HomeMy WebLinkAbout08-31-05PETITION FOR PROBATE and GRANT OF LETT~~~~;' /
',Estate of Donald E. Frick No. ~ ~ ~-~
V also known as Donald Frick To:
Register of Wills for the
Deceased. County of Cumberland in the
Social Security No. 218-24-9898 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the execut or named
in the last will of the above decedent, dated June 17 1981
and codicil(s) dated None
Ruth L Frick spouse of Donald E. Frick predeceased her husband DOD 5/25/2000
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
h is last family or principal residence at 510 RidcLe Road
Shippensburg~Southampton Township PA
(list street, number and municipality)
Decedent, then 75 years of age, died 8/16/05 ,
at Baltimore Mar~and
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent: none
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ 125.000.00
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania $ 0.00
situated as follows:
None
WHEREFORE, petitioners pectfully request(s) the probate of the last will and codicil(s)
presented her ith and the of etters testamentary
thereon. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
510 Ridge Road
24.. ,~ Shippensburg PA 17257
ruce I. i
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OATH OF PERSONAL REPRESENTATIVE ' °~
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CCI~INOhrWEALTH OF PENNSYLVANIA 1 ss
COUN'T'Y OF Cumberland J
The petitiataer(s) above-named swear(s) or affirm(s) that the statements in the fore g petition are
true and correct to the best of the knowledge and belief of petitioner(s) and that p on represen-
tative() of the above decedent petitioner(s) will well and trul minister e e acc r ing to law.
Sworn to or affirmed and subscribed
before me this 31st day of
u st 005
~~ ~(~( -~-yRegister
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No. ai- ~~- ~77`l
Estate Of Donald E. Frick aka Donald Frick ,Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW Auoust 31.2005 , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated 6/17/81
described therein be admitted to probate and filed of record as the last will of Donald E. Frick
aka Donald Frick
and Letters Testamentary
are hereby granted to
Bruce 1. Frick
FEES
Probate, Letters, Etc.. $
Short Certificates ( ~ . $
Renunciation . $
TOTAL $
Filed . .
Register of Wills -'
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25502
ATTORNEY (Sup. Ct. LD. No.)
49 W. Orange Street, Suite 3
Shiogensburp, PA 17257
ADDRESS
717-532-3270
PHONE
VALID ONLY I HEREBY CERTIF~t TWAT THd ATTACHE>11S A TRUE COPY OR A
' WITH RECORD ON FILE IN THE DIVISION OF VITAL RECORDS. '
IMPRES5ED
SEAL
A/t'~t-~
DATE ISSUED:
STATE REGISTRAR O VITAL RECORDS
08 ~q ~oo~-
Amended Item 25 per M.E. 08/19/2005 Carroll County, wjl
Please Type or Print in Black Indelible Ink. Ensure All Copies Are Legible.
For State of Maryland /Department of Health and Mental Hygiene
1- ; nt„ Certificate of Death Rig. No.
t. Decedent's Name (First, Middle, Last) ate of Death
~ 2. 3. Time of Death
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t and number)
4a. Facility Name (ll not institution, ive stree 4b. City, Town, ar Location of Death 4c. County of Death
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Uy; 2rS1~ o iMlir IGn' t ica.(C-t ~a ~f'1Wfo/~ N ~"
5. Social Security N bar 6. Se 7. Age (In yrs. last birthday) If Under i Year If Under 24 Hrs. 8. Date of Birth 9. Birthplace (State or Foreign
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21 8 - 2 4 - 9 8 9 8
~ M 2^ F
.7 5 Yrs.
Months Days
Hours
Min.
$ ~ 1n9 / 1 9 2r9
MARYLAND
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Usual Residence of Decedent
A c t0a. State 10b. County tOC. City, Town or Location 10d. Inside City Limits
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PA
CUMBERLAND
SHIPPENSBURG
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L ~ ~ toe. Street and Number 10f. Zip Code tog. Citizen of Wha[ Country?
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~ ~ 510 RIDGE RD 17257 USA
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v ~ N 1 t. Marital Status 12. Wes Decedent Ever in U.S. 73. Was Decedent of Hispanic Origin? (Specify Yes or No- 74. Race -American Indian,
`m 8 ~ A ed Farces? If Yes, specity Cuban, Mexican, Puerto Rtcan, etc.) Black, White, etc.
~
~ ~ ` LL 1 ^ Never Manied 2^ Married 1 Yes 2 ^ No
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3~] Widowed 4 ^ Divorced If Yes, Give KOREAN
Year or Dates: t ^Yes z$1 No specify: S eci
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n ~ d 15. Decedent's Education 18a. Decedent's Usual Occupation 18b. Kind of Business/Industry
N (Specify only highest grade completed) (Give kind o/ work done dunng mos6 0l working
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ElementarylSecondary (0-12)
College (t-dor 5+) tile. DO NOT use retired)
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N m r: o 12 MASON _ CONSTRUCTION
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77. Father's Name (First, Middle, Last) _
18. Mother's Name (First, Middle, Maiden Svmame)
C $ my ~ m
Q~~~ F FERDINAND LEWIS FRICK CLEEDIE VIOLA WILLIAMS
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nt) 19b. Mailing Address (Street and Number or Rural Route Number, City or Town, Slate, Zip Code)
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`° BRUCE I. FRICK - SON 510 RIDGE RD.,SHIPPENSBURG.PA. 17257
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20a. Method of Disposition
20b. Place of Disposition (Name o/ Date -
20c. Location -City or Town, State
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1 ~ Burial 2 ^Cremalion 3 ^Removal from State cemetery, crematory or other place)
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a E m ~ ' 4 ^DonaL 5 ^Other (Specify) D ER PARK CEMETERY ~ 2 0 / 0 5 SMALLWOOD , MD .
