HomeMy WebLinkAbout02-11-11PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Elaine C. Parsons File Number 21-11 ' CU j ~Z
also known as
,Deceased Social Security Number 213-24-0845
James A. Rogers
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE A' or'8' BELOW.•)
® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the named in the
last Will of the Decedent, dated A6/A3f1997 and codicil(s) dated NIT.. NAr_rwd ~er'.»tnr - H. Franc 1 S Parsons
died _ .~; c~c, ~ Named alternate I~eeutor James A Rogers, applies for
Letters Testamentary.
State relevant circumstances, e.g., renunaafion, 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:
and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce had
hr>an actahliehPrl ae riafn~rl in 72 D„ r~ e ~ ~ 33ZZ{~•
^ B. Grant of Letters of Administration
ap ice e, en er c..a.; ..n.c..a.; n ~ uren a sen e; uren mmon a
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 IMII in Section A above and complete list of heirs.)
Name Relationship Residence
;-
C7 `~-' :7D
-~ {,
-. f - 1 1
.
,~
_u..
i~ ~~
~~
~Y
x
.r+. --_. _..ti1
-_ __. (.
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~--~ ~ -,-~ _ -~
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last princi{~i~idence atn, = m
--~
815 N. Walnut Street, Mechanicsburg, Mechancisburg, Cumberland PA 17055 ~ o `"~
(List street address, town/city, township, county, state, zip code)
Decedent, then ~~ years of age, died on 12/05/2010 at E. Pennsboro Twp., Cumberland County, PA
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:
13.000.00
125,000.00
Single Family Residence at 815 N. Walnut Street, Mechanicsburg, PA
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 form to
the undersigned:
226 Union Church Road
Dillsburg, PA 17019
Form KW-UL Rev. 10-13-2006 Copyright (c) 21H16 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 ~ day of
For ttfe Register
~
~
~
Signat of Personal Representative .lam s A. ROger8
Signature of Personal Representative -O _`
C')
~z~ e~ ~ -~
Signature of Personal Representative zx.. _. --- f,-, ,~;:~
_' G~ T ...- _.~
`-~ ~ ~ _,
r-, _
C7 v !'1
~~ ~
- '-r
~ ^=
File Number: 21-11-(~ ~
Estate of Elaine C. Parsons
Deceased
C
G'~'
Social Security Number: 213-24-0845 Date of Death: 12/05/2010
~` ~~ i I
AND NOW, !_ a , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that etters Testamentary
are hereby granted to James A. Rogers
in the above estate
and that the instrument(s) dated 06/03/1997
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent
FEES
Letters ..........................................
$ ~~o~~. `..
Short Certificate(s) ....................... $ 'y °°
Ren
unciation(s) ............................ $
/
r
,,If'S
$ 23-~~~~~
I !VI ~(J $ ~~~ C~r>
$
$
$
$
$
TOTAL ................................... $ . ~C.) ~• S 0
Supreme Court I.D. No.:
Wm. D. Schrack III, Esquire
Address: 124 W. Harrisburg Street
Dillsburg, PA 17019-1268
Telephone: 717-432-9733
E-Mail: Schracklaw@comcast.net
Form RW-OY Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2
Attorney Signature:
Attorney Name: Wm. D. Schrack III Esq.
LOCAL REGISTRAR'S CERTIFICATION i0F DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
fI:k frn (his r'rtificatc. `~6.U0
__ P 17045526 _
Ce~rtif~~c~ttion Number
This is to certif~r that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Regist rar. The original
certificate will he forwarded to the State Vital
Recores Office for per)rr)nent filing .
~~~ .~E~ ~ 7/2t~10
Local Registrar Date Issued
1....:9
t:~
o
~ ~ ~~ ~-, ; ',
~ ~
a
rv-~ f'~ w .
~-.. ;
~ rn - L. J
r-r-~ ~r~
OQ-r~ ~ 7
q
~ i'7
.= 1
D
O p
~~ '~ri
~-
3 REV 17/1008 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
I PRINt IN
ik4ANENT CERTIFICATE OF DEATH
AcN INN (See Instructions and examples on reverse)
STATE FILE NUMBER
n (E
rtl, nadfe, ee4 adroc)
1. Nrr d
D
er
s
d
er 2. Sea 3. Sorel Secudy NunMr 4. Deb d Daelh (Modh, day, yrr)
~
~.
7
,
.
