HomeMy WebLinkAbout02-27-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of VIRGINIA K. LONG, AKA. VIRGINIA N. LONG
also known as VIRGINIA N. LONG
File Number
,] \ C)~ (\1\0
, Deceased
Social Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE j4' or 'B' BELOW:)
III A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executor
last Will of the Decedent dated March 21,1995 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.; db.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
~lc;
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(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
f'.)
Decedent was domiciled at death in CUMBERLAND County, Pennsy lvania with his / her last principal residence at ..
Shippensburg Health Care Center, 121 Walnut Bottom Road, Shippensburg, PA 17257 .... ~~
(List street address, town/city, township, county, state, zip code)
-~:.)
Decedent, then 89
years of age, died on FEBRUARY 4, 2008
at Shippensubrg Helath Care Center, Shippensburg, PA 17257
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
$ ,"oO.!!!-
$
$
$
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codici1(s) presented with this Petition and the grant of Letters in the appropriate fonn to
the undersigned:
T ed or rinted name and residence
Gary S. Long, 106 Pin Oak Lane, Shippensburg, P A 17257
FormRW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEAL TH OF PENNSYL VANIA
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
~gnat~~l R::!:nta~fJ
c9r] _~of
,~
before me the
Signature of Personal Representative
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Signature of Personal Representative
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File Number:
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Estate of VIRGINIA K. LONG, AKA. VIRGINIA N. LONG
, Deceased
Social Security Number: Date of Death: FEBRUARY 4, 2008
AND NOW. ~ f h>"H (l II i ~ '-I . ~6V:l. in consideration of the foregoing Petition, satisfactory pwof
having been presented before me, IT IS D CREED that Letters Testamentary
are hereby granted to GARY S. LONG
in the above estate
and that the instrument(s) dated MARCH 21, 1995
described in the Petition be admitted to probate and fIled of record as the last Wil (and Codicil(s)
FEES
Letters .... .;.OOC~ . . . . . $ /)0
Short CertifIcate( s) . . 10 . .. $ ~ U
Renunciation(s) .. .~. . . . . . $ / 0
cJdl . . . $ I~)
,J (' P .. . $ ,0
~lN ...$ ~
...$
.. . $
.. . $
. .. $
...$
...$
$ / 0(/:'-) ~
TOTAL .. . . . . . . . . . . . .
Attorney Signature:
Attorney Name:
Hamilton C. Davis
Supreme Court J.D. No.: 10264
Address:
20 East Burd Street, Suite 6
P.O. Box 40
Shippensburg, PAl 7257
Telephone:
717-532-5713
FormRW-02 rev. 10.13.06
Page 2 of2
!!I'Y' 1-\1.\
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this c~nificate. ",6.00
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P 14234827
Certification r\umher
This is to certify that the informatioll here glven i
corrcc'tly copied from an original Certificate of Deatl
duly filed with Ille as Local Registrar The origina
certificate will be forwarded to the State Vita
Records Office lor per a ent filing,
(JA /tJp/Otf,
Date Issued
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H105-143 REV 1112006
TYPE / PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
STATE FILE NUMBER
J,'" t'6 ().~ \ L\
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89
1. Name of Decedent (First, middle. last, suffix)
Vir inia
5. Age (last Birthday)
y"
11, 1918
Sb. County 01 Death
&:I. Facility Name (II not institution, give street and number)
L.\
Cumberland
11. Decedent's Usual Oce tion Kind 0/ WOO: clone duri mosl 01 workin life. Do not sta1e retired
Kind 01 Work Kind of Business I Industry
Seamstress Pants Factor
. 16. Decedent's Mailing Address (Street, city I town, state, zip code)
106 Willow Drive
Shippensburg, PA 17257
18. Father's Name {Flrst,rnidclle, JasI,sutrlX)
Bruce Kunkleman
20a. Inlormanl's Name (Type I Print)
Long
Shi
Health Care Center
12. Was Decedent ever in the
U.S. Armed Forces?
