HomeMy WebLinkAbout04-16-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of JEAN D. CROOK
also known as
COUNTY, PENNSYLVANIA
File Number pL ~ ~~~ / v,' - ~,} ~ ~',~-~
Deceased Social Security Number 171-28-5364
Petitioner(s), who is/are 18 years of age or older, apply(ies) for: ~ ~
(COMPLETE 'A' or 'B' BELOW.) ~ ~ c~ '~?
A. Probate and Grant of Letters Testam
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aver that Petitioner(s) is /are the Executor
last lk'ill of the Decedent dated January 25, 1991
and codicil(s) dated ~ r-
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(State relevant circumstances, e.g., ren:enctation, death of executor, etc.)
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xcept as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after
execution of the instrume .
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nt(~yffered ' '
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
B. Grant of Letters of Administration
~~~ uppncante, enter: c.t.a.; d.b.n.c.t.a.; pendente life; durante absentia; durante minoritate)
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Administration, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
(COMPLETE INALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
1125 Baldwin Street Mechanicsbur PA 17055
(List street address, towrdcity, township, county, state, zip code)
Decedent, then 75 years of age, died on April 5, 2010 at Messiah Village
] 00 Mt. Allen Drive Mechanicsbur PA 17055
Decedent at death owned property with estimated values as follows:
Qf domiciled in PA) All personal property $ 16 0 ~ 0 0 Q.
(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:
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:
~C~ ~ _ ~~ ~.~[J _ I William B. Crook 1125 Baldwin Street, Mechanicsburg, PA 17055
Form RN'-02 re». lOJ3.06
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 an~ruly
administer the estate according to law. n °
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Sworn to or affirmed and subscribed • ~L+~pj~,,.,•~ 8 fn ~,~,8 ` ~; ~,~~~-, _~
before me the ~ ~1
r) ~da'y(~of
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For Register
Signature of Personal
Signature of Personal Representative
Signature of Personal Representative
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File Number: ~~ - ~ ~y Uy,
Estate of JEAN D. CROOK
Deceased
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Social Security Number: 171-28-5364 Date of Death: April 5, 2010
AND NOW, ~ ~ ~ Q ~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to William B. Crook
in the above estate
and that the instrument(s) dated January 25, 1991
described in the Petition be admitted to probate and filed of recor as the last Will (and Codicil(s)) of Decedent.
FEES ~ ,, ~„~ /j
Letters $ .^ ~ Registe of Wills ' t
Short Certificate(s) ........ $ ~ , UQ Attorney Signature:
Renunciation(s) .......... $ ~ ~f • ~~
~(~)' $ ~,~ ~~ Attorney Name: Wayne M. Pecht
t~ ~' ~ y, ~~-~- ~ ~ ~ $ ~ ~ (~L Supreme Court LD. No.: 38904
... $
$ Address:
... $
... $
... $
... $
... $
TOTAL .............. $ . ~t~o-
Telephone:
1205 Manor Drive
Suite 200
Mechanicsburg, PA 17055
717-691-9808
Form R6t'-02 rev. 10.13.06 Page 2 Of 2
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LOGAL REGISTRAR'S CERTlFi+CATIC)N Gi= EATR
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Ht06-143 REV 172006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
ttPE / PRINT IN
PBIACKNNKT CERTIFICATE OF DEATH
(See instructions and examples on reverse) c7nrc Fn F tiI naA~o
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r. Name or Uttedea (rug, mdse, fazL sumxl 2. Sez 3. Serial SeculsY Number d Dare of Deatn (Month
d
Female
171 - 28 - 5364 ,
ay, year)
Argil 5, 2010
5. Age (Last BinMay) Under 1 year Unal t day 6. Dale of BiM (MOnlh, day, year) 7. Birthplace (City and gale a for
H ego country) B e. Place of Dearh (Cnea only one)
ooper Dayz Hours wMnes HoSplal:
er
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75 Yrs. September 27 1934 Harrisburg, PA ^lnpanent ^ERlONpa00n1 ^DOA CJ Numng Home ^Resitlence ^plner. Specif
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ounty o
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&. City, Boro, Trp. of Death gd. Faaliry Name (If rat inSUtulicn. gbe greet and number) 9. Was Decedent a FFspani< iJrign? ®No ^Yes t0
Race: Ameri
F
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can
lan, BWCh, White. etc.
