HomeMy WebLinkAbout10-31-08 ETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of MARLIN E. RUSSELL, SR.
also known as
Deceased
COUNTY, PENNSYLVANIA
File Number ~~ ~ ~ `~ .~ ~ ~O (~/
Social Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.•)
0 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the EXECUTRIX
last Will of the Decedent dated AUGUST 8, 2003 and codicil(s) dated
named in the
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(State relevant circumstances, e.g., renunciation, death ojexecutor, etc.) ~ ;7 _ !" :~
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Exc t as follows, Decedent did not ma ~
ep try, was not divorced, and did not have a child born or adopted after execution of thy: Ds"ftitmenffs~ offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~"` ~ ' ' .__.
0 B. Grant of Letters of Administration
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(Ijapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendentelite; duranteabsentia; durat~t~minoritate) "'
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Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) a~heirs: (If
Administration, c. t. a. ord. b. n. c.t.a., enter date of Will in Section A above and complete list of heirs.)
(COMPLETE IN ALL CASES:) Attack additional sheets if necessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at
322 BOLTON AVENUE CARLISLE SOUTH MIDDLETON TOWNSHIP CUMBERLAND COUNTY PENNSYLVANIA 17013
(List street address, townicity, township, county, state, zip code)
Decedent, then 70 years of age, died on SEPTEMBER 20, 2008 at CARLISLE REGIONAL MEDICAL CENTER,
CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 1,500.00
(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
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition an~I the grant of Letters in the appropriate form to
the undersigned:
or printed name and residence
VIRGINIA L. RUSSELL, 322 BOLTON AVENUE, CARLISLE, PA 17013
Form RW-02 rev. 10.13.06 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS
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. 1
Sworn to or affirmed and subscribed
before me the ~ ~~, day of
F the Register
j
~ ~
Signature ofP al Representa the
Signature of Personal Representative
Signature of Personal Representative
File Number: c~ ~ - ~~ 0 ~ ~ L~L~%
Estate of MARLIN E. RUSSELL, SR. ,Deceased
Social Security Number: 188~~3jj2-37FF35 Date of Death: SEPTEMBER 20, 2008
AND NOW, ~~~sf ~ VL L'' ~ ('~: ~ ~ ~ ~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before e, I 5 DECREED that Letters TESTAMENTARY
are hereby granted to VIRGINIA L. RUSSELL
in the above estate
and that the instrument(s) dated AUGUST 8, 2003
described in the Petition be admitted to probate and filed of
FEES
Letters .......... ..... $ 20.00
Short Certificate(s) . ....... $ 4.00
Renunciation(s) ... ....... $
~Cp $ 10.00
AUTOMATION FEE $ 5.00
WILL ... $ 15.00
... $
... $
... $
... $
... $
... $
TOTAL ....... ....... $ 54.00
Form RW-02 rev. 10.13.06
recor as the last Will (and Codicil(s)) of De dent.
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Attorney Signature: `~ ~ ~ ~~'` "'
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Attorney Name: M CUS A. McKNJ.f#fTT, III
25476
Supreme Court LD. No.:
Address:
60 WEST POMFRET STREET
CARLISLE, PA 17013
Telephone:
(717)249-2353
Page 2 of 2
I(IS RO~RL.V 'tllyli-l •~') ~~.~~ ~1..!`~~
LOCAL REGISTRAR'S CERTIFICATION O~F DE~~T'~~
WARNING: It is illegal to duplicate this copy by photostat or K)hotogra~h.
Fee for this certificate, 06.00
P 1480662
Certification Number
'his is to certifi that the infl~~~nlatiL>n here given is
orrectly copied ~~rom ali urigiuil Certificate of Death
July filed with Ina as Local Rc;,istrar. The original
~ertificaee will be fca~ardet! to the State Vital
tecords Office 1rr perrlunene filing.
