HomeMy WebLinkAbout04-13-10
REGISTER OF WILLS OF C u m a F~ ~~~~
COUNTY, PENNSYLVANIA
Estate of ~6 ~P.11 m • dTbl1er" File Number o~i~- /D "' ~'Z ?o
also known as p
Deceased Socia] Security Number ~ 6 3' a ~" / 76 %
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOK~:)
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s)•~e•/ are the ~O~ E=XeCrsl'~hf named in the
last Will of the Decedent dated 14 ~• 'Q, /99~ awl-ee~•iei•1(-s}-~
~~~ na~e~ ~x~cufbr ~,~ ~ ~ .,er' delrarf /~'!~J P.~r~~v /' c oa rn~ ~~, zoco
(State relevant circumstances, e.g., renunciation, death of executa-•, et .)
Except. as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the insttvment(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: Iu/i4
^ B. Grant of Letters of Administration
(IJnpplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente liter durante absentia; durante -ninoritate)
Petitioner() after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) ~i heirs: (If
Adtrtinistration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~ ~ ~ -~~;,;
(COMPLETE IN ALL CASES:) Attach additia:al sheets if ~:ecessaty.
Decedent wa domiciled at death in (.: b /"/ally County, Pennsylvania with bie~her last principal
~r. ~
rt street ddress, lows/cih~, township, cow~h~, stale, zi code)
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e~i'dence at gam. ~ ~"E ~ ~
Decedent, then ~ years of age, died on ~ ZD/rD at Jyarr%S~L~~~ .,~ *~~tGlt ~0,~ /~~'
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ ~Dl ~~0 ' s~o ~~i~~•/
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ .`l~~ 000 • °iD ~..S~J,r1,
situated as follows: ~ G/'1°P.~1Sp/"~~ ~~ ~C~iJ'lQil2/~'a~k~"9, oS/~YCI' cSrr~/~q !~ ~ ~ ~. /~/~',
Wheret'ore, Petitioner(s) respectfully request(s) the probate of the fast V,-ill and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Signature Typed or Tinted name and residence
~vNR•,Cd lt1, ~ToNE12 ~
X ! /~ ~ Zvi// ~Sf for, G ~dl?S~S 66 ~~ 3
-- _. ST a~is/~d .tt: STIJ.N a ~fC.e- S7~'~°/Ti/e~A~ ®. S?~dE~
~S _ _ 3 9Sb ~r~e~`~o~d .~r~ _ _ Gv~t K~ Frrst~ ~r/. ~ l~s-87
Fa•n, IirY-O? re,~. ~0.~3.06 Page 1 of 2
Oatla of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF C Lt /yl /3~'Yt,G/l~ylll~
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 Petitioners} 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 nie the ---~~~ day of
D
;.
./=
For the Register
oJPe~sonal Representative .~ ~'~~/~f~f~ ~"~
-rersonar nepresenranve S~~~N ~ ~~~
%yEJV F. ~it/E~, a/~4 ~C7
Signature of Personal Representative
File Number: ~ ~' ~a ` ~ ~~'~
Estate of ~e~+e1'! ~• ~~~t°-r ,Deceased
Social Security Number: /6 3' a? ~'•~~- / Date of Death: ~~gIZ ~ ~ b
AND NOW, / ~ ~~ ~~Z.C./~ , U J ~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, I S D CREED that Letters TC r
are hereby granted to ~b/~s~ L!J fD/!C/"
in the above estate
and that the instrument(s) dated /~u-` . ~j, ~9Q~
described in the Petition be admitted to probate and filed of record as the~ast Will ,, ) of Dec~d~q~t.
FEES
Letters ............... $ Q .
Short Certificate(s) ........ $~~C-/ , ~~
Renunciation(s) .......... $
~~S ... $
... $-.~~-~-L2.~
... $~d
... $
... $
... $
... $
... $
... $
TOTAL .............. $
Furor RBI'-0? rc,~. 1U.13.OG
Register of Wills
__ T/ .
Attorney Signature: //~~ /~ C. /(~/~u~_!l~[-~
Attorney Name: (~2~~"~eS ~• eS~7~~1q~5 111 ~~ -
Supreme Court I.D. No.: 3 8 S/3
Address: l~ ClDk SL/' ~e ~t.c~
~'lu-lt~ ~~~6u~_ /~~ ~ 70 5S
Telephone: 7~7'' 7G(o~-~.20 J
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
~ Fee for this certificate, $6.00
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.
