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HomeMy WebLinkAbout02-18-10PETITION FOR PROBATE AND' GRANT OF LETTERS REGISTER OF MILLS OF .~-.~ ~ COUNTY, PENNSYLVANIA Estate of rile Number ~ 1 ~ I D - ~t~~ also known as Q~ ~y p Deceased Social Security Number ~ t7 0 ~ a ~ J SlO Petitioner(s), who is/are 13 years of age or older, apply(ies) for: (CO1t~IPLE?E A' or 'B' BELOW:) ^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~Q' P.t~/1 ~~!/.L~// named in the last Will of the Decedent dated ~~(T' I~a.DOZ- and codicil(s) dated ~~t7 ~1 (Store relevnnt circurnstnnces, e.g., rertuncintion, 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: ^ B. Grant of Letters of Administration (ljapplicable, enter.• c.t.n.; d.b.n.c.r.n.; pendente lire; durmue nbsentin; dt~*tyrte n:inoritnte~ ~ `.;~, ) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followi se (if any~rd lteiassl tf Administration, c.t.a, or d.b.n.c.l.a., enter date o Will in Section A above and com lete list o heirs. r~?~ ~ rTT77 {," ~ t'-a Name Relationship Resit etrr,` sS C3D__ ~'~'-3_ (COMPLETE IN ALL CASES:) Attach additiorrla!_sleAetsifn/ecessary. Decedent was don~ciled at death in ~~~t~YVr/V-~.~~^~L Cotmty, Pennsylvania with his /her last Qrincip~l resbdence at (List street address, town/city, township, county, stnteuzip code) Decedent, then ,_'~,~___ years of age, died on x200 at r!J'LRI~, ~ NLtJ21~C.~^"GL ~L~ Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ - (Ifnot domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $~ . y~ situated as follows: Forur R1V-01 rev. !0.13.06 Page 1 of 2 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: Oath of Personal Representative COMivIONbVEALTH OF PENNSYLVANIA SS COUNTY OF r The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition. are true and con•ect 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, Sevorn to or affirmed and subscribed before me the ~~ day of _, Zo ~ o For tke Register Signature ojPersonnl Representative Signature ojPersorml Representative ~J + ~ C .~ 3 File Number: Z 1' I D -Q ~ SD - ~ ~ Estate of ,Deceased O Social Security Number: ' Jr- °/ Date of Death: ~ ~ ~ 9 /Z0 0 g IV i O r- W _ rri C.n ~ CA ,. l ~_ti ~._. ,.'a r'"rat -,.. .~_. ,. ,'-; ~7 r-- - ...,7...y c ;-> 4r? AND NOW, ~ ~-~ I ,inconsideration of the foregoing Petition, satisfactory proof having been presented be re me, I DE ED iat Letter are hereby granted to and that the instrument(s) dated described in the Petition be admitted to probate and filed FEES Letters ............... $ 20.E Short Certificate(s) ........ $~~ Renunciation(s) ........ .. $ S6b ull1~ ... $_ (5.~ 7rnA{'i YVtOCI'li`T(1 ... $ IS~UO ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ in the above estate as the last Will (and Codicil(s)) of Decedent. l~n~ ~ 7Xt'.,~, • Attorney Signature: NINE Attorney Name: Supreme Court I.D. No.: Address: Telephone: i Forrn RW-U_' rev. lU.I3.U( Page 2 of 2 FEB-16-2010 11:14 LAW OFFICE OF GREG REED 7172388469 REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA RENUNCIATION In Re Lstate of MARY JANE WAKEFIELD, deceased. P.02 1, DC)N~1LD D. WAKEFIELD, son of the decedent, and the executer named in the Last Will anal Testament of the shove decedent, hereby renoal~ce the ri}~ht to administer the estate and r~espcctfully ask that Letters Testamentary'be issued to my sister, CHERYL D. MUSSELMAN. Witness my"hand this 1`~ day of , 2010. ~, Donald D. Wakcfeld 865 Flook Road Jersey Shane, PA 17740 Sworn to and subscribed before me this „~ day of ~,>~.