HomeMy WebLinkAbout02-06-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of HARRY W. ROSENBERRY
also known as
,Deceased
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
last Will of the Decedent dated 6/24/1992 and codicil(s) dated 1/11/2001
EVA M. ROSENBERRY SPOUSE OF HARRY W. ROSENBERRY DIED
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(State relevant circumstances, e.g., renunciation, death of executor, etc.) tnstrurt~c(s) offtrred ~.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution ~~C7 ~
,,
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ,. _~ ~ -
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1 a hcable, enter: c.t.a.; d.b.n.c.t.a.; endente liter durante absentia; dui•'akt¢lir~ir~orita '
B. Grant of Letters of Administration (f pp p
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Petitioner(s) after a proper search has /have ascertained that Decedent left nodWolm an to list of heirs )by the following ~ou~se (if any ~ d hems: ([f .,
Administration, c. t. a. or d. b. n. c. t.c:., enter date of Will in Section A above an p
(List street address, town/ciry, township, county, state, zip code)
82 ears of age, died on 11/10/2008 at SHIPPENSBURG HEALTH CAR PCAEN 725
Decedent, then ~- y SHIPPENSBURG
,~~ tntnl Nl ~T BOTTOM ROAD
~- $ 5 000.00
Decedent at death owned property with estimated values ~ f All personal property
(If domiciled in PA) m Penns lvania $
(If not domiciled in PA) Personal property ' Y $
(If not domiciled in PA) Personal property in County $ 0.00
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
Sionatllie --- - ~ rrT
EARL D. ROSENBERRY
GAR W SENBERRY
3 LUNCiVICVV J I r~~~
256 BIG POND ROAD
File Number ~ \ ~ C~ ~ t'~ ~
Social Security Number 209288448
Page 1 of 2
~-„rn, RW-02 rev. 10.13.06
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, CUMB. COUNTY ipal re$HIPPENSBU
_ _ _ _ _ _ . ~ n~ nn~CA1C Ttn/P PA 17257
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 a ~~rmed and subscribed
before me the ~- - day of
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C_ For the Register
Signature of Personal Representative ~ ~ ~
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Estate of HARRY W. ROSENBERRY , De~ased w
Social Security Number: 209288448 Date of Death: 11 /10/2008
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AND NOW, FEBRUARY ~P , 2009 , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters OF TESTAMENTARY
are hereby granted to EARL D. ROSENBERRY AND GARY W. ROSENBERRY
in the above estate
and that the instrument(s) dated JUNE 24 1992 AND JANUARY 11 2001
described in the Petition be admitted to probate and filed of record as the last Will~(and Codicil(s)) of Decedent.
FEES """
L~l~~t $ ~(~ e ister of Wills
Letters .......... ................ Mµ`
--
Short Certificate(s) • • • ~• • • • • $ Attorney Signature:
Renunciation(s) •••••••••••••••• $
Attorney Name: H. ANTHONY ADAMS~_.
•••• $ / ~ Supreme Court I.D. No.: 25502
.... $ J
$ / ~ Address: 49 WEST ORANGE STREET, SUITE 3
•••• $ SHIPPENSBURG
.... $
•••. $ PA 17257
•••• $ 717-532-3270
Telephone:
.... $
c~
TOTAL ............................. $
Page 2 of 2
Form RW-02 rev. 10.13.06
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this capy by photostat or photograph.
Fee for this c~rtiizc~lte- S6.U(1
_P 149_2_6477
Cert(tieatio(i 'ti(nuher
1`his is to certii~v that the )nf(SrO~atiult here ~,i~~en Is
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,,,rl~p~ .- ~f correctly co~died trc m an ou~~inal C ertiticate of Death
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~,+``~@~ , ~ ~~1=~ duly filed >~ ith me as Local Re~lst ar. ~ he on~inal
'~- v ~l cernticate «ill he t'or~'v'ard~ to the State Vital
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~'~ =x ~~a~~ Records -five ~ ~ tie- n t 1~~1ing.
