HomeMy WebLinkAbout05-02-07PETITION FOR PROBATE and GRANT OF LETTERS
Estate of IRENE M. LAUTSBAUGH No. o~ ~ ~ G~ ' (~~a~~
also known as
To:
Register of Wills for the
Deceased. County of CUMBERLAND in the
Social Security No. 186282973 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut TRIX named
in the last will of the above decedent, dated ~ U LY 14. 1997
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with
h ER last family or principal residence at 121 WALNUT BOTTOM RD
SHIPPENSBURG TWP SHIPPENSBURG. PA 17257
(list street, number and municipality)
Decedent, then 89 years of age, died 3/30/06
at SHIPPENSBURG HEALTH CARE CENTER
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never ajudicated
incompetent:
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
22.000.00
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters TESTAMENTARY
thereon. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
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NANCY~C R T ~ ~ NEWVILLE PA 17241
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF CUMBERLAND J 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 represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate acco ding to law.
Sworn to or at~i ed nd subscribed ~(~ ~'iYl ~ ~ _
before me this ~n~ day of
MAY 2007
Register
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Estate of IRENE M. LAUTSBAUGH ,Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW MAY 2007 , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated 7/14/97
described therein be admitted to probate and filed of record as the last will of
IRENE M. LAUTSBAUGH
and Letters TESTAMENTARY
are hereby granted to
NANCY C. TRITT
FEES
Probate, Letters, Etc.. $
Short Certificates ( } . $ ~.~
-....... ` C~' . $ t~U~~
$
T AL $ '"nT~T~
Fited ........... . ...... .. ... .
n
Register of Wills felt ail; ( ~ _ ~
14
S L IND 2 0
ORNEY (Sup. Ct. I.D. No.)
9974 MOLLY PITCHER HWY
SHIPPENSBURG PA 17257
ADDRESS
717 532 9476
PHONE
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HIO_S.A05 REV !/05 -~ - -
This is to certify that the information here given is correctly copied from an original certificate of death~uly~l~d witl; m~~as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanen~, ifiling.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 12540293
No.
H105.713 Rav.Olp6
TYPEIPHOly IN
PERMANENT
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS "
CERTIFICATE of oFaTH ~ra,<<„
1. Name ol0acetlmt (Pity, mdtlh, hat) 2. Sex 3. Sochl Secuky Nun6er ~ ~ 1. DMe o1 Dulh Odonlh, day, yur)
Irene M. Lautsbaugh Female 186 - 28 - 2973 March 30, 2006
5. Aye (teal DirNWy) 6. lAder t mr Under 1 de 7. Dale of Bilh nth, de . B. art a and elate a Be. Place of Deeth one
Maaha Den Mows Mbulm y
89 Yre. 2-25-17 $. NQ.SJrJOri T;Jp, CudD.C9:PA O~
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Nursn Hone ^ Rmidmce ^ Dtlia-
- m. County of Death & CI ,BOro,7 .o/Oealh '
Y wP Bd. feclly W rte (N nd eitklulbn, pve 6treel and nuri6er) e. Wn Decadem of Hhpanb d'
qin? 10. Rare: Amnon Mtlhn, sock, whke, ab.
g[ No ^ Yn (Ilym.apeeilyCWen, (SDearyJ
Cumberland Shippensburg Twp. Shippensburg Health Care Center k'°"i°°" "'°"°~"•MC)
White
17. DacadM's Ueuol Oa Bon Kkd olrrork dale d most m wa W; do rid stele Mk 12. Wu Decednu aver b the US 13. DetadeMC Etluealbn o h' hd 1/. Mantel $ulm: Monied, Never mertied. 15. Survivin0 Spaum pl wib, plus rreitlen rums)
Kiid of Work
Kntl of BninessArduelry Nmad Famm? EhmanhrySamMery (012) Cobpe (t-/ a 5+) Widowwtl. Diwrca0 (SpecMy'j
Laborer Musselman's ^vaa uyNo 7 years Widowed
16. Daedenl'a MeibO MMam (Street, ckyMwn, able, zp cotle) Dacedem's PA Db Decedent
121 Walnut Bottom Road Shi ensbur Tw
Muel Rntlarce t7e. Stale Live b a 17c. 01 Yn, Dxedem lNnl b PP 9 P • Twp.
Shippensburg, PA 17257 rwmshp?
