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 :";;;'
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Name
Relationship
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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?
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", 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.
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~gnat~1t~=res=e ~e' ~
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Sworn to or affirmed and subscribed
before me ~he
c-.:.:;.
Signature of Personal Representative
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S,gnature of Personal Representative
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Estate of 1( ~.-K.W- L ~((~~ ' Deceased
SociaISecuritYNumber~~ DateofDeath:'t-~U-v-... :J~12~~l
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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-
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Attomey Name:
Supreme Court LD. No.:
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l L/)~ Ik~ V\ll
Address:
Telephone:
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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
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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
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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
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(\. LGISTER OF WILLS
~~L COUNTY, PENNSYLVANIA
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Estate of
h 0r-r\CW
L
N\c~
,
,. ~
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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,