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Home My WebLink About03-25-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA - - -- Estate of Norma Jane Lepley File Number 21-09- `,'-,((~; also known as ,Deceased Social Security Number 226-32-5497 Vivian B. Donlevy Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or `8' BELOW:) ~X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the named in the last Will of the Decedent, dated 05/21/2008 and codicil(s) dated 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 apprca e, enter: c.t.a.; .n.c..a.; pe ente de; urante a senha; urante mmonta e Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and ~ejrs: (/f Administration, c.t.a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list ofheirs.) ,- - --,, ~~= Decedent, then 80 years of age, died on 03/10/2009 at Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ 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: Signature Typed or printed name and residence Vivian B. Donlevy 644 Copper Circle ~~ ~ f ; Lewisberry, PA 17339 Form KEV. 1 U- I J-LVUb 86,000.00 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 (cUMF'Lt I E IN ALL GASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 325 Wesley Drive, Apt. 312, Mechanicsburg, Lower Allen, Cumberland, PA 17055 (List street address, town/city, township, county, state, zip code) Oath of Personal Representative COMMONWEALTH OF PENNSYLVAN4A } 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 representatives} of the Decedent, Petitioner(s) will well and truly administer the estate according to law. r Sworn to or affirmed and subscribed Signature ofPerso Representati before me this ~ ~~ day of ~ l ~` ~ ~ ° ~! C~ Signature of Personal Representative l• ' ~ ~,yC~ Far the Register Signature of Personal Representative o _, ~ Vivian B. Donlevy = _ _ , -- ' ~ r.~ ~^ ~..r ~~ 11~ C11 ~~ ,,_. ~ File Number: 21-09- `~, Estate of Norma Jane Lepley ,Deceased Social Security Number: 226-32-5497 Date of Death: 03/10/2009 AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Vivian B Donlevy in the above estate and that the instrument(s) dated 05/21/2008 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. k' FE(~S , r) t, frl~ ~!„ 1 _ -+ , r~ ~~ Letters....... ..... U' r... ^ Re isterofWil{s ~ ~ ~ ........ $ ~ ~ Short Certificate(s). .......~. Si t A t "~ f' // ~~ ~~~ ~ ~- ' ' ~'~` `''~ ~ ~' ~ `~`' i ~ ~ gna ure: orney t Renunciation(s) ........................_... $ / G : V i ~~~w--_ ~,~;~, ~i $ ~5 _ Attorney Name: Michael L. Bangs ~'j ~ ~ ~~ $ ~ ~~ Supreme Court LD. No. : 41263 I \ s~ $ Address: 429 South 18th Street $ $ Camp Hill, PA 17011 $ Telephone: 717/730-7310 $ $ TOTAL .................................... $ ~`3~ Form RW"OZ Rev. f0-73-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 . V` Ro' -^i ~+~. -~. 6 !! IYs Yd1 ~ ~ II ~ eT\ 5 Lr i 4 Y ~ H ~ ~ .r"Y 9 ~ R/ ~ T.. ± Q ~~ ;11e>:~;,` ~~:a: It is illegal t~z €~ulsli;:ae this °;~~ "~*~r ~ah~t~sstai air ~~wt,_ ~: . q et x ,J ...v 4 ITEM # / `1 SHOULD READ AS FOLLOWS: (~-c~ ~~~ ys j'~c n~'l-~t~~' / /.,.G~ ~~ ~ .. ]~ ( ~ I r t .., 9 a , .-~---r h, ... sr ,. 4 - .~ ~ =. Ra L r ~ a~~1~{ ,~~'`r, jy T~ , ~~~ t~ R /j7 _ ~_.~ <~~ ~- ~- ,~ ~== ~ - ) . ~M -~ ;~~ C.ll - ~~ _ .Li ~} - . _, _{ -, ~ .. , _,._ C? rEV tt:~z3de COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS nNIEnTi~" CERTIFICATE OF DEATH C/ ;KINK (See instructions and examples on reverse) srnrE FILE NuMRER ~ ~ ~ ~ U cX h t. Name of Decatlem )First, rtntlMe, lass, suttixl 2-Sex 3. Social Securlry Number a. Dale of Death (Month, tlay, yearl Norma Jane Lepley female 226 - 32'~ 5497 March 10, 2009 5. Age (Last Birthday) Under t year Under 1 tlay 6. Date of Birth (Month, day, year) 7. Rinhplace (City end state or fo reign country) 6a. Place of Death (Check only one) Morons Days Hours rammes Hospital: Other. 