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Home My WebLink About09-24-10PETITION FOR PROBATE AND GRANT OF LETTER REGISTER OF WILLS OF cuI~BER~,~~ S COUNTY, PENNSYLVANIA Estate of WILLIAM R. DOUGHERTX also known as Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE A' or 'B' BELOW.) Deceased File Number ~~ ~ I ~ ~ ~ 10~ Social Security Number _ ~ ~ 5.-(11 ~ ~ i Q A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the last Will of the Decedent dated June 15. ,19$7 Executor and codictl(s) dated none e ife o ecedent died on Fe (State relevant circumstances, e.g., renunciation, death of executor, etc.) 00 Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after executibai. for probate, was not the victim of a killing and was never adjudicated an incapacitated person: _ none B. Grant of Letters of Administration `~ (If applicable, enter: c.t.a.; d.b.n.c.t.a,; pendente lite• d named in the 23w1991. °_ -r.~ ~ ~. J ~ent(s}q -r urante absentra; ~hante minoritq,~ ``''~- 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: ,I Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in SectionA above and complete list of heirs.) (f (COMPLETE INALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Countr Meadows, 4905 East rin e oa County, Pennsylvania with his /her last principal residence at (List street address, town/city, township, county, state, zip code) ' ec is sbur PA ].7050 (Hain dent TownsTz'lp~-' Decedent, then----42-__years of age died onSentember 7 Carlisle Penns lvania, 17013 2 2010 at Carlisle Re Tonal Medical Center, 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 $ 20 000.00 (If not domiciled in PA) Personal property in County ~ Value of real estate in Pennsylvania $ ~ done situated as follows: ,,~ t . the undersigned: 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 appropriate fonn to or printed name and residence Form RW-02 rev. 10.13.06 Robert J. Dougherty, 9 ~'ozth Eno1a ~7rive, Eno1a, PA 17025 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS The Petitioner(s) above-named swears} 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 D edent, Petitioner(s) will well and truly administer the estate according to law. n Sworn to or affirmed and subscribed before me the day of Signature of. ~2obert Y, ~herty S utember ,2010 - Signature of Personal Representative n o - _ C ' ~ c _1 ~:r the Re ister g Signature of Personal Representative S `T' fn ,;: ; : ~~ t t ~ ~ L' ~ C!) ~ N '~' -- -:~ r7 File Number: c'7~ f ") U --f~~ `~ --- T'~ - 0 / Estate of _ TniT1.7 TA M R DOUGftERTY "~ ,Deceased Social Security Number: 20 -01- -71 R Date of Death: September 12, 2010 AND NOW, -September ~~~ 2010 in consideration of the foregoing Petition, satisfactory proof having been presented. before me, IT IS DECREED that Letters __ Testamentary are hereby granted to t J. Aou Text and that the instrument(s) dated in the above estate 987 described in the Petition be admitted to probate and filed of re,~co~rd as the last Willy(a~nd Codicil(s)) of Decedent. FEES r/ lDll ~ /'II~n / ~L,/1 i_ ~n ,• t . ~ _ / n Letters ....... $ ~ Regisr 1~Vills / SNET,BAKE -~' Short Certificate(s) ........ $ • '' - ' P • ~ ' Attorney Signature: gy ; Re ciati n(s) .......... $ . $ - Attorney Name: R i r}i~,Y.d C SnelbakPr _.---~ c ' ' $ Supreme Court LD. No.: $ atnh'i55 $ Address: !14 Glo~r M°in Street ... $ ... $ _ ~°~i,an- ,-~c sb~g PA 1 7055 ... $ ... $ $ Telephone: (717) 697-8528 TOTAL .............. $ .e.~_ Form RW-02 rev. 10.13.06 Page 2 of 2 H105.805 REV (01/071 ~~ ~ M -~(%~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 1676143 Certification Number 143 REV 11(!006 PE ~ PRINT IN PERMANENT &ACK INK This is to certify that the information here given correctly copied from an original Certificate of Deai duly filed with me as Local Registrar. The origin. certificate will be forwarded to the State Vit: Records Office for permanent filin ~-, _~.,~ ~ ~ 1r Local COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH .VITAL RECORDS CERTIFICATE OF DEATH - (See instructions and examples on reverse) STATE FILE NUMBER I Na of Decedent (Flrsl, mafdle, bsL sad' / L~/A/~ O~S,~~ .1~O1/GN~ 2. 