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HomeMy WebLinkAbout03-31-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSI'LVANIA Estate of Joan E . Damey also known as Deceased ~, File Number ~ ~ " ' ' ~ ~-} -1 Social Security Number 1 8 6- 2 8- 4 61 6 Petitioner(s), who is/are 18 years of age or older, apply(ies) -for: (COMPLETE 'A' or 'B' BELOW:) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / ache EXE3CUtriX ___ named in the last Will of the Dece ent da ed June 1 1 2 O O 3 and codicil(s) dated November 4 2 01 0 Codicil o~ ovem erL4; 2010 change a Persona Represen a ive (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 instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: '' GG~ ~c~..- ~°~-- n B. rant of Let ers o A mtnistratio ~~ ~ ~~ ~ ~~ ~-~ `~ ~ ~~ -~-~~~~• 1 (If applicable, enter: c. t. a.; d. b. n. c.t.a.; pendentelite; durclnteabsentia; duranteminoritate) 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 Ad17l1111StYal10t1, c. t. a. or d.b.n.c.t.a., enter date. of Will in Section A above and complete list of heirs.) ~..L Name Relationshi Residence" .,_. r '.~ ., +. . i /wry ~~'t '~._y~ '.~.. ,~ r' ._ ~i ", (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ,~ `•~~' ^~~ .... -~ .,~ ~..." Decedent was domic~led at death in Cumberland County, Pennsylvania with hts / er last principal resi~i~ at ~~~ ;.. 550 Criswe~l Extension, of ing Springs, PA 1707 ~. ; ~ ~.~ (List streetuddres.r, town/city, township, county, state, zip code) 550 Criswell Extension ~-~ Decedent, then 7 4 years of age, died on 3~ 2 4~ 1 1 at BO i l l ng Springs , P A 17 0 0 7 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled iti PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania situated as follows: 550 Criswell Extension, Boiling Springs, $ 2,000.00 $ -- ~ 1 90, 000.00 PA 17007 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 t:he appropriate form to the undersigned: ~_ Si nature T ed or rioted name and residence ~ ~tl/~~ ~~ ;~ ,~ Karen S . Toper 550 Criswell Extension Boiling Springs, PA 17007 Form RW-02 rev. !0.13.06 Page I of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND 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 a~~'~o before me the day of oignar/tre o~ rersonat Kepresentative ~ 3 _ ::. ~ March 2011 ~ ~ ,. ~~ ~~~'~? x ~ Signature of Personal Representative _ !~ t 1-~- ~ ~.a _ , n . ~ ~~~ ~ E l1 _ ~/~ i ~ 7 •._ 4.i..~ ~ 1 _ lr~~ .... For the Register Signature of Persona! Representative ' t ~~ ~~ ._, ,, '3 C~T1-~--r , ~ _~3~_ `"' ~~ ~a ~~ ~, File Number: - - ~~i 1 , ~'_ '-~-~ Estate of Joan E . Damey Social Security Number: 1 &~ - 2 8 - 4 61 6 Deceased cc ff _ Date of Death: March 2 4, 2 01 1 AND NOW, _ ~ (''a ~ ~ ,~ 1 ~ -~` `~" 2 01 1 in considerati on of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Karen S . Loper --. and that the instrument(s) dated June 1 1 , 2 0 0 3 Arid Novem er __ in the above estate r described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters $ ~ ~~ Short Certificate(s) ....... , $ ~ jJ Renunciation(s) , .... , .. , . $ `" ... $ ... $ ... $ ... $ ... ~ TOTAL .............. $ `'~~~ ~:90 Register of Wills ~/i~' L ~ ,~~w`~~: ; ~~ ~~ Attorney Signature: ~ ~ ~ r Att Anthon L : DeLuc , ~ orney Name: y a r ~SG111rCr Supreme Court LD. No.; 1 8 0 6 7 Address: 113 Front StreF~t ..__ P.O. Box 358 Boiling Springs, PA 17007 Telephone: 717-258-6844 Form RGV-02 rev. 10.13.06 Page 2 of 2 OCAL REGISTRAR'S CERTIFICATION OF E."