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HomeMy WebLinkAbout09-30-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS jam,, <~ l ~- l ~~~' Estate of /~ ~~ ~U//:v~L L L- ,Deceased ESTATE NO: 21- a/k/a: a/k/a: a/k/a: SS NO: .~~6' -~~' - 7,57 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or ~B' AND "C" as applicable: J~A. Probate and Grant of Letters Testamentary or ^Administration c.t.a., or d.b.n.c.t.a. (complete Part Calso) and aver that Petitioner(s) is/are entitled to the aforementioned Letters under the last Will of the above-named Decedent, dated `%d~~(~, ~7nU~ _ 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(g): ^ 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)j except as follows:_ - ._ - _~ Name Address Rd ~~iAnsbi to IJec~dent - --~ '-~ C~- ~~ ~-~~ .:J a~oc Haul i ~vi~:a~ ~nGa ~ ~ it ~~1 r.l. C.JJAK1 U THIS SECTION MUST BE COMPLETED: Decedent was domiciled ~t death in C,,}}~1mberland County Pennsylvania,,~y~tth his/her last family or prin At ~lve G.P/~.~Dc~' ~~y Ka'~~ ~.s`i~_~/~~y,OJ/r~~ Twi"/9~C~f/~'<<..s,6~.~G C~~'rn ,. i. , `_y,.~ residence 9~9 ~~~J~L'T~, (Street address with Post Office and Zip Code, M nicipality: Township, Borough, City) /'/,E; Ci,~,9~145~j`/'~ ~~ /Tl~~(/ ~ Decedent, then ~~ years of age, died ~ ~~ Zc~/ at /~ 70 2~4U /~/`S~'~~ ~~ ~/l9~'C'iT ,,~~ ( onth, ay, Year of death) (City and State where death occurred) /% / .f. C'/T~ Estimated value of decedent's property at death: _If domiciled in PA All personal property $ _ ~~ , GG' 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 $ _ /~ . LCD ~i Location of Real Estate in Pennsylvania: (Provide full address if possible.) Signature( Name(s) & Mailing Address(es) i ~~ i~ ~.v~~~~sl~ ~J~9~ j ~~~'%rJiCS,6U~G % i7~;,~ ~«<~~~~ r~,~„ nw-vim revises i~.~o. iu oy ~umoenana t;ounty penamg action by the Court Page l oft _ ,;, ; III, - LOCAL REGISTRAR"S CERTIFI~,ATION OF D~EA Th1 WARNIN(a: It is illegal to dluplicate this copy b~~ photostat c-r photoclra{~!-t Fee tix~ [hn certit3cate. 5(~.ilU C'c~rtifiraUtn~ ~umhl.l ,,;tt,~"p~ZH OF pF`=~~ ,~ ~~~'~_ - _~.!Y,ys,~, '~ ~ rG s, v ~ '`; ~ *,• ;_- ` 0,',499,.. ~P~~k; 2.TMENT ~F~`,t,,s l~hi~~ ~ ttI ~enl,ti ~n,l( !h~~))linm.Ui(~n here si~clt i~ ~tn-re~tl~ L.el~Ti,'(1 lrnn: au r ri Tirol Cc'I~Ilir~lte ul I)e~itll duly I~ileEl ~Li(ii (;~': a~ l.u:.:1 !z-c~~itiU-ar. The uriktinal ~ertil~ic~u~ ~~ I ; h; rl t~ lr~.l(.cl to the Slide Vital Ree~Yri1~ r r;li~,:• ? ;~IE~rm.( Irnt lilin'~. Lt?ca! [lr~°i. u;,l llate (~.tiuril :~ . -_: n T- -r -i' 1F~j -- ~ -!:a I !_~~ 't7 TIP -PRINT w Hms-I 3 REV !12ooD COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL ~ECORDS~. T r ,;< BEACH InN PERMANEN' CERTIFICATE OF DEATH ~ -=~~ "Z'3 Ca ISnw Incr.„rfi,,....., ._ - _ _ r.,.,, ..~, ~~.o,oc/ I Name d Decepen iFvsl. mWNe .as, w!lul STATE FILE NUMBER , -~ ,,. J ~ 2. ~• 7. sa:Ial sec n Nprroer a Ddua Deainl(Mmtn. o y-year) Edith McConnell Edith C. McConnell 2~~ 18_ 7257 ~-- s Aq9 ray &nlbdY: uncer ! Yaar abet I m Female - 19 / 2011 y 6. Data of Binn (Monty tla year) 1 BiM , , place (Gry and sYle a for country) Ba Place of Deam (Check poly pre) 86 IamNr UaYS News Ia•aaat _ r 7/4/1925 Carlisle, PA HpfpltY aner:'r rDgcryhf~ - ~ v eo. Ca.nry pl Deem & Ci Born T d DeaN ^ Inpatient ^ ER I Outpatient ^ DOA ^ Nursi Hans ,f~q~ -~ ^g ®Residenca ~ ~ poet - S N wP 90 l F ili pacr Y. . ac ty Name UI na nsalueon. gne Seat and rlartwl Homer City s wafD.