3. $aql NumOsr - O / - 7/ 1. Date Deem (Monet, de ,year) Z ZD/ D 5. Age (last 6irmday) Under 1 ar UMU 1 6. Dab d Birtln , da , ar 7. and sate a 9e. Plaoa a Dssm Check are Yrs. MaeM Days Hpas MiWes 2 ~/ _ ~ ~ / ,(~ / V Hoapiul: hrpaiwd ^ ER / Oulpetiea ^ DDA Omer: ^ Nursing Hare ^ ResAence ^ OIMr ~ SQeciy ' Bra. County d Dam &. City eao. Twp. d Deem Bd. Facility Noma IN rrot ireleulron, meat ark n ) /// 9. Waa Deadem d Hbpanic Origin? No ^ Yes (d speciy CuWn es 10. Race: American Nrden, Ruac, Wtnik, etc. eoyt IS /- ,AI /1 / I / J,r~ ~ ,,, T ~ L /5',~ E' G~e/1~W l6(c ~M ~• y , , M.sican. Puerb Rkan. ek) p h~~ t 1. Deuanl's Uswl Iron Kad d work d one most d life. Do not sub 12. Was Decedent ever in the 13. DxwdenYS Edualion (Sexily arty Iniglkp grade conp ebd) 74. Maaal Sblw: MamM. Never Mertbd. 15. Survivkng Spo use IH wee, ghe rtuiden name) Kind Wok d Indusby U.S. Amkd Faces? Ekrtbntary Seaaury (412) Cdbge (td a 5+) Widov 1 ~'-' Piet Ya ^ No ~ ~ ~ ~ ~ i [J - -16.Ds~ edam' admg ess ($Iral, city l lG~ slate, zip adel ~ /,7 O.eJ~ GND~ A~• 77 L Y/ fs ~ Oetedem ^ a, Decedent Lived in Twp. AaWelRaiderrce 17a. Stab N L /~~9 Uw ina 17c. ~ 1 to~~? ~ N ~~ ~S- ~ ~ na NO. Decedern Lived wimin ~NOG.ry 17e. Aaua Limasa city/Roro 18. Fa Name IF' ,middle. bsl, s al v ~ 19. s Nure (Fist, netlde, mrden srLmbme) p t D r C ~~ n G 20e. 1 s Name (Type / Prep) f2 J ~ouck~ 20b. Irdarenh MaiWg Adtlraa (Strati. cAY /loon, stele, a9 1 mile e N%q ~ie ,ENOL ~ I~~S 21a. a Dbpaitim r ^ Crmklbn Damaon i ^ R 210. Den a Diaposia, (Mash, ray, year) 21c. Pbn d YppaMpn R g me a amalery, aarby a a9ra place) D z10. lane a , (cn y ap etas) lt«m. sa/te /~//'1 BuiM emoval hen Sure Wa Qallktloll a DaIMUon Alldrorbld ~ ^ , / ~ /v ~ 1 ~ / l A ~ ~ / 1 ~ r y / ~ (~ / - t / EsanYrbr/Caarafy YK No O c c vi C / u " /.c 4 ~// .f L F Seake ~ la wcnl 220. License NurrDSr 22c. !brine anti F carob <a,y arMying z3.. oak Oald ,a.m aaabd al ab are, 6b as plea alued.(Sgnaara and Wb) 230. liana NUMer 23c. DUe sigrbd lMadh, dey, year) b na d cram ro SC^!'t kh,:r, A~ yM I~ ' M p L(-' ~"? L{-1 3 O q v aNry was a dam. S (~ I~ I U _.~---- ~ 1 :~ I - aria 24.26 mural a tarrpbted q' person 24. Tere d Dam 26. Dab (Harm. dey, year) ` 28. Wa Caa Rebrted F~nnx / Corabr M a Roam Omx dun CremeOm a Dauam? ,- ova pronounces deem. r` M, ^ Yee klo4m CAUSE OF DFJITH (SN Makuctbra aM eaampNa) r Appm>arkb interval: PM II: Eau omu ' ~ 26. Did tabamo Use Cadraw ro Dam? aern 27. Pad I: Emer me akin devents - daseasa, iryaies, a artglaeak ~ trier Arxp aawetl me deem. DO N0T xar txmnal wurb war a artac anaM, ~ Oreat p Daum Oa not rexAtlng h me aradyerg cruse given b Put I. ^ Yes ^ PmMdy respiruay amsL a wmnadar TdrAblian welnoN snowhrg me elblogy.liu arty ore reuse on eecn line. ~ ~ ~ ~ ^ ~~~ IMMEDIATE CAUSE (Friel disease a r oorrdmm rmsd«rg n deem) ,~ a. ~ S 1'~ ~ 1fL~ t 1 iJ !~ /'` C.: t ~ L. < a'Y't a iaCC,.. ~C~ ; ~S /~ .:s S) ' I, c (.••..: t ~'~ •/~ ' 29. a Female; ^ Na n kd ivi t T Due b la a a areegana dl: r nueAy W con6tiMa, a ery, 0. 1~~ [ sl,YlG.n ~ .r ICS ' "'>, Y~ y'l~':vv n•~t v.n ~ t a ~ - ~ !e~';a,nt~' ~r~.. 1 yr•a H ~ /J v ' p p w n pa yar ^ P m at are d cream ~ ^ r b b the awe listed on Ira a. ~~ Enbr UNDERLyPK CAUSE ~ (a a a consa7rkrn[e ol): r - laiaeae«injaymalaaledme c. U~,n.-.,r., l'-tuc'j ~~.trc'i:'~,, ~ ~ /aF>~r..l.}.~;.Ila):~n Nq pragrem, M pregrenl wimin 12 aye a aam ^ events resaerg ar dam! UST. Dw ro (« as a areega al: d ° ~ m, ba megnen143 days b 1 year d i ^ llrnkrown 4 pre neM rdhb me est ear . g p y 30a. was an Autopsy 30b. Were Auopsy Fm6ngs 31. 