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HomeMy WebLinkAbout07-27-10P~EGISTEP~ OF `;'vIi~LS OF COr ~~iT~', PEA ~S~~LV `.vI~ Estata of C ~ t1r ~ C ~'TE'_ ~ ~~, ~ 0. ~ ~. also known as Deceased Petitioner(s), wlto isiare I8 years of age or older, apply(ies} for: (CO;LIPLE7E ',4' or 'I3' .KELON~_) A. Probate and Grant of Letters Testamentary and aver that Petitioter(s) is /are the last Will of the Decedent dated ~J,~%.y ~ oZ-G©g and codicil(s) dated T (Strte releva,it circu,nstances, e.o., renunciation, deat/r of executor-, etc.) Except as follows, Decedent did not many, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ^ B. Grant of Letters of Administration (,~"applicable, enter: c.r.n.: d.b.n.c.t.a.; pendente lire; durantz absentia; du,-ante ntinoritate) r•a Petitioner(s) after a proper search has !have ascertained that Decedent left no Will and was survived by the follo~~~ouse (if a~and heirs: off fldntinislra[ion, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and carnplele list of heirs.) :^-~ ~ ~ :a_ + '~`' :~ --p C =` _T~ ` r Nan;e Relationship _ ~t~e ry,L____„f; --~ .. ~ ~ c~i (CO;YIPLETE ItV,~ILL C~tSES:) Attach additional sheets if necessary. r ~ •J~ccedent as omiciled a d ath in _ lr-~ `^'~~ ~ r ~ g_ County, Pennsylvania with his /her last principal residetlce. al ~'7'~ (List street n dress, lo~wr/city, township, county, slate, :ip cod-e~ ~ C Decedent, then ~~ ~ years of age, died on / ~ 7 at 1~Q ~ fJ ~ ~` ~ ~ ~` '~ '~ ~~• ~ ,. Decedent 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: S ~ ~~ ~ ~ U Wherefure, Petitioner(s) respectfully request(s) the probate of the last 1Vill ar,d Codicil(s) presented with dais Petition and the grant ot•Letters in the appropriate form to the undersigned: Signature Ty ed or rimed name and residence ~ d czr La-`n;~,C~'~~' a~0 OV`~~~5 'per "(~1l/.~. named in the File Number ~ i Social Security `lumber __ I!'-~ ~' 1 ~ ~'~~ ~ ~~ Fornr Rav-n~ re,~. 10.13.06 Pale 1 of 2 Uath of Personal Rcpresentatiti~e COylI~ION`~v""F_-~LTI-i Gr PE~;~S~~LVA~iTA COUNTY OF SS The Peti±ioner(s) above-named swear(s) or affil-m(s) that the statement, in the foregoing Petition are U~ue and con'ect to the best of the kno~,vledge aad belief of Potitioner(s) al:d that, as personal representative(s) ofthe Decedent, Petitioner(s) ".vill well and tally adnllnlster the estate 3000rdlllg to la~.u. 1 Sworn to or affirmed and subscribed ~ ~ ~'M'~, ~" c ' Sigr.ctcurz of Pcrso,::~1 Representn;tve ~ before me tine .c l day of t ` `1 , ~~ 1.(,.~ Si;rn:ure oJPersonal Rzprese;,r"~:ivz -~--~~ r~ Fo[ ttlZ Reg' (eC SiSantcu~2 of P2r'so:,al Rzpresent:rtive -=` 0 _. t..... + , .. C _-. , --, File Number: ~~'' l~; ~~ ~ ~ ~ -- ~ i..7 '~ ~ , ~,~ y 7 . ,_ Estate of , ~ (.~ ~ ~ ~,i l.Gt ""'~ ~• ~ Dec d c~ ~.: ~;, .---i Social Security Number: (,+_~ L `" . z2 ' ~ ~ ~ -~ Date of Death: 7 - R ~- ~~ ~~ t (-~ ~, •~ i~ AND NO'~V, - ~;~~ t ~ ~ ~ , /~ ~~ ~ ~ , in consideration of the foregoing Petition, satisfactory proof • having been presented before me, IT IS DECRE ED that Letters `~~`kC l l'1/~-~; f~ ~ C l.! are hereby granted to ~U ~' !~ -}- ~ (~ ~"~~~ ~1 (~ in the above estate and that the instrument(s) dated C~ ~ ~ - ~ ~%Ci ~~ _ v._ described in the Petition be admitted to probate and filed of record as the last V~'il1(and Codicil(s)} of Decedent. FEES {, :~ ~~ , ~.. ,- ~/ ~.:_~ ~.~(.-Z L'~-r ~ . s _ Register oJWi11.,• -> '~ ' ~- Letters ... ~ ~ ~ ~~i I` C~~r~~ ,~' C~~. ~% ............ $s ~ ~f~ • L Short Certificate(s) ........ ~ ~ (~ - (,~ Attorney Signature: Renunciation(s) .......... ~ 1,~~ r ~ ~ ... $ ~ ~~.~~. - ... ~ ... ~ ... ~ ... $ ... ~ ... ~ TOTAL .............. ~~7C~~ • ~Xi Attonley Name: Supreme Court I.D. No.: Address: Tel~phor,e: r",;,,,,R11~u' ,~•,. Io.!_.v:; ~ Page 2 of 2 .QA~. REGISTRAR'S ~ER~°I~~~,A'TlC~-N ~-~ :,"`~~°R -~Ir ~~RNiNG: It is illegal to ~lupliGat~ this ~;~~py :~ pt~l,~tc}seat Or pl~a0~~g~.;t:~;.~~( l~t~•r: ~1~ir this ~c?~titlc.ItL• "~~t~.(.11) I 3 REV 11/2006 I PRINT IN aMANENT ACK INK /i~r ~~ tl '~ i~r ~ 1' '' y! ,~)~ ):l rlll~llli;l ~'lcid: '°iti~ "; r~l'K ~~~~') t~H'O/~tl ~..~. it C ~ " , ~ ~ C I 1 11, l~, t.. S~ .. i t,~, i< . (. , ili(l~,rlt 111 I ~~';ith; ,_. t Y! ~y i„1 `!,' j,r lm _ /t~ ~`: ~r ~' ~ f iW lit" ) ! ~ ~ ~ I t, ,- ~ E4~ "., 1.-`~~SV(I 1 ~V}{t~ t..)1 t'~(itti(I 1' ~ , ( . a r... _\ 'fie ~ / ;1~ ~ ~ h ), . i';~ .. ~f ' ~ 1.911.1 lx e(? ~i4'ti.~ 3~i;ih '~. li,1~ ~t , ~r .....c.. A . , ~ . , 4 M ~~ /~ ~. ~Y S k~ 4 is -. S C.l-'I4" i u I i~ l?}`..... v r ~ ,s f•` ~ ' 8'9~• m r •~ , 9 j~ ,~ -_ __ _ ,l i ii `^} `+ P ~ ' ~1' "1.. ... a,.. ... w_ .....1~ To..... .. .. f --77 {~+~j 1 , tr+ .-...~, _.. _. ..'....y , , 1 ~I 1._, , ~ ( l .. ~ ~~ Cpl ~' COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH 1See Instructions and examules on reverse) CTATC FII C All IAAaFG 1. Name of Decedent (First, middle, last, suffix) 2. Sex female 3. Social Security Number 5323 22 180 4. Date of Death (Month, day, year) July 17, 2010 Charlotte J. Ramage _ _ Age (Last Sirtltday) 5 Under 1 r Under t da 6. Data of Bits Month da ar 7. C and state a fo re cou 8a. Piece of Death Check on one . Months Deys Hour AMnutes Hospital: Qther. Yrs 11 / 2 9 / 2 6 Mt . Carme 1 , PA Inpedent ^ ER I Outpetlent ^ DOA ^ Nursing Home ^ Residerxx+ ^ Other • Spadfy: County of Death 8b Bc. City, Boro, Twp. of Death 6d. Fadlity Name (M not institution, give street and number) 9. Was Decedent of Hispanic Origin? ~] No ^ Yes 10. Race: American Irxiian, Black, White, etc. . (d yes, speedy Cuban, (Specrly) ~ Cumberland EastPennsboro Twp . Holy Spirit Hospital Mexk:am, Puerto Rican, etc.) white 11. Decsdenrs Usual lion IGrtd of work d one dude rtast of world Ipe. Do rat state retired 12. Was Decedent ever M the 13. Decedent's Educatbn (Sped1Y ony highest grade completed) 14. Medtal Status: Married, Never Married, 15. SurvNing Spouse (H wde, plus maiden name) Divorced (Sperly) Widowed Kind of Work Kind of Businessllndustry U.S. Armed Forces? Elementary / Secorxlery (012) College (1.4 Or 5+) , Di rc d seamstress textiles ^ Yes ®Na 9 vo e ~ 16. Decedenra Mailing Address (Street, city /town, state, zip cads) Decedents Did Decedent Actual Residence 17e. State P A Live in a 17oX] Yes, Derxident Lived in ~}l~.l P ?' A 1 1 e n Trait! _ Twp. 482 Brighton Place TOM~r'~Ip? 17d.^No,DecedentLivedwithin t t tnh e r 1 an d (' ., e ant A 1 - . t 7b. County Actual Limits of City / Boro 18. Father's Name (First, rtddde, last, suffix) 19. Mothefs Name (Frst, middle, maiden surname) Minni Bessie V Thomas Haig Ramage g . 