~~I~-~ VVAf~NING; It is illegal to duplicate this copy bra phatcastat o~ photog~~ i~° [~r:e tin- this c•ertii~i~at~, `~(~?.4?(1 P 17296778 Certif~ir~(tit~n Nu(nh~ r , 1rl Jl//s! r,i. .. ~ ~ ) t~ -~t ~,~~'. 11) '.. I 1.)) ij j~~~(~1l)(I I)lj ~~~..~LII 1'~ - ,;,rrr r' t, ~(~ tlf r~,11 ~C,a~ ty ~~ '`N 6 ~ yy '~" „ iL~`_ :s'^~~ sl . a.. , i s r " :,(@~II ~t_1tlllC r r_ 1,1 ] )c ,l?t) I 4 ~ ~~\~`O~j/ ~t.J'"/ r~` ( , ~ ~ (I ~ X11 ~. ~! tt i i~. t t (L • 4 ~ 1 te(t{I)I(e)I i_'«.)~k.)ti~l ~ y~ ) ) yy 77 ~p ' i ... t j ~ i. i I) t.. ~ z t f i l~ `r ) ~ , i t \ ~ Z l ~ !~ •. ,. ~~1 ~~ ~: r.,~ .~;~ , 77 { ItI ~~~>~tlv i, ~~', (, i .11 i'..~; ~. F~I)I~~., if ~ ~ ~ * ~ ~~_ 0~6 - ~~ `J ,,,,,,,,,,,,: , _~.I ~~ I~'~~_,, ! I;.(~~ I~..(I~~ C7 ~ w, r"-~' ,.... .... ' ..w_. _.._ -~,-~ C~ ~ ;_r I7 -xa r'_ ~ -~ =~! ~~ ~) ' ". ~7 -rT ~ - _ ~J '~ ~ - -~ '° t~w.7 - r..__ f'~ 1 ~' t.~.1 l,~ d ~_ ""i"7 H105-143 REV 11/!006 TYPE !PRINT IN PERMANENT BLACK INK COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH ~SeF± instructions and examples on reverse) ~r.T~ CII C 611 1610 0 0 1. Name d Decedent (Flrel, middle, last, sulfoc) Joan E. Damey 2. Saz Female 3. Soda) Serxxigr Number 186_ 28_ 4616 4. Date d Death (Month, day, year) March 24, 2011 Age (Last BiMday) 5 Under 1 ar Under 1 da 6. Date of Birth Month, da , ear 7. ~ and state or fore coon 6a. Place of Death Check on one . 74 Yrs. Mondls Days Hours AGnubs December 12, 1936 Mechanicsburg, Pa. Hospital: ^ Inpatient ^ ER /Outpatient ^ DOA Other: I~ ^ Nursing liortre ®6Residence ^ other - spedly: County of Math Bb 8c. City, eoro, Twp. of Death ~pr~ 6d. FedFty Name (If not institution, give street and rwmber) 9. Was Decedent of Hispanic Origin? I~Ng ^ ygg 10. Race: Arrericen Indian, Blade, Whde, etc. . (lf yea, aPed+y caftan, (~'M White Cumberland Monroe Mexican, Puerto Rican, etc.) 5 5 0 Cri sore 11 Fxt . 11. Decedents Usual Kind d work d one dun most d world Ffe. Do not state refired 12. Was Decedent ever in the 13. Decedents Education (Specify any highest grade oorttpleted) 14. Modal Status: Married, Never Married, 15. Survivkxf Spouse (If woe, give maiden name) Divorced (SpecilY) Wxkrved KinQd Wop~ Kindc,~ysi /Igdust `~ c~ U.S. Amted Forces? ElemenUry / ry (0-12) College (1.4 or 5t) , Widowed Senior buyer rlca tle ^ Yes '~NO 16. Decedents Mailing Address (Street, city /town, state, zip cdde) Decedents Did Decedent Mon roe Twp. PA Live in a 17c Decedent lived in ^ Ves 550 Criswell Ext. _ . , Actual Residence 17a. State Cumberland T°I""~'p? ,7d. ^No,DecedentLivedwithin Boiling Springs, PA 17007 ,7b.County Actuall.imRSgf cdy/f3org 18. Fathers Name (First, middle, last, suffix) Earl Zeigler 19. MoMers Name (Frst middle, maiden surname) Grace Roller 20a. Informant's Name (Type /Print) Karen Sue Loper 20b. Informant's Mailing Address (Street, ary !town, state, zip code) 550 Criswell Ext. Boiling Springs, PA 17007 21 a. Method d Disposition r ^ Cremation ^ Donatbn 21 b. Date of Disposition (Month, day, year) 21 c. Place of Disposition (Name of cemetery, aematory w other place) 21 d. Location (Ci~l /town, state, zip code) Uwrl=ed I>a Au ~a ;~-B„rial ^ RemovalfromState i wascremffia April 4, 2011 Rolling Green Memorial Park Camp Hill, Pa. 17011 ? ~/ ~ ^ Yea^ No ^ other . by ~ 22a Funeral Service '- as such) 22b. License Number FD-012662-L 22c. Name and Address d Fadkty Myers Funeral Home, Inc. 37 East Main Street Mechanicsburg, PA 17055 ~ dams 23a when certifying physician is not availebk at time of deaM to 23a. To best d my ,death occurred at the tl to and tad. (SkfpaNre and tills) ~ ~ ~v 23b. License Number ~ /_ /~) ~ 23c. D (Month, y, year) ~ ~ ~ / cerMy cause d deadr. 