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HomeMy WebLinkAbout09-12-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Ruby Mae McCarthy a/k/a Ruby Mae McCarthy also known as Ruby M. McCarthy File Number :; 1- (,1- () f 35- , Deceased Social Security Number 201-18-5770 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) Ii] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executor last Will of the Decedent dated January 26, 2007 and codieil(s) dated named in the (State relevant circumstances, e.g., renunciation. death o/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: no exceptions D B. Grant of Letters of Administration (If applicable, enter: c.I.a.; d.b.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 db.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal;61~ence at (/:: 66 Ashburg Drive, Apt. 104, Mechanicsburg. Silver Spring Township. P A 17050 ., , (Ust street address. IOwn/city. township. county. state, ~ip code) Decedent. then 81 years of age, died on September 8, 2007 at Carlisle Regional Medical Center r.......~ Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property (If not domiciled in P A) Personal property in Pennsylvania (If not domiciled in P A) Personal property in County Value of real estate in Pennsylvania Ul 100,000.00 $ $ $ $ situated as follows: 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: I Simature Tvped or printed name and residence I ~ 2e/: ..- Michael S. McCreary, 84 Walnut #401, Asheville, NC 28801 ..L.- Form RW-02 rev. /0./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 beliefofPetitioner(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 /) before me the / (^ day of ","w.,,"a~.r ~ Signature of Personal Representative /1 , I . r the Register '-:./-'1 Signature of Personal Representative " I.'., File Number: J/~Ol- c f35 co"" Estate of Ruby Mae McCarthy a/k/a Ruby Mae McCarthy , Deceased Social Security Number: 201-18-5770 AND NOW,\. ~\ C) pU- r~Ll{ ~ 14- having been presented before me, IT IS DECREED that Letters are hereby granted to Michael S. McCreary Date of Death: September 8, 2007 , de}:) 1 , in consideration of the foregoing Petition, satisfactory proof Testamentary in the above estate and that the instrument(s) dated January 26, 2007 described in the Petition be admitted to probate and filed ofrecor~ as the last Will (and Codicil(s)) l l FEES Q. (1 -- . ~., Short Certi ficate( s) . . . . . . . . Renunciation(s) .......... (()cn(\ i ~\ \\ ~QP Clu:k~l:NV Attorney Name: TOTAL $ 2/0.(0 $ Jc1... . ClD $ $ I~.C{) $ 10-. cn $/0.00 $ [} dJ $ $ $ $ $ $~I.J;TL~) ~ Attorney Signature: Letters Supreme Court I.D. No.: 16453 Address: 78 West Pomfret Street Carlisle, P A 17013 Telephone: 717-243-0123 Form RW-n2 rev. In.13.n6 Page 2 of2 -.,. -. .''1 (,II I-I, ~~)./ LOCAL REGISTRAR'S CERTIFICATION OF DE,~.TH WAFlNII'lG It ;:s illegal to duplica1e this copy by photostat or photograpil p 13745627 ,;! "j:':~~'-;"t' ">, "".. .,,; ;..\ \ r. J, Pr .,c_: /'~;'~ .... "1' .... ;,$~~L~\ (~~Z.;l '''- -<ft>,;.. ",\-'-",~ co ".I/If[ ~~'t." ,.' ":::-:-(:-::/,,,~~J,,~:~I~,;!! _;;1,1 j'lt i" 1 (\ ,\. It! I \ 1 ;, t 1 :ll Ii l 'f'll ,I! lj \.()j'!\"l..'l!\ l ~] I ILl: ~ '. ;! li.: "I I .I, ,LI 1 'h;.' , II] d S! ,I il" \ II 11 I.L;]\ likd \\1111 !1!1_' 'rldil',!! i! :11._ !< " (l!li.;:.::,' !i.H' I ,l . d !< l' ~ I, ; I ! )1\\ 1 til\(1 il ."],', '!I! ~.f~~~~~SEPj 1 Oj2007 I '___':.11 !(.,~:"Ir [),d_ i-"'''';;ll..'d , '....... U1 H105,143 REV 1112006 TYPE/PRINT IN PERMANENT BLACK INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) Kioo 01 Work Pharmaceutica moslofworkin life. Do nol state relired Hi~ ~BpirSt ~It~ 12. Was Decedent ever in lhe U.S, Armed Forces? Dy" ~o STATE FILE NUMBER 1, Name of Decedenl (First. middle, last, suffix) Ruby M. McCarthy 6. Date of Birth (Month, day, year) 201 - 18 4. Date of Death (Month, day, year) 5 Age (Last Birthday) 5770 Sept. 8 2007 Middleton Carlisle Regional Med. Other eg IrtpaHent 0 ER I OUlpalient 0 DOA 0 Nursing Home 0 Residence OOther" Specify 9 Was Decedent of Hispanic Origin? XJ No 0 Yes 10. Race: American Indian, Black, While, ale. (If yes, specify Cuban, (Specify) Mexicarl, Puerto Ricarl, etc.) Wh i t e 81 Yrs August ,17,1926 Harrisburg,Pa. 8b. COtJntyof Death ad. Facility Name (Ifrl01 insti1ution, give streetarld rlumber) . 