HomeMy WebLinkAbout03-02-07
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Estate of
Register of Wills of p.unberlandCounty, Pennsylvania
PETITION FOR GRANT OF LETTERS
J:);:>rothy J. Bell No. (7///d(f)'l- /9,~
also known as Dorothy Jane Bell
, Deceased
Social Security No. 200-24-0778
J~np- F~thpr r~7.pttp
Petitlone,'.). who lal.,. 18 y..... 0' age or older, apply(lnl '0':
(COMPLETE "A" OR "B" BELOW:)
IiU A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut~ named in t~ast Will of the
Decedent, dated OC'tobe-r 23 1996 and codicil(s) dated Nono Q ~
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after e)('6C~~ of tgg,.documen~'lJlffered
for probate; was not the victim of a killing and was never adjudicated incompetent: .) ~,} ";"..,... :::.::'
No exceptions ..' $ ~;. .. <:S
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State r"evant c:lrcumltanc... ..g., renunc:lBtlon. dealh of executor, etc.
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B. Grant of Letters of Administration
le.t.... d.b.n.c.t...: pendente lite; duf8r'lte absentia; durante minoritalel
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse
(if any) and heirs:
I Name Relationship Residence I
FE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in r.llmhPr1~nn County, Pennsylvania, with his/her last family or principal
residence at 71 () H~m; 1 ton Au'lmUQ, MQchimic.b~ (Upper z\.llQn Twp), Pi\. 17055
(list stree', numbor .Id mun~palily)
Decedent, then ..:LS.-- years of age, died FpJ"lrll~ry ?'3, ?007, 20 _' at ~C'han; C'shllPJ. 1?~
(loc.uon)
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 ............................................... $
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Real Estate situated as follows:
1?S,000 00
710 H:1milton Nv"CIlOC, l~chanicsbm9, FA
1:i0,000.00
27S.000_00
.
Wherefore, Petitioner(sl respectfully request(s) the probate of the last Will and Codicil(sl presented with this Petition and the grant of letters in the
appropriate form to the undersigned:
Typed or printed name and residence
6100 Bl
r:?W_7
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Oath of Personal Representative
Commonwealth of Pennsylvania
County of Dauphin
The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and
correct to the best ofthe 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.
.a...~ ~r-/1.-- ~"f:I.-
I Jane Esther Gazette Ie;
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Sworn to and affirmed and subscribed
before me this djrJ... day of
~~ ~7
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DECREE OF REGISTER
Estate of j)yoJhy J. Bdl
also known as
Deceased
No.
~II
Social Security NO:.JOOoJtJ (Y71f'
AND NOW, ~~ 0 2007. in consideration of the Petition
on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters ~estamentary 0 of Administration
are hereby granted to
(c.t.a.; d.b.n.c.l.; pendente lite; du,allltl absentia; dUlanl~ minorilaUtl
in the above estate and that the instrument(s) I if any I dated
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters.......................... .
Short Certificate(s)..7.'......
Renunciation................. .
Affidavit ( ).................
Extra Pages ( )..... .......
Codicil......................... .
JCP Fee........................
Inventory & Tax Forms...
Other..... .W..~. ~l...........
TOTAL............... .
RW-7a
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$
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$
$
$
$
$
$
$
$
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Attorney:
I.D. No:
Address: 2215 Forest Hills Drive. Suite 37
Harrisburq. FA 17112-1099
Telephone: (717) 540-7746
DATE FILED:
,
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$ 3 s c, 00
H105.805 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 permanent filing. . c/
WARNING: It is illegal to duplicate this copy by photostat or photograph. D 7 ~ / CJ
~... ~/} JJr1;
. Local Registrar
Fee for this certificate, $6.00
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See Inatructlona and .xampl.. on r.v.....)
Hl05.144 REV 1112006
TYPE I PRINT IN
PERMANENT
BLACK IHK
STATE FILE NUMBER
830-464
1. Homod_IF"'.-. "",-I
Dorothy
5 AotllAstllirhlayl ~1
75 -
2007
Bell
60aledBk1hlllonlh,da,
J
Jan. 17, 1932
Dauphin County
8d. F_....IK ""__,gNe_and_
710 Hamilton Avenue
y"
81>. County d Dealh
Cumberland
11.OIcedInt'sUSUII
IGnddWol>
idowed
Upper Allen
-,
ActuaIResIdEInce 17a.SIate
17e. cfYes, Decedn LMd Il
17d.0 No,_Uvod_
_..-d
. 16. OecedlInt'sMailingAddreP (Slreet, cily/loWfl, SIaIe, ~codel
710 Hamilton Avenue
. Mechanicsburg, PA 17055
16 F_', Name IFQI,_, 1asI, aultixl
Charles Oxenford
20a _'I Homo (Type I PMI
Twp.
C-lImhprlS11nfi
19. MoIher's Name (FIr$I, lriddIe, maiden sunamt)
Esther Fr
2Qb. _'Maiilg_"'19reel,crtyl-,-,zip-1
6100 Blue Rid e Avenue Harrisbur PA 17112
21C.Pla<ed~IHomod_,_"'-""") 21d.LooaticnlCily/_,_,zip_1
Cily/llo<o
17b.County
Annville, PA 17003
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23<. llaIo &pel 1_, da" yea<)
Case RekImId to Medical Eumln8r I Coroner lor . Reason Other I'IIn Cremation or 00natiCr1?
oNo
25 OeIo_~~,da",..,)
February 23, 2007
24. Tune of OrIaIh
12: 15
t1em124-26 muliitbe completed by person
who""""""",_
M.
