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
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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
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3
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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
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35, Regi
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Signalureat\t:i~~~~
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Disposition Permit No
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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
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~
)
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.
NOI AHI/\L SEAL
~HULY Sf:XTC.lN
.-~3rllsie Her; Clj!r1h~--"r! 1
'~-~'~)rnn!i~ _", i l t.xplrc.
(SEAL)
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