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HomeMy WebLinkAbout04-30-10F'ETITI~1~ ~'tIR PRI~BATE A-ND GIi-A-NT OF LETTERS REGIS'Y`F.R OF WII.LS OF C'UMBERL~AND CQ~JNTY, PNSYLVA~iA also keowa ~ 1r Zgq-aa-794,1 Decx~ed Socad seauity Petitia~a(s~, wha islere i8 years of age or oldex, apQly(~s} far: {CEt11EPLE7"E'A'rar `B'BF.L(!B':) m tixe A. Prabftte aad Gaut of LeKc+ns Tatameat= end aro~er that Pedtiooa(s) is f are ~ ~-~ ~~ ` last Will aft Deoedeat dstad l ~ ms(s) dated _. - (~Cme raJcroat ~ msg.. r+awsr a1' ~~ >;xxoept as fellows, ~t did swt ~arryr, was aQt dixy~oed, and dhl oot hie a dvld bas a atbpted after execution oaf the mss) ~~ far pmbatc, was oat the victim of s tdUing and was ngvar adjudiwoed ~ i~ Pte= B. Gust of 1.Mtas of Adminisaratton --- ~. ~e ~) Pebitioner~s) after a prvPac march has ! rove asc~taieed tit D~eoed®ttt kft ~ Wili ~ was surr-ived ~ tfte fallowing slxn~se (if amy) and l~srsx R~ ~!c?iirisistmtiwv, c.ta. ar dbn.c.t:a, caster dprte oJ'~'iN ~ Setixton A abo~ a+rd list ofbeus.} ..-r..,r .°I „ ~- _.? .. (CO']iIPtLETL' IIV ALL C~lS'F-~£) Aat,=ei a~ +~ ~l' : ~ ~:~" fi't'[ C~ i- ; } l 1 l~~~e~~ Deoadeot was moiled at death In CUMBT~RLAND County, P~ with his /her last ~ _ ~ "L7 ~~ , P t 13 _ . ` _7 T PARK TH C.AR1.1 r^ 1 ~.... _ ~ (Ltst abort amt s~a}+, IO~r c+viwry, a~ sfp cads) _ .• ~ W ~ r„ c r°°i -• ~4 ray t3eeedent, than ~ years of age; died an IWIARCJ~t t2, ~DIO ~ FURtEST PARK HF,ALTH ..~.;. c~ Deoocieart at death a property with w~oaroed values as follows: (If damuxlad in PA) A11 pe~soosl ~[f nal domiciled is PA) P'~aoaal y ie ~Ylvania ([f not cfaaaiciled in PA) Peasc-n~ pnapa'ty m Co+~+ vot=e of real ~ ~ ~_ sita~atad as ~G~u.- ~Gt Wt~eiefara, Pa{s} s'uily ~4~(g?1~' the cubdetstgaea -~ cc~r~(c ~, ~A 1 ? c~ S s S s.~ ~ttte tan. w~ .na Codp7(s} vrila tbis Petirioo and the ~raac of [.allots i~ ~ ap~opriame fan m ~g~ B, p~g~ jq, ~l WAQC30I~1>rlR'S GAP R((I~AU, GARLi5f.E, PA 17013 porn, ~w.aa :~: ttr.t~.a~ 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 affirmed and subscribed .~' , ~_ before me the y ~ day of 1~.~ ~~ For t~ Register Signature of Personal Signature of Personal Representative ~ ~ r~ CD _ . + <; -' C ~ i ~: , ~ R ~ ~ C~ Signatra~e of Personal Representative ' ; ,-~ ~, ~-- _w ~ r-n ~7 t.~.~ c~ ' _, c~ -~. ~ ,... _ ~.._f C ~ C.~ __...--, _.~, -p _.... ~ , __f. , _ i-~ File Number: 02 ~ - ~ ~ ~ ~ ~~ ~ ~ W r ~+"+ -- `~~"~ ~ ~Q ~ ,~~11 V ~ r ~ S ~ y Estate of ,Deceased Social Security Number: 1 S 9-247941 Date of Death: MARCH 12, 2010 AND NOW, ''~~ ~~~ ~ `~ ~ c~~ ,[.?~d ( in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters 'TESTAMENTARY are hereby granted to FRED B. ORRIS, III in the above estate and that the instrument(s) dated ~ c~ ~ -1~ ~ ~ ~- la - l~¢ - ICIU ~ °~ l - c3 lQ - l ~. y, ~ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............... $ U Register of Wills r r Short Certificate(s) ........ $ ,1(^:~ Attorney Signature: Renunciation(s) .......... ~~ (I ... $ $ -s-~~ Attorney Name: KATHI-EEN K. SHAULIS . l ' 0 d ~ ,~~ ~~ j~~ • • • $ ~ ~ . U (; Supreme Court LD. No.. 37445 1'c-c~r ~ ~ ~~ a ... $ i .oc~ ~~~ $ Address: P.O. BOX 1229 Sid ~~ C~'Yl ... $ C~ - JZ~ CARLISLE, PA 17013 ... $ ... $ • • • $ Telephone: 717 243-6655 ... $ ~ ~ 8:~0' TOTAL .............. $ Form RW-02 rev. 10.13.06 Page 2 of 2 OCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ~~ec for this certificate. $f~~.Ull P 16355021 Certification Number HtOS143 REV 11/2006 TYPE /PRIM IN ~BLAC.