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HomeMy WebLinkAbout03-25-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA , Deceased '1 . ()(/ () 3'~ File Number c-J I .. /0 - ,. ..::::;. Social Security Number \ " Estate of GRACE M. GEORGE also known as Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) IZl A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is 1 are the EXECUTOR last Will of the Decedent dated 08/16/2002 and codicil(s) dated FIRST NAMED EXECUTRIX, CINDY L. BROWNAWELL, WAS DECEASED AS OF January 10. 2008 A COpy OF CINDY L. BROWNAWELL'S DEATH CERTIFICATE IS HERETO ATTACHED narrled in the (State relevant circumstances. e.g.. renunciation, death of executor, etc.) Except as follows, Decedent did not many, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered tor probate, was not the victim of a killing and was never adjudicated an incapacitated person: D B. Grant of Letters of Administration (lfapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) ,'j Petitioner(s) after a proper search has 1 have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (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.) Name Relationship Residence . ==:J (COMPLETE TN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his 1 her last principal residence at__ 611 CONODOGUINET AVE., NORTH MIDDLETON TOWNSHIP, CARLISLE, PA 17013 (List street address, town/city, township, county, state, zip code) Decedent, then 77 years of age, died on MARCH 14,2008 at CARLISLE, PA 170\3 Decedent at death owned property with estimated values as follows: (I f 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 ofreal estate in Pennsylvania 50,000.00 $ $ $ $. 125,000.00 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 n \ L/<M.- ( )o.n It-\-I. r,,d {,cO ,..J I Tvoed or printed name and residence I DOUGLAS A. GEORGE, 519 BURGNERS ROAD, CARLISLE, P A 17015 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 :/\ l-J h, day of (I J~cll6-0 ,~, b~ ~ Signature of Personal Representative Signature of Personal Representative v Signature of Personal Representative File Number: I~ 1- ()f - OQ3l{ Estate of GRACE M. GEORGE , Deceased Social Security Number: /72 - ;)-,4-;; 70S Date of Death: 03-14-2008 AND NOW, 9 S t-h Ixi~ c+\ IVtoLActl ang ,in consideration of the foregoing Petition, satisfactory proof having been presented before me, IYIS D~CREED that Letters TESTAMENTARY are hereby granted to DOUGLAS A. GEORGE in the above estate Letters $ Attorney Signature: Attorney Name: WILLIAM A. DUNCAN Supreme Court I.D. No.: 22080 Address: I IRVINE ROW CARLISLE, P A 17013 Telephone: 717-249-7780 TOTAL , 'J}};-:j tt:6fr- Form RW-02 rev. 10.13.06 Page 2 0[2 (/~' / -0<6' ..-0331 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fl'L' for tili" ec'rtlfil':lle, ';,h()( I Cnllfic,:tIIOIl \illlllhc'l l/iJ~;i"jll II' .;~;;;~;,;~ /;ii'~ ~\.\HOF p(;:-c~ /;1\1_~\../- -.~"/'4' ~-..\ "' ~~/ ' ~ C,' i?~! ..~\~~~~ /!~:'; -~.:~ \~~ I~C)~ ;"";,'. ;h~ '::: c.J i 'j j ~ ,> ':.i ,*~,.,-; *$, \~<:?';-' - ,____~' '. i ~i '~("^' ,~,'/ "'" ir,' . ~I"/ ':'(,---~l"ilNl \)\ ~~",l\: " ....~-::'~'::~I.!~'.!!.!!!J!f1}!-~-/ Tili, h \I, Cl'r1i1:. th,l' the lll!()nmli \11 flCe gil':1l is cOITcelly copicd 'rom ill1llrigillal (C:'llfi-:alc 1)1' Dcath duly fiied Ilith IlL' ,l' jOl'al Rq!i,trar, ThL' l\riglllal ccnifIC,lll' II ill hl' 1, 'I \\ illdcd II the State Vital Fcc" 'rds Of! I,,'C II Pl'I1'ijflellt filill!..', ~/J;r.. ~M7Z4 Z008 ~----------~__ _-.L_ jl'l':lI Reglsll:l! Dale ISSllL'l1 P 14123983 REV 11/2006 , PRINT IN vlANENT CK INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) Cumberland Carlisle Forest Park Nursing Home STATE FILE NUMBER 1, Name of Decedenl {Firsl, middle, lasl,suffixl 77 ", 1 72 - 24 8705 4, Dale of Death (Month. day, year) March 14. 2008 Grace M. 5 Age (Las! Birthday) 6. Date of Birth (Month, day, year) July 12. 