HomeMy WebLinkAbout03-29-05
aM3ERLAND
Register of Wills of BRIt County, Pennsylvania
PETITION FOR GRANT OF LETTERS
No. 2.1-05- Oll2-
Estate of
LlXX :c. lVIAGAOO
also known as
,Deceased Social Security No.
189-09-0327
Petitioner(s) who is/are 18 years of age or older, apply(ies) for:
(COMPLETE "A" OR "B" BELOW:)
~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(x) isiemcthe execu~~named in the last Will of the
decedent, dated August 6. 2004 and codicil(s) dated ~
/
( State relevant circumstances, e.g. renunciation, death of executor, etc.)
. :;
.,
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after exec:ution 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
\,',)
(d.b.n.c.t.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 followin~i~pouse
(if any) and heirs:
'''i
:,j
. ". .....
I Name Relationship Residence f"". "t :1
.,
,
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary
Decedent was domiciled at death in Ctmber I and County, Pennsylvania, with his/her last family
or principal residence at 824 Lisburn Road - Apartment 401. Cmrv Hill. PA 17011 (Lower Allen Twp.)
(list street, number, and municipality)
Decedent, then
94
years of age, died March 16
,20 ~,at Holy Spiri t Hospital
(Location)
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 County
Value of Real Estate in Pennsylvania
$
$
$
$
35.000.00
o
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant
of letters in the appropriate form to the undersigned:
Typed or printed name and residence
Louise M. Burnheimer
117 North Lewisber
Dillsbur , PA 17019
Road
snace!WillsPetGrantLt/2001
< Oath of Personal Representative
Commonwealth of Pennsylvania
County of~ aM3ERLAND
The Petitioner(.5) 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 or PetitionerisJ and that, as personal representative(I) of the
Decedent, Petitio~~) will well and truly administer the estate according to law. .
Sworn to or affirrned and subscribed ~ ,,-,~ ,,, ~. ~.A~
before me this ~ day of ISE M. BURNHEIMER
A RL . 20 05 ~
p.IA Yrn~
No.
~\- 05-02.f2-
Estate of
LlXX C. MAGAID
Deceased
Social Security No.: 189-09-.0327
AND NOW, (Yl A RC ~ 2Q, 05.
Date of Death:
March 16, 2005
, 20 05 , in consideration
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters Ga Testamentary 0 Of Administration
d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate
are hereby granted to
LCUISE M. BURNHEIMER
in the above estate and that the instrument(s) dated
August 6. 2004
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
~LLaF~ .
. . Register of Wills
Attorney: ~
~-___.- ~~~II
I.D.No: _
124 West Harrisburg Street
Address: Post Office Box 310
Dillsburg, PA 17019-0310
Telephone: 717 -432-9733
FEES
Letters. . . . . . . . . . . . $ QO,OD
4 Short Certiticate(s} . . .$ llo.DO
Renunciation. . . . . . . $
Affidavits ( ) .. . . . . . $
WILL t5DO
CAlia rl5gG& ( }.....$
Codicil. . . . . . . . . . . . $
JCP Fee .{,-.A. F . . . .$ ~5,DO
Inventory. . . . . . . . . . .$
Automation Fee. . . . . $
Other. , . . . . . . . . . . . .$
TOTAL. . . . . . . . $ 13L,OD
snace!WillsPetGrantLt/200 1
H105.805 REV 1105
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Reg.istrar. The original certificate will be forwarded to the State Vital Records Office for permanent"filing. ~ L
WARNING: It is illegal to duplicate this copy by photostat or photograph. 'Ll--D5-1
Fee for this certificate, $6.00
11599242
No.
~~h~
Local Registrar
p
~/l o<.MS
,
Date
\._.,.)
Hl05.143 Rev 2/87
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
1"",)
TYPElPRlNT
IN
PERMANENT
BLACK INK
NAME OF DECEDENT (Firat, MWe, last)
1. Lucy Clothilde Magaro
AGE (last Birthday)
SEX
/emale
SlATE FILE NJM8eR
SOCiAl SECURITY NUMBER
.. 189
09 -
';>'0<'.).'-
94
VB.
BIRTHPLACE (City Ind
StIlI or Foreign COulIry) ,
l~isburg,PA :-~
FACIUTY NAME (If not institution. give street and nLllTltMW)
.-0 ~~, 0
RACE . Amerlcan Indian, Black, 'Mlite, at
(Speedy)
white
SURVIVING SPOUSE
(tf lJIoile, liN' mIideft name)
..
COUNTY OF DEATH
lb.
CUmber land
DECEDENT'S USUAL OCCUPATION
(~v:=e~d;:.'~:f
1711, State PII' Did 17c. i] Yes. decedent lived in T .r.;,lCar '1111.." owp
decedenI
CUmber land Ii..... in. l1d.0 No, decedenllived
17b. CotMltv tCMnship? within 8Ctual limila 01 C1tylboro
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w
'"
::>
~
~
OUETOIOR A
D.
: Approxim8Ie
I interval betwe
: onMl and death
Other stgnific.ll conditions contribuIing" to death, but
not resulting in the undertying cau.. given in PART I
SequenliiYIy list conditiooa
, en)', Ieadlng to immediate
. cause Enter UNDERLYING
CAUSE (Disease or iflUl)
. that iniDated e\lents
re$UlllllO on death) LAST
WAS AN AUTOPSY VvERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPlETION OF CAUSE
OF DEATH?
t:
O(
DUE TO (OR AS"
MANNER OF OEA TH
Natural
~
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DATE OF INJURY
(MonfI,o.V,Y'.)
