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HomeMy WebLinkAbout07-23-10PETITION FOR PROEATE and GRANT OF LETTERS Estate of C~(n,c~. =lea ~-e. "~ . ~ o S~_ No. -~ ~ -- ~ L -- ~ 1 i-i~"7 _ also known as To: Register of Wills for the Deceased. County of in the Social Security No. ~ ~'6 ' 3 ~f - '70? ~ Commonwealth of Pennsylvania ~~ ~ The petition of the undersigned respectfully represents that: ~.~ ~ ~„ =.=~ ~~ Your petitioner(s), who is/are 18 years of age or older an the executes- ~~ .T~ nari~ in the last will of the above decedent, dated .~~ mac- 10 ~ ~Za4 '' ~r- ~ r-~ and codicil(s) dated .L3~' , ,; ~ - - ~,. (state relevant circumstances, e.g. renunciation, death of executor, etc.) ~ ~ '° Decendent was domiciled at death in ~ c.~rn ~~'~ ~.~~ County, Pennsylva 'a, w~h h~ c' last family or principal residence at V i 1~ ~,~'(' street, nuq-ber and` mun ' alit ~O~,~S~,., ~ ~G't1- t15 b~~D Decendent, then years of age, died .,y v 1 ~,~ ~ n ~1' _, at ~ !A L~:c~ S-rc~~r i Inc, G2oc~d 1~_C~ C~ ~ 112. . 'P ~ 17 ~ ~tl _,-, ,; - ~. _.. ~; .-;; ~, .~ ~~~ • ,,3 ~_~ _~ ; Except as follows; dece""dent did riot marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and wa never adjudicated incompetent: Mncrj G~ ~Z~ l~: nL er'g' TI~SS L~e~Q.S~ ~~.-O''1~ l~~ Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ O~i, 00 ~ (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 re nest(s) the probate of the last will and codicil(s) presented herewith and the grant of letters '~'~5't'a- ~•.~~nk+~car- ~-1 (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. ., ,. U C N b .~-. ~ [ C.11e~.,r- l~ t "EZa~F-H 'k?.•KS G u 1 ~5~7 bo l t ~ '~ ~ •: ~. ~ ~ w O c~ C _M OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF 1 ~, 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. Sworn to or affirmed and subscribed before me this day of 19 Register oo' ~o Uatl~I of Personal Represen.tati~~e CO~~I~.fON`~vE.-~LTI-i Gr PE;`+~SY~LVa.~;I~, COUNT~'OF SS The Petitioner(s) abOVe-naRied S~L'eaC(5) or affi[-m(s) that the StaienleiltS 111 the forgoing Petition are t1Ue and con~ect to the best of the kno~.vledge alld belief of Petitiener(sl al:d that, as personal representative(s) of the Decedent, Petitioner(s) ~:vill well and t711y adnunister the estate according to la~.v. Sworn to or af~~rnle;i and subscribed before me the ~~C ; ~ day ~f z ~~} ~G ~` ~ ,~~y Eor tl;e Red r 1,., f L Sigr.ct,ure ojPerson~lR2prese,icn:ive Sign~~:u,'e of Persona! R2pr•es~ntn~ive ~~ ~_..~ ~: . 1 - _R Sig,tanu•2 ojPzrsonal Rzpresenrarve ; ; "[:7 C ,,.. , • ; - `,'~} ~ File Number: ~' ~ '~ r-~. '~~~ Estate of ~- ~~~ r ~~ ~?C~~.~ ,--deceased ~ ±Y~L~ ~, ~J '"~ ~ [ Social Security Number: Date of Death: AND NObV, ~;o: ~ ~~ ~~j ~ ~ j(~ ,inconsideration of the foregoing Petition, satisfactory proof having been p[-ese[lted before me, IT IS DECREED that Letters ~' ~ /L1.~ Y1 ~~'I ry are hereby granted to ~~ ~~1C~~ ~ ~(y ~~~ ~,~"f'~~ ~ ~ ~~ ~' C-~ L~'' ~~Z in the above estate and that the instrument(s) dated ~ L - ((,~ -- ~ C?~1 +~~ __ ,~~ described in the Petition be admitted to probate and filed of record as the last V~'ili (and Codicil(s)) of Decede:a. FEES ~ ~ ~..