HomeMy WebLinkAbout04-15-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYLVANIA
Estate of Marion E. Capp
also known as
File Number
2\ o~ D'-{Z')
, Deceased
Social Security Number 208-24-1089
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IZ] A. Probate and Grant of Letters Testamentary and aver that Petitioner{s) is I are the Executors
last Will of the Decedent dated 9-23-2005 and codicil(s) dated
named in the
(State relevant circumstances, e.g., renunciation, death of execlltor, 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:
o B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; dllrante absentia; dllrante minoritate)
Petiti.o~er(s). after a proper search has I have ascertai.ne~ that ?ecedent left no Will and ":as survi~ed by the following s~g any) an~rs: (If
AdministratIOn, c.t.a. or d.b.n.c.t.a., enter date of Will In SectIon A above and complete list of heIrs.) , ::;;~ gg
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
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Decedent was domiciled at death in Cumberland County, Pennsylvania with his I her last principal residence at\,()
204 Silver Spring Road, Mechanicsbur\!;. Hampden Township. Cumberland County. Pennsvlvania 17050
(List street address, town/city, township, county, state, zip code)
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Decedent, then 75
years of age, died on April 8, 2008
at 204 Silver Sprin\!; Road, Mechanicsburg, PAl 050
Decedent at death owned property with estimated values as follows:
(lfdomiciled in PAl All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(lfnot domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
$
$
$
$
75,000.00
200,000.00
situated as follows: 204 & 208 Silver Spring Road, Mechanicsburg, Hampden Township, Pennsylvania
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:
T d or rinted name and residence
Form RW-02 rev. 10.13.06 Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF Cumberland
Th(~ 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) wi1\ well and truly
administer the estate according to law.
Sworn to or ;lffirmed and subscribed
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ature of Personal Representative
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Signature of Personal Representative
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File Number:
21 0 W (Y-{l3
Estate of Marion E. Capp
, Deceased
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Social Security Number: 208-24-1089 Date of Death: April 8,2008
AND NOW, 4r II ( f S- , 2tl8 ,in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to David H. Capp and Roberta E. Arrant
and that the instrument(s) dated September 23,2005
described in the Petition be admitted to probate and filed of recor
in the above estate
FEES
Letters ..? 7. S, l?t;:I?.. . $ diD
Short Certificate(s) . . '1. . . . $ I (p
Renul1ciation(s) .......... $
01~ ... $ is;-
~)C ... $ I 0
~+o ... $ S-
.. . $
.. . $
... $
.. . $
... $
...$
TOTAL.............. $ 3~l.o ~
Attorney Signature:
Attorney Name:
Supreme Court LD. No.: 65184
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Address:
I Irvine Row
Carlisle, PA 17013
Telephone:
717-249-7780
Form RW-02 rev. 10,/3.06
Page 2 of2
H IO:'i,XO:'\ REV {()I/()7)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, Sn.OO
p
14359070
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.
W4~.~
Local Registrar
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HIOS-143 REV 1112006
TYPE i 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
2 I 0 8' 0 <2
,. Name 01 Decedent (First, middle, Lasl. suffix)
Marion E. Capp
5."" (Los! Birthday)
75
6. Dale of Birth (Month, day, year)
July 5, 1932
v"
ad. ,_ Name (" no! ""'_, gNe ..... and"",*",)
204 Silver Spring Road
" llecAIdenl'. Education (SpedIy "'" _Il'sde compleled)
Elemonta<y I SecondaIy {()'12) College (1-4 or 5+)
12. Was Decedenl ever ifIlhe
U.S. Armed Forces?
OV.. ~o
Decedent's
Actual Residence 17a. Slate
PA
Cumberland
11. Decedeot'sUsual(
H~'Mlmaker
Kind6WW'Vl"8'rWe
. 16. Decedent's ~ Address (Sl:reel, cilY.1 town, stale, zip code)
204 Silver Spring Road
Mechanicsburg, PA 17050
17b. County
19. MoIher's Name (First, middle, maiden surnamel
18. Faller's Name (First, middle. Iasl, suffix)
... Dale of Dealh (Month, Day, year)
April 8, 2008
1", Marilal Status: Married,Ne.....-Married,
w_, IlMNted (~
Widowed
Did Decedent
L.iveina
Township'
l7e. ~ Yes, Decedent lived in
17d. 0 No, IlecedenIlNed.....
ActuaIl.imitsol
)1 / 9 /o'i
Date Issued
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2Oa_ lnIormanI's Name (Type I Print)
David H. Capp
Lucy J. Gingrich
20b tnIormant. Meiiog_ (SreeI,!i!YJ _, slale, zp_)
434 west MaIO Street Walnut Bottom, PA 17266
David E. Fetterman
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21,. PIsc,oI Disposition (Name 01 cemoteIy. c<_",_plece)
Hummelstown Cemetery
21d. location (City / k:lwn, stale, ~ codel
Hummelstown, PA
220. Name and Address 01 ,_
Myers Funeral Home, Inc. 37 East Main Street Mechanicsburg, PA 17055
hems 24.26 must be l::ompIeled by person
'Iitlo pronounces death t.
2... TIITI6 of Dealh
25. Date Pronounced Dead (Month. day, year)
M.
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CAUSE OF DEATH (See Instructions and examples)
1lem21, Part I: Enlerlhe~-(jS6ases,ifljtJries,orcomplicalions-lhaldirectlyca~lhedealtl. OONOTenlertenninaleveolssuc:t1ascardiacarrest,
respiralofy arrest, Of ventricWu librilation without showing the ellology. list only one cause on each line
~plATE C~U~E (Final disea'>8 or r- '-I '" A..t ~ (" """ 1.-"1 t .. \..
coodiIionresullingndealh) ____ a. --
Due k) (or as a consequence of):
b. Dueto(~as~~s~:e:I~7
. Apprmlimateintetvil:
I Onset 10 Death
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SequenilaIyIiSl COflCH:tioos, ~any,
\eadingloltecauselisledon line a
Enlef h UHDERlYkNG CAUSE
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Due 10 (Of as a consequence of):
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30a Was an AuIops'1
Perfomwd?
