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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 I~' ~~ l1~ ~ (N1 ~ G~ ,Deceased ESTATE NO: 21- f ~ ~ C.~ ~~ a/k/a: a/k/a: a/k/a: ss No: 2t~Q - ~..~ ~- ~ =~ Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as amp licable: ~„~, l~A. Probate and Grant of Letters Testamentary or ~ Administration c.t.a., or d.b.n.c.t.a,~(~omplete P.~1 C also-, and aver that Petitioner(s) is/are entitled to the aforementioned Letters ~ 4 I@~'7 the last Will of the above-named Decedent, dated ~ / ~ A.i9u / ~ ~ q and codicil(s) da~l-a {_,.. ,s ~ .rn ~ ~,, ~r:} ~r~~ -- (State relevant circumstances, e.g. renunciation, death of executor, etc.) -"7 ~) -n ~~~ - _.,~~ z+ Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adoptec~„~'t~execution of th~`^ instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacttated,8et~on, and was no~~ ~j party to a pending divorce proceeding at the time of death wherein grounds for divorce had been~stablished defined in`n' 23 Pa. C.S.A. § 3323(g): O 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(g), except as follows:- Name Address Relationshi to llecedi ant USE ADDITIONAL SHEETS IF NECESSARY THIS SECTION MUST BE COMPLETED: Decedent was dom/~ici^led at death in tir gmjberla/n-d County, Pennsylvania, with his/her~ast family or principal residence At /, y`-'r '/ ~17~1~/g~'' V1.:. L~ l~(~IQ r i4 y ~ y (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) `-~ Decedent, then years of age, died ~ ~ ~. o at /'~`( C.~ ~~,s' R USG I" ~" ~ // (Month, Day, Year of eath) (City and State where death occurred) Estimated value of decedent's property at death: If domiciled in PA All personal property $ 2 ~~~®~ ~ ~~ 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 $ ~ ~ _ b 0_ ~~ Location of Real Estate in Pennsylvania: (Provide full address if possible.) Signature(s) Name(s) & Mailing Address(es) A ~ C ~c,~~~or^ ~ ~ ~~ O ~ ~ ~~ ~Q ~~ Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court rage ~ or ~ OATH OF PERSONAL REPRESENTATIVE ~ ~ 1 +' ` ~~ ~. ~ ..r Commonwealth of Pennsylvania : SS ~~,`~ • w 1 - County of Cumberland °,~ The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petition are tr~~l~F correct to the best of the knowledge and belief of Petitioner(s) and that, as personal represent~~' ~IiRT Decedent, Petitioner(s) will well and truly administer the estate according to law. C~~~~h~ ~=F~i_~~`'~I~~ C~~ . PA Sworn to or affirmed and subscribed before e this c~~ ~ day of ~~ I ~ ~~~ Register DECREE OF PROBATE AND GRANT OF LETTERS Estate of ~` e r" n ~ ~ ~ r ~ ~ +'~ ,Deceased File Number: 21- ~' - ~ ~~~ AND NOW, thisc~~ day of 1 , in consideration of the Petition on the reverse side hereon, satisfactory proof havin een presented before me, IT IS DECREED that Letters ~/I'estamentary of Administration are hereby granted to: ~ It' applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) the above esta e nd that instruments(s) dated described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. ~ ~ ,~ ends Farner trasbaugh, -~ ~,~ ` ~ egister of Wills FEES: ~ ~ Letters ....................$ ~ f , Will ........................ __ ~ ~ : c~~= Codicil(s) .............. . (~~) Short Certificates ~ - O~ ( )Renunciations....... Bond ............................ Other ............................. Automation FEE......... 5.00 JCS FEE ................... 23.50 ~CC~~,~~ TOTAL ................ $ Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Name: Supreme Court ID No.: Address: Phone: _ Fax: Interim Form RW-02 revised 12.26.10 Uy Cumberland County pending action by the Court Page 2 of 2 IhS yI15 RI!~' i+11'n,, l .