The URL can be used to link to this page

Home My WebLink About06-03-11PETITION FOR PROBATE AND GRANT OF LETTE~ZS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of LEO E. LAVERTY File Number 21 11 __' ~ (JQ ~.~.~ also known as ,Deceased Social Security Number 199_01-9770 Petitioner(s), who is/are l 8 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 /are the EXECUTOR _ named in the last Will of the Decedent dated 10/15/1992 and codicil(s) dated NONE _ (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, was never adjudicated incapacitated, and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as provided in 23 PA C.S. section 3323 (g): B. Grant of Letters of Administration _ (lfapplicable, enter: c. t. a.; d.b.n.c.t.a.; pendente liter durante absentia; durante,minoritate) (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent, then 91 years of age, died on 5/2812011 at _ 240 MESSIAH CIRCLE MECHANICSRURr _ PA 17055 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ _ 600.000.00 (If not domiciled in PA) Personal property in Pennsylvania $ _ (If not domiciled in PA) Personal property in County $ _ Value of real estate in Pennsylvania $ NONE Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his /her last principal residence at 1;1055 (Last street address, town/caty, township, county, state, zap code) situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letter, in the appropriate form to the undersigned: I Signature Typed or printed name and residence BRUCE A. LAVERTY Form RW-O2 rev. 10.13.06 Page 1 Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse; (i f any) and heirs: (If Administration, c. t. a. or cl.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) e~~:• 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 acid 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 affirn~ed and subscribed before mF: the -__ ~ ___~_,..~ day of Ic ; ~~~ v -- ~ - For the Register ,~ Signature of Personal tative BRUCE A. LAVERTY Signature of Personal Representative ~ ~~ ~ ~ i_... rr-~ ._ 7 Signature of Personal Representative ~ ~;`7 ~ ~ ,~~, ~ r~ :~ c~ ~. t ,. .- ._, -,~ ' ..~ ,_i~ } ~~ wr r-!~ File Number: ~1 " ~ l - ~ ~ ~ 7 ~ ~ ~.. - 4 1 3y L.J ~'~ Q Estate of LEO E. LAVERTY ,Deceased ``~~''ti Social Secu.~rity Number: - - 70 Date of Death: S/28/2011 AND NOW, ~ 1 ~ G ,~, in consideration of the fore oin Petition., satisfacto g g ry proof having been presented before me, IS DECREED that Letters TESTAMENTARY are hereby granted to BRUCE A. LAVERTY _ in the above estate and that the instrument(s) dated 10/15/1992 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) ........ Renunciation(s) ............. TOTAL $ ~ ~ Qr~_~1 J Registe~ of Wills a ~/ ,~ ~-• / _~'~!'r,t Attorney Signature: ~' _ $ ~ r~ („1 s Attorney Name: ~ $ ~~~ ~"L Supreme Court I.D. No.: 24849 $ r~_ - $ Address: 54 E. MAIN STREET _ $ 1,AECHANICSBURG _ $ ~ _ 17055 $ Telephone: 717-697-4650 Form RW-02 rev. 10.13.06 Page 2 of 2 _ _ _ _ _ HIO~.R05 KL~ nil!o-~ - - - - - - - Lt~~AL REGISTRAR'S CER~'~~I~~~~'~~C~N ~ ~~~"~ °V~/l~RNING: It is illegal to duplicate this (-~~p~r ~~ ~il~c~t~ttat ~'9i• ~~h~~'uo~r~•I.-,'-,_ Fee f~~r this rt~rtifics-itL~- :~ti(1-i)~~ P ('t~rtificati(~n ltii(n)N~L~- ,r,rrr! T .. 1j1''~p,~t~~~°~ ~~~,'°~~ ~ h- _ Z ~1 in rte. , V , t o ied -a `i D . '' ~ ;, ,~ ~~ ,,~'r •qq _ _ ~ ~~~~ ,,+ ,. , - ~17~ !t' e '! ~~~~ t.°+'i)),i11A?Ii I,'R' ;t~~'i'I Iti ~I°~ i :.~ e ..'~ _ a z ll..i-~r(1 (L~;~it(~~AtL~ 1 r ~~~°•,t13 tl I,Q-i ~' i,lll 1 i R lk ~ a. i J r -1.1 l .:; E, ~~i~_i,1!•~i~. ,,as." i .i~._';Il£fl ~('(Ilrt~~r., ~ ~' It- °(t1 ei'I~i'l~ ~r~r C~lt` ~3~:;Pi.` ~d!'"E~ ¢< "~ti t i-l~ (7f` . . I~iiit,';i( k~l~~I1~, .. -4-~.1__ _ fit' _~. -- -- l i~ ~~, ~ _ . I ~I:llr- ~'4 • (1;~t-', iQ. T`~.. ~t ~ ~~~e CQ ~~ ~ 1, `.