HomeMy WebLinkAbout12-01-11PETITION FOR PROBATE AND GRANT OF LE
REGISTER OF WILLS OF CUMBERLAND TIERS
COUNTY PENNSYLVA
o
also known as
,Deceased
Estate f mAB~E NIA
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW.)
File Number ~1- 11 ~
Social Security Number?~O-BO- 915
0 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the
last Will of the Decedent dated 3/11 /9011 xt=rt iTOR
and codicil(s) dated ~~ named in the
(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 i
for probate, was not the victim of a killing, was never adjudicated incapacitated, and was not a party to a pending dives ro - ~ ~7
of death wherein grounds for divorce had been established as rovided in 23 PA C.S. section 3323 ns~ihehtt(s) offered
p _ ,~-]~ ceedtngat the ttmG~,-,
^ ~ 4' -
13. Grant of Letters of Administration
(Ifapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendentelite; duranteabsentia; durq)rtem~noritat
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived _
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) '
by the following s~~ e tf an
~ (~ y~:~ind heirs:
Name 1' ~~~
ltelafinnch;,,
(COMPLETE INALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in CU~oND
County, Pennsylvania, with his /her last principal residence at ~~
(List street address, town/city, township, county, state, zip code)
Decedent, then 5-6~-___ years of age, died on ~ 0/31 /011
at
Decedent at death owned prop, with estimated values as follows:
(If domiciled in PA)
(If not domiciled in PA) All personal property
Personal ro $- 100 000 00
(If not domiciled in PA) P PAY in Pennsylvania $
Value of real estate in Pennsylvania Personal property in County
28 STONE RUN DRIVE, MECHANICSBURG, PA 17055 $
situated as follows:
Wherefore, Petitioner(s) respectfu ' r
the undersign equest(s) the probate of the last Will and Codicil(s) presented with this Petition and the
"" ~~ grant of Letters in the appropriate form to
wre
Typed or printed name and residence
MURREL R. WALTERS, III, ESQUIRE
cw r ... ... --
Form RW-02 rev. 10.13.06
Page 1 of 2
Oath ofPersonal Representative
COMMONWEALTH OF PENNSYLVANIA ,
COUNTY OF CUMBFQ~ e~~p SS
The Petitioner(s) above-named sweaz(s) or affirm(s) that the statements '
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the De mg Petition are true
administer the estate according to law. correct to the best of
cede tit' ner( will well and truly
Sworn to or affumed apd subscribed
fore me the
day of Signature ofPersonal Representative MURREL R.
U ~~ n .~,~~~ WALTERS, 111, ESQUIRE
T ~ ~~ Signature ofPersonal Representative
J
F th eglSter Signature ofPersonal Representative - _
'.~.7
File Number: - Ol~ , / - ..4_ ^
Estate of
J.,
De --i _„
ecurity Number:230-8p_gg15 Wised
AND NOW, ~ Date of Death: 1QL~1/2011
having been presented before me, IT IS DECREED ~ ~ ~ ~ m consideration of the foregoin Peti '
aze hereb that Letters g hon, satisfacto
Y granted to MURRFi Q ~;~ ;~ TER 111 rY proof
Q naE
and that the instrument(s) dated
described in the Petition be admitted to probate and filed ofl
FEES
Letters ...........................
Short Certificate(s) ...........
enunci
~ation s) ...............
r
t
....
.. $ ~~
.$
$ '~°~, -dom.}-~
$ i-~~-n ~--• `-~ v
$ --~_
$ ---~~
$ ---~~
$ ---.~_
$ _____~_
$ ----~_.
.... $
TOTAL ............................. $
Form RW-02 rev. 10.13.06
Attorney Signature:
Attorney Name:
(and Codicil(s)) of Decedent.
in the above estate
Supreme Court I.D. No.: 87---~- I
Address:
Telephone:
Page 2 of 2
LOCAL REGISTRAR'S CERTIFICA lI- 0281
WARNING: It is illegal to duplicate this co y p TION OF DEATH
pY b hotostat or hotograph.
Fee for this certificate, $6.00
This is to certify that the information here given
correctly copied from an original Certificate of Dear
duly filed with me as Local Registrar. The origin:
certificate will be forwarded to the State Vita
Reco/rJds Office for permanent filing.