1J (Q V C Tune d Death 24 th, day, year) 25. Da 26. Was Case Refert Ito Medical Examiner I Crooner fora easan than Cremator w Donation? horns 24-26 must be completed by person • wfa pronounces death.- . M, ~ ~ a ^ Yea fJo CAU E OF DEATH (See Instrvctlons en examples) r Approximate interval: Pert II: Enter other significant conditiwu contnbutind to death. iven in Pan: I rl in i th b lti 28. Did Tobacco Use Contribute ro Deady? ^ p l Item 27. Part I: Enter the chain of events -diseases, injuries, w compFcatbns - Mat directly caused the death. DO NOT enter terminal events such as cardiac artest, r Onset to Death r g cause g . n e ur e y but not resu ng yes robab y respkatory arrest, w ventricular tbriltation without showing the etidogy. List ony one cause on each line. r o ^ Unkravm ~ , ~ r IfiWEDU1TE CAUSE (Foal dsease w condition resulMg in death) I L ~ r 1~) ~ ~ L (_15.,~ J ~v ~. T` 1" ~ r ~` ~" r _ 29. If Female: ^ Nd pregnant within past year _~ a Due to (or as a consequence oq: ~ ^ Pregnant ai time d death baps kst cwrditioru H arty - 42 d ithi [ , . b. ~to the cause fisted on Foe a. Due to or as a con uence o r Fster UNDERLYING CAUSE ( ~ fl~ r ays Nd pregnant, MA pregnant w n of death (disease or kyury that initiated the ~ _ re s to 1 ear re nant but nant 43 da ^ Nd avenLS resulting n death) LAST. c. r y , p g y p g Due to (or as a consequence of): r ~ - before death ^ Unknown A nt within the t pregna Pas Year ~ d. 30a. Was an Autopsy 30b. Were Autopsy Findings 31. Manrrer of Death 32a. Date d Injury (Month, day, year) 32b. Desaibe How Injury Occurred 32c. Place of Injury: Home, Farts, Street, Factory, OMx:e Building, ek:. (Seedy) Performed? Available Prior to Cwnpletbn f C of Deatlt? ~~rr 47LNaturel ^ Homicide o ause ^ Accident ^ Pending Inwestigation 32d. Time of Injury 32e. Injury at Work? 32f. If Transportatbn Injury (Specity) 32g. Location of injury (Street, city / hwm, state) ^ Yes ~.NO ^ Yes No ^ Yes ^ No ^ Driver/ rotor ^ Pedestrian Ope ^ Passenger ^ Suicide ^ Could Not be Determined M Other - Specity: -~ ,/; 33a. Certifier (check Doty one) 33b. Signature a~ d T o ere'Re} /J/~~. , ~~ ~ / / ~ a ~- CartHying physician (Physician certifying cause d death when arather physican has proraunced death and completed Item 23) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ death oceurnd due to the cause(s) and manner as stated Tothe best of my knowbdga , . ' GG/(~L~• (~ "" ~ ' _ _ _ _ _ _ _ _ _ _ , • Pronoundng and certifying physician (Physician both pronourx;irg death and certrfying to cause of death) t t d ~ 33c. License Number /~ ° ~ ~ Z S~ / ~ ~ C 33d. Date Signed (Month, day, year) ' ~ ~ "-~ a e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ To the best of my knowledge, death oceurred at the time, date, and place, and due to the cause(s) and manner as s , ~ ~ • MedlealExaminsr/Cwomer On the basis of examinatbn and I w Investigation, in my opinion, death occurred al the time, date, and place, and due to the cause(s) and manner as stated_ ^ 34. Name and Address of Person Who Completed Cause 4f DeaN (Item 27)'fype / Print '~ ' ~, ~ 35. Reg gars Signature and pis ~ Number Date Filed (Month, day, year) ~ ~ J ~ Disposition Permit No. t-! ~~/_._/ ",~L~ r ~ LAST WILL AND TESTAMENT -~~~~ c a <- 9 OF c ~~ ~ .~-~ ~ ~ ~ ~ ~ /--- ~,~ ~ .~ .