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HomeMy WebLinkAbout11-25-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Rose Selvev Jones File Number .-~ ~ L~~ ~ ~ ~ ~ also known as Rose S. Jones Deceased Social Security Number 210-44-7135 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 EXeCUtrIX named in the last Will of the Decedent dated 3/7/2006 and codicil(s) dated (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 (IJ~app[icable, enter: e.t.a.; d. b. n. c. t. a.; pendente life; durante absentia: durance ininoritate) 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:(!) Administration, c. t. u. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) r_~ Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last principal residence at 314 Virainia Road Mechanicsbura PA 17050 Upper Allen Township (List .elreet address, toN~iv/city. toNn7slzip, county, state, yip code) Decedent, then 95 years of age, died on 11/19/2008 at McSSlah Vlllaae 100 Mt. Allen Drive Mechanicsbura PA 17055 Decedent at death owned property with estimated values as follows (If domiciled in PA) All personal property $ 800.000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ TOTAL: $800,000.00 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 ~„~~.----;-~-~"d; ~~,~-~.~ -_._ -~`` -- ~~ -- .: Robert C. Jones 454 High Street Mount Holl NJ 08060 / r Page 1 of 2 t-~~rm RW-01 rev. 10.!3.06 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~ fU 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 :ir affirmed and subscribed before ;tee the Lr,.,~~ -;,dva~y of ~ ""~ ~~ ~_ For the Register Signature of P`~y-sonal Representative r~ ~..~ `_. ./ -~~ cs~ ~ Srgnature of Personal Representative ~ ~ y- ~ ~` Ft) Signature gf'Personal Representative _ _ _ ~ . + ~ ~ - -U File Number. ~~ ~ C~ ~ ~ ~ 7 ~7 Estate of Rose Selvev Jones ,Deceased Social Security Number; 210-44-7135 Date of Death: 11 /19/2008 AND NOW, ~~°~~'~ ~ ~~ >1~~> in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that LettersTestamentary are hereby granted to Robert C. Jones in the above estate and that the instrument(s) dated ~~ I'G ~ ~ ~ ~~ --- described in the Petition be admitted to probate and filed of reco as the last Will (and Codicils of Decedent. FEES ~ - ~ `5 ~ s ~~~ Letters ... .. t. ........... Short Certificate(s) •••~~•~••• S ~© Renunciation(s) •••~~••••~ t~~W W S IS $ tL $ ~ TOTAL .... $ .... S Attorney Signature: Attorney Name: Gerald J. Shekletski. Psguire Supreme Court I.D. No.: 40486 Address: 414 Bridge Street New Cumberland PA 17070 ~~~~ w Telephone: 717-774-7435 ...... $ ~ 1~- Form R14'-0Z rev. 10.13.06 Page 2 Of 2 nz ~f rs NGY wlari LO~:A~ REGISTRAR'S GERTIFI~ATION OF DEATI'-I WARNING; It is illegal to duplicate this copy by photostat or photograph. =ee for this certificate `~fi.~0 ~ 1409977 Certification Nunther Thtti lti CU ce!~Ui`• l~Tll 1;U~ tll?11t~111aLi'I? ~~li"rC +'1ct°Il 1`w cor)~ecti~° ctlpicu~tr; m an cn ir_inal C l r~uti~..ale• gal 1?4:at1? dul~~ ?'ilcd ~; f?h n1t a ? .(r: a? K.~z~~;r):u i Ix t~ri«inal ,:ertit~icate ,till h~ ttn~r, <trtl.~c! [;r thi.~ State l~it.)i kCCUr(j~ ~li~l('C it14- J`.'i-R'.J!Y['I ?lii;?~" !Gn~2,. ~~= _ ;,yJp~~~~+I~+n~ 11 1.71008 L_U~al RL~:t~!i a 1- ~~~ii.' l~~klt't r~a C- `~ ? ~ ac7 t _ .,c~ _-,:, ~, __ - - r... c.:-1 - - ;_ ~ ~~_; 3EV 1t/2006 PRIM IN iANENT ,K INK COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ;,.7 CERTIFICATE OF DEATH ~ ` ~~ lam' 11 (See instructions and examples on reverse) STATE FILE NUMBER 1. Name of Decedent (Pith, middle, lest, suMix) • 2 Sex 3. Serial Security Number 4. Dale of Death tMOnlh, day, year) f(\z xlr.>•4z dC^ S ~~b~-~~ Female 210 -' 44 ~ 7135 November 19 2008 5. Age (cast Birthday) Under 1 year Untler i day 6. Date of Rinh (Month, day, year) 7. Birthplace (City and state or foreign country) 6a. Place of Death (Check Dory one) ' . Monms Days Routs Minutes Hospital: Other October 7 1913 En land ^ Inpatient ^ ER /outpatient ^ WA ~ Nursing Home ^ Residence ^omer speeiry 95 Yre. CouNy of peaty Bc. City, Boro, Twp. of Death Bd, Facility Name (It not institution, give sUeat and number) 9. Was Decedent of Hispank Origin? ®No ^ Yes 10. Race: American Indian, Black, White, etc. 6b . ~ ~ J/ ~ (If yes, specity Guban, (Specil» PUertoRican etc) i ~ C •L ~~ Me A~ x cen, . , 1~]lte I $ er Al1eII ~-~""~`t 11. Decedent's Usual Occu lion Kith of work tlone tlurin moll of workin IAe. Do riot state refit 12. Was Decedent ever in the 13. Decedent's Education (Specify only highest grade completed) 14. Marital Status: Monied, Never Married, 15. Surviving Spouse (II wile, give maiden name) Divorced (Specilyf Widowed . Kmd W Wpb Kind of Business I Industry U.S. Armed Forces? Elementary /Secondary (0-12) College (1-4 or 5+) - Homemaker ^Yes ®Ne 12 idowed 16. Decedent's Mailing Atldress (Street, city; town, state, zip code) Decedent's Pennsylvania orVeq^ wadent H~ den Decedent Lived in p Twp. 17c ®Ves 314 Virginia Road . , Actual Resklence 17e. State Township? 