HomeMy WebLinkAbout05-05-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYL VANIA
Estate of Deloris V. Watts
also known as N/ A
File Number
dvl vOq - Oyt/7
. Deceased
Social Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
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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)'q,ffered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: N/ A
IZI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will of the Decedent dated May 30, 1991 and codicil(s) dated N/A
Executrix
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(State relevant circumstances, e.g., renunciation, death of executor, etc)
o B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; db.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 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 ifnecessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at
5480 Smith Drive. Mechanicsburg. Hamoden Townshio. Cumberland Countv. PA 17050
(List street address, town/city, township, county, state, zip code)
Decedent, then 84
years of age, died on April 25, 2008
at Holy Spirit Hospital, Camp Hill, PA
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 PA) Personal property in County
Value of real estate in Pennsylvania
$
$
$
$
10,000.00
160,000.00
situated as follows: 5480 Smith Drive, Mechanicsburg, Hampden Township, Cumberland County, P A 17050
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:
T ed or rinted name and residence
Nancy L. Watts, 5480 Smith Drive, Mechanicsburg, PA 17050
Form RW-02 rev. 10./3.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
CUMBERLAND
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 representatiye(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
before me the
day of
~ 1:j{IM_~ ;r' ~.
Signatur of Perso RepresentatIve
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Signature of Personal Representative
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Signature of Personal Representative
File Number:
c2/- ()~ -- D4Cl1
Estate of Deloris V. Watts
Social Security Number:
AND NOW, '1I'!:XI~ Mf1l .JCD~
haYing been presented before me, IS DEC ED that Letters
are hereby granted to Nancy L. Watts
, Deceased
Date of Death: April 25, 2008
, in consideration of the foregoing Petition, satisfactory proof
Testamentary
and that the instrument(s) dated May 30, 1991
described in the Petition be admitted to probate and filed of recor
in the above estate
FEES
Letters
.............. .
$
Short Certificate(s) . . . . . . . . $
Renunciation(s) .......... $
Automation Fee . . . $
JCP Fee . . . $
Will
... $
. .. $
.. . $
.. . $
...$
.. . $
.. . $
TOTAL.. .. . .. . .. .. .. $
FormRW-02 rev. 10.13.06
260.00
24.00
0.00
5.00
10.00
15.00
Attorney Signature:
17;;r /dr
,,/ .
Zf1ltr
Attorney Name:
Wayne M. Pecht, Esquire
Supreme Court LD. No.: 38904
Address:
Pecht & Associates, PC
1205 Manor Drive, Suite 200
Mechanicsburg, PA 17055
Telephone:
717-691-9809
314.00
Page 2 of2
HI05.805 REV 10]107]
r"\ I -f'I?_ C (117
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LOCAL REGISTRAR'S CERTIFICATION OF DEATIH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 14359254
Certification Number
H105.143 AEV 1112006'
TYPE ,I PAINT IN
PERMANENT
BlACK INK
This is to certify thai ;J e inf()fmation here given is
correctly copied from all original Certificate of Death
duly filed with me a~ Local Registrar. The original
certificate will be twwarded to the State Vital
Records Office for permanent filing.
W~ Q <-~3J),~b9
Local Registrar Date Issued
1. Name of OecedenllFilsl. middle, last. suffix)
COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
Deloris V. Watts
STATE FilE NUMBER
5. Age (lasl Birthday)
84
v~
11. Decedenl's Usual
Hom~er
life. Do not state relired
~f'ftjlti"l<y
. 'S~~lI\..t.otyl_. _.l~code]
. Mechanicsburg. PA 17050
Decedent's
ActuaIAeSldence
18 Falhef's Name (Firs(, nD:IIe, last, suffix)
17b. County
19. Mothet's Name IFiBt, mKde, maidun surname)
CICy/Boto
John Earl Wise
3 Soc.jdil"rlty""1'2 Jl754
8a.. Place d Death (Check one)
HospiIaI: Other:
!opalienl 0 ER I Outpallent OooA 0 Nursing Home 0 Residence
'W..Detodontol~Origon? l&t<o Oy"
III ,"'. opeaty C<<>an.
Mexican, PueI10 Rican, etcl
14. Marital Slalus: Married, Never Mamed,
W"'mvOO~if""'l
17c. fjilYes, Decedent Li'led in
I1d 0 No._l....""'"
ActuaIUmitiol
Top
2Oa.Infoonaot's Name (Type I Pont)
Nancy L. Watts
Edna Stone
"" -'......""*'fim~ffi'UI''b1iv: Mechanicsburg. PA 17050
~
21c. Pr.c.'" ~ (Nlmeolcemtlely,Q'tmItofyOfQhrplact)
ST. Paul's Lutheran Church Cemetery
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21e!. lOCftlion (Cll~ flown, 1taCe, ~ code)
Enola. Pa. 17025
22CNomeand_p.v;e"~"Funeral Home, Inc. 37 East Main Street Mechanlcsburg. PA 17055
231>. Uceose _
230 OillO 5;gnea 1_. da,. _I
lIems 24.26 musl be COIt'lpIeled t, person
who prooounces death J;.
24. Tlfl'leotOealh
10:06 eM
.....
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CAUSE OF DEATH (See InatrucUona _ ...mptea)
lIem 27, Part t: Ellte.-!he dliIUll~ - diseases, ~juoes, Of complications - Ihat <ileclly caused the death. 00 NOT enle.- lermml events such as cardiac arres!,
respitaloly arrest, Of venlrictAar ItIriIIabOn wilhoul showing !he etIOlogy. lis! only 00El cauH on each line.
