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HomeMy WebLinkAbout06-17-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of A"/vIJ>4 >n! / ~ ~ t~C 5 T'cl~ ,Deceased ESTATE NO: 21- ((- ~~~ a/k/a: a/k/a: a/k/a: SS NO• ~ ~~ r ~~ ` ~~~ Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or ~B' AND "C" as pplicable: ~. Probate and Grant of Letters Testamentary or ^ Administration e.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 under ~~ the last Will of the above-named Decedent, dated dry ~.~b~ y~ j~_~~and codicil(s) date ~N__~ r ~ ~~, ~~ (State relevant circumstances, e.g. renunciation, death of executor, etc.) ~" ~ ~ ""~ - Except asfollows, Decedent did not marry, was not divorced, and did not have a child born or adopted at~rtetc~ttion~the ' , instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated ~~~hd waaf-not a':-ti party to a pending divorce proceeding at the time of death wherein grounds for divorce had been hed as~efinect- n ..p 23 Pa. C.S.A. § 3323(g): ^ 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 ([f Administration e.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(g), except asfollows:- Name Address Relationsbi to Decede USE ADDITIONAL SHEETS IF NECESSARY THIS SECTION MUST BE COMPLETED: Decedent was domiciled at de h in Cumberland County, Pennsylvania At 1©O IY1T a ~l eh r' tr!•P a J'~'? C tC GJ ur (Street address with Post Office and Zip Code, Municipality: Town ip, B Decedent, then ~ years of age, died ~ a ~O~ ~dT O l 1 at _ (Month, Day, Year of death) with his/he-r~st family or principal residence ~ii- 1 ?D~t orough, City) ~~ J~Qr~rsd~~~ , (City and State where death occurred) Estimated value of decedent's property at death: ~ 1~ D 0 C , O C If domiciled in PA All personal property $ ~ If not domiciled in PA Personal property in Pennsylvania $ If not domiciled in PA Personal property in County $ Value of Real Estate in Pennsylvania $ - Total Estimated Value $ ~ a1 S t 000 • az} Location of Real Estate in Pennsylvania: (Provide full address if possible.) nJa Signature(s) / Name(s) & Ntailing}Address(es) C~ ~ !i-CT~.~2, ~ r 5 ~" ~ ttJ . ~2 ~. CYJL c ~t G~ 7~~ kh, l~ ,~rtJ.~ RW-02 revised 12.26.10 by Cumberland County pending action by the Court i J~ n~ -S®~ ~~~s r-~~~ 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 affirmed and subscribed -j 1~ ~ day of me this c.~,E , ~c''1 i For the Register DECREE OF PROBATE AND GRANT OF LETTERS Estate of ~~~t ~! ~- n~h~es ~ ,Deceased File Number: 21- (. i -~~ AND NOW, this ~! _ day of ~ ~'. ~ ~ ~~ , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters 1-' fiestamentary - of Administration are hereby granted to: (If pplicable, eppter c.t.a., d.b.n., d.b.n.c.t.a., etc.) f`~ In ,r, (~~:~ ~: 11 ., ~ n~~ s!-n ~ lri the above estate and that instruments(s) dated ~ ~~L` '~~ described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. Glenda Farner Strasbaugl~. ;rY (' ~v't.Jc~~ Register of Wills ~~ FEES: Letters ....................$ Will ....................... ~---- Codicil(s) ................. (~) Short Certificates ~ . f~ ~ ( )Renunciations....... Bond ............................ Other ............................ ................................. Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................$ ~~ . Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Name: Supreme Court ID No.: Address: Phone: Fax: Page 2 of 2 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court 705.905 REV.(1/1]) ~~. -~ --~ ~ ~. ~ ~~~~ This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance wtth the Vital Statistics Law of 1953, as amended. WARNING: It is illegal to duplicate this copy by photostat or photograph. 6054577 No. `~v~a,u.r,~,, o'r~.`v~.