HomeMy WebLinkAbout08-18-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
I~.EGISTER OF WII~LS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of William J. Greene
a/k/a:
a/k/a:
a/k/a:
Deceased ESTATE NO: 21- ' ~~ ~~ ~
SS NO:
178-28-9686
Petitioner(s) who is/are 18 yrs of age or older; apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as
applicable:
O 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 Testamentary under
the last Will of the above-named Decedent, dated 5/14/1973 _ and codicil(s) dated 4/1 p/2007
(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 N/p,
(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 ~ ection 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:
N/A
Name Address Rel ionshi to Dec,~tfent ,~~
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THIS SECTION MUST BE COMPLETED: -.~-~ 4~
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or-~rinclpal res~ence
At 715 Orrs Bridge Road, Mechanicsburg, Hampden Township, Cumberland County,. Pennsylvania 17050
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
Decedent, then 7D years of age, died 7/15/2007 at Harrisburg, Pennsylvania
(Month, Day, Year of death) (City 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 $
Value of Real Estate in Pennsylvania $ 18,232.00
Total Estimated Value $ 18,232.00
Location of Real Estate in Pennsylvania: (Provide full address if possible.) 138 Shaw Avenue, Lewistown, Pennsylvania 17044
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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.
t ~ f • i '
Sworn to or affirmed and subscribed
b fore me this day of
For the Register
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DECREE OF PROBATE AND GRANT OF LETTERS ...
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Estate of William ]. Greene ,Deceased File Number: 21- -
- -
AND NOW, this ~ day of ~~ ',~..~~ 1 ~.,~~ ~
_, ><n conslderatlon of the Petltlon on
the reverse side hereon, satisfactory proof ha n been presented before me, IT ][S DECREED that Letters
x Testamentary of Administration are hf;reby granted to:
(If applicable, enter c.ka., d.b.n., d.b.n.c.t.a., etc.)
Helen E. Greene in
the above estate and that instruments(s) dated 5/14/73; 417/07 described in the petition be
admltted to probate and filed of record as the last Will and Codlcil(s) of Decedent.
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Glenda Farner Strasbaugh, ,~ j _~ f~~t,~~~i'j~
Register of Wills ~ _
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Will..
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Codicil(s)...
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( ~~) Short Certificates f"~ .
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( )Renunciations..... ..
Bond ............................
Ot~eC~ ........................... _ _
Automation FEE......... 5.00
JCS FEE ................... 23.50
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TOTAL ................$ `~~-.
FEES: Signature of Counsel Required to Enter Appearance
Atty's Signature ~~
PRINTED Name: rai A. Hatch
Supreme Court ID No.: 76361
Address: 1013 IHumma Road, Suite 100
Lemoyne, PA 17043
Phone: 717-7:31-9600
Fax: 717-7:31-9627
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2
IOS.ROS RF:V r01/O?~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P ~.~770~.7~ __
Certification Numher
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 will be forwarded to the State Vital
Records Office. for permanent filing.
~~-, ~-~- ~~_~ JUL 1 7 2007
Local Registrar ~ ~`' Date Issued
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REV 11/2008
PRINT IN
tANENT
.K INK
t. Name of Decedent (Rrst, mkldle, last, srMix)
William J. Greene
5. Age (Last Birthday) Under 1 year
Months Days
• 70 Yrs.
' eb Cou
COMMONWEALTH OF PENNSYLVANIA • bEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
SPATE FILE NUMBER
2t~.,tSexl 3. Sociaol Security NumberO 4. D of Death (Month, day, year)
Under 1 da 8. Date of Binh (Month, da , ear) 7. Binhplace (City and state or foreign scan ie 8a P 7 Cf Death (Check onoly one) 9686 f ~S ~ f /~
Hours MMures ,( c•
January 17, 1937 Lewistown, PA riosprtal: Other:
Inpatient ^ ER /Outpatient [] DOA ^ Nursing Home ^ Residence ty
8d. Facility Name (If not insNNtlon, give street and number) ^Other -Sped
9. Wes Decedent of Hiepanic Origin? No Yes
(I} yes, spedty Cuban, ® ^ 10. Race: American Indian, Black, Whfle, etc.
Harrisbur HosT~ital ISPec+~
g P Mexican, Puerto Rican, etc.)
