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HomeMy WebLinkAbout01-04-11 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate Of Mildred A. Harrison a/k/a: a/k/a: a/k/a: SS NO: 184-07-9489 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: ~ A. Probate and Grant of Letters Testamentary or ^ Administration c.t.a., or d.b.n.c.t.a. (complete Part C also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters Testamentary under the last Will of the above-named Decedent, dated ei22i2oos and codicil(s) dated (State relevant 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 instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and was not a party to a pending divorce proceeding at a time of death wherein grounds for divorce had been established as defined in 23 Pa. C.S.A. § 3323{8): ~~ ~~ Deceased ESTATE NO: 21- ~ •- iJ~~l~ ^ B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent lite, durante absentia, durante minoritate) C. 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 and complete list of heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to~ending di~o~ce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), e~s follow-s=' -~. ~.... Name ---- -- ..x...,.. .. :~' 4~ . -~ ~ ~~ vas ti~i~i i iv:~ ~i. J~-ir,r, 1 7 1C iV C,l.~IaAKY f ~ tlti rPCc C...'`,' THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 1441 Hillcrest Court Apt. 209 Camp Hill, PA 17011 ~~ :~ _ i....r._a ~.~ ~ ~~a C ,.F i ,-=~ _, . , -.... ,_~ ~4. c r~'-- %"r't t,~ Q (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 92 years of age, died 12/29/2010 at Holy Spirit Hospital, East Pennsboro Twp, (Month, Day, Year of death) (City and State where death occurred) Estimated value of decedent's property at death: _If domiciled in PA All personal property $ soo,ooo.oo _If not domiciled in PA Personal property in Pennsylvania $ _If not domiciled in PA Personal property in County $ _Value of Real Estate in Pennsylvania $ Total Estimated Value $ soo,ooo.oo Location of Real Estate in Pennsylvania: (Provide full address if possible.) ignature(s) Name(s) & Mailing Address(es) • John M. Eakin Market Square Building, Mechanicsburg PA 17055 Interim Form RVV-02 revised l ".?6.10 by Cumberland Counh~ pending action by the Court ~~.a,,,~ ~ ,.+- OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania ~ SS County of Cumberland The Petitioner(s) herein named swear or affirm 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 n ~~ ~ ~. ., .~ ~ ,' \ . .fib _ ~~ ~•~ S j,` ~....... p 1 «.. ..R ~ ~,1.~.~ ~~{'~,~,~Q~`~~:"~ ~ ~ { --~ t .~ iii -~ For the Register <<`-; ``~~ ~ - -, _.. -- "-ti.~c -== DECREE OF PROBATE AND GRANT OF LETTERS a n~ ~n rn Estate of ~ ~ C~ ~ -~ . - 4 ~ ~ra ~ ~ ~'~,Qt.rr~~,~ ,Deceased File Number: 21- before me this da of AND NOW, this ~_ day of ,~('~ t , in consideration of the Petition on the reverse side hereon, satisfactory proof having be presented before me, IT IS DECREED that Letters ~~Testamentary of Administration are hereby granted to: (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) ~/ In Glenda Farner Strasbaugh, ~-r ~~.1? (,,ll 41~ ~;y-j C~C_~_p Register of Wills the above estate and that instruments(s) dated ~ j ~~~~ G' ~? ~-~ described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. FEES: Letters ....................