HomeMy WebLinkAbout01-04-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of JEAN W. BAILEY
also known as
,Ji / - uf -' 1;2.
File Number
, Deceased
Social Security Number 168-26-3671
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Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
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IZI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the EXECUTRIX
last Will ofthe Decedent dated MARCH 1,2002 and codicil(s) dated
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JOSEPH W. BAILEY DIED ON 04/11/2002
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
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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
(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: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list ofheirs.)
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal residence at
1908 DOUGLAS DRIVE. NORTH MIDDLETON TOWNSHIP. CUMBERLAND COUNTY. PENNSYLVANIA 17013
(List street address, town/city, township, county, state, zip code)
Decedent, then 74 years of age, died on DECEMBER 25, 2007
MIDDLETON TOWNSHIP. CARLISLE. PENNSYLVANIA
at 1908 DOUGLAS DRIVE, CARLISLE, NORTH
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 PA) Personal property in County
Value of real estate in Pennsylvania
$
$
$
$
situated as follows: 1908 DOUGLAS DRIVE, CARLISLE, NORTH MIDDLETON TOWNSHIP, PENNSYLVANIA
1,000.00
75,000.00
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codici1(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
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JOANNE CONRAD, 1811 CENTERVILLE ROAD, NEWVILLE, PA 17241
T ed or rinted name and residence
Form RW-02 rev. /0./3.06
Page 1 of2
COMMONWEALTH OF PENNSYL VANIA
Oath of Personal Representative
COUNTY OF CUMBERLAND
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 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.
before me the
File Number:
Estate of JEAN W. BAILEY
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Sig,(afure of Personal Representative
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Signature of Personal Representative
Signature of Personal Representative
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Social Security Number: 168-26-3671 Date of Death: DECEMBER 25, 2007"3 ;:':j S?
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AND NOW, , /)f)D1!fi , in consideration of the foregoing Petition, satisfac~ proof
having been presented before me, I IS ECREED t at Letters TESTAMENTARY
are hereby granted to JOANNE CONRAD
in the above estate
and that the instrument(s) dated MARCH 1,2002
described in the Petition be admitted to probate and filed ofrec rd as the last Will (and Codicil(s)) of Decedent.
f1 .
FEES
Letters
$
210.00
4.00
Short Certificate(s) . . . . . . . . $
Renunciation(s) .......... $
JCP ... $
AUTOMA nON FEE . . . $
WILL ...$
.. . $
.. . $
.. . $
.. . $
.. . $
... $
TOTAL.............. $
10.00
5.00
15.00
244.00
Form RW-02 rev. 10.13.06
Attorney Signature:
Register of Wills
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DOUGLAS G. MILLER, ESQUIRE
Attorney Name:
Supreme Court I.D. No.: 83776
Address:
60WESTPOMFRETSTREET
CARLISLE, P A 17013
Telephone:
(717) 249-2353
Page 2 of2
'.
LAST WILL AND TESTAMENT
I, JEAN W. BAILEY, of North Middleton Township, Cumberland County,
Pennsylvania, being of sound mind, disposing memory and full legal age, do hereby make,
publish and declare this to be my Last Will and Testament, hereby revoking all Wills and
Codicils heretofore made by me.
ONE.
I direct my Executor or Executrix, as the case may be, to pay all of my
debts, funeral and administrative expenses as soon as convenient after my decease. Furthermore,
I direct that all state, inheritance, succession and other death taxes imposed or payable by reason
of my death and interest and penalties thereon with respect to all property composing of my gross
estate for death tax purposes, whether or not such property passes under this Will, shall be paid
by the Executor or Executrix of my estate.
TWO.
My Executor or Executrix may, at his or her discretion, compromise
claims, borrow money, retain property for such length of time as he or she may deem proper;
lease and sell property for such prices, on such terms, at public or private sales, as he or she may
deem proper; and invest estate property and income without restriction to legal investments
unless otherwise provided hereunder. I authorize and empower my Executor or Executrix to sell
any realty and/or personalty owned by me at my death and not specifically devised or bequeathed
herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale
therefor, in fee simple, as I could do if living. My Executor or Executrix is authorized and
empowered to engage in any business in which I may be engaged at my death, for sucltPeriod of ~
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time after my death as seems expedient to said Executor or Executrix. (....
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THREE. I give, devise and bequeath all of my estate of whatever nature and
wherever situate to my spouse, JOSEPH W. BAILEY.
FOUR. If my spouse, JOSEPH W. BAILEY, does not survive me by a period of at
least sixty (60) days, then I give, devise and bequeath all of my estate of whatever nature and
wherever situate in equal shares to my children, JOANNE CONRAD, GARY L. BAILEY,
JUDY HEFFLEFINGER, LINDA GUSHALL, KAREN SHUGHART and SHARON
GOODLING, per stirpes, which provides that the child or children of any deceased beneficiary
shall take the share their parent would have taken if living.
