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Home My WebLink About11-07-13 � Kesei PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF�._..y, i��_ 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: �',1�i1/'�1- Q. J''10/212 n,.,� File No: �il ''I� � j ��a� ^ (Assigned by Register) alk/a: ��a� Social Security No: � �c,� � � (Q �j' o l Date of Death: � a � J 3 Age at eath• � 2 , �..,, Decedent was domiciled at deat in County, (Sraae) with h's/her ast principal residence at L�v�,G.-'v-Ct- .013 Street addres Post Office and Zip Code City,Tow ship or Borough County Decedent died at� ,�,r.,,v�-C. ��,,/�,(,�� - Street address,Post Office and Z�p Code City,Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania.. .. . . . . . . . . . . . . . . . . . . . . . . . . All personal property $ �� b .�,�,� r Q �j If not domiciled in Pennsy[vania. . . . . . . . . . . . . . . . . . . . . ... Personal property in Pennsylvania $ If not domiciled in Pennsylvania. . . . . . . . . .. . ... . . . . . . . . . Personal property in County $ Value of real estate in Pennsylvania.. . . . . . . . . . . . . . . . . . . . .. . . .. .. . . . . . . . ... . . . . . . . .. . . . . .. . . . $ : . (� t! TOTAL ESTIMATED VALUE. .. . $ _ 0.00 Real estate in Pennsylvania situated at: �� _ _�t� �ti (Attach additional sheets,if necessary.) Street address,Post Office and Zip Code � City,Township or Borough County ✓ � A. Petition for Prob and Grant of L ters Testamentar � q � Petitione s aver�he/sh /the is/ re he Execut s amed in the last Will of the Decedent,dated � v and Codicil(s) thereto dated :--.: State relevant circumstances(e.g.renunciation,death of executo�etc.) � � rs'► t=-' m c-� Except as follows: after the execution of the instrument(s)offered for probate Decedent did not ma � �t divorc� � Q �'�� e�was�t�rty to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S�33�3�1,an�id nc��-ha'�a child born or ado ed;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated persgq: � � � � �, NO EXCEPTIONS �EXCEPTIONS �. � p c� � n p � -4'1 � B. Petition for Grant of Letters of Administration (If applicable) c� -�1 3 =k» � c.t.a.,d.b.n.,d.b.n.c.t.a.,pendent�tit urante�enti u�te minoritate If Administration,c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above an+�lcomplete ' of hei�. 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. �NO EXCEPTIONS �EXCEPTIONS Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(ifany)and heirs(attach additional sheets,if necessary): Name Relationshi Address Form RW-O2 rev. !0/1//20/1 Page 1 of 2 Oath of Personal Representative Official Usc Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF �_ } Petitioner(s)Printed Name Petitioner(s)Printed Address L . a o K a. `cv B�rZ 2 e 1• £� �S �u 2.e t9+ I o S�- �t f �!�►20�,�1 ' �-- �o �� C � ��4 ►ez 1 S L E �� l o The Petition (s) bove-named swear(p�or affirm(�a'j the statements in the foregoing Petition are true and conect to the best of the knowledge and belief of Petitioner(s and that,as Personal Representativ s)of the Decedent,the Petitioner( ill well and truly administer the estate according to law. Sworn to�r affirmed and subscribed before ' ;�- _,,,-,-, . ,�' ' . ,, f/' —/ me ' day of ,� � _!-.-. �c�-�� L. V . ��--,i�� ate �r �7 - i 3 � BY �' � _.Date�?7 � For the Regtister �� 3te"~" � --s ri—�� 6�g s'�7 P'�"! I"�� "' � � �"`] �? C=? BOND Required: � YES �O To the Register of Wills: "`" %"� � c;�a FEES: Please enter my appearance�y�y�nat�e below;�-� .�� , y� �j �'� Letters . . . . . . . . . . . . . . . . . . . . . . $ ��. `�'V Attorney Signature: � .,.'�,.� N �;,� i�1 ( � ) Short Certificate(s). . . . . . �, `� � Q ( )Renunciation(s).. . . . . . . . , �--` `'� ( )Codicil(s). . . . . . . . . . . . . " � ( )Affidavit(s).. . . . . . . . . . . Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: k�o��n�F /"1 A Kl/L',L M�Cr/LE.E 1j y Commission. . . . . . . . . . . . . . . . . . Supreme Court Othe• . . . . . . . ID Number: �{ � (o / �, . . . . . . . (�j,C9� • • • • • • • • ''J- Firm Name: S�►.M� !1� $ /f �o'� f�, r . . . . . . . . Address: / 3 �- 5 ., �v�-57-- -f I�p . . . . . . . . _ G'.¢2 Lt S L E �r� 1�-o r 3 . . . . . . . Phone: � ��— � 3 � C9 O y � Automation Fee. . . . . . . . . . . . . . . Fax: JCS Fee. . . . . . . . . . . . . . . . . . . . . i Email: ' a TOTAL. . . . . . . . . . . . . . . . . . . . . $ , . DECREE OF THE REGISTER Estate of ��r� �NtQr��(,t1 File No: ��"��j ��f�� a/k/a: AND NOW, � �V� ,� ,d��j , in conside tion of the f regoin Petition, satisfactory proof having been presented before me, IT IS CREED that Letters �� are hereby granted to� �, in the above estate and(if a�plicable)that the instrument(s) dated described in the Petition be admitt d o probate and filed of record as the last Will (and Codicil(s)) of Decedent. r Register of Will� JnjJ� � ✓�._�.. Form RW-Ol rev. 10/1//20/1 Page 2 of 2 H705.805 REV(9/l l) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: it is illegai to duplicate this copy by photostat or photograph. Fee for this certificate, $6,00 �� C� Q • This is to certify that the information here given is �,,,,,,,,,, , ��S i�� 0� �#��I ��, p`T H QF PEN,y=_ correctly copied from an original Certificate of Death �o`�o = _`r�; duly filed with me as Local Registrar. The original � � ��(�� ,1� ,�,¢_ -� =- �� certificate will be� forwarded to the State Vital �° � , Records Office for permanent filing. ;,t ,t,� � � � � � 70 � � =o� � _ �,,, C L E R K 0 F = ,�9 P��` C�f�c�. vi..�.w�fii�- e� Certification Number Q��S� G(�(1 F� 9jMENT OE„r�''°� � N 01� 5/1013 x� ��M�E�L.Q�� C{��, j�j� "" Local Registrar Date Issued Type/Print In COMMONWEALTH OF PENNSVLVANIA�[SEPARTMENT OF HEA�TH� Permanent � VITAL RECORDS B�a<k��k � CERTIFIGATE OF DEATH State FII¢Number. 1.D¢cedenS's Lcgal Na (First,Midtlle,Last,Suffix) 2.Sex 3.So Nu a 4.Date of D�a h Mo/Da/Vr) e11 � Edna D_ Morrow Female ��-�-�'y�jl Novemtber �, �81�°� Sa.Age-Last Birthday(Vrs) Sb.Untler 1 Vear Sc.Under 1 Da 6.Date of Birth(MO/Day/Vear)(Spell MonTh) 7a.Birthplac¢(City and State or Forei ' '72 . MontFis O�ays Hours Minutes 6�Country) July 31, 1941 Lancaster, PA 8a.Residen<e�(State or Fo�eign COUni 76.Birthplace(CO�nTy) � L3L1C$StE= ry) 8b.Residence(Sireet and N�mber-Include Apt No.) Sc:Did Oecedent Live In a Township7 pA 26 Princeton Drive pves,ae�ede„c u..ea i� � 8d.ResldenCe(COUnty) �P �L�iL�L�lana � 8e.Residence(Zip Code) �No,decedenC Iived within Iimits of l��r11r91e cl 9.Ever in VS Armed ForcesT 10.Marital Status at Time of Deafh Married � Widowed 11.Surviving Spouse's Name(If wife,give n�ame prior to first marrlage) �Yes }[3�NO �Unknown �Divorced �Never Married 0 Unknow 12.Father's Name(First,Mtddle,�asc,Suffix) 13.Mother's Nam¢Priorto Firs�Mar�iage(FirsG,Middle,Last) , Jol-in Lohman Florence Fisher 14a.Informant's Name 146.RelacfonsM1ip to oecedent 1 I for f's ili ddress Stre and y � ber�Lty,y�?Jp�ode Deemer L_ Morrrna, Jr_ son $�8 �ree"fc ��_, �ar�181@� P 1 i � 0 G ..............""""......._.:...:._...:.'"'"""............ ..........._..................... 15a.P ace o Deat C e . . c If Death Occurred in a Hospital: � _-••--•--••-•--O••• g ....,.,c on Y onel �+v - � �^Pa��e^� 'p If Death O�curred Somewhere Other Than a Hospital: u Hospice Facllity � O Emergency�ROOm/OUt atleitt � 0 Dead on Arrival t Nursl� Home/LOng-Term C re Facllity cedent s Home ... .. ...��De � "'""'............'"' "" � 15b.Facilify Name(If not insYituftan,give street and number; 15<.Cit Other(Specify) . 26 Princeton DL"� Y or ynn, tata,a d Zip 15d County of th� � Car�islSe PA �1.