HomeMy WebLinkAbout01-08-08
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PETITION FOR PROBATE AND GRANT OF LETTERs
REGISTER OF WILLS OF Cumberland
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Estate of V. June Green
also known as
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, Deceased
Social Security Number 086-20-484f"
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Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IZl A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executor
last Will of the Decedent dated 03/15/1979 and codicil(s) dated
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 atter executIOn ot (he instfUlTlent(s) otfered
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, et.a or d.b.n.cLa., enter date of Will in Section A above and complete list of heirs.)
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
3607 Chestnut Street, Camp Hill, Cumberland County, Pennsylvania
(List street address. town/cit)', township, county, state, zip code)
DecedeT1t. then 87
years of age, died on December 16, 2007
at Carlisle, Cumberland County, Pennsylvania
D~cedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in P A) Pf'rsonal prnperty in Pf'nnsylva!lia
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
$
$
$
$
450.00
situated as follows:
Wnerefore. 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 faml to
the undersigned'
T d or rinted name and residence
Thomas H. Green, 30 Williams Street, Halifax, PA 17032
F0I7I1RW-02 re\.lO.J3.06
Page 1 0[2
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
COUNTY OF
SS
The Petitioner(s) above-named swear(s) or affinn(s) that the statements in the foregoing Petition are true and correct to the best of
the knowledge and beliefofPetitioner(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 ~nd subscribed
, ~.t
~ b~~,ore me the ,,25 L----; day_of
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Signature of Personal Representative
Signature of Personal Representative
Sig,"1(1,fur:?- of Pcrso,J~al RepreseY!1-1tive
File Number:
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, Deceased
Estate of V. June Green
Date of Death:
Social Security Number:
, in consideration of the foregoing Petition, satisfactory proof
AND NOW,
having been presented before me, IT IS DECREED that Letters
are hereby granted to
in the above estate
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 Decedent.
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FEES
Letters .........
Short Certificate(s) '.'
.R.euunCi'iltlOn(s) \,\J. \
}CP f'-f;
Automation fee
TOTAL . . . .
Form R W.02 rev. j 0 j J 06
$
$
$
20.00
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Attorney Signature:
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Christian S. Daghir
Attorney Name:
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Supreme Court l.D. No.: 47741
$
$
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105 North Front Street
Address:
Harrisburg, PAl 7101
(717) 234-5600
Telephone:
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Page 2 of 2
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph
,-'t' {'ll' rhl.\ ct'rtificate. S(d){
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This i\ to ccrtit\ th~H the inlurmation here given is
lorrect]y cupiedirom an nnginal Certificate of Death
dlllv filed \\ ith IiI(: ~t'\ L )'.:al Registrar. The original
,-'eJ'tiflcltc \Vli! hL' tnl'\vudcd to the State Vital
Rc,-'ord'i (Ii Ii,:\.' ;. Ir ll.TI1! i iJent fi ling.
& ~.lithtittj1 /,L / /7 /117
L, Ical Rcg~~ Date Issued
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'1105-143 REV 11/2006
TYPE I PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
STATE FILE NUMBER
I Name 01 Decedent (First. mKldle. laSI. suHll1
6. Dale 01 Binn (Montn, day, year)
. 16. Decec:1ent's MaihncJ Address (SIreet, City Ilown, stale, zip code)
3607 Chestnut st.
Camp Hill, PA 17011
18. Falt\er's Name (First, rTllddIe. last, su~"'1
William H. Karschner
12, Was Decedenl eve' in lhe
U.S. Armed Forces?
o Ves c::klo
Decedent'.
Ac1uaI Residence 17a. SIale
13, Decedent's Education (Specify only niglesl grade compleled)
Elementary' Secondary ((H 2) College (1-4 or 5.)
12
Pennsylvania
CUmber land
14. MantaJ Slatus: Marned, Never Marne<!,
Widowed, DIvorced (~1)1
Widowed
17b. County
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4. Dale 01 Deam (Monln. <lay, year)
086 - 20 - 4847
December 16 2007
Other.
o Inpalient 0 ER' OJlpahenl 0 DOA 5a NurSIng Home 0 ResKJence 001ner. Speoty
9. Was Decedent 01 Hispanic Origin? 5a No 0 Yes
(II yes, specIfy Cuban,
Mexical1, pueno RICan, eIC.)
