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Home My WebLink About10-05-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Newton Maxwell Scarborough also known as N. M. Scarborough, N. Maxwell Scarborough File Number d../- 07- 09 ()J{ , Deceased Social Security Number 215-14-9655 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE~' or 'B' BELOW:) o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executrix last Will of the Decedent dated March 11,2003 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 (lfapplicable, enter: c.I.a.; db.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) ilJ;ld 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 Relationship .~~ Reside (.._--' ~_.-. "" ~. (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. ) . --i Decedent was domiciled at death in Cumberland 573 Dogwood Drive. Mechanicsburg, P A 17055 (List street address. townlcity, township, county, state, zip code) County, Pennsylvania with his / her last principal residence at r,) c Decedent, then 88 Mechanicsburg, P A 17055 years of age. died on September 17, 2007 at Messiah Village Nursing Facility, 100 Mt. Allen Drive, 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 of real estate in Pennsylvania $ $ $ $ 20,000.00 0.00 situated as follows: N/A 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 Alden T. Scarborough, 573 Dogwood Drive, Mechanicsburg, P A 17055 Form RW-02 rev. 10./3.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA o ~- -',:--' C~, r. SS COUNTY OF CUMBERLAND I C'~ The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true andco,rrect tq-fue best of the knowledge and belief ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) wH' well an~uIy administer the estate according to law. r-,) () Sworn to or affirmed and subscribed ~tL before me the ,,:,) day of ~~1:::::mR!:~-U~ Oct()~r aDDt Signature of Personal Representative etA U Signature of Personal Representative File Number: ~ j-()7- qO.Y Estate of Newton Maxwell Scarborough , Deceased Social Security Number: 215-14-9655 Date of Death: September 17,2007 AND NOW, CXti'bp.1._ '3 <;ltfJ I , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Alden T. Scarborough in the above estate and that the instrument(s) dated March 11,2003 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES JifU1~ ':/0.-41 p 1 ~i.a.!Jb(ll ~ ' ill/! Letters ............... $(00.00 Reglstero Wills U ~~& Short Certificate(s) . . . . . . . . $ 1(0 (f) Attorney Signature: (j -H Renunciation(s) .......... $ . ~,J-!) WI I \ . . . $ IS-' CO Attorney Name: Cl...Aj liYY"cc t~. . $ 'S . (J:::;:J Supreme Court J.D. No.: ~(\P ... $[0. CC;> .. . $ $ .. . $ .. . $ .. . $ .. . $ TOTAL .. .. .. .. . . .. . . $ I Olo . 00 Address: Telephone: Form RW-02 rev. 10.13.06 Page 2 of2 LOCAL REGISTRAR'S CERTIFICATION OF DEATH \NARN1NI:i It is illegal to duplicate this copy by photostat or photograph. '\,. I: ,'I"~ , . <;;'jr' OF iif> \\:/~~v' , "--:/YJ<:-;._\ "'~ . ~'c ,,~. ""j.<L " {:Ie .~~., ~~\i ~ s~;" . h~.: '\ ~- ~. .... ~-;i: ~(-~,~r'r"" '" "{<t~>:' c<' MrN\ ';\\ ~,>' '::':,::~~;~' ':.r!f'f;f"~!' Thl~ i,~ t1' ('\..~rlJt\ lhdl l~l,' (l i i:, ~ i ; ~ ]; 1 l'l , ; ; '. , . ~ II \ l\J!TI...'i.:t!~ \"'I)!)J(,d In):I; ,:1"[ ~Tl:~~ L:! {"n,! duh !:kd 1\1111 J'I,' I., i:._.ci i:11 II\. li:.\' '\'1'111 !l,lk \I,li 'I, Rl'C{Hd" (Hlll'l' l<lj il l:-d, SLl! ~_' i ", p 13858601 ?~Ii:??2..~... ~EP 2 AJ Z007 ( 1 {., I'. c. r--) u 1 Name 01 Decedenl (First. middle, last, slJffixl N. Maxwell Scarborough. Jr. SAge (Last Birlhday) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE NUMBER d 1- ()7. a (). 4. Date of Death (Month, day. year) REV 1112006 PRINT IN AANENT CK INK y" 6. Date oj Birth (Month, day, year) 215 - 14 - 9655 September 17. 2007 Oct. 6. 1918 Ban or. PA Other ~ Nursing Home 0 Residence DOther. Specify 9 Was Decedenl of Hispanic Origin? ~ No DYes 10. Race: American Indian, Black, While, ate (II yes, specify Cuban, (Specify! Mexican, Puerto Rican, eIC.) i te 14 Marital Status Married, Never Married, Widowed. Divorced (Specify) Twp. 11, Decedent's Usual Occu tion (Kmd of war\( dol'll! durirt most of workirt life Do not stale retired Kind of Wor\( Kindof8usiness/lnduSlry Electronics - 5l3ceif~::i~ssVlil~gW~ state. zip code) . Mechanicsburg. PA 17055 ~y" ONe Married Did Decedent Live in a Township? 