HomeMy WebLinkAbout09-21-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND
PETITION FOR ROBATE ~ D ILLS COUNTY, PENNSYLVANIA
~' GRANT OF .LETTERS
Estate of Q
a/wa: ~-q rr e // ~ Deceased ESTATE NO: - 5
a/k/a: 21- ~ ~ ~
a/wa:
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE S
applicable: EC7'ION `A' or `B' AND "C'" as
Probate and Grant of Letters Testamentar or
and aver that Petitioner(s) is/aze entitled to the aforementioned etters
Y ^Administration c.t.a., or d.,b.n.c.t.a. (complete Part Ca[so)
the last Will of the above-named Decedent, dated
~t ~ and cod:icil(s) dated __ under
Except as follows, Decedent did notam relevant circumstances, e.g, renunciation, death ofexecutor„ etc.)
azry, 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 i
Party to a pending divorce proceeding at the time of death wherein grounds for divorce had b
23 Pa. C.S.q, § 3323 ncapacitated person, and was not a
(g)~ een established as defined in
^ B. Grant of Letters of Administration
C, Petitioner(s), after a proper search, has/have ascertainedtthattD a b.n., Pendent tile, durante absentia, durante minoritate)
following spouse (if any) and heirs (If Administration c.t.a. or d.b.nnc.dt ant enter daWtolf Wild tas survived by the
heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and w
proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S,gse 3 on A and complete list of
as not a p~ to a pending divorce
Name § 323~~cept as f~llows:~ ~,
z ~,. .
Address ~'~_ _ -,
m - -- ~~-.
~_ ; . _~
USE ADDITIONAL SHEETS IF NECESSARY - ~
.. _. . -n
THIS SECTION MUST BE COMPLETED: ~'~ C'
Decedent w s domiciled at death in umberland Coun
At (~j ' ~, ennsy] ania, with his/ er last f m'1
(Street address with Post Office and Zvi -Code y or principal residence
P , Munici all r
Decedent, then ~ P ty TON'nship, Borough, City)
years of age, died ~ ~
Estimated value of decedent's roe nth, Da , Yeaz ofdeath) at
If domiciled in Pq P p nY at death: (City and State where death occurred)
_If not domiciled in PA All personal property
_If not domiciled in PA Personal property in Pennsy]vania $
_Value of Real Estate in Pennsylvania Personal property in County $
Total Estimated Value $
Location of Real Estate in Pennsylvania; (provide full address if possible.)
Signature(s)
~~ Name(s) & ~tiiailing Address(es)
t /1 T-
U l S -+T ~ t-c3- 1r' )--~
Interim Form RW-02 revised 1226.10 by Cumberland County pending action by the Court ?
~~~~t ~ ~~~! (~~ (~
OATH OF PERSONAL REpitESENTATIVE
Commonwealth of Pennsylvania ~ --- -_ ~ ~~
-~. ~
.:
County of Cumberland SS " '-' ' -
~y~~ ~ :~
~~-rn r.~
- _ ~~ ~.
-~ ~'
The Petitioner(s) herein named swear or affirm that the st ! , _
atements in the foregoing Petition=are true aifd •
correct to the best of the knowledge and belief of Petitioner(s) and that, as personal
Decedent, Petitioner(s) will well and truly administer the estate accordin to 1 ~ ~ c~
repres~ntative(s)~pf the
Sworn to or affirmed and subscribed g aw
~efor me this ;,,. ~ ~ ~"(.o C!L ,
_~ da~ of
* ~ ~---' /'S lj //
~ ~ l_
or the Register
DECREE OF PROBATE AND GRANT OF LETTERS
Estate of
?~ +!~~~t / / ,Deceased File Number: 21-
AND NOW, this ~X~`'r~d _ - ~-`_-- d ~ ~
the reverse side hereon, satisfacto y of ' ~ ~ f - ~ ~1 j~
ry proof h ving been presented before me, IT' IS DECREED thateL tion on
-Testamentary _ of Administration
etters
~ /`- ~ ~~ applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc,) are hereby granted t0:
U i ~ t-f-r'~ %"~
the above estate and that instruments(s) dated __
admitted to probate and filed of record as the last Wl 1 and Codicil(s) of Dece ~_- fn
described in the peti*_ion be
dent.
