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HomeMy WebLinkAbout12-08-08PETITION FOR PROBATE AND GRANT OF' LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA ~. Estate of Vaunlee E. Cline File Number 21-08- t ~ 5 also known as ecease Social Security Petitioner(s) who is/are 18 years of age or older, apply(ies) for: [X] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the named in the last Will of the Decedent dated September 23,1986 and codicil(s) dated N/A state re evenat ctrcumstances, e.g. renunctatton, eat o 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.; .n.c.t.a.; en ente ite; urante a sentta; urante minoratate) 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 ill in Section A above and complete list of heirs.) Decedent then Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) (If not domiciled in Pa.) (If not domiciled in Pa.) Value of real estate in Pennsylvania situated as follows: 1224 Dickinson Drive 600,000.00 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: rv C7 `=~ `- 0 ~ ° ~ C7 ~ -t7 ,.i 3' es- - ~ _': 1'ri F - __ ~ n ~ '' .^..y ~ _... __) _ Y T' ~ - ~ -- Jt7 v •-I N -,-' -r- v N W 83 years of age died on 11/30/08 at Carlisle Regional Medical Ctr. Page 1 of 2 COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her last principal residence at 1224 Dickinson Drive Carlisle PA 17013 (Carlisle Borough) ist street a ress, town city, towns ip, county, state, zzp co e OATH OF PERSONAL REPRESENTATIVE COMMONWEATLH OF PENNSYLVANIA COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition are true and corn 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 this ~~ ~ a ~ ~Q.~'D.~YG~1F/!.~ ~Q~~ ~~, ~~ to N. ~:~L.rr-~ C ~+'~e ~ ~a -~ _. For the Register r= ~ °' - ~ -~ _ ~~-~c~-~`. _ ` -~- rte-- c-' File Number: 1 " ~ =~~ `~' t' "7 `-~ .-~ „ ~ N Estate Of Vauniee E. Cline , Deceased N " Social Security Number: ~ ~, - ~~ -~) `~~ate of Death ~~ - ,30 _ ~~ 11/30/08 AND NOW ~ , 20~in consideration of the Petition, satisfactory proof having been presented b re e, IT IS DECREED that Letters Testamentary are hereby granted to Richard H. Cline in the above estate and that the instrument(s) dated September 23,1986 described in thte Petition to be admitted to probate and filed of record as the las Wi11 (and Codicil(s) of iec2d~-,nt) FEES Signature Attorney Name Letters ~ ~ (~ . n~ Short Certificates ~2U,~ Sup. Ct. I.D. No Renunciation ~~(,( ~~, (~ Address: ~C~' 1C~-©r7 rn~~~ ~,D~ Telephone: TOTAL... -~~. Register of Wills ~ ~,Y ~~ i~~~ ,~... _. r~ ~~ t! , Robert G. Fre3~ 46397 5 South Hanover Street Carlisle, Pennsylvania 17013 (717) 243-5838 Page 2 of 2 ~ -,,- LOCAL REGISTRAR'S CERTIFICATION OF DE::A,'~~~ VVARNING: It is illegal to duplicate this copy by photostat or photogr~~h ~~cc for this certificate. `~6.0O P 15000047 Certification Number '['his is to rertifv that til:° ir;i~crmation here ~~iren is correctly eopicd (rlnn a,~ original Certificate of Death duly filed with n(e a~ f .r>ct(' kea~sh-ar. The original certifiaije will >I~ i.):~;varded t~> the State Vital Records Office f(It permanent filing. ~~~~-~.~.~ ~ o~c 3_C?°°_a Local F:e~istrar Date Issued fV ~ G~ t.. _ { _ ~ ~~ , .. __ ~ ~ `--~. 