HomeMy WebLinkAbout01-30-08
Register of Wills ofmCu_'!II:>~rlan_~______ County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of Neldi F. Fegley No. 21-08- III
.
also known as
, Deceased
Social Security No. 190-18-3124
Kathleen A. Boyd and Denise A. Dechesne
Petitioner(s), who is/are 18 years of age or older, appl(ies) for:
(COMPLETE 'A' or 'B' BELOW)
00 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the
the Decedent, dated 12/01/1978 and codicils dated
Executrices
named in the last Will of
o
State relevant circumstances, e.g., renunciation, death of executor, etc. C:.; 0
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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;~~nts
offered for probate; was not the victim of a killing and was never adjudicated incompetent: .. ~ g
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(c.ta; d.b.n.c.ta; pedente lite; durante absentia; durante minoritate,::-! '
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B. Grant of Letters of Administration
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Relationship
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:
Name
Residence
(CQMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her family
or principal residence at 2100 Bent Creek Blvd., Apt. 119, Mechanicsburg, Silver Spring Twp.
. (list street, number, and municipality)
Decedent, then 85 years of age, died 01/17/2008 at Holy Spirit Hospital, Camp Hill, PA
(Location)
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
$
$
$
$
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 iri the appropriate form to the undersigned:
Signature
Typed or printed name and residence
Kathleen A. Boyd 5012 Erbs Bridge Road
Mechanicsburg, PA 17055
Denise A. Dechesne 7 North Fileys Road
DiIIsburg, PA 17019
Prepared by the Pennsylvania Bar Association
Copyright (c) 2004 fonn software only The Lackner Group. Inc
25,000.00
Fonn RW-1 (1991)
Oath of Personal Representative
Commonwealth of Pennsylvania
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 of Petitioner(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 and subscribed i= 1~z;LLti ~ Q~/\ Q
fit Kathleen A. Boyd
before me thls3() day of ~ ~ - A l\ - _IJ~ A
~ - . /1 jf? 9"\ ,f..J.k! (Y{Y.r0L-
.. . , jm~ Deni5e-A~echesne--
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" Fo e Register
No.
21-08- 11/
Estate of
. Neldi F. Fegley
, Deceased
also known as
Social Security No: 190-18-3124
Date of Death:
01/17/2008
AND NOW, ~ M~~ LLfJ.J.lj ,c-2.!J()f? , in consideration
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters IRI Testamentary 0 of Administration
(c.I.a.; d.b.n.c.l.a.; pendente lite; durante absentia; durante minoritate)
are hereby granted to Kathleen A. Boyd and Denise A. Dechesne, Executrices
in the above estate and that the instrument(s) dated
12/1/1978
Short Certificate(s)...................... $
described in the Petition be admitted to probate and filled of record as the last Will of Decedent.
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AttOC;.(~~i1eY &J ~
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1.0. . 06298
I ;0. GO
I & I 00
FEES
Letters.......................................... $
Renunciation.............. ... .............. $
Affidavits (
)...........................$
Extra Pages ( )......................$
Wiley, Lenox, Colgan, & Marzzacco, P.C.
Address: 130 W. Church St.
CodiciL....... ............... ...... ........ .... $
Av-toma-h I'VI
JCP Fee.... ...... ...... .... ...... .............$
5.00
to.C;{)
Dillsburg, PA 17019
Telephone2 717-432-9666
Inventory... .......... ...... .......... ...... ... $
E-Mail:
Other...I;\J.iJL.......................$ -' 5 .00
00
TOTAL............................$ ~ O~ .
Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc.
Form RW-1(1991)
"yln.".~0~ REV (01/"7,
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
p
14125123
Certification Number
)
H105-143 AEV 11/2006
TYPE I PAINT IN
PERMANENT
BlACK INK
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instrucllons and examples on reverse)
STATE FilE NUMBER
85 v"
8b. Coonty 01 Death
I
Milton, PA
1 Name 01 Decedenl ~Firsl, middle, last suffix)
Neldi F.
5 Age tlast Bil'lhda~)
Aug. 6, 1922
Cumber land
8d. Facility Name (H not instituIioo, give stre8l ancl,nuntler)
HOL1j Sfl/!.-lJ HcJ5PtTA-L
11.Oecidenl'sUsualQcc ion KindotwMdoneli.lrirl mostolwotkll life 00001 state relired
Ftx:rl ~ Dlla::t.. f~~'rce
- 16. Decedenfs MaWIg Addre$ (Str&til. city llown, stale, ~ code)
2100 Bent Creek Blvd. Apt.
Mechanicsburg, PA 17050
18 Fab3t's Name (h"St, middle, tasI, suffix)
James Harvey Fetzer
12. Was Decedent ever in V\e
u.s. Armed Forces?
