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HomeMy WebLinkAbout04-0578PETITION FOR PROBATE and GRANT OF LETTERS also known as Deceased. Social Security No. ~ol-[~- i571'4 NO. To: Register of Wills for the County of (_)j~xJ,~,~a/nd Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of ague or older an the executoF in the last will of the above decedent, dated and codicil(s) dated / in the (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in ~_.lA/mbe~l~nd Cou~l. ty, Penn~lvania, with h ['~; _ last. f.amilE or prirkcipal residence at C.c~ H'~'I/ ?/4 l'lOI ! - ! I (list street, number and mJncipality) De. cendentsthen ~ years ~f age, digd at [x)~ hcte_ ~Jzi~r~,~~ [:e.~v~..c PJ~,~ H-ill ?/+ I']Ott ' . Except as follows, decedent d~d not marry' wa~ not divorced t{nd di~l riot have'a child born or adopted after execution of the Will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent 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: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codiCil(s) presented herewith and the grant of letters. ~:,_ :' (testamentary; administration c.t.~t~; administ~:4fion d.b.n.c.(?.) theron. ' OATH OF PERSONAL REPRESENTATIVE COMMONWEAL,TM OF PENNSYLVANIA COUNTY OF C t~kVY~ [~ F--~/'~' D . f I:~.ore me this 1~ 'T~" day of, [ __ .y / , iste 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 represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Estate Of , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~"LLI~t E I~/ frO0 ! in consideration of the petiti°n °n the reverse side hereof, satisfactory proof having been present_e~ before me, IT IS DECREED that the instrument(s) dated] - ] ~-~ ~'~ described therein be admired to probgl/e and filed of record as the last will of and Letters -l'-~%r~~ T/~/~ ~ are hereby granted to '~i t. Lq [~A C_. t~tA3K~ FEES Probate, Letters, Etc .......... $ ~ ~' 0~) Sho~ Certificates( ~ .......... ~n .~..~.~0.. $. s. iO, O0 TOTAL __ $ Filed ................................... ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE I05.8115 RI!"," 9/86 This is to certify that the information here given is correctly copied from an original certificate of death duh.' filc~l Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanem WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 No. Local Rcgislrar JUN '1 Date H105.14~ Rev. 2~87 NAME OF DECEDENT (F~ ~;~C,6, La~) ~. Farrell R. Brown Cumberland DECEI~NT$ USUAL OCC[JPATION UoSo Camp Hill KIND OF BUSINESS I INOLISTRY 770 Poplar Church Rd. ~illiam Charles Brown COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH I SEX SOCIAl. SECURITY NUMBER DATE OF D~ATH (MOral% Day. ,. Male 1~.61 _ 12 --8714 · ~ May 28, 2004 S~ er Fm'algn Count/I ~os~l~.: E~:xm~m E] °°~0 I OTH~ Fr. I~""'r-I I ~ ~il .~O ,-~'~ FACJ U TY NAME (11 flO~ InMY(uM~t. glv~ ~rNI ertl nunl~'~ ~ ORIGIN? RACE -Amencan Ird~ B~ack, V~t,, et No r~-'] Yes [~ if yel~, ~cify cu~n, (specify) Nest. Shore Healt.h & Rehab. M.x~.,,.~R~.,.,=. I1~0 Whit.e Yev~] ~,~ , .... , wi~6~--e~~'~ OECEDENTS l?a. SIMe (SN In~uctlom ~,~ ~) ~. c,x~ Cumberland t.,,,,~,? ~75. ~-I ~u.~,~ Camo Hill mevlt~ng In e~e~) .-.--~ MOTHER'SJiI~ME (Fk~t, Mid(~e. 11. l'nereM ~e ~nz~con INF~N~ ~ILI~ A~SS (S~ ~ S~ ~ ~) ~. 712 Old ~er Rd., Lewises, PA 17339 ~TE ~ ~ ~ ~ ~S~lTl~. ~ ~ ~, C~ L~AT~N - ~ S{~, ~ ~ ~G~e 3, 2~ ~Zndi~ ~p Na~iona[ C~ ~nvi~1et P~ WAS CASE REFERRED TO A MEDICAL EXAMINER/CORONEk?. W~ AN AUT,~ Y { WERE AIJ¥~"OT FINDIN08 I ~ER OF ~TH ) ~TE ~ INg~ I TIME ~ INJURY DE~RtBE MOW I~URY ~URRED. ~RF~ME~ ,AV~~ ~ ~ "~ ~l~ i~. M. ~c. SIGNATURE AND TITLE OF CERTIFIER UCENSE NUMBER DATE SIGNED (Monl~. Day.Year) ~ME ~D A~E~ OATE FILED (M~, OF FARRELL R. BROWN I, FARRELL R. BROWN, a domiciliary of Valrico, Hillsborough County, Florida, being of sound and disposing mind and memory, and above the age of 18 years, do hereby make, publish and declare this to be my last will and testament, hereby revoking any and all former wills and codicils made by me. ARTICLE I I devise all my property, real, persOnal or mixed, wheresoever located, to my wife, ELLA M. BROWN, should she survive me for a period of thirty (30) days, to have and to hold as her property absolutely to the express exclusion of my children now living, hereafter born, or adopted. ARTICLE II In the event that my said wife, ELLA M. BROWN, should not survive me by thirty (30) days, or in the event that our deaths occur simultaneously or approximately so in the same accident or calamity in such a manner as to cause doubt as to which of us survived the other, then I hereby devise all my property, real, personal or mixed, wheresoever located, absolutely and forever, to my son, WILLIAM C. BROWN, MAJOR, U.S. ARMY, SSN: 245-68-0045, who can be contacted through MPC, Department of the Army, and all of my children hereafter born, inc.luding adopted children, share and share alike; but in the event that any of my children shall have died in my lifetime leaving issue living at the time of my death, such issue shall take by rep- resentation and per stirpes between them the share which their parent would have taken had such parent survived me. ARTICLE III I hereby nominate and appoint my said wife, ELLA M. BROWN, the personal representative, of this, my last will and testament, to serve without bond. Witnesses Initials: Testator (SEAL) Page 1 of 3 Pages ARTICLE IV