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HomeMy WebLinkAbout03-20-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYL VANIA Estate of Josephine Irene Talmadge also known as FileNumber ~ 1.08' - 03/ L , Deceased Social Security Number 196-14-7942 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE ~' or 'B' BELOW:) o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Coexecutrices last Will of the Decedent dated January 24, 1978 and codicil(s) dated None 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 (Ifapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) ;'.: C) ~ Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spous~~y) and h~: (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.) '5 :;g s;:: .. -c: CJ :;::u d' _ I Relationship ~;'rn '" I Name Residence ",. 7 "(I :-::: l/) /..... .. ,- :~j:::,: ,,-, -"::3 L0 (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. ._,_.to...' cr-,. Decedent was domiciled at death in Cumberland 541 Lowther Street. Lemoyne. Pennsylvania 17043 (List street address, town/city, township, county, state, zip code) County, Pennsylvania with his / her last principal residence at Decedent, then 84 years of age, died on March 17, 2008 Road, Dauphin, Dauphin County, Pennsylvania 17018 at the home of her daughter, Susan K. Katz, 1451 Miller Decedent at death owned property with estimated values as follows: (If domiciled in P A) 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 '2Co;oco $ $ $ $ 100,000,00 situated as follows: 541 Lowther Street, Lemoyne, Cumberland County, Pennsylvania 17043 Wherefore, Petitioner(s) respectfully request(s) the probate ofthe 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 Susan K. Katz, 1451 Miller Road, Dauphin, P A 17018 Donna Potter, 4665 W. Edgewood Drive, Appleton, WI 54913 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 of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly Sworn to or affirmed and subscribed F) ~ k., before me the or 0 day of ~~~~"'"'~{ ~k ~ )J-~T I~ C') (~~ :,-\20 }}_~~-1 ~ t;~ :i~~J. i (':':-" ,c~ administer the estate according to law. Signature of Personal Representative a...:. :z -f~ >,,0,,) 1') o Signature of Personal Representative , ,,'"-", ,"'~, '. .'< ,. " C-.-; -~1 ; '-~".- - ~!.~, ....0 (.,) o File Number: ;) J - 08 - 031;;L Estate of Josephine Irene Talmadge , Deceased Social Security Number: 196-14-7942 Date of Death: March 17, 2008 AND NOW, ~C ~ ~O , a oor; , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters ~S\A fY'Ir-:' NTAR...~ are hereby granted to Susan K. Katz and Donna J. Potter in the above estate and that the instrument(s) dated \ - c';l y. - l ~ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. flpflr!r... !JaAl)l-j ~bOltf, Register of Wills Short Certificate(s) . . . . . . . . $ Renunciation(s) .......... $ lJ0\ \\ ... $ ~<LP .., $ ~\A... + C'ti\o. -\ \ l~ . . . $ .. . $ ...$ ...$ .. . $ ...$ ... . $ TOTAL............... $ ~-l<:t-OO~ $ '~IO .00 3~ -00 Attorney Signature: ~A~~ FEES Letters \5, C5::> 10.00 5.Q) Attorney Name: Supreme Court J.D. No.: Address: Telephone: Form RW-02 rev. 10.13.06 Page 2 of2 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. $6.00 Certification Number 111"~~(1\rof'p'(;;:-____ l'l~~.. '~"\ ,,~ .~,. ;.-:::" I~_...~... '. \~\ ~ ~i~_- . "' )~~ ~ t-' -[-11' ,I~~ %.*~. ....'.... "'I*f ;. ." -, .-" /~\" .. ~ . ... /..