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TYPE /PRIM IN
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VfTAL RECORDS "
CERTIFICATE OF DEATH 1 ~ , C`1~1 h` ~( n
(See Instructions end examples On reverse CTATF FII F NtIMRFR
7. Name d Dewdan (Firm. middle, bet, su6u) 2. Sex 3. SocWl Sewrgy NaMer 4. Date of Death (MOmh, day, year)
Male 209 - 28 - 8448 November 10, 2008
Harr W. Rosenberr
5. Age (last BinhtlaY) lkMer 1 year Under 1 day 6. Date d Dinh (Month, daY, ar) 7. Balhplace (Cn end slate a la ~ n murnry) 6a. Place o1 Death (Check odY one)
O
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Honrh usYr wwxv Mrunas Hospnal:
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82 Yrs. 5-28-26 Shippensburg, PA ^Inpatkm ^ER/Ompatnnl ^DOA L--7 Nursing Hane ^Rasidence ^Olhet-Specify:
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Coumy al Deem tic. City, Bom. Twp. of Death
cr 9d. Family Name (N not nmXUlion, give mreet end number) 9. Was Decetlerll 0) Hispank Odgh? No ^ Yes 70. Race: Amerimn Indian, Black, Whke, nc.
.
Cumberland Shippensburg Twp. pl yes, spedly DUben, (Specify,
Shippensburg Health Care Center Alexicen,PuenoRken,etc.) White
11. Deceden's Usum Oau lion (Kill d work dae most d work' Me. Oo not stale rethetl 12. Wes Decedent ever in the 13. Decedent's Educe6on (Speciy ody hghem grade completed) 11. Martial Salus: MardeQ Never Martbd, 15. Sunlwng Spouse (II wde, give treiden remej
Witlorrod
DWOrced (SpecHyf
Kintl d Work Knd d Business / Indust? ,
U.S. Armetl Forces?
yY
Elememary / Serondary (tr12) College (1-4 or sw) Widowed
Dairy Farmer Self Employed s
^Yes I_yNo 8 years
16. Decetlem's Maang Address (sreet, cly / bwn, mete, vP ~) Decedem's Ditl Dereded
DeOadaN Lned m Shippensburg Twp . TwP.
PA Live in a 170
vas
121 Walnut Bottom Road ,
,
Actual Residence t7e. Sale
T0N'r's~? na ^
LroadwNhin
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Shippensburg, PA 17257 ~ ~
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O
tro.Counry Cumberland
16. Father's Name IFim, middle, lam, eu6a) 19. Momers Name (Fist, Mtlda, maiden sumeme)
Melvin S. Rosenberry, Sr. Anna E. Clever
20e. Idomant's Name (yype / Pr'vd) 206. IdomeMs Mating Adtlress Israel, oily /form, slate. zip code)
256 Big Pond Road, Shippensburg, PA 17257
Gary Rosenberry
21 a. MPNwd d Dispodtbn l ^ Crdreaon ^ Doretion 21b. Dme of Dkpospbn (Monet, day, year) 21c. Place d DWposllkm (Name d cemetery, aarelay a other place) 21d.loration (CNy f town, state, zip code)
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^ 11-13-08 Cumberland Valley Memorial Gardens Carlisle, PA 17013
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~ 22e. cgrekae d f a parson edi,g ss such) 22b. lkeree Number 22c. Name and Atldreas d fadnry
er-Bricker Funeral Home Inc., Shippensburg, PA 17257
elsan
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Calpbte Items 23a-c axiNyng
phydcon k not availabb dole d deem to 23a. To the beet d my Nrw ,deem axvrretl me Wrw, date and place slated. (Sigrelure end INnj 23b. License NuMer ~i /y'"
~ ~ 3 ~ / () ~ 23c. Dale Sigred (Month, day, year)
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certify cause d deem.
24
Tare d Death 26. Dab Pronounced Deatl (Modh, day, ywr) 26. Was Case Referted to Medical Exartkner / Caarer for a Reason Ottrer men Cremation or Dorelbn?
Hems 24 26 must be conylele0 by person
cafe Pmourtces death. .
O Q S .~ M. O g ^Yes ^No
CAUSE OF DEATH (See instrucNOne and examples) , Approxhreb nbnm: Pen 11: Emer Omer ~ ~ ~
Nen in Pan I
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use
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ni
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b 26. Dq Tobacco Use Cagdbme to Deem?
^ Yes ^ Prababty
Item 27. Pan 1: Eder the dmin d evenW -diseases, iry'udea, a axnpliceWxa-mm dractly ceased the deem. DO NOT enter brtdrel eram such u wNnc arrest, ~ Oreel to Deem .
