HomeMy WebLinkAbout09-07-12Reset
PETITIOON F1OR~GRANT OF LETTERS
REGISTER OF WILLS OF _ lA)I't1L~ In(~C~ 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: I~nfCen C~tlmare ~a~ln~
a/k/a:
a/k/a:
a/k/a:
Date of Death: ~i F[i dpi ~
D ece Pent was domicile d~thli~ C ,I~MhQ. ~ [~~,a t
rind al residence at i p, S f1P 71ri11~
Street addrea0. Poat Onice and Zip Code
Decedent died at
Oftice and Zip Code
Estimate of value of decedent's property at death
File No: ~ ~ ~ ~ - ~ ~ ~
(Assigned by Register)
Social Security No:
Age at death:
(state) with his/her
City, TowneMp or
or
County State
$~9 3-l~~s~3, u~
S t/a ~ll.2a_Y / -~~
if domiciled in Pennsylvania ......................... All personal property
..
if not domiciled in Pennsylvania ........................ Personal property in Pennsylvania
/jnot domiciled in Pennsylvania ........................ Personal property in County
Value ojrea! estate in Pennsy[vanra ......................................................... .
TOTAL ESTIMATED VALUE... .
Real esmte in Pennsylvania situated at:
(Attach additional sheets, ijnecessary.) Street
roar Onice end Zip Code City, Township or Borough County
A. Petition for Probate and Grant of Letters Testamentary ]] Or/
Petitioner(s) aver(s) he/she/they is/aze the Executor(s) named in the last Will of the Decedent, dated ~~~ /GYI IX L) and Codicil(s)
thereto dated
State relevant drcumetmcea (eg. renuncloNon, death of executor, tea)
Except as follows: after the execution ofthe instmment(s)offeredforprobete Decedent did notmarry, wasnot divorced, was notaparty toapending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), and did not have a child bom or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
S NO EXCEPTIONS ~ EXCEPTIONS
B. Petition for Grant of Letters of Administration pf applicable)
c.t.a., d.b.n., d.b.n.c. t.a., pendente (ire, durance absentia, durance minoritare
IF Administration, c.ta. or db.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 fo:r divorce had been established as defined
in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ~ _'
Q NO EXCEPTIONS Q EXCEPTIONS ~4 ro ~
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the
additiona! sheets, iJ'necessary):
>-
Name
Relationshf V 37
Address t7 ~', :_ `~-'
OC -° __:
_ r_
-~1
~ L7
J
_~
t.
T
Form RW-02 rev. Joinnou Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
}
} SS:
}
COUNTY OF
Petitioner(s) Printed Name Petitioner(s) Printed Address - l ,
~y
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 Dece ant, the Pe 'tioner(s will well d tmly administer the estate according to law.
Sworn to or affirmed subscribed before ~~ ' Dace 9' 7 ,~/~
me this day f p~_2-- Date
By' Date
For the 'star
Date
BOND Required: Q YES NO To the Register of Wi!!s:
FEES: Please enter my appearance by my signature below:
Letters ................... ... $ ~~
(~ )Short Certificate(s)... ... I a--
( )Renunciation(s)...... .. .
( )Codicil(s) .......... .. .
( )Affidavit(s)......... .. .
Bond ..................... ...
Commission ............... .. .
Other w~. ~~ ..... ...
Automation Fee ............. .. ~-
1CS Fee . .................. .. .9~
TOTAL ................... .. $. -~~
~G S
Attorney Signature:
Firm Name:
Address:
DECREE OF THE REGISTER
Estate of ~'~ ~' (hpv File No: ~ ~ ~~c- - / ~~
a/k/a:
AND NOW,I~ ~_, in
satisfactory proof havin een presented before me, IT IS ECREED that ett r
are hereby granted to v, ~ .
the instrument(s) dated `~ ~ 1 / ~ G $~~
described in the Petition be admitted to probate and filed
of the
the above estate
Will
Petition,
applicable) [hat
Og
Form RW-OI rev. 10/11/10!/ y v Page 2 of 2
__
_ _ _ _ _
HIOSA05 RHV w/III '- - - - -
LOCAL~_ ~~~'S CERTIFICATION OF DEATH
WARNI ~i~' I r l1 plicate this copy by photostat or photograph.
