HomeMy WebLinkAbout03-07-05
PETITION FOR PROBATE and GRANT OF LETTERS
Eswre of Calvin G. Grim
also known as
No. ~1-()5 -dOl
To:
Register of WiJls for the
Deceased. County ofCumberlarid in the
Social Security No. 205-1 6- 4 0 11 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who islare 18 years of age or older an the executrix
in the last wiJI of the above decedent, dated June 20
and codicil(s) dated
named
,JUI2001
(state relevant circumstances, e.g. renunciation, death of exe.cutor, etc.)
Decendent was domiciled at death in Cumberland County, Pennsylvania, with
hiS last family or principal residence at 560 Criswell Extended
~n;1ing Springs, Monroe Township. PA
(list street, number and muncipality)
Decendent, then 79 years of age, died February 2 0 ,Jq~2 0 0 5
at Health South Rehabilitatinn nf Mpr-"",nir-,,,hllrg
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the wiJI offered for probate; was not the victim of a kiJIing 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 i" Pa.) Personal property in County
Value of real estate in Pennsylvania 1 /2 interest in
situated as follows: 560 Criswell Extended
~n;lin~ 5prin~s. PA 17007
$ 1"'0,000 00
$
$
$ JO,OOO.OO
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last wiJI and codicil(s)
presented herewith and the grant of letters 'I'p"t-;,mpnt-;,ry
~J (testamentary; administration c.t.a.; administration d.b.D.c.t.a.)
theron.
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Mona P, Grtham
~60 Cr~swe l Extended
Boilinq SDrings. PA 17007
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } S8
COUNTY OF Cumberland
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 tl;1e estate according to law.
/,. .'..!J!
Sworn to or aff~~ and subscribed f./ II k"1! <'C I~. ./l..#.~,,;, '- '"
before me thiS. day of { Mona P. Graham ~.
~ M~~h 1IL.2ilil5 ~
\ n&l.. OJ- N. '- ell:: >----' !;
1W'- .~'- ~'legister ~
No. ~\-()5" :10\
Estate of Calvin G. - Grim
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~r('" 3. JlSI2..lLQ.5., in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
lT IS DECREED that the instrument(s) dated June 20. 2 0 0 1
described therein be admitted to probate and filed of record as the last will nf
Calvin G. Grim
and Letters Testamentary
are hereby granted to Mona P. Graham
FEES
Probate, Letters, Etc. ......... $ ~I"O .llO
Short Certificates( ).......... $ ;) l..\ . tffi
~~......... $ \'5.00
" ,., IC'o\>
~CP ~ ~I:>~ .o'"'~~, $ "'DD
TOTAL _ $ 3.14. ()1)
Filed ........3.: ::?~ P .<i.. . . . . . . . . . . . . . .
A TIORNEY (Sup. Ct. J.D. No.)
Anthony L. DeLuca. #18067
113 Front street, Boiling
ADDRESS
Springs, PA
17007
717-258-6844
PHONE
.
Register of Wills of Cumberland County
OATH OF SUBSCRIBING WITNESS
Estateof C~ (r/r/tJ 6'. DrrH
No. J,I-()Pi -rJ()f
Also known as
, Deceased
/l A;if IJd ^" Y J.. p.", t.. U Cd> e:r f ...Jt r ~
I I
(each) a subscribing witness to the will/codicil presented herewith, (each) being duly qualified according
to law, depose(s) and say(s) that 1p W.J5" present and saw
C...;l (II r PU G'. ~/1/ #f ' the testata'" , sign the same and that
h r' signed as a witness at the request of the testato'f'in h 1L-.
presence and (in the presence of each other) (in the presence of the other subscribing witness(es).
Sworn to or affirmed ~ subscribed
Before me this ~~\ day of
\\'0.,-( '" , 20 ()5
a~ ~,4~;"I.t_
(Name) r
II :J I"dA/Y- ,,~~<pV
1: " ( 1/ AJ tr S I" N /LJr.'.r,4, ^ I ?dd 7"
(Address) I I"
ftRnrlrt)tOJc..'-'U-- ~~~w.:>--../
Register ()
? 0 , CO .c\.u.D-\:
Deputy
(Name)
(Address)
n:'
r
-~
.,
Register of Wills of Cumberland County
.
OATH OF NON-SUBSCRIBING WITNESS
Estate of CcJ(U/A j 6'. rt ~/""
No. ,-;< I.() .,,"). r10 I
Also known as
, Deceased
~f tJ ,ud
j?
