HomeMy WebLinkAbout04-04-08
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of
also known as
Julia H Barrick
No.
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. Deceased
Social Security No.
Lois J. Swanger
Petitioner(s). who is/are 18 years of age or older. apply(ies) for:
(COMPLETE 'A' or '8' BELOW)
[!] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut r ix
the Decedent. dated 04/19/2000 and codicil(s) dated None
named in the last Will of
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 documents
offered for probate: was not the victim of a killing and was never adjudicated incompetent:
o B. Grant of Letters of Administration
(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:
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumb er 1 and
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County. Pennsylvania ~ l1Is/her las~mily
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Name
Relationshi
or principal residence at 50 East Main Street, Newville, Newville, PA 17241
(list street. number, and municipality)
Decedent. then ~years of age, died 11/06/2007 at Carlisle Regional Medical Center, PA
(Location)
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
7,109.88
$
$
$
$
57,126.50
situated as follows:
50 E. Main St., Newville, PA
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 ap riate form to the undersi ned:
Si nature T ped or printed name and residence
Lois J. Swanger
50 East Main Street, Newville, PA 17241
Prepared by the Pennsylvania Bar Association
Copyright (c) 1996 form software only CPSystems.lnc. Form RW-1 (1991)
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumber land
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 of Petitioner(s) and that, as personal representative(s) of
the Decedent, Petitioner(s) will well and truly administer the estate according to law.
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Lois J .awanger j
Sworn to or affirmed and subscribed
befor~ me this ~ day of
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Estate of Julia H Barrick
Deceased
Social Security No:
Date of Death: 11/06/2007
AND NOW.
. in consideration
of the Petition on the reverse side hereon. satisfactory proof having been presented before me,
IT IS DECREED that Letters [R] Testamentary D Of Administration
(c.t.a.; d.b.n.c.t.a.: pendente lite; durante absentia: durante minoritate)
are hereby granted to
Lois J. Swanger
04/19/2000
in the above estate and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
Attorney: James M. Robinson
I.D. No: 84133
Turo Law Offices
Address: 28 South Pitt Street
II' Carlisle, PA 17013
IS- Telephone: 717/245-9688
Letters.
FEES
4J4 26~ .5. ~ $
f3~
Short Certificate(s). 0 $
Renunciation.
$
Affidavits (
$
Extra Pages (
) .
$
..eodicil. . t.0.t Il .
JCP Fee. -. ~ -0.
$
$
Inventory.
$
Other
$
TOTAL.
$
lro~
Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc.
Form RW-1 (1991)
HlOS.80S REV (OliO?)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Certification Number
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.
Fee for this certificate, $6.00
P 13989055
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ocah.egi. rar
N~V 0 ~ 2007
Date Issued
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STATE FILE NU~ (- :J:::
4.0 Death (Month, ear) t::. -,
November 6' 20017
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REV 1112006
I PRINT IN
MANENT
\CKINK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
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1. Name of Decedent (First, middle, last, suffix)
Julia H.
5. Age (last Birthday)
188 - 05 - 3746
;'.("'{
6. Dale of Birth (Month, day, year)
Other: \0
D Nursing Home 0 Residence DOlher Specify:
9. Was Decedent of Hispanic Origin? ~ No 0 Yes 10. Race; American Indian, Black, While. ale
(lIyes._ifyCuban. ISpecifjj
Carlisle Regional Medical Center Mexican.PuertoAican.e~.) ite
12. Was Decedent ever In the 13. Decedent's Education (Specify only highest grade completed) 14. Marital S!alus: Married, Never Married,
U.S. Armed Forces? Elementary I Secondary (0-12) College {1-4 or 5+} Widowed, Divorced (Specify)
DYes iii No 11 idowed
89 Yrs.
8b. County of Death
Cumberland
. 16, Decedent's Mailing Address (Street. city { town, state, zip code}
50 East Main Street
Newville, PA 17241
:Ue:;~id9nce 17a,Slate Pennsylvania
17b. County Cumberland
Did Decedent
live in a
Township?
17c. 0 Yes, Decedent Lived in
17d. ~ No, Decedent Lived within
AcIualUmitsof
Twp
Food Service
most ot world Iile. Do not slate retl
Kind of Business I Industry
De artment Store
Newville
City/Boro
18. Father's Name (First, middle, last, suffiX)
John W. Highle
208. Informant's Name (Type,' Print)
Lois J. Swanger
21a. Method of Disposition
19. Mother's Name (First, middle, maiden sumame)
Grace D. Sloat
2Gb. lnformanrs MaMing Address (Street, city I town, state, zip code)
50 East Main Street, Newville,
21c. Place of Disposition (Name of cemetery, crematory or other place)
17241
25. Dale Prooounced ~ad (Mooth, day. year)
"IG/O 7
CAUSE OF DEATH (See Instructtons and examples)
Item 27. Part I: Enter the ~ - diseases, injuries, or complJcatlons - that directly caused the death. DO NOT enler tennlnal events such as cardiac arrest,
respiratory arrest, or ventricular fibrillation without showing the etiology. List only one cause on eadlline.
Cremation Societ of PA
22c.NameandAddressolFaO"'her Memorial Home and Cremation
L 4100 onestown Road, Harrisbur . PA 17109
2'-' lice; ;;~ , i , ~ ~ 230 DaliY;;;O:'?7 yeer)
26. Was Case Referred to Medical Examiner I Coroner for a Reason Other than Cremation or Oooation?
DYes DNo
SequentiaJtyllstcondilions, ilsny,
=to:~~~~~Ea.
~~~nt~~~t(%dST~
a S'PfS::;'
Due to (or as a consequence_of);
b .c c.lA..f1? V"'-O \ b-- '" ~; ,.l.-, -c..
