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HomeMy WebLinkAbout08-04-06 Register of Wills of Cumberland County Estate of George E Shultzabarger also known as George E Shultzabarger, Jr Geo E Shultzabarger, Geo E Shultzabarger, Jr G E Shultzabarger , Deceased. Social Security No. 178 07 6007 PETITION FOR PROBATE and GRANT OF LETTERS No. ,J.I - C~ - (Oq ~ To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania 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 January 10 ,20 05 and codicil(s) dated no codicil (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 Barnstable Road, 341, Carlisle County, (list street, number and municipality) Decedent, then ~ years of age, died July 10 , 20~, at Forest Park Health Center, Carlisle Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution ofthe will offered for probate; was not the victim of a killing and was never adjudicated incompetent: 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 (lfnot domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: none $ 600.00 $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant ofletters testamentary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) thereon. ~at~re(s).; f./l~ [7. .. ~-- . ! Residence(s) of Petitioner(s) 341 Barnstable Road, Carlisle, PA 17015 ~,,~. :' C'; \ Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } 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) ofthe above decedent petitioner(s) will.well and truly administer the estate accordi~ t~1Iaw~ (/ ' , Sworn to. or affirmed a~ubscribed {I- ~ b xfvt.-j1F Bef?\e me this 4+ . day of :/ \. ~'-^')t- , 20 C'L9 '-- )i~(\(~~~I~\ ,hb\.~ r. >~.. ~0->0 Register . (\, --- \'-.l'.l ' "-\ (/l ciQ' ::l '" 2" ..., ;!, ~ No. 2( -C1;~lJ\J.. Estate of George E Shultzabarger , Deceased DECREE OF PROBATE AND GRANT OF LETTERS (\ AND NOW \..L\.~)~ 4 20()lq in consideration of the petition on the reverse side hereof, satisfactory p of having been presented before me, IT IS DECREED that the instrument(s), dated \ _ \ 0 - OS~ , described therein be admitted to probate filed ofre~rd as the last will of (jt?(A'(~<? E Sl'\",\~( 1'1 b::,r(\..(II~ ; and Letters are hereby granted to '?..:ter- ~ (:Sh",,-\'h:do(,-,,-"'...~, \ \ FEES Probate, Letters, Etc. ............. Will........................... ...... Renunciation..................... .. Short Certificates ( )............ JCP...... ............ ... ............. Automation Fee................... Bond............ ...... ............... Total $ ~)(J 61'0 $ l<;- -cO $ $ \ ~ - tv $ in. ,YD $ S',U'v $ $ Attorney (Sup. Ct. J.D. No.) Address Filed 20 Phone Ii 1:--- 'rl.~ ~ _ I ,11'_' l-~ ',- \ " 'vVt~ H r\! r '\)('3 f tis to thiS ,.;opy by photostat f)' p 12625552 I"i~:r (l~~i:~\ '<~~1::~E~ ,~~~J:' ~ /._ /i /</ I" ~.'~- ........' /. :/~ 'I ; ,/'" ,/ f "':11_..;;'~' /' ';"'YIIO"'tt..._>--'" ,,,,. "j'?' '--. U JI.jL 1 2.2006 ( Ht05, ;43 Rev 2/87 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH H H K NAME OF DECEDENT rF,rs! Middle LaSl) SEX STATE IOILE ~UM8EA SOCIAL SECURITY NUM8ER DATE OF DEATH ,Mcnth, Da~, 'earl 1/ 'b. Cumberland DECEDENTS USUAL OCCUPATION (Give ~I(\d of .....olk done dur,ng mas! 01 work,ng IIf9; do not use 'etHed I Minister II<. Carlisle Boro KIND OF BUSINESSIINDUSTRY M 178 - 07 -6007 .. July 10, 2006 ,. AGE (L3~1 B'r1!'1day) 'JNDER 1 YEAA ~r---- Monll1s ; Day!! HaUl!! 81RfHPLACE ~Cty Clr.d '3ta180r r-cr81(jn Counlr'll PLACE 01= DEATH iCl->eck 0,,1'1' one -- ~ In~!rl,,:I,Ol'''J<)f1 oll->er "'de) HOSPITAL ,--. -~---.----T~s~:: ------.