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HomeMy WebLinkAbout08-06-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland Estate of Valda Janet Hall also known as V. Janet HAII Deceased COUNTY, PENNSYLVANIA File Number ~ ~ d 8 ~~ Social Security Number 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 Executrix last Will of the Decedent dated May 23, 1984 and codicil(s) dated (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. b. n. c.t.a.; pendente liter durante absentia; durante minoritate) rte.; C7 Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following s~~sg (if any) ail heirs: (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.) , =~ ~" - Name Relationshi Residence= ~,~~ 1 . ti J ~ ~.~ _. (COMPLETE INALL CASES:) Attach additional sheets ijnecessary. qA A` '' VV Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at Claremont Nursing Home Middlesex Township Carlisle PA 17013 (List street address, town city, township, county, state, zip code) Decedent, then 83 years of age, died on April 5, 2008 at Claremont Nursing & Rehabilitation Center 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 situated as $ 10,000.00 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 undersi€;ned: or printed name and residence Tina D. Deibler 1822 Willow Road, Camp Hill, PA 17011 named in the Form RW-02 rev. 10.13.06 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 ,~ ~8~ For the Register 'z~- gnature of Personal Representative ~' ~=o Signature of Personal Representative _ r....~ ` ~ :i:~' Qt ! ,~ - .7 .."S - Signature of Personal Representative _~ ~~ ~ ~_ r~ N File Number: ~ ~ ~s ~ ~~ `r Estate of Valda Janet Hall ,Deceased Social Securi Number: 201-18-5107 7 ~~~ yy~~ Date of Death: Apri15, 2008 AND NOW, ~ , ~.d'J1L, in consideration oft e foregoing Petition, satisfactory proof having been presented before_ e, IT I,S~DEGa~EED~h~t Letters ~/'l 2 are hereby granted to 1 f f'iC~ .~ t ~ ,~ {~" in the above estate and that the instrument(s) dated /~l~X ./ ~ ~ lam? described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters .....IOC Cbd... $ ~' S Short Certificate(s) ... ~ ... $ / Renunciation(s) .......... $ / ... $ /LS ... $ 1~' c~ ...$ S" ... $ ... $ ... $ ... $ ... $ _ ... $ TOTAL .............. $ 0.00 `~ Register of Wills Attorney Signature: Attorney Name: John .Eakin Supreme Court I.D. No.: 6351 Address: Market Square Building Telephone: Mechanicsburg, PA 17055 717-766-3172 Form RYi~ 02 rev. 10.13.06 Page 2 of 2 ~:+~~ .r , LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, 56.00 14~~~9~7 Certification Number 'his is to certify that the information here given is orrectly copied from an original Certificate of Death July filed with me as Local Registrar. The original ertificate will be forwarded to the State Vital tecords Office for permanent filing. pl • ~eis..c~'~a,~O-•t~. AP q 8 ~ 2008 ~ocal Registrar Date Issued rv ~7 ~ Co m _ :-~ :"7 A . 7 C,~j a,rn I ..V T L!: ~` 1 C~ _ .. - .. ~ -~ ~ -~ ~ ~ ~`7 ~° '. . ~ J ~ `~ - r.