<.dar,tdwapar,i<gpr„ No ^ Yas to R A ace nyriranlnpan,Blar~ ware aIc Indiana 12 7 0 a Yaa. 5lfadly cpnan, 7.agursKie Rd. Homer Cit pA M (S°'°M W , y, eal<an,Pp.rmRCan,.m.) hite I1. pecederlrs Usual Occ lqn ~NVSp d work done a,r moll d Je. Do rql stale relved 12 Was Oxadanl ever N d 1 . u 3. pecaoenrs Earalan (Spacily only laghasl gralk ca'npleled) le. MeriW 9atut' Yarned, Navar Marred. 15. Survrvl 11yy~ppp N I U.s. Armed Forces? ng Spouse III wde. ryva maiden name I ~el:tOr ~~'~ Elementary/Sxalda Pt2 ) w'do'"~ ~ ry ( ) College ll-1 Or 5.1 Of~l~rM • ^Yes ^NO X77 Marred Jay Max McConnell Jr. , 6 ryng A ass (sue . , , n. tole =w ppae) pxeaenrs ~~~ ~ ~~ Ine iurs PA Did Depadenl ay ActlwRaMden<. I7aSlate ~,,N, amp en wp. n<($YeS,pe<edaaUyeeln Mechanicsburg PA 17050 , umberland Ta„^~, 170. Cowlry I70. ^ No, Derodanl lived wiUan v 18. FdNer'S Nana IFa51, mW01e. Ia51. iUtllr) AduY 111140 d cry IsYdJyrsw Alexander Bru Fi mel rst,mlaae,maioenxmama) ce Cordate May Roush zoo. Imamanr5 Name Rype / Pnnp Charles H. Diller, Jr. 200.mlprmanr:YamngAda:: , ,pw,,, Y ~ e ~`~6`~me~iurs~Vay Mechanicsburg, PA 17050 z, a McNpd d aw«um cranlaupn ' ^ ^ Donabpn 210. Data d DOpovepn (Monty, oey, year) 2IC. Pbce of Difpwilkm Warne d cernelery, cramaltay ar oVYr W+<a) 2 ~, aura ^ RengvalM1pm$lale ! 10. London (Gty r sown. sole. Lp coda) W"`r"^"roiw0oni1onAUNOi;~'° Chestnut Grove Cemete _ ^ gner.specrry 6yYediwE„minaryepmner ^re5^Np September 22, 2011 ry Marysville PA 17053 , 22a Saylanue d Fmera serve nsee la rsm az lacy 220. tcensa NumOSr 22c. Name aM Ada f liry e 011825-L "Iv~ic'~iael J Shalo i F . n s uneral Home 206 Maple Avenue Marysville PA 17053 , cmlpete cams 27at pnh cent .Ing 27a. ro Ne nett a my knowledge. OeaN axurred al dra lima, dale and place staled. ISignalae and anal a' al r e d ceam ~' Ie I l Io 230. License NumOer 23c. Date Sgned iMmin, pay. Year; eroly d dea N Dams 2a~26 marl oe completed DY person 2a Time of DeaN 25. 081e Prorwunped peed (Monty, day, Year) wfn prorek+nces daaN 10:4 0 A . M. 9 / 19 / 2 011 26. Was Case Ralerred to Me6cal Ezarrvna /Coroner Ia a Realm poet ~nan Cremarron a Donaum> ^ Yes g] No CAUSE OF DEATH (Sae inalru<tlona and eaamplea) Item 2' Pan I Enter the iAaln d events - asaases. Iryunes, a cornpaca0ass -Nat Moctly coated du dsaln. DD NOT solar terminal Wand sutll as caraac arrest ' Approalmala inlarvy: Pall II'. Eller oNar - - 28. Dq ToOaccp Use CmVIDae W D re5prata rr N' l . y ea es , a venlrcWar tipolalion wialput SlpWlg a,e a'd^9Y. 1,51 adY pn1 nufa On each 6ne. Ousel Ip DeaN WI not reful0y r aIa urMMyilsg rasa given In Pan I. ^ Yes ^ ProDatky ~ IYYE0IATE CAUSE IFiral ataase -r II ~~~ ^ No ^ UrJUawn oxuupn resunlrg ~n aNl _~ a \ (/Ll }"Y~D~YI(~1,"L~ ks}y' ,-~ 0 29. II Female 5tyu UdVY Y51 ak'Wllant J any. p r (.