Certification Number ~I ~ ~~ f
ll ~ //
Local Registrar
Date Issued
H1D5113 REV 1120DS Lti ~ '_/, ~>
Buctc lNa ;^I
~ /R-i~Nrw COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH .VITAL RECORDS
,. Nor a Deo,dere (F+at mOaa,,ap, s~ (
(See I stru~ctTLloFrrsCa d ex~ampDs on reverse)
5. Age (Wt B1Vimrl EUri0x 1 OrSe 2. Sr 3. SaiY r ~~ STATE flLE NUMBER
Un°", s. or a eam Mmm, Female 230 _ ' o.k a l3eah (Norm, mY, Yaer(
~' °"' ""'" 6915 10/31 /2011
56 Yrs. "`"'°' 7" ene aae« ea.Pwaoeam o„a, 8°0,,,-
m. ca,ui, a Brm ac. coy. Bon. rwp. a orm 4/16/1955 Norfolk, VA H°al>;ur oe,.n
~w`uaCL l ~ Faciry Hama (Y not iriatlhAGn, Pre Shea Me numEar) ^ hWaEenl ^ EH ! DuWaEant
~-au`tuCL and ^ WA ^ 7~
S11Ver r111 9 Was DeceeeN d HypWC p,.~? pNmaiiq Ilartw C?J Rrieeriu ^ aher - SpeWy
,,. MoeewX'a thtrl ~ K,tlaw«Eear ~ moaa 28 Stolle Run
Dr1Ve (" ~°• +oaN Char, YY N0 ^ Yes 70. Race: Anydaan Indian, BIxA, WIYte, ek.
l(ib a Wok Kid a Bu>rwseDO n' ,2.IWS Am erer n tln 13. DsmealYa Edsahm ( 1te+KZn, Wero Roan. at.) (SPeaM
- 18. UamtlenYs Mang Aya,,, (Shea. P °°eel ^ Vr LAW Ekmenkry / Sec«lmry (any mN '' ~9'80p~asrokker ta. /i Ma~nea, ts. Sirvi~q Sowse pr wile. give maitlen namal
28 Stone Run ~/tawn.akk.n Decaeau'a 4
Dr. Widowed
iC Aauu Rriealpa ,7a. sorts PAnn 1 n
PA 17055 °" °eCBtlam
18. Fatlrrs Noma -_i~y ~-~-.- Lire in a 77c. ~ rea.
(Fia. nsede, ka,,aN,) ,>b. c«„y Cumberland TOwrolliP? °Lhedm Si1Ver SDrincx
George 4uitnb ne. ^ No. Demeent,me wimin rwp
fia. M°°narN's None (Type /Pen) Y 79. Mahafs Name (Fire, middy, maiden et,narne( Aaua Limik d Gy/Boor
L Sarah Seery
z,aMnhma Schultz
Dkpoaibn
lrikrrMnt'a Madkq Ad«rs (sae.t. ay/ mwn, >m. nv meal
W [~ aaW ^ R,,,,,,,r,,°,,, smoe ^ Cremaaen ^ oonawn zm. Daaa 66 AS Rd. Dill PA 17
j ^sgn,m, ~ ~ « /cerunA~""nie 11/8u 2~1(NOmm,my.raen z,°wcaaoepos~°„(Nemeaametar.«ememy«anw 019
r ^ Yr^ No / R tea) 21d. LasEon (C^~Y/tam, skk, zip mda)
- ~ ,~ ,~, osew>uod Me-grial Park
~C~an°•~waFaNiy Neill Funeral H V12CJln].a Iieachr VA 23462
"'"" °"y z3a.roYrtarpa FD 013239 L
PhNKEen k awwe er ure a man n "'r klowledae, deem axumd,tme 4r, mr am 1 ~. Inc
~ a deYh. °aCe akke. (sianuae am Em( • 11 PA 17011
w~ z,-ze mrt a mnpekd ay pg,«l za. rare a Denm Prma,e:,y Dead R (v st~her x3c Da. Sgee (Moor, m ya.,)
l,anainaee man. zs. Doe 7 S 3 ~ L r.
110. ftM M«m, my. yrr( O c.E 3 I ZO l E
lkm 27. Pad C Ewer me
cause of oeATN O c..E' 3 1 Z `n, I ~ za wr cra Ra.rtM k MsdicN Esamhwr / coma a a Rsron ama m,n c
~+by dam' ry«y,, «°orr9scetlau -mat (Sea Inatruabna sntl esatnpka) ^ Yes ^ W remake « Donation?
,eYEDIATE CAUSE 1F,lal baear ~ lnmlar ~ ~d slrny the a ~l~ pyy pp c,om on ~ ~r armr terminal averse wM as rar6ac amet. r m nnnel~ Poe II: EnW oUw ~ .
1 /~ mean Ur
aaridEon rruling m °~) -~ a. ~'LN! Vi 1z. ~ /% °aa" an na rewaq m m. whYy;,p caw gan m Poe L ~ ^ raa P,~ t° o.am?
