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HomeMy WebLinkAbout09-10-08PETITION FOR PROBATE AND. GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Carolyn Morrow Shipp File Number ~ ~ ~~ ~~~~ also known as Carolyn M. Shiog Deceased 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 EX@CUtrIX named in the 1 st Wi of th De edent d ted 2/6/1981 an codici (s d~t,~~ l~ece~entsehuseband, ~ic ar wm Ipp ie~Aprl~ ~, y (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.; pendentelite; duranteabsentia; duranteminoritate) Petitioner(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 of heirs.) Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last principal residence at PA (Liststreet address, town/city, township, county, state, zip code) Decedent, then 79 years of age, died on 7/13/2008 at HOIy Snirit HOSpital 503 North 21st Street Camp Hill PA 17011 Decedent at death owned property with estimated values as follows: f Z c9E'i~ ~ ~:, (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 follows: 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: Signature Typed or printed name and residence ~,~ ~ Carolyn Romaine Byers Keck 3723 Montour Street Harrisbur PA 17111 Page 1 of 2 Form R 4l'-02 rev. 10.13.06 (COMPLETE W ALL CASES:) Attach additional sheets if necessary. %~ N ' , W 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 before me the ~D da of ,~~ For the Register Signature of Personal Representative Signature of Personal Representative C 7 c~a V O q -,_ T r ~ -~ File Number: ~ ~ ~ k U `~~ , (' ~ ~ Tl ~ i _~ _? ..` 1 Estate of Carolyn Morrow Shipp Deceal~ ..~ ~-A-, =_~~ ~,. C:a s_~ :~ ' --z Social S~curity Date of Death: 7/13/2008 ~ =~t ._._ ~ f~ ~TYJ1 Y ~ ~ ~ , in consideration of the foregoing Petition, satis~tory proof AND NOW, 1 having been presented before me, IT IS DECREED that LettersTestamentarv are hereby granted to Carolyn Romaine Byers Keck in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and sled of record as the last Will (and Codicil )) of Decedent. FEES ~'1 l~ ~~ Re istero wills 00 ~ 05 l! g f Letters ............................ $ Short Certificate(s) •••~'•••••• $ !' ~D Attorney Signature: Renunciation(s) •••••~ $ f o, },lf ••.• $ 1S" Attorney Name: David H. Stone. Esouire -~' •••• $ ~~ Supreme Court LD. No.: 39785 ~._ '~ .... $ S $ Address: 414 Bridge Street •••• $ New Cumberland .... $ •,•• $ PA 17070 .... $ $ Telephone: 717-774-7435 TOTAL ............................. $ a For,n Rw-oa rev. 10.13.06 Page 2 of 2 L05.805 REV (01/071 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 _14.541351 Certification Number 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. JUL 1 2008 Local Registrar Date Issued - - _ - - _ __ _. _ -- _. __.__.__ rv r--j `~' _ 7 _- _r C-' _._a l l _ .__ _. 3 C j --s~ ~ ~ ~ . ~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITA ~-~ ,. t L RECORDS PRINT N ~ N - !A"E"T CERTIFICATE OF DEATH (,~ ~K INN (See instructions and examples on reverse) CTATF FII F NI IAdRLF1 ~ \ ~lY 1 lrn~l d 1. Name of Decedem (Rrsl, mitldle, Wsl, sudix) 2. Sex 3. Sceial Security Number 4. Dale of Death (Month, tlay, year) Carol n M. Shi emale 168 -24 =2702 Ju1.13,2008 5. Age (Last &NWay) Under 1 year Untler 1 day 6. Dale of Birth (Month, day, year) 7. Birthplace (City aM state or loregn country) 8a. Place of Death (Check only one) Iuomns