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HomeMy WebLinkAbout11-12-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of ISABELLE R. CONBOX 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 ~~ " (.~~ ~ / ~,~~ Social Security Number 172-26-9399 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Executors named in the last Will of the Decedent dated May 4, 1995 and codicil(s) dated None (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: None B. Grant of Letters of Administration (If applicable, enter: c. t. a.; d. b.n.c.t.a.; pendente life; durante absentia; durante minoritateN~ ~ '-? Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following (if any}~nd heir ' ftf`~ Administration, c. t. a. or d. b.n.c.t.a., enter date of Will in SectionA above and complete list of heirs.) _~.. -~ O „-._} ~j -~~,,- C"7 +C ~ ,- _ . __. I Name Relationship Residence ~ iV "~'= ~ I _~ `- . -~; r-- ~ ~ - - FV CJ1 (COMPLETE W ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Penns lvania with his /her last principal residence at 509 GTPRt Ma_;n Street. Borough of Mechanicsburg 1705 (List street address, town city, towissh.ip, county, state, <-ip code) Decedent, then 89 years of age, died on BoVember 2, 2009 at 509 West Main Street, Mechanicsburg, PA 17055 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 85 , 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 $ situated as follows: Nvne 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 fonn to the undersigned: Si nature T ed or tinted name and residence ,,, Q 1~Zed M. Rupp, 16 East Marble St., Mechanicsburg, PA 170 Samuel M. Rupp, 431 West Main St., Mechanicsburg, PA Form Rw-o2 rev. ]0.13A6 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS 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 the ~~~ t day of Nov iemb~r r/f 2009 o the Register Signature of rv 0 ~.ra Signature of Personal Representative ~ T Q, r -'~"~.--, r _. File Number: -~ ~ W :_ .r'a Estate of ISABELLE R. CONBOY ,Deceased O`+ Social Security Number: 172-26-9399 Date of Death: November 2, 2009 AND NOW, ~nT,,,,o,,,r,o,- ~ ~~ 2009 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Tes am n a v are hereby granted to NPd M R~znn ar,d ~am»e1 M RLp~ in the above estate and that the instrument(s) dated Mav 4} 1995 _ __ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)). of Decedent. FEES Letters .............. . $ ,~~ Short Certificate(s) ..... ... $ Renunciation(s) ....... ... $ ... $~.-SLL~L~ ... $ _ '~ ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL ........... ... $ `9-65' Attorney Signature: ~r Supreme Court LD. No.: ~~06355 Address: 44 West Main Street Mechanicsburg, PA 17055 Telephone: (717) 697-8528 Form RW-02 rev. 10.13.06 Page 2 of 2 Attorney Name: Richard C . Snelbaker I(15.8U5 NEV IOVO'1 ~~ -~ ~~~ 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 15839111 Certffication Number This is to certif}~ 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 perma nt filing. ~{ i/ ~ v Local Registrar Date Issued na o ~ r--, ~ c7 c .? , ~ ~ ~ ~ _~~~ cn ~` ~-T <~ c a 1 b iV H,os-u3 REV tr2uob COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS Taeeht„NIEr+r" CERTIFICATE OF DEATH BiACK INK (See instructions and examples on reverse) STATE FILE NUMBER F i n 1. Name of Decedent (First, mWae, last waix) 2. Sex 3. Smal Searlry Number 4. Dale ul DeaM (Maw, day, year) Isabelle Rose Conbo Female 172 - 2 - 9 5 Age (Last Binr,dayl Under 1 year Untler t day 6. Date of Blnh (Monts, day, year) 7.6YMplace (City aM state a Wegn murary) Ba. Pmce a DeaM (Check Doty one) sromns oeys Hw,rs Mnwws Hoswta: OMer. n vr ®Re nce ^Orr r 5 rrt t ^ERIO t i t ^UOA ^N H l March 24 1920 Dillsbur PA ^I 89 q .e npauen u pal an Urs~ a e sx e pa y , Yr% Bb. County of Geam &. City. Boro, Twp. of Death 8d. FaciM1ly Name (N trot MsMWOn, gNe strew and fwntbeq 9. Was DacedeN a Hispanic Origin1 ~ No [] Yes t0 Race: amerken IMan, Blame, Wzvta. ek (a yes, spedty Cubes, I Syec'iM Clunberland Mechanicsburg 509 West Main Street Mexican,PuenoRwanew) White 71 Oecedem's Usual Occ Lion IKuq a worN done tlei most of He. Do via stab retied 12. Was Decedent ever w ate 13. Dxedent's Education (Speedy mry nuylesl grade mtrgeled) t1 Marital Slalua. Married Never Marrwd. t5. Sunw~ng Spouse Ilt rode, qve marden namel Kmd of Wok Kant of Busmess / Intluslry U.S. Armed Faces? Elementary /Secondary IP72) Coaege (1-1 « 5,) W~~. Divorced (S(/e<M Secrete Secretarial ^ve% ~Ne 12 Widaved 16. Decedent's Masmg Adaess ISlreet wry I wwn style, np code) Decedent's ~ D°cedea nia DeeedeWtivedm Twp t7tl p Ye% ~r?sylva Pe ,7 lR itl S 509 West Main Street . _ _ ence a wb Aana aa Tuwr;shp? Mechanicsburg, PA 17055 t70. caanry Cumberland t7d ~ji ~~ m aai"ad wm Yn Mechanicsburg (ny Ba IS Falhei s Name (Fuss riitlWe, last waa) 79. Moarei's Name (FuN, mass, maven sanarcle) Samuel McCrea Grace Grove 20a. Miemant s Nanre (Type ! Prmt) 2Ca Nd«manYS Med6lgAdtlrass jSUeaL city I town, slate, zip code) Ned M. Ru 16 21a. McMaT of DrapoNbon ~] Gamanm ^ Donabn 210. Dale a Disposdion (Maw, day rear) 27c. Plea a Disposdan (Name a canebry, abltawrr a oMer Wael 21a Lrratan ICay! wwn, aide, z9 east ^ Burial ~ Removal lront Slate ~ Was Cnmelian or DOnWon ANh«iaedrq • ^ pdref . Spaal y- by MsaW EaaMrw I Cororor7 Ip Yes O No N~aE[tlQ' 3 2009 Hal l l er Cremato Mt • HOl ly Sorings, PA 2zas as par acYnga~a~n) zzbLicenseNamber zzc.NrtleaMAaaesaaFedYly 8 Markat Plaza Way . ~ FD - 014889 Mal zzi Funeral Hone Mechanicsbu PA 170 C II when carayin 23a. o aw best a my Ynowkage, deaM ocaared ar qb Wn, date and place Noted. (Sgrtalwe are tills) 23b. License Nun~bar 23c. Dab Sigied (Monts, der. Yeah pnyswian re not evadable al lime of Oed w 1 r / , G ~ T ~-- ( R ~ 5 I ~ ~ ~ 2 L n1 ~ ~ 2 ' a;: [ ~ `~ ceniry caasa a seam. r ^ " ^. - E Time of DeaM 24 25. Dale Prawunced Dead IMaw, tlaY• Ywr) 26. Was Case flelened a Medwal Eaamirw / Carorw wr a Reascn Omer Man Cremalun or Donauon? Items 24~2fi mull b canpleletl by person wtw poraaxes tleath . ('7~ ~7 A M. (~ No ./ iL .7. 17 n ~ Yes ®No CAUSE OF DEATH (Sse inatrucdona and aaampba) r Approxarab irxerval. Pan n: EW« Darer aipod~gT,paY1roU5 Y,9dtlYB6[Iglg OaaIB. 2B Da Tobacco Use Corm~uk w Deem? ~ hem 2 i Pan 1. Erner Ins slYluf vlsYe~65 - msa.,ses. mjur~es. a comP11ca1wns ~ MdI dreclly caused ap deaM. ab NOT girder taraunal evenu such as cardiac arrest, Ornel to Demb but na rewarg M are aaerlyng cause given m Pan 1. ] Yes (~ PouGbly [ re;pnalory irtesl or venlrwuwr 10rillalwn will'roul slruwnty Ilre ehuayy. list only One Cause on each Yoe. t ~ Nr~ r~if (IuAnuxn WMEDUTE CAUSE final deaase or r ~ condnan resuNirrga~ae~I L':1-C~ ~ (l (( ( cat- C L.L. 'Y\4ttU ~ a 29 a F male. tmt Iwerxr I ~ a~ ~ft j1 -,~ . 1 Due w (or as a c sequence o 1 , r ~ Vl y pas fC `' Pteynanl e1 Inv of rkam D u MuNYy Ysl:.andaiuni iI uny ~ . zdug Wlh• asmd un 4,ae IP ' ~ ] NW lunyi.nu. la4lu~-~ryxnil xnhx. M1: .Lry. Due to for naa Nnsu9c,otwL Ol) Enwr Vie UNDERLYING CAUSE W deem la-.ease a n.pay u,W uwx,a~a nee ` evWd%fesullurg xi tleaMJ IAST ~ ^ NW pruynanl bW lueptaa 43 Styx W 1 yui Due fa or as a c~ri• 01: ( .cguanea ) ~ bwra deem ^ UMnOwn d preyr~Jnl wirl'rvr the yawl year d. 30a. Was an Aulop ry 30D Were Awrgsy Fmduys 71 Manner of DeaM 32a. Date a Inury (Maw, daY. year) 32b Demme How dtWry Occaree 32c Ptxe W Injury. tdonre f um. StrYel. Fa.wry. Oahe BuJdoy etc (Spr-idyl Pedamredl Avadadle Prior Io Canplal,ou D f C ? I` 1 LY Nuhual ]~ Han,civ'e o aU69 d ¢dln \[ ] a;c,oenl [] PeMing InveslgWron 32tl. Time W Ityury 32e. IM«Y aI Wok? 321. II Transpunation Iryury ISpecAyl 32g La:axen W Yyury ISncel crlY r wwn slate) (_ J Y'as ~' No {~ Yas ~c ~ Driver I Operate Q Passenger QPedewiwr ^Yes' ^ No [ ] Sukitle [] Cou1J Nal be DElmmnretl M a~ ~rh. - 33d Gentler jchecY aYy acre) 33b. Signalae TNe W CeNlier)/1 enilyiny canoe of loam wlmn arwmtr phYuwran Itis ptunouncetl deals and cotrpklad Ilmn 2J1 - - - - - rrr as abled t M m d G • ry t - ~1 .,T_ !