>t stale retired 12. Was Decedent ever in the 13. Decedent's Education Whl to
(Specify o I h' he
my of Death C' ro, Twp. of Death
• Dauphin Harrisburg
Kirxt of Work
Kind of Business /industry U.S. Armed Forces? n Y r9 sl grade completed) 14. Madtal Status: Married, Never Married, 15. Surviving Spouse (If wife, give maiden name)
Elementary /Secondary (0-12) College (1-4 or 5+) Widowed, Civorced (Specry(q
Yes ^ No 2
16. Decedents Hsiang address ( reef, cdy /town, state, zip code) Married Helen Baldwin
Decedent's Did Decedent
715 Orrs Bridge Rd . Actual Residence t7a. State PA uve M a 17o Hampden
• Township? ~ Yes, Decedent Lived in _
Mechanicsburg, PA 17050 17b. County Cumberland Twp.
17d. ^ Vo, Decedent Lived within
18. Father's Name (First, midde, last, suffix) Actual Umits of City / Boro
Wi 1l lam H . Greene 19. Mother's Name (Rrst, middle, maiden surname)
Zoe. Informant's Name (type / Pdnt) Dora M . Johns ton
20b. Infornanrs Mailing Address (Sreet, sty /town, state, zip txxie}
Helen Greene 715 Orrs Bride Rd., Mechanicsburg, PA 17050
21a. Method of Dispositon •
• ^ Cremation ^ Donation 21b. Date of Disporadon (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory or other place
Banal ^ Rertaval from State I Wea Cremation or Donedon Authorized ) 21d. Location (CI(y /town, state, zip code)
^ ~r-fir ! byMadlcalExeminer/ ^Yea^ND July 20, 2007 Juniata Memorial Park Lewistown, PA
• 22a. re Fu ) 22b. License Number
22c. Name and Address of Facility Myers-Harper Funeral. Home
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:~, MarkP 5~.,_.~ aa[~j~ Hi 11 ~Q ~~p1~
Complete Items 23a-c only when cenltying 23a. To the best of my knowledge, death occu/red al the time, date antl ptaca stated. (Siyrature and titlai 'T t"~--~-`'"-~--~'~
physician fs rqt avaaable at time of death to Y;:o. Li~i,:1.,E .ra~,~e, 2J~. J:.te Signed (A9ont;,, d;.y, year
certify cause of deaM. i
hems 24.28 must be completed by person 24. Time of Death 25. a renounced Dead (Month, day, year)
~ who prWrourrcea death. ~ ~ /~ 28. Was Case Referred,to Medical Examiner /Coroner for a Reason Other than Cremation or Donation?
CAUSE OF DEATH (See Irtetrtrctlon nd axe s) .
Item 27. Pan I: Enter the main of events -diseases, injuries, or complications - that d~recty caused m. DO NOT ter terminal events such as cardiac arrest, ~ Approximate interval: Pan II: Enter other 28. Did Tobacco Use Contribute to Death?
respiratory arrest, or venMcular fibdllation without showing Me etiokxlY. List only one u on each Tine. r Orrset to Death but not resulting in the undenying cause given in Pan I. ^ Yes ^ Probabry
IMI~dATE CAUSE IFktal disease or ~ /~~ r ^ No ^ Unkrawn
conadion reauMing in learn) -~ a. -e~~~\~.. ~ ~f } ~~ n `S.1J~"^ ~ , ~j~~,,,,
~-+ v t ~,~/ ~ ~I~+IVC/v ~1vkl~ If Female:
Due to (or as a consequence of): r
h fill conddicns, if arty, b, r Not pregnant within pest year
' to the cause listed an line a. r
Emer UNDERLYING CAUSE Due to (or as a consequence op: r
^ Pregnant at time of death
r
• evens mr gin d tam fit. sT a c. r ^ Not pregnant, but pregnant within 42 days
Due to (or as a consequence op i of death
• d. ~ ^ Not pregnant, but pregnant 43 days to 1 year
r before death
30a. Was an Autopsy 30b. Were Autopsy Findings 31 Manner of Death 32a. Date of Injury (Month, day, year) 32b. Descdbe How Injury Occurred ^ Unknown if pregnant within the past year
Penomred? Available Prior to Completwn 32c. Place of In u Home, Farn, Street, Facto
of Cause of Death? ^ Natural ^ Homicide
Office Buildinry, etc. ry'
~~,,~~// 9 (Specity)
^ Yes )y No ^ Yes ^ No ^ Accident ^ Pending Investigation 32d. Time of Injury 32e. injury at Work? 32f. If Trans onetion In'u S
/T P 1 ry (PacrN1 32g. Location of Injury (Street, city /town, state)
^ Suicide ^ Could Not be Determined ^ Yes ^ No ^ Ddver /Operator ^ Passenger ^Pedestnan
