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HomeMy WebLinkAbout07-25-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of DOROTHY A. JUMPER also known as COUNTY, PENNSYLVANIA File Number O(` ~ ~ ~ ~ ~ a Deceased Social Security Number 202 10-5 5 1 8 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) /^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the EXECUTOR last Will ol'the Decedent dated JANUARY 3, 2007 and codicils} 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: B. Grant of Letters of Administration (If applicable, enter: c. t. a.; d.6.n.c.t.a.; pendente liter durante absentia; durante minoritate) Aetitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If Administration, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list ofheirs.) ~ Name Relationship Residence ~ (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in CUMBERLAND (List street address, town/eity, township, county, state, zip code) Decedent, ±hen 80 County, Pennsylvania with his /her last years of age, died on OCTOBER 4, 2007 at CALISLE REGIONAL Decedent at death owned property with estimated values as follows: (If domiciled in PA) 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 ~~,vtvi~tti_n~4i ~- ' ~ rte-- ~ _. EL~IL~S~. CEDER, ~.~ ~ $ _" 110,000.00 situated as follows: 134 SPRINGFIELD ROAD, NEWVILLE, WEST PENNSBORO TOWNSHIP, CUMBERLAND COUNTY, PA 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: or printed name and residence ~ ~~ C /f/~ I JOSEPH E. McCLEARY, 68 LENWOOD PARK, SHIPPENSBURG, PA 17257 Il~_ ~ ~ a~i.2. Form RW-02 rev. /0.13.06 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS 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 ~~~, ~C~~ L~J~s' c F the Register of Personal Representative Signature of Personal Representative Signature of Personal Representative File Number: a ~ ~ 1. ©~1yI ~. Estate of DOROTHY A. JUMPER ,Deceased Social Security Number: 202-10-5518 Date of Death: OCTOBER 4, 2007 AND NOW, oZ ~ oloog , in consideration of the foregoing Petition, satisfactory proof having been presented before m , IT IS SCREED that Letters TESTAMENTARY are hereby granted to JOSEPH E. McCLEARY in the above estate and that the instrument(s) dated JANUARY 3, 2007 described :in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES 260.00 Letters ............... $ Short Certificate(s) ........ $ Attorney Signature Renunciation(s) .......... $ JCP ... $ 10.00 Attorney Name: r2 AUTOMATION FEE $ 5.00 ~t~'1'i~`,~~°Supreme Court LD. No.: WILL $ 15.00 ~!~ $ Address: ... $ ... $ ... $ $ Telephone: ... $ TOTAL .............. $ 290.00 '~IJ ROGER B:-IKWIN, ESQUIRE 6282 60 WEST POMFRET STREET CARLISLE, PA 17013 (717)249-2353 Form RW-02 rev. 1/).13.06 Page 2 of 2 If~~n~._sus ke~~ lovol 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 13774818 Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly tiled with me as Local Registrar. The original certificate will be forwarded to the State Vital Recor ~ - •' e for perm nt Loca , liar C7 1_ ~ ~ 77 v i -~ c"7 A ~ ~;n r ~~ ).. ~~~ ~.~ ~~o l 6.~yla,~ Date issued c:~ cs o~ C 1- N ~ ~-,~~+ CJ"2 '~ _ ~ H105-143 REV n/ztws COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS - _~ ' (,,,3 ~ _- -, TYPE /PRIM IN .. - ' - 4' PERMANENT CERTIFICATE OF DEATH -[7 ~ - BUCKINK (See instruct(ons and examples on reverse) STATE FILE NUMBER ` ~ 1 ( I ~ ~ !T v 0 z 1. Name d Decetlenl (First middle, last, soda) 2. Sex 3. Social SecuMy Numher 4. Date d Death (MOnm, tley, year) _ p .A .-~ Female 202 - 10 - 5518 October 04, 2007 5. Age (Last Binhdey) Under 1 er tler 1 day 6. Date of B'dh (Month, day; year) 7. aintptece (Cdy and state or bra country} ea. Puce d Deem (cne~k any one) Moeplxs Den Hours tAVxMa Hospital: Olhen 8 0 Yrs. June 1 6 , 1 9 2 7 New Oxford , P A ®InpatleM ^ ER / Oulpatiem ^ DOA ^ Nurarg Nome ^ Residence pOlher,- speairo: W. County of Death &. City, Boro, Twp. d Death Btl. Facility Narre (Ii rwt nmAudon, give sa9e1 and camber) 9. Was Decadem d Hispanic Origin? No ^ Yes 10. Race: American Indian, Black, While, mc. (If yes, specify Cuban, (SpeciM m 1 d rli le Re 'o al Medic 1 n e Maxipan, Pueno Rican, etc.) Wh' 11. DecetleM'a Usual Occ Lion KkidM work tl