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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: Anna Lee Norcross_ File No: ~2 J ~ z~l
aWa: (Assigned by Register)
aWa:
a4-/a: Social Security No: 201184056
Date of Death: 11/18/2012 Age at death: 86
Decedent was domiciled at death in Cumberland County, Pennsylvania (State) with his/her last
principal residence at 124 Pin Oak Lane_ 17257 Southampton Township Franklin County
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at Forest Park Health Center 17013 Borough of Carlisle Cumberland PA
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 $ 50,000.00
If not domiciled in Pennsylvania .............................Personal property in Pennsylvania $
If not domiciled in Pennsylvania .............................Personal property in County $
Value of real estate in Pennsylvania $ 50000-00
TOTAL ESTIMATED VALUE.... $ 20,000.00
Real estate in Pennsylvania situated at: 124 Pin Oak Lane 17257 Southampton Township Cumberland
(Attach additional sheets, ifnecessary.) Street address, Post Office and Zip Code City, Township or Borough County
M 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 111312012 and Codicil(s)
thereto dated Oliver Eugene. Norcross deceased on 12/1.512001
State relevant circumstances (cg. 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 born or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
® NO EXCEPTIONS ❑ EXCEPTIONS
❑ B. Petition for Grant of Letters of Administration (if applicable)
c.t.a., d.b.n., d.b.n.at.a., pendente lite, durante absentia, durante minoritate
If Administration, at.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 parry 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.
❑ NO EXCEPTIONS ❑ EXCEPTIONS C
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by tEfo gwing spouse (if arMax$heirs (attach
additional sheets, if necessary): Z7 S 3
tTJ -O ;Z]
rn C-1)
Name Relationship mA ess t
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Form RW-02 rev. 10/11/2011 Page 1 of 2
Oath of Personal Representative official use only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s) Printed Name Petitioner(s) Printed Address
7481 Brethren Church Road
Marion R. McMullen Newburg PA 17240
,217 W. Matin Street
Janet L. McBet-h_ Walnut Bottom PA 17266
331 Park Heights Boulevard
Doris J. Feather Hanover PA _ 17331
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 Decedent, the Petitioner(s) /wiilll well and truly administer the estate according to law.
Sworn to or Caff=ed and subscribed before /cam ! Date f~, -
me
By t~~ .d y of Date Z!
For the Register i
Q1
BOND Required: ❑ YES M NO To the Register of Wills: c-D e~
FEES: Please enter my appearance by n swartpre bi'Low: 5
C>r
Letters $ - 260.00 Attorney Signature: eB ,j
(6 ) Short Certificates(s) 24.00
( ) Renunciation(s) -
( ) Codicil(s) -
( ) Affidavit(s) _ "g7
Bond . ted Name: Joe R - ullin er
Commission Supreme Court
Other will 15.00 ID Number: 17526
Firm Name: u iger-Davis,_P.C.
. . . . . . . . .
-
Address: 14 North Main Street
Suite 200
• • • • ' ' Chambersburg-__ PA 1.7201
• • • • • • • • Phone: (717)264-6029
• • • Fax: (717)264-1884 -
Automation Fee 5.00 Email: zulll finger @-zullincLer-davis.com
JCS Fee 23.50 -
TOTAL 327.50
DECREE OF THE REGISTER
Estate of Anna Lee Norcross File No:
a/k/a: - AND NOW, 2012 , in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Marion R. McMullen, Janet L. McBeth and Doris J. Feather _
in the above estate and (if applicable) that
the instrument(s) dated November 3, 2012
described in the Petition be admitted to probate and filed of record as the last Will. (and Codicil(s)) of Decedent.
Register of Wills
Form RW-02 rev. 1011112011
Page 2 of 2
RECORDED G~ '±E OF
REGIS r r-R U S
f..
C~'I[ DEC 1 y PIS i5
P 1906654 11ER1o r
RPHANS' CCUR
CUMBERLAND Cp., PA
Type/Print In COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS
Permanent
Black ink CERTIFICATE OF DEATH Slate File Number:
1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (MO/Day/Vr) (Spell Mo)
Anna Lee No/Le~co.6.6 1 emaZe 207-18-4056 Novembelt 18 2072
So. Age-Lest Birthday (Y-) 15b. Under 1 Year Sc. Under 1 Da 6. Data of Birth (MO/Day/Year) (Spell Month) 7a. Birthplace (City and State or Foreign Country)
Months Days Hours Minutes MQIL.C.On PA
86 Novembe., 15 7926 7b. Birthplace (County) nan n
Sa. Residence (State or Fo-reign Country) Residence (Street and Number - Include Apt No.) 8c. Did Decedent Live In a Township?
