HomeMy WebLinkAbout04-20-11PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND COUNTY
Estate of Lee E GILL
also known as Lee Edward Gill
COUNTY, PENNSYLVANIA
File Number 21-1'1 ~~~
Deceased Social Security Number 169-44-5818
Patricia ARickenbach
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE `A' or `8' BELOW:)
® _ named in the
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executrix
last Will of the Decedent, dated 04/13/1990 and codicil(s) dated _.
State relevant circumstances, e.g., renunciation, death of executor, etc.
After the execution of the documents offered for probate: Decedent did not marry; was not divorced; 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); did not have a child born or adopted; was not the victim of
a killing; and was never adjudicated an incapacitated person, except as follows:
B. Grant of Letters of Administration -"'
(If applicable, enter.' c.t.a.; d.b.n.c.t.a.; pedente liter durante absentia; durante minoritate)
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 on Section A above 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: -
Decedent, then _ 58 years of age, died on . 0~/30/20 1 _ at Holy Spirit Hospital, Camp Hill, Cumberland County, PA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ _ 43,239.00
(If not domiciled in PA) Personal property in Pennsylvania $ _.
(If not domiciled in PA) Personal property in County $ _.
Value of real estate in Pennsylvania $ _ 31,600.00
situated as follows: 7 Salt Road, Enola, East Pennsboro Township, Cumberland County, 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 rorm tc
the undersigned:
Signature Typed or printed name and reslidence
Patricia A Rickenbach 15 Kings Arms
,--, Mechanicsi•burg, PA 1705
Form RW-O2 Rev. 12-26-2010 (interim form, pending action by the Court) Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. =-=i ~ r =' i- ~~` '
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Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal reslt<~nce at ~„ ;_ r,
.c ..
432 South Enola Drive, Enola, East Pennsboro Township, Cumberland County, PA 17025_
(List street address, town/city, township, county, state, zip code)
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF _Cumberland County }
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 ;rye this ~,.~.__ day of
f ~i I
Signature of Personal Representative Patricia A Rickenbach
Signature of Personal Representative
~='" Signature of Personal Representative I l .t ~J ~--~ y `_a
For the Register -- =-~~- -.
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File Number: • -
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Estate of Lee E GILL ,Deceased '°
Social Security Number: 169-44-5818 Date of Death: 03/30/2011 -
AND NOW, ~` ~ , ~ ~ %~ ~ I , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary -..
are hereby granted to Patricia ^ °°^~`°^'"''~ '-
in the above estate
and that the instrument(s) dated 04/13/1990
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent
FEES ,
Letters ........................................ $ ~~~ ~ . (~ `` t
Short Certificate(s) ...................... $
. Attorney Signature:
Renunciation(s) ........................... $
$ ~ ~ • L t1 Attorney Name:
i~-~' ' ~'
~~ $ ~~~~~
Supreme Court I.D. No
~ ~ t-~ ~n c~fi L`Y~~ $ ~ ~rZl
$ Address:
TOTAL.
$
$ Telephone
$
$ l~Oo~~
--_ Register of Wills i~~l ~'A~(~~.~000~, (J~~~ ,! G~-t_~
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EDMUND G. MYERS_
JOHNSON DUFFIE
301 MARKET STREET
PO BOX 109
Lemoyne, PA 17043-
(717) 761-4540
Form /~W-U2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2
C)~~AL REGISTRAR'S CERTII~I~ATIOI~1 GI°R EA.~I
11~.>~,FI~11Nr: It i~ illegal ~o dupliCate this co~.~~r k~~r photc~sta~ or photogral~°.
Fee f~~r this rcr~ii-R~~ilte. 5(•l.(i~)
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Certif-ft.•2ttiuit Ntii~))I)er
143 REV 11/2006
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse) CTATC CII C All IEARCR
1. Name of Decedent (First, middle, last, suffix) 2. Sex 3. Social Security Number 4 Date of Death (Month, day, year)
Lee E. Gill Male 1 69 - 44 - 581 8 March 30~ 201 1
Age (Last Birthday)
5 Under 1 ear Under 1 da 6 Date of Birth Month, da , ear 7. Birth lace Ci and state or forei n count 8a. Place of Death Check onl one
. Months Days Hours Minutes Hospital: Other.
S8 yrs. May 7, 1952 Harrisburg Pa
,
~ Inpatient ^ ER i Outpatient ^ DOA _ ^other-s ecif
^ Nursing Home ^ Residence p y
6b. County of Death Bc. City, Boro, w 1 Death fid. Facility Name (II not institution, give street and number) 9 Was Decedent of Hispanic Origin? ~ No ^Yes t 0 Race. Amencan Indian, Black, White, etc.
