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HomeMy WebLinkAbout05-13-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVA/,NIA ROSE MARIE SALISBURY ~' - ~ ~ U~~~ Estate of File Number also known as ,Deceased Social Security Nutnber 201-20-6591 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) ^f A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the EXECUTOR named in the last Will of the Decedent dated APRIL 9, 1997 and codicil(s) dated RENUNCIATION FOR ALFREDA MAE RIVERS ATTACHED HERETO n ... (State relevant circumstances, e.g., renunciation, death of executor, etc.) ~ ~ ~ ~ ', . "1J-L~ ~' Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of E~~n~tmentjs~offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: -''~ c~ .1~r. - B. Grant of Letters of Administration % ~- ` ~~' ~ ~= - I a hcable, enter: c.t.a.; d.b.n.c.t.a.; pendentelite; duranteabsentia; ` "~ (f PP W Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spe~e (if any) an~'Feirs: (If Administration, c. t. a. ord. b. n. c.t.a., enter date of Will in Section A above and complete list of heirs.) r (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at 7804 WERTZVILLE ROAD, CARLISLE, MIDDLESEX TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA 17013 (List street address, town city, township, county, state, zip code) Decedent, then 86 years of age, died on MARCH 14, 2009 at 7804 WERTZVILLE ROAD, CARLISLE, MIDDLESEX TOWNSHIP, CUMBERLAND COUNTY. PENNSYLVANIA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 2,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 195,000.00 situated as follows: 7804 WERTZVILLE ROAD, CARLISLE, MIDDLESEX TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters i^ the appropriate form to the undersigned: ~'~ ~ ROY B. SALISBURY, JR., 7802 WERTZVILLE ROAD, CARLISLE, PA 17013 Form RW-02 rev. 10.13.06 Page I of 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. ) ~ ,~, ~~ of r~.~ File Number: ~1G ~ - ~~~1 ~- ~~ ~~ Estate of ROSE MARIE SALISBURY .D Deceased Social Securit''yJJNumber: 201-20-6591 Date of Death:MARCH 14, 2009 AND NOW, ~,l , of ~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IS CRE hat Letters TESTAMENTARY are hereby granted to ROY B. SALISBURY, JR. in the above estate and that the instrument(s) dated APRIL 9, 1997 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES 260.00 Register of Wills ,( ~' Letters ............... $ ' Short Certificate(s) ........ $ 4.00 Attorney Signature: `" Renunciation(s) .......... $ 5.00 j JCP ... $ 10.00 Attorney Name: ROGER B. IRWiJ~, ESQUIRE AUTOMATION FEE $ 5.00 Supreme Court I.D. No.: 6282 WILL ... $ 15.00 Address: 60 WEST POMFRET STREET ... $ ... $ CARLISLE, PA 17013. ... $ ... $ • • • $ Telephone: (717) 249-2353 ... $ TOTAL .............. $ 299.00 Form RW-02 rev. 10.13.06 Page 2 of 2 Swom to or affirmed and subscribed i before me the ~ ~ day of _ _ __ <,. - .. This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accor nce wrth the Vital Statistics Law of 1953, as amended. WARNING: It is illegal to duplicate this copy by photostat or photograph. Linda A. Caniglia State Registrar ,~ H105-tai REV 1112006 TYPE! PRINT IN PERMANENT BLACK INK ~I ~~ ~• No. APR 0 2 200g Date COMMONWEALTH OP PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions antl examples on reverse) 1. Nana of Decetlem (First mitldle, last. sufnx) 2. Sex 3. Social Security Number a. Date of Ueam (Month, tlay, year) ROSE MARIE SALISBURY Female 201 _20 _ 6591 March 14, 2009 5. Age (Last eirthtlayl Untler 1 year Untler 1 tlay 6. Date of Birth (Hoorn, Uay, year) i. Bmhpace (City antl stale or total n cwn[ry) Sa. Place of Deam (Gneck only one) Morehs pays Hcu~s Minurea Hospital: Other'. 