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HomeMy WebLinkAbout03-27-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Herman P. Bruce also known as File Numberd 1- () ~ - 035..;>.. , Deceased Social Security Number Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW:) 00 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executrix last Will of the Decedent dated 3/31/2003 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: D B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.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 d.b.n.c.t.a., enter date of Will in Section A above and complete /ist of heirs.) I Name Relationshin Residence I '. , . -- . , (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in Cumberland 194 Longmeadow Street. Mechanicsburg (List street address, town/city, township, county, state, zip code) -r', County, Pennsylvania, with his / her last principal residence at.. PA 17055 Monroe Township c..:..' Decedent, then 85 East Pennsboro Township years of age, died on 2/12/2008 at Holy Spirit Hospital Camp Hill PA 17011 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 P A) Personal property in County Value of real estate in Pennsylvania $ $ $ $ 24.500.00 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: Signature Typed or printed name and residence .Jean M. Bruce 194 Lon meadow St. Mechanicsbur PA 17055 Page 1 of2 Form RW-02 rev. 10.13.06 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. S worn to or affirmed and subscribed "1 +l.-; before me the ~ 1 day of '{Y\l'u'-d'--c' /~ DOg 0nc~~ ~ O. F or the RegIster >< v Signature of Personal Representative ~l~ ~Signature of Personal Representative ~I DC ~03c" File Number: - 6 ,) ~ Estate of Herman P. Bruce , Deceased Date of Death: 2/12/2008 C~,~ Social Security Number: 204-01-0445 AND NOW, fY\o..rcL ~ 1 ,~OO~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to .Jean M. Bruce in the above estate and that the instrument(s) dated March 31, 2003 described in the Petition be admitted to probate and filed ofrecord as the last Will ( nd Codicil(s)) of Decedent. \ Letters ............... .............. Short Certificate(s) Renunciation(s) ................ l ~ Ll., ~ ~0~\a-A ~ FEES TOTAL ............................. ${ ~() .CO $ I 2.- . (:C) $ $ lS' -00 $ \0..00 $ 5.aD $ $ $ $ $ $ $ IOZ-- 00 Attorney Signature: Attorney Name: Supreme Court I.D. No.: 24849 Address: 54 East Main Street Mechanicsbura, PA 17055 Telephone: 717-697-4650 Form RW-02 rev. 1O.13JJ6 Page 2 of2 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ITc j'll" this certificate, $6.00 ~.~'////;..,... /il"~ "~. 'il-l OF Pt:i>. i;.\.",,,Y'/---,,,C:1(,f '-~ ,\I\~Y ~~~ t~1 ..~\~'%. !:E/ .~~- \~~ ~ ~~,f~~ ,: . i'i;~ ~'*~~..:... )-~l -~~ ....'.,' .. r1t..o~ /~ I' ~--!:flMENf~~ 't.~,~\I\\\ . """"'"01'11#''''' .., 4 2 () 8 c' ," 8 I' 1. ti 0:(. Certification Numhcl" This is to certify that the information here given IS correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will he forwarded to the State Vital Records Office for permanent filing. Jll i)(JmlUJ~rl} Local Registrar . ~I i) log' Date Issued ~~T" \.