FEES:
Letters .................... $ ~C?, n~~
Will .......................
C r''f' ' ~C~
odicil(s) ...........
....
( ~) Short Certificate ..
~
s
~ )Renunciations... ,
p ~
..
Bond .............. ..
..............
Other ............................ .
.
.........................
Automation FEE......
...
JCS FEE ..
5.00
................. 23.50
TOTAL . 'r
...............$ ;
.3 C'
- _ ~....,~ ~ u as Haugh,
Register of Wills
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 by Cumberland Coun `-
typending action by the Court
Page 2 of 2
OCAL. REGISTRAR'S G ~"~~_/~~
WARNING: It is illegal to duplilcate ttEipRTIa~IGATIOIN ~~~= DEATH
p) by photostat or~ ph+o~tograph.
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PERAIgNENr COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH .VITAL RECORDS _I ~ T`,
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t.NarreapecadenljRnl.midele,iasl.suhix,l (See InstrRTonsCand exa~ Pas on reverse) C~.:~ --~T
s ~ (teal armea James K. Farrell
Y) UMa 1 r 2. Sax 3 Social Seca , STATE FILE NUMBER
86 ~°°• ~ r t m s. Data m a;rm Male 297 ~ Naroa, 4. Dag err 1
D°n Monm, m , _ 14 _ 5377 Death Manlh, daY, Year)
Atiauhe 7. Bi C' atM elate or krre' man
v,5. March 3, 1925 ~°' Pleca err Deem aleck an erg July 1, 2011
~" D°""" °' °e°m Cleveland, OH HaspitaP
• ~. city. Bea, Twp, of Deem Ary
CLmlberland ed Fedary Na,re II omen
S• Middleton 1 mi manMgn, give street and mmWq ~'/Inlglient ^Eq/oulpeliem ^DDA
' n.Demtla„reuaaal ~' Carlisle Regional M s W°° ~ "ureirwHame ~ R°
lion KIM awoadone eu ~ edical C Damdam of Htpgnic o ~ ~ , 41dBACB ^ omar. span. .
t of workm Ma. Do not dale retired enter (II yes, aP°crly Cuban, tea. ®~ Try.
Ad Ve Xrodp worn K 12. Was Dereeenl aver Mexican, Pu ^ Yes 10 Race: Amerkan Indian, 81ack, Wh
(tieing Exec. roaIXB,,,mess/mdaa kt me t3. Decedents Eeucatim arm Rican, etc.l Ispecrb1 ae,a
NeWSpaAer "Y u.s. Armed Fomee? (speclry any highest greea
16. Decedents MaiN y-. Elementary / Secarayry (1}72) Cdle a t-mmphletl) t4. Mahal Snims: Maenad, Never Mamee, 15. Surviv White
nA Address (Street dq' 7 rown, slate, tlp soda) L' 1 Yes ^ No g ( 4 or s.) Widowed, Dlwn:ad lSpaa'h) i^9 Swusa pl wna. give meitlan nacre)
263 West South Street 4
Carl isle oecedema Married
, PA 17013 ActualResgence t7a.stete PA L013 Erdman
Did Decease
t3. Fameh Name IFirsl mltlole, last wlhx) 17b. County r do Live m a
township? I7c. ~ Vea, Decedent Lived in
`7~s J• Farrell 17d'~a~ciua~icu~mhta dw;min ~,
Zoe. mlamanrs 7s. Mahers Nama Rrst m ~rl is ~ e Twp
Ndfn° (Type /Print) ( Idtlk, maiden sumeme)
Anne Midgley ~-CdY/Bao
z,a.Memoear7siapaa~AP„ 263 taMan~ " Elsie Kirby
~ ^ Bunel ^ q Cremation ~ ~ (~r~ ~ caY
/ orate, nP cae)
• ~ emoxal Han smm ~ wa c ^ Donation ztb. Data o1 West U S tee
