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Home My WebLink About01-21-09PETITION FOR PROBATE AND GRANT OF LETTERS Register of Wills of Cumberland County, Pennsylvania Estate of ELIZABETH G. THOMPSON File No. ai \ ~~ L~rl Deceased Social Security No. 207-07-7452 PAUL N. GARRETT Petitioner, who is18 years of age or older, applies for: (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters Testamentary and aver that Petitioner is the EXECUTOR named in the Last Will of the Decedent, dated September 17, 2004 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.; pendent elite; durante absentia; durante minoritate t~ s-~ L7 ~ Name Relationshi Reside- ~-~- ~~ N -, -; .-- _ ~.' ~- - (COMPLETE IN ALL CASES): Attach additional sheets if necessary. -e `.~.~ Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with her last family or principal res~ence atQ ~~ ManorCare 1700 Market Street, Camp Hill, Cumberland County, Pennsylvania ~ ~ (List street, address, town/city, county, state, zip code) Decedent, then 96 years of age, died on January 5, 2009 at Holy Spirit Hospital, Camp Hill PA (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PA} All personal property .....................................................................$ 6,000.00 (If not domiciled in PA) Personal property in Pennsylvania .....................................$ (If not domiciled in PA) Personal property in County ....................................................$ `/alue of real estate in Pennsylvania ......................................................................................................................$ Total ......................................................................................................... $ 6.000.00 Real Estate situated as Wherefore, Petitioner respectfully requests the probate of the Last Will presented with this Petition and the grant of Letters in the appropriate form to the undersigned: 5i nature T ed or tinted name and residence ---_ ~ ~ ~ ,~,~~ `-~ ~ PAUL N. GARRETT 40 N. 19th Street Camp Hill, PA 17011 r-,~ t~ -~ F~ ,, Oath of Personal Representative .~.. w--;, ~; _ COMMONWEALTH OF PENNSYLVANIA r ;'f COUNTY OF CUMBERLAND -' ~{ ~ _ >> w The Petitioner above-named swears or affirms that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner and that, as personal representative of the Decedent, Petitioner will well and truly administer the estate according to law. Swcrn to and affirmed and subscribed `-.-~`~ ~ L' PAUL N. GARRETT Before me this ~ ~ day of ~.J(~ i i.,iLC i i_:~---~ ~ , 2009. File No. ~~, ~~~ C~Q~ Estate of ELIZABETH G. THOMPSON ,Deceased. Social Security No: 207-07-7452 Date of Death: January 5, 2009 ~~ AND NOW, ` ~ ~ ~~~t '~ ~ 1~- , 2009, in consideration of the foregoing Petition, satisfactory proof having been presen ed before me, I S DECREED that Letters Testamentary are hereby granted to PAUL N. GARRETT in the above estate and that the instrument dated September 17, 2004_described in the Petition be admitted to probate and filed of record as the Last Will of the Decedent. FEES Short Certificate(s) a $ Renunciation .............. $ Affidavit ( ) .................. $ Extra Pages ( )....... ~ $ JCP Fee..:.. ~.:~~ $ / ~ Inventory ...................... $ Other .............................. $ TOTAL......... $ c~~ Attorney Signature: 1~~~~ Attorney: RALPH H. WRIGHT I.D. No: 56113 Address: Johnson, Duffie, Stewart & Weidner, 301 Market Street, P.O. Box 109, Lemoyne, PA 17043- Telephone: 717-761-4540 ,r.