HomeMy WebLinkAbout11-09-07
Cumberland
Register of Wills of / County, Pennsylvania
PETITION FOR GRANT OF LETTERS
.Estate of Carol R. Lamb No. ~\-O-'- \~
also known as
, Deceased Social Security No. 204-30-6395
Petitioner(s) who is/are 18 years of a8e or older, apply(ies) for:
(COMPLETE "A" OR "B" BEL W)
C3 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the executer i2hamed in the last Will of the
decedent, dated Jan. 1 8, 1 999 and codicil(s) dated
( 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 bom or adopted after execution of the
documents offered for probate; was not the victim of a killing and was never adjudicated incompetent:
0 B. Grant of Letters of Administration
(d.b.n.c.ta,; pendente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search haslhave ascertained that Decedent left no Will and was survived by the following spouse
(if any) and heirs:
I Name Relationship Residence I
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary
Cumberland '. ,
Decedent was domiciled at death in County, Pennsylvania, with hislher ~t family I
814 w. Keller st. , Borough of Mechanicsburq ".--" __.1
or principal residence at . " ,", .-~ ",.,
(list street, number, and municipality) . ".~
Decedent, then 90 years of age, died March 6 , 20 LLZ- , at Mechanicsburg, . :~A \
(Location) ">"c"-
Decedent at death owned property with estimated values as follows: 6,000.00
(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 $ 0
situated as follows:
VVherefore, 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:
I Signature Typed or printed name and residence I
/\ J J n,)'V\ R. ,,1() l { .f L Susan R. Faley
/ (J 5409 Wellington Ridge Road
Richmond, VA 23231
snace/WllIsPetGrantLt/200 1
HIOS.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.
/7 ~ Pd
C4Q ~ CfJJJ.L~ lf~ol.
No.
Frank Yeropoli
State Registrar
Calvin B. Johnson, M.D., M.P.H.
Secretary of Health
1061757
MAR 2 1 2007
Date
Hl05-143AEV 1112006
TYPE I PFlINT IN
PERMANENT
BLACK INK
1. Name of Decedent (first, midcHe, last, I>Uffix)
CAROL R. LAMB
STATE FilE NUMBER
4. Date 01 Death {Month, ~, yeal)
March 6 2007
~
Sb. County 01 Death
Ctnnberland
ad. Fllcllity Name (If not inslittllion, give street and nuntxlr)
Seidle Hospital
5. Age (Last Birthday)
6. Dale 01 Birth (Month, day. year)
7.Birthplace{Ci and stale orf
90
Vffi.
Dec. 25, 1916
Harrisburg,
DOther. Speclfy:
10. Race: American Indian, Black, While. elc.
i_fyl Whi te
ClerkJ~u~rvisor
FeJ:r"al~~~'rnme
13. Decedenfs Education (Specify only highest grade completed)
EIeT2!ary I Secondary (0-12) College (1-4 Of 5+)
14. M8l'ital SIalus: Married, NevsrMaltied,
Widowod. Dr.'Oreed (SpeciM
Widowed
. \6'mrn~~'E/C,sla\e,2ipCodO)
Mechanicsburg, FA 17055
FA
DidO.cedent
LiVtlina
Township?
He. ~ Yes, [)Qce0en1 Lived in
17d. 0 No, Decedent Uved'Mlhin
Actual Lmlts of
Monroe
rwp.
171>. County
rTlMRFRT ANn
CiI)l/Bortl
18. Falher's Name (Firs!, micKIe, last, suffix)
Aubrey Todd
2OaS'tisai1 N~,.(T"farky
19. Mother's Neme (F\(;., mickie, maIdefI SOO"oBIM}
Sarah Newcomer
2Ob.ln1ormant's MailIng AOdI1l$& (Sre&\, ctt J Imm, state, ip code)
5409 Wellington Ridge Rd,
Q
o
0>
~
Hoover Cremator
21a. Method 01 Disposition
21(;. Place at Dispos"rlMln (Name of camatery, mmatory or other place)
23D. UCItOilB Number
RII/ZS7~Vb-L
Ilems24.26muslbe~edbyperson
wt\o\)ftlflWncesdeath.
26. Was case Referred to Medical ExamI.n6t I Coroner lor a Aeasoo Other than Cr9matioo 01" Oorlation?
o VIS KJNo
~
"-
~
V
CAUSE OF DEATH (See lnslructions and example.)
"Item '2.1. Part \: El'l1eIthe ~ - diseases, injuries, Of complCatiOOS -thai directly caused the death. 00 NOT enter terminal events such as cartial: arrest,
respiralCXy Brrelit, OfvenlricularllbrtHallonwithoutshowlnglheetil::llOg)l. Listor.!yonecauseooaach Ine.
~~~i:J~~=\d~ LI'1CiV'1,'hO;'
Part It Enter atheI' siMific.arA ttrodiIions mrdrlbl.llm to dllaII1,
but not re$ultlngin lheuodertylng cause \tflll'l in Perl I.
