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HomeMy WebLinkAbout08-29-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland Estate of Carl E. Jumper also known as Deceased COUNTY, PENNSYLVANIA File Number C~~ ©n0 b`~~d~ Social Security Number 208-24-4353 Petitioner(s), who is/are 18 yeazs 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 Apri123, 1987 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 life; durante absentia; durante minoritate~ Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followi>s~e}ise (if an,}`~~nd 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.) _::- Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 1528 Terrace Ave., Carlisle, Cumberland County, PA 17013 (List street address, town/city, township, county, state, zip code) Decedent, then 76 years of age, died on June 19, 2008 at Cumberland County Nursing Home, Carlisle PA 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 $ 175,000.00 situated as follows: 1528 Terrace Ave., Carlisle, Cumberland County, PA 17013 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: Si nature T d or rioted name and residence Doris J. Jumper, 1528 Terrace Ave., Carlisle PA 17013 B2~J named in the Form RW-01 rev. 10.13.06 Page 1 of 2 _~_ O (COMPLETE INALL CASES:) Attach additional sheets if necessary. ts% Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF Cumberland . 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 G Signature of Personal Re~sentdtr4e (/ before me the ~ f r~,~d'\a(y~of {,tS1 v(WU Signature of Personal Representative t__- ~ - tJ -.,. _n :4s~ l ~ ", ",,~ __ i-_-, For the Register Signature of Personal Representative ~-;-~ ~.- v`: _ - - }..:~ ~~`- -~ File Number: ~ ~ ©~ ~~ -_~? ~ r,,, Estate of Carl E. Jumper ,Deceased Social Security Number: 208-24-4353 Date of Death: June 19, 2008 AND NOW, ~ ~~ , in consideration ofthe having been presented before me, IT IS DECREED that Letters ~e(S v>'1 h are hereby granted to Doris J. Jumper Petition, satisfactory proof in the above estate and that the instrument(s) dated YI ~ described in the Petition be admitted to probate and filed of record as the last Wilh (and Codicil(s)) of Decedent. FEES L ~.r U~' /C~.~-C ~.~f't ~t Letters .... ~ 7`~.t ~~... $ 02 (p0 °a Short Certificate(s) ........ /a~~ $ Attorne Si ature: y gn Renunciation(s) .......... - `ll/ 1,y $ $ ~~eo Attorney Name: C ... oa $ ~G Supreme Court I.D. No. f-~ $ Address: ... $ ... $ ... $ • • • $ Telephone: ... $ TOTAL .............. $ 3Ua`x' &:90.. of Wills Form RW-01 rev. 10.13.06 Page 2 of 2 105.905MS REV. 6106 This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance with Act 66, P.L. 304, approved by the General Assembly, June 29> 1953. WARNING: It is illegal to duplicate this copy by photostat/orbphotograph. ~J ~.. C Calvin B, Johnson, M.D., M.P.H. Frank Yeropoli Secretary of Health State Registrar Military Status :407604 H105-143 REV 11Y2006 TYPE/PRIM IN PERMANEn1T BLACK INK/~ NO. COMMONWEALTH O JUL U 8 F 1F HEALTH • VITAL RECORDS Date CERTIFICATE OF DEATH ~` ~~ OC~~ {See instructions and examples on reverse) STATE FlLE NUMBER (J 1. Na of M First last, suffix) 2.096fa1 e 3 I urity Number 4353 24 ~~~ ~ui e 4. Date of Deam (Month day, ye r June 1~ X608 _ _ nper . Car , 6. Age (last BMMay) Under 1 ar Under 1 d0y 6. Date o(Birth (Month, day, year) ]. Birthplace (City and stale «t« ' coum) Ba, Place of Death (Check only One) 76 "«•re oar: gym., MnNm HDwhat: rnl»r 1932 Carlisle PA March 6 , yrs ^ Inpatient ^ ER /Outpatient ^ DOA ®Nu • rsing Home ^ Residence ^Other ~ SpeCity: 6b. CWnty o1 Death 8c. City Bono, Twp. Ot Deam 80. Facility Nam! (II riot institution, rove atreat and number) 9. Was Oecetlent of Hispanic Ongn7 No ^ Yes 10. Race: American IMen, Black, Wnite, ek. sex Tw d Middl l Claremont Nursin and Rehab Cents ("vea•wenilyaDan, g ' (spy `yWhi t e p. e an Cumber Mexican, Puerto R ran, etc.) 11. Decedent's Usual lion Kird d work done tlurm moll d wprlun life. W riot stale retied 12. Was Decedent ever in dle 13. Decedent's Education {Speaty only nigtrest grade wmplelatlj 14. Marital Status: MaMetl, Never W IdeWBd Divorced (Specd» ? Marred. 15. Surviving Spouse (If wife, give maiden name) Kntl Wo KirA M Busi s I try `~a~~g C ~ ~ . U.B. Armed Forces Elementary / Secondary (0-12) College (1-4 or 5t) Married Doris J. Rynard . rysta ngineer Crysta ®y~ ^hlp 12 - 16. Decedent's MffiIn Andreas lslreet. utv r town, 51ffie. ~ro code7 1528 '~errace Ave. 13ecedanrs pA Did Ixcedem AnualReadence na.sate uvama t7C.^vaa.oxedeMLryadin Twp. le PA 17013 li C Cumberland rDwnani°? ,7d.~ilo,DaceaamLroedwaNn Carlisle t>b~anry ar s AcNalumi,5o/ city/Bem 18. Feme/s Nsme (F . mMd ,1851, suhix) ~ l I~ 19. MolhefiMaml3~ral..mdAe. maides,ggp~~ner 11111 LE 88[[[[11 1111 W°68 umper . , Car zdalMwmanraNatre(TypeyPnM) 20b.I"'°`"I~~o~~ng°A~r~acem/~vere' ~ro~rlisle PA 17013 Doris Jumper , _ 218. Memod of Dispasabn i ^ Cremation ^ Donetbn 2Ib. Dale of Disposidm (Month, day, year) 21c. Place of Disposition (Mama of cemetery, crematory or dher place dens i l G M 21 n. Loc bon (G / l0 State, ode ~ar~is~e ~A 7013 [~ a«ial ^ RamovaltromState ' weacremnionoroonadDnA tnodaad June 24, 2008 a ar emor Westminster ^ Omar - Speaty: (by MMlal Examiner / Coroner? ^ Yes ^ No ~ 218. SigrlaWre ofF ee(«person actingusucn) 220. $~Nr25r 22c. Name arld Address of Farigry Hoffman- oth Funera ome rematory - - _ - 219 N. Hanover St., Carlisle PA 17013 Complffie Ilema 2385 only when cerleyitg . To the bast of my knowledge, deem o«unetl at ma Ame, note and pWCe slsted. (Signature antl 1iMx) 23b. License Number 23c. Date Signed (Month, day, year) physician i8 trot aveilODle ffi time of deem to amry cause M elem. - hens 2426 rrkst be completed q' person 24. Tana or Lath 25. Date PrnnWnced Dead (Month r) 20yC~~ ne 19 J 26. Was Gass Relemad t0 Medical Examiner (Coroner for a Reason Odrar roan Cremation « Oonationl ,` wnD pmnWrlDaa deem. 8:42 am M. , u ^Ya5 ®ND DAUSE OF OFATH (See ir,atruelfone antl exempts) , Approximate interval: Pan I; Ent« IM crrah d evens - diseases, injuries. «compacatbns -lfwt directly rausW the deem. DO NDi enter terminal eve,ds sutlr as camec anent, Onset to Deam hNn 27 Pad II: Enter olner gu~IfAfic_ t diL m t ib bN nM resulDng in ma u lanyin9 cause ut' g t tl m, given in Pan 1. 26. Oid TabOUO l/se CAnmbNe to Death? Ves ^ Probably . respi2t«y artesf, a venlricJer rlbrillffilon whfwuf stawhA the ee0logy. L4f orYY one cause on each Ane. ~ No ^ Unknown 1MME cnugE(Finaltliaaaa!