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Home My WebLink About07-20-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland Estate of Curtis G. Davis also known as Deceased Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) COUNTY, PENNSYLVANIA File Number ~~ ~~1 ~~~~ Social Security Number 291-14-2896 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Alternate Co-Executor named in the last Will of the Decedent dated April 15, 2004 and codicil(s) dated The will a oints Leona B. Davis as the Executrix. Leona B. Davis assed awa on 12/6/2008. The will a oints Patrick K. Davis, Karen L. Newstead and Faith A. Trink] as Alternate Co-Executors. Patrick K. Davis and Karen L. Newstead have Renounced. (State relevant circumstances, 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 ~ (If applicable, enter: c.t.a.; d. b. n. c.t.a.; pendente life; durante absentia; durantg.rninoritate) ~ C. J ~ Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spott~e~ any) and~irs: (~ : j Administration, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) t .~ ~ t"" Name ice` .:- ~7 .. _ ~ ~) --t ~ .. ~ ~ - c.J CA (COMPLETE INALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Oberland County, Pennsylvania with his /her last principal residence at Claremont Nursin & Rehab. 1000 Claremount Rd. Carlisle PA 17013 (List street address, town/city, township, county, state, zip code) Decedent, then 86 years of age, died on June 7, 2009 at Claremont Nursing & Rehab 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 250,000.00 situated as follows: 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: Faith A. Trinkl, 913 Maplewood Lane, Enola, PA 17025 Page I of 2 Form RW-02 rev. 10.13.06 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 persona] representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed ja~nd subscribed before me the ,~,t% _ day of ~~ c For the Register Signature of Personal Representative Signature of Personal Representative Signature of Personal Representative File Number: ~ ~ Gv \ ~ ~~'~ Estate of Curtis G. Davis c~ ,,. ~ (...,. t. ~= - , ,r -~, , o - ~' l `. ~~ i.~ ~~ , i". ~~ -- J ~~ o~ Deceased Date of Death: June 7, 2009 Social Security Number: 291-14-2896 ~~`%~ ~ ~, in consideration of the foregoing Petition, satisfactory proof AND NOW, Testamentary having been presented before , IT IS DEC D that Letters are hereby granted to Faith A. Trinkl in the above estate and that the instrument(s) dated April 15, 2004 described in the Petition be admitted to probate and filed of FEES '~~ °?~ ~ $ • • Letters . Short Certificate(s) ..~ • • • • $ ~~ Renunciation(s) . °~ • • • • • • $ ~ ~ l,J>~~ ... $ I~ ..~ L.~ ... $ 1 O ~~ $ J ... $ ... $ ... $ ... $ ... $ ... $ TOTAL ........ -b-66- ...... $ ~1~ Attorney Signature: Attorney Name: Anthony C. Supreme Court I.D. No.: 82081 Address: AG Tax Law, P.C. 1110 North Mountain Road Harrisburg, PA 17112 717.635.7145 Telephone: ---- Page 2 of 2 Form RW-02 rer. 10.13.06 105-8Q~ RED iU l!(17f LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: tt is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, 56.00 ~ ,~ , s Certification Number This is to certifx. that the inii9rmation here given is correctly copied rrt~lzl an original Car tificate of Death duly filed with (lie as Local Registrar. Ti,e original certificate will he t~or~~~ardeii to the• State Vita] Records Office for permanent filin_~. ~G~rz.- ~ ~ ~ ~ ~~~ 1 009 -- P..,.> Local Registrar C7 ~ D~fte iii uai c ° ~ `L' - -z~ t-- ". -t.3 _ C ;. _r.; Irrt N ~' ~ - , -~7_~ G1 -. ,: zy W , C7D REV 11/2006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ennllErTir" CERTIFICATE OF DEATH ', /1 CK INK ~ ~ G ~`'` C ~ (J[ (See instructions and examples on reverse) STATE FILE NUMBER 1. Name of Decedent (first, middle, last, suffix) 2. Sex 3. Social Security Number d Date of Death (Month. day, year) urti G Davis ale 291 -14 =2896 June 7 2009 5. Age (Last Birthday) Under 1 year Untler 1 day 6. Date of Birth (Month, tlay, year) 7. 