~~urk, • 4: ~ ,. .:I~
Fee for this certificate, $6.00 C(f!2 SEP _~ a~ ~~. ~~ rChis 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 origiual
• ~,',';, certificate will he forwarded to the State Vital
U. MBER~~ C~~ ~~ Records Ofl'ice for permanent filing.
P ~ 4C~~~ar.:
Certification Number
pe/P.ma rn
N
C].
V
0
y3
Y
~~esx`~e"~x°Fx' AUK n/~nt~
Local Registrar Date Issued
CDMMONWEgtTH OG PENNSV IVgNIq • DEPgRTMENT OF HETLTH VITNL RI:COROs
1. Deaeenra.e{a Name (Fait, Mrame, Laat, surHa ^~'~ 1 ~ V t IIEATM
scat u
e eN
r.
- 3. soda sewn
on<
Warren G. Taylor 2 s" ryN.mee. a. e•, oea<n (MP/D.vhN lsp.u M•1
5
'
1"la~
~
a
- s<
Blr
{. La maay (Yral sb. weerlve.r
96-
-e
I q_.47 52
rl~
AU ust 'I 8 2012
6. Date ei 91rtM1 (Mn/°•y/Yeah IS
al M
~
p
M
~ onto Oayz Hou Inu<
on[n) h ( ntl 5t oralgn Cnun[ryl
January 14.1923 'L~aiifs`~'"eH 1{`zi'F
ezmenca wt a •r Ferelgn ° <rv) Retmen¢ .eat ana Numne I zb. g npaa a•„naY um
Panne lvani ac• g H row
e (sa na•ae qpt Np.) c. Dm D«mena aye In ,n nxnlp2 j er an
6
ee. Realeence (c my)
126 Fie1d8 DL ~Ves, aecaeent RUetl ln_Mi TRlea
Cumberland tone - trv
ae. Reaaena alp c•tlel 1 7 01 5 ON•, eee.aent uyea wlinu, a p,
In r
etl tcezi 1 a
l aI Stat
o
e
i
us a o, Deatn O Marrlea Wltlowe trey/born
~ Y•x
1~ N O Vnknawn
p D yrcee TIp N letl p V av. snrvlyln{ 3POUae s Name Iq wlre, {Ne name p
eye M l
nor c• n.n mar
"' nkn
1
oge
Mrame, lat<. wore
(FR
1
<l l
~
W 1
i am
v3. Moane, z N.me Prlo, t• Na< maul
amen Taylor a{. cFlat, Morale, LSo
l a.ln •rm.nrx .me Raxlnnxnlp to veteaent Martha Saabell M
lqb. lqc. ln,orman['a M•Illn B 111@r
Diane Highlands
egaeraa(sareet
e
a•
rvbmber, clay, stage, ap cpael
Dau titer
..... ........................
s
° .. ........... ........... .....
v D..[n oeeamm In a H•xpl<al: _ ..............._...._..-...,......
Inp.nmt ,....P.:_.aa_ps p.e
~.,.. lii o:
d ~~°~~~-, ep nnynnp
m
d7:
'
.
oa
•
pmewn.rE vme. rF:~ :
Ao:aiFei!"""'"""
o Em•. encv Rppm/optpaaen< Hpxma""""'"-"""""""""""' .-... .
p Deaa nn q,rlym CY"""....._ campy 'tlC"o«ed:d'r'~ Fo:::~......_..
