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HomeMy WebLinkAbout08-09-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Estate of Mary K. Watson also known as CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-07- 7 5~ , Deceased Social Security Number 207-03-7999 Phyllis W. Jumper Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW) [R] A. Probate and Grant of Letters Te last Will of the Decedent, dated is/are the Executrix 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 instrume'lt(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 (It applicable, enter: c.I.a.; d.b.nc.ta.; pedente lite; durante absentia; durante mmontate) 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(1f 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 ') 1 \J.) -:;> -~" "'j"'; (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with 122 Stillstown Road, Newville, Cumberland, PA 17241 (Ust street address, town/city, township, county, state, zip code) -. ~:~I ..' his I her last principal resiaence at " . '"j 01 en Decedent, then 98 years of age, died on 07/17/2007 at Green Ridge Village Nursing Home, Carlisle, PA Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property $ (If not domiciled in PAl Personal property in Pennsylvania $ (If not domiciled in PAl Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: 11,000.00 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: Signature Typed or printed name and residence Phyllis W. Jumper 122 Stillstown Road Newville, PA 17241 . / tP U' Form RW-02 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 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 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 day of before me this Signature of Personal Representative "_2 '-:::0 .... ~~2 '-=I: (-:-) .:.:; f.......'\ := --J Signature of Personal Representative :0.. --.".;J.' File Number: 21-07- 07S2- ~7~ j l~:" en cr, Estate of Mary K. Watson , Deceased Social Security Number: 207 -03-7999 Date of Death: 07/17/2007 AND NOW, + {200 7 , in consideration of the foregoing Petition, satisfactory proof Testamentary are hereby granted to Phyllis W. Jumper in the above estate and that the instrument(s) dated 09/14/1995 described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent. Renunciation(s)............................. $ Attorney Signature: okf FEES Letters........ ..... ............................. $ lJ(). 00 (i. 00 Short Certificate(s)........................ $ J&jjj $ 15.00 ~ $ 10, DO J1ufD1YlLL ~ m $ "C). OD $ Attorney Name: Supreme Court 1.0. No.: 01624 Weigle & Associates, P.C. Address: 126 East King Street $ $ $ $ $ Shippensburg, PA 17257 Telephone: 717/532-7388 TOTAL.................................. $ qg. ()1) Form RW-02 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 '" o -(' -r"1r'" ./, ./, ") 1- LOC,AL REGISTRAR'S CERTIFICATION OF DEJ~~TH WAI=tNING: It is illegal to duplicate this copy by photostat or photogrc;lh. CLTtifiL'al!llll NUi'Ill'lT A,I(~(,Kiijll~ //'#/ '<*J>::\ !,"~I ~ "\-<=:~ ~~~.~/ .~~.~~ I~-! '.. :~, ,-=::.>> ',-~ i~ 5:,.::t- ,,!h~ \~ ,. , _ . . :0; ,,*.. '.~." ~~\ '. . ~r~" ~-~.. /~\,\ ~-----{-9i'-j~\,'<'\\I' """ MEN1 \\\",).\\' ';//,/,~ This is tu certi1) 'ut he Illfu 'InUlun here !2in'n is currectly cupied 1'1" 1:1 dl1 U',gillll C'nli icatc ullk;ith duly filed wilh 111<: ]' I.ueal Regislrcll The orif'inal certificate will h.: lonv;lrded lu tlL, Slale Vil:t! Recurds Office fur per llanellt fili 12. h:,' illl th,,:,-,rtlficate. "IJ.I)O P 13744823 ~. ~b)...~~.~.~JUI/ 18/2007 Lucal Registrar (}lte Issued C-) ""I=:> ~J'1 ,.