HomeMy WebLinkAbout10-26-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF c: (.b;f{(3 EJ!- t-fi-N J)
COUNTY, PENNSYLVANIA
Estate of Nf ~ It I e l. /-(11'1 G--5 fJ () e 6 iJLG- H f(f}!!. T J V-
also known as ~1l5, P A- U.L fJU I f1 A f<. It N
File Number
J-l --b l - Ct 14
, Deceased
Social Security Number 16 t. ~ ;3;), ~ 0 b .2. :L
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A 'or 'B' BELOW:)
~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will of the Decedent dated 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 of the instll.lment(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.; 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.l1.c.t.a., enter date of Will ill Section A above and complete list of heirs.)
Name
Relationship
Residence
rr)
o .
(COMPLJiiK IN ALIt~ASES:) Attach additional sheets ifllecessary.
Deceden.Lwas dbin~i!ed at death in C l.L 11 5 I County, Pennsylvania with his / her last principal residence at
301 N. H}JNDVe...R. ST, ~4f<L(:>LE:.. C./.>.,ftf3, PI/I 176{~
(List street l;dd!'ess. tQwn!cily. township, county. stdte. zip code) I I
,'-..J ',..
Deced~~ then ~~; ~ &
....,., ,
f'-- C)
c' i:~
Deced~hr:pt death owneo'property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
years of age, died on /t>~/q-61 at]' W, tLIODL-C:5E...t DR.,
(
CfU!.L/:?<..E PA. /7D13
$ '-I J"'j &661 So
$
$
$ I fo t;'J 6DO I DIJ
situated as follows:
.301 Ni ffA/1/0uEL 57,
crt R-L 1:5 L-E. Pfl r7()13
,
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:
Ty ed or rinted name and residence
YIIONN
(IJ f?. L-ISL f.
Form RW-02 rev. 10./3.06
Page 1 of2
Oath of Personal Representative
COMMONWEAL TH OF PENNSYL VANIA
ss
COUNTY OF
The Petitioner(s) above-named swear(s) or affim1(s) that the statements in the foregoing Petition are tl1le and conect to the best of
the knowledge and belief ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and tl1lly
administer the estate according to law.
Sworn to or affirmed and subscribed
Signature of Personal Representative
Signature of Personal Representative
Q l,-oi -<114
f(\11\ pI \\';16 ~ IYYv ~ f} , Doc""d
Social Security Number: d. biD ~ ~OLD Date of Death: \0 \ \~ \<:'-1
AND NOW, I ) 1~()'1 , in con ideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters
are hereby granted to l \ \}Ol\(v? r{\'L:tA..\J\~O Y)
1
File Number:
Estate of
in the above estate
Letters .............. . $---3-\ ()
Short Certificate(s) . . . . i. . $ /10 Attomey Signature:
Renunciation( s) ......... . $
W ll\ $ lS"" Attomey Name:
-.JCAP $ , 0 Supreme Court J.D. No.:
tJvlo $ :5
$ Address:
;) $
:~.:.:" $
, -.1 $
$ Telephone:
$
TOTAL " ,............. $ oS lo
Form RW.OJ rev. 10.13.06
Page 2 of2
H]()."S{):'i kE\' IO!,'071
01- cl1~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Certification Number
111"t'~\.1\rOrpl;;---___
,,\'~\..~'r4t-
l~ ..... ~~
t~_~..u~. . ~\
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This is to certify that the iriformation here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Regimar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
Fee for this certificate, $6.00
P 13746144
~. ~~~OCj 24/2007
Local Registrar Date IsslIed
M
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H105-143 REV 11f2006
TYPE / PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructlons and examples on reverse)
98
12, 1909
7.Bi~ andstafeor
Carlisle, PA
.. Dale of llooI> (Month. day. .-J
OCtober 19, 2007
h"
12.Wu:0ec:eden18\!el'in!tle
u.s. Anned Fan::es?
0.... Elllo
13._'_ISpecffyoriyhig1es1gl3deCll<llploflld)
_lmy I Sec<>nda<y lo-l2} CoIIoge I'" '" S.l
10th
OOttlec.SpedIy.
10. Race: American tndiaA, Black, Mile, ate.
I~
White
". ~ ~~Manlod. 15. SurvMngSpouoeI..... gMl maiden name)
Widowed
8b. Coonty of o.a..
I. Cuntlerland
11. Decedenl'sUu most 01 IiIe.Dol'dlllate
Kind of Work Kntot EMnss/ lNfusIry
Homemaker Own Home
. 16._,__ISbeof.dlyl_._",_l
301 N. Hanover St. Carlisle, PA
17013
8d. FedliIy Hemal' not_ g;.e_end numbe~
31 W. Middlesex Dr.
17b.ColJoIy
P",nn"'ylv",ni",
("111T1hArl.::lnn
19. Mother"s Name (Fiml, miIdIe, maiden surname)
Bertha Bolen
2lIb.'_,__(Slreel.dlyl_._",_1
31 W. Middlesex Dr. Carlisle,
Did Decedent
Uveln.
T_
17C.O Ves.Decedenl.l.iIIedin
17d.KJ ~~oflJved- Carlisle Boro
T"".
_.
ActuaIResidence 11a.Stat&
ClOyI....
18. F_',Nems (FOS\ _..........1
2Oa. Infomlant's Name (Type / Print)
Yvonne Davidson
PA
17013
21aMeIhodof.DisposiIion
21c.Pleceof"-(Nameof_._",-plece)
21d.l<>cetionIClOyI__..,,_)
Carlisle, PA 17013
Funeral Home & Crematory 219 N. I:Janover St.