~ciNlc ` • • is This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed yvith me as Local Registrar. The original certificate will he f~;n-warded to the State Vital Records Office for permanent filing. ~ ~x~ ~~~-e,~,c. III 1 6 2010 ~,~..~r- wk /- Local Re.~istrar Date Issued r-•~- 4~ ~. i °,1 ~ ~~ ~ i .~ ~..~ ,~ C'x~1 y .~'~ ~ .) ....~. . .. t' ' ~ C ~ "L7 ~ < _ r,'~l, ~' µr1 ~ ...i. ~ ,. - COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructlona and examples on reverse) CTATF FII F NI MARFR 1. Noma d Decadsrd IF~L mklde, bd, auN4) 2 Sez 3. Sadd SsaxNy Nallber 4. Deb d Deem (Month, day, year) Anna Mary Orris emale 159 - 24 _ 7941 March 12, 2010 5. Ape (lad BNtlldey) lAdw 1 Under 1 6. Dale d Bklh 7. and slate a r te. Plea d D.enl Check one 92 '~"'" °i" "°"" "''""°° March 24, 1917 Carlisle, PA "°°~"°l~ ° t ~ '~ Yrg, ^ IrgatbM ^ ER / OulpaNent ^ DOA 7 R33 R 7 lpl Nunkg Hone ^ Residence ^ Omw • Spady: Bb. Colnry d Deem Ba CNy, Bono, Twp. d Deem 8d. FecNNy Name (N nd katlhltlon, glue etreel and ralmber) 9. Wee Decedent d Hbpedc Odgln? No ^ 'tea 10. Rae: Anlerlarl Inden, Bbd,, While, etc. Cumberland Carlisle (N Yee, epscNy Ctmen, (Sperrly) Forest Park Health Center Mex~r,, Porno Rican, etc.) White 11. Decedents Maud IOrd d work dale moat d We. Do not stab 12 Was Decedent ever b nle 13. Deaderlya Edlcetlon (SpeoNy ady highest grade arllpbted) 14. Medbl Stake: Mwrbd, Never Married, t5. SurVlVing Space (N wNe, ghre rtlalden name) Klrld d Wak ,sued Buetrlea/lrldlaay U.S. Amled Foraa? Wldowad, Divorced (Spsdy) Ektrrlentary / Secaxlery (0.12) Cdktge (1-4 or 5+) Property Manager Management Co. ^ Yee [$Na 12 Widowed 16. Deadwlta MdNrq Addroee (Shell, dy /town, state, zip code) 161 Easy Road Decedents Did Decedent ? 17c. Yea, Deaden, Lured in N . Middleton Twp. Adud Reaiderla na. state PA Carlisle, PA 17013 ~ „b,c,aMY Cumberland nd. u, a~~in cN,,/Baro 16. Fattxe's Name (First, mWde, lent, au6h1) 19. Momw's Name (Fkat, middle, maden aunlenle) J. C1 de Shaeffer Anna Mell 208. IrdomleM's Name (Type / Pdnt) Fred B. Orris III 20b. IMormwlts Menkg Addraea (Stree4 dry /town, slab, zip code) 2241 Wa oners Gap Road, Carlisle, PA 17013 2ta. Method d Dbpaltfon 1 ^ Crertlanorl ^ p~ygl 21b. Dab d Dapoaftlon (Monts, day, year) 21c. Plan d Diapaaltlon (Nartle d aaratary, rxemebrY «dnw plea) 21d. Lannon (City I town, able, zip ode) ~ ^ Rwrord ~ W~D^^~nanA March 17, 201 Waggoners United Methodist Churc Carlisle, PA 17013 ^ r br tlsdkd F.xmdnw/Corawr? ^ Yes^ No zze. F Liarlsee (« parson acting es such) 2ffi. t.ianw Number 22c. Name and Address of FacNNy HOf fman-Roth Funeral Home & Crematory, Inc - 138504 219 North Hanover Street Carlisle PA 17013 Congleb aMMr19 23a. To the bed d my Wawbdpe, death ooaxred d the tlna, dale and plea soled. (SfgnaNre and tltle) 23b. Number 23c. Date Signed (Month, day, year) plryelcWl m nd d deem b ~ ~{ '.J / ~ L ~ Or ~ ! ~ c«sr aaee d deetll. . P .C~~[.G` r+~ Ibms 2a-28 must be complabd M parson 24. Tkna d Dean, 25. D~aMte Prorlastced Dead (Month, day, yeear) ~ 26. Was Ceae Reletn~ed to Medical Exemlar I Ccvorlw fa a Reeean Omw nwn Cremation a Doatlon? ^ ~ wla pronounces deem. JS p M. ` mQ.(,~ r a ~ { v Yea , Na CAUSE OF DEATH (Sea Enstna:tlons and examples) r Approxknde interval: DO NOT enter bmllnd events eurh sa cardiac wrest in afea a an 9atiae - nld directl awed the dsetl Orud ro Deem F l ea N 27 P n I th l - da h L M II: other Nen NI Part I but not resldtlll kl the unded k ease 28. Did abeam Use Can to Deem? ^ Y bl ^ P b , ~ p y (. el er ese , jl , am . a : m(ao e nhe .