P 16176742
Certification Number
ITEM # ~ / ~
__ SHOULD READ AS FOL~~ _ ______
~ t
~..~ aPR 1 1010
Local Registrar Date Issued
3 REV 1112008 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
I PRINT' IN
a CERTIFICATE OF DEATH
(See Inetructlons and exemloles on reversal _____ __ _
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1. Name of Decsdem (FkM. midde, leaf, eu8bc) 2. sax 3. Soda) SecrMty i4urrbsr -.... _ ..__ ..,... 4..~ ( ~
V
Helen M. Stoner female 1 63 -24 ;, 9761
S. Aga (I.eM Bktltdey) Under 1 Under 1 8. Data of BkM Mordh 7. and etaM a 8a Plea of Deslh (2tack one
7 9 '"~'"'" °"" "°"" "`""" May 5 , 19 3 0 Newberry Twp . PA Hoepttal. otnar: .•\
Yrs. [l~ InpetleM ^ ER / OulpetWnt ^ DOA ^ NurNnp Home ^ Residence ^ p8~er - Specify:
8b. County of Deeds 8c. CNy, Bono, Twp. of Death 8d. FedMy Nerve (If rat kettlbNon, give etreel end number) 8. Wee Dsadent of
Fkepanic Origin? ~] No ^ Yes
10. Race: American Indrort, Blade, WNIe, etc.
Dauphin Harrisburg Harrisburg Hosp. ( ~;,,~,) (
• 11. Dsadertt's Mewl d work d one du moat or INa. Do rat state 12 Wee Deaderd ever m the 13. Decedent's Edurxtlon (spedty ony highest grade eompl eled) 14
MeriW Srotw: Married
Never M
nrod
15
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IOnd of Work Khd d &roineec/Industry
U.S. Amrd Foroee7
Erortrentary / Sacadary (P12) .
,
e
,
Ca9ege (14 or 5+) Wks' Dtuorced (SP•dNl .
unr
ng
pouse (If wile. give maiden rerne)
^ Yes No
- 18. DeoedenYe MMWtg Addreee (Street, dty I loom, Mate. zip code) Decedertl's Did Decedent
80 Greenspring Dr. A~'Re 17a.staro-PA no. ®Yee,Dead~duvedk~ Si 1 vPr ~nri nq ~
T
Mechanicsburg, PA •
17b.Courdy_ Cumb _rland ~ nd.^No,Deademuvedwithin
Acktel umtls d city / Boro
t B. Fetlbfa Noma iFlrM, middle. last, sul8x) 19. Motlter'e Name (Flret, midde, meMen surname)
Geor a W. Worle Martha J. Reed
20a. Irdamenl's Name (Type I Print) 20b. InkrmenPe McNhg Address (Street, dty /town, elate, zip code)
Donald W. Stoner III 601 Willard St.Frontenac, KS 66763
21a. Method of DlepoNtlon ~ ^ Cremation ^ Donetbn
t~rIM ^ Removslirq
O
n~ero r w.a 21b. Dsts of i>lepoeltlon (Month, day, year)
April 15
2010 21c. Place of Dropoaldon (Name d artrerory, aenrelory a other place) 21 d. Leatlon (City /town eroro, zip cads)
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^
IX
^ Yae^ ~ , paddletown Cemetery New
erry Twp PA
22a of F Ssrvla (a ae each) 22b. Ucenee Number 22a Name end Addreee of Fedtlty
- 011248E usselman FH&CS Inc.324 Hummel Ave.Lemoyne,PA
ConproM Nerne 23ec ony when certllykq
phyeiden Is rat avaYebro M tlrtre of death to 23a. To of my knoMerlge, death occurted M1he time, deb end place Meted. (Signature ~d tltle) 23b. Lkxmee Number 23c. Date Signed (Monts, day, year)
artly cause d death.
Irorru 24.28 moat ba comple0ed by person 24. Time of Death r 25. Date Pronanced (MoniFr, day, year) 28. Wee Ceee Referrr-end ro~Medical ExartYnsr I Coroner for a Reason Ourer then Grertretlar a Donetlon?
h
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tl
w
o pnxatetas
ea
t. M. ~ O ^ Yes L1rra
CAUSE OF DEATH (t3ee instructlone end • ) r Appnedrrtete kdervM: Ped II: Enron oMa 28. Dfd Tobacco llae Caredhuro k Death9
Item 27. Part I: Enter the ffiOb.I~E(lOld - desesn, hk~•, a camplatlar • that drecty caused the death. DO NOT rormkral svertle each m ardac anent, r Ormet to Death but not in the undo
r dykrg auee given M Pert I. ^ Yea ^ Probably
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reep
ry arro
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. a ventr
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atbn wNfaul showing the etlobgy. UM only one auae on each Nns.
