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HomeMy WebLinkAbout05-28-08f Prepared By Date Francis A. Zulli, Esquire 28 20 `'J ~Y Register of Wills of Philadelphia County, Pennsylvania - _~; ~, - PETITION FOR GRANT OF LETTERS Estate of LOUISE E. WALKER also known as LOUISE V. EATON WALKER Deceased - __ LCi _ No. - __ __ ,- ~<.: ;`_ Social Security No. 183-12=4592 -- ~~ , - (COMPLETE "A" OR "B" BELOW:) C7'~ A. Probate and Grant of Letters and aver that Petitioner is the Executrix named in the Last Will of the Decedent, dated June 10, 2005 ,and codicil(s) dated August 2, 2007 Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: ^ B. Grant of Letters of Administration 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: Name Relationship Residence (COMPLETE IN ALL CASES:I Attach additional sheets. if necessarv- Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 210 Big Spring Road, Newville, West Pennsboro TWP, Pennsvlvania 17241 Decedent, then 100 years of age, died Mav 19, 2008 , at Green Ridge Village, 210 Big Spring Road, Newville, West Pennsboro TWP, Cumberland County PA 17241 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property - - - - - - - - - - - - - $ 100.000.00 (If not domiciled in PA) Personal property in Pennsylvania - - - $ (If not domiciled in PA) Personal property in County - - - - - - - $ Value of real estate in Pennsylvania-------------------------------$ Total-----------------------------------------------------$ 100.000.00 Real Estate situated as follows: NONE Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant letters in the appropriate form to the undersigned: Signature Typed or printed name and residence l ~ 142 Hawk Lane Ephrata Pennsvlvania 17522 (717) 859-1232 RW-7 ~ r.,,; ~ C~ ` -' - ~ c{>> - ~ _, Oath of Personal Representative ~~ -Y~• ^' == Commonwealth of Pennsylvania _ . i" ~~ County of Dauphin The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the fore~Qing ~'~' Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and th~t,~a~s personal representative(s) of the decedent, Petitioner(s) will well and truly administer the estate according to la~ Sworn to and a ed and sub cribed ` ~w~ / ~ L~~L,~~ before me this~~ day of `~~, / ~.~~-~ -~--~~ cam. also known as LOiJISE V. EATON WALKER Social Security No: 183-12-4592 Date of Death: Mav 19, 2008 AND NOW, ~ , 2008, in consideration of the Petition on the reverse side hereon, satisfactory proof havil een presented before me. IT IS DECREED that Letters Testamentary ^ of Administration are hereby granted to Louise Walker in the above estate and that the instrument(s), if any, dated be admitted to probate and filed of record as the last Will of descrihed in the Petition FEES ~ ` I Letters------------------$ ~(~;CD ~~~ ~~ R 'ter of Will , Short Certificate(s) - - - - - - - - - $ Renunciation------------- $ ~, Affidavit( )-------------- $ Attorney: F is A.Zu ', ire Extra Pages ( )- - - - - - - - - - - $ < r I.D. No.: 5 16 Codicil - - - - - - - - - - - - -~~ =1-~ - $ ~ ~ IS• ~'`' Address: 0 Locust S r et JCP Fee---------------- $ ~ ~~ `'S ", risburg, P 17101 Inventory & Tax Forms - - - - - - $ Telephone: 7) 232-1488 Other-------------------$ ~ rr TOTAL----------- $ 1 `-` DATE FILED: ~~~~1,~ wr RW-7a DECREE OF REGISTER 1 Estate of LOLTISE E. WALKER ,Deceased No. ~ ` 5` ` OCAL REGISTRAR'S CERTIFICATION OF DEATH b~/S~S WARNING: It is illegal to duplicate this copy by photostat or photograph. F'~e for this rcrtificate, ~;6.Ui) ~ ~~. This i~ to Lertift' that the information here tTiven is t r~~~~,~,ZH OF pFy~\ I ~ , ~j -~ ~.