~ e reeplretay erred, a vemdtxler 6dXbtlon witlaut statMrlg nle etlokgy. Lid ady ale sae on'each tine. r r . p y q p y es ro a ~ ^ llnkrlownl ~F~ ca~xltl~al rouMArg~dead,)dsease « i' ~ r 29. If F Nd re nant wNhln •w Due to (aJp aarwquwax o11~ ~ 1 y~l~~ r p g ~ N ^ PIe{ywlt d time d death ~~~(/ .,Lv!L~~„-W.r'iC b' ~~ ~~~ i ~ - ^ else ided on i ie a. FsNr UNDERLYtNO CAUSE Dw to (or u a amegwna d): 1 Nd pregnant, but pregnant witldn 42 days d deem (deeaw a k~tay Ind ktttlaled ale a 1 - 43 d t ^ N b t events reslaWlp In deem) LAST. i Due m (« as a corwgrwnca d): r ut pregnant ays year d preprlant, o before death d. ~ ^ Urnalowrl H pregnant wtlMn the pest year 30a. Wee sn Aubpey Autopsy Fkldrlpt 30D. Ware 31. MarxwytOaelh 32a. Dale d Irl)ury (aAonm, day, yar) 32b. Dwalba How Inury Occurred 32c. Wee d Injury: Home, Fam, Street, Factory, Perlomled? ~- AveNebb Prbr b Compbnon d Cane dDe~m? ' L~`I./ Napxd ^ Honllclde + OMa BuNtlkrg, etc. (Seedy) ^ / ~~ ^ ^ Acddent ^ Pendrlp trnreanpenarl 32d. Tlnle d Injury Sze. Injury et Wok? 321. N TranepoMtlon Injury (Sperry) 32g. Laatlon d Mjury (Sheet, d4' /town, ebb) Yes No Yes IJ No ^ Sufdde ^ Could Nd be Dalerrrwled M ^ Yea ^ No ^ Ddver/Operakx ^ Passenger ^ PedesMen Otlrer•~M 93e. (chock oMy orr) 33b. Slpnetura and d r • Cog PM•~ ( g awe d Jaen, when anotlwr ptryeiclen txro prorloulad deem and complebd Itwn 23) dastlt occlerad due to tlls cause(s) and mnewr a atabd _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ To Ufa beat d my krrowlsdps c , _ Pt f Nf P M d M k h ld b n d h d k d d n kt (MaMh, day, yawl 33c. Lkxrma Nwriber 33d. Datr rl ( lys , pralolxlc rq y ralou rg en arf y g p ys en o eat en a p b awe w l) To tn. b.a d m blowbe dsaN occurred at rile tlrlla dW wd ba and dw to the ease(s) and mamw o abbd . ^ ~ i - - - - - - - - - - - - - - - - - - , . p , y p , • MadkalGxareklarlCororwr ; On the bade d axamkladorl and / a fmrwtlpatbn, In my ophllorl, datll oecumd at the tkna. data. wle plea, and due to the awe(s) and nlerlnw a abbd. ^ 34. Name and Addleee Who Complabl d Deem (llem 27) Type / PdM /~ ` ~ 35. Repietrers - ~~~.c.. I ,~ I I I at I ( I ZS I 36. Deb bled (Month, day, rear) (o ~ J / ~ ~ ~ d S . (/ / ~ ~ ~ 5- y. ~~~ ~~-~ U i L c /' /'~/~ Disposition Pemltl No. ~~ ` 1 ~~~-'"~ J ~ ~'[' r ) L ~( ~ : s a a ~ LAST WILL AND TESTAMENT ~-~ _.,.~: ` c--- Q ~, ~.# ~. I , ANNA M. ORRIS , of North Middleton Township, ~ p x ~~~ ~' _ x- ~, -, Cumberland County, Pennsylvania, being of sound and digs `,`~`ing~ninfd.~' memory and understanding, declare this to be my last ~i. ~'anc -: ~; _. :~ testament, hereby revoking and making void any and al~wills ..,_. ~'.'." t~rr~~ . heretofore written by me. Item I. I direct my executor to pay my debts acid funeral expenses . Item II. I give all my property, real and personal to my husband, Fred B. Orris, Jr., providing that he survives me. Item III. In the event that my husband does not so survive me, Igive all my property real and personal to my son,, Fred B. Orris, III, providing he survives me. Item IV. In the event that neither my husband nor my son so survive me, then I give all my property real and pE~rsonal to the Commonwealth National Bank in trust, nevertheless, for my grandchildren. Item V. The Trustee shall have the power to invest as the trustee sees fit and to expend principal as the trustee sees fit. Item VI. During the pendency of