HomeMy WebLinkAbout11-27-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of Janet L. Garrett
also knOWI1l as
File Number
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, Deceased
Social Security Number 171-28-5342
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IZ1 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is 1 are the Executrix
last Will ofthe Decedent dated 02/10/1981 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 instrument(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 1 have ascertained that Decedent left no Will and was survived by the following spouse (if an~and heirs: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) = Xl
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Name
Relationshi
Decedent was domiciled at death in Cumberland
2914 Harvard Avenue. Camo Hill. East Pennsboro Townshio. PA
(List street address, town/city, township, county, state, zip code)
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County, Pennsylvania with his 1 her last principal{;;sidence at
17011
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent, then 72
years of age, died on November 14, 2007
at Holy Spirit Hospital
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
200,000.00
$
$
$
$
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 to
the undersigned:
T ed or rinted name and residence
Dorothy C. Waggoner, 2914 Harvard Avenue, Camp Hill, PA 17011
FormRW-02 rev.lO./3.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CV,"I1 b..t Jt L.r1 rv ~
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
() /)/.~~ p.
Signature of Personal epresentatlve
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before me the ~ '\
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day of
Signature of Personal Representative
Signature of Personal Representative
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, J5"eceased
File Number:
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Estate of Janet L. Garrett
Social Security Number: 171-28-5342
Date of Death: November 14, 2007
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AND NOW, k)Duert"\b.x- d-"l. , .;()Dl , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters '\~~€.r\~M
are hereby granted to ~-ic~,.....\ c.. ~~D'i'\er a
and that the instrument(s) dated ~e.h\~ \(-.., \'\ ~-'\
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described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
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Register of Wills
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FEES
Letters .... c;l~ Q 1)b $
Short Certificate(s) . . !...,Q. . . $
Renunciation(s) .......... $
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\-~-\-o . . . $
...$
...$
. .. $
. .. $
...$
.. . $
TOTAL .............. $
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Attorney Signature:
Attorney Name:
THOMAS J. AHRENS
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Supreme Court I.D. No.: 80143
in the above estate
Address:
52 Gettysburg Pike
Mechanicsburg, P A 17055
Telephone:
717-697-1800
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Form RW-02 rev. 10.13.06
Page 2 of2
H]05.!{O~ REV {OliO!1
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 13823890
Certification Number
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.
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Date Issued
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Hl05.t43 REV 11/2006
TYPE I PRINT IN
PERMANENT
BLACK INK
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
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1. Name of Decedef1ljFilst, middle, la5l, sutfix)
Janet L Garrett
5 AlJellaslBil\flday)
6. Date of Birth (Month, day, year)
72
February 2, 1935
Yrl;.
Sb. County of DeaUl
Cumberland
most 01 wOO.' lite Do not slate relired
Kind~Busine6sllndustry
Fianace
tl. Decedeol's Usual Occu Iioo Kind 01 work done
Kind of Wofk
Accounting Clerk
. 16 Oecedent's Mailing Address (St'981. CIty I town, slate, zip code)
2914 Harvard Avenue
Camp Hill, PA 17011
17a.S&ate
PA
Cumberland
19. Motlef's Name (First, miciiIu, maiden surname)
Jean Margaret Wennell
17b. County
18 Falhe,'s Name (first, middle, last, sullilI.)
Charles S. Garrett
2Ill. lnIotmanfs Mailing Addfess (Street. city llowo, s&ale, zip code)
2914 Harvard Avenue Camp Hill, PA 17011
21d. localion (Cily J 1O'Ml, stale, zip code)
Oberlin PA
lOa. informant's Name (Type I Print)
- 5342
8a. Place ol Oealh (Ched< one)
Hosplalo Qlhe,o
Inpatient 0 ER J Outpatient 0 DCA 0 Nor&ing Home 0 Residence
9 ~';:=~ 0<901 JiS No D V"
Mexican, Pueno Rican, ele.)