17c. 0 Yes, Dece<lenILNed .n
17d. Eel No, DecedenlLNed wrtl\in
Actual Limrts 01
Twp
Camp Hi 11
City Boro
19. Mother's Name (Fnt, _, maiden surname)
Kath Acker
21 a. Melt<ld 01 Dtsposil""
QS:!lliMI 0 Removal from SIale
o Olher. $peaty.
223. SIgnature 01 Fu Lie
21 b. Date 01 Dosposition (Monlh, dey, year)
200. 1I1100nant'. Mail.... Addre.. (Street, city I town, stale, zip code)
3607 Chestnut st. Cam Hill,
21c. Place 01 DIsposition (Name 01 cemetery, crematory '" Olhe< place)
21d. Location (Crty Ilown, Slale, lip code)
2Oa. InlO<Tnal1t'. Name (Type I Pnnl)
Katheryn Chapran
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Ilems 2..2fi musl be compIeled by po",,"
wile pronc:ulC" deattl
CAUSE OF DEATH (See Inatructiona .nd ...mpl..a)
.,... 27. Pa., I Ente< tile ~ - disaases,lnflJIies, '" complIcahons - thai clIrectly caused 1/10 dealh. DO NOT enler lemllnal events sucI1as cardiac anesl,
resplralory aneSl, '" venlnculat fibnllation ~ showing ltle etJoIoqy. USl only one cause on eadlline.
~;~~"~)disa~
I rv AN IT ('0 rJ
Due \0 (~ as a consaquence oQ: .
b h L? l-tf-u,J\fc IU
Due 10 (or as a consequence 01)'
9 (wf JV\7 t1s
~ ilsl oonclltlons. d any.
~o ~D~~rv~""cru~ a
(~ '" "'!U"I thai onibaled the
events resu/tIn9 '" dealhl LAST.
Due 10 (or as a consequence of)
n We<e Aulopsy Fin<lIn9s
Avanable Pno< 10 ~tion
01 Cause 01 Dealh?
31. Manner 01 Dealh
~aI 0 HorTllCIde
o Acodeol 0 PeOOng Investi9ation J2d. T II1lO oIlllfury
o SuICIde 0 Couid No< be Delermoned
):la. Was an Aulopsy
POf1ooned?
o Ves ~-
oVes oNo
33a c.rtrhe< (dled< only one I
Certitying physic..n (PhyslC&an coo/tyrng cause 01 clealh _ anolhe< phySICIan has pronounced dealh and compleled Item 23)
To IIw best of my knowledge, death occurred due 10 the cause(s) and manner as slaled... _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Pronouncing and certifying physKian IPhysioan both pronouncing death and certltying 10 cause of death)
To the best 01 my know11d9t. death occurred It the lime, ditt, and place, and due to the CluH(S) and m~ner II staled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
Medic:al Examiner I Coronet'
On the basis 01 elimination and I or inv.sl~Uon, in my opinion, death occurm at the tim., dall, and placl, and due to the cause(s) and manner II stated- 0
DiSpoSition Per mil No
Galeton, PA
Heme
26. Was Case RelOfTed ~ Examiner I Coroner lor a Reason O1t\er II\an CremalJOO or Donation'
DYes Q1fO
Appr04:irnoll8 inlofVat Part iI: Enlcw othen' sirnificani conditlOrl~ conlnbuhno 10 deattl, 28. Did TObaCCO Use ConlnWte 10 Dedl1l?