_G1 • ~e~c~•'~a, ~o ~ ~ ~ 2ooe
~ocal Registrar ~ Date Issued
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WtO REV tlr2DD3 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE/PRINiIN CERTIFICATE OF DEATH
PERMANENT
BLACK INK (See instructions and examples on reverse) STATE FILE NUMBER
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2. Sex 3. Social Sewriry Number 4. Date of Deam (Math, day, yearl
1. Name d Decetlem (FBI, mitltlle, last, wlax) M 188 - 32 -3735 9/20/2008
Marlin E. Russell, Sr.
5. Age (Last Binfday) Under 1 year Under 1 de 6. Dale of BiM (MOnm, day, year) ). Birthplace (City and slate w kxeign Gantry) 8a. Place of Death (Check Dory ons)
Omer
.
Manere Darya Hare MmWaa FbspiBl:
70 9/g/1938 Newville, PA j~Lpluiem ^ER/Outpatient ^DOA ^NUrsirg Fbme ^Residenre ^01her-Specity'.
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eb. Canry of Death Bc. Ciry, Born, Twp. of Death Bd. FaclNry Name (If na Instaulion, glue street and number) 8 (Ilfryes, spady Cuban~nN Ongm~ ®Ne ^ Ves 10. M roan IMian, Black, While, etc.
CTnnberland outh Middleton Carlisle Regional Medical Center Mexuan,PuedoRk:en,etc.) White
•
11. Deadenl's Usual tun Kind of wale tlane moll of waN life. Do not stale relit 12. Was Decedent ever in Ue 13. Decedent's Education (Speciy only Nghesl grade wngleled) 1<, Marital SIaWS: Mertied. Never Married, IB. Surviving Spouse (II wile. gWe maiden name)
W~~' DNaad (~i/~
Kind d Wok Kmd of Business I IMUSIry U.S. Artned Faces? Elemenmry /Secondary (0.12) College I7-4 or SF)
1 Married irginia Lee Thanes
Boiler En ineer Lear Co 6clYea ^No
18. Decedent's Mellwp Address (Street, Lily /town. slate, zip code) Decedent'9 Did Deceeanl
Decedent Lind in SOTT }1 Middle PP Twp.
PA Uve n a 17c
~Ves
322 Bolton AVe. ,
.
Attuy Resitlance 17a. Stale
Township? t7d.^NO, Decedent LNed wihan
city/taro
C>
anberland
c
Carlisle, PA 17013 ,
pmry
nb.
AclualUmKaof
f 8. Fame's Name (Fast, midge, last, sulfixl 19. Maher's Name (Fir51, middle, maitlen wmeme)
Edna Mae Sho ell
A r H. Russell
Inlortnant's Name (Type I Print)
20a 2gb. Informant's Mailing Adtlress (Steel, city! town, state, zip code)
. 322 Bolton Ave., Carlisle, PA 17013
Vir inia Lee Russell d
i
21 a. Metlatl of Disposhia ^ Crert,atbn ^ Doretan 21b. Dale el DSPosiaon (Madh, day, Year) et
P ca
21c. Place of Dlsposidar (Name of cemetery, crematory a drrer place) 27d. Cecelia (Ciry /sown, slate, E
~Baim ^ RemovallmmSale w.ecremetionaDOnatlanAUtlwdzad 9/25/2008
• estminster Manorial Gardens Carlisle, PA
^ grasr . Speafy: M Metlk:el Examiner! CoronerT ^ Yes ^ Na
22a SgnaMe W F ' e Licensee (or pe gas ~ r 27b. Ucenae Number 22c. Name aM Address d Faddy
PA 17013
Carlisle,
Inc
ral Home
Et
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.
