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HomeMy WebLinkAbout07-14-10P~ETI~'I~~vT F~IZ ~I~OB~TI/ ~°tiD ~~~'~~' ®F LE~'~'~~S P~EGISTEP~ OF ~~'vILLj GF _l~U/70,~c-~~HNO' C~L!~iTY", PEA vSYL~':~vI:~ Estate of GY /%V~ ~. /~~E/N ~ ~ ' /l1 - l,~ / C.~'tQ also known as File Number U c.,.~•se Sccial Security Nwnber ~' ~ - Petitioner(s), who is/are 13 years of age or older, apply(ies) for: (CO,LIPLEI E A' or 'B' BELO6V:) ~A. Probate and Grant oCLetters esta entar and aver that Petitioners is / are t P /C last Will of the Decedent dated ~~ ~/` /~ () h` ~ ~'~ ~'~~~w~named in the and codicil(s) dated o (Strte retevma circwn,tnnces, e.g., renuncintion, depth of executor, etc.) C e .-~ ~ ~ ~, Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after executri~~ ~ nsttu C ~? ~~7 tR,•nt(s) oared ,:: for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ =~ m - j-' 17 ~~ ^ B. Crant of Letters of Administration ~ ~--'~~ 7n' ~ t `,, (_,,:~ it ~ - --r-, (/l-nPPlicab(e, enter: c. t. n.; d. b. n. c. t. n.; penAente liter durnntz nbsentin; deirniitb.. ninar;tnte)lD w ~'rt Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was. survived by the followinD ouse if an W ..J ~ t Administration, c. t. a. ord. b. n. c. t. a., enter date of Will in Section A above and complete lst of heirs.) p ( Y~ld belts: (!f Y Nart:e Relationship Residence (CO;YIPLETE IN ALL CASES.) Attach additiaurl streets if necessary. ~, Qveceeent was d ~iciled t dea/thlsin ~/ 6E'' lgti~ (;c„1~ Pennsylvania with his /her last principal rep idence at % ~y /~ tL~~:aucetndd~cas town/c:ty ownshtp eoung st~~p~p e~~~~ /A /'~~~ - Decedent, then ~_ years of age, died on 7 ~~~~~ at Q "~ ~~~ ~l o~ Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ ~ O (If not domiciled in P~) Personal property in Pennsylvania $ ----~_ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania situated as follows: Wherefore. Petitionu(s) respectfully request(s) the probate of the last Will ar,d Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: /~7ic'/rvE '7~0// Fora: R(Kpl reg. 10.11.06 n_ _ . r~ Oath. of Personal Representatlti~e CO~~I~:ION'~VE.~LTFi GF PE~i~SYLVANIA /1 / SS COL'vTY OF `l//~~~~~A/V~!' . The Petitioner(s) above-named swear(s) or affirn~(s) that tl:e statements in the foregoing Petition are Uue and correct to the best of the knowledge and belie[ of Petitiener(sl ar:d that, as personal representative(s) ofthe Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me the ~t' _ day of ?a~ For the R of ter N ~ _,, J iT © ~' O " a ~~ _ *.l Signn:ure oJPersou~il Represantn:ive `.7 ~ , r , =p C ~~c~ r r Sigrnture ojPerso+inl Rzpresenmrve ~rn n ~ ~ , ~~ - ~ r `r -•' '-, -, c ~ <a ~ ; ~ r -:- -- _ ` _ -, -'-._ FileN~u/mber: L /tee /`/~~/J~L1~~/LC ~ ~V/C~j,~//{~ ,Deceased Estate of /~ ~~~ ~' ~/~~ Date of Death: ~'f~~~O/~ Social Security Number: nna~yy AIvD NO'vV, ~ , e~1V ~ ,inconsideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECRE D that Letters ~ are hereby granted to . and drat the instrument(s) dated~l 1_,_.