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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
, Deceased
COUNTY, PENNSYL VANIA
File Number tl-Dl~~?~qi ~~
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Social Security Number 198-30~~i, ~:~
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Estate of Ethel L. Wickard
also known as N/ A
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
--h
IZJI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executors
last Will of the Decedent dated December 6, 1968 and codicil(s) dated None
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.J:"" named in the
WI
(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: No exceptions
o B. Grant of Letters of Administration
(lfapplicable, enter: c.t.a.: db.n.c./.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 any) and 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
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at
Sarah Todd Home. 1000 West South Street. Carlisle. PA 17013 (Borough of Carlisle)
(List street address, town/city, township, county, state, zip code)
Decedent, then 88
years of age, died on July 12, 2007
at Sarah Todd Home, above address.
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(lfnot domiciled in PA) Personal property in Pennsylvania
(lfnot domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
70,000.00
$
$
$
$
situated as follows: None
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
George p, Wickard, 551 Bloserville Road, Newvile, PA 17241
Donna L. Hill, 515 Mohawk Road, Newville, PA 17241
Larry W. Wickard, 117 Flintstone Drive, Newville, PA 17241
Page 1 of2
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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 conrtl9t to the best of
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the knowledge and belief ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitio~cr) wilI wetHlnd tru,ly
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administer the estate according to law. st <;:::2 ~~ '
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Sworn to or affirmed a/dubscribed
befi e me the di3 day of
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Signature of Personal Representative
File Number:
dI/ -c90tJI7- (p9V
Estate of Ethel L. Wickard
, Deceased
AND NOW,
having been presented
are hereby granted to
Date of Death: July 12,2007
, ,2tfJ 7, in consideration of the foregoing Petition, satisfactory proof
ore , IT IS DECREED that Letters Testamentary
eorge P. Wickard, Donna L. Hill, and Larry W. Wickard
in the above estate
and that the instrument(s) dated December 6, 1968
described in the Petition be admitted to probate and filed of record
/35 UJ
Letters ............... $
Short Certificate(s) . . . . . . . . $ V. 66
Renunp)3tjo? (f) .......... $ ~, ~
1/ I {f ... $ ;:.
1.& (:J . . . S/() ~u
--; ~-b ... $ S{0
.. . $
.. . $
.. . $
...$
. .. $
.. . $
TOTAL .. . . . . . . . . . . . . $ 0.00
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FEES
Attorney Signature:
~
Attorney Name:
Robert R. Black
Supreme Court 1.D. No.: 6267
Address:
36 South Hanover St., Carlisle, PA 17013
Telephone:
717-243-3727
Form RW-02 rev. 10.13.06
Page 2 of2
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fe,..: for thl\ cl'rtifieate, \(].()(J
Certifiettinll Numher
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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 he forwarded to the State Vital
Records Office for permanent filing.
P 13 6 2J 1_~1
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Local Registrar Date Issued
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H105-143 REV 11/2006
TYPE I PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
I .
Bb. County 01 Death
CUIlberland
Sd. Facility Name (If not institution. give street and number)
Sarah Todd Memorial Home
3<1.
DOlher. Sped~'
10. Aace:American Indian, Black, White,etc.
(Spedftj
White
t _ Name of Decedent (FII'St, rnilXIe, last, suffix)
Ethel L. Wickard
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6. Dale of Birth (Month, day, year)
5.AlJlIllestBlrthday)
88
ApriL25, 1919
Newville PA
Sa. Place 01 DeaIt1 (Check only one)
HospItal:
o Inpatient 0 ER! Oulpatient 0 DCA KJ Nursing Home 0 Residence
9. Was Decedent 01 Hispanic Origin?
(lfY8S,specifyCuban,
Mexican, Puerto Rican, elc.)
11. Oecedenrs Usual 000
Kild 01 Work
Food service
mosl of wo ife. Do not stale retired
Sc~~"I'Di";t'bct
12. Was Decedent ever in the
U.S. Armed Forces?
