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. (>-..iY:.:8 t- sf-
(err I ~S U. ? i'1 I '70/s
Witness lX, Odll /tVL tC,7 ~C(J<:J
I
Address .::::2// 'J-- A?Z'-'Clte<-
Date
/// }/G~ --"
{ILl tlvLl (- d{)c (-~ \-'Ll
I (~ 00"-~
~a~ / q 400.)
il" -?CIW'
()~ . v'? . 7 Ij- ~-
3