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HomeMy WebLinkAbout03-09-09PETITION FOR PROB 1A,,TE AN_DI GRANT C)F LETTERS REGISTER OF WILLS OF ~,1,1.-1~1-J~ ~ C~nc~ COUNTS", PENNSYLVANI Estate of _ __ _ ~ l ~ -~-~ l~ {l L{ S S ~ L ~ File Number _~ ~ ` y`1 -L~ ~oC-O also knownasc ~ijlT!-F ~UAJ1ti~~ RUSS~?.~~ G 2 Deceased Social Security Number ~ ~ D 3 r~a~~. ~4 , ~oc~q Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COtLIPLETE 'A' or B' BELOW:) A. Probate and Grant of Lett rs T stamentary and aver that Petitioner(s) is /are the ~_~ '" ~~- last Will of the Decedent dated `~ ~~j~ 2UC~ Sl and codicil(s) dated ~~~ ~ r'~ A 0 3~~5 acs.. ,:.~ --E1~" "~ (State relevmrt 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 gf£shument~s}.offetPrd ~~ for probate, was not the victim of a killing and was never adjudicated an incapacitated person: _--y--~~-f' ~~ 7~ .J ^ B. Grant oI' Letters of Administra (lJappticable, enter.• c.t.n.; d.b.n.c.t.a.; pendente life; durante absentia; durante minoritate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If Adntirtistration, c. t. a, ord.b.tt.c.t.a., enter date of Wlll in Section A above and complete list of heirs.) (COMPLETE IN ALL CASES:) Atrac/a additional sheets if necessary. Decedent was domiciled at death ins -lwm ,w, ''\ County, Pennsylvania with his /her last principal residence at ~ ~ ~ • 1 l1 i t~/~L ~ , tr-~ n ~ {~ l ? O ~ 5 (List sheet cnfdre.es, town/city, townshiEr, county, state, zip code) Decedent, then ~ years of age, died on ~ L~ 8 ~ at V ' r~Y1Ot"" CGx t^C- ~~ ~ '~-~t ~ t/ ~~ Decedent at death owned property with estimated values as follows: _ ~, ~ (If domiciled in PA) All personal property $~ n ,~ ~> O ~ c~ (lf not domiciled in PA) Personal property in Pennsylvania $ rl CU , U o G r (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows:_ Form R6V-03 re~~. lo.f3.o6 Page 1 of 2 Wheretbre, Petitioner(s) respectfully request(s) the prohate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: 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 a Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me the ~~ day of i Fort kegister of of ,., . Signature of Personal Representative ~- (~ `D ~ ` ~- CZ rR3 c_'? _ ~ t't-a t r' -, , v . ~ ~ C ,., File Number: ` ~ `~ ~`~ ~ C.? Gam, ..~ -_ C. E...,.'t Estate of Dorothy S. Yorlets D~ ae sed ._ ~' - ~' c~ Social Security Number: 184-12-2380 ~~ Date of Death: February 6, 2009 AND NOW, ~ ~ ~ ~ , ~ XW 1 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IS DECREED that Letters Testamentary are hereby granted to Donald L. Yorlets and Nancy Livingston in the above estate and that the instrument(s) dated February 13, 1995 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES v Letters ............... Short Certificate(s) .. $_,~_ Renuftciation(s) .......... $ ... $ ,D ... $ ~- ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ ~ ~~' '~- Register ~~Wills Attorney Signature: Attorney Name: Elyse E. gers Supreme Court I.D. No.: 41274 Address: Keefer Wood Allen & Rahal, LLP 635 North 12th Street, Suite 400 Lemoync, PA 17043 Telephone: 717-612-•5801 Form RW-02 rev. 10.13.06 Page 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. $6.00 ~P 15001853 Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly fixed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. ~~ ~ /`' JINN 0 82009 Local Registrar Date Issued r~•a 4~ REV 112006 PRINr IN AANENr CK INN COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) R--arc FII F NI IE.rPFG 1. d t, ~ t, 6' ~ ~ 2. Se 3. Sodas cunry Numbs 4. Dale of Deam (Month, tlay, year) ~ - ~ - d L ~~ Jan.4,2009 5. Age (Last BimlDay) Under 1 year Under I tlay 6. Date of Birth (Modh, day, year) 7. Birlhpbce (C6y and state or forey)n coon ) Be. Pbce of Death (Check on one) Money ari Mows Minulw 70 Ma.r.20,1938 Gi Hwpilal: Other. rardville,PA Yrs. ^ Inpatient ^ ER I OulpatleM []DOA Nursing Homa ^ Resiwnw ^Other ~ Speciy~ Bb. Count' o/ Death Bc. Ciry, Boo, Twp. of Deatn 8a. Facslry Name (111101 indllulbn, give Wrest antl number) 9. Was Decetlenl of Hispe.nic Origin? No ^ Yes 10. Race. Amercan ntlun, Black, Whae, etc. Cumberland Camp Hill Manor Care (IIYes, spedry Cuban, (S M Mexnsn, Puerto Rican, etc.) h 1 L e 11. DawdeM's Uswi Otto lion Kill d work done ~ most d waMi Itle. Do not stale reli 12. Was Decadent ever In me 13. Decedent's Eduwdon (Spedry only hlgheat grade canpbted) 14. Medial SYalus. Married, Never Marred, 15. Surviving Spouse (If wile, give maiden name) Kintl d Work Kind of Business I Intluslry U.S. Armetl fyo.rc~es? Elementary /Secondary (D-12) College (1-4 or 5+) W~'A'~~ Drvorcatl (Spealy) d oho C Russell 12 i accountant state ^Yea yyNO . arr e 16. DeceDerlfs Mating Adtlress (Street c6y /tam, state, zip code) 119 Third St Decedents ActuelResidenw na.Sab Did Decedent Pennsylvania uvema „p.~Yea DecedentuvaanEast. Penneboro T . P A 17 0 2 5 E n o l a 17b. County , „~, Cumberl a n d rownahi°? n0. ^ No, Decadent used wimb , Aduel Lillis d City / Boro 16. FaNr's Name IFket midde, last sulHx) Albert Conner 19. Mdher's Name IRrst midtlb, meiwn wmeme) Isabelle Phillips 20e. InlamanYS Name (Type! PnM) 20b. Inlormenl's Mating Address (Street, dry / coven, state, zq code) John C. Russell 119 Third St.,Enola,,PA 17025 21e. Mematl of Disposition remalion ^ Duration 21b. Dale d Diepodtlon (Monts, tlay, Year) 21c. Place d Dlepoallbn (Name of cemdery, cremdory a oMr puce) 21d. Laation ICiry l town, sole, ziP code) 1 '~ 0 ^ Burial ^ Renlovd hom State Wy Crmletlon a Darle6o11 Alnhorized ^ J a.n . 8, 2 0 0 9 0 l l i n g e r Crematory t. H o l t S r i n y p ~ other - SPedy: M tMebel Emm~er I coroners ^ Yes ^ No d Funeral Licensee (or person actlrg es such) 22b. License Number 22c. Name and Address d Fadllry FD-013163-L Musselman FH~rCS,324 Hummel Ave.,Lemoyne,PA 17043 6rw 23ac aNy wtarfcertllyirg ' 23e. To Drs best d my Imowledga, des rretl d du line, deb antl platy staled. (Signedre er10 title) 23b. Lcense Number 23c. Date Signed (Monet tlay year) physi®n n not evaaabb at time d beam to , , cerlMy wine d deem. Items 24.26 mid be canpatetl by person who pmlancac daalll 24. Time of Death ~ / 0 25. Date Pronounced Deed (MOn01, tlay, ywr) 26. Was Case Referred to Metlical Ezamner! Coroner la a Reason Other than Crematron or Donation? . M. ^ Yes ~No CAUSE OF DEATH (Sae Instrucllons and examples) A kwte intervaP. Item 2I. Pan I: Fstr the dun of events -diseases, in rbs, or 1 PPfO% W complkadoru - Ihat d'aedly caused tlu de91h. W NOT enter lemknel events such as cardiac street, 1 Onset ro Deeth respiretay erred. a venlrlpYer flbillelian wtlhan showing the eddogy. list only ow wow on exh line. 1 Pen II: Eller dher 91gpBf8Rt corldaaw conldhuagq m death Wt not resu6ing in Iha uMerrying cause given m Pan L 26. Ditl Tobago Use Cantnbute to Death? ~ Y ^ Probabry s No ^ Unknown ATE CAUSE IFinal Disease a i ~ ' '1 ' rmulAng m ) -~ a. V n i,, ~T Wl 1 1 1 ~ G 1 GC vi /~/~ / / ~ y 11; f ~li L.'1 lit ~7KS j ~/ 29. If Female. ^ N Du~e/ tb ( et-comegl»nce ol~: I tl ~ ~ ~ I ` ~ ~ ~ r ~ * ~I d pregnant within pest year t' ems' b. V T 1 y~ ~ E ~~ ~v I ~• c 1'._~ ksdrip /o die auee fskd on Ilre a. /~ ~ ~' r Ll/l L. S 1 ~ ,y.