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11-29-11
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of ,~ (~ ~~~~ ~- G~/e ~~ ,Deceased ESTATE NO: 21_T' a/k/a: a/k/a: a/k/a: SS NO: /gyp-a~_ ~~1~C1 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as a plicable: A. Probate and Grant of Letters Testamentary or ^ Administration c.t.a., or d.b.n.c.t.a. (c~,~ete Part~~also) d aver that Petitioner(s) is/are entitled to the aforementioned Letters -`~-~j ~ ~ and~~ the last Will of the above-named Decedent, dated ~_~¢~Cl~ /9?''S~and codicil(s) dated,•?~-~ ~ ~ ~'• :~ ~-_^ J '~ ' (State relevant circumstances, e.g. renunciation, death of executor, etc.) ` ~ ~-~ ~' ~ ',::' - Except as follows, Decedent did not many, was not divorced, and did not have a child born or adopted a~executiotiof the__ _ , :Li instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitatec,$erson, and was not; a' m party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established ~defitie~i~ 23 Pa. C.S.A. § 3323(8): ^ B. Grant of Letters of Administration (Itapplicable, enter d.b.n., pendent life, durnnte absentia, durance minoritste) 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(8), except as follows:- Name ~' ~ C'.9~2 LlS/.~ r9 OlS` ~ 6 i~ ~ D CE ~ o u~rA/ RD ~b e ~ ~~~a ~~u6-~~ USE ADDITIONAL SHEETS IF NE(:ESSAKY THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her 1 st family or principal residence At r',C,~,~~'~rlON7" ~I~~Si'n/1b -fo©© ~,~,4~i~ra~i ,~2.~ ~~~~/sL~ ~.~ /70~ (Street address with Post Office and Zip Code, Municipality: Township,l3orough, City) Decedent, then ~~ years of age, died l~IIF %6~`~- ~~~/ at ~gQ `iSC E ~~i¢ / 70 /3 (Month, Day, Yeaz of death) (City and State where death occurred) Estimated value of decedent's property at death: /If domiciled in PA If not domiciled in PA If not domiciled in PA Value of Real Estate in Pennsylvania All personal property $ ! 7 % / -~ / ' ~i Personal properly in Pennsylvania $ Personal property in County $ Total Estimated Value $ Location of Real Estate in Pennsylvania: (Provide full address if possible.) Ciad~nra/¢1 /~ Name(s) & Mailing Address(es) Jv ^' ~r~a ~ Je _.. ~ ~ ~ PROP 1 nf~ Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court nrr Oath of Personal Representative COMMONWE TH OF PENNSYLVANIA } ~, / } SS: COUNTY OF 1l`^ C } _ '(3ff4cialUs~, ;_. J ~. ,~ -~:., ~ Petitioner(s) Printed Name Petitioner(s) P i ., i!~6 '~~H C r ",~'- u ` ~ r~ ~'~ ~ i, T pin. The Petitioner(s) above-named swear(s) or affirm(s) the statements in the fore g Petition are a and correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the tioner(s) wi 1 and truly administer the estate according to law. Sworn to trmed subscri ed efore ~J Date alp d1lDY ~0 /~ me thi y ~ Date Date By: ~ _ ~ ~ Date ~ BOND Required: AYES [/ O FEES: Letters .................. .... $ `~ '~ ( ~ )Short Certificate(s).. ... . ( )Renunciation(s)..... ... . ( )Codicil(s) ......... ... . ( )Affidavit(s)........ ... . Bond .................... .... Commiss'o . ~ ............ ... . Other •••• .... •••• '~ .... ~CJD Automation Fee .......... .... . JCS Fee ................ ..... TOTAL ................ ..... $ rJ To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Fax: Email: DECREE OF THE REGISTER Estate of ~ K 1 (~A ~1 , l~ ~_'(Ca File No• ~l ~ ~ ~~ I a/k/a: AND NOW, I V Q ~~ ~ ~_r ~4 " , in considera 'on of the fpregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters 1 ~'~'' ~ ~-~/ are hereby granted to ~~[~ L~~ P ~h(TP to the a ve esta and (if applicable) that the instrument(s) dated A f 1 ~Q described in the Petition be admitted to probate and filed of record as the last ill (and Cod' ' (s)) of ecedent. egtster of Wills ~{,~ Form RW-02 rev. !0/11/2011 ~ "\ ~ Page 2 of 2 I l - l0// OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS ~~~~( COUNTY, PENNSYLVANIA Estate of Deceased ~ 'T' ~" and (each) being duly qualified according to law, depose(s) and say(s) that she / h t ey was / re ell- acquainted with _,~/~~~ F~ ~ "-~~~~ `~ and am/are familiar with the handwriting and signature of the decedent, and that the signature of ,'~/~~~~ ~' ~~~ to the foregoing instrument purporting to be the L Will and Testament/Codicil of is in his er wn proper handwriting. (Si re (Street Address) (City, Stnte, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills n ~- c7 . , -- - _ i T~ - v , uo ,~ ~f rl ~~ ...,. ~~~ r`~ ~~ rJ 'r+ Fonn RW-04 rev. !0.!3.06 H 105_NOS RF.~' IOIl1171 ~J - /b LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 This is to certify that the information here given i~ correctly copied from an original Certificate of Deat} duly filed with me as Local Registrar. The origina certificate will be forwarded to the State Vita Records Office for permanent filing. -, P 17 7 2 7 6 5 ~~R~t~~~.~ auk t~/.qtr Certification Number Local Registrar Date Issued --- --_ ~ -- -- ,_ -~ .-- ~ _ - ~) r~l '~ '~~ Ly --'. . _._ ~.~ . t-~ r_ Cn ;~ tI~ -.. C_)~r7 -- ~~ ~ ~_~ ~__ ~ SH10S113 REV „2008 ttPE I PRglr IN PEI,AIANEM lVACK NM V 0 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS .CERTIFICATE OF DEATH ._ - __~ _--_~_r__ __ ._.......a .....~__ x. sea a soNl saaaNY Nwlher /. Dw or Drm Mme, dq'. vrd +.wm.aDa~rearelPNet"'~°•~'~`) Au St 16, 2011 Mildred G. George Fanale 198 - 22 - 9919 5. Aqe Iud BMIhY) Untlw 1 IMlaar 1 8. Dab d Shin 7. aW elW a BA Phce d Deem as HoepNel: ~•'~ ~• ~ Noun erwas 6 27 1923 er Count , PA ®Iryredad ^ ER / Wpatlant ^ DOA ^ Nuaeg Hans ^ Rwtlawa ^ Dmel - 88 Yrs. N. Wr Decaaae d Hlepme (klgn7 No ^ rr 70. Rw: Anlakan hlNrl, Bhee, Vllib, eb. • Bb. Caaay d Drm Bc. CNy Barn, Twp. d Deem Nil. FaEilrr Name PI rlol Fremutlan, 9Na etrsN uM number) (H yr, epeceY CILan. (SP•c'M1 lnnberland South Middleton Carlisle Regional Medical Center Waken, Puarb Rirn..ba White ( . DerwdaYS Uuwl tlon d work tlorM mw d We. Do not Wh n 12 Wr Decedem ever m th 13. Decedents EAxrelbn (Specay anN IYphael grade wnpbted) ,/. Model Sldw: Wntea. Ne•a Wrtle4 15. SurvNeq Slbur Ilt rdh, R+• nleitlan name) rced lSpacfiY) Diw ow ed Wb • ti . U.S. Amad Farr, / SecmdaN (P72) Cadege (11 a &) ' ~ v ~ IGdd Waa 16MdBrkrellydutly E Bry W1Ww~.+ Cook Restaurant ^ yr ®No pecetlem'e Meahq Addrw (Sheet alv+am, ~.:q ~1 Decahnre PA U~Ye b~"d'a nl rn. ®r.c, Decaam u,ad in Middlesex rr~. • tN . 1000 Claramnt Road Adrl Redtlence 1Te. smte thed witmn CdylBoro ClAnbexland T07 17d.^~ dLaMh 170. Coady Carlisle PA 17013 ,a MdneraNam.cFketmdd.I,,,,,,,,e„~„1 e.Faarr'sNantalPoel,middla,hd,eNNa) Mildred C. Okeson John H. Barkle 20e. Inkmrm's Nrw ITYPe / PrK) 200. InlamulYe McINq Addlw (SOae4 dry! ben, emh, zpaae) 116 W. Hunter Rd., Carlisle, PA 17015 Joy A. Ott ^ Oonalkrl 21b. Dau a Dhpoddm (~, ari• Yw) aNim ^ C d a Dh NNN O 21c. Plow d pNprNIa1lNmre d canrete7, aemebry a Diner else) 21d. Laatlon (Ciy/town, dnh, tb cadet p C lare m 21 e. $1 E,Ilrel ^ IlenlvNeenShle ~ wrdenwahl«DaletlonAUM«Irtl 19 2011 8~ ^ • estminster Mamrial Gardens Carlisle, PA 17013 No ^ Omar I M YeAeel EerdrrlCOmrreft ^ Yr ~ 23 Fur sae (e Peram 1 22h. Lkaw Nurtu xxc. Name uef Adarre d Fad%y FD 012633 L Dwing Brothers Funeral Hone, Inc., Carlisle, PA 17013 ~ 23st ay+d+n!