HomeMy WebLinkAbout12-18-07
Estate of
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF LuWl buJ lNJO COUNTY, PENNSYLVANIA
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File Number
l-cUl~
also known as
tJ,DIA Lr.wu... Snn.u~
, Deceased
Social Security Number s...~ q - '-1'1 - /4 q .a
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(CO/y/PLETE 'A' or 'B' BELOW:)
[!?"'A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is kJtte the IE 1C ~<..iA.f-~1 X
last Will of the Decedent dated F~b II, .2Cc.s.- and codicil(s) dated Fe1 III .100.s
named in the
(State relevant circumstances. e.g., renunciation, death of executor. etc.)
Except as follows, Decedent did not malTY, 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
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(If applicable, enter: c t.a.; d.b.n.c.t.a.. pendente lite; durante absentia; duQe mlnoritate) --J ,; _~I
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Petitioner(s) after a proper search has / have ascertamed that Decedent left no Will and was survived by the following ~P4>~ ~any) ~ 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.) . ~'C; (- . ,
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ResideniC :),
Name
Relationshi
~"p
(COMPLETE IN ALL CASES:) Attach additiollal sheets ijllecessary.
Decedent, then ~CJ
years of age, died on , I -.:;lq-aC07 at &..ee.J ~1~e..... UIII^ae..., ~^IP CehlL
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 P A) Personal property in County
Value of real estate in Pennsylvania
$ SO, 000,
$
$
$ 0
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:
Ty ed or rinted name and residence
Form RW.02 rev. 10.13.06
Page 1 of2
HH1))W-', R.EV (() ll07 \
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $6.00
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.
P 13888378
.\ . ~ ~~ NOY 3 9/2007
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Local Registrar .~ Date Issued
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H105-143 REV 1112006
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)
STATE FILE NUMBER
llb. CounIy
PA
Cumberland
14. MariIaI Slaws: Married, Never Married,
W_.DMln:odISpec;joj
Wi<bred
Old o.-rn
Uvelna
Township'
He. [J:. Yes, Decedent Lived in
17d. D No, Decedent Lived wRhin
Aclu81 liniIs 01
West Pennsbom
Top.
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ActuaIResIdence f7a.Stlte
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Sr.
19. Mother's Name (Am, rniddle, maiden saname)
Edna L. Fetters
City/Bora
III
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2Ob. Informanfs MaiHng Adti'ess (Street, city I town, Slate, zip code)
1832 Ridgeview Dr., Carlisle, PA 17013
21c. Place of 0/sp0sItI0n (Name 01 cemetery, crematory or oIhaf place) 21d.location (City flown, stale, zip code)
Evans Cremation Services
I'8Ola, PA
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Hare, Inc., Carlisle, PA 17013
23c. Dale Signed (Month, day, year)
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I Approximatelnl8rYII'
: Onset 10 Death
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P8l111: Enter oIher siCIlffIcant alf'IliIlnrl!fl c.mtrh&n 10 dMItt. 28. Did Tob8cco Use ContriJuta 10 Oeeth?
but not resulting in lhe lIldertyingCBuse giYen in Partt. DYes Dprobeibly
ONo 0-
29.11 Female:
o Notpregnanlwilhb1pastyear
D Pregnant II time 01 death
o Nalpregnan~bulpregnantwithin42days
of death
DNoI~,buIpregnanl43daysIo1year
boIore....~
D Unknownil~withinlhepastyear
32c. Place of Inp,uy: Home, Farm, SIrellt, Factory,
""'" &1","" eIc. (SpedIy)
em;,1st cordIoos, H any,
to C8useMstedonha.
Erwer UNDERLYING CAUSE
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b.
Due to (or as I consequence of):
Due to (or as a consequence of)~
Vl
d.
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0-, 0 Pendngl._
o Suicide 0 Could Not be Delernhd
32d. TIme 01 Injury
32g. localion 01 Injury (SlrgeI,cityl lown, stale)
308. Was an AlAopsy
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of Cause of Death?