(It yes, specify Cuban.. ISpecl/j>f
~
Cumberland East Pennsboro Holy Spirit Hospital Mexican,PUertdRican,etc) White
11. Decedent's Usual Occu anon Kind of work d one dudn most of workin life. Do not state retired 12. Was Decedent ever in the 13. Decedent's Education (Specity ony highest grade completed) 14. Marital Status: Married, Never Married, 15 Surviving Spouse pf wife, give maiden name)
ecity)
wed
Divorced (S
Wid
Kind of Work Kind of Business/Industry U.S. Armed Forces? Elementary /Secondary (0-12) College (1-4 or 5+)
k p
o
,
Never Married
Maintenance Hi hmark BS ^Yes C~No U -
16. Decedent's Mailing Address (Street, city /town, state, zip code) Decedent's p e n n s 1 va n i a Did Decedent
H t Pennsboro Twp
y Live in a 17c
Decedent Lived in
~ Yes
F,3
4 3 2 S . Eno la Dr . , Apt C .
,
_
.
Actual Residence 17a. State
Cumber land Township? 17d ^ No, Decedent Lived within
E no l a P a 1 7 0 2 5 17b. County Actual Limits of _ City I Boro
16. Father's Name (First, middle, last, suffix)
Paul E. Gill 19. Mother's Name (First, middle, maiden surname)
M. Jean Reber _
20a. Informant's Name (Type /Print)
Patricia A. Rickenbach 20b. Informant's Mailing Address (Street, city /town, state, zip code)
15 Kings Arms, Mechanicsburg, Pa 17050
21a. Method of Disposition I ~ Cremation ^ Donation 21b. Dale of Disposition (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory or other place) 2t d. Location (City r town state, tip code)
I
^ Burial ^ Removal from State I Was Cremation or Donation Authorized
^ Other-S i I byMedicalExaminer/Coroner? ®Yes^ No
Mar 31 201 1
Evans Cremation Service
Lleala Pa
22a. Sign ure of Funeral Service Licensee (or person acting as suchr 22b. License Number 22c. Name and Address of Facility S u 11 i v a n F u n e r a 1 H om e
.~ C~~ ,~ FD011897-L 1 Eno D Enol P 1 7 2
Complete Hems 23a-c only when certitying
sician is not available at time of death to
h 23a. To th tot my knowledge, death occurred at the time, date and place stated. (Si lure and title)
//
~ 23b. License Number :?3c. Date Signed Month, day, year)
p
y
certity cause of death. ~ /~
QIt~~C • I ~~ ~~~
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Items 24-26 must be completed by person 24 Time of Death '
~, 25 Date Pronounced ad (Month, da ,year)
~ 26. Was Case Referred to Medical Examiner + Coroner fora eason Other Than Cremation or Donation?
^Y
~ who pronounces death. ~e ~Q r~ es o
CAUSE OF DEATH (See instructions an examples) I Approximate interval: Part II: Enter other sienificant conditions contributing to de,~th 26. Did Tobacco Use Contribute to Death
Item 27 Part I: Enter the chain of events -diseases, injuries. or complications -that directly caused the death. DO NOT enter terminal events such as cardiac arrest, I Onset to Death but not resulting in the undedying cause given in Part l ^ Ves Probably
respiratory arrest, or ventricular fibrillation without showing the etiology. List ony one cause on each line. ~
^ No Unknown
IMMEDIATE CAUSE (Final disease or ~ '
C~
condition resulting in death) ~ a dx~ y C,, ~' d~.•~I~~C.r~„_~il~~ ~"t.®~~ w~
"Y i
29 It Female
^ Not pre
nant within past year
_
Due to s a copse uence of) I
I
q g
^ Pregnant at time of death
~p~f ~~7 • G^t
C y
it any, b ~~ ^
Sequentially list conditions ^
-
-
,
leading to the cause listed on line a Due to (oyl~2 conseque r i
Enter the UNDERLYING CAUSE cl' tdeaegnant, but pregnant wlthln 42 days
'
(disease or injury that initiated the i
c
_
nant 43 da
s to t
ear
^ N
nt
t
re
t
b
. I
events resulting In death) LAST.
Due to (or as nsequence of) I y
pregna
p
g
y
o
,
u
before death
d ~
-~
~j ^ Unknown if 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 32c Place of Injury: Home, Farm, Street Factory.
Office Building, etc. (Specity)
Performed? Available Prior to Completion
f Cause of Death's ~.ft~~7..''
~atural ^ Homicide
^ Yes~Jo o
^Yes ~No ^ Accident ^ Pending Investigation 32d. Time of Injury 32e. Injury at Work? 32t. II Transportation Injury (Specity)
er
^ Driver/0 orator ^ Pedestrian
^ Passen 32g. Location of injury (Scree., city ~ town, slate)
^ Could Not be Determined
^ Suicide M ^Yes ^ No g
P
^
Other -Specify:
33a. Certifier (check only one) 3 3b. Signatur Title of Certifier
~
~
• Certfying physician (Physician certitying cause of death when another physician has pronounced death and completed Item 23)
^
d ~
~~4 01t~w si
~r C• ~ ~w
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
To the best of my knowledge, death occurred due to the cause(s) and manner as state
• Pronouncing and certifying physician (Physician both pronouncing death and certifying to cause of death) 3
To the best o1 my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner as stated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~
- 3c. License Number
/~~ /~/ g Z G
te 33c. Date Slgn (Montn, day, year)
~~:~~~,~,~ ~ ~
T
• Medical Examiner/Coroner e.