~'~ ~~~L~~~ ~-'~. ~_ ~ - ~~~1~~ Letters ... Regisre,• ojWil1s . ~ ,~ $ ,. i . ~~ ~ ~l l~ Short Certificate(s) ........ ~ ~ ~! : ~~~ Atto111ey Signature: Renunc11iation(s) ....... ... ~ ... ~ ... ~ ... S ... $ ... ~ ... S TOTAL ........... ... S~ l~ ~ ^~ Attorney Name: Supreme Court I.D. No.: Address: Telephone: r~,;;,, ,vv.u ~ ,~.. rv.~_.v~, 1'a~e 2 of 2 RL+ GIS'I`L~ ®F WILLS ®F ~`~ Iti ~~-,~~ ,~,~'~ CGUNT~ GA'I'N ®F SU~3SCRII3ING ~JITNLSS ~~ 1-- I ~ c~ ~ ~--~ ~ . ~ ~.~ __-, codicil (each) a subscribing witness to the law, depose(s) and say(s) that _ ' esented herewith, (each) being duly qualified according to present and saw the testat !~ ~+ ~ ,sign the same and that ~ ~`~ signed as a witness at the request of testat ~- ''~ in h F r presence anal (in the presence of each other) (in the presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before me this ~ ~ rd day of wT~. ~ ~-- 1~~ COMMONWEALTH OI" PENNSYLVANIA Reg~er Notarial Seal ~~ ~'° 7 Vicki L. Hopkins, Notary Public West Pennsboro Twp., Cumberland County My Commission E~gaires Jan.15, 2012 Member, penn~v9uenie Ast~oal~tiran pf Notilrlas ,`~ Name) !/ s~ ,~ -.~ 7 - P ~ f~~.~{.~.- .~e~t.'.~_ (Address f'~-~' , `~ ;-~ ~,l r ,~ , r ., (Name) .~ ( ddress) ~ ~'`" r' ~ ..;, t ..- ~ ~ ~, ... ,.._ ` _ ~ __. ; !,- - ~ `~'~ ~GIST~R ®F WILLS OF C®UNT`.~ - ,.; ` r ;.. - - ~~ ~ `w' `-- ._y GATH ®F I\T®N-SUBSCRIBING ~ITNLSS ` _ .....1 r~i yL~ ~~ ~ G1__ --- ra Cyr ewe (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that familiar with the signature of codicil testat of (one of the subscribing witnesses to) the will presented herewith and that codicil believes the signature on the will is in the handwriting of to the best of knowledge and belief. Sworn to or affirmed and subscribed before me this day of 19 Register !Name) (A~ ddress) (Name) (~ ddress) REGISTER OF WILLS OF ~- ~!`~'b hJ~ L~f~f~ COUNTY OATH OF SUBSCRIBING WITNESS . ~ -~ l ~' -~;~~~-l 5~ codicil .- (each) asubscribing witness to the ~ ill esented herewith, (each) being duly qualified according to law, depose(s) say(s) that ~.- ~u~~, the testat ~ ~ ~ ,sign the same and that signed as a witness at the request of testat~~~~ in h F~' presence and (in the presence of each other) (in the presence of the other subscribing witnesses}). Sworn to or affirmed and subscribed before me this ~-3 rd day of COMMONWEALTH OF PENNSYLVANIA ~~- NotarialSeal ,-~,~ ,~'-~ ~ Vicki L. Hopkins, Notary Public West Pennsboro Twp., Cumberland Courtity My Commission Expires Jan.15, 2012 Member, P~nneyivani~ ~~aq~i~ti~r~ ~ ~l~Fia~~ ~ . ~ a ~. ~j ~- ~ C( t -may ~-~, ~ ~ Add ess ~ ~ mid ~,~ ~ I(Name) . , ,~ -,~d, ~~~~,; ~'~h ~.~ ~ ~~ s~j ~- ~ ,i,' (Address) ir-. f~`? r -•.... ~^_.i__i ``i. t.. ~ ~ t-.__ C~ -- ~ ~.~ F~ ~'_-;, ~~°~GISTER ~ OF WILLS OF COUNTY . ' - -~} ~'' ~~ ~ ~ OATH OF NON-SUBSCRIBING WITNESS ~ _ . ~, ~; =-; (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that familiar with the signature of _, codicil testat of (one of the subscribing witnesses to) the will presented herewith and codicil that ~ believes the signature on the will is in the handwriting of to the best of knowledge and belief. Sworn to or affirmed and s ubscribed before me this day of Name) 19 (Address) Register (Name) (f4 ddress) present and saw ~•C~AL REGISTRAR'S CER~'I~I~ATION QF DEATH ''J4~~1RNiNG: it is illegal to duplicate Chas cope by photostat or photograph„ 1'~c'r~ hut' thl~ l'~'I"!)f~i~aflL'. ~*+(~,.