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PETITION FOR'GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY,. PENNSYLVANIA
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in
support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form:
Decedent's Information
Name: Frances R. Parsons File No: ~~ - ~1~ ~~_
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 284-26-4158
Date of Death: January 7, 2012 Age at death: 82
Decedent was domiciled at death in Cumberland County, pennsylvania (crate) with his/her last
principal residence at 128 Petersbure Road South Middleton Townshin PA 17013 Cumberland
Street address, Post Office and Zip Code City, Township or :Borough County
Decedent died at 1000 W. South Street Carlisle Boroueh PA 17013 Cumbrland County
Street address, Post Office and Zip Code City, Township or Borough County Stste
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania ............................ All personal property $ 250.000.00
If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania ........................ Personal property in County $
Value of real estate in Pennsylvania ......................................................... $
TOTAL ESTIMATED VALUE.... $__ 250.000.00
Real estate in Pennsylvania situated at: N/A
(Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough County
® A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated April 24, 2006 and Codicil(s)
thereto dated N/A
Stste relevant circumstances (eg. renunciation, death of executor, etc.)
Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did not have a child bom or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
Q NO EXCEPTIONS ~' EXCEPTIONS
B. Petition for Grant of Letters of Administration (If applicable)
c.t.a., d.b.n., d.b.n.c.t.a., pendente h'te, durante absentia, durante minoritate
If Administration, c.i;a. or d b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined
in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
0 NO EXCEPTIONS ~ EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no W ill and was survived by the following spouse (if any) and heirs (attach
additional sheets, if necessary):
Name Relationshi Address ~~ ~~~~
'~ ~ r- _~
~ F'T'1
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Farm Rw oz rev. /o/I!/lo// Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
>'h ~ l/ , ~ C ~ ~ , in co ides tion of th foregoing Petition,
rented before me, IT IS DECREED that Letters C~ ~ n ~.
are hereby granted to
^ in the above estate and (if applicable) that
Official Use Only
ri'_ ~ C
ti~
Petitioner(s) Printed Name Petitioner(s) Printed Address d
James W. Pazsons ~ ~., ~
1054 S. Pitt Street Cazlisle PA 17013 ~` '`'~
,~ .~
Ci l~r~ =~~ ;~~ r l~ ~ 1 ~~ ~„~
The Petitioner(s) above-named swear(s) or affirm(s) 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 D ent, the Petitioner(s) well and truly :administer the estate according [o law.
Sworn to or affirmed an subscribed before Date /~/O fz
me this day. of ~ Gc Avt ~,~- C~ f a- Date
By' ~~~ Date
Forte egister Date
BOND Required: ~ YES Q NO
FEES:
Letters ...................... $ ! _ ~ lJ
( 3) Short Certificate(s)...... _ l a
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other (~ ~ l 1 ~-
Automation Fee ............... ~ "
JCS Fee . .................... -~r~7.~
TOTAL ..................... $ 0.00
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
' / V
Printed Name: Jacqueline M. Verney, Esquire
Supreme Court
ID Number: 23167
Firm Name: Law Office of Jacqueline M. Verney
Address: 44 S. Hanover Str -t
Carlisle, PA 17(114
Phone
Fax:
Email:
717-243-9190
717-243-3518
~mvPrneyf~anl c.om
DECREE OF THE REGISTER
Estate of Frances R. Pazsons File No: ~~ ~ ~ ~ ~ ),~~`j
a/k/a:
AND NOW, ~Ill~\"~,1~(j
satisfactory proof having been
the instnunent(s) dated ~
described in the Petition be
Form RW-02 rev. 10//1/2011
}
} SS:
}
to probate and filed gf~cord as the list Will (and
;r o Wt
s)) of IJecedent.
V
(1• Page 2 of 2
q l ns qnc qv_~• ron r i
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat ar photograph.