-~ . G') I \...C' J~ C:.J ~ (fl 0', H105-143 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) STATE FILE NUMBER , I . -03 4. Dale 01 Death (MOOlh, day, year) 7999 Jul 16, 2007 1, Name 01 Decadent (Rrst, middle, last, suffix) 6. Dale of Birth (Month, da year) DOOle" Sped~, 10. Aaal: American Indian, Black, WI1ite, ele. (s,..:iIYJ white 122 Steelstown Rd. 7241 12. Was Decedent ever In lhe U.S. Anned Forces? o Yos GiNO Decedenl's ActualResidence 178. Slate 17b. Counly 14. Marital Status: Married, NEwer Married, Widowed, DIvorced (Specify1 w p" OidDecedenl live in a Township? 17c.O Yes, Decedent liv9d in N a 17d. 0 No, Decedent lived within Actuallinitsol NO"wton Twp Twp (""I 11 m'h CilyfBoro Sa . 208. Inlormanfs Name (Type I Print) Phyllis Jumper 19. Molher's Name (First, middle, maiden sumanwV Jessie E. Lalrd 2Ob. Informant's Mailing Acldress (Street, city I town, state, zip code) 122 Steelstown Rd. Newville Pa 17241 21c. Place of OI6positlon (Name 01 cemetery, crematory or oIllerplace) 21d.location (City I town, state, l:lp CQde) Cumb Valley Mem Gdns Carlisle pa 15 Big Spring Ave . ~ Funeral Home Ine 23b. license Number ((I\J S;;Z OUDX' 3 L 0< c' 0 7 SeqJen~~:mca:eKi~~,~ ~~ a ~ UNDERlYtNG CAUSE =:e~~I~'Ynl~~~rG-1r.e I ~.: ( ,<lie Iv! , ( (4<.6 i C' .~7 '<' c.'l""f)'i)-I .,.' Due to (or as a consequence of): b. ((:,.rZOA.;A,'V;- ,.QC;-.cfj"OSCL:':JL(:;UiS, Due to (or as a consequence of): I 1.:).Pr-r 26. Was Case RefeT to Medical Examiner f Coroner fOf Reason Ot Ihan CrematiOn or Donation? OVes ~No Par1.lI: Enter other sionificant conditions mnIrbJlioo to death 28. Did Tobacco USEi Contribute to Death? .btrtnotresLlllinglntheunderlyingcause~enirlPartl. 0 Ves Di::lrobably o No ~1 ",k",", 29.~ele: I,):l Notpr~anlwittlinpastyear o PreglWltal:tlmeofdeath o Not pregnant, bul pregnant wilhln 42 days of death o Not pregnal'lt, but pregnant 43 days 10 1 year be/oredealh o Unknown if pregnanl wlIhln !he past year 32c. ~ace 01 Injury: Home, Fann, Street, Factory, OIfICeBtJildk1g, etc. (Specify) Approximate interval: Onset to Death ~~~~~~~~:)~ I 6'1"rz ). Due to (or as a consequence of) d. DY~ ISlNo DY~ !'iilNo ~ Natullll 0 Homicide o Accident OPendinglnvesligalion o Suicide 0 Could Not be Determined 32d. Timeo/lnjury 32g. localion of In;ury (Streel. cityftown, slate) 3Oa. Was an AUlopsy Performed? 3Ob. Were Autopsy Flf'ldings AvaHable Prior to Cornplellon of Cause of Deatl1? 31. MannerofDeafh 32f.IITllInsportalionlnjuiY (Specify) o DriYer I Operator 0 Passenger OPedestrian M. OUler - Specify: 33a, Certifier (check only one) 33b. s'\gRa~and Title of Certifl8l" . Certifying physician (Physician certifying csuse 01 death when anotherphysidan haspro.'lOUf'lCed death and compIeIed Item 23) 'I.rA., ,.... ,,' \>~ "' ,.// .....:;;;....""'l:~':J ~.... To lhe bHt 01 my knowtedge,d8al:h OCCUned.due 10 lhe ClIuse(I) and mnNlral slated..__________________ --------------,X-J l1li"'" " :..... ,'. :~'/ ",c/ r/'~ ';J.--'~.>_-"'Z__._" . PronouncIng and certifying physidetl (Physician both pronouncing death and certllying to cause of death) r" EJ, _ 33c. Lice~mber ./ .."....~'" J 33d. Date S9led (Monlh, day, year) To tIMl best of my knowledge, death occumtd at the lime, date, and p18Ce,and due to the cause(s) and manner" 8bIted.._ - -- -- - - -- - - - -- - - '."---,," cl ": ,.(. -', '- ~. / I ") . _'Euml..,dCo..... 0/303"123 . "- 7 10 u On the basts of examination and I or Investlgatkln, In my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner as stated.. 0 .-~.~ i :s ~ :' Reg~at,:a~:ri lall I~II 101 34. Name !lnd Addf88S of Person Who Completed yause 01 Death (Item 2~ Type I Print ..J6"..y,..;..... N '~Yl ........ ~" ,,- r:>:;.. .