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HomeMy WebLinkAbout02-11-05 CUMBERLAND Register of Wills of County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Alice W. Black No.~l- 05- 01;2 (p also known as , Deceased Social Security No. 172-01-9525 1'~(ilio"d'(.J. wllOi,'..,e tByu'l"rag" Or old"', "pplvO...II"" (COMPLETE" A" OR "B" BELOW:) ~ A. Probate and Grant of Letters and aver that Petitionertsl is/are the execut~ named in the Last Will of the Decedent, dated June 8, 2004' and codicillsl dated Slall ",'OVllfll clrcumllan!'''', e.~.. 'O""RCI'lioll, all.thol eKOC"IOl. (lIe. 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: Q B. Grant of letters of Administration \<0.\ ~., <I.b.",,".'.".' 1"""1"'''" Ill..; ~",..,," ..h.....".'... ,J",,""" n';'''''''8'''1 Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the fallowing spouse tit any) and heirs: 'f') Name- Relationship Residence C"'\ L :) 'Attach a dawnal sheets J necessary. Decedent was domiciled at death in Cumberland residence at Bethany Village, 4225 Wilson County, PennsylvanIa, with his/her last 1amily or prinCIpal Lane, Mechanicsburg (Lower Allen Township) PA !list .,,""1. """,b"1 "",j"'l.mi~!,~I;IYJ Decedent. then~. years of age, died January 28, 2005 , Jl:ll~, at Holy Spirit Hospital, Camp Hill, PA (\.,,,,,,,.,,,,,) Decedent at death owned property with estimated values as folloWS; ,Ii domiciled in PAl All personal property (If not domiciled in PAl Personal property in Pennsylvania. (tf not domiciled in PAl ?ersonal property in County. . . Value of real estate in Pennsylvania Total Real Estate situated as fol'I;~~;' . N/A 250,000.00 $ $ . $ $ $ 250,000.00 Wherefore, Petitioner(s) respectfully requestlsl the probate of the Jast Will and Codicil{sl presented with this Petition and the grant of letters in the appropriate form to the undersigned: Typed or printed name and residence Herbert L. Stouffer 221 Reeser Road 717 730-8698 R~-7 Oath of Personal Representative Commonwealth of Pennsylvania County of lA_~I.in \ Cu,......'=>e.'l""\O"--.. The Petitioner{s) above-named swearls) and affirmls) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(sl and that, as personal representative(s) of the Decedent, Petitionerls) will well and truly administer the estate according to law. Sworn to and affirmed and subscribed ~.{nt.LlI'.ol.' t( ,.Q,)n5 jo(J- before me this qru day of \MLr<\~~~~~~t- DECREE OF REGISTER Estate of Alice W. Black Deceased No. c2,1-05- OI.;2~ also known as Social Security No: 172-01-9525 Date of Death: January 28, 2005 AND NOW, ~h.... "'~ Cj ;)Dch ,118_, in consideration of the Petition on the reverse side hereon, satis ctory proof having been presented before me. IT IS DECREED that Letters ~ Testamentary 0 of Administration are hereby granted to \-kr~ L Stov..~.. (r..t n.. ,I.L "." t . !>~",l"',l" 1t1~' ,I",,",,,, ~",...",i". ,j"r~nl" ",;,,,,,;,,,,<,) in the above estate and that the instrument(s). if any; dated described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters........................... $3/() .m ~'4~~'cQ.~L R'o;""ofwm, ~1r'()....".;s .~~~ Short Certificatels).......... $ 5.;1 .0::> Renunciation.................. $ Affidavit ( )................. $ .L I. - P t;" ( lI.,:)\\\.... $ 15, lJ{') Codicil.......................... $ JCP Fee........................ $ 10.00 Inventory & Tax Forms... $ ~~,....,.,,~:n $ 5.00 Attorney: I.D. No: Address: Jean D. Seibert, Esquire 41713 109 Locust Street Harrisburg, PA 17101 TOTAL................ $.':3q,.'2.oo Telephone: 717-236-9301 DATE FILED: J- q -05 RW-7o "",,:n, "".\ 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 permanenl filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. \,\III"~~\1Irorplk;--_~_ ",~~:r",,,, ~ ~ . ~- t~~~'\. 