HomeMy WebLinkAbout04-17-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Cecil L. McClintock File Number 21-08 - V~
also known as
, Deceased
NOTE: Esther McClmtock died October 12, 2007
Petitioner(s) who is/are 18 years of age or older, apply(ies) for:
[Xl A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor named in the
last Will of the Decedent dated Nov. 15th, 2007 and codicil(s) dated
N/A
Social Security 196-14-1809
(state relevenat 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:
[ 1 B. Grant of letters of Administration
(ljapplicable enter: c.t.a.; d.b.n.c.t.a.; endente lite; durante absentia; durante mznoritate)
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 d.b.n.c.t.a.. enter date of Will in Section A above and complete list of heirs.)
Decedent then
83 years of age died on
4/13/08 1920 Maplewood Dr, Carlisle, PA
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.)
(If not domiciled in Pa.)
(If not domiciled in Pa.)
Value of real estate in Pennsylvania
situated as follows:
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Page 1 of 2
OATH OF PERSONAL REPRESENtiAt~V1ECl C
'-',"<.r";(,rr"':..) .- . :.;', ,T
COMMONWEATLH OF PENNSYLVANIA n~!.J."iCi ,,[,,_:
COUNTY OF CUMBERLAND
200B APR I 7 AM II: 35
The petiticmer(s) above-named swear(s) or affirm(s) that the statement in the, ffr~.l ~9i~. peitionare true and com:
to the best of the knowledge and belief of petitioner(s) and that as personal r~~~}~t~~f~ff the Decedent,
Petitioner(s) will well and truly administer the estate according to law. CUr,lr':'::{' '_~). RlI.
Sworn to or affinned and subscribed " . :() ~ ad A 71 h _""A_ P./
beforem:th~\'1'" dfu,~ '1 op; VXl 'ilicha~IJ~CC~~~
J~jl~~ /~e~ster
File Number:
JI-r20C/i - 0 Y3y
Estate of Cecil L. McClintock
, Deceased
Social Security Number:
196-14-1809 Date of Death
13-Apr-08
FEES
Signature
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Letters
Short Certificates
Renuruaation
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Attorney Name Robert M. Frey
Sup. Ct. J.D. No 6274
Address: 5 South Hanover Street
Carlisle, Pennsylvania 17013
Telephone:
(717) 243-5838
TOTAL. ., I
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Page 2 of 2
I In,'i_S():'i RF\' Il)!ilr',
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
O~-Y3~
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 certifil:ate. S6.00
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P 14395075
Certification Number
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H105-143 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
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5. Age (u:sl BlrtI1day)
83
1. Name 0'1 DecedenI (Flrst, mlddIe,fast,suffixj
Cecil McClintock
4. Dale of Death (Monlh, day, yeaq
April 13, 2008
6. Dale of Birth (Month, day, yurl
May 18 1924
y~.
8b. County 01 Death
Bd. FacililyName (II notinstilulion,giYe streel and number)
Carlisle Regional Medical
I. Cumberland
11. Decedenrs Usual Occ lion Kind of WOll: done ile. Do not slate retired
Labo:::W"x St~iBMf~":"'"'~
. 1.. DecoreJ2~1~~6cgdtol.Ma~, zip code)
Carlisle PA 17013
12. Was Decedent &'o'er in the
U.S. Armed Forces?
Dyes GllNo
Decedent's
Actual Residence Hs.Slale
14. Marilal Stalus: Married, Never Married,
W_, I);YOfCed (Specjl}'l
Widowed
Did Decedent
Uvema
Township?
PA
Cumberland
17c. [JYes, Dec8dent Uved ill
17d.D No, Decedent Lived within
ActuaILlm/fsol
17b.Coonty
19. -tffi'r~F"t~t,1Ml(\'l'T1
2Ob1"1o'I'ti'tj"'!C"m)(~a'~~~'a'me PA 17015
21a. Method of Disposilion
Cl 6(l Burial 0 Removal from Sla
3 DOttier-
~ 22a.Sig
.J. . ~ '
/'7f)
CAUSE OF DEATH (See Instructions and examples)
nem 27. Part I: Enter !he ~ - dseQses, Injuries, or complications -thai directly caused the death. 00 NOT enter terminal events such as cardiac arrest,
respiratory arrest, or venlriclAar fIlriIalion w\thoUI showing the etloIogf. Ust onfyone cause on each Ins.
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b. D""to(or...~\\.e.- 0 C'y~
c. D""lolor...consequance~. ~ 1\.A-....--t-
d. Due lo(oras.COI1SllQU811Ce 01), ~ ~
=~";.:.~':'~a
Enter 6'18 UNDERlYING CAUSE
==m~w:r~~
1 Approximateinlerval:
I Onsel to Death
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Part If: EnterO(flefsionificanl:conditionscontn'butirttttodBafh,
bulnot resulting in the undertying cause giYen in Part I.
