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Home My WebLink About03-14-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA I I Estate of patri~ A. also known as 1 A Urban File Number ~,\-Oq/ O~ 8Lo . Deceased Social Security Number Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE ~' or 'B' BELOW:) [] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executrix last Will of the Decedent dated March 24, 1998 and codicil(s) dated N / A named in the l.....~ Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution &strumen~ offe~d , for probate, was not the victim of a killing and was never adjudicated an incapacitated person: None 'j ~ :;:;:' 1---;-- '.) "."AJ '.' (State relevant circumstances, e.g., renunciation, death of executor, etc.) o B. Grant of Letters of Administration (Ifapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante.;;(jnpptqte) "I:" ,-". ,,';'\ ::...,~. Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spoils~fany) anrbeirs: (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.) :::", S;) ::: r-rl - ~.---:: :::C) J;- Name Relationship Residence WI (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in Cumber land County, Pennsylvania with his / her lastprincipal residence at 3305 Market Street, Camp Hill Borough, Cumberland County, pennsylvania l/Ull (List street address, town/city, township, county, state, zip code) 80 f d' d February 26, 2008 Decedent, then 1 i years 0 age, Ie on at pennsy van a Harrisburg Hospital, Harrisburg 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 $ 6.000.00 $ $ $ None 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: I .----... Signature " ( ), - I ! ) ~;a~c-C.~/ A ),rnJ &(\ j Tvped or printed name and residence Patricia .\. Urban fAne./eIA.4. S41!It:>("c 101 North 36th Street, Camp Hill, PA 17011 I Form RW-02 rev. 10.13.06 Page 1 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 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 before me the ~ day of (~'I I J/, ", . (: / I l 'x. \, ;/'iiriu./JJ U :,j,:V_h~ Signature of Personal Representative Patricia (JA. ~ ,/1 SAVI061ii' Signature of Personal Representative Signature of Personal Representative Date of Death: o :~:'~ . -T) 1': ,'- ';=~_) , Deceas.e.d: ~l=] ~.f) :/.:~ February 26, ~00~ _~ I ,~."\ C.-;-) ~ - , c.:x:) File Number: ;) 1-0'(- O,~3{o ~c-" -'..., Estate of Patricia A. Urban .&:- Social Security Number: ):'CO 1':1.. AND NOW, March \ 4 ~ 2008 having been presented before me, IT IS DECREED that Letters areherebygrantedto Patricia A. Savidge , in consideration of the foregoing petitio~,l~atist1lCtoW proof , . Testamentary " 'l in the above estate and that the instrument(s) dated MRrrh 14, 1 qqR described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES ',00 .fip/nciJL (,TallfLf}u jt1(/~ 'Lue t~ 4 c: Register of Wills n/i{ /i.b.Q Letters ............... $ .,), ,/r/7/1/7.-!- (J , Short Certificate(s) . . . . . . . . $ ;)OIOlJ Attorney Signature: v r r V-'---....::. "- Renunciation(s) .......... $ Kei th O. Brenneman "lA I: .1 1'- VU Attorney Name: ..mLlU . . . $---1 "J ,lCP ,- ... $_10. 90 Au1'om-u1'1f'~ ... $ .5, Crt) . .. $ ... $ . .. $ . .. $ . .. $ .. . $ TOT AL .. . . . . . . . . . . . . $ Supreme Court J.D. No.: 47077 Address: 44 West Main Street MprhRnic,c:;hllrg, FA 170')') Telephone: 717-697-8528 q5.~ Form RW-02 rev. /0.13.06 Page 2 of2 r: i _ r' r:( _ 0'''' n (J ' rY- I LI i 0(/3 &:/ LOCAL REGISTRAR'S CERTIFICATION OF DEt~TI-I WARNING: It is illegal to duplicate this copy by photostat or photograph Fcc for this certificate, $6,00 Certi fication N lImher ~iJf/iiiii;;,;..; II"~'~~1\\ orp~;;--.. II,-.\.\.I'\---~l;l(1' -. ,...~~ " 'Jj;"'-.. /~r:.. '~[i;~\ r/~~! .~~~ ""c::.' -,. ~ ~ w( ,.;~~. ;I.i:~ \\*~"'-'!*f ~~(::2""" /~l \.~~/~/ "- - ~ ~,I ,,--!1l1~1~/{. 't.~ ,,1' ,%-~/"EN1 \1, """ ~IIJlIII This is to certify that the information here given is correctly copied from an ori~~inal Certificate of Death duly filed with me a~ Ll'ca Registrar. The original certificate will he lorwardcd to the State Vital Records Office for permanent filing. P 142888U1 .J. /~7 / oF' Date Issued !