1- '. )7, ~OIOC:'.'" #~ ~c:t "_~ llU -,,~ :z:..ll :::... ~,,' ~ ~* ...''': ~Y*S' \~ ~-- ~~/' "-----'-?IAlENl ~(~\:,""" """"'~~NN~"~/IIIIIIII ~~ ~&kLL~_ Local Regis rar If' 0- fee for this certificate. $6.00 P 11336146 c;)~OAt'll; ate ). <-<1 s- I,,,',) H106.144Rw..11D1 .2/- 05- J;2 (", COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (Coroner) n_ .. -....., ......- ~ ~ '" r<--' ......'.1 OAfE'OFIlERH(toIonD>,o.."'lINt) January 28. 2005 Black UHDER1DA1' OF8IATH 1IIIITHI'lACE/Cll\Inl _ (toIOfIItl,Oey,_) s...OIF<nIgnC<>unlry) Mar.24.191S ,{""'/fIV'/d"O~/"O aTY, DE.VH FACILITY NAME' (II 'lOt inllill.Cion, give ell....nd IIIltTlbll) :;;::"0 East Pennsboro Holy Spirit Hospital . W'oSDECEDENTEVERIN U,S, AAUEDfOACEI? .....0 HolE' ?A'. 1llAl'llW.8WU8......... --- -- u,/,'LI. 110.~........_.. .u:.~'A" ;11..('/............. ... T. // ""'" /. (SigneI::~~~._~llll1e_,_.l'lCIpleoelllMod ~ICEHM: NU1dEA D ~,Do.y.'IIIoerl 8:32 A M. January 28. 2005 Il.MlnI: ~1he-"'''''''or""""**loneoWlloll_1he_,DallOl_1hemodeold>tlng.""",,..ceflIIKorreeplreloty__...'-'\IlkQ. lIeI.....,......_onMChIlne. ~1lIl: ..0 H erteneive Cardiovascular Disease DUElO(OIlIoSACONSE'QUEtK:EOf): - ,-- !_end..... MlnN: ==::=..u-=t=n~ DUElO(OIlloSACONSEOUENCEOI') DUElO(ORIoSACONSEOUENCEOf)' . WEMAlf1OP8Yf1ta<<1S ~_ro COMPlETIONOFCAUSE ~~~ ..0 - ...... ~ o o tw"EOFINJUAy (Month,Day,_) TIMEOFINJURY Coroner MANNEAMDERH IHJUflYAI"'M:IAK? ~O - P~lrwMlgetIon o o OPLM:EOFIKJt)RY.AlIlome,fMrl,_.~oIlIoe bulldlng,eIO(Specity) ... ~ _. - ~P>eclc"""'cnel '~PHYIlClAN~ncerltyingceuMal__anaII...-ph"",""hel:pr""""""""Qeo.II1""~cornploY.ed"Bm~1 Yo..._M""...........,__........._""'--ceI__.._ ..- n. CoIidnotr.e"'IO<m"-l ~ ~ ~ ! .1IEOtCAl~EA O".,....."'..-neIloneftCllMlll'lMlllpllon, Inmye>plnlon.dM1h-.......",...,.....,dM., _p'-._du,IO''''ClUIM{.I_ --,:_Itallld.............................................................................................. .... ". REGllIT 'S llIOlUlfURE AND MlMIER 1d.11,J.J \ h) I DAl"ES8GHED(MarlIl,a.v,~ o . Januar 28. 2005 NAMEANDADDREUOFPEAllON C08.lPlE11iiDCAUSEOFIlERH (lIem27)T'f1I8IorPIW Michael L. Norris. Coroner 6375 Basehore Road. Suite #1 u. Mechanicsburg. Pa. 17050 ORE'I'IlE01M""".DI\I~ M.J'lIl/U'l1t ;31 ;;1,005 'rna aIMClNQANIlc:aJtTIPY_'ItY88CWII(Ph)'8lOien~pr~c."''''''~k>caueoo!_) ,*"'_M.,"-1edge,_~""'_,_,_""".'''''''''Io'''''eMIM(.I__..._.,.. .. ., "'__'_.'_"_'''_~''-'_'_-"._-,"._-_.----,-".",.,_..",.."_...._",--- ~"~'--'".""--"'" ......,...." -- . -" ,.,.-. ._"~~,......,.....,-,-~_.._,-"..,- d~ ~ ") ~ 1lIetst 1lmt11 etuo Qrl'stctml'ut OF ALICE W. BLACK I, ALICE W. BLACK, of Lower Allen Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby L, declare this as and for my Last Will and Testament, hereby revoking all Wills and Codicils previously made by me, 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. 2. I direct that my articles of personal or household use, including any automobiles I own at the time of my death, be distributed as follows: (a) I give and bequeath my one carat diamond ring to my husband's cousin, JOAN FLECK, ofFrankston, Texas; (b) I give and bequeath my diamond engagement ring and hand painted china chocolate set to GLORIA FOX of Lemoyne, Pennsylvania; of my death, be divided among my nieces and nephews, namely MARY ANN THOMAS of South Daytona, Florida; JOHN FRITH of Killeen, Texas; CHARLES FRITH of Islamorado, Florida; and BARBARA A. STOUFFER of Mechanics burg, Pennsylvania, and my husband's niece, JOAN FLECK, in as nearly equal shares as they can agree, Any items not desired by any of these named individuals shall be converted to cash as my Executor deems best and the proceeds therefrom added to the residue of my estate. 