HomeMy WebLinkAbout08-29-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cc~m3 lZl. A>\! ~7; COUNTY, PENNSYLVANIA
Estate of L-r N ~SF}~ C . ~e~7,el.l~ i J~
also known as
Deceased
File Number oL ~ - ~~ ~ ~~ ~~
!i Social Security Number (~9 ~ ~--~7Z2
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(~COOMPLETE 'A' or 'B' BELOW.) ~I
L'1 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the 11.1 }~ S
last Will of the Decedent dated _ ~ ((1 , ~_ O ' ~ n'~ named in the
1...~ ~~ and codicils dated
i
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
Except as follows, Decedent did not many, 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 incapacitatedl~iperson: 1 Q(,(~'
^ B. Grant of Letters of Admi
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will
Administratiot:, c. t. a, ord.b.n.c.t.a., enter date of Will in Section A above and com,
pfappticable, enter.• c.t.a.; d.b.n.c.t.a.; ~endente life; durante absentia; durante minoritate)
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in
(List street nddress, towidcity, township, county, state, zip code)
County,
was survived by the following sp C~ (if any) and~rh,,,eirs: (If
list of heirs.) _ ~
-- n w -E ,
~'° - =
~ ~
C' -
Residences -r
7~ r--
-
r 7-~
_ CA
_ -..
_~ i,=
r- ~
A
tnia with his /her last principal residence at
_ -
..
W - ,
Decedent, then ~_ years of age, died on ~ ~ at ~ e~7i~DlV ~ ~ ~•QS.~, +/~'
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal prop~rty g D/t)
(If not domiciled in PA) Personal property ~n Pennsylvania $_ SON
(If not domiciled in PA) Personal property ~n County $ ~(} ~ (,V
Value of real estate in Pennsylvania
$ !~ bR(
situated as tollows: ',
Form RW-03 rev. 10.13.06 i
Page 1 of 2
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented ~~vith this Petition and the grant of Letters in the appropriate form to
the undersigned:
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF C(.IY11~j EIS` f~N ,
The Petitioner(s) above-named swear(s) or affirm(s) that the statements i the foregoing Petition are true and correct to the best of
the knowledge and belief of Petitioner(s) and that, as personal representatives) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law. i~
Sworn to or affirm/e~d anyd~-subscribed
before me the oLq+,- day of
n , b~-.~
~-1~
F the Register
~. _
S nature afPersonal Represlentntive
Signature ofPersonnl Representative
Signature of Persoi:al Repres ntative
~~..,~
t7
n rn
~• ~ ~
-T;; l~
'T_C7 ~
_ _.-, m tV
. -3 ~-, 3~
~~ .
l__~ ~=~
`~
File Number:_ _ ~
al-o~- ~~~ ~ tU
Estate of h n _r~ / ~ ,/'~ ~,(,(~ ~ ,Deceased
/} 1
Social Security Number: ~~`~ - ~~j' 7p2 0~- Date of Death: ~'1~ "D~
~1
_:
. _ __
AND NOW, , _ ~-WR , in cons deration of the foregoing Petition, satisfactory proof
having been presented bef re me, IT IS D ED that Letters
are hereby granted to `~(,lS(,~,/'1 ~ , . ~ nv/} r'
in the above estate
and that the instrument(s) dated - - Q
described in the Petition be admitted to probate and filed of record as the last ill (and Codicil(s)) of Decedent.
FEES
Letters ............... $ . Register of Wills °
Short Certificate(s) ........ $ ,
Ren nciation(s) .......... $
( ... $
... $
.. $
... $
... $
... $
... $
... $
... $
TOTAL .............. $
Attorney Signature:
Attorney Name: I
i
Supreme Court LL~. No.:
Address:
Telephone:
Form RW-0? rev. !0.!3.06 i
Page 2 of 2
ossos aev col o~)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 14542781
Certification Number
3 REV 112006
/ PRIM IN
IMANENT
4CK INN
1. Nara a Decedent (Flrd, mitltlle, reel,
LINDSEY CHAR]
5. Age (fast BinMavl un
8 4 Yrs.
ounry a Deem
Mowr. I Dsys I faun
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
r~ ^ V - 1 S ~S
Local Registrar ~;» ~ I71atr*. Issued
) -~=-'
~. , , _
,
- ~
' -~~ '~
,` _,
= ~, -
-,
~
. _,
-
_ .
