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Home My WebLink About01-29-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of also known as Tnnp 'R 1.~l1vpr File Number 01 \ - 00 - l O~ , Deceased Social Security Number 195-16-3026 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) ~ A. Probate and Grant of Letters Testamenta'I~aver that Petitioner(s) is / are the sU'I'vivin~ Executors last Will of the Decedent dated pecember 7, and codicil(s) dated None named in the It is averred that Betty J. Lauver. wife of Decedent, died on July 9, 1997 (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 ofthe instrurnent(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: None o B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.l1.c.t.a.; pendente lite: durante absentia; durante(4noritate) ~ ~.- .'';;;;;J Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spOli~ ~any) and~~irs: Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) '~J. C) ==:.: R"id,n1!!m ~ 'i:;: Name Relationship (--~') ! ; (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, P~nnsylvania wjth his / her la,st,princippl residr:nce "'t Messiah Village, 100 ~t. Allen Dr1ve, M.echap1csburg ~Upper Al..len Townsn1pJ (List street address, town/city, township, county, state, zip code) Decedent, then 85 yearSOfage,diedon~~~"..~~'" 5, 2008 at Holy Spirit Hospital, East P~~nsbor0 Township, Cumberland County, Pennsylvan1a .c:- .s:-' 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 $100,000.00 $ $ $ None situated as follows: N / A 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: Si nature Ty ed or John R. Lauver, Jr. 70 Black Walnut Prive, Lois Lc:uv~r Zimmerman riuted name and residence Valley Green Heights, Etters, PA 17319 PA 17112 Form R1'V-02 rev. 10.13.06 Page 1 of2 Oath of Personal Representative COMMONWEAL TH 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 knowled~~ and belief ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administ~r the estate' according to law. \ "....... ,~ S'.~orn to or affirmed. and subscribed before me the " J. q~ _ day of Signature of Personal Re Lois Lauver Z~mmerman l-"'..) ~-:~,.l , ; ~, .> ~~~~i ., c) ~~ ~= F~.~~ ~ Signature of Personal Representative .!.) -.\7"' N '0 File Number:~ - 0 ~ ~ \ 0 ;A - " . .. ') (-"') -0 Estate of JOHN R. LAUVER '-- , Decejt'^::\ January 5, 2008 r c- Social Security Number: 195-16-3026 Date of Death: AND NOW, , 2008 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to John R. Lauver, Jr., and Lo~s Lauver Zimmerman in the above estate and that the instrument(s) dated December 7, 1984 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............... $ c9tgO .QCJ Short Certificate(s) . . . . . . .. $A.Y . 00 Renunciation(s) .......... $ W\ \) ... $Jt) .00 fP ... $10 .00 \\CJ rll ClA-; (f{\ ... $ . 8 ' 0 () ... $ .. . $ . .. $ .. . $ '" $ . .. $ TOTAL .............. ~ Attorney Signature: Attorney Name: Richard C. Sne1baker Supreme Court J.D. No.: 1106355 Address: 44 West Main Street 't-fpr"':mi C'sburg ~ PA 17055 Telephone: (717) 697....8528 Form RW-02 rev. 10.13.06 Page 2 of2 05.805 REV 101/071 -J- 1 - c 8' -! C ^ LOCAL REGISTRAR'S CERTIFICATION OF DEATHI WARNING: It is illegal to duplicate this copy by photostat or photograph. P 13992064 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 filingJAN 1 2 1008 ~frl~ l / Local Registrar Date Issued ee for this certificate, $6.00 Certification Number ITEM# I~ /16 cfi7C. SHOULD READ AS FOLLOVlS: 1{;,- /fJO m r /flit";]5 R I V ~ tYJ~CH/}NI( .s8ul!.t- If.}- i7tJ S-~ 78 -l.'Vty1e,E"~U+Nb I?e -lJffDl A-lt..cN () c;o .~:D ;:9c'" -j ~~~.~:;. r:'--=:: :-;:"' rTl ..:.-.<- --.-.", 1" c:;::.;> ~ co (- ~ -- fr2~ (),vrv N \.D .