20a. IntortnanPs Name (Type /Print) Robert Ramage 20b. IMamanYs Melling Address (Street, cMy I town, stale, zip code) 208 Dorchester Dr. Sellersville, PA 18960-2893 21 a. Metiad of Disposition r ®Cremetbn ^ Donation 21 b. Oats of Diepoeitlon (Month, day, Year) 21 c. Place of Disposition (Name of cemetery, rxematory or other place) 21d. Location (City l town, state, zip case) ~ ^ ^ Blxial ^ RertavelfranSiate i w a~ A n I ~ 7_19-2010 Con-O-Cite Crematory Schaefferstown, -PA 17088 ~ ~ ^ Yes onn R Exemi er/ ~ 22e. S of (a person acting ea such) 22b. Lk;ense Number 22c. Name and Address of Facility FS 012849-L Inc. New Cumberland, PA 17070 Parthemore FH&CS ~ , Cgnplete only when ceripying eidan b mt a at time of death ro t 23fl. To the best my krawledge, ath occurred at the time, date and place stated. (Signature end title) 23b. Lkense Number N 5 q 3 ups ~ 23c. Date Signed (Month, day, year) • l I ~ p ry certify cause of deatit. R, ~ ~ ~ ~ ~ • hems 2426 rtpret be corrtpleted by person 24• Time of Death 26. Date Proraurtced Dead (Month, day, year) 26. Wes Case Referred to Medical Examiner /Coroner for a Reason Other than Cremation or Daladon? ~ N ^ • wta pralounces death. ` ~ : ~ 9 M. ~V - ~ ~ G+~O (~ Yea o CAUSE OF DEATH (Ses Inetructia~ns and sus ba) r Approxhnete interval: Pert I: Enter the chats of events - dseases, In)udes, or complications • that directly caused the death. DO NOT emer terminal events such as carAac arrest, ~ Onset to Death Htmn 27 Part II: Enter other but not resuding in the undedykrg cause gHen In Pert I. 26. Did Tobacco Use ConMbute to Death? ^ Yes ^ Probabty . reeplretory artest, or ventricular 1~dllatx>n wattalt showing the etlobgy. List only one cause on each fine. r ^ Nc ^ Urknawn r 1~ E~ FUSE (Fkta~ disease or S ~ ~ ~ ~ n ~ ` S ~ ~ r r in death yr--+t ~ > i 29. If Female: ^ Not nant within past year re _~ a. Due to (or ae a carreequence of): _ ` ^ , p arty ~- ~( . S psi cnrMldons '. (~h~~ u-t '-'~t'~~ W c--ti h p g ^ Pregnant at time of death i d d ^ , . ~ , . to Noted on ilr» a' Duero (or as a consequence oft: ~ Enter UNDERLYING CAUSE C '' (dMaea or Mtju dret inll~ted the ~ (~ t~ t~^ (~(~~ mow( ~ (S ~jl~ ~C t ~ n ays Noda~nanl, but pregnant with 2 re nant 43 da s to 1 ear e nant but ^ Not ~ ~~ ~ ~~) LAST C. • Due a (or as a corrsequerx;e of): r 1 y y g , p g pr Defore death Unknown N pregnant wthin the past year . d. 30a. Wes an Autopsy 30b. Were Autopsy Fxbings 31. Manner of Death 32a. Date of Injury (Mordh, day, year) 32b. DescrN~e How Injury Occured 32c. Place of Irqury: Home, Farm, Street Factory, Office Building, etc. (;ipeciy) PerfortnedT Available Prior to Completion f D h? d ~ Natural ^ Homkide Cause o eat ^ Accident ^ Pending Inveatigatian 32d. Time of Injury 32e. Injury et Work? 32f. M Trarrsportadon Injury (Specify) 32g. Location of injury (Street, city /town, state) ^ Yes ~No ^ Yes ^ No ^ Yes ^ No ^ Dmrer/Operetor ^ Passenger ^ PedesMan ^ Suicide ^ Could Not be Detertnkled M ^ Other ~ Sperdly 33a. Certlfler (check Doty one) 3 3b. Signature and Tide of er !~. ~/1 ^ • CertHyMq physklen (Physiden certllylrg cause d death when aradler phyaidan has pronounced death end rompleted Item 23) ^ -----^--------- dsethoceumddwtothecews(s}andmennerastabd f l d lM t l ' o ~ ------------------ my nww e ge, o To ba ' PrortoWtoing and osrlMyhg physician (Ptrysidan both proralurcirtg death and certllYirg a cause of death) 3 ^ 3c. license Number r G 1 ~ r ' ) ` ~ S ~ ~ ' 33d. Date Signs (Month, daY, year) To the bast of rm WrowNdge, ttatlt occwred d the tuns, date. end place, end dw to tits csuss(s) and nanrbr as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 1 l I ~- l ( ~ • Nedkal Fxemlar/Cororw nd dus to the pieta(s) sod msnner es steter<_ ^ 3 lAt the bail of ettemination and / a IrrvssUgetlon, In my opinbn, desfh aceurred H the thrr, date, end pkce, a ~ 4. Naril9.afd AddLass of Person Who Cortpleted Cause of Deat(t,(Nem 27) T /Print ,o(' CC fA/ Tf/~~ S OO V ~ / ~ ~ / (/ / L ~ / ~ 9 ~ e ~ / • ~ ~ ear) Date (Mordh da 38 , .. r7V•V~, f~/a /70 ~~ /u ~-G / v / / ~ / ~ 35. Signature and N I I I I I ~ y, Y . ~t d ~ . 