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Home My WebLink About02-14-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA Estate of MARY V. EDWARDS File Number ~ I oR OISl_-f' also known as , Deceased Social Security Number 166-14-1833 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW:) [Xl A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the EXECUTOR last Will of the Decedent dated 3/17/1982 and codicil(s) dated HOWAFW C. EDWARDS - DECEASED - D.O.o. OS/21/1987 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: NON E 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. c.t.a. or d.b.n.c.t.a.. enter date of Will in Section A above and complete list of heirs.) Name Relationshi ---1 l...D I. (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his / her last principal residence at 1501 BIRANDT AVENUE NEW CUMBERLAND PA 17070 BOROUGH CUMBERLAND (List street address. town/city. township. county, state. zip code) Decedent, then 85 years of age, died on 2/6/2008 361 ALEXANDER SPRING ROAD at CARLISLE REGIONAL MEDICAL CENTER CARLISLE PA 17015 Decedent at death owned property with estimated values as follows: (I f domiciled in P A) 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 $ $ $ $ 100.000.00 0.00 0.00 0.00 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 in the appropriate form to the undersigned: C Signature -44. ( [tvc~/). Typed or printed name and residence I JOHN C. EDWARDS 1501 BRANDT AVENUE NEW CUMBERLAND PA 17070 Form R W-02 rev. 10.13.06 Page 1 0[2 Oath of Personal Representative COMMONWEALTH 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 of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. . ~Lf~ #~i lfPersonal Representative JOHN C. EDWARDS, EXECUTOR Signatllre of Personal Representative ( -, ,....-~._~ , . Signa1llre of Personal Representative ,~ ':-~~: :-".., File Number: ,D Estate of MARY V. EDWARDS , Deceased Social Sec~!i~ Number: 166-14-1833 Date of Death: 2/6/2008 AND NOW, 1~~{ !:Ul_1 /if , cf2JK, in consideration of the foregoing Petition, satisfactory proof having bet:ll presented before me, IT IS DECREED that LettersJOHN C. EDWARDS. EXECUTOR are hereby granted to TESTAMENTARY in the above estate and that the instrument(s) dated MARCH 17. 1982 described in the Petition be admitted to probate and filed of record TOTAL $ diD $ dO Attorney Signature: $ $ 15- Attorney Name: GERALD J. SHEKLETSKI. ESQUIRE $ /0 Supreme Court LD. No.: #40486 $ .S- $ Address: 414 BRIDGE STREET $ NEW CUMBERLAND $ $ PA 17070 $ $ Telephone: 717-774-7435 $ d(f){) FEES Letters ....../l~..~rJ;?..... Short Certificate(s) ..,2...... Renunciation(s) ................ (;")11/ .1{PkJ Il~' Form R W-02 rev. lO,l3JJ6 Page 2 of2 I{ ;~\ ! I) I I'" LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. 56.00 Ceni fication Number Iffl/I///',//,r/, 4i!"""iH OF p'/."'--_ Ji'~\.~~--~-t---""- i~' ~/ . ,~'- !l~/.~~.. \~\ (f~,'.- .~. . \~~ \~ B~ -~....:~.:;~~ ";*~.'.~'" i*f - <::2 -.. .. i~ ~ \~~. /~,,,,,, '~---2?!MENl \)(~\,\I'" """"J//"UN/,//JJI11'" This is to certify th,lt the information here given is con"ectly copied from an original Certificate of Death duly filed with me ]s Local Registrar. The original certificate will be forwarded to the State Vital Records Office lor Derm~ll1ent fi ling. P 14121684 ~oc~~ FEB 0 A 700W Date Issued ;"--,'J I: . (J,J -' ~. ...-<:' ,,:- I.JJ REV 1112006 , PRINT IN \ilANENT .CK INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) ..!-- r~' 1. Name 01 Decedenl (Firs!, middle, Ii\,\U~ 'I \J. ElA w",nA S 12. Sex f=fMa~ 3 sr~l;ilY N:bei If - \'Z'5? I' OaleaIDealh(M~\d~ r;ly 5. Age (Last Birthday) Under 1 yea I Under 1 day 6. Date of Birth (Month, day, year) 7, Birthplace (City and stale or foreign country) 8a. Place of Death (Check only one) <6~ I MOO'M I Days I H~rn I ",,,,,, I t1 \ 1-\ \ lC\ ~2.. I I~OSPi!al I Other: . Y,s Shamokin, PA 1KIln~tienl o ER I Outpatient o DOA 0 Nursing Home 0 Residence o Other . Spe"~ Sb County oj Death Sc. City, Boro. Twp. of Death ad Facility Name (lI not insti!utiQn, give sIres! and rwmoor) 9. Was Decedent 0: Hispanic Origin? ~No DYes 110. Race Am',;can I""ian. a.'k. WM,. "0 . Cumberland S. Middleton Twp. Carlisle Regional Medical Center (II ~'es, s;>ecify Cut.an, ( Specify) Mexican, Puel10 Rican, elc.) white 11. Decedent's Usual OcclJootion (Kind of work done dUflnQ most 01 workinq life. Do not state: retired 12. Was Decedent ever in the I 13. D~denl's Educa/for {Specify DnJy highest grade Cc.mpleted) 114. Marital Stat".s Mamed. Ne.", Mamed. 