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HomeMy WebLinkAbout03-24-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of Virginia L. Fulton a/k/a: a/k/a: a/k/a: Deceased ESTATE NO: 21- (!~ ~~ (, _ _.~;~ ~;'~i~'' `SS °NO: '1'86=`28=4938 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: D 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 dated9/17/2002 --- _____ _ ____ _____ -and codicil(s) dated . (State relevant cit~umstances, 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, ;ind 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(8): ^ B. Grant of Letters of Administration (lf 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 a pending divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), wept as follows: 'a.~ Name Add --r f ress Rel Dece Vicki Fulton 139 Porter Avenue, Carlisle, PA 17013 dat~s ~ }~1~ #.. , J '~ ~ 1 `~ .1`I USE ADDITIONAL SHEETS IF NEC .~t -~ - ! . ~ .. . ESSARY .~, t ~,~ ~.~~ C~:. THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 184 Darr Avenue Carlisle PA 17013 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 74 years of age, died 3/12/2011 at Carlisle, Pennsyvlania (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 $ 500.00 _If not domiciled in PA Personal property in Pennsylvania $ 1~9~996-~6- _Ifnot domiciled in PA Personal property in County $ _Value of Real Estate in Pennsylvania $ -- Total Estimated Value $ 130,500.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) 184 Darr Avenue, Carlisle, PA 17013 Signature(s) Name(s) & Mailing Address(es) Vicki Fulton, 139 Porter Avenue, Carlisle, PA 17'013 Interim Fonn RW-02 revised 1226.10 by Cumberland County pending action by the Court Page 1 of 2 OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania ~ SS County of Cumberland The Petitioner(s) herein xaamed sw,ea.r 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 ~- ;... --:- before me this -_ ~~,~;, tom' day of ~ Q, ~-- ~-, .. t __ , For the Register __; ~`_. 1,. '-' DECREE OF PROBATE AND GRANT OF LETTERS ~ ~+~~~ '``~ ~,~' c::- Estate of Virginia ~. Fulton 'Deceased File Number: 21- ~ - y µ' AND NOW, this r_.,..`L day of ~~"~'~r~.r'1!, >~ ~' ,,-~ ~^,.` P ; , in consideration of t:he Petition on the reverse side hereon; satisfactory proof having been presented before me, IT IS DECREED that Letters x Testamentary of Administration are hereby granted to: (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) Vicki Fulton __ in the above estate and that instruments(s) dated 9/17/2002 described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. /L, r { .~ ~ it ~~, lenda Farner Strasbaugh; ~ ~~/ ' "~ Register of Wills ~ ~"~~~~~'"`~"r~~~' ~~,i FEES: Letters ....................$ ;~,~.~ fug; Will ....................... j ~"~ f `~.; Codicil(s) .............. . (,=,~..) Short Certificates `~ , ~.' ( )Renunciations....... Bond ............................ Other ............................. ................................. Automation FEE......... 5.00 JCS FEE .................. 23.50 "~) ~ ~ !-- y ~J TOTAL ................ $ ~--~ .'~,--- signature or ~.ounsel tcequ~ea to ~:nter Ap Atty's Signature PRINTED Nam Ronald E. Jo~on, Esq Supreme Court No.: 16453 Address: 78 West Pomfret Street Carlisle, PA 17013 Phone: Fax: 717-243-0123 717-243-0061 Interim Fonn RW-02 revised ] ?26.10 by Cumberland County pending action by the Court Page 2 of 2 7 ~ -~a_~ .s:. , , i -- ., , LGAL REGISTRAR'S I~ 1fIiC~I C~Et"'~- 'if~'~FiNING: It is illegal to duplicatx ~ ~a6~. ~ ~, ;/ ~~Ic)t~~~~Dt Iw ~ ~:~~~tag~~°~l ~. [~~•+;~ f~1(. thi't L,~I~tili~:atL~ `~(~.("!) _-- --P -_17.11_-8 Cl 5_ __ ~..:'!tilil~.(?l+il1 '~ 111 ~lf~l'I H105.143 REV 11/2006 TYPE /PRINT IN PERMANENT BLACK INK / y 0 a 0 w w 0 0 w z i „ :,, t ~''' e~~~ Q{ Y ~ ,,,, , . j(a~~ a tf, ir)ll~rhj~(t ~.