HomeMy WebLinkAbout04-07-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Lucille S. Edwards
also known as
Deceased
William D. Edwards
Social Security Number 446-09-5292
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE `A' or `8' BELOW.•)
Q A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor named in the
last Will of the Decedent dated 07/22/1998 and codicil(s) dated
~ ~
,~
(State relevant circumstance , e.g., renuncia n, dea 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
app ica e, en er: c..a.; .n.c..a.; pe en e ~ e; uran e a en ia; urante m~non a e
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.)
Name Relationship Residence
William D. Edwards Son 3709 Falkstone Driv
Mechanicsburg, PA i° ::; Y:,:
Thomas L. Edwards Son CR Route `v ~ ~ r:. ->
~.,
Castroville TX =~ -~ ~° ~ ~N' ``~
~ v ~~
c ~
~.
~-~-
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. `' ~ " -~ '
-4;,: -~
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal resid
3709 Falkstone Drive, Mechanicsburg, PA 17050 ""' ~"
(List street address, town/city, township, county, state, zip code) ~
Decedent, then $$ years of age, died on 02/16/2010
at Messiah Village, Mechanicsburg, PA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $
(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:
135,000.00
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:
Signature Typed or printed name and residence
William D. Edwards 3709 Falkstone Drive
~,~i j'/~ ,,/~ ~,~~f-~j~ ..,,- _, Mechanicsburg, PA 17050
Form
K9V. 7 U-7 J-L000
COUNTY, PENNSYLVANIA
File Number 21 - 10 d3~
Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 1 of 2
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.
Sworn to or affirmled and subscribed
before me this ~,1~~ day of
l ~U
For the Register
Signature of Personal Representative
Signature of Personal Representative
File Number: 21 - 10 - ~.tpq
Estate of Lucille S. Edwards ,Deceased
Social Security Number: 446-09-5292 rrtt Date of Death: 02/16/2010
AND NOW, o(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 D. Edwards r.a
,~
and that the instrument(s) dated 07/22/1998
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............................................ $ ~(l1 C~ ~C~V
Short Certificate(s) ........................ $ ~ , ~~
Renunciation(s) ............................. $
~C~ $ ~:s~
TOTAL .................................... $ ~~ ~ I ~ ~J ZJ'
in the
~ ~ ~~-_ ;w i
~..
C~
"~ ' ~ ~ ~-~
~ ~,~,
,~-.~ %7
Supreme Court I.D. No.: 17225
Address: 525 North 12th Street
Lemoyne, PA 17043
Telephone: 717/761-5361
Form RW-~2 Rev. 10-13-2006
Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2
•.n~~w~~~ v. ~uwa~ua
Attorney Name: Samuel L. Andes
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_ 16244388
Certification Number
a. G a ~' .fir
YV ~ ,
Local Registrar Date Issued
_. _~ W_ _ .._ ~_ ~ _______ _ _ _ _._._.__ _ _ _ _.___. __ __ rr~
______. ___.._, •,•,a„ l
~ ~ ~` ,
~~ , ~
C3 p~ -
~t3~ _' T 3
~ ~ ~„~j
,~,,,~ W ."`"' ~~
"t°s-t43 REV ttrz°°6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ ~"" Y ~
TYPE /PRINT IN ~'
Pf3ELA~CKNIENK CERTIFICATE OF DEATH
(See instructions and examples on reverse) STATE FILE NUMBER
t. Name d Decedent (Post, middle, last, wlfor) _
Lucille S . Edwards 2 Femal 3 446 N 09 -5292 4 02/ 6%ZOj 0y. year)
s. Age (fast Birthday) under 1 year under t daY 6. Date d Bits (Manor, Oay, year) 7. &
rmpleca (City and stile « foreign ~ntM Ba. Place of Deem (Check only one)
Mawr Days Fours Mrxps Fbapdsl: ghat:
88 Yrs. 10 / 8 / 19 21 Morris, OK ^ lnpatied ^ ER /Outpatient ^ DOA [~ Nursing Home ^ Residence ^Other -Specify:
8b. CDUnry d Death &. Ciry, B«o. Twp. d Death Bd. Facitinj Name (If nd ins8tugon. give sdeel and nrnber) 9. Was Decedent d H' ~
• spank Origin • [~ fVo ^ Yes 10 Race: American Indian, Black. White. etc.
