HomeMy WebLinkAbout04-13-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF COUNTY, PENNSYLVANIA
Estate of " ~ G L ~~ e. L~ File Number ~~~ ~O _ ~~ 1V
also known as
,Deceased Social Security Number ~~~ ^ ~ ~. `• 202
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
'~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~~C(it j ~,.,,. named in the
last Will of the Decedent dated 9' 3 - /°I ~f~ and codicil(s) dated
(State relevant circumstances, e.g., renccnciation, death of executor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom 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
(Ifappficable, enter.• c. t. n.; d.b.n.c.t.a.; pendente life; durante absentia; dtrrante mirtoritnte)
IV
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followi~s~ouse (if an~and heirs:
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Administration, c. t. a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) _._.
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Name Relationshi • l~~si
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~ (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~ ,~- "-''~~ ~~
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Decedent was domiciled at death in ~l/!/~~e: /(-Gpr'® Count ,Pennsylvania with his /her last principal residence at G~~ y£~
(List sb•eet address, town/city, township, counh~, state, zip co~de)7
Decedent, then ~ years of age, died on/,(~ - .Z Q',20/ ~ at~~j ~~ £ ~ L ~ L~ i v~ U ~E w i' E'~'~- C'~~~' f.J,'C~ /~~
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:
$ ~ (JG~ vy
$,
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Signature Typed or printed name and residence
Form R6V-U? rev. !0.13.06 Page 1 of 2
Oath of Personal Representatiti~e
CO~,I~ION'~~"1=_-~LTFi GF PE~iNSY"LV:~VIA
COUNTY of
SS
The Petitioner(s) above-named swear(s) or affitni(s) that the statements in the foregoing Petition are true and con~ect to the best of
the knowledge and beliefof P~titioner(sl at:d that, a; personal representative(s) of the Decedent, Petitioner(s) swill well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed .~~~
.- ~
before me the day of ~ ' jPcJ ii.Tl Rzpresentnrive
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i'` Si;n~~:ure ojPe~sonal Rzpres~r:rntive '~'~ ~ ~ < ~'
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For the Register Sig,tnt:u•2ojPersonalRzpr•esentarive ~
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File Number:
~ ~ _ ~ ~ ~' ~~~ 3 ~ -~ ~
Estate of ~pN~ ~,~~~' ,Deceased .
Social Security Number: ~~~~ ~ ~ J ~~lOla Date of Death:~~lo~,C:~ i `~
AND IvOW ~ ~ ~ , c~C.~I U , in consideration of the foregoing Petition, satisfactory proof '
having been presented before me, IT IS DECREED that Letters
are hereby granted to C1s~.~;.. ~ ~~
r~ ~~v .
__ in the above estate
and that the instrument(s) dated ~ ~-$ r
described in the 1'etitioil be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ......... ...... $ y,' -~~
Short Certificate(s) ........ $ 4-~
Renunciation(s) .. ........ $
C.tI" ... $
~" l~
--~,
... ~
... $
... S
... $
... ~
... ~
TOTAL ...... ........ ~~
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Register of Wills ~,
Attorney Signature: `~~~
Attorney Name: _ _
Supreme Court I.D. No.:
Address:
Telephone:
r„r,,,,4iv.a~ ,~~. ~v.l,.u,~ Page 2 of 2
ILOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph., ,
Fee for this certificate, $Ei.(1O
P ~~~~7~~2--
Certification 1~Iumhe~r
!us t~3 REV tt 2006
TYPE aRINT IN
PERMANENT
au~ k !NK
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 ,p~^ermanent filing.
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~"• _ ~al ~gistra ~~ ~~ ~` Date Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS '' ~~ .~
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CERTIFICATE OF DEATH ~..,~; ,-~, .