~ -0 ::i: " .r::- &* REV 1112006 , PRINT IN oWIENT CKINK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FilE NUMBER 1. Name 01 0ec8dent (Arst. middle. last. suffix) John R. 5. Aqe (Last Bi~hday) 85 Vrs Bb. County of Death Road =~~Idence 17a. Slate P A 17b.County Dauphin 17c. ~ Ves. Decedent Lived in 17d. D No. Decedent Uved within MlualUmitsol Twp. City I Boro 18. Father's Name (First. midde. last. suffix) Jacob G. Lauver 19. Mother's Name (First, middle, meiden SIlmeme) Betty J. Bowman 2Ob. Infonnanfs MaIling AddIllSS (Street, city I town. stat.,!iI> code) 7345 Fishing CreeK Valley Rd., Harrisburg, PA 171 2 208. Inlormanfs Name (Type I Print) Lois A. Zimmerman . ~ 21b. Dale 01 Dispos~ion (Month. day, year) 210. Place of Disposition (Name of cemetery. CI8Illllt"'Y 01 other piece) Stone Church Cemetery 21d. Location ICily 110Wl\. stale. zill oode) Enola, PA ~ 22c. Name snd AddIllSS 0' Facility Neumyer Funeral Home Inc., 1334 N. 2nd St., Harrisburg, A 23b. License Number 230. Data Signed (Month. day. year) hem& 24-26 must be completed by person whO prol1OlIlC8O death. 26. War. Case Refarred to MedioeI Examiner I Coroner for a Reason Other than Cremation or Donation? D Ves .l2f No CAUSE OF DEATH (See I na an axemp"') hem 27. Part I: Enter the ~ - diseases. injuries. or oompIications -Ihal dreclty caused the death. DO NOT enter terminal ovents sucl1 as cardiac arrest. resplrat"'Y arrest. or ventriculor fibnlatlon without showing the etiology. List only OIlS cause lHl each line. ~rt-( c.. S kcs d:.. Due to (or ar. tf'nseque~ 01): ".- 'L b. !6:!: ~l i""~ ~ ~ 'Ql:;c I ,^-"",-e Due to (01 as a conseqJ.nce o~: & Approximate inlelval: Pa~ II: Enter other lIimific&n1 r.nndiIlono oontributlna to death, 28. Did Tobaooo Use Contribute to Death? Onset to Death but not resulting in the undat1ying cause given in Pa~ i. D Ves 0 Probably D No Q-tnIR'nOWl\ :lOa. Was an Autopsy Perfonned? d. 3Ob. Were Au10psy Findngs 31. Mann.? Death :: ~~~th~etkx1 ~tur& 0 Homickle o Ves ~ 0 Accident 0 Ponding Investigation D Suicide 0 Could No! be Determined 29. h Female: o No! pregnant within past year o Pregnant at time of death o Not pregnant, but pregnant within 42 days 01 death o Not pregnant. but pregnant 43 days to 1 year betore death D Unknown II pregnsnt within the past year 320. Place 01 Injury: Homa, Farm, StmeI, Factory. Office Building. etc. (Specify) ='~=)~ ~ list conditions. II any. =UN~':'I:rus~ a (disease 01 !r)jury that initiated the events resUti'Ig 11 death) LAST. Due to (01 as a consequence o~: DVes ~ 32d. lime 01 Injury 32g. location 01 Injury (Street, city I town. state) M. 330. Certifier (check lHlly OIlS) . CertIfyIng physlclln (Physician certifying cause 01 death when aoother physician has pronounced death and completed Item 23) To the beoI 01 my Imowtedge, delIIh occurred due to the ceu88(a) and manner .. al8led.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - - - - - - 0 Pronounolng and certifying phyllclon (PhysIcian bolh pronouncing death and certifying to couse 01 death) To the best of my ImowIedge, death occurred at the time, dole, and place, and due to the 08Uee(a) Ind Il\IllIner aa alated.. _ - - - - - - - - - - - - - - - - . IIIdIcIl Exllmlner I Coroner On the ...... of examlnollon ond I or Investlgollon, In my opinion, daoth occurred at the time, dote, and pIaoe, and due to the cou88(a) and manner aa alated_ 0 35. Registra~s Signa ~ I~I / 1011 /1/ Disposition Permh No. o 09. ~~<6~tO LAST WILL AND 'TESTAMENT I, JOHN R. LAUVER, of the Township of Hampden, County of Cumberland and State of Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be ny Last Will and Testament, hereby revoking and making void all former wills, codicils and other testamentary dispositions by me at any time heretofore made. 1. " I direct my executors, hereinafter named, to pay as soon as practicable after my decease all my just debts and the expenses of my last illness and burial. 