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HomeMy WebLinkAbout08-27-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLU NIA File Number 21-10- ( ~~ Estate of John M. Bouder, Jr. also known as ecease Social Security 191-26-6303 Fetitioner(s) who is/are 18 years of age or older, apply(ies) for: [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 May 30, 1984 and codicil(s) dated N/A state re evenat circumstances, e.g. renunciation, ea o 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 (If applicable enter: c.t.a.; .n.c.t.a.; en ente ite; urante sentia; urante 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 db.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Decedent then Decedent at. death owned property with estimated values as follows: (If' domiciled in Pa.) (If not domiciled in Pa.) (If' not domiciled in Pa.) Value of real. estate in Pennsylvania situated as follows: 25,000.00 Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the avvronriate form to the undersigned: __ __ name and res ,J,,' 5 Morrison Way, Carlisle, PA 17015 ._,~ ~ , .,, -, _ ~ a c.~ ~ - ~, ~ ;. - ,. ~ ~. ~ ~ ~ ~ ~~ ~ : , .~ ,: ~_ ,. 83 years of age died on_ 10/22/09 at Carlisle Regional Med. Ctr. Page 1 of 2 COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Penns lvania with his/her last p~'n~cipal residence at 5 Morrson Wa Carlisle PA 17015 So~~ ~^ ~ ~Z~t ~m r, c w r~s N. ist street ress, town city, towns ip, county, state, Zip co e OATH OF PERSONAL REPRESENTATIVE COMMONWEATLH OF PENNSYLVANIA couNTY of CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition are true and corn 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 subscri before me this ~ ~ ~~ For the Re % (~ . .,~~6 ~ Pearl W. Bouder -~ r•.a __ t ~_;, CY> ~,, File Number: ~~ 1- ~ ~~ - ~ ~~ ~ ~ ~-~~ ,~` - ' ,_, __ _. -..,, Estate Of John M. Bouder, Jr. Social Security Number: 191-26-6303 Deceasec~~ ~:, _~~ ~ ~• Date of Death ~ 10/22f©9 AND NOW .~it~'~ ~~~~ ~" ~ ` ~ , 20 1 ~ in consideration of the Petition, satisfactory proof having been presente before me, IT IS DECREED that Letters Testamentary are hereby granted to Pearl W. Bouder in the above estate and that the instrument(s) dated May 30, 1984 described in thte Petition to be admitted to probate and filed of record as the las Will (and Codicil(s) of Decedent) Register of Wills ~ /' ~~ ~a dCl ~~ ~~~~ P FEES ~- Si gnature Attorney Name Robert G. Frey Letters ~ ~(~. ~,~~U' Short Certificates ~~ . ~ -~,,) Sup. Ct. I.D. No Renunciation ~~ ~ ~ ~ /~~ (~~ ~~ Address: )~~~{ { ~ .. ~E~~~C~ Telephone: TOTAL... (~ ~ _ ~~C } 46397 5 South Hanover Street Carlisle, Pennsylvania 17013 (717) 243-5838 Page2of2 LOCAL REGISTRAR'S {;ERTIF+A.TIGN C3F [~EATt~ WARNING: It i~ illegal to duplicate= this ~upy t'~ p~r,~t~stat c>r phat®c~ral~h. Free tOr this ~ertif~icate. ~;h.~~~)O -- P__15 9 3~,_~_~_ 2__ C'ertif~c•~iti(~n !~iun;ll4~r 5,,, ,~,.. : h~4. i~ t<> i~t~)-tlte t)~(t the int(~rn~~tti()n here given is i~`~ti~~ ~6!`C~~'i ~~ ~ :ai-rt°t_t~b' ~(>(~i1-~~ ~t(`115 ~.lil ty'"t~~lllil~ ~~~rtltlCclte O1 ~~d~h 4ilt ~ ~ 5-J ~;~''L.,`'~ '~"... ,)(.)i~ lily.; ~.)th )~)r~ a, I.(~(:al Re~ititrar. The Ori~ina) ~~•~~` Sr~y--°-:I i _'l~litii".lil• ,~11i lc„' S'. )lti\'i)1~(~tCj t() Ilt. ~tiltC' ~'rltrl~ ~'~' ,_~; ~~ l`c(~t~)~11, t;t~); ~~° l~ ,l ,)t~r~(~r~)~(n~~nt tilin~~. ~; ~- „4\ ~"` ..,}tom'- ..,~~~ry`- 9.~ ~'~ ~. ,,. --~,~'r ~ < ~~~ ,, '' ~~o~~xv~ ~ . ~'e~.c~Ci~re~t~-~a~ (1 C 1~` 22()09 --",A"'~ I t~r_)'( 1~L:~'i~s..j; M~i)ti`' Issued ~.,, ~ _ 7 ~-~: ___) f'I~.wa. ' ~ (,1 *' t {~.~ ~~ } .~~, L1. - li,. .-..