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Home My WebLink About10-18-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of E. MARY FAGAN also known as File Number 9t. Oi-0939 , Deceased Social Security Number 207-07-7014 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 EXECUTOR last Will of the Decedent dated 12/15/2006 and codicil(s) dated named in thl' (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 (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) Petiiioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs:(lf Administration, c.t.a. or d.b.lI.c.t.a., enter date of Will in Sectioll A above and complete list of heirs.) I Name Relationship Residence I " , " ) '_.J (=) ~ ..-J -'.'-") , . ---. . ".' h~._._ CJ (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. , _., P; - Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his / her last principaLr.esidencea(625 625 PARK AVENUE NEW CUMBERLAND PA 17070 BOROUGH - I CUMBERLAND (List street address. town/city, township, county, state, zip code) .--' r:) Decedent, then 91 1700 MARKET STREET ..r:- years of age, died on 10/12/2007 at MANOR CARE CAMP HILL PA 17011 Decedent at death owned property with estimated values as follows: (If domiciled in P A) 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 0.00 150.000.00 625 PARK AVENUE, NEW CUMBERLAND, PENNSYLVANIA 17070 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 tll the undersigned: Typed or printed name and residence FREDERICK H. FAGAN 2615 IRCLEVIEW DRIVE SUMTER Form RW-02 rev. 10.13.06 Page 1 0 f 2 Oath of Personal Representative COMMONWEALTH OF PENNSYL VANIA 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. Sworn to or affirmed and subscribed +L before me the _t <6 day of 'J. --...., K H. FAGAN D: h,ho ^ , 6)0::)1 File Number: 21 . 01 - cL3 q Estate of E. MARY FAGAN , Deceased Social Security Number: 207-07-7014 Date of Death: 10/12/2007 AND NOW, C"x_-\-rb^-- \ $( ~()bl, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to FREDERICK H. FAGAN in the above estate and that the instrument(s) dated DECEMBER 15.2006 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. TOTAL ............................. $ XloD .00 $ 1:2..- O(J $ $ \~~-O'C) $ID.W $ S.00 $ $ $ $ $ $ $ ~C'x:~ - CJu ( FEES Letters ............................. Short Certificate(s) ............ Renunciation(s) ................ \D~ \ \ ~<:P ~T~+,~ Attorney Signature: Attorney Name: GERALD J. SHEKLETSKI. ESQUIRE Supreme Court I.D. No.: #40486 Address: 414 BRIDGE STREET NEW CUMBERLAND PA 17070 Telephone: 717-774-7435 Form RW-02 rev. 10.13.06 Page 2 0[2 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 13859749 Certification Number REV 11/2006 . PRINT IN ~ANENT CKINK 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. .~ /J?~, DC} 1 7 J007 Local Registrar Date Issued ~- ~) -"- ; ('") -I C::J -...., =~i CJ .- ~ COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) E. 5. Age (WI B~hday) 91 6. OBla of Birth (Month. , 7. Birthjllaca(C' andstalaorfo December 27,1915 Lewisberry, PA VB. ed. FacIIlly Nama (If ""'1_, give SIteat and numbarl Manor Care Cumberland Camp Hill 11. Decedent'1 Usual Kind 01 Work Secretary Kind of worlc done du most of wo liIe, 00 not state retl Kind of Busk1es8/lndultry County Government 12. Wu Decedent 8'ler in the U.S. Armed Forces? o Vas QgNO Decedent's Actua/Residef'lCe 17a.Slale 13. Dacadanfa Educallon (Spedty on~ highaal grada oomp~ladl Elementary I Secondary {()'12) College (1-4 or 5+) 12 . 