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HomeMy WebLinkAbout10-26-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of JOAN M. CAUFMAN a/k/a: a/k/a: a/k/a: SS NO: 159-24-9984 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: ~ A. Probate and Grant of Letters Testamentary or ^ Administration e.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 t/~/1989 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(8):_ ^ B. Grant of Letters of Administration ter appucabte, 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 e.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(8), exc~as follows:'- :Name Address Relation _ Decedent`- ~ '[> r-- i'.> ~; . S [F NLCN,SSARI ~ THIS SECTION MUST BE COMPLETED: .~ ~.; . Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 4905 E. TRINDLE ROAD MECHANCSBURG PA 17050 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then _ 86 years of age, died 1/2/1989 at MECHANICSBURG. PA /7 -+- - ~ 7r" USN: ADDITIONAL SHEET "`'~ (Month, Day, Year of death) (City and State where death occurred) Estimated value otdecedent'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 $ - -___ Total Estimated Value $ ~t'~ x8.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) Signature(s) Name(s) & Mailing Address(es) GLEN C. CAUFMAN 694 DOE LANE LEWISBERRY, PA 17339-8704 Interim Fonn RW-02 revised 12.?6,10 by Cmnbedand Counry pending action by the Court Page 1 of 2 -- Deceased ESTATE NO: 21-~~O ~ ~ -- 11 ~-{Lp .~~ - : ;-, ~. C 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. Sworn to or affirmed and subscribed ~ hefore me this - day of ~C:~_ ~ . ~ : ~-- _ For the Register J -~_, '~ ~ DECREE OF PROBATE AND GRANT OF LETTERS `-~ ~_~ " _~~ ly _~ :. Estate Of JOAN M. CAUFMAN ,Deceased File Number: 21-~Cj ~ I -~_~ - r<~ AND NOW, this ~~ day of ~~ C~-(` 1~~? i' ~ ' ~ ~,~~ , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters x Testamentary _ of Administration are hereby granted to: Qf applicable, enter e.t.a., d.6.n., d.b.n.c.t.a., etc.) GLEN C. CAUFMAN in the above estate and that instruments(s) dated 1/z/1989 described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. FEES: Letters ....................$ _3C i OCR Will ........................_ i.5, OQ Codicil(s) ................._ ( ~) Short Certificates _ ~I . COQ ( ) Renunciations......._ Bond ............................. _ Other ............................. ................................. ................................._ Automation FEE......... _ 5.00 JCS FEE ................... _ 23.50 ~ i~5v TOTAL ................$ ~~ ~} ~~; ~.•7 G Glenda Farner trasbaugh, _ ~~ Register of Wills y~i I r~~F(~Li.~ E. ?:'~ C 1 ~ CSC ~:~ Signature of Counsel Required to Enter Appearance Atty's Signature ~ -~ ~''L ~~~ ?~~j PRINTED Name: Stephen ~. Tiley Supreme Court ID No.: 32318 Address: Frey and Tiley 5 S. Hanover St., Carlisle, PA 17013 Phone: (717)243-5838 FaX: (717)243-6441 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 OCAL REGISTRAR'S CERTIFICATION OF DEATH WARPJING: It is illegal to duplicate this copy by photostat ar phcltograpll. Fee fur [his rertiticatc. `~6.(I(1 ,~,,,, "1 hip i ~ t ~ I ~~ t I l,~~p~,ZN OF pF,yy~ '~~o~~ ~~`~~~~ Ij~ ~ [~1 .'l-3" ~G 'mot F .y,~R, ,t ~ 111 • I f, n) t,lm U(un 111 r~l~~n Is rn ~•rt[y ~,,~n~~Ll Ij ) ,ll:: ,Ij<,i(;al Culil~i~ u ~ of Death Li (l. f~(e11 ~~ n!) utx - i_t ~,II Kc11i;[r)r. 1 f•e uri~ainal ~~rti~~i~~,n~ ~(i1 ,;~~ ~u~~IcLI h) Ilia Sa[c Vital R Lin~11~ (. Il,~r' ;~),;,j:ent illin~_', --- ~"1 ENT © I Certification Number ~~-„ , yys% -~ L~,cal 1ZL~(~Ir:u D,_(~e l;sue(1 n ~,,. .._ ~ ~. ~ ~ - r , _. ' ~ Z~ ~ ~ , e ' ' f'~ ~ - . _ r_. ?) C., i.i: ^;~ ~ . `~11..