---- L LOCAL REGISTRAR'S CERTIFICATION IMF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 17297!76 Certification Number This i~ to certif~~ that the information here given is correctly copied from. an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be :Forwarded to the State: Vital Records Office for permanent filing. Local Registrar Date Issued f'j ems, ~,' ___. :~~ `~ ~ ~~ rn te trn ~ -rl .~-~. r - c_.~_ :~ ~ ~ ~ ~- ~4`=~~ CV7~ ~ r:, -_, ~C ~ ` `-."` - m `~ ,~- O C;t~? . Hll~-143 REV 112006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE /PRINT IN PERMANENT CERTIFICATE OF DEATH t~Aac "~ See instructions and exam les on reverse P ~ RTATF FII F NIIMAEH 0 Vf 0 w w 0 a z 1 Name d Decedent (Fast, niklde, last, sultiz) 2. Sez 3. Sadal Seeurily Number 4. Dab d Death (Month. day, year) Fern E. Wilson Female 200 - 24 - 0003 6/14/2011 5. Age (Last BiNWay) Under 1 r Urwler 1 6. Dab d Bknt Montft, da . 7. Bi and slam «ro 6e. Pba d Deam Check one Monee Days Fburs lanules Hospital: Other. SOn 1 S 89 Yrs. 3/2/1922 West Fairview, PA ^ ropatlent ^ ER / outpatient ^ DOA ^ Nursing Home ^ Residence Ldomaf - Spaary: HC([ie 8D. Cerny d Deam &. City, Boro, Twp. d Death 8d. Featly Nerve (n na inatilution, give street and number) 9. Was Oealdant d Hiepwtic Origin? ~] No ^ Yea 10. Baca: Amerkmn Irtdlen, Bladt. Wftite, etc. (n yes, spedly Cuban, 15011 Cumberland Hampden Ztap 1001 Oriole Dr. '"~°~^• Puerb Ricwt, 80C~) White 11. Deadanys Uwd Kxd d wale d one moat d file. Do not srob 12. Wet Decederd ever in the 13. DeadenPa Education (Speedy any higlteat grade carlp bted) 14. Marital Steen: Married. Never Marded, 15. Surviving Spa ns (fl wife, give maiden name) KkddWork KxddBuaiross/kldustry U.S. Armed Forces? Ebmenrory I Secondary (0-12) CoNege (1-4 «5+) Widaved, Dlvoroed ISP~'dYl HanelTlaker Own HCliie ^ vas ~ No 11 Widowed 16. Decedent's Marfing Address (Street, cN /town, state, rip code) DecedsnYs Did Decedent r~~,,,,,.L.,~ Decedent Lived n East PennSbOrO T 17c. ®Yes ~ Residence 17a State PA wP. ~ r n 13 W Highland Ave , . To ship? wr t Livedwitftin t Cl)ITlberlaIld 17c. ^ EnOla PA 17025 d 17b.caattr CirylRoro Aau 18 Fatller's Nwne (Fuss, rtlidde, last. suffix) 19. Momefs Name (First, middle, maiden sllrtrome) hlin Lau M i t i Elmer Ellsworth Forbes g c r ce e Bea Ann 20a. Inbnnant's Name (type /Print) 20b. Inlomlerd's MetlinQ Address (Beset, dN / town. s b, zq cede) 0 h Stanley F. Wilson Jr. anicsburg, PA 1705 1001 Oriole Dr. Mec 21 a. Memod d Dbpoailion r ®Cremetion ^ Donation 21 b. Date d Disposition (Month, day, Year) 21 c. Place d Dispaitidn (Name d cemetery. aematay a dher place) 21d. Location (City / rornl, state, zip cads) ^ ~,~ ^ ~~ ~ y~Yadtal Examfner/CororwrA~ Yes^ No 6/16/2011 Evans Cremation Service Leola, PA 17540 22a. sigrl~aa az such) za. License Number 22c. None and Address d Fadfiry Neill Funeral Home, Inc ~ / ~~` FD 013239 L 3401 Market St. Hill, PA 17011 Complele 23a-c artfy when arlilying 23a. To the best of my krawledge, death owsred et dnb and stet . ( tae artd title) 23b. Licetse Number 23c. Date Signed (MOrtm. daY, Year) physw9wt nd avelebb at time d death ro ~ + C J _ e 1 ~ ~ j l artih d deem. .. ~ ~ henw 24-26 must De cdrttpleted by person 24. Time d Death ~b (Man daY, Y~1 26. Was Case Relerred~to Medical Examiner I C«aner la a R Dix than Cremation « Donatbn? who pralorstces death. ~~ • M, ` 1i ^ Yes No CAUSE OF DEATH (See Inetruetlons and ezatnp I Approximate inronral: Part II: Enbr onbr ' 28. Did Tobacco Use CanMbute ro Deam? tbm 27. Part 1: Eraer the drain d evenb - diseases, irijtlries, a contpNcations -that duectly ceuaad tib death. DO NOT enter tertmal events such az cardwc arreaL ~ Onset Io Death but rat restAtiltg in tfle urxledying teats given in Part I. Yes Probably