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Home My WebLink About01-04-07 'I PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of t\JU()(,~, ~i ~~QO... also known as File Number ,) / - () 7 - 0 0/ I , Deceased Social Security Number 2- CX) - 2. II - 0 If 36 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) 'f>2( A. Probate and Grant of Lelters Testamentary and aver that Petitioner(s) is ~~ the ~t/Y\ last Will of the Decedent dated ,~J AD Z 2.cP c. 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 (lfapplicable, enter: c.I.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) -, __ c;:::::} Petitioner(s) after a proper search has / have ascertained t~at Decedent left no Will and was survived by the following spo~ /~ any) and:fu7rs: AdministratIOn, c.t.a. or d.b.n.c.t.a., enter date o/Wtll In SectIOn A above and complete list o/hetrs.) -~ :'er] c...... R~id,"" c" '~~ ~ 'I ~ (If , J= '~-~~ Name Relationship -I , ~J OJ (..11 <::) Decedent, then ~ 2-,-0(., at S~{'/( 1- ;\ rtf1'~ f{,. ~ JJ.. Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property (If not domiciled in PAl Personal property in Pennsylvania (If not domiciled in PAl Personal property in County Value of real estate in Pennsylvania $ ~ S"'(X)O $ $ $ 9(> CDO situated as follows: I ~ 6.: t) W Q Q Jv~ /' r;U. ~+ f ~V\~ hliV ~~ (Jlt:-JLJ GvJ>rl f); Wherefore, Petltioner(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 undersigned' T ed or rinted name and residence Form RW-02 rev. 10.1306 Page 1 of2 ... ,/,. i -I, 7 - C,C j / Oath of Personal Representative COMMONWEALTH OF PENNSYL VANIA COUNTY OF (I i I rn txLla llrL SS 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 of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me the t./ ~ II day of , ('']0047 ,L 10 e Register J.. /JwJrOJ Q (Jr IJ~ Sig+ture of Personal Representative Signature of Personal Representative Signature of Personal Representative o . ~JJ .. J ':"'"i r-.J t.~ C-""".:) -..J I -L:"" C- :9:"'- -hdO .."':!".;:- . .'; ) - , ~-=-~ p Gv. i ~ \~ , Deceased o '-r?J () Date of Death: IJ Lv,.Qh..../ ~ ::>,A: (, '" CO 01 C' File Number: Estate of ftCtM,cl' M.. Social Security Number: c: lXj - l r- - AND NOW, " in consideration of the foregoing Petition, satisfactory proof having been presented before me, [T [S DECREED that Letters Iv s+-a. ~ are hereby granted to 'R t1Af (yv c. 4. V c ~"'r- in the above estate and that the instrument(s) dated ,J.J tV) '2, MO (. / described in the Petition be admitted to probate and filed ofre ord as the last Will (and Codicil(s)) of Decedent. \ (JGl I L:>.L'C ,eJ)c b,oC Attorney Name: Lkt FEES Letters ............... $ Short Certificate(s) . . . . ~ $ Renunciation(s) .......... $ llli.U .. . $ '- jCP ... $ A-tl\nr ~Yi h (;~ ) ... $ .. . $ ... $ .. . $ ... $ .. . $ .. . $ TOTAL. . . . . . . . . . . . . . $ .910. DO i ({;. CO Supreme Court J.D. No.: Pc~l ~fPhy~MIr::=> . h f y~, {\ r. ( ~ '4; \ )..CJ 7 S '" n ,--.. , '~I V' f..1,)(.~r Address: (?~, II L N c,;..lQ ~ c;lkJ {iz/J' Jl.. ~ r c \ 71 () I (7(7)23~~q3~1 (1/') 2 "5G- toG C <- lor Ja-@ '~(L'-'- - grr.u--- I G..- \>~, Telephone: ;)SQoo ~ Form RW.02 rev. 10./3,06 Page 2 of2 Thi" is to certify that thl: information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. ""f/IIII"h',;,;""", 1IIII"~~\.\IiOF PEi:----._ /~y ~1'~~ l'~7 - ...~.. ..... \~\ ('~~( ';"; \~~ ~c::>> tl,# I-~ ~e,..)\, 'i.d 1):..;:- '*~..;;*l " '%~ / ~\\\ ""- ~J>~ /~~\I\\ --.