Cumberland Upper Allen ~ (K yea,apearycDban. (
2 i 1 Mexiean. Puerto Rican. eb.> White
11. Decxka's Uswl ton Kind a work done ~ most d Ne. Do nd pate t2. Was Decadent ever in the 13. Decedents Education 'ry tiny highest Wade competed) 14. Marital Sdtw: Married, Never AAartied. 15. Surviving Spouse (If wife, give maiden name)
Kid d Wank Kird d Business / Ndtntry U.S. Armed Forces? Elementary /Secondary (412) College (1-4 a St) Wdaved, Divorced (Specif»
f f icer De t ^ Yes ®~ 1 Widowed
• 18. Decedents Mafwg Address (Brest. aM /town, slate. zp code) Decedents Did Decedent
3709 Falkstone Drive Aaud Reside t7a. Bata Pennsylvania uve in a Upper. Allen
TowrWtip? 17c. ®Yes, Decedent lived b Twp
Mechanicsburg, PA 17050 t?~. c«,ay Cu(nberland , 7a. ^ No, Decedera t.;vad wink,
Acnu1 Limis a Gry / 6«0
18. FaMSr's Name (First, middle, last. srAfix) 19. Moefsr's Name (First, midAa, rroiden sumams)
Theodore Starr Eva Morris
20a. Irtlonrbm's Name (Type / Pdnq 20b. lnbrmenYs Mai' Address Street
ng ( city / own, stets, vP code)
William Edwards 3709 Falkstone Dr. Mechanicsburg, PA 17050
21 a. Mvet7nad d D'epoagfon ~ ^ Gef11ipg1 ^ p« 21 b. Date a Disposroon (Moron, day. yeu) 21 c. Placed '
• pU f3uia ^ Removal boor Bute f two Crente6on or Dora6ort Authorised (Name d cemdsry, crematory «aher place) 21d t.ocation (Ciy sown. pate. xip coda)
• ^ ~ ~r / c«orNn ^ Yea ^ ND 2 / 20 / 2010 Tri County Memorial Gardens Lewi sberry, PA 173 3 9
_ ~« w~) zffi. Luse 6Asrber 2ze. Name and Address d Fsclity Net Etilllera Home, C
~ FD 013239 L 3401 Market St. Camp Hill, PA 17011
Co'r'peb onN artifylrg 23a. To are hap d my krrowAedps, deatlt acaxred r dre lore, dap and plaro aided. (Sigrxture era tills) 23b. l.icanse Number
fAm~ ~ avaiabk ffi Lime a death b 23c. DaU Signed (ktonm, day. rear)
aNry d death
pMS 24.26 mud be Corttpbted by person 24. Tana a Death 25. Dots Pr«brsx~ed peed (hbrwr, day. year) 28. Was Case Referred b Medical Examiner / Caronsr for a Reason Other than Cremation « Donation?
who pranasras dnlh. c 1.
. M. ` ~ U' ~ ~ ^ Yea ~No
CAUSE OF DEATH (See Instructlons and examples) r Appmxkrete interval: pad tl: Eder other
hem 27. Pad I: Eraer the ~ d evWa -diseases, inluriss, «oonpicatiau - tlrl dkxtly csuesd Ole tleam. DO NOT ante MmnrW averse sudt as cardiae anesL r 28. Did Tabaoco flee Contribute b Death?
