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HomeMy WebLinkAbout05-07-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Golda I. Wells also known as Golda Wells, Golda Irene Wells COUNTY, PENNSYLVANIA File Number 21-08- D SlJ <=1 , Deceased Social Security Number 193-48-4562 Doris Frank Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) [ElA. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executrix last Will of the Decedent, dated 04/23/2004 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 13. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; 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 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.) Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. --.J ~ Decedent w.~s domiciled at death in Cumberland County, Pennsylvania with his I her last principal re~ente at 210 Big Spring Road, Newville, West Pennsboro, Cumberland, PA 17241 (List street address, town/city, township, county, state, zip code) ~ ~ ~ c:t:> .1:] ''''(OJ r-r'., I I.... (;-) (~ u')-;;.o .:Doo -< Decedent, then 100 years of age, died on 04/11/2008 at Green Ridge Village, Township of West Pennsboro, Cumberland County 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 of real estate in Pennsylvania situated as follows: 1,000.00 $ $ $ $ 0.00 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: Doris Frank Typed or printed name and residence 2551 Berkshire Lane Dover, PA 17315 Signature /J Form RW-02 Rev. 10-13-2006 Copylighl (c) 2006lorm sollware only The Lackner Group, Inc. Page 1 ot 2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland Oath of Personal Representative } SS } The P,etitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowl,edge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administE,r the estate according to law. Sworn to or affirmed and subscribed ~~--/) J~ Signature of Personal Representative Doris Frank before mE! this 7 o Co c:"- .J.J 7lJ ]::r:O :~~~~ , )C')O . ) C-.J II jC . :D --I ::p --~ Signature of Personal Representative Signature of Personal Representative File Number: 21-08- OSD<1 Estate of Golda I. Wells , Deceased Social Security Number: 193-48-4562 Date of Death: 04/11/2008 AND NOW, fY)O-;i 7 having beEm presented before m ,IT IS DECREED that Letters are hereby granted to Doris Frank JiJlJ~ , in consideration of the foregoing Petition, satisfactory proof Testamentary """ = = = .:A. > -< I --I .~:l~; r-C1 . - . . (.~;"~.~?~S ;-"';.13 -:1 (~) r-'--l rTl :; J r-""J ~-:' C,-) ! ---i""-j D C) "n :J> ::E co .. w ,.. ",) in the above estate and that th'e instrument(s) dated 04/23/2004 described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent. FEES Letters..................../l.Qf)~........ $ )...0 Short Certificate(S).........~........... $ J-D Renunciation(s)............. .... ............ $ cJ ill $ JeP $ /1vt.-0 $ Attorney Signature: I~ 10 S- Attorney Name: Supreme Court 1.0. No.: 28481 Garber & Garber Address: 40 South Duke Street $ $ $ $ $ $ TOTAL.................................... $ 70 York, PA 17401 717 -848-2385 Telephone: Form RW-02 l"Iev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 H!U)K(I:'i RE\ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph, Fee for this certificate, $6,00 \\\\I{~(1iriirpl~---__~ \\\#-~4'.J),",,-- l~_I- ,._\~\ !~I ". ..~ \I~~ a c.J\ ,:~~: li:~ ... \ - " " ~ \~\~.,~~ ~~_/~\\\\, --.}?!MENT \)\ ~\:'lll ""'-""""//#~'JlIIHIIII This is to certify that the information here given i correctly copied from an original Certificate of Deat duly filed with me as Local Registrar. The origim certificate will be forwarded to the State Vita Records Office for permanent filing. P 14395039 ~. ~~~~p~ 15/2008 Local Registrar Date Issued Certification Number 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) o So ?