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HomeMy WebLinkAbout04-22-09PETITION FOR PROBATE A~1TI) GRANT OF LET'T'ERS REGISTER OF ~-v'ILLS OF C,(,l.CY1~r~Cu1~. COt?~+TY, PE~~SYLV<=..~rI?. Esta:eof ~ ~ ~ (?,,`MSS ~L~~r JC j~ Fileidumber ~ / '~~'0~~7 also known as / V'~ Yl ~ri.,mP ~ I ' ~ ~ rr J~ j'1 ,Deceased Social Security Number G~t} ~ ~~(G~~ rlL~__ Pelitioner(s), who is/are I3 years of age or older, apply(ies) for: (CO,LIPLE7E 'A' or 'B' BELOGV:) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~ 1~./1(LP,! ~ ~dt~r.~fi ~ named in the last Will of the Decedent dated '~' ~ ~j--I R Zd and codicil(s) dated ) U ' (~~ 9 ~7 r a - o _ C .s~ - - (State refevnnt circwnstances, e.g., renunciation, rfeatk of executor, e!c.j ;=~ ~ --0 r, ~ C7 ~D c Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of~i~sttumeuD(s) offered'.. ~ __ ~ N ..-i for probate, was not the victim of a killing and was never adjudicated an incapacitated person: : -'J' %'~ - ~~=i"i ; ~ ~ ~ ^ B. Grant of Letters of Administration t (!f appticabfe, enter: c.t.n.; d. b. n. c. t. a.; pendente lire; durance absentia; dur~te mi,taritatej 0 ' Cl'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: (Ij Administratiar, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) L _ Name Relationship Residence (CONIPLETE IN ALL CASES:) Aitaclt additiaial sl:ee~s if necessary. Decedent was domiciled at death in (List street address, town/city, township, county, state, zip codej County, Pennsylvania with his /her last principal residence at Decedent, then ~_ years of age, died on ?-LL1~ ~r ~ at _ ~,~ (i j ~? ~,~ i~ c Decedent at death owned property with estimated values as follows: ~~ > V U (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 folio Wherefore, Petitioners} respectfully request(s) [he probate of the last Will ar,d Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: signanire Ty ed or tinted name and residence ~f~. ~~ ~DO~~ Fa,n. aw-n? ,e~~ !0.13.06 Page l of 2 0~ 1r~Q~ Oath of Personal Representative COivI~10NWEALTH OF PENNSYLVANIA I~ SS COUNTY OF • 'The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true 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 a{~n(d~subscribed before me the ~' ~ l/day of ~v...i ~J~a~-..Q ~. ~.ow~.a~~/ Signature of Personal Representative Signnture ojPersonal Representative r.~ :'~ w ~~.~~5~,~_--mss Y^ _ _ ~ Signnture of Persona! Representative f «~ '"' l_3 __ _'^ j File Number: ~' ~D~ ~ V 3 ~ ~ ' Estate of ~~,~,1 n m P_S ~ orr ~ ~o n ,Deceased O U"1 Social Security Number._~~' ~~'~Jal ~ ~ Date of Death: r~ ~ ~~ are rere y gran e o ,, , I"' , ~ .t f- - - _. _`, ti I 't AND NOW, ~Z~ ~,(,~ ~ ?~I7 ! ~ , 6~~, inconsideration of the foregoing Petition, satisfactory proof having been presented before me, S CREED that Letters J m ~ l b t dt Short Certificate(s) ........ $ Attorney Signature: Renunciation(s) .......... $ ,t $ Attonrey Name: ~~ I L~ . • • $_ Supreme Court LD. No.: ... $~_ $ Address: ... $ ... $ ... $ • • • $ Telephone: ... $ _ TOTAL .............. $ ~ (n~• in the above estate and that the instrument(s) dated __ __ _-_ __-___-- --------- described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES /Z ~, ~~ egister of Wi!!s ~ ~~J, Letters ............... $ ` ~.".. Q r-a,,,, Rw-o? rev. lo.r3.or Page 2 of 2 llos.aus aev uu/n~t p~~~~%7 ~ (~J~~~ LOCAL REGISTRAR'S CERTIFICATION OF C)E~~l'H WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 ims )s w ccuuy that UtG ttttvsuzauirsa a=~=~ ;;_•~_. •~ correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent tiling. P 15188822 a~ AP 2 2 09 Certification Number ':Local Registrar ~ ~ Date Issued C ~ w _ - -; C7 =p ~ r) .