~~d'1~ ® ~~avC~~ R ~ i!'~.~qV 7 ! a~~~~sasi~~~V~ 1./~ i.d'~~ ~y1iAl~NlN~a~ 9t ors a!lega! ~0 clia~i€cata t!'A~s copy ~~} phQtOStat or p~ota~~~~p~ rT : ,~ v. (:1. .,L _.tl.l'.r..... t1~ ~ ~!'1`i i> ., _~il f' .,.. ..'~: Ilt ;IlI,l,. :Fi U.~• ?i,ti.[1 I~ t~` ` _ ~~, t_1 IIL 1~> ,, ,., I ;n., c ?~ tt I,f hL I ~ ~/ ,,~ { , ra`~y~' '~.f _ I_~i a`r r '. Ct .! 7_Ii ~~1. tl G. 1 i~ nl"1 li3 r La ~i: Kr c;,rU~ r) ~~ 1 -~;~=.~1;~ : ut rilii~_. - ~ , ~ ~ _ r !'''-Y__- -- __ ____._ _..___ __----__ .___ `fir fi' ~ -----_ __ _ - - -.._ -/(, ~ - -- ;, • ,. ~.'~ii'j l., 'Aryl ~, ``.-. i ,h~~ - _ ~-~l)v .~.i ;1;: t~~t~a d- U.I;~ ~~_ fV ~~~ O ~ ,~ ~ _r -if ~ _ >; r r > ~_ - bs I+3 al=v nzaob COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~=-~ ~~ - rvPE PRINT:N --' `-`- -, , PERMANENT CERTIFICATE OF DEATH - ~~ ~ BLACx INK See instructions and exam les on reverse P ~ STATE FILE NUMBER „~y I Name d Cn;adent IF'.: st..T,due '.asr surtul 2. Sex 3. Soaal Secunry Number i Date dl Deam (Fbnm, day, year)t~ ELIZABETH G. THOMPSON Female 207 - 07 - 7452 Januar 5, 2t3Uy S Ag¢ ILa>I a,rtn,dy! lindar I ytdr Unuar I Jay o Date dl Bnn Ihlonfh. day. yearl 7. Bgnplece IC,ry antl stale or laegn tounlryl da Place of Dea1n ICneck mry oriel 96 °'° "°" "'"'t May 29, 1912 Harrisburg, PA "°>P'"' om°` yrs ®Inpauent ^ ER /Outpatient ^ DOA ^ Nwsing Nome ^ Resgence ^Omer - Spec ry~ 3n Cwnly ct Deam Bc. C:ty. Bcro. T«p of Deam 34. Facely Name 111 rwt "snbtwn , ryve sveel antl numwrl 9. Was Decedent of HispanK Ong,n? 7[ ¢ ^b ^Ves 10 Race. Am¢rcyl "xSan, Back, Wade, ek. Cumberland East Pennsboro Trop. Holy Spirit UI ves. speuly Cuban (SpeaM Hospital Mearran.PwMRKan etp, White '1 Decaderl s Uswl Cc, ,.ce_cn ~Krd of .w,k done Bunn moss cl worbr. ule DO rid sa!e rebredl 12. Was DecWenl ev¢r m me 13. Decetlenl's Educapon ISpecrfy only ngne5l grade comdeledL tA. Yantal $41115: Maenad. Never Maned. 15. Survmng Spouse 111 rode- glue lndgen Hamel x:nd of ',volk K.m1 0l Bus:ress; Irwustry U. S. Armed Forces? Elementary / Sec°ndary i0-t2) C°Ilege 113 or 5.) Wgowed. Dworced (Spec,M Stitcher Shoe Mfg. ^Yea C#+n S Widowed 15. Decedents Mal"g AdeLess IStr¢a. ury born, state, zp codel 19th S t 40 N Decedent's Apual Res,dence t 7a. Sbte Dq Decedent PA Uve m a t7c. ^Ves. Decetlem L a0 .n Twp. ni ? T . . p dwns we0"g'" Camp Hlll " m d 77d~ ' h l Camp Hill, PA 17011 nbc°dnn ~/~ , ,n„ ° Pr an ( nm Ie. Famer's Name IFuv, mdd:e. a>c. sun:,l 19. Moller s Name IFrst, mgala. maiden wmamel Samuel Garrett Ella Rocker 2oa. '~ tdrmarlfs Nanw i type Pnntl Paul N. Garrett Zan. mbrma fs Maamg Address lStreel. cdY i born, sub, zw addel 40 N. 19th St., Camp Hill, PA 17011 21a Method G D:sposnnu, ^ Crernalron ^ DonaUOn 21b Oale of Dispoalan lMOnln, daY• Yearl 213 Place of OispoS,Wn (N'ame of cemetery. uemalory a finer yaceV 21 a. Locauon ICrty mown, sole, Up mdel ~ B"oar ^ Re.ro""r°m~taa { W"Or.m"""wDonaeonAdmwiaad Jan 9 2009 Churchville Cemeter Oberlin PA 17113 ^ Otnar ~ SPe.rN: ~ oy Medical Examiner / CwoMr? ^ Yes ^ No , y , 22x. S nature d F,nera Se ce LcensEe Icr Garsun xbr~ jtN) . ~ `(•r~/.e r(N) 2D. txense Number C~/GY~4!