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Home My WebLink About07-25-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of e~l4r-~o //G /1Y Cenla ,Deceased ESTATE NO: 21- J/ --- ~' ~(~~ a/k/a: a/k/a: a/k/a: ss No: 1 ~~- ao- ~y~~~ Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: ~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 Tt,.4fa/-~~n to ~ y under the last Will of the above-named Decedent, dated ~. Zl,~ 2ooD ace (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(8): No ~XL'FPTio~tiS' 0 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 (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: Name Address Relafiio '~ Decedent-- C_,., ~~ ~ rte" _R. ~.._~ .~ ..r'.. 4~E ~~ USE ADDITIONAL SHEETS IF NECESSARY THIS SECTION MUST BE COMPLETED: ~ -~ ~.~ ..~-- c.;._ ~~ ~7 r~r~r ~~ (' !"' j....._ ~'~~~. ~ f~.i.,'I. ~4.. M~j ~... _ ,.f ,yam r^:.._.. ~. l ~....... r ~~ ~./3 C'j Decedent was domiciled at death in Cumberland County, Pennsylvania, with l~her last family or principal residence At 52aS lTJi%S,o/1 L~hC, ~L eZD~ ~cc~an:cs6arg ~OkJer /~/!~d %aa ~i~Cr/t~~o~: ~i~~7osS (Street address with Post Office and Zip Code, Municipality: To ship, Borough, City) Decedent, then ~_ years of age, died J ~ t a, Zo ~ - at Ne/v Sp%r%f .~YQS/o, E ,Pt'n~ s env Tub, /DA (Mon ,Day, Year of death) -TCity and State where death occurred) Estimated value of decedent's property at death: 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 _Va1ue of Real Estate in Pennsylvania Total Estimated Value Location of Real Estate in Pennsylvania: (Provide full address if possible.) /1~4 uE Signature(s) Name(s) & Mailing Address(es) ~.,. L IN D/F L u NA$~'RG, V'• P. , PNC 8 /4n'K N a i .3, DOGS . o • 3. (~D, - o0 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 1 of 2 OATH OF PERSONAL REPRESENTATIVE ~_ ~,~ ~, ~'~ c.._ i`~`i 7 Commonwealth of Pennsylvania W-~`~~~'' ~ ~ ~~ ~` cn CrP 3 ' ; t County of Cumberland ~~~ ~ ~' t :--, a The Petitioner(s) herein named swear or affum that the statements in the foregoing Petition rue an~ ~:,~ correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) o~the Decedent, Petitioner(s) will well and truly administer the estate according to law. ~~~ ~~ ~~ Sworn to or affirmed and subscribed bef me 's ay o ~ ~ NOti~ Lu N D /'~E~?G-, ~P., F~c A-u~ BAN,t, N~ r e Register DECREE OF PROBATE AND GP;ANT OF LETTERS Estate of t~ ~~l t ~011'~C ~. L~D~1 ~e ,Deceased File Number: 21- / / - AND NOW, this ,~~~ day of ~) ~ r ~, in consideration of the Petition on the reverse side hereon, satisfactory pro Navin en presented before me, IT IS DECREED that Letters Testamentary of Administration are hereby granted to: (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) 111 the above estate and that instruments(s) dated ~ t, Z/; ZDoD described in the petition be admitted to probate and filed of record as the last Will ) of Decedent. n Glenda Farner Strasbaugh, Register of Wills FEES: ~JU~~~ Letters .................... $ Will ....................... Codicil(s) .............. . ( Short Certificates r ( )Renunciations....... Bond ............................ Other ............................. Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................