HomeMy WebLinkAbout04-04-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
File Number 21-08- D'~ ~ :3
Estate of Norman LaDue Ferris
also known as
, Deceased
Social Security Number
Elizabeth A. Ferris
Petitioner~, who islMx 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW)
[R] A. Probate and Grant of Letters Testamentaryand aver that Petitioner(~ islMx the al ternate Executrix named in the
last Will of the Decedent, dated 11/11/1997 and codicil(s) dated NIL
Executrix Helena J. Ferris predeceased Decedent on 12/20/2007; Alternate Executrix is Elizabeth A. Ferris.
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: N / A
o B. Grant of Letters of Administration
(It applicable, enter: c.t.s.: d.b.n.c.t.B.; pedente lite; durante absentia; durante mmontate) -,~
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and hei.rs(/f
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.),
Name
Relationship
Residence
J
-\J
)
.,OJ
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with
802 Carol Circle, New Cumberland, Cumberland, PA 17070
(Ust street address, townlcity. township, county, state, zip code)
.... -') ,---.
~.~_.
his / her last principal reside~ at
-0
:;:>
:t;p
-~
,,' ')
,- :,
"1J
, ;.~
--
.-
,00
\
,<t
Decedent, then 85 years of age, died on 03/01/2008
at Todd Memorial Home, 1000 W. South St., Carlisle, PA 17013
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 af real estate in Pennsylvania $
07'
// 0...(.)
situated as follows:
bO.).., C....roi
75
~.,
a DC ~
C',r<-I...
N'-'-- C,,-l,.l.-Ie..,.1 ,/'.< 17(,) 70
Wheretore, 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 foml to
the undersigned:
Signature
Typed or printed name and residence
Elizabeth A. Ferris 802 Carol Circle
New Cumberland, PA 17070
717-774-6351
Form
Rev. 10-13-2006
Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 1 of 2
ZlO za5ed
'OUI 'dnoJ8 Jau~Oel a~l -'IUO aJeMlJOS WJOj 900Z (0) 1~5uMoJ
900Z'r:i'Oi 'A8<1 ZO-M~ WJOd
(}01'J0r
$ ...................... ............lVlOl.
la u 'lSe:>w o:>@lI:>equaSU!lq
:l!eV\l-3
EEL6-ZEV. L ~L
:au04da\al.
ono- 6~OH 'Vd '6JnqslI!a
on xog '0' d
::>d lI:>equasu!l ~ )!:>eJlI:>S
: ssaJ p PV
00 ' ("
Q)'OI
aD'~'
09EL9
:'ON 'O'II.moO awaJdns
lI:>equasu!l '::> uep8
,/'
..~/ ,-
:'. -;;:::-7 ------.p /'
.<:.; '-- /
r -
~ ,Jrf Sf/1M jO Jajs!6a/::J _
-rlf5 n7Yi r,~/,zv) n ) {/y1)f-./
v
:aweN ^aUJOnv
$ .............................(s)UO!lepUnUa~
:amleu5!s ^aUJOnv
OQ'S'G
Q7'O I~I
$ ........................(S)ale::Jll!jJao jJ04S
~ )JWff(,
v U
$ ......................................... 'SJanal
S33.:l
'jUapa::Jao !O (~II!M lsel a4l se pJo::JaJ !O pallll pue aleqoJd Ol pan!Wpe aq UO!l!lad a4l U! paqp::Jsap
L66 ~I ~ ~I ~ ~ palep (x)lUaWnJlSU! a4lle4l pue
alelsa aAoqe a4l UI
S!JJ8.::1 ''V lIlaqez!l3 Ol palUeJ5 ^qaJa4 aJe
800Z
'MON ONV
.tJeluawelsa.l
!OOJd ~Ope!S!leS 'UO!lilad 5u!o5aJo! a4l !O uOileJapIsuO::J UI '
900Z/~O/EO :4leao!O aleo
:JaqwnN ^wn::>as lepos
pasea::Jao '
S!JJa.::l anael UeWJON !O alelS3
("')
y ,8f"O .90.~Z
:JaqwnN al!.:I
L,t
C.
b... ..