---frMENT~\: ~ ,.1" .,.......,,'''/O''UIlIJIIJII- II _~17~ Local Rcgistral Fee ror thi, certificate. $6.00 P 12842144 Nll. DEe 0 7 2006 Date ("'-" . J (::-;0 ~~ f'-) = = -t c-. :=~SlJ --......'" M"'~'" d I - () 7 - COIl ::c-~ --;','''' I ..r:-- DECE ENT'S USUAL OCCUPATION {~~v:;:i~~I'te~~ d~;teu~rir~?ir~3)SI . l1i\ccounting Clerk llbTressler Services DECEDENT'S MAILING ADDRESS (Street, CityfTown, State, Zip Code) DECEDENT'S ACTUAL RESIDENCE 17050 ~~e~t~~~I~J:)ns COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH O:l <"'11 <::) H105.143 Rev. 2187 ~RINT , 'NENT KINK STATE FILE NUMBER AGE (Last Birthday) SEX 2.Fernale . SOCIAL SECURITY NUMBER 3. 200 - 24 0430 DATE OF DEATH (Month, Day, Year) 4Pec. 6, 2006 5. 73 COUNTY OF DEATH Yrs. BIRTHPLACE (City and PLACE OF DEATH Check anI ne. see inst tions on State or Foreign Country) HOSPITAl: Inpatient XX" ERlOutpatlent D DOA 0 B.. FACILITY NAME (If not institution, give street and number) Re5idence 0 ~~:~fy) 0 RACE. American Indian, Black, White, at (Spec;fy) 10. Whi te SURVIVING SPOUSE (If wife, give maiden name) Cumberland Bb. 17a. Slate PA Did decedent live in a township? 17c.JQg Yes, decedent lived in Iwp. 17b. Count 17d. 0 ~~h~e~~t~~7~j~i~~ of citylbom PA 17050 DATE OF DISPOSITION (Month, Day. Year) 21bDec. 11, 2006 ACTING AS SUCH LICENSE NUMBER 22b. 014819 L To the be~1 of my knowledge, death occurred at the lime, date and place stated. (Signature and Tille) 23a. TIME OF DEATH DATE PRONOUNCED DEAD (Month, Day, Year) Home 24. M. 25. 23b. 23c. WAS CASE REFERRED TO A MEDICAL EXAMINER ICORONER? 26. Yes 0 No ~ : Approximate PART II: Other significant conditions contributing to death, but . interval between nol resulting in the underlying cause given in PART !. : onset and death 27, PART I; Enter the dl......, InJurle. or complication. which caused the death. Do not enter the mode of dying, .uch I. cardiac or re.plratory arre.t, .hock or heart failure. L1.t only on. cau.. on each Une. Sequentially list conditions [ cb.. if any, leading to immediate cause. Enter UNDERLYING CAUSE (Disease or injury that Initiated events resulting on death) LAST d. WAS AN AUTOPSY WERE AUTOPSY FINDINGS PERFORMED? AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? Natural 1!1 Accident 0 Suicide 0 DATE OF INJURY (Month. Day. Yllar) INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED Homicide o o 30a. 30b. M. o PLACE OF INJURY - At home, farm, street, factory, office building, ale. (Specify) 30e. Yes 0 No 0 30c. Yes 0 NO~ Yes 0 NoD Pending Investigation Could not be determined 28a, 28b. CERTIFIER (Check only one) .l~~~~F:~~tGor~~~I;~~~e~~s~~:rh ~~~i~~c1adu~: t~ f';:~ai;'~:~(:)~~3~~~~~a~s h:t~r:~~~~~~~.~ .~~~:~. ~~~ .~.~~~~~:.~ ,i:~.~ .~~.~ 29. .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 to the causes!s) and manner as stated, -MEDICAL EXAMINER/CORONER On tho basis of examination and/or Investigation, In my opinion, death occurred at the time, date, and place, and due to the causes(s) and mannera. stated ..............,...... .,............................. ...........,,,,,......,.. 31a. REGISTRAR'S SIGNATU o 1~!IJt/11 34. Zoo (.; ,..,: 1-- ---.... '., r I " ~ I -- tj , ~ (1(/ 1/ WILL of Nancy M Gutshall I, Nancy M Gutshall, of Cumberland, Pennsylvania, declare that this is my will. I revoke all prior wills and codicils. ARTICLE ONE DECLARATIONS CONCERNING FAMILY AND PROPERTY 1.1 Family. I am not married. I have no children. I intentionally leave nothing to anyone claiming to be a child of mine regardless of the validity of their claim. 