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HomeMy WebLinkAbout03-03-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF ~' [0~'YJt3cR Cr4~N T> COUNTY, PENNSYLVANIA ~,- ~-' Esraie of ~~-~Cr-~~ ~.T ~ ~~ ~' ~ File Number ~.~ ~~~~ ~~' '~~~ -- also known as ,Deceased Social Security Number ~ ~ . ~ 4 " ~ 7 Petitioner(s), who islaze t8 years of age or older, apply(ies) for: (COMPLETE ',4' or 'B' BELOW:) I`s6 A. Probate and Grant of Letter Testa entary and aver that Petitioner(s) is /are the ~~ ~L L(TV ~- named in the last Will of the Decedent dated ~+ ~~ ©~ and codicil(s) dated (State relevant circunrsmnces, e.g., renunciation, dearlt of executes; etc.} Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after exectitinn of the instmment(c) nffera~ for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ^ B. Crant of Letters of Administr a[iou {ifnpplicable, enter c.t.a.; d.b.n.c.ta.: pendente lire; durnnte absentia; durmtte,ninorimte} Petitioner(s) after a proper seazch has /have ascertained thaF Decedent left no Wili and was survived by the following spouse (if any) and heirs: (If ,1 dn:inistration, c. t. a. or d. b.n.c.t-a., enter duce ujWill in Secttun R above and complete ltsr of heirs.) {COMPLETE INALL CASES:) Attach additional slteets if trecrssary. Decedent was domiciled at death in~~(/<1'1 J~E'i-~ LA'N 17 County, Pennsyl_^ania with Itis /her last principal residence at ~h 5 iA Li_~y~-t~.~ ~ .. ~s~-.:~~"'F~!~f'NS_~vk,c~ ~ ~%-~, ~~'A~~I~ILf~C~- .~ I7~U !Lut street nddress, town/city, township, coon state, up code) ~~ Decedent,then-_1-years of age, died on Z i7~~~lat E~t`/'~UJ1/St30/'c0~ LL'~/~~~A1d1l~tt/1jfi~/ " Decedent at death owned property with estimated values as follows: (If domiciled in PA} All personal property $_ ~~'~• ©w 6~7 {if not domicilcd in PA) Petsouxl property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ situated as foil t-c v~~,v S Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicils}presented with this Petition and the gt•ant the undersigned: ~,~- name ana restcence opriat~m to ! %~ , r" ~{ - I J ~~~' ~tC~~L'~- d~ ~ `-_ w --- ... .. .., --,~-- '~ t Forvu RiV-(7? rev. 10.13.06 P3gE 1 of 2 Oath of Personal Representative COMMONWEALTFI OF PENNSYLVANIA SS COL`NTY RF f.%(•~F`~S~GG.I-~'N D _. The Petitioner(s) above-named swear{s) or affirm(s) that the statements in the foregoi:~g Petition are true and correct to the best of the knowledge and belief of Petitioners} and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Swum to or affirmed and subscribed before me the '~ l• ~ _ day of ~~ ~ ~~ y ~ ~ vt ^. For the Register ,~R~/Ja1it G( ~~/Lti __ Signann•e of PwsonaJ Representative Sigraa~nrvofPersonnl Repr~senfaln~e $igrratnre of Persona! Representative FileNumber._ a ~ ~~~ ~o~V~~ -~-~~ _~ ` r~ . °cr- ~ ~~ . ~ a - ~ ~ _ ~ 4 .- ~ ~ ~' -..r Ca _ _ ~ ~© ~~ C ~ _ - ~f 2+ Cl1 '`"' y~/,)-~,~ ~_, Deceased Estate of ~~~'~"~~` ~ ~ ~ ~' . ., ~ - /'7 ~ I Date of Death:_ 2. ~ 7 Z'~~ ---'- Social Security Number: M ~ ~~~ ii!>C>9 _, in consideration of the foregoing Petition, satisfactory proof AND NOW, Z having been presented before me, IT IS DECREED that t~tt~rs , T~ ~ / ~'~~~'~ are hereby granted to ~ ~~•~ _ in the above estate fj-j'R.