~_~ ~C7 ; v~ ~i I~ r ,.-, ;-~i i _. __ ---- - ~ N _ I , - __ i:n ~ - -' C) r-? ~c,7 , _ _ _. __ _.. _ ___ ____ i-; ~ ~~ ~ ~._ ~ i --; ~ - -- , --( p ~.. C11 3 REY 112W6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS A~ MIN CERTIFICATE OF DEATH ACK INN (See instructions and examples on reverse) CTATF FII F NIIHRFR t. Name d DeudM (First. middle. lest, wdx) 2. Sez 3. Sodd Seamry Number 4. Deb th (Month, day, ) / 3111 ~/ 201 16 l _ e Elvin James Morrison a 5. Age (Last Bimmey) UMer 1 Untlar 1 6. Dab d BiM Month, m , 7. B' aM state or f Bs. Place d Deem Check one Abmhe LLYa Name Mireeae Hospital: Other 1 1 / 14 / 1 9 2 7 Eno 1 a , P A ^ r - S sxg : 8 ] i H ^ li kl ^ Om ^ DOA ^ N / O l y ng ome es ance e ulpagent urs Inpetlenl ER Yrs 8b, County d Death &. City. Boo. Twp. of Deem &1. Facility Name QI not iregHrlron, ghre sheet aiM resnber) 9. Was Decedent of FHSpenk Origin? Na ^ Yes 10. Rau: Amancan Inden, Black, WNb, etc. Dauphin Harrisburg (II yes, specify Chen, (SOecrt}1 Harrisburg Hospital Mertlcen,ParroRren,etc.) White t 1. DeudenYS Usual goo KiM d work done dud most d ~ Me. Do rwt state /2. Was Decedent ever in Me 13. DaudmYS Edualion (Seedy Dory hphest grade completed) 11. Medal SbWe: Married, Never Married, 13. Surviving Spouse (lf wife, give maiden name) Kind of Work KiM d read Industry ress R il ~x U.S. Armed Forus? Elementary Secondary (612) College (1~4 or Sv) Wrcbwed' ~o~ /SVeabl ~ way p a r uc.l~ f,';i~.'' Widowed ~ Yes ^ Na I8. DeadenYS Aleikig Address (Street, city! town, state, zip code) Decedent's Did Decedent Deutlenl Lived in Twp. 17c. ^ Yes Aduel Residence 17a State PA o 410 Wren Court , . wnship? Livetl within Mechanicsburg Deuden CLmberland 17d ~1 No Mechanicsburg, PA 17050 ~ rel ,n. cmmry thy! l3oro 1B. FameYS Name (First, nid9e, last sugia) 19. Homer's Noma (FIrsL middle, maiden surname) Kenneth Pbrrison Evelyn Kearney 2Da. Inlonrem's Name (T ! Pnnt). M 20b. Inlomnent's Mailing Address (Street cnY 1 town, state, zip code) lli i orrison Michael E. no s 5703 Hampton Drive Lang Grwe, I 21a. Method d Disposition i ^ Cremation ^ DoneHon 216, Date d Disposition (MOnm, day, year) 21c. Platt of DispodHOn (Name of urtietery, crematory or other Dbae) 21 d. Location (City I town, slate. zip mtle) ~Bunal ^ Removal horn State ~ ~° ~ x C ~~ ^ 2009 ril 24 A Indiantam Gap National C~tetery Annville, PA 17003 ^ ^ Yea No Examm l worelt , p ~ 22a Signature d Funeral Licensee (or person adhg as such) 22h. License Number 22c. Name end Address of Feclliry ~ j FD 012773-L Richardson Funeral Hone Inc. 29 S. Enola Dr. Enola, PA 17025 Canplek gems 23ar arty when cmgMn9 ~at tereddeam to 23e. To~ d my tlge, deem atoned al ~k~e~ab end aeu aided. (Signature and gtle) ~~}~,' [,~ rt+, /( 23b License Numhe/r'~ /'/,7 ~.jf, /~ ;[~ ~~1~ ~ - _ 23c. Date Slgnetl ( m. ,Year) l~ L1 /-~~ useddee ~ ~,,W (• ' l l ' [~ /// le ~ Ibrns 242fi must be completed by person 2<. Tone d Daam de/'-reer) 25. Dab P Dead ( Mon% ~1 