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06-30-10
PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Betty T. Pearsall also known as COUNTY, PENNSYLVANIA Fife Number 21 /(,_.1' - ~~ .~ ,Deceased Social Security Number 098-14-9902 Gregory H. Pearsall Petitioner(s), who is/are 98 years of age or older, apply(ies) for: (COMPLETE A' or `8' BELOW.) ^X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor named in the last Will of the Decedent, dated 01/24/2001 and codicil(s) dated Sfate retevanf circumstances, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, 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 (lfapplicabie, enter: c.t.a.; d. b. n. c.t.a.; pedente liter durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs (If Administration, c. t. a. or d. b. n. c. t. a. , enter date of Will in Section A above and complete list of heirs.) Name Relationship Residence 'tea' c-'. c~ - y ~ 1 r -- ;:~ ~ ~ - -' ~~ m ~..~ ~ "i -, - __. - ~-~-, . ~~ ~~~ ..« ~~~: - (COMPLETE IN ALL CASES.) Attach additional sheets if necessary. __ -"`~-~ ~' ~ r ~' ~ ~ '..1 t~.~) Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal res~'ence at ---- , -, ----- Country Meadows. Mechanicsburg. Hampden. Cumberland, PA 17050 (List street address, town/city, township, county, state, zip code) Decedent, then 87 years of age, died on 04/04/2010 at Country Meadows, Mechanicsburg, Hampden Township, PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 18,000.00 (!f 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: None Wherefore, Petitioner(s) respectfuily request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Signature Typed or printed name and residence ~J Gregory H. Pearsall 9214 Kings Circle Mechanicsburg, PA 17050 (717) 350-0080 Form Rw a7z Rev. 70-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS } 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 representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this ~r~` day of Signature of Personal Representative Gregory H. Pearsa ~ =--i ;; 'i Estate of ._~ ~.~ ~ Betty T. Pearsall , Deceas~ -~-+ ~ . ~~, t~r ~~ Socia Security Number: 098-14-9902 Date of Death: 04/04/2010 AND NOW, '~ ~ ~ , ~~'~~ , in consideration of the foregoing Petition, satisfactory proof having been prese~i d before me, IT IS DECREED that Letters Testamentary are hereby granted to Grp H. Pears II in the above estate and that the instrument(s) dated 01/24/2001 described in the Petition be admitted to probate and filed of record as the last Wifl (and Codicil(s)) of Decedent. FEES ~ Letters $ ~, ~ ~~~ ~ ,Y7 ~1 ~ ` ~,~ j~ ,l ~~!'~ / ~/ lk. " `~" - ~ , .......................................... Short Certificate(s) ....................... $ ~~, ~ Register of Wills ~ ~ t ~~ . Renunciation(s) ........................... $ ;. Attorney Signature: ~~ $ rl $ 'T " Attorney Name: James D. BO ar ry - $ ~ ~ S Supreme Court I.D. No.: 19475 `~`~ L $ ~~ ~`~"'~ Bo ar 8~ Hi Law Offices 9 PP Add ress: One West Main Street $ Shiremanstown, PA $ Telephone: 717-737-8761 $ TOTAL ................................... $ J Form RW-O? Rev. 10->3-2006 Copyright (c} 2006 form software only The Lackner Group, Inc. Page 2 of 2 Fiie Number: 21 - `~ - ~ ~~7 OC,AL REGISTRAR'S CERTIFICA~'ItJN OF D~/~~T'H WARNING: It is illegal to duplicate this ropy by photostat or photograph.. ~ Fey t-~ur t.-~i~ lac:(-ti1~iL~ate. `'at.i-tl P 1645139 Certif~ic~(tit~n Nu)~~)hL:)- f ir;yr,n,.,.ri., - ' ZN OF ~ , , - ~' .~ ~~a 3 ;, ,~ ~`,,t;, q~rMFN~ 0`~,~~°~1,, j .C_, - (~ ~~ ~ j ~l~r'11 ; I~ tt) Ci::1'tlti fl';(f I['lL' IIl',`'JI-lh;atl".,)Cl ~!L'!.k' .Y11'l'il 1'~ c+~lrr~~ctl~~ ctt}~~I~~I lilt. (.'r ~,(i~l ),)I (, t[if~it )re ,t 1).~ath cl((le f)le(.l ~t, ith) a ;.~'~ i ttLal }Zz~' t t~-:~d~. I~hr~~ i_7) I~~inal ~crtit~l~•at~ ~d~~ill j~'te ~~~~I-~i,~.rcl~;~;I at, the ~~tzil;, Vital ~'L~c(tr(~~: t)kflt.~~~ `~ .) ,e, r~,ari~r~i fiiil7«. ;~ - ~ ~ - ,~ ~. ~ _~1 ~__L_ ~t_~Ic~li IEZe,~_~t)-~>j~ ( Date Is~~lecl ~~ H106-143 REV 712006 TYPE /PRINT IN PERMANENT BLACK INK ,vl 1 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) ererr= C"~ r_~ O e,`(.f~~ ' ~ x f'T'1 /' .