Onsello Death bul rol resulting II ltle underlying causa grven .n Part lOVes 0 PrOOab/y
o No 0 Uo~'lOWn
29. If Female
o Not pregnant wrttlin pasl teat
o P,"9f\OI1( al time 01 Oealtl
o No< pr"9""nt. Du1 pr"9f\Ol1t WItM 42 :lays
01 death
o No< prBg'WII, bu1 pregnanl 43 cays 10 1 year
betore death
o Unknown II pre<pant wrtntn the past year
3.2c. Place olltlf\JfY: Home, Farm. Street. Fa..:.1Q()
OffiCe Bu.lding, ete (~)
329. LocatIOn of InjUry (Street. city / town, stale)
3JO. Dale Signed (MOOttl. cay yean
\2-(/l{Ol
34. Name and Address 01 Person Who Compleled Cause 01 Dealh (lIem 17) Type I Pnnr
1.A)1l.-Llk'M S. KAUf{rli!trJ (,no
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OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
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Estate of V. June Green
, ; 'Dece~~d
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Earl Richard Etzweiler
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(each) a subscribing witness to
(Print Namels)
the ~ Will 0 Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say( s) that she I he I they was I were present and saw the above Testator I Testatrix sig n the same
and that she I he I they signed the same and that she I he I they signed as a witness at the request of
the Testator I Testatrix in his I her presence and in the presence of each other.
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Earl Richard Etzweiler,
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(Signature)
(Signature)
274 Creek View Drive
(Street Address)
(Street Address)
Millersburg, PA 17061
(City, State, Zip)
(City, State, Zip)
before me thic::
of
day
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me thi" 3 (4- day
of J /) t11.Aa fI ~' 02 cx:;g .
-,10. A 0 JY\ X. -Ptl1~
Notary Public
My Commission Expires:
Executed in Register's Office
Sworn to or affirmed and subscribed
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.)
COMMONWEAL fH OF PENNSYLVANIA
I Not;rial Seal -I
Karen ;,. Faui N(,tary' Public .
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Gity Of Harri:?tIiHk Dauphil1 County I
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Mm"b!'( - '-,t NotAries
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
Form RW-03 Rev, 10-13-2006
Copyright (c) 2006 fonn software only The Lackner Group, Inc
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
('utv\bQ(\O()('L COUNTY, PENNSYLVANIA
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Estate of \ )
(')U\\e
r
(<-) fQ e t)
i~\(l \ t. GrQ Q(I
and
, Deceased
(each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were well-
acquainted with
with the handwriting and signature of the decedent, and that the signature of
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
is in his/her own proper handwriting.
and ami are familiar
1It;i~B
(Sfgna Ire) -
(Signature)
/ 'i 3 ,BvJJ GIl ic w (Z\)
(Street Address)
fJJcU\ rA I/OlS-
(Ci~v, State. Zip)
(Street Address)
(Ciry, State. Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this CS +1\. day
ad Q i1U LA \'\j flU,) '6
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Form R W-D4 rev, 10,13.06
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LAST WILL AND TESTAMENT OF V. JUNE GREEN
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I, V. JUNE GREEN, a resident of Hampton Township,
Cumberland County, Pennsylvania, being of sound and disposing
mind, memory and understanding, do hereby make, publish and
declare this instrument to be my Last Will and Test~~ent,
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hereby revoking any and all wills by me at any time here,tofQre
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made.
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ITEM I: I direct my hereinafter named Executor ~ pay
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all my just debts, funeral expenses, administration expense& and
inheritance, estate, succession or excise taxes, which I may owe
or may become due on account of my death, as soon as may be
convenient after my decease.
ITEM II: I give, devise and bequeath all the rest,
residue and remainder of my estate, be it real, personal or mixed,
of whatever nature and wheresoever situate which I may own or have
the right to dispose of at the time of my deceased to be divided
equally among my three hereinafter named children:
1. Linda J. Bunn, of Orange Park, Florida.
2. Thomas H. Green, of Halifax R. D. #3, Pennsylvania.
3. Katheryn J. Green, of Market Street, Camp Hill,
Pennsylvania.
A. If any of my aforesaid children should predecease
me or die simultaneously with me, then I give, divise and bequeath
said share to the issue of such child, per stirpes.
1. If any of such children are minors at the
time of my decease, then I nominate, constitute and appoint the
surviving parent of said child Guardian of the estate of such
child until attaining majority, without being required to file
bond for the performance of his duties, with discretion to invest
such share or shares in any manner he deems appropriate and with
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(SEAL)
V.- JUNE GREEN
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the right to use income and such portion of the principal
as he may deem appropriate for the support, maintenance,
health, education and welfare of such minor grandchild
prior to attaining majority.
