HomeMy WebLinkAbout03-26-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~\JM6~~ COUNTY, PENNS'{L VANIA
Estate of ll\~b~~. S~t6""~r
also known as Io\l)!~b€: VV\. Sl;ACs:..d.\\f
File Number d I
0<6 C~~~1
~~ t. ,~d1~T'
AM
~~
, Deceased
Se~(U>r
Social Security Number
'-()'\-
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(C7MPLEIE 'A' or 'E' BELOW:)
riJ A, Probate :lnd Grant of Letters Testamentary and aver that Petitioner(s) is / are the ~~[eu~
last Will of the Decedent datedFttlt\\~ ''2. \C\'1o and codicil(s) dated ~cst Mf~~
named in the
(State relevant circumstances, e.g.. renunciation, death of executor, ele.)
Except as follows, Decedent dld 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, enter: c.t.a.; d.b.n.c.l.a.; pendente lite; durante absentia, durante minoritate)
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
Administration, c.t.a, or db.n.c.t.a., ell tel' date 0/ WilIlIJ Section A above and complete /ist o/heirs.)
Name
Relationship Residence
~-----d------------~----
(COI'-'IPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in c.UCV\.w..~ c;;.ounty, Pennsylvania with his / her last principal residence at
S"ll.S \a)\\I,OW\ ~e., M~"'JW.6'uCJo I t'S't\1II.\.t(&..U\llM\-,\ nOSS
(List street address, fowl/lcity, to'rvnship, county. slate, zip code)
Decedent, th~n ~~
years of age, died on ~ at
&~" i~~Ct4\, \J'1.'-"\4~
~nS w,l.S~ l4\\€
M~"~'t.~6u"1 't,. 'lOSS
. .0
q~laao. ..
Decedent at c1eath owned property wlth estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(lfnot domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
$
$
5>
$
situated as follows:
Wherefore, Pelitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the applopriale form to
the undersigned:
Ty ed or rinted name and residence
~~ E. Se.~~~t"
Lu.~ ~~>r
l~ ~Y\btJOf)~ ~\)~
S~~~~1bUM PA~ nO\\
~A.I. Pr\.. ''\055"'
FU/"III RW-O] rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COM:,fONWEAL TH OF PENNSYL VANIA
ss
COUNTY OF eu~fc,.Q,~
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are tme and conect to the best of
the knowledge and belief of Petitioner(s) and that, as personal represcntative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law,
Sworn to or affirmed and subscribed
Slgl!alure of Personal Represel!tatlve
File Number: ~ \ 0 'is l>O~ 1
Estate of A-b~bE. M. S~Wt\ST' , Deceased
Social Security Number ~o\-~'~~" Date of Death: t\)())'CIM&tdL \ , loC)'
AND NOW, _01(l~f:kl !2 4' , (;)[i:i:!;) , 111 co~ation of the foregoing PetItion, satlsfaclOl~r plOof
havlllg becn ple'l'ntni bdore lIle, 11 IS [)FCRr~H) that Letl\ls__ ~S, ,~ __________ ____H__
are hereby granted to I" ;' ~-.., \,S\ _____
in th,:: above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed 0
la
1910
FEES
,...1J', COG
Letters .,.., .1.'-: i. , . . . , .
Short Certificate(s) , , ,l~ ,
Renunciation(s) ..""..
L0111
~f-,
TOTAL _, ,
ForllJ RW-02 rev 101306
$ qO
S~
S
$ rS
$ Ie
s S
S
$
S
$
$
$
$ / 'f-f
Reglslcr of Wills
Attomey Signature:
Attomey Name:
Supreme Court I.D. No,:
Address:
Telephone:
Page 2 of2
H105.905MS RE\'.6/06
.'(,t" ./~' .?,~ 7
',-' I l
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records In accordance
with Act 66, P.L 304, approved by the General Assembly, June 29, 1953.
),
WARNING: It is illegal to duplicate this copy by photostat or photograph.
/7 ~ -4
~ ""'-7 ~~ ffi'&foL
No.
Frank Yeropoli
State Registrar
Calvin B. Johnson, M.D., M.P.H.
Secretary of Health
1260423
NOV 0 9 ?001
Date
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
S-:-ATE FILE :'JUMGER
?\ \ D't) u, L\-1
DYes K:XJo
3. Social Security Number
204 _ 03 - 7867
~ Dale of Deilth ::r,.1orth, day. year,
Nov. 1, 2007
T'Np.
Bethany Village
etc,)
10 Race: American Indian, Slac~, White, e'f.
(Speci/yl
M.
Seagrist
6 Date of8ir1h (Month, day. year'
August 1, 1921
DOOA
Bb
8.j,Facilil\l Name {Ii nol inslltu:lon, give street ~ndrlumber)
DOrlo:sla;erel,redl 12.Was
K'na ofWol~
Controller
KindofBusinessilrldustrv
Banking
Widowed
... 16, Oecel:knt's \1allngAddress (Street. ci'y 12,',n, slate, lipcoJdel
5225 Wilson Lane
Mechanicsburg, PA 17055
~~:a~;~':idence lia Sta:e Pennsy 1 vania
17b Coun'v Cumber land
17c, KI Yes, Dece,jent Lived 11 T..nwer Allen
17d, D No, Decedenl Lived ""I:hn
A:::tualL-mits01
lwp
City/Bora
18, Fathe:s NarrJe {First, m,cklle last. SIJftl~)
Elmer E. Hoffman
19 Mot'\er s Name (First, middle, maiden surrame)
Myrtle M. Wagner
20a,lnformant'sNameIType,,'Pnn!)