Dv" fJNo
Deaiden"
AcluarAesidence Ha.State
13. Oececienrs Educallon (Specify only highesl grade completed)
Elementary I Secondary (0-12) GoIlege (1-4 or 5+)
12
14. Marital Status: Married, Never Married,
W_,O"""'-d($pedftj
Widow
. 16. Decedent's Mailing Address (Street, city Ilown, slate, zi;l code)
17b. County
PA
CUmberland
Old Decedent
Livelna
Town~?
17c.DVes,Dacedentl.Jvedin
17d.kJ ~~o~MIt1in
Top.
1000 West South St.
Carlisle
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21a. Method of DIspos/tIon 0 Cremation 0 Donalion
. [j Burial 0 Removallrom Stale I Was CrematIon or Donation Authorized
o Othe<.Spoci~, i by_'Eurn'""'C......,., Dv"DNo
~ 22a.SlgnallKeolF (orpersor) acting as such)
19. Mother's Name (FIrst, mldcIe, maiden surname)
Carrie Negley
2Ob. lnlormanrs Mailing AdcIrlISs (Street, city / town, slate, lJ;) code)
117 Flintstone Dr., Newville PA 17241
21c. Place 01 Disposition (Name of cemetery, crematory or other place)
St. Peters Lutheran Church
21d. Location (CIty/town, stale, zip code)
Cemet ry ~~tll~ PA 17241
& Crematory
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Complete Items 23a-c only when certiIyIng
physician is not avelable at time 01 dealh 10
cer1lfycauseoldeath.
Items 24-26 musl be completed by person
who pronounces deBlh.
her than Cremation or Donation?
==iC'I'~
SE.nIJ
Approximate interval: Part,lI: Enlerolher sicniflcllnt lDIlliIions contJb.Jbi todftalh 28. Did Tobacco Use Contribulelo DeaIt1?
Onsel 10 DeaIt1 '~noIl'8SU/1inglnlheunderlylngcausegivenlnPartl. 0 Ves DProbabIy
[3'1ro 0 U,_
z.i:)
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29.1r Female:
~pregnantwithinpaslyeer
o Pregnanlatlimeoldealh
D NoIpregnanl,bul pl"egnantwithin 42 days
of death
o NoIpllq\arll,butpregnanl43daysto 1 year
beforeclealh
o Unknown If pregnant within the past year
32c. Place of Injury: Home, Farm, Street Factory,
Office Building, etc. (Specify)
SoqIlonIlaly'._,''''Y,
leadr.atotflecauee listed 00 fine a.
Enter !he UNDERLYlNG CAUSE
=se~'t~~~1re
Due to (Of as a consequence 01);
b. ~ i..l rJ ft'b1
Due 10 (or as a consequence o~:
~
,AIft~
Due 10 (or as a consequence oJ):
d.
o
~
1& II Jail 10
32d. Time 01 InjUl)'
32g. localKm 01 Injury lSlreel,cityftown, stalel
JOa. Was an Autopsy
Performed?
3Ob. WereAulopsyRndings
Available POOr to Completion
01 Cause of Death?
31. Manner of Death
o Ves [31'10'
Dves DNo
[31qa."., 0 Hom_
O AccIdent 0 Pendog Investigalioo
o Suitide 0 Could Not be Delermined
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33a. Cel'ttlier(check oolyone)
CertIfying physician (Physician certifying cause of dealh when another physician has pronounced dealh and compleled lIem 23)
To the best ofmy knoYnedge, death occurred due to the cause(s) and manner sa stated.._ __ _ __ _ __ _ _ __ _ _ _ _ __ __ _ __ _ _ _ _ _ _ __
=~~:=,~~~~:::"=n~dea~~:~~ok>~::~~~ manner I' Blaled_ __ _ _ _ _ __ _ __ _ __ __ _ 0
Medlcsl Examiner I Coroner
On 1M balls of examination and I Of" investigation, In my opinion, death occurred at the time, dale, and place, and due to the cause(s) and manner IS staled.. 0
MO-044-6~u"'"L
34. Name and Address of Person Who Comp/eted Cause of Dealtl (lIem 27) Type I Prinot
WIU-1 ~ S. KA-Up.(:jt.fIHV ,1\4
14tl S PlttNb !LO I4LLISLf
33d. Dale S91ed (Monlh. day, year)
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Disposition Permit No
LAST WILL AND TEST AMENT
OF
ETHEL L. WICKARD
I, ETHEL L. WICKARD, of Upper Frankford Township, R. D. 3,
Newville, Pennsylvania, declare this to be my Last Will and revoke any Will
previously made by me.
