HomeMy WebLinkAbout02-15-05
Estate of /It?n4
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
11. Greider No. do/ -OS -() /57
To:
Register of Wills for the
Deceased. County of C u "",j e r/.. /J '" in the
Social Security No. .:? &5- - "q - <J 7.3 (,. Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age OJ: older an the execut
in the last will of the above decedent, dated -.;/,'/'1 /, /4 i" 1
and codicil(s) dated j ~ /" &."! '1 C'<.1
7rl/,nM Gr-eld~r hu,b.an';/.
t,. I '
. 7)2.C.,;J?-) ,qQ
named
,19_
j"'d,c,.c.e.f
A tv ~'1
(state relevant circumstances, e.g. renunciation, death of executor. etc.)
Decendent was domiciled at death in {!. u ".,j, erl qn j County, Pennsylvania, with
or principal residence at n r C re C", Y>? -I ,"'
f .s r e r- '" ,." "-I I 7 a
,
(list street, number and muncipality)
Decendent, then c/.., years of age, died \ /4 n u'" r y IS ,.:l~'" .3,- ,
at
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:
Decendent 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:
$ 9r 0"<'. <'0
$ '0
$ 6
$ 6
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters
(testamentary; administration c.La.; administration d.b.D.c.t.a.)
theron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA I 58
COUNTY OF C ;Amber/and J
The p~titioner(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-
tative(s) of the above decedent petitioner(s) wi!! well and truly administer the estate according to law.
"~
affirmed "fld subscribed ~~~ ~ '"
JS'" dayof r. '': .' /. u.~"'-t
l ~
Register l. ~
Sworn to or
befo e this
1
Last Will and Testament
Wife
I,
A.nna M. Greider
presently residing at
11 South Avenue , Enola, Pennsylvgnia
do hereby make, publish and declare this to be my Last Will and Testament and do hereby revoke any and
all other Wills and Codicils heretofore made by me.
Irvin M. Greider
First. I am married to
Second. I order and direct that my just debts and funeral expenses, expenses for administration of my
estate and any inheritance and succession taxes, state or federal, upon my estate shall be paid as soon after my
death as may be practical.
Third. I give all my estate to my husband. In the event that my said husband shall predecease me or
fails to survive mefor sixty (60) days, I give all my estate to my children, ifany, who survive me in equal shares,
per stirpes. If I am survived by neither my husband, nor children, then I give my estate to:
My grandchildren;
Roly Shover, Roger Shover, If., Leigh Smith. Steven Smith,
Mar~ Alexander, and Susan Alexander
to be his/ hers/ theirs in equal shares or their survivor.
Fourth. I nominate and appoint my husband as Executor of this Will. In the event that my hushand
shall predecease me or fails to survive me or fails to serve as such Executor then in such event, I nominate and
appoint
Doris Greider Smith, Arlene Greider Shover and Janet Greider
A 1 "'Y<lnn",,.. ,Executor/Executrix of this my Last Will and Testament.
I further direct that no appointee hereunder shall he required to give any bond for the faithful performance of
his/ her duties.
Fifth. I hereby authorize my Executor / Executrix to exercise all the powers, rights, discretions, duties
and immunities conferred upon fiduciaries to the extent permitted by law with full power to sell, lease,
mortgage, invest, reinvest, or otherwise dispose of the assets of my estate.
I subscribe my name to this Will this
r,.""')
Day of
,19_
at
/' - .t~;/ / ../
l t~..../..vd' /.1/ ~",:; 7~
(Sign here)
." 19X.' hy AI-HP. All rights reserved.
r
(i)'
-l :r:
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Register of Wills of Cumberland Count}'
.
OATH OF NON-SUBSCRIBING WITNESS
Estate of A n114' IV;. by-e./de:r No.
Also known as
, Deceased
/~cns
h. Smdh
(each) a subscriber hereto, (each) being duly qualified according to'mw, depose(s) and say(s) that
familiar with the signature of j) nna /VI Grinder, testat_ of (one of the
subscribing witnesses to) the codicil/will presented herewith and that we believelbelieves the signature
on the codicil/will is in the handwriting of ,/l n n tfr r1 ~ re ide y to the best of
hty knowledge and belief.
Sworn to or affirmed and subscribed
Before me this day of
,20_
~~"u~ ~ a'.&'y~,.,~fJ
me)
,-'),1;f( ~~ ~d
(Address) ~J I PI! 17c.iJO
Register
r:t L. -:/ o//ZzM/~ 1.;11 )!U~<-
(Name) "
~ ":)' I ' ; )
/,~q K 14/r;J.5 U/~t4j
(Address) p A / 1 ~C)
~ /t71c!4'!;ler, /1
Deputy
"''''1
'"'' ':'1< 'I".\' "/~{,
Thi, i, to certify that the information here given is correctly copied from an original cerljficate of death d~lyfiled with me
Local Registrar. The original certificate will be forwarded to the Stale V,tal Records Olllce for permanent fllmg.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
as
No.
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Local Registrar ()
Fcc ror this certificate. $2.00
P 11108747
9~/i' ~t; doc~
/ Date ;" "I
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fl105143f<ev,].l87
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
ST"'~ filE NUl.le~R
TYPE/f'RINT
"
PERMANENT
BLACK INK
NAME OF OECEDENT (Fi'51, Middle. LUI)
,.
