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HomeMy WebLinkAbout09-26-08Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Ethel H. McClure No ~j - V 0 ~ ~9~ also known as ____ Deceased Social Security Kenneth E. Dapp 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 and aver that Petitioner(s) is/are the execut or Decedent, dated 10/30/1995 and codicil(s) dated 9/16/2002 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 documents offered for probate; was not the victim of a killing and was never adjudicated incapacitated: B. Grant of Letters of Administration (c.t.a., d.b.n.c.t.a.: pendente life, durante absentia; durante min@ri te) Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived t3~r~ge follower spoU"se. . (if any) and heirs: :'-~ m -; ..~ Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence at 1112 Allen Street, New Cumberland, Cumberland County, PA 17070 (list street, number and municipality) Decedent, then. 100 _ years of age, died September 14 , 2008 , at Manor Care, Camp Hill, Cumberland Co., PA (Location) Decedent at death oNmed property with estimated values as follows: (if domiciled in PA) All personal property ......................................... $ :>23,445.00 (if riot domicileti in PA) Personal property in Pennsylvania .................... (If not domiciled in PA) Personal property in County .............................. Value of real estate in Pennsylvania ........................................................................................ Total ..................................................................................................................... $ 523,445.00 Real Estate 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 letter:; in the appropriate form to the undersigned: Signature Typed or printed name and residence Kenneth E. named in the Last Will of the 1112 Allen Street New Cumberland. PA 1 RW-7 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Oath of Personal Representative Commonwealth of Pennsylvania County of _ .. _ The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the`~~t~r'g~tifp'~ii~ ~e ~~e 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 ording to la ; ;! =-,' ' - ~~-. ~ `? _ Sworn to and affirmed and subscribed 'i (~_ ~-k neth E. Dapp ~ ~ '~, ' ,1, me da of ~ ~~ , DECREE OF REGISTER Estate of Ethel H. McClure Deceased also known as Social Security No: Date of Death:9/14/2008 ANA NOW, ,~ '~ `~ ,~~ , in c~nsiderati~n of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters I~ Testamentary ^ of Administration (c.t.a., d. b.n.c.t.; pendente life; durante absentia; durante minoritate) are hereby granted to Kenneth E. Da in the above estate and that the instrument(s), if any, dated October 30, 1995, and September 16, 2002 described in the Petition be admitted to probate and filed of record as the last Wilf of Decedent. FEES Letters ......................... Short Certificate(s) ...... Renunciation ............... Affidavit ( ) ............ Extra Pages ( ).... Codicil ........................ JCP Fee ...................... Inventory & Tax Forms. Other ..........LtTill........ $ atin,nn $ 24_M .. $ .. $ $ ~ ~,nn .. $ ~ ~ nn , .... $ .. $ ~~ nn TOTAL .............................$ 529.00 RW-7A Attorney Attorney: P. Daniel Altland, Esquire I.D. No: 25438 Address: 3631 North Front Street Harrisburg PA 17110 Telephone: (717) 232-7661 DATE FILED: OCAL RE ~~~ ~~ ~ GISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 14~~~~05 Certification Number This is to certify that the informtation here given is correctly copied from an original Certificate of Death duly filed with me as Loca] Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. a-J _SEP- / s Zoe ~'L~ Local Registrar Date Issued _ __ _ f~ ..~, _ G =_% --. -. I~ . _Zl , "~'. _ -.... _ ~ - - r~., , c~~ _ - .--~ ~~ REV nnoos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ PRINT IN AANENT cKwK CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE NUMBER 1. Name of Decedem (First, middle, last. sudlx) 2. Sex 3. Social Security Number 4. Date of Deam (Monts. tlay. years Ethel H. Dapp McClure female 201 - 16 l- 6975 Se tember 14, 2008 5. Age (last Birthday) Under 1 year Under 1 day 6. Dale of Blnh (Month, day, year) 7. Binhplac¢ (City and stale or loreign country) Ba. Place of Death ;ChecN only one) MOnNS Days Heare Mnr4es H09pla- 100Ys August 24, 1908 Harrisburg PA omen a ^ Inpahenl ^ ER /Outpatient ^ DOA ^X Nursing Home ^ Residence ^Other_~recily. 