Dyes IXfNo
Decedent's
AclualResKlence 17a.Sta1e
13. Decedenfs Education (Specify only highest grade completed)
Elementary I Secondary (0-12) College (1-4 or 5+)
8
Pennsylvania
Cumberland
17b. County
- 01
4. Date 01 Death (Month, day, year}
0332 February 4, 2008
Other
~ Nursing Home 0 Residence
9. Was Decedent of Hispanic Origin? iii No 0 Yes
(II yes, spectfy Cuban,
Mexican, Puerto Rican, etc.)
DOth"'Specily:
10. Race: American Indian, Black, While, elc
ISpecif)1
White
14. Marital Status: Married, Never Married,
Widowed, Divorced (Specify)
Widowed
Did Decedent
Uveina
Township?
Southampton
Hc. jgJ Yes, Decedent lived in
17d.O No, Decedenllived within
Aduallimitsol
Twp
City/Boro
19. Mother's Name (First, middle, maiden surname)
Dessie Russell
2Ob. Informant's Mailing Address (Street, city f town, state, zip code)
106 Pin Oak Lane, Shippensburg, PA
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:it
o Cremation 0 Donalion
17257
21c. Place 01 Disposition (Name 01 cemetery, crematory or other place)
Shippensburg, PA 17257
21d.localion(City/town,slate,zipcode)
Spring Hill Cemetery
. ~
er-Bricker Funeral Ibne Inc. 112 West
4-~
Approximate intervaL Part II; Enler olher siQfliflcanl conditions con1ributina to death. 28, Did Tobacco Use Contribute to Death?
Onset to Death but not resulting in the underlying cause given in Part I. 0 Yes 0 Probably
o No 0 Unknown
29. lfFemale
DNotpregllBnlwilhinpas1year
o Pregnant altime 01 dealh
o Nol pregnant, but pregnant within 42 days
oldealh
D No! pregnant. bul pregnant 43 days to 1 year
before death
D UnIl.oown if pregnant within the past year
32c. Place oltnjury: Home, Farm, Slreet, Factory,
Office Bu~ding, elc. (Specify)
nems 24-26 must be comple1ed by person
. who pronounces death.
,3008
CAUSE OF DEATH (See instructions and examples)
Item 27. Pan!: Enter 111e ~ - diseases, injuries, or complications- that directly causeclthe death. DO NOT enler terminal events such as cardiac arrest,
respiratory arrest, or ventlicularIibrillalion without showing the e1iology.list ooty one cause on each line.
~~~;~~~s; d:~~\ dise~ (QiV&-G ~ r I /J G lif elf flr F- '" I LV /U
(
Due to (or as a consequellCt! of):
Sequentially list coodrtions, if a.ny,
~~t~~O ~~Dc:~r~i:~At~te a.
(disease or injury lhat initiated the
evenls resulting In dealh} LAST.
Due to (or as a consequence 01):
b.
-
Due to (or as a consequence of)'
j
L
d.
3Oa. Was an Aulopsy
Performed?
3Ob. Were Autopsy Findings
Available Prior to CompIelion
of Cause of Dealh?
31. Manner 01 Death
~ Natural 0 Homicide
o Accident D Pending Invesligalion
o SuK:idc 0 Could Not be Determined
M.
DYes cr( No
Dyes DNo
32d. Tlmeo/lnjury
>
33a. Cer1i1ier (c;hecl(onty one)
~:~~~sr:r:~l:~~::=~fy~~~: ;~::~l~c:nu:~~~~:~~~:r~: ~:=~_ ~~h_a~ ~~I~e~~:n ~~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ v1
~;:~u=~~:,a~~ ~::~~~t:~~a~~~:r~i~ ~~~~~~~~:~~e;::c:~~~~rf~'~~iot~::~~~~~ manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
:~~Cea~:~sm~~:~~~:;t~:~ and red at the time, date, and place, and due to the cause(s) and manner liS stated_ 0
;. I ( I 2.. I / hf'1 36 Dale il'6.2;~e8
Disposil,," P"m'l No 00.76 J ~ ~
PA 17257
32g. Location of Injury (Street, city /lown. stale)
rvttJ
33d. Dale Signed (Month. day. year}
2~ 6~d'!f
34. Name and Address 01 Person Who Completed Cause 01 Death (lIem 27) Type / Print
hM.Nj'() L /CHITUQ M.~ . 1/26
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F:\WP51\WILLS\LONGV.WLL 3/15/95 10:00am Fri
LAST WILL AND TESTAMENT
I, VIRGINIA K. LONG (also known as VIRGINIA N. LONG) of
Southampton Township, Cumberland County, Pennsylvania, declare this
to be my Last Will and Testament and revoke any will or Codicil
previously made by me.
