HomeMy WebLinkAbout05-09-11PETITION FOR PROBATE and GRANT OF LETTERS
Estate of LUCY H. CONN No, 21 -11 - ~~t..12.U __
also known as
To:
Register of Wills for the
County of CUMBERLAND ~ the
Commonwealth of Pennsylvania
Deceased.
Social Security No. 174-20-1133
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the execut o~ .named
in the last will of the above decedent, dated 7/6/2009 _
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with
her last family or principal residence at 514 NORTH COLLEGE STREET. CARLISLE BORO,
CUMBERLAND COUNTY. PENNSYLVANIA 17013.
(list street, number and municipality)
Decedent, then 83 years of age, died 4/30/2011 _
at CARLISLE REGIONAL MEDICAL CENTER. CARLISLE. PA
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was, never adjudica~,ed
incompetent~~` c~ s N ;~7~- ,r /~'~i fir •'~~n~,~ ~C r~~~rc~ ~-~c~~;L,,,~ a~'~~ ~ <~/cs~Z, <:,vlrc.~•e.-..
~~ -~~.! j c11:.rwu G~ n sfo C,.GC~ ~S/`.~ ~~j l-Q,! ass c1~., ...,P ~~..' 2 3 tea- 4S ,o- •~~- `~ 3 Z 3 ~.~~ ,
ce ent at de owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ 1.100.00 .
(If not domiciled in Pa.) Personal property in Pennsylvania $ 0.00
(If not domiciled in Pa.) Personal property in County $ 0.00
Value of real estate in Pennsylvania $ 85.000.00
situated as follows:
514 NORTH COLLEGE STREET, CARLISLE, PA 17013.
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters testamentary
thereon. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
142 "A" STREET
CARLISLE PA 17013
EUGENE C. WOODBRIDGE
b
~~, ~.
~N
b e f, f /~ ~ C ~1.e~ 1 S E1,i G ~r-~ t v~~/~.2r ~ ~,, G
f 55'P
~O f
/~ ~~~
~ ^^~
Q~ W ' ~ t
~ ~ ~~ ~
~ ~ „~ ,~
orb
v~ ~-- C7 _
j •--,.... ~~
~ \ ..:.
l y ~
__ ;.., ~ y
OATH OF PERSONAL REPRESENTATIVE ' ` ~ __
.-
COMMONWEALTH OF PENNSYLVANIA SS _~ , _ - -.
COUNTY OF CUMBERLAND ~~=' ~ E
L,• J ff
~ \._._~
.-i
The petitioner(s) above-named swearO 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 represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirme and subscribed ~
before me this day of ' '~~ i . ' A
Y 2011.
,~
~ ~.. ~ , n ~
y.
Register
No.
Estate of LUCY H. CONK ,Deceased
DECREE OF PROBATE AND GF~ANT OF LETTERS
AND NOW MAY , 2011 , in consideration of the petition on
the reverse side hereof; satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated _7_ /6/2009
described therein be admitted to probate and filed of record as the last will of LUCY H. CONN
and Letters TESTAMENTARY
are hereby granted to
EUGENE C. WOODBRIDGE ,~-.~~ C'~ ~'l's F`c.~-E,~..~ G~-~'~i1•Q~~GE
_.
FEES
Probate, Letters, Etc......... $
Short Certificates (4 ~ .... $ ~,~,Q,~~
Renunciation . . .. . . . . . $
t ~ $ ~ c~
Filed . . . . . .. .. . . . . . . . . . . . . . .
'~~ ct ~ 5v
~ ~~~
Register of Wills t" r ~ - .~_ ~{~
,~' ,~
~~
., ~.
~~--~ ~~
ATTORNEY up. Ct. I.D. Igo.)
64 SOUTH PITT STREE
CARLISLE PA 17013
ADDRESS
717-243-6090
PHONE
~~
- _. _..
.._,
_~- ;Tt f
--~
- ..
- _.
i
~ a
_ _
~_•~_i
i -J
-71115 ~;i IS U1\' .r~i ;~.... _. _ _.. _ _ __ _ _- __ _. _ _. __ _._
LGAL REGISTRAR'S CERTIEIATI~C~N G1= C~E~,"r'hl
~-1~~,RNING: It is illegal to duplicate this ~:o~yr bly phc-tostat +~r ~>hotot~ra~l~.
