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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of DOROTHY L. DROMGOLD
also known as
File Number
J. \ b'\ ()'J~L\
, Deceased
Social Security Number 210-26-6649
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IZJ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the EXECUTRIX
last Will of the Decedent dated APRIL 25, 1995 and codicil(s) dated
named in the
EMERSON M. DROMGOLD DIED NOVEMBER 14. 1998
(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 ol)he instrumeIiiffi) offered
,r, _ .
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ,..-
~-':',r.'-""
-.
o B. Grant of Letters of Administration
c'~
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante.Riirioritate) C'
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse {rfany) ;!tid 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
o
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal residence at
16 RIDGEWAY DRIVE. CARLISLE. CUMBERLAND COUNTY. PENNSYLVANIA 17013
(List street address, town/city, township, county, state, zip code)
Decedent, then 76
years of age, died on MA Y 23, 2007
at Sarah 11idd jVlff"'fY!'{](} i 4:.,y\t, (t011t')lf;
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
(lfnot domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
$
$
$
$
90,000.00
situated as follows: 16 RIDGEWAY DRIVE, CARLISLE, PENNSYLVANIA
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
JOANNA DEE HORTON, 622 BARMORE AVENUE, GROVE CITY, PA 16127
Form RW-02 rev. 10.13.06
Page 1 of2
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 and correct to the best of
the knowledge and belief ofPetitioner(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
JOCUVv<A
tfo~
before me the 30 day of
Q~
o<tho Rogi,'"
Signature of Personal Representative
Signature of Personal Representative
File Number:
a \ D'l DSti~
Estate of DOROTHY L. DROMGOLD
, Deceased
Social Security Number: 210-26-6649 Date ofDeath:MA Y 23, 2007
AND NOW, ~ --'J :SO , ;(0) 1 ,in consideration of the foregoing Petition, satisfactory proof
having been presented before me, I IS DECREED that Letters TESTAMENTARY
are hereby granted to JOANNA DEE HORTON
and that the instrument(s) dated flpv I) ;} 5 / ws-
described in the Petition be admitted to probate and filed of recor
in the above estate
10.00
5.00
15.00
25476
FEES
Letters
$
210.00
Short Certificate( s) . . . . . . . . $
Renunciation(s) .......... $
JCP ... $
AUTOMATION FEE . . . $
WILL . . . $
", $
. " $
. " $
" . $
. " $
" . $
TOTAL . . . . . . . . . . . . . . $
Address:
60 WEST POMFRET STREET
CARLISLE, PA 17013
Telephone:
(717) 249-2353
240.00
Form RW-02 rev. 10.13.06
Page 2 of2
H105.805 REV 1105
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.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
/} JrJ. ~
(~/'<~
Local Registrar
Fee for this certificate, $6.00
p
13355437
MAY 24 2007
Date
,'- ,"-~l
(~)
c-'
~\ Ot DSa'-\
3 REV 1112006
I PRINT IN
IlAANENT
ACKINK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
c::>
STATE FILE NUMBER
. 76 VIS.
8b. County 01 Death
6. DaI. oIBirlh
.de .
7.1l1r1hpIace( . and_Of
4. Dale oIlleath (MonIh. dey. yeer)
6649 May 23, 2007
0It1e1c
5-8-1931 oiling Springs,
BdFecilllyNome("nol_.glYe_andlU11ber)
C1mberland
11.~sUsual most 01 IIIe.Donolstalerelired
K""oI_ KlIldol_l_
Housewife
. 16 o-tenr.MaIlnQAddNOS(Slreel.clIy/town,-,ZIl-1
16 Ridgeway Drive
. Carlisle, PA 17013
16. F_. Nome (Flrsl, _.IsSt, suIlIx)
Ira H. Stone
Sarah Todd Memorial Home
12. Was Decedent fY8f In the
U.S. Armed Forces'?
o Yes I!QNo
:::"""~ 17s.SleIe Pennsylvania
17b.County Cumberland
17e.O v..-..LiWId"
17d.~ No. lJecedsnl LiWldwflhln
Ac1uaIl.inllsol
Top.
Carlise
City/Bllfo
19. MoI!ler'.Nome(F...._..-........)
Minnie E. Sclmaohl
201>._' MaIlnQ AddNOS (_ city 1 town, "Ie. ZIl-)
622 Barmore Avenue, Grove City, PA 16127
21e. PJsce oIllIsposltIon (Nome 01 csmelety. _ orolher pISCO)
17109
Items 24-26 _ be <:OfI'lIleled by ponon
. whopror'lOU'C8Sdeeth.
\\ ~"].t) ~.
J-~'l
CAUSE OF DEATH (seolo_ .nd .....pIIo
Item 27. Pert I: EnterJhe~--, ljulies. OfCOfl1lllCelions _"""drectlyceusedJhe_. 00 NOT ......_....,IS such as cs_.rresI.
....lorf snesl. OfvonlriaJler _ _ showing Jhe etioIollY. List only one cause ",_line.
