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HomeMy WebLinkAbout06-22-06 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Edna Christine Poke J l~ O~OC;u() Deceased Social Security No. 188-05-9731 (COMPLETE "A" OR "B" BELOW:) [EEl A. Probate and Grant of Letters and aver that Petitioner is the Executor named in the Last Will of Decedent, dated July 16, 1997. State relevant circumstances, e.g., renunciation, death of executor. etc. Except as follows, Decedent did not many, 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 incompetent: NONE D B. Grant of Letters of Administration (d.b.n.c.t.a: pendente lite; dUnmle absentia; durante minorilate) Petitioner(s) after a ro er search haslhave ascertained that Decedent left no Will and was survived b Name Relationship Residence Decedent was domiciled at death in Cumberland County, Pennsylvania, with her family at her principal residence at 272 Brindle Road, Mechanicsburg, Pennsylvania. (list street, number and munkipaJity) Decedent, then 87 years of age, died May 10,2006 in Cumberland County, Pennsylvania. (Location) Decedent at death owned property with estimated values as follows: (If domiciled in P A) (If not domiciled in P A) (If not domiciled in PA) Value of real estate in Pennsylvania.. All personal property .................................................................................................................................$ 10 000.00 Personal property in Pennsylvania ........................................................................................................ $ Personal property in County .................................................................................................................. $ ................................................ ..................................................................... ................................................. ..... $ Total................. ........ ................................................ ......$1 0,000.00 Real Estate situated as follows: NONE Wherefore, Petitioner respectfully requests the probate of the last Will presented with this Petition and the grant ofletters in the appropriate form to the undersigned: Signature Typed or printed name and resdence Geraldine Shettle 180 Church Road Etters, PA 17319 Form RW.j Page 1 of 2 (Dauphin County). Rev. 9/92 82 " (, <.I t"~ ~f~ ~jSQZ 124752.1 6/22/06 Commonwealth of Pennsylvania County of Cumberland The Petitioner above-named swears and affIrms that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner and that, as personal representative of the Decedent, Petitioner will well and truly administer the estate according to law. x~.~o~~ (/ Sworn to and affirmed and subscribed before me this~ day of it;t;6. Oft1f^s12r No. ;J /- ~' {(l1J 5 fc D Estate of Edna Christine Poke, deceased Social Security No: 188-05-9731 Date of Death: May 10,2006 AND NOW, satisfactory proof havin 2006, in consideration of the Petition on the reverse side hereon, een presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Geraldine Shettle in the above estate. Letters........................... $ 45,00 ( J,.{/D I G'{ri) ~bndt c1it/V<- ~y07L ~ ~,I7lu,.?(J~ Register of'Wil? /,/ FEES Short Certificates..(3)... $ ReI1lliic latiOn.. It/... i. LL $ Affidavit ( )................. $ Extra Pages ( )............ $ Codicil.......................... $ JCP Fee..J:..ft~.~....... $ \ ~'. 00 Inventory....................... $ Other............................ $ Telephone: Kevin M. Scott, Esquire 70322 Post Office Box 1291 Harrisburg, P A 17108-1291 717.257.7551 r-.....) r,..) Attorney: J.D. No: Address: -,-;,'1' .-..,'1 rv 0;) TOTAL................ $ 't1-oD 124752.16/22106 [hi" h Ii) Lenit: that the information here given is correctly copied from an original certificate of death duly filed V/.fl me ;'.'. ! ,,'IL',d Rl'~i"lraL Tl1l~ original certificate \vi\! he forvvarclcd to the State Vital Records Office for permanent fi ling. WARNING: It is megal to duplicate this copy by photostat or photograph. Fcc tll! rhl, '.crtihcale. Sh.