~C. 2G ~.oo; and that the instrument{s) dated described in the Petition be admitted to probate and filed of re rd as the last W ill (and Cxlicil(s)) of Decedent. >~ ~ r n ~ ~~ _ ~ a." FEES Ret~ster of Wil! Letters .... ti.~y.~.. $______~~ .~ ~ C~'%~I $ a~ Attorney Signature: ~ ~ Short Certificate(s) ... C-r; 7r`~9-TiQ/C~~ ~ ~ ' . $^_____-- ~ ~..} Ca,c, tic I2 Renunciation{s) ....... • • _ Attorney Name: .~ ~ (~ $r 1 O Supreme Court LD. No.: ~~ Address: ... $ ..$ ..$ _, $~,_`._ Telephone: ... $ ?~~~ TOTAL ............. $.~_-- ~ 7z-~ C,~~~~~ ~ Bar- ~7~ ~/ Page 2 of 2 Fa•n7 RW-~' rev. IOJ3.06 OCAL. REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. l ce fcTr'hir, L:irrtilic,Tt~. SF .i)f) ('ertif,t_ (titer. tii) :~l.~r Thl, iti to ~(I(.~ ~i ~ tt~c infornlitlt~t~ iiuL >f~cn is ;,, r ,, ~tt~Q,~~~ ~~p~~~ i'C)IIc'C1~1 C)jl}L(~ ~I( 1 Lill Otlt 771d~ LtI~~ISC lLl Ui Ul'~lt~"1 /~ ~~ _ ;~~~~ \'~l=\ duly filer) ~~Ith rl~t~ ,1, LoL .I RL~~ ;h ~r. Ihi~ c~ri~~ma1 ~~ ~'' v~l rettlficatt ~II's h~ sores<ude~i to (ht~ ~tat~ vital ~ ipx~ ~. ° a~{ Re~orus Of1)~e ti~ ~~•Itn'~u~~nt til)n~~. J via ~~ ,~ FED 1 8 X09 ti ~~ ~~ r ~-~~ oral e~l~ tar rv ~ ~ -- ~ t m ~ - ~3 '~ r,. r ~ 1 r~~ ~ ~~ ~ 3 ~ - CA ~; ~ - ~ V REV 1712006 I PRINT IN MANENT \CK INK. 7. Name of Decedent IFlrsl, mbdle, lash suMixj Mar aret T. Ward COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH ~~ ~~~ ~~dJ (See Instructions and examples on reverse) STATE FILE NUMBER 2. Sex 3. Social Security Number 4. Date of Death (Month. day. yeah Female 189 -24.x-1771 February 17, 2009 5. Age (Last Birthday) Under 1 year urt°er i uay ~. ...,~... ..~~..~ ,.........,, __„ ,__, Hospital: ter. MOnIRS Days Hows Minutes 81 1 928 Glaseow Scotian p ^ D ^ g ®Reaidenee ^other Speciy. Yrs. Feb ' 9 , ~ In alien) ER I Oul afient OOA ^ Nursin Home Bc. Cit Boro, Twp. of Death 6d. Facility Name (If not institution, give street and number) 9. Was Decedent of Hispanic Ongin7 ~ No ^ Yes 10 Race: Ameriean Indian. Black. White. etc 6b. County of Daam Y. (If yes, speclty Cuban, (Specity) Cumberland East Pennsbor~~ 3600 Sullivan Street Mexipan,PnenpRipan,etp) White 1t. Decedents Usual Ou lion Kind of work done duns most of workin life. Do not state retired 12. Was Decedent ever in the t3. Decedent's Education (Specity Dory highest grade completed) 14. WttltoavlredatDivorced (Specitylr Married 16. Surviving Spouse (II wde. give maiden name) Kind of Work U.S. Armed Forces? Elementary I Secondary 10-12) College (t-4 or 6r) Widowed Sales Clerk rm~°~~~ ~~~~ ^Yes ®Nn 12 xc an e Servic Did Decedent 16. Decedent's Mailing Address (Street. city ~ town. state, zip code) Decedent's p A Crve in a t 7c. ~] Ves. Decatlent Lrved m East P e n n S b O r O LNF, Actual Residence 17a. Slate Township? 