OVes QaNo
_'s
Actual Residence l7a. Slate
17b County
13 _'s E_,ion (SpedIy only h9>e~ grade comple1ed)
Elemenlary I Sec:oOOe.y (0-12) College (1-4 or 5+)
12
Pennsylvania
Cumberland
119
19. Moller's Name (FnI:. midcIe, maiden surname)
Anna Kenmer
2(11. Inklnnant's MaiIng Addr8SS (Slreet, city flown, 5&ate, zip code)
5012 Erbs Bridge Road, Mechanicsburg, PA 17050
2Oa. tnlormanl's Name (Type I Prinll
Kathleen A.
21a MethodolOisposibon
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o Ae""""'e DOlfi" . Soe<;~
IKJ No 0 Yes 10. Race: American 1nQian, Black, While, elc
(Soe<"l1
White
14. UariIal Status: Married, Ne\let Mamed.
W_'''''''''''''(~
Widowed
1>d0ec~
liYeina
Township?
17cOO Yes._"'od~ Silver Spring
17d 0 No. _"'od""",
ActuaIliniIsof
Tw.
Cily/Boro
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22c. Name and Addrt6S of FaciIily
Malpezzi Funeral Hare
21c. Aace 01 Di5p05ition (Name of ~ery. crematory or olNH" place)
Hanoony Cemetery
21d. location (Qy (klwn, stale, Lip c:odll)
Milton, PA
ay
PA 17055
~ihefna23a.COf'tJwheficeftllyiog
physician ISnoI available al tlm&ofdealh to
(.1lrllfv causa 01 death
lIems 24-26 must be campteled by persoo
~ who pronounces death
24. Tune 01 Oealtl
070 U
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CAUSE OF DEATH (See instructions and example.)
1100127. Pdl11. Enler the!Obal!1\lti'lilllli - diseases, inlUIleS, orc:ompticallOlls that directly caused Ihe dealh. DO NOT enleflerminal events sod1 as cardiac arrest,
respilalory allest, or ventric.ularftJrilalion wiItioot shoWlOg lhe etiology lis! orVi 0Il8 cause 00 each bos.
Approximate interval:
Doset 10 Death
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ALv\t. ~fl.l l=\dVL-\.
Due to (or as A consequence 01)
ILU(>ll......., ~C\k.." I (l~
Due to (or as a consequence 01)/
Sequanllalyksl~, irany,
IeadinQtot,ecause~tedoolinea
Enter the UNDERLYING CAUSE
(dlseaseorlll~1hiIIiniliatedlhe
events reSllll1nQ Wl deiilh) UST.
Due to (or as a consequence of)
JOa Was an Aulopsy
P..mlfn.ed?
DYes ~
JOb Were Autopsy Findings
,"w<1ll..blI> PriOf 10 Completion
01 C..\Jse1I1Dealh?/'
DYes E:J""No
31. MarvlelcrfDe3lh
/"
~al(jldl []Hollliclde
[J A(;cu1o;nl 0 P<.lllOlng Invasl.IY<llion
o SUlCld~ 0 Could Nol bt D€l~fmilled
32d. TlIll801lnjury
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33a. Ceruller It:heck ool~ one)
~:=:lrJ:":~=n~:y;:~;r: :'de~I~~~:U~~~l~=tl: ~:~k::~ ~~I_aJ~ ~~I~~~~ ~~n ~~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 ...
~;':.OU~:':,.: ~::~:~~a~~:!r~~~l :~~~::r~~e;:C~~~~:~I~iot~=~:~~ manOBf alllated.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
~:: ~:~":.'":~;= and 101 1n....slilJlUon, in my opinion, death occuffea illhe time, dal., and pWc:e. ind due 10 the cauae{s' and manner as llalid_ 0
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33c. license Numbof
23b. license NU1lber
23c. Dale Signed (Month, day, year)
26. Was Case Referred 10 Medical Examinef I Coroner lor a Reason OIher IhaIl Cremation Of 00rraIi0n?
OVes ONo
PartN: Enlefolhef silnficant<XlfldiAionscantrbulinolodealh,
but not resulting in the LI'lderIyngcause{jvenin Partl
28. OM:! Tobacco Use ContrtluIe to DeaIt1?
o Yes O'~
ONo~
29.nF~
c:::r- Nol pregnant wlhVl pasl year
o "'''''''''''~''''''dealh
o ~ pregnant but preg1af\1 WIIhin 42 da~s
"'dee~
o No! pregnant. bul pregnanl 43 days to 1 year
belore death
o lklkoown it pregnant wlCtwllhe past year
32c. Ptace oIll1fUtY: Home, Farm, Slreet F~
0IIt<:ti Buldlng. tile (SpecIfy}
32Q.locatiooollntury(S1reel,cjlyltowrl,slale)
33dO"'/r~(m"'?'"''
