HomeMy WebLinkAbout03-14-05
Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of CI-/ z.,4-..be~ 11. 7/dll/IE"RI111f1N' No. ~~~S - ~ J.. ~ 5
also known as B'e'Hy.2. / ',n,/17J&r'1'nA,u - To:
1Jff'1l:t'J, r" ~tJ 5 Deceased.
Social Security No. /37- Iii -tJ 3.:Q.o
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
...-.-
y 0"' petitiOn"~ who islam 18 ye...' of age 0' oldee, ",d the exeeut-L named in 'he I", will of the
above decedent, dated ~J!! .I h. /9 / tf ;g> C , 20
and codicil(s) dated .-' /
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in C tvr?1 be /2.M rJ L County,
last family or principal r sidence at
.t1. ( . - /
(list street, number and municipality)
Decedent, then .i.Ihears of age, died 1/1. flt2c...h 1 ' 20 ~ at /J..ot. v -::; I? /12-/ + .
Except as follows, decedent did not marry, was not divorced and did not have ~ child born or adopted after
execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent:
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
(Ifnot domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
lJ.~
.4/V/lfu /
5' t2 000
.I
WHEREFORE, petitioner(s) respectfully fequest(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters -te 'A-Ylev -f-4f2-
(testamenta ; administration c.t.a.; administration d.b.8.c.t.a.)
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Ct"li
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
}
SS:
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 ofpetitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) will well and truly administer the estate according to law.
~~ .~ .fltda 91~
r1
Sworn to or affirmed an~bsc{ibed
Before me this \ y+ ' day of
'f'('('J-J\. c '" , 200 5
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2
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\):1 i 0 f'rlo. ~~G..Ah <lA.- 1- ~ -h (I ^ I~ ~ - hv
~ Cff -\~\-: Registe;~
~ No. "l'\:)~S _~:).\.\S
Estate of Cl\1..~~IO.""\\\ \1\. l\"'''',t...'''1\..~ Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW V\ ~ ~~\\. 'S 20~ , in consideration of the petition on the reverse side
h~reof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s), dated
'" - \~ - \~ ~5 , described therein be admitted to probate filed of record as the last will of
~L\1.~2><;"""\\\ '" . '1.\"'''~~'''(\ ~ ; and Letters are hereby granted to -::s~'\)'''~ ~. '" \ \..~~<;,~ ~~
'0,,-,
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\S,~~
C;~ ~~ ~~'
~q. ~~~Wi~~~ \:)~
FEES
Probate, Letters, Etc. .............
Will............................. ....
$
$
Renunciation....................... $
Short Certificates ('l.\) ............ $
lCP............... ................... $
$
$
$
20~
Attorney (Sup. Ct. I.D. No.)
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Automation Fee......... ..........
Bond...........................,. ....
Total
Filed ~ - \5
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....':>.... .~~
C.;.J
C),\
Address
Phone
Regi~erofWillsofCumberlandCounty
OATH OF SUBSCRIBING WITNESS
Estate of a ~J/ // I f-<<<"i(J<-
Also known as
No. ~ s - ~ '<...'\..5
, Deceased
~m,~
(each) a subscribing witness to the will/codicil presented herewith, (each) being duly qualified according
to law, depose(s) and say(s) that k ~ present and saw
. ~ ~' ~. , the testat~ sign the same and that
signed as a witness at the request of the testat.t. 'k h QJ..../
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 "\ S ~ '" day of
""" ~ , 20 ~ S
~~~rU'
i~
(Address) ...