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(See instructions and examples on reverse) ..____ _.. _ _..._.___ _._ ~'.~ ~
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t Narrte d Decease IFust, m~dda, last. suMtk) 2 Sex 7 SaW $ecurHy NurnOer - -- - 4. -,. ~ v (Month, may, yey) .,~:~ ~~
Flo d A. Becker Male 311 - 12 - 5766 ' Mr~h 20, ~0 r:',~ rrt1
5. Ape Ilast Brnhdayl Under t year Under 1 day 6. Date al Berth (Month. day. year) 7 &rtltplace ICity and slaw a fora country) 6a Plea of Death ():heck Doty oMl ~; .
swnou o.y. Mows rwaaaa Mospdat. CMar: ~
91 Yrs. Jan . 2 3 , 1919 T e 11 City , I N ^ lnpatrrn ^ ER / Outpataant ^ DOA ®Nursuq Hang ^ Re:rdence - $peMy
tb Counry of Death 8c. Cary, t3ao. w of DeaN 80. Facrkty Name IN na .nsktutan, yrve sues! and number) 9. Was Decedent of HispanK Ortgut? ®WO ^ Yes 10. Rice-. Amercyt HtAarr BUU. WMe. etc.
Cumberland East Pennsboro Golden Living Center Iltyee.epeatycuDan.
Me><rcan. Puerto Rican, etc.) ( White
11. DecaWni s Usual Oct trop :Kula of work done d un most of ~ lde. Do rat stMe retiretll 12. Was Decedent ever m tM 1 3. Decedent's Educatan (Spenty only hrgnest grade cotnp letedl 14
Manta) Status
Manned
Never M
nn
d 15
S
S If
A
Kind of Work
Kua d Busurss ~ lttdustry
U.S. Armed Forces?
Elementary r Secondary (0-12)
Cdlege 11-4 a 5+) .
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e
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Widowed. Drvaad (Speay) .
urvrvmg
pouse (
w
e, prve matter! nartr)
Salesman Uniro al Inc. ®rea ^No 12 Widowed
t6 DecWwtYS MarMtg Address (Street. crry town. ;tare. zp code) Decedent's Da Decedent
46 Erford Road AdualReertNrae na.Slate Pennsylvania ~~.v,a ,~~ ~$] Ya,DeceWalrvedut F.aat P nne:bo o Twp,
Camp Hill
PA 17011 TownsMp~
,70. county C aTnh nand t?d ^ ~ awd w4ha
, Coy/tbro
t6 Fathers Name !Ernst, roads, last. sotto) t9 Modrar~s Name )Post, ntadb. ntaden wntarnel
Walter H. Becker Grace T. Moore '
20a. Infamam s Nartr (Type Print) 20b Informant's MaJinp Adaess IStrat. dry ~ taun, state. zro coast
Mr. Jeffre E. Becker 1015 Swarthmore Street, New Cumberland, PA 17070
21a Method of O~sposrtan ®Cremauon ^ DonaOOn
^ Bunar ^ Removal Irom State !
- _ 210. Dale of Daposr0on !Month, day, year) 2tc PWce of pspoauon INarna d cemetery, crematory or other place! ltd. Locaton IC4y town, state, zp code)
Wa Ctereetiort « Dares Autlariaed
^ Omer-Spe~ayy : OyNedkalE:aptltrr,Ce.otrrl Yes^No March 23, 2010 Cremation Society of PA Harrisburg, PA 17109
22a Sgna unerarServCeLKMSee1 adetgas ) 22b.L¢enseNwnWn 22c.NanrandAddressofFacddy Auer Cremation Services of Pennsylvania
Inc
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FD-010694-L ,
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4100 Jonestown Road Harrisbur PA 17109
Cornpiete Hams 23at Dray wrrrt cerOiYUy 23a To tM oast of my krawledge. th occ ar dr !lens, date and prate sW ISgnatwe and until 23D laense Numper 23c. Date SgnW IMOnth. Day
year)
pnYSaran rs nor avaaaae at unw of WiN a
cemry ,:awe d seam '] ~ ,,~,~ ~
~,j'')~l/ (~Yl- i~
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Items 24.26 mwt a campteted by person
wnp lxona,rres dWh 24 Tune of Deam
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/ 25 Dale Pr Dead ,day, year) 26. Was Case Relerred to Medal Examiner - Coroner fa a Reason lDtMr roan C:ematan a Donation?