1.. UaritaI $atu5: Manied, Never Married,
W_ed._ISpod.')!
Never Married
DOlIIa'._.,
10. Race: Amefican lndwIn, Black, Whitt, etc
ISpod.')! White
l>d_
U\teina
Township?
T.p
l7c. 0 Yes, OecadenIlived in
17d.jlJ :.= rted within
Camp Hill
Ctty/&fo
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21c. Place of Disposition (Name 01 cemetery, cremalort (I( other place)
Churchville Cemetery
hems 2..26 must be completed by pef5Of1
who p.-o(\()ooces de altl t.
2.. Tvne of Death
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25 Date Pronounced Dead (Month, day, year)
fM 11~b.L
CAUSE OF DEATH (See Instructions .00 examples)
Item 27. Part I: En~ the~.Q1.iwlIIi -lisiilS8$, injuries, (I( complications -hI directly caused the deaMl. DO NOT eNe, terminal events such as cardiac anest,
Jel:,piraIDfy arrest, or V800icuIar librilallol'l wilhout showirlg the eliology. li~ only one cause 00 each line.
:=~~)dIse:;' 8. ~ ~
Due 10 (or as a consequence 01):
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Due to (or as a conS8queoce of):
Sequenlially Ilst conditions, j i!"Y,
!eating 10 lie cause listed on ~ne a
E""I lie UHDERl'tWG CAUSE
(dlseaseorinjurylhalirliliatedlhe
event5resulbtlgll1 tJe&tilLAST.
b.
Due to (or as a corn;equence of)'
d.
3Clb. Were AuiopIi.y FinOOgs
AVaildb6e Prior 10 CompleIlOn
of Cause 01 Qealh?
31. Manner of Death
~Natural 0 Homicide
o Accident 0 Pending Investigalion
DSuICide OCouIdNolbeOetemlined
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321. UTlansportationlnturY (Specify)
o Drive, I Operator 0 Passeng8f DPedestuan
O<he<-Spdy'
33b Signature and TIlte 01 Cef1ilier
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3Da. Was an ~y
POOonned?
Dv" DNo
32d.Tlffi6oflrpy
DYes ~m
33a CerMie, (d'\e(~ orVy one)
~:::. ':r:~: == :ue":~::u::e~= r: :.~~_~&~ _~ ~_~~ ~~ ~~ _ _ _ _ _ _ _ _ - - - - - - - - - ~ ..
~;=:.~ -:: ~:'='~ianO:=~ :~i~~:~:~ .:n::t~~;~:a: manner.. &~led- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
=aI~:n:::= and / or invuttgalion, In my opioion, death occurred at the time, date, and place. and due to the cau&e(&) and manner as .tated_ []
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230. Ucense Number
230. Da.. S_IMonlh. "y. yea,)
26. Was Case Refelted 10 Medical Examir1ef I Cororlet lor a Reason OIhellllao Cremation 01 Donation?
Dv" ~
Part It: EnlerOlher8iMlEantcondilionsconlribulinolod&alh
butootresultingin..und8ftyingcause~iIlPartI
28. Did Tobacco Use ContritUa to 0eaItI?
DYes DP-
DNo DlJnl<nown
29. . ftmale:
o NoIpregnantdhinpilSlyear
DPlegl8f'1taltwrleofdeath
o Not pregnant, but pregnanl within 42 dars
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o Unknownilpr8Wl8fll wlIhin Ihepe&tV8al
32<;. PI8ce 01 iflIuJY: Home. fallfl, 9_, FackIfy,
Olf..~.'"'.(_)
329.localion of Injury {Street. Clly I klWn, wEI
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33(:. license Numbel 33d. Date Sig$:l (MootI, day, ~II
"'OCJ\I1-"I'1~ 11/1"'';01-
34. Nama and Address 01 P'l~ Who ~d Cause of Dealh (Item 2,A Type I Pont
J:V\rD,/,,,\).\.>.\.t:.. Q.Ec'i\'/l"'\ ~-'1'\. L1"Cl,
1 0 ~ how "",t."l- '>>'f. n /
L:.'ll .f "O'-\>-;H,'."
