HomeMy WebLinkAbout02-21-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
E~~e~ Jane Ann Laffey
also known as Jane A.M. Laffey
File Number
,~\ D'\
o Ho C,
, Deceased
Social Security Number 1 3 3 - 1 6 - 8 7 4 2
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is broe the Co-Executor
last Will of the Decedent dated Aug. 21, 1 99 2md codicil(s) dated
Stpphpn Hpnry T.rlffpy rpnrlllnr-<=><;; n;s appo;ntment as ('n-"Rxpr-llrnr
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: N / A
o B. Grant of Letters of Administration
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(lfapplicable. enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durantefljiiipritate;:.,~i
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Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following si>oyse{ifanytand heirs;
Administration, c.t.a. or d.b.n.c.t.a.. enter date of Will in Section A above and complete list of heirs.) "
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Name
Relationship
Residsmce
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(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in Cumber land County, Pennsylvania with his / her last principal residence at
101 Bucher Hill Rd., BoiLing SprjnQs, South Middleton Twp.,Cumberland,PA
(List street address, town/city. township. county. state, zip code) 1 7 0 0 7
101 Bucher Hill Rd.
Decedent, then 85 years of age, died on 12/9/06 at Boiling Springs, PA
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value ofreal estate in Pennsylvania
situated as follows:
101
Bucher Hill Rd.,
Boilinq Sprinqs,
$ 1,400,000.00
$
$
$ 600,000.00
PA and adiacent lot.
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 undersigned:
T ed or rinted name and residence
Karen Jane Hall
40 Holland Brook Road
White House Station, New Jersey 08889
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
C\.Un 6J \ \GJ\.c\
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 ofPetitioner(s) and that, as personal representative(s) ofthe Decedent, Petitioner(s) will well and truly
administer the estate according to law.
before me the
day of
l='eD'-~
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r the Register
d\
(f\ ~. C\ ~_ ," ~~~~
. 'fiijnature of Personal Re;~tative
Sworn to or affirmed and subscribed
Signature of Personal Representative
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Signature of Personal Representative
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File Number: a \ () l 0 \ \01
Estate of ~Q....'C\e._ ~'(\ '() ,LcMe'-1
Social Security Number: "\ 33 \ lo ~! \..\ :;), Date of Death:
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, Decease~:i
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AND NOW, d \ \='e.br~ ' da<::J l ~onsideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DEC ED that Letters \ Pc,," ~ ft~"L.-(
are hereby granted to ~c.J'e..J\ ~ \\~\ \
and that the instrument(s) dated 8 \,;) \ \ 9~
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES ~. --
Register of Wills
in the above estate
Letters ............... $
Short Certificate(s) . (I?-) . $
Renunciation(s) .......... $
Wtfl ... $
~CP '" $
~ '" $
... $
$
.. . $
. .. $
.. . $
... $
TOTAL .......... . . . . $
I IloO .60
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S.ot>
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S.QO
Attorney Signature:
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Attorney Name:
Supreme Court LD. No.:
Address:
Telephone:
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Form RW-02 rev. 10. /3.06
Page 2 of2
HIOS.SO' REV 1/05
This is to certify that the 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 pem1anent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
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Fee for this certificate, $6.00
P 12995423
DEe 1 2 2006
Date
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Hl0S.143 Rev,Q2/2006
TYPE I PRINT IN
PERMANENT
BlACK INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
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85
YI>.
2/15/1921
New York, NY
4. Dale of Death (Monlh,day, year)
1. Name of Decedeflt(First, middle, last, suffix)
~I
6. Date of Birth (Monlh,day, year)
Jane
5. Age (Last Birthday}
12/9/2006
Bb. County of Dealh
ad. Faciity Name (If not institution, give slreet and number)
o .pal'" 0 ER I ~_, 0 DCA
9. Was Decedent of Hispanic Origin?
(lfyes. specify Cuban,
Mexican, Puerto Rican, etc.)
14. ~~~~~~JMarried,
WicbNed
Cumberland
Twp 101 Bucher Hill Road
12. Was Decedent ever in !he
U.S. Armed Forces?
OY" ~No
P.O. Box 500
17007
k1ual~~ence 17a State PA
11b. Coun~ Cumber land
live in a
Township?