~L' ~ / r L. c ~~ y ~t ~ ~i . t, ~ t ~ ~ ~ 71.1 1 f (r .. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , -- cauWs) u an rn w I io Ma Dot d my knowbdge, desM Occurred carNlyMg Pnr akbn IPhysxaan Wln prunourwnq deals arW cemlyng to cauw of deaml ~ unci g and P orw ~~ 33c licence Nurnbm 330 Deb Sigtetl IMaw. dal Ya 1 iO lha bat of mr YnowNdge, daab ac<unad at Ma Bme, date, and place, era dw b its Cwwla) .Iw mann.r as alabd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ !~ ] ('~ ' L7 S ~+..~. Lt "1 y 1. - ' I 1 2 ~ t..Y Medkal Eaamilw I C«oIw On Ilu Gala oI aaaminaGn and 7 or Mvestigalioq a mY opinion, deals occurred M the Ilme, dab, Nd place. and due w Ma causa(a) and nunrw as abled_ ^ ause a DeaM Illem 271 TYVe I Prua ~_ ~~~ ~ AUaess a Persm Yaw Carplet e d / ~ n { ) da 36 ab ( Yna/ ~ , F>7v~ J. y j 11 ] (, 1. ~ Uri U n(Y l ( 35 Res a la and ~suwt N Irk i t ] rZ~.l ia~i y, . ~a e er 3 0S tlt~~~j t,~(/7: J71,. Drsdawan Perma Na. 0389684 LAST WILL ADID TESTAME[aP I, ISABELLE R. CONBOY, of Spring Township, Berks County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking N and making void all former wills, codicils and other tentar _~~-` ?~ ~ a ~ dispositions by me at any time heretofore made. ~ ? ~ ~ "'~ ` `~' rn .f F"`~~( ~ Y i I direct my Executors, hereinafter named, +. J t. _ to pay as~ soon a~ :~ ~ _., . practicable after my decease all my just debts and the expenses of my lastt~* illness and burial. 2. I give, devise and bequeath all of my estate unto my sons, Ned M. Rupp and Samuel M. Rupp, equally, share and share alike. 3. I hereby nominate, constitute and appoint my sons, Ned M. Rupp and Samuel M. Rupp, and the survivor of them, executors of this my Last Will and Testament. ~ WT~NR_SS WHEREOF, I. ISABELLE R. QONBOY, the Testatrix, have hereunto set my hand and seal to this my Last Will and Testament this y ~~~- day of May, 1995. ;~ ;1 ~~z, ~ ti, (SEAL) Signed, sealed, published and declared by the abov named ISABELLE R. OONBOY as and for her Last Will and Testament in the presence of us, who, at her request and in her presence and in the presence of each other, have hereunto subscribed our names afs witnesses thereto. / ~j~tty ~ v i ~~ COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, ISABELLE R. CJO~iBOY, Testatrix, 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. Sworn to and acknowledged before me by ISABELLE R. (70DIDOY, the Testatrix, this y ~°°,, day of `7 l'~~ 1995. 4 l ~abelle R. Con~boy~ 't`om- , o Seal _ Cu~rriero, Notary Public ;,.;c,burg Boro, Cumberlan18C1998 t,ommission Expires May _~.~....,.;a COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We ~ Dyw,/ ~. ~./vrr ,9~v 1/,.c~., ,~.w L S;,~rA,~y 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 the Testatrix, ISABELLE R. (70DIDOY, sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix, signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to and subscribed before me by Z~qw.~° .~. S~,~°~,rr .vvv w%~-~.e.~ ,C. •.S~~v9r , witnesses, this ~~~ day of /la-y , 1995. Witness tness 7 ' t Charlyn Y, rya ~ >c~;r;~ Public Mechan~csh:~~.; ' ,~.,, G... ~~ ~ (and County My Cornrttiss~nn t;<;~ir2s ?vay 18, 1998 pAember, Pennsylvania Association of [~totivie6 , d