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HomeMy WebLinkAbout08-11-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Robert J . O'Connor ~' (_ ~C~ _ ~~ y ~ File Number also known as Deceased Social Security Number 1 0 9- 2 4- 9 4 4 5 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) ® A. Probate and Grant of Let#era Testa;nentary and aver that Petitioner(s) is / iife the Executrix named in the last Will of the Decedent dated 1 2 / 1 7 / 9 8 and codicil(s) dated October 9 , (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 born 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: 0 B. Grant of Letters of Administration r'`s a !!cable, enter: c.t.a.; d.b.n.c.t.a.; endente life; durance absentia; dur (I PP p aii~ oritate) ~r ~- -~ cam' '~-. ~.:' ~' Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following many) heirs ~:~' _-,- Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) -~~/ r-- ~_ .:; ^;-::.~ ..i1 .. ~„~. . ~ Name Relationshi Resided . t~-"~ -~ ~'Tl ."~. _ ~ `) (COMPLETE INALL CASES.) Attach additional sheets if necessary. Decedent was domiciled at death in Cumber 1 a n d C p nnsylvania with his /her last principal residence at 6 5 9 Snring Lane, Boiling wings, 7°'~~'b~ (L~st street address, town/city, township, county, state, zip code) Decedent, then 80 years of age, died on July 1 0, 2009 atCarlisle Regional Medical Center South_Mi a on Townshi , Cum er an Coun y, Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 1 ~ 0 ~ ~ 0 ~ • 0 ~ (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 follows: N / A 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: or printed name and residence Y Diane F. O'Connor 659 Spring Lane I Boiling Springs, PA 17007 Form RW-Ol rev. 10.13.06 Page 1 of 2 ;;10S.3Q~ Rfiti /OU07) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Fee for this certificate, $6.00 P x.5609260 Certification Number H1os143 REV 11/200ti COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE / PRMtT nr PEA CERTIFICATE OF DEATH BLACK INK (See instructions and exsmoles on reversal E C"7 rv `~ ''3_ l ` y _.~„ V ma \+.r 1.1 .. .~ l...j._ ~ ~ r ..rr. r.~ .e ' ' 9~ rr ~ V / ~ f _./ r_-.~ ~ "t-1 '~ ~' r W~~.,3 ~ 1 ~ _ _ .' --"i ', , ~ m 1. Name DearMM (Fka4 middle. Mel, eullh) ~~ 2. Sex 3. SocW Saaxny NumbK 4. Date d Dssm (MaMh, dsy, year) 109 - 24 - 9445 Jul 10 2009 5. Age (Lest BMlhdey) Under 1 Under 1 8. Dab d BHA (Marro, 7. ( and aWe a 8e. Ptace d Dean Cfwck ane SO "°"" °"' "°'"' '"`"" May 24, 1929 Bronx, NY "°~"~ omp: Yn. ®klpatlarN ^ ER / Oulpatlent ^ DOA ^ Nunkq llorrla ^ Rsebaloe ^Otlfer - Spaony: 8b. Coolly d Desm 9c. CNy, Bao, Twp, d Daelh lki Fao1Ny Name (M nd Hatilutlon, give past and raaMeQ 9. W« Deoederd d HMpaNc OdgH1 No ^ Y« 10. Race: Arnerfcan bldan Black WhNa pc , , , . Cumberland S. Middleton Twp Carlisle Regional Medical Center ;~ ~ ( , ;,~) White 11. Deaded'i Ueup Kind d wale done moat d Ina. t)o nd pale 12. W« Decederd ever H the 13. Deoedep's Educatlon (Spadfy arrfy tYgfwt grade oompletsd) 14. AkAW Staler: Merdad, Nwer Married, 15. Savivkq Spew (n wne, pits maiden nave) Kkd d work Kkd d lluekws / U.S. Armed Forces? E~~, / Sa~ry (0.12) (1d a 5+) Wldowad, ~'0f0ed (1') Artist Self-er~loyed ^Y« ®ra 2 Married Diane F. Forman 18. DacadlrN's Ma11np Addr«s (Strap, dy / bwn, elaM, ziP code) Dacederrt's i D 659 Spring Ln Actual Residence ne. stab PA t me " a „~. ~ ~,,, ~" Monroe T,,,r. Boiling Springs, PA 17007 ,Tb.coa,ty _ cLTr±~rland Tom? "d•^~ ~'"d"s'k' 1 tl. Fantle Name (Pint. mldde, Mp, udPoQ d sly/Born 19. Motlrr'a Norms (Pleat nildds, rtldden sumenr) Geo a O'Connor Jeannette Felton 20a. k,rarrrlarlya Name (type; Prklf) Diane F. O Connor 20b. kdornlerA'e MaNkp Addn« (SUSp, dN' / town, pall, zip aide) 659 Spring Lane, Boiling Springs, PA 17007 21a. Memod a DMOawk,n ® ^ pprgpn ^ eual ^ Remwd from Slats rv G tl z1b. Date d ~ IMonm. ~Y. y«r) ~pMc~q, j~ q a~py~ 21 t10L LKOLfI CUne ~ & 2,d. Loalbn (CNy /town, aMM, bP ccde) « «rr al a oorapMn AWla6ed ^ aI»r•sP.aly.' byllladleall'saearYrr/t;orararl «^No July 13 ,2009 Carlisle, PA 17013 zza ~' ~°° uopr.. ~+) - zzb. Lberrs Nurrlbsr 013144E z2c. Name end Address d Fadlly Hof fman-Roth Funeral Home & Crematorryy, Inc . 