HomeMy WebLinkAbout05-25-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF c.. L'll11j~, /0.'1 J COUNTY, PENNSYLVANIA
Estate of
E. /s i e
W. Ed.Jre n
File Number
~l-Ol-Slb
also known as
, Deceased
Social Security Number 337- Lf ~ - 8454
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IE'f A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Ex ec t.(. for
last Will of the Decedent dated 01./ DC; / ''1 '( 5 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
(Ifapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
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 db.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in C u.mberJ6..nd County, Pennsylvania with his / her last principal residence at
(List street address, town/city, township, county, state, zip code)
Decedent, then
9?.
years of age, died on
05//5/2007
.
at
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(lfnot domiciled in PA) Personal property in Pennsylvania
(lfnot domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
$ <--/ oq,~eb , dO
$
$
$ I:. .
o-l Pe,/J()S','-j :~.
situated as follows: B<<..* c;r.ccoul1fs , S"fpck, &,II'hQ.J f5(1'fcJ 4"'c! C".1,/".'cafq
, , v' I
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letlers in the appmpriate form to
the undersigned:
T ed or rinted name and residence
Sfe
3 9<t i3etl<~r !Jr.
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
SS
COUNTY OF C IA...m bet" / and
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 representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
before me the
d'Y-h
day of
Sworn to or affirmed and subscribed
~()() 7
LC<4f-C'i L
egister J
Signature 0.( Personal Representative
Signature of Personal Representative
'.::..- ,
cJl-01- 051 b
Estate of ~)S i e LJ. EdCjreh
v
Social Security Number: 337.. '12... - ~ 1{ 5'1 Date of Death: 6;; /1 S / :< 00 7
AND NOW, -t:./1 , c-2'107 , in consideration of the foregoing Petition, satisfactory proof
having been presented bef8Je me, IT IS ECREE hat Letters 7f' Sl-tt/,/~ II fn r (. /
are hereby granted to ,-.Jk (Jf)~ J) I (clj r.f/ II /
File Number:
, Deceased
. ---
and that the instrument(s) dated r2 J u / q::J
.
described in the Petition be admitted to probate and filed ofrecord~s t~e .last ~ill (at\nd ~cil(s)) ofD\e..". nt.. J
FEES / / L 1r.a... D-~ C 1 L( c)j! w(} iYl
$ /) / 0 Register ofWills../JJ'.t
Letters ............... C2!... - ;r- -
dO
in the above estate
Short Certificate(s) . . . . . . . . $
Renunciation(s) .......... $
lJ:ju
Adf
Attorney Signature:
.. . $
.. . $
'" $
... $
.. . $
.. . $
... $
... $
.. . $
TOTAL . . . . . . . . . . . . . . $
IO.ou
500
Attorney Name:
Supreme Court J.D. No.:
Address:
Telephone:
;3 / OJ.OO
hu-d {lUitLU/(J'rJ!
FormRW-02 rev. 10.13.06
Page 2 of2
H105.112 REV. 1/05
(FEE FOR THIS
CERTIFICA TE $6.001
WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR
TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH VITAL RECORDS
'2 \ -07 - 5 1(,0
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT. NO. T 6139294
May 18. 2U07
Date of IssU{~ of ThiS Certificatior,
Sex
Name of Decedent
Female
Elsie
W.
Edgren
First
Middle
Last
Date of Birth
Social Security No.
Nov. 3, 1914
337 - 42 - 8454
May 15, 2007
Date of Death
Birthplace
Minneapolis, MINN
Place of Death Chapel Pointe Nursing Home
Cumberland
Carlisle
Pennsylvania
Facility Name
Countv
City. Borough or T'Jwnship
Race
White
Marital Status
Widowed
Occupation
Decedent's
Mailing Address
Homemaker
Armed Forces? (Yes or No)
105 Flamingo Drive Mechanicsburg
No
PA 17055
Number
Street
City or Town
Slate
Informant
Name and Address of
Funeral Establishment
Steve Edgren
Funeral Director
Mark S. Foor
(a)
Boyer Funeral Home, P.O. Box 11, New Bloomfield, PA 17068
InteNal Between
Onset and Death
8 Months
Heart Failure
Part I:
Immediate Cause
(b)
Hypertension
Many Years
(c)
Part II:
(d)
Other Significant S9r~~wees Type II, Atrial
Fibrillation,
GdstL.it:: Ulc:€a
Describe how injury occurred:
Manner of Death
Natural KK
Accident D
Suicide [J
Homicide
Pendin!~ Investigation
Could not be Determined
D
D
D
Name and Title of Certifier
Bruce O. Bailey
M.D.
(M.D., D.O., Coroner, ME)
Address
850 Walnut Bottom Road, Carlisle, PA 17013
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.
Dale R~'celved I::;V LJCClI f'iegistrar
50-455
District ~Io
May 18, 2007
PA 17068
Street Address
City. BcrolJgh. Township
LAW OFFICES
SNELBAKER
B:
BRENNEMAN
.-
'" .'