7 -~„7 ~~ r7 [~ . ~ _ ..i ~ ,: ~ ~ ~.. ....1 -j -r) ~ , ;~ ~__ ~ iV r i .. N .C' D H105-143 REV 118006 TYPE / PRINT IN PERMANENT BLACK INN ~1~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) STATE FILE NUMBER 1. Name of Decedent IFllsl, middle, last, sulfa) 2. Sex 3. Social Security Number 4. Date of Death (Month, day, year) Vaunlee E. Cline F - - Nov. 30, 2008 6. Aga Mast r3imrdayj Under 1 year UMar t day 6. Data of adh (Month, day, year) 7. Birthplace ICiry an0 orate a foreign country) Ba. Place of Deetn (Check only one) Mews Din raw.a ~4aa Hospital: aver: ~ 83 rrs. 4/29/1925 H ingcbn County, PA ellnpalienl ^ER/0ugatienl ^DOA ^Nursing Home ^Resideree ^Other-Speciy: Bb. County d Death &. City, Bom, Twp. of OeaM fld. Faciley Name (ll ret banlul'an, give street and number) 9. Wes Decedent d Hispanic Origin?, ®No ^ Yes 10. Race: American Indian, Bade, White, etc. (K Yea, spedry Cuban, (Spedya Clanberland South Middleton .Carlisle Re Tonal Medical Center Mexican, Puerto Rean, etc.) White 17. Decetlent's Usual Occ son Knd d work d one tlu ~ most of ~ Ida. Do not state retired 12. Were Decedent ever in the 13. Decedents Education (specify ony highea grade comp leted) 14. Mari191 Satus: Marred, Never Manietl. 16. Surviving Spo use (If wife, give maiden name) KiM d Work Kind of Badness I IMIMry U.S. Aimed Forces? Elemental / Seoondery (P12) College (13 a 5.) WitlaweQ Divomxtl (Speaty) Partner Bull d Devel ^Yee ~7Na g Wid+~wed - 16. Decedents MailFg Addess (Street dry /town, stale, zip cetle) DecetlenYS Ditl Detedenl PA 1224 Dickinson Drive Actual Residence 7Ta Sale Llve in a 17<. ^ Yea, Decedent Lived'n Twp. TnwreniD? PA 17013 Carlisle 17b. county Cumberland nd. Decedent Livetl weNn Carlisle , aalLMdbar ciry/fiaa 18. Famei s Name (Firs4 mitlde, Ias4 sufAx) 19. Momer's Name (FIrsL mitlse, maiden surname) Gard - Anderson Olive - Ferrenberq 20a InlomanYs Name (Type I PnMI 20b. Mfamanfs Meiling Atldress (Street, dry /town, slate, zip code) Richard H. Cline 340 Lincoln Ave., Libt~rt 'lie, IL 60048 21 a. Method d D'spodlpn i ®Cremation ^ DoraCon 216. Gale d DisPOSdion (Month, day, year) 21 c. Place of Dispoeinm (Name of cemetery, cmrelary a dnx place) 21d. locelion (City l town, state, zip code) ^ Banal ^ Renrwel ham Sato j Was CransUOn a DoreUOn AuMrorized ^ Omer-SPe.dy: bYMedlWEumlrer/Cororef/ ~IYea^NO 12 8/2008 s Cremation Services Leola, PA 22a. Slgrabxe d F Licensee ading ) ~ 220. lkaree Number 22c. Nerve eM Address d FecMy - FD 012633 L Ewin Brothers Funeral Herne, Inl~., Carlisle, PA 17013 Cmiplele Items 23ac ody when cereryey 23a. To the best d my , tleem ocamed al tM Ma, date and place stated. (Sgnature end tMe) 23b. Ucense Number 23c. Date Signed (Month, day, year) me xaeawmnrredmetnm AM4SR f3'('PtTIN r NOD M>)~3y 8W Nevew~6¢r 3'0 1008 ~ - }. - Hems 242fi mat re conroleted by person 24. Tore d Death 26. Date Pmrgwrced Dead (Month, day, year) 26. Wes Casa Fleferred to Metlkal Examiner! Coroner for a Reason Other than Cremation w Danalion? wlopronwcesdeam. 11.5]' PM. Novgnber 30 2008 ^Yas ®Np CAUSE OF DEATH (See Instructlone end examples) r Approximate interval: Purl II: Enter alAer 6~firAd mndnaa cndnhdino to tleath. 