HomeMy WebLinkAbout02-08-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of ELINOR C. GREEN
also known as
File Number
J..\ b~
D\6\
, Deceased
Social Security Number 198-36-2269
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 April 24, 1995 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 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
(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, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his f her last principal residence at
240 Glendale Street. Carlisle. Borough of Carlisle. Cumberland County. P A 17013 '
(List street address, town/city, township, county, state, zip code)
.;:.0
Decedent, then 101
years of age, died on January 19, 2008
at Carisle, Cumberland County, PA
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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
(Ifnot domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
f'. ,
"
979,650.00
$
$
$
$
175,000.00
situated as follows: 240 Glendale Street, Carlisle, P A 17013
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:
T ed or rinted name and residence
cL
M&T Bank, One West High Street, Carlisle, PA 17013
Form RW-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 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.
Sworn to or affirmed and subscribed
before me the UJ day of
FehnJ.cu:1 ' d6(J~
(;Jqtl ~st"
"
Signatu of Personal Representative
Signature of Personal Representative
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Signature of Personal Representative
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File Number:
a \ GY) 0\3\
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Estate of ELINOR C. GREEN
, Deceased
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Social Security Number: 198-36-2269 Date of Death: January 19,2008
AND NOW, :::k hnAtJ "i 8 ,W x' , ;n ron,id,,,iton oftit, foregoing Potit;on, ,.it,fuelo", p,"of
having been presented before me, IT I DECREED that Letters Testamentary
are hereby granted to M&T Bank
in the above estate
and that the instrument(s) dated April 24, 1995
described in the Petition be admitted to probate and filed of record as the last Wi
Attorney Signature:
FEES
Letters ...\tl5'~\)c9>;~D $ rlot)
Short Certificate(s) . .10. . . . $ tiC)
Renunciation(s) .......... $
~dl . . . $ I~
cP ... $ 10
A.llv . .. $ S
.. . $
.. . $
.. . $
... $
.. . $
. .. $
TOTAL .............. $ ~3tJ ~
Attorney Name:
Address:
354 Alexander Spring Road
Carlisle, PA 17015
Telephone:
717-249-6333
Form RW-02 rev, 10,13,06
Page 2 of2
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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1111' ,,'niLl
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/tt,.tt~~1 ~ .OF p'i;~~_,
.~",~\..'r' - . -t:'rll'-o.~ currectly copied from an oriiClIJ~d Cc':
?'~. / .. "'~~\ duly filed with me as L()cal Rq:i,\;\I
,fl~;::.~~~\ c'ertificate will be lo1'\\anled If)
\~ ~ ::; 5;:%) Records Offiee tor xrmanent i'i
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'1105-143 REV 11f2006
TYPE I PRINT IN
PERMANENT
BLACK INK
r. )
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
/ \
1. Name of Oecedenl (First, middle. las!, StJffiX)
Elinor C. Green
5. Age (Last Birthday)
- 36
\ 6~ 6\()\
2269
Cumberland
240 Glendale Street
Sa. Place of Death (Child< only one)
Hospital: Other.
o Inpatient 0 ER I Outpatient 0 DOA 0 Nursing Home CiResidence
9. Was Decedenl of Hispanic Origin7 Kl No 0 Yes
(lIyes,specilyC1Jban,
Mexican, Puerto Rican,elc.)
D01h"._'
10. Race: American tndian, Black, White,elc.
(SpeciM
White
101
y~.
17b. County
PA
Cumberland
OidDec:edent
Livf!ina
Township?
l7c. 0 Yes, Decedenllived in
l7d. Gl No, Decedent LiIffld within
Actua1Urnitsof
TWO.
&1. County of Death
240 Glendale Street
Carlisle PA 17013
18. Father's Name (First. middle, last, suffix)
John M. Cooke
12. Was Decedent ever in lhe
U.S. Armed Forces?