1m Doemy Cumberland nd. o No, Decadenubad wlhb
'
Mual L
mh of Cgyrgyo
73. Pedals Narre (FkM. niddh, leap 79. Mmher't Wme (FkaL middh, midm swmme)
James A. Earley Annie M. Gilbert
2W. Inkmmm'e Nacre (yyprpnnl) 20D. bkxrrenYa Makkp Atltlreee (StreN, ekyrown, slaty. s0 cads)
Nancy C. Tritt 75 Farm Road, Newville, PA 17241
21a. MMled mOieposYbn 2tb. Dela of Dhposdion (MOmh. dsy,ymp
jg Burhl ^ psmalion ^ Removal from Slate ^ Doiudon 27c. Place of D'eynibn (Nam°ol cemNery, aenubryaolher D4a) 21d. LOCeGon (CMaOVm.sUla,xP COde1
o aher.s 4-3-06
~ Spring Hill Cemetery Shippensburg, PA 17257
• 22a. Si{pulwe d Fum
rvce L' n such) 22b, Liceroa Number 22c. Wme aM Adtlran m Faciky
. s FD-012984-L Fbgeisarger-Bricker FLvYerrat ticme Inc, , gii,~sb~g, PA 17257
Coopers soma 23at Only wMn arYlybp
physician s oat avadabh al Imaoldmth b 23a, T° dre f my knowledge, dmlh Deuced M the Ibu, dale and phce shhtl. S' hea aM ldh
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29b. L
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23c. Dale ' (MOmh, aY~ Ymr)
wNlyauseddmlh.
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21 ~ / / /
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1".(V .~o~~~yP(OL 63 .30~0(~
ure
26 mnl M ConObtad by person
who praeuncsatlmlh &. Tkne m 25. Dah PrOrouncad Dmtl , daY. ymr)
26. Wu Cam Referte0lo a Medical Fseiment;ommr7
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Q ~'f IQI~~,'1 ~~ ~~ O ~f ^ Ym dNo
CAUSE OF DEATH (Sm InalrudblM and eaarrpbt) ~ Yppoxkmle interval: Pod II: EMn aler akar'draM condabm cnnrdpm b dmlh, 28. Db Tobeoco Un (.Onlrbule b Dmth?
hem 27. Pad is EMa Ste chain m evems - dhenea, injuries, w rorrpkratbna - IAaI dkeay nroed the tlmlh. DO NOT senor tamiml evems such n camuc uresL ' anon b tleoth but nm rnulbq h the underrykp cause gNn b Pan I. n ya. p pr
~
respaalay soon, or wmrbuMr 6brilbn wNhoW aMwnp the etbkgy. DO NOT ahhrewb. Emn OnM one cause on a kie. ~
O Unknown
MAMFAIATE CAUSE (FkMl diseases 9 I p. 4 r
coMikon rewkinp bdmmJ ~ a. fir- .r~vy, (~ _ L, ~~,-A .t v~b,r_ ~ 29. MFemab:
Due b (w n a conae0u a op:
8'tC'M prepnam wkhin
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' Sequenlhly WcoMlbns,3arty, b. __________-C A ~_.. ^ Prepmnt at lkrum dmU
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p b iM cane Wad on Line e. Due to (a as a consequence op:
---- ---'-- --- ^ Nd preprunl, hul pragmm wdhin /2 days
Einar the UNDERLYMG CAUSE
OI dmlh
(dhmse or injury that bihlad Me c' --- pre0mnl 13 days b t ymr
r eveMS rmNkq n Onpt) U1Sy. Due m (w n e cauryuence M'. -. ___. _ ._ ^ Nm prepnem, but
E. bebre dmlh
30a. Wn an Autopsy 30b. Wne Autopsy FaMinps 31. Manner olDmlh 32a. Dale of u -- -- ~ UMmown Nprepmnl whhh the pnlYmr
ky 7 (Abmh, day. year) 32h. DascrDe how Nqury Occunetl: 32c. Phce of In
Farm, SVea, Fecbry, Olf~ce
Perbrmed7
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NMUraI ^ HomiMe 6uddn0, ~ryd
L9
oI Cause d Dealh?
