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HomeMy WebLinkAbout05-21-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Laura C. McGee also known as File Number d..\ -' 015 O~ , Deceased Social Security Number 203-18-2772 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE ~' or 'B' BELOW:) I2J A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executor last Will of the Decedent dated May 9, 2008 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 () ~ (Ijapplicable, enter: c.t.a.; db.n.c.t.a.; pendente lite; durante absentia; dJ'tiihfj)ninOritate"fE -j =;g ?h. ..'.' Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following sp~*-=6fan~nd heirs: (1 Administration, C.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~:::~ r~:] N .C I Name Relationship R~ ~~- -'oj :::: :p ", c~ I -.- ~ t- f~! (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in Cumberland 900 East Simpson Street, Mechanicsburg, P A 17055 (List street address, town/city, township, county, state, zip code) County, Pennsylvania with his / her last principal residence at Decedent, then 81 years of age, died on May 13,2008 at 900 East Simpson Street, Mechanicsburg, P A 17055 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 100,000.00 $ $ $ $ 150,000.00 situated as follows: 900 East Simpson Street, Mechanicsburg, P A 17055 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: YV\,C: John M. Eakin Market Square Building, Mechanicsburg, P A 17055 Form RW-02 rev. 1O.I3.06 Page 1 of2 Oath of Personal Representative COMMONWEAL TH OF PENNSYLVANIA SS COUNTY OF Cumberland 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 administer the estate according to law. eJl 4) ~ Sworn to or affirmed and subscribed Signature of Personal Representative <.'"") Co ~:.,~~~ l.) /-.., r-:> c:> = <f' ::It ::P" -<. N - _.~, - --'J '~-~- ~. .' J t -~._2 Signature of Personal Representative :; ;i~~ C~~ File Number: -'" ~\ (}<60~ '::.0 I --0 -',';;' -0 ::it f5? N o Estate of Laura C. McGee , Deceased Social Security Number: 203-18-2772 AND NOW, ~ 21 , 2fJI)X having been presented before me, II ~ DECREED !~tters are hereby granted to '- ) 11 /)1 C{ t-1 . Date of Death: May 13,2008 FEES Letters............... $ c1fO Short Certificate(s) . ~. . . . . $ (<tJ Renunciation?? .......... $ LJ, .. . $ /S- JLt ... $ to 11A+u .. . $ S- ...$ .. . $ ...$ . .. $ ...$ ...$ TOTAL .............. $ 3.s 1.0 0.00 in the above estate and that the instrument(s) dated IJ1 described in the Petition be admitted to probate and filed ofrecor Address: n \~t t t\ l1 V\ Supreme Court J.D. No.: OG ~ ~ \ ih..clLV f ~ Qo~^--ov 6 R (LL-C'r _ 1fu r,ivtVll ~ \ billi-:J Pif n CJ ~ Attorney Signature: Attorney Name: Telephone: / 11--70;G;' -$ 17;J Form RW-02 rev. 10_13.06 Page 2 of2 HI05.~05 REV fOliO') LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. Fee for this certificate, $6.00 .f'~~~Jk."r'f I'{L6f? I ~ocal Registrar ate Issued P 14583152 Certification Number ~ = = = ~ :l> -< N o ~'~~ Ie) E~~ (-) r; Q-T1 ,- ::rJ -0--1 :> 't '.) .I , I ',', -0 3: N N o COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See Instrucllons and examples on reverse) H10S.143 REV 11/2006 TYPe: PRINT IN PERMANENT BlACK INK )\ o<{) D~ STATE FilE NUMBER I. Name 01 Decedent (First. middle, lasl, suffix) 3. Social Security Numbe. 4. Dale 01 Death tMoolh, day, year) 203- 18- 2772 May 13,2008 Sa. Place 01 Death (Check only one) Hospilal Other' o Inpatient 0 ER I Outpatient 0 DOA 0 NurSoing Home ~siclence 9. Was Deceden1 of Hispanic Origin? '81 No 0 Yes (II yes, speedy Cuban, Mexican, Puerto Rican, etc.) Laura Cathyrn McGee 6. Date 01 Sinh (Month, da , year) 5 Age (lall Birthday) 81 Philadelphia, Pa. July 3, 1926 DOttler-Spe.:ily 10. Race: Amencan tndian, Black, White, etc ISped/yl White y" 8b. County 01 Death ad. Faci~ty Name (II oot institution, give street and number) 900 East Simpson Street most ol worki lile 00 not slate retlTed KW1d 8wnnsJ.r~irte 12. Was Decedent eVilr in the U.S. Armed Forces? Dyes jilJNO Decedent's ActualResidence 17a. State 13. Decedent's EducatIOn (Specily only highest grade completed) Elementary I Se.irry (0-12) College (1-4 or 5+) 11. Decedent's Usual Occ lion Kind 01 worll done du. KirxlolWork Homemaker 14. Marital Status: Married, Never Married, W_"" ONo",'" (Specif)l Widowed Did Decedent Uveina Township? . 