__, ~ t JOAN E DAMEY `~ cri ~ . ~._J ~ -~ O - . . ~ i~~ ~ ~ ~o.J `T 1 I, JOAN E. DAMEY, a resident of Boilin S rin s Cumberland g p g ~ County, . ~~ ~.~ ~~ ~~ '' Pennsylvania being of sound mind, memory and understanding, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils heretofore made by me. ITEM 1: I direct that all my just debts, the expenses of my last illness and funeral expenses be paid as soon after my decease as the same can conveniently be done. ITEM 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, excluding, however, any property over which I have a taxable power of appointment, provided, however, that no residuary beneficiary shall by reason of this provision be denied the benefit of any deduction, credit, favorable rate of tax or other benefit which by law enures to such beneficiary. ITEM 3: I give, devise and bequeath all of the rest, residue and remainder of my estate, real, personal and mixed, of whatsoever kind an nature, and wheresoever situate J AN E. DAMEY , 1 LAST WILL AND TESTAMENT OF JOAN E. DAMEY at the time of my death, in equal shares, unto my children, ROBERT E. DAMEY, KAREN S. LOPER, RICHARD L. DAMEY, II, and JONI BETH DAMEY, provided, however, that they survive me and are living sixty (60) days after the date of my death. ITEM 4: If and in the event that a child of mine does not survive me and is not living sixty (60) days after the date of my death, then and in such event, I give, devise and bequeath the interest in my estate, which such deceased child would have received, if living, to the issue of said deceased child, per stirpes. ITEM 5: I hereby nominate, constitute and appoint my son, RICHARD L. DAMEY, II, Executor of this my Last Will and Testament, with full power to do any and all things necessary for the complete administration of my estate, and direct that no bond or other surety is required of him in this or any other jurisdiction for his performance of this office. If and in the event that my son, RICHARD L. DAMEY, II, does not survive me and is not living sixty (60) days after the date of my death, or does not complete his duties as Executor, then and in such event, I hereby nominate, constitute and appoint my daughter, K-AREN S. LOPER, Executrix of this my Last Will and Testament, with full power to do any and all things necessary for the complete administration of my estate, -~ r~~ ' , JO E. DAMEY ~` ~~ 1 2 LAST WILL AND TESTAMENT OF JOAN E. DAMEY and direct that no bond or other surety is required of her in this or any other jurisdiction for her performance of this office. ITEM 6: If any provision of this Will or of any Codicil hereto is held to be inoperative, invalid or illegal, it is my intention that all the remaining provisions thereof shall continue to be fully operative and effective, so far as is possible and reasonable,. IN WITNESS WHEREOF, I, JOAN E. DAMEY, the Testatrix, have to this my Last Will and Testament, typewritten on three (3) consecutively numbered pages, subscribed my name and affixed my seal this /r- day of June, 2003. PLC./ ~ 4~ JY SEAL) Signed, sealed, published and declared by the above named JOAN E. DAMEY, as and for her Last Will and Testament, in the presence of us, who have hereunto subscribed. our names at her request, as witnesses hereto, in the presence of the said Testatrix, and. of each other. iding at -~,_~!~~~ ,' ; ~ ~ c-<~ ~ ~~~residing at ~ " ~ -~~~. /'?'c%c°.~ CODICIL TO ~ - _,: ,- ~ _ ~ ~ .r~' LAST WILL AND TESTAMENT ; h;'=~' ~ ` ~ ~ ,; f r-7_~ c...