$ ~ ~ ~. C ~ -~_ Will ....................... 1 ~ ~ C?-CJ Codicil(s). ( (~?) Short Certificates _ '?~. ( )Renunciations....... Bond ............................ Other ............................. ................................. Automation FEE......... 5.00 JCS FEE .................. 2.3.50 Signature of t;ounset Atty's Signature to ~:nter Appearance PRINTED Name: V ~ ~ ~- ~ ~ ~ ~-A ~~~ ~ Supreme Court ID No.: ©~ 3 S ~ Address: i'`^ ~'~ Phone: Fax: Interim i~onn R~~'-02 revised 1226.10 by Cumberland County pending action by the Court Page 2 of 2 OCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.0(1 P 17029548 Certification Number H105.543 REV 118006 TYPE / PR1tlT e4 PERMANENT BLAq( INK `.} This is to certify that the information here given is c~~rrectly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will he i~orwarded to the State Vital Records Office for permanent filing. ~' ~~ ~(~ ~ ~_ ,~ ~ ,~ d ~~~ / x ~ - Ltacal Registrar ~~ ~ >r?~t~e l~.sued __~ ~ rte-- ,~:~~ i~ C~ ~ ~ ~;~ t~ -n ~ ; :~ _.{ N _ ~.: ~, ~, i r7 ~ t.~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) crn1~ Fu a N„MS+=R 1. Nana d Decedsre (Feet rtYddla, lru, suMbr) 2 Ses 3. Sodd Sassily Number 4. Date d Death (MOnM, day, yeK) Mildred A. Harrison Female 184 -07 - 9489 12/29/2010 s. Age (Last BiAiday) under 5 lkder 1 d. 8. ~e a Bill Month, T. and Stab or fie. Pf~e d DsaN check one kbneu Dsya Ibun Mkvras Hoapibl: Other. 92 vrs. 9 / 14/ 1918 Mt . Carmel , PA L~ lnpetlent ^ ER I outpetlsa ^ DoA ^ Nosing Home ^ ResiOerrca ^ OMar - Spxiy: 60. County d Deew 8t. City. Boro, Twp. a Daew Bd. Pastry Nana (M rat 4aauDon, give street and ramber) 9. Was Decedent d Fiiapanic Origin? ~ No ^Ves 70. lieoe: Americsr krdien, Black, White, etc. { Cumberland East Pennsboro Holy Spirit Hospital ~ ~•eba Wh to 51. lkcedse's UeuM d wak d one du' most d I6e. Do not era 52 Was Decades aver m the 13. Decedents EdueaOOn IBP~A' ~Y t t~ ~~ ~1 54. MaMN STNS: Married, Nsvsr Married, ts. Survivktg Spa ns (6 wile. give maiden rams) Ksd d Work IGnd d Buirass/Indatry U.S. Amred Foroes? Ebrrarttary / Secabary (452) Co6ege (5.4 a 5+) Wkfovwd' Owamed (~Hl Security Specialist ^Yea t_at No 12 Never Married 58. Decedent's Maiirg Address lSyreet cAY /tam, stab, zip code) Decedents Did Decedent DecedsdLivsfinLOWer Allen T,,,,p b Pennsylvania 57c ~Yes ids Aa alR e ,T St Ye 1441 Hillcrest Court Apt 209 . . , es rc u a. a T pp~ ~ h l l 17d ~NO ~""d'in Cam Hill PA 17011 ttm ar anr • t?D.county Actual omits d Cdy / Boro 18. Fa6ars Nsne (Fast, rtedds, last, srdNr) 19. Motlar's Name (Post, rtwdda, maiden s~ansra) Andrew Harrison Anna Marenick 20a. irrbnnsrri's Name (Type 1 Print) 20b.1~fameM's MsYlnp Addess (StresL dry /town. star, zip mde) 1 West Main St. Mechanicsbur PA 17055 21a. Mdhod d DispoSi6on r ^ Crematlon ^ Doratbn 25b. l)o1e d Diepositlon (Horeb, day, year) 21c. Prce d DrepoeRm (Name d urratery, cranalay a other place) 21d. Locaion (City /town, aba, zip cads) ^ ~B`"w ^ rram ~ W" °` c««a.A^ Y.s^ No 1/5/2011 Gate of Heaven Cemetery Silver Spring, MD 20906 zz.. (« ) 22D.uceraeNumbs 22c.Nem.endAddroeeaFaciMj Neill Funeral Home Inc , - FD 013239 L 3401 Market St. Cam Hill, PA X7011 z3a< wrarr aAHy4rp z3a. To ea best d my knowisdgs, deaw oauned u the time, aw and place abbe (sigraturs and titb) 23b. Licarae Number 23c. Dme Sigrad (Moab, day, year) rat avsiede at tkra d deaw b crre d deaw. 0 ,u•~u'.z U • '~d~ .l~N P./V' .53" G %G ~ ~'rcc ixf~c.