the trust, the shares to my grandchildren need not be equal. The trust will terminate when my youngest living grandchild reaches :18, and the balance of the trust will then be divided equally among my surviving grandchildren. Item VII.In the event that neither my husband nor my son, nor any of my grandchildren survives me, then I devise and bequeath my entire estate to the Waggoner's Methodist Church. Item VIII. I appoint my husband, Fred B. Orris, Jr., as my exe- cutor. In the event he is unable to serve, I appoint the . r • Commonwealth National Bank as substitute executor. IN WITNESS WHEREOF, I have hereunto set my hand and seal this the ~~ day of ~~~~'.~.v,, _ 1977. Signed, sealed, published and declared by the testatrix above named, as and for jer last will and testament, written on 2 sheets of paper, in our presence, in her presence, and in the presence of each other hav hereunto subscribed our names as attesting witnesses: :; ' fr r. may'',.. ~ ///'~r (SEAL) COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland . and We , ~ S ~J~ the witnesses ~, whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do deposes and ;say that we were present and saw testatrix sign and execute the instrument as her last will, and that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as witnesses; and that to the best of our knowledge testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ,~l `\ . :;-~ ~ ~ ~\ .l$~ .~_~,. .4. Sworn to and subscribed before me this "?7 day of ~--~. ~ ~ 7 ,, ~ ~) Notary ~ 8, tx1X ~(otety Public Cwt Cumb. Co, Penm. 1~ Cflmmisaion EJcpirea July 14, ~81-~ COMMONWEALTH OF PENNSYLVANIA SS:, COUNTY OF Cumberland I, Anna M. Orris , whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. zc.- L -'t,~.. Anna M. Orris Sworn to and subscribed before me this ~~ day o f { .~'"~ ,19 7 7 ;~ ~ ~:..._ .. ~~[,~OR,~~~~ Cefllsla, Cumb. Cd. Penrta{ 1Mp Commission Expires July 14, 1977 r t FIRST CODICIL I, Anna M. Orris, of North Middleton Township, Cumberland County Penna., do hereby make this first Codicil to my last will and testament dated May 27, 1977, as follows: FIRST: In Item IV. I name the Farmers Trust Company in place of Commonwealth National Bank to be trustee. SECOND: In Item VIII, I appoint my son, Fred B. Orris, III, as my executor. In the event he is unable to serve, then I appoint Farmers Trust Company as substitute executor. THIRD: My last will and testament dated May 27, 1977, except as amended by this first Codicil, is hereby ratified and affirmed in its entirety. I~ WITNESS WHEREOF, I have hereunto set my hand and seal this the day of December, 1993, to this First Codicil to my Last will and testament dated May 27, 1977. Anna M. Orris Subscribed and sealed by the Testatrix in the presence of us and of each of us, and at the scene time published, declared and acknowledged by her, by us to be a codicil to her last will and testament, and thereupon we, at the request of the said Testatrix, and in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses: c o ~, -~:~ ,.: ~:~ • ~. -~. ~-1„ . ~ _ --; .~ ~ ~-, ~ ;.~~ ~ ., 01 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I, Anna M. Orris, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as the First Codicil to my Last will dated May 2 7 , 19 7 7 , that I s igned it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Anna M. Orris Sworn to and subscribed to ~-c~- before- me this f~ daX~~of ,1993 . `~--.