3600 Sullivan Street ,7b county Cumberland t7d ^ "n DepeaentLwedwnhi" Actual LImaS of Gty Boro Mechanicsburg, PA 1 7050 t that's Nam~(First middle ride surname) 18 Father's Name (First. middle. last. sumz) +L;11Zapetll JIo 1'lnson James Lawrence Kirke 20a. Informant's Name (Type /Print) 20b. Infortnanl's Mailing Address (Street, dty /town, state, zip code) Barbara A. Acri 3600 Sullivan Street, Mechanicsburg, PA 17050 21 h. Date pf Disposition (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory pr other place) 21tl. Location (City !lows, slate. zip codei eta. MethcO of Disposition ~] Cremation ^ Donation ^ Burial ^ Removal from Stale I WasCrematlonorDOnationAUUtorized ~ BFH Crematory Grantville, PA 1 7028 ^ Other -Specify: i by Medical Exam. r I Coroner? es ^ No 22a. - na re of Funeral Serv a Licensee or ran ailing as such~y v 22b. Ucense Number 22c. Name and Adtlress of Facility e.C ~"~'~~`~'--~~L~z~- %j FO 012342-L Stone & MurrayF.H. 408 3rd.St.,New Cumberland,PA 17070 ~ 23c. Date SI nail Month, da earl 23b. License Number 9 ( Y Y Co ale Items 23a-c only when ceniNing 23a. To f my kit edge, death occurred at the time, dale and place stated, (Signature and IAIe) C/ pl n loan is iwt available at time d death t° (_. ~ ~~ ~ .7 ~ ~ ~,~ ~ 2 ,/ ~ / ~ - G• cemity cause of deals. .C ~.-~ - 2d. Tme of Death 26. Date Pronoutaetl Dead (Monet, tlay, year) 26. Wes Case Referred to Medical Examiner I Coroner for a Reason Other man Cremation or Donation? Items 24-26 must be completetl by person ~1 ,, ^Ves o woo Protaunces death. ~ , ~ n~i M. -C - ~ - ,. 4r J CAUSE OF DEATH (See Instructions end ezamples) r Approximate i aY. Pan II: Enter other ikon ficant contl'tions contnbuling to death, 26. Dltl Tobacco Use Contribute t° Deaths Item 27. Pan I: Emer the chain of evens - diseases, lotuses, or complicatlons - mat drectly causetl the deem. DO NOT enter terminal events such as caNiac art 6 Onset to am but not resulting m the underlying cause given in Pan I. ^ Yes ^ Probably respiratory arrest. or venlr¢ular libnllakon without sh e et y. list yyynly one cause on each line. ` t (~- ~ t ^ Na ~lnknown ~1 /~ t)~~tt`)~JC.,u, ~ /~ 29 II Female IMMEDIATE CAUSE final disease or \\ ~'1` t of pregnant within past year rondltion resulting In ~eath) _~ a Due to (or as a consequence oh'. ~ ~ ^ PregnaN at seta of tlealh i Sequentialty Ilst condlfxms, if any, b. r ^ Not pragnanl, but pregnant within 42 days leadirg to the cause listetl on Ilse a. Due to (or as a consequence o1J: r of tleam Enter the UNDERLYING CAUSE t (disease or injury Ihet initialed the p r ^ N°I pregnant. nut pregnanl43 days to r year events resulting m tlealh) LAST. Due to (or as a consequence oq. t belore tlealn r ^ Unkrbwn d pmgna within the pest year d r 32a. Date of In' Month, da ry 32c. Place of Iniury Home Farm Street Factory. 30a. Was an Autopsy 30h. Were Autopsy Findings 31. Manner of Deals fury ( y, year) 320. Describe Haw Iniu Occurred OHice Swltlinp, etc. (Speciryl Pedormed? Available Pnor to Completion ~ Natural ^ Hom'icide of Cause pf Death? 32 Location of In ^ Accident ^ Pending Investigation 32d. Tune of Injury 32e. Injury a1 WoM? 321. II Transponalion Injury (Specify) g Nry (Street. city I town. state) I A'Yes ^ No ~s ^ No ^ Yes ^ No ^ Driver I Operator ^ Passenger estrtan l*' ^ Suicide ^ Could Not be Determined M. ^Omer - Speciy 33b. Signature and ~enifi r 33a. Cerifler (chick only one) , Certifying physician (Physician cenitying cause of death when another physkian nas pronounced deem and completed Item 23) ~ __ 7o the oast of my knowledge, death occurred due la [he cause(s) and manner as statetl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 33c. Livens