HomeMy WebLinkAbout08-08-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ( \. J.. II'A ~ ( l a. I'\~ COUNTY, PENNSYLVANIA
Estate of r\ 0 f e I\. c. p 'UY\
also known as
l.J\. ~1('l..r uer
File Number
~\
Social Security Number I 7 ~
D'l (') '1 i1 ~
" Iii 00 t.;tj
, Deceased
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
~ Probate and Grant of Letters TestalIl)in~ry and aver that Petitioner(s) is / are the I: X e c. -ref \.' )C
last Will of the Decedent dated ,-S(? D t- I '1 L f and codicil(s) dated -<; 0 i4 t I ~ (
I I
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 instmment(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
L:) C'oJ
(If applicable. enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absenlla; durUf'U" minorttate) =
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Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following ~~dij (if any) ~ heirs::}lf ";
Administration. c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ) ~ p G"'),' ,,' 0:'
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Res~hU ::.,
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Name
Relationshi
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent, then 85
at--ls;\o tiS P\; I.t N~sp ~k\
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 P A) Personal property in County
Value of real estate in Pennsylvania
situated as follows: G.\...a.<.:...~\I'\.(\ Qc:cCJv-..~ \ Cfl. r- , ?Q ('S~c"- \ %~l ""'V )
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:
$ ,Y/LbO.. crO
$
$
$
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T ed or rinted name and residence
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Form RW-02 reI', 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
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
atiminister the estate according to law.
('J.. l JY"\~ ~ ncL
SS
before me the
Sworn to or affirmed and subscribed
Signature of Personal Representative
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Signature of Personal Representative
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Estate of 'Ro 'f'MCe. m ~\c:;.".~ Ne../ , Deceased
Social Security Number: \1 lo \ L\ OO~ Date of Death: -, \ ~\. \C"
AND NOW, ~'1::~' 1<' ..:;let> I , in ,oMidemtion of thdoregoing Potition, ,,"'factory pmof
having been presented before e, IT IS DECREED that Letters \e~ ~~
are hereby granted to . t<'\n....rC\a... l - l 0 \. ~
and that the instrument(s) dated ~,~p m~ .r \, \Dfl~
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
r-\~rdo... ~ ~a~ . L ~
Register of-Wills ""':"0 -p .
File Number: .
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CX>
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in the above estate
FEES
Letters .... .1.,. QOP' ~ . $
Short Certificate( s) . (. S). . $
Renul1ciation(s) .......... $
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Attorney Signature:
. .. $
. .. $
.. . $
.. . $
.. . $
.. . $
. .. $
.. . $
. .. $
TOTAL .............. $
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$",00
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
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Form RW-02 rev. 10.13.06
Page 2 of2
HIOS.80S REV 101/(7)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Certification Number
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.
Fee for this certificate, $6.00
P 13770467
~/1l~
Local Regist~
JU'12 3 ~07
Date Issued
Y-is.
Annville, PA
Sa. Place of Deo1fl (Check ooe
~. 0 ER 10u1p0II0nt 0 OOA ~~ Home 0 Residence OOthor. Specify:
9.Wl!sDocodentofHiepelllcOrigin? ~ No 0 Yes 10. Raco:_Indan.!lladI.WhIle.elc.
(nyes,lIfJOCIfyCWan. 1Spe<;if)j
Mexiean.PIleno-'.olc.) whi te
13. !lecllderl. Educallon (Specify cdy..... grade compioled) 14. _ Sllllus: _. NeYer Manied. 15. Surviving Spouse In wlfa, giw _ name)
E1emenIary I Secondary 10'12) CoIl8g& II" or 5+) -. 0Mln:ad (Spe<;if)j
12 widowed
D;jDocodent
Uveina
T......tip?
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and Bxamptes on reverse)
3. SOCial Sacurity Number
176 14 0044
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3 REV 1112006
I PRINT IN
lMANENT
ACK INK
7. 8lr1hpIace ( ar<I_",
81>. County of Deo1fl
Cumberland
Bd. FacIIIy Name (Itnot..-.giw _and nurrl>ar)
Holy Spirit Hosp.