(}() :\n 4ft'(~~5Kol!1,t,-----_ !~\\'#7 ~;I'..rJ~ /i~~/ lil!l.a.~"" \~\ JS~/ ~~.. \?~ I~ -==..... .' " ;;e ~ ~ <:;::)1 _a#. !i:~ \~ c-)\ ,:'j.~ ,~ \l *.~ '. ~,J- " * ~ \~&\ ". . //~l -~ ~'" /./~\\\ "- ::';p~ /,-\\.~ I' ---:._:TI,ffEN-Y ~~" ".,1 "'''''''-'I';'/'/I'/.I/lIJO 1" II' ~ctlc~r- P 12411899 MAY 1 5 2006 Date r,_')- r '..:: N OJ J Rev. 01,\)6 'PRINT IN IANENT CKINK 1 Name 01 D6Oed.,,1 (Firsl, rrOldle. last) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH STATE FilE NUMBER Edna C. Poke 188- 05 ~0 3 Social Security Numbe, 7. D.le o/Blrth Monlh. da , eal B. Birth lace C' aOOslaleollo,e East Pennsboro s: i,,'-J- J 13. ;fedenl's ~ducation S eci 18i"",nlaiylSecondaiy (0.12) 3 17a Slale P A Other: Q ERiOulpatient 0 DOA 0 Nursin Home 9 Was Decedent 01 Hispanic Origin? III No 0 Ves (II yes. specity Cuban, Mexican, Puerto Rican, ale.) o Re,idence 0 Othe,' 10. Race: American (ndian, Black, WMe, etc (SpecilYJ White 12-25-1918 14. Marhal Slalus: Married, Never married, 15, Surviving Spouse (1I wlle, give maiden name) Widowed. DIVOrced (Specilj/J Widowed Did Decedenl Live in. 17c.XI Ves. Decadenl Lived in Monroe T ownsh~? Twp 17b. Cour,ty Cumberland 17d. 0 No. D6Oedonl Lived within Actual Umits ot CilylBoro 18. Falhol, Name (Firsl, middle. last) 19, Mother's Name (Firs!. middle. rmiden surname) Theodore Coleman Jane S. Douple 2Gb Infonrant's Mailing Address IStreet cilyAown, stato, zip code) 180 Church Road, Etters, PA 17319 2Oa. Informant's Name [Typelprinll Mrs. Geraldine Shettle o Re""vallrom Stale 21c, Place of Oispasrtlon (Name 01 cemetery, cremalory or other pla.ce) 21d. Localion (CilyAown. s\ale. zip codel o DonatIOn Cremation Society of PA Harrisburg, PA 17109 22c. Name and Add,ess of FacililyAuer Memorial Home &Cremation Services rnc 4100 Jonestown Road, Harrisburg, PA 17109 23b. License Nurrber 230. DalO Signed (Month. day. yeal) . Items 24-26 frost be COll'lpWled by person -: who pronou!\C8s death 2< 26, Was Case Referred to a Medical ExamnerfCofonel1 ~ves 0 No ....,. 'a CAUse OF DEATH (See InslTUcllol1$ and eramplesl Item 27_ Part t Enfer Ihe chain of events - diseases, injunes, or co~icalions -1l1a1 directty caused the death. DO NOT enler lerrninal events such as cardiac arresl, resp.lralory arrest, Of venlrt:ular rtJrilfatlOn WilhoulshoWlng Ihe eholog): 00 NOT abbrevlale Enl8r only one cause on a line ::~~~~;~~~;d.(~~:dEe.~ _~ C #Pi') PXfiCf5Il./511'7:TOrJ Sequenl"llyisl coooltJons ~any ~ltc~~e~s j:r1Z-,ArcJ IL-Y ;lIZR IE'ST Ieadingtothe.cau..lIsllldonLlI1ea. Due'!<>('l!rl"\a~'~~~: <: Ih :D A...... - : ~~:.~:o~~~~:;:~;:;~ 2(2;'5 ':L-;::>. ./ ~ ~1.A..'/I1't;. evenls resuning in dealh) LAST. d. or ?Jrz:n,eqf~ ~ e :lOa. Wes an Autopsy 3Otl. Were Autopsy Findings 31. Per1ormed? Available Prior to Cofl1)Jetion [J Yes ~o ~ c~~:e o~e~t:? : Approximate interval' Part 1/: Enter other n. t n hk>n r' 'n : Onsello dealh but nol resuning in the Underlying cause given in Part I 32b. Describe how Injury Oc<:U"ed: ;.. ~ Did Tobacco Use Contributa 10 Dealh? o Ves 2. p'lobably o No ~nknown 29. ~fFe Ie Nol pregnant wrthin pa,t yea' o egnant at time of death o Not iJfegnanl. but p'egnant within 42 days ofdeatf1 o Not iJfegnent. but pregnant 43 days 10 ~ year before death o Unknown ~ pregnanl within Ihe pasl year 32c. Place 01 Injury: Home. Farm. Street, Factoiy. Office Building. ale. (Specif).j 32a. Dele of Injuiy (Month, dlay, y.ar) 32d. Time ollnjuiy 32t 32g. Loeallon (Slreel, cily~own. ,Iale) M 333. Certifier (check only one) Certifying physician (Physician cerlifylng cause 01 death..when another physician ha!! pronounced death and corn;:lleted !lam 23) To the best of my knowledge, death occurred due to the ~use(s) and manner as stated ,....... ....................... .... .......0 Pronouneing and certifying physician (PhyslC"n bolh pronouncing dealh end certifying 10 causeo! dealh) 33d. ~~gn/'((Monthoy, y, To the best ot my knowledge, dealh occurred at the time, dale. and place, and due 10 the cause(sl aM manner as staled.... """,."""