C
~
L'.f.nueC C. Parsons Female 213 - 24 -. 0845 December 5, 2010
5. Age (Letl Bktlbey) UMer 1 r Under 1 ds 8. Deb d BIM MaIN 7. B ace C eM eels a G. Plus d Duth Chadc on one
MOSme 0eN Haxa MMM Hospital: OMer:
81 Yyg. July 25, 1929 D21111i1L f `-~ Inpelient ^ ER 1 Dutpetbd ]DOA ^ NuraNig Home ^ Resitlence ^ ONer ~ Slxcgy
Bb. Carry d Dutlr Bc. CAy, Bono, Twp. d Duch Bd FedWy Name (A net Irstlwtlm, 9N• street and numbx) 9. Wae Decadent d Hepenk Origin? ^ Vu 70. Race: American Iriden, Black, White, etc.
(It yes, epeagy Cuban, (Specir7q
Ctmberland E. Petmsboro Hol S irit Ho ital ~~~ P~ ~~ ~) Ghite
t t. Deoedenya lbisl dwak d one most d Ale. Do cal sate 12 Wu Oeceded ever a the 73. Decadenye Edlx:ellon (Spedly any hlghed glade oonlP eed! 14. Mergel Stabs: Manbd, Never MazMd, 18. SuMving Spa ce (A wqe, 9^w meMen name)
IOM d Work KMd&airorllnduetry U.S. Amled Fdau7 Ebmenbry I SuoMery (U72) Cogege (1d a Sr) ' ~~ ('1
HOm~aker Own HDme ^ Yr ~ No 2+ WlClOWed
16. Decedera'e Mdeq Address (Basel dY f boo, stab, np axb) b Petmsy VBllla ~~ ~,°eacdB"l
Athd Rurd
r
t1
Sl
CI
815 North Walrnit St. e
l~
e
a
170.
Yr, Decedent Lived e T
7 ~
T
h
Mechanicsbur
PA 17055 oYme
ro
LNed wAain ~ ~11
tro. Carry land 77d. ~rDe ~m
g, d
cgyleaa
iB. FeSlele Nems (Flrel, ngdde, ee4 aufAx) 7B. MoMMe None (Flral, ngdda, maltlan etrrsme)
I,tillzam James Culver Helen Elaine Hasti s
20e. Idomsda Noma (Type I Print) 20b. InlorrnrYe McNYIg Addrua (Street cqY / wm, else, sfp code)
Susan Walbert 20 MDnarche:In. Mechenicsbur ~:PA 17055
21a. Me1Md d Depoeglon ~ ^ Crerrsdm ^ Donetlon 216. Dab d Depaglm (IAmtlr, day, year) 21c. Pecs d pepaalAal (Name d cdnabry, aanalay a odsr pep) 21d. Location (Clyf lawn, ebb, aD cede)
^ D®A,e, :'"Y1 ^ `~'~"" "°" ~°°` ~ a w~ "°Eu ".°ai""°" A""'°'~d ^ Yee^ Na DaceDber 10 2010 Roll' GYeen Cemet Hill PA
22a Furwtl (a ) 226. Lkenee Nunbx 22c. Name acid Addlsu d Fuay Myer3-Harnar Einleral Home
1903 ket t. 11 A 17011
23ee ady when aM)Arq 23e. To the hetl d my loawladge, drb anumd tl tls tYne, deb and plus etebd ISigreaxa and tPoel 236. Ucanr NwMer 23c. Dtle Signed (March, day, year)
paytldw e M evebde tl tlme d deah b
c•rtlY rase d death.
IYmt 24.28 ~ ~ rorMlebd q, ~~ 26. Tune d Orlh 25. Date Prasalted Geed (Mash, day, year) 28. Wr Ceee Rtlimed b Medical Examiner 1 Coroner to a Rrean Other then Cremation a Donation?
who pmiaetcee daab. l0 : y0 P M. be,r o ~ O ^ Yr ~ ~
CAUSE OF DEATH (See Inetnretlom end eaampMe) ~ Approximate knervtl: Pert II: Eller other 28. Did TobeaorUse~Codribub to Death?
Ibrri 27. Port I: Eder the gDeuaLas>ok - deerea, inJunee, a aarogcetlas ~ Mal Brody cawed the tleeb. DO NOT enbr bnninel evade such u rardbc ertetl, i priest to Dutli bN not reauMrp in dal uMedylrg cause given m Part I. ^ Ves y!J f~roDeby -
rrpkabry snetl, a ven6iMer AMAetbn w7Aiaa alxw4ng the etlobgy. Let Dory era case on eedl qne. ~
^ Na ^ Unkrwwn
~~ a rre;daeesa or a.
