HomeMy WebLinkAbout05-21-07
PETITION FOR PROBATE AND GRANT OF LETTE RS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL'v ANIA
!'slatt: of SUSAN A. YEAGER File Number rJ \ -01 -( 50~
also known as
, Deceased Social Security Number 088-01-~ 216
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW:)
00 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the EXECUTRIX named in the
last Will of the Decedent dated 12/3/1999 and codicil(s) dated
(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 nstrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
0 B. Grant of Letters of Administration
({lapplicable. enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; dlmmtemi orilale)
I'etitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (ifany) and heirs:!I{
Administratioll. c.t.a. or d.b.n.c.t.a.. enter date of Will in Section A above and complete /ist of heirs.)
r Name Relationship Residence l
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(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. ~< --
.'-. irite at ~3 ."
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his / her last principal res~
POPLAR AVENUE NEW CUMBERLAND PA 17070 BOROUGH a JMBER-l-AND
(Lisl\lreel uJdress. /ownlcily. township. COllnty. state. zip code) - .- .,
\ 0
94 years of age, died on 5/11/2007 at MESSIAH VILLAGE cr.
Decedent, then
100 MT. ALLEN DRIVE MECHANICSBURG PA 17055
Decedent at death owned property with estimated values as follows: 275000.00
(If domiciled in PA) All personal property $
(If not domiciled in PA) Personal property in Pennsylvania $ 0.00
(If not domiciled in PA) Personal property in County $ 0.00
situated as follows:
I
Wherefore. Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Ldlers \n the appropl iate flllllll<i
the undersigned: .
Value of real estate in Pennsylvania
$
0.00
Typed or printed name and residence
~
CLAIRE TERRILL
24 ARDMORE CIRCLE NEW CUMBERLAND
PA 17070
Page I 01'2
Funll RW-II:! rev. /0./3.0(,
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true an correct to the best of
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) wi I well and truly
administer the estate according to law.
c(~~
day of
Signature of Personal Representative
CLAIRE TERRILL
Signature of Personal Representative
Signature of Personal Representative
File Number:
,-:} 1- () 7 - 50 4
Estate of SUSAN A. YEAGER
, Decease
Social Security Number: 088-01-9216 Date of Death: 5/11/2007
AND NOW, rYla-<t ",) ( ~O 7 , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters TESTAMENTARY
are hereby granted to CLAIRE TERRILL
in the above estate
and that the instrument(s) dated DECEMBER 3 1999
described in the Petition be admitted to probate and filed of record as the last Will~d Codicil(s)
FEES JJ I
TOTAL
$ ~\O Dv
$ ~.UO Attorney Signature:
$
$ If) 1\'0 Attorney Name:
$ 5.W Supreme Court I.D. No.: #3978
$ \5.i)D
$ Address: 414 BRIDGE STREET
$ NEW MBERLAND
$
$ PA 17070
$
$ Telephone: 717-774-7435
<50
$ .3 \01< .
Letters
Short Certiticate(s)
Renunciation(s) ................
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D-~~cltbulJ() a1{r
F()/II/ R W-lIl rev 111.13.116
Page 2 01'2
H105.805 REV 1105 01 ~ ffiJ+
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me ~s
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.
!hn,1>;~
Local Registrar
Fee for this certificate, $6.00
MAY 1 7 2007
13354963
p
Date
No.
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
REV 1112006
, PRINT IN
,\ANENT
CKINK
STATE FILE NUMBER
1. Name 01_ (AnI. _, Iasl, sullIx) 12. Sex 13. Soc;loI SocuriIy NLmbor 14. - 01 Death (Month, day, yoa~
Susan A. Yea2er I female 088 - 01 - 9216 I May 11, 2007
5. Age (Lasl Bi1hday1 I Urdef 1 _ I Urdef 1 day 6. Date of Bk1h fMon1h, day, vearI I 7. _'CIlY and Slate or _ COU'lIy) sa. Place 01 Death (Clleck only one)
94 VIS. \-1 "'" I Hcxn 1-INovember 29, 19121 Lower Yoder Twp. I~~ OERIOutpolion1 ODOA 1;~Home OResidonco OOlhor-Spedfy:
81>. County 01 Dea1Il Be. City, Boro, Twp. 01 Dea1Il Bd. FadIIy Name (U noI_,!tie.... and rmbe<l 9. - - 01 ftsponIc ongn7 !Xl No 0 Yes roo Rac:e:Ame!Ican -, Black, \\llile, etc.
