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HomeMy WebLinkAbout03-04-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OFC U'^"~\ ~ ~ COUNTY, PENNSYLVANIA Estate of ti. At\CQ/) also known as Lw\LC~_ File Number ~ \ 6~ ()aqY , Deceased Social Security NumberdS ~ - ~~ - :;- Petitioner(s), who islare 18 years of age or older, apply(ies) for: (CO/llPLETE 'A' or 'B' BELOW:) ~ A. P"b""" G,,", of L'll~' T ''''F'"'W ,"d ","b" P"'Ii",,!,) I, I _lb, \)) \\ \ \111"1\. \' t\\.l C ~ last Will of the Decedent dated \ L- -, t- DC 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 (lfapplicable, enter: c.t.a.; d.b.n.c.t.a.: pendellte lite; durante absenlla, durante milloritate) r.... ' Petitioner(s) after a proper search has I have ascertained that Decedent left no Will and was survived by the fOllowi~~se (if an~~d heirs: (If AdmllllstratlOll, c.t.a. or d.b.n.c.t.a., enter date of Wdllll SectIOn A above and complete /zst of heIrs.) .... -;;J :";;;' '",! :;~ R~~~~ "' ..;..=..::; Name Relationship "":'..} I .r::- "'J --' :;r- \C't ;"......"!- Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (Ifnot domiciled in PAl Personal property in Pennsylvania (Ifnot domiciled in PAl Personal property in County $ $ .;)QJ) csct\, C\) $ $ .;)~D IUCO L\J Value of real estate in Pennsylvania (\ situated as follows: \ ~ \ 4- C \ ~~1rV\ <::S\.., C~~ \J-0(j \ \)/L \ \~l\ ) Wheretore. 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: I Signature !JIP(/hn / /n~/dL- Typed or printed name and residence I N/~t'Rm -r /nt= 606 Y'#a- "et!fJ"'l? ~/ #/~, /// ", 7d // Form RfV.O] rev. 10.13.06 Page 1 of2 Oath of Personal Representative COMMONWEAL TH OF PENNSYLVANIA COUNTY OF e. to '""'~( \CL0cl SS The Petitioner(s) above-named swear(s) or affiml(s) that the statements in the foregoing Petition are tme and conect to the best of the knowledge and bellef of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and tmly administer the estate according to law. L-f ~gnat~1t~=res=e ~e' ~ :0 o ::n It.! _ ! --r. ~'_" ,.~. .::.-,~'_ ;r-~ :;~p ; :J I Sworn to or affirmed and subscribed before me ~he c-.:.:;. Signature of Personal Representative 0<--- C/": .:::-~... r--.. ...... S,gnature of Personal Representative ,.J.S~ _.1:- ~ r',) , - 6) \ D ~ () d.,-\,-\ Estate of 1( ~.-K.W- L ~((~~ ' Deceased SociaISecuritYNumber~~ DateofDeath:'t-~U-v-... :J~12~~l (j AND NOW, , (JC(Jl. , in consideration fthe foregoing Petition, satisfactory proof having been presented before n e, I IS DECREED that Letters Ie are hereby granted to \.D\ \\ \ O-.r<'l \"' '0\\( C' 0-\ \ File Number: and that the instrument(s) dated ~CUI'-J....a.r,-, \ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) 0 Decedent. FEES ~ ~ ~ 1/\ b Ll f, Register of ills Letters ... ./.O'\V) DO. . . . . $ 71 U Short Certificate(s) . ! 5. . . . $ W 0 Renunciation(s) .......... $ \0\\\ ... $ ...jc\? ...$ "'\-0 \~ ...$ .. . $ . .. $ .. . $ .. . $ ... $ ... $ TOTAL .............. $ .SlY) ~ dUDE in the above estate Attomey Signature: tv. fEJ'~Yf- \'S \0 S Attomey Name: Supreme Court LD. No.: 'l\So) ~~. ~ ~~ ~~~~~ l L/)~ Ik~ V\ll Address: Telephone: lt~\) d ~.d--/l~~ \ \ Form RW-IJ] rev /IJ./3.IJ6 Page 2 of2 H105.805 REV (()11071 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. $6.00 P 14122494 Certification Number REV 1112006 PRINT IN AANENT CK INK 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, ~> /J/ ~FEB t~ 2000 Local Registrar Date Issued (-) ,_co' -:Y-:l ":1 ._, ....--,j ~r :r:"-1 :I::: 'J::> COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions snd exsmples on reverse) d \ 08- 0 ~lt'-\ 1, Name 01 Decedent (Firs!. middle, lasl, suffi_} nces 1. McCall 5 Age (last Birthday) 83 Church Of God Home 6. Date of Birth (Month, da, ear) f',) c: STATE FILE NUMBER 7845 2008 ad. FacilUy Name (If not insthution, give streel and number) Sa. Place of Death (Check only one) Hospital. Other o Inpatient 0 EA I Outpatient 0 DOA [X Nursing Home 0 Residence DOther' Specify' 9. ~~~~::t~~:~nic Origin? KJ No 0 Yes Me_lean, Puerto Rican, etc,) August 20, 1924 Tallahassee, Yrs. Cumberland 1 t. Decedent's Usual Occu lion Kind 01 work done du Kind of Work " Homemaker most 01 wo life. Do not stale rell Kind of Business llndustry Own Home 12. Was Decedent ever in the U.S. Armed Forces? ove, IXINo 13. Decedenf's Education (Specify only highest grade completed) Elementary J Secondary (0-12) College (1-4 or 5+) 12 . 