HomeMy WebLinkAbout08-02-06
Register of Wills of Cumberland County
Estate of Garnet R. Clever
also kn01vn as
PETITION FOR PROBATE and GRANT OF LETTERS
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No.
To:
, Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 168-26-2819
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the execut~ named in the last will of the
above decedent, dated November 18, 1989 , 20
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland
Pennsylvania, with h~ last family or principal residence at
111 West Main Street, Walnut Bottom, South Newton Township
(list street, number and municipality)
County ,
Decedent, then ~ years of age, died July 21 , 20~, at Walnut Bottom, PA
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:
n/a
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(Ifnot 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: 111 W Main Street Walnut Bottom PA 17266
$ 2000.00
$
$
$ 80,000.00
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters
(testamentary; administration c.I.a.; administration d.b.n.c.l.a.)
th~eon.
'. Sicnature~) of1etitioner(S),
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Residence( s) of Petitioner(s)
111 W Main Street, Walnut Bottom PA 17266
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
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SS:
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affirm(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 .@CCdingtOlaw.
Sworn to or affirmed an subscribed {~ 11 (). 1L~' 1 tLl -Yrl
Before ~this . (~ _~y bf (
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Estate of Garnet R. Clever
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW 'iJ \<r- 2c&, 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
November 18, 1989 , described therein be admitted to probate filed of record as the last will of
Garnet R. Clever ; and Letters are hereby granted to
Susan E. Clever formerly known as Susan Clever Rathgeber
FEES
Probate, Letters, Etc. ............. $
Will ................................. $
Renunciation....................... $
Short Certificates ( )......... ... $
J CP .. .. .. .. .. .. .. .. .. . .. .. .. .. .. . .. .. $
Automation Fee................... $
Bond................................. $
Total $
Attorney (Sup. Ct. I.D. 0.)
1 Irvine Row, Carlisle, PA 17013
Address
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Hl05143 REV 0212006
TYPE I PRINT IN
PERMANENT
BLACK INK
1. Name 01 Dece<:lenl (First middle, last. suffix)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
<.
3 Social Secunly Number
STATE FILE NUMBER
4. Dale of Death (Month,day,year)
Garnet R. Clever
5 Age (last Birlhday)
168
- 26
7-21-2006
Franklin
Chambersbur Hos ital
12 Was Decedent ever in the 13 Decedent's Education (Specify only highest grade completed)
U,S. Armed Forces? Elemefllary I Secondary (0.12) College 11-4 or 5.)
!.<Iv" ONo 12
8a Place of Death Check onl onl:
Hospilal
o Inpabent Ga ER 10000ahenl 0 DOA D Nursing Home
9. Was Decedent 01 HispaniC Origil1? fiNO 0 Yes
(If yes, specify Cuban,
Mexican, Puerto Rican, elc.)
o Restrlence 0 Othei - Specify
10 Race Ameican indian, Black White, etc
(Speclfy)
Wliite
73 Yrs
80 CounlyofDeath
111 West Main St.
Walnut Bottom PA 17266
18 Father's Name (First, middle, last. suffix)
Ernest M. Clever
20a IrlfOlTTlant's Name (Type/Prin!)
Oecederll's
Actu<l Resideoce 17a Slate PennsYlvania
17bCo""~ Cumberland
DicI Decedenl
Live in a
Township?
Hc, 0 Yes, Decedent Liwd in
17d rn ~~iU~~i~~~TiVedwithin Walnut Bottom
Twp
1J1
Ins ector Industries
. 16 Decedent's Mailing Address (Street, city Ilown, slate. Zip code)
14, Marital Status' Marr~, Never Married
Widow<~,Divorced(Specify}
Widowed
City/Bora
19, Mother's Name (First, micldle, maiden surname)
Margaret Wells
20b Informant's Mailing Address (Street, city I town. slate. zip code}
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Susan E. Clever
21a, Method of Disposition
~ Burial 0 Removal from Slate
o Oth" . Speo~
22a. Signatur
111 West Main St. Walnut Bottom, PA 17266
21b Date of Disposrtion (Month, day, year) 21c, Place of Disposition (Name 01 cemetery, crematory or other pjace) 21d. Location lClty 1 town, stale Zip code)
Walnut Bottom Cemetery
22c Name and Address of Facihty
Walnut Bottom, PA 17266
~T)--o'-ll I.(I{,-
23c Dale Signed (Month, day year)