~'~/~p n ^~^ 1 l-1i. -- ^ Na preguru wNvn paA yea: I 11 V1 > L wdvp Io Ne ruse u51e0 m Ivre a ^ Pregnant al Ume d p Enter the UNDERLYING CAUSE D e I (o at ty a ron5equerlce ol). ___ ea Idseaze a'rM"y' wt wasted vu ^ No, aegrent. out a I worn +2 ,~ even0 resuttvq des N) EAST. e,7ran ys D„e w for as a crosequann pq d DeaN d ^ Na pregnam, oW aegwnl a3 pays m t ,ear 1 __ Delae OeaN JOa Was an 4ulopsy 3Ub Nere AulopsY Findings 71. Maurer d Dealn ^ Unluwwn J prarywn widen Ne pall ear 32a D 1 y . ale 0 Ilyury IMmth. day, year) 32p DexnDe How Iryury Occu'rad ena~wad" Avallaae Pna !o Com aetgn 32c PIaKe d In or Ca-ale of Dealn~ ®Nawra ^ Homcge fury Fbme Farm, 9real, Faclar On Bu,karsg, etc. fSar+N/ ^I re. ~ no ~~ v s ^ Nc ^ Acaoen! ^ Peminq InveStigalwn 72d Rme of Injury 32e. Injury al Work? 721 II iransponatgn Injury ($peci / H 32 q Eoca;nn of Injury (9reel. city town, slalPl ^ Sucge ^ Could Not oe Delermned ^ Ves ^ No ^ Onv r . Operator ^ Passenger ^Pede M e Omer 5 rec. 33a ~a. ~I. ,c ack only ~nel G H a n • Cenilylnq pry slnan Pn I yt~t~an :emlYing a e d OBdN wren drxNner aIySKlan nos praqunce0 dedln and l 770 S lure and title of Cmdi panp ¢led Item 27) io me Oesl of mY krWwkdga_ deem xcurretl due to the causels) and manner as slalad_ _ _ _ _ • P - - - - (1 , ~t I, rs ~ '/ ® ronouncing and candying pnysician +nvsK -n polo pronave~nq oea;r. ino cemfying to cause of Oeatn) - - - - - - - - - - - - - - - - - - ~ ~ - Ir r L 1/ rC. \ v o e Desl pI my krwwletlge. Oeatn occurred at Ire time, axle. arM place. and due to Ire causals) and manner as fYletl_ _ _ ~~ Medical Eramrrserl Coroner --------------- 33c License Nvmpar 730 Dale iignaa inbr,Ir, .la 'ar 1 On !ne D f ram na on and r or nvest galon in my Denton Oealn d Y-~~^ ~ n ~ t. J v ~ ~ m V ~ C ~ ~ ^ `J - C ~J . xcurre al the lima, dale. antl place. and due Io Ire caul ^ elf) and manner as stale0_ 7 - ~ ~ ` ~- 9na .. .:.. ~ 1 Js C ~ ~~~ ~~ I f O ~ 30 D ~ F Mml .day year) 7a Name a wJ Aopress of P rsm VI nu pe edL _. Z I ~ J C!e ~ ~~1 (~(~ i? rYpe Prim I I I ~ „~tmt~nnn erm,l Nr. _v ~ 7 ~~ T i LAST WILL AND TESTAMENT OF EDITH C. MCCONNELL r7 --_ C7 . .) •' -;, ',~ \~ -;, _~ C1 C~ P.? k.. ) i I, Edith C. McConnell, of Homer City, Indiana County, Pennsylvania, revoke my former Wills and Codicils and declare this to be my Last Will and Testament. ARTICLE I IDENTIFICATION OF FAMILY I am married to Jay M. McConnell, Jr. The failure of this Will to provide for any distribution to Jay M. McConnell, Jr. is intentional. The names of my children are Susan C. Harvey, Andrean M. Griffith and Charles H. Diller, Jr.. The failure of this Will to provide for any distribution to my child Charles H. Diller, Jr. is intentional. My son has graciously requested that he not be included in my estate so that others could more fully benefit from the value of my assets. ARTICLE II PAYMENTS OF DEBTS AND F,XPENSES I direct that my just debts, funeral expenses, expenses of last illness, inheritance and estate taxes due by reason of my death be first paid from my estate. ARTICLE III TANGIBLE PERSONAL PROPERTY I give and bequeath all of my tangible personal property to my daughters, Susan E. Harvey and Andrean M. Griffith, if living at my death in as nearly equal shares as they may select under the supervision of my Executor. _, ~I . .