oars Floircs sknules Hoepilal: Other. J u 1.31 , 19 2 8 D u n c a n n o n, P A 7 9 Yra pa,iem ^ ER /Outpatient ^ DOA ^ Nursing Homa ^ Residence ^Other Speciry. Bb. County of Death Bo Ciry, Boro, Twp. of Death Bd. Fadllry Name Qf riot insfitutbn, give street and number) 9. Wes Decedent of Hispanic Origin? No ^Ves 10. Race. American Indian Black While etc Cumberland East Pennsboro , , , . Holy Spirit Hospital (~~~Pp ~~R ~ n ~ii~t e l ca etc) w e 11. Decedent's Usual bon Kkd of work tlone du ~ most d work' INe. Do not slate retired 12. Was Decedent ever in the 13. Decedent's Education (Specity only highest grade completed) 14. Marital Status: Married, Never Marred, 15. Surviving Spouse Qi wile, give maiden name) KiIM d Work Kind of Business / Industry U.S. Armed For rce~s? Elementary I Secondary (0-12) College (1 ~4 or 5+) W~'^'ed. Divorced (Specilyj secr2tar • bank , ^Yes 1~"p 12 widowed 16. Decedent's Mailmq Address (Stmel, city I town, state, zip code) Decedent's Did Decedent P e n n s v l v a n i a Li i A l R i 3 7 2 3 Montour S t. ve dua es dence ,?e. sate n a 17p Yes, Decedent Lived m F~ C r P a n e .c h o r n T ~ P A 171 1 1 Harrisburg Township? D ec ~ nl 17b county Cumberland rid. ^ ~ e uvetl wdh~n , l L ua f o N Ciy I Boro i6. Father's Name (First, middle, lass. suXix) 19. Mother's Name (First, mkddle, maiden sumeme) Edwin C. Morrow Clara Mae Steele 20e. Inlprtnant's Name (Type /Print) 2W. InlorinenYs Mailing Address (Street city /town, state, zip coda) C. Romaine Keck 3723 Montour St., Harrisburg, PA 17111 21 a.~~~..M~~..e,,,,,t(((((hod of Disiwsdion i ^ Cremation ^ Donation 21b. Data of Dispostion (Month, tlay, year) 21c. Place of Dispositlon (Name of certretery, crerrelory a other gate) 21d. Locaton (City I rown, stele, zip code) 8une~ ^^ Removal tram State ~ b ~prwUo~or Authorized JU1 17, 2~~8 Duncannon Cemetery uncannon, PA17020 ^r i~ ^Yes^NO 22 aLre d Funs Service Lirznsee (or person acting as such) ?2b. License Numher 22c. Name and Address of Facility .yA _ _ Musselman FH&CS,324 Hummel Ave.,Lemoyne,PA 17043 e Nems 23at Dory when certitying 23a. To the best of m knowledge, ath occunetl at the lime, date and place shaled. (Sgnature and title) 23b. License Number 23c. Dale Signed (Month, day, year) physiaan rs not available at time d death to emry cause d death. 1 ( ~ ,<LJ ,c..c/7 G~J kU :Z2~ 1 ~J ~j (:... '7 l i 3 J~; Hems 2426 must be completed by parson 24 Time of Death ~ j 25. Date Prongmced Dead (Month, day, year) ~ ~ 26. Was Case R art to Metlical Examiner /Coroner for a Reason Other than Cremation or Donation? who pronourxxs death. '"1~ M. ~ I 13 ~ (~ ~ ^Ves Na CAUSE OP DEATH (See instructions and examples) 1 Approximate intenel: Ped II: Enter other den' ant condiCO • coot ~ drip to de th, 26. Did Tobacco Use Conmbme to Death? Item 27. Pan I: Enter the chain W evE-LF - tliseases, Injuries, aComplications - that tiredly caused the tleath. W NOT Bitter Ienninel evams Such as cardiac anest I Onset to DBaM but not resulting in the underlying reuse given in Pan I. ^ Vas ^ Probabry respirelay anesl, or vemncular Nbnllatron without showing the etabgy. List on Ire cause on each Ime. 1 r IMMEDIATE CAUSE Final disease or r ^ No ^ Unknown cencNlion resdling in ~ath) ~~ a, ~ YQ~ ( J ~ SJ[~ IsF~~ / ~~\~~~ / 29. If Female: ~ Due~as a trance o0: ^ Nd pregnant within past year ^ '~ Sequentially hst caldtions, H any, b. ~~+ ~( ~j~/(,q ~f ~p ©~~ ~ leadnp to the cause Nstad on Noe a ^ Pregnant al lime of death . Due to or as a c rice o Enter t}le UNDERLYING CAUSE ( onseque Q: ~ ^ Nat pregnant but pregnant within d2 tlays (6seese or k Ijury that inhiated th C r of death , events resumng m death) LAST r Due to (or as a consequerwre oil: I ^ Not pregnant, but pregnant d3 days to 1 year r d. r balsa death ^ Unknown it pregnant within the past year 30a. Was an Adopsy 3W. Were ANOpsy Fndngs 31, Mamler of DeaN 32a. Date of Injury (Month, day, year) 32b. Describe How Injury Occurted 32c. Place of In ury: Home, Fann, Street Fadory, Pedomretl? Available Pdor Ic Comgetion ~,( atural ^ HomicMa 13irx;e Bui~ng, etc. (Speciry) d Cause of DeaN? ^ Yes ~No ^Yes ^ No ^ P.ccidant ^ Pentling Irnestigatan 32d. Time of Injury 32e. Injury al Work? 32f. If Transp,xlatpn Injury /SpecrfyJ 32g. Location of Injury (Street, dry /town, stale) ^ Suicide ^ Could Nd be Detertninetl ^Yes ^ No ^ Drlver /Operator ^ Passenger ^Patlestrlan M Other ~ Spenly: 33a. Candler (Check Doty one) 33b. Signatwe vM Title 01 Cendier • Ceditying phyakian (Physician ceMyirg cause of death when another physiden has prorrounced death and cempkted hem 23) y/ _ Q ~ C p To the best or my knowledge, death occurted tlue to the Cause(s) and manner as steted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ s /U /~ • Pronouncirg and certhying physkien (Physician both pronouncing Death end cenitying to cause of death) T th t b Ntl th d t m ti d t b k d d k d d h d ^ 33c. Lice Number 33d. Dale Sgned (Month, tlay, year) naw ge, ea occurre e o e es my e me, a e, an p e, an ue to t e cause(s) an manner ae etated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ` ~ ~~ ~3 / ~ / ~ D • Medkal Examiner I Coroner i d / i l I i O b i f ti ti i d ^ or nves n my op n the as s o exam na on an get on, n on, eath xcurred et the time, date, and piece, eM due to the ease(s) end manner u stated_ Name and Adtl~re,{s of Person Who Cwnpletetl Cause of Death (Item 27) Typo / Pnnl ~ Rel istrar's 5 re aM Distnm r / 35 36 Date Filed nN a r .~. Y-1P~4+q~Af0. ~ ~Y1Q g ,y y / 1 ` / . ~~ ~ / 1 ~ ~ ~l ~ ~ ~ . , y, yea ) 7 N 5 ~' P ~.s ~ 03 . a I s-Frcc~+ Ca,~, l~,r 11 ,4 ~ 7o c Disposition Permit No. D ~ ~ V ~ 41 LAST WILL AND TESTAMENT OF r.s ~ ~ ..: ..~ ;-o - -_ c--> -~ ~- - -'-i p ~ i 'c: J - J7 ~~ 7 CAROLYN MORROW SHIPP ~ ~-''--' ~'' _:C~-,~ .~ -f.i ._ ~= ,• `~'~ ~ :. ~~ 3~ N ~ . , 4J I, CAROLYN MORROW SHIPP, of the Township of Lower Allen, County of Cumberland, and Commonwealth of Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I devise and bequeath all of my estate, of every nature and wherever situate, to my husband, RICHARD EDWIN SHIPP, if he survives me by e thirty days . ~~~ ~ ~ ~'~~ _ ~~ j ITEM II: If my husband, RICHARD EDWIN SHIPP, fails to survive me by thirty days, I devise and bequeath all of my estate of every nature and wherever situate as follows: A. One-fourth to my daughter, CAROLYN ROMAINE BYERS KECK, if she survives me by thirty days. If my daughter, CAROLYN ROMAINE BYERS KECK, fails to survive me by thirty days, I devise and bequeath her share to her issue, per stirpes, living on the thirty-first day following my death and in default of such issue, her share shall be added to and treated as apart of the other shares created