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HomeMy WebLinkAbout05-06-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Dorothy J. Harry File Number 21-09- t.~'Z9 also known as ,Deceased Social Security Number 184-26925 Carl Meyer Petitioner(s), who islare 18 years of age or older, apply(ies) for: (COMPLETE A' or '8' BELOW.•) Q A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the EX@CUtOr last Will of the Decedent, dated 06/17/2004 and codicil(s) dated State relevant drtwmsfanoes, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child bom 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 a , en r. c..a.; ..n.c..a.; a e; uren a ~e; uren a rrx a e Petitioner(s~ after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (rf any) and heirs: (lf Administratton, c.t.a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationship Residence ra ~ Q ~O _~- I^r~ <' ._'> ~ _ !-D -.N ~ r ~. r.~ ,~ ~ '. ~ (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~ ' ~ 7 ~-y a ~ ; ~ Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal res~~ at1 ~ = j~~ 2077 Reservoir Drive, Carlisle, Cumberland, PA 17013 - ~°• '.'' r,] (List street address, town/city, township, county, state, zip code) Decedent, then 73 years of age, died on 02/23/2009 at Carlisle Regional Medical Center, Carlisle, PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) (If not domiciled in PA) (If not domiciled in PA) Value of real estate in Pennsylvania All personal property Personal property in Pennsylvania Personal property in County situated as follows: 2077 Reservoir Drive, Carlisle, PA 17013 2,000.00 $ 57,000.00 Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codial(s) presented with this Petition and the grant Of Letters in the appropriate form to the undersigned: ~ Signature Typed or printed name and residence ~ 2077 Reservoir Drive Carlisle, PA 17013 Form Copyright (c) 2006 form software Dory The Lackner Group, Inc. named in the Page 1 d 2 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 the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this ~ day of e Register Supreme Court I.D. No.: 61886 SALZMANN HUGHES PC Address: 354 Alexander Spring Road, Suite 1 File Number 21-09- Estate of Dorothy J. Harry ,Deceased Social Security Number: 184-26-4925 Date of Death: 02/23/2008 Carl Meyer AND NOW, ZCX~1 , in consideration of the foregoing Petition, satisfactory proof having been presented befo e, IT IS DECREED that Letters Testamentary are hereby granted to Carl Meyer in the above estate and that the instrument(s) dated 06/17!2004 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............................................ $ 135.00 Short Cert~cate(s) ........................ $ 4.00 Renunciation(s) ............................. $ Will $ 15.00 JCP $ 10.00 Automation Fee $ 5.00 $ $ $ $ $ $ TOTAL .................................... $ 169.00 Signature of Personal Representative Signature of Personal Representative Carlisle, PA 17015 Telephone: 717-249-6333 Form RW-OY Rev. 1413-2006 Copyright (c) 2008 form software only The Lackner Group, Inc. Pegg 2 of 2 Attomey Signature: ~~'~~ ~/~L~ v„ - ~ ~Q''4~ "~ Attomey Name: George F Douglas, III Esq. I05.905 REV.