Pennb .ever a- 124 P.i.n Oak Lane MYes,decedent1-din SOL(thamr)Xon -F.
8d. Residence (County)
Cumberand 8e. Residence (Zip Code) 17 2 57 0 No, decedent lived within limits of city/born.
9. Ever In US Armed Forces? 10. Marital Status at Time of Death 0 Married ® Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage)
0 Yes ep No E3 Vnknown 0 Divorced 0 Never Married 0 Unknown
12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Priorto First Marriage (First, Middle, Last)
DaYLZe.2. AZbe-itt OhA Ez Man ion An Eetta. K,&tzm f"e,,L
14a. Informant's Name , 14 b. Reletlonahip to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code)
G Janet McBe-th S.i.a elc. 217 W.eMa.i_n S;'. WaZnut Bo;tom _ PA) 77266
lsa_P ate p oast [Chet n y pn _
c If Death Occurred in a Hospital CJ Inpatient ~If Death Occurred Somewhere Other Than a Hospital: Hospice Facility b Decedent's Home
0 Emergency Ropm/OUtp-tlent 0 Dead - Arrival 1 Nursin Home/LOn -Term Care Facility 0 Other (Specify)
15b. Facility Name (If not institution, give street and number) 15c. City r Town, State, and Zip Code 15d. County of Death
Fone_6- PcvcFz Hea--th Centeh- CakX,Ez fisp PA 17013' CumbenP~nd
/ 168. Method of Disposition ® Burial 0 Cremation 166. Date of Diosition S6c" Pierce of Disposition (Name of cemetery, crematory, or other place)
1/ Removal from State O Donation
121 0 Other (Specify) Nov. 24, 2012 S Ai_n HLeZ Ce-meteh.
Z 16tl. Location of Disposition (City or Town, State, and ZIP) 17a. Sign Funeral Se a Licensee or Person in Charge pf Interment 17b. License Number
Sh i enz bu, PA 77257 ~ 7-L
A 1 Nam d Complete Address f Funeral Facility
A <oge aan elc-Bnce-eh F.H. Inc- 112 W_ K.i_n S#. Sh.i e.nzbu& PA 7725
18. Decedent's Education - Check the box that best describes the 19. Decedent Of Hispanic Origin - Check the 20. Decedent's Race - Check ONE OR MORE races to Intlice te what
F- highest degree or Ieyei of school completed at the time of death. box that best describes whether the decedent ;,h d cadent considered himself or herself to be.
Sih rade or less
Q g Is Spanish/H lspanl</Latino. Check the "No.. White
D o diploma, 9th - 12th grade oi~ f decedent is not Spa nizh/Hispanic/Latino. 0 Black O Korean
~Igh school graduate or GED completed ENO, not Sp. nlsh/Hispanic/Latino or African Amer can 0 Vietnamese
ndian or Alaska Native E3 Other Asian
0 Some college credit, but no degree bO N Yes, Mexican, Mexican American, Chlcana 0 O American
As m an Inrican Idian
ive
O Assoclate degree (e.g. AA, AS) O Yes, Puerto 0 No" Hawallan
Rican
O Bachelor's degree (e. g. BA, AB, BS) Chinese
0 Yes, Cuban EJ Fllipino 0 GSauamomaannian or Chamorro
O Master's degree (e.g. gMA, MS, MEng, MEd, MSW, MBA) O Yes, other SPanish/Hispanic/Latino 0 Japanese 0 Other Pacific [stand.,
0 Doctorate (e.g. PhD, Ed D) or Professlonal degree (Specify) 0 Other (Specify)
. MD DDS DVM LLB JO
White 21. D~ 's Single Race Self-Designation - Check ONLY ONE To indicate what the decadent considered himself or hers.If to be. 2.2 . Decedent's Usual Occupation - Indicate Type of work
L4 e 0 Japanese 0 Samoan done during most of workin life. DO NOT USE RETIRED.
E3 Black or African American O Kor 0 Other Pacific islander g
O American Indian or Alaska Native O Vietnamese O ee"Le GU(.