(}i) Ccltil~icrt~it)I~ ti'(;O)It~t ;,~~-%~~~~~~_%~- ~~ 'his is tt~ ~~,~,rtit~y chat the i;nf<>rn~at~on here ~ive~n is 'jr''~~,11i_Of p ,,1''l~, . - ~ fy ~~~. ~cn-re~ctly cc,l-~ied 1~rtyl» an c,ri~~)nal Cerl~ificate of Death `~~ ot~ ~`f G ` I iul` tile~~ ~~ itli I~lt~ a~ C ~>cal Re;~,istrar. "rhe original ~'`~ `,y~~~rtitirate ~~ill 1~~: f~~~~wa)°ded to the Stare Vital ~,' ^, ~i y ~ ~~~~ Kecol-d~ (TCtl+~c~ ~~~1r p~rman~:nt filing. r` r `\~~' , ~;_~ MEiVT Q _------ ---_ ---- - ,,,,,,uui!.~~t±tn`., ~.(>cal IZigi~tra(• Date Issued ~ r-..~ ~ _ ~: -~ ~ _~ -1 ti } ~ (~J f.. ._. ~.j T H10S143 REV 1712008 TYPE !PRINT IN PERMANENT BLACK INK • L.,. _d L w `~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) er eTe nr [ r.u wnco 1. Name of Decedent (Firer middle, last, suMiz) Char 1 o t t e B Ross 2~f e m a 1 e 3. Social Security Number 4. Date of Oeam (Monet, day, year) . 190 - 34 -7075 ~ ~Q S. Age (Last Birthday) Under 1 ear Under 1 da 8. Date of BiNt Monet, da , r 7. B ce C and state or for e' count 8a. PWce of Deam Chedt on one 8 8 MonMs Days Hours Minuses 9/ 7/ 19 21 Hospital: Other: vrs. P ]. t t s b u r h P A g ^ m darn ^ ER /Outpatient ^ DOA pe {~ 7 ~,~ Nursing Home ^ Residence ^ other - Spealy. fib. County d Deem Bc. City, Boro,®of Deem 8d. Fadliy Name (If not insdMiat, gNe sbaet and number) 9. Was Decedent of Hispanic Odgin7 ~ No ^ Yes 10. Race: American Indian, Black White, etc. Cumberland West Pennsboro ~ re en did e U~'u ~, (., Yea, ~r~en, Maran,PuerroRk:art,etc.) (Specify) white ri. tler:edanYs Usual Occ port Kkid or work d one dun most of life. Do not state retired 12. Was Decedent ever in me 13. Decedent's Educatbn (Spedty Doty highest grade comp leted) 14. Madras Status: Married, Never Monied, 18. Surviving Spo use (G wife, give maiden name) Kind d WoM Kind M Badness / Indusby U.S. Amted Forces? • Elements I Serwrida 0.12 ry 12) Coll ~(7-~ ~) W~~' Divorced IAN) Writer Author ^Yaa L1 rro 2 widowed ~s. Decedem's Mailing Address (Street, arty /town, Stara, fro aade) Deaedertea Dw Decedent West P e n n s b o r o Actual Residence 175. State P A Live in a t 7c. ~] Yes, Decedent lived in Twp. 210 Big Spring R d Township? 17d. ^ No Decedent Lived wthin Cumb 1 a d 4 , er n t 7b. County Actual umds ar ay /Born I8. Famer's Name (First, middle, last, suffix) 19. Motltera Name (First, middle, maiden surname) Charles Brand Ruth Sipple 20a. InlormanYs Name (Type i Print) 20b. Informant's Mailing Address (Street, city /town, state, zip code) Ruth Cullen 6366 Pfafflin Lake Blvd Newbur h IN 47630 21 a. Method of Dispositan r ®Crernation ^ [knatbn 2t b. Date of Disposition (Monet, day, year) 21c. Place of p'uspositbn (Name of cemetery, crematory or other place) 2 ocepon / t state, i ~~""l ~~ ?pi ^ Burial ^ Removal from State i was Crerrrstlon or Donetlon Atdhorltsd ^ other ~ , by Mwkai ExamMsr! Corortsrz ®Yaa ^ No 2 Q 1 Q J u 1 y 2 , H o 11 i n g e r Crematory • y ngs PA 17 0 6 5 22a. Signatursyf F rat Se ' Licensee (or person acpng as such) 