2. I give, devise and bequeath all of my estate - real, personal and mixed, unto my wife, Betty J. Lauver, absolutely. 3. Should my said wife predecease me, then and in that event, I give, devise and bequeath all of my said estate unto my children, John R. Lauver, Jr., and Lois Lauver, equally, share and share alike. 4. I nominate, constitute and appoint my said wife, Betty J. Lauver, and my two children, John R. Lauver, Jr., and Lois Lauver, and the surviors or survivor of them, executors of this my Last Will. 5. I direct that my personal representatives shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, JOHN R. LAUVER, the Testator, have hereunto set my hand and seal to this my Last Will and Testament on 7~ day of De Ce rn he" f\...- , 1984. this ....:r -::r .....-r- f-- CL C cA , .I i I I / ,.---/. '..' f., // \ ;:;;:: /[ /tA.1~~1SEAL) " .';L- ~~l C'\ C'-J ( o' W ......1 <_ (_) ~-j-.~," i c: c.J ;!:: J = f::~-. ~ . ' t ~ ~ . I 1 Signed, sealed, published and declared by the within named John R. Lauver as_ and for his Last Will and Testament in the presence of us, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as witnesses thereto. J7Z~i,t ~:L4'/ ,/ /' ~, ~. ;g'<-'l;t OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA ~(-O~ - 0 (OJ Estate of John R. Lauver John R. Lauver, Jr., Lois Lauver Zimmerman and , Deceased (each) being duly qualified according to law, depose(s) and say(s) that .iu I they XMa.S / were well- acquainted with John R. Lauver, deceased (their father) andxamlare familiar with the handwriting and signature of the decedent, and that the signature of John R. Lauver to the foregoing instrument purporting to be the Last Will and Testament/Codicil of John R. Lauver is in his~ own proper handwriting. ~ rl.~ /1===:- (Signature) John R. Lauver, Jr. 70 Black Walnut Drive (Street Address) Valley Green Heights Etters. PA 17319 (City, State, Zip) ,t,~~, - (Signature) 101S Lauver Zimmerman 7345 Fishing Creek Valley Road (Street Address) Harrisburg, PA 17112 (City, State. Zip) Executed in Register.'s Office , . ~ Sworn to {)~ affirmed and subscribed beft me thiS~.' ..' , day oG nJJC{ (.V. .~_,,;I)o r . ~ , ~C) ,.. '~':':: 1-- ~~;. co. ""' '": _i-_J :~j;' :.,.;..., '~) C) ::.:J T1 ~~ Form RW-04 rev. 10.13.06 r-,) ,:-"...::::> C-' .:::0 (- ';:s.:P' :-~ N ....0 -0 ~ .c- J:"" ., OATH OF SUBSCRIBING WITNESS(ES) ('") ;:::; 0 c- :::D _::~~~~ ;=\.1~ + (j~,~; ".,,>< r........' (.:-~ g c_. ~:: N \.D REGISTER OF WILLS CUNBERLAND COUNTY, PENNSYLVANIA ~ ,(.3(~ "'""0 ~ =::5 --I r .... Jl- Od ~ O/6'~ Estate of John R. Lauver , Deceased William L. Sunday ,~ueh) a subscribing witness to (Print Namels) the [JWill D Codicil(s) presented herewith, (~being duly qualified according to law, depose(s) and say(s) that ~ I he IXk(t)t was / were present and saw the above Testator / ~~ sign the same and that shed he /1tk~x signed the same and that ~ I he / ~ signed as a witness at the request of the Testator / 1e~nlx in ~ / his presence and in the presence of each other. (Signature) .~~~ (Signalure) W ill lam L. . ullday (Street Address) 39 West Main Street (Street Address) (City, State, Zip) Mechanicsburg, PA 17055 (City, State, Zip) before me this day Executed out of Register's Office Sworn to or affirmed and ~scribed before me this d 3 day of January ~008 ~~ 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.) Executed in Register's Office Sworn to or affirmed and subscribed of Deputy for Register of Wills NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy ofinstr~~Ai~"'eNNSYLVANIA NOtarial Seal Dawn S. Sunday, Notary Public Mechanicsburg Boro, Cumberland County My Commission Expires Oct. 1, 2008 Member. Pennsylvania Association Of Notaries Form R W-03 rev. 10.13.06