~'..., H105-143 REV 1112006 TYPE " PRINT IN PERMANENT BLACK INK COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) STATE FilE NUMBER 1 Name 01 Oecedefll (first ffiIddIe. last. sultix) Herman P. Bruce 5 Age (lasl Birthda~) 6. Dale of Birth (Month, day, year) 85 January 21, 1923 v" Sb. County of Death Cumberland Ktfld 01 woo. Engineer St;~~~ov~:1;"~ent . 16 Decedent's Mailing Address (Sbeet, city Ilown, stale,zip code) 194 Long Meadow Street Mechanicsburg, PA 17055 17a.State 17b. County 19 Molher's Name (Fw$I, midde, maiden surname) Cordula Mae Roush 18 Falher'sName (First, middle, last, SlJlfixl Alexander Bruce 2Oa. InfOfTrlallfs Name (TVpe I Prinl) _0445 4 ale ol Death (MonVl, day, yearl J;)., ~OOv' Olhe<, DQlhe, . Soea~' 10 Race: Nnerican Irdan, BIadl., While, elc ISpec'/)1 White 14 Marital Slatus: Married, Never Married, W_ed, Oivo<ced (Spoa/)1 Married Did Decedenl Uveina Township? ooroe 17c.1)I Yes, Decedenl Lived in 17d 0 No, Decedent Lived wilhin ActuaILimilsoC Twp CttyIBoro Jean Bruce 2Ob. lnIormanl's Mailing Addfess (Street, city I town, stale, z~ codel 194 Long Meadow 5treet Mechanicsburg, PA 17055 21d. Location (C~ lloWn, stale, Zip codI) Mount Holly Springs, PA 17065 21c, Place 01 OlSpOsitioo (Name al cemetery, clemakKy 01' olhef place) Hollinger Creamatory Q !g '" .. ~ 22c, Name and Ackless of FaciIit)' Myers Funeral Home, Inc. 37 East Main Street Mechanlcsburg, PA 17055 1tt:mS2426 mu:>tbt:cocnplete<ibypersoo 11/110 p.-ollounces death '. 24, TlfTl8ofOeath I ,of !l~\ 25. Dale Pronounced Dead (MonIh, day, yeal) M 'l.(n/ cl, CAUSE OF DEATH (See Instructions and examples) U,,;lIl ;: 7 Pdrl L EIIl.;r loa iJIiiul J.lt.lilllliI:i - dlsea:.es, InjUU~S, or L'OOJVllCdllons - that direcUV ClIused Ihe death 00 NOT entellemunal events such as cardiac arrest, lespn.nory arrest. Of vernllcular libflllatJon without shOWing the t:tlology LIst only one calise on t'actl ~na I ApproOlllTkllelnlarva!' : Onsalto Dealtl , , , , I , , , , , , , , , , =~IaEj~Si g;~~ll ~se::; . C Of\tJ r'o lor as 'COIl'TI1Ca ~I I f vi b fl{\ it S 'V-{ {(JI ~(Ha5 conseq~~ 10 A \ -J.- Due 10 (or as a cooStlqueoce of)' pfn' 1M, 't Sequentl"Uy Il~t r..'OlIdIIIOIlS, II any ~~:l~o JHo~RLY~~~~E a (dI~a:;eOflflfUrtlhatiflltlaledll1tt (oVentsr&suIlln9ll1oo..tfl) LAST. :lOa Was an Autopsy Per1wned? 30b Were Autopsy FirKjogs A~ailable Priolto COITlpletlOf1 ofCauseoIDeat~? 31. Manner of Death ~Ni:llural 0 HomicIde o Accident 0 Pending Irwesll9<llion o SuIcide 0 Could Not be Determined M DYe$~ Dves DNo 32d. Time 01 Injury --\. 33a. CertifIer tdiock onlVOfleJ Certifying phyilc;:ian (physician cenityUlg cause 01 dedth when another phySICian has p.-orlourw;ed ooath and completed lIam 231 To the be.t of my knowledge, death occurred due to the cause(l) ancI miMe!'" slatecL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ;;O:U:S~:la~: ::::,~~~a:C~~ir:I:~ ::hu:~:~r:n~e~:c~ ~~~~1ot~:~:~~': manner as stated.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 ~~M ~::n;:~~;~~:= and I Of Investigation, in my opinion. death occurred at the lime, dale, and place, and dl.ie 10 lhe cause(s) and maMtr I.slaled.. 0 i5 s " ~ is ! L'2 I / ,,;{ I / I,~I DiSposltlOoPerrnit No 23tl, Ucense Number 2&. Dale Signed (Month, day, year) 26. Was Case Refelled to Medical Ellaminer I Ccw-onel' lor a Reason OCher than Cremation Dr 000ati0n1 o Vas t:D'" Parlll:Enlerother~~~~. 