(. ~ .~ ' ~~~ ^~ _ 1 "T? F .,, H105-143 REV 11/2006 ~ ~ W `• TYPE f PRINT IN COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS A tr,? ~•~ BLACK INK PERMANENT CERTIFICATE OF DEATH '~-- (See instructions and examples on reverse) STATE FILE NUMBER 1. Name of Decedent (First, middle, last, wdix) 2. Sex 3. Social Security Number 4. Dale of Death (Month, day, year) Leo FluA-~od Laverty Male 199 - 01 9770 May 28, 2011 5. Age (Last Birthday) Under 1 year Urxler 1 day 6. Dale of Birth (Month, day, year) 7. Birthplace (City and state or foreign country) 8a. Place of Death (Check only one) kbrxns Days Hours kkrxxes Hospital: Other: - 91 Yrs. December 26 1919 E~lola, PA ^ Inpatient ^ ER! Outpatient ^ DOA [~ Nurse Horne ' 8b. County of Deatn &. Cit , Boro, Tw . of Death 9 ^ Residence ^Other - Specity Y P 9d. Fadkry Name QI nd inshtution, give street and number) 9. Was Decedent of Hispanic Origin? No Yes - ® ^ 10. Race: American Indian. BWCk, White, etc. Cumberland Upper Allen rT~.~-~, Of Yes, specify Cuban, (Sl~h1 i "~" Mexican, Puerto Rican, etc.) Whlte 11. Decedent's Usual Occu tan Kind of wade done Our moss of work Ida. Do rat state retired 12. Was Decedent ever in the 13. Decedent's Education ity only Mghest grade completed) 14. Marital Status: Married, Never Married, 15. Surviving Spouse (If wife, give maden name) Kind of Work Kind of Business! Industry U.S. Armed Forces? Elementary I Secondary (0-t2) College (1-4 or 5+) Widowed, Divorced (Spedryq `Il~rn 11-11 yam- C5 R~stal S~Vlpe ®Yes ^ Nd 12 W1doWed 16. Decedent's Mai4ng Adtlress (Street, city! town, sate, zip code) Decedent's 100 Mt. Allen Drive Did Decedent - Adual Residence t7e. State _ PennsVlvanla Live in a 17c Township? ®Yes, Decedent Uved yr _,~~~_~~ iwp Mechanicsburg, PA 17055 ,7b. county Cumberland 17d. ^ No. Decedent LNeO within AcWal Limits of Coy I Bao t6. father's Name (First, middle, last, wdix) 19. Mdher's Name (Pest, made, maiden surname) Jacob Laverty Carrie Fahnestock ZOa. Informant's Nanie (Type ! Prinq 20b. Infommant's Mailvlg Address (Street, city / [own, state, zp code) Bruce A. Laverty 9806 Harvey Court Bakersfield, CA 93312 21a. Method of DisPosaan ~ Cremation ^ Donation 21b. Dale of Di sposhion (Month, day. Year) 21c. Place of Disposition (Name d cemetery, crematory or other place) 21d. Localidi (City I faun, sate, zip code) o - ^ Burial ^ Rertavai Irom State i Was Cremation w Donatbn Authorimd N - ^ Other - fN i by Msdiuf Exemirw /Coroner? ®Yes ^ No June 3 , 2011 Hollinger Crematory Mt .Holly Springs , PA a 22a. ~ lure tm lx (or person actvg as such) 22b. License Number 22c. Name and Address o1 Fadtlty ~ - - 8 Market Plaza Way FD - 014889 Mal zzi Funeral Home ~, e 2 c only when ng 23a. To me d my knowledge, death ocaxred al the time, date and Mechaniesbur PA 1705.. physician is not available at lure of death to ~ Pie stated. (Signature artd title) 23b. License Number tar4ty Huse of death. 13c. Dale Signed (Month. day. year) - Items 24.26 mtW be by per 24. Time of Death carttpbled son 25. Date Prasuraed Dead (Month, day, year) 26. Was Case Referred to Medical Examiner 1 Coroner for a Reason Other than Cremation or Donation? who prorawrces death. ~ ` e M. ~ ~ O `' ^Yes No CAUSE Of DEATH (See instructions and examp r Approximate aterval: Pan II: Enter other Item 27. Pan L Enter the chain of events -diseases, vrjuries, or exmpkcatiorts -that directly caused dte death, DO NOT eM -Hal events such as cardiac arrest, ~ ~ ~ ~ ~ 26. Dvl Tobacco Use Contribute to Death? respratory arrest. or ventricular fifxi9atan without showi the r Onset a Death but not rewla n pro ^ ^ roba~, n9 etlology. Ust only orle cause on each Iae. , n9 txxlerlying ease given a Pan 1. Yes P IMMEDIATE CAUSE Fnal disease or _. _.. .t - r ( / I ^ No ~Unkrawn condition resulting in death) -~ ~~ : C-(_ L? ~ ~ (~ ~ / ~~~/ '' `` _ -~ a. ~ ~i f- ~ (~~9T~ :?9. If Female: Due a (or as a consequence oY): t SepwntiaUy list ixxrdtians, if arty, b r ~ ^ Nd pregnant wittvn past year to the rouse fisted an line a. t ~!