one ~ moat d world leis. Do not elate reared 12. Was Decedent ever in the 13. Decedent's Educalbn (Seedy only highest gretle comp leted) 14. Mental Status: Merrietl, Never Marriatl, 15. Surviving Spo use (d wile, give maiden name) KiM d Work Knd d Business /Industry U.S. Armed Forces? Elementary / Secondary (0.12) College (1 d or 5+) Widoweq Dworced (SpeciM Seamstress C & M ^Y~ ®Nd 8 Widowed 1s. Decedents Maigng Address (srem, airy r roam, mma,:~ mda) Decetlem'a Penns l v a n i a L~weeM West P e n n s b o r o Y Adam Residence t7e. Slme 17c ~Q vas Decetlem Lived in T field Road 134 S rin _ . , wp. 7owr¢hip? o ~n~ueawitNn 17o.000ny Cumberland nd.^~ p g am ~/gym 18. Father's Name (First, mMdb, last, sugix) 19. Mother's Name (Fam, midde, maden surname) Robert Theodore Roosevelt Bittin er M ilia Gertrude Marks 20a. IMameM'a Name (Type / PnnQ ~ 206. InfonneM's Meikng Address (Shell, dyf tam, state, +V mde) PQ-nn Comerer 144 Am Drive Carlisle PA 17013 2ta. Mmtad d Disposiaon ~ ^ Cremation ^ Donation 21 b. Date d Dispositbn (Month, day, year) 21c. Place d Dispzeilbn (Name d cemetery, cremelay or other place) 21 d. Location (CAY I town, slate, ziP coda) p Remwalaomsate ~ ~ ~,na °o ~a`~° p` ~ ^ r ~ ~M am ica~re amina lsx ^Yaa^NO October 8 2007 Rehoboth Cemeter Walnut Bottom PA 17266 ~ 22a. $I~elure d Fwlerel Service Licensee (or person eclmg as such) ?2D. license Nzvnber 22c. Name and Address d Faalny - FD-014753-L -Bricker ~m~T RculE: Inc, a 112 West St. PA 17257 Complete Kams 23at a,ry rrlten cenKying 23e. To the b%I d my knowledge, death~u~m the tme, date end pie slele0. (Signature cad tilt) 23b. License Number 23c. Dale Signed (MOmn, day, year) pbysroan is rw axeileble m time d deem k 6 : U. Q q • w! /y/~ p 7 (~/L .G1 L Jd`'~ 7a? 4 o f- 4L /w4 O ~v - y - a 7 teary sues d death. w Items24-26 mist be cersplMed by parson 24. Time/d Death d 25. Dale Pronwxketl D~tl (Month, d~y^y7ear) V 26. Wes Case Refened b Medical F~eaminer /Coroner for a Reason Olhar Ihan Cremation or Donation? care prpwuncea death. Q rQ . A,I, f0 ((7 ~~ / ^ Yes CAUSE OF DFATli (See Inebumitxste eml examples) ,Approximate interval Pan 11: E1tler other ' ~ 23. Did Tollxm ilea CanriDure to Death? hem 2T. Pan I: Enter Ute chain d eveMa - diseases, Irguries, a cenlpkce0orls -Ihet daeaty cauaea Ina deem. W NOT enter temwlal eveme cash as eartiec anesl, r Orce1le Death hd rid reselling le Ne uMenyng Cause given h Pan I. ^ Yes ^ Prabebly respirmcry amain. or venlriG4ar itlaikdion widroul mtowhg dre miobgr. List ant aria cause m each Nne. r / ~ ^ - ~ t No [] Urgcnuwn r NAMEgIATE CAUSE IFslal Gemee or ,~ y~ ~~ 9 (®~Q•~ ~yQ.-( / y ~ (~ ] / condlen resulalg m death) _' a, ! -L- mo / (.`I r / a/ f~ ~ 1 ' / ` z~ /A.K L.. r~ ~Qy^ ~/~~ 29. a Female: ~ Not re nant wdlpn est ear Due to (or as a Consequence oQ: r ~rp~py ad ~~p~, p a 7 ~ ;~ t~ ,i( b-d Pp ._ L.~ ° i ~ ' p g y p ^ Pregnant el lkre d death ~, / IWMglef re~Iiatedonsn • a. ~ Enter Ere UNDERLYING CAUSE r ~ ~ ~ ' ^ Nd pregnant, bN pregnant wdNn 42 days h (disease or 6Mnv that iNluled the ~ ~ ~,.` L.' ~• - p~ ,~ ~ ~p~~ r C' t events rasa g m death) LAST M deat . Due to (a as 8 Consequence oit: r ^ Nd pregnant, bd pregnan143 days to 1 year d. _,~~/~d T F /~(C! OJV . _ bmme damn ^ unwtewn n pregnant wnnlo ma gam year 30a. Was an AuWpsy 30b. Were AtAOpay Fk~tlings 31. Maurer d Deelh 32a. Dale d Injury (Month, day, year) 32b. Describe How Injury Occurred 32c. Place d Irlplry: Horne, Farm, Slrem, Feclary, Penanlad? Avaifade Prior to Carrpktian Ib~Natural ^ HwMdde ~~ ~~~~ ~~ (~IYi d Cause d Demh? Jg ~~~''' """''' ^ Vas lyma ^ Yes [] No ^ Accident ^ Perxing Imemigafkn 32d. Time d Inryr/ 92e. Injury m Work? 321. d TratsspMation Irqury (Spea'ly) 32g. Locellen d Injury ISlrem, dly /town, state) T) ^ Suidde ^ (:ouM Nd ne Determined ^ ~ ^ Yes ^ Driver / Operator ^ Passen ^Pedemden M Other - Speay: 33e. cena~r (castle oMy one) aTb. s na~ . ' CerlUylrp physklen (Physidan cerlilying cause d death when another phyeie en les prorlolxlced death ant completed gem 23) To the bea~dlny knowledge, demh occurred due biM Cewe(s)end menntt se BMle0.,,______________________________ _ _ - -. , • Pronourcfng and cMlyMg physldart IP)ydcen bdh prorrourcag tlemh ew cengying b cause d death) ^ 33c. rise ~ eel (MUdh, day, Yearl To the bemdmy knowledge, demh occurred el Mailers,date, end place,rM due bile cause(s)eM manner es alaterL_____________..