~--,~_ , 2010. ~ ~ ti a- o :a:' ~~ ._... f ~:. r ~ r t~. -_. ~; - (lj ~ ~ rte, y r'r~ 1~Icrta Public ~--~ .:x; ~_.~ COMMONWEALTH OF PENNSYLVANW c7 p ~ i,,. c ,~' c° _~ Notarial Seal ` -~'`-- ~ _ --` :_r.:~ Carole ]. Wasson, Notary Public ~ ~ 0 ,_~- rn ~ef'~Y Shore Boro, Lycorning County My Cgnml~ton e~ Dec. 18, 2013 C `•~ ~ C~ Member, penns~IvaMa Association of Notaries ~1 TOTAL P.02 105,R05 REV rW/OT LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 15691751 Certification Number This its to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Loca] Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. L~~" L6C~1 istrar ~~ Date Issued I REV 11/2006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS f PRINT IN ~ CERTIFICATE OF DEATH (See instructfona and examples on reverse) ~r,r~ ~„ ~ ,,,,,,___ tv n c y~. l .1~ ~! ~1 ~ ~. ~ ,.,.,..i <-t7 ~k'3 ~ ~.~ ~ .~... ~.-...i .._l l '~~~ ae " ~ ~ . ~ 0 l'L .. ; .~ i;,, ~ + 0 • ••~• r..., ~rww, w•, wma/ 2. Sex 3. Boer Ssaeily NuriWr 4. Dee d DaM (Momh, day, yar) Mary Jane Wakefield Female 188 20 5699 _ _ October 29, 2009 A 5. pe (tan Bklteeyq IAreer 1 llndar 1 B. DNe d BNh 7. & aryl Bleb a I coo 6e. P4ce d Deem on ae Mdea Days Hoag e1keM B2 NosPiteh Other: vls. 12/5/ 1926 Altoona PA , ^ lnpetlaa ^ ER / Oupelenl ^ DDA BD. Cotnry d Deem &. Gry, Boo, Tvq. d Deem Ba. F Naang Nome ^ Reeidme ^ Oaer ~ Spedy: adNy Name (6 nd klnledon, gM aat srxl number) W • 9. ee Decedent d Ci1Q~erlal'yd CaL11Sle ~ 4 C ~ (.TFI A ~-r,J?-4 12. (ll yea. epadly CuWnN ~? ~ No ^ Yaa 10.1 ace: Amedrsn Indian. &xk, Whib. ak. N c: t s t?. K H~ C . Meecen, Puado ftian, ate,) ~ l tl e 11. Dececed'e llwel eon Kirtl olwork date moat d Ne. Do M Neh rdi 12. Wee Decedent aver M me 13. Decaknt'c Eelnetlon (Speedy only MpMel pr•d• umplated) 14. Medal S1etce: Mertied, Never Merced 16 SurvMnp Spouse pf wile KyMd Wok Kntld B iv id U S A d F , . , g e ma . . en name) rme usiness/IMustry aeea? _$e~~tle Cdkge (1J or 5~) EkmenMry l HouseduCleS ry (x12) (S~) y ^ yes ®No W1dOW 16. Deceeard's Maalp Addeo (Street, dry I bwn, Nate, ND todel Decedent's qd Decedent 700 Waltx3t BOttom RDad Actual Residence 17e. State 17c. ^ Va Decedent Livedin , Twp. Ctanbe laxxi Township? Carlisle PA 17013 17b. Count' 17x. ~ No, Decedent Liveawimm ' Carlisle Actual Limits of Ciry/ Boro 16. Famar's None (First, ni0ab, Isar, aul6xJ 16. MoOete None First, noddle, rmMen wrmme) th Burket Thelma lioung 20x. INoanard's Name (TWe /Prim) Cheryl D. M3sselman 2W. InlormenYe Meskp Atlerae (Sheet aY 1 rown, Nee, zip code 706 Front Street Emla, PA 17x25 21a. MIMMe d DhPaemarl r ^ Crarmtlon ^ Oonauan 21h. Date d DNpaitlpn (Momh, day, year) 21c. pace d Dlepceiaon (Name d eamelery, crematory a Deter place) 21tl. Locaem (Ciry/lam slate zp todel $7 ear ^ Rena.N h n sat . . . e e wa Cremetbn a Donetla AuOeNzed 1`bv®ber 3, 2009 Blair MEnnrial Park Cemetery ^ Omar ~ ~ : r by YWkN ExerMmr/Caaell ^ Ya^ No Al tO0L1a PA 16601 2II Sl , a peAee d Flew , tdamee (a poem atNlg ec Nxfi) 226. (isms Nunher 22c. Name end Aadreee d Fatlary • - ~..._ ~~ - i'I FD 0]2774-L Richardson Fluyeral Home Inc. 29 South Frnola Drive Enola, PA 17025 ~ DanpMle iWm 23et ady when prslykp plryaidart b not aveaebk et Ere d deem b 23e. I a mY Wewkdpe, dam oocuned al the Dne, dale and Pia eel. Isigmryre end Mk) ~ l 23b. License Number 23c. Date Signed (MOndi day year) terayawd deem. C' G-'y'~[j~ Nd N 21 T d D m , , IC~ .SO V S f fr • L ~C-~ c fit. f X29 ,BOO `I Name 2e-26 muN he canpklee by person who prmaeca dam. . me a .Dale Pianaelosd Dead (Monet, day, year) Q/ 5 U p M. Q C~ C -j e r ~~ ~2UOg / 26. Wes Caa RNerred ro I Exemklar / Caomr la a Beeson Oaer men Cremation or Danetlon? ^Ya h ' CAUSE OF DEATH (Sea Iruhu otbne anti a:empNa) Appmskmh MrvN: P rt I I ~ E i et 27. Pa I: Ever me 1~1a.OLHbllm- d waec, ~& a ceropfia6ana - mn dhectly posed re dom. DD NQT elver Urnonel evenly such a cerAec arreN r O O e : r ralher ' ~ 29. Did Tobaan Ilse Cmaibule Io Oenh? , wt b eem rapkebry arreN, a varloicder 66re4tlan w10ioN ahoxag tle elbbgy. Lbt only om eMee on each Ne. r Dot not resin n me e^9 urgedMng two given h Pad I. ^ Ya Proh•dY MEDIATE GIISE (Fiel6ane a i emdtlm radtlrg b dam) ^ Unknown -~ e i r ((^J 2 ~Ne Fa 29. lt ~ Due b a a a i l ' ( °ACa oR~ r ~ / - n r i L7 Not pregmnt wimin paN Year b C lneeW on p~rle~ a. b~ ~ i ~IIIIDERLTIIILi CAUSE Dos ro (a tie ^ comeraence ot): l ~~ ^ Pregmnt N hme of dam (meae a YI)ay M Ylaeetl tle i c ^ NIX prepnan4 Wt Prepenl wehn 42 days . i evaroa ieaMip n dam) LAST, Ore to (a es a amxptente dl: of tlaM ~ ^ Not pregnarrt, brd pregnam 43 days e 1 year tl ~ D.ror• dam ^ 30x. Wan Auapy Fudirpe ~ 31. Meryfa d Dam 32e Doe d Iry'u (Monet tle 320 D Udaown it pregnem wlmn IM Perlarted? // Areaeble Pdor ro Cerllpelihn d Caw d Dam? `.,7~/ NNUreI ^ Hadoce . ry , y, yarl . ascrM Now Injury l7tcuned 32t. Place d Injury: Home, Ferm. Stroel. Feo ~~ O6ice Bdldrlg, etc. (SpecNy/ r-, ^ Ya Lt' No ^ Ya ^ No ^ Ambenl ^ Pendng kwaapNlon 32d. Tkm d Iryury 32e. Inury at Wok? 321. II Tremponalbn Iryury ($pecryl 32g. t.ocalion d injury (SNeet, dry /town, NaNI ^ Sladce ^ Could Nd be DNermie0 ^ Ya ^ No ^ DmwlOperala ^ Paeenper ^ Pedeetriar M Other ~ Syewy: 33e. Cellar (dark soy am) • C•rdf/kt0 PDY•~n (PMNden cer6ykp caw d deem wdien erictler pDYek+an has Prenowrced dam end camroroe hem 231 336. Sipeaee cell Title d CeMlkr To tM ban a ary knoaMOge, deem aalare0 dw b Ile reus(e) end menmr r ehbd_ _ -- --' _ N N id Ph D ------------------------- • ~ ~. Y ! ~~. e nl ye P Y ari bom praeae;Fp arm one cerdlynprorawdaeam) ToTOlM beetM • Medal Eaadr lDaraer damrlaureeNlhe Bae,a.le, end p4a, end debth.aaye)ene menmra{tead__________________^ Sac. Liaree Numer YS ~x1 V ~~ 33d. Dela Sgee ,day, Q /'} On tle txeeM a•xemkrbn elW l a mvaD nbn M m a m d n /L ~ ~ / lJ p , y p on, ea oaurr•d n the Lima, Ma, era pha, end da to me aueele) end manor a watt ^ 34. Name end Aderea d Peron Vne Csw of Dam (11e m 27) Typo / Pdnt ~. one - ICI ~ I ~I ~ I ~ I i ~~ ~~~ °"''eer) J A. TownserLd MD 100 Hi St 8h N ill . ewv e, PA 17421 daposiaon PemN No. `~ ~ ~~ ~~ ~_ LAST WILL AND TESTAMENT OF MARY JANE WAKEFIELD KNOW ALL MEN BY THESE PRESENTS, That I, MARY JANE WAKEFIELD, of the Borough of West Fairview, County of Dauphin and State of Pennsylvania, do make, publish and declare this instrument to be my Last Will and Testament, hereby revoking and making void any and all former Wills by me at any time heretofore made. FIRST - I direct the Executor or Executrix hereof to pay all my just debts, funeral expenses and costs of administration as soon as conveniently may be done after my death. I further direct the Executor or Executrix hereof to pay all inheritance, estate, transfer and succession taxes which may be levied or assessed upon any property which is included as part of my gross estate for the purpose of any such tax. SECOND - I give, devise and bequeath all the rest, residue and remainder of my estate, both real and personal, to my husband, RAYMOND L. WAKEFIELD. THIRD - If my said husband fails to survive me, then I give and bequeath my husband's stainless steel old-English ring, initialed "R", to my granddaughter, REBEKAH WALTZ. FOURTH - If my said husband fails to survive me, then I give, devise and bequeath all the rest, residue and remainder of my Estate, both real and personal, as follows: n ~, C~ a (a) Fifty (50~) percent thereof to my daughter 'n r'~ CHERYL D. MUSSELMAN, or if she fails to ?