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
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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, $6.00
P 13823042
Certification Number
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
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cal Registrar ate Issued
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Hl05-143 REV 1112006
TYPE I PRINT IN
PERMANENT
IllACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and 8Jtalllples on reversal
1. Name 01 Decedenl: (flf'St. midcIe, tast, sulill)
Charles
5.1ge(la$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
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""''''''''''''''"'- : 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.
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Due to (or as a consequence 01):
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A_ _10 CcmploOOo
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:lOa Was anAllopsy
Porlormod?
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. 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
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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?
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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.
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I do hereby make, constitute and aPr~...."'..;;1!.1.~......:~ _..~.....................__
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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
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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
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Form RW-04 rev. 10./3.06