..0 -./ / / ' -t? Medicil examiner/coroner On the basis of examination andlor Inve tigation, in my opinion, ~.th occurred at the time, dale, and place, and due to the C.1U5e(S) and mannet as stated ..... ..0 34. Name and Address of Person Who Compleled Cause of Dealh ("em 27) TypelPrint 35 Hegis".r' nalure and D DtJ (/ ~D U t7 ~"L:- ~ 1) 1~ II Id\. I / I .II /. ~ ~ ~?)b PI ;?'tZ.JE1V/f/ ~C/1I1 OIL avo (frJ P /J (See instructions and examples on reverse) ~ I ~ ~ ~ ~ ~ . . WILL OF EDNA C. POKE I, EDNA C. POKE, of Monroe Township, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, and any and all taxes and assessments imposed by any governmental body as a result of my death, whether on property passing under this will or otherwise, shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM II. I give and bequeath to my daughters all of my household goods, automobiles, jewelry, and all other articles of household and personal use, equipment and ornament, together with all insurance thereon and relating thereto, in equal shares, to those of my grandchildren as survive my death by thirty (30) days. ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my possessions and estate of every nature and wherever situate, in equal shares, to those of my grandchildren as survive my death by thirty (30) days. ITEM IV. Should any of my issue entitled to a share of my estate not have attained the age of twenty-five (25) years at the time for distribution to him or her, 1 s~z :: ~ ~:.. (,'-.,- i;~:i ~i~-,UV ',"i :' '-"-1'-: 101,,-1' , U~)JC \)~~J1j ~ \ ~ ~ ~' ~ ~ ~ I devise and bequeath the share of such issue to my hereinafter named trustee, IN SEPARATE TRUSTS, to hold, manage, invest, and re-invest, the shares so received, and the accumulation of income thereon, and to use and apply from time to time such portion of income and principal thereof as my trustee thinks proper for the comfortable support, maintenance, health, welfare, and education of the issue or to make payment for such purposes, without further responsibility, directly to such issue, or directly to any person taking care of such issue. Any principal or income not so applied shall be distributed to such issue when he or she attains the age of twenty-five (25) years, or if he or she dies prior thereto, to his or her personal representative. ITEM V. I appoint my daughter, GERALDINE A. SHETTLE, of Etters, Pennsylvania, trustee of the trust or trusts created by this my last will. Should my said daughter predecease me or otherwise fail to qualify or cease to serve as trustee of this my last will, I appoint my son-in-law, RICKY S. SHETTLE, trustee of this my last will. In addition to the other powers and authorities granted to my trustee by Pennsylvania Law and by the preceding paragraph of this my last will, I hereby give my trustee the following special powers and authorities: A. To retain any or all of the assets of my estate, real or personal (including any stock or securities of any corporate fiduciaries), 2 without any regard to any principle of diversification, risk, or productivity; B. To invest and re-invest in all forms of property without restriction to investments authorized for Pennsylvania Fiduciaries, as my trustee deems proper, without regard to any principle of diversification, risk or productivity; C. To sell at public or private sale, to exchange 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 or conditions as my trustee deems proper and in the best interest of the beneficiary or beneficiaries of said trusts; D. To allocate receipts and expenses to principal or income or ~ \ ~ ~\ ~ ~ partly to each as my trustee from time to time deems proper in its sole discretion; E. To compromise any claim or controversy; F. To exercise any option, right, or privilege granted in insurance policies