17d Decedent livetl within ^ No Mechanicsburg, PA 17050 , . ,7b. Bunn Cumberland gcNal Limits of Ciryi BorO 16. Father's Name (First, midde, last, suaix) 19. Mother's Name (First, midtlle, maiden surname) Bertha S. James Charles Trewern Informant's Name (Type /Print) 20a 20b. Informant's Mailing Atldrass (Street, city I town, state, zip code) . 314 Virginia Road, Mechanicsburg, PA 17050 Dorothy E. Jones 21 b. Date of Disposition (Month, day, year) 21c. PWce of Disposkion (Name of cemetery, crematory or mlrer place) 21tl. Location (City I town, state, ap cotlel Method of Disposition ®Gremation ^ Donation 21a . I ~ i Was Cremaaon or Donation Authorized ~(., ^ Burial ^ Removal from State 2008 Cremation Societ of PA Harrisbur , PA 17109 /Coroner? Yes^No ovember 24 mi lE b M l , w xe ner y ed ^ Other-Specify: Name and Address of Facility Aller Cremation Services o Pennsy van a, Inc . Lcense Number 22c 22b . . ' ; ~~ BWr~ner sarvka Licensee (or person acting as such) FD 013376 - L 4100 3onestown Road, Harrisburg, PA 17109 / l.. ` Items 23ac only n certiNing Comp) 23a. To the best of my knowledge, death occuned al the time, date and place stated. (Sgnature and title) 23b. License Number 23c. Date Signed (Month, day, year) physican is trot available al ime of death to cenay cause of deem. lime of Death 24 Deed (MONK day, year) 25. Date Pronounced 26. Was Case Referretl to Medical Examiner /Coroner for a Reason Other (hen Cremation or Donalion~ Items 24-26 must be completetl by person j~R . G L ~ ^ Yes ^ No who pronounces death. ~ , ~..A~s M. ~ ~ f 7 CAUSE OF DEA7H ( instructions end examples) t Approximate interval: Pan 11: Enter other so Twanl condTOns coot hufne to tlealh, 28. Did Tobago Use CoNribute to Death Pan I: Enter the cha'n of events -diseases, injuries, or complications -that directty causetl the deeN. DO NDT enter terminal evems such as cardiac anesl, Onset to Death Item 27 hul oat msWlklq in the underlying cause given in Pad 1. ^ Yes ^ Probably . respiratory arrest, or ventricular fDnllatbn wahout showing the efiobgy. List only one rouse on each line. ~ ~, No ^ Unknown IMMEDIATE CAUSE (Final disease or //~ ;/" iv {~~~ /_~~Z~f 2~/,~-C. r ( ~/f~3 C.~C1 !~"•'"_ condition resulting In death) L', f-~-~ 29 If Fejnale. nant within ast of re ear ~, a Due to (or as a consequence of): , ~ ~ y p p g ii an t dAions i ll li '" ~ ~ (.~ / ~ ~ / ~ /'~ ~~~ ~ hens al time ^I tlealh y, 6 , y s con Sequent a leading to me cause listed on line a. pue to (or as a ronsequence ot): Y1NG CAUSE ER / ~~~ 9 ~ / L~~ S y S pregnant,lwt pregnant within 62 days of death l Enter Ure UND that initiated the se or In u tli V / . c, ry ( sea l events resulting in death) LAST. ' ^ Not pegnant, but pregnam d3 days l0 1 year Due to (or as a consequence op . before death ^ Unknown it pregnant within the past year d 30a. Was an Autopsy 30b. Were Autopsy Findings 31 Man rot Death 32a. Dale of Injury (Month, tlay, year) 32b. Describe Now Injury Occunetl 32c. Place of Injury. Home, Farm, Street. Factory, Offke Building. etc. (SpecityJ Performed? Available Prior to Completion Natural ^ Homicbe of Cause of Death ^ Accident ^ Pendirg Investigation 32tl. Tine Of Injury 32e. Injury at Work? 321. II Transportation Inlury (Specify) 32g. Location of Inlury (Street, city I town, stale) ^ Yes ~] No ^Ves ^ No ^ Vas ^ No ^ Driver I Operator ^ Passenger ^Petlestnan ^ Suicrtle ^ Could Not be Determined M ^Other ~ Specify: 33a. CertiAer (check only one) ~ 33b.Stgre and Tnle of CertHier ~~ • Certitying physician (Physiaan cenitying cause of death when another physkian has pronounced death and canpletetl Item 23) ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ,. _ _ _ _ _ _ _ _ . ~^ e to the cause(s) arM manner as stated r tl d th _ -_-- - ~ ~ ~iC/l~L ~! , _ _ _ _ _ _ _ _ _ re occu u To the best of my knowledge, dea • Pronouncing and certdying physician (Physician born pronouncing tlealh and cenilying to cause of death) rise Number 33d Date gnetl ("Mon/gI, tlay, year) / To the best of my knowledge, death occunetl at the time, date, and place, and due to the cause(s) and manner as slaterL - - - - - - - - - -- - - - - - - " ~ 1~~~ G~ l((t/ f~L (~ J L.