80 August 16 1928 Clifton Forge VA ~ ^ ^ ^ ^ ^ yrs , , ,ngat;enl ER/orn rani DoA oa Nursing none Resrdance omer- spechy fib. County of Death 8c. CAy. Doro, Twp. of Death 8d. Feclllry Neme (II not institution, glue street and number) 9. Was Decedent of Hispanic OriginP ®Nc ^ vas 10 Race. American iodiar, Black. Wnee. etc. (If yes, specily Cuban, (S-ecilN Cumberland E. Pennsboro 'l~xTp. Holy Spirit Hospital Mexman.PaenpRipanetc.) white 11. Decedent's Usual Occu aeon IKintl of work d one tl unn most of workln kfe. Do not state retired 12. Was Decadent ever in the 73-Decedent's Educafion (Spedly only highest grade compl etatl) t4. Marital Status. Married, Never Marneo. t6 Surviving Spo use Ilf wife. give maiden name) Kind of WOrk Kind of Business I Industry U.S. Armed Forces? Elementary /Secondary (D-12) College (7-4 or 6+) Widowed. Divorcetl (Speci/vl Homemaker Domestic ^vea ®Nq 12 Widowed 16. Decedent's Mailing Atldress (Street, city /!own, slate, zip code) Oecetlenl's Dltl Decedent LO We T A11 en te Pennsylvania Lwa in a 17p ®vas D¢ l R ,7 d m L a t id sp d ~„ 325 Wesley Drive, Apt. 312 ¢a ence a. . , e we g ua es a w,p r°wnsnip~ PA 17055 M h i b t7bcggnty Cumberland 17d,^np'DeC¢memfl°¢dwttn:p an urg, ec cs G,ty-Rprc -16. Father's Name (First, middle, last, suffix! 19. Mother's Name (First, middle, maiden surname) Robert Clemmons Glad s Mc Nab 20a- Inlorment's Name (Type /Print) 20h. Inlortnant's Ma7ing Atltlmss (Stmet, city! town, elate, zip cotle} Vivian B. Donlevy 644 Copper Circle, Lewisberry, PA 17339 27a. Method of Disgosifien ^X Cremation ^ Donatien 21 b. Dale of Disposition (MOnln, tlay, year) 21o Place of Dlsposilipn (Name of cemetery, crematory or other place) 21 d. Location (City /town, stale. zip code) ^ Ruhal ^ Rampvaurpmsate i waaaemadpnpropnadpnAWnprl=ed • ~~ //'.11 1' ~ ~ + ~ Z~ C ~ Evans Cremator y Schaefferstown PA 17088 ^ Other - Specity: ~, by Medical Examiner I Coroner? ®Ves ^ No - ' - 1 Q~U1 , 22a. Signature o neral e e Licen a (or person acting as such) 22b, License Number 22c. Name and Atldress of Facility . ~ FS 012 849 L Parthemore FH & CS, Inc., P.O. Box 431, New Cumberland, PA 17070 Complete Items 23e-c my hen cenitying 23a. To the best of my knowledge, tlealh occurred at the Gme, date and place slated. (Signatwa and Ii11e) 23b. License Number 23a Date Signed IMon[h. day. year) physician is not availa0 al 'me of death to - cediry cause of death. erson leted b Items 24-2fi must be com 24. Tme Death of' 26. Dale Pronounced Deatl (Month, day, year) 26. Was Case Referred to Medical Examinee /Coroner far a Reason Other than Crenahon or Donation p y p who Dronounces death / > 7( - ~) '~ ~ M ~y2 L/ ^~ ~ ~ ~ ` ~ ~ ^ Yes [~ No , • . ~ ,v , • CAUSE OF DEATH (See instructions and examples) , Approximate interval: Pan IC Enter other s'gnifwa t wnd~frons coot bu( to dg2ip, 28. Dld Tobacco Use GontribWe to Death? Item 27. Pan !' Enter the cha n o1 events -diseases. injuries, or complications -That dlratlly caused the tlealh. DO NOT enter terminal events such as cardiac arrest, t Onset to Death but not resulting in the untlerlymg cause given in Pan I. ^ yes ^ Probably respiratory arrest, or ventricular flbnuation without snowing the etiology. List only one cause pn each line. r ^ NO (^ Unknaw IMMEDIATE CAUSE IfFi I disease or _, p (~ a h 29. If Female. contlilion resulting in de t _~ a ,~ /C-~~,7 ^ Due to (or as a consegeence op: `, '.