-~
~, ~~ ~~ ~ i
, 29. q Female:
^ N
t
t
ithi
t
Due m (a 9a~p ~rw
p~an
/ ~ A a/
i pregnan
o
w
n pes
year
^ Pregnant el time of Beat
~
W axxltlas., ~,, b
k J y ^
j
~UIIOERLYSIfi CAUSE a pus (art
'
Nd DregnanL but pregnant wihin 42 days
d death
(deers a tray tatl trgtiebd the G -
v
nt r
aYr
- In d
elh) LAST ^
y
. ~
e
e
w
e
b (a u e mnaequerw:e oQ:
~ Nd Pregient, bN pregnant 43 deya Io t year
batare deeM
d. r
UNmown N
re
nant wAhe Ne
eat
rr
p
g
p
y
30a. Wr r Aubpey 306. Were Autopsy Findmge 31. Mercer d OuM 32a Date d Injury (MaM, dry, year) 32b. puaPoe lbw k~ury Ocaared 32c. Pear d Injury: Hans, Fertn, Street Fecnry,
Pedamsd7 Avdede Pda b Canpetion y) N
l
l ^ H
ldd Oglra BWldng, ek. (Speclryl
d Carve d DuM7 e
ure
om
e
v~-+
^ V
^ N ^ V
^ N ^ Actldem ^ P•^Bn9 Inveeggatlon 32d. Time d Injury 32e. Inury et Wok'! 321. A TnrmpMatlon Injury (Specyy) 32g. Locellon d injury (Street ciy 1 town, sere)
u
o o
u ^ SuaAde ^ Could Nd be Delermk7ed M ^ Vr ^ No ^ Ddwl pparelor CI Peeeerger ^ Pedeeaen
Other' Spedly:
33a. (bdler (dsdt eery as) 33b. Slgnaue Tqe d CertlMr
• CedXyeq paydeen (Ptrytldm pngykp oars d tletlh when enotlsr phyaalen hr pronounced drM and wnlpeled Item 23)
TolM htldmy bgsbdS•,drM acetered dueblM rrye)end metawrebbd_________________________________ ^ ~''~~~
~
• PmripateYp and rartllyYq plrytlclen (PhyeicM 6otli pranierdrp daelh erd astlykq b our d AaaN) 33c. L7cerse Number 39d. Data Signed (MaM, day yrr)
Toth a.tldmy bloebdg., death aaaeredtltls thr,ddN eM pbr,eM drbtM ruee(e)rd ntemxretebd__________________
• ~L ~~ ~d ro
v I~ Q ~ O
heMe d rrnkrtlon rW /ar Inwetlgalbn, In my apmian, duM oeeumd tl tlr tMw, deb, nd pbu, eM dw ro IM eraye) end nrrxwr r ateEed ^ 31.
d Con Cauca d DrW Iaem 27) TYpe f riot
~o~'~ a"~°s~
d
35. Raplea.ra ~'i , ~2 i ~ I / 38. Deb Flied (MaM. day, year) L
~!
/ 7d /
(.
Dlapotltlon Permq Na. 0542253
f, ~.,~
~CC/~?R~r ~~~-C~ ^OF
LAST WILL AND TESTAMENT
OF
ELAINE C. PARSONS
c~Q ~ ~~ ~t~ ~ ~ ~~ ~~
CLERK OF
ORPMA~!'~ COURT
~L~MRE~L,~FSD CO., PA
I, ELAINE C. PARSONS, of Camp Hill Borough, Cumberland County,
Pennsylvania, being of sound mind, memory and understandin€;, do hereby make,
publish and declare this as and for my Last Will and Testament, hereby revoking
and making void any and all other Wills by me at any time heretofore made.
I.
I direct that my Executor, hereinafter named, shall pay all my just
debts and funeral expenses as soon as conveniently may be done after my decease.
II.