~ Marina O'Reilly Matthew Acting State Registrar FE8242011 r 1Date i'~S ~ ~~~ ~~}}~ ~Q~ ~_ ` ~„- C 7 m c n CO ~ cs? ~~ 1 ~ ~ #- : - = ~ `' ? N105.143 REV tlrzoa COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS O TYPE / PPoNf IN PERMANENT CERTIFICATE OF DEATH SLAG( INK (See instructions end examples on reverse) - STATE FILE NUM ~~ TI ~I 1. Name d Decoded (Prat, midge, haL sulfa) 2, Sex 3. Social Seariry Number eb d Deem (Mpdh, day, yarl , Female 052 - 16 - 8866 C' U9 O ~~ 5. Age ILau BIMaY) Undar 1 UIIM! 1 8. Data d BiM Morph, M 7. Bi G and Sb18 ar brel Con M. Pba d Deem Geck a aria Elonme Days Noun Moepee Nospaal: Other: 91 Yrs. All st 12 1919 Rockawa Reach NY ~ InpeMd ^ ER / oaroaaant ^ DDA ^ Narebg tome ^ RaelMrwe ^ omer - SPeaW: 8p. caunN d Deem &. Cay, Barn. Twp. d Daem 80. Faciaty Noma Qt Hat ialilulion, gHe street eM number) 8. Wes Decedent of Ninpanb OrigN7 ®No ^ Yee 10. Rau' Amedeen In6en, Black, Whae, dc. pl yea, aDacify Cuban, ( Iaau in Harrisb Harris Hos ital Mexican, Puerto Rican, etJ 1 • 11. DeceMYe lhwal Oca Knd d work done moat d ab. Do riol ebb 12. Was Oecedam aver M as 13. DecetlenYS Eduahon (SpedN mN higleu grsM camp bled) t0. MuRa signs: Menbd, Never Manbtl, t5. Sunning Spo ua (R rdpe, glue maiden ame) Kn0 d Wak Khx1 d Bwneet/lrxhrotry U.S. Ametl Porws7 Eleman !Secondary (0.12) CdMge (1-4 or 5+) Wefowed, Dhaud (SpedryJ Secre Bankln ^ Yee ®Na 12 TATl(jOWe(3 - 78.OecetlenYa Maiarg AnMNass Isheet oily/tam, ebb, ziP coda) DeaMMe Ditl DaaMd Aabu Reeidexe na sate Pennsylvania LNe m a na Deaaan uses n Uoper Allen T L19 Yea 100 Mt. Allen Thrive . . wp. DeceMntLiaedwmm Cumberland T°m'°"p7 ,7a.^NO Mechanicsbur PA 17055 . 17° D°""N AalwlurlMd GN/Bars t8. Fuhers Name (First. midge, bal. sulax) 19. Mdher:Nana IFkal. Mtlea, malMn wmeme) IInil Kummers Aru~a Me er 20a. InbmmnYa Nana (Type / PrM) 2Rb. hibrmenYa Meting Adgau (Shss4 cal' /town, see, zV code) 7 k Hill !rive 3oilin ri s PA 17007 21a. MMha d Dispoeiaon (~ Cremeaa ^ Donalhn 210. Dab d Diapodtbn (MOnm, day. Yaerl 21c. Pbp d Dlapoelcon (Name d annebry• arem.axy a Omer plan) z1a. LacaMn (ciN/bwn, stab, zp ame) - ^ Burial ^ Rertevel hen Sbb i wr Cnmetlon or Dortatlan AWMrlntl ^ Dp„r. rayM.dbrF-aadna/caren.n [~Y.a^ No ~ Feb 5 2011 Hollinger Crgnato Mt.Holl Snrin s PA _ ~ (ar person scarp ae ouch) 22e. d F 71b. Lkaae Numar 22c. Name aref Addra~ d FecigN - - - FD - 014889 Mal zzi Funeral Home R Market Plaza Wa Mechanics PA 17055 t ay rtlylrq 23s. To me bee d my , deem amarea et the ame, deb uW daa aabd.l re antl sae) 23b. Lkeree NurBer 23c. Date sigae (MOdh, MY. Year) r nol evailebM a 1' d tlaem b adN aa.a a d.am. G-s 2 /l/t /~~ ~`/Do7~3 22 L 2 ~i Zoll sane 24-28 mum a cugbtetl by Demon 24. Tau m 23. DeN Prenanatl.D/e,atl (MaM d eY. Year) 26. Wae Casa Palenretl~b Metiul Ewminer / Comror far a Rseeu Omer tlbn Cremeaon or Danatbn? who Pronounces aam. 8 = SO ~' M. / ] 2/'7 Z` ~/ ^ Yea ,u No CAUSE OF DEATH (Sea InseucUone ulg aaamplaa) , Approrinue kMrvek Pad II: Enbr other ' 2B. Dld Tobacco the Camribub to Dash? Rem 27. Put I: Emer are Nakl d menb- aiaae.a, Mme•. a mnWaatlae - mat dbedN cauaetl the Mah. DO NOT enter brmiral evenly such as anaac arrest, Oren to Deem ba not rswan9 n the undadyig Huse given in Pal L ^ y~ ^ p,ppadV rmpirstory area, or venokubr Mdlbtlon rdhaa sM•ing the eMbgy. L'al oNy one sage an each Ina. ^ Na ^ Urunown I~~ay~~aa on r~s ml M;tlaaeaea `~~J/S des rJ ~ a. 29. R Female: ^ N t t imi Due W (ar Y a caepuace~fl' prel mraaaw a ary. d. ®%/~ ~/ /~t0 /U /ice e a o pregnan w n peat year ^ Fragrant ar ame d deem ^ b the awe awe a one a. 13w b la mreeq ~: E~ UNDERLYNIG CAUSE ` n ` ,~! T Nd pre~am. as pregrerit wa,b 4z Mya d Male - (gate. arh(ury tlab kaaetatl ma FGy E KC/~f/J L [r~/L ~~ a ^ •vrenb reeWang al dMm) LAST. Due b la ae a comegarce dl: Nd praJmd, ba preyed 43 MyE b 1 year e.tm. a.em a ^ Lnknown