86 y March 3 1923 Washin ton Pa rs , g , ^Inpariem ^ERi oulpauem ^DOA ^Norsm g Fbme [~Residenpa ^omar-specify: 6b. Counry of Deam Sc. Glry, Boro, Twp. of Deatn Bd. Facility Name III nor iM15litubon, give street and number) !3. Wes Decadent of Hispanic Origin? [y} No ^ Vas 10 Pace: American Indian 81ack Whll r Cumberland Middlesex Twp. (II yes, specity Cuban, 7804 Wertzville Road Mexiwn,PaenoRian,em.) . , , e, a c. (Spec. White 11. Decetlent'S Usual Occ ten NinoW woM tlone tlud mast of vroMin life. Do net stale reliredl 12. Wes Decetlenl ever in the 13. DecedenYS Education (SOeciN only highest gratle mmpleledl t6. MadWl Sarus'. Married Never Marnetl, 1~~. Surviving Spouse (If wife, give maiden nemel Kind of Work Kintl d Business / I stry Rest r~ U.S. ArmeC Forces? Elementary / Secontlary (P12) College (1< or 5+) Widowed, Divometl (Specity) auran Waitress ^ves ~o ________10--- -- [~tidowed 16. Decedent's Mating Maass (Street, crcy r town slate. np cotle) 7804 W l R Decedent's Ditl Decedent Penns lv ni ertzvi le oad y a ActoalRasidanca nasat¢ a Livaina np.®ves,Decedemu.etlm Middlesex TMm' Carlisle, Pa 17013 rownsnip? nb. cggmy Cumber 1 and nd. ^ No, Decedem u~etl wimin AaHal omits d ary / apm IB. Father's Name (first, mitltlle, last, sutlixl 19. Homer's Name (First, midtlle, maiden wmame) Joseph Alo>_a Letizia Martinio 20a. Informant's Name (Type /Print) 20b. Informant's Mailing Address (Steel. chy I lows, stale. zip code) Roy B. Salisbury Jr. 7802 Wertzville Road, Carlisle, Pa 17013 21 a. Method of Disposition ^ Crertalion ^ Donation ~B 21 b. Date of Dlsposidon (Hoorn, tlay year) 21 c. Place oI DisposMOn (Name o! cemetery, crematory or other place) 21 d. Lora( (CIN! town, slate, zip cotle) pnat ^Pemo~aummsale jwa:cremaden«DOnafipnAatno[w ^ Other ~ Sped i by Metletl Examiner! Comner? ^ Yes ^ No March 18, 2009 St. Patrick Cemeter y Carlisle, Pa 17013 22a. SgeNr neml Semce acting as such) ~ 22b. License Number 22c. Name antl Address o1 Faciliy - _~ ~ FIr012909-L Ronan Funeral Hare 255 York Road, Carlisle, Pa 170 13 Canpkle s 23at mN when cemrying n i 23a. Tome bas my Nnowiadge, dealn a:curtatl IN the lima, tlate and place slaletl. (BignaWre and tAle) 23b. Lcense Num be r 23c. Dale Signetl (Month day year) v ysmen ¢ na a.a~laae at lime of awm t¢ canny cause or deam. ~ / /V e ~ Q v/ ~ ~ 7 L , , ' , / J G / - kve r(„ I Q ~ Items 2x-26 muss be completetl by person 2A. Time of D¢am 25. Date Pronounced Deatl (MOrdh, tlay, yearl 26. Was Casx Referr to Medical Examiner! Coroner la a Reason OfMr Than Cremation « Donation? who prorrgmces deam. i(J M k a,.C ~ ©/'; V ^ Yes No CAUSE OF DEATH (See Instruetlona antl examples) ~ Appmximale interval: Item 2]. Pan I: Enter the chain o1 events -diseases, irgaies or canplialbns -that erectly caused the deam DO NOT enter terminal events such rdi t Pan II: Eller other ' 1 '" r tn. 28. Did iobeccn Use Contribute W Deam? , . as ca ac anes Onset to peam respi2tory arrest, or venldaWr fibdAaAOn wAhoN sharing the etiology. List only one rouse on each line. but raI resulting In me underlying cou se given in Pan I, r~ Yes Probably K`I ^ IMMEDIATE LAUSE (Final tlisease or / ^ No ^ Unknavn ~I condition resunh9ln deaml ,~ ~ - ~yG.-+'T ~.'•' a , /I!^zJ7 Jt ~I 29 11 Female: , x, , P y ~1 [<~ . Due to (a sequence ol): SeW Bally Gel mndAiaxs. 11 any, b C v] F ^ Not pregnant within pall year ^ Pre nant at lime of deem . leadingg to Ina Cause listed on Ilne a. g Enter the UNDERLYING CAUSE Due to (or as a mnsepuence oQ: " ^ Not preynanl, but pregnant wimin 42 tlays (daease or injtry mat Iniliatetl Iha ~ t, P.,^~ events resWlnq In deam) LAST, c of deam Due Io for as a consequence of): ^ Na Dregnant, but pregnant 43 tlays lp t year d. r balae death ^ Unknown i1 pregnant wimin the past year 30a. Was an ANOpsy Pedwmetln 30b. Were Autopsy Fmdngs A il d P 31 Ma/nnar or Death 32a. Date of Injury IMOmh tlay, year) 320. Describe Haw Injury Occurretl 32c. Place of Injury' Mane, Farm, $Ireet, Factory, va a e nor to Complellon a Cause of D¢am? ~1 „ rural ^ Homkide u ".a Office Builtlmg, etc. (SpecityJ ^ Yes [~ No ^ Yes ^ No ^ Aceitlem ^ Pendry Invesrigabon 32d. Time of Inlury 32e. Injury