HomeMy WebLinkAbout12-29-08~~,~'I1~I011T ~'~1R P~R.OBA.TE AllrD ~RAIlr'~ Q~' ~,~'~"I'~RS
REGISTER OF WILLS OF C Lt M aFrtt~F'~ COUNTY, PENNSYLVANIA
Estate of G'Qt,t,~ ^. ~/~Gyqq~~ File Number ~'~~ ~ f ~ 8 j
also known as /eqi~ ~I`o~
f i~ t G~ ,Deceased Social Security Number /
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or '13` BELOK%)
® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /.efe the ~XCCU t/~rk named in the
last Will of [he Decedent dated ~~~: /~~ 200 at~l-se~icil~s}~a~ted
(State relevant circuntsmnces, e.g., renuncintiort, dealt of esecula, etc.)
Except as follows, Decedent did not mart•y, 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
(/japplicable, enter.• c.t.a.; d.b.n.c.t.a.; pendente lire; durance absentia; d~rmka_yu i~rita
-:- =Ll
Petitioner(s) after a proper search has /have ascertained that Decedent left no Wil] and was survived by the following spousc~i~
Adrninisb•ation, c. t. a. ord.b.n.c.t.a., enter date of Will in Section A above and canplete list of heirs.) - :: ;--t
`"
(COtY1PLETE IN ALL C.ASES:) Attach additional s/:eels if necessary.
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ar~teirs: ~(If = -
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was domiciled at death in' C Gt/y b[,!•~Qpp~ County, Pennsylvania with his /her last principal residence at SSO ,~
(Lis[ street address, town/cih~, township, count), state,
Decedent, then ~~ years of age, died on ~e0• ~$1200g'at $SO ~. L.iSbura ~'d. Ltpp~r /f//~„ Ti~p_ • C~,b (~;,
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not. domiciled in PA) Persona] property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
$ .So, ODD • °o
SOS 000- °~
situated as follows: eSlt4/SdNr~/ ~W!/. (-~'l!k//b~7~' (.OKri~~ /'/T.
V/heretore, Petitioner(s) respectfully request(s) [he probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
I Si~nawre Typed or printed name and residence ~
Pi~T .B. ~ior~~//.r/
x'~~r;~1~~~Z-t~~~~~~~ ~. SSb L-: L~S6ui~ ~cae~. /f1e~4,rtiGSLur4, ~/f /7o SS
Fact IiYV-0? re.-. to.t3.o~ Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF C G4 N~1 8 ~~'N-D
SS
The Petitioner(s) above-named swear(s) or affirm(s) that the statements iu the foregoing Petition are true and con•ect to the best of
the ]cnowledge and belief of Petitiorer(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.~ OU ~
•--\
" For tllFor the Register ~-~~
File Number:
Signntw•e ojPerswial Representative ~-~ r~
ld AF T F.3 . /3 0 ui~A~A/ ~ ~ ~~--y
Signature oJPersonnl Representative ~ 7 C'y
~,,__
-,-,
~ '_,
Signnhu•e of Personal Represen~nrive _ % -q =
J~{~r,
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.Z!- 08 - 12~f .~-
Estate of CQ/~D~ /~ +~~~Gy _ t,~ . ,Deceased
Social Security Number: ~L' ~y o7105 Date of Death: ,CPC. /S, ZOO ~
AND NOW, ~~.wCt~J,-Z~- a~ (~(~~S , in conside1r~ation of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters TQ.TflIIJ?E/71QI~ y
are hereby granted to _ J~'"~tf Q. ~yu~irl4.yJ
in the above estate
and that the instrument(s) dated e5~e~lt. /8~ 2bo 8` __
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
F1GES
Letters .... ~ D ~./.4~~ G.. $ ~ I b
Short Certificate(s) ..~>..... $ a 0
Renunciation(s) .......... $
I-itt ' v ... $ ~
... $
_ ... $
... $
.. ~
... $
_ ... $
TOTAL ......... .... $ 0(9()00
Attorney Signature:
Attorney Name:
Supreme Court LD. No
Address:
c~~/es E: sti~~l~ ~
~3~r5 ~ 3
(o C.' /o~s~r R~
Telephone:
/11echQn~csbar~, P/1 /~oSS
~~7- 7G~-o2ey
Farm RN%U? re r. t0.l3.OG Pale 2 of 2
OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, 9~fi.00
~ ~.503777~?