6b. County of Death ~ Bc. City. Boro, Twp. of Death 3d. Facility Name (I' not institution, give street and number) -- ~ ._ 9. Was Decedem of Hispanic Ongin? ©No ^ Yes 10. Race. Amen.an Indian, Black, White, etc. Cumberland Camp Hill Manor Care 11trea,9p"pirycpban, (sp¢cnN Mexican, Puedq Rican, etc.) Wh l t e 11. Decedent's Usual Occupation (Kind of work done Burin most of workin rile. Do not state retired 12. Was Decedent ever in the 13. Decedent's Education (Specify only highest grade completed) 14. Marital Status: Married, Never Married, 15. Surviving Spouse Iti wile, give maiden name) Klntl of Work Kind of Business / Industry U.S. Armed Forces? Elements / Seconds 0-12 Colle a 1-4 or 5+ NJitlowetl, Divorced (Spec Secretary State Government ry "( ) ql ) M ^vea ®"° 12 widowed 16. Decedent's Mailing Address (Street, city /town, stale, zip code) Decedent's Actual Residence 17a. Slate Pennsylvania Did Decedent 1112 Allen Street Townshac 7c ^Yes, Decadent Livedm Tw p D New Cumberland, PA 17070 17bD°°nlr Cumberland nd.®Np,Decedemrvedwnnm Acua Limas n New Cumberland coy/Bqr° 76. Father's Name (First, middle, last, sudix) 19. Mother's Name (Flrsl, middle, maiden surname) Maurice Bowman Mar Houser 20a. Informant's Name (Type J Print) 20b. Informant's Mailing Address (Street, city /sown, state, zip code) Kenneth E. Da x:112 Allen Street, New Cumberland, PA 17070 27a. Method °I Disposition ^ Cremation ^ Uonalion 21 b. Date of Disposition (Month, da ,year 21 c. Place 01 Dis silion Name or tamale y ) Po ( ry, crematory or other place) 27 d. Location ICiry I town, stale, zip code) ® Burial ^ Removal from State !Was Cremation or Donation Authorized ^ Other pecity~ byMedlcalExaminer/Coroner? ^vea^Nq September 16,2008 Rolling Green Cemetery Lower Allen Twp. PA 17011 22a. SgnaN rust 'tense cling as such) 22b. License Number 22c. Name antl Address W Facility ~ G' _ FS 012 849 L Parthemore FH & CS Inc. P.O. Box 431 New Cumberland ]?A 17070 Complete dams at M when certifying a. To Ina best of my knowledge, tlealh occurred at the lime, date antl place stated. (Signature antl line (~ ~ /~~ 23 License Number physiden is not ova eat time of Beam to ~ ~ n 7 ~ rye ~ • ~ ~~ y) h 23~ eta igned (Mo th, tlay, year) ceniry cause of death. (~~~ G% L r~ ~ n ~ ~~ i `, Items 24-26 must ba rompleled by person 24. Time 91 Death 25. Date Pronou Deatl ( th, day, year who pronounces death. y {-~ C) ~~ M. _ / ~ (~', ) 26. Wes Case Relerred to Medical Examiner /Coroner for a Reason 01 er than Cremation or Donations CC vv UY ^ Yas ^ No CAUSE OF DEATH (See Instructions and exempt e) r Approximate interval. Pan II' Enter other si nificant contl'tions coninhca Item 27. Part I: Enter the cha-n of ev L -diseases, Injures, or complications - shat directly caused the tlealh. DO NOT enter terminal events such as caroiac arrest, g - n0 t0 death, 28. Did Tobacco Use Contnbule to Deals? respiratory arrest, or venlncular fbnllalion withoN showing me etiWOgy. List only One cause on each line. ~ Onset to Death but not resulting in the underlying cause given m Pan I. ^ Yes ^ P one IMMEDIATE CAUSE IFinal disease or ~ ~ ~ j1 i ^ No Unknown ~' contlltian resulting in death) (/// r -~ a. 29. II Fe e: Due to (or as a consequence on. Not past year Sequenlialty list conaaions, if any, b pregnant wants IBeding to I e cause listed on line e. ^ Pregnant al time of Mram Enter the UNDERLYING CAUSE Due t° (or as a consequence oQ~ r (events resul6 g m dearth) aLpST a ° ~ ^ Not pregnant, but pregnant within 42 days of death d Due to (or as a consequence oD: ^ Not pregnant, but pregnant 43 days tO 1 year belore death 30a. Was an Autopsy 30b. Were qutopsy Findings 31. Mann of Death ^ Unknown if pregnant within the past year Penomred? Available Pnor to Completion 32a. Date of Injury (Month, day, year) 32b. Descnhe How Injury Occurred 32c. Place