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HomeMy WebLinkAbout10-17-08PETITION FOR PROBATE AND GRANT OF LETTERS Estate of Catharine E MacCaffray also known as Catharine G MacCaffray, Cassie MacCaffray Deceased COUNTY, PENNSYLVANIA File Number ~ I ~ D~~ ! D 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 executor last Will of the Decedent dated 8/23/2006 and codicil(s) dated named in the (Stale 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 (lfapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente life; durance absentia; durante minoritateJ Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) anc)_)aeirs: (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, then 93 years of age, died on 9/10/2008 at Chapel Pointe at Carlisle Decedent at death owned property with estimated values as follows: (]f 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 fol $ 230,000.00 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 undersigned: or printed name and residence ~'~~ ~~.` I John C Oszustowicz 104 S Hanover St., Carlisle PA 17(113 t~ REGISTER OF WILLS OF Cumberland Form RW-01 rev. 10.13.06 Page I of 2 (COMPLETE W ALL CASES:) Attach additional sheets if necessary. -~-~' .` --i Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at ~ Chapel Pointe at Carlisle 770 S Hanover St.. Carlisle PA 17013 (List street address, lown/city, township, county, state, zip code) 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. ,,r~ _, n Sworn to or affirmed and subscribed ''',/ r' /l ,~ , Signalure ersonal Re resentative ~ b~fore me the ~ ~ ~ day of L , ~ _ ,~ {~ _ _ `_. ; ~) ,. ~-: _ Signature of Personal Representative --- __ ~ ~` ~~ ~ - - FOr t e R g1SteC Signature of Personal Representative -:. ~' 1.i _"~ :1 nn /~ I ~ ~~ File Number: tx ~ ` (~,~' ~~ `7 i~ Estate of Catharine E MacCaffray ,Deceased Social Security Number: t 75-10-6058 Date of Death:9/10/2008 AND NOW,~~ , s~~, in consideration of the foregoing Petition, satisfactory proof having been presented before , IT DECREED that Letters Testamentary are hereby granted to John C Oszustowicz _ in the abo~te estate and that the instrument(s) dated 8/23/2006 described in the Petition be admitted to probate and filed of redo as the last Will (and Codicil(s)) of ecedent. l`. FEES ~~ 1 ~ . ~ ~~ '.L , , Re ister of Dills Letters ............... $ ,_.., Short Certificate(s) ........ $ Attorney Signature: ~~~ k--- "'---- Renunciation(s) .......... $ $ ( - Attorney Name: Tricia D Naylor t`-~--__._.. ! • • • $ • ~ Supreme Court LD. No.: 83760 Address: l04 S Hanover St ... $ • • • $ Carlisle, PA 17013 ... $ ... $ $ Telephone: 717-243-7437 ... $ TOTAL .............. $ ~ 6'Qb__ Form RW-0? rev. 10.13.06 Page 2 of 2 -t-D~- ~pc~~ LOCAL REGISTRAR'S CERTIFICATION OF QEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Fee for this certificate, $6.00 I P 1480630$_ Certification Number This is to certify that the information here given is correctly copied ti-oln an o(~iginal Certificate of Death duly filed with me as Local Registrar. The original certificate will he forwarded to the State Vital RecorTls Office for }'~r='rnranent filing. R• ~l~aC]n EFj' 1 2~201?8 Local Registrar Date Issued Y... , ,:_~ -~ ~ - ,:_ - . _ -~ C> _ -7 ,' ~ . - -.. I = -- 3 ~) ~_~ =; ~, ~:_ .. c-~ H1 p6~t43 REV 11/2006 TYPE /PRINT IN PERMANE7T BLACK INK COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH ISen insTn r~Tlnn¢ nnA uve.n..lnc .....-.