HomeMy WebLinkAbout01-26-05
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of Beulah K. Funk No. 21-05-007Cf
also known as
, Ueceased
Social Security No. 184-26-2594
Upton 1\. I"UnK
Petitioner(s), who is/are 18 years of age or older, appl(ies) for:
(COMPLETE 'A' or 'B' BELOW)
~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor
the Decedent, dated 02-11-2000 and codicils dated
named in the last Will of
State relevant circumstances, e.g., renunciation, death of executor, etc.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents
offered for probate; was not the victim of a killing and was never adjudicated incompetent
o B. Grant of Letters of Administration
(c.t.a; a.D.n.c.t.a; peaente lite; aurante aDsentla; aurante mlnomate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs:
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her family
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or principal residence at 206 East Burd Street,
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Decedent, then 91
years of age, died 01-18-2005
at Thornwald Home, 442 Walnut Bottom Road,
CarliSle, PA (Location)
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
$
$
$
$
203,889,70
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant
of letters in the appropriate form to the undersigned:
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Shippensburg, PA 17257
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Prepared by the Pennsylvania Bar Association
Copyright (c) 2004 form software only The Lackner Group, Inc
Form RW-1 (1991)
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) or affirm(s) that 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 representafve(s) of
the Decedent, Petitioner(s) will well and truly administer the estate aceor' to law.
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before me this CO {L day of
Sworn to or affirmed and subscribed
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AND NOW,
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No.
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Estate of Beulah K. Funk
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Social Security No: 184-26-2594
Date of Death:
01-18-2005
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of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters ~ Testamentary D of Administration
(c.t.a.; d.b.n.c.ta.; pendente lite; durante absentia: durante minoritate)
are hereby granted to Upton K. Funk, Executor
in the above estate and that the instrument(s) dated
2/11/2000
described in the Petition be admitted to probate and filled of record as the last Will of Deced
FEES ~
Letters.. ... $
Register of i~,-,. cWo
Jerry A. Weigle, Esq.
Short Certificate(s)..
........$
Renunciation..
........$
Attorney:
Codicil..
......$
LD. No: 01624
Weigle & Associates, P.C.
Address: 126 East King Street
Shippensburg, PA 17257
Telephone2 (717) 532-7388
:04:27 PM
E-Mail:
Affidavits ( )..
...... $
Extra Pages ( )...
.$
JCP Fee...
...... $
Inventory, .
..$
Other..
...... $
TOTAL.
...............$
Form RW-1 (1991)
Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc.
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Thi> i:--. 10 certify that the information hlTL' given is cornxtly copied from an original certificate of death duly filed with me as
LOLd Registrar. The original certificate will he forwarded to the Stale Vital Records Office for permanent filing.
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PERMANENT
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WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fec for this certificate, 52.00
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
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DATE 0 TH (Month, Day.l'Hl-)
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CERTIFICATE OF DEATH
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STATE FILEtlUMaER..:, I '
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MARITAL STATUS _ Maniad,
Neof~::ts~~<M'd.
14. Widowed
5. 91
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2. Female
P A EOFD TH CI1eck nl n
HOSPITAl.
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FACILITY NAME (II nOI Insmulion. give slr&al and number)
ll-!DR.~LUALD \-1C)fY/~
R.&l<Io""o 0 ::~If\') 0
RACE.Americ;anlndian.Black.Whita.al
(Spacify)
10. White
SURVIVING SPOUSE
(ijw,,",gi...m,"'ooomel
SOCIAL SECURITY NUMBER
3.184
- 26
- 2594
BIRTHPLACE (City and
Stete or Fore;gn Counlry)
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7. Ne<.b.lrg. FA
COUNTY OF DEATH
lb. Cumberland
Ie. Carlisle
DECEDENT'S USUAL OCCUPATION
(~~:;;~~':o":.;\"':<1:;\-':3)"'
11a. Registered Nurse l1b. Carlisle Hesp.
DECEDENT'S MAILING ADDRESS (S~et. C~yfTown. Stele. Zip Code) DECEDENT'S
206 East Burd Street ~~~~D"tNCE
16, Shippensburg, PA 17257 ~":t~,:;~~~rs
FATHER'S NAME (Flrsl. Middle. Lesl)
lB. James G. Kendig
INFORMANT'S NAME (TY?llIPrlnt)
20.. Upton K. Funk
METHOD OF DISPOSITION
Donalion 0 Burial 0 Cremation ~amovat fromSlale 0 0
. 21.. Other (Specify) 21b
'SIGNAT\JRE UN VICE LICENSEE OR PERSON ACTING AS SUCH
KIND OF BUSINESS I INDUSTRY
AS DECEDENT EVER IN
U.S. ARMED FORCES1
YasO Nom
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17e,Slete PA
17e.OYa.,decedentllvadln
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decedenl
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Countv Cumberland townstvp1 17d.1Xl ~Ihl~e;~~~~~~:~ of
MOTHER'S NAME (Flret. Mldd~. Malden Surname)
lB. Margaret E. Koser
~~~~~654s F~~~~~RERfg;~l. ~~~dn,.SleShZf~~nsburg. FA 1 7257
PLACE OF DISPOSITION. Name of Cemetery, Cremalory LOCATION - CitylTown. Stale. Zip Code
orOlherP~ce
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Shippensburg
citylboro
17b.
