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Home My WebLink About03-25-08 PETITION FOR PROBATE AND GRANT OF LETTERS '1 h ' j Cum, er Itt1'l . REGISTER OF WILLS OF COUNTY, PENNSYL VANIA Estate of also known as ,/ ' I ' (/ll.ttUlC -) 'jO,!~e (' File Number IJ /' _ /1(; c\ 0-.3'"" C ' cA V6--(J":';'6,.2 , Deceased Social Security Number Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (CO/"'IPLETE 'A' or 'B' BELOW:) c:r' A. Probate and Grant of Let~ers Testamen~~rl and aver that Petitioner(s) is / are the last Will of the Decedent dated ,l~()e 3D I' 1'17 and codicil(s) dated I ex.~('1A-h( named in the (State relevant circumstances, e.g. renunciation, death of executor, ele.) 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, enler c.I.a.; d.b.n.c.l.a.. pendenle lile; duranle absenlla, duranle ",inoritale) Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If Adli/il1islralioll, c.t.a. or d.b.n.c.I.a, elller date of Will ill Sectioll A above and complete list of heirs) Name Relationship ~__n 1 Residence (COMPLETF IN ALL CASES:) Attach additional sheets ifnecessary, D~c$.den;was domiciled at death in ~\,l \'h bv.r \And County, Pennsylv~nia with his / her last principal residence at L!,;"';l h-j (Y/.L....~ ~ Lj'1D~ C Inndk 18.1 hlR.,'JU<01t.:-5.h,; ~"I fA 17v_z) 0 (Lisl slreel address, lownleilY, lownshlP, counly Slale, Zip code) ,j / Decedent, then ~ years of age, died on j/e b 20 I 21~'\:{at '7 " 3 /1 O..-n Decedent at death owned property with estimated values as follows: (I f domiciled in P A) All personal property (Ifnot domiciled III PAl Personal property in Pennsylvania (lfnot domiciled in PAl Personal property in COlmty Value of real estate in Pennsylvania $ I'll 0{10 , 00 $ $ $ situated as follows: (i he(\', fu "J (\.('~e.~-t o. t e r0C Wheretore, Petllioner(s) respectfully request(s) the probate orthe last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Ty ed or rioted name and residence ==:J '~73jC7 FornI R W-02 rev. 10.13.06 Page 1 of2 Oath of Personal Representative COM:vrONWEALTH OF PENNSYL VANIA SS COUNTY OF Ctcm be::r\ af)(~ The Petitioner(s) above-named swear(s) or affinn(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 administer the estate according to law. Sworn to or affirmed and subscribed " ,-tt before me the ,.....,~. ) ~~ C - "/ C'J ;t:~/L~ ?J" /L)"M,J~ Signature of Personal Representatlve day of ~fu;~t . ... _ .. / .1.(,/[; .. <--- / i '-- For the Register l~/ Signature of Personal Representative Signature of Persona! Representatlve File Number: 27 - Og- ~ 335 Estate of l" I/o Ifl"e., jJ~ Ve fr' / . Social Security Number: ;!;320 2.5-0 Q" Date of Death: , Deceased zJzD/oi , AND NOW, ,~2 5'ci) 1~1 ('('11 ' (5{J~)R , in consideration of the foregoing Petition, satisfactory proof living becn presented before me, IT IS DECREED that LdteIs Tf "')~r~s::r~f* are hereby granted to Fr.....-ed €f"l ck... h')[ /l}Ct..Jl in thc above estate and that the instrument(s) dated C.t f30)q 7 described in the Petition be admitted to probate and filed of record as the last Will (and Cod FEES Letters ... $ Short Certificate(s) . . . . . . . . $ Renunciation(s) . . . . . . . . $ hi II $ $ $ $ $ $ $ $ $ $ JCP AulD v TOTAL Foml RWO] rev 10.1306 LcO.DD 8.00 Attomey Signature: /::5" 0 () Attomey Name: Supreme Court 1.0. No.: Address: IO,UD () J() Telephone: (19: OD Page 2 0[2 :) I _("~V -/;' '! '3<- - . LJ V J, _) LOCAL REGISTRAR'S CERTIFICATION OF DEATH \JVARNING: It is illegal to duplicate this copy by photostat or photog1aph. .1 1 ~ ) 1 t h 1-, . 1'1 j II '- ,i l ( ~ (1 .,l !~;l: r;l\. '-!:'()r!n~li(~11 hl'j',' ;;l\l'n 1< ,,' ." I', :2ilLtI ( ;TllfIC;l!, ili DC';tlil J', ."'. i[ i ,tnI'. 1'1:' Ori!!II1;t! ',\. li"\\ ,j~~ 1\ !1t' S~~lll.' \/it.tl ( 'l-"rI ; il i' ': 1 , ,,:i~1 \., 'I' . "-, .,.: >,.\ I . Lt ,r'jf'" \"'\':'i~';..' . . ~ , ;;';'l~' ,\ ~,' , "":,k :"i.~.~: :"'0 ('" ~ "" ___" ; ...... ~ "l.:;" .. A;:;"'JiIr ,!\., :.~ ~~. " -- /:. ~~ ' '. 'y, ,\ " , '. :/J;EN: \'.' ( , ---.;' ",,",,'- ii', i", 1\: f"tl li',lh ~: L.-d \\ l "r! ll"i ~ " '. ~ I \ 1<. ,"i':'. ()!I "L":':iU!l,.