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HomeMy WebLinkAbout12-17-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of VIRGINIA H. TAYLOR also known as Deceased Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) COUNTY, PENNSYLVANIA File Number ~ ~ ~= ~u , c~.~ Social Security Number 203-50-9052 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the last Will of the Decedent dated 11/01/2006 and codicil(s) dated named in the (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 (If applicable, enter: c.t.a.; d. b. n. c.t.a.; pendente life; duranre abseniurr dur~e minoritate) c ~- ~ c_:~ Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followings (if any)~1 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.) _-~ -~-t ~ ~ r~l - ._ ~-- c7 -~-t fV tt1 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. C..~ Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at 403 VALLEY ROAD PO BOX 65 SUMMERDALE EAST PENNSBORO TOWNSHIP CUMBERLAND COUNTY PENNSYLVANIA 17093 (Gist street address, town/city, township, county, state, zip code) Decedent, then 89 years of age, died on 12/09/2008 at SARAH A. TODD MEMORIAL HOME, CARLISLE CUMBERLAND COUNTY PENNSYLVANIA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 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 $ 99,000.00 situated as follows: 403 VALLEY ROAD, SUMMERDALE, WEST PENNSBORO TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA 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: C Si nature T ed or rinted name and residence ' DINAH MARKLEY, 305 LAMP POST LANE, CAMP HILL, PA 17011 Form RW-02 rev. !0.13.06 PSge I Of 2, 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 affirmed and subscribed before me the ' ~ day of ~r-' ,~0~ For the Register Signature of Personal Representative Signature of Personal Representative ~,. m !> f- I t7 -z ; ,~t ~ , _. _ i ~J -~r ~V ._Q ~ ~~ ~ _~ Signature of Personal Representative File Number: (~ ~ G ~ a~ c~- Estate of VIRGINIA H. TAYLOR Deceased Social Security Number: 203-50-9052 Date of Death: 12/09/2008 C AND NOW, ~ ~ ~~ >~ U~ ~~~"F'~!~, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to DINAH MARKLEY and that the instrument(s) dated NOVEMBER 1, 2006 described in the Petition be admitted to probate and filed of FEES Letters ............... $ 210.00 Short Certificate(s) ....... . $ 4.00 Renunciation(s) ......... . $ JCP $ 10.00 AUTOMATION FEE $ 5.00 WILL $ 15.00 .. . $ .. . $ .. . $ .. . $ .. . $ .. . $ TOTAL ............. . $ 244.00 as ~ e last~;ill (and Codici~(s)) of Decedent. ~. Attorney Signature: S A. McKNIGHT. III Supreme Court I.D. No.: in the above estate 1 K Address: 60 WEST POMFRET STREET CARLISLE, PA 17013 Telephone: 717 249-2353 h~orm Rw-~~z rev. 10.13,06 Page 2 of 2 A~iF,ZIN~: ~t is illegal t0 clL~piiCate this cc~y t1y photOStat cr rrlhot:,g~~~~~1 P ---1 ~ C~_ ~, 01_~ ~~ -- _- t~~~rtil~i.~.~, ,_ I i~~r - ~i~ , It ~_ I ,~;~ t „ ~. ., ~ r a ~ A I' ~. , ~,~,~ ,~~`~ t ~~ k t . ~ O F~ 2008 1 ~ ~ ~F~ 1 Ot --- __ _ _ __-- _ - - ----- -- _ ,,,, r.a O • L~ G T.J ~ ~ ^ ~ V ~, 'yy ~ ? ~~ 1 - - 1 .. fJ ~,..~ _,~ `'1 ~'- l / ~ t ~J r~ cn w a H105-143 REV 11/2006 TYPE/PRINT IN PERMANENT BLACK INK COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH r• (See instructions and examples on reverse) STATE FILE NUMBER >^ \ D ~ \ t/ ` 1. Name of Decadent (First, noddle, last, sul0z) 2. Sex 3. Social Security Number 4. Date of Death (Month, tlay, year) Vircinia H. Ta for F 203 - 50 - 9052 12/9/2008 5. Age (last BiMday) UMer 1 year Untler 1 tlay 6. Date of BiM (Month, day, year) 7. Birthplace (City and slate a foreign country) Ba. Place of Deam (Check any Dire) MmNS Dan Na.s Mnwea Hospital: Omer. gg Yre 7/21 / 1919 Mi llerstawn , PA ^ Inpatient ^ ER / OulpeOent ^ DOA Nursing Hortre ^ Resitlann ^Othar - SpeciN: • 6b. Canty of Deam &. CiN, Boo, Twp. of Deam gd. Facilely Name (If ml istnulion, gNa street and number) 9. Was Decedent d Hispanic Origin? [~ No ^ Yes 10. Race: Anwiicen Intlian, Black, wnne, etc. (If