- `J _ )P... JCS .i:~ t7 :;`_V. _ - - _~ r'.a ca _- -: {.~. `I -' CrJ - ~ , © ~ ;) (. •_ ~~ _ t; C4 ~ r_T~t .. ~._~ ._. _,:: ~ t. Name of Decedent (First, middle, last, suffix) Betty T Pearsall 2. Sez Female 3 Social Seventy Number 098 4. Date of Death (Month, day, year) . _ 1~ 9902 April 4, 2010 5. Age (Last &rMday) Under 1 ear Under t da 6. Date of Birth (Month, da , ear 7. BiM lace Ci and state or tor si can 8a. Place of Death Check on one) 87 Monms Days Hours Minutes August 13, 1922 Laurel, NY Hospital: Other: Yrs. ^ Inpatient ^ ER ! 0 ^ DOA utpasent LTNllrsl Home rtg ^ Residence ^ Other - Speciy: fib. County of Death & City. Boro, Twp. of Death fid. Facility Name (If not institution, give sheet and number) 9. Was Decedent of Hispanic Origin? ~ No ^Yes 10. Race: American IrWian. Black, White, etc. Cumberland Hampden Country Meadows Retirement Home (It yes, specity Cuban, (Specify) Mexican. Puerto Rican, etc) White t t. Decedent's Usual Occu lion Kind d work done Burin most of life. lb rat state retired 12. Was Decedent ever in the 13. Decedent's Education (Specify only highest grade comp leted) 14. Marital Status: Mazried, Never Married, 15. Surviving Spo use (If wife, give maiden name) Kind~k'~.k KindAG(:VU~Clflg AG(:VUlllt U.S. Armed Forces? Elementary ! Sesadary (0-72) -tL College (1-4 or 5+) Widower WidOweryd ^ Yes .'~No eC,Firy /town, state, zip code) 16. DeFk4le~~Mailw~ ess,(.Str - Dea~dent's pA Did Decedent Ham den p ~ S ~) LL 4 rrll~( 11..1 1'ee Actual Residence 17a. State Lwe in a 77c. ~ yes, Decedent Lived in _ _Twp. Mechanicsburg PA 17050 ~ Cumberland Township? t 7d ^ No Decedent Lived within . , 17b. County Actual Limits of City / (3oro 16 Father's Name (First, middle, last. suffix) Daniel Tuthill 19 Mather'sName(First.middle.maitlensumame) Irene Butler 20a Informant's Name (Type / Print) Greg Pearsall 20b. Intormants Mailing Address (St c' / t state, zip ) ~2~4 Dings ~rcle Mechanicsburg, PA 17050 21 a. Method of Disposition ~ Cremation ^ Donation 21b. Date of Disposition (Month, day, year) 27c. Place of Dispositron (Name of cemetery, crematory or other place) 21 d. Location (City /town, slate, zip axle) ^ Burial ^ Removal from State ~ Was Crematbn or Donation Authorized April 7, 2010 Conolite Crematory Schaefferstown Pa 17088 ^ Other - g ' by Medic amitterlCoroner? ,~ Yes^ No , . 22a. Signs - uneral Service see rso ~ s such) 22b. License Number 22c. Name and Address of Fac~iry c:- FD-012662-L Myers Funeral Home, Inc. 37 East Main Street Mechanicsburg P A 17055 ~ , . ate Gems 23a Doty when certifying 23a. To th best y k h occurr at the ' ,bate and (Signature and use) 23b License Number 23c. Date Signed (Month, day, year) physican is rat available at time of death to / ~ ~ / ! ~~ ~ ~ ~ ~ / ~ certrty cause of death. ~ l r ! ~~ z% o ~ ,~ / YJ' , " (/P (/ /`-~ J~ y7 y P ~ii 0/ Items 24-26 must be cortgleted by person 24 Time of Deat 26. Date Prgrioun ad (Monk, day, year) / 26. Was Case Referred o Medical Examiner / Cora~er for a Reason Other than Cremation w Donation? who pronounces death. /~ , 3~ /,~ M. : /,~ ~O/ ~ / l/ ^Yes ~No CAUSE OF DEATH (See instructions and exa es) ~ Approximate interval: Part II. Enter other simrficant conditions arntributirlg to deatF~. 26. Did Tobacco Use Comribute W Death? Item 27. Pan I: Enter the chain of events -diseases, injuries, w axnplicatiorts -that directly caused the death. DO NOT enter terminal events such as cardiac arrest, r Onset to Death re into arrest w ventricular fibrillation wdhout showin the slid ' sP ry g ogy List ony one cause on each line but not resulting in the underlying cause given in Part L ^ Ves ^ Probe , . . ' ~ ~ ^ No nknown IMMEDIATE CAUSE (Final disease or condition resultng in death) __~ a. ~) f f' j/rt J y J , 29. ff Fem N Due to (w as a consequence op' r - ot pregnant within past year ^ P i f Sequentially list auditions, if any, b ~ leading to the cause listed on line a regnant at t me o death ^ . Enter the UNDERLYING CAUSE Due to (or as a consequence of). ~ _ Not pregnant, b~A pregnant within 42 days (disease or injury that initiated the r events resulting in death) LAST. c~ of death ^ ~ Due to (or as a consequence