219 North Hanover Street, Carlisle, PA 17Q13 23ec aNy when nor avalsds p tkna a d«m b «rtlyycpwdaam. 23a. To dw d my krawMdpe, dew occlaree p nre tlw, dart and pMa et~d, (Signakse arld tnM) ~~~ ~ \ ~ ~~C ~ ~f" ei-~ 23b. Lkrrw Number 1'rl (~ tt2 c~~ 23c. Data (~+. der. r«d a ~l~ 2G~ n«re 24.2e mop 6s oarrpMwd M Person whopragalc«d«m. 24. Titus d D..m . zs. Dpe Pranaarcad (MadA, , year) 26. Wes Gee ReMrted~Medcal F_zaminer / Coroner for a Re«an Deter men cnmalon a Donlon? . V M• Q ~d CSn ~ ^Y« CAUSE of DEATH (see Iravuetlau end examples) 2B. Did Talrxo u« Cordrbute b D«m? Prt 11: En father ' Nam 27. Part I: Eller the ~~ - dMeae«, klMxfes, a tlons - mp dingy awed me death. DO NOT errMr taniklel averts such «car6ec strap i r«pinbry erreeL a vsmrlaser IDrlMtlon w1moN thordrp me etlobgy. List aYy orb ceuee an «ch Ina. , Ob De r n,unk,g"me uraMrlykq cow pfven"Part I. ^ Yee ^ spy MNEDNTE CAUSE FlrW dMeus a ~bn " -~ a. '~/~ O 1/1 D r ^ ND ~ ~,, ~ (/~ 29. n Fampe: -"'==-"f°' ue b (a ee a on: ~ ^ Nd prsgnprl wnhh pep Jeer calwNMd an nine a b' ` ~r ^ PrgwN p tlme d deem i ~7 (EdntNerw INpEHyLYpM~f~iyCpA~USyE~ Due b (a « a M EASY c ~ -~ ~ ~ °va« nwM~ ~ r d . ~ ' ^ Nd Prsptfrd. but preprant wMhM 42 days dd m id p i se Dus (a«a d. °I-' ~ ,C ` « r y ' ^ P ~ dA prpneM 43 days to 1 year r ^ lhrlolown n pmpners wllhh the pap yet 30e. W« n Autopsy 30b. Wen Perbmled? AvpMblePrbr 31. D«m 32a. Dart d k~jay (Math. day. year) 32b. Deealbe How key Ocaand 32a PMoa d Hans. Farm. Soap. Fsdory, ~ N ~ ^ Harlfdde GI I a Guee a Deem? Oflke sb. (SPecNY) ^ Y« ~io p V« ^ No ^ Aaident ^ P«~w bn 32d. Tkne d kl}xy Sze.lrgay p Wodc? 321. n Trerapormtlon kqury (SPecMY) 3zg. Laxtlon d k~ry (street, dN / kam, aMb) ^ Sukids ^ Could Nd ba DeMrmkrsd ^ Y« ^ No ^ Ddver / ^ ^Pn M Other - Spsayy: 33a. Csrtlnar (dnck only ar) • « I (PAy~ «~n9 caw d deem wMn anotlrsr physicMn has prorarxrosd de.m.nd aonpMted Item 23) To 1Mb«ldn broaAed s d ph d Siprhss TnM d Cardflar ~~ ~11~~~'c''~~ 1-~ ~~ y g , s ooewra dwbtMesu«(e)andmww«tlsM4_~~_~~_~___~__~~ • PrortorercMp and aeMryNrg phyabMn (Ptryekian Ixxh pnxnarck l A b d~ ~ ce d s ________________ p r A n9 acme eem) Tome bap d my krrowMdga, dssm axaend p lM tlnw, dpe, and pMati erd due b Ule cauae(e) and maarr « eMlsd ^ 33c. Lioerw Number 33d. Dpa Signed (Monet. day, year) _ _ • ExarnYrr/carer,.r On tlw ball d i tl d / _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ MV~ ~2~ ~ '7 ~ ~/~1 CS~~~n axrrr na on an a Mv«tlgpbn, H my opkYon, dam oawred p the thns, dart, and place. and due b the pwys) and msrarr « stpsd_ ^ 3/. Name Addr«e d Person Who ConpbMd Ceu« d tkem (Ite m 27) Type / Prtd 35. Repbtrsle end DMtrict - ~~, ~. ~ (Mom. dex y«d ~`S~Jcz~ ~\~'~d ~ g61 Al xander Sg ngs Rd C li ~ PA 1 8~~ ~ ar s e, 7 ~~`~~~ R M ~ 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. ~~r.~xv~ ~l~e~c~F+~~ J U 1 3 200.9 ~" y / Local Registrar Date Issued Dktposnbn Pemdt No. _ ' 0.3 ~ L'~' [`r ~' r~ LAST WILL AND TESTAMENT OF ROBERT J. O'CONNOR I, Robert J. O'Connor, a legal resident of South Middleton Township, 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 all other wills and codicils heretofore made by me. FIRST: I direct that all my just debts and funeral expenses, including my grave marker, shall be paid from the assets of my estate as soon as practicable after my decease. SECOND: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as apart of the expense of the