•... ' HI t YILt NUMtltH 1. Name of Decedent (First, mietlle, lass, sumx) 2. Sex 3. Social Security Number 4. Date of Oeath (Monet, day, year) Catharine E. MacCaffray Female 175 - 10 _ 6058 September 10, 2008 5. Age (Last BlMday) Untler 1 year UMer 1 day 6, Dale of Binh (Month, tlay, year) 7. Birthplace (City all stale a loreign camry) Ba. Place of Deem (Check omy cne) 93 ""'""° '~~ ~e ^~^m^~ February 23 1915 York PA "ospital: pprer: V rs. ^ Inpatient ^ ER /Outpatient ^ DOA ~alursing Home ^ Residence ^Other ~ Speciry: Bb. County of Deem Bc. Cky, B°r°, Twp. of Death Bd. Fedlily Name QI n°I InSliNlkn, give street end number) 9. Wes Decetlenl of Hupenic Orlgin7 ®Ne ^ Yes 1 D. Rape: American Indian, Black, Whlle, ek. Cumberland Carlisle Il dl C yes, spe ( y Uben, (Speciy/•hl to Chapel Pointe at Carlisle Mexican, Puerto Rican, etc.) W 17. DamtlenYS Usual Occu Iron Kmtl of work tlo Kill f W M ne Gunn most of world tae. Do not stale retired 12. Was Decedent ever In Ina 13. Decedent's Etlucelion (Specify only highest grade com pleted) 14. Mental SaNS: MameQ Never Marnetl 15. Surviving Spo use (II wife gNe maiden name) o o Nintl of Busness /Industry U.S. Armed Fo -rro s? Elementary! Secondary (0-12) Coll (1 ~4 or B~) ~ , Widowed, Dworcetl (Speaty/ , Mena er Unem to merit Off. I y ^vea LdNp 2 Widow - 16. DeceaenYS Mailing Atltlress (Street, city / fawn, state, zip code) DecedenYS pA Did Decedent 776=3: Hanover St. Actual Resitlancre 17a. Slam LNe ins 17c ^ Ves Decedent LNetl in , T,m Carlisle PA 17013 nb.can Cumberland mwnamp? ntl ry Lf"p,DamdenlLNedwwm Carlisle Actual Limits of CiN I Bao 16. FeIMYs Name (First, mitlde, last suXix) 19. Mot N me (First, middle, Men ame) Joseph F. Cray ~at~arine ~. ~verhart 20a. Intonnam's Name (Tyye / PnnQ 20b. Imormant's Mailing Adtlress (Street city /tam, slate, zip coda) Stephen G. Bishop 3301 Stoneybrook Dr., Champaign IL 61822 21 a. Memod of Dupos'tkn ~, ^ Cremation ^ Dmallon 210. Dols of Disposition (Month, tlay, year) 21c. Place of Disposition (Name of cemetery, crematory a otter place) 21tl. Locaton (City 1 town, stale, zip code) []C Burial ^ Removal from State W u Cremation or DoneUOn AutMdzed S' e t • •t 2 , 200 p ^ Omar~Spepy' i by Medlin Exeminer/Coroner? ^ves^Na p L O Pleasant Grove Cemetery York Co. , PA • 22a. SigraNre d Flme SgD4cetk>gRee~( rson acting as such) 22b. tkense Number 22c. Name and gdtlress of Fauliry _ H ffma R th Funer 1 H me & Crematory - - - 138425 ~ ~ ~ ;~-. 219 N. Hanover St., G ar isle PA ~701~ Cmplel9 Gems 23at Doty when candying Dhysidan M not avaiW0le et time d tleath Ic ::3e. To best al my e, tleam occured et the e, de rid place stated. (SignaNre erM Ike) I 230. License Numhar 23c. Date Signed (Month, tlay, year) cenAy causeddeam. I).l~ ', I IVr. ~f`I ~c~IJ~Q ~I l-. `JC~QCeMbcs Om ~pU~ (lams 2x26 muI be completed by parson wlaprmaxlceatleam. ='4. Time of Death 25. le Prapuncetl Dead (Momh, day, year) p Iq~~ ~ M 1" S th. ~ b 26. Was Case Rafenetl to Medical Examiner /Coroner for a Reason Other than Cremafion or Donation? . t?r IO OQ(J e ern ^Yes ~Nc CAUSE OF DEATH (See Inetructlona and examples) ~ Approxhnate interval: Ilene Z7. Pan L Emer the chain of averas -diseases, irryuna_s, a mmplicatkro - mat dlrecXy glued Pre tlealh. DD NOT enter terminal evems such as ca di t Pan II: Enter other &i{Itl ficant mod tioru mot' n' t de m, 26. Did T°bacco Use ContnMne to Deam? r ac arres , poser to Deam respiakry anesl, or ventricular finnlutkxt wdhal shovdng the ellalogy. Lkl Doty one muse on each Ilne. WI not resWlln 41 in the untlertying reuse given in Pan I. ^ Ves ^ Probahty IMMEDIATE CAUSE fFlnal tluease or ` '1~ ~ taxlrtbn resulting in death) ~ J 1yD ~No ^Unknown _~ a n (.