HomeMy WebLinkAbout01-27-05
Register of Wills of CUMBERLAND County, Pennsylvania
PETITION FOR GRANT OF LETTERS
No-dJ-00 -0030
Estate 01 Frankie E. Long
also known as
, Deceased
Social Security No. r; 7 'i -32- /2. /; 0
Pelitione".), who islare 18 years of age or older, ap~ly(ies) for:
(COMPLETE 'A' or 'B' BELOW,)
(!] A. Probate and Grant of Letters Testamentary and aver that Petitionef(s) ~slar. the execut , fix
tho Decedent, dated 10-22-1999 and codlci~.) dated .
namod In the last WiA 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 ~he docu~
offered for probate: was not the victim of a killing and was never adjudicated. incompetent: ~ ~ ~_:
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B. Grant of Letters of Administration (c.ta.; d.b.n.c,t.a; pendente lite; durante absentia: d'~~ ~:Nnorita,~
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Petitionsr(s) after a proper search haslhave ascerta.ined that Oecedent left no Will and was survived by the following spou$;-{if any) and -
CO
heirs:
I
RelationshiD
Residence
Name
(COMPLETE iN ALL CASES,) Attach additlonal.heets it nece.sary,
Decedent was domiciled at death in New Cumberland Boro., Cumberland
County, Pennsylvania with his/her last family
or principal re.idence at 8! 6 Linwood Street, New Cumberland Borough, Cumberland Co, P A 17070
(list stree~ number, and municipality) .
Decedent, then B-yearso!ago, died 0(- 0') - 200" at 'M.4.V1 l41l:' I ft.tv\te-t <;ft . ('l{....../lIdf , ptl-
, (Lotation)
Decedent at death owned property with estimated values as tollows:
(II domiciled in P A) All persona' property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in PAl Personai property in County
Value of real estate in Pennsylvania
$ 400,000.00
$
$
$ 125,000.00
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situated as follows, 816 Linwood St., New Cumberland, Cumberland County, Pennsylvania
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 a ro riate form to the undersi ned:
Si nature T ed or rirrted name and residence
Suzann R. Lon Michael
10 W. Custis Ave,
Alexandria, V A 22301
Prepared by the Pennsylvania Bar AssocIatIon
CopyrIght (c) 1996 form softw,re only cPSystems, Inc.
Form RW-1 (1991)
Oath of Personal Representative
Commonwealth of PennllYlvania
County of
The Petitioner(s) above-named swaans) 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 representative(s) of
the Decedent, Petitioner{s) will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed
Suzann R. Long Michael
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before me thisJtt:day of
10 W. Custis Ave.
J .nuary
, 2005
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*"1 For. the Register t--'
Alexandria, VA 22301
No. .;ll- D5 - OO'3b
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, in consideration ": (2 ~il
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Social Soeurity No:
Date of Death:
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Estate of .FRANKIE E. LONG
AND NOW, this (JIg day of ~J ,a." (S'
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters []] Testamentary 0 Of Administration
, 2005
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(c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durant~ minoritate)
are hereby granted to SUZANN R. LONG MICHAEL
in the above estate and that the instrumen~s) dated October 22, 1999
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters. . . . . . $ _4:1o{) ,O()
Shon Cenfficate(s). $ LtD .00
Renunciation. $ C) ()()
Affidavits ( $
~I->>,"\). $ IS.OO
Codicil. . $
JCP Fee. $ 10.OD
Inventory. $
L:I:dJ.~ net oJ;fOJ.. t1 f0 ,}b,IA.obrl. ~ ) ~
Register of Wills
Attorney:
Thomas E. Flower, Esquire
1.0. No:
83993
2109 Market Street
Address:
CampHill,PA 17011
Telephone: (717) 737-3405
Other~"<:o~~~ $ C;. 00
TOTAL. . . . . . . . .
$ 535 00
Prepared by the Pennsylvania Bar Association Copyright (el 1996 form software only cP$ystems, Inc.
Form RW-1 (1991)
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Thi... is lO certify that the information here given is correctly copied from an original certificate of death duly filed with me a~
Lucal Registrar. The original certificate will be forwan..kd lo th..: Slate Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No,
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Fee for this certificate. $2.00
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE mE NUMBER
<INT
,.
578 -
32 - 1260
DATE OF DEATH (MO...IIl, Day, Year)
4. Januar 5, 2005
.EtH
'N^
NAME OF DECEDENT (Firsl, Middle. Lasl)
Sf'
2. female.
SOCIAL SECURITY NUMa/::R
171.S1ale
Col.g.
(1_~ or ~+I
ro.
white
SURVIV1NG SPOUSE
\1\...\o,gj-n_I~",,~.m.)
..
COUNTY OF DEATH
84 Yrs
alRTHPLACE (Cily a...d
SlalaOfFo....g...Cou...uy) H At.
Augusta, IL Ir1ootlOnlO ~IO
7. .,.
