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Home My WebLink About09-05-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUBMBERLAND COUNTY, PENNSYLVANIA Estate of CYRIL D. GUTSHALL also known as File Number d \ 0 'l 08'1 ()- , Deceased Social Security Number 191-18-4576 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) IZI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the EXECUTRIX last Will of the Decedent dated MARCH 19, 1986 and 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 ofthe 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.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) "J Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following sp~e (if any) a@eirs: (If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) :.; g ~ :'v Name Relationshi Residenbi:i'; r- -0 (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. W 0"1 Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal residence at 940 WALNUT BOTTOM ROAD. SOUTH MIDDLETON TOWNSHIP. CUMBERLAND COUNTY. PENNSYLVANIA (List street address, town/city, township, county, state, zip code) Decedent, then 84 years of age, died on JUL Y 27, 2007 MIDDLETON TOWNSHIP. CUMBERLAND COUNTY. PENNSYLVANIA at MANORCARE HEALTH SERVICES, SOUTH 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 PA) Personal property in County Value of real estate in Pennsylvania $ $ $ $ 80,000.00 110.000.00 situated as follows: 199 PARK HEIGHTS AVENUE, SHIPPENSBURG, SOUTHAMPTON TOWNSHIP, FRANKLIN COUNTY, PA 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 MONICA KAY GUTSHALL, 2262 NEWVILLE ROAD, CARLISLE, P A 17013 FormRW-02 rev. 10./3.06 Page 1 of2 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 ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. before me the b day of ~ J'f\CT"f"\,<-c. ~~b..Q~ , 19nature of Jcersonal Representative Sworn to or affirmed and subscribed Signature of Personal Representative Signature of Personal Representative File Number: d \ () l 'irlS- Estate of CYRIL D. GUTSHALL , Deceased Soo,] ~ty Nmnbe" 191-18-4576 AND NOW, _ g[fOJY1 &JL 5 having been presented before me, IT IS DECREED that Letters are hereby granted to MONICA KAY GUTSHALL Date ofDeath:JUL Y 27, 2007 ::;;1f5I57 , in consideration of the foregoing Petition, satisfactory proof TESTAMENTARY in the above estate and that the instrument(s) dated MARCH 19,1986 described in the Petition be admitted to probate and filed of recor 10.00 5.00 15.00 Attorney Signature: FEES Letters ............... $ Short Certificate(s) . . . . . . . . $ Renunciation(s) .......... $ JCP ... $ AUTOMATION FEE . . . $ WILL . . . $ ... $ .,. $ ... $ .,. $ ... $ ... $ TOTAL . . . . . . . . . . . . . . $ 260.00 4.00 Attorney Name: Supreme Court J.D. No.: 6282 Address: 60 WEST POMFRET STREET CARLISLE, PA 17013 Telephone: (717) 249-2353 294.00 Fnrm RW-IJ2 rev, 10.13.06 Page 2 of2 H105.805 REV (011071 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 13774430 Certification Number ~\Olo~n'S This i~ 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 forwarde to the State Vital Records f1ffice for perman f ing. r-v c::> = -.. C/.) fT1 " I U1 H1llS-143AEVllf.1Oll6 TYPE I PRINT IN PERMANENT BlACK INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See Instructions snd examples on reverse) 84 VII. Bb. Colny oIlloath ~\ Cumber1and s. 11.--'U8uol Ki1d0l__ Ki1dolWolk Boi1er Operator . 16.-....MIIIng_(lIIlIIt,cily/__,.,_) 199 Park Heights Avenue Shippensburg. PA 17257 16 Fdlef.Namo(FiIl.-.....aulIixl C1arence W. Gutsha11 2OlI._.Name(TypaIPrinl) Monica Gutsha11 21L_ofDill>aaltion E3 lluriaI 0 RamcwoI horn_ 0-. .' F...... 12. _ Oeceden1ever in the u.s.__? IJilYea ONe =-~ 170._ Pennsy1vania l?b.CoiIlly Frank1in 17c.1RI Yea,_LliId~ 17d.O Ne._LliIdwllhln AcluoILmilool Sbuthamoton Twp. ClIy/Iloro 19._', Namo(Finlt._,_""",,) Po11y Jane Bowermaster 2lt>._'.IlaIli1g_~cilyl-'_.,.,_1 2262 Newvi11e Road Car1isle 2lC.PIocaolllisl><>slllMINameol_.Cl8lllI1oryor__1 ~ ~ ~ . Due 10 lor as a consequence of): 1~Ir'eMj; I Onset to Death I I I I I I I I I . . . I . I I c, DueIo(or..._o1}: 3llLw....~ ""- d. n. _~ FnInga _Prio<Io~ ofClluseolDeath? o Ves /2fNo 3211, Tme of kiuoY 31.1"'"", of Death g[- D- O- O"-~ o &*:ide 0 CoUll NoI be Detemoined OV.. ~ M. -J 33a.Cel1IIie!(_rritone) CerlIIyIng pIIpIcIan ~~"""'" 01_ wIIIfIenolh'!I phyo;icien haG pronounced _ and c:ompleled """ 23) To the belt 01 my knowtHge;deIlhoccwred due to the ClUIe(a) end InIMIf 1I1tIIecL........ _............................................. _...... _....... _...... Pronouncl"ll and o:orIIIytng pIIpIcIan (~boIhJl!OllCll'l'01l- and_locause 01_1 To the bnt of my knoMedge...m oceuned" 1be-tlme,.. and,-e, tnd due 10 the ~.) and manner as silled. ......... ..... ....... _..... .. .. -- - ::: ~~= and I Itltle time, dlle,lnd place. and due to the cause{$) ind mannetas statecL 0 ffi fil g 15 w ~ 35, Regifdrilr's Signature and Di61 . ~ Disposition Pemm No. Hi11 Cemeter PA 17257 au? Part II: EnIer other IlMIIicanI axdIianB lXftJiJWno to dMttI, 28. Did Tobacco Use Contrilute ~ Death? bulnolreouiing.lheundet1ying.....given. Poll I. 0 Yes OProOebly ONe 0- 29." Female: o NoIpovgnerI_poslyeao O~..timeof_ o NoIpovgnerI,bulprognonlwllhln42deys oIdeeth o NoIpregnenI,bulpregnenl43deyslolyeer before death O_I__lheposlyeao 320. PIece 0I1liutY: Home, F.... SkIel, F~. otr.. BuIdng. e1c. (5peciIy) 32g.locelloooflnjulyISlreel,cily/-'_1 ;tJ /1 ctf ~ H105.805 REV 9-86 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. WMNING: It:is4"egal No. :".,.,.,.;,":: ":>:>':::"":'::':'" <-:,"::.:-.'i::::':"-:\?'" : .. ::'-::\-.::.<::::<,:-:> OCT. 1 9 1996 Date 'IT ~ NAME DEceOENT(f....~.UOoI) .. Rober"\ '!. Gu.tshall _lloolB_ SEX .Male Pl.AQE OF llEJITH HQ8P.".L; _0 ~O ("") S;o .'j~ , ;;:c p .S;;m .'-:; :n (I)'~' (") .~ = = -.I (/,) rr1 -0 I U1 ~T a \ ()"l O~\~ HtOS.'43Rtv.2187 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH 11 VIS. .. cOuNrv OF DEATH ~r Cumberland '11 ..~:~"=::= . s " ~II""""" AOOAIllll(SOeol. CilyI1booo. -. Zit>COdoj . 2262 Newville Road Carlisle,Penna. 1101) ... _'SN___,-.UOoI) . Clarence W. 'SHAM (T~ Ka"\hr~ C. OF .... .. I~ , 1nMMII....... :....Iftd.... I I MIlT'" oa.....-_.........,~_lluI ........."'...~__ "'I'MT l DUE 10 (OIUSA ENCE OF): E DUE 10 (OR AS A CONllEOUENCE 01'), ~SY S --...el.E ~10 OF GAUSE M_A 7 o o TIME OF INJURY INJURV III WORK'I -OCCURAIIo. ll/Il- OF INJURY IM_. Oey...." o o ~......__ 0 OFINJURY.N._.__.~_ M. buiIdInG.-(SpeclIy) _. It. :lOe. CI!'T=..f.:l"'~~~"""oi___~""""""'-_""___23) ,.....-.................--........_11__._........... ...... ............ ....................... OF DEIIlH? ...0 No - .-..-- ... 0 NoD '_EllA___ On..._"'-_or~.IIl....,..........__llllM_.._._.......__...IIM--Co)_ -.-...... .... ... ... '" ....... .............. ..... ....... ...... ..... ... ...... ....... .......... '.. ..... .... o It. ._AHO~__~___~~........"'~ To.._..'"'''''''-'__Il.._-.__.__....~__._........,................ I~I\~\IOI 34. LAST WILL AND TESTAMENT I, Cyril D. Gutshall, of 199 Park Heights Avenue, Southampton Township, Franklin County, Shippensburg, Pennsylvania, declare this to be my Last Will and Testament and revoke any will or codicil previously made by me. ITEM I: I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. ITEM II: I give, devise and bequeath all of my estate of every nature and wheresoever situate to my brother, Robert E. Gutshall, providing he shall survive me by thirty days. ITEM III: Should my brother, Robert E. Gutshall, predecease me or die on or before the thirtieth day following my death, I give, devise and bequeath all of my estate of every nature and wheresoever situate to Monica Kay Gutshall ITEM IV: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the expenses of the administration of my estate. ITEM V: I appoint Robert E. Gutshall executor of this my Last Will and Testament. Should he fail to qualify or cease to act as executor, I appoint Monica Kay Gutshall executrix of this my Last Will and Testament. ITEM VI: I direct that my\~~ecutor or guardian or their successors ,lei \,),); ;, :;;, ';118 shall not be required to give bo~(~{~'3~~~hfUI performance of their duties in any jurisdiction. 98 :8 !~d s- d3S LOOZ IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and Testament, written on one (1) sheet of paper, dated this I ~ day of M ;9 r <!.. /1 , 1986. Cj/U."f cEl.t/~4~(SEAL Cyrll D. Gutshall The preceding instrument, consisting of this and one other typewritten page, each identified by the signature of the testator, Cyril D. Gutshall, was on the day and date thereof signed, published and declared by Cyril D. Gutshall the testator herein 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. ML,~ :2l[ residing at ~~ (j residing at fJe WVI tie I f tJ NWEALTH OF PENNSYLVANIA: SS COUNTY OF FRANKLIN LI Wr.' Cyril D. Gutshall, c;(/{y d. /,A.)p'l.de t-- and ~~k/KuC~~, the testator and'the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his Last Will and Testament and that he signed willingly (or willingly directed another person to sign for him), and that he executed it as his free and voluntary act for the purposes therein expressed, 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 our knowledge, the testato was at that time eighteen years or older, of sound mind and under no constraint or undue influence. ~~ 4k6.e~ Subscribed, sworn to and acknowledged, by Cyril D. Gutshall, the testator.' jnd sworn to before me bi' Std~ J: ivi.,a-eV" and Ji>~ M<.I..'r'liA.:JJT: ' witnesses, this J~ Ok. ~W · 1986. Notary Public Mv commission exuires: -?-