HomeMy WebLinkAbout10-12-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of
also known as
Marv E. Fuller
File Number
<9 \ {Yl DCi d.d.
, Deceased
Social Security Number 164-24-9879
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~' or 'B' BELOW:)
[] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will of the Decedent dated M:4Y 18. J 9R':\ and codicil(s) dated None
Executrix
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 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
(Ifapplicable, enter: c.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) anliijeirs: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date a/Will in Section A above and complete list a/heirs.) Q ~
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Name
Relationship
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. 2007
Decedent, then ~2 Iearsofage"dledon EP~rpmhpr 28, at
Carlisle Reg10na Medical Cen e, South Middleton Township, Cumberland county, ~A
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
$ q.nnn.oo
$
$
$ Unestimated
situated as follows: DwaJ J ;118 house and lot in Borough of Cresson, Cambria County, Pennsylvania
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
Marylou Sharp, 119 Ridge Road, Carlisle, PA 17015
Form RW-02 rev. 10.13.06
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 belief ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
before me the
t:Z
day of
Sworn to or affirmed and subscribed
Signature of Personal Representative
Signature of Personal Representative
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File Number: 8. \ () ~ O<1a.'d.
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Estate of :Mary E. Fuller
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Social Security Number: 164-24-9879
Date of Death: September 28, 2007
AND NOW, ()Q\o~ \ ~ ' 2.007 ' in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters 'T'p~t-~mpnt-~""..y
are hereby granted to MJ:lry1ou Sharp
in the above estate
and that the instrument( s) dated M::i y H3. , q R ':\
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
Q FEES ~ Jj~wch ~f;' ~I'\~ ~~
Letters..... .\..~... $ SNEL E , P. C.
Short Certificate(s) . .5. . . . $ ~ D Attorney Signature:
Renunciation(s) .......... $
W,\, ...$
~LP ...$
~-h:::. .., $
.. . $
...$
... $
...$
.. . $
.. . $
Ct:-1WlQ
TOT AL .. .. .. .. .. .. .. $ ~ \.:::J
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to
S-
Attorney Name:
~;~~~rd c. Snelbaker
Supreme Court I.D. No.:
#06355
Address:
44 West Main Street
Mechanicsburg. PA 17055
Telephone:
(717) f,Q7_RS?R
Form RW-02 rev. /0.13.06
Page 2 of2
H105.905MS REV. 6/06
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance
with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
/2 ~ .4
~~ ~~tf~L
No.
Frank Yeropoli
State Registrar
Calvin B. Johnson, M.D., M.P.H.
Secretary of Health
1213579
OCT 0 it 2007
Date
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moslofworkin 1Ife.00notstatere1ired
Kind of Business f Industry
Homemaker Own Home
. 16. Oecedenl.'s Mailing Address (Street, city 11Owrl, state, zip code)
12. Was Decedent ever in the
U.S. Armed Forces?
DYes XXNo
3. Social Security Number
164 - 24
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15.143 REV 1112006
rvPE I PRINT IN
PERMANENT
BlACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
1. Name of Decedent (First, midcIe, last, suffix)
Mary E. Fuller
5. Age (WI Bir1hday)
82
9879
Bb. County of Death
. Cumberland
Yrs.
6. Date of Birth (Month, cia, ar)
April 1, 1925
8d. Facility Name (If not Institution, give streel and number)
Carlisle Regional Medical
Sa. Place of Death (Check only one)
HoSpital:) Other:
f] Inpatient 0 ER I Outpatient DooA 0 Nursing Home 0 Residence
9. Was Decedent of Hispanic Origin? [:p4K 0 Yes
(If yes, specify Cuban, .
Mexican, Puerto Rican, etc.)
oOther - Specify,
10. Race: American lndan, Black, White, ele.
(Speci/y)
White
119 Ridge Road
Decedent's
Actual Residence 17a.Slate
Pennsylvania
Did Decedent
liveina
T~?
17c. 0 Yes, Decedent Lived in
17d.:Q:~=~Livedvmhin
Twp.