JOb. Were Autopsy Fincjogs
A"ailablePilorloCompIelion
01 Cause 01 Death?
31. Manner of Death
~alural [J HonUClde
o Awoont DPendirlglnvesligatton
o Suicide 0 Could Not be Determined
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321. U Transportation InJUfV (SpedIy)
o DrNer I Operator 0 Passenger OP~SlIiafI
"'.....SpeciIy.
33b Signature and T.aIe of Cerllher
32g, location olin,....., iStreet, city I town, stale)
Ov" ONo
32dTlffiEloflnjury
DYes ~N(l
33a Ceriilier (checIo; only one,
Certifying phy~tian (Ptly~1al\ certitying caUSf; 01 de..1I1 when aooUlllf physiCIan has pronounced dedit! alld complliled Ilem 23)
To Ihe btlit of my knowledge, dHth oc~urrecldue 10 the caUse(I)and manner ...Ia!ed.. _ _ _ _ _ - - - - -- - - - - - - - - -- - - - - - - - - - --
~~=:~ -:: ~:~~a:c~:r:~ ::h:.e~~~~~::c:~~~:n~~tou:~:~~a: manner II saated.- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
~: ~~n:-..~~~::: and I or Investigation, In my opinion, death oceurred .llhe time, date, and place. and due to the causa(l) and manner as .tated_ 0
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n"oo""oo P,unil No. 0 L 9 3;1,. q ~-
23b. license Number
23c, Date Signed (Month, day, year)
26. Was Case Referred to Medical Examiner I Coroner lor a Reason Ohef ItIan tfemabon or 00naIi0n?
o V.. gNo
Part U: EnIer oIhef ~ ronditions rontmuIina 10 dealt.
bulnolresulingifltheunderlyingcause~inPartI
29, If Fema6t:
~pr~lwilhlnpaslyeaf
tJ P;egnant II lime 04 lklath
o Notprty'illll,WprllglGnlwllhln42d.ily!>
01...11
o Notpregnant,bul:pregnanc<l3dayslotyear
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o \JnIlnown iI pf8gnanl WIlhin Ihll past yeal
321;:. Place oIlnJurY. Home, Faun, Street, F&1ory,
Olfico_, ole (Specify)
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33c_ license Number
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34. Name and Address 01 Person 'Nho Completed Cause 01 Dealh (Item 27l Type I Print
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tltbt 'l.alt Will anb tlttltamtnt
of
MARION E. CAPP
I, MARION E. CAPP, of Hampden Township, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby
make, publish and declare this my Last Will and Testament, hereby revoking and making
void any and all prior Wills by me at any time heretofore made.
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I direct the payment of all my just debts and funeral expenses as Soori..3~~my ?;
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decease as the same can conveniently be done.
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2.
I direct that there shall be paid out of my residuary estate all estate, inheritance and
like taxes together with any interest or penalty thereon imposed by the Government of the
United States, or any state or territory thereof, or by any foreign government or political
subdivision thereof, in respect to all property required to be included in my gross estate
for estate, inheritance or like tax purposes by any of such governments, whether the
property passes under this will or otherwise.
3.
I give and bequeath my train collection to my son, DA VID H. CAPP.
4.
I give and bequeath my grandfathet's clock to my son, DAVID H. CAPPo
- 1 -
5.
I give and bequeath my grand piano to my step-granddaughter, SHANNON A.
GRIPPEN.
6.
I give and bequeath the sum of Five Thousand ($5,000.00) Dollars to my stepson,
RONALD J. CAPPo
7.
All the rest, residue and remainder of my estate, real, personal and mixed, of
whatsoever nature and wheresoever situate, I give, devise and bequeath in equal shares to
my son, DAVID H. CAPP, and my daughter, ROBERTA E. ARRANT, absolutely and
in fee simple.
8.
Lastly, I nominate, constitute and appoint my son, DA VID H. CAPP and my
daughter, ROBERTA E. ARRANT, to be Co-Executors of this my Last Will and
Testament and in the event for any reason either is unwilling or unable to act as executor,
the other shall act as sole executor and I direct that no bond or other security be required
of my personal representative to guarantee faithful performance of their duties.
IN WITNESS WHEREOF, I have hereunto set my hand and seal thislJ/day of
September, 2005.
IW~ c: ~SEAL)
. anon E. Capp
Signed, sealed, published and declared by the above-named Marion E. Capp, as and for
her Last Will and Testament, in the presence of us who have subscribed our names hereto
as witnesses at the request of said testatrix, in her presence and in the presence of each
other.
Jkuir- 1/7. 4J~~L
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OATH OF NON-SUBSCRIBING WITNESS(ES)
Cumberland
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Estate of Marion E. Capp
David H. Capp
and Roberta E. Arrant
, Deceased
(each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were well-
acquainted with Marion E. Capp and am/are familiar
with the handwriting and signature of the decedent, and that the signature of Marion E. Capp
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
Marion E. Capp is in hislher own proper handwriting.
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(Signature)
434 W. Main Street
(Street Address)
1192 Bear Creek Road
(Street Address)
Walnut Bottom, P A 17266
(City, State, Zip)
Leicester, NC 28748
(City, State, Zip)
Executed in Register'.'i Office
Sworn to or affirmed and subscribed
before me this J [) ~~
of A,:or I 1__, 2 C{J'f> .
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Form RW-04 rev, 10,/3.06
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