-/ T7 bLQ 'Ill f.,,',-;; i'7 6..... b;O> ;," /1 /732..c, Disposition Permit No. LAST WILL AND TESTAMENT I, MARY K. WATSON, of 122 Stillstown Road, Newville, Cumberland County, Pennsylvania, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all wills by me at any time heretofore made. FIRST. I order and direct the payment of all my just debts and funeral expenses as soon as may be convenient after my decease. SECOND. I give, devise and bequeath all my estate, real, persol'i..a~ and :~iixed, whatsoever and wheresoever situate, to my beloved daughter, PHYLLIS"-:W. JlUMPER, l.f) C-) /"....., absolutely. ,- , , c=. THIRD. In the event that my daughter, Phyllis W. Jumper, predeceases me or~s not living on the sixtieth (60th) day following my death, I then give, devise and bequeath my entire estate to my grandchildren, namely, DENNIS S. HOCKENSMITH, KEITH E. HOCKENSMITH, BEVERLY J. POLK, LYNN E. JUMPER, CALVIN W. JUMPER and KELLY O. JUMPER, in equal shares. In the event that any of my grandchildren predecease me, I direct that the share of any deceased grandchild be equally divided amoung my surviving grandchildren. FOURTH. I nominate, constitute and appoint my daughter, PHYLLIS W. JUMPER, of 122 Stillstown Road, Newville, Pennsylvania, to be the Executrix of this my Last Will and Testament. In the event that the said Phyllis W. Jumper be unable to fulfill the duties of Executrix, I then nominate, constitute and appoint my grandsons, CALVIN W. JUMPER, of 161 Fry town Road, Carlisle, Pennsylvania, and DENNIS S. HOCKENSMITH, of 1601 Walnut Bottom Road, Newville, Pennsylvania, or the survivior thereof, to be the Co-executors of this my Last Will and Testament. - 1 'l~:l(L/{{j ;i/ L0)(;t~-,/ (SEAL) , T MARK, WEIGLE AND PERKINS - ATTORNEYS AT LAW - 126 EAST KING STREET - sHIPPENsBURG, PA 17257-1397 FIFTH. I direct that my personal representatives shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, MARY K. WATSON, have hereunto set my hand and seal to this my Last Will and Testament, written on two pages, the first page signed for identification only, this#il11day of September, 1995. <'7ft ('~ J-{ L I.- / (}L./Zz~J) ~/ (SEAL) This instrument was by the Testatrix, MARY K. WATSON, on the date hereof, signed, published and declared by her to be her Last Will and Testament, in our presence, who at her request and in her presence and in the presence of each other, we believing her to be of sound and disposing mind and memory, have hereunto subscribed our names as witnesses. ,{jq(j~ :J. ~~ (~dJQMtI-~Y~ MARK, WEIGLE AND PERKINS - ATTORNEYS AT LAW - 126 EAST KING STREET - sHIPPENsBURG, PA 17257-1397 COMMONWEALTH OF PENNSYLVANIA 55. COUNTY OF CUMBERLAND I, MARY K. WATSON, the Testatrix whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. *~7?rW~1I Ie ld a7~p' /. Sworn or affirmed to and acknowledged before ]e by MARb ~~~~~, the Testatrilx, thisl~day of~! , 1995 r'\ J . "-..~ ('-~.- Q r /'0 ( ,} NOTARIAL SEAL Jeny A. Weigle, Notary Public Shlppensburg, PA Cumbet1and County My Commission Expires July 31. 1998 MARK, WEIGLE AND PERKINS - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 COMMONWEALTH OF PENNSYLVANIA 55. COUNTY OF CUMBERLAND We, jJ;(}MMXP~ witnesses whose names are signed and ( . () b . 1nstrument, e1ng duly the to qualified according to law, do depose and say that we were present and saw :MARY K. WATSON, Testatrix, sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge the Testatrix was at the time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. ./lua-, ~ p~ ~~ )' i ,1 ') el, Al fill /J, I. // . ~/l1// . t?l ( NOTARIAL SEAL Jeny A. Weigle. Notary Public Shlppensburg, PA Cumbertand County My Commission ExpIres July 31, 1998 MARK. WEIGLE AND PERKINS - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG. PA 17257-1397