~ N fV N,osu3Nty ttrzpas COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPEr PRINT IN CERTIFICATE OF DEATH Q Q ~ euc~µwM (See instructions and examples on reverse) STATE FILE NUMBER ~ ~ Q 8 ~~~ ~1 U U 1. Name d Decedent (Pod. nadda, last, auMx) 2. Sea 3. Sotlel SemrMY Numbe 4. a d Deatl~M«yh oer„y§Nr}., 8 5107 ~pri LVU 18 Female 201 _ _ Valda Janet Hall s. Asp (lest ammarl under, var ume t s. ode d Iridh (Honor, my, ) T. sewpmce IGIr a~M dam a faeipn aa«y) ea Place a Deem (cnear m one) gg Mwww ~ Hw., wwxe April 23, Cumberland Co. , PA "°°""~ omen Vrs. ^ Inpdea ^ ER I OulpaXeN ^ DOA ®Nurshg Hare ^ RaaMexe ^Ome - SpedlV Cgny d Deem &. CHy, Baro, Twp. d Deets • gp ed. Far6aY Nwre (H nd irianmtian, pve died and rwmber) 9. Was Decedent d FNepnk Oogin7 ®No ^ Vas 70. Racy. Amehen aden, Bmck. WhAe, et . (H yre, apedN QAw6 Claremont Nursing & Rehabilitation White Cumberland Middlesex Twp. r MaMCan,Prerm Ricen,ek) N. Deoeded'c Uaud aM d wok done mod d Me. Do not axle 12 Was Dxetlerd ewer h the 18 Dscedanra Educatlon (Spady ody higlwd grads carrOmmd) U. Mead Sbae: Manled, Nevi Maribd, 15. SswNh9 Syarsa (X wre, give maiden name) Widowed. DNwced (Spedly) IOM d vrak d SWrw / htlueby ~ LLs. Armed Faae7 I3emanmry / SecoMery (61z) Colege ltd a Sr) ed Wido iome Homemaker own w ^va [3Na 8 . ,s.Daod.a~,M.rteAm~a.atsmbtdn/nww,dar.~voaa.t oareaaa'. ad°.oaaam t,~L~jyaoaa.aar,,,,,adh Middlesex T„P, PA Claremont Nursging t l AchmlReaMerica na swe T Cumberland na.^NO.DemdadUVetlwimh ~rem~~ ~OUgC 17~13 8r 1s e, t7b.cwmr adadudbd ~rreao to FWwra Nwn. )Kral, mitltlle, bat aulXxJ William Gill ts. Motlwta Name 1Fxa4 mMae, rriddw wanere) Carrie Loughman 20e. Inbmbm's Noma lTyM / Pma) Michael Hall 2llb. hdamianra MdAnp AddraeSSeed. I mrw4 dam. Mp code) 1141 Lambs (yap ~2d., Mechanicsburg, PA 17050 zta Memod d DwpoNtlan ^ Craretlw ^ Dorwtlon zta Dam a twpodtlm X4orMi, eay. r~ 21c. Hsce d DYpodtlm Mama tl cenwNn• ae«at«r «ame pits) 21d. lacaaon (ear / twn, dam, MP Wdal PA New Kingstown , ~eadal ^ Rwmadiremsmm ~ ~ wm«Iawd^~^~ April 10, 2008 Longsdorf Cemetery ' ^ .sly.eiredR.wrdSealoelirereaemrpermriedhgnaucA) zw.llowroeNumher 22cNemeandAtltlrueaFadily Hof man- of unera ome rematory, nc. . ~ / PA 17013 Carlisle St n H N , , ., over a (~ . 013144E 219 a~ ~ [ ~ Ibnw 23et qtly when oMlyeq Zse. To the bad d my lawnsadA•, deem aawrad d me fine. mte rM Plac• sbmd. l5ianature and mb) 23b. Ucenee Numbx 23e. Dols Sipied (rAwm, daY. yev) phyddei'w inlwraaedHreddeemb ~ ~n ,, t- fD , \ f~N-ayog ~ - -- ~ ~ ~` rerNY weddeam. , , \l.V~l~. `~) 28. Wes Case Ralanetl m Medcd Examine / Comnsr mr a eson Olhar men Crematlan a Dmatlm7 25. Dale Piawu~ced Dead (Month, day. o«rglded Uy p«eon 24. TMM d Deem ^, ~ 5 24 ~U ~ ~ M. ~ ~ ~ ~ `<JJ ~ ^Ywa [~1m CAUSE OF DEATH (Sea Insaructloru w exemplp) , ApproMmde hNrvel: Mrl l: FMer the datln tl evanm-dbwea, e~nbe, a cgrpM~atlma-11W 3ecXY aumed me Deem. DO NCT ems lemdnd evade audi as ardec eweeC r plod