1930 Carlisle. PA Other IJ NurSing Home 0 Residence []Olher. SpeCify 9. Was Decedent of Hispanic Origin" KJ No 0 Yes 1:1. Race: Anerican Indian, BlaCk, White. ate (If yes, spedy Cuban, (Specify' Mexican, Puerto Rican. etc,) White 3d Facilily Name (If nol ins1ilution, give street and number) Widowed 11, Decedent's Usual Occu lion (Kind 01 work done durin most of workin life. Do not state retired Kmd of Wone: Kind of Business Ilnduslry Nurses Aide Medical Professio 12 Was Decedent ever in lhe U.8.Armed Forces? Dv" IiJNo 13, Oecedenfs Education (Specify only higheslgrade completed) Elementary! Secondary (0-12) College {1-4 or 5+} 10 14 MaritalSlatus: Married, Never Married Widowed, Divorced (Specify) . 16. Decedenl's Mailing Address (Street, city' town, state, zip code) 519 Burgners Road Carlisle. PA 17015 ~~:e;~jdence 17a.Stale Pennsylvania 17b Coun~ Cumberland 17c. txI Yes, Decederlt lived in North Middleton 17d.O No, Decederl1lived witrun Actual limits of Twp 18, Father's Name (Firl')t, middle, last, suffiX) John W. Bouder City/Boro 19. Mother's Name (First, middle, maiden surname) Anna Shenk 20b. Informant's Mailing Address (Street, city.l town, state, zip code) Mr. Douglas A. 519 Burgners Road. Carlisle. PA 17015 21b Date of Disposition (Month, day, year) 21c. Ptaceof Disposition (Name of cemetery, crematory or other place) 21d, Location lCity ftown, st:!te, zip Cc{le) Cremation Society of PA 22cNameandAddressofFacility Auer Memorial Hom.e and 4100 Jonestown Road Harrisbur Harrisburg. PA 17109 Inc. R.,lJ S-.n J.),o 23c. Dale Signed (Month, day, year) ~, /11,)...0e.? 23b. License Number 24, -rIme ot Death 25. Date Pronounced Dead (Month, day, year) 3 : 0::; ., M fY'-<!~ I If, ;).00 ~ CAUSE OF DEATH (See instructions and examples) Item 27, Part I: Enter the ~ - diseases, inluries, orcomplicalions - that directly caused Ille death, DO NOT enler terminal events such as cardiac arrest, respiratory arrest. Of ventricular fibrillation wilhoul showing the etiology, List only one cause on each line 26. Was Case Referred to Medical Examiner I Coroner for a Reason O:her than Cremation or Donation? Dy" ~No Approximaleinterval Onsello Death Part II: Enterolher sianificant condrtionsconlributino to dealll, bull10l resulting in the underlying cause given in Part I 28. Did Tobacco Use Cor,tribute to Death? DYes 0 ~obabY o No l1.J...I.I'1fnown ~~~~~~A;e~St~n~~~ d~~1~1) dise~ C~~A-~- C'~1, tpwgnan~wlthln past year o Pregncnlatlimeoldeath o Not pr!!gnanl,bLtpregnantwilhm 42 days of death D Nol pr!'gnant, bLl pregnant 43 days to t year before death o U'lknown ilpregllanlwithi'l the past year 32c Pla,ee of I.rlury: Horn." Far;n, Street, Factory Office BUllcmg, etc. (SpecIfy) Sequentially lislconditions, if any, ~~t~~~O J~D~A~~i~~~~~~1e a (disease or inJury Ihat iniliatedthe events resulting In dl!ath~ LAST. Due 10 (Of as a consequence of) 308. Was an Autopsy 30b, Were Autopsy Findings Performed? A~ailable Prior 10 Completion of Cause 01 Death~ "Ih 32glocation of InjUry (Street. city/lown, state) Dy" DYes DNa o Homicide o Accident 0 Pending Investigation 32d. Time of Injury D Suicide 0 Could Not be Determined M 33a Cer1ifier(check only one) Certifying physician {Physician certltying cause 01 deatr whefl another physician has pronounced death and completed Item 23} To the besl of my knowledge, death occurred due to the cause(s) and manner as slaled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 PronouncIng and certifying physician (Phvsiclan both pronou'1cmg death and certifying to cause at death) To the best of my knowledge, death occurred at the time, date, and place, and due 10 the cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 Medica! Examiner I Coroner On the basis of examination and I or investigation, in my opinion, death occurred allhe lime, dale, and place, and due to the causers) and manner as stated_ 0 1';-(1 /I~ 1/ ( rgned!Monlh,d';:...vear\ 17/</ ; 34 Name and Address of Person Who Completed Cause of Deilth (Item 27.1 Ty e I P'lnt tn J /, --rr- >-rn- J;.t""'li ~ JVv S iJ.')h &J-. /Ve.<-Vv,Jk -V} 17t.'-I1 Dlsoosi!lon Permit No 0195772 '"-ft' f\Y -D ;',--;,-/ v....):.> ..