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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of JUANITA R. FATTORINI
also known as
COUNTY, PENNSYLVANIA
File Number 21-- (~~' Q~j~Z
,Deceased Social Security Number 453-26-3317
JOSETTE F. WRIGHT, JUDITH F. KNIGHT and JANIS F. SILER
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 Testamentary and aver that Petitioner(s) is/are the CO-EXECUTRIXES named in the
last Will of the Decedent, dated 05/04/1998 and codicil(s) dated
State elevant circumstances, e.g., enunciation, death o7 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 rca e, en er c..a.; ..n.c..a.; pe n e r e; uran e a sen ra; uen a mrnon a 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 heirs: (If
Administrahon, c.t.a. ord.b.n.c.t.a., enter date of Will in SectionA above and complete list of heirs.)
~ Name ~ Relationship Residence _ c,
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(COMPLETE /N ALL CASES:) Attach additional sheets if necessary. ~ ...I ~ T
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residenc~'at ~ '~
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Bethany Village, 5225 Wilson Lane, Mechanicsburg, Lower Allen Township, Cumberland County, PA
(List street address, town/city, township, county, state, zip code)
Decedent, then 87 years of age, died on 04/01/2009 at BETHANY VILLAGE
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:
655,000.00
0.00
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:
or printed name a
JOSETTE F. WRIGHT 5 MANDY COURT
/J ~/~ _ /j t CAMP HILL, PA 17011
JUDITH
326 SUNSET LANE
CULPEPER, VA 22701
I JANIS F. SILER 5511 RAVENELt; LANE
C~~ ~~'y, e, = SPRINGFIELD, VA 22151
Rev.
Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 1 of 2
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
Oath of Personal Representative
} 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 affirmed and subscribed
+ it,, Signature of Personal R
before me this I~ r'' day of
2Q Signature of Person R.
-----
F the RQgister Signature of Personal R~
""C JOSETTE F. WRIG~,IT
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tahve JUDI F. KNIGHT
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C
tat~ve JANIS F. SILER -~
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File Number: 21-- /~ ~., b ~ I
Estate of JUANITA R. FATTORINI
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Deceased
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Social Security Number: 453-26-3317 Date of Death: 04101/2009
AND NOW, ~ ~~ ~ I~ 1 I oZ,Qt~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before , IT IS DECREED that Letters Testamentary
are hereby granted to _ JOSETTE F. WRIGHT, JUDITH F. KNIGHT and JANIS F. SILER
in the above estate
and that the instrument(s) dated 05/04/1998
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent
FEES
Letters ............................................ $ 5fo~ o
Short Certificate(s) ........................ $ ~/~. ~O
Renunciation(s) ............................. $
~'~ $ It~•(~o
~1.b~rn~,rt~~, $ ~D
$
$
$
$
$
$
At
Supreme Court I.D. No.: 56113
Johnson, Duffie
Address: 301 Market Street
P.O. Box
Lemoyne, PA 17043
Telephone: 717-761-4540
TOTAL .................................... $ ~ ~`t -
Form RW O2 Rev. 10.13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc.
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Page 2 of 2
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Attorney Name: Ralph H. Wright
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LOCAL REGISTRAR'S CERTIFICATION OF DEA1~H
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 This is to certify that the information here given is
atrrectly copied from an original Certificate of Death
duly filed with me as Loca] Registrar. The original
certificate will he forwarded to the State Vital
Records Office for permanent filing.
~' 1518 ~ 3 8 6 /~,.,~ ~ ~ o~-
Certification Number Local Registrar Date Issued
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aEV nrzgofi COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS N
PRIM IN
(ANENT CERTIFICATE OF DEATH
'KINK (See Instructions and examples on reverse)
STATE FILE NUMBER
1. Name d Decedent (Fast, middle, lad, sueial 2. Sea 3. Social Seprlly NaMer a. Dale of Death (Month, day, year)
Juanita R. Fattorini female 453 "26 '- 3317 A r.l 2009
5. Age (lad &ntdayl Under t year l1Mar 1 day 6. Date of Birm (Month, rice , ear) 7. Birthplace (CKy cell elate a f ~ coudry) 8a. Piece d Death (Check arKy one)
kb,4ns Dart Nu.s Mmes HospKe(. Omer:
8 7 Yre June 4 , 19 21 Bangs ,Texas ^ hpatbd ^ ER / Outpatient ^ DOA Nureap Hans ^ Residatp ^Other .specify.
