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
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, 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
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(Ijapplicable, enter: c.t.a.; db.n.c.t.a.; pendente lite; durante absentia; dJ'tiihfj)ninOritate"fE
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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
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Name
Relationship
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(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.
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Sworn to or affirmed and subscribed
Signature of Personal Representative
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Signature of Personal Representative
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File Number:
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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:
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Supreme Court J.D. No.: OG ~ ~ \
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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
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I ~ocal Registrar ate Issued
P 14583152
Certification Number
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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
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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
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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
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22c Name and Address of Facility
Myers Funeral Home, Inc. 37 East Main Street Mechanlcsburg, PA 17055
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23b.liceIlS8NlJffiber
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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
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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
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DIspoSItion Permit No 0
1La~t Will anb \lte~tament
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LAURA C. McGEE
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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
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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
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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)
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(Signature)
(Street Address)
Market Square Building
(Street Address)
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(City, State, Zip)
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Mechanicsburg, P A 17055 [ ~
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Executed in Register's Office
Sworn to or affirmed and subscribed
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Executed out of Register's (JJJice N
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Sworn to or affirmed and subscribed 0
before me this
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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
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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)
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(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
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of
FormRW-04 rev. 10.13.06
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