HomeMy WebLinkAbout12-27-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of RUBY V. CALHOUN
also known as
File Number 21
07
11~~5
, Deceased
Social Security Number 166-12-5280
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW:)
lZl A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executrix
last Will of the Decedent dated 4/30/2002 and codicil(s) dated none
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:
D 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 / have ascertained that Decedent left no Will and was survived by the following spouse (if any) 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.)
Name
Relationshi
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. ',':':; :J:>t (C,~
.) (::= ::E: :'" ""Of-'j
Decedent was domiciled at death in Cumb~rland County, Pennsylvania, with ~is / her last princip~l ~idence ar45 Easf~tth
Street Carhsle P A 17013 Carhsle Borough ,,'2 ..: '" . I
(List street address, townlcity, township, county, state, zip code) .:::- ' , . :
Decedent, then 90
Carlisle
years of age, died on 12/17/2007 at 25 East North Street
Cumberland County
PA 17013
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in P A) Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
25 East North Street, Carlisle Borough, Cumberland County
$
$
$
$
170.000.00
90.000.00
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:
Typed or printed name and residence
Daphene B. Jones
19176 Freeland Detroit
313-345-2643
MI 48235
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNS YLV A.NtA
: SS
COUNTY OF CUMBlffiLAND
The Petitioner{s) aboVC-Wlmed 8Wear(II) or: ~1J'd'l(s) !hat the m~D1t:nl3 m Che forcp,oing Pctitloa lITe tOle =d <:Qrmct to the best of
th~ kuowledec and belid of PCbl\oner(S) and tbOlt, ~s personal ~JCJ\tative(s) oCtile Decedent, Peritionet(s) will well i1Dd ItUly
administer tbr: l:!ltatl: IltcOJding 10 law.
Sworn to or affinncd and subscribed
"" ,-tk..... sif/l/J/tll'f of pr.n""aJ f(e?Uft/lWIM
bd'orc me the r~ { day or
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File Number: 21 - Or - II (05
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El5taleOC RUBYV. CM.ROUN
.r:-
Social Se~urilYNwnber...l9~12-~280 . OalcoCDeath: J.2l17/2D07
ANI> NOW~O C' I? N\ ~"- ~\ , ;;JCfJl ,in cCMlSidention oC the f~oiDg Petition, saCillfac:tory proof
baviD8 bc:en pl'ellC:lltcd ~rore me,IT IS DECREW that l..C!ttc:rsI~.talV
iU'C he...:by granted to p'llnhcnc B.lontlt
Executrix
IInd thaI the jplItn.1mCI1t(9) dated Aoril 30 2002
de~bcd in me Petition be adziultc:d t(1 probate: and faled of tec:on:1 lIS the hl-'n Will (and Cod;cil(.)) of Dec;eclcnt.
FEES _. _ dI~QJ.JJo,,-,:lh-;!,J,,!1ut{~~Ck>t-
Lc:tt=-s ............................. S ~/O .00 . wofW411J .
Short Ccrtificate($) ............ S I d . tY) ---">- AttOrney SiBfl'!twY: /' .A - .-;;
RenuDciacion($) . .............. "
M'\ \ \ s I 5 . LU ...-
O..-t~h~) $ -- ." .00
....l(\P $10 00
$
S~
S
S
S
S
TOTAL ............ .............. S~~s...J. 00
in the abOVlJ estate
Attorney Name:
Supreme Court T.U.
Address:
M8rl'lCJ11 Law OftiCCl:'l. 10 F~lHil!h Str~
Carlisle
u
--.L7013
Telephone:
717-243-3341
F_ RIf'.n:t n"II. JO./J,06
Pa~c 2 of2
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
p
13888727
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly fiied with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
Fee for this certificate, $6.00
2007
Certification Number
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1105-143 REV 1112006
TYPE I PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions snd examples on reverse)
STATE FILE NUMBER
1.......~_1...1,_,...._\
Ruby V. Calhoun
5. >qe IWI "-vl
. 'I
7:
{ andstlteor
DOllIe"_
10. Race: American Indian, Black, 'MlIte, etc.
1-
White
q
Bb. County 01 Dealh
Sel. Facility Name (II not institution, ghoeatteel and nootberl
90
Hendersonville, NC
Sa. Place 01 Death Check one}
-,
0,_ 0 ERIOulpolIenI 0 IlOA 0 _og Homo KI R-.:e
9. Was Decedent of Hispanic Origin? IXI No 0 Yes
III Ves, speclfy Cuban.
Mexican. Puel1oRIcan.elc.1
13.0_. Eduoallon _ """ _"_ oompIolod)
Elementary I Secondary (()"12) College (1-4 or 5+)
12
PA
Cumberland
14. ~~mr~r Married, 15. Slm'Mng Spouse (W wile, give maiden name)
WidJwed
25 E. North St.
Carlisle PA 17013
la F_sNome~ _....._1
Everett Dale Davis, Sr.
2Oa.lnlormanl's Name (Type I Print)
Da hene Jones
Old Oecedent
u..o.
