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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYL VANIA
Estate of Marie H. Gregory
also known as
File Number
rJl"' Of -O-I~I
. Deceased
Social Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IZl A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the individuals
last Will ofthe Decedent dated December 4,2006 and codicil(s) dated
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:
o B. Grant of Letters of Administration
(Ifapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
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 db.n.c.t.a., enter date o/Will in Section A above and complete list o/heirs.)
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland
8 Scarsdale Drive. Camo Hill. Pennsylvania 17011
(List street address, town/city, township, county, state, zip code)
County, Pennsylvania with his / her last principal residence at
Decedent, then 78
years of age, died on March 4. 2008
at Harrisbur~ Hospital
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
3,000.00
$
$
$
$
150,000.00
situated as follows: 8 Scarsdale Drive, Camp Hill, Pennsylvania 17011
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 ersigned:
T d or rinted name and residence
Lisa G. Carricato, 1802 Walnut Street, Camp Hill, PA 17011
Susan G. Saintz, 5360 Rivendale Blvd., Mechanicsburg, P A 17050
Form RW-02 rev. 10.13.06
Page lof2
Co"
..
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
SS
The 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) will well and truly
"V
administer the estate according to law.
Sworn to or affirmed and subscribed
before me the ~ day of
~~^__ I
-_ .' FO~fL) Signature of Personal RepresentatWe
File Number: JJ I - 0 ~ - 0 L/t.o I
Estate of Marie H. Gregory , Deceased
Social Security Number: Date of Death: March 4, 2008
AND NOW, ~ .~, 6)OO~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters -resttUY1enftln J
are hereby granted to Lisa G. Carricato and Susan G. Saintz ~
in the above estate
and that the instrument(s) dated December 4,2006
described in the Petition be admitted to probate and filed of record as the last Will (and Co
FEES
Letters ............... $
Short Certificate(s) . . . . . . . . $
Renunciation(s) .......... $
Afi'iJt..~L vfOutl. . . . $
.. . $
... $
... $
... $
.. . $
.. . $
... $
...$
TOTAL.. . . .. . . . . . . .. $
260.00
32.00
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.: 37055
Carpenter, McCadden & Lane, LLP
~
15,00
10. (f{)
/5, (X)
~
-41ttn rY\ ~ti ~ J
Address:
Telephone:
d~?CO
~gS.88
Form RW-02 rev. 10.13.06
.~
Edward R. Carpenter, Jr., Esquire
102 Chesley Drive, Second Floor
Media, P A 19063
610-627-9100
Page 2 of2
r;~50~ ?,~y 10,~ /r;-;)
~/-Og- OL/W{
LOCAL REGISTRAR'S CERTIFICATION OF DE:Al-H
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Certification Number
This is to certify that the infomlation here given i
correctly copied from an original Certificate of Deat
duly filed with me as Local Registrar. The originil
certificate will be fOlwarded to the State Vitil
Records Office for permanent filing.
ee for this certificate, $6.00
P 14288984
. 0JuJtw j)j~AJ;JLJ1Jk~
Local Registrar I 0
i 3/ f; j Of
Date Issued
11106-143 REV 111200ll
TYPE 1 PRINT IN
PE~
lILACI< It(
...;"
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
(See Inatructlons and examples on rever..)
STATE FlU: NUMBER
7. ... ..... 01
17c. {2f V... Dec:ecIenIlMdin tower Allen
17d. D No. ~lMd wtiI
Ac:UI LiIIIb of
T"P.