LAST WILL AND TESTAMENT
I, ELSIE W. EDGREN, of the Township of Monroe, County of
Cumberland and Commonwealth of Pennsylvania, being of sound and
disposing mind, memory and understanding, do make, publish and
declare this as and for my Last will and Testament, hereby
revoking and making void all former wills and codicils by me at
any time heretofore made.
FIRST. I order and direct that all my just debts and
funeral expenses be paid by my Executor or Executors, as the case
may be, hereinafter named, as soon as conveniently may be done
after my decease.
SECOND. I order and direct that all the rest, residue and
remainder of my Estate, real, personal and mixed, whatsoever and
wheresoever situated, be divided into two parts, to wit: one
part consisting of assets equal to sixty per centum (60%) of my
net distributable estate, hereinafter known as the "60% Part",
and the other part consisting of assets equal to forty per centum
(40%) of my net distributable estate, hereinafter known as the
"40% Part", which Parts shall be distributed and disposed of as
follows:
A. I give, devise and bequeath the 60% Part of my
residuary estate in equal shares unto my three (3)
sons, namely, JAMES A. EDGREN, DAVID J. EDGREN and
STEPHEN J. EDGREN, share and share alike. If any of my
said sons should predecease me, I order and direct that
said 60% Part shall be distributed only to those sons
or that son who survive me, without substitution of
issue for any deceased son, it being my express will
and intent that said 60% Part shall be distributed only.
~
. .
to my surviving sons or son.
B. I give, devise and bequeath the 40% Part of my
residuary estate in equal shares among my grandchildren
living at the time of my death, share and share alike.
The term "grandchildren" shall be defined and
interpreted to mean the first generation children of my
sons and daughters (whether the latter are living or
deceased) and shall include natural or adopted children
and those which may be born after the date hereof.
I order and direct that the distributive
share to any grandchild who has not attained the age of
eighteen (18) years of age at the time of distribution
~
shall be paid over and delivered unto the parents or
parent of said grandchild as a testamentary trustee, IN
TRUST, NEVERTHELESS, to hold, manage, invest,
accumulate income and reinvest for the benefit of said
grandchild and until said grandchild attains the age of
eighteen (18) years; at which latter time said trust
shall terminate and the net balance thereof shall be
distributed and paid over to the beneficiary,
absolutely.
LASTLY. I nominate, constitute and appoint my son, namely,
STEPHEN J. EDGREN, to be the Executor of this, my Last will and
Testament, but if for any reason he should fail to qualify as
such Executor or cease so to serve, then and in that event, I
nominate, constitute and appoint my sons, namely, JAMES A. EDGREN
and DAVID J. EDGREN (or either of them who qualifies or continues
to serve) to be the Executors hereof, each and all to serve
without bond or other security as a condition of qualification
LA 'N OFFICES
SNELBAKER
a
BRENNEMAN
hereunder.
IN WITNESS WHEREOF, I, ELSIE W. EDGREN, have hereunto set
-2-
*
. .
-
. ......
my hand and seal to this, my Last will and Testament which
consists of three (3) typewritten
0+1
pages to each of which I have
day ofJitJt.U~ A.D., One
(1995) .
affixed my signature this
Thousand Nine Hundred Ninety-five
Gk.e U/'~~~
Elsie w. gren
( SEAL)
The preceding instrument, consisting of this and two (2)
other typewritten pages, each identified by the signature of the
Testatrix, was on the date thereof signed, sealed, published and
declared by ELSIE W. EDGREN, the Testatrix therein named, as and
for her Last will and Testament, in the presence of us, who, at
her request, in her presence, and in the presence of each other,
have subscribed our
1../:;~
i , .,,..,/ ..... ,A", ;f
...~~---~/rA '.-"'~-
/' ~~.
t/
LAW OFFICES
SNELBAKER
II:
BRENNEMAN
-3-
"" ' ,
- '.
COMMONWEALTH OF PENNSYLVANIA )
SSe
COUNTY
OF
CUMBERLAND )
We, ELSIE W. EDGREN, RICHARD C. SNELBAKER and JANET R.
STEGNER, the Testatrix 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 Testatrix signed and executed the instrument as her Last
will and Testament and that she had signed willingly, and that
she executed it as her free and voluntary act for the purposes
therein expressed, and that each of the witnesses, in the
presence and hearing of the Testatrix, signed the will as a
witness and that to the best of his or her knowledge the
Testatrix was at that time eighteen years of age or older, of
sound mind and under no constraint or undue influence.
^M1{/
rix
(:~)~'~'T7<~~-
~/ witness
Subscribed, sworn to and acknowledged before me by ELSIE W.
EDGREN, the Testatrix, and subscribed and sworn to before me by
RICHARD C. SNELBAKER and JANET R. STEGNER, witnesses, this G1~
day of
~:f~kd~t
, 1995.
<97~aJ ~. ~
Not ry Public
LAW OFFICES
SNELBAKER
&
BRENNEMAN
- ~
Notarial Seal
Patricia J, Thomson, Notary Public
Mechanicsburg Bora, Cumberland County
My Commission Expires Dee 31, 1998
~---
Member. Pennsytvanl8 AssrDal10n of Nolanes