raepkabry arrest. «verWicular ~rilaton wiebU ahowig the atidogy. Lip aNy one otue on each ins. r OrrN b Deatlr but nd rawking o dre undeAykp cause given n Pan I. [~ Yes ^ Probably
fYMED1ATE CAUSE (Fknl dweaes «
r [t~-Ifi ^ llavgwn ~
rblldai0rl reauMkq;, death) .~, a. ~ ~`hQ,J r ry1017•f1i1s ~ h %1 6~
r 29. N Femab:
Due to (« ac a consequence oQ, r ~~ ~~ wiUMn ~ Y~
Sequsrttially id cnnl6liors, d any, /~ / r
Iy~rq b tlN CauN fated en ire a. b' ~~tr/e~ ~'G I~yLU C-Lo rYILF ~ {~ ~~~~ /11E,~„s L [ f~i ^ P'~m at dme d death
EnNr fiu LAIDEp~ypq CA(ISE Due to (« as a o«Mequar~e rn/. r
• ~flg~ 1d~Bam~ c. ; ~ ^ Not pregnant, but p•9rwd within 42 days
d death
Due b (« as a oasequena oQ: r ^ Nd pregnea, but ys Y
• d. i pregrwnt 43 da b 1 ear
r bebrs deaM
30a. Was an Aubpsy J00. Were Auxrpay FaxFgs 31. Marwrer d Oam 32a. DMe d I ^ lJnkrbvel d pregrsrx widn dre pW year
Pedorrnad? Avaiabla Prior b n)ury (Monts, day, year) 326. Deacdbe How Inpxy Ocaned
COn~°n ~ . /d ^ ~ 32c. Plecs a kyury: Fbms. Farm, Brest, FaGary.
d cause d Death? LSJ~r office Building, ek. (Specify/
^ vas lsd'~ ^ ygy ~ ^ Arxident ^ Pendalg Irwestigation 32d tans d h1u7 32e. Iry«y at Work? 321. M Transportati«l Injuy (Spsalyl 32g. l.oeation d Injury (Street. dry /sown. state)
^ saicide ^ Ca,kf Na a Dalenrtinad ^ y~ ^ ~ ^ Dmror / 0(>arat« ^ Passenger ^Pedepr;an
M. ~~ _ SPAY
J3a. Certifier (aleck ady one)
• ~htng WlrkWn (Physidan cerUying auae d deem when anatsr prypdan nos prorrotarced dean, arxi ~• 5gnature and Tide a Cenrwr
7o tlw best of my knoaesdgs, dedh omxrW due to the eau conpbled Vern 231
' Pro^01°~nY aM anlfyMp PhYsklan (Phypcian bah as(s) and roamer es sated. - _ - - _ -
prornlxx:ing deem and certifying b caws ddean,) - - - - - - - - - - - - - - - - - - - - - - - - -
~ To ttre best d my knowMUge. lath occurred at the time, dace, and plea, end due b tls
33c. License 33d. Das Signed (khan. da
`~' Madiat Bx.minr / caorter auaa(a) and roamer as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ M ~/ ,cam ~1 y. year)
w On tM basis d enminetion and / or Investigation, in my opinion, dedh eocurrW at tM time, deal, and , , /~ `7 ~ ~ ~:J !/°t - ~ ~P ~ ~ ~ ~
o pea, and due b tM eauaa(s) and roamer as sMted_ ^
3+. Name and Address a Person Wtp Cornplated Caws d Death (hem 27) Type ! Prva
~ ~ ~ bet 36. Dada Fibd (Harm, d^ ,year) / .Si4~'L.4~/ /l/bry2~ ~9--iC ,S H ~'YI D
C. L~ I . I a I ! { v`Z I ~~'r T+ 'y ! iao r» T ~-c-t~.~ ,ati- urn
.. Diapoaition Pemlil No. C ~ ~J~~~
. ---
.
WILL
OF
LUCILLE S. EDWARDS
e r _.
~'" ~"
l .~V
~
M.~ A ~- ~
„~_~7J •~M~
~
~ ..
....
7~ "'
+~.
I, LUCILLE S. EDWARDS, of the Borough of Lemoyne, Cumberland County,
:"
k I
1..,;' J
iwi~ ~ ~~
C~' 4 .
~~ ~
~,.
r~~'~ ~~
~:~~ ~
Pennsylvania, declare this to be my last will and revoke any will previously made by me.
ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker
and all expenses of my last illness, and any and all taxes and assessments imposed by any
governmental body as a result of my death, whether on property passing under this will or
otherwise, shall be paid from my residuary estate as soon as practicable after my decease as
apart of the expense of the administration of my estate.
ITEM II. I give, devise, and bequeath all of my possessions and estate of every nature
end wherever situate to my husband, LOUIS S. EDWARDS, JR., provided he survives my
death by sixty (60) days.
