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Home My WebLink About06-21-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of MARlON P. SHANNON also known as File Number --dJ:irl- 0 s-qi , Deceased Social Security Number 202-20-6926 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) ~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the EXECUTRIX last Will of the Decedent dated MAY 7, 1997 and codicil(s) dated N/A 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: N/ A o B. Grant of Letters of Administration '" Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spo~ Bany) andmrs: (J~:,) Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) S::::n c.... it I N_ ""]"""""tp .....~~I;i ~ ~ '.'.;~ '- ::E: 0'.- ~ C .....C) . -I ~ ;~: nO] ~ ..., (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. c..> - - c..> Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal residence at 940 WALNUT BOTTOM ROAD. CARLISLE (SOUTH MIDDLETON TOWNSHIP), P A 17013 (List street address, town/city, township, county, state, zip code) (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) Decedent, then 86 years of age, died on MAY 31, 2007 BOTTOM ROAD. CARLISLE. P A 17013 at MANOR CARE HEALTH SERVICES, 940 WALNUT 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 (Ifnot domiciled in PA) Personal property in County Value of real estate in Pennsylvania $ $ $ $ /t?~ t7lM ~ situated as follows: BUCK RIDGE ROAD, TOBOYNE TOWNSHIP, PERRY COUNTY; RTE. 274, TOBOYNE TOWNSHIP, PERRY COUNTY. 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 JUDY SHANNON COOK, 2107 EAST COVENTRY LANE, ENOLA, PA 17025 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 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 oZ ,sr day of ~~ ~ Sworn to or affirmed and subscribed Signature of Personal Representative -'-' ~) Signature of Personal Representative File Number: ~(- 01- 0 SQl :J> ::J: ex> c:...> w i ""~J i-:"::l t~~~J <-:) C.:"') -r -,..... -Tl ;:: ('-~, ._-- --,.."~ Estate of MARION P. SHANNON , Deceased Social Security Number: 182-38-9777 Date of Death: MAY 31, 2007 AND NOW, having been presente are hereby granted to , do 61 ' in consideration ofthe foregoing Petition, satisfactory proof fore me, IT IS DECREED that Letters TESTAMENTARY Y SHANNON COOK in the above estate and that the instrument( s) dated MAY 7, 1997 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. Jj)V>r{;''::/:;.. 4" ej~~&;J'*'~94i ~~~ ". FEES Letters ............... $cJ \ 0 · CO Short Certificate(s) . . . . . . . . $ lci- ro Renunciation(s) .......... $ h. ') ~ \\ .. . $ \ S . DO .....JCP ... $ 10- 00 ~ +1 'IN'..a :b UY"\ . . . $ <5.6\.) .. . $ . .. $ .. . $ .. . $ . .. $ .. . $ TOTAL... .......... . $~S;>.CO 1l;O() Attorney Signature: Attorney Name: THOMAS E. FLOWER Supreme Court I.D. No.: 83993 Address: 2109 MARKET STREET CAMP HILL, PA 17011 Telephone: (717)737-3405 Form RW-02 rev. 10.13.06 Page 2 of2 H105.112 REV. 1/05 (FEE FOR THIS CERtiFICAtE $6.00) WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. C()MMOlllWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS L.OCALREGISTRAR'S CERTIFICATION OF DEATH June 4, 2007 CERT. NO. Date of Issue of This Ce~ic~fon Middle Name of Decedent P. Sex Female Social SecurityNo; - 20 - 6926 Birthplace Place of Death Manor <Care HEalth Services Cumberland Facility Name County PA S.Middleton Twp. City ~ Borough or Township Pennsylvania Occupation . Decedenfs Marital Status W1dowed Mailing Address j f" t Judy S.. Cook "In orman Name and Address of N' kl Funeral Establishment 1C e P.O. Box 48 New Germantown PA 17071 N~r Street Funeral Director F.Nicke1 State Funeral Home, P.O. Box 910, Loysville, PA 17047 Part t: Immediate Cause Interval Between Onset and Death (a) Cerebrovascular Event Manner of Death Natural ~ Accident 0 Suicide 0 I '" @~ ....~ I!~ i .~ ;~a5~ . - 8~~ ~ .: .:xl CD u~ ::l> c..> Describe how injury occurred: c..