1Ea!it lIill aub Qr~!ltattt~nt
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.T/vmT L. GA'PU~:.T, i'dsidinr; :1t 2~n1
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"':_d:;t:1.r~ents O~.. ~1~t- !
Car1]! lIill,
Cun'h~rlancJ County, Dennsyl vania, hein,,?;
pas in?, nind ailil ne110ry, do
'rereLy decl:lre this to
"r i~~ c; t arl~Il t ,
ler\~inr i"0vo;~in(Y
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any <lnn all 11:5_11 s ~md
ino:s ~~1 t'ie na'tlrre t~lereo.f, h',r ne at any tif'1l~ ;leretofore 1"'1arle, ~llUS
disposin~ o~ all
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estate:
IT1?~~ T
:r o"""~eY' and (~i Teet t:lat my just (lel,ts and(:'uner~l
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soon aFter l1Y decease as T'18.y he C0Tl'!t;n:i_ellt. i
, giw. <levise an,] hegueath all "':' estate. F'laJ
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provided she shall survive me _croIl a period 0c \
eXIH:ln:,es
;)e
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}) a 1 u.
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~oever and ~(lereSoever,
bOt'l
and personal,
,,/tich
I nay he
real
to
entitled or 1!~lich I
~la ve
tlis:)ose o-F at
ny deHt;1,
unto
pay
;.OHer
to
-)c""o+-'''' r lTaO'fTO"l'r
J..I J J.J v., L;'1 '.._1 . ;' f (_ c '-, () 1 C . ,.
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days.
1TE11 III.
In the event that T)orot;lY C. V!agp:oner should
predecease me or die on or before the sixtieth day -collol'lin~ nl.;r cleat]
I give, devise and beque ath all J'l;r est ate, real, pe rs anal Cln(l nixerl,
to ny Aunt Lydia F.. 1~ussell.
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I hereby noninate, constitute and Cln]Joint noro hy
C. ~!ao:goner, as Executrix, o-F this, ny Last lJill and Testanent. In
the event that s:w does not survive me, then I norlinate, constitute
and
a}l:Joint ny Aunt Lydia
Russell, as Executrix, of
t ~l is,
ny Last
T;
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;'Jill and Testanent.
IlJ 11I7ImSS lJ'IEREOP, I, .Janet L. Garrett, have hareunto
sat ITl;' hand and seal to this, my Last 'Iill and Testament, consistinp"
of thTp typel.Tritten pages, this,/cqr'day o~ "Gebruary, 1981.
C SEAL)
Signed, sealad, published and declared by the said Janet
L. Garrett, tlle above named testatrix as and for her Last l'Iill and
TestaJ'lent, in the presence of us, Hho at her request and in her pras
ence and in the presence of each ot11er, all being present at the sam
time, have llereunto subscrihed our names as l.Ti tnesses.
residing at R.D.'l Etters, Pa.
~lY ~ /! ~~f/l +
irl.1AA, . /-. ,I,' ~ ~.l .'
/
residing at 2736A Green Street,
HarrislnlTff" Pa.
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OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Janet L. Garrett
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and
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, Deceased
(each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were well-
acquainted with Janet L. Garrett and am/are familiar
with the handwriting and signature of the decedent, and that the signature of Janet L. Garrett
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
Janet L. Garrett is in his/her own proper handwriting.
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- (Signa~
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(Street Address) /
E~7CJk m /70~S
(City, State, Zip) /
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(Sign ure)
5 z. Ge Ih/SbvJ( l- /J l
(Street Address) ,
1f1~c hI//!' lcsL lJ)t-t-) 111 1/055
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this d~ day
of ~~b" , 6()t)1.
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Form RW-04 rev. 10.13.06
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