. ^'" J, /, II (Uyos, specify Cuban, (Speci/)\
Cumberland Upper Allen Twp. I'/",...<./>h I. 111"'''' _,Puo<Io RIcan, etc.) white
11._'UauoI oI_done~""lTXlIlol"""'''''.DonolSlate_ 12.___1n1lle 13.DecedenI's.ElIJc:ation(Spoc:ifyonlyhlghoslg-cornpIeted) 14'__:-'--115.SurvMngSl><>uSe(U",,",give_namel
Kixlol_ I Kindof_/1ndus1ry U.S.AnnodFon:es? EtemenlarylSecondary (Q-121I College (1-4 or 5+) I _Dlvorced(Speci/)\
Manaller Retail Fabrics OVes [jjjNo 12 I widowed
16. DecedenI'. MoIIilgAddrosl (_,clIyl_,slale,zipcodel =-~ 17a.SIat. Pennsylvania [:,~ 17c.0 Ves,_UvedIn
513 Poplar Avenue TownoIip? 17d.blJ No,_liYId_
New Cumberland, PA 17070 17b,County Cumberland ActualLimllsol
19. FaIher's Name (AnI. _, lost, sullIx) 19. Mclher's Name (firsl, _,..-........1
John Scerba Mary Bryinak
lOa.ll'IIomlam'. Name (Tlll" I Prinl) 2a>.I_. Ma*1gAddrosl(Sboet.clIyl""'" -, zip code)
Claire Terrill 24 Ardmore Circle, New
21a._oIDlspooition I 0Cnlmaticx1 0- 21b._0IIlioporrllIon(Monlh,day,yoaJ) 21c.Placeol~(Nemtol"'-",cremaIoryor-pi8col
. [jjjBurial O_fromSlate i_CIomlIIIorl __ 1 2 f
o otrer-Spoc:ify: I by_eu:..../Corcner'I DvesONo May 5, 007 Gate 0 Heaven Cemetery
~ 22a. 1(;!;oI' L~' ; 1 (or person ICting u such) \22bl.iconsONLmbor 122c.NemtandAddlossolFadIIy
. ~ I FD 012 848 L IParthemore FH & CSt Inc., P.O. Box 431. New Cumberland, PA 17070
~"""'" 23a-c only _ C8l1IIyWIg 238. To IIle bosl of ""~, deelh oc:cunod allIle limo, dale and pi8co slolod. (Signatlxe and lilIo) 23b. ~ -. 23c Oate Signed (t.4onth, day, year)
~~noI_atllmooldealhto
CII1llycauseoldeelh.
Twp.
New Cumberland
Cllyllloro
Cumberland, PA 17070
!21d,1.oc8tion (Cllyl_,_, zipcodel
~pper Allen Twp.,
PA 17055
26. Was Cue Referred to MedcaJ Examiner I Coroner for a Reason Other than Cremation or Donation?
OVes !i!:lNc
125. DaI~f>Imouncod Deod (McnIh, day, yoaJ)
,;:t/S P.M, /I//1\J II J..007
CAUsr; OF DEATH (SM InalrucIIons ond ftamplH)
Item 27. Pall I: Enlorllle~--, iIjuries, or~-lhaIdIIeclIyc:auoodllledeelh. DO NOTontertemin8levenlssuch esCllldloc._
rospIraIorysnosl,or_- wIthoU IIIxJwitgllloallology. LJatonlyonecauseOll_ ine.
