylvania.
2. I direct that all inheritance, transfer, succession, estate and death taxes,
including interest and penalties thereon, which may be payable on account of my death
shall be payable from the residue of my estate regardless of whether the assets upon
which such taxes are based are included in my probate estate.
3 All of the rest, residue and remainder of my estate, real, personal and
mixed, and wheresoever the same may be situate, I give, devise and bequeath to my
brother, MERLE E. WERT, his heirs and assigns.
4. I hereby nominate, constitute and appoint my brother, MERLE E. WERT
as Executor of this my Last Will and Testament, and further direct that he shall not be
required to post any bond to secure the faithful performance of his 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 and Testament written on one (1) page, this .21'!::4tay of September, 2005.
W J Z/h/if
DALE E. WERT
(SEAL)
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Signed, sealed, published, and declared by DALE E. WERT, the Testator-above
named, as and for his Last Will and Testament, in our presence, who, in his presence, at 0::>
his request, and in the presence of each other, have hereunto subscribed our names as
attesting witnesses.
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Page J of J
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF SUBSCRIBING WITNESS
Estate of DALE E. WERT
NO. 21-06 4'1 '7
Also known as
.Deceased
Stephen D. Tiley and
Tn .1 III A 1 i~~
(each) a subscribing witness to the will presented herewith, (each) being duly qualified according
to law, depose(s) and say(s) that they were present and saw DALE E. WERT, the TESTATOR,
sign the same and that they signed as a witness at the request of DALE E. WERT, TEST A TOR in
their presence and (in the presence of each other) (in the presence of the other subscribing
witness(es)).
Sworn to or affirmedm subscribed before
me this OJ. day of
~ ,2006
~, . ( )fuax.I.r-~
Registe
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S phen D. Tiley
5 S. Hanover Street. Carlisle PA 17013
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5 S.Hanover Street. CarlislePA l'9013
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Register of Wills of Cumberland County
OATH OF SUBSCRIBING WITNESS
Estate of D 4 L E IE. k.)t: t<... (
No. c!) J - 0 (p
Also known as
, Deceased
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4.
LIESS
(each) a subscribing witness to the will/codicil presented herewith, (each) being duly qualified according
to law, depose(s) and say(s) that shO- ~Q:spresent and saw
D A L'; t:.. kY~- 1<.:. , the testat ~~, sign the same and that
S/+G signed as a witness at the request of the testatorin h~
presence and (in the presence of each other) (in the presence of the other subscribing witness(es).
Sworn to or affi~ anAfubscribed
Before me this . 1.3 day of
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(Name) -r(L./SH~ A. L/c..ss
~ SOuTH Ht:JNOVcR.. sf j C-,ge.ws/-E:. P4
(Address) I 70/S
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