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Home My WebLink About04-23-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-08- O~JfO<t Estate of Jane M. Gregory also known as , Deceased Social Security Number Debra Gregory Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) 00 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executrix last Will of the Decedent, dated 03/07/2003 and codicil(s) dated 188-50-0133 named in the 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: D B, Grant of Letters of Administration (If applIcable, enter: c.t.a.; d.b.n.c.t.a.: pedente lIIe: durante absentIa: durante mmonlate) 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.) I Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with 4 Bentley Place, Carlisle, PA 17103 (List street address, townlcity, township, county, state, zip code) J:7:d -Tl his / her last principal residen~ :9 ..-> Decedent, then 51 years of age, died on 04/02/2008 at M.S. Hershey Medical Center t--.:> = = = v " :::0 '- W I ::t: W ( ) 50,000.00 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 I:>f real estate in Pennsylvania situated as follows: 4 Bentley Place, Carlisle, PA $ $ $ $ 75.000.00 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: Signature ~~'a Typed or printed name and residence 139 Wyoming Avenue Pennsylvania Furnace, PA 16865 ebra Gh Form - 2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF ...(:tI...lilerlll.... } Hv..Y'\+ I...,f...."'~ The Petitioner(s) above-narffed swear(s) or affirrn(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. Sworn to or affirmed and subscribed before me this \ l!~ day of ,~~ /-:J COel!/~the Register PROTHONOTARY HUNTINGDON COUNTY, PENNSYtvANIA MY COMMISSION EXP:RES JANUARY 2, 2010 File Number: ~m Signature of Personal Representative Signature of Personal Representative Q ~O ~ ~ :::0 U -TO :,,": . ,Ii ~ ._~~~>5 ;f! ".(~?o ,_)~~ Ii ~:J 'D--f > 21-08- oy 6 <6 Estate of Jane M. Gregory NKlA Social secu~ Num~er: AND NOW, LqJd'2- 6 having been presented before me, IT IS DECREED that Letters are hereby granted to Debra Gregory , Deceased 188-50-0133 04/02/2008 Date of Death: 1Jj)?5 1'-..) = = <::0 > o :::0 I'.;) W ." ::1:: T j --', i" ...~ ~,' ,--'-.., '.~-) -~~;~; w w , ,> i , in consideration of the foregoing Petition, satisfactory proof Testamentary in the above estate and that the instrument(s) dated 03/07/2003 described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent. FEES Letters................f.J.S}@...... $ Short Certificate(S)..........7........... $ Renunciation(s)............................. $ w,ll JcP ~-6 TOTAL................................... $ Form RW-02 RE>v. 10-13-2006 2.l.oD .2.1 Attorney Signature: $ $ $ $ $ $ $ $ $ /s 10 S- Attorney Name: Supreme Court 1.0. No.: 26483 Reilly, Wolfson, Sheffey, Schrum and Address: 1601 Cornwall Road Lebanon,PA 17042 Telephone: (717)273-3733 :3rt Copyright (c) 2006 form software only The Lackner Group. Inc. Page 2 of 2 HI05.805 REV I01/1J7) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 Certification Number \.. . ~y/tf //;1" Local RegIstrar Date Issued P 14538979 D '30 .~ ::JJ '-0 "~p -~ '~:3 32 -~~3~ '=0 3:1--; .> ~ = c...., = ;r.... -0 :::0 N W I:l :J:: J.\ O)s ()W;~ ,-143 REV 1112006 fPE I PRINT IN PERMANENT BLACK INK COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) w w STATE FILE NUMBER 1. Name of Decedent (First. midcJe.last. sultill 4 Dale ol Death (Manit) day. year) 0133 ~11~2,.20Qa aneM S.1qellasle._1 51 -- 7.