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)
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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
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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
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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
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Signature of Personal Representative Doris Frank
before mE! this
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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
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, in consideration of the foregoing Petition, satisfactory proof
Testamentary
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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:
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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
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--.}?!MENT \)\ ~\:'lll
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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
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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)
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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
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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)
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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$EIFlnaI_" -L ~ I r, _ +- C~ '( ,r"
con_ -g. dea~) __ C u- f 9" \ " W<'_0--+ '~'C \ Li v "'-
Due 10 (or as a consequence 00:
26. Was Case Referred 10 Medical Examiner I Coroner for a Reason Other than Cremation or Donation?
Dves iii No
Approxfmale Interval:
Onset to Death
Part II: Enter other silI'lilicant contiIIons ~ to dsath 28. Did Tobacco Use Contribute to Dea.1h?
but "" rmiIlng ~ "'" ~ cauae gNen In Part I. 0 Vas 0 Probob~
DNa 0-
Dv" DNo
31. Manner of Death
ttQ.~alural 0 Homicide
0- OP"",""I__
o Suicide 0 COOd Not be Del8mlined
29. If Female:
o NoIpregnant wlthinpast ysar
D P_allineoldea~
o Notpregrlar1l.bulpragnal'ltwithln42da.ys
ofclealh
o NoIpragrl8nl,butpregnant43daysl01year
before death
o Unknown If pregnant within \he past year
32c. Place of Injury: Home, Faffil,StreeI,Factory.
Olflce BulIding, etc. (Spedfy)
=tUl1XlOCilloflS, If any,
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b.
Due 10 (or as a consequence of):
Due 10 (or as a consequence 00:
308. Was an Autopsy
Performed?
d.
3Ob. Were Autopsy FlIldings
Available Priof toCompletioo
oi Cause of Oeath?
Dvas (~.""
32d.Tll\eclllljury
32g. Localioo 01 Injury (Streel,cIIy/loWfl. state)
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33a.Certifier(ehlilCkonlyOfl8)
Certifying physician (Physician cartlfyinq cause of death when 8.I\Ol:her physician has prorlOOnced dea\h and completed Item 23)
To the besl 01 my knowledge, de8th occurred dUe to lhe C8U1e($) 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
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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
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LAST WILL AND TESTAMENT ?~ r,::; -;: ( ,-'5
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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
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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.
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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