~~~ ~~~~l
Register
~~'~~l ~~~ ~~
Deputy
(Name)
(Address)
c,
C('\
Register of\Vills of Cumberland Coun~
OATH OF NON-SUBSCRIBING WITNESS
Estate of JC 1. J <2A.it!~ At. 'l/mI}JEJf7rlAJ No. <:J S - ~ ~'-\ S
Also known as ~ Ny Z; '/JJ7IllE-R/1'?'\A-~
'1;1, /
r ,l412c. ;; 9 :A. ODS , Deceased
./
.Iud \' ~ /4. ;1Il(?l--A-u ~II L ,,J
(~A)
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
familiar with the signature of ft.-, 24~.e ?A fl. 2, o.rdaM8ta~_ of (one of the
subscribing witnesses to) the codicil/will presented herewith and that I believelbelieves the signature
on the codicil/will is in the handwriting of 13LI ~/t't:if.... .);/, 7.. ('mt Il1LtI!/fltf-J to the best of
tv\. Y knowledge and belief.
,
x
(
Sworn to or affirmed and subscribed
Before me this \ Lr~ day of
~c:\-\_,20D~
(Address)
~~ ~~~1t;wb~L
Register ~ . (j
~~~y ~.
( Address)
(Name)
(tJ
(/..}
Register of Wills of Cumberland County
BOND AND SURETY FOR PERSONAL REPRESENTATIVE
Estate of e 1- I ~..6e h'; ;t-r..Z ( In /YIERtflA-n.!No. ~ ~~ S . '\:) -l... ~ S
Also known as t)e -j -I- 'I .
M fJ1?cA cy / dB 0 ~- , Deceased
/
KNOW ALL BY THESE PRESENTS, that J vr; - 1(-4 f) J.'\ ~ L~tJtHA~~rincipal(s) and
as surety (sureties) are held and firmly bound unto
the Commonwealth of Pennsylvania in the sum of ~ S'/X1'~ 7H~tJ511A/D dollars
($ "'" ~ (Hi',',.) to be paid to the Commonwealth, for which payment we do bind ourselves, jointly and severally, our
heirs, executors, administrators and successors, the condition of this obligation being that if
cJ 11/:>11" N A fvlJ 1 i1 v G.I-IL JlV as (state
fiduciary capacity) ex f [ Lf.., n / .f of the estate of
l:/j ZIJI3;:-r fI fJ I 2/ k I'f E:~M ~ tJ , deceased, or any of them, shall well and truly administer the estate
according to law, then this obligation shall be void as to the personal representative or representatives who shall so
administer the estate and his or their surety or sureties; but otherwise it shall remain in full force.
Signed and sealed this
be legally bound hereby.
JS Ii day of
fv1 ~ IU-H
, 20 lr"<. -, each intending to
Signature of Personal Representative
(Seal)
Sign
w,O' ,)
(.".,~ I
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03/15/2005 TUE 12:}1. FAX 717+657+1947 OHIO CASUALTY BBG BOND
~001/001
CERTJF1ED COpy OF POWER OF AITORNEY
THE OHIO CASUALTY INSURANCE COMPANY
WEST AMERICAN INSURANCE COMPANY
Nn.33-.'I61
Know All Men by These Presents: "Chat THE omo CASUALTY INSURAN(:F. COMPANY, an Ohio CUI'pOrotion, and WEST AMF.RICAN
lNSURANCfi COMPANY, an lndiana Corponlliun. pursuant to thc :J.uthority granted by Arlie!.: 11/, Section 9 (If the Code of RtguJillium and By-Law& of The Ohio
Ca.qualty In$ul':IJ\cc Company and West runtl'icanlnsuronce Company. d(l hcreby nominat.., corn;lilulc and lqlpnint: Iblpll G. Vlehlllaa. Jr... Thoma.)t, Vic:hman or
D. Jc:all Kodriplll! of M.ellanJC&bnrg. Pt.JlnsylvMia ill; true and lawful agent (5) and atlOl'ley (s)-in-Iacl, to make, execute, seal and delivez- for ilnd un ill; behalf Lq
SUT1lly, und IlK ill> act and dced any and all BONDS. UNDI1.IUAKIN(;S. and RECOGNIZt\NCn5, nut exceeding in any single instance ONE MILLION
($1,000,000.00) DOLLARS, excluding, however. any bond(s) or undmaking(R) guarantec:ing the paymenl ofnutes and inlCrc:.~t therc(lll
And the eJLecution uf such bonds or undertaking.' in pursuance of lhese p=enlJi, &hall he :u !linding upon $:lid C01'l'lpilIliel. lIS fully and :J.mllly. to all intCl\ts and
pUI])oscs. as if Ibey h.,d bem duly executed IIlld aclcnowlcdScd by tbc regularly elecled officem ot'thc Companies at theh' adminislrolive ofticc., in Fairfield. Ohio, in
their own propc:l" persolls.
