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Home My WebLink About08-17-07 PETITION FOR PROBATE AND GRANT OF LETTERS r REGISTER OF WILLS OF LV /'v)BE~l.Atl b COUNTY, PENNSYLVANIA , Deceased FileNumberdl-Ol- ()lJ K Social Security Number \ ~ ~ - 0'7 - ~ ~X q Estate of LjD1F\ V. Foos~ also known as Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A'or 'B'BELOW:) rif A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /...e-the }-+ 0 W?l f.<,b t. Fa ~ f last Will of the Decedent dated NOVE trJ)ER J ~:)..oofand codicil(s) dated 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 instrument(s) offered for probate, was not the Victim of a killing and was never adjudicated an incapacitated person: N ) A ;' 1 o B. Grant of Letters of Administration (If applicable, enter: C.I.a.; d.b.n.c.t.a., pendente Ii Ie; durante absentia; durante l/li'FJtale) : Petition.:'(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if~~V) and he~ (If Adnzinistration, C.t.a. or dbn.c.t.a., enter dale of Will ill Section A above and complete list ofheirs.) . r-- Name Relationship Residence I,; _J _.1 '-."1 ' C~.) Ul Decedent, then ~ 0) years of age, died on J-\.VG-O :>1' C)',30 FfY\ 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 propeliy in Pennsylvania (If not domiciled tn P A) Personal property in County Value oft'ea! estate in Pennsylvania $ ~]5. 00 $ $ $ 0.00 situated as follows: N/A W herefol'e, Peti tioner(s) respectfully requesl(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to Lhe undersigned: FO/'lll RW-02 rev 1013U6 Page or L Oath of Personal Representative COM:'vlONWEALTH OF PENNSYLVANIA SS COUNTY OF The Petitioner(s) above-named swear(s) or affirn1(s) that the statements in the foregoing Petition are true and conect 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 I [+L...- day of , . , ,')001 ~\~~ CUwsf; [;l.~ \ l} For the Register I' 0 .~ . .' Signature of Personal Representative ,,01 .' _1 Signature of Personal Representative ,+ " C' File Number: :2. I -0 l - 0 7 7~ E""" of /i~t U, II ...tf~ ' Dee,,",d Social Security Number: Iq1- 01- 3 'lcgq DateofDeath:8-l- 0, AND NOW, ,,;J.CxYl , in consideration of the foregoing Petition, satisfactory proof having been presented re me, IT IS DECREED that Letters Tee::;\, A ru.( t0T A Rl1 are hereby granted to \-\()\ ~c'-c\ L -\OL '::.~ in the above estate and that the instrument(s) dated \ \- 10 - 04- described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s II FEES Letters ............... $ dO. 00 $::90- c{) $ $lq.cO --.JCP $ 10. cC> G.).-<-x...r\"N1:t, Dn . . . $ S. GO $ $ $ $ $ $ TOTAL.............. $ ,O,OJ Attorney Signature: <--b1 Short Certificate(s) . . . . . . . . Renunciation(s) .......... l0dl Attomey Name: Supreme Court J.D. No.: Address: Telephone: _,70., ",II J .R [,;.'-021"(;\' fl).! .1.UU Page 2 of2 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING It is illegal to duplicate this cc,py by photostat or photograph, p 13771325 ,;",~~~, ",~~-.;; ",i'y \-\.\ \. Of Pl,f,>-- /'.$'> ' :~J'< /~ .~ ~t~'8:\ t~t~~~!) -"- :MENl '~\ :'"", <';'2:-, <~!.! ~'! <! II ~/ 11lJ'- :-, t(, ',i,'j';!\ I,~'l Ih,.' il1l11";]jdlll'11 h,'I',' 2-'1\"11 " 1,'j\r1\.'\'i!\ li\pll'd in'!p dn nri~ll1LtI ('\:rt',rjl'~dl.,' (If i)l'~lth ,1,,1\ !lkd II I!i; IIi(' :1' i(,\'~li Rl'!,'I\tlal TiI,' I,rlcli'lal 'c'" lled'c' I: 11 ;,)I\\:lnl,'d t,) til,' SUIL' \ ILli R,"'I'!, O!ii ,,~:rill:llh_'!ll lilillt:AUG 1 Z Z007 ~ /J; ~~'-mL l 1.th :\, ,I,ll I ),I\C' ! ,'.llc', i :f_~ __i REV 11/2006 I PRINT IN II1ANENT ,CK INK COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) -I STATE FilE NUMBER C"a.) r ,- '-, , KJndofWol1\ houseWlfe 12. Was Decedent ever in the U_S_ Armed Forces? DYes~o Decedent's Actual Residence 17a. State 3. Social Security Number -07 4, Date of Death (Monlh. day, year) 3289 Aug.7,2007 1. Name of Decedent (First, middle. last. suffix) Lydia V. Foose 5 Age (Las! Birthday) Yes 6 Date 01 Birth (Month, day, year) 89 June 19,1918 Harrisburg,PA Cumberland Middleton 8d, Facility Name (II not institution, give street and number) Cumberland Crossing 10 Race,AmerlCanlndian,Black,White,e1c J1IT'l, e Bb County of Death ~,~/hBuSihc;!ffiu~rt 13, Decedent's Educalion (Specify only highest grade completed) EI!