Certification Number
This ie to certify that the information here given is
correctly coded from an original Certificate of Death
duly filed with me as Local Registrar. The original
certiificate will he forwarded to the State Vital
Records Office for permanent filing.
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Local Registrar- Date Issued
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TYPE i PRINT IN
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
_ (See instructions and examples on reverse) ~rar< <~ ~ • •.o
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Carol Jean Bailey 2 Sex
Female 3. Social Saturn Nwnmr
Y
176
4
a oaua Deam lMaan, my. yea°
A
5
e (La
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4 _0765 December 15, 2008
g
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s
ay) UMar 1 year UMer 1 my 6 Dale of Birm (Monet, m , ear 7
Y Y 1 Binnpace (C' ar10 state a lac
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rerun
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ace d Death (Check ody awl
82
December 22, 1925 Cranesville, PA "°'p°°I phd
Yrs
. IIqq
^ Inpatient ^ ER / Outpatient ^ DOA ^ Nursing HonW apResitlence ^Odle! ~ $pawY,.
" 9b. ComtY d Deam fie. City, Boro, Twp. of Deem Bd. Faznny Name III rot nslNaYpl, qve sVeet err an10ar)
9. Was Decemrs d W
Cumberland Upper Allen 550 East Lisburn Road lrr°°.waal•7c ~~D`~B"' ~"° ^ Y°° 10 fee ""'°ncai1i0an B1° """''°~
Mexken, Pueno Rican, ex., (SPadh1 W h It@
'
11. Decema
s Usual Qc non Kur d wale Eons dw' most of worm We. Do ml stale renretl 12. Was Dacetlern ever in Vre 13. Decedea's Education (Specily only Highest gram mnpeteal 14. Medal Stales: Mazned, Never Marmq 15. Surviving Spouse Itt wile, qve maims narrrel
K.qq WorF K Su s5/Irruslry U.S. ArmeE Fa~s4 Elementary/Secarar
10-12) C
N
Offi
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ega4(1d a5')
ce Manager
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tmg ^Y°a Kxw
wldOWed
16 Decamnt's Heikng Adaess (Sheet cny I 1 ,dale, zq coral Decedent's PA ~ ~~
550 East Lisburn Road AdadResiaeme 17a 51d
pper en
a ,;Y°h,
17c. ~ Yes, became Nvetl n
Twp.
Mechanicsburg, PA 17055 nb comfy Cumberland T°""dkp? ntl ^ No DecatlerY lived wNkn
Actual t.drs a caY / Bao
Ifi. Famer's Name IFrst minas. last sutlix)
'
Royal Kennedy IS. Homer
s Name (Fuss, nad0e, mdmn sunwne)
Opal McGahen
2W Inlomanl's Name (TYpa /Pmt) ~ ~
M. Judy Bailey 20D. mlamant's Manrg Amrau (SUeal, I kwon. sate, z9 1
450 Eas~ Lisburn~oad Mechanicsburg, PA 17055
21 a. Hemet d Dlsposuwn [Cremation ^ Oautim 210. Data a Disposition IMmm
my
year) 21c
Plat
f D
an
^ Renal ^ Renroval nom gate J was cremation
D
W
A ,
, .
a o
wpos
n (Name d cenwse
n. aa^daY a omen pace)
27tl. lncalial (Coy / rwn, stun, zip tom)
or
ena
n
umorlud
^ odW~- ,y , OyMaEkrEaamlrorYCar ,? yea^Ne December 17, 2008 Conolite Crematory Schaefferstown
Pa
17088
22a d Fugal ice (o az
sucnl ,
.
~ 220. liculse Number 22c. Name arrAmress d FecnNy
~ FD-012662-L Myers Funeral Home, Inc. 37 East Main Street Mechanicsburg, PA 17055
orrykle NamS s say wtwn rensYr9 Ynow1e636. meet occaraE d nta Itt W. rate and lace slaletl
p ' (Sgubre ~ ~)
physcwn is rKlt avaiuae al tine d meet b 230. license Nlnma
23c. Date Spred IMaxn, den Year1
ceniry cause d meet. ttP
~ Hems 2a~2s must m canpletetl q' person
zA r oeam
25. Date Pr (Monet, my, year) .
N 3\~ ~ -L p
wfa praaxx Kes meet.
