HomeMy WebLinkAbout10-09-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYLVANIA
Estate of Paul W. Albright
also known as
File Number
/P1-07- Cfll/
, Deceased
Social Security Number 204-26-8610
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~' or 'B' BELOW:)
IZJ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the EXECUTRIX
last Will of the Decedent dated April 4, 2006 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 offne1instrument(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
(If applicable, enter: c.t.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) 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
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at
103 Pindale Road, Lower Frankford Townshio. Carlisle. P A 17015
(List street address, town/city, township, county, state, zip code)
Decedent, then 74
years of age, died on September 27, 2007
at 103 Pindale Road, Carlisle, PAl 70 15
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(lfnot domiciled in PA) Personal property in Pennsylvania
(lfnot domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
/OL?, G"V
$
$
$
$
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:
re
rinted name and residence
""~OR()TtlY E..
/03 PINEbf-lL(
CrlRC 7SL~ Ph
Df1'
ROf1b
170/5
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
COUNTY OF C [ll11Jr rlOY1 q
: SS
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 belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
.j:
Sworn to or affirmed and subscribed
before me the q+-h day of
g;:vtyr ~7
wtLnc. Q 'J1Mv
For e Register
:-_.1-
.:)
r '-~:=2
'-::~
,
. ..
............
Signature of Personal Representative
File Number:
dJ-Ql-ql/
Estate of Paul W. Albright
, Deceased
Social Security Number: tPolf - d to - 8I.P J 0 Date of Death: q - d 7 - D -7
AND NOW, ~ f)j Y ()F CX:..tDOCr ,d[y)~ in consideration of the foregoing Petition, satisfactory proof
having been presented~f~,e ~el r~. IS DEC-RE@ that Letters 5~st (l~ u
are hereby granted to ~ 'f t jdo.... Y =:J
in the above estate
and that the instrument( s) dated ftp,--- \ \ L{. I :l00 lP
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
Lette<s ~ES $]p'[15 flmdJL (}fl~7i!)~(& '0 IxF
Short Certificate(s) . . . . . . . . $ (J, Attorney Signature: '1
~Ren:mciatio*) .......::::~ AttomeyName: 11IONtiJ J
C . ,~ ... $~ Supreme Court I.D. No.: COOl 43
_fl1..![)lj... $ ~ Address: 52 GE rrYJf'lBu.1? A kf
... $
... $ f-.1~C!-/11IC')C~tJ(j;zfo I Pfl )7055
.
... $
... $
... $
. .. $
TOTAL . . . . . . . . . . . . . . $
'-f
/I I'll( ~A0'
Telephone:
11 7 - &17 -- )8(;' (}
(off) ~
Form RW-02 rev. 10.13.06
Page 2 0[2
tp! -07 ~ CJI/
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WAI~NING: It is illegal to duplicate this copy by photostat or photograph.
Cl,rtific,ltion Numher
"iii,iiii"''''';;;';'~" This is to certify Ih~lt tile 11fOlnUIlln hr' :cl\Cn i'
4i~~~\,\~OE.t{fj~ cllrreetly copied frol11 all I II !in;1 (\ rll! il. t ' \>I!klth
It'~ ~'~~ dulylIlcd wllh Illl' a' l.o,:, I R~~IS ral.
I~I~':~ ':\~l\ cerllllcate wIll he j(n,\.lrled 1) thl'
1l5\ .' . ...::.t~.. ...... ,,'.I~..... ",,",", Offl" foc pel """" '" fd' ",'
\\"~;{" /.>~, >~'~\\
\~,?jME-N-l' ~\~\~,/ ~. ~~~~_ _ , ~~fj_2n8ED!7
~.........;;/, 01/11',/ .
~-'~ Lllcal Registrar Ib!l' h\lle'd
Ic' e,rlgIlld!
..; .lk ViLli
h.,~ 1'.11 th:, .:\~rtificate. '-,Il.Otl
P 13745910
C')
~ ".,
(""'~':
'I
HtOS-143 REV 11/2006
TYPE I PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
STATE FILE NUMBER
I .
