Loading...
HomeMy WebLinkAbout05-27-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of VELMA C. CALLAGHAN ,Deceased ESTATE NO: 21- ~ ~ - L ~? ,~~ a/k/a: JOY CALLAGHAN a/k/a: a/k/a: SS NO: 448-05-8173 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: O A. Probate and Grant of Letters Testamentary or O 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, dated ~ 1/7/2007 and codicil(s) dated (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 instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and 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(g): O B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent late, durante absentia, dnrante minoritste) 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 part a pendinivorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(g)'•`-'~~pt as fol'bws:~ Name Address R to DeF~h ~•J (: ~ ~~ .. y- USE ADDITIONAL SHEETS IF NECESSARY EX~ ent __. ~ rte-; ~~~ r \~..4 ~~ "'E'at ~~ ~n ,~ THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 1002 Armstrong Road, Carlisle, Carlisle Borough, Pennsylvania 17013 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then years of age, died Estimated value of decedent's property at death: If domiciled in PA If not domiciled in PA _If not domiciled in PA _Value of Real Estate in Pennsylvania at (Month, Day, Year of death) (City and State where death occurred) All personal property $ 500,000.00 Personal property in Pennsylvania $ Personal property in County $ Total Estimated Value $ 500,000.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) -, Signature(s) Name(s) & Mailing Address(es) Jack K. Callaghan, 1002 Armstrong, Road, Carlisle, PA 17013 ~.. .. 90 5/4/2011 Carlisle, Pennsylvania Interim Form RW-02 revised 12.26.10 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 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 aff raved a;~d subscribed ~~~ ~ ~,,,,, before me this ~_ da• of ~/ s~ ~e ~' `~ For the Register '"'a ~ `-~'~ . DECREE OF PROBATE AND GRANT OF LETTERS 1D~ Estate of Velma C. Callaghan a/k/a Joy Callaghan ,Deceased File Number: 21- (~ ~ ~ - ~ AND NOW, this ~_ day of , in consideration of the Petition on the reverse side hereon, satisfactory proof havi been presented before me, IT IS DECREED that Letters x Testamentary of Administration are hereby granted to: (It applicable, eater c.t.a., d.b.n., d.b.n.c.t.a., etc.) Jack K. Callaghan in the above estate and that instruments(s) dated 11/7/2007 described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. _l lenda Farner Strasbaugh, ~ r CI ~~~ ~~~~ ~~ ~ Register of Wills FEES: Letters ....................$ 410.00 Will ....................... ih -fSC Codicil(s) ............... (1 )Short Certificates 4.00 ( )Renunciations....... Bond ............................ Other ............................. Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................