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HomeMy WebLinkAbout06-05-08PETITION FOR PROBA/TE AND GRANT OF LETTERS REGISTER OF WILLS OF~~t,~,F {,t /~~~ COUNTY, PENNSYLVANIA Estate of (Ill ~ ~r(t}}/1if ~ / v~ft also known as . Deceased File Number ~ / - ~~ .. Dl1/ /O Social Security Number ~T3 ~'y ©/'' L~ ~ ~lp Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPL TE 'A' or 'B' BELOW.) ~_ A. Probate and Grant of L tters Testamen ry and aver that Petitioner(s) is / aze the f-Gf /l "-iR !'named in the last Will of the Decedent dated ~ ^© and codicil(s) dated (State retevnnt circumstances, e.g., renunciation, death of executor, etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child bom 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: ^ B. Grant of Letters of Ad Qfapplicabte, enter.• c.t.a.; d.b.n.c.t.a.; pendente tire; durance absentia; Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spy Adntirtistratiott, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) filed at death in L Ur1e,E7,YzjQ ~~C'G~ County, Pennsylvania with his /her last principal residence at r-.a ca t. ~. _ C 3~ ar4~herrs {lf, ~ _; r• ,j~ U1 ~:_i ~-z (List street address, town/city, township, county, state, zip ode) Decedent, then ~~ years of age, died on .,. (~ `~. f o at ~ ~1 -~ Decedent at death owned property with estimated values as follows: ~ (If domiciled in PA) All personal property $ ~~~ ~d© (If not domiciled in PA) Personal property in Pennsylvania $ ~ ~~ Oe7 (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ Fornr RW-03 re~~. to.t3.o6 Page 1 of 2 (COMPLETE IN ALL CASES:) Attach additiot:al sheets if ttecr,~rsary. situated as follows: 1`Y~i~.s E /B G~,~'~`~S"S (~t"Y~S 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: Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA •~ SS COUNTY OF .N 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 of Petitioner(s) and that, as personal representative(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 Fort Register Signature ojPersonal RepresenttkiGe ~-~- ~ rv c:.a n c~ a ~o °° ~ , Signature ojPersonal Representative ~-~ ~ ~ ~ ~ ' _y --~DT .n r-"t 1': Signature ojPersonal Representative '~~Q '~~ p _ r ~~ File Numbefer: ~tI ~ ~~" ~~~~ ~ ~ ~ Estate of + I I ~~l ) - ~ L.~ 1'~~L/~ ,Deceased Social Security Number: ~ Date of Death: ~'dYD ~(/~ AND NOW, ~ ~ ,1e~-4J~--, in consideration of the foregoing Petition, satisfactory proof having been presented befor m IT I C ED that Letters ~ ,/~[[~/ are hereby granted to ~ G-.r (~ ~ . ~~ ((~ ~ in the above estate and that the instrument(s) dated ~ ' ~~D_'~_V~ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. „ , FEES O-4~o q~ Letters ............... $ ' Short Certificate(s) ........ $ Renunciation(s) .......... $ .. $ .. $-~ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ - Attorney Signature: Attorney Name: Surreme Court I.D. No.: Address: Telephone: Register of Wills Forn: RW-0? rev. /0./3.06 Page 2 of 2 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 1433147 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. ~ ~,-- ~u o z Doe Local Registrar Date Issued REV nnoo5 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS PRIM IN IANEN7 .KINK CORONER'S CERTIFICATE OF DEATH ~k Z 7 _ ~ Q fi (See instructions and examples on reverse) C"7 a.-s~, `--~ 0 ~° `a '.~ ~ C ; t r=. ,,' -) -.1_ n -a m .~ t ~ ._.. ~_._ ~~~ ~: -p~ D W -- `, ~ N ; G7 1. Name d DecetlerN (Post, midtlk, last, suffix) Willia J 2. Sez 3. Social Secunry Number m 4. Date of Death (Month, day, year) m Turpin Male - - May 26, 2008 5. Age (Last BlrMdey) ilrrder 1 year Unda 1 da 6. Date of BirM (Month, day, year) 7. arMplace (City aM dale a courroy) Be. Place of DeaM (Check onry one) Momaw pen Hwrs wmulu PA Hoses. aher: 92 Jan. 22, 1916 Dauphin vre. • , ^ Inpetlent ^ ER 1 Outpatient ^ DOA Nursing Home ^ Residence ^OMer ~ Spedty~ . Bb. Cwnry of DeaM &. Ci Bc wP. of Death Sd. FacYlry Name (II rid'ewthullon, give slrea aM number) 9. Was Decedent of Hhpanic Origin? ®No ^Ves 10. Race: American IMian, Black, White, etc. Cumberland Camp Hill Manor Care Cam Hill (If yea,apeceycuben, 1M P Mezicen, Puerto Rican, etc.) i