administration of my estate. THIRD: I bequeath those articles of my household furnishings, personal effects, and personal property as set forth in a separate memorandum, which I intend to sign and keep with my copy of this Will, to the persons named in that memorandum. FOURTH: I devise and bequeath the residue of my estate, of every nature and wherever situate, to my wife, Diane F. O'Connor, provided she shall survive me by thirty (30) days. Should my wife, Diane F. O'Connor, predecease me or die on or before the thirtieth day following my death, I devise and bequeath the residue of my estate, of every nature and wherever situate, to my children, equally, provided that the share of any child who predeceases me or dies on or before the thirtieth day following my death shall be distributed to his or her issue, per stirpes, living on the thirty-first day following my death, and in default of any such then-living issue, such share shall be added to the share or shares for my other children. FIFTH: I nominate, constitute and appoint my wife, Diane F. O'Connor, Executrix, of this, my Last Will and Testament. In the event of the renunciation, death, resignation, or inability to act for any reason whatsoever of the said Diane F. O'Connor, I nominate, constitute, and appoint Edward L. Schorpp, Esquire, Executor, of this, my Last Will and Testament. I hereby relieve my Executrix or her successor 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 so to do. ~~ ~~~~~ 2 ~ ~ i ~~ 1 { ~("i~' 6D~~ 1t1a1S ( _,_ ,.~ IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last W' and Tes nt, consist' of two typewritten pages, each of which bears my initials, this Lam" day of , 1998. J (SEAL) Ro J. O' onnor, Testator Signed, sealed, published, and declared by the above-named Testator, Robert J. O'Connor, as and for his Last Will and Testament, in the presence of us, who, at his request, in his sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. z~ A. ~,.~,Y, ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS. I, Robert J. O'Connor, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. wQ,~rn or affirm to and acl owledged before me by Robert J. O'Connor, the Testator, this ~ `"~ day of ~ -,~ 1998. T tator, R rt J. O'Connor Notary Public Notarial Seal Susan K. Guy er, Notary Public Carlisle 8oro, Cumberland Coun~ My Commission Expires Sept. 4, 1 99 em er, P+annsylvan a Arsrociation of Notaries AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND ) We, Edward L. Schorpp and the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as his Last Will; that Robert J. O'Connor signed willingly and that he executed it as his free and voluntary act for the purpose therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge the Testator was at that time eighteen or more years of age, of sound mind, and under no constraint or undue influence. nn S rn r i ed and subscribed to re me by and L. S orpp an 1..~~ vv~tnesses, this y of 1998. ' EAL) Witness, Edward L. Schorpp ~-,o~~ ~' . (SEAL) Witness C~'~" SEAL ( ) Notary Public Notaris,l Seal Susan K. Guyer, Notary Public Carlisle Boro, Cumberland County My Com~niesion Expires Sept. 4, 1999 em ~r, Ponncyivan~a oaoiat on o ota es CODICIL TO LAST WILL AND TESTAMENT OF ROBERT J. O' CONNOR I, ROBERT J. O'CONNOR, of Boiling Springs, Cumberland County, Pennsylvania, do make, publish and declare this to be the first Codicil to the Last Will and Testament executed by me on December 17, 1998, in the presence of Edward L. Schorpp, Esquire and Linda A. Rohm. FIRST: I revoke and annul the FIFTH item of my Last Will and Testament executed by me on December 17, 1998; and, in lieu and substitution thereof, I direct that the FIFTH item of my Last Will and Testament executed by me on December 17, 1998 be as follows: FIFTH: I