All the rest, residue and remainder of my estate, whether real, personal
or mixed and wheresoever situate, I hereby give, devise an<i bequeath unto my
husband, H. FRANCIS PARSONS, if he survives me by thirty (30) days. If he does
not survive me by thirty (30) days, then this gift to him :shall be divested and
I then give, devise and bequeath my entire estate, whether real, personal or
mixed and wheresoever situate as follows:
A. I give and bequeath unto my son, DANIEL B. ROGERS, of Mifflintown,
Pennsylvania, my living room TV stand, two hunting rifles, the library table
in my right back bedroom, one 10-drawer chest, the desk in the left back bedroom,
the front bedroom chair, one of my two pocket watches, the motor boat, motors and
trailer, all of the fishing gear, and the black tool box inn the basement.
B. I give and bequeath unto my son, JAMES A. ROGERS, of Dillsburg,
Pennsylvania, his choice of my vehicles, two hunting rifles, two kerosene lamps,
one pocket watch, the picture of grandmother and grandfather Culver, the five
.piece blue pitcher set, r_he siV piece mirror brush set, two fur jackets and the
1
picture in the dining room of a child and dog.
C. I give and bequeath unto my daughter, SUSAN P. WALBERT, of Mechanics-
burg, Pennsylvania, the dining room set, the clock on the .Living room mantle,
my jewelry, the wash stand in the front bedroom, the cane bottom chair in the
back bedroom, the cedar chest in the attic, pistol, my qui]Lt and my white down
comforter, the sewing machine in the back bedroom and the desk in the dining
room.
D. If my children, above named, are all in agreemE~nt, I give and
bequeath to them, and to my grandchildren, their individua]_ selections of items
of personalty, household goods and furnishings, excluding my investments and
savings.
E. I direct that my Executor, hereinafter named, :hall redeem my
investments, cash in my savings and checking accounts and :Dell all the rest,
residue and remainder of my estate, whether real, personal or mixed, and
wheresoever situate, at public or private sale and I give and bequeath the net
proceeds derived therefrom, and from my investments, savings and checking
accounts, to my children, DANIEL B. ROGERS, JAMES A. ROGERS and SUSAN P.
WALBERT, in equal shares, per stirpes.
III.
I hereby appoint my husband, H. FRANCIS PARSONS, as'. Executor of this
my Last Will and Testament. If my said husband should predecease me, not
qualify, or not accept the position of Executor, then I hereby nominate,
constitute and appoint my son, JAMES A. ROGERS, as Executor.
IV.
I direct that my fiduciaries, herein named, shall n.ot have to post bond
Page Two of Four Pages
s ..
for the faithful performance of their duties.
IN WITNESS WHEREOF,, I, ELAINE C. PARSONS, the Testatrix, have unto this
my Last Will and Testament, set my hand and seal this j'GJ day of,~iihf 1997.
i
~~~,.ld~ ( SEAL )
SIGNED, SEALED, PUBLISHED and DECLARED by ELAINE C. PARSONS, the above
named Testatrix, as and for her Last Will and Testament in the presence of us,
who have hereunto subscribed our names as witnesses at her request, in the
presence of the said Testatrix and of each other.
.,
4 ~
P~~.~~~.~.~~~~u
ACKNOWLEDGMENT AND AFFIDAVIT
We, ELAINE C. PARSONS,~l~~~~~, ~• ~1PC7h5~P1, and ,~~~pi( ~Pl'c.s~PcJo ,
the Testatrix and the witnesses, respectively, whose names are signed to the
foregoing instrument, being first duly sworn, do hereby declare to the under-
signed authority that the Testatrix signed and executed it as her free and
voluntary act for the purposes therein expressed, and that each of the witnesses,
in the presence and hearing of the Testatrix, signed the Will as witness and
that to the best of their knowledge the Testatrix was at that time eighteen
years of age or older, of sound mind and under no constraint or undue influence.
4--. ~l...r1ZG.--~ • ~~n, ( SEAL )
Testatrix
/~ (SEAL)
Witness ~~~~p,
,~!~i~1 Gr~s~ ~ ( SEAL )
Wit~~ t
Page Three of Four Pages
r
Subscribed, sworn to and acknowledged before me by ELAINE C. PARSONS,
the Testatrix, and subscribed and sworn to before me by ~~//~7/?q C'. /~JV~~tis~Py
and F~/P/~ ~7<~! ~h 5 ~-P~ witnesses, this ` j "/day of J y ~~ 1997 .
~~
Notary Public
.._..~..
NOTARIAL SEAL
WILLIAM A. YOCUM, Notary PuDI~
Camp HIII Boro, Cumberland County
v Commission Expires June 27, 270
Page Four of Four Pages