ITEM I:
I direct that all my just debts (except as may be
barred by a Statute of Limi tations) and my funeral expenses
(including my gravemarker and expenses of my last illness) shall be
paid from my residuary estate as soon as practicable after my
decease as a part of the administration of my estate.
ITEM II: I give and bequeath all my tangible personal property,
including but not limited to, any and all automobiles and other
motor vehicles, household goods and furniture and furnishings,
china, silverware, jewelry, ornaments, works of art, books,
s.
,
pictures, wearing apparel and personal effects, but excluding cash
~
on hand and tangible evidences of intangible persona.l~ prope;rty
together with any policies of insurance applicable t.hereto
including any prepaid premiums thereon to my children, in as near~y
~ equal shares
~ ITEM III:
as is practicable.
'.)
I devise and bequeath the residue of my estate .of
every nature and wherever situate in equal shares to such of my
children, GARY S. LONG, DONNA F. FICKES, and SHARON A. EBY, as
shall survive me by thirty (30) days.
ITEM IV:
Should any of my children, GARY S. LONG, DONNA F.
FICKES, and SHARON A. EBY, predecease me or die on or before the
~
1.
~
~
~
~.
thirtieth day following my death but leaving descendants who so
survive me, such descendants shall receive, per stirpes, the share
that such predeceased child would have received had he or she so
survived me.
ITEM V: If any property passes outright (either under this will
or otherwise) to a minor (which shall be defined as anyone under
twenty-one (21) years of age) and with respect to which I am
authorized to appoint a guardian and have not otherwise
specifically done so, I decline to appoint a guardian but instead
authorize my Executor to distribute such property to a Custodian
selected by my Executor (and my Executor may act as such Custodian)
as Custodian for the minor under the Pennsylvania Uniform Transfers
to Minors Act. Provided, however, that this appointment shall not
supersede the right of any fiduciary to distribute a share where
possible to the minor or to another for the minor's benefit.
ITEM VI:
I direct that all taxes that may be assessed in
consequence of my death, of whatever nature and by whatever
jurisdiction imposed, shall be paid from my residuary estate as
part of the expenses of the administration of my estate.
ITEM VII: I appoint my children, GARY S. LONG, DONNA F. FICKES,
and SHARON A. EBY, Executors of this my Last Will.
ITEM VIII: I direct that my Executors or their successors shall
not be required to give bond for the faithful performance of their
duties in any jurisdiction.
ITEM IX:
My individual fiduciary shall be entitled to
2
reasonable compensation for his or her services rendered from time
to time and/or to reimbursement of out of pocket expenses.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my
Last will and Testament, written on four (4) sheets of paper, dated
this .2..\ $i day of Y\r\~~ , 1995.
Jtfi'~?"~"' f ffij
V1r in1a K. Long
(SEAL)
The preceding instrument, consisting of this and three (3)
other typewritten pages, each identified by the signature or
initials of the Testatrix, was on the day and date thereof signed,
published and declared by the Testatrix therein named, as and for
her Last Will, in the presence of us, who, at her request, in her
presence, and in the presence of each other have subscribed our
~~~e~retO'reSiding at
CiJffuxJ 'Ir). t{ino~
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residing at ~LPP/~, PIl.
3
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
I, Virginia K. Long, the 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; and that I signed it willingly and
as my free and voluntary act for the urposes,the in expressed.