'rhe authority granted hert\lDder supersedes any previous lIuthl1rity hc:rctotore granted the above nlllTled attomey(s)-in-tact.
Tn WITNESS WHEREOF, the undc:n;igned officer oftIlc said TIle Ohio CiI.~WLIty InRUTlIIlCC Comp.,ny aJld West Amtrican Insurance
Company ha., hereunto subscribed llis name and affixed thll Corporate Seal of caeh Company this 30th day of Oc:tllber. 1998
.4f.!.'!'!...
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Sam Lawrence, A!lSi$bnt Seerela!)'
ST A TB OF OT-TTO.
COUNTY OF RlITt811
On this 30th day of October, 1993 before tho: subSl:riber. a Nutary I'uhlie nfthe Stlte (lrOhio. in and Cor thll County of Butler, duly eonllnissioned and qu.llified, cllm~
Sam LawreDce, ASlliltallt Secret:lry of THE omo CASUALTY IN~lJRAN(:I~ COMPANY and ~T AMERJeAN lN$URANG8 COMPANY. to me personally
known to be the ;nd;,,;dual and officer desc:ribcd itl, and who ""l:Cuted lhe precC(\ing instrument, and he aCknowledged lhe execution (If the s.,me. and bemg by m..
duly'sworn de:poses lIRd U)'ll that he is the offieCf ofthc: Conlpanies wun:said, and that the ~ affixed to the preceding in~lrumc:nt arc the Corporate Seals of said
Companies.lIUd the liUid CotpOratc Scala and hi~ sign:J.tllre as officer were duly affixed and Rubscribcd to the said instrument by the lluthoTity and direction C)fthc said
Corporntions.
IN Tf'.sTIMONY WHEREOF. I hllve hc:reunlu set my hand and affixcd my Official Slllllutlhe City of Hamilton, Satc of Ohio. the dlly and yellr ilTlilabuvc written.
(I) CMf .J. 4fi
Notary Public in and tor County oiDull..r. Slllle uCOhill
My Commission elrpires August 6. 2002
TI\is power of allomey is 4.'TlII1ted under :J.nd by authority of Article m. Section 9 (If the Code of ,Regulations and Dy.L:lws of The Ohill (:a.~ulllty Insurance CompallY
and West American Insurunce Company. CXV'aCUl from which read:
Article m. Section 9: AMlOintment nf Ann/'llCV$-in.r.1el. The Chairmun of the Board, the Prcsidcnt, any Vice-President. thll Secretary or any A~~ist:lllt
$cerctlly of tllC corporation shull be and il hereby VCIlr.cd with fun power and uulburily to appoint anomey!l-in-fact for tI,e pllI'pOSe of sil.'tIing the name of the
CIlTJInrarlon as surety to, and to exeCulll. atlllch the Ileal ot'the corporation to. aeknowkd"e and deliver any and all bond~, rce()8ni,.~'nees. stipulllliuns. und.:rlllkinSl' or
other instrUmcnts of suretysllip and policiei ufin~unmce to \Ie given ill tavor of any individuv.l, linn. cntpOration. partnership, limitcdliabiJity company ur uther entity.
