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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 zz
Name: Christine D. Sutton File No: -~ ~ ~ ~ '~ ~ ~l' ~~Q'J
a/k/a: Christine Dekona Sutton (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: June 3, 2012 Age at death: 90
Decedent was domiciled at death in Cumberland County, penn~,ylvania (sraze) with his/her last
principal residence at 54 Oak Avenue. Camp Hill. PA 1701 l Hampden Township Cumberland County
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at Community General Hospital Londonderry Road Hamsbur¢ Dauphin Pennsylvania
Street address, Post Office and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death: ,.
~ -,
If domiciled in Pennsylvania ............................ All personal property $_L / U v
If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $
---
Ifnot domiciled in Pennsylvania ........................ Personal property in County $
Value of real estate in Pennsylvania ............................................. $~~ . Q ~'!~ ,
TOTAL ESTIMATED VALUE.... $ 7~~~ C~t~r~. E
Real estate in Pennsylvania situated at: 54 Oak Avenue, Camp Hill, PA 170] 1 Hampden Twp. Cumberland
(Attach additional sheets, if necessary.) Stmt 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 September 25, 2000 and Codicil(s)
thereto dated
State relevant circumstances {zg. renunciation, death ofezecutor, 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 born or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
Q' NO EXCEPTIONS O EXCEPTIONS
B. Petition for Grant of Letters of Administration (If applicable) __
c.t.a., d.b.n., d. b.n.c.t.a., pendente life, durante absentia, durante minoritate
If Administration, c.t:a. or db.n.c.~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 bef;n established as defined
in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
Q NO EXCEPTIONS 0 EXCEPTIONS
Petitioner(s), after aproper seazch has/have ascertained that Decedent left no W ill and was survived by the following spouse (i1'any) an~heirs (attach
additional sheets, if necessary): ca
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Name Reiationshi Address C rn
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FormRW-02 rev. toirvzolt Page 1 oft
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland
Petitioner(s) Printed Name Petitioners
Michael L. Sutton 599 Hi Street Bressler PA 17113 u -~ -
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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 Dec t, the Petitioner(s) 'll well and truly administer the estate according to law.
Sworn to ~ j~ffirmed a subscribed before .~ ~ Date ~ x'17 Z~
m thi G/-I d ~ l 1 Date ~,,t~~..,~
B ~ - Date
For the Regist r _ __ Date
v
BOND Required: Q YES ~NO
FEES:
Letters ...................... $ O
(~ )Short Certificate(s)...... ~ ' . (~}
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ........
i,L~iI1 ........ -C
Automation Fee ......... ...... ~~'~ Cti
JCS Fee . .............. ~ l
...... C
TOTAL ............... ...... $ `Y b,~ ~ $.O6
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 Christine D. Sutton File No: G`~ I - ~~,~ - (~ ~~ j
a/k/a: O Yl S t`i ~'ti1 D-21LC ;~~~~ ;~ ~,
AND NOW i
-V (~ ~_~~~ ,~` l) ~ ,inconsideration of the; foregoing Petition,
satisfactory proof havtng been presented before me, IT IS DECREED that Letters `~~~4-'V(D T~. ~ c~_
are hereby granted to ICI (~ ,~ L ~ ~ ~'" t-417Y~ Qti l~iC~
~(~~ ~~ r ``x~ [-~Crl'1 in the above estate and. (if applicable) that
the instrtunent(s) dated ~~'- ;~`~ - (~ _
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
Regrster of Wills )
Form RW-02 rev. 10/! //20l 1
'_/ Page 2 of 2
~C?+C,AL REGIS7RAR'~ °"~~~'=d~`~rl~~ ,'::~ ~ ~~~~
WAFiNiNG: It is illegal to dupl~cai~ t~:s ~,(.: -.~ ,;n ~r:~,~ <> iw.,t- ,.~
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Type/Print In COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS
Perms"°"[ CERTIFICATE OF DEATH
Black Ink Stale File Number:
~_
1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (MO/Oay/Yr) (Spell Mo)
CHRISTINE D. SLTIT'ON Female 192-14-6626 June 3 2012
Sa. Age-Last Birthday (Vrs) Sb. Under 1 V<ar sc. Under 1 Oa 6. Date of Birth (MO/D ay/Vear) (Sp<11 Month) 7a. Birthplace (City and Stator Foreign Country)
9p Months Days Hours Minutes NOV . 12 , 1921
7b. Hlrthplace (cq~nty> Daup i.n
8s. aesldence (Stat< or Foreign Country) Hb. Residence (Street and Number -Include Apt No.) Bc. Dld Decedent Llve in a Township?