CAUSE OF DEATH (See InllfUctlonl; and examplel)
Item 27, Pan I: Eottr h ~ - di&ea&fi, injunes, or c:ompIicalion& ~ thaI dtecIIy caused Ih8 death 00 NOT 8llI8r IennNI evenls such as cardac arrest,
re&piratory 8IfeSt, or venlricliar liwilalion without $howWIg ~ etiology. W only one ClltJ$fI on ead11ine.
28 Did Tobacco U5t ConIribUIIo DeaIl1
ov.. op-
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I ApproximaIeirUefval:
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=:~C:l"""'-:
. Occlusive Coronarv Arterv Disease
Due 10 IOf as. oonsequence 01)"
e;:_isI""""""""',
, J ~ lie cause IisIed on lil"
EnIaf UNDEALyltGc.wse
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b.
Due 10 lor 81 a consequence 01):
Due 10 104' IS a consequence 01):
d.
311>. w.......,.., ''''''Us
AvailabltPriol'IDCcwnpIetion
at Cause of 0eaIh?
31. Mimer 01 Death
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0- oC<l<OdNolbelJele<minod
3Oa.WuanAutopsy
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32g.~d"""'I_,""_,_1
321. "T_tion""'" 1_)
OOlWerI_ OPassonge< oP-
M. 00Ier._,
33a,~(_"""""1 ""-
. ='''J::-...:::.':.==:''''':...",;..:=::~-~..'':'~ ~~~ m m_____ u_m 0 ~
_",--,"yaicianIPl1""..bo4h~doa"andce<1ily"llIo"""'d_1 33<. """"'_ 33<1. 0aII5qIod1_,day,,..,,
T...._...."'-IooIp._..._.........,_,...pIKo,..........<OlII8(.)...................----------------- 0 F ... 23. 2007
_~~ ~ e~ry
00"_0I..-....,..~..... _-................,-... .....,... .........OIOUU(.,...-.--p.. 34 "'I:r':rc=r PT:":~~de3"xll'rn~i""PmI
~.and~ ."., .... I ... 36 OeIoRedI_,day,,..,1 6375 Basehore Roadl Suite #1
~ I J 1000-.1 _ I~I .~ . {, ;l.(jo 7 Mechanicsburg, PA 70:>0
_ionP"",ilN. 01 75 7~ '
32d. Tme oC trf.M'Y
OVal -;'No
Dyes 0'"
Coroner
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BellDorothyJanelwill/cyr
07 - 19Y
LAST WILL AND TESTAMENT
OF
DOROTHY JANE BELL
I, DOROTHY JANE BELL, of 710 Hamilton Avenue, Mechanicsburg,
Cumberland County, Pennsylvania 17055, declare this to be my Last Will and revoke
any Will or Codicil previously made by me.
ITEM I: I direct that all expenses of my last illness and funeral, including my
gravemarker and perpetual care, shall be paid from my residuary estate as soon as
practicable after my decease as a part of the expense of the administration of my
estate.
ITEM II: 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 a part of the expense of the administration of my estate, without
apportionment.
ITEM III: I give, devise and bequeath all the rest, residue and remainder of
my estate to my daughter, JANE ESTHER GAZETTE.
ITEM IV: I hereby authorize and empower my Executrix hereinafter named to
sell all of the real property and any or all of the personal property not specifically
bequeathed herein, which I may own or to which I am entitled at the time of my death,
in the sole discretion of my Executrix at private or public sale, without an Order of Court,
at such time or times and upon such terms as the said Executrix shall deem proper for
the best interests of my estate or of my beneficiaries, thereby converting the same into
cash. I further authorize and empower my said Executrix to execute, acknowledge and
deliver all proper writings and deeds of conveyance and transfer thereof.
ITEM V: The principal and income of any bequests created hereunder shall
be free from anticipation, assignment, pledge or obligation of any beneficiaries and
r~")
shall not be subject to any execution or attachment or to voluntary ot? involunlBry
alienation. ':-~8 ~
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I appoint my daughter, JANE ESTHER GAZETTE, ExeCutfli of ~is,
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ITEM VI:
my Last Will.
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ITEMVII: I direct that my Executrix, or her successors, shall not be required
to give bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the 23rd day of
October, 1998. ~~
2
The preceding instrument, consisting of this and two (2) other
typewritten pages, identified by the signature of the Testatrix, was on the
day and date thereof signed, published and declared by DOROTHY JANE
BELL, the Testatrix therein named, as and for her Last Will, in the
presence of us, who, at her request and in her presence and in the
presence of each other, have subscribed our names as witnesses hereto.
ClMotWtctcJ. ~a)
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3
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF DAUPHIN
I, DOROTHY JANE BELL, 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.
Sworn to or affirmed and acknowledged before me by DOROTHY JANE BELL,
this 23rd day of October, 1998.
-tJ5J
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Notary Public
NOTARIAL SEAL
.., .g;fE~-NICHOLAS. Notary Public
City of Harrisburg. Dauphin County
My Commission E~plro$ ~pt 25. 1999
4
. .
,
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF DAUPHIN
WE, the undersigned witnesses 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 his 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 18 or more years of age, of sound mind
and under no constraint or undue influence.
Sworn to or affirmed and subscribed before me by the undersigned witnesses,
this 23rd day of October, 1998.
C ~iiwl~ oJ. rLu:~ 'G
Witness
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$- ( {),\~
Notary Public
NOTARIAL SEAL
s:FE~S;Notary Public
City of HarTIsburg. Dauphin County
MY CommlHlon EX'plreS~P!' 25. 1999
5