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33a. CertiIiet (check only one)
Certltytng physlclln (Physician certifying cause 01 deaIh when anolher physician h8ll pronotn;ed death and oomplellld Item 23)
To the best of my knowledge, _th occurred due 10 the ClUM(a) Ind II\IIIl'IIfas slIIec:L.................. _............ _ _.... _.... _ _.. _ _...... _......._
~=~n:.I;: ::r.:e.phy:~; ~ti=~~~:~~olo~=~~~~~ manner as atltecL...... _ _ _...... _ _.... _... _ _ _ 0
~~ ~:n~n:= and / Of investigation, in my opinion, death occurred Ill: the time, dlte, and place, and due to the cauae(s)and manner as stated_ 0
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1e.u.-~~-tA.~ I ~ I \ I d-.I \ I 0 I 2:>0
Di_1on P,on' No. OC),l'11-<o\
33c. licen N 33d. Dale Signed (Mon1t1, ~y, year)
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34.NamelndAddressofperson~CompIeledCa~oI9Mlh(ltem..YJ. ~~rinl D 0
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Last Will and Testament
Of
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1, LOUISE S. GRIMSLEY, a resident of Lakeside, County of San Diego, ~ornia, '2
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Louise S. Grimsley
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declare that this is my Will.
FIRST: I hereby revoke all prior Wills and Codicils I have previously made.
SECOND: I am a widowed woman.
THIRD: I have no children, nor any children who have predeceased me and left issue
surviving.
FOURTH' I nominate, constitute and appoint JANET ANN STITELER as Executrix of
this my Will, to serve without bond or other security. If JANET ANN STITELER is unable or
unwilling to act or to continue to act as Executrix, then I nominate, constitute, and appoint
R. DEAN STITELER, as Executor of this my Will, to serve without bond or other security.
FIFTH: I give and grant to my Executrix full and complete power and authority to
administer my estate pursuant to the Independent Administration of Estates Act
(Section 591, andfollowing of the California Probate Code), in the manner and on such
terms as my Executrix may deem best, to sell, convey, transfer, dispose of, borrow for, lease,
mortgage, encumber rent, exchange, operate, manage, control, vote stock, invest and reinvest
any and all of my estate, in every kind of property, real, personal, or mixed., and every kind of
investment, specifically including but not limited to interest-bearing accounts, corporate
Page 1 of4
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obligations of every kind, preferred or common stocks, shares of investment trusts, including
funds administered by the Executrix, mutual funds, and mortgage participations, that men of
prudence, discretion and intelligence acquire for their own account, without notice and without
order of any court whatsoever.
SIXTH: 1 direct that all estate, inheritance, succession or other death taxes, duties,
charges or assessments, which are assessed by reason of my death against my estate or against
my beneficiary be paid out of my estate.
SEVENTH: : 1 hereby give, devise, and bequeath all of my estate, real, personal, and
mixed, of every nature, kind and description, wherever situated and however held, which is or
may be subject to my testamentary disposition at the time of my death, including all lapsed gifts
and residue, to the Trustee of the LOUISE S. GRIMSLEY 1991 REVOCABLE TRUST executed
by myself as Trustor and naming myself as Trustee as part of that Trust, to be administered and
disposed of in accordance with the provisions of that Trust, subject to the following bequests:
A. Any dog 1 own at the time of my death to CAROLE RISCHMAN If CAR OLE
RISCHMAN predeceases me, then this gift shall lapse.
B. Any horse 1 own at the time of my death to CYNTHIA WEIGHT-CARTER. If
CYNTHIA WEIGHT-CARTER predeceases me, then this gift shall lapse.
EIGHTH: Any beneficiary who fails to survive me by 60 days shall be deemed to have
predeceased me. Any benefiCiary required to survive any other person, who fails to survive such
other person by 60 days, shall be deemed to have predeceased such person. If it cannot be
established that the beneficiary has survived by 60 days, the beneficiary shall be deemed to have
failed to survive for the required period
Page 20f4
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If for any reason the gift to my trust is not valid, I hereby incorporate by reference the
documents containing the terms of the trust that exist on the date of my death and give the
residue of my estate to the trustee named in those documents, to be held, administered, and
distributed according to the provisions of those documents.
NINTH: If any provision of this Will or if any Codicil to this Will should be invalid, it is
my intention that all of the remaining provisions thereof shall continue to be fully
effective.
TENTH: I have not entered into either a contract to make Wills or a contract not to
revoke Wills.
ELEVENTH: If any beneficiary under this Will directly or indirectly contests this Will, or
any of its provisions (including any codicil), or its probate, all interest of that beneficiary under
this Will shall be forfeited and shall be disposed of as if that beneficiary had predeceased me
without issue.
TWELFTH: As used in this Will, the masculine, feminine, or neuter gender, and the
singular or plural number shall each be deemed to include the others whenever the context so
indicates.
THIRTEENTH: The meaning and legal effect of any disposition in this Will is to be
determined by the laws of the State of California.
IN WITNESS WHEREOF, I sign my name on this, my Will, on February ~ 2005, in
the County of San Diego, California.