u 33d~at Ig ed (Month. tlay year; ~~ • Pronouncing and certifying physician (Physician Dotn pronouncing tlealh and ceniying to cause of tlealh) ~ (;(V] ~ To the best of my knowledge, death occurred at the rims, date, and place, and due to the cause(s) and manner as stated_ _ _ _ _ _ • Medical Ezaminer I Coronor se( 34. N_anz and Address of Pers°n W'h° Canpletetl Cause o. Dears (Item 27) Type ~ Pnnl On the basis of examination anA I or investigation, in my opinion, death occurred at the lime, dale, and place, and due to the cau s) antl manner as statetl_ ^ 36 Oate iletl (M .day, year) Q Registrar's Signature stria. Number -~ ~ ~ I ~ i I I ~ I / ~ / ( ~ ~j n ~7~ ,10 4' 4 ~O O I ~ f (~ y /'e~ _,~ ` ~ 4 Ax M Il y ~A ~ 7 ~ ~'// ~!'~, `~y)d 4~5 Gay}' _e,_ .~_. ._~-I--_-____.. D'csnostl°n Permit N0. ~./ ~ `~J S._..1~- )LA~~~C' ~~Vl[]LlL ~aurncd~ '7~1E~7~A\l~l[]EIv7[' co~~F ~~ ~r aret ~ g ~. orb ~~~ ~~~ D I, MARGARET T. WARD, currently of 2101 Cedar Run Drive, Apartment 102, Camp Hill, Cumberland County, Pennsylvania 17011, being of sound and disposing mind, do make, publish and declare this as and for my last Will and Testament, hereby revoking any and all Wills and Codicils by me at any time heretofore made. FIRST: I direct that my medical expenses, as well as funeral expenses over and above funeral expenses currently pre-paid at Stone & Murray Funeral Home, be paid from a trust fund previously established with Micro-Data Systems, Inc., of Furguson Square, Suite 200, 27766 West College Avenue, State College, Pennsylvania, as soon after my decease as may conveniently be done. SECOND: I direct that all my just debts, funeral expenses and inheritance taxes ~e paid by my hereinafter named Executor or Executrix as soon after my decease as may "~I conveniently be done. ~~ _' THIRD: I give, devise and bequeath all of the rest, residue and remainder t~ of my estate to my daughter, BARBARA A. ACRI, currently of Mechanicsburg, a}, -- ~__ c,,' -~-1 _~ _ _ .,~ Pennsylvania, provided that she shall be living at the time of my death and survive me (b) To retain any property received by them, including the stock of any corporate fiduciary acting hereunder; (c) To sell real estate for any purpose, publicly or privately, for such prices and on such terms as they deem proper, without liability to the purchasers to see to application of the purchase monies; (d) To compromise controversies; (e) To distribute in cash or kind or both at such valuations as they may fix; (fl To distribute property passing to a minor under this will either to the minor or to any person to hold for a minor; (g) To sell articles passing to a minor under this Will if the Executor or Executrix in his or her sole discretion considers such articles unsuitable for a minor. FIFTH: I hereby name and appoint G. Patrick O'Connor, Esquire, to be the attorney for my estate. LASTLY: Words used in the singular may be read to include the plural or the Aural may be read as the singular. Similarly, the masculine form may be read to include he masculine and neuter; and the neuter may be read to include the masculine and eminine. IN WITNESS WHEREOF, I have hereto set my hand to this my last Will and -'- Testament, contained