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HomeMy WebLinkAbout09-24-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of CHARLES M. GEHRDES also known as CHARLES MARTIN GEHRDES File Number ~ \ D'1 ~'l~ , Deceased Social Security Number 194-16-2559 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW:) 00 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the EXECUTRIX last Will of the Decedent dated 2/1/1979 and codicil(s) dated BETTY JANE GEHRDES died October 28, 2000 named in the (State relevant circumstances, e.g., renunciation, death of executor, ete.) 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: NONE o B. Grant of Letters of Administration (If applicable, enter: e.t.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 d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationshi Residence \.. ,-- ;7-0 ':: ::n () r-' rn ~.,) = -...J c." -0 N ". .J (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. >=?~=2 -0 .~ ~-:::::::: 1 1:X: - ,-_OJ Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his / her last principMtesidence at =" 313 CASCADE ROAD MECHANICSBURG PA 17055 UPPER ALLEN ~ CUMBERLAND' (List street address, town/city, IOwnship. county, state, zip code) ." W', o Decedent, then 84 503 NORTH 21ST STREET years of age, died on 9/17/2007 at HOLY SPIRIT HOSPITAL CAMP HILL PA 17011 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value ofreal estate in Pennsylvania $ $ $ $ 450.000.00 0.00 0.00 200.000.00 313 CASCADE ROAD, MECHANICSBURG, PA 17055 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: Signature Typed or printed name and residence REBECCA JANE VALUCH 175 BANK STREET LANDI ILLE PA 17 3 Form RW-02 reI', jO.13.06 Page 1 of2 H105.805 REV 1011(7) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 13823042 Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. 1f~'"";' ~.J.v, ~lt IJ / tI ') cal Registrar ate Issued (") Co Z:::u :.'-0 i;;!;f2 0fn ~~352 ..~.~O >_--:'11 .::.0 -.; -J2 r--::> <::::> c;:> -...I (/) rT1 -0 N .j;:"" -0 ::E: w C) Hl05-143 REV 1112006 TYPE I PRINT IN PERMANENT IllACK INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and 8Jtalllples on reversal 1. Name 01 Decedenl: (flf'St. midcIe, tast, sulill) Charles 5.1ge(la$t!li<1hday) 64 M. Gehrdes 7.8' May 14, 1923 Altoona, 81>. CounIy 01 Ooa'" Twp 313 cascade Road Meehani PA 17055 18, Fathef's Name (Fir$!:. midcIe, last, Ufill) Charles M lOa 1_', Name (Type / PrinI) Rebecca Jane ~, Actual Residence 171. Slate 17bCOUflIy OOOher. Spealy. 10, Race: Am8ricen kOan. Btac:k, White, Me ( SpocH>> White 14. Marital Slalus: Marned, Never Married, _... Divo<ced (SpocH>> WidcMed Dld_ LiYeina Township? 17e. GiI Yes. _""'" il r~r All o:>n 17d.O No. Oocedootliwd_ AcbJJi UmilJ ~ Twp COy/Bolo 19. Molhec's Name (FirSS. midlIe, maid&n surname) i te Bell 2(1). InJormant's MaiIIlg Address ISreel. city I town, stall, ~ code) 175 Bank Street Larrlisville, PA 17538 21~_0I0IJjl0Jlti0n(Nameol_'_"__J 214L..-ICOy/_._...._) Indiantown Gap National Cemetery Annville, PA 22c.N.m..nd_oIFaciI~ 8 Market Plaza way Malpezzi Funeral Halle Mechanics PA 17055 23a To.......oI my _. _ o"".J8d"....... daIo "" place _ (SigoW. ""tiIIo) 23b.1JoonJo _ 23<. _ Signed 1_. day. _I Gehrdes 21a. MelhodotDiaposition 51 ~ ;',/ ;J, ~ .....2..,fl.....be~byponoon 24.T....0I1leaIh 25.~_Dead(_.day.yeorJ ""''''''''''''''"'- : 00 A.M ~ tel'Y'\ber CAUSE OF DEATH (Soo lnstr_. _ .......,...1 1_ 27. Part I: Entef lie ~ - di&Nse6. ~, or oocnpIiCaliails -1haI (iredIy caused lit dea't. 00 NOT enter \ermioal evenls such as catGac arrest, respiralory Illest, Of venlriaiar flbriIIaIion wiIhout showing the etiology. List only one cause on each h. ~~=~ n~ ~r", .. ~~~es.~~ {)~: . b. Duolo("'es'consoquonco~. ""'11 '1 -"'_.'Illly. INcIno to" cauabled on line,a. fMMh_VIIllCAllSf: =-~':...~f.'" c. Due to (or as a consequence 01): v') ..f;v L. l.;j s. J d. 3Cl>Wore_flnllillgs A_ _10 CcmploOOo oIea..soolDoallll DYes DNa :lOa Was anAllopsy Porlormod? 31~oI\loa1h I1!INal.... D- 0- 0 P""""llkw.stigalocn o &':ido 0 Could NoI be 001."".... M. 320. TIlTl8 01 InjuIy OY" p(Na 33a C__onIyono) =..':r:""'::=='::''':~~~'::=":::'~~~~~~:~__ __________m__ 0 . PronounckltMd ~Ing phyaIctao (Physician boUI prooouncing death and Cef1ifyiilg 10 cause ol death) To 1M bn1 aim, knowIedOI. death occuned at"'" lime, <Saw, and jMcI, and dP.at 10 the cause(.) and manner II ."1ecL _ _ _ _ _ _ _ - - - - - - - - - - . ::: ~..