Fee for t ~ ertitic~t~, $6.00 Q
,~ : -_ ~ `w a__ c~
-- . _ ~: C:
:~- _
_ µ-_ G .
- ~ ~ =a ~.
". ~_
4.._
~ +~er~cation ~dumber{~
tYPe/Print In _
Permanent ,
Black Ink ~-
1. Decedent's Legal Name (First, Mlddlle, Last
Francs R• Parsons
6a. Age-Last BlrthdaV (Yrs) 6b. Under 1 Year
~t 82 Months ' Dx
H
~_
f- hl hest de o
g gree or level of school c mpltted at the time o7 death.
Q 8th grade or l ace ant of Hispanic Origin -Check [he
box that best describes whether the decedent
ess
Q No diploma, 9th - 12th grade Is Spanish/Hispanlc/Latlno. Check the "NO"
Q High school graduate or GED completed box if decedent is not Spanish/His
Panlc/Latino.
Q Some college credit, but no de
gree No, not Spanish/Hispanic/Latinq
V
M
Associate de
gree (e.g. AA, q5)
B
h
' es,
azican, Mexican American, Chlca no
Q yes, Puerto Rican
ac
elor
s degree (e.g. BA, AB, BS)
' Q Yes, Cuban
Q Master
s degree (e.g. MA, MS, MEng, MEd, MSW, MBA)
Q Do
t Q Yes, other Spanish/Hispanic/Latino
c
orate (e.g. PhD, Ed D) or Professional degree (Specif
)
e. MD DDS DVM LLB JD y
21. Decedent's Single Race Self-Designation -Check ONLY ONE to Indicate what the decedent considered himself or
White Q Japanese Q S
Black or African American Q Korean amoan
Q O
Q American Indian or Alaska Native Q Vietnamese ther Pacific Islander
Q Don't Know/N
t S
Q Asian Indian Q Other Asian o
ure
Q Refused
Q Chinese Q Netlve Hawallan Q Other 5
( Pecl/
)
y
Q FIIlpino Q Guamanian or Chamorro
ITEMS 23a - 23 ML1Sr as ~rsun. Rte.. ~-_ _ _.
12. Father's Name (First, Middle, Last, affix)
Harry J _ Malone
14a. Informant's Name 13. Mother's Name Prior to First MarNs
1
Margaret (Unknown rst, Midtlle, Last)
~ 14b. Relationship to Decedent 14c. Informant's Maiiing Address (Street and Number, City, State, Zlp Code
Jim Parsons 1054 S Pitt
S
n
G
W ........ .................................
t.raet r Carl
isle, PA 7013
1
•
O
e
_c
y ............ ..... ........
If Death Occurred In a Hos ital: '- •-- """""'•'-'
P t~f•InPatlent
Q Emergency Room/OUtpatlent Q Dead on Arrival a
••••:-••a~~"~, eat ec on y one
•"-
l.......... ....................................."...........-
;If Death Occurred Somewhere Other Than a Hospital: -~~~ - -~""""""""'--••'••"•"""••""• •••••
Hospice Facility ~Decedent•s Hom
N
i
~
3 15b. Facility Name (If not institution, gl. a street and number; urs
ng Home/Long-Term Care Facility O[her
S
15c
CI ( peClty)
T
Sarah A . Todd M
rial Home .
H
own, State, and Zip Cvde 16d. County of Death
Carlisle, PA 17013
16a. Method of Dlsposltlon Q Burial Q;Cremation Cumberland
i6b. Date of Dlsposltlon 16
Pl
Q Removal from State Q Donation
other (specify) c
ace of Dls
- - _. . _ Position (Name of cemetery, crematory, o other place)
o££man-Roth FYln
Jan
9
20
l
r
16d. Location of Dlsposltlon (Cit
T _
,
era
12
Home &
Crematory
y or
own, State, and Zlp)
Carl isle , PA 17013 17a. Slg of Funeral i s
or Person In Charge oP Interment 17b. Llcen a Number
17c. Name and Complete Address of Funeral Facility 138504
~ 18. Decedent's Education -Check the b x that best describes the 19 D ~7-"e<=•- Csa ti`l i a l .~ rs w ~ -sr`~ -.