,
OA'JA.'JH
(each) a subscriber hereto, (each) being duly qualified according to"faw, depose(s) and say(s) that
~I.r (S' familiar with the signature of C.;2(W,oJ 6" 0/1/eLt ,testato, of (one of the
subscribing witnesses to) the codicil/will presented herewith and that ~ believelbelieves the signature
on the codicil/will is in the handwriting of Cj;) (VI' A.J O' C" / _ to the best of
If f"r knowledge and belief.
Sworn to or affirmed ~d subscribed
Before me this _ 3 r-c day of
\il:~r C \.--. , 20..D2...
~~1?)J~
(Name) 5' Co C<"r.N.<J,>I/ ~~.pd.
$6r//tJ()(J:' :;,!<!?""/A}~/t1t'/~d7
(Address)
~MQ~~~;>'''-~~~
Register
\)."- ~ C,,,;t
Deputy "
(Name)
(Address)
no.
..\
Thi, i, 10 certify that lhe information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original cerlificate will be forwarded to the State Vilal Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
.,r'I'I"""""~~1111
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am..1?~,?-
Local Registrar
Fee for this certificate. $0.00
P 1133418G
FEB 2 2 2005
Date
ITEM 1/.,1 / t3
SHOUW READ AS FOLLOWS;
~--!~dlO~S-
am... /(' ~7-
Ii"" 2181
COMMONWEALTH OF PENNSVlVANIA e DEPARTMENT OF HEALTH e VITAL RECORDS
CERTIFICATE OF DEATH
NAME OF DECEDENT thSl, tJI_, la511 ---.-----.-.---------~----~-rse:i.- [:octAl SECUAITY NUM8EA 1~Al'EOf'OEATH,McnIrl,Oa~.''-'
,. Calvin G. Grim .. Male ,. 205 - 16 - 4011 February 20. 2005
AGE(lall8wll-<1ayI UNDER I YEAR UNOER1DR DATE Of'BlRTH BIATHI'LACEIC.rvMl<l PLloCEOF DERHICI>ec~or>Iy """ -- __ """u':I,o...on\Jlllef_1
...... 0". ..... M_ ,Mo""',~_'_l 3la1.OIFct'"9'COI.OIrYI HOSPITAl ISn
79 ,. . 2-16-1926 Hershey. PA In(I8lienlO EFIIOIApelillnlO "",0 "-ie_0 ~IO
. . .. ,. ...
COUNTY OF OE.oVH CITY. BORa. lWP OF DEATH FACllfT"Y NAME(lt""',"""fUI!O<l.9""'Slr",~~, ~ jJ DECEDENT OF HlSPANlCORIGIN1 1~:--~n.llleI:k'WIIII..*
NaEJ ..OIl)'M.-""CuboIn.
. _ Cumberland Lower Allen Two. Health South Rehabilitation Cente .~.,",-IUcan._. 10- White
... ...
DECfDENl'S USUAl OCCUPRIOH KINO OF BUSlNESS/lNOUSTRY ~_~.~~~~~~~N I DECEDENT'S EOUC~~ I MARITAlSWUS. ....... I.. """""""""""
(=_:0<:;.-':::&:)' L. "'--...........,.~. ('-'.grve__l
,.,110 ...0 1,:~1 .,..,. I" ........-
Truck Driver Transportation (I~Of~+) Divorced
. ... ".
DECEDENT'S "AllING AODAESS (Slr_. CoIyIbon. Sl*. Z", Coo.l DECEDENT'S Pennsylvania 17...IXJ..._llYedloo Monroe
. 560 Criswell Drive ,",u,"- 17..$tl>I8 '" ...
RESIDENCE -
Bo 11 ing Springs. PA 17007 ...-- _...
on<>lt>8tw.) Cumberland _,,7 1711l.0 :...~~af
,~ ,... --
FRHER'S NAME (Fils!. I.liddle. l.ut) MOTHER'S NAMEih$l. Mo:KIe. MaldeoSurnamej
". George Grim .. Minnie King
INFORMANT'S NAME (T VP8IPrinIl INFOfWAHT'SMAIllHG ADOAESS ISlr..I.~. SleI8.IopCodej
Rodnev G. Grim .... 12 Parkview Drive, Manchester, PA 17345
METHOD OF """"""'" JI: OF ~SPO&T~ PlACEOf'~~IOH'N:r:olf&ry.~ lOCAJ'lON-CiIyIbMt,s...Zlpc-
. _0 Ct--..D!I ~IronlSl...O (MonIh.Oey.\Ur) or~PIioc>e rema t on oc e ty of
_0 """'- o 211t. February 22, 2005 21... Pennsylvania Crematory 2tlll. Harrisburg, PA 17109
.21..