yes, spedfy Cuban, (SpedM Ctunberland Carlisle Boro. Sarah A. Todd Meirorial Home Medcan, Puerto Rk:an, ek.) ~1g1'11te 11. CecedenYS Ustral bon Kid of work d on most of wodu Me. Do na state re0 12. Was Decedent ever in the 13. DecetlenYS Education (SpedN oNy Nghest grade compl eted) 14. MedWl Stdnl6: Monied, Never Marred, 15. Surviving Spo use (If wife, give rtmitlen name) Khd of Work KiM d Rushes I IMuslry U.S. Amxsd Forces? Elementary / Becorxlary (0-12) College (1d or 5+) W~~' Dkrorced (staa~+M _ ^vea ~Na 12 Never Married - 16. DecxlenYS MEUling Atldress (Street, tiN /town, slate, zip code) DBCOtlenY9 Ditl DBCedenl staro PA tiro h a 17c. ®ree Deceaeot t Nee h Ea Gt PPnn ~hnro Twp Actual Resitlerxe na 403 Val ley Rd . , P .O. Box 65 , . . Tawnshq? 17d ^ No Decedent Livetl wimin SurcaTlerdale, PA 17093 . , 1m.~N Cumberland Actaalumdea cM/Bam t6. Falner's Name (RrsL midAe, last, sum) tg. Momers Name (FlrsL mkkNe, meitlen amente) N B T l r Lures - Bonsall 20a. IMormanYS Name (Type / PnM) 200. InfartnnYs Mailirg Address (Street, cdY / tmm, smte, z'p ride) Dinah Markle 305 L Post Lane, C Hill, PA 17011 21 a. Memod of Disposition [~Gremaaon ^ Donaton 21 b. Data M Disposition (Month, day, year) 21 c. Place of Disposition (Name of cemMery. aematory es Omer place) 27tl. LoaUa (City! town, state, z4 ~) ^ Removal fromStaro ~ ~~ i A ~~d °OA " ~ ~'~ • ^ 12 13/2008 Evans Crartation Services PA Leola ar . n. i ca l~vea^rw , me ^ o / , _ 22a. Signehae of Fu ~ Lpensee (or pe actii9 22b. License Number 22c. Name ant Address of Featly ~ . ~ FD 012633 L Ekain Brothers Funeral Home, Inc., Carlisle, PA 17013 Cesnplela Hems z:Ia<nry wean cemfyig 23a. ro me bast m mr k•novneage, ocamea et tan, mte end I>~e anted. (siyrature a~a mle) z3b. license Number 23c. Date signea (Month, day, years plrysia an ~ ~t available a, ame d dean ro P ~,y-~ /1 _ ~ bL ~' R N I (z ~ cerafy cause of deem. . 1 La~c~(A. C , ~ 0 7 s ~ 4 ~ Hems 2426 mcet ce cesnpktad M person 24. Time of Deam 25. Date Pronanred Dead (Mom, day, year ) a Caae Refarretl to Metlnxl Examiner / Cororrer far a Reason Omer than Cremation or Donation? 26. W s who gonarnes teeth. ~ J U -I M' G ~ ~~ 1 Z.IJ ~ P l ~ y .~ `A ~~ ^ ~ CAUSE OF DEATH (See instruedane and examples) r Appror3mero interval: Pad II: Eller other saMncaM condition nntnbarw to seem, 28. Did Tobacce Use ContdMe ro Death? item 27. Pan I: Enter dechain d events- aseeses, iryudas, or wrrpYCatom - mat anslly caused the tleam. W NOT enter terminal events such as cardiac anesl, Greet ro Deem M not restAl'mg h me wdadying cause gNen in Pan I. ^ Vas ^ Probably nspiretary arrest, or ventrbaar fibnllatia witlata showing ttre etiology. Usl any one cause on each Pore. [.~1Jo ^ Unkrown IMMEDIATE CAUSE Final disease or ~ . J e K 0~~~ i ~ ' ~ . xh/cir~~ :. ~ ~F L ~~ C ~ i 29. If Female: , i ~ ~ L L L. f cadnion resdtir5~ in aml ~ { I~ ~ ti a. v + - ti ~ i Due to (or as a consequenn op: ~ r t pregnant w min past year ^ Pregrent et time W deem IIryry list axdi6ora, n airy, b, kang the sa listed on lice a. Dn to or es a consequence oQ: ~ UNDERLYING CAUSE ( r th E ^ Not pregnant, WI pregnmR wimp 42 days nter e (aseese or' jury that iMliatetl Hie p ti of deem ng in deem) LAST events resul Due to (or as a consequence oQ: ^ Not pragienL des pregnant d3 mys ro 1 year d, l nefese deem ^ Unknown g pregnant rrilhh the pall year 30a. Was an AMCpsy 30b. Were Autopsy RrxYvgs 31. Manner d Death 32a. Date of Injury (Month, day, year) 32b. Describe How Injury Oxuned 32c. Plan d Inryry: Flonw, Farm, Street, Factory, Pedormedl Available Prior to Completion M Cause of Deam7 '-~'•°~~ ^ ~~ Ofice ending, etc. (SpeciN) . ^ Accident ^ Penang Invesdgetbn 32d. Time of Injury 32a. Inury at Wark? 321. n Trenspatafin Injury (SpeaN) 329, Laa6a M Inryry (Street, dry /town, slate) ^ Yes ~~ ^ Yes ^ No ^ Yes ^ No ^ Driver /Operates ^ Passenger ^Pedestden r ^ Suicitle ^ Coud Not be Detemnced M ^Omer- SPacdy 338. Canifier (cM:ck Dray one) nced death and carpeted item 23) h h rono f d n f