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HomeMy WebLinkAbout03-12-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF C '\kffi\:&t(VuJ COUNTY, PENNSYLVANIA Estate of Fr4 h (',of'. .s 8bV Ie- , File Number ,Q\- O"l- Od-O~ also known as . Deceased Social Security Number 20)'- D.J - ;;J..g t 3 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) k A. Probate and Grant of Lettej Teilmentary and aver ~a~ Petitioner(s) is / are e last Wtll of the Decedent dated If) 7 D ~ and COdlC11(s) dated I tJ I I . . (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 liP incapacitated person: o B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minori/ate) 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: (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.) Name -0 Relationshi Residence C) (COMPLETE IN ALL CASES:) Attach additiollal sheets if lIecessary. fYJ Decedent was domiciled at de'!.tll in C lA 111 b er /4 n J o.Y\()(' Cp.'f't. 170D fflAr . (List street address, towlllcity. township. county, state. zip code) years ofage, died on 3/ g / /) 1 . , f,,"~:,? Decedent, then CfJ at 4; JD (f yv) - U-1 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 of real estate in Pennsylvania $ ~/r)'l;n(){),o~ $ $ $ situated as follows: ~. Wherefore, Petitioner(s) respectfully request(s) the probate ofthe last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Page 1 of2 Form RW-02 rev. /0./3.06 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA ~ II.J-Y'<' \,:)QI W ss COUNTY OF 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. before me the \~ day of c Sworn to or affirmed and subscribed c~$~ ~ th, R,gi'''' Signature of f>ersonal Representative ;~~~ ;~,....,.; C:J ,= ~ Signature of Personal Representative c-::> ~,::-) ......;;',. "";:-~:::Jo :-::.0 n " '.0 N " ../..... ,( Estate of File Number: ~ \ 61 O~3?:> V'fOJ\,tS \btU\l , , 0. oS DS 9...~ Date of Death: '. ':':J ~.-- -tJ '.':] , Decea~--\ C-'''' .. Social Security Number: \,'{\u. { c h S<Jlb J <.fl , AND NOW, \ ~ ~~('(X\.. , d,t() l-. ~ co~ration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED,~at Letters t eS "Y'l2JJ \-\n" ~ are hereby granted to ~'V\\ S t\- W\., SJv-\ \ in the above estate and that the instrument(s) dated Oc\:::'~.f"l d.cQ~ described in the Petition be admitted to probate and filed ofrec~r~ as the :ast W~b (and Codicil(s)) of Decedent. FEES ~:2n.,v,,_,,_~ut'jL "'\ I _"". C;:.(J Register of Wills Letters ..............~ $ 0( ULV Short Certificate(s) .. (.~.). $ ';}L.\: .00 Attorney Signature: Renunciation(s) .......... $ t 0\ \ \ .. . $ <.'JeQ . .. $ Dn--,- \-0 .. . $ . .. $ .. . $ .. . $ .. . $ .. . $ .. . $ TOTAL.. .. . .. . .. .. .. $ ~ \l.\:- cD rLh~~ \s-tP ~(j. rP sAP Attorney Name: Supreme Court 1.0. No.: Address: Telephone: Form RW.02 rev. 10.13.06 Page 2 0[2 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. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 p 13107880 No. d.\ \:)\ o'd.33 thn, I'l ~. Local Registrar MAR 1 D 2007 Date l3 REV 1112006 : I PAINT IN RMANENT .ACKINK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) 1. N.me 01 Dac:odanlIFIISt, mIdde, last. .ufh) 5. Aqa (Last Birthday) 91 12. Wall Decedent ever in the u.s. Armed Forces? Dyes DlNo llecadanl'. Actual Aeeidence 17a Sl8te PA Cumberland 6. 08.. 01 Birth (Monlh, da , 7. Blr\t1plal:e( and...I.or Y... June 19. 1915 Seminole. PA Bb. County 0I1leath Cumberland 8d.FacililyNama(1fnol_,give_ardnurnbe<) Manor Care Health Services 13. llecadanl'. E<>.K:allon (Spadty on~ highast grada c:ornpleI8d) ElamentaJy 1 Secondary 10-12) College (1-4 or 5+) 11. Oecedllnt's Usual KildolWOll< Social Worker most of ".DonotSCaltrelt8d KOld 01_1 Indus1ry State of PA 4 . 16. llecadanl'. MalIIng Addraaa (Slr8et. clly 1-, ....., zlp-) 1700 Market St. camp Hill. PA 17011 17b. County 19. Mother's Name (FIl'Sl:, middle, maiden SlJfT'IMl6) 18. F_.Nama ~ mIdde, Iasl, d'l Paul Zelinsk I2q hams 24-26 musI be CClIfllIaIod by p8ISOIl . ..no pronounces death. I Approximate interval: QnaalIo Death =~.t.~)--.;. a. __ iot...-.., ~ any, Ieadno to the cause listed on line a. Enter Iha UN!lERLYIlG CAUSE (clsaasaor!Vilhat_ladlha _ resu8Ii1g n daalh) LAST. b. 308.. Was an Autopsy P8ffoImad7 d. 3(1). WeIe Autopsy FindIngs 31. ,,-.01 Death ~=:~th~ PNalural DHomicida D yes ~ D _I D Panding MsIigatIon r D Suicida D CoUd No! be 0alam1ined M. 321. ~T_8on 'rjury (Specity) D Driver I Opafator D Paasengar DP_n Other . SpecHy. 