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HomeMy WebLinkAbout08-17-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of George Marlin Gill also known as n/a FileNumber I!) 1- 01- Off q , Deceased Social Security Number 168-24-4609 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' Of' 'B' BELOW:) ~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is 1 are the executrix last Will of the Decedent dated 03/27/1985 and codicil(s) dated n/a named in the (State relevant circul1/stancllS. e.g., renunciation. dllQth of aecutor. 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: o B. Grant of Letters of Administration (If applicable, enter: c.t.a.; tLb.n.c.t.a.; pendente lite; durante absentia; durante minoritate) 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: (If Administration, 'C.t.a. or d.b.n.c.t.a., eliteI' date of Will in SectiOIl A above and complete list of heirs.) ;'.) C~.'J cj Name Relationship (--'I Resid~) -.j (COMPLETE IN ALL CASES:) Attach additional sJ,eets lfnecessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his 1 her last principal residet.ce at 328 Walnut Street Lema ne PA 17043 (List street address. towl/lcity. township. county. state. zip code) --J r.,) vi Decedent, then 79 years ofage, died on 07/13/2007 at Holy Spirit Hospital, Camp Hill, PA 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 S 26,000.00 $ $ $ 110,000.00 situated as follows: 328 Walnut Street, Lemoyne, PA 17043 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: T ed or rinted name and residence Nedra Gill Schubert, 408 Herman Avenue, Lemoyne, PA 17043 Form RIII-O] nv. /0./3.06 Page 10f2 Oath of Personal Representative COMMONWEALTH OF PENNSYL VANIA : 88 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 ofPetitioner(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 r,-,-f'U I ' I . day of 6!ro1 . Po, ." R<g;fJr.--J:J X ;&~i~(JI.. _//~~e~JL,,-L -t.L Signalure of Personal RepruttntatiVt! Signature of Personal RepresentatiVt! " ! -" Signature of PenonaJ RepresttntatiVt! 'r--: . -~ .J File Number: d J - () 7 - () II 9 r.,) ,. f' ~ ~_.; , Estate of George Marlin Gill Social Security Number: 168-24-4609 CT AND NOW, 11 /J.{Jl)7 . in consideration of the foregoing Petition, satisfactory proof having been presented be r me, IT IS DECREED that Letters Testamentary are hereby granted to Neara Gill Schubert . Deceased Date of Death: 07/13/2007 in. the above estate FEES Letters .............. . .$i1/n(I.UO Short Certificate(s) . . . . . . " $ 0.4. (D Renunciation(s) .......... $ \DI \ \ '" $ I':), de) \rP J'o.oo ...... . ...$ - ~f C"'y)/~,,----h UY\ ....$ c-~. (0 .. . .$ ... .$ . .. .$ . .. .$ . .. $ '" .$ TOTAL .............. .$ Attorney Signature: Attorney Name: SAMUEL L. ANDES 17225 Supreme Court I.D. No.: Address: P.O. Box 168 Lemoyne, PA 17043 Telephone: 717 -761-5361 Form RW-Ol rev. 10.13.06 Page 2 of2 LOCAL REGISTRAR'S CERTIFICATION OF DEATH W ARNlt,iG It is illegal to duplicate this copy by photostat or photograph. ',)1 I! '.,,{ I' ij i I:" ,./; I ;~w' / ~r':;::-..~:~ ~_, " \ I",,-'~\ \, u! it -/, -,,_, /~-' . "if 'c, I;'~ '~,II /ll. . ~."~\' (~ . .~~r i ~Ii .,,~v 'g. ,1 ~--- _ A,<~l/ '7, ,<) ~','" 'c~ij' '" 'K'r ,,> 'Ii'"~ f#[NT I)'>: ~",!", "~~~~"~!!J!!IjI_uJ Thl.\ i\ I. Cdlll\ lli:i1 Il1c IliI()rl'idllllll hL'rl' "i\l'!1 i' LU"IC'cth '-"i'lL'd 1'()llI :111 (\ri~IIl:" Cnld,,'dll' (\1 I)l':111 Lid" tlil'll Illih iii',' :1' 1 ",,';t1 R",,!',tr:ir '111\' Ilii.~IILti leliilicale' Ii: hL' Ir)/'\\dl\I"t! I() Ihl' \!diL' \11<1i 1\, ,'(\It!, ()'I 'c' Ii\! i',,'II1,:llic'IH till!i". /J ..' Illl ,( 'Ie;>!" ~~t,['~'/ ..... ",, : [;!.'-"c./ ,a -0. 