rtin
H
~ g
ty N • W ax on rear
nm./Long-Term o.. Faclut Dena. (spe<IM
136. Fecrll am one number; c. . awn, ate, antl Zip Catle
1
3
l
ISa. C unry pt DeaM
16e. M•MOtl o1 Dlsp•xl<lon acre O Cramatlon 3
6
o
g
I
9
,
¢ . D
ate ei
~ Rem•y
a^fm S
eate
~
Oanatlon Dlapos <I n c. p ace o, IxpaalNOn (Name •f c•melery, crem•<a ry, or o ar p ace
S
i °
p
°( =I~4I Aug• 22a 2012 Mt_ Zion Crametary
16 tl. Lncaunn o, Dlxporr[ion IClty or TO n, State
antl Zlpl
w
s ,
32a. afar of Funeral5arvlcs Llcenaee or perann In Charlie pf Interment 116. Vicenxe Nu
A11 ena PA 17p55
mn•r
~ .fie
3 r
nc. Nam. ana e•mpl.<e gmreat •, Fyn.ra G.auty O 1 1 5 8 9L
Hollin
~ erFH& r m t
lg D
a
'
_
eca
en<
z EeucaVOn-Cneck tM1e bm [M1at nest ees<rlbes the 9. Daceeent e, Hlspanlc Orl{In-Cneck the
n g
n
ext
eHree r level o sch
o f
l
^
oo
tom t time o(tleatn. bo
°tle cress Preteea <Fe artier bei<eezcnbez whetne ina cetle 20. Decetle [con e- M1eck Or p pE ce Intllcate what
eo
~
r
` nt lne tl•ceaenaz R°leeree nr
l!
$p
m e
+nlzn/HlzpanlUla
rner el/eo
b e,
T] N tll
plama, 9M - 32M gratle <Ino. CM1ec ahe "NO"
W
I[e
b
r
e
g
a
O K•r p
~ H pn xcnool graduate or GED c
ieecetlent Iz oat spanlsM1/Hlspanlc/ta<Ina, ~ ck or gfncan gmancan n
let¢a N
0 5 ollatl[e cretllt, bu<ne deg ea
a, no<.Spanrzn/Hlspanlc/Latlna ~ gmer n Intllan or glaska N ~ Vietnamese
~ V eaten gmarlcan
°tly ~ Otner gslen
O q ocla<e a{re
Cnresno
l
a
A3
g
,
Qgalan
ln
rt
e n 0 Natlye Haweilan
0 gacnelnr•z eegrea (e.g
o Rlcan 0 CFI
q
B B31
r
~
~ Ves, cub
IIIPIno
MgA) O v.x, Dore. sp.nlxn/HHp.nIUL.tlno ~ ~ Sam•an an ar CM1amorro
~ Doctorate (e
O pr•D
Etl0
e
nl
~
.
,
) o Proiex
lo
el Eegree
°°°^•se ~ omer P.anc laanaer
lspeary)
Mo o
vs ocM ue
/o
O omer (spenryj
r
2
v
~
ten `Q
ez na an
-
s rner¢ .c • - Cneck Dlav oNE t¢ mama<e what ine a¢emen<conaaer•e nlmxa,
M1
O
•r
eaai <• be. u>. De¢.aent•t uzea occ~w<m
O H ack ar girican gm¢rlcan
k Q s moan none Gunn{ mns<af workin
p` o/wo.k
Il,e In
~ OMar P
lll
r
^DO
r
l
g
ac
c
N
OT USE
s
antler
0.ETIREO.
~ qm nalen nr glazka Natlye etnam¢
.e ODO,.<knnw/Nnesyre Truc$ Driver
era
O qtr.., i~ Ooo
n.rwsl
o mwr~.o
o Gaye o om.. csp•aw) ~tMantis~
a
c
~
u r•o
C a
a
•=ui
.~n
r
g
EMS 3a-39 M 3T gE fAMPI 23a.
Dea
tl Mo OaY Vr 33b. 1
pCRSON WHO VgOMOVNCe50R D Pronaunc 3gna<uraa clog Deat
srson pron•un
a
<E
tlRTID arE¢S OGTH ~S
n Y w en a a e r
ZOI Z_
23c VCente NUm e
( •/Day/Vn
Tim C,
1 H 1 La t r SZ'1
~ ~ ~~~y
,
M 2s. wet Me rca Erammer o. corona. con edkT i
~
x
°
z . me cna n mmaaea CAUSE OF DEATH
fi.p n,ayen[x-
, m/pH•x
or e•m
uc>n
m
=mi
mry
N
,
p
nnx-
.
.a
ar,<it, ar yenm[„i
! °a^trPrvmxe
at m.e•ev ca¢t.e cn. ee.m. o Nor ¢nt.r c.rmma ey.n.z t„ab .a <amla<
arflbnllatlonwlmou[anowlnB me e<lolpgy. OO NOT gBBRFVIATE. D
.rr<a
i e a.