~lary I Secondary (O-12) College (1-4 or 5+) 14. Marilal Status: Married, Never Married, Widowed, Divorced (Specify) widowed 11. Decedent's Usual Occu ation Kind 01 work done durin most 01 workin lile. Do oot slate retired . 16. Decedent's Mailing Address (Street, city I town, state, zip code) 403 Brian Court Mechanicsburg,PA17050 4620 17b. County Pennsylvania Cumberland 17')19. Yes, OecedenlliYed '" Sou t h M i dd 1 e tpn 17d. D No, Decedent lived within Actual Limits of Twp City! Boro 20a Informant's Name (Type I Print) Howard L. Foose 19. Mother's Name (First middle, maiden sumame) Mary M. Kling 20b. Informant's Mailing Address lSlreet, City 1 town, state, zip code) 4 6 20 403 Brian Court, Mechanicsburg,PA1705~ 18 Father's Name (First. middle,lasl, sutfix) Luther G. Kunkel 21b, Date 01 Disposition (Month, day, year) Aug.9,2007 YesDNo 22c. Name and Address 01 Facility Musselman FH&CS,324 21c, Place 01 Disposihon (Name of cemelery, crematory or other place) Evans Crematlon Servlce 21d.location (Cily/lown, slale, zip code) Leola,PA17540 Hummel Ave.,Lemoyne,PA17043 23b. License Number 23c. Date Signed (Month, day, year\ IIams 24-26 must be completed by person who pronounces death 24, Tlm~Dealr, {j 25, Dale Pronounced Dead (Month, day, yea~ "'C36 I, M t.(.7 ;((707 CAUSE OF DEATH (See instructions and amples) Item 27 Part I: Enter the ~ ~ diseases, Inluries, or complicatioflS - thaI directly caused the death. DO NOT enter lerminal events such as cardiac arrest respiratory arrest, or ventncular fibrillation without showing the etiology, llsl only one cause on each line 26. Was Case Referred to Medical Examiner! Coroner for a Reason Other than Cremation or Donation? DYes ~o Approximate inlerval' Part II: Enter other sianilicant conditions contributina 10 death, 28, Did Tobacco Use Contribute 10 Death? Onset to Death but not resulting in the underlying cause given in Part I. 0 Yes 0 Probably [3'"No 0 Unknown ~~~Tt~~;;s~ttn~l~ ~~~~j dise~ /Lnetd ,.{l (va (t Due to (or as a consequence 01) txce<vi ) C{(;du.',>( h....vtt{(i;~ 9. tl Female [3"Not pregnant wllhin pasl year o Pregnantaltimeotdealh o Notpregnanl.butpr€9nanlwithin42days 01 death o Nolpregnanl,butpregnan143daysto 1 year before death o Unknown rfpregnant wilhln the past year 32c, Place 01 InJury: Home, Farm, Street Faclory, Office Building, etc, (Specify) Sequentially list conditions, If any ~;t~~~~O ~~D~~L~II~~~~~~~ a (disease or injUry that initiated the events resulting 10 death) LAST. b, Due to (or as a consequence 01) Due to (or as a consequence of) M, 32g. Location of Injury (Street, city/town, state) Dyes DNo 31, Manner 01 Death )g! Natural 0 Homicide DAccident o Pending Investigation o Suicide 0 Could Not be Determined 328. Dale 01 Injury (Month, day, year) 30a. Was an Autopsy Pertormed? 30b, Were Autopsy Findings Available Prior to Completion o/Causeol Death? OVes ~NO 32d Time of InjUry 33a Certilier (checli only one) Certifying physician (Physician certifying cause of death when anolher phYSICian has pronounced death ilnd completed Item 23) To the best of my knowledge, death occurred due to the cause(s) and manner as SUlted.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ~~~~~u;:~~~la~~ ~~~~~~~hJ:~~~a~c(;;:r~~i~~ t~O~~I~~~~~~~:nagn~e:lt:C~~~~~~~n~~~h~~:~:(~~a~~~ manner as slated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 Medical Examiner I Coroner On the basis 01 examination and I or investigation, in my opinion, death occurred at the Ume, date, and place, and due 10 the cause(s) and manner as stated_ 0 L~:' ,$ (2R{.Jj (, c~v; ( ~-:,"" 33cLicenseNu.m~r /'Mf(---('))"3 ) J 6' 'f 35 Reglslrar's Signature r;pd'9iSlncl Number ~ U'71/72 ' I.},I /I~ II1I ;?