~ correctly ~o ~itd f tom an original Certificate of Death '~° ~` ~l'_~ duly riled with me as Local Registrar. The original `~~ G~~/~' ~~jz~ ccriificite will he forwarded to the State Vita] ~? c~.~', , aril Record; Officc for permanent filing. -~- yy~ / Cer[ific.uion Number Local Re~aistrar Date issued rv ~ ~:~ _ c'~ - O ~.' - ~ : ~fb -' ` <' fU ' REV 112006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS .^ `_ ~ ...Q -- ;~ .1nNIENr" CERTIFICATE OF DEATH - _'_' cK INK (See instructions and examples on reverse) sTATE FILE N~MeeR :S7 ~ ':1 1 Z s 1. Name of Decedent (Frst. middle, lass, suMix) 2. Sex 3. Social Security Number k. ale of Death (Month, da ,year) ~ - l i - °~1 Y ~ ; ' LfiT ' GJ '~~ =' ~ ~'3 - / - ~ • ~;/ ~' 9 ~ ! , : ~ G/V i < Gi,t; SE ~h i / 5. Age (Last Bidhday) Under 1 year UMer 1 tlay 6. Date of Birth (Month, tlay, year) 7. Birthplace (Chy and slate or loreign country) Ba. Place of Death (Check onty one) Hospital. Other Monms Days nwre Minutes ! ,~ ~QU Vrs G`/U~~~d~~f) %~~j/ ~//T~''J~~~)>~. /-/"~ ^Inpatienl ^ER/Out anent ^DOA Nursin Home ^Resitlance p g ^Other ~ Specify: Bb. County of Death &. City Bore, Twp. of Death Bd. Facility Name (II rat instiMbn, give street antl number) 9. Was Decedent of Hispanic Origin? No ^Ves 10. Rac A erican Indian, Black. White, etc. /~ (~ l (Ilyes,specityCuban, ~ (Spec/N L/Gl / )Ir~`.3~c /t~+(. Ia N 1) a(J~ 51 ~~7/v= ~~(' ~'r-'~' lJr'e'U'1 1\14: ~ I l Q Mexican, Pueno Rican, etc.) ~%r1 / 11. Decedent's Usual Occu lion Nind of work d one tl udn most of workin Ille. Do not state retl 12. Was Decetlenl ever in the 3. Decedent's Etlucatl (Specity only highest gratle comp leted) 14. Marital Status: Monied, Never Marred 15. Surviving Spo use (II wife, give maitlen name) Kmd of Work Kind of Business / Intlustry ILS. Artnetl Forces? Elementary! Sewndery (012) College (1-4 or 5r) Witlowed, Divorcetl (Specif)7 ,Y:: 'x 7,~ lv/,~l t~~i~ /lU/llEM ~iT i/V<- ^Yes No ~F C,cJi(~(,~:U~=/) -_ 16. Decedent's Mailing Address (Street, city I town, state, zip code) 7 , ., . Decedents ~ ~ , - Did Decadent Stale ~ ~frl ti S ~~ J~ ~/ Il.1 Live in a 17c ~/ r s i % ~f~ J(/j J-?D J.~ /~-ri Twp Actual Residerae 17a ~ Ves Decedent Lived in r,7 ` ~ `) ~ n % L /._~% G' Sr ~_ ;/~'C' ' . . , , _ Townshlp7 ~ 17d.^NO, Decedent Lived within 17b Count (?~~/r)f ~~ / ] /1/~G(.+~'+L~,E /~~/7 %'71..L~i . y J.c /„ /j, r Actual Limits of CitylBoro 78. Father's Name (First, mitltlle. Wst suXix) / c / J ' 19. Mother's Name (Rrst mitltlle, maiden surname) ' ~ ~ ' L ~~ ' ~ ' C. //~ C~/v i7~/V T .~i:? £7~/ -~ -S: L. C~ /Jf ~/b i F~f 20a. Infortnanl's Name (Type I Print) 206. Inlormant's Mailing Address (Blreet city! town, state, zip cotle) ' ,;~ ~ i.s' _ GtJr~ ~/c' E~' M ~2 Ei ~ t' ~ i ~ ~1 /~ ='i~i~ ~i7~ ,'' Z /f/~i J , . , . ~ r . > t ~ 21a. Method of Disposillon ^ Cremation ^ Donason 21 b. Dale of Usp05idon (Month, day, year) 21 c. Place of Dispositlon (Name of cemetery, crematory or other place) 21d. Location (City l lawn. state, zip cotle) ~rl}~.rt Burial ^ Removal from Stele Waa Cremation or Donation Authorized tr /n~ !7 -~. n- ' ~ ~ ~/~i~~-/.' 1, I 7 ~ HY A~~) ' f~~X ~ ~ ~~~/~~ L'~~ ~~ / l ~/~? j 1 r / I ',~ k' ~/j~ L~ ^ Other ~ Specity: i by MMlcal Examiner /Coroner? ^Yes ^ No (! c1 ! /7 ~ +t~7/ =?