HomeMy WebLinkAbout03-01-05
Estate of H. Clarke Staab
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
~'-D5-lq:i
No.
also known as
, Deceased
Social Security No. 195-30-0754
Petitioner(s), who is 18 years of age or older applies for:
COMPLETE "A" OR "B" BELOW:)
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~ A. Probate and Grant of Letters and aver that Petitioner(s) is the executrix named in the LasrVV,-l1I;of tti'e ,
Decedent, dated February 27, 1998 and codicil(s) dated .~.....~
State relevant circumstances, e.g., renunciation, death of executor, etc.
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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:
o B. Grant of Letters of Administration
(c.I.a., d.b.n.c.l.a.: pendente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following
spouse (if any) and heirs:
I Name Relationship Residence I
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence
at 6373 Stevens Crossing, Hampden Township. Mechanicsburg. Pennsvlvania 17055.
(list street, number and municipality)
Decedent, then 70 years of age, died Februarv 14. 2005, at HarrisburQ Hospital. Harrisburg. PA.
(Location)
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property ................................................................................ $
(If not domiciled in PAl Personal property in Pennsylvania ............................................ $
(If not domiciled in PAl Personal property in County ...................................................... $
Value of real estate in Pennsylvania ................................................................................................... $
Total..................................................................................... ................................................ $
Real Estate situated as follows: 6373 Stevens Crossina, Mechanicsbura, PA 17055
500,000
120,000
620 000
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and
the rant of letters in the a ro riate form to the undersi ned:
Signature Typed or printed name and residence
onica M. Rumford
13 Walnut Street, Shiremanstown, PA 17011
Oath of Personal Representative
Commonwealth of Pennsylvania
County of
The Petitioner(s) above-named swear(s) and 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. :';
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Sworn to and affirmed and subscribed
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Estate of H. Clarke Staab, Deceased
also known as
Social Security No.: 195-30-0754
~1-05-01q3
Date of Death
February 14, 2005
AND NOW, 3/1 I 0 5 , 2005, in consideration
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters [XI Testamentary 0 of Administration
(c.I.a.; d.b.n.c.l.; pendente lite; durante absentia; durante minoritate)
are hereby granted to Veronica M. Rumford
in the above estate and that the instrument(s), if any, dated February 27. 1998 described in the Petition be
admitted to probate and filed of record as the last Will of Decedent.
Letters.......~.~~~ $ olD.DD fwdcL-r~
Short Certificate(s)...l.~...... $ 1JLDD 'f2MV (Yl
Renunciation ........................ $
Affidavit ( ) ......................... $
Extra Pages ( ) .................. $
Codicil.................................. $
JCP Fee ..~.A:l&1P..E~ $ 10 .00
Inventory & Tax Forms ........ $
Other ..W..I.ll...................... $ \ 5; 0 0
TOTAL.................. $5XO. DO
Attorney:
I.D. No.:
Howell C. Mette
07217
3401 North Front Street
Harrisburg, PA 17110-0950
717-~rJn~
Address:
Telephone:
DATE FILED:
417632v1
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Register of Wills of Cumberland CounQr
.
OATH OF NON-SUBSCRIBING WITNESS
Estate of
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No.
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Also known as
, Deceased
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(_eb) a subscriber hereto, (eaclt) being duly qualified according toJi;v, d.:T~se(s) and say(s) that
~ ~ familiar with the signature of \ -\ . ~ ~ , testat~ of (Gfte of the
subscrihiRg wim"'I>'Ses to) the codicil/will presented herewith and that ~ b~lieve/believes the signature
on the codicil/will is in the handwriting of (-\ '- @--e~ ~ to the best of
l.a.v- knowledge and belief.
Sworn to or affirmed and subscribed
Before me Ws I day of
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(Name) ,/
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(A dress) I
Deputy
(Name)
(Address)
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Register of Wills of Cumberland County
OATH OF SUBSCRIBING WITNESS
Estate of
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No.
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Also known as
, Deceased
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(eaeIt) a subscribing witness to the will/eodiettpresented herewith, (eaeh) being duly qualified according
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to law, depose(s) and say(s) that I~JJj-Odpresent and saw
~\ ,e ~t ~ ~~, the testatt!J'v- , sign the same and that
~ signed as a witness at the request of the testatevin h~
presence and (in the presence of each other) (in the presence of the other subscribing witness(es).
Sworn to or affirmed and subscribed
Before me this I day of
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(Name)
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(Address) ~1l1kU {1", ·
Register p-uffirJ-
Deputy
(Name)
(Address)
1Jlnst
Bill
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m.estnm.eut
OF
H. CLARKE STAAB
I, H. CLARKE STAAB, of Mechanicsburg, Cumberland County,
Pennsylvania, do make, publish and declare this to be my Last Will and
Testament, hereby revoking all Wills and Codicils by me at any time made.
ITEM I: I direct that all inheritance and estate taxes
becoming due by reason of my death, whether payable by my estate or by any
recipient of any property, shall be paid by the Executor out of the residue of my
estate, as an expense and cost of administration of my estate. The Executor shall
have no duty or obligation to obtain reimbursement for any such tax so paid, even
though on proceeds of insurance or other property not passing under this Will.
