HomeMy WebLinkAbout12-26-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYL VANIA
Estate of Charlotte Y. Offley
also known as Char lot te Young Of fley
File Number
J\ o\. Hl.Q\
, Deceased
Social Security Number
208-42-2656
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IX]c A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executrix named in the
last Will of the Decedent dated February 24. 200/fud codicil(s) dated N / A
Wj 11 ollghby N. Off] Pey, Jr. and Edward P. Offley have renounced as Co-Executors
in favor of Petitioner
(State relevant circumstances, e.g., renunciation, death oj 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: N / A
o n. Grant of Letters of Administration
(Ifapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (1/
Administration, c.t.a. or d.b.n.c.t.a., enter date a/Will in Section A above and complete list o/heirs.)
Name
Relationship
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Decedent, then 88 years of age, died on December 18, 2007 at Holy Spirit
Cumberland County, Pennsylvania
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County, Pennsylvania with his / her last principlth~stdence at ~ C)
H::lmprh>n Townc::hip, Mprh'''lnirc::hl1r~>, r.l1mhp~nri 'f:Ofjl1ty,
Pennsft'vania .
Hospital,
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(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in Cumber land
1SS S SporTing Hill RO::lri, ApT Sq,
(List street address, town/city, township, county, state, zip code)
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(Unot domiciled in PA) Personal property in Pennsylvania
(lfnot domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
$ 20,000
$
$
$ None
situated as follows:
Wherefore, Petitioner(s) respectfully requesl(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:
PA 17055
Form RW.02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF
CUMBERLAND
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) ofthe Decedent, Petitioner(s) will well and truly
administer the estate according to law.
before me the
26th
day of
Sworn to or affirmed and subscribed
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Signature of Personal Representative
Signature of Personal Representative
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File Number:
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Social Security Number:
Date of Death:
December 18, 2007
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Estate of
Charlotte Y. Offley
208-42-2656
AND NOW, December 26 2007
having been presented before me, IT IS DECREED that Letters
are hereby granted to Char lot te H. Griffiths
, in consideration of the foregoing Petition, satisfactory proof
Tf'!'ltrlmf'ntrlry
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed ofreco d as the last W' I (and Codicil(
FEES
Letters ..... .a.Q . Ql?0 $ ~O
Short Certificate(s) . . S . . . $ ~{)
Renunciation(s) .....~.. $ It>
i;) 1\\ . .. $ \ rg
)C Q . .. $ 10
Pu-.-\-o .. . $ 5
.. . $
.. . $
.. . $
. .. $
...$
. .. $
TOTAL.............. $_Ia.o ~
Attorney Signature:
--....
Attorney Name:
Keith O. Brenneman
Supreme Court l.D. No.:
LL 7077
44 W. Main Street
Address:
Mechanicsburg, PA 17055
Telephone:
717-697-8528
Form RW-02 rev. /0.13.06
Page 2 of2
HI05.W5 REV (01107)
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 14124605
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Certification Number
H1Q5.143 REV 1112006
TYPE I PRIN1IN
PERMANENT
BlACK INK
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
This is to certify that the information here given i
correctly copied from an original Certificate of Deatl
duly filed with me as Local Registrar. The ongina
certificate will be forwarded to the State Vita
Records Office for permanent filing.
W~ e.{~ L;;,/ Ltt/o'l
Local Registrar Date Issued
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6. Date of Bif1h (Monlh, day, eat)
7.BitthpIice(C and stale or
88
04/05/1919
Norfolk, VA
Yos
Bb. County 01 Death
CUmber land
ad. FaciIily Name (If not institution, give &tr&et and l1UfTtler)
Twp.
S;J,eAT !iIJS/',rnL
13. _.Edutalion ISpecilyori,hogheSlgrado """""'''''I
Elementary I Secondaly (0-'2) College (1-4 '" 5+1
4
moslol 1iIe. Do nQ1 Slale retired
Kind 01 Busirlllssl Iodustry
. 16. 0ecedenI'~ Mailing Address (Sueet. city I lawn, stale, zip COde)
355 Sporting Hill Rd., Apt 59
Mechanicsbur PA 17050
1& F~~'E:r~; suft\lolU1g
0ecedenI'.
ActuaIAesidenCe t7a.State
PA
CUmberland
17b. County
OOlhe, - Spec,,,,
10. Aaoe: American Indian, 81ad1., WIlle. ek:
~t!e
14. MarUI SlaIus: Married, Never Married,
_llMJrcod(s,.odi)l
widowed
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live in a
T~?
Hamoden
17c, ~ Yes, OecedenIlived in
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19. Molher's Name {First. mil:de, maidlln surname)
Sallie Buckner Montganery
2Ob_.''''''''9..........(Slreel,0ly11own.......'''''''''I
108 S. Walnut St. Mechanicsburg, PA 17055
21e. PlaceofOisposdioo(Nameot~.cremill\oriOlCl4hefJ*lce) 21d. L.ocaIiM(CIty/Iown.sta&e,ZlpCOdeI
Cedar Grove Cemetery Williamsburg, VA
22CName....-.$$~F_ 8 Market Plaza Way
Malpezzi Funeral Hane Mechanicsb PA 17055
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iems 24-26 musI be completed by person
wOO j)fOl'lOUf'ltetdealh 't;.