$ ~- ~~ Signature of Counsel Required to Enter Appearance Atty's Signature ~ ,s'~1 PRINTED Name: _ ~I1,t/~cs F ~i~e~/~s Supreme Court ID No.: ~ffS/,~ Address: 6 G~louse~' ~~~ ~°Cfi nr e /7d,~ Phone: 717- 710(0 -O.Zo ~ Fax: ~i 7-- 7~S' - 7y7~3 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. F'ee for this certificate, $6.00 ~~ 17557675 Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate. w°ill he ftlrwarded to the State Vital Records Office t~or permanent filing. ~~ %_" ~u~ ~ 5 ~o» ~- Local Registrar _ ~~~ Date Issued t"7 ~•_ , ~, '. ~ . ~ c_ 1 rn {.~:_.' ~ ~ D s- ~ n ~- - C:. 3 REV 11/t006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~/~E~Nrt" CERTIFICATE OF DEATH ACK INK /Brie instructions and examples on reverse) [~T~TC LII C r.n woco 1. Name of Decederd (FlreL middle, rest wffix) 2. Sex 3. Sodel Security Number 4. Date of Death (Month, day, year) 2011 20 7421 Jul 12 174 F l _ _ , y ema e Charlotte M. Conley 5. Age (Last BkltMay) Under 1 ar Under 1 da 6. Date M Bits Month da , 7. Bl C end stare a tae coon 6a. Piece of Death Chrx* on one 9 g ~ Hours Mmes A r i l 2 6 191 2 New Cumberland , p Hoap4tel: Other. YB P / Inpatrent ^ ER ! Outpetrem ^ DOA ^ Nursing Home ^ Residence ^ Other • Specify • gb, CouNy d Death Bc. City, Boro, Twp: of Death TW g 6d. FaciNty Name (H not htstlhrtlon, glue street arW number) 9. Wes Decedent of Hispanic Orlgfn? [~ No ^ Yes 10. Race: American Indian, Black, WhRe, etc. (If YeS, >i fin' (S , ~ Cumberland East Pennsbor Holy Spirit Hospital Mexkan,PuerbRlan,etc.) Whe 11. DecederK's llaual of work d one du rttoel of world Nfe. Do not state er Married, 18. Survivting Spouse (If wNe, give maiden name) 12. Wes Decedent ever in the 13. Decedents Education (Specfy ony highest grade completed) 14. Marital Status: rMca~ni e~dP N~ev o rdt~ "' ` ~ ~ ~, e U.S. Armed ForasT Elementary /Secondary (t}12) Col (1-4 a 5+) 1 L Md r i l e d N e e r acher Schoo~ 1 ~ ~ i t ~ c r c oo is ^Yas t~Na 6. l3ecedenYa Wailing Address (Street, pty /town, stela, zip coda) 2 0 6 Did Decedent Decedents p A _ Uve Ina 17c. ~ Yes, Decedent Lived in Lower A 11 e n Twp. Actual Residence 17a. State 5 2 2 5 Wi 1 son Lane , AL Cum er an TownsFvp? ,7d. ^ No, Decedent lived within Mechanicsburg, PA 17055 ,7b.cotmty Actwtumireot cirylBoro 18 s Name F middlp, last, suffix) l ~~ ~o~i 19. s Nerve (First midde maiden sumeme) foyer Cara ~ ey ymire Con n . ' Y . ~"'l. ~ II 1 e y 20b. InfomienYa Melling Address (Street, dtY /town, stare, zIP coda) 21 a Method of Disposition r ^ Cremetbn ^ Donation 216. Dare of Dispositibn (Monts, day, year) 2rc. P{ea of Dispoaidon (Name el cemetery, crematory a other plea) 21d. Loeetbn (City! town, state, zip code) PA17070 New Cumberland ®eurief ^ Rertiovalhomsrete ~wncrrrntbnaDOnenonArdhorlmd ^ ^ July 15, 2011 Mt. Olivet Cemetery , Yes No ^ Odrer • by 1ledlcel EzrMrrrl ~ - 22a al Ftxreral~~/LLtansee ( u such) 22b. Lianas Number FO 012342-L 22c. Name and Address of Fardlity Stone & MurrayF.H., 408 3rd.St,,New Cumberland,PA 17070 items 23e-c any when certllying 23e. To the y ,death occurred at the time, date ant place stated. (Signature end tllre) 23b. uanse Number 23c. Date Signed (Momh, day, Year) ' is net aveYeMe at tYne of death to A w~ c ~Z~ bO ~~, 1 Z 2 p ~ certlly cause of death. 1~1 `a J • Kenro 24-26 mwt ba catipleted by parson 24. Time of 5. Date Pronounced Dead (Month, day, year) 26. Was Case Referred to Medial Examiner t Coroner for a Reason than Crematbn a Donetbn? ~ N ^ • who pronouraes deadt. A ~ : 3 p ~ M. ~y1, ~ 2 20 ~ ~ o Yes CAUSE OF DEATH (Sea Inst-uctlons and sx plo•) r Approxknete interval: Part II: Enter other sin IfirAnt condltlons cnntdb~leso b death. 