~ -% Enter UNDERLYING CAUSE Due a (or as a wrtsequerae oQ: ~ ..J LI Pregnant at time of deem (disease or injury that vitiated the c r 0 ^ Not pregrwd, but pregnant within 42 da events resulting rn death) LASL r a deem ~,~~ Ys Due to (or as a consequence oQ: r r ^ Not r d. , D agrant, but pregnant 43 days to 1 year r before deem 30a. Was an Autopsy 30b. Were Autopsy FvWVgs 31. Manner of Death ^ Unknown it pregnant within the pall year Performed? Available Prior to Complelbn 32a. Date d Iryexy (Month, day, year) 32b. Describe How Injury Occurte0 ~~Fr~77''~~ ~~~~aturai 32c. PLxe of Injury: Flome, Farm, Street, Factory, of Cause of Death? 7`-'f"` ^ wide Office Building, etc. (Speclty) ^ Ves ~ No ^ vas ^ No ^ Accident [~ Pending Investigation 32d. Time d Injury 32e. Injury at Work? 321. If Transportation Injury (Specify) 32g. Location of Irqury (Street city /lows, :;fate) ~ ^ Sukade ^ Cab Not be Determined ^Yes ^ No ^ Driver ! Operator ^ Passenger ^Pedestdan M' ^ Other - Specity: 33a. CeNfier (check ony one) 33h. S' .. r p\-~ • Certifying physkian (Physician certifying cause of death when aralher physiden has pronounced death and completed Item 23) / ~ Z~ ' U~ To the best of my knowledge, death occurred due to the cause(s) and manner as stated_ _ _ _ _ _ _ _ ~ i • Pronouncing and urtlfyMg physaian (Physician born prorauncing death ant certtlying to cause of Beam) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ i To the bast of my knowbdga, death occurred el the time, date, and lace, and due to the ea sand manner ec slat ^ 33c. Lcense Number 33d. Date Sigrad (Frlonth, day, year) P use() ~"--'------- ~f 1 w Medical Examiner /Coroner - - - - - D S GU~.P ~ ~- SZ , !/~.,1 i /L v On he basis of examination and / or investigation, in my opinion, death occurred at the tune, date, and plus, and due to the wuse(s) and manner as sated_ ^ _ ~ 34. Name and Address d Person Wta Completed Cause of ath (kern 27) Type I Print o R tray's Signature and District plum ~ /~j ~Y1 ~ -y~t,t-Q~ u, - Ii.~ I ~ ~~ ~ ~ ~ ~~ ~t1 t~~ (Month, tlaY. ~e l) /f 'r• Disposition perm;, No. 0599474 17297774 LAST WILL AND TESTAMENT I, LEO E. LAVERTY, a resident of Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking any and all Wills and Codicils previous~y made.by me. I I declare that I am married to ELIZABETH A. LAVERTY, and that I have one son, BRUCE ANDREW LAVERTY. II I direct that my debts and funeral expenses be paid as soon after my death as is practicable by my Executrix out of my residuary estate, but not from any assets, funds, death benE~fits or insurance proceeds which are otherwise excludable or exempt from my gross estate for federal estate valuation or tax purpose;. III I direct that all estate, s~,~ccessior., legacy, inY:eri+:ancW or other transfer taxes, however designated that shall become payable by reason of my death in respect of all property comprising my gross estate for death tax purposes, whether or not such property passes under this LAST WILL, shall be paid by my Executrix out of my residuary estate, but not from any assets, funds, death benefits or insurance proceeds which are otherwise excludable or exempt from my gross estate for federal estate valuation or tax purposes. IV I give, devise and bequeath all my property, whether real or personal, wherever situate, including any property over wh.ic:h I may have a power of appointment to my wife, ELIZABETH, provided that she survives me by thirty (30) days. ~-«, `~ ~, ;~' .