24. Ttme of Death
3: Y'S- ,1/11.
_',len""
Onset 10 Dealh
=J~S:~SJ ~~) dtse.:;.
~le~=';~a
Enter tie UNDeRLYWG CAUSE
(d1seaseol~thatinillaledlhe
evenb reS\llblig III deall'l) LAST.
Due to (Of as a COl'ISequence (1):
30a Was an,w:lpSY
Performed?
3Ob.WOI8_F_
Available PriOl" 10 ConlNeIioo
of Cause 01 Oealh?
31. Manoor of Death
~NallJral OHoolicide
o Accidefll 0 Pending lovestigalilXl 32d. Tme of Irpy
o $""",, 0 C",," No! be Dele"'''n''''
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DYes 0 No
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33;1. Cerllber tctMd only one)
Canifying physiCian (Physician CQlbfying: causa of death when another physician has pronounced dealh and compIeled hem 23)
10 h bt$tof my knowledge, _lhoc:c:wredduelolhtClluse(t)andmanntf.t s..Ied................ _ _.......... _.......... _.......... _ _ _...... 0
;=::, ': ~::,~iIn~':I: ~~~~=j::c.~ .:rti~~to:~:~:~manneI as a1ateO_ _ _ _ _.... _.. _.. _.... _...... ~
::81 =~":~ ItId I Of 1n".tUgalion, In my opiniOn. deaU'l occurred at the time, date, and place, and due to lhe c.ause(s) and mann8f.. st.atecL 0
Disposition Permit No
23b. liceo&e Numbet
230 Dale ...... (Monln. day. ,..,1
26. Wa$ Case Referred ~ Examiner' I CorOl'lef for a FI&asoo 0Iher than Cremation Of 00naIi0n?
DYes ~
Part II: Enter obr sicRficanI coociIions ronutJutina 10 d8a1h. 28. Did Tobaa;o Use ConlriblAe to Oeafl?
butnol""'""9 "..._c:ause!1<en"PaolI. 0 Yes OP-
o No 0 lkOnown
29.nFernaIe:
o NoIjl<egnantw""".........
o Pfegn3rllalWneofdeaCh
o NoIjl<egnant.butjl<egnant...,..42.."
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ONolpregoant.buI~43daYSlolyear
bebedaal\
o lkOnown.jl<egnant.........""'.....
321::, Aace ollnjllry: ~,FIlm. SIntet, Facay,
OlIice........otc{~)
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LAST WILL AND TESTAMENT
OF
Charlotte Y. Omey
I, Charlotte Y. Omey, residing at Mechanicsburg, Pennsylvania, being of sound mind
and in the contemplation of the certainty of death, do hereby declare this instrument to
be my last will and testament.
I am unmarried and I have four (4) children living on the date of this will: Charlotte H.
Griffiths, Willoughby N. Offley Jr., Edward P. Offleyand John B. Offley.
ARTICLE I: DISTRIBUTION OF ESTATE
At my death, I direct that my Co-Executors distribute any and all items of tangible
personal property, not otherwise specifically named in this will, to the beneficiaries as
may be set forth in any written list or statement, signed by me, and in existence at the
time of my death.
I give and bequeath my remaining household furnishings, personal effects, automobiles
and all other tangible personal property in equal shares to my children, Charlotte H.
Griffiths, Willoughby N. Offley Jr., Edward P. Offley and John B. Oftley, who survive
me and the descendants who survive me per stirpes, of my children who do not survive
me.
ARTICLE II. EXECUTOR PROVISIONS
I appoint Charlotte H. Griffiths, Willoughby N. Offley Jr., and Edward P. Offley, to act
as the Co-Executors of this will, to serve without bond.
ARTICLE III. PREVIOUS WILLS AND CODICILS
I hereby revoke all previous wills and codicils.
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ARTICLE IV. DISPOSITION OF REMAINS
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I direct that the disposition of my remains be as follows: I wish to be buriedil'E~~~ar :0
Grove Cemetery, Williamsburg Va., in the gravesite adjoining that of my late :lWsband~
Willoughby N. Offley. :;;? -.-j ..
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ARTICLE V. RESIDUE OF ESTATE
I give all the rest and residue of my estate to my children, share and share alike:
}f~:m and Testament of Charlotte Y. Oflley
~ Initials
Page 1
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Charlotte H. Griffiths, Willoughby N. Oftley Jr., Edward P. Oftley, John B. Oftley. If
neither Charlotte H. Griffiths, Willoughby N. Oftley Jr., Edward P. Oftley, nor John B.
Oftley survives me, I give all the rest and residue of my estate to their estates and
successors.
ARTICLE VI. PAYMENT OF CHARGES
My Co-Executors shall pay for or arrange for the payment of my legally enforceable
debts, charitable pledges, and the costs of the administration of my estate. My Co-
Executors shall arrange for payment of the expenses of my funeral and burial (including
any headstone or marker).