PA 54 Oak Avenue C~Ves, decedent Ilved In Hampden twp.
Bd. Residence iCounty)
Cumberland He. Residence (Zip Code) Q No, decedent Ilv<d within Ilmits of city/born.
9. Ever In US Armed ForcesT 30. Marital Status at Tlme of Oaath Q Married [~ Widowed 11. Surviving Spouse s Nam< (If wife, give name prior to first marriage)
Q Yes ~ No Q Unknown Q Divorced Q Nev<r Married Q Unknown
12 that' Name Flr Middle, Last, suffix)
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~ 13. Moth¢r's Name Prior to First Msrrlage (First, Middle, Last)
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ona Christina - Not Available -
1 . J f N 14b. Rela[lonshlp to Decedent
~
c~iae~ ~.~ 34c. Informant's Malling Address (Street d Numb C:I<y, State, ZIp Cod<)
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Sutton Son 599 Hi h St, Bressler Steelton, PA 17113
_ _ _ _
................ ...................... ............................-........., 1 a. ace o cat ___________ _ ___ ___ __ _ ______ _ _ __ _ _ _ _ ________________ __ _ _
.................................-........~ qn y pne
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If Death Occurred in a Hospital: [~ Inpa[ient 5 _ _
1f Death Occurred Somewhere Other Than a Hos Italy
~
p ~ Hospice Faclli[y (~ Dec<tlent s Home
° Q Emergency Room/OUtpa[isnt Q Deatl on Arrival
• Nursing Home/Long-Term Caro Fac11Iry Other (Specify)
4i 16b. Faclllty Name (If not Institution, give street sod number; 15c. City or Town, State, and Zip Code 15d. County of Death
Communit General Osteo. Hos its Harrisbur PA 17109 Dau hin
16a. Method of Dlsposltlon ~J Burial Q Cr<matlon 16b. Date of Dlsposltlon 16c. Place of Dlsposltlon (Nam< of cemetery, crematory, or other place)
Q R<moval from State 0 Donation
O[her (Specify) June 7 2012
, S t John Ceme to
16d. Location of Dlsposltlon (City or Town, Stat<, and ZIp)
h 17s. Slgnsture of Funeral Service icensea or Person In Charge of Interment 17b. Llc nse Number
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iremanstown, PA 17011 ~:C~q .7,Z~f p/O~
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57 S 2nd St. Steelton PA 1711
~' 3H. Decedent's Education - Gheck the box chat best describes [he 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE. OR MORE races to indicate what
~- hlghast degree or level of school completed at the lime of death. box the[ best describes whether the decedent the decedent consld ered himself or ncrself to be.
Q 8th grad< or I<55 Is Spanish/Hlspa nic/Latino. Check [he "NO" White Q Koroan
Q No diploma, 9th - 12th grade box If decedent Is not Spanish/Hlspanlc/Latino. ~ Black or African American Q Vietnamese
~Hlgh school graduate or GED completed ~ No, not Spanish/Hlspanlc/Latino Q American Indian or Alaska Native Q Other ASlan
Soma college credl[, but no degree Ves, Mexlca n, Mexican American, Ghlcano Q Asian Indian Q Native Hawaiian
Q Associate degree (e.g. AA, AS) Q Yes, Puerto Rican Q Chinese Q Guamanian or Cha motto
Q Bachelor's degree (e.g. BA, AB, Bs) Q Yes, Cuban Q Flllpino Q Samoan
0 Master's tlegree (e.g. MA, M5, MEng, MEd, MSW, MBA) Q Yes, other Spanish/Htspa nic/Latino Q Japanese Q Other Paclflc Island<r
Q Doctorate (e.g. PhD, Etl D) or Professional degree (Specify) Q Other (Spec) )
~ _
. MD DDS DVM LLB JD
21. Decedent's Single Race Self-Designation -Check ONLY ONE to Indicate what [he decedent considered hlmsalf or herself To be. 22a. Decedent's Usual Occu patlon -Indicate type of work
White Q Japanese Q Samoan done during most of ivorking Ilf<. DO NOT USE RETIRED.