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O , 3 ~ .?O ~ (/ ^ Yes ®No
CAUSE OF DEATH (Slee instruetione and examples- r Appro>umate ~nwnar
!rem 27 Part t. Enrr tM telul d events - oGSeases. uyurrs, or cartpaptans - Urt dreu'ay caused tlr r1eaM. DO NOT amen terminal evsrHS such as prdriC arrest Pan n: Enter other ~nda?nt ;oMition~ contr?ati: p e am. 28 Did ToDaow Use Cbntr!yxae b Dea7t'+
. r Onset to Death
re5ptalOry arrest. or venvw;ular fiargabtn wrCgW Hr Ust r
ShbwNlp ebobgy ohM' oM ease on each Ikr, bw rat res~nnng n tM urtdertystg pose van a Pan i.
q Yes
^ ^ PrppiplY
IYYEOUITE CAUSE FrraY disease a t
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rnndbon nwronp a
) -~- a Y /~ ~ ~//~ e ~ `\ i C ~ v ~
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~ 29 II Female
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Dwtolaasa
consepwnce oft: ` pp }.. ;
Segwnneuy ust candarorts, .t arty. b, -e •~ „~ f } "~{ f ~ ,~ y / ~ ~ ( C /'^ ~ 1 / ' '~ t ~ e /.1
~warg b dr pose kslW on 6ne a. r
D ~ ^ Na pregrrK wdMt past Nan
^ Prtrpnartt ar trtr d Worm
w to Ia as a conseQwnu Dry: r
Erww Bw UNOERLYYW CAUSE
e„d"ease a rnKrly ~ qqpp me c ,
•~^9r )IAST.
D
^ d a . bu pregwH wwt 42 days
w ro (or as a consegtrrtce dl:
^
~. bU p+egrtarK 43 days b t yen
d ; d
^ UrMnoa~t if pfe9harrt we1Mn ~ ~ Ytw
30a Was an Autopsy
PeAOmrd~ 300 Wwe Auopsy Futdugs
AvarNbr Prior to Completion 31 MirHter of Death 32a Date d Hytrry (Month, day, Yearl ]20 Describe Mow cowry Occwre0
32c Place of Hgwy: Harr Farm. Sbeet, Fagay.
M Cause of Deam~ ~y
[~Naarar ^ Maracas Ollice Btaldirtq, etc. (Speahf
^ Yes fYl No
`- ^ Vas ^ No ^ ~ckMM ^ PMtM9 lnveeepaaon 32d. Tk+r a Hywy 32e Irryury at Works 321 tl Transponatan Irpury ISpecdyl J2q Location of Inµuy r$lreet cM -town. ;tar)
~ ^ SurcrW ^ Coua `rot W Datermrrrd ^ Yes `^ No ^ Dover i;perata ^ Passenger ^Peaestnan
M Other - SpetJY
33a Can~fier ;check Dray Doer 33o S.gnarure .ua Tdre of Cemlu:r
' Cenrtymg physreran ~ PnYsaan ,:ertAying cause cl xatn when arattan pnysw:ian ras pronounces deem era comptetea Item 231 ^ ~ r
1.
To tM Dar d my knawledpe, daM attuned Ow to tM ceuegs) and marwrr as sutea_ _ _ _ ___ _ _ ___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ [~
• Pronounern
and centf
et
Pn
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rti
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rte"
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p
y
p p
ye
an ~
vsrc.an IxHn praauriang Warn are cer,~hn~nr3 +o cwse of Watnl
To tM best d my knowledge. daN occurred ar ttr Mme. rLM, and place. and dw to tM cawgsl and manner u srte4 _ _ _
^ "'c _ ~v~.sa .V~moer
v 330 ~a:e ~ ,ra0 .llcn:n .Jay rear
_ _ _ _ _ _ _ _ _ _ _ _ _ _
• WdreatEaamrrrrlCaorrr /'9 /, '~ Y ~ 31 ~L Lys / Z~
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On 1M wsre of uamrrWrn and / a rows! , in my opmron, WaN occurred at tM bme. date, and plea, and Ow to tM teasels) an0 manner as sWed_ ^ ' '
W\
,~
!erne and Adr7re~; ,t Pni;an N~::;~-
wa•:~: ';ease ~.:t Death item ,:7..r,~ ~^.n!