Of Injury. Home, Faim, Sbeel, Facto of Cause Of Death etural ^ Homicide OAwe Building, ¢IC. (Speciy) ry' ^ Yes o yea ~ ^ Accident ^ Pending Investigation 32d. Time of Injury 32e In u at Work? po j ry / p y) 32g. Location of Injury (Street, cry /town, state) ^ - I N 321. II Trans nation In u S eci ^ Suicide ^ Could Not be Determined ^ Yes ^ NO ^ Driver/ Dparator ^ Passenger ^Petlestran M' ^ Other ~ SpaOiry: 33a. Certifier (check Doty one) 33b nature and Title Ce ter • Cedlying phyaielan (Phys~an certifying cause of death when arrother physician has pronounced death aM completed Item 23) To the best of my knowledge, death occurred due to the causelsj antl manner as suterL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ ~I . ~~' • Pronaundng and cenhying physician (Physician both pronouncing tlealh and cedilrng Iq cause of tlealh) To the best of my knowledge, death occurred at the Ilme, date, and place. and due to the tau 33c. license Number 33tl. le Sgned onm. day, year) ~-•) • Medical Examiner J Coroner sale) antl manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ` /7CV~ On the basis of examination and I or investigation, in my opinion, death occurred at the time, dale, and place, and due to the causela) and manner as stated_ ^ ~~ ~ G L L e ~~ 34. erne an Addre of Person Who Completed Ca.,u/s~ of Deam (Item 27) iyp¢ / pnnl Registrar's Signature and Distncl Number ! / ~ 3fi D Fily~ Month, ay, year) (~~.f+IL f ~ (' 101~f~ ~,~, /~ d`' La~I I ~ I I ~/ i/~~,D'L//~~ o ~ /c i? -~~~.s. .C~ ~G~.. /~~ ( TG ' Disposirion Permit No. ~ ~ ! ~ G% J 'Y 7 ~~ -`=~~~ LAST WILL AND TESTAMENT -~ OF ~~ r: J3 -, ETHEL H . McCLURE `J~`-` ',; :~ - I, ETHEL H. McCLURE, of 200 Luther Lane, Columbia, Lancaster County, Pennsylvania 17512, being of sound mind, memory and understanding, do hereby make, publish and declare this to be my Last will and Testament, hereby revoking any and all former Wi]_ls and Codicils heretofore made by me. ITEM I - I d1_rect that all of <<iy dust debts, :~ur~eral expenses, estate and inheritance taxes be paid by my hereinafter named Executor as soon after my death as may be found convenient. ITEM II - To the individuals listed below, I bequeath the following: (A) To my grandson's wife, DARCI L. DAPP, my gold a.nd sapphire ring and my solid gold bracelet. _~ (B) To my daughter-in-law, CHRISTINE F. DAPP, my diamond t ~~ ring with a 1-carat diamond and 15 smaller diamonds set in -~~ platinum and my diamond watch. ? (C) To my grandson's wife, JODY S. DAPP, my small ,~ \,~ diamond ring. (D) To my grandsons, KENNETH A. DAPP and GREGORY S. DAPP, I give all of my AT&T, Ameritech, Bell Atlantic, Beal °~,. South, NYNEX, Pacific Telesis, S/W Bell, and U.S. West stocks ~:, in equal sha-res. If either of my grandsons do not survive me, I give and bequeath his share to his issue who survive me, per stirpes. ~,~ (E) To m five g y great- randchildren, ASHTON L. DAPP, CAYMAN DAPP, JEFFREY M. DAPP, KENNETH B. DAPP, and CHAD JASON DAPP, I give the sum of $500.00 each. ITEM III - I give, devise and bequeath all the rest, residue and remainder of my estate, whether real, personal or mixed, of whatsoever nature and kind, wheresoever situate, and from whatsoever source derived, unto my son, KENNETH E. DAPP, if he survives me by thirty (30) days. In the event that my son, KENNETH E. DAPP, does not survive me by thirty (30) days, I give, devise and bequeath his share to his issue who survive me, per stirpes. ITEM IV - I hereby nominate, constitute and appoint my son, KENNETH E. DAPP, to be the Executor of this my Last Will and Testament. In the event that he shall predecease or fail to qualify, or cease to act as Executor, then I appoint my daughter- in-law, CHRISTINE F. DAPP, as Executrix of this my Last Will and Testament. ITEM V - No personal representative shall be required to furnish any bond or other security in any jurisdiction, or if a bond be required, neither shall be required to furnish any surety thereon. IN WITNSSS VPNER8/OF, i have hereto set my hand and seal this 3~~~ day of OC ~bP/~ 1995. ~~.