28. Old TOOaccoUse CoolriCxAIlDOeall1 btJl not r9$lJlll\g in !he underlying cause given in Part I 0 Yes D Proboabty o No 0 Unknown 29. It FemaIi o Not pr~lGIl\ wI\h1n past yeal o Plegnanlaltimeoldeath o Nolpregnanl.,butPIE9"<lf1IW111W142days 01..... ONolpregnant,btJlpr~43daYSlDlyear belore dealh o lKlknDwnil pregnanl within the past year 32c Place ollrpy: 1iDtne, Farm, Slreet, FactOfy, OIfIC8Iluolding.'"I_J 329. Localionoll~ry (Streel, city/lawn, slate) tl LAST WILL AND TESTAMENT BE IT REMEMBERED THAT I, HERMAN P. BRUCE, a resident of Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my LAST WILL AND TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. I I declare that I am married to JEAN M. BRUCE, and that I have three children, KATHLEEN A. KENNEDY, CAROLE A. BRUCE and CAMERON A. BRUCE. II I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. III I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from. my residuary estate as a part of the expense of the administration of my estate. IV I gIve, devise and bequeath all my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to my wife, JEAN M. BRUCE, provided that she survives me by thirty (30) days. V If my wife, JEAN M. BRUCE, shall predecease or fail to survive me by thirty (30) days, I gjve, devise and bequeath all of my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment, to my children, KATHLEEN A. KENNEDY, CAROLE A. BRUCE and CAMERON A. BRUCE, in equal shares, per stirpes. c VI I nominate, constitute and appoint my wife, JEAN M. BRUCE, as Executrix of this LAST WILL, to serve without bond. If my wife is unable or unwilling to act in that capacity, then I nominate, constitute and appoint my daughter, CAROLE A. BRUCE, as Executrix of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, HERMAN P. BRUCE, have set my hand to this LAST WILL this 3 \~t- day of 111(t;'tal , 2003. --ttAWtvL t tlW ~ HERMAN P. BRUCE Signed, sealed, published and declared by the above-named HERMAN P. BRUCE, as and for his Last Will and Testament, in the presence of us, who, at his request cmd in his presence, and in the presence of each other, have hereunto subscribed our names as witnesses. rI(/:! / (/ /1Y/0~ cI.'~'l/~M (J c/ '. .- ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, HERMAN P. BRUCE, Testator, 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 as my free and voluntary act for the purposes therein expressed. l~u~vl f ~ HERMAN P. BRUCE Sworn or affirmed to and acknowledged before me by HERMAN P. BRUCE, Testator, this ~I sJ day of ~ ,2003. iOQQ.~d.. Notary Public I NOTARIAL SEAL DEBORAH L. RYAN, NOTARY PUBLIC CITY OF MECHANICSBURG, CUMBERLAND COUNTY ;~ MY COMMISSION EXPIRES JUNE 11, 2006 AFFIDAVIT COMMONWI~ALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We,lt/~:(le{{ (i?l,.;/It.rz:72'~ and Lf:sa iL ~,\ 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 Testator sign and execute the instrument as his LAST WILL, that HERMAN P. BRUCE signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the hest of our knowledge, the Testator was at the time 18 years of age or more, qf'sound mind and under no constraint or undue influence. ,~,(M~' . ( ~(~>'~~ Sworn or affirmed to and acknowledged before me this 3 I ~r day of ~d-,- ' 2003. rw9-ffia Pc-. 4 ~ Notary Public NOTARIAL SEAL DEBORAH L. RYAN, NOTARY PUBLIC CITY OF MECHANICSBURG, CUMBERLAND COUNTY MY COMMISSION EXPIRES JUNE 11, 2006