HomeMy WebLinkAbout04-01-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYL VANIA
Estate of Glen M. Junk
also known as
Glen McClure Junk
File Number
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. Deceased
Social Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~' or 'B' BELOW:)
III A. Probate aDd GraDt of Letters TestameDtary and aver that Petitioner(s) is / are the Executrix
last Will of the Decedent dated August 30,1983 and codicil(s) dated
named in the
(State relevant cirCtl1tlStOnCes, 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: Widowed May 2000
o B. GraDt of Letters of Administration Not applicable
(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 db.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Decedent was domiciled at death in Cumberland
4645 Carlisle Road Gardners. PA 17324
(List street address, town/city, township, county, state, zip code)
County, Pennsylvania with his / her last p .
co
Name
Relationshi
(COMPLETE IN AU CASES:) Attach additional sheets i/necessary.
Decedent, then 85
Carlisle.PA 17013
years of age, died on February 14,2008
at Claremont Nursin~ and Rehabilitation Center
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
100,000.00
s
s
s
s
0.00
situated as follows: Estimated amounts: Cash, Bond, Stocks, Life Insurance and reimbursement from nursing home expenses.
Wherefore., Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant Of~rs in the a~iate form to
the undemgned: s::: 0 c:= .
T or Tinted name and residence
Evelyn F. Eshelman 450 Old State Road Gardners, PA 17324
Form RW-02 rev. 10.13.06
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
COUNTY OF G~r ~
SS
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 beliefofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and tmly
administer the estate according to law.
before me the
-ha-I.
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/
Signature of Personal Representative
Sworn to or affirmed and subscribed
Signature of Personal Representative
co
m
Social Security Number: / Be) /4 B9()';)...
AND NOW, +1/ / , /J1)B , in cons' eration oftl
having been presented before me, IT IS QECREED that Letters / t"S
are hereby granted to Eve I (f n ~ F sA ~ / mCiLY)
Au f 19~0
Estate of
~\ o~ D3\0O
k-
Date of Death:
foregoing Petition, satisfactory proof
I
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed a
FEES
I ()IJ 000
Letters ........ I . . . . . . $
Short Certificate(s) . .1 Q . . . $
Renunciation(s) .......... $
lJJJl1 $
~fJ $
,{1Atu $
$
$
$
$
$
$
TOTAL .............. $
d(1)
tf()
Attorney Signature:
Supreme Court LD. No.:
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Attol11ey Name:
Address:
Telephone:
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For", RW-IJ2 rev. 10.13.06
Page 2 0[2
HlO).W) REV (01/071
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
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 be forwarded to the State Vital
Records Office for permanent filing.
P 14125651
Certification Number
co
1. Name of Decedent (First. mKkle, last, suffix)
8
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS 0 C) 0
CERTIFICATE OF DEATH OO-;::a;1
(See Instructions and examples on reverse) STATE FlLE NU~ c: CJ... \
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H1Q5.143 REV 1112006
TYPE I PRINT IN
PERMANENT
BLACK INK
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GLEN M. JUNK
8902
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85 y~.
Bb. County of Dealh
January 16, 1923
Honey Grove, Pa
~
2008,
5. Age (WI ~_I
6. Date of Birth (Month. day, ear)
Bd. Facility Name (" not inslilution, !tie street and mmber)
Ba. Place of Death (Check only one)
Hospital: Other:
o Inpatl9nt 0 ER I Outpatient D DOA MNUrsing Home 0 Residence
9. Was Decedent of Hispanic OrIgin? [1Q No 0 Yes
(If yes, specify Cuban,
Clarem:mt fursing & Rehabilitation Center Me,lean,PuertoR"",,,"'.l
12, Was Decedent ever illlhe 13. Dececlent's Edlcatlon (SpecIfy only highest grade completed) 14. Marital Slatus: Married. Never Married,
u.s. AmMld Forces? Elementary I Seco12 ndary (0-12) College (1-4 Of 5+) Widowed, Divorced (SpecIffJ
~" ON, Widowed
7. Birthplace (C' and state or to
Cumberland
oQthe,. Sped~.