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"Name~~l':'~<.)t-Ar~12~"''r~(~j71 T"",P,.'
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C.'\MI' {.ltc' /14- (7<1(
Dii:ipo:>ltJon Ptlln,il No
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LAST WILL AND TESTAMENT OF
NELDI F. FEGLEY
I, NELDI F. FEGLEY, residing in Hampden Township,
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Cumberland County, Pennsylvania, hereby declare this to ~my ~
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Last will and Testament and revoke all wills which I hav&;:LQ :z
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I order and direct that all of my JUEt delp;bs,--
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funeral and administration expenses be paid as soon as convenie~
previously made.
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ITEM I.
after my death.
ITEM II.
I give, devise and bequeath all of my estate,
whether real, personal or mixed, and wheresoever same may be
situated to my husband, WILLIAM A. FEGLEY, JR.
ITE~1 III.
I appoint my husband, WILLIAM A. FEGLEY, JR.,
as Executor of this my Last will and Testament, and I direct that
no bond or other security for the faithful performance of his
duties as Executor shall be demanded or required of him.
I direct
that the services of HARRY G. BANZHOFF, Attorney at Law, with offices
in the City of Harrisburg, Dauphin County, Pennsylvania, shall be
used as counsel in the settling of the affairs of my estate.
ITEM IV.
In the event that my husband, WILLIAM A. FEGLEY,
JR., should predecease me, or we should die in a common disaster, I
then give, devise and bequeath all of my estate, whether real,
personal or mixed, and wheresoever same may be situated in equal
shares to my two daughters, KATHLEEN F. BOYD and DENISE F. DECHESNE,
or their issue per stirpes.
ITEM V.
In the event that this portion of my will shall
become effective, I appoint my daughters, KATHLEEN F. BOYD and
DENISE F. DECHESNE, Co-Executrix and direct that no bond or other
security for the faithful performance of their duties as Co-Executrix
shall be demanded or required of them. I direct that the services
of HARRY G. BANZHOFF, Attorney at Law, with offices in the City of
Harrisburg, Dauphin County, Pennsylvania, shall be used as counsel
DATE
XI /J/J';/~ ~
,
( SEAL)
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in the settling of the affairs of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand to this
my Last Will and Testament, consisting of two (2) typewritten pages,
this
I
day of f)eCen..~, A.D. 1978.
WITNESS:
7f~'fY~
(SEAL)
~r~
.. DAVID J. LEACH, Notary Public
E . es g,tnher 2. 1_
lAy Commlsslun ,clllr
CIIIIIP Hill,. PA ~ Caunty
SIGNED, SEALED, PUBLISHED and DECLARED, by the said
Testatrix, NELDI F. FEGLEY, to be her Last Will and Testament,
in our presence and in the presence of each other, who, at her
request and in her presence, have hereunto subscribed our hands
and seals as witnesses, we believing her to be of sound and disposing
mind, memory and understanding.
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REGISTER OF WILLS OF ~lUv\bex-lax\d.... COUNTY
OATH OF NON-SUBSCRIBING WITNESS
that -H'\e.~
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to the beSt of ~~ \ yo knowledge and belief. _
Sworn to or affirmed and subscribed before ~q-+4 10, l. J(J 4 '
~tI1 day of K. \<<>\~.&'\ 7Name) .
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, (.L)V)'U .' ~ . \ 050
Regisrer ~. ~.....-/
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(lVame/
N.'\ S' \10\9
l.(~{h\eeK\ Pr. &'td... Met be.n:\~A'~es~
, (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
+h~'i ~ familiar with the signature of lVe....tcL." F. ~ te.y
eeEl:ieH-.
will presented herewith and
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believes the signature on the will is in the handwriting of
testat r, ~
of teftC
uf ..he
;:'UD;)\..libiul; wiL.u~~n....s +8) the
(Address)
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