HomeMy WebLinkAbout07-23-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of Frank Gallawav Jr
also known as
Frank Gallawav Jr
~ 'C-)1- C/,1),)
File Number' 1l"'1 '
, Deceased
Social Security Number 459-52-8747
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW:)
lKl A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the executrix
last Will of the Decedent dated 5/2/2003 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:
D B. Grant of Letters of Administration
(If applicable. 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 anYt~nd 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) 6
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Name
Relationshi
~~ N
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his / her last principal residence at
107 A Street Plainfield PA 17081 West Pennsboro TWD
(List street address, townlcity, township. county, state, zip code)
Decedent, then 77
West Pennsboro TWD
years of age, died on 6/29/2007 at 107 A Street
Cumberland County
PA
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
$
$
$
$
14.100,00
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:
Typed or printed name and residence
Edna Mae Gallaway
107 A Street Plainfield
PA 17081
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 of Petitioner( 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 ?0(d
day of
~.
Signature of Personal Representative
y.
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Signature of Personal Representative
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Signature of Personal Representative
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File Number:
(Qj-O'7- QwQS
Estate of Frank Gallawav Jr
, Deceased
Date of Death: 6/29/2007
, <y. co7 , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IS E REE that Letters Testamentarv
are hereby granted to Edna Mae Gallawav
in the above estate
and that the instrument(s) dated Mav 2. 2003
described in the Petition be admitted to probate and filed ofreco d as the last Will (and Codicil(s)
FEES
Letters ....................,........ $ 60.00 ~w~~
Short Certificate(s) ~..~.~~ $ 8.00 Attorney Signature:
Renunciation( s) ................ $
Will $ 15.00 Attorney Name: Jan L Brown
Automation Fee $ 5.00 Supreme Court J.D. No.: 67993
JCP Fee $ 10.00
$ Address: 845 Sir Thomas Court Suite 12
$ Harrisbura
$
$ PA 17109
$ 717-541-5550
$ Telephone:
TOTAL ... ... ........ ... ..... ....... $ 98.00
Form RW-02 rev. 10.13.06
Page 2 of2
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
Wt~RNING: It is illegal to duplicate this copy by photostat or photograph,
t":l~ It)' thi, ccrtllicatc, Sh,OO
Ccrtifil'ation ]\ulllhL'r
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This is to certif: ha! th,? inform ,lion here given is
correctly copied'r 1111 ,:nJriginal ( 'ertificate of Death
duly filed with 11l<~ a., Local Regstrar. The original
certificate will b: it1rv'ardl'd r) the State Vital
Records Officc ! ,)1' pcnn;ment tili 19.
P 1362078.-I__
2007
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H1Q5.143 REV 1112006
TYPE I PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
1. Name or Decedent (First. middle, Last, sufIlx)
Frank Gallaway, Jr.
5. Age (last Birttlday)
6. Dale 01 Birth (Month, day, year)
STATE FILE NUMBER
Cumberland
459
- 52
8747
4, Dale of Death (Monlh, day, year)
June 29, 2007
77 Vrn,
Bb. County of Death
4/1/1930
RobstONll, TX
Ba. Place 01 Death (Check only one)
Hospilal: Other:
o Inpatient 0 EA I Oulpatienl 0 DOA 0 Nursing Home lZJ Residence OOlher _ Specify:
9. Was Decedent of Hispanic Origin? ex No 0 Yes 10. Race: American Indian, Black, 'Mlite, etc.
(~yes._Cu"n. (Specify)
Mexican, Puerto Rican, etc.) White
Bel. FacIity Name (Ilnotinstilulion,[jveslreel and nOOlDerI
Twp.
107 "A" Street
17b. County
PA
Cumberland
Did Decedent
Llveina
Townslllp?
17C.lKI Yes,DecedentUvedi'l
17d, 0 No,DecedeotLivedwithin
Actuallimllsof
Twp,
11. Decedent's UsvaI Occu alion ~d of work done most 01 we lie. Do not state retil'lld
KlndofWorll KindofBusinessl1ndusll}:.
hipping Foreman Quaker Oats Co.
. 16. Decedenrs MaHing Addtess (Street. city Ilown, stale, zip code)
107 "A" Street
. Plainf ielo, PA 17081
18. FathM's Name (First, midcle, last, suffix)
Frank Gallaway
12. Was Decedent ever in the
U.S. Armed Forces?
