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Home My WebLink About07-17-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Grace I. Fuller also known as File Number a \ ~ 'l 6li)'1lf . Deceased Social Security Number 182-40-8019 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) Iia A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executrix last Will of the Decedent dated November 30, 1972 and codicil(s) dated none 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 '" .:= (lfapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; dura. ritate)""'" ~I.. :~'M 7-:0 c......., C) Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following sPOJ~jf)nY) a~eirs:~::-6 Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list ofheirs.)~: ,;.; In ;-1-~ ;~ - :0 -..J __n, .-_. Resi~dciJj{~:~S S.:.'.' ~.~ 2~ i ::~~~ ~~.~ ~~ ;... ITl I~ ....1,.j "', ,"j Name Relationship (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at 770 South Hanover Street. Carlisle. Carlisle Borou2h. Cumberland County. Pennsvlvania 17013 (List street address, town/city, township, county, state, zip code) Decedent, then 86 years of age, died on June 5, 2007 Cumberland County. Pennsvlvania 17013 at Chapel Pointe, 770 South Hanover Street, Carlisle. 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 $ 5.000.00 $ $ $ 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: T ed or rinted name and residence Sue E. Amsley, 74 Derbyshire Drive, Carlisle, P A 17015 Form RW-02 rev. 10.13.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYL VANIA 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 before me the ~ day of ~.~ - ~o, the Rogiste< Signature of Personal Representative <::0 ]-0 :rQ ., ->;> r "~~~ "CJ):;K no ')O-n ':.J~ :0 -0-1 J-"> Signature of Personal Representative File Number: ~ \ D\ Glol:t Estate of Grace I. Fuller , Deceased Social Security Number: 182-40-8019 Date of Death: June S, 2007 ,......, <=> <= --- C- c= .- .," 'I 1'~~f'l ~;;~-j F(~ ~~~ ...,0 (. (-:; - -"-r-l :::~_~ ;~7::S , .. ["11 f.'.. ...., -0 :x N N -oJ AND NOW, , \'.k ~ l A \\ , ~l, in consideration of the foregoing Petition, satisfactory proof "" \ having been presented before me, IT IS DECREED that Letters testamentary are hereby granted to Sue E. Amslev Executrix and that the instrument(s) dated November 30,1972 described in the Petition be admitted to probate and filed ofrec?r1 r the 13ft Wi FEES ~ ~:::~e~i~~~~~(~; : li).. ; 3~ Renunciation(s) .......... $ 1J1~ ... $~5 ~-\u ... $ }~ -- ...$ . .. $ . .. $ ...$ ...$ ...$ .. . $ ~() TOTAL .......... .... $ (p -u:mr in the above estate Attorney Signature: R'~ Michael A. Scherer, Esquire Attorney Name: Supreme Court I.D. No.: 61974 Address: O'Brien, Baric & Scherer 19 West South Street Carlisle, Pennsylvania 17013 (717) 249-6873 Telephone: Form RW-02 rev. 10.13.06 Page 2 of2 H105.112 REV. 1/05 (FEE FOR THIS CERTIFICATE $6.00) CERT. NO. Marital Status Informant Name and Address of Funeral Establishment WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF HEALTH VITALRECOROS LOCAL.REGISTRAR'S CERTIFICATION OF DEAtH I. Fuller . , " __ c . Social Security No: Last Middte 184 "'40 - 8019 DaU:lofDeath June>S,2Q07 PA 192 OSirthplace Pbinteat Carlisle Carlisle Facility Name City" B,of:ough or Township Occupation Hom.emaker (Yes or No) Dece(jent's Widowed 1720 Pisgah State Road Shermans Mailing Address Sue James F.Niokel State Nickel Funeral HOrne, P.O. Box 9:1,0, Loysyille, PA 17047 I nterval. Between Onset and Death Immedia.teCause Multiple Organ.Fai:iure (a) (b) (c) (d) Part. II: OtherSignificanfCon9itions This is tocel'tifythat Jheinlormation hef~.giveniSGprrecHycopied from an 9riginalc..ertiHc..ate of death duly Hied with mea.slocal Registrar-The originalcertificate~Hlbe forwarded .tothe Slate Vital Recor.' Oftice. tor permanent'.Ii1ing~_~J ~ .~~455 June ..6, 2007 101 Barnett S-t.i.N~W .Bloomfield, PAJ.7Q68 Manner of Death Natural Accident [Xx o o ~~r'...' '':;:;;'''.' :...... L" , . .1' C) : .: ~r=t r- .~_. ~~ rn :.,:cn~ o'Cl .--\00 :.:..;cJ"Tl . ; ...... .::oJ. :0--91 ~-"" '-4 c::;) CM\ ....., Q c:: .. ,-- :0 -::C. '0.1, r l 1[..... J f!i-1 :55 .; '':''i::.1":,--'. rrff...,; "";<D f"":'":i ;,-~-.., "::;- -j '-, -; ~, . -11 ;::-: ;~~ ........ -.J ..,., 3: ... I'.) . .0. N. .-.J :- ~,--'j ~-~.-~-' " Describe how injury occurred: Homicide Pending Investigation Could not be Determined 17013 M.D~ (M.D., D.O., Coroner, M.E.) Date' f:teceived by Local Registrar City, Borough, Township StreefAddress '" .. .... . .,_A .QE. ('") ~o ~.~ ::0 ':;;-0 ;;:;1;0 : ,"';F;i ,~::o vA Qo \....J If C= ::0 'U-l )> I'-..) <:::) <= ...... C- c= r- !~.g C~ <~~ "'"] l-c...~'l l-'i'i l::J <:~~ -'r~i - ;--; ;':'1'''; LAST WILL AND TESTAMENT GRACE I. FULLER -.J " ::J:I: r:-? N co I, GRACE I. FULLER, of R. D. #1, Shermans Dale, Perry county, pennsylvania, being 6f sound and disposing mind, memory, and under- standing, do hereby make, publish, and declare this my Last Will and Testament, hereby expressly revoking all other writings in nature testamentary by me at any time heretofore made. FIRST: I direct that all my debts and funeral expenses be paid as soon after my decease as may be practicable. SECOND: I hereby give, bequeath, and devise all the rest and residue of my estate and property, real, personal and mixed, of what- soever nature and wheresoever situated, of which I may die seized or possessed or to which I may be entitled or of which I may have the right to dispose at the time of my death, absolutely and in fee simple to my husband, Clyde W. Fuller, if he is living at the time of my death. THIRD: In the event that my husband is not living at the time of my death, or in the event that he and I shall die simultaneously, then I give, bequeath and devise all of my property to my daughter, Sue E. Fleisher. FOURTH: I hereby appoint my husband, Clyde W. Fuller, as Executor, of this, my Last will and Testament, but in the event that he is unable jj~ 0,J~ GRACE I. FULLER (SEAL) PAGE ONE OF TWO .. ; t . ., or unwilling to serve, I then appoint my daughter, Sue E. Fleisher, as Executrix, of this, my Last Will and Testament, and t direct that they shall not be required to give bond or other security in any jurisdiction wherein proceedings may be held in connection with my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 30th day of November, 1972. WITNESS: ~~r--- li~ 0. ..!/~ GRACE I. FULLER (SEAL) ,. PAGE TWO OF TWO 01.' Dl blo ,y OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS Cumberland COUNTY, PENNSYLVANIA Estate of Grace I. Fuller , Deceased Gerald K. Morrison , (each) a subscribing witness to (Print Namels) the iii Will [] Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that ~ he / ~ was'ow<<ts: present and saw the above 'Ras:1Bior / Testatrix sign the same and that ~tt:/ he / ~ signed t?e same and that xJbeJt he / thcJ: signed as a witness at the request of the ~/ Testatrix In her / m presence and in the presence of each other. ~c~ 4 West Main Street (Signature) (Street Address) (Street Address) New Bloomfield, PA 17068 (City, State, Zip) (City, State, Zip) Executed in Register's Office Sworn to or afflmled and subscribed before me this . /3 ~ day ,~CD7. Executed out of Register's Office Sworn to or affirmed and subscribed before me this day of NOTE: To be taken by Officer authorized to administer oaths. Please have present the originat.oo:~ o~trurLejt(JU~~otarization. - -'......, . It-\ ! :.:.J,j]\.../ Form RW-03 rev. 10.13.06 ~ \ OJ 0lP1Y OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS Cumberland COUNTY PENNSYLVANIA , Estate of Grace I. Fuller , Deceased Sue E. Amsley and (each) being duly qualified according to law, depose(s) and say(s) that Grace I. Fuller she ~KcJC.Kt1\~ was / ~ftX well- acquainted with and ~e familiar with the handwriting and signature of the decedent, and that the signature of Grace I. Fuller to the foregoing instrument purporting to be the Last Will and Testament/Codicil of Grace I. fuller is in kM/her own proper handwriting. (J~ ~ ~ (S~ 0 74 Derbyshire Drive (Street Address) Carlisle, PA 17015 ~~~~~ ~~~~~ (Signature) (Street Address) Executed in Register's Office Sworn to or affirmed and subscribed before me thiS~ day of . . '.' \<& ' ~) . Vd l.h) 'j ;,(uJ/!n8 mno:) S,N\fHdClO :10 >lH318 L2 :2 ~d L I lOr LOOl Form RW-04 rev. 10.13.06 ~; "'1_/\1\ ...,~':~,I ~r, , I" ,"'"Ir-'; i(".'-)"!t -lJt.;,.\ ; 114\ "400::;0 _J'....J....v ~......""~\,.~