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HomeMy WebLinkAbout05-25-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of PAUL ALBERT GRAY also known as File Number .;) 1-07 - 5 II , Deceased Social Security Number 176-32-2770 Petitioner(s), who islare 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) IZl A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is 1 are the EXECUTRIX last WiII of the Decedent dated 09/19/2000 and codicil(s) dated 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: 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 1 have ascertained that Decedent left no WiII 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 Relationship Residence (COMPLETE IN ALL CASES:) AUach additional sheets ifnecessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal residence at 114 EGE DRIVE. CARLISLE. SOUTH MIDDLETON TOWNSHIP. CUMBERLAND COUNTY. PENNSYLVANIA 17015 (List street address, town/city. township, county. state, zip code) Decedent, then 93 years of age, died on MAY 21, 2007 at CUMBERLAND CROSSINGS RET COMMUNITY 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 PA) Personal property in County Value of real estate in Pennsylvania $ $ $ $ 125.000.00 situated as folIows: 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 PATRICIA ANN TANCREDI, 2708 W. 107TH ST., OLA THE, KS 66061 Form RW-02 rev. 10.13.06 Page 1 of2 Oath of Personal Representative COMMONWEAL TH 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 and correct to the best of the knowledge and beliefofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me the :&)~ day of ;:)001 L--- ~~~ Signature of Personal Representative Signature of Personal Representative Signature of Personal Representative File Number: .{l \ - 01- 5 l ( Estate of PAUL ALBERT ORA Y , Deceased Social Security Number: 176-32-2770 Date ofDeath:MA Y 21. 2007 AND NOW, ~t:Sti', C'\<1t ~ l\lLLt~, 2001 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to PATRICIA ANN TANCREDI in the above estate and that the instrument(s) dated SEPTEMBER 19.2000 described in the Petition be admitted to probate and filed of record as the last Will (and5f4icil(s)) ofDec~nt. _ FEES ~L~L_,-~CUA\..l.A--- J ~LU--J Register of Wills Letters ............... $ 260.00 Li~ Short Certificate( s) . . . . . . . . $ Renunciation(s) .......... $ JCP ... $ AUTOMATION FEE . . . $ WILL . . . $ . .. $ .., $ $ $ $ $ TOTAL .............. $ Attorney Signature: 3.dt.- 10.00 5.00 15.00 Attorney Name: Supreme Court I.D. No.: 6282 Address: 60 WEST POMFRET STREET CARLISLE, PA 17013 Telephone: (717) 249-2353 290.00 ~ ~[)Y IC(U-C1LtD. l 7 \j pLC LL LLf 0 \zl 0 Form RW-02 rev. 10.13.06 Page 2 of2 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WA.RNING: It is illegal to duplicate this copy by photostat or photograph. Fee for thi, c'ertificatc, $6,00 Certification Number ~"" ....t~~\" OF 11;;----_ \\\..\.'\..l"~'A' -. ....~' "~"\ /~_v= ,,~\ ~~i - .~ '\,~~ ~C)f ~#' \-~ ~w\ -'l.,j~'I.:b.~ ..., - " .' '\ ~*'" .'~""'*' \&,\ '~"'.. .' /~\ \.~~ ~~~\.... ----;/lr~~--/\ ~~,,\\' ----,-'" EN1 \) """' ""'##1111111 This is to certifv that the information here given is cOITectly copied'from an original Certificate of Death duly filed with me as Local Registrar. The original certi ficate wi II be forwarded to the State Vital Records Office for permanent filing. P 13620204_~ ~:I~~'~'~~~Z, ~,:!:uOO7 1'1 I ?05-143 AEV l1flOO6 TYPE I PAINT IN PERMANENT SLACK INK I' \ . COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) 93 Vrn. Bb. County 01 Death 3/17/1914 New Castle, PA STATE FILE NUMBER 5. Age (LaSIBirttu:111Y) 8. Dale of Birth (Month, day. year) - 32 7. Birfl1Xace (CIty and stllte orf 11. Decedenrs Usual KildofWork KindolBu&inees!1ndustry Lt. Carrnander U. S. Navy 12. Was Decedent ever in tI1e U.S. Armed Forces? ~V.. DNo _. ActualAesidence 17a.Slale 13. Dec9denrs Education (Specify only highest grade completed) Elementary I Secondary (0-12) Conege (1-4 or 5+) 12 PA Cumberland Other. o Inpa"'"' 0 EA I Ou1oa"',t 0 DDA 0 N"rnIng Home 0 Ae-'" DDthe,. Sped~, 9. Was Decedent 01 Hispanic Origin? XJ No 0 Yes 10. Race: American Indian, Black, While, etc. (If yes, specify Cuban, (Specify) Mexican. P,.,,1o A<an. etc.) White 14. Marital Status: Married, Never Married, -. DNo_ (SpedM Widcwed ad. Facility Name (If not insliulion, gve street and number) Cumberland Twp Cumberland Crossing Ret. 17b. County Did Decedent Uvelna Township? 