HomeMy WebLinkAbout03-01-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
a/k/a:
a/k/a:
a/k/a:
Estate of _~A7-/ir~Q,T..i1/~ /~. ,~~f'J,L~`y/ ,Deceased ESTATE NO: 21- ~~ ~ C off'? ~
ss NO: f9S- f~ - 3~~`"7
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as
ap licable:
~. 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 -'~".5~LI rr1~iJ`T?3~ under
the last Will of the above-named Decedent, dated 8`~'`' t7~G /99Z and codicil(s) dated // ~ _
(State relevant circumstances, e.g. renunciation, death of executor, etc.)
Except as follows, Decedent did not manry, 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 the time of death wherein grounds for divorce had been established as defined in
23 Pa. C.S.A. § 3323(g):
^ B. Grant of Letters of Administration
(If applicable, enter d.b.n., pendent lite, durante absentia, durance 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 ([f 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 a pending divorce
proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(g), except as follows:
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Name Address tionshi to I)~Cideet
Estimated value of decedent's property at death:
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UJL AUUI l lV1VAL aH1~l~ C, lJh Nlh:(:~55AlZY ~ --~- ~1...:E
THIS SECTION MUST BE COMPLETED: --~ ~ "~
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal. ~esiden e ~'
At lri CS'SI~! ~/ V~1.LftG,~ _ /~l~C,f/A~N..~'. S,Q U~P~, PA ' ld GcJ ~ rTLL~/~/ 7b W n/S~~'f%'ID 5~'
(Street address with Post Office and Zip Code, Municipality: Township, orough, City)
Decedent, then ~'.~ years of age, died o2 ~.3 ~ 0 / f at L~~'IP ~..,t LL ~~
(Month, Day, Year of death) (City and State where death occurred)
If domiciled in PA All personal property $ 020 d00 d d
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 $ ~6 6`2+"D . ~d
Location of Real Estate in Pennsylvania: (Provide full address if possible.)
Signature(s) Name(s) & Mailing Address(es)
i
/17 FC~An~C'S ~3 tt .QG ,~'A . i 70 .,5i5~-~-
~ntenm corm tcw-u1 revised IZ16.IU by Cumberland County pending action by the Court
Page 1 of
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF
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.
Signature of PersonaCRepresentative
C7 ,. ;
Signature of Personal Representative ~ {~ _~,,;.
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Fir the gister Signature of Personal Representative ~•, ' r•~~ t ~ ; . -.:t
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File Number: -~ I - ~ l - C ~ ~ ~I - ~ .'.~.. ~•~~ p
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Estate of l' C.l-F" ~l.f' ~ ~YL--Q ~ . }~t,t C~~~/ ,Deceased
Social Security Number: 1 q ~S _ ~ U - w' ~~ ~~ Date of Death: ~l ~ ~ ~ ~ n L
AND NOW, ~-~C~IrC ;~ ~t lC~ , ~-, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters ].~,~~-C~11~~'(1-~-G (Z~
are hereby granted to ~,'~'~ ~ r~ .~ ~ ~ ~. L ~ 11 ~
in the above estate
and that the instrument(s) dated C~
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent
FEES ~ /1' ~ ~ ~ ~ ~ ~.~
~'- Register~ ,o~ Wills {-~, ~
Letters ............... $ , ~`- r C~I~C~ ~~-~.~ ~.~~
Short Certificate(s) ........ $ C~ - C~7~ Attorney Signature:
Renunciation(s) .......... $
~ k~ ~~ ~ ( $ ~ ~~ . ~,~~ Attorney Name:
• • • $ ~~~ ' ~C' Supreme Court LD. No.:
1 . $ ~ C~C)
$ Address:
... $
... $
... $
' ' ' $ Telephone:
... $
TOTAL .............. $ ~ . t-'
Fa•nt RW-U? rev. 1U.13.Uh Page 2 of 2
Sworn to or affirr,~Ed and subscribed
~~
OCAL REGISTRAR'S CERTIFICATION OF DEAT~I
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 I,,rr~~~~~~~~~,,,-. This is to certify that the information here given is
I ~~H OF p
11'~~,P Fiy~; =_ correctly copied from an original Certificate of Death
`~~`'~~ _ sG duly filed with me as L-Deal Registrar. The original
~ _ ~ ~ ~ ~= certificate will he forwarded to the State Vital
~- 2
~ ,;~~ a~ Kecords Office for perlr~anent filing.