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AvaJablePriorloCompletion
of CaUSQ of Death? /
Dyes ~
31.MaMer~1h
~ D-
D - D Pendng '..-Iioo
D- Deoo.NoIbeOetannlne<l
32d. Trme of Injury
32g. L.ocation of Injury (Street,clty/loWn,state)
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33a. Certlller (dleck only one)
certlty\ng physician (Pl1ysician certifying cause of death when anoIher physician has prt)nOlJnced death and completed /lam 231
To the beat of my knowledge, deIth oc:cooed due ta the cause(s) and manner 16 stated- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.._
~=:':t~~~oc'c=~u~aOO~=Io=~:~~mannerasstated.._______________.._ 0
:= =.m~,,:~;:..o:: and I or Investigation, In my opinion, dMth occurred at the timt, date, and place, and due to the cause(s} and manner as J18led... 0
1,~11 Id.-I \ 101
Disposition Permit No.
DOllie, . Sped~;
10. Race: American Indian, Black, While, etc.
I~ite
N. Middleton
Twp.
Cily/Boro
28. Did Tobaa:O Use Cantribtlte ro Death?
Dyas DProbabIy
No D-
29. II Female:
DNoIp<agoant_psstyw
o Pregnant alllme 01 death
D NolPflll1l"11.butpnogoanlwilllil42days
oIdoath
D NoIPflll11"1l,butPfll!1\Ml<3dayslolyaar
belonIdeath
D Un"-"..-_thepastyw
32c. Place 01 Injury: Home, Farm. Stree~ Factory,
otliceB"""""etc.(SpocI1y)
06- 43~
LAST WILL AND TEST AMENT
OF
CECIL L. McCLINTOCK
I, CEC~L L. ~cCLINTOCK, of North Middleton Township (mailing address: 1920
~aple~ood pnve, CarlIsle, PA 17013), Cumberland County, Pennsylvania, being of sound and
dlsposmg mmd, memory, and understanding, do hereby make, publish, and declare this as and
for ~y Last Will and Testament, hereby revoking and making void any and all Wills by me at
any time heretofore made.
1. I direct my hereinafter-named Executor to pay aU of my just debts and funeral
expenses as soon after my death as may be found convenient to do so. I direct that my funeral
services be conducted by Hoffman-Roth Funeral Home, 219 North Hanover Street, Carlisle, PA
17013, and that my body be interred on my burial lot located in Westminster Cemetery which is
located in North Middleton Township near the Borough of Carlisle, Pennsylvania,
2. I direct that all inheritance, transfer, succession, estate and death taxes which may be
payable on account of my death, including interest and penalties thereon, shall be paid from the
residue of my estate, regardless of whether the assets upon which such taxes are based are
included in my probate estate.
3. All the rest, residue, and remainder of my estate, real, personal, or mixed, and
wheresoever the same may be situate, including all lapsed legacies, I give, devise, and bequeath
in equal shares to my presently surviving four children who are MICHAEL J. McCLINTOCK,
STEPHEN A. McCLINTOCK, LINDA 1. RUSSELL, and ROXY C. LYBRAND, but should any
of my presently surviving four children fail to survive me, then the share such child of mine
would have received shall lapse and be divided equally among such of the remaining presently
living children who shall survive me.
4. I hereby nominate, constitute, and appoint my son, MICHAEL J. McCLINTOCK as
Executor of this my Last Will and Testament, and I further direct he shall not be required to po~t
any bond to secure the faithful performance of his duties in the Commonwealth of Pennsylvama
or in any other jurisdiction.
IN WITNESS WHEREOF, I ha:e here~~~set my haRd"and seal to this my Last Will
and Testament written on one (1) page, thiS / '5 day of ~ \) c)v € ~ ' 2007.
Q~.J j 1J.t, ~ (SEAL)
CECIL L. McCLINTO K
Signed, sealed, published and declared, by CECIL L. McCLINTO~K ~he Testator abo~e
named as and for J1is Last Will and Testament, in our presence, who, m hiS presence, at hiS
reques~, and in th~ presence of each other, have hereunto subscribed our names as attesting
. !' ~
WItnesses. i" i
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Page 10fl
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OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of CECIL L. McCLINTOCK
, Deceased
Robert G. Frey and Sharon J. Devos
, (each) a subscribing witness to
the I: ]Will [ ]Codicil presented herewith, (each) being duly qualified according to law, depose(s) anI
say(s) that she / he / they was / were present and saw the Testator / Testatrix sign the same
and that she/helthey signed as a witness at the reque1 of Cecil L. McClintock
the T tator / estatrix in her / his presence and in the presence of each other.
-1 -4. ~ ~//(~
(Signature) ~ nature
5 South Hanover Street -.. 5 South Hanover Street
(Street Address) (Street Address)
Carlisle PA 17013
(Ci~y, State, Zip)
Carlisle PA 17013
(Ciry, State, Zip)
Executed in Register's Office
Executed out of Register's Office
Sworn to or affirmed antsubscribed
before me this J 7"" day
of~~dlOO8
Sworn to or affirmed and subscribed
be~e thit 17 i-'--' day
of f) "-1 2008.
-
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/ ~Ar- 0/.
Notary Public
My Commission Expirees:
(Signature and Seal of Notary or other offical 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.
Deputy for Register of Wills
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NOTARiAl SEAL
TRISHA A. L1ESS. Notary Public-
Borough of Carlisle. Cumbo County. PA
My Commission Expires May 20. 2010
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