> :.J} ~~ :r: CJ (JC) - [ '~ - I ?~ f;~ 1.-..".-- 1_. ) I:, (b) (c) (d) Part II: OtherSignificantConditions Homicide Pending Investigation Could not be Determined o o o Darryl K. Guistwite D.O. (M.D., D.O., Coroner, M.E.) Name and Title of Certifier Address Street, Carlisle, PA 17013 This is to certifythaUhe information here giveniscorrectly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate wiUbeforwardedtothe State Vital ReCords Olficelor permanent filing. Date f1eceived by Local Registrar 50-455 QistrictNo. June 3, 2007 PA 17068 Street Address City, Borough, Townshi'p c:\wp51\wills\shannon.mar file # 5027-96-01 LAST WILL AND TESTAMENT OF MARION P. SHANNON I, MARION P. SHANNON, of New Germantown, Toboyne Township, Perry County, Pennsylvania, declare this instrument to be my Last Will and Testament, in manner and form following: FIRST: I hereby expressly revoke all Wills and Codicils heretofore made by me. SECOND: I hereby direct my Executrix to pay all my just debts, funeral and administrative expenses out of my estate, as soon as practicable after my death. THIRD: I direct that all taxes which may be assessed in consequence of my death of whatever nature and by whatever jurisdiction imposed shall be paid out of my estate as a part of the administration of my estate. FOURTH: I give and bequeath such of my personal property as may be listed on an unsigned memorandum kept with my Will to persons named thereon, provided they survive my death. Should such a memorandum not be found with my Will, it shall be <"? ']onclu~~y presumed that none was prepared, and all of my personal property shall be CD 0::: ~ ~on~@ a part of the remainder of my estate. ~ (jJ -~ 0:: - ~, w~::z: -.J --1 a: <..) LU aco :2 => <..) N % :::) -, r-- = t..::..:.l c-... Ddiab '/11 . [} . J. c:\wp51\wills\shannon.mar file # 5027-96-01 shall be paid to such beneficiaries upon their reaching twenty-two (22) years, or to such beneficiary's estate in the event of death prior thereto. EIGHTH: I hereby nominate, constitute and appoint my daughter, JUDY SHANNON COOK, to be the Executrix of this my Last Will and Testament. In the event that my daughter, JUDY SHANNON COOK, shall be unable to serve as Executrix for any reason, I then nominate, constitute and appoint my son-in-law, MICHAEL COOK, as Executor. No personal representative shall be required to file bond in this or any other jurisdiction. IN WITNESS WHEREOF, I hereunto set my hand and seal this daY~~ ~ . "' ,1997. JJ;~(J. d~ Marion P. Shannon SIGNED, SEALED, PUBLISHED and DECLARED in the presence of: ..~ ~~ '" .-..;.~,.,"J;:;;r7'5' /J . )-UA. . t.t''''-We/U 3 c:\wp51\wills\shannon.mar file # 5027-96-01 COMMONWEALTH OF PENNSYLVANIA 55. COUNTY OF CUMBERLAND I, MARION P. SHANNON, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that 1 signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and ac}<nowledged before me, by MARION P. SHANNON, Testatrix, this '/-U\ day Of~fY~ ,1997. o ~(}.~4~~~ Marion P. Shannon, Testatrix ~ ~~'" l ~ " i L-.. . . )~,) I~JJ{l,(.( 7l\OA ~u<fu Notary Public NOTARIAl. SEAL MERLENE MARHEVKA. Notary NlIic CarIlla, CUmbIlIInd Cotfty, Pa. ., My CorIllMIIlan EJp/Its M!iIIB 4 c:\wp51\wills\shannon.mar file # 5027-96-01 COMMONWEALTH OF PENNSYLVANIA 55. COUNTY OF CUMBERLAND We, CAROL J. LINDSAY and TERESA J. BURKHOLDER ,the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix, MARION P. SHANNON, sign and execute the instrument as her Last Will; that she 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 Testatrix signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before. me by CAROL ~. LINDSAY and TERESA J. BURKHOLDER, witnesses this '-'7 -bI(. day 0 -I . 1997. ~ ~, Wir:J:SS c::::--"'~~) itneffu .L,riP'l;-/';A-/' r'\ , LA}~" W~ It,) 11_,... . . . 'uLR ,L' -'I JJ-f. ~. Notary P blic NOTARIAL SEAL MERLENE MARHEVKA. NlIlIIy NIIic CaJIIII, CUmbIrIInd Cotny, PI. My ComnI8Iion ExpirIs MI/ll8