~•~?M. a l UNopwn
. (di~„ele UNDERI.YtEB CAUSE a Due to (« as a 2B. X FanYe:
~Y ~ lrEOe,ed the COn~'•^Ce dl:
eaaim r~wq n meM) LAST. , ~_ ~ ~ P,Pnen wNsn Pau Year
1 c Due 1° I« as a mruequeroa ^ Pnaun a Erna a drm
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a Cwee «Deam? ,ems N,m„i ^ ,~ ~i (M°nm, mr, revl 3w. Dewin, yb,,. mWrr Dmenee ^ ur+rw,wn n
. \ wewn winan me roe year
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~ rFmn°atciny, q a,y~~~ (~ ~~ CiYW IauM y ~ mom and °ortpbna Rain z3) ~ Siam«e tiro rw a cerEEer
• Totlrawa ___ __ ^ - G Y
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33c. umriee Niariaar ~~ t- 1 ~. Qh l~
On mr ark orrmkMWn,M / 0z l^7Ft,Wtlon, k my opMlpn, erM 1 33e Dab Signee (Norm, my, year) /_ L.J
°murtwatha ems,mk.,M pku,ane tlr to tMaw(a(and menrrrabtse- ^ ~~
_ 3s.,
_ 3e.wma,ndAmmuaP _ ~~ ~~ Zo//
- • l~ `' ~3iI .~ I,,~ I L -~al~~'yy,rkF~'°(Mmn,ma~y,md p'Bh ~.~'~° H(amznrYw/Pml
/YG1~gt7~C'L'.3~yCL'/ Sam u•~e;ver~ ~~ /htr~~
Dispmition Pemdt No. Cs 3~ ~ ~ D
LAST WILL AND TESTAMENT
BE IT REMEMBERED THAT
I, MARY E. ORSE, a resident of Cumberland County, Pennsylvania, being
of sound and disposing mind, memory and understanding, do make, publish
and declare this to be my LAST WILL AND TESTAMENT, hereby revoking any
and all Wills and Codicils previously made by me.
I
I direct that all my just debts and funeral expenses shall be paid from my
residuary estate as soon as practicable after my decease.
II
I direct that all taxes that may be assessed in consequence of my death, of
whatever nature and by whatever jurisdiction imposed, shall be paid from my
residuary estate as a part of the expense of the administration of my estate.
III
I give, devise and bequeath items of personal property to individuals whom
I have set forth on a list which I have prepared and I maintain with this Will.
IV
All the rest, residue and remainder of my property, whether real or
personal, wherever situate, including any property over which I may have a
power of appointment, I give, devise and bequeath as follows:
ONE-THIRD (1 / 3) to COUNTRY 8~ TOWN BAPTIST CHURCH,
Mechanicsburg, Pennsylvania;
TWO-THIRDS (2/3) TO VIRGINIA WESLEYAN COLLEGE, Norfolk, Virginia.
A scholarship fund shall be established in my name with annual income received
from the investment utilized as an academic scholarship. ~~ ; -
,_:> -_
,--,
-, _-,
"~'
' ;~'
~.> ~;
-,
V
I nominate, constitute and appoint MURREL R. WALTERS, III, as Executor
of this LAST WILL, to serve without bond.
IN WITNESS WHEREOF, I, MARY E. ORSE, have set my hand to this LAST
WILL this = j day of ~a~- , 2011.
~~ a~-
MARY E. RSE
Signed, sealed, published and declared by the above-named MARY E.
ORSE, as and for her Last Will and Testament, in the presence of us, who, at her
request and in her presence, and in the presence of each other, have hereunto
subscribed our names as witnesses.
~~~,
,.
1 ~ .
2
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
I, MARY E. ORSE, Testatrix, 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 as my free and voluntary act for the purposes therein expressed.
~/,~~~
MARY E. RSE
Sworn or affirmed to and acknowledged before me by MARY E. ORSE, Testatrix,
this ~ ~ (j,~ day of ~ ~~~ , 2011.
otary Public
,.~--a.-,.~~..~
N<`~,~,~R~AL SEA;.
DI~,NE M SMtTF{
Nofory Pub:~c
MECHAP~~!CSBURG BORO,
CUMBERLAND CNTY
MY Commission Expires Jun 22, 2012
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
We, ~~G /1 /1 ~~ r~. ~,i/~G sr91 f ~ and ~ s C rn,Q iZ J ~ ~ l`2 Gt. lil ~J
the witnesses whose names are signed to ~e attached or foregoing instrument,
being duly qualified according to law, do depose and say that we were present
and saw Testatrix sign and execute the instrument as her LAST WILL, that
MARY E. ORSE signed willingly and that she executed it as her free and,
voluntary act for the purposes therein expressed; that each of us in the heariritg
and sight of the Testatrix signed the Will as witnesses; and that to the best of our
knowledge, the Testatrix was at the time 18 years of age or more, of sou~~mind
and under no constraint or undue influence.
Sworn or affirmed to and acknowledged before me
this ~'~ .day of /~~~.. , 2011.
ti~~ ~ ~
o ary Public
NLL4RiAl SEAI
DIANE M SMITH
Nofory Pubflc
MECHAP;!r'SBURG BORO, CUMBcRLAND C.'Y)Y
My Commission Expires Jun 22, 2012