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HomeMy WebLinkAbout07-12-10P~EGISTEP~ OF `r'vILLS OF ~_" U. fy1 t~~~'i~~l~ rOT ~.+T~', PEA ~SYL:`'~~~I:~ Esta~_ of ' _" ~ , ' also known as Fiiz number +~~ ~' ~ "' V~~ Dzcer.szd Petih.oner(s), who isiare 18 }ears of age or older, apply(ies) for: (CO;LlPLEI'E A' ar 'B' BELOGV:) Secial Security?lumbzr(7`C' . ~t ~ . (~Cl"~7t A. Probate and Grant oC Lette s Tesi mentary and aver that Petitioners is /are thA a dP / eJ . R () ~ /11( („J ~ In 1!~_ named in the last 1v"ili of the Decedent dated ~ / and codicil(s) dated (S'te[e reievnnt circumstances, e.g., reaunciation, death oJexecu!or, etc.) Except as follows, Decedent did not marry, was nct divorced, and did not have a child born or adopted after executir~f the instrum~(s) offzred for probate, was not the victim of a killing and was never adjudicated an incapacitated person: .=..~" "~~ r- t = feet t" i ^ B. Grant of Letters of Administration -- ((Jnppl;cab(e, enter c.t.a; d.b n.ct.a.; penderue lire; durnnte abseruia dtera~icae~,rix rimte) -~ Petitioner(s) after a proper search has !have ascertained that Decedent left no Will and was survived b the foflowm~se,tf an ~ r-r Administration, c. t. a. or d. b. n. c.t.a., enter date of Will in Section A above and complete list of heirs.) y ~--1 ( yOd heirs: flf-=1 Nan:e ~ •• ~ t^j Relationship _ Residence '~ (CO;YlPLETE LV ALL CaSES:) Attach additional streets if necessary. Decedent was domiciled at death in '`"'~~ $er' ((~.f1(~ Counly,,l'ennsylvaniawirh his / hct princt al residence at -_-__._-_ 35s Sao ~- a -~"~ T~ _ Im~chu ~ `~ u ~ , ~~- ~ ~'c~sv --- (List street add, ess, town/city. township, county, sta , z!p cadej ff Decedent, then ~_ years of age, died on..~t,.tl . r ~~' y~ at ` ~u~r~ ~'I,eac~ ~ ~ .; Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (lf not domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania sthrated as follows: $ ~`7`0C~ . G ~ Fo,mR6V-0? rev 10.13.06 n., ,. ,. , ,.c~ Wherefure, Petitioner(s) respectfully request(s) the probate of the last 1Vi11 ar,d Codicil(;) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Oath of Personal Represental:ive CO~,I~.fON`,~"EALTFi GF PE, i~;SYLVANI-~ ,~ // SS COUNTY OF ~_.(,~ !Y1 LJ~ ~'/Q /~ ~~._-. The Petitioner(s) above-named swear(s) or affrn~(s) that the statements in the foregoing Petition are Utie and conzct to thz best of the knoevledgz and belief of Petitietter(sl a;;d that, as personal representative(s) oldie Decedent, Petitioner(s) ~,vill well and t-uly administer the estate according to la~.v, S~•vorn to or of firmed and subscribed before me the ~ ~~ day of r~~ ~ ~ ~ . ~~ ~ ~~ a1 For the R titer File Number: :UU'S SigrctfureofPerso,tslRept'esentnnve ~ p ~ ~. p __.. o .s , :~ ... ~ ~ l~~~' J Sigra:ure oJPzrsenal Represenrncive ! Z C'"") r``- 1'- ~ 4- ~,.