HomeMy WebLinkAbout07-03-07
PETITION FOR PROBATE AND GRANT OF LETTERS
Register of Wills of Cumberland County, Pennsylvania
Estate of EMMA SEIDERS McLAUGHLIN a/kla
EMMA S. McLAUGHLIN Deceased
File No. ~ \ D"l
Social Security No.
o(n~9
172-01-9468
HEATHER McLAUGHLIN SIGLER
Petitioner, who is 18 years of age or older, applies for:
(COMPLETE "A" OR "B" BELOW:)
"
o A. Probate and Grant of Letters Testamentary and aver that Petitioner is the
named in the Last Will of the Decedent, dated April 29th. 2005 and codicils(s) dated
Executrix
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:
D
B.
Grant of Letters of Administration
(if applicable, enter: c.I.a.; d.b.n.c.l.a.; pendent elite; durante absentia; d~te minorit1':l~
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Name
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(COMPLETE IN ALL CASES): Attach additional sheets if necessary. ,)':.:0
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Decedent was domiciled at death in Cumberland County. Pennsylvania, with her last family or principal residei'lce at
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1304 Carlisle Road, Camp Hill, Lower Allen Township, Cumberland County. Pennsylvania
(List street, address, town/city, county, state, zip code)
Decedent, then 95
years of age, died on
June 20, 2007
at
Manor Care Nursina Home. Camo Hill. PA
(Location)
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) 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 ......................................................................................................................$
T otal......................................................................................................... $
2.000.00
2.000.00
Real Estate situated as follows:
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:
Sianature Tvoed or orinted name and residence
~ \liwbuht(~~jw HEATHER McLAUGHLIN SIGLER
270 Keystone Drive
Middletown, PA 170571
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
The Petitioner above-named swears or affirms that the statements in the foregoing Petition are true and
correct to the best of the knowledge and belief of Petitioner and that, as personal representative of the
Decedent, Petitioner will well and truly administer the estate according to law.
Sworn to and affirmed and subscribed
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Before me this
3
day of
,2007.
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File No.
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Estate of
EMMA SEIDERS McLAUGHLIN a/kla EMMA S. McLAUGHLIN
, Deceased.
Social Security No: 172-01-9468
Date of Death:
June 20. 2007
AND NOW, C\. \.~ ~ ,2007, in consideration of the foregoing Petition, satisfactory
proof having been~sente~ before me, IT IS DECREED that Letters Testamentarv are hereby granted to
HEATHER McLAUGHLIN SIGLER in the above estate and that the instrument dated
April 29th. 2005 described in the Petition be admitted to probate and filed of record
as the Last Will of the Decedent.
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Register of Wills ~
FEES
Letters........................... $
Short Certificate(s) $
Renunciation.............. $
Affidavit ().................. $
Extra Pages ()....... $
Codicil..............?i....J:;:;. $
JCP Fee....~..I::1.bl..~ $
Inventory...................... $
Other.............................. $
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15~d
TOTAL......... $
580,)
Attorney: EDMUND G. MYERS
I.D. No: 20558
Address: Johnson. Duffie. Stewart & Weidner.
301 Market Street. P.O. Box 109. Lemoyne. PA 17043-
Telephone: 717-761-4540
11105.805 REV 1011071
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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.
fJnm., /?( ~ JUM Z 111007
Local Registrar Date Issued
Fee for this certificate, $6.00
P 13550858
Certification Number
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STATE FilE NUMBEFiJ:~
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
REV 11/2006
PRINT IN
!ANENT
CKINK
4. Dale of Deo'" (Man"'. day,
June 20
3. SocI81 Secuff\y Number
172 - 01
lla. P1ace of Dea'" (Check one)
Hosp;fal: Olhec
o Inpatienl 0 ER 1 Outpatient 0 DCA iJ Nursing Home 0 Residence
9. Was Deoedenl 01 Hispank: Origin? I1!l No 0 Yes
(II yes, spod~ Cuban,
Mexican, Puerto Rican, etc.}
1,NameolDecedent lFir1I,midcIe,last,sufti,)
Emma
9468
2007
McLaughlin
6. Dale of BIrth Month. , year)
Seiders
7. Birt (c. and slate 01'
5. Age (LaslBillhday)
October 19, 1911 Harrisburg, PA
ad. Faofily Name (II not ,,~iluIIon, <Po ..... and numbe~
OOther . Speco~
10. Race: American Indian, Black. While, etc.
(Specilyl
95 VIS.
8b. County of Death
white
Manor Care
Camp Hill
mos1 of walla life. 00 not sWle reti
Kmof_/lndus1ly
Education
Cumberland
14. Marital Status: Married, Never Married,
w_, ~_ISpecIIyl
widowed
13. Decedent's Education (Specify onty highest grade compleled)
E~nlery 1 Secondary 10.12) College (1.4 or 5+1
12
12. Was Decedent ever in Itle
U.S. Armed Forces?
OVes [liNo
Oecedenl's
Actual Residence 178. S1are
Pennsylvania
Cumberland
Lower Allen
17c. Kl Yes, Decedent Lived in
170. 0 No. Decedent Uved within
Adual UrMs 0/
Twp.