~/e, _ J~ UYl1~ /1L f I ~ lrl~G'\ ~ ^ Pregnant at time d death Eller Ble UNDERLVNNi CAUBE Due b (a as a conaepuerlw oS: (dBB~^11°Y ~ ii ~ aced Ble c. events n deem r i ~ ~ ,~ - L~~ ~ S Not Want do ^ d tledh prsplenl wdMn 42 days Dw to (or as a consequels>B dl: i ~ Nd Want bN °~an143 wt's to t year ^ d. i I.- , L ,~J; 1~,S~ S before tle91h ^ Unknown d pregnant withn the past year 30e. Wes an Aulapry Perbmutl7 300. Were Autopsy FYldings Avaaede Prpr to OorrlPlelron 31. Manner d Deem (; 32a. Date of Injury (Month, wt', year) 32b. Describe How Injury Occuned 32c. Pbw of Injury Haw, Fann, Sired, Factory, ~ d Ceusa of Deatll? a , drat ^ HomnAde ~C~ Olfica Ruiltling, etc (Spea Nl ^ Yes ~NO ^ Yes ^ No ^ AcciDerd ^ Pendng Investigation 32d. Tme d Injury 32e. Injury el Work? 321. If Tlansponadon Injury (SpacNy) 32g. Locatlon of Iryury (Street dry! town, dale) ^ SukiDe ^ Caultl Not be Determiletl ^ yes ^ Np ^ Deter /Operator ^ Passenger ^P¢dedwn M. ^OMr-SpedM ~~ Cerdfier ( °nry om) 336. B' lure end Ttlle of Certlfier/7 ~ • CMXyhrp phyaklan (Pnysidan wnayklg rouse d deem when arlodler physidan Wes promlelced deem and canpbted Gem 23) ~ 1 /~ ~ /~. /~ ;~ / ' ' ~/ `-' To the hatdmy lolowletlge, rdaWloaumd tlw to the wwe(a)and manneruslete4.-------------- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ I ti.il l ~ ~ ~ LJ - -LJ`~1.+/.~. ~/ ) (~~ ,/` Prorquno111g antl eertllyhg phyef Wn (Physidan bath q°nancirg deeM end wnilynp to roues d death) To the bed d my lotowledge. tleelll oaumed d the time, date, all place, end due to the ewee(s) end manor u shtsd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c. Licelae Number 33tl. Dale Sign (MOW ,tlay, year) • 1ledlwl Eeam6ler I Coroner On ere beak d esamirWbn all l a Investigation In m o lnbn death occurted d file tim tl h d b d d ^ li S ) C ~,,~ /I f , y p , e, a , an p w, an w to t M cause(s) antl manllx as timed.. ~, ~~ ~ ~ raes d Per ~on Wlw Complaled Cause of DeaM (Item 2) Type I mt 35. Regist ignadre a1M ~ u~ 1 / ~ ~ tar I la I ~ I ~ I 36. Date filed (Mo M, deX Year) , i~~~ L. t~ ~ ~ (L yl S ~ I ~ Ll(CC{I i': .. ~,)~ . ~ ~ ~ ~ ' ~ ~d 1 ~ ;: ,~, .f,kr- _S- ` ~ L /L ~c,-ti•~1.~, ~, ~~ t..~ 1. I }~~~ ~ (J t ~~J - ~ W ~ ,_-~Cj„ ~ - ~~ p N , J v 7 Disposition Permit No. Q 3 _ ~ ~~~" y 1. N n ~ ~'_.~ LAST WII.L AND TESTAMENT -;~- ~ ~ _` ~; f_- , «; ,~; EDITH CONKER RUSSELL ' ' ~ ~'~' _-~ ~ -' -, r._ A N ~-'! J I, EDITH CONKER RUSSELL being of sound mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby expressly revoking all other wills, testaments and codicils thereto, heretofore made by me. FIRST: I direct that all my judicially enforceable debts, funeral expenses and the administrative expenses of my estate s soon after my death as practicable. Further, I direct that all estate and inheritance taxes and other taxes in the general nature thereof (together with any interest or penalty thereon), which shall become payable upon or by reason of my death with respect to any property passing by or under the terms of this Will or any codicil to it hereafter executed by me, or with respect to the proceeds of any policy or policies of insurance on my life, or with respect to any other property (including property over which I have a taxable power of appointment) included in my gross estate for the purposes of such taxes, shall be paid by my Executrix out of the principal of my residuary estate, and I direct that no part of any such taxes be charged against (or collected from) the person receiving or in possession of the property taxed, or receiving