HomeMy WebLinkAbout08-06-07
Register of Wills of C!'~~&:~kW)) Pennsylvania
O61d.Kfj
Petition for Probate and Grant of Letters .
&tateof k-~/~A /1. ~'I~.L-- No. cPJ-c?tJt/7 -73Y
also known as ~ J ~A-N "Nt. /1u./(.I:f"'
Social Security No. 'Z&' '7- z.. z. - "UP ~t
named in the la~ill of the above
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and codicil(s) dated ~ -'
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(Itate re'eNnt cil'cunutancel. e.g. renuncilltion. death 01 executor. etc.) :Q w
Decedent was domiciled at death in c:!LQu 1Ih-~ ~/.b County, Pennsylvani; with h~~
last family or principal residence at L' / ~ d/J,A/ r A,btf $' he/' G
, Deceased.
The petition of the undersigned respectfully represents that:
Your petitioner(s) is/are 18 years of age or older and the executA~
decedent. dated f7""f ~f.? ~ -t1w~#1 191?
Decedent, then ~~
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Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will
offered for probate; was not the victim of a killing and was never adjudicated incompetent:
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) 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
s /G::r-u;,
s
s
s
situated as follows:
Wherefore, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of
letters
~testamentary. administration C.T.A.; administration d.b.n.c.t.a.)
Typed or Pri13d names and residences:
R~ I3d'A r,-l. 1-' ~ k-
31:. '1 Rfr~ /y DIf
4f~# ~L/ t1d /'7'07//
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RW-14
thereon.
(over)
Oath of Personal Representativb;-\~~'
COMMONWEALTH OF PENNSYLVANIA : 20G1 ~UG -6 Ati \ \: 34
COUNTY OF flumh!.tM!l : ss CLEP\r~ OF
DDW/'.ll\I'\~ 0(1\ IRl
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing~,~t~<nx\<tri::',troj:}~a ~ect to the best of
the knowledge and belief ofPetitioner(s) and that, as personal representative(s) of the DecQ~eii.t, Petitioner(s) will well and truly
administer the estate according to law.
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Sworn to or affirmed and subscribed
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Signature of Personal Representative
Signature of Personal Representative
Estate of
mber:,-d / cAj() 7-; ~3V'
Social Securi
Date of Death:
, c?Oo1 in cons'
, ~,
that Letters
&
~~d
'7
Letters ..............._ $
Short Certificate(s) . . . ~. . $
R,nun'i~~: /S 00
~ ...$
.. . $
.. . $
. .. $
... $
.. . $
... $
TOTAL .............. $..3t 0 I Cx:..)
~rJ.60
c20. 9"
in the above estate
AND NOW,
having been presented befi'
are hereby granted to
and that the instrument(s) dated
described in the Petition be admitted to probate and file
FEES
Attorney Signature:
Attomey Name:
/tJ. c.......
5,?5l>
Supreme Court J.D. No.:
Address:.
Telephone:
Form RW-O] rev {O.13.06
Page 2 0[2
HI05.ROS REV 101/07)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
/? m ~ JUL 0 9 1007
~/</~/ /
Local Registrar Date Issued
P 13769557
Certification Number
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COMMONWEALTH OF PENNSYLVANIA- DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
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REV 1112006
PAINT IN
AANENT
CKINK
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STATE FILE NUMBER
4. Dale ci Death (Month, day, year)
2076 July 5, 2007
6._01_(_, ,yell)
1, 1il1hpIac:e( and slate or
60. Place 01 0eatl1 CIleck oriy one)
HoopltaI: 0Iher.
o Inpaliolnl 0 ER f Outpaliolnl 0 DCA ~ Nursing Homo 0 Residence
9.W..OecedentciH1oponIc0rigln? [jNo Ov..
(W yes, spocIIy C<lban.
_P\JOl\<lRlcan,oIc.)
13. Oecedont's Ecb:a1lor1 (SpeclIy only h9>88t grade cornpleIed) 14. _ SIll": MaITied, Never MaITied, IS. SIHYIYIng Spouse IW wile, liVe maiden name)
EIementa!y f Secondary (ll- 12) CoIIIge (f.4 01" 5+) W_. Olvon:ed (SpecHn
12 Never Married
78
August 21.1928
Mahanoy Plane,
VIS.
