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HomeMy WebLinkAbout06-08-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF ~u./b~~RLA~~ COU:v~TY, PE~t`~1SY"LVAVIA Estateof~®RO'/ ~ L l./P/% e/j/~E"~ also known as Deceased File Number ~~ ~ v / ~~/~"~ Social Security Number ~ 7~ ~~ ' ~r / ~~ Petitioner(s), who is/are l8 years of age or older, apply{ies) for: (COrYLPLET'E 'A' or 'B' BELOW:) 1 U A. Probate and Grant of Letter Testa entary and aver that Petitioner(s) is /are the ~ x e e t,C. C (~ ! x named in the last Wilf of the Decedent dated / and codicil(s) dated (State relevnrrt circumstances, e.g., rentu:cintion, tlead~ ojexecutor, etc.) cN~ _ ~ , Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after executie inshurr~nt(s) of~'t'si-cd._7 for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ ~ _..-~ ^ B. Grant of Letters of Administration , =~.~~_~ _:.i-.~ Qjapplicable, enter: c.t.n.; d.b.n.c.t.a; pendente tire; dw~ante absentin; durmytQr7tdiitnte) ~ - =-t ~)~ -,; Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following (if any) attd heirs; {If ~~~ Adutinis[ration, c. t. a. ord.b.n.ct.a., enter date of Will in Section A above anti complete list of heirs.) ?~ fit' Name Relationshi Residence (COMPLETE IN ALL CASES:) Attach additional sheets if accessary. Decedent w z domiciled at death in ~G(. Y~'1 Q LL~A/~~ounty, Pennsylvania with his /her last pt incigal residence at ~ 7' ~ ~TATE ST. ~o `L~~ ~JE' PQ l 7b ~3 List street nddr-ess, town/city, township, calurq~, state, zip code) ~ Decedent, then ~_ years of age, died on ~ at ~ ~, ~y ~/~ I C I ~ /~ S~°. C • ~~~~5 ~d'ed Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ f oZ~t©©~ (If not domiciled'in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ /~ S Q O (~ r3 s~- _ `~ --~- situated as follows:_ / /9~~ ~ / L`' /h0 ~~I(J~ ~,~+ / 74 ~`~ t~ '~/6 735 Form Rt•V-03 ren. !t).1J.06 Page 1 of 2 Wheretbre, 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: Oath of Personal Representative COMMONWEALTH OF PENNSYLVANI.A SS COUNTY OF ~LC/yli8~'i?LA~ • .. ,._7 i-' ~~ :_~i 4 • aa~. a.uuava.a. vci 1 V I `~ / ~' / b _! Estate ofD/% 1~Y ~ ~,J aP I TG' /~ ~ L y ,Deceased Social Security Number: 7'S~ ' 02 ~ • o?~~ 3 Date of Death: U The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are hve 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 AND NOW, ~~ ~,(~ ~ ~ ,/~ p , in consideration of the foregoing Petition, satisfactory proof having been presented before e, IT S DECREED that Letters __% {~~~j'-i[p~~,{ //_ are hereby granted to in the above estate and that the instrument(s) dated 1'" ~ ~ - (`'(o described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters $ 31 ~ Register ojwills Short Certificate(s) ........ $ ~.~ Renunciation(s) .......... $ IYlL;r1'VY~. $ ~~ ... $ ... $ ... $ ... $ ... $ ... $-t~ TOTAL .............. $ Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: Fa~u~ RW-0? rev. rU.13.06 Page 2 of 2 administer the estate accordinn to law LOCAL REGISTRAR'S CERTIFICATION OF DEATH 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 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 filing. P 15475843 Certification Number O`'' JU 0 4 009 Local Registrar n ~ ~ Date. Issued C ~n --~ ~ r3 C7 Z c •`: . ~~~ A . r F. .f._ Cf~ ~ G " _.., ~ C7 ~--~ Tae ~ C, 3 - ~-~ ~ -p ~ ~ - _'_ i ~ -^1 --- ~~,~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See inatructlons and examples on reverse) __.__ _.. _ ..... 