Snithsh.1rg CrE!llatorium
NAME AND ADDRESS OF FACtLlTY
22c. Fogelsanger-Bricker F .H. Inc"
LICENSE NUMBER
21d. Snithsl:;urg. Maryland
21783
21c.
LICENSE NUMBER
22b. FD-012984-L
17257
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Complete lems23e-<:ontyWhenoertifyi
phy.icienisnoleveilebleellime oIdeelh10
certilycauseofdeath
ttem. 2..26 mustba compleled by
parson who pronouncee daalh.
Tothabe8tofmyknowledge,dealhOccurredattha~me.6alaandplaca5laled
(SlgnatureandTIl1e)\I) ..n 0
23e. ri7...~ 5 L 7< \..J-
TIME OF DEATH DATEPRONDUNCEDDEAD(Monlh,Day.Yaar)
2..1/:04- P. M. 2s.UANUAR-.J 18 ~oO~-
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WAS CASE REFERRED TOAMEDIC
26. Yesl!D
'Approximale PART II: Ollwr nlflcantc:ondillOf1SCO<1tributinglodaalh,b-ut
:lnl8lVal between nolrasul~ng in the undertying causa given In PART I
:..nset and c1aeth
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27. PART I: ~"lOr I>l. dl....... Injun.. Of e.mp~o.llo", ""I<h oouoo. .~. d..II>. On no' .n'., \10. ",odo o. dying, ."," .. e.,.I.o, 0' ...pl'.tory ."".~ .honk Of h.... ..U",..
Lioton!yoMu.u........hlt"*.
IMMEDlATE CAUSE (Final
diseesaorconoluon
re.ulllngindealh}_
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~E",(~AS"COtlSEQUEtlCEOf')
DUE TO(ORASACOtlSEOUEtlCEOF)
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Sequ"ntiellyli.tcondillons
II any. leading lolmmediele
ceUSB. Enlllr UNDERLYING
CAUSE(DiseescorlnJury
lhelinllieledevenls
resullingonoeath}LAST
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
OUETO(OOASACOtISEQUENCEOf)
DATE OF INJURY
(Monlh,O'y,Ve..)
TIME OF INJURY
INJURY AT WORK1 DESCRIBE HOW INJURY OCCURRED
MANNER OF DEATH
Naturul I!F Homldde 0
Accldant 0 Pending Inves~gation 0
Suicide 0 Couklnotbodotenninod 0
YesO NoD
M. 30c.
30a.
PLACE OF INJURY
bulldlnQ.'''.(Sr-1ly)
30e.
'PRONOUNCING AND CERTIFYING PHYSICIAN (Physician bolh pronoundng death end ceMylng (0 couse 01 death)
Tolhe be.lotmy knowledge,deelh occurred el the time, dele, end plac e,endduetolheceuenl.JendmannaraBeleled..
30d.
LOCATION (St'aat. CityfTown.Slata)
301.
SIGNATU AND TITLE OF '11TIFIER
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LICENSE NUMBER SIGNEDlMoll,lh,D~,YeB')
...................0 31e t'\..OOI\a~"f1 \:. 31d JJ:)toe '''I -~<::)~
NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH
(llemU)TypeorPnnl..... t:l,,~ L' J "'-';:)
O G.E.C:;)'l\,. t'. XJ r"\\I,UJ~ "
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DATEFILED(Monlh,Day:'(
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Al home, fann, straal.faclOry, otfice
288. 26b. 211.
CERTIFIER (Check only ono) "
.l~'g:7J~IGOr~~~~~J.r;:'l.'~rhc~~l%i~~aedu~: I':: f....:~e';';'~:~:)~~3rn\'~~~ia~e h:l~r:~?~~.~.~~~.~~~..~.~~~.I~.i.t~.~ ?~.).
'MEDICAL EXAMINER/CORONER
On the bulB or eumlnallon endlor InveetllleUon, In my opinion, dealh o.curred e\ lhe 11m., dale, and plec., end due Ie lhe C.U.es(l) end
m.nne.elltelad..
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REGISTRAR'S SIGNATURE AND NUMBER
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LAST WILL AND TEST AMENT
I, BEULAH K. FUNK, of254 Big Pond Road, Shippensburg, Cumberland County,
Pennsylvania, being of sound mind, memory and disposition, do hereby make, publish and
declare this my Last Will and Testament, hereby revoking and making void all wills by me at
any time heretofore made.
FIRST. I order and direct the payment of all my legally enforceable debts and
funeral expenses as soon as may be convenient after my decease.