In the event my said personal representative, ELLA M. BROWN, does not survive me, or having survived me should thereafter die, become incapacitated, or decline to serve, I hereby nominate and appoint my son, WILLIAM C. BROWN, the alternate personal representative, of this, my last will and testament and request that he be permitted to serve without bond. ARTICLE V I authorize and empower either of said personal representa- tives, or any successor, to sell, lease or mortgage any type of my property, publicly or privately, where allowed by law without court order and without notice, upon such terms as seem best to said personal representative, to permit beneficiaries to use in kind any tangible personal property during probate - to settle or pay any claims, including taxes, for and against my estate, and all powers given the personal representative, in accordance with the laws of the State of Florida. ARTICLE VI If my wife, ELLA M. BROWN, and I should die under such circum- stances as to render it doubtful whether my wife or I died first, it shall be conclusively presumed for the purpose of making distributions under this Will and of property owned in an estate by the entirety, that my wife predeceased me. Witnesses Initials: Te s tato~ Page 2 of 3 Pages IN WITNESS WHEREOF, I have hereunt~ set my hand and seal to this, my Last Will and Testament, consisting of two typewritten pages, upon each of which,.in addition to this Dane o~ execution, I have signed my name at ~~/~ on this /~k da,, of r~ , ,.--_ . ~, ~ c..~,~,,.-r. , Testat6r Signed, sealed, published and declared by the above-named person to be the Last Will and Testament of that person in the presence of all of us at one time, and at the same time we, at said person'S request and in said person's presence and in the presence of each other, have hereunto subscribed our names as witnesses and do hereby attest to the sound and disposing mind of said person and to the performance of the aforesaid acts of execution at the place and on the date above shown. Residin~ at ..... Residing at esi~ing at ~TATE OF FLORIDA CIT ZCO NT OF We, FARRELL R. BROWN the Testator, and the witnesses respectively, whose names'a~e signed to the attached or foregoing instrument, being first duly sworn, do herebY declare to the undersigned officer that the Testator, in the presence of the witnesses, signed the instrument as his Last Will and Testament, and that each of the witnesses, in the presence of the Testator, and in the presence of each °t~~~ a witness. · ___ , Testator ~ ~~ ~O.~f/_~..~ ,Witness an sworn to before me by FARRELL R. BROWN , ~/~ '?/~ ~~ the witnesses, on ~his /~ day of CO~,Hv~O~ ~l~"c ::u- ~'LOH;~n ,%~ LARGE (SE~) axv~a~S ~U~E 2. ~85 ary Public BO,%IDED THROUGH MUROSKI-ASHTON, lNG N~ ao~$ss$on expSres: Page 3 of 3 Pages Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 09/01/2004 BROWN WILLIAM C 712 OLD QUAKER ROAD LEWISBERRY, PA 17339-9704 RE: Estate of BROWN FARRELL REGIS File Number: 2004-00578 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.7 (a) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing will become delinquent on 09/28/2004 Your prompt attention to this matter will be appreciated. Thank You. cc: File Counsel Judge Sincerely, GLENDA FARiqER STP~ASBAUGH Clerk of the Orphans' Court Name of Decedent: CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Aden. No. To the Register: I certify that notice of (bene~Jal ~terest) estate atln~nlstradon required by Rule 5,6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on .~(2,ql~ ~ : Address William "71g._ 01~ £~ uoJ:_e~- ~a,t Le~i~v PA 1'7'557 ! II Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: Signature Name ~lLd..J~ C. ~O~ ^ddress '71~ Old_ (~t,~es Le. oi berrv PA ~Counsel for personal representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT BROWN WILLIAM C 712 OLD QUAKER ROAD LEWISBERRY, PA 17339-9704 unnn fold ESTATE INFORMATION: SSN: 261.12.8714 FILE NUMBER: 2104-0578 DECEDENT NAME: BROWN FARRELL REGIS DATE OF PAYMENT: 01/13/2005 POSTMARK DATE: 01/13/2005 COUNTY: CUMBERLAND DATE OF DEATH: OS/28/2004 NO. CD 004837 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $1,515.82 I I I I I I I I TOTAL AMOUNT PAID: $1,515.82 REMARKS: CHECK# 1510 SEAL INITIALS: CCP RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/29/2006 BROWN WILLIAM C 712 OLD QUAKER ROAD LEWISBERRY, PA 17339-9704 RE: Estate of BROWN FARRELL REGIS File Number: 2004-00578 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/28/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~~/A.u~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Register of"\ViUs of Cumberland County STATUS REPORT UNDER RULE 6.12 Name ofDecedent: _Ffi rrel I f( elf i\ Dro{,Ji\,. Date of Death: 4 1.6 }1..Qo4 Estate No.: ~{)/f - DO 57 !~. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: I. State whether administration of the estate is complete: Yes Ji'f No 0 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 0 No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Y es ~ No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: A~ [7/ :L()('(. I I,) . , j, " f . '-... Signature . (YJl#~ - Wi w A1Yl c.... !:>rf0WtJ Name 7/~ Old Du..aJeer Rood Address L~i~ I PA /13jq 7/7 - 9513 -9416 Telephone No. Capacity: j8(Personal Representative o Counsel for personal representative {j