I ~ • gl yes. spacgy adan. (spersM
Cumberland
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Mecican, Puerto Rican, etc.) White
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11. Decedents Usual Occu tqn (Kktl of wale none dui most °I Iqe. Do rid stale retire t2. Was Decedent ever in the 13. Decedent's Educe (Specify Dory highest grade compleletl) 77. Marital Status: Mametl. Never Married 15
Sumving Sparser (d vot
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win d Wod Kmd of Business I Irdugry
U.S. Armed Forces?
Elementary I Secondary (0-12)
College (7-4 or Sal ,
Widowed, Divorced ISpecihi .
e, g
ve ma
en reme)
Homemaker Own Home ^Ve5 ~I° 12 Married William B, Crook
16. Decedent's Marling Andes (Street, city I town, sate, zp codel Dlxedem's Did Decedent
Atlual Resitlence I7a. Slate Pennsvlvania Llve in a
1125 Baldwin Street
„°. ^ YeS. Da°aden, ~yed,n
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Mechanicsburg, PA 17055 ,7b. ca,nty Cumberland ,7a. ~ ~ ~~ ~~~ Mechanicsburg
CM / Bao
t0. Famm's Name (First, mdde, lag. wtlh( t9. Homer's Name (First, midrAe, maiden surname)
c A Wri htstone Mildred E. Blose
20a. Inlormant's Name (Type /Print) 20h. IMOmanl's Maikg Atldess (SVeeL city / Iavn, swe, zp code)
William B. Crook 1125 Baldwin Street Mechanicsburg, PA 17055
21 a. Metlrotl of Dspogkon ^ Crematon ^ Donakm 21 b. Date of DispOglion (Month. day, year) 21c. Platt of D'aposilion (Name of cemetery, crematory a other phce) 21 d. Laal~n (City! Town, state, zip aide)
® Burial ^ Removal from SUte
Waz Cremation or Donation Aulhodttd
^ Omer-Speci/y: h'NedkN Examiner/C«IKIer7 ^Yes^Np Aril 9 2010 Mechanicsb Cemetery Mechanicsburg, PA
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22a. cal Se
en a (« person aarlq as such) 22b. LicetKe Number 22c. Name and Adtress d Facility 8 Market Plaza Way
- F'0 - 014889 Malpezzi Funeral Home Mechanicsburg, PA 17055
23ac Dory carlifyuig 23a. To me beg a my krwwledge, deem oaurcea al the hoe. tlate and pace slated. (SgnaNre antl title) 230
Ucerse N
b
physioar, a rid avalebk et 6me of deem to -
um
er
23c. Dale Slgned (MOnlh. daY. Year)
awry Dose M d.am.
hams 2d-26 muss Da canpktetl by persm
who plawurlas Beam 2<_ irta of Deem
'7
/ 26. wle Pronounced Dead (M°Mn, day, year)
h ` 26. Was Case Pelerred k Medial Examirer I Coroner kx a Reason Omer Ivan Cremator or Donator?
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,-/ /l ^ Vas ~Na
CAU
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E OF DEA7H (Sea Inavuctbns antl xamplea)
s Appmnmate interval:
Item 27. Pan 1: Enter the drain °1 events - tllseeses, irqunes, a c°mpkcatkxa -plat dreNry Caused hIe earn. W NOT mt« terminal evens such az aNiac artesd Pad ll: E«er other goo fianl andNans coq I deem, 26. Dq Tobacco Use CmlrioNe to Deam?