- . (SEAL)
Sworn to or affirmed and acknowledged
before me by lflP..G,/1V1A 1<. LoNG.-- , the
Testatrix, this .,,2lsr day of
~ , 1995.
~Q,
NOYAmAl stAl "
LOIS A. SOIJ.l€:;BfR6EI\ Notary f'ublh; I
St~ em, Cumhm1Md Co., 9\
P;ij" (~;!1~:t~~;; ;7':~'M f~"'~:4:;? ~~' ('; :r) ""~'9 j
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COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
We, Jffr "" I' I ~ C- '!::trY ,i and D.4tU'J f-f. SNt:JK.f , the
wi tness whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and
say that we were present and saw the Testatrix sign and execute the
instrument as her Last will; that the Testatrix signed willingly
and executed it as her free and voluntary act for the purposes
therein expressed; that each subscribing witness in the hearing and
sight of the Testatrix signed the will as a witness; and that to
the best of our knowledge the Testatrix was at that time eighteen
(18) or more years of age and of sound mind and under no constraint
or undue influence. ~./... (fZ. ._
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Sworn to or affirmed and subscribed to
before me by J-1AI'Y\\cr{)I--J L. -:t:>AVIS and
-:DAv-i/I.J Tn. SNo((E , witnesses,
this dlS'r day of Yn.~" , 1995.
IOTARIAL lEAl
LOIS A. ~NoIary~
1JIi1H.l1lbcq -. ~ Co.. PA
My Com.... Exptra MIn:h 3. ...
4
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RENUNCIATION
REGISTER OF WILLS
( u.m ~ e~ \ v+ V'\ ~ COUNTY, PENNSYLVANIA
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Estateof V:((~i",~A k. Lcf"'j (Ak-4 VI'~jj~;A
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, Deceased
1,
2 J\--l^ , ~ -t-fA
D 19Y'\ Y') A
P.
r ; c. fee .>
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
(Print HameL k
~ ~ t'J.. €. ((A
administer the Estate of the Decedent and respectfully request that Letters be issued to
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Fe b. 2 v
2. 00 ~
1) co ~uc- ~ ~ ~e_-s
(Signature)
\'31 yY\~. fleA5fho1, + RoCIL J
(Date)
(Street Address)
t= ~ I t t+ev; II e P j}
(City, State, Zip)
11ZIZ
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation. fpr the
purposes stated within on this ~O ~ day
-1l:6!:~ _ Z0~ b' .
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Notary Public v
My Commission Expires: S-ert. '"Z11 2.00&
(Signature and Seal of Notary or other otTicial qualified to
administer oaths Show date of expiration of Notary's Commission.)
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Hamilton C. Davis. Notary Public
Shippensbwg BOlO. Cumberland County
My Commission Expires Sept 27, 2008
Member. Pennsylvania Association Of Notaries
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RENUNCIATION
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REGISTER OF WILLS
ClA.w. 'o.e.oR\CLM J COUNTY,PENNSYLVANIA
f'...)
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Estate of V" ~j; '" .~ A-
k. L~5 (A-kA V"/Z-jil'\fl}-
tV. L O\-\~) , Deceased
I, S' 1, A-r((~r:t Na!:;' Eb 'J
~ A:-u ') ~ +- ~ t1vY\..1. f- 'lC -e. ('~ 1A- -h, re.
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
(,-A-tt-i S ~ '-/JV\ J
Fe..J~ )..u) ZcJO '6
(S,"~ d. k1u
I 503 L:Y\J~",- Ro~.J
(Street Address)
(Dale)
(~,;t:' ~pf'Al '7 \oeM] P f>. n Lv>'
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this "o~ day
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v
Notary Public
My Commission Expires: S-t.{-'\... Z' I Cd" 'i
Deputy for Register of Wills
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Hamilton C. Davis. Notary Public
Shippensburg BOlO. Cumberland County
My Commission Expires Sept 27. 2008
Member. Pennsylvania Association Of Notaries