-L 22c. Name and Address d fduLly FACtQ.ER-WI®EMAN FH, 23rd & Derry Sts, Harrisbur PA 17104 Comports Hams 23a< only «rwn cemry:ng 23a 'o ma best d my xzawledge. roam a urred a me ume. dale and place wled. (Signatwe ant ode) 23e. Ucenw Number 23c. Date Sgned IMOnm, day. year) pnysrtWn d rat avaudle fit ume d dean to ~ ~ L R n ~o v 9 art s ~ry ta,~. d loam T ~ ~, - ~ r u , Tme 23 25. Date Pronourced Dead Ilapnm, bay, year) 26. Was Casa Referred to Medical Eum~ner' Cworrr Iw a Reason Omer man Cremaoon a Dwutun? Hems 2325 must Ce uanplete0 SY patron wM prowwrcas cream. . ~ • C r1 ~ M- Y -' ~0.ny,~F 5 ~G ^ Yes ~No OF DEATH (Sae Inetructbne and eaampN CAUS E r Approxlmale inlenal Pan II. Enter other ~Idr.,' unl ond0ons con nn amq ~o deem 28. Dq Toearro Use Odneo,ae b Deam? Hem 27 Part r. Emer :ne rna~n dl evenrs -diseases, inrynes, fir cwnplinnons - IM16reNy mused me death. DO NOT enter temlaW e+enM such as raraac artest, r Onset to Deam Wt rid resWmg .n me wdenying cause green n Pan 1. [] Yes ^ RaadY ~ ( resgratwy dne9. w ventncuuu fwnNatan watwln stww+ng Ne eUObgy. List oNy ow cause m eadl ilrw. ~ Unggwn ^ No )C .J MIYEDIATE CAUSE IFuw dseaw or ~an~, r a, ml _.,_ d ~atZ ~np 44f ~ ~ tau fl ~~~ ~ , ~ 29. II Female: ~ Nd ouablwasa wrwea/py~ {' ~!W 4 Sepuenway 454 cortOtanS. A anY. b. I~~(•as-% ~t-1•l Y u V ~r^v R' al tjl%/~E`+ _ Z1 ~]~ i ~T FT ~~ wean past Y~r ^ PreryarN al boa d dNin wabng to dw cauw ItSt¢d Jn ~:ne a. t T 1 ^ Nd pfeyad, ltV prefJafd wtlY112 days as a consequence ot): o ( Enter ma UNDERLYING CAUSE Due lasease w,ny,ry mat mmaLed'ne c. a'X~'~'i~tr{i~ ~j,l'IG jj'f~Alyrr 1L'li~ !(3~4E Q'~'i'< daatn events rewdug " deaml LAST. Due to (w as a consequence oQ: ~ -Y--- 1 ^ Not preglaM. m preglarl q days b t year Debra deaN d. ^ unkrawn A ae4l+ly wMn ete pest Year 30x. Was an Au1op>Y 7W Wera Autopsy F~.rwings 31. Manner d OeaN 32x. Date d Iryury IMwlm, day, year) 72n Oescnne How Injury Occwred 32c. Place d Ifylay: Hong, Fenn, Seeel, Faddy. fro' Big' Bx. (fir) Pendmwd? Ara:lama Prior Io CJmplelxY, al Cause d Deam? ~vawrw ^ Hw iw:d' ^ Accganl ^ Pending invasugauon 324. Tone al Iryury 32e injury at'N°n,n 321. II Transponatrorl Ini Nl 32g. Lorauon of Inµ:ry ISlreat, ~ry I town, wlel ^ ves [~ Nr ^ vas ^ No ^ Swcge ^ Coaq Nw De DNermme6 M ^'Ves ^ No ^ Omar i Operaw \ QPedestnan C Other - SpacrN~ 77x. Cend~er ~.cnecx cnry Doer 330. Sgnal 7n Ct wr • CMilymq PDYsrcan iPnysaan .erifri .g ca,.ie d beam «nen anotMr pnysx:an Has pronounced Beam arq cOnWleted Item _I) aam occwred due to tM nusNsl and many u w4o_ _ _ _ _ _ _ _ _ _ _ _ _ _ ' _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ® tM east oy m 4nowlw9e T `., ' ~~ y . o • Prorwunwnq and cendymq pnysroian 1Physc:en wln pronwrroing