=;OJ :0 =--00 .,j :::c r- --~m ".""":0 (I)^ 00 011 C - ::D :u-l )> to-.) = <::::) CO ::I: "... -< I -.J Vos. :J:III ::I: CX) .. -:x; rt;; rT] ( ) (7) C:J f::~~~ :no C' ,":J ." ."':f'l " ('5 '-rt r STATE FILE NUMBER 1. Name of DEced9nl (Rrst, middle. lasl, suffix) Golda Wells 4562 5. Age (Last f'_yl 100 8b. County of Death ,\. Cumberland 0"""", SpeQfy 10. Race: American Indian, Black, White. etc. (~ite 11. Oecedenfs Us\laI KirldofWor1l Postal Clerk . 16. Decedent'!; Mailing Addresi (Street. city llown, stale, zip code) 210 Big Spring Road Ne.rville PA 17241 18 Fa,}~~;re';"'1 14. Marital Status: Married, Never Married, W_,OWoreed1_ Widowed 17b, Coonty PA Cumberland OidD&ce<lerrt Livelna Township? 17c. [] Yes, Decedent Uved in 17d. 0 No, Decedent Uved within ActualUmitsot Twp. CilyIBoro 19. ~~na (R'e= maiden swname) ~ !;l <i 2111. Localloo (City/town, state, ~codel Carlisle PA 17013 208. Informant's Name (Type I Print) Doris Frank PA 17315 Crematory oo/SP'M ~OCJS CAUSE OF DEATH (See Instructions and exampkts) nem 27. Part I: Enter the ~ -diseases. injuries. ot compIications:-1haI directly causect thedealh. DO NOT enter 18llT1K1al events suc:h as cardiac arrest. respiratory arm!, orV9fllJ'iWar IIbriI/atlon without showing the etioIagy. Llstooty ooe<:auseon ead'\1in&. "MEplATEC~U$EIFlnaI_" -L ~ I r, _ +- C~ '( ,r" con_ -g. dea~) __ C u- f 9" \ " W<'_0--+ '~'C \ Li v "'- Due 10 (or as a consequence 00: 26. Was Case Referred 10 Medical Examiner I Coroner for a Reason Other than Cremation or Donation? Dves iii No Approxfmale Interval: Onset to Death Part II: Enter other silI'lilicant contiIIons ~ to dsath 28. Did Tobacco Use Contribute to Dea.1h? but "" rmiIlng ~ "'" ~ cauae gNen In Part I. 0 Vas 0 Probob~ DNa 0- Dv" DNo 31. Manner of Death ttQ.~alural 0 Homicide 0- OP"",""I__ o Suicide 0 COOd Not be Del8mlined 29. If Female: o NoIpregnant wlthinpast ysar D P_allineoldea~ o Notpregrlar1l.bulpragnal'ltwithln42da.ys ofclealh o NoIpragrl8nl,butpregnant43daysl01year before death o Unknown If pregnant within \he past year 32c. Place of Injury: Home, Faffil,StreeI,Factory. Olflce BulIding, etc. (Spedfy) =tUl1XlOCilloflS, If any, =UND~~~~U~a. =-~'\;,~~1r'." b. Due 10 (or as a consequence of): Due 10 (or as a consequence 00: 308. Was an Autopsy Performed? d. 3Ob. Were Autopsy FlIldings Available Priof toCompletioo oi Cause of Oeath? Dvas (~."" 32d.Tll\eclllljury 32g. Localioo 01 Injury (Streel,cIIy/loWfl. state) M. 'z ~ !il o ~ 33a.Certifier(ehlilCkonlyOfl8) Certifying physician (Physician cartlfyinq cause of death when 8.I\Ol:her physician has prorlOOnced dea\h and completed Item 23) To the besl 01 my knowledge, de8th occurred dUe to lhe C8U1e($) and manner at sIBted.. _ _...................................................... _.............. _......... _... . :o~::~a:=:h~~==~~=~ ~a=oto::=~manner..state<L_ ____ ___ __ __ ___ __ 0 ~::=~":'~= and I or Investigation, in my opinion, death oceurred at the time, date, and place, and due to the cause(s) and manner as stated.. 0 ~ 0.0 lat \ 10,1 \ 10 I DispoOtionPerm'No. (ilC\ ~ 33d. Dale Signed (Month. day, yea~ C 1.(-1 ( <f-( b () 34. Name aOO Addrsss of Person Who Completed Cause of Death (llam 27) Type / Prinl Darryl Guistwite DO, 56 Ashton St'178f3lisle PA C) ~ So ~ ~Jd3 ~''S.' :r:;g c""'" ~ I ,1, " . .J -- c]:~~) LAST WILL AND TESTAMENT ?