M. Other
33a Cemfier (check Doty one) ^ SPeclly:
33b. S' nature die of Certifier ~
( Ysician care `.'`,
• To~ttte fbes of m~ knowled deaf tying cause of death when another physician has pronounced math and completed Nem 23) ~ ,ArR/(
To the bit of my krowledge, death occurred due to the cause(s) and manner as staterJ_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ' ~/ n
• %onouncing and certlying ptryekfan (Physician both pronouncing death and cenifying to cause of death) V ~-^-_-
Y ge, h occurred at fire time, date, and place, and due to the cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ 33c. ~ Number _ 33d. Date Signed (Month, da ,year)
• Medical Examiner /Coroner - - - - - - - - ~,, ~ O ~ ~ ~ ~ ~. ~ ~ ~ ~, y~
On the beats of examination and / or Inveatlgadon, in my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner as atated_ ^ ~l•/
34. ~N.~Jr~e and Address of Per n Who C feted Cause o, ~*Dea~m 27) Type /Print
35. Registrar's Signatyre~ District Numt~rj/) ~~ \ \ ~-A2.~ ~ /~-s.-lJ Y -
/ ,~ ~C/ I ~ I ~ ' ~ I ~ I ~ I 36. Date Fi ed (Month, day, year C
/7 G'rG~ ~3 Zt 2_ ~T`~-t l.~~i.E-, ~~ C~'L~ ~~iL~. ~,~Yl 1~~'1~
Disposition Permit No. 005065
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LAST WILL AND TESTAMENT OF ~~,--_~{~ :~.~ ~ ~:
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WILLIAM J. GREENE ~ ~ ^=`~ ~"~' ~~
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I, William J. Greene, of East Pennsboro Township, Cumberland County,
Pennsylvania, declare this to be my Last Will and Testament and revoke all
Wills and Codicils previously made by me.
ITEM I: I direct that all of my just debts and funeral expenses, including my
grave marker, shall be paid from my residuary estate, as soon as practicable after
my decease as part of the expenwes of the administration of my estate.
ITEM II: I devise and bequeath my entire estate of every nature and wherever
situate to my wife, Helen E. Greene, providing she shall survive me by thirty (30)
days.
ITEM III: Should my wife, Helen E. Greene, predecease me or die on or before
the thirtieth day following my death, I devise and bequeath zny entire estate of every
nature and wherever situate in equal shares to my children or their issue per stirpe s.
ITEM IV : In the event my wife does not survive me, I appoint Mr. and Mrs.
Ralph R. Baker, Jr. , of Greenlawn, Long Island, New Yor:~, as guardians of the
person of any of my minor children.
ITEM V: I appoint my wife, Helen E. Greene, Executrix of this my Last Will
and Testament.
ITEM VI: I grant unto my Executrix or Administrator ~C. T. A. the power to sell,
pledge, mortgage, lease or exchange, or to grant an option for a purchase, lease or
exchange of any real estate which I own at the time of my dE~ath.
ITEM VII: I direct that my Executrix or Administrator C. T. A. , as well as her
successors, shall not be required to give bond for the faithful performance of her
duties in any jurisdiction.
T1~T j1CTT'T1~TF'~C T1CTT-~FRT`(1T T 1-,~zrA 1--carai~ntn cr.~+ my 1~~r~ri ~nr7 cowl +l~~o fl~
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The preceding instrument, consisting of one page
and identified by the signature of the Testator, was on the
day and date thereof signed, published and declared by
WILLIAM J. GREENS, the Testator therein named, as and
for his Last Will and Testament, in the presence of us, who,
at his request, in his presence, and in the presence of each
other, have subscribed our names as witnesses herE~to.
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CODICIL TO LAST 1/\/I LL
OF
WILLIAM J. GREENE
I, WILLIAM J. GREENE, of the Township of Hampden, Cumberland County, Pennsylvania,
declare this to be the sole Codicil to my Last Will, dated May 14, 1973.
