HomeMy WebLinkAbout08-05-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of Anne W Poole
a/k/a: Anne Poole
a/k/a:
a/k/a:
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Deceased ESTATE NO: 21- ~ _'
SS NO:
141-16-3446
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. (compG~te Part C also)
and aver that Petitioner(s) is/are entitled to the aforementioned Letters Testamentary ___ under
the last Will of the above-named Decedent, dated 6/15/1989 and codicil(s) dated
(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): N/A - -
^ B. Grant of Letters of Administration
(If applicable, enter d.b.a, pendent lite, durante absentia, durante minoritate)
C. Petitioner(s), after a proper search, has/have ascertained that Decedent lefr 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
to Decedent
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THIS SECTION MUST BE COMPLETED: ~` ~-.~ `"'~ ~
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence
At 1512 Simpson Ferry Road Borough of New Cumberland, PA 17070 __
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
Decedent, then 9~ years of age, died
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
6/26/2011 at Camp Hill, Pennsylvania
(Month, Day, Year of death) (City and State where death occurred)
All personal property $ 159,000.00
Personal property in Pennsylvania $ __
Personal property in County $ _
$ 130,000.00
Total Estimated Value $ 289,000.00
Location of Real Estate in Pennsylvania: (Provide full address if possible.) 1512 Simpson Ferry Road, New Cumberland
Signature s) tiame(s) d"t !vtaWng Acluresstes)
Russell F. Poole, 368 Old Stage Road, Lewisberry, PA 17339
Interim Form RW-02 revised 1226.10 by Cumberland County pending action by Che Court 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). ofthe
Decedent, Petitioner(s) will well and truly administer the estate according to law. n ~__ _: ?-
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Sworn to or affirmed and subscribed r c:7 "'
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be re me this ' ~ ~ da of . _~ --, ~ _
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For the Register
DECREE OF PROBATE AND GRANT OF LETTERS
Estate of Anne W. Poole
Deceased File Number: 21-~- _ ~~
AND NOW, this ~ day of ~-~~~ ELI ~ ~ ~ , in consideration of the Petition on
the reverse side hereon, satisfactory proof ha g been presented before me, IT IS DECREI='sD that Letters
x Testamentary of Administration are hereby granted to:
Qf applicable, enter e.t.a., d.b.n., d.b.n.c.t.a., etc.)
Russell F. Poole in
the above estate and that instruments(s) dated 6/15/1989 described in the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
Glenda Farner Strasbaugh, p~~ ~-~ ~~1~( ~j'~ ~ ~~
Register of Wills i~"" - I~1
FEES:
1
Letters ....................$ i.
Will ........................ ~~~• (.~~
C dicil(s) ................. ~
(~) Short Certificates ~ • L ~
( )Renunciations.......
Bond .............................
Other .............................
.................................
Automation FEE......... 5.00
JCS FEE ................... 23.50
,3 ~d
TOTAL ................$
Signature of Counsel Required to'I~nter Appearance
Atty's Signature I~
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PRINTED Name: Elyse .Rogers _
Supreme Court ID No.: x1274 _
Address: Saidis, Sullivan & Fto~cers, 635 N. 12th
St., Ste. 400, Lemc~ie, PA 17043
Phone: 717-612-5801 _
Fax: 717-612-5805 __
Interim corm RW-02 revised 1226.10 by Cumberland County pending action by the Cowl F'age 2 oft
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3 REV 1lrzoos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
iMANENTIN CERTIFICATE OF DEATH
ACK INK
(See instructions and examples on reverse)
STATE FILE Nl1MRER
1. Nerre of Decedent (first, midde, last, suffix) 2. Sex 3. Social SecurM' Number d. Date of Deam (MOnm, tlay, year)
Anne Poole Female 141 - 16 ,- 3446 June 26, 2011
5. Aga (last Birmdey) Under 1 er Urrder 1 tle fi. Date of BiM Month, da , e 7. B law C' erd stele a for e' coon Ba. Plow of Deem Check m one
Mocha Days Hours MlnNea Hospital: OMer
90 ril 21
1921
A Philadelphia
PA ^
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Inpatanl
ER I outpatient Resitlerme
Omer Specay
Nursing Hane
Sb. Counry m Deam &. C'M. Boro, Twp. el Damh Sd. Facliry Noma QI trot Inetavaon, give street and number) 9. Was Decedent of Hispmk Origin? ®Np ^ ym, 10. Race: American IrWlen, Black, Whne, etc.