. ............ LICENSEE OR PERSON ACTING AS SUCH LICENSE NUM8ER rAUEANDAClOAESSOFFACllfT"YAUer emorJ..aJ.. nome 01 _~;~emat~on
i:I_ "7./ j~' / .c b-. "". FD013376-L Dc. Services rnc. Harrisburg PA 17109
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....2-4-28_be~by L~~~"~n V DATE PRONOUNCED DEAD (Monti>. Dav. """') 'MS CASE REFEARED 10 MEDICAL EXAl.llNERICOFlONEA1 ~
. ~whopn:lt'lOunCMdNCIb ...::l_::J"~..I; ,.,lOt: JL
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21. MAT I, E_lhedlMue.. injuo'iaOl~lioneodlichC&tl18dlhlld8ath_ Do not.nl...'hlI mode at "I'ing. SUCIIasca'diacOlr.sp;'al<><ya"....Sl'>ocko'...."la...... . "-oximela PAJIlTU: OIherlignillcenlc:on
cllioow~lOdMttl._
liaIonIy....._oneadlline !:::':= nDl'-*inlliol..IIIld8rtwlnlI_gi-.inPAATI.
lMIIEDIATI!CAU$I!{F.... G".1 S~t (..of 0 ,
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DUE IDlQR ASA CONSEOUENCE Of): ,
~"ca1diliane [: ,
1...,,-.gIO~ DUE 1O(1)R AS A CONSEQUENCE OF): ,
_.~UNDI!N.YINGl ,
" CAU8RlOoa<aeMOI......y ,
" ...-..-....... OUElO(ORASACONSEOUENCE OF)- ~
'....w..g..de8lhlLAST
Wt.SIMAlIl'OPSY MAE AUltlf'SY FINOlNGS WANNER OF DEATH DATEOFINJURY T1t.lEOFIPl,IURY IHJURYATWOAK1 DESCRl8E HON INJURY OCC\JRflED.
...........on A\IUlA8lEPAlORlO (Mon8l,~.\Var)
COIlIPlETlON Of' CAUSE IXI 0
OF OEAJH1 -. Hom_ O ...0
........ 0 0 -
Pendingln'ielligellarl
0 ...110 ,.,0 IXI 0 0 1_. M.
- ... Suicide CouIdnolbedelennN>8d PlACE(lF)"UURY-"".........larm.$l'..l.laCIOly.oIllc. I~OC.cr1ON CStr_, CoIy(bon. SIIIIet
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CUl'TWlEAICheckonlyOf\8l . SlGNATUREANDTl1CERTIFIER
.CUl'TIFY1NGI"HYSlCIAN(Physx:.....cer~c..,..d_wt>ena""'h"'Ill>"""'.anhaspronounceddealhanacom[Jlele<lllernnl 0 lV\()
To...-o."'Y......wIedge......occ:_cfue..._ce....j.l.nd.............1818d.. 1I1b. ~
LICENSENUI.l)~, I:VESlGI~r~IOey.lNrl
"PROHOUNCIMG AND CEATIFYItrIG l'tlYSIOAH tf'I>vsc:oan llOII1 i><"""",.-.::tr>Q dea.. and Cer1r(y"'llIOC.u" 01 ""alN 0 111... MD l..lt\.110 111l. L. ')...-\ 05
T._boMIot"'yknowlecl\l..,de.Ihac:c:....ecI..I.........d.I., ..ndplac:e.an.s_tolheuuH\aj.ndmann.,...I.led ......................
NAMEANDADORESS3:hRJC:W~P1.ffterm:lH
'MEDlCAL EXAMINER/CORONER (lletn 21l Type or P,int r
On Ihe ....1.01 ex.ml....tlon .and/or lm,..lIgalion, In my opinion, d.ath oc:"ull".d .llh. Iim.. d.le, and place, and due 10 th. ".""Isl.nd 0 "OJ1. Y'5'-"'~OJ~fJ"/7~/VaJtio....,,
,..~_.."..N.................~.......................................................
REGISTRAR'SSlGNATU o NUM8ER ~ I~ /,01, I, 1 OAlEHI.EO(l,\onIhOa~_f V
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STIiIE"LE_Ill!A
LAST WILL AND TESTAMENT
OF
CALVIN G. GRIM
I, CALVIN G. GRIM, a resident of 560 Criswell Extended, Boiling Springs,
Cumberland County, Pennsylvania being of sound mind, memory and understanding, do
hereby make, publish and declare this to be my Last Will and Testament, hereby revoking
all Wills and Codicils heretofore made by me.
c
ITEM 1: I direct that all my just debts, the expenses of my last illness and
funeral expenses be paid as soon after my decease as the same can conveniently be done.
