HomeMy WebLinkAbout04-02-08
PETITION FOR PROBATE and GRANT OF LETTERS
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. Social Security No. ) ofCumberl~nd in t~~mo~(;:al~.:<i~~
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II The petition of the undersigned respectfully represents that: Q)
I. I! Your Petitioner is 18 years of age or older and the executrix named in the last will of the above
I decedent, dated 16 September 1977, and codicil(s) dated n/a.
.I! Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or
principal residence at 425 Walnut Street, Lemoyne, Pennsylvania.
Decedent, then 96 years of age, died 1 December 2007, at Holy Spirit Hospital, Camp Hill,
Cumberland County, Pennsylvania.
Except as follows, decedent did not marry, was not divorced and did not have a child born or
adopted after execution of the will offered for probate; was not the victim of a killing and was never
adjudicated incompetent: nla
Estate (~(ADONIA L. PATTON
also known as
Decedent at death owned property with estimated values as follows:
(if domiciled in Pa.) All personal property
(if not domiciled in Pa.) All personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
Situated as follows: 425 Walnut Street, Lemoyne, P A 17043
$190,000.00
$
$
$150,000.00
WHEREFORE, Petitioner(s) respectfully request the probate of the last will and codicil(s)
presented herewith and the grant of letters testamentary.
Signature and residences ofPetitioner(s):
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Judith Ann Patton
13 Mallard Court, Mechanicsburg, P A 17055
OATH OF PERSONAL REPRESENT A TIVE
COMMONWEALTH OF PENNSYLVANIA ) SS.
COUNTY OF CUMBERLAND )
The petitioner above-named swears or affirms that the statements in the foregoing petition are true
and correct to the best of the knowledge and belief of petitioner and that as personal representative of the
above decedent petitioner will well and truly administer the estate, according to law.
!
I Sworn to or affirmed and subscribed
lbefore me this .9/l ct day of
-eLl) lei ( , ' 2008.
IDVU,JhJlr 0 (J(//J}e~;t~:
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Judith Ann Patton
13 Mallard Court
Mechanicsburg, P A 17055
No. )/- {)f' {)3&7
Estate of ADONIA L. PATTON, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW, /)rJ- CXitJ ~CL~ ,2008, in consideration of the Petition for Probate
and Grant of Letters, satisfactory p of navmg been presented to me, IT IS DECREED that the mstrument
dated September 16, 1977, described therein be admitted to probate and filed of record as the last will of
Adonia L. Patton and Letters Testamentary are hereby granted to Judith Ann Patton.
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Attorney-at-Law (1.0. No. 17225)
P.O. Box 168
Lemoyne, P A 17043
(717) 761-5361
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WILL
OF ~O
ADONIA L. PATTON 8~~(")
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I, ADONIA 1. PATION, of the Borough of Lemoyne, Cwnberland COl.m~~~
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Pennsylvania, declare this to be my last will and revoke any will pr~iously
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made by me.
Item I. I direct that all my just debts and funeral expenses, including
my gravemarker and all expenses of my last illness, and all taxes and
assessments imposed by any governmental body as the result of my death,
whether on property passing under this will or otherwise, shall be paid from
my residuary estate as soon as practicable after my decease as a part of
the expense of the administration of my estate.
Item II. I give, devise, and bequeath all my possessions and estate
of every nature and wherever situate to such of my issue, per stirpes, as
survive my death by sixty ( 60 ) days.
Item III. I appoint my daughter, JUDITH ANN PATTON, executrix of this
my last will. Should my said daughter, Judith Ann Patton, predecease me or
otherwise fail to qualify or cease to serve as executrix, I appoint my
daughter, ~~ELYN PATTON WYNNE, executrix of this my last will.
Item IV. I direct that my personal representatives as well as their
successors, shall not be required to give bond for the faithful performance
of their duties in this or any jurisdiction between the parties.
(~ day of
IN WITNESS WHEREOF, I hereunto set my hand this
SQ~\~",^ 'o~v~
, 1977.