tt re nem ralun a r t . p g re pes yea 3w. Wee m Aubpry 30b. Were Aubpey Fexlhgs 31. d l3aam - 32a Due d Inury (MUm, My, Yearl 32b. DeeaiOe 11ow Inryry Oxunetl 32c. Plan d n(ury Fbma, Pam, Strsd. Fatlay, Pertomag7 / Avabde Prior b ComPlMbn d cause d 13aem9 ~ ^ ~n+-ids Olace Buklkp, at. (Seedy! ~{ ^ ^ V ^ N ^ Aaitlerd ^ PBnrAp Invaetgeaan 32d. Time d Injury 32e. Ir(ury et WarkT 321. H Tranaporlelbn InFxy (Speay/ 329. Loatlon d hIW (Street, dtY / bnn, stab) Vas ICJ NO ea O ^ SuidM ^ DapM Nal a Ouemenetl ^ Yea ^ No ^ Odwr/Opa2ta ^ Passenger ^ Pedeahian M, Wrer - Spxyy: 33e. Cedabr (check odY one) ~ . Sigubre erM Tpb d Graaar • cmlxyaq phy.lam (Phyadan aglyiig case d seem wMn aMMr phyaiden hu premunced Mom gird comp161atl Item 23) To the boa d my bwwMdga, as.m oceumtl duaw da sur(e) and manner w abed_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _"""_' """"' _ - ~ S 2. / Y y Pronolnchp and oMRYkq PhraPo4n (PhygMn bdh pronmpxang deem antl cerllNbg b ease d deem) ^ 33c. License Nixnber 330. Dab Sigutl (Morph, My, year) Tothbaramy laloeNtlga, deem aacumdetr Brr,dM,end pYa,and eueblhs cmaa(a)eM mrrxruabbd__________________ • INgeN FirrlhmrYfororw ~ Q7~7Z '7 _ L 1 L ~ 4 ZQ~~ On era Drbdexanlmtlon andy or hwrtgelon,nmy apldon,tlrtltaalaretlnlMdnN,dab, antl pba, rM Mbgre eewe(a)aM mrnerr elebrL ^ 34. Name and AdtlremdPersa Who Completed Caws o/Dwm (Mn27)Type/Pdd ~~ S Z ~G ~ / v ~ / / cT vL/ U 35. re Sigreure ana I.~I ~Ix~l~l~l 3s. Fa•d 1 Mx rearl ~ !lI S-F2aui STQ /f,~/~~ls/fv26 P,s- l7l0/ O 0567552 Diepoeiaon Pempl No. Ttttsf ~iU ttmb C`~Ies#xu~e~d I, ANNA WINCHESTER, residing at 105 Grove Avenue, Albany, New York, being of sound mind and memory, do make, publish and declare this to be my Last Will and Testament hereby revoking all wills and codicils heretofore made by me. FIRST: I direct that all of my just debts and my funeral expenses by paid as soon as practicable after my death. SECOND: All the rest, residue and remainder of the property of whatsoever kind and nature and wheresoever situate, I give devise and bequeath to my daughter, CHRISTINE WINCHESTER DeLOACHE, absolutely and forever. THIRD: In the event that my daughter, CHRISTINE WINCHESTER DeLOACHE shall predecease me, then in that event, I give, devise and bequeath all the rest, residue and remainder of my property, whether real, personal or mixed, of whatsoever kind and nature and wheresoever situate, to my granddaughter, ALETHEA WINCHESTER to be hers absolutely and forever. LASTLY, 1 hereby nominate, constitute and appoint my daughter, CHRISTINE WINCHESTER DeLOACHE as Executrix of this my Last Will and Testament hereby revoking all former wills and codicils by me made. If my daughter is for any reason. unable to serve as Executrix, then and in that event, I nominate, constitute and appoint my granddaughter, ALETHEA WINCHESTER as Substitute Executor and I direct that my Executrix and Substitute Executrix shall not be required to file any bond for the faithful performance of their r..., J duties. ~~ na _~ z c ~~~~ ~ ~ ~ IN WITNESS WHEREOF, I hereby subscribe my name this ~~ day ~uar3rr ~~;~~ ~ Nineteen Hundred and Ninety-nine. `~ n s* NA WINCHESTER ~~ We, whose names are hereto subscribed, DO CERTIFY that on the~t day of February, 1999, the Testatrix above named, subscribed her name to this instrument in our presence and in the presence of each of us and at the same time, in our presence and hearing declared the same to be her LAST WILL AND TESTAMENT, and requested us and each of us to sign our names thereto as witnesses to the execution thereof, which we hereby do in the presence of the Testatrix and of each other, on the day of the date of the said Will and write opposite our names our respective places of residence. /1 residing at tom.. ~~ R_._. residing at ~~ ~; ~-~ _= /'i ~D `~z-~ ~:_ -; ; _~ _~-; == ~~ ~~1 CcI,~-~~o.