Dy" [XNo
Decadent's
AduatResldeoce 17a.Sfale
13. Decedent's Education (Specify oniy highBs! glade compleled)
Elementary I Seconda'Y (0-12) College (1-4 or 5+)
3
14. Marital Status: Married, Never Marri9cl,
Widowed, DivoI'ced (Specify)
widowed
11. Decedents Usual lion Kind of wOO. done
Kind of Work
istered Nurse
Carlisle
C<ty/Bcro
2Oa. Infom!anfs Name (Type I Print)
19. Mothef"s Name (FIrst. middle, maiden surname)
Nora Courtenay
2Ob. Informant's Mailng Address (Street. city I town, slBte, lip code)
963 Walnut Lane, Carlisle, PA 17013
. ~
21c. PIac:e 01 Disposition (Name of cemetery, crematory Of other place)
Westminster CEmetery
21d. location (City I town, stale, zipcodel
Carlisle, PA 17013
Heme, Inc., Carlisle, PA 17013
23b. License Number
23c. Date Signed (Mon\tl, day, year)
321. IITnmsportalionInitJIY (Specify)
o Driver I Operator 0 Passenger Dpedestrlan
M. DOth"._
338. Cec1Ifier {checlt only ooe} 33b. SignattJre
~~~f~:~~~~~~~:~~~~u~~~~~r~~_~~~_~~~~~~~~_________________ ~ ~
PronDtl'nclng arm certifying. phySIcian {Physician both prOl'lOunCing death and certifying to cause of death} 33c. License Number
lothe best of my knoWledge, dQlh occurred at the lime, date, and pltce, and due lothe cause(SI and manner as stated.., -- -- - -- -- - - -- -... - - 0 ~~ b llJ 2'1. l'i
~::~:~~~n~= and (or In",sU9Itfon, In my opinion, durn occurred at the lime, elate, and place, and due 10 the cause{s)and manner as stated_ 0
Dv" ON<>
"51;<""'" D-
O- Dp""""".......",,,
o Suicide 0 Coo. Not be Del,..."""
1 Approximate ifflefvaI:
: OnsetloDeath
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26. Was Case Referred to Medical Examiner I Coroner for a Reason Other than Cremation or Qonatlor1?
Dy" iii""
Pan II: Enter oIher significant e:onditions contribulino to death 28. Did Tobacco Use Conl1blrte to Death?
but noI resulting In the underlying cause given in Part I. 0 Yes 0 Probably
o No [')il,lm""""
29. If Female:
o NoIpregnant Wilhin pasI year
o Pregnant at time of death
o Not pregnant, but p1eQ(lant withln 42 days
oldeij,th
o Nolpregnan~butpregnant43daysl01year
before death
o Unknown if pregnant within the past year
32t. Place 01 Irflff. Home,Farm, S1reel, Factory,
OIfrce8ullding, etc. (Specify)
nems 24-26 most be completed by pelSOl1
. who pronounces death.
24. TIme of Death 25. [)aU! P/tVlOOI'ICed 0eatI (Month, day, year)
12:40 A M January 19, 2008
CAUSE OF DEATH (See instructions and examples)
nero 27. PllIrt I: Enter the ~ - diseases, injuries, or complications -that ditecIfy caused the death. DO NOT enter ferminal evlll'1ls sue/) as cardiac arrest,
respiratory arrest, or venllicular fibrillation trithaut shotring the etiology. Ust only one C8lISe OIl eadlline.
==~~~=ldiSe:;
..
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Due to {or as a consequence of}:
~==~~a
En.,,1,: UNIlERlVIMG CAUSE
(dsease or injury fIlat initiated the
evenlsrestJltinglndeethlLAST.
b.
Due 10 (or as a consequence of}:
Due to (or as a consequence ot):
:JJa.WasanAulOpSy
Performed?
d.
JOb. Were Autopsy FIndings
Ava~able Prior to Completion
of Cause of Death?