28. DIf Tclbaeco Use Conmbute to 0edl7
0....0-
0110 0-
29. If Female:
o Notpregneol_""",...
o _.....of_
o Not_butpregneol_<2deys
of_
o ...-.but_43..,,101,,,,
--
O-'pregneot"""''''''''''''''
32l:.PIecoof.;.y.-........Sbeof._.
.-a."ng,eIc. 1_
AppltIllimete-
0nseI1D 0ea0l
-...-......
IealingtotheC*ll(llsl8donlinea..
Enterfhe UNDERLYItG CAUSE
=-.=':...~
c.
Oueto(or8Sa~oI):.
d.
OVa 'Jla 110
3lIl.__1'1nlfngo
AveiIabIlIPrIorlOc:orr.-aon
otCause ofDealh?
OVa 0110
31. MImIr of DedI.
.t!d.- 0-
0-0-''''''''''''''''
0- 0 Coodd Not be Oefom;ned
32d. Tme or I~ury
32g. Localionollnfury(StJ8el,cfty/lDwn,state)
3Oa.WlIsanAulopsy
-
M.
33aCertlfie<ldleckonlyooel
~pI1y__ce<1Iyi1g""'~_when"""'_hes""",,"__end_ltem23)
To the bnt of my knowIedgt, death l)CICUQd duelothecatlSl(a)and mllIIrIIt.. stIIeCL -.............................. - - -........ - - -............
=~":t:=ge~~~ti~ancI~'::1oto=~=mannerasstated..________..________ D
=:== and I or Invntigrion, in my oplNon, deldh occurred at the time, date, and place, and due to the caust(s) and manner as ItltecL 0
I~ I \ 10..1 \ 10 I
Cis_Penn'No 00 '114-/0-.
34. Name and Address of Person Who Compleled Cause of Dealh (Item 27) Type I Print
Patricia Gomez 850 Walnut Bottom Rd.
Carlisle, PA 17013
,) ( 01-(17'1
I, Muriel K. Martin, of the Borough of Carlisle, Cumberland County, Pennsylvania,
being of sound disposing mind and memory, do make, publish and declare this to be my
last will and testament, and hereby revoke all former wills and codicils by me made.
1. I direct that my Executor, herein named, pay all of my just debts, funeral and
testamentary expenses.
2. I give, devise and bequeath all of my estate, real, personal and mixed, unto my
daughter, Yvonne Martin Davidson, absolutely.
3. I hereby appoint my daughter, Yvonne Martin Davidson, to be the Executor of this
my last will and testament.
4. In the event that my daughter, Yvonne Martin Davidson, should fail to survive me,
then I give, devise and bequeath all of my estate, real, personal and mixed, equally to my
two grand-sons, Kevin Martin Davidson and Sean Robert Davidson.
In the event that my daughter should not survive me, I appoint my son-in-law, Robert
Lackey Davidson, as the Executor of this, my last will and testament.
In the event that neither my daughter, Yvonne Martin Davidson, nor my son-in-law,
Robert L. Davidson, should survive me, I appoint my grand-son, Kevin Martin Davidson,
as Executor of this, my last will and testament.
In witness whereof I have hereunto set my hand and seal to this my last will and
testament this 27th day of February, 2000.
/~ ~.L2:j (SEAL)
Signed, sealed, and published and declared by the above named testatrix, Muriel K.
Martin, as and for her last will and testament, in the presence of us, who, at her request and
in hmpresence and in the presence of each other, have hereunto set our hands as witness.
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OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
tvlt~i--IH+ f) COUNTY, PENNSYLVANIA
Estate of
/J (/ tL. ( tZ. c....
Ie. /'1 fl-iL,. f 1-/
, Deceased
!lo r.?,~ ? D/7-vll)/\J,-J
and
(each) being duly qualified according to law, depose(s) and say(s) that she@ they eJwere well-
acquainted with /1 i/~ I:.-~ /14-"-1/1" and ~are familiar
with the handwriting and signature of the decedent, and that the signature of /1 v t1,...( C ~ 11 ~J
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of //_rt- (~ '-
,
ri ./f7L-TII/ is in his/her own proper handwriting.
.
(Signature)
,(jjvd~~~
J?
(Signature)
;!/ t{Jc ~/~~
(Street Address)
~lJ;f 170J5
(City, State, Zip) ~
(Street Address)
(City, State. Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this d. ~ day
of M~ ,Q:bJ.
Form RW-04 rev. 10.13.06
OATH OF NON-SUBSCRIBING WITNESS(ES)
, REGISTER OF WILLS
('v"'~y~j) COUNTY, PENNSYLVANIA
Estate of
11 u 12-' ci: L-
~ \ NftfufN
, Deceased
@/ he / they (jjjj;i were well-
and~re familiar
with the handwriting and signature of the decedent, and that the signature of j1 ~Il. {fL<-. rltf"'-rr-/I
/(,q,lLfl f/. D~v,p.$'D.i/ and
(~) being duly qualified according to law, depose(s) and say(s) that
acquainted with H v ILJ l:..L. J< Mill\.. TrH
.
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
If v (1..1 hA- 1<. H tT (L.:n f/ is in hi~wn proper handwriting.
(: ig ature)
~r {lQCbl V\.. Yh
(Street Addresj)
(C~J0 fA l1V\3
(Signature)
(Street Address)
(City. State. Zip)
l-__-"-:-
Executed in Register's Office
Sworn to or affirmed and subscribed
~LP day
,~J
..... ...,
l '~.J
0"'
~
of
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Form RW-04 rev. 10.13.06