BD. County of Deem &. City, Born, Twp. d Death Bd. FeceKy Name III rkl aWtldbn, give aced end number) 9. Was Decedent of HMpedc Origin? No ^ Yes 10. Race: American Indian, Black, While, etc.
Cumberland Lower Allen Tw
P Bethan Villa e
Y g pf yes'spedlY Cube°'
Mexken, Porno Rkan, arc.) (
W Cl l t e
11. Depeerx's Usud bon KxM d work d are most d ~ Me. Do Hat stale retied 12. Wee Decedent ever m the 13. Decedent's Education (Spedry oily highest grade aomA bled) 14. MarKN gnu: Maned, Never Married, 15. surnving spo use (h wile, gWe maiden name)
Krd d WoA Kill d Businss / IMUaiy U.S. Ambtl Forces? Elementary / SecaMery (612) College (1d a Si) Witlowed, Divorced (SpecYy}t
clerk fed. ovt. ^yas 12 2 widowed
18. DeceNenYS Maiing Addess (street. dry / town, stale. zip code) Decedents Did Decedent
5 Mandy Court Actual Reakbnce rte. sale ~ P n n a 1 v a n i w LNe Ln a rip. Yes, Deaakd need b v t
LrL,e r_11.L en Twp.
T°"'~ap?
Camp Hill, PA 17011 17d.^NO, Decedent Uved wllttin
,y,. Dp,,,,y Cumberland
Aduaf Lkmad CirylBpro
.18. Fame's Name (Fxd, middle. last, suBU) _ 19. MdheYS Name (Flrd, midrib, rruiden sumarM)
Wendell A. Rochester Mabel A. Alldredge
2De. Inlmrwn's Name (Type I Prod)
Josette F. Wright 20b. Infamenrs Metiing Address (SM1ed, dry / btm, atria, zip axle)
5 Mandy Court, Camp Hill, PA 17011
21a. kle8lod d DiepoeKion i ^Cremetion ^ Donation 216.Oab d DhpoeNbn (Monte day, year) 21c. Place d DiepoaiKOn (Name d cemetery. cremates a olMr place) 21d. Loptim (City 1 Wan, stele, zip code)
Burial ^RanwalfromState IwaCnmetlonaodutlonAlltndZed A r.3,2009
P National Memorial Park alas Church,VA22042
^ - $pedyy: ~ i M Medial Gumlralr y cotonen ^ Yes ^ No
d Fxierel Licensee (a peson ecUrg es such) 22b. Licerne Number 72o Name and Adtkesa of Fadtiry
FD-013163-L Musselman FH~CS,324 Hummel Ave.,Lemo na,PA 17043
Kan 23ec wMn ce<18yk9
ptggpan bta eveaaole at tine d deem ro 23a. Toth tbd d my knoM•dge, at the tkne, date a pbp sbMe. (Spnenue end Ida)
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~ 230. Lkenae Numbx
~ 23c. Date Signed (Month. day. seed ~.
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Kerns 2426 mul 6e Carybled M person 24, Tine of Death r
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, `~ 26. Was Case Relerred to Medcel Eaamirrer / Coranr for a Reason Other than Cremation or Donation?
win proricurxes deem. .,
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CAUSE OF DEATH (See lnetruetiona end exampbe) l ApproximeN nlervel: Pan IL Eller dMr ' ~ 2B. DM Tobago Use Coddhute to Deam?
