HomeMy WebLinkAbout12-16-08PETITION FOR PROBATE AND GRANT OF' LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
File Number 21 08 ~ ~~ l
Estate of MARY A. PAUL
also known as ~, 164077378
Deceased Social Securi Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW:)
EXECUTOR named in the
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the
~WNlllof PAUL DIED
and codtctl(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
(Ijapplicable, enter: e.t.a.; d.b.n.c.t.a.; pendente life: durance absentia; duranle minoritate)
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his / ht:r last principal residence at
HAMPDE:N TWP CUMBERLAND
49 ~ AST TRINDLE ROAD MECHANICSBURG PA 17050
(List street address, tGwn/city, township, county, state, zip code)
93 ears of a e died on 12/6/2008 at HOLY SPIRIT HOSPITAL CAMP HILL
Decedent, then y g ' CUMBERLAND COUNTY
PENNSYLVANIA 17011
Decedent at death owned property with estimated values as follows: $ 190 000.00
(If domiciled in PA) All personal property
(lf 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 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:
Typed or printed name and residence
LOWELL M. PAUL 700 WEST ELM STREET
Page 1 of 2
Form RW-O2 rev. !013.06
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
. ~__:_ :........:.... ,. ~ ., .,r d h n_c.t.a.. enter date of Will in Section A above and complete list of heirs.)
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 or affirm~~ed~~and subscribed
before me the !5~_ day of
~fl ~ ? ' `~
For e Register
Signature of Personal Representative
Signature of Personal Representative
File Number: 21 '~ ~ ~ ~ ~ °?~`~
Estate of MARY A. PAUL ,Deceased
Social Security Number:164077378 Date of Death: 12~E~~2008
AND NOW, ~? !~()~ in consideration of the :foregoing Petition, satisfactory proof
IS DECREED that LettersTESTAMENTARY
having been presented before e,
are hereby granted to LOWELL M. PAUL
in the above estate
and that the instrument(s) dated APRIL 14 1977 -
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) on Decedent. ?
FEES ,. ,,,, Re - _
gister of Wills /~,/' ~y
Letters ............................. $ 260.00 ~ ° a
:~~ ~ .
Short Certificate(s) • • • • • • • • • • • • $ 8.00 Attorney Signature:
Renunciation(s) ••••••••••••••~• $
Attorney Name: ROGER ~ IRl IN
,IOP .... $ 10.00
pt1TOMATION FEE ..,. $ 5.00 Supreme Court I.D. No.: 6282
WILL .... $ 15.00
$ Address: 60 WEST POMFRET STREET
•••• $ CARLVSLE
TOTAL
$
$ Telephone:
$ 298.00
PA 17013
7172492353
Page 2 of 2
Form RW-01 rev. /0.!3.06
LOCAL REGISTRAR'S CERTIFICATION OF DEA'F'!
WARNING: It is illegal to duplicate this copy by photostat or photograph.
~ Fee for this certificate, 56.00
P 15-~37~2s
Certification Number
N1~5~IJ3 REV t1~200D
TYPE PRINT IN
PEFk1ANEN7
BLACK INK
I I Name a
t.
'['his is to certify that IF:e info r-matior iirre )Ti~~en is
correctly copied from an ori_~ina] CertiFic<<te of lleath
duly filed with me a,s ~_orai F:egisn-ar. The original
certificate will he fn~-~earded to tl7e State Vital
Kerords Office 1~L>r periuauelit 1-iliug.
t
w a~ ~' 2=~-- ~ ~,1 ~ L~' ~
Local Registrar Date Issued
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
(First. made, last soon) STATE FILE NUMBER
Mary A. Pa u I 2 ~' ' ~~ seaar~ Nu~r 4 Dale a Deem IMadn day, yeazj
I Untler I year under, pay 6. Dale of&nh (Norm, day, year) , Female 164 - 07 -- 7378 December 6, 2008
Mv„ yw pars Nows rAwatvs &nhpace Iql and elate a lore counl7l 6a Place d Death ICheck od ale) _
93 Yra August 4, 1915 Tannersville, Pa. "Oe°""' omer:
n0_ County d Deam &. Ciry. Bom, Twp. of Deem ipalienl ^ ER / Oulpalied ^ DOA ^ Nursvg Nome ^ Resgence ^pd~er ~ Speciry:
Bd. Facdgy Nanw III not instiwlion, pve street arM nunl0er)
Cumberland East Pennsboro s waeoaededdYkspa,korian? No ^ Yee to Race Arnericanmdan ~, yyy„a ek
Holy Spirit Hospital In Yes. apedry Caban.
f I. Decedent's Usual Occ Uon Kind d waM done due moll a works Ne. Do not state retired 12. Was Decedent ever N me 13. Decedanys Educalron ~~' PUBnO Ricer e1cJ (~C~ W h Ice
Kvvl d Wall Kira of Susiress I Irqustry U.S. Armed Faces? (speedy Doty hghesl grade canpleted) 14. Marital Sa us: Monied. Never Mazrtea, 15. SurvivUg Spouse In carte,
Clerk Retail Elamenmry/SecaMary IP12) College 114or 5.) Widowed, Drvauretl lSpecily) ~1°B 1"~nnanbl
s6. Decedent's Mai Address lSlreet ^Yes •~No 12 Widowed
I'nq rnv 1 cacao, save, :p coeel oeaedenra _
4905 East Trindle Road AcIUalResidence na 5ate PA DidDecetlarlt Hampden
Live in a 17c.~ Yes, Decedent live0 n
Mechanicsburg, PA 17050 nD coanty Cumberland T°"re"'°? Twp.