~ ~D/ ~) ~ • Medical Examiner/Coroner , On the basis of examination and / or investigation, in my opinion, death occurred at the time, date, and place, and due to the cause(s) aRd mamrer as stated_ ^ 3q Name and Address of Pers Who~Com~W/e~ C se of Death (It m 2" Type /Print Registrar's - store and Dis ' 35 ~ ~ 3G. Date Filed (Mon ,day, year) J" _ _ x/1~s=arc 1 ~~~, U v „/!f ~ " . l / I I ~ ~ l~ I ~I //, ,/G ~ ~ / ,l / %f ! ~ "" 0309074 Disposition Permit No. LAST WILL AND TESTAMENT ~, -., ~~ ._.. of = ;== -- _; ~_ ~~ Rose Selvey Jones " ~ "~' /.-,. -{ ~.;, , I, Rose Selvey Jones of Cumberland County, Pennsylvania, decl~~e this torw~e my Will and revoke a!I other Wills. ARTICLE I I authorize my Personal Representative to pay such sums as my Personal Representative deems proper for my cremation, including the disposition of the ashes regardless of any limitation fixed by statute or rule of court and without order of court. ARTICLE Il (A) My Personal Representative shall make the following distributions to the following persons who survive me: I order and direct that all stocks held in my name shall be given to ROBERT C. JONES. I order and direct that the funds held in a money market account at PNC Banff be divided into five (5} equal shares between the following persons: ROBERT C. JONES (grandson), DAVID W. JONES (grandson}, DOROTHY E. JONES (daughter in law}, GABRIEL~%YONES (great-granddaughter) and Gabr~iel's as yet unborn and unnamed brother or sister with an expected birth date in or around October 2006 (great-grandson orgreat-granddaughter). I order and direct that the diamond ring in DOROTHY E. JONES' possession and insured through USAA be given to ROBERT C. JONES. I order and direct that the Opal Gold Ring be given to Robert's new daughter to be born in or around October 2006 or to THERESA JONES if Robert has a son or the daughter is not born in or around October 2006 as the birthstone will be inconsistent. ARTICLE III I order and direct that the rest of my property not disposed of in Paragraph (A) of Article II be distributed to the following persons who survive me into two (2) co-equal parts which parts, I give, devise and bequeath unto each of my grandchildren, namely, ROBERT C. JONES and DAVID W. JONES if they should survive me for a period of 30 days. If They sha11 not so survive me, i give the rest of my estate, per stirpes, io my issue; who survive me for a period of thirty (30) days. ARTICLE IV The provisions in this Will for the distribution of my estate shall be supplemented by the following: (A) My Personal Representative shall pay all taxes (including inheritance taxes) owed because of my death (including any interest and penalties) out of the residue of my estate. My Personal Representative shall create out of the residue a separate fund for the purpose of paying state inheritance taxes in the amount necessary to pay said inheritance taxes. The payment of the taxes shall be made regardless of whether the taxes are owed on property passing under this Will or outside of this Will and regardless of whether the taxes are owed by my estate or by any beneficiary. My Personal Representative shall not be entitled to reimbursement from any beneficiary for the payment of the taxes. z (B) Each beneficiary shall be deemed not to have survived me unless the beneficiary is living on the thirtieth day after the date of my death. (C) Whenever any beneficiary of my estate is under a legal disability or, in the judgment of my Personal Representative, is for any reason unable to apply any distribution to the beneficiary's own best advantage, my Personal Representative may nevertheless make the distribution directly to the beneficiary or to the conservator of the beneficiary's property or to a person with whom the beneficiary resides at the time of the distribution in whatever manner my Personal Pepresentative shall deern best. in the alternative and if the beneficiary is under twenty-one years of age, my Personal Representative may, in the discretion of my Personal Representative, distribute the property to a custodian for the beneficiary under a Uniform Transfer or Gift to Minors Act. The receipt by the beneficiary, conservator, custodian or other person of any distribution so made shall be a complete discharge to my Personal Representative