On the basis of examination and / or investigation, in my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner as stated_ ^ 3 4 N d Address of Person Who Complet d Cause of Deem 2-l Type I Print
35. Registrar's Signal Dislri t Nu ~ ~I / I ~ T I I I I 36_Dat ~d (j+t ,day, ygar)/ I . ~ ~ ~~ S 1/ ~°"`- v-
Disposition Permit No. "-~ T I "~/ l J~ v
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LAST WILL AND TESTAMENT OF ~~ ~~ -~~
~f t~C7 .~
y ~_~
LEE EDWARD GILL ='-`' `~~ ~ ~~
..._.
1
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I, LEE EDWARD GILL, a resident of Seven Salt Road, Enc, East c„^? `~~~
~.
Pennsboro Township, Cumberland County, Pennsylvania, being of sound a.ncl disposing
mind, memory and understanding, do hereby make, publish and declare this
instrument to be my Last Will and Testament, hereby revoking any and a.ll wills by
me at any time heretofore made.
ITEM I: I direct my hereinafter named Executrix to pay all Iny just
debts, funeral expenses, administration expenses and inheritance, estate, succession or
excise taxes, which I owe or may become due on account of my death, as soon as
may be convenient after my decease.
ITEM II: All the rest, residue and remainder of my estate, be it real,
personal or mixed, of whatever nature and wheresoever situate which I may own or
have the right to dispose of at the time of my decease, I give, devise and bequeath
to be equally divided among my following brothers and sisters, per stirpes.
1. Thomas Gill, of Lewisberry, York County, Pennsylvania.
2. Patricia Rickenbach, of Enola, Cumberland County, Pennsylvania.
3. Paul E. Gill, Jr., of Lewisberry, York County, Pennsylvania.
4. Susan Rogers, of Shiremanstown, Cumberland County, Pennsylvania.
ITEM III: I hereby nominate, constitute and appoint my sister, Patricia
Rickenbach, Executrix of this my Last Will and Testament, with full power in her
discretion to do any and all things necessary for the complete administration of my
estate, without being required to file bond for the performance of her duties, with full
~..- ~1 --(SEAL)
Lee Edward Gill
~~
. ,.
power to sell at public or private sale and without order of court any real .or personal
property belonging to my estate, and to compound, compromise or otherv~~ise settle or
adjust any and all claims, charges, debts and demands whatsoever against o~- in favor
of my estate as fully as I could if living.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this
my Last Will and Testament this 13th day of April, 1990.
~~as~~ ~~.AA~. (SEAL)
e war iI~-
Signed, sealed, published and
declared by the above-named
Lee Edward Gill as and for
his Last Will and Testament, in
the presence of us, who at his
request, in his presence and
in the presence of each other,
we believing him to be of
sound and dis osing mind,
memory dun erstanding,
have h reunto ubsc ' ed ,our
name as ' nesse this nth
day o ri1~199 ~ /
Register of Wills of Cumberland County, Pennsylvania
OATH OF SUBSCRIBING WITNESS
Estate of LEE EDWARD GILL No.
Also known as LEE E. GILL
KAREN L. PAUL
Decreased
a subscribing witness to the Will presented herewith, being duly qualified according to
law, deposes and says that she was present and saw the above Testator sign the same
and that she signed as a witness at the request of Testator in his presence and in the
presence of the other subscribing witness.
O~ • _
REN L. AUL
105 North Front Street
Harrisburg, PA 17101
COMMONWEALTH OF PENNSYLVANIA
COUNTY O F `~ ~-~.,_ ~_,~-,z~ .__~
Sworn to or affirmed and subscribed
-~ ~"
before me this _~~_~day of
C--., `'~ 2011.
~_-___~
_~.
Notary Phi lic
~-_
M Commission Ex Tres: ~~r ~
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission.)
®ONl Nil(,L.Y,14NIA
1~ihe1
P~t~Y L. ~cwr, Nary F
Clly of H~Rlf~bu~, WwphH+ y
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NOTE: To be taken by officer authiorized to
administer oaths. Please have
present the original or copy of
Instrument(s) at time of notarization.
Register of Wills of Cumberland County, Pennsylvania
OATH OF SUBSCRIBING WITNESS
Estate of LEE EDWARD GILL No.
Also known as LEE E. GILL
Deceased
_ROBERT G. RADEBACH
a subscribing witness to the Will presented herewith, being duly qualified according to
law, deposes and says that he was present and saw the above Testator sign 1:hE~ same
and that he signed as a witness at the request of Testator in his presence and ire the
presence of the other subscribing witness. ~~'~, ,^,
ROBERT G. RADEBACH
912 River Road
Halifax, PA 17032
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF (J ~~ pj„~,~
Sworn i,~? or affirmed and subscribed
before me this ~~day of
_ ____, 2011.
,~~~
tary Public
~4
My Commissio~~ Expires:
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission.)
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NOTE: To be taken by officer authorized to
administer oaths. PleasE~ have
present the original or copy of
Instrument(s) at time o~f notarization.