Fee t«r this ~t~rtifi~•aA~~- tit-, (fit)
P 1745087`
__ __
~_G~[If1C~)1iUll ~r~~(ifitf~~'.~
~H105-143 REV 11/2006
TYPE /PRINT IN
PERMANENT
BLACK INK
1. Name of Decedent (Frst, middle, last, suffix)
Lucy H. Conn
5. Age (Last Birthday) Under 1 ear
Months Days
I
0
Hours Minutes
83 vrs.
Bb. Count' of Death Bc, City, Boro, Twp. of Death
,rr ~ ,,,-,:.
tfjjrrr ~~~ ~~~ ~ ~)Iti !ti' ,)~(?! '1`~I; ({l~ i11~OI-[llalli)11 ~lt'I'l' ~~It~tR lti
vJt~~-~~ ~`~ifi~ 1!'?~~ t ( ~ i:tl~+tl'+.I S f'lIp ']ti_'i1i~1~ ~_~t;l-titlC~llf', t)t [~~i~~fl
~~j~~+~~/~ ~ ~ ~ s tli~ III~•;. 1v3i~1. ii•I. ~ 7;:~k~ ~e~_TIStI'it1•. ~~it'_ 01'lt.?llli.l~
?~' ,;~ ~ ~~1 ~rt)(1~.1€~~ ~ 66~ ',, t, ~tiv,)i-Llti~~i t(> the ~ta):e Vital
~` °I a~
~; vI ~~, ~ ~~' i~_'~._'!!t~1~ (.1('?i_C' i ij 7t`I'ii):1+1t'1i1: f-Ill)1v~.
,~; , ,
~ ,.;r.~~r ,~;...
~._~ ~.D._.l~ ~i~'_°r.l~l), Date ~S,tiLll(~
~ ';
,_ __
__~ • ,-~
, - _
I
-_~ :- .
I
_... _,I
i
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ ~_ `~
CERTIFICATE OF DEATH ~ I
(See instructions and examples on reverse)
STATE FILE NUMBER
2. Sex 3. Soctial Security Number 4. Date o1 DeaM (Month, day, year)
Finale 174 - 20 - 1133 Ap~ri:1 30r 2011
6. Date a Bits Monts, da , r 7. Bits C' end state «for ' coon 8a. Place of Death Check on one
Hosplrel: Other:
11 / 6/ 192 7 Berryville , VA ®Inpatient ^ ER ! Ou~adent ^ DOA ^ Nursing I brne ^ Residence ^ oiler - Spapy:
Bd. Fadlity Name (If not irlsdtudon, glue street and number) 9. Woe Decedent of Hispanic Orign? [~ No
(If yes, specity Cuban, ^ Yes 10. Race: American Indian, Black, White, etc.
ton Carlisle Re Tonal Medical Cent Mexican, Puerto Rican, etc.) iSpeaM
r r. uecedenrs Uwal don Kind of work done
Kind of Work
Shi
er B
k dud most a ~ rile. Do rat state re ~
Kind ness/ rtdrs
f
h
~o
~ ~ 12. was Decedent ever in lta
U.S. Armed Farces? 13. Decedents Etlucatbn S er
(pedty onty hgftest grede completed)
Elamanwp(/Seconda
(0.12) C
fi
14. Marital Statue: Mewled, Never Marred,
Widowed, DW«ced (Spacily) Black _
16.:wnivin
g Slwuse (If wife, ghre mal~n name)
pp
oo t
e
nt
lub
^ Yes ®No ry
o
ege (1.4 or 5+)
y
Di
d
16. Decedents Mailing Address (Street, city /town, s
tate, zip code)
Decedents
PA Dld D
d vorce -
514 N . College S t .
Actual Residence 17a. State tae
ea
Live in a
, 7c. ^ Yea, Decedent Lived in
Carlisle, PA 17013
17b.Counry _~
Gtiariberland Township? 17d ®No Decedent lived within Carlisle Twp
18. Pedlars Name (First, middle, last, suffix) Actual Limits a City l Boro
Charles H. Homes 19. Mothers Name (First, middle, maiden surname)
L ilia - Mitchell
20a. Informants Name (Type /Pant)
gene G~,irtis Woodbridge 20b. Infomlants Mailing Address (Street, city /town, stale, zip code)
"
"
21
M A
142
Streetr Carlisle, PA 170.13
a.