=l~~)~.. 4-M1r-t~ '1; r1tjW ..fOol-
Due t6'lor U B coneequonco 01): J"o ~ ~
b ;S<.M.l"~ A.I'~ t"Vl.'r-
Dueto(orasa~of):
C. Due"'~~ o..rUI7af) dA.'<;(.~
24. Tme of Deeth
.
1tams2<-26_baCXllll!lialadbyperson
who,......... deelh.
l8. IJld Tobacco Usa Contrtbt<B to 1laaIh?
o Yes OPTdlably
~OUnknown
:19. "i"'Jl'lf:
i:i3"NotPfllll18lllwttllilpaalyoar
o l'Iepntalllmoof_
o Not~but_I_'2days
oIdaalh
o Not prewlBO' but PfIlII18IlI43 days 10 1 year
baf..._
o UnknownUprepnl_lhopaalye."
328. Dale oIl/iUry (Month, day, yoaJ) 132b, _ _Injury Occumld 320. Place 01 Injury: Helma, Farm, SIraaI, F~,
I ~ BUIdIng, etc (Spoci/y)
32d. TIma 01 Injury I 32B.1njury aI Work? ~'U Transportation Injury (Spoci/y) , 1'329. LocatIon oIlnjury (SIraaI, clIy I town, -)
OVaa ONO OllriwrlOparator OPaaaangar 0-
M. Qtrer_Spoci/y:
338. Cal1ItIar (chack Irt1 onal 33b. SIpluro and 110le 01 ~ /'"'\
. Cortllytng~ IPIty1icIancartify;ngcausaoldeelh_anolhat~has pronoulCBd_andCXllll!lialadIlom231 ~ ~~l.4.L<..-- ~ '- ..)
Totlla_oImylolowtadgt,__duatotllacauao(B)and.......- __ _ ___ _ __ _ __ _ _ _ _ _ _ - - - - - - - -- -- - -- - - 0
. PronculCinlI and carttIyInQ phyIIdan (PIty1icIan both pIOI1OI81CIng deelh and certiIyi1g to cause 01_1 d 33c.l.iconsO NurrIlar 133d. Date S91Bd (Month, day, year)
. :==__atllle-.date,and.-.anddualotllacauao(B)andmBIW....--------n--------- ~ /1?O 4~S-tl-:r 5" I OS - /1-.2 OtJ'-:r
On tlla _ 01 uamlnallon and lor tnvoaligallon, ~ my........., _ _ at tlla -. date, and ,,-, and dua to tlla ...10(.) and ...... U -- 0 34. Name and Addrass 0I1'<lISOfl Who Complatad Cause 0I1laaIh (Item 27) TYIl8I Print
V/ ,~~ _ ~-;J. ( I' ~~~: .54f2..4# ~~A1<..5W n? 0
35.RagIaIrar'. _/ ' / '1. I 36.Dalo (,day,yoaJ) ',oo......r e:- 7">oA'VOl:
~ ' .. -/1' I I I "I I I 5i'/4 ~dd'7 t.' "'--' Vir<;k1OC-""-ft,4 ilOS"O
-,
Part It: Enter other IlimiIlcMt mdkn r.MtrtIuIWI to dBBIh
bLSnoIlOSUIIngollle<lldallyingcause!tieCinPaI1l.
Approxinate -
CIMet to Death
hill//~-Io AAI'~
~Vtl~.u.Ro( cUm.tl'lhA--
I} al~.<~ ,ktrK--
WontJoo"1 4.r~"1 Jisu.~
I~
I v.u-k-
~1sI_,Wany,
=utdir=~a.
. ="~~~~
t..JLPo' :;
v
d.