17c. ~ Yes, Decedent Lived dlpper 17d.D No, Decedent Lived Within Actuallimrtsol Twp ~~U~~;:idence 17a.Slate Pennsylvania 17b. Coonly Cumberland City I Bora 18 Father's Name (First, middle. fast. suffiX) 19. Mother's Name (First, middle, maiden sumame) N. Maxwell Scarborou h Sr. Kath Edwards 20b Informanl's Mailing Address (Slreet, city I toWrt. state, lip code) 573 Messiah Villa e Mechanicsbur 21 c. Place of Disposition (Name of cemetery, crematory or other place) 23a. To the best of my knowledge, dealr, occurred at the time, dale and place staled. (Signalme and htle) 23b.license Number 17055 Cremation Societ of PA 22c.NameandAddrossefFac;l;fAner Memroial Home and Cremation 4100 Jonestown Road Harrisbur PA 17109 23c. Date Signed (Month, day, year) 24_ Time 01 Death h15 M 26. Was Case Referred to Medical Examiner I Coroner for a Reasort Other than Cremation or Donation? Dyes ONe CAUSE OF DEATH (See instructions an examples) Item 27. Part f: Enter the ~ - diseases, inluries, or complications -that directly caused the death, DO NOT enter terminal events such as cardiac arrest, respiratory arrest, or ventricular lIbrillalion withoul showing the eliology. Ust only 0118 cause on each line. Approximate interval' Part 11: Enter other sianificant conditions conlributina to death, 28. Did Tobacco Use Contribute 10 Death? Onselto Death but not resulting in Ihe under1ying cause given in Part I. DYes 0 Probably ErNo 0 Unknown ~dTt~~~~ttn~~~ ~~rml\ dise.::.. a I!for?) 10 ;')...k'/ f'. tJ r1I..-U. mYJUa/ Due (or as a consequence of): I Jw-utul f.kd~l:.vM utmphuma fVJYYVlU. p~ ~.~ha..W4 29. If Female GJ Not pregnantwithm past year o Pregnarttathmeoldeath o No! pregnant. but pregnant within 42 days 01 death o NOlpregnartt, but prngrtant 43 days to 1 year before death o Unknown it pregnanl within the past year 32c Place allnjury: Home, Farm, Street. Factory. Office Building, etc. (Specify) Sequentially lisl conditions, if any, ~~I~~~~O m:Dr:~~i~b~ru~n~ a (disease or injury Ihal initialed the events resutlrng iii death) LAST. Due 10 (or as a consequence of): Due to (or as a consequence ofl DYes ~ 3Ob. Were Autopsy Findil'lgS Available Pnor to Completion 01 Cause of Death? DYes ~ 31_ ~ner 01 Death tJ Natural 0 Homicide D Accident 0 Pending Investigation o Suicide 0 Could NOl be Determined 32d. Timeo! Injury 3Oa. Was an Autopsy Perlormed? M 321. II Transportation Injury (Specify) o Driver I Operator 0 Passenger DPedestrian DOlher . Specify 33b_ Signature and Tille 01 Certifier ~YYlj) 33c. License Number fYJO'; ex ~ If 1-') 32g Location offniury (Street,city/lown, state) 33a. Cer1ifier (check only one) Certifying physician (PhYSician eertifyllig cause 01 death when another physician has pror.ounced death and complete(! Item 23) To the best 01 my knowledge, death occurred due to the cause(s) and manner as staled.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ~~~~~u:~~~t~~ ~~::r~~~hJ:~~~a~~u~:~I~~ ~~~i~~~~~~~:nagn~e;::c:~~~:rt~f~n~ot~h:a~:~~~~~~~~ manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 ~:::~:~sm~~:~~~~:t~:~ and I or investigation, in my opinion, death occurred at the time, dale, and place, and due to the cause{s) and manner as stated_ 0 3&1_ Date Signed (Month, day, year) Oq-I/-}.007 1021 /10\.1 / I ~ I 34. Nam~ihi:AI ~son'voo~21aJ1h (Item 27) Type I Print 100 (YlT ftt-LeA.J {)tl..-i vG _ t..!:: v: P. /105''0:> Disposition Permit No 0070360 WILL OF N.M. SCARBOROUGH ;.-.-, . .'1 C'") Co I, N.M. SCARBOROUGH, a/k/a N. MAXWELL SCARBOROUGH, a/kla , I - NEWTON MAXWELL SCARBOROUGH, currently of Upper Allen Tt)wnshifu Cumberland County, Pennsylvania, declare this to be my Last Will and Testarrieni', here1?