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certifi~~ate will be forwarded tq the State Vital
Recon;Is Office for permanent filing.
~~ytyt.~'~~ic~ie,r~D_ x~X' J 9 2Qt2 _
Local Registrar Date Issued
COMMONWEALTH OF PEN NSVLVANIA • pEPARTMENT OF HEALTH VITAL RiECORDS
CERTIFICATE OF DEATH _
January •7 ,
_ _ __ _ _ __ or Foreign Country)
Oct. 12, 1929
7b. Birthplace (County) Un]enown
') Sb. Residence (Street and Number -Include Apt No.) Bc. Old Decedent Uve In a lownshlp7
128 Petersburg Rd _ wee:. deteaent Iwed In _ c Mi real *.~,,,, cwp
Be. Residence (Zip Code) ],7013 QNO, decedent Ilved within limits of
Marital Status at Time of Death Q Married ~( Widowe 11. SurvlVin S city/bore
Q Ves Q Vnknown _JQ Divorced Q Never Married Q Vnknown B Pouse':. Name (If wife, glue name prior to first marriage)
r. Decedent s Usual Occupation -Indicate type of wort
to during most of working Ilfe. DO NOT USE RETIRED.
Registered Nurse
r. Kind of Business/Industry
Hospital
Dn Y w applica le 23e. Ucense Num e
,~.~/ R~~ 399~L
26. Peart I. Enter the chain of events-Jdiseases, Injuries, or complications-that directly caused the death
Approximate
r
irato
DO NOT
p
ry arrest, or ventricular Rbrlllation without s .
enter ter
howing the etiology. DO NOT ABBREVIATE. Enter onl
y one cau minal events such ss cardiac arrest.
i Interval:
IMMEDIATE CAUSE -----______-> a, _ / N Ah se
/
!(•T(V f~ on a fine. Add additi onal Ilnes If necessary I Onset to Death
(Final disease or condition
resulting In death) Due to (o
r as a consequence of): r s
I
b.
Sequentially Ilst conditions,
If any, leading to the cause Due to (or sequence of):
as a can
listed on line a. Enter the c
,
VNDERLYING GUSE
(disease or inJury that Due to 0
( r as a consequence of):
. ~ initiated the events resulting tl,
,~ in death) LAST. Due to or as a con
( sequence of):
26. Part 11. Enter other sla iflcant conditi
t Ib tl
^.~G+ a. ~"s Lrr a h but not resulting In the under) In
Y g cause glean In Part 1
'
Q
i/<-^"~V"" ~ ~ 27. Was an autopsy performed?
m
v F RAc~4x(
s- Ves
t,
t- 28. were autopsy Rndings
available
29. If Female: o
to complete the cause f death?
E
p'7Pot pregnant within past year 30. Did Tobacco Use Contribute to Death?