10. Race: American In<ian, Black, White, ek:.
~~f)?
most 01 life. Donol8laleretir
Ktnd 01 8usiness1 Industry
ter Construction
. 16. Decedenrs Mailing Address (Street, city I town, stale, zip code)
4645 Carlisle Road
Gardners, Pa 17324
18. Father's Name (FIlS!, middle, last, sufrDl)
_.
ActualResldence 17a.SIate
Pennsylvania
Did Decedenl
lIvelna
Townsh~?
17b. Coon~ Umberland
17c. [!9 Yes. Decedent Lived in
17d. 0 No, Decedent Lived within
Actuallimilsof
South Middleton
Top.
CllyIBoro
~
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Jesse Junk
19. Mother's Name (FlrsI, midcIe, maiden surname)
Zola M::Clure
2Ob. Infomlants MaIling Mir886 (Street, city I town, sIate,zip code)
21d.l.oca1lon(CllyI_,"'&,zlpOldeI
Carlisle, Pa 17013
~
3
"~
t
U-
ic?rv
DYes oNo
31. Manner of Death
~alUral DHomicide
0- 0 Pendn,llMlSti,-
0""""" oCouldNolbo"""_
Approximate int8M!l: Parl It: Enter other sionilicanl corllItinns cnntribllma ta dulh, 28. Did Tobacco Use ConIrlbute 10 Death?
OnselloDeath bulnolredlnginlheunderlylngC8US8giveninParll. 0 Yes DprobabIy
o No 0 Unknown
29. It F9ma1e:
DNolpregnantwllhlnpastyear
o P<egnen1"lImoold&&~
o Nolp<egnenl,bul""""""_'2days
ol_
D Not pregnant,but prugnant 43 days 10 1 year
before_
o """"",,nptegnentwilhillhepeslyear
32c'~':~~::(~jStreet,Factory,
~=s:~~)~
CDt>t>
Due to (or as a consequence of):
=1:r.e~C:::'~~a
Enter !he UNDERLYING CAUSE
~~Iln:aWt'rH\e
b.
Due 10 (or as a consequence 01):
Due to (or as a consequence 01):
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308. Was an Autopsy
p-
O Yes .t.
:nJ. Were Autopsy FIndIngs
AvailsblllPriortoComplellon
olCauseofDealh?
32d. Tnne of Injury
32g. localion ot Injury (Street, city/IOWfl,slale)
".
338. C<<IifI8f (check only one)
:'~~:::-"~~C::"~~~~and~~~=-~_~~tt)_~~~~~~~~_________________ D .. \. ~O "
. Pronouncing and certifying physlcl8n (Ptlysician botfl pronouncilg clealtl and certifying to cause of death) ElI 33c. Licen&EI Nt.mber
. ~':.~I:=,duttlOCCUI1'ed8tlhetlme,datelandpface.andduetothecause(slandmanner...tatecL_________________ . ., .....oocr403,- L
On Itlt ball of examination and J or investigation, In my oplnlon, deIth occurred 8t1he time, date, and place, and due ta the cause(s) and 1l'I8I'ln8f as slated.. D 34 Name and!ddf&S8 of Person Who Completed Cause 01 DeaIh (11em 27) Type f P nl
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Disposition Pennil No.
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LAST WILL AND TESTAMENT
OF
GLEN M. JUNK
268A,
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debts and f~eral
and disposing mind, memory
as and for my Last Will and
by me at any time heretofore made.
1. I direct my hereinafter named Executrix to pay all of my jus
expenses as soon after my death as may be found convenient to do so.
2. All the rest, residue and remainder of my Estate, real, personal and mixed, and
wheresoever the same may be situate, I give, devise and bequeath to my wife, Florence L.
Junk, her heirs and assigns, to the exclusion of my children, born and unborn, provided my
said wife, Florence L. Junk, shall survive me by a period of ninety (90) days.