~ ll ~_ r-~ -.. -. - _+l~ Y... r. -Tl n Htost43 REV 11f20p6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE I PRIM IN PBUICK"INKY CERTIFICATE OF DEATH (See instructions and examoles on reversal N N .~ a 0 U 0 r "( 0 1. Name o1 Decedent (First, middle, lest, wdix) 2. Sex 3. Sodel Security Number L L` v • 4. Dale of Deam IModh, day, year) Joan M. Caufman Female 159 -24 -9984 October 16 2011 5. Age (last BiMtlay) Under 1 er udder 1 da fi. Dale d &M Monm, 48 , r 7. ~ ce C' antl stale or laei coon Ba. Place of Deem Cneck m ore Mantras pays H°un Mlarte¢ H°SDital: er O N ~ - g 8 6 vre. Ju 1 1 1 1 9 2 5 S t u d l e En l a n d ^ I°pa>rem ^ ER I Oulpeaent ^ DDA LU Nuroing Fkxne ^ Residence ^ osier -specify: Sb. County al Deam Bc. City, Doro wp. I Deem gd. FaciNy Name (It not in¢muaen, give ¢Vaet antl number) 9. Was Decedent °I Hkpanic Origin? ~ "° ^ Y85 10. Race: American IMian, Sleds, Whae, etc. - (II yes, speciy Cuban, (SPa<;M Cumberland Hampden Twp. Country Meadows Mexkan,PuenoRican,etc.) White 71. Decedent's Usue1 lion KkM of work done dud moat of life. Do not state ren 12. Wes Decedent ever n the 13. Decedent's EMCatlm (Seedy Dray highest gretle wnpletetl) 14. Marital Status: Marred, Never Marred, 15. SurvNkg Spouse (If wile, give maitlen name) Kind of Work KiMdSueMea¢I Industry LLS. Amtad Forced? Elementary / Secatdary (0-12) Cdlege (td or 5+) Wd°'xed, Drvoratl (SpeatyJ Bookkee er Retail Sales ^Yes[~NO 12 rs Widow 16, Decedent's Mmfing Address (SlreaL city / rown, sUte, ziP code) Decedents Did Decedent ' 4905 E. Trindle Road AshrdResidence na.state PA uvema „° ~y5 p~,,,uyedin m n . , Tom, Township? Mechanicsburg, PA 17050 l7b.Coumy Cumborlan~ nd.^nro,pecedemwetlrnml° Actual Limns of Cdyygp,p 18. Fethefs Name (First, rddda, lest, sudix) 19. Mdhefo Name (First, midde, maiden saneme) Karl Jenn Johnson 20a. InlormanYs Name (Type /Prim) 2W. InlomlanYS Mailing Address (Street, city /town, stale, zip coda) Glenn C. Caufman 4 D o n ewi berr PA 17339 218. Memod of Disposition Crarnalkm ^ Donation 21 b. Date of Dapoetlbn (Momh, my, year) 21 c. Place of DisposNOn (Name d cemetery, crematory or °mel pate) 21tl. Location (Cltyltown, stale, ip ax]e) ^ Surat ^ Ramwal ban Slate i - Wag Cramatbn a DaleUOn AuMOnzea~, OCt • 1 H ^ Olher~ rbyMadkelExaminsr/COmnen i'Jves^Na ,2011 Hollinger FH/Crematory Inc. Mt.Holly Spgs.PA 1706 229. ' d wnam s~ uteree - ) 226. "ce"de "pm-09! zzc. Name and arareee °' Fadiiry 5 01 N . B a i mo r e Ave . ~ - - FD-011932-L •n tic Mt. Holt Springsr PA 1706'5 Com itartn 23as atlY wtwn cerlilying 23a. To the best ImowMdge, deem ocanetl et me Inns, des and pace orated. (Slgnahae and trcle) 23b. License Number 23c. Data Sigretl (MOnm, day, year) physkian a nd eretlable at tlme of Beam ro army rates d seam. ~~ - c~ ~ L, C J 1 - Hems 21-26 must be compbted q' person - xM rono tl m 24. T~ of Deem 25. Dale Pranourxxrd peed (Mash, day, year) 26, Was Case Rearted to McQxal Examiner / Corarrer KK a Ressm Omer man Csernatlon or Donedon? p unces ea . A M ^ Vas ~ No CAUSE OF DEATH (Sae Inetrucllone end exemplse) r Appmximero rorervel: Mem 27. Pan I'. Enter tle deit of events - cheeses, Injunea, or mmpkraaong -mar directly ceueed the deem W NOT enter terminal events s h tli Pen II: Enar other ~ 2B. DH Toba¢o Use Cordrlbua it Deem? . uc es mr ec arrest, Onset to Deem resplretory arrest, a vantriadar nMladon wilhan showing me eddogy. list mty one cause m Becll Ina. but not resullkg in the uMenying cause gNan in Pani. ^ Vas ^ PP r obebty ,x MIMFDLI7E CAUSE Final6seaee a t r d ~ I l ^ No yy Unknown oontliUon resumnp eem) _~ e LH~ I I , I 'D (V aa' ~~I rr, ~~\rrr - ~- C i~ L~~ l~I ~U - _ 29. II FemaM: r ~~ Due t° ( uerte tlagy tat axrmdma d ar Nd j pregnant with6l peat y~r ~ ty, , ~o tl1a fluae Ialetl M tlrie a. b_ v' ~ LJ PregneM et Ilme d tle9m Enter UNDERLYING CAUSE Duero ( as e (~• o~~ry ~t Im e~ ^ Nd t, but of ~ ran pregnant within a2 tlays ~ n t ~ ^ Due !o (a as a amsequerrce op: Not pregnant, but pregnant 43 tlay¢ l0 1 year o t n r~ - ~ ~ v~ Irene deem ^ Unknowmtt pas year Ixegnanl wiaan me t 30a. Wes an Auropsy Penametl? 