11. Dec:ed8nI'.UaeI
KindofWOlk
Hwsf
. 16. 0ecadenI'. Maiing Add.... (_. clOy 1_. _. q, eode)
moaIof lie. Do not_
Kndof_l~
12. Wl!s _....In the
0.5. _ Forces?
o Yes :Kl No
Oecledent'.
AcIUII ResidQnce 178. State
920 River Rd.
!7b. County
Pll.
Cumberland
17c.l)l Yes. _ u.od ~1i'
17d.D No._Uved_
......~of
Donnc:nn't"'/"'\
Twp.
cayl-
19. _. Name lFist, _. maIdan sumama)
stella M. Hartman
201>. Informanf. Maiing_ 1_ city 1_. _. q, codal
320 4th st. Summerdale,
21c.PIacooflllspoailion{Nameof~.aIlI1llllry"'_pla<e)
Woodlawn Mem. Gardens
PA
21d.LocalIonICllyI_.8lala.2ip_)
arrisburg,PA
~
'-A{tS~'1m~~FH&CS Inc.324 Hummel Ave. Lemoyne, PA
Camplala _ 23a-< only _ carIItyIng
phyM&llsnol_a1l1rreofdeslhln
Cll1lIy cauaa of deslh.
iiams 24-26 """ boromplalad by penon
who__.
2lIb. LIca!1sa Number
230. Oate Slgned (Moolh. day. ytIa~
26. Was Case RefelT8d to MedIcal Examiner I Coroner for a Reason O!her than Cremation or Donation?
o Yes 1'j(No
Approximat.mhlrVat
OnsellOOealtl
paft It: En&ar other IimibnI: anIIIiDn& contriluIiM 10 dMIh,
!Jut not raUting In the ~ causa lIwn in PaOt
28. Did Tob&cco Use Cool1bJte 10 Death?
o Yes DP~
o No Ii1Unknown
29'~~_pastyoar
o ~allit7leofdaalh
o Not plIplll. but _ani wilhln 42 days
aides'"
o Notpl1gllanl.bu11lfl1Jlan143daysto!year
baIolo_
o lJnI<.- i pregnant_the past year
32c 1::=~) Shoal. Factory,
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EnIer ftle UIIlERLYI<<l CAU9E
=-~~=r.a
. ~1~:..1~uj MPJI'ia.f' ~ ArIes T
b. -Se I/erp. SeD5/,S , .
c. tNa(!,(1:;~d:1I1~ D. (:,f-\~/Il?. ColiTIS
tNato(",..a_oI):
Atlute R.e.t>CI/ kll'liJl'e
lYluM ot'C(f1) r-aiJurl'"
~~r~~n~lrA~
300. Wu an~
-
d.
301>. w... ~ Fl1dngs
A_PriOllnComclelIon
of ClUllI of Deadl?
DYes ~No
DVes ONo
31._alDaaIh
~O-
o - D PendIng InvesIigaIion
0- DCouIdNotbo_
32d. Tma oflr;xy
32~ Location oflnjury(Slroel, clOy ,_, slalal
M.
331. CeftiIlar (d1eck 0!lIy ana)
. CIr1IfotIo9 ~ (PhysOdan cartiIying causa'" _ _ anolhar physlcian his piOnOtJIlCld _ and completed llam 23)
To the baat ",my-.. __ dlootolhacauaa(a)and _es~__ _ _ _.. .__. u _.... _. u. _.. _ _. _.. D
. l'lonouncIn\Iandcartllyfngp/lyllclan~bolItpnlllOl.WlClng_andcertllylnglncausaof_) ~.day,yearl
. ::..~:.=-__atlha_._andpD.anddloolothecauaa(al.......,araa~u__m___u____ MD4 2-<1~ q3 ?-1107
On the..... 01_ and lor -.......", my opnlon, - - at the U... -, and pIaca. llld duo 10 tlM _'1'" manner es -- D 34. Nama and AHvri' ~A; (Ilam 27) TYlI" P1inl
10(1 /Io? 1/ 1 "1 36. Fled 0$;7 5D?J N, :21Sl-- ~~ 1, ~'/rT1H_..L- , rA 1701/
""""'_Perm'No OO~O (."tq
35.
..