~ I" "'-~ ~~,l\ .......2P,MENi \\\ ~,,'1111 """"""#'11111111'" This is to certify that the information here given is correctly copied from an original ~ertlflcate 01 ~~a~h dul filed with me as Local RegIstrar. The ongmal ceri:ficate will be forwarded to the State VIta] Records Office for permanent filing. ~_ /Jp ~ MAR 1 ,~ 2008/ Local Registrar~" Date Issued P 14123771 r-......"l S.Age (LaSI Birthday) 84 1, Name of Decedent (First, middle. las!, suffix} Josephine I. Talmadge COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) ;; :J"':: f'.) CJ .,,_" III<::WO PRINT IN AANENT 9,K INK :r-.- v" Dec.27,1923 u _oj STATE FILE NUM8~ \..0 6. Dale of Birth (Month, day, year) 3. Social Security Number 196-14 ..:t942 4. Date 01 Death (Month, daywau March 17,2008 Dauphin ad. FaciHty Name (Jf not institution. give street and number) 9. Was Decedent 01 Hispanic Origin? (II yes, Specify Cuban, Mexican, Puerto Rican, etc.) Other: o Nursing Home [}Q ResidellCe DOther. SpeCify GQ" No 0 Yes 10. ~~merican Indian, Black, White. etc White Bb. County of Death 1451 Miller Rd. moslolwo,rki life. Do not slate retired Kind 01 Business! Industry 18, Father's Name (First, middle, last, sutfi_) Samuel Guy Harpster oVes 1 ~=~n~~dence 17a. State P A 17b.Coun~ Cumberland 14, Marita! Status: Married, Never Married Widowed, Divorced (Specify') Did Decedent Live ioa Township? 17c, 0 Yes, Decedent Lived in 17d..f] No, Decedent Lived within ActuaJUm"s01 Lemoyne Twp 20a. Informant's Name (Type! Print) Susan K. Katz 19. Mother's Name (First, middle, maiden surname) Martha B. Shade City/Boro 21c. Place 01 Disposition (Name 01 cemetery, crematory or o1her place) t. Johns Cemetery 201>. Informant's Mailing Address (Street, city I lawn, stale, zip code) 451 Miller Rd.Dauphin,PA 17018 21a. Method of DisPosition 21d Locatioo (City/lawn. stale. zip Code) Camp Hill, PA Inc.324 Hummel Ave.Lemoyne,PA 23b ensa Number 5c1d'6'7.if L lIems 24.26 must be com~eted by person who pronounces death 4J ~~~~~A~at~~~ J~~~\ dise.:;. ~fC{' ~'\ Ut.('\. CQ[ 26. Was Case Referred to Medical Examiner / Coroner lor o Yes ~-NO Approxima1e interval: Part II: Enter other sianilicant conditions contributinn to death, 28. Did Tobacco Use Contribute to Death? Onsel to Death but not resuniog in the underlying cause given in Part I. 0 Yes 0 Probably No o Unknown ti \J ~t r!;> 29. If Female ~ 1\'''''-' ~oIpregnanl,"lhinpaslyea' o Pregnant at time ofdealh o Not pregnant, bU1 pregnant within 42 days o/death o Not pregnant, but pregnant 43 days to 1 ~ear be/ore death o Unknown if pregnant within the past year 32c. Place 01 Injury Home, Farm, Slraet, Factory, OlficeBuilding, etc. (Specify) Sequentially list conditions, if any, =~~o J~D~~~I~~M,W a. (disease or uljurythal jn~ialed the events resunlng In death) LAST. Due to (or as a consequence o~ c. Due to (or as a consequence on: Ca Certifier (check only one) Certifying physician (Ph~siclan certifying cause of death when another ph~sician has pronounced death and completed Item 23) To the best of my knowledge, death occurred due to Ihe cause/a) Bnd mllnner as atale<L - - _ _ _ _ .. .... _ .. _ _ _ _ .. _.. .... _ _ _ .. _ _ _ _ _ _ _ _ 0 :;~~~,:c;~~..~ ~~:;~::hJ:;:;a~c~:;;:':; ':~':~~~'t~:":n~';'~c::~~:~'te";o':~a:::;(~;~:~ m.nne, " 'lel,d_ _ _ _ _ _ _ _ _ _ _ _ _ .. _ _ _ _ 0 Medical Examiner I Coroner On the basis of examination and I or investigation, in my opinion, death occurred at the Urne, date, and place, and due to the cause(s) Bnd manner as stated_ 0 1-"'4 /1 ~ /, '1 Disposition Permit No. D 1 '} S-I g D M 32~. Location of Injury (Street, city/town, stale) 3Oa, Was an Autops~ Perlormed? JOb. Were Autopsy Findings Available Prior to Completion 01 Cause of Death? ov" ~o ov" oNo 31, Manner of Death ~atural o Homicide o Accident 0 Pending tnvestigatioo 32d. TIme of Injury o Suicide 0 Could Not be Determined r--------------- - .. ~ '{ " '\ " ',-, \ \' -~ /' _ ~,.J " LAW 0""I(E5 JON F. LAFAVER 317 THIRD STREET NEW CUMBERLAND, PA.. LAW OFFICES o JON F. LA-FAVER 317 THIRD STREET o NEW CUMBERLAND, PENNSYLVANIA 17070 LAST WILL AND TESTAMENT OF C:.? JOSEPHINE I. TALMADGE, n . ,.