HomeMy WebLinkAbout03-07-05
.
Register ofWiUs ofCumberIand County
r",)
PETITION FOR PRODA TE aDd GRANT OF LEITERS
E.tate of. Lloyd C. God..
aho known as
No. .:21 ~o5 ~ O~l \
To:
. De~ased
Register of Wills for tile
CoWlty of Cumberland in tile
COllllllOl1wealth of Pennsylvania
(..,',:~
Social Security No. ll1l>O3-1249
The petition of tile W1dersigned respectfully tep.reSeI1IS tho!:
Your petitioner(s), who ware 18 years of age or older, and tile execut~named in the \sst will of tile
above decedent, dated Seplember29 .29'1993
and codicil(s) dated N1A
<_ relOV1II1 circum_. 0.8. I1III1IlIC>illli..., doaIb of oxocutDr. ""'.)
Decedent was domiciled at death in Cumbertolnd CoIny
Pennsylvania, with h_lsst familv or principal residence at
3UndenCalMt. Camp Hit, PA 17011
(list street, number and mwticipality)
Decedent, then 92 years of age, died Febnaty 4 . 20~ at 7:06 A.M.
Except as follows, decedent did not marry, was not divoroed and did not have a child born or adopted after
execmion of tile will offered for probate; was not the victim of a killing and was never adjudicated incompetent:
NlA
CoWlty ,
Decedent 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 CoWlty
Value of real estate in Pennsylvania
situated as follows:
$ :i 000.00
$ NlA
$ NlA
$ ~
WHEREFORE, petitioner(s) respectfully rcquesl(s) tile probate of tile lsst will and codicil(s) presented
berewith and the grant of lettersRichard C. GMo8
<_oo1aty; odmiailllnlli... c.I.a.; adminilllnlli... d.b.n...I.L)
thereon.
/{ ~~Js~r~:ii,,-
Residcnce(s) of Petitioner(s)
4f1J1 S. CIMMew Drive, Camp Hit. PA 17011
.
Rqister of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
(:.'1
COMMONWEALTII OF PENNSYLVANIA
COUNTY OF CUMBERLAND
}
88:
The petitioner(s) above-named sweM(s) or aflitm(s) that the statements in the foregoing petition are true eni!:,)
correct to the best of the knowledge and belief of petitioner(s) and that as per8Oll81 representative(s) of the above
decedent petitioner(s) will well and truly admini..... the estate according to law.
Swom to or atIumedand subscribed {-/.. -Jf~~.L- (/ ~-am/
Before me this .. i- '---' day of
'\'(\c~,c" .2005
,-~~,*OJ~~ ~'rv, . ''&-
--p2^ 't ~--L'dc.::;gl.ter
Not. ,;21-05-..21/
Estate.f Uoyd C. G8lee
..Dennie.
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW March " 20~, in consideration of the petition on the reverse side
hereof, satisfaclOly proof having been '"_ted before me, IT IS DECREED that the instnunent(s), dated
29 SeptIlmbor 1903' . described therein be admitted to probate filed of record as the last will of
Uoyd C. G8lee ; and Letters are hereby granted to
Rlch8ld C. G8Ie8
\ llh"c-\o ':{O--L,,--,W. Cb-D1.\X;,~"",9-'--'--' CW--}--
RegistcrOfWiIIS~ () K~
/I.. -- I U
OIl.... P. Ston. 85715 .' p'-"^ w __;{ - j
Attorney (Sup. Ct. !.D. No.)
P.O. Box 896
DIllsburg, PA 17019
Address
FEES
Probate, Letters, Etc. ... .......... S
Will................................. S
Renunciation....................... S
Sbort Certificates ( )............ S
JCP.................................. $ Automation Fee................... S
Bond................................. S
Total $
Filed MlII'Ch" 20~
3000
\5.0-0
:;Lo -0\:
I () . I'D
5 G')
"? 1\ . ('').')
717-432-2089
Phone
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H '()_<.~().< R.I:\
This is to certify that the information here given is correctly copied from an original certificate of death quly filed with me as
L<lcal Regislrar~ The original certificate will be forwarded to the State Vital Records Office t<>f permaneni filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee t(,r this certificate. $6.00
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P 11336297
No.
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Local Registrar '
c?~ '7; J-MS'
/ Date
T'i!'E/PRlN1'
"
PERMANENT
BLACI<INI<
CERTIFICATE OF DEATH
COMMONWEALTH Of PE:NNSYLVANIA . DEPARTME:NT Of HEALTH. VITAL RECORDS
$fAT~ f1L~"UMaER
l-HOS.14J Il.n 2/87
W>.ME.Of OECi'cOEN1(Fir$I, MIddle, Lasl)
,. Lloyd C. Gates
AGE (Lasl B<n/'lday)
BIRTHPUlCE (Cill' and
S",lI,orFor..ignCQunlty)
PA.
