HomeMy WebLinkAbout08-06-07
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PETITION FOR PROBA TE AND GRANT OF LETTERS
REGISTER OF WILLS OF C tl tJfl3€t:!L,fNJ> COUNTY, PENNSYLVANIA
Estate of
James r. ~;I1SD;t
File Number c:J / - () 7 -&'1 (p
/7:/- /'1- 'I' 7
also known as
, Deceased
Social Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s)..u,.,i are the (J,-eJtP-"1Jhr,f
last Will of the Decedent dated IY1 1 I flfo aI'lB el'lBieil(3) a!ltetl
named in the
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 11It..
o B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b,lI.c.l.a.; pendente lite; durante absentia; durante mlnorllale)
Petitioner(s) atier a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
AdmlnistratiOlI, c.t.a. or d.b.ll.c.t.a., elller date of Will ill Sectioll A above and complete list of heirs.)
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additiollal sheets ifllecessalY.
Decedent was dOITjiciled at death in C It.M}urltUZt/ Coupty, Pennsylvania with his /-Itetolast principal residence at
'1 E. h1o/1/ew()~eI Aile., lJ1e.cJt(ln;c.~bur?, 1714 /7os~ -
(List street address, town/clt)', towllship, COllllt)', slate, zip code)
Decedent, then
3'3
Ht'/voftJp.-,f IItJJ'NA!, J:"". fJenns!XJro /Wf/-
I .
years of age, died on
/lufqsfl. zmJt at
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in P A) Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
$ /tJ/tf/aJ,/J()
.
$
$
$ ~/HX)''''_
elA-MW!Mttl a~
situated as follows: C; ~ 1/1~~"'tJNI /!pe ., ,tJNo':fh ,f' AltdJ4K/~5'U"j.,
Wherefore, Pctitioner(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:
Signature
Typed or printed name and residence
Fu,.,,, RW-OJ IBI',10.1306
Page 1 of2
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF C U 11113E-IGL4-ItJ.P
Oath of Personal Representative
S5
The Petitioner(s) above-named swear(s) or affim1(s) that the statements in the foregoing Petition are true and con-ect 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.
x~R~
Signature oj Personal Representative If LIZ ~ IJt!F /11 If. UN ae-E
,4
SignalllreoJPers na Representative l)JeIUUL'/ R. $t.A-l:>E
Signature oj Personal Representative
File Number:
J., I - 07 -- 0 '73CrY
Estate of J/tn/ts r ~LJ/4StP#
Social Security Number: /r~- l/f- {,167
, Deceased
Date of Death:
t?/J /Z~o 7
.
AND NOW, , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters 7e..sfI/Aledf~l'lf
are hereby granted to E /izltbelh ,f. t( 11ftr p-*,d /J1 f!/'r/{y -' ~ S /4 d~
~.Gt 41~I"/ lv ,(l J' /Jt I 'J(
;'
in the above estate
and that the instrument(s) dated m~ 7, /qQO
described in the Petition be admitted to probate and filed of recor as the last Will Efuld Cud;c-il(~)) of D cedent.
rr
FEES
Letters ............... $_00. CO
Short Certificate(s) , . . . . , . . $~
~Ren~IIlCiation(s) .'.....::: ;~I(J)
. / '. ...$ I
.. . $ , .
.. . $
...$
.. . $
...$
. . . $
.. . $
TOTAL.. .. .. . .. . .. .. $JY(J C<)
FUr/II RW-02 rei'. 10./3.06
Attomey Signature:
Attomey Name:
e/Arles E S/lIe/d.(:Iii
jJ'sl3
0, (!./OkSer Rd
lJ1ecI,4n,"CSbU7' PII 170S$'
Supreme Court l.D. No.:
Address:
Telephone:
7/7- 7'~ - C);/o7
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LOCAL REGISTRAR'S CERTIFICATION OF DEA 'll
WARNING: It is illegal to duplicate this copy by photostat or photograph,.