under this ITEM II. STONE, SAJER & STEWART Attorneys at Law 414 Bridge Street New Cumberland, Pa. 17070 B. One-fourth to my daughter, ELIZABETH RUTH BYERS ''`-~-rT~-~-L, Page 1 of 5 pages G`. I be-Yt~ ELIZABETH RUTH BYERS ~., fails to survive me by thirty days, I devise and bequeath her share to her issue, per stirpes, living on the thirty-first day following my death and in default of such issue, her share shall be added to and treated as a part of the other shares created under this ITEM II. C. One-fourth thereof to my stepdaughter, DONNA JEr"~N SHIPP COMSTOCK, if she survives me by thirty days. If my step- daughter, DONNA JEAN SHIPP COMSTOCK, fails to survive me by thirty days, I devise and bequeath her share to her issue, per stirpes, living on the thirty-first day following my death and in default of such issue, her share shall be added to and treated as a part of the other shares created under this ITEM II. D. One-fourth thereof to my stepson, ROBERT CRAIG SHIPP, if he survives me by thirty days. If my stepson, ROBERT CRAIG SHIPP, fails to survive me by thirty days, I devise and be- queath his share to his issue, per stirpes, living on the thirty-first day following my death and in default of such issue, his share shall be added to and treated as a part of the other shares created under this ITEM II. ITEM III: I direct that all taxes that may be assessed in conse- STONE, SAJER 8c STEWART Attorneys at Law 4t4 Bridge Street New Cumberland, Pa. 17070 quence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the Page 2 of 5 pages administration of my estate. ITEM IV: I appoint my husband, RICHARD EDWIN SHIPP, Executor of this my last will. Should my husband, RICHARD EDWIN SHIPP, fail to qualify or cease to acict as Executor, I appoint CAROLYN ROMAINE BYERS KECK, ELIZABETH RUTH ~-1 I ~ E"Yfij BYERS ~, DONNA JEAN SHIPP COMSTOCK and ROBERT CRAIG SHIPP, Executors of this my last will. ITEM V: I direct that my executor and his successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of ~C67V~ 1981. (SEAL) Carolyn rrow Shipp SIGNED, SEALED, PUBLISHED and DECLARED, by CAROLYN MORROW SHIPP, the Testatrix above named, as and for her Last Will and Testament, and in the presence of us, who, at her request, in her presence and in the presence of each other, have subscribed our names as witnesses. Witness Address ` Y ,' ~~litness Address STON E,SAJER & STEWART Attorneys at Law 414 Bridge Street, New Cumberland, Pa. 17070 Page 3 of 5 pages COMMONWEALTH OF PENNSYLVANIA ) SS: COUNTY OF CUMBERLAND ) I, CAROLYN MORROW SHIPP, Testatrix 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 this instrument as my last will; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein contained. C olyn orrow Shipp STONE, SAJER ee STEWART Attorneys at Law 414 Bridge Street New Cumberland, Pa. 17070 Sworn or affirmed to and acknowledged before me by CAROLYN MORROW SHIPP, the Testatrix, this ~ day of 1981. I'RAOiCEi Y. ~~ y 1M0. ~ ~ M~ ~ ~ ~. Mew C~d~1tIMM. Page 4 of 5 pages STONE, SAJER & STEWART Attorneys at Law 414 Bridge Street New Cumberland, Pa. 77070 COMMONWEALTH OF PENNSYLVANIA ) SS: COUNTY OF CUMBERLAND ) We, 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 testatrix sign and execute the instrument as her last will; that testatrix signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as witnesses; that to the best of our knowledge the testatrix was at the time eighteen or more years of age, of sound mind and under no constraint or undue influence. (v Sworn or affirmed to and subscribed to before me by and witnesses this ~ day of 19$l. ~ i~ r FRANCES Y.,_ ~+vt'ar~ ~ub{ic M~4y CQmmissiQn~ res~ , t9S2 'New Cumeaia-~, Via. - ~ ~- Page 5 of 5 pages ~, ~~ o~~11ts RENUNCIATION '' ~ .