31. Mannar of D Yes No
e
M
's
~ Q Pregnant at time of death Q Yes Q Probably
N ,$-Mural a
Homicid
Q
Q Not pregnant, but pregnant within 42 days of deatf
O Q Unknown
E
Q Accident e
Q Pendin
lnvestlgation
Q Not pregnant, but pregnant 43 days to 1 year before death 32. Date of In
Ju
(MO/D Q Suicide to
Could t be determined
Q
Q Unknown if pregnant within thepast year ry
ay/Yr) (Spell Month)
Yes °°~•• mlury occurred:
Q Q Deriver/Operatpr Q Pedestrian
Q No ~ P ssenger Q Other (Specify)
i,.~~C~G~ifl ^Ch k ly )
l9 r-erti/yl g physician - To the best oil. my knowledge, death occurred due to the c se(s) and m stated
Q Pronouncing L Certifying physician ~i- To the best of my knowledge, death occurred at The time, date, and place, and due to the cause(s) and manner stated
Q Medical Examiner/Coroner - On ba of examinatlon, and/or Investigation, In my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner stated
Signature of certiRer: Title of certiRer: M~ _ License Number:_ _ ~~-C]4~r~.5rQ.-~~
Ib. Name, Address and Zip Code of Pers n Completing Cause of Death (Item 26)
~~ltt.1A -t'exn. Gr ICP+fa.FPs11 ~(; t..L tSr~{Af4 ~~ 39c. pat Slgn d(Mo/DaY/Yr)
CA•*~L-LttrE r~ f zo t-~ ~~ a ~z
i. Registrars District Number 41. Registrars 5
~~ ` 42. Registrar FI a Date Mo Day
r~ ~ - o~l t V~.~ !' P
Dlsposltlon Permit No. U ~ -t `~-
~. decedent considered himself or herself to be, to Indlwte what
White Q Korean
Black or African American Q Vietnamese
Americnn Indian or Alaska Native Q Other Asian
Asian Iridlan Q Native Hawallan
Chinese
FIIlpino Q Guamanian or Chamorro
Japanese Q Samoan
Q Other Pacific Islander
Other (!ipeclfy)
H105-143
REV 07/2011
LAST WILL
K ~l...J , ~Y ._11
__i
TESTAMENT OF ; :~ c~ _.
-- ~ ~,
I, FRANCES R. PARSONS, of 11236 Donation Road, Waterford, Erie Coin,;
Commonwealth of Pennsylvania, being of sound and disposing mind, memory anti w ~' ~„
understanding, do hereby make, publish and declare this as and for my Last Will ~d~Testament, ,-.;-, i~J
hereby revoking any and all other wills and codicils heretofore made by me. ~ ~ _
FIRST. I direct that all my just debts and funeral expenses be paid from my estate as
soon after my death as practically and conveniently may be done.
SECOND. I direct that my remains be interred within my family's burial plot in accord
with my expressed wishes.
THIRD. I authorize my personal representative to expend funds from my estate, in such
amounts as my personal representative shall consider necessary and desirable for the purchase,
erection and inscription of a suitable marker for my grave.
FOURTH. I give, devise and bequeath any and all tangible personal property owned by
me at the time of my death unto my son, JAMES W. PARSONS provide:d he survives me by
thirty (30) days. In the event he fails to survive me by thirty (30) days, I give, devise and
bequeath all said tangible personal property unto PATTIE PARSONS. In the event JAMES W.
PARSONS fails to survive by thirty (30) days, I give, devise and bequeath all said tangible
personal property unto PATTIE PARSONS. In the event PATTIE PARSONS fails to survive
by thirty (30) days, I give, devise and bequeath all said tangible personal property unto my
dear friends, THOMAS SEKULA and CYNTHIA SEKULA, or the survivor thereof.
FIFTH. I give, devise and bequeath any and all real estate owned by me at the time of
my death, unto my son, JAMES W. PARSONS provided he survives me by thirty days. In the
event he fails to survive me by thirty (30) days, I give, devise and bequeath all said real estate
unto PATTIE PARSONS. In the event JAMES W. PARSONS fails to survive by thirty (30)
days, I give, devise and bequeath all said real estate unto PATTIE PARSONS. In the event
PATTIE PARSONS fails to survive by thirty (30) days, I give, devise and bequeath all said real
estate unto my dear friends, THOMAS SEKULA and CYNTHIA SEKULA, or the survivor
thereof.