~°r' remadon or Damon A t
Diapoehlon (Mash, day, yeaq 2m. Plam a D. t / Carlisle
a • ~8~ FureralSeraice ~ for ' ~~ °f~7t~~~Yes sP08manINBR1B tcema ~ PA 17013
nog as each) ^ Na July 6. 2011 Hof fman-Roth 1ery. cremaro omar p,aa,j
• CrematOFUnera~.a Home & ztd. Lomnm Iciry)rown, 61ai9, e
22b. Liceree Number q mee)
nerre 138504 2zc. Name erne Addreaa of Faaaily Carlisl
reY5°Bn's ^~ °ve at r ,e o o z~ Tn eiB ~ nr my mro Beam oaau,ae at the 219 Hof fman-Roth e , PA 17013
rory ceaseIXaem. No Funera]. Herne & Cremato
nd place elated lsignelare era tuts) rth Hanover Street., Carlisle, pA xy
_• Hama z4-zs mn,l ea aanlpleted M paam 24 rma err Deam ~ ~ ~ '~- L i J C? 23b. urer,aeyn,,,h~ 17013
wfa aaxxuges deem. / 25, Dete Pnmounced ~ ~ <~~ rj ~ 23c. Da19„glgnetl (M1JJp m. der
m daY, Year, 7 ~' 3.--~. h(/ip) Y. Yeao
~~ M. ~ Ll..r n
Hero 27. Part I: Enter me C IXUSE OF DEATH ~ ~C 1 ~ Wes Casa Relarree to Medcal Examiner / Coragr for a R ~ ~'
-dlaea6eg, injuries, camplmatlare -mall InemucUOne ens examples) ^ Yes eason Other
espir/Iamry arrest, a venlrkWer Abnnalion „.. ~ recdY' caked tlg deem. W NOT enter mrminel ~ Crerreaarl a Dagtian7
mlaAhm~TrasWePg mEOea~pl) disease or ^'J~"l'n ~ t~ et~O~Y. l~ only one pose On each Ilse. nN 5°~ es prgaa anesl r A~°x'nette interval: Pan IL Enter ah°r s~~~
Onset Io Death lm~(ya~p7dp tm 1 eeaM
~ a. '32 L~L,"i. bN rat reaWNng in ore underlying cause 28. Did ToWmo use Cminbule to Deem?
'h...~a^..h . Y"f 9Nen M Pert I. ^ Yes [~ propay
OaIN Yet 0°^mAona. A ~ Dua to is as a cagegueme 9 sY
~m MIe ease lutetl M Ana a. a~ '~No ^ Unknpwn
Enos( U~ RLmYa ~~ Wage a : i ~-- 29. 1! Femal9:
fdseese a' ' 7 tlg Due b (or as a moss
events resWWg g deem) UST. c. ~ -~
~ _~~ ^ Not pregnant wimk~ past Y°eT
Due la (a % a axgapuenm ot): -~~- ^ Preyiani at ling d deem
d. ^ NIX pregnant hN pregnaa wimM 42 tlays
JDs. Was an r '~-~ -_ of deem
Pedomgd!~Y 3ab. Were AlAapry Finangs r --
AvaAaWe Prier la Canpletlm 31. Manner o1 bath r ^ Nol Pregnant. but
d Cause of Death? 32a. Dale IX Injury (MOnm, der . 1 ~--~ hems aaam Pegnaa 43 tleys l01 year
Natural ^ Homicide Y Year) 32h. Describe How Inlury Occunetl -~~~
_~ Yes Q Nn p~ ^ unknovm d Pr°9nant within me Peel ybar
^ Yea . v No ^ A ^ ParMin I Aga 3zd. rma of Inwry sec Plate orNn
aatlenl 9 nvaa( bon jury: Hong. farm. Sheet, Factory.
^ Suicga ^ Coale Na a DegmAigtl 32e. Injury al Work? 321, II Traneportalbn I Oltae B Itling, am. ($pgp)).1
33e. Cenifiar (aleck ~Y erg) ^ Yes 'Nary !Sp°ci/YI
• Cart ( Yeic~n m , M. ^ Na ~ Driver/DDerelor ^ Passenger eestrian ~~ LocaAm of injury (sheet, qty / Igwl, state)
nYing Physic4n Ph Omar ~ S
tome ~o7~myk^owkdge,d.amomarbdueelommea.,raje)ana~ r'aaPr«aar~edd~~manaladllam 33h.