~~~~~ ~ ~~~ 7 ~---•~., notary Notarial seal Anne M. Cox, Notary Public (;a~lisie F3oro, CumbPriand CounlY My Commission Expires July 14,1 7 - 3 - COMMONWEALTH OF PENNSYLVANIA COUNTY OF ERLAND -~ ~ _ ~'' We , .- and the witne ses whose n es are signed to the attached or for going instrument, being duly qualified according to law, do depo and say that we were present and saw testatrix sign and execute the First Codicil to her last will and testament dated May 27, 1977, and that she signed willingly and that she executed it as her free and voluntary act for the purposes therein contained, that each of us in the hearing and sight of the testatrix signed the codicil as witnesses; and that to the best of our knowledge, the testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. .~ ~ ~~ Sworn to and subscri ed before me t,,his ~ day of ,1993 j j~N ' '~. ,,`1,, ~ ~=~-~--~,~~.. notary Notarial seal Anne M. Cox, Notary Pubilc Carlisle Bono, Cumberland County My Commissbn Exp'sr~es July 14,1997 CODICIL I, ANNA M. ORRIS, of North Middleton Township, Cumberland County, PA. do hereby make this Codicil to my Last will and Testament, dated May 27, 1977, as follows: FIRST: In Item IV, I name Orrstown Bank in place of Commonwealth National Bank to be Trustee. SECOND: In Item VIII, I appoint my son, Fred B. Orris, III, as my Executor. In the event he is unable to serve, I appoint Orrstown Bank as substitute executor. THIRD: My last will and testament dated May 27,1977, except as amended by this CODICIL, is hereby ratified and affirmed in its entirety. IN WITNESS WHEREOF, I have hereunto set my hand and seal this the ~ `~ day of a~-.- 1998, to this a Codicil to my Last Will and Testament dated May 27, 1977. (---.~ I ~ ~~~~... ~~ ~a.-'~~~.~-..: (SEAL) Anna M. Orris Signed, sealed, published and declared by the above named testatrix, as and for a Codicil to her last will and testament, who at her request, in her presence, in our presence, and in the presence of each other have hereunto subscribed our names as attesting witnesses: ~~ L~ ~ ~ ~~ c~ ~' ..~,,. ~ ' . ~ ~ C t _. t, J , m w ; ~ ; ; --~-=r ~` s r -~ ~ "'q"~ ~. 4 'i :~ W :'::: rr""~ -may, c:. %3 w +J S , t COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND //~~ ~ , We, ~~~ ~, and ~ ~ w~ ~--~ 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 the testatrix sign and execute the instrument as a Codicil to her last will, and that it was signed willingly and executed as a Codicil to her last will , and that it was done freely and voluntarily for the purposes therein contained, that each of us in the hearing and sight of the testatrix signed the Codicil to her Will as witnesses; and that to the best of our knowledge, the testatrix was, at that time, 18 or more years of age, of sound mind and under no constraint or undue influence. z ~ L_._..-Q-~y`-t,--~... 1 _~~ , Sworn to and subscribed befor me this r~~~ t~ day of .1998. Notary NOTARIAL SEAL JANET M. LAY NOTARY PUBLIC CARLISLE BORO., CUMBERLAND COUNTY MY COMMISSION EXPIRES JUNE 26, 1999 + ~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I, Anna M. Orris, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as a Codicil to my Last Will, that I signed it willingly, and that, I signed it as my free and voluntary act for the purposes therein expressed. ~~ , J Anna M. Orris Sworn to and subscribed b me this ~ ~Q day of ~ 1998. J'~ Notary NOTARIAL SEAL JANET M. LAY NOTARY PUBLlC CARLISLE BORO., CUMBERLAND COUNTY MY COMMISSION EXPIRES 1UNE 26,1999