~ ~- r"i'~ t-'7 Q ~ ~"..~°3 C:..a ~-, r ~Q---~ w ~.:. ~ ~~ ~ V If my wife, ELIZABETH, shall predecease or fail to survive me by thirty (30) days, I give, devise and bequeath al.l of my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment, to my son, BRUCE, in equal shares, per stirpes. VI If my wife, ELIZABETH, and my son, BRUCE, shall predecease or fail to survive me by thirty (30) days, I give, devise and bequeath all of my property, whether real or personal, wherever situate, including any property over which I may have a ~>o~wer of appointment, to my grandchildren, in equal shares, per st:i:rpes. VII If my wife, ELIZABETH, my son, BRUCE, and my grandchildren, shall predecease or fail to survive me by thirty (30) days,, I give, devise and bequeath all of my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment, to my son's wife, per stirpes. VIII If my wife, ELIZABETH, my son, BRUCE, all of my grandchildren and my son's wife shall predecease or fail to survive me by thirty (30) days, I give, devise and bequeath everything as follows: a) 50$ to THE MECHANICSBURG CHURCH OF THE BRETHREN. b) 50$ to THE CHURCH OF THE BRETHREN HOME, New Oxford, Pennsylvania. IX I nominate, constitute and appoint my wife, ELIZABETH, as Executrix of this LAST WILL, to serve without bond. If my wife is unable or unwilling to act in that capacity, then I nominate, constitute and appoint my son, BRUCE, as Executor of this LAST WILL, to serve without bond. If my son is unable or unwilling to act in that capacity, then I nominate, constitute and appoint The FIRST BANK AND TRUST COMPANY, of Mechanicsburg, its successors or assigns as Executor of this LAST WILL, to serve without bored. IN WITNESS WHEREOF, I, LEO E. LAVERTY, have set my hand to this LAST WILL this ~ °:--gig, day of 1 r: ; ~_:.~ ~ ~.-' , 1992 . ~~ '' ~' w' ;ti" ~a S ,. i' 'ti LEO E. LAVERTY _, Signed, sealed, published and declared by the above-named LEO E. LAVERTY, as and for his Last Will and Testament, in the presence of us, who, at his request and in his presence, and in the presence of each other, have hereunto subscr~bedr~our names as witnesses. ! 1" / ;' ,'` ~, ~. , .-f .~ r ~/"~ _~ ' ~ . t-- ACKNOWLEDGEMENT Notary Public r,~;;;-~~:~ seal Diane tti1.:;;r~r,-~, i~~otary Public Mech~.ri~.b,.~r~ s~;r0, ,~umberiand COUinty My ~,~^,:'?'{~;il`>S.'':JIl l:~1:frF:ti JUnC ~2, ~) 9~~ AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA : COUNTY OF CUMBERLAND ; ss. I, LEO E. LAVERTY, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed anc~ executed the instrument as my LAST WILL; that I signed it as my :Free and voluntary act for the purposes therein expressed. `~ ;~ 7 LEO E. LAVERTY Sworn or affirmed to and acknowledged before me by LEO E. :C~AVERTY, Testator, this ' ,- ^~ . day of "~ ,~ ~" , 1992 . COMMONWEALTH OF PENNSYLVANIA : ss. COUNTY OF CUMBERLAND We , ~~ ~ ~- r~ ~ ~ ~` ~. ,_ ; . ~ ; - , ~ ~~ and ~~~ '~^r ~.~ ~~~ ,~ ~ ~ ~~' -~, , <r ~' , the witnesses whose names are signed to the attached or :foregoing instrument being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as his LAST WILL; that LEO E. LAVERTY signed ~ai.llingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge, the Testator was a~ t e time 18 years of age' or more, of sound mind and under no const'rint ,.or undue' in~~uen e. ~~ ~/ ~ ~ ~ / J ~ r <~ ' ~/~ A' s ~~ ~ ~ ~// ~ Sworn or affirmed to and acknowledged before me this '~~ day of ' 199; . w ~ :-p.. Notary Public 1~1Gf2ri~l Seal pl~n® M. ~:~rith, N~~tary Public M~ch~!yic~b!arc~ ~,ra, Cumberland County Niy C~prncynssran Expires June 22,199E