(3/09) This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with the Vital Statistics. LavY of 1953; as amended: ~ ~ ~ ~ ~ ' WARNING: It is illegal to duplicate this copy by photostat or photograph. a ~ . (~QALw q~Ax~ Linda A. Canigalia State Registrar ~':.:: ~, {= -_ ~,~ :_i~ G';; r .. ; I_" H105403 RlI~~~~~t~l~l~p09s" TYPE I PNA)TJN `~. PERMA~~J:1.1 r r~ ; '.ti„=~ ) 0 ~` i L OI L 1 i 0 ~J 4825 .4 ~~ ~ ~ No. ~O ~ cry _ r APR 13 2009 Date ~ W 7- COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS Q ((~~ Q U ~~; CERTIFICATE OF DEATH O ~ 8SO7 ,'~ ~ m (See instructions and examples on reverse) STATE FILE NUMBER t: Name of Decedem (C~ ,last suffix) ~ 2. Sex 3. Social Seaxiry Number 4. Date d Death (MWh, day, year) C~ Female 184 _ 26 _ 4925 February 23 DOrO 2009 , 3 Age (Leal Brctlday) Under t IAidar 1 6. Dale d Berri (Montle, day, 7. BhYpboe ant akb a 6a Pkoe d Deem (Clwnk aey aye) More. Oeza lbn lewka Fbaplbl: ghee yrs. April 8, 1935 Chambersburg, PA ~1 ~dant ^ ER I Oulpadem ^ DOA ^ Nadng Home ^ Residence ^oma • Seedy: • !b. Camly d OeaM &. city, Bao, Twp, d Deem M. Fadiry Name (M rid iretilukon, give shed and runber) 9. Was Decedent d Fksparic origin? ®No ^ Yes 10. Race: American IMgq Bkck WAee, ek. • Cumberland Carlisle In yes, spedry caban, ISPe~d1 Carlisle Regional Medical Center Mexicai,PuerbRzan,etc.) White it. Decedents Usual Niq of wak dare mod d we. Do rid stab 72. Was Decedent ever n me 13. Decedent's Educetim (Sprvdly ant/ highest grade compkletl) 1/. MariW Staves: Marred Never Married, 15. Survmg Spouse (9 Brie, Siva maiden nafrie) Kind d Work IGM d Business I IrMushy U.S. Arced Forces? Elementary I SecaMay (P12) College (id a C») Widaed, Divorced ISyaecsy) ^Yes [~(b 9 DIVOTCeCI - 16. Deadera's MaEing Address (Sheet dry I lam, slate, z9 oak) Decedent's Del Deeded Pennsylvania LN b ddl t 2077 Reservoir Dr, e aid na.skk e a „a.®Yea,OecedadtivedinN. Mi on Twp. PA 17013 Carlisle 17b. Ccunry CUICIbP.TldIld Town.~po t7tl. ^ No, Decedent tivM wipes , „~~d arylAad 16. Famer's Name (Rrst, nkdde, kd, sdfix) 19. Homer's Name (Fnsl, midde, maiden sumarw) Edna Rife 20a. IMamant's Name (Type 1 Print) 20b. InNmnanrs Malig Address (Strad, dh' 1 bwn, dak, zp cak) 2077 Reservoir Dr. Carlisle, PA 17013 • 2ta. Metlad d DeposAkn ®Creaafon ^ Donaem 21b. DaM d D'epceilbn {MaW, day, year) 21c. Pka d DNpasi4on (Name d cemdal', adnday a alha pkce) 21d Laa6m (City /fan, side, zp mde) ^ Burial ^ Reread Iran Skle Waa Cranatbn a Daladon Autllar~Mn ^ onMr~soadly: ; byMealalEsaminalCaalrr. IwYea^NO 2/24/2009 Bitner Crematory, LLC Harrisburg, PA 27a. signehse d Funad semce uoawee (a person acerigas such) 22b. liuceree Nana ~ 22c. Name and Address d FadFay a 1C - - - Q FD-013592-L 3125 Walnut ST. Harrisburg, PA 171089 Carykk kens 23at ady rmen rsrfilykg 23a. To me best d my krawkdge, dean averred d me line, dab and plea skkd.l`>re ~ ~) 23b. license Number 23c. Dak Signed (Month, day, year) . physiian b rid avaeabk d orre d dedh b ~Y auae d deem. IWro 2426 mull be canpNkO by peram wlb analcesd ~ 24. Tmw d Dedh 11 - 6 25. Dale Pmpu Deed (Haim, day, year) '~v1 2& Was Cw Rderred b