.,
,
uie
ers
- - FD 012633 L Bvin Brot
23b. license Number 23c. Date Signed (Month, day, year)
Ca11pIMe Xems 23ac Doty vAlen ceNtyag 23e. To Vie best d my know'Md9•, dae>n warred et the low, tlale one yaca sl0led. (Slgrelae anQlitle)
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pllysitlan s not aaaaawe et Vme d tleam to ~ . 6 . CJ/'y~~,Q~L g `~ 1 M D 3 03 (2~
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omfy mravaae a aealh. ~'
(MOnm, day, year) /~ 26. Wes Cesa Reherred to Medical Examiner Caarer for a Reason Omer then Cremetlon or Daatun?
D
ee
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w Kems 2428 muM be aanpMee by person 24. Time of Death 25. Dale Prolrounced
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p
y
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wa pmraArces death. ) I I o ~T• ~ 1 M. y -1 J 2 v 2 ~D Z"j ^ Yes
CAUSE OF DEATH (See Instrugiona and examples) L ApproxlmeM interval:
Pan I: Enter the Mom al evens - dseesas,'mrydes, or mmpfimVorls -VBt directly caused Vie deem. DO NOT enter terminal events such as cerdac artesl, Onset Ie Deam
Kam 2T Part I I: Enter Omer ~u~ arod corldL conthbudm b tleaN
but not resuhilg n the undedying cause given In Part I. 28. Did Tobaca Use GonMbme to Death
^ Yes ^ Prebady
.
raspiretary arrest, a ventruWar libmlation wiVlal Showing Vie etiology. U&I only Ixre came on eaM Ilne. ^ No ^ Unknown
IMMEDIATE CAUSE 1Final 6wase or ~ O rn ~
andd~n rewakg m &am)
iT A T t C n'I E S UT NC-
ivy T /a 29. K Female:
^ Not pregnant wBhin pest year
,
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e. Due to (a as a consequence of): ^ Pregrwa at tlnle of deem
d a
lest ancliaw
e
tl
,
eq~m
e
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m. b.
~ Io Vre °~ ~~ °n ~ a_ Da: to (or ae a consequence oil:
En Vk UNDEBLYMG CAU3E
(disease a tljruy mat iniValee Vie
^ of dp~femgnanl, al Pm9nanl wino 42 days
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1
evens rewMrg In deaml LAST c year
ays
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thtl Pregnant 43
^
Due to for as a consequence oft:
d.
w ~~ deah
^ Unbwwn K pregPent vMhin Kra peM Yeer
30e. Was an Autopsy 30b. Were Autopsy Fxdirgs 01 DeaN
31 32a. Dale d Ina? (ham, eaY• Year) 320. Desaia How Injury Occurtad 32c. PI e f Injury: Rome, Farm, SreeL Fadory.
Olfic &a 'rg, etc. (Spedty)
PakmMd? Avaaeble Prior to Compeaon .
NaWBI ^ Homidtle
- / of Cause of Dealh7 ^ Accident ^ Perdhg Invesllgelkm 32d. Time M Inryry 32e. Iryuy at Wo~k7 321. K TianapMatbn InNrY (~/Y) 329. Location of Inlu7 lSTreet. atY I town, stale)
^ Yes
~'NO ^ Yes ^ No ^ Yes ^ No ^ Ddva / OPa21a ^ Passenger ^Pedeamen
SlafJde ^ Caltl Nm he Delelmmetl
^ M. Olha - Spedh:
33a. Cenfier (Mack anty awl
el
d Item 23)
d
m
e 336. SIgrMNre entlt~dsM of ceniller ~
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C
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ee
on
anlM
• Carlilylrg phyakian (Physician cendykg cause a death when another physkaen has ponanced
__________________________ ^
aeon occurred due to the ceuae(s)aml manner as eMte(L
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k
be
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,
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______
,
o
my
now
g
o
he
rea
• Proraurwing and ttrlitying physulan (Physician bom pmnandng tleem aM ceNrying ro cause of deem)
l
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d 33c. License Number
2 33tl. Data Sgned (Month, day, year) ~ ~~
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2
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rodl•I»atormyknowMe9e,rLaem«aaredatmanme,daa,.nepLea:,anddwromaeaa.s[s)an 2 ~
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• kkdkal ExamiMr I Garret
On drt basis of examinstla one / or inyastlgatlon, In my opinion, tleaM oaurted n the time, date, antl place, aM due to tM taus {s) entl mender ea staled- ^ Prin
t
of Deem (Item 27) Ty
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ompletetl Caus
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Addfess of Person
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Owl Feed (Moon ,
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35. Reg Ir s Signature a~IL~pkf bar (~ ,
Disposition PermK No. ~~ b~jj~
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LAST WILL AND TESTAMENT ~ '- ~_='
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I, MARLIN E. RUSSELL, SR., of South Middleton Township, Carlisle, Cumberland
County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby
expressly revoking all Wills and Codicils heretofore made by me.
