HomeMy WebLinkAbout03-14-08
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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF L1.f. mhftkd COUNTY, PENNSYLVANIA
Estate of
{(1,J..1l-4:JlI. ~J.Jp.
}\1.
G I/bEifZ,.T
File Number
also known as
, Deceased
Social Security Number /
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
o A. Probate and Grant of Letters Testamentar~ 'jRd aver that Petitioner(s) is I are the JC)H,.:) K. G ,I b e ~T S~amed in the
last Will of the Decedent dated ;r}/lV If, jq"'Oand codicil(s) dated
,
;-....J
(State relevant circumstances, e.g., renunciation, death of executor, elc.) C ') ro'O
~~ () c.r~
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after executiOrl6!':l~~instru~t(S) o'ffered':-
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:.; rl~ :;";::1
_..~'"J .,i:"""
o B. Grant of Letters of Administration
- " ('-.~'-\
"1--"
;t:c"
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; dur'aiu,';,lllilloritatej::.
,--'~'i CJ
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (ifanY)Jnd heirs: (If
Adnllllistration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
C
JOHN
Name
~. al/b€/Zr ~T1L.
Relationship
..5"lJI'I
Residence
Ib,,, 1!o".8u ~'I- Rd. NEw<JIlle
I
fJA J-Vtl (
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
.l1ecedent was domi 'Ie at death in CLlI/C~E~AIOf) Cqu)lty, Pennsylvania with his / her last principal residence at IPS-I)
~x. uP . bWlJl/lC f7If" 'I (
(List street address, towIl/city, township, county, state, zip code)
Decedent, then 19 years of age, died on (),]/dl/Oo at /A~/';I{jt-E ~/()J(lAl/J1ef) CE"uT6'R...
f I
De'~ede[1t at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
$ ,.. 0'-
$ ,j/ e>~O~ ~
$
$
situated as follows:
Whereti)re, 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:
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,-,--
.:.JOIfN
Form RW-02 rev. 10./3.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF (1.m~
ss
<._" ~
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are hue and CO!TeCt to the best of
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
before me the
',-
Signature of Personal Represelllative
)J'
Signature of Personal Representative
File Num55r:
Estate of /CJ<-Jh ~
Deceased
AND NOW,
Social Security Number: /
/Y ,&nwf ,in
.----;
e~ore me, IT IS DEC~ED tha}.Letters
- .{: 'r
Date of Deatl1:
$ 9 ;~7{~g
in the above estate
having been presented
are hereby granted to
and that the instrument(s) dated ~....... Ii; /99 U
described in the Petition be admitted to p e and filed of recor~ as the last WJlyand COdlC
FEES
Letters
-3J. (p
QICU
"
'" tlj~IT
~
$
$
$
$ 15.W
$---JO ,oJ
$ E).OJ
$
$
$
$
$
$
$
Attomey Name:
Short Certificate(s) . . . . . . . .
Renunciation( s)
Attomey Signature:
Supreme Court I.D. No.:
Address:
Telephone:
TOTAL
Form RW-O] rev. 10.13.06
Page 2 of2
H 1('''; :-:n,'" 1<.1:\
08-Q81
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Certification Number
1111111''''''''''''''''''
.\.\\"~"'\.,\\ OF PEl----__
i~~', ~~"'-
f~_" " ~ " ' 0,,~, '\
i~! 0: . -~ ',~~
~c::ti ~., 1-::
~e,..)\ '.fjl I.h.~
~ *\4<- < ," .__'. _'>:/ * S'
':. a.'" "~"" .' /~
\.~~ ". /~~
... ':?.Q~~'~ I'
';.......~~I4fEN\ \\~ ~\il".\.\
""'''".1,,,,#,,''11,,1''
This is to certify that the information here given i~
correctly copicd from an original Certificate of DeaH
duly filed with me as Local Registrar. The origina
certificate will be forwarded to the State Vita
Records Office for permanent filing.
Fee for this ccrti ficate. So.OO
P 14394360
~. i~&.~MA~ 11/2008
Local Registrar Date Issued
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H105-143 REV 1112006
T'fP'E I PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
G,,)
STATE FILE NUMBER
Cumb
Middleton
most of work' IlIe. Do not state
Kind of Business f Industry
Carlisle Re ional Med Cent.