(d yes, specity Cuban, (SpedFj7
Cumberland Camp Hill Manor Care Mexkan. Puano Rkan, arc.) White
11, Decedents Uauel Oce kon Kind of work done dun mom of wo ~ Ike. Do rat state refired /2. Was Decedent ever a me 13. Decedents Eduwtlm (SpecM mly hgheet grade wmpleted) 14. Martial Status: Monied, Never Marnad,
~ 15. Surviving Spouse (II rode, give maiden name)
KIrM of Work Kind o/ Businesal IMUStry U.S. Amred Forces? Eamentary I Secmdflry (012) College (td or 5+) w' Divorced l~
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Teacher/Counselor Education ^vea ®ND 12 6 Widowed __
16. Decatlenrs Meiling Address (Street. city /town, state, zip code) Decedem's Penns 1Vania Dld Decedent
y Live in a
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1512 Simpson Ferry Road n __
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ecetlenl Live
Actual Residence 17fl, State
Cumberland Tpwwhip? rid
®NO Dapedem Lrvetl wi,hm
New Cumberland, PA 17070 .
t7b 000"^' Actueuimitspr New Cumberland ary/eprp
1B. Fathers Name (First, middle, last, suffix) 19. Mothers Neme (First, mitlda, maiden surname)
Floyd Williams Emily Middleton _
20a. InfonnanYS Name (Type / PrinQ 20b, Informant's Meiling Adtlress (Strael, coy /town, stele, zip coda)
Russell F. Poole 368 Old Stage Road, Lewisberry, F'A 17339
21a. Method of Dlapwitim [}~ Cremation ^ Donation 21b. Dale of Dispwaim (Monet, day, year) 21 c. Place of Disposition (Name of wmetery, crematory or omer platy) 21 d Locndm IClryl town, slate, zip code)
^ Burial ^ RemovelfromStale i WeaCremedonorporutlonAuthodmd
• June 29, 2011 Evans Crematory Schaefferstown, PA 17088
^ Omen S I try kletlkel Examiner/ Cororler9 ®Yes^ No
~ 22a. Slgrm M F Se wnsee acting as such) 22b. Liwnee Number 22c. Name antl Address of Fedlity
FD 013 340 L New Cumberland
PA 17070
Parthemore FH & CS
Inc.
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Box 431
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Complete Hems 23e-c alty when wnMirg
kien Is not avaiaba at time of tleeth to 2 Tolhe best of my knowkMge, de .occ netl at me time, date antl plow stated. (Sigwture Ht %)
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"~ 23h Liwnse umber 23f:. Date Sign (Month, day, ear)
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Items 2126 must be completed by persm 24. Time of m
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EATH (See Inetruetiona end exampba) r Approximate Interval:
CAUSE OF D Pen II: Enter other smNlwm wnd6ons wntrihutino to tleeth, 2N. Did Towcco Use Contribute to Deam?
Item Z7. Pan I: Enter the chain of sumo -diseases, injuries, or cortplicatlons ~ mat mrecty roused me deem. DO NOT omer terminal avenis such as wrtliac arrest, r Onset to Death but not resuairg In me untlemjng wusa given in Pan I. ^ yes ^ Probably
respiratory angst, or ventricular fi6nllelim wimom showing me etiobgy. List only one rouse m each line. ,
I ^ No ~Jnknown
IMMEDIATE CAUSE IPinal disease or ~ x ~
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C 29. If Female.
wMNm resuPong in deem) __~ Oy F~
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Due to (or as a consequence off: r
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^ Pregnant at time "f tlesm
Sepuemielly tat waAlkns, N any, h r
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leading m the rouse fisted m Ilna a.
Emer the UNDERLYMIG CAUSE Due to (or as a consegwnce of). Nol Dregnanl, but pregnant wimin 62 days
or tleeth
(dsease or injury that IniOeted me
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events resuMng in deem) LAST.
Dw to (or as a wnsequence of): ot pregnant, tvt oregnan1
year
3 tlals to
betas death
0 _ ^ Unknown if Dregnant wimin the past year
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30e. Was an Amopsy 306. Ware Amopsy Findings 31 Manner of Death 32a. Date of Injury (Monet, day, yeaQ 32b. Desrfihe How Injury Occunetl 32c. Plow of Injury Home, Farm. Street, Factory,
Penomretl7 Available Prpr to Compation
of Cause of Death?