92
,,,
,
CaUN1\' OF DE" TH
Cumberland
8~ast Pennsboro
KINO OF BUSlNESS/INDUSTI'lV
"
DECEDEI'IT'S USUAL OCCUPATION
i~~~~!:'':o~."~~n,~~''
lIa Pri nter 111>. Hews a er
DECEDENT'S MAIl-lNG ADDRESS {S\rtl..l, Cill'ffown, Slale, Zip Code) OECEDEWT'S
3 linden Court ~~~O'tNCE
earn Hill PA 17011 ~~a~~~t~J~)'
11a.Slale Old
lIecll<lenl
livelna
Ub,Cou,,"-" l.Umherlt'lnrl ltW/fI~1
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"
FATHER'S NAME (First, Mkldkl. Lasl)
"
INFORMANT'SNAME (TypalPr...l)
20a.
ME1HOO OF ClSPos,IT\ON
B"riai GJ Cremalion G..mo~"\f'''''' SlaI& 0
Olhe, (Specify)
FUNE S~
U''il't'~w~ - L
'"
Vlechanicsbur Cemeter 21dMechanicsbur
NIl.MEAtID-.ODRESSOF FAC\\.ITY
2Hyers Funeral Home
LICENSE NUMBER
PA 17055
PA 1705
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SOCll\LSECUfl,I1\' tfuMeER
,185 03 -1249
DATE OF DEATtt (Monlh. Day, Veal)
,r;, 'Y ::It) 6-
~;:~~J 0
RACE, """',ican indian, Bla,*. While. st
(Specify)
10,W
MARIT"'-- 51A1US _Married,
N..ve, Mamed. Widowed.
Oi~<><c.&d(SP&Cify)
W'
l1c.lil V....Jec..d..nlllv'1<Iln Harooden
,-,
1111,0 ~h~~:r:;:i'i:of
cill'lt>oro
MOTHER'S N/l,ME IF;,.,I, MidOle, Meillefl SurJIam..)
1,. Janet Pearl Thrush
INFORMANT'S MAILING ADDRESS (SlIaal. Cill'rrown, 5"'1", Zip Codal
1~. 409' .
PLACE OF DISPOSITION- _<>1 ~&r1. C,em;o\Ofy LOCA110N Cill'ffown, Slate, Zip c"de
orOlh"" Place
'ME01CAl EUM1N~RiCORONEI'I.
~~~~:rb::~';I'a~.:in.tl"" andlOl.n.....UUallon, In my opinIon, deal/l occ""ad allh. II"'., dal.. and pi""., and Que to\ll. ull_Ie\ aIIl1 0
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REGISTAAR'$ SIGM"TURE "Ii\) "UMBER
"JluL4aALCa.';L.Jj~fj 10/1-<1/J2j
olhebe.t"'mv~.d<o;>lhoccunedellheli"'e,""t..afldpteceslated
f&gnalula and TIUe)
2$..
TIME OF DEATH
(
(lu,"" e ~'.,,~
DUE T(I (OR AS ONEQuENCEOFI
E
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Seq...anWlL'y.~tCDrlditions
ifafl\l.leadinQloinlmedial<l
_ cause.Ent"rUNDElRlVIHG
CAUSE (Disol1S(lO<iniu<'J
-thal"',Ualedevenl.
'a....~...gondeatt\\LAST
WAS"'" AUTOPSV WERE "UTOP$V FINDINGS
PERFORMED? AVAlU'.BLE PRIOR TO
COMPLETION OF cmsli:
FDE,6,TH?
Acci<!ent
P~l1<1inQlnveSliyal'lon
,.,
PLACE OF tNJURY
O<.o''''''Il,.t<iS_'M
,.,
DlJETO\ORASACOlI EQuENCEOFI
OUETOIORASACQNEQUENCEOFJ
IkJrn/CiJe
OATEOFINJUAV
(Month,o."r."-1
o
o
o
IAANNEROF0EA1H
NaMal ~
o
o
V.. 0
",0
Cwkl"",(t.e<l<>\..",.;,v;,,;
Suicide
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2.... 2tb_
CERTIFIER (Che<'i< only on/l)
-l~'M:':.l~for::'~~~~.Ir~..~:~h~~.i"cl'::': I~ ~~~~~(:)'~~~~~~~~a~.I\:'M~:r..~~~~~_~.~~.~. ~~'.~ .:~~~~~~~.~ .i.t.~r.~ .~?). .
-PRONOUNCING A"'O CERTIFYING PHVSlC1A,N IPI1y.ki~n l>ullll"onouncing ckath and 00ll'fy"'9 to causa of dealtl)
Tothab...tofmyknowlelllilB.d.alhoccurr..datll\<OlIm..<I......,..lIp1.ca.andolualothaCau...{.)andmannara..tal.d...