( ',.
I';~
I.
C'
c.:, ,
L'
C'
I.,'
r:
o.
j.
.c
0"
1--
&_ ,n
?i~
:n::
..c::
l~'~
-=:t
I
t:,-
CL
~-i:
2f.~,
~~~\-
C,-,
it::
0-"
c5
aAljejUasclJdatj /euosJad )0 aJnjeu61S
C:1
C;::--l
c.::."
___ 1
aAljejUasaJdal:lleUOSJad )0 aJnjeu6!s
JalS!5a~ 4l JO.:l
1 u1;L t ( ~', ~Yll\7ffrlffl/
" i ,0 J v v '-tv' r V! U
80 0 Z J T"\"thJ
!O ^ep
SpJa.::l .'V lIlaqez!l3
LH F S!4l aw aJo!aq
paqp::Jsqns pue paWJwe JO Ol UJOMS
'Mel Ol 5u!pJo:J:Je alelsa a41 JalSIU!wpe
^lnJI pue lIaM II!M (s)JauO!l!lad 'luapa::Jao a4l!O (s)aA!lelUaSaJdaJ leUOsJad se 'W4l pue (s)JauO!l!lad!O !a!laq pue a5pa1MOU>\ a4l
!O lsaq a4l Ol paJJo::J pue anJl aJe UO!l!lad 5Ui05aJo! a41 U! SluawalelS a4lle4l (S)WJwe JO (S)JeaMS paweu-aAoqe (S)JaUOII!lad a41.
{
ss {
a^!lelUaSaJda~ leuosJad JO lneO
pUelJaqwn::> .:10 Al.NnOO
VINV ^ lASNN3d .:10 H1.lV3MNOV\lVIIOO
Q i - /"9 - (/~ 'l r/ :::
:/--1 l.l[_, ~/JI~......
LOCAL REGISTRAR'S CERTIFICATION OF DE~ fH
WA,RNING: It is illegal to duplicate this copy by photostat or photograpi
C,,'nilil':lIil,11 '\ulllbl'l
"""U,," 'J'111\. i, tl\ cl,rtiil,. th,
"l(If/- ...:;;"....~
""~\-),,,,\\ Oflfii>~ l'"rrectl) ll\pil>d II' 'i,l
/~ ~ ..~%~ dulv riled \11th I I,'
l~~'::- ~\\ L,-'1lifil'ate \\111 he
~ '3 :'"i h~1 ReLI \nl, (Jtrilc )1 I
.. 11''',
'l* "-, ~, ""'*"'/~L~ ~ ~
,~ "',-, .,
\. r~ .;:;:./
,~ ;:;,;f,?, u..\. 'r ,,1"
'\,~ 'MEN1 l,\\ """"
<"~'!!!!~.'!!!.!..!5-' '
~hc i"l PITllall,) h',TC' ~ivcn is
.Ill (ill ~ nal Cc'rll1illte of Death
(\,I! R.llgil:tr,:' ;'l1e original
"III,wJ:d (I) teState' Vital
I "allTI fililg
:iT I"
till' ",:nit'il'atC', 'II (!I!
P 14125114
u~~f~""~~t~-tJ~~~~~!j~_l~~
('Lid Rq2hlrlll ' I' Ilk IsslIed
o
~::;SS
'(1
,--)
'~~
/iII
Q
:;;::l
I
~
.'-
(;:-::
r-D
::..-0
;'J.::~
7;;P
:",j:.
=>\
"
. ~--)
~ '(-1
,.~)(~
'~-n
-\\...-
E1
\J
P
0)
Hl05-143 REV 11/'2006
TYPE f 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
v.