My Co-Executors shall pay for or arrange for the payment of all estate, inheritance and
similar taxes payable by reason of my death as a cost of administering my estate
without apportionment. My Co-Executors shall take advantage of any specific
provisions for payment of estate, inheritance, and similar taxes made by any person.
ARTICLE VII. SURVIVORSIDP
I shall be deemed to have survived any beneficiary named in this will if, in the opinion
of my executor, there is no evidence that such beneficiary survived me by more than
120 hours.
I herewith affix my signature to this will consisting of four (4) typewritten pages, on
this
the o/lfr!: day of ~l "'0--'1; , d(JG <c
at \ \ D S ~~tJ RJ) 42fl-fu... t:'i:, Bel f:ln-the presence of the following
witnesses, who witnessed and subscribed this will ~t my request, and in my presence.
(kJ~1~ ~+ ~
Charlotte Y. Oilley
Last Will and Testament of Charlotte Y. Ofiley
~ Initials
Page 2
The Testatrix signed, sealed and declared this as the Testatrix's will in our presence on
the date shown above. At the testatrix's request we have signed our names as witnesses.
All of this occurred at the same time, and we and the Testatrix were present together
throughout.
Witness: S~ ~
Address: [[0 3 ~&. vZ:-J)~/1IA~l)tL 3d~b
Witness~: ~e-~~
leA r I ~ -:J. ~ '()fII t1AoA ^ fI. ~ I ~ ') f7 '3d'll:3
Address: , 0 -=--J. ':7'\: I\.L l;;, \ ~ <[ LJ7 "tall tf.L!.~LHI jjc h /L
Last Will and Testament of Charlotte Y. Oflley
C!f- Initials
Page 3
ATTESTATION CLAUSE
STATE OF Florida
COUNTY OF Bay
On the date above written, Charlotte Y. Oflley, known to me to be the Testatrix and
witnesses, respectively, whose names are signed to the attached instrument, declared to
us, and in our presence, that this instrument, consisting of four (4) pages, is her Last
Will and Testament, and Charlotte Y. Offley, then signed this instrument in our
presence, and at Charlotte Y. Offley's request we now sign this will as witnesses in each
other's presence. Further that Charlotte Y. Oflley, appeared to us to be of sound mind
and lawful age, and under no undue influence.
Witness: y v-. ~,~
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Witnes~~'
Address: Ii 0 -S. ~I\.<.~ II)' -f;;:J ;JfliArlllJyf"L, FL 3a~13
Address:
Subscribed, sworn and acknowledged before me ~ Charlotte YB Oflley, the testatrix;
subscribed and sworn before me by ~:~,4N(IIe ANad1 and ('f{ 6'O)~ ,
Witnesses on <Q -a'f - Otc .
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LAURAJO SMITH f\)
Notary Public - State of Florida
Comm. Expires Jan. 2. 2009
Comm. No. DO 363327
(SEAL)
My commission expires: / -oJ--at
Last Will and Testament of Charlotte Y. Offley
Clf Initials
Page 4
J\OI\\lRI
RENUNCIATION
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REGISTER OF WILLS
(J,u /1"1-'" r~ t/M/ 0 COUNTY, PENNSYLVANIA
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Estate of
thMl,rrz y,
orpuy
, Deceased
I, tvr fIIN,'!/' or IV.
(Print Name)
Se"'; #~ Ii a, , R ~.-(.
t7fft:.t:Y ~t'(.
L , 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
t h~t"( frptt. f{. {I'U ~r lid
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(Date)
2ti, '2"07
l'\J&(&D;fU7 10 . (j~
(Signarnr~ . I t
17 - 17tflf R'Aj~~It-"'1
(Street Address)
YI4# CQU yC1', ~C f (~""1J4 I/~/f ZS6
(City, State. Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
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 /'Aat!"",.,,,,,,&:"1'L -z"po7
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Notary Public
My Commission Expires:
Deputy for Register of Wills
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
COMMONWEALTH OF PENNSYLVANIA
NolariaI Seal
Susan L Matrazl. NoIary NlIIc
MealanIcsburg 80m. CunberIand Cou1ly
My CommissIon expres Nov. 24, 2011
Member. Pennsylvania Association of NotarIes
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RENUNCIATION
REGISTER OF WILLS
~ul't~Ef2.L-tN/) COUNTY, PENNSYLVANIA
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Estate of
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~t>lfNA-AtX f ()nuy
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
(Print Name)
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administer the Estate of the Decedent and respectfully request that Letters be issued to
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(Date)
(Signature)
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(Street Address)
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(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
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 t?a~ ~-
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Notary Public
My Commission Expires:
Deputy for Register of Wills
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev.1O.J3.06
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
SUsan L MaIJazI. NoCaIy PublIc
Medlanicsburg Boro, ClmberIand County
My Commission f)cplres Nov. 24, 2011
Member. Pennsylvania AssociaUon of Notaries