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IMMEDIATE CAUSE (FVW disease a
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2B. If Female:
re
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Due W ( s s consequence d): ,
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^ Pregrem et Woe d death
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y, b,
SequediaNy 9sl am
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kadr~g to Ina cause fisted on one a. ^ Net pregnant, M pretTad witlan /2 tleys
Due to (a as a consequence ~:
Eller me UNDERLYWG CAUSE '
met Irc(Ia~ed ms
dkease a
i d tlsath
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Due to (or es a consequence oq: ~ ^ hbl pregnad, but pregrenl 43 days to 1 year
belae death
r ^ Unkrown n gegnanl wfdNn Ina past year
d.
3Da. Wes an Autopsy 30b. Were AlnoPcY Fndmgs 31. Manner d Deem 32a. Date d mNry (MOrilh, day, Year) 326. Desaiu How Injury Ocamed 32c. PWce d M)ury: Home, Farm, Brea, Fedary,
Doke BuikWig, ek. (Specify)
PMamed? Avallade Pda m Completbn
h7 ,(-/
7 NaWrsl ^ Homidde
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~ d Cause d Deal )
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^ Acddenl ^ Pend'ng Invemigatbn 32d. Tone of Irqury 32e. Iryury e1 Work? 321. n Tlamporelion Injury (SpedlyJ 32g. Locelkn d kqury (creel. dy I town, slate)
,^
^ Yes W ^'r ^ Ves ^ No ^ ~
^ Yes ^ Drher / Olxreta ^ Passenger ^Pedemnen
^ suicide ^ Could Na be Detemiretl M Omer Speay.
33a. CeniNer (check oNy are) 33b. Sigrelure end Tab d Nnr
CMlyng Physkian (Physiden cenNying cause d deem when mldMr physidan has pronounced death end cempbled Item 23)
bted
M , ~/
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
manner as e
To the tram of my Imowbdge, demh occurred tlue b lM dune(s) x
• Pranaaxing Arid aNrying PM'siden (Phyeden both pranundrig death eel cenNyng to cause d death)
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a ss slated
d
33c. License Number / /
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3 ~~ ~ (
33d. Dale Sgnetl (Monet, day. Year)
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mann
To the bsmdmy knowledge, tlemh occurred rn the dme,dab, and place,.M due to tM UUSe(s)an ~ O
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• Medkm ExaMrer I Coroner
On the bask of examlml I or bvemigatio y opirdon eth xcared et IM lime, dale, all place, and due to the cause(s) and manner es abtetl_ ^ ~ Namlre~,a,~nd.,A..tlydress pl Person Wln I ~~se of Desm (Item 27) Type! Prim
t
36. Regktmts S re end D' bar > •( ~ 96. Filed (Momh, daY, yeaq ~ ~~ ~'Z~I
Q~~r~~~yj_ _ J A' ,Q
`- v DisposNbn Permit IJO. ~ 19y S~
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WILL OF t:-cam ~~ -
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HARRY W . ROSENBERRY L, z -,,
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I, HARRY W. ROSENBERRY, of Shippensburg, Ct#rl~nd _ -~
County, Pennsylvania, declare this to be my last--'Will~~and~.
hereby revoke all prior wills and codicils. _- c.a ~:,..
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1. 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 and death taxes of any kind whatsoever which
may be payable by reason of my death shall be paid out of
3. I direct that my entire estate be divided as
follows:
A. I leave my entire estate of whatever nature and
wherever situate to my wife, Eva M. Rosenberry,
should she survive me.
B. Should my spouse predecease me, I then leave all
of my estate to my sister, Helen C. Martin.
4. I appoint my wife, Eva M. Rosenberry, as
Executrix of this my last Will. If she should predecease
me or cease to act in such capacity, I name my sister,
Helen C. Martin to so serve.
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.
~N WITNESS EREOF, I have h r~eunto set my hand this
2 ~~ day of ~~ ° .~ 19~
HARRY ROSENBERRY `~d
LAW OFFICES OF
STEPHEN J. HOGG
401 E. LOUTHER STREET
CARLISLE, PA 17013
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The preceding instrument consisting of this and one
other page was on the day and date hereof signed,
published and declared by HARRY W. ROSENBERRY, as and for
his last Will in the presence of us, who at his request,
in his presence and in the presence of each other have
subscribed our names as witnesses hereto.