8inhplace (CAy and stale or foreign country) Ba. Place of Death (Check only onej Momfhs Day= Hors Mimala, Alberta Canada Hospital: Other: g6 Oct 1 0, 1 922 Lac La Nbnne ^ H ^ ^ ER O ^ DOA ~ N ^ ursm ome Rasidence In anent / ulpalient Other ~ Specity. p g Y5 Bb. County of Death fie. City, Boro, Twp. of Deaih Bd. FadlAy Name (II not Instllution, give street antl number) 9. Was Decetlent of Hispanic Origin? r1 No ^Ves 10. Race. American Intlian, Black, White, etc 1Y Cumberland Middlesex (spa~iryl Claremont Nursin & Rehab. ulyes,spedltycuban. 4 Mexipan, Poenp Rlpan, etp l Whit e 11. Decedent's Usual Occu lion Kirrd of work done dunn most of wprkin tile. Do not state retired 12. Was Decedent ever in the 13. Decedent's Etlucation (Specify only highest grade completed) 14. Marital Status: Married, Never Married, 15 Surviving Spouse fll wife. give maitlen namel Kind of Work Kind of Business! Industry U.S. Armed Forces? Elementary /Secondary (012) College (1-4 or 5+) Widowed, Divorced (Specify) Sales Marta e Advertizing ®Yes ^Np 2 widowed 16. Decedent's Mailing Address (Stree6 city I town, state, zip code) Decedent's Did Decedent P A Live in a 17c ®Yes Decedem Livetl Ir{x'l l (~ (~ ~ P C P X T l R t7 St t id 1000 Claremont Rd. wp. . , ence a. a e Actua es Township? Cumberland ,7d ^Np De adent Lwed ithin Car 1 i s 1 e , PA 1 7 01 3 . , w c 176. County Aptual Limits pl ciN / Bpro 16. Father's Name (First middle, IasL sudix) Jacob F. Davis 19 Mother's Name,(FlrsL midd~g, mOaiWnesuTmame) Lana Mae L 20a. Informant's Name (Type / Pnnp 20b. Inlormanl's Mailing Atltlress (Street, dly /town, state, zip cotle1 Faith A. Trinkl 913 Maplewood Ln.Enola,PA 17025 21 a. Methotl o(Disposition ®Cremalion ^ Donation 216. Dale of Disposition (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory or other place) 21 tl Location (City /town, state zip code) s ^ Budal ^ Removal from State WaSCremetionarponationAuthorizetl one 1 3, 2009 Hollinger Crematory t Holly Spring ^ Other - Specity: j by Medical Ezaminer I Coroner? ®Yes ^ No ~a. Sigptu` of unerel Seri - ansee (or acting as such) t~.~l\J\ • 226. License Number 011248E 22c. Name and Address of Facility Musselman FH&CS Inc.324 Hummel Ave. Lemoyne, PA Complete Items 23a-c Doty when certifying 23a. Tp the sl of my knowledge, tleath pccurretl al the time. tlate and place stated. (Signature and tttle) 23b. License Number 23c. Date Signed (Month. tlay. year) physician is not available al time pl tleath to I certHy cause of death. - L ~ C _ 24 Tme of Death 25. Date Proraunced'Dead (Month, day, year) 26. Was Case Referred to Medical Examiner /Coroner for a Reason Other Than Creme ion or Donation? Items 2d~26 muss be completed by person . ^Yes ~ No who pronounces tleath. M. 1 ~ CAUSE OF DEATH (See Instructlona and examples) r Approximate interval: Pad II: Enter other Significant conditions wnln6uting to tleath, 28. Did Tobacco Use Comnbute to Death? ttem 27. Pan C Enter the chain of events -diseases, Injuries, or complications -That diredty caused the death. DO NOT enter terminal events such as caNiac arrest, Onset 1o Death but rwt resufling In the undertying cause given in Pan I. ^Ves ^ Probably respiratory arrest or vemricular fbnllalion without showing the etiology. List only one rouse on each line. [•~No ^ Unknown IMMEDIATE CAUSE (Final tlisease or r cond'aion resulting In death) _~ a I •,l 4.d 1 TI O vJ i TYY E ,L D l4gE (~ 29. H Female'. ^ Due to (or as a censequence pfd: 9~MO-sT14 Al_'ZH EI ^'r ~/Lr5 'T i Sequentialty fist conditions, If any, b $~ r t_E YQE J I~'C P~~'R'~-s5re Nat pregnant within past year ^ Pregnant at time of tleath leading to the cause listed on fine a. Due to (or as a consequence of): r i ^ Nol pregnant, but pregnant within d2 days Enter the UNDERLYING CAUSE (disease or injury that Initiatetl the c nl death events resulting m death) LAST. p ^ Not pregnant, but pregnant 63 tlays to t year Due to (or as a consequence o : before death d ^ Unknown if pregnant withn the past year . 