Cumberland
6. Date of Birth (Month. day, year)
Bd.FacilityName(Unotinslilution,givestreelandnumber)
- 26
4. Dale of Dealh (Month, day, year)
8610 9/27/2007
1. Name 01 Decedent (First, middle, last, suffix)
Paul
5. Age (Last Bir1liday)
74 Vffi.
8b. Counlyof Deall1
Aug. 19, 1933
cCrea I PA
Other:
D Nursing Home Kl Residence DOIher. Specify
9. Was Decedent 01 Hispal1ic Origin? KJ No [] Yes 10. Race: AmericM Indian, Black. While, etc.
(II yes. specify Cuban, (SpeciM
Mexican, Puerto Rican, eIC.) White
11. Oecedeors Usual Occu tioo K~d of wOO done durin most of worll:i life. Do not stale retired
Kind of Work Kind of Business I Industry
Mana r Insurance ca:npan
. 16. Decedent's Mailing Address (Street, city I town, slate, zip code)
13. Decedent's Education (Specify only highest grade completed)
Eleme1ta2:/ Secondary (0.12) College (1-4 or 5+)
14, Marital Status: Married, Never Married
Widowed, Divorced (Specify1
Widc1Ned
17b. County
PA
Cumberland
Did Decedenl
Uveina
Towl'lShip?
17C..K] Ves, Decedent Lived in
17d. D No, Oealdent Uved wilhln
AclualLimilsof
laver Frankford
Twp.
103 Pindale Rd.
Carlisle PA 17015
18. Father's Name (Flrsl. middle,last, suffix)
William E. Albright
20a. Inlormanfs Name (Type I Print)
[broth
17a.Stale
CIly/Bo<<>
19. Mother's Name {FIrst, m;ddle. maiden surname)
Lottie V. Salisbury
2Ob. In/Ofmant's Mailing Address (Street, city I town, state, zip code)
103 Pinedale Rd., Carlisle, PA 17015
21c. Place 0/ Disposiijon (Name 01 cemetery, crematOl'Y Of other place)
21C.locatlon(City/tOWfl,state,zipcode)
Bloserville C€mete
Bloserville, PA
Hame, Inc., Carlisle, PA 17013
23b. Uoense Number
R:N 57'-1 WI) 07
seqUlln:t~:'~~i~a.
= UNDERLYING CAUSE
~~~I~~~~~re
b.
~r;;S1'"I(4A.1'bRY F~ILurtr
Due to (or as a consequence of)
I D~o Ph-il+\c. F'ut-lIWtJ if-at.Y
D"~(MPmc~A
Due to (or as e consequence on:
'F I e. R/).t 1..("
26. Was Case Ae~ Medical Examiner t CorOO81' for a Reason Other than Crtlmation or Donation?
DVes ~
Approximate interval: Pari II: Enter other sionilicant conditions contr1butinc to IliI.ttl, 28. Did Tobacco Use Contribute to Death?
Onsello Death but not resulting in the undertylng cause given in Part I. DYes D Probably
DNa DUn""","
29.I/Female:
D Nolpregnantwilhinpaslyear
D Pregnantaltimeotdeatll
D Notpregnanl.bulpreglantwilhin42days
o/death
o Not pregnant, bul pregnant 43 days 10 1 year
beforeclealt1
o Unknown if pregnant within \he past year
32c. Place of Injury; Home, FIlITTl, Street, Fadory,
0IflC8 Buihflng, etc. (SpecIfy)
l1ems 24-26 must be compleled by person
who pronooncesclealh.
CAUSE OF DEATH (See Instructions and examp
Ilem 27. Part I: Enter lt1e ~ -diseases, injuries, Of compIcations -fhat directly caused the death. 00 NOT enter lerminal events such as cardiac arrest,
respiratory arrest, or '/eIltricular librilletionwltholllstlowinglhe etiology. List only one cause on each line.
~A~~~~~\dise~
d.
Dv"
N,
Dv" ON'
3~ofDeath
"k1 Natural 0 Homiclde
o Accident D Pending IllY8Stigallon
o Suicide 0 Could NoI be Determined
32d,Tlmeollnjury
3Oa. Was an Autopsy
Performed?
3Ob. Were Autopsy FlI1dings
Available Prior to Completion
of Cause of Dealtl?
Ir~ II I d-..I I I n I
321. If Tf1lnsportalion Injury (Sp6dfy)
DDrfverlOperator OPasseoger DPedestrtan
DD~'" Sp8d~:
330. SignatUfeandTrtleolCertlfler
~ RAYMONi') ~OavE
"0. Li"'''''MO t.f- 32 oS" g
32g. location of Injury (Street, dty/lown, state}
35. R
~
R/>r'1tvv:,~'O ~~
~p
~
z
w
co
u
co
15
~
338. Certifier (checlc only one)
Certifying physician (Physician C8f\ifying cause 01 death when another pIlysician has pronounced dealh and completed Item 23)
To the belt of my knowledge, deeth occuned due to the C9Uae(I) and mann.,. as statacL. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
~~~:t: :=::h:e~~a~~~~::~ I:~j~:~:n~~~:rt~:~ol~=.ofe(~aa~ manner as slated.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D
Medlc8l Ex.mlner / Coroner
On lhe basis of examlmtlion and lor investlgatfon, In my opinion, death occurred .llhe lime, date, and place, and due to the cause(s) and manner as slated_ 0
34. Name and Address or Persoo Who Completed Cause 01 Death (Item 27) Type I Print
DiSposition Permit No
(j()3~
Last Will
of
PAUL W. ALBRIGHT
I, PAUL W. ALBRIGHT, of Cumberland County, Pennsylvania, make this Will
and revoke all of my prior wills and codicils.