SIXTH. I give, devise and bequeath all the rest, residue and remainder of my estate unto
my son, JAMES W. PARSONS provided he survives me by thirty (30) days. In the event he fails
to survive me by thirty (30) days, I give, devise and bequeath all the rest, residue and remainder
of my estate unto PATTIE PARSONS. In the event JAMES W. PARSONS fails to survive by
thirty (30) days, I give, devise and bequeath all the rest, residue and remainder of my estate unto
PATTIE PARSONS. In the event PATTIE PARSONS fails to survive by thirty (30) days, I
give, devise and bequeath all the rest, residue and remainder of my estate unto my dear friends,
THOMAS SEKULA and CYNTHIA SEKULA, or the survivor thereof.
SEVENTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon
my estate passing under my will or otherwise, shall be paid out of the principal of my residuary
estate.
EIGHTH. I hereby nominate, constitute and appoint my son, JAMES W. PARSONS as
Executor of this my Last Will and Testament. In the event of renunciation, death, resignation or
inability to act for any reason whatsoever of JAMES W. PARSONS, I nominate, constitute and
appoint MICHAEL DEVLIN as Executor of this my Last Will and Testament. In the event of
renunciation, death, resignation or inability to act for any reason whatsoever of MICHAEL
DEVLIN, I nominate, constitute and appoint WILLIAM A. DUNCAN as Executor of this my
Last Will and Testament. I hereby relieve my Executor from the necessity of posting security in
connection with his duties, as such, in any jurisdiction in which he may be called upon to act
insofar as I am able by law to do so. In addition to the powers conferred. by law, I authorize my
Executor, in his absolute discretion, to retain in the form received, and to sell either at public or
private sale any real or personal property owned by me at the time of my death.
NINTH.. I have made, or may from time to time make, a written memorandum expressing
my desire to give certain items of personal property to specific persons. I urge my Executor and
beneficiaries to respect these wishes. Such a memorandum, if made, shall be stored in conjunction
with this Will.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will
and Testament, consisting of two typewritten pages this ~ '~ ~~ day of
~' ~ ~~~ , 2006.
~ /~ ._i`
FRANCES R. PARSONS
Signed, sealed, published and declared by the above named Testatrix FRANCES R.
PARSONS as and for her Last Will and Testament, in the presence of us, who, at her request, in
her sight and presence and in the sight and presence of each other, have Hereunto subscribed our
names as witnesses.
D ~-
~-
COMMONWEALTH OF PENNSYL i~ANIA
COUNTY OF CUMBERLAND
. SS.
I, FRANCES R. PARSONS, 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 willingly; and that I signed it as my
free and voluntary act for the purposes therein expressed.
_~ .,
FRANCES R. PARSONS
Sworn or affirmed to and
acknowledged before me, by
FRANCES R. PARSONS this ~ ~f da NOTARIAL SI=AL
of ~(~ ( , 2 6. Kathy L. Mummert, Notary Public
~ Borough of Carlisle, Cumberland Co., PA
- My Commission Expires Aug. 11, 2007
Notary P b is ..
COMMONWEALTH OF PENNSYL VANIA
COUNTY OF CUMBERLAND
SS.
We, JC~'(~ ~ ~~~ and ~ ; ~ ~ i 0.'('(l ~. ~ ~1CQ I(l
the witnesses whose names are signed to the attached or foregoing instnument, being duly
qualified according to law, do depose and say that we were present and saw FRANCES R.
PARSONS sign and execute the instrument as her Last Will; that she signed willingly and that
she executed as her free and voluntary act for the purposes therein expressed; that each of us in
the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our
knowledge, the Testatrix was at that time eighteen (18) or more years of age, of sound mind and
under no constraint or undue influence.
G~~~
Sworn or affirmed to and
`ubscribed before me by
~h ~ a~awnS and
11~'; ~ ~ iUm ~ 1~ut~Cc~(~ ,witnesses,
this ~ y day of ~C; ( , 2006.
Notary ~ub~' ~---NOTARIAL SEAL
Kathy L. Mummert, Notary Public
Borough of Carlisle, Cumberland Co., PA
My Commission Expires Aug. 11, 2007