22b. License Number zz~. Noma a„d addraaa of Fa~;,y Egger F u n e r a 1 Home I n c ~ '/ ..1~~- FD 13895 L 15 Bi S fin Ave Newville PA 17241 Cortipbte Germ 23e•c any when ceniyl 23a. To the best of my knowledge, deem occurred at the pme, date and place stated. (Signature and title) 23b. License Number 23c. Date Signed (Monet, day, year) physidan is not avaNable at time of deem ~, ti~. , ~ ~ ~n1 ~nr~o ~~19 ~ 8 ~ ~ ~ - ~ certify cause of deem. , ~. t r,~ , :?o ~ Items 2428 must be completed by person wh n m d 24. Time of Deam J. /~~ ~ l Q ~ A 28. Date Prono unced Dead (Monet, day, yea/r~) 28. W~asyCase Referred b Medical Examiner /Coroner for a Reason Omer man Cremetbn or fbretion? ^ o pronou ces ee . J i L J ~ ~ i Q~~t I r l ~'!.(. ~ ~ 1 ~ o ~ (J L~J Yes No CAUSE OF DEATH (See Instructions and examples) r Approximate interval: Pori II: Enter other sionifx~nt conditions conmbupng to death 28. Did Tobacco Use Contribute to Deam? Item 27. Part t: Enter me chain of events -diseases, erjuries, or cerrpGcapons - met drectly caused die deem. DO N07 enter terminal events such as cardiac arrest, r Onset to Deam but not resulpng In the underying cause given in Pan I. ^ y~ ^ Probabty respiratory arrest, or ventricular flbrillatbn without showing the etiobgy. List Doty one cause an each Goa. r r ^ No ^ Unknown IMMEDIATE CAUSE tFnnal disease or ,,(_ f.~~ ~ ~ condition resulpng in deem) I (/ ~ ' `~ ~ / b / `~ ~~ I a ~_ a. CJ /`C-t L -'.C I l '~ ~/ ~ ^ N t ihi Due to (or as a uence oq: r belN fist rbndRions, it any, b ~ M re th N d t G pregnant w n past year o ^ Pregnant et time of deem ^ e cause on s s ne a. pus to (or as a ce o r Emer l1NDERlYiNG CAUSE cona•gu•n f): r Nat pregnant, twt pregnant within 42 days (disease a injury mat mipated me c r events resulli m deem) LAST ~ of deem . Due to (or as a mnsegwrrrs of): ~ t Not pregnant, but pregnant 43 days to 1 year before death d. i Unknown if r P agnant vdpprt me pest year 30a. Was an Autopsy 30h. Were Autopsy Fkidinge 31. Marxter of Deem 32a. Date of Injury (Month, day, year) 32b. Describe How Injury Occurred 32c. Place of Injury: Home, Farm, Street, Factory, Perfom~ed7 Available Pdor W Corripletfon r-,/ BQ N i l ^ Otpce Buildng, etc. (Specify) of cause W Deem? aWra Hom cide ^ Yes ~ No ^ vas ^ No ^ Accident ^ Pending Investigation 32d. Time of Injury 32e. Injury at Work? 321. If Transponapon injury (Specity) 32g. Locepon of injury (Street city I town, state) ^ Suicide ^ Could Not be Determined ^ Yes ^ No ^ Dmrer/Operator ^ Passenger ^ Pedestrian M. ^ Other - Speciy. 33e. Cerpfler (cftetir ony one) 33b. Si ature fler /~ • Certilying phyeieNn (Physician cerutykig cause of deem when another physician has pronounced deem and cortipleted Item 23 To the beat of my knowledge, deeM occurred dw to the uuss(a) sod mennsr u slated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ' _ _ _ _ _ _ _ _ _ _ _ _ ^ /~/~J t j ~ J _ _ _ _ _ • Pronouneing end csrtHying physklan (Physiden Iwm pratouncing deem and certflying ro cause of death) To the bast of m knowled death occurr e d ri the N d t l d d t th d d ~" 33c. Uce N r L 33d, Date Signed (Monet, day, year) "~ y g , e ina, a e, en ace, so w manner aerated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ p o e ceuae(s) an • Medlral Examiner/Coroner ©~ (~ - (~ ,~ L 1 ~ Z ~ ~ / ~ l..