Township?
17c.D Yes._lMld.
17d'~Aciualo.:lrwllhln
7.,.
17b. Coonly
Carlisle
ClIy/Boro
~
~
~
19. Mother's Name (Arst. mIdcIe, mBIden uname) ,
Alice Roberta England
2Ob. """"""" _Add_ISlr8et. cllyl-'_. "_I
19176 Freeland St., Detmit, MI 48235
21C.P1aceolDisposilion(Nameolcemeterr,cremaloryorothl!rplaceJ
21d.locatlon (CiIy/town, stale, zip code)
Annville, PA
IndiantcMn Gap National Cerrete:ry
22t. Name and Address of Fdty
&ling Brothers Funeral Hane, Inc., Carlisle, PA 17013
23b.licenseNumber
23c. Date SIgned (Monltl, day, yearl
It8ms 2....26 musI be completed by persorl
who pronounces death.
24.TlfMofDealh
26. Was Case RelemKlto Medical Examiner I Coroner lor a Reason Other than Cremation Of Donation?
DY" [XNo
Aprx
. CAUSE OF DEATH (See In.vucuon. and examples)
1lem27. Partl: En&erlhe~-di_, injOOes, orc:cmplk:allons-1hI1 dir8cttycausedlhtdealh. 00 NOT enItr terminll events such as cartiac arrest
r8IJliraIory Irf'8Sl, Of Y800iWar flbrtlatlon wilhoul showing lhettlology. Us1 only one CIUllI on each line.
DYes 0'"
31.Ma~
Jd'1<- 0-
0-" 0__"
o S.- 0 COOd Not be 0.0-...
I ApproxlmateinleMd:
: OnseIIoDe8th
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
PIl'IIl: Enter othIt IIioIVIlcant condiIIons r.nnIrl1utinn 10 deaJh 28. Old Tobacco U. ConIrilute 10 DNIh?
butnol relullingintheundel!ylngcauseglYenki Pari I. 0 Yes .OPrabably
0'" OU.......,
29.If~:
o Not """"",wihin"",..,
o Poognonlnllime"",,",
o Not P"9'lllnt,bulpregnant wilhin42 day&
~ dea~
o Notp<egnanl.bulll''lP''''l43''''101,,,,,
belaredlll!lh
o Unknown II ~I within \he pastyeBr
32e. Place of 1r'fJry: Home. Farm, Street, Factory,
Clffice........elc.(Spdy1
~~='I~
a.
~
Due to (or as a consequence of):
~-:='~~a.
Enter'" UNDERlYING CAUSE
=-,:-,,~'':.~lhe
b.
Due 10 (or as a consequence 00:
DueIO(orase~oI):
DYes ~
d.
3lI>.___
AvaIIbIe Prior 10 Completion
olCauHoIOeaIh?
3Da. Was an Auqlsy
..........,
32d Ttmtdlnjuly
32g. Location of I'*"Y (Street, city Ilown, stale)
M.
331. CeI1k _ """ one)
c.tIIylng_I__...."---_""_-...._Item23\
To the belt of my knowNdtt. deIth oecurNd due to 1M CHM(s)1nd 1MMIl''' stldecL _ _ _ _ _.. _.. _ _.. _.... _ _ _ _.. _ _...... __ _.. _.. __
==:,:~===~and~~=toto=~~mnnerassbltecL__.._...._..___....__.._ 0
Medk:aI Examiner' Coroner
On the basis 01 examlNltMHl anell or InvutIgaIIon, In my opinion, duttl occurred at the lime. date, and plac:e. Ind due to the CIIUse(S) and mannef U a18tecL 0
('\0 '.J\l 'l.. c..'1<;';'
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Ois.position Permil No.
LAST WILL AND TESTAMENT
OF
RUBYV. CALHOUN
I, Ruby V. Calhoun, a resident of the Commonwealth of Pennsylvania, make, publish and declare
this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me.
FIRST: I direct that the expenses of my last illness and funeral, the expenses of the
administration of my estate, and all estate, inheritance and similar taxes payable with respect to property included in
my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid from and bome
by the principal of my residuary estate, without apportionment and with no right of reimbursement from any
recipient of any such property. r--'
C:":"::J
C:2 ::3 '
SECOND: It is my desire to be buried at Indiantown Gap National Cemetefy-; ~t to my.:b.usband~
Nethen Calhoun, Grave 851 in Section 12-D. . ~ '-~2 n ;:::j '_ ;
;~: ~~ N
THIRD: I may leave a letter of instruction with the executed copy of my Wi11J9~;.~e PmPose qf, ,'")
giving guidance to my Executor. I request, but do not require that my Executor honor my wishesthe~ re~sted. ',-Ii
(:1n ~ ; ~~~~
FOURTH: I give my automobile to my daughter Daphene B. Jones, if she s~i~s me. -:
..' .:--)
-f,
FIFTH: I give all the rest, residue and remainder of my property and estate, both mil and
personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled at the time
of my death (collectively referred to as my "residuary estate"), as follows:
(a) If my daughter Daphene B. Jones and my daughter Dolores A. Beamer or either of them shall
survive me, to those of my daughter Daphene B. Jones and my daughter Dolores A. Beamer who
survive me, in equal shares.
