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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:) ~p ?t"I~~ o~o R-" ~ ~-f ~ )> <...) 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 ~ = ~ WT) :s: f2.cj (X~ :I*- ,~~-:, ';;2 -< ~m"-1 ~,'~,.1 nllfI1ed inlRe [J (J1 CJ::8 _~',.I \.....) c-:-) r-, ,.f, -'-".F ;.~.~1 .--. M 'C") ,..-.~] (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 -'1'.'1 ;;;~,1 ~lJ L~) .:J :~:~< ~ re"TI ::u ~:.:) ~:i': J3 ;r~"" ;~'r' L, Signature of Personal Representative :n P ~zm b("n~ n8~ PS; ii-""f :J:a :x ~ 0(,) ,I'\) tlru 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 '~'I \./':~ 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 '" .. :;! 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 ..... ..1-. .'1- I( ~:::l 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 , , I I I I , , I I I . I I , ~~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 !z ~ l's I ~ 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, '- .,..,] 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, ~l- 'c' .,~ . .' 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 :~ . . "