-, --, , r i - -~-= i_i~ i`.) ARTICLE IV DISPOSITION OF PROPERTY Residuary Estate. I direct that my residuary estate be distributed to the following beneficiaries in the percentages as shown: (a) Forty percent (40%) of such residue to my daughter, Susan E. Harvey, if she survives me, or if she does not survive me, to her issue, per stirpes, living at my death. If Susan and all of her issue die before me, the assets otherwise passing under this paragraph (a) shall be added to the assets passing under paragraph (b) of this Article. (b) Forty percent (40%) of such residue to my daughter, Andrean M. Griffith, if she survives me, or if she does not survive me, to her issue, per stirpes, living at my death. If Andrean and all of her issue die before me, the assets otherwise passing under this paragraph (b) shall be added to the assets passing under paragraph (a) of this Article. (c) Twenty percent (20%) of such residue to my granddaughter, Edee K. Herigan, now of Dauphin, Pennsylvania, if she survives me. If Edee does not survive me, this share shall be added equally to the assets passing under paragraphs (a) and (b) of this Article. I have singled out my grandchild Edee because of her significant help, support, care and love given to me during my lifetime. ARTICLE V NOMINATION OF EXECUTOR I nominate Charles H. Diller, Jr., of Mechanicsburg, Pennsylvania, as the Executor, without bond or security. If such person or entity does not serve for any reason, I nominate Susan E. Harvey, of Homer City, Pennsylvania, to be the Executor, without bond or security. ARTICLE VI EXECUTOR POWERS My Executor, in addition to other powers and authority granted by law or necessary or appropriate for proper administration, shall have the right and power to lease, sell, mortgage, or otherwise encumber any real or personal property that may be included in my estate, without order of court and without notice to anyone. My Executor shall have the right to administer my estate using "informal", ~~ ~~ ~ ~~ "unsupervised", or "independent" probate or equivalent legislation designed to operate without unnecessary intervention by the probate court. ARTICLE VII MISCELLANEOUS PROVISIONS A. Para h Titles and Gender. The titles given to the paragraphs of this Will are inserted for reference purposes only and are not to be considered as forming a part of this Will in interpreting its provisions. All words used in this Will in any gender shall extend to and include all genders, and any singular words shall include the plural expression, and vice versa, specifically including "child" and "children", when the context or facts so require, and any pronouns shall be taken to refer to the person or persons intended regardless of gender or number. B. Liability of Fiduciary. No fiduciary who is a natural person shall, in the absence of fraudulent conduct or bad faith, be liable individually to any beneficiary of my estate, and my estate shall indemnify such natural person from any and all claims or expenses in connection with or arising out of that fiduciary's