M66w16onwlerl Comte br a Rwm OtlMr mn oranabon a DanaYal? , - ., /. p e , ~ J M. ~ ~ ~ L y eu ^Ye6 USE OFDEATH(S~a htatnletlontand anlrtplaal- 1 Apprmdrek iAamk Aem27.PN1: EnlermerBBhg(gf~-d'eeues,syuMS,aalplatlals-IMdiedyaueadmededh.DONDTaASWrrinelesanlssuchesardaceried, 1 onadbDeem Pall: 5der alha bolnollaWlYpil6ealyl~{lgqueagbeahPadL 2& Did Tebaa uw Caer4Mb Deam7 ^ Yea ^Pra0k61j respiralay areal, a vaAliNa tbAekon aitlwd shaig tw eedogy. Ud ony aw ceuw an eadl iie. 1 ~lA ~~ r ` ~ r ~ CAUSE IFeW d ^ lAezawn ewx a /~ mrdYon .,. ~~° ) ~ i ~ ~ 29.tlFemW: P ~ a. l Due 8e8 d): ~ ~P~~PMI'w SeQwYYfdoatdtlaa,ieny, b. i b1lM alre bYd m it e ^ RgadYilledrMtll . y~ ppFpyN g Due b (a es a odleplwwe ~ ^ Nd prepwl, bd prganl ailin 12 dye a ~a~ ~ 1 e ( ~ ~ n l ' ~ d dam • . esw ik rea aq l d eeM) IAST. Dueb(aeaaoawaqueroafl: i ^ Ndpiegwtl,butpregenll3dyablyea a' 1 bdaedbm ^ IAdaewmtlplgwAwtlliltlapaatyer 30a free en Aubpy 30b. Wee Aleopy F 31. Mme d Deem 32e. Deb d i1M1' (MorM, day, yea) 320. Dexrke liew ~1' Ocaarea ~ Stint, Fadpy, Peaariwd? ~ Avahde Rea b ^ ~~ OEce ~ ~ d Case d Deem? ^ ~ ~ ^ ~ ,~ LJ ~o ^ Acddae ^ palyg yn, 32d Tyne d Yyuy 32e. bjay d WakT 321. tlltrepakim bjury (Spclfy) 32g.laxYon d ~' (Shed, ay / bwM1 ahb) ^ Sddde ^ Cadd Nd be DeYnlliled ^ Yea ^ No ^ ~! ^ Paaaangr M ~•~ . 33a CBItlMr (dwic IW, aria) 336. Slplehee Calla ' ChM ~ ~q aun d assn when anotlw phpiden ba pnmouloed deem alq cellPbkd Aan 23) Ttlwtlartdaybewkdp,tbeSttttaaaladdltabdwratwlyadatraw^a1MetL________________________________^ I- ' ~a~q~~rtiilbampramaaigdlamagalWyipbaeeddeem) 33d Slpledl~,mltYwl TMeAalEsaaYtayDab,,,, daYhulaanadMlMtbr,dMe,alapYoe,ndduebtlleawe(elndmwlerpaWad... ............. L OatMMded !a bary rxamdMlMtlme,dMerndpYa,nddwbtlrraua(a)ndarnsraaWaL ^ ~ 34.Naro dP d4kMrl~Ty) TYPe! 3S. Regetlela SgMhee I"') : '~ l ^ 1 ' ~ Iris(•I ~C! f4e-,l HGBLSL- J-}-IJ 3& Dek F9sd , day, Yell) ~/~~.~ -/ - /17L~ Iljil. a~~ " / Dkpaeitlon Pawl No. D3 3~G ~S " ., - `. ~~~ ~.a~~t ~iYf a~b ~Ce~tan~er~t ®f Dorothy J. Harry i.J.. _. . ~, Dorothy J. Hann presently residing at 2077 Reservoir Dr.ti Carlisle. PA 17013, being of full age and sound -and disposing-mind and memory, .hereby make, publish and declare this to be my Last Will and Testament. FIRST: I hereby revoke any and all Wills and Codicils by me anytime heretofore made. SECOND: My funeral expenses have been prepaid to the Central PA Cremation Society, Alan L. Colbert -Mgr. on 6/16/04 (June 16, 2004) 3125 Walnut Stnret, Harrisburg, PA. Phone: 717-545-6626 Fax: 717-545-2325 THIRD: tam presently not marred. FOURTH: I hereby give, devise and bequeath all of my estate, real, personal and mixed, of every kind and nature whatsoever and wheresoever situated, to Carl Mever - 2077 Reservoir Dr.. Carlisle. PA 17013. FIFTH: In the event that I am not survived by Carl Mever, I give, devise and bequeath my said estate equally divided in 3 parts to Judith A. Saphore, C. David Meyer, and Leslie A. Sims. SIXTH: I nominate and appoint Carl Meyer as Executor of this Will. In the event he shall predecease me, then in such event I nominate and appoint C. David Meyer Executor of this my Last Will and Testament. I