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HomeMy WebLinkAbout12-10-07PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF _~~( ~I~l~l~~ COUNTY, PENNSYLVANIA Estate of ~~/~ C, ~ ~ File Number __ Ot' - ~ ~ ~ t also known as Deceased Social Security Number d~ ~6 ` ~b '~ w~~ Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) ~.J A.. Probate and Grant of Leate •s Testamentar and aver that Petitioner(s) is /are the ~X~l //TDR named in the last Will of the Decedent dated ~ ~q and codicil(s) dated ~~L- (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 instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d. b. n. c.t.a.; pendente life; durante absentia; durante minoritate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spot~sej(if any) and s: (If Administration, c.t.a. ord. b. n. c.t.a., enter date of Will in Section A above and complete list of heirs.) C ~ -.., `~~ ~? O _ Name Relationshi " '~ ~ Residence n C'7 ~._ ~ ~.p~rn - ~ ` ~ '___ `7 _~'~'~ - - (COMPLETE IN ALL CASES:) Anach additional sheets if necessary. ~ ---I -.~ ~ '- Decedent was domiciled at death in ~, ~~F~ZANl~ County, Pennsylvania with his /her last principal residence at ~ (List street address, town city, township, county, state, zip code) / // ` // Decede t, then ~ years of age, died on /~ /~3 / /°J~% 7 at b (~Z~IQ /t~ ~~ ~~~)~ 1T ptjpryf~ Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ ~ ~Qt~ f t~ (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ ~~ situated as follows: Form nll/ oz rev. /0./3.06 Page 1 of 2 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: Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF ~,U M b -Q < <G~ SS 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 laiowledge and belief of Petitioner(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 before; me the~_ day of ~i~s~/~~{~ f1Cf~ n Q ~ ~~ ~~ - For th egister Signature of Person~Representative Signature of Personal Representative Signature of Personal Representative N C7 ~-,' ~.,~; ~~ J _~~~ rt~;~: ~ _, ,~,~© -~ -~ ` .. ;.. q N Deceased File Number: Estate of Social Security Number: Date of Death: AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters are hereby granted to and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of FEES Letters'. ...... $ Short Certificate(s) ..7..... $ U Renunciation(s) .......... $ ~ U U UJ \ l 1 ... $ . U(.~ ~~C~~ ...$ LU.~t~ ... $ ...$ ... $ ...$ ... $ TOTAL .............. $ ~ o.oo in the above estate Register o Wills Attorney Signature: \~ - ~ - Attorney Name: ~ ~/) ~Q ~, ~~ /~,~, L1-~--~ Supreme Court LD. No.: / k~(S Address: ~ ~ ~ ~~~~~ / ~~r ~~~~~ ~ /Vi°u/y'i~ ~.~ f 7~.~/ Telephone: ~~J~T_~ Form R{1'-02 rev. 10.13.06 Page 2 of 2 705.805 REV (01/07) 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 140071,73 Certification Number H105.144 REV 11/2006 TvPE / PRINT IN PERMANENt BLACK INK Ol31.-152 ^7 0 ~cl-U~- ~~l(P ' This is to certify that the information here given i! correctly copied from an original Certificate of Dean duly filed with me as Local Registrar. The origin certificate will be f war d to the State Vit Rec ice for er ant filing. ~ ~. ' Loc egistrar Date Issued n ~~ r--' 1"1.7 `~T CI? ~~ O . fV Ct ~ T (~ J >,~ ~ O =. , [-; ~ ~ ,1 3C r.1 tV r _ r:,t COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ ~ ~ -i"I , CORONER'S CERTIFICATE OF DEATH ~ ~ (See Instructions and examples on reverse) STATF FII F NI IMlSFtC) -~ 1. Name d Decedent (First, middle, hq, su8h) 2. Sez 3. Sodal Semuiy Nunber . Date d Death (Month, tley, ` - Fred Colbert Durf Male 201 - 16 - 6655 December 3, 2007 5. Age (last BulMay) Untler 1 r UMer 1 da 6. Dqe d Bum (Month, de .Year) 7. Bgnphce IGry end qqe a coudry) Be. Place d Deem (Check ady one) 82 Mdse aye ~` "h""" July 4, 1925 ~ `~'P• r lbaPhl: Other Yrs. Q>mberl.aTYi CO. , PA ^ Inpathnl ^ ER 101rlpathrd ^ DOA ^ Nursirp Home ®Ruiderke ^Odur ~ Speddy: Bb. Carty d Ilulh Bc. CBy, T d Death Bd. FadWy Name (d not uwmwon, give greet and numbers 9. Wes Decedent d Hispanic Origin? ®No ^ Yes 10. Race: Amedcan uidurk Black, White, etc. Cumberland South Newton Qf yes, spedry Cuban, (Spacdy) 6 Goodhart Street Mexican,PUenpRican,qr.) 1"a]ite 11. DeceOgtt's lkuel Khd worN done ~ rtwq of Me. Do not pate retired 12. Was Decedem ever in the 13. Decedent's Education (SpecByony higfuq gretle canplgetl) 74. alarirel Shtu: Merced, Never Marred, 15. SurvNing Spouse (If wife, ghe maiden nerve) KuW d Wok KY Igyi 'mgsaLlMusly , U.B. Armed Farces? Elemenhry /Secondary (0.72) Odlege (i-4 or 5t) W~ ~~ ~ ~ S Driver/MI~Yic -LLY ~C7T~1 Yaa ^NO Widowed 18.Dxwdwn's Mvlxg Adareu (greet,dry/tam, pate. zip catle) 6 Goodhart Street Decedent's DidD~"en' South Newton Tw AdudResgence 17a.stge PA use"° »e ®rs lkcetlenllivedm P• T Walnut Bottom PA 17266 , . , wp. t7b. county County TamsMp 17d.^~ l f , u,l o Ceyl Boro 19. Fadufe Name (First, midds, hq, wlfn) 19. Homer's Name (RrsL mddle, maiden surturru) Jacob R. Durf Clara M. Derr 20a. Inlomunt's Name (Type /Prints 20b. IMomurMs McYsp Address (Street dry /tam, pate, zq ccee) Martha K. Mutterspaugh 21 Gutshall Road, Shippensburg, PA 17257 21a. Memod d DsposYion ~ ^ Crermtion ^ DauBon 21b. Date d Dispceuron (Room, tley, yurs 21c. Phce of Dispaition (Name d cemetery, cremgo or deer ry face) 21d. Locadai (City /town, pale, np code) /a~ Ly Banal ^ RemwallromShh I WuCromutlonalaonadMAUthorhatl ^ gher-Speedy: byMsdiWExammer/Coroner? ^vea^r4tr 12_7_07 S rin Hill Cemeter P 4 Y Shippensburg, PA 17257 22a. d rel Service (a ~9 u such) 22b. License Number 22c. Name and atldrees d Fadliry M7- S • FD-012984-L o elsan er-Bricker Funeral Home Inc. Shi ensbur PA 17257 Complete nerna 23e<onty when ceflAM~n9 23a. To hest d my Imowhtlge, deem occurred q tlu hoe, tlau antl phce shred. (Signature end tole) 23b. License Numher 23c. Date Signed (Momh, day. year) physician rs rid available al IYne d dash to cerMy cause d deem. Items 24.28 muq be wnphted M person 24. Time d Deem P rX . 25. Dale Prawimcetl Deetl (Morph, tlay, year) 26. Was Case Rehmed to Metlical Examiner /Coroner for a Reason Omer than Cremetron a Daution? wnolxaw~,nre=dash. 6:00 P. M. December 3, 2007 ~Ivea ^Nn CAUSE OF DEATH (Sae Instrualone antl examples) r Approzimete interval Pan II: Eller dhar ~ 28. Ditl Tobacco Use Canrbute ro Deem? Item 27. Pan I: Emer dre chin d evems -diseases, squries, a carplcetions -dot dreclty mused tlu deeM. DO NOT ewer lemwel events such u mNhc arrest, r Dfleel ro Deem bd not resiPoing in du undedyng cause given in Pan L ^ Yes ^ Probedy respiratory angst, a ventdciper l~e8on wphoa showing me e8dogy. lip ody one muse on each tine. r ^ No ^ Unknown IMMEDIATE CAUSE tFinal tlhuu a condtan raedtlrpndeams i a. Hypertensive Cardiovascular Disease ~ CHF ~'1f FB11~ Due to (a es a mrceequerzx d): ^ Not nl within I~rear 3egiemiaN list mnd'Aiorrs, d airy, b,' r l di t m ti lM li ^ Pregnsm et time d tlealh ea ng o e reuse s on re a. Due to (or as a wnsequence d): r Erder the IBIDERLYING CAUBE ^ Nd pregnam, but pregrem vrilhin 42 da W (disease a , wy met irelialed dre c ~ events resin in deaths LAST. r d tlulh Due to (or 85 a consequence d): ^ Nd pregronl, but gegun143 days to 1 year d. i bgae death ^ llMcnoxn d pregnant wthin the put year 30a. Was en Autopsy 30b. Were Auopsy Fintlinrp 37. Manner d Degh 32e. Date d Irqury (MOdh, day, year) 32b. Describe Mow Injury Occurred 32c. Place d Inpay: Home, Ferm, Slreq, Factory, Penomwsd'? Avedable Prix b Camplelion ~ Naturel ^ Flomiide Office Building, ek. (Spealy) d Cause d Death? ^ Yu I~ No ^ Yu ^ No ^ ant ^ Pentlug mveadgalian 32d. Tone d Iryury 32e. Irgury el Work? 321. II Trer~spahtion Injury (Specilyl 32g. locator d Injury IStreq, cAy! town, sate) 7~~' ^ Sulatle ^ Cadtl Not ba Delennined ^ Yes ^ No ^ Diner /Operator ^ Passengm ^Petleslnan M Odrer-Speedy: 33a. Cediher Idled ody one) 33b. Signature end Ttlk • CaHByMg phyaNhn (Physidan cerlilyig muse d deem when andher physiden sus pronaaicetl tleem antl cemplgetl rem 23) Co rove r To the butdmy Hrowhdge, tleam omuned duebMe dwns(a)and runner ore stated__________..