~ -
_
,
:....Y ~_...
~~ .~.. _
..•
_~
"~ _ .
~ - .
t•.,aJ
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF tfEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
STATE FILE NUMBER
2. Sex 3. Sodal Searlly NumOer ,. t 4. Date a Death (Ham, tlay, year)
M 7RA in ~~~3 AUGUST 13, 2008
6 Dek of Binh (Monet daY year) 7 anladea ICM a,„i w i ww,
~_ ~ 19/16/1923 I Harrisburg
&. Coy, Born, Twp. or Deem 04. Fepl6y Name pl nd instllullon, give sheet and number)
- - ' '-- ""' ""+•' m arc. uo na ante relied
a Wak Kira d Bueiress / kdus
Con acto /2. Was Decedent ever In the
U.S. Armed Faces? 13. Decedents Etlucelion
Ekment
/B
r
'
pA Railroad
vea ^No e orxlary I
12"
eC
I6. Deadem
s Haling Addresa (SbeeL cNY /town, date, orb code(
5 Decedents
~ West Ridge St., Carlisle
PA ACVa1Re6~ 178'~1B PA
, 17b. County Cumberla
I6. Famd's Name (Fpd, middle, red, sutldl
_ Edward Depew 'gl
Zoe IaomenYS Name (Type / Pnm)
Susan A. Spear
21e. Mahpd a Oisposilion
^ Cremeaon
® Bond ^ Ramovd Irom Sate I wee Cramatbn «Donation Aumonud 21$
^ od»,r . SP+dN: _ ~ M Medkal I:arnmar! CorenerY 11 v. .,_
`FD~1'S"3'~45L
ahem U ER I Owpetlent U DOA ^ Nurskg Homo ^ Residence
^Olha • Specify:
9. Wes Detodam a Hispanic Ongin7 Ll No ^ Yes 10. Race: Amerkan Indian, Rleck, Whne, ere.
(u yes. apecNy cuben, YY (~l~
Mexken, Puerto Rican, etc.)
'mPkkd) 14. Mental S+NS: Married, Never Monied, 75. Surviving Spouse (M wile. give maiden name)
or 5+) Wxbweq Divorced (Speciy/
Widowed
Did Decedent
the Ina 17c. ^vea. Decedent Uved in
Towrehip? Twp
"°. ®"°, Deceaem trued wtlhin C a r l i s l e
...... _.----` Actual lions a City / Born
2W. IntamanYs Malirp A m (SIreeL chy /town. arek, tlP coda)
56 Wes Ridge Street, Carlisle, PA 17013
witlon (Monet, day, year) 21c. Place of Dlepoaiaa (Marne d cemdery, crematory a other place) 21d. L«atlon (coy /lows, state, dP cede)
2008 Prospect Hill Cemetery Harrisburg, PA
22c. Name eM Address a Facnny
Neumyer Funeral Home I 13
~ wriplete hems 23ac only when canilyraig
phYdran b not avaiebk at time d deem k 23e. To the had wkdge, deem oecuned at the fire, tlek and place stetetl. (Signahxe antl title)
cMKy cause d deem. ~I
~ Meru 2426 met Da co+IPlebd M Person
~ who prorpalces dedh. 24. True a beam 25. Dek Praplaxed peed (Monet, day. year)
M.
Nam 27
P
1 CAUSE (See Inetrucdona and exrsrpNs)
.
an
: Eater tlN
I -dLsemea, liJude+, a co+Miatlor'e -that directly caused me deem. DO NOT eder lermktal ewms
h
i i Approxkwk rv
suc
reap
as ardx arrest.
relay erred. a vemrkxAar nMNatbn wdlxfa shoMng the aNdogy Ud only one ease on each Noe. r Onset b Da
~ IFral)d~eese a
dedh r i
~ +. RFSPITORY FAILURE COPD ;
Duero (« as a amseguerce oq: i
Xd
~
b
~ i
tales IAfed m Nn
e a.
~
em+r me URDERLYMGI~CtAaUdSE Due to (a as a oonsaquance op;
~ C.