-' On Me beefs Ot a%aminetton end 1 or investigetlon, in my opinion, doMh occurred at the tlme, date, and plsca, and due to the eauee(s) and manner ae atsted_ ^ 34, Neme and Address of Person Who Completed Cause of beam (Nam 27) Type /Print 38. Registrars and Dis ' l~{idFi6e~ - ~ t-~K~7t~k-rte I~ ~ i ~~; ~ I to ~ Filed Monet, day, year) ~ 0~`c17~~~1~ Disposipon Permit No. Last tiVil~'an~C2estament Of CHARLOTTE B. ROSS I, CHARLOTTE B. ROSS, a resident of Cumberland County. State of Pennsylvania, being of full age, of sound and disposing mind, memory and understanding, and under no restraint or improper influence, do make, publish and declare this to be my LAST WILL AND TESTAMENT, hereby revoking all previous wills and codicils made by me. FIRST: I direct that my Personal Representative, hereinafter named, pay all my legal debts, the expenses of the administration of my estate, and my funeral expenses, said funeral expenses to include the cost of a burial lot, perpetual care thereof, and a suitable marker or tombstone, if not otherwise provided for during my lifetime, and the total cost of said funeral expenses shall be within the sole discretion of my Personal Representative. SECOND: I give, devise, and bequeath the rest, residue and remainder of my estate, consisting of real, personal, and mixed property, of every kind and description whatsoever, and wheresoever situated which I may now own, hereafter acquire, or have the right to dispose of at the time of my death, to my two children, in equal shares, for purposes of Definition and identification, my children are: Name Date of Birth :-~ Charlotte Ruth Ross Cullen August 24th 1943 r~~ _.~~ c~ _: r-y n David Vincent Ross May 24th, 1947 _ ~=.- -~ ,/r.F i~ .V, f ...> ~~ t THIRD: Beneficiary Provisions. r -' The following terms and conditions apply to the beneficiary clauses of this w. A. 45-Day Survivorship Period. As used in this will, the phrase "survive me" means to be alive or in existence as an organization on the 45th day after my death. Any beneficiary, except any alternate residuary beneficiary, must survive me to take property under this will. B. Shared Gifts. If I leave property to be shared by two or more beneficiaries, it shall be shared equally by them unless this will provides otherwise. If any beneficiary of a shared specific gift left in a single paragraph of the Specific Gifts clause, above, does not survive me, the gift shall be given to the surviving beneficiaries in equal shares. If any beneficiary of a shared residuary gift does not survive me, the residue shall be given to the surviving residuary beneficiaries in equal shares. C. Encumbrances. All property that I leave by this will shall pass subject to any encumbrances or liens on the property. ~~ _' ~ _ r- ~`; :~ ... "'3`j ~ ~3 - '-~ c,~ - ~-T, FOURTH: Executor. I name Charlotte Ruth Ross Cullen as executor, to serve without bond. If she does not qualify or ceases to serve, I name David Vincent Ross as executor, also to serve without bond. I direct that my executor take all actions legally