~~c~~ ~~ ~~i~~+.~~x;~'1~~, ~i~~t STATE OF NEW YORK: . ss.. COUNTY OF ~ ~ `''~ On this-~~day of February, 1999, personally appeared before me, a Notary Public in and for the State of New York Gloria P~. Schultz and 11Tilli~ PeT~ache who being severally duly sworn on their respective oaths, depose and say that they witnessed the execution of the attached Last Will and Testament of ANNA WINCHESTER, the within named Testatrix, on the ~ day of February, 1999; that said Testatrix, in their presence, subscribed said Will at the end thereof and at the time of making such subscription declared the instrument so subscribed by said Testatrix to be said Testatrix's Last Will and Testament; that they, at the request of said Testatrix and in the said Testatrix's sight and presence and in the sight and presence of each other thereupon witnessed the execution of said Will by said Testatrix by subscribing their names and witnesses thereto; that said Testatrix at the time of the execution of said Will, appeared to them of full age and of sound mind and memory was in all respects competent to make a Will and was not under any restraint; that they are making this affidavit at the request of said Testatrix. Sworn to before me this `~~ day of February 1999. DAViD e. CABANISS Notary Public, State of NewYbflt Qualified in Albany County No.02CA5049496 c~c1 Notary Public Commiss+on Expires Sept. 18.1l~.... `~ s~Y `_ ~ ~ n .~ OATH OF SUBSCRIBING `VITNESS(ES) ~ ~ '~ ' ice; y; ~, ~ _., _.. REGISTER OF WILLS ~~+~ y~ , NSYLVANIA COUNTY, P E N ~V1Mi3c~,+-.+~-D ~ ~~ c? ` ~= ~j / ^ r~~ a ~ Estate of ~ N ~.) ~ ~ 1 h1 C ~+~ 5 ~Tc (Z~ ,Deceased 1~ 1 `L~~.-~. ~ , y"~~,.n t~ C~ , (each) a subscribing witness to (Print Names) the ~ Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /they signed the same and that she / he /they signed as a witness at the request of the Testator /Testatrix in her /his presence and in the presence of each other. (Signature) (Street Address) (City, State, Zip) f~~ (Signature) '7 ~ ~ 4 ~r K 1~ ~ LL ~2. , (Street Address) {~16t~iNfo ~~~tr~CpS, ~~ I~015~ (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed befor e this ~~ /dray of y ~/ ~~ , p ty for Register of Wills NOTE: To be taken by Officer authorized to administer oaths. Please have Execs d out of Register's Office Sworn too ffirmed and s /scribed before me this day of ~a~ . emission Expires: and Seal of Notary or other official qualified to oaths. Show date of expiration of Notary's Commission.) original or copy of instrument(s) at time of notarization. Form RW-03 rev. 10.!3.06 OATH OF SUBSCRIBING WITNESS(ES) n N Q ~ ~ C n 'L'7 ~~ om ~ ~) C7 ~, Y~ r ~~? ~ t - , ~~~~ :_- ~ ~ o , ~ rr ..~ `"`~ ~> ~l ~ //- ~~ Estate of ANNA WINCHESTER Deceased Gloria M. Cabaniss, f/k/a Gloria M. Schultz , (each) a subscribing witness to (Prdnt Name/s) the Will Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /they signed the same and that she / he /they signed as a witness at the request of the Testator /Testatrix in her /his presence and in the presence of each other. /, L/ . .,~~ rgnatur-eJ 16 Danker Avenue (Street Address) Albany, New York 12206 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills (City, State, ZipJ Executed out of Register's Office Sworn to or affirmed and subscribed before me this ~~ _ day of ~ vc r/2 o't,t~ ~' `tti" ~f ~ Notary ublic My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NO'fF.. To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Form RW-03 rev. !0.!3.06 CUMBERLAND REGISTER OF WILLS COUNTY, PENNSYLVANIA (Signature) (Street Address) DAVID B. CABANISS Notary Public, State of New Yotk Qualified rn Albany County No. 02CA5049496 ~ d I ~{ Commission Expires Sept. 18, ~ v