23b. 2k.
W'. 5 CASE REFERRED TO A MEDICAL EXAMINER ICORONE~
26 "1..0 NO~
;Apl'fo~imata PART II, ou... ~nilk"n\ cond~'"",s conlril>ulJng 10 d.alh, but
: int......BIbe_n not'''.ukinglnlneund..~yln9Cll"...glveninPARTi
:onSOl.nd<1<>ath
TIMfOFINJURV
iNJURV"T WORK? DESCRIBE HOW INJURY QCCul'\REO
.YuD NoD
30b M $~ Jlld
AI home, f.lm, streel. factory. offiU LOCATION (Stre..l, CHylTown. Slate)
..l-ol\5'
,
6
Last Will and Testament
Unmarried Individual with Two or More Beneficiaries
I, L / () Y cl. C, ejATE S . . p~:sehtly residing at
3 ;(j/l./DE.:?-( {}CI/;<{/, ...t!/1/17/' /lILL /::J ;r1Cw ,
. '. I. / ',,'
do hereby make, pubhsh 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. ~A;
First. I am an unmarried person. I do hereby give all my estate to the following named ~.(/()
person/ persons or the survivor of them in equal shares:
, Second. larder 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.
'lfji j (] {-',
Third. I nominate and appoint /(I/ll'1'(.l) .oN 7/!7E.s
as Executorj Executrix of this Will. In the event that he/ she shall r cea~eJlle orfails to sur
to serve as Executor/Executrix then I nominate and appoint. '/fL L-,- ,
Executor j Executri!' of this my Last Will and Testament. I further direct that no appointee hereunder shall be
required.to give any bond for the faithful performance of his/her duties.
FQurth. I hereby authorize my Executor/Executrix to exercise all the powers, rights, discretions,
duties and'immunities conferred upon fiduciaries to the extent permitted by lao,y with full power to sell, lease,
mortgage, invest, reinvest, or otherwise dispose of the assets of my estate.
___2dl_Dayof ~/J1'~q
er~~
I subscribe my name to this Will this
Signed, sealed, published and declared to be his/her Last Will and Testament by the within named
Testator in the presence of us, who in his/ her presence and at ~/..b'f!equest, ~d in the~if.iEe of each
other, have hereunto subscribed our names as witnesses this. ., _ day of I:tf"''' , 19 '3 .
(I) ~NI3.I-/Rfl.Mt>A/ ofCIf",," Mil
(City)
(2) 'PA-u L I? (;.A .,-r.; of MeH\A-......ci..1
(City)
(3)JJele'"l\ ~. JI"T-'O~_____ofCo-"",p H/)/>
(Cily)
. f' q.,
(State)
PA-,
(State)
FA-.
(Stale)
@1992 by AFBP. All rights reserved.
Affidavit of Execution and Attestation
I sign my name to this, my Will, and being duly sworn, declare that I sign voluntarily for the purposes
expressed therein, and am of lawful age, of sound mind and under no undue influence.
~~_e..~ad,;~.
estator)
The undersigned witnesses being duly sworn, each declares that the Testator signed this Will consisting
of one page with writing on both sides thereof, at the end thereof, and on each side thereof, in our presence,
and signified, published and declared in our presence that this instrument is his / her Last Will and Testament,
and that at the request of and in the presence of Testator and in the presence of each other and in the presen~_
of a Notary Public each has subscribed his! her name to this Will as witness to Testator signing this ~
day ofSt"T/!!H~I/:'It.., 19~, and to the hest of his/her knowledge Testator is of lawful age, of sound
mind and under no undue influence.
~'--
/:t7 6', G-1t..1Sf$~ .J'r.
residing at c?.lLttf III...", f'A, ?fS~
I
58" Gu K&<i:t.~.s~ J?
residing at ~F c.N.4 A.l1~u' Ay r ~/7t:1 ('0-
It 7 C. G-tl.. 6'SN sr;
I"'.A 4f f" Ji, c-." I ~ t 7.tJl (
(I) rJ~fi~
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(2)
(3) ->> lI" '#:....-_...
State of ~,uIll.rY'-'''A#Jt.''
County of ~""'''Sltt.A-M.b
residing at
and JbJlN
#a (..6'"
8. JI~..tJ
,-. /LA /GIlt .. N
L Lo y})
?AVt. ,f.
City or Town t: "'141~ H ,,,(.., I"
e. (;/f-r"'S
G......,.I5S
, and
Subscribed, sworn to and acknowledged before me by the Testator
(Seal)
(N
--'-"'---1
NOTA.RIAL SEAL
ALBffiT R SMITH, Nowy PulJlic
Camp Hi\l,PA Cumberland County I
My Commission Expires March 6, 1995 \
~" .
......
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