, Onset ro Deem
respiratory arcesL or ventrcular fibgWka widvzd shovnng the edoksgy tut Doty one cause an each line. bN rot regatng in me urnenykq ease grvan in Pan I. ^Yes ^ Probaply
INNEDIATE CAUSE Fkal disease a
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^ No Qllnknpwn
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on resuhay in am) _,~ J/ L ~v
( Yes•-~~/~(L~~ .~(/2 S /'yCa riwrA.c 29 tl Female:
Due to (a az a consepuerKe -~
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~NOI We9nant wilnin pa51 year
$eguentklhY list Caldllerl5, a any, b, l_. ~ . `
laednq b me aua fvsled M Ore a.
7, Jc-~ ^ Pragwq aI ume d Ham
Due to (or es a off:
Enter the UNDERLYING CAUSE consequence
^ Na pregranl, der pregnant wglgn 42 days
(45ease a injury Val initialed me
events resuhing in tleatn( LAS7. c d earn
Due 1° (or. as a ansequence ol): ^ Not preganl, WI pregnant d3 days to t year
d. ~ alas deem
^ lMkatwn it pregnant whole me past year
- 30a. Was an ANOpry 30b. Were Autopsy F drga 31. Manner a Deam 72a. Dale d Ilqury (Month. day, year) 32b. Desa6e How Inury Ocarted
Pedormed? Available Prkr b Cortipletion 32c. Place d In ay
IaY: Hans, Farm, SIreeI, Facl
of Cause of Deam7 ~Wtural ^ Harnkide Ohice BNk1gg, nc. /Specyry)
^ Yes ~NO
'' ^ Vas ^ No ^ Arndent ^ Pending Investgation 32tl. Tine of lnryry. ffie. Injury ar WoA7 321. N Trensponation Inury (Sp~M 32g. L«aticn of lnjuN 19ree1. city ! town, gate)
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~~~~~~ ^ Suidde ^ CaAd Na be Detemlined ^ Ve5 ^ No ^ Omer /Operator ^ Passergel ^Pedeslnan
M ^omer-seedy
33a. CeNf r (neck only one)
33b. ' na I fie, ..._
Cenilying phyakian (Physidan cedgying Huse a dean when andher
' physician has prorpunce0 death and canpkled hem 23) •
To the heal al my knowledge.deem«curted deem We ause(s)and mann«as 5bted------------------------------ --
• PronOenting and ttrtilying physklen (Physidan bah pmwuncing death end Ceni
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To tM hot of my Ivlowkdge, dnlh acarctl at the time, date, and plea, and due to VIe cause(s) and manner as atated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^
• MWlal Eaeminerlmormer 33c~ Number
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On Ile basis of eaa Uon and / or Investigation, in my opinion, death ocMrld at tM lima, dale, aM place, and due m the cause(s) end manner as slated_ ^ /
34. Name an
d Adtlress of P«sm Canpleletl Cans) d DeaV~,{u
¢ Typa / Prml
271
36. R ' I Lure and Dlst ~ m Fil
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LAST WILL AND TESTAMEhTT `',~ ~ ~ `
OF --- :~::~ tr _
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JEAN D. CROOK ~- `='`[~ ~'? ;'
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I, JEAN D. CROOK, having my legal residence at 1].25 ca ``'
Baldwin Street, Mechanicsburg, Cumberland Ccunty,
Commonwealth of Pennsylvania, do hereby declare this to be
my Last Will and Testament, revoking all other Wills and
Codicils heretofore made by me.
ITEM ONE: I direct that the expenses of n~~r
last illness and funeral be paid from my estate as soon as
practicahlP after my death.
ITEM TWO: I give my Mellon Bank Corporation,
Series A, Preferred Stock presently consisting o{ l29 shares
and my Mellon Bank Corporation Common Stock presently
consisting of 323 shares to my daughter, LINDA JEAN CROOK.
ITFM THREE: All the residue of my estate I give
to my husband, WILLIAM B. CROOK, if he survives me for a
period of thirty (30) days. If he does not so survive me, I
give said residue to my daughter, LINDA JEAN CROOK, or her
issue, per stirpes.