~ ITEM II1. Should my said husband predecease me or be deceased on the sixty-first
day after my death, I give, devise, and bequeath all of my possessions and estate of every
nature and wherever situate to such of my issue, per stirpes, as survive my death by sixty
(60) days. For purposes of my will, my issue shall not include Tanner Edwards, born
October 19, 1997, or any of his issue, despite the fact that he was adopted by my son,
WILLIAM D. EDWARDS, it being my express intention that Tanner Edwards and his issue not
share in my estate.
ITEM Irv". I appoint my Husband, LOUIS S. ED!-ti~ARJS, JR., executor of this my Iasi
will. Should my said husband predecease me or otherwise fail to qualify or cease to serve
as executor of this my last will, I appoint my son, WILLIAM D. EDWARDS, executor of this
my last will.
ITEM V. All of the interests of the beneficiaries hereunder shall not be subject to
anticipation or to voluntary or involuntary alienation nor shall they be subject to any
xecution or attachment.
Page 1 of 4
_.,.
~.
r r~ ...
ITEM VI. In addition to the other powers and authorities granted to my personal
representative by Pennsylvania Law and by the other terms and provisions of this will, I
hereby give to my personal representative the following powers and authorities effective
without court approval and until actual distribution of all property: to compromise any claim
or controversy; to make distribution in cash or in kind, or partly in cash and partly in kind,
and in such manner as my personal representative may determine and at valuations finally to
be fixed by them; to invest in all forms of property, including any stock or other securities in
any corporate fiduciary or its successor without restriction to investments authorized for
Pennsylvania fiduciaries, as my personal representative deems proper, without regard to any
principle of risk or diversification; to retain any or all assets of my estate, real or personal,
without regard to any principle of risk or diversification; to sell at public or private sale, to
exchange, or to lease for any period of time, any real or personal property and to give
options for sales, exchanges, or leases, for such prices and upon such terms or conditions as
personal representative deems proper; and to allocate receipts and expenses to principal
for income or partly to each as my personal representatives deem proper in their sole
(discretion.
ITEM VII. I direct that my personal representatives and fiduciaries shall not be
required to give bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand this ~ day of
~' 1998.
~'
~,? , ~l
C_ CI LE S. E AR S
Page 2 of 4
I I
• -~
..~
~~
Y
e s .. .
The preceding instrument, consisting of this and two other typewritten pages, each
identified by the signature of the testatrix was on the date thereof signed, published, and
declared by LUCILLE S. EDWARDS, the testatrix therein named, as and for her last will, in
the presence of us, who at her request, in her presence, and in the presence of each other,
have subscribed our names as witnesses hereto.
Samuel L. Andes
4
~~
Amy Rosell
Page 3 of 4
, .r
•
~ .~
' ~ •
;OMMONWEALTH OF PENNSYLVANIA )
( SS..
:OUNTY OF CUMBERLAND )
The undersigned, being the testatrix whose name is signed to the attached or foregoing
~strument, having been duly qualified according to law, does hereby acknowledge that 1 signed and
executed the foregoing instrument as my last will, that I signed it willingly; and that I signed it as my
ree and voluntary act for the purposes therein expressed.
>worn or affirmed to and acknowledged
Before me by the testatrix named above
hip ~~~'~ day of ~'u~y 1998.
,~'
/` ~
LU L S. EDWARD `
-- ~~ ~~ public
to ry u bl i c LYNN EHREN t~tY-~~d ~n
Lerr-ayne goro. es ~g.17
~.y ~ommission Explr
OMMONWEALTH OF PENNSYLVANIA )
1 SS..
OUNTY OF CUMBERLAND )
WE, SAMUEL L. ANDES and AMY ROSELLI, the witnesses whose names are signed to the
attached or foregoing instrument, being duly qualified according to law, do depose and say that we
ere present and saw the testatrix sign and execute the instrument as her last will; that she signed it
willingly and that she executed it as her free and voluntary act for the purposes therein expressed;
hat 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 testator was at that time 18 or more years of age, of sound mind, and
under no constraint or undue influence.
Samue L. Andes
~~~
Sworn or affirmed to and Amy Rosell
acknowledged before me this
Z2 N~ day of ~ u L y 1998.
ota r~ y'Pu b l is ~p~pt1A~- ~~y public
~t~• ~ Goun
l'Yti~ ~ ~ . Cum 17.2
t.~m~ ~,~1rea A~-9
~ ~~igsion
Page 4 of 4