HomeMy WebLinkAbout09-23-11IN THE COURT OF COMMON PLEAS OF CUMBE
RLAND COUNTY, PENNSYLVANIA
PETITION FOR ROBAT AND ~ ILLS
Estate of Jay Maurice ANT OF .LETTERS
all:/a: JaY L. Maurice
a/k/a: Jay L. Maurice Sr.
a/k/a:
Decenser! ESTATE NO: 21- I I " l ~r
SS NO: 172-24-9342
Petitioner s
applicable:
Owho is/are 18 yrs of age or older, apply(ies) for: COMPLETE
DA. Probate and Grant of Letters Testamentar SECTION ~A~ or ~g~ AND' ~~
and aver that Petitioner(s) is/are entitled to the aforementioned Letter T C as
the last Will of the above-named Decedent, dated Y or^Administration c.t.a., ord.b.n.c.t.a.
s est__ a~rY (complete Part C~Is~)
10/6/2009
_-- and codicil(s) dated under
Except as follows, Decedent did not ma elevant circumstances, e,
instruments offered for probate; was not the victim ofa killinog rEnunciation, death oFexecutor, etc.)
rry, was not divorced, and did not have a child born or adopted after execution of
party to a pending divorce proceedin
23 Pa. C.S.A. g at the time of death tivhere newer adjudicated an Inca the
§ 3323(8); erounds for divorce had been establ sh d .
d was not a
O B. Grant of Letters of Administration ~s defined in
C. Petitioner s
(If applicab-e, enter d. b. n., pendent lice, dur----ante a~s~ tea, durance minoritate)
following
( ), after a proper search, has/have ascertained that Decedent left no Will and
spouse (if any) and heirs (If Administration c.t.a.
heirs); was not the victim of a killinQ• was survived b
~, was never adjudicated an m ac.t.a., enter date of Will in S Y the
proceeding wherein grounds for divorce had been established as provided in 23 ection A
pacitated person; and was not a and complete list of
:Fame Pa. C.S.A. party to a pending divorce
§ 3323(8), except as follows;
-_- A d,t,.,, ~~ ____
ri ~'~~
~~
~ --~____- - .J ~-~
l SE ADDf I IOCAA1. SI1F.E"CS fF NLCF:SSANh ~~--~- ~ ~~
~, '._
THIS SECTION iVTUST BE COMPLETED:
~J '1'
Decedent was domiciled at death in Cumberland Count ', ~ ~
At 607 West Pine Street Mt. Holl y Pennsylvania, with his/her last fam' ~ '
S rin s South ~`~~ ' '~'
(Street address with Post Office and Zi Middleton ~'~
Townshi Ily or principa}-residence,
Decedent, then 79 P Code, Municipality: Townshi PA 17065
_____ years ofa P. Qorotrgh. city)
ge, died 10/4/2010
Estimated ~~alue oFdecedenC's (Month, Da ~--at
Property at death: Y• Year ofdeath) -~-----__ CarII51e, PA
_If domiciled in Pq (C~h~ and State where death o e eruc rr d~
_If not domiciled in PA
_If not domiciled in PA All Personal property
_Value of Real Estate in Pennsylvania Personal property iu Pennsylvania $
Personal property in County, $ -----
Location of Real Estate in Pennsylvania: (provide full address ifpossible, 607 W cal Estimated Value $_-- 128'800 op
$ 128,8 p
~~ i Signature(s) 1 est Pine Street, Mt. Hoil
~'-~" g~tr~ ,. --___-- Y S--_prin9s, PA 17065
Interim Form Klv-p2 revised 12.26-10 h
y Cumberland County pending action by
.ti`ame(s) & h~(ailin
g Address(es)
Edith Weibley, 256 Stone House Rozrd, C P
Duane Maurice A 17015
>~ t ~ $O1 Sandbank Road, #8, Mt. Holly Springs, Pq
rt
Page I ot~2
Commonwealth of Pennsylvania
County of Cumberland
SS
~~C'REE OF PROBATE AND GRANT OF LET
Estate of TERSE?