4 U Disposition Permit No. U'~I'y L'y I LAST WILL AND TESTAMENT OF CHARLOTTE J. RAMAGE I, CHARLOTTE J. RAMAGE, unmarried, of 482 Brighton Place, Mechanicsburg, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this as and for my Last Will and Testament hereby revoking all wills and codicils previously made by me. FIRST I direct that my funeral be conducted in a manner corresponding with my estate and situation in life and that all my just debts and expenses of my last illness be paid from my estate as soon after my death as conveniently may be done. SECOND I direct that any and all Inheritance, Estate and Transfer Taxes imposed upon my estate passing under my will or otherwise, shall be paid out of the principal of my residuary estate. AND to such estate as it bath pleased God to entrust to me, I dispose of the same as follows, viz: THIRD {~ ~ -~ ~ ~~~ - ~ cw. - ~~?~ ~` ~ - I give, devise and bequeath as follows: - ..;. r-,._, #,~ .~ -~-, ~, ~]:; .. . . 1. Three Hundred ($300.00) Dollars to MARGARET RAMAGE SOKOL, of ~ -~~ ` :~:~ ~~. Susquehanna, Pennsylvania, provided she survives me. ~-~, ~~ i 2. One Hundred Fifty ($150.00) Dollars to JOHN H. RAMAGE, of Warminster, c Pennsylvania, provided he survives me. 3. One Hundred Fifty ($150.00) Dollars to HERBERT F. RAMAGE, of Dauphin, Pennsylvania, provided he survives me. If any of the above individuals have predeceased me or has not survived me by thirty (30) days I hereby state that there bequest shall lapse into my remainder estate. r ~f~`~ ~ ~ ~ (SEAL) FOURTH After the above specific bequests have been disbursed, the remainder of the estate of whatsoever kind and wheresoever situate, both real and personal thereof I give, devise and bequeath as follows: 1. Five (5%) percent of the estate thereof I give, devise and bequeath to my sister, MARY RAMAGE ANGELI, of Harrisburg, Pennsylvania, provided she survives me. If my sister, MARY RAMAGE ANGELI should predecease me or should not survive me by thirty (~0) days I then direct that her share be divided in equal shares between my brother, ROBERT RAMAGE and my sister, ELEANOR RAMAGE YOCUM. 2. Five (5%) percent of the estate thereof I give, devise and bequeath to my brother, JAMES A. RAMAGE, of Mechanicsburg, Pennsylvania, provided he survives me. If my brother, JAMES A. RAMAGE should predecease me or should not survive me by thirty (30) days I then direct that his share be divided in equal shares between my brother, ROBERT RAMAGE and my sister, ELEANOR RAMAGE YOCUM. 3. Forty-five (45%) percent of the estate thereof, I devise and bequeath to my brother, ROBERT RAMAGE, of Sellersville, Pennsylvania, provided he survives me. If my brother, ROBERT RAMAGE should predecease me or should not survive me by thirty (3 0) days I then bequeath his share unto his wife, DOROTHY J. RAMAGE. If his wife fails to survive ROBERT RAMAGE, I then bequeath his share unto his children, ROBERT M. RAMAGE, SUZANNE MARY RAMAGE TURNER in equal shares, to share and share alike. 