3. Social Security Number
4. Date of Death (Month, da), year)
1. Name of Decedent (First, middle. last, suffix)
-16
9864
March 1 2008
5, Age (last Birthday)
85
April 11, 1922
Binghamton I NY
as. Place of Death (Check only one)
Hospital: Other:
o Inpatient 0 EA I Outpatient 0 OOA ~ Nursing Home 0 Residence DOthur - Specify:
g.~~~=~~I~~~:,anicOrigin?p No D Yes ~O.Rece:,~mer1canlndian.BIack.Whi!e,BIC.
M";,,o, Pueno A;"o, ",.) (Spedfy) White
Bb. County of Death
Sd. Facility Name (If not institution, ~e street and number)
Cumberland
sarah Todd Nursing Home
Decedent's
ActuatResidence 17a. Stale
PA
DidOecedenl
LiV9ina
Township?
17c. 0 Yes, Decedent Uved in
17d.P ~iua~e:~I~jvedwtthin
Twp.
11. Decedent's Usual lion Kind of work 00ne durin moot of 'NO life. Do not stale retired
Kind 01 Work Kind of BlISioess I Industry
Administrarive Mfg. (IBM)
. 16. DT~dMai1inM~~~i~t 'tHeme zipcOOe)
12. Was Decedent ever in the
U.S. Armed Forces?
[&y" ONo
13. Decedent's Education (Specify only highest grade completed}
Elementary I Secondary (0-12) College (1-4 or 5,,")
12
14. MarilalStatus: Married,NeverMarried,
Widowed, Divorced (Sp6cifyl
Widowed
Ca~ml~. ~~U!~Or3.
17b. County
(]lmru>rl;mn
Carlisle,
City/Boro
18. Falher's Name (First, middle, lasl,suffix)
Minot Ferris
19. Mother's Name (First, midcle, maiden surname)
Edna Cleveland
20a Informant's Name (Type / Print)
Beth Ferris
2Cl1. Inlormarrt's Maijing Address (Street, City / town, statE!, zip code)
802 Carol Circle, New CUmberland, PA 17070
21a. Method 01 Disposilion
IX! Burial 0 Removal from State
o Other - SPBCify:
22a. Signature of Fuoer ice Licensee (or person actlng as sucfl)
~~(
COfTllIefe Items 23a-c only when certifying
physician is 001 available at time of death to
certilycause of c1eath.
21c. Place 01 Disposition (Name of cemetel)'. crematory or other place) 21d. Locatioo (City I tOWl'l, slate, zip code)
2008 Mountain Valley Cemetery Halstead, PA 118822
22,.N,m,""'Add""o'F.o'., Hoffman-Roth Funeral Home & Crematory, Inc.
Carlisle PA 17013
((.N\ 0 C' ~
Items 24-26 must be completed by person
whoprooouncesdeath.
Approximate interval'
Onsel 10 Death
~~~~t~S; ~~\ disea~
~ <; ps \ :,
Due 10 (or as a consequence on
\ I..U '"
P '\J 'D
~~H)
28. Did Toba<:C1J Use CDnlribuleto Oeath?
DYes 0 Prcbably
o No Unknown
29. II Female:
o Nol pregnant within past ~Iear
o Prel]nantaltineofdealh
o Notpregnanl,l:lutpregnantwithin42days
ofd!3alh
o Not pregnanl, out pregnant 43 days 10 1 year
beloredealh
o Unk'"lOWnilpmgnantwilhPnlhepaslyear
32c. 6=~i~~: :~~~j Street, Faclory,
Sequentially list conditions, if any,
Ieeding 10 the cause lisledoo line a.
Enter the UNDERLYING CAUSE
{disease or injury lhat iniliatedlhe
events resulllng 111 death} LAST.
Due to (or as a consequence of):
Due 10 (or as a consequence on
o v" BleNo
Ov" ONo
31. Manner 01 Death
~Iural 0 Homicide
o AccIdent 0 Perx:ing Investigation
o Suicide 0 Could Not blI Determined
32d. 1ime of Injury
3Oa.WasanAutopsy
Performed?