(,Pb~ Due to (or as a consequence oQ 29. II Female: . Se uentiatty F t tili A ^ Nat pregnant wnhin past year q s mn orls, any, b, ketlinp to the ranee listed m Noe a. Dua to (or as a con ~ Enter fha UNDEBLYMIO CAUSE sequence oR ^ Pregnant at time of deem . (disease a injury mat AtiGaleO ma i ^ Nm pre t ys 9nan, but pregnant wdhin 42 de eYems resdlting m daam) usT. ° Due 1° (°r as a Consequence ol) of daam . d ^ Not pregnant, but pregnant 43 days Ip t year ' n before deem ^ ~, yre, an AM apsy Pedortned? 300. Were Aukpsy Fillings gvailade Prior to Completion 31. Manner of Deam 32a. Oate of Inury IMomh, day, yeaq 32b. Describe How Injury Ocarted Unknown if pregnant wi1Nn the past year 32c. Plea al Injury: Home farm Slreal Factory of Cause of Deam' atural ^ Homicide , , , , Ol6ce BuMing, ek. (Speedy) ^ vas ~ N° ^ vas ^ n° ^ ~~^I ^ P~ 9 Investigatbn 32d. Thee of InN7 32e. Injury at Wonc? 32f. II Transportation InN7 (SPaciN) 32g. Location °I Injury (Street, city I town, stale) ^ Suitlde ^ Call Not 0e Detennirletl ^ Vas ^ No ^ Deter I Oparata ^ Passenger ^Petlasdan M' ^Other-Speciry 33a. Cerefxx (check mry me) . • CMifying physkden (Physkan mnifying cause of daam when anomer physician nos prorouncetl daam and mmplNetl Item 23) Ta the ball oz my knowktlge tlaeth occurred due t°th d 330. SignnNre Title of Canes r , e eauaa(a)m manner as stated_______________ __________________ ^ • Prorrouncirg end wnlrying phyelclan ;Physician both pmrwundng Deem and mnilying to muse of tlealh) ~r -V? ~ 1 -^~ti To the beat of my knowledge, daam occurred al the time, dale, and place, ell due to the cause(s) all manner es stated_ _ _ _ _ _ _ _ _ _ ^ 33c. Lkense Number 33d. Dale Signed (Monet, day, yearl _ _ _ _ _ _ _ _ • Medal Ex Hminer / canner On the ba t l i i MO O l V 2 t•1 ~ 6 $e~~ 11 2bo g s a exem nel on end / or invesdga[ion, in my oplmon, tleath oauned at the time, date, and place, and due to the ceure(s) and manner m stated_ ^ 34. Name and gdtlress 1 Persm Who npletetl C y~ S e of Death (Item ~ 27) T a /P i t 36. Reg r Signature a^¢~Inc~a n - . Dm Filed (MOntn, day, year) yp r n 1 p . ~ ~ 6 0~ 1 ~ ~ V ~~'~SC+V V~ ~ ~ ~ O H. [ 11-1-C![~ I c~ ~ ~ ~~ ~ ~ ~ ©I ~~ ~ 50 W L~,.~w'rC Ba ~j t` ~0 C. ~.H•uh lit Disposition Pertnil No. ~ 7 ~ ~~ ~~- U~- lD ~1~. d~q"~ C ~ ; -_ LAST WILL AND TESTAMENT -; _ `~_; __, OF `-' _ a_., CATHARINE E. MacCAFFRAY -=' -, I, CATHARINE E. MacCAFFRAY of Carlisle, Cumberland County Pennsylvania, 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 1 direct the payment of my just debts and expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. If there be no cemetery lot available for my interment owned by me at the time of my death, I authorize, not order, my personal representatives to purchase such cemetery lot with a contract for perpetual care, using therefore funds from my estate in such amount as they shall consider necessary and desirable, and I auu'~orize my personal representatives to cause title to or ownership of such lot so purchased to be vested in such person as my personal representatives shall designate. Further, I authorize my personal representatives to expend funds from my estate, in such amount as my personal representatives shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. SECOND I give, devise and bequeath all the rest, residue and remainder of my estate equally to my niece CATHARINE E. BISHOP of Annandale, Virginia, my nephew J. MICHAEL