death and ceniry:ng :c cause of tleaNl ^ 73c L<anse, u r - - -' ~- -k Oate Saywd 1Mdr:m, day year) io IM nest of rt:y Mnowledge, deaN acurred al IM Ilma, dale, ant Dlxe, and dw to tM cause(s) and manner u abled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - ~~ C I ~ ~' } ~ / - n' • Neo,cat Esamma I Crooner tusk oy eumrnatum and I or invesUgaban, in my opinion, ealn occurred at IM time, dale, ant plxe, arq dw Ia tM cauaelsl and manor a wtad_ ^ 3+ Yama and Address of Person WM Ccnskrtw Cause ul Dea',n .Item 21, type' Print /Yl T~ ~, ~~N y ~ - earl >s D . d .I ~ r L~ C r-~ r ~ x 75 H. r S:gnal"r~. ,r l e_ e~~L~l ~I J ~1 ~ yy goo N F~~nT 5r 1,t)_,,ml~ ;~u~. 1~~? 17G 3 GnpvS:l;cn Permit Nd 0309705 ~.~c~t ~iYY ~nD~ ~e~t~cn~e~t of ELIZABETH G. THOMPSON 1, ELIZABETH G. THOMPSON, of the City of Harrisburg, Dauphin County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and aii 1/Vilis or Codicils at any time heretofore made by Xne. `~`' _, :: -, . -; ~, ARTICLE I - `~-~ r.:~ DEBTS ~ ~ ,.;, =< -- -~ - I direct the payment of all my legal debts, and the expenses of my lash"illness a- funeral from my Estate as soon after my death as conveniently may be done. ARTICLE II SPECIFIC BEQUESTS OF TANGIBLE PERSONAL PROPERTY I give and bequeath the marble top table which belonged to my mother to CHAD ALLEN ROHRBAUGH, of Emmaus, Pennsylvania, provided he survives me. i give and bequeath certain items of tangible personal property to those individuals who survive me as are designated on an undated list or memorandum signed by me which I shall place with my Will and which refers to this Will or is found with a copy thereof; provided that no such list or memorandum shall be valid unless it is received by my Personal Representative within sixty (60) days of my Personal Representative's qualification. f ARTICLE III BEQUEST OF REMAINDER OF TANGIBLE PERSONAL PROPERTY I give and bequeath the remainder of my tangible personal property, including my motor vehicle(s), household and personal effects and other tangible personalty of like nature (not including cash or securities), together with any existing insurance thereon, unto my nephew, PAUL N. GARRETT, provided he survives me by thirty (30) days. ARTICLE IV TANGIBLE PERSONAL PROPERTY ALTERNATIVE DISPOSITION If my nephew, PAUL N. GARRETT, is not living on the thirty (31St) day following my death, I give and bequeath remainder of my tangible personal property, including my mmotor vehicle(s), household and personal effects and other tangible personalty of like nature (not including cash or securities), together with any existing insurance thereon, unto ANNEMARIE C. GARRETT. ARTICLE V REST, RESIDUE AND REMAINDER t give, devise and bequeath all the rest, residue, and remainder of my Estate, of whatsoever nature and wheresoever situate unto my nephew, PAUL N. GARRETT, provided he survives me by thirty (30) days. 2 ARTICLE VI REST, RESIDUE AND REMAINDER -ALTERNATE DISPOSITION If my nephew, PAUL N. GARRETT, is not living on the thirty first (31St) day following my death, I give and bequeath the rest, residue and remainder of my