HomeMy WebLinkAbout03-23-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA _
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File Number _ G,
Estate of Grace E. Fike ~ ~•
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also known as Deceased Social Security Number201-~-8__r____ ~
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Petitioner(s), who is/are 18 years of age or older, apply(ies) for: , `n .,;;, -Y
(COMPLETE 'A' or 'B' BELOW:) ~ ';;
Executor ~ .- named in,t'~e
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A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are t e
last Will of the Decedent dated March 5, 1985 and codicil(s) dated
(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:
a licable, enter: e.t.a.; d. b.n.c.t.a.; pendente life; durante absentia; durante minoritate
B. Grant of Letters of Administration (f pp
Petitioner(s) after a proper search has /have ascertaine ntSect~en A above and corm] plete list of heirs.) by the following spouse (if any) and heirs: (If
Administration, c. t. a. or d. b. n. c. t. a., enter date of Wtll a
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
100 ML Allen Drive Me hanicsbur r Allen Tow shi P 7
(List street address, townlcity, township, county, state, zip code) b Dau hin County PA
Decedent, then 86 _ Years of age, died on March 13, 2010
Decedent at death owned property with estimated values as follow
(If domiciled in PA)
(If not domiciled in PA)
(If not domiciled in PA)
Value of real estate in Pennsylvania
at Hamsburg Hospital, Hams urg> P
s: ZQt(~Z~B,Oa
All personal property $
Personal property in Pennsylvania $
Personal property in County $
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: , _
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Marlin B. Fike, 39 Konhaus Road, Mechanicsburg, PA 17050
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Page 1 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 personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Signature of Personal Representative C7 ~
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Signature of Personal Representative m
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File Number: ~~~ ~ ~~ ~ ~~~~ ~~
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Signature of Personal Representative
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Estate of Grace E. Fike
Deceased
Social Security Number: 201-18-7446 Date of Death: March 13 2010
AND NOW, , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testaments
are hereby granted to Marlin B. Fike
in the above estate
and that the instrument(s) dated March 5, 1985
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
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FEES
Letters ...............
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Register o Will., J' . ~"}
Short Certificate(s) ...... .. $ ~ ~ Attorney Signature:
unciation(s) ........
Ren
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.. $
.. $ ~ , ~.
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Attorney Name:
Andrew C. Sheely, Esquire
~~~ . , , $ ~J ~ ~--> Supreme Court LD. N o.: 62469
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Address: 127 South Market Street
. .. $
$ P.O. Box 95
' ' ' $ Mechanicsburg, PA 17055
... $
• • • $ Telephone: 717-697-7050
... $
TOTAL _
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Form RW-02 rev. 10.13.06 Page 2 Of 2
Sworn to or affirmed and subscribcd
o ~ red
before me the day of
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LOCAL REGISTRAR'S CERTIFICATIONoOF~tDEATN!
WARNING: It is illegal to duplicate this copy by ph
~e te)r thts c~ruf.ca; ~, 5E~ t)U
P 16244795
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t ertificatily : tit)nther
This i~ tip certii`: ':t,~it the- )rilL)rt,ta a it !r.~rL Irc)t ),
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HtOS~t43 REV 118006
TYPE I PRINT IN
PERMANENT
BLACK INK
1. Name d Decedem (First middle
6. Age (last Birmday)
86 Yrs.
• se caxm d Death
Dauphi
11. DeceOenfs Usual tim
v Kind d Work
Kmd of 8usiressl Indusby ~I
t ^ vee IgNo 12 obDecedem iT.~per Allen _ rwp
pecedenYS Dpnryc~r~ VanT a _ Live in a 17c ~ Yes, Decadent LNed In
Actual Residence i 7a. State - - - - Towmhip? 17Q ^ ~. DeceOent Lived witlkn City I Boo
._.,L.....1 „v7 Actual UnNS d
16. DecedenYS Mailing Address (Street cdY 1 town, sbm, zp code)
100 Mt. Allen Drive
•... __._. _ _ ~~ C . Krone
20a. Informants Nana (Typo I Pdnt)
21 a. Memod d Disposition
Burial ^ Removal itdn State
^ Dlher .
_ 22a. xgn>tunt ~,F ~
/I// C
23ec any when 23a.
b not available at titre b
26. Was Case Relerted b Medical Exa~niia I Caarier br a Reason Other man CremaOm a DoneOon?
^ Yes .oM( Pb
resuK 9 n tlb ur~Ym9 cause ghee b Part I.