LAW OFFICES OF
WILL OF
FLORENCE M. WISEGARVER
I, FLORENCE M. WISEGARVER, of Marysville, East Pennsboro
Township, Cumberland County, Pennsylvania, declare this to be my
last Will and hereby revoke all prior wills and codicils.
1. I direct that all my just debts, funeral expenses, grave-
marker and administrative expenses shall be paid from my residuary
estate as soon as practicable after my death.
2. I direct that all inheritance, estate, transfer, success-
ion and death taxes of any kind whatsoever which may be payable by
reason of my death shall be paid out of my residuary estate.
3. I direct that my entire estate be distributed as follows:
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A. I leave my house located at 920 River Road, Marysville,
East Pennsboro Township, Cumberland County, Pennsylvania,
to BRYAN K. WISEGARVER and LESLIE WISEGARVER, husband and
wife, subject to any existing judgments or liens against
the property.
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B. I leave the remainder of my estate to be divided equally
between my other six children surviving at my death,
MARCIA L. LAYTON, LAUREN: E. COOVER, DIANE L. KENNEDY,
SUSAN K. EMANUEL, BRENDA J. WITMER and STEVEN C. WISE-
GARVER.
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C. I give those articles of my personal effects and personal
property to the persons designated in a separate memorandum
which I shall place with my Will.
4. I appoint my daughter, MARCIA L. LAYTON, as Executrix of
this my last Will. If she should predecease me or cease to act in
such capacity, I name my daughter, LAUREN E. COOVER to so serve.
5. The Executrix of this Will shall have the power to distri-
bute my estate in kind or in cash or partly in either.
6. I direct that no Executrix acting under this Will shall be
required to enter bond in any jurisdiction.
II~JTNESS WHEREOF, I have hereunto set my hand this /6~day
of ~~ ,1991.
~
~~~'~~~'-Q "0
FLORENCE M. WISEGARVER () -
STEPHEN J. HOGG
401 E. LOUTHER STREET
CARLISLE, PA 17013
D~\u
S;m(!.,
LAW OFFICES OF
STEPHEN J. HOGG
401 E. LOUTHER STREET
CARLISLE, PA 17013
The preceding instrument consisting of this and one other
page was on the day and date hereof signed, published and declared
by FLORENCE M. WISEGARVER, 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 subscribed our names as witnesses hereto.
'~6 cv~ ~ C\J\-Q.t r- -~l:x.u-~
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LAW OFFICES OF
STEPHEN}. HOGG
401 E. LOUTHER STREET
CARLISLE, PA 17013
ACKNOWLEDGEMENT
Commonwealth of Pennsylvania
ss
County of Cumberland
I, FLORENCE M. WISEGARVER, the testatrix whose name is signed to
the attached or foregoing instrument, having been duly qualified accord-
ing to law, do hereby acknowledge that I signed and executed the in-
strument as my last Will; that I signed it willingly and as my free and
voluntary act for the purposes therein expressed.
~~~~\c-.(:).' V- ~
FLORENCE M. WISEGARVER <:s
Sworn to or affirmed and acknowledged be
WISEGARVER, the testatrix, this /oiV'-day of
7"
--,
Notarial Seal I
Stephen J HorJJ. NotalY Public I
Carlisle Bora, Cumberland Coumy
My Commission Expires Juna 19, 19".,JAF IDAVIT
~~, Per.nS\lj'lani8 A.",sod8!ion rf, N0lBriBF
Commonwealth of Pennsylvania
ss
County of Cumberland
We,~"'lo.l t:6A.Q.~,,- :))w;..... and 0bsan /11, Qal't)-er ,
the witnesses whose names are signed to the attached or foregoing in-
strument, being duly qualified according to law, do depose and say that
we were present and saw the testatrix sign and execute the instrument
as her last Will; that the testatrix signed willingly and executed it
as her free and voluntary act for the purposes therein expressed; that
each subscribing witness in the hearing and sight of the testatrix
signed the Will as a witness; 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.
~J:;.eb:X ~ H- A f\ \.... \ r-ib '" \( \ S
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this
sw~ to or r;~~~ subscribed to before
/0 day of ~' 1991.
me by witnesses,
NOt2_:l&i '3,?~j
f' S~0Phen .,,;,
I Ca'1iS<9 SOlO,
~". Co"nmls@()" Expire:" 'w.'" ..,:,
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