~'-..:) Q -~. . 'h. ~.:.',,;p ---r-'! ~~ .;:- s~ H105'143 REV 11/2006 TYPE I PRINT IN PERMANENT BLACK INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions end examples on reverse) 0" 80,,, Oct. 3, 1927 Steelton, PA STATE FILE NUMBER 1 Name 01 DecedenllFirsl. milHe, last, sulfixl Patricia A. Urban 5 Age (last Bllthday) 8491 6. Dale 01 Birth (Month. day. ear) Bb County of Death Sd. Facilily Name (n not insIilulion, giVI $Steel and number) Sa. Place 01 Dealh (Check only one) Hospital: OIher: Inpallent 0 EA' Oulpal.-nt 000... 0 NUfSlng HOI1l(I 0 Re&lOlHlcI DOlhel' Spec:11y 9. Was Decedenl of HispanIC Origin? ~No 0 Yes In yes, _ Cuban, Harrisburg Hospital Me"..", P""no R<","') 12. Was Decedeol evef in the 13. Oecedent's Educalion (Speedy only highe$l grade completed) 14. Marital Slat\A: Married, Neller Married, U.S. Armed FOtCes? Elemellta'Y.,/2Secoodary (0-12) College (1-4 or S+) Widowed, Divorced (Specify) 0'" lit... 1 Widowed 7. Birthplace (Cily and ,tale or lore 17b. Counly Pennsylvania Cumberland Did Decedent Uveina Town$hip? 17e 0 Yes, DecedeolllYed 1(1 17d~~::'JN"W"" Camp Hill Twp Dauphin most ol worki Ide, Do not stale fetired Kind 01 Business I Industry State Government . 16 Decedent's Mailing Address (Slrael, city I town, slale, lip codel 3305 Market Street Camp Hill, PA 17011 Oecedenf, Actual Residence l7i.SIale CIIy/Boro 18 Falile/'sName (Fisst, middle. last, suffix) Vincent J. Shimp 204. Inlormanl's Name (Type I Print) Patricia A. 19. Molner's Name lFirsl, miltIe, maiden sumame) Helen C. Hennessy 2Ob. Informant's MailW1g Address IStreel. city 11own, S1aI8, zip code) 101 North 36th Street Camp 21c. Place ol Disposition ,Name of cemetery, Cf&malofy Of other place) " ~ ~ "- Complille flems 23.-c ooIy when cerlilying ptl~:>icwnlsnotayallabjealllmeolClealhtl.l cenily cause ol death Gate of Heaven Cemete 8 Market Plaza Mechanicsb 23b license Numbe( PA 21a Melhod01 DispoSillOn 23c. Date SIgned (Month, day, year) j ! o ! 30a Was an Autopsy Perlormed1 JOb Were Aulopsy Findings AvadOlble Plio!- to Comple1l0n 01 Cause 01 Dtialtj'1 DYes 'Q(fNO 31. Manne! 01 Death ~N;;turi:ll o Honucu;l" D Accld,mt 0 Plln.1ing In~t!sligatIOl'l o SUIcide 0 Cook:! Not be Determined 26. Was Case Relerrecllo Medical Examiner I Corooef lor a Reason Ql:her lhan Pf&mallOn or Donalloo? DYes Ji( No Part II: Enlef OIher sKnficant ~ coolriblJlino 10 duJb, 28 Old Tobacco Uie Contnbuti 10 Oealh? bulllOl resullilg in Ihe underlying cause gillen in Pan I 0 Yes 0 Probabty o No 0 Ullknown 29I1Femalll tit( Not plagnan! wnhln ~ ~e... fj Pregnant allirTle 01 d8alh o NoI pregnant but pregnanl wiIhtn 42 days oldealtl o Hot pregnant. hul pregnant 43 days to I 1eer belen dea&h OlJnknolrtnlfpre~wllhin\htpaSl""f 32c Place of Injury: Hoole, Farm, Streit, Factory, Dna Building, elc (Speedy) Ilems 24.26 mu~t be completed by pEIrson who pronouOt:es deatil . , I , CAUSE OF EATH {See Instruction. end ex Item 27 Part I: EOlef Ihe~.mrllii ~ diseases, InJurIes, 01 complicat,ons - lhat directly caused !he Qealtl. 00 T enter terminal respuJ.tory arresl or ventflculallibnllabon ....Ithout shOWing the ehalogy Us! ortt one cause on each line IIIMEDlATE CAUSE ""..., "..",'" €-. e~ ; ~' """"'" ""lbngnd..lIl} -.. a iV "" b tl Due 10 (or as a coos 01) \ SlilQU8ntld~ IIs1 condlllOOS II any (' 0 'i., \ Cc. oJ /l ~ ~=~ UNO'iR~~~AU~~ a Due 10 (or as a consequence 01): ldiseaseorinjurylhalinilialedlhe IlYSnts rllsuitlflgm dealil) LAST. Due 10 (or as a consequence 01) ~ ~ ~ DYes .1)I(No 32d TlffiElotJrlJUf'Y M 33a Certifier lct\edo; ooty one I Certifying phY5iciln Whli::'IClilfi cll/IlIYlng c,",use 01 death wh<ln <lnoltlf:l pll,'SlCldf\ hdS prunounccd QeJ.th and oompleted!tern 23) 10 the best of my knaw~, death occurred dutto 1he eause(sjand manner aaltaleL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ;~':"~=~~:t~ :~~~~::~I:c~~:r~~I:~ :':=~~::n:n:e::~~~~:rt~iot~:~:~~a: mlnner as ltated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 Medical fllmmer I Coroner On the balla 01 eUllllnatiOfl and J or investigation, in my opinion, death OCCUUt;d tithe lime, elale, and puce, ....d due 10 the eaUH(slllod I1lInner 81llated_ D 33d Dale Signed (Month day ~i3f~ cr ,-I 1- 6 (() . 