31. Manner of Death
Dyes ~No
32rl. TlRle of Injury
32g. LocatiooOi InjuryIStreet,city/IOWrl,slate)
~
z
w
o
w
~
o
~
33d. Dale Signed (Month,day, year)
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35.
~
h{ I t Id-. I \ I 0 I
34. Name and Address 01 Person Who ~led C~ of Death (Ifem 27) Type I Print
<0' 0'1" t-'. "I:::)"'~~U-l\^t'\ .:\" n-.1)
~ '\>:> ....., 't.l- ""'\' lQQ \t' ~ ~.:t) c..."t."',n~~.
Disposilion Permit No
00 [1 '15~'"1
WiIl.\Grcen.E\.mr
Ifctst Mill ctn~ mestcttttent
.1
OF
i....,)
ELINOR C. GREEN
I, ELINOR C. GREEN of Borough of Carlisle, Cumberland County, Pennsylvania
do make, publish and declare this as and for my Last Will and Testament, hereby revoking
and making void any and all former Wills, Codicils, or writings in the nature thereof, by me
at any time heretofore made.
FIRST: I hereby order and direct my Executor, hereinafter named, to pay all
my just debts, funeral expenses, testamentary expenses and all inheritance, Estate, Transfer
and Succession Taxes, as soon as may be conveniently done after my death, out of my
residuary estate.
SECOND: I direct that any and all household effects and personal belongings that
1 may possess at the time of my death, be distributed to such members of the family or
friends, as my daughter, NORA, may determine in her sole discretion.
THIRD: I give to my niece, ELINOR C. PETERSON, the sum of One Thousand
($l,OOO.OO) Dollars provided she survives me.
initiat.
WilliI\Oreen.E\smr
FOURTH: All the rest, residue and remainder of my estate whether, real, personal
or mixed, and whatsoever and wheresoever situate, at the time of my death, I direct be
divided into two equal parts. One part shall be divided in equal shares among my children.
TIle issue of any deceased child shall take the share of their parent in equal shares. The
other part shall be divided in equal shares among such of my grandchildren as shall survive
me.
FIFTH:
I hereby nominate, constitute and appoint FARMERS TRUST
COMPANY and its successors, of Carlisle, Pennsylvania, to be the Executor of this my Last
'Will and Testament.
day of
IN WITNESS WHEREOF, I hereunto set my hand and seal this
( ,~ . \ ' ... .;
\..' \.' :'\.-1 , 1995.
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ELINOR C. GREEN
SIGNED, SEALED, PUBLISHED and
DECLARED in the presence of:
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initials
WiIIil\Green.E\smr
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
I, ELINOR C. GREEN, Testatrix, whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I
signed and executed the instrument as my Last Will; that I signed it willingly; and that I
signed it as my free and voluntary act for the purposes therein expressed.
Sworn or affirmed to and ackno~ledged before me, by ELINOR C. GREEN, the
T(~statrix, this.;:-/ '- day of /1 i.' i , 1995.
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ELINOR C. GREEN, Testatrix
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Notary Public
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initials
WiUs\Green.P.\smr
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNlY OF CUMBERLAND
We, JN1ES D. FLOWER and JAMES D. FLOWER, JR. , the
witnesses whose names are signed to the attached or foregoing instrument, being duly
qualified according to law, do depose and say that we are present and saw Testatrix sign and
execute the instrument as her Last Will, that ELINOR C. GREEN, signed willingly and that
she executed it as her free and voluntary act for the purposes therein expressed; that each
of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the
best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind
and under no constraint or undue influence.
and
r
Sworn or affirmed to and subscribed to before me by JAMES D. FLOWER
'"<, l ,/,1/
. witnesses this '~I / ".... . day of
.TlI.MRS D FLOWPR, .TR
, 1995.
. Let: \. "
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Witness
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lTERESA J. BURKHOLDER.. Notar)' Public I
i Canisle, Ct:moorland u')unty, Pa. !
~~S:~~~!i::,$;.?!L.f::.r:1es :~b, 12,_1996 J
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initials