Prorarmc °mM^e Phramlerr (Pnyaitien Dom pr Her se staled. grgwre and tine
)
r°m.Wam -----------_
my Anaw4eaw. deem oma °fm°n°s deem and aroMng a aaase of deem) _ ~ -
Medlpl Examiner/Coroner wedM tuts nmp, dale. and piece, arM duemme eau ________________ y;a~~[)~.~ '
On 1W Weis of sxamhytian and / or Invgtlgalion, In m °Msl erne msnnar u MMed_ _ _ _ _ - _ . _ - - _ c. License nl,,,,,n~, r ,_;'~y
Y apinlon, death oceumd al tW Ilme. - _ _ _ _ _ C/_''Sl."J-. C' ~`yy(~ 33e. Dot
RegKlref lure aM ." Irk data, and place. and due to tW nusgcl and manna n atatelL ~ ' -"~ ~--_ Lam. ~{ • d°Y Year)
(~~{ ~~~ 3/. Name antl Wha Com ~'(,~'~., t'
I /, I 36 ate Filedm. daY, Yaar~ C~~j~ 1 ~.,)_(~„1~ m (hem 27) Type / Pnnl
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Disposition Permh No~--_ ['~ ( ~ ~ ~_ j Q ~Y`V V~ ~ \-~C-/ •~ ~~(.}
LAST WILL
AND TESTAMENT ~~~~ -_
J~ ,~
OF _'_ n _
r ._.
JAMES K. FARRELL - ~'
' ._.-,
?'~.J -T
~.7 -
~~ _. ~ ~~
I, JAMES K. FARRELL '.~
of Duval Count f'"-
and declare this m Y, Florida, make, publish
Y last will and testament and I hereby revok
of my previous a all
wills and testamentar
reference Y Papers. For ease of
mY trustees and
referred Personal representatives
to herein in the shall be
plural regardless of the actual number
aPPointed.
Ar ~ la r
I direct that all my just unsecured debts an
be paid as soon after m d funeral expenses
Y death as may be reasonably convenient, an
I authorize my personal representatives to
d
my estate in settle any claim against
their absolute discretion. I direct that
inheritance, succession or all estate,
~~ other similar taxes of the Un'
of America, or of lted States
any state or territory thereof
country, together Oz~ °f anY foreign
with any interest and
by reason of m Penalties thereon, levied
~ Y death, with res
`included in m Pect to any property required t
Y gross estate o be
whether or not passing under my will,
shall be paid as
an expense of administration
estate. No contribution for out °f mY residuary
or interest the Payment of any taxes, penalties,
assessed against
mY estate shall be re
devisee hereunder. quired of any
I further direct
administerin that all expenses
g mY estate (includin °f
assets g expenses payable wj.th respect to
which do not pass under this will) shall
residuary estate. All ex be Paid out of my
penses of packing, storing and shipping m
Y
:_~;
_ '-C+
~:. ~~
tangible personal
Property shall be paid as expenses of
administration.
Ar ; 1 TT
I give certain items of the tan able
g• personal propert
by me at the time of my death in Y owned
the manner described in the last
dated writing made for
this purpose and
existence signed by me that is in
at the time of my death. If no such writin
properly identified b g is found and
Y mY personal representatives within thirty
(30) days after their
qualification, it shall be conclusively
~\~ presumed that no such writing exists.
~-?~_
All of the rest
residue and r
whatsoever emainder of my estate, of
kind and wheresoever
situate, I give 'to my wife, LOTS
ANN FARRELL, if she survives me for n•
inety days.
If my wife does not survive me for a period
then I give all the rest of ninety days,
residue and remainder of my estate of
whatsoever kind
and wheresoever
FARRELL MIDGLEY• situate, to my children, ANN
JAMES KIRBY FARRELL, JR. AND AMY ERDMAN FARRE
equal shares, per stir LL in
pes.