~~) ~frt r~ <.~ d1~1) i~ ~ ~, ~t~Ir~~C,~ ~~/__ ~i _~~- +I, ~ t~I dt`t_ 1 r. ~t l ti~ r~1C 51 ( .'tth I i1,1 ~il (Lrtifl s_~ x `o,~ ,~ ~`-'~ ?~,' il~ tli'~ ~ ~~jtl, °~ I ,.</9 9:~,,1~t-~~I-. ~pu° I) )~~ir)al ~ ~ `Is'It ~•s ' 9 P ' ~ t+ C ' ~t t 1 1 y o i ~ ~r' ,.. ~ , -€ , 1 t is ~j ~ -u 1~1 v'ai~ y c + ),1 _ ?;lill'r~li EUli~~` ~ ~ ,~~; _ t°, - .c. rl ~-_. -"\!~siiii e,~l?_i~~ t,` ., .,.. 9.'ct t.' I`~~jC.~l.~ l ,~ y`~} r.. PM ~„t --'"'. ~: O ~~ T_ ~( ~7 C`• ~ t y1 ~~ ' '~ ~~ .. r -~ ~' •J1--~- ~ .. .. (~ ~ ~T w .~ _.- 1~ G.~ ~-'~ Q ~.. `r"i COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructlon§ and examples on reverse) STATF FII F NI IMRFR 1. Name of Decedent (Frst, middle, last, suffix) Vi i i L F l 2. Sex 3. Social Security Number 4. Date of Death (Month, day, year) rg n . a u ton Female 186 - 28 - 4938 March 12, 2011 5. Age (Last Birthday) Under 1 year Under 1 day 6. Date of Binh (Month, day, year) 7. Birthplace (City and state or foreign rnuntry) 6a. Place of Death (Check only one) 74 Monaa Dan "W~ ~°~ March 20, 1936 Wormleysburg, Pp, Hospital: Other: - Yrs. ^ Inpatient ^ ER /Outpatient ^ DOA ®Nwsing Home ^ Residence ^Other -Specify: ' Bb. County of DeaN Bc. City, Boro, Twp. of Death 8d. Facility Name (If not institution, give street and number) 9. Was Decedent of Hispanic Origin? No ^Yes 10. Race: American Indian, Black, White, etc. • Cumberland Carl isle Thornwald Home f i C yea, spec ty uban, (~;~ o Mexican, Pueno Rican, etc.) Whlte it. Decedent's Usual Occu lwn Kind of work done d u ~ most of world INe. Do not state retired 12. Was Decedent ever in the 13. Decedent's Eduptbn (Specif onl hi hest r d l t d Kind of Work Este Lauder Re ress Kind of Business /Indus) ry tative D t St U.S. Armed Forces? y Elemenfaio econdary (0-12) y g g a e comp e e ) College (1-4 or 5+) 14. Marital Status: Married, Never Married, Widowed, Divorced S i l P~/Y) 15. Surviving Spouse (If wife, give maiden name) p ep . o ^Yes ®No Widowed 16 D~cedent's Mailing Address (Street, city /town, state, zip code) Decedent's Did Decedent ~ tS4 Darr Ave . Actual Residence 17a. Slate PA Live in a 17c. ®Yes N , Middleton Decedent Lived in ' , __ Tw - Carlisle, PA 17013 Township? P' 17b. County Cumberland 17d. ^ No, Decedent Lived within Acual Limits of City! Boro 16. FaMer's Name (First, middle, last, suffix) ' 19. Mother s Name (First, middle, maiden surname) Donald Bruce Ruth Craft 20a. Informant's Name (Type /Print) Vicki Fulton 20b. Informant's Mailing Address (Street, city /town, state, zip code) 21 a. Metttod of Disposition ^ Cremation ^ Donation Burial ^ R l f S 21 b. Date of Di y y ) sposition (Month, da , ear 21c. Place of Di sposition (Name of cemetery, crematory or other place) 21 d. Location (City /sown, state, zip code) emova rom tate ~ Was Crematbn or Donatlon Authodzed • ^ Other - Specity: by Medical Examiner /Coroner? ^Yes ^ Na March 17 ~ 2011 Mt . Z ton Cemetery Cl-.lurchtown ~ PA 17007 22a. Si lure f Funeral Service icensee r pe n acti a uch) 2;b1Li~er~se Nu1nL r U j1L~ 22c. Name and Address of Facility Hof fman-Roth Funeral Home & Cremator ~ , y Complete terns 23ac only when certitying 23a. To the best of my k ,death assured at the time, and place staled. (Si ature and title) 23b License Number physician s rtot available at tlme of death to certify c se W death. ' . 