16. Decedent'. Ma~ing Addrus (Street, city flown. state, zip code) 625 Park Avenue New Cumberland, PA 17070 18. Father's Name (First. mickle, last, SUffix) Rosario Tarasi Pennsvlvania Cumberland 17b. Coun~ 19. Mother's Name (Firsl.ll'lickIe, maiden surname) Sadie Fiorito 2Ob. Informant's MaNing Adcbsa (Street, city J lown. state, zip code) 2615 Circleview Drive, Sumter, SC 29154 2M. location ICily I town, slale, zip code) Lower Allen Twp., PA 17011 STATE FILE NUMBER - 7014 4. Date of Death (Month, day, year) October 12, 2007 Other: OOOar . Spaclly 10. Race: Amentan lndan, Black, While, ele. (Specify) white 14. Marttal Status: Married, Never Married. Widowad. Oivorcad (Spacily) Widowed 17c. 0 Yes, Decedent lived in 17d. Kl No, Oacedanllivad within AclualUmitsof Twp. New Cumberland City I Born 21c. Place of Disposition (Name of cemetery, crematoty or other place) 19, 200 Rolling Green Cemetery 22c. Nama and Address 0/ F.dllly Parthemore FH & es, Inc, P.O. Box 431, New Cumberland, PA 17070 Approximate interval: Onset to Death ~lSlcondltions,if8!'Y' =~~~:u~~a ~~;:1.9'" ~,m1'X3r1he b. Que 10 c. d. 3Oa. Was an Autopsy 3Ob. Were Autopsy Finclngs Perlormed? Available P1ior 10 Completion 01 Cause 01 Death? o Yes Q~ 0 Vas [;;}NO' 31. Manner of Death .0J.la1u'" 0 Hom_ OAccidanl OPendinghwastigation o Suicide D Could Not be Delermin8d 32d. Trmeoflnjury M. 338. Certifia, (chack ~ 01181 Certllylng phyalcJan (Phyoician cemfying """" 01 daalll when anolhar physician ha, Pronouncad dasth and compltlad Ifam 23) To the bnl of my knowJedge,dellhoccurTed' due 10 the C8lJH(1).nd mlnner ISIIlII8c:L _ __ __... __ _ _ _ _ _ _.. _ _ __ _..... _ _ _ _ _ _ _ _ _... 0 _nclng and car1Itylng phyalclan (Phyaician both _ng daslll and cartllylng fo cause of daalll) To the bes1 of my knowledge, death occun'td II the time, ellie, and place. and due 10 the ClUH(sland manner II sta1ed_ ... _ ... ... ... _ _ _ ... _ _ _ _ ... .. ... _ ~~:m::~;,or= and f or investigation, in my oplnton, death occurred 81 the time, dati, and place, and due to the cauae(a) and manner as stated.. 0 I o7J II ~ / 1/ I (':{f1 ()It ( c 4 DIsposition Permit No. 23b. Ucense Number 23c. Dale Signed (Month, day, year) 26. Was Case Referred to Medical Examiner I Coroner for a Reason Other than Cremation or Donalion? o Vas 1&1 No Part U: Ent8/' other sianillcanl conlillnM eonlribulino 10 death but nol resulting In Ihe u,/g caUS8 given In Part I. C; i~" j~T.,l t';IIS~~;;{} c..:;/)"'{',l!..L_ 28. Did Tobacco Use Contrillule 10 0eI1h? o Vas OProbab;y o No 0 Unknown 29. If Female o Nol pregnant within past year o Pregnant al time of dvalh o Not pregnant. bUl pregnant within 42 days a/death D NoI ~n\, but pregnant 43 days to 1 year Defore death o Unknown II pregnant within the past year 32c. Place 01 Injury: Home, Farm, 51reet, FactOI)', Office BuildIng, etc. (Spec;ty) 32g. location of Injury (51reet, City !town, state) ~y,\'8lI'1 . / /1....- "j /.:> . (.. 11 I, ., ep\wills\FAGANmary LAST WILL AND TESTAMENT OF E. MARY FAGAN .) ._+~.j \.. :' ---I c) I, E. MARY FAGAN, of the Borough of New Cumberland,CumQe,rland County, Pennsylvania, declare this to be my last will. _~d re'0'ke any c::) will previously made by me. ITEM I: All federal, state and other death taxes payable because of my death, with respect to the property forming my gross estate for tax purposes, whether or not passing under this will, together with any interest or penalty imposed in connection with such tax, shall be considered a part of the expense of the administration of my estate and shall be paid from my residuary estate without apportionment or right of reimbursement. ITEM II: I bequeath any automobile that I may own at the time of my death to my grandson, JAMES H. FAGAN. ITEM III: I bequeath my household and personal effects and other tangible personalty of like nature (not including cash or securities) together with any existing insurance thereon to my son, FREDERICK H. FAGAN. ITEM IV: I direct that my real estate situate at 625 Park Avenue, Borough of New Cumberland, Cumberland County, Pennsylvania, be