16. Decedent's Mailing Address (Street, city I town. stale, zip COde) Oecedenrs Actual Residence 178. State P A t7b, County Cumberland 14. Marital Status: Married, Never Married, Widowed, Divorced (Speci/y) Widowed 17c. 0 Yes, Decedenl Lived in 17drn~"~~lo~'d"lIl. Camp Hill Twp City/Boro 19. Mother's Name (Firsl, middle, maiden surname) Claud Dozier 2Ob. fnlormanfs Mailing Address (Streel, city I town, state, zip cOde) ~ Cremation 0 Donation , Was Cremation or Donation Authorized ! by Medical Examiner I Coroner? hi 606 Gale Rd. 21c. Place of Disposition (Name 01 cemetery, crematory or other place) Hollinger Funeral Home & PA 321, "Transportation Injury ( o Driver I Operator 0 P Other- Specify: 33a. Certifier (chee!< only one) 33b, Signature and Certifying physician (Physician certifying cause of death when anolher physician has pronounced death and completed lIem 23) ... To1he best of my knowledge, deat~ occurredduefo the cau~s) lInd manner as staled_ - - - - - - - - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ XX Pronouncing and certifying physlcl8n {PhysiCian both pronoUOClng death and certlfymg 10 cause of death} 33c. license"~u To the best of my knowledge, death occurred at the time, date, and place, and due to lhe causers) and manner as 5latoo_ - - - - - - - - - - - _ _ _ _ _ _ 0 0 MedIcal Examiner I Coroner , On the basil of examination and I r i 34. Name and Address of Person Who Completed Cause of Death (Item 27) Type I Print 24, TIme 01 Death 0/:/0 ;f1IIf CAUSE OF DEATH (See instructions and examples) Item 27. Part I: Enter the ~ - diseases, injuries, Of complications -thai directly caused the death. 00 NOT enter terminal events such as cardiac arrest, respiratory arrest, or ventricular fibriUalion without showing the etiology. List only one cause on each line. Approximaleinterval: Qnset to Death =~;e~~~~~~ d:~1~\ ~se:; ~ ,{: Q{~ ("c. ~ It Q..,r Due to {or as a cOr\Sequence on: vV'-s~ Sequenlially Iisl conditions, d any. ~1~~O~~D~~lm~~~~~e a (disease or iffiury that initiated the evenf5 resuntng In death) LAST. b. Due to (or as a cOl'ISequence oQ: Due 10 (or as a consequence of)' d. 3Oa. Was an Autopsy Performed? JOb. Were Autopsy Findings Availeble Prior 10 Completion 01 Cause 01 Death? 31. Manner 01 Death 00 Natural 0 Homicide o Accident 0 Pending Investigation o Suicide 0 Could Not be Determined M oVes Kl No DYes oNo 32d. TIme of Injury 35. Regis ~ Cam Hill PA 26. Was Case Referred 10 Medical Examiner I Coroner lor a Reason Other tI1an Cremation or Donation? oVes ~ Pari II: Enter olher sianificenl conditions contributinn to death, but not resulting in the under1ying cause given in Part I. 28. Did Tobacco Use Contribute to Death? o Ves 0 Prob'b~ ~ 0 Unknown 29, If Female o Notpregroantwilhin::.astyear o Pregnantaltimeofdeath o Not pregnant, but pregnant Within 42 days of death o Notoregnant, bul pregnanl 43 days to 1 year belore death o Unknown if pregnant within Ihe pas1 year 32c. PI~ce of Injury: Home, Farm, Street, Facto/)', Offfce Building, elc. (Specffy) 32g. Localionol Injury (Streel,cityl to'Nfl,statel p ( 33d,DateS;gned(Month,clay,year) ? cl'( )fO!) I dl/l.,.(1 / I" J DiSpo,;'o' Peemh No. 0195663 Darryl Guistwite, D.O. 56 -Asnton :StreE!t Carlisle PA 17013 II LAST WILL AND TESTAMENT OF FRANCES LOUISE McCALL c') ..~ ~:;~ I"~ ~.'. , -)- ::,. I, FRANCES LOUISE McCALL, of Cumberland County;::::Penns~vania, ---1 .. f"._ being of sound mind, memory and understanding, do make andcpublish this my Last Will and Testament, hereby revoking and making void all former Wills by me at any time heretofore made. ITEM I. I direct that all my just debts and funeral expenses be fully paid and satisfied as soon as conveniently may be after my decease. ITEM II. I give all of the rest, residue and remainder of my estate unto my four (4) sons, James A. McCall, Jr., William T. McCall, Glenn P. McCall and Mark E. McCall, in equal shares, or to their living issue per stirpes. ITEM III. In addition to the powers conferred by law, I authorize my Executor, in absolute discretion: A. To retain in the form received, and to sell either at public or private sale any real or personal property. B. To manage real estate. C. To invest and reinvest only in forms of property defined as legal investments according to the laws of the Commonwealth of Pennsylvania. D. To exercise any optional rights arising from ownership of