« Respitory Failure cpgi"" rewlhng m tkath) ~ a zs.IrFemale: ^ Nd ithi t Due to (or ore a rnnaequarke d): Sequentialtv list mnAliors, d arty. b pregnant w n pes year ^ Pregnant at hme o1 tlealn . leadvp b me cause listed on line a. d ' ^ NM pregnant but pregnant whhin 42 tlays ) . Enter the UNOERLYN6 CAUSE Due to (or as a oonsegoanca M death (dtase «injury mat milted the C evenly resulDn9 m death) LAST. e 0 D t ^ Not Pregnant but Pregnant 43 tlays to 1 yler o (or as a consequenc p . ue d. - berore deem ^ Unlmown d pregnant within the past Year 338 Wan en Autopsy ' 3W. Were AWops! Firxgngs 31. Manner M Deefh 328. Date of Injury (MDnm, day, year) 32b. Describe How Dqury Ocdurcetl 32c. Place of Injury: Hone, Farts, Street Factory, oXice Buhding. etc. (Spedityl Pedormed? Avehable Prior to ComPledon m caaae or Deam? ~NeWral ^ Homidde ^ ANtlaM ^ Pending Investigation 32d. Tme of tnjury 52e. Irj«y at work? 321. II Transportation Injury (Specityl 329. Laretion of Injury (Street, OhY / tovm. stele) ^ Ves ~ No ^ Yes ^ No ^ Yes ^ No ^ Driver / Opemt« ^ Passenger ^ PedesMan ^ Bukrtle ^ Could NM be DMermmed M ^omer - SPeciry~ 338. Cerlfi« (cfiwk Doty aye) 330. Bgneture end iihe of C nth • Cenilyirg pnysia., (Pnysc~n ceralying cause of death when another physkun has pronWnced deem antl Completed Item 23) deem oeeurrod del lD the eeu.a(e)entl mentter eslteted..________________________________ ^ kr,owtd e the peal of m T - y g , D • Pronouneing and xrdtying phyaiGSn (Physician Dom pronouncing Deam ant ce,Dtying to cause M deem) ~ io Me bratMmY kMwledge,tlNM OCWrredtlthe time. dale, and place, antl due to Me cause(elaM manslr ea stated__________.. _..-_--- 33c. Lirense Number ~ /~ _ % ,.. 33d. Date Signed Mth, as year) J~ / ~y ~ (/ C~ • MafkM Examiror 1 Coroner On dte basis o7 examwdon end! or Invesllgsttn, in my opiMOn, deem aeCUrrsd et Ind time, date, antl Place, antl due to the cause(s) end manner u stattl_ ^ tllem 27) Type / Print n Who Completed Cau e of Gealh and Address o1 Per~o s 34 Nam e . / ~ p ( R ' ® 1 ~ ~ ` eerl Fr d (MOnm tle D l - ~ lJ~ ~ l~ C DYI ~( 1 N ~~7 ) h k ~ U ~ 3 td. !{umpe ~3 -"-,..- \ I gnature and , . Regis , e e a Y, Y ~. ~ ~ ~ ' ~ ~ I © I ~ Disposition Permit No. ~~J ~x'~" ~1 - - -1i -) ~x• _ I . ~.__ fr i +t .. ~ , _.: ~`. ,.a.r ...~._._, ~_... ~... - 'I r ~--. '~.'-e. ... a--' ~ .~° LAST WILL AND TESTAMENT OF CARL E. JUMPER .~- v -:.c ~~~, cam., ~.ta j ~ ..~ I, CARL E. JUMPER, of the Borough of Carlisle, Cumberland County, Penn- sylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other wills and codicils heretofore made by me. FIRST: I direct that all mY just debts and funeral expenses, includ- ing my grave marker, shall be paid from the assets of mY estate as soon as practicable after my decease. SECOND: I give, devise and bequeath the residue of my estate, of every nature and wherever situate, to my wife, Doris J. Jumper, providing she shall survive me by thirty (30) days. Should my wife, Doris J. Jumper, pre- decease me or die on or before the thirtieth day following my death, I give, devise and bequeath the residue of my estate, of every nature and wherever situate, to my children, equally, provided that the share of any child who pre- deceases