-'(2..: /fbb
Items 24.26 must be completed by person
who pronounces death
2~. Time 01 Death
d( D 2-
26. Was Case I~elerred to Medical Examiner "Coroner for a Reason Olher than Cremation or Dooatioll?
.J;lves 0 No
CAUSE OF DEATH (See instructions and examples)
llem 27. PART I Enter the chain or events. diseases, injuries. or complications - that directly caused the death, DEl NOT enter terminal events such as cardiac arrest.
respiralory arresl, or ventricular fibr~lalion without Showlng the etiology. List 0011' one cause on each Iifl€
~~~d~I~~~51~~~; ~~~; dlse~ Cv: ~ I /'
: ApproximatelntelVal
: OnselloDeath
Part II: Enlerother ~!l![gDl.mr!dlhOllS con!n~!l!!Dg~~tD~ 28 Did TObac.c~e Conlribule to Death?
but not resulllng In the underlYing cause given in Part I 0 Yes Probably
DNa UllknoWil
29 ~Female
o Notpregnanlw~hlnpaslyear
o Pregnant al time 01 deattl
o Not pregnant, but pregnanl within 42 days
of death
o NOI Pregnan1, bul pregnanl ~3 days to 1 year
of dealt'
o Unknown if pregnant Wllhin lhe pas! year
32c Place 01 InJury Horne, Fann, SlrecL Factory
Office Buikling. etc (Speedy)
-;y:
iJ
c.
j
DYes g..o
30b WereAulopsyFindings
Available Prior to Complehon
of Cause 01 Dealt,?
~~~nl~'~~~CI?s~~'~~sii~a;y,
Enter ~e UNDERLYING CAUSE
(disease or injUry that Initialed the
. events resulting In dealh ) LAST.
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c)
DYes ON'
31 Manner of Death
[]1fatural 0 Homicide
o Accidenl DPendinglnvesbgation
o Suicide 0 Could Nol be Delermlned
32d, Time01inlury
32g Localion of Injury {Street, city flown, slale)
30a WasanAlltopsy
Per1ormed?
33a, Certifier (chcck only onel
Cer1ifying physician (Physician certifying cause 01 death when another physician has prooounced death alld compleled ltern 23)
To the best of my knowledge, death occurr&d due to the cause(s) and manner IS stateJl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Pronouncing and certifying physician (Physician both pronouncing death and certifying to cause of death)
To the best of my knowledge, death occurred at the time, date, and place, and due 10 the causels) and manner as slat!d.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _..D
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ddress of Person Who Completed Cause of Death (llem 27) T yre I Prin',
G<<ba..'r-- 13t..\"'~ - 'to
Shippensburg Family Practice. Ltd.
a nut ottom Road
Shippensburg. PA 17257
(717) 530-5117
35, Registrar's Signature and District Number
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LAST v-JILL AND TESTAMENT
I, Garnet R. Clever, of Walnut Bottom, Cumberland County, Pennsylvania,
declare this to be my Last ~'Jill and revoke any will previously made by Ire.
1.. . The expenses of my last illness and funeral shall 'be paid by my
estate.
II. I give all of.. my estate of every nature and wherever situate to my
spouse, Louise E. Clever.
III. In the event my spouse does not survive Ire, I direct that my
children ~hall divide the residue of my tangible household personal property
arrong themselves as they shall agree; or in the alternative, should they be
\L'1able to agree on such division I 1 direct that any iterrt desired by two or
more of my children shall be chosen by my children by lottery conducted by my
Executor. W..a.tching sets of property shall be deemed a single item.) The
appraised value of each child's share of personal property taken in kind
shall not be set off against that child's residuary inheri ta.'1ce. For
purposes of this clause, "household personal property" includes autorrobiJef;.