tion or Donation? finer I Coroner for a Reason Omer than Crem Ref ert ed t o Me6ce1 Ezam 26 ea Casa . W ^ ®` • who pivrnunus deem. ; ~ M. ~~ ~ 0 vas No CAUSE OF DEATH (See Inetructlona a exemplea) r Approsimele interval: r On nt h s ardac amesl t b D em NOT t l i l d m d m Pan II: Enter doer s aniliced unditlore mntnhutina ro deem. b me undertyin cause iven m Pan t but not resultin 28. Did Tobacco Use Cantnbule to Death? ^ y ^ P b d , en er ertn re eve s suc a se e ee . e Item 27. Pan I: Enter tlralldl3 -diseases, iqunes, or conpfugais ~ dial dreclly cause respmarory artest or ventriwler li Hon wghout shawlrg me .List only ore cause m Bach Ilne. i i g . g g ro es a y ^ No ~ Unknown MYEDIATE CAUSE Feel dsease or ///J Q ~ ,(s i coridHan resukug m ~aml _~ a (,(` /~,t V. 29. If Female: ^ Nd rec rem within ast ear , Due r i p y p D ^ Pregnant al time of tleam Nn rxndgorvs, H arty, b ~ ^ . b a1r8e listed on Hoe a. pregnanl, but pregnant wimin 42 days ' t N pus to ( e c of)' ~ EDERLYYIG CAUSE ~ ~ o (6aeeee ar injury met niHHe1 Hro ~ c n t 43 d t 1 ^ N t t b t ' evenb realtlng m deem) LAST. ~ pregnan preg an year o , u ays o ~ a nWJ Du to (m as e/yrp)~~~m' / (! ~ before death ) / /~Y Y y/ a.1 i d ^ Unknown If pmgnenl within trw past year . 30e. Was an Autopsy 300. Were Auopsy FnGrigs 31. Manner of Deem 32a. Date d Injury (Hoorn, day, year) 32b. DeacrBle How Injury Oaurred 32c. PMCe of Injury: Home, Farm, Sired, Factory, DH'lu Building, ek. (Speay) PerMmed7 Arellede Poor ro Carplegon d Cause of Deem? fYyl ~mrel ^ Hankide Yv ^ Yes ® No ^ Yes ^ No ^ Accident ^ Perbirlg InveaHgeHOn ~~ Tkrie d Inryry 32e. Ir~ury et Work? 321. It Trareponetion Injury ISP•dNl er ^ Pedestden ^ DmerlO ereror ^ Peeeer, 32g. Localun of injury (Street ckY /town, stale) ^ Sdokk ^ Could Nd be Detarminatl H ^ Yes ^ No p g Other-Spedly: 33a. Candler (d~edr Doty ore) 336. SigneNreelAYzTiHe d Cemger ~ p CerHlying physkisn (PgYSid•n ceAgYn9 outs of deem when aremer physician has pronoulced deem eM completed Ibm 23) _________________ ^ __ drsdhoaumed dos tolhe csuaa(e)arM mmner eeaMsd • To Vre hasldn knonl•dg• !~''llR ~/Il~ a V' ~~ ~ VVV _____________ _ ry , r 33c. License Numbe 33tl. D Signed (Maim, day, Year) • pronoundng pd urglying phyaklen (Physidan born pronoundng seem end urtllYmg to Huse d dmm) YYyy~~ bbe tcl h d l M d / ~ ~ ~~ 9 e uusa(s) en manrer u e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ace, e ue to t To me best d my ksnwbdge, ddth ocaxrad d the Hme, tlsta, sod p L/ 7 ~ 1 • Medal EeemkwlCOrorer On the Msb of emsminNbn end / or invasdgNbn, m my oplnbn, deem auumed d tlra ibis, deb, and pkea, and du to tM uuee(e) sod manner r slebd_ ^ d- rldse'~ram (IJ/r~7gjT !Pmt ~ ,r+ / / J G? /J ~"7' 34. Name and /olya~ppn~ + 3 ~ / 7 ,(J 6~`- J ~` / / 7 /c 35. a Sgrebxe ~ ~ ~ ~ / 36. a ibd IM~g, g•Y, Y•arl ~ ~ / ~'! y ~p y { ~ J Disposition Permit No. Q ~ ~ ~ ~ ~ ~ ` ~ctt~t `~Il ttrt~ c~ e~#ttme~t# OF E. JAMES MORRISON ~a ~., ~, - r= o ~. _ ~ -~a -~ Tl ~.P T N , ` ~ _ `" -~ fV - '--' J7 j~ .. - ~ ~. ,T ~ , . t ` .