20t;, Inf:Jrmenfs Mailing Address (Street, cilyitown, stale. zipcodel
306 Pinewood Drive, Shiremanstown, PA 17011
",
21C, PlaceofDiSjJosHionINaJ'l,"Jtc:e~lery.c'ema:oryorotherplace]
21d Location (Ci'Y 'towr, stat!~, zip code!
o
~
<
o
Hollinger Crematory
Springs, PA
g:venmPartl
~ut pregnant \<i1t~,ir 42 days
~~~d~Po~A;e~altn~~; d~r;~I) dlse=
IN~Nll\ON
bD~qUenCe~
D~
Due to loras a:;o'lSequence 011
}-o
l~
Pw-'(V'vQ~ .l-\-\!')
fk1 ;n\)f'Ovv.J ~
~.
o
o
b'Jt pregnant 4J da,'s 10 1 year
Sequerlt;allyl:stconditlons,da1Y
leadmg to lhe cause ,isled on line a
ErltH the UNDERLYING CAUSE
(disease or injury tttat Imtlated the
events resulting I"death) LAST
DYes~
[JYe: DNa
3 ~ Manne' o~ )ealh
~raj DHonicide
o Accidenl DPend;,1gI1vestigall'ln 32dTrmeollnjur,
LJ SuiCide C Cou,d Not be Delemlr1ad
320
J'Cause 8fDealh?
33a. Ce!".ilierlcheckonlvorle)
Cer1ifying physician (Ph'f5Icia1 certifying cause o'death .vhe1anotherphyslCia1has~ronounceCc!eatnandcol'1pleled 11em 23)
To the best of my knowledge, death occurred due 10 the cauS&(s) and manner as staled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ [J
Pronouncing and cer1ifying physician (PhYSICian lJDI~ p'orWUIlC;ng death a:ld certn,lng 10 ';ause oj deal~:
To the best 01 my knowledge, deal;' occurred at the time, dale. and place, and due to the cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
MedicalEHminerlCoroner
On the baSIS 01 e)(amination and I or investigation. in my opinion. death OCCJrred allhe lime, dale, and place, and due to the causE(sj arid manner as slaled_ 0
en-
c,;;L._
_.l.tvU I rv 1\
~
.~
LAST WILL AND TESTAMENT
OF
ADELAIDE M. SEAGRIST
I, ADELAIDE M. SEAGRIST, of Shiremanstown, Cumberland County,
Pennsylvania, being of sound mind, memory and understanding, do hereby make,
publish and declare this as and for my Last 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 conveniently may be done after my
decease.
II.
All the rest, residue and remainder of my estate, whether real,
""-I
personal or mixed, and wheresoever situate, I hereby give, devise and bequeath
unto my husband, RICHARD L. SEAGRIST, 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 bequeath
my entire estate unto my two sons, LARRY SEAGRIST and BRUCE E. SEAGRIST, in
equal shares.
. '.1
III.
'-
I hereby nominate, constitute and appoint CUMBERLAND COUNTY
NATIONAL BANK AND TRUST COMPANY as Guardian of the estates of any minors who
may take a share under this Will.
",-
'--
IV.
I hereby nominate, constitute and appoint my husband, RICHARD L.
SEAGRIST, as Executor of this, my Last Will and Testament. If the said
Richard L. Seagrist should predecease me, or otherwise fails to qualify, or
ceases to act as such, then I nominate, constitute and appoint my two sons,
LARRY SEAGRIST and BRUCE E. SEAGRIST, as Coexecutors.
Page one of two Pages
LAW OFFICES
JON F. LAFAVER
317 THI RD STREET
NEW CUMBERLAND. PA.
I
.~
v.
No fiduciary acting under this Will shall be requj~red to post
bond in this jurisdiction or in any jurisdiction in which he may act.
IN WITNESS WHEREOF, I, Adelaide M. Seagrist, the Testatrix, have
unto this, my Last Will and Testament, set my hand and seal this
of February, A. D., 1970.
day
/
/(SEAL)
SIGNED, SEALED, PUBLISHED and DECLARED by Adelaide M. Seagrist,
the above-named Testatrix, as and for her Last Will and Testament in the
presence of us, who have hereunto subscribed our names as witnesses at her
request, in the presence of the said Testatrix and of each other.
- '\
.",
I
,
"
LAW OFF] C ES
..JON F. LAFAVER
Page two of two Pages
317 THIRD STREET
NEW CUMBE~LAND, PA.
;~ \ 0'6 63Y'1
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
t..Uw\'~ COUNTY, PENNSYLVANIA
Estate of
~~~~~ VY\. S~MQ.~T
, Deceased
~\lC2. e. c;eA~(US)
and lJ\.tI.'i S~~
(each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were well-
acquainted with ~~\..P.tt>~ f4\. c;~fcA,\sr and am/are familiar
with the handwriting and signature of the decedent, and that the signature of A4>l~t>b ~. SeQt.""~T
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
~t\.IM~e tI\. C;AAfoG.lS1
is in his/her own proper handwriting.
~...~~
(Signature)
<J
)c. ~twoob b(t\U~
(Street Address)
3',- <;0\)\\\ 'fo(Ut. S'nU:!Q
(Street Addres.l)
S\\\O&\\~bWV\ ( p~ e\O\\
(City. Slale. ZIp)
fV\~~~~~, ~, \loS~
(CIlY, State, Zip)
Executed ill Register's Office
Sworn to or affirmed and subscribed
before me this :J-{ ()11) day
of _(VULhflJ1 ./ , 'J~ .
L 1 ^l ~ utv l'
ills
Forni RW.IJ4 rev. !IJ.13.fJ6