ITEM III: I hereby nominate, constitute and appoint
my son, Thomas H. Green, Executor of this my Last Will and
Testament, with full power in his discretion to do any and all
things necessary for the complete administration of my estate,
with full power to sell at public or private sale and without
order of court any real or personal property belonging to my
estate, and to compound, compromise or otherwise settle or adjust
any and all claims, charges, debts and demands whatsoever against
or in favor of my estate as fully as I could if living.
A. If my said son should predecease me or die simul-
taneously with me, or be unable or unavilable to serve as
Executor, then I nominate, constitute and appoint my daughter,
Linda J. Bunn, Executrix, with the same power and authority
as given my said sun.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this my Las t Will and Tes tamen t this ',.(:/ day of
March A.D., 1979.
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~ v.:' Ju~e Green
(SEAL)
Signed, sealed, published and
declared by the above-named
v. June Green, as and for her
Last Will and Testament, in the
presence of us, who at her request,
in her presence and in the
presence of each other, we
believing her to be of sound and
disposing mind, memory and under-
standing, have hereunto subscribed
our names as witnesses this ,','day
o~ ~arch, f-.D." 1979.
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ETZWEILER AND ASSOCIATES
A TTORNEYS-A T -LAW
105 NORTH FRONT STREET
HARRISBURG, PA 17101-1436
Office hours: Mon.-Fri. 8:00 a.m.-5:00 p.m.
(717) 234-5600
Earl Richard Etzweiler, Esquire
Christian S. Daghir, Esquire
225 Market Street
Millersburg, PA 17061
(717) 692-2519
Office hours: Tues. and Fri. 4:00 p.m.-8:00 p.m.
Sat. 10:00 a.m.-12:00 noon
HALIFAX LINE
(717) 896-3737
Fax Line: (717) 234-5610
Email Address:retzweiler(a.)comcast.net
2 West Main Street
Elizabethville, P A 17023
(717) 362-8395
Office hours: Thurs. 7:00 p.m.-9:00 p.m.
January 3, 2008
Register of Wills Office
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013
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Re: Estate of V. June Green
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Dear Madam:
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Please fmd enclosed the original Petition for Probate and Grant of Letters that was
signed by the Executor in the presence of the Register of Wills of Dauphin County together
with the original Will of V. June Green, a Death Certificate, Oath signed by myself as one of
the witnesses on the Will, the Estate Information Sheet and a check in the amount of $40.00
to probate the Estate ofV. June Green. Edna G. Noble, who is the other subscribing witness
on the Will, is deceased, and we understand that the Mark T. Green who is the grandson of the
deceased, V. June Green, will be coming to your office to take the Oath of the Non- /-'
Subscribing Witness after you receive these documents. )
J
Please advise our office if you need anything further in this matter.
Sincerely yours,
r;!
Earl Richard Etzweiler
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G:\EST A TE-DIR\EST A TE\Green- V June\letters. wpd
ETZWEILER AND ASSOCIATES
ATTORNEYS-AT-LA W
1 05 NORTH FRONT STREET
HARRISBURG, PA 17101-1436
Office hours: Mon.-Fri. 8:00 a.m.-5:00 p.m.
(717) 234-5600
Earl Richard Etzweiler, Esquire
Christian S. Daghir, Esquire
HALIFAX LINE
(717) 896-3737
Fax Line: (717) 234-5610
Email Address:retzweiler(lV.comcast.net
2 West Main Street
Elizabethville, P A 17023
(717) 362-8395
Office hours: Thurs. 7:00 p.m.-9:00 p.m.
225 Market Street
Millersburg, P A 17061
(717) 692-2519
Office hours: Tues. and Fri. 4:00 p.m.-8:00 p.m.
Sat. 10:00 a.m.-12:00 noon
January 7, 2008
Register of Wills Office
Cumberland County Courthouse
1 Courthouse Square
Carlisle, P A 1 70 13
Re: Estate of V. June Green
Dear Wanda:
In accordance with the telephone conversation my secretary, Karen Paul, had with
Wanda this date, please find enclosed a check in the amount of$14.00 to file the Will for the
Estate of V. June Green. We have left a message for Mark Green to come into your office
to take the oath of a non-subscribing witness.
Sincerely yours,
Earl Richard Etzweiler
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