FIVE. If, under any of the provisions of this Will, any principal becomes vested
in a minor, my Executor or Executrix, as the case may be, including any administrator c.t.a., shall
have the discretion either to pay over such principal or any part thereof to any parent of such
minor, any guardian of the person or estate of such minor, or any person with whom such minor
resides, or to retain the same as trustee of a power in trust for the benefit of such minor during his
or her minority. Any of the principal thus retained, and any of the income therefrom, including
the whole thereof, may be paid to or applied for the benefit of such minor from time to time in
the discretion of the trustee of such power. When such minor reaches majority, the funds so held
shall be paid over to such person, or, if he or she shall sooner die, to his or her legal
representatives. In so holding any principal or income for any minor, the trustee of such power
shall have all the rights, powers, duties and discretions conferred or imposed upon my fiduciaries
acting under this Will. I further direct that no bond shall be required from any person receiving a
payment hereunder and receipt from such person shall be a full discharge to the trustee of such
power who shall not be bound to see to the application or use of such payment. The trustee of
such power shall be entitled to commissions at the rates and in the manner payable to a
testamentary trustee.
Initia~
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SIX. I nominate and appoint my spouse, JOSEPH W. BAILEY, to be the
Executor of this my Last Will and Testament. In the event he has predeceased me, failed to
qualify or is not able or does not serve for whatever reason, I then appoint my daughter,
JOANNE CONRAD, to be the Substitute Executrix of this my Last Will and Testament. In the
event she has predeceased me, failed to qualify, or is not able or does not serve for whatever
reason, I then appoint my son, GARY L. BAILEY, to serve as Substitute Executor of this my
Last Will and Testament, whereby the said substitute personal representatives shall have the
same powers as are given to the original Executor hereunder.
SEVEN. No person(s) shall benefit hereunder unless such beneficiary shall survive
me by sixty (60) days.
EIGHT. No Executrix or Executor acting hereunder shall be required to post bond
or enter security in this or any other jurisdiction.
NINE. No beneficiary may assign, anticipate or pledge his or her interest in any
income or principal held or distributable hereunder, and no beneficiary's creditors may levy,
attach or otherwise reach any such interest.
TEN. If any person or institution entitled to share in any distribution under the
terms of this my Last Will and Testament becomes an adverse party in any proceeding to contest
the probate of this Last Will and Testament, such person or institution shall forfeit his, her or its
entire interest inherited hereunder and all provisions in favor of such person or institution shall
be declared void and of no effect. The share of such person or institution so forfeited shall be
distributed as part of the residue pursuant to Paragraph Four hereof except that if such person or
institution is entitled to share in the said residue, that interest shall be distributed proportionately
to the other residuary distributees.
Initial~
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IN WITNESS WHEREOF, I have hereunto set my hand and seal this ,st' day of
March, 2002.
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AN W. BAILEY
(SEAL)
Signed, sealed, published and declared by the above-named person as and for a Last Will
and Testament, in our presence, who at said person's request, in said person's presence and in the
presence of each other have hereunto set our names as subscribing witnesses.
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ACKNOWLEDGMENT AND AFFIDAVIT
WE, JEAN W. BAILEY, DOUGLAS G. MILLER and TRACI D. SMITH, the
testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being
fIrst duly sworn, do hereby declare to the undersigned authority that the testatrix signed and
executed the instrument as her last will and that she had signed willingly, and that she executed it
as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in
the presence and hearing of the testatrix, signed the will as a witness and that to the best of their
knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under
no constraint or undue influence.
~~~
~W.BAlLEY
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TRACI D. S TH
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by JEAN W. BAILEY, the testatrix
herein, and subscribed and~orn to before me by DOUGLAS G. MILLER a TRACI D.
SMITH, witnesses, this -1 V"'day of March, 002.
Notarial Seal
Jacque,line L. Drawbaugh, Notary Public
Carlisle B~ro, Cumberland County
My Commission Expires Aug. 14,2003
Member, Pennsylvania Association of Notaries
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LOCAL REGISTRAR'S CERTIFICATION OF DEA l'H
WARNING: It is illegal to duplicate this copy by photostat or photograph.
This is to certify that the information here given is
correctly copied from ,m original Certificate of Death
duly filed with me ,J'i Local Registrar. The original
certificate will be f{or\varded to the State Vital
Records Office for permanent filing.