or in any other investments; G. My trustee may accumulate the income from this trust during the term thereof but may, from time to time, distribute from current income or from accumulated income or from principal such 3 ~ \ ~ ~ ~\ ~ ~ amounts as my trustee, in its sole discretion, deems advisable for the education, welfare, and comfort of the trust beneficiary. ITEM VI. All of the interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation nor shall they be subject to any execution or attachment. ITEM VII. I appoint my daughter, GERALDINE A. SHETTLE executrix of this my last will. Should my said daughter predecease me or otherwise fail to qualify or cease to serve as executrix of this my last will, I appoint my son-in-law, RICKY S. SHETTLE, executor of this my last will. ITEM VIII. In addition to the other powers and authorities granted to my personal representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby give to my personal representatives the following powers and authorities effective without court approval and until actual distribution of all property: to compromise any claim or controversy; to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as my personal representatives may determine and at valuations finally to be fixed by them; to invest in all forms of property, including any stock or other securities in any corporate fiduciary or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my personal representatives deem proper, without regard to any principle of risk or diversification; to retain any or all assets of my 4 -' estate, real or personal, without regard to any principle of risk or diversification; to sell at public or private sale, to exchange, 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 or conditions as my personal representatives deem proper; and to allocate receipts and expenses to principal or income or partly to each as my personal representatives deem proper in their sole discretion, ITEM IX. I direct that my personal representatives and fiduciaries shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this 4~ day of (j~~ -' , 1997. ~ t:1JJ~ E NA C. POKE 5 -' The preceding instrument, consisting of this and FIVE other typewritten pages, each identified by the signature of the testatrix was on the date thereof signed, published, and declared by EDNA C. POKE, the testatrix therein named, as and for her last will, in the presence of us, who at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. fi14/Lr OfJ11- Yn. '-/(J~ft 6 .. COMMONWEALTH OF PENNSYLVANIA ) ( SS: COUNTY OF CUMBERLAND ) The undersigned, being the testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, does hereby acknowledge that I signed and executed the foregoing instrument as my last will, that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. fffktV q:~ Sworn or affirmed to and acknowledged before me by theJ.e.Sta~rix named above this (b+~day of ",Jccl c_,,'-- , 1997. .' 1, \ r, } ! " \ I 'I .J /l, I ~. I, ; I' d) ;'. ,*,>,] 1 ." , " -^- / I ' l..uJ -,' d ' Notary Publi NOTAMA-\ seA! , I WENDY S. CHESBRO. N~ta\"Y Publi: i lower Allen Twp.. Cumbenand Co., PA i My Commission Expire, May ~-2.cr~.J COMMONWEALTH OF PENNSYLVANIA ) ( SS: COUNTY OF CUMBERLAND ) WE, /1ut~ < II &Nt-J and OJrltj /J1. ;(()St7 /;; , 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 the testatrix sign and execute the instrument as her last will; that she signed it 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 that time 18 or more years of age, of sound mind, and under no constraint or undue influence. fkV~ 0ru,J '11'7. WM(.lt' (j Sworn or affirmed to and : aCfrowledg~~f~re me this (( )-...."ljay of ". tC,,-,,- '1',1-997. .'''' \ (; (' I ~ A 'I/, \ ./ ; \ \_ r '0J r~' J Notary Publi :<"r~~.'v ';,,\~,':,i.~tl :~~!l!.:~J '/{~:' ~"~'<I' :"1j" 'l: ,,~~:"'\k~ IV.;}k: ;.:~'W .~ ~- ) ':'':~ .-~ ,,:/.::, i .';:>;;!.-,'."- '~-'~~"i'i~f C;~~." tf~ : :;:...::;-~'... /~\~:~'ll ~ ~ -t:,.t::.:.~ 7