HomeMy WebLinkAbout02-07-05
PETITiON .!FOR PROBATE t?liDiqJI GRANT OF LETTERS
~~I i).. IJ {'15 Oil'
ESiGte of IC/./;f- 7J fc:fL.+,L( S No. 0\ 1- J -. ~
also knovm as To:
Register ofV,'iils for the, . /
CoUnty of( (I .171b~r?I-t+1 Qin the
Commonwealth of Pennsylvania
_ Deceased.
Social Security No. I 7.1- -('/~-"''':i)()...
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 12 years of age 9I older ai'J; the execuU \ 'y.
in the last will of the above decedent, dated 't- t \:> C"-....-c.......;.. ,--, \ lc-
aild codicil(s) dated '
named
,19~
(state relevant cirCllffistanccs, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in ~ \J-- \Y\ \:)~c \U.l'\.~
h c::. 'c last family or principal residence at ,4- (' \ S t, 1\ '-\- ~\
c; ~,("\ c'-
(list street, number and muncipality)
D '-~ \
Decendent, then ' yearsofage,died .~Ct...f\l\.....(t..~'L\ :!::,( .4i9?,C:cS.
at >\0\ ",-.~ 'i_~n(\\(. \"),'~0L CC \H~:\(' 1"\--\ \,0::'<;..
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 not the victim of a killing and was never adjudicated
incompetent:
r:.CO~~Y, Penils~I~~n~a, with
't " ,. c, \') ( \ Ij "
v' l~ "] ~J~<;:
Oecendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) , Personafproperty in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$ I J...(J;?' o-zi
$
$
$
'-'\\"'1\ ''o0'"~''' f
't' "iI' (, \-"-
\
WHEREFORE, petitioner(s) respectfuUy request(s) the probate of the last will and codici!(s)
presented herewith and the grant of letters
y,\(_,\(~, \~t\()l.:
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(testamenlary; administration C.I.a.; administration d.b.n.c.t.a.)
theron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA '1.
( (- "'''
COUNTY OW <-LtrY\BE::R If\'N i) J
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 represen-
t2.tive(s) of the 2.bCve. decdem petitione.'(s) wi!! 'ftrrd truiy adm;mster the estate according to law.
Sworn to or affinrod and subscribed ( .~;/~ {j; ~d~ '"
bOIC~'A 'hi.1 o' y ~f i. " ii'
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LETTERS
1':0 NOW F[:jji~LlA'R y
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11_. Ho "''--'J.~SlwelaUUil vl lHC P';;;LJl~'-'~1 v::1
Lh.;; ~€iieT'5C; sid,; ;;~i:'~0f, ::;';.tisf.3.c:c.:-:\,' v!:"(,cf h2~-./1D.;- bCETc ;::i;:cse;:::ed befcr~- ;::_e, 1'/
IT IS DECRE2:D' that [he instrume;t(s) darea ~ . ~ ~ ," J LP' tJg
described therein be ~ miued ta probate and. fBed of record as the 10,5;: ''''''ill of
,)
and Letters IE. 5 T{:n1JE:N TfYR'i
Ore hereby granted to J"3 r11~i3A1<A t:... E.:::, TE'RUI\ft:
s ~{ci)'OD
Sh C . '" ( :2 S I 2 0/'
ort ertlIlcates ~ . . . . . , . . . . . \,...
R<'''!flei~l;vu ~:\l i L.l- . . i~' . .. s~
A F <4-JL, s I 5. DO
TOTAL _ s~3():;'./II)
Filed.................................. .
FEES
p.hJ; JdrL f(~u Ul\'ill:rdJdJJ) Jd ~LJ
. RrtlV/~will/;r
Probate, Letters, Etc. ....
ATTOR;'\iEY {Sup. c:. r.D. No.)
ADDRESS
PHONE
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F" Ii \.','1'1 1 I .,), i )0" ']',\ ,,' \.,' l< : I. ( II i 1"," i 1 ., \'l'ril,dilL'1ll 1 i lin .~.