114~eDrive Carlisle, PA 17015 18. FaIt1er's Name (FI'St. middle, last, sufllx) Albert Gray 2Oa. lnfonnanfs Name (Type I Print) Patricia A. 17e.l2J Yes, Decedenllived in 17d.D No, Decedeot lived within Acluallimit80f South Middleton TWO. Ci~/Boro . .. 19. Mother's Name (First, mickie, maiden surname) Ethel Byers ~. Inlormanfs Maling Addf'9SS (SIreet, cily I town, slakt, zip rode) 2708 W. 107th St., Olathe, KS 66061 '" w '" => '" ., 'I 21e. Place of DisposItIon (NIlfTle of cemetery, cremalory or other place) Indianto;,.m Gap Nat. Cerretery 21d. LocaIion (CIIy/town, stale,zipcodej Annville, PA 22c. Name and Address of Facilty EWing Brothers Funeral Hane, Inc., Carlisle, PA 17013 23b. License Number 1?N 530d75L 23c. Date Signed (Monll1, day, year) If My ;:11, ~O() 7 IIams 24-26 must be completed by person whopronouncesdealh. .)oJ 1.9...111..:J.1 \ /()I I ApproxImateir1lerva1: : Onset to Death o i~l/U(,> , , , o o o o o , , 26. Was Case Referred to Medical EXaminer I Coroner for a Reason Other!tlan Clllmallon Of Donallon? DVe. OiNo Part U: Enter other siorVlicanlln'ldillrJrl!l caHrbdlno 10 death,28. Did Tobacco ~yontribute 10 OeaIh? batnotresuftingintheunderlylngcause~eninPartl. DYes ~robably DNo Du,,,,,"" 29. If Female o NolP"!Jl""_'pestyoer o Pregnant at lime of death D NotpJeQl'l8nt,butpregnantwilhin42days 01 death o Nol pregnant,IXllpregnant43days 10 1 year beforadeath o Unknown if pte{Jlanl within !he past year 32c. Place of I~ry: Home, Farm, street, Facloly, Qb Building, ale (Specify) CAUSE OF DEATH (See Instructions 8 examples) hem 27. Part I: EntBf the ~ -diseases, ~ries, orcomp/lcalions-lhal directly caused the death. DO NOT enter lenninallMlllts such as cardiac arrest, resplratoryarrest, or ventricular ftbrillation wIthoul showing the eliology. Ust only one cause on each line. =~~~S~~)d"'~ IUd?4llflC tJt'/f-U-=e<l/ C4/!(ev OlotOI"...~'~:n .. i ~ ~ ~i8lcontlllons,"any, 10 cause Il8Iedoo fine a. Enter UNDERLYING CAUSE ~~=rn~~1re b. Due 10 (or as a conSElQtl8OCEl ory: Due 10 (or as a consequence of) (C 3Oa. Was an Aulopsy - 3Ob. Were Autopsy Rndings "v~ Prior 10 Cornpelion 01 Cause 01 Death? j ~ Dy.. No Dy.. DNo 31.M~lh ~lural 0 Homicide o Accident DPendinglnvestigalioo 0""- Dc,"" Not be DeIo<m... 3Zd.TimeotlnjUlY 32g. Location of Injury (Slreet, city I tcwn, state) M. ffi lil [ll 15 :> If 330. Certitie<(ched< 0Ilty""1 CertIfying physlcfan (Physician ~ cause of death when anoIher physician has pronllI.IlC8d d9alh and compIeled Item 23) Tothe belt of my know\edge. dNth oeeurred due 10'" cauu(.) Md manner.. stIbcL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ~==:"~~~~~;:'tt~and~~'::'1otolh=~:a: manneru ttatecL_ _ ___ ___ __ ___ _ __ _ D =:n::~c: and I or Inve8ttgatlon, In my opinion, de8th occurred at the time, dele, and place, and due to the caUH(B) and manner as stated.. 0 DlsposillonPerrnilNo. , . 'r LAST WILL AND TESTAMENT OF PAUL ALBERT GRAY I, PAUL ALBERT GRAY, a resident of the Commonwealth of Pennsylvania, make, publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me. I am retired from the military service of the United States. FIRST: I direct that the expenses of my last illness and funeral, the expenses of the administration of my estate, and all estate, inheritance and similar taxes payable with respect to property included in my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my residuary estate, without apportionment and with no right of reimbursement from any recipient of any such property. SECOND: I give all the rest, residue and remainder of my property and estate, both real and personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled at the time of my death (collectively referred to as my "residuary estate"), as follows: (a) If my daughter PATRICIA ANN TANCREDI survives me, to my daughter, or if she does not survive me to my granddaughters, HEATHER PATTERSON and BETH TANCREDI. (b) If no issue of mine survives me or if no issue of my daughter, PATRICIA ANN TANCREDI survives her, I give my residuary estate to those who would take from me as if I were then to die without a will, unmarried and the absolute owner of my residuary estate, and a resident of the Commonwealth of Pennsylvania. THIRD: If any property of my estate vests in absolute ownership in a minor or incompetent, my Executor, at any time and without court authorization, may: distribute the whole or any part of such property to the beneficiary; or use the whole or any part for the health, education, maintenance