ITEM 2: I direct that there shall be paid out of my residuary estate all estate,
inheritance and like taxes together with any interest or penalty thereon imposed by the
government of the United States, or any state or territory thereof, or by any foreign
government or political subdivision thereof, in respect to all property required to be
included in my gross estate for estate, inheritance or like tax purposes by any of such
governments, whether the property passes under this Will or otherwise, excluding,
however, any property over which I have a taxable power of appointment, provided,
however, that no residuary beneficiary shall by reason of this provision be denied the
benefit of any deduction, credit, favorable rate of tax or other benefit which by law
enures to such beneficiary.
ITEM 3: To the individuals listed below, I bequeath the following:
e../ -...-:.// ....d'~ ~
CALVIN G. GRIM
LAST WILL AND TESTAMENT
OF
CALVIN G. GRIM
a. To my daughter, VICKI ENDERS, all of the proceeds that are in my
account at M&T Bank;
b. To MONA P. GRAHAM, all of the proceeds that are in my account at
F&M Trust Co.;
c. To my son, RODNEY G. GRIM, all of the proceeds that are in my
accounts at Waypoint Bank and Mellon Bank;
d. To my son, RODNEY G. GRIM, my Ford Pickup truck, if owned by me at
the time of my death; and
e To my son and daughter, RODNEY G. GRIM and VICKI ENDERS, all of
my pets owned by me at the time of my death.
ITEM 4: I direct that my camper be sold and the proceeds divided, in equal
shares, unto my children, RODNEY G. GRIM and VICKI ENDERS.
ITEM 5: I direct that my remains be cremated and my ashes scattered over my
marker at Susquehanna Memorial Gardens Cemetery in York, Pennsylvania.
ITEM 6: I give, devise and bequeath my house and any remaining contents unto
MONA P. GRAHAM, provided, however, that she survives me and is living sixty (60)
days after the date of my death.
d>/.....--. ....c/ ..--d~-
CALVIN G. GRIM
2
LAST WILL AND TEST AMENT
OF
CALVIN G. GRIM
ITEM 7: If and in the event that MONA P. GRAHAM, does not survive me and
is not living sixty (60) days after the date of my death, then and in such event, I give,
devise and bequeath my house and any remaining contents, in equal shares, unto my son
and daughter, RODNEY G. GRIM, VICKI ENDERS, and the brother and sister of
MONA P GRAHAM'S, GEORGE PIPER, JENNIFER A. BROOME, provided
however, that they survive me and are living sixty (60) days after the date of my death.
ITEM 8: If and in the event that any of the persons identified in Item 7 do not
survive me and are not living sixty (60) days after the date of my death, then and in such
event, I give, devise and bequeath the interest in my estate, which such deceased person
would have received, if living, to the issue of said deceased person, per stirpes.
ITEM 9: I hereby nominate, constitute and appoint MONA P. GRAHAM,
Executrix, of this my Last Will and Testament, with full power to do any and all things
necessary for the complete administration of my estate, and direct that no bond or other
surety is required of her in this or any other jurisdiction for her performance of this
office.
If and in the event that MONA P. GRAHAM, does not survive me and is not
living sixty (60) days after the date of my death, or does not complete her duties as
,.
&f ___ .-4' ~------
CALVIN G. GRIM
3
LAST WILL AND TEST AMENT
OF
CALVIN G. GRIM
Executrix, then and in such event, I hereby nominate, constitute and appoint my son,
RODNEY G. GRIM, Executor of this my Last Will and Testament, with full power to do
any and all things necessary for the complete administration of my estate, and direct that
no bond or other surety is required of him in this or any other jurisdiction for his
performance of this office.
ITEM 10: If any provision of this Will or of any Codicil hereto is held to be
inoperative, invalid or illegal, it is my intention that all the remaining provisions thereof
shall continue to be fully operative and effective, so far as is possible and reasonable.
IN WITNESS WHEREOF, I, CALVIN G. GRIM, the Testator, have to this my
Last Will and Testament, typewritten on four (4) consecutively numbered pages,
subscribed my name and affixed my seal this~ -:;:/( day ofJune, 2001.
1"_ ?7 ---..'
-d -.-/~ (SEAL)
Signed, sealed, published and declared by the above named CALVIN G. GRIM, as and
for his Last Will and Testament, in the presence of us, who have hereunto subscribed our
names at his request, as witnesses hereto, in the presence ofthe said Testator, and of each
other.
C-1L~ ~a.k,'1' '7 residing at
IIJ ,r:-"cA.>Y-- ~~l""'V
')!r"/I/IVr.~/I/'/uG'f', I'Q' /7oiJ ~
/r "
t12' (/ '1~
Itl(j'tVd - J..Y. .ra xesiding at
/13\#"1.~.~!Ld
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1711C'7
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