Black or African American Q Korean Q Other Pacific islander HouseW 1 f e
Q American Indian or Alaska Native Q Vietnamese Q Don't Know/Not Sure
Q Asian Indian Q Other Asian Q Refused 22b. Klntl of Busin<ss,/Industry
0 Chinese Q Na[IVe Hawsllan Q Other (Specify)
Q FIIIpIno p Guamanian pr cnamorro Her Own Home
ITEMS 23a - 23 MUST BE COMPLETED 23a. Date Pronouncetl Dead (MO Day r) 23b. Signature of Person Pronouncing Death (Only when appllca blel 23c. License Number
BY PERSON WHO PRONOUNCES OR
CERTIFIES DEATH ~'J^
LC ne. (L ~ Z
23d. Dale Signetl (MO/Day/Vr) 24. Tlm< of Oea[h
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25. Was M¢dlcal Examiner or Coroner Contacted? Q Vcs
Na
CAUSE OF DEATH
- Approxlmat¢
26. Part 1- Enter the chain of a en[s--tllseases, InJu rtes, o mpllcatlons--that tllrectly caused [he death. DO NOT <n[er terminal a cots such as ca rtl lac arrest - Interval:
respiratory arrest, or ve ntrlcular flbrlllpption without showing the etiology. DO NOT ABBREVIATE. Enter only one pause on a Ilne. Atltl atldltlonal lines if necessary = Onset to Death
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IMMEDIATE CAUSE --------------->
(Final dis<ase or condition -~ D to (or as a copse ce of):
rosulting in tleath) S/~/AS ~S -
b. C~V
5<quentlally list conditions. ^' ^n , ~ ~ DVL to (or as a consequence of~~. -
if any, leading to the cause
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Ilsted on Ilne a. Enter the
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~; UNDERLYING CAUSE
Due to (or s a.c qu qpf)
(elsease or Ini~ry that ~~
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Initiated the evens resultln8 d. `-ter C~C~~ __
~ In deatM1) LAST. Due to (or as a consequence of):
s 26. Part 11. Enter other i Ific n I n 1 tin h but not rosulting In the undarlying cause given In Part I 27. Was an autopsy performedT
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Q Yes L=T No
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23. Were autopsy 0ndings available
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V to complete the cs of d<athT
Q Yes Q No
4 29. If Fe ~
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hl 30. Dld Tobacco Use Contribute to Death? 31. M Death
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pregnant w
t
n past year
~ Pregnant at time of death ,v Q Probably
Q Unknown _ Natural Q Homicltle
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Q Not pregnant, but pregnant wlthln 42 days of death ~ Q Acc
dent Q Pending Investlgatlon
Q Suicide Q Coultl not be det¢rm inetl
~ Q Not pregnant, but pregnan[ 43 days to 1 y<ar b<fore death 32. Date of InJury (MO/Day/Yr) (Spell Month)
Q Unknown ii pregnant wlthln the past year
33. Time of Injury
34. Place of Injury (e.g. home; construction alt<; farm; school) 35. Location of Injury (Street and Number, Clty, State, Zip Code)
36. Injury a[ Work 37. If Transportation Injury, Specify: 36. Describe How Injury Occurred:
Q Ves Q Driver/Operator ~ Petl<5[rlan
Q No Q Passenger Q Other (Specify)
39a. C er (Check only one):
Certlfying physlcla~~~ To he b¢st of my know th occurred due to the cause(s) and manner stared
Q Pronou ncing 8. C
in physician -Tot be t of y knowledge, death occurred at the time, date, and place, and due to the cause(s) antl manner stated
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Q Medical Examiner/ the bs I a es[Igatlon, In my oplnlon, dgatir pcFU rred at th< dim<, dot<, and place, and due to the
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Tltla of certlfler: ~ Llc<ns¢ Numlbe r: `
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40. Registrar's District Number 41. Regl s Slgnat 42. Registrar Flla Dat< (MO O
ay/Yr
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43. Amendments
0749204 - Hlos-143
Dlsposltlon PermK No. _ - REV 07/2011
i
LAST WILL AND TESTAMENT
OF ;~ ~ . _, ~;
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SUTTON i~ ~ ~~T-
CHRISTINE D ~
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of the Township of Hampden, Count~~
CHRISTINE D. SUTTON
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Cumberland and State of Pennsylvania, being of sound and disposing mind, memory
and understanding, do make, publish and declare this my Last Will and Testament,
hereby revoking and making void any and all former Wills by me at any time
heretofore made.
