HomeMy WebLinkAbout05-11-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Deceased ESTATE NO: 21- ~ ~ ~% ~~~'
Estate of C• Edward Gregory
a/k/a: Charles Edward Gregory
Ewa' SS NO:
a/k/a:
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 a(so) '-A,
and aver that Petitioner(s) is/are entitled to the aforementioned Letters Testamentary n udder -,-
the last Will of the above-named Decedent, dated 10/27/1995 and codicil(s) dated `ry _ __
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(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 exe~utjori,of the ;. `;
instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person,_~ was note. ,
party to a pending divorce proceeding at the time of death wherein grounds for divorce had been establ'~I ed{as defined in ~: ~ Cry
23 Pa. C.S.A. § 3323(8):
^ B. Grant of Letters of Administration
(If 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), except as follows:-.
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence
At 2121 Dou las Drive Carlisle North Middleton Townshi Penns Ivania 17013
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
Decedent, then 72 years of age, died
Estimated value of decedent's property at death:
If domiciled th PA
If not domiciled in PA
If not domiciled in PA
Value of Real Estate in Pennsylvania
9/3/2010 at Cape Vincent, New York
(Month, Day, Year of death) (City and State where death occurred)
All personal property $ 195,000.00
Personal property in Pennsylvania $
Personal property in County $
Total Estimated Value $ 195,000.00
Location of Real Estate in Pennsylvania: (Provide full address if possible.) 2121 Douglas Drive, Carlisle, Pennsylvania 17013
Signature(s)
Name(s) & Mailing Address(es)
Arlene F. Gregory, 2121 Douglas Drive, Carlisle, PA 17013
Page 1
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court
OATH OF PERSONAL REPRESENTATIVE
Commonwealth of Pennsylvania ~ SS
County of Cumberland
The Petitioner(s) herein named swear 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 d^
before me this ~ (} ~'~ day of - r
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For the Register ~ {
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DECREE OF PROBATE AND GRANT OF LETTERS ~:' ~r'
Estate of C Edward Gregory a/k/a Charles Edward ,Deceased File Number: 21-~_- ~~
AND NOW, this I h 11 day of ~ C~ ~ ( , in consideration of the Petition on
the reverse side hereon, satisfactory proof havir~ been presented before me, IT IS DECREED that Letters
i'~Testamentary - of Administration are hereby granted to:
~ (IS applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.)
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~~ ~ f' 1'1 ~ ~ t l/~ ~ ~ 1 l described in the petition be
the above estate and that instruments ) da - ~-"~7
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
`~ ~l~J it (( ~1--
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Glenda Farner Strasbau !" ~ .,~~1'~~~ 1.~~~_
Register of Wills ,"~
FEES:
Letters ....................$ ~~j1 ~~. L`~~
Will ........................ I `~•C%Ci
Codicil(s) .................
(~) Short Certificates ' ~~' ~
( )Renunciations.......
Bond ............................
Other .............................
.................................
Automation FEE......... 5.00
JCS FEE ................... 23.50
TOTAL ................$ 28.50
Signature of Counsel Required to
Atty' s S
PRINTED Name: Patricia Carey Zucker'
Supreme Court ID No.: 37334
Address:
Phone
Fax:
1035 Mumma Road, Suite 101
Wormleysburg PA 170Q3
(717)724-9821
(7171724-9826
Page 2 of 2
)nterim Form RW-02 revised ]2.26.10 by Cumberland County pending action by the Court
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-~~ ~ ~ ~ DEPARTMENT OF HEALTH
STATE FILE NUMBER
REGSTERNUMBER CERTIFICATE OF DEATH
RESIDENCE Q
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1. NAME: FIRST MIDDLE LAST 2. SEX: 3A. DATE OF DEATH: 138. HOUR:
MALE FEMALE MONTH DAY YEAR
CHARLES ~ W~QRD GREGORY Lit ^2 09 03 2010 ~ 4:30 A m
NcHs 4A. PLACE OF DEATH: HOSPITAL HOSPITAL HOSPITAL NURSING PRIVATE HOSPICE OTHER ~ 48. IF FACILITY, DATE ADMITTED:
(Check one) DOA ER OUTPATIENT INPATIENT HOME RESIDENCE FACILITY (Speciry): i MONTH DAY
^ ^ ^ ^ ^ ~ ^ ^ ' NA
4C 4C. NAME OF FACILITY: (II not facility give address) ~ 4D. LOCALITY: (Check one and speciry) ~ 4E. COUNTY OF DFATH:
I CITY VIUAGE TOWN i
6007 RIVERVIEW DR. ' ^ ^ [~ CAPE VINCENT ~ JEFFERSON
4G 4F. MEDICAL RECORD N0. ~ 4G. WAS DECEDENT TRANSFERRED FROM ANOTHER INSTITUTION? (1l yes, spearyinstitution name, ary or town, counryand sfatel
i NO YES
NA ' ~ ^
5. DATE OF BIRTH: 6A. AGE IN 68. IF UNDER 1 YEAR 6C. IF UNDER t DAY 7A. CITY AND STATE OF BIRTH: (1/not USA, Country and 17B. IF AGE UNDER 1 YFAR, NAME OF HOSPITAL OF
BIRTH:
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RepiorVProvince) i
ENTER:
YEARS: I ENTER:
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MONTH DAV YEAH ' monNs days ~ hours minutas
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{ iT~ ~~R+S' r PA i NA
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12 20 1937 72
yrs.