13. Decedent's Education (Specify only highest grade completed)
Elementary I Secondary (0-12) College (1-4 or 5+)
12
14. ~rilal Status: Married, Never Married,
Widowed, DIVOrced (Specify)
Widowed
17b. Coun~
Cumberland
Carlisle
COjlBoro
18. Falher's Name (First,rriddIe, Iasl,suffix)
Edward C. Miller
20a InIormM'.i:ye ~i.{ri'%harp
21.. Method of Disposition
19. Mother's Name (First, middle, maiden sumame)
Mary A. Kraus
2ObInfol'Y1iil'''rd9(:eetRc3~'d'~l!-"1''rhe PA 17013
21c. Place of Disposition (Name of cemelery, crematory or other place)
Trinity Cemetery
21d. Location (Cdy/town. IllBt..zip_1
Erie, PA 16507
22c. Name and Address of Facility
. Brugger & Sons Funeral Home 845 East 26 St. Erie, PA 16504
A" f},
23b. Ucense Number
;UlJ07!?P7-L
23c. Date !?igned (Month, day, year)
?/2//tt>7
~24-26_be~byporson
who jlIOllOUIICOS death.
25 OoJ.ePrrx<>J_DearJltl'zJ!; (? 7
26. Was Case Referred to Medical Examiner I Coroner for a Reason Other than Cremation ()( Donation?
DYes oNo
CAUSE OF DEATH (See 'nstructlons ond """",pies)
Item 27. Part I: Enter the ~ -clseases, injuries, or ~ -that directly caused !he death. DO NOT enterlermioal events such as cardiac arrest,
respiratory amtSf, or Y8l1lricuJar IibriIation without showi1g the etiollgy. Ust only one cause on eooh line.
:=~~=)~
.. \A",-,,~^o.,.f
Due to (or as a nsequence oij:
MCI'/e,,,,,
I
cor
(2.-. ~-.I
(.N~I~.,
Approximale interval: Part II: Enter other smificant cooditioo..c; contribulina to du.!tl, 28. DId Tobacco Use Contrbie to Death?
Onset to Death butnotresutlilgintheundertyingcaU88~ninPartI. 0 Yes DProbabty
~ 0 Unknown
i-
321.0Transpo<tatioolnjury(SpociIy)
o ",-/Opollltor OPasaenge< 0_..,
Other-SpociIy.'
330. Cettifier(chockontyono) Signature TOle of Ce_ ;(,
Cortilytng ~ (f't1ysicion C&<tffyi1g cause of death when e_ _ has prooounced death and COOlpleled Oem 23) ,....,( ~. '-1 . ,
To tht bell of my knowtIdgI, dIIth occurred due 10 IheClUH(.) Ind.......... ........ __ _ _ ___ ___ __.. __ __ _ _ __ _.. _ __........ __ ~ ' u...-...-.
=-.:=."'::'=:::~:..doat~.:'Z.loto~=I!lII1""r..1IaIed.. _ _ _ _ _ m _ _ _ _ _ __ _ _ 0 33<. L<ense Nu_
==-=II1d/or_1goIIon.In II1dplace,lI1d.....totllo..uoo(.).nd...n""'u........ 0 0 IO")~f
34. Name and Address of Person Who CompIeled Cause of, Death (!lern 27) Type I Print
.<:J..c.r-C\ L. G...,W.-lL>>, DC> I ~I<.- Co",,
C. .,. . I A, \'0 I C- ",<; I 1.
DYes oNo
31. May< of Death
IS(Nalural 0 Hooldele
0-1 o PendinglnvestigatKln
o Suidde 0 CooId Not be De_oed
29.!'..!:~Io'
~NotplOgll"'witI1inpastyear
oP_odtimooldeath
o Notprognant.botPf'l'lantwitlin42days
ofdeath
D Not pregnanI, but pregrl8m43 days to 1 year
be10redeath
o Unknown ri prognant with'n tho put yeor
32<:. b:r: = ~~ St..... Factooy,
~ntiaNyistcondtions."any,
. to the cause Isted on line a.