me or dies on or before the thirtieth day following my death, shall be distributed to his or her issue, per stirpes, living on the thirty-first day .following my death, and in default of such then-living issue, such share shall '~be ~tded to the share or shares for my other children. '` THIRD: I direct that all taxes that may be assessed in consequence of'.my death, of whatever nature and by whatever jurisdiction imx~osed, shall be paid from my residuary estate as a part of the expense of the administration of i~ty ;estate. -~--- FOURTH: I nominate, constitute and appoint my wife, Doris J. Jumper, Executrix of this, my Last Will and Testament. Should mY wife, Doris J. Jumper fail to qualify or cease to act as Executrix, I appoint my son, Stephen J. Jumper, Executor of this, mY Last Will and Testament. Should both mY wife, Doris J. Jumper, and my son, Stephen J. Jumper, fail to qualify or cease to act as Executor, I appoint my son, Gregory Jumper, Executor of this, my Last Will and Testament. FIFTH: I direct my Executrix and her successors, shall not be re- quired to give bond for the faithful performance of their duties in this or any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my han and seal to this, my Last Will and Testament, this ~ day of /~jy ~ ~ 1987. 1 (SEAL) LAW OFFICES LANDIS, BLACK, JOHNSON 6~ SCHORPP ~ 'A RLISLE, PENNSYLVANIA I i0I3 Signed, sealed, published and declared bjr/the above-named Testator, Carl E. Jumper, as and for his Last Will and Testament, in the presence of us, who, at his request, in his sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. r' ~I~~~,o7~-,~ lGt~' f V~ ACIQVOWLEDG~TIT ~O~JONWF.~iLTH OF PENNSYLVANIA ) SS. COUAflY OF C[]~tBBRLAND ~ ) I, CARL E, JUMPER ,Testator, whose name.is~signed to the attached or~~foregoing instrument,, having been~.duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as~my Last ~Wi11; that 'I signed it willingly; and that I signed it as my fxee and voluntar act for the purposes therein expressed. Sworn or affirme~ to and the Testator, this ~3. day of (SEAL) COLAV'i'Y OF CUI~ERLAND acknowledg bef a me by Carl E. J1~inper 1~7 . . SS. We, RONALD E. JOHNSON and.~~~~~~ ~ .the witnesses whose names are signed to the attached~or-foregoing instrument, being duly qualified according to law, do depose and'say that. we were present and saw Testator sign and execute the instrument as his Last Wi11; that Carl E. Jumper .signed. willingly and that he executed it as, his free and volunta; act for the purpose therein expressed; that each of us in the hearing and sig) of the~Testator signed the Wi11 as witnesses; .and .that to the best of our lmowledge the Testator was.at that time 18 or~more years of age, of sound mini and under no constraint or undue influence, ~~~orn~~~d to and subscribed .to bef re me by nald Johnson and ~~ ,witnesses, this ~3~day of. ~ , 1987. C IANDIS, SLACK, W~ SS JOHNSON & SCHOIiPI' t:A1tU514 PY]9N>YLVANIA 1701) / ~ ~ ~ , ,,, i aOI~ONWF,ALTH OF PENNSYLVANIA AFFIDAVIT ti1r~,;Y~ f.i~;iJ c_:...,. ~: r~:~t~;y P~t,rc Carii>.e, Cum`;~r1an to., Pa. My Comm'ss:;ion Expires Sept. 19~ 198 on rvt'~Y r,,.,;V _:...... r.~rry Public Carliale, C~_;i,ccr'ct,u Co., Pa. My Coi7lnlic,on Expires 5apt, 19, 1987