Emerbmv one ¢.axe •naune
qaa
ael
~
.
.
cmnal Imes vn
axxa.y
IMMEDIgTE E°V3E -------. ~ 1~,z~ i Onset [a D•am
- a a - ~a
IGlnal alzeaaa ar conalxlon
rezulting In eeafhl ue to (or as a ronsequence o/i: 1
b. r ~ Ylt 1
c
r+ema w
m<<a o.e ue m (•r as a cnnmqumm oq,
no
winnc
n
t ¢ `
6
u
E
c
r,sE
~ D„ew(•raapon eq¢enceav:
terra>x¢nrln/eryma
- tea cna eyemx r•xmnng a.
m exam) iwsT. - Die a
a conxgaena nq:
c~ zfi_ P.rt u. En<e. ut net ra:memg l
omer I -s_~ b n me untl¢rrvm
e.,,
l
E {
ae g
yen m y
.OI zl. was .n>
tppa~penormeel
ole ap
.
i
zs. uPe <o m
e•
m«
,L,e ,a ..n
p
r
p
Np
Dm roman uz. con[nbute m De.m1 33. or De>m
° °
~ o r• ~~ ~~ow~ o ~a<a a o H•mr~ tl~
o rot`;::an;nl. e~~ P e;~:n~wlmrn q2 ea
n
n
y at
~ Not pregnant, but pregnant q3 aayx to 1 6 f ar• ~ F•^ aln yextl{a
`ar a ore tlea<h 3z
~ 5 Icllaa t
l
0 Eeu net be e¢<e r
. va<e • Im„rv (M•/Days.) typal M•nml
~ Vnknown IG pregnant wlMln the past year
minetl
3~1
-, irm<al lnlurv
. place a In/ury (e.e- Fom¢; cons[ruRlon site; fa.m; rcM1OOI)
Lacatl 1 ry ISt
nn of Inu race antl Number, Clty, State, Zlp Code)
3 6. Inlurva o.k 3T l,rmnzpmm~nn lnNrv eaN:
r/o to o Feeext . D.,erme Hnw cowry oa•mea:
~ °
o r
ax~
n
~ ° o omer (epenryl
{
3 ~~i
9
n
m
)
O er<INi
g pnync
n ~ru
en<
b..e o, mY knewl<age, aaan ommree aue eo me c.omlz) ma manner zaaaa
on
n
e
I(yln pnyalnen -TO the bar<
t
k
c
g
c
i
o
my
~ M<e
al E cor
nnwletlge, eeatn nc<urree a[ [rye <rme, eats, ana prate, antl due <o me cause(s) ana m
Core
O e bails of ere ,antl/or Inyestlga<la
I
t
etl
'
m
m
n m o Ins n, eea q Gate, antl place, antl aue to
P
°
enaturc of ceKl/lei: a
~~\ rretl at <M1e <Im a causa(tl ane mann a<eG
i
C
r
b
N.me. geemix.nG Zrp caee o, e n ¢f o<am poem zfil T - r:O SOa ~'9U
Clx z r G c. G Mo DaY/Vrl
Cr
N
-geelz<rer'syRaaau.e ~^ rGlle ° O a
O
.gmenemen[a
Olipozltlon Permit Na. ~~~ ~ ~ y~ H1D3-lq3
-- RFV nT/1n<t
OATH OF NON-SUBSCRIBING WITNESS(ES)
R~GISTER OF WILLS
Uhl fJ'~Q h COUNTY, PENNSYLVANIA
Estate of ~llrt'e (~ ~l ~/YI G~ f e- ~l q y l a r
Deceased
c I )i Q/12. ~ , l~i.t~i lands and f / T' G~. FrS'du/Nr`E17.~/C~ ,
(each) being duly
to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with Name n yr! n1 or ~.'lQ y~ o r and am/are familiar [~t.u/~?61
with the handwriting and signature of the decedent, and that the signature of ,~%'1~1 D ' (~.T r'ar
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of f? ~~ d' /or' ~N"
!
i!
is in his/her own proper handwriting.