$ ~' `~ 57r~ Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Name: Elizabeth H. Feather Supreme Court ID No.: 92618 Address: 3631 N. Front St. Harrisburg, PA 17110 717-232-7661 717-232-2766 Phone: Fax: Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 OCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 1,,,,r%%'~~~---%---.., phis i~ to certify that the information here given is ,,1~~ NTH OF p ~~~~~,,~~~,P- ~y~s- ct~rrectly copied fro)~~ an original Certificate of Death o r~~ duly filed with me as Local Registrar. The original o _ ~ ~ z certificate will be f~lrwarded to the State Vital * ~ .; ~-~ ~ ~* ~ Records Office for ~~~ermanent filing. . ~. . P 17450902 __° - __. ~ ,, ~.~.~! ~,o~9lM ~ --= ~~~?~~~'' _ ~"e-~s~c~~ M 6 2011 " ENT ~ ~ - Certification Number """""'' -----.,,,,~~~/~''' - Local Registrar date Issued _ - __ _ _ ~ _... _ - _ _ ~__ __ __ ___ _ ~ ~ ~ 7~ t ~ .. .~ _ , N ' ~ ~!? ..J ~ n c~ ~~ ~. C~ k H106143 REV 11/2008 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE I PRMIT IN ~uc~"yc x~ CERTIFICATE OF DEATH /See inaefrur_flnne 'nab .v-~nntw- .....-..-.-.,~ Z .~ 6 V W `b' - ~IAIt NILE NUMBER 1. Name d Deoedera (Fkat, midrib, leaf, su8bc) Velma Callaghan 2. Sex 3. sodel sacaiy Nuriber 4. Date d Death (Month. day. year) Female 448 _ 05 _ 8173 May 4, 2011 5. Age (Lacs BhBday) llrlder 1 r lhrdx 1 8. Deb d BkBr Madh, 7. and ebb a 8e. Pba d Deets Cfreclc ale . ~ Moraw ~ Eloise Aenae Hospital: Other. - April 3 / 1921 Attica / ~ y~ ®lnpetbm ^ ER / outpatlent ^ DoA ^ N : '~ ~e ^ Residence ^ OMer - Spedl y ~. Colawf' d D•aM tk. city, t3ore, Twp. d Death ed. FsdAy Name (g nd krotlhrtion, glre street and nunber) 9. Wee Deadant d ~ • Cumerland S. Middleton Zap. Carlisle Regional Medical Center ~~ ®~ ^ Yea ,O.iAmerianlydian.8bd4Whde'ero. (n red, apealy coven, • Mexican, Puerto Rlan, ero.) White • 11. Deadent'e lJatml d work done moat d Ab. Do rat ebb 12 Was DecederM ever b Ble 13 Deadertt'e Eduadon S d d hi h Kkd d WCrtr lard d Btstirlese /I r U.S. Amad Faras7 . ( ee y Ek a y g est pads canplated) 14. Mental Sblw: Marred, Never Married, ~~ (SP~YI Wd0"1Bd 15. Survivktg Spouse (If wAe, glue maiden name) Home ^ Yes [~No +nbltery / Secardary (o-12) College 11.4 a 5+) ' • - 18. Decedents Mm'CMtg Address IStreet, dy /town. abb. zip axle) 1002 Armstro Road ng Deaderlfa ACWaI Residence ,7a. ebb PA od oeceaad Live in a 17c. ^ Yea Decedent IJved in Carlisle, PA 17013 , Twp „~,~,, Cumberland T°"""MD' na. C~i4o,DeaedentLivedwlttun AdwlLimibd Carlisle 18. FeMefs Name (RreL nrrdrAe, lest, BdPo() William Arthur Ca tl cly/Bore 19. Mother's Nerve (Fast, mldde, rrlaidarl sumama) s e Anna Martha Elizabeth Crane Zoe. InfomautCs Name (type /Prim) Jack Cal laghari 20b. lrlrortnenPa MaAing Address (street, dly /tea,. ebb, zp code) 1002 Armstrong Road, Carlisle, PA 17013 21a. Method d Diapoettlon 1 ^ ~,~ ^ ~„a~ 21b. Deb d DiapaMBon (Malts, day, year) 21c. Place d Disposition (Name d certlelery, aertierory a other pace) 21d. LoaBon (Cly/town, slab, zip Code) 9 2011 d Ma ~ Bats ^ R f'a" ~"e ' w. D""""°" °` °onitlo " "" ~ y n ' °' i ~ Westminster Cemete Carl isle, PA 17013 - ^ QBter- lbdkal Exardrlar/Corarr? ^ Yee^ No • ~ a ~"ng °~'~') ~~ ~1Be "'""~°' ~°~ "~~° ~id A d Fa~Ay Hof fman-Roth Funeral Home & Crematory - - .138504 i e PA 17013 ibrtls only wlan ag 23a. To the beat d my lagwledpe. deaM ocaxred at the time deb and place abbd. (Slgnaare and tl8e) 23b. Liarlee Nunber rgrled (Momh, day. Year) pttypderl b rat avdeble at Brtre d deeM b 23c. Deb S' ~ ~ ~ pray aeaee d deeal. M'~ ~ ~ ~T 7 6 ~ 0 a 20 ~ 24 