HomeMy WebLinkAbout02-25-05
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of j.?I..;:'"h'RI R. 13 15/1tJ/;:; No."'J. ,- ~ S - "\ ~.~
also known as To:
Register of Wills for the
, Deceased. County of ('/1/1/ .(-1C-".p ~Jl//=in the
Social Security No.,) /J~ - (/3 -.-; / tt ~ Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the executtJ~S
in the last will of the above decedent, dated /77/1 R (? /'01 ;:
and codicil(s) dated
named
, 1921-
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in (1(1/1 1 /?E/F~ /iN D County, Pennsylvania, with
h :;:~ last fami~ or prin~al residence at ~~_.;, /< E i 1. C J? 5 T
-(lI7'fi/l!IC /3&1/ ~ ~/? /? .,
(list street, number and muncipality)
ILl
,flO::;'"
Decendent, then years of age, died r E /...1.
at y 05 -,,<
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: ~ ~ I~~ ~_
(If domiciled in Pa.) All personal property $y6( 1 ~.
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $ ~~
Value of real estate in Pennsylyania .. -- $. ("S ~~:;:,
situated as follows: "t~ L- /(,CL,(,[/? 5T /71~-e#/9/1//(!5/3/.1R ?/?
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters ,<C:~ ~~~,"'" ~~"Jo\
(testamentary; administration c.La.; administration d.b.n.c.t.a.)
theron.
~
~
..
u
C
..
:g~
"'~
.....
aq,j
...,0
~.:::
CU'~
3~
..-
;0
OJ
c
OIl
{;ij
''At;;(M L /P Y3u -"i~
y
x5Cu..- i- c:'<<-. Cl
a t2L'4.JL
'X
r'.,.,)
\._.1 ;;
/".~~
OATH OF"PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ") ss
COUNTY OF ~\Jv..~~\tLC'),~~ J .
en
ClO
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-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
1'~ ~~, ~.; )1? /3 u h/.:/
t/
'')/ Y~a, /..(-/U> r:l t'i ~-' t
-.
L
Sworn to or affirIl1~ and subscribed
before me this "l.S ~ day of
~...~~~~ ~~~
~~ ~~ "
~. v....~,~..... ..... ~~ ~ \\....~. .. _, Reg: tJr
~. .......-...~,... ~ \"""'"~
V:l
&Q.
;::
f::l
r:
~
~
17c75.:J
No. i. \ - ~ s- \ ~~.
Estate of
~ <<.. ~~'- ~. ~ \S-\\ ~ ~
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~ ~"l\~~'\,\ ~ S ~~~.s ~_, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated ~ ~~'\\."'\ \ ~~'\
described therein be admitted to probate and filed of record as the last will of
~~~v..,- R. ~~~~~
and Letters "' ~s..,~ ~"'~ ~"- '"
are hereby granted to. ~ \\ \\ 'Q...l... ~s ~. ~,..t~ t:J~
"" . ~~~~\:..~ ~. ~'-~~~
FEES
Probate, Letters, Etc. ......... $ ~~~
Short Certificates("\) . . . . . . . . .. $ \ 1.0
n'N\I..L. . $ \S
^eR~1:atl0e ................
~~ ~ ~~,,~,~ $ \S
TOTAL _ $ 3~~
Filed .... ~:-~~ .-.~.~...................
~~ ~~ ~~\~
. Register of Wills
~~. ~~, 'J.."'~ ~~
AITORNEY (Sup. Ct. LD. No.)
ADDRESS
PHONE
,.
~
-.
Register of Wills of Cumberland CounQr
I
OATH OF NON-SUBSCRIBING WITNESS
Estate of ~'('('r I
'R 13: 's. Jl cp
No.
Also known as
, Deceased
(each) a subscriber hereto, (each) being duly qualified according to'1aw, depose(s) and say(s) that
WE C\ r e. familiar with the signature of 'fJc c~ i" \ K, ')=5 ~ 'S ~'O 0 ' testat~ of (one of the
, I
subscribing witnesses to) the codicil/will presented herewith and that _ believelbelieves the signature
on the codieWwill is in the handwriting of ~~",I' "B, 13\' :::.hoe to the best of
Due
~ knowledge and belief.
::1~A /-0 <fi7 /;,:(u~
// g It: /( L:".I.~E/? 57:
(Address)
/'?E{l/~/~/V1(!513!( K{] 1-1-'1 (7C-6~-
/
Sworn to or affirmed and subscribed
Before me this "":)..S.... " day of
~~~, \).,~~ '-\ , 20 ~
~ ~~, ~~~\.\.S;:\
Register ~ \
~~,\(~ ~.~~
Deputy , ,
'l3tLilJ' /.( tl t2/~.( 'I
(Name)
~ ~ q "Q/ tJ7(.U.) 7flI
.