17e. ~Y".Oeceden'L.edin South Middleton
l1d. 0 ~~~rr:~Livedwl1tlin
Top.
CityIBoro
5 ame ype
ress lreet,CIly town,stale,ZIp e
40 Holland Brook Rd. , Whitehouse Station, NJ 08889
5 ame If'S ml ,
Henry
Maier
V. Arendt
Karen J. Hall
21a Uelhod of Disposition
R1BuriaI OR."""aJIromSIaIe
o Dth". Spedfy'
21b. DaleofDlsposition(MonIh,day,year)
21c. Pmce of Disposition (Name of cemelefy, crematory or other place)
21d. location(CityIQjstate,lipcode)
Mo~.TWP:U;~A
Mt. Zion CEmetery
2.2c. Name and Address 01 Faci~
EWing Brothers Funeral Herne, Inc., Carlisle, PA 17013
y knowledge, death occurred at the time, date and place stated. (Signature and title) 23b. license Number 23c. Dale Signed (Month, day, year)
24. TlIfHlofDeath
25. Date Pronounced Dead (t.Joolh, day, year)
26. Was Case Referred to Medical Examiner I Coroner lor a Reason Olhef than Cremation or Donation?
o Y" Ja1fo
Aprx. 7: 00 PM Decenber 9, 2006
CAUSE OF DEATH (5.. instructlDns and examples)
Item 27. PART I: Enter 1118 chain of events. diseases, injuries or complcalions - Ihatdifectly caused !he death. DO NOT enter terminal events sum as cardiac arrest,
respifatort arrest or venDlCular fibrulalion without showing the etiology. list only one cause on each ine.
Approximate intervat Part It: Enter other significant conditions contributing to death,
Onset to Death butnotresulting In the undertyilg cause given in Part L
28. Did Tobacco Use Contribvteto Death?
oy" o-~
..EJ1'lo Oun'-
29. If Female:
ftNot pregnant within past year
o Pregnant at time of dealh
o Notpregnant,butpregnantwithin4Zdays
oldealh
o Not pregnant, but pregnant 43 days 10 1 year
old"'"
o Unknown if pregnant wilhil the past year
32c. 6=~~~~:,~~"1~)Sweet,Faclofy,
IMMEDIATE CAUSE(Final disease or
condition resultiog in dealhj ~
{J. e..l hi.. lAy at-Ai' A ,"a (
Due to (or as a consequence 01):
f'~m,-I-,'oY\
Sequenlialy ist condtions, if any,
~:S::~~~~Nc;eC~;E
(disease or injury Ilat initialed lhe
events resulting in dealh)LAST.
Due 10 (or as a consequence 01):
Que to (or as a consequence 01):
d.
~
n~'''.and~~eu..~
OOriver/OpefillDt' [j:assenger DPedestrtan 329. Location of Injury (Street, citylloWn,stale)
Do.... Spodfy'
Db. Signature and TrtleofCertifier
30aWasanAotopsy
Perionned?
JOb. Wl!fl!AutopsyFindings
Available PrioftoCompletion
of Cause of Death?
DYes cr'
Oy" ONO
31. MannerofOeath
,0'Na1ural 0 Horn"".
o """en! 0 Pending OVestiga
o So"". 0 Cou" Not be """"""ed
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3Ja. Certifier (chectonlyonej
~:=::~':~~d~=d~=~C:=~h=:.=~~_an~~~~~:~)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
Pronouncing and certifying physidan (Physician both pronouncing dealh and certifying lD cause of death)
To the best of my knowtedge, duth occurred at the tilM, date, and piKe, and due to the cauSe(I) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
~~:b~~~~:~n: Ind I orlnvestlgation, in my opinion, death occurred It the time, date, and place, Ind due to the cause(s)lnd manner IS stated__.o
35. Reg
INII
/ ?(/ I
ltJ 003/003
02/13/2007 17:09 FAX
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RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY,PENNSYLVAN[A
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Esawof Jane Ann Laffey
LA)
, DeceD~d
Son
. in my capacitylrelationship as
of the above Decedent. hereby renounce the right to
~ Stephen Henry Laffey
(prin, N_J
administer the Es1ate of the Decedent and respectfully request that Letters be issued to
Karen Jane Laffey Hall
fDatfJ
~//Y/d7
f I
~~#~
6111 Tavlor Landinq Road
rs"..., Add,.",)
Girdletree, Maryland 21829
/CIty, s.t.. ZIp)
Deputy for Register of Wills
Executed 0111 oj Reglster'r OlJice
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciati.22!?r the
purposes stated within on this I 'I day
of r::c bf?<<r1 'OJ , .!:LOC)-r
f/~.'d1- (>h~
Notary Public . .