the benefit thereof, it being my intention that all such persons, legatees, devisees, surviving tenant by the entirety, appointees and beneficiaries receive full benefits without any diminution on account of such taxes. Page 1 ~f 4 ~~ SECOND: All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, I give, devise and bequeath to my husband, JOHN CARL RUSSELL of 119 Third Street, Village of West Fairview, Enola, PA 17025, per stirpes. THIRD: In the event that he is not living at the time of my death, I then give, devise and bequeath all the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, to my sister, LEDA C. JONES, of 9 Woodsbluff :Rd, North Wales, 19454, per stirpes. FOURTH: In the event that my sister, Leda C. Jones, predeceases me, or fails to survive me by a period of thirty (30) days, I then give, devise and bequeath all the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, to Paula J. Klauger, per stirpes. FIFTH: I nominate, constitute and appoint ,PAULA J. KLAUGER as Executrix of this my Last Will and Testament. I direct that my Executrix ,shall not be required to post bond. IN WITNESS WHEREOF, I hereunto set my hand and seal this .2 q day of twa thousand and five A.D. (2005). ~d~ ~ ~~ u.~~p EDITH CONKER RUSSELL Page 2 of 4 Signed, sealed, published and declared by EDITH CONKER. RUSSELL, the above- named Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her request, and in her presence, have hereunto subscribed our names as witnesses. of o~~~ ~_~'~ b~4~ Q~kJ,~~ ~ ~ of ~~/ ~~~,~p~ a !po ~r/ of,ZOO y~~r1~t~'~ty. ~~ ~,rl~~f /70!/ Page 3 of 4 COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF ~~,Q~,e~~4v.~ : The foregoing instrument was acknowledged before me this ~y day of frve (2005) by EDITH CONKER RUSSELL, who is personally known to me, or has produced ~ identification, and states that she executed the foregoing document for the purposes contained therein. Signature of person taking acknowledgement ~f9~,1. ~ sT~ ~ ~~ Name typed, printed, or stamped. (SEAL) COMMONvi-EA1TH OF PENNSYLVAIWA MOTARI~-L SEAS - GAIL P. STRICKLER, PbEary Public Camp Flit! i3oro, Cump~rland County My Commcgsion Expi~tet Feb. 3, 2007 Pa.~e 4 ~f 4 ~~~ PLEASE HAVE PRESENT THE ORIGINAL OR COPY OF INSTRUMENT(S) AT TIME OF NOTARIZATION TO: REGISTER OF WILLS OF MONTGOMERY COUNTY Oath of Subscribing Witness Notary (ee~e~ a subscribing witness to theaeeliei4~will presented herewith, being duly qualified according to law, depose(s) and say(s) that __~' ~- C present and saw EDITH CONNER RUSSELL, the testat ~ ,~y ,sign the same and that ~S ~-e- signed as a witness at the request of testate ~~ y in d~isJiier presence and (in the presence of each other) (in the presence of the other subscribing witness[es]). Sworn to or affirmed and subscribed before me this day of 20~. (~ _ ` ~ l~c,cr (Name) o'~ ©©'--1 I~ ~o ~e ~ . (Address) otary (Name) n~-e..~•~'+Z~ NotasY Peyblk ~~ H~•~ ~~~ (Address) u, coa Ex~ I9. '-~~ ` ~' (^1"i ~~ CJ? T ~"~ .^7 ~ C7 °'T~ C:~ ~U ~ _g.F t;M N G7 v0 "O N J _.. _i i~,, t' s r a _i ) f i C , ; "C3 _7 ~l ~. _3 - ^r7 .'^i.1 ~` " °) `':..~ REGISTER OF WILLS OF MONTGOMERY COUNTY, PENNSYLVANIA Oath of Non-Subscribing Witness ~ ~ (each) being duly qualified according to law, depo )and say(s) that ~~~ ~ s familiar with the signature of EDITH CONNER RUSSELL, testatr ~ y. of the codicil/will presented herewith and that ~~~-- belie es the signature on the codicil/will is in the handwriting of EDITH CONNER RUSSELL to the best of knowledge and belief. e_~~ ~ h'E'_. ~, ~ VCJ Sworn to or affirmed and subscribed before me this day of 20 Montgo ~er~r County Register of Wills ~nuui caa/ (NamE:) (Address) ~~ f~- ~ ~o ~~ r.