��13 G`tnnber�and 16a.Methotl of Dtspo5ltion � Burial [�Cremation 16b.Dafe of Disposifion 16c.Place o£pispositlon Name of cemete m tory,or other place) m p ftemoval from State p oo„a��o., Nov 6, 2013 Hoffman-ROt� Funaralry�Homa & Crematory oEne�(sae<�ry>� Z16d.location of Dispositi�on(City or Town,State,and Zip) 1]a 1 ature of Funerai Service licens in rge of Interment 176.License Number � Carlisle, PA 17013 ' 011932L E 17c..Name and CompleteAddress.of Funeral Facility. � 8 Hof£man-RotY� Funeral Home & Cremator , 219 North Hanover Street, Carlisle, PA 17013 '� 1S.DecedenYS Educafion-Check the box ihat best tlescribes the 19.Decedent of Hispanic Origin-Check The 20.Oecedent's Race-Check ONE OR MORE races to Indicate what �- highes�degree or level of school completed at the Hme of death. box that best describes whether the decedent the decedent considered himself or herself to be. 0 8tM1 grade or iess is Spanish/Hispanic/Latino. Check the"NO" � Korean No tli I 12th grade �White Q p oma,9[h- box if decedent is not Spanish/Hispanic/Latino. Q g�ack or African Ame�ican � Vietnamese � High school graduate or GED complefed No,not Spanish/Hispanic/Latino 0 American Indian or Ataska Nafive 0 p�her Asian Q Some college credit,but no degree �Yes,Mexican,Mexican American,Chicano �Asian Indian � Nattve Hawailan � Assoclate degree(e.g.AA,AS) �Yes,P�erto Rican 0 Bachelor's degree(e.g.BA,Ag,g5) �yes,Cuban 0 Chinese Q Guamanlan or Chamorro - 0 Master's degree(e.g.MA,M5,MEng,MEd,MSW,MBA) �Yes,other Spanish/N�spanic/Latlno �Jalpan se O Samoan � Doctorate(e.g.PhD,EdD)or Professional degree (Spectfy) � Other Pacific Islantler .MD DDS DVM,LLB JO O Other(SpeciTy) 21.Deced¢nt's Single Race Self-Designation-Check ON�Y ONE to indicaie what the decedent considered himself or herself to be. 22a.Decedeht's Usual Occu �Whtte �Japanese �Samoan PaHOn-Indicate type of work �Black or Africa�Amerlcan �Korean done d�ring mosT of working Iife. DO NOT USE(tETiRED. 0 America�Indian or Alaska Native �Vletnamese �Other Pacific Islander Analyst/Progrananar � 0 Aslan Indian � Don't Know/NOt S�re 0 Otlier Asian �Ref�sed � 0 Chinese �Native Hawaitan � Other(Specify) ZZb.Kind of Business/Industry � O Filipino O��a�..a.,ia.,o�cha..,o��o MEChatliCSbuL'g ITEMS 23a,.23d MUS BE COMPLETEb 23a.Da e Pron nced Dead(MO Day/Yr) 23b.Signature of Person Pronouncing Oeath(Only when applicable] 23c.License N�mbe� BY PERSON WHO PRONOUNCES OR CERTIFIES DEATH II O� e,J/J� 23d.Da Sig� (MO/Day/Yr) 24.Time of�eaSh � G . /� �� S/ `� � v ��' r�.g 25.Was Medi<ai Ezamin r Coroner Contacted? � Yes No CAUSE OF UEATH ApproximaYe 26.Part I. En(er the chain of events-diseases,injuries,or complicatlons--that directly caused the tleath. DO NOT enter terminal events s�ch as cardiac arrest Interval: respiratory arres[,or ventric�lar fibrlllation witho�t showing ihe etlology. DO NOT ABBREVIATE. Enier only one ca�se on a line. Add additlonal 1(nes If necessary Onset to Death IMMEDIATECAUSE ----------___> a. M�/'��,mQ. ! N��J- (Finel alzease or conaltlon Due to(or as a equence of). re5Ulting in tledth) cons b. Sequentlally Ilst conditfons, oue to(or sequence o£); if any,Ieading to ihe ca�se as a con Iisted on Iine a. Enter the . UNDERLVING CAUSE �ue to(or as a consequence ofJ: (dise r InJury that Finit�aced t�he e nts resuliing d. � - � in death)WST.� Due to(or as a consequence of): Q26.Paft 11, Enter oTher siQnifica f d't' t Ib ti t d th b�t no[resulting 1n the underlying cause given in Part I 27.Was an autopsy pertormed? � O Vas No 28.Were autopsy findings avaliable � to complete the cause of tleath? ^� 29.If Female: E �Not pregnant wlthin pasf yea 30.Oid Tobacco Vse Contrlbute to DeaShT 0 Yes No 31.Manner of Dea2h � s 0 Pregnant at time of death r � Yes 0 Probably Nat�rai � Homlcide 0 Not pregnant,but pregnanf withln 42 days of deafh 0 No �Unknown 0 A��dent � Pending InvestigaHon � t- � Not pregnant,bu[pregnant 43 days to 1 year before death � Sulcide 0 Could not be determined 0 Unknown if 32.Date of