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P 17296397 ~~F'O9gl ;~~a~~',
-- MENT 4F o2
Certification Number ~- ''~--~~~~~~~~~jj1''"Intl
Local Registrar Date Issued
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Nl0Tr143 REV 112008 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE / PRarr ~
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
STATE FILE NUN83ER
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D;apoe„i«, Permit No. 0567563
1. Nema d Daatderrt (Firet ntldde, kq, aAPor) 2 Ssx 3. Sodal Beadily Number 1. lkk d l (MonYr, Osy, year)
A e Female 1QR - 14 - 3957 Feb 23 2011
s. Aq (utl Birtfrday) tlrtdx 1 tlrrder 1 s. Dtle d Birl1 z and sttls « e.. Pha d Detlh near one
85 vB. Marsha ~eYe 11an Wnwa
July 17, 1925
Scranton, PA Ho I: Other:
~ktpal.d ^ ~ / ~,~, ^ ~,, ^ Nursirq Noma ^ Reaiderra ^ IxMr ~ sp.dy:
Bb. Canty d Deetlr Bc. City, Bono, Twp. d Death 8d. Faa7ily Nra (M nd ire8lulon, give etretl and Mrnber) 9. Was Decedent d ? 10. Race: American Inden, Black, Wlwle, etc.
Oripn. No ^ Yss
Glanberland East Pennsboro Ttap Holy Spirit hospital ~;, ,~.) (
Wh'
11. DsardenTs UarN ~ d work d on. mod d ~ rte. Do not tltle 12 was Deaden ever in the 13. Deadrd"a Edueatlorr (Spadly only higletl grade axnplated) 14. lAedtal Slane: Manie4 Never Menhd, 15. Survivig Spans (M vela, pha rtrsWen name)
Kindd Work McMdl/1
n~tn/ U.S. Armed Fords? Wrdoved, Dhnrced (Spsai/yJ
Ekrtenhry /Secondary (o-1 t:dbge (1~ «5+)
Own Home ^ vas ®No 12 Widowed
18. DearhrM's Msl9np Address (Street, dry /foam, state, np cede) Deaderd's
"~'°' ° 17a~ ~'° Did Deaden
PennSVlVania ~~
17c. ~ Yes, Decedent lived in TJL1Der Allen T
~a
100 Mt . Allen Drive ,,yPa
dwidrin
Ll~cnberlarri 17d ^ t
c PA 17055 17b'~' o~
cly/Bore
18. FaMels Name (F+rtl. ntidde, last. ardfiz) 19. Llolrrs Name (Feat nwddle, mekhn surnra)
Matthew Thomas Coolican Barbara K Messett
20e. krbmrerK's Name (TYDe / ~nq 20b. krbnnerd'a MaANrp Address (Street dy /ban, stale zip ~)
careen Sheehe 1950 Sh ford Road Mechanics , PA 17055
21a. MaBroe d Dlapoaitlort r ^ Crenretbn ^ Donation 21b. Dale d Dispotllon (kbrdh, dry, yseQ 21a Plaoe d Dispoelbn (Nara d amabry, «arrebry «otler place) 21 d. t.ocalon (Cly/ bwn, attle, nP ode)
^ ~~" ^ `'r°n' ~" ~ ~ « cavna ^ veep No Februazy 28, 201 Gate of Heaven Ceme
tery
Mechanicsburg, PA
an Slgeaa d s.rvla tJcarree (« a edr)
~ rte. lJaeres NumDsr 2n. Naraa end Aderea d FacBly 8 Market Plaza Way
-
- FD-138630 Mal zzi Funeral Hare Mechanicsb PA 17055
CongleM 23e-e «ly adun arWyirp
net evalabk tl tkre d dewr 23a. To tle beat d my kmdsdps, oaasred tl Bts line, deb end plea smed. (Siprtakaa and YIMI 23b. Lianas Number 23c. Dap
~~ (• ~, Y~
arlly ales d awn.
lrnra 2F48 Heel ba aanpleted by peraan 24. Trro d Detlh 25. Des Praatnad Deed (kbnri, dry, year) 28. w
as
Caa Ratamd b Medictl Exanrirer / Corabr for a Reaon Other derv Crwrrlon « Darelon?
who prarautoa dsedr. ! ~ y (r1 A tM M.