F'.. Don't Know/Not Sure S22b. Kind of Business/Indust
Q Asian Indian - 0 Other ASian 0 Refused
0 Chinese 0 Native Hawallan 0 Other (Specify) ry
0 Filipino 0 Guamanian or Chamorro Edccca on
ITEMS 23, - 23d MUST BE COMPLETED 23a. Date PERSON WHO PRONOUNCES OR PronouZnced Dead (MO/Day/Yr) 23b. Signature of Person Pronouncing Death (Only when applicable) 23c. License Number
CERTIFIES DEATH
23 f~ fD-OI7~ ✓ /t. /~a d. ate Signed (MO/Day/Yr) 24" Tlme of Death ~L(/g.•/Li-- .G! ~ ITN S y , -VI-
40y y0 25. Was Metlical Examiner or Coroner Contacted? 0 Yes No
CAUSE OF DEATH
26. Part I. Enter the chains--diseases, Injuries, or compllcatlons--that directly Caused the death. DO NOT enter terminal events such as cardiac arrest, Approximate
I Interval:
respiratory arrest, or ventricular fibrillation without showing the etiology. DO NOT ABBREVIATE" Enter my one cause on a line. Add additional lines if necessary. 1 Onset to Death
IMMEDIATE CAUSE e r ) ~n rw / l°
4, c, ! 1 c~ J.J ,4 rZTj Gfs '
(Final disease or condition / Due to (o as st C..nc. of): `-a
resulting In death)' -
b.
Sequentially list conditions, - Due to (or as a consequence of):
If any, leading to the Cause
-Jlsted on line a. Enter the 1
UNDERLYING CAUSE Due to (or as a consequence of): '
(disease or injury that
initiated the events f2'~u1Hng I
IA death) LAST. q Due to (or as a consequence of): 1
26. Part 11. Enter other Significant Conditions t Ib tl tl th but not resulting In the underlying ..use given In Part 1. 27. Was an autopsy perf ed?
0 Yes No
m 28. Were autopsy Rndings available
e to complete the cau of death?
t 3' 29. If Fe `:-g id Tobacco Use Contribute to Death? 0 Yes No
Of Death
,i Not 31. or
nant within past year 0 Y O Probably
@~F1 tural 0 Homicid
13 e
O Pregnant at time of death ~ O Unkn
m 0 Not pregnant, but pregnant within 42 days of death 0 Accident Pending Investigation
Not C3 Suicide E3 Could not be determined
y~ 12 0 pregnant, but pregnant 43 days to 1 year before death 32. Date of Injury (Mo/Day/Yr) (Spell Month)
0 Vnknown if pregnant within the past year 33. Time of Injury
` 34• Place of Injury (e.g. home; canstructlon site; farm; school) 35. Location of Injury (Street and Number, City, County, State, Zip Code)
36. Injury at Work 37. If Transpo Kotion Injury, Specify: 38• Describe How Injury Occurred:
iJ Yea E3 Driver/Operator E3 Pedestrian
O Passenger 0 Other (Specify)
39e. rtlfier - physician, Certified nurse practitioner, medical .xe mine,/cO r (Check only one):
Certifying Only - To the best of my knowledge, death occurred due to ro c (.d manner stated.
r O Pronouncing 8, Certifying - To the best of my knowledge, death occur a at the time, date, and place, and due to the cause(s) and manner stated.
0 Medical Examiner/Corone
r - On the basis of exa mination and/or Inv s get,o in my opinion, death occurred at the time, date, and place, and due To the -use(s) d nner stated.
Signature Of calln.: Ti tie Of certifier: zO License Number:
if:!9~ 42
39b. Name, Address and ZjW code of arson Completing Cause of Death (Item 26) 39c. Date 51 ned (MO/Day/Y,)
JA'
~,TO )US ✓1~Q ~7G ao !Ji L, ST_ NEW GL - /72 / / o n✓
40. Registrar's District Number 41. 11,
Signature q2. R Istrar File Date (M./Day Yr)
;_I A 5i-
43. Amendment. l
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DlspOSiTIOn Perm lS NO-_ qFV 07/20] 2
JRZ - 5.1 norcross.2 July 20, 2001
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LAST WILL AND TESTAMENT
I, Anna Lee Norcross, of 124 Pinoak Lane, Shippensburg,
Pennsylvania, being of sound and disposing mind, memory and
understanding, do hereby declare this to be my will, hereby
revoking any and all former wills and codicils thereto by me
heretofore made.
I.
I direct that all my just debts and funeral expenses,
including all expenses of my last illness, shall be paid from my
estate as soon as practicable after my decease as a part of the
expense of the administration of my estate.
II.
I give, devise and bequeath the residue of my estate of every
nature and wherever situate to my husband, Oliver Eugene Norcross,
providing he shall survive me by thirty days.
III.
Should my husband predecease me or die on or before the
thirtieth day following my death I give, devise and bequeath the
residue of my estate of every nature and wherever situate as
follows:
A. I give and bequeath those items listed on a separate
unsigned memorandum which refers to this my will by date
to the individuals named therein. In the event that no
such memorandum shall be found within thirty days
following my death, this bequest shall lapse.