I f my spouse does not survive rre and my daughter Susan thereby becomes Yly
Executrix, the lottery provided for in this paragraph shall Lx? conducted by a
person of my childrens I choosing if my daughter is involved in a dispute as
to disposition of personal property. My &"1ughter Susan shall conduct any
lottery as herein provided if she is not one 0:: my children who seeks
ownership of the partic-ular property involved. If my children are lmable to
resolve any dispute as to personal property pursuant to this paragraph, such
personal property shall be disposed of at public sale as quickly as is
cpractical. If public sale is required pursuant to this clause, my children
shall divide the proceeds thereof equally.
IV. In the event ffi'j spouse does not survive TIE, I direct that ei tb.er
Brian G. Clever, my son, Eric L. Clever, my son, Susan Clever Pathgeber, my
daughter, or Tyler L. Clever r my son, shall have the option to purchase my
real estate at the appraised value for Pennsylvania Inheritance Tux purposes.
The option must be exercised in writing within sixty (60) d3.'js after my
Executor has obtained a written appraisal of the real estate from a local
auctioneer or rea~ est.Clte broker of ffi'] Executor's choice. In the event tha.t
two or rrore optionees vlish to purchase my real estate, I direct that my
Executor hold a private auction by sealed bid arrong them and that my Executor
sell and convey my real estate to the highest bidder am.mgthem. The sealed
bids must be as much or greater than the appraised value of my real estate
for Pennsylvania Inheritance Tax purposes. If none of my aptionees purchase
my real estate as set forth in this item, I direct that my real estate be
sold at public or private sale, as my Executor may deem best, as soon after
my death as is convenient. In the event tI,at public or private sale pursuant
to this paragraph is necessa,:y, the proceeds thereof shalJ tJE> divided equally
arrong my surviving children.
V. In the event Hl'j spouse does not survive TIE, I direct that any
Executor, ACl:roinistrator or Trustee hereinafter narned shall have the legal
right to bid upon and obtain title to any real property sold through public
or private sale pursuant to the previous paragraph, without the necessity of
having first obtained Court approval to do so.
'II. All administrative costs, including inheritance taxes, estate taxes
and transfer taxes imposed upon ffi'j estate passing under" my Hill or otrerwise
shall be paid out of thE-' principal of my residuary estate.
VII. I appoint as Executrix of this my Last will Louise E. Clever. In
the event an alternate or successor Executrix be required, I appoint as such
my daughter, Susan Clever Rathgeber. I direct that no trustee, executor,
guardian or other fiduciary named, nominated, or aPPJinted in this will shall
be required to post any bond or give any security of any type for any pur-
poses w11atever.
IN WITNESS v...7HEREOF, I, Gamet H. Clever, the above narned Testator, have
to this, my LaE-t voTill cl:1G Testarrent, SEot my hand and seal this ,3 day of
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Garnet R. Clever
SIGt-.TED, SEALED, PUBLISHb'D M'D DECIAllliD by the above named Testator, as
and for his will, in the presence of us, who at his request~l in his presence,
and in the presence of each other 1 have hereunto subscribed our narnes as
witnesses in attestation thereof.
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COMMONW""EALTH OF PENNSYLVANIA
55
COUNTY OF CUMBERLAl\l{)
We, Gamet; R. Clever, 4;dlt.c.( y T- ,(j C &..~ , and
I~),r'~ r J.{C&k , the Testator and the witnesses respectively,
vm0~e nanes are signed to the foregoing instrument, being first duly sworn, do
hereby declare to the tl."1dersigned authority that the Testat.or signed and exe-
cuted the instrument as his Last will and Testarrent and L~a.t he executed it as
his free and voluntary act for the purpJses therein expressed, and that each of
the witnesses, in the presence and hearing of the Testator, signed the Will as
witnesses and that to the best of their knowledge the Testator was at that time
eighteen years of age or older, of sotl."1d mind and under no constraint or undue
influence.
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Gamet R. Clever
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Subscribed, sworn to and acknowledged before Ire by the Testator and
Sub, SC,X,ibed and s\VO,m to before rre by fHi'Hlt{~/,,, f. J 11 ({)Cth and
----LJ~ ~~') 1\\( k~w'~h , witnesses, this <' day of Cel)'\" nl~)-, l:! ,
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