HomeMy WebLinkAbout06-02-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYL VANIA
Estate of JOE E. FISHER NKIA JOSEPH H. FISHER
also known as JOSEPH H. FISHER
File Number
~ \ () B OViC'?-
, Deceased
Social Security Number 356-16-5308
PetitioIller(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
III A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the EXECUTRIX
last WiIil of the Decedent dated FEBRUARY 14,2003 and codicil(s) dated
named in th.e
(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: NONE
D B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.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 h~: (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.) 0 g
c: co
Name
Relationshi
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o
8c
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. ; :!:l
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal resid~e at
520 ST. JOHN'S DRIVE, CAMP HILL, HAMPDEN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA 17011
(List street address, town/city, township, county, state, zip code)
Decedent, then. 81
years of :J.ge, died on MAY 23, 2008
at HOLY SPIRIT HOSPITAL
Dect:Jent at death o"med property with estimated values as follows:
(rf domiciled in P A) All personal property
(If not domiciled in P A) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Permsy1vania
10,000.00
$
$
$
$
situated as follows:
uest(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
T ed or rinted name and residence
NANCY C. FISHER, 520 ST. JOHN'S DRIVE, CAMP HILL, PA 17011-4227
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
ss
COUNTY OF CUMBERLAND
The Petitioner(s) above-named swear(s) or affirrn(s) that the statements in the foregoing Petition are true and correct to the best of
the know!"'ge ""d belief ofPetitione",) ""d lh,t, "p",o",' "entative(,) of thfi.............e dent, Petitioner(s) will well and truly
administer the estate according to law. l.//~.)
Sworn to or affirmed and subscribed
Signature of Personal Representative
befure me the J...
File Number:
Estate of JOE E. FISHER NKJ A JOSEPH H. FISHER
, Deceased
Social Security Number: 356-16-5308 Date of Death: MAY 23, 2008
AND NOW, S LV'-'- L, 2 G[J\ , in ",",id_on of the finegoing Petition, ,,,,,factory proof
having been presented before m , IT IS DECREED that Letters TESTAMENTARY
are hen:by granted to NANCY C. FISHER
in the above estate
and that the instrument(s) dated FEBRUARY 14,2003
described in the Petition be admitted to probate and filed of reco
FEES
. 0 (>() ....
Letters .....1.. I . . . ~ . . $
Short Certificate(s) . ~u. . . $
l
'-t s,-
36
Attorney Signature:
~
~,
Renunciation(s) .......... $
IAlIII $
\ L r $
f~ -\i, $
$
$
$
$
$
$
$
1'-5
JI.,1
~
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
1'>5.....' ~
TOTAL
Form RW-02 rev. 10.13.06
Page 2 of2
jll).XOS RE\/ (01/071
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
"C;ee for this certificate, $6.00
"I/IIIf""" ", III"
"II~ ....\'" O.F PE;>..
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t~~-1Ii&" . ~~
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"'-----!!MEN1 \)~ ~;,'III\
"""'NHNIIIJlI'
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.
W' ~ /~ ,*'~ b/ J,ST (;j~
Local Registrar Date Issued
P 14583269
Certification Number
e
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HI05.143 REV 1112006
T'lPE I PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
1. Name of OllCedenl (F1fSt, mOle. last, so/fi,'()
~rose
5. Aqo llasll~_y)
Fisher
6. Dale of BIrth (Month. . year)
7. BirlhpIace(C' and slaIeorlo
81
8b. County 01 Death
Cumber land
Holy
12. Was Decedent ever in the
U.S. Armed Forces?