~ ~ t W k F ~ Sigrnftu'e oJPersonal Rzpt'esentarv2 l `~ ~p :~ t~_T7 ' -~' W ~ _~, Estate of~(,~~~/ (j/~°~ ~ ; ~~, ~~-~ ,Deceased Social Security Number: ~ 7`7`'a d'"~(~C 7 Date of Death: '~~~~~o t d - AND NO`vb', ~ ~. , oL~~V, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECRE that Letters ~~~'C~ YYIi°_n ~C~-,y~(...i are hereby granted to ~~~ ~ ~ ~ ~~ , ~" ~,( ~ ~ o in the above estat„ and that the instrument(s) dated described in the Petition be admitted to probate and filed of FEES Letters ............... $~~ Short Certiftcate(s) ....... $ Q~ Renunciation(s) .......... $~_ ... $~- . . $ `~~ - ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $-_~ ec rd as the last Rill (and Codicil(s)) of Decedent. Register of !!s Attorney Signature: Attorney Name: _ Supreme Court LD. No.: Address: Telephone: furni RlV"0! iev. l0 /..0( tl.. ~... ~ ._ f -i RENUNCIATION Cumberland REGISTER OF WILLS COUNTY, PENNSYLVANIA n ~O ~~c7 ~ F., t--` _ . „ C-r-r r.> y ~ f7~ _ -~ ~= J ~ -i rv c c_ c r-- N w r r; i _x r i .. - --i-; `tl C~'r`i c_~ Estate of Kathryn W Crumling ,Deceased 1, Deborah A Wallace in my capacity/relationship as (Print Name) Daughter in Law of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Daniel S Crumling July 8 2010 (Date/ (Signature) 133 W Locust Street Condo C16 (Street Address) Mechanicsburg, PA 17055 (City, Stare, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purpos stated within on this ~ day of Rio i~'~~--e-~- Zvi K--~~'`' Notary ~ic My Commission Expires: (Signature and Seal of Notary or other official qualifed to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Form RW=06 rev. !0.13.06 NotarPal Seal Marguerite V. Koons, Notary Public East Pem6bpnp "l'Vrp., Cimttwrierxl County MY COrnmlelrl0rl E7spirM 9rlpL 2$, 2011 Member, PsnnsylvAn~rt Arr~ooirtlon ~t Net~Fles 1 F #- ;s.,E~; !~ i~ iiEeg~l fee .~~~I~atP r~~~ t;~,~py ~~ ~i"rcat~s4at ~r ~h+ai~~f ~~~~. P ~6~~17~9 __ t . .., ~,.,- ~iyT.~'l~ ~_t ~.._r) .;~i«i( ~? ~( ,iiclyl i)cat _~~ ~ _ t~li", IIEI',: 1. .. i U.,~. ~.c' •l'.u. ~i'5,,,. tf.-_'771 i ,_y~, ~ ///JJJ C7 r•..a ° ~- ~- © c3 ~-r _c: ~7 ~ C ~ mo r"' J .~ I - rn < ~ =<. ` ~ ..O --I ~ ~ s " j _ f'7'i ~? C+r• ' .~ 1105-143 REV 172006 TYPE /PRIM IN PERMANEM BLACK INK COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See inStrUCtlOns and examples nn revnrcel ,. Name d D.~edem (RaL mam., last, wlr 1 Kathryn W. Crumling Z~emale ~~ m '~~d~7"$'"'"'~°'20 _ 3604 pCM 4. oat. d Deem (Mam, .i45t~°9, 2010 s y~ge (last ainneay) under t year Little t aay 6. Dd. d IiM (Mwn, daY. naA T. &nhplaas fray and err ~ foreign awNy) . ~ Ptaa of Deem (Chad ody ate) Inds D~ H•.a w.~ October 2, 1915 Highspire, Pennsylvania "°~ ou>«: 94 Yrs ^ ewna^ ^ ER / t3u1pe0ent ^ oM tldro ^ ResMence ^ox,er- syedry e • c . er oany d Dwm ac ciy, aom, r.P- a Ixam ~ FepAy Name Ql nd ust®alarL pve seed ant anea) e. Was DeuMrx d F4pabc OtghT ~ No ^~ to e~` e~ Cumberland Hampden Country Meadows Retirement Home my+^.w.atlycm.tL %iWh Ilti e ' rM,doarL Paadp HIoiL dc) _ n. Decaeenys gad d ware d tore done m~lane d Buskess / edwuy e' yz was ~ ~ b n. 1a ovaded~. Ed~r~,lm ls~aryr mh rvyr,st a,aae mrotetedl 14. wrw smt~ M.rdsd. r+ew uarrled. 