1. Narro a Daaddn (Fa4 mad., INL ea0a) Dorothy E. Critchley 2. Sea female 3. Sodel searI~ Number -.... _ .." .. V... 174 20 x2138 /. Dah d Deemf(llmm, dyy,yegd 9 June LL LLUUUU S. Ape (Last Skdidey) Urrder 1 IArOer 1 8. Deh d Bkdi Moah, 7. W ehq a ) M. Plea d Deets (Check on one) 8 3 Mwaw ~ Hex. eaw». I. °m°` ov. 9, 1925 Harrisburg PA r l , re. t,~ynpdhd ^ ER I OtapeNent ^ DDA ^ Nurwq Hero ^ Raeklane ^qMr. Spadry: Be. Caney d Deem Bc. Clry, Boro. Twp. d Oeetl, pd. F acwy Name (q nd YWleabn, glw steel ud aubu) S. Wee Deadenl d 171epenk Origin? f7 No ^ Ves 10. Rxe: Amedcen Indan. &aU. WNIe, ek. 7C N '~~ m,el>earroawn, Cumberland E. Pennsboro Hoi S iri.t Hos ( Y P P • M i P ea den, uerb Rian, ero.) Whit e 11. Deadsta Uwd d wak done mat d W. Do nd etW 12. Wee Decedent evw n ma 13. Oetntlux'a Eduatlon (Specpy any hipllsM pads arrgleledl 11. MMhI Shan: Mernet4 Never Mamed, IS. Surviving Spouse Ili wile pve maiden name) , IDnd d Work IOrd d Burtnb! eaYnty U.S. Arced FaaeT Ehrnenbry 1 Secadery (412) Cdbge (1J a 8.) Wkbwwd, Dhgrcetl (Speclryq ch of istrict ^Y« ~~ 12 widowed 18. DeadeM'a McMnp An6etl (S6aM, raY / bwn, ehn, aP code) Dsadenya a °e ~"` 673 State St. Anal Radduia 17x. sett PA I lw ln e „c.^y,, ,L;,~b , Twp Lemoyne, PA 1 7043 ,,,.Danny Cumberland T°w"°''ip? na7^ Ib,DeceauaLivMwYhln Lemoyne Actual LNrila d City 1 Bono 6 FMier'e Name (Fkd, nYade, W, aulAx) 1Y. Motlnr'a Nero (F1re1, mitltlle, rtnroen aumeme) Cloyd Crowl Alva Murray 20x. IaamaM'a Name (Type I Prknl 206. IrnannnCa McWp Addme (Shea, dry / Mvn, deb, si0 ask) Ms. Donna C: Abrahamsen 85 Grand Central Ave.#10 Lavallette,NJ 21x. Memod a DhpoeNion ^, ^ Ddroam ® ~a ^ Rarxmelhan98b ( 21b. Deb a DNDaNbn (Monet. hy, year) 21c. Plea a DiepoeiNori (Name d cemetery, iaurWOry a Omer phoe) ltd. Loalbn (City / bwn. able, zip code) «DOrWonAUtlr«hed ^ Oebr- speWV: r Caar«T ^ ra ^ No June 5 2009 ~ St. John's Cemeter Y Camp HiI1,PA 22e. Slprees d Fuard ae I 716. Lkew Nudbu 22e. Narro ud Adaw d FacYXy - ~ 011248E Musselman FH&CS Inc.324 Hummel Ave. Lemoyne, PA Campteb Name 23ee wry when amyb9 physicMn s M avaiWb a its d deem b 23e. To Yw bed kriowtedpe, deem a~M u tan, de place dabs. (Sipnaxe and YIh) 23b. License Number 23c. Dale Signed (Harm, day, year) Grey cave d sash. ' J n ~' Ihnh 2428 mrd 6e ~p~a 6Y Puea 24. Tsa d Deem 28. Deb PraburcM Deed (Manh~ aV Y•M 28. Was Cane Raemtl ro Medal Examiner / Caanr la a Reason Other Then Cremation a Done' ? who Promtaxae tleeei. yA ^va ~_ CAUSE OF DEATH (See Mratrseeaom a example) r Approakneb interval: Nam 27. Put F. Erwr tln tb10.~ - dhepa. kluw. a arrpYCavr - tlW dksody aueed Bn death. W NOT ante lermind evew such m aNhc arras Pen II: Emu dlnr 2B. Did Tobaaro Uea ConMaAe to Deem? , r OroN b Oxm rap a '>gred. a vuarkuler htriaidn adYtaa sMwYq me etidopy Lid Dory ane caw m exh Coe, r M 6a nd reealirp b me uakrrykq auae given a Part I. Yes ^ ^ ~eM' ~plA ( F'Y 1~ ~a \/` 1 ( dY ~ W~ ~ ^ ~ ,, Ca p1 N111 dpem) b -~ e. l~~t'1 L. ~v`f~! r 29. II Parole: Due b la er taneequerxe OQ: i ^ Nd pregrenl wshb peel year Yd artdaiarn, Y airy, 6, r ~ b a ~ a~ ^ Pregnant el NIIIB d Diw ro (a ae a aanByusna Oq: ; Enter UN D ATN S C A V 9 E ~~d wNhin 12 ^ Nol PreAnea, but days y ~ry y ~ I e ~ egret rendYiy" to h )LAST C. r d deem Due b (a u a ooneepuerce Drys ~ ^ Nd preganl, but pragwa 43 Darya b 1 year d. baa.ewh ^ ~nOM'n Y NePnr~, vdthm me pad year 3h. Wr an Aracpy 306. Wan Araopy FialYrps 3t kWn«yF[Yeam 32a. De1a a bN"Y (Maim, day, Year) 32D. Dwalbe How Mpxy Oa+xretl , Perbrned'1 AvWbb Prior b CanpbBOn - / 32c. Pha a kNay: Hama. Farm. Street. Factory. d r 'IYa 6xd a crw a Dedh? ^ Homicide Oma gussets, .b. (spacrrr ^ Yan ^ res ~ ^ 'i'dea ^ PeMkp hwntlpuic^ 32d. The d Iryury 32e. Iryury at Wak? 32f. N TrwpwWtlon Nyury (Sped/p 32p. Loalion d Iryury (S6eu. dry / bwn. able) ^ Suicde ^ Cand Na be Denmxned ^ Yee ^ No ^ Driver I Operator ^ Peesuger ^Petleedn M pMr'SpsoQ^ 33e. Cdtleer Idarok ady aro) • C«BMrq phyakWr IPrMabr arMyMp woes a dean when urdtru phyddan hex prorouroed deear and oarpaed Item 23) 336. Slptlure end The .A~ To tleateeadnry keowbdpe, deem aaxxnddwrolM awe(a)eM muxwreW.d___________________"" • PlanuhYq arts taeitYyYq phyeldert(Prryddwri 6om rdbtaxa deam d nY h ---------- ^ - V- p p an a y gronweddeam) r e 6 d a h 33c. llaroe NUm6u 33x Dale si n d M ts d ------ e w e nary