at Work? 321. II Transpodalion Injury (SpeciN) 32g. Location of Injury (Street, city. town, slate) ^ Suicibe ^ Could NoI be Delerminetl ^ Yes ^ No ^ Driver/Operator ^ Passenger ^Padeslran M' ^Other~SPecdl': 33a. Cendrer (ch«k only one) ~1 33b. Signature and Title a Canlfier • Certltying physician (Physmian cmilylnq cause of tlealh when another physician has pronouncetl tlealh and completetl Item 23) T In b t f k / ~ / o a as o my nowbdge, dxth oeeurtetl due to the cause(s) and manner as staled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Pronouncin antl rtd i i n i • - m ~ ~ ~M g ee y ng p ys c an (Physician both pronouncing tleath antl certiying to cause of tlea[h) To the best of my knowletlge, tleath occumetl ai the time date and place antl due to the cauael) 5 antl t l e ^ 33c. License Number (/ 3"C. Date 3gnetl (Month, day, year) " , , , manner as a e e ------------------ • Metlical Exemin« /Coroner O ~~ (~ y ~ a ~ t~ y 3 i O `j n the basis o/ examinatbn antl! or investigaliom in my opinion, death occurred al Ina Ilme, tlate, end place, end due to the cause(s) and manner as staled_ ^ , 34 Name antl Address of Parson Wno completetl Cause of Death (Ite m 27j Typ¢ f Prim 35. RegisVar'sdy~ ~ tl Dls cl LEI I la l I - ~,~ 36. Dale Filed (MOnm, tlay, year) ~~, ..:t ~a,~ ~ J4 . m n ~~~ ~ n l a~ ' 'J .f Oisposilion Permit No. ~J-/'~1 t,1 rl `~ ~ ra `~: ~ o 7 ~~ ~ - - 7;~ _ _ l: ~.~ ~ - . ` f 7~ - : -k; -v =-+ ~ v LAST WILL AND TESTAMF'N'~' 9F ROSE MARIE SALISBIIRY I, ROSE MARIE SALISBIIRY, of 7804 Wertzville Road, Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make and declare this as my Last Will and Testament rR.~ and revoke all wills and ~pdicil G O "' =, ~ ' ~ ..heretofore made by me. ,~ c~ - - < ~._~ _;.; ,n r J I / V er 1 ~t i -.~ i ~ '__+ ~'` FIRST ~ } ~.-..V--+ v ~~ --- _~ ~ _. ~ I direct the payment of my debts and expenses of my last illness and funeral from my e state as soon after my death as conveniently may be done. If there is no cemetery lot available ~i for my interment, owned by me at the time of my death, I '~ authorize my personal representative to purchase such cemetery ,;~ `, lot with a contract for perpetual care, using therefor funds from ~~ my estate in such amount as my personal representative shall consider necessary and desirable. Further, in this connection, I authorize my personal representative to expend reasonable funds from my estate, in such amount as my personal representative shall consider necessary and desirable, for the purchase, erection and inscription of a suitable marker for my grave. SECOND I make the following specific bequests to the following individuals: A. My husband's guns and personal mementos, except for u~ , ~, - his West Point Medal, to my son, ROY B. SALISBIIRY, JR. B. My husband's West Point Medal to my grandson, .~~i ~~' THOMAS DAVID SETCHELL. _'-% C. My husband's one-half interest in the trailer ~~ r~ located on my property to my son, ROY B. SALISBIIRY, JR. D. My jewelry to be divided, as they deem appropriate, j i~ y among my female grandchildren and great-grandchildren. ~ ~,~~, THIRD I give, devise and bequeath the rest, residue and remainder of my estate, per stirpes, as outlined below, with the exception of 3/4 acres off the back of my real estate. This 3/4 acres shall be subdivided and given to my son, ROY B. SALISBIIRY, JR. The balance of my estate shall be divided as follows: A. One-sixth to my son, ROY B. SALISBIIRY, JR.; B. One-sixth to my daughter, ALFREDA MAE RIVERS; C. One-sixth to my daughter, ROSE E. BREHM; D. One-tenth to my grandchild, ROY B. SALISBURY, III; E. One-tenth to my grandchild, THOMAS DAVID SETCHELL; ~ F. One-tenth to my grandchild, PAMELA DIANE SETCHELL; '. \ ~~ .,, G. One-tenth to my grandchild, LISA MARIE SALISBURY; • ~:, ~~ y H. One-tenth to my great-grandchild, LETIZIA M.M. BATES. ~= ~,~ These gifts to my grandchildren and great-grandchild are ~. `~.