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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