My Commission Expires: at,/I1 <(
Executed in Register's O/flce
Sworn to or affirrnp.d And subscribed
before me this day
of -' _ ::..a _ .'
Q
(Sipture and SAI ofNotl\Iy or other official qualified 10
adminiJ\w oms. Show dItt of expiration ofNo~s Commission.)
F(I""RW..Q6 uv. JO./J.06
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ELOISE G. LEMON
NOTARY PUBLIC
WICOMICO COUNTY, MD
My Commission Expires
February 4, 2008
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LAST WILL
I, JA!\JE AN!'J LAFFEY, of South Middleton Townstlip,
Cumberland County, Pennsylvania, declare thIS to be my Last
Will and hereby revoke any and all wills previously made by
me.
ITEM
I dIrect that my just debts, fLHlel-al expenses,and
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all estate, inheritance and other taxes payable by reason cf
my death with resoect to property or interests passing under
my will or ot~erwise, including jointly held and other
non-testamentary property, shall be paid out of the
principal of my residuary estate without apportionment.
ITEM II. I give all of my jewelry and such items of
my needlework as still exist to my two children, STEPHEN
HENRY LAFFEY and KAREN JANE LAFFEY, In such shares as they
find reasonably equitable and mutually agreeable.
In the
event of a disagreement, each shall receive one half of the
total appraised value of these items.
ITEM III. All of my remaining personal effects,
furniture. furnishings, automobiles, other tangible personal
p)-oper ty of every kind and the i nsur ance thereon,
qlve tel
my husband, WILLIAM F. LAFFEY, if he survives me for thIrty
days.
If my husband does not so survive me, then
qive the
S d met 0 sue h 0 f my chi I d r- en who d o,~;Ul- v i ve me for ape 1- i 0 d
\ ~i (i -~i t Lf ;~ \"1 "7
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of
LAST WILl_
of thirty days, to be divided In as nearly equal shares as
p r ac tic a 1 .
ITEM IV. I give the rest of my estate of whatever nature
and wherever situate to my husband, WILLIAM F. LAFFEY, if he
survives me for thirty days.
If my husband does not so
survive me, I give the rest of my estate in equal shares to
such of my children who do survIve me for thirty days.
ITEM V. If my husband and I should die under
c~rcumstances which render the order of our deaths
uncertain, for the purposes of this will it shall be
conclusively presumed that my husband survived me.
ITEM 'JI. I appoint my husband, WILLIAM F. L.AFFEY,
2xecutor of this my Last Will.
Should my husband fail to
qualify or cease to act as executor, I appoint my children,
STEPHEN HENRY LAFFEY and KAREN JANE LAFFEY, executors of
this, my Last Will.
I direct that my personal
representatives, as well as their successors, shall not be
required to give hond for the faithful performance of their
duties in any jurisdiction.
By the first Codicil published and added to the L.AST
WILL and TESTAMENT of my father, HENRY MAIER, on December
5,1960, I l-Jas given a limited non-general pOWE?r to
!?
LAST WILL.
specify in my LAST WILL the beneficiaries among my issue of
the residuary trust, known as HENRY MAIER TRUST B.
I now
reiterate my previous disclaimer of any such power. My
father's LAST WILL and TESTAMENT has fully provided for my
failure to act.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
th is ~ I ?lday of f\u~ v 5.\
1992.
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r The preceding instrument, consisting of this one page
and~~ other page>>jeach identified by the signature of the
testatrix. was on the date thereof signed, published and
dec 1 ared by JANE ANN LAFFEY to be her Last Wi 11, 1 n the
presence of us, who at her request, in her presence and in
the presence of each other, have subscribed our names as
w~esses hereto.
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