23c. Date Signed (Month, day, year) ~ _~~~ ~ O ttenu 24-26 must be corn leted b p y person - wh d 24. Time of Death ( y y ) 25. Date Pronounced Dead Mon da , ear 26. Wes Case Referred to Medical Examiner /Coroner for a Reason Other than Cremation or Donation? o pronaxtces eath. ~ ~ M. 1 ~ ~ / ^Yes ^ No CAUSE OF DEATH (See Instructions and examples) r Approximate interval: Part II: Enter other sianfixant conditions crontdbuling to alb, 26. Did Tobacco Use Confibute to Death? Item 27. Part I: Enter the chain of events -diseases, injudes, or compliptiats -that drectty posed the death. DO NOT enter terminal events such as prdiac crest , r Onset to Death but not esultng in the underlying cause given in Pan I. ^Yes ^ Probabty respiratory artest, or ventricular fibdllation without sftowing the etlobgy. Ust only one pose on each line. t ^ No ^ Unknown IMMEDIATE CAUSE IFinal drsase or r condAion resulting in death) _Y a ~ ~ t r `+4C 29. If Female: Due to (or as a consequenp of): r ^ Not pregnant within past year t Sequentially list condnbns, if any, b r ^ Pre nant at ti f d l th fi t h g me o ea ea ng o t e puss listed an line a. t Enter the UNDERLYING CAUSE Due to (or as a consequenp of): r ^ Not pregnant, buI pregnant within 42 days (disease or injury Mat inttiated the r events resulting m death) LAST. c. r of death - Dua to (or as a consequence oQ. r - ^ Not pregnant, but pregnant 43 days to 1 year • r r d. before death r ^ Unkrawn tt pregnant within the past year 30a. Was an Autopsy 30b. Were Autopsy Findings 31. Manner of Death 32a. Date of Injury (Month, day, year) 32b. Describe How Injury Occurred Ped r d? o me Available Prior to Completion 32c. Place of Injury: Home, Fartn, Street, Factory, of Cause N Death? ~Nalural ^ Homicide Office Building, etc. (SpeNry) ^ Yes ~ ^Yes ^ No ^ Acadent ^ Pending Investigation 32d. Time of Injury 32e. Injury at Work? 32f. If Transportation Injury (Specity) 32g. Location of Injury (Street, Nty! town, state) ^ Suicide ^ Could Not be Determined ^Yes ^ No ^ Drlver /Operator ^ Passenger ^Pedestrlan M' ^ Other - Spedly: 33a. Cenifier (check only one) 33b, Signarur d Title of Certifier • Certiying physiNan (Physician cenitying puce of death when another physitan Etas prortourtced death and completed Item 23) To the bast of my knowledge, death occuned due to the cause(s) and manner as staterL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ /~ ~ ~ ~ • y ^- -_ ~ V 1 ~`r^ _ _ _ _ _ _ _ _ _ _ _ ~ -'- • ronourtcing and certitying physician (Physician both pronouncing death erd prtitying to pose of deem) Tothe best of my knowledge, death occurred at the tlme, date, and place, and due to the cause(s) and manner as statetl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c. License Number 33d. Dale Signed (Month, day, year) • Metlfcal Ezeminer /Coroner On the basis of exami tio d / i i ~~ Q (b ~, ~"((C (~ Qa~(r, 12 ~ ~, t na n an or nvest gation, in my opinion, death occurred at the lime, dale, and place, and due to the cause(s) and manner as stated_ ^ 34. Name a nd Address of Person Who Completed Cause of Death (Ite m 27) Type /Print Registrar'~~g lur•e and Di Idctyerr43tt1~ ~ 36. Date Rled (Month, day, year) ( ~ " G ~ ~ L ~ 4 ~z v~ s e.~„m J ~ r''~0 . F~~~~ l ~ I i 1~1 I j I ~ I C d01,( '7 7 ttyclJv~ ~Mv~ CT~UJ~ 6'L t~ ~ r Disposition Permit No. •~ ~ \ ~ (p ~ ~~ ~'~ l~.a (~~, LAST WILL AND TESTAMENT OF VIRGINIA L. FULTON I, VIRGINIA L. FULTON, of North Middleton Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other wills and codicils heretofore made by me. FIRST: I direct that all my just debts and funeral expenses, including my grave marker, shall be paid from the assets of my estate as soon as practicable after my decE;ase. SECOND: I give and bequeath certain of my miscellaneous household goods, jewelry, furniture and personal effects to the persons designated in accordance with my last dated ' memorandum executed by me prior to my death. THIRD: I give and bequeath the sum of $10,000.00 to RONALD .J. BUSSER, if he is living at the time of my death. I further direct my Executor, however, to