'E a n ~ ~ 21. ignatu ervice Licensee 22. Name and Address of Facility FLETCHER FUNERAL HOME
m a°E' 54 E. MAIDi ST., WESTMINSTER, MD. 21157
23a. En the isease, or complications that caused the death. Do not enter the mode of dying, such as cardiac or respiratory arrest, Approximate
shock, or a ilure. List only one cause on each line. Interval Between
Immediate Cau Final ((I~ _
disease or condition a _ ~SG.VIQ (/~ L L /~O ~•J ~- ( !
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d Onset and Death
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Due to (or as a co
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Sequentially list conditions, b. f 'e ~ R7~/~K ~-rr~ phP p e /+~o'~_ ~ ~ ~ _ ~ ~. ~ ~
d H any, leading to immediate Due to (or as a consequence oQ: ~ ' '• ' _
v c C cause. Enter Underlying - ~ '
m ~ ~ Cause {Disease or in)ury -- i
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W resulting in death) Last _ -~'
Due to (or as a consequence oq: -
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IF FEMALE:
23b. Was decedent pregnant _
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23c. If yes, outcome o1 pregnancy 23d.Date of delivery- r
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in the ast 12 months?
P ^ i
t Live birth 2 Fetal death 3 Ectopic pregnancy
io{onth day
Year
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1^Yes 2^No •
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4^Pregnant at time of death 5 ^ Other (specify) t
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9^Unknown _
9^Unknown -.,~
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°m ~ T Part II. Other significant conditions contributing to death but not resulting in the underyin
23e
Did tobacco use contrib
cause
iven in Part I
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. ~ t ^Yes 2 ^ No 3 ^ Probably 4~Unknown
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~ A ~ N O. 24a. Was an 24b. Were autopsy findinoa5 available
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opsy pr
or to comp
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cause of
perform ? death?
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d __ _ _ ~ t ^Yes No i ^Yes 2^ No
25. Was case referred to medical 26
Fiace of Death (Chsc'~ cnl one;
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examiner? y --. ---
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~ 1 Yes Hospital: Other:
~ 1 npatient 2 ^ ER/Outpatient 3^ DOA 4 ^ Nursing Home 5 ^ Residence 6 ^Other (Specify)
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27. Man r of Death
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28a. Date of Injury
(Month
da
Year)
28b. Time of
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28c. Injury at
W
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28d. Describe how injury occurred
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tural 5 ^ Pending ,
y njury ork
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N ~ i>f 2 ^'Accident investigation M 1 ^Yes 2^ No
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4 ^ Homicide determined -
28e. Place of Injury - At home, farm, street, factory, office
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28f. Location (Street and Number or Rural Route Number,
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29a. Certifier Certifying Physician: To the best of my knowledge, death occurred at the time, date and place, and due to the causels) and manner as stated.
m N a m ~ (Che konN 2^ Msdieal Examiner. On the basis of examination and/or investigation, in my opinion, death occurred at the time, dale and place, and due to the cause(s)
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~ and manner stated.
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3 ~ ~ ~ 29b. Signature and ti[ of certNier 29c. icense number 29d. Date signed (Month, Day, Year)
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30. Name and address of person wh ompleted cause of death (Item 23a) (Type, Print)
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31. Date tiled (Month, Day, Year) 32. R rar's Signature
AUG 1' 9 200 )I~,~, ,fir d,..~
DHMH 17 Rev 1/2001 ~~
ORIGINAL
OATH OF NON-SUBSCRIBING WITNESS
H. Anthony Adams and Wendy A. Frick
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
familiar with the signature of Donald E.Frick aka Donald Frick , testat or of (one of the
codicil
subscribing witnesses to) the will presented herewith and that each believes the signature on the
codicil
will is in the handwriting of testator to the best of their knowledge and belief.
--
--
Sworn to or affirmed and sub-
~y_
(Name)
scribed before me this 31st day of 15 Pebbles Road
Au ust 2005 Newburg PA 17240
-- (Address)
For the Register mod" (Name)
~~ ~--~ 51 Ridge Road
Shippensburg, PA 17257
(Address)
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I , DONALD E . FRICK, of Carroll County, in the State of Maryland,
do hereby make, pubiish and declare this as and for my Last Will and
Testament , hereby revoking all former ,ills and codicils by me heretofore
made , in manner following, that is to say:
After the payment of all my just debts and funeral expenses, includ-
in g the erection of a monument at my gfave, in the event one is not erected
during my lifetime, I hereby give, devise and bequeath my entire estate to
my wife , RUTH L. FRICK, should she survive me .
In the event my said wife predeceases me, then I give, devise and
bequeath my entire estate unto our son, BRUCE I. FRICK, absolutely.
And I hereby nominate, constitute and appoint my said wife, RUTH
L. FRICK, to be the personal representative of this my Last Will and Testa-
ment, with full power to sell and convey any and all of my property that may
be necessary in the proper administration of my estate, without the necessity
na
.-.
of obtaining an order of any court, and I request that she be excused from the
necessity of giving bond. In the event my said wife predeceases me, or fails
to qualify as personal representative, then I nominate, constitute and appoint
my said son, BRUCE I. FRICK, to be the personal representative in her place
~„
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and stead, with the same powers and under the same circumstances as the
said Ruth L. Frick.
Witness my hand and seal this ~ ~ day of ;~~--~-~ 1981 .
-~~~„E:~' ~. ~~.-~~~' (SEAL
Donald E .Frick
Signed, sealed, published and declared by the above named testator,
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 hereunto
subscribed our names as witnesses .
~J' ~~
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