~ n ° -,-, C p ~o ; ,-;~, _ T l.F~ i'~ ,.....y ~ ~~ ~ y ,. ~ _,-r -- ~_ :~ ~ n c ~ i 7 ~, N , -..i Rai' 21-3 REGISTER OF ~t'ILLS OF MOtiTGO:~IERY COIINTY OATH OF SUBSCRIBING WITNESS codicil (each) a subscribing witness to the will presented herewith, (each) being dale qualified according to law, depose(s) and sad (s) that ............................ present and saw .................................................................... ..................................................... the testat.........., sign the same and that ............ signed as a wirness at the request of testat............ in h........ presence and (in the presence of each other) (in the presence of the other subscribing witness (es)) . Sworn to or affirmed. and subscribed (Name) ~ before me this ..................... dac of C,7 , ; - ; i=; .. .. . ... .. r ~. ~ , _ -~, ................................. .......~ :~...... ~.:.~. ..........................---.................. Dep:ctyRegister (N~) ~ }~ ~ 3 T s ' _ _ _ y _ ~ ~ N ' T"1 ..............................................~ .. .....~..~....... .... 0... ........a..4 1,~) REGISTER OF WILLS OF MOI~'TGOMERY COUNTY OATH OF NON-SUBSCRIBING WITNESS (each) a subscriber hereto, (each) being dul~R qualified according to law, depose (s) and sa~° (s) that,~X! ~ is familiar with the signature of .E.,: (.k1.T.. ~~'~..1~.17 °t.~r......,,1~~~?~~:rll., testatj":(,,~1'.... of (one of the subscribing witnesses to) the wpresented herewith and that .....~•... belie~~es the si,ednature on the will is in the handwriting of ~7~1:~Y1.~1~~1...~~~.°~!~ the best of .....~'"/.~.C...... knowledge and belief. Su-orn to or affirmed ann subscribed ..............~.... ... . . .... l" ........ .................................. ._-- ( e ) before me this ....~.. dae of ......~/~~ 1.x.1.. .... 2.~ ~ U .. /.. .~.' ....../~.1~nF.NR.I... •~~ De1~rety Register (Address ) ............................................................................................................ (Name) ............................................................................................................ (Address ) Oath of Personal Representative COMMONWEALTH OF PENNSYLVANLA n SS COUNTY OF ,I ,I .1rYI ~~a~ The Petitioner(s) above-named swear(s) or affirn~(s) that the statements in the foregoing Petition are tine and con~ect 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 affirmed and subscribed before me the ~`~~ day of `- ~`~~ ~~,_y For the Register` of Signature of Persona/ Representative y ~ :-~;~ r- Sigaatm•e ojPersonal Representnlive = ~7 _C~: _~ C -_rl ..~ _ ,_, , ,. ;_ ~ r.__ _ ~ ~ : ~~~ tD ;a ~.~ C. ' ~ ~~ "T } _ :.M~ - ..._~ f` _ -- File Number: N Estate of \ k.5 S ~ ,Deceased v _ ~ Social Security Number: oZU O " 3U ~ ~ lD ~ Date of Death:_~ U~ ~-U ~_ AND NOW, , iu consideration of the foregoing Petition, satisfactory proof having been presented before~me, IT IS DECREED that Letters ~ E? S-i G.....M ~Pw~T ~=~-'~''~ are hereby granted to i in the above estate and that the instrument(s) dated ~ uc,~5~ ~~ Zvi ~ _ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Register o(Wi/is Letters ............... $ 02(00. ~ Short Certificate(s) ..... ... $ ~ t{. ~ Attorney Signature: Renunciation(s) ....... ... $ ~. $ r~ ~ Attorney Name: ~, I ~,, 1~U~-~~1'~- • • • $ ~~ Supreme Court LD. No.: $ Address: ... $ ... $ ... $ $ Telephone: ... $ TOTAL ........... ... $ dal . ~ F~,~n aw-oa rep tu.l3.or, Page 2 of 2