3Oll.WereAulopsyFindings
Available Prior to CompleHon
of Cause 01 Death?
DiSposilion Permit No. () \ 9 ::,~~
321. II Transportatioo Injul)' (Specify)
DOriver/Operator o Passenger DPedeslrian
o O,her. Sped'"
330. Signal'{'\and T~le of Certifier
~ ~~";)_ 6J,
329. Locatioo ot Injury (Street, city/town, stale)
~
z
c
~
c
~
~
33a. Certifier (check Ofllyone)
Certifying physician (PhysICian certifying cause of death when another physician has prooounced dealh and completed Item 23)
To the best of my knowledge, death occurred due to the cause(s) and manl'lM asstatecL _ __ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _.,.. _ _ _ _ _ _ _ __
~=:~f: =~h:;~8~~:~~; ~I~~:~n:n~~~:a:r:;~~::~~~~~ manoo as slated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
Medical Examlner I Coroner
On the basis 01 examination and I or lnvestlgatJon, in my opinion, death occurred 81lh!! time, dale, and place, and due 10 the cause(s) and manner as staled_ 0
33c. license Number
~
f)-I:)
~\~24L'l
J l:t~()~
il", Y'o\O
Il...'t C"t C'LO"-< ~
1d..1\ Id-I \ 10 I
34. Name and Address 01 Persoo ~ Compleled Cause 01 Death (Item 27) Type I Print
G<O.OX'Jv 6", ~""'-c."'~\"vr'\"'l
ca~\) w'C '" ~,:v C) ttv...
.~
j
\
~
~
~
~
\;~
'5
...;
~
\'
~
~
~
SAIDIS, GUIDO,
SHUFF &
MASLAND
26 w. High Street
Carlisle, PA
LAST WILL AND TESTAMENT
OF
NORMAN L. FERRIS
I, NORMAN L. FERRIS, of New Cumberland, Cumberland County,
[.-~ -'
Pennsylvania, being of sound and disposing mind2,-1J1.emOl~ aiid
: ..' :J:J, .,:;
understanding, do hereby make, publish and declare this~ ~ ahfl for
. u ....-
my Last will and Testament, hereby revoking all oth~f)~ll~and
- , j: . -1":
'?\
.\
J
; ",
, I
')
:1
"')
Codicils heretofore made by me.
~?I
eM
FIRST
I direct the paYment of my just debts and expenses of my last
illness and funeral from my estate as soon after my death as
conveniently may be done.
If there be no cemetery lot available
for my interment owned by me at the time of my death, I authorize
my personal representative to purchase such cemetery lot with a
contract for perpetual care, using therefore funds from my estate
in such amount as she shall consider necessary and desirable, and
I authorize my personal representative to cause title to or
ownership of such lot so purchased to be vested in such person as
my personal representative shall designate.
Further, I authorize my personal representative to expend
funds from my estate, in such amount as my personal representative
shall consider necessary and desirable for the purchase, erection
and inscription of a suitable marker for my grave.
SECOND
I give, devise and bequeath all the rest, residue and
remainder of my estate to my beloved wife, HELENA J. FERRIS,
absolutely and in fee simple she survives me by thirty (30) days.
I
I
JI
(''''~ I
\.I'~. I
~!
\-
~
~
SAID IS, GUIDO,
SHUFF &
MASLAND
26 W. High Street
Carlisle, PA
THIRD
In the event that my wife, HELENA J. FERRIS, fails to survive
me by thirty (30) days, then I give, devise and bequeath all the
rest, residue and remainder of my estate in equal shares unto my
children, PAUL N. FERRIS, ELIZABETH A. FERRIS AND MARCIA J. LAMP,
per stirpes.
FOURTH
I direct that any and all inheritance, estate, and transfer
taxes imposed upon my estate passing under this will or otherwise
shall be paid out of the principal of my residuary estate.