Inj�ry(MO/Day/Yr)(Spell Month) pregnant within the past year 33.Time of InJury � 34.Place of Injury(e.g.home;<onstructton site;farm;school) 35.Locafion of Injury(Street and Number,City,StaYe,2Ip Code) 36.Injury at Work 37.If Transportation��Jury,Specify: 38.Desc�ibe How Inj�ry Occurred: � Ves 0 Driver/Operator 0 Pedestrian O No �Passenger � O[her(Specify) 39a.Gertifler(Check oniy one): Certifying physician-To the besi of my knowletlge,deach occurred due to the c se(s)and manner stated Pronouncing 8�Certlfying physlcian-To She best oF my knowledge,death occ�rred at the time,date,and place,and due to[he cause(s)and manner stated � Medical Examiner/COroner-On the basis of examination,and/or inve atlon,in my opinlon,death oc retl at the time,date,a tl place,and due to the c/s�e(s)and m ��st/ayted Signature of certlHer: �itle of certifien Mf��/C/PZ_ e v c7d R �Icense NvmberM�J��3 S'y-rT- 396.Name,Ad<lress and 2{p COd¢of Person Completing Cause of Oea[h(Item 26) 39c.Date SI ned.(MO�Day/Vr) � u�✓ .r.�. g4�s u rm r L�� /.7t� � v 2 /� s Z oi 3 40.RegisY�ar's.District Number 41.Registrar's SlgnaYUre /"�\ /s�� 42.Re istrar Fiie/D'eCe(M�qO/D2y Vr v 43.Amen��nfs��O �F',�'• 1 - � \ � ` �� Qv� J rJ4��'� � � 2 Dispositlon Permit No. �� p H105-'^3' LAST WILL AND TESTAMENT OF �., c> `�'`.� � c � �' rn EDNA MORROW � �.°, �� rc> � � � �� rn � � � m � � -J t..ri a� � � tn � � � I, EDNA MORROW, of Carlisle, Cumberland County,Penns��n� be� of�'�' .`�' sound and disposing mind, memory, and understanding, do hereby r� publi�anc�' c=� declare this as and for my Last Will and Testament, hereby revoking.�il�-�ether wills, � �' codicils, and testamentary dispositions heretofore made by me. "`'' � �'' -`�*7 FIRST I direct the payment of my just debts,including the expenses of my last illness be paid as soon after my death as may conveniently be done. My Executor and Executrix, hereinafter named,are to make all arrangements for my funeral and burial. SECOND I give,devise and bequeath all the rest,residue and remainder of my estate, whether,real,personal,or mixed,of whatsoever kind and nature,and wheresoever situated,of which I am seised and possessed or to which I have been entitled at the time of my death,together with all insurance policies thereon,to my two children,TAMMY BOOK and DEEMER MORROW,JR.,in equal shares,per stirpes. In the event one or the other does not or both do not survive me by thirty days,the share of that child or those children shall go to the heirs of each. With respect to Deemer's share,should he not survive me by thirty days,his share shall go to his children, Kelsea and James,in equal shares,except that Kelsea's share shall be placed in an irrevocable inter vivos special needs trust, (1) designed to provide maximum benefits for her without threatening her eligibility for Medicaid or other public programs,and (2) which will not supplant or replace public assistance benefits of any county, state,federal or other governmental agency which has a legal responsibility to serve persons with disabilities. This will does not abrogate any property dispositions for which I have heretofor designated appropriate beneficiaries. THIRD 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 my estate. FOURTH � � � In the administration of my estate,my Executor and Executrix named in this will, and any successor thereof,shall be governed by the provisions of 20 Pa. C.S., Pennsylvania Estates,Decedents,and Fiduciaries Statute,that are not in conflict with this instrument. In addition,my Executor and Executrix shall have the power,without order of any court,to sell,lease,pledge,mortgage,transfer,exchange,convert,or otherwise dispose of,or grant options with respect to any real,personal,or mixed property at any time forming a part of my estate,in such manner,at such times,for such purposes,for such