%~ ~ ~ ~`N' ~ Not pregnant wimrn pass year ^ Pregnant al lime of death L ~ r `•~~ >v I,1 U SequenUelly Ilst conditions, II any. h •~ leadingg to the cause Ilstetl on line a. Due to (or as a consequence ol)~. ^ N°I pregnant, but preenan(wnhin 42 days Enter the UNDERLYING CAUSE q'tledth (disease or injurythal initiated the t t events resulting to tlealh) LAST. Due to for as e consequence o0: Not e nant but e t a3 da tc t ^ Dr g pr gnan ys year tl. Belpre deah ^ Unknown a pregnant wnhm ~nz past eas y 30a. Was an Autopsy 30h. Were Autopsy Findings 31. Manner of Death 32a. Date of Injury (Month, tlay, year) 32b. Describe How Inlury Occurred 32c. Place of Injury. Home Farm. 51ree1. Fact:rrv. Pedormetll Available Prior to Completion of Cause of Death? ^ Natural ^ Homicide OKCe Building. ¢tc (Specrty; ^ Acc'ment ^ PerWing Investigallon 32d. Time of Inyary 32e. Injury at Wodso 321. h Transponanon Injury (Specity) 32g. Location of Injury (Street, city/ town, state) Ves ^ No ^Ves ^ Na ^ Suicitle ^ Could Nql be Determined ^ Yes ^ No ^ Driver /Operator ^ Passenger ^Petlestrian M ^omer - Specify-~ 33a. Cenitier (check only one) 33b. Signature antl Title of Cenilier • cenitying physician (Physician cenitying cause o1 tlealh when another physician has pronounced death end compleletl Item 23) - ~ I ---~ n To the best of my knowledge, death occurred due to the cause(s) and manner as slated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .. _ _ _ _ _ _ ^ . ecian both pmnouuing tl ~In antl cenitying to cause of death) ^ f n 33d. Dare Signed (Month. tlay. year) 33c License Numb - d at the time, data, and lace, and due to the causes and manner as slated_ _ _ _ . _ _ _ _ _ _ _ _ _. tleath occun my kno ledge, To the best o /C n i i l E ~~ ~~ ~ / ~ M ; , l , _ _ l , ~' ~ (- ~' <' er xam ner oro • Metl ca Dn the basis of examination and / or investigation, to my opinion, tlealh occurred at the time, date, and place, and due to Me cause(s) antl manner as slated_ ^ 34 Nam~e}and Adtlress of Person Who Completed Cause of Death (Item 271 i ype /Print / r~ / - D t Fil d M n n d eap 36 ` ' ~V x /U ~ ~L ~ n ~ • 35. Registrar's S n e n Istnct r I ~ / I °Z I ~ I ~ I a e ( l , . e o ay, y j j ~ ~ i~ ~ t ~ % xST ~ of ~~ ~ ~ ~ c` / F C) ~ ~. - .. . . , , / Ncmm~o~ ao....n u,. .~\ ~~ 7 hl ~, k"l ~.~$~ I, NORMA JANE LEPLEY, of Lower Allen Township, Cumberland County, ~~., Pennsylvania, declare this to be my last will and revoke any will previously made by me. '~'~, ITEM L I direct that all my just debts and funeral expenses, including my gravemarker ~' ~~~~ and all expenses of my last illness, and any and all taxes and assessments imposed by any \: 4 ~~~-.. governmental body as a result of my death, whether on property passing under this will or ~ otherwise, shall be paid from my residuary estate as soon as practicable after my death as a parr 4 ~'~;, of the expense of the administration of my estate. ~.. .~ ~`~ ~- ITEM IL I give and bequeath all of my household goods, automobiles, jewelry, and all t- . t ` other articles of household and personal use, equipment and ornament, together with all `\~ insurance thereon and relating thereto, in equal shares to the following individuals or to the °~, survivor of them as survive my death by thirty (30) days: ~~, ~ _ ~'~`~ A. RAYMOND CLEMMONS B. MARY CLEMMONS - ;. C. JEAN JONES ~ _. ~ ~' __j --~ D. VIVIAN DONLEVY ---~- C:r ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my possessions and estate of every nature and