1.2 Personal Wishes. It is my desire that my executor follow any written directions left with this will regarding memorial services. My remains shall be buried and my remains shall be embalmed. ARTICLE TWO GIFTS OF PROPERTY '" t;,~ <;::;:;; -.... my my my my my my my my my my my my my my my my my my my my ~h -;0:- : ~ ~.~~~:.~ " -rc ::'5 I T1 2.1 Tangible Personal Property. I glve I give I glve I give I glve I glve I give I glve I glve I glve I give I give I give I give I glve I glve I give I give I glve I glve I -L- BLUE SOFA IN LIVING ROOM to JEAN P. MOTTER. KITCHEN-AIDE MIXER to JEAN P. MOTTER. CHINA CLOSET to BARBARA A. VOGLER. LANE CEDAR CHEST to BARBARA A. VOGLER. 4 OLD CHINA CUPS & saucers to BARBARA A. VOGLER. DRY SINK to FAYE BOMGARDNER. OIL PAINTING BY W.BAILETS-SHEEP to JEAN P. MOTTER. FORD SNOW BLOWER to DAVID L. MOTTER. WILLIAMSBURG BLUE QUILT to MICHAEL R. BRUCKHART. 2 SHOT GUNS AND SCOPE to MARK E. MOTTER. GRAMA BAlLETS QUILT to JEAN P. MOTTER. DROP LEAF TABLE to MARY KAY BURNSIDE. GRAMA'S OLD CHEST to ANDREW W MOTTER. EXC.STUDENT GIFTS/CHINA CLOSET to BARBARA A. VOGLER. BEDROOM FURNITURE-NANCY'S to BARBARA A. VOGLER. OIL LAMP/ELECTRIFIED to ANDREW W MOTTER. HAMILTON BEAC MIXER to LAURA J VOGLER. STEP END TABLES/BOB's Mom's to LAURA J VOGLER. OLD TABLE OIL LAMP SITS ON to DAVID L MOTTER. GRAMA'S SMALL TABLE IN KITCHEN to TRACY L BOMGARDNER. co en a - Page 1 -- I direct my executor to distribute the balance of my tangible personal property to my relative JEAN P MOTTER. I may also leave a non-testamentary letter addressed to the executor requesting that certain of my personal possessions be delivered to named individuals. Although such letter shall not be interpreted as a testamentary writing, I request that my beneficiaries and executor carry out the requests made in the letter. If a minor child is to receive personal property it may be delivered to the child or their guardian or parent as the executor sees fit. 2.2 Residue of Estate. I leave the residue of my estate to the following beneficiaries in the percentages stated: Twenty Percent (20%) to CROSSROADS COMMUNITY CHURCH; Twenty Percent (20%) to my sister FAYE BOMGARDNER; Sixty Percent (60%) to my sister JEAN P MOTTER. If any of the above beneficiaries do not survive me by 30 days then the share that the beneficiary would have taken shall be divided among the surviving beneficiaries named in this section in proportion to their respective shares. If I am not survived by any of the above beneficiaries, then the residue of my estate shall be distributed to the following beneficiaries in the percentages stated: Twenty-Two Percent (22%) to CROSSROADS COMMUNITY CHURCH; Thirteen Percent (13%) to my niece BARBARA A VOGLER; Thirteen Percent (13%) to my nephew STEPHEN M MOTTER; Thirteen Percent (13%) to my nephew MARK E MOTTER; Thirteen Percent (13%) to my niece MARY KAY BURNSIDE; Thirteen Percent (13%) to my nephew DAVID L MOTTER; Thirteen Percent (13%) to my nephew ANDREW W MOTTER. If any of the above beneficiaries do not survive me by 30 days then the share that the beneficiary would have taken shall be divided among the surviving beneficiaries named in this section in proportion to their respective shares. If my executor determines that a beneficiary's share can be retained for their benefit in a Uniform Transfers to Minor's Act (UTMA) Trust, then the executor shall distribute the beneficiary's share to the executor as custodian under the act to hold said share until the maximum age allowed by law. -~~2- ARTICLE THREE APPOINTMENT OF FIDUCIARIES 3.1 