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6. SERVED INU.S.ARMED 9.DECEOENTOFHISPANICORIGIN7CMcklMOoxestMroastoast,ibewheurerroedecedenrisSpardsMtiswniutatiro. T
10.DECEDENT'SRACE:CMdoneamorerxesroirrdA•ananar rcauidendlNmsWgausedrob:-,-, ~~
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f-0RCE57 (Spaciry years) A ~ No, net SpanishlHispanirRauno B ^ Yes, Mexican, Mexican American, Chicano A ®WhitelCaucasian B ^ Black or Aldan American C~ ~ Indian D ^~-CNnese
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1A ^ 0 Y~1 C ^ Yes, Puerto Rican D ^ Yes, Cuban ,,~~,,J1
E ^ Rlipirro F ^ Japanese Gt~f Ka~r~ H ^~AlfAamese .., -
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.
5~ 1 Q ~
E ^ Yes, Other SpanishlHispaniWtino (speciyJ . , ,tom 1 _.
,
J ^ Nadve Hawaiian K ^ Guamanian or Chamono MII samwil~ .-
78 11.DECEDENT'S EDUCATION: Cnxk Me box WrDesf desaibes the highest deproe or kmrl olsdrool roar dre tine oldealh. '~~~
N ^ American IMian or AWska Naliue (spedhl
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1 ^ 5 8th grade 2 ^ 9th-12th grade; no diploma 3 tp,r High school graduate or GEO
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Islander /speatyl
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P ^ ONer Asian (sprNtilyl ^
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4 ^ Some college credit, but no degree 5 ^ Associates degree 6 ^ Bachelor's degree
B ^ Other (spedyl -~ ~~~ .""~ ~ ;-r{
7 ^ Master's degree B ^ DoctoratelProfessional degree ,.. ,
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12. SOCIAL SECURITY NUMBER: 13. MARITAL STATUS: 14. SURVIVING SPOUSE: Entername M U
NEVER MARRIED MARRIED WIDOWED DNORCED SEPARATED mamedorseparated. dsurvivingspouseis ~p
056-32-8764 ^ 1 I~ z ^ 3 ^ 4 ^ 5 rWfa' enter maiden name' ARLENE MCGUIRE C:
15A. USUAL OCCUPATION: (Do not enter refired) i 158. KIND OF BUSINESS OR INDUSTRY: 115C. NAMfiAND 1.01;A11TY~ CODIB4DLYI ~RrFJR1~AA ~A /k
~ w~ ~ MANUFACTURING/RETAIL GLASS ~PITTSBURG PLATE GLASS ~JIJ~j
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SI 16F. IF CITY OR VILLAGE, IS RESIDENCE
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16A. RESIDENCE: 168. County or RegioNProvince 16C. LOCALITY: (Check one and specify) 'WITHIN OR VILLAGE LIMITS?
CITY VI LAGE TPWN
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(State orCouN^~ „ N nol hA
-C OYES ,~10 IF N0, SPECIFY TOWN:
)) ~~ yya ~ / ~ ' l
rl not USAJ `~ ~ n iu ~ ~ r+ a /kf ^ ] v j• G
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17. NAME OF FIRST MI LAST 1B OF MOTHER: E FIRST MI IAST
3o FATHER:
CHARLES E. GREGORY ALICE GARRETT
19A NAME OF INFORMANT: i 198. MAILING ADDRESS: (include np code)
ARLENE GREGORY ' 6007 RIVERVIEW DR.r CAPE VINCENT, NY 13618
31 20A. t O euRIAL 2 t~DREMATION 3 ~ REMOVAL 4 O HotD 5 ^ Dorunon l 208. PLACE OF BURIAL, CREMATION, REMOVAL OR OTHER DISPOSITION. l 20C. LOCATION: (City or town and state)
MONTH DAY YEAR
6OENi0MBMENT ~ pip r BROOKSIDE CREMATORYrINC. ' TOWN OF WATERTOWNr NY
1218. REGISTRATION NUMBER:
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31B 21 A. NAME AND ADDRESS OF FUNERAL HOME:
'
00390
CUMMINGS.FUNERAL SERVICE,INC.r 320 JOHN ST.r CLAYTON, NY 13624
2?A. NAME OF FUNERAL DIRECTOR: ~ 228. SIGNAT E OF FUN RAL DIRECTOR: i 22C. REGISTRATION NUMBER:
DR '- a\ - ~ X00790
WALTER P. CUNNINGS
Ygp , 24A RIAL OR REMOV PERMIT ISS D BY: 124M~ ISSUED r TEAR
e~ FILED:
REGIST R: l 23
ATURE OF
23A
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.