______________________ ^ • Pronrwnoing and carlKyhq phYaklan (Physician both prawMZZrg death end candying b muse d degh) tM b t f kd th d d d tlg M l tl d s m tl p t T l d ^ 33c. license Number 33d. Dale Sigrud (Morin, day. year) o ea o mow ea occune g me, e,a p ain, an ue o a cause{s)en manner as a my pq u sy_________________ • MetllagFxamlmr/Cororur ~ December 5 2007 On the baW d ezamlMhn and / a Iaestlgalbn, Inmy oplNOn, tluth oaurted q the hoe, dqe, ell place, pre tlue to the moo(s) ell manmr u ~~aled- , 34. Namg a Adtlres of Persm Who Completed Cause d Dom (rem 27) Type / Pod M ~ L N i 35.R rer'sS to rictN spies iglu I ~ ~' zl 7 ) ~ 38 DaleFYetl(MOn,day,yur) ' ~ ic ae . . orr s, Coroner 6375 Basehore Road Suite 011 OT ZD DIEG. Mechanicsbur PA 7050 V ~ Dupupim Permp No. OC7 ~ 4 ~ t 1 F:\NP51\WILLS\PAWOItK\DURFF.YIL 3/10/98 S:OOpm Tue ~_ C ~' t.3 ~"iV~ ' ~3 ri-1 C'7 LAST WILL AND TESTAMENT - r_~~o -~ ~~ ~ ~ I, FRED C. DURF, of South Newton Township, Cumberlaount~, t Pennsylvania, declare this to be my Last Will and Testament and revoke any Will or Codicil previously made by me. ITEM I: I direct that all my just debts (except as may be barred by a Statute of Limitations) and my funeral expenses (including my gravemarker and expenses of my last illness) shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. ITEM II: I bequeath those articles of my household furniture and furnishings and those articles of my personal effects and v personal property as set forth in a separate memorandum (which is signed by me, dated and makes specific reference to this Will and memorandum, which I shall place with my Will or deposit with my attorney), to the persons therein designated. ITEM III: I devise and bequeath the residue of my estate of every nature and wherever situate in equal shares to such of my children, TERRY LEE DURF, PATRICIA ALLEMAN and MARTHA MUTTERSPAUGH, as shall survive me by thirty (30) days. ITEM IV: Should any of my children, TERRY LEE DURF, PATRICIA ALLEMAN and MARTHA MUTTERSPAUGH, predecease me or die on or before the thirtieth day following my death but leaving descendants who so survive me, such descendants shall receive, per stirpes, the share that such predeceased child would have received had he or she so survived me. ITEM V: If any property passes outright (either under this Will or otherwise) to a minor (which shall be defined as anyone under twenty-one (21) years of age) and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, I decline to appoint a guardian but instead authorize my Executor to distribute such property to a Custodian selected by my Executor (and my Executor may act as such Custodian) as Custodian for the minor under the Pennsylvania Uniform Transfers to Minors Act. Provided, however, that this appointment shall not supersede the right of any fiduciary to distribute a share where possible to the minor or to another for the minor's benefit. ITEM VI: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the expenses of the administration of my estate. I authorize my Executor, in my Executor's sole discretion, to make an election, in whole or in part, to cause a Pennsylvania Inheritance Tax to be payable by my estate on property passing to or for