7&",
.. Counly of 0HlII
28, Philadelphia,
8d. Fdy NImI (N nol inIlUaII. c;w. ......Illd IlIIIlber)
Dauphin
11. DooedInI's UsuIlI of _ done MOIl" 110. Do not _
t(hl of WOc\ t(hl of ~ IInIMlry
Executive Secretary State Prlson
1& o.c.donl's Mailing Addr... (SIr.... cIy 1-.. ...... zip code)
8 Scarsdale'DriVe
~ Hill, PA 17011
I. F......s NImI (FnI. middII, IIsI. ....1
Jdm Serbin
Harrisburg Hospital
12, Wu o.c.dInI_tn III 13. \lecedIl1I'1 EGIClIIIOn (BpIciIr rrit
u.s. AlmIcI F0RlII1 EleInenIIIy 1 ~ (0-12)
Dve. [iJ'No 12
::""~ 17a.SIoII Pennsylvania
CUmber lam
t7b. Counly
0Iy/1lonl
t..loIoIlII's Nomt (AnI, niddt.IllIidIn_1
Ethel Kirshner
2Ob. ~sllliling Addrees (Sb8el. city IIDWII. ....., lip codel
5360 Rivendale Blvd. Mechanicsburg, PA 17050
21c. PIKe III DiIpoIIIon (NamI of ~. ~ <<_ _I 2td. L.IlCIIion (0Iy IIDWII. ...... lip codel
ddf
Mechanicsburg, PA
R
~
10, 2008 Gate of Heaven Cemetery
22<. NlmlIIllIAddreM of fdly
Mal zzi Fw1eral Hane
23e To III bell of my 1<novdIdge. dIaII oc:curred .. lie lime. _1Ild place sllled. (SignaI\Q IIllIIIIoI
CIwmeIion III 00neIian?
5eQuonlIaIIy ill condiloonI. iI ~
INdina 10 ile _Ioled on ......
e.... h'IIlDEIIl!/1lG CAUSE
=- ~II ":..t.iIff1ir.-
r'~"'{7
~..... ......: EnIer_ _ ""-'-"-. 28. DidllilleCco UsI~ 101leeII?
0IIIel1O Death but nollNUlllng in llelRllottlnll- ~ in Pwll 0 VII D PrUllllt1
D No :a lklknown
28..~:
"all No! prognant- pall yNl
D PrepnlMlime of dtaIh
D No! pr...... but ~ _ 42 dip
01 ......
o No!.....,..... but presnanl43 """10 I ,..
bIIoN ......
D ~. pregrwot- lie peal,..
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0Ik>> BuIlding. elC. (Spdy)
~~=-~
Due 10 llll as e COIlIeQU8flC8 01):
30a was 1/l1dt1f161
Pertormod'I
d.
3llb _~ Frdngs
Available PIior 10 ~
of Cause 01 00aIh?
Dvas ONo
31. Manner of 0eaIh
o Halural 0 Homicide
o AccIdent D Pending Invasligalion
o SUICIde D COIJId No! be Determined
320. Tme of Injul'/
32g. ~ oIlnjuoy (SINoI. oily 1-'._1
~
~
l5
I
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M.
33a eollilier 1_ only one)
. CerIIIytnt plIyllciell (I'IIy_ cat\itfolll cause 01 daalll when anoIhar pIly&icw\ has prlll1OOIlC8d dealll and compIeIad bam 23)
To..._al.,IulowIedgI, ____Io!heClUM(I.ond _.. oIolecL _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ - -- - D
=:==-~ O:::::u~.::.~.::.tlO::'~= _.. slIIed.. _ __ _ _ _ _ __ _ _ _ _ __ _ _ 0
:::::.::'::*..= Illd 1 0< lnolftllgltion.1n my opinion. _ oc;currod It !he lime. dlllo, ond p-. ond due 1D!he ClUl8(llond _ 1111Iled.. D
X1dFts:r,'~' ~OL> l"
~"~w~ .'.......f."-'1 L.L~!~l!'".. -1Jl .~"ll' I.... t :t .l.........HI!fI~b._~...tuM' .~I'.......,....aJI.I._..'_._..H..t_.,..l...lIItl...lIIt__iJ.,...tll ~------.:.~ .
. .
LAST WILL AND TESTAMENT
Ql
MARIE H. GREGORY
I, MARIE H. GREGORY, presently residing and domiciled in
Lower Allen Township, Cumberland County, Pennsylvania, hereby
declare this to be my Last Will and Testament, and I hereby
revoke any and all prior wills and codicils previously made by
me.