=~ct~i'...~. .. Itee fets.hz -hL CCtl4U:'"! o-f (A/zo/ILR/'p,/
Due to (or as a consequence 00:
C1Vt~V1 \..
Approxlmste_: Partll:EnIe!oIher~""""""'-IIl- 2ll.IlidTobeccoUseConlributeIll0ealh?
0nsel1ll0ealh but nollOSUili1glllJhe\RlOltyilgcauself'en1ll Psrtl. 0 Yes o~
No 0 Unknown
29."_
~.NoI:~ntwithinpastyear
o Pregnent ,'Iime 01 desth
o NoI__,butpregnenlwithin42deys
01 desth
o NoIpregnenI,buIpregnen143deYS'Olyoar
......-
o Unknown H pregnenI_1tle pllS1 YN'
320. Plece oIlnjuIy: Home, Fsnn. Shoe<. Fscloly,
omce_,slc.(Speci/y)
__lsIconc111ons,Hsny,
IeIiIna to tie cause Isted on linea.
Enter Iho UHDERlYING CAUSE
=:e~m~~
b.
Due 10 IOf as._oI):
e.
Due III (orss._oI):
o Yes )Zl No
DYes ONo
31. hIoMsf 01 Oealh
JZI NwaJ 0--
0- OPsndingkwes1igs1lon
o SuIcIde 0 Coull> NoI be-'"
3:2(l. Ttme of 1~1'f
329. (ocaIIonol'rfl'YISIreeI.city/town,sIale)
300. w.. snAulo\lSY
-
d.
301>. w..e__
A_PriorIllCofr<llellOn
ci Cause of Desth?
M.
33s.~(ctleckonlyone)
. Col1Ifytngpl1yllclonIPhyslcisncellityingcsuseol_whsnsnoll1elplrfslctenhas~_.nd<:Ofl'llleled1tem23) .....!.
To Itle best 01 my "'-Iedge.-- dueloIlleCSlllO(I) snd __ ss -- - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - ~
. ==~~='~J..."'=:'~and~=tolo:~=_..___________________ 0
. =='=sndIOf IllYISl1gItIon.1n my opinion, _ _ Illlle_."", snd ~ snd ....toItleClllse(.) IIlll mannor ss....... 0
A, ()eII'W)
L.JlS'T'WILL.Jl:NV 'T''Es'T'.Jt.M'EN'T'
I DOROTHY L. DROMGOLD, of South Middleton Township, Cumberland
County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Codicils heretofore made by me.
ONE: I direct my Executor to pay all of my debts, funeral and administrative expenses as
soon as may be done conveniently after my decease.
TWO: I give, devise, and bequeath all of my estate of every nature and wherever situate
to my husband, EMERSON M. DROMGOLD, provided he survives me by thirty (30) days or
more.
THREE: If my husband, EMERSON M. DROMGOLD, has predeceased me or
failed to survive me by thirty (30) days or more, then I give, devise, and bequeath all of my estate
of every nature and wherever situate to my daughter, JOANNA DEE HORTON. If she has
predeceased me, then I give, devise, and bequeath all of my estate of every nature and wherever
situate to the living issue of JOANNA DEE HORTON in equal shares.
.0
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f.c.":-'_J
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(,)
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FOUR: I appoint my husband, EMERSON M. DROMGOLD, to serve as Executor of
this my Last Will. If he is unable to serve or ceases to serve as Executor, I appoint my daughter,
JOANNA DEE HORTON, to serve as Executrix of this my Last Will.
FIVE: My Executor may, at his discretion, compromise claims, borrow money, retain
property for such length of time as he may deem proper; lease and sell property for such prices,
on such terms, at public or private sales, as he may deem proper; and invest estate property and
income without restriction to legal investments.
SIX: No Executor or Executrix acting hereunder shall be required to post bond or enter
security in this or any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal thi~~ay of April,
1995.
;/t7~ ~ "o~~4'- (SEAL)
DOROT L.DROM LD
Signed, sealed, published and declared by DOROTHY L. DROMGOLD, the above
named Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her
request and in her presence and in the presence of each other have subscribed our names as
witnesses hereto.
~m4-
eo//~
2
ACKNOWLEDGMENT AND AFFIDA VlT
WE, DOROTHY L. DROMGOLD, TERESA M. HENRY and CHERYL L.
CLELAND, the testatrix and witnesses respectively, whose names are signed to the 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 that she had signed willingly, and
that she executed it as her free and voluntary act for the purpose herein 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 their knowledge the testatrix was, at that time, eighteen years of age or older, of
sound mind and under no constraint or undue influence.
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by , the testatrix herein and subscribed
and sworn to before me by DOI.OTHY L. DROMGOLD, TERESA M. HENRY and
CHERYL L. CLELAND, thi~ day of April, 1995.
Notarial Seal
8r~tzi A. Monisor1, Notary Public
Cailisle BolO, Cumberland County
My Commission Expires Dec. 15, 1996
Member, Peons . Association of Notalies-