t e 1t. Decetknda Usual Occ tkzn Kind d waN lore dun moat d wale life. Oo not stele retlred 12. Was Decedent ever in the 13. Decedent's Educagon (Specify oMy highest grade completed) 14. Merdel Setus: Marle4 Never Mameq 15. SurvWing Spouse (II wile give maiden name) Klnd d Work Kind of Buairess I IrAUStry Foreman Hbg Dairies U.S. Armed Forces? Elanentary 1 ~~ry, (0,12) Collage (1 d or Sa) Widowed, Divorced (Speply~ , . $7vaz ^NO 12 Widowed • 18. Decedem'a Meling Adtlress (SIreeL city /town, stare, zip code) Decedent's PA Did Decedem 6 24 B . S C . Actual Residence 17a. Slate Lice in a 17c. $] Yas, Decedent lived in Fact P o n n c h n.-., 7wp Cumber 1 and 7ownahip? 17d. ^ No, Decedent Lhred wiMin Enola, PA 17025 f7b. count' Actual Limks of Ciry I Boro 18. FadreYS Name (Fire4 middle, last, suffix) 19. Mother's Noma (Flrst, midde, maitlen surname) William Tur i p n Estella Bechtel 20a. Inbmrem's Name (Type / Pnntl 20b. Informants MailMg Address IStreeL city /town, state, zlp cotle) Edward L. Turpin 312 Cameron St. Mar sville PA 17053 2Ia. Method of Dispoeflbn ^ Cremation ^ Donation 21b. Dale of ,~,y+~~ Dlsposilbn (Monts, day, year) 21c. Place of DlsposNbn (Name of cemetery, crematory or aher place) 21 tl. Laation ICSy /town, stale, ziP code) Burial ^ Remo l f Sl t va rom a {'J e Wea CremsOOn a Donsdon AWhorized ^ Other-~M' by Medkel Examinerl Coroner? ^ree^Ne June 2, 2008 Blue Ridge Memorial Gardens Lower Paxto T • n w PA 17112 22e. Sipnelaa of Furerel Seryk;e Licensee rson aclmg az such) 22b. License Number 22c. Name and Address of Fadlity • ~ ~~ FD 012774-L Richer - Complele Items 23ec ony vAten ceniryirg physidan is rid available al time of death to 23a. 7o the beat of m ,death occurred at Me time, date and place slated. (signature and thle) 23b. License Nranber 23c. Date Signed (Month, day, year) ' cerMy cause d daeM. Items 24-28 must 6e complatetl by person ,• was prdlOalCea death. 24. Time of Deets 10 ~ 5 P 25, Date Praramced Dead (MOnIh, day, year) M 2 6 20 ~ 8 26. Was Case Referred to Medical Ezaminer /Coroner for a Reason Other Man Cremation or Donaton? M. : ay , Yas ^ No CAUSE OF DEATTI (See InstrrsMions sod examples) r Approzimate interval: Pan II: Emer other siaifirznt rondkions ~ mnc 1 death, 28. Did Tobacco Use Contribute to DeaM7 Item 27. Pan I: Enter the chain of evems -diseases, inJunes, or compNCatlons -that directly caused the deeM. DO NOT enter terminal events ouch as cardiac ones) On t ro D M se ea Wt not resulen in the undo in cause resprelory ertazL or venlricWar BbrNlatlon wshoul showing Me egdogy. Lill only one cause on each ins. 9 dy g given in Pen I. ^Ves ^ Probably IMMEDIATE CAUSE IFnaI disease a i ^ No ^ Unkrwlm condd' WB M an ms ng th) _>. a. Multiple Traumatic Iniuries 29. II Female: Due to (or as a coreequerve ofJ: ~ ^ Not pregnant wttNn past year SeuremielN lit conditions, if ang b. Fall in Home r ^ Pregnant at lime d tlazM boding W Ma Huse IUIed on irre a. r Due t r ( o o as a coreequence pry: r Emer the UNDERLYING CAUSE r ^ Nd pegnam, but pregnant wahin 42 days (daeaz IMtl d ' M k e a et ele Me May events restAtlng m deeM) UST. o' d death Due to (or az e consequence oQ: ^ Na Ore9ren1, but pregnan143 tlays to i year d ~ before tlealh ^ Unknown if pregnant rethin Me pest year 30a. Was an Adopsy 30b. Were Adopsy Rndings 31. Menrer d Deets 32a. Dale d I ' ryury (Monts, day, year) 32b. Describe How Injrxy Ommed 32c. Place of Injury' Home, Farm, greet, Factory, Penamad? AvaaablePrertoCOmpretk>n of Cause d Death? ^ NaNral Oface Building, etc. /speuryJ ^HOmidde May 8,2008 Fall in home Home ,,,,,,,,,.,,,,,,,AAAAAA y~,,~ ^ Yas Iry,NO ^ Yes ^ No ~l Accrdem ^ Pentlin9 Inveatigatlon 32tl. Tme d Injury 32a. Injury a1 Work? 32f. II Transportation Injury (SpecNyJ 32g. Location of Inlury (Street, dty /town, stele) -- TT ^ suicide ^ Could Not be Determined ~~~~ ^ vas ®No ^ Driver /Operator ^ Passenger ^Pedastnan g Street E 1 M , no a , PA Otter ~ Speary' 33a. Cerefiar (check Dory one) 336. Sgnature antl T7Me of Ce ' CMKying phyalcian (Pnysiclan cert4yinq cause of death when eraMa physidan has pronounced tleath and carplaetl Item 23) C o r one r To tM best of my