ITEM I: All my personal effects, clothing, furniture,
furnishings, jewelry, automobiles, other tangible personal
property of every kind, together with any insurance thereon, I
give in equal shares to my daughters, SUSAN SAINTZ and LISA
CARRICATO, to be divided between them as they may agree.
ITEM II: All the rest, residue, and remainder of my estate,
I give, devise, and bequeath to my issue who survive me, per
stirpes.
ITEM III: If any income or principal shall be payable to
any person who shall not have attained the age of twenty-one (21)
years at the time of my death, or who shall be incapacitated for
any reason, my Executrix, as Trustee, shall hold all such income
and principal during the said minority or incapacity.
Trustee shall be entitled to apply any such income and
principal for the health, maintenance, support and education of
any such person, without the appointment of any guardian and
without any authority of court.
Trustee may directly apply any income or principal
hereunder, or pay income and principal to the parent or other
person in charge of any such person, or to his or her guardian or
to a custodian under the Uniform Gifts to Minors Act or the
Uniform Transfers to Minors Act.
Trustee shall distribute any remaining income or principal
to which any such person shall be entitled to the said person
upon the termination of incapacity or the attainment of the age
of twenty-one (21) years.
ITEM IV: All estate, inheritance and other death taxes,
together w-it.rr ~~terest and penal ties thereon, payable with
respect to prqp~rty or interests passing under my will or any
codicil ther~~Pf shall be paid out of the principal of my
residuary est~t~ without apportionment.
ITEM V: I appoint my daughters, LISA G. CARRICATO and SUSAN
G. SAINTZ, or their survivor, as Co-Executrices and Co-Trustees
of this my Last will and Testament. I direct that my Executrix
and Trustee shall not be required to furnish security in any
jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal,
this 4th day of December, 2006.
l'7<<~ jJ ~
MARIE H. GREGORY
(SEAL)
WITNESSETH: The foregoing instrument was, on the date stated
above, signed, published, and declared by MARIE H. GREGORY, the
Testatrix named therein, as and for her Last will and Testament,
in the presence of us, who at her request, in her presence, and
in the presence of each other, have subscribed our names as
witnesses hereto.
~~.a-
( it ess)
/3 ~ r; ) br ~ ~""' l
(Address)
1~~~Sb"""~ P4 /7 Jo'2-
( Address) 1
~ JI<. (!anM I'-
(W' ness) --A
I 1J. S- '17, "V l~ .st.
(A~reSS)
I PI} 17/~
( Address) ,
2
ACKNOWLEDGMENT
Commonwealth of Pennsylvania
SSe
County of Dauphin
AND NOW, this 4th day of December, 2006, I, the Testatrix
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 and
Testament, that I signed it willingly and as my free and
voluntary act for the purposes ther n expressed.
Sworn to, subscribed, and acknowledged before me by
MARIE H. GREGORY, the Testatrix, this 4th day of December, 2006.
\~~
~ Notary Public ~
My commission expires:
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Shana R. Geyer, Notary Public
CIty Of Hantsbutg, Dauphin County
My CommIssion Expires July 20.2010
Memh~r P!'\nnS\lIIIania Association of Notaries
. .
AFFIDAVIT
Commonwealth of pennsylvania
SSe
County of Dauphin
AND NOW, this 4th day of December, 2006, we, JAMES D.
CAMERON and CYNTHIA L. CAMERON, the witnesses whose names are
signed to the attached or foregoing instrument, being duly
qualified according to law, do depose and say that we were
present and saw the Testatrix sign and execute the instrument as
her Last will and Testament; that she signed it willingly and
executed 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 a witness; and that to the best
of our knowledge the Testatrix was at that time at least eighteen
(18) years of age, of sound mind, and under no constraint or
undue influence.
I--
Sworn to and subscribed before me by JAMES D. CAMERON and
CYNTHIA L. CAMERON, the Witnesses, this 4th day of December,
2006.
My commission expires:
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Shana R. Geyer, Notary Public
Oty Of Harrisburg, Dauphin County
My Comrr\isSiOO Expires ~ 20, 2010
Member. Pennsylvania Association of Not?ties