Tk d D ~ tbma 24-28 mIW be compbbd by Parson ~ who proraaaes daeM. . ne eaM ~ 28. Deb Praaaaed D/~W (Modh .year) ~ • 26. Wed Case Rebrred ro Medk;al Examiner /Coroner fa a Reason OMer Man Cremedon a Darwtlorl7 I g M. ~ZO I ~ ~ S ` 6 4 ^ Yes ~Q'~O CAUSE OF DEATH (See Imtrttctlons end examples) kNerval: Part II: Enbr antsy 28. Did Tobacco Use ContrAxde to DeeM9 Ibm 27. Part I: 6tbr Bye ~„Qj - dbeesea, hjuriea, a oonpMrjBga - tlbt drectly caused the deaM. DO NOT enter bnrlkal events slah es cardiac arrest ~ , Oroet rob Deets lxA not In the ^ P respkatay erteM, a ventrlctaer 11brNblbn witlaut Mroalrq the e8obgy. Lbt aMy and catlee on each Ana. r 9 Ixderiylrlg cause given in Par! I. ^ Yea TECAU$E dbene a ~ ^ No ^ Unknown n -~ ~ N Vw ~ / e `~ 2 a. ~ . I T q ~ r 29. 8 Female: oue ro (a as a wroequence of): ~ ^ Nd pregnant wiMm Pest year Ast mrrdliaxt, A any, , b alma Meted on Ana a. b' r ^ Pregnant at time d deaM Enbr IMIDERLYNKi CAUSE Duero (a as a oaweQwnce d): i ^ Nd pregnant, but preprent wlMdn 42 days (deease d'ay' Met inMbbd the c r d d M ' . ea - events reeula ng 1n deaM) LAST. Duero (a es a aavrequsras ot): ; ^ Nd Pre9nent, but pregnant 43 days ro 1 year - d r ~ behxe death , ^ Unknown fl preplant wi8dn Me past year 30a. Was an AlMpey 30b. Wars Alrropsy FkMixga 31. Meapar d Death 32a. Dab d I ' Pertamed7 Available Prbr ro Conlple8on ,x._,J/ ^~ (. ~Y, lraar) 32b. Dexri6e How In)uy Ocaared 32c. Plan of Injury: Fbms, Ferm, Street, Eatery, Nel l ^ H OfB B urs omidde a uildxlg, etc. (Spedly) d Cause d DeeM7 ^ Ysa ~NO ^ vas ^ No ^ AcNderq ^ Pendkrp Invasapa8on 32d Titus d Injury 32e. Injlsy et Work? 32f. M TrenapabMOn Injtxy (Spsclly! 32g. LoaMon of kMaY (Street, Cllr /town, elate) ^ Yea ^ No ^ orluer/opaata ^ Peaeenper ^ Pedeabian ^ suidda ^ toad Na ba t>ebn,rkled M 33e. c.rntw (aleck only one) tAher - spate 33b. Slgrlalure and Title d CertlMa M~ • ~YMg PM•~•n ( ~Yro9 cause d death wtlerl arasler phyaldn hea pranorncad deaM and cartpleted torn 23) 1 TotMbaetdmybwwbe a dwMO dd ' ~ ~ g , aurra /~ wrotMawa(a)andmannernatated--------------------------------- ^ P10n01N~ng urd Ong PM~bn 1 bats praxxncing o1eeM and artllyarg b tales d assts) 93c. Liarrw Number 33d. Date Signed (Monts, day, yesr) To the best d my ror••'bd9•. assts oaurred et tM tlnle, dale. and pba end dud to 1M arres(s) end manner e t bd , a a a _ _ _ _ _ _ _ as ~ . /1~~ ~ ~ 6 ~ /' ~'b ~ 2Q` • MdkNExamNlar/Caonsr -------- •~"Y~ (.J,7 On Ura b a s b d e xam k r tl on and / or ImasBgMbn. In my oplnlon, d~th ooearod at the tNna. dale. and plead. and due to the awe(s) and mamwr a alabel. ^ 3q Name and Add ass d Pen a Wh C l . arp etsd Cause d DsaM (Item 227) Typs //Prim /~/..y/J~ _ yo ~n ~ a D ~i ~p\ ~ue -n\ ~y ~ ~ ~ / ~ ~ ReglcUsf ~~~~.~.w`IC. #T • ~Q~~C ~ I ' I c~ ~ ~ I 38. Dots Fbd (Madh, del', Yeaz) ~..7 7~~ ~ L I`,• ~ ~ ~YT/-j•,~.G1' ~ ' - "" Oispaltlon Permit No. ' V lt2 l(o U,~{~ ~~ ~. ,a ~.= ~~ r_~ e '" :.~ ~ C; 7 ',~. u~`'~c' ~.