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Home My WebLink About03-11-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA Estate of CHARLES A. JURGENSEN also known as File Number ''\i rX; /\ g ,,\,, -1/ " 'j' 'vLf C^ , Deceased Social Security Number 142-03-3386 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) IZj A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executor last Will of the Decedent dated January 23, 2002 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 ::0 (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minorttate) C'.'.-'; , : . ) :.i~ ""'" Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (ifai.yr~d heilif (If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete /ist of heirs.) .' Name Relationship Residence ~ (...0 (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in Cumberland 103 Green Ridge Lane, Newville, Pennsylvania (List street address, town/city, township, county, state, zip code) County, Pennsylvania with his / her last principal residence at Decedent, then 98 years of age, died on March 5, 2008 at Newville, Cumberland County, Pennsylvania Decedent at death owned property with estimated values as follows: (If domiciled in PA) 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 $ J J 5~ be> u $ $ $ 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 T ed or rinted name and residence 1. Craig Jurgensen, 619 Sherwood Drive, Carlisle, P A 17013 Form RW-02 rev. 10.13.06 Page I of2 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 beliefofPetitioner(s) and that, as personal representative(s) ofthe Decedent, Petitioner(s) will well and truly administer the estate according to law. Signature of Personal Representative Sworn to or affirmed and subscribed ~~.~., .......-...) Signature of Personal Representative -c: File Number: ,~ c<! V 'lrY] , C' D CC? J ~ Estate of CHARLES A. JURGENSEN , Deceased ,''''; (...A.i Social Security Number: 142-03-3386 Date of Death: March 5, 2008 AND NOW, m({ y ch , ,)LDt , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to 1. Craig Jurgensen in the above estate and that the instrument(s) dated January 23, 2002 described in the Petition be admitted to probate and filed ofrecorll1as the last/Will (Ian FEES j ! f) / / ".., l! /J)< UOD Letters . >-?'. . -! I . . . . . . . . $ Short Certificate( s) . . ,5. . . . $ Renunciation(s) .......... $ L.,,)!I! ... $ '&) $ / ,fu $ $ . .. $ ... $ ... $ . .. $ ... $ 2 ; ,fi (;() i7:6&--- TOTAL....... . .... .. $ .ow . olU ;;.0 Attorney Signature: ames D. Flower, Jr, Esquire . <- I:::> Attorney Name: (L; Supreme Court J.D. No.: 27742 " ,~ Address: 26 West High Street Carlis1e,PA 17013 Telephone: 717 -243-6222 Form RW-02 rev. 10.13.06 Page 2 of2 1i1()_"i.~O:'i RI':\' !01/071 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. P 14394273 ,,"""1lrOF""'-'--, This is to certify that the information here given is ,\,\\ll~\.~i;-.,..,. correctly copied from an original <?ertificate of Death ~,'~_v::- ........ ~\ duly ,~lIed with me a: Local Registrar. The onginal \/~ ~ ,. 'I~~ certlhcate will be forwarded to the State Vital ~ >> -... ~ B: ;:1 i:~~ Records Office for permanent filing. \ * ;t~:;.;~~ ; * ~ - ~ \~~~ ,~\\' - C' ~~f{1!{~f~Sf.~~ ~. ~~~.. ~Af 5/ 2008 Local Registrar Date Issued Fee for this certificate. $6.00 > d- Certification Number -ry ::;~ H1()5.143 REV 1112006 TYPE I PRINT iN PERMANENT BLACK INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) 1'0 W ~ \ . 98 ylS. Bb. Coun~ 01 Dea~ Cumberland DOItle<,_, 10. Race: American Indian, BIac:k, While, etc. (Spedf)l White 14. Marital Status: Manied, Never Married, _,0N0"*'(_ WiClcMed 12. Was Decedent ever In the U.S. Armed Forces? Dyes lJlI<o -, ActuaIResidence 17aStale 11,Decedenl'slJ8ual moetof Bfe. Do not slBte KlndolWol1< KlndolBuslless/I_ En ineerjExecutive val Turbin Co. . 16.Decedenl'6MalllngAddr9lls(Street.clly/lown,stale,~code) 210 Big Spring Rd. Newville, PA 17241 18. Father's Name (Fnl, middle, last, sufIbc) Chri 208. lnlormanl's Name (Type I PIi1l) John Crai Old Deceden' Live". Townsh~? 17'.~Yes,_Uved" West Pennsbom 17d.DNo,_UvedwilNn Acluall.Jrnitsof PA Cumberland Twp. Clly/Boro 170. Coo"" 19. Mother's Name (first, midcle, maiden surname) Maria Stahl en 2Ob.lnfoonanf'_.......IS1raeI.dIy/_,_,.,-) 619 Sherwood Drive, Carlisle, PA 17013 21< Pla1:eolQ;spoOllon (Nama oIoemata<y,_"'_plac:e1 21~Loc:allonIClly/_,_,,.,_} o fg ~ :i1 Leola, PA Hane, Inc., Carlisle, PA 17013 ==S:=)liseas8-';' CAG_~ ve....,..