U Yes LJ Prdxmy
No ^ lMlmawn
29. n Femab:
~Na pregrent wimn past Year
Pregram al0me d dean
^ Nd pregrem. bd pregnant witlkn 42 days
of deem
^ Nd pregbnt. Wt pregnant 43 days to t year
bebre seam
^ Unknown'rf pregrem wmun db peel Year
32c. Pbra d Inpay. Home. Farts. street. Faddy,
Olfice BuHeg, etc. (Spedhl
30a. Was an ulopsy
r Pedanwd7 AvaAeOb Pdor m CanD~^ Flt .~w....~ ^ Homicide ~. I,NUrY al WMr! 321. n TrarisP^datnn I^WrY (SpeulYl 329. Location d uyaY (weer, m1 ~ ~~. ~n~^~
'~•/ d Cause d peam? ~'°""° 32d. Time d Injury
^ Acddem ^ Pendn9 0wes0ga0on ^ Ves ^ No ^Dmer/Operator ^ Passenger ^ PetlasOian
~, ^vaa ~1 No ^ vas ^ No ^ strides ^ ca,b Nd be ceteminea M. Dmer - svadh:
33b. s ab tale d
33a. Lernfier (~ °nN aw) Item 231 _ _ ^ ~ DO
rcedlrYmg pnysidan (Phvabbn ca^~ sax d loam when aroma DMaxaan eaa a0Ap1ACAd °~' a"d ca~t'a _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 3~ N 33a. Dab Signed (Mmm, dav. rear(
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ra m.Ibet d my wpriedoa, ae.m aaaorrw tree m m. c.aaNe) ~ at~^er b cause of death) t~ p /U N/ 7" 3 ~l l ~
pronoarwtn9 end carWyln9 physicbn (Ptysidan Ddb pronoundrg _ _ _' _ - ---' -- -'
• To tlx bM d my ariossbd9a, deelh Decocted N me iLm0. dMa, and Pbca, and ~° ro ~ easels) and manner as sbbd_ _ _
MsdkN E]MnInN/CMOMr and rrlMnef as stated.. ^ 3a. Name and Address d Porson Who Cpl tetl Cause d Deem (Ibm 27) Type /Prim
On ma m+isd awnination and/a inyaydytlon, in mY Opmim, loam occurred stmetime, data,aM plau,sM due to me cause(s) /'^SyA~ ICL4l.r"
0 ors siyw Name 7 ~ ~ I ~ ~ ~ I '~ 36. Dab Fibd (Ma,m, dar• vaar) G ll ~ ~ I~ P /~ l l O(,R
u. axe and rnaaxt / K 3 0 0 l o~ a~-e~.dv+a
oisPOSiOa, Permit No. 04796.95
170. Caunry
5 19. MoUiers Nacre (PoSL midde, maiden surrbme)
Anna E, Bates
200. ImormanYS Honing AaNess (Boast csY I ~• stab. ziD code)
~ 210. Date d Disposition (Monet, day, Year) 21c. P1eu of Disiwsi0on (Name d carebry, crertblay a timer pbce)
^crema,bn ^DO^at101 Trindle Spring Cemetery
was Cramatbn or Dorre(an AutMHZed ^ ves^ No March 17 r 2010 Mar
PA 17050
. Lowtim ICiryltarn• sbb, z9 code(
lo..)-rani rchtlY'4. PA
by Madhal ExymnerlCOrorbR 22c. Name and Address d Fariky __ _ _
retie a`>i^g as s~cn) pb~ ~" Nianbef Mechanicsburg r PA 17055
FD-138630 Mal zzi Funeral Home ~ Lirerbe Nanmer 2x. Deb s;g„a, (Halm, dav. ~)
at the time, dab am Place sbbe. (signature aM mbl 3 13 / D
Tame eeaLdmr~d9{1h01)4ie0 ~S~ ofy~6~
cartlN cause d tleam. ~ 26. Deb Pmrouroed Dead (Monet, sari Year)
nems 2426 most be axnpbbd M vim'
a.am zo. rare d m
/ M. ~ 13 I D
rwwoximab intarcal:
13 7
.
wro prmaaxes y
CAUSE OF DEATH (Bee Inslrudlons and examples) Onset b Deem
DD NOT enter bmmbl events suds as rardbc anest.
d Xb deem
mob d evmis -
Item 27. Pad I: Enter dw .
diseases. injrxbs, a maWacaeom - mat drectly cause
A showing the etido9Y. I.bt tiny ore cause m each line.
ith
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a ventrcdar fibnlMnon w
iesDiatW arrest.
MIMEDIATE CALIBE (Ebel dieea56 a
dNori resdting n Beam) r0 ~ e 5 ~ S
a i w
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mn Due b a ~S a caaequence oA:
f
Yal mnd0au, N arty,
b ease fisted m lire a b.
Dee b for a% ° Dry:
FnNDE~~' CAUSE
(dmase a inj,xy met initiated the
m deem) LAST.
d0n
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ae
renca oQ:
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32a. Date d Inlury IManm, day.Yaarl
~. ~nDO H°a Iryury Omxred
q 30b Ware Adapsy FMbgs 31. Manna d Deem
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse) STATE FILE NUMBER
a D f Deam (Mmm. day. Year) l'/~
2. Sex 3. Soda( Secuiry Number J) G
.last.aarext Female 201 - 18 -7446 a ~/`
Fike 7. Bi C' and sbte or tar man Ba. Place d Deam Check one Other.
Under t ar UMar 1 ~ 6. Dab d Itinn Monet, da HosDital'.