AGE (Le51 BIrthday}
..
COUNTYOFOEATH
95Yrs
Anna: M. G-tei..dvr.
SEX SOCIAL SECURITY NUMIlER
,Female ,205 09 9736
BIRTHPLACE (City and C F ATH in
State <>r F<>re'9n Country) KOSPIT....
7Hevori..-6buJtg, PA ~:,,"""D ERJOu....'"oID DOAD
fACiliTY NAME (II not i~sUtuhon, giVl;l $Ileal and ~"ml>er)
DATE OF DEATH (Month,Oay, YU'1
JanUaAy IS, 2005
lb. Cwnbvrla:nd
llECED~NrS USUAL OCCUPATION
(~V:~~~,~~t ",;'.;'..u~~:t,'::r
ManOJl. Ca:Jre Ca:mp H.i.li
AS DECEDENT EVER iN
U.S. ARMED FDRCES7
YesD Noli]
R..",.ocooD ~;:"I\')D
RACE-AlTIllfiCllfllndian.Black,Wl1ita,at
(Specify)
..
Whi..te
SURVIViNG SPOUSE
111...10, ~". m....""""'.)
I
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w
@
o
w
o
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o
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z
1h. Cie~k
DECEDENrs MA1LltiG ADDRE~S (~aet. C~~lTown, Stale, lip Code)
. 1010 South 80th 'tAeet
Ha<,(~bU^9. PA 171/1
"
FATHER'S NAME (hst, Middle, Last)
18 M'e.xande.lt Pottei e.lt
INFORMANrS NAME (TypatPrinl)
".
METHOD OF DISPOSITION
. Oonalioll D BUri,,1 I!l C'em~tion GalnlW.llrom Slaw D
.21 " OlhIlf{Specily)
MARITALSTATUS.MalTiad,
Nev...MalTiad,Widowed,
Div<>rc<ld(SP'l<'ify}
14. Wi..dowed
DECEDENrs
ACTUAl.
RESIDENCE
(Se-ei~slluc\iO(\s
onother.ide)
'"
<lece<ktnl
~ve in a
17b County ('/Imhphfntlrl \own.~;p? Hd.i] ~d'.:~~~~~i~OI CamlO Hi..ll
MOTHER'S NAME (firsl, Middle. Malden Sum."",)
19 Ma:Jr Ellen Ga-6Vz.oc.h
INFORMANTS MAiliNG ADDRESS IStr....t, CitylTown. Stale, lip Coo..)
'" 1010 South 80th Stlleet HaA,'(~b"" PA 1711/
PLACE OF OISep~ITION.):l~ 01 c,,'l'I'I...-y, Cral1JalOW LOCATiON. CilyfTown, Stale, lip Coda
ofOI~erPlaca /j{.Ue. K.tage Me.mOJU.a:-t
21c. Ga:Jrden-6 21d. Ha:Jrlf.i-6buJt
NAME ANO AOORESS Of FACILITY Z-tmmvr.man - Auvr
22c .
He.D Ye$.decede~llived",
~,
cllylb<>ro
DOIf.,t-6 G. Smi..th
c
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: Appi"o.imale
'Ir1tervall>elween
: oo.el and death
Olh....ignifoca~tcondllioo.conltib<>lin\llodailth.bul
""lre.ultin\l~thaunOariylnllcauselliveninPARTI
Sequanliallylis)coodllion.
illUly,leadinlllOimnw;tdiate
cau.... Enle, UNDERLYING
CAUSE {Disea.e or injury
lhalin;,ialodeve~l.
le.uk"'lI on deat~) LAST
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PEIU'ORM~ll? AVAILABLE PRIOR TO
COMPLETION Of CAUSE
Of DEATH?
!:
PUE TO (OR.......
.EOUENCl;OF)
MANNER OF DEATfl
',0
Nawral
Accident
Suidde
lllI
o
o
OATEOFINJURY
(ldoolh,Oay.V'.'1
TIME Of INJURY
INJURY AT WORK? D~SCRI8E HOW INJURY OCCURRED
Homlclde
o
o
D ~~CEOfINJURY
bu,1d,,~, .'0. 150.""')
~Oe.
mllil
.0
YnD No~
Y"'D
Pl;lndin~ Irw".I;galloll
Could not bedelclmincd
,,.
210 2ab
CERTlFIER(Checllonly",,",j
'i:~~~':IG"r::'~~~~~g':r.";,-;::r~c:~~~~~u.: I':: 3.":~.:::~~(:)~~',;:~~i~:a:el':i;.~~~.'~~n(:~.~ .~,~~~. .~~.~ .~~:~~I.~~~~.~ .i~~ .~~.)..
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'PRONOUNCING AND CERTIFYING PHYS)GI.o.N (P~y"'ci.n 1><>111 prunound"9 death an" "enlfying 10 cause 01 dualtl)
To tile lHl! 01 my knowledge, death oecurud at liT. 11m.. data....d pl..,a. and duet" Ill. uuu.('land m..nn.' n .talod.
'MEDICALEXAMINERiCDRONER , ~.
~~~~:,b::I:.;:.~.~mln'1l0" andl", InveoI19~11"". In m~ opinion, daartl' "c~uned ,,11~a lime, d~le. .nd pl.c.., .ud </u. 10 l~~ ~au."I.) and 0
31e .
RE:S~~'S SICN....TUREAND NUMy
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