the benefit of my spouse or to defer the Pennsylvania Inheritance Tax on such property. My Executor shall be without liability to anyone for making or failing to make such election. ITEM VII: I appoint, my children, TERRY LEE DURF, PATRICIA ALLEMAN and MARTHA MUTTERSPAUGH, Co-Executors of this my Last Will. ITEM VIII: I direct that my Executors or their successors shall 2 not be required to give bond for the faithful performance of their duties in any jurisdiction. ITEM IX: My individual fiduciary shall be entitled to reasonable compensation for his or her services rendered from time to time and/or to reimbursement of out of pocket expenses. ITEM X: The interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and Testament, written on four (4) sheets of paper, dated this ~ day of ~~~ ~ 1998• .~7 ( SEAL) FRED C. DURF The preceding instrument, consisting of this and three (3) other typewritten pages, each identified by the signature or initials of the Testator, was on the day and date thereof signed, published and declared by the Testator therein named, as and for his Last Will, in the presence of us, who, at his request, in his presence, and in the presence of each other have subscribed our names as witnesses hereto. ~~'t~' ~ residing at ~~CL~ residing at,,~.__~,~.. ~~ 3 COMMONWEALTH OF PENNSYLVANIA . ss. COUNTY OF CUMBERLAND I, FRED C. DURF, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. (SEAL) ED C. DURF Sworn to or affirmed and acknowledged before me by Frtc~ C . ~uR~ , the Testator, this I3'~ day of YYlci ~ c..G~ , 19 9 8 . Public ARIAi_ SEAL LOTS A. SOLLENBERGEfl, Notary PubMc Shippenstwrg Bono, Cumberland County My Commissian Expires March 3, 2001 COMMONWEALTH OF PENNSYLV COUNTY OF CUMBERLAND . ss. We, ~7'RI NPr m - C3 rZ oo,~EN s and Lo 2t ~,~IZ f~ , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will; that the Testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the Will as a witness; and that to the best of our knowledge the Testator was at the time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. ~'J Sworn to or affirmed and subscribed to before me by -rj2-Nq rn . ,(3Rfl~K~s and LpR~r Q~-(L(~, , witnesses, this ~_ day of _YYlwt-~ , 1998. ' "'-""`~"'~~" " R9AL SEAL tary Public Lols ~. sc~LL€NSl=flc~fl, No~- Put~c Shippensburg Boro, Cumberland County gin., ^nmmission Expires March 3, 2001 RENUNCIATION REGISTER OF WILLS C ~ r>7 ~ ~L~~ COUNTY, PENNSYLVANIA ~' Estate of _- ` ~~-t% ~• ~Lf ~ f' r, ~ rR c ~ ~ /~i~~i~ -Z rv ° ` -:.. , . _ t_, ~ ~ ~~~ m '~`'~` ,Deceased -> y~0-,~ `~ ~ v ' m my cap~ity/rel r .: __., atiq~hi as ' (Print Name) ~ t- p ` ~ - >v C{A Q ITA e ~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to (DatE) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Form RW-06 rev. 10.13.06 (Signature) lJ ~ l~ - O l ~ ~c{~/ (Street Address) ~- ~ 7a-y~ (Ci fate, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciati'o>r~ for the purposes stated within on this ~~`' day Nota r ' blic My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) ~~ ~~ BAR R 1~ • lMl~yhMa ~~~~~0 RENUNCIATION ~ ~; REGISTER OF WILLS ~~ c~ Urn ~~~_ COUNTY, PENNSYLVANIA ;~? rn ~' U 1 ~~ ~ ~~fi~ o '. _' O © -~ =~~ ~ . _. .o -+ N -- , L /'~ Estate of / le~c~ („ ~1 ~~ Deceased .' I, ~ ~ ~ ~~-~~-~ ~ ~~/ u~~ S ~~/ ( ~r , in my capacity/relationship as of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to `a -e~-aoag (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Form RW-06 rev. 10.13.06 (Signature) ~~' ~~ (Street Address) ~~ -~ zS7 (City, State, p Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this .~- day of ./~PC tiy/~ ~ F% ,, o2f~~ Notar~~{blic `"~ My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) ~~~ ~K EooNr RwiN, r Noun ~o ~ ~~r My ~AfrIM11~011 ~~ Ap1 Z4 '~