*~tM1d 23a. To dre eaddnry tlthetmre,deh endgw wbd (Sgrwaeam mbl 23b.1 .Lknawe NuMa 23<. Date Signed Madn, day. Y•a0 '? ~ I i 1 Z ~~ l ~ rO c Q y i ,.- i b pyeivnraaawliWlenurdaeamb .~,~,' Y" ' a orm d . «rt y rtes day. Yrrl 28. Wr Case Refined b/~a~el Emdrler I Coroner for a Reason Oder Nun DlanWbn a Doracn7 Deb Deed (Mmm 25 , . 21. Tine d Drm Ihnre 2428 mr he canVl•~ M Paao^ y''] ~ I ^ 7 ^ Vas YJ~Na mmenee deem h 'Z ( S M. ~ ' C G 1 1 . w o p T the b Deeth9 , ~/ `r+ ~ CAUSE OF DFATFI (Sea IMtruclbna anU a:«npMa) r App°br'rle knerveL PM : Fader olhor Nam 27. Pad I: Ewer Nre mTh.ot.mlm6- drare, nWdea, a mnpN«0ere • inn alredy ~ m• tlaem. DO NOT enM lermmd ewr s«h r rardrec arras. I Ord b Deem hat not reedlFq b the undedYNlg cures gnan b Pad I. ^ Yee ^r^P~ra6~.~ed~y i ^ No 1! e•rnwno•nl reeaMday Meal a wwlbkulu A«Xetlon wdtnd arlwrNg ma eOdogY. LW Wy aw our an aecn Me. SIIEOIAIE CAUSE ((FFYe~~edI New a /~ ~ A ~'/~..~.-~ , n . 29. N Femek: mWm Iverltllp b tlrm) _~ a U Y ~J ~L-1/~ '~` 1 d^- t V V ~.+ ^ Nil peg0nt wMlb Pr+Yrr ~ b la ure9lrere+ dl: I i ^ Pr•9re'd d tlnle d deem ,~.-eel ,~ ~.~n) ~ ~^ ~ ~ ^ Na w•a®a wl are,>nam wEwl ex deva d ~ OLC 2 . w.atuNaw, enr. e. ~inal~rll~o cA~ a~ Duo to (or ec a aam•mwa• ofl: I d deem ^ Nil D+, hd preplenl l3 deW b 1 Year c. - B/enh reaAFg~n drm LAST Due b (a r e corpuence dl. I hales drm ^ UNUawn d prgrud wNhk ma peq Y•u d. r • 30a. Wr n Aubpey 300. Ware Aukp•Y FI^a^Ae 31. Heiner al Orin 32e. Dale d InW7 Malin. deY~ Yrr1 97b. Dexrb How InFsY Oa.«re0 32c. Pha d IMaY Fhne, Fum. Sued. FacmrY, OIACe BuNdng, ek. lswdhl Pollanrad, ArWahh PrW ro Compatlm ~'~ ^ ~~' ~,~ d Caw d Deam9 r-~,/ ^ ~ ^ Aaidenl ^ PaNrg InwwNpadm 32tl. Tmre d Iryay 32e. Iryury a1 WaN7 321. N TrellapMedm m1u71~•d'YI ^ DduerlOPUatar ^ PaewOOr ^ Petladden 32g. Lacedal d irQay (Seed, dY I fowl, stele) ^ rr !~ No f No rr L ^ Sukba ^ Coultl Nq he DehrMrred M. ^ rr ^ No Oma. SpecYy: 33a CwtlNx (dwA day a+•1 ri 33b. Slprelae eM,itle d D•dNykq phY~n IPM ~Ye4 caw a own wtan rwdar DNY~ ~ l arm and wlrpded thin ) _ _ ^ _____ mW • ~ - i d ewl r __________________________ To the Mddnry broerledpe, aeeN axun•ddw,o tlw aerate)wM nennerwe >rarouri9 cream aril udYl+ro b oua d arm) ekierl Ism ekin (Ph l tl • b /~ 1 Y ple 33d. S Y,Y • ~ l ry y Pmnaelokq area ar s p h To tlY Mddmy lwronletlge,dr0l oceurMdNM INIM,N,e, errd pece,aM due lO tlM wuesla)end manrlwretded__________________ tJ~/L SJ ,/ ~ ~ / 1. ifJ({,E "~ (.~ ~ 161 ~ • Wiled FaanilwrlCaaw On the Ireab d emlNrtbn aMl«Imrtlgdim, m my Waller, deem eoelared d the tNnq Nb, old pYa, and «re to tlw ser(e) end rr«wr r stelae- 34. Nems d Perean Who Dap4~~ d (Ibm 2>) TYDe / Pdm %. Rapidlar' aril OlebidJIeaber~ 38. Due Fhd IMonm, deY. yrr) DhpriNm Pemdt No. O (o~L l~i'f U III ~ ~ , . ~ ~ _s -F, . I i' ~~~~~ :-., .. ~~~ LAST WILL AND TESTAMENT ,-~~ ~, ~~ ~i7 -~, c: MILDRED G. GEORGE ~~ c7 ~ -- r~ -.. Tj ---! _. ..Y 1 KNOW ALL MEN BY THESE PRESENTS: That I, MILDRED G: G'E ,~ resident of Orange County, Florida, being possessed of sound and isposing mind, memory and understanding, do make, publish and de- clare this to be my Last Will and Testament,hereby expressly revok- ng and declaring null and void any and all former Wills or instru- nts in the nature of a Will or Codicil by me at any time before I I direct that all my dust debts and funeral expenses be d as soon as convenient after my death. II All the rest, residue and remainder of my property of every kind and character,b oth real and personal, and wheresoever situate, which I may own or