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Home My WebLink About02-08-05 E5Iale (!! JOAN E. also k!lOli'!7 as PETITION F'OR PROBATE and GRANT OF LETTERS ,8.\ - OS -0\\3 CAPEHART No. To: Rellister of Wills for the County of _Cumberland in the Commonwealth of Pennsylvania _____._,,________ . Deceased. Socia/SecurilyNo. 198-30-1405 The Jletition of the undlTsigned respectfully represents that: YOUl' petitiollnbL who is/arc 18 years of age or older an the execut () r in the last will of the above decedent, dated Augus t 29 and codicil(s) dated named ,19~ N/A (state relevanr circumstances, e.g. renunciation, death of executor, CIC.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with h er last family or principal residence at 927 Gobin Drive, Carlisle (North Middleton Township) Cumberland Countv. PA 17013 (list street, number and muncipality) Decendem,then nh yearsofage,diedJanuary 24,2005 l\>Ill: u 927 Gobin Drive, Carlisle. PA 17013 Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was nor the victim of a killing and was never adjudicated incompetent: Decendem at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: $ 1.000.00 $ $ $ WHEREFORE, petitioner(s) respectfully re@uest(s) the probate of the last will and codicil(s) presented herewith and the grant of letters est ame n tar y theron. (testamentary; administration c.I.a.; administration d.b.n.c.l.a.) 3<::> ~(,.,,! o ~~,; " " "," 'OK: 1:;'':: (<j'':: ~&:::.' vd ~ c ;; -~- o ~ Vj~ ~~~ (:Y<~P Paul E. Capehart 927 Gobin Drive r.,qrli~lp) PA 17011. OATH OF'PERSONAI, REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 '8 COUNTY OF CUMBERLAND J :,; The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to toe hest of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and dministerAhe esta according to law. ~// .? Sworn to or affirmedll fAd subscribed { before me this "f day of Fetart:"-Lmj l"l"--- IJ '" gister Paul E. Capehart '" riO' " " i2 ~ 2 ,r In~.~n~ ',".:\' 'in, This 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 original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 p 11329553 No. Hl05.143 Re.... 2187 2lu- ~~~~~~ JAN 2 5 2005 Date " ;:;1 1'." o TYPElPRIN'T " PERMANENT BLACK INK ,~ 2F m ' COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH ST....~E FIlENUMElER SOCIAL SECURITY NUMBER DATE OF DEATH(Monlh,Dey, Y8"r) .. NAME OF DECEDENT (Firs!, M;odle. Last) , AGE (Lul Birtl1day) 3. 198 17..8tatePonn""1,1u",n;", ~ce<tent 17c.rnY....decedenlivedlnf\l' Mirlrllot-.....n 17b. counr.Cumherland ~~p? 17d.D ~'ii,I~e=~~~~~oI MOTHER'S NAME (Flrsl. Middle. Melden Sumeme) 19, Helen M Cohlll INFORMANT'S MAILING ADDRESS (S"""t. CltyrTown, Stata, Zip Code) 20b. PLACE OF DISPOSITION" Name of Cemetery, Crametory LOCATION CilyrTown State, Zip Code orOlherPIa"" 2Hpllinger Crematory NAME AND ADDRESS OF FACILITY ik>llin 66 Yrs. Monlh~ , ,,~ HOOPITAL; '"F'Oh."D ... FACILITY NAME (Ifnolinslilution,gl"" streel Bnd nlJmber) BIRTHPLACE (Cilyand SllIta or Foreign Counlry) 9arlisle, PA "- ,~I .. COUNTY OF DEATH Cumberland N. Middleton ... ... o w " , ~ . DECEDENrSUSUALDCCUPATION (~~"1;::,~,o~"""\Ir':3)" 1h.Administration Cl .k/ us War Call DECEDENrs MAILING ADDRESS (St"",1. CltyrTown. Slata. Zlp Co<le) DECEDENT'S 927 Gobin Dr" ~rs:bAJ-NCE 16. Carlisle, PA 1701 3 ~e:~,:=ro FATHER'S NAME (First. Middle. L"'l) " INFORMANrs NAME ype/Prinl) 2o..Paul E METHOD OF DISPOSITION . DOIla~on D !lIJriIlI D Cremelion ~emo""'l from SllIte 0 .21.. Other (Spec:lfy) 21b.1 'SIG~RE.OFfUN~ S RVICEUCENSEEORPERSONACTINGASSUCH . 