~(CityandSl8teOl'for at) 6. Oate 01 Birth (Month, Qlhec 7, 1957 'Lancaster, PA oQlhe, . Sl>eafy 10 Race: Amencan Inlian. Biadl. White etc whM y" ed. Facility Name (If not instiIuIion, ~ street and number) M.S. Hershey Medical Center at County of Death Dauphin 17c.OVes,Decedenl:l.ivecIin 17d.X] ~~",l.Ned-Carlisle 13. ~s Education (Sl>eafyorOi ......~~) ,.. _ Slatus ..._. Never_. Elemenla'Yl~lo-121 ~(I""'S+) W_.~WlI<edISp."M 1 L 5 Never Married Oidllecederl Uveina Township? 11. Oecedenl's Usual Food K1~pector . s .""tl'epr: I ~ Agr' . 16. Decedent's Mailing AdlRss (5net city llown. Slate. ~ code) 4 Bentley PI. Carlisle, PA 17103 18. Fdler's Name (Fntl"lW:de, last. St4fixl Robert E. Gregory 208. Informant's Name (Type I PM) Debra Gregory 19. MoIher's Name (Fo!. mil*Ie, maiden uname) Mary Alice Eshelman 2QI. _sMaii1g-.ssISOreel. dlyl_. stale. "_I 139 Wyaning Ave. Perma. Furnace, PA 16865 2". Place '" ();sposition (Name '" cemeleri. _" - placel ld Zion Cemetery 2" Location ICly I town. stale. "_I lizabeth Twp. 175 43 ~ Broad st. Lititz, PA 17543 230. Dale S9'ed (Iotonlh. day. _ 230. Ucense_ Twp Cdy J llcro Iem& 24-26 must be compllMd by ~ who"""""""_ 25 Dale Pl'OOOtM'1C8d Oead (MonIrl. day, yta'! 26. Was Cast Rtterred 10 Medical Examiner I Coroner lor a Reason Other tha'l CterneIilYl or Donation' DYes [1l No ApproxinIUe intefvaJ Pal'lll: Enter other smIIcanl cnndIions Mr'lthma 10 dMIh, 28. Did TctllJc::ce Use CondUe kl OeatI' 0nseI"Deall> bu1""I8tUling.Ihe__CllUSI~.ParlI 0 Yes D- O No 1:&"""""" 29./1 Female: (gNol__"',." o "'-"...."'.."" o Nol_.bu1"egw<_'2i1a" "'- D Nol~butpntgnanl43daVSIo1year -.- o """""",__lhepasl,... 32c. P\aee ~ ~ Heme. Fann. Slreet Factory. Olfice~."'(SpecilyI \I;d' "'M. ,...,)~, ~tlO):( CAUSE Of DEATH (See Inatruction. and exampln) Item 27. Pat1I: Enter the ~ - diseases.~, or ~ - hit dncty CIlMd the death. 00 NOT enter IemW1aI eYenIs such as cardiac arrest, respralOly arrest, or V8I'ltria.Ur fibriIIalion wiChOuI showing !he etioIog,. UsI Ol'ti ont cause on eadl ine. ~=i=llise~ a. 1'Y\t...~ Q. ~ v.....: '-- Due 10 (or as a consequence of)' ~C"'1.b-~.I\ ,u..l""'\<..l.~ SequentiallylislconcitiOns.i1any. Ieadnq to !he cause listed on line a. EnIe< ... UIlOEAl YI<<l CAUSE =-~.,~~~ Due to (or as a consequence of) Due to (or as a consequence ot). l)a. Was an AIAopsy Perio<med" XIl.Were~FindingS AvaGbIe Prior 10 Completion of Cause of Death' 31. Manner 01 0eaII fflNa.... D- 0-- 0 PendnV_"'" 0- oCouldNolbelle''- o 'es I?l No o y" 6l.No 3211. Tme"'..... 321. nT_lion"", (Spedfyl 00riY,,'0peral0r oPassenge< op_Mn OIle<.Specify 331:1. sr".ture and Title 0( Certifier 32g. LocaIion"'IifrIISlnleI,dlyl_._1 hi 33a Ce<1ifieII""'" "'" onel Certifytng physician (Physician certifying cause of death when II'lClCllef phySician has pronounced death and ~ Item 23) To thebMtof my knowtIdge, dNltl occurredduetothe~.)1nd rMIVIel''' atIIteCl. _ _ _ _ _ __ ___ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ - - - - 0 Pronouncing and certifying phyaic_ (Physician balh prorlOI.R:ing death and certifying '0 calM of death) To the best of my knowtedge. dHth ocawred at the time, dItt. and piece, and dullO ItIt tauH(.).nd 11W\Mf. aIIIIecL - - - - - - - - - - - - -.. - - .. 6::~ ~:~~~= and I or investigation. in my opinion. 