(~n ~M) LASTg i ~ ~
.
Duero (a as a cansequena ot); ;
r
-
d. r r
30e. Wee an Aumpsy
Perlonned? 3tlb. Were Autopsy FavNnge
Areiebk Prror to Completion 31. Mama a Deem 32a Dde a I
M+Y (Meet, day. year) I ry ry
320, Deeaibe How 1 'u Ocaxretl
a cdee a Deem? n
7~' wtad ^ Haaaa
^ Y•• [~NO ^ Yes ^ No ^ Aaitlenl ^ PerMlrq Irneatlgaaan 32d. Time a IMu'Y 32e. InYpy at Work? 32f. II Tren h
^ Sukdtle ^ Cab Na be Delermkbtl ^ Ves ^ No ^ DrNer ta
33a. CMifrer (dept cry are) M ~
Omar
• C•~g phytkien (Physician cerelyug tees of deem when artaha
POY+~ has pronounced deem and canpleted Item 23)
To the Wal d my Imowkdpe
death «arretl due to me ~. S'
,
a
ae(a)eM mameraat+ted.____________
• Pralolmarp and oenHyhlg Phyekian (Phyaidan bom _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Praraaa;ag deem eM cenNying to cause a dMlh)
T
_ ^
ome bed a m
y know'kdga, Hem warred d the Nme, dare, and place, and due to me esuaNs) and mamt« as elated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• kbdksl ExamMm /Coroner
_ ^ 33c. e
nc., 34 N. 2nd St., Harrisburg
230. Lkense Number 23c. Dale Signed (MOmh, tleY, Year)
26. Wes Case Referred ro M d Examner /Coroner for a Reason Other then CrenlaUOn « Donation?
^ Yes
Pan II: Eder Deter ~ 2B. Did Tobacco Uae Com~uk b Deem?
but nd resuninp k me uriddtyktg ceuee gNen in Pen I. ^ vas ^ Prebeay
^ No UnNnown
29. Hfamak:
^ Nat pregnant willan past year
^ Pregnant el lima d death
^ Not Pregnant, but Pregnant wNhin 42 days
a deem
^ Nd pregrunt, an pregren113 days la I year
bekre tleam
^ Unkrown it pregnant wimkl the pad year
32c. Place of Injury: Home, Farm, Street, Fadary,
Ofice Buddrg, dc. (SpscrfyJ
ury (Spedty/ 32g. Location of Injuy (Strad, dry! faun, skle)
^ Passdger ^Pedeelnan
~+od rnk a censer
On IAe beds a ezamirutbn one I « Inveetigatlon, k my opkkn, death occurred at 1M tlme, dare, end plea, and due k me auae(a) one manner ea etaled_ ^ 25698
3/. Na I antl Address of Person Vvho Canpktetl Cause of Death
Regkhar' SignaWre an0 eta NympeW
(/ I ~I r I a7~ / I / I 3s. Date ~ Mon , m~ r) LpEBANON • VA MEDICAL CE
n;~~,•;,~ o„~„ ti 0d( 2' 2 8 511 P
Date , i (Mori Y, year)
~ >3 ~
71 va/Pool
t7
ez~
c. 3 p ~' -
G
~_- _ ~ - _ j
OATH OF SUBSCRIBING'~WITNESS(ES~_'~`~ ,~; '
,__. ~~ . -
GISTER OF WILLS ;=-' ~ ~ '
,~ -
COUNTY~ PENNSYLVANIA ~ -~' ^' ~ _,
~I .~d `~:Q c.' -:
Estate of ~ ~ . Dec
eased
'L" i ~ ~s~ ~ ' ~ ~~' ~ ~'~~ ~ (each) a subscribin witness to
g
(Print Name/s)
the Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that ~h~}he /they ~~ were present and saw the above Testato /Testatrix sign the same
and that, _ ~ he~he /they signed the same and that ~~she he /j they signed as a witness at the request of
the Testator / estatrix in ~ his presence and in the ~re~ence of each oth r.
~.~ , ..