16. Oecedenl's Mailing Address (&leet. city llown. stale, lip code) 900 East Simpson Street Mechanicsburg, PA 17055 PA Cumberland 17c. 5ia. Yes, Decedent lived 111 17d. 0 No, Oecedenllived within ActualUmitsol Top Mechanicsburg 17b County CIty/Boro 19. Mother's Name (First. middle, maiden surname) 18. Faltlet's Name (First, middle, Last, suffix) Laura Briggs Robert E. Sandaver 2<>>:1. Informant's Mailing Addre&S (Street, city / town, stale, ~ code) 1280 York Road Mechanicsburg, PA 17055 208. Inloonanl's Name (Type I Print) Linda Zeigler 21c. Place of Disposition (Name of camelel)', crematory or other place) Rolling Green Memorial Park 21d.localion (City I town, slale, lip code) Camp Hill, Pa. 17011 ~ ~ ., '1 22c Name and Address of Facility Myers Funeral Home, Inc. 37 East Main Street Mechanlcsburg, PA 17055 . ~ 23b.liceIlS8NlJffiber RN N.. ;0 r- Part II: ErKer other significant conditions conlributino to death but not resulting in the undertying cause given in Part I 28 Old Tobacco Use ContnblJte let Death? DYes 0 Probably .~ 0 Unknown 29 II Female' o No! preQrWlt Within past year o Pregnalll at lime of dealt< o No! pl'1lgr,anl. bul pl'egnam wlIhln 42 lid,.!> oIdealtl o No! pregnant. l>uI pregnanl <13 days 10 I YOdr biIoIe death o Unknown if pregna,1t wllhlflltle pasl year 32c. Place 01 Injury: Home, Farm, Street, FactOfy. Oftice BuildM'lg, ele. (Sp<<iftl I Approxirnaleinterval I Onset 10 Oealh I I , I I I I I , I I I . . I , ==I~S: ~~~\dlse:::. ~ l:Jv" a, Due 10 (or as a consequence 01)' ~rfl~~i~~~I='~~a Ente:\e UNDERLYING CAUSE jdl,;etlseorlnjurylhdtlnltlaledlhe events resulting lfl de4th) LAST. Oue 10 (or as a COfISequence of): Due to (01 as a consequence 01) 31. Manner of Death &Natur,al 0 Homicide o Accident 0 Pending lnvestlgalloo o SUICide 0 Could Not be Determined 3Ob. WereAlJtopSyFindings AVdilable Prior 10 Completion 01 Cause ()l Dealh? 30a Was an AlJIopsy Perlorm"d? 32g LocationollOfuryiSlreel.cdyltown,slale) 32d. Time 01 Injury DYe; DNa DYe; ;;a Na M 33a Cef\;htr (Check only one) ~:::sr:::ia~h=,n~:~hty:~:f: ~~:l~~hc~nu:f~~:~h:=::: ~:~~)C~~ ~a~h~~d~o~n~~e~ ~e~ ~~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ ... ~~o;::c~~:r':~ =~~r:~~~~~~~i:r; :~i~~:~~:;::::c:~~~:rt:~~~ ~:~:~~a~~ mannet as ~lale(L _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 ::at ~:~":'::~;:= and J or Investigation, in my opinion, death occurred althe time, date, and place, and doe to the cause(l) and m3nner II staled_ 0 33c license Number 33d 1 Slgoed (Mooth ooy. yeail MI) O~Vi)L.. L n, L,p'r 34 Name andfrX1itSs/' Persr Who Compl~ Caus.eo' Death (lIem 27) T~pe,~, S Ii It 1..,.<...0,..) M.,.). .3 lJ..f,,'1 r h--r "F""IMoo~,day,y'a') .' "II 17 J"'l ,)<.JC/f? S",:t. b'-l ".. IV- fIT oJ T .j z o o o ~ I d I l 1...2 I l I,,) 1 DIspoSItion Permit No 0 1La~t Will anb \lte~tament of o C' --.00 - ::1..1 u &P .- >:qj / j ;.~-;:: LAURA C. McGEE -)~.~ I, LAURA C. McGEE, of the Borough of Mechanicsburg, Cum~mnd County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby 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 conveniently be done. 2. I direct that there shall be paid out of my residuary estate all estate, inheritance and like taxes together with any interest or penalty thereon imposed by the Government of the United States, or any state or territory thereof, or by any foreign government or political subdivision thereof, in respect to all property required to be included in my gross estate for estate, inheritance or like tax purposes by any of such governments, whether the property passes under this will or otherwise. 