Enter UNDERLY1NG CAUSE
="~~'Ynu:.~~
b.
Due 10 (or as a consequence ot):
c.
Due 10 (or as a consequence of):
d.
:JJa. Was an AtJopsy
P-
:n,. Were AuIopsy FIndIngs
AvailablePrlortoComplelion
01 Cause of Death?
oYee ~No
32d. TIme 01 "*-'Y
3211. Locationoflnjury(Street.c;~/town.sfatel
M.
DVC) ')
35. R~ar's Signature and Dis1rict Number
~
DiSposition Permit No.
iEast llIi!! aub Qrtstauttut
I, MARY E. FULLER, of the Borough of Cresson, County of Cambria and
State of Pennsylvania, being of sound mind, memory and understanding, do make,
publish and declare this to be my Last Will and Testament, hereby revoking and
making void all former Wills by me at any time heretofore made.
ITEM 1. I direct that my funeral be conducted in a manner corresponding
with my estate and situation in life, and that all my just debts and funeral
expenses be fully paid and satisfied as soon as conveniently may be after my
decease.
ITEM 2. I give, devise and bequeath the totality of my estate, of every
nature and wherever situate, in equal portions, share and share alike, to my
following beloved children:
A. MARYLOU SHARP,
B. RUTH A. SHARP, and
C. EDWARD C. FULLER,
provided that none of these gifts, devises or bequests shall lapse but shall pas
to the then living children of each above named beneficiary who predeceases me,
said then living children to take in equal portions the share that their
deceased parent would have taken, but in default of such then living children,
said gift, devise or bequest shall lapse and pass to the remaining beneficiaries
in proportion to their respective shares.
, ITEM 3. I appoint my beloved daughter, MARYLOU SHARP, as the Executrix
of this Will. In the event of her death, resignation, renunciation or other
inability to act, I appoint my beloved daughter, RUTH A. SHARP, as the Executrix
of this Will. While serving as such, my Executrix shall not be required to
fil e a bond or other security and shall have, wi thout court approval, the
powers, in addition to all powers granted by law: (1) to retain any and all
property received for as long as such retention appears advisable and to
manage, control, improve and repair the same; (2) to invest and reinvest in
every kind of property and investment which men of prudence, discretion and
intelligence acquire for their own accounts; (3) to sell at public or private
sale, to exchange or to lease, for any period of time, any real or personal
c O. . () Ii l! 7 f.,
~i ' . u ~ i ',I C.- f ._
property; (4) to give options for sales and leases; and (5) to compromise claims
or to commence or defend litigation.
IN WITNESS WHEREOF~ I~ the testatrix~ have t~Lthis~ my Will, written on
two sheets of paper~ set my hand and seal thiS Jf!~J day of . 1Il,,'1 ~
1983.
~c tF~
ar E. Fuller
(SEAL)
In our presence, MARY E. FULLER signed this and declared it to be her
Will~ and now at her request and in her presence, and in the presence of each
other, we sign as witnesses.
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OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of
MARY E. FULLER
, Deceased
Ruth A. Sharp
and
Marylou Sharp
(each) being duly qualified according to law, depose(s) and say(s) that ~/ they was / were well-
acquainted with
M~ry E. Ful11er (our mother)
and am/are familiar
with the handwriting and signature of the decedent, and that the signature of Mary E. Fuller
to the foregoinginstrumenv~rJp8rtiirg tJ-~e tfi~~ast Will and Testament/Codicil of
Mary E. Fuller
is in his/her own proper handwriting.
~~~~ /
(.. ture) Ruth A. Sharp
14 Pleasant View Drive
(Street Address)
~~
119 Ridge Road
(Street Address)
Mechanicsburg, PA 17050
(City, State, Zip)
Carlisle, PA 17015
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
of fX....~r
\~
day
?007 .
Q 0 :8 I l ~"J -; !
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_/ 6 _. ... [.,
Form RW-04 rev. /0.13.06