=I 1- 1 "l ~ described in the Petition be admitted to probate acid filed of recordnas the last Will (and ^odicil(s)) of FEES Regis:e:• of Letters ............... $Sl~, ~~ Short Certificate(s) ........ $ /a. ~ _. Renunciation(s) .......... $ _ $ ... $ ... $ ... $ ... $ ... $ _ TOTAL .............. $_~ in the above estate Attorney Signature: Attorney Name: Supreme Court T.D. No.: Address: Telepl~~or,e: Page 2 of 2 Signn:ur2 of Persan~! Represen:nnve f --1 o--D7oc~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee, for this cert~iicate. "+6.UQ P x.6461696 C~~rtificuton ^Jumbr~r--- This is to certif;r that the information here ~iven con-ectly a/pied~from an original Certificate of Deai duly filed with )ne as Local Registrar. The origin: certificate will he forwarded to the State Vit: Records Office t~or permanent filing„ ~ ~.. _ r ~~ ~ 7 ~~ Local Registr~ir Date Issued tU Q + Q G ~- '1 s ~~ ~. Cr r ' ' 7 ...) ~ ~ ._a -~ ~. ~ l A,'r~f ~~< <':1 ~~ ~ ~ ~ _- tTT .~J ••~~.~ H10S1a3 REY 11/!005 TrPE /PRINT w PFANM1ENr BLACK INK 1. Hare a Decedrs (Far, nadfM, mri suRr) Katherine E. Brown - 5. Aga (tau &Nmr) lkider 1 year Unyr t 3 w COMMONWEALTH OP PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE NUMBER 2 Female 3 204 03 8144 4 7/5/2010 yr. ~ B Dam a Srtlr plonn. yv vearl 7 Benaau rr •,•r alaeu Oqa Noun taerme __ _ Hoepiml: ~~ 93 rrs. 5/25 / 1917 Harrisburg, PA ^ Inpatlent ^ ER / twtpae.m ^ DOA ®Nufseg Homo ^ Rerdrr. ^ oaw re Couey d Dean & Ci S B . y, aro, Twp. a Deem r - pkny B0. Factl1y Name (H not imehrlan, Sire street aM raarear) 9. Was Decedars d ~ I~eiac C"9^~ ~ No ^ Yea 10. Rsw: Amrpn IMfan, Blaac Wtka ar ' Cumberland t Pennsboro , , . (tt yes. spewy ( .bran, (SpePY» Golden Livin -West Shore "'°""" "NiBO "~^~ ~) it.0ewwra's lkaatl ~ Kit d wo« dore ~ moat a ~ its. Do int ura ~ Ked d WoA KrgafWSaean/Ire Wry White 12. was Dacadrs aver n tlw 13. Dawyra'S Eduntlon (Seedy say nlygp grade twiaemdl 1a. Mrrtal Stahr: LYniad, Newx Married, 15. Surwhrg Spew N aie.9re maiyn name) U.S. Ametl Farwa? Secre School District / Setsnyry (412) Cdlege (11 « 5+) Wikwed. Diwrwd (Sperry) gl t ^ N 1 "l ea o Widaraed 16. oeweenrs NaingAm~esa (slmr,dy/town,smm. zip arm) Oaceeenrs PeIli1S lvania ofd Decedem Aemr R itl Y 4613 Brian Rd. ea e«e ,7a. smm nc ®vea. oecedanl Lnae ~ Ha-tmden r 1n. ~, Cumberland °' ne. ^ No, Deward t;r.d Mrvn "P ~~ 18. FeSwla Name (Feat nidda, lea, suRr) Lima a CiylBoro 1~LVin Wert 19. M«refa Name (Fast. nadde, nxitlen s«nsrtw) za mb Annie P. Ginsberg e rmanfaName (tYPa / ~ chael S Brown zro. Irimnrea's Naifrp Aameea (Shea. yi' / bwn, tars >-0 coda) . 