12. Was Decedent ever In the 13. Decedenfs EdUCation (Specify only highest grade completed)
U.S. Armed Forces? Elementary I Secondary (0-12) Conege (1-4 or 5+)
OV" [Jtlo 12
4. Date of Death (Month, day, year)
191 -42-8386 March92008
1. Name 01 Decedent (First, midlle, last, sulfb:)
Ruthanna N. Gilbert
'} .
Other:
5. Age (Last Birthday}
6. Date oI8iT1h (Month. day, yeal)
79"
8b. Coun~/ 01 Death
Mar 26, 1928 Franklintown
Bd. Facility Name (1I not institution. give stteet and number)
00lhe<.Speci1y,
10. Race: American Indian, Black, While. etc.
(SpecifYI
white
. 16. Decedl!rlt's Mailing Address (Street. city I t~, state, zip code)
650 Roxbury Rd
Nekville, pa 17241
Decedent's
ActualResidence 17a.State
t7b. County
pa
Cumb
14. Marital Status; Married. Never Married,
Widowed, Dj,O/OOd (SpecifYI
Widowed
OidOecedern.
Live ina
Township?
17c.Ov","",,Q~r Mifflin
170.0 No,__'M1hin
Actual Limits 01
Top,
CIty/Boro
18. Father';; Name (FIlSt, middle, last, suffix)
Fred Yost
19. Mother's Name (Arsl, mIdlie, maiden sumamel
Treva Nelson
2Ob. Informant's MlliIing Addteu {Street, city I 1tNm, state, zip code)
650 Roxbury Rd Newville, Pa
21c. Place of Dispo9ition (Name of cemetery, crematory or oth9r place)
2008 Newville Cemetery
220. "'me and Add.... 01 FadOly 1 5 Big
Egger Funeral Home Inc .
21d. Location {Cily I town, slale. zip code)
Newville, pa
Spring Ave
23c. Dale SIgned {Month, day, year')
3Oa. Was anAulopsy
P<rl<>rnIed1
d.
3Ob. WereAufopsyFildlgs
AvaiIablePrioftoComp\e1lon
of Cause of Death?
Oy" ONo
31. Manner of Death
~ OHomiclde
O-'OPend1ng-gallon
o &;cide 0 Cou~ Not "" OelemliM<j
I Approximate inteMl:
I OnsetloDeath
,
,
,
,
,
,
,
,
I
,
,
,
,
,
,
,
28. Did Tobacco Use Contribute to Death?
o v.. Jd<>-
G}1IIO 0 unknown
29. ~ermy
[].A6 prepnt wi1tlin past year
o P_"'me~"''''
o NolPf'9l1ant,bul,regnsn''''''''''''"""
01"'",
o Notp<eglBn/,bulp<eglBn/43daysIo1yw
bekn death
o Unkoown',..gnant""''''"",yw
32t. PIsce of 1~LNy. Home. Fl\ITll, Street, Factory,
0Ifice Building, etc. ($ptJdfy)
=~;~:~'1~ci~
'0 ('\ ~,~ ~c,
Due to (or as a consequence 01):
-\..;,
l..
.....
-
.......
_"'conditi<loa.'any,
IBadIngtothecausellstedon~ne8.
En1er lha UNDERLYING CAUSE
~r:.~ryWlu:a~~e
b.
Due to (or as a consequence of):
c.
Due to (or as a consequence of):
Ov"
32g.LocationoflnjtJry(Streel,city/town,state)
33a. Certifier (check only one)
~1l1ylng p!lyalclan (Physidancerttiyingoause of ...,,_ -.. _ has"""",""" -. and "'~lad Ilem Zl)
To lhIbestofmy knowtedge,dnthocctmd due la the catJM(s) and n'IInnBrlSstated... _ ___ _ ___ _ __ _ _ __ ___ _ ___ _ __ _ _ __ _... _ D
Prt"",""ln!landcortlfying~(Physicianboth_-'and"'rtilyinglooauseoldea")
To ttJe best of myknOWledgf, deldh occurred lllhelfme, dille, Ind place, and due to the cause(s) and manner as stated.. _ _ _ _.. _ _.. _ _ _ _ -.. -...-
~: = ~c: tndl or Invutlgla6on.In my apIn\on,deaIh oecurred:at tbe\ime, date, and place, and due to the cause(.) 100 m&nn8f 19.tIIed.. 0
I~ II I a.. I I 10 I
"'O~i~r:;aY,Y'",'
34. Name and Address of Person Who Completed Cause of Death (Item 2n Type I Print
L-~ l-\' """,e<.'l..8ut
z.1..O W-~\~_ ~
C ,At\-L...~C p.A 17 C> 1,3
DIsposition Permit No.