1'5 S"Ni,ing Sp,"se (11 w,te. ,i" matden camel KindofWOfk I Kind of Business/lnduSI!)' U.S. Armed FOrceI" I Elemenm12secondary (0-;2) College (1-4 or 5+) J Widowed, DIVorced (Specify) Homemaker Domestic Dyes 0Na 2 Widowed . 16 Decedent's Mailing Address (Street, city I taWfl, state, Zip code} Decedent's Pennsylvania Did Decedent 801 Street Actual Residence He.. Slate live ina He. 0 Yas. Decedenlli~ed in twp N. Hanover TownShip? 17d. Kl No, Decedent Lived within . Carlisle, PA 17013 17b. County Cumberland Carlisle Actuallimilso1 City i Bora 18 Falher's Name (First, middle, last, suffix) 19. Mother's Name (First, middle, maiden surname) John Crowl Laura Sober 20a. Informant's Name (TYP'3 / Prinl) 20b. Informant's Mailing Address (Street. city I town, slate, zip code) John C. Edwards 1501 Brandt Avenue, New Cumberland, PA 17070 21a. Method of Disposition Defemation 5lI Dona'"", 21 b. Date of Disposition (Month, day, year) 21c. Place 01 Disposition {Name 01 cemet&f}', cremalory or olhar place) l21d. Location ICtty/lown. state. 1Ipoodel . D Bunal o R~'movallrom State j ~at~r~a~~~~r~7~r~~n~~~horized ~ Yes 0 No o O1h" SpeC>ly February 7, 2008 Humanity Gifts Registry Philadelphia, PA 19105 . 22a.Sign~~ ~I &~Z~e Ucensee (or person acting as such) l~tOelNt849 122'. Name and Address a( Fadlily . ~ ~\.1 \' -- L Parthemore FH & CS, Inc. , P.O. Box 431, New Cumberland, PA 17070 Complete Items 2 only wIlellcenjfying 23a. To the best 01 my knowledge, death occurred at the time, date arKl place Slated. (Signalure and title) 23b, License Number 23c. Date Signed (Month, day, year) physician is flO! av able at lime of dealh 10 certify cause of de.ath . Items 24-26 must be complllted by person 24. Time of Dealh 125. Date Pronounced Dead (Month, day, year) 26. Was Case Referred to Medical Examiner I Coroner for a Reason 0111er than Cremation or Donation? . who pronounces death '4f:; p M. 'I..j (.gl 'LCV(: Dyes lXI No CAUSe OF DEATH (See Instructions and examples) Approximaleinterval' Part ((: Enter other sianiNcanl condition!> CGnfributino to death, 28. Did lobacco Use Contribute 10 Death? ttem27.Partl:E.nlerlheli.~ diseases, infUries, Of complications - Ihat directly caused the death. DO NOT enter terminal events such as cardiac arrest, Onset to Death but not resulting in Ihe underlying cause given in Part I, Dyes o Probably respiratOfy arresl, or ven/ocular libriUation without showing the etiology. list only one cause on each line, DNa o Unknown ~~~~~AJ~~~~~; d:~I) dise~ J:>I? 1"1 E rJ r I Jt 29. If Female: a. o Notpregnantwithinpaslyear Due to (or as a coosequence on: Sequentially lisl cooditions, if any, b. 5EV,:N? MA-L,J..irfL I /lo.-..J o Pregnant at time of death ~~I~~~N~~~11~~~~a Due 10 (or as a coosequence on. D Not pregnant, but pregnant witllin 42 days (disease or injury Ihal initiated tile , of deatll . events resulting m dea/h) LAST. Due to (or as a consequence of): o Nolpregnant,bulpregnant43daysl01yeal before death . d o Unknown if pregnanl Wlthin 1l1e past year 3Oa. Was an Au10psy 3Ob. Were Autopsy Findings 31, MaMer oj Death 32,. Date allni"~ (Month. day. yearl 132b Describe How Inirny Ocoo"ed 32c Place of Injury: Home, Farm, Street, Faclory, Perlormed? Available Prior to Completion lEI Natura! o Homicide Office Building, alc (Specify} oj Cause of Dealh? Dyes I)Il,No Dyes DNO o Acciclent o Pending Investigation 32d.1imeo/!niury 1 32e. I~"ry at "o~, 3~. II T"nsportaban 'n,"ry (Sped~) . ,132g. Localian 01 tnl"ry (St"". "ty / town. statel DS"icK1e o Could Not be Determined Dyes DNo o Dnver I Operator 0 Passenger 0 Pec!estnan M. DOthe' . Sper* 33a. Certifier (check onfy onej 33b.SignaltJreandTtllealCertilier r-I.