•- ~i r ~91U Ilse 24.26 mua be carprrd by person 24. Tme d b 2s. Daa Pronouced Dead (Mash, day, year) 26. Wee Casa Referted b Medicd Esamiar / Corgar br a Reaecn Odrer than Crertation or Donetien? who praburesa dedh. (p . ~ ~M. .~G7E7rlf'S E7~ :.1G , ~ i C ^Ves JCU No CAUSE OF DEATH (See Imkuctlons erW examples) , Approsknab inbrval: tam 27. Pert I: Eder tfa l~6Y~{g -diseases, injuries, a oarpkp0ons • tlat dlrsctly caned the death. DO NOT order arrninel events such 8s cardiac street, ~ Onael b Death Pert g: Eller otrar ' Dot not resusrq in the urderlykg ease given n Part I. 28. Did ToDacoo Ues CorWibrRe b Oeslh? ^Yea ^ PrdaDly raapirabry arrest, a vsaiaAer 1brWtlen wieaut showing tla ekolagy. loaf any one cause m each kna. , r No ^ lkdsawn r,~~,d~e8eo< Cv A -~ a ; 29. 6 F ,,~ ~ a ' ~eA Due b (or dt: r D Ye '~ ""` ^ Pregraa at Inns d death ist carrSrGOra, a any, b. 1~ 1:.1(~1t a ~ j ^ E~tNiD~Ytq CAUL a~ Due b (a ae a wrasgMnat dl: ~ Na pregar4, but prgwd witldn 42 days d daaw (dnase or kijurr tlW irltierd the c. i ^ Nd e bd 43 d t evsNS raeukrg n deed) LAST. Due b (a as a anaequwrce oQ: i prepar . ays b year PreOraa belare death d. ~ ^ lkdrrbwrr if prepws within the peal year 30a. Wss an Auopsy 30b. Wero Autopsy Firdlrgs 31. Hamer d Deets 32a ~ d kryury (Month, day. Year) 32b. DasaLe How lnM+rY OcGUred 32c. Place a kytsy: Hares, Farm, Street Facbry, Pedonnad? Available Prior b Completbn d Cave d Death? r-z%al ^ Homidde J~~ Office Bril6rp, etc. (~Y) ,-,/ ^ ^V ^ ^ Accident ^ Pendsg ~ 32d. Tyne d k~Y 32a. k~Y al Work'1 32t. k Tmsporta6on M}ay (Specify) 32g. Location d'mjuy (Street. dry / bwn, era) Yes ,}Q No es No ^ Suicide ^ Could Nd ba Derrmirad M ^ Yes ^ No ^ Ddver/Operate ^ Passenger ^ PedeWisn , Otlar • Spedry.• 33a CertllMr (cMCk only ore) 33b. Signseus and Tftle of ` • ~IMYMg DM~~ 1 g ~ d death when aratlix pfysiraan has pranouxad aam and completed lam 23) Totlrbeetafray•deawoeeundduatotfaerre(e)andmanwssstard--------------------------------- ^ V d d Nh d tN i b b w d W h 'a NN ~ ~ 33c Licerre 33d. D.r ~ dsY. Yss1 ) t an aa y rg eau. s o s 0 p n ( P ri9 W Yi and due b dr earw(s) sa mrrrr.e statsd Te na e«L a m tawwba . daaw orxrerad at »r thrr dent and 4ee ~ N L t / _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , , , p , y p • Meueaf Exararar/Caraw .~ - ( • ~ ~ v qn tie frets d exrsYatlon.nd / or Irrve~tlon, h my optrriorr, dew oeerend ~ tlr tMa, dNe, and plan, era drr to des ewr(a) aed nrmr r ateferL ^ w e_CamprMd eWee a DsNh (Ibn, r>) ryw 34` Ir Y~Aaa ~ `!` ~^ e ~ .. I ~ l ~ (~ I a I ~ ~~l.~ zr~f ':10 . ~ ~a~ fa~t~e - S~1c1 }-~ rU Q~ 1~ o\\ DiaposiDon Pem,rt No. ~ -+ -j ~ ~ j 1 l8 OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS Cumberland COUNTY, PENNSYLVANIA C7 ~~ ~ ~ ~"~ (.f~ ~~.~ ~~} ~ '~ -~ _-a ~. ~:~,:; .~.