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, $6.00
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/il"~ "~. 'il-l OF Pt:i>.
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Certification Numhcl"
This is to certify that the information here given IS
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will he forwarded to the State Vital
Records Office for permanent filing.
Jll i)(JmlUJ~rl}
Local Registrar .
~I i) log'
Date Issued
~~T"
\.~'...,
H105-143 REV 1112006
TYPE " PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
STATE FilE NUMBER
1 Name 01 Oecedefll (first ffiIddIe. last. sultix)
Herman P. Bruce
5 Age (lasl Birthda~)
6. Dale of Birth (Month, day, year)
85
January 21, 1923
v"
Sb. County of Death
Cumberland
Ktfld 01 woo.
Engineer
St;~~~ov~:1;"~ent
. 16 Decedent's Mailing Address (Sbeet, city Ilown, stale,zip code)
194 Long Meadow Street
Mechanicsburg, PA 17055
17a.State
17b. County
19 Molher's Name (Fw$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