~ Certifying phy:sician (Physician certifying cause- of death when another physiCian has pronounced death and completed Item 23) ~ '--;--- c" r.. Tollie best of mv knowledge, death oecuned due to the cauae(s) and manner as stated......... _...... _...... _ _................................... _......................... 0 ;=:~~t: ::~~~hJ:~~~a~(:u~:~i:~ :~I:~~~~;~n;n~e:::c~~:rt~:~ot~:~:~~~~~~ manner a5 stated_ ... _ ... ... ... _ ... ... .. ... .. ... ... ... ... ...... 0 33c. License Number 133d Oat, Sign'" IMon'h. day. ye"l ~::~~~;~:::~:~~~~;t~:~ and! or investigation, in my opinion, death occurred at the Ilm&, date, and place, and due to the cause($) and manner as stated_ 0 1'1 D O&411..l:>L 7.. ( v( 1-cL't3 34. Name and Address 01 Person Who Compieted Cause 01 Death (Item 27) Type I Print 35. Regi'I""sSi~and Dislrict ~ ~ A ~ -~'" I~I tl ~ / If I 136 ~e Fj ~/;~;:; ~ -n ....J~- i..wo..-l.l..,.J.~ 1-1.,:::' ~ ~- '" - C-lL.N..c. G-~S LE ('.it /"7-103. V , STATE F/LE NUMBER .:21 06 Ci(S~ nl<M<lli", Permit No. tXl C) 40 '1 "') JEast lIill attb QT~st&mettt I, MARY V. EDWARDS, of 19 Countryside Village, Selinsgrove, Township of ~1onroe, County of Snyder and Conunonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, make, publish and declare this to be n~ Last will and Testament hereby revoking all wills and codicils by me at anytime heretofore made. c:-) ITEM I: : ~~1.~_ I give, devise and bequeath all my property of whatsbever .-, "",; ! ,"./;.. nature or kind and wheresoever situate unto my beloved husband, Howard-;G-. ~- Edwards, if he is living at my death. , --I ITEM II: Should my husband, Howard C. Edwards, predecease me, then I give, devise and bequeath all my property, or the proceeds therefrom, to my son, John C. Edwards, or to his issue, per stirpes. ITEM III: I direct that all taxes which may be assessed in consequence of my death, of whatsoever nature and by whatever jurisdiction imposed, shall be paid from my general estate as part of the expense of the administration of my estate. ITEM IV: I appoint my husband, Howard C. Edwards, Executor of this, my Last Will. Should my husband, Howard C. Edwards, fail or cease to act as EKecutor, then I appoint my son, John C. Edwards, Executor of this, my Last will. ITEM V: I direct that my personal representative shall not be required to give bond for the faithful performance of his duties in any jurisdiction. . .. ,-' 0, - 1 - IN WITNESS WHEREOF, I, Mary V. Edwards, have hereunto set my hand and seal this day of ; I , ~' 1982. i MARY V. EDWARDS ., " ..(SEAL) The preceding instrument, consisting of this and one other typewritten page each identified by the signature of the Testatrix, was on the day and date thereof signed, published and declared by Mary V. Edwards, the Testatrix therein named, 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, have subscribed our names as witnesses hereto. --/v-';,;') I ! ! / t I ' /" ! . '-' ~ '--- '"-,,.. -" ) < , ;'.'/'~,i;'~-::~':' r:'(.;~ C,_ [" , .>/ ,Ii , '. ,'( >,1; - 2 - d log 01511 OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of MARY V. EDWARDS , Deceased JOHN C. EDWARDS and GERALD J. SHEKLETSKI (each) being duly qualified according to law, depose(s) and says(s) that she / he / they was / were well- acquainted with MARY V. EDWARDS and am/are familiar with the handwriting and signature of the decedent, and that the signature of MARY V. EDWARDS to the foregoing instrument purporting to be the Last Will and Testament/Codicil of MARY V. EDWARDS is in his/her own proper handwriting. lrtwl t tU~r~(/~ /(@~ 1501 BRANDT AVENUE (Street Address) 414 BRIDGE STREET (Street Address) NEW CUMBERLAND (Cily. Slale. Zip) PA 17070 NEW CUMBERLAND (City. Slate. Zip) PA 17070 Executed in Register's Office Sworn to or affirmed and subscribed before rpe this / tf of ~fl .b(l.AJj_(~cj -1J Deputy for :..dJY ~tlJ a , . ""7 h .r' ",_,/ (. i 'b, 'I J Form RW-04 rev. /0,/3.06