Page 1 of 5 -~ sold and that the net proceeds therefrom be added to the residue of my estate and be distributed pursuant to Items V and VI below. ITEM V: I hereby make the following specific bequests: A. $10,000.00 to my grandson, JAMES H. FAGAN, if he survives me in appreciation of his support and for giving me the strength to go on at the time when his father, my son, passed away. He was there for me all the time. B. $10,000.00 to my grandson, CHRISTOPHER M. FAGAN, if he survives me, in appreciation of his support and for giving me the strength to go on at the time when his father, my son, passed away. He was there for me all the time. C. $10,000.00 to my grandson, BRIAN G. FAGAN, if he survives me, in appreciation of his support and for giving me the strength to go on at the time when his father, my son, passed away. He was there for me all the time. D. $5,000.00 to my grandson, TODD FAGAN, if he survives me, in appreciation for all the odd jobs and nice things he did for me. E. $3,500.00 to my grandson, SHAWN FAGAN, if he survives me, because he was always considerate and concerned and called me to check up on me. F. $500.00 to my granddaughter, LONNIE BOWEN, if she survives me. Page 2 of 5 11 G. $2,500.00 to my caretaker and dear friend, HOLLY MILLER, if she survives me, for all that she has done for me over the years. ITEM VI: I devise and bequeath all the rest, residue and remain- der of my estate, of every nature and wherever situate, to my son, FREDERICK H. FAGAN, or to my issue, per stirpes. ITEM VII: I appoint my son, FREDERICK H. FAGAN, Executor of this my last will. Should my son, FREDERICK H. FAGAN, fail to qualify or cease to act as Executor, I appoint HOWARD KNOX, Executor of this my last will. ITEM VIII: I direct that my Executor retain Gerald J. Shekletski, Esquire, to aid in the administration of my estate. ITEM IX: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of his duties In any jurisdiction. IN WITNESS WHEREOF, I, (Srf. day of E. MARY FAGAN, have hereunto set my hand and seal this ~~~ , 2006. rf. lh'!11--~ E. MA Y FAGAN Page 3 of 5 1\ SIGNED, SEALED, PUBLISHED and DECLARED by E. MARY FAGAN, the Testatrix above named, as and for her Last Will and Testament, and in the presence of us, who at her request, In her presence and in the presence of each other, have subscribed our names as witnesses. ~ &Jfi 414 Bridqe St., New Cumberland, PA Address 414 Bridge St., New Cumberland, PA Address Wi COMMONWEALTH OF PENNSYLVANIA: SS: COUNTY OF CUMBERLAND I, E. MARY FAGAN, the Testatrix whose name is signed to the at- tached or foregoing instrument, having been duly qualified according to law do hereby acknowledge that I signed and executed this instru- ment as my last will; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein contained. C ffi ""-,, i ~ ~. MA FAGAN Sworn to or affirmed to and acknowledged before me by E. MARY ~C~_\,Uv\w.- , 2006 FAGAN, the Testatrix, this COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL DANIEL M. HARTMAN, Notary Public New Cumberland 80ro., Cumberland Co. My Commission Expires Jan. 21,2009 Notary Public Page 4 of 5 ~! COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND /'. -- Jkt . . d ~ ~'. We, ~d,<< J-~{/ and ' '/d~~(A, l\Uu the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw Testatrix sign and execute the instrument as her last will; that Testatrix signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; that to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. ~~~ WiC1l2{2 Sworn to or affirmed to and M~b( :7 ~~,1/~' wi tnesses, this \S~ day of acknowledged before me by ~1f0 ~i~ and , 2006. OM JIoI F P NNSYlVANIA DANIEL M. HART~N~ NQ~ Public New Cumberland Boro., Cumberland Co. M)' Commil8lOn Expirn Jan. 21, 2009 Notary Public Page 5 of 5