i5 ~er~r;trar a!a.ra d ~;!r r
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Date Flea ~"M-•n ^ay. rear, `-. f '~- r ~ ~ J ~ N r ~
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Drsp~snwn Perrot `a 0468170
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LAST WILL OF FLOYD A . BECKER
I, FLOYD A BEC~~ER, of the Borough of New Cumberland, County
of Cumberland, State of Pennsylvania, being in goad bodily
health and of sound and. disposing mind and memory and not acting
under duress, menace, fraud, or undue influence of any person
whcroseever, merely calling to mind the frailty of human life,
and being desirous of disposing cf my worldly goods white I have
the strength and capacity sc to do, I do make, publish and.
declare this my Last Will and Testament. I hereby revoke, cancel
and annul all my former Wills and Testaments, including codicils
thereto, by me at any time made, and declare this alone to be my
Last Will and Testament.
ITEM .1 .~ I direct that my executors hereinafter named pay
anc~ discharge all of my just debts and funeral and test,~rnentary
cl~penses.
ITEM 2. I order and direct that my body be cremated.
ITEM 3~ All the rest, residue and. remainder of my entire
estate, wheresoever situate and whatsoever it may consist of, I
give, devise, and bequeath, absclutel and in fee to m dearl
y y y
'oeloved wife, DOROTHY W. BECKER. In the event my wife dies with
me in a simultaneous disaster or fails to survive my death by
thirty (30) days, then I give, devise, and bequeath my entire
estate, absolutely and in fee t~ my dearly beloved children,
share and share alike, per stirpes.
ITEM !~.. I hereby nominate and appoint DOROTHY W. ]3EC~:EH
Executrix, of this my Last Will. Should the Executrix herein
named fail to qualify cr cease to act as Executrix, then I
appci~t JEFFERY E. BECKER as Executor in her stead.
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r.. ~ ~ .-, _, L.,,...? ~ FLOYD A . BECKER
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ITEM 5. I direct that my personal representatives, as well
as their s~lccessors, shall not be required. to give bond for the
faithful performance of their duties in any jurisdiction.
Z..n..-----'
LOYD A . BECKER
CCMMONtiJEALTH CF PENNSYLVANIA)
ss
COUNTY CF CUhTBERLAND )
I, FLOYD A. BECKER, Testator, whose name is signed to the
attached or foregoing instrument, having been duly qualified
3c~.c.erding to law, d.o hereby acknowledge that I signed. and
executed the instrument as my Last~~7ill; that I signed it wil-
lingly; and that I signed it as my free and voluntary act for
the purposes therein expressed.
Sworn or affirmed. to and acknowledged before me, by FLOYD
____----
A . BECKER, the Testator, this ~ day cf .~~ ~, 1 X81 .
Notary Pudic
My Commission expires: March 20, 182
The preceding instrument consisting of this and one (1)
other typewritten page, each identified by the signature of the
Testator was on the date thereof signed, published and declared
by FLCYD A. BECKER, the Testator Therein named, as and for his
Las c '-~ill and Testament, in our presence of each other, have
hereunto subscribed ol~.r names as i~itness.
L'a~a~~ ~B~z~~
Residing at 836 NTagaro Road
Enola, PA 17025
Z 1 -c~
Residing at 306 Glendale Drive
Shiremansdale, PA 17011
- 2 -
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A 71T T T1 A T 7 Tail
COMMONWEALTH OF PENNSYLVANIA )
ss
R; COUNTY OF CUMBERLAND )
We Barbara L. Shelley and Albert DeAgostino
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and
say that we were present and saw Testator sign and execute the
~,! instrument as his Last Will; that he signed willingly and that
i'~ he executed it as his free and voluntary act for the purpose
~I
therein expressed; that each of us in the hearing and sight of
i '~
'. the Testator signed the will as witnesses; and that to the best
i
~ 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.
Sworn or aff ' rmed to and sub~r„~,be ~o fc~~ ~ by
Barbara L. Shelley ~ and Albert DeA ostino ,
witnesses, this ~_ day of ~ ~~ , 1481 .
r
Notary ubl i c
My Commission Expires: March 2G, 1482