on this page and the foregoing two (2) pages, to each of which I have affixed my signature, this ~~~~day of April, 2002. MARG ~ T T. WARD :or a period of thirty (30) days. In the event that BARBARA A. ACRI; should predecease me or fail to survive me by thirty (30) days, I give, devise and bequeath all the rest, remainder and residue of my estate to my granddaughter, CHRISTINA MARIE ACRI, currently of Mechanicsburg, Pennsylvania provided that she shall be living at the time of my death and survive me for a period of thirty (30) days. In the event that CHRISTINA MARIE ACRI; should predecease me or fail to survive me by thirty (30) days, I give, devise and bequeath all the rest, remainder and residue of my estate to the New Cumberland (Pennsylvania) Public Library. FOURTH: I nominate, constitute and appoint my daughter, BARBARA A. ACRI, currently of Mechanicsburg, Pennsylvania, the Executrix of this my last Will and Testament, and direct that she shall not be required to enter security in any jurisdiction in which she may act. In the event that BARBARA A. ACRI is unable or refuses to act, I appoint my granddaughter, CHRISTINA MARIE ACRI, to serve as Executrix of this my last Will and Testament, and direct that she shall not be required to enter security in any jurisdiction in which she may act. In the event that CHRISTINA MARIE ACRI is unable or refuses to act, I appoint my attorney, G. PATRICK O'CONNOR, currently of Camp Hill, Pennsylvania, to serve as Executor of this my last Will and Testament, and direct that " he shall not be required to enter security in any jurisdiction in which he may act. t~ In addition to powers given them by law, my Executor or Executrix ,and any ~. !' successor Executors shall have the following powers, applicable to all property held by them, effective without court order and until actual distribution: (a) To exercise any corporate stock options; ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND I, MARGARET T. WARD, 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. ~ ~ ~ MARG T T. WARD Sworn to or affirmed and acknowledged before me by MARGARET T. WARD, the testator, this ~ day of April. , 2002. ~~ ~ ~ ~~ NOTARY NOTARIAL SEAL WILLIAM L. GRUBB, Notary Publ~ Lower Allen Twp., Cumberland County My Commission Expires Aug. f 3, 2005 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND : SS WE, G. PATRICK O'CONNOR and KAREN IRENE WARD the witnesses, whose names are attached to the foregoing instrument, being duly qualified according to law, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his last Will and Testament and that he had signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witnesses and that to the best of their knowledge, the Testator was at the time eighteen (18) years of age or older, of sound mind and under no constraint of undue influence. - . /' ~~~ ~ 1 3 1 i ^f ~~~'~ ~ rte, c--~~ RICK O'CONNOR, WITNESS /`~ ~' _ ~° ; KAREN IRENE WARD, WITNESS Sworn to or affirmed and acknowledged before me by G. PATRICK O'CONNOR and KAREN IRENE WARD, witnesses, this ~~ ~~`~ day of April, 2002. NOTARY NOTARIAL SEAL --~ WILLIAM L. GRUBB, Notary P~lic Lower Allen Twp., Cumberland County +ny Commission Expires Aug. 13, 2005