--- ~a Maurice - -~-,
O
Deceased File Number: 21 _ ~ ~ ' ~
AND NO ~/ - '
W, this -~"~~d/ay o f ~_ ~ --- '~ ~ ~ ~ '!~
the reverse side her ~ ~ '~,'
X Testamentary ~.o of Adsfactor ~ ~~ ~~ ~ ~~-; ~' ~.~~
y proof ha ~n~ p , in consideration aft
- b been resented before me, IT IS DECR~ ; , ~ Petition on
- ministration ,
that Linters
-______,_ (If applicable, enter c.t.ai., d. b. n., d.b.n.c.t.a., etc.) are 11e1'eby bra ~
the above estate and that instruments s _ ~~~~to~
__,-_---____ -_ c . _ ~ n ,
admitted to probate and filed ofreco d asdthe ]ast Fill and Co ~ ~~~
-_.___ desceibed in the petition be
dicil(s) of Decedent.
culenda Farrier Stras at~b
Register of Wills
FEES:
Letters ............... ...
~~~' ~~~
Will ..... .
.
.............
Codici (s).......... ....
~ ~ ~ ~
~~) Short Certificate
~ )Renunciations s
~~
.
Bond .......... ..,
.............
Other ........... ......
Automation FEE.. _
.....
JCS FEE..... ..
- 5.00
,... .
.. .
~~ ._.
?3.50
~
~~~
TOTAL...... `
Signature of Counsel Re
quired to Enter Appe~r~nce
Atty~'s Signature ~ ~
PRINTED Name Ste_ Ph~-E C_-- h t k
Supreme Court tD No.: 5265.!
Address: 61,___ West souther Street
Carlis-- ~e_ PA .17013
Phone:
Fax:
Interim Form RW-i)2 revised (226.10 bq Cumberland Count
y pending action by the Court
OATH OF PERSONAL REPRESF,NTATIVE
717_- 2q9=1177
717-249-4514
Pa°e 2 n f 2
The Petitioner(s) herein named swear or affirm that the stat
correct to the best of the knowled e
Decedent, Petitioner(s) will well andtrudlyb aldmioni ser~th ner sments in the foregoing Petition are true and
Oand that, as personal representative(s) of the
~~h;.,r„ .,. _ ,.,_ e estate accorrlinn *„ ~~_
1r~~~rvf-v~: -t -S -i-~ ~I ~TI~~~~C`~~'~~-N ~~
9 tic (duplicate ~"cis co~~ayr ~Y phota~st~t r; ,;~~~~ ~~~~~~
tl .. ,l/~ Y 7ir~.;lt~r~r?t].
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TYPE / PRIMIIN~ ~ = }~`,) 1
BLACN INK r
PERMANENT COMMONWEALTH OF PENNSYLVANIA , ~~_~ ~ _`
DEPARTMENT OF HEALTH • VITAL RE(:ORDS ) ~~ / ~
1. Nameap¢c yam (Eaat,m CERTIFICATE OF DEATH
i°"i°'tes',sump (See Instructions -=i7
and examples on reverse) ~ " ~!
6. Age (Leal &Mkay) ~~ I r T - MdU r1 Ce S.r a 2. Sex STA7E FILE NUMBER
Monte wre ~ r 1 Mnxnes 6. Dale of BiM 3' Soclel Secuery Number '.~ ~ ~~.3,T
M0^m~ ~ , r Ma 1 e 4. Date of Death (Month; ~ ~-
79 Yrs. 7. Dian ci and stale or /^ ' °0~t - 9 3 4 2 fir. mar) •`_`
Y ~ ~~^N°lDeam Nov, ea.rlapealDeamchePk „„, OCtobei° 4 2010~TT
w ~• ac. cIN. rwp. d Deam 6 1 9 3 0 Mt . .RoC .~esodar
N Cumberland Sd.FacilllyNemeprnWinselulkn, Irea k Pa. ~mpebant omer.