respiratory artesL «ventiicular 6brlrotbn without showing tiro etiobgy. List only one cause on each line. 1 ~ r ^ NO ^ UnkraWn f 1 I MIMEDIATE CAUSE Fnal disease « carldaiort restlltirg le dead,) ~ a - n ~ n ( f; ~1 t r 29. H Femab: t vrin ®Nd i t Duero (« as a consequerce oq: t t pregnan t rt pas year ^ Pregnant at time d death b. ~ ~ ~~} ~ ' d ~ ^ ro d jt a. E~DERLYMIG CAUSE Duero (« az a consequence d): t Nd pregnant, but pregnant wltillrt /2 days of death (disease a kgwy that irtitieted the c t ^ N events resrutkrg a death) LAST. ; Due to (« az a consequence ofl: o~pregrwnt, but pregnam 43 days ro 1 year d ~ ^ Unknorm 1 re nant wimkt the est ear . p g p y 30a. Was an Autopsy 30b. Were Autopsy Findings 31. Manner of Death 32a. Date d Injury (Month, day, year) 32b. Describe Flow Injury Craned 32c. Place d Injury: Hans, Fann, Street, Facrory, Pedormed? Available Prior ro Canpleaon a roues d Deem? fSl Natural ^ Harudde Y~ Office Balding, etc. (Specify) ^ Yes ['~ No ^ Yes ^ No ^ Accident ^ Pending Imrestigatlen 32d. Tune d Injury 32e. Injury al Work? 32f. n Transportation Injury (SpeciyJ ^ 32g. Location d injury (Street, dry /town, state) ^ Swcide ^ Could Nd be Determined M ^ Yas ^ ~ Pedestrian ^ DriverlOperel« ^ Passenger . Otlter -Specify' 33a. Certlfier (areas only one) sician has ronounced deem and oonl h n another h bled hem 23) d d m i i i G • C•rt„ le h ~ P 33b. Signature and Tine of Ce ' p y p p ee w e c en cer rg cause y Y g P Ya ( Mn To the best d my knowledge, death axurred due to the ease(s) and msnrlsr as stated _ _ _ _ _ _ _ ® - - - - - - - - - - - - - - - - - - - - - - - - - - 11, ~ ~'~ %% • Pronouneing and oeAilying physkron (Pttysxuart bons prorlarxsrtg deem and oxA'lying roCause d deem) T d d t th th b t d d d le d t t d ^ f i 33c. License Number ~y --. r L 33d. Date Signed (Monet, day, year) I a, an ue o e ease(s) an _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ o e as eb. an p manrlar as s a e my knowledge, death oaurred ri t le t me, • Yedpl Examiner/Coroner .-/ ', C r ' I lAt ale bssle d examinatbn and / «imrestigetlon, ro my opinion, death ocwrred at tM tlms, data, and place, and due to tM eauae(s) and manner n shted_ ^ ue e d Deam (( 1lam 27) Type! Pant 34. Name aznd/Alddre~s d Person Who Com Cs P~ ~ ~ 1 a ~ a ~ -~ ~ ~ ~ ~ ~ ~ ~~ ~ 36. Dab Fled (Mmm, da , yr) ~ ' / ; ( »e/ I ~ J !J ~ G° Qt~ ~Y e' \(~yl/(j\ ~ ~ ~t~s` K ~ . . ~~ ~N~ ~~ h ( Er~tl ~. Dispositbrl Permit No. d~~ ~ ~ ` Last Will and Testament of Fern E. Wilson I, FERN E. WILSON, of 13 West Highland Avenue, Enola, 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 and making void all previous Wills and Codicils heretofore made by me. FIRST I order and direct my personal representative hereinafter named to pay all of my ~J ~~ ~~ ~' N .J '~ ~, just debts, expenses of my last illness, funeral expenses, including my grave marker and perpetual care, and expenses involved or connected with the administration of my estate, ~I ~, as soon after my death as is reasonably as possible. However, my personal representative II need not accelerate and pay those unmatured obligations which, in his, her or its opinion, ~I I~ it might be proper and more advantageous to retain or renew and pay as they become due ~ I, and payable. II SECOND I give, devise, and bequeath the rest, residue and remainder of my Estate of every nature and wherever situate, at my date of death, together with all insurance proceeds '~ thereon, to my children, Stanley F. Wilson, Jr. and Charles D. Wi son, living at the time of my death, to be divided as equally as practicable. THIRD ', I order and direct that any estate, inheritance or similar tax due as ate,result of m~ ~i 'death with respect to any property passing as a result of my death,. shall be, from ~Te ~~ m r~ ~~ ~ C17 0 ,~ D ",'.