- Inpatient 0 ERJOutp.atient L..J DOA 0 Home q:t(] e.. ~:=rly)D 5 COUNT!' OF DEATH 88 v" RACE, American Indian, Black, Whrtfl. etc (Specrty) to. White lh. DECEDENT'S MAll1NG ADDRESS (Slreet. Cil)'lTown_ Stale. Z;o Code\ 341 Barnstable Road Carlisle, PA 17015 t8. FATHER'S NAME [F,rs1. M'ddle_ '~asl) United Methodist 11b. Church MARITAL STATUS - Married Neyer Manied, Widowed, Divorced (Specify) Widowed SURVIVING SPOUSE (It WIle. give marden name) OECEDENT'S ACTUAL RESIDENCE (See InStrlJCllons on olher Side) t7a, SIale PA t7e,D Yes, d&cedent liyed in twp 17b, COUllty Did decedent live in a Cumberland towllship? 17dXJ ~~h~e~~:~;~::OI MOTHEWS NAME (Firsl. M,ddle. Ma'den Surname) Emma Bowen East Pennsboro Twp. Citylbon:l " Geor e E. Shultzabar er, Sr. INFORMANT'S NAME (l ypetP,int) 20.. Peter Shultzabar er METHOD 01" DISPOSITION Burial [l Crftmalion!i] Removal horn Stale [] Other (Spec,IYL- ". INFORMANT'S MAILING ADDRESS (Streel. CityfTown, Slare, liD Code) 20b.341 Barnstable Road, Carlisle, PLACE OF DISPOSITION. Name 01 Cemetery, Crematory LOCATION or OUmr Place PA 17015 Cityffown. Slale, Zip Code [] 21c. Cremation Society of PA 21d. Harrisburg, PA NAME AND ADDRESS OF FACIUrAuer Memor1a 22cServices, Inc., Harrisburg, LICENSE NUMBER 17109 it .~t:Y-:'0 LICENSE NUMBER 22.. FD 013376 - L I _ Ll;"'"'~ .c.... I Approximate : interval betw@6n I onSel and death I ! Other signiftcanl conditions contributing to dealh, bul nol resu!ling in the undertying cause given in PART 1 n, J_ ,;~) a;l '..'-,~.......,C~ .-('\ (.. '-f.:"l<"l.c. ~ '"1/\..0''-:> l DUE TO (00 AS A CONSEOUENCE OF): t: c. ( (,! ~~~)- II /'1)/ C I) (;;. l : WERE AUTOPSY FINDINGS AVA.lLABLE PRIOR m COMPLETION OF CAUSE OF' DEATH? DUE 10 (OR AS ACONSEOUENCE OF) DUE TO (OR AS A CONSEOUENCE OF)' Na.tural @,/ o [J DATE OF INJURY (Monlt1_ OilY, Year) TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED MANNER OF' DEATH / No liY' Yes 0 Accidenl Pending Investigation o o Yes 0 NoD Homicide 'PRONOUNCING AND CERTIFYING PHYSICIAN (Phys,e';11' horn ;:Jronounc,ng death and cerlrly'nCJ 10 cause of death) To the M!l1 01 my knowledgf!, death occurre-d at the time, date, and place, and due to Ihe cau!'Ie(s) and manner as stated [] 0 0 32. 'J , ;: . ..~ 7L c; I No 0 Suicid6 Could not be determrned o ~~'CE OF INJURY Al home, faf~,O:~eel, lactory, office bUIlding. atc rSpoc,lv\ '00. 2h. 28b, CERTIFIER ICheck. onl'1' one\ 'CERTIFYING PHYSICIAN fPhvsoan cf'rtrly,ng cause 01 dealh when ar,olhel physrClan has pronounced deal~ al"d comc1eled 11em 231 To the be.1 of my knowledge, dealh occurred due 10 the clIIusejs) and manner as stated, 29. 'MEDICAL EXAMINER/CORONER On Ihe- basi!l of examination and/or investtgation. in my opinion, death occurred al the time, date, and place, and due to the cause(s) and manner as 31ated '" REGISTRAR'S SIGNATURE AND NUMBj:R ~ -'~, /7 -U1 ~~.~ ... U?2/J?___- / ';- :~:.~>-1.~!.~i-"~./J,?<d"__ ~,'__ ,f,___~_~~~_~_____ ~I /1c:A\ /1 ,..j Last Will and Testament Of GEORGEE.SHULTZABARGER Also known as Geo E. Shultzabarger, Jr. Or G. E. Shultzabarger, Jr. I, GEORGE E. SHULTZABARGER, of West Pennsboro Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any Will or Codicil previously made by me. ITEM I: I direct that all my just debts (except as may be barred by a Statute of Limitations) and my funeral expenses (including expenses of my last illness) shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. I direct my Executor to carry out my funeral in accordance with the instructions that I have previously given to him and to have my ashes buried in the cemetery at Wesley Chapel in Scullton Pennsylvania. ITEM II: I give and bequeath all my tangible personal property, including but not limited to, furniture and furnishings, china, silverware, ornaments, works of art, books, pictures, wearing apparel and personal effects, to my three children: Peter