investments. II E. To compromise claims without court approval, and without the consent of any beneficiary. ITEM IV. It is hereby directed that my Executor, hereinafter named, shall pay all inheritance, state, succession and legacy taxes to which my estate or the transfer of any property hereunder may be subject and to charge such tax as part of the administration, payable out of my residuary estate. ITEM V. I nominate, constitute and appoint my son, William T. McCall, to be and act as my sole Executor of this my Last Will and Testament. In the event of renunciation, death, resignation or inability to act for any reason whatsoever of my son, William T. McCall, I nominate, constitute and appoint my son, James A. McCall, Jr., as Executor of this my Last Will and Testament. No personal representative or fiduciary appointed herein shall be required to post bond or give any security. \\\ IN WITNESS WHEREOF, I have hereunto set my hand and seal this da y 0 f -j"", "1><;\ L ) ,2 0 a:a. ~-'7A.77.r-.." ~.(f~ 1'11~~ FRANCES LOrrISE cCALL 2 II The preceding instrument, consisting of this, and two other typewritten pages, was on the date thereof signed, published and declared by FRANCES LOUISE McCALL, 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 names a witnesses hereto. Residing at ~\\\"M- ~~~ \..kJr-V\~~0" ~. ~v~JJ ;JW/ Residing at 1< ~J:~lltJcV, 9l0L)(}i~ fl/7070 3 II . COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF The Testatrix and the witnesses whose names are subscribed to the foregoing instrument, being first duly sworn and qualified according to law, do hereby acknowledge and declare to the undersigned authority that the Testatrix signed and executed the instrument as her last Will in the presence of the witnesses, that she signed willingly or willingly directed another to sign for her, that she executed it as her free and voluntary act for the purposes therein expressed, that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witnesses, and that to the best of their knowledge, the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. J~/~~1f.1A/-<Y_ ~~ estatrlx Witness Witness Sworn to, subscribed and acknowledged before me by the above named Testatrix and witnesses this 7--Ht day of 02008 2007. JilUl JJ. ..;J!9lvu Notary Public (SEAL) 07435-001/126645 COMMONWEALTH OF PENNSYLVANIA Notarial Seal Karen W. Porr, Notary Public Susquehanna Twp., Dauphin County My Commission Expires Oct. 25, 2010 Member. Penn..'lvlll'2n:ll ,4.ssod3lion of Notaries 4 OATH OF SUBSCRIBING 'VITNESS(ES) o J;g .' .if? r-; /! 1-.' (\. LGISTER OF WILLS ~~L COUNTY, PENNSYLVANIA -<~; , c/) ;:~: I .c- ~~. Estate of h 0r-r\CW L N\c~ , ,. ~ ,'>., C, , Deceased , j ~ <--... \<. ( ~ \' {) III h~\( ( , (each) a subscribing witness to ~ (Print Name/s) \'" '\ \ the'b Will 0 Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that 'She / he / they was / ~ present and saw the above Testator / Testatrix sign the same and that she / ~y signed the same and that she / h-e-f.-#tey signed as a witness at the request of the Testator / Testatrix III her / his presence and in the presence of each other. ::SlJ- ~ (Signature) \"\ \ \ \:j (Street Address) (City, State, Zip) (City, State, Zip) Executed in Register's Office of before me this . friar uli Sworn to or affirmed and subscribed t-f Executed out of Register's Office Sworn to or affirmed and subscribed _d~ cfl)b~ . before me this day of Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy ofinstrument(s) at time of notarization. Form RW-OJ rev. 10.13.06 OATH OF NON-SUBSCRIBING WITNESS(ES) C \ ~GISTER OF WILLS \t~~\ \~<:j COUNTY, PENNSYLVANIA Estate of 17 ~\C\Y) L W\'-C~ , Deceased &.eHN ~ /H~cAu- and (each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were well- acquainted with ff V6\--\C. Q...O L t'0 c (0s!< \ and am/are familiar with the handwriting and signature of the decedent, and that the signature of to the foregoing instrument purporting to be the Last Will and Testament/Codicil of f{ (-t-n C5v) L. 'N\ l ~ is in his/her own proper handwriting. xid~ (Sfgnillllre) (Signatllre) .f'? ~Ktt;.~(Jt:)./) ~ (Slreet Addres;) (Street A ddres;) &,tvs~ n,. /7~/3 (City. Slate. Zip) (City. State. Zip) Executed ill Register's Office Sworn to or affirmed and subscribed IJ.../-h before me this r day of fYWt)) f~ h , :xJ()f . Cfl1i.1 fVu GO ~hrvJ Deputy for Register of Tills ~ Form R W-04 rel'.! U. 13. or,