ONE: I direct my Executrix to pay all of my debts, funeral and administrative expenses
as soon as may be done conveniently after my decease.
TWO: I give, devise, and bequeath all of my estate of every nature and wherever situate,
to my wife, VIRGINIA L. RUSSELL, provided she has survived me by thirty (30) days or
more.
THREE: If my wife, VIRGINIA L. RUSSELL, has predeceased me or failed to
survive me by thirty (30) days or more, then I give, devise and bequeath all of my estate of every
nature and wherever situate to my children, BRENDA KELLEY, KELLY WHITTEN, and
MARLIN E. RUSSELL, JR., in equal shares, per stirpes. If one of my children has
predeceased me, then the share of said child will be equally distributed to the issue of said child.
If one of my children has predeceased me without living issue, then the share of said child will
be distributed to my children then living or equally to the living issue of said child if said child
has also predeceased me.
FOUR: I appoint my wife, VIRGINIA L. RUSSELL, to serve as Executrix of this my
Last Will. If she has predeceased me, failed to qualify, or ceased to serve as Executrix, I appoint
my children, BRENDA KELLEY, KELLY WHITTEN, and MARLIN E. RUSSELL, JR., to
be the Co-Executors of this my Last Will.
FIVE: My Executrix may, at her discretion, compromise claims, borrow money, retain
property for such length of time as she may deem proper; lease and sell property for such prices,
on such terms, at public or private sales, as she may deem proper; and invest estate property and
income without restriction to legal investments.
SIX: No Executrix or Co-Executors, acting hereunder shall be required to post bond or
enter security in this or any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this $ day of
August , 2003.
~CLc~.~ ~~u=~={ - (SEAL)
MARLIN E. RUSSELL, SR.
Signed, sealed, published and declared by MARLIN E. RUSSELL, SR., the above
named Testator, as and for his Last Will and Testament, in the presence of us, who, at his request
and in his presence and in the presence of each other h e subscribed ouy~ames as witnesses
hereto. e ~ .~ / 1
2
ACKNOWLEDGMENT AND AFFIDAVIT
WE, MARLIN E. RUSSELL, SR., KAMELA S. CORNMAN and CHERYL L.
CLELAND, the testator and witnesses respectively, whose names are signed to the foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that the
testator signed and executed the instrument as his last will and that he had signed willingly,
and that he executed it as his free and voluntary act for the purpose herein expressed, and that
each of the witnesses, in the presence and hearing of the testator, signed the will as a witness
and that to the best of their knowledge the testator was, at that time, eighteen years of age or
older, of sound mind and under no constraint or undue influence.
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MARIrIN E. RUSSELL. SR.
S. CORNMAN
.~
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CHER, . CLELAND
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
. SS:
Subscribed, sworn to and acknowledged before me by MARLIN E. RUSSELL, SR.,
the testator herein, and subscribed and sworn to efore me by KAMELA S. CORNMAN and
CHERYL L. CLELAND, witnesses, this ~ day of August, 2003.
Notarial Seal tart' Pu
Martha L. Noel, Notary Public
Carlisle Boro, Cumberland County
My Commission Expires Sept. 18, 2003
rt4omher ~enrs~wania Association of Notaries
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