~ revoking any and all prior Wills and Codicils made by me. L I. I direct that all my just debts and funeral expenses be paid from the assets of my estate as soon as practicable after my demise. II. I direct that all estate and inheritance taxes that may be assessed in consequence of my death, shall be paid out of the principal of my general estate to the same effect as if said taxes were expenses of administration and all property includable in my taxable estate whether or not passing under this Will shall be free and clear thereof. III. I bequeath unto my wife, Alden T. Scarborough, all tangible personal property which I own at my death. IV. All the rest, residue and remainder of my estate, of whatever nature and wherever situate, including property over which I hold a power of appointment, I devise and bequeath unto my wife, Alden. V. In the event that my wife, Alden, does not survive me, I devise and bequeath my entire estate that would have otherwise passed under Paragraphs III and IV above as follows: A. I intend to keep with this my Will a separate memorandum concerning disposition of certain items of tangible personal property. I bequeath the items on said memorandum to the persons designated. B. I bequeath the remainder of my tangible personal property equally unto my children who survive me. -Jp -1- (//) .) J I. ~c;'-""~~:r" . {/ C. I bequeath the sum ofTen Thousand Dollars ($10,000.00) unto each of my following grandchildren who survive me: John, Kathryn, Matthew, Jay Maxwell and Zachary. D. I bequeath the sum ofTen Thousand Dollars ($10,000.00) unto the Christ Presbyterian Church of Camp Hill, Pennsylvania, as a gift in the names of my wife and me, to be used as it determines best. E. I bequeath the sum of Five Thousand Dollars ($5,000.00) unto WITF TV, Harrisburg, Pennsylvania to be used as it determines best. F. I bequeath the sum of Five Thousand Dollars ($5,000.00) unto KAPP A KAPPA GAMMA FRATERNITY, Columbus, Ohio, to be used as it determines best. G. I bequeath the sum of Five Thousand Dollars ($5,000.00) unto my niece, Maxine Pyle Jex. If she predeceases me, this share shall lapse and as part of my residuary estate below. H. All the rest, residue and remainder of my estate I devise and bequeath equally unto my children, Leslie Alden Potter, Jay Ross Scarborough and Jane S. Winters. If any child predeceases me, his or her share shall pass unto his or her issue per stirpes. If said child leaves no issue, said share shall lapse and be added to the shares passing to my other children or their issue per stirpes. VI. I appoint my wife, Alden T. Scarborough, Executrix of this my Will. In the event that she fails to qualifY or ceases to act as Executrix, I appoint my son, Jay Ross Scarborough, Executor, of this my Will. VII. I direct that no bond be required of my fiduciaries for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, N.M. SCARBOROUGH, herewith set my hand to this my Last Will, typewritten on three (3) sheets of paper including the attestation clause and signatures of witnesses, this I/-It, day of /1 A.lf C jJ , 2003. JJ pl.~c- ~ / N.M. SCARBOROUGH (SEAL) ~ -2- Signed by N.M. SCARBOROUGH, by him declared to be his Will in our presence, who have hereunto subscribed our names as witnesses in his presence and at his request, this / /..it.. day of /,,1.4 ~c. /../ ,2003. ~~e r;:J<-,;;,~ ,/ . /' U,~ J. ~ residing at residing at -3- t::~ I: /' !t{e~~(-<~iuU f~Lj COMMONWEAL TH OF PENNSYL VANIA COUNTY OF C U tv\.. b e(" \ "- no ~ WE, N.M. SCARBOROUGH, GERALD J. BRINSER and Vc~l€-rie- J .3\.~~h , the testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly affirmed, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his Last Will and that he signed willingly (or willingly directed another 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 testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. /). J11. L'''('''~-<--1 N.M. SeARBOROUGH ~~~/:( fJ:J~ WITNESS VaL_(J.~ WITNESS Subscribed, sworn or affirmed and acknowledged before me by N.M. SCARBOROUGH, the testator, GERALD J. BRINSER and V.:4 LE~IE J. OvG.C'Uf , witnesses, this / / tj day of /l1 Gt rGl~ , 2003. {/j frI. ~ (SEAL) Notary Public Notarial Seal Vicky M. Miculita, Notary Public Upper Allen Twp., Cumberland County My Commission Expires December 31 , 2005 Member, Pennsylvania Association Of Notaries -4-