30a. Wes an Autopsy 306. Were Autopsy Fintlings 31. Manner of Death 32a. Date of Injury (Month day. year) 32b. Describe How Injury Oxurted 32c. Place of Injury. Home Farm, Street. Factory, Performed? Available Prror to Completion of Cause of Death? dNatural ^ Homicide OHlce Building, etc. lSpecily) ^ Accident ^ Pending Investigation 32d. Time of Injury 32e. Injury at Work? 321. If Transportation Injury (SpeciyJ 32g. Laalion of Injury (SUee1. city /town, smtel ^ Ves ~o ^ Yes ^ No ^ Suicide ^ Could Not De Delertnined ^Ves ^ No ^ Drrver I Operator ^ Passenger ^Pedestnan M ^Other Specify 33a. Certifier (check only one) 336. Signature and Ttle of Certifier • Certifying physician (Physician certirying cause of death when another physician nos pronounced death antl wmpleted Item 23) death occumetl due to the cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ To the best of my knowledge , ' , • Pronouncing and certlTying physician (Physician Doth proneuncing tleath and certifying to cause of death) ^ 33c. License Number 33tl. Dale Signed (Month, pay. year) To the best of my knowledge, tleath occurred at the time, tlate, antl place, anU due to the cause(s) and manner es stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ r^D - 04169 N' 1- ~-~- US • Metlical Examiner/Coroner On the basis of examination and I or investigation, In my opinion, death occurretl at the time, date, and place, and due to the cause(s) and manner as stated_ ^ 34. Name and Address of Person Who Completed Cause of Deam !Item 271 Type; Pnnl Fil d M th d D E awl`ST M <105~r "+ D 35. Registrar' and st u ;`,) ~ ,,~) ~ ~ ~' ~ ~ r ~ e ( n , ay, year) 36. ate ~„ G~i< ~7dC2> Ptt 170 25 1 Go rUOL A 3 R ® . 8 , _ op 1~~Pt D E 0 ..__. n~snn.uln^ Parma Nn ~ ~ 5 J-~o ~ t, NORTH CAROLINA ALAMANCE COUNTY LAST WILL AND TESTAMENT I, CURTIS G. DAVIS, a resident of the County of Alamance and the State of North Carolina, do hereby revoke all wills and codicils heretofore made by me, and do hereby make, publish and declare this my Last Will and Testament in manner and form as follows: ITEM I I direct my Executrix hereinafter named to pay all of my just debts and funeral expenses, including costs of cremation and other expenses related thereto, and to pay the costs of the administration of my estate including any and all federal and state inheritance and estate taxes which may become payable by reason of my death on property passing under or outside of this Last Will and Testament, as soon as practicable after my death. I further direct that my bodily remains be cremated and that the ashes from said cremation be scattered at the National Historical Site in Andersonville, Georgia. I hereby further confirm that arrangements for such cremation have already been made with Lowe Funeral Home & Crematory, Inc., in Burlington, North Carolina, and that the costs for such cremation have been paid in advance. I further direct that all reasonable costs incurred in connection with the transportation and scattering of my ashes as directed herein shall be paid from my estate. ITEM II All of my property of every sort, kind and description, which I may own at the time of my death, real or personal, tangible or intangible, of whatsoever nature and wheresoever situated, and including any and all property which I may acquire or become entitled to after the execution of this Will, I will, devise and bequeath in fee simple to my beloved wife, LEONA B. DAVIS. ^, GG _ tv i ~r ~.~~ 1..