\j)t fil l 1" 1, r~ ., f- If 'J1U){l-UtJlJ!./1L~~___A2LnjCK 1 i ,)1 i;~I."1l'~h;1 - -~ / Ii J)~IIC l'-,\lll'l..! H105 143 ReV' 2/87 COMMONWEALTH OF PENNSYlVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH S TATE I-Il E NUMBl:OR TYPE/PRINT IN PERMANENT BLACK INK , COUNTY OF DEATH 79 Yrs SEX 2. Female BIRTHPLACE (City and P .ACE OF ATH Slale or Foreign Country) HOSPITAl IflPalielllD I.. FACILITY NAME (If notlnSlitutlon, give struelllnd number) :::1)) 0 RACe. Ame,rican Indian, a..ck, While. .t (Specityl White NAME OF DECEDENT (First, Middle. last) 1 AGE (Last Birthday) lb. Cumber land DECEDENT'S USUAL OCCUPATION SURVIVING SPOUSE (lfwlle,gl".mOlldenfl4lme) lwp ~ :> ~ :0 .. ,. FATHER'S NAME (First, Middle, last) 11. Miles Hutchinson INFORMANTS NAME (Type/Print) 2.. METHOD OF DISPOSlTION Burial 0 Crem~lion ~t:Hl()lIat from Sldlu 0 (Uonlll. DabYear) Oth..-(5p.",>) 2..Fe ruary 21, FUN L R CE 1 NSEE OR PERSON ACTING AS SUCH 11b. County Cumber land 11d. 0 ~i:h~e~~(~~7~~j~~ of city/boro MOTHER'S NAME (Firsl, Middle, Maiden Surname) 1.. Anna Sutton INFORMANTS MAILING ADDRESS (Street, CityfTown, State, lip Code) 2.b.939 Ce:jars Road Lewisber PA 17339 2008 2.. : Approximate . interval between : onsel and death \' ~l i : 111 Kl AL' OUE TO (OR AS A CONSEQUENCE OF) '? , \ ,,~ WERE AUTOPSY FINDINGS MANNER OF DEATH AVAILABLE PRIOR TO COMPLETION OF GAUSE OF DEATH? Ndlural ~ D DATE OF INJURY (Monlh. Oll~, YUt) TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED Homicide D D o ~~~CE OF INJURY bUlldmg.lIlc (Specll~) 30.. ACt;ident PendIng Inve:;tiYdllOn Gould nol bu delennined Yes 0 No ~ Ye,D NoD SukiJe 2h 28b. CERTIFIER (Check only one) .l~~~~f~~~tGor::'~~I~~~~8~~:r~C;;:rhc~~~~~~J'dii: t~ ~ea~ha:~):~(:)~~JrrR~x~~~a~h:t~f~g~.l~~~~~.~ .~~~~~. ~~~ .~~.r~~~~.~ .i.l~~ .~~.~.. 29 r- Z w o w U w o u. o w ::;; <( Z .PRONOUNCING AND CERTIFYING PHYSICIAN (physiuiln bolh pronouncing death and t;ertifying 10 cause of death) To Ihe beat of my knowledge, duth occurred althe time, date, and place, and due to the causaa(a) and manner... atated. .MEDICAL EXAMINER/CORONER On the baals of examInation and/or lnvutig<atioll, In my opinion, dealh occurred at the lime, date, and pl;l<:e, and due to the cauiloa(sl and manner aa atated.. 31. bilLA n::t #- D~15Z.]~ ~AST WILL AND TESTAMENT I, Ellaine Poyer, of 577 Route 46, Columbia, NJ 07832, in the Township of White, County of Warren and state of New Jersey, do hereby make, publish and declare the following as and for my Last Will and Testament, hereby revoking all t!ills and Codicils by me heretofore made. FIRST: I direct that my Fiduciary herein named shall pay all of my just debts, provided the same are reasonable, giving to my Fiduciary full power and authority to ~etermine the reasonableness thereof, and to compromise claims with any of my creditors. I hereby direct that any judicial or other accounting or financial statement made during administration of my estate or afterward shall not be made public, but shall always be sealed and not open to public inspection. ~ .~ ~,~> "'> SECOND: I hereby nominate, constitute and appoint Frederick Forman as my Fiduciary, with full power and authority to carry into effect the terms of this my Last will and Testament, and to transfer, lease, sell or convey any and all of my property, including any business in which I may be engaged, further including the authority to execute all 9ills of Sale, Deeds, Affidavits of title and any and all other documents necessary to effectuate the foregoing powers, further directing that my Fiduciary shall not be compelled to give bond or other security, any present or future law to the contrary notwithstanding. In serve for Fiduciary, above. the event that my Fiduciary named above does not any reason, then I nominate Carol Forman, to be to serve without bond, with the same fio\vers as o ~ '~~ ('.......