1s su~w~ine spouse (x •x., v~,s maban name( I]eneraaty / (aiz) (T-4 w s.) ~ S " ~ i o v Clerical Su ervisor US Government ^„e, 16. Deceeera's 4aTnx AddRSS ISneel dY / bwn, dah, ap rode) Deradsra'a Db De®een 355 Sporting Hill Road "~"'"~°""'° "~~ T ~a n`g~ Yae,o.m.n,u„a;, T~ 2 Mechanicsburg, PA 17050 ,ydcwny Cumberland „dr^,,,.~d„y~~, Adlr Lints d Llly I Bao 19. Fe1M/sNm (Firs( nadle, huL YafuO ~ IS. Modtefs Nalro (FY9L nYdde mdtlen atmtane) , Blanche Brinton D. Urie Wonderly 20A Idwmant3 Name (Type / Pdd) Daniel S. Crumling _ 2mldppWa• ~g~4~~l~lio~tsa~~vn~tApt 17 East Berlin, PA 17316 21 i M^Opd d DiWOSilion ~jaratlp, ^ Dore6on 210. DeOa d DlNaetliart (MaN, day. yead 21e. Prm d Ohpoaxlpa (Name d . ^ BWd Rdnwd httm Srb I o•eMaY. paleeory or dratP~) 21dIm161(a'//b•al afar, ap co4) ^ ana- tl~E~.°ai"I°""'"hoitra°~ reBp(,p July 9, 2010 Conolite Crematory Schaefferstown, Pa. 17088 • ' zu d fv.eral ffisq a. eudt) zzh. tica~w rharoer z2c Nm and Adeeaa d r-adMy _ ~ FD-012662-L Myers Funeral Home, Inc. 37 East Main Street Mechanicsburg, PA 17055 Items rarltlyiq Pnyswan's me ewLUe d fine d deatlt b b tlr bad knoMadya. dsaa manta d M tiro, dsb ant aWOd (61pleDn end I ~ 230. lloaroe Nunhar 23c Dale Sigred (E4amll. , year( a.dy wseddealR t 24 ~ / " a L 7 3-ai6 aeau za26 ~ to mrolded M wraon tae gorraares tlaaOL , ens d Deaxi z5. ode Da.a (Maul sex, ye.r7 2B. Wm sae. Refin e d b taedrot Eorrierr/ Comrrr br ^ R^ewn t3tha Ihan Crarwbn err Dandlam y, ~ iQ (~2 , ' W ^Yea ~~ CAUSE OF DEATH (Ses Inatructlon^ and ~ahaaa~~~e lem 21. Part h. Fslr tle deel d ewes-, imeies, a rortiPOnxore-tltd ~Y a,eed Ole der( W area) swb eta, ea adee t ADPrad~e Ytrrvat Pad F FsIYf a0tr ~ ~ b DeaT7 °"~ ' dad b Death rand l M r tl ' respva nea ltp ory attest err radlia4r 6hr0aOm witltaa ahowep the exoUgy. lid my aro am an eadt ila. e tllldalyllg aer gken b Part L ~' rn ~'~ IMMEDIATE CAUSE ~~vww dxase a ~ ^ ~ ^ Unriaet aanaoae rtdtrq b dmth) ~ a. ~ yN, C G~ C, C~" i 2B. p Parole: lke m (n as a d); ~ r ye-'ea a°p°n'MtlY^ Pad Yw tld carrffioro, A arty, M~qb alne [dedm ieA b' .. ^ Pro?nta d fin d death Due to (a ac a mroe u d F q arce ): _ Aa xn l1,JDEALYWG CAUSE tal:ene rylry and eamea Ins ~ ^ Nd pnpwl, d^ pngera wamn 4z mys a ewte re~ a6rq a aealnl fast. d da^m the n (a es a meeyuence d1. ^ Nd pegrora, der preyed a3 days b, year . • d lebn da^a ^ llrYalovm O pre¢ed rdtin tle pad ea 30 W A y a as an utopsy OOb. Wen Aubpey Ftldlps 31. Otatlt 33. Dee d INay (AbntlL d+Y, yea0 321.OnaEa Hoe M"Y Omnd Pedamed! Avarer Pdorb Cmtplelbn 32a. Prq d WeY Homer, Fame, Street Faabry , , d Caere d Ormt Nand ^ HOn~• - Olfica Biadeq, etc (Span7/y ^ Yes ~ ^ Yes ^ Np ^ ANdvM ^ Pap 32d Tiro d May 32a. H'+Y d sWixt 321. tl TramparOan hrFey (SP•'d)~ 32g. Lncaeon d Y(try I9raal oxy / bml stets) ^ Sukide ^ CaW Not Oe Datemied ^ Vea ^ No ^ Oaw/Dpadpr ^ Paoaga ^PSdeetrlen M. Dtler•SpepOY 33a. CenAa (ded~ any ae) - 3~. Siprosae and Tyr d Car1Tr ' CalNyeg 7nYsidan (Physidrt mAWq Dies d death Men apllrr phyaltlen has praeuotl deatlr erd aaiplerd tern 23) To the beddmyloia.rep,,der, aeae,ada,ebme r,tu.e(el atd mruws as mesd________ ~ brotwdd~) _________________________ PrortourcNg and artlly6q physklat CPhY~~PSdntlt aldlMO h • /7'J~ y g To the beddmy bsoerdge,dmtll oocmaddthe xrn4 dar.Wprce, and dwrthe eaue(sl~ad maaeCa dard__________________^ 33e llaaea Nutlher 03d [,p-Cgal( day, year) . Alediol Eaameer, Gaper IM tle Beds d aasdtrtrrt ant I p rveatlgatton, r my opiniat, aadh a:anea d the tens, der, and prro, and die b xe aaee(a) and rronrrr a •t+ai ^ // ~ (/U :J ~ ,I! ~~%U >~ a 5geeae and Dldrfd Nuriher ~ ~ I.~ i Ill i Ill JI3.r jx.d Mae M: T•al 31. Name and Addnw d hrson Wte Contpletetl Case d Deab (~ Type /Pine ,S~~~tiaL ~ ~ ,,,~~ ~, ;~ ~ ,/ 'ii V Die lW, PertN Nn (1 Y ' 1 `7 / S S( LAST WILL AND TESTAMENT OF KATHRYN W. CRUMLING I, KATHRYN W. CRUMLING of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any Will previously made by me. ITEM 1: I devise and bequeath all of my estate of every nature and wheresoever situate, together with insurance thereon, in equal shares, to my grandson, DANIEL S. CRUMLING of 25 Lois Lane, Mechanicsburg, Pennsylvania 17055, and his mother, DEBORAH A. WALLACE of 25 Lois Lane, Mechanicsburg, Pennsylvania 17055, or to the survivor of them. ITEM 2: Upon my death I direct that my body be released to Myers Funeral Home, Mechanicsburg, Pennsylvania, where I have prepaid my funeral services and I further direct that my body be buried in the Rolling Green Memorial Park in a lot which I have paid and which is marked with my headstone. ITEM 3: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as apart of the expense of the administration of my Estate. ITEM 4: I appoint my grandson, DANIEL S. CRUMLING, and his mother, C7 z H DEBORAH A. WALLACE, both of 25 Lois Lane, Mechanicsburg, Pennsylvania 17055, Co- a U Executors of this my Last Will. • n a ~ ~ c_ _ ~ ` ` ~ r ~-~ ~ _ _c; - ._.: r (~ ~ ~i ~~ l~ ~ r t • ~7 = -= r" .n 1 w ~ '~ c--> r ~'~ ITEM 5: I direct that my personal representatives or their successors 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 and seal to this, my Last Will and Testament, this ~ day of , 1999. KATHR W. CRiJMLING Signed, sealed, published and declared by the above-named Testatrix as and for her Last Will and Testament in our presence, who, at her request, in his presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~~i S r.~S C~«lc.k ~s~af~s residing at ~/j-~, , `e . /~i~ / 7oJ 3pp f~ residing at ~t c,~ a n ~ c s b~ ~~, l~~ (70 ~; S' 2 COMMONWEALTH OF PENNSYLVANIA ) ss: COUNTY OF CUMBERLAND ) We, KATHRYN W. CRUMLING, _~`~, L i~': ~Lt ~-G Lyt~P.~ ~ >ti ,and (.~ 5FJ l~~Ll~~e (. d y,~~U ,the Testatrix and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the will as witness and that to the best of his or her knowledge, the Testatrix was at the time eighteen (18) years or older, of sound mind and under no constraint or undue influence. Subscribed, sworn and acknoed before me /"~ G~ ~ ~' ~-- by tYN W. CRUMLING, the Testatrix, and subscribed and orn to efore me by i . ~Lj rt fB~[~C~ ~i ~/ and ~i sA s~tl.~i e~ g u'N e_._ ,the witnesses, 5 ~ day of ~~ e a~.61-/ , 1999. [~ KATHR W. CRUMLING