0eIth OC1:urred.t lhe time. date, and place, and due to thI ClUH(.)1nd manner as statecL 0 33d. Dale Signed (Month. day_ year' 4)1-)U'lS Idl/,,131S41~1 34. Name and Address 01 Person 'Nho Completed CaIJSe of Death (lIem 27) Type,' Print p.,A<7'&\ ':),...,._~. ,-::. -;')- ~ M.S. Hershey Medical etr. Hershey, PA 17033 Disposition Permil No 1lIast Bill anb illtst&nttnt I, JANE M. GREGORY of Carlisle, County of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind, do hereby make this to be my Last Will and Testament, hereby revoking all Wills or Codicils by me at any time heretofore made. ARTICLE I I order and direct the payment of all my just debts and funeral expenses as soon as l'"'....~ may be convenient after my decease. S~ 0 ~ . -'J :0... =-.~ -0 =r~ C) :::0 'f>r- :::::::. [-!-' f',) ARTICLE II .C/)7~ w ,j >< ~~) -0 I hereby make the following specific bequests: ~ ., ~ :0--1 .. I give and bequeath the sum of$1,500 unto OLD ZION REFORMED CHURCH ot: Brickerville, Pennsylvania; I give and bequeath the sum of$1,500 unto PENN STATE UNIVERSITY COLLEGE OF AGRICULTURE JUDGING TEAMS; I give and bequeath the sum of$1,500 unto AMERICAN RED CROSS; and I give and bequeath the sum of$1,500 unto AMERICAN CANCER SOCIETY. ARTICLE III All the rest, residue and remainder of my estate, whether real, personal or mixed, and wheresoever situate, I give, devise and bequeath, in equal shares, unto my three sisters, , \ \ DEBRA GREGORY, MARTHA GREGORY, and SALLIE GREGORY, or unto their issue, per stirpes. In the event that any of my sisters has predeceased me leaving issue, that child's share shall be received by her issue, in equal shares, but in the event that she leaves no issue, that share shall be received by the surviving residuary beneficiaries of this, my Last Will and Testament. In the event that all of my sisters predecease me leaving no issue, then I give and bequeath all the rest, residue, and remainder of my estate, in equal shares, to the four charities named herein as specific bequest recipients. ARTICLE IV I direct that my Executrix shall not be required to give any bond or enter security in any jurisdiction in which she may act. If, not withstanding this direction, any bond is required by any law, statute or rule of court, no surety shall be required thereon. ARTICLE V I nominate, constitute and appoint DEBRA GREGORY to be Executrix ofthis, my Last Will and Testament. In the event that she is unable or unwilling to serve in that capacity, then I nominate, constitute and appoint MARTHA GREGORY as Alternate Executrix of this, my Last Will and Testament. \ \ 71"- IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of ~N-d , A.D. 2003. ~~. J n M. Greg~ry ~--'tr (SEAL) SIGNED, SEALED, PUBLISHED and DECLARED by Jane M. Gregory the above named Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence and in the presence of each other, all being present at the same time, have subscribed our names as witnesses. Address: Palmyra. P A c~~ Address: Palmyra. PA COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF LEBANON ) I, JANE M. GREGORY, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed the instrument as my Last Will; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by Jane M. Gregory, Testatrix, on this the L day of /7~vt , 2003. ~~~)~ Notary Public My Comm. Expires:9/27/04 --------------------------------------------------------------------------------------------------------------------- COMMONWEALTH OF PENNSYLVANIA) ) SS: COUNTY OF LEBANON ) We, John J. Ferry, Jr. and Daryl J. Gerber, the witnesses whose names are signed to the attached instrument, being duly qualified according to law, do depose and say that we were present and saw her sign and execute the instrument as her Last Will; that she signed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses and that to the best of our knowledge, the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. SW? and subscribed before me by John J. Ferry, Jr. and Daryl 1. Gerber, witnesses, the ~ day of /1_d. '2~ 4/ ~~/!