(G /V % .CG~Y / / ' ' , 22a. Sign uneral Service licensee (or pars such) °acti~` 22h. License Number n 22c. Name and Address of Fadllry :,C (~(! / J /'~ ,~.~ g I' .S; +~ ~ ' %% " ~~ (jr'~,teC ~ D'!X i ~ , / q D~ ., ij1-f,E,~., , ~3ctr_ E ~ , GtJ ~ E' ~ k'v l C ' E .. - ~ _ lJ- . . ~ , , ~ . Complete Items 23ac wry when cenitying 23a. io the best of my knawled ,death oaurr al Me time, to aM place staled. (Signalyre and tAle) 236 Liceree Number 23c. Dale Signed (Month, tlay, year) physidan is na available at lime of death to / // ^ ( h / ~ ~ ~ - ~ ~ ~j (} c~"(/ O S 1 ` ~ ~ tartly cause of death. C/l2 ~ rK ~ 1~ , ~1 . / 1 " u Items 21-2fi must ce completed by person 24. Time of Death - ~ ~ ~ 25. Date Prop need Dead (Monts, day, year) /~ ~j ~ 2fi. Was Case Relerretl to Medical Examiner / Goroner for a Reason Other than Cremation or Donation? who proraunces deem. r M. X __ / ~ C CJ~ V ^Yes ~No r Approximate Inlervah CAUSE OF DEATH (See InstrueNOns and exam s) Pan II: Enter other s gniNcant condil ohs contrihulino to death, 28. Did Tobacco Use Contribute to Death? Item 27. Pan I: Ener the drain of events -diseases, injuries, or cromplicafions - That directly caused the death. W NOT a er lertninal events such as cardiac arrest. Onset to Death but not resuding in the undetlying cause given in Pad I. ^Yes ^ Proba6ty respiratory anent, a ventricular fibrillation without showing the etiology. List only one cause on each line. ~. te ^ Unknown IMMEDIATE CAUSE fFlnal disease or cond'NOn resuki n death ( ~. ~ r' V .. ~. n9t ) ~ a. l' ti.IUSf ~\ ~,~.i~~ 29. II Female: ^ Due to (or as~consequence off' Not pregnant within past year Sequentially list condllans. If any, b ~ ^ Pregnant al lime of tleath leatlingg to me cause lisletl on line a. Due to (or as a consequence oq: r Enter Xte UNDERLYING CAUSE ^ Not pregnant but pregnant within 42 days (disease or injury that iniliatetl me c events resulting to death) LAST _ of death . Due to (or as a consequence of): ^ Not pregnant, but pregnant 43 days tm 1 year belore death d ^ Unknown it pregnant within the pest year 30a. Was an Autopsy 30b. Were Autopsy FirMings 31. Manner of Death 32a. Dale of Injury (Month, day, year) 326. Describe How Injury Occurted 32c. Place of Injury: Home, Farm, Street Factory, Penortnetl? Available Prior to Completion ^ Natural ^ Homicitle Office Building, etc. (SpecityJ of Cause of Death? ^ Ves ^ No ^Ves ^ No ^ Accidern ^ Pending Inwsfigalbn 32d. Time of Injury 32e. Injury at Work? 321. II Transponalion Injury (Speciy) 32g. Location of Injury (Street city /sown, stare) ^ Suicide ^ Goultl Nol 6e Determined ^Yes ^ No ^ Dmerl Operator senger ^Pedestnan M ^Omer - SP•cty: 33a. Certi(er (check only one) • Certiryin h sician (Ph sican cenityin cause of death when another h sician has ronounced death antl com leted Item 23) 33h. Slgrat B pd' the iffier __.._-..._ ~ ~ ~ ~ '-` ~ ~ ~, g p y y g p y p D ~_.. .. / ,! - ' ;~ " To the bell of my knowledge, death occurred due to the cause(s) and manner as staled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ,.