17b. County
City I 8oro
19. Molho<'s Name (Fir1I. midcIe. _ surname)
Barbara Ellen Deckman
2Ob. InIoon8nfs Mailng_ (_ city 1 town. _. zip code)
270 Ke stone Drive, Middletown, PA 17057
21c.PlaceofDlspoollion(Nameo/CIIIIIlIlO'Y._,,_plo<:ol 2'.. Loc:atioo (Cily/_,...... zip code)
e Martin Seiders
Green Memorial Park
., PA 17011
FH & CS Inc. P O. Box
23b. Licente Nu_
\2. r-> \Z- "" '1:~ 4 "'L 0 '8 L
'Lo'"
28. Old Tob8cco Use ContrIbute to Death?
o Yeo ...e1P.-y
[3""No 0 Unknown
29.U~
!2rNol-,_pastyear
OP~attimeofdealh
o NO<-'.bul-'_42days
01 death
o NoI _nt. but -' 43 days to 1 year
beforsdealh
o Unknown" -' _n the past year
320. == :nrs;:;) - Factory
Part II: Enter Olher IIkriicant cordIiJnB mnb1butlno 10 dUll'l,
butnolrosulllnginlhollldallylngcauseglYennPortI.
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CAUSE OF DEATH ISM l...tructIon. .nd ...mploo)
Item Z/, Port I: Enter...~-_, Ojuties, "cmplicat\ons-lhalchcityClLOldlho dealh. DC NOT 11118<___ as C8IdlIc 0_
II5!Iiralory ,_.""",- _lion """"" showlng"'~, UsI O<fr one cause on _lne.
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Enter h UNDERLYIIG CAUSE
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Due to (or IS 0 consequonca 01):
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Due to (or as a oonsequence of):
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3Ob. Wore Autopsy FIndngs
A..- pnor to CompeIion
01 Cause of Death?
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32g.localion 01 Injury (_, city 1 town. SIal.)
32<1. T... 01 Injury
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CortIIytnv phyIIcIIn (PhyolciIn CIftI1ylng cause 01_ when anothIr physidIn has pronouncad dealh ond oompleIed 118m 23)
To.......'" IllY "-lIdgI. _......., duo to "" eauoo(.) ond _ as -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
=:=~=;::~:"'.::"=lOto==...,noras___________________ 0
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lLast Will anb \!testament
OF
EMMA s. McLAUGHLIN
I, EMMA s. McLAUGHLIN, of Lower Allen Township, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make,
publish and declare this as and for my Last Will and Testament, hereby revoking and making void
any and all Wills or Codicils at any time heretofore made by me.
ARTICLE I
DEBTS
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I direct the payment of all my legal debts, and the expenses of my last i~s and ~era4 ~:~;
:;g c:: C' .C)
from my Estate as soon after my death as conveniently may be done. ' ! ~~ P j- : e3
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ARTICLE II
TANGIBLE PERSONAL PROPERTY
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I give and bequeath my automobile, household goods, personal effects and other tangible
property of like nature (not including cash or securities), together with any existing insurance
thereon, unto my children, HEATHER McLAUGHLIN SIGLER and KENNETH L.
McLAUGHLIN, to be divided between them by my Executrix or successor with due regard for
their personal preferences in as nearly equal shares as may be practical. In the event that either of
my children predeceases me, I give and bequeath the items described in this Article II unto the
survivor of them.
ARTICLE III
REST, RESIDUE AND REMAINDER
I give, devise and bequeath all the rest, residue and remainder of my Estate, of whatsoever
nature and wheresoever situate, unto my children, KENNETH L. McLAUGHLIN and
HEATHER McLAUGHLIN SIGLER, or the then-living issue, per stirpes, of either child who
predeceases me.
ARTICLE IV
PERSONAL REPRESENTATIVE
I name, constitute and appoint my daughter, HEATHER McLAUGHLIN SIGLER,
Executrix of this my Last Will and Testament. Should my daughter, HEATHER McLAUGHLIN
SIGLER, fail to qualify or cease to so act, I name, constitute and appoint my son, KENNETH L.
McLAUGHLIN, alternate Executor to complete the administration of my Estate. I direct that no
fiduciary appointed herein shall be required to post bond for the faithful administration of the duties
required in any jurisdiction.
IN WIT~~~/~HEREOF, I have ereunto set my hand and seal to this, my Last Will and
Testament, this~y of' , 2005.
~.A- .4.~AL)
EMMA S. McLAU IN
Signed, sealed, published and declared by the above-named Testatrix, as and for her Last
each other, have hereunto subscribed our names as witnesses.
:39534v2
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ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
We, EMMA S. McLAUGHLIN, M-WSS!l--
t'buu)i:D fi. M:Vfff-S
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and
, 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 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 witness and that to the best ofhis/her knowledge the Testatrix was at
that time eighteen years of age or older, of sound mind and under no constraint or undue influence.
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Witness
Subscribed, sworn to and acknowledged before me by EMMA S. McLAUGHLIN,
Testatrix, and~C;A"Peg:L e,~ andr;bMtL}J1) <3. ~
witnesses, this~ay of 11p;u.Q , 2005.
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Notary Public ......
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NOTARIAL SEAL
DIANNE lENIG, Notary Public
Lemoyne Borough Cumberland Co.
~ My Commission Expires Dec. 21, 2005
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