SECOND. I give, devise and bequeath all my estate, real, personal and mixed,
whatsoever and wheresoever situate, as follows:
A. THREE-SIXTHS (3/6) of my estate to my son, UPTON K. FUNK;
B. ONE-SIXTH (1/6) of my estate to my granddaughter, LYNNE HIXSON, on
a per stirpes distribution basis;
C. ONE-SIXTH (1/6) of my estate to my granddaughter, PAMELA
CRA WSHA W HAWKINS, on a per stirpes distribution basis;
D. ONE-SIXTH (1/6) of my estate to my granddaughter, REBECCA
CRA WSHA W HASTINGS, on a per stirpes distribution basis.
THIRD. In the event that my son, UPTON K. FUNK, should predecease me or is not
living on the sixtieth (60th) day following my death, I then give, devise and bequeath the share
of my estate that he would have received, in equal shares, as follows:
A. ONE SHARE to DORIS P. FUNK to be held IN TRUST for BRIAN F. FUNK.
I direct that any bequest or share of my estate that passes to my grandson,
BRIAN F. FUNK, be held IN TRUST, as hereinafter provided.
B. ONE SHARE to CHARLES FUNK on a per stirpes distribution basis;
C. ONE SHARE to LYNNE HIXSON on a per stirpes distribution basis;
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D.
ONE SHARE to PAMELA CRAWSHAW HAWKINS on a per stirpes
distribution basis;
E.
ONE SHARE to REBECCA CRA WSHA W HASTINGS on a per stirpes
distribution basis;
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MARK, WEIGLE AND PERKINS - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257_1397
F. ONE SHARE to DORIS P. FUNK on a per stirpes distribution basis.
FOURTH. I give and bequeath said Brian Funk's share, as per Paragraph THIRD
of this my Last Will and Testament, to and appoint as Trustee of any property which passes
under this Will or otherwise, ALL-FIRST BANK, AS TRUSTEE, NEVERTHELESS, to
invest and re-invest the same, with the following powers in addition to those presently given
bylaw:
A. The power to expend the income towards the health, support and
maintenance, and education, including a college (both undergraduate
and graduate), trade, business or technical school education, of the said
beneficiary;
B. The power to expend the principal, within the discretion of the said
Trustee, if the income is insufficient, towards the health, support and
maintenance, and education, including a college (both undergraduate
and graduate), trade, business or technical school education, of the said
beneficiary;
C. The power and obligation to distribute the balance of principal and
interest, if any remaining, upon the said beneficiary's death, to my
remaining grandchildren, on a per stirpes distribution basis, with the
exception of James S. Crawshaw, whom I intentionally omit from
taking any share whatsoever under this my Last Will and Testament,
without the necessity of a formal adjudication of the Trustee's Account
in the Court of Common Pleas of Cumberland County, upon the receipt
of a good and valid release;
FIFTH. I nominate, constitute and appoint my son, UPTON K. FUNK, to be the
Executor of this my Last Will and Testament; ifhe be unable to fulfill the duties of Executor,
I then nominate, constitute and appoint ALL-FIRST BANK to be the Executor of this my Last
Will and Testament.
SIXTH. I direct that neither my personal representatives nor Trustees shall be
required to give bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I, BEULAH K. FUNK, have hereunto set my hand and
seal to this my Last Will and Testamen9written on. two pages, the first page signed for
identification only, this I ~day of Fe. ,2000.
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MARK, WEIGLE AND PERKINS - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397
This instrument was by the Testatrix, on the date hereof, signed, published and
declared by her to be her Last Will and Testament, in our presence, who at her request and in
the presence of each other, we believing her to be of sound and disposing mind and memory,
have hereunto subscribed our names as witnesses.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
Q)
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SS.
I, BEULAH K. FUNK, the person whose name is signed to the 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,
Sworn or affirmed to and acknowledged
b,e, fore me by BEU~A K. FUNK, the Te~tatrix,
this J~day of ' ,200 .1
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OJOTARIAL SEAL
.:erIY A ~Veig!e, Notary Public
StJ"if:c,,':ns;:;rQ,_ PA cumbena"nd County
MYS_:"" ",' (Jclober 07 2002
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MARK, WEIGLE AND PERKINS _ ATTORNEYS AT LAW _ 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
.{)o.tIl'U' " 1'1 ~. (c.rrn.e. ,
the witnesse whose names are signed to the foregoing instrument, being duly qualified
accordbpg to I w, do depose and say that we were present and saw BEULAH K. FUNK, the
Testatrilt; ign d execute the instrument as her Last Will; that she signed willingly and that
she 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, signed the will as witnesses; and that to the best
of our knowledge the Testatrix was at the time eighteen (18) or more years of age and of sound
mind and under no constraint or undue influence.
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Sworn or affi
before
and
.wit;nesse
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,2000.
NOTARIAL SEAL
Jerry A Wei~l(; Notary Public
Shippent:'tiwq, PI\ ::':!:Y\bcrland County
,t!~C~~:i-' n'".i"(Y~E 07 2002
MARK, WEIGLE AND PERKINS - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG. PA 17257-1397