30b. Were Adapsy FuxlMgs AVaiade Prior ro Compaaon 37. Ma m 32a. bete of kjury (MOnM, day, year) 32b. Describe How Injury Octuned 32c. Place d Nqury: Hans, Fartn, Street, Factory, o 1 Cauee of beam? Natural ^ Momk'tle Omce ButldNg, ale. I' ' ) ^ Yes ,~ No /Yes ^ No ^ Accident ^ PerMirp Inwetlgegm ffid. Time d Irryury 32e. IMay Bt Wak? 321 If Trerepodetlon Injury (SpeutyJ 32g. Locatbn d injury (Sheet, CM /town, stela) ^ SukMa ^ CwM Nd as Dalemknetl M ^ Yas ^ No ^ Dmer/Opereta ^ Passenger stdan aner-seedy ~ 33a. Cartlaer (dreclc °dY aro) 33b. slgnmare De^lMre PMaoan IPnysidan Henna vase d eaam wnen enomer phvsidan has pawur~cetl deem acrd tanpelad Irom z3) • To ens wet d my ImowMd9e, dwth eeeuma sue to the am•fsl ens manner.a staled _ _ _ _ _ _ _ -- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • - Pronounelrg antl eaNAdnB plryNelsn IPhyaicrn bom paraurx:irg deem erM cermying to Huse d deem) 33c. Lie 33d. Date S' netl (MOnm , tlay, year) Toth beNdmy Mpwdedge, death ocarrroddthe tlma,deh, snd plea,eM dw lath puw(s)and memwr ea elated__________________ ^ M,s'` (') (Y/ ~ • MMlgl Exeminar/Corona O 1x~' JJ ~ .S p b I ~ I ~ I Dn Me basis d examinstbn and! or Irnestlgetlon, In my oplnbn, death oealmetl rt the time, deb, sntl place, and doe la Ure uueels) and marvnr ae ehhd-, ^ 3q ra~g/a p ~ C a npleted Cauca of Deam (Item 27) Type I 'til 35. RagistrsYS tl Dis ' l\~\ ~ !~ l /~ at Ftlad (Mash, day, year) (~y ( N 1 ` ~ N I /~ ~ ~ ~ ~ ~ O /~~1 Daposldon Parma No. -SJ ~ Dy.S l~i~ OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of JOAN M. CAUFMAN Deceased STEPHEN D. TILEY and (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well- acquainted with JOAN M. CAUFMAN and am/are familiar with the handwriting and signature of the decedent, and that the signature of JOAN M. CAUFMAN to the foregoing instrument purporting to be the Last Will and Testament/Codicil of JOAN M. CAUFMAN is in his/her own proper handwriting (Signature) 5 SOUTH HANOVER STREET (Street Address) CARLISLE, PA 17013 (City. Stale, 7.ip) Executed in Register', Office Sworn to or affirmed and subscribed before me this ~ t~ day of ~ C.~~a1~2~" ~U ~ ~ . (Signature) (Street Address) (City, Stale, Zip) Deputy for Register of Wills r7 7 . _ -,-; °> ~~ t z, _ - zj.rs_n ~. r~~m _ r•.; ~- r , ~ -~? r ~-, `~ _, ,` `l ' ~t_..i -I-j -\/ ~1 -~ D <:~~ r- . ~._. r. -,- Form RW-04 rev. 10.13.(16 C? O -z-, -~ OATH OF SUBSCRIBING WITNESS(ES) ' ~ ~ `~ .- • ,-,, REGISTER OF WILLS ' ~~~ ~ j - CUM BERLAND COUNTY, PENNSYLVANIA ~; = - _ ~ 1- t t - i 1 y.~.~' ~... --r Estate of JOAN M. CAUFMAN Deceased ROBERT M. FREY , (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 i 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. (Signaka-e) (Street Address) ~c;r~,. state, z,~~ Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Executed out ofRegister'.s Office Sworn to or affirmed and subscribed before me this a (n+v day of ~c+9+~ a ~ r . ~~- ti , ~ Mss ~ ~.- ~. ~ ~,o...o Notary Public My Commission Expires: ~ ~p a of (Signature and Seal of Notary or other official gT{alified [o 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 instrument(s) at time of notarization. Form RW-03 rev. 10.13.06 _ ~~M A ~Er~ NerryA~ ~I~NMCII~ j~,~~ .~ l,~c~--~.