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Home My WebLink About12-05-06 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA Estate of Frederick L. Madeira also known as File Number l.l- CO - lOr'll., . Deceased Social Security Number 165-26-6194 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) 121 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is I are the Executor last Will of the Decedent dated March 25, 2004 and codicil(s) dated named in the (State relevant circumstances, e.g., renunciation, death of executor, etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: o B. Grant of Letters of Administration (/fapp/icab/e, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has I have ascertained that Decedent left no Will and was survived by the following s~e (if any) mil:ieirs: (If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~ 0 ~::XI fX :..... ::0 0 r-r'" C"J Name Relationshi Resid' n C"') ,:;i.. .) I .c:- (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his I her last principal residence at 305 Chestnut Ridlle Drive. Mechanicsburll. UDDer Allen TownshiD. Pennsvlvania 17055 (List street address. town/city, township, county, state, zip code) Decedent, then 74 years of age, died on March 10, 2006 at 305 Chestnur Ridge Drive, Mechanicsburg Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (lfnot domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania l-,ooo.oo $ $ $ $ situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the lUldersigned: T d or rinted name and residence 1124 Kennebec Drive, Chambersburg, PA 17201 Form RW-02 rev. /0./3.06 Page 1 of2 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) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. t>~.~ Signature of Perso I Representative day of Signature of Personal Representative \...J ~O rD ::0 i,-l-o ~ - c:::>> Cl" C ,." I (J1 .::l:J r'1'i Pi ~)P ":-1 C.:J rTlrn :':j:"'l CJ C:) C) "r'l ,.., ;.:;~ ~ r--- r n l./) ':J -r--t Signature of Personal Representative :,':;~~~ ~ 93 Z(J)^ :::'IC)O _:)0..,., ~--\~ :0-; )> %>> ::J:: Cf! r- File Number: ~~ - lO,;). Estate of Frederick L. Madeira . Deceased Social Security Number: 165-26-6194 ANDNOW,~~ 5 Date of Death: 03/25/2006 , ~ . in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters ~~l\:st'"~l...1.~ are hereby granted to ~ '- ~ ' in the above estate and that the instrument(s) dated '~ - c;l 5 -c:>C"Y~'-\ described in the Petition be admitted to probate and filed of record as tht 1ft Will (and Codicil(s)) of Decedent FEES ~~D-\\~kwJ.Cl...,rur(\ ..Af!iJ ~ ""\ Register 0 Wills ~, y Letters .......... ( ;, . $ dO . OD /' Short Certificate(s). ./.).... $ 4" 00 Attorney Signature: Renunciation(s) .......... $ \..ri \\ .. . $ ~CP ... $ ?.v....+~N'-- ... $ ... $ ... $ ... $ ...$ ...$ .. . $ TOTAL.............. $ \S-' OJ ,o.ot) 5-00 Attorney Name: Supreme Court I.D. No.: 80]43 Address: 552] Carlisle Pike Mechanicsburg, PA ] 7050 Telephone: 7] 7-697-1800 0.00 Form RW-02 rev. 10.13.06 Page 2 of2 F;0'::;.0()~:\'S R...~VJ5-!)5) This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records 10 accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Calvin B. Johnson, M.D., M.P.H. Secretary of Health ~/I~ 0771107 Charles Hardester State Registrar (") ~O ""-:0 ttAR2j!P .0 m ,- 03 :n i'::::; ^ -.jOo ---~ C--" . ~ .J""T1 CJ C : ::0 :::0-1 J> No. ifF COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH Hl05.143 _. 2187 TYI'U"MfT II PIRIIANENT IILACK _ NAME OF DECEDENT (fht. _. Last) ,. I>GE. (Last 1IIrthd8y) s. 74 v,.. COUNTY OF DEATH lb. DECEDENrS USUAl.. OCCUPATION (,....=.e.:'1'="~ 11& ~ I - \' ~ Iil ~; 1 305 Chestnut Ridge Dr! ve ,.. Mechani PA 17055 FATHER'S NAME (fht. _. L8Il) ,.. INFORMAN S NAME (Type/PIlnl) ... Carol Madeira DISPOSITION DonoUon 0 .... IX! er.n.tIon 0--.. ""'" SlaLw 0 21.. 