~~_,~ ~ r~~ <_. , ~, survive me, to her issue per stirpes; and'`-'r; -- --~~t ~ v5 ~ ca ~ ,., ,_-~., ri '--! C7 ~ ~ - ' Co ' (b) Fifty (50$) percent thereof to my son, DONALD D. WAKEFIELD, or if he fails to survive me, to his issue per stirpes. FIFTH - I appoint my said husband, RAYMOND L. WAKEFIELD, to be the Executor of this, my Last Will and Testament. In the event of the death, resignation, renunciation or inability to act of my said husband, then I appoint my said son, DONALD D. WAKEFIELD, Executor hereof. In the event of the death, resignation, renunciation or inability to act of my said husband and my said son, then I appoint my said daughter, CHERYL D. MUSSELMAN, Executrix hereof. I do hereby give to the Executor or Executrix hereof full power, discretion and authority at any time or times to sell, at private or public sale, mortgage, lease, pledge, exchange or otherwise deal with or dispose of the property comprising my estate upon such terms as deemed best, to settle and compound any and all claims in favor of or against my estate as deemed best and, for any of the foregoing purposes, to make, execute and delivery any and all deeds, mortgages, contracts, leases, bills of sale or other instruments necessary or desirable therefor. LASTLY - I direct that no fiduciary appointed by this, my Last Will and Testament, shall be required to give Bond and that if, notwithstanding this direction, any Bond is required by any law, statute or rule of court, no Surety shall be required thereon. ~/ ~~ IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of three (3) pages on the margin of which (except this page) I have affixed my initials this ~~` day of //~1/'°'~'fiLp/' , A.D. 2002. ~.. ~~~CC ~ / ~ ( SEAL ) Signed, sealed, published and declared by MARY JANE WAKEFIELD, the above named Testatrix, as and for her Last Will and Testament, in the presence of us and each of us, who at her request, and in her presence, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. vC~-~„ STATE OF PENNSYLVANIA ACKNOWLEDGMENT :ss COUNTY OF DAUPHIN I, MARY JANE WAKEFIELD, the 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; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by MARY JANE WAKEFIELD, the testatrix, this `~~^ day of November, 2002. _ ~~ MARY E WAKEFIELD Testatrix ~2~ Notary Publ'c NOTARIAL SEAL CARA J. WENGER, Notary Public ' City of Harrisburg, Dauphin County My Commission Expires Feb. 24, 2003 .. . AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA :ss COUNTY OF DAUPHIN We, Gregory R. Reed and Susan F. Reed, 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 sign and execute the instrument as her Last Will; that the testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testatrix signed the will as a witness; 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 or affirmed and subscribed to before me by Gregory R. Reed and Susan F. Reed, witnesses, this lst day of November 2002. Witness ~~,~~~ ~ ~ Witness -- J ~ - Notary Publi NOTARIAL SEAL CARA J. WENGER, Notary Public City of Harrisburg, Dauphin County My Commission Expires Feb. 24, 2003