Fcc for thIS cL'rtificate Sh.OO
Ccrtificatlon ;\iUl1lhCI
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This is to certify that 'h,~ inlprlllation here ,c:iven IS
correctly copied I'rolll ~ 1 Jri,l!lnal Certilicate of Death
dulv filed with me a\ ~ocil Re,:lStrar The original
certificate will hc j, '\\arckd 10 the Statc Vital
Records Office fill' pt'rrnanel!t filll1g.
P 13770988
.~
I.ocd
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Registrar '?;J Date Issued
1, Name 01 Decedent (Firsl, middle, lasl, suffj~)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
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3 REV 1112006
I PAINT IN
lMANENT
ACK INK
Cumberland
STATE FILE NUMBER
James F.
5, Age (LaSl Birthday)
6. Date of Birth (Monlh, day, year)
3. Social Security Number
192 - 14 - 6167
83 Yrs.
Bb. County of Death
Other
. 16. Decedent's Malllng Address (Street, city I town, state, zip code)
9 East Maplewood Avenue
Mechanicsburg, PA 17055
1 B. Father's Name (First, middle, last. suflix)
Charles W. Robinson
208. Informant's Name (Type I PM"I)
Elizabeth R. Un er
21a. Method of Disposition
=e;~nce 17a.Slate Pennsylvania
17b.Coun~ Cumberland
14. Marital Status: Married, Never Married,
Widowed, Divorced (Specify)
Widowed
o Nursing Home 0 Residence DOlhllr _ Specify:
5tJ No 0 Ves 10. Race: American Indian, Black, 'Mlite, etc
ISpecilyJ
ite
15, Surviving Spouse (If wife, give maiden name)
11. Decedent's Usual Occu lion Kind 01 work done
Kind 01 Work
Mechanic
most of wo life. Do not Slate retired
Kind of Business I Industry
Automotive
17c. 0 Yas, Decedent Uved in
17d. 00 ~6u~~~~to~edWithin Mechanicsburg
Twp.
19. Mother's Name (Rrsl. middle. maiden surname)
Anna Dietz Mumma
City/Boro
Comp/'" ~ems 23a-c only when certifying
physician Is not available at time 01 death 10
certify cause of death.
IIams 24-26 must be completed by person
~ who pronounces death.
2Ob. Informant's Mailing Address (Street, city Ilown, slate, Zip code)
3537 Evans Ridge Trail, Atlanta, GA 30340
21c. Place of Disposition (Name of cemetery, cremalory or other place)
21d. locahon (City I town, stale, zip (:ode)
2007 Cremation Societ of PA
22c.Nam.BI1dAddressolFaalitAuer Memroial Home and Cremaiton
4100 Jonestown Road, Harrisburg, PA 17109
23b. Ucense Number
Harrisbur , PA 17109
Services, [nc.
23c. Date Signed (MonHl, day, year)
Appro~jmateintervat
Onset 10 Death
26. Was Case ~ 10 Medica! Examiner I Coroner for a Reason Other thar, Cremalion or Donation?
DVes fhJNO
Part II: Enler other sianificant conditions contrihutinn 10 death, 28. Did Tobacco Use Contribule to Death?
but not resulting in the underlying cause given in Part I. 0 Yes 0 Probably
o No 0 Lnknown
0/~O
--t~p~1
29. If Female'
o Not pregnanl wiihin past year
o Pregnant al limE! or death
o Not pregnant but pregnant wtthin 42 days
of death
o Notpregnanl,but pfflglant 43 days 10 1 year
befOfedeath
o Unknown if pregnant wtthin the past year
32c, Place of rnlury: Hom~, Farm, Stree!, Factory,
Office 8uHding, elc. (Speedy)
~=n~~I~~i~~~:di::,~ a: a
Enter ~e UNDERLYING CAUSE
(disease or injury that inkialed lhe
events resulting In death) LAST.