ITEM FOUR: If both WILLIAM and LINDA
predecease me, anal LINDA leaves roc issue (whether born or
adopted), to survive my death, I give the residue of my
Estate to ELIZABETHTOWN COLLEGE, Elizabethtown,
Pennsylvania. The principal of the gift is to be held as
an endowment, with the income therefrom to be used to fund
scholarships for students pursuing a degree in the
Department of Education cf the College. I intend that the
scholarships be used to assist students who are in financial
need and who display academic excellence in the Department
of Education. The selection of the scholarship recipients
shall be based upon the recommendation of the faculty
members of the Department of Education. Benefit; from the
schc>larship may be used to assist a particular student
through his or her entire course or term of years at
Elizabethtown College but the selection of the recipient
shall be undertaken upon an annual basis. This gift is mace
in memory of Linda Jean Crook and should be known as the
"Linda Jean Crook Scholarship Fund". If, at any time, the
income cannot practically be expended for the purpose
described in this paragraph, the income is to be used to
further the objectives and purposes of the college.
ITEM FIVE: AlI estate, inheritance, succession
and other death taxes, imposed or payable by reason of my
death, and interest and penalties thereon, with respect to
all property comprising my gross estate for death tax
purposes, whether or not such property passes under this
Will, shall be paid out of the principal of my general
estate, as if. such taxes were administration expenses,
without apportionment. or right of reimbursement. I
authorize my legal representatives to pay all sur..h taxes at
such time or times as may be deemed advisable.
ITEM SIX: I appoint my husband, WILLIAM B.
CROOK, Executor of this Will and direct that he be permitted
to serve without bond and without any intervention of anv
court except as required by law. I authorize my y
Executor to sell, encumber, mortgage, invest, distribute in
kind, or retain any items of property of my estate in such
manner as he shall deem proper, limited only by his own
discretion. If for any reason my Executor appointed under
this Will should fail to serve in that capacity, I appoint
my daughter, LINDA JEAN CROOK, my Executrix with the same
powers and privileges set forth above. If LINDA JEAN CROOK
should fail to serve in that capacity, I appoint
Commonwealth National Bank, a Mellon Bank, Harrisburg,
Pennsylvania, as the Executor of my Estate.
IN WITNESS WHEREOF, I have at Hershey, Pennsylvania,
this ~~ ' day of January, 1991 set my hand and seal to
this, my Last Rill and Testament consisting of (4) pages
including the acknowledgement..
C.~,i 6~`~ ~sr_.r~,~ ( SEAL )
SIGNED, sealed, published and declared by JEAN D.
CROOK, the above named Testatrix, as and for her Last Wiil
and Testament, in the presence of us, who, at her request,
in her presence and in the presence of each other, have
hereunto subscribed our names as witnesses.
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ACKNOWLEDGEMENT
We, JEAN D. CROOK, ~,~~~ ~.,1' ~. /,~~'.%J~~,y/____ and
~o ~-~ pS~ the Testatrix and the witnesses,
respectively, whose names are signed to the attached cr
foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the Testatrix
signed and executed tree instrument as her Last Will and that
she had signed willingly (or willingly directed another to
sign for her), and that she executed it as her free and
voluntary act for the purposes therein expressed, and that
each of the witnesses, in the presence and hearing of the
Testatrix, signed the Will as witnesses and that to the best
of their knowledge the Testatrix was at that time eighteen
years of age or of-der, of sound mind and under no constraint
or undue influence.
„~ ,
i TESTP.TRIX
`1 ~~G~~~
/ WITNESS
ti
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WITNE
Subscribed, sworn to and acknowledged before me by JEAN
D. CROOK, the Testatrix, and subscr-i-bye--d~ ar~d sworn to before
me by ~•.)~ r'~.~% ~ • ~~~ ; !)~-;~,J and J ~ r-~ f }. ~~o S ~---~_
witnesses, this 2:i day of January, 1991.
(SEFiL 1 ~ ~e rx.~/c:.•~-
_._._~
NOTARY PUBLIC
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