HomeMy WebLinkAbout02-04-09PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of Harold K. Ferguson
also known as
COUNTY, PENNSYLVANIA
File Number 21-09- ~0\C~
,Deceased Social Security Number 174-16-9202
Cheryl L. Zygmunt
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or `B' BELOW.•)
^X A. Probate and Grant of Letters Testamentaryand aver that Petitioner(s) is/are the
last Will of the Decedent, dated 11/05/2001 and codicil(s) dated
named in the
Executrix
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
app Ica e, en er. c..a.; ..n.c..a.; pe en e ~ e; uran e a sen ia; uren a moron a e
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the followings ouse (if any~d heirs(/f.-
Administration, c. t.a. or d.b.n. c. t.a., enter date of Wll in Section A above and complete list of heirs.) ~y^,~ o
Name Relationship Residence rri~n vd ~.-, .,
o ~.~~
,,
•
.
.,
.._ -
-n ~_ ~-
,
~
CD
(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
30 Scrafford Street, Shippensburg, Cumberland, PA 17257
(List street address, town/city, township, county, state, zip code)
Decedent, then 90 years of age, died on 01/26/2009
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
at Chambersburg Hospital, Chambersburg, PA 17201
All personal property
Personal property in Pennsylvania
Personal property in County
situated as follows: Southampton Township, Cumberland County
3,000.00
$ 60,000.00
Wherefore, Petitioner(s) respectfully request(s) the probate of the lastV•III and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
~ Signature Typed or printed name and residence
Cheryl L. Zygmunt 1104 Heather Drive
Chambersburg, PA 17201
Form
REGISTER OF WILLS OF CUMBERLAND
r;ev. iu-7a-[uU6
Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH GF PENNSYLVANIA
COUNTY OF Cumberland } SS
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 arfirmed ,ac..n/d subscribed
before ine this, ! day of
r ~
L~~ ~~,
For tt~e Register
of
heryl L. Zygmunt
Signature of Personal Representative
of
File Number: 21-09- ~~ l~G~
Estate of Harold K. Ferguson
..n r~ _7
k,. _ - t
r. N- ,,'Vj
~Q~ a .. r
_ .r r
~...1
..~. r _ i
Decea •• "' ...
~ _ ,._
Social~S(ecurity Number: 174-16-9202 Date of Death: 01/26/2009
AND NOW, _ (~/~~~~ ~ Q ~ ~~ ~L ~ ~---- , ~_ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that-Utters Testamentary
are hereby granted to Cheryl L. Zygmunt
in the above estate
and that the instrument(s) dated 11/05/2001
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters .................. ~ ~., ~~.
.. $ _ ~ ~~J c~~ __ ~ ~
~~-' ~ ~: 4
Short Certificate(s) .............~.... i^ C 0
.. $ o~ R er o Wills ~ ~
Re
i
ti Att
Si ~
-
nunc
a
on(s) ........................... .. $ orney
gnature:
~ /
L(~ $ I -oc
I ~
Attorney Name: (
J ry A, Igle Esquire
f~ ~ ~-vu
I-lc-~ $ Supreme Court LD. No.: 01624
Weigle & Associates, P.C.
$ Address: 126 East King Street
$ Shippensburg, PA 17257
$ Telephone: 717/532-7388
TOTAL .................................. $ / 7 t o `l
Form RW O2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 2 of 2
IUi Ji1 Kf'~ :91~U'~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or-photograph.
Fee for this certificate. X6.00
P 15154903
Certification •Numbcr
This is to certif} that the information here given i correctly copied from an original Certificate of Deat}
duly filed with me ~(s Local Re«istrar. The origina
certificate will be forwarded to the State Vita
Records Office for pel7nanent filing.