0IMr (Spec:Ify) 0 2,1I.March 12 2006 OE E OR PERSON ACTING AS SUCH LICENSE NUMBER 22b. ID - 014889 To the bnI or my ~""'llDCUllWd althe time. ~ and place ataWd. (Slgn8lurund TllIa) ~ f'). J..) . 23& TIME OF DEATH DATE PRONOUNCED DEAD (Month, Day. V_) u. '7" M. 2I./Y)~ /6) otao ~ 17.'ART I: _..._ ........01'__....... _ ..._. Do __tile _01..,....,...... __......'*'Y_ _01' -....... LIol...,__ Oft __. 21. :=:r- : anaal and daa1h to a. ~ ~.. c:ancIlIana { b. if "".1MdIng ID_ _. Enlar UNDERLYIlG CAllR (llIaaMe or i'ljury c. ",1nIInd _ ..ullIng an dMIIt ) LAST d. WAS AN AUTOPSY WERE AUTOIPSf FINDINGS PEltFORMED? AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? _nt DUE TO ( ,...... g c::I"'\ o ,.." ~ . U1 :bt :x c:? ~ ::::0 :r:J rT1 rn \::J GJ C) ;~;) ::0 ---10 in rT1 ::J::JO C) -,,",,0 <,,, ::n C) I"" rrt (j::"C) 'Il -IX! ::.vI 0 RACE - "'-"-Indian. iliad<. Whlt8. (Spec:Ify) White SURVMNG SPOUSE (W_,.".__l twp. dIyIbaro. g.- O o HamIdde PandIng ,....Iigation Could no! be dalan1*Iad DATE OF INJURY TIME OF INJURV INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. o (_.Doy.V_l o ~O~D O lOa. 3Gb. M. JOe. PLACE OF INJURY - AI home, farm, anal. facIDlY. DIIlca ;:.nu. .... (S......l MANNER OF DEATH NaI1Jral Y-O No V.. 0 ~O Suk:Ide 21. i ~ w (J ~ u.. o w ~ Last Will of FREDERICK L. MADEIRA I, FREDERICK L. MADEIRA, of Mechanicsburg, Cumberland County, Pennsylvania, make this Will and revoke all of my prior wills and codicils. Article One My Family I am married and my spouse's name is CAROLYN G. MADEIRA. All references to "my spouse" in my Will are to her. The names of my children are: ALFRED L. MADEIRA VICTORIA A. MADEIRA ANN M. HEINTZELMAN CAROLE A. TROUTMAN ANDREW C. MADEIRA o ~o """-:0 [0-0 '3:tg 'r.:.>~:o ~:': if) ^ ,.Joo (-) O-n :-' C. ~J ::0 ::-0-1 J> All references to my children in my will are to these children, as well as any children subsequently born to me, or legally adopted by me. 7;;( fL- Page 1 ,....., c:::> e::> c::r- o j"T1 C"') I c.n :::0 -1" I -!>1 f 1-' ('"') (7) CD :,C~...~... r~-" :~ =-:db (::J 0 " I'" ""T1 "1 ::.::::: c-S ,-= r'n r"'- - cIJ (.:='"...,J . 71 :J:II' ::J: ce .r:- .:' J Article Two Distribution of My Property Section 1. Pour-Over to My Living Trust All of my property of whatever nature and kind, wherever situated, shall be distributed to my revocable living trust. The name of my trust is: FREDERICK L. MADEIRA and CAROLYN G. MADEIRA, Trustees, or their successors in trust, under the FREDERICK L. MADEIRA LNING TRUST, dated March 25, 2004, and any amendments thereto. Section 2. Alternate Disposition If my revocable living trust is not in effect at my death for any reason whatsoever, then all of my property shall be disposed of under the terms of my revocable living trust as if it were in full force and effect on the date of my death. Section 3. Testamentary Trust If my spouse survives me, I authorize my personal representative to establish, with the assets of my probate estate, if any, or with any property distributed to my personal representative from my Trustee, a testamentary trust (or trusts) for the benefit of my spouse and my other beneficiaries under the same terms and conditions of my revocable living trust as it exists at the date of my death. I appoint the Trustee and successor Trustee named in my revocable living trust as the Trustee and successor Trustee of my testamentary trust(s). The Trustee of my testamentary trust(s) shall have all the administrative and investment powers given to my Trustee in my revocable living trust and any other powers granted by law. My Trustee shall be under no obligation to distribute property directly to my personal representative, but rather may distribute such property directly to the cr '7( ilL Page 2 Trustee of the testamentary trust(s). Any property distributed to my testamentary trust(s) by the Trustee of my revocable living trust shall be distributed by the Trustee of my testamentary trust(s) in accordance with the terms and conditions of my