WARNING: It is illegal to duplicate ti1lS ccpy by photostat or photograph.
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COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
N"'~EOfoeCEOENTlf,," M'd<Jj~. La,.)
'"
srATEF'LEl<UloIBER
SOCIAL SECUAITY"UMBER
DATE"9~()EATH,MCnll'1_o..."""J
1/30/05
UNDER 1 YEAR
l.lonlM Oa.,.
Edna D. Pontius
UNOERl DAY
HounI: ",inu'"
1. Female 3. 172 - 01
94
".
EfVOuIpa"..nIU
0852
..
..
AGEI(~..8"lMay)
,
COUNTY OF DEAfH
CITY, BORO fW or OEArfl
~::oI'fIO
O....TE-OFBIRTH.
,Mom" Day ''''Slt
P\..J.CE OFOE...TH'C~""''''"V0~a
HOSPIT"'l
Lykens, Pa Inpat..nl 0
, h.
F"'CllITYN"'ME(ltnut"''''lu''"".glvesl'~and"om''''',
BlfITHPl.)..CE ;c.'v~r.d
"la,,,,,,tc<e.gnCoontry)
~
Cumberland
E. Pennsboro
k.
s. Enola Dr., Enola,pa
RACE ...._~'ndilIrn. _k. WM..""
1'-'
White
...
".
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Pennsylvania
DECEDENT'SEDUC...TIQN
S &oI~' _C,,", H>tOO
E~n"'ryls.con<lary ~
(0-12) U k (l~"'S>)
IU.RllAlSTAJUS-M;o..*!
N._ Man*!. W-..:l.
UlVOl"c..:l(5pec.....J
14. Widow
SURVIVING SPOUSE
"'_.go.........--.~el
11..
DECED'ENT'S USU"'l OCCUPAJION
1~".:o.~,:jjf7:i.,'::'~'~r~
Teller
I(INOOF BUSINESS/INDUSTRY
'\WlSOECEDENTEVERIN
U S. "'R"'EOFOl'\CES~
y".D No~
17b.COUnf't
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Cumberland lOwnSI'lip? Hcl.D~~~oI
MOTHER'S N"'ME tF.". Mod""" M~,d"" Sulr.am"l
II. Al verta Buff ington
INFORM...NT'S MAILING ...ODfl.ESS ISIT....., CittfTown, S1a1fl, lipCodel
_4325 Back Rd., Halifax, Pa
P~CE OF DISPOSITION N."", of Cemetery. C'emalory lOCATION. CilyllOwn. St~.. IIp c.oo.
OI00-..,P~.
I1C.~ ...._w.din
".
Pennsboro
...
Ha_SIale
..
FAJHER'S N"'ME (hSl. Modd'a. USl)
401 So
Enola,
Enola Dr
Pa 17025
",-
1L Charles E. Kuntzelman
INFORMANT'S N"'ME (TYpalP'inJ)
~. Barbara A. Esterline
METHOD OF DlSPOSlTION
BunalIXl c,.malionO _IIomSla,eD
ou.,(Specrtyl
2005
21c.Rolling Green Mem
N"'ME AND ADDRESS OF FACILITY
ncSullivan FH
liCENSE NUMBER
Par
1cr. CampHill,
Pa
""""",,,,0
21a.
SIGNATURE OF FUNHl"'l SERVICf l ENSEE
/jj
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lICENSE NUMBER
",.F .00 014993
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TIMEOFDE"'TH
q(JO
D...TE PRONOUNCEO DE...D (M""th. Day, Y~a'l
30 ;)00.)
JOAUOr
51
No
Enola Dr
Eoola pa
To c..tolmyknowI0Klg8.d8aU>oc~u"ed.llheI1m.,da'eandpl.~e$'al""
(SqIa'o'~and T....)