Olq~+~
LAW OFFICES OF
STEPHEN). HOGG
401 E. LOUTHEFI STREET
CARLISLE, PA 17013
WILL OF
RUTH ANNA GILBERT
I, Ruth Anna Gilbert, of Newville, Cumberland County, Penn-
sylvania, declare this to be my last Will and hereby revoke all
prior wills and codicils.
1. I direct that all my just debts, funeral expenses, grave-
marker and administrative expenses shall be paid from my residuary
estate as soon as practicable after my death.
2. I direct that all inheritance, estate, transfer, success-
ion and death taxes of any kind whatsoever which may be payable by
reason of my death shall be paid out of my residuary estate.
3. I direct that my entire estate be divided as follows:
A. I leave my entire estate of whatever nature and wherever
situate to my husband, John K. Gilbert, should he survive
me.
B. Should my spouse predecease me, I then give all of my
estate of whatever nature and wherever situate equally
to my two children, John K. Gilbert, Jr. and Diane M.
Hefflefinger.
C. Should either of my children predecease me, then that
child's share shall go to his or her children equally.
4. I appoint my two children, John K. Gilbert, Jr. and
Diane M. Hefflefinger, as co-Executors of this my last Will, or
the survivor of them. If both of my children predecease me or cease
to act in such capacity, I name Richard N. Gilbert to so serve.
5. The Executors of this Will shall have the power to distri-
bute my estate in kind or in cash, or partly in either.
.. J
6. I direct that no Executors acting under this Will shall
be required to enter bond in any jurisdiction.
(~l
I~ WITNESS WHEREOF, I have hereunto set my hand this /6 (jay
,//1 C;;~1 ,1990.
I
zA~~
Ruth Anna Gilbert
f:f/i
~h,
LAW OFFICES OF
STEPHEN j.. HOGG
401 E. LOUTHEI~ STREET
CARLISLE, P,I\ 17013
The preceding instrument consisting of this and one other
page was on the day and date hereof signed, published and de-
clared by Ruth Anna Gilbert, 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 as witnesses
hereto.
~~ 9~~
/
l~' }n, ~A7"\.-v\:'-
LAW OFFICES OF
STEPHEN}. HOGG
401 E. LOUTHER: STREET
CARLISLE, PA 17013
ACKNOWLEDGMENT
Commonwealth of Pennsylvania
ss
County of Cumberland
I, Ruth Anna Gilbert, 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 instru-
ment as my last Will; that I signed it willingly and as my free and
voluntary act for the purpos~s therein express~l1~
,~~ ~ r,r ("-
Ruth Anna Gilbert
Sworn
Gilbert, the
to or affirmed and ac~~ledged before me by Ruth Anna
testatrix, this //1 day of ./~af?- ' 1990.
~.t/~
~;il:~rr,'~_~-:':<
Notary P
f
AFFIDAVIT !
Commonwealth of Pennsylvania
5S
County of Cumberland
We, Eve / y.;C/ Ie ~Sr-and LElllI IY). No \I:
the witnesses whose names are' signed to the attached or foregoing in-
strument, 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 sign-
ed the Will as a witness; and that to the best of our knowledge the
testatrix was at that time 18 or more years of age, of sound mind and
under no constraint or undue influence.
~ A: ~~/ ~
/
~~~
.S~~n to or affir.med and
this ~\ day of . ..~la['J
/
1 ,f;J()t:~.i'lr S.,:~i . n' 1
I c~t~\}~f~;;:,:.l;:'~;~::;~;~;~:::.'j ?~~':~j J.
L._,~_~.:~=:~:~~~~n [;.~..:i:';:.~~~.~:.._. -; ~~':~
~.Jr-;r"<:Y::,'~ [\::':v.~~}/r/c:)""'I;::l /\.:,S/)'~;ErCn of N0t?Jieg
subscribed to before me by witnesses,
, 1990.