nominate, constitute and appoint my wife, Diane F. O'Connor, Executrix, of this, my Last Will and Testament. In the event of the renunciation, death, resignation, or inability to act for any reason whatsoever of the said Diane F. O'Connor, I nominate, constitute, and appoint Anthony L. DeLuca, Esquire, Executor, of this, my Last Will and Testament. I hereby relieve my Executrix or her successor from the necessity of posting security in connection with their duties as such in any jurisdiction in which they maybe called upon to act, insofar as I am able by law so to do. In all other respects I ratify and confirm all of the provisions of my said Will dated December 17, 1998. bd '~~' ~~-~~~r ^~~~~~d~~ 1~~i~~ ~',~~'~N~~#0 w~ ~d~~~ 8Z ~ l 1 ~~ i t `3f~b fi~OZ I RO ERT J. 'CONNOR i ~, ~ ~" i v ..,. _. ..~/~. VI CODICIL TO LAST WILL AND TESTAMENT OF ROBERT J. O'CONNOR IN WITNESS WHEREOF, I, ROBERT J. O'CONNOR, subscribe m name this q ~~ ,~} Y ~/ day of V C ~ ~/ , 2005. ~f~ 7/ G~~ ROB J.O'CONNOR The foregoing instrument, consisting of this and one preceding typewritten page was signed, published and declared by ROBERT J. O'CONNOR, the Testator, to be the first Codicil to his Last Will and Testament in our presence, and we at his request and in his presence and in the presence of each other have hereunto subscribed our names as Witnesses this ~~~r day of October, 2005. ,residing at ~.j' ~m, d rj residing at o a~ . ~ -~- CQ rv c~ `r ; ~ 1 OATH OF SUBSCRIBING WITNESS(ES ~~~ ~ ) t ~`~' ~ ~ V I -- ~ 1-..:7 f,. ~ ~ - REGISTER OF WILLS `~ ~ ~~~~' ~ .. CU,M~ERLAND COUNTY, PENNSYLVANIA ~~ ~ a ~~' == •• ~~ ~~, _. ~ ~: ~ t. ;;. Estate of Robert J. O'Connor ,Deceased Marjorie _A. DeLuca ~`~` , (each) a subscribing witness to (Print Names) the ^ Will ®Codicil(s) presented herewith, (each) being duly qualif ed accordin to law de g pose(s) and say(s) that she / he /they was /were present and saw the above Testator /Testatrix si n the s and that she / he /they signed the same and that she / he /the si ned a g ame Y g s a witness at the request of the Testator /Testatrix in .her / ris presence and in the presence of each other, (Signature) ~// ,A ~ ~+~. vl~ (Signature) 113 Fr.rnt Street 113 Front Street (Street Address) (Street Address) Boiling Springs, PA 17007 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Boiling Springs, PA 17007 (City, State, Zip) Executed out of Register's Office Sworn to or affirmed and subscribed before me this ~~~ day of~G„c.~ Zno . otary Pubric My Commission Expires: y_~6_~~t (Signature and Seal of Notary or other oi~icial 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 notarizati on. Form RW-03 rev. 10.13.06 l C~MONWEALTH OF PENNSYLVA NIA Notarial Seal Kevin M. Stoner, Notary Public 90th TwP., Cumberland County ~~. P~ I Aasocis~aflon of Notaries OATH OF SUBSCRIBING WITNE ~ °~ ~~"~- '~~-. ~.~ t V f..Y..~7' ~ ~ ~ ~~, - ~ REGISTER OF WILLS ?:~ ~ ~ ~ .. ~' CUMBERLAND COUNTY, PENNSYLVANIA ~ ~'~~ z,. 4 ~-' -. ~ r -~' i ~ ,.,.~ ~....... T" (~j Estate of Robert J. O'Connor ,Deceased Anthony L. DeLuca-- , (each) a subscribing witness to (Print Names) the ^ Will ®Codicil(s) presented herewith, (each) being duly qualified according to law, de ose s and P () 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 re uest of 9 the Testator /Testatrix in ,her /his presence and in the presence of each other. (Signature) 113 Frrnt Street (Street Address) Boiling Springs, PA 17007 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before e this ~"` day of ~ v ~o ep for gister of Wills (Signature) 113 Front Street (Street Address) Boiling Springs, PA 17007 (City, State, Zip) Executed out of Register's Office Sworn to or affirmed and subscribed before me this day of 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. Form RW-03 rev. 10.13.06