Kern 27. Pan I: Fster the IryB012 - daeases, iljuries, a axtpliration - that drec8y caused the deaN. W NOT eder lerrminnd events such as prtac artesl, i Onset W DeeKi but rid recuKin n the ialda given
9 ~ dPn9 cause m Part L
Vas P
^ ^ robady
respilatay arrest a vedrkubr fibriWtlon vdNda stowing Ble lxFplogy. Lld only cell plea on each Fria.
l
l [~ No ^ Unknown
a1MEDIATE CAUSE Fxel Rseese a .,
condsion resueing in ~) _/. a. L (J(V G) L- 5~ ~ lip E I~ L~7t (~ 1 ~ OF f LU ji. ~ 1 I uSl G CLd S'~ 1~ I fl I L' i~ ~ 1 FF l C l.L 29. If Female:
Due to (or es a consequence ol): i ~, Not pregnant w4nin pad year
Sepueraely fu contlKnru• K ante b. ~ L11 v i_/}(z )-1 j^ F1" 1~( l~ i ~i [ /~ s t- ~ ( e crY L t7L L T't S ^ Pregnant al time of death
n IM Huse 6tad m tine a. pUe Lp (a as a ante
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Nd pregnra, but Pregront within 42 days
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(ewrits rawldg Vim) LAST d death
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Due to (a es a opnsequance dl: l ^ Nd pregnant, bd pregnant 43 days to 1 year
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d. r before deem
^ Unknown X pregnant wANn the past year
30e. Was an Aulopay 30b. Were Aubpsy Findngs 31. Meurer d Dean 32a. Dale d Injury (Mmm, daY, year) 32b. Desaba Now Injury Occurred 32c. Pbce d Injury: Hans, Farrn, Street, Faday,
Verlornwd? AveKaob Prior W Compldion ~~ ^ ~ Office BuKdng, dc. I~h1
d Cw,se d OeaN?
^ yes ®No ^ Yee ^ No
^ Acddant ^ Pending Invealiglkn
32d. Tun d Injury
32e. Iryay at Work? 321. If TreneponeBm k~ury (SpedlyJ
32g, lmatkn d Injury (Street csY 1 town, sldel
^ Suidde ^ Could Nd be Debnikrled ^ Vea ^ No ^ DMer /Operates ^ Passage ^Pedednen
M Omer - Spea/y:
33a. Certifier (ripdc ody and 33b. Signature and Title d Garttlbr
• Certlying phyaiden (Physi6en ndiMrg cause d deem when eridLnr physician has prananad death end axnpbled Kam 231 /.L~,-y.L f-y .)!.~ x'1'117
To the heetdmy bioebdge, deeM OCOUned drx to the ceues(s)and menrMr as stated. _'__",_"""'-"-",-"_"'-'--' [['~}
• ProlpurkKlg end pltllying phyeidan (Phyddan both pranunckg deem and aatlfying to pose d deeM)
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^ 33c. License NaMer x7d. Dde Signed (Mash, day, year)
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On tln WIs d ssamintion arM / a Invasligetlon, in my opinion, deem oa:urrad al the tlme, dale, and pba, all due to tM ewea(a) end manner ee stafelL ^
34. Name all Adtlress of Poreon Who Completed Cause of peam ptem 27) Type /Print
35. Registrar' re and Db 36. Data F ( day, Yaer1 (V i m -a-~, F'2, I-f?~ti ~t G~ cn ~
~ ~~ ~ ~ ~~ ~ ~ ~ ~~ '>%~ donf/` ?~`i SL ~17~f1(~(f I~G` ~J r.;rn~',{fill J~/F/~1Lf1
Disposition Permit No. D .~3 d~ y ~f 9 .___
099999-00034/May 4, 1998/RHW/PAR/109893
~tt~t iil ttn~ ~e~#ttmen#
OF
JUANITA R. FATTORINI
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i, JIiANITA R. FATTOr~iNi, of Lower iliien Township, Cumberland County, Pennsyivania,
being of sound and disposing mind, memory and understanding, do hereby make, publish and
declare this as and for my Last Will and Testament, hereby revoking and making void any and all
Wills or Codicils at any time heretofore made by me.