regarding the distribution. ARTICLE V In addition to the existing authority of my Personal Representative, my Personal Representative may: (A) Sell or grant options with respect to any real or personal property in such manner, for such purposes, for such prices, and upon such terms, credits and conditions as may be deemed advisable. (B) Make any division or distribution of my residuary estate in money or in other property or partly in both upon the basis of fair market value and cause any share 3 to be composed of money, property or undivided fractional share in property, different in kind from any other share. (C) Permit any beneficiaries of my estate to use any tangible personal property or real property, without paying any rent, without giving any bond or security and without liability for any loss or damage. My Personal Representative shall not be liable or responsible for any injury to, consumption of or loss of any such property so used. (D) Take charge of any real property as part of the probate administration of my estate for such period as my Personal Representative shall determine; collect any income therefrom; and pay the taxes and expenses thereof, including the cost of keeping such property in adequate condition and repair, in the manner and to the extent that my Personal Representative shall deem advisable. ARTICLE VI (A) 1 appoint ROBERT C. JONES, as Personal Representative of my estate. If such Personal Representative shall fail to qualify or cease to act as Personal Representative, lappoint the following persons or bank or trust company as alternate or successor Personal Representative to serve in the order specified below, and if the first alternate Personal Representative shall fail to qualify or cease to act as Personal Representative, the second alternate Personal Representative shall serve as Personal Representative. DOROTHY E. JONES -First alternate DAVID W. JONES -Second alternate 4 To the extent permitted by law, my Personal Representative shall be authorized, in the discretion of my Personal Representative, to have my estate administered without adjudication, order or direction of the court having jurisdiction over my estate. (B) No bond or surety shall be required of any Personal Representative serving hereunder. ,j;r I, the Testator, sign my name to this instrument this ,~~ day of ~`~1~ !~ (-~ ,. ~'~~ , and being first duly sworn, do hereby declare to the undersigned authority that I sign and execute this instrument as my will and that I sign it willingly (or willingly direct another to sign for me), that I execute it as my free and voluntary act for the purposes expressed in the will, and that I am eighteen years of age or older, of sound mind, and under no constraint or undue influence. -7 ~~~ ~ % ~ ~ J, .! Rose ~1vey Jones We, the witnesses, at the Testator's request, sign our names to this instrument, being first duly sworn, and do hereby declare to the undersigned authority that the Testator signs and executes this instrument as the Testator's will and that the Testator signs it willingly (or willingly directs another to sign for the Testator), and that each of us, in the presence and hearing of the Testator, hereby signs this will as witness to the Testator's signing, and that to the best of our knowledge the Testator is eighteen years of age or older, of sound mind, and under no constraint or undue influence. ,--, W' ess i of / ',~ -r r, . ,~ 5 Commonwealth of Pennsylvania Cumberland County We, the Testator and the 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 Testator signed and executed the instrument as the Testator's wi11 and that the Testator had signed willingly (or willingly directed another to sign for the Testator), and that the Testator executed it as the Testator's free and voluntary act for the purposes expressed in the will, and that each of the witnesses, in the presence and hearing of the Testator, and at the request of the Testator, signed the will as witness and that to the best of the witnesses' knowledge the Testator was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. -, is ' ' ~.~; ; c,Z,. Rose Slflvey Jones ;-' Wi ss ,.r° ' ~~ r~ P~Zs~r~_~ Witnes~ Witness' Subscribed, sworn to and acknowledged before me by, Rose ~ilvey Jones, the Testator, and subscribed and sworn t before me by ° -, C~1~ , and -~S.s~~+~, F~~ !pc~eAAc~ ,witnesses, the day of ~°~~, ~~, , ,~dr,. (Seal) ~,,,,.,. ,; ~. (Signed) i 't =~..~`~:.k. (Official capaci of officer) 6