32a. Dak d ONay (MaM, dsy, year) 32b. DaaaiDe Fbw ~Y Oaurad 32c. Pun d Mary Home, Ferm, Street, Facury, Pedamad? Avaibae Prior ro Carobtion a Cause a Deem? ' r Naeeal ^ Honatide r Otka 8dber9. ~. (SPeahl ^ Yes ~ ^ Yes ~ ^ Accitlerd ^ PeMrg bvesdgaam 32d. Tme d k9«Y 32e. Iryury el Wark? 321. 9 TraNpaktrm Iry'rpy (Specyry/ ^ ^ P ^ P ' 32g. Loatbn d utluY (Slral, city ! bvm, slue) ^ Suaatla ^ CouM Ha a Datemarkd M ^ ~ ^ YAs ner/Opkralor eassrypr eamkn A Omer ~ Spaa/y: 33a. Certlkx IUrean any ak) 33b. Sgnulee and Tips d Grtlfier • ~n9 Plryaklan (Pnyskan ardying awe a seam wan arnomsr pnyskun lus pronounced dam erk canrplebd Item 23) To the treadmy knowbdge, auh occurred dueuma aaa(sl endmaMrr abbtl_-_-_-- ^ __________________________ /~' / Jy - l.'nL ~ha ~ . ' Pronouncirp arW artlrylnq phyakun (PAyskbn Dom prorrauni rag deem aM aNlyanq b cauDe d dam) _ 73c. Liarrw 33e. Dale Srykd (MOnln, ay. yar) To meD.namy Ynowbd9a, a..m oaurndln matmr,dab,.ne plea,aM aabmeaaa.la)aM memkraeleted___~__-_-____--- • taadlal faamm«/Caoar a~D (-r-374{-I ~ eJ ~('11'1G On du WsbaaltMnlMlbnaM for invaatlguion,bmy apmbn;Owm oecarM Udk tea,Ma, and pua,atd rAkbtha auas(q and mannsra atabd. ^ s rk AddaaaPerson VRb DargWed C.awaa De.m Qtem 27)type/Prid 3/.Ne m ] ~ V a sCs+l o ~ $(rY t K ti a. 36. R ~ end Oinnct ~ t !ot S151 `~ ICI 3a. Deb Fled (Harm. aay, ywr) l~ , . /' c4x~l,1~a/ pA. ,:~.d>1 ,...~~,,,,.( c: ..l ~* ~~ rl:st~ >'r . / ., a~~j N*t ~~`~~l t rn N r,-; : ~ c':~O-n ~ r c,] ~ n ~ ~ - b W ..~ 3 Dispailion PemM No. E ~ V LAST WILL AND TESTAMENT I, WILLIAM R. DOUGHERTY, of the Township of Lower Allen, County of Cumber- land and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this a ~ nd for' Last_ o -r--< Will and Testament, hereby revoking and making void all former is ar~ co~;%:. cils by me at any time heretofore made. ~~~ ~ ~-~-• r~ C'± t nO~ ~ _,~ - FIRST. I order and direct that all my just debts and fun~~ expezLSes r=i ., c ~~ l a w be paid by my Executrix or Executor, as the case may be, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give, devise and bequeath all the rest, residue and remainder Q 1 Y C~ 1 a~ of my Estate, real, personal and mixed, whatsoever and wheresoever situated, unto my wife, PATRICIA DOUGHERTY, absolutely and in fee simple, if she sur- wives me by as many as sixty (60) days. THIRD. If my wife, PATRICIA DOUGHERTY, does not survive me by as many as sixty (60) days, then and in that event, I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated, in equal shares unto my two (2) sons, namely, ROBERT J. DOUGHERTY and THOMAS J. DOUGHERTY, share and share alike, absolutely and in fee simple. If my son, namely, THOMAS J. DOUGHERTY, should predecease me, I order and direct that the foregoing residuary disposition to him shall lapse and be void, without substitution of issue, and I further order and direct that my entire residuary estate shall be distributed to my son, namely, ROBERT J. DOUGHERTY. If my son, namely, ROBERT J. DOUGHERTY, should predecease me and leave LAW OFFICES SNELBAKER, FLICKER & SILVER lawful issue to survive me, I order and direct that said share of my deceased son shall be distributed unto his lawful issue per stirpes by representation and not per capita, subject, however, to the protective provisions of Item Fourth hereinbelow. FOURTH. I order and direct that the distributive share of my estate attributable to any beneficiary who has not attained the age of twenty-three (23) years at the time of my death, shall be distributed and paid over to DAUPHIN DEPOSIT BANK AND TRUST COMPANY, of Harrisburg, Pennsylvania, as my testamentary Trustee, in a separate trust, nevertheless, to hold, manage, invest, accumulate income and reinvest until said beneficiary attains the age of twenty-three (23) years, at which latter time said trust shall be terminated and the then remaining net assets thereof shall be paid over to the beneficiary absolutely and free of such trust. During the existence of any such trust, (A) I order and direct that r the beneficiary's interest therein shall not be subject to pledge, assignment, sale or hypothecation by said beneficiary nor subject to the attachment, levy or execution of any purported assignee, purchaser or creditor of such bene- ficiary, and (B) I authorize and empower my said Trustee to use, expend, .consume and apply from time to time such amounts of both invoice and principal as said Trustee shall deterimine in the exercise of its sole discretion to be necessary and proper for the beneficiary's education [the term "education" shall be interpreted to include college or other post-highschool training which is intended to enhance the benef iciary's productivity as an adult or improve his or her quality of life]. LASTLY. I nominate, constitute and appoint my wif e, PATRICIA DOUGHERTY, to be the Executrix of this, my Last Will and Testament, but if for any reason she should. fail to qualify as such Executrix or cease so to serve, then and in that event, I nominate, constitute and appoint my son, namely, ROBERT J. DOUGHERTY, to be the Executor hereof. If both of the above named persons should fail to qualify as my personal representative hereunder or cease so to serve, then and in that ultimage event, I nominate, constitute and appoint my son, namely, THOMAS J. DOUGHERTY, to be the Executor of this, my Last Will and Testament. I order and direct that none of the above named persons shall be required LAW OFFICES SNELHAKER, ELICKER & SILVER IN WITNESS WHEREOF, I, WILLIAM R. DOUGHERTY, have hereunto set my to post bond or other security as a condition of qualification hereunder. hand and seal to this., my Last Will and Testament which consists of three (3) typewritten pages to each of which I have affixed my signature this ~"`'-day of ~~~~°° ,A.D., One Thousand Nine Hundred Eighty-seven (1987). ~~ (SEAL) The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testator, was on the date ther signed, sealed, published and declared by WILLIAM R. DOUGHERTY, the Testator therein named, as and for his Last Will and Testament, in the presence of us, who, at his request, in his presence, and in subscribed our names as witnesses hereto presence of each other, have ~~~.~ LAW OFFICES SNELBAKER, FLICKER & SILVER COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND) We, WILLIAM R. DOUGHERTY, RICHARD C. SNELBAKER and JANET M. FORRY, the Testator and the witnesses, respectively, whose names are signed to the attache) or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as I n~ ~~a~ ~~ ~2 s1~~.2 ~~ ~~~ ~~ ~~ his Last Will and Testament a LAW OFFICES SNELBAKER, FLICKER & SILVER COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND) We, WILLIAM R. DOUGHERTY, RICHARD C. SNELBAKER and JANET M. FORRY, the Testator and the witnesses, respectively, whose names are signed to the attac or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and Testament and that he had signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the .presence and hearing of the Testator, signed the Will as witness and that to the best of his or her knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~~~~ Subscribed, sworn to and acknowledged before me by WILLIAM R. DOUGHERTY, the Testator, and subscribed and sworn to before me by RICHARD C. SNELBAKER and ~ 1987 . JANET M. FORRY, witnesses, this ~S'~~day of ~-=r.~:,-~--E- ~-~~--~~ / Notary Public CATNARINE E. BOUSUM, NOTARY PUBIIC 1irCHANiCSBURG P!lRO. CUd~9ERLAHD COUNTY R1Y COI~iKiSSiON EXPIRES FEB. ?.7, 1990 @!cTb~r, ? :;;:~syiva~?x ~a:oct~':"5 0l #~tx•i~s LAW OFFICES SNELBAKER, FLICKER & SILVER Witness