` , ` J ~.A1 -\ H1os-143 REV 11/2006 TYPE/PRINiIN PERMANENT BLACK INK b b w 0 w w 0 a z COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and exampies on reverse) STATE FILE NUMBER 1. Name d Decedent (Rrsl, middle, last, suffix) 2. Sex M l 3. Social Security Number 6303 26 191 4. Date of Death (Nbnth, day, year) 2009 October 22 John M. Bouder, Jr. a e - - , 5. Age (Last Birthday) Under 1 ear Urxfer 1 day 6. Date of Binh (Month, day, year) 7. Birthplace (CNy and state a for eign country) 8a. Place of Death (Check only one) 83 """""° °~° "°'r' """'~' Aug. 28, 1926 Carlisle : Hospital: aher Yrs. ~ p ~t Inpatient ^ ER I Ougratient ^ DOA ^ Nursing Home ^ Residerxxt ^Other -Specify: fib. County of Death fic. City, Boro, Twp. of Death fid. Fadfiry Name (If not ktstkuNon, ~hra street and number) 9. Was Decedent of Hispen'x: Origin? ~ No ^ Yes ~ 10. Race: American Indian, Black, White, etc. Cumberland S. Middleton Twp Carlisle Regional Medical Center pr yes,apeah,c°~n' ( White Mexican, Puerto Rican, etc.) 11. Decedents Usual Non Kind of work d one du ' rtast d INe. Do not state retired 12. Was Decedent ever in the 13. Decedent's Education (Spedly only highest grade compl eted) 14. Marttal Status: Monied, Never Monied, 15. SurvMng Spo I use (It wife, give maiden name) Kind of Wank Custodian Kind of Business/Industry Telephone Co. U.S. Armed Forces? ^Yea $~hw Elements /Secondary (o-12) 'try College (1-4 a S+) Widowed, Divorced (Spec/ )~ Married Pearl Wert 16. Decedents Meiling Address (Street, city !town, state, zip code) Decedent's ~ D~edent Decedent Lived in .S . Middleton Twp. Sate PA Live in a 17c.4~ l Yes Actual Residerx;e 17a 5 Morrison Way , . Township? Cumberland 17d. ^ No Decedent Lived within Carl isle , PA 17015 , 17b. County Adual Limns nt cNy I ibro 1fi. Fetlror's Name (First, midde, last, suftiz) 19. Mottler's Name (Rrst, midde, maiden surname) Shank A John M. Bouder nna 20a. Informant's Name (Type / Pnnt) 20b. Vntormant's Mefing Address (Sheet, city I town, state, ip code PA 17015 li C Pearl Bouder n e, 5 Morrison Way, ar 21a. Method of Dispositon ^ Cremation ^ Donetbn 21b. Date of Disposition (Month, day, year) 21c. Place of Disposttion (Name of rxirnetery, crematory a otl>ar piece) 21d. Location (City /town, state, zip cow) {~ ~,r;al ^ Removal horn Slae ;was crernaflon a Dortatlon Aantorlzed Oct . 27, 2009 Cumberland Valley Memorial Garde Carl isle, PA 17013 ^ Other .Specify: ~ by Medical Examiner / Conorrsr4 ^ Yes ^ No 22a. d Funeral Service Licensee (or actlng as such) 22b. Lkzanse Nanber 013144E 22c. Name and Address of Facility Hof fman-Roth Funeral Home & Crematory , Inc ~ ~~~ Corrglet ems 23a-c onty when certitykt9 ' s rat available at time of death to 23a. To the~est of rtry , deaM oceurred at the time, dale and place slated. (SgnaNre and title) / ~ 23b. License Number 23c. Date Signed ( h, day, year p~ cenfry cause of death. G ~~ " ~'I'~d ~ ~• ~~f Q +~s 4 ~-~ ~1 y ^ G~ `•~~Z s l Z Z~, ~ Hems 24-26 must be cernpleled by person 24. Time of Death 25. Date Pronourwr (Month, day, year) 26. Was Case Referred to Medical Examiner /Coroner for a Reason Other than Cremation or Donation? who pnxx»lrx:es death. ~j7, • r0 ~M. l ~ ~ ^ Yes CAUSE OF DEATH (See Instructions and examples) n Approximate interval: Part II: Enter other Sknificent cordNions contdbudnq(g death 28. Did Tobacco Use Contribute to Death? Itorn 27. Pan I: Enter the ~ of events -diseases, injuries, a cortgiicatians -that dkectly caused the deaN. DO NOT enter temnnal evens such as cardiac arrest, r Onset to Death but not resulting N the undenying cause given in Pan I. ^ Yes ^ Probably respiratory anent, a ventricular fibnNation without showing the etbbgy. Ust arty one cause on each line. ~ n No ^ Unknown IMMEDUTE CAUSE (Rnal disease or n ~ ~ 29.1f Female: condflion resulting in death) _~ ~.y ~~ 4! Cam. jyt^~~„`~ r~rt ~" ~ r ear ^ Nor ithin ast nt Duet r as a consequence of): r Z ~ p egna w p Y ^ Pregnant at time d death C.d Sequerdiagy Nsl con6Nals, N airy, b. ~i ~ ~~ ewe M • a~ ~ . leading to the cause Nsted onyne e, t Enter the UNDERLYMIG CAUSE Dygy(e as a consequerlce~ /-/~~ (disease a hjay that initiated the c.~~yx~~ ~,~G !P~ L~..