pay thi s sum over to his son, MICHAEL BUSSER with the further direction that MICHAEL BUSSER will make payments to or for the benefit of his father from this bequest as MICHAEL BUSSER may deem appropriate in his sole discretion. FOURTH: I give and bequeath the sum of $1,000 to each of my grandchildren who are living at the time of my death. FIFTH: I give and bequeath the sum of $500 to each of my great-grandchildren who may be living at the time of my death and I further direct that should any ofd my great- grandchildren be under the age of 21 years at the time of my death said sum shall be paid to their ~iCA1C:lll W1SlJ !., .l!}' b.~,a~li~.a~.iZ~i~. %ilili i1f:lU iIt Gil iiiC.ll,Jl ii~;clilll~ CII.IJ\1lAlll Uiilll ,`ilal:ll ilI11C t1J :fcl1U~'ia.~~. grandchild attains the age of 21 years at which time said sum shall be paid over directly t:o the great- grandchild. SIXTH: I give, devise and bequeath the residue of my estate, of every nature and wherever situate, to my children, equally, namely, DEBORAH LEREW, VICKI FULTON, EDWARD FULTON, provided that the share of any child who predeceases me shall be distributed to his or her issue, per stirpes, living at the my death, and in default of such then living ~ue, such ::::y,' share shall be added to the share or shares for my other children. ~ "~= .~~ r l"~ ;~; ~ ~ ~ ? ~;~1 ~ -- J ~_y „-~ 4 r--. 1--~.,~ Csa ~•7 C.. SEVENTH: I direct that all taxes that maybe assessed inconsequence ~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. EIGHTH: I nominate, constitute and appoint my daughter, VICKI FULTON, Executrix of this my Last Will and Testament. Should my daughter, VICKI FULT'ON, fail to qualify or cease to act as Executrix, I appoint my daughter, DEBORAH LEREW, Executrix of this my Last Will and Testament. FIFTH: I direct my Executrix and her successors shall not be required to give bond for. the faithful performance of their duties in this or any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will j~d Testament, con 'sting o wo (2) typewritten pages, each 'dentifie - my signature, thin __~/ `'~ day of {~ , 2002. ~~ ., (SF,A-L) Virgi L. Fulton Signed, sealed, published and declared by the above-named Testatrix, VIRGINIA L. FULTON, as and for her Last Will and Testament, in the presence of us, who, at her re u tin her sight and presence, and in the sight and presence of each other, have her~~aTff~o subscr' ed our ames COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) I, VIRGINIA L. FULTON, 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 Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by VIRGINIA L. FLILTON, the Testatrix, this ~ day of ~ Gm , 2002• !~j NOTARIAL SEAL SHELLY SEXTON, NOTARY PUBLIC CARLISLE BORO, C:,R sBERi.ANO COUNTY MY COMMISSION E}:P~~;'~"S ,~~atL 26, 2003- Member, Pere. ;;°~.~~~~ r.,~ .. ,.,:~,_~ L! "?t~t~ri~s L. Fu , Te ix ~9 .~' v' ota~{Public AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) E. JOHNSON and ~~~ jc - Ga' ~~~'~~~` a-'~ ,the witnesses We, RONALD 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 Testatrix sign and execute the instrument as her Last Will and Testament; that Virginia L. Fulton signed willingly and that she executed it as her free and voluntary act for the purpose therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; 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. ~~~:i~t'1i ~~r aff~rrzcu iv anu st~bSG~ibC:i to hef:~re rrie by R~'~TA~.D E. Jf~NNS~N and /~~ ~%~- `'?7 ~~, ~ ~c~ witnesses, this ~ % day of ((`' ~~-;,- , 2002. _' / ~ > r~~-~ JAL) NOTARIAL SEAL SHELLY SCXTi;i.1. NOTARY PUBLIC CARLISLE BORO, C.~~.rBEFiLAND COUNTY MY CC~!4ic1~,i^~>i~3N cxFiRrS ~,pFCIL 2S, 2003 Member, I~~~.,~„~,:..~: ~ ~'. ~,~ ~ NotarEes AL)