3. Should my said wife, Florence L. Junk, predecease me or fail to survive me by
the aforesaid period of ninety (90) days, then in such event all the rest, residue and remainder
of my Estate, real, personal and mixed, and wheresoever the same may be situate, I give,
devise and bequeath as follows:
a. If the eastern portion of the property which I own in South Middleton
Township which I acquired from Tressie A. Kiner, by Deed dated and recorded November
1, 1979, has not been conveyed to my daughter, Evelyn F. Limer, then in such case I give,
devise and bequeath to her the eastern portion of said premises on which it is expected that
she will have placed thereon a mobile home occupied by her as her personal residence.
b. The balance thereof I give, devise and bequeath in equal shares to such
of my four (4) children as shall survive me by a period of ninety (90) days, but should any
of them fail to so survive me then the share such deceased child would have received shall
pass to such of his or her issue as shall survive me by a period of ninety (90) days, per stirpes,
and should there be no such issue the same shall lapse and be added to the remaining shares,
per stirpes. My four (4) children are Carl G. Junk, Evelyn F. Limer, Beverly A. Freeman,
and Donna K. Brewster.
4. I hereby nominate, constitute and appoint my said wife, Florence L. Junk, as
Executrix of this my Last Will and Testament, but should she predecease me or fail to qualify,
then in such event I nominate, constitute and appoint my daughter, Evelyn F. Limer, as
Executrix, but should she fail to qualify, then in such event I nominate, constitute and appoint
my other three (3) children, Carl G. Junk, Beverly A. Freeman and Donna K. Brewster, or
any of them, as co-Executors, and I further direct that none of them shall be required to
post any bond to secure the faithful performance of his or her duties in the Commonwealth
of Pennsylvania or in any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will
and Testament, written on one (1) page, this 30th day of August , 1983.
4-.... 1-1'\ z!} ~ ~ (SEAL)
Glen M. Junk -
'Vd ; 'O'J GNvkl3SWro
18000 S,N'iHdOO
:iO 'AB318
fit :6 W~ 1- MdV Qonz
Page 1 of 1 Page
Signed, sealed, published and declared by GLEN M. JUNK, the Testator above named,
as and for his Last Will and Testament, in our presence, who, in his presence, at his request,
and in the presence of each other, have hereunto subscribed our names as attesting witnesses.
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OATH OF SUBSCRIBING WITNESS(ES)
Cumberland
REGISTER OF WILLS
COUNTY, PENNSYL VANIA
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. Deceased
Estate of Glen M. Junk
Robert M. Frey
. (each) a subscribing witness to
(Print Namels)
the IZIWill 0 Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she @ they ~ were present and saw the above ~~ Testatrix sign the same
and that she ~/ they signed the same and that she ~ they signed as a witness at the request of
the (Testa~ Testatrix in her @ presence and in the presence of each other.
5 South Hanover Street
(Street Address)
(Street Address)
~'--r M~ ~J
(Signature)
(Signature)
Carlisle, P A 17013
(Cily, State, Zip)
(Cily, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this ~ day
of \ \ ax:t3
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this
day
of
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary' s Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
Form RW-03 rev. 10.13.06
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OATH OF NON-SUBSCRIBING WITNESS(E~~
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REGISTER OF WILLS e; ~ ~
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COUNTY,PENNSYLVANIA ~S~
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Estate of Glen M. Junk
, Deceased
Tammy L. Pappariella and
-{Pl'lC:~ being duly qualified according to law, depose'W, and sayW that @ he / they @ were well-
acquainted with Glen M. Junk an@are familiar
with the handwriting and signature of the decedent, and that the signature of Glen M. Junk
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
Glen M. Junk is ueer own proper handwriting.
~q-lft(~
(Sl II
(Signature)
325 Beech Avenue
(Street Address)
(Street Address)
Hershey, P A 17033
(City, State, Zip)
(City, State. Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
I day
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FormRW-04 rev.lO.13.06