3909 Rosemont Ave. Camp Hill, PA 17011 21a ~] Crarreyn ^ twnedw ^ aar ^ Rrrovalh«n i 210. ore a D'mPwdien (iAomi, mr, year) 21c. Pmw d D'mPwlien (Nam. d mreM', n•nrtan «adw pence) 27d. t.ewew (Cny/mwn ram » coy) wrcr.a.uan«IbnstlmAalhormed~r ^ 7/g/2010 ^ °"" rcar«rar? tae "° ~ ~ , . Evans CYemati-on Service Leola, PA 17540 ?$ d starve a auaq 22b. uc«re Nuribar 22c. Nacre add Adda es a Fardiy 1 flr , nC ComPmia ~ 23ec oNy aMr urWy:ig 23a. Tone Irwl a my Ivlarwedga, yam doomed r na tare, yen rat paw amen. (sigrreae ertl iy) pyron' natavaisasrtlmaayanc wdiY dyrR Noma za-20 mot t» wnammd M paraw z+. rre a Dean ?s. Dm pmpraKad ogee (tAnM, yr, yeary "a°0r"""'wstlwtl` 7.05 A. M. Jul 5 2010 CAUSE of DEATH Ise. Inrtruetbrw.nd .a.ntpMe) p aavrn Imm 27. Part I: Einar ns t~ a.ram. _ baear. njriaa. «wrnpawBOrr - IHt 6rWN a.ed m• d.n. ro Nor «yr maaiw wanm sail as wraac arrmt. over m Daan reap'ramry armL «Madrir fiErlladon villas 9howng ne etlobgr. Lac oar are wusa w xw 5r. rE~-- CCAUS,mE IFmel)dbaasa « „~a ~ / ... l •'a' '~9 yen _~ a Ji//`~~s vvv l~/C C, Due m (« n a wreeauerae d): it oonOeae, n ry, h. m aeMa !sled m irN a. ~UNDERLYtNG CAUSE Dw b (« as a wrmepamoe al: Ideeaae «~nasy tlrt iaymd re awrim rearYY yY h deW) LAST. a Due b (« as a wreetlreriw Dry: . o. 30a wn sn Aubpsy 300. wre Aaopny FiNrgs 31. Alerxiar a Da.n 37a. Data d PerbnneC! Av~M Prbr m aNY (AlorM, yy, yssry 32h. Dsawte Mow mM1•Y Omared CoaVmtion r-y a cww a o..n? ~C ^ • 1 Lironee Manger 23e Dale Spwd pA01ar1, yy, Ydrl 2Q Wu Casa Rehmed m fender Exartiwr /Comer mr a Rases, Oe1u eve Gamsyn « Donaaw? ^ vas ~] No Enb olhar . ~ ?B. Dltl Toyroo Use Cmbeaae b Darh? but rpl reauXig N re ardryap wave grvan n par! L ^ tea t, Pae..w ^ No 29. n Frrem: '~ Na PreRera.ttlir Par Y•ar ^ Prapnaa r fire d yan ^ Na prays, ha prapynt wiepl42 yya a sago ^ Na prayrea. M prayed a3 yys m I year er«a yen ^ uauloA„ n prayrra wife! n. Par rear 37a. ~d0~^BYSaY.. ~(~c.2n.L Fea«Y. ^ rw ,r~ No ^ res ^ Aunt ^ I 3zd. raw a trray 3z.. I al was? 32t. n r 7 ^ No PrxNq areep.noo npaY raraporletlm men fSPadN! 3zg. lnwacri a iry«y (SIneL dN r mwn, atri) ^ eddy ^ cau Na a oamnr~iea N ^ r« ^ No ^ odrarropembr ^ Pneargr ^ peeewian soar- ~r 33. camyr (aNee my one) 33h.siywam~al. a • CeNlrhq plryahJSn(Ptryrdan aroMgewr ddMn wrenaretlrr pysieien haapwaaned Own arxl eonrpmmtld yen 23) i __.. ~, ro tlwh.uanry erwwaag..d.rN aceund dusblh cruye).ne nunnarr smmd__----- f?' ~ T.Prm~OUreYg rtl osrsyiq pWremn lPlyrdM hatlr pimornoq yen and wrwysq nerve aderh)-------------------------s`-' 33c L'rerwe Nunaaa ~/L y -7 • Ysekr F-s~/Corarwr asrltaa:rmeatlM tlnw,yw.aM pt.ea, arM yabma auaa(slam amrnrrp sbmd------------------^ %YI,Q G 1.3 T ~~ / 7~-( `yY•wrlZ~rl~ On tlr erm aarn~utlwand/«Mptlygw,Nnry opWOn,yan aawrMrBr tlma,yr, artl paw, and dud to arcwnp)arq mrtrerrm+md ^ 3<. Name and AaenyyeP.mQa wl,o ~ / U/~ c«raoyd Dr.. ai o~tn tnam~ ryP. r Pia t~ •7.