good faith actions or nonactions as the fiduciary, except for such actions or nonactions which constitute fraudulent conduct or bad faith. C. Beneficiary Disputes. If any bequest requires that the bequest be distributed between or among two or more beneficiaries, the specific items of property comprising the respective shares shall be determined by such beneficiaries if they can agree, and if not, by my Executor. IN WITNESS WHEREOF, I have subscribed my name below, this ~~ day of Testator Signature: ~ \x~ [ ~ ~, ' ~, ~ : ~ r -7--- f' Cl~ Edith C. McConnell t- ~~,~'~ , r We, the undersigned, hereby certify that the above instrument, which consists of pages, including the page(s) which contain the witness signatures, was signed in our sight and presence by Edith C. McConnell (the "Testator"), who declared this instrument to be his/her Last Will and Testament and we, at the Testator's request and in the Testator's sight and presence, and in the sight and presence of each other, do hereby subscribe our names as witnesses on the date shown above. Witness Signature: Name: city: State: Witness Signature: Name: City: S~ j ~3~~n k.. State: Witness Signature: Name: City: State: '1 ~~ ~~, ~ l~-~ ~~ ctie~ 4 ~, ~J PENNSYLVANIA Self-Proving Clause COMMONWEALTH OF PENNSYLVANIA COUNTY OF =.~ ,~~ ~ c,,~n I, Edith C. McConnell, 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; that I signed it willingly and as my free and voluntary act for the purposes expressed in the instrument. Sworn to or affirmed and acknowledged before me by Edith C. McConnell, the Testator, this ~ day of ~~~ ~ ~ '~ ~~ ~ _ ,-. ~,• ~ Testator Signature CX% ~y%~~.~1 • /'~ ~ `ihc'1l ~ ~:~~'_~ ~'_ Edith C. McConnell ~ ~~ - ~ ~~ , l 'gnature of officer ~C~ fit? S~ Official capacity of officer COMMONWEALTH OF PENN~YLVAt~ItA Notarial Seal Susan M. Shank, Notary Public (Seal) My Commission Expires May 31,200 Mamber, PannaylvaNe Aswclatlon of Notarlea <c YYj AFFIDAVIT COMMONWEALTH_O_F PENNSYLVANIA COUNTY OF _~-r ~~,~ ~ ~,,nc~ We, ~, ~~~~~ ~~ ~~~m l and ~ T-, .~„ ,~ r and U C i ~~'~ ~~~' 0.ti~~ ,the witnesses whose names are signed to the attached or 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 the Testator's Last Will; that the Testator signed willingly and executed it as the Testator's free and voluntary act for the purposes expressed in it; that each of us in the hearing and sight of the Testator signed the Will as a witness; and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to or affirmed and subscribed to before me by `-Lk ~,-~d4 ~,~ ~,;~M and ctc'~e't' ~~~ ~~~~.;~,~ and )~ 4~~~~ ~~ ,^'~ ~~'l (fir ,witnesses, this ~ day of Witness Signature: ~ ~ Name: ~,~'~c'_-~~~ ~~-,~- / City: ' ? -T~ !'2.1~-_, State: - - ~~! ~7Q ~~~ !7~- 1~ - Witness Signature: - ljU.~a;~~.ft,{ Name: ~ (`c' c' ~-~-'ec=~ ~;~--- City: _;~~-1~`~ ~~ ~$~ ~~ I ~C~,(~~ State: ~~r~c;1,c~,r~c:~, p~~ 15..~.~=1 Witness Signature: Name: City: State: c ~, ~_ ._ ~~~~ ~'~~1.~~ Signature ~pMMONWE~ ~F PENNSYt-~~~' Notarial Seal Public Susan M. Shank, Notary ite Tw ., Indiana Co 31y 2008 Seal and offici 1 C~[ Member, Pennsylvania Association of Notaries \. U'' I C.