S OU th g beet end number) ^ ER / pullyeart ~ DOA
•^+ t I. Dacetlenra ueak ,;°„ Kine or Mi d d 1 e t on g. was nl ~ Hle ^ Nursing Hnrre ^ Residence
Q. workdinedu' mpstNwo _arllsle
1.2 a Pank Origin? ~ OtMr - S
O KkdalWork KmdolR 6/a.Domtsmte 12. WasDecadsnteverklhe glOndl Med. Cente mnaxkanaDeciNcubar. ~1NP ^ves Da`d'
u Laborer nnduslry u.s. Amlad 13 D•cadent's Etlucagpn Pump Rican, ek.) 10.Rare:Amedpnlntlian, Black While, etc.
N • f6. Decatlanrs Mailing gtldress sues,, Pa e r Md n ll f d C t ~' Elementary / Seconds ISpedN any h ~le9rade canpletedj 14. Madlal SlaNe: Maenad Navar Marded, 15 Su h 1 t e
6 0 7 ( ciN/tam, slate, zip codel ~• tea ^ No ry (a12) ge (1-4 or 5r)
West Pine Street 7 rS Wkowea, Diwmed (spec;/yJ ~ "Nkg space pr wile, ve
Decedents Ai maker name)
Mt.Holly Sprin "nualnesker,pa t]a.swle p Married
I6. Famers Name (First, middle, last, sulfixJ gs' Pa. 17065 L~Nell Myrtle C. Warner
rib. County _Cumh_ P,~7 ~~ Township? 77c. Q Yes, Dac
fTem~.. ederd Wed in
20a. Informenrs Name (Type /Pent) Maurice Twp.
John E ~- t]d.VNc,DecetlentUvedwdhin Mt.Holl
ts. Momers Name (Rret, middle, make„ sumema) AMUaI Umils of y S` pz. i rig S
2f a. Memod of Dkposi0on 206. Inf Ed th e g •
omrenl's Mailing Address (Street city !lawn, state, mde H1
^cre,natm„ ^DonahPn ~ ) pensteel
. ~ O~amr 8is el _ ~ Removal from state 276. Date a DI 7 West n /~
r y ° Cremation w Dorletkn Author' sPOSiB^n (Month, da , Pine S t r e e.t
~ lure of Funerel Service Lke ' Y Ilhdkal Fxsmlaer/Coroner? ^ed Y Ye&) 27c. Place of gsposltion (Name of cemete M t . Ho l 1
r ~resONo October $ rycremetaryaodarplaca) Y Springs, Pa, 17065
~ rg as ae ,2010 Cumberlan 27d Localkn (City/roan, stale, iry code
zzb. tkenae winner d V a 11 e y Mern , )
4enwz~e°on zz°. Name andademaaelFec;,;N Gard ns Carli
IMysiaen rs rKK availebb et Im~ia a rtBYt^A 23a. To .F - 1 1 s 1 e ,
~rtN aaae a mein. deem to °t "N' eea t m - Pa .
1~2azsmua~ ~' delearkplaresla,ed.(s~abaeanaane) remator Inc, `'01 N. Baltimore Av
°~~ br Deraan z4. nine m D zx ucense Nanne M t Ho 11 S r 1 n s Pd
• "~ Drwounces deem. 25. Dare Pronounntl Ue a z3c. Date si 1 7 0 5 5
`/ • t m, der, rear) ~ 0~~ ~ ~ J -~ snad (r~onm. der, rear)
dam 27. Part I: Enter are CAUSE pp DEA ~ ~~ ~ / O "- - ~L 26. Wes /a ~ c~L z ~ ~~
ffiam Mor - mseases, kjuhes, w (~ lnatnaotlona antl azampka 20 (v Cam R atl b Mad
ire ary mes ~c^^glicatbna -mat 6 1 ^ Yes kal Examiner /Coroner tw a Reesw
_ ~ t a C ventricular Ii6rBlalkn wit Other Ihan Cre
~. TE CAU>~E Fm showin BokPY l~istNo~~ ma deem. DD tk man
IMMEDIA g me a NOT enter terminal events such as cardiac arrest, r Approximam interval:
s~ ~ conOiGOn 2yrryjrig ~m disease w None cause on each lire. Part II: Enter Omer ' o~ °^ °f D°nah°n.