DAY
ITEMS 2tS THRU 33 COMPLETED BY CERTIFYING PHYSICIAN -- OR -- CO NER/CORON 'S PHYSICI NOR MEDICAL EXAMINER
CERTIFICATION: To the best of my knowledge, death occurred at the time, date and place and due to the causes staty .
25A
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Certifier's Name: License No.: /~ Signature:
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CANCER Certifier's Trtle: 0 Attendin Physician 0 Physician actin on behalf of Attending Physician Add~~ ,• L r1~
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1 ^ Coroner 2 ^ Medical Examiner I Deputy Medical Examiner
Monet D rear
258. If coroner is not a physician, enter Coroner's Physician's name 8 title: License No.: gnat
25C. If certifier is not attending physician, enter Attending Physician's name b title: License No.: address:
S 26A. Attending physician th D Year Manor D Year 268. Deceased last seen al'we Year 26C. Pmmounrbd Momh D rear
attended deceased: N1OM TD fY try attending physician: ~ O D°ad pN ~ ~ AT M
WERE FINDINGS USED TO DETERMINE
IF YES
AUTOPSY? 298
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28. WAS CASE REFERRED TO 29A.
27. MANNER F DEATH: UNDETERMINED PENDING CORD E R MEDICAL EXAMINER? O YES REFUSED i CAUSE OF DEATH?
NATU USE ACCIDENT HOMICIDE SUICIDE CIRCUMSTANCES INVESTIGATION
1 ^2 ^3 ^4 ^5 ^6 0 NO 1 ^YES 0 ^1 ^2 ' 0^NO 1 ^YES
CONFIDENTIAL SEE INSTRUCTION SHEET FOR COMPLETING CAUSE OF DEATH CONFIDENTIAL
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~j ( aaaROxiMAtE INlenvu
(r 30. DEATH WAS CAUSED BY: (ENTER ONLY ONE CAUSE PER LINE FOR (A), (Bj, AND (Cj.) EN oNSEr Axo DEATH
(y PART I. IMMEDIATE CAUSE: /j '
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I
OUE TO OR AS A CONSEQUENCE OF:
r
`j o o . DUE TO OR AS A CONSEQUENCE OF: I
S ~C ~ fC) DID TOBACCO USE CONTRIBUTE TO DFATH7
\~^~ PART II.OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO
DEATH BUT NOT RELATED TO CAUSE GIVEN IN PART I (A): 0 ENO t ^YES 2 ^ PROBABLY 3 ^ UNKNOWN
w re 31 A.IFI
U ~ ` MONTH
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o= 31F.IF
LOCALITY: (City or town and count' and state) ~ 31C. utxnrot nuw muunr ur,wnnau:
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INJURY, SPECIFY: 32. WAS OrCEOENT 33A. IF FEMALE:
em . vcnw .,n vcc _I"1... .... .
f1. ... .. .. .f1..
N YES
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YEAR
I DO HEREBY CERTIFY THAT THIS IS A TRUE AND
CORRECT COPY FROM THE ORGINAL COMPLETE
REGISTERED RECORD AND THAT SAID LICENSE WAS
DULY RECORDED AL`TD FILED IN THE TOWN CLERK'S
OFFICE.
A
CLERK THE OF CAPE VINCENT, NEW YORK,
p,ND STRAR OF VITAL RECORDS THEREOF.
Warning: Any alteration invalidates this
certificate.
LAST WILL
OF
C. EDWARD GREGORY
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I, C. Edward Gregory, now domiciled in Cumberland County,
Pennsylvania, declare this to be my Last Will. I revoke all other
wills and codicils that I may have previously made.
Article I
My just debts and expenses of my last illness, funeral, and
administration of my estate shall be paid by my Executor from the
principal of my residuary estate as soon as practicable after my
death.