3. I give, devise and bequeath my entire estate, real, personal and mixed of whatsoever nature and wheresoever the same may be situate, to my two friends, JIM /,,-.) ~~, = <:;0 ~..,-';".. )::<r. ~ N I I -0 :x N N o t. -r:", ZEIGLER and LINDA L. ZEIGLER, husband and wife, or the survivor of them. 4. Lastly, I nominate, constitute and appoint, JOHN M. EAKIN, to be Executor of this my Last Will and Testament and I further direct that no bond or other security be required of my personal representatives to guarantee faithful performance of his duties. IN WITNESS WHEREOl!, I have hereunto set my hand and seal this qft\ day of May, 2008 db--LL ~ C. Au.,g~EAL) Laura C. McGee COMMONWEAL TH OF PENNSYLVANIA) : SS COUNTY OF CUMBERLAND) I, LAURA C. McGEE, 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 and executed the same instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act and deed, for the purposes therein ex~sed. '1. ~ -C /}1..AJ..,g~(SEAL) Laura C. McGee Sworn and subscribed to before me this qH1. day of May, 2008 dk G-< - vffl, ~ Notary Public NOTARIAL SEAl. HEIDI M NELSON Notary Public ~~ MV Commllllon Expire. Jun 27. 2011 COMMONWEAL TH OF PENNSYLVANIA) : SS COUNTY OF CUMBERLAND ) We, the undersigned, J. Robert Stauffer and John M. Eakin, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the testatrix, LAURA C. McGEE, sign and execute the instrument as her Last Will and Testament; that the said testatrix 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 witnesses; and that, to the best of our knowledge, the testatrix was, at the time, eighteen (18) or more years of age, of sound mind, and under no constraint, duress or undue influence. Sworn and subscribed to before me this day of May, 2008. Notary Public /' ~\ O~b~ OATH OF SUBSCRIBING WITNESS(ES) Cumberland REGISTER OF WILLS COUNTY, PENNSYLVANIA Estate of Laura C. McGee , Deceased Heidi M. Nelson , (each) a subscribing witness to (Print Namels) the IZIWill D Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she I he I they was I were present and saw the above Testator I Testatrix sign the same and that she I he I they signed the same and that she I he I they signed as a witness at the request of the Testator I Testatrix m her I his presence and in the presence of each other. (Signature) viLuu' ~~1. ~ (Signature) (Street Address) Market Square Building (Street Address) ~..) = = = "fi'" :b>> -< N r ' (City, State, Zip) C) Mechanicsburg, P A 17055 [ ~ -~' -~..~ (City, State, Zip) .' -['- 0 'br--~ ~~:.~ ~- :..J.J ,-,' -' ","..... Executed in Register's Office Sworn to or affirmed and subscribed ~~; -0 . j '__ ::B:: Executed out of Register's (JJJice N :1'1 .. . N Sworn to or affirmed and subscribed 0 before me this d " 2ff%. before me this day of of Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy ofinstmment(s) at time of notarization. Form RW-03 rev. 10.13.06 OATH OF NON-SUBSCRIBING WITNESS(ES) Cumberland REGISTER OF WILLS COUNTY, PENNSYLVANIA Estate of Laura C. McGee ~ \ 6 q; or;;(. John M. Eakin and , Deceased (each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were well- acquainted with Laura C. McGee and am/are familiar with the handwriting and signature of the decedent, and that the signature of Laura C. McGee to the foregoing instrument purporting to be the Last Will and Testament/Codicil of Laura C. McGee is in his/her own proper handwriting. :9:: \In . :eL (Signatur Mark Square Bmldmg (Street Address) ~~..~ (Signature) (Street Address) Mechanicsburg, PA 17055 (City, State, Zip) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this .)/ -~y , 2(])o . of FormRW-04 rev. 10.13.06 (,; So ~- '=" IJ )?t~ _ C./);~ >3~ ~.~.~ ):> f'..:) = = 0:;:) ::r.: ))>0 -< N -0 ::J: r:-:> N C>