(Signature)
~/ (.1~ ~ r
(Street Address1
~~- ~ a~3
(city. stare, zipl
Executed in Register's Offue
Sworn to or affirmed and subscribed
before me this
day
of
Deputy for Register of Wills
,~ ~n
(Street dddress)
,~~h d ~~ / dc~'C~
(City, Stbte, Zip)
Executed out of Register's Office
Sworm to or affirmed and subscribed
befor$ me this o2 (~ ~ ~~ ~
Y
of ~u 4iU~~ aoo S~
Notary Public '
My Commission Expires: N 0/~ a.~l. a U l l
(Sigoatur~ and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the
Form RW-03 rev. 10.13.06
~r copy of in~e of rwtariution.
Diane L. Golden, Notary Pt~lic
Mechank~btxg Som. Cumbettand pang
My porrt~asior- i=dies Nov. 2q 2D11
Mmmber, PennsytvaMa Assooialton
i ~
--
_ ~,
o :_
LAST WILL AND TESTAMENT -~~ r
I-CJ~ G7 ,_, ,.
_.
---iil IV ~_..~t
v:::. _- ,
_ _ _~
LINDSAY C. DEPEW }C`' =~
7 ~_ ,.._
.~_~ .. _
~~ ~
I, LINDSAY C. DEPEW, of East Pennsboro Township, Cumberland
County, Pennsylvania, being of sound mind, memory and understanding, do hereby
make, publish and declare this as and for my Last Will and Testament hereby
revoking and making void any and all other wills by me at any time heretofore
made.
I.
I direct that my Executrix hereinafter named shall pay all
my just debts and funeral expenses as soot as conveniently may be done after my
decease.
II.
All the rest, residue and remainder of my estate, whether
r,
~~
real, personal or mixed, and wheresoever situate, I hereby give, devise and
bequeath unto my wife, PEARL G. DEPEW, if she survives me by a period of thirty
days.
III.
If my said wife does not survive me by a period of thirty
days, then I give, devise and bequeath my residence and all of my real estate
known as 18 Sharon Road, East Pennsboro Township, Cumberland County, Penn-
sylvania, unto my son, LINDSAY C. DEPEW, JR., my daughter, SUSAN ANN GINGRICH,
and my daughter, GA,YIA NAN SISTI, in equal shares as tenants in common.
IV.
If my said wife does not survive me by a period of thirty
days, then I give, devise and bequeath my summer home and real estate consist-
ing of approximately two acres of land in',Northeast Madison Township, Perry
County, Pennsylvania, unto my son, JEFFREY G. DEPEW.
Page one of two Pages
LAW OFFICES
JON F. LAFAVER
317 THIRD STREET
NEW CVM~ERLAND, PA.
V.
If my said wife does nbt survive me by a period of thirty
days, then I give, devise and bequeath aYl the rest, residue and remainder of
my estate, whether real, personal or mixed, and wheresoever situate, as foll
A. One-fourth (1 /4) into my son, LINDSAY C. DEPEW, JR.
B. One-fourth (1/4) unto my daughter, SUSAN A,NN GINGRICH.
C. One-fourth (1/4) u~.to my daughter, GAYLA NAN SISTI.
D. One-fourth (1/4) into my son, JEFFREY G. DEPEW.
VI.
I hereby nominate, constitute and appoint my wife, PEARL G.
DEPEW, as Executrix of this, my Last Will and Testament. If the said Pearl G.
Depew should predecease me, or otherwise fails to qualify, or ceases to act
as such, then I nominate, constitute and appoint my daughter, SUSAN ANN
GINGRICH, as Executrix.
VII.
No fiduciary acting under this Will shall be required to
post bond in this jurisdiction or in any jurisdiction in which he may act.
IN WITNESS WHEREOF, I, Lindsay C. Depew, the Testantor, have
unto this, my Last Will and Testament, set my hand and seal this ~ J ~~ day
of February, A. D., 1975.
(SEAL)
LAW OFFICES
JON F. LAFAVER
317 THIRD STREET
NEW CUM6ERLAND. PA.
SIGNED, SEALED, PUBLISI~IIED and DECLARED by Lindsay C. Depew,
the above-named Testator, as and for his Last Will and Testament in the
presence of us, who have hereunto subscr~.bed our names as witnesses at his
request, in the presence of the said Testator and of each other.
Page two of two''Pages