~il ~~_J .~ ~. ';-.;.~ I, JOSEPHINE I. TALMADGE, of Lemoyne, C~~~rl~d . :~/) /:: County, Pennsylvania, being of sound mind, memory and'~d~stand- "lC= ..' -:Cl \._ f"'; ing, do hereby make, publish and declare this as aq~lfor ~y Last C-, Will and Testament hereby revoking and making void any and all other wills by me at any time heretofore made. I. I direct that my Executor hereinafter named shall pay all my just debts and funeral expenses as soon as convenient- 1y may be done after my decease. II. All the rest, residue and remainder of my estate, whether real, personal or mixed, and wheresoever situate, I here- by give, devise and bequeath unto my husband, RALPH J. TAL~~DGE, JR., if he survives me by a period of thirty days. If my said husband does not survive me by a period of thirty days, then this '-.\ /\ gift to him shall be divested, and I then give, devise and be- :-.,1, queath my entire estate as follows: . ~ '\l '\)"'\. A. One-half (1/2) unto my daughter, SUSAN K. KATZ. B. One-half (1/2) unto my daughter, DONNA JEAN ~ TALMADGE. III. I hereby nominate, constitute and appoint my husband, RALPH J. TALMADGE, JR., as Executor of this, my Last Will and Testament. If the said Ralph J. Talmadge, Jr. should predecease me, or otherwise fails to qualify, or ceases to act as such, then I nominate, constitute and appoint my daughters, SUSAN K. - KATZ and DONNA JEAN TALMADGE, as Coexecutrices of this, my Last Will and Testament. Page one of two Pages r- LAW O..."ICES JON F. LAFAVER 317 THIRD STREET NEW CUM8ERLAND. PAl ,:) i! 'I I. ii I. ~ ~ Ii Ii i IV. No fiduciary acting under this Will shall be required to post bond in this jurisdiction or in any jurisdictio in which he may act. IN WITNESS WHEREOF, I, Josephine I. Talmadge, the Testatrix, have unto this, my Last Will and Testament, set my hand and seal this;1//1/' day of January, A. D., 1978. ) . /L>'1. .' "" /... lL.-{ r ' /, '" / ' :/ / ' '-,' ./ ,--/ _' - /Ic ;/ .? ,<< ~c;',< r:7' (SEAL SIGNED, SEALED, PUBLISHED and DECLARED by Josephine I. Talmadge, the above-named Testatrix, as and for her Last Will and Testament in the presence of us, who have hereunto subscribe, our names as witnesses at her request, in the presence of the said Testatrix and of each other. J, I . ( l~ I , , , Page two of two Pages OATH OF NON-SUBSCRIBING WITNESS(ES) Cumberland REGISTER OF WILLS COUNTY, PENNSYLVANIA Estate of Josephine 1. Talmadge , Deceased Edward A. Katz and Jean O. Shandelmier (each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were well- acquainted with Josephine 1. Talmadge and am/are familiar with the handwriting and signature of the decedent, and that the signature of Josephine 1. Talmadge to the foregoing instrument purporting to be the Last Will and Testament/Codicil of Josephine 1. Talmadge is in his/her own proper handwriting. (<=1!~~ ,Jl!2,Jd/~ - (Sig ture) 1451 Miller Road (Street Address) .130 Hummel Avenue (Street Address) Dauphin, PA 17018 (City, State, Zip) Lemoyne, PA 17043 (City, State, Zip) ,'-"'- ') Executed in Register's Office Sworn to or affirmed and subscribed <2 O-r-k- before me this _) day of mo..x-C L , dOD'6 . C) c: ,.0 :::t1 u ,-e, ,\::::r ~7rn ("'--':;:;'J !::X) ::;: .Cf)~~ ::roo ::::0 N o :tl:'i .' '-.D C._) 0', Form RW-04 rev, /0. /3.06