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Adonia L. Patton
Page I of 2 Pages
..
The preceding instrument, consisting of this and one other typewritten
page, each identified by the signature of the testatrix, was on the date
thereof signed, published, and declared by Adonia L. Patton, the testatrix
therein named, as and for her last will, in the presence of us, who at her
request, in her presence, and ln the presence of each other, have subscribed
our names as witnesses hereto.
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Adonia L. Patton
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Page 2 of 2 Pages
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LOCAL REGISTRAR'S CERTIFICATION OF DEAT>-I
WARNING: It is illegal to duplicate this copy by photostat or photograph
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P 13990080
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REV 1112006
r PRINT IN
'.o1ANENT
,CK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VtTAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
STATE FilE NUMBER
1. Name of Decedenl (First, middle, last, suffix)
Adonia L. Patton
5. Age (last Birthday)
6. Dale 01 Birth {Month, day, year}
96 y"
8b. County of Death
Cumberland
11. Decedent's Usual Occu tion Kind 01 work done dum. most ofworl<in life. Do .101 slate retired!
Kind of Work Kind of Business I Industry
Su ervisor A Dept. Revenu
Dyes KlNo
.. 16. Decedent's Mailing Address (Street, city I town, state zip code)
425 walnut street
Lemoyne, PA 17043
Decedent's
Actual Residence 17a Slale
PA
Cumberland
19. Molher's Name (First, middle, maiden sumamet
Annie R. Carro~l
17055
17b.County
16. Father's Name (Firsl. middle, last, suffix)
Roy M. Lechthaler
20a. Informant's Name (Type I Print)
Judith Ann Patton
4., te of Death (Month, day, {ear)
2124 I ecem b eR.
dOG
8a. Place of Death (Check only one)
Hospital Other
'c&lnpatient 0 ER I Outpatient DDOA 0 Nursing Home 0 Residence
g. ~~~~es~~~~~t ~~~~~anlc Origin? XJ No 0 Yes
Mexican, Puerto Rican, elc.:.
DOthel.Specify
1: RaCK American Indian, Black. White, atc
(Speci~')
\'i'hite
14. Marital Status: Married, Nevel Married,
Widowed, Divorced (Speed'/)
DIvorced
Twp
Did Decedent
Liveina
Township?
17c.D Yes, Decedenl lived in
17d. 51 ~~i\J~IT~~~to7ivedwll"ln LemoynE:
CitYi BolO
20b. Infq.c,mant's Mail1Qg e,ddress (street. cit): I town, slate, zip cod~t . b
1~ MaL~ard CLo, MeCnanlCS urg,
21d Localion (City" town, ~;tate, ZiP code)
New Cumberland,PA17070
""' 21a. Method of Disposilioo
PA
22c. Name and Address of Facility
21c Place of Disposilion (Name o~ cemetery, crematory or other place)
Mt. Olivet Cemetery
CAUSE OF DEATH (See Instructions and examples)
Ilem 27 Part I: Enter the ~ - diseases, injuries, or complications .- thal directly caused the death. DO NOT enler terminal events such as cardiac arrest,
respiratory arrest, or ventricular fibrillation wilhout showing the etiology. Ust only one cause on each line
I pproxlmateinterval
: Onsello Death
,
,
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,
if~~
,
,
,
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~~~~fo~~e~a~n~~; ~~~t~\ dise:;.
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Due to (or as a consequer'lCe of)
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Due to (orasa consequence of)
Sequentially listcondillons, if any,
~~l~~~~o ~NeDce'Rtyi~~~AU~E a
(disease or injury that initiated the
events resuHlngm death) lAST.
Due 10 (oras a consequence of)
30a. Was an Autopsy
Performed?
JOb. Were Autopsy Findings
Available Prior to Complelion
of Cause of Dealh?