Montle Days Hours Mmalea hanicsburg, PA ~lrwelam ^ ER 1 ouroanent ^ DoA ^ Narsbg Hann ^ Resiaeroe ^ olnar ~ spedry-.
March 28 ~ 1923 t"~c 9. was Dec.dem d Hispanic ong"? ®No ^ vas 1o Rata: American bean, Black. wane, eta.
6d. Fadhy Name (ff nd institution, give street and num0er) In yes, seedy CiLan, ISPedM
6c. CM. Bono, Twp. of Deem
Harrisburg Hospital Mexican. Paerto Rican, eb) i e
n Harrisburg t de mmpbteel ta. Mama( Status'. Manisa. Never Marred, t6. saviving spouse In wile. 9rva magan name)
wmwed, Divorced (Spedhl
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rKVdat work dote dx' mmtdwodd lee. Do not stab rata 12.us Ar~mea Wrt ces?b me tE r/sewndan l~)~N College lt3 or s+) W].C10Wed
LAST WILL AND TESTAMENT OF GRACE E. FIKE
I, GRACE E. FIKE, of the Tow~.zship of Silver Spring, County
of Cumberland and State of Pennsylvania, being of sound and
disposing mind, memory and understanding, do make, publish and
declare this my Last Will and Testament, hereby revoking and
making void any and all prior Wills by me at any time`~~etof~e
made . - :; ,a7 ~;
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I direct the payment of all my just debts and funeral GA'
expenses as soon after my decease as the same can be conveniently
done.
2.
I give and "bequeath the sum of Five Thousand ($5,000.00)
Dollars to each of my grandchildren, who are living at the time
of my decease.
3.
I give, devise and bequeath all the rest, residue and
remainder of my estate, real, personal and mixed, whatsoever and
wheresoever situate, to my son, MAt~LIIV B. FIKE, absolutely and
unconditionally.
-1-
LASTLY, I nominate, constitute and appoint my son, MARLIN
B. FIKE, Executor of this my Last Will and Testament.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal this ~~~ day of March, A. D., 19$S.
~~'
~- ~ ~ (SEAL)
race E. Fi e
Signed, sealed, published and declared by the above named,
GRACE E. FIKE, as and for her Last Will and Testament, in the
presence of us, who have subscribed our names hereto as witnesses,
at the request of said testatrix, in her presence and in the
presence of each other.
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OATH OF SUBSCRIBING WITNESS(ES) ~~ n
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REGISTER OF WILLS ,~ ~~'~~'~ R' -~
CUMBERLAND COUNTY, PENNSYLVANIA -o
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Estate of GRACE E. FIKE ,Deceased
J. Robert Stauffer , (e~#~ a subscribing witness to
(Print Name/sJ
the ~ Will ~ Codicil(s) presented herewith, (eat) being duly qualified according to law, depose(s) and
say(s) that ski / he / try
and that she-/ he /
was / w~r~ present and saw the above aver /Testatrix sign the same
signed the same and that
-ske-/ he / ~a3~ signed as a witness at the request of
the '~~~~-~t Testatrix
presence and in the presence of each other.
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W gnature) ~''
_ 119 East Coover Street
(Street Address)
in her f~1Ts
(Sfgnatz+reJ
(Street Address)
(City, State. Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Mechanicsburg, PA 17055
(Cary, State, ZipJ
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this l ~'~~`" day
of ~~1Lt~'~'~ o20~U .
Deputy for Register of Wills
Notary Public
My Commission Expires: ~t f l a~oz-U~U
(Signature and Seal of Notary or other official qualified tc
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the on final or copy of instrument(s) at time of notarization.
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Form RW-03 rev. 10.13.06 ~a~ ~ ~~~
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Reset Form
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OATH OF SUBSCRIBING WITNESS(ES)
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REGISTER OF WILLS _;= r
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CUMBERLAND COUNTY, PENNSYLVANIA r `~'
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Estate of GRACE E. FIKE ,Deceased
Anna M. Bowker , ( a subscribing witness to
(Print Name/sJ
the ~ Will ®Codicil(s) presented herewith, (.eaelr) being duly qualified according to law, depose(s) and
say(s) tl'i~t she / i'i~ / t~iey was / ~erc present and saw the above Testator /Testatrix sign the same
and that she / tre / t~ signed the same and that she / hc~ they signed as a witness at the request of
the es a or /Testatrix in her /his presence and in the presence of each other.
~.
(Signature) (Signature "
(Street Address)
(City, State, ZlpJ
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
319 S. Market Street
(Street Address)
Mechanicsburg, PA 17055
(City, State, Zip)
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this Z Z day
of ~a~C~ o?Ol~
~.~ ~. Cn-u~,,
Nc~tar ublic ~J
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commissson.)
ization.
NOTE: To he taken by Officer authorized to administer oaths. Please have present th ~ ~
' 'M ~O ,~.i~lnb C~r
Form RW'-03 rev. 10.13.06 ~ ~~~ ,~~