' ~ Z3 Z (~ r 1 ~
+
nl Yas ^ No
CAUSE C+F DEATH (
8M Mstn+etlons and examplara) r ApprosirreN interval: PM II: Enter oler 28. Did Tabeaa the ContrbrM b Dadr?
Item 27. Pert I: !.reef the - 6aaee, iMelee. «ampTbtiae - riot dredly aueed Inc detlA. DO NOT edar evenk such u arrd;.ac artat r Onset b Detlh but not n lne
q q cease 9k'•n ~ Pert I.
^
Y
es ^ Pmbeby
rapYabry arrest «ventrlalar 1briMlon wllars tltovrirrp the etblopy. List aHy one case on each lino. r
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tot No ^ Unlugwn
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-- --- ~~~) « /' s ~ Z A A. 1 w~
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1Q~V i~
29. M Fsnele:
Due b (« a a areeperra dl:
M~ltl arrdlore, it ~. b.
~
b
a
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Pro `V/~1~ . u U~K(~.1~17 /t'W Q0./ ~ Nd~~
^ Prepent tl Cma d death
Due b 1« as a arnegrna of):
ErrNr
UNDERLYW
O CAl13E ~ ~~v-
~' ^ Nd prepnrM, lest propwN within 42 days
" d
(aleeaa « kisv tlrt Ydtled the c
evNb ree~In detln) LAST. r
~ deah
^
Due to (« as a conaepwra af): Nd prspnant, but prepwe 43 dsye b 1 year
d. ~
r
r before deadr
^ llnlarown 1 prapnant rdtlYrt tle patl year
30a Wee sn Aubpsy
Peaamed? 30b. Were Autopgr Fkgirps
Avaikble Prior b 31. d DeaM 32a. DeM d Inlay (klortlr, day, year) 32b. Deecrlba How Inryry Oauned 32c. Plan d k9aY Hans. Farm Sdest Facbry,
d Cause d Deets? NaWral ^ Homicide Olfirx Seq. et. (wry)
^ Yea No
^ Yes ^ No ^ Aaidera ^ Pendrg Invstupetlon 32d. Time d Mjury 32e. kijury tl work? 32f. b TrsnepoMtlon Injury (SpecNyJ 32g. Wagon d kijrxy (Street, aH / bwn, state)
^ Suicide ^ Could Nd be DeOwrtrined
M
^ Yes ^ No ^ Driver/Operator ^ Paseergsr ^ Pedestrian
Other - Spsary:
33a. Cerllsr (crack oNy ens) 33b. Sigwans and Tiled r
~_
• l.erl8rln9 phytlelen (Plrysiaarr aAifynp ease d deNr alrsrr anodes ptryaician has pronasrad death and arrgleMd Item 23) f
TofhebetldreybwwNdOe,datlhoowrreaolatotleeweyslandmrrrrwatlalea---------------- ----------------- ^ ~ 4/
o(yedr)
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~ 33e Liosnae Number 33d. DeN
Signed (Modh, day. Yeerl
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To rey 6rowNdye, detlh a9auned tl tlfetl tlr t~dda
p pyp~
eeuas(y and caner a sued_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• ll..aw IexanrNnr/I;ororrer ~ 1V1 h •/uj 8~ 2 • ~. 3
On Yra bats d eaaminatbn and I «InvMlpatlon, M my opMbn, death oaurred tl lha dma, dale, end plea, and due b the uuays) and rrwrner a staled_ ^ 3+, Name and Address d Person Who Completed cause d Daath (Item 2>) 7ypa /Print
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35. R e Signature Number I
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38 Ftled (f
day~ Yaer) '~
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LAST WILL AND TESTAMENT - °"~ -~ --W ti
:_ " .-
<r>,.~
OF ,~ ..
-:.-..
CATHERINE A. ~[EALEY
~..
I, CATHERINE A. HEALEY of Lewisberry, Pennsylvania,
declare this to be my Last Will and revoke any Will or Codicil
previously made by me.
i
ITEM I: I direct that all expenses of my last illness
and funeral, including my gravemarker and perpetual care, shall
be paid from my residuary estate as soon as practicable after my
decease as a part of the expense of the administration of my
estate.
ITEM II: I devise and bequeath all of my estate of
every nature and wherever situate to my husband, JOHN J. HEALEY,
providing that he shall survive me by thirty (30) days.