~ OF ~ ~.; f~? ~.. _ ; - _.; JOAN E. DAMEY -_`~'-= u - - ~ ~- _ti..l - __ r ~ ~f T~ .: ~: ti ~~ I, JOAN E. DAMEY, of Boiling Springs, Cumberland County, Pennsylvania, do make, publish. and declare this to be the first Codicil to the Last Will and Testament executed by me on .Tune 1 1, 2003, in the presence of Anthony L. DeLuca, Esquire and Marjorie A. DeLuca. FIRST: I revoke and annul ITEM 5 of my Last Will and Testament executed by me on June 1 1, 2003; and, in lieu and substitution thereof, I direct that ITEM 5 of my Last Will and Testament executed by me on June 11, 2003 be set forth as follows: ITEM 5: I hereby nominate, constitute and appoint my daughter, KAREN S. L,OPER, Executrix of this my Last Will and Testament, with full power to do any and all things necessary for the complete administration of my estate, and direct that no bond or other surety is required of her in this or any other j urisdiction for her performance of this office. If and in the event that my daughter, KAREN S. LOPER, does not survive me and is not living sixty (6d) days after the date of my death, or does not complete her duties as Executrix, then and in such event, I hereby nominate, constitute and appoint my son, RICHARD L,. DAMEY, II, Executor of this my Last Will and Testament, with full power to do any and all 7 i ~ ~~, u ~ ~~ r JOAN E. DAMEY CODICIL TO LAST WILL AND TESTAMENT OF JOAN E. DAMEY things necessary for the complete administration of my estate, and direct that no bond or other surety is required of him in this or any other jurisdiction for his performance of this office. 2003. In all other respects I ratify and confirm all of the provisions of my said Will dated June 1 1, ,,. IN WITNESS WHEREOF, I, JOAN E. DAMEY subscribe m n ~ ~~ y ame, this day of November, 2010. ~. JOAN , . DAMEY -- '- l The foregoing instrument, consisting of this and one preceding typewritten page was signed, published and declared by JOAN E. DAMEY, the Testatrix, to be the first Codicil to her Last Will and Testament in our presence, and we at her request and in her presence and in the presence of each other have hereunto subscribed our names as Witnesses this day of November, 2010. .~ ~ \..__ yr • v ~~C ~~~ ~ ~ ~ ~~~.~ _ esidin at ~ ~-- .. g ~~ r~~~~ I~j `~ `/ e l L 1`~ i'Ly~ a - -~ ~--residing at , ' ~---r _ nL_~~; ~k.~ / ~'fi'c~'f ', ~ I / OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA ~~ w,:: - ~ `,~--t - .... ~- ~ r ~ ~ ~~ ~~ - ~ ~ `~~ -t"' ~ ' ~ ;; i T t = -~ ~- .._,., ,...~ ~, -~, __ _ , .__. c.: Estate of Joan E. Damey _, Deceased Anthony L. DeLuca, Esq./Marjorie A. DeLuca (each) a subscribing witness to (Print Name/s) the ~ Will ~ Codicil(s) presented herewith, (each) being duly qualified according to law, de ose s and P () say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /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. ,~ 7 ( ignature) ~ ~ ~' '~ ~-~ L - ~ !~ L(..-C('-~-L, (Signature) 113 Front Street 113 Front Street (Street Address) (Street Address) Boiling Springs, PA 17007 (City, Stale, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this ~~ day '+ `' ~ ~ ~" Deputy for Register of Wills ~- Boiling Springs, PA 17007 ((.'ity, State, Zip) Executed out of Register's Office Sworn to or affirmed and subscribed before me this 31st day of March 2011 ~~ ~r ~ ~- • ~~~~ rotary Public y Commission Expires: ~! z7/z~~5 (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Comm.ission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. ~~a ~,~~~ €~~~ ~~~ Form RW-03 rev. 10.13.06