~ - • Pronouncing arts certirying physklan (Physician both pronouncing death arts ceniying to cause of deem) h d ^ 33c. Licen umtJe 33tl. Dale Signed (Month, day, year) ~ To the best of my knowledge, death occurretl et t e time, ale, and place, and due to the cause(s) and manner as abled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • M l E i di ! C \ _ _ ,J /" 1 v ~ ( ~ ~ ~- ~ l /~( ll ~ xam ner oroner e ca On the balls of examinallon and / or investlgalion, In my opinion, death occurred al the Ilme, date, end place, and tlue to the cause(s) antl manner es sgtetl_ ^ ~ 34. Name and Address of Person Who Compteletl Cause of Death (Item 27) Type /Print 35. Registrar's and Distri ~' ~ / ~ LLB O`J ~ ~I I I ~ ~ 36. Dale Fy'~etl (Morn day, ) 1d~~ ~ ~ r7 1 r: F: y L L -c ~ r. ~~_ - : / /';<:. Sc ';H '„ ' „ - ~7C J /~7D _ N~ / r .~ _ U Dlsposilion Permit No. U / L//~~ ~ ~~ -_ (~> ;~ ~ _~ ~~~x ii1 ~.n~ v~~~~lii~nt t...; ~_~ ~~._~ _-- ': ) ~_ --C OF - ~~.:~ LOUISE E. WALKER -~ ~^~ _`.' a ~ __.._ _. y .. I, LOUISE E. WALKER, of Newville, Cumberland Counly, Pennsylvania, b`~ng of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament hereby revoking all other Wills and Codicils by me at any time heretofore made. ITEM I: I direct that all of my just debts and currently due debts and funeral expenses shall be paid from my estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM II: I give and bequeath the sum of Twenty-Five Thousand ($25,000.00) Dollars to OGLALA LAK01'A COLLEGE of Kyle, South Dakota. ITE~~I III: I give, devise ar.~~ beaueath all. of the rest, residue ?rd remainder of my estate, whether real or personal, or wheresoever the same maybe situate or located, to my daughter, MARY LOUISE WALKER, only if shoe survives me. In the event that my daughter, MARY LOUISE WALKER, predeceases one, then I give, devise and bequeath all of the rest, residue and remainder of my estate, whether real or personal, or wheresoever the same maybe situate or located, to the GREEN RIDGE VILLAGE FUND, of Newville, Pennsylvania. ITEM IV: I nominate, constitute and appoint my daughter, MARY LOUISE WALKER, as Executrix of this my Last Will and Testament. In the event that my daughter is unable or unwilling to serve in this capacity, then I appoint my attorney, FRANCIS A.LULLI, ESQUIRE, as Executor of this my Last Will. and Testament. ITEM V: It is hereby directed that my Executrix ;>hall pay all inheritance, estate, succession and legacy taxes to which my estate for the transfer of any property hereunder maybe subject, and to charge such taxes as a pert of the expense of the administration, payable out of my residuary estate. ITEM VI: I direct that no Executrix or other fiduciary named, nominated or appointed in this my Last Will and Testament shall bf; required to post any bond or give any security of any type for any purpose whatsoever, ~~ny law or rule of the Court of the Commonwealth of Pennsylvania or any other jurisdiction to the contrary notwithstanding. IN WITNESS WHEREOF, I have hereunto set my hand andl seal this ' Q day of ~ r.~-~r~- , 2005. ~~~ ~ (,~ ~ - ~~-= Louise E. Walker Signed, sealed, published and declared by the said Louise E„ Walker, the above named Testatrix, as and for her Last Will anal Testament, in the presence of us, who at her request and in her presence and in the presence of each other, all being present at the sa a ti ,have hereunto subscribed our names as witnesses hereto. ~ Residin ~~. /' g Residing ~1~~c Commonwealth of Pennsylvania SS County of CUB We, Louise E. Walker Francis A. Zulli ,and -~1~ ~~ J ~ he Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn and qualified according to law, do hereby declare to the undersigned authority that we were present and saw