BaYes DNa
Decedenrs
Actual Residence 17a. Slate
13. Oecedenrs Educalioo (Specify only highest grade completed)
Elementary I Secondary (0-12) College (1-4 or 5+)
4
14. Marilal Slaws: Married, Never Married,
Widowed, Divorced (5pecif)ij
Married
CIlyfBoro
c
~
!Ii
;;i
19, Mother's Name (First, midlIe, maiden surname)
Anna Esther Po;vell
2Otl. IntolTl'lant's Mailing AdttnIss (Street, city !town, state, zlJ code)
107 "An Street, Plainfield, PA 17081
21c. Place of Disposition (NBmeof cemetery, crematOty orothllr place) 21d. Location (City flown, state, zip code)
s Cremation Services
Leola, PA
Hame, Inc., Carlisle, PA 17013
DVes ONo
31. Mamerof Death
~N'~raJ 0 H_
0- OP"",,,,I....,,.,,,,
o Sulcido 0 Could Not.. Deloonl"""
Approximale inlerval: Part II:, Enter other slonlficanl condlllons mnIrihulioo 10 dgAltl 28. Did Tobacco Use Contribute 10 Death?
Onset to Death but>l1ot resulting in the underlying cause!jYBn in Part I. ,0 Ves 0 Probably
. No D Unknown
29. If Female:
, DNotpregnantwilhinpasl~r
D Pl'e{P'lantal~meotdeath
o Not pregnant, but pregnant wIIhill42 days
of death
o Not pregnant, but pregnant 43 days 10 1 year
beloredeath
o Unknown il pregllanl wiIhirllhe past year
32c. ~~\:n~::~~~jSlreet, Factory,
Items 24-26 must be completed by person
. who prnnounces death.
~~f::~~~n~~ C\disea~
5eQuentlaIIvIistcorKllions,W8flY.
IeadrIg 10 the C8U8B liated on ~ne a.
Enter the l.INDEALYlNG CAUSE
(dsease Of il:ljury that inilialed the
events resullitlg In death) LAST.
b,
Due to (or as a consequence of)'
d,
308. Was 8f1 Autopsy
P9l'formed?
300. Were Autopsy Flmlngs
AvaMabIe Prior to ComplelJon
ofCaU&eotOeath?
OVos )d.'"'
32d. TIIT18 of Injury
32g. Location of Injury (Slreel,ciIy/IOwn, s1atel
.,
Iz
fii
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338.. Certilier(dleckon'Yone)
Certifying physlclan (Physician C9rIifying cause of death when another physician has pronouncad death and completed llem 23)
To the belt of my knowledge, death occul'I1Id due to the C8Use(S) Ind manner IS stilted.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
~,:n~,.~=~,:, ~~~:thti~::e~::e1DI~=~~)~~~ manner IS stated.- _ __ _ __ _ __ _ __ __ _ __ 0
Medlcll Ellmlner f Coroner
On the blala of examination and I or investigation, In my opinion, death occulTed lit the time, dale, Ind place, and due to the cause(s) Ind manner liS atatecL 0
j9~~"oM~~~~~
1C;!llldlllOI
Disposition Permit No.
no,~?:'+D7
LAST WILL AND TESTAMENT
OF
FRANK GALLA WAY, JR.
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I, FRANK GALLAWAY, JR, of West Pennsboro Township, Cumberland Coun~yl
Pennsylvania, declare this to be my Last Will, hereby revoking all prior wills and codici~;:':.j
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FUNERAL EXPENSES
FIRST: I direct the payment of my funeral expenses, including my gravemarker, as soon
as may be convenient after my death.
PAYMENT OF DEATH TAXES
SECOND: I direct that all taxes that may be assessed in consequence of my death, of
whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a
part of the expense of administration of my estate.
DISTRIBUTION OF RESIDUE
THIRD: I give the rest of my estate to wife, Edna Mae Gallaway, providing she shall
survive me for a period of thirty (30) days. If she shall not so survive me, I give the rest of my
estate, per stirpes, to my issue who survive me for a period of thirty (30) days.
PROTECTION OF BENEFICIARIES
(Spendthrift Provision)
FOURTH: No interest in income or principal shall be assignable by a beneficiary or
available to anyone having a claim against a beneficiary before actual payment to the beneficiary.
Provided, however, any beneficiary may assign any part or all of the beneficiary's interest in my
estate to anyone or more of my descendants or to anyone or more of the beneficiary's
descendants.