ITEM II: I direct the Executor to pay the expenses of my
last illness and funeral expenses from the residue of my estate as an expense and
cost of administration of my estate.
ITEM III: I give all of my household furniture and
furnishings, books, pictures, jewelry, silverware, automobiles, wearing apparel and
all other articles of household or personal use or adornment and all policies of
insurance thereon to VERONICA M. RUMFORD, if she survives me.
Page 1
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ITEM IV: I give the sum of FIFTEEN THOUSAND
($15,000.00) DOLLARS to my cousin, MARY STAAB, if she survives me.
ITEM V: I give the sum of TWENTY THOUSAND
($20,000.00) DOLLARS to MELISSA DILLOW, if she survives me.
ITEM VI: I give the sum of TEN THOUSAND ($10,000.00)
DOLLARS to my former wife, ANNE MACDONALD, if she survives me.
ITEM VII: I give the sum of TEN THOUSAND ($10,000.00)
DOLLARS to each of my nieces and nephews, the children of my brother,
Thomas R. Staab, living at the time of my death.
ITEM VIII: I give the residue of my estate, not disposed of in
the preceding portions of this Will, to VERONICA M. RUMFORD, if she survives
me. If she does not survive me, the bequests in ITEMS IV through VII of this Will
shall be double the amounts set forth therein, and I give the residue of my estate as
adjusted to MELISSA DILLOW.
ITEM IX: In addition to powers given by law, the Executor
shall have the following discretionary powers:
(a) To retain any property received by the Executor;
(b) To sell real estate, publicly or privately, for prices and on
terms as the Executor deems proper, without liability to the
purchasers to see to application of the purchase moneys;
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Page 2
(c) To compromise controversies;
(d) To distribute income or principal in cash or in kind, or
partly in each, at fair market value at the time of each distribution;
(e) To hold investments in the name of a nominee; and
(f) To undertake all other acts in the Executor's judgment
deemed necessary for the administration and settlement of my estate.
ITEM X:
Any person who has died at the same time as I
have, or in a common disaster with me, or under such circumstances that the order
of our deaths cannot be established by proof, or within thirty (30) days of my death,
shall be deemed to have predeceased me.
ITEM XI:
I appoint VERONICA M. RUMFORD to be the
Executrix, referred to in this Will as "Executor." In the event of her death, inability
or refusal to serve as Executor, I appoint MELISSA DILLOW to serve as Executor.
The Executor is specifically relieved from the obligation of filing bond or entering
security.
IN WITNESS WHEREOF, I have set my hand and seal to this, my
Last Will and Testament, consisting of this and the preceding two (2) pages, at the
end of each page of which I have also set my initials for greater security and better
identification this Z -t-- day of f ~'V'-'Lv ~ " 1!1'f'ij. ,
We, the undersigned, hereby certify that the foregoing Will was signed,
sealed, published and declared by the above-named Testator as and for his Last
Will and Testament, in the presence of us, who, at his request and in his presence
and in the presence of each other, have hereunto set our hands and seals he day
and year first above written, and we certify that at the time of the execution
thereof, the said Testator was of sound and disposing mind and memory.
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Residing at -zo (] IV' 2t.P "\:y{
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H105.805 REV 1/05
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
~ocal Registrar. The original certificate will be forwarded to the State Vital Records Office for PJrm:nent filing.
WARNING: It is illegal to duplicate this copy by photostat or PhotOgra~h.05-0 {rr3
No.
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Fee for this certificate, $6.00
Local Registrar
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11333910
FEB 1 6 2005
Date
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H105.143 Rey. 7ltf1
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
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RINT
NENT
INK
NAME OF DECEDENT (FirII, MlcldIe, Lall)
1.
AGE (leal Birthday)
sex
2. Male
STATE FILE NUMBER
SOCIAl SECURITY NUMBER
3. 195 30
~ I. 70 Y...
COUNTY OF DEATH
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p ........IX! eRlOu_, 0
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RACE - American Indian, B1ad<, lIIt1ile, 01
(Spedly)
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White
SURVIVING SPOUSE
(If wife, give A\IIlden name)
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lWp.
dty/borO
ritJS
28.
. Approllim8le
:intervel
~ onset and death
a.
; S....... ')
S~y 1st conditiOna I b.
KIl1Y,IudIngIo_
CIIUIe. Enter UNDERLYING
CAUSE (0isNI' or lr1ury c.
. thai Initiated everts
I'8su111ng on death) LAST d.
WAS AN AUToPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
( "" ONS
ye.O
MANNER OF DEATH
Natural IX)
AccId8nt 0
Suicide 0
DATE OF INJURY
(Month, Day, v....)
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
Ye. 0 No (]I
Nogg
Homicide
Pending Investiglllion
COuld not be delemlined
o
o -O~O
O 301. 30b. M. :IOc.
PLACE OF INJURY - AI home, farm, .\reeI, faCIoI)', ofIice
......0,.... (_fy)
301.
28.
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