22..2A-- Completeitems 3B-cOl'llywh"" ng physician Isnolll'lailablaatUmeofdealh to certIlyClluleold....lh. KIND OF BUSINESS I INDUSTRY JlU'_ t ';t., l",,-h't'.- h-'-L~-/ ('tlt?(." oUETo(ORASACONSEQUENCeOFI' Sequentlallylstoondlllons b Uany, ludWlg tolmmadlate " Clluee.EnlerUNDERLYING [' CAUSE (Dlseaoe or InJury c. "thetlnltlotedeoento lasu~lng OIl daalh) LAST d WAS AN AUTOPSY WERE AUTOPSY FINDINGS PERFORMED? AVAIlABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? oUETO(OR A CONSEQlJEr;CE OF)" ORASAcor;SEQOr; >, MANNER OF DEATH ERiOu.......'0 00.0 RNId."".1KI ~~)D RACE_Amarican Indian. Black. Whlte.et (Specify) 10. Whi te SURVIVING SPOUSE Ilfwiro,gl..m_h....1 MARITAL STATUS. Merrled, Na......t.larrled,WIdowed. MarOm~pedfy) ". ., city/boro, M ~d.HollySprings,PA17065 ~._arhurilol",o. DAT SIG ED (Monlh,DaY.Y9ll') ,,.Ja nu,,'" WAS CASE REFERRED TO A MEDICAL EXAMINER /CORONER? 3. Yel s-U.( NoD 'Apprmllmata PART I: Other..gnlflcantoond"ion.oonlribu~ngtod....lh.but :intllrvelbe~ nolruultlnglntheunderlylngeeusagl""ri In PART I : onsel and daalh LICENSE NUMBER Accident Pending In,",o~Qa~on OATE OF INJURY 1_. Ooy,Voorj o o 030.. 3OIl. M, PLACE OF INJURy-At h"""',flIrm, I.....l.laclory, omee bullojihll.oIc,ISoodI'y) ~.. e:( o o Natural Homicide YhD Nora YesD "'0 Suicide CoIJIdnot t>edelermlnO><! " W o W U W o . o ~ 2h. 26b. CERTlFIER(Checl<onlyone) .~~~~tGor~~~~hr.:.~rh~~J"J'U":to,:g:~I=:J~~3r.f.~~~e~h:,c.~~.~~.~.~~~~,~~~.~,~.~.I~.~.~~.~.~~)... " 'PRONOUNCING AND CERTlFYlNG PHYSICIAN (Pl1y.l<:i~n bolh pronouncing deall1 ano certifying 10 caule oIdeath) To th. bMI 01 my knowledgl. daath I>C<:\lrrld et th.llm.. data. Ind pi...., and dua to th. c.ousn(e) _ mann.... a. .lalad., "MEDICAL EXAMINER/CORONER :~~:r~~:~~~~lnatlon and/or In~ntlgatlon. In my opinion. dnth occurred.1 thl tlme. dele, Ind place. ami due 10 Ih. ceu...(s) end D 311. REGlS7RAR'S SIGNATURE AND NUM~ _ ~ " LlL>..e ~. '\b.l-~ kll!Ol.lltol TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURYOCCURRED. ....Iid ..0 "" LAST WILL AND TESTAMENT OF JOAN E. CAPEHART I, Joan E. Capehart, of North Middleton Township, Cumberland County, Pennsylvania, declare this to be my last Will and" " , Testament and revoke all Wills and Codicils previously made by me. ITEM I: I direct that my just debts and the expenses of, the administration of my estate, including any state, federal o~ other death taxes payable because of my death, shall be paid from my C'~! residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM II: I bequeath my garnet antique ring to my niece Cheryl Clippinger Warner, absolutely. ITEM III: I bequeath my Victorian white gold antique ring with three diamonds to my niece, Judith Clippinger Largent, absolutely. ITEM IV: I devise and bequeath the reside of my estate of every nature and wherever situate to my husband, Paul E. Capehart, provided he survives me by thirty (30) days. ITEM V: Should my said husband, Paul E. Capehart, predecease me or die on or before the thirtieth day following my death, and should our Scottish Terrier dog, MacIver, be living at the date of my death, I direct that the sum of Five Thousand ($5,000.00) Dollars be set aside by my herei,nafter named successor Executrices to provide for proper care and veterinary treatment of /2,. t! It ,'7 ' /'/1, [' 1.