~ ~ M 28. was Casa Relenetl r Medal Examirur / Caesar kx a Reason pryer sun Cremation a Daution?
.
rt ^Yes ~No
CAUSE OF DEATH (Sea Instrudbna arlr esampha) 2fi. Dr Tdaacm Use CorWmda r Deem?
a ApprounaM stand: Pan U: Fisd Wear
Item 27. Pan I. Enter VIB f~IRLtEkP01S - 65eaaea, intense. a compicalnns -mat directly causeE ma meet. W NOT enter femir~al events surli as cardaC arrest
~
,
respralory asset or vWNrk:da tbriYation without show me sect .list
On el u beam Ow nd resauq n tlu aranying cause given r Pan 1. ^Yes ^ probably
in9 ogy ody aw cause on eam tlne.
WMEOIATE CAUSE IFnul ass ~ a 1
/ /j t ^ No ^ UrArown
mrilim resupap n deem)
(-' I ~~YY7xsa
~J I O n ` ~ (~ C
~/
,
~
i (,~,'Q QW 29. X Female:
Due to (a as a consequence op. ^ Na pegrua wens yaG yed
Sequenbany tisI condlglw. a arty b.
^ Pregnant d lane d mom
u r m cease Yst°d m Yne a Due to (or as a con
Enter 6W UNDERLYIIIf. CAUSE sequence d):
prapnaru wpbs °s oats
(6sease a s4ury Val axtialetl tlin ^ d egrent. 0a
i
suede rewnup n mats) lAST. o
Due la (a as a amsequence oq. r
~ ^ Nd pegraa. but pegnaN 13 mYS l0 1 year
a
.
7m. Was an Awgrsy 3gb. Ware Aw ' ^ bafwe m page^t w~mm Vw past year
ePSY Fuing:. 3/. Hamer d Deam 32a. Date d I UrlMrown d
MurY (Mwm, ran Year) 32b. Describe How nMaY Ocarred
Pnrknn
tl?
e
Avauou Poor to Canpetron
320 Place d
a cause d beam? ~,Naluld ^ Honliom ~~ 4M+Y: IlonW. Farm, Stied. lathy.
Bwlarq. etc. fSYwcM1
^ Yes ~Np ^Yes ^ No ^ Accrem ^ Pend~p Inveslg'alkn 32tl. Tme d VNury 32e njury at Won? 32f. tl Transporutim Iryury ($pezily) 32 . location d
s IMay SStied, cdY /lows. sMl°)
^ SuicWe ^ Cowtl NW lR Detennned ^Yes ^ No ^ Drrver I Operator ^ Passenger sVwn
M
OVrer ~ $pecity
33a C°Nlur (tl1eG only aul
730 Sgnalae one line d Cdr
• CsrUlyaq PhY°IC4n IPyyscian cenityap cause of meet wtu:n alolha yny>Kim has yronuwx;ed deals air coinyleled Item 23)
.__~
To UW Mat al my anowNdgs, maul attuned Ew to the auu(c) a W manner ee sated_ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ ~ ~~
• P
i
- - - - - - - - - - - - - - - - - - -
ronounc
ng err Genirymg phyeKian (Physician Dah promuming maps end reNtying to cause amain)
33c, LK.ense Number
Ta IM heel °I my anoWNdge, mom acurred al me time, mle, err place, and due l0 41e cause(s) and manner ss sued- _
^ 33d. Data Sgned (Mmm, my, yedl
_ _ _ _ _ _ _ - _
• Meofcd Examrar /Coroner _ _ _ _ _ _ _ •~ ~ r _ ~ ~ I ~~ O
On W Oasis of examWllon and /
m
ti
7
or
ves
gation, in my ayinion, tlealh occurre0 al Vre lime, tlab, ant plxe, and tlue to IM cauself) and manner ac clateG_ ^
34. Name err Atlaess d Person Wm Compktetl Cause of Deam Isom 27) Type /Pmt
35 Re isa s -tae Dizt c G Dais fi1e0161onm, my, year) ~
am~aena i at I ~ ~ ~ -1 is r J~te>~tget•. • 08 •.S~1C l Vi11_ FVG Vi1- S~Yf~tl •~~ PFD l l i I o
Dispusition Palmit No. ~ /~ ~ ~ /
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1
OATH OF SUBSCRIBING WITNESS(ES) ~ ~
-,
-
.