-.l
32t. If Transportation Injury (Specify)
DOrivEH"lopef'lllor o Passenger DPedestrian
M. ~~.~
33a. Certifier (Check only one) :S3b:Si[l;;,' _and.TI~" Cer1ffier
Certifying phyaiclan (Physician certifying CIIUse of death when another physician has pronounced death and COfT1lIe!ed lIem 23) .. _ ./7
TolhlbHtol my knowledge, daeth occurred auektlhecaUfe(a)and manneF.I.b1ted-_ _ _ _ __ _ __ __ _ _ _ _ ___ ___ _ __ ___ __ _ __ 0
;::.eou~m:,: ==:~::::::;:::; ~l=::n.g:~~c:: a:~~01~~~~~ tnllfIMf.. It&tft_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 sac. Li:onso Number '
~ed:=:::r~:::: and I or invu1lgatlon, In my opinion, death oceulT*t at the tlrns, date, and place, and due 10 the Cluse(S) and manner as stated.. 0
OV" ONo
3t. Manner 01 Daalh
gNatulaJ 0 Homiclde
OAcciOent Dpendi'lglnver4igalion
o Suicide 0 Could Not be Determined
1 App(Qldmataintertal.
: Onael10 Dealh
,
~ "3 /Vl Orl71ts
.
,
,
,
.
,
,
,
.
,
('or]). () cR./)
At<.Y'Y1 b NT/V'
28. Old Tobacco Use ContribUte 10 O9alh?
o V" op"""'''''
o No 0"-"
29. If Femal8:
~ NcIPfegJIal'olwi\hlnpas1yeal
o Pregnant at time or death
o Not ?fegl\8l\t, but ~aI\t wtlhln 42 days
oldealh
o Not pregnant, but {Jregnanl43 da~s to 1 ~ea(
betoradeath
o Unknown If pregnant within The pas! )lear
32<:. Place 01 Injury: Home, Farm, Street, fiK:lory,
Office Suilding, elc. (Specify)
Sequenlill~lI&tcondiliclnll.if&ny,
=~u~~;=A"U:la.
=:e~~I1~~~
Due 10 (Of as a consequanc& 01):
Due to (or as a consequence of):
Due to (or as a consequence of):
d.
308. was an Autllp8y
p",,,,,,",,,
3(t). WereAtMlpsy Andings
^vI"aDle Prior to Completion
01 Cause 01 Death?
ov" 0'';'
32d.1Imeollliiul'l
32g. location of Injury (Street."cilyllowl'I,Slale)
DispositIon Pemfl No.
::'o{Jr
"
~
l's
~
I 01.1 Oll ;t.1 ~ I 111
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LAST WILL AND TESTAMENT OF
CAROL R. LAMB
I, CAROL R. LAMB, of Fairview Township, York County, Pennsylvania, being of sound
mind and memory, do make, publish and declare this my Last Will and Testament, hereby revoking
and making void any and all wills by me heretofore made.
FIRST: I order and direct that all of my just debts and funeral expenses be paid by my
hereinafter named Executor as soon after my death as may be found convenient.
SECOND: To my son, DAVID A. LA1\1B, I give all of the items of personal property which
he sent to me from Japan and also my husband's turquoise ring.
THIRD: To my daughter, PATRICIA L. KEAMMERER, I give my cut glass collection.
FOURTH: All the rest, residue and remainder of my estate, real, personal and mixed, of
whatever nature and wheresoever situate, which I may own or have the right to dispose of at the time
of my death I give, devise and bequeath to my daughter, SUSAN R. FALEY.
FIFTH: I hereby nominate, constitute and appoint my daughter, SUSAN R. FALEY, as
Executrix of this, my Last Will and Testament, and I do direct that no bond shall be required of such
Executrix hereunder. My said Executrix shall have full power at her discretion to do any and all
things necessary for the complete administration of my estate, including the power to sell at public
or private sale and without order of Court, any real or personal property belonging to my estate, and
c:::> to compound, compromise or otherwise to settle or adjust any and all claims, charges, debts and
(Y)
~'~J demands, whatsoever, against or in favor of my estate, as fully as I could do if living.
(j"")
I
IN WITNESS WHEREOF, I, Carol R. Lamb, the above Testatrix have set my hand and seal
t
)
~<(4 , X,
1 C 01 R. Lamb 'oJ
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~ .~'l--~
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to this my Last Will and Testament, which consists of two (2) pages, to each of which I have affixed
TrI7~4 R '/
my signature this
.. ..D 171
!(J --
,1999.
(SEAL)
r-~
Signed, sealed, published and declared by the above named Testatrix as and for her Last Will
and Testament, in the presence of us, who at her request and in her presence and in the presence of
each other have hereunto subscribed our names as witnesses.
2
(Rev. 10/04)
Cumberland
/
Before the Register of Wills of : County, Pennsylvania
Estate of Carol R. Lamb
also known as No. .QJ - 01- {C"kll (J
, deceased
Oath of Subscribing Witness(es)
The undersigned, a subscribing witness (subscribing witnesses) to the will
(codicil) presented herewith, being duly qualified according to law, depose(s) and say(s) that he
(she) (they) was (were) present and saw the testator (testatrix) sign the same and that he (she)
(they) signed as a witness (witnesses) at the request of the testator (testatrix) in his (her) presence
and in the presence of each other (in the presence of the other subscribing witness(es)).
~
Typed Name: Linda J. McDaniel
Address: 1250 Stillhouse Lane
Etters, PA 17319
\ i
Si ature of Witness
T 'ed Name: Joel
adress: 568 Old
Etters,
O. Sechrist
York Road
PA 17319
Sworn to or affirmed and subscribed
before me this 9"</-. day of
;VOJc~So<- ,20<.:zJ
I
r....!;.)
.....)
~ c:::-4--~
eputy) Register of Wills or
Notary Public
COMMONWEALTH OF PENNSYI,V ANIA
Notarial Seal
Patricia A. Gordon, Notary Public
Fairview Twp.. York County
My Commission Expires July 31, 2009
i "'~
Member. Pe'1!'svlvania Asrociation of Notaries
(,,)
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