~ , ,~~ s~J .r, ~~...' ii,~ ~ 1ti l7~ t $-; ? -+nn ~~:^^ •I~.i~i 4`'~ ~t~ ii i4 Lam; Y: s.r Page One (1) of the Last Will and Testament of CURTIS G. DAVIS, Consisting of Foyr (4) Pages. ~~ ~~~~, ~ /~t~l2f CURTIS G. DAVIS ITEM III In the event both of us, my wife and I, should meet with an accident and both of us either be killed instantly or die within thirty (30) days of the accident, or if my wife should predecease me or die for any reason within thirty (30) days of my death, for the purpose of probate of this Will, it is to be presumed that I was the last to die and in that event, I will, devise and bequeath my entire estate to my Alternate Co-Executors hereinafter named and I direct that my said Alternate Co-Executors liquidate and reduce to cash all of the assets of my estate, at either public or private sale, the manner of sale to be selected by my Alternate Co- Executors in their sole discretion, and for such amounts and upon such terms as my Alternate Co-Executors in their sole discretion shall deem advisable and in the best interest of my estate, and after the sale of same, and after payment of any costs of sale, debts of my estate, inheritance or estate taxes, and costs of administration, I will, devise and bequeath the proceeds from such sale and liquidation in fee simple and in equal shares to my seven children, to-wit: SHARON L. FERNBERG, currently residing in Rochester, New York; KAREN L. NEWSTEAD, currently residing in Campbell, California; DAVID G. DAVIS, currently residing in Fairfield, Pennsylvania; COLLEEN S. WATT, currently residing in Clarksville, Tennessee; FAITH A. TRINKL, currently residing in Enola, Pennsylvania; PATRICK K. DAVIS, currently residing in Chapel Hill, North Carolina; and MELANIE A. PIKE, currently residing in Sodus, New York. If any of my children should predecease me without leaving issue, then I will, devise and bequeath such deceased child's share in equal shares to the surviving children. If a child of mine should die leaving issue, then the said issue of any deceased child shall receive the part that the parent would have received, per stirpes. ITEM IV I hereby constitute and appoint my wife, LEONA B. DAVIS, as the Executrix of this my Last Will and Testament, but in the event she shall predecease me, or die within thirty (30) Page Two (2) of the Last W i I I and Testament of CURTIS G. DAVIS, Consis ' g of Fou (4) Pages. ~,~~ ~t , CURTIS G. DAVIS days of my death, or be unwilling or unable for any reason to serve in such capacity, then and in that event, I appoint my son, PATRICK K. DAVIS, and my two daughters, KAREN L. NEWSTEAD and FAITH A. TRINKL as Alternate Co-Executors hereunder, and I do hereby give and grant to my Executrix and Alternate Co-Executors, full power and authority to sell any property, both real and personal, or to do any act which they shall deem reasonably necessary for the proper administration of my estate. Pursuant to the provisions of North Carolina General Statutes, ~ 284-13-6, I specifically provide and direct that only the concurrence or agreement of any two of my three named Alternate Co-Executors shall be required or necessary for the transaction of any of the business or affairs of the administration of my estate. Without in any way limiting the generality of the foregoing and subject to the North Carolina General Statutes, Section 32-26, I hereby further grant to my Executrix and Alternate Co-Executors hereunder all the powers set forth in North Carolina General Statutes, Section 32-27, and these powers are hereby incorporated by reference and made a part of this instrument and such powers are intended to be in addition to and not in substitution of the powers conferred by {aw. I direct that no bond be required of LEONA B. DAVIS or PATRICK K. DAVIS, KAREN L. NEWSTEAD, and FAITH A. TRINKL, as Executrix or Alternate Co-Executors hereunder. _~. I, CURTIS G. DAVIS, the Testator, sign my name to this instrument this the ~'. ~ day of ~-=t ~,~ ~ ~ 2004, and being first duly sworn, do hereby declare to the undersigned authority that I sign and execute this instrument as my Last Will and Testament and that I sign it willingly, that I execute it as my free and voluntary act for the purposes therein expressed, and that I am eighteen years of age or older, of sound mind and under no constraint or undue infl!!ence. -. ~` Z (SEAL) URTIS G. DAVIS Page Three (3) of the Last Will and Testament of CURTIS G. DAVIS, Consisting of Four (4) Pages. ~ ~~ \ _ ~ ~ ~ }, We ~~ 4~~1.t "\ ~~~c'1',~cY ~ .