28. Dq Tobaao Use Contribute to Deelh? ttem 27. Part I: Enter me Dili - d es, k{udes, a wmpkcelbre -Bat diredry caused the death. DO NOT enter lemnnel evenb aunt es cardiac enasl, Onset ro Death hN not resultinc in Pa ualedyirg cause gWen in Pan I. ^ Yes ^ Probady respiatory erre9, a ventnNar fiaillanon wehoN showing the elbbgy. List only one cause on each IFe. ,y I IMMEDIATE CA Fi S ^ No ~ Unknown ~ M ~ U E nal tlisease a tantlilion resdeng m ~tn) a Kam. Q\~TO rV {Ql l Ur 'G. r J ~ m~~~t1'1L~ 29. n Female: -' ~ ^ N l nt itM l ol): ~ Due-to, (,er'as` a tonsequence SeprdiYN kst cm6nam, it arty, b. '~p~, ~ ~ /\t~i• SQ\~1~. kra to the muse fisted an ere a o pregna w n pal year ^ Pregnam at time d dsaM ' Due to (a as a Enter ga UNDERLYING CAUSE consequence of): ^ Not Dregnanl, bN pregnant within 42 tlays (tlkeea9P a+Ru7 Mal ki8aletl me c worts resulting n deeM) LA6T. d tleaN Due to (a as a consequence op: ^ Not Dregranl, CN pregnant 43 days b 1 year d. bdore tleaN ^ Unkrewn J pregrent within Me past year 30e. Wes an Autopsy Sob. Were ANapsy Fndrgs 31. Manner d Death 32a. Dale d Injury (Monet, day, year) 326. Descnbe Haw Inury Oaumed 32c. Place of Injury: Ikrta, Farm, Sreet, Faday, Perlomad7 Avarlebb Prior m Campetion ~ Naturel ^ ~^~ om~a edldrg, etc. lscedtyl d caaee d Deam? ^ Yea ®Ne ^Yas ®No ^ AcdderN ^ Pandrg Invesligelian 32d. Tuns d Injury 32e. Inlury al Wak? ffif. If Trerapodation Injury (Spedtyl 32g. Lxaf d Injuy (Street, city I town, state) ^ Suai0e ^ Count Nd bB Determined ^ Yes ^ No ^ Drtver / Operela ^ Passenger ^Pedesman M. ^Other ~ Speclly: 33a. CeNfier (tllede ony ore) 33b. Signature ant Title of CerliliW Certlfying physkian (Physician certihykrg cause of tleaM when aretfar physiden Las pronounced death and panpleled Item 23) N NTA'T') ~ To th best of my Y4wwkdge, dssth aeum0 due to the ceuse(a) and manner as shred_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ , ~ - AML4TA • Pronounchg ant tsrlltying ptrysklen (Physician boM pmreundrg daub ant ceAilying W cause d daunt) To the Cast of ^0' knowleege tleelh accurted et the lime date arM lace end due to tta cause(s e M m t t d 33c. License Number 33tl. Date Sigred (Monet, day, year) , , , P , ) r anner as a e e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ L;I • 1kdkN Ex m lner / Cararr ,~y~ ~3,• p ~ 1. ~t1,nb,~. 3o f2oo$ „ W TU T s o ' On the bast f Inatbn end / a Imeaflgelion, In my egnlon, death accurretl a<the flora, data, and place, and due to the aueHs) and menrer as shterL ^ ~ Name and Atlaess of P son Who Completed Cause d Death Isom 27) Type /Print J i O6 R ' AmUS/4 I TA•TtIV.M, . eg strar s re and District N - ~, ~~, I I I~ ~ I In ~ 36. Dale Flied (Month, day, yeeq x3 G'arGSt,¢ R ;~4.~r~srr-~-lrcRC. (s~,iler (zArL~,1.