Due 10 (or as r """""luenca 01):
c.b.E...lP r1 Oc.. 0 Ii ~""~:s.
Due to (or as a conseQll8llC6 of):
:;-d..lo..r<;.
Part II: Enter other sianificanl conditioos conbihutmto death, 28. DId Tobacco Use Contribute to Deatll?
but no1 resu1Ilng In 1he unde!fying cause given In Pan 1. D Yes D Probably
D No D Unknown
29.11 Female:
o Not pregnant within past year
o Pregnant atUme 01 death
o Not pregnant, bul pregnant within 42 days
01 death
o No! pregnant, but pregnant 43 days to 1 year
before death
o Unknown il pregnant within the past year
32c. Place of tnjury: Home, Farm, Street, Factory,
Office Building, ele. (Specify)
Approximate in1eM,I:
Onset to Death
~~.?~~~)d~
d.
I .~ l' of / I I' I
32g. Location of Injury (Street, city !town, state)
Dyes
Dyes
31. Manner of Death
~r~ D Homicide
o Accident 0 Pending Investigation 32d. lime 01 Injury
D S~ D Goold NoI be Dalermined
M.
308. Was an Autopsy
Perlorrned?
3Ob. Were Autopsy Andlngs
Available Prior to Completion
of Cause 01 Death?
33a. Certifier (check only one)
CertIfying physician (Physician certifying cause of death when another physician has pronounced death and completed Item 23)
To the best of my know\edge, death occurred due to the cause(s)and manner.s stated.. - - -.... -.... - -.... - -.. -...... - -.... -.......... -....
~~=~n:,.= =~=~a~=;=u=":::~a=ot~~:a~~ manner as s\8tecL.. _.. _ _ _...... _.... _...... _ 0
:-:::=~n:~c:.: and! Of investigation, in my opinion, death occurred at the time, date, Ind place, and due to the cause(s) and manner as stated.. 0
a \ 0 ~ 6 "6~) ~
auil
of
JULIA H. BARRICK
I, Julia H. Barrick, of North Middleton, Cumberland County, Pennsylvania, being
of sound and disposing mind, memory and understanding, do make, publish and
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declare this to be my Last Will and Testament, hereby revoking and ~~~g vo~all ,_ -,
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previous Wills and Codicils heretofore made by me.i~(0
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I order and direct my personal representative hereinafter named t~gjy all ~my ::-,: .
just debts, funeral expenses and expenses involved or connected with I..Othe
administration of my estate as soon after my death as is reasonably possible. However,
my personal representative need not accelerate and pay those unmatured obligations
which, in his, her or its opinion, it might be proper and more advantageous to retain or
renew and pay as they become due and payable. If I do not own a burial plot or a grave
marker at the time of my death, I authorize my personal representative, in his, her or its
sole discretion, to purchase a burial plot and to erect a suitable marker at my grave, and
to expend sums from my estate for this purpose.
SECOND
I give, devise and bequeath my entire estate together with all insurance proceeds
thereon of whatever nature and wheresoever situate to my daughter, Lois June
Swanger, per stirpes.
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THIRD
My executrix and trustee are authorized and empowered to exercise from time to
time in his, her or its sole discretion and without prior authority from any Court, in
respect of any property forming part of any trust hereby created or otherwise in its
possession hereunder all powers conferred by law upon trustees or executors and the
testator intends that such powers be construed in the broadest possible manner.
FOURTH
I nominate, constitute and appoint my daughter, Lois June Swanger, of
Cumberland County, Executrix of this my Last Will and Testament. I direct that my
personal representative shall not be required to give or post bond for the faithful
performance of his, her or its duties in this or any other jurisdiction.
FIFTH
I hereby declare it to be my expressed desire that my personal representative
employ Turo Law Offices of Cumberland County, Pennsylvania, for legal advise and
assistance regarding this my Last Will and Testament, they having considerable
knowledge of my affairs, views and wishes respecting any matters that may arise at the
probate of this instrument, the administration of my estate, and the execution of the
powers herein mentioned.
IN \^lITNESS WHEREOF, I have hereunto set my hand to this my Last Will and
Testament this /q th day of !1/Yl...'L(J , 2000.
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Witness
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
:SS
COUNTY OF CUMBERLAND
We, fi~('i y'Y). frice and KpnRQ (Y]. 5tYll'/.-h , the witnesses
I
whose names are attached to the foregoing document, being duly qualified according to
the law, do depose and say that we were present and saw Testatrix sign and execute
the instrument as her Last Will and Testament; that she signed willingly and that she
executed it as her free and voluntary act for the purposes therein expressed; that each
subscribing witness in the hearing and sight of the Testatrix signed the Last Will and
Testament as witnesses and that to the best of our knowledge the Testatrix was at the
time 18 or more years of age, of sound mind and under no constraint or undue
influence.
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QlU~ if. { yj}n ii/l
Sworn or affirmed and subscribed before me by R (flU trl. Sni( I ff) and
{Y1LIYlJ 0,. p~ I ~J this Iqlh day of ~rllJ ,2000.
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Notary Public
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ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
:SS
COUNTY OF CUMBERLAND
I, Julia H. Barrick, the Testatrix whose name is signed to the attached or
foregoing instrument, having been duly qualified according to the law, do hereby
acknowledge that I signed and executed the instrument as my Last Will and Testament;
that I signed it willingly, and that I signed it as my free and voluntary act for the
purposes therein expressed.
JC-' [')
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Julia H. Barrick
Sworn or affirmed and acknowledged before me by Julia H. Barrick, the Testatrix,
this lC\tl\. day of !1pll ( , 2000.
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