OOlhe< . SpeclIy
10. Raoo:.__,__ate.
(SpecHn white
Il!>.CotJnlyofOeatl1
Cumberland
6d FeclIIyNomo (11 "" _, gIoe _Ind """*I
Claremont Nursing & Rehab
_ci 11Io.00""_
KI1dciBuoinoaflndua1ry
S ecialist State Government
. 16. Oecedont's MaInJ-I_ city 1_, stale. Z\>-)
1000 Claremont Road
Carlisle. PA 17013
16. Filhlr', Name (First. m-,Ioa1,_)
Patrick J. Burke
200. 1nIormallI'. Name (Typo f Pnnt)
Robert
12. Was Decedent ever in the
U.S. Armed FOI'C8S?
OVIlO lENo
[)eC$denfs
ActUII Aesidence 17a. Slale
OldOecedent
Live in a
TownaNp?
Pennsylvania
Cumberland
l1c. []I: v... 0ecedenI Uvod In
11d.O No. _I Uvodwtil
AchJaI ~ ci
Middlesex
Top.
17b. County
Ci~ 1 Boro
19. Molher', N.... (Ars!, _, maiden aumame)
Mar uerite Cassid
201>. _. MalIngAddnlaa i_ city 1_. slate, zlp_)
369 Futurity Drive, Camp
21~PlaceciOispoeltion(Nameci_,_or_place)
Hill, PA 17011
21d.lor:atIon(~I_,slate.zlp_)
Lower Allen Twp.,PA 17011
July 9, 2007 Rolling Green Memorial Park
22c Namelnd _ 01 FeclIIy
FH & CS, Inc., P.o. Box 431, New
Cumberland, PA 17070
230. _ Slgned (_. day. yaorj
J' '-<-.1 Y _t;'", ~J oC> 7
23b.lkena& Number
eN ;;:-23 ? C; tJ L
26. Was Case Referred 10 Mec:Ical Examiner I Coroner for a Reason Other than Cremation or Donation?
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Part II: Enter other sionlIIrMd condIIons conIributinn ID dIAfh 2a DId TobIcto Use Contrbde to Death?
tu""lOdnginlhelJllderlylngcauso\iVeninPartl 0 v.. OPrnbobly
"Id1Io 0 lJnkooM1
2U_:
o NciplOglllnlwllhlnpaatyear
o PIeg1anI at time 01 doalh
o NelIplOgIlInI.buIpregnanl,"",in42doya
oldoalh
o Nell_I, buI_143 days I. 1 yesr
---
o Un"'->Hpregnantwtillhepaatyesr
320. Place ci Injur'( Homo, Faml, SIloet. FllcIory.
omce Ilulding, ate. (Spsdfy)
I Approximate inklrval:
I Onset to Death
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~Ial"'-"'" any,
Ie8cinotoiitcalJH.lllldORha.
EnIe< ftlO UNIJEAL'IJlG CloUSE
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c.
Due to (or.. e_oI):
d.
311I. Were ~ Flndng&
A_ P!lor to ComPeIlor1
ci Ceusa ci Death?
OV.. ONe
3OILWas..~
petformed'?
3"_oIDeath
idIIO.Oel D-
O -. 0 Pandlng InYestIoaIlor1
o Suk:Ide 0 Could Nell be 0eI0rmlned
32d. nme of Injury
OVaa dNe
3211. lccation ci Injury (SIreet, city f _. slate)
M.
33a Cel1Iftef ("""" only one)
. CIItIlytng~(~cetlIIyingClllllllci_whan_~h8S~doaIhandcornplelednem23)
To"_oImy 1VIowIoclgo,___duelo IhtCllllO(s)oncI........____ _ _ _ _ '" _ n _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ __
. =:=~..=a;=~~=Io==-..___________________ 0
. ::' =~c::: Ind I orlnWatlptlon.ln my""". _ __ IIIht 1lllIo. dato, oncI plica, oncI duo to Ihtcollll(e) and IIIIIfIlIOI' _.-. 0
35. RegiaIret'. .
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DIsposition Penn" No.
LAST WILL AND TESTAMENT
OF
REGINA M. BURKE a/k/a JEAN M. BURKE
2 r.~
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l, REGINA M. BURKE a/k/a JEAN M. BURKE, of Lemoyn~jI/p ~
'(~'5g] (
Cumberland County, Pennsylvania, do make, publish and declare this to k~~ LasT
, ,0,"- 'I .:b,.