XJy" ONo
14 Mariat S&alU$; Married, Never Married,
_od.llNo<codISpoci/y)
Married
Decedent's
ActuaIAesidence 17a. Stale
Permsvlvania
Cumber land
17c. fi] Vas, D6eedeol Lived in
17d. n No, Decedent lived willWl
Actual linit& of
17b. County
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10. Race: American Irdan, Black, While. ell::
ISpecifll
White
an
Top
CiCyIBoro
18. falher's Name (First, midcI&. Iasl. suftix)
Charles
Fisher
19. Molhef's Name (first. midlJe, maiden surname)
Mabel Storckman
2Ob. Iniormant's MaIIi'Ig Mdre&I (SIreel., city 11own. swe, zip code)
520 st. John's Dr. Camp Hill, PA 17011
21c. Place ol DisposiIion (Name ol oemetefy, clVffiillOty Of odler place) 21d. location (City /IoWfl, S$aIe, ~ code)
o
w
~
"
~
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"-
23b. license Number
Fisher
Green Meroc>rial Park
CampN\1H1, ~1'b1~'
Rollin
22c. Name and Adl;Wess of FaciIiIy
3401 Market ST.
ItemS 24.26 must be compIeled by person
. who prooourlCeS death t.
25. Date PrOl'lOUOCed Dead (Month, day, year)
7:15
AM
CAUSE OF DEATH (See Instructions and examples)
Ilem 27. Part I: Enter lhfI ~ - ~ases, injurieS. or compIicatlOllS - thallirectly caused !he dealh. DO NOT enler terminal e~ents such as cardiac arresl.
respiralory arrest, or y8fllriculal fibrillation wilhoul showing the eliology.lisl only 008 cause 00 each line
Approll.imaleinler'lal'
On5UtroDealh
~r~~t~)We~
a. e..Oe.o ...... ~ "'- <C.:,<---e~(" I;........~', o,U'
010 (or as a consequence of);
b. \... N~c.....".\.~.
Due to {or as a consequence 00;
h!
\
\, j
\ \.
SequenIia.y~cooQl.lions,ilany.
~=~RlY~rU~a
(disease or Ir'Ijurt lhal initialed ltw
evenI$ resullJt\g 10 death) lAST.
Due to (or as a consequence 0#):
:I)a.Was,UlAu!opsy
Pertonned?
:Ilb._AulopsyF_
Available Prior 10 CompIeIioo
ol Cause of Death?
31. Manner of Death
~. D-
O Accidenl 0 Pending Investigation 32d. TllT\EI ollnjury
o Suicide 0 Could No! be Delermined
M.
32g. localion ollojury (91'"', cily Ilown. &tale)
\ .
.. .
, i
OYes~
DYes 0 No
\-1
33&. Certilier (check only one)
l:ertitylng physieiao (PhYSICian certifying cause 01 dealh when another phySICian has pronounced death and complettld lIem 23)
ll'othe bt$t of my knowledgt, death occurred due 10 Ihe Cluse{S) IIld manner 1M slated.. _ _ _ - _ - - - - - - - - - - - - - - - - - - - - - - -- - --
~:~=~f: =~J:n~~:r~:~ :hu:~~::n::;::U~ a:rt~~iot~:~~~~a: manner as slated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
~:'a1 ~:~"'otm:~:;= and I or Inves1i9lUon, in my opinion, death occuued althe lime, date, and plac1t, and due to the cauH(1} and manner ill slated... D
"
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~
Camp Hill PA 17011
Inc
23c. Dale Stgned (Month, day. year)
28 Oid Tobacco list Contribute to Oedl?
DYes OP-
ONo O""'OOW"
2Sl."F~;.
o Not pftqKlnl wlllllfl p;il>l year
o Plegnanlattlmeofooath
o Not pleglant. buI ptagnanl wdtun 42 days
~.....
DNot~,Wplegnanl43d;1yslOlyeal
..... -
o Unknown iI prf9lilll wilhin the ptiI )'tar
32c. f'tace ollnp.uy: Home, fama. Sleet, facklf'y,
Qllil;eBulcOng."'r_J
33d. Dale Si!1*l (fotlnlh. day, year)
S -:z~ -c8 '-
1 ~ 1 L 17. I.J. I~ I rr;;,;"'-;g:~;;~~
34 Name and ~ess of Person Who CompIe1ed Cause of Dealh (11em 27) T)1)8 J Pnm
ft- CC~I II.<F,) . 0 /J Il
'..n 1'1 ~ 1l1" i..,..Q<e JtfBa..-~~ . ) tCJ.f'c>- .