31. Mamarofllaalh
IE'" Na1InI 0 -
o - 0 PandIng l.-tigatlon
0- OCouklNotbalJalerminad
3Ob. w... "'-t FinlIngS
A_P.......~
01 Cause 01 DoaIh?
o Yes MNo
3Oa._anJu/tY;1l1l
-
OVes ~
O/le, 9l:fg
ep\wi11s\yeager.sus 11-99
LAST WILL AND TESTAMENT
OF
SUSAN A. YEAGER
;~)
~~.-,
I, SUSAN A. YEAGER, of the Borough of New Cumberland, Cumberland
County, Pennsylvania, declare this to be my last will and revoke any
will previously made by me.
ITEM I: I devise and bequeath all of my estate of every nature
and wherever situate in equal shares to my children, CLAIRE TERRILL,
JOAN K. DITMER, and VIVIAN S. MARSHALL, if they survive me.
ITEM II: Should any of my above named children predecease me, I
devise and bequeath the share of such child to her issue, per stirpes;
and should any such child of mine leave no such issue living at the
time of my death, I devise and bequeath the share of such child to my
issue, per stirpes, living at the time of my death.
ITEM III: I appoint my daughter, CLAIRE TERRILL, Executrix of
this my last will, and if she fails to qualify or ceases to act for
any reason, I appoint my daughter, JOAN K. DITMER, my Executrix in her
place.
Page 1 of 4
ITEM IV: No fiduciary acting hereunder shall be required to post
bond or enter security for the faithful performance of his/her duties
in any jurisdiction.
IN WITNESS WHEREOF, I, SUSAN A. YEAGER, have hereunto set my hand
and seal thi s '3 'r-d.. day of
O~/L.
, 1999.
i
~/A-4~ a /'f-f/Ccj./-5l/
SUSAN A. YSAGER I
.'
SIGNED, SEALED, PUBLISHED and DECLARED by SUSAN A. YEAGER, the
Testatrix above named, as and for her Last Will and Testament, and in
the presence of us, who at her request, in her presence and in the
presence of
other, have subscribed our names as witnesses.
()t..u.J C-.tl-- ~( e-S. ( ('4-
Address
Witness
!1J;;<lU- ~~I ~
Address I
Page 2 of 4
COMMONWEALTH OF PENNSYLVANIA:
SS:
COUNTY OF CUMBERLAND
II SUSAN A. YEAGER I the Testatrix whose name is signed to the
attached or foregoing instrument I having been duly qualified according
to law do hereby acknowledge that I signed and executed this instru-
ment as my last will; that I signed it willingly and that I signed it
as my free and voluntary act for the purposes therein contained.
h
- ~ _.--1,,"'-:& ,/1
. udd/H:- [{ ,;J''!tJ(/>~?:!{-tJL/
SUSAN A. 'YEAGER'
Sworn to or affirmed to and acknowledged before me by SUSAN A.
YEAGER I the Testatrix this 0.Ad..
day of D..I/'i?~
I 1999.
1frf 'R. ~
. . No ary P ic
NOTARIAL SEAL
KAYE R. LUCKEY, Notary Public
New Cumberland Boro. Cumberland Co.
My Commission Expires March 27.2001
Page 3 of 4
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF CUMBERLAND
We, ~ \ \ ZJ)..~ g ~~ and QGa.,o ltJ I/- 5;;k:~~
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, depose and say that
we were present and saw Testatrix sign and execute the instrument as
her last will; that Testatrix signed willingly and that she executed
it as her free and voluntary act for the purposes therein expressed;
that each of us in the hearing and sight of the Testator signed the
will as witnesses; that to the best of our knowledge, the Testatrix
was at that time eighteen or more years of age, of sound mind and
under no constraint or undue influence.
C22~. ~- II ~
Witness
Sworn to or affirmed to and acknowledged before me by
,E' //:L~he-l/) 18, Sfon e
and Char /e.s II. S-t-t:) n e
I),~ , 1999.
witnesses, this ~~~ day of
NOTARIAL SEAL
KAYE R. LUCKEY, Notary Public
New Cumberland8oro. Cumberland Co
My Commission Expires March 27, 2001'
'4'0- -12. ~
Notary Publ'
Page 4 of 4