26. Dld Tobacco Use Contribute to Death? gfdY9D18 - diseases, injudes, a carplk:etlons -that dkedly caused the death. DO NOT enter renrrinal events such as cardac artest, ~ Onset to Death but not resulfing in the underlying cause gluon in Pert I. ^ Yes ^ Probaby Part I: Eller the ~IO Item 27 . . reeplretay arrest, a verdriculer fibrillation wNhad showing the etiology. Llat only one cause on each line. r No ^ Unknown r SSE IFhej disease or : ~ I~ ~+ (/ rY1(~ N ( A" ~ r 1 ltd F,..t.) G- 29. If Female: n death _~ a. i _ Not pregnant within past year ~ Duero (a as a consequence oft: ~ Pregnant at time of death Ifat condltiona, B anY, b. i _ ^ Not pregnant, but pregnant within 42 days b cause Isted on Mrs a. pw b (a as a consequence ot). i of death Enter IAiDERLYM40 CAUSE (d~sakrJury ~ u ~ _ ^ Not pre~ant, but pregnant 43 days to 1 year 'f c . S • Duero (a as a consequence ot): r before death h ^ in the pest year Unkrwwn N pregnant wit • d. i - 3Qa. Was en Autopsy 30b. Were Autopsy Findings 31. Harmer of Death 32a. Date of Inryry (Monts, day, year) 32b. Describe How Injury Pkcurred 32c. Place of Injury: Home, Fans, Street, Factory, Office Building, etc. (Specify) Pertomtad7 AvafieWe Prbr b Compretlan R1 Natural ^ Homickie ` ' f- of Cause of Death? ^ Acddent ^ Pending Inveaflgefbn 32d. Time of Inury 32e. Ir>Iury et Work? 321. N Treneportatiori injury /Specify) 32g. Location of injury (Street city /town, stele) ^ Yes ~ No ^ Yes ^ No ^ Yes ^ ~ ^ Driver/Opereta ^ Passenger ^ Pedestrian ^ Sukide ^ Could Not ba Detemthtad M. Other • Spedly. 33a. Cenifier (dreck ony one) - - - - - - - - - - - - - ~ • GrtMyNq Phyalgai (lxttyakdan artiying cause of death when another physician tree prorataiced death and completed ham 23) the awe(s) and menrwr u e4bd rr e t th d d d 33b. Signature end Title of Cerdlrer ~ j/~.._piM.~.~ '7y B~/i n - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ e u o ea occu To ttre bM d my lrnovladge, • Pronounehq and artllyllq ptfyelden (Ptryeldan bade prorwixxing death erd c•mMn9 to cause of death) To the beat d rm bwwMdpe, death axurred et tM ttme, dare, and plea, end dw to the awe(s) and manner as slatad- - - - - - - - - - - - - - - - - - ^ 33c. Liarxse Number 33d. Dale S (Month, day, year) ~ i) 9. 2 + C~ ~j '~ ) '2. f 11 • Yedieal Exemkrwl Coroner On Ure basb of axamkredorr end / a Inveetlgetbn, In my oplnlon, deeM oecuned et tM dme, dent, end plan, end dw to tM awe(s) end manner a steted_ ^ 34. Noma and Address of Peraat Who Compbred Cause d Death {hem 27) Type /Print ( , ~ ~ ~ `~ • Or " '1 C G~nn^ ~ ~ ~' 36. ReglaUer's B~ DI?tdct ~..+~ I p~ ~ / ~ ~ ~ - ~ ~ (/ / ! ~~ r T~ ~ yr 3 ~ "~ G . p l // VCs/ y7v`r' Disposition Permit No. rt~ OATH OF SUBSCR~BII~G'~~VITNESS(I~JS) ~~ {_... ~ C`t~'i ~~..~ r:_. _ .. REGISTER OF WILLS ~~ Q~-~-, ~q ~ ~ .==,' C ~ ,M,l36pt,4N,~ COUNTY, PENNSYLVANIA ~ ~ ~ . ~ ,~--= _.. . - __ c.~ Q Estate of C~iat/o~e ,/~l. ~oI1~P,y ,Deceased C !~ i-~~ .