3. I direct that all the rest, residue and remainder of my estate be divided into ten (10) equal shares, these shares to be distributed to the following individuals and charitable J 'j ~ C:::! entity as follows: 1) One (1) share to MARY ANN THOMAS of South Daytona, Florida; 2) Two (2) shares to JOHN FRITH of Killeen, Texas; 3) One (1) share to CHARLES FRITH of Islam ora do, Florida; 4) Four (4) shares to BARBARA A. STOUFFER of Mechanicsburg, Pennsylvania; 5) One (I) share to JOAN FLECK ofNicholasville, of Kentucky; and 6) One (1) share to PAXTON PRESBYTERIAN CHURCH, of Pax tang, Pennsylvania in memory of my parents, Mr. and Mrs. L.A. Webster, and my sister, Betty Frith. 3. I direct that any and all inheritance, estate and transfer taxes imposed upon my estate, passing under my Will or otherwise, shall be paid as a part of the expense of administration, payable out of my residuary estate. 4. In addition to powers given it by law, my Executor acting hereunder shall have the fullest power and authority in all matters and questions and to do all acts which I might or could do if living, including, without limitation, complete power and authority to invest (without restriction to investments permitted by law), sell (at public or private sale, for cash or credit, with or without security), mortgage, lease and dispose of and distribute in kind, all property, real and personal at such times and upon such terms and conditions that it may deem advisable. 5. I nominate, constitute and appoint my niece's husband, HERBERT L. STOUFFER, as Executor of this, my Last Will and Testament. In the event of the 2 .., renunciation, death, resignation or inability to act for any reason whatsoever of Herbert L. Stouffer, I nominate, constitute and appoint my niece, BARBARA A. STOUFFER, as Executrix of this, my Last Will and Testament. 6. I hereby relieve my personal representative from the necessity of posting security in connection with his duties as such in any jurisdiction in which he may be called upon to act insofar as I am able by law to do so. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of three typewritten pages, the first two of which bear my g'~y of signature in the margin for the purpose of identification, this ~ ,2004. tU~ w~ (SEAL) Alice W. Black Signed, sealed, published and declared by the above-named Testatrix, Alice W. Black, as and for her Last Will and Testament, in the sight and presence of us, who, at her request, and in her sight and presence and in the sight and presence of each other, have hereunto subscribed our names as witnesses. ~.. _ ~-R . ~~^^"' Name , ~J)d;,1J'~ N e '11<.. t:l,~ c...:..v.... ~-- p",- Address I ~ 91 J~t~;ZI. ,1t1'M11_J'1Tcx.J 0:; Address 3 . , Commonwealth of Pennsylvania : SS County of Dauphin Vie, Alice W. Black , G /e.'lJtJ"-- 1(, Cod ('~n , and TeA.J b, Se,' .beor , the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn and qualified according to law, do hereby declare to the undersigned authority that we were present and saw the Testatrix sign and execute the instrument as her Last Viill and Testament and that she 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 ofthe witnesses, in the presence and hearing of the Testatrix, signed the Viill as witnesses and that 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, and I, the said Testatrix, do hereby acknowledge that I signed and executed the instrument as my Last Vim and Testament, that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed, ~0-~ Testatrix _ n ,"' _ ,. _ _ _ _ ~o~~-r<._ ~y~ Viitness . . ~~ 'WI ess Subscribed, sworn to and acknowledged before me by Alice W. Black the Testatrix, and subscribed and sworn to before me by C:/t'rJ/1 C, I!. /,." t,/",.., and Jr""/1 ,). 'i.,./!.~d- , witnesses, this alt. day of J--::' '7 e , 2004, ~ /;t {. .;;l';3V'-<-- NOtary Public .....,,- NOTARIAL SEAL JOHN R.E. BOweN. NOTARY puBUC LOWER ALAN TWP" COUNTY OF CUMBEflANO MV CQMMISSION EXPIRES MARCH 25, 2006 r-..