17d. ^ rlo, Ikcedenl Lned wow,
18 Famsr'c Name (Fire rtUdde, last sunul Actual lirals d
19. Momer's Name (Frst nadde, maklan siarwne) Ciry / Scvo
Alfred C. Learn Jennie M. Walters
20a timm~ad's Name (Type / Prw)
Lowell M. Paul zro.mla"wu'`">a"Inq"°°'e:a(suealuy'/lo,,,,.aula.:ipcoa,)
21a MemodaDLSposltkn 700 West Elm Street Palm ra, PA 17078
^ Dfemalwn ^ Donation 210 Date a Dis WsiUal (Mavh. da err, a¢mawry a aher y
&u~al ^ Removal Iran sole r. rear) 21c. Place a Disposnlon (Name a camel
Wae CnmaUOn a Oorexon Auetoriutl
^ hef"~''h Ey Yadfcy Enm4w/Caawrl December 13, 2008 Rolling Green Memorial F'ark z,d. Laaaam lCAylwwn, elate, :q code)
z2a. edFaner ^ve`^"° Camp Hill, Pa. 17011
a aaUg as such) 2'm. lkertse NaMer 22c. Name antl Ad6ess of FadMy
~ ~ L FD-012662-L Myers Funeral Home, Inc. 37 East Main Street Mechanicsburg, PA 17055
compere he 23a<atly wren wNryinq 23a Tome d my knowledge. Beam awn the time. dale and place slated. (srgnalure and title)
physkwn u nd avaUaole al time dBeam to / ~~ 23D. License Number 23c Dale
tt M' ease d Beam r ~-~ Sgrled (Mann, day Year)
oars 2a-zfi must D¢ canpkled D z4. rmle a Deem ~'J o~- 3 ~2 Y~ ~- Zl ~.-. _.6c- - W , e.7ong~
Y person 25. Date Pravwaed Dead IMtxdh, day, Year)
wlw pronouaes Beam. - S • ~ 3 ~ M ~ c ` ^^ 26. Was Case Relened m Medal Eaaminer / Caawr br a Reason goer man Crelnatkn a Donatkn?
.-r{+~ ~ C:i , ~I.~~ Ff ^Yes
ur,n 27. Pan I. Emer the CAUSE OP DEATH (Sea Inslruetlona and eaemplaa)
G1NU.'_g(PyEl1L5 - dseases, eyawis. a comldkations - Inat drewy caused me loam. DO NOT ante tamed events sa:h as cermac arrest ~ Appovimale mlervel. Pan n: Enter dher gpllygg~ ~EGUigq-eaN 28. Dq koacco Use CpNlnadB to Deam7
resq~alary aneat, a venlaular nOrtllalion wilYKlul sfawpg the eEOkgy. list oNy one rouse on each line ~ Onsal b Deem CN nd resupkp ¢,; uMenyvg Cause Pven F Pan I. ^Yes ^ Prabapky
IMMEDIATE CAUSE Fual asease a I
wndlm r n am -~ a. ~~~ -~,~ N ~ ~ N t ,
Due I ( a Conseq a 29 II Female: n
S¢W¢m~alM ksl caaaWnt.iany, p ~~~ ~NOIq¢grianl wimin pall War
Mayq M IM cause lisletl on Yw a.
Enar r'a DNDEIMYINO CAUS! Due b (or as ¢ conseglenCe dl~ ^ pragnya y yrrb d a¢aN
loeea:s a+war mat iwialpedd me ^ Nw pregrled aA piegned wmtin 4z oars
everee resuEnq ki deaml UST. C.
Due Io (a as a consequerk¢ ot)~ w seam
0.
^ Na pregare, out pregwy 43 days a I year
~ belae loam
30a Was an AMOpey ]00. Were Autopsy Fntl¢gs 31. Maurer a Deam r ^ Unknown n pregwn within me past yea
Pencrnwd7 AvaiWDle Prpr w Completion 32a Date d Iryury (MOdh, day. Year) 32b. Describe Flow Injury Oopxre0 32c. PWCe a
d Cause of Deam? Turd ^ Honucide UN+Y. None Farm. SU6e1, faday,
~, /~ Onlce &rltlirg. ¢k. (SPenN1
^ Yes ~ ^Yes ^ No ^ ACtlded ^ Penaig mvestgaUOn 32d Time d Injury 32e. mjury at Work? 32f. II hansporMtion Injury (Speedy)
^ sukide ^ Cwk NoI De Deleimined ^ yes ^ No ^ giver / Oparala Pas ~ Laatim al Inpvy (Skew, coy /lows, slabj
33a Certilw (cMdi aNy are) M. Otltar S~dy ^ senger ^Pedesbun
' CarUYyinn phyaklazl IPnyslcian rnrWyirg Cause d seam when aiwther 330 Sgrelae Ti Cartifer
T¢ me Eaet a my knowNtlq, aam oceurrM tlua m IM ou pn~aKen Iws prwwua'ed deals and carykled Item 23) ~-.