FACILITY NAME (If not i~$lrtu\ioo. gillfl streel and ...lIITIber)
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R.oi4ol><. D ::~fy) 0
RACE_Amer~...lndian.alack,'M1lte.el
(Speeif~)
...
Cumberland
k
Camp Hill
KIND OF aUSINESS I INDUSTRY
Manor Care
AS DECEDENT lOVER IN
U.s. .ARMED fOfl.CES?
YflsD Nofia
".
Health Service
111. Secretar 11b. Insurance
DECEDENT'S MAILING ADDRESS (Slreel. CllyfTOW"', Slele, Zip Code) DECEDENT'S
ACTUAL
RESIDENCE
(Seal...SlruclklOS
011 olher side)
".
MARITAL STATUS. Married,
Ne\Ifl<Manied,lfMtwoed.
Divorce<:l(Sp8CIfy)
widowed
DECEDENT'S USUAL OCCUPATION
(~r-~llI~dod~."~~',~ZI
Pennsylvania
816 Linwood Street
11. e Cumberland FA 17070
FATHER'S NAME (Fir.!, Middle. Las\)
18. Audra Martin
INfORMANT'S NAME. \1'fP81PT\Olj
201. Robert S. Lon
METH D OF DISPOSI!!9N
e Oonati<X\ 0 E1uriltl t!a Cfflma~()I'\ ~emovallrof/l Slale 0
21.. Olller(SpeClty) 0 21b.January 8, 2005
. SIGNAT E FU LS UCENSEE OR PERSON ACTING AS SUCH UCENSENUMaER
.221. 22b. FD 013 340 L
Complete ilems 3a only an carfl To the besl of my knowledge, death occurred at the time. date end piece staled
physiClanisll<llavallableal~meofdeathlo (SiQrlalureand TiUel
carllfyGlluseolaaalh :l31.
Ilems 24-26 musl be completed by TIME OF DEATH
perSOllwho prOllOUflCllSdeath
Cumberland
"'
decedent
li'ltli...a
lllYl...ship?
17c,D Yes,decedenl~lIfIdi...
17d.OO :~~~\~~oI
~p
1Th. COW1Iv
New Cumberland
c'lylbofO
MOTHER'S NAME (Firs!, Middle, Maide... Surname)
11. Ruth Flemin
INFORMANTS MAILING ADDRESS (Slrelll, DlyITOW"', Stall!, Zip Code)
2~. 3728 E. Marcus Drive, Saginaw, MI 48603
PLACE OF DISPOSiTION. Name 01 Cemetef>j, C[~ LOCATION - a\~riaw", 5\111". Zill Code
Cl(OlllerPIllC8
21J.{011ing Green Memorial Par 2LowerAllen Tw ., PA 17011
tiAME AtID AI)DRESS Of F....CIUTY art emore S. S, Inc.
2k.P.O. Box 431 New Cumberland PA 17070-04
LICENSE NUMaER DATE SIGNED
\loIoo\I'.,DlI'j,'fellll
27. PART I, f"'..III.di........lnjurio..,u"""'!;c.o'.",.
llo.""'II_........""....._.
23b. 23c.
WAS CASE REFERRED TO A MEDICAL EXAMINER /CORONER?
21. YesD NOfiJ
. Appro>(imale PART II, O\rIe,sill...WIe:anlCOlldiUo...SCOIllrlbulinglodealh,but
'- betwellfl nol lesulling in tl1e u...derlvingcause given i... PART I
. onseland dealh
lMIilIEtAATECAUSE(Fi...al
diseas.eor conclitiOO
resulUngi...daalh)_
Sequa...beHy"SICOOdilio...s
ifany,loladinllloirnmadiale
cause. E...terUNOERLYING
CAUSE (~easll' ClI injury
that iI1i~aledevents
resu~ogOl"ldealn) LAST
Wf'S"N AU1CWSY WERE AUTOPSY FlNQlNGS
PERFORMED? AVAILAaLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
F
DUE TO lOR
00"
NCfO)
00'
( ASAONS
tK:EOI
MANNER OF DEATH
Nalural ~
ACadel1~
DATE: OF INJURY
(Monll1,O.y.Y..rl
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
Homicille
Pandir.gl~vest'gat~
o
o
o
aOI.
PLACE OF INJURY
1>.IM'<\~,otI;.{~\
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aOb. M
.AI homa, larm. streel,laclory, olflce
YesD NoD
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'MEDICAL EltAlrIIlNERlCORONER
Ontheb.lIl.ole.."ll...llIonlndlorl...v..t1g.tlOfl.lflnlyopl....o....d..thoccurred II the lime. d.te..nd pllce,.nd due 10 Ille clUsea(.j Ind
mlnnerntlated.
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REGISTRA~IGNATUREW~
11. {L/J1.--'1'{.- /' ( ~:l...1<!d-<h:t4""'"
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YesD No YeaD
Us. 2111:>.