I.
I direct the payment of all my just debts and funeral expenses as soon after my
decease as the same can be conveniently done.
2.
I give and bequeath all the rest, residue and remainder of my estate, real,
personal and mixed, whatsoever and wheresoever the same may be situate, to my four
(4) children, to wit, MICHAEL L. SUTTON, SUZANNE M. STREKAL,
KATHLEEN A. CARTER and RALPH D. SUTTON, share and share
LASTLY, I nominate, constitute and appoint my two sons, MICHAEL L.
-1-
SUTTON and RALPH D. SUTTON, Co-Executors of this my Last Will and
Testament and direct that they be excused from posting bond or other security for the
faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~5'~~~~
day of September, A. D. 2000.
~~
L'~Lt__.~-~ .~ i z_ ;, _ ..1~ ~ ;~t ~ ~~z ~. - (SEAL)
Christine D. Sutton
Signed, sealed, published and declared by the above-named, CHRISTINE D.
SUTTON, 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..- ~ ~
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,;
COMMONWEALTH OF PENNSYLVANIA )
SS
COUNTY OF CUMBERLAND )
I, CHRISTINE D. SUTTON, the 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 same instrument as my Last Will and Testament; thhat I signed
it willingly, and that I signed it as my free and voluntary act and deed, for the purposes
therein expressed.
Christine D. Sutton
Sworn and subscribed to before
me this c'_ ~ 'day of September, 2000. Notar~~ s~~
~Azrtlyn E. WI-i'dms, Ncrtsiry PuM~c
r-_ Cumt~Land County
~` ~ C.~/~,~ '"M 'Com ~~s+on f~~ Nov. 6, 20Qy
C4tiv
Not ry Public MFmher, Penn~yl+~an+a A~soc'+3t+o~ e1 ~-~~
COMMONWEALTH OF PENNSYLVANIA )
SS
COUNTY OF CUMBERLAND )
We, the undersigned, J. ROBERT STAUFFER and SUSAN A. McCO~~, the
witnesses whose names are signed to the attached or foregoing instrument, being; duly
qualified according to law, depose and say that we were present and saw the testatrix,
CHRISTINE D. SUTTON, sign and execute the instrument as her Last Will and
Testament; that the said testatrix executed it as her free and voluntary act for the purposes
therein expressed; that each of us, in the hearing and sight of the testatrix, signedl the Will as
witnesses; and that, to the best of our know~~ge, the testatrix was, at the time, eighteen (18)
or more years of age, of sound mind, and un er onstrajnt~uress or undue influence.
,~ ~"~~ '
Sworn and subscribed to before
me this ~~S~~day of September, 2000.
c~~
Nota Public
M ~nhn E. W, ~I ~
1~rtlf-rt, E'~f'~ HoY. D, ~~
~'ennsyA~~ Ae
~~~ of ~~~