^ Yn lICNO O Yes ^ No ~ ACddem ^ Pentlkp lmmlipeli0n
l ^ Suicide ^ Could N°I Be Delarmnad ~ Tkre of Injuy 32e. Injury al Wak7 32I. tl Tranaporletbn Injuy (SP~M1 920. Locakan (SUeeL cdyAown, sterol
^ Yn O No O OrNn/Operebr ^ Passenger
M. ^ Pednirien ^ Other-Specify:
33e. C°rtlller (suck pyy o"°)
33b, Squlnure~ eM Tple d Ceniser (~
' CeNryktq physkhn (Physician cMpybp team of deelh when endher phyachn has praeurcs0 deaN entl mn9lmed peen 23) r yl~ rlp (~/y ` 1
' To the Deal of my krowNdge
dnlN OCCUmed doom lheow
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mamiar as aMletl__......._.____........_.._._.....__......_.._._......._.___.._._....._......._._.._..._...:~ F
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-. Pronourrclnp aM cMirybp physkbn (Rrytkhn bmh promurcin0 death erM cendyip b cause of tlmth) 33c. Lk:ense Number 33d. Dale Signed (Monty, tley
ymr)
,
To the bast of my krowkdge, death xcurred H the Ikre, dak, and place. aM dash the oase(s) aM enamor as sWed_..-.._.___-......_____.._....._..__...........0 A a (V ~ ~ ~ r' ^n
' 1ledical enmberkoroner 1 _ ` 1I S
On she bash of enmkulbn antl/or Invntgatbn, b my o occurte0 M the time, date, arM place, and due b the cano(e) and manner as abted....._A 31. Name arM Pddres
Person Wlw Completed um of Omlb (Item 27) Type/Prinl
s'of
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35. Repslrals Sgmlweantl Ohlrkd 36. Dale (Madh, day,Ymrl S I'l~J ~~ ~~~~
Zi ~ i ~ ~ rsi 3i zoo6 ~ t~
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v bane mskrucnons sass examples on reverse)
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I, IRENE M. LAUTSBAUGH, of Southampton Township, Cumberland County,
Pennsylvania, being of sound mind and memory declare this to be my Last Will and Testament
j and revoke any will or codicil previously made by me.
ITEM is I direct that all my just debts and funeral expenses, including my gravemarker
and all expenses of my last illness, shall be paid from my residuary estate as soon as practicable
after my decease as a part of the administration of my estate.
ITEM II: I give, devise and bequeath all of my estate of every nature and wheresoever
situate to NANCY C. TRITT, her heirs and assigns.
ITEM III: I appoint NANCY C. TRITT Executrix of this my Last Will and Testament.
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ITEM iV: I direct that my Executrix or her successors shall not be required to give bond
for the faithful performance of their duties in airy jurisdiction.
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IN WITNESS WHEREOF, I hereurno set my hand and seal to this my Last Will and
Testamern, written on Two (02) sheets of paper, dated this ~ ,~ day of JULY, 1997.
(SEAL)
IRENE M. LAUTSBAUGH
The preceding instrument, consisting of this and One (d 1) other typewritten page, each
idernified by the signature of the testatrix, IRENE M. LAUTSBAUGH, was on the day and date
thereof signed, published and declared by IRENE M. LAUTSBAUGH, the testatrix herein
named, as and for her Last Will, in the presence of us, who, at her request, in her presence, and in
the presence of each other, have subscribed our names as witnesses hereto.
~` l ~~ Vy~~ residing at 1'~
residing at ~~v~-w ~ r~~ ~~
2
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COMMONWEALTH O LVANIA
COUNTY OF CUMBERLAND
SS
We, IRENE M. LAUTSBAUGH, the testatrix in, and the undersigned witnesses to, the
will, the attached or foregoing instrument, who have signed the instrument, having been qualified
according to law do depose and say:
(a) that I, the testatrix, do hereby acknowledge that I signed the instrumern as
my will, that I signed it willingly and as my free and voh~rnary act for the purposes
therein expressed; and
(b) that we, the witnesses, were present and saw the testatrix sign and execute
the instrument as her will, that she signed it willingly and executed it as her free
and volurnary act for the purposes therein expressed; that each of us 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.
IRENE M. LAUTSBAUGH
~~ ~ ~~ ~
Witnes
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fitness
Subscribed to and subscribed or
affirmed and acknowledged before me
by IItENE M. LAUTSBAUGH, the testatrix
and the witnesses whose names are signed above
this ~ day of, 1997.
~~
Notary Pub '
sMi
~JroWk~derC PubNc3
Shi 77~~pp~~
My Commisslon'Expires Feb. 13,1999
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