Article II
All inheritance, estate, and succession taxes (including
interest and penalties thereon, but not including any generation
skipping tax) payable by reason of my death shall be paid out of
and be charged generally against the principal of my residuary
estate without reimbursement from any person. This provision is
not a waiver of any right which my Executor has to claim
reimbursement for any such taxes which become payable as the result
of any property over which I have the power of appointment.
Page One of Five
Article III
I give, devise,- and bequeath, all my property, real, personal,
and mixed, to my beloved wife, Arlene F. Gregory, provided she
survives me by thirty (30) days. If my wife fails to survive me by
thirty (30) days, I give, devise, and bequeath any real estate that
I may own to my two beloved children, Brian A. Gregory and M. Karen
Lickle. Any guns that I own at the time of death I give, devise,
and bequeath to my son, Brian A. Gregory.
All the rest, residue and remainder of my estate, real,
personal and mixed, I give, devise, and bequeath in equal shres to
Brian A. Gregory, M. Karen Lickle, Kimberly M. Dailey, Michele R.
Gibb and Melissa M. McCurdy, provided they survive me by thirty
(30) days.
In the event that any beneficiary fails to survive me by
thirty (30) days, his or her interest shall be paid to his or her
living children. In the event that any beneficiary who fails to
survive me by thirty (30) days does not have living children his or
her interest in my estate shall be paid to my remaining living
beneficiaries .
Article IV
In addition to the powers conferred by law, I authorize my
Executor, in his absolute discretion:
Page Two of Five
~a) to retain in the form received and to sell either at
public or private sale, any real estate or personal property except
that which I specifically bequeath herein,
fib) to manage real estate,
~c) to invest and reinvest in all forms of property without
being confined to legal investments, and without regard to the
principal of diversification,
~d) to exercise any option or right arising from the
ownership of investments,
(e) to compromise claims without court approval and without
consent of any beneficiary,
~f) to file any federal income tax return for any year for
which I have not filed such return prior to my death,
fig) to make distributions in cash or in kind, or in both, and
to determine the value of any such property,
~h) to employ any attorney, investment advisor, or other
agent deemed necessary by my Executor; and to pay from my estate
reasonable compensation for all their services, and
~ i ) to conduct along with or with others, any business in
which I am engaged in or have an interest in at the time of my
death.
Page Three of Five
Article V
I nominate, constitute, and appoint Arlene F. Gregory
Executrix of my Last Will and Testament. In the event of her
renunciation, death, resignation, or inability to act for any
reason whatsoever as my Executrix, I nominate, constitute, and
appoint M. Karen Lickle to act as my Executrix. I hereby relieve
my Executrix, whether original, substitute, or successor, from the
necessity of posting security in connection with her duties as such
in any jurisdiction in which she may be called upon to act so far
as I am able by law to do so. My Executrix shall receive
reasonable compensation for services rendered to my estate.
IN WITNESS WHEREOF, I, C. Edward Gregory, hereby set my hand
to this my Last Will, on this -~ ? day of C;
at Harrisburg, Pennsylvania.
C. Edward Gregory, es ator
In our presence, the above-named Testator signed this and
declared this to be his Last Will and now at his request, in his
presence, and in the presence of each other, we sign as witnesses.
i
Sri `l'
3e Four of Five
I, C. Edward Gregory, Testator, who signed the foregoing
instrument, having been duly qualified according to law,
acknowledge that I signed and executed this instrument as my Will,
and that I signed it willingly as my free and voluntary act for the
purposes therein expressed.
Sworn to or affirmed and
acknowledged beforethe Testator,
C. Edward Gregory,
this ~ day,.
of 19Q).
C. Edward Gregory, T to r
NOTARIAL SEAL
PATRICIA A. PATTON, Notary Public
L,&~r Pax~r~~p.. g~p~~q ed witnesses who signed the foregoing
M omfnission x es une OSe and Say
instrument, being duly qualified according to law, dep
that we were present and saw the Testator sign and execute this
instrument as his Will; that he signed and executed it willingly as
his free and voluntary act for the purposes therein expressed; that
each of us in his sight and hearing signed the Will as witnesses,
and that to the best of our knowledge, that he was at that time
eighteen (18) years or more of age, of sound mind, and under no
constraint or undue influence.
Sworn to or affirmed and
subs e t bef e e
by ,L-
and '
witne ses ~ ,hai 19 41
daY/1 f/ ~ L -
NOTARIAL SEAL age Five of Five
PATRICIA A. PATTON, Notary Public
Lower Paxton Twp.. Dauphin Co.
Av Commission Fxpues June 20. 199Fi