~~, subject to the provision of paragraph Fourth, infra. ~~ ~ FOURTH .~ ~ y A. I appoint FARMERS TRUST COMPANY, of Carlisle, ~. .~ ~' Pennsylvania, as Trustee of any property which passes to any of my grandchildren or great-grandchildren, under this or otherwise, by reason of my death. B. Such Trust shall continue until each grandchild or great-grandchild attains the age of eighteen (18) years. C. In addition to the powers given by law, I authorize the Trustee to use such amounts of both income and principal, as it, in its discretion, deems proper for the support, education and welfare of such minor grandchildren or great-grandchildren without leave of any court. D. The Trustee shall not be required to give bond or furnish sureties in any jurisdiction. FIFTH I nominate and appoint my daughter, ALFREDA MAE RIVERS, as Executrix of this my Last Will and Testament. Should my daughter fail to survive me or be unable to serve in this capacity, then I nominate, constitute and appoint my son, ROY B. SALISBIIRY, JR. as Substitute Executor of this my Last Will and Testament. I hereby relieve my Executrix or Substitute Executor from the necessity of posting security in connection with their duties as such in any jurisdiction in which they may be called upon to act insofar as I am able by law to do so. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of four (4) typewritten pages, the first three (3) of which bear my signature in the margin for the purpose of identification, this ~ '-~~, day o f ~ ~~ t- ~ ~ 19 9 7 . _ ~ //// r / ~ ' }~~~ ~-~-' ;' ~C-~~~1 ~-~- (SEAL) ~. Rose Marie Salisbury ~-, ~~ Signed, sealed, published and declared by the above-named Testatrix, ROSE MARIE SALISBIIRY, as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. -~: . ~ ~ ,~ > 1 ~~ ~ ~ y~ ~,~ ~ ~ `- ~ ~ ~ l t~C' ~C~,~, ~,,~t ~ _~~C ~~;,~ OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS ('~~~.~~ (~~ ~ COUNTY, PENNSYLVAN[A ~2i-l~~ -~~-~9 Estate of t"~-C7 5 ~ ~~~~ e: 5/~~~ s ~/~tK ,Deceased ~~~~c~ ~ . .~!/~-t,1~~..1 and r~y 4 ~3 - 5 ~ L!S ~/K y J`rz. (each) being duly qualified according to law, depose(s) and say(s) that sly ,~ /they ~ /were well- acquainted with /205 .//it/tvL~~ ~/9Lcs /,~VIL y and a~n/are familiar with the handwriting and signature of the decedent, and that the signature of _ ~ S~ /1~,4c2rG S~¢-E~ s ~uitct to the foregoing instrument purporting to be the Last Will and Testament/Cedicil of ,~-os~: w/lgG~lL i~~ ~~~+.~, is in leis/her own proper handwriting. ~~,~ .cam. (Si~iiatureJ ivv w. ~ fvcu' SC• - (SU'eet Address') C~-l s~ ~i+- /> u~3 (Cry, State, Zip) (Stgnat e) t ; (Street Address) ~`~ ~~~~7 C...~'r,~'r~- , Jam-- / `IG=~ /3 (City, State, Zip) Executed iu Register's Office Sworn to or affirmed and subscribed before mne~th'is ~ day of ~i' ~{i~ ~,~ ~ ,~ 'l~• I ~-- ~,~ Deputy for Register of ~ is .. ,a ~-~ ::~ ~.: c: a •~ . ,`~ - ran - -~. r-- _- m ,~; c..} ~, ~ ~ ---' ~ 2 Form RW-04 rev. 10.13.06 RENUNCIATION In regard to the Estate of ROSE MARIE SALISBURY To the Register of Wills of CUMBERLAND The undersigned ALFREDA MAE RIVERS ROY B. SALISBURY, JR. renounce(s) the right to administer the estate and respectfully ask(s) that Letters TESTAMENTARY be issued to WITNESS our hands this 28TH day of Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that she executed the renunciation for the purposes stated within on this 28TH day of A it 2009. r n r Not ry ub i My Commission Expires: ~(11~iu19FaiWE/~1~ ~EP~IAItii'I~I.V~II~Is Noh~rial Seal Karen S' :`,;,~:, .ao~-,~~., ~~~blic Carlisle I~a~ . ~:~mt}~~-~; 5s i~twntY MY Commission E~ir~ Dec. 8, 2011 Member, Pennsylvania Association of Notaries APRIL , 2009. ~. ~ ,~(,~ ~~ ~~ SIGNATURE 20~fi9 Spr~Lng Road, Carlisle, PA 17 ~~ ADDRESS A[j ~~ _::~ -~;. _a~~-, -:J}%~ SIGNATURE ~: ~:~ -„ C ~'-,J ,~ ~ ADDRESS `~ deceased. County, Pelulsylvania. of the above decedent hereby SIGNATURE O1~ ~--~ .,~ --~ w --n C.11 ADDRESS SIGNATURE ADDRESS