- 2';(/7 Disposition Permit No. 0 t' 3~ c,' ? S- 34 Name ~nd Address of erson 11,1)10 C~ted Cause of Death (Item 27) Type I PIlI'I I L - ~I U'/I( /r C/( l.fU...1.. O~('-<(C ,/e. 17 f L-.,;- 'lagt _ill anb ~egtament of 'lpbia 1'. jf ooge I, LYDIA V. FOOSE, currently of 335 Wesley Drive, Apt. 506, Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind, do make, publish and declare this as and for my last Will and Testament, hereby revoking any and all Wills and Codicils by me at any time heretofore made. FI RST: 1 direct that all my just debts, funeral expenses and inheritance taxes be paid by my hereinafter named Executor or Executrix as soon after my decease as may conveniently be done. SECON D: 1 give, devise and bequeath all the rest, remainder and residue of my ,~ estate of every nature and wherever situate to be divided equally between my sons, ~ I IOWARD L. FOOSE, and VICTOR E. FOOSE, whomever shall be living at the time of "" : J, my death and survive me for a period of thirty (30) days. '---.: -...J TH I RD: I nominate, constitute and appoint my son, HOWARD L. FOOSE, the .~ ~ Ewcutor of this my last Will and Testament, and direct that he shall not be required to '-:> () ~. 'enter security in any jurisdiction in which he may act. In the event that HOWARD L. , '" - ::1-, FOOSE is unable or refuses to act, 1 appoint my other son, VICTOR E. FOOSE, to serve -..J as Executor of this my last Will and Testament, and direct that he shall not be requiredJo-' .i.-j -. I enter security in any jurisdiction in which he may act. (0 (Ii In addition to powers given them by law, my Executor or Executrix, and any successor Executors shall have the following powers, applicable to all property held by them, effective without court order and until actual distribution: (a) To exercise any corporate stock options; (b) To retain any property received by them, including the stock of any corporate fiduciary acting hereunder: (c) To sell real estate for any purpose, publicly or privately, for such prices and all such terms as they deem proper, without liability to the purchasers to see to application of the purchase monies; (d) To distribute in cash or kind or both at such valuations as they may fix; (e) To distribute property passing to a minor under this will either to the minor or to any person to hold for a minor; (g) To sell articles passing to a minor under this Will if the Executor or Executrix in his or her sole discretion considers such articles unsuitable for a minor. LASTLY: Words used in the singular may be read to include the plural or the plural may be read as the singular Similarly, the masculine form may be read to include the masculine and neuter; and the neuter may be read to include the masculine and feminine IN WITNESS WHEREOF, I, LYDIA V. FOOSE, have to this, my last Will and i Testament, contained on this page and the foregoing one (I) page, set my hand and seal, this 10th day of November, 2004. 7 ~ ':t:{; dl-A- (/ ( ~ .J-Q Y--- LY IA V FOOSE ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND l, L YDlA V FOOSE, the testator 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~ that I signed it willingly and as illY free and voluntary act for the purposes therein expressed ~J, F!~ L YO f\ V. FOOSE Sworn to or affirmed and acknowledged before me by L YOlA V. FOOSE, the testatoL this 10th day of November, 2004. M4d a~v /' NOTARY AFFIDAVIT CO[\/liVIONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND WE, SUZANNE S O'CONNOR and LINDA S. MINNICK, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as her last Will and Testament and that she had signed willingly and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witnesses and that to the best of their knowledge, the Testator was at the time eighteen ( 18) years of age or older, of sound mind and under no constraint of undue influence. ! ;( (l (J I 17 LJJIN~/Yf/YLR _ L). U//l/J Lr7 iSUZ " NE S. O'CONNOR, WITNESS - {~ 1. '17#;~~ LINDA S MINNICK, WITNESS Sworn to and acknowledged before me by SUZANNE S O'CONNOR and LINDA S MINNICK, the witnesses, this 10th day of November, 2004. I MJ I f'.Kif\L SEAL I G Patrick O'Connor, Notary Public I L:Jwer Allen Twp., Cumberland Count M' CfW'",;";'n npires October 28, 2