ARTICLE I
I direct the payment of my legally enforceable debts and the expenses of my last illness
and funeral from my Estate as soon after my death as conveniently may be done.
ARTICLE II
I give and bequeath my motor vehicles(s), household and personal effects and other
tangible personalty of like nature (not including cash or securities), together with any existing
insurance thereon, unto my daughters, JUDITH F. KNIGHT, JOSETTE F. WRIGHT and JANIS
F. SILER, to be divided between them by my Executrixes with due regard for their personal
preferences in as nearly equal shares as practical. In the event any of my daughters does not
survive me by thirty (30) days, I give, devise and bequeath her share unto her then-living issue,
per stirpes by representation.
099999-00034/May 4, 1998/RHW/PAR/109893
ARTICLE III
I give, devise and bequeath all the rest, residue, and remainder of my Estate, of
whatsoever nature and wheresoever situate, unto my daughters, JUDITH F. KNIGHT, JOSETTE
F. WRIGHT and JANIS F. SILER. In the event any of my daughters does not survive me by thirty
(30) days, 1 give, devise and bequeath her share unto her then-living issue, per stirpes by
representation.
ARTICLE IV
In the event that any beneficiary of my Will is a minor at the time for distribution of his or
her share, distribution of said share may be made in the discretion of my Executrixes after
considering the age and needs of the beneficiary, either directly to the beneficiary or to a
Custodian under the Pennsylvania Uniform Transfers to Minors Act, 20 Pa. C.S.A § 5301 et seq.,
or the applicable Uniform Gifts to Minors Act or Uniform Transfers to Minors Act in the state of
residence of such beneficiary as the case may be. My Executrixes may designate as such
Custodian any institution or person, including my Executrixes, qualified to act as a Custodian for
such beneficiary under such Act in effect at the time such distribution is made. A receipt for any
payment or distribution so made shall be a full discharge therefor to my Executrixes, who shall not
be responsible to see to, or be liable for, the application of such proceeds thereafter.
ARTICLE V
I name, constitute and appoint my daughters, JUDITH F. KNIGHT, JOSETTE F. WRIGHT
and JANIS F. SILER, Co-Executrixes of this my Last Will and Testament. I direct that no
fiduciary appointed herein shall be required to post bond for the faithful administration of the duties
required in any jurisdiction.
099999-00034/May 4, 1998/RHW/PAR/109893
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and
Testament, this ~ day of ~ a.., , ~ ggg,
(SEAL)
NITA R. FA ORINI
Signed, sealed, published and declared by the above-named Testatrix, as and for her Last
Will and Testament, in the presence of us, who at her request, in her presence and in the
presence of each other, have hereunto subscribed our names as witnesses.
~w.(b~-
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099999-00034/May 4, 1998/RHW/PAR/109893
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
. ss.
COUNTY OF CUMBERLAND .
We, JUANITA R. FATTORINI, ~D/'1 K^/D G. My~R S and
/LtV/ D ~. L.A~NZ~4 ,the Testatrix and the witnesses, respectively,
whose names are signed to the attached or foregoing instrument, being first duly sworn, do
hereby declare to the undersigned authority that the Testatrix signed and executed the instrument
as her Last Will and that she had signed willingly and that she executed it as her free and
voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence
and hearing of the Testatrix, signed the Will as witness and that to the best of his/her knowledge
the Testatrix was at that time eighteen years of age or older, of sound mind and under no
constraint or undue influence.
~-- "
JUANITA R. ATTORINI
I
Witness
Witness
Sworn to or affirmed to and subscribed to before me JUANITA R. FATTORINI,
Testatrix, and Ste. ~~~ ~~,,~ and - ~ •~~~, U
witnesses, this y flay of `~c~ , ~ g 9 Q ,
•.
Notary Public
My Commission Expires:
~-NOTARIAL SEAL
DIANNE LENIG, Notary Public
Lemoyne Borough Cumberland Co.
My Commission Expires Dec. 21, 2001