r ~~No ^ Unknown
N
r~swltlrp into ) _~ a r h l7 ~ 1 ~ ~• / ~l/C- ~ 29. H Female:
~'- ~
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( ~; r
ot pregnant within pest year
Due to a u e
N~Wt aortdtlone tl r ~ ^ Pregnant M tlrtre d death
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to awe Iferod.a Ik~ie e. b
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Due to a e
Not pregnant, but pregnant wtlhin 42 days
Ender UNDERLYMKi CAUSE ( gt / °~ ~
of death
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Iwt
re
Due to (a as
nant 43 da
s to 1
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y
year
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~ before deeM
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r ^ Unkrawn if pregnant wtlhin the pent year
30e. Wee ror Autopsy
Pafartbdy 30b. Wero Autopsy Fkbkpa
Available Prior ro Canpletbn 31,~-M,,e~~mer of Death 32a. Dale of Injury (Montle. day, year) 32b. Deeaibe Fbw Irtlury Occurred 32c. Plan of Injury: Home, Fann, Street, Factory,
of caws d l)aMh? L"td'NeAxal ^ Homidde OIAa Building. ek. (SPsoly)
^ Yet ywO ^ Yee ^ No ^ Accident ^ Pendkg Invsatlgatlon 32d. Time of Injury 32e. Irrjrry et Work'? 321. M Treraportatlon Injury (SpedyJ 32g. Locetbn of Injury (Stree4 dty / awn, state)
^ Suk~de ^ Could Not be Determined M ^ Yea ^ No ^ Driver / Oparata ^ Passenger ^ Pedestrian
Otlar - Spsdly.•
93a. CsnMer (dredt arty one)
tll
33b. SigneWre and Title of Certllror ~ ~.-•~'
• Cer
ylrq phyeldnt (Pttyelden artllykq awe of death when arrotlbr
phyalcron has pronotrtced death and carrplMSd Item 23) ~ -
~
Totlwbeatotmylorowrodps,doaMoeourteddwtotftsatres(s)aWmmrtsrssstatsd--------------------------------- ^ .
Proltotaaing end arlMykq phyeklMt (Pltyaiciert both prararaklg death end artllyklg Eo auee M datlt) 33c. Lbarroe Number 33d. Dale (Mash, day, Y•a)
To ut. bent d my IaawMdgs, deMh oaamd a< tn. tlma, data, and pica, and dw to the awe(s) and m.rtnar w etalsd_ _ _ _ _ _ _ _ _ ^
• Medlctl Exantirrer l corat.r - - - - - - - - -
o ~ 1 ~ L /~/1 /~/(
J V f SJ
On Use bsrh of examlmt(on and I a Invastlgatlon, in my opinion, dsaM ooeumd M tM tlrM, deb, and plea, and dw to Mss aws(e) and marrwr o etaead_ ^ 34. Name and Addrsee of
af,~eath (Item T / Pdrd
Disposroon Permit No. U y ~ / J l~
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LAST WILL AND TESTAMENT ~3 ~' '~r s ~-.
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I, HELEN M. STONER, of the Township of Silver Sprite `~
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County of Cumberland and Commonwealth of Pennsylvania, being""~f
sound and disposing mind, memory and understanding, do make,
publish and declare this as and for my Last Will and Testament,
hereby revoking and making void all former wills and codicils
by me at any time heretofore made.
FIRST. I order and direct that all my just debts and
funeral expenses be paid by my Executor or my Co-Executors, as
the case may be, hereinafter named, as soon as conveniently may
be done after my decease.
8ECOND. I give, devise and bequeath all the rest, residue
and remainder of my estate, real, personal and mixed,
whatsoever and wheresoever situate, unto my husband, DONALD W.
STONER, SR., absolutely and in fee simple, if he survives me.
THIRD. If, however, my husband, DONALD W. STONER, SR.,
I LAW OFFICCE~_S
MARLIN R. McCALEB
shall predecease me, then and in that event I give, devise and
bequeath all the rest, residue and remainder of my estate,
real, personal and mixed, whatsoever and wheresoever situate,
in equal shares unto my grandsons, namely: DONALD W. STONER,
III, and STEPHEN E. STONER, share and share alike, absolutely
and in fee simple, if they survive me.