{ Du.to(",~.~oI), I Approximate interval: : Onset to Death , , I , , , , . , , , I , I , Part II: Enter dher llImiIIcn tn'llItIon!I cnntrhllintllo ds&th 2a Did Tobacco Use ConlriMe kl Death? bulnoI_'nlha_c:ausaglYonInPa.L DYes D- ~D- 29. If Female: D"",~'-paslyear D ~at""oIdoa~ D ""'........~bulpnognanl_42da" ol_ D ""'_, bulpnognanl43da"to 1 year boIora_ D _Ip__~.paslyaar 32c'=~=:r~)Slreet,Factoey, l... ::5 I =lisl.contIllons,if8nY' to causelstedonlinea. Enter UNDERLYING CAUSE =-~.~ b. Due to (or as B consequence of): Due to (or as a consequence of): 'S;;( d. 301>. _""_F"""Va AvaiablePrlorIoCompletion 01 Cause of Death? Dyes DNo V-G. .f) Q) -c ~ ....c: <J 3Oa. Was an Autopsy - 31.Ma~Death [:1"'- DHom- DAcddant D-g~- Ds,- DCooldNolbo_od M. 32d. Thne 01 Injury 32ll.Loc:allonoll"Ul'f(S\nlat,dly/town,-1 Dyes ~ 33a. CerliIief(check rrit one) Cao1IfyIng _1~08<tiIyi1gc:ausaoldoa~_anoIharphysldan hasplOllClUOOlddoathond""""'etad Ltam23) To the bRt of my inoWIedga, dIeltl occurred due 10 IheClluse(') and mennerall8lde<L - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- =r::=,~~:'ti~Ihd~~tokJ:-~~:rruwmeras.IBted.._________________ 0 :::: = ex: tnd f or Inv8ItigItion.In my optnIon, dIIth occumtd a1the lime. dele, and place, Met due to Ihecause(l) and mBnl'l8f as staled.. 0 331:1. Date Signed (Month, da~, year) ~ j, / -]'lo 0 34. Name andAdlbss of Person ~ Cause gt.Dealh (Item 27) ~/ Print V,."..., L (ju..S"lw I fo I j) 0 O~ f/lr 17013 ! i!l 13 ! 36. ~ 1~llld.,l\ 101 ~P,,",'No 0 \q 2,<-!-G7 c:\wpS l\wills\jurgench. wi1 LAST WILL AND TESTAMENT OF CHARLES A. JURGENSEN I, CHARLES A. JURGENSEN, of 103 Green Ridge Lane, Newville, ( Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, 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 or Executrix, 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: During my lifetime I have made contributions to the Rutgers University Foundation of New Brunswick, New Jersey, for the establishment of the Charles A. Jurgensen Family Fund, also referred to as the Jurgensen Family Fund. These contributions include cash contributions and annuities made by Charles A. Jurgensen and Ann C. Jurgensen for the establishment of the Jurgensen Family Fund and include additional and subsequent funds, contributed or to be contributed, by other family members. All scholarship contributions made before the formal establishment of the Family Fund have been internally transferred at my request to the Charles A. c:\wp51 \willsljurgench. wil Jurgensen Family Fund. The Charles A. Jurgensen Family Fund is to be administered by the Office of Financial Aid of Rutgers, the State University of New Jersey, in accordance with terms and provisions set forth in a statement entitled "The Jurgensen Family Fund", signed and dated June 7, 1993, by Charles A. Jurgensen and Ann C. Jurgensen, and June 14, 1993, by J. Craig Jurgensen and Joan E. Jurgensen, which statement has been accepted by Rutgers, the State University of New Jersey. The Charles A. Jurgensen Family Fund is an endowment fund, the income from which is to be used for scholarship purposes. In addition to those funds which have already been contributed to said fund, I give $5,000.00 to the Charles A. Jurgensen Family Fund. THIRD: I make the following additional specific bequests: A. I give to the Flemington Rotary Club, of Flemington, New Jersey, the sum of $2,000.00, for application to the Student Loan Fund of the Flemington Rotary Club, in appreciation for assistance rendered to me during my student years at Rutgers University; B. I give to 31. John's Episcopal Church, of Cariisle, Pennsylvania, the sum of $2,000.00, for application to the S1. John's Episcopal Church Endowment Fund. C. I give to the Greenridge Village Fund, an affiliated fund held by Presbyterian Homes, Inc., with administrative offices in Camp Hill, Pennsylvania, the sum of $2,000.00. 