33b. Sil1l8lu1a of 32d. Tone of Injury Dyes No 330. C8l1l8er (cheCk ~ onel . Cort1lytng pIlysic1an (PtrysIcian certi1ying cause 01 daalh whan anoIhor ~ has pronouncad _ and comp1alad !tam 23) To 1M best of my knowledge. deIth occumd due to the CIUII(.) 8M mMInII' ulltDML.. .. - - - - - - - - - -.... _.. - - -.. - -.. -.. - - - - -.. ~==~=~.,.t.==~anddoa~=..~'::~=rna_..stoted.._________________ D . ==~= and/orlnvest1gotlon, In my opI_,_ _ at"'_,_,and pIoce, and d.... lhecauao(a) and ","nor es stoted.. D 35. RogislJar. . ~ I -.2.J il otl I I I I DOposb P.rm" No. n 1 <I=. 7 nf) DOt"", . Spadty, 10. Race: American Indian. Black, While, elc. {SpecifY1 Whi te Widowed DId DocadanI Uveina Townahip? 17e. Dyes, Dac:odanl Uv.,,,, 17d.CXNo,Dac:odanlUvedwllhln Camp Hill AcluaIlinllsol T.". CIty 1 Born . PA 17019 21d.I.ocation(CltyI_,_,zlp_1 Drexel Hill. PA 23c. Date SIgned (Monlh, day, yaar) 26. Was case ~to MedcaI Examlnef I Coroner lor a Reason Other than Cremation Of Donation? D~ ~ . Part II: Enter lifMIf llimfiatnI c.ordIIanI ccntributino 10 d8aIh. 28. Did Tobacco Use Contribute 10 Oeattl? ~.'l];;;~ .~;;. '3% I. ~ pragnant _ pest year '0 ~:;,.,., at lime ol_ D No! pregnant, but pregnant _ 42 ","yo oIdaalh D No! pregnant, but prag>.nt 43 dayo 10 1 yaar baIoradaath o Unknown If Pf\9\llnt wtthin !he past year 32c. Place of Injury: Home, Farm, SIreel, Factory, 0I8ca Building, ate. (Spaclly) 32g. loca8on 01 Injury t-, clly f _, "'tal LAST WILL AND TESTAMENT OF FRANCES BOYLE r.....) 1~1 c.) I, FRANCES BOYLE, of Camp Hill, Cumberland County, Pennsylvania, being of ~d mind, memory and understanding, do make and publish this, my Last Will and Testament, hereby revoking all former Wills by me at any time heretofore made. ITEM I. I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property shall be paid by my Executor out of the property passing under ITEM II of this Will, as an expense and cost of administration of my estate. My Executor shall have no duty or obligation to obtain reimburse- ment of any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. In the absolute discretion of my Executor, such taxes may be paid immediately, or the Executor may postpone the payment of taxes on future or remainder interests until the time possession thereof accrues to the beneficiaries. 7~ ~ Frances Boyle Page 1 of2 ITEM II. I give, devise and bequeath all the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate at the time of my death, to the following persons or religious institutions in the shares set forth opposite their name. In the event any of my beneficiaries should predecease me, then the share that he or she would have received shall be distributed in equal shares to their issue, if any, or, if none, to my surviving beneficiaries in proportion to the shares set forth herein: St. Francis Lithuanian Church, of Minersville, P A 5% Good Shepherd Catholic Church, of Camp Hill, P A 5% David Zelinsky, of Pottsville, P A 5% Robert Boyle, of Browns Mills, NJ 5% James Boyle, of Confluence, P A 5% Dennis Hallisey, of Dillsburg, PA 37.5% Thomas Huth, of Mechanicsburg, P A 37.5% ITEM III. I nominate, constitute and appoint Dennis Hallisey as sole Executor of this, my Last Will and Testament. In the event he is unable or unwilling to serve, I nominate, constitute and appoint Thomas T. Huth to so serve. It is my desire that my Executor serve without bond. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, typewritten on one (1) other page, this 7th day of October, 2002. Witness: ~~~~1 ) ~~ 1f~ fvzft Frances Boyle . COMMONWEALTH OF PENNSYL VANIA : SS COUNTY OF DAUPHIN I, FRANCES BOYLE, 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 Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein contained. Sworn or affirmed to and acknowledged before me, by FRANCES BOYLE, testatrix, this th 7 day of October, 2002. COMMONWEALTH OF PENNSYLVANIA : SS COUNTY OF DAUPHIN We, James H. Turner and Linda Turner, the Witnesses, respectively, 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 and Testament; that FRANCES BOYLE signed willingly and that she executed it as her free and volun- tary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by James H. Turner and Linda Turner, the witnesses, this 7th day of October, 2002.