I_EDlATECA~(FINII
~orcon<lil"'"
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~sign'fic....coodiIionaconl'ibuling.Od8aU>.bul
not'--'inginltwunclertylAQ_g;..eninPAATI
~iaIlylislcondltions
durv.ludin<;llO_'.
_. Enl. UNDERlYINQ
CAUSE(OIsaase","',...-y
lI"t;JliAlllaled.._
'-.g" dNlh)lAST
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OUElO(OFlASACONSfOU€NCE OF)
WAS....... ...UTOPSY
PT:RfORMED?
,
WERE AU'lOPSY FINDINGS
_1l..'BlEPRIOFl'lO
COMPLETION OF C"'US€
OF DEATH?
:~:~ROFdo""
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O...TEOl'IN-JUfW
IM""th Oay,Yea')
m,IEOl'IN-JUflY
IN-JURy...Tv.QA.I(?
DESCRIBE HCI\H INJURY OCCUflAEO.
HomocOe
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[J ~'CE OF INJURY _ Al I-o>me, ta'm~'~et. ladory. ctfice
b..."klinll....e.ISp..'''I.1
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CERTlfIERtChec'''''',,''''''l
'CEflTIfYI'fG PHYSICI....... IPh"soc"", c"''''yon<;causeof OOall1 ",nen ~n04l>e' """,oc,,,n ".s p<"""'-'nce<J d~.'" ~"" c,,",ple,e{j !le'" 23)
T..__Iolrn,knowloodgot.duthoc:culT..s_"'~ca"..{s)andmanne'...lal..:l. .
Pend..-.gln...shgahon
t.l. JOe.
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lOCAJION (Str_ C.f't/TaM1 S",I..)
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Suicide
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CouldnorC."",.,m.n""
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TIFIER t\,[\.D
~rt' .~,J.,
u J1C. 0 _-==--~~__ ~l f3:,~
LJ ;,:~~f~;~~~t.:~~~~~" elL
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O"'TEFllEO(MonthOay.~
JL. / dtJtJ s-
--,..-
.PRONOUNCING >\ND CERTIfYING PHYSICIAN (Ph""","", bo'~. ~,~nou{<:'n<l ded!h "no ce<"ly,nq [0 G~u"" oj "~al~1
To Ih. _I 01 my knowl.d1l8. <lull> occur'ed al_ Um., d..., and pl~ce, and do. to''''' uO"(.)lncl m..nne,.. ....I<<l
.MEDICAL EXAMINER/CORONER
Onlheb.aiaof.".minallonandJorinv..ligalion, on my oponion.d"alh occurred al lhc t1m.. dale, and place, and due to the cause(.jlnd
mann..uslaled,.
,,,
REG~TRAR'S SIGN"'TURE "'ND NUMBER
~;;~.II'-1
>>
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Register of Wills of Cumberland COUIIty
.
OATH OF NON-SUBSCRIBING WITNESS
Estate of_ C\ \', Cl . ,j \~)c, \\ ~ \ Gl \ No.
Also known as
, Deceased
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\o'::'n t- '0 u -: (, z= '-=- \ -to,' \. \ n -c
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
\NC A K'l familiar with the signature of LL\ ,...c.... \') V () \\ ~ ',V0 , testatRl..:i of (one of the
subscribing witnesses to) the codicil/will presented herewith and that WE believelbelieves the signature
, , ",\1':> \ .
'c..(\. <'-f, \0 . <\'n\ \U.~
on the.cnrlicil/will is in the handwriting of
OUR
knowledge and belief.
Sworn to or affirmed and subscribed
Before me this ': T H day of
FER~UAR ,20L6-
~(ib raM~yrtuuLcwtL
RegiS~A (m 7xJJ,I.;)..rSp to
Depu :,I
S\
to the best of
(: '-.--'0' \,\\\....~ \~~______
(Name)
'" \~ C \e, ~~ W
(Mdress) . ~ 1\ \r. --. _
\:;:Q\\Y,--\I'-\ \'\\. \..:0.\.)....