knowbdge, deeM occurred due to the uu ee(a)ane msmrer as amDed-------------- ^ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ' Prondetcing end eMHykq phyNclen (Physiden txNh praroundn death and rg in t d d M g ry g ce o reuse ea ) To tM bets M k my nowredge, dwM occurred n the time, deb, end place, end due to the cause(s) and mamrer m steted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c. Lx;en Number 33tl, Dete S n d • Msdlal Examiner /Coroner May 31, 2 008 On the beela of exsminalbn and t a Imeatlgslbn, in my opinbn, death oaunaa m the tlme, dale, aM plea, end due to the oase(s) and manner as sated _ 30. yeyn9 enQ Addreap of P nwn'ABp Cortpbled Cause ffiDeeM (Item 27) Type / Pnnl 35 Registrar' nature and Di ~ C ore OTT Si, OTOneT . ~ I ~I 7 I °ZI ~ ~ I ~ ~re ~ ~y'~`) t 6375 Basehore Road, Suite 111 o mil/ `~GD~ Mechanicsbur PA 17050 Disposilbn Pennn No. !/ oC aG~~ 7 y r ~~~sY mill ~n~ C7~ P~t~zmPnt OF WILLIAM J. TURPIN SR. I, WILLIAM J. TURPIN SR., of the East Pennsboro Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this as and for my Last Will and Testament hereby revoking all other Wills and Codicils previously made by me. ITEM I: I direct that all of my just debts and expenses of my last illness and funeral be paid from my estate as soon as convenient after my decease as a part of the administration of my estate. ITEM II: I give and bequeath the sum of One Thousand ($1,000.00) Dollars each to my close grandchildren namely DAWN ROBERT WHITMORE, ANGELA LEE STOKES, DESIREE ANN TURPIN, LAURIE LEIGH TURPIN, WILLIAM JAMES TURPIN III, JAMIE LYNN TURPIN, and SARAH MARIE TURPIN, only if they survive me. In the event that any of my named grandchildren should predecease me then their share shall lapse and become part of the residue of my estate ITEM III: I give, devise and bequeath all of the rest, residue and remainder of my estate whether real, personal or wheresoever the same maybe situate in equal shares to my children, DIANN MILDRED ROBERTS, WILLIAM JAMES TURPIN JR., CHARLES WILLIAM TURPIN and EDWARD L. TURPIN, only if they survive me. If any of my children should predecease me then their share shall lapse and be distributed among my remaining surviving children named herein. ,~ ~~ ITEM IV: I nominate and appoint my son, EDWARD L. TURPI, T~ ~--~ ~= Executor of this my Last Will and Testament. !' -~, ~ C -7 rr_•• ~ l1 CJ~-t C) C _~ ~C --p -~••1 ~ C.a ~ f ~~ :-~7 ~i', ;-~ :` a -r ~:i"F T, ITEM V: It is hereby directed that my Executor shall 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 part of the expense of the administration, payable out of my residuary estate. ITEM VI: I direct that no Executor or other fiduciary named, nominated or appointed in this my Last Will and Testament shall be required to post any bond or give any security of any type for any purpose whatsoever, any 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 and seal this ~ day of C~AiY' , 2006. William J. Turpin r. Signed, sealed, published and declared by the said William J. Turpin Sr., the above named Testator, as and for his Last Will and Testament, in the presence of us, who at his request and in his presence and in the presence of each other, all being present at th sa e lames as witnesses ding ding U ~~ r S / ~ ~ ~ ~l d Commonwealth of Pennsylvania SS County of Dauphin We, William J. Turpin. Sr. Francis A. Zulli ,and dJ~v~4 A • w'oJ ,the Testator 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 Testator sign and execute the instrument as his Last Will and Testament and that he signed willingly (or willingly directed another to sign for him), and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witnesses and that to the best of his or her knowledge the Testator 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 Testator, 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 William J. Turpin, Sr. , the Testator, and subscribed and sworn to before me by Francis A. Zulli , and Dom, ~ ~ p . W~ o ~ ,witnesses, this 2 (~`~'~ day of ~T~u ~,. , 2006. Notary uP blic DEBBI SUE MIDDAUGH. Notary Public Cdy of Harrisburg, Dauphin County M Commission Expires October 25, 2009