(Address) / . '_. J
'7J?chor/'C -SlJ)({ (1'
iz:2)
@
C...i ..~
f"'. "
1"_'
c..,,;-- ~
--'-"-1
(,J"'l
00
I ?O's:S
H105.805 REV 1105 ":). \ - ~ 5 -" ~~
This is to certify that the information here given is correctly copied from an original certificate of death dply filed with me as
Local Regis1rar. 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.
11336471
No.
,Jlt.ill < f1(i/J I~ '~
Local Registrar
Fee for this certificate, $6.00
p
.!J~-tU;t;/~ d~
ate
'--31e;y#~::r;;;,-;;1;;"----""--~--
_.__':k...._d_::5::.tdS:._______._......_...___._..___._
C.)
en
co
H105.143 Rev. 2187
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
STATE FilE NUMBER
tyPElPRIMl'
IN
PERMANENT
BLACK INK
. .82 v,.
COUNTY OF OEATH
BIRTHPLACE (Cit:t and
State or Foreign Country)
pillsburg PA
SOCIAL SECURITY NUMBER
3.204 03 - 3162
h in
DECEDENT'S USUAL OCCUPATION
(~:~~~,ie~:O ~1'U~~~f:i1
. 11.. Homemaker 11b. O~/n H
DECEDENTS MAiliNG ADDRESS (Slreel. CitVfTown, State, Zip Code)
29 East Keller Street
,~echanicsburg PA 17055
me
DECEDENT'S
ACTUAL
RESIDENCE
(See ins\rUctions
on other side)
MARITAl STATUS. Married.
N....er Married, Widowed.
1);,"- (Specify)
,.. Widowed
=~JD
RACE - American Indlen, Sieck, WNle. et
(Speolly)
,..Wh i te
SURVIVING SPOUSE
(If 11II"". iii''''' mailMn name)
lb.
Cumberland
IJ.:ast Pennsboro
KIND OF BUSINESS {lNOUSTRY
17.. Stale
lWp
17b. County
Cumberland
'7dlil ~~~~~':..~ot Mec h ani c s burg
cily/bofo
SequenliaJly list conditions b.
il any, k!adiog lo ImmedWile
. . cause. Enter UNDERLYING {
CAUSE (Disease or injury c;.
. . Chat initiatod events
resulting on death) LAST d.
WAS AN AUTOPSY WERE AUtOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
MOTHER'S NAME (First, Mtddle, Maiden Surname)
'9. Nor a S ton e r
INFORMANT'S MAILING ADDRESS (Streel, CltylTown. Stale. Zip Code)
~~ 339 Stoner road Mechanicsbur PA 17055
PLACE OF DISPOSITION. Name: of CQmetery, Crematoly LOCATION - CitylTown, State. Zip Code
(Month O"'h, V'ali 01' Other Place
o ~~' ~- 7-2005 ~Echanicsburg Cemetery 2~echanicsburg PA 17055
L1CENl\fi tlUJrlQEfl NAME AND ADjlRESS OF FA<;jLlT'(,
n~ tUUlt662-l ~~rs tuneral Home Mechanicsburg PA 17055
LICENSE NUMBER DATE SIGNED
(Month, Day. Year)
23b. 2:Jc,
WAS CASE REFERRED TO A MEDICAL EXAMINER /CORONER? --/'
26. V.. 0 No.lJI..........-
Ir.torr .rr..t, .hocll or hurt fallUl'. : ApproJdmate PART II: Oth.... aignlfic:enl condttlon. conutbutlng to d.", but
" interval betwee not resulting in the undertytng ~u.. given in PART I
: onset and deillh
tz
w
o
w
I.l
w
o
"-
o
w
:::;
<(
Z
FAtHER'S NAME (First. Middle. last)
11. Moses J. Karns
INFORMANT'S NAME (TypetPrint)
2... Barbara Albert
METHOll OF DISPOSITION
8uriat (iJ Cremation Gemoval from Staw 0
Olh.. (Sp.ciIy)
FUNE VI
o
w
"'
::>
~
::;
'"
21, PART I: En&.!' 1M d........ '"Ju'''' or nmpWelldo,.. which e......d ,.. de.lh. Do not .nter the mod. of d)'lng, .ue".. c:enU.e
U.. 0",,)' one calM' IlNI Meh tine.
r'
f{~
,I. -It <J5"'e-nOjl,5
DI.lE TO (OR AS '" CONSEQUENCE Of)
v.. 0
MANNER OF DEATH /
Natural ~ HOn'Ucide
o
o
DATE OF INJURY
(Month. Oa~, VlillrJ
TIME OF INJURY
INJURY AT WORK? OESCRIBE HOW INJURY OCCURRED.
