HomeMy WebLinkAbout02-08-08
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of JACOB M. DYARMAN No. [) I-OF: -Ol'-i{).
also known as To:
Register of Wills for the
, Deceased. County of CUMBERLAND in the
Social Security No. 192304311 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the execut or named
in the last will of the above decedent, dated JANUARY 25. 2008
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with
h is last family or principal residence at 33 PARKER ROAD. NEWVILLE. PA 17241
(list street, number and municipality)
Decedent, then 68 years of age, died 2/3/2008
at 33 PARKER ROAD. NEWVILLE. PA 17241
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(Ifnot domiciled in Pa.) Personal property in Pennsylvania
(Ifnot domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$
$
$
$
4.500.00
0.00
0.00
0.00
WHEREFORE, petitioner(s) respectfully request(s) the probate ofthe last will and codicil(s)
presented herewith and the grant of letters testamentary
thereon. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
.../Ut&uam C /)'1.F,'''NnltlAf'.,
WILLIAM C. DY RMAN
4 FAIRFIELD STREET APT 2
NEWVILLE PA 17241
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYLVANIA} ss
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affmn(s) that the statements in the foregoing petition are
true and correct to the best of the know ledge and belief of petitioner( s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
Sworn to or, affmn~ subscribed { .f ~.viQj.rUl"\ e, b'~"'\.l"'W;\""
before me this day of
{!RUARY ~
('<::;\\1. "'\\ ~ \:&~..:tt ~-i;.\
Register lJ
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COUNTY OF
Oath of Personal Representative
ss
The Petitioner(s) above-named swear(s) or a
administer the estate according to law.
Sworn to or affirmed and subscribed
before me the
Signature of Personal Representative
For the Register
Sigllalllre of Personal Representative
File Number:
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Estate o~LA(df)
ell _.O~ -O\Ltd.-
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, Decease.d,
Social Security Number:
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AND NOW,
having been presented before me, IT IS DECREED that Letters
are hereby granted to
, in consideration of the foregoing Petitiffil, s~tisfaC!Qry proof
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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 (a d Codicil(s)) of Decedent.
TOTAL
$ ~~~ .W
$ III .DO
$
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$ 10,00
$ 5.00
$
$
$
$
$
$
$rCc.60
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b 4- > f;-tf S"r
t:/al, )(~ t?.d-- 170 IS
FEES
Letters ...............
Short Certificate(s) . .4:--. . . .
Renunciation(s) ..........
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I\v-.-\-O IY\~T ION
Attomey Signature:
Attomey Name:
Supreme Court LD. No.:
Address:
Telephone:
'/11- 24)'- c:'C7~-:J
Forlll RWIJ2 rev. 11J.13.06
Page 2 of2
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
hoe lor this certificate, $6.00
Certification Number
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,
P 14125347
t\. ~~~~EFI 5 /2008
Local Registrar Date Issued
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Hl05-143 REV l1f2006
TYPE I PRINT IN
PERMANENT
BlACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
33 Parker Road
STATE FILE NUMBER
1. Name 01 Decedent (FIf5l., middle, last, suffix)
Jacob M. Dyarman
5. Age {Lasl Birlhday)
6. Dale 01 Birth (Month, day,
4. Date 01 Death (Month, day, year)
February 3, 2008
I .
Bb. County 01 Death
Cumberland
ad. FacIity Name (II not institution, give street and !lumber)
68
v..
June 3, 1939
Doubling Gap
most 01 life. Do not state relired
Kind 01 Busi1ess f Industry
Building Silo General Casting
. 16. --'S:f'~~J~~~~'dn, state, z~ codel
Newville PA 17241
12. Was Decedent ever In Ihe
U.S, Armed Forces?
Dv" l[}No
Oecedenrs
Actual Residence 178. Stale
17b.Counly
13. Decedenl's Education (Specify only highest grade completed)
Elementary I Secondary (0-12) College (1-4 or 5+)
6
14. Marital SIalus: Married, Never Married,
Widowed, Divorced (Specifyl
Widowed
PA
Cumberland
Did Decedent
Uve in a
Township?
17c. []eves, Decedent Lived in
17d. 0 No, Dececllr1l Uved within
Actual Umils 01
w
ppnn~hnrn
Twp.
18. Father's Name (FIrst, mkkIe,last. suffix)
John Dyarman
Ci~IBoro
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19. Mother's Name (First, mk:IcIe, maiden sumame)
Minnie Sheaffer
2(tJ. Informant's Maling Address (Slreet, city ftown, slBte, zip cOOe)
4 Fairfield St A t 2 Newville PA 17241
21c. Place of OIsposIIion (Name of cemetery, cremaloly or other place) 21d. location (City I town, stale, ~ code)
Hoffman-Roth Fune al Home & Carlisle PA
& Crematory
Items 24-26 musl:be completed by person
whopronouncesdealh.
23a. To the best of my knowledge, death occurred at the lime, dale and place slated. (Signature and IiIle)
t1 ~~~,e.J #.sJOcJ
Ih 25. Dale Pronounced Dead (Month, day, year)
~/50 .:l/i 108
23c. Date Signed (Month, day, year)
"" I., Ida
CAUSE OF DEATH (See Instructions and eXllmples)
llem27. Part I: Enletlhe~ dlseases,i~,Of~Iions-lhatciredycausedthedeath.OONOTenterlerminal8Yentssuchascardiacarresl.
resplratoryarresl, llfY9fllrictAatfibrillatlonwithol.fshowlngtheetiology. UsI only one cause 00 ead111ne.
