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
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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