(b) If none of the beneficiaries under clause (a) above shall survive me, my residuary estate shall
be paid and distributed to those of my grandchildren John A. Jones, Jr., Richard D. Jones,
Christine Banks and Terence Beamer who survive me, in equal shares.
SIXTH: I appoint my daughter Daphene B. Jones to be my Executrix. If my daughter does not
survive me, or shall fail to qualify for any reason as my Executrix, I appoint John B. Fowler III, Esq. as my
Executor. I direct that no Executor shall be required to file or furnish any bond, surety or other security in any
jurisdiction.
SEVENTH: I grant to my Executors all powers conferred on executors under the Pennsylvania
Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon
executors wherever my Executors may act. I also grant to my Executors power to retain, sell at public or private
sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal,
for cash or on credit; to borrow money and encumber or pledge any property to secure loans; to divide and distribute
property in cash or in kind; to exercise all powers of an absolute owner of property; to compromise and release
claims with or without consideration; and to employ attorneys, accountants and other persons for services or advice.
The term "Executors" wherever used herein shall mean the executors, executor, executrix or administrator in office
from time to time.
EIGHTH: I direct that for purposes of this will a beneficiary shall be deemed to predecease me
unless such beneficiary survives me by more than thirty days.
NINTH: It is my desire to disinherit any beneficiary who contests the provisions of this will.
~'1 \j.~
IN WITNESS WHEREOF I Ruby v.~oun, sign my name and publish and declare this
instrument as my last will and testament this ~Mday of ~, 2002. I also have affixed my signature on
the bottom of each of the preceding pages hereof. .
~~\.~ C~\~
Ruby . Calhoun
The foregoing instrument was signed, published and declared by Ruby V. Calhoun, the above-
named Testatrix, to be her last will and testament in our presence, all being present at the same time, and we, at her
request and in her presence and in the presence of each other, have subscribed our names as witnesses on the date
abovx;:ttenn.
t&L~
having an address at 11
~
I A
I
(701.3
/J(j~
having an address at
CtduA h
/ 701 -3
2
ACKNOWLEDGMENT AND AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss.
'").We, Rub~ V.~lhoull; 3.Jld~ _JJ~:@?__b~QQ~ __ ClIJi __ _ _ _ __ _ _ - - _ --
_ _ _ _ _ _ _ -.tJ.e,: lL.! ,;;>r.M~ ~, the Testatrix and the witnesses respectively, whose names are
signed to the attach~r foregoing instrum t, being first duly sworn, do hereby declare to the undersigned
authority that the Testatrix, Ruby V. Calhoun, signed and executed said instrument as her last will and testament in
the presence and hearing of the witnesses, and that she had signed willingly, and that she executed it as her free and
voluntary act and deed for the purposes therein expressed, and that each of the witnesses at the request of the
Testatrix, in the presence and hearing of the Testatrix and each other, signed the will as witness, and that to the best
of his or her knowledge the Testatrix was at the time at least eighteen years of age, of sound mind and under no
constraint, duress, fraud or undue influence.
~\..u \j . en \\...u.u.-
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f WiIDe,.J, .
I, the undersigned officer, do hereby certify that I am, on the date of this certificate, a person with
the power described in Title 10 U.S.c. 1044a of the grade, branch of service, and organization stated below in the
active service of the United States Armed Forces, nd that statute no seal is required on this certificate, under
authority granted to me by Title 10 U.S.c. 1044a.
Name of Officer and Position:
Grade and Branch of Service:
Robert E. Samuelsen II
CPT, JA, U.S. Army
Legal Assistance Attorney
Bar Admitted in Minnesota
Carlisle Barracks. Carlisle, PA
Command or Organization
F: IFlLESIClienlSl 1 0597 Calhounll 05971. oath nonsubscribe
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF NON-SUBSCRIBING WITNESS
ESTATE OF RUBY V. CALHOUN, deceased
NO. 21- D"l- 11(08
Daphene B. Jones and Dolores A. Beamer, each a subscriber hereto, each being duly
qualified according to law, depose and say that they are familiar with the signature of Ruby V.
Calhoun, testatrix of the Will presented herewith and that they believe the signature on the Will is
in the handwriting of Ruby V. Calhoun to the best (heir knowledge and belief.
Aj//__ ~ L
Dap ene B. Jones )/
Sworn to or affirmed and subscribed
before me this .:1i-tk- day of
~<-~\'Y"-\Nt.,,-- ,dcx;'-,.
19176 Freeland, Detroit, MI 48235
~W-~~~^ ~
1;
~. ..~ OJ~. ,,-,L1
'., Deput .
~~
Dolores A. Beamer
'~AJ!
169 Iron Road, Summerville, SC 29383
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