~ ~ 6-~c~/ryL~~vl~ loll ~LJ llld ~, .. ., .. ___ ,. DieDeuOori Pemd No. LAST [MILL AND TESTAMENT OF KATHERINE E, BR.OF~7N KrTO[~7 ALh ~n?EN BY THESE PRESENTS , That I , KATHERINE E . BROWN, o.f_ the City of Harrisburg, County of Dauphin and State of Pennsylvania, do make, publish and der.lare this instrument to be my Last Will and Testament, hereby r_evok.ing and making void any and all former 4~Tlls by me at any time heretofore made. FTRST - I direct the Executor or Executrix hereof_ to pay all my just debts, f..uner_al expenses and costs of administra- tion as soon as conveniently may be done after m_v death, I .further direct the Executor or Executrix hereof to pa_y without right of reimbursement anc? as Hart of the expense of administering my estate all inheritance, estate, transfer and succession taxes which may be levied or assessed ux~on any property which is incluc?e~ as Dart of my gross estate f_or the purbose of any such tax. SECOND ~ I give, c~.evise and hectueath t'~.e combined va1_ue of. my checking account or checking accounts, saving account or saving accounts anc? the automobile T own at t?~e ti_me of_ my death as follows: (a) One-half (1/2.) thereof to my son, MICHAEL S, BROG]N; and (b) One-half (1/2) thereof to my daughter, PP,TRTCTA H. BP,OTa1~T. r~ ~, ~~ . ,~ t7 ._.. _.. ~ ,: is .. _ f ~ ~. ~._.' .._,, ~...._• l..r l~ I t,_ f... ~_~ f~.., .... Z~ Tr1 T^TITNESS i~THE??,EOF, I have set my hand and seal to this, my Last Gill and Testament, consisting of three (3) typewritten pages on the margzn of which (except this sage.) I have affixed tl~ 77 my %n:tials this // day of /~dd~-~;~~e,~~ , A.D, , 1981. 0 - ~ ~, ~~~~~ (.SEAL) i Signed, sealed, published and declared by KATHERINE E, Bp,0~h7N, the above named Testatrix, as and for her Last U1i,11 and Testament, in the presence of us and each of us, ~,Tho at her reques a.nd in h.er presence, and. in the. presence of each other, have hereunto subscribed our names as attesting witnesses, „~ :, I ~" OATH OF NON-SUBSCRIBING WITNESS(ES) REGI TER OF WILLS G~/7~E.°P~.9N~ COUNTY, PENNSYLVANIA Estate of /~ ~~~.~/Pi%V.G~ ~ ~/P~le'-~i~/ Deceased ~~~'C'i%~ l~• ~i~01,/N and ~ ~'/~/~ ~ ~~w~ (each) being duly qualified according to law, depose(s) and say(s) that sh ,/ he /they was /were well- acquainted with ~ fiQ ~~/.t .~~~-/n/ and am/are familiar with the handwriting and signature of the decedent, and that the signature of ~~h~iPi iy,f ,~. ~i~~1/~ Ito/the foregoing instrument purporting to be the Last Will and Testament/Codicil of /f ~~1 ~i/~ ~O~//U is in his/her own proper handwriting. i . (SiQnaturel ~~ .~ Executed in Register's Office Sworn to or affirmed and subscribed before me this ~ day of (Signature) 3 9 ~ 9' ~oSL rndry 7 ~ ~~ (~~ 0 (Scree! Address) ~' ~~ P ~~-~, ~~ ~ 7o r ~ (City, State, Zip) ~ ~ 050 ~_ Deputy for Register of Its _~ :`ram rn °:~ ~ -.t?~~ -~~ _~~. :O `ry _.a E.., L_.. c r .c- A w x. `r ,, .. . ' ~a {._ _.~ .:_ r=r'r r-; Forst RW-04 rev. l0.13.06