4. Forty-five (45%) percent of the estate thereof, I devise and bequeath to my sister, ELEANOR RAMAGE YOCUM, of New Cumberland, Pennsylvania, provided she survives me. If my sister, ELEANOR RAMAGE should predecease me or should not survive me by thirty (30) days I then bequeath her share unto her son, CHARLES MARTIN YOCUM, III. FIFTH If ROBERT RAMAGE, DOROTHY RAMAGE and I die in a common disaster or if it is impossible to determine which of the three of us predeceased the other, I hereby request that this Last Will and Testament be probated as though ROBERT RAMAGE and DOROTHY J. RAMAGE predeceased me. C_`~- ~ ~ ~,~- (SEAL) 2 If ELEANOR RAMAGE YOCUM and I die in a common disaster or if it is impossible to determine which of the two of us predeceased the other, I hereby request that this Last Will and Testament be probated as though ELEANOR RAMAGE YOCUM predeceased me. SIXTH I nominate, constitute and appoint ROBERT RAMAGE, Executor of this my Last Will and Testament. If ROBERT RAMAGE is unable or unwilling to act as my executor I then appoint ELEANOR RAMAGE YOCUM, Executrix of this my Last Will and Testament. SEVENTH I hereby direct that my Executor/Executrix be excused from posting bond in connection with his/her duties. EIGHTH I confer of my Executrix/Executor, in addition to those powers granted by law, the power to retain and sell at public or private sale, all real and personal property and to exercise all the distributions in cash or in kind, and to fix the value of property. ~~ IN WITNESS WHEREOF, I have hereunto affixed my hand this /~ day of ~ ,~'~~~--E~L~ , 2008. C..~~~- ~- ~ ~~~ (SEAL;1 CHARLOTTE J. RAMAGE 3 The preceding instrument consisting of this and three (3) other pages, each identified by the signature of the testatrix, was on the day and date thereof signed, published and declared by CHARLOTTE J RAMAGE, the testatrix herein named, as and for her LAST WILL AND TESTAMENT in the presence of us, who, at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. ,- ~~_: WITNESS: ~~ s'~ ; i' COMMONWEALTH OF PENNSYLVANIA COUNTY OF NORTHUMBERLAND ~~`~C-- / On this, the ,~ •S day of ~'~~~G~ ~ 2008, before me, a Notary Public, the undersigned officer, personally appeared known to me or satisfactorily proven to be the persons whose names are subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. otary Public COMMON~~TH OF PENNSYLVANIA Notarial Seal Janet L. Korzeniec hu ber and County Mt. Carmel Bor°, N0rt ices Ma 13, 2010 Ivly Commission Exp Y 4 COMMONWEALTH OF PENNSYLVANIA COUNTY OF NORTHUMBERLAND n We, CHA TTE J. RAMAGE, ~~~°r.t ~ ~~,~,~-~~~,~ ,and VU L ~,.. ,the testatrix and the witnesses respectively, whose names are si d to the attached or foregoing instrument, being first duly sworn and qualified according to law, do hereby declare to the undersigned authority that we were present and saw the testatrix sign and execute the instrument as her will, and that she had signed willingly (or willingly directed another to sign for her), and that s11e executed it as her free volun±ary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence; and I, the said testatrix, 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. I~Udo~~~ ~~' Sworn and subscribed t before me this / 5-~'~ of ~ e-~ , 2008. ~ COMMONWEALTH OF PENNSYLVANIA /' _ Notarial Seal !~ ~ -~ ~~ ~~-~-~.~~ ~ Janet L. Korzeniecki, Notary Publie ary Public Mt. Carmel Boro, Northumberland County My Commission Expires May 13, 2010 5