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LAW OFFICES OF
STEPHEN J. HOGG
401 E. LOUTHER STREET
CARLISLE, PA 17013
ACKNOWLEDGMENT
LAW OFFICES OF
STEPHEN J. HOGG
401 E. LOUTHER STREET
CARLISLE, PA 17013
Commonwealth of Pennylvania
County of Cumberland
ss
I, HARRY W. ROSENBERRY, the testator, 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.
H_~.FL~:Y W. R.^,SENBERRI'
Sworn to or affirmed and acknowledged before me by
H Y W. ROSENBERRY, the testator, t s~:~~ day of
`~ , 1992. ::
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Commonwealth of Pennsylvania
County of Cumberland
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We, ~Rt`.rv~, s. Lc~i55 and ~~~.~ ~ ~-7 ~1~~. ~~.,~ d,~ U .~ ~
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
testator sign and execute the instrument as his last
Will; that the testator signed willingly and executed it
as his free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing
and sight of the testator signed the Will as a witness;
and that to the best of our knowledge the testator was at
that time 18 or more years of age, of sound mind and
.under no constraint or undue influence.
~ _ ~-~~ , -
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Sworn to or affirmed and s scribed to before me by
witnesses, this `~~day of ~~ -Gt-ti.~ 992.
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Notar Public Attq, y
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HARRY W. ROSENBERRY
I, Harry W. Rosenberry, of Shippensburg, Cumberland County,
Pennsylvania, hereby declare this to be the first Codicil to my Will
dated June 24, i 9y2.
1. I direct the following changes be made to my last Will.
A. Paragraph 3, section B shall now read as follows:
Should my spouse predecease me, I then leave all
of my estate to my brother, Earl D. Rosenberry.
B. Paragraph 4 shall now read as follows:
I appoint my wife, Eva M. Rosenberry, as
Executrix of this my last Will. If she should
predecease me or cease to act in such capacity,
name my brother, Earl D. Rosenberry and Gary
W. Rosenberry as joint Executors to so serve.
2. In all other respects I ratify, confirm and republish the
provisions of my last Will dated June 24, 1992 together with
this Codicil as and for my last Will.
IN WITNESS WHEREOF, I have hereunto set my hind and
reseal in this Codicil consisting of two pages this ~_ day of
~ u , 200.
LAW OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
' - / ~LCY
HARRY W. ROSENBER Y
ACKNOWLEDGMENT
Commonwealth of Pennsylvania
County of Cumberland
On this, the ~~~ day of ~ uar , 200 (,before me
Stephen J. Hogg, the undersigned officer personally appeared
HARRY W. ROSENBERRY, known to me or satisfactorily proven to be
the pers~~ ~ v~hose ; ~a;-;~e is subscribed to the within instrument as my
sole Codicil to my last Will and acknowledged that he executed the
same for the purposes therein contained.
HARRY W. ROSENBE`RRY
LAW OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
seal.
i~
IN WITNESS WHEREOF, I hereunto set my name and official
a ~ o~~ ~`-~3~
OATH OF NON-SUBSCRIBING `VITNESS(IJS)
REGISTER OF WILLS
L.,t~i~l~~~~c~.,-~~.1 COUNTY, PENNSYLVANIA
Estate of
Deceased
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and ~ !~ ~P L, n ~
(each being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with
and am/are familiar
with the handwriting and signature of the decedent, and that the signature of
to the foregoing instrument purporting to be the Last Will and Testament!Codicil of
is in his/her own proper handwriting.
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(Street Address) ~
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(City, Slat , p) ~ ~ ~7~~
Executed in Register's Office
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(Signature)
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(Street Address)
ity, State,lzi~)
Sworn to or affirmed and subscribed n
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before me this E--0
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Deputy for Register of i s ~ ~,,~ 1 >
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Form RW-04 rev. !0.13.0(
This instrument consisting of two pages was on the day
LAW OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
and date set forth signed, published and declared by HARRY
W. ROSENBERRY, to be the first Codicil to his Will in the
presence of us, who at his request, in his presence and in the
presence of each other have subscribed our names as
witnesses hereto.
Witness
Witness
2