cMod of Dispobidon ~ ^ Cremation ^ Donation 21b. Date a Di
, sposition (Month, day, year)
Burial ^ Removal from State r Wrm Cromadon a Donation Autl
i
d
21c. Place d Disposltbn (Name of cemetery, crematory or other place)
21 d.:•ocaticm (City I town, state, zip code)
ar
ze
^ 01~r - ' ~r MCI Examner/coronerT ^ Yes^ No 5/6/2011
22a. Signature a F I Licensee (a
tl Cutrlberland Valle MEillDrial Garden Carlisle
PA
pe ac
es ) ~ 22b. Lkxnse Number 22c. Name and Address a Facility r
~ -
Complete dams 23e•c onty when cerdtying 23a. To dye best of m
nt FD 012633 L Stain Brothers Funeral Home Inc. CarlislE~ PA 17013
.
physidan is rat availeWe at time a deaM to y a
occurred at the time, date ant place stated. (Signature and tide) 23b. license Number 23c. Date Signed (Monts
day
year)
cerdly cause of deaM. ,
,
dams 24-26 must be cortgleted M person 24. Time of Deady 25
Date Prortourtc
d p
d
M
who praraunces death.
~- S .
e
ee
onts, day, year)
(
26. Was Case Refe
I Examiner /Coroner
f« a Reason Other Man Cremation « Donatbn?
~ ~
A M. ~ ~ ~ ~ / ~
^ Ves
CAUSE OF DEATH (See Instructions and examples)
Item 27. Pert I: Enter the than of events - diseases, injuries, «compllcafkxtS • Mat drectly caused dte deaM DO NOT enter terminal eve , Approxknete interval:
nts such as
di Part II : Enter other simifirant condlti . s+r+tdh mno to dew, 28. Did Tobacco Use Contribute to DeaM?
respiratory arrest, or ventdcular flbrltlatbn without showing the edobgy. List only ono cause on each Ilne. pr
ac arrest, t
, Onset to DeaM
but not resuldrg in the underlying cause given in Part I.
^ Yes ^ probabty
IMMEDIATE CAUSE ((Final disease «
condition resultin
in deaM i 1n..No" ^ Unknown
g
) _
-~ a. J`- Y C^• b [+ ~ ~ f-' /')') ~~ ~ p l l
D ~ ~ / S , ,
r
Ch c~i,n /,~i
29. It Female:
ue to (« es a consequence oQ.
Sequertde kst cdnddions, if any, b ~ /1 ~ ( S L
l
di
M
~
. ,
, ^'Not nant wihin ye
Pre9 past ar
• ~
ee
rg b
e cause dated on line a.
,-.
h rt S i .~
Emer Me UNDERLYING CAUSE Due to (or as a consequence of): r
r ^ Pregnant al tlme of deaM
e
s ~
M n~
t rN~Lg
a - ^ Not pregnant, but pregnant within 42 days
ven
su
dea
ST.
c
n9 ) ~ of deaM
Due to (« as a consequence otj:
d ,
~ - ^ Not pregnant, but pregnant 43 days to 1 year
. t
~ before deaM
30a. Was an Autopsy
PedomadT 30b. Were Autopsy Findings
Avadeble Pdor to Complelbn 31. Man r of Death
32a. Date a Injury (Monts, day, year)
32b. Describe How Injury Occuwed -
Unknawn dpregnant within the past year
of Cause of DeaM?
Natural ^ Hornidde 32c. Place a Injury: Homo, Farm, Street, Faaory,
Odice Building, etc. (SperNy)
r~ ~
^ Ves LWNo ^ Yes ^ No ^ Accident ^ Pe~ng Invesdgadon mod. nwte of InlurY 32e. Injury at Wodc? 321. If Trensportadon Injury (Spep'/yl 32g. Location of injury (Street, ci l}~! town
state)
^ Suicide ^ Could Not be Determined M ^ Yes ^ No ^ Ddver /Operator ^ Passenger ^ Pedestrian ,
33a. Cerdr~er (cFleclt only
one) OMer • Specify.
_ _ _ - _
• TCart~ I~tphysiclan (Physician cerdtying cause of deaM when aratfler physician Ass pr«aurlced deaM and completed Item 23)
• y krawbdga, death occurred due to the cause(s) end manner u stated _ _ _ _ _ _ _ _
^ ~c~
33b. Signatu TNa of Cerdfror _,,, y!
_.____ r..~~ j/v~`,
~ ~ / ~ ~~~~
Pronouncl and - -' - - - - - - - - - - - - - - - - - ~. License Number
rig cerdlying physklan (Physician both pronouncing deaM and certifying b cause of deaM) 33d. Date Signed (Month, day, year)
~ To the best of my krtowkdge, desM occumd at the time, date, and plan, and due to the cause(s) and manner a9 stated_ _ _ _ _ _ _ _ _ _ _ _ _ _
~ Mxdcal Examiner/Coroner D L' (,... ~/' ' ~ C7 ~ ~~
w On Me bash a examinatbn and / or Invesdgatbn, In my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner as stated_ ^
~ 34. Name and Address of Person Who Completed Cause a DeaM (Item 27)1'ype / Pdnt
„~, 35. Registrars re end Dis t 36. Date FNed (Month. day, year) ~ - ~ ~ / 7 '? /q L A .,
_ C...G' Y li S ~ ~.