b Dash 11am 27 Pmt II: Fate other ~ ~ ~ but not mwknp h the undely'ap raiw gNw h Par(I. 2& Did Tabewo Use ContrEule m Daem7 ^ Vs ^ Piroeay . reepiremry erred. a wxmia/w Xoraletlan wiXnd dawhg the •Xalo4V lid say aw some m each Fe. r i ~ No ^ lAamorm X111EdATE CAUSE ffFhd deeaw a I N 4.v ITl o rJ ~ caidtlan mrabq n s(eem) 29. X Female: ®Nd nant wimh Pad Y•ar r• _~ a. Duem(amaa~pre~oq: r P 9 ^ R•Anatl dwre d0eem E Dort:~rtn pL2NFargEKS -LYFE i de X Y aw, ca~ erry, o. $bull- ~ ~ ~ ~ ~ ^ Nd MaP~anl. M VaP~am Mtlm 42 hys , Due b (« m a canaaalBace oQ: G C/ iUS E YM Ede a htlW YHamd 1M e • d r d deem eeea ~ ( c. evaa6 dedh) LASE r Nd M 13 m 1 ^ a ~ PraW« days Year Due b (a ea a carwe9tbacre dl: r ^ Utlaavni X Ixapnam weNn me pad yw d. • 30a Wes wa Aubpy a0b. Wee Autopq Fndrga 31. Mwxwr d Dsedr 32a DBBa d InN7 (r4mm, daY, Y•«I 32h. Deembe How a{leY 0«umd 32c Place d aquy: Mare, Ferm, geed, Feaary, OAWe Buimrq. em. (SPedfy) Pedarreo7 Avasede Pdar b Carrgmem ~ NBhaal ^ Momidoe d twee a Deems ^ Aaiderd ^ PwMhp Imeetlptlon aza Tire a IMUry res. (Mary d worK! szl. n rrewpoibtlm Mar (sPedh) mod. taacneori d hhxy (SaeeL dry / mwn, dam) ^ Yea ®No ^ Yea ^ Nc ^ Yes ^ No ^ Ddae r aped« ^ Pemwrear ^Peaedibn . ^ SuNioe ^ Cadtl Nd he Dderrraned M Oilier - . aab. Siewhre ono ram d CetlXe x+a ceroaw (dwa say ab) . DemNNq PMakba 1 ceNrh9 auae d dsm wnw anotlia PMstlea nee Pr«xxaxstl mom and conwl«ed Xen 23) -------------------- ® oeee(e)and mruwnahme bth d a - ------------- re e TalM heddmylaawledp4 deWrocdwre • Prono«reh9 ~ awrdtYhlB PNyNdw (Phydden hem prtxiaeidng drew ono redlyhg m uuae a deem) ^ 33c ((tense Number 301. Dam Sgrwtl (MOrah, der, ra«) To m.IaW d my lamwlsdgA deem oa+wrao d IM tlme, deb, and l>bs•• eM dre b me uueala) eM mrewr m etemtl. -- --------------- F9Y-04 ir~94'li y 7 - 4 P • YladicY FirNw/Caaw ^ d due m mw auee(a) and nwme se elMed d l e r PMa d Deem (lbni 27I Ty mbo C C _ soa, an p Qi tlw Orle d nenMislbn ono I a mvaatlgadon• h my apinlan, dNm occrend d tM «n0. dab, an p wee 34. Name ~ ~~ d Parson Who omp ' ' 8. ~ o~ ~ ~ I ~ ~ ~ ~ C.) I ~r~ Feed ,dayYreQ. ~ GO M• ,--/oSa~~ np ~iNt-s r li3o ~roo HeOB RJR x+04+ f~4 C7. 7-.s ~:t~-CJ[~ - Diepodtlan PermX No. d~ 1..3--~~~ LAST WILL AND TESTAMENT OF V. JANET HALL I, V. JAi'~ET HALL, of the Township of Middlesex, County of Cumberland and State of Pennsylvania, being of sound and dis- posing mind, memory and understanding, do make, publish and ~_; declare this my Last Will and Testament. ~ ~~ ~~„ ~ G' - ,i~n ~' ' 1. =,_~ ~ ~~ - : ~~ i -"T) ~Z _- ~r, ::.