estate of whatsoever nature and wheresoever situate to ANNEMARIE C. GARRETT. ARTICLE VII UNIFORM TRAi~SFERS TO MINORS ACT In the event that any beneficiary of my Will shall not have reached the age of twenty-one (21) years at the time for distribution of his or her share, distribution of said share may be made in the discretion of my Personal Representative after considering the age and needs of the beneficiary, either directly to the beneficiary or to a Custodian under i:he Pennsylvania Uniform Transfers to Minors Act, 20 Pa. C.S.A § 5301 et seq., or the applicable Uniform Gifts to Minors Act or Uniform Transfers to Minors Act in the state of residence of such beneficiary as the case may be. My Personal Representative may designate as such Custodian any institution or person, including my Personal Representative, qualified to act as a Custodian for such beneficiary under such Act in effect at the time such distribution is made. A receipt for any payment or distribution so made shall be a full discharge therefor to my Personal Representative, who shall not be responsible to see to, or be liable for, the application of such proceeds thereafter. ARTICLE VIII TAXES I direct that aH taxes that may be assessed in consequence of my death, of whatever nature or by whatever jurisdiction imposed, shall be paid out of my residuary estate as a part of the expense of the administration of my estate. 3 ARTICLE IX APPOINTMENT OF PERSONAL REPRESENTATIVE I name, constitute and appoint my nephew, PAUL N. GARRETT, Executor of this my Last Will and Testament. Should my nephew, PAUL N. GARRETT, fail to qualify or cease to so act, I name, constitute and appoint ANNEMARIE C. GARRETT alternate Executrix to complete the administration of my Estate. I direct that no fiduciary appointed r-ierein shall be required to post bond for the faithful administration cf the duties required in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this l7r~r day of ,SE~rFrra~~c , 2004. ,~ ,. ~~ ayn (SEAL) LIZABE H G. TROMP ON Signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence ;and in the presence of each other, have hereunto subscribed our names as witnesses. ~~~~~~ 4 AFFIDAVIT AND ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS We, ELIZABETH G. THOMPSON, _Da~~ L , W~ Fs,r~,a ~. , and RALPN ~{. L/R1 bNT . c% ,the Testatrix 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 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 the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his/her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ,~' ELIZABETH G. THOM ON .~~~ ~. ZyL~~~zZ Witness // fitness Subscribed, sworn to and acknowledged before me by ELIZABETH G. THOMPSON, Testatrix, and subscribed and sworn to before me by ~. 44 c~., -`~39..vti" 1e;: ~.~'~.i~'Y._:.l, YY ~.. s-~ and V 3~`i. ,; V~ 4"`~ ~r.! `1Le~ ~:. __~. , witnesses, this 1`1'x` day of `~,~.,,,~~.;,,~:~;,~, `. , 2004. '~ ~~~ ` , :235502 Notary Public ~ `~' °,~J_~~~~ s°+iOTF,r~RA~ SEAL .,__r _,.......~ DIANNE LENIG, @~ok~ry ~nblac ~er5oyne Barou~h Ca~ra~erian~ C~. 5 ~ fly Commission Expires (~~~. 21, 2Cll~% ~~