further direct that no appointee hereunder shall be required to give any bond for the faithful performance of his duties. SEVENTH: 1 give to my Executor, authority to exercise all the powers, duties, rights and immunities conferred upon fiduciaries by law with full power to sell to mortgage and to lease, and to invest and re-invest all or any part of my Estate on such terms as he deems best. n ~ N O ~ T ;._ ~C_'t 1 ~~~ 14 ~ ~ -71 ~ ~ ~ { 1 'L- D~ 0 IN WITNESS WHEREOF, I hereunto set my hand this f~,~ day of ~'y N~ , 2004. ~~..Sl:,-..- ~~ . v+ai was My oanre~on o.o. 2006 M«,~er.~a~'~"' ( GN HERE) Signed, sealed, published and declared by the above named testator, as and for here Last Will and Testament, in the presence of us, who at her request, in her presence, ark` iri `the pre~+ence ~f .ane another have hereunto aubscritiad our names as attesting witnesses, ~daSr, and.: year Gast written :above. r,'_. c ` o ~.., _ _ _. o r-- tx -= ~~ "~ ~~ °C ~ OATH OF SUBSCRIBING WITNESS(ES) __ - ~ .,, ,~ ,,- ~ts,~_ ~ v' _ ~ ' '" c = ~ REGISTER OF WILLS ~_ _ ~ r _- = o ct ~; C~ ~~ ~ O COUNTY, PENNSYLVANIA o U N Estate of D a Ro fihy J • >~-}AI`RY ,Deceased C ~fLtSz rr~~ C HR~STi IJC ~• ~-IOLSTON, Nohl ~..}~~~ , (each) a subscribing witness to (Print Name/sJ the Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /they signed the same and that she / he /they signed as a witness at the request of the Testator /Testatrix in her /his presence and in the presence of each other. ~ ~'1 (Signature) (Signature) L` K R ~ S'(1 NE ~ d L S'f ONE ~ u in/ '~3 MARS ROAD (Scree[ Address) (Street Address) (City, State, Zip) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of ~ R OOUaA4 ~ NOIIM9'MJ~IC ~~~N MY OOON D(~IEB ~ ~ i , NOTE: To be taken by OtTcer authorized to administer oaths. Please have present Executed out of Register's Office Sworn to or affirmed and subscribed before me this ~~~ day of ~`- , SOS ~~ Notary Public My Commission Expires: (Signature and Seal ofNotary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) the original or copy of instrument(s) at time of notarization. Form RW-03 rev. l0.13.06 '. ~ ~ - ~ o ~ = OATH OF SUBSCRIBING WITNESS(ES) ~_ -: ~c-~ '-=~ ~ '" L 7 ~ ~ "' ``~ REGISTER OF WILLS L_ . u ? ~ >- J. 3 rr' U ~ t ~ ~~+~^BE~~ 1~~ COUNTY, PENNSYLVANIA i__ ; ~_z .cG [t C~u ~-~_~ /Y' Ct\ v~ ~J C~ N Estate of ~ OROT}Ey ,JA ~ 9~Ry ,Deceased R h1 ? H 0 ~-Y ~ • ~N ~H , (each) a subscribing witness to (Prin[ Names) the~l Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /they signed the same and that she / he /they signed as a witness at the the Testator /Testatrix in her /his presence and in the presence o ach-et~ .. ~. (Signature) (Street Address) (City, Slate, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of ills ~ R DOUaJIa N, NOrfMr CARLISLE BORO; CUIYIBE~JINDOOUNtY ~~~~~~j (Signature) ~ U '1" /=( ~~Y VV • N ~,~ cN ~3 ~ MA r~E Rai ~ (Street Address) C~RUS~ . P~ -Fors (City, State, Zip) Executed out of Register's Office Sworn to or affirmed and subscribed before me this ~ ~ H day of ~ f~K , Z00q Notary Public // My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Forne RW-03 rev. !0. /3.06