BISHOP of Belvedere, California and my nephew STEPHEN G. BISHOP of Champaign, Illinois. THIRD In the event that any/all of my nephews or niece should decease without children of their own; his/her share shall be given equally to my surviving nephews or niece. If any of my nephews or niece dies leaving surviving children then his/her children shall receive their parent's share per stirpes. FOURTH I direct that any and all inheritance, estate and transfer taxes imposed upon my estate passing under this Will or otherwise shall be paid out of the principal of my residuary estate. FIFTH In addition to the powers conferred by law, I authorize any personal representatives acting under this instrument, in their absolute discretion: A. To retain in the form received, or to sell either at public or private sale any real or personal property; B. To exercise any options to subscribe for stocks, bonds or other investments; C. To join in any plan of lease, mortgage, consolidation, exchange, reorganization or foreclosure of any corporation in which my estate or any trust may hold stocks, bonds or other securities; D. To sell, transfer, convey, mortgage, pledge, lease or exchange any property, real estate, for the payment of debts or taxes, or for any purpose of administration or distribution, for such prices and upon such terms as my personal representatives, in their sole discretion, may deem wise, and to execute and deliver deeds of conveyance or transfer thereof; E. To make settlements and compromises on such terms as my personal representatives in their sole discretion may deem wise without the necessity of obtaining any court approval thereof; F. To make distributions hereunder either in cash or kind, as my personal representatives in their discretion may deem wise. SIXTH I nominate, constitute and appoint JOHN C. OSZUSTOWICZ to be the sole Executor of this, my Last Will and Testament. If JOHN C. OSZUSTOWICZ is unable or unwilling to serve or continue to serve as Executor, I appoint, TRICIA D. NAYLOR, Executrix of this, my Last Will and Testament. No Executor or Executrix shall be required to give bond. In Witness, Whereof, I have hereunto set my hand and seal this; day of AugUS {~ 2006. CATHARINE E. MacCAFFRAX v Signed, sealed, published and declared by the above-named person as and for her Last Will and Testament, in our presence, who at said person's request, in said person's presence and in the presence of each other have hereunto set our names as subscribing witnesses. ,, We, CATF[ARINE E. MacCAFFRAY, j r~ COQ [~ Nay I or ,and Jr hn C the Testatrix and witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the OSZuStowiG2 Testatrix signed and executed the instrument as her Last Will and Testament and that she signed willingly, and that she executed it as her free and voluntary act for the purposes expressed therein, and that each witness, in the presence and hearing of the Testatrix, signed the will as a witness and to the best of their knowledge the Testatrix was 18 years old or older, of sound mind and under no undue influence. ,-Y COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND: Subscribed, sworn to and acknowledged before me by CATHARINE E. MacCAFFRAY, Trl G I a p. i~1c~y t o ~'' Testatrix, and ,witness and John C- C7SZ US fb iN i GZ AU ~-5 ~ witness this Z3 day of .~ , 2006. 9-- ~ ~. l~~~C.: NOTARY Pt1BLIC ommonwealth of Pennsvlvani NOTARIAL SEAL KIMBERLY R. LEO, Notary Public Carlisle Borough, County of Cumberland My Commission Expires Oct. 10, 2009