(/ ,;Jr/i~U( f MacIver during his lifetime. Any sum which shall remain at the death of MacIver, I bequeath to the Humane Society of the Harrisburg Area, Inc., or its successor. ITEM VI: Should my said husband, Paul E. Capehart, predecease me or die on or before the thirtieth day following my death, I devise and bequeath the residue of my estate of every nature and wherever si.tuate, as follows: A. One-half thereof in equal shares to Judith Clippinger Largent, Cheryl Clippinger Warner, and Jonathan Clippinger, who are my nieces and nephew, provided, however, that the share of any niece or nephew who predeceases me or dies on or before the thirtieth day following my death shall be distributed to her or his issue, per stirpes, living on the thirty-first day following my death, and in default of any such then living issue, such share shall be added to the share or shares for the surviving beneficiaries hereunder, or their issue. B. One-half thereof in equal shares to my brother-in-law, Earl D. Capehart, and to my sister-in-law, Edna Marie Benham, provided, however, that the share of either my said brother-in-law or sister-in-law who predeceases me or dies on or before the thirtieth day following my death shall be distributed to his or her issue, per stirpes, living on the thiry-first day following my death, and in default of any such then living issue, such share shall be added to the share for my surviving brother-in-law or sister-in-law, or his or her issue. r---. . J-~.)(/ /;/ c~" // '. (...l/tl J2<> Ii ",,-,<I- , ITEM VII: I appoint Farmers Trust Company, of Carlisle, Pennsylvania, guardian of any property which passes either under this Will or otherwise, to a minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, provided that this appointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minor's benefit. Such guardian shall have the power to use principal, as well as income, from time to time, for the minor's support, medical and health care and education, or to make payment for these purposes to the minor or to any person taking care of the minor, without further responsibility. ITEM VIII: I appoint my said husband, Paul E. Capehart, Executor of this my last Will. Should my said husband cease to act or fail to qualify as Executor, I appoint my said nieces, Judith (Clippinger) Largent and Cheryl (CLippinger) Warner, or the survivor, Executrices of this my Last Will. ITEM IX: I direct that all fiduciaries acting under this Will, whether or not named herein, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ,,"'9 fl, day of August, 1986. , C;1 , . ~41L (..tl.w_kcv-l J E. Capehart [SEAL] The preceding instrument, consisting of three (3) other typewritten pages, each identified by the signature of the Testatrix, was on the date thereof, signed, published and declared by Joan E. Capehart the Testatrix herein named, as and for her last Will, in the presence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. / '4:1) 1f, QUd' COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND I, Joan E. Capehart, Testatrix, whose name is signed to the attached or 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 before me by Joan E. Capehart, Testatrix, this 29th day of August, 1986. :---:,5" '" ?:'('Il/uIu/,.:l './ . X. Te. tatrix -)'\..~.-.(_..e.....- ", -e-. SS BCI"N:E L. COYLE, o1Jry Public Mt. Holly Springs, Cumberland Co., r'd, My Commission Expires Oct. 6. 1 'iSh COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, Dale F. Shughart, Jr. and Mary M. Price, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Joan E. Capehart, Testatrix, sign and 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 both 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 that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to Shughart, Jr. and Mary M. Price, August, 1986. 3Gi"';NiE, l. COYLE, Notary Public ~it. hollY Sprin....,. CUn b.. 1-. d , _ F. I ,"'r ':'Pl Co My CommissIOn h-';r-,- t, .'_ tJ' ~ .',