~ ~ and 1~-~~~~.ti, ~'~ ~ ~~~ti ~1 o~~i~ e' , the witnesses, sign our names to this instrument, and being first duly sworn, do hereby declare to the undersigned authority that the Testator signs and executes this instrument as his Last Will and that he signs it willingly, and that each of us, in the presence and hearing of the Testator hereby signs this Last Will as witness to the Testator signing and that to the best of our knowledge the Testator is eighteen years of age or older, of sound mind and under no constraint or undue influence. residing at Z~ 1~ '~'~ N~WI~I J~'~'J~ f ~ residing at ~. ~~ ************ NORTH CAROLINA ALAMANCE COUNTY Subscribed, Sworn To and Acknowledged before me by CURTIS G. DAVIS, the Testator, and subscribed and sworn to before me by \ ~~~ti~1 4~\~ ~>~ << ~~, S i ~ and .--b- . ~ra ~ ~~ ,.~ ~ ~> 41"l~~r e ,the witnesses, this ~ `~ day of -,l t~ ti ~ , 2004. Notary Pub'(ic~ My Commission Expires: `~ a ~~`~ Nancy ~~~~~` yy~~ ~N~tary ~'~,k~~i~y,, Page Four (4) of the Last Will and Testament of CURTIS G. DAVIS, Consi~tyng of Four;~4) Pa es. ~: _. ',~` CURTIS G.. DAVIS RENUNCIATION REGISTER OF WILLS CUMBERLAND COUNTY, pENNSYLVANIA r~•,a C7 _ `~ r~-r ~ ~ ..cs ^ . -E7 - Cw 1 ~ ~1=~J C~' E, i ` ~ ~ ('""' ~ r .. - ~ ~ -p-} _"S7 ~ ~ ~~ .~ O _~_ 7J ~~ - , ,o--~ .~ c.a Deceased Estate of Curtis G. Davis in my capacity/relationship as I, Patrick K. Davis (Print Name) Alternate Co-Executor/ Son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Lett~be issued to Faith A. Trinkl (Date) Executed in Register's Office Sworn to or affirmed and subscribde before me this of ~ -- Dep egister of Wills (Signature) 121 Oldham Place (Street Address) Chapel Hill, NC 27516 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she e~p-k8~llw~i~i 'nciat~ ~ r day purposes stat@~wS~~~-r}-L-- ~. n ~~ n otary ,~ ~ - Imo' (Signature and Seal o'~~ administer oaths. Show ~~~~~ . ~~~ ?qualified to ~fNotary's Commission.) Form RW-06 rec. !0.13.06 ~~ o~ o~~~ ENUNCIATION REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA ~_~ ~:~ ~. ~ r ~ ~ . ` :, o - a _ -~, -; `,} ~= -~ ~ =-, .~.~_ ~~ - _ _~ -L Deceased Estate of Curtis G. Davis in my capacity/relationship as 1 Karen L. Newstead (Prtnr Named of the above Decedent, hereby renounce the right to Alternate Co-Executor/ Daughter ' 'ster the Estate of the Decedent and respectfully request that Letters be issued to admmi Faith A. Trinkl ~~ ~ _~~~ (~ / Executed in Register's Off ce Sworn to or affirmed and subscriday before me this of ' ~- Deputy for Register of Wills Form RW-06 rev. IOJ3.06 :f ------' (Si atu e) 501 De Carli Ct (Street Address) Campbell, CA 95008 (City, State, Zip) Executed out of Register's Off ce Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this Z~-- day of `~ Notary Public My Commission Expires: ~ z ,/~~ ~ ~z ~~~~ l (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) DAYIU K. t7 {qC~ ,~fi=:r Commission # 1616651 7 a ~ tNolary public - Caltfania ~ ~~''~ $pnta Clara County " ~ nw comm. Expires Dec i , 2009 a~ o~ b~~ OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS ~ti~~\~c=ll~~~~1 COUNTY, PENNSYLVANIA Estate of L ~~r ~ ` ~ ~ ~ ~ 1 ~Cw ~ Deceased ~_ t ~ f ~ , ; c ~-~ 1, ~ ~.~ `T f „n ~-% l and 1 ~ r y ter" ~ ~ - (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well- :, ~ ~~ ~,_ ~ S and am/are familiar acquainted with ~ ~ ~ < ~~ with the handwriting and signature of the decedent, and that the signature of ~- «' _ ~ ` 5 ~. ~ 1 .~~` ~ ' ~' to the foregoing instrument purporting to be the Last Will and Testament/Codicil of `,_, ~ ~5 ~~ ~ 1~w.5 is in his/her own proper handwriting. (Si~~mture) (Street A ress') ,~ >}-l e ~~- l 7~ ~S (City, Stnte, Zip Executed in Register's Office of Deputy Y i ~~~ /~ d ~~ (Signature) ~1/c~ /I~~AnLGU~ v ~D ~~ (Street Address) ~~voc.,~ QR /70 ~-Sf (City, Stnte, Zip) c7 z-- ~ ` a -~ c.... ' -+' C7 c~ 'T: r'~-- ~-` ' r' r~o .-; ,`~ c ., ~. :a _za ;~ --~ c~ ca _~ . t Form RW-04 rev. 10.13.06 Sworn to or affirmed and subscribed before me this .~' ~-> ~ `~ da