~ ~~G~~S ~'' -{~a subscribing witness to (Print Name/s) the~Will presented herewith,-{~re~j being duly qualified according to laur, deposes} and say(s) that -~~ hP /LTCiSP~ was-~-~ present and saw the above T° Testatrix sign the same and that ~~ he,~ke~ signed the same and that -~ 11P-/., f-~ signed as a witness at the request of the ~Ft-st~taT7 Testatrix in her t presence and in the presence of each other. (Signature) n/1Q/"~ ~ ~/Pi~9S '~ouSG~"' ~4'- (Street Address) CShc1 /7oS (Cite, Statc, ZiP) Executed in Register's Office Swon~ to or affirmed and subscribed before me this ~ ~ ~ day of -G , ,~. ~~~~~> p for Register of V,~ills (Signature) (Street Address) (City, Stag:, Zip) Executed Dart of Register's Office Sworn to or affirmed and subscribed before n1e this day of Notary Public My Collunission Expires: (Signature and Seal of Notar}~ or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Fa•nr /tl~l'-03 rev. 10.13.0G OATH OF NON-SUBSCRIBING REGISTER OF WILLS CUMBERLAND n Q :.,. ~~n WITNESSES- :~~rn G~ ~~~~ ~g ~-n COUNTY, PENNSYLVANIA ~~ ~~ .. ~ ~7 , . `.' ~-~ t ,r __ ~o ~~ .. ~.~ Estate of CHARLOTTE M. CONLEY ,Deceased DEBRA A. SMITH and , (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well- acquainted with CHARLOTTE M CONLEY and am/are familiar with the handwriting and signature of the decedent, and that the signature of CHARLOTTE M. CONLEY to the foregoing instrument purporting to be the Last Will and Testament/Codicil of CHARLOTTE M. CONLEY is in his/her own proper handwriting. ~` -- - ~ , - _ ture ,~,~' 4242 CARLISLE PIKE (Street Address) CAMP HILL, PA 17011 (City, State, Zip) Executed in Register's Office Sworn to or affirmed ~~d subscribed before me this ~ day ~ ~ // r--=--- _ - ~. . _~~ / C.~ e uty for Register of Wi s ~...-- (Signature) (Street Address) (City, State, Zip) Form RW-04 rev. 10.13.06 LAST WILL AND TESTAMENT OF CHARLOTTE M. CONLEY I, CHARLOTTE M. CONLEY, single woman, currently of Bethany Village, Lower Allen Township (Mechanicsburg), Cumberland County, Pennsylvania, being of sound and disposing mind, memory, and understanding, declare this to be my Last Will and Testament, hereby revoking all prior wills and codicils. FIRST: I direct that my clothing be given to VIRGINIA RAUDABAUGH, Box 37, New Kingstown, Cumberland County, Pennsylvania, for her use or to be discarded as she deems appropriate. SECOND: In the event that I have determined to make any specific bequests to any particular persons, I will have done so on a separate piece of paper which will have been enclosed herewith or which will have been previously delivered to my executor. THIRD: I give, devise, and bequeath all the rest, residue, and remainder of my estate, real, personal and mixed, whatsoever and wheresoever situate, to PNC Bank, National Association, Trustee under my FUNDED REVOCABLE TRUST AGREEMENT of May 30, 1996 and the RESTATEMENT AND AMENDMENT thereto of even date herewith, heretofore executed by me as Settlor, to be added the principal held thereunder. FOURTH: I appoint PNC BANK, National Association, as Executor of this, my Last Will and Testament. My corporate Executor shall be compensated as per its standard fee schedule in effect when services are rendered. No fiduciary acting hereunder shall be required to post bond or enter security in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~~ day of ,,~, P f , A.D. 2000. C~d~zc~.st~~ ~. l~_rm~.Q w (SEAL) CHARLOTTE M. CONLEY Signed, sealed, published and declared by the above-named CHARLOTTE M. CONLEY, as and for her Last Will and Testament, in the presence of us, who at her request and in her presence, and in the presence of each other, h ve hereunto subscri our names as witnesses. .,~ ,~ :: ---o --- ~ ~- y~ -v~ c= cn ~ u~r ~pQ ~C .~~ ~': -& ~~, m ;~c:~; _,., ,.. iii r~ ~ 4F~