4!:~nL. L p 1377000.3 LUl:t1 R",i'I':: ,II' Dall' I ,'i1c',' ') ~.::~ t.J-) -.J -~.:J COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) -=t N Ul (Jj l REV 11/2006 I PAINT IN :MANENT A.CI< INK STATE FILE NUMBER 6. Dale 01 Birth (Month, day, year) -24 - 4609 79 8b, County or Death Cumberland Pennsboro 11, Decedent's Usual Occu ation Kind of work done durin most of workin lile, Do nol state retired Kind 01 WoliI clerk he~dl'thessli~~ . . 16, Decedent's Mailing Address (Street, city ftown, state, zip code) 328 Walnut St. Lemoyne, PA 17043 Decedent's Actual Residence 17a. State 14. Marital Status: Married, Never Married, Widowed, Divorced (Specify) never married 17b.County Pennsylvania Cumberland 17c.O Yes, Decedent lived in 17d,QNo,DecedentLivedWithln Lemoyne '" Aclual limits of Twp 18 Father's Name {First, middle, tast, suffi~1 George R. Gill 19, Molher's Name (First, middle, maiden surname) H. Irene Sheesley City/Bora 20a, Informanl's Name (Type I Print) Nedra G. SchUbert 2Ob. Informanfs Mailing Address (Street, city ftown, stale, zip code) 408 Herman Ave.,Lemoyne, PA 17043 21c. Place of Disposition (Name or cemetery, crematory or other place) Mechanicsburg Cemetery 21d Location (City I town, state, zip code) eChanicsburg, Fl\ 22c, Name and Address of Facility Musselman FH&CS,324 HUmmel Ave.,Lemoyne,PA 17043 23b. license Number 23c, Date Signed (Month, day, year) Items 24-26 must be completed by person who pronounces death 24, Time ofDeat~ ' . 5;65 ~~Tt~A;e;l~t~~~~ J~~~~\ dise:;. C d ICI~ 26. Was Case Relerred to Medical Examiner I Coroner for a Reason Other than Cremation or Donation? DYes ~NO Approximate interval Part II: Enter other sianificant conditions contrihutina to death, 28. Did Tobacco Use Contribute to Death? Onset to Death but not reSulting in the underlying cause given in Part I. 0 Yes D Probably o No .2S..Unknown 3 , J..-.s 29.HFemale D Nol pregnant within past year o Pregnant at time at dealh o Notpregnanl,butpregnanlwilhin42days 01 death D Not pregnant, but pregnant 43 days to 1 year before death D Unknown if pregnant within the past year 32c. Place 01 InJUry: Home, Farm, Street. Factory, Office Building, elC, (Specify) CAUSE OF DEATH (See Instructions and exlll es) lIem 27 Part I: Enler the ~ - diseases, inluries, Of complications - that directly caused the death. 00 NOT enter terminal events such as cardiac arrest, respiratory arrest, or venlricular fibrillation wifhout showing the eliology, list only one cause on each line Sequentially IIsl conditions, il any ~~~~~~o J~eo~~t~l~~~~~~ee a (disease Of inJu,", that initiated the evenls resultmgln death) LAST. Due to (orasa consequenceofj: Due to (or as a consequence of) d. Ov" ill"""- Ov" DNa 31 Manner of Death ~alural D Homicide D Accident D Pending Investigation D Suicide 0 Couid No! be Determined 32d. Time of Injury 3Oa. Was an Autopsy Pet1ormed? 30b, Were Autopsy Findings Available Prior to Completion of Cause 01 Dealh? 33a Certifier (check only one) Certifying physician (physiCian certifylllg cause of death when another physician has pronounced death and completed Ilem 23) ... To the best of my knowledge, death occurred due 10 the CBUSe(S) and manner as statetL. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ ;;~:::~~..~: ::~~~:~~r::;~:a~~:::~'~: t~h"~~~~:~:nagn~e;,t:,~:~~:~~:10'~h~~:~~;(~;~:~ man.,., " "ated_ _ _ _ _ _ _ _ _ , _ _ _ _ _ _ _ _ 0 ~~~~:a~~:~m~~:;:~~:,::: aod I 0' ",",tig"'on, In my oplnlOo, death oo,"".d ,t the time, date, and place, and doe to the "",e(,: and mono" as "at,d_ 0 M 321. II Transportation injury (Specify) o Driver f Operator D Passenger Dpedestrian o Other. Specify 33b Signature and Tille 01 Certifier 329 LocaliOllof Jnlury (Streel, cityftown, slale) ~ 33c, license Number o SOO'l?'C .,r-t- ~R'91''''''Slgn", a D1""'N~~<. DispOSItion Permit No 34 Name and Address 01 Person Who Completed Cause of Death (Item 27) Type I ~.::;-. O"-''',c <],0- F/,?<".r '?"'to ~ f&;- C ~_.....".