and support of the beneficiary; or distribute the whole or any part to a guardian, committee or other legal representative of the beneficiary, or to a custodian for the beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed by the person to whom the distribution is made shall be a full discharge of my Executor from any liability with respect thereto, even though my Executor may be such person. If such beneficiary is a minor, my Executor may defer the distribution of the whole or any part of such property until the beneficiary attains the age of twenty-one (21) years, and may hold the same as a separate fund for the beneficiary with all of the powers described in Article FIFTH hereof. If the ben- J~~ ~L ( a(W~( ( . \ 4. eficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary. FOURTH: I appoint my daughter, PATRICIA ANN TANCREDI to be my Executor. If my daughter, PATRICIA ANN TANCREDI shall fail to qualify for any reason as my Executor, or having qualified shall die, resign or cease to act for any reason as my Executor, I appoint my granddaughter, HEATHER PATTERSON as my Executor. I direct that no Executor shall be required to file or furnish any bond, surety or other security in any jurisdiction. FIFTH: I grant to my Executor all powers conferred on executors under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon executors wherever my Executor may act. I also grant to my Executor power to retain, sell at public or private sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for cash or on credit; to borrow money and encumber or pledge any property to secure loans; to divide and distribute property in cash or in kind; to exercise all powers of an absolute owner of property; to compromise and release claims with or without consideration; and to employ attorneys, accountants and other persons for services or advice. The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office from time to time. SIXTH: I direct that for purposes of this will a beneficiary shall be deemed to predecease me unless such beneficiary survives me by more than thirty days. SEVENTH: I have served in the Armed Forces of the United States. I therefore request that my Executor make appropriate inquiries to ascertain whether there are any benefits to which I, my dependents or my heirs may be entitled by virtue of any military affiliation. I specifically request that my Executor consult with a retired affairs officer at the nearest military installation, the Department of Veterans Affairs, and the Social Security Administration. IN WITNESS WHEREOF, I, PAUL ALBERT GRAY, sign my name and declare this instrument as my last will and testament this 1!L- day of , 2000. I also have affixed my signature on the bottom of each of the preceding r~C (JJ;Lvr~ PAUL ALBERT GRAY \ 2 . . " The foregoing instrument was signed, published and declared by PAUL ALBERT GRAY, the above-named Testator, to be his last will and testament in our presence, all being present at the same time, and we, at his request and in his presence and in the presence of each other, have subscribed our names as witnesses on the date above written. -tJ., ky having an address at &J, 'd, PI) )t/~ -f 7kk /701J having an address at ~J /!A 170/3 ) Jr CU6-e-->vt ~+~ ({LV - \ 3 . . ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss. We, PAUL ALBERT GRAY and E;57El (}-EDj?f.e:;- ~ -------------------------- _:D.Q.;( _ _ ---.l(~ NL~_____ ___ _ ____ _ __ ____, the Testator and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator, PAUL ALBERT GRAY, signed and executed said instrument as his last will and testament in the presence and hearing of the witnesses, and that he had signed willingly, and that he executed it as his free and voluntary act and deed for the purposes therein expressed, and that each of the witnesses at the request of the Testator, in the presence and hearing of the Testator and each other, signed the will as witness, and that to the best of his or her knowledge the Testator was at the time at least eighteen years of age, of sound mind and under no constraint, duress, fraud or undue influence. f) - ~G ic ~ ~ C~t LL~~-r; b_~( PAUL ALBERT GRAY ~l- Testator ~ '" ,~J-" ~ ~.~ Witness Subscribed, sworn to and acknowledged before me by the said PAUL ALBERT GRAY, Test1r, and subscribed and sworn to before me by the above-named witnesses, this 4 day of o~, 2000. . ttt;;/ ~;. I otary Public My commission expires on