15 Decedent's Mailing Address (Street, city Ilown, state, zip code) Widowed 13. Decedent's Education (Specify orlly highest grade completed) Elemenf~ sey~a~ (~12) College (1-4 or 5+) 14, Marital Status: Married, Never Married, Widowed, Divorced (Specify) 66 Ashburg Dr. Apt. Mechanicsbur Pa. 18. Fa1her's Name (First, mKldle, iast, suffix) David Bowers #104 17050 Decedent's Actual Residence 17a.State 17b. County Pa. Cumberland Did Decedent liveina Township? 17c.j[] Yes, Decedent Lived in Silver Sorinas 17d.D No, Decedenllived within Actual Limits of ~ City/BolO 20a. Informant's Name (Type I Print) Michael S. McCreary 19. M01her's Name (First, middle, maiden surname) Myrtle Martin 2Gb. Informant's Mailing Address (Street, city I town, state, zip code) 84 Walnut #401 Asheville, N.C. 28801 Ul (J) .,-i 0. ~ 01 ~ 22c, Name and Address of Facility 5 0 1 N. PH/Crematory Inc. Mt. 21a. Method of Disposition 21 c. Place of Disposition (Name 01 cemetery, crematory or other ~ace) 21d. Location (City I town, state, zip rode) Hollinger PH/Crematory Inc.Mt.Holly Spgs.Pa.17065 /11/~ -o~ -r;, 'i"'f Ii. 23b, License Number Items 24.26 mus1 be completed by person wliopronouncesdeath 24. Timeo! Death 26, Was Case Referred ~ical Examiner I Coroner for a Reason Other than Cremation or Donation? DYes LJNo CAUSE OF DEATH (See Instructions and examples) Ilem2? Part I: Enterthe~-diseases, in;uries, orcomplications-that directty caused the death, 00 NOT enter terminal events such as cardiac armst, respiratory arrest. or ~entricuJar fibrillation wi!hout showing fhe etiOlogy. Us! only one cause on each line Approximafeinterval Onseffo Death Partl!: Enler Dthersionificantconditionsconlribulino 10 death, but not resu~ing in the underlyirlg cause given in Part I. 28, Did Tobacco Use Conlribute to Death? DYes o Probably ~ No 0 Unknown 29. If Female: ~ Nol pregnant wifhin past year o Pregnantattimeoldeatll o Not pregnant, but pregnant within 42 days of death o Not pregnant, bul pregnan\43 clays 10 1 year before death o Unknown il pregnant wHhin the past year 32c, Placeollniu~: Home, Farm, Street, Factory, OffIce Building, etc. (Specify) ~~~~;e~Sl~~~; ~:~1~) dise~ /-1.':?f I.,.~ /,1'.",. b. Duefo~~ser~nceofj Due to {o~~ ~:equenJ8 oQ .I _>C-"t_".-l,)--'''-' Due 0 (or as a'llnseq~e~e 0 7 ?1 _~'S 1-1n-<,L ",;-..) 1."1>'~ ::-.; '7 s fr-tA'7 , .;;~; ( vr,#(~ ("v~1..., /'0....vA,""..A- /.......'1 1.t~<<i2 ,41r.-ep-tli/Xe<.J ;, c:vt..t/ I 5 3 J J t: SequentiaJly listCOflditions,il any, ~~~~o J~dERLYI~~~:W~E a (disease or injury that inifiated the events resuHlng In death) LAST. c/rj I~u< ,/-0; p,., nC'c-'_ '.'/--1 :h.~ 32d,Timeolln;u~ 32g,Localionoflnju~(Slreet,city/fown,statel 3Oa, Was an AU10PSY Pafformecr? 3Qb,WefeAulopsyFindings Available PriorloComplelion of Cause o! Death? ~ a: DYes ~NO DYes DNo 31, Manner 01 Death 'SNatural 0 Homicidf! o Accident DPendinglnvesligation D Suicide 0 Could Not be Determined M. 33a, Certifier (cfleck only one} Certifying physIcian (Physician certifying cause of death when another physician has pronounced death and completed Item 23) Tolhe best of my knowledge, death occurred due to lhe cause(s) and manner as slated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ~~~~~u::~~,8~ ~n::r~~h:~~lI~c~u~~i~~ l~hfi~~~~n;n~:lt:~~~~lt:~01~:~:~~~~~~~ manner as slaled.- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 ~~~c:~;~~m~~~~~~~;I~: and I or investigation, In my opinion. death occurred allhe lime, date, and place, and due 10 Ihe cause(s) and manner as staled_ D f? I ?rfD 7 z W Q U Q o ~ 35, Regi ~ Signalureat\t:i~~~~ .JV Id-I \ 1.),1 \ It) I Disposition Permit No C03.3Ss.:~ t tJ ~ ~ ~ LAST WILL AND TEST AMENT ('. OF r ,: RUBY MAE McCARTHY C'\ I, RUBY MAE McCARTHY, of Silver Spring Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any and all wills and codicils heretofore made by me. ITEM I: My personal representative shall pay from the residue of my estate the expenses of my last illness, funeral and burial debts duly allowed against my estate, and all death taxes (Pennsylvania inheritance tax and federal estate tax) occasioned by my death and incurred with respect to all property taxed to my estate regardless of whether such property passes by this Will or passes outside of this Will. ITEM II: I bequeath my automobiles, personal effects, household goods, and other tangible personal property of like nature (not including cash or securities), together with any existing insurance thereon, if any, as set forth in a separate memorandum which I shall place with my Will to the persons therein designated. If! shall leave no separate memorandum, or with regard to my automobiles, personal effects, household goods, and other tangible personal property of like nature (not including cash or securities) not referenced by such memorandum, I bequeath such property to my Sons, DENNIS K. McCREARY and MICHAEL S. McCREARY, or the survivor of them living at the time of my death, to be divided among them by my Executor with due regard for their personal preferences in as nearly equal shares as practical. f J ~ ) s ITEM III: I devise and bequeath the residue of my estate, of every nature and wherever situate, in equal shares to my Sons, DENNIS K. McCREARY and MICHAEL S. McCREARY. ITEM IV: My Executor and his successors, shall have the following powers in addition to those vested in him by law, and by other provisions of my Will, applicable to all property, whether in.:ume or principal, including property held for minors, exercisable without court approval, and effective until actual distribution of all property: A. To borrow money from any person or institution, including my Executor and to mortgage or pledge any or all real or personal property as my Executor in his sole discretion shall choose. B. To compromise any claim or controversy. c. To invest in all forms of property (including stock, common trust funds and mortgage investment funds, whether maintained by my corporate fiduciary or others) without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principal of diversification or risk. D. To retain any or all of the assets of my estate, real or personal, without regard to any principal of diversification or risk. E. To sell at public or private sale, to exchange, or to lease for any period oftime, any real or personal property and to give options for sales, exchanges, or leases, for such prices and upon such terms or conditions as they deem proper. ITEM V: I appoint my son, MICHAEL S. MCCREARY, Executor of this my Last Will and Testament. Should MICHAEL S. MCCREARY fail to qualify or cease to act as Executor, I appoint DENNIS K. McCREARY of Lock Haven, Pennsylvania, as Executor of my estate. IN WITNESS WHEREOF, I, RUBY MAE McCARTHY, have hereunto set my hand and seal to this my Last Will and Testament, consisting of four (4) typewritten pages, each of which bears my signature, this ~" day of Janufu")' 2007. -re~r~~~ Ruby Mae McCarthy, Testatrix Signed, sealed, published and declared by the above-named Testatrix, RUBY MAE McCARTHY, as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) WE, RUBY MAE McCARTHY, TAYLORP. ANDREWS, and {11i c-haG/( S. me C r<4.r( the Testatrix and witnesses, respectively, whose names are signed to the foregoing or attached instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as and for her Last Will and Testament and that she signed willingly and that she executed as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witnesses and that to the best oftheir knowledge the Testatrix was at the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. ~ ~ W\c.-~ Ruby Mae McCarthy, Te . ~-/~~.d Michael S. McCreary, Witnes Subscribed, sworn to and acknowledged before me by RUBY MAE McCARTHY, the Testatrix, and subscribed to and sworn or affirmed to before me by TAYLOR P. ANDREWS and af\ ~~j s. mc:.Cr- ~ ' witnesses, this d ~ day of January 2007. 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