2._Z,,-o Jf1,/~'1'"" LU"'Y I:l1o/~I.PA '7r~2~- DI~poSltlOO Perrrnl No ) ,,~ ,~ \-;\ ^\, LAW OFFICES SNELBAKER. BRENNEMAN & SPARE LAST WILL AND TESTAMENT I'..... OF c~ PATRICIA A. URBAN ~:"" ~.+.'- . .'-~.~ I, PATRICIA A. URBAN, of the Borough of Camp Hill,~. ~:': Cumberland County, Pennsylvania, being of sound and di~pbsin~? mind, memory and understanding, do hereby make, publish and G. declare this as and for my Last will and Testament, hereby revoking and making void any and all wills by me at any time heretofore made. 1. I direct that all my debts and funeral expenses be paid as soon as practical after my death by my Executrix hereinafter named. I direct that all taxes that may be assessed as a consequence of my death shall be paid from my residuary estate as part of the expenses of the administration of my estate. 2. I direct that all my personal property and household furnishings be divided equally among my children, BARBARA A. SANS, CAROL A. CRUPI, PATRICIA A. SAVIDGE, LEONORE LUJANIC, STEPHEN M. URBAN and DANIEL T. URBAN, as they can all agree and in the event they cannot agree, then those items of personal property and household furnishings which the aforementioned beneficiaries cannot agree to divide among themselves be sold at public auction by my Executrix or Executor, whichever the case may be, hereinafter named with the proceeds of such sale to be distributed as part of the residue of my estate. 3. All the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath in equal shares to my children, BARBARA A. SANS, CAROL A. CRUPI, PATRICIA A. SAVIDGE, LEONORE LUJANIC, .. .# STEPHEN M. URBAN and DANIEL T. URBAN, absolutely. In the event any of my children above named shall predecease me, I direct that the share such deceased child would have received shall be given to his or her issue surviving me per stirpes and if there shall be no such issue, then such share shall lapse. 4. I hereby nominate, constitute and appoint my daughter, PATRICIA A. SAVIDGE, as Executrix of this my Last will and Testament, but should she predecease me or fail to qualify, then in such event, I nominate, constitute and appoint my daughter, CAROL A. CRUPI, as Executrix of this my Last will and Testament. I further direct that no person serving as Executrix hereunder shall be required to post any bond to secure the faithful performance of her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last will and Testament written on Two (2) pages this 24th day of March, 1998. /'~' ~ ;/ r~~ ' (2, CA. ./-d-?-U (SEAL) Patricla A. Orban Signed, sealed, published and declared by PATRICIA A. URBAN, the Testatrix above named, as and for her Last will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~€),~ ( SEAL) LAW OFFICES SNELBAKER. BRENNEMAN & SPARE /k~/AA-- ~ }JrA (SEAL) -2- COMMONWEALTH OF PENNSYLVANIA) SSe COUNTY OF CUMBERLAND) We, PATRICIA A. URBAN, KEITH O. BRENNEMAN, ESQUIRE and SUSAN L. ZYCH, the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last will and Testament and that she had signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the will as witness and that to the best of his or her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. /'-7)~LA/ aV . (>/ / ~ ,/ . {C:1 -4-~ ~x witness ., _-k,~ /:" ~h Wl.t s Subscribed, sworn to and acknowledged before me by PATRICIA A. URBAN, Testatrix, and subscribed and sworn to before me by KEITH O. BRENNEMAN, ESQUIRE and SUSAN L. ZYCH, witnesses, this 24th day of March, 1998. c~ r;1, ~ Notary P blic LAW OFFICES SNELBAKER. BRENNEMAN & SPARE Notarial Seal Chnsbne M White Notary Public MecIlarncsbul'g Boro Cumberland County My CommIssion Exptres Sept 17 200i Member Pennsylvania Association of Notaries