of): - Nol pregnant, W.A pregnant 43 days l0 1 year , d. ~ r - before Beam ^ Unknown if pregnant within Me past year 30a. Was an Autopsy 306. Were Autopsy Findings 31. Manner o 32a. Date of Injury (Month, day, year) 32b. Describe How Injury Occurred 32c. Place of Injury Home, Farm, Street Factory Performed? Available Prior to Completion LLLL`~~TTNNVV t l ^ H i id , , Office Building, etc. (Specify) of Cause of Death? aaaa ura om c e ^ Yes - No ^ Yes ^ Accident ^ Pending Investigation 320. Time of Injury 32e. Injury at Work? 32f. If Transportation Injury (SpecrlyJ 32g. Location o1 injury (Street, city /town, state) o ^ Suicide ^ Could Nol be Determined ^Yes ^ No ^ Driver/ Operator ^ Passenger edestrian M. ^ Other - S i v~ N 33a. Certifier (check only one) 33b. Signature and Trt f C ' er • Certifying physielan (Physician certifying cause of death when another physician has pronounced death and completed Item 23) To the beat of my knowledge, death occurred due to the cause(s) and manner as stated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ - • Pronouncing and Certifying physician (Physician lath pronouruting death and certitying to cause of oath) To the best M my knowled e death occ th ti d t d l d d t th d ^ 33c. License Number ' 33d. Date Sig Mo th, day, year) ~~~/ g , urre e me, a e, an p ace, an ue o rn e cause(s) sod manner as stated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Medk,al ExamineryCoroner i" C ~ ~ d ~ 3 ~ / f•.l~ Y On the balls of examination end / w investigatbn, in my opinion, death occurred at the time, date, and place, and due to the cause(s) antl manner as sated_ ^ 34. Name and Address of Person Who Completed Cause of Death (Item 27) Type /Print ~-I ' 35. Re s Signature and Distract Number `` 36. Date Filed (Month, day, year) }-rc2 Q, C(CCi'Sr! r ni~.. -r2c~j ~z ~ P L,1 Z C (~(~ R C (~ ~ v - o c.~ti~ ~ t ~ ( ~.~ r ~ ~ r ® ~ '~ ~ Disposition Permit No. ~ ` • 1o-457 LAST WILL AND TESTAMENT OF BETTY T. PEARSALL ~~ ~-~ E- , ~:~ ;~ c::~ ~ _~ ; :; :, ~- -, , _. . ._~_ =~ _ c:a .. _..~ ~' I, BETTY T. PEARSALL, of the Township of Butler, County of Luzerne, and Commonwealth of 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 the payment of my debts and etpenses of m_y last illness and funeral from my estate as soon after my death as conveniently may be done. I further direct that my remains be cremated and that my ashes be combined with the ashes of my husband upon his death and be deposited into Peconic Bay off' of Laurel, Long Island. SECOND: I, give, devise, and bequeath my entire estate, be it real or personal, unto my beloved husband, SMITH G. PEARSALL. THIRD: Should my beloved husband, Smith G. Pearsall, predecease me or die on or before the thirtieth day following my death, or if my husband and I should die simultaneously, or under such circumstances as to render it difficult or impossible to determine the time of death for the purpose of this paragraph, it shall be conclusively presumed that my husband shall have survived me. If my husband shall predecease me and die before the thirtieth day preceding my death, I give, devise, and bequeath my estate as follows: (a) I give, devise, and bequeath the following specific bequests: 1. I give unto my daughter, Danette Marie Laucks, the following items of personalty: (i) The small pre-Victorian chair handmade with green velvet seat; and (ii) The Nortike fine ~°hite china with the marble blue band service for eight. (iii) All Steuben glassware. 2. I give unto my son, Gregory Howard Pearsall, the following items of personalty: {i) The 1501eather bound collection of books maintained as my library; and (ii) The King George Oath of Allegiance; and (iii) All the tools maintained in my workshop; and (iv) The set of Lafayette plates. (v) Lladro fine china pieces. (vi) The balance of my china, silver, and glassware. 