ITEM III: Should my husband, JOHN J. HEALEY,
predecease me or die on or before the thirtieth (30th) day
following my death, I devise and bequeath all of my estate of
every nature and wherever situate in five equal shares to my
children:
1. Karen L. Healey
2. Joanne M. Page
3. Maureen E. Sheehey
4. John J. Healey, Jr.
5. Elizabeth A. Murray
In the event that any of our five named children fails
to survive me for a period of thirty (30) days then their share
under this paragraph shall go, per sti~pes, to such of their
children who are living on the thirtieth (30th) day following my
death and, in the event, that any of my children shall fail to
survive me for a period of thirty (30) days and leave no issue
surviving for a period of thirty (30) days then their share
shall lapse and be divided equally between the remaining
beneficiaries under this paragraph.
ITEM IV: I direct that all taxes that may be assessed
in consequence of my death, of whatever nature and by whatever
jurisdiction imposed, shall be paid from my residuary estate as a
part of the expense of the administration of my estate, without
apportionment.
TI EM V: I hereby authorize and empower my
Executor/Executrix, hereinafter named, to sell any of the real or
personal property which I may own at the time of my death, as
he/she shall, in his/her sole discretion, deem appropriate for
the best interest of my estate and my beneficiaries, upon
whatever terms and conditions he/she deems to be appropriate, and
to execute, acknowledge, and deliver all proper writings, deeds
of conveyance and transfers thereof.
ITEM VI: I appoint MAUREEN E. SHEEHEY, Guardian of
any property which passes either under this Will or otherwise to
a minor and with respect to which I am authorized to appoint a
Guardian and have not otherwise specifically done so, provided
that this appointment of a Guardian shall not supersede the right
of any fiduciary in its discretion to distribute a share where
possible to the minor or to another for the minor's benefit.
Such Guardian shall have the power to use principal as well as
income from time to time for the minor's support and education
(including college education, both graduate and undergraduate
without regard to the ability of any other person to provide for
such support and education, or to make payments for these
purposes, without further responsibility, to the minor or to any
person taking care of the minor.
ITEM VII: Wherever the word "minor" is used herein,
it shall mean any person under the age of twenty-one (21) years.
ITEM VIII: I appoint my husband, JOHN J. HEALEY,
Executor of this, my Last Will. Should my husband, JOHN J.
• ~
i'
HEALEY, fail to qualify or cease to act as Executrix, I appoint my daughter, MAUREEN
E. SHEEHEY, Executrix of this, my Last Will.
ITEM IX: I direct that any specifically named Executor or specifically named
substitute shall not be required to give bond for the faithful performance of his duties in
any jurisdiction.
~".~
IN WITNESS WHEREOF, I have hereunto set my hand this day of
December, 1997.
CATHERINE A. HEAL
f"`1
,.
The preceding instrument, consisting of this and six
(6) other typewritten pages, identified by the signature of the
Testatrix, CATHERINE A. HEALEY, was on the day and date thereof
signed, published and declared by CATHERINE A. HEALEY, the
Testatrix therein named, as and for her Last Will, in the
presence of us, who, at her request and in her presence and in
the presence of each other, have subscribed our names as
witnesses hereto.
'1~ n~~.~, ,. Y~..~, ~ of
_.
of
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of
~"JiLCIX.C~GOt~h2. ~cL.
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
SS.
I, CATHERINE A. HEALEY, 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 and executed the instrument as my Last Will;
and that I signed it willingly and as my free and voluntary act for the purposes
therein expressed.
Sworn to or affirmed and acknowledged before me by CATHERINE A.
HEALEY, Testatrix this ~~ay of December, 1997.
NOTARIAL SEAL
BRUCE D. FOREMAN, Notary Public
City of iiarrisburgh, Dauphin County ,
M Commission Ex ices Se t. 25, 1999 CATH ERI N E A. HEALEY
Notary Public
6
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
SS.
WE, the undersigned 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 free and voluntary act for the purposes therein expressed; that each
subscribing witness in the hearing and sight of the Testatrix signed the Will as a
witness; and that to the best of our knowledge, the Testatrix was at that time 18
or more years of age, of sound mind and under no constraint or undue influence.
Sworn to or affirmed and subscribed before me by the undersigned
witnesses, this day of December, 1997.
Clan„ r~~a, ~, ~
Witness
~(v~
Witness
Notary Public
NOTARIAL SEAL
BRUCE D. FOREMAN, Notary Public
City of Harrisburgh, Dauphin County
M Commission Ex fires Se t. 25, 1999
7