~e~ ~I•a•..y~•~ - -- _- ^ Not pregnant, but pregnant within 42 days of death events resulting m death) LAST. Due to a consequence oi): ^ Not pregnant. but pregnant 43 days to 1 year ~ d. r before ~~ ^ Unknown if pregnant wflhin the past year 30a. Was an Autopsy 30b. Were Autopsy Filings 31. Manner of Death 32a. Date of Inryry (MOnMt, day, year) 32b. Descnbe How Injury Occurted 32c. Place of Injury: Hans, Farm, SreeL Factory, Office Buildmy eta (Spealy) Pedarned? AvaNade Prior to Completxxt of Cause of Death? ~Naturel ^ Homidde , ^ Yes ~o bbbrrbbfffrr ^ Yes ~No ^ Accident ^ Pending Investigation 32d. Tana of Injury 32e. Injury et Work? 32f. If Transportation Injury (Spedly) ^ P t i /O t ^ P d i ^ D 32g. Location of Injury (Street, dry /town, state) ^ Suicide ^ Could Not be Determined ^ Yes ^ No es r ver pera e assenger e an r M Other -Specify: 33a Certifier (dreck only one) l d tt 23 f h ' h d d th d t N il 33b. Signatu a and ?Ills of CertNier L ~~~ ~ ea an em ~ when anot er phys as prawunce comp e e ) • CenNying physiefen (Physician can dea xtian Yd9 cause o To the best of my krtowladge, death occurred due to the cause(s) and manna as slated_ _ _ _ _ _ _ _ _ _ _ _ _ _ .. _ _ _ _ _ _ _ _ _ _ _ _ _ .. _ _ _ _ ^ 4 ~~1 Q ~ Qi / ~~//~~" ~~/~ ~ / _ J • Pronouncing and certifying physician (Physician both pronaxickrg death aril certifying to cause of death) 33c. License Number 33d. Date Signed (Month, day, year To the best of my knowledge, dxth occurred at tfte time, date, end place, and due to the cease(s) and manner as slated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Medical Exatnhter / Coroner ~ r ~Z ~ d Z ~ On tfte basis of examinatbn and / or Investigation, in my opinion, death occurted et the time, data, and place, and due to the cause(s) end manner as slaterl_ ^ 34 Na ress of P rson Who Completed Cause of I 7) Type / rinf ~ ! G`• ~ ~~ ~ ~ 35. R siren' lure and Distnct~^~f S to Filed Month, day, year) y f ~ ~ / / _ ~ Disposition Permit No. ~ y ~ 1 ~~ OATH OF SUBSCRIBING VvITNESS(ES} REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of John M. Bouder, Jr. { _ ~, , Deceas,~l Robert M. Frey , (each) a subsribing witness to ~ ' ~ __ ~ ' ' , . ~ ~ _ ~.: ;_ - the [ ]Will [ ]Codicil presented herewith, (each) being duly qualified according to l~v~, ~pos~s) a ~. '~ say(s) that she / he /they was /were present and saw the above Testator / Tesatnx sign: ,~h~ sari, - and that she / he /they signed as a witness at the request of ~. the Testator /Testatrix in her /his presence and in the presence of each other. -~--, -`{ `~ -~ ~ '-' /3 ~ ,~ ~ / `~-~ Z ~, (Signature) Robert M. Frey (Signature) 5 South Hanover Street (Street Address) Carlilsle, PA 17013 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , 20 Deputy for Register of Wills 5 South Hanover Street (Street Address) Carlilsle, PA 17013 (City, State, Zip) Executed out of Register's Office Sworn to or affirmed and subscribed before me this 2 7 f`` day of ~ y y ~'~' , 20 ~ c~ V~.-~ ~ ~ . Notary Public My Commission Expirees: (Signature and Seal of Notary or other offica qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. 'tMOR ,~E1~11LVl~WYt no~ratw. ~ A09EkTO. FRET! trotryl4~blle ~+~ d Carfiels. Curnbedand Cau+gt irr~ fah Commission ic~hea ,tvie ~ Zot~ OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of John M. Bonder, Jr. Deceased Robert G. Frey and (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were we acquainted with John M. Bonder, Jr. and am/are familiar with the handwriting and signature of the decedent, and that the signature of John M. Bonder, Jr. to the foregoing instrument purporting to be the Last Will and Tesatment of John M. Bonder, Jr. is in hislher own proper handwriting. ~, (Signature) Robert G. Frey 5 South Hanover Street (Street Address) Carlisle, PA 17013 (City, State, Zip) ExECUted in ~Zegister's Office Swozn to or affirr,~ed and subscribed 5efore me ti~is '~ ~ day of ~ -L~~ - ~ ~ ~ , ~H86- ~C~ lU ~~ ~~ r 'Deputy for Register of Wil (Signature) (Street Address) (City, State, Zip) ~.:. ~~--~, ~_ ~.:.~ -, ._. ~ _. _~ ~ ~ , r- + ~.~ ~~ , _..~: 4 ~~ i _~ ", ~, r ~ • ~ 1. ~' ~.? 3=~ ~ r` , LAST WILL AND TESTAMENT _ ,-7 ~_~ O F -- r ~, ~ r, 5 JOHN M. BOUDER = -~ - , _ ~, - -; , ;~.