~Naturel ^ Homicide Office Builtling, etc (Speciy)
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^ N ^ Accidanl ^ Pentlmg Investigation 32d. Time el Injury 32e. Injury at Work? 321 If Transponalion Injury (SpecXyJ 32g. Locatim of injury (Street, city /town, sta:el
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^Ves ^ No ^ Dover/Operates ^ Passenger ^ Petlesinan
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33a. Cendkr (check only ow) 33b. Signature Title of Certifier ,e,,.aq
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• Cerdtying phyaklan (Physkan wnaying rouse of death wwn another physician has pronounced tlaelh and completed Item 23)
To iM beat of mY knowledge, tleeth occurred due to the wuaefal and menwras atetad_________________________________ ^ ~
• Pronouncing and Certltying physlelen (Pfrysrcien both pronouncing tleeth aM wrtitying to rouse of deem)
To the beat of my knowledge, death occurred at the Ume, date, and place, and due to the rouse(s) end manner ea atated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c. License Numwr
m ~ 0 2- 3 't Sl 's E 33d. Dale Signed (Month, day, yeaq
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• Medleel EzeminerlCoraner
On the Wsla al examination end / or Inveetigatlon, in my opinbn, death owurred el the time, data, end plow, end due to the eeuee(a) and manner ee ahtsd_ ^ pleleQl eu
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Dlspwmon Pennd No.
LAST WILL AND TESTAMENT
OF
ANNE W. POOLE
I, ANNE W. POOLE, of New Cumberland Borough, Cumberland County,
Pennsylvania, being of sound mind, memory and understanding, d.o hereby make,,
publish and declare this as and for my Last Will and Testament. hereby revoking
and making void any and all other wills by me at any time heretofore made.
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I direct that my Executor hereinafter named shall pa~.y all my just
debts and funeral expenses as soon as conveniently may be donee <~fter my decease.
II.
All the rest, residue and remainder of my estate, whether real,
personal or mixed, and wheresoever situate, I hereby give, devise and bequeath
as follows: _
CJ _
A. One-third (1/3) unto my son, RUSSELL F. POOLE. ' ~ `y -;;-'~,'
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B. One-third (1/3) unto my son, JAMES E. POOLE. 4 ` ~~ , -
'=__' cry ~ ;r ,
C. One-third (1/3) unto my daughter, SUZANNE P. ALI$ ~ ~I
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I hereby nominate, constitute and appoint my son, RLfS:iELL F."POOLE, T'
as Executor of this, my Last Will and Testament. If the said Russell F. Poole
should predecease me, fail to qualify or cease to act as such, then I nominate,
constitute and appoint my daughter, SUZANNE P. ALLEN, as Executrix.
IV.
LAW OFFICES
JON F. LAFAVER
317 THIRD STREET
NEW CUMBERLAN D, PA
No ficuciary acting under this Will shall be required to post bond
in this jurisdiction or in any jurisdiction in which he may ac:t..
Page one of two Pages
IN WITNESS WHEREOF, I, ANNE W. POOLE, the Testatrix, have unto this,
my Last Will and Testament, set my hand and seal this lS~~- day of June, A. D.,
1989.
~G=~-c: yu~ /~' e/r~,_,~~ ( SEAL)
SIGNED, SEALED, PUBLISHED and DECLARED by ANNE W. POOLE, the above-
LAW OFFICES
JON F. LAFAVER
317 THIRD STREET
NEW CUMBERLAND, PA
named Testatrix, as and for her Last Will and Testament, in the presence of
us who have hereunto subscribed our names as witnesses at her request, in the
presence of the said Testatrix and in the presence of each other.
Page two of two Pages
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Anne W. Poole a/k/a Anne Poole _ ,Deceased
Kristen S. Poole and Irene C. Cekovich
(each) being duly qualified according to law, depose(s) and say(s) that / 1~ /they ~ /were well-
acquainted with Anne W. Poole a/k/a Anne Poole
and `are familiar
with the handwriting and signature of the decedent, and that the signature of Anne W. Poole
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
Anne W. Poole
is in his/her own proper handwriting.
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(Street Address)
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(City, State, Zip)
Executed in Register's Office
Sworn tc or aff rmed and subscribed
before me this d7 ~h day
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of tiL
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Deputy for Register of Wills
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(Signature
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(Street Address)
uL~ c~~w.,3~ ,2,t.,d.u~ ~~ [ 70 7v
(City, State, Zip)
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Form RW-04 rev. !0.!3.06