~ nN 113 Disposition Permll No. ~. LAST WILL AND TESTAMENT OF VAUNLEE E. CLINE I, VAUNLEE E. CLINE, a legal resident of the Borough of Carlisle, Cum- berland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last 69111 and Testament, hereby revoking all other wills and codicils heretofore made by me. FIRST: I direct that all my just debts and. funeral expenses, includ- ing my grave marker, shall be paid from the assets of my estate as soon as practicable after my decease. SECOND: I direct that all taxes that may be assessed in consequence 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 acbninistration of my estate. THIRD: I devise and bequeath the residue o~f my estate, of every nature and wherever situate, to my husband, Harold E. Cline, provided he shall survive me by thirty (30) days. Should my husband, F[arold E. Cline, predecease me or die on or before the thirtieth day following my death, I devise and be- queath the residue of my estate, of every nature and wherever situate, to my son, H. Richard Cline. Should my son predecease me or die on or before the thirtieth day following my death, I devise and bequeath the residue of my estate to his issue living on the thirty-first day following my death. FOURTH: I nominate, constitute and appoint my husband, ~6arold E. Clin Executor of this, my Last Will and Testament. In the event of the renunciation death, resignation or inability to act for any reason whatsoever of the said Harold E. Cline, I nominate, constitute and appoint my son, H. Richard Cline, Executor of this, mY Last Will and Testament. I hereby relieve my Executor or his successor from the necessity of posting security in connection with their duties as such in any jurisdiction in which they may be called upon to act, insofar as I am able by law to do so. IN WI'IiVESS WHEREOF, I have hereunto set my hand and seal to this, my ,.* Last 691 11 and Testament , this ; ` ~~~ day of _~~~-~n..~~~% 1986 . ~ r. _ --, i `- ~- Cc~c-~~_e__ ~' ~'=~-~-- (SEAL a ~: -' Vaunlee E . Cline ~ ~.: ~ ~~ -, ,~; ~ Signed, sealed, published and declared by the above-named Testatrix, - ~ Vau~~~ E. Cline, as and for her Last Will and Testament, in the presence of us ~, who, 'af her request, in her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. ~ LAW OFFICES LANDIS, BLACK, JOHNSON 6i SCHORPP CARLISLE. PENNSYLVANIA I i0 .1~. ACKNOWLEDC~iT OONYvIONWEALTH OF PENNSYLVANIA) : SS. COUNTY OF CUMBERLAND ) .+ I VAUNLEE E.•CLI?~IE ,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 the. instrument as my Last Wi11; that I signed it willingly; and that I~signed it as my free and voluntary act for the purposes therein expressed. Sworn' or affirmed •~,o and a the Testatrix, this ~~~ day of re me by VAiLNLEE E. CLINE, 19 8C~ ~'-~ L., . (S£J1I,) statrix /; Vaur,~ee E. Cline AFFILIAVIT .AW OFh)CES JDIS, DLACIC, ~UN & SCI•IURI'P PENNSYLVANIA 1701) SS, COUNTY OF CUMBERL~IND ) • ~'• ~ We, EDWARD L. SCHORPP and)~~~~~ ~ ~~~u4~the 'witnesses whose names are signed to the attached or foregoing stnunent, 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 ~/aunlee E. Cline signed willingly and that she executed it. as her free and voluntary act for the purpose therein expressed; that each. of us' in the hi,aring and sight of the Testatrix signed the Wi11 as witnesses;' and that~to the best of our knowledge the Testatrix•was at that•time 18 or more years of .age, of sound. mind and under no constraint or undue•influence. COI~RvDNWEALTH OF PENNSYLVANIA ) Swo o d to and subscribed to beyforF; me ~~ E WARD L. and ~~~,~Q~ ~~ ,~~~witnesses, this a3 ~ day of~2~~~,~•~~~C~ SCHORPP . 1986 .