~'""\ ~,~ ~'._) In serve for Fiduciary, above. the event that my Fiduciary named above does not any reason, then I nominate Ruth Gommoll, to be to serve without bond, with the same powers as THIRD: I give, devise and bequeath all the rest, residue and remainder of the property of which I die seized and possessed, whether real, personal or mixed, of any kind whatever and wherever situate, to Frederick Forman, per stirpes. FOURTH: In the event no remainder beneficiary takes under paragraph Third hereinabove, then I give, devise and bequeath all the rest, residue and remainder of the property of which I die seized and possessed, whether real, personal or mixed, of any kind whatever and wherever situate, one half to Ruth Gommoll, per stirpes, and one half to Carol Forman, per stirpes. FIFTH: In the event there are beneficiaries under this my Last Nill and Testament who are under the age of 25 years, then I give, devise and bequeath the share of such minor child to my Fiduciary as trustee in trust, to serve ~~~v I .r; -,\ /~~; \...- /~~"';"'::,,--J. /.,:"-<::-4d~L--L..-...(,,' //), _.- ... // u-L- ft/t--- ..// without bond, for the uses and purposes Ilereinafter expressed, and witll full power and authority to lease, ~ort9age, assign, grant, bargain, sell and convey any part or all of my trust estate at public or private sale, at which time and upon such terns as my trustee shall 6eE?TIl just and proper, to invest and reinvest the income therefrom and the principal, to borrow money, abandon property having no net value, to compromise any claim allegedly owed to or owed by my trust estate and at all times to have full power and authority to execute all documents necessary to effectuate the foregoing powers. A. My Trustee shall expend these trust funds for the maintenance, support and education of the minor beneficiaries, giving to my Trustee full discretion as to the amount of such expenditure of interest or principal or both for the maximum benefit of my minor beneficiaries, including the authority to make such expenditures above the level of necessity, and to base such expenditures upon any special skill or ability possessed by any of my minor beneficiaries, and to base such expenditures upon circumstances as they may appear in the future. B. On the date that each such minor beneficiary shall attain the age of 25 years, my Trustee shall distribute my trust estate pro rata to such minor beneficiary. In witness whereof, L~ hereunto set Tny hand and seal this 30 day of ~~-=--==-._' 19Cf7. ~ '2/14 c.. -._-, ,-, /J:... r:;-~-,_ 4 .. ~/. .",/", .2..,-t:'<../;7L.-). '-, f- ~ . - . , . -'. /.. .... .. "'" , ,< I__e/C{O/~ / / ~y~ =--___ Ellaine Poyer .7- AFFIDAVIT I, Ellaine Poyer, the testatrix, sign my name to this instrument this _~D+f/day of :'}w-.-t-"- , 1997, and being duly sworn, do hereby declare to the undersigned authority that I sign and execute this instrument as my last will and that I sign it willingly (or willingly direct another to sign it for me) and that I execute it as my free and voluntary act for the purposes therein expressed, and that I am 18 years of age or older, of sound mind, and under no constraint or undue influence. //.. . >-< / ..- . J LL/a~ ,gj' I C.:1/.. ,/ Ellaine Povei/ oJ. De, Thomas R. Hampshire and Ann Marie Grunn, the witnesses, sign our names to this instrument, and, being duly sworn, do hereby declare to the undersigned authority that the testatrix signs and executes this instrument as her last will and that she signs it willingly ( or willingly directs another to sign it for her) and that each of us, in the presence and hearing of the testatrix, hereby signs this will as witness to the testatrix' signing, and that to the best of our knowledge, the testatrix is 18 years of age or older, of sound mind, and under no constraint or undue influence. ~7ltJ'N~tl___ Thomas R. ffilmpsbire ) ., I .._ _ \ ( '. "/7/..p ..;..;..) _ -~~_"?: 't....-.--_.. ;- L-r---r.~~,,-' ... l/.' ,~ .,~?'/J~-i..p-----. ,. Anh Harie Grunn state of New Jersey :ss County of Harren Subscribed, sworn to and acknowledged before me by Ellaine Poyer, the testatrix and subscribed and sworn to before me by Thomas R. Hampshire and Ann Marie Grunn, wi tnesses, this 30-+-11 day of .9 ~ , 1977 . v ~." / ..J 7 C-&~!-~ c. )x.~~h'-r<-- ELEANOR C. HAMLEN NOTARY PUBLIC OF NEW JERSEY MY COMMISSION EXPIRES JAN. 4, 2002