~:: 1 „~° r~ ~~. ~~ ~ (" ~ ,~ rr[ Mi ._---~ _ --; ~;.,~ O --~ Estate of Mildred A. Harrison ,Deceased John M. Eakin and Heidi M. Schultz , (each) a subscribing witness to (Print Name/s) the ~ Will ~ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he 1 they signed the same 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. i ji (Signata~re) 11, (Signat:~re) (V, l~ Market Square Building (Street Address) Mechanicsburg, PA 17055 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this of , day Deputy for Register of Wills Executed out of Register's Office Sworn to or affirmed and subscribed before me this '~-l ~ day of ~d-,v v~42y , a ~ )1 tart' Public , / y Commission Expires: `7 " ~ ~ a a ~ `7 (Signature and Seai of Notary or other official 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. NOTARIAL SEAL Form RW-03 rev. 10.13.06 ~ETTE L N~•~EN Notary Public CSBURG BORO, CUMIIEALAND CNTY My Commission Expire Jul 1.2014 Market Square Building (Street Address) Mechanicsburg, PA 17055 (City, State, Zip) ~^~- y ~' J '~ ~. _'~ r•-ti ~ ~-is -... _~.3 - ~. l }i ~.__I ~.....~ L.~_.J_ '."~` ... _....,. MI LDRED A . I~[A-RRI SON ~ ~ `=:" ~~- I, MILDRED A. HARRISON, of Lower Allen Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all prior Wills by me at any time heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can conveniently be done. I direct that I be interred in Gate of Heaven Cemetery, Silver Spring, Maryland. 2. I direct that there shall be paid out of my residuary estate all estate, inheritance and like taxes together with any interest or penalty thereon imposed by the Government of the United States, or any state or territory thereof, or by any foreign government or political subdivision thereof, in respect to all property required to be included in my gross estate for estate, inheritance or like tax purposes by any of such governments, whether the property passes under this will or otherwise. 3. I give and bequeath Thirty Thousand ($30,000.00} Dollars to my friend ANGIE BLOWERS, wife of Timothy Blowers of La Masa, New Mexico to be used in her sole discretion for the benefit of her children JAMES BLOWERS, JOSHUA BLOWERS and NATHAN BLOWERS. In the event she should predecease me the gift shall lapse -1- and in that event I give and bequeath the sum of Ten Thousand ($10,000.00) Dollars to each of said children, viz JAMES BLOWERS, JOSHUA BLOWERS and NATHAN BLOWERS in lieu of the gift to their mother. 4. I give, devise and bequeath the sum of Sixty Thousand ($60,000.00) Dollars to my friend, CAMILO ARBELAEZ, and in the event he predeceases me the gift shall lapse. 5. All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, I give, devise and bequeath to THE CHURCH OF THE GOOD SHEPHERD, Camp Hill, Pennsylvania to be used at the discretion of the Pastor. 6. Lastly, I nominate, constitute and appoint, JOHN M. EAKIN, to be the Executor of this my Last Will and Testament and direct that no bond or other security be required of my personal representative to guarantee faithful performance of his duties. IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of May, 2009. ~ ,~~ (SEAL) A. A Signed, sealed, published and declared by the above-named Mildred A. Harrison, as and for her Last Will and Testament, in the presence of us who have subscribed our names hereto as witnesses at the request of said testatrix, in her presence and in the presence of each other. ~~., '~ ,~ -2-