= 1M' or w.vestlQlUon, In my opWon, duIh ocx:urred II the lime, dale, and pIKe. Md due IQ the caUM(s) and manner.. ,lISeCL 0 !Z ~ i!J ~ I lOll \ I a I 'I.J..I Disposition Permit No () 0 26. Was Case AeIerJtd to Medical Examiner I Coroner twa AHscn 0Iher hn CfefTIIIion or 00nIIi0n? DYes ~ Part n: EnIer oIher ~ mnditiMs COl'ltdIuIina eo dMIl 28. Did Tobaoco UII ContrOM toOtalh? ...""'rooullinvil.............cauoogoonilPOIII. v.. OPolballly Na 0"""'" 28.'_. o NoIp'__peslyeor o I'IolJIenI ".... 01_ o NoI_....__42day. ol_ D NoI_...._43daylloly"" _.- o -.p'_-......_ 32c. ""'" 0I1rjuoy: _.F.... _ F_. 0lIc0 Ilolldlng. ole. (s,.dy) 34loco1icnolIrjuoyISlrool.cOy'-._1 \)6- \1 Dll 8-62--500 ~ a \ 0\ (:)%'1~ No. 49 -- LAST WILL AND TESTAMENT Uniform Series of Law Blanks of Pennsylvania, A1toona Printing & Supply Co., 301 W. Plank Road, Altoona, Pa. LAST WILL AND TESTAMENT I, _jJ(~__'Mg,d:~~~~---, OL.1ar1~LJ.~~ County of,...,..~--::!,,~....,.....n................,............and State Ofn.......~,~~........n...... being of sound mind, memory and understanding, do make and publish this, my last Will and Testament, hereby revoking and making void all former Wills by me at any time heretofore made. ~f;:~ ~~~;j 7;!;c:~~~~~ I "k~,,~~---t ~~ fh~ ~~~L 't;;J~ ~~!;4'~i~:7~~1 , .~ 14-uro/ ~/I <{ 000 ~f~" \"l~;S--;% t1 O/l-1.~ /?t>.r~ ~ ~d" Ci )l~~L :::;::; ~ ~~---- '(U - /1"1 .(:, ~<f H<JW C) c:;;o ":'~r}, ..- n , .~/) :;."', ......, C7 = --' (/) TTl -u N .r:- ."j -~~-? ~~ _-~)~J -0 --1 ~~"" -u Ji: - .. 0) ~'7~~~~~ ~ I do hereby make, constitute and aPr~...."'..;;1!.1.~......:~ _..~.....................__ -------~---~~~---.---m-------- to be execu.:!::Jl1.Lof this my last Will and Testament, ..........._........................................................................................................................._ ...............................................-........................................................................................................-.........................--..---.....................................................................- ...................................-............-..................................................................................-..........-........................-....--.----..........................................................................--- ............nnnnnn.____OO...._nn......_..................................................................................__..........._.......4.............._.4_...___._..._....4..................................................................h......._ In witness whereof, Ln...~1i1~.....~_..., the testat...o::t.t.::........_ above named, have hereunto subscribed my name and affixed my seal th~..._..._..__.__day 01._.2~___.Jn the year 01 0"' Lon! one thou,and rune hundred an~au~ U~..J1j~.....~EAL] Signed, sealed, published and declared by the above named ..tI~.1il..~.L...~~ ---------:------------...------.--..-------'" and fO,__~--~~t Will and Testament, m the preoen"" of "', who have hereunto mOOcribed 0", names at.~uest as witnes,es thereto, m the pres- ence of said testat..a.c:....., and of each other. _ _LiAJlA.d"jL,5t.:_~,__,____,tf...__lf, c~.tI I'fe .,ta..., , c", (,""7 rl _ / #s"j .~ ~........~..........~........_.....:!::t.......Q~ ~ ~. Q u-- ~ \ 0\ 6"61~ OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of CHARLES M. GEHRDES a/kla CHARLES MARTIN GEHRDES , Deceased CHARLES MORTON GEHRDES and JEAN GEHRDES VEALE (each) being duly qualified according to law, depose(s) and says(s) that she / he / they was / were well- acquainted with CHARLES M. GEHRDES a/kla CHARLES MARTIN GEHRDES and am/are familiar with the handwriting and signature of the decedent, and that the signature of CHARLES M. GEHRDES a/k/a CHARLES r to the foregoing instrument purporting to be the Last Will and Testament/Codicil of CHARLES M. GEHRDES a/kla CHARLES M~fF.nJ~/~oper handwriting. ~ri~~9:te~ P.O. BOX 152 (Street Address) 6Jr2 ~~V~ (Signat 5254 PATRIOT LANE (Street Address) HARTSEL (City, State, Zip) CO 80449 COLUMBIA (City, State, Zip) MD 21045 Executed in Register's Office Sworn to or affirmed and subscribed befor~ m~bis ~ ~'-1 . day of~ ,~'. 20 =-~~l -rl --r- r----'" -1-. .... .... : ~; ~~~ '''V C'..:::) C;::::'} -..J (/) C:! v 1".) .s::- :3('i~ ~~ ~ - .. W Q Form RW-04 rev. 10./3.06