permissible to probate this will, including filing a petition in the appropriate court for the independent administration of my estate. I grant to my executor the following powers, to be exercised as the executor deems to be in the best interests of my estate: A. To retain property, without liability for loss or depreciation resulting from. such retention. B. To sell, lease, or exchange property and to receive or administer the proceeds as a part of my estate. C. To vote stock; convert bonds, notes, stocks, or other securities belonging to my estate into other securities; and to exercise all other rights and privileges of a person owning similar property. D. To deal with and settle claims in favor of or against my estate. E. To continue, maintain, operate, or participate in any business which is a part of my estate and to incorporate, dissolve, or otherwise change the form of organization of the business. F. To pay all debts and taxes that may be assessed against my estate, as provided under state law. G. To do all other acts that in the executor's judgment may be necessary or appropriate for the proper and advantageous management, investment, a:nd distribution of my estate. These powers, authority, and discretion are in addition to the powers, authority, and discretion vested in an executor by operation of law and may be exercised as often as deemed necessary, without approval by any court in any jurisdiction. Signature I subscribe my name to this will this ~h ~` h day of ~~~~e ~" t~ C~ Cumberland County in the~ate of Pennsylvania. ' I declare that it is my will, that I sign it willingly, that I execute it as my free and voluntary act for the purposes expressed, and that I am of the age of majority or otherwise legally empow e to m ke it under no constraint or undue influence. Signature: ,~ h Witnesses On this `~ --' day of ~ .e. the testator, Charlotte B. Ross declared to us, the undersigned, that this instrument was her will and requested us to act as witnesses to it. The testator signed this will in our presence, all of us being present at the same time. We now, at the testator's request, in the testator's presence and in the presence of each other, subscribe our names as witnesses and each declare that we are of sound !end ar_d of proper age to 1vit~,ess u jvill. «Je furt'~er ?ec?µre teat ~.~e urde:stand this to be the testator's will and that to the best of our knowledge the testator is of the age of majority, or is otherwise legally empowered to make a will, and appears to be of sound mind and under no constraint or undue influence. We declare under penalty of p rjury that the foregoing is true and correct, this ~ 6~h day of ~ , at Cumberland County, State of Pennsylvania Witness 1 ~~~~ Signature: Typed or printed name: L~'vr2~4 L G''~w~~ Residing at: ~/~a q ~/~t ~r~~F jfr~ City, state, zip: F~~ ~F/}~, ~'~.- 2-?.c~ 30 Witness 2 Signature: Typed or printed name: ~r a_ n1 ~, e. ~ Cr`~~h,Q, ~ Residing at: 7I ~~ G~x~.Q.~, City, state, zipG~l~ , ~~-c ~0 Q~ , 2gc~.. ~Z ~ j Witness 3 Si nature: ~'t~ ~~ ~"~~ ~ ~1~~~' Typed or printed name: 1 ~ ~ h~~~t ~C..~r,.~~a n t+~~e-l~'y } Residing at: ! / SI' ~ t'ee.t~ /~ratf~e ~ a-~~ Cit state zi ~' f `