~~.~ l~ ~;,~x
( rgnufure)
tale ,~; ~lds~~l~~ ~~,~~
(Str etAddresrJ
~(ll'~i~ ~~t i~~~ ~ 7U l.S
(City, State, ZtpJ
Executed in Register's Ojficc
Sworn to or affirmed and subscribed
before me this ~' day
of ~C c~~ , ~ji ~^
~-fJ'eputy for Register of Wills
Farm RW-04 rev. 10.13,05
~,~ ,,// /
~~~' G~ti~~ C', ~~c ~ F'
(Street Address)
/hA~i~' TT/LJ ~iP I7s'~ ~
(City, State, ZipJ /
C
~ w`
~~ m
'
1
~
'
f
~
v Z_. ~i
~
C/', ~~ ~ f 'i
0< t ~~1
..
;
C7U A .~ ,.
r
~
O~ =
p Gq
Lry
.~
~ ~ -~ :;,~ ~ ~ r ,~ ,
LAST WILL AND TESTAMENT OF
WARREN G. TAYLOR
I, WARREN G. TAYLOR, of Middlesex Township (117 Willow View
Drive, Carlisle) Cumberland County, Pennsylvania, being of sound and
disposing mind, memory and understanding, do hereby make, publish and
declare this as and for my Last Will and Testament hereby revoking and
making void any and all Wills by me at anytime heretofore made.
1. I direct my hereinafter named Executrix: to pay all of my just debt:
and Funeral expenses as soon after my death as may be found convenient to do
so.
2. All the rest, residue and remainder of my Estate, real, personal
and mixed, and wheresoever the same may be situate, I give, devise and
bequeath to my wife, Elizabeth B, Taylor, her heirs and assigns, to the ex-
elusion of my children, born and unborn, provided :my said wife shall survive
me by a period of Ninety (90) days.
3. Should my said wife, Elizabeth B. Taylor, pre-decease me or fail
E
to survive me by the aforesaid period of Ninety (90) days, then in such event
~', all the rest, residue and remainder of my Estate, real, personal and mixed,
~~' and wheresoever the same may be situate, I give, devise and bequeath in
`~`-' equal shares to my five (5) children, their heirs and assigns, provided each
~ person sharing in my Estate shall survive me by a period of Ninety (90) days,
the share any deceased person would have received to pass to his or her issue
per stirpes, and if there be no issue such share shall lapse and be added to
the remaining shares per stirpes. My five (5) children are: Ellen L. Fron-
fetter, Debra M. Ruth, Diane W. Bretz, Lynan M. Messimer,~nd Dav~l
~Q Y~i
z' ~? -r'
~': ,
Warren~"Taylor. .A~ - n~ ~.~;
• ~"~r -~
o`,
n r. , - x,.
O t:: -r.
x;
v"' F
D p.. c~-
CL?
Page 1 of 2 Pages
.~
4. Should any person less than 21 years of age be entitled to di
I from my Estate, in such event I nominate, constitute and appoint Dauphin
Deposit Bank & Trust Company, and its successors, 2 West High Street,
Carlisle, Pennsylvania, as Guardian of the Estate of each such person and
authorize and direct it to receive and to invest the same, and to pay the incan
arising therefrom, together with so much of the principal thereof, as in its
opinion is necessary or desirable to be expendedfo:rthe proper maintenance,
support, and education of such person, to or for they benefit of such person,
and upon such person attaining 21 years of age to ps~y to him or her the then
remaining principal together with 'any undistributed income.
5. I hereby nominate, constitute and appoint my said wife, Elizabeth
B. Taylor, as Executrix of this my Last Will and Testament but should she
pre-decease me or fail to qualify, then in such event I nominate, constitute
and appoint my daughter, Ellen L. Fronfelter, as alternate or successor
Executrix, and I further direct that neither of them shall be required to post
any bond to secure the faithful performance of her duties in the C
of Pennsylvania or in any other jurisdiction.
IN WITNESS WHEREOF I have hereunto set my hand and seal to this
my Last Will and Testament written on two pages this 31st day of March,
1980.
----,-
L
arren G. Taylor
Signed, sealed, published, and declared by WARREN G. TAYLOR,
Testator above named, as and for his Last Will and Testament, in our
presence, who, in his presence, at his request, anti in the presence of each
other, have hereunto subscribed our names as attesting witnesses.
~°~°-~=~
Page 2 of 2 Pages