. ' -55 ::t"
Will and Testament, hereby revoking all Wills and Codicils by me at anjllme madi.
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ITEM I:
I direct that all inheritance and estate taxes becoming due by
reason of my death, whether such taxes may be payable by my estate or by any
recipient of any property, shall be paid by the Executor out of the property passing
under ITEM III of this Will, as an expense and cost of administration of my estate.
The Executor shall have no duty or obligation to obtain reimbursement for any such
tax so paid, even though on proceeds of insurance or other property not passing under
this Will.
ITEM II: I direct the Executor to pay my just debts and the expenses of my
last illness and funeral expenses from the property passing under this Will as an
expense and cost of administration of my estate. I request a Mass of Christian burial
from St. Patrick's Cathedral with arrangements by Parthemore's of New Cumberland.
I would like to be laid to rest in my plot in Rolling Green cemetery next to my sister,
Margaret.
ITEM III: I specifically devise all jewelry I own at the time of my death to
my niece, Jennifer Burke.
ITEM IV: All the rest, residue and remainder of my estate to my sister,
MARGARET M. BURKE. In the event my sister predeceases me or, in the event she
does not survive me by thirty (30) days, I devise and bequeath my estate to my
brother, ROBERT J. BURKE. In the event my brother predeceases me, his share
shall be paid to his issue, per stirpes.
ITEM V:
In the settlement of my estate, my Executor shall possess, among
others, the following powers:
(a) To retain atry investments I may have at my death, as long as the
Executor may deem it advisable to my estate to do so;
(b) To sell either at private or public sale and upon such terms and
conditions as the Executor may deem advantageous to the estate, any or all real or
personal property or interest therein owned by the estate;
(c) To pay all costs, taxes, expenses and charges in connection with the
administration of my estate;
(d) To compromise controversies; and
(e) To do all other acts in the Executor's judgment deemed necessary or
desirable for the proper and advantageous management, investment and distribution of
the estate.
ITEM VI: Any person who shall have died at the same time as I shall have,
or in a common disaster with me, or under circumstance that the order of deaths
cannot be established by proof, or within thirty (30) days of my death, shall be deemed
to have predeceased me.
ITEM VII: I appoint my brother, ROBERT J. BURKE, to be the Executor of
my Estate. In the event my brother cannot act or refuses to act as Executor for any
reason, I nominate, constitute and appoint my nephew, JEFFREY BURKE, as
alternate Executor. Any Executor is specifically relieved from the duty or obligation of
filing any bond or other security.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my
Last Will and Testament, consisting of this and the preceding two (2) pages, at the end
of each page of which I have also set my initials for greater security and better
1~
identification this
We, the undersigned, hereby certify that the foregoing Will was signed, sealed,
published and declared by the above-named Testatrix as and for her Last Will and
Testament, in the presence of each other, have hereunto set our hands and seals the
day and year first above written, and we certify that at the time of the execution
thereof, the said Testatrix was of sound mind and memory.
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LISA ZIZIS(j
Residing at: 205A Tenth Street
New Cumberland, PA 17070
~~
MICHAEL T. STEPHEN.
Residing at: 313D Eden Road
Lancaster, PA 17601
4
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA :
: SS.
COUNTY OF CUMBERLAND
.
.
l, JEAN M. BURKE, Testatrix whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my Last Will and Testament;
that I signed it willingly, and that I signed it as my free and voluntary act for the
purposes therein expressed.
(SEAL)
OJ: PUBLIC
My Commission Expires:
(SEAL)
NOTARIAl $EAL.
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AFFIDA VIT
COMMONWEALTH OF PENNSYLVANIA :
: SS.
COUNTY OF CUMBERLAND
.
.
We, Lisa Zizis and Michael T. Stephens, the witnesses whose names are signed
to the attached or foregoing instrument, being duly qualified according to law, do
depose and say that we were present and saw Testatrix, JEAN M. BURKE, sign and
execute the instrument as her Last Will and Testament; that Testatrix signed willingly
and she executed said Will 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 that time
eighteen (J 8) or more years of age, of sound mind and under no constraint or undue
influence.
~z::)?-
~~~
Michael T. Stephens --
Sworn to and sub~wed
before me this --1:'Z!l day
of ' 1998.
Nar-AAlAL~
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ec.wu. IJ ..on e.pr. fbo. 11. ,.
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