HomeMy WebLinkAbout07-19-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS ~/
Estate of ~LCI YL~7V"C~ ~=V't/ ~~~ ~-- d~L?' ,Deceased ESTATE NO: 21- ~ ~`~ ~~~ b
a/k/a:
a/k/a:
a/k/a: SS NO• ~ ~ ~ ~ 3 t~ ` `~ ~ ~~C~-"
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or ~B' AND "C" as
applicable:
f~A. Probate and Grant of Letters Testamentary or ^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 n <. ~ under~~
the last Will of the above-named Decedent, dated C 1 ~ t Z~ ~ Obi7_ and codicil(s) date~~__ ~__~~ ~-~
~~ ~ r- ~ ' __ -__
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' Z ~ t,Cj
(State relevant circumstances, e.g. renunciation, death of executor, etc.) '' U~
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted.a~t~~cutiot~of the
instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitate n, and $s not=a- ;=
party to a pending divorce proceeding at the time of death wherein grounds for divorce had beedished t#s:~lefined-iitr'
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23 Pa. C.S.A. § 3323(8): ~ - ~~ ~
^ B. Grant of Letters of Administration
(If applicable, enter d.b.n., pendent life, 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:-
Arid
Relationship to Decedent
i~ a me
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7 ( ~ R; ~ ' -A w° ~ 21,0
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USE ADDITIONAL SHEETS IF NECESSARY
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
Decedent, then
last family or principal residence
1~7G'l -3
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
~~ years of age,died~~'~-~ ~~ Z~1) at ~Af2LlSC~ ~
(Month, Day, Yeaz of death) (City and State where dea h occurzed)
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
Al] personal properly $ ~ ~/ ~~~
Personal property in Pennsylvania $
Personal property in County $
Total Estimated Value $ - Z ~ ~
Location of Real Estate in Pennsylvania: (Provide full address if possible.)
Cianature(sl i
Name(s) & Mailing Address(es)
i ; ~ '71 N'.V-S ~ry E ~ ~ ~~
~~ : , i/ LnN 1 ~~ ~ ,. - i
Pone 1 of ~
Interim Form RW-02 revised 12.26.10 by Cumberland County penning acuon oy me noun
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.
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Estate of ~~ C1~~Y1C~ ~Gv~ - ~i l'I`1 \ ,Deceased File Number: 21-~_- ~~ / I
AND NOW, this l~~ay of ~,1-t,l
the reverse side hereon, satisfactory proof having
i,~1`estamentary _ of Administration
(If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.)
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the above a ate and that instrum (s) dated ~ - ~ ~ - ~2 ~ ~ described in the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
;,~Ll ~ ~ , in consideration of the Petition on
presented before me, IT IS DECREED that Letters
are hereby granted to:
in
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~C Cam- ~-~i2 l1~'l ~.t~ .~C ~ ' ~../
Glenda Farner Strasba h '4' ~ '
_,
Register of Wills
FEES' Signature of Counsel Required to Enter Appearance
Letters ....................$ ~~
Will ........................ ~ ~,
Codicil(s) .................
(~) Short Certificates • ~
( )Renunciations.......
Bond ............................
Other ............................
................................
Automation FEE......... 5.00
JCS FEE ................... 23.50
~~lp•SO
TOTAL ................$ ~6"
Atty's Signature
PRINTED Name:
Supreme Court ID No.:
Address:
Phone: _
Fax:
Interim Form RW-02 revised 12.26.10 by Cumberland Counry pending action by the Court Page 2 of 2
DECREE OF PROBATE AND GRANT OF LETTERS
OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. x+6.00
P 17.512511
Certification tiumber
RtpS.tnJ REV it2t1C6
TYPE /PRINT tN
PERMANENT
BLACK INN
1. Name (Pint nWaa, wSl, f
"F ~ o ~'c. n e~
s Age (Usl Birmmyl lMs
tm~ww
91 Yrs.
ea. c«wy a own
Cumberland
5
E. ~on
tmw3 ~ M:S..s
ec. cay, mo, rwp. a owm
Carlisle
This is to certit~~ '.hat the int~~rmation here given is
correctly copied tr.nn an ori~~inal Certificate of Death
duly filed with mt:~ as Local Registrtr. The original
certificate will h„ forwarded to the State ViCal
>rds Office fo- ennanent filin~Y.
.~ ~~ ~-~,~I-//~~ L~~
~ _-
ocal egistrar Dale (slued
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse) STATE
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Florence E. Long Female 161 - 34 - 4688 Jul
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t6. peoSpuv's MaiNq Morass (StrSSL ody I town. SNN, np mml
1000 Claremont Road
Carlisle, PA 17013
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DISpOLIgn Pemml No. -
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_-
LAST WILL AND TESTAMENT _ ~:? ~--
~= ~~ ~~~
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OF ~ ~, :. z'':y
~ ~~7
Florence Evelyn Long ~p~i ~ =~.
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I, Florence Evelyn Long, of 104 Miller Street, Summerdale,
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 all Wills and Codicils
heretofore made by me.
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4
ITEM I. I direct that all my debts and funeral expenses,
including my cemetery lot and grave marker and all expenses of my
last illness, shall be paid from my residuary estate as soon as
practicable after my death as part of the expense of the
administration of my estate.
ITEM II. I devise and bequeath all of my estate of every
nature and wherever situate equally among my issue per stirpes.
ITEM III. I direct that any and all Inheritance, Estate and
Transfer taxes imposed upon my estate passing under my Will or
otherwise, shall be paid out of the principal of my residual estate.
ITEM IV. I appoint Phillip E. Long, Executor of this my Last
Will and Testament.. In the event of his ren,~nr;at;nn, death,
resignation or inability to act for any reason whatsoever, I appoint
Kenneth L. Long, Executor of this my Last Will and Testament. I
relieve my Executor from the necessity of posting security in
connection with his duties as such in any jurisdiction in which he
may be called upon to act.
IN WITNESS WHEREOF, I have hereunto set my hand to this my Last
Will and Testament, which consists of two pages, to each of which
T"
have affixed my signature this ~~ day of January, two thousand
five (2005) .
Florence Evelyn L ng
COMMONWEALTH OF PENNSYLVANIA
ss ..
OUNTY OF PERRY
We, Florenc~,e` Evelyn Long, and t-~'~''~~J C~ L~,,~ and
~G~_ 1 , ' .~ t;,~ ' ~;~, Yl~<:Q..c, the testatrix and the witnesses
respectively, whose names are signed to the attached or foregoing
instrument, being first duly sworn, do hereby declare to the
undersigned authority that the testatrix signed and executed the
instrument as her Last Will and that she :zad signed willingly, and.
that she executed it as her free and voluntary act for the purposes
therein expressed, and that each of the witnesses, in the presence
and hearing of the testatrix, signed the Will as 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.
Fle~ence Evelyn Lon Testat
itnes~
Witness
Subscribed and sworn to and acknowledged
before me by Florence Evelyn Long, Testatrix
and subscrib ,and sworn to and acknowledged
before me by W~~--•' ~ • and
}~,- ~~; ~ . ~ i ~ ~ ~, wi nesses this
~s day of _ ~..~_, 2005.
NOTARIAL SEAL
TINA MARIE YOUNG, Notary Pubbc
Marysville Boro, Pert~- Comity
'~ ~ Oct 31, 2005