___ • Yedkal Examiner I Coroner ~ rVa ~ / Q ^ ~~ v ( - ©~~ On the burs d examinmlon ant I or Irnemigalfon, In my Dpi mad m the 1Mre, rim, and pMce, and due to IM oase(s) andmanner as~~ated- ^ .,~ 34. Name aMAdtlre~ d Person Wla Campkletl Cause d DeMh (Item 27) Type / Piml Registrar's Signature ant Dist r ~J ~ Z ( ! {~'- 36. Dale Filetl (Morita. day, year) //'~/p/ ~} , 3~a ~~x~NO ~ R ~ NC~,N p ~a~((S(. ~, ~ 'Ft-' ( I I ' I I vy~ v Disposition Permd No. I D ~ ~ D n ~-,.O '~ cr ~7 .Gast ~ViCCand~~Iestament o ~' j- l 1 ~ ~ ~+ w) 1~orothy./~. ,dumper s ~, I, DOROTHY A. JUMPER, of West Pennsboro Township, Cumberland County, Pennsylvania, being of sound mind and memory declare this to be my Last Will and Testament and revoke any will or codicil previously made by me. ITEM I: I direct that all my just debts and funeral expenses, including my grave marker and all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. ITEM II: I give, devise, and bequeath all of my household goods and furnishings including tools and equipment to the following persons or the survivors of them living on the thirty-first day following my death, share and share alike: Joseph E. McCleary, Richard L. Comerer, Beverly A. Lannen, Penny R. Jumper, Linda C. Cummings, Deborah K. Ott, Betty J. Ott, Judy Derr, and Randy E. Comerer. ITEM III: I give, devise, and bequeath all of my real estate of which I die seized, and wheresoever situate to Joseph E. McCleary, his heirs and assigns. ITEM IV: I direct that all taxes 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 part of the expenses of the administration of my estate as to the personal household goods and furnishings as well as any other personal property. I direct that all inheritance tax assessed as to the value of any real estate passing under the terms of this my Last Will and Testament shall be borne and paid by the person or persons receiving said real estate and that such tax shall be paid prior to the transfer of title to said real estate by my Executor to said beneficiary. ITEM V: I appoint JOSEPH E. MCCLREAY, Executor of this, my Last Will and Testament. Should he fail to qualify or cease to act then I nominate and appoint LINDA MCCLEARY, Executor of this my Last Will and Testament. ITEM VI: I direct that my Executors or their successor shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and Testament, written on ~ sheets of paper, dated this 3 r'0~ day of January, 2007. (SEAL) DORO Y A. PE The preceding instrument, consisting of this and /~ other typewritten page(s), each identified by the signature of the testatrix, DOROTHY A. JUMPER, was on the day and date thereof signed, published and declared by DOROTHY A. JUMPER, the testatrix herein named, as and for her Last Will, in the presence of us, who, at his request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. residing at -% ~ ~ ~~ residing at ~~~'~ / ~ 2 ~,, COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS We, DOROTHY A. JUMPER, the testator in, and the undersigned witnesses to, the will, the attached or foregoing instrument, who have signed the instrument, having been qualified according to law do depose and say: (a) that I, the testator, do hereby acknowledge that I signed the instrument as my will, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and (b) that we, the witnesses, were present and saw the testator sign and execute the instrument as her will, that she signed it willingly and executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testator signed the will as a witness and that to the best of our knowledge the testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. DOROTHY .J R Witness ,~ ~' -' ~~~~ itn s Subscribed to and subscribed or affirmed and acknowledged before me by DOROTHY A. JUMPER, the testator and the witnesses whose names are signed above this3~ day of January, 2007. i ~ ~~~ Notary Publ' SAtLYl W NOERpNOTARYpUBLIC 3 NORTH NEWTUN TWp, CUMBERtANO COUNTY MY COMMISSION EXPIRES MARCH 6, 2R01