or the official representative thereof. or to any county or Ntate. (lr any official board 01' boardi uf lIny county or ,.ute. or the llnited StalC$ of AmeJica Or any ageney
lhc:rc:llf. lIT to any other political subdivision thel'el)f
This instrum:nl is biJ:llcd and ~ca'cd as authori"ed by tIle following resululion adopted by the 80ards of Directors of the C01'l'lpanills un October 2\, 2004:
.lU:SOLVED. That tllc: sigl\:ltllre of any officer of the Company authorb:cd under Article m, Section 9 of its Cude of Regul3tinn~ and By-Iaw$ ;lIld IlIe
Compiltly Rid may be affixed by facsimile to any power of atlumllY ur copy thereot'iRwcd (In bellalf of tlle Company to milkll, Cltecute, seal and deliver tar and (1/1 its
behalf as surety llI\y and all bund.~. undcnalcings or olher wriuen obligatiOllli in the nllturc thcn:af; t(l prescribe their respective dutieS and the relipective limit~ ofthcir
autbority; and to revoke any such IIPPllintment Such signatures and se.,1 are h..reby adupted by the Company as original signatures Md s~ullllld .hall. wi th T'CSpect to
:lO)' bond. undcrtaklnJl. or oll\et wrillen ob(il.'lllilm.~ in the natllre thercofto which it is attached, be valid and binding upon the Company with lhe sami: COl"C<land effect
lL~ though manually affixed.
CEll.TIPICA TE
I, Ule undel'SitJ\ed A~si~tlmt Secretary ofThc Ohio Casllal!)' Insur.mc:e Company and West American Insurnnce COltlparlY, do hcm:by ccrtity th:J.t the foregoing power of
attorney. the referenced By-laW!; ufthe Companies and the above resolutiOn oflhcir Board$ of llireetors art trUC andlJ\MCheorrect co .ii:S and lITe in full fnrec :lnd effect on
this date. I tAn f"\ -
TN WITNESS WHEREOF, I hllvc hereunto Rct my hand :J.nd the seals of the Compunies this ~ d:J.Y of f7W~
~.~.,~~ --#/ 'I'" / /. /L
~.-.~~.~,.~ /Tt.(L~-
Assistant Secrelary
H105.805 REV 1/05 ~ S - \.) c:t. 4...S
This is to certify that the information here given is correctly copied from an original certificate of death d\}ly filed with me as
Local Reg~~trar. 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.
Fee for this certificate, $6.00
No.
1Ji ~' ~
"-- 'U/u~1L 'LJ.I~); '~~
Local Registrar
p
11336820
'1hvu-'f/3 d~
"
Date
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H106. 143 Rev. 2187
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
STATE fU NUMBER
TYPElPRlNT
IN
PERMANENT
BLACK INK
sex
2. Female
SOCIAL SECURITY NUMBER
I. 187 14
005
BIRTHPlACE (City...
S.... or ForoIgn co...lIy)
. I. 90 v,.
COUNTY OF DEATH
_. 0 ;:::'~I 0
RACE. American IncIan, (hck, W'ite, .,
(Speedy)
11>. CUmberland
OECEOENT'S USUAl OCCUPATION
lot~~~~=r
110. Bookkeeper llb. Accounting
DECEDENT'S MAILING ADDRESS (Snet, City"own. SIIle, Ip
613A Geneva Drive Apt. 20
II. Mechanicsburg I PA 1 7055
FATHER'S NAME (Fnt. Mickle, last)
11. Andrew Janosk
INF MANT'S NAM (TypeIPrinl)
2b. Judith McLau hlin
METHOD OF OISPOSITION
. 000.11"" 0 Bunal KI CramaIioo o.emOVal"om S... 0
. 21.. Other (Specify)
. SIGNATURE se
...East Pennsooro
KINO OF BUstNESS I INDUSTRY
'0.
White
SURVIVING SPOUSE
(tf.......liFY.fNlldeclnamej
Allen
two
17b. COunIY
CUmber land
atylboto
DATE OF OISPOSlTlON
(MonIh, o.y, v..)
o 21b.March 14 2005
P SON ACTING AS SUCH LICENSE NUMBER
22b. FD 014889
To" bell f1 my knowledge, death OCQITed lit lhetime, date and paace stated
(SiflWra ... T~a)
23..
TIME Of DEATH
J:'i5
2'e. st.
21.
. Approxim..