, Awro.limaleioteNat:
: Onsello Death
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~~e~~~~~\dise~
C"AI</"'IIAc... A/2Re<>r
Due to (or as a consequence 01): ~
EN,),) {'At? DI7I$ - c7el</AL
Due to (Of as a cooslK/08OCo of):
~~~~i
Enaer lie UNOeRL'f'/NG CAUSE
=~~~~Oi~rmra
Due to (or as a consequence 01)'
:
JOb WereAulopsyFII'ldings
A...-aiIabIe Priof 10 CompIetJOIl
of Cause 01 Oedth?
3Oa. Was an Autopsy
Performed?
31, Manner 01 Death
o Natulal OHomiClde
o Accident 0 Pending InveSligallOl1
o Suicide 0 Could No! be Delermined
J2d Twne ot Injury
Ov" DNo
0'" ONo
(~.
M.
33a, Cerolier {check on/)' one)
C::::'.r.:~'~::.' -=~.:= :.~:~ "':.=~.::=":: ~_-: ~:~_':' ::~~ ~":' _~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
::::::'",:,~ :~=~~i: '~~'::'~:;::C~~1D~;:~~:' m....' u ...",,- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
::':::::~= sodlo<ln""'.,,,oo. ,. m, DplniD'. do". OC'""" " !he lime. dot.. sod piece. end due 10'" OOUM{.) sod _...... ''''sd_ 0
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I J..11 1,2. l.t
DisposillOO Permil No
26 Was C8Si.Aelerred to Medical Examiner I Coroner for a Reason Cliner Ihan Cremation 01 Oonalioo?
0'.. ONo
Part U: Enter oltier siw1iIicant oondiIioM. CClnlMlItinO'llo ~ 28. Did TtOacco Use Conlnbule 10 Dealt?
bulnoIr&stblgirll1eundellyingcause~inPllI1l 0 Yes OProbably
ON<> Du",""""
2g, If FIlTIaIe
o NoIpregnaol"'iIhlnpast~ear
o PlegnBI11 allirne of OUCh
o Nol pl'0\J0ilIlI. bul pfllgoa/lt ....Iltllll 4~ 0.'1'_
ol-
D Not pregnant, but pltgnMt 43.ya 10 1 YUf
-.-
o lklMown if prtigl'linl wilhio fie pasl Y'lar
32c'=:~~:~~}Slrtel,Faclory,
~
33c, liceo$e Nwnber
,/14f; oCS'11'ic, '-
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34 Name and Aci:1rtss 01 Persoo 'Mlo CompIeled Cause at Deaf! (lIem 27j T
.$4"vG- k:. ~//14 'Yf:::,
LAST WILL AND TESTAMENT OF DELORIS V. WATTS
I, DELORIS V. WATTS, of the Township of Hampden, County
of Cumberland and State of Pennsylvania, being of sound and disposing
mind, memory and understanding, do make, publish and declare this
my Last Will and Testament, hereby revoking and making void any
and all prior Wills by me at any time heretofore made.
1.
I direct the payment of all my just debts and funeral
expenses as soon after my decease as the same can be conveniently
done.
2.
I give, devise and bequeath all the rest, residue and
remainder of my estate, real, personal and mixed, whatsoever
and wheresoever the same may be situate, to my daughter, NANCY
L. WATTS, absolutely and unconditionally.
3.
In the event that my daughter, NANCY L. WATTS, should pre-
decease me, then in such event, I give, devise and bequeath my
entire estate, of whatsoever nature and wheresoever the same may
be situate, to my daughter, BETTY ANN HARTMAN, and to my daughter,
MARY JANE MADER, share and share alike, per stirpes.
LASTLY, I nominate, constitute and appoint my daughter,
NANCY L. WATTS, Executrix of this my Last Will and Testament,
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I. . . ...
COMMONWEALTH OF PENNSYLVANIA
COUNTY or CUMBERLAND
SS.
I, DELORIS V. vlATTS , the tutat rix
whose naml is signed co the attached or foregoing instrumlnt, having
bIen duly qualified according Co law, do hereby acknowledgl that I
ligned and executed che inscrumenc as my Last Will and Testamentj
that I signed it willingly; and chae I signed it as my fr.. and volun-
tary act and dIed, for the purposes therein contained.
Sworn and affirmed to and acknowledged before me by
DELORIS V. WATTS , the tu'tatrix ,thil 30th
day of Mav , A.D., 1991.
COMMONWEALTH or PENNSYLVANIA )
SS.
COUNTY or CUM>>ERLAND
We, the under8igned, J. ROBERT STAUFFER
and John M. Eakin , the witnesses whose names are
'igned to the attached or foregoing instrument, being duly qualified
.ccordina to law, depose and say thae we were present and law the
testatrix , DELORIS V. WATrrS , sign and exe-
cute thl in.trument as ~s/her Last Will and Testament; that the
said testat rix , DELORIS V _ WAIJ1IJ1,C:: , executed it as
~./her free and voluntary act for the purposes therein expressed;
that each of us, in the hearing and sighe of the testat~, signed
the Will a. witnesses; and that to che beet of our knowledge, the
testat rix was, at the time, eigheeen (18) or more years of age,
of sound mind, and under no constraint, duress or undue influence.
','
.-
Sworn and subscribed to befor
me thi8 30th day of
-
Mav 1991.
d1~ If, ~.
No1ariaJ Seal
~({aIJ Eal\in, No~PuNc
lllleflal ~~rs Bora, Cu;rJXJrlcnd ~
, UyCamlisSion Expires Nov. 6, 1993
MImOOt Penns)~ ~l of Notaries
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