Item 1: I hereby revoke Item V of my Last Will and replace it with the following: I appoint my
wife, Helen E. Greene, Executrix of this my Last Will and Testament. In the event my wife, Helen E.
Greene, predeceases me, fails to qualify or ceases to act as Executr~.x, I appoint my son, William Scott
Greene, alternate Executor of this my Last Will.
Item 2: In all other respects, I hereby ratify, confirm and republish my Last Will, dated May 14,
1973, together with this sole Codicil, as and for my Last Will.
IN WITNESS WHEREOF, I have hereunto set my hand this ~~' day of
. 2007.
WTI_I_TA iv( T. ,. _,F~IF
Signed, published and declared on the date thereof by the above named WILLIAM J. GREENE
as and for the sole Codicil to his Last Will, dated May 14, 1973, in the presence of us, who, at his
in his presence, in the presence of each other, have subscribed our names as witnesses hereto.
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~:~.~..z.~.---~ ..:~.e.~.. ~~s..,.~ residing at ~ r.~-,~~--~.~a. C;z ~..~,~_ r'a.~ ~ ~ ~, s
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residing at ~ " ~~ ~ ~ a (~'
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WILLI . GREENE
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fitness
COMMONWEALTH OF PENNSYLVANIA )
ss:
COUNTY OF CUMBERLAND )
We, WILLIAM J. GREENE,
~„ r S ~ and
~ - ~ ~~~~- ,the Testator 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 Testator signed and executed the instrument as the sole Codicil to his Last
Will, dated May 14, 1973, and that he had signed willingly, and he Executed it as his free and voluntary
act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the
Testator, signed the Codicil as witness and that to the best of his or her knowledge, the Testator was at
the time eighteen (18) years of older, of sound mind and under no cor.~straint or undue influence.
Subscribed, sworn and acknowledged before me ~. i s ~ l~t~-~i a~ ~~-T °t by WILLIAM J.
GREENE, the Testator, and subscribed and sworn to before me by _~' N~ ~ r-, ~'
and ~,t,:n ~., l~ , A,~-~u„~ ,the witnesses, this ~`?~-" day of ~-y~.. ,
12007.
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iota ublic (SEAL)
gfMN10NNfEM.Rf Of 'NIA
NOTARIAL SEAL
l13A MARIE COYMf NOTARY rllRl.IC
MAMPDEN TWP., CUA~BERLANO COUNTY
MY COMMISSION EXPIRES 1UNE 10 2001
OATH OF SUBSCRIBING WITNESS(ES)
Cumberland
REGISTER OF WILLS
COUNTY, PENNSYL`~ANIA
Estate of William .T. Greene
William A. Addams
Deceased
__ . (each) a subscribing. witness to
(Print 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.
(Signature)
(Street Address)
(City, State, Zip)
executed in Register's Office
Sworn to or affirmed and subscribed
before me this
of
day
Deputy for Register of Wills
(Street Address)
L
(City, State, Zip)
Executed out of Register's Office
Sworn to or affirrried and subscribed
before me this _ day
of GL ~ ~d t /
~~~~~
l~ /~~
Notary Public
My Commission l:;xpires:
(Signature and Seal of Notary 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 on final or copy of instrument(s) at time of notarization.
.~~....
N4t>Af'1i~
Form RW-03 rev. 10.13.06 ~~~f`r A. BS~'~?OUf~ h~l~ p~~
Csr~stGBorough, Cumb~rl~>Ad County
My t;.ommission Expires 1!/'13
~ /~
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(Signature)
OATH OF SUBSCRIBING WITNESS(ES)
Cumberland
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Estate of William J. Greene
Helen E. Greene
Deceased
(each) a subscribing witness to
(Print 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.
(Signature)
(Street Address)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
day
of
Deputy for Register of Wills
d~
(Signature)
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(Street Address)
~~ ss
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(City, State, Zip)
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this ~ ~~ day
of ALl ~ ~-~' oZV ~)
Notary Public
My Commission 1=;xpires:
(Signature and Seal of Notary 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 instrurrient(s) at time of notarization.
COMMONWEALTH OF PENNSYLVANIA
Notarial seal Public
Form RW-03 rev. 10.13.06 Traci l.. Sheridan, Notary
Lemoyne Boro, Cumees Dec 15, 2013
My Commission Exp'
Member, Pennsylvania Association of Notaries