revocable living trust as it exists on the date of my death. Article Three Powers of My Personal Representative My personal representative shall have the power to perform all acts reasonably necessary to administer my estate, as well as any powers set forth in the statutes in the State of Pennsylvania relating to the powers of fiduciaries. Article Four Payment of Expenses and Taxes and Tax Elections Section 1. Cooperating with the Trustee of My Living Trust I direct my personal representative to consult with the Trustee of my revocable living trust to determine whether any expense or tax shall be paid from my trust or from my probate estate. Section 2. Tax Elections My personal representative, in its sole and absolute discretion, may exercise any available elections with regard to any state or federal tax laws. rr x /1L- Page 3 .. My personal representative, in its sole and absolute discretion, may elect to have all, none, or part of the property comprising my estate for federal estate tax purposes qualify for the federal estate tax marital deduction as qualified terminable interest property under Section 2056(b )(7) of the Internal Revenue Code. My personal representative shall not be liable to any person for decisions made in good faith under this Section. Section 3. Apportionment All expenses and claims and all estate, inheritance, and death taxes, excluding any generation-skipping transfer tax, resulting from my death and which are incurred as a result of property passing under the terms of my revocable living trust or through my probate estate shall be paid without apportionment and without reimbursement from any person. However, expenses and claims, and all estate, inheritance, and death taxes assessed with regard to property passing outside of my revocable living trust or outside of my probate estate, but included in my gross estate for federal estate tax purposes, shall be chargeable against the persons receiving such property. Article Five Appointment of My Personal Representative I appoint ALFRED L. MADEIRA to be my personal representative. If ALFRED L. MADEIRA cannot act, or is unwilling to act, I appoint ANDREW C. MADEIRA as my successor personal representative. I direct that my per~onal representatives not be required to furnish bond, surety, or other security. I have initialed all of the pages of this Will, and have signed it on March 25,2004. J;r~~LII~ FREDERICK L. ADElRA ~/ ';(-12L Page 4 The foregoing Will was, on the day and year written above, published and declared by FREDERICK L. MADEIRA in our presence to be his Will. We, in his presence and at his request, and in the presence of each other, have attested the same and have signed our names as attesting witnesses and have initialed each page. We declare that at the time of our attestation of this Will, FREDERICK L. MADEIRA was, according to our best knowledge and belief, of sound mind and memory and under no undue duress or constraint. --'14 WI~ESS I ~~~ LL., WI SS STATE OF PENNSYLVANIA ) ) ss. ) COUNTY OF CUMBERLAND We, FREDERICK]..-. MADE:[M, rl:J b WI 11,j J. 1111 Jel-W , and CIf Jvfh I Jq L-e Hm ~ t'J , the Testator and the witnesses, respectively, whose names are signed to the foregoing Will, having been sworn, declared to the undersigned officer that the Testator, in the presence of the witnesses, signed the instrument as his last Will, that he signed, and that each of the witnesses, in the presence of the Testator and in the presence of each other, signed the Will as a witness. ~L1Jo~~ T( 2- WITNESS ~~ ---1L~4- Page 5 . . . Subscribed and sworn before me by FREDERICK L. MADEIRA, he Testator, and by fJlt)m~J J~ ~JJf-vnl and C\J rv+~)~ L.;e 1Yl nJ , the witnesses, on March 25,2004. J ~~ !11~ N TARY PUBLIC My commission expires: NOTARIAl SEAl JUDD Y. AHRENS. NOTARY PUBLIC MECHANlCSBURG BORO., CUMBERLAND CO. MY COMMISSION EXPIRES MAY 23 2005 ~ ?1< //1 Page 6