wherever situate in equal shares to the following individuals or to the survivor of them as survive my death by thirty (30) days: A. RAYMOND CLEMMONS B. MARY CLEMMONS C. JEAN JONES D. VIVIAN DONLEVY ITEM IV. All of the interests of the beneficiaries hereunder shall not be subject to ~ anticipation or to voluntary or involuntary alienation nor shall they be subject to any execution or ~. ~ attachment. '~ ITEM V. I appoint VIVIAN DONLEVY executrix of this my last will. ITEM VI. In addition to the other powers and authorities granted to my personal ~~~~ representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby ~`~; . ~ give to my personal representatives the following powers and authorities effective without court ~'~ approval and until actual distribution of all property: to compromise any claim or controversy; to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as N ~V ~' my personal representatives may determine and at valuations finally to be fixed by them; to -~ ~ invest in all forms of property, including any stock or other securities in any corporate fiduciary ~~ or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my ~`- personal representatives deem proper, without regard to any principle of risk or diversification; to retain any or all assets of my estate, real or personal, without regard to any principle of risk or diversification; to sell at public or private sale, to exchange, or to lease for any period of time, any real or personal property and to give options for sales, exchanges, or leases, for such prices and upon such terms or conditions as my personal representatives deem proper; and to allocate receipts and expenses to principal or income or partly to each as my personal representatives deem proper in their sole discretion. 2 ITEM VII. I direct that my personal representatives and fiduciaries shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this f ~ day of . ~~~-GZ,c. , 2008. N RMA JA ~ ~ LEPLEY ~~, ~! 3 The preceding instrument, consisting of this and THREE other typewritten pages, each identified by the signature of the testatrix was on the date thereof signed, published, and declared by NORMA JANE LEPLEY, the testatrix therein named, as and for her last will, in the presence of us, who at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. 4 COMMONWEALTH OF PENNSYLVANIA ) ( SS: COUNTY OF CUMBERLAND ) The undersigned, being the testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, does hereby acknowledge that [signed and executed the foregoing 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. N RMA JANE,, PLEY Swor, .~r a~firmed to and acknowledged before rie by the test~tr>tx named above this'. .': ~ ray of ~ ? r,i' '„j` , 2008. Notary Public i .I Ni yr ~i=iti'i :>'~ ~ ~~r; ~ii'S ~! ~,~a! Z<ia~ !T ~~. ~ i'~., .~ ~ , COMMONWEALTH OF PENNSYLVANIA ) ( SS: COUNTY OF CUMBERLAND } / ,~ / 0 W E ~'~~ ~ ~ ,~,~/~ L-- ~~° ,:.~.~, +" and ~t-y hes .~,,~ `i, °~ ~` i ,the witnesses whose names are signed to th attached or foregoing instrument, being duly qualifie~ according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her last will; that she signed it willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as witnesses; and that to the best of our knowledge, the testatrix was at that time 18 or more years of age. of sound mind, and under no constraint or undue i~ " Sworn or affirmed to and acknowledged before rrke.,this day of 2008. ~ ~ ~ ! .j ..•.3 I~iCl~~~fi'~`~~5 i_ ~ ti.a*i•ti:i~Yi_`v'i'ii':k/y. -- ~~~~ ~ ~2 `: ;'~rE13C ^ df~~ F'+ ~tG k r'~ , , ~,ti~_ .. ;<s. of d~;ckari~s 5