Disposi6an Pennil No.~. V ~q
C~
. --, _;-1
_ ~ ~ -
i -~~
LAST WILL AND TESTAMENT ~ -- , ~~
- _ .__}
:,
I, LUCY H. CONN, of 514 North College Street, Carlisle, Cumberland County, Pe~uisylvania~~~ ~. '
' ~`.~ '~ L_._._..
17013, do hereby make, publish and declare this to be my last will and testament, hereby
revoking all wills heretofore made by me.
1. I direct my personal representative to pay all of my debts, funeral and administrative
expenses as soon as convenient after my decease. I direct that all inheritance taxes imposed
or payable by reason of my death and interest and penalties thereon with respect to all property,
whether or not such property passes under this will, shall be paid by my personal representative
out of my estate.
2. I authorize my personal representative to cause title to or ownership of my cE~metery lot
and grave marker at Cumberland Valley Memorial Gardens, Carlisle Pennsylvania, to be vested
in such person as my personal representative shall designate, and I also authorize my personal
representative to purchase a contract for the perpetual care of said lot.
3. I authorize and empower my personal representative to sell any realty and/or personalty
owned by me at my death and not specifically devised or bequeathed herein, at public or private
sale or sales and to give good and sufficient deeds and/or bills of sale therefore, in fE~e simple,
as I could do if living. My representative is authorized and empowered to engage in ;any
business in which I may be engaged at my death, for such period of time after my death as
seems expedient to said representative.
4. I give, devise and bequeath all of my estate of whatever nature and wherever situate as
follows:
A. The sum of $2,000.00 to my very dear friend, Vivian M. Coleman;
B. The sum of $1,000.00 to the Flower Guild of the Shiloh Baptist Church of
Carlisle, Pennsylvania;
C. The sum of $500.00 each to Curtis Woodbridge, Clara Woodbridge, IDenise
Sullivan, and Cherice Sutton;
D. The sum of $100 each to Lolita Butler, Alexandra Coleman, Anthony Coleman,
Michael Coleman, Sierra Goshea, Justice Ortiz, Amber Sullivan, April Sullivan,
Brittany Sutton and Kristen Sutton; and all the
E. Rest, residue and remainder of my estate to my granddaughters, Gloria Daniels
and Heather Ortiz, share and share alike. If Gloria Daniels or HeathE:r Ortiz do
not survive me, then the share of my estate given to them I give, devise, and
bequeath to such deceased grandchild's children, share and share alike.
5. I nominate and appoint Curtis Eugene Woodbridge to be the personal representative of
my estate, to serve without bond.
6. I suggest that my personal representative retain the services of Harold S. Irwin, III,
Carlisle, Pennsylvania in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 6th day of July, 2009.
LC aN'~~' SEAL)
Signed, sealed, published and declared by ±he above-named person as and for a last will and
testament, in our presence, who at said person's request, in said person's presence and in the
presence of each other have hereunto set our names as subscribing witnesses.
ACKNOWLEDGMENT AND AFFIDAVIT
WE, LUCY H. CONN, SARAH A. HARDESTY and RICHARD R. GAN, the testatri~c and
witnesses respectively, whose names are signed to the foregoing instrument, being first duly
sworn, do hereby declare to the undersigned authority that the testatrix signed andexecuted the
instrument as her last will and that she had signed willingly, and that she executed it as her free
and voluntary act for the purpose herein expressed, and that each of the witnesses, in the
presence and hearing of the testatrix, signed the will as a witness and that to the best of their
knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and
under no constraint or undue influence.
f
COMMONWEALTH OF PENNSYLVANIA
:ss:
COUNTY OF CUMBERLAND .
Subscribed, sworn to and acknowledged before me by LUCY H. CONN, the testator herein, and
subscribed and sworn to before me by SARAH A. HARDESTY and RICHARD R. GAN,
witnesses, this 6th day of July, 2009. ~ '
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Harold S. Irwin lii, Esq, Not~rY Public
Carlisle, Cumberland County
My commission expires Febn~y 06, 2011
~,
-,
Notary Public
..~
" `A ~~ ~ 1~
LUCY H. NN