~ - I direct the payment of all my just debts and funer~'1->r-_, z-~ - ~. "; `'_ expenses as soon after my decease as the same can be convey,- :` -- ~~ rv N iently done. 2. I give, devise and bequeath all the rest, residue and remainder of my estate, real, personal and rnixed,whatsoever and wheresoever the same may be situated, to my husband, CLARENCE E. HALL, his heirs and assigns, absolutely and uncon- ditionally. In the event that my husband, CLARENCE E. HALL, should pre- decease me, or should he die at about the same time as I do, such as in an accident common to both of us, then in such event, I give, devise and bequeath my entire estate, real, personal and mixed, whatsoever and wheresoever the same may be situated, t:o my three children, to wit, BONivIE K. HETES, MICHAEL E. HALL and TINA D. DEIBLER, share and share alike, per stirpes. LASTLY, I nominate, constitute and appoint my husband, CLAREi~TCE F'. HALL, Executor of this my Lust U7ill a.nc~. Testament, and in the event that my said husband should predecease me, or should he be unable to serve in such capacity for any reason, then in such event, I nominate, constitute and appoint my daughter, TINA D. DEIBLER, Executrix of this my Last Will and -1- Testament, in his place and stead. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~; day of A. D. , 1984. V ~ ~~~'~'~ /~~'~-~~ ( SEAL ) ~Tanet Signed, sealed, published and declared by the above named, V. JANET HALL, as and for her Last Will and Testament, in the presence of us, who have subscribed our names hereto as witnesses, at the request of said testatrix, in her presence and in the presence of each other. ~ ~ ~ ~, tness -2- Cumberland REGISTER OF WILLS COUNTY, PENNSYLVANIA Estate of V. Janet Hall ,Deceased Tina Deibler and 7 (each) being duly qualified according to law, depose(s) and say(s) that she / he /they acquainted with V. Janet Hall was /were well- and am/are familiar with the handwriting and signature of the decedent, and that the signature of V. Janet Hall to the foregoing instrument purporting to be the Last Will and Testament/Codicil of V. Janet Hall is in his/her own proper handwriting. (Sigizatu,re) (Street Address) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this ~ ,m day of _ UPS , s~x~ . Deputy fdr Regi~r of Wills OATH OF NON-SUBSCRIBING WITNESS(ES) ignature) la-~za ~~d l ~ a~ ~ lk~w ~~ (Street Address) --,~~/y~ (Cdty, State, Zip) `"~`""~ 666 c~ ~~ ~ ,~, ~ ~ .~ ~i? ~. __. ~ . .7 , ``' ~` _ ~J .~ .. Form TRW-04 rev. 10.13.06 ~' C.'." d1 o~o8j~{ OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS Cumberland COUNTY, PENNSYLVANIA Estate of V. Janet Hall Michael E. Hall and (each) being duly qualified according to law, depose(s) and say(s) that acquainted with V. Janet Hall Deceased she / he /they was /were Well- and am/are familiar with the handwriting and signature of the decedent, and that the signature of V. Janet Hall to the foregoing instrument purporting to be the Last Will and Testament/Codicil of V. Janet Hall is in his/her own proper handwriting. (Signataire) (Street Address) (City, State, Zip) Exec°uted in Register's Office Sworn to or affirmed and subscribed before me this ~~ d~a of !~ c~~'G/~ . Deputy for egister f Wills ignature 1141 Lamb Gaps Road (Street Address) Mechancisburg, PA 17050 (City, State, Zip) n ` ~_-, ~ a~ ~ ^ _'' ` ~ -, G'> ~=, ~ _ . 1_1 "1 r'} ,.. _~ -+.~ ~_ N N Form.RW-04 rev. 10.[3.06 r