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ignature 'of {OUISE s. GR!i:SLEY
Page 3 of4
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STATEMENT OF WITNESSES. On the date written below, LOUISE S. GRIMSLEY declared
to us, the undersigned, that this instrument was the Will of LOUISE S. GRIMSLEY and requested
us to act as witnesses to it. LOUISE S. GRIMSLEY thereupon signed this Will, in our presence,
all of us being present at the same time. At that time, LOUISE S. GRIMSLEY appeared to us to
be of sound mind and memory, and, to the best of our knowledge, was not acting under fraud,
duress, menace, or undue influence. Understanding this document was to be the Will of LOUISE
S. GRIMSLEY we now, at the request of LOUISE S. GRIMSLEY in the presence of LOUISE S.
GRIMSLEY and in the presence of each other, sign our names as witnesses.
EXECUTED ON February ~ 2005, in the County of San Diego, State of California.
Each of the undersigned does hereby declare under the penalty of perjury that the foregoing is
true nd correct.
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Print Name:
G~'<..bc..
Address:
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fJo J (;. L-A .I. Ave.
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Print Name: ftndr..et\. muten
Address: ;)7c; b. 1)0 ~ LAs ftv-e.
SL-~ 104
fl CA6m t CA 4ovcro
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REGISTER OF WILLS
~""~L<- \NJD COUNTY, PENNSYLVANIA
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OATH OF SUBSCRIBING WITNESS(ES)
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Estate of
Lf\ i.A \ S. ~
S.. C"""5K\~~\~\,,{
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, Deceased
GEORGE A. ALSPAUGH, JR.
, ~R) a subscribing witness to
(Print Namels)
the !Xl Will 0 Codicil(s) presented herewith, (eaGbj being duly qualified according to law, depose(~)..and
say(~)..that ~ / he / the~ was / Wefe present and saw the above :r8stat~r-l Testatrix sign the same
and that she / B:e:I~B~_ t ~R~/ he /4ae,r- signed as a witness at the request of
L
(Signature)
III
275 E. Douglas
(Street Address)
(Street Address)
El Cajon, CA 92020
(City, State, Zip)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this
day
before me this
day
of
of
Deputy for Register of Wills
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy ofinstrument(s) at time of notarization.
Form RW-03 rev. 10.13.06
State of California )
)
County of San Diego )
SUBSCRIBED
this fl.#> da
or proved
SWORN TO (or affirmed) before me, Albert J. Austin, Notary Public, on
ecembe ,2 07, by GEORGE A. ALSPAUGH, JR., personally known to me
the ba IS satisfactory evidence to be the person who appeared before me.
[Seal]
llttALBERT JOHN AusTiN~
- COM...# 1637470
l/) NOTARY PUBLIC-CALIFORNIA (/)
~ SAN DIeGO CouNTY -
My COMII. Exp. JAN. 12, 2010 r
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OATH OF SUBSCRIBING WITNESS(ES)
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REGISTER OF WILLS
~M.~\~D COUNTY,PENNSYLVANIA
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Estate of
Lou ISJL s. GVClW\.S.\~,
, Deceased
ANDREA BRODEN HARDY
, (-eftCh) a subscribing witness to
(Prillt Name/s)
the KKWill 0 Codicil( s) presented herewith, (eaeh-) being duly qualified according to law, deposeEs) and
say(s) that she /.ll.eJlhey was / were- present and saw the above ~~stat~F-/ Testatrix sign the same
and that she / ae:i:1fie-y- signed the same and that she / He-J-t-Jae-y- signed as a witness at the request of
the -1=66tatof / Testatrix In her / his presence and in the presence of each other.
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(Sigllature)
(Sigllature)
275 E. Dougla~ Ave.. Stp 104
(Street Address)
(Street Address)
El Cajon, CA 92020
(City, State, Zip)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this
day
before me this
day
of
of
Deputy for Register of Wills
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths, Please have present the original or copy of instrument(s) at time of notarization,
FormRW-03 rev, /0,/3,06
State of California )
)
County of San Diego )
SUBSCRIBED AND SWORN TO (or affirmed) before me, Albert J. Austin, Notary Public, on
this 12ft. day of ecember, 2007, by ANDREA BRODEN HARDY, personally known to me or
proved to me e basis satisfacto evidence to be the person who appeared before me.
[Seal]
~~ALBERT JOHN AUSTIN ~
- COMM.# 1637470 III
In NOTARY PUBLIC-CAlIFORNIA VI
SAN DIEGO CouNrv -
~ MY COMII. Exp. JAN. 12, 201~. i
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