~ V , I, E. JAMES MORRLSON, of 267 Wyoming Avenue, Enola, Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, in the manner and form following, hereby revok- ing and making void all former Wills or writings in the nature thereof by me heretofore made: ITEM I - I direct my Executrix, or Executor, herein- after named, to pay all my just debts and funeral expenses as soon after my decease as is practicable. ITEM II- All the rest, residue and remainder of my est- ate, whether real, personal or mixed, of whatever nature and descript- ion,and wheresoever the same may be situate at the time of my death, I give, devise and bequeath unto my beloved wife, EVELYN M. MORRIS- ON, 267 Wyoming Avenue, Enola, Pennsylv~ia, providing she survives me for a period of thirty (30) days. ITEM III - In the event my said wife fails to survive me for a period of thirty (30) days, then I give, devise and bequeath all the WITNESS: ~- `" ./~ ~. _ ~,~~ (~ ''?,~~G (SEAL) ~~.~ E~ FAMES MORRISON -~- rest, residue and remainder of my estate unto my three sons, LAURENCE~ S. MORRISON, MICHAEL E. MORRISON and WILLIAM J. MORRISON, all of 267 Wyoming Avenue, Enola, Pennsylvania, share and share alike. ITEM IV - In the event any of my children predecease me , then I give, devise and bequeath the share of said deceased child to his issue, share and share alike. In the event any of my children predecease me, leaving no issue to survive, then the share of said deceased child shall be divided equally between my remaining children. ITEM V - In the event my s aid w ife fails to survive me as aforesaid, and, further, in the event any of my children are minors at the time of my death, I do hereby nominate, constitute and appoint my son, LA~TRENCE S. MORRISON, aforesaid, to be the guardian of the estate and of the person of any of my children who are minors. I further direct that said guardian shall serve without bond. ITEM VI - In the event my said wife fails to survive me as aforesaid, then I direct my Executor to sell any real estate that I may own at public or private sale, in the discretion of my said Executor, and the proceeds derived therefrom become a part of my residuary estate and be distributed in accordance with the residuary clause of my Will. ITEM VII - I do hereby nominate, constitute and appoint my beloved wife, EVELYN M. MORRISON, to be the Executrix of this, my Last Will and Testament, providing she is living at my death, to do any and all things necessary for the complete administration of my estate. I further direct that my said Executrix shall serve without bond. WITNESS: ~~.~ ~1 1 ~- ,~ ~~ (SEAL) E. MES MORRISON -2- ITEM VIII- Should my said wife fail to qualify as such by reason of death, disability, or unwillingness to serve, then I do hereby nominate, constitute and appoint my said son, LAiURENCE S. MORRISON , to be the Executor of this, my Last Will and Testament, and I direct that he shall serve without bond. ITEM IX - It is my express wish that ELMER E. HARTER, ESQUIRE, of Harrisburg, Pennsylvania, be chosen by my Executrix, or Executor, as the case may be, as the attorney for the administration of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this ~ day of April, A. D. 1970. '~ (SEAL) JAMES MORRISON SIGNED, SEAI..ED, PUBLISHED AND DECLARED by the above- named Testator, E. JAMES MORRISON, as and for his Last Will and Testament, in our presence, and in the presence of each other, we, be- lieving him to be of sound and disposing mind, memory and understand- ing, have, at his request, hereunto subscribed our names as witnesses thereto, in the presence of each other and of the Testator: ~~~ - ~~ residing at /~~!