~ r,::; -;: ( ,-'5 ,__"'~ _ I r i"! "'~~-~ - C7 C:-:J 0 c::> C) c C) -" ?' -n'y, I, GOLDA 1. WELLS, of the Borough of Dayton, County of ~-?r~troni.d:mc(i~ ;~:j Commonwealth of Pennsylvania, being of sound mind, i%emory c:;a.ncL:; .' understanding, do hereby make, publish and declare this to be my Last Win->and Testament, in manner and form following, hereby revoking any Will or Codicils heretofore made by me. FIRST: I direct that all my just debts, funeral expenses, and costs of administration of my estate, be fully paid and satisfied, as soon as may be convenient after my decease. SECOND: I give and bequeath the sum of $10,000.00 to my husband's niece, Bonnie Lee Austin, and Thomas Austin, her husband of 95 Linden Road, JE:ighty-four, PA 15330. THIRD: I give and bequeath the sum of $10,000.00 to my husband's nephew, Thomas Brown, and Matilda Brown, his wife, 404 South Center Ave., Somerset, PA 15501. FOURTH: I give and bequeath the sum of $30,000.00 to my husband's nephew's wife, Iva Stahl, R.D. #1, Rochester Mills, PA 15771. FIFTH: I give and bequeath the sum of $10,000.00 to Annette, granddaughter of Ray Goss, R.D. #1, Roseville, OH 43777. SIXTH: I give and bequeath the sum of $20,000.00 to my cousin's wife, Edith McQuilkin, 137 N. Marshall St., Lancaster, PA 17602. SEVENTH: I give and bequeath the sum of $10,000.00 to Philip McQuilkin, son of Alex McQuilkin, 137 N. Marshall St., Lancaster, FA 17602. EIGHTH: I give and bequeath the sum of $10,000.00 to my cousin, Mary Beth Slagel, and Larry Slagel, her husband, 2405 Alder Way, York, PA 17402. NINTH: I give and bequeath the sum of $20,000.00 to my friends, Michael Williams and Sherry Williams, his wife, Box 85, Ripley, WV 25271. TENTH: I give and bequeath the sum of $20,000.00 to my friends, ,James Bell and Georgann Bell, his wife, 116 Crandon Circle, Beaver, PA 15009. ELEVENTH: I give and bequeath the sum of $10,000.00 to Thomas Bell, son of James Bell, and Nancy Bell, his wife, Eric Drive, Beaver, PA 15009. TWELFTH: I give and bequeath the sum of $10,000.00 to James E. Bell, son of James Bell, and Becky Bell, his wife, 2495 Dutch Ridge Rd., Beaver, PA 15009. THIRTEENTH: I give and bequeath the sum of $20,000.00 to Doris Frank and Thomas Frank, her husband, 2551 Berkshire Lane, Dover, PA 17315. FOURTEENTH: I give and bequeath the sum of $10,000.00 to Jeff Frank, 1995 Jug Road, Dover, PA 17315. FIFTEENTH: I give, devise and bequeath all of the residue and remainder of my estate of whatsoever kind and wheresoever situate unto the Glade Run United Presbyterian Church, R.D. #1, Dayton, PA 16222. I do hereby make, constitute and appoint Doris Frank to be my executrix of this, my Last Will and Testament and further direct that no bond shall be required in connection with the settlement of my estate. IN WITNESS WHEREOF, I, GOLDA I. WELLS, the testatrix above named, have hereunto subscribed my name and affIxed my seal this 23rd day of April, in the year of our Lord, two thousand four. .)t LL/ --I'~AL] Golda I. Wells .. Signed, sealed, published and declared by the above named GOLDA I. ,,vELLS as and for her last Will and Testament in the presence of us, who have hereunto subscribed our names as witnesses thereunto in the presence of said testatrix and of each other. , " COMMONWEALTH OF PENNSYLVANIA COUNTY OF ARMSTRONG We, GOLDA I. WELLS, PAULA R. FLANDERS AND LEE J. CALARIE, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and Testament, and that she signed willingly and expressed her free and voluntary act for the purposes therein set forth, and that each of the witnesses, in the presence of and hearing of the testatrix herein, signed the Will as witnesses and to the best of their knowledge, the testatrix was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. ~~/~/ _ Golda I . Wells ,.-- /? F ~ Subscribed, sworn to and acknowledged before me by GOLDA I. WELLS, testatrix, and subscribed and sworn before me by PAULA R. FLANDERS AND LEE J. CALARIE, witnesses, this 23rd day of April, 2004. ~ ~ tJ//tuV INotary Public My commission expires: COMMONWEALTH OF PENNSYLVANIA Notarial Seal Mary Ellen O'Hare, Notary Public Kittannin~ 8oro, Annstrong County My CommIssion Expires Dec. 16, 2006