B. Shultzabarger, Timothy S. Shultzabarger and Helyn S. Dambach. Ifnone survives me, then the above articles should be distributed to their descendants. ITEM III: I give and bequeath all my financial and liquid assets in any or all of my accounts, and Western Pa. Conference insurance money to be divided in the following manner: seventy-five percent (75%) to be placed into an interest bearing account for the purpose of providing money for my daughter, Helyn S. Dambach. This account shall be administered by either or both of my sons, Peter B. and Timothy S.. They shall have the right to disperse money as needed to care my daughter's needs as they determine, such as but not limited to health, housing, transportation and living expenses. This money is not to be used for any other person that might be living with Helyn. If there is money left in this account upon her death it is to be divided equally to my two sons or their decedents. The remaining twenty-five (25%) of my assets after funding the account for Helyn shall be distributed equally to my two sons or if they predecease me then to their decedents. If Helyn or to predecease me then all of my assets as described in Item III shall be divided equally between my two sons. 1 ITEM IV: I devise and bequeath the residue of my estate of every nature and wherever situate to my three children (named in Item II) in equal shares. If all my children have predeceased me, I devisee and bequeath the residue of my estate of every nature and wherever situte in equal shares to their descendents. ITEM V: If any property passes outright (either under this Will or otherwise) to a minor (which shall be defined as anyone under twenty-one (21 years of age) and with respect to which I am authorized to appoint a guardian and have not otherwise specifically do so, I decline to appoint a guardian but instead authorize my Executor to distribute such property to a Custodian selected by my Executor (and my Executor may act as such Custodian) as Custodian for the no more under the Pennsylvania Uniform Transfers to Minors Act. Provided, however, that this appointment shall not supersede the right or any fiduciary to distribute a share where possible to the minor or to another for the minor's benefit. ITEM VI: 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 part of the expenses of the administration of my estate. ITEM VII: I appoint PETER B. SHULTZABARGER, Executor of this my Last Will. Should PETER B. SHUL TZABARGER fail to qualifY or cease to act as Executor, I appoint TIMOTHY S. SHULTZABARGER, Executor of this my Last Will. Ifneither qualifY I appoint JENNIFER S. FORBES, Executrix of this my Last Will ITEM VIII: I direct that my Executor or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITEM IX: My individual fiduciary shall be entitled to reasonable compensation for this or her services rendered from time to time and to reimbursement of out of pocket expenses. ITEM X: The interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation. 2 I, GEORGE E. SHULTZABARGER, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. j/ .~ J /"'.;. "bp -. ,:;1;'- - ~ /'~/CI 'tj~ c.- i -0/ / 4~l/ c(- t~'~f GEORGE E~ SHUL TZABARGER ~ Date :/5- <r 11 . /0, ;;2. f)C!J- , We, t. e.1 <.?-,,:;.c;:.~i r1 Z-j + and 10....,..... /.<. ~~ )-J<.,).s ,the witness 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 the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness 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 eighteen (18) or more years of age and or sound mind and under no constraint or undue influence. Witness~~.A- ';;7'. ~J Date (liD! {J-5 Address ( > ZS' l\.j. 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