~ ~ ~ ~t _ ., ~ ~ < : REGISTER OF WILLS / ~ ; ® ; :` ` ,J ~ _ ~ Cumberland COUNTY PENNSYLVANIA -` ~-3 c ~ _ " ~ l_s =ri ~..~ C7 , ~ ~ ~ -` "T' i Estate of Carolvn Morrow Shipp a.k.a Carolyn M. Shipp ,Deceased I, Robert Craia Shipp , in my capacity/relationship as (Print Name) stepson of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Carolvn Romaine Byers Keck ~T' ~~~' ~' -"• ~ F' r' ~`~ ~ ~" (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Fonn RW-06 rev. 10.13.06 ~~in: t (Signature) 19 Town Oaks Place (Street Address) Bellaire TX 77401 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunc~t~n for the pure ses stat within on this day of , ~~~- Notary ublic My Commission Expires: Q 1- 2~ ~ / 2- (Signature and Seal of Notary or other official qualified to administer oaths. Shaw date of expiration of Notary's Commission.) ~,,•~~.~s, CAR~![rl{ EIA11~ 11gIAM~t a liptory -uWic, rJ~'t~,~ ~t'~ C tapN« C~1-Z~7.12 •~~N~~~~~~~~.~~~~~~~~~NN ai p~G~111~ c~ RENUNCIATION ~o ~ `~' - - ~-~. f -- ~ + . j REGISTER OF WILLS "' ~ ° ~ " `~' ~ Cumberland COUNTY, PENNSYLVANIA ~` ~`- ~ ~ ^_ ~ --~ . • F ~ N -. CJ Estate of Carolyn Morrow Shipp a k a Carolyn M Shipp ,Deceased I, Elizabeth Ruth Byers Mitchell now known as Elizabeth Ruth Byers Gilbert , in my capacity/relationship as (Print Name) daughter of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Carolyn Romaine Byers Keck 8-aa-aDtJ~ (Date) Executed in Register's Office Sworn to or affirmed ar~d subscribed before me this .~ ~ = day of ,~u~1cS=t 00 , Deputy for Register of Wills ., ~ (Sign re) 101 South Mlllbach Road (Street Address) Newmanstown PA 17073 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciat~n for the purposes stag within on thi d~-day of ,, . Notary Public COMMONWEALTH OF RENNSYLVANIA My Commission Expir s: Notarial Seal Sharon L. Haubenstine, Notary Public South Lebanon Twp., Lebanon Courriy (Signature and Seal of Notary or o er d4h-i~'l~t~res Dec. 10, 2011 administer oaths. Show date of expr ion of Notaries Form RW-06 rev. 10.13.06 -cam J ~ ~ _. RENUNCIATION ~ -=~-r' ~~ o ,_- t _~1 ~ ..J 1 ' ~ REGISTER OF WILLS ''' '~ ~' ` ' r PENNSYLVANIA Cumberland COUNTY ~ --~ ~ ~ _ ;~~ , N Estate of Carolyn Morrow Shipp a k a Carolvn M Shipp ,Deceased I, ,Donna Jean Shipp Comstock , in my capacity/relationship as (Print Name) stepdaughter of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Carolvn Romaine Bvers Keck ~- ~ s- o ~ (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills GY MA ~ ,~Q-P~ss~oH ~ F~ v~ ~tOTARy ~i+ --Y- ~ pv$t,~c 9~`'ygy15,,~.~i~~ (Signature) 6207 South Smith Lane (Street Address) Spokane WA 99223 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party e,.ecuting tla<is renunciation and certified that he or she executed the renunciation for the purposes stated within on this 25 day of c u.~-- ,~_ . Notary Public '~'~~~ My Commission Expires:vY'~ t3 ~'/ (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. l DJ 3.06