3. I give unto both my son, Gregory, and daughter, Danette, I divide equally the English commemorative plates. (b) I give, devise, and bequeath the following monetary bequests to each of the following named grandchildren, I bequest the sum of $5,000.00: 1. Christopher Smith Pearsall; and 2. Andrew Gregory Pearsall; and . Kevin James Pearsall; and 4. Daniel Laucks; and ~. Jeremy Laucks. (c) I direct that the balance of the contents of the home be distributed pursuant to a list which has been generated and provided to my personal representative. The balance of the personalty, shall be distributed to family members within the sole discretion of my personal representative, with any items of personalty not desired by members of my family to be sold at public or private sale, or to be delivered tc- a local charity, all «~ithin the sole discretion of my personal representative, with the proceeds from the sale of any of the personalty to be deposited into the residuary estate. (d) I direct that my personal representative sell any residence or real estate which I may own at the time of my death, for its fair market value, by listing the same with a reputable broker with the net proceeds to be deposited into my residuary estate. (e) I direct that the residuary estate be distributed equally between my two children, Gregory Howard Pearsall and Danette Marie Laucks, per stirpes. FOURTH: I hereby nominate, constitute, and appoint, my son, GREGORY HOWARD PEARSALL, as Executor of this my Last Will and Testament. If my son, by reason of death or otherwise. shall be unable or unwilling to so qualify or act, or if after so qualifying, by reason of death or otherwise, becomes unable or unwilling to act, then in either of such events, I nominate, constitute, and appoint the daughter, DANETTE MARIE LAUCKS, to serve as my Executrix. FIFTH: I direct that neither my Executor or my Executrix, as the case may be, shall be required to furnish a bond in this or any other jurisdiction for the faithful performance of her or his duties hereunder. I give my personal representative full authority to bargain, sell, convey, mortgage, lease, encumber and deal. in any other way, with anv of my property without the need for authorization by any court in this or any other jurisdiction. SIXTH: I expressly direct my personal representative to retain the legal services of my attorney, Gordon L. Bigelow, Esquire, as the attorney for my estate and as the attorney for my personal representative since he has prepared this my Last Will and Testament and is aware of my motives and intentions herein, and that he is most familiar with my affairs. IN WITNESS WHEREOF, I have hereunto set my hand and seal on this Instrument, this ~~~ day of ~ =fir' ~!'~°'._: % y ~~.. ~ , 2001. ,_~, -~? r - ~, ~ ~~' -~` ~-~-'':~-Vii'`"~,~ ~, (: /`~ - BETTY Tt~PEARSALL '- SIGNED, SEALED, PUBLISHED, AND DECLARED by the above named Testatrix, as and for her Last Will and Testament, in the presence of us, who at her request and in her presence and in the presence of each other, have hereunto subscribed our names as witnesses the day and year first above written. ,-., ~`;~ ~i°- A K~~ _~__ ~_ ~~ ./"~ '. / j ~ ~ ~` ~'*-~ 9 residing at C..._ :' ~ ~ /~/~'/~; ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA . ss. COUNTY OF LUZERNE I, Betty T. Pearsall, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed this my Last Will and Testament willingly and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by Betty T. Pearsall, the Testatrix, this ~` ~" day of ~. <~,~~;~ ~ r~ ~_ , , , 2001. -% B r TY T. I'EARSALL ` '` TARY PUBLIC ~Votariui Saal John l_. 8i a^{c•w, f•~~t=?t~:~ r!.!.~!ir, r~v v1:~7~!i11S ~1'_)1~ ~:.' ~lir(,' J ~'.. J.~. G 'J~ AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA . ss. COUNTY OF LUZERNE We, ~~~~ J~ rr'~r' ~ ~r~~~rr~~~ and ~'=~ ;.~ ~;1c ~ ~." ~. ~' i~. t ~ rz-~. ~ the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament; that Betty T. Pearsall, signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as «iitnesses; and that to the best of our knowledge, the Testatrix was at that: time eighteen or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed before me by ~.w,...M._.,... - ~ ~``, ~~ .~ _ this ;~ ~ ~av of ~~.~ ~~ ~ ~ ~ 2001. ~~ ~, `~ L - ~' NOTARY PUBLIC w4a:pearsall ~ ~~I~t?,ttal ~ea~ .~~hit ~. Bi~~~!e~r ~iot~~r F~` 'c 1~,...~.•},t:!~~!'i~iSfilOR l..} a1rE:J ~ !i. :;~1 r~_; ~