prices,and upon such terms,credit,or conditions as she may deem advisable,and to make such distribution in kind or cash and to cause any share to be composed of cash, property,or undivided fractional shares in property different in kind from any other share. FIFTH I nominate,constitute,and appoint my two beloved children,TAMMY BOOK and DEEMER MORROW,JR., Executrix and Executor of my estate. I hereby relieve the aforementioned from the necessity of posting security for the faithful performance of duties in connection with administering my estate in this or any other jurisdiction. SIXTH Any and all payment or payments of any sum or sums,whether in cash or in kind and whether for principal or income,payable to the said child or children,or any of them, shall be made upon the sole receipt of the respective individual to whom the payment is made,and free from anticipation,alienation,attachment,and pledge,and free from control by the creditors of any such beneficiary. All shares of principal and income herein given shall be free from anticipation,assignment,pledge,or obligations of any beneficiary,and shall not be subject to any execution or attachment. In Witness whereof, I have hereunto set my hand and seal this � � �Z, day of /�.��x,.� ,2013,to this my Last Will and Testament,consisting of pages,to each of which I have affixed the page number and my initials or signature. C��— ��r�'v,�t�`) EDNA MORROW Testatrix Signed,published,and declared by the above-named Testatrix,EDNA MORROW,as and for her Last Will and Testament,in the sight and 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. � �n Jfi�� irt�� (� L.�',��K � t�Y:c� Witness Address ' %YI `.�:�..,�- I3 7 S . �C,f E-, t` S"f` C.A-2� 1 S y r , �'7( itness Address COMMONWEALTH OF PENNSYLVANIA: ss COUNTY OF CUMERLAND . �'�'e, ��'`'`� �rL�..��.-.� , Testatrix, and �-Y..-�--e � . `� r-�,.�.�..� and �� '�1,�,,,�=.� �--�.e � Witnesses, whose names are signed to the attached foregoing instrument, being �rst 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 signed willingly, 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 Testatrix signed the will as witness and that to the best of their knowledge,the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ,.r1��)'Z-�. / �� 'V�'J EDNA MORROW .� �A�vn.e.� yh. NYi•0-�1.t?.,,,/ Witness COMMONWEALTH 0,� F_ PENNSYLVANIA Notarial Seal ��. Eric A.Hess,Notary Public y� Grlisle&xo, Gumbe�iand Counb �y�M�M�pire5)uly 20,2014 itness �R�MNCr�v�ru�rssoa�no�oF►ar�veffs Sworn and subscribed to before me � �� , • . This �� day of �!��' 2013. /��°��' NOTARY PUBLIC MY OFFICE ADDRESS ��1 �'�,�q�,��, ,C,�r\�r�-,�r�,110� .�_� COUNTY G��c�r� �. �� Reset Form� OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS COUNTY, PENNSYLVANIA Estate of ��''"� � � Q"th��+,�J �D�� D /�'� 0 �� a w Deceased . � TA,�� L , R o e� 1� and _ .U��'/'� £i� M o �e ►��,u 7 �, - (each) being duly qualified according to law,depose(s) and say(s) that she/ he /the was / ere well- acquainted with ��-►��1. � ��,r.,J.� and am/ re familiar with the handwriting and signature of the decedent,and that the signature of _ �n�_ I� � � to the foregoing instrument purporting to be the Last Will and Testament/Codicil of_ L��C-,tir. , �'j�Jl is in hi her own proper handwriting. l � � �/� � � / '"C1�7'3'`��r`.�-r'^ �'� � ��QM. �- �v �-C_.7�^'„' � `(Signaiure) �� (Sibnature) � u �J -1 �O C.C"'-e.�Z..`�.. `(Z� (Street Address) (Sireet Address) . �r � - / ✓? D �5 CGV- l�S �-P �i� J�v/ 3 (Cily,S1 1e,Zip) (Caty,State,Zap) Executed in Register's Office c� �' � � c � Sworn to or affirmed and subscribed � � � � .-°,� a� -� � v> �-fti� da � ,v r" r-,-' `i before me this _ y � � � � � � v �', �' c, � of , � �J. � � ..� _.,.y ,r, r.� c, C, � -�, � ° '� ' c'� , r � � � 1�", � ' -^i �� L;� "�C3 � � 't't eputy for Register of Ils Fnr�n RW-04 rev.1013.06