`~ ) _~ Drxsel to Death but not reaul ~ ro t7' '
a. !/c--ln/ :~ , ~c U. G[t /? [r r ~ // ~/ _ erg h me umk 'rig cause---~dth. 28. Did Toba r to Death.
cco Use Contrbute ~
me 9wen in Part L
ue^nauv cwt carratims a any, Due to ! as a consawer~ce oq~ ~ Yz+~.
^ Yes PmbabN
k cause Baled pan line e. b. •~ /y°'Ct / S C (~ye.,~ / ^ No~
F~Ner UNDEflIYItM. CAUSE ~[~~` /.}a ~ ~~ ~P=a~ ~ (/`~ UNmown
~~ ~ wNu the, hitaletl the Duero (or u a conaeguence oq. !'ri C '/O~7 h.o -- 29. II Female:
~^9ry deem) LAST. c ^ Nat
n Due to (or as a twee ~~ -a..A- t ~ Pregnant wimin past year
d Q°B°LB ^ Noregnenl al ama of deem
30a. Was an AN ~ ~~
J P domred? W Y 30b. Were Aul r Pregnenl, but Pregnant within 42 dey5
°~" F•'m^9a 31. Manner of Death ~~- of Beam
Available Prot la Cmpletkn r
o(Cause of Deam? 32e. Date m Injury IM°nm, de , r ~'- ^ Na Dregrmnt but pregnam 43 daYS to t year
Natural ^ Hwnkide Y Year) 32h. Descn'be How Injury Oxuned --~ Delore deem
^ Yes No ~ Yea -~ ^ Unkrow
^ No ^ Accident ^ Perking Imesligetkn 32d. Time of Injury d Pregnan(wiau'n the peal year
^ Sukida l] 32e. Inlury al Wohc2 32c. Pkn of Injury. Horne, Farm. Smee
33e. Cartfier tcfbck oMy ~~ CWItl Nol ba Delermirretl 321. If Trensportalion Iryury (~/N/ Ogke Suikng, ek. (SPeciYYJ t Factory,
~'dM^9 Dhyaklen M. ^ Yes ^ No ^ Dmrer/DDerekr ^ Pass ~. Location of Inlury (St ee
To the beat a my Ln (PtYskieri CeNlyirg Wusa of tleam when drro anger adestn r t cM l 1 n, sl )
_ Omer. ~~~,.
p °wletlg•~ duM oceurted eua to the c mar Physioan has prorqu
~ ronoundng ark ca^dying PhYakla •18•(q and manner a atx "cad deem and
33b. signs a~ gr' der
o To the been o/ my k^owkd ^ (PM1Y'akian bom ad_ _ _ _ _ _ _ ~rnWeled Item 23J _ _ _ _
~ Mediae! Enminar/COrarar ~ ~~ otturrae sl the tl tlealh ark ce^dYi^9 to cause of main - - _ _
d»a, ark pl.u, and sea to me °aasap) aria mannm as ~ .
o On the ba4 of examinatbn end /win _ _ _ _ _ _ _ _ _- _ ^ 33c. UC se Number
vemigadon, In my oplnlon, deem occu matae_ _ _ _ _ _ _ _
35. R•9iatrzY ure; +antl_ D rred al dre Ilene, data, and pNa, and tlue to the eau ) ' _ _ _ _ ~ ~ ~,~ rJg 33tl. Dale Safretl (MOnm, eeY~ Year)
- `~--'~~ ~~~ ca(a aria manner as etated_ ^ 3d. Name antl Addrese a Person Who Completed Cause at Dea I ~ I I lb ( O
~~1~ ~ I ~ I q I 36. Date Filed (Morten, yay. Year) M L~ 4 ~ ` m (!fain 2]) Type /Print
`' S ~K.~elSLyyW)
303 >v y3ulkw.or.e {~..,e {y} NcU~ ~a-1
Disposih'on Pemlg No. ~~~'('~~
ns~ h~6~
Last Will and Testament
Of TaV Mal l ri r~ca
I, JAY MAURICE, of Mount Holly Springs, Cumberland County, Penns lvania
sound and disposing mind, memory, and understanding, hereby declare this instrume
Last Will and Testament, revoking any and all Wills by me heretof y ~ being of
nt to be my
ore made.