-~f ~, . ~ ~ (Srgr:ature) 5 SOUTH HANOVER STREET (Street Address) CARLISLE, PA 17013 ~cir~, state. zp~ LAST WILL AND TESTAMENT OF JOAN M. CAUFMAN I, JOAN M. CAUFMAN, of North Middleton Township 919 Cavalry Road, Carlisle, Pennsylvania 17013), Pennsylvania, being of sound and disposing mind, standing, do hereby make, publish and declare this Will and Testament hereby revoking and making void by me at any time heretofore made. (mailing address: Cumberland County, memory and under- as and for my Last any and all Wi11s 1. I direct my hereinafter named personal representative to pay all of my just debts and funeral expenses as soon after my death as may be found convenient to do so. 2. All of the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I giver devise and bequeath to my husband, Glenn O. Caufman, his heirs and assigns, to the exclusion of my children, born and unborn, provided my said husband, Glenn O. Caufman, shall survive me by a period of ninety (90) days. 3. Should my said husband, Glenn O. Caufman, predecease me oz- fail to survive me by the aforesaid period of ninety (90) days, there in such event all of the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, 7: give, devise and bequeath as follows: a. Ten Thousand ($10,000.00) Dollars to my grandson, Gregory Glenn Caufman, his heirs and assigns, of 102 Holly Court, Lewisberry, Pennsylvania 17339, provided he shall survive me by a period of ninety (90) days, but should he fail to so survive me then to such of his issue as shall survive me by a period of ninety (90) days, per stirpes, and if there be no such issue the same shall lapse and be added to the residue of my estate; b. Ten Thousand ($10,000.00) Dollars to my grandson, Ryan. James Caufman, his heirs and assigns, of 102 Holly Court, Lewisberry, Pennsylvania 17339, provided he shall survive me by a period of `~ ninety (90) days, but should he fail to so survive me then to such of ~ his issue as shall survive me by a period of ninety (,90) days, per stirpes, and if there be no such issue the same shall lapse and be *,,~ added to the residue of my estate; ~.~, ~ c. The balance or residue thereof to my son, Glenn Charles ,~.ti"; Caufman, his heirs and assigns, of 102 Ho11y Court, Lewisberry, Penn- ~~ sylvania 17339, provided he shall survive me by period of ninety (90) days, but should he fail to so survive me then to such of his .~, issue as shall survive me by a period of ninety (90) days, per ~' stirpes. ~.~ ~~ 4. I hereby nominate, constitute and appoint my said husband, C~\~~ Glenn 0. Caufman, as Executor of this my Last Will and Testament, but ,Y~~, should he predecease me or fail to qualify or cease serving as such, then in such event I nominate, constitute and appoint my son, Glenn Charles Caufman, as alternate or successor Executor, but should he •~~ predecease me or fail to qualify or cease serving as such, then in `:.such event I nominate, constitute and appoint my two grandsons, Gregory Glenn Caufman and Ryan James Caufman, or either of them, as alternate or successor Executors, and I further direct that none of them shall be required to post any bond to secure the faithful perfor- mance of his duties in the Commonwealth of Pennsylvania o~ in any other jurisdiction. ~ ~ _ _~, __'%~~r~-- -, ~y ~ m ~ ~. Page 1 of 2 Pages -"~i3~ r`• ~_ ~_ -_, 4 _: ~. .__ _.. i ~jJ ._~~ .. ri _"~~ C) ('.. • 1 IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on two (2) page this 2nd day of January, 198 9. ~% ,/> 4. '~~CC~~~ f;~;~ ~"~'CC~ ° ~*~.~r~•,y ( SEAL ) ~;` ~'" Joan M. Caufman;~ Signed, sealed, published and declared by JOAN M. CAUFMAN, the Testatrix above named, as and for her Last Will and Testament, in our_ presence, who, in her presence, at her request, and in the presence of_ each other, have hereunto subscribed our names as attesting witnesses. ~~....... "urt.. Page 2 of 2 Pages