~/ ~~ ~Cy~~~ Ethel H. McClure The preceding instrument, consisting of this and 1 other typewritten page(s), each identified by the signature of the Testatrix, was on the date thereof signed, published and declared by the said Testatrix, ETHEL H. McCLURE, to be her Last Will and Testament, and, at her request, in her presence, and in the presence of each other, we, believing her to be of sound mind, memory and understanding, have hereunto subscribed our names as witnesses. COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF DAUPHIN We, THEL H. McCLURE, ~~ -L/~Ji/(PL ~~-T~-F}N V and L1 a ~~ C-A~L~ ~ the Testatrix and witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she has signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each Of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witnesses and that to the best of their knowledge, the Testatrix was at that time eighteen (18) years of age or or older, of sound mind and under no constraint or undue influence. C~/ / l G~.L~~~-l.e.-2.J ETHEL H. McCL E ~~a~~ ,~~.,,o~ Subscribed, sworn to and acknowledged before me by ETHEL H. McCLURE, the Testatrix, and subscribed and sworn to before me by • ~ANiC l ~L'1"I.AN ~ an3 Li NDra 1~EA~~~ witnesses, the d . day of ~ 1995. r? Notarial Seal Publio Jean P. Zonanch, Notary Harrisburg, Dauphin Cou;ty t996 niy Commissron Expire d NoWlee Mgrnb§r, PennsyNank ~~ -~~~~ ¶¶o o¶ _ v:' 'r'.; ,,~ n, ,`,. ~`~` OF ETHEL H. MCCLURE I, ETHEL H. MCCLURE, of 200 Luther Lane, Columbia, Lancaster County, Pennsylvania, the within named Testatrix, do hereby make and publish this Codicil to my Last Will and Testament, uated Octo~~e; 30, 195. I hereby modify said Last Will and Testament as follows: ITEM I: II (C) is deleted. The specific bequest to Jody S. Dapp in ITEM ITEM II : In all other respects I confirm and r•atif~y my aforesaid Last Will and Testament dated October 30, 1995. tN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~__ day of _ s~~~. , 2002. ~~~~ ~ ~~ ~ C (SEAL) ETHEL H. MCCLURE We, the undersigned, hereby certify that the foregoing Codicil was signed, sealed, published and declared by the above-named Testatrix as and for a Codicil to her Last Will and Testament, in the presence of each of us, who, at her request and in her presence and in the presence of each other, have hereunto set our hands and seals the day and year above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound and disposing mind and memory. ~, (SEAL) ~- Residing at /io _G~c.P~,, ~fho , ~ __ 7a ra Residing at _ 1/~ .-~ ~~=~!~-~. ,~' r ~~,~.~ ~~ ~~ G~tit~. ~ f- L~ 7c'~ COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF ~N~''~s ~ ,~2 We, ~-a }-~el ~+t'Q!`rl ,and ~ ~ i r~ the witnesses, whose names are signed to the attached or foregoing instrument, being first duly qualified according to law do depose and say that we were present and saw the Testatrix, sign and execute the instrument as her First Codicil to Last Will and Testament dated October 30, 1995; that she 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; and that to the best of our knowledge the Testatrix was at that time eighteen (18) or more years of age, of sound mind, and under no constraint or undue influence. ~ ~~~~,~. Wit ess e~_e /~ ~- ti_ Witness Subscribed, sworn to and acknowledged before me by ETHEL H. MCCLURE, the Testatrix, and subscribed and sworn to this / ~? day of D~-f~/~-R , 2002 NOTARIA . 8EA T~1pn{y 8. YIfVC33T, Notary ~ HaMsburp, Dauphin County ~~tfesfon ExpirQ~ Juno 24, 2pp4 Notary Publics ~ ' My Commission Tres (SEAL) :304480 1 COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF ,~i9rVGG,45 ~2 : I, ETHEL H. MCCLURE, Testatrix, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my First Codicil to Last Will and Testament dated October 30, 1995; that I signed it ~nrillingly, and that i sinned it as my free and voluntary act for the purposes therein expressed. 7~~ ~ ~ ~uze~J ETHEL H. MCCLURE Subscribed, sworn to and acknowledged before me by ETHEL H. MCCLURE, the Testatrix, and subscribed and sworn to this ~-day of s~®} , 2002. .•-' Notary Publi My Commission Expires ___ NOTARIAL SEAL^,.~ ~ _.._._~ T1MOT}I}( S. YINt38T, Notary Public tiertleburg, Dauphin county (SEAL) My commi:~a, Expires June 2a, 2oaa