Article One
My Family
I am not now married.
The name of my child is:
DOROTHY E. DAY
All references to my children in my will are to this child, as well as any children
subsequently born to me or legally adopted by me.
;. )
c.
Page 1
Article Two
Distribution of My Property
Section 1. Pour-Over to My Living Trust
All of my property of whatever nature and kind, wherever situated, shall be
distributed to my revocable living trust. The name of my trust is:
PAUL W. ALBRIGHT, sole Trustee, or his successors in trust, under
the PAUL W. ALBRIGHT LIVING TRUST, dated April 26, 2004, and
any amendments thereto.
Section 2. Alternate Disposition
If my revocable living trust is not in effect at my death for any reason whatsoever,
then all of my property shall be disposed of under the terms of my revocable
living trust as if it were in full force and effect on the date of my death.
Article Three
Powers of My Personal Representative
My personal representative shall have the power to perform all acts reasonably
necessary to administer my estate, as well as any powers set forth in the statutes in
the State of Pennsylvania relating to the powers of fiduciaries.
Page 2
Article Four
Payment of Expenses and Taxes
and Tax Elections
Section 1. Cooperating with the Trustee of My Living Trust
I direct my personal representative to consult with the Trustee of my revocable
living trust to determine whether any expense or tax shall be paid from my trust or
from my probate estate.
Section 2. Tax Elections
My personal representative, in its sole and absolute discretion, may exercise any
available elections with regard to any state or federal tax laws.
My personal representative shall not be liable to any person for decisions made in
good faith under this Section.
Section 3. Apportionment
All expenses and claims and all estate, inheritance, and death taxes, excluding any
generation-skipping transfer tax, resulting from my death and which are incurred
as a result of property passing under the terms of my revocable living trust or
through my probate estate shall be paid without apportionment and without
reimbursement from any person. However, expenses and claims, and all estate,
inheritance, and death taxes assessed with regard to property passing outside of
my revocable living trust or outside of my probate estate, but included in my gross
estate for federal estate tax purposes, shall be chargeable against the persons
receiving such property.
Page 3
Article Five
Appointment of My Personal Representative
I appoint the following to be my personal representatives:
DOROTHY E. DAY, or if DOROTHY E. DAY is unable or unwilling
to serve, I appoint SHAWN M. JONES.
I direct that my personal representatives not be required to furnish bond, surety, or
other security.
. ialed all of the pages of this Will, and have signed it on April 4, 2006.
The foregoing Will was, on the day and year written above, published and
declared by PAUL W. ALBRIGHT in our presence to be his Will. We, in his
presence and at his request, and in the presence of each other, have attested the
same and have signed our names as attesting witnesses and have initialed each
page.
We declare that at the time of our attestation of this Will, PAUL W. ALBRIGHT
was, according to our best knowledge and belief, of sound mind and memory and
under no undue duress or constraint.
~~~
1" f-~
WITNESS
Page 4
COUNTY OF CUMBERLAND
)
) ss.
)
STATE OF PENNSYLVANIA
We, PAUL W. A,LBRIGHT, 1/J1> WItH J. 1l1';r(~ J and
LAuRA J. B LfJ u/L the Testator and the witnesses,
respectively, whose names are signed to the foregoing Will, having been sworn,
declared to the undersigned officer that the Testator, in the presence of the
witnesses, signed the instrument as his last Will, that he signed, and that each of
the witnesses, in the presence of the Testator and in the presence of each other,
Sign"ill as a witne~~/J . ;J
---I4:t 1/ Uf~
PAUL W. ALBRI
~~ 9 {!kM
WI S
iLII
WITNESS
Subscribed an9 sworn before me by PAUL W. ALBRIGHT, the Testator, and by
1J.!nVJM'H ,j. rI#Jf.eilJ and [J9U)(}4 J. IS L/'l ",Ie ,
the witnesses, on April 4, 2006.
~~\~~~~
My commission expires:
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
JUDD M. AHRENS, Notary Public
Mechanicsburg Boro., Cumberland County
Mv Commission Expires May 23, 2009
Page 5