Local Registrar Date Issued
~j
~
_ _
O •°c9
te-- W <'
r
rn ~ ~ ~~
~,~ r ~ .mow
~ ,._.~
-r-,
Mtost43trty nreooa COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VffAL RECORDS _ -;
•"". ~' t
TYPE/tMtNrIN
~ CERTIFICATE OF DEATH ~
(See Instructions and examples on reverse) „ „~ ~ \ "~
~ ~~ _°_,-;.- tr`
`
~.~
e
t. Har» a DaadrY (Fbd, mbda, rr. wd9V 2 Saz 3. aadal9aaraY 1JIariWr - - - 4, DW a DeaN (Marr~ar)
Harold R. Fer uson male 174 - 16 - 9202 January 26, 2009
a. pe (tar ar9dryl ttnd4r t Urdr t d Dab a 6rdr HoMlr, a 7. ampw. and aYb « !k Pb» a D»dr tYrdc ar)
rw+w ~ ~'" "~"" 09-26-1918 Bedford, PA. °tlwn
90
Y~ ®+ ^En/owmwnt ^DDA pHrrpM«n. ^Mwarr» ^odw-~r•
9b. Corady d Mari &. tST: eora Twn a D»m Bd Faeiy rr» (H m batlbtlwi, tM ~ ~ ~bM 9. wa. Dua.+a w,w~e a~gtr+ k3 no ^ v» to rrocwn.b» wn erdc w~, ro.
Franklin Chambersburg Chambersburg Hospital
~
(
hi
~
,,~)
w
te
11. Daadanh tlaai dwak do» mor a Ha Do nd rr 72 Y!» Daoaden awr b tM 13. Deadrifa Edneaam (~•eNi MY ~ eonglatadl tt. MuW Stllic Mvrbd, Nawr MrrMd. 15. SwFhp Spouw (9 wNa ¢n r»Wen naoal
IOM d 16id a BaYr» I
Inventory"~ontrol Government" us. Armed FacnT
~Y» ^~ Ebnraery / (0.12) Cdbpa (1-~ a a~) ~°wb• ~d~ (
married Janet M. Hoover
- te. Daader'a urncAmw (sr»c dv/town wta nP ada)
30 Scrafford St. Daoadrrn
ApWtta•ttrwa nastaa Db Dacadrw
Penngylvania
no~Yaat)•ow4dttwdin Southamvton T,,y.
Shippensburg, PA. 17257 t~~r 7
~
urwawwt
Cumberland na^
~
d
cAy/ttdo
td Farr, wm. ffM widda ur. adkp t9. Abdrla Harr (Fir, midda, nWd» aurwnal
William Ferguson Nettie Miller
20a VlarrrA'a ttar» (rT9a/ Pdnq 2m. tdonnn'a wigAadrMa Carer, dy / town, aw, zp md,)
Cheryl L. Zygmunt 1104 Heather Drive, Chambersburg, PA. 17202
2ta MNbd d D6pa9bn ®Cnrnbn ^ Donatlon 210. 0W d OYpoeAbn (Alali, d1s twM 21a %a« d DilpaaYon Ir4.ne a cewr«y, aa»bry a dh,r p,p) 21d larrlht (py/bwn rra t:4 oode)
^ err ^ A""°'r~°'"~t' "'rd'"'"°"«Da"'~°"A'"AortreO Jan. 28,
^ Orir. SpWj- 6r tAeAar b'»riw/ cererrrT ^ Y» ^ NO 2009 Parklawns Memorial Gardena Chambersbur , PA. 17201
g
~ 22a. SIpWn d 22b. Unrwa Nunbr 22e tYnu aMAdde» d Fadly
- - FD-014781-L Thomas L. Geisel Funeral Hone, Falli g Spring Rd., Chambersburg,PA
29ac aiy M4noryip b dr bat d my , d4eN r M bra dW and pYCe aWd rM) 2'.b. License tiar0ar 29a Dab S4rd (MOreh~ dsy, Y»r)
~rs»a»rnb
.a ~S
'
q
'~ /,
»rrrc.
a ~
y
} a
- M„~w,tr h, ry,~,d y/~,~ 2A 7a»dDetlh 2a. Drdl . Y»r) 2d Was Caea Mr1krE:rnYr/Caaw braFWem qtw dmn CraWbn«Dartlm7
who P~awnc»6M~ ~ M. ^Y»
CAUSE OF DEATH (Sew InetrueUonw aeW ems) - r Appor6rrl, Yarvat
Mont 27. Prlt 6»rMfSlafdealdF-dfrea»a i~aNaamnplo>tlone-MdfrMywwed Yr d4aar, DO MOTInMrlwnyW swab »tlrrcard4ermt, r OnerbO•M Pen l: rrler otoar
WMreerlWrp inMurrrhirp rar pM»bPant 20. pd Totrooo 1M CaihOi» b 0»drt
^ Yea ^Prohary
reepFaWy arr»I, a veriafuiYr mraefon wiFrd elprrp M eddopy. Lk «iy o» carte »awph M.