::~~=I~ /lVht.,h,/-;c ?,,&U-OCcP<.((1i",,",t'( e><-y4,,,}',,,
Approximalemerval:
Onsel to Oealh
28. Did Tobacco Use Conlrb.rte to Death?
DVos D~
o No j2r Unknown
29." Female:
o Not p_wIlhInpssty."
o PregnanlatliTleoldealh
o Notp<egnent,but""",,,_,,,,.,.
01 death
DNotPregnant,but~n143dayslolyear
beloredeath
o Unknown if pregnanl wilNn!tle past year
32c. Place 01 Injury: Home, Farm, Street, Factory,
OfIke"""",,,etc,(_1
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Due to (Of as a consequef'lCEl of):
=t~=~~a
Enter the UNDERLYING CAUSE
~T~~":a~~
b,
Due 10 (or as a consequence of):
Due to (or as a consequence of):
d.
o Vos ,Jd1<'
Dvos ON'
31. Manner of Death
~IUral DHomicide
0"""""" Dp_gl_'gaIOO
DSuicide DCouk:lNotbeOel~
32d. Tlme 01 Injury
32g.localionoflnjuty(Streel,Cflyflown,stale)
3Qa.WasanAutopsy
Pert"'""'"
3ClI. Were Autopsy FIndngs
Available Prior to Completion
of Cause of Death?
32f. If Transportation lrlury (SpecIfy)
o Driver I Operalor Dp",,,,,,,, DPedosbian
01""._,
331. Certffiet (chectl.onIyone) 33b. Signatu
;:=:.::::=: ~W)1~C:: :e~~~ w:~no:~~ ~ ~~_ ~~h_~ ~~~ ~e:' ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.J;6 ...
Pronouncing IncI certifying phyl5clan (PhysicIan both prOOOl.l'ldng death and certifying 10 cause of death) 33c. LIcense NOOlber
=-~I:=,delthOCCtlrntdltlhellmt,dltelandplace,anddueIOthecause('I'ndmlnnerasstated.._______________-- 0 M DO "34)? 515 E
On the basil of 'lamination and I Of Investigation, In my opinion, death occurred at the lime, date, and pIICI, and due to the CIUl8(8' and manner 88 stated_ 0 34. Name and Address of Person Who Completed Cause of Death (lien; 2n Type I Print
M.
33d. Daw S~ed (Month, day, year)
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Disposition Permit No.
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30..3 N ,g4L1I~ee (.\U.?_ l\l{- l-t.lly SprlY))::' 01 noc.y
LAST WILL AND TESTAMENT
I, JACOB M. DYARMAN, of 33 Parker Road, Newville, Cumberland County, Pennsylvania
17241, do hereby make, publish and declare this to be my last will and testament, hereby
revoking all wills heretofore made by me.
1. I direct my personal representative to pay all of my debts, funeral and administrative
expenses as soon as convenient after my decease. I direct that all inheritance taxes imposed
or payable by reason of my death and interest and penalties thereon with respect to all property,
whether or not such property passes under this Will, shall be paid by my personal
representative out of my estate.
2. I authorize and empower my personal representative to sell any realty and/or personalty
owned by me at my death and not specifically devised or bequeathed herein, at ~lJblic or p~ate
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sale or sales and to give good and sufficient deeds and/or bills of sale therefore, ih:f~E3\ sim~,
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as I could do if living. My representative is authorized and empowered to engage in ~y I
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business in which I may be engaged at my death, for such period of time after my ,~ath a~,
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seems expedient to said representative. -
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3. I give, devise and bequeath all of my estate of whatever nature and wherever situate to
my companion, Kathryn D. Rowe, and my three children, William C. Dyarman, Michael M.
Dyarman and Wanda L. Weary, share and share a like.
5. I nominate and appoint my son, William C. Dyarman, to be the personal representative
of my estate, to serve without bond.
6. I suggest that my personal representative retain the services of Harold S. Irwin, III,
Carlisle, Pennsylvania in the settlement of my estate.
J~(}yJl 0-
!lACOB M. DYARMAN
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 25th day of January 2008.
(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.
ACKNOWLEDGMENT AND AFFIDAVIT
WE, JACOB M. DY ARMAN, SARAH A. HARDESTY and JANE E. ADAMS, the testator and
witnesses respectively, whose names are signed to the foregoing instrument, being first duly
sworn, do hereby declare to the undersigned authority that the testator signed and executed the
instrument as his last will and that he had signed willingly, and that he executed it as his free
and voluntary act for the purpose herein expressed, and that each of the witnesses, in the
presence and hearing of the testator, signed the will as a witness and that to the best of their
knowledge the testator was, at that time, eighteen years of age or older, of sound mind and
under no constraint or undue influence.
l~:;Mf!t~
SA(:tIftR{#~:;
COMMONWEALTH OF PENNSYLVANIA
:55:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by JACOB M. DY ARMAN" the testator
herein, and subscribed and sworn to before me by SAR A. HARDESTY and JANE E.
ADAMS, witnesses, this 25th day of January 2008/ ( /
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COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Harold S.lrwin Iii, Esq, Notary Public
Carlisle, Cumberland County
My commission expires February 06, 2011
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