MINORS AND INCAPACITATED BENEFICIARIES
FIFTH: If any income or principal shall be payable to any person who shall be a minor or
who shall be incapacitated for any reason, my executor as trustee shall hold such income and
principal during minority or incapacity and shall be entitled to apply such income and principal to
c:J 4j.
initia
the health, maintenance, support and education of such person during minority or incapacity
without the appointment of any guardian or committee or any authority of court. My executor as
trustee shall be entitled to make direct application hereunder or to make application by payment of
income and principal to the parent or other person in charge of such minor or incapacitated
person, or to his or her guardian or to a custodian under the Uniform Transfers to Minors Act.
Any remaining income and principal to which such person shall be entitled shall be distributed to
such person upon the termination of minority or incapacity. My executor as trustee shall have the
same powers as my executor.
POWERS OF EXECUTOR
SIXTH: I confer upon my executor the right to sell or otherwise convert any real or
personal property at public or private sale, at such time or times, in such manner, and for such
price or prices, and on such terms and conditions as my executor shall determine, and to execute
and deliver good and sufficient conveyances, assignments and transfers of the property, without
liability of any purchaser for the application of any consideration; to borrow money and to secure
its payment by mortgage of real or personal property, pledge of investments, or otherwise,
without liability on the part of the lenders to see to the application thereof; to retain any
investments at discretion; to invest and reinvest at discretion, without restriction to so-called
"legal investments"; to make distribution in cash or in kind; to allocate and distribute different
kinds or disproportionate shares of property or undivided interests in property among
beneficiaries, in cash or in kind, or partly in each; and to do all other acts and things necessary or
appropriate in the management, administration and distribution of my estate.
APPOINTMENT OF GUARDIAN OF ESTATES OF MINORS
SEVENTH: I appoint my executor as guardian of the estates of minors with power to
hold all property payable by law to a guardian appointed by my will and to use it for the minor's
health, maintenance, support and education, either directly or by payment to any person selected
by my executor to disburse it whose receipt shall be a complete acquittance. Guardian may, in
discharge of all the guardian's duties, pay any minor's share deemed impractical of administration
to the parent or other person in charge of the minor or to his or her guardian or to a custodian for
the minor under the Uniform Transfers to Minors Act. My executor as guardian shall have the
same powers as my executor.
APPOINTMENT OF EXECUTOR!RIX
EIGHTH: I appoint my wife, Edna Mae Gallaway, Executrix of my will. If Edna Mae
Gallaway is unable or unwilling to qualify as Executrix or having qualified is unable or unwilling
to act, I then appoint Debra Goodwin as Executrix hereof
c=T df~l
mIll
WAIVER OF BOND
NINTH: I direct that no fiduciary hereunder shall be required to furnish bond in any
jurisdiction, and if any bond is necessary, no surety shall be required.
INTERCHANGEABILITY OF LANGUAGE
TENTH: Words used in the singular may be read to include the plural or the plural may
be read as the singular. Similarly, the masculine form may be read to include the feminine and
neuter; the feminine may be read to include the masculine and neuter; and the neuter may be read
to include th(: masculine and feminine.
HEADINGS
ELEVENTH: The headings used on the various paragraphs of this will are included for
convenience only and shall have no legal significance.
I have signed this will this J ~ day of ~y
,2003.
c=X7/4>?'-"" ~~..,~? .
Frank Gallaway, Jr. -..
~~
Witness
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Witness
ACKNOWLEDGMENT and AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND
)
We, Frank Gallaway, Jr., the Testator in and the undersigned witnesses to the will, the
attached or foregoing instrument, who have signed the instrument, having been qualified
according to law do depose and say:
(a) that I, the Testator, do hereby acknowledge that I signed the instrument as
my will, that I signed it willingly and as my free and voluntary act for the purposes therein
expressed; and
(b) that we, the witnesses, were present and saw the Testator sign and execute
the instrument as his will, that he signed it willingly and executed it as his free and
voluntary act for the purposes therein expressed; that each of us in the hearing and sight of
the Testator signed the will as a witness and that to the best of our knowledge the
Testator was at that time eighteen or more years of age, of sound mind and under no
constraint or undue influence.
~..,.,.~ ~/~.-vq~ '
Frank Gallaway, Jr., Testato
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Witness
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Witness
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CA~,\ /' C\
:~t ~ 1\, '~~'-)Gv
( Notary Public Ij 0
i Notarial Seal
I ,:3,~san K. Guyer, Notary Public
I Carlisle BOlO, Cumberland County
L My Co~mi~~on Expires Sept. 4, 2003
:v!t)mL~~>' i"\p.;wsyh:2!r)'-~ A'~S(lG!9,tlon of Notaries