the Testatrix sign and execute the instrument as her' Last Will and Testament and that she signed willingly (or willingly directed another to sign for her), and that she executed it as her free and voluntary act for the purports therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witnesses and that to the best of his or her knowledge the Testatrix was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence, and I, the said Testatrix, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament, that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. Subscribed, sworn to and acknowledged before me by Louise E. Walker , the Testatrix, and subscribed and swo to before e by ~-(Z-A+~Ccs ~ ~ ~~ ~ ~~~ and ~A /L AEI A- ~'~5~~ witnesses, this c~day of J u•~,z-- , 2005. '". "/ 1 Notary Public COMMONWEALTH OF PENNSYLVANIA tJotar~al Seal Vicki L. Hopkins. Notary Public West PennsboroTwP•. Cumberta~.d County My Commission Expires Jarrs. 35, 2009 _,_ Member, Pennsylvania Association C1; ~~';°"""'" i'_.. v l t CODICIL TO ~ ~ ~ , ~. ~~tt~x ~~li ~.n~ ~~~x~ll~.~nt ;~._.~ ;~, .: _ _} _ OF -: ~~: LOUISE E. WALKER - ~~ _ J v., I, LOUISE E. WALKER, of Newville, Cumberland County, Pennsy'fvania, beg of sound and disposing mind, memory and understanding, do make-, publish and declare this to be a Codicil to my Last Will and Testament dated June 10, 2.005. FIRST: I delete ITEM II set forth in my Last Will and Testament dated June 10, 2005, which was a bequest of Twenty-Five Thousand and 00/100 Dollars ($25,000.00) to Oglala Lakota College of Kyle, South Dakota, and in its place substitute the following ITEM II: "ITEM II: I give and bequeath the sum of Twenrv-Five Thousand and 00/100 Dollars ($25, 000.00) to GREEN RIDGE VILLAGI; FUND of Newville, Pennsylvania." SECOND: In all other respects, I ratify and confirm my Last Will and Testament dated June 10, 2005. IN WITNESS WHEREOF, I, have hereunto set my hand and seal this _~ day of August, 2007. LOUISE E. WALKER Signed, sealed, published anal declared by the above-named., LOUISE E. WALKER, as and for a Codicil to her Last Will and Testament, in our presence, who in his presence, and in the presence of each other, and at her request, have hereunto set our hands as subscribing witnesses hereto. ~ , ,~f` S t ~~Pr/S6c~F G V ~f Address /.~ ~/( ~. Ad ress ~~~ ~ -~ COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF DAUPHIN We LOUISE E. WALKER ~ / /~ ~~ ~ c~ s ~ 7~ ~ ,the Testatrix and the witnesses and respecti~~ely, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned officer that the Testatrix signed the instrument as a Codicil to her Last Will and that she signed voluntarily and that each of the witnesses in the presence of the Testatrix at her request, and in the presence of each other, signed the Codicil to her will as a witness and that to the best of the knowledge of each witness, the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to and subscribed before me by LOUISE E. WALKER, the Testatrix, and subscribed and sworn to before me by ~, ~-~ 7L2c- and ~(t.~-NC~~ l~,'Z~~ r`, the witnesses, on this -~"~~ day of August, 2007. ~~ LOUISE E. WALKER -, Notary Public My Commission Expires: /~- i~ _ ~, COMMONWEALTH OF PENNSYLVANIA Notarial Seal Vicki L. Hopkins, Notary Pubac West Perxisboro Twp., Cumberland County My Carnnission Expires Jan.15, 2008 Member, Pennsylvania Association Of Notaries 2 ~>~ . ,._ ~- ~ Witne