~~
~
LAST WILL AND TESTAMENT
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OF
JOE H. FISHER
po..;>
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(,.)
I, JOE H. FISHER of 520 St. John's Drive, Camp Hill, Cumberland County, Pennsylvania,
declare this to be my Last Will and revoke any will or codicil previously made by me.
ITEM 1:
("
<,~:j ~-~~. (
Upon my demise, I direct my body be buried at Rolling Green Memorial Park,
Lower Allen Township, Cumberland County, Pennsylvania.
ITEM 2:
I direct that all my just debts and funeral expenses be paid as soon as practical
after my death.
ITEM 3:
I direct that all taxes and interest and penalties thereon that may be assessed in
consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from
my residuary estate as a part of the expense of the administration of my Estate.
ITEM 4:
I give, devise and bequeath all of my estate of every nature and wheresoever
situate, together with insurance thereon, to my beloved Wife, NANCY C. FISHER, providing she
survives me by thirty (30) days.
ITEM 5:
Should my Wife, NANCY C. FISHER, predecease me or die on or before the
thirty-first (31st) day following my death, I give, devise and bequeath all the rest, residue and remainder
of my estate of every nature and wheresoever situate, together with insurance thereon, in equal shares, to
my issue, per stirpes.
Until distributed, no gift or beneficial interest shall be subject to anticipation or
ITEM 6:
voluntary or involuntary alienation.
I appoint my Wife, NANCY C. FISHER, Executrix of this my Last Will.
ITEM 7:
Should my Wife, NANCY C. FISHER predecease me, fail to qualify or cease to act for any reason as my
Page 1 of3
Executrix, I appoint my Son, SCOTT H. FISHER and my Daughter, NANCY J. FISHER, Co-
Executors of this my Last Will.
ITEM 8:
I direct that my personal representative, or their successors shall not be required
to give bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and
Testament, this I If day of c:J7~ ,2003.
Jd
Signed, sealed, published and declared by the above-named Testator as and for his Last Will and
Testament in our presence, who, at his request, in his presence and in the presence of each other, have
hereunto subscribed our names as attesting witnesses.
t~ "h1 &A~
residing at
/0 f ~~. i~ f.-<d'U/'"7 I . /~ I 1" t1
a"Ut~t v~i ,~'i0l.~ '--
/ / )
-...-/
residing at
/go/ St2-jJ{~ :5;-- /JL:7j Catfl]c:rli1<J..",']
rl~t1 ..,
11 (I <-" U
Page 2 of3
COMMONWEALTH OF PENNSYLVANIA )
) ss:
COUNTY OF CUMBERLAND )
We,
JOE
H.
FISHER,
;; ;1lll /ll D (J.e. N'-'
I
and
,41J.)h~ (". ~I(C ~ U 11
, the Testator and the witnesses respectively, whose names are
signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the
undersigned authority that the Testator signed and executed the instrument as his Last Will and that he
had signed willingly, and that he executed it as his free and voluntary act for the purpose therein
expressed, and that each of the witnesses, in the presence and hearing of the Testator signed the will as
witness and that to the best of his or her knowledge, the Testator was at the time eighteen (18) years of
, ,..
(-,t~ n... /J.:..c~
Witness Q, (
(it ~d/;v,-- (). /'d1f\k i,--
Witness '.' \
( )
Subscribed, sworn and acknowledged before me Hti1,'{; (' tl~//1-'- by JOE H.
/
FISHER, the Testator, and subscribed and sworn to before me by AI'II'I- ,n 0.0":' /Y>&L.
1 /'/: ..fv /'
and f~\J':'~I^ r. 01> 'ti.ro , the witnesses, this 1'1 day of r( C-<"v4< 1-
2003.
NOTARIAL S::AL
HENRY F. CCY~':, l"otary Public
Hampden Tv-p., Cl..iTlbertand County
My Commission Expires June 7. 2004
Page 3 of3