B. The balance of the residue of my estate shall be
distributed as follows:
1. -A
thereof to my family as follows:
a. - to my n 1
ArjAptta Kitzai-ille-aQ G, s, provided, however,
should my said mother predecease me or die on
or before the thirtieth day following my
death, her share shall be distributed equally
among said paragraphs b, c and d of this
paragraph Bl.
b nA14) t--h- thereof to my sister, Marion R.
McMullen, provided, however, should the said
Marion R. McMullen predecease me or die on or
before the thirtieth day following my death,
her share shall be distributed to her issue,
per stirpes, living on the thirty-first day
following my death.
C. 0,P-20 thereof to my sister, Janet L.
McBeth, provided, however, should the said
Page 2
Janet L. McBeth predecease me or die on or
before the thirtieth day following my death,
her share shall be distributed to her issue,
per stirpes, living on the thirty-first day
following my death.
070
d. -4.
ar thereof to my sister, Doris J.
Feather, provided, however, should the said
Doris J. Feather predecease me or die on or
before the thirtieth day following my death,
her share shall be distributed to her issue,
-per stirpes, living on the thirty-first day
following my death.
aw. 2. One thereof to my sister-in-law, Free-••~.
lea, and my nieces and nephews, namely Albert
Norcross, Michael Norcross, Timothy Norcross,
Kimberly Norcross, Judy Szankovics, Emmitt C.
Norcross, Jr., Maude Norcross Nutter, Fay Miller,
Lester Norcross, Ellsworth K. Norcross, Jr.,
William Myers, Jr., Doris Jean Myers Negley, Clyde
E. Norcross, Frances G. Bigler, Peggy Young,
,fieg=p@ l' laaQ- ^ , Brian Norcross, Kirk Norcross,
Steve Norcross, Scott Norcross, Lisa Miller, Karen
Norcross, Re-!4' _.s;e=a=ee,:., in equal shares,
provided that the share of any beneficiary of this
subparagraph 2 who predeceases me or dies on or
before the thirtieth day following my death, shall
Page 3
be divided equally among the remaining
beneficiaries named in this subparagraph 2 living
on the thirty-first day following my death.
IV.
Any fiduciary under this will shall have the following powers
in addition to those vested in them by law and by other provisions
of my will applicable to all property whether principal or income,
including property held for minors, exercisable without Court
approval, and effective until actual distribution of all property:
A. To retain any and all of the assets of my estate, real or
personal, without regard to any principle of
diversification of risk.
B. To invest in all forms of property including stock,
common trust funds and mortgage investment funds without
restriction to investments authorized for Pennsylvania
fiduciaries as they deem proper, without regard to any
principle of diversification of risk.
C. To sell at public or private sale, to exchange or to
lease for any period of time any real or personal
property and to give options for sales, exchanges or
leases, for such prices and upon such terms or conditions
as they deem proper.
D. To allocate receipts and expenses to principal or income
or partly to each as they from time to time think proper.
Page 4
t
E. To compromise any claim or controversy.
F. To distribute in cash or in kind or partly in each.
G. To hold property in their names without designation of
any fiduciary capacity or in the name of a nominee or
unregistered.
V.
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.
VI.
I appoint my husband, Oliver Eugene Norcross, as executor of
this my will. Should my husband predecease me, fail to qualify or
cease to act as executor, I appoint my sisters, Marion R. McMullen,
Janet L. McBeth and Doris J. Feather, as co-executrices of this my
will.
VII.
No bond shall be required of any fiduciary hereunder in any
jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my
Page 5
last will and testament, consisting of seven typewritten pages, the
first five of which bear my signature in the margin for the purpose
of identification this -?day of
Signed, sealed, published and declared by the above-named
testatrix as and for her last will and testament in our presence,
who in her presence, at her request and in the presence of each
other have hereunto set our hands as attesting witnesses.
We, Anna Lee Norcross, and
the testatrix and the witnesses
respectively, whose names are signed to the attached or foregoing
instrument, being first duly sworn, do hereby declare to the
undersigned authority that the testatrix signed and executed the
instrument as her last will and testament and that she executed it
as her free and voluntary act for the purposes therein expressed
and that each of the witnesses, in the presence and hearing of the
said testatrix, signed the will as witnesses and to the best of
their knowledge, said signer was at that time eighteen years of age
Page 6
or older, of sound mind and under no constraint or undue influence.
Testatrix
Witness
Witness
Subscribed, sworn to and acknowledged
before me by the above-named signer and
subscribed and sworn to before me by the
above-named witnesses this day of
2
Notary Public
Page 7