., _
1.7.-1
_7_: Ste:
~ ._ ~
REGISTER OF WILLS ' .--~
,., ,
C Lt I-1 13E~2Lha.D COUNTY, PENNSYLVANIA
..,
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Estate of C/¢fZOL /~ .Qi¢lL~, B~'. ,Deceased
IYl/CN~Z~E ~; TK2lCK ~a subscribing witness to
(Print Nmne/s)
the ~ Will ~~~(~) presented herewith, ~eaekj-being duly qualified according to law, depose(s) and
say(s) that she ~ was 1-~e~e- present and saw the above -~r`~vi~ Testatrix sign the same
and that sho~e~-- signed the same and that she-~l3e-~-t~e~ signed as a witness at the request of
the Testatrix in her !mss- presence and in the presence of each other.
(Signature)
(Street Address)
(City, State, ZipJ
X
(Signature) /yt / Gy~~e uRlG,K
~ C/o user /Pd
(Street Address)
(City, State, Zip)
Executed iii Register's Office
-Sworn to or affirmed and subscribed
before me this _ day
of
Executed out of Registe~•'s Office
Sworn to or affirmed and subscribed
before me this ,~ ~ day
of Z~'-e.e.o.~]eti x00$ .
~~~~~ ~ I ~
Deputy for Register of Wills Notary Public
My Cormnission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWF~4LTH OF PENNSYLVANIA
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of m~~ fl~fa,~~uon.
Charles E. Shields III, Notary Public
Monroe Twp., Cumberland County
01Y
Forn, R 61~-03 rev. 10.13.06 My Commission Expires Juno ~0 a
Member, Pennsylvania A9s9elr~ii~h Q OtArI4s
r`~
...7 °7
~, ~ _ _
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~: ~
OATH OF SUBSCRIBING WITNESS(ES) ''-~ '~
-•~
- -.; :~: -
REGISTER OF WILLS `' ~~' .. J~
_.,
C.' l,~ryt/3~11LA~~uD COUNTY, PENNSYLVANIA =}~ '-'
cn
Estate of G'/~'OG ~ 8/~lG~ er• ,Deceased
(~~¢..,~~~ ~ s~~EzDS 'Zlr ,-Eeae~rj a subscribing witness to
(Print Name/s)
the ®Will .~~lis~~s) presented herewith,{sash}being duly qualified according to law, depose(s) and
say(s) that ~e.,~ he was ~ua~er$. present and saw the above -~-ato~~ Testatrix sign the same
and that -she-/ he /-~H7ey signed the same and that ~ahe~ he key- signed as a witness at the request of
the ~es~tnter-/ Testatrix in her,Kris- presence and in the presence of each other.
X C, ~~
~~~22%l~ ~i~~ ~~~~
(sign:a[ta•e) CN~rt2LE.S E, .SH/E'~ Z~
(Signature)
(o L' louse, ~~
(Sh•eet Address)
lY~e~iani~s ~u~, ~~ i7ass
(Ci[~~, State, Zip)
Executed in Register's Office
Sworn to or affirrrted and subscribed
before n:~ this _ day
of ~ ~ ~ ~ ~- 20~t~
Deputyt Ier Regis~e~ of Wills
V
(Street Address)
(city, stag, zp~
Executed oast ofRegister~'s Office
Sworn to or affirmed and subscribed
before me this
day
of
Notary Public
My Commission Expu-es:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
Fa,n RN'-03 r•er. !0.!3.06
LAST WILL AND TESTAMENT OF CAROL K. BAILEY
I, CAROL K. BAILEY, currently of Mechanicsburg, Upper Allen Township,
Cumberland County, Pennsylvania, being of sound and disposing mind, memory and
understanding, do make, publish and declare this my Last Will and Testament, hereby revoking
and making void any and all prior Wills and Codicils by me at any time heretofore made.
1. r.,
~a
I direct the payment of all my just debts and funeral expenses as soon after m~~cease ,
_, E"7`1
the same can conveniently be done. _ ! -~ p'~=~ ~~
- '- - --~ ~
-' -.t,
1 a. __ _ ~-
I direct that my Executor, before proceeding to a sale of any items of personal~~ or realty.