-- -,' LAST WILL & TESTAMENT OF I, GRACE M. GEORGE, of Carlisle, North Middleton Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking any and all other wills and codicils heretofore made by me. FIRST. I direct that all my just debts and funeral expenses be paid from my estate as soon after my death as practically and conveniently may be done. SECOND. I direct that my remains be cremated and disposed of in accord with my expressed wishes. THIRD. I authorize my personal representative to expend funds from my estate, in such amounts as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. FOURTH. I give, devise and bequeath any and all tangible personal property owned by me at the time of my death unto my children, Cindy L. Brownawell, Barry L. George, Douglas A George, Debra 1. Shanabrough, and Jacqueline F. Laughman, in equal shares, per stirpes. FIFTH. I give, devise and bequeath any and all real estate owned by me at the time of my death, unto my children, Cindy L. Brownawell, Barry L. George, Douglas A George, Debra 1. Shanabrough, and Jacqueline F. Laughman, in equal shares, per stirpes. SIXTH. I give, devise and bequeath all the rest, residue and remainder of my estate unto my children, Cindy L. Brownawell, Barry L. George, Douglas A George, Debra 1. Shanabrough, and Jacqueline F. Laughman, in equal shares, per stirpes. SEVENTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my estate passing under my will or otherwise, shall be paid out of the principal of my residuary estate. EIGHTH. I hereby nominate, constitute and appoint my daughter, Cindy L. Brownawell as Executrix of this my Last Will and Testament. In the event of renunciation, death, resignation or inability to act for any reason whatsoever of Cindy L. Brownawell, I nominate, constitute and appoint my son, Douglas A George as Executor of this my Last Will and Testament. I hereby relieve my Executrix from the necessity of posting security in connection with her duties, as such, in any jurisdiction in which she may be called upon to act insofar as I am able by law to do so. In addition to the powers conferred by law, I authorize my Executrix, in her absolute discretion, to retain in the form received, and to sell either at public or private sale any real or personal property owned by me at the time of my death. NINTH. I have made, or may from time to time make, a written memorandum expressing my desire to give certain items of personal property to specific persons. I urge my Executrix and beneficiaries to respect these wishes. Such a memorandum, if made, shall be stored in conjunction with this Will. IN WITNESS WHEREOF, I have hereunto set ryy ~nd a~dlfeal to tw~ my Last Will and Testament, consisting of two typewritten pages thir~7d'"ay ofj-lttf-''YJ2002. ~.. ~ . /'f L.-e" ~ .' ~ C J A ",'!t. GRACE M. GEORGE l~-- Signed, sealed, published and declared by the above named Testatrix Grace M. George as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence and in the sight and presence of each other, have hereunto subscribed our names as witnesses. L~~~~kA- ~ ~afV-b/P?6V~nf COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SSe I, Grace M. George, 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 instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. COMMONWEALTH OF PENNSYLVANIA #4~~~_ GRACE M. GEORGE _---........-... .d'~\' NOTARIAL SEJ\L '. . Nolar,! PubliC cynthia l. Dan :'-'0, un, ty o. j CU.l11ber\ill,lcl, South Middleton Twp.. '.... .,' i 4 2004 , FVf')'re" j. (lZ" M l....l)n."lli':-.~SIOf1 ~:^t'....J ,.,J-...__..._,_.,.-.....".?" L:.~~~;---'--'--""- SSe COUNTY OF CUMBERLAND We, IDlll LQrY\ fl ~n(aJ and t!f'Jby B!Z1uJrJaW.e.~L the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Grace M. George sign and execute the instrument as her Last Will; that she signed willingly and that she executed as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge, the Testatrix was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and . subscribed before me by / tv III /C!L pn ? j)U/7 (a lVand C/~cL~ )3r.2t1t-cJ/)c;C-tI ~tj, witnesses, thl/{o~ay o~. / 02. CJAAf~ C~ ~1"~?/$a/~i .~-----'.--l ,- NOT/l.F\\f,L. SE^L, \ \ C th'~. i i"','." "',!OI,arV, PubliC \ '1" . ,," .,.' 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