2 c:\wp51 \willsljurgench. wil D. I give to the Trinity Episcopal Cathedral of 601 West State Street, Trenton, New Jersey 08618-5390, the sum of $1 ,000.00. E. In honor or my wife, ANN C. JURGENSEN, and consistent with her desires and sentiments, I give to the SOCIETY OF THE DIVINE WORD, 1901 Waukegan Road, P. O. Box 6000, Techny, Illinois 60082, the sum of One Thousand ($1,000.00) Dollars, in loving memory of the Reverend Robert C. Hunter, SVD, and the Reverend William R. Hunter, SVD, cousins of Ann Jaeger Jurgensen, to be dedicated for the purpose of housing and caring of retired priests in Techny, Illinois. F. I give to the Friends of Lochtown Stone Church, Inc., a not for profit corporation dedicated to the restoration and appropriate use of the Old School Baptist Church built in 1819, near Flemington, New Jersey, the sum of $1 ,000.00. FOURTH: I make the following specific bequests to my grandchildren: A. The sum of $5,000.00 to HEATHER ANN JURGENSEN; B. The sum of $5,000.00 to SUSAN JURGENSEN SOMERS; C. The sum of $5,000.00 to JOHN CHRISTIAN JURGENSEN; D. The sum of $3,000.00 to MARK CHRISTIAN JURGENSEN; E. The sum of $3,000.00 to TIMOTHY CHARLES JURGENSEN; F. The sum of $3,000.00 to MELISSA JURGENSEN ARMSTRONG; G. The sum of $3,000.0 to PETER RICHARD STRACK; H. The sum of $3,000.00 to ANN MARIE STRACK STERNER; 3 c:\\vp51 \wil1s~urgench. wil My gifts to the children of my son, J. CRAIG JURGENSEN, are slightly larger than to my other grandchildren, in deference to the fact that I make no bequest to him, as set forth in more detail below. FIFTH: All the rest, residue and remainder of my estate, be it real, personal or mixed, of whatsoever kind and wheresoever situate, I hereby give, devise and bequeath to my wife, ANN C. JURGENSEN, for the remainder of her life, provided she shall survive me by thirty days. My wife shall have the right to consume principal as well as income of said funds for her care and comfort during her life. For the reasons set forth below in paragraph SEVENTH, at her death, all of the remainder of said funds shall be paid in equal shares, per stirpes, to my daughter, ALICE M. STRACK, of Titusville, New Jersey, and my son, CHARLES A. JURGENSEN, II, of Florham Park, New Jersey. SIXTH: My son, J. CRAIG JURGENSEN, and his wife, JOAN, have expressed a desire to me that that portion of my residuary estate which I would otherwise have left to them, be used for the benefit of other family members or general purposes as I may choose. Consequently, believing that my son, J. CRAIG JURGENSEN, and his wife, JOAN, are well cared for financia!ly, if my wife fails to survive me by thirty days, ! hereby give, devise and bequeath all the rest, residue and remainder of my estate, be it real, personal or mixed, of whatsoever kind and wheresoever situate, in equal shares, per stirpes, to my two remaining children, ALICE M. STRACK, of Titusville, New Jersey, and CHARLES A. JURGENSEN, II, of Florham Park, New Jersey. 4 c:\wp51 \wills\jurgench. wil LASTL Y: I nominate, constitute and appoint my son, J. CRAIG JURGENSEN, to be the Executor of this my Last Will and Testament. Should my son be unable to act for any reason whatsoever, then I appoint my daughter-in-law, JOAN E. JURGENSEN, to act as Executrix in his place and stead. No executor shall be required to file bond in this or any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ;<J rJ.. day of ----1 C1-el /-L{,?;l / / ,2002. "--'. 1\ ("-,..,~J I C\ i \ ~Cv\.\M ~l~.fLLvO L~ Ch' les A. Jurgensen \.. SIGNED, SEALED, PUBLISHED and DECLARED in the presence of: '-', . . ~! 1 . . '." f. ' ~"'...U/~1tc( V). (~---h ; ~~~~ 5 c:\wp51 \wills~urgench.wil COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CUMBERLAND I, CHARLES A. JURGENSEN, Testator, 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 ac~nowledg JURGENSEN, the Testator, this rJ3/\ 0- day of by CHARLES A. ,2002. NOTARIAL SEAL MERLENE J. MAAHEVKA. NOTARY PUBUC CARUSLE. CUMBERLAND COUNTY. PA , MY COMMISSION EXPIRES JUNE I. 2002 ,d'- 6 c:\wp51 \wills~urgench. wil COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CUMBERLAND We, James D. Flower, Jr. and Sharon Simpson the witnesses 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 Testator sign and execute the instrument as his Last 'vVill; that CHARLES A. JURGENSEN signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by .James D. Flower, Jr. c;L3/Ld day of and Sharon Simpson C(f~H(j .. this ,2002. ~U~:~/ · Witness! I : j ~ ~vf'~DY\ Witness NOTARIAL SEAl. MERLENE J. MAAHEVKA. NOTARY PUBUC CARLISLE. CUMBERLANo COUNTY PA MY COMMISSION EXPIREs JUNe a._ 7