FIFTH
In addition to the powers conferred by law, I authorize any
personal representative acting under this instrument, in her
absolute discretion:
A. To retain in the form received, or to sell either at
public or private sale any real or personal property;
B. To exercise any options to subscribe for stocks,
bonds, or other investments;
C.
To join in any plan of
mortgage,
lease,
consolidation, exchange, reorganization or foreclosure of any
corporation in which my estate or any trust may hold stocks,
bonds or other securities;
D. To sell, transfer, convey, mortgage, pledge, lease
or exchange any property, real or personal, which at any time
may form part of my estate, for the payment of debts or
taxes, or for any purpose of administration or distribution,
2
,~
~
<>N
\
~
'~-
.-'
~
\.)
~
~
c
SAID IS, GUIDO,
SHUFF &
MAS LAND
26 W. High Street
Carlisle, PA
for such prices and upon such terms as my personal
representative, in her sole discretion, may deem wise, and to
execute and deliver deeds of conveyance or transfer thereof;
E. To make settlements and compromises on such tE!rmS as
my personal representative in her sole discretion may deem
wise without the necessity of obtaining any court approval
thereof;
F. To make distribution hereunder either in cash or
kind, as my personal representative in her discretion may
deem wise.
SIXTH
I do hereby nominate, constitute and appoint my wife, HELENA
J. FERRIS, to act as Executrix of this my Last Will and Testament.
Provided, however, that if she is unwilling or unable to act as
Executrix, I direct the duties of Alternate Executrix be performed
by ELIZABETH A. FERRIS.
SEVENTH
I direct that no personal representative, guardian, trustee
or other fiduciary appointed under this instrument shall be
required to give bond for the faithful performance of their duties
in any jurisdiction.
IN WITNESS WHEREOF, I, NORMAN L. FERRIS, have hereunto set my
hand and seal to this my Last will and Testament, consisting of
four (4) typewritten pages, the first three (3) of which bE!ar my
3
SAID IS, GUIDO,
SHUFF &
MAS LAND
26 w. High Street
Carlisle, PA
iL
signature in the margin for identification, this ~ day of
NullPIN /)2/(-
, 1997.
~Vr~:Lc 9~u
No man L. Ferris, Testator
Signed, sealed, published and declared by the above-named
NORMAN L. FERRIS, Testator, as and for his Last Will and Testament
in the presence of us, who have hereunto subscribed our names at
his request as witnesses thereto, in the presence of said Testator
and of each other.
I(~l r 'iftt/
cflfth ,cc1# ADDRESS
ADDRESS
'~ ~ /7
b /11' _~!)lli?1S FH/7Jp-
~/ #/0 ~~-
4
SAIDIS, GUIDO,
SHUFF &
MAS LAND
26 W. High Street
Carlisle, PA
. .
COMMONWEALTH OF PENNSYLVANIA
SSe
COUNTY OF CUMBERLAND
f0t'tn ) )JoJ
and G(?CI/1~,: S
We, NORMAN L. FERRIS,
SI1v..-I-I, the Testator and witnesses, respectively whose names are
signed to the foregoing or attached instrument, being first duly
sworn, do hereby declare to the undersigned authority that the
Testator signed and executed the instrument as his Last will and
Testament and that he signed willingly and that he executed as his
free and voluntary act for the purposes therein expressed, and
that each of the witnesses, in the presence and hearing of the
Testator signed the will as witnesses and that to the best of
their knowledge the Testator was at the time eighteen (18) or more
years of age, of sound mind and under no constraint or undue
influence.
'n J
f'v( v~ i\,:-; f.Jl/~
Fer ls, Testator
, Witness
-C7~(
, Witness
Subscribed, sworn to and acknowledged before me by NOP~ L.
FERRIS, the Testator, and subscribed to and sworn or affirmed to
before me by f~ ,JAM-{ and)luff~).dj,1Ijff
, witnesses, this Jlf/, da~ } 71~~. ,1997.
~iC~
\1
I,
il
'I
II
II