(l01J-? Mc:/U?--- ~ W. ess NotaryPubtic ~Q. 7 /:1..Jv-- My Comm. Exp.: 9/27/04 --- WitnJ;- , OATH OF NON-SUBSCRIBING WITNESS LEBANON COUNTY, SS. On the J_'t t:IF dny of + '/ , 2008 before me; a Notary Public, in and for said County, personally came Martha Gregory being duly qualified according to law deposes and says that she is familiar with the signature of lane M. Gregory, the Testatrix of the foregoing Last Will and Testament and that she believes the signature on the Last Will and Testament is the handwriting of lane M. Gregory to the best of her knowledge and belief Affirmed and subscribed i J.j1J.A- before me, this day , 2008 of 4p,-,"L , j), Notary Public 1!l~ ~ Mart a Gregory GO NOTARIAL SIAL JANET IIENNlTCM NotOfY PublIC NORTH CORNWALL 1WP.1JIMIION My commIMlon Expk" Jon 21. 2012 t'-.,;. ~:g c:; ;::.. v ::::0 1'..) W " r- -0 3: - .. w w ) ," OATH OF NON-SUBSCRIBING WITNESS ~n+\V1~OY) COUNIY, SS. On the ~ l(tn day of 4,\Or I' 1 ,2008 before me, a Notary Public, in and for said County, personally came Debra Gregory being duly qualified according to law deposes and says that she is familiar with the signature of Tane M. Grego~ the Testatrix of the foregoing Last Will and Testament and that she believes the signature on the Last Will and Testament is the handwriting of Tane M. Gregory to the best of her knowledge and belief Affirmed and subscribed before me, this \ t{t 1\ day , 2008 of A~l'", \ ~~~ [ 0 ary (JONS PROTHONOTARY HUNTINGDON COUNTY, PENNSYLVANIA MY COMMISSION EXPlRES JANUARY 2, 2010 br<i 6JLe Debra Gregory r-.o f...."~~ = = ::t:ft.. -u .:::0 ,,) W -0 ::Ji:: - .. w w LAW OFFICES Frederick S. Wolfson Timothy D. Sheffey Loren A. Schrum Paul A. Lundberg Paul C. Bametzreider Harry W. Fenton Michelle R. Calvert Colleen S. Gallo David J. Tshudy Magdalene C. Zeppos REILLY, WOLFSON, SHEFFEY, SCHRUM AND LUNDBERG LLP 1601 Cornwall Road, Lebanon, Pennsylvania 17042-7406 (717) 273-3733 Fax (717) 273-1535 rwssl@leblaw.com www.leblaw.com April 17, 2008 Branch Office: 112 West Main Avenue Myerstown, PA 17067-1019 (717) 866-9095 Fax (717) 866-9160 James T. Reilly (1964-2000) Attn: Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 RE: ESTATE OF JANE M. GREGORY Dear Sir or Madam: Enclosed please find the following documents necessary to probate the Estate of Jane M. Gregory: 1. Petition for Probate and Grant of Letters Testamentary; 2. Estate Information Sheet; 3. Original and one copy of the Last Will and Testament; 4. An original Death Certificate; 5. An Oath signed by Debra Gregory; 6. An Oath signed by Martha Gretory; and 7. A check in the amount of $318.00 which represents the appropriate filing fee. Please forward seven Short Certificates to our office along with the original letters. c.'.....,) g <:;0 ", ~.. "'0 ;;:0 /'>...) W lj , -0 3 '::0 Ij --, ).~ - .. w +" ~ ,- " Serving our clients for 60 years Please call if you have any questions or need any additional information. Very truly yours, TDS/bh Enclosure cc: Debra Gregory, Executrix