> it _ _; _ ~ `_ I, JOHN M. BOUDER, of Middlesex Township (mailing address: 112 N~Sr Midsex ~.,_; Road, Carlisle, Pennsylvania 17013), Cumberland County, Pennsylvania, being' of sound" and' ~' ~=; v~ disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all Wills by me at anytime heretofore made. 1. I direct my hereinafter named Executrix or Executors to pay all of my just debts and funeral expenses as soon after my death as may be found convenient to do so. 2. All of the rest, residue and remainder of my Estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath to my wife, Pearl W. Bonder, her heirs and assigns, to the exclusion of my children, born and unborn, provided my said wife, Pearl W. Bouder, shall survive me by a period of ninety (90) days. 3. Should my said wife, Pearl W. Bouder, pre-decease me or fail to survive me by the aforesaid period of ninety (90) days, then in such event all of the rest, residue and remainder of my Estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath as follows: (a) Any interest which I may have in the house and lot of ground situate in South Middleton Township, Cumberland County, Pennsylvania, known as and numbered 113 Petersburg Road, I give, devise and bequeath to my daughter, Joan M. Bouder Armstrong, her heirs and assigns, provided she shall survive me by a period of ninety (90) days, but should she fail to so survive me then to such of her issue as shall survive me by a period of ninety (90) days and should there be no such issue then the same shall lapse and be included in the residue of my Estate. This devise and bequest to my daughter shall be under and subject to any liens and encumbrances which may pertain to said house and lot of ground. (b) Any interest which I may have in the house and lot ground known as 1058 Victoria Avenue, San Leandro, California 94577, presently occupied by my son, Jay M. Bonder and his wife Patti S. Bouder, I give, devise and bequeath to my son, Jay M. Bonder and his wife Patti S. Bonder, or to the survivor of them, provided at least one of them shall survive me by a period of ninety (90) days, but should neither of them survive me by a period of ninety (90) days, then to such of their issue as may survive me by a period of ninety (90) days, per stirpes, and if there be no such issue then the same shall lapse and be included in the balance of my Estate. This devise and bequest to my son and his wife shall be under and subject to any liens and encumbrances which may pertain to said house and lot of ground. (c) The balance thereof I give, devise and bequeath in equal shares to my two (2) children, Joan M. Bonder Armstrong, and my son, Jay M. Bonder, their heirs and assigns, rovided the shall survive me b a p y y period of ninety (90) days, but should either of them fail to so survive me then the share such deceased child would have recieved shall pass to such of his or her issue as shall survive me by a period of ninety (90) days, per stirpes, and if there be no such issue the same shall lapse and be added to the other share. 4. I hereby nominate, constitute and appoint my said wife, Pearl W. Bonder, as Executrix of this my Last Will and Testament, but should she pre-decease me or fail to qualify, ~a then in such event I nominate, constitute and appoint my son and daughter, Jay M. Bonder and Joan M. Bonder Armstrong, or either of them, as co-Executors, and I further direct that none of them shall be required to post any bond to secure the faithful performance of his C~ or her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. Page 1 of 2 Pages Y ~ . IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on two (2) pages, this 30th day of May 1984. (SEAL) J n . Bouder . Signed, sealed, published and declared by JOHN M. BOUDER, the Testator above named, as and for his Last Will and Testament, in our presence, who, in his presence, at his request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. E ~ Qi V • l Page 2 of 2 Pages