Executor. I nominate BARBARA A. VOGLER to act as my executor. If BARBARA A. VOGLER cannot serve then JEAN P. MOTTER is to serve as the executor of my will. No bond shall be required of any executor under this will. 3.2. Executor's Authority. In addition to any powers and elective rights conferred by statute or federal law or by other provisions of this will, I grant my executor the authority to administer my estate under any procedure for informal or unsupervised administration, or any other available procedure for avoidance of administration or reduction of its burdens. On JUV1-f./ Z- , 20& at m1t1Ym,-~ P!1-, I hereby sign (date) (town a~st~le) this document and declare it to be my will. 7J~, v 7;; Lu~ Nanc~ Gutshall This document (consisting of pages including this one) was signed and declared to be her will by Nancy M Gutshall in our joint presence. At her request, in her presence, and in the presence of each other, we hereby sign as witnesses to the execution of this will, believing that she is of sound mind and under no undue influence. Each of us observed the signing of this will by Nancy M Gutshall and each other subscribing witness and knows that each signature is the true signature of the person whose name was signed. Each of us is now more than eighteen years of age and a competent witness and resides at the address set forth after our name. We declare under penalty of perjury that the foregoing lS true and correct and that this declaration was executed on jlJ.,~'L- 2.. Looy; , at J (date) ~[han'Ls.b~ (town) Pen (\51 I VaVVIOL- ( tate) - Page 3 - , residing at (~tnL L$:eJ ~ess signature) , residing at , Ut<<..~t(CL ) rY1.eU\l;'iV(;; \ ~ li I~ ' €ill1SLt J ~ ~( ~ (town and st, e) - Page 4 - WILL AFFIDAVIT for the WILL of Nancy M Gutshall State of Penn,~Lf { \/un;-cL 6un?JE./UfiyV ~ County of I, the undersigned, an officer authorized to administer oaths, certify that Nancy M Gutshall, <{John c VoCj Ie r . (Print name of Witness) and Jcsh(j14 Vi cL- (Print name of Witness) the witnesses, whose names are signed to the attached or foregoing instrument and whose signatures appear below, having appeared together before me and having been first duly sworn, each then declared to me that: 1) the attached or foregoing instrument 1S the last will of the testator; 2) the testator willingly and voluntarily declared, signed and executed the will in the presence of the witnesses; 3) the witnesses signed the will upon request by the testator, in the presence and hearing of the testator, and in the presence of each other; 4) to the best knowledge of each witness the testator was, at that time of the signing, of the age of majority (or otherwise legally competent to make a will), of sound mind, and under no constraint or undue influence; and 5) each witness was and witness a will. 7J711 4~ ~Testator signature) C'" u<.. is competent, and of the proper age to tV Testator: . 0 W1tness: · fJA-IIO ( Address: - Page 5 - Witness: ~~k (Wi tnei7s signature) { /)/J ML I;;" Co.,lf6l-e.- r 1<11 L.- /Yle (JJO rics tJUIj rIT hO'5D J Address: Subscribed, sworn and acknowledged before me, 71NA ~ ~~~ a Notary Public, by Nancy M Gutshall, the testator, and by John E. VcsJ-er' , and Jo~UA. V{Q day of JUIlf' ./ , 20 00 . the witnesses, this 2rd (Notary Seal) Signed: ~t7-t f\ro~'1 /lI3L/~ (Official Capacity of Officer) Notarial Seal Tina L. Leitzell, Notary Public Hampden Twp., Cumberland County MY_CommiSSion EXpires July 25, 2006 Member, PennsylYanlaAssocialion Of Notaries - Page 6 -