3Oa, Was an Autopsy 3Ol:I Were Aulopsy Findings
Performed? Available Prior to Completion
oI"CaUSeOf~~
OVes ~No DVes po
31. Manner a' Death
alural 0 Homicide
o Accident 0 Pending Investigation
o SUicide 0 Could NOI be DelermiMd
32d. Tmeof Injury
32g. Location of Injury (Street, city/lawn, slale)
338. Certifier (check only one)
Certifying physician (Physician certifying cause af death when another phYSician has pronounced dealh and completed Item 23)
To the best of my knowfedge, death oceurred due to Ihe cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
~~~:U~~~t: ::,~~:~~~a~~u=~~ t~hti~~~:~n;rKJ~=~~~:~~nrot~~:~~;:~~ manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
=~~:::";:';;~': end I o. inveSlIge1ion, in my oninlon, deoth occurred al",'ime, d.I., and plac".nd due 10 lhe couse(.j.nd manne, es .laled. 0
M.
35.Aegis~'
~ ..
10(1 II dl / I'
Disposition Permil No.
LAST WILL AND TESTAMENT OF JAMES F. ROBINSON
I, JAMES F. ROBINSON, of the Borough of Mechanicsburg, County
of Cumberland and State of Pennsylvania, being of sound and disposing
mind, memory and understanding, do make, publish and declare this my
Last Will and Testament, hereby revoking and making void any and all
former Wills by me at any time heretofore made.
1.
I direct the payment of all my just debts and funeral expenses
as soon after my decease as the same can be conveniently done.
2.
I give, devise and bequeath all the rest, residue and remainder
of my estate, real, personal and mixed, of whatsoever nature and whereso-
ever the same may be situate, to my wife, MARY S. ROBINSON, absolutely
and unconditionally.
3.
In the event, however, that my said wife, MARY S. ROBINSON,
should predecease me, or should she die within thirty (30) days of my
death, I give, devise and bequeath my entire estate, real, personal and
mixed, whatsoever and wheresoever situate, to my two children, ELIZA-
BETH ANNETTE ROBINSON UNGER and MERRILY JAN ROBINSON SMITH, in equal
shares.
4.
LASTLY, I nominate, constitute and appoint my wife, MARY S.
ROBINSON, to be the Executrix of this, my Last Will and Testament, and
in the event she should predecease me, or should she be unable or un-
willing to serve in such capacity for any reason, I nominate, constitute
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and appoint my daughters, the aforesaid ELIZABETH R. UNGER and
MERRILY R. SMITH, Co-Executrices of this, my Last Will and Testa-
ment, in her place and stead, and direct that they shall not be re-
quired to post bond or other security in the office of the Register
of Wills for the purpose of administering my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this 7th day of May, A. D. 1990.
!I'
~~
I_.,~ -, c;.~/
( James F. Robinson
( SEAL)
Signed, sealed, published and declared by the above-named
JAMES F. ROBINSON, as and for his Last Will and Testament, in the
presence of us, who, at his request and in his presence, and in the
presence of each other, have hereunto subscribed our names as wit-
nesses.
/ .
,CAc..-cL _I:-(C (~
~
-2-
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
C fA!lI~El2L/MJj) COUNTY, PENNSYLVANIA
0\ ~D7-- ()73~
Estate of .J A-P/1:5 t: 1lHJ/I'I~N
FL/ZA~E7H ~. tlNGal
and !l1G1</(ILY 1<.
, Deceased
"
(each) being duly qualified according to law, depose(s) and say(s) that .ohe,l he-I they .wa&+were well-
acquainted with JII-/J1ES I=. ~./J!/(JoAl. lYe /!JeINC 7#Ii7R F/f/We7l and iHHf'are familiar
with the handwriting and signature ofthe decedent, and that the signature of JAmS F. ~11/1Y.{IJAI
to the foregoing instrument purporting to be the Last Will and TestamenttCoGiicil of ...I1f./JItS r=:
(.(PI!J/l'i5o# is in his..k-own proper handwriting,
I . '7
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(Signalure) IL.i2j.~i71( If. t,{/{C~
3537 &:vANS /.(/IJ~ rltR/1.-
(Slreel Address)
'7f! ~&~
11.)' I? SLA-~E
/1'1 /J1 A-,eS# A?I1
(Slreel Address)
NAS/{/N6-7/J#, lilt J. 7trffj
(City, Slale, Zip)
IfTLAIVTA, G-A 3()3'1f)
(City, Slale, Zip)
Executed in Register's Office
Forlll RW-04 rev. 10.13.06
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