~ L ast 1_ an. T estament ~o~ ~>~~. ~~`~~ VEI.MA C. c, Ai,l.,~cJ~~AN U : , :. ~ I, VELMA (.. CALLAGHAN, of Carlisle, Cumberland County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all my just debts and fianera! expenses be paid as soon afker my decease as may be practicable. ITEM II: All the rest, residue and remainder of my property and estate, both real and personal, of whatsoever kind and wheresoever situated, whicl~i 1 may own at the time of my death, I give, devise and bequeath unto my husband, JACK K. CALLAGHAN, provided he survives me by more than thirty (30) days. I"1,I;M III: In the event my husband shall not sur~~~i~~e in equal shares, share and share alike, or to their living issue per stirpes. me by more than thirty (30) days, I then give, devise and bequeath all the rest residue and remainder of my property and estate to my children, MARY ANN CALLAGHAN, KA"1,III,E1-';N C. LARNOWSKI, WILLIAM H. CALLAGHAN and PATRICIA C. MII,I,ER, ITEM IV: I hereby nominate, constitute and appoint n;y husband, JACK K. CALLAGHAN, to be the Executor of my estate. In the event that my husband shall not survive me, or shall otherwise fail to qualify as Executor, I then nominate, constitute and appoint my daughters, MARY ANN CALI,AGI-IAN and KA"1'1-II,I_;I~::ti ~', 1AR?VOWSKI, to serve as alternate co-I=;x~cutrices to serve in his place and stead. 1 dir~:c~ that neither my Executor nor my alternate Executrices shall he required to give a bond fvr the performance of duties in this or any other_;uri>diction. Page 1 `y ~ /yam/,/,/ IN WITNESS WHEREOF, I, VELMA C. CALLAGHAN, the Testatrix, have to this my Last Will and Testament, written on one side only of two (2) sheets of paper; set my hand and seal this ~ ~ day of !N~`--'tom-- 2007. C,~ (G~. ~~(SEAL) VELMA C. CALLAGHA Signed, sealed, published and declared a5 and for the Last Will and "Testament of the "Testatrix, in our presence, who in her presence, and in the presence of each other, and at her request, have hereunto set our hands and seals as subscribing witnesses. ~ residing at 2 ~-- 2 ~'', CCt~,,,, ~- ~ ~. Gf, l~ !-~ i ~ o ~ residing at //~i~~iNN,r/©!!J ~ ~'~.P,~'~c.~g`,~~~/>~~p Page 2 COMMONWEALTH OF PENNSYLVANIA COUNI~Y OF ~~~.~ ~' f~ ~ -~ SS.: The Testatrix and the witnesses whose names are subscribed to the foregoing instrument, being first duly sworn and qualified according to law, do hereby acknowledge and declare to the undersigned authority that the Testatrix signed and executed the instrument as her last Will in the presence of the witnesses, that she signed willingly or willingly directed another to sign for her, that she executed it as her free and voluntary act fir the purposes therein expressed, that each of the witnesses, in the presence and hearing j~f the Testatrix, signed the Will as witnesses, and that to the best of their knowledge, the ~'estatrix was at that time eighteen years of age or older, of sound mind and under no constrainlt or undue influence. Sworn to, subscribed and acknowledged before me by the above n med Testatrix and witnesses this ~ ~'~ day of y~~~ f~~,,..,~ .~,,.-- _ __ , 2007. ~~Lc.,~.'-= SEAL) !'4j `~'`~~-- Notary Public 124704 coMM~~n~n~ of ~wrsnvaNw Melva ~ Lam, N~olary t'~blc s~ T~P~ Dat,plth G~o~un~r My CanMoelon E~q~lres Oct 13,, x'11 ~~^~~ YN~ AssodNion of Naps co~on~w~a~rH of ~n~s a~~. maser Mersa M. faces, Notary Pub1a Susquf~anna Twp., Usuipii><n My Ccxnmission E~+es Od 13~ Membs-. P~nnsylvar~ Assooletlon of ©tr ~-;, Page 3 ,, ~~ r Testatrix v