: inl8rvlll b8tw
: onset end death
~
TO(
f-
Z
W
o
w
o
w
o
I>-
o
w
:Ii
<
z
Sequentially list condition.
. if any. leading 10 tmmediate
. caU5l!1. Entar UNOERL YlNG
CAUSE (OIse8l. or irlury
thai initiated event.
reSUlting on death ) LAST
WAS AN AUTOPSY VIoERE AUTOPSY FINDINGS MANNER OF DEATH DATE OF INJURY
PERFORMED? ~6~~~~~RC~~SE Natura ~ HomicidEl D (Monlt, Day, YNr)
OF DEATH? Accident 0 Pending Investigation 0 Yes 0 No 0
m 0 0- -~-
Yes 0 No ~ Yes 0 No 0 Suicide Could not be determined PlACE OF INJURY. At home, tarin, street, factory, office
21.. 28b. 21. ;:0. ek:_ (~~l 30(.
CERTIFIER (Chec:k only one) SIGNATURE AND TITLE OF CERT /'~ L4
.l~~F=J::'~.JI.Il;."l=":Q.~=~::r.:~:r".:JJrn\"'..ln~~~~."~~Itl.~.~~~I~.I~~:~).........)i!J ~~ENSE NUMBER I'V- / _
-~O:'~':fGm~H:=~=::~:::=~~=~~.~d~::;:Z=~):~::~.ra'''''.d... .,.....0 :t1c. ,.."O~/~'1.lJ-e :S1d. r1'/,-I..1t " ~~ J
-MEDiCAL EXAMtNERlCORONER =1~.p;.~~ #r;~~~ CON':E~~~.:~~~ OF JlftJH
On the basis of ...mination anellor In.....Ug.uon. In my opinion, death occurred" the time, date. and plac., and due to the c;IU...cS) and D ';%.,., 11- s~ ".......-c-
311~annen.etated..' .................. 32. c::::.-"......., I~ I' II 4e I)v It
RE S DATE FI EO (Month. Oay, Year)
lA UJ~
E
DUE
OUE TO (OR AS A
SEa
OF):
TIME OF INJURY
INJURY AT v\()RK1 DESCRIBE HOW INJURY OCCURRED
...
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(0
LAST WILL AND TESTAMENT OF ELIZABETH M. ZIMMERMAN
I, ELIZABETH M. ZIMMERMAN, of the Township of Upper
Allen, County of Cumberland and State of 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 give and bequeath the sum of Five Thousand Dollars
($5,000.00) to SCOTT A. McLAUGHLIN, son of Judith Ann McLaugh-
lin.
3.
)
)
- )
I give and bequeath the sum of Five ThousandD,?lliirs
-......,
($5,000.00) to LISA M. McLAUGHLIN, daughter of Judith Ann Mc,~
Laughlin.
(.:.)
. I
-..-)
4.
I nominate, constitue and appoint CCNB BANK, N.A., to
be the guardian of the estate of any beneficiary who is not of
age on the date of my death, and direct that said guardian in
its sole discretion, shall apply principal as well as interest
for the maintenance, education and support,of such beneficiary
when the same is in his or her best interest, without the neces-
sity of petitioning the Orphans' Court for permission to make
-1-
such expenditures; I direct that said guardian shall take
possession of all insurance or annuity contracts on my life
to which said beneficiary is entitled, and any and all pensions
or death benefits from my employer or from any society or or-
ganization of which I am a member, said proceeds to be added
to the share of each beneficiary under this Will.
5.
All the rest, residue and remainder of my estate,
of whatsoever nature and wheresoever situate, I give, devise
and bequeath to my niece, JUDITH ANN McLAUGHLIN, absolutely
and unconditionally.
6.
I nominate, constitute and appoint my niecw, JUDITH
ANN McLAUGHLIN, to be the Executrix of this, my Last Will and
Testament.
IN WITNESS WHEREOF, I have hereunto set my hand
and seal this "~ day of April, A. D. 1985.
Signed, sealed, published and declared by the above-
named ELIZABETH M. ZIMMERMAN, 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.
,
-2-