• Pronouncin arw nni aelol are marxrona suted---------------------'---------- ~~Q
9 ymn physklan IPhyskan bam pro~runcinq deals and cenJyinq to Cease of deals)
To tlr East d my knowMOpe, doom xeurrsa al ma lime, pale. and lace, antl due W Ule uu _ _ _ _ _ _ _ _ ^ 33c. License Number
• Yseica! Eaaldrrr / Caorrr P se(a) and manrer a¢ tWlatl- _ _ _ _ _ _ _ _ _ 33d. Data Sgried ohm, da Yearl S'
On Un Oaaia a eeamnwon srq / or mveakgatbn, In my ophrion, death occurred el the time, dale, and place, end tlue W the cauaals) arM mannN a aMleal ^ ~~ G ~ S I ~ ~ / Z g' ~ U
34 Name and ~ d Person WTo~ ~ d Cause d Deem (Item 27) Type / PraN
k5 Re s l aWrepxp Us t 17try ~-'`
' [~~w v I ~ ,a I ~ l ~ l' J Dale FYed (Mmm, day. Year) ~ " CM-+~,
DiapaaiUOn Pam,itNa od5'l ~ ~ .L -
----------
)
~~~~ t~ ~~~ C~..~~~~xa~t.~~#
I, MARY A. PAUL, of the Borough of Mechanicst~urg, Cumberland
County, Pennsylvania, declare this instrument to k~e my Last Will
and Testament, hereby expressly revoking all Will~> and Codicils
heretofore made by me.
1. I direct my executor to pay all of my dents, funeral and
administrative expenses as soon as may be done conveniently after
my decease.
2. I: authorize and empower my executor to sell any realty
owned by me at my death, at either public or private sale, and to
give good and sufficient deeds therefor, in fee simple, as I could
do if living.
3. I devise and bequeath all of my estate of every nature and
wherever situate to my husband, Avon C. Paul; providing he sYiall
survive me by sixty days.
11. Should the gift in Paragraph No. 3 not take effect, I devise
and bequeath all of my estate of every nature and wherever situate
to my two children, share and share alike, the child or children of
any deceased child taking the share their parent would have taken if
living.
5. I nominate and appoint Avon C. Paul, to be the executor of
this my Last Will and Testament; he is to serve as such without
bond. Should he die before my death, renounce or refuse to serve
for any reason, or die leaving any of my estate unadministered, I
nominate and appoint Lowell M. Paul, as substitute executor, also to
serve as such without bond, with the same powers as are given herein
to my executor.
6. I hereby suggest that my personal representative retain
the services of Irwin, Irwin & Irwin as attorneys in the settlement
of my estate.
IN WI'T'NESS ',vHEREOF, I have hereunto set my ha:r~d and seal this
(~' day of April, 1977.
(SEAL)
MA Y PAUL
Signed, sealed, published and declared by Marty A. Paul, the above
named testatrix, as and for her Last Will and Test<~.ment, in the
presence of us, who at her request, in her presencE~ and in the presencE
of each other have subscribed our names as witnessE:s hereto.
,,
J ~
ACKNOWLEDGEMENT AND AFFIDAVIT
We, MARY A. PAUL ~ BETZI A. MORRISON
and J. MARIE JONES , the testatrix a.nd the witnesses,
respectively, whose names are signed to the foregoing instrument,
being first duly sworn, do hereby declare to the undersigned
authorii;y that the testatrix signed and executed the instrument
as her Last Will and that she had signed willingly, and that she
executed it as her free and voluntary act for t:he purposes therein
expressed, and that each of the witnesses, in t:he presence and
hearing of the testat rix~ signed the Will as a witness and that
to the best of their knowledge the testatrix was at that time
eighteen. years of age or older, of sound mind and under no
constraint or undue influence.
TZAR A. PAUL
~~~-1 it :~z~;r-1
BETZI A. MORRIS(~N
~~ ~~,
. MARIE JONE
COMMONWEALTH OF PENNSYLVANIA .
SS:
COUNTY OF CUMBERLAND ,
Subscribed, sworn to and acknowledged before me by
MARY A. PAUL , the testatrix , and subscribed
and sworn. to before me by BETZI A. MORRISON
and
J. MARIE JONES , witnesses, this ~~~ day of
April ~ 1977 ,
3, ~->P~,,_,
t:_..._.. c _ ,.
' MY CG hl;i~f:., :.i v.J Lx:~1;iL~ ui.i. S, 1Jd~}