Should either of my said grandsons not survive me, but
have lawful issue who survive me, then I order and direct that
the share which such deceased grandson would have received had
he survived me shall be distributed unto his said lawful issue
per stirpes, said issue to take the ancestor's share by
representation and not per capita.
LASTLY. I nominate, constitute and appoint my husband,
DONALD W. STONER, SR., Executor of this, my Last Will and
Testament, but if for any reason he shall fail to qualify as
such Executor or cease so to serve, then I nominate, constitute
and appoint my grandsons, DONALD W. STONER, III, and STEPHEN E.
STONER, Co-Executors, to serve in his place and stead, all to
serve without bond in this or any other jurisdiction.
IN WITNESS WHEREOF, I, HELEN M. STONER, have hereunto set
my hand and seal to this, my Last Will and Testament which
consists of Three (3) typewritten pages to each of which I have
affixed my signature this ~ day of ~~u-~ A.D.,
One Thousand Nine Hundred Ninety-Four (1994).
~~12~,1~'~~, ~h 7 ~, -~ ~ (SEAL)
The preceding instrument, consisting of this and two (2)
other typewritten pages, each identified by the signature of
the Testator, was on the date thereof signed, sealed, published
and declared by HELEN M. STONER, the Testator therein named, as
and for her Last Will and Testament, in the presence
I LAW (~FFICl=S
MARLIN R. McCALEB
-2-
I LAW C)FFILLS
MARLIN R. MCCALEB
of us, who, at her request, in her presence, and in the
presence of each other, have subscribed our names as witnesses
hereto.
-3-
OATI~[ OF NON-SUBSCRIBIloTG WITNESS(ES)
REGISTER OF WILLS
C lC rn /3~~~ COUNTY, PENNSYLVANIA
~`~ I - l ~ - ~~ ~..~~,
Estate of Ne%1 /,~• p~J~DrI er ,Deceased
~ior-ee~G~ ~/. 4S1~rlP./" ~' and ,
(;trek}being duly qualified according to law, depose(s) and say(s) that -~sl~/ he 1~= wasLa- well-
acquainted with ~e%1 /yl cSJv~er and am/~ familiar
with the handwriting and signature of the decedent, and that the signature of ~G/Pin n'!, ~,/a~IGT
to the foregoing instrument .purporting to be the Last Will and Testament/~~' of ~e ~n /1'1. e~~/ler-
x ~~- ~%
is in Sher own proper handwriting.
dO/ LrJi /~Q ~ e~~
(Street Address)
l-r'onfe~ac, ~~.s~s 6~ 7G 3
(City, State, Zip)
Ezecicted in Register's Office
Sworn to or affirmed and subscribed
before me this ~~~ day
of ,' ~_ ,11.7,
~~ ca~~' , . ~am~ ~--.
Deputy for R~ister of Wills
(Signature)
(Street Address)
(City, State, Zip)
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Form R N'-04 rev. 10.13.06
OATH OF SUBSCRIBING WITNESS(ES)
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REGISTER OF WILLS ~ ~ ~ -x- c7
C U fl'1 ~ ~ fZ[.~Itap COUNTY, PENNSYLVANIA `:~-~r ''' _~'~.
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Estate of ~ FL ~N ~ ST N~/
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Deceased
{~?~i~2L/~I/ ~ ~C C~~ E^~ ,~~ a subscribing witness to
(Print Na-ne/s)
the ~ Will ~ presented herewith, {c~c~r) being duly qualified according to law, depose(s) and
say(s) that .sl~e~ he /-~ey- was ~w•e~~e present and saw the above ~C-~sts~o~r /Testatrix sign the same
and that -,ate/ he ,~key~ signed the same and that ~~lie ~e~ signed as a witness at the request of
theme+~-/Testatrix in herd-lris
(Signature)
A
presenc
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(Signature) /jj,~-R L iv IP /1'1e (~L E,'~
(St-•eet Address)
(City, State, Zip)
Execacted in Register's Office
Sworn t or affirmed nd subscribed
before me is ~ day
Deputy fof I~'~gisterbf Wills
ai ~ ~ ~~i~ s-r.
(St-•eet Address)
(City, State, Zip)
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Executed out of Register's Office
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Sworn to or affirmed and subscribed = ~~ .~
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before me this l.2 /'~ day ;
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My Commission Expires: ~~w
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(Signature and Seal of Notary or other official qualified to
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administer oaths. Show date of expiration of Notary
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NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. ~ ~, o '~ ~
Form R6!%03 rev. 10.13.06
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