~
CCAA~eggEE~Fb r
~
^ No ^ tAYoro»
,
cor~iieeWiyhdeYr) -~« a ~. ~ ~ _
~~G~' " - - - - i 29.MFemre:
Orr n («» a oo»•Orrrrca d): ~ ^ Nd Pegrri+Mn Dsq Tar
YcaaWrr, raq, p,
b CrN Ired» M a ~ ^ PretFrwerliroddeatlr
Dy, b (a» a oo»egrtrra oQ: r ^ Nd peprr. W pragrd wihb 12 d,p
Due b (a» a m»•q»rrn dg i ^ Ma ge¢ir~ W pgrr 43 dayc b 1 Yw
d ~ bebu deeb
^ tAYarwwrpr.0rra wirir ur P%d raa
90a PI»~~ 900. ~ 9t. lbrnr a D•rlr 32a DW d Maury (Morilr, hy~ yw) 32D. Deaibe Mow Ft~ay Omrad I~qr
32a
9reeL Fad«y~
~~~ I>~ttYar ^~~ (~Y1
~
&m^0.
dCrwdD»rit
~~
^ ~ LJ AO ^ Y» ^ ~ ^ ~''~ ^ P~q 92d TY» d Y~ry 32s. Y~rj r WMCt 321. MTrmpafa5on h~juY (S~e~dfY/ 32Q LaW» d Your (9uaK dP/b». aYh)
^sddda ^cwdHa h. armdrd ^Y» ^rb ^GN•la~Krer ^ ^
µ OOrr•:
99a cwt Carat «+r ar)
• ~MN~apM~IPhr~~E'ibuarwaa.nwlwranonaprytlrAnn»Piaraw.Ea.nr,aoonprarmzq xm. spree rWTw a
~I D
15 tlrOMapbrwbdpa, d4aa oanneddwb6erre(ej andmwwrrred--------------------------------- - .
• M~~rY WN~IPM+~OaF parurAp dwhard crayigbcrr ddeetlt)
• wmw°»e..adr~"•/'awh«a.rwru»a».a~,»aPr»,»aa.bu»«ww»»arrrwrr»rr.~----------------- ^ 33a UaMre NUnber 33d Dab dry,
dy 1'~ as ri' 34~' L / 7 0
On 1MMWdmatr0»and/abaeetlp4tlon,bmr eplreq aleWreaeanMrlM ti»,dab, and pN», and d»brierree(s)endmwwr»eW,d-^ ~
31.Nm and AddrwdPr,orr CarpWdCawdD»b!•~;m~~71~.-Td.fIPM~~,/)~
r1f7' J
~' /~'~
~
f
Sl
W
dDWkt Tt
t
3a
R
M 9A pb FW
A
r
d 7
~" s ~ ~ J•''~'r~ll "-~7 J -
7o~/~p
ra
s
p
ra an
ni
u
.
ep O
a
l
aa TwM
DNposaon Pennt Ha ~ D s i3 ~ Y~
LAST WILL AND TESTAMENT
I, HAROLD K. FERGUSON, presently residing at 30 Scrafford Street, Shippensburg,
Cumberland County, Pennsylvania 17257, being of sound mind, memory and disposition, do hereby
make, publish and declare this my Last Will and Testament, hereby revoking and making void all wills
by me at any time heretofore made.
FIRST. I order and direct the payment of all my legally enforceable debts and funeral
expenses as soon as may be convenient after my decease.
SECOND. I give, devise ar~d bequeath all my estate, real, personal and mixed, whatsoever
and wheresoever situate, to my beloved daughter, CHERYL L. ZYGMUNT, presently residing at 1104
Heather Drive, Chambersburg, Pennsylvania 17201.