ITEM I: I direct that all my just debts and funeral expenses including
my grave marker shall be paid from the assets of my estate as soon as
practicable after my decease.
ITEM II: I devise and bequeath the residue of my estate, of every nature
and wherever situate, to my husband, George B. Wickard, providing he shall
survive me by sixty (60) days.
ITEM III: Should my husband, George B. Wickard, predecease me or
die on or before the sixtieth day following my death, I devise and bequeath the
residue of my estate, of every nature and wherever situate, to my issue livin
on the sixty-first day following my death, per stirpes.
ITEM IV: 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 the administration
of my estate.
ITEM V: I appoint my husband, George B. Wickard, Executor of this my
Last Will. Should my husband, George B. Wickard, fail to qualify or cease
to act as Executor, then I appoint my three children, George P. Wickard,
Donna Lee Wickard and Larry W. Wickard, Executors of this my Last Will.
ITEM VI: I direct that my personal representative shall not be required
to give bond for faithful performance of their duties in any jurisdiction.
IN WITNESS WHE REOF, I have hereunto set
December, 1968.
day of
The preceding instrument, consisting of one pewritten page, was on the
day and date thereof signed, published and declared by Ethel L. Wickard, the
Testatrix herein named, as and for her Last Will, in the presence of us, who
at her request, in her presence and in the presence of each other, have sub-
scribed our names as witnesses thereto.
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LAW OFFICES
LANDIS. McINTOSH
Be BLACK
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CARL.ISLE. PENNSYLVANIA
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OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
C~IA M ~I?AJ V). COUNTY, PENNSYLVANIA
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Estate of
~
~ f 1-+ eLL- . WI C/~I4r< (J
, Deceased
R 0 f}r;. t2. ,- K &rYC-k: , (each) a subscribing witness to
(Print Name/s)
the ~Will 0 Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he / they was / were present and saw the above Testator / Testatrix sign the same
and that she / he / they signed the same and that she / he / they signed as a witness at the request of
the Testator / Testatrix III her / his presence and in the presence of each other.
(SigJ1t~ t (3f ~ '(
U $. rJlt/l/o >P3v2 S,-
(Street Address)
CfJ-r<U SL~ J /11-. 11 () 13
(City, State. Zip) ,
(Signature)
(Street Address)
(City. State. Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
dl3rd- day
of ,c9C1J1 .
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this
day
of
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy ofinstrument(s) at time of notarization.
Form RW-03 rev,10,H06
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OATH OF NON-SUBSCRIBING WITNESS(ES)"I [>1
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REGISTER OF WILLS
Cult1m~U1-tl' COUNTY, PENNSYLVANIA
Estate of
~ '11+~L. L. W1C(C{.fRf)
, Deceased
LQ(~lcm(d
(each) being duly qualified according to law, depose(s) and say(s) that
acquainted with G heJ LJ'\J I citJrd
and
she / he / they
was / were
well-
and am/are familia~ 1; /) _ /
S~f L. N,'lJ.bZ@
with the handwriting and signature of the decedent, and that the signature of
instrument purporting to be the Last Will and Testament/Codicil of
., ~ ~ cfurd is in his/her own proper handwriting.
(Signature)
(Street Address)
IV GW()/ vLES' fp ('T 2'+/
(City, State, Zip) (
(Street Address)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed t subscribed
before f\ this ~ _ day
or r \ 0" rXJ07 .
FormRW-04 rev./O./3.06