P 13888851
Fee for this certificate. $6.00
Certification Number
.~..~~~EV 27 /2007
Local Registrar Date Issued
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examplas on reverse)
H105-1-43~EV1112OO6
TYPE I PRINT IN
PERMANENT
BlACK INK
STATE FILE NUMBER
... Dale of Death (Month. day, yeerj
DeC. 25, 2007
3671
8. OaleotBirth (Monttl,da ,year)
7.8ifIhplBce and slate or
Olt1er.
74 VN.
8b. Cou>ty 01 0ealI1
1/5/1933 Carlisle, PA
Od.FocIIlyN""'IHnoI_,gioo.....llIldrurl>eol
DOlhe"Spedfy'
10. Race:AmerIc8n Indian, Black, """", etc.
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White
CumJ:erland
11, 0I0Idert1 UsuII
Fabricatr~
.H. ~auorari'C1"'& Son
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- 16._......._I_dlyllllwn,.....zip_)
1908 J:buglas Drive
- Carlisle, PA 17013
1 a Falher'I Name (FIrSt, mktIe, lest, suIlb:)
Edward Kunkle
208. Intormanfs Name (Type I PrtnI)
Gary L. Bailey
21a. MeIhod of 0lsp0sttI0n
6i B1Jriol 0 __SIa..
o Olhor. Spodfy:
~22a.~oI I.icInseIlor
Westminster Caret'
Decedonf.
ActueIRe8kIenc:e 17a.Stale
'lb. Coun~
17c. 0 v.., _Uved" North Middleton
17,.0 No. ___
AclualLi'nlIIof
PA
CumJ:erland
Top.
City 1 Bon>
19. Mother'I Name (Filsl. midcIe, maiden surname)
Anna - Tolbert
n. Informant's MBlng Address (Street, city I town, state, zip cOOe)
153 West Louther Street, Carlisle, PA 17013
21c.PlBceol_lN...oI"""""Y._.._plocej
21d.localloo(CityIIllwn,.....zip_1
Carlisle, PA
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Inc. Carlisle PA 17013
2:lc. 0818 Signed (Mon1l1, day, year)
f<N /5'05'5 L J)e.L..e.v,tb.e..r :p;,)..(xq
26. Was Case Rel8lT8d to Medical Examiner I Coroner tor . Reason Other than Crwnalioo or Donation?
Dv" ~No
1tem124.26 must btCXlRlJll8l8d by person
. who proncIlJfIC8I dHth.
30 p, M.
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CAUSE OF DEATH (See Instructions and 8umples)
hem 27. Part I: Enterlhe~-diaeasee, injuries, or~Iions-V1aldrectlycausedlhedeeJh. OONOTenIel"lemDIeventssuchascantacarresl,
_.-..__lon__'_.LOlcrly""''''''''''''_....
=~=~ a. Jy, €. -i:E:J -h...),.v ~e' / ~ C. t?-1 CA.. /L
Due 10 (01' as a consequence 00:
29.lIFemale:
~NoI:pr8l1IBnIwlthlnpaslyear
o "'-'" time of ",111
o ",,_~bul__42dayo
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o Notpl9Qfl8f1~butpregnanl43daysto1y&lll'
0."""_
o UnknownK__lt1epeslyeat
32c.~~~:.'i~jSlreol.FocllXy,
Part II: Enter olher smIfIcanJ: MndiIiMR oontributiM In ti98ItI
bul notl'8Sl6lginlheunderlylngcauseglYenln Part I.
28. Did Tobacco Use ConlrillM to Death?
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Approxmaleint8Mt
Onset to Death
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Ie&dinalotheCllJlli&ledonWnea.
EnIer Iht UNDERLYING CAUSE
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Due to (or as a consequence af):
b.
Due to (or as a consequence 01):
3
d.
3111. W..~ FbInos
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of Cause of Death?
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32d.TIITIll 01 Injury
321. llT""""""","',.,. (_I
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OIho<.SpodIy,
33b. Si!J1ature andl1llll 01
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33a..CerIiIklr{checkonl>tone)
. Cer1IfjIng_<__ca...oI"'lI1_anoIt1e,_hapronouncad_""'Olm,,l.18'Rem231
lathe_ oIlRY knowIIdgI, deId'l OCClI"lWddul tolheCMJll(s)and own,., ultlled..__ _...... _................................................... .
. ~~=::::==~=:~~=lalo~=manMf..statecL__________...._____ 0
. IlIecIcIt ExnInw I Coronw
On the bull a# exnnation IIId I or IrwestiglItkM'I, In my opinion, deldh occurred at the Hme, dIte, IIId piece, and due to the caIM(.) Il'ld rMnMt as IIaWcL 0
33d. 08""""" IMonlh, ,,"y,yeerl
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34. Name and Address of Person Who ~ Cause 01 DedI (Item 27) Type f Pmt
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DispositionPennitNo.
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