CERTIFIER (ClleCk only one)
'~~~~~F:J~IGof~~I~J~!fvhl,';.~:~ ~g~~~'t:: lo.18:':rl~~(:r~3=~a~h~~~~.~,d~t~.~.~..':",m,~,e~~~_I~~ ,23,)
No
Suicidlil
o
COuld...otllede'e'Ifl,r.ed
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'PRONOUNCING AHD CERTIFYING PHYSICIAN (physicia... bolll PfClllounci..." dealh aOd cel1lfying 10 cause of deeth)
To the best 01 my knowledge. duth O(:curred Illlle tim.. dllle, Irld piece. ....d due 10 the tau".(') IIId m....nel' III etated..,
In
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I, Robert S. Long, hereby renounce my rights as a co-executor of the estate of
Frankie E. Long. My sister, Suzann R. Long Michael shall be the sole executrix
of this estate.
./
J-/.3-05
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MAAIt. 'IN ItIY ANSOOMlI
NOTARY PU8UC, Sl'ATE OF MI
COUNTY OF SAGINAW
MY COMMISSION EXPIIIES AiJQ 23 2010
ICTlNG IN COUNTV OF .
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LAST WILL AND TESTAMENT
OF
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I, FRANKIE E. LONG, of New Cumberland, Cumberland County, Pe~va:nia,iing_ ~
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of sound and disposing mind, memory, and understanding, do hereby make, publish and d=Iare '
FRANKIE E. LONG
this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils
heretofore made by me.
ITEM I: I direct the payment of my debts and expenses of my last illness and funeral from my
estate as soon after my death as conveniently may be done. If there be no cemetery lot available
for my interment owned by me at the time of my death, I authorize my personal representatives
to purchase such cemetery lot with a contract for perpetual care, using therefor funds from my
estate in such amount as they shall consider necessary and desirable, and I authorize my personal
representatives to cause title to or ownership of such lot so purchased to be vested in such person
as my personal representatives shall designate.
Further, I authorize my personal representatives to expend funds from my estate, in such
amount as my personal representatives shall consider necessary and desirable, for the purchase,
erection and inscription of a suitable marker for my grave.
Rupp & Meikle
355 North 21" Street, Suite 205
Camp Hill, PA 17011
717-761-3459
Page 1 p-f3
Initials 2&/
ITEM II:
I give, devise and bequeath all the rest, residue and remainder of my estate, real,
personal, and mixed, in eqqal shares to my children ROBERT S. LONG and SUZANN R. LONG
MICHAEL, per stirpes.
ITEM III: I specifically direct that my step-daughter, CAROLYN LONG HESSER, shall not
receive anything whatsoever from my estate.
ITEM IV:
I appoint my daughter-in-law, SHARON L. LONG, to act as guardian of the
property received by any minor beneficiary under this instrument.
ITEM V:
I direct that any and all inheritance, estate and transfer taxes imposed upon my
estate passing under this Will or otherwise shall be paid out of the principal of my residuary estate.
ITEM IV: In addition to the powers conferred by law, I authorize any personal representative
acting under this instrument, in his or her absolute discretion:
(a) to retain in the form received, or to sell either at public or
private sale any real or personal property;
(b) to manage real estate;
(c) to invest and reinvest in all forms of property without being
confined to legal investments and without regard to the
principle of diversification;
Page 2 of3
Initials .J r; .I
(d) to exercise any option or rights arising from ownership or
investment.
ITEM VI: I do hereby nominate, constitute and appoint my daughter, SUZANN R. LONG
MICHAEL, and my son, ROBERT S. LONG, to act as Executors of this my Last WiJI and
Testament. In the event that either is unwiJIing or unable to serve, I direct that the duties of
Executor be performed by the other of them.
I direct that no personal representative appointed under this instrument shall be required
to give bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I, FRANKIE E. LONG, have hereunto set my hand and seal
to this my Last WiJI and Testament, consisting of three typewritten pages, the first two of which
bear my initials in the margin for identification, this ~ay of October, 1999.
:fAM~ c --/~ (SEAL)
FRANKIE E. LONG
Witnesses:
I '.:(~, I '.\;" >.;- residing at
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LeMn~y\p J PA
Page 3 of 3
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberl on d
ss.
WE, FRANKIE E. LONG,
Herbef+ G. RII rP .,.Jy. , and
\,.y,r\nl ref L E/lck
, 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 had signed willingly (or willingly directed another to sign for her), 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 to the
best of his or her knowledge the Testatrix was at that time eighteen (18) years of age or older, of
sound mind, and under no constraint or undue influence.
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FRANKIE E. LONG, Testatrix
Whiib\~' 1-" / (", ,) j .
Witn~J
O~"'L~f/QAI~ )
Wi s tJ
Subscribed, sworn to, and acknowledged before me by FRANKIE E. LONG, the Testatrix, and
subscribed and sworn to before me by .He:fbufG.R1lrr.,lr, and
,~f\('\\tu l ElLie, witnesses, this 2.2 day of October, 1999.
~~ S=t.tivv- JLDf..-/
Notary Public
NOTARIAL SEAL
BARBARA J. KOCHER. Notary Public
Camp Hill Boro. Cumberland County
Mv Commission Exoires Oct. 22, 2001