bwbdpe, drm oa«ne a dr Woe, date, and pba, end an ro rib aueya) end mrn« a ehlad_ _ _ _ _ _ _ - -- -- _ ^ . g e a , aY. Mai • Medal Exrrir/Carat« IM ~ 1, , On tfie bast d aaraYraden and I a kwaaipalbri, kr my oplNOn, loam oarxrad a the flora, deb, and pha, and da ro IM aueye) and mrxr« r aehd_ ^ and llIeted Cause d DeM rown 27J /Pant 3A. Name eM d Pere~KAI Can''p I ~ I / I a I / I / ( 3s. D.I. FYed ( . day. ~ // , Wla "`- ~ ~...a ~y J Oispadbn Parma No. [] S S J td I t /i , Last Will and Testament OF DOROTHY E. CRITCHLEY I, DOROTHY E. CRITCHLEY, of the Borough of Lemoyne, Cumberland County, Pennsylvania, 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 DEBTS ~~ I direct the payment of all my legal debts and the expenses of my n last illne~~d fun `- ' ~~ d from my Estate as soon after my death as conveniently maybe done. L 1 _tJ ~' ~~ ~ ~ ~ ~,,, <= =r_s - ~ ;_ co ., - ~, )~`1 x'AJ j ARTICLE II ?J ~ , SPECIFIC BEQUESTS I give and bequeath my grandfather clock and my jewelry unto my granddaughter, RENEE ALTMAN. ARTICLE III REMAINDER OF TANGIBLE PERSONAL PROPERTY I give and bequeath my motor vehicle(s), and the remainder of my household goods, personal effects and other tangible personalty of like nature (not including cash or securities), together with any existing insurance thereon, unto my daughter, DONNA K. ABRAHAMSEN. -~, ,, , ~. 1~ "~ ; yJ i~ ^j _,l ~. -~-- t_ 3A ARTICLE IV REST, RESIDUE AND REMAINDER I give, devise and bequeath all the rest, residue and remainder of my estate of whatsoever nature and wheresoever situate, as follows: A. Sixty (60%) percent thereof unto ABRAHAMSEN; B. Thirty (30%) percent thereof unto ALTMAN; and my daughter, DONNA K. my granddaughter, RENEE C. Ten (10%) percent unto my great-granddaughter, SYLVIA ALTMAN. ARTICLE V UNIFORM TRANSFER TO MINORS In the event any beneficiary of my Will has not reached the age of twenty-five (25) years at the time for distribution of his or her share, distribution of said share maybe made in the discretion of my Personal Representative after considering the age and needs of the beneficiary, either directly to the beneficiary or to a Custodian for such beneficiary until age twenty-five (25) 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 Personal Representative may designate as such Custodian any institution or person, including my Personal Representative, 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 Personal Representative, who shall not be responsible to see to, or be liable for, the application of such proceeds thereafter. -2- ARTICLE VI PERSONAL REPRESENTATIVE I name, constitute and appoint my daughter, DONNA K. ABRAHAMSEN, Executrix of this my last Will and Testament. Should my daughter, DONNA K ABRAHAMSEN, fail to qualify or ceases to so act, I name, constitute and appoint my granddaughter, RENEE ALTMAN, Alternate Executrix to complete the administration of my Estate. I direct that no fiduciary appointed herein shall be required to post bond or enter security for the faithful administration of the duties required in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set m and and seal to this, my Last Will and Testament, this ~~'~ day of ~ , 2006. _~ (SEAL) E. CRITCHLEY 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 a: -3- ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS We, DOROTHY E. CRITCHLEY, ~~-/1~~~ (~ /U, ~(~~S and ~~(~-~S~' ~~L 6~ ,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 his 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. G. DOROTHY .CRITCHLEY ~~~~ . Witness Witness Subscribed, sworn to and acknowledged before me by DOROTHY E. CRITCHLEY, Testatrix, and /Ll~l~, 4SSL~- '~~ G,Q~Y ~_ and ~i~"1u-~~ M~ ~ It~t~~/~/LS ,witnesses, this day of , 2006. o~rte ~ ten n~iotaty P,~p~ N ary Public :267402v2 Moyne Borg, (;un~r~ Cotstly My Commieeion E Nov. 15, 2008 Member, Pennsylvania Aasoclatlon Of Notarios -4-