th i i 390. Signature antl Tde,of Canifiar , ;~~GC, ~ ~~~ / . er p ys an as p u ea w ten ano c • CediNing physichn (Physican certifying ease o To melxst of my kmwledge, tlaam occurred due to Ure cause(s)and merxwr as stated_________________________________ . l./ ; • Prortounang and certdylrg physklan (Physician hom pmnartcxg deem and cennyiig tc cause of Beam) ^ d 33c. License Number 33d. Date Sgned (MOnm, tlay, year) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ To the Izael of mY knowletlge, deem xaurred st the time, date, anti plan, ell duo to the pus(s) end manrtar as state i /C • M di l E f" . L1.17" ~) Q ~-' clb (+' _ L-- J' Z-( t U ~ u nr oroner e ca xam e bests M exeminatbn and / or invesligetion, In my opinion, deem oawretl et tM fine, mre, and plan, antl due to the cause(s) entl manner as dated_ ^ On th 34 Name antl Atltlress of Person Wlxr Completed Cause of peon (item 27) Type /Print { l 1 70~YV\ ~ I~f~ ~ (-Yrv14 1+'r.-' viz J . - ` 35. Regislror'a gy~rg and Di r ' i~ i f is if in i KG~ 36. Date Filed (Mmtlt. may, year ~ ;,. ~ _ . k/C ~'~ (~~~~ ~~ c<t-~L34 ) +zt :;I^>,t,.~' ;~~_A ~ L _l1ivM e,,E ~ r , 1b OO ( , Disoositian Peron No. `~ l U l x/F' WILL OF VIRGINIA H. TAYLOR I, Virginia H. Taylor of Cumberland County, Summerdale, Pennsylvania, declare this to be my last Will and hereby revoke all prior Wills and Codicils. I direct that all my just debts, funeral expenses, gravemarker and administrative expenses shall be paid from my residuary estate as soon as practicable after my death. 2. I direct that all inheritance, estate, transfer, succession Gnd death taxes of any kind Whatsoever vv.llici I fray be payable by reason of my death shall be paid out of my residuary estate. 3. I direct that my entire estate be distributed as follows: A. I direct that my real estate located at 403 Valley Road, Summerdale, Pennsylvania go tg~the Rive~,~ ~_~ of God Church, 747 Wentzville Road, E ~a Pennsylvania. `~~,_~ r` c-~ =~:; --- B. I reserve the right to attach a separate ~ ~~~>;r' -~ memorandum to this Will. ~`~~~-~ v _ t ~,, -' ~~, 4. I appoint Dinah Markley, as Executrix of this r~ji fast Wig If Dinah Markley should predecease me or cease to actw in such capacity, I appoint Thomas W. Markley as alternate. 5. The Executrix of this Will shall have the power to distribute my estate in kind or in cash, or partly in either. 6. I direct that no Executrix acting under this Will shall be required to enter bond in any jurisdiction. LAW OFFICES OF STEPHEN J. HOGG 19 S. H.4NOVER STREET SUITE 101 CARLISLE, PA 17013 IN WIT3IV~FSS WHERE , I have her nto set my hand this ~_ day of 4l , 2006. ~~ ~ ~ ~ ~ ~. Virginia . Taylor The preceding instrument consisting of this and one other page was on the day and date hereof signed, published and declared by Virginia H. Taylor as and for her last Will in the presence of us, who at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. WITNESS NESS LAW OFF[C8S OF STEPHEN J. NOGG 19 S. HANOVER STREET SUITE ]01 CARLISLE, P,4 17013 ACKNOWLEDGMENT State of Pennsylvania County of Cumberland ss I, Virginia H. Taylor, the 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 Will; that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and H. Taylor the Testatrix, this 2006. y ~•~al ~y~~y\~V..~Y rwvl.L'~~~1"'.a+c+Y~M Y State of Pennsylvania Virginia H. Taylor Notary Public/Attorn inia ss County of Cumberland We, 1~ e and~i9~~~1 ~- ~Q~U~S(.~, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her last Will; that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the T statrix signed the Will as a witness; and that to the best of our kno { dge the Testatrix was at that ' e 18 or more years of age, of son mind an~'tander no constrai or ndue influence.,, n S~Qr,~to or affirm this ~_ ay of ~ to before me by witnesses, ~ .2006. LAW OFFICES OF v v STEPHEN ;j. HOGG Nota Public/Attorney 19 S. HANOVER STREET ii "1O1''~^~~ F: ~. ~aoo, uaraca r pv~c SUITE 101 ' w~OpD•~'3a~ ~~,; CARLISLE, I'A 17013 ,~- AFFIDAVIT