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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 - __J ~-~J ~:.J -. ;....,,:; w C) . . .. '" ..... . . Os ) 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 ~) ~ ~ .~'l--~ r-~- . r . .=. }.. 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 (,,) D