\
Yes 0 No tit
NOD
Suicide
Could not be detunnined
o
o
o
30.. 3Gb. M
PLACE OF INJURY. AI home, 'arm, street, faclory, office
b~,.~{Specif'1)
3...
"MEDiCAL EXAMINER/CORONER
~,:~~:tb::I:.::::~I~~,..I~. ~.~~~. ~~~~~~~~,~~~~~', .I~ ,~~. ~~I~~~~~: .~~~~~ .~~~~~~~.~, ~~. ~~.~ .~~~~: .~,~~~.'. ~.~~ .~~~,~~.'. ~.~~.~~~. ~~ ~~~.~~~.~~.(.~~ .~~.~.. 0
31i1.
::JlVEGI .R'S SIGNATURE AND UMBER
. I .
,U~
v..O NOD
300.
Accident
Pending Investigation
28.. 28b.
CERTIFIER (Ctleck only one)
"~:~::';'::f J:~\~~.u:~=hc:~~~iJ':.uJ: .<:: :.a~i1~:~(:r~~3r,g~~~~~. h:~~~~~~~~.~ .~~~~~.~~~ .~~.I~~~~~,~. i~~~ .~~}..
29.
.PRONOUNCING AND CfRnFy'ING PHYSICIAN (Physician both pronouncing death and certifying 10 cause uf death)
Tothll be.t 0' mV knowledU., d..th occurrltd at th.llme, dil.e. and place. and due.o the CiltJ...(.) .nd manner iI. ...t.d.......
LAST wn.T. AND TESTAMENT OF PEARL R. BISHOP
I, PEARL R. BISHOP, of the Borough of Mechanicsburg, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish
and declare this my Last Will and Testament, hereby revoking and making void any and all prior
Wills by me at any time heretofore made.
1.
I direct the payment of all my just debts and funeral expenses as soon after my decease as
the same can conveniently be done.
2.
I hereby make the following specific bequests:
A. To my daughter, BARBARA ALBERT, all of my jewelry, including but not limited to
my three (3) diamond rings. In the event she predeceases me, this gift shall to my granddaughter,
AMY L. ALBERT.
B. To my son, CHARLES R. BISHOP, the plates with the pheasant designs. In the event
he predeceases me, then this gift shall go to my daughter, BARBARA ALBERT.
C. The above gifts shall be in addition to their respective shares in the residue of my estate
and shall have the inheritance tax paid from the residue so long as it is sufficient to do so.
D. The sum of Two Thousand Five Hundred ($2,500.00) Dollars to each of my three (3)
grandchildren, to wit: CHARLES L. BISHOP, AMY L. ALBERT and STEPHEN D. BISHOP.
In the event any of them shall predecease me, his or her gift shall lapse and become part of the
residue of my estate.
3.
All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and
wheresoever situate, I give, devise and bequeath in equal shares to my beloved son, CHARLES R.
BISHOP, and daughter, BARBARA ALBERT. In the event one sibling shall predecease the
other, then his or her share shall be distributed to the surviving sibling. In the event that both of
my children predecease me, the balance of my estate is to be divided per c~ita amongst my three
(3) grandchildren who survive me. This alternative gift to my grandchildren shall include my
son's two children who have been formally adopted by his former wife and her new husband.
r'",..)
(..i""i
en
co
4.
I nominate, constitute and appoint my son, CHARLES R. BISHOP, and my daughter,
BARBARA ALBERT, to be the Co-Executors of this my Last Will and Testament. further direct
that they shall not be required to file bond or other security in the Office of the Register of Wills for
the purpose of administering my Estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 1~ day of
!J/dAd , A.D. 1997.
~ H/- If. 13-<:'..j..Y' (SEAL)
PEARL R. BISHOP
Signed, sealed, published and declared by the above-named PEARL R. BISHOP as and
for her Last Will and Testament, in the presence of us, who at her request and in her presence, and
in the presence of each other, have hereunto subscribed our names as witnesses.
~8~AL
Q.--&~ ~a~
(Biohop, Pearl. Will)