have the right to dispose of at the time of my death, I give, devise and bequeath to my husband, JOHN J. GEORGE, if he be living. III ti If my hush and, JOHN ~ GEORGE, should predecease me, or if we should die as a result of a common accident or disaster, then i that event I hereby give, devise and bequeath the following items of personal property to my children, as follows: (1) To my daughter, JOY A. OTT, I leave the Old Doughtray Horsehead ashtray, and the small wooden heart-shaped jewelry box. (2) To my daughter, SHELBY J. NOSS, I leave the Antique wooden child's rocking chair, the small 3ewelry box with picture o: Last Supper, and the Military Shell ashtray. (3) To my son, JOHN J. GEORGE, JR., I leave one (1) Maho- gany Blanket Chest and his father's Diamond Ring with two (2) dia- mond chips made of gold and platinum. (4) To my daughter, JUDY A. NACE, I leave the Antique Gol~ Frame Mirror, the electric lighted picture of Last Supper, the Stove ashtray, and my Mother's ring which contains four (4) birth-~ stone settings. { ' ~ ,. ~ ~~r (5) All the rest, residue and remainder of my property of very kind and character, both real and personal, and wheresoever ituate, which I may own or have the right to dispose of at the ime of my death, I give, devise and bequeath to my children: JOY . OTT, R.D.#3, Newville, Pa.; SHELBY J. NOSS, R.D.#3, Newville, a.; JOHN J. GEORGE, JR., R.D.#6, Carlisle, Homar Estates, Penn.; nd to JUDY A NACE, R.D.#6, Carlisle, Homar Estates, Penn., share share alike. IV If any part of my Estate becomes distributable absolutely o any of my issue who have not attained the age of eighteen (18) ears of age at the time of such distribution, then her share shall e distributed to the Executor named herein and shall be retained y said Executor until such time as such beneficiary shall attain he age of eighteen (18) years. If such beneficiary shall expire rior to the attainment of the age of eighteen (18) years, I direct hat the trust created hereunder shall terminate as to such bene- ficiary's particular share, and such share shall be distributed to y remaining issue in accordance with the residuary provisions con- ained herein. V I hereby nominate, constitute and appoint my husb and, JOHN . GEORGE, as Executor of this my Last Will and Testament and irect that he be not required to furnish bond. If my husband, OHN J. GEORGE, should for any reason not serve as such Executor, hereby nominate, constitute and appoint my son, JOHN J. GEORGE, R., as Executor of this my Last Will and Testament and direct that e be not required to furnish bond. IN WITNESS WHEREOF, I, MILDRED G. GEORGE, of Orange County, lorida, have to this my Last Will and Testament, consisting of ree (3) typewritten pages of paper (having written my name on margins of all preceding sheets) subscribe my name and affix seal this 12th day of March, A.D., 1974. ( EAL ) . G Page 2 of 3 Pages Y The foregoing instrument, consisting of three (3) tYPe- ritten pages of paper was on the 12th day of March, A.D . , 197+, igned, sealed, pub lished and declared by the Testator, MILDRED . GEORGE, to be her Last Will and Testament, in the presence of each of us, the undersigned, who at her request and in her pre- sence, and in the presence of each other, have hereunto subscribed >ur names as the attesting witnesses, this clause having first peen read to us and we now intending to certify that the matters le rein subscribed took place in fact and in the order herein stated, the day and year first above written. ~, OF ~~~ ' Page 3 of 3 Pages