THIRD. In the event my said daughter, Cheryl L. Zygmunt, should predecease me or is not
living on the sixtieth (60th) day following my death, I then give, devise and bequeath my said estate to
my granddaughter, MELISSA M. PALOMO, presently residing at 1519 Sauth Rambling Way,
Frederick, Maryland 21701, on per stirpes distribution basis.
FOURTH. I nominate, constitute and appoint my daughter, CHERYL L. ZYGMUNT, to
be the Executrix of this my Last Will and Testament; if she be unable to fulfill the duties of Executrix, I
then nominate, constitute and appoint MELISSA M. PALOMO to be the Executrix of this my Last
Will and Testament.
FIFTH. I direct that my personal representatives shall not be required to give bond for the
faithful performance of their duties in any jurisdiction.
SIXTH. I direct my Executrix to retain the services of Jerry A. Weigle, Esquire, with
offices located at 126 East King Street, Shippensburg, Pennsylvania 17257, with respect to the
settlement of my estate due to his familiarity with my affairs.
IN WITNESS WHEREOF, I, HAROLD K. FERGUSON, have l~r nto set my hand
and seal to this y Last Will and Testament, written on one (1) page, this ~;lf day of
~~%~~"i~'~' ,~ir1~- , 2001.
_.>
"l~-~--~u--<-~.l 1~ ,;~-<_.L ~,~:;,~:-t_ (SEAL)
ltd S,MtO
3~ ?~b31~
~~'h ~ t 1 ~~ h- ~~~ 6~JOZ
,I , , ,, ,;, L ;-, .
., .'.>~.
t ..
;, ,,
WEIGLE, PERKINS & ASSOCIATES - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397
This instrument was by the Testator, on the date hereof, signed, published and declared by him to be his
Last Will and Testament, in our presence, who at his request and in the presence of each other, we
believing him to be of sound and disposing mind and memory, have hereunto subscribed our names as
witnesses.
`~~~ ~ J
~ cm~
,~
,~
.___.._
;: I;
-GG~C~~ -,;~
,~
~J
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS
I, Harold K. Ferguson, the person whose name is signed to the 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 that I signed it as my free and voluntary act for the purposes therein
expressed.
Sworn or affirmed to and acknawledged before
me by HAROLD K. FERGUSON the Testator,
this tj ~~~ ~ day of ~'Zd ~l~' Ivv~ , 2001.
~~ ~ U~
WE>€ L~;,1~I.l~~li~ ~: ~~ ~SS~~IATES
Attorneys at Law
~' 126 East Ding Street
Shippensburg, PA. 17257
(717)32-7388
NOTARIAL SEAL
Jerry A. Weigle, Notary Publ'~c
Shippensburg, PA Cumberland County
M C m i si n Ex iers r7rto r 07 2002
WEIGLE, PERKWS & ASSOCIATES - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 77257-1397
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
'' 1,.
~-
We, ~ ~}-r~ c i -~ ~ - I a ~-Y1 ~ and , i °. ~.'~ 1 ~ , ~,~' ' ~~' - -'
the witnesses whose names are signed to the foregoing instrument, being duly qualified acco d nir g to
law, do depose and say that we were present and saw Harold K. Ferguson, the Testator, sign and execute
the instrument as his Last Will; that he signed willingly and that he executed it as his free and voluntary
act for the purposes therein expressed; that each of us in the hearing and sight of the Testator, signed the
will as witnesses; and that to the best of our knowledge the Testator was at the time eighteen (18) or
more years of age and of sound mind and under no constraint or undue influence.
-~ ~,c.~~~ (,.~, .,
~~~- ~ ~ l
Sworn or affirmed to and subscribed before me
and ~ ,~~'t -t ~ >~1 ~~~ ~-~~~Y'`c; ~~
J
witnesses, this ~ `~:~i day of `I~~ ~"~; 2001.
.-
~ r~ ~~
~, VVEIGL~, ~t~ 4 . -'°t r; .~~'~;~t/Ir~TES
Attorn~ : s a; ,asv
126 East 'ng Street
Shippensburg, PA 17257
(717) S ~2~7388
NOTARIAL SEAL
Jerry A. Weigle, Notary Public
Shippensburg, PA Cumberland County
M Commis;;ion F. ;>r~~~ October 07 2002
WEIGLE, PERKINS & ASSOCIATES - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397