~' ~.,,. 1 ~"' i/ ~a ~ z~ ... ~?? c-'~ r ..° . r_ -. ~..! ~~ ~T L~ °~-, residue of my Estate before its division into shares and prior to distribution as an expense of administration and that no part of the taxes should be prorated o:r apportioned among the persons or beneficiaries receiving the taxable property. It is my express intention that all inheritance taxes imposed as a result of my death be paid from the residue of my estate whether or not the property passes under my Last Will and Testament. My personal representatives shall have full power and authority to pay, compromise or settle any such taxes at anytime whether with respect to present or future interests. FORTH I hereby authorize and empower my Executor hereinafter named to sell all of the 9~ real property and any or all of the personal property not specifically bequeathed herein, which I may own or to which I am entitled at the time of my death, in the sole discretion' of my Executor at private or public sale, with or without an Order of Court, at such time or times and upon such terms as the said Executor shall deem proper for the best interests of my estate or of my beneficiaries, thereby converting the same to cash. I further authorize and empower my said Executor to execute, acknowledge and deliver all proper writings and deeds of conveyance and transfer thereof. FIFTH I nominate, constitute and appoint my son, STANLEY F. WILSON, JR., as executor of this my Last Will and Testament. If he is unable or unwilling to serve or I ceases to act as executor, then I nominate, constitute and appoint my other son, CHARLES D. WILSON as executor of this my Last Will and Testament. I direct that my personal representative shall not be required to give or post bond for the faithful performance of his, her or its duties in this or any other jurisdiction. 2 IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and Testament which consists of three (3) pages to each of which I have affixed my signature, this ~ ~ day of ~~~ , 1999. ~~~ FERN E. WILSON i Signed, sealed published and declared by the above-named FERN E. WILSON as and for her Last Will and Testament, in the presence of us and each of us, who, at her request and in her presence and in the presence of each other, have hereunto subscribed our names as witnesses thereto the day and year last above written. ~ GJ~/ 3 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND I, FERN E. WILSON, the testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. FERN E. WILSON Sworn or affirmed and acknowledged before me by FERN E. WILSON, the testator, this _~_ day of 1'l!~ U~.cr , 1999. ~r ~, Notary Notarial Seal William L. Grubb, Notary Public Lower Allen Twp., Cumberland County My Commission expires Aug. 13, 2001 4 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS -T WE, ~ .~r,~c.G~C aC~s ~~ru ~ ~_ and ~~~Gn .1- • ~~'~ the I witnesses whose names are attached to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testator sign and execute the instrument as her Last Will and Testament; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testator signed the Last Will and Testament as witnesses; and that to the best of our knowledge the testator was at the time 18 or more years of age, of sound mind and under c raint or undue influence. (seal) i ~~, seal ( ) Sworn or affirmed and subscribed before me by ~, ~~~~~ ~ C ~~.-.~-~ ,and i I~i.~e~ ~, ~~' (,Jy4,r,,r, ,witnesses, this ~ day of/Vd/~,~s~, 1999. ~~ Notarial Seal --- ,.~ , William L. Grubb, Notary Public Lower Allen Twp., Cumberland County My Commission Expires Aug. 13, 2001 NOtary 5