~= ,~ 7 ~~' .e», .~.~ °}, t.~ t~...~~~~ -(~;:_.__ residing at . ~~~-~--~ ~ C . ~ ~r . -~.~ ~ 1 -3- C O D I C I L I, E. JAMES MORRISON, the within Testator, now residing at 410 Wren Court, Mechanicsburg, Pennsylvania, do hereby make and publish this CODICIL to be added. to my _ LAST WILL AND TESTAMENT, bearing date April 13, 1970, in manner following, to wit: 1- By deleting ITEM V, which is as follows: "ITEM V- In the event my said wife fails to survive me as aforesaid, and, further, in the event any of my children are minors at the time of my death, I do here- by nominate, constitute and appoint my son, LAURENCE S. MOR- RISON, aforesaid, to be the guardian of the estate and of the person of any of my children who are minors. I further direct that said guardian shall serve without bond." 2- By deleting ITEM VIII, which is as follows: "ITEM VIII- Should my said wife fail to quali- fy as such by reason of death, disability, or unwillingness to serve, then I do hereby nominate, constitute and appoint my said son, LAURENCE S. MORRISON, to be the Executor of this, my Last Will and Testament, and I direct that he shall serve without bond." and substituting therefor the following: "ITEM VIII- Should my said wife fail to quali- fy as such by reason of death, disability, or unwillingness to serve, then I do hereby nominate, constitute and appoint my son, MICHAEL E. MORRISON, how of 38737 North Linden Avenue, Zion, Illinois, to be the Executor of this, my LAST WILL AND TESTAMENT, and I direct that he shall serve without bond." TN WITNESS WHEREOF, I have hereunto set my hand and seal ~o~is CODICIL to my LAST WILL AND TESTAMENT, this u ~ day o f (L' ~~~e-~-a ~ A. D. 19 8 7 ~~q~rn ( SEAL ) E. JAMES MORRISON SIGNED, SEALED PUBLISHED AND DECLARED by the above-named Testa- tor, E. JAMES MORRISO as an or his CODICIL to his LAST WILL AND TESTAMENT, in our presence, and in the presence of each other, we, be- ieving him to be of sound and disposing mind, memory and understand- ing, have, at his request,hereunto subscribed our names as witnesses th o,in t pr s e of each other and of t e Testator: _ L_~ RESIDING AT '' y~ ,/ ` ~..,~ 1.1..E-. >,;~ t.<~,ee.._~,.z,' RESIDING AT _ _ .L ,~_~:-~.}- r-.. t ~ '` OATH OF NON-SUBSCRIBING WITNESS(ES) REG STER OF WILLS COUNTY, PENNSYLVANIA 2 I -D~ - ~3~7 Estate of ~ ' J ~" ~ f~S r ` ~ a~ S D,~- C~ and (each) being duly qualified according to law, depose(s) end say(s) that acquainted with ~ ~ V > ~ ~~ ~'1 ~' ~ ~ D 1r rY5 d>ti Deceased she / he /they was /were well- with the handwriting and signature of the decedent, and that the signature of and am/are familiar ~ . J rn25 NjO~ ~isor~ to the foregoing instrument purporting to be the Last Will and Testament/Codicil of is in his/her own proper handwriting. (Signature) -~ 7e~ ~~M~~~ ~r (Street Address) Lo ~ JGrny~ -~- L P oo~ ~ (City, Stn ip) Execccted in Register's Office Sworn to or affirmed and subscribed befor me this ~ day of ' ,~. Deputy for Register of W• s ~. J ~•~~s 1~~r~nscw ~ c~ ~1'~,,~-~ (Signature~~ ~L~ (Street Address) 1.-e~~n ~. ~r~~rC ~ ~ U ~ y 7 (City, State, Zi L n N ~ = te ~ ` ~ '•° r r " ~''• rn - N _„ (J ~ ~\ - ~~ ~t7 --~ ~ -~ =~ ~ ~ ~ --o _'' ~ ` - o cn Form RW-04 rev. !0.13.06