TIME OF INJURY
INJURY AT 'M:lRK? DESCRIBE HOW INJURY OCCURRED
Accident
Homicide
Pending In\/8'sligalion
o
o 301. 3Gb. M
o PLACE OF INJURY ~ At home. farm, stntel. factory. oIfice
buildng,eCc(Speclf'f)
301.
30<1.
LOCATION (Str.... Cityrrown, Stale)
301.
SIGNA lURE AND TITLE OF CERTIFIER
t8: 31b. ./:;
LICENSE NU.JllBER
.0 31e. t1t(J~/p fJ j-C 31d. mAT,,!, /) )r.N)-
NAME ANOADORESS OF PERSgN 'lottO COMPlETEOPUSE OF DEATH oft II
(lIem27}TypeorPrint '/.(..t'H~I...L--i-4 t.J. c:.....~.",~~r I
"2V 7 /I~.,..,~'" /1,,~- .-';7
32. .,. ,.k ;.L " /1' /.. ()c.i/'
DATE
V..O NOD
300.
NOP v"O
21., 28b.
CERTIFIER (Ched!. only one)
.~:~f::'GJ~~~~l.~~~~Cf=I':~.==~X~~~.h~~~:~.~~~.~~~~~.i~~.~~~
NOD
Soode
Could not be determined
21.
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.PRONOUNCING AND CERTIFYING PHYSICIAN (Physician boCh pl'onotrong death and certifying 10 caUi8 of deeth)
To.... b.... of my knowtHge, death occul'Nd.1 the time. date. and pIIICtI, and due 10 the cauHl(a~ and m.nner a. .lated.
BiIl\ClientS\Mllgaro, Lucy C
1llnst ~ill nub ~tstnttttnt
'....')
OF
LUCY C. MAGARO
f",)
BE IT REMEMBERED, that I, LUCY C. MAGARO, unremarried widow, presently of
102 Easterly Drive, Mechanicsburg, Silver Springs Township, Cumberland County, Pennsylvania,
being of sound mind, memory and understanding, do make, publish and declare this as and for my
Last Will and Testament, hereby revoking and making null and void any and all Wills and Testaments
and writings in the nature thereof by me at any time heretofore made.
ITEM 1: I direct that my hereinafter named Executrix pay all my just debts, my funeral
expenses, and the expenses of the administration of my estate. With this direction, I authorize and
empower my Executrix to expend for my funeral expenses and interment such amounts as she may
consider necessary and proper, without regard to any limit that may be prescribed by a court oflaw.
ITEM 2: I direct my Executrix to pay all inheritance, estate, succession, and legacy taxes
of whatsoever nature and kind, to which my estate, or the transfer of any property passing hereunder
or otherwise passing by reason of my demise, may be subject, and to charge such taxes against my
residuary estate. It is my intention that none of the aforesaid taxes, either federal or state, on any
property required to be included in my gross estate, under the provisions of any state or federal law
now in force or hereafter enacted, shall be prorated among the persons interested in my estate to
whom such property is or may be transferred or to whom any benefit accrues.
ITEM 3: I give and bequeath the sum of FIVE THOUSAND DOLLARS ($5,000.00) to
each of my GRANDCHILDREN living at the time of my death.
ITEM 4: All the rest, residue and remainder of my estate, of whatsoever nature and
~
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wheresoever situate, whether it be real, personal or mixed, including property over which I have a
power of appointment, I give, devise and bequeath to my daughter, LOUISE M. BURNHEIMER,
provided she survives me for a period of thirty (30) days.
ITEM 5: I nominate, constitute and appoint my daughter, LOUISE M. BURNHEIMER,
to serve as Executrix of this my Last Will and Testament. In the event my daughter, Louise M.
Burnheimer, should predecease me, fail to qualify, cease to act, or renounce probate, I appoint my
son-in-law, CHARLES F. BURNHEIMER, as alternate Executor of this my Last Will and
Testament.
ITEM 6: I direct that my hereinbefore named Executrix, or her successor, shall not be
required to give bond for the faithful performance of her duties in this or any jurisdiction.
~JN WITNESS WHEREOF, I have hereunto set my hand and seal this
Jr ,2004.
6tt
day of
~~04f C'~h
\J .
LUCY C. MAGARO
The preceding instrument, consisting of this and one (1) other typewritten pages, was on the
day and date thereof signed, sealed, published, and declared by the Testatrix herein named, as and for
her Last Will and Testament, in the presence of us, who, at her request, in her presence and in the
presence of each other, have subscribed our names as witnesses hereto.
c4l?~
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OF
OF
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Page 2
COMMONWEAL TH OF PENNSYL VANIA :
dhn ch~j dvluf/
/
COUNTY OF YORK
and
, the Testatrix and the witnesses,
respectively, whose names a signed to the attached or foregoing instrument, being first duly sworn,
do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument
as her Last Will and Testament, and that she signed willingly, and that she executed it as her free and
voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and
hearing of the Testatrix signed the Will as witnesses, and that to the best of their knowledge, the
Testatrix was at the time eighteen (18) years of age or older, of sound mind, and under no constraint
or undue influence.
~.. C,7h-...I-r:t
LU .. Co M A .
~
---
&L~ j-(-'~
SWORN TO AND SUBSCRIBED
BEFORE ME THIS 61il DAY
.YaM
NoIMaI ~
Janet S. Gore. No&y NlIIc
0iI1sburg 8010. YOlk ~
Mt Q:lIlalllssion ExpIr88 0cl25. 2006
. PenneyMiInIa A8socIaIIon OfNclll!llM
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