~; c-~T~'
I nominate and appoint my wife, LOIS ANN FARR
representative(s) of this ELL' as personal
' mY last will and
that no bond testament. I direct
for the performance
of their duties t>e required of
them. I authorize and em
power my personal re
whenever in their presentatives if and
discretion it is
purposes whatsoever, deemed advisable for any
to enter into contracts and to sell the whol
e
2
or any part
of my real
or personal
approval prOpeZ~tY, without court
at private or public sale and to execute a
deed and instruments nd deliver
of sale such
and to execute
and instruments of anti deliver such deed
transfer necessary or
thereto. proper to Pass the
MY Personal representatives are title
agents, specialists authorized to hire such
and attorne
Purchasers ys as they deem desirable.
are not bound
to inquire into
representatives' authority ox. a
mY Personal
MY personal re PPlication of thEa purchase money.
presentatives will have full authority and
to do all things deemed discretion
necessary for
estate, the administration
V just as I myself could do if °f mY
representatives living. I„j
may hold funds uninvested as ~' personal
and may invest in an they deem appropriate,
Y assets they deem advisable Ea
are not technicall ven thou h
Y recognized g they
fiduciaries as legal investments
, without responsibilit for
account Y for depreciation or loss
of those investments, on
distribute the assets of m My personal reprE~sentatives
Y estate in an may
in kind or Y matter deemed convenient,
in cash, in non-prorata shares or other ' ~-
regard to the income tax wl•'e. and without
basis of those
of powers does not limit the au assets. This enumeration
representatives thorit
Y of my personal
, and in addition
representatives shall tO these
Powers,. my personal
have all other lawful
with these powers. Powers not:inconsistent
The term "personal representatives" as
this will shall used in
include ancillary and successor
representatives. If my wife shall
personal
personal fail or cease
representative to serve as my
~ s) , then I nominate and appi~int m
Y son,
3
JAMES K. FARRELL,
JR., as successor personal r~apresentative
serve with all the power, discretion and immu ~s) to
to my wife, nl-ties herein granted
IN WITNESS WHEREOF,
I hereunto set my hand and seal to this
my Last Will and Testament
consisting of this and three '
tYPewritten pageS~ on the mar ~3) other
I gin of the first three pages of which
have affixed
ml' signature for greater
identification, I security and better
this t ~~
Jacksonville, dal' of ~
Duval Count ~-' 1994• at
Y, Florida
Vl~.~,-
J K. FA RE
Testator
Signed sealed,
above b Published and declared on the date written
Y the Testator, JAMES K. FARRELL, as and f,~x.
and Testament his Last Will
in our presence
who, at his request and
presence, and in the presence of in his
hands _' each other, have hereunto set our
as subscrjhi,,,. _
;tang witnesses thereto.
f Jacksonville, Florida;
f Jacksonville, Florida; and
~ Jacksonville, Florida.
~1'ATE OF FLORIDA )
COUNTY OF DUVAL )
We, JAMES K. FARRELL, ~Ynthia L.
Packevicz
Shari L. Norton
and Michael L, Brooks
the Testator and witnesses, respeCtivel
the attached Y, whose names are signed to
instrument, being first duly sworn, do her
to the undersi ned ebY declare
g officer that the Testator signed the in
as his Last Will and Testament and strument
that he signed voluntarily and
4
that each of the witnesses, in the presen
request ce of t;he Testator
and in the at his
presence of each
witness and that to other, signed the
the best of will as a
the knowledge off= each witness,
Testator was at
that time eighteen the
sound mind and under (18) or morEa years of a
no constraint or gee of
undue inf:iuence.
Subscribed and ~ '~
acknowledged before me b
Testator, who ~' JAMES K. FARRELL
is personall the
Y known to me or who produced
driver's license
as identification his
before me b and subscribed and
Y cYnthia L. Packevicz sworn to
and Michael L, Brooks Shari L. Norton
the witnesses, on the ~ , ~--
1994.L=-daY of
N tar pu C~%6~~~2~G~
Y blic, State of Florida
t Large.
~tia~:Py~. MICHAEL L. BROpKg
'^'~~' IXPIRES: SSeptempe B~iH87~
'~~pF F~, ~ Bonded ThN liobry PubWc lk~denxlOBn
i_ ~.:-~ ~..~ ...:::~... r: ~---_.
5