~ ~, Ca......,d ,,,/,,, p?t I r#'1J .11 WILL OF GEORGE HARLIN GILL I, GEORGE MARLIN GILL, of the Borough of Lemoyne, Cumberland County, and State of Pennsylvania, declare this to be my last will and ~ revoke any will previously made by me. \,\ ITEM 1. I direct that all my just debts and funeral expenses, " ~ '( '" " \;; "- " -"'~' \'" v -\ ,) \ , ~ -'..J " '''.' \ including my gravemarker and all expenses of my last illness, and any and all taxes and assessments imposed by any governmental body as a result of my death, whether on property passing under this will or 'v otherwise, shall be paid from my residuary estate as soon as practica- ''" ble after my decease as a part of the expense of the administra tion of my estate. ITEM II. I give, devise, and bequeath to my sister, NEDRA GILL SCHUBERT, all my possessions and estate of every nature and wherever situate, provided she survives my death by sixty (60) days. ITEM III. Should the said NEDRA GILL SCHUBERT predecease me or be deceased on the sixty-first day after my death, I give, devise, and bequeath all of my possessions and estate of every nature and wherever situate to the following in the following shares: A. One-Third thereof to my nephew, PAUL C. SCHUB,ERT;' B. One-Third thereof to my niece, KATHRYN SCHU~ERT _.j GRAY; and C. One-Third thereof to my nephew, KEVIN GILL r'.) SCHUBERT. (' "", c...', 1 II ITEM IV. I appoint my sister, NEDRA GILL SCHUBERT, executrix of this my last will. Should my said sister predecease me or otherwise fail to qualify or cease to serve as executrix of this my last will, I appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY executor of this my last will. ITEM V. I direct that my personal representatives shall not be required to give bond for the faithful performance of their duties in any jurisdiction. this IN WITNESS WHEREOF, I ha ve hereunto set my hand and seal ',~ ~ ~ :z 70/( day of )//atc_ ~ ,1985. Lt', , . , "-- _ / __..j_{/t~l"? ///"'c i: L~', _ GEORGE/MARLIN GILL y;/ 2 .11 The preceding instrument, consisting of this and TWO other type- written pages, each identified by the signature of the testator was on the date thereof signed, pUblished, and declared by GEORGE MARLIN GILL, the testator therein named, as and for his last will, in the presence of us, who at his request, in his presence, and in the presence of each other, have subscribed our names as witnesses hereto. 1!r, j /' /hC A:: < , / ~ r //,~,,<';l ,,' / , / t/', 'GAu...y' .J / ,/ ~ dc~~ 3 ii COMMONWEALTH OF PENNSYLVANIA ) ( SS.: COUNTY OF CUMBERLAND ) The undersigned, being the testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, does hereby acknowledge that I signed and executed the fore- going 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. .c' <'" // -, ,7 () '} '-/'- / ./ -< <' H / //{ <C L __'<-.r\.- , GEORGE~MARLIN GILL ~' / ,;>/ de" t/ Sworn or affirmed to and acknowledged before me by the testator named above this';;;) '1-1"1 day 7n c~ ' 1985. ~' ,--" , /) " No ary ~Ubli~ ~.t''''PUbl~ Lemoyne, Cumberland Co., Pa. My Commission Expires Nov. 28, J988 COMMONWEALTH OF PENNSYLVANIA ) ( SS.: COUNTY OF CUMBERLAND ) WE, GEORGE A. VAUGHN, III, and MICHAEL L. BANGS, 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 the testator sign and execute the instrument as his last will; that he signed it willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testator signed the will as witnesses; and that to the best of our knowledge, the testator was at that time 18 or more years of age, of sound mind, and under no con- straint or undue influence. /;14/ -f--// /; ~:--;-- ,../'./ <; /..:~ '-<-~.-. .- - ,,/ -' \./l C::/~--~-7 c' _ ~'-<__"/ ~_ Sworn or affirmed to and acknowledged before me this cJJr day of /na~ , 1985. ~~'/4~ - {c: ~J b ary Public ' LINDA C. LONG, Notary Public Lemoyne, Cumberland Co., Pa. My Commls&ion Expires Nov. 28, 1988 ~?~