ITEM ONE: I direct my hereinafter named Executors to pay all my just debts
expenses and administration expenses, including inheritance taxes, as soon as ma be co
after my decease. ,funeral
Y nvenient
ITEM TWO: I give all the rest, residue and remainder of my Estate, real, ers
mixed, of whatsoever nature and wheresoever situate, unto my Wife MY
p onal, or
RTLE MAURICE.
ITEM THREE: I appoint my son and daughter, EDITH WEIBLI=;Y of Carlisle
Pennsylvania, and DUANE MAURICE, of Mount Holly Springs, Pennsvlvani _
of this, my Last Will and Testament.
a, as Co executors
ITEM FOUR: Ir. the ev
ent tha± n;y wife, M~'RTLF "-~L4URICE ~,h
she should die within 30 (thirty) days of me, then, or we should both die in a cld
then, I give all the rest, residue, and remainder of my Estate, re Predecease me or
whatsoever nature and wheresoever situate, unto m ~ °mmon disaster,
al, personal, or mixed, or
Pennsylvania, DUANE MAURICE, of Mount Holly Springs,~Pennsylvani~aBa EY' of Carlisle,
MAURICE, JR., of Etters, Pennsylvania, in equal shares, or their issue er sti nd JAY
P rpes.
ITEM FIVE: Whenever in this wi.11.
payment is to be made to a minor, or property is to
be delivered to such minor, I authorize my executor to pay or deliver the sam
to the parent, or to the person having the care, custody, or control of such minor n his discretion,
of such payee shall be full acquittance to my executor. ,and the receipt
ITEM SIX: I direct that my Executor shall not be required to give bond for th
performance of their duties in this or any other jurisdiction.
e faithful
IN WITNESS WHEREpF, I have hereunto set my hand and seal this this m
and Testament, consisting of two 2 t ~ , • ~ Y Last Wil]
~) ypev~ritten page(s), bearing my signature,
this day of ~~~~„~, y
~1 A•D• 2009.
J urice, Testator
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND '
BOROUGH OF CARLISLE '
On this, the ~ day of ~i
~C~ "'~f • ~004> before
undersigned officer, personall a me, a Notary Public, the
Y ppeared JAY MAURICE, Testator, known or
proven to me to be the person whose name is subscribed to the within Lest Wi -
and acknowledged that she executed the same for the ur 11 and Testament,
P poses therein contained.
IN WITNESS WI-IEREOF, I hereunto set my hand and off~~;a~ rQ,,,~
NOTARIAL SEAL
JANE ADAMS
Notary Public
CARLISLE BORO., CUMBERLAND COUNTY
My Commission Expires Sep 6, 2012
(SEAL)
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
BOROUGH OF CARLISLE
Before me, the subscribers personall a ~~„~.~ ~.~,
"QY > ~~ Y ppeared ~~'~ l _, and
that the foregoing wii~~], eOnsistiphoof Znb duly sworn according to law, dot
g typewritten a J pose and say
~~~~, , 2009, signed, sealed, published and declared~bwas, on the ~ day of
y the said Testator as and for his/her
Last Will and Testament, and it is hereby acknowledged that said testator a
lawful age and sound mind and memory and there was no evidence of and
his/her request and in her presence, have hereunto subscribed ppeared to be of
ue influence. We, at
our name s as attesting witnesses:
--- ~ ~~
---__
Affiant
Affiant
NOTARIAL SEAL
JANE ADAMS
CAAIiSLE 80RO.t CUMBEIRLANO COUNTY
My Commissip~ Exptrts Sip 6, 2012
worn to and subscribed before me this
day of ~~,~~ 200