~.-
in my Estate, which have not otherwise been bequeathed or devised in this my Last Will or any ~..
Codicil hereto, offer a selection of such items to my children. The selection process shall be as
follows: Beginning with my eldest child and descending in order to the youngest child, each
child may select one item, be it of personalty or realty, as his or her choice. Once each child has
made his or her selection, the process shall begin over again, again beginning with the eldest and
continuing until all desired items have been selected by any of my children who may be desirous
of making a selection or selections. Once this process is completed, a fair appraisal value shall
be placed upon each item and that value shall then be assessed against that particular child's
residuary share in my estate so as to equalize each child's ultimate share in my Estate. In the
event that an item of real estate is selected that exceeds the residuary share of that particular
child, he/she may take his/her share or part of his/her share's value and use it as partial payment
of the cost of such real estate to my Executor. In no event, however, is my Estate to act as a
lender or mortgagee, in whole or in part, for any such purchase of real estate.
In the event of any dispute as to the value of any selected item or in the event that my
Executor, for any reason whatsoever, deems it wise and prudent under the circumstances, I
authorize my Executor to obtain two (2) appraisals from professionals and to average the two (2)
to arrive at a fair appraisal price. The selection of the two (2) professional appraisers shall be
within the full, absolute, and final discretion of my Executor.
lb.
I am currently occupying an "apartment" or "addition" at 550 East Lisburn Road,
Mechanicsburg, which was built onto my daughter, PAT B. BOWMAN's house. I understand
that under the laws of Pennsylvania that this "apartment" or "addition" has become part and
,dY~r~a--~-~
.~ ~. ~
parcel of the title to my said daughter's real estate. So as to avoid any confusion, I make it
known hereby that such is in accord with my wishes.
1 c.
I am currently the sole owner of a lake front cottage and lot at Sadsbury Township,
Crawford County, Pennsylvania. I hereby give and devise said cottage and lot to my herein
named three (3) children; to wit:
C. BECKY BAILEY
SCOTT K. BAILEY
THOMAS W. BAILEY
in equal shares. In the event any of them should predecease me, then to his or her issue, per
sti pes, as the case may be. In the event any of them should predecease me and not be survived
by issue, then to the survivors of them, or the issue thereof, per stirpes, as the case may be.
In the event that I have sold the said cottage and lot during my lifetime, then I hereby
give and bequeath to each of them aone-third (1 /3) share of the net proceeds of such sale as
shown on the final settlement sheet. This one-third (1/3) shall be upon the same terms and
conditions as herein immediately set forth. It is my wish that all death taxes, fees, commissions
and other like charges that would typically be assessed or calculated against the value thereof be
paid from the residue of my Estate and not be assessed against each of the said recipients
individually.
2.
All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever
and wheresoever situate, I give, devise and bequeath IN EQUAL SHARES to my children,
C. BECKY BAILEY, SCOTT K. BAILEY, PAT B. BOWMAN, M. JUDY BAILEY and
THOMAS W. BAILEY.
If any of my said children predeceases me I give, devise and bequeath his or her share,
as the case may be, to his or her issue (including stepchildren) who survive me, per stirpes, or
if he or she have no issue, his or her share, as the case may be, is to be added equally to the
other said shares.
3.
I nominate, constitute and appoint my daughter, PAT B. BOWMAN,
Executrix of this my Last Will and Testament. In the event she is unable or unwilling to act
as such Executrix, I appoint my daughter, C. BECKY BAILEY, as Executrix in her place and
stead. In the event she is unable or unwilling to act as such Executrix, I appoint
~~~~~~
ORRSTOWN BANK, as Executor in her place and stead. My said Corporate Executor shall
be compensated as per its standard fee schedule in effect when services are rendered. No
fiduciary acting hereunder shall be required to post bond or enter security in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~g~1 day
of _~~~ , A.D. 2008.
(SEAL)
CAROL K. BAILEY
Signed, sealed, published and declared by the above-named CAROL K. BAILEY, as
and for her Last Will and Testament, in the presence of us, who at her request and in her
presence, and in the presence of each other, have hereunto subscribed our names as witnesses.
~~