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tZ-f&d!~
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III 7 t' :5 2-
i2Vt1~
/ (Name)
~ /f3;;5
(Address)
Y/tlJ!/~
I~r,:.;rr Ii: 1 Ll A::1J T.~~Sl}::.r..l,l'::l:;T C:F :~Di';.h D. pow.:rus
I, ~l':l:<::'. 1'. ?ontius, of E&st .Fenr.spGl"o Tov\'nsr...ip, C1.l:"Yj~eTldnu Count;y', PeElls:rl-
Vb-nib, ':leret~/ ctFclb-re this to be m;.y It".st \12.11 IIna revoke all \I. ills wilier.. I have pre-
viouslJ~ m[..G.~.
}. I direct rr.~' ~X8cutor to p&'J" the expenses ::r[ rn~r f\.ll~er'i.l b.na laE:.t ilhwss
us soon c..S e')l1venient wter ~!Q' dec.;.th.
~. .tl.ll .':)f the re~tt rpsio.ue L.'i.EC I'et1bincer of r..I.~; c~tb.te I f:ive, c.f',visE'. and.
bel....u8&tn to m~/ ll"uSoand, LeRo:.r f... f')r~thu;, t".tsolutely.
:.. If m~' hustenu., 1e.t<.o~1 ,fi. I',)ntiu~, ~~ho~...:.ld prf?d<::cPftse );,,8, 0::' should. \."e ::;0 t r.:.
(iis in f-l co:n::~on 0cr:id.~nt, tLen I ,)rcr,,?r ["nd c L'fct 1ll;J' Executor :-...e:"'2irJfd't'2I nbf:,e6 to
sell .s..ll tilE r~~st, r8sidue una :ce,::.:oil:cer of ::j~' estc~te CJ.t eitl-:;.er tmbllc 01' ~)ri".'hte svle
feY'cd convert tLe Sh;~e into cc:...al:o.; the net ,9rocseGs uerivec. tI:J.e;>:1':cO!!l tv be Ci''-:CL8C Into
h,'o c<;.uu2. j!c...rts 01' sllr.,res:-
(;...). One :J&rt or shhr€ trlf~rpol' I give ana b;':''-:..De~..I.th to ;I1J' uc.-.\;fr.ter,
Durbera A. Rsterline.
(1). The l'pmLinink' lH'..:.! -: or s11hrn therer.lf, I eiVf' h:L,u b~;l.U.f'bt.b to .n~"
CL.ught81' , B.i;li::"'ie J. '':::nristE'r~!'jon.
I. I L1J!)I)J.nt iIl:5' E'Jstf,nd., Lehoy A. rentius, l.XE:'cutor of t!~is V,'il.L. ;);lOulec r~e
any
fo.t 1A:I/r8~80n, :("il to ~ualif:r', or ce[~se to hct 8-S such, I <..i,lY~ioi;.t rliJ' c.ttutt.lGer, 13hr_
b.s.!'i;).,h. Esterline, ?xcC'utrix t)f tl1is. '\\'l....i..
n: ~l ITla~;;:;J \';hEiiliOF, I have i1erAunto SE:t rJJY llfiUC
, 11
cone. seb.l this /~ c..c.~7 of
i! obrua.ry, 1~'78.
"rf . // j/l~--
Lct/keC_ , ~:"'"~).
;)IC;..~L:r, 3.h.n.J~D, }-.L:BLLici:Sl ,..l'~L L~,CL.~ij~L by tf:..€ l:<b')~.,e n&.:-uefl ~.(na 1,. fonth;.s, as
t.ne. fol' afl.l' lhr,t Will and rrestaITlent, in t1.18 ~)rl'?SenC8 C'!' U8, ""rho, D.t ner 1'8Ciuest, in 11er
Ire8ence Dnd in tr.;.8 pr'3sence of each otl~Fr rl,~ve ~-te:r'cul1t) subscribeD. (Iur nb.mes t-:.8 witnesses
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