31. Manner of Death
~ Na1ural 0 Homicide
o Accident D Pending Investigation
o SUicide 0 Could Not be Determined
M,
321. If Trar'lsportation Injury (Specify)
o Driver 1 Operator 0 Passenger DPedeslrian
DOther.Specify:
33b. Signature ar.d Tille ofCertilier
~ a _...,-1-
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DYes ~NO
DYes ONe-
32d.Timeofln)ury
33a. Certifier (check only one)
Certifying physician (Physician certifyil"\g cause of death when another physician has pronounced death and completed 11em 23)
To the best 01 my knowledge, death occurred due to the ClIUse(S) and manner as slated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~
Pronouncing and certifying physician (Phys1clal'1 both pronouncing death and certifying 10 cause 01 death)
To the best 01 my knowledge, death occurred at the time, dale, and place, and due to the caus9(s) and manner as staled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
Medical Examiner I Coroner
On the basis of examination and I or investigation, in my opinion, death occurred atlhe time, dale, and place, and due to the cause(5) and manner as sta1ed_ D
33c. License Number
F.R., 408 3rd St.,New Cumberland,PAl7070
23b. License Number 23c. Date Sigrlsd (Month, day, year)
,J, P 0,;./)1-4-'- j 2. '.2 ' <-j'
26. Was Case Referred to Medical Examiner I Coroner for a Reason Other tha1 Cremation or Donation?
DY" ON'
Part II: Enter othersianificanl cor.dilions contribulina 10 death
but not resulting in the underlying cause given in Part i
28. Did Tobac,:o Use Contribute to Death?
DYes DProoably
tJ- ~Jo 0 Jnknown
29. If Female:
o Not~lregnanlwithlnpastyear
o Preqlantattimeofdeath
o Notpregnan1,Julpregnantwithin42days
oldl3ath
C Not~lregnant, XIl pregnant 43 days 10 1 year
before death
o Unkrown II pmgnant within the pas1 year
Home, Farm, Street, Faclory
etc. (Specify)
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32g. Location of InJuI'V (Street, citv/town, state)
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35. Registrar's Slgnat
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34. Name and Address of Person Who Compl€!ed Cause of Death (llem 27)
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OATH OF NON-SUBSCRIBING \VITNESS(ES)
REdISTER OF WILLS
C'((I.v7 h~ )~ COUNTY, PENNSYLVANIA
Estate of
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, Deceased
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and
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~) being duly qualified according to law, depose(s) and say(s) that she /~y was~ well-
acquainted with ~ j""~{) L.'7\..+h"" and an~ familiar
with the handwriting and signature ofthe decedent, and that the signature of AA-":;t1 \ ,~ L, '~~'l
to the foregoing instrument purporting to be the Last Wi]] and Testament/Codicil of A-d'r'1):2 L. ;~+~
is in~/her own proper handwriting.
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(Cily. Stale, Zip) (),
(Slreet Address)
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Executed ill Register's Office
Sworn to or affirmed and subscrihed
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OATH OF SUBSCRIBING 'VITNESS(ES):,:~~g
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REGISTER OF WILLS
(~'~'''-''' h..A~ COUNTY, PENNSYLVANIA
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Estate of
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, Deceased
Saf'Yl "- e \ L, Ti-~ c\e-:. , (each) a ~,ubscribing witness to
(Print Hamels)
the~ Will 0 Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that .she"'/ he / t+tey was / \ite1"e"' present and saw the above l'eslalor 7' Testatrix sign the same
<"-:he.
and that .&fr€ I Lc / ~ signed the same and that Bhe / he / .they signed as a 'vvil:ness at the request of
the Testator / Testatrix 111 her / his presence and in the presence of each other
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Sworn to or affirmed and subscribed
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Executed out of Register's Office
Sworn to or affirmed and subscribed
Executed in Register's Office
before me this
of 0 p1i r
{1/nlJtuL( (~ / Jf3h/2!JifL
Deputy for Register ofAvil1s
day
before me this
day
_, rQLy)f .
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 C(,mmi~sion.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notanzatlOn.
Form R W-03 rev. 10 J 3. 06